HomeMy WebLinkAboutOC1970-0180 - ESTATE OF TREMBLEYI ,_
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I,J~1ES J.TREMBLEY,of the Rorough of California,Washington
County,Pennsylvania,being of sound and disposing mind,memory and
understanding,do hereby make,publish and declare this as and for
my Last Will and Testament,hereby revoking and making void any priod
Will or Wills,heretofore made by me,or any writings in the nature I
thereof that I may have executed:
FIRST:I give,devise and bequeath all ,my estate,real,person,l
or mixed,wheresoever situate,to my wife,Mildred Trembley,in doing
this,I have taken into consideration the interests of my children.
It is my desire that my wife,Mildred Trembley,shall receive my
entire estate to be hers,solely and alone.My three children are
to receive nothing.as they already have received that to which they
are entitled.
SECOND:In the event that my wife predeceases me,then all my
I
.estate,real,personal or mixed,wheresoever situate,shall be equally
divided among my grandchildren,share and share alike.
THIRD:I hereby nominate,constitute and appoint,my wife,
Mildred Trembley,as executrix of this Will.
FOURTH:I direct that Morley M.Azorsky,Esq.of California,
Washington County,Pennsylvania,shall be employed and retained as
attorney for my Estate.
IN WITNESS WHEREOF,I have hereunto set my hand and seal this
day of July,1969.
",.-....,..-=0:,
..
...Form'RCC-33
RESIDENT DECEDENT
COM.MONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF WASHINGTvN
J
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
the Inheritance and Estate Tax Act of 1961.)
IN THE MATTER OF THE ESTATE OF }
JAMES J.THEMBLEY AFFIDAVIT OF................,·,··..···..· · ·..i·s~t~··f~li ,:;;;:;;;~..·~i..d~;;d~~t·),..........................................EXECUTOR
Ca1ifonnia t Washingtun ADMINISTRATORLateof,,.,,..................................County
State of :r.~:L.'!1'I$X~.y.~.~~}5S:
County of .,..,.,.WASHINGT.v.,N .
Mildred Trembley
Administrator of the estate of the above-named decedent being duly sworn,depose and say
Eueutor
Name and address of attorney or}Murley M.
other authorized representative to .
whom all correspondence should be ...._,
mailed.
Decedent dJed .February 8,
(Month)
,,'19i.o,{'testate leaving a last will,copy of which ia hereto attached.,}
(Day)(Y""r)intestate
A~vrsky,214 fifth St.,Ca1J.fornia,Pa.15419
That as such .Ex.e.cnt.r.1X deponent is familiar with the affairs of said estate and the property con-
(JI:X(~CUtor-Admin istrator)
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 THIS SAFE DEPosiT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
l'lvue
That the contents of said safe depo~it 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 fullv 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 by the decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks
of deposit,savings banks,trust companies,or other institutions,whether indiVidually,or in 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 date of decedent's death
in all other cases;all bonds,postal saVings,treasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent;all obligations,whether by statute or agreement they
are designated as tax free,of the United States,or any state,or political subdivision thereof,or of
any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic-
tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated
market value thereof;all bonds and mortgages 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 ror 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 policl'es carried by decedent;all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death,with the market
value thereof at such time.
I
"".~
In the case or securities or close or ramily corporations,the values reported are as rar as
possible substantiated by rinancial statements or the corporations,showing the assets and liabilities
thereor as or the date or death.The schedule also sets forth the interest of decedent at the time or
death in any co-partnership or business,and in supp~t or the value of such interest there is annexed to
said schedule,rinancial statements showing the assets and liabilities or said co-partnership or business.
A copy of the co-partnership agreement,(ir oral,a statement setting rorth the nature of the agreement)
together with a statement setting forth the character or the business,its location,and such other facts
pertaining to the business as may be pertinent to a rair and just appraisal or the decedent's interest
therein must be submitted.It should also set rorth in itemized rorm,together with the rair market value
thereor,any other property owned or bequeathed by the decedent at the time or death.
