HomeMy WebLinkAboutOC1969-1276 - ESTATE OF GOGGIN....',
Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
j
wAS~NGr.9.N ..
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
_J~J!~LJnheritance.an9-Estate'I'axA,ct of 1991.)
IN THE MATTER OF THE-ESTATE OF } .
AFFIDAVIT OF
"H.~.~.~N W..!QQGq~N............~
(State full name of decedent)
Donora,~RH~
Late of ,Wg,$h.i.ngt9p..County Joint Tenant
:.:.~~::~;~:::::-:-_::::::::}'"
...........Do.r..othyK..GQggin :J.QJ:[~,tT~p,~~t.........
of the estate of the above-named decedent being duly sworn,depose S and sayS
Decedent'died .....$~Pt~~M~~~···········~R~y),19(t~i..'{~::::::t~eaVing a last will,copy of which is hereto attached.}
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
Geo O Fraz.ie.r,Attorney at La.w .
P..Q.Bo:x359,..Donor~~PeP.Jl$ylyctni,ctl5.Q:3J .
That as such J..Q.i.nt.:r..~n~nt deponent is familiar with the affairs of said estate and the property con-
(~llW')
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
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth full v and in"detail all the
real property in the Commonwealth of Pennsylvania 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,byJtheI9~cedent
at the time of death,whether in decedent's immediate possession,standing to decedent's'credit i~-banks
of deposit,savings banks,trust companies,or other insti tutions,whether individuall"y;o~-tn··trust for
any other person or persons giving also separately the accrued interest thereon,if any,down to the last
~'--..:interest day prior to decedent's death in the case of savings banks,and to the d~te of decedent's death
in all other cases;all bonds,postal savings,treasury certificates or notes and:ather'evidence of in-
debtedness of the United States to the decedent;all obligations,whether by statyte ,or'.agre,ement they
are designated as tax free,of the United States,or any state,or political subdfvision thereof,or of;............-any foreign country,which are owned at the time of death;all wearing apparel,jewelry;Isilverware,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 policles carried by decedent;all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death,with the market
value thereof at such time.
r
In the case of securities of close or family corporations,the values reported.are as far as
possible 'substantiated by financial statements of the corporations,showing the assets and.liabilities
thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business,and in support of the value of such interest there is annexed to
said schedule,financial statements showing the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business,its location,and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted.'It should also set forth in itemized form,together with the fair market value
thereof,any other property owned or bequeathed by the decedent at the time of death.
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's
death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom transferred,the
relationship of the transferees to the decedent,the proportionate share received by each transferee and
all other facts of a pertinent nature regarding said,transf~rs..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.Ther.~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 ~he ~ill,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 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,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 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,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 funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of...'.death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section
651 of the Inheritance and Estate Tax Act);'together with a statement of collater'al pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein"
have been carried forward and properly registered in the Summary•
.'.4 Th
SubscrIbed and sworn to before me thIS ./....
................................................",day of .N.Qy.emb.e.r.19 6.9 .
/~~Notary Public~;~=;:::~&::;···ih~··;·;,··;;;~
..I1-----.~~~~t
....~.?7.r.h.9.m ..~.Qn Ay..e.nue ,.
(Street Number)
....l?9.I.l:?!..~.f :p.~.~.~.Y..!Y..~.:q,~.~J.?.O'~.}.
(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 (1-64)
COMMO~EALTH OF PENNSYLVANIA
D{iPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTION'S
TRANSFER INHERITANCE TAX
RESIDENT DECEpENT
SCHEDULE "A"
~AL PROPERTY
.*R.,,
Real property in Pennsylvania,with statement ~f mortgage encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule /IE".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 Commo~wealth af Pennsylvania should be (1)(2)(3)I
described by lot and block number,'str'eet and street number,together wi th D~PARTMENT
a general description of the property,with a reference to the record of the ASSESSED VALUE VALUATION
conveyance by whi ch the decedent took title;If a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accr.ued Interest on mortgages,etc.,are DEATH In this space)to be listed on Schedule "Fit and must not be deducted fram this schedule.
None
.
,
,
•,
"
,-.
