HomeMy WebLinkAboutOC1970-0843 - ESTATE OF ADAMSONIN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
J
ESTATE OF
LORENA ADAMSON,
a/k/a RENA ADAMSON,
DECEASED
)
)
)
)
)
)
No.63-70-843
REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF WASHINGTON COUNTY
BY THE CLERK OF THE ORPHANS'COURT DIVISION
\~RENA ADAMSON,grantor by intestacy,to LEE ADAMSON,grantee by
all the right,title and interest of the deceased
real estate described as,VIZ:
ALL that certain piece or parcel of land situate in
Cross Creek Township,Washington County,Pennsylvania,bounded
and described as follows,to-wit:
BEGINNING at a red oak stump,a corner of land now or form-
erly of R.T.Johnson,thence by said land South 45°East 162
perches to a broken top white oak;thence by land now or formerly
of Thomas McCorkle,South 43°West 61.8 perches to a stone on
corner of Thomas McCorkle and Thomas Buchanan's line;thence by
land now or formerly of Thomas Buchanan,South 43-2/3°West 119
perches to a stone;thence by land now or formerly of James McLai
North 62-3/4°West 44.5 perches to a stone;thence South 54~0
West 14.9 perches to a post at white oak;thence by land now or
formerly of C.C.Rea,North 30~0 West 44.5 perches to a post;
thence by land now or formerly of C.C.Rea and J.C.Rea,
North 34°West 79.3 perches to a white oak;thence by land now or
formerly of William Reed,North 44-3/4°East 182.2 perches to the
place of beginning.CONTAINING 197 acres and 140 perches,more
or less.
EXCEPTING AND RESERVING the Pittsburgh or River Vein of coal,
FORM 67
REV.1-50
REG.WILLS
i\pplication for 11lrttrrs of i\bmtntstration o'n thr
Estate of...1.Qg~.NA AP.N1?.QN.,~J.~.9...J~I19..~9.:§;R~.~!L.AP..~.QN ..
........................................................................................................................h .,.
REI.ATIONSHIP RESIDENCE
...................................................................................................................;.
...........L.~~Ag..9.JD.s.Q.n ~.QIL R~~."~.9.:.!l.5..J.5..§.
•••••••••••••••••••••'0 .
..................................................................................................................................................................................................................................................
.....;;·····..1 ·..· · ··..
That deponent is·over 21 years of age,resides at...Re.a.Jo J.>.a ..
...........................................~.
1..4~r..v.M.~~,A.D.,19...?.Q .
·~~~:.JC..lf:..:.=..·~·..~·..REiGISTER..··..·
is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of
Administration upon the Estate of said decedent,no letters having been previously issued thereon.
~/~
Sworn and subscribed before me tbis .J.%...............~4.?'~~.__
COMMONWEALTH OF PENNSYLVANIA}SS:
WASHINGTON COUNTY,
;'bo :'~:gn:;;;~~~~:~·~:~··;~;·'t:a::::::=h;..:.:~.~~;;··:;;;··:;.~~:::;.~~..~:~:..:~
chattels,rights and credits of...1Q.R~NA ..AP.N1?.QN.~9.:L.~.l~~~.~A..!\P.~.Q~,deceased,
to the best of...h!.~.....skill and judgment in strict compliance with the laws of this Commonwealth,mind-
ful of the laws relating to inheritance taxes.
sworn~ndsubscribd before me this....2.t...
day of...........,A.D.,19 ?.Q .
~~..~:~~..
.....~l.r...~~.
REGISTER
~....c2~..~...
::::>'-l'}.~{';',,0
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fD 3 -7 (),Rt/2
.APPLICATION FOR
Letters of Administration
ESTATE OF
LORENA ADAMSON,a/k/a
RENA ADAMSON
Deceased
R $.
Letters......................................................li.~.
P $~.
Extra Alias ;....:..$::!'J .
~?:l J.~Certificates~.~.~./...__?'..$=;:.....~.....
::r:;--(,f)g:;1
R ..-J}(r,enunclatlQflS ,..j••~~• • ••••~11.',~.'1',.
'.i)rr;r-co'
-\:Z;,0
..........................~L::$"'.."':'-'-n~:-0 ~
••••••••••••••:~.,.~•••~••;:.1••••••••••••••:::..
Total ~E.~/0 o-drv>~././....
Alexander McIlvaine.......................................................................................................
Attorney
~2
'-t".)
"".~...'-i ~~-C
f;-::'e:..)"
(7'0''"
?'0'0'
'.0,'oJ)\D
.........of 19 .}No•...
iKuuw All flru iy w4rsr 'rrsruts
LORENA ADAMSON,
a/k/a RENA ADAMSONEstateof .
late of&~~.gi~~I~~~G;mgty,.J:l~,.Deceased
KNOW ALL MEN BY THESE PRESENTS,
That we•.....~.~~..AP.N1$'ON,~.~p;t;;i,l1.qJp~+..,.a.Ilcl 9.liIO C.A~Ui\~.IT..I.N~VAA;NGE;.
.,.C::9&ANX.,Ci.f)f)~:t;~~y.,.
.Ill of Washington County,Pennsylvania.are held and firmly bound unto the Commonwealth of Pennsyl-
vania,for the use of those interested in the estate.in the sum of 9.!'1.E:..rJ:l9.l1.~.AND.....~...~...~...Dollars.to
be paid to the said Commonwealth,to which payment,well and truly to be made.we do bind ourselves,
jointly and severally,for and in the whole.our heirs,executors,administrators.successors 'and assigns.and
each and every of them,firmly by these presents.Sealed with our seals and dated the ...1Q.th.day of
......A~g1Jf).t A.D.•one thousand nine hundred and .s.even.ty.(197Q).
THE CONDITION OF THIS OBLIGATION IS.That if the above bounden ........
A~·~i~:tr~~a::~~~:~~:~:~:··~f:··~~;,~~~:~,~~:~:~:~::·aLk!~~··~e~~~,A~~f:~lr··~~~···~;~~;··~d~;~;~·te·r
the estate according to law,this obligation shall be void as to those who shall so administer the estate;but
otherwise,it shall remain in force;~#~(SEAL)aca and deliv~eredint~eresence of:OHIO CASUALTY INSURANCE"..,,,.,(SEAL).............:.~~=ll~~=~~~~b'~·~~~.~~.~:~{).~e.-;,..;h~.t2r.:>.-.'?~(SEAL)James E.ona ..,Attorney-in-Fact.
.............................,(SEAL)
&tnttmtttt of @lureiy
I __ ___.-.---surety in the sum of $ _ _on the
administration bond in the estate of - - ----.-_.._ __._.__ ,say that I reside at
_..__..._.__.__..._.__.........__.._......_..,Washington County.Pennsylvania;that I am the owner of real estate.the
title to which is in my own name and duly recorded.situated in .
Washington County.Pennsylvania,worth above all encumbrances $;and that I am worth the
amount expressed in said bond.over and above my just debts and liabilities.
Street P.O.
itnttmtttt of ~Urttt!
I surety in the sum of $_on the
administration bond in the estate of ---.............................................................................say that I reside at
.............._Washington County.Pennsylvania;that I am the owner of real estate.the
title to which is in my own name and duly recorded.situated in .
Washington County.Pennsylvania.worth above all encumbrances $;and that I am worth the
amount expressed in said bond.over and above my just debts and liabilities.
Street P.O.
COMMONWEALTH OF PENNSYLVANIA.l 55:
WASHINGTON COUNTY.')
And now 19.............comes _.
who being duly sworn.says that he is acquainted with the financial standing of the securities to the within bond;that
the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their
own right of value more than the penal sum of said bond over and above all incumbrances and exemptions.
Sworn and subscribed before me this ..
day of A.D.19 ..
~·.3-7d -8'13
No...._£~t,---_....__.-
1\bmiuintrntinu 1Bnub
IN THE ESTATE OF
LORENA ADAMSON,a/k/a
RENA ADAMSON.deceased
And no~,~~g.~.~.~~~·:n ,'191..9..Bond~Riirq.v.ed ane:Fl.etter-s issued to .
cnn~.;::::-..,.p ...::r:--(}1 c:::.--(l)("C")~~:;:iiqiamsoFL f11----..-.-...-::.:t-';:u.-;.::----.-----,:::::5------------------..------.--...
o·~-...0 ......",
""'--rJ .;::1:1"
("")l,;;~~-------------··-o--~-::l.;-···------'~------------------:·-------------
;F:::-.
-0 r-~.
J>(/)Q•f"'"J _----.--_.-----------.-----.'--••-----c:;:y-"'-'-.--.---------••--••••_.---•....Register
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"\'.
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Bond Book .__..Page . _
BADZIK PRINTING ~9 DONORA
,-~.
'.
r.
~~"...PRESENT RECEIPT WHEN LIFTING INS'f:RUME!~'!:..-
Washington,Pa.,.I..q..~.!.1.:..~..71.19 ..
