HomeMy WebLinkAboutOC1969-1244 - ESTATE OF CONKLINQ!nmmnuwra1t4 nf JrUU.6YIUaUia,}lili.Iht!i~inglon C!1onnlg.
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,III the County aforesaid
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on the 5th.day of November A.D.19 69 ,before me,
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
Grover ISo.Conklin
late of Morris Township in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Samue 1 Goldfarb
the Executor 111 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.
committing unto
Samuel Goldfarb
Him the administration of all and singu1lar the goods and
chattels,rights and credits,which were of said deceased,and requiring Him
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 5th.
day of November III the year of our Lord one thousand
nine hundred and Sixty Nine ~~~--
Register
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e ATTORNEY AT l.AW"
LAST WILL AND TESTAMENT-,
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I,GROVER S.CONKLIN of t/forris Township"Washington County
Pennsylvania,being of sound and disposlngmind,memory and under-
standing,do hereby make,publish and declare this my Last Will
and Testament,hereby revoking and making void any and all other
Wills by me heretofore made.
1.I give and bequeath the sum of Five hundred and
nO/IOO '($500.00)Dollars to each one of my present children,namel :
Glenn A"Conklin,Evogene C.Smith,Gail C~Walther,and GUy Conkl n,
and ~o any other child or children of mine who may be born after t e
execution of this Will.I direct that these legacies shall be a
charge on my real estate and be payable without interest within f1 e
(5)yeal"'s after my death.
2.All the rest,residue and remainder of my estate
real,personal or mixed,of whatsoever nature or wheresoever situa e
which I may own or have the right to dispose of at the time of my
death,19ive,devise and bequeath unto ~y wife,Elsie Conklin,
absolutely.I direct,howeV'er,that my son,Guy Conklin,shall ha'e -
the right during his minority,to have a home on my farm so long a
my said wife shall own the same or live there.
3.I hereby appoint my Attorney,Samuel Goldfarb,
as Executor of this my Last Will and Testament.
this
IN WITl\j'ESS WHEHEOF,I have hereunto set my hand and seal'
L J;p;...
/'0 :.-day of February,19500
Signed,sealed,published and declared by the said
GROVER S•.CO~lliLIN,to be his Last Will and Testament in our presen e,
who at his request and in hi~presence and in the presence of each
other,we believing him to 'be of sound and disposing mind,memory
and understanding,have hereunto subscribed our names as witnesses.
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/02.3"
IN THE COURT OF COMMON PLEAS
OF WASHINGTON COUNTY,
PENNSYLVANIA
ORPHANS'COURT DIVISION
NO.63-69-1244
IN THE ESTATE OF
GROVER S.CONKLIN,DECEASED
ELECTION TO TAKE UNDER WILL--------
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WASHINGTON TRUST B!,lI~.rNGI """1 I .}
WASHINGTON,PA.1 301-.j j _j.."""'...,..
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IN THE COURT OF COMMOM PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN THE ESTATE OF
GROVER S.CONKLIN,DECEASED
)
)
)
NO.63-69-1244
ELECTION TO TAKE UNDER WILL
TO SAMUEL GOLDFARB,EXECUTOR OF THE ABOVE ESTATE:
I,ELSIE CONKLIN,widow of the above decedent,who died
on October 26,1969,having first made,published and declared his
Last Will and Testament dated February 16,1950,dUly probated in
the office of the Register of Wills of Washington County,Pennsyl-
ania,on November 5,1969,and recorded in Will Book 109,page
106,hereby elect to take under the terms of the said Will.
IN WITNESS WHEREOF,I have hereunto set my hand and seal
this 15th day of October,1970.
OMMONWEALTH OF PENNSYLVANIA )
)SSe
OUNTY OF WASHINGTON )
On this,the 15th day of October,1970,before me,a
otary Public,the undersigned officer,personally appeared ELSIE
ONKLIN,known to me (or satisfactorily proven)to be the person
hose name is subscribed to the within instrument and acknowledged
hat she executed the same for the purposes therein contained.
N WITNESS WHEREOF,I hereunto set my hand and official seal.
ci&~,oC e)4dd.~
LOUISE L.CARSON,NOTARY PUBLIC
WASHINGTON,WASHINGTON CO"PA.
MY COMMISSION EXPIRES SEPT.15,1973
•.
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE:
ESTATE OF
GROVER CONKLIN,DECEASED
NO.63-69-1244
County,Pennsylvania,
i......
NOTICE OF CLAIM PURSUANT TO S 732 (bJL
(2),FIDUCIARIES ACT OF 1949 (20 P.S.320,732)
TO THE CLERK OF THE ORPHANS'COURT:
,
"
,Enter the 'claim of'WASHINGTON COUNTY FEDERAL CREDIT UNION,
:'19'in the amo,~nt of $&rf,.-,against the above entitled
estate.The decedent,who resided at R.D.#1,prosperity,
Morri~.Township,wasJ:lington courr~Y,Pennsylvania,died on the
26th day of October,1969.written notice of said claim was
given to Sam Goldfarb,Executor,at 514 Washington Trust
BUild~9'~aShington,Washington
on ~fIJ,./qZo •
UNIO
2198 North Main Street
Washington,Pennsylvania 15301
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I am writing this letter to inform 10U that 70urlate huab&nd,Oro1m'Ooftklin,
atormer member of the Washingtoo County Federal Credit Uhlotl,owed a balance_Of .
you are liable tor the am~unt of this loan.
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$1062.10 at the timt ot his death.His _v1ngs amounted to $423.21 which when appU.."
the loan/_~.
toward/lett a balance o~...';..
A.letter from the insurance comp8D\Y states that they will Dot pq ott th1,sa-n
because Mr.Conklin was past the age liait when he borrowed,therefore this ~that:.
Dev Mrs.Conklin:
Mrs.Elsie M.Conklin
R.D.#l
Proeperity,Pennsylvania
.keep the note on'file as is.If you cannot pay this amount,please _te and let ....
mueh/.
.know just how/you can pay per pa;y period or per month,and ve will ..out ........
'.....
We will be waiting to hear trOll you soon.
Yours truly,
{~...-{~
Ann RoI1cadorf~'lreaeurer -...
Washington County,Penna.,,ecteftl
Credit Union
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I b-.bee nec!to aU to 7fIUt"om.......to~"-
Vaehinlton ~,' ,'edelta1 Ond1t uu.cllileb _t.n _till labt~.~"WOo~.'
