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Home My WebLink AboutOC1970-0302 - ESTATE OF HAYSt,l-, .~ FORM 67 REV.1-50 REG.WILLS i\ppliration for '1£rltrrB of i\llministration on tbr Estate of.:~.~~~.~~.~~.=~:.:~.. late of F..af;ib..i.J.U~;:t.Qn.,.W.f.\§.b.!9.g,t.Q.~9..Q~.~.~.y..J g~..~,Deceased. Before the Register of Wills of Washington County Mary M.Matthewspersonallyappeared__. who,being duly sworn deposes and says that..g.!.~.!:~.~g.~g..:~~.¥.~- . age 7.~,having ~!.~last family or principal residence at...7.~.9 ~.~M~.~~·L ..~~..~..1.. (Street and Number) .................~.~,~.~.~.~.~~.?.~_::~,WashiI!gtoILCOl!nty"Pennsylvania,_d:'ed.intestate (City,'Borough,Township).. at.W.a~.b.1ng.t.9..p...I p.~..~,on the.?.~!..{!ay of...:.!..~?~.~~E.¥... A.D.,191.9 ,at..._..~.;J)?..:p..~M.,possessed of personal estate to the estimated value $.),.5.99Q..,.9.Q ,and of real estate in the Commonwealth of'Pennsylvania to the estimated v~lue of $~2.~~,situate in : _. ,.".The'names and addresses of the decedent's surviving spouse (if any)and other heirs including heirs by adoption)areas follows. REI,ATIONSHIP RESIDENCE ...~.~~!::.~~.~~~.Y..~_:~.~.~.~.!::E !..?g ~.:.~.~.~.~~.~.~~.:!!.~.~.~.~.~:.~~.?~.~~a . ...~~E¥.~.:~~.~.~.~~~.~~.~.~.~~~.~~~~.~.~~.~.~.~~.~..~..!..~.~X.~~~.~~~.:.~.!.Pa. Virginia B.Holmes Niece Third St.,Houston,Pa. :::i~:~~::::i.:~:::::~i.:~~~:;~:::::::::::::::::::::::::::::::::::::::::::::::::::::~;.:~:~;.:;,::::::~[:i:i~::::i.~i.:~~::::~i:~::;.::::~;~:~:i.:~;:~:::::~:~:;':::: .....................................................•.........................................................................................................................................................................................._.-.'.-- .........................................................................................................................................'1". That deponent is :)Ver 21 years of age,resides at..J.Q~.~~.~.y..~P.:tP:~.t~...1 W.~.Y-~.~§.9..~tg , ..........9.:::.~~.~.~~.?~.~.~..r...t.~.~~~.~.¥..~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...J..1..... rI<u~""~~.~~.~,A.D.,19..?.Q .. ~~.."".:..~_.. REGISTER _~.2lJ....~... COMMONWEALTH OF PENNSYLVANIA}SS: WASHINGTON COU~TY) And now M.~X.9.h 2..i ,19 1.9..,comes M.~.!.y.M..~M.~..~.~.P:~.':Y.§_.. who being duly sworn doth depose and say that...~.~.~will well and truly administer the goods and chattels,rights and credits of G.1.~.:r.~.P.:~.~9...~~~.y.§,deceased, to the best of...9:~X.....skill and judgment in strict compliance with the laws of this Commonwe~th,mind- ful of the laws relating to inheritance taxes. Sworn and subscribed before me this J..f/.,.. day of..M.~.!.9.~,A.D.,19 7.9... ::·.0··A·~...·.·~:::::::~:::::::::::::::::::::::::::::::::::Y~REGISTER .~....lJL...ll!_~. , \~ Of ~ ,'j .., ".:. _._--·'/gglj''~l " ~3 -70-30:L .< ! , .APPLICATION FQR . L~tters of Administration., -, '\ I ., < ESTATE .OF;"~:i:~. ..,;,." CLARENCE C.HAYS' ", I .I Deceased , 1 " ! R $ ,. .............i••••:•••~•••••••• Letters ~3J ~......"I . .~.~~:ft $..;l:.l./!...Q..... -r-_(f).:t:'>'I .~xt~a Alias >zr'.~.~•.••;:.$..m:. G:I iT1 "..--'.. ,Certifica,.tes 6 .~.i:-:....~~S-$..~...~..Q....,z f1"3-:,,r ~'\...'.....~.• Renunciations:>.¥;:t-:;. . ..=:-.$'f.(J ()r~C>:::!-:;IJ .",-;........ .;r Z C) ..............................~~..~:l ""$.-..-. I TotaL.._~..:d...2,..t2...(2 .'$-' \ Z1::dtm~tr.·..Attorney ~ ~2 '{~'., .\ ~i I r ';,.......~ I Estate of CLARENCE C.HAYS_________________.---.----Deceased. The undersigned .---------------------!gE~~---~·---~~X_~_~~~_~~_:E _ deceased,hereby reno)unces.~~E right to adminster on ~~_~estate, and respectfully ask that Letters of Admini$tration be issued to M:~E.~M·~~_!~E~w~__ --------------------------------=------------------------------------------------------------------------~----::::-------------- Signed in the Presence of: ----'" '1• ,~i No. ~sta:te of CLARENCE C.HAYS DECEASED ~:;p,;p,·m ::;u.~~~.c· -3=rj <::::l ---::!: rv -v-.;r .....-......;...~(i')tf)=0 ;~OIATf(}N rq f -v j-....-..:..-jj~ o OF ..;--,...·0·~ 0<.:...,-~::z::.,",' o ~-;..A~==B •.HA.Y.S -------------=-::L-----~------------ -0"0!>(/) ------_._-_. Filed __,19__ Register. / SUTTON PRINTING CO••WAYNESBURG,PA. QInmmnnmraltl1 of JrnnByluuniu.tss. IhlS~in!1tnn QInunty.\ I,Russell Marino ,Register for the Probate of Wills and Granting Letters of Administration.in and for the County of.Washington,in the Commonwealth of Pemsylvania, to Mary M.I"1atthews administr at r ix of all and singular the goods and chattels,rights,and credits,which were of CI ar ence C.Ha ys WHEREAS,iliesrod Clarence C.Hays..Washington late of Washington County,deceased, GREETING: late of in the county aforesaid,lately died intestate. ....••J .f..--'.,..".•J (as is affirmed)',possessed of divers goods and chattels,rights and credits,within the said County, Russell Marino by reason Whereof the:power:of granting administration thereof doth belong to me;I therefore,confiding in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here- .- by committing unto you full power to administer the goods and chattels,rights and credits,which were of said deceased within this Commonwealth,you having taken and subscribed the oath of office pre- scribed by ,law;requiring you to well and truly administer the goods and chattels,rights and credits, which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's office,it Washington,within ninety days,and to render a just and true account of your administration.. ,"at ilie expiration of six months from the date hereof,and to regard and comply with the provisions of,~-t' •the,laws relatinito inheritance taxes. IN TESTIMONY'WHEREOF,I have hereunto set my hand and caused the seal of said Office to be affixed this 24th. day of March nine hundred and Seventy in the-year of our Lord-one thousand ...............~_.. SSELL MARINO,Regi~er. '.'1 ') 14ettrrB of J\llminiBtrntion IN ESTATE OF CLARENCE C.HAYS....................................................................................................... ~2 I,. i ,FJlffD 0,... 1971 SEP 2~Af1 10:3~ RUSSEll MARINO~£G1STER OF WIllS ~-<,; .' at '4-,_J The Travelers ..Mt.'Indemnity Hartford,Connecticut (A STOCK COMPANY) Company j IN THE ORPHANS'COURT OF WASHINGTON COUNTY, STATE OF PENNSYLVANIA NO. In the Matter of the Estate of Clarence C.Hays Late of City of i.llashington,,Deceased. TERM,19 70 BOND OF ADMINISTRAT rix KNOW ALL MEN BY THESE PRESENTS:That we,Mary M.Matthevls, 1083 ,Seventh St.,Waynesburg,Pa •15370 as Principal , and THETRAVELERS INDEMNITY COMPANY,a corporation unrler the laws of the State of Connecticut, of Hartford,Connecticut,having an office and usual place of business ~t Pit t s burgh , State of Pennsylvania,as,Surety,are held and firmly bound unto the COMMONWEALTH OF PENNSYL- VANIA,in the sum of --Thirty thousand-------------------------------- ----------------------------------------------Dollars ($30,000100 ), to be paid to the said Commonwealth,for which payment,well and truly to be made,we bind ou:rselves,our and each of our heirs,€Xecutcrs,administrators,successors and assigns,jointly and severally,firmly b)r these presents. '-... SEALED with our seals and dated thia 18th day of March ,1970. THE CONDITION OF THIS OBLIGATION IS,That if the above bounden administrat rix of all and singular the goods,chattels,and credits of Clarence C.Hays deceased,do make or cause to be made a true and perfect inventory of all and singular the good's,chattels,and credits of the said deceased,which have come or shall come to the hands,possession,or knowledge of the said administrat r ix ,or bto the hands and possession of any other person )r persons for said administrat r ix and the same,so rr.ade,do exhibit or cause to be exhibited into the Register's Office in the County of Greene within thirty days from the date hereof;and the same goods,chattels,and credits,and all other the goods,chattels:and credits of the said deceased,at the time of hiS death,which at any time after shall come to the hands and pcssession of the said administrat r ix ,or into the hands and possession of any other person or persons for her ,do well and truly administer according to law,and,further,do make or cause to be made a just and true account of her said administration,at the expiration of six months from the date hereof,or when ther=unto required by the Orphans'Court;and all the rest and residue of the said goods, chattels,and credit3,which shall be found remaining upon the said admidstrat rix's account,the same being first examined and allowed by the Orphans'Court of the County having jurisdiction,shall deliver and pay unto such person or persons as the said Orphans'Court,by their decree or sentence pursuant to law,shall limit and appoint,and shall well and truly comply with the laws of this Commonwealth relating to collateral inheritances, and if it shall hereafter a1=pear that any last Will and Testament was ma::le by the said deceased,and the same shall be proved acc·xding to law,if the said administrat rix ,being thereunto required to surrender the said letters of adm::nistraoon into the Register's Office aforesaid,then this obligation to be void;otherwise, to remain in full force. Sealed and delivered in the pr nee of:____?11_~---Z1z.