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OC1970-1103 - ESTATE OF THOMPSON
.~,In 3 -7lJ-I/LJ3 Affi~auit (@f 1fxrrutnr (@r i\bministratnr J. ,,;tatr nf 'rttttuyluattia.t 55: cnnUttty nf lIau~itt!ltntt \ Personally before me,the undersigned authority,a NQ.tar.y...l?.ubli.c ..in and for said County.and State,appeared ~!.:~\~Y:Q~~§g.!.:...'!'.~QM.P§.Q.N"who,being duly sworn according'to law,deposes and says that he is the ~~administrator of the estate of ..HEL.EN..J.T.HQM.J;?S.QN~deceased,that the foregoing schedules constitute a .It't T d . t f th I d Itt f Helen J.Thomnsoncompe e mven or)an appraIsemen 0 e rea an persona es a e 0 1;, 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 'ust appraisement of each item made by the above named Ex/!JI:Xllnr Administrator. day;=:~::..:.~;.:~'.~~~..~.:i~I.7.:':H..........~~.S ..;;..\_d;",m:~~;,~;_. My commfs=~fif~~;;;~~~~···IN~~UCTIONS Washingt.on Washington Countv .Pa.~..I.~n mventory mustoe flIed wlfum three months after appomtment of personal representatIve. 2.Asupplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 lIuututnrg aub ~pprai!ipmtut of the goods and chattels,rights and credits which were of H.~J.!?n...J..,:r.hQm.l?;§.Qn.late of "'il.P.:.$..bingt.Q,UI.. Washington County,Pa.,taken and made in conformity with the abave affidavit. Savings Account -First Federal Savings &Loan of Washington Social Security Death Benefits Checking Account -Mellon National Bank and Trust Co. Household Furnishings Stock Dividend Checks 62 Shares -A T &T Stock @ 42.844 1 -$200.00 A T &T 8-3/4 Debenture @ 100.438 4 -A T &T Warrants @ 70438 105 Shares Common -Detroit Edison Co.@ 17.90 16 Shares Common -Central Hudson Gas &Electric @ 20-1/8 19 Shares Common -RCA @ 22.9875 1 Share Common -Chrysler @ 24.625 13 Shares Capital -Standard Oil Co.@ 47.156 33 Shares Common -General Motors @ 69.4375 15 Shares Common -Parke~Davis @ 24.16 55 Shares Common"U S Steel @ 29.938 11 Shares Common -Standard Brands @ 42.53 2 Shares Common -American Standard @ 33.625 TOTAL DOLLARS CENTS 348 68 255 00 3 96 300 00 12 92 2656 33 200 88 29 75 1879 50 322 00 436 76 24 63 613 03 2291 44 362 40 1646 59 467 83 67 25 .. 11,1 ~1.8 95 I' ''f (. Co..j ":I:j 11' ....P:1 ~ ~ ~ r trJtot . itrJ 1-3 12:.....~t· t-j ~ .....t:! t 0 ~Co..j <:'" c "N ~.~ ~..... <+ ~1-3 I;)\ 8 "l \0 it ~P:1 ~.~ 11' ~I:l ? ~o ~~C\ t. l~CI)~\~ ::t> Pu ~::t:.\ <+ i(/)::t:.~~ <+0 !'oJ 10 ~ t-j t:::)'\. J ~2:~~ ~ ....~. ~a U)-« :'-'"~ (I)--.I io.0 '" ~-.:z -J c.. ":I:j ~ <-* ....._w :(1)'" "'........,--a ~(')~ "'-- ;.''-''>- ~ .rCi.." _,.;0':>•• ~i(l) ... ~" ,<:...) ...~-.7,~ N :11' ()l~",J 0 ~ r UJ ~,c· (I) ~:~ _.,cr:--:1-- p.. -·~."l W 'r-w ~~.....,j)I-Z ~.~-<c:::;(,/')U)........ ~.-=::..-::::>0 <"0n::LU l"-e::.q;..$ FORM 67 REV.1-50 REG.WILLS Applicatian far 11jrttrrs af l\~ministratian an thr Estate of...!!~.~.~!}~.~~h~Ell??..~!!.t ~.I..~.t..~!!~l~g...:r.h.o..m:p..~.9.g . late of..:wg.§.hJgg1g.gA....w..f};§.h!!:!.gt9,.n...Q.Q1mty..l.....:p,.~nn§y.ly..?.Ul.<jl-Deceased. Before the Register of Wills of Washington County personally appeared .;r.f};m.~§g.~T.h9.!P,;p..§.Qn ~.. who,being duly sworn deposes and says that...f!.~J.~.n..J..,T.b9..mp..§.Qn . ageQ.9.,having b..E;..r.last family or principal residence at..e..~.?:N.9.r..th f..r..~m!9.Jg §!.~..I,.. (Street and Number) ..................Wg.§.h1.Qg!9,.!1 ,Washington County,Pennsylvania,died intestate _ (City,Borough,Township)- at...~~:p.g..§.Q.l ::r..~.?f~.§: ,on the l day of NQy.~.m.1?~.r... A D 19 70 t 6:15 .<'P M·d f'','1 tt t th t'·td'al..,.., a ,...........,possesse,0 _.p~rsona es a e 0 e es Ima e v ue ,t," $100 00 d .f al t t .··th ··,C . .lth'f p'I 1 .t th t't"d 1 f.............,,an 0 re es a e In·e ommonwea 0 ennsy vama 0 e es Ima e va ue 0 $000-00 .'.1 .i ';.............~.:,SItu ate In ,~;;. ........~_~~0 T~ei names and addresses of the d~ced~nt's ,surviving spouse (if any)and other heir'r;;including heirs by adoption )are as follows: REI,ATIONSHIP RI<~SIDENCE .....................1 _•••:••••••••••••••••••••••••••••••••••••••••••••••~••••••••••;.......••~•••••••••••~•••••••••••••••••••• ,'.. .J.~m51.§l Q T.b..Q.m.P.§Q.n :: :s.Q.n ~..Q.1Q P~yn.~c..QJJ.r.t...:..,..;;,. .:..Las Cruces New Mexico.....................................................................,~1 .. ::::::::::::::::::::::::::::::::::::::::::::::::::::::::i:::::::::::::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::r::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: .......................................................................................................~· ·..I ·..· · · · · ·..·..· ·.. That deponent is over 21 years of age,resides at.2.0.4Q..£ayu.e c..O.llr.t.La.§..C..r.U.G.51.§l . New Mexico.................................................................................................................................................................................................................................................... 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 previo ly issued thereon. Sworn and subscribed before me this g . day of ~m.!?~.r.,A.D.;19...7.Q ....................v~.~fZz~.. REGISTER COMMONWEALTH OF PENNSYLVANIA WASHINGTON COUNTY,}ss: ~~.~C:."l ....I.:::~.:.~:..~.::.~~.~?.~. Sworn and subscribed before me ..this Q . day of.......~mQ.e.r...;.;...o;?'~.D.,191'..7..Q .....................t....~~02.~.. And now N.Q:v.emb~.r.6 ,19.7.0 .,comes .J..9.:m.~§g.~T..h9.mp..§.9.P.-. who being duly sworn doth depose and say that...he.will well and truly administer the goods and chattels,rights and credits of H.~1.~n J.ThQm.P§.Qn~,deceased, to the best of...h.~.r......skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. REGISTER ~,~ ~iii' I ~rt:~-7tJ -//tJJ APPLICATION FOR Letters of Administration ESTATE OF ..:tI~J..~g...~~....:r.h29.}.P..I?.9.gl.....~.I..~.L~..J!~1.~9..Thornpson Deceased R $. Letters......................................................C7:#0 P $,y....:.. Extra Alias $•>••••••••••••................................ CertIficates ,,(.1/'.-:(~..$....!.z:..~...~.... Renunciations $. ..................................................................$.. ··················~·~~~···I....···~···;·················.·.·.·.·.·.~·.·.·.·z;rz.·.·.·.·"2.·.~~~.~.·. .... .FILED .~C-7 P RUSSEll MARINO REGISTER OF WILLS ...............J.§!..Y.w:~.;;..:r..r..Qy.t.m.