Mr.Conklinlp~av1nas.ounted to $42).21 aDd the .....,ot '5QI....-:Ilall
$1062.10.B1 appqi.nc the .aYing.to tht ~n 1\..~''"Iil''!P'"
....,ment of $40.00 per month 1IU made b7 Jib'.Conklln.Mr..n laic!.he
...unable to pay thi.&IIOunt each month,tharetore ..agreed to pq $20.00 ~t'
month.
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AIm ROnC&dor~~e:.8urer -Wash1ng\on
County,Penna.,Federal Credit Union
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~ffi~auit (@f 1.Exttutnr ODr ~~miui1itratnr
~tutt of Jitttusyinutttu.f .ali:
(lJ.ounty of lIusl1tngtnu (
Personally before me,the undersigned authority,a N.Q.:t.~.~.y P.q.P.l~.~_:in and for sa'id
Oounty and State,appeared SAMUEL GOLDFARB _who,being duly
sworn according to law,deposes and says that he is the executor .~~of the estate of
G.RQ~.R S..~CQN.~J..~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of _.G..~9.y.~~§.!!G.9.:N.~~l~,
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 of each
item made by the above named Executor •~~.J:;~o_~~~~~~;':~:~:~:;;e thu __g,~~_~_~__~tf_.__
~c.c _4..-··...h.,..__~~__..m ••h.__......II'"Executor-~~X
,.'.01AR'<PUBLI
LOUISE L.CARSON,N 10N CO.,PA.ADDITIONAL INSTRUCTIONS
WF\SI-\INGIlON.W&StlWgI1f~f>)f ~~s~9:1ti)filed within three months after appointment of personal representative.
MY COMMI~WNAYjJ.~fferHental i~ve~tory must be filed within thirty days of 1i~covery of addi~ional assets.
3.1 Ongmal and 2 CopIes and 2 RCRI-34,Under $10,000;1 On1gmaland 2 CopIes and 2 RCRI-33,Over
$10,000,including Copy of Will;1 Original and 3 Oopies and 2 RCRI-33,Over $50,000,including Copy
of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P.1.513 Sec.5.2,72 P.S.4844.2
lJnueut011l anb Appraisement of the goods and chattels,rights and credits which 'we're
GROVER S.CONKLIN Morris Townshipof····················································..late of·······················..····························_
Washington County,Pa.,taken and made in conformity with the above affidavit.
REAL ESTATE:
ALL that certain tract of land situate in Morris Town-
ship,Washington County,PennSYlvania,containing 5.48975
acres,together with right of way for pipe line,etc.,and
subject to exceptions,reservations,etc ..in the chain of
title or existing on the premises.Upon which is erected a
DOLLARS CENTS
two-story frame house and out-buildings.(Sold September,
1972 for $12,500.00).$12,50>00
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COURT OF COMMON PLEAS ORPHANS'COURT DIVISION FOR THE COUNTY OF
WASHINGTON,PENNSYLVANIA
IN TIlE ESTATE OF
GROVER S.CONKLIN,DECEASED
)
)NO.63-69-1244
)
The FIRST and FINAL ACCOUNT of Samuel Goldfarb,Executor
of the Estate of Grover S.Conklin,late of Morris Township,
Washington County,Pennsylvania.
The Accountant is charged as follows:
Inventory
The Accountant claims credits out of the
assets of said estate as follows:
Register of Wills,Letters .Testamentary
Washington County Reports,advertisement Letters
Observer Publishing Company,advertisement Letters
Register of Wills,Short Certificate
Register of Wills,filing Election Under Will
Recorder of Deeds,filing Election Under Will
Register of Wills,filing Inventory
Register of Wills,filing Account
Greene County Farmers Mutual,insurance
Morris Insurance Agency,insurance
Stewart F.Barnhill,funeral
1968 real estate taxes
1969 County and School taxes
Washington Hospital,account
Doctor Corwin,account'
Doctor Feldstein,account
Doctor Benz,account
Civic Finance Service,Inc.,judgment
Washington County,Pa.,Federal Credit Union,account
$12,500.00
16.00
14.00
14.00
1.00
2.50
7.50
5.50
16.00
25.08
65.00
1,160.00
102.91
161.56
181.75
150.00
55.00
20.00
3,484.06
638.89
Real Estate sale expenses:
Transfer tax share,1/2
Gao.L Lenk Organization
Delinquent taxes
Settlementcharge
187.50
750.00
320.00
10.00 1,267.51
I.'1 1 •
Richey's Grocery,account
Alden's,account
Hemeirick's Amoco,account
Conklin's Service Station,account
West Penn Power Company,account
Carnegie Natural Gas Company,account
Notaries
Elsie Conklin,widow,family exemption
Samuel Goldfarb,Executor's commission andAttorney's fee
R E CAP I T U L A T ION
TOTAL ASSETS
TOTAL CREDITS
BALANCE
173.98
118.40
56.96
47.19
20.07
13.91
6.00
1,000.00
1,000.009,824.77
$12,500.~'00
9,824.77
$2,675.23
Observer .Repor.ter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the News,p·aper Advertising Act of 16 May.1929.P.L.1784,as amended.
Commonwealth of Pennsylvania,County of Washington,SS:.
Personally appeared before me.a Notary Public in and for said County
and State,James S.•....Lyon who being duly s,worn
according to law,deposes ,and says that he is the .Ex.•.vi.c.e.~.P.r.e..s..•....
of the Obs'erver Publishing Company,a Pennsylvania corporation.and its
agent in this behalf;that the said Com.pany is the owner and publisher of
the Observer-Reporter.sucC'essor to The Washington Observer,established
Septembe'r 18.1871,and The Washington Reporter.established August 15.
1808,a daily newspap'er of general circulation,printed and published and
having its place of business at Washington,Washington County,Pennsyl.
vania.where it or its predecessors have been established and published
continuousIy for more than six months prior to the publication of the notice
hereto attached;that the printed notice or advertisement hereto attached
is a ,copy of an official advertisement.official notice,legal notice or legal
adve·rtisement.exactly as printed or pUblished in the Ob£lerver·Reporter in
its regular editions on the follOWing date or dates;.
