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OC1970-0372 - ESTATE OF CLARK
----.._.~._------~---------------------_._-~-----------, PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J, Estate cf ~~~.~~~?:..!.·~~~-'"".. Deceased , I N 63-70-372 'c . Fiduciary R:h~h~~.g..~~~lm.lg.r.~. ...................................................~~~~.:t:J:~~.~, Date cf April 3,1970 Date cf Decedent's death Grant of Letters ~p.~~~~.?.}.~!.9 . This is the .f.j.x:$..t:~..f.J~9.t account filed in this estate If there have been former accounts filed in this estate,list file number or number and term ':':::::-.::::-. Election to take Under or Against will.(cross out one) Date Election Place of; Filed Record . ,Name of surviving spouse P.~.9.~4~!::J:~..~~y.~~~?'!:"~~~.~. List issue,where,material: None Did decedent marry after execution of will?(indicate)~No.Any children born after execution of will?(indicate) XES.N~.If answer yes,name them ,. ..........................................................................................................................................................................................1 .1,4)o,J,atees Relationship Interest 4, Fiduciary,if deceased or not sui juris Rae (Ray)Ashmore Richard C.Ashmore May Belle (Mabel)Wright ....-~ Ruth Ann McHarg sister nephew niece niece $2000.bequest $2000.bequest and 1/3 residue 1/3 residue 1/3 residue List,if exceptions to above: No exceptions If partial intestacy,give facts: None Adeemed:Revoked:Lapsed:Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.}~~ If any exception give cause:. FilecopyofNoti~~Feb.23,1971 . and date of mailing . Is estate subject to the filing of a ~ederal Estate Tax Return?x.~.~.(gQ.P.y..J.t.~.~.~~~!~~~~EL . Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.3.,.5.6.2.•.5!:L . Ifthe Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant ':".:":.':".:':. Give Names and addresses 'of all unpaid creditors who are legally entitled to notice,tog,ether with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. NONE Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: (See statement attached regarding Savings Bond in name of "Miss B Clark") ~-... .\.. # -.Balance for distribution per account, Itemize any additional debits not shown by account: Total additional debits (Add) Itemize any additional credits not shown by account: Total additional credits (Subtract) Balance for distribution $_.__.._ . $_ . $::~:.\~ $. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); Cash and 498 sh Mobil Oil Corp.,Common Stock ~ appraised at $21,196.12 J QInmmnuwralt4 nf 'ruusyinauta.l !IS: DlIus4tugtnu QInuutg.\ KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid on the 6th.day of April A.D.19 70 ,before me, Russell Marino ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will and Testament of HERBERI'F.CLARK J late of Amwell Township in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and Richard C.Ashmore the Executor in said Will and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said Richard C.Ashmore committing unto him the administration of all and singulm-the goods and chattels,rights and credits,which were of said deceased,and requiring him to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety days from the date hereof,and to render a just and true account of said administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth ,relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this day of April nine hundred and Seventy 6th. in the year of our Lord one thousand ....~__- "Register gj ~::u to...td ...tx:l to::u a1-3 /TI el'xj til•E totntn t'i /TI ... 0 ~:t>'1\~ N ::d~:::...~to1= ---j Route 2,Vienna~Virginia. Kansas,my niece,Ruth Anne McHarg,of 1633 Calvert Street, ($2,000.00)to my sister,Ray Ashmore,of Yale,Oklahoma. LAST WILL AND TESTAMENT I devise and bequeath the r~sidue of my estate,of' I bequeath the sum of Two Thousand Dollars I appoint my nephe~,..,Richard C.Ashmore,Executor of I direct that all my just debts and funeral expenses I bequeath the sum of Two Thousand Dollars IN WITNESS WHEREOF,I have hereunto set my hand and seal ':<£.1 day of June,1967. ~q;PU4?Jr-(SEAL) /"-~-~--------------- I,HERBERT F.CLARK,of Washington County,Pennsylvania, THIRD: FIRST: SECOND: FIFTH: FOURTH: this Signed,sealed,published and declared by HERBERT F.CLARK, the above named Testator,as and for his last Will,in the presence of us,who,at his request,in his presence,and in the presence of each other,all being present at:the same time,have hereunto subscribed our names as witnesses. to my niece,Mabel Wright,of 615 North Edwards Street,Wichita, this my last Will,and I direct that he shall not be required to give bond for the faithful performance of his duties in any juris- every nature and wherever situate,in equal one-third (1/3)shares diction. Vienna,Virginia. made by me. Wichita,Kansas,and my nephew,Richard C.Ashmore,of Box 103, shall be paid from the assets of my estate as soon as practicable after my decease. ($2,000.00)to my nephew,Richard C.Ashmore,of Box 103,Route 2, IiII II II,I Ii I:i declare this to be my last Will,and revoke any Will previouslyI; I: I:I'IIIIPt:L'j1 I!IIII Jl Ii !I \I 'i.1II I:!\IiII 11 IIilpII I'I' I! I',IIijiII 1Iq!II,I, IIIiH I:!IIII,HII 11I ;, H'J 1\If ilI' II 11 II!l 11,I I',I -IIiIiIi 11,iI'dI; .Affibuuit (@f Executor ®r 1\bmiuistrutnr ~ttttt nf 'tuuliyluttttitt } QLnuuty nf IIttli4iugtnu lili: P 11 b f th d . d th 't Notary Public·d f .'dersonay e ore me,e un erslgne au on y,a . ...__In an or Sal County and State,appeared _ _.._._._.RJg.~B:P.g.!A~.~9.R~_.._ _.._who,being duly sworn according to law,deposes and says that he .is the executor:mr~xtorof the es- tate of H_f;R~_f;R'f..¥._...gM~_deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of .:.._Hf;R~.f;J~:'};'__.f..~...g.~~ 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 Executor ~!s~X .d Sw f orn an~~u~s.cribed be 1 f 9 0re 7i this i?.(?}1l~~~..~~ ay °'/"h~::..t,..17 ~'j Executor-A~K~tt:KU ·············//~~·/~··PUbltC···· Washington,Wash.County,Pa.ADDITIONAL INSTRUCTIONS My Com.i:xlih in~in~origdst\~7fhedwithin three months after appointment of personal r.epresentative. 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 Oopies and 2 RCRI-33, Over ~10,OOO,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3Juututnry ttUll "-pprttilitmtut .of the goods and chattels,rights and credits which w~e of ~F;.~~.F;~1'r~qY\~.late of ~~~.~.~?;?~~.~~P... Washington County,Pa.,taken and made in conformity with the above affidavit. J I PERSONALTY DOLLARS CENTS Cash on hand Checking Acct.-The National Bank of Fairfax,Va. Savings Acct.-United S &L Ass'n,Arlington,Va. Int.on above Savings Acct. Savings Acct.-First Fed S &L of Washington Savings Cert.-First Fed S &L of Washington Savings Cert.-First Fed S &L of Greene County Check of General Motors Corp.-Div.3/10/70 Check of Lone Star Gas Co.-Div.3/9/70 Soc.Sec.Admn.-Check for Mar.1970 Soc.Sec.Admn.-Check to cover increase for Jan.&Feb.1970 Soc.Sec.Admn.-Lump-Sum Death Payment 160 sh Columbia Gas System,Inc.,Common (at 30\) 30 sh E.I.duPont de Nemours &Co.,Pfd.$3.50 Serie$ (at 53-15/16) 70 sh General Motors Corp.,Common (at 73-9/16) 100 sh Lone Star Gas Co.,Common (at 20-15/16) 500 sh Socony Mobil Oil (now Mobil Oil Corp),Common (at 42-9/16) 10 sh West Penn Power Co.,4~%Pfd.(at 60) Div.4/15/70 on West Penn Power Co.,4~%Pfd Stock Total Personalty ....•••••• REAL ESTATE TOTAL ESTATE ...•..••..••.. 3 00 1,062 80 5,000 00 290 78 104 53 13,400 00 13,000 00 59.50 28 00 74 00 20 40 234 00 4,840 00 1,618 13 5,149 37 2,093 75 21,281 25 600 00 11 25 68,870 76 NON E 68,870 76 , cZ Sa2~! 9°_° t3-70~37L Inventory and Appraisement IN THE ESTATE OF. ... ,'"~HERBERT F.CLARK,j···············:2'·:·:··························decel:i's·e·(l······ Filed Jan .............................................,19..?.~..... ~;o~rn~u~(7'",;c:.::r.-en=~:(,0 G")Z _..~{;-~, .-;)rn f- -1 :;::1 ~~.~=-:. o _I"::~; <:)--.~-'~r=-:--oro J;>Vl , ., --.I <"-~~ -~.> 'w c::> ~ -.-j rT! ,,-~.~.-- '- ~il.~jLJ'3 ~-5 y.t/ C\. 