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Home My WebLink AboutOC1969-1220 - ESTATE OF ADAMS[ ,.-,.......- C!!nmmnuUttu1t4 nf ,tUUSYIUUUia,}55.Iht5~in!lt0l1 ctLountg. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,III the County aforesaid J on the 27th.day of i.October A.D.19 69 ,before me, Russell Marino ,Register fat'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 Ann Adams a/k/a Ann C.Adams late of Canonsburg in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and Clarence Winfield Adams andd Cornelius SeptimuB Adams - the Executor in 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 Clarence Winfield Adams and Cornelius Septimus Adams committing unto Them the administration of all and singuhr the goods and chattels,rights and credits,which were of said deceased,and requiring Them 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 in the year·of our Lord one thousand nine hundred and Sixty Nine ..............................~---~-~- Register ~ oSl 'i.!Ill!'i'lSi rnlSlail!to!-< § -< "'-...... Form No.15 (1960) Will ..\V~5IliJlgton COUrtt)'Bar Association Washington,Penna.) 14a111 litH U1t~IDrntamrut I,AN.N A.PAMS..J.•••__••••••••••••••••••••••••••••••••••••••••••••••••_•••••••_•••••••_••••••••••••••••••••••••••••••••••_••••_•••••••••••••••••••••••, of G~.!}.9..p..~.P..~.;-.K2 .w.#..~.h.~p.g~9..p.G.9.y.p..t;.Y.J r..~.p..D..~.Yly..~.p..~.~______, being of sound mind and memory and understanding,do hereby make,pvblish and declare this to be my Last \Vill and Testament,in manner and form following,hereby revoking any will or 'wills heretofore made by me. First.I direct that all expenses attributable to my last illness and funeral be fully paid and satisfied,as soon as conveniently may be,after my decease. Second.I give,bequeath and devise all of my estate,real,person- al and mixed,to my beloved husband,Shetman Adams,if living;,~th~rwise, to my beloved children;namely,Virtual Elaine Ranovich,William Sherman Adams,Heloise V{vian Fabins,Cornelius Septimus Adams,Louvima:Gwe'ndolyn .).. Roth and Clarence Winfield Adams,equally,share and share-alike. Third.The share of any deceased child shall vest in his or her next of kin,including the spouse. Fourth.In the event of a common hazard ~herein my husband and I sustain death,it shall be presumed that I pre-deceased my husband.---7' 0"'\• .~.'-... I do hereby make,constitute and appoint Clarence Winfield Adams and Cornelius Septimus Adams,my beloved sons,-----------------------------__~------- to be my executo r s of this my Last Will and Testament. the Testatrix 3WA/ ANN ADAMS,IN WITNESS WHEREOF;I , (1965). above named,have hereunto subscri.bed my name ann affixed my seal,the day of /f2t-ch~z/..t,v in the year of our Lord one thousand ni.ne hundred and sixty-five -~ viAiirH1~~-~~~!:-:'C~(SEAL) Signed,sealed,published and declared by the above named ANN ADAMS ,as and for her Last Will and Testament in the presence of us,who have hereunto subscribed our names at her request as witnesses thereunto,in the presence of said testatrix ,and of each other. ....;J ~iy('f{~..~......'!1tIi¢J:;~M~::~,-" ;:~0\;(]),.....,:t;".....b.o(]) I ......~ GJ ~ 0 ~:>~> ct1~~~~ '1-1 ct1.Qj ~,'(/)1 0 . '"C!,...'lclP-l .', 0 o ct1 ~~:t:Q ::E:~J ~'"..-< ,(1j.lJ bO ,.~4-<Q: r ..-<.~H .....0 «:'"~'J >.<l)::J-Q)u ..o 'Z!'U q .-Q)~'u)~I ~.,.,.-c.,_.' C01-l .~ .....'U 1-IOZO 4-<(]) o j.J C 'U 'U '.,Q).lJ N ctl q l-.. I' 0 ~<X:NU ell u 'U Q) (])~v;> 0 'U b.o l-..q elltl.l ell ~ ,, l\----------...--.------~,-------'-J l\ffi~auit OOf 1£xrrutnr ®r 1\~mtut5tratnr J ~tatr of 'rnnnyluattta } Cltountg of lIan4tngton nn: Personally before me,the undersigned authority,a .J~Qt..aX:Y P.u..'.b.li~__...in and for said County and State,appeared _~.~~~_~..m~f~}j!W ~~_ ___._.who,being duly sworn according to law,deposes and says ~we--is the executor ~K of the es- tate of ~.__~~...~/~L~..~...~.L ...._deceased,that the foregoing~e~~n~Y;k7aa complete inventory and appraisement of the real and personal estate of --ANN.--C....._~~_.._..._-, deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item of real and personal €state 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 of each item made by ~above named Executor ~ J'.~:;O::r.J~~;b,:nb;~~~l }~~ior . Canons,burg,Was gton Co.,Pa.ADDITIONAL INSTRUCTIONS ,Mv COIl1mfssion Expires May 14,19.12 ••••1.A.n mventory must be fIled WIthm three months after appomtment of personal representative. 2.A supplemental inventory must 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 2 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 JJnurntorg anla i\ppratnrmrnt .of the goods and chattels,rights and credits which were of~~.~~/~/~~G.~N?~~..late of q~.9.r:t.~p..~.