N?10479 .fl RECORDER'S OFFICE
RECEIVED OF X..~m..~.
P'l'"0.:,..t:.LJ~No.........t.b,",.,d,d
in the Recorder's Office of Washington ~nna.Parties named below.::.~~.....::::~~~;-J~~rf)f&>
Certificate and Seal $~.:~~.TO
Registration Fee . •$..
Satisfaction . . • . • •$.
Total . . • • • •.$...]..~...s..:::P....
State Realty Tax..$..
JOHN D.WOODWARD
Recorder Of Deeds
.1 RCC-4 (8-68)
No·8
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE11686OFFICIALRECEIPT0PENNSYLVANIAINHERITANCE AND ESTATE TAX
2%Tax on $$---------.W.:ll
90/100----~--~~~-~~-~--__~_~~~_~_~_RECEIVED ONE THOUSAND EIGHTEEN and
L.EA ADAMSON..ADl.tR_
From:ArTY ..ALEXANDER McILVANIE
Address33 WEST BEAU STREET
WASHINGTON,PENNSYLVANIA 15301
dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
6 0f T $16,857.58 $1,011.45YOoxon'...:..-1111
File No._6_3_.._7_0_.._8_4_3__Date of Death 6...1-70 15%Tax on $._$--------D
$--------1t.I
Dote of Payment __o_c_t_o_b_O_l"_'_1_2--=....,_1__97_1 ..,
Nome of Decedent _LO_R_E_N_A_AD:....:..:....-A-...:MS----.:.....O:...::N----.:a::.!./--=k::.!./....::a=----l
%Tax on $$---------11IlI
Estate Tax,Act of
May 7,1927
lYASHINGTONCounty--------------------1
Remarks:
JMO
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rate of
~%from 9...1...71
to date
$__1..::....,0_1_1_.4_5__,
$--------IUI
$....:;7...:;_:.,.4..:...=.5
1
1'1,1
u00 ~[p [L~@illurn SEA L TOTAL AMOUNT PAID $1,018.90
NOTE,Th'.Mp"...."~i~~b.,""""I.,,,"i<p........(-:)•p-IY!.
R.,,'ved bY"',\.,~JJ...fib P,..()
NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the life ,,'..(Sig n ..re)J ';'
tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall ~-I--.( ,'Ii
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the '.~,/.,I.d _~"<•..-I..JI...oJ
life tenant or tenant for years whenever it appears that such additional tax may be legally due and \'\(Title)
collectible for any reason whatsoever.I I,..
• •'J
CERTIFIED COpy OF POWER OF ATTORNEY
HOME OFFICE,HAMILTON,OHIO
1Knom All .tn by W~tSt 'rtStnts:That THE OHIO CASUALTY INSURANCE COMPANY,in pursuance
of authority granted by Article VI,Section 7 of the By-Laws of said Company,does hereby nominate,constitute and appoint:
James Eo McDonald =-=------------==-of Pittsburghp Pemsylvania -=
its true and lawful agent and attorney -in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as
its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES,not exceeding in any single instance
.ONE HUNDRED THOUSAND = =-~------=-=----==($100 000 00 --)Dollars,excluding,--Ilowever,any bond(s)or undertaking(s)guaranteeing the payment of notes and indrest ttereon
And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company,
as fully and amply,to aU intents and purposes,as if they had been duly executed and acknowledged by the regularly
elected officers of the Company at its office in Hamilton,Ohio,in their own proper persons.
The authority granted hereunder supersedes any previous authority heretofore granted the above named attorney(s)-in-fact.
In WITNESS WHEREOF,the undersigned,Vice-President of the said The Ohio Casualty
Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of the
said The Ohio Casualty Inllurance Company this 30th day of June 19 70 0
(Signed)J 0 Earl Rochester'
Vice-President
STATE OF OHIO.
COUNTY OF BUTLER 55.
On this 30th day of JunEli A.D.19 70 before
Notary Public in and for County of Butler,State of Ohio
. . .December 9p 19710MyCommissionexpires.,•.,..
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official
Seal at the City of Hamilton,State of Ohio,the day and year first above written.
Dorothy Bibee(Signed)
the subscriber,a Notary Publi'c of the State of Ohio,in and for the County of Butler,duly commi8llioned and qualified,came
J 0 Earl Rochester ,Vice-President of THE OHIO CASUALTY INSURANCE COMPANY,to me
personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknow-
ledged the execution of the same,and being by me duly sworn deposeth and saith,that he is the officer of the Company
aforesaid.and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate
Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the
said Corporation.
..,*\\\"III1I1""I/~~~\l1U $t"l ~§~.•..~...~....•'t.:::'~'\'~";::.fg *!~\.~S : :5~~~~...~~"",'II'OUIl\"~~11"'lUI\\I\U\\\\~
This power of attorney is granted under and by authority of Article VI,Section 7 of the By-Laws of the Company,adopted by
its directors on April 2,1954,extracts from which read:
"ARTICLE VI"
"Section 7.Appointment of Attorney-in-Fact,etc.The chairman of the board,the president,any vice-president,the
secretary or any assistant secretary shall be and is hereby vested with full power and authority to appoint attorneys-in-fact
for the purpose of signing the name of the Company as surety to.and to execute,attach the corporate seal,acknowledge
and deliver any and all bonds.recognizances.stipulations,undertakings or other instruments of suretyship and policies of
insurance to be given in favor of any individual.firm,corporation.or the official representative thereof.or to any county
or state,or any official board or boards of county or state,or the United States of America,or to any other political sub-
division."
This instrument is signed and sealed by facsimile as authorized by the following Resolution adopted by the directors of the
Company on May 27,1970:
"RESOLVED that the signature of any officer of the Company authorized by Article VI Section 7 of the by-laws to appoint
attorneys in fact.the signature of the Secretary or any Assistant Secretary certifying to the correctness of any copy of a
power of attorney and the seal of the Company may be affixed by facsimile to any power of attorney or copy thereof issued
on behalf of the Company.Such signatures and seal are hereby adopted by the Company as original signatures and seal,
to be valid and binding upon the Company with the same force and effect as though manually affixed."
CERTIFICATE
I.the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power
of attorney,Article VI Section 7 of the by-laws of the Company _and the above Resolution of its Board of Directors are true
and correct copies and are in full force and effect on this date.
Assistant Secretary
have hereunto set my hand and the se~1 of the Company this lOth day ofAugust
atommnnmraltl1 Df Jrnnsyluaniu.t 99.
lIIlIa9~tugton Wounty.\
J
I,Russell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
~Lee Adamson
administr a t or of all and singular the goods and chattels,rights,and
credits,which were of Lorena Adamson alkla
Rena Adamson
late of Washington County,deceased,
GREETING:
WHEREAS,the said Lorena Adamson a/k/a Rena Adamson late of
Cross Creek Township in the county aforesaid,lately died intestate
(as IS affirmedY,possessed of divers goods and chattels,rights and credits,within the said County,
.Russell Marino
by reason whereof the jpower:of granting administration thereof doth belong to me;I therefore,confidiflg
in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here-
by committing unto you full power to administer the goods and chattels,rights and credits,which were
of said deceased within this Commonwealth,you having taken and subscribed the oath of office pre-
scribed by law;requiring you to well and truly administer the goods and chattels,rights and credits,
which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's
office,at Washington,within ninety days,and to render a just and true account of your administration
at the expiration of six months from the date hereof,and to regard and comply with the provisions of
the laws relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and
caused the seal of said Office to be affixed this 28th.
day of August in the year of our Lord one thousand
nine hundred and seventy
........~:~.
SSELL MAi~r.
EiJ !t1 ~=0
&;!::d ~!!:J:j ..........!Z ~>!>~t::?~>i>~~it::?Z t:aen=>.....0 i~M
t Z it/)CF.J »>iO ~!Z ty
N ~ais»....
f'.-.~:=
=~....
i"'-.~
~s».....~
!~.....I ....t:a
i :=
i
•C3-)'0 -3''93
.Affi~auit (@f 1£xttutnr ®r i\bmiuiatratnr
§tutt nf 'tuungluuuiu }
C!!nuutg nf lIun4iugtnu nn:
P 11 b f th d · d th·t Notary Public .d f 'dersonay e ore me,e un erslgne au orl y,a m an or sal
County and State,appeared 1~.~..AJJ~.Q.N who,being duly
sworn aC~O~~NAo llWJI~~pH...~es and says that he is the ~~~r administrator of :he es-
tate of .a7·kJ-a R~·~Al1AMSON.----deceased,that the foregom!idM~e~6~siQW~~/k/a
complete inventory and appraisement of the real and personal estate of .RENA..ADAMSON..--.--....,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite
each item of real and personal 'estate in the foregoing schedules are determined and stated by the
undersigned to be the fair value of said items as of the date of the decedent's death,based upon a
just appraisement of each item made by the above namedx"JX:m(KIxlx Administrator.
day OSfwo,rn ;~{Uyb>mb;;1~9=7~:26th}..~~.
