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Home My WebLink AboutOC1970-0809 - ESTATE OF FORSYTHEi Fonn Hec-2 ,-"............~~.~.~:r.y....??t....~.9.7.~.........,..COMMONWEALTH OF PENNSYLVANIA DATE ".....ngpARTMENT OF REVENUE RESIDENT INHERITANCE TAX .,..J:f.g,.~.htn-gY..9.It ....~.....................,........"COUNTYBUREAUOFC'OUN'TY COL1.ECTIONS HARRISBURG.PENNA.17127 APPRAISEMENT 63-70-809FILENO............................................................................................. Whereas,.........................y.g.P~+.§....?T~~~....:f9.~?.Tr..~..........................................late of ·..··....····....·..·I!IES-T....BPUOJtJNSVILLE................................. in the County of .................,...................:vlA$.HJ.NQ-TQ,N.................................................................Commonwealth of Pennsylvania,having died on the ......................................?~.h...........................................day of .....................J.1iLy............................................19.7.9....,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,W.R.CHANEY an appraiser duly appointed according to law,......................................................................................................................................., I I 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 AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpoles $ PERSONAL: See coPy of schedule liBII attached to ap:t:raisement 16.810 64 Total 16.810 64 , ... .. ;, "",'. j I ...............................w~)" ,Penna. .....1tlasbington .County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ~j:j,)),:i,9....$.t..~~y~.f3.....f.Q;r.9yt.h.~.... Deceased. Late of idE3,~t.)3.r.ql~1p,~.Yi.J,J.,~. Date of Death,7.-::-.?$':'7.7.Q . Appraisemeilt Docket Vol.,3..~L . Page,9q.~J,No 9.3..-::-.7.~.$..99 .. Filed in Register's Office,~~r:.~~~J9..?~ Amount of tax due,$. DEPARTMENT OF REVENUE Received, Exa-mined and Approved,..,. Wrote abo.ut Appra.isement, Appeal fl'om Appraisement,. Entered and charged,. "">1. .~ \ .,J_• .at.:;;;.....,.- ,. LAST WIU..AND TESTA~iENT It WILLIS STEEVES FORSYTIiE,of 135 Middle Street.West Brownsville, Washington County,Pennsylvania,being of sound and disposing mind,memory and understanding do make,publish and decl~re this as and for my Last Will and Testament,hereby revoking and making void all otner Last Wills and Testaments or papers in tne nature tnereof by roe made heretofore. FIRST:I order and direct that my executors,hereinafter named, pay all my just debts and funeral expenses as soon after my decease as conven- iendy may be. SECOND:I give,devise and bequeath my Marine ring to James Sichko of Allison,Fayette County,Pennsylvania. THIRD:All the rest,residue and remainder.of my estate,real, personal and mixed,and wheresoever situste,I give,devise and bequeath to my son,Willis Sheridan of San D1ago,California;my dmughter,Jane L. Harrison of Fairless Hills,Pennsylvania;and my daughter,June E.Pritts of \ I t !1f'I t: fi I I Brownsville,Pennsylvania,share and share alike. FOURTH:I hereby authorize and empower my executors hereinafter named,to sell,lease,pledge ,mortgage,transfer,c:ntchange,convert or otherG wise dispose of,or grant options with respect to,any and all property at any time or times,for such purposes,for such prices and upon such terms, credits and conditions as they may deem advisable;these powers are granted for the purposes of administrntion hereof and the distribution of.my estate. FIFTH:If:either ()f my daughters'or my son should predecease me then his or her share shall be distributed equally among his or her issue. SIXTK:I do hereby make,constitute and appoint my daughters, June E.~Pritts of Brownsville,Pennsylvania and Jane L..Harrison of Fairless Hills,Pennsylvania,Executors under this my Last Will and Testament and dirac that they shall not be required to fil~a bond in any jurisdiction~ .I I t 1 .... I III .. •t "~,~•~I'·~,.!. IN WITNESS WHEREOF:r havr.set my hand and seal to this my Last Will and'Testament,which consists of two (2)typewritten pages:to each of which, I have affixed my dgnature this _--4L..l.'C""J__day Of.