~g . Washington County,Pa.,taken and made in co;"formity with the above affidavit. DOLLARS CENTS 5,000.00 3,000.00 b ::0:0 1$432.13~i~:~~ 1$2,121.11 '255.00 REAL ESTATE ALL those two certain lots of ground,together with the buildings and improvements erected,thereon,situate in the First Ward of the Borough of Canonsburg,Washington County, Pennsylvania,known and designated as Lots Nos.4 arid 6 inaplanoflotslaidoutbySamuelSmithsaidplanbeingof record in said County in Plan Book NO e 1,page 16,said lot being separately bounded and described in Deed from Clarenc Winfield Adams and Cornelius Septimus Adams,Executors of t~ Estate of Ann Adams,to Frank L.Gaster,dated October 23,J~ 1970,and recorded October 26,1970 as Paper No.,wast ington COunty Recor,ds.AC,tual sale,Price ~8,700.00 8,700.00 ALL 'that certain vacant lot of ground situate partly in Peters Township anc;1 part~y in Nottingham ,+,ownship,WashingtCounty,Pennsylvan1.a,bel.ng known and des~gn,ated as Lot No.1 3 in the Char~eHobson &~elia Welch Plan of Lots,or record in Plan Book ,page 13 h,Washington County"Records,and being more'par ~cularly 'bounded and described in Deed from ,I "Conrad Welsch,et ux.,et al.,to Sherman Adams and Ann Adams, his wife,dated August 24,1960,of record in D.B.Vol.1081'~page 2081 Washington County Records.This vacant lot is be~n9 so d under Articles of Agreement,dated Oct.19,1970" tq W~lliam Thomas Pochatko and Elizabeth Ann Pochatko,his ' w~fe,for $3,000.00 . PERSONAL PROPERTY .Mellon Nat'l Bank &Trust Co.,Income Certificate #1-40902 , dated Oct.3,1969,issued in the name of Ann C.Adams 38 shares International Cultivator corp.!issued to ShermanAdams,hus~and of decedent,on Nov.12,921,No Value 65 shares International Cultivator Corp.,issued to ShermanAdams,husband of decedent,on Dec.5,1921,No Value Union Nat'l.Bank of Pittsburgh,Crossroads Office,.Checkin Account No.72-429060,in name of Ann C.Adams ,Union Nat'l.Bank of Pittsburgh,Crossroads Office,Savings .Account No.72-002764-A,in name of Ann C.Adams Zimmerman refund check Mellon Nat'l.Bank &Trust Co.,Canonsburg Office,Savings'Account No.66-3292 in name of Ann C.Adams Social Security Check TOTAL -----------------------------------------------------$.19,533.0 r. I 70-41'...' ~~~G,7-/2 "Z-<?~ Inventory and ApJ!raisement IN THE ESTATE OF :-.:-~ ~ ~ ""-./.,-'~': 'i~.', '. ~.,....~ ~, ~. ~~...~~~....~I.~/~...~...~.~,...~~~. Filed ,19 . ,' ,I ,...~..r.. ..~ ""~....~. ..-V, j' ,f::,.. 'l;.';'t: ..; I ..' 'J ..' .; ,- *~i ;;' ."'" ~.y'/,¥?-stL,l '. ,. , ~ :~L..-: ,,'..J " .1.1 ,- ,1 t' ,~ ~ ~ ~. \..,I; \;.~~ -'--:;....... ,' " c:;::; -..I ~li ~~.g ::J e:::- .I,c:c.::J ;s__ (f)(';)..,-> ---{.I;..-J~(0 u..,iTIz--l ~~["'..)c-;itt I co C.J-1 ~.r:J -s:0 ~..-0~-n ~.•:::::r-.).P_...""~-',.~o -.......v r'-' I Z-orO:t>(f) )i',:.., ,. ~} GEORGE ..J.MODf~l\l( ATTORNEY AT l.A •• t:.i I"ORTH CENTRAL I<.'o!NUE CANONSBURG.PA. ,. ~ ~-5 ~.'}'-.r!.~V;,,~ r The First and Final Account of CLARENCE WINFIELD ADAMS t Co-Executor of the Estate'of ANN ADAMS a/k/a ANN C.ADAMS t dece~s~d,late-of Canonsburg,Washington CountYt Pennsylvania• . The Accountant is cparged as follows: 1 Inventory and Appraisment filed Total Assets of Estate Total amount of credits claimed by account Balance for distribution $19,533300 $19,533.00 4,,687.38 .,,~..' The Accountant claims the following credits out of the assets of the estateg to-wit: Name of Payee Remarks Amount 28.00 481.96 481.97 938.92 79.50 50.00' 50.00 5.00 $1.t755 ..00 10.50 5.00 25.00 9..88 8 ..26 5.40 12.50 14.50 4.43 9 ..40 3.17 415.00 3.65 15 ..00 9 ..89 4 ..32 3.98 117 ..48 59.72 40.18 29.01 3.92 6.84 "" Sewer bill last phone bill gas bill bronze memorial gas bill medical services electric bill final water bill final sewer bill 1970 School(Canonshurg prop..) 1970 Borough"" 1970 County .... 1970 School(Peters Twp.prop.) 1970 Twp."'"It 1970 County"..It Bal.on Letters $9 ..00 Inv.$3.00 &Acc·t..$16.00 One-half of Commission One-half of Commission Balance of Commission Survey Appraisal Maintenance &repair advanced for safety depositbox Walter R..Kasper Funeral Home funeral services(includ- ing Speakman Funeral Home opening &closing grave) Letters Witness fee Retainer telephone bill electric bill ,water bill Legal Advt .. Russell Marino Cheryl Hirst George J.Modrak Bell Telephone Co. West Penn Power Co .. The Citizens Water Co .. Daily Notes Washington Record Co .. Bo.;:ough of canonsburg Bell Telephone Co.:- Columbia'Gas of Pae Forest Lawn Gardens Columbia Gas of Pas..'HaroldW.Slone".~..D .. West Penn Power Co. The Citizens watef Co~ Borough of Canonsburg Fe'J.Buckley F.J.Buckley Malcolm L..Morgan C*Raymond Baird C.Raymond Baird Malco1m L..Morgan Russell Marino Clarence·W.Adams Cornelius S..Adams George J.Modrak .Engelhardt-Power &Assoc .. J.COl McCleery Clarence W..Adams Clarence W.Adams TOTAL 11 ------~~-~----~~------------~~----~~--~--~-~~--~$4#687.38 ,.-\~~.,r THE DAILY NOTES'f' CANONSBURG,PA. PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L.1784, Sec.3.paragraph (3)and (25). State of Pennsylvania } County of Washington S8. Personally appeared before me,a Notary Public in and for said county and state, .Ji_Qbj~J;·_1._Jla.l1 . ,who being duly sworn,deposes and says:that _____________h_~_.. ..__is the f}.1JS.:i,J1~_§__§ol,1tlit'Notes Publishing &Printing Co.,a Penn- sylvania corporation,and its agent in this behalf:that the said company is the pub- lisher of The Daily Notes,published daily 'except Saturday and Sunday,having its place of business at Canonsburg,Washington County,Pennsylvania;that the said Daily Notes was established August 1,1875;that the printed nOitice 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: November 11 November 18 November 25 1969--------..------------------------------------------,----------1 ----------__..t . -----------------------------------------------------------------------------------------------~.J that the affiant or the corporation in behalf of which ..h_~.