....................:.................:J,..........~Kr-Administrator
.......~.....ot~i'ry Ptiblic
Wash.Wash.Co.,Pa.ADDITIONAL INSTRUCTIONSMyCom.Exp ..!1-L-6 :Zo U/7.f1.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.
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COpy
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
oR~~ittJtBms~W ,,"ppruintmtut .of the goods and chattels,rights and credits which
were of ~7JsI.~R~~A....AP.Al1SQN late of ..G.t'Q.s..s.c.;t;:~.~.:k 'IQwn..s.hip..,..
Washington County,Pa.,taken and made in conformity with the above affidavit.
J
PERSONALTY
DOLLARS CENTS
NON E
REAL ESTATE
Tract of land situate in Cross Creek Township,
Washington County,Pennsylvania,containing 197 acres,
more or less;located approximately 300 feet North of
Route 50,at Rea,Pa.On which are erected a brick
dwelling and small barn.(See Deed Book 583,page 256)
Total Estate .
NON E
21,000 00
2l,00d 00
7ft?
Inventory and Appraisement
IN THE ESTATE OF
LORENA ADAMSON,
.,'a/k/a RENA ADAMSON...........................................................2.•.•.•............•.\deceased
Filed Jv...lS ,19..1J .
~:;--J
::;;:""fTj :::0en(7""..>c::r:-(I1:::en (n..__4 "....,c::r~";.-
--\::;.'
o .'~.
~....~
_-i--."ri
-:")--o :.'::~'
t ._
-or-a»(n
\~~
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r:._c=.-
'V
....J
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:'"4 :1
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.....-5
....'
The First &Final Account of Lee Adamson,Administrator of
the Estate of LORENA ADAMSON,also known as RENA ADAMSON,de-
ceased,late of Cross Creek Township,Washington County,Penn-
sylvania.
The Accountant is charged,as follows:
----------------------------------------------------------------
To amount of Inventory &Appraisement $21,000.00
Total Assets of Estate $21,000.00
Total Credits Claimed 15,986.49
Balance Due Estate 5,013.51
l
-----------:T------------------------------------~_____,
.,......
;
•.......',t
The Accountant claims credits out of the assets of said
Estate,as follows:
-----------------------------------------------------------------
Russell Marino,Reg.Letters of Administration $19.00
Wash.County Reports Admr.'s Notice 14.00
Observer Pub.Co.Admr.'s Notice 14.00
Russell Marino,Reg.Filing Inventory 3.00
Marie Guidos Notary Fees 5.00
George D.McMahon Premo on Admr.Bond 20.00
Pittman Funeral Home Funeral Expenses 1,840.80
Lee Adamson -Reimbursement for moneys advanced
for decedent during her lifetime
1965
Drs.Bryant and Bakewell
Dr.Wm.B.Lytle
1966
Washington Hospital
Dr.J.K.McCarrell
Pine Lawn Home &Sanitarium
1967
Washington Hospital
Dr.J.K.McCarrell
Pine Lawn Home &San.
$45.00
5.00
21.50
4.00
150.00
21.00
4.00
608.75
1968
Pine Lawn Home &San.-
(Jan.thru Dec.)
Dr.J.K.McCarrell
1969
Pine Lawn Home &San.
(Jan.thru Mar.)
Haven Crest,Inc.-
(Apr.thru Dec.)
1970
Haven Crest,Inc.-
(Jan.thru May)
4,525.09
6.00
1,028.78
4,207.23
13,003.69
Alexander McIlvaine
Russell Marino,Reg.
Attorney's Fee
Filing Account
1,050.00
17.00
Total Credits 15,986.49
I
I...
------------------------------------------~---
,.
Observer .Reporter ..~
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the NewsImper Advertising Act of 16 May,1929,
P.L.1784.as amended.
Commonwealth of Pennsylvania,County of Washington,SS:.
Pe,rsonally ap,pear,ed before me,a Notary Public in and for said County
and State,Ri..~.h.~.!:4 §.!G.Q~.~~who being duly s,worn
acoording to law,deposes and says that he is the Se-c.r.e.t.ar.y ..
of the Obs'e,rver Publishing Company,a Benns~lvania corporation.and its
agent in this behalf;that the said Company is,the owner and publisher of
the Observer-Reporter,succ'essor to The Washington Observer.established
September 18.1871.and The Washington Reporter.established August 15,
1808.a daily newspaper of general circulation.printed and published and
havin'g iw place of bus,ines's at Washington.Washington County.Pennsyl-
vania.where it or its prede'cessors have been established and published
cOThtinuous'1y for more than six monthsl prior to the publication of the notice
hereto attached;that the prInted notice or advertisement hereto attached
is a ,copy of an official advertisement,official notice.legal notice or legal
adveTtis,ement,exactly a,s printed or published in the Obs1erver-Reporter in
its regular editions on the following date or d,ates;..
,S..~.p..1;.~mp..~!?.,..,.9.~p..~J§.l.....!.9.7..9 .
that neither th!e affiant nor the Observer PUblishing Company is interes;ted
in the subject matter of said notice or advertising and that all of the allega-
tions'of this affidavit as to the tim~,~ce andcharact/jof publication
are tme..I.~
~~...~........................~~~,...,...',~~~'"~~""~~~"4:~.,~",...
ADMtNI~A'J'OR'S NOTICEESTATEOFLO~~NA ADAMSON
a/k/a RENA ADAMSON deceased
W
1ate ,of Cross Creek Township,aShmgton County.Penna.•
.Letters of Administration upon,the above estate .1aving been grant.t eli to the.undersigned.all persons
havmg claIms agalhst the estate are•requested to make known the same
to the undersigned or'his attorne~all persons indellted to the dec:'·",,,t are requested to ffijike payment
to the Undert ned without delay
LEE ADAMSON •
Rea,Pa.15356IAdministrator'ALE;XANDER McILVAINEAttorney
23 W.Beau StreetWasJungton,Pa.15301
-....7;.::O:::20~7·?l,ed••3T
Sworn to and
W.26752 'U7R~M;~~~;~9
WASHINGTON,WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY 6.1972
",_li_--
WashmgtOIll Coumty lRepm1s
~~~XCOO<~tox~s(.'Xx
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 WASHINGTONt
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 WASHINGTON COUN1Y REPORTS,the
official legal periodical for said Washington County,published 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 COVN1Y
REPORTS was established on March 31,1920,and was designated as the official
legal publication for Washington County,Pennsylvania,by order of the several
courts of said County,dated November 11,1920;that the printed notice or 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:
.....~.~.P..!.~~.~.~L.}.!.....~.~.L ..~.?.L..~.~Z9..;..__....
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.
• • • ••••• ••• ••• • • •
ADAMSON,LORENA,a/k/a RENA
ADAMSON,Dec'd.
,Late of Cross Creek Township,Wash-
i ington County,Penna.'Administrator:Lee Adamson,Rea,
Penna.15356 .Attorney:Alexander McIlvame 33 W.
Beau St.,Washington,Pa,15301
/
that the affiant or the corporation in behalf of which he is acting is not interested
in the subject matter of said notice or advertising and that all of the allegations of
'hi.,ffid,.i,"w ,h,tim,.D~~;2;~~:-~Z:~¥~~~
Sworn to and subscribed before me this '". _.".<"--
17th Septe~eT-----/70.;r?~:;z;r:;;;;;;;;-
Jr0-:,'0 T.S'":A
-"-----//ctIIIIII"~UL:,C,,;1.Jii~n£<:;t~o~nJ:~;o~.:_-~..----------~..t:r-~.._IIIIII!IIII_....IBII •1IiII
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-----------------------------------------..,.J /
///~,/",------------:====--------~_....;;;=_-----....."",.......,.......,....----.A,..,-------/
"
The Court is respectfu II y requested to determine
proper distribution in this estate.
/:')-)n~~.~-~hAUJI/~/~
Counsel for Accountant
I
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,}55:
The within named Accountant being duly sworn according to law,deposes and sayS that the above account
as stated is true and correct as ~~verily believe.
Sworn and subscribed before me this ?.~.~'h .of~.#(.~.....rd~c7.~-.._._-_._.__..
day of ._.._.__....__~}_~~y.
/h_.__~_~_.m=_~71/~.
--i --,~~~'-7'~-----
/~..-~',a 7J~.-r____-Was~ingto ~---'-~d~.2-,1'/7 J-
I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court,as evidence by proofs
thereof filed to No..b:3.~..tU-=--380 .
Witness my hand and official seal this 3.~..
daYaf-_~~~?_I._.
Register of Wills
,.