1 STATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The within named Accountant being duly sworn according to law,depose S and sayS that the above account as stated is true and correct ~s .he__verily believe. Washington County,ss:I I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribed by Stdtute and Rule of Court,as evidence by proofs thereof filed to No._._.(;;.$::-.11..-::.1.._ . Witness my hand and official seal thiS..l~_._. day Of__.._~~__..____._.__._19.1./...._ -()<~~~-_.._.._.._....__. ,Register of Wills ...u ...._...... Q)..c:l....~~ i~ ~~ ~ ..... i §:....i § : 0:<:.l:<:.l1<~~a Q):07 !=l j 10'•.-1 :.::co r-l:...>r-lj ~r-l 0:<H 1-1:o I-I!~co:u: 1-1 iQ).: "0 ui§~j ~!=l: Q)co: r-l 1-1i~~i "d§ Q) ..c:l.... .....::::lo<:.l<:.lcd .::-~...:a ~:25~.:8 .~...cd Q)S ~bo :..... .......::loCo) ii=o ..::r-li "d N.::.,.;<,.... o.... ....;.0--~~"dQ).....::Q) rt.lQ)...~ '''''I.. ~~,,.,r .:' R'U:c (-(':\l,".~;\Jv...."'\..."",-.1.,·.t\II':l HEGIST=?OF \'1\L VIt,SH\:lGTOH CO .• til '","'"r'li\t,......'"I .....'10 0 , ,~....--l ~.I'l Q):'fl}i5 :0.~<:.l 1-1:-l-J:~<jl ~~1 00:~~.'~'~(.i .\ tj!r-l!u1 .1 ~i"Bi~i •.-1:co: Eo,.!~!"5!~i ~i ..-I!r.,'.~'~i +J!"'1~i oo!i~:1-1::::r:!·.-li l!~!i r:<.o filEo<~rnfil· ciZ N "C"') Io "I C"') \0 1\ ~~ G .~~.,'"~? f".~ -" J ----------------------------------------, ..4, The Court is respectfu Ily requested to determine prope,diS'dbU'W:h=3n,~-..... Counsel for Accountant I I', I The First &Final Account of Richard C.Ashmore,Executor of the Estate of HERBERT F.CLARK,deceased,late of Amwell Township, Washington County,Pennsylvania. The Accountant is charged,as follows: To amount of Inventory &Appraisement Dividends received on E.I.duPont de Nemours, Pfd.$3.50 Series,Stock Dividends received on Columbia Gas System, Common Stock Dividends received on General Motors Corp., Common Stock Dividends received on Lone Star Gas Co., Common Stock Dividends received on Mobil Oil Corp., Common Stock ".Dividends received on West Penn Power Co., 4~%Pfd.Stock Interest on Savings Cert.-First Fed.S &L Ass'n of Greene County Interest on Savings Cert.-First Fed.S &L Ass'n of Washington Interest on Savings Acct.-First Fed.S &L Ass'n of Washington $68,870.76 78.75 201.60 178.50 90.00 900.00 22.50 691.98 672.23 3.97 Total Assets of Estate $71,710.29 Total Credits Claimed ...........13,040.00 Balance Due Estate ....58,670.29 J '-..-, '.•~ The Accountant claims credits out of the assets of said Estate,as follows: Letters Testamentary $19.50 Executor's Notice 14.00 Executor's Notice 14.00 Death Certificates 3.00 Short Certificates 3.00 Filing Inventory 9.00 Notary Fees 5.00 Funeral Expenses 1,688.45 a/c Trans.Inh.Tax 3,562.50 5/19/70 6/22/70 1/7/71 Russell Marino,Reg. Wash.County Reports Observer Pub.Co. Com.of Virginia Russell Marino,Reg. Russell Marino,Reg. Marie Guidos Piatt Funeral Home Russell Marino,Agent National Bank of Fairfax Richard C.Ashmore Alexander McIlvaine and Frank C.Carroll Russell Marino,Reg. Legal fees for release of moneys in decedent's checking account in said Bank Executor's Commission Attorneys'Fee Filing Account To tal . - 2 - 50.00 3,585.51 4,070.04 16.00 13,040.00 -_.__.._-'----------"--------------~-- Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929, P.L.1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON}SS. STATE OF PENNSYLVANIA 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 officiaJI legal periodical for said Washington County,published weekly having its place of business at Washington,Washington County,Pennsylvania, and is acting as its agent in this behalf;that the said WASHINGTON COUNTY REPORTSwas established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or advertisement 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:'. .....................Ap.r.i.l.....9.,.1.Q.,.23..,.~~.J,Q .. ....Estate Notices The Register of WiHs has granted letters,testamentary or of admilJ-istration, in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. • •• ••••••• ••••••• CLARK,HERBERT F.,Dec'd. Late 'of AmwelITownship,Washing-ton County,Penna. Exec\ltor:Richard C,Ashmore,2920SayreRd.,Fairfax,Va.22030 Attorneys:Alexander McIlvaine andFran~C.Carroll,33 W.Beau St.Washmgton,Pa.15301 ' that the affiant or the corporation in 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 this affidavit as to th~~i.m.e,.place and chara/Ut thl}P)?:bl.i ~iO are true.r/)//II -L/I'I (//• I/,(,""l /7'1///'(I I Jt7 1 /7;;.,~__/Lv\./L'GC-')'-----'.'.-J.C:,/L.e:/"..............~.._~f--. ,.-/--------__I~ Sworn to and subscribed befofe--me this ._-------...,... ....?.2.;:~ay of ~.l?f.U ,19..7..Q.l!.. .........~...(1.2t~~..1 NotgvLP.ubIWi-_ .J ~lt t4~arnurt nf arnmmnu Jl~a!l nf IIas4ittgtnu OInuuty ®rp4aus'arnurt mintstnu In the matter of the Audit of Account in J Estate of.__--.:::.H=E=R.:::B=-=E==R..:..:T::-..-=F~.=-------..:C=-=LA=R=K..:...;,L.---{ Deceased TO THE AUDITING JUDGE: 63-70-372No._ Enter__-=o....:u=..=r=--,appearance for ---=A=c:..:::c::..:o:...:u~n~t::..:a::.:n=t:....-_ McI1Y~E and CARROLL N.B.-Counsel shall,by separate paper,present a concise statement of each claim,wHh supporting calculation of any interest claimed.Objections to an account as filed,shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. I .. ... No.63-70-372 In re Audit of Account in Est8ite of HERBERT F.CLARK ) Deceased AUDIT 'ratript fnr .!\pptaraUrt FOR Accountant -..J =E ;0 ""'!"" It .. -~-::::;l:,:P"...C ::D", (f>0 U?::::cI..-'"i::!:;;:;.....z --1 fi1 (...",...>!to i -~...,.rn r--._-a'.""-'"l--1 1,~.~,_ °0z ~-n ;,....o _?o:=:';:;;o ~i=:;'"'U~r 0?'(fl -0 ::::t <..rl c:;:'J -;> ALEXANDER McILVAINE FRANK C.CARROLL ~2 Attorney S Observer -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION .) In compliance with the Newspaper Advertising Act of 16 May,1929, P.L.1784,as amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally ap'peared before me,a Notary Public in and for said County and State,Ri.c..b~J:.g s..,c.Q.w.~.n.,who beil1Jg duly s,worn according to law,deposes and says that he is the .s..e.c..t':.e.t.a.r.:y .. of the Obs1erver Publishing Company,a Ptennsylvania 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 Obs'erver,established Sept6llllber 18,1871,and The Washington Reporter,established August 15, 1808,a daily newspape,r of general circulation,printed and publis,hed and having its place of busines's at Washington,Washington County,Pennsyl- vania,where it or its predecessors have been established and published cOl1Jtinuous'1y for more than six months prior to the publica;tion of the notice hereto attached;tha;t the prInted notice or advertisement hereto attached is a ,copy of an official advertisement,official notice,legal notice or legal advertis·ement,exactly as printed or published in the Obsterver-Reporter in its regular editions on the following date or dates;. .............................April 8·t ·15...and...22..,.19.7.0 . that neither true affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the aUe.ga- ~~,~;thl,atfl'.vl!..10 Ih'~~',PI"''jfZ')2!!::: EXECUTOR'S NOTICE \ ESTATE OF HERBERT F.CLA~K, deceased late \of Amwell Township,1WashingtonCounty,Pennsylvama. Letters Testamentary upon th~above estate having been granteatotheundersigned,all persons having claims against the estate\are requested to make known the 'same to the undersigned.or hiSattorneyandallpersonsmdebtedtothedecedentarerequeste.d tomakepaymenttotheunderSigned 'without delay.I Richard C.Ashmore2920SayreRoad Fairfax,Va.22030 ExecutorAlexanderMcIlvaine Frank C.CarrollAttorneys33W.Beau Street Washington,Pa.15301 ~083-Wed.3t ----~----- Sworn to and ,.h,,'ih·~.;;~2~?£;:t:;L~70 MMlGA~ET r,:.BR'DLEY,NOTflRY p~U~ VIASH'.;.,-,,~..'..•~i-i:,'l.ilJN COlJlHV MY COMr,i,SSION EXPIRES MAY ~,197, ."·.1_.