HomeMy WebLinkAboutOC1970-0471 - ESTATE OF PATTERSON·._;c ..P
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KNOW ALL MEN BY THESE PRESENTS:Whereas,at Wash~ngton,in the County aforesaid
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on the First day of
Russell Marino
May A.D.19 70 ,before me,
,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
the last Will and Testament of
ANNA L.PATTERSON
late of Pet ers Township in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Harold R.Patterson
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
Harold R.Patterson
committing unto him the administration of all and singular 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 First
day of May in the year of our Lord one thousand
nine hundred and Seventy
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Register
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MEYER GOLDFARB
HOWARD'E.QGOLDFARB
ATTORNEy~.uJN
LAST WILL AND TESTAMENT
OF
..~.
ANNA L.PATTERSON
I"ANNA L.PATTERSON,of Peters 'Township,Washington
county,Pennsylvania,being of sound and disposing mind,memory
and understanding,do make and declare this to be my Last Will
and Testament,he~eby revoking and making void all other Wills
'"by me at any time heretofore made.
1.I direct that all my just debts and funeral ex-
penses shall be paid from my residuary estate"as soon as
practicable after my decease as a part of the expense of the
administration of my estate.
2.I give,devise and bequeath my entire estate of
,
whatever sort and wherever situate in five (5)equal shares to
my five (5)children.
3.I specifically direct that my son,Harold R.
-Patterson,during the term of his life shall have full and
exclusive power to sell,assign,convey,lease,and transfer
)
any real estate of which I die seized,at public or private sale,
for such consideration and upon such terms and conditions as the
said Harold R.Patterson shall deem advisable,without liability
on the part of the purchaser to see to the application of the
purchase money or to inquire into the validity or.propriety of
such sale.The said Harold R.Patterson shall have full and
complete power and authority to execute and deliver good and
sufficient deeds for any real estate,conveying t.itle free and
clear of any claims by any other heirs,legatees or devisees of
me.
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4.If and when my son,Harold R.Patterson shall
sell real estate of which I die seized,by virtue of the power
and authority given to him in the immediat.cely preceding para-
graph,he shall divide the net proceeds among my five (5)chil-
dren in equal shares so as to carry out the intent of paragraph
2 above.However,this obligation to divide the net proceeds
shall in no way impair,encumber or limit '!the exclusive powers
given to him in paragraph 3 above.,
5.I hereby appoint my son,Harold R.patterson,
as Executor of this my Last Will and Testa~ent.
IN WITNESS WHEREOF,I,ANNA L o PATTERSON,Testatrix
above named,have to Will and,Testament,set my
(SEAL)
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Anna L.patterson
this my Last
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_-d__'"_day ofhandand,seal,,this
Signed,.sealed,published and dec:JI.ared by the above
named Testatrix,as and for·her Last Will and Testament,in the
presence of us,who,at her request,and ~n her presence,and in
the presence of each other,have hereunto s~bscribed our names
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i\ffi~nuit (@f 1txrrutnr (@r i\~mini!itrntnr
f;tatr of Jenna!Jluania,t 55:
C!!ounty of Baaqingtou \
P 11 b f h d . d h'notary public .d f 'dersonay e ore me,t .e un ersIgne aut onty,a.............................lD an or Sal
County and State,appeared HaJ::Ql.d.R.~.at.t.e.r..s.Qn who,being duly
sworn according'to law,deposes and says that he is the executor ~¥~~~g{~f the estate of
ANNA L.PATTERSON .................................................................................................................................deceased,that the foregOIng schedules constItute a
complete inventory and appraisement of the real and personal estate of..AN.Nb t!.,p.8-.r;r.~~.B.Q.Q.N ,
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 deter .ned 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 Administrator.IQ
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WASHINGTON,WASHINGTON CO.PENNA.ADDITIONAL INSTRUCTIONS Harold R.Patterson
l.MY A9~Ml~R~oWWtds~'9'e2fi1el¥7irithin three months after appointment of personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
lfuututnry aull1\pprai!ltmrut of the goods and chattels,rights and credits which
ANNA L.PATTERSON Peters TownshipwereofJateof .
Washington County,Pa.,taken and made in conformity with the above affidavit.
PERSONALTY PROPERTY
DOLLARS CENTS
TOTAL
l.Checking Account in Union National Bank,McMurray,
Pa.1,264 10
2.Savings Account in Union National Bank,McMurray,
Pa.2,197.61
It,
3.Unsecured credit from James D.Laughlin 3,500 00
TOTAL PERSONAL PROPERTY 6,961 71
REAL ESTATE
Undivided 1/3 interest in tract of land in Peters
Township,Washington County,Pennsylvania con-
taining 10.8929 acres upon which is constructed a
house,barn and outbuildings.Conveyed by James
W.Lafferty to decedent and Lois L.Laughlin and
N.Marie Bateson by deed dated May 11,1965 and
recorded in Deed Book 1204,page 350.Title sub-
ject to a life interest in favor of James W.
Lafferty,whose date of birth was May 2,1882.
See copy of $1.00 per year Lease dated May 12,1965 ~O,OOO 00
p6,961 71
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NO.63...70...471
Inventory and Appraisement
IN THE ESTATE OF
..
ANNA L.PATTERSON
Filed ,
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HOWARD E.GOLDFARB
50 West Wheeling Street
washington,Pa.15301
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The within named Accountant being duly sworn according to law,depose and say that the above account
as stated is true and correct as he verily believe.
Sworn and sub;cribed .before me this 9"-.
day of~.....fI.c 19..7%..
tlk:~~~£~.
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Harold R.Patterson,.
Accountant
'.
/NOTARY PUBlfC
WashinF,ton,;Washington Co.Penna",
My Commi~ic.n Expires May 26.19~
Washington County,55:I do certify that I have given legal notice to all persons
concerned of the filing of Ithe within account in the manner
I
prescribed by Statute and Rule of Court,as evidence by proofs
thereof filed to NO..._.,__~_.7'::._.7..R_:...l~..'!-_..__.
Witness my hand and official seal thiS...,'.....;;?,.7..·.tL.......
day of ;.,..~..;/i~.,-.:..:.-__._.............197..£.
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The Court is respectfully requested to determine
proper distribution in tbis estat
IN ~HE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ~
ORPHANS'COURT DIVISION
IN RE:
ESTATE OF ANNA L.PATTERSON,
deceased.
No.63-70-471
FIRST AND FINAL ACCOUNT OF
HAROLD R.PATTERSON,EXECUTOR
January 9,1978
SCHEDULE A
PRINCIPAL-PERSONALTY
Receipts
Disbursements
Receipts
Disbursements
Page 1
Pages 1,2 & 3
Balance
SCHEDULE B
PRINCIPAL-REALTY
Page 3
Page 3
Balance
NET BALANCE
$83,781.80
78,732.80
$40,000.00
40,000.00
$5,049.00
0.00
$5,049.00
THE ENTIRE NET BALANCE
CONSISTS OF CASH.
