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HomeMy WebLinkAboutOC1970-0956 - ESTATE OF GWYNN.. R CC-B1 (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT LEONA GWYNN (Executor or Adm in istrator) IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division J In Re:Estate of CUR_T_I_S_J_._G_WYN__N_o _ WASHTNG'IDN County -File No.---=6~3-_7i~:O=___-~9::...:.56=___ Dear Mrs.Gwynn: You are hereby noti fied that the o_r_i~g~in~a_1 _ appraisement in the estate of Curtis J.~n has been fi led in the office of the Register of Wi lis of Washington County on December 6.,1911.-,Said appraisement reflects the following valuations: ReaI Estate ---=----:-:~---=-,...------ P ersona I Property ---"3'-",~0...:.7_=_0_=_._'_OO_=____ Transfers__'----_ J 0 int Iy Owned -------,.,.-~'07'r_.n'.-------Tota I 3-.:,=--0_7_0 00 _ As to such tax that is paid within three months fro.m date 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 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._DJ..oI..W.ec""e...m...b....,e....r"--'6oLj,~·1....9~'ll~_ DATE OF DEATH:September 8,1970 Note:This is not a bill. Signed -:.C)=f-aL..<~u.~~==~<::::::.:.~£~~~(7---i',.~cVJ~=p.='"'-:::...)_ T itl e _-:-_-FRAN_._._C_E_S_LE_O-=,_o_A_PP_RA_I_SE_R__11__ ESTA1E INSOLVENT r' RCC-39 (5-681 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY (Initial) Estate of GWYNN,C!':JRTI~_J--:.....DATE OF DEATH Sept.8.70 FILE NO.63-70-956 (Last Name)(First Name) REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of-'-W_A_S_H_I_ID_TO_N _ Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". )Dated:NECEMBER 6,1971 INHERITANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS 1971 RUSSELL MAKINO-Dated:DEC 6 I,the undersigned duly elected Register of Wills in and for WASHIl\.UTON 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",.grea r lesser amount represents the sum allowed as a deduction. VALUE AS REPORTED $-----::o=--=="--=~83.070.00 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 APPRAISED ·J,070·l~ __--=3E=:~SOL=..:VEN=T=_____3'fWl_-"_'I VALUE AS REAPPRAISED $--------+--- Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $-------'----t--~62:,­ Tax on $----------t--~ Tax on $5% Tax on $10% Tax on $15% Exemptions * Total Estate -1-__ TOTAL TAX COMPUTATION OF TAX $---------1--- $-------4-- $--------1-- $-------4--- $--------+--- $---1.__ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::::t== BALANCE OF INHERITANCE TAX DUE $L Add interest at rate of 6%from_____to $----.J AMOUNT OF ESTATE TAX ASSESSED $-------lL- Estate tax paid $--JL.- BALANCE DUE $----Il- Add interest at rate of 6%from t= ------'lto-----$------4- TOTAL TAX BALANCE $-------l PAID $----1 FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. ----===============~=~==--------------------------,.,...,?:':;-..."..,~-:-'C"""'":"":;:"':::;;;::;:;;::-=:;:-~-------------".~:,.:--/','.;;,'"'<-".:'7",'"".,.~'\..~. Will Administration (No. IN THE Year .""""". ." .. MATTER OF THE APPRAISEMENT OF THE ESTATE OF LEONA GWYNN Deceased Late of "".CALIFORNIA,.. County of '"WASHINGTON-....._.....................