____•~.,",,--=-•. .The decedent,Herbert F.Clark,was Administrator of the Estate of his "sister,B.Clark,a/k/a Bea Clark,who died Dec.31,1961.However,the 'Inventory &Appraisement filed in her Estate did not include a $100.De- fense Savings Bond,Series E,No.C5958230E,dated Jan.1942,issued in the name of "Miss B Clark",and which Savings Bond was found among the possessions of Herbert,F.Clark,deceased.Said Savings Bond had a value of $131.92 at the time of the death'of said B Clark.The heirs of B Clark were said HeJ;bert F.Clark,brother,and Rae Ashm9re and Queen Gabby,sisters each of whom would be entitled to a 1/3 of the proceeds of said Savings Bond, less Pennsylvania transfer inheritance tax thereon. It is respectfully requested that"your Honorable Court issue an Order, authorizing and directing Richard C.Ashmore,Executor of the Estate of Herbert F.Clark,deceased,who was Administrator of the Estate of B Clark, "deceased,to convert the said Savings Bond into cash,and distribute the net proceeds thereof to the proper heirs of said B Clark,after paYment of all claims of the Commonwealth of Pennsylvania for transfer inheritance tax thereon.. ,J / '. BALANCE FOR DISTRIBUTION PER ACCOUNT ..Addi'tiona1 debits not shown by Account: Gain on sale of 160 sh Co1.Gas,Com.$794.11 Gain on sale of 70 sh Gen.Mot.,Com 284.52 Gain on sale of 100 sh Lone Star 379.56 Gain on sale of 2 sh MObil Oil 7.01 Gain on sale of 10 sh W.P.P.Pfd 4.60 Gain on sale of 30 sh E.1.duPont "9.16 W.P.P.-Div.1/15/71 11.25 E.I.duPont -Div.1/25/7126.25 Mobil Oil -biv.3/10/71 298.80 $1,815.26 $58,670.29 .'\. .. Additional credits not shown by Account: Notary fees-in re;Sa1e of Stocks $6.00 Short Certs.-in re:Sale of Stocks·8.00 S.White's Sons -Marker 136.00 1970 Fiduciary Income Tax 342.59 1969 Income Tax 277.00 1971 &De1ing.Per.Prop.Tax 198.17 Feder~l Estate Tax 441.97 1,409.73 Ba1an6e for distribution $59,075.82 .;.0.\. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION Estate of HERBERT F.CLARK, deceased ) ) ) ) ) No.63-70-372 E L E C T ION AND NOW,February 1.1 '1971,I,:MAY BELLE WRIGHT,also known as Mabel Wright,being one of the residuary legatees in the Estate of Herbert F.Clark,deceased,hereby elect to take, in kind,as part of my distributive share in said Estate,the following: 166 shares Mobil Oil Corp.,Common Stock -appraised at $7,065.37 ______~__~___'__J '\,. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION Estate of HERBERT F.CLARK, deceased ) ) ) ) ) No.63-70-372 E L E C T ION AND NOW,February ~6 ,1971,I,RUTH ANN McHARG,being one of the residuary legatees in the Estate of Herbert F.Clark,de- ceased,hereby elect to take,in kind,as part of my distributive share in said Estate,the following: 166 shares Mobil Oil Corp.,Common Stock -appraised at $7,065.37 i/tj:3 ·-;)0 -05"r h 0/7 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION Estate of HERBERT F.CLARK, deceased ) ) ) ) ) No.63-70-372 E L E C T ION AND NOW,February A.k ,1971,I,CHARLES R.ASHMORE,also known as Richard C.Ashmore,being one of the residuary legatees in the Estate of Herbert F.Clark,deceased,hereby elect to take in kind,as part of my distributive share in said Estate,the following: 166 shares Mobil Oil Corp.,Common Stock -appraised at $7,065.38 Il..- Charles R.Ashmore~~(O ..~ Richard C.Ashmore It ,_2M _._--- .. If F ·1 E .I·d b P ... I f R d No c1a imamiyxemptloncalmey.etltlon,give pace 0 ecor :...._.._.. ..._.._..... _ If Family Exemption is claimed at audit,give name,relationship and basis for Claim:~~~_~~_~~.._.__. _ List any advancement or distribution on account that has been made,and nature and amount of same: NONE Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: Rae (Ray)Ashmore -sister Richard C.Ashmore -nephew May Belle (Mabel)Wright -niece Ruth Ann McHarg -niece COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly----------~-~~-~~--.--.-.--------dothdepose and say that the facts set forth in the foregoing petition are true to the best of b.i~.._.knowledge and belief. --.----~~~.~~......to and subscribed before ~e thiS._.1.~_~:day Of-----.-.-~~E~~..--.-l---..19..?~.., Signature of Offlcer_._._.__.:~~ "Dl!e of ~fficer~.---..~~EY.~. 6tii~i·res ~:<..db.-~J;.-••,.~••?:r.::,. $2,000.bequest $2,000.bequest;and ·1/3 residue (including 166 sh MObil Oil Corp.,Com.Stock, app.at $7,065.38,per at- tached Election) 1/3 residue (including 166 sh MObil Oil Corp.,Com.Stock, app.at $7,065.37,per at- tached Election) 1/3 residue (including 166 sh MObil Oil Corp.,Com.Stock, app.at $7,065.37,per at- tached Election) And your petitioner will ever pray,etc. -----~._~_..~-~_..~-_..._-- No.63-70-372 f: I., ~ .., Estate of JU~~J~~R~¥..!g.tA.~. Deceased Fiduciary ~~.c::.~~E~~.:..Ashmore,......................................._-- Executor ......O'-__---_-t - --_-__oo . PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:paragraph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardjan ad litem,if pehinent.' 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or 'an attest copy of WilL " . 6.Copy of inventory and appra·isement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case,any of the funds for distribution are from judicial sale of real estate. 9.Signed and.itemized elections if any distribution in kind. 10.Copy of Federal Estate.Tax return if,es- tate is subject thereto. ALEXANDER McILVAINE, FRANK C.CARROLL......""- -..------..---'"Att~~~~y --'s ""~2 ,\ I ( , '\1 d "00 NOJ.~NIH'',',~\ 51llt":.\0 H31SI" oN\"\\j \-,l "j'i::1 S~ l ei i.1 die \It.!I I:1 C G.,Its '0:]. 'V ,- <I • LAW OFFICES McILVAINE &CARROLL WASHINGTON,PENNSYLVANIA 15301 ~::-.. ~ ALEXANDER McILVAINE FRANX C.CARROLL 33 WEST BEAU STRBET February 23,1971 AREA CODE 41a aa5-9930 IN RE: Estate of HERBERT F.CLARK,· deceased, ) )NOTICE OF FILING OF ACCOUNT ) )and ) )CALL ·OF AUDIT ) Please be advised that Richard C.Ashmore,Executor of the Estate of HERBERT F.CLARK,deceased,has filed his First &Final Account to No.63-70-372 in the Orphans'Court Division,Court of Common Pleas of Washington County,Penn- sylvania,arid the same will be called for audit on Friday, March 19,1971,at 10:00 o'clock A.M.(EST),in the Orphans' Court Room,Court House,Washington,Pennsylvania,at which time you may appear and be heard,if you so desire. CLL~~lilA 7)lr ~v~~ Attorney for Estate of ' HERBERT F.CLARK,deceased Copy of above Notice mailed to: Mrs.Rae (Ray)Ashmore Mrs.May Belle (Mabel)Wright Mrs.Ruth Ann (Ruth Anne)McHarg f'. J IN THE COU RT OF COMMON PLEAS OF WAS HINGTON COUNTY,PENM • ORPHANS1-\COURT DIVISICN )+ ) ) )No.372 of 1970 ) ) ) McILVAINE &-CARROLL,ESQS.,of Washingtor , Pa.,representing the Accountant. HEA RING ON AUDIT Friday,March 19,1971,at 10:00 o'clock A.M., EST. THE HONORABLE P.VINCENT MARINO,Judg of the said Court. HERBERT F.CLARK, ESTATE OF IN RE: ~Deceased.z~.J>-UlZZIIIII. ~BEFOREl-I!)zi:Ul0( 3: t APPEARANCES: iiiןmii .J0( ~TIME: ::l., :rt:.C\I vi ffi THE COURT:Number 372 of 1970,the estate of Herbert F. I-a:oII.~Clark,deceased.The Executor is Richard C.Ashmore and the I-a:::lo att'orneys are McIlvaine &Carroll.Mr.McIlvaine?u .J0(u MR.McILVA INE:If the Court pleas e,in this estat e I have all ofii:II.o -I the necessary papers.There are no outstanding claims.There L a copy of the Federal Estate Tax Return included with the audit papers.There are certain elections which are filed which are properly executed. THE COURT:Is there anyone else in Court interested in this decedent's estate? ~~-~~---------------------------------------.------, 2 (NO RESPONSE) THE COURT:The audit of this account is ordered closed by th Court. ( AUDIT CLOSED) ,....,,,10 L' 7',.,;n"'''~'[')~-.1'><"",,,..,(.ll~.~.,",,~'..f·H _.t·~'''''n f,'"l:.•..•.\.~,~,_~..\.~44'~w-~...~o.-i..........'-,.j .i,t""-..vl.'"VI.u~~.:.'--'-\lw..:.(J""''"""'..."....~,'......._"-...._",~Ir ~YJ,w...."" J In t4.r ataurt af atamman 'lrus af lIusqiugtnn ataunty. Jrnusylnnniu.®rpquns'atam Binistnn ESTATE OF NO.__J,.L6,;J-3-=-7~OJ..:.-:..,J34-7c....2 _ Herbert F.Clark,In the matterofthe First and Fina) deceased,Account of·_.--uR~i~c.u.h.sa.a.a.;,r.l.!.d~C....-AA,i;I,s.u.bwm.l.l.Q..L,;r~e __ Exe c l1t or E OF DISTRIBUTION I $58 ..67 0 •29 181 .2J Balance per account._ Additional debit asked at audit ADJUDICATION AND DECREE And now March .3( ,19.11-,this matter came on for hearing, audit and distribution at this session and testimony token;and thereupon,upon due consideration ther~Q.f tp[~QJ.Qnce for distribution in the hands of the Accountant is determined to be $-\i,0 O~.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 port hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. Deduct Clerk's Costs &Receipts"'"""-I At'torney_--..,;;;.~,;;.;;1c;.;;I;;.;:1:..;v;,;:a::..;;i;:;:;.n~e:.....;:&:;;.,..;C;.;a:.:t'_=r;",;o;..;::1:;.:1::._1 $60,485.55 $59,07;;.82 59.50 $59,016.32 ~27,/97/ 'fl&..C\:j~.s-O rrO ~.~~4IiQ /J~~:. 