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HomeMy WebLinkAboutOC1970-0044 - ESTATE OF JACKSON-----------~--------------------------,--~..~.~--- PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J Estate of Danle.LJ:-I .Jac.kson ----.-- Deceased No :.4..~_..o f L9.7Q . Fiduciary Wa.Lter_.R•.Jackson . ~~~~~~ Decedent's death D.~.e.ro.b~r.Je_6-.!.9.Q.9----Grant of Letters )~.':I.Y.gD~..~.L •.!2?9 .. This is the .'_,first.an.d..F.inal account filed in this estate \.•\.I. If there have been"former ~c;~~'ts filed'~n thi~"estat'e,'Ii~t fil~n~~b~'~~'r nu~b~r'~~d'term.__n9n~.:~_·.~_. Election to take Under or Against will.(cross out one) Date Election Place of; Fi led ::.................Record .._',:. Name of surviving spouse___..nQne . _::~.._.._.._.-.------._._._..__.._ . List issue,where material: .....,. ,~,? NON E Did decedent marry after execution of will?(indicate)Yes.No.Any children born after execution of will?{indicate}. \ NoYes.No.If answer yes,name them __.__ :_.__ _ _..__.._ _"_.'_... .............--.____-__-___\.&>--_.--•••-. Legatees James L.Jackson Malinda Raines. JWaIterR.ackson Mary Shingle :"I ,/• Relationship I Son Daughter .Son Daughter Interest .1/4 ~r4 1/4 1/4 Fiduciar'y.if deceased or not sui juris List,if exceptions to abova:. If partial intestacy,give facts: Adeemed: None Revoked:Lapsed:Abated:Give Cause: Not applicable 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.No. If any exception give cause:N9D.e . Fi.le copy of Notice ., and date·of mai Iing &gusl.J7..,.l9.7.J._ . Is estate subject to the filing,of a F.ederal Estate Tax Return?~~. .Actual payment made o~Pennsylvania Transfer Inheritance Tax.Amount $.None ~. If the Will makes any portion of estate subject to;a life-estate,give nome and birth ·date of life tenant . No.....__ ___-_-__-_----_-.--_---. Give Names and addresses of all unpaid creditors ~ho are legally entitled to notice,together with the amounts of such claims;state whether they a.~e admi.tted to be correct;and whether the claim is denied. NON E Give reference to such ports of the will as require interpretation by the Court;c:reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: NON E I" t~...t'·_v....-:...;.?.._ 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: Total additional credits (Subtract) Balance for distribution ".'.~----..;...:.....-:...-~-....:-......,.....-"- $r!~r!~. $nQn~. $2,860.15..................................... $.2,.86Q..15 . If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value)'. ..I Cash on deposit at the Union National B~nk of 'Pittsburgh,Bentleyville Office,Bentleyville, ',' Pennsylvan ia • ."'.... oJ:.-~,..~,.",~':'"t-.,. If Family Exemption claimed by Petition,give place ~f Record:,:..':l.9._ . If Family Exemption is claimed at audit;give name,relationship and basis for Claim:_. .List any ,advancement or di.~:ribU'tion on account that has been made,a.nd nature and amount of same: Lawrence J.Jackson Malinda'Raines Mary Shingle Walter R.Jackson $425~00 $400.00 $300 •.00 . $300.00 . Suggested distribution of balonce 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: ,. ~" Lawrenc~j.Jackson '1/4 Malinda Raines 1/4 Mary Sh i.W19 Ie 1/4 WalterR.Jackson 1/4 "";~-.. COUNTY OF WASHINGTOt-J,SS: COMMONWEALTH OF PENNSYLVANIA. ,The above na~ed Fiduciary or repre.sentative thereot;" And your petitioner will ever pray,etc. being duly s.wQr.n._doth depose and say that the facts set forth in the foregoing petition are true h"..to the best of J.~_.._._knowledge and belief. .,Sworn.....to and subscribed before .~~~ ....JwJ...~C!t~~9XI,..:..,~~p"..,..--.".. .'.~~d ~.,.e~··fC·JCickson·····..·········· Signat~re6f Of,Ycer.~:·...///.:...":."../..~.,.... ,'"'!.>I -1~'//Tffle·"of Officer..:~:..................;.::.,. .'•;:~.:):1.:EVE~YN C.II'Ellsrm,Notary PublicOfficeexplre.s ";CaDor.S/;,;..,."..,~:.,••.•••••••••••p•••.•••••••••••••,;,.''_,:,",:,r VoXO;)!JlI ';:lIon \"0.,~I 153J7 ..:::-.My'Commissio,g:Expires Marc;"10 1973'.~...:__~,I j ~ ••oooo.oo•••••oo.oo••oo.oo.oo••••••oo ••oo.~••OO.~~oo ~oo oo oo oo ...-'. ,.' '1 .~{ No._Y__'1_...0.~J.9..1.Q ... Estate of Q9D_t~J__H.!..J.Q.c;:_~~9n _.. .Deceased , Fiduciary _..WgJ.t~r_.RJ'.~Jg~k~_Q_i)._o--.. o ••••--__-_-O'-~___ __-__~~-_-•.;.-. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conform ity with Court Rules adopted .effective December 3,1951,being rule No.9:pa.ragraph b-c;and divisions thereof:shown on pages 23-24.~Written praecipes of all Counsel in the case. 2.Copy of order appoir:lting Guardian ad litem,if pertinent: 3.Copy of Order appointing Trustee ad Iitem,if pertinent.. 4.Proof of service of above. v(,Letters Testamentary or Administration"/c.T.A.or an attest copy of Will.. l,I6.Copy of inventory and appraisement.. 