..........................N.Qy.e.mb.e..:r .l.l.,l&~.rl.g ??..~~.9..~.9 .
that neithe'r tll'e affiant nor the Observer Publishing Company is interested
in the subject matter of said notice or advertiSin~gnrat all of the all-e,ga-
tions of this affidavit as to 1h time,PlaCe!;d c c~erofpubliationaretrue.
\=?('l.r-t.lL "..~......
Sworn to and sUbscrieJyore me this.25....day of...NQ.Y.e.m:P.~;r..
....Pf{~~k~HI.~~.....
<:...J MARGARET M.BRADLEY,NOTi~!~'l'pij'~ij~
WASHINGTON,WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY 6.1972
rr EXECUTOR'S NOTICE
.1 ESTATE OF GROVER S.CONK·I
,LIN.deceased late of Morris'Town·
ship,Washington County,Penna.,.Letters Testamentary up!ln,the
Iabove estate having'~een..grl!.llted.to the undersigned.notice IS hereby
given,to those indebted thereto','to.make immediate payment and toIthosehavingclaimsordemands.to
l present them for settlement..1~,SAMUEL'GOLDFARB,EXECUT~l't1,614 Washington 'I;rust Bldg....~..
IWashington,Penna.'•.~'t,ttorney.69266.Tue~:.:iL_
1969
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
Estate Notices
The Register of WiHs has ,granted
letters,testamentary or of adminis.."ration,
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.
• •• •• ••• ••••• • • ••
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,
P.L.1784 Sec.S,paragraphs (:3)and (25).
COUNTY OF WASHINGTON}SS.
STATE OF PENNSYLVANIA
CONKLIN,GROVER S.Dec'd.
Late of Morris Township,Washing-
ton County,Penna.
Executor:Samuel Goldfarb,514WashingtonTrustBldg.,Washing-
ton,Penna.
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 officiatl legal periodical for said Washington County,published weekly
hawng 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:
........N.o.Y.embe.r....l.3.......oo........a.1.•ou..19..9..9..........
that the affiant or the corporation in behalf of whioh he is acting is not
interested in the subject matter of said notice or advertising and that all of the
~:~~m~~~:&~;Z:l~'pubmw,.
Sworn to and s scribed before me this
.....,2:i.t.h .day of No¥.embe.t:,19 69 ...........i3..~-,{£,..2Zu::~
N,pttgy Public.."f r 1:1 CllOLAS.Notary rl'u....
\()\IHER'..Y.".llllllJton co.,Pa.
W~.,'',,\'i'~i"l1 (XlIi"es
:.1',:.",'::b>1,1973
.'
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The within n,amed Accountant oeTng duly sworn according to laW;deposes and sayS that the above account
as stated is true and correct as _._._~~.._verily believe~
Sworn and subscribed be,fore me this ..~.~.__
day of ~19.7-t2.J.
·~--dcv.
LOUISE L.CARSON,NOTARY PUBLIC
WASHINGTON,WASHINGTON CO.,PA.
MY -COMMISSION EXPIRES SEPT.15,1973
.-
~.--_.- - - - - - -•••- --_.- - --- - - - - - - - - -_.- - - - - - - - - - - - - - - -_!.- - - - --.- - - - - - - -_.
Washington County,ss:I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribed by Statute aryd Rule of Court,as evidence by proofs
thereof filed to No._.C?.:3.-:-::..z.&_~__7.~..~
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Witness my hand and official seal this c2...7 .
day of.__._.LJ((J__JL_~.._k.~_ _..19..2."k:-
--------_.~~
__~gi~:r .of Will~r (D,
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R~US~SE!..L MARINO
EG/STtR OF WILLS
WASHINGTON CO..PA.
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FI LEO,
'72 DCT 20 PH Il 33.
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'_f PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form ,J
Estate of..._..~_~QY.~~__~_!Q~~~_P~·__...__..__..__-----,--
Deceased
63-69-1244No.-..._..._..__.__. . . .._------.-----.--
Fiduciary__.~~_m~_~J:G9Jg_ta..:r.p._I . _
._....__. ....~~~~_g:t_QI'. .,
Election to take
Under1(!X~uwill.(cross out one)
Date of Date of
Decedent's death ._Q9_t9P..~_:r._.;?JL J:.~~_~.._.Grant of Letters_..__N_Qyemb_er 5_,__.l96.9 ._.__. _
This is the ._.¥.J!._f?t__~~_g __J.)..IJ:~_~_... .account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term......_..__. .
None
Date Election Place of;Register of
Filed _.10/1611.0 ...__Record _WJ.~l§-.-~~~L-----
Recorder of Deeds
. .Elsie ConklinNameofsurVlvlngspouse.......__.__..--__""..__-._.-_.. --_.----__-_.._,
List issue,where material:
9 children,listed below.
Did decedent marry after execution of will?{indicate}~mc No.Any children born after execution of will?{indicate}
Yes:~.If answer yes,name them J.,_~~_t.__.:f_j,v_~__11~_t~_g __p_~.l.Qw.A.__................."
Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris
Elsie Conklin Widow Residue
Glenn A.Conklin Child Pecuniary legacy
Evogene C.Smith Child Pe'cuniary legacy
Gail C.Walther Child Pecuniary legacy
Guy Conklin Child Pecuniary legacy
Patricia C.Thompson Child Pecuniary legacy
Barbara Lee Conklin Child Pecuniary legacy
Carol Sue Conklin Child Pecuniary legacy Born 1/5/55
Henry Merle Conklin Child Pecuniary legacy Born 8/1/57
Wayne Robert Conklin Child Pecuniary legacy Born 8/30/61
List,if exceptions to above:
None
If partial intestacy,give facts:
None
Adeemed:Revoked:Lapsed:Abated:Give Cause:
I .
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.tux
If any exception give cause:__..._.._.__~C?~~._......__. .
File copy of Notice ..
and date of mailing ~~p.y.~.~._~~.~~~.~~~_~~~~~.~~~.!.~.~~.1 ~~~.~~.~•.~~~.~~p.~.~..~.}J~.?~.!..__.,
Is estate subject to the filing of a Federal Estate Tax Return?;.:;~?.:.
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $N.QP.-.e..
If the Will makes any portion of estate su~J.ect to a life-estate,give name and birth date of life tenant .
..............................................................-None ,.
Give Names and addresses of all unpaid creditors who are legally·entitled to notice,tog-ether 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:
Only asset real estate,sold on 9/27/72.