·
.;
·
Insert this total opposite /lreal property",Schedule "A"in the X X X X X
/lAs Reported"column on the last page of this return.None
RCC-35•,COMMONWEALTH OF PENNSY;LVANLt).
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "n"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually'
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Inta~gible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to p.a.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household
goods,and furnishings,books,paintings,automobiles,boats,etc.)
Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,..
stocks,'mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed
estate of or income from any property held in trust under the will or agreement of another,even though
located outside of the State,at the time of death,should be listed in this schedule.
Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No.List and"describe fully VALUE MARKET 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-)6
COM!lfON1\K\LTH OF PENNSYLVANIA·
TRANSFER INHERITANCE TAX
~SSIDENT DECEDENT
SCHEDULE "c"
TRA.NSFERS
(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)~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)~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)No
(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 to income from the property transferred?
(Answer yes or no)~o
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)~o
(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)~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 cOllld revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)No
(9)If the answer to (8)above is in the 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)__
NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property
transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans-
fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM
None
DESCRIPTION MARKET VALUE
(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
•C.c\MMI)NWFI\1.TH OF PENNSYLVANIA'
n;\X~':;l'Flt IKHE1UTANCE TAX
ItF~InENl'DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
DiSTRlTTIO~S: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 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-o-wners to.
the decedent.
Mellon National Bank &Trust Go.-Donora
Office -Checking Account held in name of
Helen Goggin or Dorothy Goggin,mother
and daughter -Total -$1,7Z4.38-
1/2 of $1,7Z4.38 Taxable =
Description of Property,Date of Acquisition,N~me!Unit
Address and Relationship of Co-Owners,and Place I Value
of Record of Instrument,where Real Estate.!
I
The following stocks were held in the name
of decedent,Helen W.Goggin,and Dorothy K.
Goggin,mother and daughter,as joint tenants
with the right of survivorship and not as tenan S
in common:
54 Shares'Common Stock -Atlantic Richfield
Co.@ 100.50 =.$5,4Z7.00
1/2 of $5,427.00 Taxable =
percentage
Share
(
Estate
Valuation
Z,713.50
DEPART~lENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
486 Shares Common Stock -U.S.Steel Corp.
@ 36 7/8 =$17,921.25
lIz of $17,921.Z5 Taxable =I I
$2,200 -U.S.Steel Corp.-4 5/8%SubordinJted I
Debenture Due 1996 •$1,45Z.00 I II
l/Z of $1,452.00 Taxable =Ii I
TOTAL
95 Shares Common Stock -Eastern Stainless
Steel Corp.@ 18 3/4 =$1,78-1.25
1/2 of $1,781.25 Taxable =
84 Shares Common Stock -The Greyhound
Corp.@ 17 7/8 =$1,501.50
1/2 of $1,501.50 Taxable =
10 Shares -Voting Trust Certificate -
Society Corp.@ 7Z =$72,0.00
liz of $720.00 Taxable =
NOTE:All of the above property was
held as joint tenants by mother and daughter
for more than two years prior to death of
mother,and under Section 241 of the Inherita
Tax Act of 1961,one-half of the value of the
above property is subject to tax.
I
6k
iI
I
I ;
I iI
,ce
II
I
890.6Z
150.75
I 360.00
1
I
Ii 8,960.64
I I
I I
I II7Z6.O~
~15,263.6~
I i
I I
I
I Ii
I I
i I
I
I
Insert this total opposite "Jointly Owned Property",Schedule"E"I
in the "As Reported"column on the last page of this return.$15,261.6~~~J
RCC-3Y':.,.(12-63)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX .
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
(
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE
wise,in estate)forth this.fact.)OR NO BIRTH..
Dorothv K.GO!H!in ,n;:ll1O'ht~r Yes Over 21 vr~All -~pp Nntp "RP1n
827 Thompson Avenu'e (
.Donora,Penna.15033
NOTE'Decedent Ie t no estate othe than loin Iv held DrODertv listed under
Schedule E
-
~
w
Deponent further sa.ys that all the above-named beneficiaries are living at this time except below:
None
NAME DATE OF DEATH RESIDENCE
(Executor-Administrator
must complete "As
Reported"column #1.)