7.Proof of advertisement of grant of letters if not filed with account;. 8.Certific~te pf Iiens 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. F'~t EI""tr'>.~'.~..~L I 9'7'SEP'?(l 1H1 9 5'1"I I ••~J HI ,.'1 RUSSELL r':.~RINO REGISTEH OF WILLS' WASHINGTON CO.•PA . -. !I ..J ,, ."'/'\'...•'".'_. •{,,,-\.1 \i ~-~ ...~2 Attorney ~.:--.~ i.,.-.-----.......-.•III..II!...111,..111..---.......-----..IIIII!II!II!IIIIIII!IIII!I!III---!!IIIIIIII!IIIIl).£..-~-!II!I-..-..1!I2a•.,:.,_:;;::=::'~·_,.- -.-.......;..-:;~... C!InmmnttUttn1t4 nf 'puusglunuin.t lIas4ittgtnu C!Inuttfg.~lili: KNOW ALL MEN BY THESE PRESEN1;S:Whereas,at Washington,in the 'County aforesaid J. Russell Marino on the 5th day of January A.D.19 70 ,before me, ;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 Test~ment of late of .,'DAN I E .L H,• '} JA C K SON in the County aforesaid,deceased,. (a true copy whereof is to these presents annexed),was d~ly\admitted to probate;and WALTER R.J A,C K SON, the Executor in said Will and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; NOW,THEREFORE,I,Russell Marino'.,Regi~ter as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said committing unto .WALTER him J A C K SON, .' the administration of all and singular the goods and I chattels,rights and credits,which were of said deceased,and requiring him to exhibit a true ane.perfect inventory thereof into the Regis~er's Office,at Washington,within ninety days from the date hereof,and to render a just and true ac~ount of said administration at the expiration of six months from t'hedate 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 han,d and the seal :>f said Office at Wa~hin~on,this f i f t h .nine hundred and day of J a n:.u a r y s eve n t y., in the year of our Lord Ol)e thousand ""- ;t·Q ....~~.......~..""":.;,'."',.•;l',".,"," ,Register' ,'. ..;:,.'}.<..,... I !• 1-- -- I " IT ""..'~'. l,. I. "r. ,t \ (! (."r "~,-,~t~- ",!,)"';.;o .-f'"~it i.,,~ "I k"':-' , '..!". l:r;... " , ( 1lirttrrs wrstumrhtary ESTATE OF ' DANIEL 'R.JACKSON. DEC'!) . '==========::::;:====~2 .' I . I t"I f ei....~'"'\11i~~r'"LJliaI1;,....L,_...../I , ~t71 SEF'"20 firl 9 54 ~.'1~,RUSSE LL MM\INO' \nEGISTER OF WILLSI, ,WASHINGTON CO .•PA.,' I'I j .\7,,;:).t,' \,,, (. i1~1 :\ J "i1~: t \- I J l' ..' IIj II II, dj III!JI ,I July 22 J 1968 WILL AND TESTP~mNT OF DANIEL H.JACKSON . I,DANIEL H.JACKSON,boing of sound mind and memory and under no undue influence physically or mentally do hereby ma."k:e public and declare this to be irry last Hill and testamen-:;o I h0reby give i111d devise and bequeath my entire estate ,and property both real and personal to my ~our children to share anal share alike.In the event of death of either of my child~en prior to my death,said shares shall be dmvided among the living remaining heirs.Said children of mynd are,' James L.Jackson of Richeyville,Pennsylvania,Melinda Rains of Cokeburg,Pao,Halter Jackson of Cokeburg,Pennsylvania, and Mary Shingle of Amity,Pennsylvania. I do here appoint Walter R.Jackson o~Cokeburg,Penn- sylvani~as executor of ttiis instrument requesting the court,i to set the official bond of such action by said Mr.Jackson at two t~ousand dollars ($2000.). Sig~ed,sealed,and pUblished as the lastvlill and testament of Daniel H.Jackson,in the presences of witnes- ses and said,Daniel H.Jackson this 22 day of 'July nineteen hundred ~nd sixty eight at the request and presence of each other. J(,.'J\ <.,:....-::.•_':I • 1~'7:--"":~;--~-"'".~.....:. " "> /" .."; ...,', •I.' ;. ,. Affibnnit (@f 1fxrrutnr (@r Abministrutnr &tatt IIf Jtnnagluania,!55:Cllnunty IIf lIaa~ingtlIn Personally before me,the undersigned authority,a.NQ.tgr.)(P.IJ.b.l.i.c.in and for said County and'State,appeared ;WQ.lt.e.r...R.Jg~ks.on who,being duly sworn according'to law,deposes and says that he is the executor or administrator of the estate of .:Dani.e.l...l:L J.a.cks.QQ deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of..D.gJ:\le.l..H Jg~ks~m , 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.c;i;~1m~Il~::::;::f~::::O:h~~;1~~lor.~/f#-, .....-/day·.o./'~9.:rew~~'1..pLLtifttt..~.~.~~~ -'/"\r;"~.t utor-AdministratorEYELYf)lc~~i:ElE;..Sl(O M ,..'uh ,"..,t.;;.'C ~~,~,.~,.,',\..,."anons~ur?,.Was,In9t2"iO.~P6:,:15 7'ADDITIONAL INSTRUCTIONSMy,Comrr'Ss,~n-\Exp,res March:10 I 73 . ,:..:L"-'An,inven.tor'y must be filed within three months after appointment of personal representative., .2.~-'Ns'ui>plemental inventory must be filed within thirty days of discovery of additional assets.' ,.·3.1.Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, "-.Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy'of Will and copy of Federal Estate Tax Return.. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 ~f lIuutntnry aullp.ppraispmput of the goods and chattels,fights and credit~which were of Dar.lle1..!:I Jacksor.l :late of ..;Bol<..l.8.6.,....cokehurg.,.P..enns.y.l.v.ani.a.. Washington County,Pa.,taken and made in conformity with the abO"Oe affidavit. j N b N E ...-/ ~ .P--E"'R'S'O'N .At··T'y DOLLARS CENTS . if'. T-he Union National Bank of Pittsburgh,McKeesport,Pa.office, Savings Account No.75-443129 . Security Trust Company,Bath,New York Account #2017230 and Account #20421769-1 .......~----. \ ],550 00 2,134 02 4,684 "~. I,"":~I \';:.'/::' ,.\..,,-,_J~:__(""",-";";,.<Io <,J"o ~ /' " r> ii'j ~-"l ;.\.\~."",, -' ".",,' ·u l ".,, '>'"..... ...s{3' . ~-2'-7tJ~lft.j lnven~ory arzd Appraisement IN:THE'ESTATE OF "" .!~>,):1: ,'~ ~ c/- DANIEL H.JACKSON........................................................................................................ Filed ::,19 . ";,)',j!',~,1'.."/;)~ ') ,. ~_.~"..!i ~ij'",-..,A~ ~ .1- /( ",;-;1, /)"'0') j.t.,j1# ',\"J{ I,t;. ~. \~ '! ',to ~~)J»Fri'!'~cn G-)'~::c --..:Cf0: ""-(/'J'(f.,;,'7t);;.,~~.~~ -i';:0 r=oz 0 :;:;[.-,.-,,c. g;.i ".•.6"»cn....,~ .... ..........J .....,." rrr;1'c;;:;:;J. ""Oi ~~ C!!:)." ~~ -1'-....'•.~ ll.""'"0.>-"Ii .... 'QI..;,., '-';"',": / a<!kLt:%uZ/~~/cJ ~9 • Nt.E.KUSTURISS -~JY ATTORNEY AT LAW V ( '2 N.JEFFERSON AV~i ~• .CANONSBUR6,PA: STATE OF FENNSYLVANIA, WASHINGTON COUNTY,~55: \The within named Accountant being duly sworn according to law,depose 5 and say that the above,account asstatedistrue and correct as hiL ,:.verily believe. Sworn and sl.bscribed before me this..J.~.., day o~,::.:..?.....~~..~..""".197.'-....'r',:_c:7J~..-~."../ ,;'",,:"",.,",.L,:",,,~"""""""""""""""".~-,~}•EVElyi-!'C:',ElESKO,Notary Public c'',~_Cenon!burg,Washington Co.,Pa.15317 ;--M CommiSsion Expires March 10,1973. '\1;,-Y•.•..',.,v"J ....' j '~~.,,.,.•--,..f ~""""""'"....- I,~" '-Wa'shingtoh "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 and Rule of Court,as evidenced by proofs'./;~~r;J-380thereoffiledtoNo.t:J.;;).lL . .Witness my hand and official 'seal thiS..3.().~..~... J,;.~.~':~::?iYi~~~:~ Register of Wills N t ~!~ ,;q..r : 0 i-"l:...:Ql81:~ _:'8;;E .0 i ><fi:1RUC::C't-'/,'/.....,,.I,~.L l..f~l J"\i-~IN0 REG/STEFl OF WILLS I\JAS"I'J~~ioI Ii f'C)0 NCO ..PA. ~71'kPR 75 MIlD 13.' ...o z C§ .::r: ...Jw ~Z o 0 fi:1 Vl Eo<~~Urn•«fi:1 -,~.-d>\N,: Mi -<>1 oz .~-J;_.._... ..~' ,..'.,.~.. ,.- " :!"""...,.~ '.,..•-,...<~: 'r " \ .?!'<--If'- -:{(- "1\.. .J.r .· I \'.~. \..'~, ; ....~...:~ ,., II .'~,~,~, .:". __.;:~....~t:'_~. I .....'.'!l i..;•.\~ /'.' .._~......,. "- •_r, I;r' ,,~.::'\ ,-,,\ ,;.-;,.".,..~.~.~" -----~ , ij I:"r-' 'TheCourt is respectfu lIy requested to determine proper distribution in this estate. .;.. :~'.' THE FIRST AND FINAL ACCOUNT of WALTER R.JACKSON,Executor of the I Estate of DANIEL H.JACKSON,deceased,late of Cokeburg,Washington CountYI Pennsylvania. The Accountant is charged as follows: Ii i Inventory and Appraisement filed February I,1971 $4,684.02 .Tota I Assets of Estate ..;..... Total amount·of credits claimed by Account·. Balance due ....l.:".".'...... $4,684.02 $1,823.87 $2,860•.15...... .-'"' i~!Accountant claims following credits: Walter R.Jackson :Fike-Watson Funeral Home :Register of Wills,Russell Marino The Town of Terra Alta Cemetery· Wa Iter R.Jackson M.E.Kusturiss F.J.Buckley Ins.Agency Russell Marino,Register of Wills Russell Marino,Register of Wills Washington County Reports Washington ()bserver -20.. Return of body for burial Funeral expense Letters of Administration .Care of grave Administration commission Attorney's commission Bond Filing Inventory and Appraisement Filing Account Lega I advertising Legal advertising C! $234'1 9?8.87 14.00 ..Septembe.r...,.2k,.1.9.7-Q.. ..Oc..tobe.r.1.,.8·7..··1.9.7.0 :.. that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said noti~co advertising and ~hI Of~h al .Zrl·n.s.f this affidavit as to the time't)a ch~racr of the b 'catio ~r .'.,.'./~d .~-",\r/7./~L U Y •I ~.v ~\.'--'!$-f-I'.•n:~lc~..!<,/.,..~~.~;"f;:t,.'f Sworn to and subscnbed bef e me thIs '.';~, .,".~-',r "-;.~~,-._,""7.,' F/: .......~.~.b...day Of.....ac.tobeX......,·~........,19~-7.Q.....~...!-~:~~ .. .......~~.~..~.~.~6:!'--._If (/'....~}Notary P1tblic ,;.-.;- i .~'\...~~..~ L'#<0+JOSEPHINE 1.SCIAMANNA •",1 ..~.~.<~" Notary Public,Washington,Washington CO.r,"r"'" My Commission Expires July 1.197~ Washington County'Reports ' ,M<~~*kM6U~x~Ta~~JC WashingtOD,Pennsylvania (PUBLISHED ElY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINCTON) I ·STATE OF PENNSYLVANIA (S8. .~....-:!.