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nEGIS'i!:'[~OF WILLS
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®rp4aun'arnurt iliuininu
In the mllitter of the Audit of Account in
j
Estate of L_O_R_E_N_A_A_D_AM_S_O_N~''-----1
a/k/a RENA ADAMSON,
Deceased
TO THE AUDITLNG JUDGE:
63-70-843No..,---'--__
Enter__--=ffi:::y.l--,appearance for .......::.A::..:c=.c=O...::U:..:n::..=t.::a:..:n.:..:t=..~_
~.-...../'"..-
15th day of_---=S:,:e:.Jp:...:t=.:e=:ffi=b=-=e=-r ,19_7_1_
N.B.-Counsel shall,by separ.a:te paper,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate conctse state-
ment in that regard.
No.63-70-843
In re Audit of Account in Est3lte of
LORENA ADAMSON,
a/k/a RENA ADAMSON,
Deceased
AUDIT
'ra~rip~fnr 1\pp~araUt~
FOR
Accountant
~::n
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(f)(,"")c:::C'::l~..'"::r::--U~r"')."'.-,__4"__
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ALEXANDER McILVAINE
Attorney
~2
(Form where decedent died intestate)
3Jtt t4r (@rp~an5'<1Inurt of lIa!l~ittgton <!tounty
J
ESTATE OF
LORENA ADAMSON,
No.63-70-843
In the audit of the
~.'
First &Final
Account of Lee Adamson,
Administrator........~.I.~!.~~~~!.\p.~Q~.
Deceased
The petition of ~.~~!.\~.~~~9..P.-...............................................•............................
(Name of Petitioner)
State (I)whether de-
edent was married or
unmarried;(2)if mar-
ried,whether a husband
or wife survived and
his or her name;(3)
whether or not there
was any marriage settle-
ment;(4)whether or
not family relation was
maintained until deced-
ent's death;and .(5)
whether the decedent
left children or issue of
deceased children.
respectfully represents:_.
(a)The decedent died J\lTI.~t,J9..7..O',intestate and
(Date)
letters of administration on h.~x estate were granted Augus..t 28..,l.9.7.0
,.'(Date)
as per record thereof appearing in Administration and Bond Book No .
at page .
Decedent was survived by one child,Lee Adamson.
Decedent's husband predeceased her.
(b)At the time of death,the decedent's domicile was i;l;;ixthe Com-
monwealth of Pennsylvania,to-wit,at.Wg.~fi~~ltg~:.e.~gP.:~r;~...l~.~....JL•.s...•A•
C C k T fT~wn or Township,State and Nation)ross ree ownsul.pandresidencewasatWashing.ton...-Co.unty.,Pa ,.u.•.S .A.r .
(Town or Township.State and Nation)
(c)The names of all persons having any interest as heirs or next of kin
with the names of their deceased parents,to show relationship if they take by
representation are as follows:
NAMES Relatiol1ship Interest
Of age,sui·
juris,or not,
(write yes or
no).
Name of Guardian,Trustee or Committee,if
any,or beneficiary,manp..er and place of
record of appointment and is bound suffi-
cient to cover and protect share.
Lee Adamson son Entir~yes
estat ~
State exceptions,if any,
giving names and dates
of death and the names
of their executors or
administrators,or the
names of their issue as
the same may be mater-
ial.
Describe type of notice.
All of said parties III interest are living,~
(d)All parties having any interest have had..~~.~~~.~.notice of the filing
of the account ~.Petitioner is only interested party.
•(e)Balance for distribution per Account
(f)Additional debits,not shown by Account
(Itemize)
(g)Additional credits,not shown by Account
(Itemize)
$....:?.t.Q.!}.~..:?.l
$None..............................
Insert word Ifnot"where
necessary.
If taxable state wheth-er tax has been paid.
if too many for the
space,annex a list there-
of;if no such claims,
insert the word "none."
If any creditor or other
claimant has not re-
ceived actual notice,that
fact must be stated.
Indicate such claims as
may be secured or en-
titled to a preference,
and give detailed infor-
mation concerning such
security or preference.
Here insert a reference
to all Questions requir-
ing adjudication,and a
statement of any mater-,ial facts not already
given.If none insert the
word "none."
If any share has been
assigned or attached
that fact should also be
stated here.
None$ .
$??.9..!.~..~..:?..1
(h)Claim for exemption .has been made,and has..no.t been paidk·C1a'de b Retition r,mem er of dec d t!s househo d.,trt ~e estlte IS sutJect to ge payment oT l~entance tax to t e
State of Pennsylvania.
(j)The estate is J1Q,t.subject to the payment of the county 4 mills
tax.
(k)The estate is P.:~.~subject to the payment of Federal inheritance
tax.
(1)All creditors (and other persons who have complied with Rule II,
Sec.9),of whose claims the accountant.........b.~HL ........notice or knowledge,have
........................received actual notice of this audit;the amounts of their claims and
whether or not they are admitted to be correct are as follows:
None
(m)Petitioner,who is sole beneficiary of decedent's
estate,agrees to make contribution from his own funds to
pay decedent's debts and administration expenses in order
to take the real estate,in kind,of which decedent died
seized.
(n)The balance for distribution consists of property in kind,form and
character,as follows:
•
State kind,form and
character of property
composing the balancefordistribution,and if
any part thereof is not
cash,whether or not
there has been any elec-
tion to take such part
in kind.Tract of land situate in Cross Creek
Township,Washington County,Pa.,con-
taining 197 acres,more or less.
App.at $21,000.00
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
Estate of
LORENA ADAMSON,
a/k/a RENA ADAMSON,
DECEASED
)
)
)No.63-70-843
)
)
)
E L E C T ION
I
I
I,LEE ADAMSON,sole beneficiary in the Estate of LORENA
ADAMSON,also known as RENA ADAMSON,deceased,hereby elect to
take the following asset,in kind:
Tract of land situate in Cross Creek
Township,Washington County,Pennsylvania,
containing 197 acres,more or less;
located approximately 300 feet North of
Route 50,at Rea,Pa.On which are erected
a brick dwelling and small barn.
appraised at $21,000.00
Lee Adamson
underlying the above described tract of land,together with the
mining rights as fully set forth in the Will of David E.McNary,
deceased,of record in the Office of the Register of Wills of
Washington County,Pennsylvania,in Will Book 25,page 583.
SUBJECT to such rights of way now granted and in force upon
said premises.
BEING the same premises as conveyed by R.Lee Adamson,
unmarried,to J.Ernest Adamson and Rena Adamson,his wife,by
deed dated January 14,1932,and of record in the Office of the
Recorder of Deeds of Washington County,Pennsylvania,in Deed
Book 583,page 256.AND the said J.Ernest Adamson died on
April ,1944,whereupon,title tQ said premises became wholly
vested in said Rena Adamson,as surviving tenant by the entireties.
Are there any advance-
ments by decedent.to be
considered on distribu-
tion and has any distri-
bution on account been
made by accountant to
any distributtee?
(p)
No
(q)Give brief location of any real estate sold.
None
If prior accounts have ( )
heen iiled.list number r
and term.
None
-f
f'
,;f
-.
,.
Wherefore your petitioner asks that distribution of principal and income
be awarded to'the persons thereunto entitled and suggests that the balance of
principal and income should be awarded respectively as follows (shares being
stated in proportions but not in amounts):-
Lee Adamson,son
County of Washington,ss.
The above named petitioner being duly
sworn doth depose and say that the
facts set forth in the foregoing petition are true
to the best of h.J.~_knowledge and belief.
Sworn to and subscribed before me this
30 th day of...Augu.S..t ,19ZJ .
Entire balance,
including real estate,
in kind,per attached Election
And your petitioner will,etc.,
k ..V~.__
(Signature of Petitioner)
...........~224£.~~..Notary Public
~~_~~.~?~E.?~.?....~~.~.~~~~.~~.?.....~.?.~?..~;y..~.....~.:~msy 1vania
My Connnis s ion Exp ires :9~*"/1?.j-
£&i=;
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t
FORM IN CASES OF INTESTACY
No §}.~.ZQ~.~4.~~
IN THE
ORPHANS'COURT
WASHINGTON COUNTY,PA.
Esotate of
LORENA ADAMSON,
......~./15-./~~NA ...!.\P~Q.N .
•Deceased.
I -....
l
Sur account of Lee Adamson.............................................,.
Administrator
PETITION SUR AUDIT
In Conformity with Court Rule III,
Sec.5 (B)
COUNSEL FOR THE ACCOUNTANT WILL
SUBMIT HEREWITH
1.The letters of administration.
2.A copy of the inventory and appraisement.
3.Proof of advertisement of the grant of letters,
if not filed with accountant.
4.An appearance for those represented.
5.Inheritance tax receipts,if any.
6.Certificate of liens in case any of the funds fo.r
distribution are derived from the sale of real estate.
7.Copy of Federal Estate tax return,if estate is
subject thereto.
8.Signed elections to take in kind,if any.
ALEXANDER McILVAINE
Attorney for A'ccDuntant.
