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Home My WebLink AboutOC1970-0927 - ESTATE OF REPOLEPETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate E~ol'm.Jr:... Estate of ..A'!JgU~.t...E.!B~p..Qle . Deceased 927 of 1970 .No . Fiduciary J.~nnl~5{:!.m?&.Y.,""" Date of Date of Decedent's death !:l.:1J~.~~~..)g..'....~~.7.~Grant of Letfers.c S.e.pt.emher.:..22.,..l9:7.Q . This is the ~~?:.~.~~!:.?:~~~.~~~.?::~~r::~~account filed in this estate ",~,-', If there have been fo;mer a~counts f'iied in"this estate,list file number or'number and term N9.D.~~. Election to take Under or Against will.(cross out one) Date Election Place of; Filed Record . Name of surviving spouse N.9.D~,. List issue,where material:None Did decedent marry after execution of will?(indicate)~~No.Any children born after execution of will?(indicate) ~xJ{l\lo.If answer yes,name them ;. ..........---------_.._--__-----..--:_--_--_-._-~-__-_---:-_-_---------__-------_--_.-__-_-_--------_.___e. Legatees Relationship Interest Fiduciary,if dec.eased or not sui juris Bernard Ramsey Nephew All real estate Sui Juris and business Mary Repole Sister Residuary interest Sui Juris Elizabeth Iannetti Sister Residuary interest Sui Juris Clair Repole Brother Residuary interest Sui Juris James ~epole Brother Residuary interest Sui Juris Jennie Ramsey Sister Residuary interest Sui Juris Josephine Gilleland Sister Residuary interest Sui Juris List,if exceptions to above: If partial intestacy,give facts: Adeemed: None Revoked:Lapsed:Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and atl crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.ooac If any exception give cause:. .File copy of Notice and date of mailing 'S.ept.emhe.r...l·,···.l.91.1,··.·. ,~ Is€~ta'te subject to the filing of a Federal Estate Tax Return?NQ ,. ,-.~.. Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $NQD.~:. ff t.;eWill makes any portion of estate subject to a life-estate,give name and birth date of life tenant..N.o.n~. Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. None Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudicQtion: None Balance for distribution per account, Itemize any additional debits not shown by account: Total additional debits (Add) Itemize any additional credits not shown by account: Total additional credits (Subtract) Balance for distribution $..N.9.n.~. $None.........._-_.___--_.. $..3.,.?§.9 5.J . $..3.,.?Q.Q 5.l . If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); 0.15 acre of ground upon which is erected a one story frame building located at the intersection of Routes 18 and 22 in the Village of Florence,Washington County,Pennsylvania,being the same tract of land conveyed from J.A.Mendenhall,et ux.,to August E.Repole, by deed dated November 16,1965 and recorded in the Recorder's Office of Washington County,Pennsylvania,in Deed Book 1222,page 602.$12,500.00 Various equipment located in real estate hereinbefore described ~ '- 3,000.00 -~ "'6 :,'1: ~.'"" ) If Family Exemption claimed by Petition, .u._ ':... ....,~~...-f. •I.:,..~4\ i c r- .0 ._.>_:i 't f::' -<;...~~ 't....~:.--...--."_I'~ -:c __~•.~-.,-,~~.~~~-.~ -':<'.r I List any advancement or distribution on account that has been mode,and nature and amount of some: None Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: Real estate and equipment above referred to - In order to maintain the estate in kind,the cash was contributed by Rosa Repole. COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, .. Bernard Ramsey being duly sw-arn doth depose and say that the facts set forth in the foregoing petition are true to the best of her.knowledge and belief. .........S.worn to and subscribed before me this l.4th..day of S.ep.temb.e.r.19 7-1. Signature e,f Orf·fccr.~~ DARLE-NE NICHOLAS TitIe of Off\cer '-/ljtmnyPuorn:;1Yastmgton;'Wash1rtgton-eo;"•••••• .My (;UIIlIllISS!Ull ~},I!llei Jml!.@Q.11.~Office expires . And your petitioner will ever pray,etc. ,...~'._-~..~..~"._..-....-...<_._..••__~._...._,,,.._:0. No...9.21 QI.:.1.9.7.Q . Estate of AlJ.GlJST..E REP.QLE . Deceased Fiduciary JEBNIE...BAMSEy . .........-_-.. PETITION SUR AUDIT FROM WI1ERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:paragraph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. Copy of order appointing Guardian ad litem,if pertinent. Copy of Order appointing Trustee ad litem,if pertinent. Proof of service of above. Letters Testamentary or Administration C.T.A.or an attest copy of Will. Copy of inventory and appraisement. Proof of advertisement·of grant of letters if not filed with account. Certificate of liens in case any of the funds for distribution are from·judicial sale of real estate. Signed and itemized elections if any distribution in kind. Copy of Federal Estate Tax return if es- tate is subject thereto. ~tii\:'l·r·1' ._,l F n~."I 'i ,-I .I I·•..•L " ,.7\GCT 5 Pl1 12 14 RU:;Sf.:.I,!'I\~\NO ~ECISTt.r;.GF WILLS '.;AQ \ \ \~\.~"0~I r:0 p":\,.v'1 .1\':I 11.'••J.... ~..~ j f.~"W rIf ...... C!tummuuwtttlt4 uf 'tuu!iylttttuttt.! !i!i:mtt.a4tugtuu C!tuuuty. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid J ,Register for the Probate of Wills and Granting on the 22nd.day of Russell Narino September A.D.19 70,before me, Letters of Adminisrtmtion in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will and Testament of late of AUG U S T Burgettstown, E.REPOLE, in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and JENNIE RAM S E Y, the Executor in said Will and Testament named,having appeared before me and taken and subscribed the oath of office p:rescribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said committing unto J E N N I E her R A Jl.1 S E Y, the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring her to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety days from the date hereof,and to r,ender a just and true account of said administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this 22nd. day of S e pte m b e r in the year of our Lord one thousand nine hundred and s eve n t y. c"J-a.--,L.-<--=<--?>..........................................................dl... Register "\ ,'••1.j !1---- en <!: °-1CL A':.:...........J : ~::::0,.;.-~c.::; !