~-~Personally appeared before me,a Notary Public in and for said County and ~Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and '1ays:that he is the Editor of the WASHINGTON COUN1Y REPORTS,the official legal periodical for said Washington County,published weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COVN1Y 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 adver- tisement 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:. Estate Notices The Register of Wills has granted letters, testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys. ••••••••••0 •0 •••• .:rACKSON,DANIEL H.,Dec'd. ~;Late of Box 186,Cokeburg,Washing-,ton County,Penna.Executor:Walter R.Jackson,Box 186, Cokeburg,Pa.Attorney:M.E.Kusturiss,12 N.Jef-ferson Ave.,Canonsburg,Pa.15317 \ Observer -Rep,orte.r WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION .~~" IJ In compliance with the News,paper Advertising Act of 16 May,1929,P.L.1784,as amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally appear,ed before me,a Notary Public in and for said County and State,Jaxoe.s S Ly.QA : ,who bein,g duly s,worn according to law,deposes and says that he is the Ex•.Vic.e.~P.r.e.s ...... of the Observer 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 September 18,1871,and The Washington Reporter,'established August 15, 1808,a daily news'pape,r 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 continuous'ly 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 advertisement,exactly as printed or pUblished in the Ob,;'erver·Reporter in its regular editions on the following date or dates; ,S.ep.te..~~D.e..~4.J..,.3.Q ~mt...Qf.J.9.p..~.~7...I J..?7..9 . that neither tire affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising,Gendt all of the allega. tions'of this affidavit as to the time,place ~c cte,r ,of pUb~ion are tru'e.eft ~~It.\.l~..............,..'. Swnen tn and ,.b'~~:;;g;:~B~O WASHINGTON,WASHINGTON CuUi'lTY MY COMMISSION EXPIRES MAY 6,1972 --~.E~XECUTOR'S NOTICE Estate of Danei!H.Jackson,de.ceased late of;,Box ,,186 Cokeburg,Washington,County,"Penna..}:;etters 'Testamentary,upon the "above estate havingl'lbe:en granted, to,the underSigne,d,:notl,c;e'Is h,erebYl'",given to those,lini:lebted ithereto to,make immedfate",payment.and to those .haVing "claims'"1'0,1"demandS/'to present·them1for"settlement..Walter R."Jackson,,Executor..·.....,- ."Box )86..Cokeburg,Pa.M.E.Kusturiss;"Attorney . 12 North Jefferson Avenue iCanonsburg,Pa.15317 ,•! •''''~'70224·Wed.·3T " '1'""""-'--~. -<.";/;-.--~ i 'j I rc'0 c,i \•~_~.,'.'J r'f~;; /j.il I !II I.(TIj .~....'",,••, 5iJ'.-,~,:J ;::'~1 ..~ ~,'S:z _ o j;i O.zz~':I:m0 -I »c ;a -I ITI;a -4 0 r(;):I.':'i,:ll .\ 11 I'lL,Z ITI 1'1 "'1i ~•~,..,.;:l ...-"~.•<"""'J -:0 "~OS,·~C~Z (J)»»r -I~<~C»1'1 <:uz _ Ul Iii (J)W (J) -.I !, !I .Co f'\"\,()T " I)~~ I r· I: IN RE: ESTATE OF DANIEL H.JACKSON, deceased PROOFS OF PUBLICATION 11;)Ss '.!!..;\/,nI t·~G REGISTEr:CF ~\;'ILLS WJ~SHi j\:GTe:!co,.P1\, 'Vd "0 0 tWJ.~)~ll HS"N\ S111 tJl,.:"0 ~!:i.1 SID ~U o;~nl'j;'~"n ~';S rlll f,l OJ ~jV ~L Hd~IIL { I) r j" ~ :~ ~." MICHAEL E.KUSTURISS'~~~'> ATTORNEY AT LAW"':' 12 NORTH JEFFERSON AVENUE CANONSBURG,PENNSYLVANIA 15317 ~'16'b" ~!~~~:,) '" N 0 Ttl'C E.: .. In the COlJrt of Common Pleas of Washington County,Pennsylvania Orphans I Court Division Estate of Daniel H.Jackson No.63-70-44 Please take notice that Walter R.Jackson,Executor of t1e Estate of Daniel H.Jackson,deceased,filed his First and Final Account af the above number,and that said account wi II be called for audit in the Orphans I Court Room,Court House,Wash ington,Pa. cn Thursda)'"Septe~ber 16 ,1971 at :.l.O:..OO);~o'clock A.M., .and a decree of co.nfirmation an distribution may be enterecruntess exceptions or objections are filed.' .M.·E.Kusturiss 'Attorney for Executor 12 North Jefferson Avenue Canonsburg,P<;l .15317 Dated:August 17 ,1971 t, '.( _..i__ t.-....,.. ,. ,> ,, to.J-T ..·• '. ,.~."..........·i· ¥• '-. ..;.1,,. .:;1- c..f)«'!---> 0 -.I a..z -.Ien.c:=~0«<.,:)::!:: ::E L:._...,..CICf~ 0 ""'-.,... cr~'~ -.!a::::~ .~ ',"-•.J C·...J L.U (..!)'"'-u..J j.-Z t) L~j (f)roO/):c....\ (.1)~W3 ~(,;)'../)c;o;..._•..,£V', n:::I.lJ «'-':1;:..0.:;.,.. C:.::$lL r-- ]n 111 l"lOrt11Fll.1.~",:-".([o!lrl ~f lila51]iuDtr:lt QIOUlltu 1/', .. I ii,. 'i1;.',j .•I:.... 'In the matter of the Audit of Account In Estate of 'Daniel H e'Ja~kson - i 1 No,44 qf .19--ZQ...A.A. 'J ..:~.. " .".'1'0 THE AUDITI~G JUDGE:..-:;,...a'ppearan~~r~r .,.1',Thi Acc:o~iit~'~t ;:-it ~Ite~'Re:-J~'i~so~.Enter my ~. -. ;. qn I\:R~.J-.19-ZLJl.'.'r .,IipIday0 ---';--'~i,~ N.B.-:Counsel shall.by separate p:J.per.present a 'concise statel:;;lCnt of e:l.ch claim,'with sU[lportin~calcuI=.tion or any i:Jterest claimed,Objections to an.account :lS Wed.sh::l1l be concisely stated in a s.e:;P2rate paper. Cout!dl su;;estin;proper distribution shaH rile a separate (concise state- ment in that re;ard.. ~, ~ fIII I! I!I~--...