•.. Commonwealth of Pennsylvania REPORT AND APPRAISAL I • /' ~'onn ;"{CC-2 2. •DEPARTME'l\~T OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.171Z7 COMMONWEALTH OF PENNSYLVAN'IA RESIDENT INHERITANCE TAX APPRAISEMENT DATE D.e.c.e.mbe.r.6"1971.............. . COUNTY W.A.e.HI~.1'.9.N . FILE NO....p..e.g.e.mP.e..r.Q.J 1.,.97l.. Whereas,9..':l:!.~;~~~g~~:late of ~~~.~.~.~.~.~. in the County of WASHlbG.TON Commonwealth of Pennsylvania,having died on the 8t.b.:day of ~?~19..7.9.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~~?~.~~?,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years.the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. REAL ESTATE None PERSONAL See copy of appraisement Description of A••et ESTATE INSOLVENT Unit Value. $ Appraisement Made for Inheritance Tax Purpoles 3,070.00 I WASHINGTON..........,.County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of CURTIS J.GWYNm Deceased. Late of CALIFORNIA Date of Death,Se.pt.emb.er 8,.197£!lJ ··.·.. Appraisement Docket Vol.,~?:... Page,../C!..Z~.~No 63.~7~95.6 . Filed in Register's 0 [fice,..H ••••••••••••••••••••••••••••~~ Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut A ppra.isement, Appeal ft-om Appraisement,H ••••••••••••••••••••••••••••••••••••••••••••••••••• Entered and charged,. ... ~J DEDUCTIONS ALLOWED IN ,. Form RCC·lO OFFICE OF TME REGISTER OF WILLS OF __W'-'--'a"-'s;;;.h~i;;.;;n.gt<....:o_n~_COUNTY STATEMENT OF DEBTS AND DEDUCTIONS JTHESUMOF$. DATE APPROVED ••.....• AND AGENT OF TME COMMONWEALTH Go 3-Register of Will.,Age.t ESTATE OF _C.:...-u_r_t_is---'J__.'--G_w....y'-n_n LATE OF _..:;C_a_l_i_fo~r:;;n;.-ia _ September 8,1970DATEOFFILINGAPPRAISEMENTDATIiOFDEATH__=--_ DATI!:NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH,,"" taleffie &Greenlief Funeral Hom P services for decedent 1,277.00 lRussell Marino letters and short certificate 14.00 IF.J.Buckley Agency administrators bond 10.00 - Iwashine:ton County Bar estate advertisine-14 00 tBrownsville Telegraph estate advertising 9 00 Ioliver N.Hormell,Esquire attorney fees 150 00 Leona Gwynn family exemption 1,500 00 2,974 00 Quinet Monmment Company gravestone 100 00 3,074 00 - COMMONWEALTH OF PENNSYLVANIA I, COUNTY OF Washington LEONA GWYNN-.=;.-;;;..;;..;..;;.;;;..-...;;:.;......;....;;;",,;..------------HEREBY CERTIFY.THAT.TO THE BEGT OF I ."','.,-:-,,'\,!ANNA S.DZAVAN ~f ~Notary Public.California.Washington Co. My Commission Expires June 16.1975 ,) " MY KNOWLEDGE AND BELIEF.THI!:FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS FUNERAL EXPENSES AND EXPENSES OF M ST Curtis J.Gwynn 'AD INI RATION SUBMITTED TO THE EST...TE OF ~DECEASED,AS DEDUCTIONS FOR':~..'T";;C:,T:~PURPO...~_-'-'~~W-urz~'L" .SWORN AND~EDBEFORE ME THIS r:;I ~---T<.../DAY 01'Leona Gwynn (jI.~,~~~:] 70-084 Form RC C·10 DEDUCTIONS ALLOWED IN ~.' OFFICE OF THE REGISTER OF WILLS OF __W.:..=....::a::::6~1::.1t.::n:=lgt=a.:.:::o::..:n::.-_COUNTY STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF .....•......