HomeMy WebLinkAboutOC1970-0698 - ESTATE OF HANSEN-------------------------------------.......63~7D-6 9t
i\ffiltnnit (@f tExrrutnr (@r i\ltmiuislratnr
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~tatt<,of Jruusyluauta.~Il6:
C!louuty of lIasl1tugtou \.-'
P II b f h d . d h'NotaT'V Public .d f 'dersonay e ore me,t e un erslgne aut orlty,a ::-..tl m an or Sal
County and State,appeared Li.l.l.i.an Ha.D3..e.n who,being duly
sworn according to law,<deposes and says that She is the executor or administrator of the estate of
H~~~.h....ij:.~~~.~:9:...~/~/~....~.~..~.....~!'.~~....tl~.~~ceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of.H~.P..~.h....B.~.n~.~g ...~L~L~....Mts.Fred
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item Hansen
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 Administrator.
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ADDITIONAL INSTRUCTIONS
1.An inventory must'be filed within three months after appointment of personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
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
<1fuUrtttnry uub .2\pprail1pmrut of the goods and chattels,rights and credits which
were of..H?:D:~~.h BJ~:P.:~.~n ~L~L~M;r.~.~Jate of MQ.~.Q~.Si~.h~J~..Washing"£:rr:~unlfg-,~~9aken and made in conformity with the above affidavit.,
DOLLARS
PERSONALTY
Savings Account in the western pennsylvania National Ban~
BOo~#27785 $8,684.16
CENTS
Checking Account in the western pennsylvania National:ea,nk
Sale of furniture
Bell Telephone Company,refund
328.~9
100.00
5.00
Metropolitan Life Insurance Company,full value of insuramce
policy plus interest 806.40
Metropolitan Life Insurance
Blue Cross,refund
Total Inventory
514.59
62.~0
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KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
J
on the 14th.day of A.D.19 70,before me,
Russell !v'Iarino ,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
late of Monongahela
Hannah Hansen ,A/K/A Mrs F'red Hansen
in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Lillian Hansen
rix
the Execuoox in said Will and Testament named,having appeared before me and taken and subscribed
the oath of office pr,escribed by law;
NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do
grant these LETTERS TESTAMENTARY,unto the said
LilJ ian Hansen
committing unto Her the administration of all and singular the goods and
chattels,rights and credits,which were of said deceased,and requiring He r
to exhibit a true and perfect inventory thereof into ,the Register's Office,at Washington,within ninety
days from the date hereof,and to 1"ender 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 14th.
day of July in the year of our Lord one thousand
nine hundred and Seventy
_~.~~.
Register
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LAST WILL AND TESTAMENT"
OF
HANNAH HANSEN
I,Hannah Hansen,of Monongahela,Washington County,
I'Pennsylvania,being of sound mind and memory,do make,publishIanddeclarethis·my Last Will and·Testament,hereby revoking any
and all wills by me heretofore made.
FIRST:I direct that all my just debts and funeralIexpensesbepaidassoonaftermydeceaseasmaybefoundoi
convenient.
SECOND:All ~he rest,residue and remainder of my
'estate,real,personal or mix,ed,of whatsoever ,nature or whereso-
ever situate,,r give,devise and bequeath unto the Baptist
Orphanage an~Home on Castle Shannon Boulevard,Allegheny County,
"I Pe.nnsylvania.
'j ,TH~RD:I hereby nominate and appoint Lillian Hansen
.!as the executrix of this my Last Will and Testament,and I direct
'/that no bond be required of her regardless of her domicile.
I
11 IN WITNESS WHEREOF,I have hereunto se1;my hand and seal
this :2 lit '.day of tf!..-e/t',196Q's to this my Last
Will and Testament.
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liwITNESSES:
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The within named Accountant being duly sworn according to law,depose and say that the above account
as stated is true and correctas _..~__verily believe,
S "'-d b 'b d b 'f h'I t.fwornansscne e ore me t IS••....•••......•
\........";:-,".,7/day ~~-:.~.:~:'______..__....__.~....---__.....19......
:..~~.~~......'._.:\~.._'~~e...: .
").\A.I'J~o.·rJ 1:.COLEMAN,II!ct!.lry Public
',Mf?IIongahela,Washington Go"Pa.
",'/,JljJy Commission Expires
, ",Iu/y 14p 1978
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Walshington County,ss:
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I do certify that I have given legal notice 't'O all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court,as evidenced by proofs
thereof filed to No ...h...3.-::.~7/--::__~$_O'..
W·'h d d'ff"I .I h'S ()f:b..Itness my an an 0 ICla 'sea t IS__..._.__....••
day 01.':___-"____"____________CJiVj_____)91/
.~.~..._~_.71L~
,Register of Wills
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The Court is respectfully requested to de'trermine
proper distribution in this estate.
