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HomeMy WebLinkAboutOC1969-1218 - ESTATE OF BRYAN,-;.. ~ \".\ ).'\~//)....-) J Q!nmmnUUttn1t4 nf ,tUU5111UnUin.}!l!l.lIa!l~in!ltolt <!tonntg, I A,D.1969 ,before me, Whereas,at Washington,III the County aforesaid Octoberdayof KNOW ALL MEN BY THESE PRESENTS: 27th.on the Russell Marino ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will and Testament of Mary Jane Bryan late of Monongahela in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and Bessie Ora Bryan rix the ExecutiX"III said Will and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said Bessie Ora Bryan committing unto Her the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring Her to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety days from the date hereof,and to render a just and true account of said administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this 27th. day of October III the year of our Lord one thousand nine hundred arid Sixty Nine ..........................................:...~~.. "'.Re~~u ~\1 , ."I. \ / , 1 s=s ! ;...i~+-t ~l;:: ~a II.~j ~0 Hl +-t III ~l N t::l l-t~<I:«>l !a I-S::l ; en Glli ! III 1-;)1 It::l;...~i ~~Hi+-t Of!i+-t I ~~I~ !!~i, ,' .."f,..'"\ •J ; !III. It LAST WILL AND TESTAMENT OF MARY JANE BRYAN '.~"'. IFIRST:I direct my just debts,funeral expenses,the expenses:, of erecting a suitable grave marker and cost of administration to ! be paid as soon as may be conveniently done after my death.II II !I I,MARY JANE BRYAN,of Monongahela,Washington County, J Pennsylvania,being of sound mind,memory and understanding,do make,publish and declare this to be my Last Will and Testament, hereby revoking all Wills and Testaments or Writings in the nature thereof by me at any time heretofore made. SECOND:I direct that all estate,inheritance,succession, I legacy,and other death duties or taxes of any nature which may l II be assessed or imposed upon or ~ith respect to property passingIunderthis.Will shall be paid out of my residuary estate as part I of the expenses of administration and with no right of reimburse-iIi! ill!ment from any of the legatees,devisees,or beneficiaries hereunde~. .I II I THIRD:I give,devise and beqrieath unto my Sister,BESSIE ORA BRYAN,her heirs and assigns forever all my property and !estate,real and personal,of whatsoever nature and kind and where-! Ii soever the same shall be situate at the time of my death. !i' FOURTH:If my Sister,BESSIE ORA BRYAN,predeceases me,then I give,devise and bequeath,all the rest,residue and remainder of my property,real and personal,of whatsoever nature or kind, and wheresoever the same shall be situate at the time of my death unto the following named beneficiaries and the following propor- tions: 1.Fifty (50%)percent unto my nephew,FRANK D.BRYAN. 2.Fifteen (15%)percent unto VERONICA DATOVICH. 3.Fifteen (15%)percent unto SARA McCLINTOCK. 4.Ten (10%)percent unto MARGARET BANE REYNOLDS. 5.Ten (10%)percent unto ALICE ANDERS. FIFTH:I name and appoint,BESSIE ORA BRYAN,to be the .,....". IN WITNESS WHEREOF,I,MARY JANE BRYAN,the Testatrix, in her stead as Executrix of this my Last Will and Testament. decease me then I name and appoint MARGARET BANE REYNOLDS to act If she should pre- have hereunto set my hand and seal to this my Last Will and Testa- ment,this \'l--\b day of $,l=rfEt\\?A~rG in the year of OUR LORD ONE THOUSAND NINE HUNDRED SIXTY-NINE (1969). 11''II, "IIII Execu~rix of this my Last Will and Testament. d II.I ri I, II II The foregoing instrument was signed,sealed,published presence,and at her request,and in the presence of each other, and for her Last Will and Testament,in our presence,who,in her ,;f have hereunto set our i II and declared by MARY JANE BRYAN,the above named Testatrix,as IIII 'It 11IIr. II 'I III II II III I -}i .... .'";' ),..; J 1\ffibuuit QJ)f 1Exrrutnr (@r 1\bmiutatrutnr }ss:~tatt of Jtuullyluattia C!!nuuty nf lIIIIall~iugtnu Personally before me,the undersigned authority,a Il9.1.a..r.Y-p.u.b.1L<;.in and for said County and State,appeared ~.~.;:?~.:t.~QJ:.<;.l;.Jtr.y..<;.l;n..who,being duly sworn according to law,deposes and says that she is the executor or administrator of the es- tate of Mar:y:...Jane B.r.¥.an deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of Ma.r-y....Ja-ne...B.r-y.aa...., deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item of real and personal 'estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just .appraisement ~f each item m~de by t~e a~ove named Executo~Administrator. Swor and subscrzbed before me this .../9~.}'(y /2 I ~~IL.A/;?. day'of 19 n'O ..I.cr~1/~.../.CT'/U.4CVf..-/. . . .../,;..........Executor-dministrator·) ...................................:Bessie Ora Bryan HEl R•..BARKEY,NQTARY PUBLIC MONONGAHELA,WASHINGTON COUNTY DDITIONAL INSTRUCTIONS 1.:A~O~M~eWfbWlllRU~tRbe9filep within three months after appointment of personal lIepresentative. 2.~E{tfPfJl~jlMto~fIl~./lilust be filed within thirty days of discovery of additional assets.. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and ~RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 ( ~uututnry aub !\pprailltuttut .of the goods and chattels,rights and credits which were of Mary.J.ane Bryan late of M.Qn.Qngahe.1.a~. Washington County,Pa.,taken and made in conformity with the above affidavit. DOLLARS CENTS REAL ESTATE: ALL that undivided one-half interest in and to the following real estate,held jointly.with Bessie Ora Bryan, and described as follows: PARCEL NO.1 Lot No.4 situate in the First Ward of Monongahela City,Washington County,Pennsylvania,in a Plan of Lots laid out by Frank R.Colvin and William Isaac,and recor- ded in Plan Book 3,Page 166,upon which there is erected a dwelling house known as 469 Hudson Avenue. Being the same premises acquired by Mary Jane BFyan and Bessie Ora Bryan by virtue of the Last Will and Testa- ment of John C.Bryan.(Certification of real estate re- corded in Deed Book Volume ,page $1,800.00 PARCEL NO.2 ALL that certain parcel of land situate in the Third Ward of Monongahela,Pennsylvania,being part of Lots Numbered &5 ~nd 66 in the Plan of the Chess Addition to Williamsport.Upon which there is erected a brick dwelling house known as 507 West Main Street,Monongahela,Pennsyl~ vani a. (Samerecita1 asParce1 No.1)..6, 500'.00 PARCEL NO.3 ALL that certain irregular shaped parcel of land,not fronting on any street,but located between Fourth and Stanton Streets in the Third Ward of Monongahela,Washi-ng- ton County,Pennsylvania,known as Rear 908 Stanton Street and being a vacant lot.(Same recital as Parcel No.1).200.00 PARCEL NO.4 ALL that certain parcel of land situate in the Third {.... ,. .".."~,". ~~./Ud 6/N~r OL~ ·~a~311 :J $5,125.00 i ......;.. Ward of Monongahela,Washington County,Pennsyl- vania,fronting on Fourth Street in said City, a distance of 48.5 feet and extending back a distance of 120 feet.Upon which there is erected a concrete block and frame dwelling and a one-car garage,known as 806 Fourth Street,Monongahela,Washington County, Pennsylvania.The undivided one-half was acquired by Mary Jane Bryan as follows: (a)One-third by Deed dated May 20, 1937,and recorded in Deed Book Volume 613,Page 487. (b)One-sixth by virtue of the Last Will and Testament of John Bryan, Deceased.(See Certification of Real Estate recorded in Deed Book Volume .._'Page .) PARCEL NO.5 Dollars Cents TEMPEST Be SIMMONS 223 SECOND STREET MONONGAHELA,PA. ALL that parcel of land situate in the First Ward of Monongahela,Washington County, Pennsylvania,fronting on the Southeasterly side of Park Avenue a distance of 150 feet (less 83.70 feet heretofore conveyed to William Polonoli,et ux,by Deed dated Aug. 14,1967,and recorded in Deed Book Volume 1269,Page 590).Upon which there is erected a frame dwelling house knDwn as 521 Park Avenue,Monongahela,Pa. Excepting and Reserving out and from the above parcel conveyed to William Polonoli et ux,aforesaid. The undivided one-half was acquired by Mary Jane Bryan as follows: (a)One-third by virtue of the Last Will and Testamentof Rosanna Bryan (Will Book 50,Page 19 and 20),(See also Deed Book W,Vol. 5,Page 427). (b)One-sixth by virtue of the Last Will and Testament of John Bryan, Deceased.(See Certification of Real Estate recorded in Deed Book Volume ,Page PARCEL NO.6 ALL that certain parcel of land situate in the First Ward of Monongahela,Washington County,Pennsylvania,fronting on the East- erly side of Park Avenue a distance of 118 feet and extending back,Eastwardly,a dis- tance of 200 feet.Upon which there is erected a frame dwelling known as 511 Park Avenue~. The undivided one-half interest was ac- quired by Mary Jane Bryan as follows: (a)One-fourth by virtue of the Last Will and Testament of Rosanna Bryan,Deceased.(See Will Book 50,Page 19). (b)One-fourth by virtue of the Last Will and Testament of John Bryan Deceased.(See Certification of Real Estate recorded in Deed Book Vol.,Page 2. 1,450.00 1,500.00 .. PARCEL NO.7 Dollars Cents TEMPEST Be SIMMONS 223 SECONO STREET MONONGAHELA.p.o. ALL that certain parcel of land situ- ate in the First Ward of Monongahela, Washington County,Pennsylvania,being an irregular shaped vacant lot of about 3 acres,located along Pigeon Creek and known as Rear Park Avenue,Creek bottom.(Same recital as Parcel No.6 above). PARCEL NO.8 ALL that certain parcel of land situ- ate in the First Ward of Monongahela, Washington County,Pennsylvania,fronting on the Eastern side of Park Avenue,a dis- tance of 102.5 feet and extending back, preserving the same uniform width,a dis- tance of 200 feet,more or less.Upon which there is erected a frame dwelling known as 509 Park Avenue,Monongahela, Pennsylvania. The undivided one-half interest of Mary Jane Bryan was acquired as follows: (a)One-sixth by virtue of the in- testate laws of Pennsylvania, after Rosanna Bryan by her election of record in the Re- corder's Office of said County in Spouses Election Book,Vol. 2,Page 172,elected to take against the Will of her~late husband,Joseph A.Bryan,who acquired said land by Deed re- corded in Deed Book Volume 353, Page 617. (b)One-twelfth by virtue of the Last Will and Testament of Rosanna Bryan (Will Book 50, Page 19 and 20). (c)One-fourth by virtue of the Last Will and Testament of John Bryan,Deceased.(See Certification of Real Estate recorded in Deed Book Vol. ,Page--- PARCEL NO.9 ALL those three (3)certain vacant parcels of land,situate in the Second Ward of Monongahela City,Washington County, Pennsylvania,known as Lots Numbered 44,47 and 54 in the Belvedere Plan of Lots,re- corded in said County in Plan Book "C", Volume 5,Page 283.(Same reci tal as Parcel No.8 above). PARCEL NO.10 ALL those three (3)certain lots,situ- ate in the Second Ward of Monongahela,Wash- ington County,Pennsylvani~,being known as Lots Numbered 43,48 and 53 in the Belvedere Plan of Lots,recorded in said County in Plan Book "C",Volume 5,Page 282.Upon 3• 250.00 1,350.00 300.00 which there are erected three frame dwelling houses known as 207 Third Avenue,205 Third Avenue and 203 Third Avenue,Monongahela, Pennsylvania.. The undivided one-half interest of Mary Jane Bryan was acquired as follows: (a)One-sixth by virtue of the Intes- tate Laws of Pennsylvania,after Rosanna Bryan by her':e1ection of record in the Recorder's Office of said County in Spouse's Election Book,Volume 2,Page 172 elected to take against the Will of her late husband,Joseph A.Bryan who acquired said land by Deed recor- dedm Deed Book Volume 353,Page 617.. (b)One-twelfth by virtue of a Deed from Rosanna Bryan,dated Nov. 16,1927 and recorded in Deed Book Volume 556,Page 393. (c)One-fourth by virtue of the Last Will and Testament of John Bryan,Deceas ed.