~n . Attorney ~2 J (fiommouwru1tq of JrunByluuniu, IlIlhl!l~tU!ltllU QInuutgf I,Russe 11 Marino .,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, to Jame s c.Thompson administr a t or of all and singular the~oods and chattels,rights,andHelenThompson credits,which were of Helen J.Thompson,A/K/A /late of Washington County,deceased, GREETING: WHEREAS,the said Helen J.Thompson A/K/A Helen Thompson late of Washington in the county aforesaid,lately died intestate (as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County, Russell Marino by reason whereof the power of granting administration thereof doth belong to me;I therefore,confiding in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here- by committing unto you full power to administer the goods and chattels,rights and credits,which were of said deceased within this Commonwealth,you having taken and subscribed the oath of office pre- scribed by law;requiring you to well and truly administer the goods and chattels,rights and credits, which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's office,at Washington,within ninety days,and to render a just and true account of your administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and caused the seal of said Office to be affixed this 6th. day of November in the year of our Lord one thousand nine hundred and Seventy /:J ~,.............f ~~.. RUSSELL MARINO,Register. to, r \\ I !:r 'I Estate of late of ...lie.le.n J•...T.hompson } JVIi~!l.t.~g ~.()Il...,Deceased No...........of 19. KNOW ALL MEN BY THESE PRESENTS, That we,...J.'i.m~~....G~....'r.Ap.mp~.p.~...~.~...f.r:t~~JpE3:I...~f.l:<:l ~Il1:.~.~ci ..9~.~.~.e.~F·,.1.~~..1.i.~.Y.a.nd .....~~a.r.~.I1:~"~.o..•....!3.~.~.~.~~.0.!.~..~~~.~~.~!.~~.:(. Jll of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl- '.f h f h'd'h . h f One Thousand D 11varua,or t e use 0 t ose 10tereste 10 t e estate,10 t e sum 0 0 ars;to be paid to the said Commonwealth,to which payment,well and truly to be made,we do.biE-d ol!rselve~,. 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 the6.~:h...day of .....~().y.~~~~:r.A.D.,one thousand nine hundred and $.e..y.~.Il.~y . THE CONDITION OF THIS OBLIGATION IS,That if the above bounden . .~.~m.~.~9..·~.~qmp.~.9A . Administrator or any of them,shall well and truly administer the estate according to law,this obligation shall be void as to those otherwise,it shall remain in force. Sealed and delivered in the presence of: .......(SEAL) ~tattmtut of i'urtty 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 &tattmtut of ~urttl! P.O. 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 $----.----------_.__._..__;and that I am worth the amount expressed in said bond.over and above my just debts and liabilities. ,---~-..~_~~~~~.~~~. .~-------------------_._-..--_._----._._----------------_.._----------------- COMMONWEALTH OF PENNSYLVANIA.}SS:WASHINGTON COUNTY. Street P.O. And now ,19 ,comes .. who being duly sworn,says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this -......-.---..--.--.---.---..... \ day of ............................A.D.19..0""'_' ,J- ._--------------------------.---------------.---.._------._._--.._---_.-._-_._._--._------_.__._---- ~3 -7rJ-//D3 No.61_'!_ 1\bmiuistrutinu 1Bnub IN THE ESTATE OF -------------------~~?:__~E:_.~.~~~~p.~~~.__ And now __.R9.y.~m.~~~__.Q . . ,19.__7.Q... Bond approved a'nd letters issued to --.-------~@~~._Q_,ThQmp~QJJ... .__ -------_..~~~---~~~---~~!._--~~~.~~~~-~_._-_._------- RussillJiBno._--._-.---_.___.._..--.-.~..__-----_._-.--------_------. Register h?'-7~ RUSSEll MARl"-0 REGISTER OF W;llp Bond Book ...6.1+..Page .5.$..._ BADZIK PRINTING ~9 DONORA ,- ./ f '.,::~ it .~ " ";\ •., ,., Estate of ..JI.~~.e.~:f.·T.l1<?~p~.().I1 . late of W.a.sb.i.ngtO.nJ..P.~nXls.Y~Va1),~~.,Deceased ....of 19........ KNOW ALL MEN BY THESE PRESENTS,.f That we,..~Cl..IP:e.~~.·....Th()~p~gI1 ..~.~..X~.~n.:~.~P~.1...~.Il.~.tJ~~~.~d.~.~~~.t'.~.,.!.,~~.~.~.~~.!...~.nd _-Cl.~!l.r..~.n.:~.y.~9-13.~.1..~.~l!1.<?'#f}.t ~.~.~~IJ.r..~.~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.$9.,q.Q.o.~..Q.Q 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~~:I'q...day of December .Seventy...............................................A.D.,one thousand mne hundred and . THE CONDITION OF THIS OBLIGAnON IS,That if the above bounden . ._.~Cl..rpe.~..G.·T.l;l(),mp~.o.n.. Administrator or any of them,shall well and truly administer 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. Sealed and delivered in the presence of: ~tatrntrttt 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 &tatrntrttt of &urrty P.O. 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. .....-_-___--.-. .._-_._~~~-------~-----~---------------~---~--------.----------------~------_._-------------------- COMMONWEALTH OF PENNSYLVANIA,}, S:::i:WASHINGTON COUNTY, Street P.O. 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 . _-------~---_._._--------.._---~-----~---------------~---_.-----------_._------------------_._----. ...·GI...· III:0 '01:.. GI Ql~1 r"h ,JIO(T~0,~ Cl0 " '§. '";;1 t!c..0: :J i 1 0 ~III 0..•• " Z 'Ill 0 t:+ :e- O fa l~~70:DEC 18 Ptr;12 if 7 " 0 :Ql t ::t: '::Ql ;::w :.... .~I- :" ~ ~ 0 6 pi uss[i..L 1<1 l,j Fi IN0 z I- ;::. tj 13 ·RdGIST~f\OF j'YILLS z :-a it ~ :CI/ .. ......w :> YI.A)SllINcjTON era.,PA.'" u:t :I: 0 ~N I- ... 0 .... c.. 8 " 0 ::: c.. 1Il ~ 0 0 a:l Z 'a ~"'O "'0 o l: l: ~l:0 0 "'Oa:l a:l l:~ ~ '.~ STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,depose and say that the above account I h .as stated is true and correct as ~verily bel ieve,... Sworn and subscribed before me this J1 .. day of :..~!_~:X._19J-L . _flkMJla7fFfl~----- My Commission Expires:Feb.5,1975 Washington,Washington County,PaM o~---~-\---- 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 thereof filed to No...b.3~.11--::.3_g0 .._...__.. Witne s my hand and official 'seal this__3~_ .".....19"{...................-.-------.----..-.'.t ..----- Warshington County,ss: ;""'+'+'~ 0 1"""-1: , t:"t'l ...i=1 \;..;:l ojrI.""",+',..f ..0 +'.::u .::;:l .~t-..-:;:l ......0 ~(l)0<:),.Q <:)<:).',?I tiM /JII p,~~i q "'+'<:)~1~'/1I!~zi s::!!!,j!f tJ ,j 0 ~+'...0:"d 1::,00:(l)""'00,+'al,:>.w:Pi..::EliP-i:(l)Q)U)M'r;.:.Eli HWE6FI!HL.RING rn ~ 0 ~i (l)+->:...0,0:,.,~l,',--J....;:::l,0 N 1DEGjSTEh:qr WiLLS A +',..."r:t1 0'+'t,...,j Eo<01 ,.c::,1-<:~ Ii ~P::i ~;~i f~('oljli\l")Fr'~iEo<8:ali I ,.::><1",,~"('i CO PA o!U:J 1:::U! I ;0\'~I f!~to:j -,.'•t '.~ ~:P:l <br-i ....;:.~, ~:ooi :....I:(l)~Izj"01 Q);..J +'-....DrnMlEli!'~,~'M al,~r:t1!1::'+'~I <:l (l)~i~i alj ali 0 (l)S P::+' +->,~I ,.Q ~~r:t1:l>e +'00,g~P::i H'~.~,'g~Q0~iz ~~""': .......,-~ / ,".--_.,.. .k 3 -7 0-I /0 .3 ._r~ J ... ~ .1 r ...~ ......... -eo-' ~ ,. ~ .\ '" ,.~\ ~ ,. -, I' I.j. ;1 \' The Court is respectfully requested to determine proper distribution in this estate. 1).x.q,\1d ..J L5>.S>L C\tV\ Counsel for Accountant !-" \\ 'J_,~.