Balance for distribution per account,
Itemize any additional debits not shown by account:
Total additional debits (Add)
Itemize any additional credits not shown by account:
$.~.!.~.?~.~.~.~.
$ _--~.
-i
-..'
,.'-'.
;~~
Total additional credits (Subtract)
Balance for distribution
$:"::.
$.~.!_~!.~.~.?~.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Cash •
..'
----~-----.....".'"...-~~~----------...._.--.."""!!I'---------.-01---_
.,
If Family Exemption claimed by Petition,give place of Record:::__._.._____..__.._
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:__..__ __.__.
Claimed and paid,and credited in Account.Receipt attached hereto.
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:
Balance equally to the nine children on account of their pecuniary
legacies in paragraph I of the Will.Shares of the two youngest children,
Henry Merle Conklin and Wayne Robert Conklin,to be deposited in a savings
account until each reaches 18 years of age.
COUNTY OF WASHINGTON,SS:
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 oL _..his _.._..knowledge and belief.
.......S.W.QI'XL _.to and subscribed before
me thiS._4~day of p..~~~.J:I!!:?~;r;19 7..?
Signa~ure of Officer.~.~(!)~
"01 P-.R'<PUBLICTrtleofOfflcer'.<'E.t.-eA~OM,.l'L ;.l"'CO..+\ll."•••••••••,lOU I;)•\NF\SHING101~.,73
.'.WP-.SrlING10N,S S£P1 15,19Officeexp'res M~..c6MNi{S~itJ~.£:t.?lRE : .
And your petitioner will ever pray,etc.
.,..
r ~.No.~~_::~_~:::J_?1:_4..__..._
,Estate of_._...:.~_.---.----_-.._..__.
GROVER~S.CONKLIN
Deceased
Fiduciary...~_{\M_~_~__9:Q~¥.~~_~_
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:Executor_..-___-_--.-.-- - --_ -_..--__-_.
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:po rag raph 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.
SAMUEL GOLDFARB
Attorney
~2
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'-'73 JAN!O PII!2 33
RUS SELt,r~/'RIN 0
REGISTEE OF 'WILLS
WASHINGTON'CO.•PA.
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ESTATE
of
GROVER S.CONKLIN,DECEASED
IN THE COMMON PLEAS
ORPHANS'COURT OF WASHINGTON COUNTY,
PENNSYLVANIA
63-69-1244
NO.oixlCkxxfC.:l6xxx
NOTICE OF ACCOUNT AND AUDIT
You ate hereby notified that the fiduciary,whose name appears below,has filed an account as such in the
Office of the Clerk of the Orphans'Court and Register of Wills for Washington County,Pennsylvania,at the above
number and term,and that the same will be called and presented for audit before said Court in the Court House,
Washington,Pennsylvania,during the week beginning December 18 ,1972 .
SAMUEL GOLDFARB
ATTORNEY FOR ESTATE
514 WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA 15301
Samuel Goldfarb
almtMJ!lX:KQ42CX
Executor
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA
.ORPHANS'COURT DIVISION
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IN RE:
Estate of
GROVERS.CONKLIN,
Deceased.
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No.1244 of 1969.'
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HEARING ON AUDIT
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The Honorable'RICHARD DiSALLE,J.,
Specially Presiding.
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SAMUEL GOLDFARB,Esquiry,of Washington,Pa.
representing the Accountant.
.Tuesday;;De,¢em'ber 19";'1~72;'a:'U1Q:OO ,o~clock A.M..,.·~r'It",I ~l_.'II,".~.11",',I'l..-'~EST'.t _.h·....4:.;1"(.•-,.'l'
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together withitre necessary exhibits.There are no complication'i"
no claims.The balance is .to be distributed equally to nine childr¢n.
May it please the Court,'1 have here the Audit Petitiop,
.~.;~~~~,,~..,'.Number,1244'of"'t969,'the estate of Grover S.Conklirh, .'"f·,lllt-I~."::~:"'Ii .•"'"
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~MR.GOLD FARB:u "
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Two of the children,the two younges~are'under 18.'The balance
for distribution isaround--between $30'0 or $350 apiece.We sug~est
as to the t'vo youngest children that their'amo~nts be ~irected to
-be deposited in a local bank and not to be withdrawn until they arE
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18 years of age 'vithout the order of Court.Som ething to tm t effe t.
THE COURT:I think that is proper.Is anyone interested in the est e
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,
of Grover S.Conklin?
(NO RESPONSE)
THE COURT:,The audit is closed.
,I hereby eer~Uythat the I?roceedtngs al'lQ eVidence are
CQntat~~~ullY and accurately tn the notes taken by me on the heartng of
•,~t'"
the'above.ea~e,'and tb8.t 'this copy 18 a correct transcrtpt of the same•
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( AUDIT CL6~ED )
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The foreqojrk rec01id of the pro~eedinq$upotithe h-.rtnq
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of ~e above,~U$~IS hereby approved and dlreet$Q~o be,ftled.
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63-69...1244No.__~~-=---_ESTATE OF
Grover S.Conklin First and FinalInthematterofthe:_
deceased.Account of Samue I Goldfarb
Executor
ADJUDICATION AND DECREE
And now .Janua.ry 7,19--.11..-,this matter came on for hearing,
audit and distribution at this session and testimony taken;and thereupon,upon due consideration
ther~of6ojJhEi.balancefor distribution in the hands of the Accountant is determined to be
$~,72..~3 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 disribution hereto attached and made part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg,
~~~~
SCHEDULE OF DISTRIBUTION ~
Balance per account _
Balance _
Deduct Clerk's Costs &Receipts _
Attorney.c-..---'S=-a=m=u=e=l_G=o=l~d~f~a~r=.b _
Russell Marino,Agent,transfer inheritance
tax,$159.40
Interest from 1-26-71 to l-19w 73 18.95
The following pecuniary legacies abate propor-
tionately:
Glenn A.Conklin,son,legacy,as abated,
Evogene C.Smith,daughter,legacy,as abated,,
Gail C.Walther,daughter,legacy,as abated,
GUy Conklin,son,legacy,as abated,
Patricia C.Thompson,daughter,legacy,as
abated,
Barbar~Lee Conklin,daughter,legacy,as
abated,
Carol Sue Conklin,daughter,legacy,as abated,
275.38
275.38
275.38
275.38
275.38
275.37
275.37
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Henry Merle Conklin,son,a,minor,legacy,as
abated,funds to be deposited at interest in
the Commercial Bank and Trust Company in Wash-
ington,Pa.,neither the principal nor the
interest accruing thereon to be withdrawn until
the minor reaches the age of ;L~years or upon
further order of the Court,275.37
Wayne Robert Conklin,son,a minor,legacy,as
abated,funds to be deposited in the Commercial
Bank and Trust Company in Washington,Pa.,at
interest,but nei~her'the principal nor the
interest accruing thereon to be withdrawn until
the minor re'aches the age of 18 ,years or upon
further order by the Court,275.31
,.,
No balance
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
J
IN THE ESTATE OF
GROVER S.CONKLIN,DECEASED
)
)
)
NO.63-69-1244
/
/
/
RECEIPT FOR FAMILY EXEMPTION
AND NOW,this ~day of ()c;6kQ,.y ,1970,I,ELSIE
CONKLIN,Widow of the above decedent,do hereby acknowledge to hav~
received One Thousand ($1,000.00)Dollars in full payment of my
Family Exemption.