5025.8g . $53,990.50 $51,990.50 $49,990.50lJL.<:t.<J ~7,/9 7I fil.~otJ~s:rg~ ~ 2000.00 2000.00 16663.50 Additional credit asked at audit Balance'_ Russell Marino,Agent,transfer inheritance tax, Ray Ashmore,a/k/a Rae Ashmore,sister,legacy, Richard C.Ashmore,nephew,legacy, Mabel Wright a/k/a May Belle Wright,niece, 1/3 residue including cash and 166 shares Mobil Oil Corp.common stock,held in kind and distributed as such at the appraised value,per election filed, No balance 1666 • 0 Ruth Anne McHarg,niece,1/3 residue,including cash and 166 shares Mobil Oil Corp.common stock,held in kir..d and distributed as such at ~'jt.e ,,,- the aunraised value,per election filed,16663.50 IRichardC.Ashmore,a/k/a Charles R.Ashmore, nephew,1/3 residue,including cash and 166 shares Mobil Oil Corp.common stock,held in kind and distr1.buted as such at the appraised value,per election filed, 0 ~z ~ ....:J ~J S'0+!':r v;-t/-t:Y c CO v-+.a 3 ~0 0 0........ii ~.~ ., a 0.... 0+ ~.::r t ~co ::: ..=:::t:Y S~S~ .~.....""::"...."".. l::) 1.!"1 (J)<0 ...J CL ~-...J-f -":-':0-..-<...).. 0_~',-~..::::t .-r,(") -"_..--- L:.",J{.. .'1 _J ,-:'!: c-.::,--.."J (.!) ~.h .:C.-:.J (-')(j),..-ill <.......C'<-.r--..- 'l t, Form RCC-33 II RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF &J-7d-3 7p J '*~ WASHINGTON 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 mE ESTA1.'E OF }AFFIDAVIT OF"R:§~.~~~!.f.~G..~~.........EXECUTOR (State full name of decedent) Late of Y.J.~.~~.~.:J:l:g.~9..:J:l:Colinty A~CDt ::.:'.:p~~;~~~~~::_:~----J~, RICHARD C.ASHMORE of the estate of the above-named decedent being duly sworn,deposeS and say S Eueutor Decedent died Name and address of attorney or} other authorized representative to whom all correspondence should be . mailed. AJe~C:lJ:l;.~:l~:J;..Mq:lJyClJJ:l~.ClJ:lc.l...¥l;,Cl.P.:~....G·g?:t"J;()!J~.....A~t::()J;~~y~ 33 .~.~~au St:t"~~~~.."VJ~~1l.ington,Pa.l530~. That as such E;~.~£~.~9.E deponent is familiar with the affairs of said estate and the property con- IEx"clltor-Administrator) 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 Pittsbur~h National Bank Herbert F.Clark lAl~~h;Pa That the contents of said safe deposit box or boxes are itemized under Schedules ~B~__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 fully 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,je~elry,silverware,pic- tures,books,works of art,household furniture,horses,carriages,automobiles,Doats,and any and all other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and 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 for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if ~ny,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 polictes 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 othe.r investment securities owned by the decedent at the time of death,with the market (value thereof at such time. , In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co:"partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the.decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a cony of the deed,trust agreement or other instrument creating the trust.Therl~is also set forth in said schedule a list of all property,real and personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either indiVidually or jointly,by the Will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and Impaid 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","en,"E",and "F"as 'directed therein, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this """...,f:?f..??"."...", ::::::::----~~~:~;:~~ Washington,Washington County,Pa. My Commission Expires Feb.20,1971 Rc.~.(fdd~,(?..,f ~.;.•.••",•• (ExecutoT-~fldf~ .....,',.?~.?,Q ~~y..?:..~~2.~.~" " " "".. (Street Number) "".."~.~.~E.~.~.~.!!...."y..~.:r.J~!.~.~.~.~"....",,??.9..~.Q,,",,.""""""''''(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. RCl'.-34 (1'-64) ,COMMONWEALTH OF PENNSYLVANIA DEPARTM'E'NT OF REVENUE B~REAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property hf'ld by the de.cedent 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 Comrno!'lwealth of Pennsylvania should be (1)(2)!(3)/described by lot and black 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 CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this spoce)to be listed on Schedule "F"and must not be deducted from this schedule. N 0 N E 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. NONE -------------------------------------------....., ,RCC -35 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule liE".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 anyundistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the tIme of death,should be listed in this schedule. Item No. ITEM List and describe fully UNIT ESTIMATED VALUE MARKEl'VALUE DEPARTMENT VALUATION (Do not write in this space) , $3.00 ,1,062.80 .5,000.00 290.78 104.53 •13,400.00 .13,000.00 59.50 28.00 74.00 20.40 •234.00 30~•4,840.00 -15/1 .1,618.13 -9/16 .5,149.37 20 15/16 ·2,093.75 4 -9/16 .21,281.25 60 600~00 11.25 Cash on hand Checking Acct.-The National Bank of Fairf Savings Acct.-United S &L Ass'n,Ar1ingto Int.on above Savings Acct. Savings Acct.-First Fed S &L of Savings Cert.-First Fed S &L of Savings Cert.-First Fed S &L of Greene Check of Gen.Motors -Div.3/10/70 Check of Lone Star Gas -Div.3/9/70 Soc.Sec.Admn -Check for Mar.1970 Soc.Sec.Admn -Check to cover increase Jan.&Feb.1970 Soc.Sec.Admn -Lump-Sum Death Payment ~160 sh Col.Gas System,Com. ~30 sh E.I.duPont de Nemours,Pfd $3.50 v70 sh Gen.Motors,Com. /100 sh Lone Star Gas,Com. 500 sh Mobil Oil,Com. v 10 sh Wes t Penn Power,4!:2%Pfd Div.4/15/70 on West Penn Power Stock 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X ROC.-36 • CQMMONWEALTH OF PENNSYLVANIA ~TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "c" TR<iNSFERS (1)Did decedent,within two years of death,make any transfer of any material part of.bis 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 him~~lf to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)l~O (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _ (b)State of decedent's health at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)No (a)Was there any possibility that the property transferred might return to transferer or his estate or be sUbject to his power of disposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?-----(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)No (b)The right to designate 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 or others __ (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 to change, because of a reserved power to alter,amend,or revoke,or which c0111d revert to decedent under terms of transfer or by operation of law?(Answer yes or no)No (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no)_ NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death cer-tificate. 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 NON E DESCRIPTION MARKET VALUE (Estimated)DEPT.VALUATION (Dept.Only) - Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return.NONE ,RCt-38 .I , Ca~ONWEALTH Ov PENNSYLVANIA rHANSFEH.INHERITANCE TAX RF.SIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRl'CTIONS:This schedule must disclose all property,real and personal,owned by the decedent jointly with 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 decedent. Description of Property,Date of Acquisition,Name I Address and Relationship of Co-Owners,and Place I of Record of Instrument,where Real Estate.! NON E unit Value percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do .not Write In This Space. Value of Value of Entire Decedent's Property Interest Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"colwnn on the last page of this return.NONE \,,. RCC-31 '(12-63)-~. COMMONWEALTH OF PENNSYY.LANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "0" BENEFIqARIES ( h BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH RAY ASHMORE sister yes over 21 $2,000.bequest Route 1.Yale,Oklahoma 74085 RICHARD C.ASHMORE nephew yes over 21 $2,000.bequest, 2920 Sayre Road and 1/3 residue F;:d,..f::lX V::l 22030 MAY BELLE (Mabel)WRIGHT niece yes over 21 1/3 residue Route 1.Box 178 Newkirk,Okla.74647 RUTH ANN McHARG niece yes over 21 1/3 residue 626 Legion Drive Everett.Wash.98201 Deponent further says that all the above-named beneficiaries are liVing at this time except below: NAME DATE OF DEATH RESIDENCE :':_0 !No 63~70-3~~., P.ol THE ~IATTER OF THE APPRAISEMENT OF THE ESTATE OF (Executor-Administrator must complete "As Reported"column #1.) ()~'"t:l ~ '"l '"l Cb Cb0~'"l e.Vl ::1 Vl Vl Vl 0 ~.....::1 '"t:lCb~'"l...