-.....~:.....;"~.-;-~..'.::"'~-:-,,"~~~"Mr~-?"~~":"...-.,04'~:&~~Y;::;;,r:'""7'?-:-::r.:"~.-...:~.....,.....,.;....... J ~u t4t atom of <!rommnu ~I1rns of IInsl1iugtnu <!rouuty, 'ruusyl~nuin,®rp4nus'<!rnurt i1iuiswn ESTATE OF No._6...::;3:..--...:...70_""_44:-:·~_ Deniel H.Jackson, deceased In the matterofthe Firstand Fina 1 Account of Walter R.Jackson Executor $2,860.15Balance'per account,_ ADJUDICATION AND DECREE And now SeptembeIr·11 ,191!.-,this maUer come on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereof tb..eL baLqpce for distribution in the hanc!s ~f the Ac.countant.is deter~j~ed to be $2,t300.1:.2 and the account IS accordingly confirmed;and It IS ordered, adjudged ond decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribu,tion hereto attached and madela part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg./ SCHEDULE OF DISTRIBUTION Balance _ $2,668.59 02--4-z..-4//9'7/ ~#/7~'6<1J~~~~~ 176.06 667.15 Deduct Clerk's Costs &Receipts 1 Attorney Michael E.Kusturiss Russell Marino,Agent,transfer inheritance tax,$170.68 Interest from 3/18/71 to 9/27/71 5.38 Lawrence J.Jackson,son,1/4 residue,credit to be taken by the accoq,ntant for funds in the amount of $425.00 advanced prior to distribution by the Court, Malinda Raines,daughter,1/~residue,credit to be taken by the accountant for funds in the amount of $400.00 advanced prior to distribution by the Court,667.15 Mary Shingle,daughter,1/4 residue,credit to be taken by the accountant for funds in the amount of $300.00 advanced prior to distributfuon by the Court,667.15 Walter R.Jackson,son,1/4 residue,credit "to be taken b¥the accountant for funds in the amount of $300.00 advanced prior to distribution by the Court,667.14 No balance ,'" r A 0 >' ~ ...z ,f r~('\':J ~P /11 ty 0 :::r ~. c:(l) =: :J 3.... ty 0 0 0..........~ ~ (l) r:a "" ,t .....0 S· ... ~:r =(l) ..~ & \~r ~::l~~ ',), I r \' ,t r-\-., i ," ..~ .\ ,' ,\ " -j-,,' .\, " )' r \ .r\ 1 " )) ,' r ',.0 , r r ~.::~~-~ .-', IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA ORPHANS'COURT DNISION • J f,-----il-------------------------------+--.J"-. IN RE: Estate of DANIEL H.JACKSON, Deceased. ( ) ( ) ( ) ( No.44 of 1970 gBEFORE: I-., :!:iII~~ .=APPEARANCES: I;) ~,o c..<t]TllVIE: ::l;)., :t...... Ii ;THE COURT: HEARING ON AUDIT The HJnorable P.VINCENT MARINO,Judge of the said Court. MICHAEL E.KUSTURISS,Esq.,of Canonsburg,Pa. representing the accountant. Thursday,September 16,1971,at 10:00 o'clock A.M.,EDST. The Court will resume the call of the audit list x:>II....X l-ll: ;:)ou..0(u~o for the third quarter of 1971.We will today consider the audit of accounts listed for hearing on Thursday,September 16,1971,at 10:00 o'clock A.M.The first audit is Number 44 of 1970,the estate of Daniel H.Jackson,deceased.The Executor is Walter R.Jacks and the attorney is "lIichael E.Kusluriss .!VIr .Kusturiss is engage· in the trial of a case in the trial division of COrTI':Ylon Pleas Court. He assures us that all relevant papers in this estate have been filed, that there are no outstanding clai "'s that they have knowledge of, and that there are no questions for adjudication by the Court.Is ,, ",The audit of t;h,is account is mar'ked cloS~9 by the ':',,0'.'•......'", ',' .'.. .,,' ,,~'".Daniel,'H.J~ickson;deceased?,., THE'COURT:-'. " ,\'.,. .'Court." "..' '.,LAtJD1T CLO$ED) .-'~ ,," " ,.'. '..'.:' " ,.~, ,' ...• .', .'", ,.".. ',' 0./, -,.r ,;,:,' " '. .. ,,' ","1~e ;toregolag ,record'-til,thep~c~e'np·l#.PQQ'h~he.,dQg ~tb~abo\Tfi c~u8e £$:h~r~b.ra,PPt0i'e4an4.dttect~dto,befU~ci,.,., ".. c c ,, " ,, ..-,,'?>I " r<l·..C'. '.....L,i ...'JtAoJ,J 'f1 .;::,J .~. ."".)- ......_I, ~'I •..'-j _.• "'".1'11 It.#( ;],1 " (V') ~V)«0 ..J a... c::l ..J.~-.0 e.-:r.=C> •.;:4 .J_--J ..~::'~<.:.L_Co. ("-'j tf; UJ .-~-0VJ:::J (f)a:::LiJ «c;:::; 1...~r--...~ , .l ..0 ., .' '..' IN THE CDURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA J IN RE: ESTATE a=DANIEL H.JACKSON, deceased ) ) ) (NO.63-70-44 ) RECEIPT OF ADDITIONAL LEGACY KNOW ALL MEN BY THESE PRESENTS,that we,LAWRENCE J.JACKSON, MALINDA RAINES,MARY SHINGLE-and WALTER R.JACKSON,have this day received of WALTER R.JACKSON,the sum'of ONE HUNDRED SEVENTY FOUR and 49/100 ($174.49)DOLLARS,each,being th~full <;Imount of a ~egacy and the interest due thereon, from the estate of our father,DANIEL H.JACKSON,late of Cokeburg,Washington County,Pennsylvania,deceased, and in consideration of said payment,we do hereby release and forever discharge as well the said Walt:r R.Jacskon from all liability,claim or demand,charge or lien on account or by reason of ,the said legacy... WITNESS our hands and seals thiS~ay of .