~.:t=\i I ~P::l:~rJ)1;:~Ef:iI f:ili N ~H 0: t a II.0 lI1i~0 p..,.....UJ r±lts:t I-P::~«a l-•(JJ P::lUJ ts:t E-i~rJ)~§=~p ~~ ,.. ,'..::...,---;- -:.".., _..J "" r;AST"WILL AND TESTAMENT I,AUGUST E.REPOLE,of 26 Mail1 street,BurgettstOwn, Washington County,Pennsylvania,being of sound mind,memory and understanding,do hereby make,publish and declare this to be my J..Iast Will and Testament,in manner and :form follo'wing,hereby revoking and making void any and all wills by me at any time heretofore made. FIRST:I direct that all of my just debts and funeral I expenses be paid as soon as convenient after my decease. SECOND:I give,devise and bequeath the real estate and business known as The Easy Pickints Drive-In located at the intersection of Route 18 and Route 22 in Hanover Township, Washington County,Pennsylvania,to my nephew,BERNARD RAlI.ISEY,. subj ect,however,to the unders ta,nding that regardless o.f the· age that he will be at the time of my death that for a two-year period thereafter the business and property will be subject to the control of his mother,JENNIE RAMSEY. THIRD:I give,devise and bequeath to MARY S.REPOLE any interest which I have or will acquire in the buildings and property known as 69 Main Street and 72 Main Street,.Burgettstown, Washington County,Pennsylvania,including the parking lot located across the street;together with all the business,fixtures,in- ventory and accounts receivable known as Repole's Department Store, including the business,fixtures,inventory and accounts receivable of the Appliance Store. FOURTH:All the rest,residue and remainder of my estate,I ;ive,devise and bequeath to my following named brothers and sisters:MARY REPOLE,ELIZABETH IANNETTI,CU1IR REPOLE, JAMES REPOLE,JENNIE RAMSEY and JOSEPHINE GILLELAND,share and share alike. ,1_••-.' 'l> • FIFTH:r do hereby nominate and appoint my sister, -JENNIE RAMSEY,to act as Executrix-of this,my Last Will and Testament,and.to serve w~thout bond. IN WITNESS WHEREOF,I,AUGTJST Eo REPOLE,the Testator, have to this,my Will,written on two sheets of paper,set my hand and seal this /V-~day of (!1,.~~f.id-r,",;,),1969.t ! named AUGUST Eo REPOLE,Tes~ator,as and for his Last Will and Testament,in the presence of us,who,at his request and in his presence,and in the presence of each other,have hereunto sub- I scribed our names as witnesses thereto. (p ~?b-9~? Affibauit ®f ?Exerutor (@r i\bministratnr ~lalr of Jruu5g1uauia,t 5S: C!1l1uuly of lIa5~iu!llou \ Personally before me,the undersigned authority,a N.o.t.ar.y.P..ub.li.c.in and for said County and State,appeared ~.~.tU:{l~B.AM.~~.x who,being duly sworn according'to law,deposes and says that S he is the executor or ~iXOO;I:KOO-of the estate of .A.U.GU.ST.E .RE.:eO'LE deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of .AI1.G.US.~E EEP,.OLE , 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 Executor .K~mr. Sworn and subscribed before me this ??..~.e.l day of..7!r!~~Y......~....;:;;,J';..:·J9·1·+...·J ..... .........,~11£.£:/.~. .DAR~ENE NICHOLAS"''''''ADDITIONAL INSTRUCTIONSNotar~PUOIIC.1Iasb,nglon.Washj!\!rt~.c6'•.. 1.Apc~l1l\itl!l,t\Qrfxj1i\W~tJa~,h~<t9Y21thm t~ree ~on.ths ~fter appomt~ent of person~l.representatIve. 2.A supplemental mventory must be fIled wIthm 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 lhtuentnry anb .Appraisement of the goods and chattels,rights and credits which were of A.y.gy..~.t ~..~B.~p..Q.1~Jate of ;I?.y.;r.g.~.~.~.~.~.2~n . Washington County,Pa.,taken and made in conformity with the ab(T()e affidavit. J DOLLARS CENTS .15 acre of ground upon which is erected a one story frame building located at the intersection of Routes 18 and 22 in the Village of Florence,Washington County, Pennsylvania,being the same tract of land conveyed from J.A.Mendenhall,et ux.,to August E.Repole,by deed dated November 16,1965 and recorded in the Recorder's Office of Washington County,Pennsylvania,in Deed Book 1222,page 602.12,500 00 Various equipment located in real estate hereinabove described 3,000 00 1966 automobile,being a Mercury Sedan 500 00 ll16,000.00 ~!t'c .J,,(1 at:•tilt IL4 ,~f -~~t --'. "l.•.Jl.f I I."~I•__.••r ,.,. ,- THE FIRST AND FINAL ACCOUNT of Jennie Ramsey,Executrix '> II~,I ljl of the Estate of August E.Repole,deceased,of Burgettstown, Washington County,Pennsylvania. 'I i As Per Inventory $16,000.00 • II II I I I I I' II II II 1 TOTAL ASSETS OF ESTATE II TOTAL AMOUNT OF CREDITS CLAIMED BY ACCOUNTANT 16,000.00 II 'I.I12,733.Lt9 t- BALANCE DUE $3,266.51 tf'., I II II, I ·"'-- THE FIRST AND FINAL ACCOUNT of Jennie Ramsey,Executrix of the Estate of August E.Repo1e,deceased,of Burgettstown, Washington County,Pennsylvania. The Accountant claims credits out of the assets of said i 1 II II, I estate,to-wit: PAYEE DESCRIPTION AMOUNT Newspapers Supplies Supplies Supplies Services rendered Balance on machinery Newspapers Funeral expenses Last illness Refrigerator Newspapers Attorney's fee Short certificate Letters of Administration Advertising Advertising Filing inventory Filing account Transferring title Notaries Fairmonts Foods Fairmonts Foods II F1avoripe ICo. 1 Abelson Weirton Wholesale Ohio Steak Harmony Dairy Washington Foods Waldman ~I!.Pittsburgh Seafood Wheeling Coffee M.J.Laughery John Grove Albert Packing 1\Wi 1kensburg BankIIMellonNationalBank / .'1 of Burgettstown Nick Iannetti!De11aris Sales Co11 Tire Mellon National Bank i of Wi1kensburgIiGeorgeRatkovich I I Nick Iannetti,Jr. Westminster Church Burgettstown Enterprise '1 Hobbs DairyF1avoripeCo. 1 Mahoney and Raider I National Equip.Servo C.I.C.Leasing Co. A1 Steele Lee Funeral Home Dr.M.Cohen., Fairmont Food McDonald Record George K.Hanna Register of Wills Register of Wills I Washington Co.Reports I:Burgettstown EnterpriseIRegisterofWills .1 1,Register of Wills Pa.Dept.of Revenue Darlene NicholasI r,I I, I I. II Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Supplies Loan Loan Loan Repairs on vehicle Tires for vehicle Loan Garbage collection Services rendered $356.10 672.48 269.10 167.00 148.11 408.00 71.34 89,.52 127.22 165.41 100.50 35.48 242.39 104.80 246.03 2,467.98 400.00 89.92 69.11 1,194.95 137.00 75.00 100.00 99.00 97.66 107.43 72.90 32.17- 344.50 1,974.47 1,603.00 100.00 638.00 33.00 775.00 1.00 11.00 14.00 9.00 12.50 16.00 14.00 ___---!-7 .00 $12,733.49 sSG ~...,.:~ (\4;.1 I \"-..lYE NOTICE I El')TP'uf August E.Re- pole ~"''e2.,'3ed,late of Bur- gettstoVl-n,Was h i n g~to n I County,P~nna. Lett e ia Testamentary upon the above estate hav- ing been granted to the undersigned,not ice is hereby given to those in- debted thereto to make im- mediate payment,and to those having claim s or de- mands to present them for settlement. Jennie Ramsey Burgettstown,Pa. George K.Hanna,Attorney 421 Washngton Trust Bldg. Washington,PaD 15301 J-6,13,20 '._--- PlWOF OF PUBLICATION ---(0)..