(See Certification of Real Estate recorded in Deed Book Volume ____,Page Dollars Cents /\\ TEMPEST &SIMMONS 223 SECOND STREET MONONGAHELA,PA. Lot No.43,203 Third Avenue Lot No.48,205 Third Avenue Lot No.53,207 Third Avenue Total Real Estate 4. $ $1,250.00 750.00 1,375.00 21,850.00 .'. ,.. Dollars Cents PERSONALTY 1.CASH: (a)Western Pennsylvania National Bank Monongahela Office,Savings Account Number 29207 (b)Western Pennsylvania National Bank, Monongahela Office,Checking Account No.042-369-470 .. $13,961.34 1,108.38 $15,069.7.2 2.STOCKS: (a)218 shares,American Telephone & Telegraph,Common @ 52 7/8 $11,526.75 (b)20 shares,West Penn Power,4 1/2% Preferred @ 61 1,220.00 (c)14 shares,General Motors,5%B:efer- red @ 77 7/8 1,090.25 (d)60 shares,Southern Pacific Company, Common @ 35 1/2 2,130.00 (e)22 shares,Madison Fund,Inc.Common, @ 27 7/8 613.25 (f)25 shares,Potomac Electric Power, Convertible Preferred @ 37 7/8 946.88 $17,527.13 3.CORPORATE BONDS: (a)General Cigar Co.,Inc. 5 1/2-87,Subord,Deb. $1,400.00 @ 67.00 $938.00 (b)Santa Fe Industries 6 1/4-98, Subord.Deb.$2200.00 @ 103 2,266.00 $3,204.00 4.GOVERNMENT BONDS: (a)United States,Series E TEMPEST &SIMMONS 223 SECOND STREET MONONGAHELA,PA. Number C-31089467E D-4928790E M-4604215E M-4604216E M-4340838E M-4340837E M-8935005E M-8935006E M-9915591E M-9915592E M-10869655E M-10869656E M-10869657E Date March 1943 April 1943 July 1943 July 1943 Aug.1943 Aug.1943 Nov.1944 Nov.1944 Apr.1945 Apr.1945 June 1945 June 1945 June 1945 Amount $100.00 500.00 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00 1000.00 1000'f00 1000.00 1000.00 5. $17 5,~72 878.60 1,728.00 1,728.00 1,728.00 1,728.00 1,638.40 1,638.40 1,644.00 1,644.00 1,618.00 1,618.00 1,618.00 .. Can tinued -,GOVERNMENT BONDS; Number Date Amount M-12452963E Jan,1946 $1000,00 $1,606.00 M-12452964E Jan.1946 1000.00 1,606.00 M-·12452965E Jan.1946 1000.00 1,606.00 M-13385450E July 1946 1000.00 1,580.00 M-·1338545lE July 1946 1000.00 1,580.00 M-20523237E May 1949 1000.00 1,428.80 $28,791.92 TEMPEST 8<SIMMONS 223 SECOND STREET MONONGAHELA.PA. Total Personalty Total Estate $64,592.77 $86,442.77 t •.:' .. .."f . ....,,...-. .~"""ll~~~~---\C<J <r---,0 ~~~~~i »j --Q ~..t:::. -0 --0 \ " STATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The within named Accountant being duly sworn according to law,depose and say that the above account as stated is true'and correct as..~b.~verily believe, ,I i,Sworn and subscribed b~fore me thiS.._./G.."r~ day of ----Qi!".;~e---------------19-2Q. "'~"7~JL.Q.....~.~tV!L(f""""".' ETHEL R.BARKEY.NOTARY PUBLIC. MONONGAHELA,WASHINGTON COUNTY MY COMMliSleN EXPIRES APRIL 9.1973 ,Member,PennsylvahiaAssociation ofNotaries 13 /,n ,-r:J I L ~._Vf.f.L)!..l.<i::4#f.a11/. Bessie Ora Bryan Wa'shington County,ss:t do certify that I have given leg'at notice 'to all persons concerned of the filing of the within account in the manner prescribed by Sta'tuite and Rule of Court,as evidenced by proofs thereof filed to No __~3:.7~-::37o.___'f!!:-- Wltn s my hand and official 'seal thls...3L._...._.._._._.... day of . ..........$\::l 1°0 ~C,) (])~i ~--.;;. ..c:l ~~-+'!00,i.!ol .~~+':...00\0:(])~~~~~,:<00 .... !'0 ~.rJj ~~~N~~~\=:~.,~\,)$;'[iI :'0 ~~~-..::~Z~:<tl...~«xd(]).;+'oQc.')a'~.8 Ul +''bIJ ~-01 Z Z<tl Q)0 (])S i~lOO+'..c:l ...~\,)Z~+'~<r.-.:lOgQ"~'0 '~;E.::~o '~......., HEf.nSTEf1 OF W'LLS \lJA("·JI·td(:'lT)~1 ('0 PA11-vT!.'.......1 \..,l'V *,• F~f FO'•i _,.~j ...'0:0 +'Q)i .::(J)i ::lcui0'"Q)i '"o!< .Q)i~i'~l 'Q:, .i.~,IX.P.CUi ':"t'0 CUi :>ir:.1 :>i.I-li11Eo<I-l!P::\i~P::\i~:Eo<..:U1 cui ~[iI Q)!I-li ~;OJ I CUi~i Q)! ~.,-1::>i.t1)i ~H t1)! ~i Q)i P::\Iciz )• ...'..... ....I .-1/> ~------------.- "... ,..::"'; "... ~ ~......., '... ...~ .. ~ .. THE FIRST AND FINAL ACCOUNT OF BESSIE ORA BRYAN, EXECUTRIX OF THE ESTATE OF MARY JANE BRYAN,DE- CEASED,LATE OF MONONGAHELA,PENNSYLVANIA. Date of Death:October 2',1969 The Accountant is charged as follows: PRINCIPAL PERSONALTY T"o Amount of Inventory and Appraisement INCOME PERSONALTY INTEREST 12-3-69 U.S.Government "H"Bond $318.16 12-3-69 Gen.Cigar Corp.Bond 11.00 12-3-69 U.S.Treasury Coupon Bonds137.52 $466.68 DIVIDENDS $64,592.77 12-3-69 Potomac Electric 12-3-69 General Motors 12-30-69 Madison Fund 12-30-69 Southern Pacific -3-17-70 Potomac Electric $15.25 17.50 3.30 27.00 15.25 $78.30 GAIN OR LOSS FROM SALE OF PERSONALTY 12-22-69 SHS.Madison Fund Inventory Value $613.25 Selling Price 548.23 Loss $65.02 11-18-69 General Cigar Company Inventory Value $938.00 Selling Price 948.95 Gain $46.95 ~ 3-17-70 U.S.Govt."E"Bonds (three) Inventory Value 5184.00 Selling Price 5292.00 Gain 108.00 $89.93 TEMPEST B:SIMMONS 223 SECOND STREET MONONGAHELA.PA. FROM INCOME REALTY PRINCIPAL REALTY To Amount of Inventory and Appraisement $818.57 $21,850.00 -.. INCOME REALTY 12-31-69-..".1-~1-70 2-1-70 3-1-70 Rental Income Rental Income Rental Income Rental Income $316.50 158.65 201.87 141.55 $818.57 To Income Personalty 818.57 TOTAL CHARGES ------$87,896.25 z,7,r6tl ,2.5 The Accountant claims credit as follows: PRINCIPAL &INCOME PERSONALTY TEMPEST I>SIMMONS 223 SECOND STREET MONONGAHELA.PA. Administrative Expenses,Preferred Debts &Other Debts &Taxes,as shown in Schedule "A" BALANCE FOR SISTRIBUTION ~164.39 $75.731.86 ...~-----------~-------------------------------~,~/ ""...... SCHEDULE "A" ADMINISTRATIVE EXPENSES: 10-25-69 10-25-69 11-13-69 11-13-69 11-13-69 1-19-70 4-21-70 4-':-70 4--70 4--70 Russell Marino,Probate Guy Rogers,Probate' Russell Marino,Short Certs. Daily Republican,Advertising Wash.Recording Co.Advertising Russell Marino,Inventory Filing Account Tempest,Clyde G.,Attorney Bessie Ora Bryan,Executrix Margaret Reynolds,Accountant $12.50 15.00 8.00 12.50 14.00 26.00 15.00 .4,850.00 2,477.15 1,850.00 $9280.15 PREFERRED DEBTS: $95.00 22.40 11-13-69 11-13-69 11-13-69 12-12-69 Bebout &Yohe,Funeral Kurtz Monument,Marker Span &Taylor Drug Co. Dr.M.S.Stevenson Final Bill Less Insurance 2,553.50 158.27' 33.39 72.60 2817.76 OTHER DEBTS AND TAXES: 2-4-70 Internal Revenue Service Decedent's Final Return Fiduciary Return TOTAL SCHEDULE "A" $45.00 21.48 -66.48 $12,164.3c TEMPEST &SIMMONS 223 SECOND STREET MONONGAHELA.PA. PROOF OF PUBLICATION THE DAILY REPUBLICAN MONONGAHELA,PA. In compliance with the Newspaper Advertising Act of May 16.1929 P.L.1784,Sec.3, paragraphs (3)and (25), County of Washington }ss: State of Pennsylvania Personally appeared'before me,a Notary Public in and for said county and state, Mrs..A.•...~•..DeSantj,&.vho,being duly sworn,deposes and says:thaL.sh.e........is the ..bookke.eper.........of The Monongahela Publishing Co.,a Pennsylvania corpora- tion,and its agent in this behalf:that the said company is the publisher of The Daily Republican,published daily except Saturday and Sunday,having its place of business at Monongahela,Washington County,Pennsylvania;that the said Daily Republican was established in the year of 1846;that the printed notice or advertisement,attached hereto is a copy of a notice or advertisement,exactly as printed or published,which appeared in the said newspaper in its regular issues on.the following dates: cC"'--------------------------------------------~::::::::::::====~--------"- !"STA'fr'NOTICE,,"I Edstate of MARY JANE BRYAN!eceasedl;;.t"of M )'Washington County Penonon~ahela,. Letters Te t't na.Iaboveestatesh~~i:'a1r Upon thetotheundersid .een;grantedgiventothos~'"d bOhce IS hereby ,make immediateffi i ted thereto.to!those havin cl'P yment,and to present thei fo~I~e~tI~m~~¥?and.to • essIe Ora !lryanExecutrix' 806 Fourth Street 1 c'Iyde,,G.,TMOnOngahela,Pa.15063.Attorney'emPest 223 Second St.~nnongahelil.Fa.15063 'r:_ov~I.,31,19611..--"~- ..Nov.ember 7,...14..·and..2~.,...1969···· · · ·..···..·..--..--..·--..·.. ...~§~A'!'~N9.'!'IQ~~__..__.M~Y J:~m:BRI~____. . that the .affiant or the corporation in behalf of which sh.fL.is acting is not inter- ested in the subject matter of said notice or advertising and that all of the allegations of"thffi affidavit '"'~~_\~=~':Z&U~_ Sworn to '~nd subscribed before me this 00.':~day'·of .~.......C1;~...,.....1OO.? ·';,,;;;;;,;bli,.~~;~;~;.;;P;bi;;: My Commission Expires March 23,19~O ~ II I Washington County Reports Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929, P.L.1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON}SS. STATE OF PENNSYLVANIA Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS, the officiilli.legal periodical for said Washing,ton County,published weekly hav,ing its place of business at Washington,Washington County,Pennsylvania, and is acting as its agent in this behalf;that the said WASHINGTON COUNTY REPORTSwas established on March 31,1920,and was designated as the Wficiallegal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly as printed or published,which appeared in the said legal periodical in its regwJar issues on the following dates: ............No:v.emhe.r....13..,....20.i>....2.7..,.....1.9.6.9...... that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations 9f thX~vit as to the time'm and~7erof the publication are true.~~.Iv t::.:/...:.;~;.~;;, Sworn to and bscribed before me •., • ....,'.",~~. •..AI "'....~,........•..".:~t'1",,~~' ......27.th day of No:v.emhe.l:,19 6.9............~~~..eh..Zk~~. f(Alfll:.RIIlE C.NICHOLAS,NotarlJl8tllfl!ppublic WMhlnllton.Washington Co.,Pa. My Commission Expires Novomber 1,1978 Estate Notices The Register of WiHs has granted letters,testamentary or of administration, in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. •• ••• ••• • •• •• • ••• BRYAN,MARY JANE.Dec'd., Late of Monongahela.WashingtonCounty,Penna.4,_Executrix,-Bessie Ora Bryan.806F'ourth,St.,Monongahela,Pa.15063 Attorney:Clyde G.Tempest,223 Second St.,Monongahela,Pa.15063 atnurt nf (ttnmmnu (@rpqnun ~ In the mllitter of the Audit of Account in Estat~of Mary Jane Bryan TO THE AUDITING JUDGE: 'l~nn of Ifnnqiugtnu Qtuurt llIinininu No.1969-1218 <ttnuuty J Enter_---=O:-u=.r=--.---.appearance for Bessie Ora Bryan,Executrix By ~EM.PES~.,~-.J:1~ ,7thday of September ,19--.IQ. N.B.-Counsel shall,by separate pape·r,present a concise statement of each claim,with supporting caIcuIation of any interest claimed.Objections to an account as filed,shall be concisely stated in a se·parate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. No.1969-1218 In re Audit of Account in EstllJte of Mary Jane Bryan ..__ AUDIT 'rarripr fnr i\.ppraraurr FOR Bassie Ora Bzvan.EXIX. c:=> = '4i -....~-'"__,1:~~_ fT-t ~ =r.;..-0J>Fr,:::oeJ)~c: -'-(/)~...,.., :;-1 :.:~1 -~t·.j n f~-...~ -j ~"J ;--'-1o(:-;,__ --n ...~:=~ ('""):"~o::!E::c r'V <::.;) .r--~----=v,;::':»if)~ Attorney ~2 \. PETITION SUR AUDITr, IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J Estate of MARY JANE...BRYAN . Deceased No i~(;9..::-:.1..l:\.i.. Fiduciary ~.~~.?}.~Q.~~~.~.y..~.~.L.~~.~~.~~.~ix ~~~~~~ Decedent's death 9.~.t9.Q.~.I..)J."'J.~.9.~Grant of Leltters QS;JQ.1?~.~..l?.2..J.~~§.~'.. This is the fjJ;.?:t..~~~...f.~.I}~J account filed in this estate If there have been former accounts filed in this estate,list file number or number and term NRD..e . Election to take Under or Against will.(cross out one) Date Election Place of; Filed NQ.l),~...............Record .NQn~. N f . .Noneame0surVIVingspouse . List issue,where material:None Did decedent marry after execution of will?(indicate)'%#;XNo.Any children born after execution of will?(indicate) n~No.If answer yes,name them u.Q.t appJ.i.c.g..bJ.e . Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris Bessie Ora Bryan 806 Fourth Street Monongahela,Pennsylvania Sister Entire Estate None List,if exceptions to above: None If partial intestacy,give facts: None Adeemed:Revoked:Lapsed:Abated:Give Couse: Not,ce to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.No.. If any exception give cause:Ih~Q.D.l¥L.e.g.