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IN '1l1E COURT OF COMMON PLEAS O:F'WASHI NG'fON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTA'rE OF
GROVER S.CONKLIN,Deceased
)
)NO.63-69-1244
)
RECEIPT
KNOW ALL MEN BY 'rHESE PRESEN'l'S,that I do hereby ac-
knowledge to have received from Samuel Goldfarb,Executor of the
estate of Grover S.Conklin,Deceased,the sum of $275.38,in full
of the amount awarded me under the Decree of the Orphans'Court
of Washington County,Pennsylvania in the above estate dated
January 9,1973.
WITNESS my hand and seal this ~day of ~~~,
1973.
Witnessed:
(SEALI
IN THECOUllT OF CODON PLEAS OF WASHINGTON COVNTY"PENNSYLVANIA
ORPHANS'COURT DIVISION'
ESTATE OF .
GROVER S.CONKLIN,Deceased
)
)NO•.63-69~1244
)
)
f
RECEIPT•'II
KNOW ALL MEN BY TUSE PRESENTS,that I do hereby ae-
kQowledse to bave received from Samuel Gold.farb,Executor of the
estate of Grover S.Conklin,Deceased,the sum of $275.381 ill full
of the amount awarded me under the Decree of the Orphans'Court
of Washington County;Pennsylvania in the above estate elated
January 9,1973.
'WITNESS my band and seal this 7th day of _M_a,.;#;,y ,
1913.
Witnessed:
(.k~~v:;':::og;""'e:;"'·#-e"""··~c-.~S~~~l.",:=~~.........·..;...;;..;'.-;..;_._-(SEAL)
tllCIJPTI.'...-••I.,...:,,¥..I 'i La
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"J..lual'Y O,ltrlt..
wt'l'llESS DIy hMlt M4 seal tills Ll!!da'l/'oi --'~~_,
DOW ALL·UN BY 'nilS!PRlSltrrS,tbe.t I do be178b,ae...
boWl.4se to have -receSve4from samuel OCl<:t!1U'b I Bx~uto:t 01 tb.e
esta'teof 0.01701"S.ConkliO;'DeceasedI the swn of $275"3$.;101\111
(Jf the amount aWUded me wule!"the Decroe of the Orphans'Court
of Wasb11'lgtf)D CountyI PenufJylvnula.lntbe abo"e estate ·cJated \
~~.~a~.($BAL)
Gail C.Walther
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D.owl...._,ted ,tIoalul\wl Gol.,Ub,IacQtol'of ..
u_te of ·or I1fG.4kl1Jl~.hOGdo.·f tho ...01$37&.a,10 ~dl
01 -,tboDtcne .,the Qrpba.'Court
o,t ._~Cowlt,;PeQU11VU'A ta.the .........ted
IMlW4~9..lOt::.
1flTlmS;1a1 ban4 aw.i~1 ika.,."lff(;..,.of ~~ti.._,
THOMAS l1~AW
JUST'CE.OF THE PEACt
Milg/ste"al Dist.Xl Wash.Co,.Pa.
•r
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
GROVER S.CONKLIN,Deceased
)
)NO.63-69-1244
)
R E C E I P T
KNOW ALL MEN BY THESE PRESENTS,that I do hereby ac-
knowledge to have received from Samuel Goldfarb,Executor of the
estate of Grover S.Conklin,Deceased,the sum of $275.37,in full
of the amount awarded me under the Decree of the Orphans'Court
of Washington County,Pennsylvania in the above estate dated
January 9,1973.
WITNESS my hand and seal this ,
1973.
Witnessed:
firuUYM-A J:gg ~U<.-
Barbara Lee Conklin
(SEAL
INTBE COURT OF COMMON PLEAS or WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
GROVER S.CONKLIN.,Deceased
)
)NO.63-69-1244
)
RECEIPT
DOW ALL MEN BY THESE PRESENTS,that I do hereby ac....
knowledge to have received from Samuel Goldfarb,Executor of the
estate of Grover S.Conklin,Deceased,the sum of $275.37,in full
of the amount awarded me under the Decree of t~e Orphans'Court
of Washington County,Pennsylvania in the above estate dated
January 9,1973.
WITNESS my hand and seal .this J~day of ~Vg ~
1973.
Witnessed;
(SEAL)
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
GROVER S.CONKLIN,DECEASED
)
)
)
NO.63-69-1244
R E C E I P T
KNOW ALL MEN BY THESE PRESENTS,that COMMERCIAL BANK
AND TRUST COMPANY does hereby acknowledge to have received from
Samuel Goldfarb,Executor of the estate of Grover S.Conklin,
Deceased,the sum of $275.37 in full of the amount awarded for
Henry Merle Conklin,under the terms and provisions of the Ad-
judication and Decree and Schedule of Distribution in the above
estate dated January 9,1973.
Executed this :?-If;/,(day of .f-uL ,1973.
COMMERCIAL BANK AND TRUST COMPANY
(For Henry Merle Conklin)
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
ESTATE OF
GROVER S.CONKLIN,DECEASED
)
)
)
NO.63-69-1244
R E C E I P T
KNOW ALL MEN BY THESE PRESENTS,that COMMERCIAL BANK
AND TRUST COMPANY does hereby acknowledge to have received from
Samuel Goldfarb,Executor of the estate of Grover S.Conklin,
Deceased,the sum of $275.37 in full of the amount awarded for.