-:~2l1-~------(SEAL) __.... .:(SEAL) THE TRAVELERS INDEMNITY COMPANYBy·df;~r&--Att-~ri,~i{~n:.~-a-~~EAL) .,~ -----------------------------------------------::.(SEAL) ,FEESLetters,. . .S . _ Certificates,__________________________....._ Renunciation.._._...___.__~... _ $------_._------------_._- S-lOS8 PRINTED IIi U.S.A.(pennsy.Jvania Administrators Bond) r County,ss: I,being duly sworn do say that the above named decedent,died intestate on the day of A.D.19 ,at M.,as I verily believe.And I do further swear that,as the administrat of the estate of said decedent,I will well and truly administer the goods and chattels,rights and credits of said deceased,according to law,and will diligently and faithfully regard and well and truly comply with the provisions of the law relating to collateral inheritance. Sworn and subscribed before me this and letters of administration granted unto day of ,19 Registrar. 0\..... o I:'- oz >.Q) ~'"'.s...< •l=Q tl.Oc:.,.; ~ .!l:: C)o r-ir-ioPo. -"r- f11 ,,,0 '<) ] ti: .. -...Ie::;, ii..•..,:, ...c:- J:::ot .:::ii: c:::> f'-,) lI"J ~~~fl'l ;;;U~<n~.::r;;~-(p.",.en.(f?,z ~f f~ C;)ffl r- -j:;:IJ r-~o .....~~"""~(')',,,6~:":";"t=:;;-no .........".....I'""....»(j)""" ><Hp:;~.z a E-4 ~8~~.o '0z>5 flJ "-Z't~i~~~~U)~~~<~Uij3<.0~~8"~~.=8iE-t 1~o CJ) ~ ~ •o OJ C)c: OJ Hcor-io .-o ~~ .£ '0 ,",'~~ .£ c:l.- CIS'§ c:1:o ~.p ~ tl.O Ec:114'n .....G 0 CJ)~~~ ~8 ~cn ~CIS.de-O Q) £ '0... '"'g U g ~ ~rYJ- -....,j) trJC'Y).~ ,f'r) ,( <::::> ~ I , ,. ,~,. ,"v ••... ... l, •The Travelers Indemnity Company Hartford,Connecticut POWER OF ATIORNEY KNOW ALL MEN BY THESE PRESENTS: That THE TRAVELERS INDEMNITY COMPANY,a corporation of the State of Connecticut, does hereby make,constitute and appoint ----W.A.Hill,T.S.Baily,C.R.Baily,all of W{iynesburg,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,recognizances,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 Two Hundred and Fifty Thousand Dollars ($250,000)in any single instance and to bind THETRAVELERS 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 6f the Company which by-laws are now in full force and effect: ARTICLE IV,SECTION 13.The Chairman of the Board,the President,the Chairman of the Finance Committee, the Chairman of the Insurance Executive Committee,any Senior Vice President,anyVice President,any Second Vice President,any Secretary or any DepartmentSecretary 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,and 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 agentand revoke the power andauthoritygiven tohim. ARTICLE IV,SECTION 15.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 Senior Vice President,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 Senior Vice President,any Vice President or any Second Vice President andcounter- signed and sealed,if a seal is required,by a dulyauthorized attorney-in-fact or agent;and any such bond,under- taking,recognizance,consentof 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 toand within the limitsof the authoritygranted byhis or their power or powersof 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 attorneyor special,power of attorney orcertification of either given for the execution of any bond,undertaking,recognizance or other written obligation in the r.ature 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 December 8,1960 on behalf of W.A.Hill,T.S.Baily,C.R.Baily ----- IN WITNESS WHEREOF,THE TRAVELERS INDEMNITY COMPANY has presents to be signed by its proper officer and its corporate seal to be hereunto affixed this day of March 19 69 . caused these 7th THE TRAVELERS INDEMNITY COMPANY By ~W1Q,~ Secretary,Fidelity and Su:-ety State of Connecticut,County of Hartford-ss: On this 7th day of March in the year 1969 before me personally came Wm.A.Shrake to me known,who,being by me duly sworn.did depose and say:that he resides in the State of Connecticut;that he is Secretary (Fidelity and Surety)of THE TRAVELERS INDEMNITY COMPANY,the corporation described in and which executed the above instrument;that he knows the seal of said corporation;that the seal affixed to said instrument is such corporate seal;that it was so affixed by authority of his office under the by-laws of said corporation,and that he signed his name thereto by like authority. S-I869A PAINTED IN U.S,A,768 Notary Public My commission expires April 1,1969 (Over) CBRTIPICAnOK ),E.A.Houser 1I I,Assistant Secretary (Fidelity and Surety)of THE TRAVELERS INDEMNITY COMPANY certify that the foregoing power of attorney,the above quoted Sections 13.and 15.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. Signed and Sealed at Hartford,Connecticut,this 18th day of March 1970. ~g; A88istant Secretary,Fidelity and Surety THE TRAVELERS INDEMNITY COMPANY HARTFORD,CONNECTICUT Financial Statement December 31,1967 Liabilities,Surplus and Other Funds Losses and loss adjustment expenses $534,541,569.20 Unearned premiums.402,707,346.29 Reserves for taxes.16,966,970.86 Other reserves and liabilities 34,347,413.93 Assets Cash on hand and in banks.. Premiums in course of collection . United States Government securities Other public bonds Public·utility bonds All other bonds Stocks-Preferred Common .'.. . Interest accrued and other assets TOTAL S 21,444,044.12136,025,883.09 44,477 ,804.36 780,314,185.00 S 982,261,916.57 24,715,532.00 22,465,552.77 46,167,863.00 124,110,960.82 52,268,193.92 $1,251,990,019.08 TOTAL LIABILITIES,EXCEPT CAPITAL Special surplus funds Capital Paid in and contributed surplus. Umissigned funds-surplus TOTAL $988,563,300.28 16,249,609.62 10,000,000.00 119,506,090.00 117,677 ,109.ltl $1,251,990,019.08 The foregoing is a correct statement of the assets and liabilities of The 'Travelers Indemnity Company as of December 31,1967. I,E.A.Houser III,Assistant Secretary (Fidelity and Surety)of THE TRAVELERS INDEMNITY COMPANY,certify that.the foregoing is a true and correct statement of the financial condition or"the Company as of December 31,1967... ~~~. Assistant Secretary,Fidelity and Surety S.1869A (BACK) ! ~.::_~.J t., •;!'-) •~.'.... ...." r ~----..,{"t,'" ,~ i 'T " .~.. ~::oJ>p-,;0 c.nG)C: .......-.(n ::::(/)(j) Z-l i71G')rq r--' -f:trr-0 .-~~'0 .._~-:,-3... o ~_~;> o~~ '-z"'U -........~~a..-u, '$ -...Ic::::> ::x::0- ::0 ~....) :b>:z c::> '"7'..J "-r- r".i i,'"'-..:J... ~._<] ,-i\ffi~uutt (@f fxrrutnr (@r 1\~mtut!itrutnr J t;tatr tif ,rnnda~:~i:.~ss: mDunty Df ~~~ Personally before me,the undersigned authority,a ~.~~.~.~¥.£~~!.~~in and for said County and State,appeared M.~~.¥.~.~M.~~~.~.~~.~.!...who,being duly sworn according to law,deposes and says that s he is the lImemtOJlXDr administrator of the estate of .........G.!.~r~.P:9..~g.~:IDu~.§.J deceased,that the foregoing schedules constitute a I ·d"f hId I f Clarence C Hay"scompeteInventoryanappraIsement0t e rea an persona estate 0 ~, 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 ~Administrator. Sworn a;d s'ubscribed before me this...(,,~...J m_J~;::~~);~EYINS~:~~~~~~~;;·: 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 an.d 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return..~~.~'.1 •'.;.....j I • REFERENCE FOR ADDITIONAL COPY ;.',Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2:, if';'Ct ,lJuUtutnry aUll1\ppraisrmtnt of the goods and ch~tte}~,~ights ~nd credits which were of g.!~.t~~.~.~~.~~.¥..~..t late of Yf.~.~~.~.~~.!9..~.?:. Washington County,Pa.,taken ~nd made in conformity with the abave affidavit. "..}DOLLARS CENTS - SUMMARY Schedule "A"--Personal Estate,~17,660 68 Schedule nB"--Real Estate,None ..I Total,~17,660 68 I I I ~ ',. , I -.'. ,\ ~.".j I •:~~'.