SCHEDULE A
PRINCIPAL-PERSONALTY
Receipts
1974
t •
May 16
1976
Mar.18
1977
Dec.15
Inventory Filed
Loan from Harold Patterson to Estate
Amount Transferred from Principal-
Realty
$16,961.71
2,310.00
40,000.00
15 Increase in Value of Real Estate to
Sales Price of December 15,1977
Savings Account Interest not
Reported on Inventory
Disbursements
24,498.84
11.25 $83,781.80-----
1970
Apr.28
May 7
May 13
1971
June 18
1974
May 15
15
1976
Jan.14
Administrative Expenses
Register of Wills -Probate and
Short Certificates
Washington County Reports -Legal
Advertisement
Observer Publishing Co.-Legal
Advertisement
Russell Marino,Agent -Payment on
Pennsylvania Inheritance Tax
Register of Wills -Filing Inventory
and 'Balance on Letters
Notarial Affidavits
Notarial Affidavit
$.15.00
14.00
14.00
500.00
15.50
1.50
.75
28 Harvey Stuart,Agent -Payment on
Pennsylvania Inheritance Tax 900.00
Mar.18 Harvey Stuart,Agent -Payment on
Pennsylvania Inheritance Tax
CARRIED FORWARD
2,367.06
$3,827.81
Q ,.
BROUGHT FORWARD $3,827.81
1976
Sept.20 Union National Bank -Checking Account
Service Charge .50
Oct.19 Union National Bank -Checking Account
Service Charge .40
1977
Dec.17 Harold Patterson -Repayment of Loan 2,310.00
17 Harold Patterson -Interest on Loan 319.80
1978
Jan.Register of Wills -Filing this Account 150.00
Jan.Notarial Affidavit 1.00
Jan.Howard E.Goldfarb -Attorney's Fees 2,000.00 $8,609.51
1970 Preferred Debts
July Moreland Vault Co.-Headstone $515.00 515.00
1970 Advance Distributions
Apr.29 Harold R.Patterson -Cash $2,000.00
29 Donald R.Patterson -Cash 2,000.00
29 James R.Patterson -Cash 2,000.00
29 Helen R.Podish -Cash 2,000.00
29 Ann Virginia Peters -Cash 2,000.00
Dec.10 Harold R.Patterson -Cash 700.00
10 Donald R.Patterson -Cash 700.00
10 James R.Patterson -Cash 700.00
10 Helen R.Podish -Cash 700.00
10 Ann Virginia Peters -Cash 700.00
1973
Apr.10 Harold R.Patterson -Cash 300.00
10 Donald R.Patterson -Cash 300.00
10 James R.Patterson -Cash 300.00
10 Helen R.Podish -Cash 300.00
10 Ann Virginia Peters -Cash 300.00
CARRIED FOR~'iTARD $15,000.00
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..
BROUGHT FORWARD
1977
Dec.17 Harold R.Patterson -Cash
17 Donald R.Patterson -Cash
17 James R.Patterson -Cash
17 Helen R.Podish -Cash
17 Ann Virginia Peters -Cash
SCHEDULE B
PRINCIPAL-REALTY
Receipts
1974
$15,000.00
$10,921.65
10.921.66
10,921.66
10,921.66
10,921.66 $69,608.29
rg~,g-O
$78,.:1':/0.55
May 16
1977
Dec.15
Inventory Filed
Disbursements
Inventory Value of Real Estate Sold -
Amount Transferred to Principal-
Personalty
-3-
$40,000.00
$40,000.00
,
In compliance with the News,paper Advertising Act of 16 May,1929,
P.L.1784,as amended.
Commonwealth of Pennsylvania,County of Washington,SS:.
Personally appear,ed before me,a Notary PUblic in and for said County
and State,Ri..c;.h~x.4.~.!G2.~~.~__.._.._.,who being duly s,worn
according to law,deposes and says that he is the .._s.~.C_r.~.t~J'.Y ..
of the Obs1erver Publishing Company,a J'lennsylvania 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
Septembe,r 18,1871,and The Washington Reporter,established August 15,
1808,a daily newsipap'e,r of general circulation,printed and published and
having its place of bus,ines's,at Washington,Washington County,Pennsyl-
vania,where it or its predecessors have been established and pUblished
c01lJtinuouso!y for more than six months'prior to the publication of the notice
hereto attached;thM the printed notice or advertisement hereto attached
is a ,copy of an official advertisement,official notice,legal notice or legal
advertis,emeni,exactly as printed or published in the Obs1erver-Reporter in
its regular editions on the following date or dates;..
,M~Y ~.,_.J~~~~??..,~.9..?..Q _._..
that neithe'r the affiant nor the Observer PUblishing Company is interested
in the subject matter of s,aid notice or advertising and that all of the aHe,ga-~~~,::thl,"f1davit ..to tho tim,.P'aoA:;Z:-
"b""lb'd bofo"m,thi"'l~~..day ~.'!.()....··'9t~A~~~;A;~~T;RY'"y
WASHINGTON,WASHiNGTON COUNTY
MY COMMISSION EXPIRES MAY 6.197~
Sworn to and
Observer -Reporter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
."
rrc-EXECUTOR'S NOTICE";state of Anna,L.Patterson,C!e-~,eased,1,ate of~,.peters"TownshIp,'Nashington County,Penna.1Letters',Testamentary upon the
1
1bove estate having'~een.granted
10 the undersigned,notlce IS herebygiventothoseindeb~~d thereto
Ito make i~J!ledia~~,"p~ymefit,and
t:
0 those having cla~rps'or,~eman?stopresent~em fO!$'settlem~nt._...?Harold ,R.Pattelliion'R.D.#1,-Venetia1":Pa.
Goldfarb.&Goldfarb,Attorneys
Court·Square Arcade ..
'.Washington,Pa.15301 '70109'11'3t
L
Washington County Reports-
63 SOUTH MAIN STREET
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)
STATE 01'"PENNSYLVANIA (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 Washington County,pubJisned weekly having its
place of business at Washington,Washington County,Pennsylvania,and is act·
ing as its agent in t'his behalf;that the said WASHINGTON COVNTY
REPORTS was established on March 31,1920,and was designated as the official
legal publication for Washington County,Pennsylvania,by orde·r of the several
courts of said County,dated November 11,1920;that the printed notice or adver-
tisement attached hereto is a copy of a notice or advertisement,exactly as printed
or published,which appeared in the said legal periodical in its regular issues on the
following dates:
..........M.~.y H.l ?_~.L..?§.-'_._P??.9 __
,...
Estate Notices
The Register of Wills has granted letters.
testamentary or of aJJministration,in the
following estates.Notil::e is htreby given
to all persons indebted thereto to make
payment without delay and to those hav-
ing claims or demands to present t:hem
for settlement to the Executors or Admin-
istrators or their Attorneys.
• • • • •e •0 •••••••••
PATTERSON,ANNA L..Dec'd.
Late of Peters Township,WashingtonCounty,Penna.
_E)l;e.cu.tQr';_HaJ:Qld-R,_Patt_~rs9n,.R.
D.;#1,Venetia,Penna .
Attorneys:Goldfarb &Goldfarb CourtSquareArcade,Washington,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 the time,plr);rharacter of the p~tion are true.[~~~J ~~KL!'/.--.----------.~
Sworn to and subscribed before me this .'------.:--------..??..~.day of..._.~~~y._:~,-i9~.'"
....../l._(;t;L~_..e.,..~~~.
