HomeMy WebLinkAboutOC1970-0162 - ESTATE OF GROSLEY SRi
......
FORM 67
REV.1-50
REG.WILLS
Application for 11lrttrrs of Allministration on thr
)
Estate of.J.QH.N 'tl..~G.~9..~~~¥..•.....~.~.~M M·••..
C T h"Wa h"Clateof..~ntQn Q:wns.J...p..,s..J...Ust.Qn.Q.unt,y., Deceased.
Before the Register of .Wills of Washington County
personally appeared J..Qhn G.:t:Qs.l.e.y.",J..r.l\..
who,being duly sworn deposes and says that.,J..Qhn H.f G..:t:Qs.l.e.y.",s..1:.,".
age 5.9.~,having hi.s..last family or principal residence aL Q!it:l.d;w.e..ll ~y..e.ny.e.."..
(Street and Number)
..........J.;.~nt.Qn lQ:wns.h.t.tt,,Washington County,Pennsylvania,died intestate
(City.Borough,Township)
aLW.gs.b..1ng.t.QJl..:tl.Q§.p..1t.gl ,on th~.th..day of..¥..gJ;U;.:9..~.1;:Y."..
A.D.,19 7..Q ,at...J;.1.,?,~.!.b;..M.,possessed of personal estate to the estimated value
$J".5.QQ..~..QQ ,and of real estate in:the Commonwealth of Pennsylvania to the estimated value of
$N.ane ,situate in ~..
...··········:·······i·..··..······..·······..·····..·········:~.
d
.The names and addresses of the deced~nt's ~surviving spouse (if any)and other heirs inciuding
heirs by adoption)are as follows.
RELATIONSHIP RESIDENCE
~~!'.Y.~~G~~·~p.·~·~..· · · · ··i..·..·..4.~.~gh~.~!'~..~.P...~J.~.l W~.§.h!p.$~Qp.J ~.~.:..
~~!'jQ.~.!~§.~.~~.!.~:9:~.~gh~~!:9..F.~.~!L..~.~!:!?~~.:I ~.~§.h.;Dg.~.Q~.l ~.~"
9..~.;:~.!~.!~~~.~~.!.~E :9:~~gh~~;,~.~P.:~.~E.~~P.-~y..~P.:~.~.l W~.~.h!~g.~~!1 ,Pa •
-!.~h~~~F.9..~.!~y...t -!..;:.~~.Q~I ~.9.~.~~~!~~.~~.~.;:~.~.;,.?~~.~~!~~.~on ,Pa "
Qhildt.en Qf Ka.thl.ee.n F..ranc.e.s Kne.s.t.ric.k";ge.c..e.a.s.e.g.,,g~yght.e.r..;..
.......N.~!it:l Nayl.Q.t:G.r.ands..Qn KQ~Qm9..",I.p.4j,.gn~.
.......'tl.Qw.~.r.g ~~.§.t.r..1~.ls G.r.an4~.Qn.~.1d§.~."J?gnp.§.y.l.Y.~ni.~.
.......Mj,.c.h~.e.l ~9.e.§.t.r.i.£~.G..r.~.p.4§.Qn ~.1d§.~.:I ggp.n§.y.Jy.~P.:!.~..
.I
That deponent is over 21 years of age,resides at...60 Eas.t Walnut S.t.re.e.t .
...~~~!?:!.~.;.?~.!~.~~~~;r..~y.~~~~..~.
is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of
Administration upon the Estate of said decedent,no letters having been previously issued thereon.
Sworn and subscribed before me this...../~........;;..:.
i:Ulo-"_f.~.Q.~.~.1;:Y ,A.D.,19 ZQ .
.....................~..
REGISTER
COMMONWEALTH OF PENNSYLVANIA}SS:
WASHINGTON COUNTY,
And now f..eb.r.1.1a:ry /~,191.0 .,comes J.Ohn G.x:osle.y..,J.z:,.
who being duly sworn doth depose and say that...he will well and truly administer the goods and
chattels,rights and credits of..JQbn..H G.rosley S.r ,,deceased,
to the best oLhis.....skill and judgment in strict compliance with the laws of this Commonwealth,mind-
ful of the laws relating to inheritance taxes.
da::;~:_:i~~~:~~:;'_~~~=..~~th~::~~i.O:::::::..~.~~J&.:_.:e·.....·....·..·..'7T~~·.~~~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~~REGISTER
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APPLICATION FOR )
Letters of Administration
I )
~ESTATE OF
)JOHN H.GROSLEY SR .........................................................~".