$. DATE APPROVED . AND AGENT OF THE COMMONWEALTH Register 01 Will••AgeQI ESTATE OF Curtis J •.Gwynn CaliforniaLATEOF _ DATE OF FILING APPRAlSEMENT DATS OF DEATH September 8,1970 OAT!:NO.OF VOUCH"'''NAME OF PAYEE REMARKS AMOUNT taleffie &.Greenlief Funeral Hom services lor decedent 1,277.00 I ~ussell Marino letters and short certificate 14.00 l F..J.Buckley Agency administrators bond 10.00 Washington County Bar estate advertising 14.00 IBrownsville Telegraph estate advertising 9.00 Oliver N.<Honnell,Esquire attorney fees 150.00 lLeona Gwynn family exemption 1,500.00 2,974.00 Qulnet Monl ument Company ~ravestone 100.00 ~.I----,-8,074.00 i i ---r---r---r------------+------------~--~-- COMMONWEALTH OF PENNSYLVANIA I, .....j '""':-t-::-)\ \...I _".'\ANNA S.DZAVAN . .NotlfFY Public,California.Washington Co. "My C '..ommlsslon Expires June 16.1975 COUNTY OF Washington LEONA GWYNN-==-=:;.::.;.=.=...-.=:....:..:.-=..::.:.::..:.-------------------_HEREBY C!:RTlFY.THAT.TO THE BEGT OF MY KNOWLEDGE AND BELIEF,THE FOREGOING IS A ...LUST ~ND ..1RUJi.srATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES 01" ADMINISTRATION SUBMITTED TO THE ESTATE OF __\_,,:U_rt_l_S_J--,-'._\.;i_wyrm~_~=----:......._DECEAOED.AS DEDUCTIONS FORINHERIT.'~'C£'T;~.PURP08ES.~~~~ '",',L-~~eona Gwynn (L,S.l~.~N AND81J.1I13~RIBEI!IEFOREME THI,:71 DAY 01"=:4~ 70-084 FORM 67 REV.1-50 REG.WILLS Applicatton fur iGrttrrs of Ailministrattnn un thr Estate of..?~.y.~~.~~~.~9:~.!~~~.1..~!~9.y..~.~.~.§.Q~:?X:IT~. late of E?9.E9..~g,h 9.f.g.§l:.?::.~.£2.£.~~.~,Deceased. Before the Register of Wills of Washington County personally appeared ~~.Q~~g!XN.~:.. who,being duly sworn deposes and says that...9.v.B::rJ§.~..!Q~IT.NN 3~Jk!~QY.J.r+.l~Qw.xN.N . age 7..5 ,having hi.S last family or principal residence at J.Z.Q UniQn St.r.ee.t ,. (Street and Number) .........C.al.:i.f.o.r..nia ,Washington County,Pennsylvania,died intestate (City,Borough,Township) at...w:ashi.ngt.an~P..enns¥-.lv.ania..,on the E.thlay of s.~.p:t..emb.~r... A.D.;19...7.Q ,at...l.l.~.QQ P..A M.,possessed of personal estate to the estimated.value $.U.nknoJt{n a~PJde~P.e~l estate in the Commonwealth of Pennsylvania to the estimated value of $N.Que.,situate in .. The names and addresses of the decedent's surviving spouse (if any)and other heirs including heirs by adoption)are as follows. REI,ATIONSHIP RESIDENCE Sworn and subscribed before me this ~~~. L ........;1d§.QJ1iil...G.}:'[y.nn Wif.e.3.Z,Q JIni.on S.t .. California,Pa.15419 . ........J.g.m§!..~G.w.Y.nn S.an 3..??.:::A.J R.l!.P...,l :..Belle Vernon,Pa •.........................................................................................................................................,. .......p.2.~§:!.9:9~y.g.~S.Q.P.:.R.~J.~~.~;r.§.t..Q.w.P.:R.g.~&.Eberle Avenue.........................................................................................................··· ·..·..·..··Ba·l·1:;i·me:r-e·,Md.·..·.. That deponent is over 21 years of age,resides at .3.Z.Q U.ni.Qn s.:t.r.e.~.t.,.. ........Gali.f.ar.ni.a,p..enna l5..4l9 . 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. ,.,,0 IJI....~.~~U~.. day of ~.~.P..t.~C1A~,A.D.,19..1.Q ..·~·.r.'l~·..EGi,Tiiii····- COMMONWEALTH OF PENNSYLVANIA}SS: WASHINGTON COUNTY,. And now s.~.p..t.