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case or transrers orproperty,real or personal,within two years or decedent's
death,in contemplation or decedent's death,or intended to take erfect in possession or enjoyment at or
arter death,said schedule sets rorth the nature and value of such property,to whom transrerred,the
relationship or the transrerees to the decedent,the proportionate share received by.each transreree and
all "other facts or a pertinent nature regarding said transr~rs.In the case or transrers intended to
take errect in possession or enjoyment at or arter death,there is also attached to the schedule a cony
or the deed,trust agreement or other instrument creating the trust.Ther,~is also set forth in said
schedule a list or all property,real and personal,with its value,which passes at decedent's death by
virtue or the exercise,by decedent,either individually,orjointly with another,or any power or appoint-
ment vested in decedent,either individually or jointly,by the will,deed,or other instrument or another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule 0 attached hereto and made part hereor sets rorth the names and addresses of all
persons benericially interested in this estate at the time or decedent's death,the nature or their res-
pective interests,their relationship,ir any,to the decedent,together with the ages at the time or
decedent's death of all minors,annuitants and benericiaries ror lire under decedent's Wi~l.It also
contains a statement showing which or the beneficiaries named in the decedent's will,if any,died prior
to'decedent,the dates or their death,their issue,and the relationship or such issue to the benericiary.
That Schedule E attached hereto and made a part hereor sets forth all property,real and per-
sonal,owned by the decedent jointly with another or others,including intangible,standing in the name
or the decedent and others,plus the date and place of record or instruments erfecting the vestiture of
real estate and the date or acquisition or personalty,plus the name,address and relationship,ir any,
or co-owners to the decedent.
That Schedule F attached hereto and made a part hereor sets forth fully and in detail all debts
and deductions claimed ror and on behalr or this decedent's estate,including funeral expenses paid;
ramilyexemption,where applicable;costs or administration or this estate;counsel rees and fudiciary's
commissions paid or to be paid;cost expended ror burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence or the death of the decedent;debts and claims owing and Irnpaid at time or
death;taxes accrued chargeable ror period prior to decedent's death (except those allowed under Section
651 or the Inheritance and Estate Tax Act);together with a statement of collateral pledged for Obliga-
tions,ir any.It is agreed that the riduciary will present proor of said claimed obligations upon re-
quest,that ir the amount actually paid in settlement or any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register or 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",nCR,"E",and "F"as directed therein,
have been carried forward and properly registered in the Summary.
'/thSubscribedandsworntobeforemethis ~Ad~~--'---
423 Univn Street.......................................................................................................................~..".
(Street Number)
....Q.al.,~.y..~.g.J ¥.?:..~;h2.~~:9..
(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.
..,~...........................day f ~19 ZQ..----~;~ivn;c res April 3;-19'/2
-----------------------...----------~----------------......,
RC".,I:-34 ,(1-64),
'COMMONWEALT,H OF PENNSYLVANIA
'DEPJ(RTMENT OF REVENUE •
BUREAU'OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEpENT
SCHEDULE "A"
REAL PROPERTY
Real property in Pennsylvania,with statement of mortgage enc~mbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the decedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commonwealth of Pennsylvania should be
described by lot and block number,street and street number,together wi th
a general description of the property,with a reference to the record of the
conveyance by which the decedent took title;If a farm state number of a·
cres;also statement of mortgage encumbrances upon each parcel at death
of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are
to be listed on Schedule IIF"and must not be deducted from this schedule.
(1 )
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(31
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this space)
ALL that certain lot vf ground numDere~
.l:!:ight (8)in a suodivisiun vf T.J.Unde.r'Wvo~
et ale of Lots Nos.~.85 and 86 in the
General Plan of Califurnia,Washington
County,Pennsylvania,and being ooULld and
described as,fvlluws:
BEGINNING at the Suutheast corner vf
Secvnd Street and ~each Alley;thence
Eastwat'dly alvng Secvnd Street 40 feet to
the line of R.U.G.S.Alley;thence ovuth-
wardly alung the same 101 feet to the line
vf Lut No.1 in said¥lan,nuw or formerly
of .l:!:dward Yablonski;thence Westwardly alun~
the same 40 feet tv Peach llley;and thence
~vrthwardly alvng the same 101 feet tv'the
place vf .t;eginning.
(This Property was sold uy the.
executrix tu Robert and Joseph Sepesy fur
the sum of $10,500.00,the deed was recorde~
in the Heeorder~s Office of Washingtun
County,rennsylvania ,on May 4,1970)
Insert this total opposite "real property",Schedule "A"in the X X X X X
"As Reported"column on the last page of this return.
$10,500.00
R~C-35
'COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned indiVidually
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Intangible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.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 any undistributed
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)
11~
.
,
Insert this total opposite "Personal Property",Schedule "B"in X X 0,00
the "As Reported"column on the last page of this return.
RC9-38 •
COMMONWEALTH OF PENNSYLVANIA
rHANSFEH TNHEIU TANCE TAX
RFSIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
DiSTRtTTIOSS:This schedule must disclose all property,real and personal,owned by the rlecedent 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-owners to
the df'Cf!dent.