~9
.Vd ,.0CJ HJJ.':1\11 HSVif\
Slll.':\.:IO (1:J.SI;)3'8
ON!1-;,ft .Ii ~!c)Srn.i
EO {'j t!d !i r'",",IL-l .LJU
e .,.....,......"",.",~i··1~-_...I
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENN •
ORPHANS'COURT DNISION
LORENA ADAMSON,a/k/a
HEARING ON AUDIT
The Honorable P.VINCENT MARINO,Judge
of the said Court.
Wednesday,September 15,1971,at 10:00 o'clock
A.M.,EDST.
No.843 of 1970
(
)
(
)
(
)
(
)
(
ALEXANDER McILVAINE,Esq.,of Washington,Pa.
representing the Accountant.
Estate of
INRE:
RENA ADAMSON,
Deceased•
BEFORE:
TIME:
APPEARANCES:
e
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iii~THE COURT:Number 843 of 1970,the estate of Lorena Adams n,II:oII.~deceased.The Administrator is Lee Adamson and the attorney isrII:j
8 Alexander McIlvaine.Mr.McIlvaine?...«~MR.McILVAINE:If the Court please,I have here all the necessaryII.o
papers in this estate.I know of no complications.The estate consist d
only of real estate.
THE COURT:Are there any claims?
MR.McILVAINE:None except a little inheritance tax.
THE COURT:Is there anyone else in Court interested in this
decedentIS es tate?
(NO RESPONSE)
2
THE COURT:The audit of this account is ordered closed by the
Court.
(A UDIT CLOSED)
1 hereby conEy tnot the pro..::...~l::;;,;s nod (,:vtd~nl:c a.X'C contain~1
(:_d.~.~"_~~-J./'
~z0(>oJ>-~fuUy !lnli c.~~urclcly in t.1t.,:i.1;••t..;.:J tc.l:.cn by IDO on U~:.;h_,c..t1nJ of tho above;
w .
lL
uiII:1:1..~tile :lb:..>vo ~nUDC k hcrt;by c....,~rovc<.l and dirt.ct<.;u to "<.t fHull.
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ESTATE OF
Qtourt of Qtammon Jlrns of Ifns4ingmn
Jrnnsylnnniu.®rp1Juns'Qtom Dinisinn
No.63-70-8L~3
Qtounty.
Lorena Adamson a/k/a
Rena Adamson
deceased
In the matter of the First and Final
Account of Le e Adamson
A.dministrator
ADJUDICATION AND DECREE
And now October S-1911-this matter came on for hearing,
audit and distribution at this session and testimony taken;'and the:eupon,upon due con.sideration
thereof the balance for distribution in the hands of the Accountant is determined to be
$5 01 3.51 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 flied
sec.reg.or an appeal be taken herefrom sec.leg.
SCHEDULE OF DISTRIBUTION
Balance per occount.
1
.~
Balance ._
Deduct Clerk's Costs &Receipts _
AMomey Alexander Hc:tlvaine
Russell Harino,Clerk O.C.,costs in certifying
real estate to Recorder,
Recorder of Deed of Washington County,costs
recording certification of real estate,
19.50
$4,994.01~Od./91/
'fJ£2.19.50 -f-S':Sd ";~,dO
e enO ~lAA.J(.J<...J'~,c:L.k.O~.
~$4,988.51
(j)"..;t /,...I 'f'1 I
fit.;-1·5~~
c·vJ .~
$4,981.01
1018.90
1000.00
$3,962.11
lP.ora-.197/
r''dJ../o/~.90703.89 ~aAn~~21,000.00 '-T--
Lee Adamson,son,balance,including real estate
as hereinbelow described,held in kind and
distributed a.s such at the a.ppraised value,
Russell Harino,Agent,transfer inheritance
tax,including tax due on individual liabili-
ties,$1011.45
Interest from 9/1/71 to 10/15/71 7.4$
Contribution to maintain 8ssets of estate in
kind,
No balance
REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF W'SHINGTO COUNTY
BY THE CLERK OF THE ORPHANS'COURT DIVI,)ION
Lorena Adamson a/k/a Rena Adamson,grantor by in
Adamson,grantee by intestacy of all the right,
of the deceased grantor in a nd to parcel of real
as,VIZ:
estacy
itle an
estate
o Lee
interest
escribed
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ALL that certain piece or parcel of 19 d situa e in
Cross Creek Township,Washington County,Pennsyl ania,b unded
and described as follows,to-wit:
BEGINNING at a red oak stump,a corner of land now or
formerly of R.T.Johnson,thence by said.land.So th 45"est 162
perches to a broken top white oak;thence by Ian formerly
of Thomas MCorkle,South 43 0 West 61.8 perches t on
more
to the
d.now or
C.Rea,
s to a ost;
corner of Thomas McCorkle and Thomas Buchanan's by
land.now or formerly of Thomas Buchanan,South 4 -2/30 W st 119
perches to a stone;thence by Is nd now or former y of J'a es McLain,
North 62":3/4°West 4415 perches to e stone;then e South 54*0
West 14.9 perches to a post at White oak;thence by land,now or
or less.
North 34°West 79.3 perches to a white oak;then e
formerly of William Reed,North 44-3/4°East 182 2
place of beginning.CONTAINING 197 acres and 14
formerly of C.C.Rea,North 30to West 41+.5
thence by land now or formerly of C.C.Rea
EXCEPTING AND RESERVING the Pittsburgh Vein of
Washington County,Pennsylvania,in Will 3.
SUBJECT to such rights of way now gran ed and n force upon
deceased,of record in the Office ot the s of
coal underlying the above described tract of Ian er with
the mining rights as fully set forth in the Will of Davi E.McNary,
said premises.
BEING the same premises as conveyed by R.Lee damson,
unmarried,to J.Ernest Adamson and Rena Adamson,his wi e,by
deed dated January 14,1932.and of record in th Office of the
Recorder of Deeds of Washington County,Pennsyl~nia,in Deed
Book 583,page 256.AND the said J.E nest Adam on died on,...
April ,1944,whereupon,title emises ecame
wholly vested in said Rena Adamson,as surviNing tenant y the
entireties.
CERTIFIED 'IR0 lRmrdrhER:OC OBER 12,1971
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'l\ffi~uutt (@f txrrutnr ®r Abmtttlatratnr
§tutr of ~rltttn!Jluutttu }
Q1.ouuty of lltlIuslJtugtou ss:
P II b f th d . d th··t Notarv Public . d f 'dersonay e ore me,e un erslgne au orl y,a c.III an or sal
County and State,appeared 1~.~..AP.f..11.$.Q~who,being duly
sworn ac!?;)\\it,l§l0 k~~~~~~es and says that he is the ~~:ij:r administrator of the es-
tate of .al-k-la Rlli:fA..Al)]~~SON deceased,that the foregoin!Ld~~e~I5msi()W~~/k/a
complete inventory and appraisement of the real and personal estate of .RENA..ADAMSON , .
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite
each item of real and personal estate in the foregoing schedules are determined and stated by the
undersigned to be the fair value of said items as of the date of the decedent's death,based upon a
just appraisement of each item made by the above named~«OOK:.Administrator.
Sworn and subscribed before me this 26.th }L ~---7 /.
d Y of JU1 Y ;Ji:9 71 ~~.a /J-,...:.............. )IDtKr-Administrator·
.//1...,,r )~~~..~.................,,~.......<-.•.'NO ti:n·y,'..·Pub1 'ic
Wash.Wash.Co.,Pa.ADDITIONAL INSTRUCTIONS .My Com.Exp.:J..(,-(.;;2 J ,.~fj 7,(-----.
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.
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
.:Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COpy
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
..,oR~Mir~gXl1rs~J 1\pprutSrmrttt .of the goods·and chattels,rights and credits which
wer.e 0/~7~J.~R.~NA ..A.P.AM$QN late 0/..G.t'9..~.~..:c.;I;:~gJ~:r.Q.:wn.$.hip...,..
".
Washington County,Pa.,taken and made in conformity with the above affidavit.
-I
.PERSONALTY -
DOLLARS CENTS
NON E
REAL ESTATE
Tract of land situate in Cross Creek Township,
Washington County,Pennsylvania,containing 197 acres,
more or less;located approximately 300 feet North of
Route 50,at Rea,Pa.On which are erected a brick
dwelling and small barn.(See Deed Book 583,page 256)
Total Estate
NON E
I,
I!