--- State of,Pennsylvania County of Washington I,_::Y.gs:J:L~~9..~P..R:r.g ,,publisher of THE BURGETTSTOWN ENTERPRISE,a weekly newspaper published in the Borough of Burgettstown,' County of Washington,State of PennSylvania,hereby certify that the annexed ad- A.ftepible Est. vertisemenll _was published in said newspaper for three 6th ................_consecutive weeks,commencing on the _ _.. January 71 .20thdayof_,_19 and concludmg on the ~~_day of January 71............_,19 _.~. ........__ ,Publisher T"7i'oworn '"and "'b7"'"me 'IUs 2ls..t day 01 •..•_._••.••.•_.L~.ro.lll1'.Y 19....__._.{k.~.r~ (lD'H~RU f'''~~~1~~~=1\\c, My ....BURu i N COUl'll'{.commISSion expires 1it.Si\\NG.•U\1 ¥lif.t 191i.........19 .. ,.,'f COMMISSiON EXPIRES .' Washington County Reports- X~S~~J<lX5"MSB~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 WASHINGTON) STATE 01'PENNSYLVANIA (SS. Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,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 COVNTY 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: .....S.e.p.t.emher.24..,.1.910 . October 1 8 1970.................................!..,. that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice/Qr a;!'vertising and that ~~the allega,ti'6n~f /l this affidavit as to the time,plactfa~al,chara5ter PJ the pu?q~a;;on ar0r\:l~·'./_'., /.•.;"....,,/(;?;\."I./I/L,../LV /,/,A , Sworn to and subscribed before c:=·..::..·:::....·..·:·~·~=·~-;·:'..~;·=·....·'·Edii;;-. ........~.~.~day of...Q~.t.Q.b.g.r.,1%119. hJ.~s:U!A<i:;,p~ JOSEPHINE T.SCIAMANNA Nota'y Fubiic.Wdshlreton.Washington Co. My Commission Expires July 1,1974 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. ••••••••••••••••• rREPOLE.AUGUST E.,Dec'd Late of Burgettstown Wash·tCounty,Penna..mg on tExecutrix:Jennie Ramsey Burgettsown.Penna.' -Attorney:George K HaWashingtonTrustBldg'WanShn.a't421Penna..,mg on, ,~-._~-_..----~---.J 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 §.DJL verily believe, Sworn and subscribed before me this }.?~!: day of _c!.~.~.Y.19..}.~. ~, ~, .............~. DARLE-NE NICHOLAS ~oiary PUDlic,Wasbinglo"n,Washington Co, My CommiSSIOn bj)jr~s January 17,1972 Warshington County,ss: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 evidenced by proofs the'eoffiled to No.i:z3:::1J:::_33.0:A +0- Wltne ,s my hand and offiCial 'seal th,s..3~",..., day oL...&-""...~~:'~::1ji;;1L~::-:__::::::::::_:::~ Register of Wills ...,...;j Q000Q) <::>1 ..c:......,0 0'1 ...,.!ol...Q)~6 0 ~'8iE N ~:0 t:~f;tl 't:l~oj ~d 6l-oJ ..., .~.~rn "...,'bi>oj Q)~0 Q)S ~...,..c:...~...,q:::0 __ ~N't:l .;lYf~.,.;<l1 .-i ;~~'l ,,, 'i I'I ..•..,"'\,.,)..,..'".~:i'JO ,...-1 '\.,1/1 j}r-.....l .. I '...:'~,c)I 1 .(':'I{L f S .,l.-I,'...1;~i w I,~'"I ,,I C''.11 'I '.•0 "\,_ r'I\\.".j i.'.;t,.;/(..'0..PA. ;'i I.:ll'~..,I , ...0..., ~;j s-t 0<.J<.J<l1 ~W~0 ""P-.:>i \i 0 w w f;tl 0:::(/) "1;)1 Eo<:8<l1 ~ti Eo<WUJ.f;tl E-t W \j (/)H "y 0 Z~Z0W~,et:I-;) ciZ •.. •I• ....'...')~'.......,. -..... '" j ...,. .... • - (" / "- .',," The Court is respectfu Ily requested to determine proper distribution iJn this estate. 3Jn tqr ®rpqunB f <tlaurt af lIuBqtngtan <tlnunty In the matter of the Audit of Account in J AUGUST E.REPOLEEstateof~__------------I TO THE AUDITING JUDGE: No.927,of 1970 ,19__,A.A. Enter ID--"-y ,appearance for_--=.;A:..:c::..c:::..=o~U=n=-=-=t~a=n=-=-=t:...-_ 15th day of September ,19--1..1 N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of any interest claimed.Objections to an account as filed,s hall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. Pl!IZ /4 In re Audit of Account in Estate of .~.)...-[,')r~,",~ I ..t....j • '7/Ocr 6 No.927 .of 1970 .19__•A.A. RUS,~,:"L l/,,;.iNO nEG /0 rEi,(){-'i.'IL LS VIAS/1/NC.TON co..PA. AUGUST E.REPOLE AUDIT 'rarripr fur Apprarattrr ImR JENNIE RAMSEY,Accountant Attorney ~.2 J IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA ORPHANS'COURT DIVISION INRE: Estate of AUGUST E.REPOLE, Deceased. ( ) ( ) ( ) ( No.927 of 1970 There are no outstanding debts that I know of and no qu estions for K.Hanna. e HEARING ON AUDIT Number 927 of 1970,the estate of August E.Rep Ie, If the Court please,I have all the necessary pape s. GEORGE K.HANNA,Esq.,of Washington,Pa., representing the Accountant. The Honorable P.VINCENT MARINO,Judge of the said Court. Thursday,September 16,1971,at 10:00 o'clock A.M.,EDST. Mr.Hanna? The Executrix is Jennie Ramsey and the attorney is Geodeceased. «Z«>...>-UI Z~BEFORE:II. ioI-lJZi~APPEARANCES: .,: !:!II:I-UI~TIME:«§ D :J., :tl:- N THE COURT: iiiII: }: II:oII. IIIII: l-ll::Joo 'VIR.HANNA:...«UiL...o adjudication.'The only note is that the mother of the decedent has contributed the cash to keep the assets intact. THE COURT:Is there anyone else in Court interested in this decedent's estate? (NO RESPONSE) THE COURT:The audit of this account is ordered closed by the Court. (A UDIT CLOSED) Ey tb<..;t:ourt.. :!:z~I berch;carW'y tbot too [:ti'O~C,-dUlJO oed (H11dCt!UC.01'(;contni 0:;,1 .J>-UI ~fully and occsrntoly to tb~noteo tnt:4lQ by 01:..,;00 tb<:,.-i.H~ll'loj of tnt;o;"'ov;;.. 11/0.. Ze COUD~.o.ntStbot tbio C'ipy 1IJ 0,...Cl'I'<U~t CroODert!.'t -:Jl the c.omo. Clz i UI0( ~ ..=uiiiI-UI a .J0( U C:J., :I:I::ClI ui II:1:1I-~t.IO nb:lve ...o.I1DO in bore-by oppr,~vcd ned uirodcd to be U~<'l(j. 11/II: l-ll: :JoU .J0( Uii:...o .. ...-..:-#,,,:;----,,J In t4t Qtnurt nf Qtnmutnn Jltus nf lIusl1ingtnn Qtnunty. Jrnnsylttnniu.®rpl1uns'Qtnurt Dittistnlt ESTATE OF August E.Repole deceased No.__6.;:;;.3_-7-'-O_-_9:.-2-'.7 _ In the matterofthe First and Final Account of Jennie Ramsey EXl"cutrix ADJUDICATION AND DECREE And now October ,19~,this matter came on for hearing, audit and distribution at this session and testimon taken;and thereupon,upon due consideration thereof the balance for distribution in the hands of the Accountant is determined to be $2,300 .93 and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDULE OF DISTRIBUTION Balance per account__B._s_c_o_r_r_e_c_t_e_d _ Balance:_ Deduct Clerk's Costs &Receipts _ At'tomey George K.Hanna Russell Marino,Cl~rk O.C.,costs in certifying real e state to Recorder, Recorder of Deeds of Washington County,costs recording certification of real estate, 1$.00 Contribution to maintain assets of estate in kind,- Russell M8rino,Agent,transfer inheritance tax,!340.94 I $1,933.49~!'l(!)J./97ji:Q.