__.is acting is not inter- ested in the subje.ct matter of said notice or advertising and that all of the allegations of this affidavit as to Ithe time,place and character of ~p}fblicJV;~n~rf tru?J()1 ----------:~~----------.---------..--.-------------..----------..~~16--~-'".:Business ManaaerSworntoandsubscrIbedbeforemethish .J__8 th____day of -----..P-eC~"b er__:~___196..2.__ "..---:--~~·".,.~,f){l.;.-Notffy!..~----_=_~"""~:s~~~ty,i a.Notary Pubhc My Commission Expil'~s iVIarch 30,1970 - '~XECUTOR'S NOTICE, ICHtate of A~N ..1\DA1\.f~RJ "~Hhn:~ de('eaHe,l,late or (anonshul~ "Washington Count>·,penn~N'~ARYJE1'TE.RS 'I'1',S T Al\U'~'1 I up~n tlle above P8tate-hav1l1g be.PH granted to the undprRignE'l!,notJc~ I is herebv given to thORe.llldebte.l I thpl'eto 'to mlikp iml':,.p(ltate.P~Y-I ·t and to tlH).SP hn,Ylllg Clalll,R orl~~~~:ands to j)resPlIt the111 for settl(" I d(':LAREP:CE WIN1i'IFlL,D ~DAl\.~,.'and C'ORNT':L111S ~,fCJ TTl\fU:-; ,~DAM8,FJxec:vtorRie/o 22 N,Central ~~yenup 'Canonsburp'1'a.1",J17dTWRGEJ,oMODRAK,AttorneY 22 N,Central Ave~up Ca,nonRburg,Fa.1.,317 NoV.11, 18,2;',1!JG9 ", • 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 WASHINGTON1 88. 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 officiaJl.legal periodical for said Washington 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 REPORTS was established on March 31,1920,and was designated as the official legal 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 regular issues on the following dates: ............No:v.emb.e~...lJ........2.0.•....21........~9.J~.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 of this affidavit as to the time(YPIe an~characer of the publication are true');ji')j(_cIJ,-tY'LCUft4f.:. Editor Sworn to and ubscribed before me this ....;;t.'1-.t~.jlay of.........:.....N.ay.emhe~.........,19......6.9...... .........~...(l:.,....~ Notary Public KATHERINE C.NICHOLAS,Notary Public Washington,Washington Co"Pa. My Commission Expires November 1,1973 I·...~,. ./."'" 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. •• ••• • ••• •• ••••• • ADAMS,ANN,Dec'd. Late of Canonsburg,WashingtonCounty,Penna. "Executors:Clarence Winfield Adams and Cornelius Septimus Adams,c/o22N.Central Ave.,Canonsburg Pa15317' . ".Attorney:George J.Modrak.22 N."Qentral Ave.,Canonsburg,Pa.15317 STATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The within named Accountant being duly sworn according to law,depose and say that the above account t t d ·t .d I'he "1 b',.as s a e IS ruean correctas..........................................•ven y e leve, Sworn and subscribed before me this ?.I~~. day af ----d~g-f;.Q~r;------Ii----------19}9 _ ......~~~. GEORGE J.~.~~~~Notary publie Canonsburg,Washington Co.,Pa. My Commission Expires May 14,1972 1do certify that I have given legal notice 'to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court,as evidenced by proofs thereof filed to No ...b.3.~..7.O'.-:..7y..O...... .'.~ Witness my hand and official 'seal thiS ;r.Q.._~. --------------C'l1,------'---19']0 ....:..lI.L~__..__..... Register of Wills day of . '. Washington County,ss:. 00:......,...,~~i 0 ...1'1~!,;:l 0 oj.~!....,r r 0 ....,1'1 LE D~0 1'1~!;:l 0 ;:l ~0 Ii CD 0~:'-'~.J .l:I ...'-'~..1 '-'...,0 '-'~.!<Ij 0 I <Ijf0Ui"i ...,~~..~i Uj io l"ll.:......t.J :2 1D 't:l CD 0£.0 flt CD '""...(\'i ~:....,0 t1'1 ~9\CD Q)~i r:..'"~0 CD ..."'-.i r-l rz:Ii ...0 NRfi~f.";~~.:t 0<...,fi1 lIS!lIS Hi I'' , ....,tIj\\,;.......~....:L.LL ·.lA!\INO ...,<IjE-<~s::~:REG/STEfl 1'1~<Ij ~."Zi ,""("r-\1/LLS ;:lE-<\.'1"0 ~~~Hi 0:'-'~i r:n 'lAS HI Id (\TnN '-'fi1 lIS:~i -iJi CO .•PA,oj~\.J t ;J J,I :'0 ~:1'1~i 001 s::rz:I;0::a """'".~:lIS U,Q),...,~:zi'~,.~ v;.~~i -iJ r:r.1i rz:Ii CD(j)I~I I ,.l:I '"'Oi :;=...,azj."'UI ii'~~~0 ~i ~Ui ~l.,Z <Ij ~ ... .--' ", J "-,...... ", llu t~r (@rpqaua'Olnurt of mali~iu!1tnu Olnuutu j .In the maHer of the Audit of Ac·count in Estate Df._ANN.A,P.~S..__.~/::K/.?l-...__.__. ............................~G.~8P..~.s .. TO THE AUDITING JUDGE: "~o 6.J..":':".9.9..~J.G.~Q ,19 ,A.A. _1 '. Eruter __.__ffiy __._.__.__..__..__appearance for ~G.9.9JJD.t.~nt..!!_______..___.._________'.. N.R-Counsel shall,by rse'parate pa;per,present a concise statement of each claim,with supporting calculation of any interest claimed. Objections to an accourut as filed,shall be con,cisely stated in a separate palper.Counsel sug·gelsting proper distribution shall file a separate concise statement in that regard. 63-69-1220 19 ,A.A.No•............,, In re Audit of Account in Estate of ~N b.P.~.~!?-L~L.?~~g..!.:¥?.~§.. AUDIT 'rar.ripr fnr i\.pprarau.rr FOR CLARENCE WINFIELD ADAMS,_~__-__....•-_.-. Accountan:t ~J ..·0 I -_.-_:.;.,.•....__:...___- '~'i'J 1 j -____-_~__.-.._.:__.._._.._-~.__-•.....................- r-~.:..J<n '.f:-L-J ....---' 'Or ... f..,.)' GEORGE .J.M,;;ORAK ATTOR N EY.A',L,...,. :l2 NORTH CENTRAL "'''..NUb CANONSBURG.PA. Attorney ~2 PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J Estate of....~.:N..M~~...~/~/~..l\t'JJ~LG-,....k\P.N'1.S._..... Deceased , No J~J:::§.~~1~.4.Q . Fiduciary g.~~~Q~WJ.~~J~.~@.N1S..,-. ~~~.~~~ Decedent's death..9.Q.t.QQ~;r;~,5.~..J.9..6.9 Grant of Letters Q.9t:.<?!?~~..).7.1.!~.9.~,. 0-' This is the ¥.J;'.l?~~.<?:.X~!?~.~account filed in this estate \ If there have 'been'"former acco'unts filed in this estate,list file number or number and term-\-::::-.::::-.::::-:::. '. Election to take Under or Against will.