MTHERlfIIE C.NIC~OLAS,NotarflptJWcPublic
,,",h1ngton,Washington Co.,P~
.My .Commission Expires
November 1,1973
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'tnnsylnuniu Cl'rp4uus'"Qtnurt linisinn
ESTATE OF 'No.63 70 ':'471
ANNA L.PATTERSON,In the matter of the First and Final
Deceased Account of~_H..:.;a_r_o_l_d_R...;._P...;a__t_t__e__r__s__o__n;.;;..z...,_
Executor
ADJUDICATION AND DECREE
An ,now March !f2 J ,19~,this matter came on for hearing,
audit and distribution of this session and testimony taken;and thereupon,upon due considerationthere~fof the balance for distribution in the ,hands :o~the Ac.countan~is deter~i,,!ed to be
$5,048.00,"'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 (J part hereof,unless exceptions hereto,be filed
SElc.reg.or an appeal be takeri herefrom sec.,leg..",.
:,~E C0'bRT ..~~
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SCHEDULE 'OF.DISTRIBUTION
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.$5;0 4'9 ;00
!'",.,--,1'Balance per account .......,._1
Additional Credit -Audit
Balance,---'--:.;._-.,;..-.:.__I "$5,048.00
Deduct Clerk's Costs &Receipt~s """----.......,.---.:...__1
Attorney__...:.:H:.,:o:....:.w:.::a:.,:r...;d=--.:E::....:....•...;G=-o=-l=.d.::.::...fa.::.::...r..:::;.b 1
Ralston R.Patterson,family,exemption
Harold R.Patterson -1/5 residue
Donald R.Patterson -1/5 residue
James R.Patterson -1/5 residue
Helen R.Podish -1/5 residue
Ann Virginia Peters -1/5 residue
1,000.00 4,048.00
809.60 3,238.40
809.60 2,428.80
809.60 1,619.20
809.60 80g .60
809.60 NO BALANCE
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NO.63
-.~-,..
Tuesday,'March 21,~97'S,
at 9:30 A.M.),
THE HONORABLE 'pAUL A.SIMMONS;
J~udge of ~he said~Qourt.,
'HOWARD'E~'GOLDFARB.,ESQ.,
Repr'esenting the Accountant...
HEARINGON AUDIT<.
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TIME:
BEFORE:
APPEARANCES:
I '
• IInr,e:
ANNA L.PATTERSON,
Estate of
'IN TH,E COURT OF CO'MMOr~U.f~AIS:?J...:~1~r~~GTON COUNTY,PA •
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(-Qrphans'Court Division)
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,'9fficial CourtR~porter
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Mr.~Howard Goldfarb~,;'
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'THE,COURT:
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Let's announce the:estate 'then :of Anna
Court t~.ier,leaves"the courtroom to
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make this announcement"returning',i,Q a fe~mom'ents.)
Mr;-rubin,
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L.Patterson,please...
THE-COURT:
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"THE CGJRT:
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Did you~~~"get ~.response'~?"~~,
Do we have ~riybodY in.the courtroom'·"
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,''•IwJ:1o~is,inter;e.sted ~n -the.est,a.,~e,of~,:~nna I",.,~:~,tterson ?
this case at the fo~?t of th~'!isf'-'
-,,'r",_~,~.".~'i t'ne~ring no ;espo~se",we'~ill place
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THE COURT:
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,."!"Court reconvened in this matter.at 10 :50 A.,M.,
':., • -J,_".,•l'__..._~on Tuesday,"March,21"1978~)"-;,.".~.._~~.
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,-
-THE COURT:..The next estate 'is the estate of
Arina L.Patterson.Mr.Howard Goldfarb..,
.f
other than Mr._Howard Goldfarb,interested in the estate of Anna L
unpa,id creditors.This estate is ready for Clis trLblit ion as per the
Patterson?
"
;."
'."~.l.
-.
•.j
Is there anybody in the;;courtroom,
Did you get a response}
No response,your Honor.
" -N'ei c9mplicattons?
(.N0 response.)'.
.make this announcement,returning in a few rpoments.)
."i~~'-}r _.c".{,_~,;~!',~t-"'!
,(Mr.Tubih,,Court Crier,leaves the COilitr.oorpttb,.;.t,'~";~:
COURT CRIER:
THE COURT:
THE COURT':
Anna L.Patterson•
THE COURT:
MR.GOLDFARB:
MR.GOLpFARB:If the Court'please','there are no
audit 'petition.
'.-THE COURT:
•
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......:,
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THE COURT:Hearing~no response',the audit of
,.
this 'estate is order'ed closed.',.'
+++++++,+'
-1,..:-.,"
,.
",
•
'.
.,
I hereby certify that the proceedings
are contained fully and accurately in the notes taken byrne at the
hearing in the above cause,and that this'~opy is a correct trari-
script.of the same~
4.
"'.,,
I
to be filed.
The foregoing.,.record of proceed ings
"c'-.'
t I "'~."".,j,$Y .f~'f!.,
at the hearing in the above cause is h~r.e~.t'~p~r~V:1.d,'~W.dAlirected
~,.,-1','(,...,\t,t ,;t,,~
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N0~..I:::.7...Q.:::.1.:?1 2@{:lf~.~~..
i
In the Matter of the Estate of
ANNA L.PATTERSON
Deceased
)In the Orphans'Court of Washington County,Penna.
)
RECEIPT
1Knum all mrn hg t4r.£lr prr.£lrnt.£l.That.J..
do hereby acknowledge to have received from ~~E.?~.9.~..:~.~.!:.!:~E.?..9..~.
Executor,Atoo~tox of the estate of h.DD:~~.~g..~.t..t~.E.Si.9..D Deceased
FOURTEEN THOUSAND SEVEN HUNDRED THIRTY-14,731.26thesumof···..· · ·..····..· · ·..·(5F~'~·&..•..2·b·7Ttra·..···($)Dollars
in full of the amount awarded me under the itertt of t~t (!J)rp~ans'aronrt of 11lIIas~tngtnn arountg.llttnnsgluania.
at the above number.
;L.r///f_t.!~_~.(sea!)lrgilu re'Cers
lIltw••myhand and sea!this._...._..._...l..!._..._..._.._......_.....day of...._..
Witnes~..£~
/
63-70-471No BXUXX..
--------_._----
In the Matter of the Estate of
ANNA L.PATTERSON
Deceased
)In the Orphans'Court of Washington County,Penna.
)
..RECEIPT
1'Kttum all mett bl}tqese presettts.That ~.
do hereby acknowledge'to have received from B.e.r.Q.l.Q R,P..~t.t.e.*-.s.Qn.,..
Executor,~Jlro~k>X)Of the estate of..~.nD..?k:p..?..t:t.§.E§.9.n Deceased
in full of the amount awarded me under the il1'rt"1'1'of t!J1'OOrp!Juus'Q!ourt of .us!Jtugfnu Q!ouuty.tbuusyluuutu.
at the above number.
·,}
63-70-471No UXUXx..
In the Matter of the Estate of
ANNA L.PATTERSON
Deceased
)In the Orphans'Court of Washington County,Penna.
)
RECEIPT
IiKunmallmrnbytl1rsrprrsrnts.That..
do hereby acknowledge to have received from B.saX'.Q.ld R.,P..a.tt.e.r.S.Qn ..