~ The First and Final Account of JAMES C.THOMPSON,Administrator of the Estate of Helen J.Thompson"deceased,late of Washington,Washington County, Pennsylvania,to-wit: The Accountant is charged as follows: ,. To Amount of Inventory and Appraisement: Income from Stock Dividends: The Accouhtant claims credits out of the assets of said~~".. Estate as follows: $11,918.95 172'.'65 $12,091.60 Nov.1970 Nov.1970 ,' I Observer Publishing Co. Washington County Reports Letters Advertising Letters Advertising Letters - $23.00 14.00 14.00 Nov.1970 Nov.1970 Nov.1970 Nov.1970 ,Nov.1970 Nov.1970 Dec.1970 Dec.1970 Dec.1970 Dec.1970 Jan.1971 Jan.1971 Barnhill Funeral Home Martin R.Hallam County Treasurer Washington County F.J.Buckley Ins.Agency Citizens Water Co. Register of Wills Russell Marino,Agent West Penn Power Co. Bell Telephone Co. Washington-East Washington Joint Authority Jay W.Troutman Funeral Services &costs 1532.27 Appraisal -Furniture 15.00 Personal Property Tax 14.19 Personal Property Tax 39.37 Bond Premium '10.00 Water Bill 19.74 Short Certificates,etc.,21.00 Inheritance Tax 500.00 Electric Bill 3.37 Telephone Bill 19.95 Sewer Bill 1L 96 Attorney for Estate,pre-750.00 paring Account &Tax Returns Additional Bond Premium 51.00 Doctor Bill 187.00 Notary Fees 5.00 Vault 116.00 Jan.1971 Jan.1971 Jan.1971 Feb.1971 May 1971 May 1971 C.M.Troutman Moreland Burial Vault F.J.Buckley Ins.Agency Celso A.Stapp,M.D. Register of Wills· Register of Wills Filing Inventory Filing Account 13.00 15.00 $3,374.85 ,~BALANCE FOR DISTRIBUTION ----------'---------------------$8,716.75 ~ .-Observer -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News.paper Advertising Act of 16 May.1929, P.L.1784.as amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally appeared before file,a Notary Public in and for said County and State•......"R.i.c.h.axd S..L.C.QW~U:L ,who being duly sworn according to law,deposes and says that he is the .v.i.C.e..~.p..r.e..~Jg.~.P..t of the Observer Publishing Company,a f'lenl1sylvania corporation,and it·s agent in this behalf;that the &aid Company is the owner and publisher of the Observer-Reporter,succ'essor to The W,ashington Observer,established Septembe'r 18,1871,and The Washington Reporter,established August 15, 1808,a daily newspaper of general circulation.printed and published and having its place of busines's at Washington,vVashington County.Pennsyl- vania,where it or its predecessors have been established and published continuousIy for more than six months prior to the publication of the notice hereto attached;that the printed notice or advertisement hereto attached is a 'copy of an official advertisement,official notice.legal notice or legal advertis·ement,exactly as printed or published in the Ob";'erver-Reporter in its regular editions on the following date or dates; ..... .._..N2.Y.~.~lJ..~_~__.__..~_~_.t __?Q .~.!1~.._.?_?!...._~?.?.C?.__....__..__.._ that neithe'r th!e affiant nor the Observer Publishing Company is interest.ed in the subject matter of said notice or advertising and that all of the alle,ga- tions'of this affidavit as to the time,place and character of publication are true..£i1~.tLl ~. Sworn to and sUbsce;~~ore me this .2.7..day oJN.:Q:V.e.m..o.e.,r .L~~~~~~ Wl\SHINGTOI~.WASHlrJGl:.JN COUNTY MY COMMISSION EXPIRES MAY 6,1972 1970 ::::::--- " Washington County Reports *1~~I~iJM~ Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON) STATE OF PENNSYLVANIA (SS. Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,publis'hed weekly having its place of business at W'ashington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COL'NTY 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: ...._MQye.m.b.e._r...J..~.•....J..9.•_2.6.•_19.10 . ..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 t'hem for settlement to the Executors or Admin- istrators or their Attorneys. ••••••••••0 •e •••• THOMPSON.HE LEN J.,a/k/a HELEN THOMPSON,Dec'd. Late of Washington,WashingtonCounty,Penna.Administrator:James C.Thompson.Attorney:Jay W.Troutman,316WashingtonTrustBldg.,Washing-ton,Penna. J. I that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice.or,advertising and that alkof'the allegations of this affidavit as to the time,place.and,cnarVilcterf'/the PUbli"i~:'. n are (ti-p~-:~ {;; /7/"7/,(V././"./'.'--V ...t/J I -0 ..-------.tJ-<::~~·:f·//'~.. i ____'__.-:.-t-dtt()~L-. Sworn to and subscribed before E -fi Z -_.--•,:~••,:--. ._?~_~h_.._..day Of...~Qy.'rn.f?~.r..,;,~..Jt~- rtr::::~~,~ Notary Public.Y:ashingtJO,Wdshington Co. My Commission Ex·~ires July 1,1974 ~lt tq~<!tnurt nf Qtnmmnu 'ltall nf Dltallqiugtnu Qtnuuty ®rpqaull9 Qtnurt iiuiainu In the ma:tter of the Audit of Account in J Estate of HELEN J.THOMPSONi'I Deceased. TO THE AUDITING JUDGE: No.63 -70 -1103 Enter my appearance for__-=A-"'...::c~c=o~u~n~t~a~n~t~._ \'--UJ A~~c...=...:r----------,. 30 day of June ,19-.1.L N.B.-Counsel shall,by separa;te paper,present a concise statement of each claim,with supporting calculation of any interest claimed.Objections to an account as filed,shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate conc1se state- ment in that regard. 3? No.63 -70 -1103 In re Audit of Account in Estllite of HELEN J.THOMPSON, Deceased. AUDIT 'ra~rip~fur 1\pp~arant~ FOR Accountant -jM:-""'!-'.".~ Jay W.Troutman Attorney -.- (Form where decedent died intestate) 1Ju tlte (@rpl1uus'OJnurt of lIusl1tngtou OJnuuty J Account of Administrator In the audit of the First and Final ESTATE OF HELEN J.THOMPSON No.53 -70 -1103 Term,19 ,A.A. The petition of.J.9:~.~§..G.!ThC?~p_s..C?.~_. (Name of Petitioner) respectfully represents:. (a)The 'decedent died NQ.Ye.mJ;H~r.L.-...l..9.1.Q ::,intestate and (Date) letters of administration on....h.~.L ........estate were granted.....NC?y.~~.t?~T ...§.I...J.~.?.9, (Date) State (I)whether de- cedent was married or unmarried;(2)if mar- ried,whether a husband or wife survived and his or her name;(3) whether or not there was any marriage settle- ment;(4)whether or not family relation was maintained until deced- ent's death;and (5) whether the decedent left children or issue of deceased children. as per record thereof appearing in Administration and Bond Book No . at page . Decedent was survived by a son,James C.Thompson,as her only heir at law. (b)At the time of death,the decedent's domicile was :;he Com- monwealth of Pennsylvania,to-wit,aLW.ashington~....P.e.nn.s.y.l.yg,nia......U....S..•.A. (Town or Township,State and Nation) and residence was at2.8.2..NA..Fr.a.n.kUn.St.,..,..Wa.$.htggt.9.n P.~.ng~y:!·.Y.9.-.n!9.