Deceased
R $...../tf.~.<?:...~..
Letters ..
,J P $.
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Extra Alias $:~
Certificates 1.1.~:..$1 !!!....~..-::-n-':_:JI .RenunciatioiH;~'.....'7'..$..:..6....q....Q......
(/)0 C .,.,~::c -(f)n"'l I /s:..........................z...~..4"...}.........~...S?.$~;;£.~.....r...c...a.~.G~n~-Iff..........................g...;:r.';••:;;;-E.........'..7...I....~;;..........·....·......'
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~A .....
GREENLEE,RICHMAN,DERRICO &
POSA,........................................................................................................
Attorney
.-.,2
,
"
ESTATE OF
}(,.
............................J..QHH G.RQS.L£X..,.~.~,""DECEASED
The undersigned £h;\;!.g.r.~.p.____,_...and heirs
H·
of J.Q.hn g,.r.Q.§.l.e.y..,..:?~.;~.late of.:__.._,.•__..
deceased,hereby renouncel.....tb.eir..right to administer on his _..___..esClftate
and respectfully askJ that Letters of Administration be issued to J..Qhn G.rQ.s.ay .J.r.l.._
••••_u •••••••••••••••..........,~._•••••••••~:..._••~••_._
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...........____.._-._---------
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l(nnUt .All jipn 1M!}wqese 'resents
Estate of.....JQ~~...g.~....g~Q§.~.~X".....§.R..~.......................}N gh?;pi;'.•0.......p'..
late of Canton 'I.awnshJ..p ,Deceased
KNOW ALL MEN BY THESE PRESENTS,
That we,JQb.p.GJ.:Q.~.l.~y..,J.;r..,.."~n!;t..!.t:~.y.~.l~.r..~InQ.e.mn.ity C.QJDp.a.ny...
all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl-
vania,for the use of those interested in the estate,in the sum of..~.~.y.e.n...T.h.Q~,JJ?.~nQ.($..1 .•Q(q)ollars,to
be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves,
jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assigns,and
1'3/1,each and every of them,firmly by these presents.Sealed with our seals and dated the day of
...............f..~J?~g~.;:y.A.D.,one thousand nine hundred and §g.y..e.n~y.O·.9..?Q.>...,..
THE CONDITION OF THIS OBLIGATION IS,That if the above bounden .
...................J.~h.~9.E.~.~.!~y..Jl J.!'..~..Jl ..
Administrator ;;or any of them,shall well and truly administer
the estate according to law,this obligation shall be void as to those who shall so administer the estate;but
otherwise,it shall remain in force.~f2,.~;/.J tzf_
Sealed and delivered in the presence of:jtf't\~~t~~~·~:~L),
.."'-:\{SEAL),~
~RAV.EL ....INDEMNITY....C.O!.:fPA:N{)SEAL)-.
.....r)_,~
B·.........~.......~1'1f~.....J::....:-h:~~(SEAL),eorrte'y ~n .rj C I..~'r"";;'.-..:...-_~..'--t :--
@'tatemeut nf &urrty .,
\\'I,,surety in the sum of $ :on the
administration bond in the estate of..,say that I reside at
..............................................................................,Washington County,Pennsylvania;that I am the owner of real estate,
the title to which is in my own name and duly recorded,situated in ,
Washington County,Pennsylvania,worth above all encumbrances $;and that I am worth
the amount expressed in said bond,over and above my just debts and liabilities.
j
Street
~tatemeut nf §urety
P.O.
I,:,surety in the sum of $on the
administration bond in the estate of :~:,say that I reside at
..............................................................................,Washington County,Pennsylvania;that I am the owner of real estate,
I
the title to which is in my own name and duly recorded,situated in ,
Washington County,Pennsylvania,worth above all encumbrances $;and that I am worth
the amount expressed in said bond,over and above my just debts and liabilities.
Street P.O.
COMMONWEALTH OF PENNSYLVANIA,}SS.
WASHINGTON COUNTY,.
And now 19 comes ..
who being duly sworn,says that he is acquainted with the financial standing of the securities to the within
bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners
of real estate in their own right of value more than the penal sum of said bond over and above all incum-
brances and exemptions.
Sworn and subscribed before me this ..
day of A.D.19 .