Executor,~tOK of the estate of..Anu.a L "...P..at.t.er.s.o.D.Deceased
the sum of f..Qy.JJ.T.E;:.J?t!T.gQ.Q§.b~P.§J?..Y.;ffiN B.Y..tm.B.~p.T.BJE.TX.:::.($J.4..I}J.l.~.:?!?.)Dollars
ONE &26/100
in full of the amount awarded me under the mrtrrr of tqr Ql)rpquns'<!!ond of 11lIIusqingwn <!!onntg.Jrnnsgluuniu.
at the above number.
..:,'19..?.~...'1·
11lIIttUl'SS my hand and seal thiS L.,day of ..
witnes~..L~
No 9..1:..7..Q::J.7..+..~21~.~~.
In the Matter of the Estate of
ANNA L.PATTERSON
Deceased
)In the Orphans'Court of Washington County,Penna.
)
RECEIPT
Ii(t1Dm all mrt1 hg t~rsr prrsrt1ts.That..
do hereby acknowledge to have received from..JI~F..QJ.g R..~p..§;:t.:t.~.f.§9..n.A .
Executor,IDI~Hl1{of the estate of ~!.:.!:.~!:.:g~.!:~.~E.~.~.~Deceased
the sum of f..Qy..B.'!:~.~.~1.gQ.P.:§.~liP.§.~:Y.~N ffQ;rs:P..B~.P..::1'.tlJ.B,1..¥..::.($1.4..l••7.J.lr..G..R )Dollars
ONE &26/100
in full of the amount awarded me under the irarr of tl1r (Jrpl1unli'<!!ourt of 'illIIulil1inglon <!!ounty,'ruuliyluunia,
at the above number.
lIItw••my hand and seal this..__}L _..____...d.y of....__~_19..?~.
wim~._.L~.-'DO~U~
·..
No..~..~.:::.?Q.:::.~..?..~~.~.~.
In the Matter of the Estate of
ANNA L.PATTERSON
Deceased
)In the Orphans'Court of Washington County,Penna.
)
RECEIPT
do
!(ttum all mttt hy t4tst prtstttts.That I .
. .Harold R.PattersonherebyacknowledgetohavereceIvedfrom,..
Executor,~~~of the estate of..l;\..nnB L..t.._.J?B.t..t.e..:t:~.Qn Deceased
the sum of ..Q~.~:+.f!Q.9..§.b.~P.L ..Q.Q.!..1.Q..Q ::.:::.:::.:::::.:..:.:::.:.:::.:::.:.:::.::.:($1.!...Q.Q.Q..:..Q..Q )Dollars
in full of the amount awarded me under the lerree of tl1e (@rpl1aulI'<l!ourt of .alll1iugtnu <l!onutg,Jenullg1uauia,
at the above number.
llIilll my hand and seal this.__....Ll _.._..__....day of....._~19 7.a.
Witne~..L~u/....£...~.._jf:..f?~(Seal)
Ralston R.Patterson
~~~----------------------------------~------.
.,
No §J.::.7...Q.::.1.11 ~2i~.~~.
In the Matter of the Estate of
ANNA L.PATTERSON
Deceased
)In the Orphans'Court of Washington County,Penna.
)
RECEIPT
.1Knuw all uten by t~ese presents.That.~.
do hereby acknowledge to have received from B.a.r.QJ.Q R,I>.liJ..t.t.e.r..s.Q.n .
Executor,~joo.~K>X of the estate ~of h.n.D.~!!.:R.~.t.:t.~.E.§Sm Deceased
in full of the amount awarded me under the irrrrr of tl1r Ql)tp~UUII'Q!oun of 1IllIulI~iu9tnu Q!ounig.'ruulIgluuuiu.
at the above number.
111ft my hand and sea!this _./..i____...day of..............._..___19 Z~
Witnesu~...at~_..(j.l'.!J)f;JLQ J.,j~__(Sea!)~2 ne en K •.t"oa~·!
I,I_J.....1
l;~h·n.1;?/.:]/'JV/1
,-.
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mnuntyQJ:nmmnu ,i~al1 nf lIanijiugtnu
QJ:nurt ilinintnn
t4~..QJ:nurt nf,
@rp4aun'
~lt
f.!,.....-,;-;.
In the matter of tli.e Audit of Account in..~,[j'h
....ANNA L °PATTERSONEstateof.a _....,
s ~6
(1 .
,;t ~~i'
63-70-471No._----''-'-----'-'-''--_
u ..-r.:oJ
:.J K'-...;..0
TO THE AUDITIN,G JUDGE:o S).~.....(.....,.;...-
Enter '~m_,_y___,:.~<-';;;--·appearance for H_a_r_o_1_d_R_o_P_a_t_t_e_r_s_o_n_,__E_x_e_c_u_t_o_r _
....'""r,.;.if,:'.
N.B.-Counsel shall,by separate pape,r,present a concise statement of each
claim,with 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.
No.6 3 - 7 0 - 4 7 1
In re Audit of Account in Estalte of
ANNAL.PATTERSON
AUDIT
'rarripr fnr !\ppraraurr
FOR
Harold R.Patterson,Executor
HOWARD E.GOLDFARB,ESQ.
50 West Wheeling St.
Washington,Pa~.15301
Attorney
~2
PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form j
Estate of ~~~.~..~~~~?;J?~§.Q~. ._
Deceased
N 63-70-4710 _..-_ ___.__._._._.
Fiduciary__~.':l:.~9.~~~.~__.~.~:t::.~~!.~~.~.~__.
Executor
Date of Date of
Decedent's death ~P.E.~~..}.~.!~~_?~__. .Grant of Letters ~~¥~!__.}.~.?.~"'__'__"
This is the fJ;t;'.$.t 9J:J..9:..f.ttl?L+account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term_N/A _._..___..-
Election to take None Filed
Under or Against will.(cross out one)
Date Election Place of;
Filed .._...__.....__...__......_.__Record _..._.__..........._.
Name of surviving spouse_R9,l$_t9_n R't._.P..9-.t.t_~;t;'_~QD._._._._.....__...___...
List issue,where material:
Harold R.Patterson -Son
Donald R.Patterson -Son
James R.Patterson -Son
Helen R.Podish -Daughter
Ann Virginia Peters -Daughter
Did decedent marry after execution of will?(indicate)~X~o.Any children born after execution of will?(indicate)
x){~No.If answer yes,name them __._.____.. ....___...____._..__...
Leg.atees
Harold R.Patterson
Donald R.Patterson
James R.Patterson
Helen R.Podish
Ann Virginia Peters
Relationship
Son
Son
Son
Daughter
Daughter
Interest
1/5
1/5
1/5
1/5
1/5
Fiduciary,if deceased or not sui juris
List,if exceptions to above:
If partial intestacy,give facts:
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.X~X
If any exception give cause:}~9.~~_ .
File copy of Notice
and date of mailing y.~.D.'l.J.§..:ry l.2.I.;r..~.7.§.
Is estate subject to the filing of a Federal Estate Tax Return?~9 .
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..3.,.:Z.6.:Z.•.Q~.
If the 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,together 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:
NONE
Balance for distribution per account,
Itemize any additional debits not shown by account:
None
Total additional debits (Add)
Itemize,any additional credits not shown by account:
$::.
$..~.I.QJ~.:.Q.Q .
3/15/78 -Notary
Total additional credits (Subtract)
Bolance for distribution
$1.00
$~.:.~g .
$..?!..Q.4.~.:.Qg .
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Balance for distribution consists of cash.