<;ct.e.e..is the Executrix,herein Fi Ie copy of Notice and date of ma.i Iing D-.9.D-.(}.. Is estate subject to the filing of a Federal ES~11Ja$~~t~6ntLr~'~~~'~n~~~~'c~J.~.~.;h-f~'7"O"""""""""................. Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..}??:J.~..J.-.JfJ..-::.7..Q....It..!.().J.7f!.:lJ.':I.7 If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant N2.D:~. ._-.___-..--_-_-__..___-__--___..__._-------_..---..-..-___. Give Names and addresses of all unpaid creditors who a re legally entitled to notice,together with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. None Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: None , Balance for distribution per account,. Itemize any additional debits not shown by account: Rent-April,May,June,1970 Four "E"Bonds Sold (Interest)" $466.46 131.60 $7..S.~7..3.1.•.a.6 . l. Total additional debits (Add)$..59.8 06 . Itemize any additional credits not shown by account: 4-29-70 -Postage,Stock Transfer $4.55 Total additional credits (Subtract)$J ~.~. Balance for distribution $1.6:.,..3.2.5 3.7.. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); 1.Real Estate (one-half interest)fully described in election to take in kind $21,850.00 2.Government Bonds,itemized in Election to Take in Kind $17,252.72 3.Stock as itemized in Election to Take in Kind $16:,~j.';3.~S~ 4.Santa Fe Industries Subordinate Debenture $2,266.00 ...a .. ....~'.. ,.' If Family Exemption claimed by Petition,give place of Record:}~QJJ..~~. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:~~.I):~._:. List any advancement or distribution on account that has been made,and nature and amount of same: None Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: Signed and itemized Election to Take in Kind is filed herewith COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly _ _..~.W.9.IIl doth depose and say that the facts set forth in the foregoing petition are true to the best of__..)l:~T knowledge and belief. ........s:w:orn to and subscribed before me th;Ln__n __nd~.ly.....................9...Z0. Signature of Office ...•.....~2..?.sc.~~~'!' Title of Officer NQ.t.ar.y...P.ub.li.~. Office exPires..::£~\~~'.§'.~.1q,'J..~~.. And your petitioner will ever pray,etc. ...-..---_----_--____----__-__.. .'"'.. No. r --- I .\ "",e'.''( •.c>l' -" "Estate of . Deceased Fiducia ry ,---.--'" ') :.) \\ 'l} \, .. ,. I ,/'....'4"..J ' ./ /' :.~ :' PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:parograph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. ;10.Copy of Federal Estate Tax return if es- tate is subject thereto. ~2 ·'tId "00 N01'-)Nl HS"tlA SllW .:JO H]lSjt)3~ 0 ',··1········-1 "'"'n"•.'I~\L ;,,'t /:i'19 ~n)9 02 6 !~V i I J30 OL ~a ;).,)l.d . r: '.I .'. , /rr\'i "~.~!~..---11-------------:------~-~ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA ORPHANS'COURT DIVISION tax.I have enclosed here with these papers the estate tax closing papers in this estate.This estate was subjectttto payment of an estatl ) ) ) )No.1218 of 1969 ) ) ) TEMPEST &SIMMONS,ESQS.,of Monongahela, Pa.,.repr~sentingthe Accountant_ HEARING ON AUDIT THE HONORABLE P.VINCE~T MARINO,Judge of the said Court. Thursday,September 17,1970,at 10:00 (0'clock :.:A .M.',EDST. MARY JAN E BRYAN, ES.1LATE OF IN RE:;... ~. ~Deceased. ~z ZIIIII. ie BEFORE: Clz ien~ ti APPEARANCES: i..enC .I0(oc TIME: ::l"l ~III 'viETHE COURT:-Number 1218 of 1969,the estate of Mary Jane o m·Bryan,decease~.The Executrix is Bessie Ora Bryan and the..a::::l8 attorneys are Tempest &Simmons.Mr.Tempest? .I0( ~MR.TEMPEST:If the Court please,I have prepared all the neces~ary II.o c, '. C'e letters and the letter sh owing that all the Federal Estate Taxes have been paid.I also have enclosed with these papers the copy of the estate tax return which was filed.We have made a payment on accou~t of th~Pennsylvania Transfer Inheritance Tax in the amount of 2 $10,789.47.·I believe there w ill be a small balance remaining to be ....~1------;I--"'--------~-----------------------1--- paid on that.Also,there's nine or ten different parcels of ground, real estate in Monongahela and I have prepared an election to take ,J in kind by the sole heir,being a sister of the decedent.That is Bess e Ora Bryan.I mh;jght report that all the debts have been paid. THE COURT:Is there anyone else in Court interested in this (A UDIT CLOSED)(I ~z~decedent's estate? ..I>-01~~(NO RESPONSE) IIIII. ~THE COURT:The audit'of this acdount is ordered closed by th l!Jz~Court. 0(~ tiitI-!!.!c ..I0( 1;1 C:J"l ~[;;- ui II:III •-~I hereby certify that the proceedings and evidento are ccntainedoII.III~fully and accurately in the notes taken by,me 'on ~ho hearing of tl1e above' :Jo~.cause,and that this copy is a correct transcript of the same,. 0( Uii:ILo The foregoing record of the aceeding's U pen th~hearing of the above cause is hereb)"approved and directed to be filed. J. I, •" :~'rcr :Y)':,.'T Q ""J (J)<0 --'c... c:r;:!:_J -,..0.;...-<;..) .:;:;:.~,L._....-0 4,,-~:a'901<c:_1 c·-l-..•..1 ....),.--~,""to l--,~'¥--'-'v,if) 1 (f)-_. l..J.J -'-...........c:::::l :::l r..;l r/) .....:'.....-J 0-0::1.4 ..,q:-c::.....,.: r-::>:-1_~ ,-t:.·,1 .-,~ ,.,.'-1 )'J.U _I, -.'" \ f .J.. .'" \\'..,.'/"...,...~._,....:..:.}~~.;....~..( <--. ~.' " \ ':-t ....,.J ~"" ., '.",~.t . " '. 'I r--------------------------- ..J ,; In t4r <!taur!af <!tautman 'lru!i af Ihl!i~ilt!ltnn <!taunty. Jruusylunnin.(0rp4nus'Qta1U1 minisinu ESTATE OF N 63-69-1218o.__...:;..::::......:~..::.=.=..:.._ Mary Jane Bryan In the matter of thl:-e_F~ir~s.;,.-t~a:.....;.n..:....d:.:_.F_i_=.n.;:.:8...;;:l~ deceased.Account of Bessie Ora Bryan Executrix ADJUDICATION AND DECREE And now December I CJ ,19 70 ,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereof6the b,glance for distribution in the hands of the Accountant is determined to be $7_,322.37 and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDU~E OF DISTRIBUTION Balance per account _$75,731.86 16.00 66.50 598.06 $76,329.92 1h.2.2 $76,325.37Balance...._ Addi tiona1 credit asked at audit Additional debit asked at audit Deduct Clerk's Costs &Receipt.li-s _ Attorney Tempest &Simmons Russell Marino,Clerk O.C.,costs in cert~fying real estate to Recorder, Recorder of Deeds of Washington County,costs recording certification of real estate an'd costs registering same, Russell Marino,Agent.,transfer inheritance tax'i 931.49 Bessie Ora Bryan,sis ter,residue,inclUding caslh.; items of real estate as hereinbelow described; 218 shares common stock of American Telephone and Telegraph Co.at $11526.75;20 shares 4i% pfd stock of West Penn Power at $1220.00;14 shares General Motors,5%pfd stock at $1090.25;1 60 shares Southern Pacific Co.common stock at $2130.00;25 shares Potomac Electric Power Conv.pfd stock at $946.88;Santa Fe Industries 6t-98,Subordinate Debenture $2200.00 at $2266.0 and the following United States Series E Bonds, held in kind and distributed as such at the value as shown,per election filed: 0 ~~ .... ~ ::J Z·s -+p a ::r ~. c (1) ~(1)~3 0 0 ~. ."I ~. ...... i ...~'\,.,'"w ~ I.a ... f 0 ., _..... =go ..=(1) ~& ~+'I) ::i+'I).., ..{t . J .' '.Number Date C...31089467E D-4928790E M-4340837E M-8935006E M-10869655E M-10869656E M..10869657E M-12452963E M-12452964E M-1245296.5E M-133854.50EM~;t3385451E Mar 1943 Apr 1943 Aug 1943 Nov 1944 Jun 1945 Jun 1945 Jun 1945 Jan 1946 Ja;n 1946 Jan 1946 Ju1 1946 Ju1 1946 $175.72 878.60 1,728.00 1,638.~lO 1,618.00 1,618.00 1,618.00 1,606.00 1,606.00 1,606.00 1,580.00 1,580.00 292.98 No ba1 arlce REAL ESTATE TO BE CERTIFIED TO 'THE :RECOJU)EROF .EINGTO COUNTY ".'.BY mE CLERK,OF .THE ORPHANS~'C'CuRT,Di:VISION. ••-,~'i.€_~.~. Mary Jane Bryan,devisor to Bessie 01:'a Brya , e of a11.!-the right,title and interest of the devIsor of real ' estate described as,VIZ: Parcel #1 ALL that certain lot or:piece of ground si te in he First Ward of Monongahela City,Washington ,County,"Pennsy1v ia"be ng lot No.4 in'Plan of Lots la.id out by Frank R.Colvin and filliam •.Isaac,and. of~record in said County in Plan Book 3, Which said lot No.4 fronts 40 feet on the orthern side'of First Avenue,and extends back,measuring a uniform wi ghout,having 127. of Chess s1 tuate in .ty,Pennsyl- Main reet,'which e Bryan and Bessie of Jo C.'Bryan. "lot No.3 on the East and lot No.5 ~insa.1d PIa.est,.a di~- tance of 80 feet to a 10 foot alley. ALL those certain parts of lot~L or:parcels the Third Ward of the'City of Monongahela~Washi vania,being a portion of Lots Nos.65 and 6'6 i Addition to Williamsport,and further described BEGINNING at a point in the Northern·1 ine said point of beginning is 71 feet Westwardly f er of Main Street aforesaid and Fifth Street;th nce ext ndin~,from Parcel #2 Bei~g the same premises acquired Ora Br~al1 by virtue of the Last Will end ~estame (Certification of real estate recorded in'Deed the point of beginning aforesaid,Northwardly and parall 1 with the Western line of said Fifth Street,100 feet to a point i the Southern 1ine of a·':'lO foot alley;thence Westwardly,alon thern line of ,- '- r r " .t ~ 0 r ....~!r :::s z n ""t'p i 0 0 :J'" it c:lD :::s 3 1-.' 0 -+ ,~. ...0 0...:+ t ~ lD., 0.... N ""t' = :J'"lD i '. S,~. .' ti~ ,, :;, .-.., ",... -, ,. '- '-1 " Southwest treet,43 roperty; he Third Ward, desertbed':a~ erty and J. ands'of'Annie ece9r parcel , k residence. oint'at the outh 05 41'East,a st,84.8 feet dis7 ," '. ALL that certai'n lot or piece of ground si t, BEGINNING at a point,cOpmlon t,o ,,I'"'Merle Frost property and a certain:Right-of-Way thence Eastwardly,along the Norther\1 line,of sa d Main -<i.l\,t ' of'land hereinabove described is erected a (. I ,• Monongahela,Washington County,.~ennsylvania,.. f·"foliows,to wit: feet to a point a.t the pla,ce of beg~nning~ Parcel #3' Wiper and McClintock,and ~ieh~said point eorner of said Wiper property and South 01 49t tant from the Northern boundary line 'of-the Anni thence South 02 lIt East,a distance"of"'94.l9 fe Southeast corner of McClintock propertYj'thence said 10 foot alley;Q;3 feet to a point atithe orner of land now or formerly of Frances A.Bailey;thence Sou along the Eastern line of land aforesaid now or formerl~0 A.Bailey, 100 feet to a point in the Northern line of Main Street foresaidj and distance of 48.20 feet to the Northern siae of a 10 foot alley;thence ie Wiper" corner ot ce of 97 feetalongthesaid10footalley,North "83 451,East, to'''a point;thence North 05 42'West,24.30 feet No~th 10 28'East,85.66 feet to a point on the outhern side'of·Annie Wiper property;thence along the Southern side 0 said Property,North 78 27'West,118.97 feet to the Annie Wiper property,and a t the pla,ce of beginn Also all the right,title and interest in t e cert~n 10,foot al~ey bounding the Southern side of th.e p:ropert hereina ove conveyed. Size of said alley being 10 feet by 97 feet. Also all the right,title and interest in e certa n right-of-way on the Eastern side of McClintock property and Stanten S reet'Over and upOn that portion of the Northern pst"t'of~lands escribe in Deed-of Frost to McClintock,recorded in Deed Boo~Vol 626,Page 492,·extending from Stanton Street Southwardly to a point,12 feet Sout of the South- ern boundary line of Annie Wiper Lot as deserib d in sai Deed Book ,1 ,r".. ,..'0 ~ ....~i :J Z n ....?0 :r i i c:(l)a 3 0 0 0.............:+ t"\ (l) a· ., t .,0 S· ............ = ::r N (l) a s~~~~ .~ " .. " .. " 0,1 ,. .<.. Vol.626,Page 492. EXCEPTING AND RESERVING,however;811 the c al toget er with-the the'Third sylvania,bounded' ,..