Counsel for Accountant
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The First and Final Account of Lillian Hansen,Executrix
of the Estate of Hannah Hansen a/k/a Mrs.Fred Hansen,deceased,
late of Monongahela,Washington County,pennsylvania.
The Accountant Charged as Follows:
AS Per Inventory Filed $10,500.74
TOTAL ASSETS OF ESTATE $10,500.74
T~AL AMOUNT OF CREDITS CLAIMED BY ACCOUNT 3,456.65
BALANCE DUE $7,044.09
.....,",_...,
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The Ac ountant Claims Credits out Of The Assets Of Said Estate,To-Wit:-
DOLLARS :CENTS:
••,..••:DATE AID
••:
:
NAME OF PAYEE
••
•·
REMARKS
:
••••
Washington County Reports advertisement
witness on will
letters,etc.
witness on Will
Register of Wills
Darla J.Roderick
Sandra L.Zeni
Daily Republican
L.M.Frye Funeral Home
advertisement
funeral expense
30.00
5.00
5.00
14.00
12.50
1,318.00
William Swart services rendered (washing,
transportation,etc.)600.00
Irene DeCroix continual service and bedside
care at home and hospital 192.00
Joseph J.Benedict attorney's commission 500.00
Lillian Hansen executor's commission 500.00
Kurtz Monument date on stone 14.00
Bell Telephone Company telephone bill,final 8.40
filing inventory and acct.21.00
Joseph P.Hughes,M.D.consultation and daily
visits
William Swart
Lillian Hansen
Memorial Hospital
Register of Wills
Notary Public
advanced for ambulance
advanced for taank you card
blood
Notary fee
2~.00
2.00
75.00
131.00
3.75
Total:
THE DAILY REPUBLICAN
MONONGAHEL~A,PAt
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 ap'peare.d before me,a Notary Public in and for said county and state,~~s A F De~antlS .she .----------------------.,who,bemg duly sworn,deposes and says:that.....1S
the ~_?_~~~_~_:::E~E of The Monongahela Publishing Co.,a Pennsylvania corpora-
tion,and its agent in this behalf:that the said company is the publisher of The Daily
Republican,published daily except Saturday and Sunday,having its place of business at
Monongahela,Washington County,Pennsylvania;that the said Daily Republican was
established in the year of 1846;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 newspaper'in its regular issues on the following dates:
·:~~~_~?~_~?§~_~~~_~~~.~_~__A~_...~2_7Q . ..
_~~~~_~_~_~~g_~~~_~__~£!_~_~~h ~~!!:§_~~§/k.;l?Mr_~__..r;r_<:)_g H.a.nB~lL .....
that the affiant or the corporation in behalf of which _~_£1:~__..is acting is not inter-
ested in the subject matter of said notice or advertising and that all 9f the allega 'ons oftbmamdavU"'to ~t:W~C~d~lioatiDn :"~~
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ESTATE NOTICE
Estate of HANNAH .fIANSENa/k/a MRS.F.\tED .fIANSEN de-ceased,late of,M0I111nJahela.Wash-in.ton County.l'eniliL'.
Letter.T,ist~mentary upon.the .abovee.tate havin,been grahtedtotheundersignetl,notic;e is hereby
,Iven to those indebted t1~ereto to 'make immediate payment,.and to .~ose having claims or den\ililds toPresentthemfor.ettiement:
Lillian Hansen ..Scotland School of ..,.
Veteran Children'Scotland,Pa.17254'Joseph J.Benedict,Attorney
l!53 West Main St.Monongahela,Pa.15063July21,28;Aug.4,1970
-;
Washington County Reports
=ua=~'MlIAfllF5rRl!l!'lF=
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 OF 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 WASHINGfON COUNTY REPORTS,the
official legal periodical for said Washington County,publisbed weekly having its
place of business at Washington,Washington County,Pennsylvania,and is act-
ing as its agent in this behalf;that the said WASHINGTON COVNTY
REPORTS was established on March 31,1920,and was designated as the official
legal pnblication for Washington County,Pennsylvania,by order 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:
.............J..I:!J.y.~.3..t .3..Q..t J..9..7Jl..,..
............AMg.y.H ~.J..9.7.Q.".
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,Pla~,nd haracter of the P(Y.iOO~
............................................................................y:di!9t--
Sworn to and subscribed befor me this ~~-------,o=-~-_.---~.--~6.t.~:;7.day Of........~y.9.y.;;);....:...,1~lQ.~
....../.CU:r.LA~..0-I..~:d.&~
Notary Public
K,Ht:::W.IE C.NICHOLAS,Notary Public
WaShington,Washington Co.,Pa,
My Commission Expires
November 1,1973
Estate Notices
The Register of Wills has granted letters.
testamentary or of administration,in the
following estates.Notice is hereby given
to all persons indebted thereto to make
payment without delay and to those hav-
ing claims or demands to present them
for settlement to the Executors or Admin-
istrators or their Attorneys.