~•• '-'Inventory and Appraisement IN THE ESTATE OF CLARENCE C.HAYS.. Filed :..,19 7.9... ...---rj-.J C=>::E:::u x :::x r->rnc: (f)G")en ;:p..-<:rn:::r:c.r;,c.n Z --j fTl -Co)fTi r =.0-l X r-..~03::r- "J,:".:::70:EA' C=> 0 __ oz -000 U"1>(f) --.I .)) I I '-I ~. McCREIGHT,MARRINER &McCREIGHT Attorneys at Law Washington Trust Building Washington,Pa.15301 POLLOCK,POLLOCK &THOMAS Attorneys at Law 41 E.High Street Waynesburg,Pa.15370 ""9 INVENTORY AND APPRAISEMENT ESTATE OF CLARENCE C.HAYS late of Washington,Washington' County,Pennsylvania,deceased. SCHEDULE "A"PERSONAL ESTATE 1.Series E,United States Savings Bonds,as follows: $100.00 Bond,dated June,1945, Seven $100.00 Bonds,dated July,1945, Five $100.00 Bonds,dated February,1953, Two $100.00 Bonds,dated December,1969, 2.Savings Account No.16012B,Miners and Mechanics Savings and Trust Company,Steubenville,Ohio, 3.Checking Account No.60-63416,Miners and Mechanics Savings a~d Trust Company,Steubenville,Ohio, 4.Savings Account'No.062-1618,Mellon National Bank and Trust Company,Claysville,Pennsylvania, 5.6 Shares West Penn Power Company,4!%Preferred Stock, 6.150 Shares PNB Corporation,Common Stock, Total Personal Estate, $165.12 1,155.84 660.40 150.00 3,030.57 2,443.11 3,883.14 360;00 5,812.50 $17,660.68 "',\ SCHEDULE "B" None REAL ESTATE None T • :.J.,'J J.r.\. \',J' .',v \. ~ ~ ~ C)~I ---~~!--. ~I I II II I II I i ,,..." 1.,J ,, ~i.f • .c. 1..,.' i:_I -'~J'. ,'"\fd "08 N01~IN\HS'tM -..:c.SJ:lI~V\:XO tl~!l S1~3'Ct.\i..I.. ONltlVI'i T13';SnH ,~. \C ,. I .".J '1''1.'I 1~I.J ," J '-.1,1 STATE OF PENNSYLVANIA, »UIJ(~COUNTY, GREENE ~55: The within named Accountant being duly sworn according to law,deposes and sayS that :-he above account as stated is true and correct as ~h..~verily believeS. I Sworn and subscribed before me this '!~.1?:_. day of .._~~r.._.__19.7.J...:. /'J-I~',-'" ...RZ WILLIAM R.JOHNSON,ARY PUBLIC 'WAYNESBURG BOROUGH,GREENE COUNTY ~MY·COMMISSION EXPIRES JAN.60 1973' MemberjPennsylvaniaAssooiationofNotaries I do certify that I have given legal notice 'to all persons concerned of the filing of the within aCCOl-nt in the manner prescribed by Statute and Rule of Court,as e'/idenced by proofs thereof filed to No../a..3..~.11~.38.o..... Witness my hand and official 'seal thiS..._3_~.. Wa'shington County,ss: ,JI day oL....---------5fu--,19QL ...._.....................-~ ,.,Register of Wills-.;'.--'-~-..--- ......, "=0 ...::l 0 oj..., 11 J 0 ...,I'l 0 I'l::l Uli CH 0 rill ::l0CHiCD0<:.>·rof:0 ..d <:<:.><:.>ci OJ ...,::2l:<:.>-::::s-<~i I--f)0 <ry rIl ·rofi (1)1 (1)C.l ,...,~OJ ....~~.a:~0:~:I !..~::t::0 "'6~i ('($~i ('($!~:... \)==<j ('($:r-l Ql)i ·rof :3 c:x:rp.~AM 10 ~:CD t<)r:..~!C!Ci 91 I ti~Y It ~=0 0 •~Uli ·rof i ('($i I ...0to--U rIl:(1)1 ..di >:~::.:::i ....,N(r:il ....,t,\.m Eo<~j i=:i (1)1 Ul!r-l!c:x:ui <r-li <~<,~l ('($:~:c:x:'tS 0:~f:.4!Eo<~Z!..d:i=:!Ul:HUSSELL MARINO <c~!<p~w.~:t=:~i ci ::2l ('($~i0:r:il ~~i ..;c:REGISTER 1\r"WILLS 0:c:x:<:CHi u c:(1)!Vi ~....p..!~:\C'Ji <~i ~:0:0,~:•VJ ASH INGTai~CO .•PA...J ....,~a=0:~~~!i'tl .~'"..~OM~I u <:e;~:~CD:"!(1):Q)~~::.::!--.....::...==:'rof:Ci ~:Ul 0 'J)S p::r:1 r:1 8:....,..d ~'0 ~i $04:~·rof ,~i('($... ~:~....,~rIl:~!..di C:(1),g-...;c:x:c:x::ji ~c:x:i c:x::('($i <Ul:::1:0~:~:M!..:I ('($:0!(1)'t:l~~~o:Oq.0 I'l .,.;z f:.4!~;u i=:!urtl <o :::2l ::2l l:l.t!~..r-i ...: •.•e.• o , ~---~-------------~_._- •(i ., :I !.,--':': _.~ /' /'", I'I ''''~'',;, " '- '''''',"""- \, The Court is -espectfuIly requested to determine proper di'strib.Jtion in this estate. I •l~_ IN THE COURT OF·COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA· ORPHANS'COURT DIVISION· FIRST AND FINAL ACCOUNT OF'MARY M.MATTHEWS,ADMINISTRATRIX OF THE ESTAT,E OF CLARENCE 'C •.HAYS,DECEASED. NO.302 OF 1970 SUMMARY SC HEDULE "A" PRINCIPAL-PERSONALTY R~ceipts Disbursem.ents Balance:Principal-Personalty .- SCHEDULE "B" INCOME-PERSONALTY r $18,443.28 5,196~84 $13,246.44 Receipts. Disbursements Balance: ...-' Income-Personalty' SCHEDULE "C" PRINCIPAL-REALTY $782.60 782.60-,o:cro Receipts' Disbursements Balance:~rincipa1-Rea1ty SCHEDULE "p". $0.00. 0.00 $0.00 INCOME-REALTY .J Receipts Disbursements Balance:Income-Realty $0.00- 0.00 $0.00 SCHEDULE "A" PRINCIPAL-PERSONALTY Per Inventory filed Transferred from Income-Personalty DISBURSEMENTS $17,660.68 782.60 $18,443.28 1970 Mar.25 25 25 May 15 The James Fnneral Home Funeral Expenses Baily Insurance Agency Administratrix's Bond Ewing B.Pollock Reimbursement for Filing Fee James C.McCreight Reimbursement for following: Washington County Reports,Advertising Estate,$14.00 Observer-Reporter,Administratrix's Notice,14.00 $1,300.37 128.00 23.00 28.00 15 15 16 1971 Apr.22 22 22 22 Russell Marino,Register Russell Marino,Register Mary Ullom William R.Johnson Mary M.Matthews McCreight,Marriner & McCreight Pollock,Pollock &Thomas Filing Inventory 4.00 Payment on Account of Pennsylvania Inheritance Tax 1,852.50 Reimbursement for Prescriptions 11.65 Notary Fees 5.00 Administratrix's Fee 922.16 Attorney Fees 461.08 Attorney Fees 461.08 Total Disbursements $5,196.84 / SCHEDULE "B" INCOME-PERSONALTY Veterans Administration -Allowance for Funeral and Burial Expenses West Penn Power Company -Dividends PNB Corporation -Dividends Mellon National Bank and Trust Company,Savings Account No.062-1618 -Interest. Miners and Mechanics Savings and Trust Company,Savings Account No.l60l2-B -Interest Series E United States Savings Bonds -Proceeds $2l43~19 Inventory Value 2136.36 Additional Interest Total Receipts, DISBURSEMENTS To Principal-Personalty $250.00 33.75 315.00 76.28 95.74 11.83 $782.60 $782.60 Per Inventory filed SCHEDULE "c" PRINCIPAL-REALTY DISBURSEMENTS NONE $0.00 $0.00 t ~ II~ lI SCHEDULE liD" INCOME-REALTY NONE DISBURSEMENTS NONE '.' $0.00 $0.00 Estate Notices The Register of Wi1:s has gn.nted letters. testamentary or of administrc.tion,in the following estates.N:>tice is hereby given to all persons indeb:ed thereto to make payment without delay and t·)those hav- ing claims or demands to !='resent t'hem for settlement to the Executo~s or Admin- Im~strators or their Attorneys.ce"Hil!;J ••••••••••••••••• Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) Washington County Reports' G3Jt1 at :(l~ttl ES PROOF OF PUBLICATION ,.....".!5~'';a2USlIncompliancewiththeNewspaperAdvertisingActofMay}6;'1929,P.L:tm~ 1784 Sec.3,paragraphs (3)and (25).~..lJhl .. COUNTY OF WASHINGTON) STATF.OF PIlNNSYLVANIA (SS. Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Was:lington 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 COl'NTY REPORTS was established on Marcil 31,1920,and was designated as the official legal publication for Washington Ccunty,Pennsylvania,by order of the several courts of said County,dated Noveml:er 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: HAYS.CLARENCE C.,Dec'd. Late of Wa.shir.gton,WaShingtonCounty..Penna..' Adininistratrix:MaryM..Matthew 1983 Seventh_St.,_Way.n~Sb!!r,g.Pa.. Attorneys:Polloc~-{,Pollock &:~Thom:a::;.Waynesburg,Pa:;McCr~ight Mar-.rIner &McCreight.Wash:ngto~.·Pa. ..._~~.P..~;J ?.J 9..f J.9..,J.9..7..Q .. .-J(ATHERINE C.NICHOLAS,Notary Public' Washington.Washingt·)n Co.,Pa. My CommissiJn Expires November 1,1973 c:::::=: ..J.§.~~day of ~.P.#)._,.,19t7.Q,.,,,- ......IU!f...~~.e.Z.iu.~d.L~ Notary Public that the affiant or the corporation ir.behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of,hi.,ffid,.;,"",h,';m"PI'~""""of ,h,p,bHQ';"",re "", L/'?.(1l.f..;&j ~f!?.~~:.~KL I./?)./.•'.v".'i~&-~ Sworn to and subscribed before me this .-.-.c 0 -'4'.-;,..,-,..:;~% -:;. Observer .Reporter. WASHINGTON,PENNSYLVANIA...PROOF O.F 'P,!JBLlCATION In compliance with the New~pe-r Ad~e'rtis:ng Act of 16 May.1929.P.L.1784.as amended. Commonwealth of Pennsylvania,County of Washington,''5S:. Personally aPl?ear,ed b~f{)re mle.a"f{otary Public in and for said CountyR1char"d-S.~Cowan .and State who be1IlJg duly sworn aCC<lrding to law.deposes and say:s that he'is the ·:.~.~.~J".~.t~r..Y.. of the Observer Publishing Comllany,a Pennsylvania corporation,and its agent in this behalf;that the said Company'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,paper of general circulation,printed and published and haVing its place of busines's at Washington.Washington County.PenMyl. vania,where it or its predecessors have been established and published continuollsIy for more than six months'prior to the publication of the notice hereto attached;thllJt 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~lerver-Reporterin its regular editions on -the following date or dates;,. ,.M~.