LJ-7()~liL
No.8/.3
..............._J~:...~__;;.___---------v.,.---
1\~miniBtratinn inn~
IN THE ESTATE OF
JOHN~._GROSLEYa SR a::::::::0 ..t:;f'rl ::t)2:;1j
:::x::G":>C::=~-z;:;Cn ~.3=-{:':"'1 c:::c-1---
And now Felir.JJBtr.y 13._~..,19 70a~I-.J ."t --
Bond apprdVeq and Letters iSllued to
C'")'l:.:C:::'-",.....=.i.--:;,~.'-"-...::---......
John 1\,~Ji§sley.t-:Jr.who
L.-~•CI)0
was duly quali~ed.
Russell Marino,
Register
Bond Book ~Page 239
~2
~,;
{...~.
.,
The Travelers Indemnity Company
Hartford,Connecticut
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That THE TRAVELERS INDEMNITY COMPANY,a corporation of the State of Connecticut,
does hereby make,constitute and appoint
-------G.Herschel Fetherlin,Loren W.Carl,both of Washington,Pennsylvania,EACH
its true and lawful Attorney(s)-in-Fact,with full power and authority,for and on behalf of the Company
as surety,to execute and deliver and affix the seal of the Company thereto,if a seal is required,bonds,
undertakings,recog~izances,consents of surety or other written obligations in the nature thereof,as follows:
--------Any and all bonds,undertakings,recognizances,consents of surety or
other written obligations in the nature thereof not exceeding in amount
Fifty Thousand Dollars ($50,000)in any single instance
and to bind THE TRAVELERS INDEMNITY COMPANY thereby,and all of the acts of said Attorney(s)-
in-Fact,pursuant to these presents,are hereby ratified and confirmed.
This appointment is made under and by authority of the following by-laws of the Company which by-laws
are now in full force and effect:
ARTICLE IV,SECTION 11.The Chairman of the Board,the President,the Chairman of the Finance Committee,
the Chairman of the Insurance Executive Committee,any Vice President,any Second Vice President,any
Secretary or any Department Secretary may appoint attorneys-in-fact or agents with power and authority,
as defined or limited in their respective powers of attorney,for and on behalf of the Company to execute and
deliver,ano affix the seal of the Company thereto,bonds,undertakings,recognizances,consents of surety or
other written obligations in the nature thereof and any of said officers may remove any such attorney-in-fact
or agent and revoke the power and authority given to him.
ARTICLE IV,SECTION 13.Any bond,undertaking,recognizance,consent of surety or written obligation in the
nature thereof shall be valid and binding upon the Company when signed by the Chairman of the Board,the
President,the Chairman of the Finance Committee,the Chairman of the Insurance Executive Committee,any
Vice President or any Second Vice President and duly attested and sealed,if a seal is required,by any Secretary
or any Department Secretary or any Assistant Secretary or when signed by the Chairman of the Board,the
President,the Chairman of the Finance Committee,the Chairman of the Insurance Executive Committee,any
Vice President or any Second Vice President and countersigned a'nd sealed,if a seal is required,by a duly
authorized attorney-in-fact oragent;and any such bond,undertaking,recognizance,consent of surety or written
obligation in the nature thereof shall be valid and binding upon the Company when duly executed and sealed,
if a seal is required,by one or more attorneys-in-fact or agents pursuant to and within the limits of the authority
granted by his or their power or powers of attorney.
This power of attorney is signed and sealed by facsimile under and by the authority of the following Resolu-
tion adopted by the Directors of THE TRAVELERS INDEMNITY COMPANY at a meeting duly called
and held on the 30th day of November,1959:
VOTED:That the signature of any officer authorized by the By-Laws and the Company seal may be affixed by
facsimile to any power of attorney or special power ofattorney or certification of eithergiven for the execution of
any bond,undertaking,recognizance or other written obligation in the nature thereof;such signature and seal,
when so used being hereby adopted by the Company as the original signature of such officer and the original seal
of the Company,to be valid and binding upon the Company with the same force and effect as though manually
affixed.
This power of attorney revokes that dated August 18,1958 on behalf
of G.Herschel Fetherlin,Loren W.Carl
IN WITNESS WHEREOF,THE TRAVELERS INDEMNITY COMPANY has caused these
presents to be signed by its proper officer and its corporate seal to be hereunto affixed this 28th
day of February 1968 .