""-
P¥,
If Family Exemption claimed by Petition,give place of Record:_.
If F "I E t""I"d d""I'h'db'f CI'Ralston R PettersonamiyxempIonIScalmeatauIt,give name,re atlOns Ip an aSls or OIm:!.....................,
husband of decedent with whom decedent resided until her death.
List any advancement or distribution on account that has been made,and nature and amount of same:
None since the filing of the First and Final Account.
5,048.00$
$
709.60
709.60
709.60
709.60
709.60
$
Ralston R.Patterson -Family Exemption
Harold R.Patterson -1/5
Donald R.Patterson -1/5
James R.Patterson -1/5
Helen R.Podish -1/5
Ann Virginia Peters -1/5
.
)
Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized electi8tis
to take in kind if balance is not in cosh:residuary shares being stated in proportions:...~i;;~i~
~..:~~,.,':~~">~~:;1, 500•00 ,li ,,~rr'-t,\~.~'~
:"'Jir:.~Jf;......,.~i
_.,,'·M:V'~'
-i ~~~~J ~~."'!t
I."'~·.r.,t ~:~~~3,548 •00 ...,'<f;~
...3 I'\J L\;
II',v~~:A
l"""'.::;.~,.
I 1
(~\
COUNTY OF WASHINGTON,55:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly ~~?!.~___..doth depose and say
that the facts set forth in the foregoing petition are true
to the best of h.:!-.§_knowledge and belief.
..........$.W.9.~;r::L to and subscribed before
me this../~¢t..day oL'Mar.ch 19..7..'9..
Signature of Officer~~.~.
And your petitioner will ever pray,etc.
u~.~~~;..~.
Harold R.Patterson,Executor
.,
Title of Officer NOTA'RY"'PtlBtte .
. .Washington,Washington CO.Penna..
Office explres.....f:1y-G0mmisskm.€)tpires-May.26-...19.f.i.....
.oo•••••••oo ~oo ..~a ",:..
j No.63-70-471
Estate of ANNA..L_..PAT.TE.RS'ON .
Deceased
. .Harold R.PattersonlFiduciary---------..
"
.......
-'
,
"'f
~~~,~
.................F.;~~9.Yt_9.~.__.__._-------.
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:po rag raph b-c;and divisions
thereof:shown on pages 23-24.
1.Written praecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem,if pertinent.
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 appraisement.
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.
HOWARD E.GOLDFARB,ESQ.
50 West Wheeling St_~~~~~~t~".._,O'.Js3.cil;..
Attorney
'.i/~ot--.~~.~
c;.".>0 ..
c-t:;)f...•r.,b .....c:..~fica ....
•CA
......to)'\.').
1.:'"4.:C>~I
IN THE COURT OF COr-Ir>10N PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE:)
)
ESTATE OF ANNA L.PATTERSON,}
deceased.
TO:HAROLD R.PATTERSON
DONALD R.PATTERSON
.JAMES R.PATTERSON
HELEN R.PODISH
ANN VIRGINIA PETERS
LOIS L.LAUGHLIN
N.MARIE BATESON
RALSTON R.PATTERSON
No.63-70-471
NOTICE IS HEREBY GIVEN that the Account of HAROLD R.
PATTERSON,the personal representative of the above named
decedent,has been filed in the Office of the Register of Wills
of '''lashington County,Pennsylvania,and that the same will be
called for audit before the Orphans'Court Division of the Court
of Corrunon Pleas of Washington County,Pennsylvania in the Court
House at Washington,Pennsylvania the week of March 20,1978.
~,/J ~~).:?AL I ......,"._ilL'Z/~~~__
H r E.Goldfarb,Counsel for
A:ccountant
Date:January 12 ,1978
(p 3-70-lf71 )
Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF 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
~l1e Inheritance_an~EstateTaxA,ct of 1961.)
Executor
and say
)3/~-/)/'{
County of
state of ......::::::::i~~~:=_==}."
HAROLD R.PATTERSON..,.~:::;;;,;..
Ai;h~~~X of the estate of the above-named decedent being duly sworn,depose S
...............I~~~;.;;~.~:O;~~;E~;;;;..~~}~::u:v;:OF
(State full name of decedent)
Washington ~~i~Late of .............................. .................. ..............County
Decedent .dJed ....~.J?~.~..~}~..
(Month)
(lIay),19.(.~~g.j ,{x:i~~~eaVing 8 last will,copy of which is hereto attached.}
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
HOWARD E.GOLDFARB,ESQ •.........,.,"-.
50..W.Whe.e.J,i,ngStLt.WCll:;hi1'lgt-9IlJ Pa •15301
That as such ~.?5.~.~.~.~.?.::deponent is familiar with the affairs of said estate and the property con-
(":xccutor-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
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 Schedule A attached h,ereto and made part hereof sets forth fullv and in'detail all the
real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It
also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving
the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record
thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said
parcels,the estimated market value thereof as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of death;all moneys left by the ,decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's c~edit i~banks.,
of <teposi t,saVings banks,trust companies,or other ins titutions,whether indiVidually,or in trust for
any other person or persons giving also separately the accrued interest thereon,if any,down to the las_t
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 ~esignated as tax free,of the United States,or any state,or political subdivision thereo~or of
any foreign country,which are oWned at the ·time of death;all wearing apparel,jewelry,silverware,pic-
tures,"books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all,.other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated
market vaJlle thereof;all bonds and mortgages held by decedent and of all claims due and OWing decedent
,1 t thp.time of death,and all promissory notes or other instruments in writing for the payment of money
of which ctp.cectent died possessed,of whatsoever nature,wi th interest thereon,if any,giVing the face
vallie "wI estimated fair market value thereof,and if such estimated fair market value be less than the
face Y:-IIue,it sets forth briefly the reasons for such.depreciation 'as to each item;all moneys payable
to the estate from life insurance polici'es carried by decedent,1 all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death,with the market
value thereof at such time.
have
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 l;msiness 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 co~y
of the deed,trust agreement or other instrument creating the trust.Ther'~is also set forth in said
schedule a list of all property,real and personal,with its value,which pa~ses 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 de.cedent,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 deceden~'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 anrl unpairl at time of
death;taxes accru~d charge.able 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 rlebt 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","e","E",and "F"as directed therein,·
~(Executor~lOO»'J~../.HAROLD R.PATTERSON...............................f::.':...~.
NOFft{I;LiBLiC (Street Number)
WASHINGtON,WASHINGTON CO.PE~;f:A.~,.~.,p.,'~"..".#"!.L""Y.~P.:.~.t.,~.~"L)?.9.:"!",.,""",,..,,.....".",.""."",,,...
MY.COMMISSION EXPIRES MAY 26,197i (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 requirerl under the paragraph above relating to Schedule liB"are attached.Also make
certain that column #1 in the "Summary"has been properly completed as above-directed.
,0
JLC:C-~;;a-TU.......
cu~moNtmAL'i'H OF PENNSYLVANIA
T!l\N~:FF;n INHBlUT.:\.NCE TAX
HESIPENT DECEDENT
'..
SCHEDULE "A"
REAL PROPERTY
:leal property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at
death of decedent.Where property held as jointteQant or·te~ancy by entireties,report on
Schedule "E".Property held by the decedent as tenant in common with another or others,
should be.identified as to quantum of interest and the estimated value should be that of
the decedent's interest only.