(cross out one) Date Election Place of; Filed .':'::~:':':~:::.............Recor?.},..:.:::I::::~.;-~. Name of surviving spouse :::;::::;::::;::'.":':~:.. ,List issue,where mqterial: d '. Did de~edent mo;ry after 'exe~ution:of~will?.(indic~~~).~~~.Any children born after execution of will?(indicate).-..~~I .. ~..'~ ~.No.If answer yeS,name them ::::-:~:::-:;::'7"'::.:::;_,. ..............-_- -_._..- - --_--_~~----_-_ _~~~~-. Leg.atees virtual Elaine Ranovich William Sherman Adams Heloise Vivian Fabins Cornelius Septimus Adams Louvima Gwendolyn Roth Clarence Winfield Adams Relationship daughter son daughter son --daughter son Interest See Will It II "til II .. II " II II Fiduciary,if deceased or not sui juris List,if exceptions to above:Adeemed:Revoked:Lapsed:Abated:Give Cause: Notice 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.Jhlm If any exception give cause:!'!~.J~~9.~P:!:;;i,.9.~.~. File copy of Notice and date of mailing..;D.ec.erober l.Q.,.19.7.0 ,..........................•...................................... 1------:-'-----'- Is estate subject to the filing of ;a Federal Estate Tax Return?..:r~i!Q..•............................................................ Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant..::::::::.-:-:. Give Names and addresses of all unpaid creditors who are 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. All creditors paid 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: ., (. ~9:88 40.00 Balance for distribution per account, Itemize any additional debits not shown by account: INCOME:: Int.on ~5,OOO.00 Mellon Cer;tificate of depos~t --------------------$250.00Int.on Union Nat'l.Bk.Acc't.$1.15 Buyer's share of 1970 R.E.Taxes ~47.64 Total additional debits (Add) Itemize any additional credits not shown by account: Realtor's Commission ----------$300.00PetersTwp.Transfer stamps and stamp Fee -------------------Canonsburg Transfer stamps ----Two deeds and closing fees ---- Total additional credits (Subtraet}------ Balance for distribution $..J~A.?1.?'!.?.~. $..~.~.~.!}~$15,144.41 $..4.7.7..!.QQ !~.. $..14.L.9.§.'Z~4.f_J . If balance for distribution is not in cash,list each item held in kind,giving appraised Val!Je (or distribution Value);,.. -------- \ '"".- r---------------------- If F '1 E .I'd b P ... I f R d --------ami y xemptlon c alme y etltlon,give pace 0 ecor :. If Family Exemption isdaimed at audit,give name,relationship and basis for Claim:..:':'.':'::':'::-::::::-.':':::':::. List any advancement or distribution on account that has been made,and nature and amount of same: NONE Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections .to take in kind if balance is not in cosh:residuary shares being stated in proportions: "Virtual Elaine Ranovich One-sixth (1/6)share Willaim Sherman Adams ......It Heloise Vivian Fabins ..It .... Cornelius Septimus Adams ....II .. Louvima Gwendolyn Roth II·n ..It! Clarence Winfield Adams II n II It COUNTY OF WASHINGTON,55: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ~~;.~__...doth depose and say that the facts set forth in the foregoing petition are true to the best of..__h~~__knowledge and belief. .............Sw.O':J;'D.____.__to and subscribed before me th;s-------daYaf,a!l~g~~rW92!L S;gnatu,e af offlcer----"V.~f---.41.--------~- Title of Officer G'E'ORGF.l M01J!NOtarr1'0b11c-•.••.•..••.•••• .Canonsburg,Washington Co.,Pa. Office explres "'i(,y'-COinmissiowfxpires'May.:t4;.19n...........•.•• And your petitioner will ever pray,etc. ~I~~~L.!~~.~~~&L..~arence W1nf~J6~~dams ~-~~ .~. ~;T:;'i :',j,......_.. U';,L:'.I:.J~••..~ J ;J No.._._?~.-::§~.::_~_?~.9_.__ ___ Estate of _..~__i\Q~S"_~.._caL~L9 . ANN C.ADAMS.........--..--..---.--.__-_-. Deceased Fiduciary...~.~~~9.~...WJ_~~~~:~-/lMJ]J'1$a··7.(~ PETITIO~SUR AUDIT ~FROM WHERE DECEDENT LEFT A .WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective pecember 3,1951,being rule No.9:pa rag raph b-c;and divisions thereof:shown on pages 23-24. 41"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. v'4.Proof of service of above. D tiS.Letters Testam~ntary or Administration C.T.A.or an attest copy of WiII. (li/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. GEORGE J.MODRAK Attorney ",,~2 1l ti :£{~:I (')_.'."1i..I ! ........' I .,-.-.. l j .._'..~ .' F~ I -----------------~--------- ESTATE OF ANN ADAMS a/k/a ANN C.ADAMS ) ) ) ) ) ) ) ) ) IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY PENNSYLVANIA ORPHANS I COURT DIVISION NO.63-69-1220 You are hereby notified that the fiduciary has filed an account -;... as such in the Office of the Clerk of the Orphans·Court and Register of Wills for Washington Coun~YI Pennsylvania,at the above number,and that the same will be presented for confirmation on Wednesday, ~D~e~c~e~m~b~e~r~1_6~,~l~9~7~0~,-a~t~.._~l~O~:~O~O~A~.~M~.~~----,or as soon thereafter as said accoun~is reached. Accountant J IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA ORPHANS'COURT DIVISION deceased.The Executors are Clarence Winfield Adams and Cornel us Septimus Adams and the attorney is George J.Modrak.Mr ..Mod k? ) ) ) ) )No.1220 of 1969 ) ) ) ) HEARING ON AUDIT Wednesday,December 16,1970,at 10:00 o'clo A.M.,?,EST. GEORGE J.MODRAK,ESQ.,of Canonsburg, Pa.,representing the Accountants. THE HONORABLE P.VINCENT MARINO, Judge of the said Court. Number 1220 of-1969,the estate of Ann Adams, If the Court please,I have here all the necessar .! MR.MODRAK: ESTATE OF ANN ADAMS,a/k/a IN RE: ~ANN C.ADAMS,z<:(>,...