....
'C-j ...,""0 ~:0 ...('l)('l):.....~;:;1 ~:::1 ~0 -:rl-.....::l '"t:l:....('l)~...
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:(1):....:p.
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o...otiltil
trJtil....~....('l)
P.Il THE
ESTATE OF
OF THE
HELENW~..GQOGIN~
Deceased
~IATTER OF THE APPRAISEMENT
~t Go~~(,9-<~,7~
JOINT TENANT
Late of ...PQNQ~AI..PENNA...
Commonwealth of Pennsylvania .-
County ofWASfUNOTON
rJ:J
C~
~:>
:..-....-.....-.....-..~
:(1)W en en >-<:
:()::r"(")("):;:r .?"'?"':=(')~>:M ::
:-""-"-"*"*"*"*"*"*
~:....U1 :\J1 ;;..~~tiltvN2':2':Z ~........:0':0'.:y.,:y.,0 g g ('l)_..:.t:l 'g~
:0':0'(1)(1)(1).......:00 :00 ('l).,c..
~
0-·..-...J
:x::.=r
c..e
,...",
-."
5:en ~--f'~c..o ~.~...REt~!t f*ND ~R~L
=(/')(/"I ..-r
Z"';m -I'"'P"'!rnrn r:..-"I'~;Vr-°0~~.~
Q _c,..*'~p =:;1)
11 ,-."""-"....
'"l:'I F=:.1<:
f>'(,nO
"*"*"*"*000"*
GEO.O.FRAZIER
Attorney at Law
Donora,Pac
15033
;;..
:r.
o8-l;...~2.:::lr;c..
RC C-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
DOROTHY K.GOGGIN
IN YOUR REPLY PLEAtS
RE".R TO
J I
In Re:Estate of H_E_L_E_N-.-,;,\v_._G_O_G_G_I_N_J _
____~''!:..:.;A:.;:S:..:.H:.::I:.:..N:..::G:..:::T~O~N"__County - FHe No.63-69-1276
Dear Hs.Goggin:
You are hereby notified that the original
appraisement in the estate of Helen ,~.Goggin
has been filed in the office of the Register of Wills Qf Fa ~hin~tQn
County on December 18,19.6.9.Said appraisement reflects t e
following valuations:
Jt.Held
Real Estate _......;.._
Personal Property __~1~5~,~2~6~3~,~6~8~___
Transfers --=-..",....-",,-,::--.......,.._
Total .....:1:::..;5:::...1.;,2=-6~3~.6~8~_
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.
Dat e _---"-!D.s;ei..lo..c..s;eaIDwh.l.lpc..r.L:-.,bJ..I;;8"',r--=1b-:9~6e.¥9---Signed
Title
Date of death:Sept.30,1969
Note:This is not a bill.
'CC-39 (5-68i
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
i:state of GOGGIN
(Last Name)
HELEN
(First Name)
w.
(Initial)
DATE OF DEATH 9-30-69 FILE NO.63-69-1276
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__'_vA_S_H_I_N_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 item in the last column to the right in Schedules "A","B", "C",and "E".
Dated:12-18-69 ;))0 ~~,O
9-30-69 INH~CETAX AtiAiSER
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",which greater or lesser amount represents the sum
allowed as a deduction.
Dated:__]~2=-..&.]....8....-...6....9;L-_
VALUE AS REAPPRAISED
$~-
15 263 68
15.263 68
1.667 44
13.596 24
15 263 68
15.263 68
1.667 44
13.596 24
VALUE AS REPORTED VALUE AS APPRAISED
$$
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint -Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or -=1=
================================
FOR USE OF REGISTER ONLY
Tax on $-+__
Tax on $__-.lll.-.~J-,-~r::.,+QI~Ih_---f-"''J;..!:.11:--
I
Tax on $---------+--Tax on $-+__
Tax on $-4-__
Exemptions========1:==Total Estate I--_
TOTAL TAX
2%
6%
5%
10%
15%
'"
COMPUTATION OF TAX
$-------+--
$----o.Q!',I,..;;;l-C:+-I-"'./--"
$-------+--
$-------~
$-------+--
$-----_---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
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%fro~_____to $--l
AMOUNT OF ESTATE TAX ASSESSED $--~----lL-
Estate ta1\.paid $....ll-
BALANCE DUE $----ll_
Add interest at rate of 6%from
-------'lto-----$------It=
TOTAL TAX BALANCE $------i.