-fanddescribedasfollows,to wit: Ward of Monongahela City,Washington County, mining rights which have been heretofore conveye .' Parcel #4 •g ALL that certain piece or parc~n'of land,s tuate ,.op I John W. January of Fourth ostitbence dweiling hela;~Wash- l'saidashington t I" The undivided o-~e-h'lr was cquit-ed by •-'...I ington County,Pennsylvania~ Mary Jane Bryan as follows: 23,1920,and recorded in the Recorder"s Office County in Deed Book Volume 470,Pag~297. Upon which there is erected a cortcrete bloc and a one-car garage,known as 806 Fourth Street NO,rtti 5 42'West,along said line of land'of Jo W. to'a 10 fo~t alley,48.5 feet't~~lirie or~he menti ned land of Hugh R.Hanna;thence South 5.42'E~st·;along Ii e of land of-' - Hugh R.Hanna,120 feet to the point on the Nort arly Street at the place of beginning. Together with sewer rights and privileges a grante Frost,et.ux,to Frank p.Dickerson,et.:ux.,b BEGINNING at a point on the Northerly side f Fourt • I to~j,~•• the Southwest corner of land formerly of Sarah C Tidbal,now Qt Hugh R.-Hanna;thence South 83 45'West,along the No..,' Street,48.5 feet to a point at line of land of ohnW. (a)One ..thi;'fd by Deed da.ted May 20,1 37,and recorded in Deed Book Volume 612-,Page 4B • (b)One-sixth by virtue of the LastW 11 and Testament of John BrYAn,Deceased (See Certification of Real Estate reco ded in Deed Book Volume 1058,Page 127. ing and being Penneyl- Parcel #5 ..~ALL that certain piece or parcel'of land si in First Ward of the City of Monongahela,Washin ton Co vania,bounded and described as follows:. BEGINNING on the Southeastern side of,Park .venue a the,South- western side of an alley 12 feet wide and 200 fe t long,between the land hereby conveyed and land belonging to Georg A.Kel er;thence ·. r r ~' ".. ", along said Park Avenue,South 54 10 ',West,150 f et to 1 d of Martha Jane Yohe;thence by land of said Martha Jane Yo e,Sout 34 15 'East, 340.5 feet,more or less to Pigeon Creek;thence along s id Creek, Northeastw~rdly to a Sycamore Tree and line of 1 nd of A am Angledobler; conveyed Jan~Bryan along said 12 J'toWil~iani Polonoli.et we.,by Deed,dated August 14,Jl96 ,anQ:record- · :5 .ed in jDeed Book VolUme 1269,Page 590. "BEING the undivided one-half as was acquire by Mar and thence Northwestwardly along said land menti foot alley,to the place of beginning. EXCEPTING AND RESERVING out and "from:the as follows:·' 'i~·.(a) (b) One-third by virtue pf,the LastW Testament of Rosa:p.Ila;'·Bryan (Will Page 19 and 20),(See also Deed Vol.5,Page 427):· One-sixth by virt~e or the Last Wi Testament of John·Bry'$n"·'Deceased. Certification of Real Estate recor Deed Book Vol.;~058,.Page127. 11 and ook 50, ook W, 1 and (See ed in ,. Parcel #6 ALL that certain lot or piece c5f'laiid lying and bei g in'·Monon... 511 Park J an~Brys,.n Southwest side of Park side <of said id,formerly therly'side ce of-begin- erly.side of nding,South- to land form- The undivided one-half interest was. Upon which there is erected a frame.)lwelli as follows: (a)One-fourth by virtue of the Last and Testament of Rosanna Bryan,Decea (Se Will Book 50,Page 19). ning. Avenue. BEGINNING on the Easterly side of Park Ave corner of land formerly of Margaret Hoffmann,t wardly,along the Easterly side of Park Avenue , erly of William Arison,thence EastlJardly along ,. Adam Angleddbler;,thence Northwardly along the land,parallel with Park Avenue,118 feet to 1 of Margaret Hoffmann;and thence Westwardly alo of land formerly of Margaret Hoffmann 200 feet ganela City,Wa,shington County,Pennsylvania,on the Avenue,bounded and described as follows,;to wi t: said land,formerly of William H.Ari.son,'200 feet to la d formerly of ,. t'r . .. (0 ~ ....~~ •':l,~'n ""'"0 ::r i '""'" c CD CD ~3 0 0 0...........~ ~ CD ~ .., t ~ 0... IS:- p ::: CD ~~:. ~::l:; .. " .,.~.-(('- '....",." ----------------------------------------, .' ,. One-fourth by virute of the Last Testament of John Bryan.Deceased Certification of ReaiEstate reco Book Vol.10.58,Page"127, ill and (See ded in eed Parcel #7 ALL that certain lot or piece of ground sit of Monongahel:aCity,Washington CoUi,lty,Pennsylv cribed as follows: BEGINNING at a point in the Northerly line i Wiliiam,H.Arison,said point of beginning being ,wardly fro.m Park Avenue,thence ext~nding Eastwa er11 side of said land formerly of William H. feet,more or less,to a Sycamor~Tree on'the Ii " thence down and by line of said Pigeon Creek to ~~Scott;thence in a southerly direction along the merly of A.D.Scott and continuing~a10ng:line 0 ~ Adam Angledobler and land formerly of George A.I ded "and'des- of East.;. e rJ,.y of ,'. reet,more or less,to the place of beginning.'~" Parcel #8 ALL that certain lot or piece ofground situ te in F st Ward or Monongahela City,Washington County,''Pennsylvani ,bounded and descri~ed as follows: BEGINNING at a point on the Easterly'side 0 Park A enue,at corn- er of Lot of Rosanna Bryan,thence NorthwEird1y,Eastern side oftpark Avenue,102 •.5 feet to line of property 0 Joseph oatsworth, now of Charles Coatsworth;thence extending back preser ng the same width,having properties of Rosanna Bryanion the South and the Coats- worth property on the Norttt.,a distance of 200 f et,more or less,to property of Joseph A.Bryan. EXCEPTING AND RESERVING all that certain 10 or piece of land, being 2.5 f~et in width and extending along the Estern si e of the pre- conveyed to .509 ParkUponwhichthereiserectedaframedwe11in mises hereinabove described,which said parcel 0 John Minetti,et ux.,on November 16,19.57 and r corded i Deed Book Volume 980,Page 291. Avenue,Monongahela,Pennsylvania. j ~ 0....~tr :J Z n 'S:-p i 0 o· i c m "j a.3 0 , I -~. ....'0 0 t ....~ t ., 0 ~ .... := ~ ...J " m ., ~,~ ~ ) Q .). ~ t'1' .,., ," '." r,1'1 r ". t·t ". t " '\ f .. ).,... The undivided one-half interest of Mary Jan~Bryan ,as acquired ; 'as'follows: (a)One-sixth by vi rtue of the intest te laws of Pennsylvania,after Rosanna Br iFan by her election of .record in theRec rder's Office of said County in Spouses ~lection Book,Vol.2,Page 172,elected tl take against the Will of her late husb md,Joseph A.Bryan,who acquired'said land )y Deed . recorded inDeed Book Vol.353,Pige 617. One~twelfth by virtue ,of'the Last Will and Testament of Rosanna ,Bryan (Will 300k 50, Page"19 and 20):""'"'.'.. ,'(c)On$-fourth by .vi.rtue,.of thy Last rlill and Testament of John.Bryan,~eceased~(See Certification 'ofReal Estate reco~ded in Deed Book Vol.'1~$8,Page 127. Parcel #9 ALL those three certain lots or pieces of gpound,s tuatein Second Ward of Monongahela City,Washington County,Penn~ylvania,known as Lots Number 44,47 and 54 on the.'Belvedere PI m of Lo s,recorded I in said county in Book C.Volume 5 ,.p~.lge'283. Said lots numbered 44,47 and 54'''together from 140 eet on the Westerly side of Second Avenue ,and'extended bac~Westwa dly ~here­ from preserving the uniform total wid th of 140 f~et thro ghout,having Indiana Street on the South,and Ohio Street on the Nort!,a ciistance of 88 feet to Loomis Alley.Hereby reserving the coal a ld coal privi- leges underlying the same. PARCEL #10 ALL those three certain lots or pieces of g~ound,s tuate,in Second Ward of Monongahela City,Washington County,Penn ylvania,, known as Lots Number 43,48 and 53 in the'Belvedere Plan of Lots,re- corded in said County in Plan Book C'.VolUme 5,Page 282, Said Lots Numbered 43,48 and 53 together front 140 feet on the Eastern side of Third Avenue and extend"back Eastwardly therefrom 'pre- serving the uniform width of 140 feet'throughout,having OhiotStreet on the North and Indiana Street on the"South,a distance of 88 feet to'Loomis ~lley.Excepting and BeservinglhowevEr,st.tch ~oal and coal,:: +.,....,7privilegesashaveheretoforebeens'old ahd con~eyed awa~., Upon which there are erected three frame dl!elling house~rknown as 207 Third Avenue,205 Third Avenue and 203 Thirc Avenue,Monongahela, Pennsylvania. I ' ~-, r ~" o -.....~'"ll~ ::l Z n 3=-!' 'V"'+. 0 0 ~.Cit c Cb 0 ~3 .........'0 0 4"\ .....~ t .~ (I) ~ ., 0..... N -+ == :r ,. (I) ~~ ~:i. f' tl; tl;~,.. 't ... .. .).'..-j ~..'~ .~. .. ....~I .\ l(~... The undivided one-half interest of Mary Jan~Bryan lb'as acquired as follows: (a)One-sixth by virtue of the Intest~te Laws of Pennsylvania,after Rosanna Bryan by her election of record in"the Recorde rot s Offie e of said County in Spouse's Electipn Book, Vol 2,Page 172 elected to take atsainst-tie Will of her late husband,Joseph 1\.Bryan who acquired said land by"·Deed re r.orded il Deed Book Vol 353,Page,617. ".....f (b)One-twelfth by virtue of a Deed froom Rosanna Bryan,dated November 16,1927 an ~recordt d in Deed Bpok Vol 556,Page 393. Jc)One-fourth by-'vir'tue of the Last Will and ,Testament of John Bryan,'Deceased~(See Certification of.Real Estate recoroded in Deed Book Vol ,1058,.~age 127. "Lot No.43,203 Third Avenue Lot No.48,205 Third Avenue Lot No.,53,20:7 Thir,d Avenue " 'Certified to the Recordefo>Decembl r 28,1970 ,'Jr- r '. 00 ,. »-~ .~~:J Z W n -+9 0 :T ;>,~g 0 r:III i .;.;a 3 0 0 0........:+ ~..III.., ~,0 .~ .... t -+:T == III .."\. ~g, \1eI~ ::i~~ i"::) C'..J U)~-:::<:')--!c.. C,I --!.'--Co ....._.~.-'(,.)....:...:.-......::.;2:-...:),r-'0 li.~~~.:>:di -cr.:!-- I •~~,-,J ~, .t;....":--;~ c-',-•.r)OJ LU if)-r t:::J ~<:>U) N'LU -<......c::::>-.'3='-- •r----.. , ESTATE OF MARY IN THE COURT OF COMMON PLEAE OF WASHINGTON COUNTY,PENNA. ORPHANS COURT DIVISION of 1969 INRE: No. JANE BRYAN,DECEASED. 1I,II I I '. I I J I II I ,I ~ I:;~ [' \\330 GL.Uz b \W to'"...,-''I t,...,.J.i,i -,'\".....J •..J 'Vd ('00 NOi~}N\HS't1t~ 511\1(\AOt131S\53\1 ON,1HVVi T'"13SS 0H TEMPEST &SIMMONS ATTORNEYS AT LAW 223 SECOND STREET MONONGAHELA,PA.15063 ELECTION TO TAKE IN KIND •.#... • t ..I II1 L.-- '.i IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS COURT DIVISION IN RE:ESTATE OF MARY No. JANE BRYAN,Deceased. ELECTION TO TAKE IN KIND IREAL PROPERTY 'VParcel #1 of 1969 "TEMPEST 8<SIMMONS 223 SECOND STREET MONONGAHELA,PA. ALL that certain lot or piece of ground situate in the First Ward of Monongahela City,Washington County,Pennsylvania,being lot number four (4)in Plan of Lots laid out by Frank R.Colvin and William H.Isaac,and 6f record in said County in Plan Book 3, Page 166. Which said lot number four (4)fronts forty (40)feet on the Northern side of First Avenue,and extends back,measuring a unI- form width throughout,having lot number three (3)on the East and lot number five (5)in said Plan on the West,a distance of eighty (80)feet to a ten (10)foot alley. Being the same premises acquired by Mary Jane Bryan and Bessie Ora Bryan by virtue of the Last Will and Testament of John C. Bryan.(Certification of real estate recorded in Deed Book Volume .I 05 g ,page /k1 =~."'"!""""