-~Deceased. zzIIIII. ZeI!lz~BEFORE: <:( ~ -..:o~~-APPEARANCES:...<:( Q c:J., :I:to TIME:til _ vi0:IIII-0:oII.~TME-::CD<UiIJRT:..0::Jo'0...«oii:...o \\1 ". -, papers in connection with this e:&'t1a21E.All debts have been paid.And there are no claims against it and there areno complications. THE COURT:Is there anyone else in Court inte rested in this decedent's estate? (NO RESPONSE) THE COURT:The audit of this account is ordered closed by 2 the Court. (A UDIT CLOSED) - JC( \\; ~z~¢1 hereby certify that the prOceedings and evidence are Qlz .~ontained fully and accurately in the notes taken by me on the hearing of and that this copy is a correct transcript of the same. L J. ioGthe above cause, z XQl~ ~ItI-!!!Q...0( § Q :J'") :I:I:.til uiItIII~The foregoing record of the proceedings upon the hearing oII.III~of the above cause is hereby approved and directed to be filed. II::Joo... 0(oii:...o , In tllt ([taurt af Qtamman 'lruB af lJuBqingtnu Qtnuuty. Jrnnsyluunin.(@rpqnns·Qtnurt 13iuiBwu ESTATE OF No._..::6.L.3-6-=.L.9-J.-=2=20~_ Ann Adams,a/k/a Ann C.Adams, In the matter of the First en d Final Account of Clarence WW1eld Adams & Cornelius Seotimns Adams,Executors SCHEDULE OF DISTRIBUTION 5J 147/ /.()0 ~~ ADJUDICATION '1!!':DECREE And now February ,19.-1l-,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereof :llie ba\uce for distribution in the hands of the Accountant is determined to be $,667..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. BalaJ:'lce per account $14.8h~.6~ L Additional debit asked at audit 298.79 Additional credit asked at audit 477.00 $15,144.41 Balance $14,667.41 Deduct Clerk's Costs &Receipts 31.00 Attorney George ,I.Modrak $14,636.41 ~/~!':3 Russell Marino,Agent,transfer inheritance tax,$860.33 Interest from 1-25-,71 to 2-19-71 @ 6%3.47 863.80 1tIl",,_"""."..c:e;;JJ~~1-~13"772.61,- Virtual Elaine Ranovich,daughter,1/6 residue,2295.44 ~/-j-.~t illiam Sherman Adams,son,1/6 residue,2295.44 ~. Heloise Vivian Fabins,daughter,1/6 residue, ce. 2295.44 Cornelius Septimus Adams,son,1/6 residue,2295.43 Louv1ma.Gwendolyn Roth,daughter,1/6 residue,2295.43 Clarence Winfield Adams,son,1/6 residue,2295.43 No balance w t II !' .-,... '.1"):.J_' (..,~.......-.~ "_I. -'-£,';1 (,- ".:.'.-.., l.:'I .( 0 ~~ ... W ::J Z ·0 ,....p a 0 ':::I" ~. C (l) ~CI)a 3 S-o a........ t'1 nr f4 ......0 S· ...:t == (I) ! ~a~ Form RCC-33 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS j RESIDENT DECEDENT COUNTY OF 'wASHI.NGTON ..Estate No •63-69-1220 . IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the' Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of theJnheritancean!l.Est,ate J'ax Act of 1961.) .......'H"H.......................QI.J.AAEN.C.E WI.NFIELD.AD.AMS H.H HH HHH OP.-Exeeutor of the estate of the above-named decedent being duly sworn,deposeS and sayS 25Decedent.dJed .9.~1:0ber (Month) Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. .............,19".§'~H'....J testate leaving a last will,copy of which is hereto attached.} (1IaY)(Y~ar)L~QiHX ....GE!():r.ge~.~ci:r.Ci~,~:t;t.9:r;!1~Y ....Ci~..Law ..H. 22 N ~..GE!.!lt.:rCi:L ..~y~.~'GCln()11f;l:>~J:9,~Ci.l5}:i.I . That as such C.9..::':'.B.~~.g.y..tQ.;:deponent is familiar with the affairs of said estate and the property con- ()I;X(!CUlor-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 IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX Mellon National Bank and Trust Co. Canonsburg,Penna. THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF Ann C.Adams ...RELATIONSHIP OF JOINTHOLDERSTODECEDENT__ That the contents of said safe deposit box or boxes are itemized under Schedules _B=-__of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached b.ereto and made part hereof sets forth fullv and in'detail all the real property in the Commonwealth of Pennsylvania of 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 of 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 ihstitutions,whether indiVidually,or in trust for any other person or persons giving also sep'arately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of'savings banks,~nd 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 thereof,or of any foreign count~y,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 by decedent,together with the fairly estimated market value thereof;all bonds and mortga~es 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 polici'es 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 a'ccrued 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. In the case of securities of close or family corporations,the values reported are as far as possible sUbstanti~ted 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 m~d.·;part hereof s~ts 'forth 'a true answer"to e'a~h"inquiry contained therein and in the case o'f transfers ofproperty,real or personal,within,two years of decedent's death,in contemplation of decedent's death,or intended to take effect in posse~sion ~r ~njo~ent at or after death,said schedule sets forth the nature and value of such property,to,wh?!'1 tr;ansferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all 'other facts of a pertinent nature regal"ding said trans.fers·;In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a cony of the deed,trust agreement or other instrument creating the trust.TherA is ,Iso set forth in said . ,··r ',,'._.schedule a list of all property,real and personal,with its value,which pa~ses at decedent's death by virtue of the exercise by decedent,eithe'r indIVidually,or jointly with another,or any power of appoint- ment vested in decedent;i either'individually 0t;'jointly,b¥the,will"deed,or other instrument of another, with a copy 'of.the instrument creating .such power attached to the s.cbedule.