THE TRAVELERS INDEMNITY COMPANY
BY~d./~~"'''''''F;del;ty and S",,,,
State of Connecticut,County of Hartford-ss:
On this 28th day of February in the year 1968 before me personally
callle C,I{JJger Wheeler to me known,who,being by me duly sworn,did depose and say:that he resides in
the StaH'of ('ollnccticut;that he is Secretary (Fidelity and Surety)of THE TRAVELERS INDEMNITY
CU\i]]'A!'\Y,the corporation ,described in and WHich executed the above instrument;that he knows the seal
IJl S;Jid UJrpora tion;that the seal affixed to said instrument is such corporate seal;that it was so affixed by
authorit y of his office under the by-laws of said corporation,and that he signed his name thereto by like
authority.
".'
S-1869 HEV.7-65 PRINTED IN U.S,A.
Notary Public
My commission expires April 1,1969
(Over)
','
CERTIFICATION
1~'J-'J?
~w·"""'a
Assistant Secretary,Fidelity and Surety
/J fl day of ,?J:'-.'
...~:'~';...
Signed and Sealed at ltartford,qonnecticut,this
"1869 (BACK)
I,Wm A,Shrake,Assistant Secretary (Fidelity and Surety)of THE TRAVELERS INDEM~ITY
COMPANY certify that the foregoing power of attorney,the above quoted Sections 11.and 13.of Article.IV
of the By-Laws and the Resolution of the Board of Directors of November 30,1959 have not been abridged
or revoked and are'now in full force and effect..,_
f""
'.
1\ffi~auit (@f 1fxl'tutnr (@r !\bmiulstratnr
t;tatr nf JIrltltDylualtia.~DB:
C!tnuuty nf 1IIlIa!l~iuBtnu ~
Personally before me,the undersigned author'ity,a J~~.~.~.~;Y.~~'!?.!.!.~in and for said
County and State,appeared J.9.H~9.RQ§.~.~X.s J.R.t who,being duly
sworn according'to law,deposes and says that he is the .~~administrator of the estate of
J..9.H~H.~G.B:Q§1~¥."~.~.~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of.J.QHN....H.Il....G.R.Q§1~.x".....~.KIl.....,
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 ~Adm~ator.
Sworn afld subscribed be,e me this~/...::::......l~Y;~J~j)~~~
day of.~~..·r;;..·7:..~·..··..··..·..~~~t:~~..·..···~:~;_......."~~~;~;;;:~~"INSTR~~~~O~~OSley,Jr.
1.An inventory must be filed within three months after appointment of personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 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
lfuurutnry aull]\pprai.armrut of the goods and chattels,rights and credits which
were of J.9.H~H.!G.RQ§1;§;X"§.:R..~Jate of 9..~P.:~.~~:r.~~~~!p...
Washington County,Pa.,taken and made in conformity with the above affidavit.
J
REALTY:None
PERSONALTY:
1.Internal Revenue Service,refund of 1969 income
tax overpayment
2.Cash received from Ralph Clemens on sale of automobile
3.Proceeds from insurance policy,Western Pennsylvania
Heavy Construction Industry carpenters'Welfare Fund
axxxRXlKlKl!xggl_xlKIKIXK«KX,IXZIJ;XWK1KIKIXIHKKI,XIIKtI
BIXB,X«BBIKKHKKIHKXXHlHIKR,X«XIJBHKKlltXWIXIXIIXEHHB
TOTAL ASSETS OF THE ESTATE
DOLLARS
88 40
100 00
3,000 00
3.188 40
CENTS
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,.
Inventory and Appraisement
IN THE ESTATE OF
19...1.Q.Filed :,
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GREENLEE,RICHMAN,DERRICO 8<POSA
ATTORNEYS AT LAW
WASHINGTON TRUST BUILDING
WASHINGTON,PENNA.
------------------------------
Form No.RCC-62 (7-69)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER '10,000,UNDER SECTION 701 OF ACT OF JUNE 16.1961.jE~ll'ECTIVE .JANUARY 1.1982.(FILE IN DUPUCATE WITH COpy OF WILL ATTACHED)..
OFFICE OF THE REGISTER OF WILLS
County of WA~lI.:tI~~{;:rQ:N .
...JQllN..G~P.&t~X,.J~.•.....' ,of.?q.~.~~!=..W~.l.~~~..~~.~L ~~~.~~~.&~~!J:".~~~.'