~__-:---:---:--~--~-:-=:-::--"....... ~APpraised value of real estate-----$1,800.0~~ Parcel #2 ALL those certain parts of lots or parcels of ground situate in the Third Ward of the City of Monongahela,Washington County, Pennsylvania,being a portion of Lots Nos.65 and 66 in the Plan of Chess Addition to Williamsport,and further described as follows: BEGINNING at a point in the Northern line of Main Street, which said point of beginning is 71 feet Westwardly from the North- west corner of Main Street aforesaid and Fifth Street;thence extending,from the point of beginning aforesaid,Northwardly and parallel with the Western line of said Fifth Street,100 feet to a point in the Southern line of a ten (10)foot alley;thence West- wardly,along the Southern line of said ten (10)foot alley,43 feet to a point at the Northeast corner of land now or formerly of Frances A.Bailey;thence Southwardly,along the Eastern line of land aforesaid now or formerly of Frances A.Bailey,100 feet to a point in the Northern line of Main Street aforesaid;and thence Eastwardly,along the Northern line of said Main Street,43 feet to a point at the place of beginning.Upon which piece or parcel of land hereinabove described is erected a two-story brick residenc~. ~ame recital as Parcel No.1)-----$6,500.0~D " Parcel #3 ALL that certain lot or piece of ground situate in the Third Ward,Monongahela,Washington County,Pennsylvania,bounded and described as follows,to wit: BEGINNING at a point,common to the Annie Wiper property and J.Merle Frost property and a certain Right-of-Way between lands of Annie Wiper and McClintock,and which said point is also at the Southwest corner of said Wiper property and South 01 49'West, Eighty-Four and Eight Hundredths (84.08)feet distant from the Northern boundary line of the Annie Wiper property;thence South 02 II'East,a distance of Ninety four and Nineteen Hundredths (94.19)feet to a point at the Southeast corner of McClintock property;thence South 05 41'East,a distance of Forth-eight and Twenty Hundredths (48.20)feet to the Northern side of a Ten (10) foot alley;thence along the said Ten (10)foot alley,North 83 45'East,a distance of Ninety-seven (97)feet to a point;thence North 05 42'West,Twenty-Four and Thirty Hundredths (24.30)feet to a point;thence North 10 28'East,Eighty-five and Sixty-Six Hundredths (85.66)feet to a point on the Southern side of Annie Wiper property;thence along the Southern side of said Annie Wiper Property,North 78 27'West,One Hundred Eighteen and Ninety-seven Hundredths (118.97)feet to the Southwest corner of Annie Wiper property,and at the place of beginning. Also all the right,title and interest in the certain Ten (10) foot alley bounding the Southern side of the property hereinabove conveyed.Size of said alley being Ten (10)feet by Ninety-seven (97)feet. Also all the right,title and interest in the certain right- of-way on the Eastern side of McClintock property and Stanten Stree over and upon that portion of the Northern part of lands described in Deed of Frost to McClintock,recorded in Deed Book Volume 626, page 492,extending from Stanton Street Southwardly to a point, Twelve (12)feet South of the Southern boundary line of Annie Wiper Lot as described in said Deed Book Volume 626,page 492. EXCEPTING AND RESERVING,however,all the coal together with the mining rights which have been heretofore conveyed. '~ame recit~l as Parcel No.1--------$200~~ Parcel #4 ,',, TEMPEST &SIMMONS 223 SECOND STREET MONONGAHELA.PA. ALL that certaintt·piece or parcel of land,situate in the Third Ward of Monongahela City,Washington County,Pennsylvania,bounded and described as follows,to wit: BEGINNING at a point on the Northerly side of Fourth Street at the Southwest corner of Land formerly of Sarah C.Tidball,now of ~ugh R.Hanna;thence South 83 45'West,along the Northerly side of Fourth Street,48.5 feet to a point at line of land of John W. Frost;thence North 5 42'West,along said line of land of John W. Frost,120 feet to a ten foot alley,48.5 feet to line of the above ~entioned land of Hugh R.Hanna;thence South 5 42'East,along line of said land of Hugh R.Hanna,120 feet to the point on the Norther y side of Fourth Street at the place of beginning. Together with sewer rights and privileges as granted by John ~.Frost,et.ux.,to Frank P.Dickerson,et.ux.,by Deed dated ~anuary 23,1920,and recorded in the Recorder's Office of said ~ashington County in Deed Book Volume 470,page 297. Upon which there is erected a concrete block and frame dwelling -2- !," and a one-car garage,known as 806 Fourth Street,Monongahela, Washington County,Pennsylvania.The undivided one-half was acquired by Mary Jane Bryan as follows: (a)One-third by Deed dated May 20,1937,and recorded in Deed Book Volume 613,Page 487. (b)One-sixth by vir~ue of the Last Will and Testament of John Bryan, Deceased.(See Certification of Real Estate recorded in Deed Book Volume '/0 5"~,Page I],1 .) -----,A~p~p~raised value of real estate-----------$5,125.Qg)C - Parcel #5 ALL that certain piece or parcel of land situate,lying and being in First Ward of the City of Monongahela,Washington County, Pennsylvania,bounded and described as follows: BEGINNING on the Southeastern side of Park Avenue at the Southwestern side of an alley 12 feet wide and 200 feet long,be- tween the land hereby conveyed and land belonging to George A. Keller;thence along said Park Avenue,South 54 10'West,150 feet to land of Martha Jane Yohe;thence by land of said Martha Jane Yohe,South 34 15'East,340.5 feet,more or less to Pigeon Creek;thence along said Creek,Northeastwardly to a Sycamore Tree and line of land of Adam Angledobler;and thence Northwest- wardly along said land mentioned and along said 12 foot alley,to the place of beginning. Excepting and reserving out and from the above parcel con- veyed to William Polonoli et ux.,by Deed dated August 14,1967, and recorded in Deed Book Volume 1269,Page 590. BEING the undivided one-half as was acquired by Mary Jane Bryan as follows: estate------------$1,450.00ppraisedvalue0 (a)One-third by virtue of the Last Will and Testament of Rosanna Bryan (Will Book 50,Page 19 and 20),(See also Deed Book W,Vol. 5,Page 427). (b)One-sixth by virtue of the Last Will and Testament Df John Bryan, Deceased.(See Certification of Real Estate recorded in Deed Book Volume I06<t,,Page )1.-1 Parcel #6 ALL that certain lot or piece of land lying and being in Monongahela City,Washington County,Pennsylvania,on the East side of Park Avenue,bounded and described as follows,to wit: TEMPEST Be SIMMONS 223 SECOND STREET MONONGAHEL.A.PA. BEGINNING on the Easterly side of Park Avenue at the South- west corner of land formerly of Margaret Hoffmann,thence extend- ing,Southwardly,along the Easterly side of Park Avenue,118 feet to land formerly of William Arison,thence Eastwardly along the Northerly side of said land,formerly of William H.Arison,200 -3- ~ I 'TEMPEST 8c SIMMONS 223 SECOND STREET MONONGAHELA,PA. feet to land formerly of Adam Anglendobler,thence Northwardly, along the Westerly side of said land,parallel with Park Avenue, 118 feet to land aforesaid,formerly of Margaret Hoffmann;and thence Westwardly along the Southerly side of land formerly of Margaret Hoffmann 200 feet to the place of beginning. Upon which there is erected a frame dwelling known as 511 Park Avenue. The undivided one-half interest was acquired by Mary Jane Bryan as follows: (a)One-fourth by virtue of the Last Will and Testament of Rosanna Bryan,Deceased.(See Wi 11 Book 50,Page 19). (b)One-fourth by virtue of the Last Will and Testament of John Bryan Deceased.(See Certification of Real Estate recorded in Deed Book Vol.J/)S~,Page /21 Appraised value of real estate-------------$1,500.00 Parcel #7 ALL that certain lot or piece of ground situate in First Ward of Monongahela City,Washington County,Pennsylvania,bounded and described as follows: BEGINNING at a point in the Northerly line of land formerly of William H.Ariion,said point of beginning being also 200 feet Eastwardly from Park Avenue,thence extending Eastwardly along the Northerly side of said land formerly of William H.Arison.200 feet,more or less,to a Sycamore Tree on the line of Pigeon Creek, thence down and by line of said Pigeon Creek to land formerly of A.D.Scott;thence in a southerly direction along the line of the land formerly of A.D.Scott and continuing along line of land formerly of Adam Angledobler and land formerly of George A.Kellar, 648 feet,more or less,to the place of beginning. arne recital as Parcel No.6 above-----------$250.00 Parcel #8 ALL that certain lot or piece of ground situate in First Ward of Monongahela City,Washington County,Pennsylvania,bounded and described as follows: BEGINNING at a point on the Easterly side of Park Avenue, at corner of Lot of Rosanna Bryan,thence Northwardly,along the Eastern side of Park Avenue,102.5 feet to line of property of Joseph Coatsworth,now of Charles Coatsworth;thence extending back,preserving the same width,having properties of Rosanna Bryan on the South and the Coatsworth property on the North,a distance of 200 feet,more or less,to property of Joseph A.Bryan. EXCEPTING AND RESERVING all that certain lot or piece of land,being twenty-five (25)feet in width and extending along the Eastern side of the premises hereinabove described,which said parcel of land was conveyed to John Minetti,et ux.,on November 16,1957 and recorded in Deed Book Volume 980,page 291. -4- ~ I I . \,~,I ~ Upon which there is erected a frame dwelling known as 509 Park Avenue,Monongahela,Pennsylvania. The undivided one-half interest of Mary Jane Bryan was acquired as follows: (a)One-sixth by virtue of the In- testate laws of Pennsylvania, after Rosanna Bryan by her election of record in the Re- corder's Office of said County in Spouses Election Book,Vol.2, Page 172,elected to take against the Will of her late husband,' Joseph A.Bryan,who acquired said land by Deed recorded in Deed Book Volume 353,Page 617. (b)One-twelfth by virtue of the Last Will and Testament of Rosanna Bryan (Will Book 50,Page 19 and 20)• (c)One-fourth by virtue of the Last Will and Testament of John Bryan, Deceased.(See Certification of Real Estate recorded in Deed Book Vol.LoS g Page 1],1 . ~ralsed value of real estate------------$1,350.Q9 Parcel #9 ALL those three (3)certain Lots or pieces of ground,situate in Secord Ward of Monongahela City,Washington County,Pennsyl- vania,known as Lots Number 44,47 and 54 on the Belvedere Plan of Lots,recorded in said County in Book C.Volume 5,page 283. Said Lots Numbered 44,47 and 54 together from 140 feet on the Westerly side of Second Avenue,and extended back Westwardly therefrom preserving the uniform total width of 140 feet through- out,having Indiana Street on the South,and Ohio Street on the North,a distance of 88 feet to Loomis Alley.Hereby reserving the coal and coal privileges underlying the same, -'"~ame recItal as Parcel No.8 above----------$300.00~ Parcel #10 TEMPEST 8<SIMMONS 223 SECOND STREET MONONGAHELA,PA. ALL those three (3}\certain lots or pieces of ground, situate,in Second Ward of Monongahela City,Washington County, Pennsylvania,known as Lots Number 43,48 and 53 in the Belevedere Plan of Lots,recorded in said County in P~an Book C.Volume 5, Page 282. Said Lots Numbered 43,48 and 53 together front 140 feet on the Eastern side of Third Avenue and extend back Eastwardly therefrom preserving the uniform width of 140 feet throughout, having Ohio Street on the North and Indiana Street on the South, a distance of Eighty-eight (88)feet to Loomis Alley.Excepting and Reserving however,such coal and coal privileges as have here- tofore been sold and conveyed away. Upon which there are erected three frame dwelling houses -5- ,. known as 207 Third Avenue,205 Third Avenue and 203 Third Avenue, Monongahela,Pennsylvania. The undivided one-half interest of Mary Jane Bryan was acquired as follows: (a)One-sixth by virtue of the Intes- tate Laws of Pennsylvania,after Rosanna Bryan by her election of record in the Recorder's Office of said County in Spouse's Election Book,Volume 2,Page 172 elected to take against the Will of her late husband,Joseph A.Bryan who acquired said land by Deed recor- ded in Deed Book~Volume 353,Page 617. (b)One-twelfth by virtue of a Deed from Rosanna Bryan,dated Nov. 16,1927 and recorded in Deed Book Volume 556,Page 393. (c)One-fourth by virtue of the Last Will and Testament of John Bryan, Deceased.(See Certification of Real Estate recorded in Deed Book Volume 11J~f>,Page 11-1 Lot No.43,203 Third Avenue Lot No.48,205 Third Avenue Lot No.53,207 Third Avenue ~Total Real Estate PERSONAL PROPERTY TO BE TAKEN IN KIND AS FOLLOWS: 1.STOCKS: (a)218 shares,American Telephone & 'Telegraph,Common @ 52 7/8 (b)20 shares,West Penn Power,4 1/2% Preferred @ 61 (c)14 shares,General Motors,5%Prefer- red @ 77 7/8 (d)60 shares,Southern Pacific Company, Common @ 35 1/2 (e)25 shares,Potomac Electric Power, Convertible Preferred @ 37 7/8 Total Stock 2.CORPORATE BONDS: $11,526.75 1,220.00 1,090.25 2,130.00 946.88 $16,913.88 TEMPEST &SIMMONS 223 SECOND STREET MONONGAHELA.PA. (a)Santa Fe Industries 6 1/4 -98, Subordinate Debenture $2,200.00 @ 103.00 -6- $2,266.00 '."'