\......\~~...~\.'I.,.\~•._'J....0 ~• That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death;·.the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement 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 decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of"acquisition of·'personalty,pltis the·name,address.,and.'relationship,if.any, of co-owners to the decedent..;;,.\ That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behal f of this deceden t's estate,inclUding funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissioni 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 charge.able 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","en,"E",and "F"as directed therein" have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this ?.7..~~. .....day of 99.1:PP§!•..............19.•7.Q.....~a J.:~ .?J~(,,....................~~.?.:J.~~~~~;;:.~.t ~Y..~D.~~. GEORGE J.MO AK,Notary publ,ie (Street Number) Canonsburg,Washington Co.,Pa..G~J:.l9..p..§lp.~f.g.,1?~.!!l~.~..b.7.. My Commission Expires May 14.1973 (City or Town and State) NOTE: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 (I-54) COMMONWE'AlTH Q.F PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEpENT SCHEDULE "A" tEAL PROPERTY *,. Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by the ,de,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('lwealth 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 farm state number of a. cres;also statement of mortgage encumbrances upon each parcel at death of decedent.Tax,es,assessments,acqued,Interest on mortgages,etc.,are to be Iisted on Schedule'IIF"and must not be deducted from this schedule. (1)(2)(3)/ DEPARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTION DECEDENT'S MARKET VALUE (Do not write DEATH In this space) &;~::7 $1,950.00 /$8,700.00 ALL those two certain lots of ground, together with the buildings and improvements erected thereon,situate in the First Ward of The Borough of Canonsburg,Washington County, Pennsylvania,known and designated as Lots Nos.4 and 6 in a plan of lots laid out by Samuel Smith,said plan being of record in said County in Plan Book No.1,page 16,said lots being separately bounded and described ~n Deed from Clarence Winfield Adams and Cornelius Septimus Adams,Executors of the Estate of Ann Adams,to Frank L.Gaster, dated October 23,1970,and recorded October 26,1970 as Paper No.,Washington County Records.Actual Sale Price $~700.00 ALL that certain vacant lot of~~und situate partly in Peters Township and partly in Nottingham Township,Washington County,.~ Pennsylvania,being known and designated as Lot No.3 in the Charles Hobson &Amelia we11 Plan of Lots,of record :en Plim'Book ,page 1~3L ,Washington County Record~•and being more particularly bounded and described'in Deed from Conrad Welsch,et ux., et al.,to Sherman Adams and Ann Adams,his wife,dated August 24,1960,of record in D.B.Vol'.1084,page 20'8,Washington County Records.This vacant lot is being sold under Articles of Agreement,dated October 19,1970 to William Thomas Pochatko and Elizabeth Ann Pochatko,his wife,for $3,000.00.$400.00 $3,000.00 'F '10D.ODI ~000.00 I 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. $11,700.00 ./1 (,70().OO RCC-3q CQMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "13" PERSONAL PROPERTY INSTRUCT~ONS: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. Hem No. '.1 .ITEM List and describe fully I UNIT VALUE ESTIMATED MARKET VALUE DEPARTMENT VALUATION (Do not write in this space) '. 1.• I Mellon National Bank,and Trust Company, In90m~Certificate No.1-40902,.dated October.3,1969 and.~ss~ed in th~name of Ann C:.Adams ~ $5,000$00 5;000.00 2. .,. I..~. 38 shares.lnterna~ional Cultivator Corp., issued to Sh~rman Adams,,husband ,of ~ ,decedept.pn ':Ov,ember ~2.19n.No value levJ'"~ 65 ~h,ar~Inte+:national ~ultivqtor ,Corp."fY~. issued to Sherman Adams,husband of /-1\/7 0 deqedept.,.on.December 5,1921,No Value $ 0.00 0.00 4.Union I,iational Blank of Pittsburgh,( Crossrioads Office,Checking Account No • •72-429090,in,pame ,of Ann G.,Adams 5: . 6 •. I ,7. , Union National Bank of Pittsburgh, tcrossroads Office,Savings Account No. '.•1 •72-002764-A,in,name.of Ann C.Adams l.I : Zimmerman refund check,.,I II.·tMellonNationalBank and Trust Company, canonsbu~g Offipe,Savings Accoun~No. 66-3292 ,in name of Ann C.Adams ~J $432.13 i/0-J $15.32 $10.00 o/1%:J $2,121.11 }o.oo ~I I~/./1 8.Social Security Check -:-ZS-s-.OO_--- Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return.~7,833.56 RCC-36', COM!lfON1\'EALTH OF PENNSYLVANIA Tfu\NSl~R INHERITANCE TAX ~~SIDENT DECEDENT SCHEDULE "c" TRANS~RS ) (1)Did decedent,within two years of death,make any transfer of any material part of 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)--=N,"-O=-__ (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 therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)~N~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)---- (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 ~o income from the property transferred? (Answ~r 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)NO (6)If the an.swer 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)_N.