IIIi
Ill'21,0001 00
,I
II :II i
I:I
II 2l,ood 00,I I
:1 I!,
I!q
i'lI,.1
"I11
;i
'iII
d
11IIIi11
11'!Ii>1
'I
dI'
II
I
c ~;D f"'.)o ~.....r :z
-0 r C C..rl»(/'CO
Affibautt ®f ?£xrrutnr ®r 1\~mtut!itratnr
§tutr uf ltIrttttllyluunlu l
.Q!uuuty nf lIulll11ngtuu J 1111:
P 11 b f .th d ' d th't Notarv Public ' d f 'dersonay e Ole me,e un erslgne au on y,a ................•C III an or Sal
County and State,appeared 1f::.~AQAN:.~.Q.N who,being duly
sworn aC~()~W~l0 ~~v ~~PH,~es and says that he is the ~~:ij:r administrator of the es-
tate of .a1.k.7-~Rjti\il.llJAmS'ON deceased,that the foregoin1..dm}\le~D~Y1S~Yf;~/k/a
complete inventory and appraisement of the real and personal estate of .RENA..ADAMSON ,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite
each item of real and personal 'estate in the foregoing schedules are determined and stated by the
undersigned to be the fair value of said items as of the date of the decedent's death,based upon a
just appraisement of each item made by the above named~ROOK Administrator.
day O
Sfworn ~~{yUbscrAibedbelf90re7~e this 26th }..~.,~.
.................,:.............)~~&-Administrator'
//--,-"r)'-~c~··~--.......//.".~,..~.....·..···..·..·~··Not;:try ....Public
Wash.Wash.Co.,Pa.ADDITIONAL INSTRUCTIONSMyCom.Exp.~1,,(,.-6 :2.).0'7.(--.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,
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2.
'.OR~~xrt}!gIY1s'glJ i\.pprulllrmrut .of the goods and chattels,rights and credits which
were of ~7~J.~,R.~~A.A:OAM$ON ,late of ,.G.t'.9..~.~..:c.t'.~,~,k ...'J:.9.wn.$.hip..:"..
Washington County,Pa.,taken and made in conformity with the ab()Ve affidavit.
PERSONALTY •
DOLLARS
II
CENTS
NON E
REAL ESTATE
Tract of land situate in Cross Creek Township,
Washington County,Pennsylvania,containing 197 acres,
more or less;located approximately 300 feet North of
Route 50,at Rea,Pa,On which are erected a brick
dwelling and small barn.(See Deed Book 583,page 256)
;
Total Estate
NON E
21,0001 00
I
2l,00d 00
I
'"0..
r-..
f .)
Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF WASHINGTON
IMPORTANT:This return mus t be completed in detail and filed in duplicate,with will attached,with the'
Register of Wills of the County where decedent resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of
the Inheritance and Estate Tax Act of 1961.)
IN THE ~..1';rE.R OF ~~ESTATE OF }LORENA ADMlliUN 6 at Kt a AFFIDAVIT OF
...............................RENA......APAMS......N....................................................................................................~
(State full name of decedent)
Late of Wa.s.hingt,QP.........County ADMINISTRATOR
::t:r.;~:::~:~::::-_-:_:-:},,'
LEE ADAMSON
Administrator or the estate of the above-named decedent being duly sworn,depose S and sayS
(Month)
Name and address of attorney or}
other authorized representative to .
whom all correspondence should be
mailed.
Decedent dJed June 1 .......,19...7.0.........1 K~X&Xing a last will,copy of which is hereto attached.}
(nay)(Year)Lintestate
......Ale~ander.McIlva.ine.,..At.t.Q.t:.J:ley.::l:t::I,..::lW .
33 W...B~au~t .,~~~1:l~Il:g~{)Il:L~Cl.~~?~O 1
That as such A4.m];,.~deponent is familiar with the affairs of said estate and the property con-
(Ex(!clItor-Administrator)
Rtituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly
with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent
or deputy,with the exception of the following:-.
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
NONE
That the contents of said safe deposit box or boxes'are itemized under Schedules of this
return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth fullv and in detail all the
real 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 Uni ted States to the decedent;all obligations,whether by statute or agreement they
are designated as tax free,of the United States,or any state,or political subdivision thereof,'or of
any foreign country,which are owned at the time of death;all wearing apparel,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 mortga~es held by decedent and of all claims due and OWing decedent
at the time of death,and all promissory notes or other instruments in writing for the payment of money
of which decedent died possessed,of whatsoever nature,with interest thereon,if 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 polici'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.
.'~
In the case of securities of close or family corporations,the values reported are as far as
possible substantiated by financial statements of the corporations,showing the assets and liabilities
thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business,and in support of the value of such interest there is annexed to
said schedule,financial statements showing the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business,its location,and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted.It should also set forth in itemized form,together with the fair market value
thereof,any other property owned or bequeathed by the decedent at the time of death.
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's
death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom.transferred,the
relationship of the transferees to the decedent,the proportionate share received by each transferee and
all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y
of the deed,trust agreement or other instrument creating the trust.Ther'~is also set forth in said
schedule a list of all property,real and personal,with its value,which pa~ses at decedent's death by
virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint-
ment vested in decedent,either individually or jointly,by the will,deed,or other instrument of another,
with a copy of the ~nstrument creating such power attached to the schedule.
That ScheduleD attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,their issue,and the relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property,real and per-
sonal,owned by the decedent jointly with another or others,including intangible,standing in the name
of the decedent and others,plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and Impaid at time of
death;taxes accrued chargeable for period prior to decedent's death (except those allow~d under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A","B","en,"E",and "F"as directed therein,
have been carried forward and properly registered in the Summary.
(Street Number)
............Rea.~P.enns.y.lv.ania .l53.5..6 .
(City or Town and State)
Subscribed and sworn to before me this
................?.§..~h daY~Of.J..~~y 19?..!..
~,
.......................................................................··..··..·······N<)'tary····PubTic..·············....·
Washington,Washington County,Pennsylvania
My Com.EXp.$~~If?J--
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 (1-64)
COMMON~iEALTH OF PENNSYLVANIA
DEPARTMENT O,F 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 porcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the decedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commonwealth of Pennsylvania should be
described by lot and block number,street and street number,together with
a general description of the property,with a reference to the record of the
conveyance by which the decedent took title;if a farm state number of a·
cres;also statement of mortgage encumbrances upon each parcel at death
of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are
to be listed on Schedule "F"and must not be deducted from this schedule.
Tract of land situate in Cross Creek
Township,Washington County,Pennsylvania,
containing 197 acres,more or less;
located approximately 300 feet North of
Route 50,at Rea,Pa.
On which are erected a brick dwelling
and small barn.
(See Deed Book 583,page 256)l~~·W -7 .-----
Insert this total opposite "real property",Schedule "A"in the
"As Reported"column on the last page of this return.
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
xxxxx
(2)
ESTIMATED
MARKET VALUE
4~
$21,000.00
$21,000.00
(3)
DEPARTMENT
VALUATION
,CAUTION
(Do not write
In this space)
,.
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "n"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "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,"t.c.)
Intangible personal property,such as bonds,treasU',':i certificates,cash on hand and in bank,
stocks,mortgages,notes,together with accrued interest or .-1j\ldends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capacity,partnership interests,interest in any undistributed
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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No.List and describe fully VALUE MARKET VALUE (Do not write in
this space)
N 0 N E
Insert this total opposite "Personal Property",Schedule "B"in X X N 0 N E
the "As Reported"column on the last page of this return.
,.
ReC-38
CCMMONWE~LTH OF PENNSYLVANIA
TnAN~FER INHERITANCE TAX
RE~IDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRFCTIONS:This schedule must disclose all property,real and personal,owned by the decedent jointly
with another or others,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule
"A",plus the date and place of record of instrument effecting vestiture,but do not include entireties
or out of state real estate value in estate valuation column.Personal .property should be listed as in
Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to
the decedent.
Description of Property,Date of Acquisition,Name I Unit
Address and Relationship of Co-Owners,and Place i Value
of Record of Instrument,where Real Estate.!
Following bank accounts held I
jointly by decedent and R.L.ADAMSON~
son,Rea."Pa.:
(1)Save Acct.No.I 744 at
First Fed.S &L Ass'n of Wash.
Opened Jan.4,1956 -6~/
$9,000.00 y-q-J
(2)Save Acct.No.I 1675 at
First Fed.S &L Ass'n of Wash.~
Opened Oct.31,1966 -C''\1:}
$10,000.00
percentage Estate
Share Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
5:/}OrJ.(}()
I
Insert this total opposite "Jointly Owned Property",Schedule"E"
in the "As Reported"column on the last page of this return.
(3)Save Acct.No.18751 at
Mellon National Bank &Trust Co.)
Burgettstown Office II
Opened Sept.29,1960:;,t:.~u1'«:f j,_.,'~'31 ~.'))$~....h 94 .I){.7.5 03,J~r-'L '):-:-/17.1/f('I .'
)/:;7 ....~
____________________....L-__..L.---..I._.,..--__+-~+_----~
(1/rlt.S7
RCC-37 0\-(12-63-)
COMMONWEALTH>OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
LEE ADAMSON son yes over 21 Entire estate
Rea.Pa.15356
(
h
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
OF THE
ESTATE OF
~IATTER OF THE APPRAISEMENT
LORENA ADAMSON,
a/k/a RENA ADAMSON
~.