-. (Town or Township,State and Nation) (c)The names of all persons having any interest as heirs or next of kin with the names 'of their deceased parents,to show relationship if they take by representation are as follows: NAMES James C.Thompson Relationship Son Interest All Of age,sui- juris,or not, (write yes or no). Yes Narne of Guardian,Trustee or Committee,if any,or beneficiary,rnanI~er and place of record of appointment and is bound suffi- cient to cover and protect share. State exceptions,if any, giving names and dates of death and the names of their executors or administrators,or the names of,their issue as the same may be mater- ial. Describe type of notice. All of said parties m interest are living,except (d)All .h'. h h d written . f h f'l'parties avmg any mterest ave a notIce 0 tel mg of the account by regular mail,a copy of said notice being attached. " (e)Balance for distribution per Account (f)Additional debits,not shown by Account (Itemize) $....~.7..~.~.~...?.~... $.. (g)Additional credits,not shown by Account (Itemize) $.. vnot tax. $.....8..7.J.JL..l..Q... (h)Claim for exemption has /been made,and has...!'J..9.L.........been paid. (i)The estate is subject to the payment of inheritance tax to the State of Pennsylvania. (j)The estate is subj ect to the payment of the county 4 mills Tax paid. (k)The estate is ~.~~subject to the payment of Federal inheritance Insert word "not"where necessary. If taxable state wheth- er tax has been paid. tax. 1l too many for the space,annex a list there- of;if no such claims, insert the word u none." If any creditor or other claimant has not re- ceived actual notice,that fact must be stated. (1)All creditors (and other persons who have complied with Rule II, Sec.9),of whose claims the accountant...~~.?notice or knowledge,have ........................received actual notice of this audit;the amounts of their claims and whether or not they are admitted to be correct are as follows: None. Indicate such claims as may be secured or en- titled to a preference,and give detailed infor- mation concerning such security or preference. Here insert a reference to all questions requir- ing adjudication,and a statement of any mater- ial facts not already given.If none insert the word u none." If any share has beenassignedorattached that fact should also be stated here. (m)None. $1658.85 7057.90 $8716.75~jt1(1 ~,\,-,~J..n~t.,.I~;'r.,n;-:-,J."""L'f:-i~#:--:;~on+r -,.v,,...~f.""~.J'~l-l.1t~,. CASH SECURITIES held in kind per Election filed .Al?1'©wUh (n)The balance for distribution consists of property in kind,form and icharacter,as follows: State kind,form and character of property composing the balance for distribution,and if any part thereof is not cash,whether or not there has been any elec- tion to take such part in kind. ;t ~.~'J.-~;;~~.":C'.~-i.~1 Cj C r~""l r:.)r:....:t:~p,t.;-....n ~-~..:(-i-~......" ::i ---;- L-..-_~._-_~-_..__~.~-~_.~_-~..-"~".._"~_~._~__~..~~~_..... .-'-=-:- Are there any advance- ments by decedent to be considered on distribu- tion and has any distri- bution on account been made by accountant to any distributtee? (p)No. (q)Give brief location of any real estate sold.None. If prior accounts have been iiled,list number an.d term. (r) ...--...•~ ,Y, None. ...~~.;..~, T ".~. -'~:.....",:",'..~"'"~ Wherefore your petltlOner asks that distribution of principal and income be awarded to the persons thereunto entitled and suggests that the balance of principal and income should be awarded respectively as follows (shares being stated in proportions but not in amounts):- Securities held in kind per Election filed herewith to James C.Thompson and balance after payment of audit costs to James C.Thompson,son and sole heir of decedent. .~'. County of Washington,ss. The above named petitioner being duly sworn doth depose and say that the facts set forth in the foregoing petition are true to the best of h.~~knowledge and belief. Sworn to and subscribed before me this 30th day of...~.~~.~,19 ?.L . }l~~'7;y...~~~~~.... Notary Public My Commission Expires:Feb.5,1975 Wa:-snlngfoii;···Washiiigt6ii··Cou..iify;····P1i:········· And your petitioner will,etc., . _~s;;.. j Ii1:-- I! .l t.::. I()-P-/f..1' FORM IN CASES OF INTESTACY 63 -70 1103 No ___.,Term,19 ,A. A. IN THE ORPHANS'COURT WASHINGTON COUNTY,PA. Estate of H~1!.~N._..J.!THQM.PS.QN . De·ceased. Sur account of ....~dministrator----_...._--..._-------_..._------------_..----.._------_.._-.. ...-....G1 ~~. c...~. 5 'g r'.....0' I, ........... t- ~C ,, !i '-{~C1 ;> C) E "P~~. PETITION SUR AUDIT In Conformity with Court Rule III, Sec.5 (B) COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1.The letters of administration. 2.A copy of the inventory and appraisement. 3.Proof of advertisement of the grant of letters, if not filed with accountant. 4.An appearance for those represented. 5.Inheritance tax receipts,if any. 6.Certificate of liens in case any of the funds for distribution are derived from the sale of real estate. 7.Copy of Federal Estate tax return,if estate is subject thereto. 8.Signed elections to take in kind,if any. .Vd ..0 Q N01~)NIH SVN\ SIll ff-,J (}'d:3 1.S I~:3 )j Ot '\I1''';11 '~:;''''~n\l"U l II t·_~:'J -,0 J \DO \L ...................;r.9:y.._w.~_T~gY.t0.?:~... Attorney for Accountant. ~9 6\0\q~ .;.lj \j :1 '~~'.~ ~ .. J IN THE COURT OF COMMON PLEAS OF WASHINGTQN COUNTY,PENNA ,ORPHANS'COURT DIVISION . HELEN J.THOMPSON,a/k/a HELEN THOMPSON," '.. No.1103 of·1970 (. ) ( ) ( ) (,., HEARING 'ON AUDIT The Honorable p.V~~CENTMARIrO,Judge of the said Court. JAY W.TROUTMAN,Esq.,of'Was~in'gton,Pa., representing the Accountant. Estate of Deceased. IN ;RE; BEFORE: ~z<>01>-UIZZIIID. ZoI-Cl,z· 'ZUI<~~APPEARANCES: ~ll:I-UI'0 '-' 01~TIME:c:l..., XI-....N .' Thur;3day,September 16,'1971;at 10:00 olciock A.¥."EDST.. papers in this estate ..He reports tha!there areno outstanding claim Thompson,deceased:The .Administrator is James C.Thompson an the city ~t,this ~i~e,He has filed what he deems to be all relevant the attorney is Jay.W.Tro~tmah.'VIr.Troutman}s awa,y,and out of'.. Number 1103 of 1970,the estate of Helen J,a.THE COURT: ,~. ·0D.III ll: l-ll::loU ~u~ ii:l&.oc·-'-, that they have knowledge of"and that there are no questions for adju i- cation by this Court.Is there anyone else in Court interested in the estate of Helen J.Thompson,deceased? (NO RESPONSE) .THE COURT:r:I:he audit of this account is',ordered closed by the Court..'....-. ') e •,i .' ~Z.~I ••"b~"ntf,.lllatt~,'FOt:u;adtq-U4 ~.i4~QO._p(,;oftla>-.',.,"m .z '-..~f..U1".~~U,".11f,Q tb~aotCS"••k*i.b,-mit 0#w'b...tAi .f lbe Qoytt 0..,, i '~~••e•••_tlhi&~uW:ts •>,;f~~net ~~,f'ti>t ,<4 tbe ••me. z . iVI«3: I,. l.:, ,."" .... " '"• " t • ,. .. " -, .