--O _ (8)D~d de~edent,a~any time,transfe)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 'trilnsfer or byf operation of 'law?"(Answer 'yes ~r no5 NO . (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in the decedent alone ~r the decedent and others?(A~swe'r ye;o'r ~o)',.., NOTE 1:The answers to these questioAs should be supported by affidavit by the attending physician as well as a:copy oft the death ·cel"tiffcate.I . 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 d'ecedent,if any.'Sul'>mit copy of any trust deed or instrument,if trans- fers are'clainied to'be non-taxable,'arso submit 'detailed 'statement of facts on which said claim is based. NOTE 3:,List appliFable property pelow,in ,mllnner ~in,which provided in Sch~dulesA;B;,'or E. ITEM 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. FtC c-:;o 'C(~M'h)NWF!\LTH OF PENNSYLVANIA rH \\SI'Flt TKHFRlTANCE TAX lU~~InENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I\STRrCTIO!\S:This schedule must disclose all property,real and personal,owned by the rlecedent jointly wi ih 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 tmder 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-crwners to the decedent. Description of Property,Date of Acquisition,Name! Address and Relationship of Co-Owners,and Place , of Recore!of Instrument,where Rea!~~state~.~ Unit rper~e~tage-·- Value I Share .-1 Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space• Value of Value of Entire Decedent's property Interest Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return. i '--.=_--~l RCC-37 (i2-63)· C'OMl\lONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES ( h -, BENEFICIARIES AND ADDRESSES \RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFstatef~ll names an~addresses,of all who illegitimate children DECEDENT OF BENEFICIARYaveaninterest,vested,contingent'or other-are involved,set STATE YES IN ESTATE wise,in estate))'.'.forth !his,fact.)OR NO BIRTH , '. virtual Elaine Ranovich Tucson ..Arizona .}dauqhter Yes ---See Will\ William Sherman Adams Los Anaeles.Calif.son II ---II II Heloise Vivian Fabins Tucson..Arizona dauqhter 11 ---n It Cornelius septimlis'Adams ~22 N ..cent~:l A~~17 son u II IICanonsbura.1 --- Louvima Gwendolyn Roth McGovern Plan..Houston.Pa.dauqhter It ---Ie II Clarence Winfield Adams %22.N.Central Ave.son l~---l~II Canonsburg,Pa.15317 ., Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE ~IATTER OF THE APPRAISEMENT OF THE ESTATE OF (Executor-Administrator must complete "As Reported"column #1.) t,I. ~ . """3 '"C !:l:l...ro roIl:>...Il:>::l Vl ...... Vl 0.....,::l '"C(1l Il:>............0en'0 '"C ro.......g ~ ~ :C-j,0'\-'-::;1 'rT:1-' "<: :tx: ,(1) '1-':0..trlVlS-et ~Il:>;.<.Il:>-0"~ (')...oVlen = Year . P.Il THE t No. Will Administration ~.1U)!U!t~~/lt/Ci,~NC_}\DAMS Deceased :t Late of .',q ClIlPJ:l5.PllXg.. REPORT AND APPRAISAL Commonwealth of Pennsylvania County of W:~slling:t:()11 r. -:;,'. ,.....-rn enon':;t?"':.ntj~-- enC ~a:::>-!:l:lc;;c;;>< n n?"'?"' ~>~~ GEORGE J.MODRJ\~ ATTORNEY AT LA.' 13 HORTH CENTRAL r,'"..u£ CANONSElURG.PD,. .-"';....-. - "". ; -oo~~-oo-oo-oo,1-'.,1-'_ '\0 :~:1-'>- ;.:_;...tI':l VI ':ro .~!:l:l:W ::W :0 ro--,'.'0''0'0-;:W.O:.W 0-...:l :e .:.:.:.:_""1 1 001 "'0 .0 .010 (t::'_.C\.:O '0 :0'0 c..~i :~ J :..... -;II t • f1 '.00-00-00-00-00-00_~1-1 ',". '-:'.:..:-~"'-.i ,-'"-..,~".....U ~f ....~"t <'t ........:"1 ':'J ,....~~~'VO~~-11".~0 -,-.<.i •-":I-..~.~~8.-<:"-.1:'0..••-V'-.0 RCC-Bl (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEAaE REFER TO 38-18-9 NOTICE OF FILING OF APPRAISEMENT CLARENCE iN'INRIELD ADAMS &CORNELIUS SgPTIIlS ADAMS (Executor ~ ) In Re:Estate 0 f _-=A;.::NN~~A~D~AMS~-,-a!d,/-.!k~/uR:l......l:Al.I:NNlWI-~C"""'.....l:l.lmu..AwI~\1S:L---- __----ly.uli...iS.u..H.uI...I.lNu..;Gu.'T'J..!O.LlLN--------County -File No.63-69-1220 You are hereby notified that the __o~r~i~g~i~n~a~l~------------ appraisement in the estate of~Ann~~A~d~am~s~---------------------------- has been filed in the office of the Register of Wills qf WashingtoD County on November 9 ,19-10.Said appraisement reflects the following valuations: Re al Es tate __--'-__--=1::::1:zl..:..7..;:.0,;:.0,:..;.0::..;0::....---- Personal Property ~7~,~547~8~.~5~6~---- Transfer s -------------=-=--"..'=""""'---r-.....,....---Total ,.....=1..!-9z.:§2::...L7.;:::8.!.".5.:..::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. Dat e _-,--,-No.:;..v.:....e:;;;m;;;;lb:...:e:.::r~9~§-=1:.L9.L-70=--_ DATE OF DEATH:October 25,1969 Note:This is not a bill. COMMONWEALTH OF PENNSYL.VANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY tstate of---=A:.:::dam==s::-..-:.::Ann:.::::...-..:..C,~.~DATE OF DEATH 10-25-69 FILE NO.63-69-1220 (Last Name)(First Name)(Initial) REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__W.~a.=.sh=:in:::gt~o:..:n=___ 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:__N_o_v_em_b_e_r_9..::.,_1..:-9..:.