!. 3.GOVERNMENT BONDS: (a)United States,Series E Number Date Amount C-31089467E March 1943 $100.00 $175.72 D-4928790E April 1943 500.00 878.60 M-4340837E Aug.1943 1000.00 1,728.00 M-8935006E Nov.1944 1000.00 1,638.40 M-10869655E June 1945 1000.00 1,618.00 M-10869656E June 1945 1000.00 1,618.00 M-10869657E June 1945 1000.00 1,618.00 M-12452963E Jan.1946 1000.00 1,606.00 M-12452964E Jan.1946 1000.00 1,606.00 M-12452965E Jan.1946 1000.00 1,606.00 M-13385450E July 1946 1000.00 1,580.00 M-13385451E July 1946 1000.00 1,580.00 $17,252.72 "TEMPEST 8<SIMMONS 223 SECOND STREET MONONGAHELA,PA. ~Dated :July ,<6 -,-19 70 fit.44d~D.JuJ fc}.li4~Bessie Ora Bryan ~ -7", October 21,1969D"TI:01""ILING ,.~~"""IMINT O"TI 01"DItATH ....;.._ I.ATIi OF _M~o.;:.;n;...:o~n;;,l;gLa~h_e~l.;;a..a__P..,;e_n_n_s..y..-l...;;.v..;;;a;.;;.n;~i:;..;·a;.;.....__/_ STATEMENT OF DEBTS AND DEDUCTIONS ESTATE OF Mary ·Jane Bryan .,...Me·IO IND AGINT 0..TMI CONMONWIALTM O..FICI 0 ..THS Itl:OIIT.1I 0"WILLe ,,_W_a_s_h_i_n..::g;;..t_o_n COUNTY ;J ".:.t~., AMOUNT 12 SO 15 00 8 00 12 SO 14 00. '65 00 ~n Inn 80 00 127 100 12 100 R,MAllltl Probate of Will Nursin2 Care Nursin~'Care NursinQ CareMarQaretReynolds Sara McClintock ~ussellMarino,Reg. May Charlton NO O~N"MI ClI"~AVEItvouc..CItDATI! 1909. 10 25 10 25''GUY ROQ:ers Probate of 'Wil1 11 13 Russell Marino Eight Short Certificates 11 13+---ii--w_a_s_h_i_n...:...g_t_o_n_R_e_c_o_r_d_C_o_.-+_A_d_v_e_r_t_i_s_i_n_g_L_e_t_t_e_r_s +-__--t__ i __~v-=.le-=.r-=o.:.:n:...:i:..:c:..:a:..-:D:..:a::..:t:..:O:..:v:...:i:..:C:.:h~_----~N..:;U;:::r ...:;S..:;i;,;;;n:.s;Lg!,..,.,;;C;.;;a;;.;;r;.;e~+-_-..;;;..;;...;~___ Ali.ce Anders Nursina Care 1113 ,n::lilv Renllhl1r;ln A'v~Ij:;ina T.Pt'f"A.,.C: GeoT£ianna Gibbons Nursing Care 76 50 Kurtz Monument jMarker for Grave 158 27 I i !I , ! 1 q r70 I I Span and Taylor 1__+-_-+-_-+_O_-=\.......-l~A.L..J~(L-..:;..*-V-l-_(~_·.::.;;.-=-..:.-+-!--+_G,;::.-_'-L.f .......-U GAj..,~u/IA,.L,I (9I YOI--~-I--j\---+-...(i Total -".$:8.~_'21rC-b 1---+---+---+-------------------t----------------p'..............-"-..,;;-.,;;;"..i --+---+-----,---------.--------t-'--------------.--+--- , I I 1\' ! , • 1•t (L.e.I{i [J~s!..[OfZA 2 f'!_~JHJ Bessie Ora Bryan i. COMMONWEAL..TH Of"PENNSYLVANIA ' llT h't Ilu:nas lng on ~ Bessie Ora Bryar:-_ COUNTY UF INHIRITANCE TA"PURPOSEI SWOIIIN ANO lu••eRIBED IIfF:JRE ..£THIS _.OA,01'_____J:::..=an uaTL ...__III J_Q.._ ---------HP••V CIRTIN THAT TO nu lOT 0" MY KNOWL!OGt:ANO et:LIEP THI!~ORE()OING II A "UST ....0 TR'J I!IHATI!M£NT O~DI.n.PUNPAL EXPaNaES AND O~l!Ne..O~'.Mary Jane BryanADIilINla'R ..TION S\JOMlrTEO TO 1'HE ISTATt:OF -_--.-'.--"--------OICllAeao.Ae DIDUCTIONI ,.Olll -------------------..__._..--_.._._... \ .Vd"0a N0.L j NIH 5'1 ,.\. 511111\:10 tljJS\~3U O~l \\~\1 "1 "1 71 ('r'fl \JI'C"••l'+-J:)~a .' ...~-,... ...-'~..... ,-....~--"~".. t.. Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTION.S COUNTY'OF IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the Register of Wills of the County where..decedentresided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of .tlJe Inheritancean!l Esj;ateTax Act of 1961.) MA.;~..~;:.:;~;~:;.~~~:.:~~~~.~~.~"c"'o'''un''·····t..y···};A:DEM:IUNIA;S;T:RAOTFOR(State full name of decedent) Late of Wf!.$.hingtQ.P................. State of ....Pennsylvania . Connty of Washington .....................................} ss: ................................_. ......................................................B.es.sie..Dt.a B.r.y.an................ Administrator of the estate of the above-named decedent being duly sworn,depose and say Executor Decedent'died Dctobe.r21,.. (Month) Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. ...........,1!6.9 .f testate leaving a last will,copy of which is hereto attached.} (llay)(Year)l intestate Clyde G.TempestZZ3SecOridSf.~.. Mdnongahelai~a~1£0&3- That as such Ex.~.c.:u.t.r.ix deponent is familiar with the affairs of said estate and the property con- (EXN~Utor-Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT lAT~~...~~~n~~~~..1'T~~~_}.T .,n ,~~.;C"<'"U ~<'"~~~r\~~~ "'~~~u ~~uu"'l'".....u .......',.....~~.~~l.JGU1A I...Y>;T U.;~:"'~:~:-:~';~"-:1 ~u C'.;<'"...~~~Monongahela,Pa.15063 I ./~.. .I' That the coTI'te]1ts of said safe deposit box or boxes are itemized under Schedules _ return,with the exception of the following,for the reasons hereinafter set forth: of this I l That Schedule A attached hereto and made part hereof sets forth full v and in'detail all the real property in the Commonwealth of Pennsylvania or which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each or said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other instibltions,whether indiVidually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute or agreement they are designated as tax free,of the United States,or any state,or political subdivision thereo~or of any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic- tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable to the estate from life insurance policles carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. .'.",., .,C\~ Subscribed and sworn to before me this .""".\".1""::::".,,, In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of 'the corporations,showing the assets and liabilities thereof as of the'date ,of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a'statement setting forth the character of/the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the .transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached ~o the schedule a co~y of the dee.d,trust agreement or other instrument creating the trust.Ther,~is also set forth in said schedule a list of all property,real and personal,with its value,which pa~ses at decedent's death by virtue of the exe,rcise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either indiVidually or jointly,by the Will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That,Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficiallyt"riterested in this estate at the time of decedent's death,the nature of their res- pective,interests"th€!ir relationship,if any,to the decedent,together with the ages at the time of decedent's death or:,alI minors,annuitants and beneficiaries for life under decedent's Will.It also contains a stat~nient showing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates,of their death,their issue,andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the dec'edent jointly .with another or others,including intangible,standing in the name 'of the dec,edent and others,plus the date and place of record of instruments effecting the vestiture of real estate and'the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Sc/:>edule F attached hereto and made a part hereof sets forth fully and in detail all debts and 'deductions claimed for and on behalf of this decedent's estate,inclu<Ung funeral expenses paid; family exemptio~,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of,.death;taxes.accrued chargeable for period prior to decedent's death (except .those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein,. have been carried forward and properly registered in the Summary. f ({)(JYD:~Ad;;;;~1!L~-~ ~"D.t,r~.~~~""_ .....~~~:&1-\s:~?J.. Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the .data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. RCC:34 (1-64) COMMONWEALTH OF PENNSYLVANIA DEPARllMENT OF REVENUE BUR'EAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property heid as joint tenant or tenancy by entireties,report on Schedule "E".Property hl:'ld by thede.cedent as tenant in common with another or others,should .be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commo!"wealth of Pennsylvania should be described by lot and block number,street and street number,together wi th a general description of the property,with a reference to the record of the conveyance by which the decedent took title;if a form state number of a. cres;also statement of mortgage encumbrances upon each parcel at death of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are to be listed on Schedule "F"and must not be deducted from this schedule. (1 )(2)(3\/ One-half DEPARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTION DECEDENT'S MARKET VALUE (Do not write DEATH In this space) REAL ESTATE: ALL that undivided one-half interest in and to the following real estate held jointl) with Bessie Ora Bryan,and described as follows: PARCEL NO.1 Lot No.4 situate ln the First Ward of Monongahela City,Wasrungton County,Pennsyl- vania,in a Plan of Lots laid out by Frank R.Colvin and William Isaac,and recorded in Plan Book 3,Page 166,upon which there is erected a dwelling house known as 469 Hudson Avenue. Being the same premlses acquired by Mary Jane Bryan and Bessie Ora Bryan by virtue of the Last Will and Testament of John C.Bryan.(Certification of real estatE recorded in Deed Book Volume ,Page __. PARCEL NO.2 $600.00 0/0{3$l/~O~O~O ALL that certain parcel of land situate in the Third Ward of Monongahela,Pennsylvan a, being part of Lots Numbered 65 and 66 ln the Plan of the Chess Addition to Williamsport. Upon which there is erected a brick dwelling house known as 507 West Main Street,Monon- gahela,Pennsylvania.(Same recital as Par- cel No.1).$2160.00 PARCEL NO.3 ~//7 /6,500.00 ALL that certain irregular shaped par- cel of land,not fronting on any street,but located between Fourth and Stanton Streets in the Third Ward of Monongahela,Washington County,Pennsylvania,known as Rear 908 Stanton Street and being a vacant lot. (Same recital as Parcel No.1).70.00 ~v 200.00 PARCEL NO.4 ALL that certain parcel of land situate j ,P#i""J in the Third Ward of Monongahela,Washington ~~A ...J.C91 County,Pennsylvania,fronting on Fourth St.,~~(~if in said City,a distance of 48.5 feet and (.(7'~ extending back a distance of 120 feet.Upon ~.•.~L which there is erected a concrete block and ..c.~ frame dwelling and a one-car garage,known as 806 Fourth Street,Monongahela,WashingtoI ~.. County,Pennsylvania.The undivided one-half -,~ was acquired bv Marv Jane Brvan as follows:~.~ Insert this total opposite "real property",Schedule "A"in the X X X X X "As Reported"column on the last page of this return. ,. (a)One-third by Deed dated May 20,1937,and recorded in Deed Book Volume 613,Page 487. (b)One-sixth by virtue of the Last Will and Testament of ()~~ John Bryan,Deceased.(See A1~ Certification of Real Estatet-a,~"1"~ recorded in Deed Book Vol~'~~ ,Page .)$1,687.50---- #;;7 $5,125.0D TEMPEST Be SIMMONS 229 SECOND STREET MONONGAHELA,PA. PARCEL NO.5 ALL that parcel of land situate in the First Ward of Monongahela, Washington County,Pennsylvania, fronting on the Southeasterly side of Park Avenue a distance of 150 feet (less 83.70 feet heretofore conveyed to William Polonoli,et ux.- by Deed dated Aug.14,1967,and re- corded in Deed Book Volume 1269, Page 590).Upon which there is erected a frame dwelling house known as 521 Park Avenue,Monongahela,Pa. Excepting and Reserving out and from the above parcel conveyed to William Polonoli et ux.,aforesaid. The undivided one-half was ac- quired by Mary Jane Bryan as follows: (a)One-third by virtue of the Last Will and Testament of Rosanna Bryan (Will Book 50, Page 19 and 20),(See also Deed Book W,Vol.5,Page 427). (b)One-sixth by virtue of the Last Will and Testament of John Bryan,Deceased.