The real property located in the Commonwealth of Pennsylvania shouldbedescribedbylotandblocknumber,street and street number,together with a general description of the property,with a refer-
ence to the record of the conveyance by which the decedent took
title;if a farm state number of acres;also statement of mortgageencumbrancesuponeachparcelatdeathofdecedent.Taxes,assess-
ments,accrued interest on mortgages,etc.,are to be listed onSchedule"p"and must not be deducted from this schedule.
(1)
ASSESSED VAWE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3)
DEPARTMENT'
VALUATION
CAUTION
(Do not write
in this space)
Undivided 1/3 interest in tract of land
in Peters Township,Washington County,
Pennsylvania containing 10.8929 acres
upon which is constructed a house,barn an
outbuildings.Conveyed by James W.Laffer y
to decedent and Lois L.Laughlin and N.
Marie Bateson,by deed dated May 11,1965
and recorded in Deed Book 1204,page 350.
Value reported here is 1/3 of $120,000.00.av
8+l7a"p 6w.e,l J-r 75J3;vn/f<~~J
-".
."
Insert this total opposite "real property",Schedule
"A",in the "As Reported"column on the last page of
,
x X X X X 40,000.00
RCC-35
CO~Th10NWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE II nil
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".Intari'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,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 schernlle.
Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION
I
No.List and describe fully VALUE MARKEl'VALUE (Do not write in
this space)
1.Checking Account in Union National Bank,4)(A :l
II)~"1-,10McMurray,Pa.1,264.10
4th2.Savings Account in Union National Bank,/Ii.)}~7.'JMcMurray,Pa.12,197.61
~~<3 S60.~133.Unsecured credit from James D.Laughlin 3,500.00 '}
,,--4------
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X 16,961.71
"RCC:"36
•
v COM~fON1\'EALTH OF PENNSYLVANIA
Tfu~NSl~R INHERITANCE TAX
~S~IDENT DECEDENT
SCHEDULE "c"
TRANSFERS
(1)Did decedent,within two years of death,make any transfer of any material part of his estate,without
receiving a valuable and adequate consideration therefor?(Answer yes or no)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.(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.~hich 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)~N~o=-__
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)_N~O~__
(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 could 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 certificate.
NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property
transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans-
fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM DESCRIPTION MARIillT 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.
,.,RCC-.::j8
•,C·CM\!l)NWFALTH OF l'ENNSYLVANIA.;..'/
rn \:\~)'En IT\HEltll't\NCE TAX
rtF~me\T DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
DSTRlTTIOKS:This schedule must disclose all property,real and 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 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-o-wners to
the decedent.
De.scriPtion --;;r-p;.operty,Date OfAcquisit-ion,Name runit ~--;'c;;t~g~--I-E~-tat;-1
Address and Relationship of Co-Owners,and PI ace 1 Value Share Valuation
IofRecordofInstrument,w.her~_Rea!__E:state.__'--l ----'-_
I
The only jointly owned property of I
decedent was property owned as tenant~
by the entireties with her husband,I
Ralston R.patt~rs~~~~,
C~d/'t.j .
Insert this total opposite "Jointly Owned Property",Schedule liE"
in the "As Reported"column on the last page of this return.
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
.,
t'I I •~~CC-37 (12-63)
C'OMMO~WEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
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
Harold R Patterson.
R.D.#l,Venetia,Pa.Son Yes'1/14/29 1/5
Donald R.Patterson,
R.D.#l,Eighty Four,Pa.Son Yes 2/9/31 1/5
James R.Patterson
R.D.#l,Venetia,Pa.Son Yes 11/9/34 115
Helen R.Podish
R.D.#l,Eighty Four,Pa.Daughter Yes 3/10/37 1/5
Ann Virginia Peters
Stroudsburg,Pa.Daughter Yes 2(4/39 1/5
I
,
'.
-
-
(
h
Deponent further says that all the above-named beneficiaries are liVing at this time except below:
NAME DATE OF DEATH RESIDENCE
NONE
OF THE
ESTATE OF
~IATTER OF THE APPRAISEMENT
P.I<THE
....,'"d ~
...Cll Cll~...~~'".....'"0(;)'~'"d...eo 3
'"'0'"d (I).......g q
(I)...q
(Executor-Administrator
must complete "As
Reported"column #1.)
t%j
'"--~.....(I)
....,
~:><~cr(b
Cl...o'"'"
63 ...70...471
YeartNo.
Will
X~~lfXOOQ
ANNA L.PATTERSON
Deceased
Late ofPetersT_ownship __
County of~~shiIlgt():nrC()UIlt¥
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
enc:~
~>~.-.........-....-.......c:
trl trl en(')()()
?'"?'"?'"
d t:J ;;;::::::
~~-.n~~~
U1m..
\0m
I-'.-....I:
1-':
:1-':סן=0o ..--..
:mo 1:
:.."','~;\0 ,0 (1)-:m :0'0 >-:1-':0 0 ~--...........
-....10 ~
:1-'0 .:::::
HOWARD E.GOLDFARB,ESQ •.
50 W.Wheeling St.
Washington,Pa.15301
~~-.n~**
>or.
o2-~..,~
3
~
('::c..I
4
RCC-Sl (6-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
HAROIJ1).R •PAT'llERSONr
(Executor or Administrator)
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
J
In Re:Estate of ANN_A_·,_L_._,P_J\:_T_'.llEROO__'N_l _
WASHINGTON:Coun ty -File No.__6~3....:c':"'...:..7_Q;.,4_·.·--=7rJL_r'_
Dea r MR.PATTERSON:
Y h b 'f'd h h ORIGINALouareereynotlletatte.-==:=-=,C---=----,=-:-:=:;;:,:-:;=;:-.---------_
appraisement in the estate of ANNA L.PATTERSONJ
has been filed.ilJ'ihe office of the Re,.gister of Wills of WASHINGTON.
County on MA 2.3),,19A,Said appraisement reflects the following
valuations:
Real Estate 4_O..,...:'':....O~O~Q-.@-'.,O~.._
PersonaI Property =1.=.6'L9~~==1~.~7-=1:.....-_
Transfers _
J 0 int Iy Own ed -.,,!----:=-=-==--_
TotaI 5_',~9:....6_1...:.....7..:-1_-..:.-__
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 nine (9)months
(fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive;
and twelve months when death occurred prior to December 22,1965)from date of death,
interest at the rate of six (6%)percent per annum is charged,
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961,72 P.S.2485-1001,P.L.373.
Dote MAY 23,]974 Signed ~~Oc;~'!1 ~n ),~J C/'/'l ,'.A •_.)Title~~~~~
DATE OF DEATH:APRIL 13,1970
Note:This is not a bill.
.~'...-
"1iCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of PATTERSON,ANNA L.
(Last Name)(First Name)
DATE OF DEATH 4-13-70
(Initial)
FILE NO.63-70-471
REPORT OF INHERITANCE TAX APPRAISER
WASHINGTONI,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _
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","8","C",and "E".