(Name)(Addrel8)
being duly ~~Q~._._...._.._....__.according to law,deposes and says that he is the...A~_~~_~_~~_;:~_~.~!'.....
(Exec..Adm.•Legatee.E,C.)
of the estate of...JQ~.N._R_'!.G~Q~~~X1...~~_!.•whose last residence was f_~1.~~.~~1.__~y~~~~..__......._..._(No.)(Stl-eel)
jy.?-~h!-~g~.Q~_L_;1:'_~_'!.....----------..deceased,and that the whole of the estate of said decedent,who died !!_~!?_~_..9_,.__J~.?Q..2(CllY.Borough or TownshIp)..(Date)
.~nsisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS....
Real Estate Estimated.NONE I Value
Personal Property
1.Internal Revenue Service.refund of 1969 income
tax overpayment 88.40",
2.Cash received from Ralph Clemens on sale of automobile 100.00..,,.
3.Proceeds from insurance po1icy~Western Pennsylvania I.,
Heavy'~onstruction Industry Carpenters'Welfare Fund 3,000.00,.
.
x.a:.x x
~ma..'.
.
...
.
.....
...
.
..TOTAL $3,1:88.40
NOTE:You may expedite the processing of this return by filing with it,and as a part of the :return,
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
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
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.
Jointly Held Property NONE Estimated
Value
--.~'.",
__________________________________________-1-_
Transfers withir TWO YEARS Prior to Death NONE I.
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 de,~edent'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
NO
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
BENEFICIARIES
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
BENEFICIARIES AND ADDRESSES
RELATIONSHIP SURVIVED AGE OF LIFE .(If step-children or DECEDENT TENANTS OR INTEREST OF
(State ful~names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE
forth this fact.)DECEDENT
Marv Mae Garber ..R.D.4;6 ..Daughter Yes 1/5 .
Washington.Pa.
Mar;orie Sakerka.Green St ..Daughter Yes 1/5
-washingtol1LXa .
~eraldine Wheeler ..Henderson ,
Ave.,Washington,Pa.Daughter Yes 1/5
John Grosley,Jr.,60 East
Walnu~St.,Washington,Pa.Son Yes 1/5
Children I)f Ka thleen Frances Fnestrick,dec eased.da ughter:
Neal Nayll)r,c/o Edward Nay101 ,
t~~w.Markland,Kokomo,Grandson Yes 15 1/15
Howard Knestrick..91 MaDle St ..
,
Muse ..Pa.Grandson Yes 13 1/15
Michael Knestrick..91 MaDle St ...
Muse,Pa.Grandson Yes 11 1/15
J
RESWENTJ;l.ECEDENT....--.
-,,,DEBTS AND DEDUCTIONS CLAIMED
"'~
NOTE'List first five items in the spaces so provided,observe notations thereon,and instructions.
$Funeral expenses paid
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN.-------=-=-=---.:...=.:.-=-.:=-=-----·--.---------=-------------.------,----+OiKEGISTER ONLY
$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses •
Counsel fees •
Fiduciary commission •
OTHER DEBTS AND CLAIMS
(.)See Note below
Will file separate Stat~ment of Debts and Deductions liter.
Total
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi·debt is greater
or less than the estimated amount claimed and allowed.~..-:..~......"~""""""""'"
Subscribed andJworn to hef.ore me this :.aT ~Ad nis ator)
.....(~:clay of .,19.79 ~8~~~~~~iifuit~~treet .
......7..('-d:-::~(Street Number)
Notary Pu ic -W~.shington,Washi.ton Co.,W~~~.i:-qg,t;c;>~,..~~.1).~~Y~.Y~.t:l~?..~~~9.t.
My Commission E~ires:(City or Town and State)
..~~~:~~.~~~~.~Jd~~I.'~i.n.gd::::~'..1.~~.~~.~~~~'.~.h...Ae....a...b~:)~~.~.a.~.~.:..~.:s..e.~~~"n,tL~:sa...,.-e.,~in".,conformit y
with¢lawon this
~~..<:-........~..~:YC ..
RiSeI'
In the event that any future interest in this estate is transferred in possession or enjoyment to coli te al heirs of the decedent after the
expiration of any estate for life or foJ'years,the Commonwealth hereby expl'essly 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
~
"•
Form No.RCC-62 (7-69)
WillAdministration INo.. . . . . . . . . .Year .....