~.~.h ?~..t.~.p.~}~.J:?~.~~?.~!.?.7_9... that neither th'El affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the allega- tions'of this affidavit as to the time,place and characte,r ,Qf publication are true....,.,.It?ltad...~)..{~~/~:.l:::V- ADMINISTRATRIX NOTICE ,,ESTATE OF CLARENCE C.HAYS. I deceased late of Washingto:l.Wash-'ington County,Pennsylvania.j' Letters of Administration 'upon tne•above estate having'been granted to f the undersigned.all ~rl!On~havin~claims against the;esfa't .,e,:1, quested to make,kn etotheundersigned.or I,!and all persons indeo e "to.,.he,decedent are requested·;"b'make,'payment 'to the undersigned without ."'delay.~,.Mary M.Matthewsl Administratr:x ,1083 Sevent.·Stree~,Waynesburg,Pa.'.:,Pollock,Pollock &Thomas...'I Waynesburg.Pa.,",'I'McCreight.Marriner.&McCr'i!ltllt ,Washington;Pa;;.','<'__,1iAttorneys,~.;,7072·,[,hurs.-tl \j Sworn to and subscr~efore me thiS...9 ~.il....l.9.70 ............~.c.t...£«..~~. MARGARET M.BRADLEY,NOTARY ;J;~';;""" WASHINGTOrl,W,\SHH~GlON COUNTY MY COMMISSION EXPIfIES MAY 6,1972... I' I I 3ht tIp.)ODrp l1UllU·:'muurt of ma1il1i~gtnn QInunt!} ,l <.'.' In tho matter or the Audit of Accoutit'in J Estate o...r _C.....L__A__R:..;;E;;;.N_C_E---:,:-C.;;.•._H__A_Y...;.S~·.-.;._I·,No 30 2 \.' ------0.F 19-1.2....A.A. TO THE AUDITING JUDGE: ..~,0 our accountantEnter--..;appearance tor'_ Pollock,Pollock &Th0mas N.B.-Counsel shall.by separato •present a conclso statement of each claim.with supporting calculation or any interost claimed.Objections to an account as filed,shall be concisely stated In a separate paper. Councll suggesting proper distribution shall file a separate concise atalte- ment in that regard. r-I .0 (Form where decedent died Intestate) 3Jn t4r (@rpl1au!i'arnurt nf Ita!i~tn!ltnn arnuuty J In the audit c£the First and Final ,Aocount of Mary Mit Matthews, AdDii!riistritrix.';·.) ESTATE OF, CLARENCE'e~'JHAYS ::,':) •••••••0••••••••••••~•••-••••••••••••••••",:'0-:;••;,•••••••••••0;'•••..•-••~.:••y "'f-';. '.'.Deceased '.,)f'....I, No.302 of .1 i&xm,1970 ,A.A. '.' State (I)whether de- cedent was married or unmarried;(2)if mar- ried,whether a husband or wife survived and his or her name;(3) whether or not there was any marriage settle- ment;(4)whether or not family relation was maintained until deced· ent's death;and (5) whether the decedent left children or issue of deceased children. The.petitio:p.of :__..:·.:~.:,:~.~~.:.:.~.~::Ma..'t.:t.b.~.W-,$.:.:"~:_.:..::..__,,:::.:,. (Name of Petitioner)" respectfully represents:______..,.,.;::..~..______.__,_.1..•...:..:,:..:. (a)1 The decedent died ~~.~.~~.~!.y.?~..L ..!.~:!..Q ,intestate-and (Date)..~...,).,.'.,.,.,..)-~1 f")d . . . ' .'.'his '.''d March 24:1970etters0)a mmlstratlOn on ,~,.estate we-re 2rante _____~J •,'...•,'..,•J".~,(Date)...~,..)..........~--;.".". as per ~ec!=>Td thereof a:~.pearing ~n tt\drrlin'ls}'raiidn and''Bond Book No......~.~......... at page ?.~§. Decedent was survived by Agne~B.Hays,a sister,and Mary M.Matthews,Virginia B.Holmes and John L.~ichey, children~of Mary Florence Richey,a deceased sister. That'decedent was never married and l~ft no children•. (b)A ';h'f d h h d d 'd "1 within 1 c~.'"1.t t e tlme 0 ~at,t e ece ent s omlCI e was B1XDD1AX tne om- mo)nwealth of Pennsylvania,to-wit,at...~~.~~.~.~~.~~.~.'-.....~~.~.~~.¥..~y..~E:~.~.L ....... (Town or Township.State and Natior.) and residence was at...Jv.~.~~.~P.:g.~Q~..t :p~.~.~~.Y.!.y..~~J.~.!_~. (Town or Township.State and Nation) (c)The names of all persons having any interest as heirs or next of kin with the names of their deceased parents,to show relationship if they take by representation are as follows: NAMES Agnes B.Hays Relationship Sister Interest 1/2 Of age,su;; juris,or not, (write yes or no). Yes Name of Guardian,Trustee or Committee,if any.or beneficiary,manr.er and place of record of appointment and is bound suffi- cient tp cover and protect s.are. Mary M.Matthews Virginia B.Holmes John L.Richey .:}.-: Niece 1/6 Yes Niece 1/6 Yes \. 'Nephew 1/6 Yes ),-. •l ..;'... State exceptions,if any, giving names and dates of death and the names of their executors or administrators,or the names of their issue as the same may be mater- ial. Describe type of notice. All.·Jf said pa:rties ,'iIi interest are living,except Agnes B.Hays,who died testateJJariuary ·22,1971,and whose Executrix is Mary M.Matthews. (d)All parties having any interest have had notice of tr_e filing of the account by mailing'a copy of the notice hereto attached' to them on August 17,1971. , :~. (e)Balance for distribution per Account (f):Additional debits,not shown by Account (Itemize)"...)West::Penn ,Power Company d1vldend, PNB Corporation dividend (g)Additional credits,not shown by Account (Itemize) $.!.~.?.~.~~..~.~4 $6~75'I 67•50'$'!..1.~..?.5 Russell Marino,Filing Account, " Insert word u not"where neces~a~: i If taxable'srate wheth- er tax'has been paid,.. ., 19.00$. not\$.!.~L~Q!..~.~.9 (h)Claim for exemption has/been made,~,~. 6")The estate is :subj ect td the payment of inheritance tax to the State of Pennsylvania.\ "-:(j)The estate is J~9.:t subject to the payment of the county 4 mills .I tax. (k)The estate is.....J~9.:t........._.subject to the payment of Federal inheritance tax.,...--;"..\ JI too many for the space,annex a list there- of;if no such claims, iT.sert the word H ncne:' If any creditor or other claimant has not re- ceived actual notice,that fact muSt be stated. (1)All creditors (and other persons who have complied with Rule II, Sec.9),of whose claims the accountant......h~~..~......._...notice or knowledge,have ........................received actual notice of this audit;the amounts of their claims and whether or not.they are admitted to be correct are as follows: None Indicate such claims as may'be secured or en-t~tled to a preference, and give detailed infor- mation concerning such security or preference. Here insert a reference t:>all questions requir- ing ndiudicatioD,and a !;tatement of any mater- ial facts not already given.If none insert thewordHnone!'. II any share has been ",signed or attached that fact should also be stated here. (m) None oJ· $360.00 .\.) 5,812.50 7,i29.19 ~~J (n)The balance for distribution cOIJ.sists of \property Jin ~ind"form.and...'.>I character,as follows: 6 Shares of West Penn Power'Company 4i%Preferred Stock,Inventoried at 150 Shares of PNB Corporation Common Stock,Inventoried at Cash,, State kind,form and character of property composing the balance Ior distribution,and if any part thereof is i10~ cash,whether or not there has been any elec- tion to take such part in kind. Total,'.$13,301.~9 ."v That the parties in inte~~s~.have elected to take the West Penn Power Company and the PNB Corporation stock in kind at the Inventory value thereof,per their elections hereto attached. '.j .. .... ...--~~~~-.--=:'::.---',.--"'.::----.---~.._----- Are there any advance- ments by decedent to be consideren on distribu- tion and has any distri- bution on account been made by accountant to any distribuitee? If prior accounts have heen iiled.list number and term. n-..'-. (p)No. (q)Give brief locatior:.of any real estate sold. None (r)None -' • 1 ~",....,- J. ., Wherefo;e yo~~petitioner asks that distribution of principal and income be awarded to'the persons thereunto entitled and suggests that the balance of principal and income should be awarded respectively as follows (shares being stated in proportions but not ip.am<?l111ts )':-:-:T:~.T:' Estate of Agnes B.Hays,one-half, Mary M~Matthews,one-sixth, Virginia B.Holmes,one-sixth, rf"1 John L.Richey,one-sixth, f •1..:)t.;:-.'....-.-....... t .-1 1 Greene County of~,ss.A.ndOyoui-petftioner will,etc., The above named petitioner being duI:, sworn dc,th depose and say that th~. facts set forth in the foregoing petition are true~::~nbest::~~-;~~;::::le:e~:r:n::e:~~.1J1~1fs~;;~11ff:f~/ I ~day of..._..A~.g.~.~.~,19.7..1 _ ,; ...~Lf?'";;+.~~4;;.~. WILLIAM R.JCHNSON.NOTARIf PUBLIC: WAYNESBURG BOROU.GH,GftEENE COUNTY MY COMMISSION EXPIRES JAr..6.1973Member)eiiiisyiiiiiiifci·AssocilitioaoiNotarJ8S····················. IN THE WASHINGTON COUNTY,P A. ORPHANS'COURT NQ ~Q.?,2.~~19 7.9..,A.A. I J'\"i .;" FILED RUSSELL MARINO REGISTER OF WILLS ·1971 SEP'23 AM 10:3S FORM IN CASES OF INTESTACY I '~-- I I I. II c Estate of G~A~.~9.~G..!