• •• •••• • • • • • • • • • •
HANSEN,HANNAH,a/k/a MRS.FRED HANSEN,Dec'd
Late of Mononga'hel~,WashingtonGounty,Penna.Executrix:.Lillian Hansen,ScotlandSchoolofVeteranChildrenScotlandPa.17254 "
.Attorney:Joseph J.Benedict 253 WMainSt.,Monongahela,Pa.15063 .
lln tnt (ltnurt nf (ltnmmnn IUrun
nf ltunl1ingtnn (ltnuntnf Ju.
vs~
..........~.NNAH HA.NS.~.N..J~/~/~MR.S FRED .
...~.N~.~.N.................................................................................................63 70 6g8No::::,Term,19 .
Enter IDY..Appearance for the..·.~~:.;~.;·r~~····~:ri~·:~···~~·!]·~·~·~····~~/~···in the above
stated case ,__.
J
To
ROR liPT _C RAlfJ-F-6RD,
Prothanatary
.......................~~..~.
ttorne,/~!a....M~.:.:-.~j.~.e8f.H~~g.~h Ha..n~.~.n
.s..~.p.t..~.m:b.~.~J3.1 19 71.
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L£01 H~22 .DD IL1:0 i !f_I I I
PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
T..tat.Fo,m J
•,
Estate of..H~AA~.q..H~.m~~.n...~/k/a....Mr.s.•...Rre.d.....Hansen
Deceased
No §3:~~79.~~.9.~,..
FiduCiary ~t.~~J~;1}..n.~D-~.~n ~.
Date of Date of
Decedent's death ~)4y..)·.,.+.9..7.9.Grant of Letters ~~~y...J..~l.9.7Q .
This is the ~.:!:~~.'t.~~~..JrJ~~~account filed in this estate'.
If there have been former accounts filed in this estate,"Ii'st file number or number and term .
.........................................................................................no ,'.
Election to take Date Election Place of;
Under or Against will.(cross out one)Filed Record '.
N f . .Noneame0survIvingspouse .
,List issue,where material:
Baptist Orphanage and Home
Did decedent marry after execution of will?(indicate)~No.Any children born after execution of will?(indicate)
'UXNo.If answer yes,name them .
,"..__..___---_.._-..-__.-_._-._____-..-___..--_--_---__--_.._--_..-_--_..----__--_..-------------.---..-----
Leg.atees
Baptist erphanage and Home
Relationship
none
Interest
entire
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.JtXp.
If any exception give cause:.
-
File copy of Notice
and date of mailing ~~~Y.:..?.9.,J9.7.J.,.
",..,,J ~-..'"
'.........-.
11 ",'--I
Is estate subject to the filing of a Federal Estate Tax Return?............................................................................•.........
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.
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,tog,ether with the amounts
of such claims;state whether they are admitted to be correct;and whether the claim is denied.
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:
('_.,J ,
J ~
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:~'j \
$...7..t.9.~!±.~9.9.................
$.
I·r .-.r,v~
Total additional credits (Subtract)
Balance for distribution
.J $.
$7..tQ~~.~.Q.9..
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Cash
'....
.",.il.!"
If Family Exemption claimed by Petition,give place of Record:No .
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:NQ .
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:
I
Clerk's Costs
Payment ,of Inheritance Tax not due as Charitable Institutions are not sub-
ject to the payment of ,Inheritance Tax'as of paper filed.
Balance 'to the Baptist Orphanage and,Home
COUNTY OF WASHINGTON,55:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly.J?1'{Q.:r.n doth depose and say
that the facts set forth in the foregoing petition are true
to the best of h~.:r knowledge and belief.
...........SW'.QRN 0 and subscribed before
.:'~,.'/.'t/l'me this :da of..........•:~,19 .
........E.-.Signature of Officer...."'C•••Jl.l.IIlI'-JN\-
..MARiON E:.COLEMAN,Notary PublicTitleofOfficerMOO9l1{}abala,••Wash.iJlg1oA.Cn•••P.€lo••••••••••••••••
My COitunission ExplNls
Office expires :~.~~.~~..~~.~~.
And your petitioner will ever pray,etc.
fJ''~
...........1J.~~1J./20~!.'~.
.~"~~~..
No.__..§_3.~.7.9-698-_....--.........._.....-.........-_....--_....-_...........-_.......