~.mb.e.r.?4.t..h.,,19 7..0..,comes LEQNA G1llYNN .. who being duly sworn doth depose and say that...she will well and truly administer the goods and chattels,rights and credits of Gli.R:r.IS J GWY.NN a/k/a CLJR.o;r.r.s g~JY.N.N ,deceased, to the best of..her......skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. Sworn and subscribed before me this.....~~~~.~...........~Il/ day of...s..~.p..t.e.m.b.e..r.,A.D.,19 :;W......q:.:~~~~.. ~~19t~~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::lJ\..REGISTER ... ~.C:8-70 ~P'~ APPLICATION FOR Letters of Administration ir ESTATE OF CURTIS J.GWYNN a/k/a .....QIJ.R.l'.IS.GWYNN . Deceased l-V)I :;)(;>('"""\CJ Cl (")\C.)" ("(",.:::t r •r 1"-c;(e.:'I"r-I'ro/) .~ ~ a:< I- aq t-~t"1 (-) 1- ("0000('":> c~,--,~L1 (=l L:?l1 1"--r>r--c>C)-""1" r--(1 -7 L"(:>r- N If"'\1;"'-1_1 ( I-~- (")C.::> q q ..$. ..$~.ao............... Extra Alias Certificates Total.....................................IJ D~;"()O...............y /:.. R $.. Letters......................................................0 (J 0 P $L::.. Renunciations \/$.. --------~l;j f~::]J e;,».r'1 :::u __ (/),C")c::V')::--- =:--Cl'}~~-en "~1 ~'. Z .....,:;'..'0 rqi:;-.l tTl 1".......:.-06;::;,---to -,...0 .....--"'?/~-co.~.:::r: ;0 ::::.2i~....c::-.•~.~....----:::'....~V""'_'......~:::.::.:....Attorney , L :L .....2 \ •-J Estate of qqr.~.+.~J.~qw.yn.n.}No. late of Bq~.Ql,1g1:l..p.f.C::~1J,forr,l~.a"Deceased of 19 . KNOW ALL MEN BY THESE PRESENTS, That we,...~f}.().r:la...q"'Y~...a..~....~.r..tr>:~~p.a.J ~Ilq ..U:nJ~.e.d ~.~~~~~~.~,cl~J~~.Y ..~Ilt1 ..g~a.ra·nty CO • .......~a..:J..~.~~.():r.~.1 ~.~~l,1:r.El ~.y.. all 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 t>99..~.9.9.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?4:~h!"..day of ......S.e.p.t.emb.er A.D.,one thousand mne hundred and ..Seyen.ty . THE CONDITION OF THIS OBLIGATION IS,That if the above bounden .............··t·rlx··············~·9.~a.···q~mA . AdministraO§il{or any of them,shall well and truly administer Co. (SEAL) un~~~kcf(8'ti'ltanty Ba.J.~.~~.():r.El.."M 'l.~f3.~y (AL) B~~~~~~~~~ Sealed and delivered in the presence of: 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. ~tntemettt of ~urrty 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. f'tntemeut of @lurety 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,{S5: 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 _~--------~----~-----~--------------------------------~-------._----------------------------------- 103-70-9'510 No..B_d-Cr_.._• J\~utiuintratinu inu~ IN THE ESTATE OF of" Curtis J.G~.._---------__. And now S.e.p.temb.e.r...28 ,19 1.Q. Bond approved and Letters issued to -n-... --.J c:::J e::t --:c:_ Leona ~:::o----.-----..--------'m---.---,--..---------,....)--------------.---------~0~:;~r- -U)cn ~. who wa~~~\ij.y-:.:qual~£ieci:n ·---·-----·--------·-::.:j-·~;:-·:::------·----·,·";)-----f5 ---. c}~,...- Z L-'.~.. R ..ilLi:.:.'""0usselbl"J.(U-~uo _-.::i:---------------------0--:::"------------------·---·------.._-----------..~~::....r:::Register -ur-:t;.(f)0 Bond Book 64..._-----_._._...