~410.7'1 .~66.c;l~~ $1$,$60-.00 . ! Bernard Ramsey,nephew,specific bequest in I kind of real e sta.te as hereinbelow deseribed,bdevisedunderthetermsofthewill,and I including equipment,held in kind and distribute as such at the appraised value,00.00 I No balance REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF vI SHINGTO COUNTY BY 'IRE CLERK OF THE ORPHANS'COURT DIV SION August E.Repole,devisor,to Bernard Ramsey,de isee un er the terms of the will of 811 the right,title and in erest 0 the devisor in and to parcel of real e state describe as,VI : /". 0 ~-t;' i :J Z n -+~ 0 :r v-+t c (1) ~(1)a 3 0 0 0 _t --.... ~ ....(1) ~ .., t .-+ 0 _t -+- ~ .... := :r N (1) ~~ S~§ \r -~-..' ,",,, I),;;""--.. 0.15 acre of ground upon which is erected a 0 frame building located at the intersection of and 22 in the Village of Florence,Washington Pennsylvania,being the same tract 0 land co from J.A.Mendenhall,et ux.,to August E.R by deed dated November 16,1965 and ecorded Recorder's Office of Washington Count,,Penns in Deed Book 1222,page 602. e story Routes 18 County, veyed pole, n the Ivania, CERTIFIED TO qECORDEq:OC OBER 18 1971. "•"f.., No._ ;. Irl 1-r":~.,. , In the matterof the Account of of Estate of J\bjubitntinu nub Itrrtt ']I GCT G PI!17 /4 RL::;,:;,:I .\i.O f\EGIS ru\Cf-',,'ILL S \'/ASH i;:'"rf"\'!(0..PA. -1 ~\~«)~ ~a IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA. IN RE:) ) ESTATE OF ) )NO.927 of 1970 AUGUST E.REPOLE,) ) Deceased.) DESCRIPTION OF REAL ESTATE FOR CERTIFICATION BY THE COURT I.0.15 acre of ground upon which is erected a one story frame building located at the intersection of Routes 18 and 22 in the Village of Florence,Washington County, Pennsylvania,being the same tract of land conveyed from J.A.Mendenhall,et ux.,to August E.Repole, by deed dated November 16,1965 and recorded in the Recorder's Office of Washington County,Pennsylvania, in Deed Book 1222,page 602. ,.,.;b-.A~"I4-~' Form RCC-33 RESIDENT DECEDENT ·..~YID~pl~ COMMONWEALTH OF PENNSYLVANIA 1l~1Il DEPARTMENT OF REVENUE ~ BUREAU OF COUNTY COLLECTIONS COUNTY O~ASHINGTbN;'" ] IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted hy the Secretary of Revenue.(Section 703 of t~e,Inheritance_.an!iE,st;ateTax Act of 1961.) AUGUST;:~:::~~:~:OO:;~~OF ··c··o,u~~'t~lx:x:x:xD:X:'X:X~XOX:R Late .r ---WashIiigtoii----------J State of ....."'pennsYiv'an'f~i""'u,uuuuuu,uu,uuu"""""",,,,:,}ss: County of ..Wash.irt.gt6fi u u uu . AdministratorXXXXXX Executor DecedentdJedAugustuu"30i/f~~'tj,;"(lillY)'19~~i"{~~:::::t~eaVing a last will,copy of which is hereto attached.} o t herNaam:t:::i ::;r::~r:fs e:ttt::~::::t,()r geK~Hanna;;::~:~421·Washlhg·t()hTrustBtilTdIrtg whom all cor respondence should be ...uuu.uuu.u..u.u.u.u.. mailed.,ashington,Pennsylvania That as such deponent is familiar with the affairs of said estate and the property con-ExeIG~!l)t>l?4l){ini8trator) 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 foliowing:1-- i 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 \/Mellon Nat10nal Bank &Tnust Co.fil:ros.KOS 1e Kepole t·l pther Burgettstown,Pennsylvania 1"1,~ry Kepole S ster A~gust E.Repole 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:~E~---- That Schedule A attached hereto and made part hereof sets forth full v and in'detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether indiVidually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute or agreement they are designated as tax free,of the United States,or any state,or political subdivision thereo~or of any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic- tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left by decedent,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 ~t 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 cQPY 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 instrument creating such power attached to the schedule. That Schedule 0 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 show~_ng 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 unpaid at time of '\.death;taxes accrued charge.able for period prior to decedent's death (except.those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or 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. Subscribed and sworn to before me thiE2 9th · ...............................................day of ..JulY 7\9 . /s/Darlene Nicholas (SEAL)··..···..··..··· ·..···..·····DARLEN·i·N·icHOLAs······...... . 'lotary Puolic,Wasbington.Washington CO. M,c;"i"Ii"SSIlJI1 billies January 17,1972 .........../s.l..J.e.nnie Ramse.y . (Executor-Administrator) (Street Number) B\ir·gEftAA~owrT~ll·b:~..·s~;)·........·..·····..·......·..·..........· 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. 0'0RCC-34 (1-64)• COMMONWEAL:TH OF PENNSYLVANIA DEPARTME'Wf OF REVENUE ~~REAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "'A" REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E"0 Property hf'ld by the de.cedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commo['lwealth of Pennsylvania should be described by lot and block number,street and street number,together wi th 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,acciued Interest on mortgages,etc.,are to be listed on Schedule "F"and must not be deducted from this schedule. (1)(2)(3\/ DEPARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTIONDECEDENT'S MARKET VALUE (00 not write DEATH In this spoce) 0.15 acre of ground upon which is erected a one story frame building located at the intersection of Routes 18 and 22 in the Village of Florence,Washington County, Pennsylvania,being teh same tract of land conveyed from J.A.Mendenhall,et ux., to August E.Repo1e,by deed dated November 16,1965 and recorded in the Recorder's Office of Washington County,Pennsylvania, in Deed BOO~1222,page·602. ~~eY ~#~ Insert this total opposite "real property",Schedule "A"in the X X X X X "As Reported"column on the last page of thi s return. o,Ji:Jt·/.. 12,500.00 RCC-35 COM¥O~WEALTH,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".Intarigible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and fUrnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,.. stocks,'mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Item No. ITEM List and describe fUlly Various equipment located in real estate hereinbefore described 1966 Mercury Sedan automobile UNIT VALUE ESTIMATED MARKEl'VALUE {J,K.j·!. 