~ Sealed ard del ivered in the presence of: ,1971. j IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF DANIEL H.JACKSON, deceased )NO.63-70-44 ( )In the matter of the First and Final (Account of Walter R.Jackson,Executor PAY TRANSCRIPT AND NOW,this 26 day of Oct ober ,1971,the undersigned do hereby acknowIedge to have rece ived from We Iter R.Jackson,Executor of the above caption d Estate,the sum of money set opposite their respective names,being the amount awarded them at the audit of the above estate,cmd we do further waive the right to file exceptions as to the adjudication and the right of appeal from the adjudication,and agree that the Executor may forthwith make distribution in accordance with the terms of the adjudication. I Russell Marino,Agent" .transfer Inheritance Tax,' Interest from 3/18/7\to 9/27/71 Lawrence J.Jackson,son,1/4 residue credit to be taken by the accountant for fu nds in the amou nt of $425.00 advanced'prior to distribution by the Court. $170.68 5.38 $\76.06 ~~~~:.-L~~~':if ,Malinda Raines,daughter,1/4 residue, credit to be taken by the accountant for funds in the amount of $400.00 advanced prior to distribution by the Court. Mary Shingle,daughter,1/4 residue, credit to be taken by the accountant for funds in the amount of $300.00 advanced prior to distribution by the Court. Walter R.Jackson,son,1/4 residue,'credit to be taken by the accountant for funds in the amount of $300.00 advanced prior to distribution by the Court. Russell MarinoJ Clerk's Costs &Receipts $15.50 ~~ F- .. Form No.RCC·62 (2·641 THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS VNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961,J EFFE¢IVEJANUARY I,1962.(FILE IN DUPLICATE 'WITH COPY OF WILL ATTACHED) OFFICE OF THE REGISTER OF WILLS I, County of WpsbiQgtQQ., . ...'Wa,lr~~.~~.~~C:~~~~,of ~?~.!~~~.~?k.e.~~r.9./..~~~~~>:I~~.~i~" . (Name)(Address) 'being duly ._~Y{Qm_...•__..•......according to law,deposes and says that he is the_J~~~~!.~!....__._...._.._..__. ',(Exec"Adm"Legatee,Etc.), ~f the estate of__._.DanieL1:I.Jac-KS,91L __..whose last residence was ....~92,~J~.Q._~.Q.~~.~~r.9._c._•••_••_••••• . '.'(No.)(Street) - ' '..:~__..deceased,and that the whole of the estate of said decedent,who died _._Q.~.c;_.Le~J2.Q2;__.(City,Borough or Township).(Date) consisted of:' REAL PROPERTY REAL PROPERTY Uf,PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRAN<i:ES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD'AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES,ADDRESSES Aim RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value ~.\.P;,,;----------------------------....;..--;;----------+------- ;:/ /\I 1; II,)/I J '"AI /-<1 ///:(/~""\......../ ((j A;JA-/''---<r-'-~V C/t/ ., ,I ,,' / / P~rsonal Property .~. The Union National Bank of Pittsburgh,McKeesport/Pa.office, Savings Account No.75-443129 ,. r'•T_r,D_..L.I\.I~V_IJ 2,550.00 , ----'/',~"II,., Account #2017230 and Account #20421769-1 'k" ... ,;_NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, :;1l.r letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the ,';':;decedent as of the date of death.Such letters must be signed by a responsible officer of the financial .',':mstittition or mortgage holder and indicate clearly amounts of principal and interest in the decedent's ,"Ii account at the date of death and the type of account,account number and the exact name or names in ~~which the account is registered. Estimated V,alueJointlyHeldProperty NON E . . .,-, l .'. " Transfers within TWO YEARS Prior to Death That at the time of death there was no safe deposit box registered ih 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 BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE .(If ste.p-chil.dl·en or DECEDENT TENANTS OR INTEREST OF (State fuB names of all and their addresses who hav'e illegitimate children STATE YES ANNUITANTS ,BENEFICIARY an interest,vested,contingent01'otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT ames L.Jackson Son Vee.I/A. alinda Rains \1/4 :Dauqhter Yes .,.. a Iter R.Jackson Son Yes 1/4 ory'Shingle nrtl,,.,h+<>r v<>~I/A ~ . J M W M t'". t'II?E~~DEGEDENT DEBTS AND DEDUCTIONS CLAIMED "','"- Nj;tE:List first five items in the spaces so provided,observe notations ther.eon,and instructions. i~DEBT OR CLAIM NATURE OF SAME AMOUNT THIS '"cOLUMN iKEGISTER ONLY P'!'..,..• u __.....Funeral expenses paid $Ol\R .R?$ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) .•-.Administration Expenses *............ 1'\........~,,,.....,,L~,J ,JV - M.t.Kusturiss Counsel fees *L.",;>,jV '. Fiduciary commission *, OTHER DEBTS AND CLAIMS (*)See Ncote below '. ,(See attached copy ~f Debts (l nd Deductions) . -.;0 I "I·f -0, \r I • i I.. .' , ,., I·'.,. " ..Total 1,795 91.,.'