Estate of ~~~:l?:._ti~~~_~~._~j~~_.
..
Mrs.Fred Hansen
........__..,--:_~_..__.._..____0
Deceased
Fiduciary...L.11l_i~n_.H~sen_._.....__..._._._--
PETITION SUR AUDIT,
FROM WHERE DECED.ENT 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:parag r,aph 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 on 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.
1O.Copy of FederaI Estate Tax return if es-
tate is subject thereto.
-(L~.._..._.__....__,"""---l--'---'-"---,'=~~-'Attorney
.Vd ..0:)rW ,1.:::'1'-1 !Ii S'9'li\
S11!h\,:1 ()cl'lL SI~:3 1.1
ON!\1 \,j "I "~~1 SSntj
LE 01 !I!!22 DO Il,
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r
IN THE ORPHAN'S COURT OF WASHJN.GTI>t<I COUNTY,PENNSYLVANIA
~"-"
ESTATE OF
....W\:~~Ht.HA..~.~N ..?:!~!~..~.$.!..No.E?3.":'.7.9.~~-9~_of 19 A.A _ .
FRED HANSEN
NOTICE OF FILING ACCOUNT AND AUDIT
To the Heirs,Creditors and Other Persons Interested in Said Estate;
•
Please take'notice that the first and final account oL .__~J1.11a.n-..Ha..ns.~JL ----------.-.----------.--..-.---.
_._.Ex~_Q.g.t~.1.~.._.. .._.._._of the above estate,was filed in the office of the Register of Wills of Washington County,
Pennsylvania,on J~.~iL..J.gL.19'I1_.._,and docket~d to the ~bove number.
Under the rules of said Court,said account will be assigned for audit in the Orphans'Court courtroom on the Third Floor
of the Courthouse,Washington,Pennsylvania,sometime during the week beginning_.S..~P.~.!_.._1_3.J_.19.7.~.The pre-
cise time will be posted on the bulletin board in Office of the Clerk of the Orphans'Court :X!~XX~X;X-XX~~~X
Respectfully submitted,
.._J..:gly._._.2.9~._._.l9.7J.___.._.._._19..-_'._._,._~,_._-_._-~.._-_._.._---_._.._- -j Attorney for the Estate
J
IN THE COUR~OF COM MON PLEAS OF WASHINGTON COUNTYI PENN~.
ORPHANS!COURT DIVISION "
HANNAH HANSENI A/K/A
IN RE:
Estate of
Deceased.
(
)
'(
)
(No.698 of 1970"
)
(
)
(
HEARING ON AUDIT
JOSEPH J.BENEDICTI Esq'.·~of Monongahela,
~a.I repres enting t~e accountant.
".
THE HONORABLE P ~VINCENT MARINO',Judge
!•of the s aid Court.'
Monday.September 13.1971.at 1:30 o'clock
P.M-•.I 'EDST•
MRS.FRED HANSENI
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0:(.~>-UIZZIIIII.
ig BEFORE:CIz
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~
~APPEARANCES:
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THE COURT:Number 68,8 of UnO,the estate of Hannah Hansen
,deceased.The Executrix is Lillian Hansen and the attorney is Joser:h
"I
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J.Bene.?ict.
MR.BENEDICT:
Mr.Benedict.?
If the Court please,notices have been sent to the
p parties interested which happen to be the Baptist Orph~nage Home,
a charitable institution.a~d we are exerript from the Inheritance Tax
THE COURT:Are there a!1y claims?
lVIR.BENEDICT:,No outstanding claims.
THE COURT:Is there'anyone else in Court interested in this
decedent's estate?'..
(NO .RESPONSE)
THE COURT:
Court.
The audit of this account is ordered clos ed by the
(AUDIT·CLOSED)
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.-----------------.---------~------------------------------,\;;'-'
J
~n t4t <!tn1t11 nf <!tnmmnn 'ltns nf IIns4itl!ltnn Qtnunty,
'rnnsylunnin,(@rp4nns'<!tnmt !tinisinn
ESTATE OF No._...:.6=3_-7.:..:0:--..;;;,6..:...98.::...-_
Hannah Hansen alkla
Mrs.Fred Hansen
deceased
In the matter of the First and Final
Account of Lillian Hansen
Executrix
$7.044..09
SCHEDULE OF DISTRIBUTION
Balance per account _
ADJUDICATION AND DECREE
And now October /61 ,1911-,this matter came on for hearing,
audit and distribution at this session and testimony taken;and thereupon,upon due consideration
thereof J:h~MICU1.Ce for distribution in the hands of the Accountant is determined to be
$(,u~.U':l and the account is accordingly confirmed;and it is ordered,
adjudged and decreed that the said balance be paid out by the Accountant in accordance with the
schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg.