3,000.00 ()\};J,.t. 11"500.00 DEPARTMENT VALUATION (Do not write in this space) 4-CKJO.OD ~co.()O Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return. RCC-36 COmllt\"\i?\LTIl OF PF.\'NSYLV..\NI.\ ,.r'lL\~~FFH.INHERITANCE TAX lmsIDEXT DECEDENT SCHEDULE II C" TRA~SFEnS (1)Did decedent,within two years of death,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)No (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)_..,N...o",-__ (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 heal th at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)No (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?------(5)Did decedent in his lifetime make any transf'er without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)No (b)The right to designate the persons who y~all possess or enjoy the property transferred or income therefrom?(Answer yes or no)~_O _ (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others -,--_ (7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor?(Answer yes or no)-l~{~oJ----- (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserven 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)_~~uI~OL-_ (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in th~decedent alone or the decedent and others? (Answer yes or no)_ NOTE 1:The answers to these questions should be supported by affidavit by the attenriing physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the prcperty transferred,it's fair market value at date of death,dates of transfers and to whom transferretl,with relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if tra.ns- 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)DF..PT.VALUATION ())ppt.Only) i I__---1 --'--"".- . Insert this tnt:t.l opposite "Transfers",Schedule "C"in the "As Reporterl"column on the last page of this return. C.~M.\lil'l\VF \1-TII UF l'ENNSYLVANI,\ v/~;\:-;~;Vlt IXHl~lU'L\NrE TA~ m'~lnFXT PECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I:'i~rRlTTI()~S:This scherlule 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 \UHler 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-<1wners to the decedent. Descriptio;of'Prope;ty,Date of'Acquisition,N-~me-!unit perce~tag:l---E;tateI Address and Relationship of'Co-Owners,and Place ;Value Share Valuation I of'Record of Instrument,where~Rea!~state.__\__....1____ DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of' Entire Decedent's Property Interest 12-64 7-65 11-65 11-66 1 - 1 1 1 1 1 1 1 1 1 1 1 $75.00 -7-66 $200.00 $200.00 $200.00 $200.00 $75.00 7-65 $75.00 -11-65 $75.00 -12-66 $200.00 1-65 $200.00 8-65 $200.00 12-65 $200.00 12-66 65.73 ~0:8 185.20 f"S 7J.-O 181.36 /c/?h177.20 lb·0 171.44 J'11·~_9 68.01///</'T 66.45 ~!.01 64.32 '45. 185.20 &~fJ ;;lJ 181.36 /z -179.12 /f0:.;l 0 171.52 /g-/.3t (11./2..- /7!~J- Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of'this return. II ,I I I,I Ii i III IIIi!!i L I~---JJ RCC-38•. COMMONWEALTH OF PENNSYLVANIA rnANSFFR INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY HiSTRl'CTIOKS:This schedule must disclose all property,real and personal,owned by the decedent jointly with another or others,including intangibles,standing in the name or the decedent and others.List real estate rirst,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place or record or instrument erfecting vestiture,but do not include entireties or out or state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date or acquisition,and the name,address and relationship (ir any)or co-owners to the decedent. Description or Property,Date or Acquisition,Name I Unit Address and Relationship or Co-Owners,and Place I Valup. or Record of Instrument,where Real Estate.! percentage Estate Share Valuation DEPARTMENT VALUATION CAUTJON-D0 not Write In This Space. Value of Value of Entire Decedent's Property Interest 42 shares People's Drug~tores,Inc. 7-8-59;1-26-62;4-27-65 Rosie Repo1e,mo~~er,Burgettstown, Pa.It>0;0 2 shares Walt Disney Productions 11-25-57;10-27-67 Clair C.Repo1e,~,brotper Burgettstown,Pa.150/6 19.12 1/2 8S3.c 5 bY'211-' 105.18 210 ..,6 D.~·~·t. Mother 6.j(.,~i1 ,2 41 .211 -$1,000.00 -4-56 G%1 -$1,000.00 -1-61 K3IJ.1,076.00 1-$1,000.00 3-59 ()..1,164.8:)-o/<·11 1-1 ,203.2)1 -$1,000.00 -1-58 1 -$1,000.00 -11-60 o.iAdtt 1,096.40 2 -$500.00 -10-59 iJ,k~L1,138.4') u.S.Savings Bonds,Series liE", Mrs.Rose Repo1e or August E.Repo1~ u.S.Savings Bonds,Series "Ell, A.E.Repo1e or Mrs.Rosie Repo1e, Mother 2 -$50.00 -9-61 i1 -$100.00 -9-61 Go~'-f.l 1 -$25.00 -10-61 1C.,\,lI.d J.:1 -$75.00 -5-66 u~ 1 -$200.00 -5-66 U.S.Savings Bonds,Series "E", August E.Repo1e or Miss Mary S.Repo1e, sister 106.48 106.118 26.62 65.7') 175.2) Jot.£jt IcJ (;.r.(i' ~(,.G;L bOo '}6 /JS.~c) 1 -$75.00 -12-64 I 69.45 1 -$75.00 -8-65 68.OJ. 1 -$75.00 -12-65 67.17 1 -$75.00 -11-66 ,[ojo 64.2') 1 -$200.00 -10-64 18lL rID 2 -$200.00 -3-65 361.9P 1 -$200.00 -9-65 b'~,177.2D 1 -$200.00 -6-66 175.2~ 1 -$200.00 -5-67 dlt.J 1670711 -$75.00 -1-65 69.4, 1 -$75.00 -9-65 66.4 1 -$75.00 -6-66 65.7 . 1 -$75.00 -5-67 62.9 1 -$200.00 -11-64 i 184.8p 1 -$200.00 -6-65 181.3~ 1 -$200.00 -10-65 177.2)', 1 -$200.00 -7~66 175.2 A 1 -$75.00 -6-65 68.0 1 -$75.00 -10-65 66.4) (con't) Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page or this return. fo91S ~rr 0/ ~1 (7 b i.;;'f /1''-1-<"CD 3(,/-9;2 117;;)..6 I/1~,;<<f /(,f.~ I (p q,. (p16 ~5 t~25;),C// /(4,%,0 /r1-3-£,7.0//77-2-0 b£.~17 :~.;?1"" - RCC-37 .(12-63) rOl\fl\tO~WE.~LTH 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 Bernard Ramsey,Bgt.,Pa.Nephew Yes 8-25-50 All real estate and ~usTness Mary Repole,Bgt.,Pa.Sister Yes Sui Juris ResIduary interest ~l1.zat>etn .lanne't't1.,Bgt.,~J.S1ier res o::>u~tJ ur~s ''''''''''~J ..LH"C'~-C'i:)"-Clair Repole,t>a..Brother Yes Sui Juris Residuary interestBgt.,a. James Repole,Bgt.,Pa.Brother Yes Su1.Jur1.s ReS1.auary J.n-cereSl; Jennie Ramsey,Bgt.,Pa.Sister Yes Sui Juris Residuary interest Josephine Gilleland,~~t.Sister Yes Sui Juris Residuary interest J,a-. ( 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 Will Administration --_.--._- (No, ~THE Year (Executor-Administrator must complete "As Reported"column #1.) o~,:'"0-...,,(l),...,o : ,::.0 ...,(l)~:~:~~;::.0 ,':'1 ~""1><0::.0 '"0 't:l0"',;...,(l)ro ,i.g~_.,(l) L·J "...,til ...S"'<...(l) ~ AUGUST E.REPOLE, Deceased Late of Burgettstown................................ Commonwealth of Pennsylvania County of Washington KW\~?" U'lc:~~>~ U'l U'l -<:n n?'"?'" REPORT AND APPRAISAL ...n oj ;.> ;::;::;:: ~~-oo~~~ .Vd •.