__{...Z(~7.tJ7a.s~,~(A~...;',..,_ 1968. IN OUR PRESENCE the aboveriamed testator signed this and declared J::!J;/;/:Jl Residing at ~_+ it to ~;J14)LastW 11 ,~d Testament and now at his request, and !n t~-Pr.:~ce ,jfadt ,othe,r J we sign 2S \>l1.tnesses. {'/~,lJ\j~".-~'\~__,/Residing at fr,'/'A~,JAa /~c11/} in his presence i 1 IIII Form RtC-33 RESIDENT DECEDENT J COMMqNWEALTH OF PENNSYLVANIA DEPAR TMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS >'COUNTY OF .W<M!.hJ.n,gto.n . IMPORTANT:This return must be completed in detail Rnd filed in duplicate,with will attached,with the' Register of Wills of the County where de'cedent resided;Return is due within one year after date of death,unless an extension is g~anted by the Secretary of Revenue.(Section 703 of the Inheritance and Estate Tax Act of 191:1.) ~... :.:o;I'=~Wt:::::_-::_-:-_-_}'" ...............J.@e f...~.P..!r.lW,.............. of the estate of the above-named decedent ~eing duly sworn,depose.6 and say.6 Eueutor VaLe E~~~CJ~L~q •.......................... .6Q6G~Yt ~c(J'/k S~ding,S49I&n4.Ville"P(?'YU14..J5.4J.7.. Decedent died .........J..P.J,y 2..8..,,19 .7.0 ,1 testate leaving a last will,copy of which is hereto attacned.} (Month)(lIay)(Y""r)Lintestate Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. That as such EX2.c.u.t.olL deponent is famili':tr with the affairs of said estate and the property con- (J<:x"eutor-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 THIiSAFE DEPosiT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT ,,..-, That the contents of said safe deposi t box or boxes are itemized under Schedules of this return,with the exception of the following,for the rea~ons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fully and in detail all the real property in the Commonwealth of Pennsylvania of whi~h 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 th9refore 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 hl!reof 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 pos;ession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other instltutions,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 sav~ngs 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.~r'agreement they are designated as tax free,of.the United States,or any ;tate,or political subdivision thereof,or of any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic- tures,books,works of art,household furniture,horses,~arriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and OWing decedent at the time of death,and all promissory notes or other irstruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance polictes carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and .'l.ccrued 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. 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,a~d such other facts pertaining to the business as may be pertinent to a fair and j'Jst 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 proporttonateshare received by each transfe~eeand 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 tre schedule a copy 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 passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent"either individually or jointly,by the will,deed,or other,instrument of another, with a copy of the i~strument creating Siler:,'power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names'land-addresses of all persons beneficially interested in this estate at the time of decedent's ~eath,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement shOWing which of the beneficiaries named in the decedent's Will,if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets.forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for Obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of WillS,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein, have been carried forward and properly registered in the Summary. II 'I Subscribed and sworn to before me this "i.