Wayne Robert Conklin,under the terms and provisions of the Ad-
judication and Decree and Schedule of Distribution in the above
estate dated January 9,1973.
Executed this )..tf,.lt day of _......~~~""-.'"""""-',1973.
COMMERCIAL BANK AND TRUST COMPANYBy~£n?
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(For Wayne Robert Conklin)
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OFFICE OF
REGISTER OF WILLS
FE
8949
7.
RUSSELL MARINO,Register of Wills
J1,~~~~e,t~RECEIVED OF 12..i O~~~~~TRRATOR
of ~~~Deceased,7
Total
For_.:==":;.....~~:;.....~..loC.~~~..:::..._+_--J'--_
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Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS·
COUNTY OF WASHINGTON
AFFIDAVIT OF
EXECUTOR_gRQY...~JJ...!C.9.~l~.
(State full name of decedent)
MORRIS TOWNSHtP P1lUrBQMuaxx
Late of WASH.I.NGTON :ColiDty
IN THE MATTER OF THE ESTATE 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 decedent resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenue.(Sec.tion 703 of
.the Inheritance and Estate Tax Act of 196L)
State of PENNSYLVANIA }
County of'..,~$8._X!fg1.QN.:.:............................................._ss:
...............~...:g~..l .....(i.pl4.t.3..r.:b........,....._.....
of the estate of the above-named decedent being duly sworn,deJllose S and say S
Eueutor
Decedent died Oc.tober ,26..,_..
(Month)
Name 'a'ndaddress of attorney or}.
other authorized representative to
whom all correspondence should be
mailed..
_.........,19.....69......J te~ta.te lea~ing a last.will,copy of which is hereto attached.}
(lIay)(Y~r)Lintestate
SamuelGoldfarb,lsqu1re ·......__.._....
514Wasbington Trust Building
-WasbiQgton"P~~l5301'--.----...---.-.-.-..---...-..---.--.-...-.........
That as such .E1c.eC.uto~;deponent is familiar with the .affairs of said estate and the property con-
(Executor-Administrator).
stituting the assets thereof and their f~ir market value.
That at the time of death there was no safe deposit box registered·in dE;!cedent's individual n~me,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
NOBS ;
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception o.fthe follOWing,for the reasons hereinafter.set forth:
That Schedule A attached hereto and made.part hereof sets forth fully 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 e~h parcel o~real property at the date of death,giving
the amount still due at death,name cif mortgagee,date,rate of interest,and book and page of record
thereof.It also sets forth in the columns provided th~refore the assessed valuation of each o~said
parcels,the estimated market value thereof as of date of death of decedent.
That Schedule B attached hereto a,nd 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 credLt-in banks
.of deposit,savings banks,trust companies,or other institutiol1s,whether'individually,or·in·~trus~tf'or
v '\,i;-".,..any other person or persons giving also separately the accrued interest thereon,if any,19Own 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 o~in-..1 ..._
debtedness of the United States to the decedent;all obligations,whether by statute or ,agreement theyr--.."....J "are designated as tax free,of the Uni ted States,or any state,or political subdivision ,th:reo~,\·or of
any ~oreign country,which are owned at the time of death;all wearing apparel,jewelry,silverw.a!~,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;al·l bonds and mortg8ltes held.by decedent and of all claims due and owing decedent
d.t the timeo~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 ir 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 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.
.'
In the case of securities of close or family corporations,the values reported are as far as
possible substantiated by financial statem~nts of the corporations,showing the assets and liabilities
the,reof as,of the dat~()f death.The seh,edule 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'the~e is ~nnexed to
said'schedule,financial statements s'howing 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,andsuc.h other facts
pertaining to the l;msiness as may be pertinent to a fair and just appraisal of the'decedent's interest
therein must b~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,the're is also attached to the schedule a COllY
of the deed,trust agreement or other instrument creating the trust.TherH is also set forth in said
schedule a list of all property,real and personal,with its value,which passes at decedent's death by
virtue of the exercise by decedent,either individually,orjointly 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 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 underdecede~t'sWill.It also
contains.a statement shOWing which of the beneficiaries named in the decedent's Willi,if any,died prior
to decedent,the dates of their death,their issue,and the 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 o'thers,including intangible,standing in the name
of the decedent and others,plus the date and place of r.ecord 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 Schedule 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,including f\meral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
conimissions paid or to be paid;'cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the deat,h 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 ~mount 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 jorward and properly registered in the Summary•
.........:t.b~iti&__---------_.
(E:recutor-1t.__~•
.~~~.~~~!.~.s.~~,~,!.~~,~,.,'~,!.~,s..!.
(Street Number)
...w.~~~.~.~g,~.~~..l ~.!~.~.~.9.;!.
(City or TQWn and State)
Subscribed and sworn to peforeme this .
................;../~..~..day of ..99..~.e;t.~~.;r 19 ?~..
.....~~~..(2J~.
,'·.LOUISE l.CARSON,NOTARY PUijllm
WIi.'SHINGTON,WASHINGTON CO.,RA..
MY COMMISSION EXPIRES SEPT.15,197,&1
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 iri 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.
)
.1.,
, R CC-34 ,(1-64)~OMM'ONWEALTH OF PENNSYLVANIA
"DEPARTMENT OF REVENUE
BUREAU 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 held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the decedent 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 Commonwealth 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 martgage 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)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this space)
ALL that certain tract of land situate
in Morris Township,Washington County,Pen-
nsylvania,containing 5,48975 acres,together
witb rlgbtof way for pipe line,etc.,and
subject to exceptions,reservations,etc.in ~be
chain of title or.existing on tbe premises~
Upon which is erected a two-story frame house
and out~buildinis.(Sold september,1972 for
$12,500,00).
"f ,.-.'"$13,500.00 l ~l 6 O('),llu
Dt-<1di·
Insert this total opposite "real property",Schedule "A"in the
"As Reported"column on the last page of this return.
xxxxx $12,500.00 r!1f/J(~-d 0,ud
~.J,
W':C-05 •
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS,This Schedule must disclose all tangible and intangible personal property owned indiVidually
by t,he decedent,at the time of his death.Property owned by the decedent jointly wi~hanother or others
must be listed under Schedule "E".Intangible 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.Savi~gs·B9nds 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.go jewelry,wearing app.ar,el,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,anY1-lPdistributed
estate of or income from any property held in trust under the will or agreement of anoth~r,'even though
located outside of the State,at the time of death,should be listed in this schedule.
Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No.List and describe fully VALUE MARKEl'VALUE (Do not write in
this space)
.~,
None
.
,
.
Insert this total opposite "Personal Property",Schedule "B"in X X None
the "As Reported"column on the last page of this return.
'RCC-36'..
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "c"
TR.A.NSFERS
(1)Did de~edent,within two years of death,make any transfer of any material part oj:his estate,without
receivlng a valuable and adequate consideration therefor?(Answer yes or no)~O
(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 health 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)~Jiu'~()L-_
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power or disposition?(Answer yes or no)No
(b)What was the transreree'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 reserv~s for his life or any period which does
not in fact end before his death:
(a)The possession or enj2yment of·or the right to income from the property transferred?
(Answer yes o,r 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)lio
(6)If the answer to (5)(b)above is in the affirmative,state ,Whether the right was reserved in decedent
alone or 0 thers _
(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)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 o~no)~N~O.·=---_
(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 or the decedent and others?
(Answer yes or no)__-...LlN....o"-_
NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as
well ,as a <l0PY 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 or 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
(Es timated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
None
){CL~')U'•,0u
,",COMMONWEALTH OF PENNSYLVANIA
Tni\N~FEH TNHElUTANCE TAX
RFSIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
nSTRrCTIOSS:This schedule must disclose all property,real and personal,owned by the decedent jointly
wi th 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-owners 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.!
NOlle
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Pr.operty Interest
Insert this total opposite "Jointly Owned Property",Schedule"E"
in the "As Reported"column on the last page of this return.NODe II
.'...'"!,'•
RC.C-·37 (12-63)
"l"01\l1\1O~\\'EALTII OF rENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
\
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesof'all who illegitimate children DECEDENT OF BENEFICIARY
ave an interest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
ElAie Conklin Wife Yes Soecific
ln~nn A Conklin Child VAQ Specific
-c ..Smith l'!Iti1,.Yes Specific
Gail C..Walther "''''~'A VAA --"of".~
r.nv ('i".",1r14ft Child VAA ....I 44"..-
Da +..4It"a ('i -,I'h4'"VAA -'.6>.1 ~-.,...--,t.A~..~Yllic:i i 'flI 1""''',n VAl:!SDeclfic
Carol Sue Conklin 1'1"'';,..1 v"",,,,,,....-"<4:';,.-.-..--......_,....''''__1.'4_I'hi11'1 ·VAiCII ~A"""ic.,..
Wa.vn~t"'nn1rli'fll l'!tai1"Yes ~f'i"
-
/
Deponent further says that all the above-named beneficiaries are liVing at this time except below:None
NAME DATE OF DEATH RESIDENCE
.
"I
'"
"
OF THE
ESTATE OF
~IATTER OF THE APPRAISEMENT
Late oMorris..Tow.usb1p ..
(Executor-Administrator
must complete "As
Reported"column #1.)
CJ 'oc.c ...,'"0 ~...,'....et>et>~~....§;;;e..
Vl .=Vl 0...,:~(;)'~::.c
I":...,;;;.....0~~'"0 "gc::::r ...,....-'i 0 ....,.et>:"0'<.et>
l:%j J:s :4-~'(D '<~:g.et>.
~Q'0:t'I>'i:cot-'<
enc::~
~~.>~:~m.--...--..'.'--">-<::a en en ·ent:r'0 n n...;:r ::r ;::r
~'q .~.~
::'-"-
...."
~~~~~~........il'"~>~-.~~~~"Jcn~C :,I :t Oet>~C c~~~~>~:~o Or;o 0:::...--..
~...:::.~
Year .
r •..>...-...}
~THE
!No.
-•r-~.;::vr-o:>Cn
..~.....
C I I fii B I .--...i t "ommonwea t 1 ~.F{;!nnsv vama",•rt1 ::tJ~-~
(:)0 c::r-.=t:-:-(/)(..;:;;f-'~-':::en (1')..-........:
REPOR"'t ~ND APPR-AISKCI
-l ;1~!i-~]'o r::::Jz2-r-~"".,__~~:;;'''''.':b0__>
o ~;o
COl1n~W.hingtoD .
Will
Administration
.GROVERS.CONKLIN·Deceased
SAMUEL GOLDFARB
ATrORNEY AT LAW
514 washington Trust Bldg.
Washington,Pa.15301
~~~~-oo~
>-'J:
tJ"'~8"l'V3~
~'"c..
~
ESTATE OF GROVER S.CONKLIN
AND AGENT OF THE COMMONWEALTH
Register of Will.,
DEDUCTIONS ALLOWED IN J
THE SUM OF /lf~!~~7
ul=t:?J.
DATEr.::.JiJ .17'"V.'V/£a-r."""",,-o
LATE OF Morris Township.Washington Co.!Pa.
STATEMENT OF DEBTS
AND DEDUCTIONSCOUNTY
OFFICE OF THE
REGISTER OF WILLS
OF WASHINGTON
Form RC C·lO
DATE OF FILING APPRAISEMENT --::.O....:::c...:t:..:.:-...:l=-6~,......;;;;1....:::9....;;7-=2;;.,._DATIi OF DEATH ~O~c:..t:.;o::;:b=e=-r--=2~6:"!1--.;1~9=6..:::9 _
I
DATE NO.OF ..J NAME OF/PAYEE REMARKS AMOUNTVOUCHER..-.,
lJl!,-fJ\.)VII.t .......l -l't'~"'0'
Register of Wills Letters Testamentary 16 00
Washington County Reports Advertisement Letters 14 00
Observer PublishinlZ CO A.:s ti Letters 14-Inn
1)0.....;0+0....nof W;ll<=,~!Certi"fica.te 1 Inn...
R~O';Q+"''''ni'W;11c::!1<';l;nO'R1",,..+;nn ·n.-"W;'1 I)Ic::.n
Recorder of Deeds Filine:Election Under Will 7 150
ReQ'i~ter of Wills Filine:TnvAn1:n-rv I:;11:;0
RAui~1:A-r nf Will~'Fi1inQ'A Ii:la.Inn
r..n To'1 T ,n,..""91;10Q
..'.~T...,....-~nCA AlZencv T '''~e ~Fi.Inn
I Stewart F.Barnhill Funeral 1.160 00
1968 real estate taxes 102 91lQ~Q f"nnn+"a.nn .....1 ,1 a.l Ic::.a.