Name I ---
Description of Property,Date of Acquisition,Unit percentage Estate DEPARTMENT VALUATION
Address and Relationship of Co-Owners,and PIace :Value Share Valuation CAUTION-Do not Write
of Record of Instrument,where Real Estate.I In This Space.--
Value of Value of
Entire Decedent's
Property Interest
'~-
I
I
I
I
I
I I
I
IIII
I
II
I I IIII!
I I II
I I I
I I
IIIIII
I I
I I III
Ii
Insert this total opposite "Jointly.Owned Property",Schedule "E"Ov DO
in the "As Reported"column on the last page of this return.
~cc-36 '
CO~P.lroNl\'Er\LTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
~SSIDENT DECEDENT
SCHEDULE "e"
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)_
(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)__
(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)__
(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)_
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)__
(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)_
(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)_
(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 DESCRIPTION MARKET VALUE
(Es Umated)
DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
..'...·.RCC~37 (12~63)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
(
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFstatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this ,fact.)OR NO BIRTH-_._--_...-,
Mildred Trembley Widow Yes sui ~urif vestee.
.
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
OF THE
ESTATE OF
~IATTER OF THE APPRAISEMENT
(Executor·Administrator.
must complete "As
Reported"column #1.)
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DATE APPROVED ...
----r:u~U ~,,~~
Regl.ler of Will••Ago.1
Ut.LJUI;.rv :s ALLUYVc.lJ IN J
•T~E SU~OF $~/ft??·zl
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~~-Li7-~~TA"fEMEN'r OF DEBTS
AND DEDUCTIONSCOUNTY
OFFICE OF TME
REGISTER OF WILLS
OF Washington3.AGENT OF THE COMMONWEALTH
ESTATE OF James J.Trembley LATE OF _..loC...sa;l...l.)..L;...Lf..L0.LIrL-nLL.L;~aL....lB~O'-I...Lr.L.OuJ~lg~hLl-_
DATE OF FILING APPRAISEMENT DAU OF DEATHm February 8.1970
DATE NO.OF NAM,.OF PAYEE REMARKS A"'OUNTVOUCH..-1It
Reg of Wills &Letters Testamentary &
Feb 1 Guy Rogers Takinq Letters 38 00
'.M;:nr 7 ?f"'::l1p-Ffip l'-"11 i pf r.I.11 Ri 11 1 2R1.1:)0
3 Morlev M.Azorskv Attorney Fee 525 00
4 Alex Dubart Grave Harker 221)00
5Dl Powell M..n..Last Illness Bill 81 00
6 Dr.Walker Last Illness Bill 158 20
7 Dr.Birch Last Illness Bill 75 00
8 state Pharmacy Medicines &Rx.35 43
9 Adam Koncik Tax CollectOl:1969 l,ocal Taxes 114 23
1n n Biai Esa ..Pro-rate 1970 rp::lVPC::66 96
11 John D.Woodward,Recorder 1/2 Transfer Taxes 105 00
12 J.W.Edwards Co.Fire Insurance 80 00
13 West Penn Power Co.Electric Bill (f,inal)33 00
14 CGlifornia Borough Sewage Assessment 18 10
iJ-tt:r}2..LJ 15 Mellon Nat'l B'k &Tr.Co.Improvement Loan o;<,?3,044 32
I I \
I I--------Washington Co.Reports Advertisina lLl ()()
Brownsville Telegraph .Advertisinq 10 00
Mildred TremuleY FAm.i13i;·'.'i:1 '.,..""'I "'"'",'n~_.,J'-•.,n •)not:!:
r ",...~..,.......--
IJ'lI JlJ'lli T.6.Q06 '14
-
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Washington
I.Mildred Trembley HEREBY CERTIFY.THAT.TO THE BEaT OF
INHERITANCe:TAX PURPOSES.
MY KNOWLI!:OGE AND BELIEF.TME FOREGOING IS AJUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBM'ITTEO TO THE EST...TE OF James J..Trembley .oECEAeED.AS DEDUCTIONS FOR
~~~.~~~~~:~..~(L.5.)