~.d.", """""'"~'';."......."...'''''''''''''.........•....day of ./~3.1~d...19....2d rJ.4JJl J J1;.,*0................"""""'/.:C-~f1HA'tI,,-SiOTl ",''''~:L.l·Lk·,·,i;,'.."""."..".." BROWNSVILLE,AYETTE COUNTY,PA, MY COMMISSION EXPIRES JAN.23.1971 .rlV '~~._-- B,1,l",'GJtec~J1isbi~J~YTJ.)bJvl:'······..····..·..·..~·....·.._·.., 1?JWWrJAVill,e.."....,Pe.t1rY.l&..!!£.v.ar.v.La."..",,,J..5.4J.7..,,,..,,,,,,.... (City or Town and State) NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include'rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. "RCC'34 (1-641 COMMONWEALTH OF PENNSYLVANIA ~~:~:~~EFN~Oa:N~~VC~NI:ULEECTlONS TRANSFER INHERITANCE TAX RESIDENT DECEpENT •SCHEDULE IIA" REAL PROPERTY .' Real property in Pennsylvania,with statement of nortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule liE".Property held by the decedent as tenant in common with another or "thers,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 shculd be (1)(2)(3) described by lot and block number,street and street number,together wi th DEPARTMENTageneraldescriptionoftheproperty,with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title;If a farm state number of a·FOR YEAR OF ESTIMATED 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 sc"edule. NONE I . - iI Insert this total opposite II real property",Schedule "A"in the X X X X X liAs Reported"column on the last page of this return. lr: I. RCC-.35 COMUONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must di.sclose 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".Intangible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank, stocks,mortgages,notes,together with lccrued interest or rlividends,salaries or wages,insurance pay- able to the estate or firluciary in saie!capacity,partnership interests,interest in anyundis tributed estate of or income from any property held jn 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 Sav-tng.6 and Chec.k.i.ng Ac.c.ount6-Gai.i..ati.n Nati.ona1. Bank.06 BJ!.own.6ville,Penna. Sav-tng.6 Ac.c.ount -l.n the EV1J.>t National Bank.06 13Jr.oWn.6 ville,Penna.. Raitnoad R~ement Fund R~oad C~edit Un-Lon U:tUliy Rebate -Telephone and ER.edtUc.Compan-Le.6 I UNIT ESTIMATED DEPARTMENT VALUATION VALUE MARKEl'VALUE (Do not write in this space) 8,254.27 f 25t.J.;27I 6,843.76 bl r4~.71, 976.30 ??",36 737.50.73/.06 4.81 ~.g--/ Inser t this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X .16,8.10.64 COMM0NWEAUI:l!OF ~ENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "c" TRAi'l SFERS (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)~ (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)M (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)~O (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)~O (b)What was the transferee's age at time of decedent's death?__ (5)Did decedent in his lifetime make any transfer wi thout 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),I/o (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or nO)-AP/~d~_ (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 wastrynsferee's promise to pay income to or for the benefit of care of transferor?(Answer yes or 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)~ (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)tv/b NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death cerotificate. 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 NONE DESCRIPTION MARKET VALUE (Estimated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. ReC-38 CCMM8NWEA:L'IH OF l'ENNSYLVANIA .THANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRrCTIONS: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 under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Name I Address and Relationship of Co-Owners,and Place I of Record of Instrument,where Rea~Estate.! NONE unit Value percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest ---------------------------JL.