INHERITANCE TAX APPRAISER
FRED TOSIMAY!23,1974Dated:_-==--..:::""-Z.-=CLL=-_
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wins in and for WASHINGTON 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
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
VALUE AS REPORTED
$-------+1--
~~.56,961e=none
VALUE AS REAPPRAISED
$:cr<2 000 ~
/'3-7(b/I ,2/
t>-~&7-(,/7/
r:..o ....>r 0 G (5
I
So 7'/ /17/,
Valuation of life estates or
annuities ...................$t=t=t=ESTATE TAX ASSESSMENTS $
FOR USE OF REGISTER ONLY
Tax on'$------==----::::----i--2%
Taxon $So 9//7/@
Tax on $5%
Tuoo$10%
Tax on $15%
Exemptions *
Total Estate ~--
TOTAL TAX
COMPUT~J'ION O,F TAX
$
$----S>."'.z.r.q/?~\...J.~~"+,7:...;O::.-
$-------+--
$--------1--..:-
$-------+--
$__...:....:J=..;~_O=_=-,~-t/___L../=_-~O_
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
$
$====;~k!§:i-=O=='i¥<:)~EO~'
$0-.5 ~V......
$=========
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
BALANCE OF INHERITANCE TAX DUE
~dd intere!t at rate off'lo ?~_/-6-.-f.,//to t"Gs ~/-,2(,'It;..$
AMOUNT OF ESTATE TAX ASSESSED $-_~-----1L-
Estate tax paid $--'L-
BALANCE DUE $--------11_
Add interest at rate of 6%from
------Ito-----$---=----~~09,TOTAL TAX BALANCE $>7.,i?S-O .
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 shon explanation.
Will l
Administration ~No .
IN THE
Year ..
'.
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
ANNA L.PATTERSON
-'!-
Late of .
County of
PETERS 'IWP...
WASHINGTON
Deceased l •~~--.,..:,...,
"t'
,
I i-
>'
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
f
,,~
R CC-2 (2-64)
_OEPARTMI:NT OF REVENUE~-BUREAU OF COUNTY COLLECTIONS
HARRISBURG,PENNA,17127
,.
COMMONWEALTH-OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE MAY 2),1974
COUNTY _.:.:W=a=.s:.:hl.=·n:..:Jg::.;t::;o::,:n=--_
FILE NO._6_3_-_70_'~_,__7_1 _
Anna L.Pa.tterson I t f PETERS TWP.Whereas,a e 0 _
in the County of WASHINGTON Commonwealth of Pennsylvania,having died on
the 13th day of APRIL 19 70,seized and possessed ofan estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,FRED 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 ofall annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate 's transf d i 0 .n or e jo ment t 011 t 1h i f th dec d t ft r1errenpssesslOnyo c a era e rs 0 e e en a e
the expiration of any est~te for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest,
Unit Appraisement
Description of Asset Values Made for Inheritance
Tax Purposes
REALTY $
SEE SCHEDUIE itAIt'OF APPRAISEMENT 40,000.00
PERSONAL
SEE SCREDDJE'"Bm OF APPRAISEMENT 16.961 71
TOTAL 56,961 71
--:1
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~avi~g :~~eend~lY s!,orn::aceordi~law,I do hereby certi~~the above appraisement is made in con-
formIty WlUJ"law eD,this ""'kJ day of j-19.z#...'1:~,'"".'.;'"....~VA J4A .-/A07~~'A./_..!,-..
()j~1 A '~_/J,.~),,(4_>?7 AP~"___/
"",-------'(~~mberrd 'Street)L./'
V
"Penna.?<:~i.'j~;;.'",
-::.~(Poat OlIIV
.~(,."~'"\:\2 .'
----
Form RCC..IO DEDUCTIONS ALLOWED IN jv..,,:",1 .f.•V
THE SUM OF ............$~t2~t2.'.(?1?.'OFFICE OF THE STATEMENT OF DEBTS
REGISTER OF WILLS AND DEDUCTIONS ..,';t~__&;;:WashingtonOF COUNTY
AND AGENT OF THE COMMONWEALTH 63-70-471
(V'Reglst;j0f .wills,Age~t -/1/
ESTATE OF ANNA L.PATTERSON LATE OF Peters Township,Washington Co.,Pa.
DATE OF FILING APPRAISEMENT May 23,J 974 DATE OF DEATH April 13,1970
DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH","
1970 PREFERRE D DEBTS
May Hamel Mortuary Funeral Bill 1.750 00
Mav Brush Run Cemeterv Burial Exnpn~p~7C:;nn
Mav Familv ExemDtion 1 c:;nn nn
July ~Deland Vault Co.Ti~Headstone 515 00
ADMINISTRATJ VE EXPENSES
,L~/U
Apr.28 Register of Wills Probate &Short Certificat.es 15 00
Mav 7 Washinaton Countv ReDorts Leaal "'~.;Ii-1 L1.nn
13 Observer Publishinq Co.Leqal Advertisement 1.1 nn
~,..f,->!i,"(.1 15 Register of Wills Inventory &Balance on Lettk:rs 15 50
1 r:;INnTrlr;rl1 J.\ff;nrlv;T~,:r::n
Attorney's Fees (Agreed Upor)2 000 00
Estimated Fee for Filing Ace ount 150:00
-
--
6'~'050 00
COMMONWEALTH OF PENNSYLVANIA
}S.:COUNTY OF Washington
I,HAROLD R.PATTERSON HERESY CERTIFY.THAT.TO THE BEaT OF
MY KNOWL.EDGE AND BEL.IEF.THE FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENse 0.-Anna L.Patte~son /ADMINISTRATION SUBMITTED TO THE ESTATE OF ..--....0ECEAtiED,AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES.A/a;;Jlcf'R'~~~~L'5.)~""TH,.1361 DAY 01"ltiaro,LQ ~.ral..I..l:::.L::.on,,c,hl:::I,.;UI..U.L
18 76G8:~~.~.'
-WASHINGTON,WASHINGTON CO.PfNNA.
MY COMMISSION EXPIRES MAY 26,1977
I
'.
"
:'~'"
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...
.."..
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~,~\;
,.,"•""""'_._~--~.....-._,-.."._-..;.~-""",L",~_~·.........:...,.,.t:,·
40,000.00
16,991 ,71
56',961.71'
'.6050.00
50,911.71
.3,054.70
1,206.89
1,847.81
Plus Interest at 6%From
7-13-71 to 3-19-16
519~25
Rer:l
Pers.·
:m&E
D6,D
-B 15 lfilE Tahid I 1111 5 FS isOJ!
For:PeterJ.McHale,Director
Bureau of County Collections
Very truly yours,\.'J)d~~
•7 •<..~"
c.v.
Tax @ 6%
Prev.Pd.
Bal.
Re:Est e of ....,..,...,...._~-
Date 0 Death 4-13_70"
Bur u File II ...6""3~-::,7"_._Q~-=4-47.....1.."..._---........-,./.
nty File II ·..:::3~8::.;:-;;,;:6'-=9::..:-;:.",7~__'_.......,;__
$1 8"4·~8'1,_!.-
Amount Delinquent
."...
-~,j'1lr*"~~*~~"'''''''''~'''''~.',:,"...:·"7;\~¥;':""'''''·,::'i'(\~><l.!''ti;l.!.rt.:~~I~;:·;';;T:'t~;!'~"~~:\J.,-:~<:%"",,-:';;'-,-.,,,,,'\J ''',*-J:h"~'?'':;''':h__''r'~._-:-:,,'",..""~,""1""':"'~"..';'1'."'~l'il\'fj".!•.,,,~=,'".,.;;.'••':..'""::i~"''''-'~tA.:.~__"~;,.~~'
."',.,............'",'"."..'--,.----~-~"I')
• I~f.
