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Home My WebLink AboutOC1970-0527 - ESTATE OF BLAYNEYForm No. RCC-62 (7-69) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1961,. EFFECTIVE JANUARY 1, 1962. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) OFFICE OF THE REGISTER OF WILLS County of,~· .. W.ashing.ton ......... .' . . . . . Mq.+Y. .O!=.~s;i..~ .13.lG\YAeY.· ........... : ....... of .. 80.0.. Donnan. Av.enue., .. W~.s.l).ingtP.~ ,· .. ~<il.·: (Name) (AddreBS) she · · · · t t t being duly ___________ §.WQt:D_ ___ ~------~-----·according to law, deposes and says thatX!e is the ______ §_g~y~Xc~~~::~2i?EicT--~-I.:l:~I..l. __ of the estate of ___ Blanche __ M..;.. __ .Bl.aYc.n.ey _____________ whose l~st residence was ___ ; ____ ~_N_Qg_:).~ ___ S.:I;:_, _______________ _. _______________ _ (No.) (St~t) ~~-~Y~.:Y.:!_~-!~_! ____ 1?_~~-~~-~----------deceased, and that the whole of the estate of said decedent, who die~ _ _J~~Y:_;?_, __ J-.~-~-~--(Cicy, Borough or Township) · (Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value N 0 N E . . - t Personal Property N 0 N E -·, .. NOTE: You may expedite the processing of this return by filing with it, and as a part of the return, letters from financial institutions or mortgage holders, certifying to amounts on deposit or owed by the decedent as of the date of death. Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account, account number and the exact name or names in which the account is registered. Jointly Held Property Undivided 1 page 14) in Done al Townshi which is ere.cted a orie · stor frame and integral said Mary 'oint tenants wit deed of Layton E. Underwood et ux. dated in Deed Book 900 page 65. Total Value June $14, Estimated Value Value of decedent's 1 2 .interest-...::.· ==~==~~~~~~~~~~======~~==========~~~~·~ Jt. savings account -Mellon National Bank & Trust Co. -Mary Dessie · ~-• N~~~~~XXXK~~M*X«EMOOK Blayney & Blanche M. Blayney $225.56 112.78~· Total 7,112.78 N 0 N E That at the time of death there was no safe deposit box registered ih decedent's individual name, or jointly 'Yit~, 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 I!'/, NAr._tE OR NAMES OF HOLDERS. TO DECEDENT N 0 N E - 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 M ary Dess~e Blayney ROO nnnn:::on 11.uon11o Washington, Penna. Sister yes All I - •. RESJ.DENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED .NOTE':' List first five items in the spaces so provided, observe notations thereon, and instructions DEBT OR CLAIM . • NATURE OF SAME AMOUNT . Brownlee Funeral Home Funeral expenses paid $ 1491.40 None Family exemption (will not be allowed unless decedent died residing with a spouse or children.) '=i n n Administratio~ Expenses • and Notary f ee1== Counsel fees • 100.00 OTHER DEBTS AND CLAIMS Br.ownlee Funeral Home Dr. F. D. ·La~ge J. c. McCleery s. White's Sons Curtis Pharmacy Pearl Sprowls Helen Kimkoff Geraldine Wilkinson Louise A. Burns Susan Kimkoff Claudia Kimkoff Fiduciary commission • ( •) See Note below Ambulance service. ~ .-·' Medical services Appraisal fee Marker Drug bills. Nursing services Practical nurse Nursing services II II Practical nurse Practical nurse ... -~ -4-0'· -, 235 35 I 176 314 50 45 575 1417 .?J38 60 * Items indicated with as erisk were paid by Mary Dessie Blayney, Surviving joint-tenant, from her own funds duiing the last illness of dec~dent. Total 4982 ... pg 00 00 50 15 00 1 00 1 00 1 pol po po )5 .. THIS COLUMN iKEGISTER ONLY $ I ··~ ~ . "' I Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission oi· debt is greater o1· less than the estimated amount claimed and allowed. -- 1 12th Subscribed and sworn to before me this ..................... . 1 Sur~~~~; Tenant 800 .. Po.n~9-P. ~Y:~P~.~-........................ . (Street Number) Washington, Pennsylvania 15301 . . 0 PA (City or Town and State) " TOt~. WASHINGTON C " • law on this In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the ·right to appraise and assess transfer ·inheri- tance taxes at the lawful collateral rate on any such future interest. 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, e c hose items where a greater or lesser amount ::::d~o~th. :P~s~ -~o-~~~ ,t;, ~?.t. :~ ~~:~ -s~~~~~-~~ .above, which greater or l~s-.. ·T· ~u.nt_=:_hl. ~~~-~-~ ... · Register of Wills "J ..J Form No. RCC-62 (7-69) Will Administration \No. · · ........ Year .... . IN THE MATTER OF THE APPRAISEMENT OF THE • ESTATE OF .... ;B.L..t\.Nc;I;I~. -~-·-.:eLAXt'IE.X .......... . Deceased Late of Donegal Township ................................. County of ... ~-~l?~~_ngton · ................... Commonwealth of Pennsylvania ·-REPORT AND AP~RAISAL ~~ ill 0': (/~ C"J • 'r j ; '-., ··~ I -... r- J.:.