---...L.-----...L._.,--+-4 ~ Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return. --RCC.:.37 (12-63) CO~fl\lONWEALTH OF PENNSYYLANIA 't,RANSFER INHE1UTANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEF:CIARIES ( .h BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children o~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 WLe1M ShVlidal'l. 6060 C.tailLemont,Mua Blvd. San V,[aao Ca1J.~oJr.Yl1.a 92117 .601'1.Uell 9-5-20 ol'l.e-:th1Ad Janl L.HaJrJl1..6ol'1. 123 Lebb,[e Lane FailLe.tu.6 HLUJ."Pel'l.l'I.a.daughtvr./jell 1-23-24 ol'l.e-:th1Ad Ju.l'I.e E.P~ 811 GJteel'l.S:tJr.eet,Ex;tel'l..6,[ol'l. BMwl'I..6ville,Penl'l.a.15417 daughteJt /jell 6-6-22 ol'l.e-:th1Ad l I , J 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 (No. Dl"THE Year . (Executor-Administrator must complete "As Rep9rted"column #1.) CJ >-3 ""d ::tl........('I)('I)0 ~....~CIl ::l CIl ...... CIl CIl 0.....::s ""d>-3 ('I)e:...........~CIl 0><""d "d~('I)0'"........ ~0 ~"d trl ('I).... CIl ..........'-<~.....('I) w:oo :.St F M :th.~eeVe6oye Deceased 6- ~7- c:::-\-,-. f 't ~••~~l~·-2:'~::_ .~)-~ i """""~",,,,,,,,; >:r. vct........8"tv....'-'2.::s 8.. ~:,,~: ~~~ ~.~. ~-{;9 _-{;9 . . . . CI:lc: ~~>::tl W CI:l tr.I .....:: (')(') ?""?""?""q td > -=::.--"'-""....._....II r· -{;9 -{;9 ~-{;9 -{;9 -{;9 :-:-........:0--:0-->...;.CIl:<x-:0(\=-.-::tl........:<:;);0 ('1)_:-:.'8,-,:0.-:0-- ~,-I:>..........('I)c.. '-' -{;9 -{;9"'-: '=~.. ""<l,'":()... ~ ~ "\U)"<tQ-J Q_;ii::-J ... ;7~g {If;~!! -:.<:.:)U)i1:.:l.::..J ...--;r.oc_~.....~- I.':~ --,•.........-. S .............-.. (' j l,, t Eugene Charles Sloon Deil Eugene Sloan ATTORNEYS A~D COUNSELLORS AT LAW GALLATIN NATIONAL BANK BUILDING Brownsville,Po. REPORT AND APPRAISAL Late of .W~tBJr,(Jw..nA.v.ill~.. Commonwealth of Pennsylvania County of ..WMMrr.g;(;On . Form RC C -lG'_.DEDUCTIONS ALLOWED IN I '--" W.iUiJ.,Steevu FOJL6u:the LAT-E "'F We6t B.1Lown6ville,WaMungton COUntyESTATEOF--":~~~~~~!:!--~.:!!:l!.gl;._:l<!.I:.""-__oJ OFFICI'UF Tl1" REGISTER OF WILLS OF WASHI NGTON COUNTY STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF _...........~••~/~917£12Rov,•......../:::d2c2J~~%~..- Regloler of Will.,Ag".1 Julu 28•19 70DATEOFFILINGAPPRAISEMENT:lATIi OF'DEATH ~~~:L-..!~_~'...!...!...l!-_ AMOUNT 1 536 00 13(.,~.R ,4l;flO 1t.'J Illl - 7t:,nil 14 00 9 00 3 00 1 00 REMARKS MecUc.ai.SOhVi(l{)), Clothu SVtv,[c.e6I>Unmn NAM&:OF PAYEE BeJLtha.M.•Sc.oil NotaJl.u 100A Uniontown HO.6V'1ixoP BJrnWVlli IJIP Po G""'"'',,()UnA;",i-ion P NO.OF VQUf:H"" DATE J ShoJtt CeJLtiM..c.a.tu 14 50 Vail E.Sloan.E.60. Tlltlln'F '0,,:++.840 53 ----1-----1----1---,...------..------1---+-+__1 \~\Dt <0'\ I 1'J f'_.,....\~''?j fro ----+---;-1-------!------J..#..;-\(~rJ\.)':l..I~X'tJ~l.~f\:r-l-------------t----t---,/""'Co°AK. \~-\\~ _-+-_~--+-I ~....JZ:=...r:;~~:::5i-.;;::...vS~--4!.'3~~+=--~~-------+__-_+__- TOTAL 4,201 86 COMMONWEALTH OF PENNSYLVANIA } COUNTY OF ~.:ci::zd 8.:1 :~~~ I.{2-1~d ~HEREBY CERTIFY.THAT.TO THE BE.T OF MY KNOWLEDGE AND BELIEF.THE FOREGOI,tc;'IS A JUST AND TRYE ,srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENse Of' ADMINISTRATION SUBMITTED TO THE ESTATE OF~LA....&:tdf1\.l,,(J1 ~;;(A( _DECEASED.AS DEDUCTIONliI POR?•INHERIT~NCE TAX ~URPOSES._"j ~cf:£~-6<:?./(L.5.1 SW9f;N "'NO SUBSCRlllED flEFORE ME THIS i~DAY oF ,,-fi .',{£E;;;f:t ~.~t~gt~~cJtt_~y;(toac BROWNSVILLE,fAYETTE COUNTY,PA. MY COMMISSION EXPIRES JAN.23.1971 ( R CC-Sl (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT June E.Pritts (Executor mxm~)' IN YOUR REPLY PLEA.E REFIER TO 38-96-1 In Re:Estate 0 f Iu.'h=.·11==J.=.