Balance,_
Deduct Clerk's Costs &Receipts'--_
Attorney Jos eph J.Benedict
Baptist Orphanage and Home on Castle Shannon
Boulevard,Allegheny County,PennIa,legacy,
residue,charity exemption certificate riled,
19.50
I
7024.59
$7,024.59
~~l 1"171
?p..~t%Ir,.$V~~~~·e.
No balance
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RCC-3 (1-69)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMftifr OF RfVENUE'
BUREAU OF COUNTY..COLLECTIONS •
APPLICATION FOR CHARITABLE EXEMPTION
FROM PENNSYLVANIA TRANSFER INHERIT.ANCE TAX
(Act of May 28,1956,P.L.1757,and ~ct of June 15,1961,
"P.L.373;as amen-dedl.". ".."',.
J
Application is hereby filed for the approval
of an exemption from Pennsylvania Transfer
Inheritance Tax on the transfer of the property
described below:
1.Bureau File #63-70-698
2.Date of Death July 1,1970
3.,..Da,te of,App,roval ...~'~bru~ry9th.1971
4.Name of Decedent Hannah Hansen a/k/a Mrs.Fred~.ansen
5.The Commonweolth's appraised value of the property for which an exemption is claimed is $cash entire res:t,due
(Note:Where the property is other than ci specified amount of cash,'the exemption cannot be approved until the value of
the property has been established by appraisal by the Commonwealth,except in those cases where the amount of the gift
or bequest represents a stated fractional or percentage poj.tio~of theenti~ee~tat~or the entire residu~.In those cases
enter such fractional or percenta~amount above).
~~.-~
6.Check the manner in which the transfer was effected.and submit a copy of the document authorizing the transfer,unless.
such ma'terialhasbee~previously'fjl~d:'..,...'....., ,..''.,..'".,'•.-..'.•.""
'.'_.r ",'........J:",:.·r _~Jl ~...:',".•,)"".""'•~.
WILL~;DEED 0;TRUST INDENTURE 0;SURVIYORSHIP'O;
....
OTHER 0;
(If other,explain)~_
7.Correct Business Name and Address of Charitable Organization receiving property:
NAME Baptist Homes (Baptist Orphanage &Home Society of Western pennsylvania)
ADDRESS 4e9 Castle Shannon Blvd.,Pittsburgh.pennsylvania 15234
8.I certify that the information contained herein is,to the best of my knowledge and belief,true and correct.
Date_-"'o:.F..lo!ec.!:!b~ru..!!!!·~aC:!:.r.J_y~44-.----=!:1..::l9~7_*1~_
n
At Law
Add,...of APPlkonV
Official Title Attorney
Signature of Applicant-~~£2?-.:..-~--.:..-f~~~=:::==~~~------------------
This form must be completed in tripiicate and all three copies delivered to the Register of Wills for the County in which the decedent
resided,or in which letters were issued for a non-resident decedent's estate.If the decedent was a non-resident of Pennsylvania and
letters were not issued by a Pennsylvania Register of Wills,deliver all three capies to the Director,Bureau af County Collections,
Penna.Department of Revenue,26 S.4th Street,Harrisburg,Pa.
Do not write below this line ~For Official Use Only
Approved:For the Secretary of Revenue
~~
Referred to Bureau Headquarters Approved 0
For Secretary of Revenue
Denied*0
I
(Signature of Register of Wills)
Washington
(Initials of Register of Wills)(Authorized Si gnature)
(County)
February 9th.1971
(County)(Title)
(Date of Approval)(Date of Referral)(Date of Action)
*See reverse side for reasons
MUST BE FILED IN TRIPLICATE
"
This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied.
Date:~_
r
The application for exemption contained on the face of this form has been denied because _
Note:Any party in i~terestj including the Commonwealth,aggrieved by this action may within .sixty (60)days after
the date of this notice exercise their rights of Protest,Notice,or Appeal in accordance with the provisions of applicable
Pennsylvania Inheritance and Estate Tax Acts.
r
•'tI'._.__
Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
J
.W~.~.hJ~g.~.9.~.t-i!.
".-t,
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 .Jnl1erit!lnce..?-n~E~tate .Ta"1\ct of lQ61.)
Slate,ol_peI!nU1YAnL~_,}ss:
County of Wash1ngt..on .
.Lillia.~~~~en ....Exee1ltor
Administrlltor of the estllte of the llbove-nllmed decedent being duly sworn,depose llnd say
Decedent!lled ....Ju.ly....l.,...
(Month)
..........,197'D........,r te~tate 'leavi'ng a last wili.copy of which is hereto attached.}
(Day)(Y""r)Lintestate
otherN:m:tha::i:::r:::r::e:tttao:~::::}··i£t:~~e~~A~~t:~~gt.....................