SW;~NANDSUBSC:B~EOBEFOREMETHI,:-"'7-=0~7....1t...h""--_'OAY 01'
7::-
R CC-Sl (2-64)
COMMONWEALTH OF PENNSYL VAN IA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
HIIDHED TREt-ffiLE;Y
IN YOUR REPLY PLEA8E
REFER TO 38-47-2
J
In Re:Estate 0 f .=:;JA:.:..:..:H=E~.:::.S__=_J..::...__=TR=EJ.:..:rn=LE:::.·"'V:::...._
_____W_A_S_H_I_NG_ID,;,..;...N County -File No.63-70-180
You are hereby notified that the original
appraisement in the estate of JamesJ.Trembley
has been filed in the office of the Register of Wills Qf Washington
County on June 29 ,19-1.0.Said appraisement reflects the
following valuations:
Re al Est ate _--'-..:::1:.:::0:.l.."""5.:::.00~.00::.:::....._
Personal Property __
Transfers "..".~."....".___,::__=__,__--
Total --=1::;:0:.>.,""5..::;.0..::;.0~.0::.;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 (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Dat e .....:J::...:u~l1!=e~2.L.9..L,.....:1=..9LJ7...;:0:....-_
Title VI.R.CHANEY,
DATE OF DEATH:February 8,1970
Note:This is not a bill.
..
;'CC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
TRE1vlBlEY JAlJl'ESEstateof- ,
(Last Name)(First Name)
J.
(Initial)
DATE OF DEATH __2_-..::....8-.-:7--=.0__FILE NO.63-70-180
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington
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:---"'-o6.:::---=2"-!9,--.,e,.7-=-o _
02-08-70
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for Washi~ton 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
allowod",a doducHoo.!')..Ch'A-'hJCl
Dated:06-29-70 ~/#tvVYYW
REGISTER OF WILLS
VALUE AS REAPPRAISED
$-------+--IU.I)()()JO
10 1)00 )0
6 906 71.L
3,593 26
$.LU "lUU UU
10 SOO 00
6.906 n.
3,593 26
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
FOR USE OF REGISTER ONLY
Tax on $---------+---~ovoTaxon$1"'+-'1)'-'-"Q1--t'1?io.\,'lh.l-
Tax on $---------t---
Thxoo$lK
Tax on $15%
Exemptions *
Total Estate --l.__
TOTAL TAX
COMPUTATION OF TAX
$-------",~---4-="..-
$2=1=5-+-=0~0
$---------+--
$-------~-
$--------+---
$....L-__
Paid In Full (5-11-70)
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
:t::
$=====L===
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $----.J
AMOUNT OF ESTATE TAX ASSESSED $---------lL-
Estate tax paid $----'l-
BALANCE DUE $-------11_
Add interest at rate of 6%from t=
-------'lto-----$----------l'
TOTAL TAX BALANCE $--------<
PAID $--J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will !...No.Administration
IN THE
year .
MATIER OF THE APPRAISEMENT
OF THE
ESTATE OF
JAI~S J.T~'ffiLEY
Deceased
Late of ..CALIFORNIA
.~.
County of ·WASHINGT.ON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
~
~
Fonn RCC-2
_D~PARTMENT OF REVENUE,.
'BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 127
COMMONWEALTH OF PENNSYLVANIA.-,
.RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ~~.t:l ?.9.,"+..7.J..g .
COUNTY J.'!.~.:;;;h.mK~9.n .
FILE NO...??..::::?..9.:,~?.g ..
Whereas,~.~.~~~..!~!'.~~J.~.y late of g~~!.?E~.~~.
in the County of W~.~.t4:gg.t.9.P.Commonwealth of Pennsylvania,having died on
the $...:t.h day of .F..'.~p..r.:.~.~19.79.,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,W~.g~Q.h§P...gy ,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 AppraisementDescriptionofAlletValue.Made for Inheritance
Tax Purpose.
$
REALTY:
All that certain lot of ground numbered Eight (8)
in a subdiuision of T.J.Under"lOod et ale of Lots
No.85.84-and 86 in the General Plan of California
'\.'lashinQ'ton County Pennsylvania beinb!more fullv
described in Deed Boo~1316 page 802.10,500 00
(
'rot.Rl 10 'i00 00
form~;~~h~:~:%~W()rlla:P~~~:~a~o~er~~e~~~~..~p~r~ise7e~~i·7~~]!~t'2.~"~-c&......................................................................................................................................~_~and Str••................~..<'J-ir;;.'.:.Penna.
Wt\$.H:r:NG'I'~..County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
JAl,lliS A.THEliBL1Y
Deceased.
Late of
CAL ll"ORNIA
Date of Death,..:f..El.1:l:r,'.~:r.y ..$).::L.9.79..
Appraisemel!t Docket Vol.,..3.$.
Page,....47..~2..........No...63.~.7O'~180 .
Filed in Register's Office,..cll,ll}l;3 ...?.9,.....197.9.
AmoQunt of tax due,1'.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut A ppra.isement,
Appeal jyom Appraisement,.
Entered and charged,
,
f