~Vl 0><'"t:l "C~CbC"''"l '"l ~0 ~"C t%j Cb... Vl ........'<~....Cb HERBERT E.CLARK Deceased Late of __..A.IIl':'l~:L1...'l:'.C>~.s.l:l:i.P ....__.... 0'1: 00:>Z :z Vlo00:0 ~...~:Cb-....."'0 ~ (1)0:(1)0-....:~:it 'O"'~~ C/)c:~~>~W C/)C/)0< n n?"'?"'?"' d t1B >::::::--- ~000000000000~ :0'1 : :00 ::v : :00 ::;:5 : :. ;~: :0'1 : .~ .., j (-:-) -<.-, r ..,. ~ ;i )t =. .._..\.]~stt:i..ngt:<Jl:l... -' ()-.)- C>::--, -0'0::?-(n.'., ---:-~l ~ Commonwealth of Pennsvlvania f":~'.•r;r-n .....! (')I.'• .r-·:--...~REPO)i.T_:~NP APP~AI~AL~ -i J......" County of 0000000000«'000 G',~ is'-~.~ "-.:?-.~. ~: ~~;~ .~. ~:. .\2.: >"- o~-r:1'0...-3 ::lr:c..r " ~.3-7(}-J1J~ STATEMENT OF DEBTS AND DEDUCTIONS -·-··--c------------.--------------------:"'" DEDUCTIONS ALLOWED IN j i THE SUM OF ,lQ<?J/f .J Dy~=~~~! R.".,...,W""."""(,fi.j .i OFFICE OF THE REGISTER OF WILLS .. b 3-70 -j7J.. WASHINGTON. AND AGENT OF THE COMMONWEALTH OF COUNTY HERBERT F.CLARK Am 11 T h·/IESTATEOFL.ATE OF _~~w!l!,;e5i.d=._=___d"l,o!JIwnU.!:.!S~u.a.l.l;!p:...--------- OATE OF FILlNG APPRA1SEMENT __J=a.:.:n;..:..__-=1::.,:9::..;7:-:l=--_oAT5 OF DEATH _....::.:A;,c:p~r:..::i:.:l::.......:3~,--=1:..::::9-:.7-=0:--_ DATE NO.OF VOUCH~'l NAMii:OF PAYEE REMARKS AMOUNT Russell Marino,Reg.Letters Testamentary $19 50 Wash.County Reports Executors'Notice 14 00 Observer Pub.Co.Executor's Notice 14 00 3 00 1RussellMarino.Reg.Short Certificates 1 Com.of Virginia Death Certificates 3 00 l Russell Marino,Reg.Filing Inventory 9 00 l---+---t---+--------~--==------+----=-----~-------+----+--_1 Marie Guidos Notary Fees 5.00 I---+---t---+----------------+---~-----------+---_l_-_! 5/19 '70 Piatt Funeral Home Funeral Expenses •1,688 45 ~ ana Richard C.Ashmore Alexander J.Vlcllvalne ....'C C,....--~11 Russell Marino,Reg. Executor's Commission Attorneys'Fee Filing Account 3,58~5lJ I ]•4,070 104 j l6100! I 1'1 .-------. .1,;77 t'lb I ~'' -.--r----+---+---.,-----------II------._--+-_---LJ~I COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON 1,RICHARD C.ASHMORE HEREBY CERTIFY,THAT.TO THE BEIiT OF DECIi:A6ED,AS DEDUCTIONS>FOR ~·(L..5.)JNHE;~ITANCE T....X PUR?02ES. MY I<NOWI.EDGE AND F.lEI.IEF.THe:FOREGOING 16 A JUST AND TRUE STATEMENT OF DEBTS,FUNERAL EXPEN6E8 AND EXPENS1!:!il 0"" ACMINI8TflATlON SlJOMITIED TO THE ESTAn:OF HERBERT F.CLARK .,___~~hQ)\Li SWORN AND Ill:S!JCRII:1£O ~EFORE ME THIS "'-'U CAY Of" --~JqRU~/,!lL.-~L.Lf,4.iC-.L.~4,,",d""""""''''''''~#:~ryPublic Washington,Washington County,Pa. My Commission Expires Feb.20,1971 RCC-S\(2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Richard C.Ashmore (Executor~ IN YOUR REPLY PLEAD&: REFER TO 38-60-5 J In Re:Est ate 0 f ---"H:.::e~r...>::b'-"'e:=.rt_"'_~F.....__..::.C==l.a~r""'k~_ _____W~a=:..:s::.=h~i::,;n~gt~on~County - FHe No.63-70-372 Dear Mr.AShmore, You are hereby notified that the original appraisement in the estate of Herbert Fl Clark has been filed in the office of the Register of Wills qf Washjngton County on .February 24 ,19~.Said appraisement reflects the following valuations: Real Estate _ Personal Property __~6~8~~~6~3~6~.~7~6 __ Transfers _ Tota1 --,----l.6/..1.;8l..f.1J..l6..L36u.-e7~6.L.___ 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. Date _---'F::....e::::.;b~r~u~a::::!:r.....y-==2::;j4""'",--'l==..L97.wl=___ DATE OF DEATH:April 3,1970 Note:This is not a bill. Signed Title ~JJd-£i,(I'¥XIJI . ALFRED TOOl,CHIEF APPRAISER )-. R~-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of Clark (Last Name) Herbert (First Name) E. (Initial) DATE OF DEATH 4-3-70 FILE NO.63-70-372. REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of \iashington 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:2-_2_4'-----....:...7_1 _~,ytUU A1J</)nuJ ,ERiTANCE TAX APPRA(SER 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 68.636 70 68.636 76 $ 68.870 16 68 mo 76 VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$-------+-- INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $---------1--2% Tax on $---------1--6% Tax on $---------1--5% Tax on $10% TU~$1~ Exemptions========t==Total Estate -I-__ TOTAL TAX COMPUTATION OF TAX $-------+-- $------~- $-------+-- $-------+-- $----------l--- $J....._ (*)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 $C Add interest at rate of 6%fro~_____to $---J AMOUNT OF ESTATE TAX ASSESSED $--~----<L- Estate tax paid $l- BALANCE DUE $~l___ Add interest at rate of 6%from t= ------ltIO-----$-------1' TOTAL TAX BALANCE $----~ PAID $.....J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. 1- Will Administration !No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF .BEIiBEIt'l'..:F •..~L.MK ... Deceased Late of . County of ANlVELL TVJP. ~lASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL p ;~~ Fonn RCC-2..-COMMONWEALTH OF PENNSYLVANIA DATE .........~.~~.~~~Y......?!±.'.......~~.?~................I)fi.A~T~T OF REVENUE ...-. "RESIDENT INHERITANCE TAX COUNTY 'lfiJashington BttREAU OF COUNTY COLLECTIONS ................................................................................................. HARRISBURG.PENNA.J712 7 APPRAISEMENT FILE NO...........??.::7..9.:29?:............................................ Whereas,..............................~~l ...f..!!.....GYWJL...........................................................late of .............................AMJ.J&~....',r,WP...~........................................... in the County of .......................................WA$.JUNGT9.N..............................................................Commonwealth of Pennsylvania,having died on the ....................................t.h;i,r.,9:.........................................day of ..................................~.p.:r:.g...........................70 seized and possessed of estate19............,an subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,ALFRED TOSI 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 aftertheexpirationofanyestateforlifeorforyears,the Commonwealth hereby expressly reserves the right to appraise and assess transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest. Unit AppraisementDescriptionofAssetValuasMadeforInheritance Tax Purpoles $ PERSONAL: See copy of schedule liB"attached to appraisement 68,636 76 total 68.636 76 ---< \ I .... .. Having been duly sworn according to law,I do h~reby certify that the above appraisement is made in con- formity with law on thisa'iJ:1..J day of~~i;F~~F' ......................................,..........,................................................................................................................ (Number and Street).......................................W~.......................................,Penna.(P t Office) vlASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of I{E.;RJ3~1'....f..~G.:r...M.K . Deceased. Late of ..AlYrwEL.L TIY.P..lt . Date of Death,4.~3.~7.O'. Appraisemel!t Docket Vol.,.??.. Page,§.?:~No...§~..:::.7q::2.7?:.. Filed in Register's Office,~~.~.t ?4.J9...7.=!:. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,... Wrote abo,ut Appraisement,. Appeal f1'om Appraisement,. Entered and charged,. r ~. Porm No,RCC·62 (2·64)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961. EFFECTIV"';';JANUARY 1,1962.(PILE IN DUPUCATE WITH COPY OP WILL ATTACHED).. AMENDED APPRAISEMENT OFFICE OF THE REGISTER OF WILLS J ,WASHINGTONCountyof . ..........~~.t7~:9.I!~~.:t:.~.c::~~~~~~t7 of·WcH3hiugtQp.,.'.r.~I)tl.s.Yl:v:qUiq . (Name)(Addresa) being duly ~~Q*IL .according to law,deposes and says that he is the ~~~_C?.~!!~y__JQ_~_J~h~__~_~~£~_~o r .(Exec"Adm.,Legatee,Etc,).~ of the estate of ~~_~~~~:!'~_~9_~~whose last residence was RA-__1L..#.6 _ (No,)(Street) J~~_~_h_:h_ggJ~Q!!,deceased,and that the whole of the estate of said decedent,who died ~P..~Jl 3...".