- I, i. ., ·f In t~e <traun nf <trnmmnn 'lens nf IIns~ingtnn <trnunty. Jennl1ylunnin.®rp~nns'<trnurt i3inisinn J No balance $8,694.25 22.50 In the matter of the First and Final Account of James C.Thompson Administrator No.__6.::::.3_-7.:.....:0~·-..::1=1..:...:03~_ deceased Helen Thompson ESTATE OF Helen J.Thompson a/kja ADJUDICATION AND DECREE And now October .It,19--ll,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereRf the ba~nce for distribution in ,the hands of the Accountant is determined to be $~,7l6.7 .and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. Balance'_'·_ Balance per account _ SCHEDULE OF DISTRIBUTION Deduct Clerk's Costs &Receipts"--_ Attorney Jay W.Troutman JamesC.Thompson,son,balance,including cash;5 shares common stock of the Detroit Ed- ison Company at $89.50;100 shares The Detroit Edison Company common stock at $1790.00;33 shilres common stock General Motors Corp.at $2291.44;62 shares capital stock American Telephone and Telegraph Company at $2656.33; $200.00 ~30 year 8-3/4%Debenture of American Telephone &Telegraph Company at $200.88;4 warrants qf American Telephone and Telegraph Company at $29.75;held in kind and distributed as such at the appraised value,per election filed,8694.25 r (_. .\.\ .I <j I /, "I \ l'\ JJ.~ 0 ?:z....:J ~!r n·9"-'p 0 ty t'j r::CD oi+~3 ')-J i CD 0 0 0......::t:CD_t ., M 0a..._t 9"- t t+CD ::: ..f4e, ..s~~~~ " .\ ., '). ."!..-:.-""\,...j COURT OF COMMON PLEA~OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE:ESTATE OF HELEN J.THOMPSON, DECEASED. ) ) ) ) ) NO.63 -70 -1103 ELECTION TO TAKE IN KIND I,JAMES C.THOMPSON~son and sole heir of Helen J.Thompso , also known as Helen Thompson,deceasE1d,hereby elect to take and receive in kind at the appraised·value thereof the ,securities listed~on the attached ~to,~..-It.#".j, Schedule. Dec.30,1970.~~ SCHEDULE " SECURITIES REGISTERED IN NAME OF 'HELEN THOMPSON'.. DESCRIPTION SECURITY DATE CERTIFICATE 'NO~UNIT VALUE-'11/'1/70 TOTAL' The Detroit Edison Company':5 Shares -Common Stock The Detro,it Edison Company 100 Shares -Common Stock General Motors Corporation,,:33 Shares -Common Stock American Telephone and .62 Shares-Capital Stock T elegraph Company 11 /10/6,7 11/10/6,7 11/9/67' 11/8/67 Y61494 W85517 NE364-883 67T75807C $17,90 17.90 9.4375 42.844 $89.50 1790.00 2291.44 2656.33 <;t., '. American Telephone apq Telegraph Company American Telephone and Telegraph Company' ~..$200.00 -30 year <8-3/40/0 Debenture 4 Warrants 5/.18/70 7/31/70 'i~ 8021-2200 9020-5795 100.438 '7.438 200.88 , ,29~75-, TOTAL-----$7057.90 p -~~ ~.'J u r.t::>:>cr,t..O .' o --t'_r-;:..: I· " Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF .WASHINGTON . IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the SecretarY of Revenue.(Section 703 of the Inheritance and Estate Tax Act of 1961.) IN THE MATTER OF THE ESTATE OF }AFFIDAVIT OF _.H.eLe.n J··T.~s~~fif·~~~..·~i..d~ed~~t·)···C·..·o..·~~·t..y..·==RATOR Late of w:.~.~.hJ~gt9~........ and say State of P.ennsylvan~a } ss: County of Washington .. .J.~:r.P.:.~..?..G!Th9.:r.P.:P~gD.:................... Administrator of the estate of the above-named decedent being duly sworn,depose ......~ 1 ..,197..9...)ji~ji~jtg~~iiMjiiUlfQlE~jOijf~~~~} (lIay)(Yt':Qr)l intestate NovemberDecedentdJed (Month) otherN:m:t:::i:::r:::r:fse:ttt:::::::}J'a,yW.T:rQ1l,tman .. whom all correspondence should be :31 6 WaE;l1~rlg~<:>.l'l'J.:'FllElt ..:I3.~~~<i~rlg,~1:l:E;l1irlg~?rll:f=l~rlrlf:'.Y.~Y.~rl.~~. mailed. Th h Administrator d t'f '1''th th if'f 'd t t d thatassuceponenISamilarWIe a aIrs 0 sal es a e an e property con- (Executor-Administrator) Rtituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT Mellon National Bank &Trust Company Mrs.Helen J T" James C.Thomoson Son That the contents of said safe deposit box or boxes are itemized under Schedules B return,with the exception of the following,for the reasons hereinafter set forth: of this That Schedule A attached hereto and made part hereof sets forth fullv 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,do~to .the last interest day prior to decedent's death in the case of savings banks,and to the date of decedent's 'd~ath.~'.rinallothercases;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 agree~ent they are designated as tax free,of the United States,or any state,or political subdivision thereof,o~~of any forei~country,which are owned at the time of death;all weaning.apparel,jewelry,silverware,~ic-o ,__ tures,books,works of art,household furniture,horses,carriages,/l.utomobiles,boats,and anY'an~~~I.I' other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estll1i'ated market value thereof;all bonds and mortgages held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,With interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance polici'es carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. Co .' In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y of the deed,trust agreement or other instrument creating the trust.Ther.~is also set forth in said schedule a list of all property,real and personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly wi th 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 th~instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,'the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisitiem of personalty?plus the name,'address and relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B","e","E",and "F"as directed therein, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this . ...............1...i.....................day of )W.~y 191L . ..L!..~~".71N61t~b~~C2C./. My Commission Expires:Feb.5,1975 Washington,Washington County,Pa. 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. Rct-M h:sa),• COMMONWEALTH OF PENNSYLVANIA ,-D-EPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by the decedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be (1)(2)(3) described by lot and block number,street and street number,together wi th DEPARTMENT a general description of the property,with a reference to the record of the ASSESSED VALUE VALUATION conveyance by whi ch the decedent took title;If a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this space)to be listed on S'chedule "F"and must not be deducted from this schedule. NONE f ~ ..: Insert thi s total opposi te "real property",Schedule"A"in the X X X X X "As Reported"column on the last page of this return. ~RCC,-25fi COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE IInil 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 liE".Intangible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P,O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (~.