....,""C ~..,~~ll>..,ll>~'"......'"0.....~""C~ll>..,
..,- 0
'"'0""C ~..,..,.g ~
~....'<
.:-
(Executor·Administrator
must complete "As
Reported"column #1.)
trl'"....ll>....~
....,
~~~
CJ..,o'"'"P.I<THE
~No.63-70-..Year .~
Administration
Deceased
REPORT AND APPRAISAL
Commonwealth of Pennsylvania
Late of ...Gr()~~Gt:'~~:k..'r.()W11.S.l1i,P
County of .V1~Sl:1i~gt:°ll ..
·8:
.~
~.:.h W~p-
.:())q
enc::
~~>~
en en .....c:
(")(")p-p-
tx5 >:::::
'Vd "00 NO''Jl'ilHS\1,.',\
S1111.;.J:J '!l!.SIV~JU
ON;:.',',:'..r~.:'nu
I /1"'_
".".
~.~~---
J
:~
~
~>·:r....:-...~.~
:~--:Ii:N·...
•3-·-.::l
<::piS
~-
~O;.
:"-.;l:
,"'"..-.~
':""<,):'-J~
~~~~~
::",.:N .......
,,-...;:'Z :Z t"~~:0 :00 ~
"'-.::l'::S :::s 0 ~::::",:('0 :('0 0 '0:q"\:::.0-
:.~:(:)@-,0 c..
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:~Jv..
"~'"
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---l ••,t_~
,.1 ....B5
J
38-98-6Docket
IN ·i~E ORPHANS'COURT OF WASHINGTON COUNTY,PENNA.
(;,-("::70
)Date of death (_
\No.__8l~3 of 1970.:;.Term,19__•A.A.
Deeea"d )
Adamson,Lorena
In the matter of :the Audit of Account filed in the Estate of
TO THE AUDITING JUDGE:
Enter my 'appeara,nce for the Commonwearth of PennsylV1a'l1ia,claiming tl'ansfer inheritance tax in the ahove estate,as follows:
~:'appraised V1alue of Estate:Realty........__.__.....__...._.__................._...._.__.__$__,(_.:.../-----=-&M.__...:.'_HJ---\~-
'~b------..-
$
$._-~-----------_.._---
I :/
I $"-7 _
Additional Debts and Expenses per Audit \;$_
--_,..:;../_1 :-----~7~
/'\TOTAL DEDUCTIONS,$
1 I -I ()-(b-'
-1/-Cf-/-g
,
NOTE:The following credits claimed in the Account are
-/F-1\'-+...!..tftt-ii ~?~(1j ---=r""'--
CR.
Debts rand Expenses per Account;.see Note
Person'alty.......__..____.__$_
Additiona'",.,t,pe,Aooount.Subj'"to Tax -.....-;/~/..$I I 5 7 {"7
Additionol A,.,,,....Audit.Subject to '!'<Ix...'-/I/-'{;/I-£'-"--'...---1----------------
GROSS VALUE .------------------....-----------$_
Tax-~able
-'--at )15%
TAX PAID ON ACCOUNT
$-------
$--_._--
$------
$--------
$--_._---
$---_._------_._.
I~//,'I~-'Total Tax ...___..__....___..__$.__.._
"-
Less amount previously palid ..........__..........__...._..__.--..$._.__
:::-·,T,I=:-Ti..::I-~=~-.:mt!-J ~~...
roT~:~fg~~STDUE~iL~~
. L 'fJcQ j(J If?'10
j):QJ?7 (!)J:/;11 /97/
...
No.•Tenn,19 __•A.A
ESTATE OF
Deceased
PRAECIPE FOR APPEARANCE
FO R
COMMONWEALTH OF PENNSYLVANIA
~5
STATEMENT OF DEB'!S
AND DEDUCTIONS
.,\.,
;;"'.Ol"f''l'CE OF THE..,RECl'lSTER OF WILLS..
AND AGE~NT °3F~H7£oCO_M"'yON~{~LTH tStt ,~IJ~~/~o
-~J ///1 JI~<!!!::J (0 /,R.giller 01 Will.,Ag.nl rk1 f
.~O'J '
Form Rce·.O
OF _-.:.:W~A:.!:Su.H.!.OI~N!2;loif"~Tok.:O~Nou-_COU NTY
)""I<'I\IA A .MS'IN,::v/k/a ,
ESTATE OF _-'R.....E"'"'N""'A"""-....A....D....A.....M...S""'o""'"N'---_~_'_"'__LATE OF __C_r_o_s_s_C_r_e_e_k_T_o_wn_s_h,.;..~=·p""-_
DATE 01"FILING APPRAISEM ENT _.....:J::;.;u=.1=-yJ....-.__...;1::.::9;..:7~1:::-.._DATS;OF DEATH J;:;.u=n'-=e~l:..ll,--=1::..:9~7:..;0~·_
DATI!:NO,01'
VOUC"'E~NAM;.OF PAYEE
~ussellMarino,Reg.
Wash.County,Reports
Observer Pub.Co.
Russell Marino.Reg.
Marie Guidos
Geor~e D McMahon
REMARK'"
Letters of Admn.
Admr's Notice
Admr's Notice
Filing Inventory
Notary Fees
Premo on Admr Bond
A"'OU~T
~19 00
14 00
14 00300
5 00
20 00
Pittman Funeral Home Funeral Expense.s.1,840 80
Lee Adamson Ke~mbursement tor moneys aC1-vanced for decedent durin~
1965 ~er l~fetime:
DRS.~ryant &Bakewell
Dr Win B Lvtle
1966
----::-:;1 ••
Wash.Hospital
Dr.J K.McCarrell
Pine awn Home &San
1968
.I:'~ne uawn Home Ot ~an.
(Jan.thru Dec.)
Dr.J.t<.McCarrell
~45.00
t;00
III
L..1..:JU·
4.00
150.00 I
21.00 II
4.00nO~71)
I,
4 525.09 I
6.00
\'j
l~blJ :
----Pine L."awn Home &San.-I
4.207.23
(Jan.thru Mar.)1,028.78 I----l-----!---+------------TT":::-=-::-::d-rT':~:::-r-.-:::_=_---------+_---·~J.lj.aven L;resc,t.lont .-
tApr.thru vec.}
1970-.---t----I--~-·---------'ll1aven-e1"'tmr;_rn"1'<l'c-:.-=---·------1
(Jan thru M.qv),-'?1.77 1.L...
Alexander McIlvaine
Russell Marino,Reg.
Tor::!l
i1598649i
(/.
/COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF __W...:.A:...-.;;.S.::.:H~I...:.N__=G_=T:;...O_N 88:
I,LEE ADAMSON HEREBY CERTIFY.THAT.TO THE BEOT OF
MY KNOWLe:OGE AND DEl.IEF.THe:FOREGOING 18 AJUST AND lRU E OfATEM'ENT RFjDEBTS'FUNERAL EXPENSi::S AND EXPENS!:!I OJ''
AOMINISTF<ATION SUDMITTED TO THE ESTATE OF LORENA DAMS2:0N ark a DEClLAeAD.AS DEDUCTIONS.FORINHE~ITANCE TAX PURPODElil.RENA ADAMSO 3~~~.
.~CL.6.)
OWORN AND fjUB9CRI8£O :,\ZFORE ME THIS 26th DAY OP'
~11!-A..~,I~U-
. .~ary Public
Washington,Washington County,Pennsylvania I
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R CC-81 (2-64)
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COMMONWEALTH OF PENNSYLVAN IA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
LEA ADAMSON
(l:}f~~Administrator).
IN YOUR REPLY PLEAGE
REFER TO
/
In Re:Esta te of__..;::L;.;::O.:..:RE=N=A~.=A~D=A~M~S~O~N----9a,,-/.Ak.j.../.a.a,--_
___~W~A=S:.!.!H~I~N~G..:!:..TO~Nu--County -File No.63-70-843
Dear Mr.Adamson,
You are hereby notified that the ~o~r~i~g~i~n"a~l~__
appraisement in the estate of LORENA ADAMSON
has been filed in the office of the Register of Wills qf WASHINGTlN
County on .August 23 "19.11.Said appraisement reflects the
follOWing valuations:
Jt.Hd.
Re al Est ate --=2:.::1:.:,L.:0::..:0::..:0~.0:::.0=--_
~--'lo!:.11..."f_!o8.u7u.6!..&.~5..L7---
Transfers ~-------_
Total ~3~24,~8u7.J,j6r...a.....5u7----
As to such tax that is paid within three months from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date A-:u.:.r;;gOl..:u=s:..;:t'----"'2'-=3:..J1t:.....=1:.:::9.....7....1~__Signed ~d YO--LJ ~.
Title ALFRED TOSI,APPRAISER T
DATE OF DEATH:June 1,1970
Note:This is not a bill.
,-,
R CC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of ADAMSON
(Last Name)
LORENA
(First Name)(Initial)
a/k/a DATE OF DEATH 6-1-70 FILE NO.63-70-843
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of WASHINGTON
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each itern in the last column to the right in Schedules "A","B", "C",and "E".