---' -J r - t. ••••• J ~ i ' -r--1 r-~ i SHERMAN H~jSI~GEL, ~Q. 215 Wash.lJ~c;:rton:~Trust Bldg. Wash.i,.ngton, P~IJnsylvania -..j = R C C-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEAOE REFER TO NOTICE OF FILING OF APPRAISEMENT MARY DESSIE BLAYNEY INFORMANT In Re: Estate of _____ B_L_;_A_N_JC_H_E_M_._B_L_A_Y_N_E_Y __ _ _______ W_A_S_;H;;;;..I;;;.;N:;.;..G_;_T.;:...O_;_N;;._ __ County -File No. 63-70-527 Dear You are hereby notified that the original appraisement in the estate of BI.ANCHE M BJ.AYNEY has been filed iM the 2<j_ffice of t~e Register of Wills qf WASHINGTON County on ay , 19 ___ ~ Said appraisement reflects the following valuations: Real Estate ------------- Jt. Held Personal Property _____ 7~,~1~1~2~--7~8~- Transfers _________ ~~~~~-- Total ------------------~7~,~1_;1:;.;..2 __ .:;.;..7~8- As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after one year from date of death, interest at the. rate of six (6%) percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. May 21, 1970 Date _________________________ _ Signed Title DATE OF DEATH: May 2, 1969 Note: This is not a bill. J ':CC:•39 (5-SR) . COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX SUMMARY RESIDENT DECEDENT estate of BLAYNEY (Last Name) BLANCH~E~-£.!!M~·-------DATE OF DEATH (First Name) (Initial) REPORT OF INHERITANCE TAX APPRAISER 5-2-69 FILE NO. 63-70-527 I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of WASHINGTON Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E". Dated: 05-21-70 ju~ ~==== REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for WASHINGTON County, Pennsylvania, do respect- fully report that I have allowed deductions in the amounts claimed by d t, except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedul 'F", wll'ch greater or lesser amount represents the sum allowed as a deduction. · Dated: ____ o......,s=-.... 2 ..... 1.::-:..~7-"0L..-___ _ INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED 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 7all2 78 7.112 78 4a982 05 2,130 73 annuities................... $-------+--- ESTATE TAX ASSESSMENTS $ ________ ....___ 7 112 78 7.112 78 4.982 05 2,130 73 FOR USE OF REGISTER ONLY COMPUTATION OF TAX Taxon$ _______________ ~--- Taxon$----------------~-- Taxon$----------------~--- Taxon $ _______________ ~--- Taxon$ ____________ ~2.1~~~;~,041L7'~~ Exemptions========*== Total Estate _________ --J>--- TOTAL TAX 2% 6% 5% 10% 15% * $ ______ -4-- $ ___________ ~-- $----------4--$ ____________ ~- $ ____ ....J~'-'-l..:l...+Qiu h;l.L- $--------~--- Less tax previously paid $======1=== BALANCE $------+-- Less 5% of tax if paid within 3 months after death $========= Add interest at rate of 6% from ______ to ________ _ AMOUNT OF ESTATE TAX ASSESSED $--~--+-- Estate tax paid $ _______ __._ __ (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE DUE $ _______ _J __ _ Add interest at rate of 6% from ------~·0-------$------~-- TOTAL TAX BALANCE $------I-- PAID $ -----------L-- 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 Deceased Late of . County of Commonwealth of Pennsylvania REPORT AND APPRAISAL Fonn RCC-2 D~_!".ARTMENT OF REVENUE B'lJREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 1 Z 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE .......................... M.~.Y ..... ~J .. J ...... -.!.~ .. ?..9. ............... . coUNTY ............. W.A.$..B.IN.9.:T.9.N. ........... . FILE NO •.. 63-70-527 ..................... ; ........ .:.. .. ·················· .. ····· .. ······ .. ····· .. ··· .. Whereas, ................. l3..LA.NC..~ ..... M.~ ...... l3..LAX~X ........................................................ late of ............................ 9..I.:J.\X.§.Y.~~.~~········································· in the County of .......................... ~~A.~.~~.~Q.~.9.~ .................................................................. Commonwealth of Pennsylvania, having died on 2nd May 69 . the ....................................................................................... day of ............................................................................ 19 ............ , seized and possessed of an estate subject to Inheritance 'I'ax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ............................. ~~ .. ~ ...... ~.~ ...... ?.~.~!. ....................................................... , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future Interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Description of Asset JT. HELD PERS.: As per appraisement filed Unit Values $ Appraisement MadG for Inheritance Tax Purpoaes 7,112 78 fonn~;•!fhb~~ ::lfh!w<>rlla~~~,~~~~:. ~.~ :r·~~~.~. =7~~ ~~~":":P.P.r~is .. ~e~t~~~l~t~: Appr ...................................................................................................... ~ ...................................... .. (Ku~-and Street) ........ ~~~.P~si· 0t!Y ...................................... , Penna. WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of BLANCHE M. BLAYNEY Deceased. Late of CLAYSVILLE Date of Death, ........................... ~.~Y .... ~.'-. .... J.~.~-~--···· Appraisemel!t Docket Vol., 38 Page, Z~~---··············· No ....... 6..3.~.7.0.~.5.2 .. 7. Filed in Register's Office, ............ J~~c:\:!.. ........ ?.~9 ....... 70 Amount of tax due $ J ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo,ut Appra-isement, Appeal fyom Appraisement, Entered and charged, ! I