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OC1969-1238 - ESTATE OF COSGRAY
FORM 67 REV.1-50 REG.WILLS .application for i'jrttrr.a of .abmini.atrattnn nn thr Estate of R.Q~Ji;RT.~Q§9.M¥.. .................................................................................................................................................................................................................................................. late of !.~~.~.~~.~.~?.~.!.~~.~.~~.¥..~.!.~~.~.~,Deceased. Before the Register of Wills of Washington County personally appeared ~~.~.B~.:t.~~.~J:.9Jr..!.!t :.. who,being duly sworn deposes and says that....RQb.e.r.:t c.O.s.gr.ay... age J..9.,having..hi.§last family or principal residence at.....~.QQ F.~y.~.:t.1;~S.:t.r.~.fil.:t .. (Street and Number) Y.(~§.b.i.P,..g,1;9..n ,Washington County,Pennsylvania,died intestate (City,Borough,Township) at...W.~§.bJP,..g.!;.9..n.J ;J?~..,: ,on the..12.!<llty of N.Qy.!?mp..!?.r.:..............- .69·A.D.,19 ,at...M.,possessed of personal estate to the estimated value $9..Q.!!.Q.Q ,and of real estate in the Commonwealth of Pennsylvania to the estimated value of $~,situate in ~.Q~.~.. The names and addresses of the decedent's surviving spouse (if any)and other heirs including heirs by adoption)are as follows. RELATIONSHIP RESIDENCE ~Q §!P.Q~.~~..~.. C.9.1.1a.:t.e.r.a.l b~.i.~s..,... undetermined •••••••••••••••••••••••••••••u .. ......................................................................................................~. That deponent is over 21 years of age,reside3 at...Q.l H~.r.:t Ay.~.nM~.". !.~~.~.~.~.~.~~.~.!.~~..~!.~~.~~. is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. .~Sworn and subscribed before me this .. day of...~g p.~.r.,A.D.,19.J?~.. .....................................'2:?1...~~. REGISTER ~~. I. ,. COMMONWEALTH OF PENNSYLVANIA }. WASHINGTON COUNTY,.S5: And now ~QY.~~Q.~.r.?::.~,199.~,comes K~~.~~.~.~~.~J~J!..!.~. who being duly sworn doth depose and say that...will well and truly administer the goods and chattels,rights and credits of ~~?.~~.:.~~.9.~.~.~~r..,deceased, to the best of.~.!.~...skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. --Sworn and subscribed before me this.......~.x:~. day of...~~v~~e.~~,A.D.,19..~.~.. "43-~7-/23f APPLICATION FOR Letters of Administration ESTATE OF ROBERT COSGRAY Deceased Letters __..........R $._c,;t,._~............................... P $. Extra Alias $. Certificates I.L~.,.$/r.~..:. Renunciations $.. ..........................................f..........................$.,?>•p.--O................................ ··..···········..···~··..······T·..·······..···..~·.. Total..r;;L·~~~L-=·~Al --.s\0 f?t ::iQ ..........~(f;)c:.•:;Ie:r""'"::x;."'-'~C:;::J1 ..........0 0:;,ca::::::-.~''7''.f""'I\"'9,6:nl ::::~t '.c:w.'.f'""0"')I"""'-'f:-\2 ~'~"""t~:r;;.'- Q=E~::r~'~~c; ~,.©,Samue~'~oldfar~..·· · ·..·Att~~~~y..·..· ~2 \ j l(uDm All 1Ieu in wqest 'rtstnts Estate f ROBERT COSGRAY }lo No of 19 . late of ,Deceased KNOW ALL MEN BY THESE PRESENTS, That we,Jg;m!¥.~~A~.W.I~.~!.!Q¥~.~~!!..!.9.AR~Q~~.~f.L..~AM!m.!.!9..Q!P.¥4:RJt . all of Washington County,Pennsylvania,are held and firmly bound Ul1/tlo the Commonwealth of Pennsylvania,for the use of those interested in the estate,in the sum of..One Rundr.ed (.