());;(:r.fI It S11.\ STi P \:!rl ','~·.r :.[):2 j {)'::'::'.',:.'::-;;'1 ',\)i ~~ ~: ~: '~..5l.>;: ,: ~:".'~' .~ ~'..~ \~t"--•",-"'-J,>,fA'til .:...).(J\.~;~::,.g ::::.(}S;- •~.~~ ";(1 :.~........... ~~-oo~_~l,'" J t H.,J "v_"'1 I l.!.l , .Ii._.. ~. ,,~~. .~. ,~. tJ. --:~. .~ .~ ;1 ,~,~,;; Cj'N;'~,C1I1:_':~r;tv '"'-'-3,~~~" Form RC ColO I!''"v OFFICE 6F THE "REGISTER OF WILLS WashingtonOF COUNTY AND AGENT OF THE COMMONWIiALTH STATEMENT OF DEBTS AND DEDUCTIONS 'H''OM o~~o:s~~'~f~~1 DATE APPROVED /()-)......-1//LAl ~;::;;l -- Regi.ter of Will.,A,~.. ESTATE OF A_U_G_U_S_T_E_._R_E_P_O_L_E__LATE OF Burgettstown DATE OF FILING APPRAISEMENT DATli OF DEATH _-..:..:A=u~gt..:u:.=s:...=t:...-.3.t.:.0=-...L'....;1=.,9"-!-7.::,0 _ DATE NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCHIIiOJIt 10-170 Fairmont Food Supplies 35f .10 lO-tTO Fairmont Food Supplies 67~.48 12-70 Flavoripe Supplies 26S .10 12-70 Abelson Supplies 16 r .00 9-8"'70 Weirton Wholesale Supplies 14~.11 12-170 Ohio Steak Supplies 40f .00 9-4 70 Harmony Dairy Supplies 7J .34 11-0-70 Washington Foods Supplies 8~.52 9-4 1-70 Waldman Supplies 12":.22 9-4~70 Pittsburgh Seafood Supplies 16~.41 11-~-70 Wheeling Coffee Supplies 10C .50 9-1l-70 M.J.Laughery Supplies 3'.48 12-10 John Grove Supplies 24~.39 9-1~-70 Albert Packing Supplies 10 .80 9-7P \'li1kensburg Bank Loan 24~.03 10-~-70 Mellon Bank of Burgettstown Loan 2,46i .98 10-~-70 Nick lannetti Loan 40c .00 10-18-70 De1laria Sales Repairs on vehicle 8~.92 10-~-70 Col1 Tire Tires for Vehicle 6c .11 1.l9J I 11-1l2-7C Mellon Bank of Wi1kensburg Loan .95 11-1l2-7C Geor~e Ratkovich Garbage collection 13'.00 10-113-7C Nick lanetti,Jr.Services rendered 7t .00 11-127-7C Westminster Church 10C .00 1-215-71 Burgettstown Enterprise Newspapers 9S .00 1-51-71 Hobbs Dairy Supplies 91 .66 1-5"'71 F1avoripe Co.Supplies 10i .43 (con't) DAY 01"SWOIlN AND SUF;SCRIBED BEFORE ME THIS 28th~~b;18--I1 DARLENE NICHOLAS Notary Puohe.Viastlmgton.Washington Co. My Commission Expires January 17,1972 INHERITANCE TAX PURPOSES. COMMONWEALTH OF PENNSYLVANIA COUNTY OF WashingtonJennieHeJlls ey I.-----------------HEREBY CERTIFY.THAT.TO THE BEGT OF MY KNOWLe:OGE AND BELIEF,THe:FOREGOING IS A JUSAtt~iS'tYEEB.rA'ft~FUNERAL EXPENSES AND EXPENSU OF ADMINISTRATION_SUElMITTED TO THE ESTATE OF ~'---,I-------~ Form RC C·lO DEDUCTIONS ALLOWED IN OF __W=a:;:;s=h::..:i::;.:n~gL...:=t...:;o=n=--_COUNTY ," ',,-...~. "bFFICE ~F THE ~REGISTER OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF $.. DATE APPROVED . AND AGENT OF THE COMMONWEALTH Register of Wills,Age"! ESTATE OF --=A~U:::..G=-U=S.::.T--=E:...:.--=.R.:::E,,-=P:...:O::..=L=.:E=-__LATE OF --:B::..:u::::r....g::>,;e:::...t::..t::..s=...=,t.::,o.;.:.w,:.:n:....-_ DATE OF FILING APPRAISEMENT OATS OF DEATH August 30,1970 DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHSiIt ?-11:;.71 Mahonev and Raider Sunnlies 72 .90 2-15-'1 National Equipment Services rendered 32 .17 ?-11:;-'"C I.C.Leasin~Co.Balance on machiner:v ~44 .50 7-9-7 Al Steele Newspapers 1,974.47 10-8-'1 Lee Funeral Home Funeral expenses 1,603 .00 10-8-'1 Dr.M.Cohen Last illness 100 .00 Fairmont Foods Refrigerator 638 .00 McDonald Record Newspapers 33 .00 I George K.Hanna Attorney's fee 775 .00 R~171!=\teI"of'W-t'1R Short certificate 1 00 RAlZ'iFltAI"of'Wills Letters 11 00 ~1l:lqh1 :v Renorts Advertisina estate 14 00JL BurRettstown Enterprise Advertising estate 9.00 RAQ'igtAI"of'Wills Fi1in~inventorY 12 .50 He(:ti~tAl"nf'to,.."q Wi''1 nO'g lh 00 Pal Dept.of Revenue Transferring title 14 .00 T'la....'A.,.,A N1nhn1~R Nnt:~l"V f'~A 7 nn ~ I "", \116"'-,~7~~1 COMMONWEALTH OF PENNSYLVANIA }ss:~-./ COUNTY OF I.HEREBY CERTIFY.THAT.TO T E BEOT OF IIoIY kNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXP 59 0 .. ADMINISTRATION SUBMITTED TO THE ESTATE OF DECEASED.AS DEDUCTIONS>FOR INHERITANCE TAX PURPOSES. (I..S.) SWORN AND SUBSCRIBED BEFORE ME THIS DAY OP' 18 __ 38-104-7Docket)Deceased Repo1e,August E. IN THE ORPHANS'COURT OF WASHINGTON~OUNTY.PENNA. )Dat.01 d.ath ~70 ,...70 \No,__927 of 1970 Term,19__,A.A. i In the matter of :bhe Audit of Account filed in the Estate of TO THE AUDITING JUDGE: Enter my ,appearance for the Commonweal'th of Pennsyhllania,claiming tNlnsfer inheritance tax in the above estate,as follows: ~:'appraised Vialue of Estate:Realty $p_J_~_--.:./.....:tUJ=---=--. _ Yj"-eJ.-()rH/Personalty _$_ Additional Assets per Account,Subject to Tax _$_ AddItionaJ Assets per Audit,Subject to 11ax -$ GROSS VALUE ____$~/_~-'--"<.(JAJ)J__~,...::...~----=__._ CR. Debts and Expenses per Account;see Note Additional Debts and Expenses per Audit ) I ) $---_._-- $------_. $------- $------- $--------$----------_..__._---- $-- TOTAL DEDUCTIONS,$ ..__. _ ------ ----$,_~YOt9'-[, $_1_LtV r 2..~ ) CALCULATION 10 (JJ'f), Gross V8ilue . Less Deductions __-n .:....7_v~7/i~O_l_7__----_.I Clear VaJue __.. Tax·) able at 2% Less amount previously pa1id __--..$ Balance :$-3--¥f1~t!L- Interest__yrs.__mQs.__days @ __%-$....._ TOTAL TAX AND I~REST DUE 'Q;::;'~~~ 'fc9..3l/0.9'/ Ig~J:1971 Total Tax __.._.. $------- $--_._-- $------ $-------- $--_._--- The following credits claimed in the Account are held not deductible 'as against the tax: -/'Vl{f,&-- TAX PAID ON ACCOUNT " -1-10t I U'£"7' -~4it~t~) No.,Tenn,19 __,A.A. ESTATE OF Deceased PRAECIPE FOR APPEARANCE FOR COMMONWEALTH OF PENNSYLVANIA ~5 •• RCC-81 (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT JENNIE RAMSY (Executor ~mm IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division 38-104-7 J In Re:Estate of A_U_G_US_T_E--,--o_R_E_P_°--'-L_E _ __W_A_S_H_I_N_G_T_O_N__County -File No.63-70-927 Dear Miss Ramsey, You are hereby noti fi ed that the:-==:===-=o,::.r-=i=-=g~i;-:::n::==a::,,:1,,=-_ appraisement in the estate of .AUGUST Eo REOPLE has been filed in t~e office of the Regjster of Wills of WASHINGTON County on September 20 ,19-'?1,Said appraisement reflects the following valuations: Real Estate "",1",,2CJ.'-"'S~0,-,,0,-,,~~0~0,--_ Persona I Property_----'"'3~,.....5....0....0L.<.L->Q.....QoL------- Transfers =-cc--:::-::--c:--:::-:::-_ J0 inti y Owned __..,.,1=2'-1.,...",S'-"6'-'4'--"0'-'=S=2:....