---.._._---Page 43 •BADZIKPRINTING ~9 DONORA ,. Affibuuit ®f itxrrutnr ®r l\~miutatrutnr ~tutt of 'tuul1ylttunia l (!l.ouuty of mU114iugtou J1111: Personally before me,the undersigned authority,a NQ1§.xy..P.:u.b1i.c in and for said LEONA GWYNN .County and State,appeared who,bemg duly sworn according to law,deposes and says that he is the executor or administrator of the es- tate of ~.~!.t~~..J.~Q~y:gD.____deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of Q~.~!.i:~..J.~.J:;~~y.n..l}, 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 Administrator. Sworn and subscribed before me this "~'~~"''''''}y!)jj;~ d"f-?L~.~71 .q.~~.",yL······~·····~····~-¥ministrator ···....;~:······i···~s.·~iAVA~················Leona wynn .•Notary Public C~I"lfar''W h'ADDITIONAL INSTRUCTIONS..','.nla.as Ingtan Co. l ..Ath i1liV-aitfut,'y.x~stnli>esfi.~within three months after appointment of personal representative. 2..A supplem~iital inventory must be filed within thirty days of discovery of additional assets. 3.1 Ori~i!l;al'and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies 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 ~utttutory UU~"pprUil1tmtut .of the goods and chattels,rights and credits which were of 9?:~t.~.~..~.~qyryI.l:P late of ~.<::~~~~.~~~.~. J Washington County,Pa.,taken and made in conformity with the above affidavit. PERSONALTY 1.Dutton Lainson (boat)trailer 2.1968 Chevrolet Station Wagon 3.1967 Pontiac Sedan 70-084 DOLLARS 10.00 2,210.00 850.00 I CENTS /~d3 \\,1.11/'1 1,;/. .'~"~/,1 :>~,'.t 3-70 •?5(, c.".:.(\;I fC ....Inventory and Appraisement :.:\''." -'.:.~:IN THE ESTATE OF . .\.I'('I \\'~.,.:.~.~j.;.;-.:...,..'....-....... ~.+/'·····.~:.~:::.G.VBJ]S ..J.GWY.NN . ,•II 'I'.... .11./.1'I t.........,..;~I \ • III Filed ,19 .. ::-:.-:!~['1 ~(;')'"')L.: ~_"7 :-:I.-.....-~ ) '-""l4,., o '0 r--~lJ r-."->-'<.:;>.en -..:-t-' -.--.-'7\ ":l 'J """ '-'Jc:... RORMELL.TEMPEST.SIMMONS,'I BIGI &:.LSLSNYZER Attorneys at Law 423 Thir~streetcall:t:orni~~n 1~419,m82,,~-3gg.-5 ~~(j.y~ Form No.RtC-62 (7-G9)THIS FORM REQUIRED IN ALL ESTATES WITH GROsS ASSETS UNDER $10,000.UNDER SECTION 701 OF ACT OF JUNE 16.1961. EFFECTIVE JANUARY 1.1962.(FILE IN DUPLICATE WITH'COpy OF WILL ATTACHED)J OFFICE OF THE REGISTER OF WILLS County of ..W~;:(hJng1;qI). ....~..:Y~QN~.qWY.l':JN ,..,of ?~.o..1JP~~>A ~t.•..<;~;J.HQrp.i.a.,..J;>p..•............... (Name)(Addre...) sworn Administratrixbeingduly.according to law,deposes and says that he is the ----- (Exec..Adm.•Legatee.Etc.) of the estate oL_~!!E_U_~__J_.Q~y_:t.:I:D:whose last residence was __~~g__Q!!~~!!__e!_~~~~(------)-----------------------(No.)St~t ______~~~~!?_:!:..~~!~~!?E:~:.deceased,and that the whole of the estate of said decedent,who died _~~P!~_~(!--~-)~-?g------- (City.Borough or Township)Date .'onsisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value NONE ..... Personal Property l.Dutton Lainson (boat)trailer O.kd,.t 10.00 2.1968 Chevrolet Station w.:agon oK.;h.I P 2,210.00 3.1967 Pontiac Sedan ()}{-;h.