$.lO.O O.O.l . Dollars,to be paid to the said Commonwealth,to which payment,well and truly to be _made,we do bind ourselves, jointly and severally,for and in the whole,our heirs,execurtJors,administrators,successors and assigns,and each and every of them,firmly by these presents.Sealed with our seals and dated the 2.~.th day of..N.9..v.~mp..~.r.. A.D.,one thousand nine hundred and...§J.~.'ty.....~.1.~.e........(1969)• THE CONDITWN OF THIS·OBLIGATION IS,That if the above bounden . Kenneth Baldwin .~~t~~e:I..~~~?:.(SEAL) ..................................rPz:....~(SEAL) :~~Q lT.:i:~(SEAL)' Sealed and delivered in the presence of: Administrator or any of them,shall well and truly administer the estate ac- cording -ro law,this obligation shall be void as to those who shall so administer the estate;but otherwise,it shall re- main in force. ........................:,(SEAL) ~tut.rmrttt of ~urrty Samuel Goldfarb .100.00I,;,surety In the sum of $on the administration bond in the estate of ~.~~~E.~~~.~..~.~.~¥.;say ~hat I ;eside at SQY..'t.h ~.~.~~p..~.~.~'J)~W.J~.Ji?P.J.P ,Washington County,Pennsylvania;that I am the owner of real estate,the title to which is in my own name and d~ly recorded,situated in GJ.~.y.Q.f.W.~.§.A.~.~.g.~.Q~, Washington County,Pennsylvania,worth above all encumbrances $1.0..,.0.00 00 ;and that I am worth the =0='"''''ffi'""in 'wd bond,ov",·,nd obm my jn,'d,bt~~~.gton••'1T..Sr ii.iTaiiiif . If.ashing.t.on..,P.a l .3.0.1 .. Street P.O. ~tatrmrttt of ~urrty I,.~.~~.~.~.~~..~~~.~~.?.~::,surety in the sum of $...1.O.O O.O'on the administrai'ion bond in the estate of ~QP..~.r..~..;.:G.Q.~,g.~.~Y.,say that I reside at ....W.as.h.ing,t.QD ,Washington County,Pennsylvania;that I am the owner of real estate,the title to which is in my own name and duly recorded,situated in Was.h.ing,t.QD , \Vashington County,PennsylvanIa,worth above all encumbrances $1.0.."..0.0.0 0.0.;and that I am worth the amount expressed in said bond,over and above my just debts and liabilities.. .~e~V~. Wash.ing.ton..,.....Pa l.530.1.... Street P.O. COMMONWEALTH OF PENNSYLVANIA,}SS: WASHINGTON COUNTY, And now ~Q.Y...~?..~19§.~,comes ~~~.Y.:~.!.QQ.!.Q.~.~,;rP.. who being duly sworn,says that he is ,acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and thai:the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. d,;::~==:;;;~:~;::'-'=':':--~~~::~;..0.............-... ~cL..C?2~.. LOUISE L.CARSON,NOTARY PU8L1C WASHINGTON,WASHI~lGTO:'l "p P\ MY COMMISSION EXP'R'C'Sept.15,19'13 \(" \\ ,. LZ-l7-/22/' No .1~:2.7 . i\~utiuistratinu ~nn~ IN THE ESTATE OF ROBERT COSGRAY AndB::~..~~~:~m~~rL~·~:·~i~tl~~....69 tTl ;::0 .en G')c::-:r:-<:r>~r--<:r> ......··..·....~~·~·~~·~..~.~.~~.~.......pfl....·........·..·-t -,-.Io-...r-0") =z:O 0who~s:s ~uly iW-a1.1rled •...........................<::>..<:J:i!:~.. •_;::0"',-----"'Or-ZC:::::> ..........................~~.~..!.~~.!.~.~. -Register Bond Book..........§.~.........................Page......±.~§.. ~H I I ,. '~ --------J RCC-103 (2.64),~... COMMONWEALTH OF PENNSYLVANIA DEPARTME",T OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX DIVISION INHERITANCE TAX RETURN FOR INSOLVENT ESTATES ONLY OF RESIDENT DECEDENTS COUNTY OF WASHINGTON J This return must be completed in detail and filed in duplicate,with the Register of wills In the County where the decedent resided within one year after date of death,unless an extension is granted by the Secretary of Revenue, of Washington,Pa. (Address) Will Admn.No.19__I,Kenneth Ba1qwin (Name) Misc. being duly sworn according to law,deposes and says that he is the ____'A=.=d::::m::..:1=:·n::=-=i.