(See Certifiation of Real Estate recorded in Deed Book Vol. ___'Page PARCEL NO.6 ALL that certain parcel of land situate in the First Ward of Mononga- hela,Washington County,Pennsylvania, fronting on the Easterly side of Park Avenue a distance of 118 feet and ex- tending back,Eastwardly,a distance of 200 feet.Upon which there is erected a frame dwelling known as 511 Park Avenue.. The undivided one-half interest was was acquired by Mary Jane Bryan as follows: (a)One-fourth by virtue of the Last Will and Testament of Rosanna Bryan,Deceased.(See Will Book 50, Page 19). (b)One-fourth by virtue of the Last Will and Testament of John Bryan, Deceased.(See Certification of Real $432.50 o/~$1,450.0® Estate recorded in Deed Book Vol. ____,Page PARCEL NO.7 ALL that certain parcel of land situate in the First Ward of Mononga- hela,Washington County,Pennsylvania, being an irregular shaped vacant lot of about 3 acres,located along Pigeon Creek and known as Rear Park Avenue, Creek Bottom.(Same reci tal as Parcel No.6 above). PARCEL NO.8 ALL that certain parcel of land situate in the First Ward of Monongahela, Washington County,Pennsylvania,front- ing on the Eastern side of Park Avenue, a distance of 102.5 feet and extending back,preserving the same uniform width, a distance of 200 feet,more or less. Upon which there is erected a frame dwelling known as 509 Park Avenue, Monongahela,Pennsylvania. The undivided one-half interest of Mary Jane Bryan was acquired as follows: (a)One-sixth by virtue of the intestate laws of Pennsyl- vania,after Rosanna Bryan by her election of record in the Recorder's Office of said County in Spouses Election Book,Vol.2,Page 172,elected to take against the Will of her late husband, Joseph A.Bryan,who acquired said land by Deed recorded in Deed Book Volume 353,Page 617. (b)One-twelfth by virtue of the Last Will end Testament of Rosanna Bryan (Will Book 50, Page 19 and 20). (c)One-fourth by virtue of the Last Will and Testament of John Bryan,Deceased.(See Certification of Real Estate recorded in Deed Book Vol.____,Page PARCEL NO.9 ALL those three (3)certain vacant parcels of land,situate in the Second Ward of Monongahela City,Wash- ington County,Pennsylvania,known as Lots Numbered 44,47 and 54 in the Belvedere Plan of Lots,recorded in said County in Plan Book "C",Volume 5,Page 282.(Same recital as Parcel TEMPEST Be SIMMONS No.8 above). 223 SECONO STREET MONONGAHELA,PA. -1ff$450.00 $1,500.00 "~, 130.00 I 250.00 ~I... 375.00 1,350.00 '1(~ 87.50 300.00 ,. PARCEL NO.10 ALL those three (3)certain lots, situate in the Second Ward of Monon- gahela,Washington County,Pennsylvania, being known as Lots Numbered 43,48 and 53 in the Belvedere Plan of Lots, recorded in said County in Plan Book "C", Volume 5,Page 282.Upon which there are erect~d three frame dwelling houses known as 207 Third Avenue,205 Third Avenue,and 203 Third Avenue,Mononga- hela,Pennsylvania. The undivided one-half interest of Mary Jane Bryan was acquired as follows: (a)One-sixth by virtue of the Intestate Laws of Pennsylvania,~ter Rosanna Bryan by her election of re- cord in the Recorder's Office of said County in Spouse's Election Book,Vol. 2,Page 172 elected to take against the Will of her late husband,Joseph A.Bryan who acquired said land by Deed recorded in Deed Book Volume 353,~~~e 617. (b)One-twelfth by virtue of a Deed from Rosanna Bryan,dated Nov. 16,1927 and recorded in Deed Book Volume 556,Page 393. (c)One-fourth by virtue of the Last Will and Testament of John Bryan, Dec~ased.(See Certification of Real Estate recorded in Deed Book Volume ____,Page Lot No.43,203 Third Avenue Lot No.48,205 Third Avenue Lot No.53,207 Third Avenue $425.00 415.00 607.50 \ $1,250.00 750.00 1,375.00 TEMPEST Be SIMMONS 223 SECOND STREET MONONGAHELA.PA. Total Real Estate COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".Inta~gible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and fUrnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,.. stocks,'mortgages,notes,together with accrued interest or diVidends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Item No. .ITEM List and describe fUlly 1.CASH: (a)Western Pennsylvania National Bank,Monongahela Office,Savings Account Number 29207. (b)WeSErn Pennsylvania National Bank,Monongahela Office,Checking Account ~o.042-369-470 . 2.STOCKS: UNIT ESTIMATED VALUE MARKEl'VALUE ·~J«4-~-*V'"13,961.34 Yrl~~..7 1,108.38 ,15,069.72 DEPARTMENT VALUATION (Do not write in this space) (a)218 shares,American Telephone &~elegraph,Common @ 52 7/8 (b)20 shares,Wes tPenn Power,4 1/2~ Preferred @ 61 11,526.75 1,220.00 (c)14 shares,General Motors,5%Pre. l"erred @ 77 7/8 (d)60 shares,Southern Pacific Com- )any,Common @ 35 1/2 (e)22 shares,Madison Fund,Inc. ~ommon,@ 27 7/8 (f)25 shares,Potomac Electric Power, onvertib1e Preferred @ 37 7/8 CORPORATE BONDS: (a)General Cigar Co.,Inc. 5 1/2-87,Subord,Deb. $1,400.00 @ 67.00 (b)Santa Fe Industries 6 1/4-98, Subord.Deb.$2200.00 @ 103 ~.GOVERNMENT BONDS: (a)United States,Series E 1,090.25 2,130.00 613.25 946.88 $17,527.13 938.00 2,266.00 $3,204.00 Number Date Amount C-31089467E March 1943 $100.00 / 175.72 ../ Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return. GOVERNMENT BONDS -Continued Estimated Number Date,Amount Market Value D-4928790E April 1943 $500.00 $878.60~ M-4604215E July 1943 1000.00 1,728.00 viM-4604216E July 1943 1000.00 1,728.00 M-4340838E Aug.1943 1000.00 1,728.00 M-4340837E Aug.1943 1000.00 1,728.00 M-8935005E Nov.1944 1000.00 1,638.40 M-8935006E Nov.1944 1000.00 1,638.40 M-9915591E Apr.1945 1000.00 1,644.00- M-9915592E Apr.1945 1000.00 1,644.00 M-10869655E June 1945 1000.00 1,618.00 VM-10869656E June 1945 1000.00 1,618.00 M-10869657E June 1945 1000.00 1,618.00 JM-12452963E Jan.1946 1000.00 1,606.00 M-12452964E Jan.1946 1000.00 1,606.00 1/ M-12452965E Jan.1946 1000.00 1,606.00~M-13385450E July 1946 1000.00 1,580.00 v: M-13385451E July 1946 1000.00 1,580.00 l' M-20523237E May 1949 1000.00 1,428.80 $28,791.92 p./ TEMPEST 8<SIMMONS 223 SECOND STREET MONONGAHELA.PA. ","i.I"l lII TOTAL PERSONALTY TOTAL ESTATE $64,592.77 $86,442.77 ---------------------------------------------, RyC-36 romION'm\LTH OF PENNSYLVANIA TIUNSFER INHEIUTANCE TAX RE~IDENT DECEDENT SCHEDULE "c" TRANSFERS (1)Did decedent,within two years of death,make any transfer of any material part Df his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)NO (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)No (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _ (b)State of decedent's heal th at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration theref~~which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)__~_O __ (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)No (b)What was the transferee's age at time of decedent's death?__ (5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)_~N~o~_ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)_~N~O~_ (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others ---:-_ (7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor?(Answer yes or no)No (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms of transfer or by operation of law?(Answer yes or no)No (9)If the answer to (8)above is in the ~ffirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no)No NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as .well as a copy of the death ceI"tificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit.copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM "NONE" DESCRIPTION MARKET VALUE (Estimated) DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. RCC-38 COMMONWEALTH OF PENNSYLVANIA ,THANSFEH.INHERITi\NCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRUCTIONS:This schedule must disclose all property,real and personal,owned by the decedent jointly with another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-~wners to the decedent. Description of Property,Date of Acquisition,Name I Unit percentage Estate Address and Relationship of Co-Owners,and Place I Value Share Valuation of Record of Instrument,where Real Estate.! DEPARTMENT VALUATIONCAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest MARY JANE BRYANiJor BESSIE ORA BRYAN 6:~/lT:J Joint bank account No.042-407-577 $3,810.42 ct;,l o j.J,.1 U.S.Savings Bonds -Series "H" Date Number Amount--($,J,So.0'0June1967D8593251H500.00 pf5 0 00June1967D8593250Hi500.00\:'00June1967D8593252H500.00 ~5o . June 1967 D8593244H I)500.00'cJ..SO.0.0 June 1967 D8593245H Cb 500.00 ;;"5 0 '0 0 June 1967 D8593246H 500.00 c;{So,0.0 June 1967 D8593247H J~/--500.00 o1s o 0 0 June 1967 D8593248H (\5( 500.00 ~.~o.00 June 1967 D8593249H 500.00 c!.£u.o " June 1967 M10731667H 1,000.00 5 DO'06 June 1967 M10731668H 1)1,000.00 5 60 ,00 June 1967 M10731669H 1,000.00 S-oo·06 June 1967 M10731670H 1,000.00 S-00<06 June 1967 M10731671H 1,000.00 SOO·ODJune1967M10731672H1,000.00 June 1967 M10731673H 1,000.00 5 00.06 June 1967 M10731674H \1,000.00 .5 0 o·co June 1967 V3079071H 5,000.00 ~0 o·06 August 1955 V140313H 5,000.00 li.b oo.06 October 1954 V202349H 5,000.00 '/'$0 0 .00 d .1:00.0U December 1955 M2053822H 1,000.00 '500 00 rtOTAL . ,28,5.0 0. 00 /1 ;.so.oo BESSIE ORA BRYAN or MARY JANE BRYAN 1\I IU.S.Savings Bonds -Series "H" IDateNumberI I --'i[f1967D8524534H I c{so.ooJanuary500.00- January 1967 V3064713H 5,000.00 i c/S'0 o.0 0 TOTAL 5,500.00 lof ?S'6 00 I I I /IMARYJANEBRYANorBESSIEORABRYAN I I II ! I I IU.S.SAVINGS BONDS -Series "E" I I I ",{07.,J-SMay1942Q26743635E44.49 June 1942 Q26743849E i I 44.65 I 0/.1..J:3 July 1942 Q36613408E I 44.65 .:t~.J aIIJuly1942Q41547983E44.65 I of,,1·.j $I ISeptember1942Q66952828EI44.65 c1 2 ..:3?November 1942 L19902355E 87.48 I ¥,.3.7 December 1942 Q109511580E 43.93 I ,?"/.17 June 1943 C39126143E 172.80 ilo,1° Insert this total opposite "Jointly Owned Property",Schedule "E'TOTAL 527.30 I~"3,(,!in the "As Reported"column on the last page of this return." •....~...,.r.,~.... >~..'.... MARY JANE BRYAN or BESSIE ORA BRYAN U.S.Savings Bonds -Series "E" Continued Date Number Amount-- June 1944 M8191272E $1671.60 gj S.i () June 1944 M8191274E 1671.60 g.3 "':"80 I July 1947 M1595118~E 1530.00 ;(.06 I july 1947 M15693512E 1530.00 ?(,(00 I January 1948 M17194315E 1505.60 ?S"f6 I January 1948 M17194316E 1505.60 ?~.Jo I October 1949 M21472029E 1472.00 ?.JL .60 October 1949 M21472030E 1472.00 'J.3 ~,6°May 1954 M33469160E 1252.40 l.tl .,,1 u May 1954 M33469161E 1252.40 i)L .)cJ March 1955 M34759898E 1210.40 &6~,26 March 1955 M34759899E 1210.40 ~6~2 0 March 1957 M37104045E 1191.60 ~1~.fo March 1957 M37104046E 1191.60 5'j~/6 August 1959 M77844071E 1091.20 5 Is to August 1959 M77844072E 1091.20 £"IS:'-6 August 1959 M77844073E 1091.20 Si.5 ,,6 August 1959 M77844074E 1091.20 :;tiS (,6 , August 1959 M77843321E 1091.20 SIs ,0 I -'"~TOTAL $25123.20 /~S United States Coupon Bonds 3 778 Series 1971 Date Number-- May 15,1962 10559 May 15,1962 10560 May 15,1962 10561 May 15,1962 1056] United States Treasury Notes 6%-Series "B"1975 Face Amount $1000.00 1000.00 1000.00 1000.00 Amount $924.50 924.50 924.50 @ 924.50 $3698.00 L./(,IJ~5" ,yt,.,(..[- .y("....;s/ ---'l'~l ~J ~f77'.0 (), I Corporate Bonds 2 -$1,000.00 American Telephone and Telegraph Company 4 3/4 Debentures due November 1,1992 1 -$1,000.00 Great Northern Railway Company~,Gold Bond Series C-73 Date May 15,1968 May 15,1968 Number 25106 25107 Face Amount $1000.00 1000.00 Amount $942.50 942.58 $1885.00 t,C 0 6 0 $1-,32.0-.-0Q- Ljs~so 911.00 TEMPEST 8<SIMMONS 223 SECOND STREET MONONGAHELA.PA. 1 -$1,000.00 Pacific Gas and Electric Company 5%Mortgage Bond Total Jointly Held Property hJ~ ..3756 0 750.00 $2.",981 00 /~"/76.So $7~,024.92 dt,o/).;/f I SCHEDULE "D" t ,......;.,.,..:..1 "._"~ RCC-37 (12-63).. COM!\ION\YEALTH OF PENNSYYLANIATR~NSFER INHERITANCE TAX RESIDENT DECIWENT ....if'I _ ,,~~,....