COJAMONWEAL TH OF PENNSYLVANIA "Ir:'I
~U~~~~~~:~{~~~:~~~:~~~'~NS .'"f:h
~:::_~F:....s::.I'~~~~/""'.~.u.L._-,,-~,'!I~",II,
-'I:-;t
Na ture of Tax
According to our recQrds,the following taxes are delinquent on the
above estate:\..;
Address Reply to:
Inheritance Tax DivsioD
244 W?shingt9p Trust Bn)!Bing
.fuIa::h j ng,to~Penn a I J530!
.'11 (."cr'711~~I .:I ...,,1.0 ~
.'..0....7..'..'.t ~.3..'.~c~.)-.
•'.";,t,~••;t/.{.!;>
'.~..'.'.:;.:""".F'··".·'···.:,";!.·..."..,,".-.,.,
..E-.:..-j/
rnheritoDce T2.x
'.~'.
'.M~ke .check .payable ~cO:
,
\.
I
Unless payment of all tax and interest due is made to the Register of
Wills of WaBhington County within thirty (30)days from date of.
this letter,this Department shall take legal action to effect collection
ifithout any further notice to you.
)1 43 47.81 tax duei,~.1}'"519.25 interst~J;':'"2.'367 ..06 ba1"due
;~:ii";,f
t.,~Z::,.~r:;T~t:rt','·,.·,l'~f~".
__~_..__,_au;:u........_~.....__,..
RCC·4 (6-74)
No·E
COMMONWEALTH OF PENNSYLVANIA ..
DEPARTMENT OF REVENUE50347OFFICIALRECEIPT•PENNSYLVANIA INHERITANCE AND ESTATE TAX
j RECEIVEDN'INB HUNDRED and oo/l()()..........__....._-""·_·......·_-_......·--_....dollars
BaroldR..Pattenon ..Exert representing Pennsylvania Inheritance or
From:H IRD B.COLDFARB Estate Tax due from the following estate:
2%Tax on $$----------Irill
6%Tax on $On Account $7::....;0::...;:6-=-.-=-89.:.....··-111
File No.63-70-471 Date of Death-.'!!t!!oIi.lill!!JLll:""---l 15%Tax on $$....,-111
$,--------·IJJi
Date of Paym ent -_-.JrelU~az~....2t.-~!li~__~
Name of Decedent _.A;M".-1~-IlM~eI~m,--__~
%Tax on $$----------m
Estate Tax,Act of
May 7,1927
$,'.:..,:O=6:..;:::t..;::.89:::"_lrJ
$1=====9=OO:::::::::.=O=O=I~
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$1 1:::..9::..::3:...:::•..::::U:::..··-1111
TOTAl TAX CREDIT
less five percelitum of tax if
paid within three months after
dote of deoth
Plus interest ot the rote of~%from '.la,.71
.to_--I!!D:.lIIlaL:!t.:..:=e:....-_\.
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NOTE:Thi,Triplicate Receipt to be retainil~,~or38~'':''',.",Ar,,l---.....
"."":.~~.~:--:.,.,Received 'by
NOTE:In accepting the transfer Inheritance tax on 'future estatlls,'prlor to the death of the life
tenant or tenant for years,as evidenced by thls.recelpt,It is unde.r.stood that the Commonwealth shaU
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the_..j..~=::~:::::::::±=2=:~~.,6=::~=f:::!....:~2!:::::*~ll1
life tenant or tenant for years whenever It appears that such additional tox moy be legally due ond .'"'
collectible for ony reason whotsoever.
......./
Remarks:
County -------.JIII!SJ1ill'll~lD..------~
>,
j
dollars
$_5_19_•.25_..--lu~11
1.[
$=2=,3=6=7=,,0=6='==11Il1j
$_5_0_.9_U_.•_,'1_1__$3.054..106%Tax on
Remarks:
!~-----I~i,RCC-4(6-74)!~ll'COMMQNWEALTH '()F~E~NS'(L"A~IAii •.iiC
,;
1=1'1'1'5.PitaS8 OFFICIAlRECEIPl.PE~~~;l~~~I1:l~i~i~f;A~c~i:A~b~~T~tEJAX
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l=i CEIV .'NO tHOUSAND THRSB IlUNDBBD SDft.sBVIN and 06/100-...._••!~i iil'Oi~a.fatteHoli...representing Pennsylvania Inheritance orI~.'I·F ATtY.BOW'.OUFABB Estate Tax due from the following estate:'t!rom:-------------------r------------------------Irlll,~Add,."$0 VIlSt WJIIBL1IIO -2%T"00 $$--::-------.In'tl
"WASsDoTON,PlNNStLVANtl 15301
~F;le No.0.'10004'11 Dote of Deoth 4<>13-'10 lS:,,"TTaaxx 00nn $$__~~~~~~~=====$$__=============III..~j.11~!\Date of Payment 1farcb 19.1976 7.1
.f.':!'.Name of Decedent Estate Tax,Act of IIAlmat.Pattencm May 7,1927 0 $Illli----------------j ---------I;!
Cou nty "'--:.a--:.,_.b1Qt_._..~:....:.····,_on__•_.,.........:'~..:...._'~-'-._"",,--'~-::.:o;"'--,-~TOTAL TAX CREDIT $S,054.70 Ij..<.~,""~"-""Less five percentum of tax if P.r".P4·t~~O~:r81 I
.''".~~;.~'~.\"''l'~:'o':J':~~r.,'...paid within three months after Da1u.ce .•847.81 i
:.;,.;.~y ..,'.>',~~..,.i"'•.'~ate of death $_
I''~'\;.,?~'~,'."~""',;..,\.;!.FlWs interest gJ....~.Eli.r~of
,''',•j .,,,,",,,.;,-~"",.j 0 ~f ·/~J..,.·t4';:'if'-t ,."-..;'tJ -.-',"~~m....,.,-------.---
;,~'1 ~<i \\~'1~",1'.-:.;1:to',NCe..,.,\~\~,~y»~v f),_
\.!~w;'~i~.,....~"}~
1 ..l\~~~•~li.'\!e ":f::'i }U00 ~[p [L~@ill~:~·l'tJ~~~~:A.l,'.//f.:),oTAL AMOUNT PAID....~,..,",,,",.",y:;r /
NOTE:This Triplicate Receipt ta be retained ~"'lfS;-$':t':~".,/"<...-.~'"t'i-;:~~,~,-.,t;:~;.'";'"
I i NOTE:In accepting the transfer inherita'~;;..;a;.;,n.l"j,h~st6re~·;rior to t~ee~:~~eo~t~:lif-e-r~f;k;;~~~~~=-7~~;..f.;,~;ltA;;;;;r--I!1
I tenant or tenant for years.as evidenced by this receipt,it is understood that the Commonwealth shgll .~.-,.j not be precluded or prevented from hereafter assessing additional inheritance tax at the death of th"'--e"~/Jl life tenant or tenant for years whenever it appeqrs that such additional tax may be legally due and -+tl'-:76h(;~4dWt:~-{.L+'-=-,~G4'----H.~.,..{6~-lfll
collectible for any reason whatsoever.-'",'.,;".
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