PAID $--l
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration !No.
IN THE
Year
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Deceased
Late of .
County of
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
r
-
Fonn RCC-2
~COMMONWEALTH OF PENNSYLVANIA DATE P'..~.~..~,.......!..§.~.......~.~..?..~..............................,......
....DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX WASHINGTONJ"COUNTYBUREAUOFCOUNTYCOLLECTIONS..............................................................................,....................
HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO•.............?}..:..§..~.:.!..~.?§.................................
Whereas,HELEN \".GOGGIN late DONORA......................................................................................................................................................of ...............................................................................................................
in the County of ...................J.i.A,$..H!N.Q.IQ-N..........................................................................Commonwealth of Pennsylvania,having died on
the ................................~.9.~.h...............................................day of ..............;........~.~.p..!.~.~?.~.~...................69 seized and possessed of estate19............,an
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,................................W:.~.....JL.......G.HAN.E.x....................................................,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 Appraisement
Description of Asset Values Made for Inheritance
Tax Purpoles
$
JT.HELD PERS...
As ner annraisement filed 1 .r;2fl~flR
!
Having been duly sworn according to law,I do hereby certif~that the ~~ve appraisement is made in con-formity with law on thls/£...L:;:-Lmm day Of_~~,,;:'j;r:t.:~:...~
......·..........·........................7 ..·....·..·......................·....·..·........·..·.......................................................(KU~~and Street)
·..............····..·..··..·....····=······..···..·....·......···..··..;t~...........~....................,Penna.(Post e)
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
HELEN W.GOGGIN
Deceased.
Late of
DONORA
Date of Death,Se.p.t..•......3.O'.,.l.9.6.9 .
Appraisemel!t Docket Vol.,J.~.
Page,~I.~?.N o...§.;?.:-::.§..9..:-::.i..~.7.9..
Filed in Register's Office,D.e..c..•......l.8 .19 6.9
Am,ount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,'"
Wrote abo.ut Appra.isement,
Appeal j,.om Appraisement,.
Entered and charged,.
"
Form RC C·lO DEDU~Tl.ONS ALLOWED IN j
~GENT OF THE COMMONWIiALTH
~#-t..J-t9-~
THE SUM OF $.I{tLE~STATEMENT OF DEBTS
AND DEDUCTIONS
u •
COUNTY
OFFICE OF THE
REGISTER OF WILLS
OF WASHINGTON
ESTATE OF _---'H~e::.:1~e::.:n::..-W.:..:_:.~G=0..cgu::g:a..:i=n=__L.ATE OF -:;:D;;..o.;;.n:;::...:o:...:r:...:a::..:J:.....:P:......:;e:...:n;;..n.,;.s.,;.y~lv..:....::a.:.;n:;:i.,;.a _
DATE OF FILING APPRAISEMENT DATE OF DEATH _~S_e~P....t_e_m--..:.b_e_r_3_0..:.,_1.:.9_6_9:........_
DATE NO.OF
VOUCH"11 NAME OF PAYEE REMARKS AMOUNT
Oct.16
Nov.10,
Nov.10,
Home
Lawson-Rabe Funeral Home
Kurtz Monument Co.
Geo.O.Frazier
Nursin Home
Funeral Expenses
Grave Marker
Attorney's Fees
23 65
1,378 79
ll5 00
150 00
TOTAL 1 667 44
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Washington S8:
I,Dorothy K.Goggin,Joint Tenant
..••/rJ.J -_-6~--=-.:::z.-I-~/--:-I-~sz:.:'-I--l-~'--(L.5.)
SWORN AND SUBSCRIBED 'SEFORE ME THIS -.L:C~DAY01"
..N.mLember·18 69/~~.L--Notary Public
My commis~xplres:~/~/97..9