Washington Hospital Account 181 75-"n "W·n A .+1 c::.n nn
Doctor Feldstein Account 55 00-Don",A <)(\{\{\
Civic Finance Service,Inc.Judgment 3 484 06
Washine:ton County,Pal Fede al Credit Union.Account 638 89
Real Estate sale exnenses:
A~~nsjfer tax share,1/2 ~~A·g~In T.T.on"n .........<>n;'7'.:ll+;nn
~~!i~quent ~~xes 3~R·RR 1 9~'7 11;1~..~-....~
""R;"'hAV'~~A 1'7':1 lao
Al.i""n'o A , 1 0 I-In -
H~m~l-ri~k'~A A ,t.I;~aa.
Conklin's Service Station Account 47 lI.9
West Penn Power ComDanv Account 20 07.Notar1es 6 POCa.Y'neui",N'.:ll +ural Gas r ....A l~1
Elsie Conklin,Widow Famill E2femption 1,000 0-Samuel Goldfarb Execu or s commission and 1.000 0
COMMONWEALTH OF PENNSYLVANIA
}ss:
At:torney s lee
COUNTY OF WASHINGTON
I,SAMUEL GOLDFARB,EXECUTOR HEREBY CERTIFY,THAT.TO THE BE.T OF
MY KNOWLEDGE AND BELIEF,THE FOREGOING ISA JUST AND TRU E srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF
AD...,mA"D.SUS.''''D TO THE ESTAn.F GROVER S.COIIKLIN n ~ED'AS DEDUCT'••' F••
INHERITANCE TAX PURPOSES.Z.Q (~_
.~A A "(L.5.)
sWD••AHDg-EFD".E TH:::;i"'DAY'"r"(~.~6L-od"'-;-~
LOUISE L.CARSON,NOTARY PUBLIC
WASHINGTON,WASHiNGTON CO.,PA.
MY COMMISSION EXPIRES SEPT.15,1973
r
•t
:'.."
1--
./
"
..
••<
...
".
FlCC-S'(6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
----------_....__._.-
(Executor or Administrator)
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
J
GROVER S.CONKLINInRe:Estate of _
__.-....l'-vlr..cA......SwH....J.....N(..../""'Ctu-,N"'--__County -File No.__--J6u.J~-"""6J:;9'-"'-,.J"c..2.....M....._
Dear SIR:
You are hereby notifi ed that the O_R_1-:;'G::-::I-=-N=A=L:=--=-=:-c====-_
appraisement in the estate of .SAi.fUEL GOLDFARB
has been fi led in the office of the R~ster of Wi lis of~_'t\.:..:.JA=S=H=I""NG=T""O"'-"N-'---_
County on OCTOBhH .31,,19_'(,_,Said appraisement reflects the following
valuations:
Real Estate 1_2....:,'--5_0_0_.0_0 _
Personal Property _
T ransfers _
J 0 int Iy Owned ----;-:;;~=--;;-:;o-------
T ota I 1-'-2---',"-"5'---0_0~•...:...OO.::...__
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 nine (9)months
(fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive;
and twelve months when death occurred prior to December 22,1965)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.
OCTOBER .31.1972Date_---:-'_Signed __FRED TO_S_I .,--__
TitIe APPRAISER 1
IDATE OF DEATH:OCTOBER 26,1969
Note:This is not a bill.
•..-RCC-39 (5--68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
FILE NO.63-29-1244
(Initial)(First Name)
CONKLIN,GROQER S.Estate of DATE OF DEATH 10-26-69
(Last Name)
REPORT OF INHERITANCE TAX APPRAISER
WASHINGTONI,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _
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".
OCTOBER 31,1972 FRED TOSI
Dated:-------------INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
WASHINGTONI,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
12,500.
VALUE~,YtfmED V:-:-A.:.:L::.::U~~>OO~JtFE:::::D::-VALUE AS REAPPRAISED
$$$-------+--
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 $----------t--~
Tax on $----------t--~
Tax on $~h'----------_+--5%
Tax on $\10%
Tax on $15%
Exemptions *
Total Estate --I-__
TOTAL TAX
COMPUTATION OF TAX
$--------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 $------
AMOUNT OF ESTATE TAX ASSESSED $----~L-
Estate tax paid $--JL-
BALANCE DUE $----ll-
Add interest at rate of 6%from t=
------.to-----$-------1.
TOTAL TAX BALANCE $----~
PAID $....J
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 !...No.AdmInistration
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
GROVER S.CONKLIN
Deceased
Late of .
County of
.l-1PM:rS 'J.1;P.!'.
WASHINGTON .
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
•.11
.'
-----~----
Funn 1CC-2 ..COMMONWEALTH OF PENNSYLVANIA DATE ....Q9.'1.'q~~....?~.~.....~??..~...............
DEPAETME'l\;T OF REVENUE RESIDENT INHERITANCE TAX COUNTY ............r.:ASH.INGT.QN..................................-'BUREAU OF COUNTY COLLECTIONS".APPRAISEMENTHARRISBURG.PENNA.17127 FILE NO.6J,'!!!!69t!!!'124l,................................................
Whereas,...............................G.RQ.v.m....~.~....G.Q.NK~.~...........................................................late of ..............MORRl..S.....M.!I..........................................................
in the County of .....................................:\:!:M?H.PiQm~..............................................................Commonwealth of Pennsylvania,having died on
the ...........................................~~~~..................................day of ....9.Q.f.9..~~.................................................19..89...,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,.........................................FRED....TO'S.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 Purposes
REAL ESTATE $
SEE SCHEDULE "A"OF APPRAlSEt.ffi;NT 12,50<.00
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WASHINGTON County
OCTOBER 26,1969
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
GROVER S.CONKLIN
Deceased.
Late of
lo'iOmuS 'l."IP.
Date of Death,
Appraisemell!Docket Vol.38-1 •.........:.....•••.••........•••......•..••••.•.....•
Page,?q~No.~?=§.?=:l:~.
.Filed ilt Register's 0 fJice,~.~.~?~,.19..'l~..
Amount of tax due,$ :.
DEPARTMENT OF REVENUE
.Received,
Examined.and Approved,'0 .
Wrote abo.ut Appraisement,
Appeal jt-om Appraisement,..
Entered·and charged;0 ,.
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