---19.7 0 (City,Borough or Township)(Date) consisted of: REAL PROPERTY REAL PROPERTY INPf;NNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRAN<i:ES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HEW'AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value Reported in original Appraisement NONE . Personal Property Reported in original Appraisement $68,870.76 . NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or narries in which the account is registered. .....-----,-------------_._-~~----------------- Jointly Held Property Savi!,,~s Account • Transfers within TWO YEARS Prior to Death Reported in original Appraisement 'NONE 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 :»ee Or1g1naL appra1Sement: - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT See original Appraisemen~ - NOTE'"List first five items in the spaces so provided,observ~notations thereon,and instructions " DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN REGISTER ONLY Funeral expenses paid $$ Familyexemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * Fiduciary commission * OTHER DEBTS AND CLAIMS (*)See Note below Account has been filed Total Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission or debt is greater or less than the estimated amount claimed and allowed./-----..~ Subscribed and sworn to before me this 16.th..........c.._./~~kt.~..-:~~~_.Atty.for (Executor-Aqmoot~~ .......~~..W~..J;3.~~.t:l ..~.t;:r.E?~t:. (Street Number) ......'~~~~'~~~'~?'~""~~.~.(City or Town and State) My Com.Exp."._~,b 'gn Having been duly .sworn accol'ding to law,I do her1!;:.:e:.tify th~t the above appraisement is made in conformity with law on this .....................,J.fJ.xJ..j ..day of ~(y~,19.0/()···········~··y~····'~~~r····· In the event that any future interest in this estate is transfelTed in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in said schedule above,which greater or lesser amount represents the sum allowed as a deduction. Dated:. Register of Wills .'- j ~l •'.'......;:;:.'«~.i~",/~ ',';.!'.y :../.~ ".:..:/..".'.'"..(...'"".J .~_J r '•.)"~t ..'....~,I'~~~~....;,.~" (;''....~;ft&.,\..,;...."'''",'"\.',. t r-"'u'"~,,,.~" lif: ~ AMENDED APPRAISEMENT Form N07'RCC--=-62l2~64) ~nist'mtiOftt INo.,.~~~?~~?~;ar . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF HERBERT F.CLARK :~'.!" , Deceased Late of ~~:J.,~.:r:C?~.~l:~v.. County of W{3.s.11i-ggt:9.I1 . Commonwealth of Pennsylvania REPORT AND APPRAISAL I ''1d "0:)NOl."\~IHS'1t!'\ Slli/A .dO -!:l~l.SI~,l3U ONI'~\"I;'l 1'\i3 3rl~ \1\t tid Yi HgW I L e i"~~,-1',-~~....~r ,.tU....,t ,,0, I '10.,. / \~d ..' Rcc-al (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Richard G:.aAshmore (Executor ~). IN YOUR REPLY PLEAO£ REFER TO 38-60-5 J In Re:Estate 0 f H_'_e;;;.r_b_er;;,.;t..:..-F---=-._C.:..;l::,:a:.::r:.:k:.:..-_ ______......\i:.::a:.::.s::h:::in:.:.sgt;c.:o::;n=-----County -File No.63-70-372 Dear Mr.Ashmore, You are hereby notified that the amended appraisement in the estate of Herbert~RI"""·.--;=;C.;;.la-::r.;:;:k-:.::.--------- has been filed in the office of the Register of Wills qf Washington County on March 17 ,19.21.Said appraisement reflects the following valuations: Jt.Held ~_-,--__..:::;,3-",3:::..;8::;.::9..::.•.:;,;,82,;"".-.__ Personal Property _ Transfers ..."...~...,.,.._=.__--- Total --=-3~,3::..8=-9~.:...:8:.::2::..~_ 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. Date Ma_r_c_h-..::l'-'-7.L.,.....:1:;;",9~7c.::l=--__-_Signed Q~O~Aj P/~ Title ALFRED TOOL APPRAISER I DATE OF DEATH:April 3,1970 Note:This is not a bill. ~, RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of_C_'la_r_k H_e_r_b_e.:::..rt...::.-__.:::..F..-"e DATE OF DEATH 4-3-70 (Last Name)(First Name)(Initial) FILE NO.63-70-372 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". ~ul JYtUU !i'd'~iNH R1TANCE TAX APPRAISE . March 17,1971Dated:_____--'-L-......:....:....;,;._ 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:_ AMENDED APPRAISUlENT REGISTER OF WILLS VALUE AS REAPPRAISED $-------+-- ~.~8q 82 3,389 8Z $ ~~~q 8? 3.389 82 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 2% 6% 5% FOR USE OF REGISTER ONLY Tax on $--+__ Tax on $--+__ Tax on $---------4-- Tax on $---------4-....".~~-,..Tax on $~-~_.!.~_ Exemptions========F==Total Estate -4-__ TOTAL TAX COMPUTATION OF TAX $--------1-- $--------1-- $-------4-- $-------4-- $--------4--- $--------'--- (*)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 $t= Add interest at rate of 6%fro~_____to $.......J AMOUNT OF ESTATE TAX ASSESSED $------1L- Estate tax paid $---Il- BALANCE DUE $.....JL- Add interest at rate of 6%from t= ------tto-----$-----~ TOTAL TAX BALANCE $----~ PAID $-J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will Administration (No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF ...HERBERT ..F..CLARK .. Deceased Late of . County of JOO.'JELL TOVJNSHIP ..Wi\.$I-I:ING'I'ON Commonwealth of Pennsylvania REPORT AND APPRAISAL .. (-- Form RCC-2 ~.DEt~RTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17127 COMMONWEAL'TH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~:r..~h +7,.+..9.7;1.. COUNTY tf.~.~.h~g:~.9..~. FILE NO•......f::..?:?.g:?..7.~:.. Whereas..B.§:9.~.r.~E QJ:9.:r.~late of ~~.~;J;L.?:'~.~~~?~.P... in the County of W.~.~h~.t.gn Commonwealth of Pennsylvania.having died on the third day of .Ap;r.;L;L..........................................19 7.9..seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore.I .A.1F.RED.T.OSI..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 col1ateral 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 col1ateral rate on any such future interest. Description of Asset AMENDED .A:PPRAISEMENT JT.HELD: Unit Values $ Appraisement Made for Inheritance Tax Purpoles i See CODY attached to appraisement 3,389 82 total 3,389 8a I (Number and Street).........................................W~,Penna. W:J\$H:I:NQ'rQN ..HH ..H H..Coutlty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .................................HER.l3.ERT.F...*C.LA..RKH HHH H . Deceased. Late of .AMWELLH..TQWNS.HIE HH.HH H Date of Death,.HHHHH.HHHH4~3.~7.O'H..HHH.HH.H ..HHHH .. Appraisemel!t Docket Vol.,.H.HHHJ?H H.H H .. Page,..H Q.~5..H H..H No 93.~.7~3.7g . Filed in Register's OfJi.ce,..H..I1~:r.gh:J,,7 19..7+.H. Amount of tax due,$.H H..H H . DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo,ut A ppra-isement,. Appeal f"om Appraisement,.H .. Entered and charged,.H H H . -' .. t .,- • ~ Form RCC-60 (11-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE HARRISBURG CERTIFICATE UNDER REVENUE ACT OF 1926 J Alexander Mcllaine,Esquire Attorney At Law 33 West Beau Street \1ashington,PA. Date March 12,1971 TO THE UNITED STATES COMMISSIONER OF INTERNAL REVENUE: THIS IS TO CERTIFY that in the estate of .....................................ij.~.r.iIl~.r.!;f.~Q1.~r.!~_____ late of !tM.f!~!g,P.County,Pennsylvania, who died ~/f!.'?!l1.Q __,no refund of inheritance taxes has been authorized by the Department and/or by the Board of Finance and Revenue of this Commonwealth;and that there is no claim now pending for a refund of such taxes in said estate. Subject to additional tax,if any,under the Act of May 7,1927,as amended. Total Tax Imposed Amount Paid In Cash $3,562.50 Date PaId 6/23/10 Discount Allowed $187.50 =I..r, cc: SEAL Russell Harino Register of Wills For Robett l>.Kane Secretary of Revenue 11n tbr (@rpl1uns'QInurt nf lIusl1ingtnn QInunty IN THE MATTER OF THE AUDIT OF ACCOUNT Clark"Herbert F.63"'70-372 1st qtr 71InreEstateof_.._.._ __.____No _ ,Term,19 ,AA Richard C.Ashmore Exr McIlvaine &Carroll"Attyso..•.•............_..........•.............A.....•...........•...........•...._._.._......•.......................___._..____.......•..•.•.•.••..• TO THE AUDITING JUDGE: Enter my appearance for Personal Property Tax Due Washington County,viz: / ... IT E M Valuation 1971 16Q sb CoJllmbia Gas @ 3L.50 5520.00 100 sh LODI'I ~ta.r nas @ 26.00 2600.00 1970 .@ 26.00 4160.00160shColumbiaGas 100 sh Lone Star Gas @;18.25 1825.00 .J 1969 / 160 sh Columbia Gas @ 30.25 4~40.00 100 sh Lone star Gas @ 24.875 2487.50 1968 _!1.bOJ :sb CoJ 11mbia Cas @2C::.50 L080.00 100 sh Lone star Gas laJ 29.375 2937...t)0 1967 160 sh Columbia Gas @ 25.625 I!1 nn .nn 100 sh Lone star Gas (jiJ 19..2~192t;..00 , 1966 ) 160 sh ColUmbia Gas @ 28.875 ',h?