·~s,:.;S::.t~e::::.ev.:..::::.e::::.s_F=-·.::::or~syt.z...:::.h=e _ ______I.ufJas..i2.shu.l~·nL!j~"'"'t~ol!n.L-County - FHe No.63-70-809 Dear l1rs.Pritts, You are hereby notified that the __-.;.or_ig::::-ina_l ------- appraisement in the estate of Willis Steeves Forstyhe has been filed in the office of the Register of Wills qf vJashington County on Janua.ry 22 ,1911.Said appraisement reflects the following valuations: RealEstate _--'---:-__--:-_ Personal Property_~1~6~,~8~1~0~.~6~4~__ Transfers ~---,~___;___,-__-- Total ...,...:!1..;:6~,.::::81=:0~.L::6~4'--_ 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. Dat e J-:an=u:.:a::;:r,J<.y--.:.:2:.:;.24,....;1::.9.:..7:..:1~_·_ DATE OF DEATH:July 28,1970 Note:This is not a bill. Signed Title R CC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of Forsythe (Last Name) Willis (First Name) s. (Initial) DATE OF DEATH 7-28-70 FILE NO.63-70-809 REPORT OF INHER:TANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Apprai\ser in and for the County of_----.!''vJ.!2a''''s!.Lhl.o!i~n~g,.,t~O!.Ln~----- 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 itern in the last column to the right in Schedules "A","B","C",and "E". January 22,1971Dated:-------"--~-....:...:._-- REPORT OF THE ~EGISTER OF WILLS I,the undersigned duly elected Register of Wills in and f:)r 'tllasbi ngton County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts clail1'ed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Sch~dule "F",which ter or lesser amount represents the sum :::d~d au d;::::22,1971 ~d:»ttPuno REGISTER OF WILLS VALUE AS REAPPRAISED $-------+--16.810 6L~ 16.810 64 1.,201 86 12.608 78 $ 16.810 6L. 16.810 64 J.?nl f<h 12 608 78 VALUE AS REPORTED VALUE AS APPRAISED $ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $~,..,.,.._.,....,,...,........,..,_~o Tax on $12,608 7b 6% Tax on $% nX~$W% Tax on $15% Exemptions * Total Estate -1-__ TOTAL TAX COMPUTATION OF TAX $----------+---$71..0'l)~16--+...t..l);'i,,-- $-------+-- $-------+-- $-------+-- $'--__--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 :--r=.. BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from _____to .$------ AMOUNT OF ESTATE TAX ASSESSED $--~----1L- Estate tax paid $---JL- BALANCE DUE $1_ Add interest at rate of 6%from l= ------Ito-----$--------1 TOTAL TAX BALANCE $------1PAID$-1 FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. ------------------------------- Will t NAdministration\o. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF "WILLIS STEEVES FORSYTHE Dece~sed Late of . County of ~'JEST BROHNSVILlE......... . . .... WASHINGTON. Commonwealth of Pennsylvania REPORT AND APPRAISAL I1,.. I ;.., 't 6 %Tax on $$$""-"O",,,'~O,,-'.:..•.."t""::>:....G""!'\.o::.·__~ 2%Tax on $_ co $--------·lr,.! Remarks: $----------11 $---------11 $----------11ll $---------11 $--------- $--------- o/c Tax on $_ Est9te Tax,Act of May 7,1927 15%Tax on $_ TOTAL TAX CREDIT less five percentum of tax if paid within three months after date of death Plus interest at the rate of __%from _ to _ ;~G-7C.-519 Date of Death '\-~-'O Date of 'Payment \_~__'_\_\_-_l__O -1 County -----~~~;:¥:~~~'"----------_l I File No. 5 E A l NOTE:To be delivered to taXpayer ri Received byIii:NOTE:In accepting the transfer inheritance tax on future estates,prior 'a the death of the life ,.tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth sholl11notbeprecludedorpreventedfromhereafterassessingadditionalinheritancetaxatthedeathofthehlifetenantortenantforyearswheneveritappearsthatsuchadditionaltaxmaybelegallydueand----""'-.l-2'~=.;;i>\::-=-:-+----''''--''-.<..-''''"''''"'==-~'--- e~:=:o:;.~~=o.::h':=t~4 _~..._m_¥...d$t....-.~-=-OERt iIi£fi~~~~~~.."'l_~ti:!I!iiriAaiilri~"SliQi" FAYETTE COUNTY JOHN V.SCHROYER Register of Wills and Clerk of the Orphans Court ANASTASIA R.PANONE Chief Deputy PAULINE MISKANIN Deputy MURRAY I.HOREWITZ Solicitor REGISTER OF WILLS Uniontown,Pennsylvania 15401 ~_~~M~ ~..,'W.~ VJ .~~. ·UJ~~,'"?o.. ~~h..4. ~~0-1>~~Q.N <.Jl-T~ R~~Ro~n "t'\.CD O""Y'-~v.::.~~"'t ..~ :~~~.~w---~~~ ~J.:~Co.~O'\.A-\NoD ~ .l!.~~~·t-Co· ~~...'-Wfr~ 1~' ~ ,bJ-7o-focy ._..._._---------