-J 850.00 flil J1.:i 3,070.00 .. <, 70-084 NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered. II, Jointly Held Property Estimated ~Value , ""- NONE - Transfers within TWO YEARS Prior to Death NONE That at the time of death there was no safe deposit box registered ih 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 - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest;vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE' forth this fact.)DECEDENT Leona'Gwynn spouse yes one-third 320 Union $t.California,Pa. James Gwynn,322-A R.D.1 son yes one-third - Belle Vernon,Pa. Donala Gwynn,Reisterstown,Road son yes one-third &Eberle Avenue, .J:jarnmore,IVIU. RESIDENT D£CEDENT DEBTS AND DEDUCTIONS CLAIMED NOTE'£ist first five items in the spaces so provided,observe notations thereon,and instructions.. DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN IltEGISTER ONLY Caleffie &Greenlief Funeral expenses paid $1,277 00 $1.277 t;D ;' Leona Gwynn 1,500 00 I).6-CC C;-V Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses •47 00 J-/..7 cD Oliver N.Hormell Esq.Counsel fees •150 00\1 i:>L)i/V Fiduciary commission • OTHER DEBTS AND CLAIMS (.)See Note below Administration Expenses:letters and short certificate -14.00 -,-q c.;u-administration bond 10.00 ---n;r LJ '" Washington County Bar 14.00 I /1Ji2. estate advertising '9:~Brownsville Telegraph 9.00 estate advertising at)!(Jo iT'D Gravestone 100.00 joO I 3i ,t)'1..7.y--. 3:,0;74 OC 1 ~......)Total .~/71 Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greater 01'less than the estimated amountdaim;~lowed.C{£."-"--~"'"/':c~;- Subscnbed and sworn to before me this.. . . . . . . . . . . . . . . . . . . . .. .~.':'.~..~.. . .. . . . .(Executor-Admini ator)···Ji=:·~1~···191l .320UnionS~~:~;~N~;';i;;)················· ..,:.'~.·~NrJ.S','~~~.;;~...... ... ..~.~~~~?~~.~~.:.~~.~~.~~:.~~~.~'"". ~bry P~blic,California.,!ushin~ton Co.(City or Town and State) My e0Qtmlsslon Expires June 18 1975..'.\\.Having been duly swom~ordingto law,I do~eby certify t~at the;above appraisement is made in conformity with law on this ...........'~..;r;::ll.dayOf AJ~a;·······,19~7b .j P(~ ...~~.CB'--,<)~~. . /Appraiser In the event that any future interest in this estate is transfelTed in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. !". ..p.~G:6 19.71.RU,SSHL .MAhlNO .Dated: REPORT OF ~:~EGISTFf¥OF WI~LS I,the undersigned duly elected Register of Wills in and for.".fr4?U?..-./:!.';;;-"tJ;,:-..-..<f-:r.'Vl ..County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claime by deponent c t as to those I s where a greater or lesser amount is set forth in the last column to the right in said schedule above,which greater or I er amount represent the sum allowed as a deduction. .~(.1..lM:~.... Register of Wills ~l ~..!-/(~'. ,.... r~ J Form No.RCC-62 (7-69) WillAdministration INo "Year . ~~l \,\1 11 I.",'"",I~'~"'''''''"~ --.: p IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ..G1J.~'r~~.~q'Y:~~~. Deceased Late of California............................................................. County of Washington........................................................... Commonwealth of PennsylvaItia -:::::J»-fTl~(/)0---_ REPORT (A~,l)APPR~AISAL ;;..:_,1 .".!(.I '..'i :l"".",j •.t:.... ..:.......,~-[.,.....,\ -/;,1'~+'/~}'.11'14" ~r-~~. '..)--=:( ;.,-)0n- e}=-~t~~: _-"J :;.. 'oJ t"..J LO ,•l HORMELL,TEMPEST,SIWONS n BIGI &MELENYZER Attorneys at Law 423 Third Street California,Pa.15419 ~ -;