()..m 100 sh Lone star Gas @ 25.00 2500.00 . Year Inventory Assessment Valuation 12%Assessment Tax at 10%Collection 6%Interest Total ClaimAppraisementReturnedPenalty4MillsPenalty 19 71 ~?'tA 5 %<d1'8C ~nRI:.8120 --..None..-8J20 w.__.-__ -U.!1--...,,I:.? 19 70 5985 None 5985 -------23.9L ••g!J2..72 27.05 19 69 7325 None 7325 -------?Q .~o ?Q~20 52 ':\1,.7':'- 19 68 7015 None 7015 --------?R.n/..?.R,4.20 35.07 19 67 6025 None 6025 -..-------24.10 2.41 5.04 31.55 19 66 7120 None 7l?O --------2B ..J,B ?8t;'7r:.h ~R.RQ (\....~I '_TOTAL CLAIM 198.17 ~'~rPc>. The foregoing is a statement a II item ~ble{r.-I,appear in the Inventory Appraisement,Affi- davit or Assessment filed for the purpo f rmini ~\.~'.\\~onal Property Tax on said Estate. I Ji F A.V.CAPANO,Solicitor ~\~ " illt F No ~:?_~_?~~~?~.__~.~~.._9.¥:erm,19._}?:-,AA 'J " In re Audit of Account in Estate of ___9~?:~_,,__~_~?::t:>.~~_.~!.__.._.___..._ AUDIT 'rarripr for Appraranrr FOR WASHINGTON COUNTY PERSONAL PROPERTY TAX :..-- .Vd ..00 N0J.-:;NIH S'It f,\ SlllA\:.lQ iJ3JSID3U ONIH'C;]"'JSSnH \ IIII I ~ ~. I I J • " " '---i ...A.•V.CAPANO,~ ,Solicitor ~9 oS i UdiE H~I~I L '('--~--l'Iir¥'*,~~..,:.poJ....2 I I ,_.I :J • NWEALTH OF PENNSYLVANIA EPARTMENT OF REVENUE UREAU OF COUNTY COLLECTIONS REQUEST FOR LEGAL ACTION Bureau File No. 2 J RICHARD C.ASHMORE ,residing ot 2920 SYARE ROAD FAIRVAX,VIRGINIA 22030 in FAIR FAX County,is the EXECIT9R of property formerly owned by HEBBEBT F.CJARK ,who died on APRIL 3,1970 in 1:iASHU:GTON County. The attorney for the estate is __~A~IEXO!!=!:!~A~N~D~E~R~M~c~IL==...!..Vt..!:AI~NE=-whose address is 33 "lEST BEAU STREET vIASHINGTON.?A.15301 The above named Richard 6.Ashmore is in violation of the provisions of the Inheritance and 2 -D Failure to file a copy of the Fed,eral Estate Tax return on or before 3 -D Failure to file a copy of the Federal Final Letter. 4 -[JFailure to pay Pennsylvania Inheritance tax due in the amount of $508.47 before it became delinquent on 7-3-71----------- I have made the following demands for compliance without results: Date of demand Name of person contacted Title.:.--_----9-26-72 RICHARD C.ASHHORE CO-TENANT Method of contact CERTIFIED MAIL RCC-l21 A formal notice of demand was sent to the taxpayer by certified mail.This demand has been ignored.A copy of this notice together with the certified mail return receipt is attached hereto. I recommend that the following legal action be taken to compel compliance: 1 -D A lien be filed with the local Prothonotary against real estate owned by the decedent. 2 -I!J A petition for citation be filed in the local court. 3 -D A civil complaint be filed in the local lower court. Additional remarks:_RICHARD C.ASHHORE CO-TENANT REFUSED TO PAY THIS TAX WHEN HE WAS NOTIfIED BY HIS ATTORNEY,ALEXANDER McILVAINE,THAT THE TAX.rii~S DUE.IN FACT ATTYORNEY McILVAINE FILED SAME AND SIGNED S~~AS ATTOR~lliY FOR THE CO-TENANT.------------------------------------------- -~<J~(Si gnature)(Title) ~,'f ,:~.. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE INHERITANCE TAX DIVISION 244 WASHINGTON TRUST BUILDING WASHINGTON.PENNSYLVANIA \, NOVEMBER 3,1972 vHLLIAM RENNIE,ENFORCJl].jlNT OFFICER BUREAU OF COUNTY COLLECTIONS DEPARTMENT OF REVENUE GABLE BUILDINC THIRD FLOOR 411 SOUTH SEC(:t\1D STREET HARRISBURG,PA.17127 Dear Sir: ..In my conversation with attorney McIlvaine,on September 25,1972,he stated he had tried to coililect the tux due from Mr.Ashmore on several occassions without any results.Mr.Ashmore refused point blank to pay the tax. Enclosed for your review is the praecipe on tax computation by the Tax Auditor, John Hanna.You will notice the ta.x breakdo'Wll on the administrative assets with a notation under the agents name paid 5-27-71.You ~dll also note intthe center of the left hand column the following credits claimed in the account are held not deductible-~s against the tax amount of Joint Account,being $3,389.82 and marked bill separately.Since,the co-tenant Richard A.Ashmore was also the Executor of subject estate and also an heir under the will in a cash bequest of $2,000.00 and shared in 1/3 of the residue of an estate of clear value ~61,895.27, it is very disheartening that the Court did not continue the audit,or make pro- visions in the Decree to protect the Commonwealths interest,on the subject, Jointly-held property taxliability,since the Co-tenant was also an heir. ENCLOSED also copy of the adjudi cation and Decree dated 3-31-71 again no protection to the Commonwealth for the tax liab1lt~~·in the distributi~ share of Richard C.Ash~ore. After a further investigation of the records I find that the Executor Richard C. Ashmore,a resident of Fairfax,Virginia no bond was posted in the Re§ister of Wills•.Metre again,we have a non-resident executor conductiny--the affairs of a Washington County decedent's Estate without a bond. You now have the facts,kindly review ;md let me have your opinion on the next step. A.J.MERVA,DISTRICT SUPERVISOR,. RCG-46 .(10-64) c~iMONtlEALTH OF PENNSYLVANIA DEP1RTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION RECOMMENDATION FOR ADJUS TMENT OF INHERITANCE TAX RECOROO ..;.W:;,;;,;:A;;;;;:S;;;,:H=I~N,;;.G.:.ro;;,;N:;..-.__COONTY J Date of death April 3,1970 Estate of _--:.;H::;:e:.:r:.::b::;:e:.:r;.;:t:...:F~.:.....;:C;.:l::;:a:.:r:.:.k=--County File No.Dkt,(38-60-5Bur.File No.63-70-372 Supplemental Date of filing of Appraisement March 17,1971 Name and Address of AttorneyAtty.Alexander McIlvaine,Washington,Pa.15301 Surviving Co-Owner &Name and Address of Personal Representative Richard C.Ashmore,2920 Sayre Rd.,Fairfax,e( Virginia 22030Dateonwhichcurrentandactivelienwaslastfiled~N~o~n~e~F~1~'1~e~d~__ ~ I Action initiated bY_An=,;;;d~r..-e.,;,;w_Jr..:;:-M~e,..r_v_a D_1_·s_t_r_1_'c_t__..,s,;;;u~p~e;-r,v_i_s_o_r N_O..,V~.,:","1'"T'"3.:,.'__1_9_7_2 _~.(Name)(Title)(Date) 50S.47 Real Estate $__~~~~_ Personal Property 3,389.82 Joint Bank Account Gross EstateDebts&Dedu-c~ti~o-n-s-------- Clear Value'....------------Tax Assessed Tax Paid ~---------- Balance of Tax DueInteresttoDate----....4.,..0-.""6-8-- Total Amount Due ....5:.::i14"'"'9:.a.....l...,j5~_1I I • It is hereby recommended that the inheritance tax record in the above estate be adjusted as follows:---------------------------------------------------- THAT '!HIS ACCOUNT BE CLOSED. A proper investigation has disclosed:'!'he subject of this recommendation specifically applies to inheritance tax due on a joint bank account in the United Savings and Loan Association,Arlington,Virginia,registered in the names of the decedent and Charles R.Ashmore,2920 Sayre Road,Fairfax,Virg*nia.The account was appraised at a one-half value of $3,389.82 in the Commonwealth1s Supplemental l\;p.praisement of March 17.1971,Inheritances taxes on the testamentary estate have been paid,the balance(,of tax due being applicable to the subject joint bank account. The surviving Co-Tenant and Executor,Richard C.-. ~Ashmore,was contacted by Certified Mail and a return receipt was received by the Inheritance Tax Office.Several attempts in the past 'have been made by the Attor ney to collect the delinquent__tax due.The co-te!1~DJ;=f:l:~f-\l.sE!-cLpp.¥IDenLQ£-the,-tax. ._·L~st_..=onta2!;~s ....m~e thru ~~:I:"=ement Letter RCC:-~2l on Septernb_er_26,1?72.It RcC-46 ,(10-64) ccMMONtfEALTH OF PENN3YLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS •INHERITANCE TAX DIVISION 1• RECOMMENDATION FOR ADJUSTMENT OF INHERITANCE TAX RECORDS _W_A~S;.;;H;;;,;;I;;;.N;.;;G;.;;TO;,,;;;.;.;N COUNTY Estate of Herbert F.Clark County File No.Bur.File No.--..;;;.;;;===~...;...~~;.;.;;..--------------- Date of death ~Date of filing of Appraisement __ Name and Address of Attorney------------------------------------ Name and Address of Personal Representative----------------------------- Date on which current and active lien was last filed------------------- Action initiated by-----r.;---c------------r:::':"":""::~------'"7"=:~.,....-------(Name)(Title)(Date) Real Estate $ Personal Property ------------------ Gross EstateDebts&Dedu-ct~i::-o-n-s----------- Clear ValueTaxAssesse~d------------------- Tax PaidBalanceo~f~T=-a-x--=Du~e--------- Interest to DateTotalAmountDue----------- It is hereby recommended that the inheritance tax record in the above estate be adjusted asfollows:_ A proper investigation has disclosed:~ '...