IN THE
MATTER OF THE APPRAISEMENT
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ESTATE OF
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Deceased
Late of ..~~!l.~9!l..~~I?~i:P....,,,.0 ,
County of . ,0 0 ~~~~~~ton..........................
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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GREENLEE,RICHMAN,DERRICO &POSA
ATTORNEYS AT LAW
WASHINGTON TRUST BUILDING
WASHINGTON,PENNA.
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RCC-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
JOHN GROSIEY,JR.
~au"'ml1(7aiKAdministrator)·
IN YOUR REPLY PLEA.E
REFER TO 638-45-
J
In Re:Estate of --=-J.:::.°:.:HN:.:.....;H:.:.:..•...;G:::R:.:.:OS=LEY=:...l,~S.:.:R:..:.._
______T.:.:;v~A~S~J;.;.:n:.:N;.::.::TG::.,;:T:...::O:=.;N:...._County -File No.63-70-162
Dear l-1r.Grosley:
You are hereby notified that the original
appraisement in the estate of John H.Grosley,Sr.
has been filed in the office of the Register of Wills qf Washington
County on April 23 ,19-19.Said appraisement reflects the
following valuations:
Real Estate --:---:--:-__
Personal Property ~3~.=1~8~8~.~4.:::.0 _
Transfers --,-.,--_
Total ---l.3.,2..1:!::8~8::<.J.!.!::4~0:....-__
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 __---=A:.:Jpi:::::r'c.:::i,.=1:;.....:::2.....3..2...-=1=..9w7..::0:....__Signed
Title W.R.CHAm~Y,PRAISER '->k~R
DATE OF DEATH:February 9,1970
Note:This is not a bill.
~.
,C C-39 (5-681
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
estate of GROSLEY,
(Last Name)
JOHN
(First Name)
H.SR.
(Initial)
DATE OF DEATH 2-9-70 FILE NO.63-70-162
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of ~_la_s_h_in__=g=_t_o_n _
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E".
Dated:--"a,.,.4c::-!:<2..L3-=-7LlO~_
CY2-09-70
REPORT OF THE REGISTER OF WILLS
I,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
3.188 4.0
3.188 40
$
1.188 LO
3.188 40
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$$-------+---
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
annuities ...................$t=t=l=ESTATE TAX ASSESSMENTS $
COMPUTATION OF TAX
$---------4--
$
FOR USE OF REGISTER ONLY
Tax on $--1__2%
T $@axon0
Tax on $5%$
Tax on $10%$
Tax on $15%$
Exemptions *(*)As evidenced by Charitable
Total Estate Exemption Certificates issued
TOTAL TAX $by the Secretary of Revenue.
Less tax previously paid $t=BALANCE $
Less 5%of tax if paid within
3 months after death $
BALANCE OF INHERITANCE TAX DUE $l=Add interest at rate of 6%from
to $
AMOUNT OF ESTATE TAX ASSESSED $CEstatetaxpaid$L-BALANCE DUE $
Add interest at rate of 6%from t=to $
TOTAL TAX BALANCE $
PAID $
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,
I
same should be noted below,with short explanation.
~~
I
Will
Administration !No.
IN TIlE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
tJ()H1'JI1~~~~~'.SR.
Deceased
Late of ...Gl\1oJ'I'()N nIP•
•
County of ...Wi\$J:I:i:NG'rQN...
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
..
J'•I
Fonn RCC-z·
DEP,(RTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 12 7
1~OMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX·
APPRAISEMENT
DATE AF~.:.L...???~.?.79..
>·COUNTY W§..emngt..9.p..
FILE NO.~.?::.7.9..:.~.§.?................
Whereas,4.Q.bP H..•.....~;rQ.$.l.~yJ s.;r late of G@:t.9.!!:::r.~.~,
in the County of W~~.mngt..g],Commonwealth of Pennsylvania,having died on
the .9..th day of f.~.p.;r.u.a..ry 19 7.0,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,.\If R.C.bane.y ,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
PERSONALTY :
Description of Asset Unit
Values
$
Appraisement
Made for Inheritance
Tax PurpolOs
Int,ernal Revenue Service refund of lq6q income1--o!.l..l...l.l.Su......u&!o.l..~~~~~lo..-.LO~'+-~~~.,!,!J,.-eb..L:=!-~~~::::.-.+-H-+-__
Tax overnavment 88 40
1 C::!:a~'s""lh""'---'r~e:<..:c:<..:e"-'i=..:v'--"e"-'d"---=f..:r.".o""m'----"-'R""'al""~D]h_=Cl~em...e""n"",s",--,o""n~s""a=1=..::e~o=f---"c=ar=------ir-----__----ltt-__-=1..::.00-=---+-0.::..0':""""_1
3.000 00
Total 3.188 40
------------------------------------------------------------------------------------------------,.