=s-'t:...:r:..:a~t_'o..:.r__'___:__-------- W (E'l.ec.,Adm.,LegQ.tee,etc.) of the estate of__...::R~o::..:b~e=r-,t,--C_O-,s.........g,--r_a....Y,--late of __a_S_:-::tt.,..1_n-:g:.-:'t_O_'..,.n..:.,--::.l'::-a_._:__,...-------- (City,Borough,or Township) deceased,and that the whole of the estafe of said decedent,who died on_--",N~o~v~e~m=b,-"e:..:r:::-=;1c::5,-,.,---,1=9...::6:...:9=--_(Date) consisted of the assets listed below and that allowable debts and deductions exceeded the fair ma'rket value of the assets and (Signoture)l\dministrator (Title) Type of Asset:.1$'f:.-1, Real Estate,Pers.ASSETS'p,> Property,Jointly (Attach additional sheets"ff necessary) Held Prop.or Descrip·tion of AssetTransfers Estimated Market Value Department Valuation CAUTION(Do not writ.e in this space) Cash,in Safe-Deposit Box Checking account,Pittsburgh National Bank - $2,020.00 75.59 :JI 00)0.06 TOTALS $2,095.59 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointeCllnheritance Tax Appraiser in and for the above County do respectfully report that I have appraised the real and personal property as reported in the foregoing schedule at the values set forth opposite each item in the last column to the right.Lo e l?~~l. Dated://-~-'t()InheknCeTaXA/oiser 1 Name of Payee DEBTS AND DEDUCTIONS Nature of Claim Amount Claimed Amount Approved by Register Register of Wills Washington County Reports Observer Publishing Co Hummell Funeral Home Kurtz Monument Co. Ambulance &Chair Service Dr.H.G.Benz Kenneth Baldwin Samuel Goldfarb Letters and 2 Short Certificates Advertisement Letters Advertisement Letters Flineral Stone Ambulance Doctor Five year personal care and services,including daily insulin shot Attorney for estate 11.00 14.00 14.00 1,23"5.50 135.00 23.00 20.00 1,500.00 150.00 11.00 I J/.·O 0 /4.()0 I :l3d.-saI,) /3,5·00 ~a.()o &.0.00 /,,5'60.00 ISO.00 TOTALS $3,102.50 ~//'l""<:..-6~,voc·.... REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for the above County;do respectfully report that I have allowed deductions in the amounts set forth in the above schedule as claimed,except where ave set forth a greater or lesser amount in the last column to the right,which greater or lesser amount represents the su allow d as a deducti0"9-,." Date of Approval:1/-~-7(J ..~/7~Register of Wills Will } Administration No.12.j?"Year~ IN THE , l'.MATTER OF THE APPRAISEMENT OF THE ~, ESTATE OF ROBERT COSGRAY Deceased -' Late of Washington County of Washington -c. v.J ~:::o >-1'1:::0RE~fff ~D A~AtS*L -(f)en f-z --{~.,n-' ,....._"""til !"~I j .....;)1'1 [-- -I -,-,.-:-:;C)-"-';-0 °0;;z '1 ::;=:"'"C .. o~):>·:.:::z::c><::;D.;r=:z -or-a'!>(J) Commonwealth of Pennsylvania -.::;.,., <:::) c..l::! ,t SAMUEL GOLDFARB ATTORNEY AT LAW 514 Washington Trust Bldg. Washington,Pa.15301 .' ,~.' Rcc-al (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Kenneth Baldwin ~Administrator) IN YOUR REPLY PLE....E REFER TO 38-26-3 J In Re:Estate of__R_ob_e_r_t_C...,.o,-s~g:!..r_a..!!.y -_-_-__ ___...IUWli;;.<l~s~hu.j~t),¥.gt,l.oJ..lOt),,,,,--------County -File No.63-69-J ?38 De ar Mr.Ba:ldwin:: You are hereby notified that the OQr~~~·ggJ~·nua~J~--__------------ appraisement in the estate of R~ob~e~rt~~C~o~sQg~r=ay~_ has been filed in the office of the Register of Wills qf ffifusbjngtOQ County on Noyember 2 ,19l.Q..Said appraisement reflects the following valuations: Re alEstate __-'--_ Personal Property ~2~,~O~9~5u.