~¥§.I.. Deceased. .,. '.) Sur acc~unt of ~.~Y M.~~.~~.~~!?~.L.. ~~.~~J..!=?~.~~.1:.;r.J..~.!. PETITION SUR AUDIT In Conformity with Court Rule III, Sec.5 (B) ( I ",') 'COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1.The letters of administration. 2.A copy of the inventory and appraisement. 3,Proof of advertisement of the grant of letters, if not filed with accountant. 4.An aIJpearance for those represented. 5.Inheritance tax receipts,if any. 6.Certificate of liens in case any of the funds for distribution are derived from the sale of real estate. 7.Copy of Federal Estate tax return,if estate is subject thereto. 8.Signed elections to take in kind,if any. McCreight,Marriner & McCreigpt,and Pollock Pollock &Thomas..........•.••...•...••..•..1..........................•...............•.••.•.....•.•.,...••• AttorneyS for Accountant. ~9 I IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION ESTATE OF CLARENCE C.HAYS, DECEASED. ,) )NO.302 OF 1970,A. A. ) NOTICE OF FILING ACCOUNT AND AUDIT To the Heirs,Creditors and Other Persons Interested in Said Estat . Please take notice that the first and final account of Mary M.Matthews,Administratrix of the above estate,was filed in--)I ~e Office of the Register of Wills of.Washington County, 'P M~ennS~!rania,on May 4,1971,and is docketed to the above number. ~u.:!W =13 Also please take notice that the Orphans'Court Division -t"'\.......~t the~Courtof Common Pleas of Washington County,Pennsylvania, ~t-i .t;u-'has fixed Tuesday September 14 ,1971,at 10 :00 ,hJO!';Clock A •M.in its Courtroom on the Third Floor of the Courthouse,Washington,Pennsylvania,as the time and place for th audit of said account. __A_u_g:..u_s_t_l_7 ,1971. In tift QLnurt af QLamnwn JUtUS af IIn!il1iugtnn atnunty. Jrnn!iylnnniu.®rp4nns'atnurt lllittisinn ESTATE OF N 63 ...70 ...302o._---='---'~--"'-_ Clarence C.Hays deceased In the matter of the First and Final Account of Ma.ry .M.Ma t thews Administratrix I )I $13,320.6974.25 ADJUDICATION AND DECREE September ;(rJ 7'1'.And now ,19-l...:..,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due cons:ideration thereof the balance for distribution in 'the hands of the Accountant is determined to be $ ]3,301 •69 and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDULE OF DISTRIBUTION Balance per account _ Additional debit asked at audit Additional credit asked at audit Balance~_ 19.00 $13,301.69 Deduct Clerk's Corn &Receipts'--_ Attorney McCreight Marriner &McCreight Russell Marino,Agent,transfer,inheritance tax,$190.10 Interest fro~5/23/71 to 10/2/71 4.09 Mary M.Matthews,Executrix of the estate of Agnes Belle Hays,a sister,now deceased,1/2 balance,including cash 3 shares West Penn Power Company 4!~Pfd.·valued at $180.00;75 shares PNR Corporation,common stock,valued at $2906.~5;held in kind and distributed as such at the value as shown per election filed, 30.00 $13,,271.{>94()~/r;7J fJ&.3tJ.0 0 _/l 0:..;a ..0 ~j~' 194.19 ().a. $13i 017.50 If tSJ~197/ ill).i9¢.19 ~•0g'::11L~ 6538.75 Mary M.Matthews J niece,childaf Mary Florence Richey,a deceased sister,1/3 of 1/2 balance, including cash,1 share West Penn Power Com'" pany 4!%Preferred stock valued at.$60.00;25 shares PNB Corporation common stock valued at $968.75;teld in kind and distributed as such at the "'alue as shown per election filed,2179.59 Virginia B.nolmes,niece,child of Mary Florence Richey,a dece9sed s~er,1/3 of 1/2 balance, including cash;I share West Penn Power Company 4~Pfd.stock valued at $60.00;25 shares PNB Corpo~ation,common stock valued at $968.75; held in kind and distributed as such at the value 8S shown,per election filed,2179.58 / r 0 ~ ....~i :J Z t:Y 3 "'1"P::r -.. c:(l) ~(l):J 3 0 "'1' ....0 0 +=\t ....~~ClI ~ .., t ....0 S· .... -+ ::: ::r .. (l) ~ & ~ ,.ti f • ."." " j'. .) I' ,~ I ,,~ ") ,.~. (' \ r \,\ r' r \' r , I .-.:...~ John L.Richey,nephew,child of Mary Florence Richey,a deceased sister,1/3 of 1/2 balance, including cash;I share West Penn Power Company4~~Pfd.stock,valued at $60.00;25 shares PNB Corporation,common stock valued at $968.75; held in kind and distributed as such at the value as shown per election filed,2179.58 .f .~.. ,....",...., No belance ~..,.... .) 0 ~ ~~ ....:J Z ~n "i'!J ~ 0 :T ~;J C (1) yo+.at :J 3 ~-+ 0 0 0.........~....~~ ., 0 t ~ ..... "i':T ::: (1) N i ~:i~~-~-;;:;,rnm::zt ~C')e l"1-UJ<hen....~'"W -""r-::Or-W Ic-..~$.~m~:o ,......;:::,0r-<Go .~(no Q fl. W ~ ,. t - IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION 1 IN RE: ESTATE OF CLARENCE C~HAYS, DECEASED. ) )NO.302 OF 1970 ) ) ELECTION TO TAKE IN KIND. The undersigned Virginia B.Holmes,one of the heirs of tGlarence C~Hays,deceased,hereby elects to take in kind the ~ ~Oll~~ng items-of personal property at the inventory value {.,j'~g}her~OJ in the es~a~e of ~he said Clarence C.Hays,deceased: ....~..~.PER SHARE INVENTORY..-:..,'~ROPERTY VALUE VALUE rJ........-, rno ...~'~l-I;:~ L Share West Penn Power Company w 41%PJ;"eferred stock, CV 25 Shares PNB Corporation,Common Stock, Total, 60 38-3/4 $60.00 968.75 $1028.75 J' ----------------------------------------'------ (j tI~ii'.I I!IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF ) )NO.302 OF 1970 ,. CLARENCE C.HAYS,) DECEASED.) ELECTION TO TAKE IN KIND. The undersigned John L.Richey,one of the heirs of 'Clar~nce C.Hays,deceased,hereby elects'to take in kind the Io11owing items ~f personal property at the inventory value '"'...... v .'I ~hereof in the estate of the said Clarence C.Hays,deceased:~;t \.;. .. PROPER.TY __.I I 'J .I Share West Penn Power Company 4!%Preferred Stock, / 25 Shares PNB Corporation,Common Stock, PER SHARE VALUE 60 38-3/4 INVENTORY VALUE $'60.00 968.75 Total,$1028.75 Ii,I flU?~ (j John L.Richey IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE:) ESTATE OF )NO.302 OF 1970 "'.~ CLARENCE C.HAYS,)t,> t,. DECEASED.) ELECTION TO TAKE IN KIND. The undersigned Mary M.Matthews,Executrix of the last ~ill and Testament of Agnes B.Hays,late of Washington,t:'i .r::.~shrr~ton County,Pennsylvania,dece~sed,who was one of the heirs::gf Clarence C.Hays,deceased,hereby elects to take in kindrn.t.'.,.. (-J '_".the f6110wing items of personal property for the estate of the~:-'(-,-.-'. ...l t:-i ...- said:Agnes Belle Hays at the inventory value thereof in the estateiZ."w,~ of the said Clarence C.Hays:w1V PROPERTY 3 Shares West Penn Power Company. 4i%Preferred Stock, 75 Shares PNB Corporation,Common Stock, PER SHARE VALUE 60 38-3/4 INVENTORY VALUE $180.00 2906.25 Total,$3086.25 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF ) )NO.302 OF 1970 ELECTION TO TAKE IN KIND • -Jmo CLARENCE C.HAYS,) DECEASED.) ....,,-) frO'..... ~)(:~The undersigned Mary M.Matthews,one of the heirs off..)=-.-.f'(~C1are~~e C.Hays,deceas~d,hereby e1e~ts to take in kind the..................-, !.0116~~ng items of personal property at the inventory value :,~..=ithere~I in the estate of the said Clarence C.Hays,deceased:..~ Total, W 4PROPERTY 1 Share'West Penn Power Company41%Preferred Stock, 25 Shares PNB Corporation,Common Stock, PER SHARE VALUE 60 INVENTORY VALUE $60.00 968.75 $1028.75 .-r .IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,?ENNA.. ORPHANS'COURT DIVISION I j i! Deceased. ( ) ( ) ( ) ( Nc.302 of 1970 Hays,deceased.The Administratrix is Mary"M.Matthews and the attorneys are 'VlcCreight,Marriner &McCreight.Mr.John McCreight? MR.McCREIGHT: <I;:. ,.j,. c ·IloC. i BEFORE:cI\-a·ti<~APPEARANCES:l-t'a:I-Ito "oJ<:li TIME: a :J"I •r·a ti I::THE COURT:ul-I::a "uI:: l-I:::JCC ~"2 i:l-e HEARING ON AUDIT The Honorab le P.VINCENT MARINO,Judge 0: the said Court. McCREIGHT,MARRINER &McCREIGHT,Esqs., of Washington,Pa.,representing the Accountant. Tuesday,September 14,1971,at 10:00 o'clock A.M.,EDST. Number 302 of 1970,the estate of Clarence C. If it please the Court,I have all the neces sary papers.I know of no unpaid claims or complications.This estate was handled by my brother,James C.McCreight,but there is nothing on the Petition for Audit that indicates any problem. THE COUR T: decedent's estate? Is there anyone else in Court interested ir.th is (NO RESPONSE) THE COURT:The audit of .this account is ordered clos~d by the .Court. (AUDIT:CLOSED). , ;,.1 haroby certtry thot'thc orocccG1nca an:;!(vtclcnco t:\.r~l:ontninod ~'i '..',.,'""••:" ~fully onU ncl,;~J:a.to1y tn'tao ~oteotc1}.cn by tne un the bCCrir.:s \>f the c'~ovo " t=~ c:l-e D oJ0( ij. o:J., E :i: .~...' 