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,et~.) Intangible personal property,such as bonds,treasUi'J c'2<rtificates,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:nerests,interest in any undistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Item No. ITEM List and describe fully UNIT ESTIMATED VALUE MARKEl'VALUE A DEPARTMENT VALUATION (Do not write in this space) .:12.844 1C O.438 7.438 17.90 2.0-1/8 1f3G."7t. or(.63 bfa.03 ;)",G).q/ .).j ..; 3b~.</6 I,b~6.s-<i .Alb?7..3 ~7·020 300.00 /~.q.2 ;:;:t,bS"cG.33 6200.fr '()..Cf.7S" /,%?9·S0 3;;;'2.00 6,kclt348 .68 ~;k..1t[96 Jil-t0,1"300.00 {J,/<j t12.92~H:f~656.33 ~jt200.88 Ok;:J.i.29.75 ,,,It 1879.50~"30.t 322.00 fJKj.f/ 22.9875 OI<jt436.76 24.625 /(it'24.63 47.156 ~~I{cht 613.03 69.43750~j~291.44..41-24.16 ~I/<.~362.40 29.938 ~{t1646.59 42.53 ~kt.i.467.83 3 3.625 11'1.67.25~<:Ji-?J Savings Account -First Federal Savings &Loan of Washington Checking Account -Mellon National Bank & Trust Co. Household Furnishings Stock Dividend Checks 62 Shares -A T &T Stock 1 -$200.00 A T &T 8-3/4 Debenture 4 - A T &T Warrants 105 Shares Common -Detroit Edison Co. 16 Shares Common -Central Hudson Gas & Electric 19 Shares Common -RCA 1 Share Common -Chrysler 13 Shares -Standard Oil Co. 33 Shares Common -General Motors 15 Shares Common -Parke,Davis 55 Shares Common - U S Steel 11 Shares Common -Standard Brands 2 Shares Common -American Standard 2. 1. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12." 13. 14. 15. 16. 17. Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X 11,663.95 C<)MMONWEALT1!OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "c" TRANSFERS ." (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)~o. (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)No. (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _ (b)State of decedent's health at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enj oyment at or after his death? (Answer yes or no)~~~O~.~__ (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?__ (5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enlgyment of or the right to income from the property transferred? (Answer yes or no)__l__~O_._ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)No.. (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or 0 thers -.,-__ (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)~O. (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserved power to alter,amend,or revoke,or which conld revert to decedent under terms of transfer or by operation of law?(Answer yes or no)No. (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no)__ NOTE 1:The answers to these questions should be supported by affidavit by the attending 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 property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,.if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM NONE. DESCRIPTION MARKET VALUE (Estimated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. -------------------- <.~ .0 , SCHEDULE "E" JOINTLY OWNED PROPERTY , Rce-38 RESIDENT DECEDENT CCMMONWE~LTH Of PENNSYLVANIA TRANSFER INHERITANCE TAX I NSTRrCTIOKS:This schedule must disclose all property,real and personal,owned by the decedent jointly with another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal.property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent•.._.. Description of Property,Date of Acquisition,Name I Unit percentage Estate DEPARTMENT VALUATION Address and Relationship of Co-Owners,and PIace I Value Share Valuation CAUTION-Do not Write of Record of Instrument,where Real Estate.!In This Space. Value of Value of Entire Decedent's Property Interest NONE I I I I . I I I I ~ Insert this total opposite "Jointly Owned Property",Schedule ·"E" in the "As Reported"column on the last page of this return. "-#I .:J ...... RCC-'37"(f2'-63), COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "0" 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 James C.Thomoson Son Yes Sui iuris All 2040 Payne Court Las Cruces New Mexico 88001 I - ( 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 63 -70 -1103 ~'i:l ~....C't>C't>~....~::l til .....til 0....,::l 'i:l (l)~..............0 til '0 'i:l C't>........g ~ (l)...~ (Executor-Administrator must complete "As Reported"column #1.) C1atiltil..., ~x~~ trl til....~Cb Year P.Il'THE No.:xoox l Administration ~ Helen J.'I.':t1<:>Il"lP13()n. Deceased Late of .W:3,shington.................... County of WashiIlgt°Il Commonwealth of Pennsylvania REPORT AND APPRAISAL 'vd "0]N01'~\NiHSVt,\ S-ll i1,\.H}}ElJ.SIf.)j ~J (1 HP:Y ....j -n ssnB C/)c::~~>-~ w C/)C/)-< n n?'"?'"::r- q ~>=••-------- ~~-00 -00 -00 -00................ ~~:.........>-'m :0 'm ,0 til'm •0 .m :0 ~.W .P :W :0 (l)~:.:.~ :CO 0 :COo S;-,01 0 :CJl :0 Cbc..---- Z0 II \.\IJ il!AU ~..l I L Jay w.Troutma~•.Attorney Cl J...,_.\ .!~~"-6'~~ ~~-oo-oo-oo-oo "-..,..... -.,'-....::,,-->-II:r.....r ~..~.t:I:~::<J'-.• ~:~.8-~11 ..~ ....-.'0 '>a .:3 .~.(;:\::lc::c.. AND AGENT OF THE CO"'lMONWIiALTH Form RCC·IO ,,)OFFICE OF THE REGISTER OF WILLS OF VIashington COUNTY '0 STATEMENT OF'DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN j _ ~<t i~:3)THE SUM OF $.. om(1'''ov,o ;·~(Jf;/~~~7lI~rv .....w..-v _." Register of Will.,Agent J!iJ. ESTATE OF _-=H=-e::.;l:..::e:..:n::......::J~.--=T:.:h;:.:o:..:m=p:.:s:..:o:..:n=--__L.ATE OF Washington,Washington County,Pa. DATE OF FILING APPRAISEMENT __M_a....Jy,,--_1_4..:,,_1_9....;.7_1__DAT5 OF DEATH _N..;...:.o....;.v.....;.e....;.m..;.b..;...:.e.:,.r---:..;1,:........;1:...9_7:.,.0.:.-_ F.J.Buckley Insurance Agenc I.Bond Premium DATE Nov.970 Nov.970 Nov.970 Nov.970 Nov.970 Nov.970 Nov.970 Nov.970 Nov.97.0 Dec.970 Dec.970 Dec.970 Jan.971 Jan.971 Jan.971 Jan.971 Jan.971 Feb.971 May J 971 Mav 971' NO.OF VOUCH~"NA"'lE OF PAYEE Re~ister of Wills Observer Publishin~Co. Washinaton County Reports Barnhill Funeral Home Martin R.Hallam County Treasurer Washington County Citizens Water Co. Register of Wills West Penn Power Co. Bell Telephone Co. Washington-East WashingtonJointAuthority Jav W.Troutman C.M.Troutman Moreland Burial Vault F.J.Buckley Insurance Agenc Celso A.Stapp,M.D. Register of Wills Re~ister of Wills REMARKS Letters Advertisinl!Letters Advertisine:Letters Funeral Services and costs Appraisal -Furniture Personal Property Tax Personal Property Tax Water Bill Short Certificates,etc. Electric Bill Telephone Bill Sewer Bill Attorney forEstate,preparing Account &Tax Returns Notary Fees Vault Additional Bond Premium Doctor Bill Filing Inventory Filing,Account TOTAL AMOUNT 23 00 14.00 14 00 1532 27 15 00 14 19 39 37 10 00 19 74 21 00 3 37 19 95 11 96 750 00 5 00 116 00 51 00 187 00 13.00 15 00 2874 85 (L.S.) COMMONWEALTH OF PENNSYLVANIA } COUNTY OF Washington S8: I,James C.Thompson HEREBY CERTIFY,THAT.TO THE BEn OF IICY KNOWL.EDGE AND BELIEF,THE FOREGOING fSA JUST AND TRUE srATEMENT OF DEBTS,FUNERAL.EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF Helen J ThomAson'~.AECEASED.AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES.h.":::0...c=;~~__ .WORN:~;U•.CR'''O ."OR'ME TR::-it-DSV or X James C.1 ~ j/j tflA .L >-7Y/~~~..".