-70 _ REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for Washington 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",Whirr;;;;heaterorlesser amount represents the sum allowed as a deduction.0;__~ Dated:November 9,1970 /'~~ 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 14 591 20 19 278 56 6?f7 38 14 591 20 Valuation of life es tates or -t COMPUTATION OF TAXFORUSEOFREGISTERONLY Tax on $----.,.."..,--,'?<"i--+--..."""'"""2%Tax on $;~14,~5;..;,'9:...:;..:.-1__+_2-0:_@ Tax on $5% nX~$lK Tax on $15% Exemptions II: Total Estate '--_ TOTAL TAX $-----,.,,~----j......,.,.--$~...;.;.'(~').+...;.4:'.:..-.-( $----------j.-- $-------1--- $----------j.-- $---------'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 $l= Add interest at rate of 6%from_____to $-l AMOUNT OF ESTATE TAX ASSESSED $-~~-~L- Estate tax paid $--IL- BALANCE DUE $--__~~ Add interest at rate of 6%from t= ------lto-----$------1 TOTAL TAX BALANCE $-------1 PAID $--l 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 Administration !No...Year . IN THE ,. - - MATIER OF THE APPRAISEMENT OF THE ESTATE OF ........- -. Deceased Late of . County of Commonwealth of Pennsylvania REPORT AND APPRAISAL .' Fonn RCC-2 • ~-~.. ...'DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEA:LTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE .NQ.Y§mp..~r.9,.19.7.Q.. COUNTY Wg.§.gp;gi,:9.D:.::..=. FILE NO..§?:.??=f.:~?.9.._. Whereas,AN~AP.~9:.!.~!~!.\.~~g..~AP.~late of ?~.~~~~.~~. in the County of Jiashingt.an.Commonwealth of Pennsylvania,having died on the r)~.5"th day of 9..?~.??~~19.??..,seized and possessed of an estate I subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~g~~.~~?~,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. Description of Asset REALTY: See schedule "A"attached to appraisement PERSONAL PROPERTY: See schedule "BII attached to appraisement Unit Appraisement Values Made for Inheritance Tax Purpo••s $ 11,700 00 , I.I I 7,57~56 TartL 19.27f 56 I. I. .-..., . .. ==================================:!:::::====lII::========, ,•(Number and Street) ...L.u~~···ofii~i"·········,Penna. RESIDENT INHERITANCE TAX APPRAISEMENT ...WASHINGTON.County ':ILf:D '.\'. .... Estate of ANN ADA¥1S 1.,-:;-':.3 .~P~j 3:44 Deceased. Late of ..............GANQNS.:6URG . Date of Death,9.~~9.1:>.~J;:?.2"I9.~9.. Appraisemei!t Docket Vol.,.2.$. Page,-+.$':':':'.9 No..63.~6.9:::'l22'O . Filed in Register's Office,~9.y..·:(l J9 .?9. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,: . Wrote abo.ut Appra.isement, Appeal f,.om Appraisement,. Entered and charged,. ,....~frr'7f;."~'10"JJ......:'l'i~!.'j )I ~.(•,~-II.i _::J f .. "0 :\ DEDUCTIONS ALLOW THE SUM OF '•..........$.... ..".';. 0•.'.. OFFICE OF THE REGISTER OF WILLS '-Form ,RCC·lO ": ". STATEMENT OF 'DEBTS ::D-A"':"::"':>:i::"'-!:~::.oh'""ol....;no.:.Tg~H-=:~oC""~'-M-M-O"::~::AND DEDUCTIONS DAT~D:::~:;~~;~~~. '''{Zf;,)a};'/'1 I dx~,t /'~(;,E-'-b 9-/;;)~()~_'"t1 ~egjJt~Y"Ag..t ~~ I ANN ADAMS a!k a .-,/ ESTATE OF ---=-M..:;NN~--"Ct.!'L.,--'!AD~·~AM...."'-A.IoS.,,---,-I.ATE OF Canonsburg,Washington Co.,Penna. DATE OF FILING APPRAISEMENT '--DAT!i OF DEATH __O~c....;t;;..;:o;..;b.;..e.;;;..·~r_"'2;;...;5'_',L._..;;;1;.;;9....;6;;.;9~_ , I DATE NO.OF VOUCH"~NAM&:OF PAYEE REMARKS AMOUNT :Walter R.Kasper Funeral Hom~funeral services (includ-. ing Speakman Funeral Home anp opening and closing grave)$:1,755~OO Rn.c:spll Marino etters I (I SO CherYl Hirst witness fee 5 00,! GeorGe J.Modrak Retainer 25 00 Bell Telephone Co.m telephone bill 9 88 iJpc::;-'lJt=>nn Pm.ver ~o ~lectrich;11 8 26 Th\=Citizens Nater Co....vater bill '5 40DallvNotesLeqalAdvt.12 50 ~'lashington Record Co.Legal A<iyt.14 50 '.Borouqh of Canonsburg Se,,,,er bll 4 43 ,Bell Telephone Co.last phbnebill 9 40 Columbia Gas of Pa.gas hill .3 17 Forest Lawn Gardens bronze memorial 415 00· Columbia Gas ofPa.cras bill 1 :65 Harold W.Slone,H.D.medical services 15 00 to'lest Penn Power Co.electric bill 9 89 The citizens Water Co.final water bill 4 32 IBorolloh of ('~Tl('\nc::bnro .ci Tl rl 1 ...."'•....,.....h;11 '.,C)q F.J.Bucklev 1970,School (canonsburg pro )fr 17 41j FA J Buckl-ev 1970 BorOUGh ..II \SQ .I7? Halcolm L.Morgan 1970 County (II II'40.18 C.Ravmond Baird 1970 School'CPeters Tt.ro.'Pron ) \29 01 c.Ravmond Baird 1970 T\'ro.II ..It '3 92· Ma 1 colrn LA r'lorqan 1970 Countv"""6 84 Russell Marino Bal.on .Letters $9.00 q;rnv.$-3.00 &Account $~6.00 28 00 Clarence W.Adams One-half of Commission 481 96 Cornelius s.Adams II.•II n..481J97 ' ~__+-__I--__+.:G;..;·e:;:..'o:;:...;:;;.r-=-q~e~J:;..;.;..~.r"_=[O~d::.::-r=-a.:::k:..::--",.-__---,._-+-=B:.:a::.:l;:;;.a=n~c;..;:e~o:;;..f:::__=C:.;::o;.:.m:.::m=i=s_=s:.=i:..:oo..::n:.:._+-_--'9~_""_>'i~~ngelhardt-Power &Assoc.lnc~Surv~v 7.~9.,IDSOO..J_'_,.,J.c.NcCleerv 1\pDra~.Sa1 .0'. Clarence l''-.Ad2ms Ealntenance &reDair.50 ~100 Clarence \'1.Adams advanced for safety depos it tcK 5.iOO ----.Lr--~ TOTAL COMMONWEALTH OF PENNSYLVANIA COUNTY OF ~'1ashinqton I,CLAERNCE yITNFIELD }s.: ADA1'1S HEREBY CERTIFY.THAT.TO THE BEaT OF' INHERITANCE TAX PURPOSES. SWORN A~D SUBSCRIBED 'BEFORE M~THIS.·27th 06itober A 18 :lSJ_ U 1 AYr/1r/J \j.'XfttlYi'A.AcZr MY KNOWLI!DGE AND BELIEF,THI!FOREGOING,IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSE!!0" ADMINISTRATION SUBMITTED TO THE ESTATE OF AIm ADMfS a/k/a ANN C.ADAMS DECli:AeED.AS DEDUCTION5 FOR '~~~&6~'5' DAY OP'' v 'GEORGE ~~AK,N~~ary Public , Canonsburg,Wa,hinglon Co.,Pa. My Commission Expires May14,1972 ',"""',,,