::;;ed~ll correspondence should be.··~~~~::~~~:;n;:~~:;iVani~·····~5~63··················..···..· ··· ..
That as such .~~.~Q¥.jf..r.:t.~deponent is familiar with the affairs of said estate and the property con-
(Il;xecutor-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 saf~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 hereto and made part hereof sets ~orth full v and in'detail all the
r.eal property in the Commonweal th 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 the.reof,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,leftbydecedent,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 ins~rumentsinwriting for the payment of money
of which decedent died possessed,of whatsoever nature,With interest thereon,if any,giving the face
value and estimated fair market value thereof,and if such estimated fair market value be less than the
face value,it sets forth briefly the reasons for such depreciation-as to each item;all moneys payable
to the estate from life insurance policl'es carried by decedent;all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death,with the market
value thereof at such time.
..'
<........'It
In the cas,e ,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 liabifities
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 f,orth 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 mlist be submitted.,It should also set forth in itemized form,together with the fair marI<et vallie
thereof,any other property owned or bequeathed by the decedent at the time of death.
r-.'
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 t'ransferred""the
re,lationship of the transferees to the decedent,the proportionate share ~?ce}yed 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.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-wUI,deed,or other instrument of another,
with a copy of the instrument creating such power at'tached to,the rschedule.
That Schedule D attached hereto and made part 'hereof sets Torth the names and addresses of all
.•r r .....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 o~
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement shOWing which of the'beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,their issue,and the relationship of such issue to the beneficiary.
That Schedule E attacl)ed hereto and made a part hereof sets forth ,all p~,9perty,r~al and p,er~
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 r.ecord of instruments effecting the vestitureof ,
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 Inhe~itance and Estate Tax Act);'together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said.claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of WillS,and that
the amount of tax assessed can be reassessed in accordance therewith.
That ,the totals of the appropriate columns in Schedules "A","B","C","E",and "F"as directed therein"
have been carried forward and properly registered in the Summary•
(Street Number)
(City or Town and State)
........I.~l ..
"~_RlOrJ ;,COLEMAN,NlltiAry Public
'1l1on9Bhela,Washington Co.,PsI.
,"C-ommission Exp~~f'
4 "'Iv 14.197::1
NOTE:Be fore 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 ~ny co-partnership or business,that the
data and statements required under the paragraph above relating to Schedule "B"are attached.'Also make
certain that co~umn #1 in the "Summary"has been properly completed as above-directed.
:c=~::y.~~.••.••.................................••••••••••__.1~~~__
RCC-34 (1-114)•
'COMMcrNWEALTH OF PENNSYLVANIA
DEPARiMENT OF REVENUE
BUREAU 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 h~ld 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 Commo!'lwealth of Pennsylvania should be (1 )(2)(3);/
described by lot and block number,street and street number,together wi th DEPARTMENT
a general description of the property,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 space)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.
,.
RC.C-35'.,
CQMMONWEALfH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Inta;gible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household
goods,and furnishings,books,paintings,automobiles,boats,etc.)
Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,..
stocks,'mortgages,notes,together with accrued interest or dividends,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 MARKET VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
Sale of Furniture
s:-oo
g'O fa.t/0
oI1·~Cf
b:J.t/O
5.00
100.00
806.40
514.59
62.40
savings Account in the Western pennsylvani~
National Bank,Book #27785 ~~lIb _;oJ..
Checking Aatiunt in th~Western Pennsylvania
National :sank (..,/}h,r~•-------
Bell Telephone Company,refund
Metropolitan Life Insurance Company,
full value ofmsurance policy plus interes I;,
Metropoli~an Life Insurance
Blue Cross,refund
Insert this 'total opposite "Personal Property",Schedule "B"in X X
the "As Reported"column on the last page of this return.
RCC-3b'.
CO\!\lO\'\i?\LTll 0 F PF~NSYLV.AN r A
T1U~~FFj\D;HEIUTANCE TAX
rmsrDENT DECEDENT
SCHEDULE "c"
TIl\NSFETlS
·'
,.
(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,wi thin 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 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)~n~~OL-_
(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)~n~'~o __
(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 conld revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)~nu'~OL-_
(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 th~decedent alone or the decedent and others?
(Answer yes or no)n_.·~O~_
NOTE 1:The answers to these questions should be supported by affidavit by the atten,Ung 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 prcperty
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 tr;'ms-
fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which prOVided in Schedules A,B,or E.
ITEM DESCRIPTION MARKET VALUE
(Estimated)
DEPT.VALUATION
(Dept.Only)
Insert this tot.:tJ opposIte "Transfers",Schedule "C"in the
"As Reporterl"c0]umn on the last page of this return.