~(~ Notary Public My Commission Expires:Feb.5,1975 Washington,Washington County,Pa. ---- 'l,.. AND AGENT OF THE COMMONWEALTH Form RC C·lO OF Washington DEDUCTIONS ALLOWED IN __ j"y;iro ."» THE SUM OF $..DATE(!:=:JjJ~f1iJl}/ Register of Will.,Age"tt'tJ . :J. STATEMENT OF D'EBTS AND DEDUCTIONS COUNTY "OFFICE OF THE--'REGISTER OF WILLS t.... ESTATE OF _-=H::..e::..l::..e:..:n:.:.....:J;..:.:.-..:T:..:h;.:;,o::..m=p~s::..o..;.;n:.-..:__LATE OF Washington.Washington County,Pa. DATE OF FILING APPRAISEMENT _M_a-,y!<..-,_1_4...:;,_1_9_7_1__DAT5:OF DEATH .-.,;;N;.;....;;..o...;.v...;.e..;;.m:;:.,.:.b...;.e-=r~1~•.....;:.1..;;.9...;.7...;.0 _ DATE NO.OF NAM&:OF PAYEE REMARKS AMOUNT VOUCH,"" Nov.970 Register of Wills Letters 23 00 Nov.970 Observer Publishinf:!Co.Advertisinf:!Letters 14.00 Nov.970 Washington County Reports Advertising Letters 14 00 Nov.970 Barnhill Funeral Home Funeral Services and costs 1532 27 Nov.970 Martin R.Hallam Appraisal -Furniture 15 00 Nov.970 County Treasurer Personal Property Tax 14 19 Nov.970 Washington County Personal Property Tax 39 37 Nov.970 F.J.Buckley Insurance Agenc",Bond Premium 10 00 Nov.970 Citizens Water Co.Water Bill 19 74 Dec.970 Register of Wills Short Certificates.etc.21 00 Dec.970 West Penn Power Co.Electric Bill 3 37 Dec.970 Bell Telephone Co.Telephone Bill 19 95 Jan.971 Washington-East Washington Sewer Bill 11 96JointAuthority Jan.971 Jay W.Troutman Attorney for Estate.preparing Account &Tax Returns 750 00 Jan.971 C.M..Troutman Notary Fees 5 00 Jan.971 Moreland Burial Vault Vault 116 00 Jan.971 F.J.Buckley Insurance Agenc'\Additional Bond Premium 51 00 Feb.971 Celso A.Stapp.M.D.Doctor Bill 187 00 May 1 971 Register of Wills Filing Inventory 13.00 May 1971 Ref:!ister of Wills Filinf:!Account 15 00aIN-~2M -.I S -0~t Ltt/L i -}.,.;(j~,3 t-.. - TOTAL ?R74 IREi COMMONWEALTH OF'PENNSYLVANIA COUNTY OF Washington I,James C. }ss: Thompson HEREBY CERTIFY,THAT.TO THE BEaT OF MY KNOWLI!:DGE AND BELIEF,THI!:FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS, ADMINISTRATION SUBMITTED TO THE ESTATE OF 0 INHERITANCE TAX PURPOSES. SWORN AND SUBSCRIBED BEFORE ME THIS -;:;--:;-1_4 _ B~~.,(L~~;:J1 Notary Public My Commission Expires:Feb.5.1975 Washington.Washington County,Pa. r:::::::. I ;I.......-..._~ <:::).~.0 .1....:<::~, '~'t::1-....t.J {'l i-:;z C./) ·,.,.,.. J.. -, Docket of ~97.L~0 Term,19__,A.A. 38-116-8 )Date 01 dealb \No.1103 I Decea,ed ) Thompson.Helen J. IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. tL-I-70 In the matter of :the Audit of Account filed in the Estate of TO THE AUDITING JUDGE: Enter my ,appeara,nce for the Commonweal'th of PennsyIVla<nia,claiming tI'ansfer inheritance tax in the above estate,as follows: DR. To appraised V1alue of Estate:Rea1ty ....$---:-_ Personalty .__.__._..$__/_/_~(---'?~_r~9_)_'._,_ Additioll!al Assets per Account,Subject 'to Tax_______________________________________________.-$. Additional Assets per Audit,Subject to 'I1ax ..__.$_ GROSS VALUE ...$._ CR. Debts and Expenses per Account;see Note Additional Debts and Expenses per Audit I ) $------- $------_. $------- $------- $--------$------------- $ TOTAL DEDUCTIONS,$ NOTE:The following credits claimed in the Accoun't areheldnotdeducljblea'S against the tax: $ $ $-------_. $ ---_._-- ~Tax------- able at )15% Interest__yrs.__IDos.__days @ __%$ x$-------------_.- S"-z"rO.s'ITotalTax.$_ Less amount previously paid .$__~ -·Balance .._m m •__m .m__$__~\.__ $J~t tJ1j--,------ 1-""}J TAX PAID ON ACCOUNT ,t-vq ~70 TOTAL TAX AND INTEREST DUE ..$ _ ,-\.-.... ~ () 03:"II3::00»z III~() III "II ~»IIIr-l "~t J:"0 0 0 :0 ":0 > ~"II "II jIII"II'"Z IIIZ>III :0<>-r z <:c>~() I IIIZ ~> l'D >!l'~~ Rcc-al (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT JM1ES C.THOMPSON O~~©~Administrator) '. IN YOUR REPLY PLEA.E REFER TO )8-116-8 j-' I In Re:Estate of__...:HE=':.=:LE=N....:J:,;:..•:......=T~H:.:;;OMP:..=..::S;;..:O:.:.N:...-:::ai-:./k~/:...::a::....-._ ______~W~A~S~H=IID~T~O~N!..____..;.;._County -File No.63-70-J10) Dear Mr.Thompson, You are hereby notified that the o~r~~~·g&~·~na~l~_ appraisement in the estate of HET.EN Jr.THOMPSON has been filed in the office of the Register of Wills qf WASHINGTON County on June]0 ,19.2,L.Said appraisement reflects the following valuations: Real Estate __~_ Personal Property __J~J~J~6~6~J~;.~9~S~-----Transfers _ Total --JI..I1~J..L;611.l6.3~.9;z.;,).L----- As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date __-4.Tu,l,u,m,ll;f3:......1J,l..OI-.,)---.l.l.:;97'-{--J,l_------ DATE OF DEATH:November 1,1970 Note:This is not a bill. Signed Title ~/Wrr.&4)~10 ',,'~dl.;~ FRANCES T.1~O,CHIEF APPRA TS1<;R RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY '. Estate of THOMPSON (Last Name) HELEN (First Name) J. (Initial) a/k/a DATE OF DEATH 11-1-70 FILE NO.63-7Q-llQ3 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__Wi_a:.;..s.:..:h:..:..J.Il=·:::!gt=!..:.....o.:..:n:.:.-, Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". Da ted:__J=-un=e~l=O:...'l,-=l..Lgz.L:l",-_J(~£~DLv~ INHERITANCE TAX AFfPRAiSR 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:_ 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 ------+--------+-- =====t== ~-------l..-- REGISTER OF WILLS VALUE AS REAPPRAISED $------- -------l---- -------+--- ======:::;== ______-J-__ -------------------------Valuation of life estates or ------1 COMPUTATION OF TAX $---------1-- $---------1-- ======1== TOTAL TAX Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death $---------1-- $---------1-- $---------1-- $---'-__ ======l (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $---.J - AMOUNT OF ESTATE TAX ASSESSED $--~---IL- Estate tax paid $......Jl- BALANCE DUE $----Jl- Add interest at rate of 6%from t= ------Ito-----$-------1 TOTAL TAX BALANCE $-----~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. Will (...No.AdminIstration IN THE Year .,, MATTER OF THE APPRAISEMENT OF THE ESTATE OF HELEN..J.•.'l'HOMPSQN Deceased Late of ......WASHINGTON.................... County of WA.A.fI:I:.NG.'l'ON . Commonwealth of Pennsylvania REPORT AND APPRAISAL f ~ Form RCC-2,, COMMONWEALTH DATE Jiune 10 1rllOFPENNSYLVANIA...............................................,..................................................... DEP~RTMENT OF REVENUE ",.