-_ Tota I ------"2!!.!o8'--l,i-->oS'-"6=4'--"0--""S'-!!!2'--_ As to such tax that is paid within three months from dote of death,a five (5%) percent discount is allowable.As to any tax that remains unpaid after nine (9)months (fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive; and twelve months when death occurred prior to December 22,1965)from dote of death, interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by on appraisement may appeal therefrom as provided by law. Dote __S_e---",p_t_e_m_b_e_r_2_0-,,_1_9_7_1_ Title _F_RA_N_C_E_S_L_E_O_,_C_H_I_E_F_A_P_P_RA_I_SE_R_ DATE OF DEATH:August 30,1970 Note:This is not a bi II. SUMMARY RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT .• ..• Estate ofREP OLE (Last Name) AUGUST (First Name) E. (Initial) DATE OF DEATH 8-30-70 FILE NO.63-70-927 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 item in the last column to the right in Schedules "A","B","C",and "E". Daled,September 20,1971 $~~~~ iNHERITANCE TAX APPRAISER ' REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated:_ REGISTER OF WILLS INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE VALUE AS REAPPRAISED $-------+-- 28 564 52 Valuation of life estates or annuities.. . . . . . . . . . . . . . . . . .$t= - ESTATE TAX ASSESSMENTS $. FOR USE OF REGISTER ONLY Tax on $-+-__2% Tax on $-+__6% Tax on $----------+--5% Tax on $--------~--dO%) Tax on $15% Exemptions * Total Estate -\-__ TOTAL TAX COMPUTATION OF TAX $-------+-- $--------+--- $-------+-- $-------+-- $--------1--- $------_..1-_- (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::~:=I==== BALANCE OF INHERITANCE TAX DUE $L Add interest at rate of 6%from _____to $-----~ AMOUNT OF ESTATE TAX ASSESSED $---_~L- Estate tax paid $--JL- BALANCE DUE $---Jl- Add interest at rate of 6%from t= ------ttIO-----$---------l' TOTAL TAX BALANCE $------1 PAID $-l FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will (...No.AdmlOlstration IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF AUGUST E.REPOLE Deceased Late of County of BURGETTSTOWN \vASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ~ ..~ ..' _____1 Fonn RCC-2".'.'.. bEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH ,OF PENNSYLVANIA,,. RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~..~.P.~.~.~P..~.~~.Q..,-J.~..?.+. COUNTY ~~~.~.!~~.~..9.~.. FILE NO §..~.:..?Q.::..~.~.?._. Whereas,AUGUS.T E REP.OLE late of ~.!!~.g.~r.r..~T.9.W..N . in the County of :::~~§.~.~.~.~.~~~:~:Commonwealth of Pennsylvania,having died on the ~.Q.~.h day of A~.g~.~.t 19 7..9,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,f..MN.G.~$~~.9.,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for llfe 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 AppraisementDescriptionofAnetValuesMadeforInheritance Tax Purpo..s $ REALTY: SEE COppy OF SCHEDULE "A"ATTACHED TO APPRAISEMENT 12,500 00 PERSONAL: SEE COPY OF SCHEDULE "Btl ATTACHED TO APPRAISEMENT 3,500 00 JT.HELD: SEE COPY OF SCHEDULE "E"ATTACHED TO APPRAISEMENT 12,564 52 total 28 564 52 '1 'vASHINGTON•......................•..............County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of AUGUST E.REPOLE Deceased. Late of ....a.VRQ~'r'I'~TQWN . Date of Death,~.~.3..O'.~.7.Q .. Appraisement Docket Vol 38OJ . Page,.lQ.4.~.7.No...§.~.::.'?Q::.~.?.7 .. Filed in Register's OfJi.ce,..~.e..P.t..L J9 . Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abo.ut Appraisement, Appeal f1'om Appraisement,. Entered and charged,. ,. .'" R C C-43 (5-65).. NOTE:TO BE SUBMITTED IN TRIPLICATE Pennsylvania Department of Revenue Bureau of County Collections 26 S.4th Street Harrisburg,Pennsylvania Dear Sir: Pursuant to Section 742,Pennsylvania'inheritance and Estate Tax Act of 1961, we herewith submit the following report: NAME OF REPORTING FINANCIAL INSTITUTION MelloD Natlonrd,Ballk I:f'"st COtDPa_v ADDRESS Met"•BcOlQl!G St~•.,B ypaQttBC~PQu ~SQ21ACCOUNTNO.OF JOINT,...'I(.' TRUST OR INVESTMENT DEPOSIT-J'r.J.::3I1:n~t<¥9(1o!8"R-·._--'---'--_ NAMES ON ACCOUNT OR INVESTMENT August E.10;'01&OP Mlss mal')'Su Repele- DECEASED JOINT DEPOSITOR,' TRUSTEE OR INVESTOR Aua8St .So Repel. ADDRESS 12 ttaiA at.11 lurset.tetevQi!Pflo 1$021 DATE OF DEATH _8'=:....,iPoOp;;.n~1¥O-----------_ SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR Ulao He.,So Re'Gle ADDRESS-la ~lQ at.o B~gettetOWftj Pa.l$e21 RELATIONSHIP TO DECEDENT ~s~tHeH1l'W!!I.~."""-_ DATE DEPOSIT OR INVESTMENT WA~ESTABLISHED 11~2.0c:06?,/ BALANCE,INCLUDING INTER~...... DUE,AT DATE OF DEATH $-c=====r"-._--=..zo·=..=......--'--_ !0(;jf ·:.z ~IS <'f;,~'/;;2..<3 tf}6V'.:J~/9la -S-J{A -=-~J (.. RCC-134 11-69)......-. "COMMONWEALTH OF PENNSYLVANIADE~ARTMENTOF REVENUE ~REAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION ,........ OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SU BJ ECT TO ADMINISTRA TION 15021BURGETTSTOWN,PENNSYLVANIA TO:MISS MARY S.REPeLE 12 MAIN STREET Date:SopteJllb$r 9,1970 County t1i\OhibgtOb County File No.JJ:-/o¥-7 Bureau File No.t:,..3 -70"yo?Z We have received notice that ~1tXlUmMmXxxmxXmxxXJXXUXXXXXXXXXXXx.xXXXX on--.AUlNot30 19 ~.l~!Lcame ,into ownership of certain property throughXDS~lC._X!X~ryWD.lJm~tmuator from.AUGUST E.REPlILB,deeeauQd. ,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. The property on which tax is hereby assessed consists of:Jt.Sallk Accoutlt 163-19886,hold in the MELtON NATIONAL DANte II TRUST COMPANY.BURGBTTSTOtm OFFICE,BtJRGETTS'i'OltN, PENNSnVANIA.In the namesot AUCUST B.RBPOLE or MISS MARY B•.mOLE.- Oponod,11.20.61.Belnnce atJot date ot death,$2,496.44. appraised by the Commonwealth,as of the date of death,at $2_,_4_9_6_-_4_4__ 50 %of this amount is taxable at the rate of 15 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT $1,248.22----"------$---.,.----- AMOUNT OF TAX DUE 187.23 D If you pay the above amount within three (3)months of the dateuof death of the decedent,or on or before aO\f.30 19 70 you may deduct a discount of 5%of the amount of tax due,or D 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 *If the tax is not paid by the above date additional interest is due at the rate of 6%per annum until paid /27.f7 RUCTIONS TO TAXPAYERS ASSESSED BY:-:-:-_ (Agent for the Commonwealth) $========TOTAL AMOUNT DUE $ APPRAISED BY:(2,.;. (Inheritance Tax Appr Iser) Make checks or money orders payable to: ~,o/f7;JJ7 p~,///70 fiG-,¢'AIj'Yy''7/ To insure proper credit to your account thiS Official Notice must accompany your payment.Mail or bring it to: 1?lbffl:If A,(,{~ A£:EiH ;iJ raE ','O;;:MDNWEALTH COURT HOiiSE WASHINGTON,PENNA,'530. If you have already paid this tax to an executor,administrator,attorney or other personal representative ~f t,he..... decedent for forwarding to the Commonwealth,list below th~d(H~aid,name and address of the person to whom~you made payment,their official title and 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 retyrn 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) COUNTY Of _ SS: 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__. Signature of Taxpayer REPORT OF REGISTER OF WILLS 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 $--------0 Date of Approval:_ Register of Wills Fonn RCC-2..'".