..
RG'C-38
COMMONWEALTH OF PENNSYLVANIA
Tni\N~}~H INHERITANCE TAX
RRSIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRFCTIOt\S: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-~wners to
the decedent.
Description of Property,Date of Acquisition,Name!Uni t percentage--Estate
Address and Relationship of Co-Owners,and Place I Value Share Valuation
of Record of Instrument,where Real~state.!
None
Insert this total opposite "Jointly Owned Property",Schedule"E"
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
..
'FIde-'3{(J.2:-E>3t
l'O;Dln~\~·~~:\1.TII OF I'E7'\:'\SYYl.:\NIA
TRANSFER I"HEHITA!';CE TAX
RESIDENT DEl'EDE!,;T
SCHEDULE "D"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
,State full names and addresses of all who
have an interest,vested,contingent or other-
"..wise,in estate):=
"RAnt1 stOrnhana2e and Home
castle Shannon Blvd.·
Al.l.egneny uoum;;y,pa.
RELATIONSHIP
(If step-children or
illegitimate children
are inyolved,set
forth .this fact.)
None
SURVIVED
DECEDENT
STATE YES
OR NO
DATE
OF
BIRTH
INTEREST OF
BENEFICIARY
I~ESTATE
entire
Deponent further says that all the above-named beneficIaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
~IATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Will
Administration t No.
P.><THE
Year
(Executor-Administrator
must complete "As
Reported"column #1.)
C1 ....,""0 ~..,..,~~0 Pol ..,Pol'"::s '">-
'"'"0
'-::s ""0....,~e:....,..,Pol '"0;.:""0 '0Pol~0"'..,..,
ib 0 ~'0
t%j ~..,
'"~....Pol....~
Deceased
Late of ..
County of
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
''Vd ··O()ria.L'NIHS'v';A
s11L'\I r\\r:~j Si ej':~
Ol::~~·I.t ·1~.:it...·sn~1
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~.
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co)td ;;:::::::_................
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.........
~~.:»'"~.........521=~-'8 ........~...,....0 ()c..-.""?.
~..
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(;0 .........r;tv""'-2.
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-I {;3'-'~aTtet AWo~N JFormRCC,lO
-.~..
.,OFFICE OF THE STATEMENT OF DEBTS THE SUM OF .,..........$....
REG1STER OF WILLS DEDUCTIONS,Washington AND DATE APPROVEDOFCOUNTY ..........................
AND AGENT OF THE COMMONWEALTH
Regilter of WillI,Age"t
-,
ESTATE OF Hannah Hansen a/k/a I.ATE OF Monongahela
Mrs.Fred Hansen
,"DATE OF FILING APPRAISEMENT OATS OF DEATH July 1.1970
,DATE NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCH"1ll
Register of Wills letters.etc.~O 00
barla .T.Roderick witness on w:tll r;100
Ra.ndra T •Zeni witness on will 5.00
~ashinQ.:ton CountV'Renorts advertisement 1h 100
bailv 'Renubliean advertisement 12 150
.M.Frllle Funeral Home funeral exnense 1 .~18 00
lvilliam Swart services rendered (ttol!::1 el'h'"nO'
transportation,ete.)600 00
tr rene DeCroix continual "'''....~·'''ce and
bedside care at home and lO?1001.00._..._.1-1-,.,1
,r:--
ITosenh J'.Benedict attorney's commission 1";00 I()()
uillian Hansen executors commission r:;;oo 00
urtz Monument date on stone 14 00
Bell Telephone telephone bill,final 8.40
aTi 11 i J:tm -advl1 lived for a.mh111 J:tnnp 21=;00'l.I
illian 'Ransen advanced:for -".,vnn A~m '?00
Josenh P.Hughes.M.D.consultation and dailv visi s 7r;00
.:.'l!:l1 'U~!"l.n'-ta.l h 1 nAn l~l 00
Register of Wills filing inventory and acct.21.00
..--Notarv PUBlic '1\1n+.!:l ""'\7 .:Be e ~.17~
4 3,456.65-,'.,.-"
COMMONWEALTH OF PENNSYLVANIA }ss:COUNTY OF Wa.shington
I,Lillia.n Hansen --.'-HEREBY CERTIFY.THAT.TO THE BEaT OF
MY I(NOWL!:OGE AND BELIEF,TH!:FOREGOING IS A JUST~O TRUE srATE~i'kla DEBTS.FFNER(t EXPENSES AND EXPENse OP'
ADMINISTRATION SUBMITTED TO THE ESTATE OF Hanna·Hansen a a Mrs re·•DECEASED,AS DEOUCTIONS FOR
INHERITANCE TAX PURPOSES.Hansen J?jL_a~~7i~~
SWOR'O:ND SUBSCRIBED BEFORE ME ~~'Hi I if-(L.5.)