. .'\.."......",t....,I . Having been dUly..~~orj(according to law,I do heF,eycertify that the above appraisement is made in conformity with law on this <~JEJ)~/..,::r~-'-'"day of ., ,,19,t )../,.11'............~~~.....e::.~. In the event that any future interest in this estate is transrelTed in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respectfully report that I have allowed debts and 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 said schedule above,which greater or lesser amount represents the sum allowed as a·deduction. " Dated:Register of Wills //" ~."" -' ~' ,".r;',','--~.,~,',.- ~. l' Porm No.RCC·62 (2·64) Will l',AdministrationjNo ;Year . -------1 ,'.\1~. o " '\"t\,'!~ \ IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF DANIEL H.JACKSON Peceased Late of ~~'$.I.8AI.~.~~e:~l!~a . County of ....VY?s~.i,:"~!<;>,:,,................ Commonwealth of Pennsylvania ~11 !--.J •1REPOR~~'D'APPR-4ISA[ ::J:~{n .G6 1--u~en ~~--4 -~[f-j ~ ;...,!I"t';-· --i ;;:;.:1 {'',-. ,'-:'.'.", Form RC C·10 OF V\/gshingtgn COUNTY A"'D AGENT OF THE COMMONWIiALTH .,.REGISTER OF WILLS &~j ~·7 ()~iftJ STATEMENT OF DEBTS AND DEDlJCTIONS DEDUCTIONS ALLOWED IN j THE SUM OF •...........$.fl."?7L.....'1.J DA~:L1:]I: ESTATE OF _D_a_n_ie~1_H....:.~Ja_c_k_s_o_n LATE OF _---:B::..:o:..:.x:.....:...;18::..:6~C:.:o~k.:;.e.:;:.b.::.:ur~gz..:.,~Pa::...:..._ -- DATE OF FILING APPRAISEM ENT '-'DAT&:OF DEATH ....D...lJe~cl.Oiet:JmLll.L<b!J:e:Lr...lI..lo8'"*',--'-'19u6ol..9L.-_ COUNTY OF Wash ington }ss: I.Walter R.Jc!ckson HF.REBY CERTIFY.THAT.TO THE BEaT OF M:V KNOWL.EDGE AND BELIEF.THE FOREGOING ISA JUST A,N.DTRU E srATEMENT OF DEBTB.FUNERAL EXPENSES AND EXPENSD 01" ADMINISTRATI.ON SUBMITTED'TO THE ESTATE OF ---.DclD.i.elJ:l.-19s;.kjJiD~4-....,....,-=-,-0DECEA D.AS DEDUCTIONS PORINHERITANCETAXPURPOSES. DATE NO.OF NAMIi OF PAYEE REMARKS VOUCH,""AMOUNT 1 Walter R.Jackson eturn of body for buriaI 234 04 2 Fike-Watson Funeral Home Funeral expenses 958 87 3 Register of Wills,Russell Marino etters of Administration 14 00 4 The Town of Terra Alta Cemetery Assoc Care of Grave 60 00 1:\\I R Jackson ~dministration commission 235 00 6 M.E.Kusturiss ~ttorney IS fee 235 00 7.F.J.Buckley Ins.Aaency Bond 100 00ti:: 8.Register of Wills,Russell ty\arino Filing Inventory and Appraisement 3 00 9.Register of Wills,Russell ¥arino iii ng Account 16 00 C/~7A'1 U ~~/"'Cj/l..1--I'U£~t?ztd__~@ /It "il 1-p<'rv ~,GJ-~Vf --·u /<J'S'V ., - ,'"'-'-J"j ((7;5-~)";,- COMMONWEALTH OF PENNSYLVANIA '--7 I·t .-..... R~~:39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RE~IDENT DECEDENT SUMMARY . -...·r Estate of JACKSON (Last Name) DANIEL (First Name) H. (Initial) DATE OF DEATH 12-18-69 FILE NO,63-70-44 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_--=..:W~a:::s~h=ing=c.:t~o::.:n~_ Pennsylvania,do respectfully report that I have appraised.the real and personal property as reported in the foregoing return at Ithe'/alues set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". ~~.~_.£lu . INHERITANCE TA~R v June 8,1971Dated:___.=....=:=--=...l-=..L....L::'--_ REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- full~'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 VALUE AS REAPPRAISED $-------+--4,084 02 4.684 02 $ 1.h~J,tl? 4.684 02 VALUE AS REPORTED VALUE AS APPRAISED $ INVENTORY ReaI 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 es tates or ann.ities . ESTATE TAX ASSESSMENTS :==E -E :::::::::~t==' FOR USE OF REGISTER ONLY Tax.oJ.1$-----------ir---2% Tax.on $('6%")0. Tax:on $-----------il---'--s< Tax.on $10% Tax:on $15% Ex"emptions * Total Estate .......l-__ .TOTAL TAX Less tax previousli paid BALANCE Less 5%of tax if paid within 3 months after death ~; COMPUTATION OF TAX $----'-------4--'-- $---------4-- $----:-------4-- $--'---------4-- $---------4-- $__---'---1.__ " (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue• BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $------. AMOUNT OF ESTATE TAX ASSESSED $------lL- Estate tax paid $---Jl- BALANCE DUE $----lL- Add interest at'rate of 6%from t= ------lt1o-----$-------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 Administration !No . IN THE Year --------'. MATTER OF THE APPRAISEMENT OF THE ESTATE OF DANIEL··H..··.JACKSON . Deceased Late of ...COKEBURG . County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL , , ", ~o·B ~~~~~~~~~~~~~~~jJI~CC-4 (8-68)COMMONWEALTH OF PENNSYLVANIA '..DEPARTMENT OF REVENUE .11737 OFFICIAL RECEIPT.PENNSYlVANIA INHERITANCE;AND ESTATE TAX 2 %Tax on $__----=-$---------I'ill 061100 ---· -;..