'i,cause.al1d taot thin c.;0P1 to a con-cettrnnocttpt of the aOGc.a ". l-II ~ . i IiI:•. •~above ,.aun'o 10 horeb)'tlt>t>ro.vcaond dtroctcQ t6 be filed. =>~II::r ::r:J::>:l ~.~......::> ,- NO.63-70-302 ESTATE OF CLARENCE C.HAYS, DECEASED • .:--..: ''-1:~':-:J>.rrt ;:c DISr§tBtrr.ION ~CEIPTS-(.0 .....,.."'-,~:=;.;:;"1 ~-i •.::'..~,_..) of:!~,;~~.<~. "C·)':-..::.:..~: .r--:.: -0 ;-t::,);..-:.(r" "'- _C" t'-.j :0 • McCREIGHT,MARRINER &McCREIGHT Attorneys at Law Washington Trust Building Waahington Pa.15301 POLLOCK,POLLOCK &THOMAS ATTORNEYS AT LAW <-(L_ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION ESTATE OF CLARENCE C.HAYS, DECEASED. )NO.63-70-302 ) ) DISTRIBUTION RECEIPT, The undersigned hereby acknowledges to have this day received of Mary M.Matthews,Administratrix of the estate of Clarence C.Hays,deceased,the sum of Six thousand five hundred thirty-eight and 75/100 ($6538.75)Dollars,being $3452.50 in .cash,three shares of West Penn Power Company 41%preferred stock valued at $180.00 and seventy-five shares of PNB Corporation common stock valued at $2906.25,in full payment and satisfaction of the a~ount awarded to me by the said Orphans'Court Division of the Court of Common Pleas of Washington County,Pennsylvania,in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases and discharges the said fiduciary from any further liability on account of the same. WITNESS my hand and seal this 26th __...;;,O...;;,c...;;,t...;;,o_b...;;,e_r ,A.D.1972. day of Witness: ~...r.1)~/~~~k~1lJ~·n::'~~7~~~'E-r-.~__-(SEAL)Execut~~x of the estate of Agnes Belle Hays,deceased. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA. ORPHANS'COURT PIVISION ESTATE OF CLARENCE C.HAYS, DECEASED. )NO.63-70-302 ) ) DISTRIBUTION RECEIPT The undersigned hereby acknowledges to have this day received of Mary M.Matthews,Administratrix of the estate of Clarence C.Hays,deceased,the sum of Two thousand one hundred seventy-nine and 59/100 ($2179.59)Dollars,being $1150.84 in cash,one share of West Penn Power Company 4!%preferred stock valued at $60.00 and twenty-five shares of PNB Corporation common stock valued at $968.75,in full payment and satisfaction of the amount awarded to me by the said Orphans'Court Division of the Court of Common Pleas of Washington County,Pennsylvania,in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases and discharges the said fiduciary from any further liability on account of the same. WITNESS my hand and seal this 26th day of------ October Witness: ~,~ IN THE,COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION ESTATE OF CLARENCE C•HAYS, DECEASED. )NO.63-70-302 ) ) DISTRIBUTION RECEIPT The undersigned hereby acknowledges to have this day received of Mary M.Matthews,Administratrix of the estate of Clarence C.Hays,deceased,th~sum of Two thousand one hundred seventy-nine and 58/100 ($2179.58)Dollars,being $1150.83 in cash,one share of West Penn Power Company 4!%preferred stock valued at $60.00 and twenty-five shares of PNB Corporation common stock valued at $968.75,in full payment and satisfaction of the amount awarded to me by the said Orphans'Court Division of the Court of Common Pleas of Washington County,Pennsylvania,in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases and discharges the said fiduciary from any further liability on account of the same. WITNESS my hand and seal this __~:?~~~_~day of ~L~'A.D.1972. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION ESTATE OF )NO.63-70-302 CLARENCE C.HAYS,) DECEASED.) DISTRIBUTION RECEIPT The undersigned hereby acknowledges to have this day received of Mary M.Matthews,Administratrix of the estate of Clarence C.Hays,deceased,the sum of Two thousand one hundred seventy-nine and 58/100 ($2179.58)Dollars,being $1150.83 in cash,one share of West Penn Power Company 4!%preferred stock valued at $60.00 and twenty-five shares of PNB Corporation common stock valued at $968.75,in full payment and satisfaction of the amount awarded to me by the said Orphans'Court Division of the Court of :~Common Pleas of Washington County,Pennsylvania,in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases and discharges the said fiduciary from any further liability on account of the same. WITNESS my hand and seal this 3d t.!J,.day of-f2<.~,A.D.1972.---- Witness: '.--....~. Fo'rm RCC-33 RESIDENT DECEDENT COMM:ONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF WASHINGTON Administrator 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 In~eritance_an~.~stat~Tax Act of 1991.) IN THE MATTER OF THE'ESTATE OF ~AFFiDAVIT OF..........................······················~·~f£~·~~~~7-~i··d~Yt·7···········.................................................mxm:mx Late of :w..~..~.!:l..!..~.K~g.~.1 :w..~.;?!:lJ..~.Kt<?..~County ADMINISTRATOR :u:t~.::~~:::::::~~-::::::::_-_::::}'" Mary M.Matthews.....................................................................................................................................................................1 lWIMfGr of the estate of the above-named decedent being duly sworn,depose and say .February 23Decedentdied. (Month) Name and address of attorney or} other authorized representative to vhom all correspondence should be Ilailed. .p.~~.1<>'9~,?.<?.!~9.9.1,{~1'h.Qm.~.§..J A:t...~.9.:t:'l;1..E::!y.!?~.t.!!~Y:!,. 41 E•IIigh ..~t.re.~t LJV.a yp~~Q~!.Kl ..J?~!J..!?~.7..Q..,. Th t h Administrator d .t'f '1''th th ff'f 'd t t d th -+a as suc eponen IS ami lar WI e a airs 0 sal es a e an e prope~~y con- ,(Ex"rutor-AdminiBtrawr) gtituting the assets thereof and their fair market value. That at the time of death there wa~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,D~CEDENT None That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedu/~A attached h,ereto and made part hereof sets forth full v and in"detail a:"l 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,nam3 of mortgagee,date,rate of interest,and book and page of ~ecord 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 ')y 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,do.wn to the last interest day prior to decedent's dE'ath in tI:te case of savings banks,and to the date of deced~nt's death in all other cases;al~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 agreeme~t 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 whatsoe,,'er kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and mortga,ltes held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation 'as to each item;all moneys ?ayable to the estate from life insurance -polici"es carried by decedent;all annuity and endowment contra::ts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends ilue 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 ~t the time of death,With the market value thereof at such time. ':;f. /: In the c~se.of securities of close or family corporations,the values reported.are as far as possible substantiated.by financial statements of the corporations,showing the assets and liabilities thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with thy.f.~~r J'\arket value thereof,any other property owned or bequeathed .by ·the decedent at the time of death.' The Schedule C.attached hereto and made part hereof sets 'fo~th a :trtle answer ·tlo.ea.och inquiry contained therein and in the case of transfers ofproperty,real or personal,within t}l'o years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession'or enj6yment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proporti~nate share received by ea~h t~~~~fe~ee and all other facts of a pertinent nature regarding ~afd tra.nSfers,In .the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a copy of the deed,,trust agreement or other instrument creati~g the trust.Ther.~is also set forth in said schedule a lis·t·'o·t·ail 'property';'r~iifand'personaf;'with"'itsvalue,which passes at·de'c.edent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested il1 decedent,eith~r.:individually~r jointly,by the will,deed,or other instrument of another,(,.._..~~I ..I~I with a copy of the i~strument creating such power a~tache~to the schedule,'..(\.. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent'.s deatli,',the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,and the relationship of such issue to the beneficiary, That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instrt~ents effecting the vestiture of real estate and the date,of acquisition of personalty,plus the name,address and rela~ionship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel.fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of 'the decedent;debts and claIms owing and unpaid at time of ~.death;taxes accrued chargeable for period prior to decedent's death ,(except.those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance thereWith. That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein" have been carried forward and properly registered in the Summary. Subscribed aud sworn to before me this . ...."!-~day of............•....f.!ll.Y.19·7..Q"··?!J~""?!A~"-""·""" O'J./rr;;;.~._.'-1LJ,~~~~·~~:·~tN~·6~btARriO~[T~:··', , ,,.......~9'~·~"···~·~·i~;E:..t~~l __.. WAYNESBURG BOROUGH,GREENE COUNTY Waynesburg,Pa.15370MYCOMMISSIONEXPIRESJAN.6 1373 "."",, , " , , ",.",",".. Member,PennsylvaniaAssociationofNotaries (City or Town and State) NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in w:!.th 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 a.bove-directed. ~~'",,.'.-::."R':-34 (1-64) C::>MMONW~ALTH OF PENNSYLVANIA DEPARTMENT OF -REVENUE BU"REAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEpENT SCHEDULE uA" REAL PROPERTY ~,~ Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property heid as joint tenant or tenancy by entireties,report on Schedule "E".Property held by the .de.cedent·as tenant in common wiith another or others,should ·.be identified as to quantum of interest and the estimated value should be that (.f the decedent's interest only. The real property located In the Commo!,wealth of Pennsylvania should be (1 )(2)(3) described by lot and block number,street and street number,together wi th DEPARTMENTageneraldescriptionoftheproperty,'with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title;If a farm state number of a·FOR YEAR OF ESTIMATED CA.I(nONcres;also statement of mortgage encumbrances upon each parcel c'death DECEDENT'S MARKET VALUE (Dc not writecfdecedent.Taxes,'assessments,acciued Interest on mortgages,etc.,are DEATH In t!lls space)t;)be listed on Schedule It FlO and must not be deducted from this schedule.---~_. None None . :.. I ;,. ! , ) ..-.-._- Insort this total oPPo31to "roal proporty",Sl:hedulo ,iA;i In tho XXXXX IIAs Reported"f:Q lumn on the lost pa9~of thl s return.None att,:-'~.'1 -;RCC-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".Inta~gible personal property,'titled in the name of the decedent,but payable at death to another or others,including but not limited to P.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,salari~s 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. I--...,..--_._-------------------...,.--.....,------..-------- Item No. ITEM List and describe fully UNIT ESTIMATED VALUE MARKEr VALUE DEPARTMENT VALUATION (Do not write in this space) 1.Series E,United States Savings Bonds, as follows:. 5.6 Shares West Penn Power Company, 41%Preferred Stock, 3.Checking Account No.60-63416,Miners and Mechanics Savings and Trust Company,Steubenville,Ohio, 4.Savings Account No.062-1618,Mellon National Bank and Trust Company, Claysville,Pennsylvania, $100.00 Bond,dated June,1945, S~ven $100.00 Bonds,,dated July,1945,' Five $100.00 Bonds,dated February, 1953, Two $100.00 Bonds,dated December, ,1969, 2.Savings Account No.l6012B,Miners and Mechanics Savings and Trust Company, Steubenville,Ohio, $165.12 I bS J:; 65.12 1,155.84 /;00'.1'1 f 32.08 660.40 &60.10 75.00 150.00 /50.0 0 %!!f};~O.57 3,030.57 :/-.~~ ~4<J3J} 2,443 .11 ~, 3,883.14 ~/fJG'.1j 60 360.00 300.00 , ~8-3/4 5,812.50 5;[/;)..06 • 1150SharesPNBCorporat1on,Common Stock, 6. Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return.x X $17,660.68 ::.; RCC-36 CU\!\1LI\'\i·~,\LTIl OF PENNSYLVANIA TlL\~~FFn INHElUTANCE TAX i1F;S InF'\T DECEDENT SCHEDULE "c" TRA.NSFEHS (1)Dirl rlecedent,within two years ofdeath,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)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)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.(Nole 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)No (a)Was there any pos5ibility that the property transferred might return to transferer o'r his estate or be subject to his power of disp~sition?(Answer yks or no)_ (b)What was the transreree's age at time of decedent's death?__ (5)Did decedent in his lifetime :nake any transfer without receiving a valuable and adequate consjderation therefor under which transferJr 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)No (b)The right to desig,nate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)No (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone 0 r 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)No (8)Did,decedent,at any time,transfer property,the beneficial enjoyment of which was subject :;0 Change, because of a reserveel power to alter,amend,or revoke,or which cOllld revert to rlecedent under terms of transfer or by operation of law?(Answer yes or no)No (9)If the answer to (8)above is in'the affirmative,was the power to alter,amend,or revoke tje inter- est of the beneficiary reser,ed in the decedent alone or the decedent anel others? (Answer yes or no)__ NOTE 1:The answers to these questions should be supporteel,by affidavit by the attentiing physician ·lS well as a copy of the death cef"llficate. XOT)~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 trll.nsfer:-ed,with relationship of transferees to decedent,if any.Submit copy of any trust fleed or ins.trument,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. ITE~1 DESCRIPTION None MARIillT VALUE (Estimated) None DEPT.VALVATlON (Dept.Only) lllsp.rt this total opposite "Transfp.rs",Schedulp."C":I.n the "As Report""" None .." SCHEDULE "E" JOINTLY OWNED PROPERTYllr~lnE;\T nECEDENT '-C(\MMuN'NFAU'H UF PENNSYLVANIA Tni\t,s?'.:~n I\"HFIU'l'r\NCE TAX r."I." RC'C':38 !:\STRITTIOXS:This scheclule must d.isclose all property,real aml personal,owned by the decedent jointly wi th another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or Ollt of state real estate value in estate valuation column.Personal property should be listed:as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent. Description of Property;Date of Acquisiti~n,Name I Address and Relationship,of Co-Owners,and Place ! of Rec;:orrl of Instrument,where Real Estate._I Unit Value percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write. In This Space. Value of I Value of Entire Decedent's Property Interest N0ne None Insert this total opposite "Jointly Owned Property",Schedule ~E" in the "As Reported"colunm on the last page of this return.None .,........I..~... R2C::-37 •(12-63)- l'tHt:\tl):'\\\"E:\I.TIl OF PE:,\:,\SYYl.ANIA TR:\NSFER I:'\IIEHITA!'\CE TAX RESIDENT DECEDENT SCHEDULE "0" BENEFICIARIES ,-- ." \ h BENEFICIARIES AND ADDRE~sb;'..RELATIONSHIPt..SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesof~11 who illegitimate children DECEDENT OF EENEFICIARY ave an interest,vested,contingent o~other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH ...... .¥ Agnes B.Hays Sister Yes One-half 720 N.Main Street I Washington,Pa.15301 Mary M.Matthews Niece Yes One-sixth 1083'Seventh street Waynesburg,Pa.15370 Virginia B.Holmes Niece Yes One-sixth Third Street Houston,Pa.15342 John L.Richey Nephew Yes One-sixth 119 Third Street Houston,Pa.15342 . ~.. ,. . ,, ~-..-. •_.>.0 --. ~ -..- Deponent further says that ell the above-named beneficiaries are liVing at this time except below: NAME No exceptions. DATE OF DEATH RESIDENCE OF THE EST:\TE OF ~IATTER OF THE APPRAISEMENT , ""~Administration (No,".,.,.",."".Year """"1..~7.9",, D<THE (Executor-Administrator II '~ must complete "As Reported"column #1.) CJ :C-t ~"'tl ~...,0 ~~~0 ...e:..'",~.::3 '",'.II '",I:''"0 Cii'::3 ""0....,:rl Il>...:II ....-0 II .',.Il>'"X ;~"'tl '0Il>CD0-:~......ro :0 0 ~'0 trl !t:1 ~:(1)... '"~ ~:~'<Il>.....:rl~~ ~-oo~ ,C:,L.AJ:tE.:NC:~".G,~",,!Mrs."",,,, Deceased Late of .,,,.."",w.~,s.J:1.i.J:lg:t.().Il""""."....."."".."." County of ,,,.w.~.s..lli..Ilg:t.()~,,.--.,:~.~.,.,,:~,~..,,,,..,,." ..'SO --.__J .<'-_ ..~c=~~-'1--iQ::::o..common\\'ealt~;O~enn._sylva,!!,!,!_.:"rT'~"~~ (:"1 0 c::":-::1 '"....--- _~~~~.~c~r:1 :,~:''~. ......-•t", REPOJtT ';l~APPRJAISh\P'" o 0 -'-~~...;.,•. Z -rj ~~~:~..~(""):::!C e..-__.-.a .::::::::__~;r '"7 :"", -0 r C;c::> ;>-Cf>..&::" ~ McCREIGHT,MARRINER &McCREIGHT Washington Trust'Bui1ding Washington,Pa.15301 -: \_, :~.... .~ ~:~ :i :.... •...::1 "":m:m,0 :.""',m,00 enc:~II •~:>~---.>-<en en en(')(')(') ?"::T'?"n tJ ~;:::----......... ~~~ .....