DAY 01"
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RCC-8'(2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
·INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
LILLIAN HANSEN
(Executor~)
IN YOUR REPLY PLEA8E
REFER TO
38-$7-5
J
In Re:Estate 0 f -==HANN=~A=H:....:.:HAN=S~EN=:...._a::./'_=k::Ll_=a:...__
____..:.:Wi=AS::H~IN=G'_'!:.T~ON""__County - F He No.63-70-698
Dear MISS:,HANSEN,
You are hereby notified that the .-Jo~~~i~g~j~n~auJ---------------
appraisement in the estate of ~HANN~·~~.AH=·~HAN==~S~EN~__
has been filed in the office of the Register of Wills qf WASHINGTON
County on August 11 ,1911:..Said appraisement reflects the
follOWing valuations:
Real Estate _
Personal Property l~O~,~5~OO~·~.47~4~_
Transfers _
TotaI ---,--IJ.JoO~,.:,}.5:L.o10:uO...7,,",J~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 one year from date of death,interest at the rate
of six (8%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Da t e ..:;A,.,,'Wl_""s....t .....ll""'....,'-"I....C[f,......./l ---Signed
DATE OF DEATH:July 1,1CflrO
Note:This is not a bill.
TitIe ALFRED TOOl,APPRAISER.I
RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of HANSEN
(Last Name)
HANNAH
(First Name)(Initial)
a/k/a:DATE OF DEATH 7-1-70 FILE NO.63-70-698
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_----=WAS:.:=.::HIN==G-=T-=O.::N~_
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,August n,1971 n n 1.·~~jlA...~~E TAX APPRAISER ••
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
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
VALUE AS REPORTED VALUE AS APPRAISED
$$,-------1---
VALUE AS REAPPRAISED
$-------+--
FOR USE OF REGISTER ONLY
Tax on $---------i--2%
Tax on $---------i--.6%
Tax on $---------i--5%
Tax on $10%
Taxon $@J
Exemptions *
Total Estate --+.-__
TOTAL TAX
COMPUTATION OF TAX
$-------+--
$--------1--
$-------+_:...-
$-------+--
$-------+--
$------_1---
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::::::::t===
BALANCE OF INHERITANCE TAX DUE $L
Add interest at rate of 6%from_____to $--..J
AMOUNT OF ESTATE TAX ASSESSED $-------lL-
Estate tax paid $---..Il-
BALANCE DUE $----JL-
Add interest at rate of 6%from
------Ito-----$--------It=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
HANNAH HANSEN
Deceased
Late of .....MONONGAHElJ\
'-,
I
1
County of WASHINGTON.....
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
~;,
Form RCC-2
'.-..
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE August ll,l.9.1l..
COUNTY ~~.R.~g~9..N .
FILE NO 63~.7~6.ge .
Whereas,HANNAH HANSEN a/k/a late of M:9N9NgA~.
in the County of :WAS.HINGTON Commonwealth of Pennsylvania,having died on
the ,f.1rst··..· ·day of J.Ply 19.79 ,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,A~1'.Q~.+.:,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurpoles
$
PERSONAL:
SEE COPY OF SCHEDULE "Btll ATTACHED TO APPRAISEMENT 10.500 In.
II
I,
,
;
,
I,I
I..
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I
,
I
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 this ..II~day of ~~:19.~.J .
...........................................~~~~.
Apprai er
/.j Number and Street)
....................................(,.,6".1.,Penna.
et Office)
l-'~'i .r-I .,..I.,L JI
t7\0(''''-"'ll 31'IL~(/~hj~lU .
"",,,,,,,,,,,,,,WAS.HINGT,QN,,,County
HUS~~l ."'!.~:,";),\l'~0
REGISl i~,;\CF \;ILLS
VI /\SH\lL~':c<i c,0..PA.
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
~I.I.",f.I.N'J.~~,,,""""""""'"''''''''''''''''''''''''''''''''''''''''''
Deceased.
Late of
""",,,MONONGAHELA,,,,,,,····,,,,,,,,,,·,·,,,,,,,,,,,,,,,···..··"",...
Date of Death,"..,..",7.~1~70"..",""..
Appraiselllel!t Docket Vol.,3.8...
Page,"ffl.~5."..".No..~?::7..~,~9.?.."".."
Filed in Register's Office,."..A~.t.U l9'7.l...
Amount of tax due,$"..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,,,,..
Wrote abo.ut Appra.isement,..
Appeal j,.om Appraisement,".
Entered and charged,'""..'
,