--------------------------------------------------------- 90- owner is beyond our jurisdiction. account be closed. Accordingly,it is recommended that this (Attach Additi~nal Sheet if Necessar,y) Investigated by Andrew J.Merva District Supervisor (Name)(Title), Di s.:t£i9.~__~!-!2~£.\!1§QrApprovalrecommendedbyAndrewJ.Merva ~ Nov.13,1972 (Date) Date Nov.13,1972 Approved on_...lll.--~/;::-J ~-:--'l,:--0 _ (Date) Signed-=-~~u:-~-J.....J-f-/,_=_,-:-"_-~t!A.......,::,ltMA-=-':~~1- ureau of County Collect ns Department of Revenue 1.-<1. RCC-46 *(10-64) CcMMONtlEALTH OF PENtSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION RECOMMENDATION FOR ADJUSTMENT OF INHERITANCE TAX RECORDS .....;';,;.;;¥a;.;;s~h;;::i,;;;n,lijil,gt.;;.;o;;.;;n;;....._COUNTY Estate of Herbert F.Clark County File NoDkt.38-60-5 Bur.File NO.63-70-372 Date of death Apr;'3,1970 Date of filing of Appraisement ..March 16,1971 Name and Address of Attorney Atty.Alexander McIlvaine,Washington.Penna.15301 Name and Address of Personal Representative Richard C.Ashmore,Fairfaxt Virginia 22030 None FiledDateonwhichcurrentandactivelienwaslastfiled.;;;,,;;0;;,.......-=......._ Action initiated by Andrew J.Merya, (Name) District Supervisor (Title) Nov.13,1972 (Date) Real Estate $__~~~~_ Joint Personal PropertY__....,llOI3:.,.•.w:3.w.8M.9,a.;.8w.2rs...._Gross Estate _ Debts &Deductions--------Clear ValueTaxAssesse~d--------5~O~8~.-4"7r---- Tax PaidBalanceofeTiX·"·Du~e-----~ Interest to Date ----4"l1":OIlr".""":6I1"lS-- Total Amount Due --::5=.;;l4~9........1.w:5__ Taxes on the Administrative Estate Have been paid. It is hereby recommended that the inheritance tax record in the above estate be adjusted asfollows:That the above account be c1osed.;.:._ Aproper investigation has disclosed:The Surviving Co-Tenant and Executor,Richard C. Ashmore,a Resident of Fairfax,Virginia,was contacted by Certified Mail and a return receipt was received by the Inheritance Tax Office.Several attempts in the past have been made by the Attorney to collect the Delinquent Tax Due. The co-tenant refused payment of the tax.Last contact was made thru Enforcement Letter RCC 121 on September 26,1972.Further action would be fruitless.A complete file of this case is of record in the Bureau Files which was submitted on November 3,1972.A review of same was made by the Bureau, conclusion that an RCC-46 be completed and forwarded to the Bureau,Bureau letter dated November 9,1972.Respectfully Submitted. (Attach Additional Sheet if Necessary) Investigated by Andrew J.Merya District Supervisor Nov.13,1972 (Name)(Title)(Date) District Su~~ryisorApprovalrecommendedbyAndrewJ.Merya II~~~X Date Nov.13.1972 W"A...1\l.Sr-SuPli R. Approved on ~~~---------(Date) Approved on,"'1':'"~_-------_ (Date) Signed.-=-_=-:--~__=~~~-For Bureau of County Collections Department of Revenue Signed.---:=--~~-_~--_==_--For Attorney General RCC.4 (8-68) NO·A0851B1 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE OFFICIAL RECEIPT 0 PENNSYLVANIA INHERITANCE AND ESTATE TAX J RECEIVED _----.::s::.;:E=--=V~E=N:.......=T=H=O-"'-U=SA=ND"'_'=..___'S~I=X"'___"'_H"_"U~ND~RE~D__=..1.N=..INEu..!:!..T .....Ylo..:-::...IoF:.....II~V.....E'---.u..a.u.Jndlo.L...,.._---.Ln4'.OJ+/..Ll~e"-JO-............"'---doliars representing Pennsylvania I~heritance or Exc~tate Tax due from the following estate:From:--"~~-"--",,,,U"'!u.:.a...""""'..o..-""""~,I.I..L"""'.L--------.--------------------------I"ll Address 2%Tax on $$ WASHiNGTON,PENNSYLVANIA 15301 6%Tax on $$ File No.63-70-17]Date of Death 15%Tax on $On Account $8,100.00 Date of Payment June 18,1970 %Tax on $$ HELEN G.PORTER Estate Tax,Act of Name of Decedent May 7,1927 $ County WASHINGTON TOTAL TAX CREDIT $8,100.00i.' ~f'Less five percentum of tax if Remarks:paid within three months after date of death $405.00 Plus interest at the rate of __%from to $ @00 ~@j ~[KJill [L SEA L TOTAL AMOUNT PAID $7,695.00 NOTE:To be delivered to taxpoyer 38-60-4 Received by "--.-L~I...Q.~~...6..e-I-L-M:!!~6LL.!.<:L.L------11al1NOTE:In accepting the transfer inheritance tax on future estotes.prior to the death of the life I tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth sha not be precluded or prevented from hereafter assessing additional inheritance tax at the death of ts;e-==,,-b~~!z::!,.&,,~~~,........s..a.c;&.<!.ciL~=--..,.--I[I'1 life tenant or tenant for years whenever it appears that such additional tax may be legally due an collectible for any reason wh.atsaever. No·D ~~~-~~~~~--~-~----_._---~-~.~_F_==_===_=="""""'===.............,---~1 'r ,,-",,".~-..--~."".'.'.~",J i~RCC·,j (S-6S)COMMONWEAliti Of PENNSYL\JANIA DEPARTMENT OF REVENUE65487OFFICIALRECEIPT0PENNSYLVANIAINHERITANCE AND ESTATE TAX RECEIVED FIFTY and 00/100......--....---...--......-----...-...--............-.....-.....-...---.......---..-...........dollars representing Pennsylvania Inheritance or From:CHARLES R.ASIDJORE ...Pa ing On Ind.Liab.Estate Tax due from the following estate: Address 2 20 SAYRE ROAD FAIRFAX,VIRGINIA 22030 2%Tax on $$~ 6%Tax on $------$---------1'\1 File No.63..70-372 4..3-70DateofDeath ~15%Tax on $On Account 41.15$--------u $---------8 Date of Payment __F_l e_b_X"U_8_'ty__3_,_1_9_"_5 ----i HERBERT F.CLARK Name of Decedent ----------------1 %Tax on $------__$---------Id Estate Tax,Act of May 7,1927 County w:_:AS_HIN~_GT_ON __l Remarks: )UR/. jI<1\r· TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus Interest at the rat!ofi%from _..:..7_-....;3;...-_7.:....:::;_ Dateto__~;...;..._ 41.15 $---------I'JI $--------f'J $,__8__8_5 111 TI'OO~[JJ[L~©illTI'rn SEA l TOTAL AMOUNT PAIDU $50.00 . NOTE,Th',Tri~,_....,..~b.:...".d ...~.,.eM0-5 R.,.I,.d by L~'~(\U-t ~ NOTE:In accepting the transfer Inheritance tax an future estates,prior to the death of the lif-e--.....\It\(Si~ature)LV ..llfb tenant or tenant for years,as evidenced by this receipt,It Is understood that the Commonwealth shall ~ nat be precluded or prevented from hereafter assessing additional Inheritance tax at the death of the CMJ .life tenant or tenant,far years whenever It appears that such additional tax may be legally due and------"""-ir~-(:::T~itl~e;-)-H-----'----f11 ~':'",..,.."wh,'....,,~_ COMMONWEALTH'OFPENNSVLYAN,fA OEPAtrMENT OFtEVENUE65694OPFICIALRECEIPT<>PENNSYLVANIAINH'ERITANCE AND mArE TAX flCC-"(lH>8) NO·n ·-,--..-.~~......~~.~.-~-_~--.--~--.-..----.-'--'-'-~.~--~---~-~~-;.'--:---;---.---.....r---.,..----.....,.--.--....==-~'II--...--..":".--......-_...--.....r.__'I !IJriJ~:liJv' RECEIVED OO·••-------••--doliars representing Pennsylvania Inheritance or From:CHARLES R ASHMORE On Ind Liab Estate Tax due from the following estate: Address2920 SAYRE ROAD 2%Tax on $--------$---------w;:11 FARIFAX VIJtOINIA 22030 6%Tax on $$I~ File No.63...70-372 Date of Death 4.3...70 15%Tax on $OR.Accoullt:$-----"'i4I'\lO,...,.~ggw__--[J $--------'kJ Date of Payment ----ll~~tl-Uk-_J.91:s-----~ Name of Decedent ---JlElaBElltT--J...--C!..AJD:------.j %Tax on $$---------Id Estate Tax,Act of May 7,1927 County -----¥lSUJll(:rf!OblL-------~ Remarks: I 1 __ ~fJR <.::'1 f-.. Balance of Inheritance Tax still due.$426.42~, TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of --6-%from -?..............3,p".....7....1r.----- to Date $__--'4..:..,:O"""'......9WICO'--_.1'.lI $--------~ $....9~......1L.a.O_--I~ 50..00TOTALAMOUNTPAIDSEAL '"' NOTE:Thll Trlpllcat.R.ceipt to b.r.tain.d for aUd'~se:5b_5 ,",,Received by NOTE:.In accepting the tranlfer ·Inherltance tax on future estates,prior to the death of the life ,"J .Signature tenant or tenont for yea'rl,as evidenced by this receipt,It Is understood that the Commonwealth shall "j--j,.'...J.-.I nat be .precluded ar prevonted from hereafter assessing additional Inheritance tax at the death of the I ~.{,/(Ll.f>'<.-/," life tenant or tenant,for.y,ears whenever It appears that such additional tax may be legally due and-'---"T-=-";;;;""'-=--;:(T~lt:-1 t--"---=--'-....;:::;=~~--M collectible for any reaion whatsoever......_---------------_...._-_....._.....-....._----------~-~~--------