.."",..,WASHIWG'ron 'County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
JOP.N "H.."",GRQS,LEX,,,$R..,,,,,,,
Deceased.
Late of
CAN'ION T\'1P.
Date of Death,"""f..~p,~;ry,9,,,,J.97Q,,,,,,,,,,,,,,,,,,
Appraisement Docket Vol.,"",,,,,,,,,,,,,,,3$.,,,,,,,,,,,,,,,,,,,,,,,,,,.
Page,",,,,,,45,,,,6,,,,,,,,,,,,.,,,,No.,,,,,,,63,~70~l62.,,,,,...
Filed in Register's Office,",,,,,Apr.U,,,,23,.J9,,7Q,
Amount of tax due,$",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..,,.......
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..,..",,,'..,,,,,,,,'..,,,,..,,........,,....,,,,..........
Wrote abo.ut Appmisement,""",.."""...."......,...."""..,,,.....,,,
Appeal f,.om Appraisement,"""""..'..""..""..""""'....,..""",,,.
Entered and charged,,,"""''''''''''''''''''''''''''''''''''''''''''''''''''''''''•
".~rO~TS ("J -7d-/C ""JFormRCC·lO 01CTlONS ALLOWED IN.-r/).3 -¥S--k
OFFICE OF THE THE SUM OF ............'ulb~~..~~
REGISTER OF WILLS A•._.nEDUCTIONS MAY I,,,,7 1911 RUSSELL :I;A,;/NO
Washington DAJZ:IIH~~OF COUNTY
AND AGENT OF THE COMMONWEALTH
Regilt..of Will.,Agent
ESTATE OF JOHN H.GROSLEY,SR.L.ATE OF Canton Townshio
DATE OF FIL.ING APPRAISEMENT April 21,1970 D....TS OF DEATH February 9,1970
DATE NO.OF NAM&:OF PAYEE REMARKS ...."'OUNTVOUCH"",-
Feb.9 ~bel Funeral Home Puneral exp'enses 271 50
Feb.9 ~ashington Cemetery Burial plot,opening and
1 21)closin2:2:rave 00
Feb.9 John Grosley.~dvanced for clothes for 11)00Jr.hn't"'-i.ql
Feb.17 washington Co.Reports Advert~se Letters ot 14 00dministration
Feb.26 Observer Publishing Co.\qvert~se Letters ot 14 00dministration
Feb.26 Fetherlin &Carl ~dministrator's Bond Premium 55 00
Feb.13 lJ~~~~ll Marino,Register of ~plication for Letters ofministration 15 00
lfiredit l~ureau for WashingtOIl or mea~cal serv~ces rendere~17 50July22ro~n;ra prior to decedent's death
b"uly 22 ,Bernard Berman,M.D.lMedical services 126 00
May 22 I~r~enlee,Richman,Derrico rounse1 fee 200 00)n~;:J
I
May 22 John Groslev.Jr.~dministratorrs Corrnnission 1f,0 00
May 21 Russell Marino,Register of File Inventory 3 00r.B"~
-
./"~
(lb)l 6q
COMMONWEALTH OF PENNSYLVANIA
}S.:"'-=---<
COUNTY OF TNASHTNc:rrON
I,.John Gros1ey,Jr.HEREBY CERTIFY.TH....T.TO THE BUT OF
~y ICNOWL.I!:DGE ....ND BELIEF.THE FOREGOING IS ....JUST ....ND TRU E ST....TEMENT OF DEBTS.FUNERAL.EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED TO THE ESTo\TE OF .JOHN H GROST.EV,SR.DECu.eED.AS DEDUCTIONS FOR
'HN.'OTAHCO TAX PU.PeS...~~\l.-y~.(1..S.l
SWORN AND.~RL:EDBE~OR_~IS V.D....Y 01'/~.~~<.f.--.trll2.70Yh~":'(-).~_..J./
'/J '"
HYRA J.HARSH
tUt",.,.:_':111'Washington.Washington Co.
1!'.•~IOn Expires March 12.191J