~5~9~__ Transfer s - Total --,-_~2:<.,l,w.Ow9~Q""-,.-,-5:2.9 _ 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 (8%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date ---=~JUJoLlvLlie<Jornw.h.L!ie;wr---.62~II--JL..;9:l-<7r,.J.OJ-_Signed Title W.R.Chaney,Chief Appraiser ESTATE INSOLVENT DATE OF DEATH:November 15,1969 Note:This is not a bill. -.,......--0 __" COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of Cosgray (Last Name) Robert (First Name) DATE OF DEATH 11-15-69 (Initial) FILE NO.63-69-1238 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__W_a_s:..-h_in----::g:!...t_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 itern in the last column to the right in Schedules "A","B","C",and "E". Dated:__1_1-_2_-_7_0 _ REPORT OF THE REGISTER OF WILLS l,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",which greater or lesser amount represents the sum allowed as a dedoctioo.~__<"\ Dated:11-2-70 ~ I REGISTER OF WILLS TE INSOLVENT VALUE AS REAPPRAISED $-------+-- 2.095 59 ~l(\?1;(\ $ 2.095 59 2.095 59 ':l 1 rv')c:n ESTA VALUE AS REPORTED VALUE AS APPRAISED $2,095 P2= CLEAR VALUE OF ESTATE 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) Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $-+__2% Tax on $-+--:-'_6% Tax on $---------+--5%Tax on $-+__10% '~l'..v,o··,Tax on $--1 .~,~~,,~ Exemptions -.- Total Estate -I-__ TOTAL TAX COMPUTATION OF TAX $-------+-- $--------1-- $-------+-- $-------+-- $------~-- $---l.__ (*)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 $---.J AMOUNT OF ESTATE TAX ASSESSED $--------il- Estate tax paid $-Jl- BALANCE DUE $-~~ Add interest at rate of 6%from ------I:to-----$-----~t=TOTAL TAX BALANCE $-------1' PAID $....1 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 . .IN THE Year . MATIER OF THE APPRAISEMENT OF THE ESTATE OF ROBERT COSGRAY-----..__---___.._----_.__..-..------------__._----__----.-. Deceased Late of WASHINGTON . / County of WASHINGTON....._-------....._--- Commonwealth of Pennsylvania REPORT AND APPRAISAL , ,. L Form RCC-2 DEF&RdIEN'I"(W REVENUE BuREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.171Z7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE N:o.v..emb.~.r 2..,1.9.7.Q .,, COUNTY W.~§h:i"D.:gt..QD.:. FILE NO...??:.??.=~.~?..~.. Whereas,R.9p..~r.t.g.9.§gr;J?:y late of ~~.~?~~?.~. in the County of ,J:lashington Commonwealth of Pennsylvania,having died on the l.5,1f:h day of N.Qvember.19 6.9.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,W.!.R.!.G.h.9:!.J..~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. Description of Amt PERSONAL PROPERTY: See copy attached to appraisement ESTATE INSOLvru~T TOTAL Unit Value. $ Appraisement Made for InheritanceTaxPurposes 2',095 95 2.095 95 Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con- formity with law on this a~,day of ~~..9 20........w.e..U~_~.... ..--'~r pprai8er .......",,. ·..l.J..~:;·::Z)~~~t.):..·~~:·.·.··.·.,""..;~~~~.~ ·······WASHINGTON ..County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ROBERTCOSGRAY.·H.H.HH.'HD~;~;;~i Late of .....WASHINGTON . Date of Death,H HH HH..ll,.".l5.~69 . AppraisemeHt Docket Vol.,H J.f5...HH . Page,"'H...Z.6~.3.H.H.......H..No H 63.~6.9~l2.3tL Filed in Register's Ofjice,HNov.2'H..19.70H Amount of tax due,$H H H.H . DEPARTMENT OF REVENUE" Received, Examined and Approved,..H HH:HH H HH .. Wrote aoo,ut Appraisement, Appeal j,.'om Appraisement,HHHH.HH H ·.. Entered and charged,H.H.H..H H HH . r •I• • i ••