----dollars representing Pennsylvania Inheritance or Estate Tax due from the folloWing estate: ;RECEIVED ONE ~"DRED SEVENTY SIX 8l.1d WALTER R.JACKSON-EXR. Fram:ATTY -MICHAEL ~.KUSTURISS 1~NORTU JEFFERSON AVENUE,Address '--...,..--l 15%Tax on CANONSIJURO,PENNSYLVANIA 15317"__________________--;\\6%Tax on \ File No._6_3_'-_7_0_-_4_4__Date of Death_l_2_..._1_8_..._6_9_.--i 2?844.61 170.68 $--------$--------ilil $--------$--------111 -WASHINGTON'_ounty -------------------1 Dote of Payment _o_c_t_o_b_e_r_2_6-,o_1_9_'1_'1__'----I Nome of Decedent _D_A_N_IE_._t_··.._I_f._J_A_C~K_S_O_N__-; $--------litl 176~():6 $=======:l!1 $---------1i'.J1 170.6S$--------- 5.3.S $---------10li1 %Tax on $$---------mt Estate Tax,Act of May 7,1927 TOTAL AMOUNT PAID TOTAL TAX CREDIT Less five percentum of tax if paid within three months after dote of death ,Plus interest at .th'Ey§te gf _6_%fwm 3-....71 to nate SEA L \. ,.•I ~emarks: JMO ;/;1 , "'.\,,...,'...NOTE:Thi~~Tri~lica~R~ceipt t~be r;~!,ined fo:oudiOl3rpJ.6.M9 C..()l1 "-..'1/'(/.. ...'Received by _•J,.l!,\,~.~.....~/I <;;t.P..,I".rvO NOT~:In accepting the transfer.inh~riiance tax on future estates,p'iar to the death of the I1fe ""\"'./(Signature(JU1''''~J' tenont or tena')t for yeors/os'evidencedJ?y this receipt.it is understood th·)t the Commonweolth shloll ),•.•..1\r /';,I.! not be preclud'ed,or prevented from··.hereafter·assessing additional inherit.)nce tax at the death of t~'e_)A~R.,J~i":r:!'. life tenant or te'riant~fQ~•.YE1Q.rs.whenever it appears that such additional t·)X may be legally due and ".,r :)(Ti(I~) collectible for any reason whatsoever.''-,....,. ·i-:...--:_-::..---'__'--~,-_~.~1 Form RCC-2 ICOMMONWEALTHOFPENNSYLVANIADATE.........J.)m~.....$.,.....J.9.7.!......................:.......,:.........., ..~"'DEt'AR'I\Mt:NT OF REVENUE RESIDENT INHERITANCE TAX COUNTY .............W2..$.h.i.ngt-Qn.....................................1BUREAUOFCOUNTYCOLLECTIONS.'APPRAISEMENTHARRISBURG.PENNA.17127 FILE NO......9J..'::7.Q~4.4......=........................._..................., Whereas................................................DAN.IE.L....H.~.....J.ACKS.O'N............................................late of ....................GQ.~J:?P.RG............................................................... in the County of .......................................................w.A~.RJ..NG.r.QN ................................................Commonwealth of Pennsylvania,having died on the ....:.............................18th...............................................day of ....................p.~.g.~.UIP.~.r ..............................19....6.9.•seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore.I.MADELINE FINNEY 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 Purposes $ , ! PERSONAl: SEE COpy ATTACHED TO APPRAI SEMENT l....68/+02 totl l....68l...02 . .. j - ! - . ,_. -, . . {Number and StrUll .................................................L«...l.~........................•Penna. ·WA$HJ.NG'WN..County /. f l._J !';.-....."'W.__, ,,,.I r[~"L.,..~ II '. RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .............................DANIEL H.•.....JAC.K.SON . Deceased. Lat.e of .........................C.OKEBURG .. ,.6DateofDeath,.12~18.~..9 .. Appraisemel!t Docket Vol.,38.... Page 36-9.ATO 63-70-44,IV •.. Filed in Register's Office,~~~?19..?~.. Anwunt of tax due $,. DEPARTMENT OF REVENUE Received, Exa.mined and Approved,. Wrote abo.ut Appra.isement,.. Appeal t,.om Appraisement,. Entered and charged,. \0 -to lorF:..,P [.','1;Q q~I ,J~..0 ",.,,,J. RUSSI::!'-Hi,nnW ftEGISTE.fi OF WILLS V,It\SHlNGTON GO .•PA. • "-~ ~-; R CC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT WALTER R.JACKSON (Executor ~) ,IN YOUR REPLY PLEA8E REFER TO 38-36-9 --/- ,In Re:Estate of -=D.:,:AN=ill::;:1L::....:.H:.:.~J.:.:.AC;::.:K:.:.:S~O~N!.-_ ______W~A~S~H=IN~G:.I..TO~l~N:!._County -File No.63-70-H Dear Mr.Jackson, You are hereby notified that the original. appraisement in the estate of DANIEL H.JACKSON has been filed in the office of the Register of Wills qfWASHINGTON County on ,DIne 8 ,19~.Said appraisement reflects the following valu~ticns: Real Estate _--'-_ Persona1 Prope rty,_--=4~.~6~8~4t.1.~O:.e.2'___ Transfers ---.,.-.,...__ Total ~,4~t~6C::8~4:Jl..~02=------ As to such tax that is ?aid within three months from date of death,a five :5%:percent discount is allowable.As to any ~ax that remains unpaid after one year from date of death,interest at the'rate of six (6%)percent per annum is ~harged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Dat e __.:.J=un~e=--=8:::.;tL--::l:..9:..s.7.=::l=--__-.,-_ DATE OF DEATH:December 18,~1-.:~9 Note:This is not a bill. Si~ned 2J1a.delvx!.'!~f ~. Title MADELINE FINNEY,APPRAISER I