Da ted:__A_u-"g",,--u_s_t_2_3-J.,~1-.:.9-.:.7-=1:......-_~.d Y~ii-u/~iNERiTANCE TAX APPRAISER I .
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
32 876 57
VALUE AS APPRAISED VALUE AS REAPPRAISED
$21 000 00 $-+__
FOR USE OF REGISTER ONLY
Tax on $-----------i--2%
Tax on $(6%)0
Tax on $-----------i--'3"<
Thxoo$lK
Tax on $15%
Exemptions ...
Total Estate --l-__
TOTAL TAX
COMPUTATION OF TAX
$--------+--
$--------+--
$--------+--
$--------+--
$--------+--
$---1.__
(...j-~As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::::::::t====
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $------1
AMOUNT OF ESTATE TAX ASSESSED $-------1L-
Estate tax paid $-Jl-
BALANCE DUE $--~~
Add interest at rate of 6%from
------Ito-----$--------lETOTALTAXBALANCE$-----------1
PAID $_--'--J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will !. .No...Admimstration
IN THE
Year ..
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
..LORENA ..ADAMSON...
Deceased
\,
Late of
County of
cnQSSQ~~J{TWP •
lvASHINGTON
:::.
j.
Commonwealth of Pennsylvania
...,t ,.
REPORT AND APPRAISAL ....
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'"L.£9 L.8 2 £'I'
S L.£9 L.8 2 £
L.£9 L.r 2z..
0 0 0 o 0 £
0 0 0 o ;;v
s 0 0 0 0 0 1:2
0 0 0 0 0 1:2
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Fonn RCC-2 .
"'DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ~P.:g~.~.~?.~..,.!..~.7..!..
COUNTY WAS.H.I.NG.:.TQ.N...
FILE NO..:§.~.::..?.Q.:..~.4.:.~.
Whereas..J,~Q~.NA A.P..AMS..QN.a/.k./a late of CR.O.s.S C.REEK TWP .
in the County of ,WA$HJ.,NQ.T..Q.N Commonwealth of Pennsylvania.having died on
the f.ir..s.t day of .J.une 19 .7.0..seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore I ALFRED TOSI an appraiser duly appointed according to law,,..........................................••••.•••......•.........•••..............•.........•.......J ,
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
$
RF.AT.TY·
SEE COpy OF SCHEDULE "A"ATTACHED TO APPRAISEMENT 21.000 00
JT.HELD:
SEE COpy OF SCHEDULE "E"ATTACHED TO APPRAISEMENT 11.876 57
total 32.876 57
,
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form~;v~~hb~~::t,:sw<ll"ll.C<l()~~:;'~~'~:;o~~:~=~~~=~B~;:f~:;,~z;,:;iS7~~
Appraiser •
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(Number and Street)......................................w..~.................................,Penna.
(Poet Ofllee)
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.................WASHINGT.QN .County
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PH 4f'"i{t
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~L~5 03 RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
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:'"''ELL t.:H~.\HO
;;:"~,T ER Of WILLS
\:,!\:l1:HGTOtl CO ..PA.
.tQR:E!;NA....A~AW>.QN...
Deceased.
Late of
CROSS CREEK TWP •.......,,..,.
Date of Death,§.~l~.7.Q ..
Appraisement Docket Vol.,~..t'....
Page,?Y...~.?No J>..3..~.7.0.~..84.3 .
~.
Filed in Register's OfJice,Aug 2.3 J9 7.1
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appra.isement,
Appeal f1'om Appraisement,..
Entered and charged,..
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•RCC-43 (5-65)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department of Revenue
Bureau of County Collections
26 S.4th Street
Harrisburg,'Pennsy Ivan ia
Dear Sir:
Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit the followin'~~l1atioaal IatIh ()truet ~81\'
NAME OF REPl3~fhR~Clurc Stt(lQt....'Dureo't8tO~.fa_1SOl1
FINANCIAL INSTITUTION -..------------63...18751
ADDRESS ..~~~~~~~~~v~:.~or_II....MliIb80ll _
NAMES ON ACCOUNT ~
OR INVESTMENT Le~~·~t!l.··~'tftlOIlII-.·--1\~~--------
RQ'il"»oaAovl-....183&G
DECEASED JOINT DEPOSITOR,
TRUStEE OR IN'AIGiOOt!,....~l~97LJOoL.._---,,.4_------t7ADDRESS,_-_I._.__Ad_,,_8t38_0_ft_'_
DATE OF DEA~!:~~::::::"~'.~~!~,~li~I~.r~3a.~l\-~_~tL.:-:.....LI0:.~_4Z~dL _
SURVIVING DEPOSITOR,1)0"..BENEFICIARY OR INVESTOR ~'-_
ADDRESS 11_·-_2-_'_6 ---
RELATIONSHIP TO DECEDENT __4_.,~!Pd_s_'_-_-_.._--:.-
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED ----A~/IJ--.#-~~.-.~-E:'=:;tL--,-p--'~-,-.----
BALANCE,INCLUDING INTEREST N7~~DUE,AT DATE OF DEATH $_
I
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Signature TITLE
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SU BJ ECT TO ADMINISTRA TION
ToO:__'=R.::-~,..=L:..;...--:A=D::.:.::A=.:MS~(:;..:,)N::...-_
REA,'PENNSYLVANIA '15356 •
RCC-134 (1-69)
COMMOi-IIYEAL HI OF PENNSYLVANIA
DEPARTMENI OF REVENUE
BU~EAU OF COUNTY COLLEcnONS
INHERITANCE TAX DIVISION
'n , ,..,..,
Date:~__J_U..,....h_e_,_9-:t_1_9_'0_"_
County __....::W!.:.:A=S~H.=.:IN:;:.::G=-=T~O:.:;:N~__--'--
County File No,_
Bureau File No._
We have receiv~d n6tice that,~~
on Jue},',''19-7.0,you came into ownership of certain..J2!f>p,erty thro!L9..h ',_transfer from LOMNl ADA)f~uJ .'eceaoe ..
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.
names 'of RENA ADAMSON or R.L ..'ADAMSON.Opened 11.2...66 It ',,Balance 80 of
date of deatbj.$4,753.14
The property on which tax is hereby assessed consists of:Jt.Bank Acct.held in,the MELLON
'NATIONAL'BANK &'TRUSTCO••BURGETTSTOWN OFFICE.,BUROETTSTOlm,PA.,in the
appraised by the Commonwealth,as of the date of death,at $4,·153.14
tiSO %of this amount is taxable at the rate of '6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
$_-=2::..J.•..:.,.37.:...:'6:;..:.',..:..57..:.-''__$--------
AMOUNT OF TAX DUE 142,59
D If you pay the above amount within three (3)months
of the date of death of the decedent,or on or
before 9~1-19 70 you may deduct a
discount of 5%of the amount of tax due,or
7.13
o This tax became delinquent,fifteen (15)months
after the date of death and,in addition to the
tax,statutory interest at the rate of 6%of the
tax per annum is also due as of *_
19__in the amount of ,
(Agent for the Commonwealth)
*1£the tax is not paid by the above date additional
interest is due at the rate of 6%per annum until
paid
APPRAISED BY:----'l~:....:._--:.~,L.=.=-..-;:..-...::.;~"'+-
$142~59 $=================
INSTRUCTIONS TO TAXPAYERS
Make'checks or money orders payable to:To insure proper credit to your account
this Official Notice must accompany
your payment.Mail or bring .it to:
If you have already paid this tax to an executor,administrator,.attorney 0'1'other personal representative of the
decedent for forwarding to the Commonwealth,list below the date paid,name and address of the person tq wh,om
you made payment,their official title end the amount..
Date Paid Name and Address of Payee Official Title Amount Paid
"
;,
Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses
or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended
by you may qualify as deductions against the gross value of the property in the computation of tax due.If any
such expenditures meet all of the three following tests,it is recommended that you itemize the payments below,
execute the affidavit,and return this notice.The Register of Wills will examine the debts claimed and allow
those which he determines to be proper.The tax will then be recomputed and you will receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1 •You were personally legally responsible for these debts,and
2·You actually paid these debts out of the account or property described above and can furnish proof
of such payment,if required,and
3·These same debts are not also claimed,for tax purposes,by an executor,administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation Amount Paid
.
TOTAL $
(attach separate sheet if requ ired)
COMMONWEALTH OF PENNSYLVANIA)
SS:
COUNTY Of _
I,hereby certify that the foregoing is a just and true statement of
funeral expenses and other debts of the decedent,,for which I
was legally responsible and which I did payout of the property herein taxed.I further certify,that to the
best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance
tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF____________19__.
REPORT OF REGISTER OF WILLS
Si gnature of Taxpayer
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I
have allowed deductions listed above in the total amount of $p
Date of Approval:_
Register of Wills