~_l \ h BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact)OR NO BIRTH Bessie Ora Bryan Sister Yes JEP7:b,lfrK3 Entire Estate 806 Fourth Street Monongahela.Pa.15063 - - . Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE No Exceptions . -I',"..t ,-..)I' .....,. SUMMARY Real Property .(Sch."A") Personal Property (Sch."B") Transfers (Sch."C") ::rJ./h/.JJ ..(S!III(1. Gross Taxable Estate .. (1) (As Reported). $.;z..t...J!~~Q ....(;I.e:! $?.5.fI :-:-~r~7~'.71 $..._.. $ $ . $%~)..!/4rJ,.·17 ""'"•.f...,.'.'-,.1'"r .. (2) (As Determined) $g-0f.r-o~0 0 $..~.'-£.-$"7Y:.71 $ $.-3~r .{)/d·'iZ $ $ ~~bZ 'l:l ~l-'iCII...~'"Fwt'j ~C1l C"J(I)~CII:><CJ EO,~CII ~CfJ Q....~-<\ '"~'~'a t 70 J~'J /9~~PI1 ,4~'.~~ ~-<~~<:r::r:~;..,...~...Eo-<til Qc 0 ~::r:~--r:~FW?E1l0Eo-<Z Eo-<CfJ :R.~~,.:-MMUNO~~~0 ;EG/IJER Of WilLS c ~~WAS ~CTON CO.,PA0:c ~!l"\.I.l •~Eo-<....."CI:::b Eo-<0 "til C :§-<......c,0-0 E"..::-E (I),..-....(5 =~~~0....:l U U ...-(.' RCC-Bl (2-64) COMMONWEALTH OF PENNSYLVAN IA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS • INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT BESSIE ORA BRYAN IN YOUR REPLY PLEA8E REFER TO 38-18-7 J' In Re:Est ate of ~MA=R=-Y....;J:::..:A:.:.::.N.:;E::......:::BR=Y:..:AN:.:.__ _____~W~A~S~HI:::::::N~G:::.,;:T;.;::O~N County - FHe No.63-69-1218 Dear Miss Bryan: You are hereby notified that the original appraisement in the estate of Mary Jane Bryan has been filed in the office of the Register of Wills qf Washington County on March 2 ,1970.Said appraisement reflects the following valuations: Heal Est ate -=:2:.=1:.1.,~8.t..50~.0::.;;0::...-__ Personal Property ~6~4~.~5~9~2~.~7~7----- Jt.Held ~_----~3~6.z..:.0::..;1:::_2.:.:;.4~9~- Tota1 '--__..,..-...:1:.::2=2:.z..4::r..5~5::...:.:..:::2~6_·__ As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date M=ar=-c:::h~2::.;,z......:1::..!9:....!.7._:0 _Signedd)t ~Q 'nt~e Title W•R•CHANEY,CH F APPHAISEti. DATE OF DEATH:October 21,1969 Note:This is not a bill. ·. '. o :~CC.39 (5-68) COMMONWEAl-TH OF PENNSYI-VANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of BRYAN, (Last Name) l'-fARY (First Name) JANE (Initial) DATE OF DEATH_l_Q_-2_1_-_6_9_FILE NO.63-69-1218 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". Dated:__--'o""-3<--~0<.:::2'--..L7.:::.0 _ 10-21-69 REPORT OF THE REGISTER OF WILLS PPR~~<? I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated:_ REGISTER OF WILLS INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or VALUE AS REAPPRAISED $-------+-- COMPUTATION OF TAXFORUSEOFREGISTERONLY Tax on $2% Tax on $6% Tax on $5% Tax on $---------41---.~ Tax on $r 150/. Exemptions========I==Total Estate ---1-__ TOTAL TAX $-------+-- $---------l-- $-------1--- $-------1--- $-------+-- $1.-_ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death :::::::::~t=== BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from to -~C$--AMOUNT OF ESTATE TAX ASSESSED $. Estate tax paid $I BALANCE DUE $--..JL-- Add interest at rate of 6%from to $-d=TOTAL TAX BALANCE $----.PAID $_ FOR USE OF REGISTER ONLY ADjUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will l N Administration ~o. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF .MARIJA~E.sItXAN......... Deceased Late of County of MONONGAHELA... ..WASH INGTON .. Commonwealth of Pennsylvania REPORT AND APPRAISAL .:-.- ,.. ... Fum RCC-2 •\ \~DEPARTMENT OF REVENUE............,.'). BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEM.ENT DATE ......M.~.~h....:?J.......J::.9..79 .. COUNTY ~~.~b:?:.:r?:g~5?~.. FILE NO...§..?:.§..?:.~.?.~.?.. Whereas,~.~r.y.eJ.9.r.l..~:!?ry.~,late of ~~??:??:g;.~~~~.~. in the County of Was.hingt:on Commonwealth of Pennsylvania,having died on the ~.+...§t day of 9.~~.c>.?E:3:r.19 §.?..,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,W.~.R..!C.hs:!,D.~y ,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years the Commonwealth hereby expressly reserves the right to appraise and assess transfer, inheritance taxes at the lawful collateral rate on any such future interest.-- Unll AppralsemenlDescriptionofAnelValuesMadeforInherilance Tax Purposes $ REALTY: !appraisement 21,850 00SeecopyofSchedule"All attached to -- PERSONALTY:i See copy of Schedule lIBlI attached to appraisement 64,592 77'__M~_ II JT.HELD : See copy of Schedule lIEII attached to ap praisement 36,012 49 .. Total 122,455 26 form~;v~~hbl::::~i~wl>l"lla~~~~~:~a~o~e~~:~~s7:e~tE::~ App ...................................................................~~;...........................................................................z&-q ~.~;;~:..~7"·Penna.I ·............................W.A$.H:r:~'Pr.oN .County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MARY llANE BRYAN Deceased. Late of ....................................,MQNQNG.AR~:IA .. Date of Death,'O'qt9.p..~~..41..,J.96..9 .. Appraisemel!t Docket Vol.,:H?.... Page,J.~::.7 No 93..::.6.9::1?1.e... Filed in Register's Office,~.c::h ?,19..7Q.. Amount of tax due}$.. DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abaut Appraisement, Appeal f,.om Appraisement,. Entered and charged, , a, ~1-I .. • ., -- Fonn Rec•.2 \,.'Jan.13,1970.,COMMONWEALTH OF PENNSYLVANIA DATE\.i4'........................................................................................................... DFi4RTMENT OF REVENUE RESIDENT INHERITANCE TAX WASHINGTON BUREAU OF COUNTY COLLECTIONS COUNTY ••••••••••••••••••••••••••••••••••••••••••••••M.................................................... HARRISBURG,PENNA.17127 APPRAISEMENT FILE NO•.........?~..:..?...~..:..~..?...~.~............_......................... Whereas,MARY JANE BRYAN MONONGAHELA......................................................................................................................................................late of .;............................................................................................................. in the County of WASHINGTON . . ..........................................................................................................................................Commonwealth of Pennsylvama,havmg dIed on the .................................2.l.~.t...............................................day of ...................Q.G.:t...L .........................................19....6..9.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; '\T.R.CHANEY ITherefore,I,.......................................................................................................................................,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpoles $ JT.HELD PERS.. JT.CHECKING ACCT.#042 407 577 held ln the I , WESTERN PENNSELVANIA NATIONAL BANK,MONONGAHELA,OFFICE , ~1ONONGAHELA ,PA.,in the names of HAllY JANE BRYAN or I BESSIE ORA BRYAN.Opened 1960.Balance of date of ,as . death,$3.810.42 One-jalf taxable 1,90~21 " , I form~~:~bl:~::~:.W~~~~~~~:~;~e~~:~~"t~:;;~~;;:7:~n;~":;7:~~el~~~: ~7!~",,-":...................................................~:..............Penna. '\\TASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ., F J I f.~~t~.,.",c.I)I P"iq Or-(,I','\"nIL.lr.,,11,11]20 .HAR¥J..A.NE.U.RXAN . Deceased. Late of NKSNIN MONONGAllliLA 1)!tt:~1i ~'l','7'"10\:)v"I ,-"..rI ,.1,I ,'; RtGfSTE.R OF WiLLS iliA'C:HI-i'(;"rO'l ro PA"v·.i'i q .f\I v~,4 Date of Death,Oct.21.1969 Appraisemellt Docket Vol.,_ . Page,No 6.3.",..6.9.".,.1..2.1.8 Filed in Register's Office,1-.13--19 7-0 Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,,.. Wrote abo.ut Appra.isement, Appeal fyom Appraisement,,. Entered and charged,'.. I ~ '{f • ,, -~ '. ..<lit dollars49/100TWORtJNDREDSBVINTY-ONI and Paying on Ind.representing Pennsylvania Inheritance or L1ab~state Tax due from the following estate:From:BESSII ORA BRtAN RECEIVED Addresi06 rOURTH STRBBf )(()HONCAHBU.PBnmVANIA 15063 15%Tax on $File No.63..69-1218 Date of Death 10.21.69 2%Tax on $..----------1[.0)1 6%Tax on $--;::-.,------::i:.----;--:---01'1111 Jt.Bank Acct. 1,905.21 $__28_5_,_'8_·__1.1 $,----------Ifll Date of Payment ~~~J_an_·_lIa__I"1...;:..__1_3....;:._1_9_7_0__---i Name of Decedent MA_·_R_J_J_ANE_·_..__B_R_YA__N_·__---I %Tax on $$----------1mI Estate Tax,Act of May 7,1927 County ~_l_SHlNG_-·_-·_·_r_ON-,.·-----1 Remarks: TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death PI us interest at the rate of __%from _ to _ 285.18$--------------- 14.29$---------Ifil $,---------1111 271.49$'===='f~l! ! TOTAL AMOUNT PAIDSEAL r..iII NOTE:This Triplicate Receipt to .be retainedlor audit purpa~es..'/-'\"'l,~....'..()~._~., .''Received by \~~va.~-:r..b~'jj'""O NOTE:In accepting the transfer inheritance tax On future estates,prior to the death of the hfe ,gndhjf tenant or tenant for years,as evidenced.by.this.receipt:it is understood that the Commonwealth sholl not be precluded or prevented from hereafter assessing odditionol inheritance tox ot the death of the~~¥*-*~l*J~;;;;;o.:~'¥___c;A;,~:J6~j;;.L--~-n life tenant or tenant for years whenever it appears that such additional tox may be legolly due and- collectible for any reason whatsoever. ~=~~-=~-----~-,,------~-----------~-----------~--~'Jl I ..representing Pennsylvania Inheritance or Estate Tax due from the folloWing estate: RECEIVED and 28 100 ..............-dollars Address SBCOlfJ)&CRISS STIII'tS 2%Tax on $$---------Ir~..ll File No. $,-'--------Ifll MONONGAHltA t PBlfIsYLVAJID 1506 63-69..1118 Date of Death 10-21.69 .dlLAfLHh1910 Date of Payment _~~---1 lUll .ay JANB8RYANNameofDecedent.--, 6%Tax on $$,----------111; 15%Tax on $_O_D_,_A_e_c_o_U_Il_t__$__5-.:.-1I1_1_6_,,_0_8__1I! %Tax on $$---------Illl Estate Tax,Act of May 7,1927 255.80$--------,lUI 5,116.08$,---.:...------1(41TOTALTAXCREDIT Less five percentum of tax if paid within three m~nths after date of death Plus interest at the rate of __%from _ to _$'-----111 NOT.~;.!,~~~~~~.~~~~.~oo"':3~;~-7 TOTAL AMOU~~;,1;/~;'==.=4~t=8=6=O=.=2=8==1 't '.,.',,'Received by "'..).*;l(;j,;;.JLJ<...,/IJ,()J?"",-~ NOTE:In accepting the transfer inheritance tax on fut~re estates,prior to the death of the life .....-''''-.(Signature).' tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth sholl!'-)•-fr-_,,!J /I )',,,!1/I~at be precluded or prevented from hereaftel a~sessing'additional inheritance tax at the death of the\~_)S2.L:)(JJ.~JH L<./..UJ{(J,./ life tenant or tenant for years whenever it appears that such additional tax may be legally due and -"'"'(J (T'tl ) collectible for any reason whatsoever.'_'~.~__~__~.. Remarks: County It_l_SH__INO__'1'_O_N _ ..........nO/100 representing Pennsylvania Inheritance or Estate Tax due from the following estate: and 8COD •CBlSS STUlTS 2%Tax on $$ss MOtlORGABBLA.'INNmVANIA 150c 3 $$6%Tax on 63-69-1218Date of Death 10.21~61 15%Tax on $On Acct.$10,789.41o. ·f.Payment January 19,1910 %Tax on $$ NAllY JW BIYAN Estate Tax,Act of May 7,1927 $of Decedent WASHINCfON TOTAL TAX CREDIT $ 10.'89.41 Less five percentum of tax if ks:I paid within three months after "date of death $539.41 ••<Plus interest at the rate of .~__%from to $ " D D A TOTAL AMOUNT PAID 10,250.00NOTE'Th;'~';~~!'~~~~~~~~d.8:~~7 .'(~)tJL/i $==.====~ '"<,.('.</J 1/lJrYl•;.,.'-'Received by \~---»'(L<J.1:\tY~~ NOTE:In accepting the transfer inheritance tax on futu~E!estotes,prior to the death of the life r~,(Signature)','" tenant or tenant for years,as evidenced by this E~c.eip!.JUs understood that the Commonwealth sholl '.~~~'I /,1 ;J IJ not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the t")JJi---e\.V ~G{/,,<P.,(l,/ life tenant or tenont for years whenever it appears that such additional tax may be legally due and ........((nl collectible for any reason whatsoever..~I Addre RECEIVED TIN THOUSAND TWO IItmDRlD rImDeasieOraBryanIKe... Fro'm:c/o Am.CLUB TIIPBST Name File N Date 0 County ,Remar