~ DEPA,J.TMENT OF REVENUE B~EAU OF COUNTY COLLECTIONS HARRISBURG,PENNA.17 127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE P~g.E.:mP..l?:r.J.::..?~9..7.9... COUNTY Y.!~.~~.~~~.<?,~. FILE NO•.........§.?:.?~?.~?._.. Whereas,A:ll:g:ll:~~~.~~~.P.~.~.~late of ~.~.g.~.~~.~~?~~. in the County of W.~§.b.~~gn-Commonwealth of Pennsylvania,having died on the .3..Qt..h day of ~.~?~~~19 .?~seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,.¥.f.~.R.~.9..HA..~X ,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit Appral.ementDescriptionofAlletValue.Made for Inheritance Tax Purposes $ Jt.Bank Account #63-19886,held in the MELLON NATIONAL BANK & TRUST COr{PANY.BURGETTSTO~lN OFFICE.BURGETTSTOvn~.PENNSYLVANIA.In the names of AUGUST E.REPOLE OR HISS MARY S.REPOLE.Opened 11-20-67 Balance as of date of death.$2.496.44.2.Lg6 LIL I .- (Number and Street)...U ...c~-;:··oiii~~·i····,Penna. -~. ........J'f~1:)h:L.f.lgi:,<:>f.l County F f:t~D: f ..f:_J RESIDENT INHERITANCE TAX APPRAISEMENT '"'/0"'-r{L:r:pI';12 I~ Estate of !\tlg~~~~·..li:.E3.PC:>~E3.... Deceased, Late of ...........B:urg~tt$tmm .. Date of Death 8-30-70,. Appraisemeilt Docket Vol.,.3..$.. Page,lQFJ,~7 No §.3..~7C}::Y?:7 .. Filed in Register's Office,P.?C l ,..19 7.Q Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appraisement,.. Appeal.f1'om Appraisement,. Entered and charged,. Russe '.1 ~!:,r~!;to REG jS1E.\0:'':,'III S WASHUj(,TON GO ..P/\. I. i, , 'IJ _._.-----~--.~----~-~--_.~.._._--~~~--------.~~-------.,...-_.._-....,.,.,.-.---._------.._-.--------.--~-~ RCC-,j (8-68)COMMONWEALTH OF PENNSYLVANIA ~itiDEPARTMENTOFREVENUE No·8 11703 OFFICIAL RECEIPT 0 PENNSYLVANIA INHERITANCE AND ESTATE TAX ,THREE HUNDRED FORTY and 94/100...-----------------___..._____________d II RECEIVESfENNIE RAl4SEI ...E1R •oars representing Pennsylvania Inheritance or From:ATTY.GEORGE HANNA Estate Tax due from the following estate: 421 WASHINGTON TRUST BUILDING 2%Tax on $$Address liASHINGTON.PENNSYLVANIA 15301 6%Tax on $$ 63..70-927 Date of Death 8-30-70 15%Tax on $2,212.93 $340.94FileNo. Date of Payment October 18,1971 %Tax on $$I-- AUGUST E.REPOLE Estate Tax,Act of Name of Decedent May 7,1927 $ t1ASHINGTON 340.94CountyTOTALTAXCREDIT$ Less five percentum of tax if Remarks:paid within three months afterJMOdateofdeath $ /Plus interest at the rate of I "__%from to $ Urn ~[p [L ~@ill Urn TOTAL AMOUNT PAID 340.94 SEA L $ NOTE:This Triplicate Receipt to be retained for 3a~7 /~ ~-,'J.,c -,/~(,-"Received by ~~""'-,~~\,1,.J-J....ur -u NOTE:In accepting the transfer inheritance tax on future estates,prior to the deoth of the Iif,,"•,(Signatur~J'I tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth sholl •./ not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the.".\X ~.'-[_'._./---'vU . life tenant or tenant for years whenever it appears that such additional tax may be legally due and "\(TitIEl) collectible for any reason whatsoever.~L ._ ·"....~.~.~.~....~r 8"'""4'"r6 ::>3 --'I' ,t.',' 1 3 1 3 2 8 2 6 3 1 1 5 0 o 0 162 4 7 8 2 6 ~~ ,...,,, .. 2 4 8 5 6 7 0 1 4 6 0 6 3 2 6 1 9 8 2 8 2 6474)~,,i.',' 3 5 6 1 0 6 7 2 4 8 2 6 9 1 0 1 6 7 0 o 0 1 6 7 o 00- 1 6 7 o 0 1 4 8 1 1 4 0 8 o 0 7 1 3 4 8 9 5 2 1 2 722 1 6 541 1 0 050 3 548 2 4 2 3 9 1 0 4 8 0 2 4 6 0 3 2 4 6 798 4 0 o 0 0 8 9 9 2 6 9 1 1 1 1 9 4 9 5 1 3 7 0 0 7 500 1 0 000 9 900 9 766 1 0 743 7 2 9 0 3 217 3 4 450 1 9 7 447 1 6 0 3 0 0 1 0 000 6 3 8 0 0 3 3 0 0 7 7 500 1 0 0 1 100 1 4 0 0 900 1 250 1 6 0 0 1 400 700 1 3 6 9 9 0 7 s RFaIVE::,OF FA ..~E~O~~t'~::4' Paper ....~.t-2 ......fi3!.......No...tf...~/...k .....to be recorded in the Recorder's ~e of ls'Cton Co ty,enna.rties named below. Fees •••.•••••$t ..R..t.?....-~~~rA ~(J;A'J ..~ State Tax . ..$:~-~.£.ddk;:~...·tei~·..J~r ..~ Certificate and Seal $~.:~l?U TO PRESENT RECEI;I;'T WHEN LIFTING INSTItUMENT,....! .--ll,,n,, J1 1 1, 1 1 1 J, 1 1; N?10771 "Washington,Pa.,/~.~/.e:.":7.1..19 . ! Iboob, I,,... Registration Fee • •$.. Satisfaction • • • • • •$•.....•......••..•.••••••• T~l ......•'7.J:,--:::j? I'~State Realty Tax..$......•................... JOHN D.WOODWARD Recorder Of Deeds _~.-z=-""'''5·~O - 1 9 0 0 235687>~ .1•..".... 1600000 1369907- 2300935 230093>:~ 3 5 6 1 0 6 7 2 4 8 2 6 9 1 0 1 6 700 1 4 8 1 1 40800 7 1 3 4 8 9 5 2 1 2 7 2 2 1 6 5 4 1 1 0 0 5 0 3 5 4 8 2 4 2 3 9 1 0 4 8 0 2 4 603 2 4 679 8 4 0 0 0 0 899 2 6 9 1 1 119495 1 3 7 0 0 7 500 1 0 000 9 9 0 0 9 766 1 0 7 4 3 ..:;::-7 2 9 0 3 2 1 7 3 4 4 5 0 197447. 160300 1 0 0 0 0 6 3 8 0 0 3 3 0 0 7 7 500 :L 0 0 1 1 00· 1 4 0 0 9 0 0 1 2 5 0 1 6 0 0 1 4 0 0 7 00. 2 8 0 0 13727075 ••••••·••·••·......,••••·'1"0.'to.,....~~.........a......... I -_, 1 2 ~0 0 (;0 1 ?~0 0 (I o s :3 o 0 0 0 0 ~0 0 0 0 1 6 o 0 0 C o s 8 0 :3 ~5 2 1 0 :3 6 1 2 4 1 2 0 1 0 7 6 ()0 1 1 6 4 8 0 1 2 0 :3 ?0 1 o 9 6 4 0 1 1 :3 8 4 0 1 0 6 4 R 1 0 6 4 8 2 6 6 2 6 5 7 0 1 7 5 ?0 6 9 4 ~ 6 8 0 1 6 7 1 7 6 If ~9.,. 1 8 4 8 0 :3 6 1 9 2 1 7 7 ?0 1 7 5 ?8 1 6 7 7 C 6 9 4 5 6 6 4 5 6 5 7 '7. 6 2 9 1 1 8 4 8 0 1 8 1 '7.f- 1 7 7 ?0 1 7 5 ?8 6 8 ('I 1 6 6 4 5 6 5 7 '"Z 1 8 5 ?0 1 8 1 :3 h'-' 1 7 7 ?0 1 7 1 4 4 6 8 0 1 6 6 4 5 6 4 '7.2- 1 8 5 ~0 1 8 1 '7.6- 1 7 9 1 2 1 7 1 c::2 2 8 ~6 4 c::2 s- 2 8 ~6 4 t::;2 .'-'.. •1-'.' .*,·.de?sarli 7 _ COpy OF INVENTORY AUGUST E.REPOLE July JE~nUE RAf1SEY s XXXXXXXX 28th 11 notary Public xxxxxxxx AUGUST E.REPOLE _~nw.a~~fHrai.6tmrnt of the go'fj6.ii((et~ief!b{ifihts and credits which were of late of ··.··..·········..········.····..········.····. Washington County,Pa.,taken and made in conformity with the abave affidavit. DOLLARS .15 acre of ground upon which 1s erected n one story frnma bui1d1ng located at the intersection of RouteD 18 and 22 in the Village of Florence,l1ashin~tan County, Pennsylvania,bein~the name tract of land conveyed from J.A.rlendenha11,et ux.J to Aup;uot E.Rapole J by deed dated rJovcmber 16,1965 and recordod in the Recordor's Off1ce of Wash1n~ton County,Pennsylvania,in Deed Eook 1222,paee 602.12,500.00 Various oqu1pnent located in renl estate hereinabovo doscribed 3,000.00 1966 automobile 500.00 CENTS ~l6JOOO.00