>:...::1 '"Z Z:-.Z ~o e :m 0 ~---. I:'t:j ,m 1:'"0'::: (\)(1),0 (I)Q:.~;m :::...00 POLLOCK,'POLLOCK &THOMAS 41 E.High Street Waynesburg,Pa.15370 't' ! (:. '.?.to t;:.-00 -fr.>~'*-00 II .':.~-:-.;.~"""-.>""~.~;r. tJ~..i3'-C't_.~;,~s:~II "~'D 3 ~~~r.II •\J\~N.c.. RKAL ••TAT.• • •-.~_,None J DIIDUCTION. I'IlRIONAL .STAT..• • •17,660 •68 TOTAL AI'I'ItAII.',UINT • • •17',660.68 •~7?7c";Y (l/Z;li 1.}'i ,I STATEMENT OF DEBTS AND DEDUCTIONS O""IC.0"TH.• ESTATE OF__...::C..:.l.;.;;a;;;,.r_e.:.--n_c_e_C;....:....---...:Ha=y_s uTll 0"Washington,Washington ANO AG.NT 0"nt.CONNONWKALnt '. OATil 0""ILING A..I'ItAI.IlN.NT·_--..,;J~a:=:n~u:..!a~r::...z.y---::1::..:9:...L.-=1~9:...:7:...;1=-__OATIl 0"DKATHI__F_e_b_r_u..:.a;...r.."y'--_2_3-','--1_9_7_0 _ DATE No.0"NAME OF PAYEE REMARKSVOUCH.R AMOUNT 1970 .. Mar.24 Russell Marino Letters of Administr.atic n $23 00 25 The James Funeral Home.Funeral Expenses 1300 37 24 Washington County Reports Advertising Estate 14 00 25 Baily Insurance Agency Administratrix's Bond 128 00 Apr.9 Observer-Reporter Administratrix's Notice 14 00 May 18 Russell Marino ,"Filing Invento~y,etc.4 00 16 Mary Ullom R~imbursement for'..n+;nne::!11 651971. Apr.22 William R.Johnson Notary Fees 5 00 22 Mary M.Matthews -Administratrix's Fee 922 16 -z2 MCCre1.ghtfi ·Marr1.ner & McCreig,t Attorney Fees 461 08 22 Pollock,Pollock &Thomas Attorney Fees 461 08 Russell Marino Final Account 19 .00 ~~.A A-Il.,_ox..~'..A L2 "'"A],..A }()C<-O-•.1 . - , DECEASED.AS DEDUCTIONS FOR .,- HEREBY CERTIFY.THAT.TO THE BEST OF MY KNOWLEDGE AND BELIEF.THE FOREGOING 19 AJUST AND TRUE STATEMENT OF'DEBTS.FUNERAL EXPENSES AND EXPENSES OF ADM'NIITRATION lueM'TTED TO THE ESTATE OF Clarence C.Hays. COMMONWEALTH OF PENNSYLVANIA }SS:..COUNTY OF GREENE I,Mary M.Matthews,Administratrix, INHERITANCE TAX.,PURPOSES, R CC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEA.E REFER TO J NOTICE OF FILING OF APPRAISEMENT 38-56-5 Hary H.11atthews 'l.rvvyyyyyyyy .(~~Administrator) In Re:Estate 0 f __---locL;,JJu;a....r....!i;e<.Ln~~o.!ioe<--...lojC'-&.~H~aJJ_TliOO.esW-.------- ________~~la~s~h=i=nEgt~o=n~county -File No.63-70-302 Dear Mrs.}~tthews, You are hereby notified that the original appraisement in the estate of Clarence C.Haves has been filed in the office of the Register of Wills qf Washington County on Janusry 19 ,19-11.Said appraisement reflects the following valuati6ns: Real Estate _--'-_ Personal Property __~1~?~~~6~6~0~.~6~8 _ Transfers =~~_..,.._::___,_-- Total ....-=1:.l.7.L.,.:::;;66::.:0::..:.~6..:::8 _ As to such tax that is paid within three months·from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (5%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. J~Jr . CHIEF APPRAISER ldi?flLy vl.R.CHANEY,Title SignedDate__-=J:....:an=ua~ryoL......:l=..;9::....l,~1~9..!..7=1 _ DATE OF DEATH:February 23,1970 Note:This is not a bill. ~. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION 244 WASHINGTON TRUST BUILDING WASHINGTON.PENNSYLVANIA January 8,1971 HINERS AND MECHANICS SAVINGS.&TRUST COMPANY STUBENVILLE,OHIO 43952 RE:Clarence C.Hayes (Deceased) Date of Death:"February-23,1970 Late of Washington County,Penna. Dear Sir: Savings Account Checking Account Would you please send Hr.Clarence C.Hayes (1) (2) me the balances of the two "bank accounts held in your bank as of his date of death. /~A/~o.16012B"-($3;030.57 Bal~.'{;3-70) No.60-63416 (2),443.11 Bal 2-23-70 Thanking-you for your kind consideration"in.this matter, I remain, /mjr Very truly yours, (2!~/cLy WILLIAM R.CHANEY, CHIEF APPRAISER RCC-39 (5-68) COMMONWEALTH OF PENNSYLVMUA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of Hayes (Last Name) Clarence (First Name) C. (Initial) DATE OF DEATH 2-23-70 FILE NO.63-70-3Qi) REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Hashington 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:----'-_1_-_1....:.9_-7:...-1 _ 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 VALUE AS REAPPRAISED $-------+---17,660 68 17.660 68 17.660 68 17.660 68 VALUE AS REPORTED VALUE AS APPRAISED $$ INVENTORY Real Property (Schedule A) Personal Property (Schedule BL Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDU"LE F) CLEAR VALUE OF ESTATE Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $-+-__2% Tax on $--+__6% Tax on $----------+--5% Tax on $1not. Tax on $(15cr;) Exemptions -.- Total Estate ---I-__ TOTAL TAX COMPUTATION OF TAX $---------+-- $----=------+-- $---------+-- $---------+-- $---------+-- $..1-.__ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::=t=== BALANCE OF INHERITANCE TAX DUE $I Add interest at rate of 6%from L_____to $---l AMOUNT OF ESTATE TAX ASSESSED $--------jL- Estate tax paid $---'l- BALANCE DUE $----lL- Add interest at rate of 6%from ------lt1o-----$--------It= TOTAL TAX BALANCE $-----~" PAID $--1 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 Year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF .....G.LARECE C•..HAYES . Deceased Late of ...vlASHINGTON................................................................. County of 1"!AS.HJ1.JGTON . Commonwealth of Pennsylvania REPORT AND APPRAISAL ~ .e Form RCC-2 ... vi ..DtPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE J.a.r.nJ,Q.r.y l.9...lI J..97.J ..... COUNTY W9.:~.h.~gy.5~!!-_.. FILE NO•.............?~.:::.?.9.::.?.g?_ . Whereas..gJ9:r..~nG.~G.."~y.~.§late of W~.§.hmg:t.9..n .. in the County of y~.~?~.~~.~?.I.1 Commonwealth of Pennsylvania.having died on the ?3..9:day of J;'.~p.r..'!J9:r.y.19 7.9,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~:!.~.~.~.g,~~X ,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate Is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Description of Aile! PERSONAL: Unit Values $ Appraisement Made for Inheritance Tax PurpoleS See copy of schedule IIB"attached to appraisement ..',0 iJ 17 660 68... ~!..2 I ,...."TOTAL ..17'{.../..n Ih~ ~.'........--."-j .~ ...................................w..~Penna. '--------------------------------------------_.__. \ ·~!?:~.~t.T.lg~'?T.l..................................CoUllty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ..g~:r.~D.G.E3 G..~~~yE3,.~. Deceased. Late of ...................................w.~.~.h.:i,r.lgt.9g . Datc of 'Death,?::??.::.79.. Appraisemeilt Docket Vol.,-'..3.8 . Page,5.9.~5.No f?.3.:::-.7.Q:::-3..Q?... Filed ill Register's Office,..:~.~~.?19.?..~. Amount of tax due,$.. DEPARTMENT OF REVENUE R-eceived, Examined and Approved,.. Wrote abaut Appra.isement, Appeal f,.om Appraisement,. Entered and .charged,.. '-"'';'''.0.-<; FILED 1971 Sf?23 AM 10:35 RUSSELL MARINOREGISTEROFWIllS .' • f RCC·4 (8·68) No·8 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE11659OFFICIALRECEIPT•PENNSYLVANIA INHERITANCE AND ESTATE TAX RECEIVED ONE HUNDRED NINETY FOUR and 19/100-·---...--------------.........__-_dollars MARY M.MATHE\iS ...ADMR.r representing Pennsylvania Inheritance or . Estate Tax due from the following estate:From:......a~u....&..-...I.!D.lJ.i...lWu.s.Ul.4---l~IU:ll.Ll:u;".;D.....U_4!1I~'.q.I~~~--------------~-------1l Address 520 l'1ASHINGTON 2%Tax on $$.1;1 liAHINGTON PENNS 6%Tax on $$11'11 File No.63..70...302 Date of Death---":L::........<.;;;..l......---i 15%Taxon $14.261.34 $_--=2.,,1:=...;4;....::0;..:...=10;::....·__tal $------'------ID Date of Pa'yment __O_c_t_o_b_e_r_4---L.._l_9.:....7.:....1:;:.:..·.-----1 Name of Decedent _._C_L_A_R_E_N_·_C_E_C_t_HA_Y_S ---l %Tax on .$$---------K11 Estate Tax,Act of May 7,1927 County ~_W-AS-_H_IN_G-T_O_N-------i Remarks: JMO .1..-t' d /0 . TOTAL TAX CREDIT Less five percentum of tax ifPielt paid within three months aftef"'&• date of death Plus interest at the rate ofL%from 5-23..71 to DATE $,_---;2~."'=14-=O=_.'"_':1~O:___Pd.1,950.00 Due 190..10 $---------IHI $4~·.~O~9=----_'111 "VOO,~[p[L~©illlfrn SEA L TOTAL AMOUNT PAID $======1:==9=4==:.1==:9==m NOTE:This Tri~licale R:C~iPI 1o be re;ained '.or ~'S.e'S6~'5 C~~~. Received by ~.....(I \f.-;u'...k-¥\...O NOTE:In aCcep!ing t,he transfer,inheritance tax on future estates,prior to the death af theifie J ~(Si~LJU1J/ tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth ~hall _.-~~}(I not be precluded or prevented from hereafter assessing additional inheritance tax at the death af\n~_)).,\-.c.(I 6' life tenant or tenant for years whenever it appears that such additional tax may be legally due and==-~\""""":(T-\----------....::::;.-,(T::'""i""""teJfT--......::.--.=....-----1U1 collectible for any reason whatsoever.--l v