•,t ~-.RESIDENT INHERITANCE TAX COUNTY ......W.~.~.h.t..~t9.!:1 .............................."Bii'REAU OF COUNTY COLLECTIONS ............... HARRISBURG.PENNA.77127 APPRAISEMENT FILE NO•..?~:.7.Q:~~9.?................................................. Whereas,.......................................JPg¥N....!!..~....r.Hq1.P.~.Q.N .......~/~/~........................late of ....................~A§}i~~q~q.~..............................................~....... in the County of ...............................................~A~~~q~g.~..................:...................................Commonwealth of Pennsylvania,having died on the ...................................!irs.t............................................day of ..............N.9.yJ~m'b.~r.....................................19.7.0....,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; !Therefore,I,FRANCES LEO an appraiser duly appointed according to law,......................................................................................................................................, I having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest. Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpol8s $ PERSONAL: See copy of schedule "Bu attached to appraisement 11,663 95 l I !, fonn~~:~hbl:~:~%:.w~~~~~.~:;o~~~~=~~t~~e~is::~: A praiser .............,.................................................................................................................................................(Number and Street) ..........................................UL~................................,Penna.(Po fIIee) ~.....~ r,,'"if..k....r../~' ;j RESIDENT INHERITANCE TAX APPRAISEMENT .~., v;:,,,.""" I ~ :'I :'~t tn ~••~1 .. WASHINGTON County ., Deceased. Estate of~"~,:::':~J~~:.~~l :L"(~ l'~fS.:t~f~CI"\.'.'\LLS\:.,3 H,I tiGTON CO ..PA.n.n.......~....~~..J'I:I9MPSON.......................................... Late of .....WASHINGTQN.n.n . Date of Death,nn.nn..ll 1 70nnnnnnn nn . Appraisemel!t Docket Vol.,3.8.n . Page,..n.:P/~.~nn.nn ..nn.......No ??~?C?:~.9.?.. Filed in Register's OjJi.ce,n.~~~}.9 19nTl.:n Amount of tax due $J ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• DEPARTMENT OF REVENUE Received, Examined and Approved,n n . Wrote abo.ut Appra.isement,. Appeal t,.o;n Appraisement,..n . Entered and charged,n n n .." ~./I RCC-72 (9-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU,OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT ) Jan.28,18'11DATEAPPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for CQ'lsent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)13 (b)Standard on Co.(c)----'lC~ailiolP""1tr&lOal.------ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSU ED ON __.......1.....1',-,9...,./-",6.....7,--_,and havi ng a TOTAL MA RK ET VAilU E OF $~i~1n:l3f.-.Qy,31------------ (Date) as of the date of death of the deceden t,__--"'HAJeltJll!1iewnLT"""-4.IblUo'Ym..&1p"'·S:J.IO.ND;a....-----,on ----,1"'11rl/HIH/,1HiOJ------ (Name of Decedent)(Date of death) who was late of 282 North Franklin St•• (Street and Number) Washington, (Post Office) Wasbington,PeQAsyvJaDia (County)(State) .The secu ri ti es are reg istered as fo II ows:--oIH...t.!e..1UleanL...T~b~owmu,p""'SIilll.Ol.JllI&_1----------------'-- (Name or names in wh ich certificates are registered) ADMINISTRATOR)James C.Thomllson,2040 Payne Court,Las CruQes,New Mexieo~)(Name).(Address) NAME OF APPLICANT Jay W.Troutman,AttOI'Bey for Eetate f SIS Washineton Trust BuUdingCOUNTYFILENUMBER63-70-1103 ADDRESS OF APPLICANT Washington,Pemtsylvanla BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT _Joy............,.6 "'It ~v """"1 NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF ~HIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DAT~anuary 28,1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. Register (Title) Washington (County) 'Vd ··O~);WL":NiHSVfA S111//\j 0 (J:3 LSj f);;J}J_.. .0Nnl 'JTI 1"1:1 SSnl:I r' ...... ----~.....~.~,~----,== 02 01 iW .,"..I J\~1 !_1 fU.~,~..t.J ,.4 (r"'.-..I,I ,/,,j '"\.J _J.,'~~i ..1 '-' Rcc-n (9-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE Jan.28,1971APPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)16 (b)Central Hudson Gas &Electric (c)_C_o_m_m_o_n _ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON __11_'_9_'_67 ,and having a TOTAL MARKET VAilUE OF $......:3=..=2=2-=-.0.=...:0::..--_ (Date) as of the date of death of the decedent,.,....__H_e_l_en_T_h_o_m---=.p_s_o_n ,on __1_1....:...'_1_'_7_0 _ (Name of D,!cedent)(Date of death) who was late of 282 North Franklin St., (Street and Number) Washington, (Post Office) Washington.Pennsylvania '(County)(State) The securi ties are.reg istered as follows:__,--H'i_._·:e_le_n_T_h_o.:....m_~p_s_o_n _ (Name or names in which certificates are registered) ADMINISTRATOR)James C.Thompson,2040 Payne Court,Las Cruces,New Mexico~)(Name)(Address) NAME OF APPLICANT Jay W.Troutman,Attorney for Estate '.316 Washington Trust BuUdlng COUNTY FILE NUMBER 63-70-1103 ADDRESS OF APPLICANT WaShington,Pennsylvania BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT :&.......u.>--fi ........LaKl, NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE January 28 1971 I hereby consent to the transfer of the above securities now regi.stered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consenf to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. Register of Wills Washington (Title)(County) 01 ''l •t ~~,-A _"'t. 01 l·JV SI DO IL.,,~~.,~:,~.~l _(Signature). 5.s ,Q"1t"e.nteB_.. £!'SID :the attorney of record for the es- roo:te or the transferee shown on the :front of'this form.I.Q0 hereby ~raon- ...."1'1....~.;.Lh ...:..'~.'th~~gual"Sl"l~ee "e ]J9-~P-'"~"1.nrnn .e 'V~":O'J tWIL\NIHS'"tl.lIle Jjl'€serlll8d 11',(,11',-.....n)!";"l"rT'ccnnsyl-...Vi.\vmna lf1her't,'l'l"J:'it"e +~Y ~:,-"'';r-''-.,q~;~edue S ,111.<\~iO ~J3.lSIJJU 1m tJ;~.t,-r·8.11"·';"-"r 0f +--\1("'1'~~';1"~'''-lP~listedOiN!IJ V:-;rl.j SSn1:J l::e:Y';'o(lYl for ;ljhi·ch :2 'con:'.£l,t to 'transfei-·I, .fI2.8.(~.(.,,., (Date) ;.--- r' Rcc-n (9-68) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU'OF COUNTY COLLECTIONS APPLICATlON FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENt;"·'S';;....,.,* DATE Jan..2"8,1911 APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for cQ'lsent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Associalion located in Pennsylvania: (a)62 (b)AT "T (c)_C_ap_l_tB_l _ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON 11/8/6"1 ,and having a TOTAL MARKET VAtUE OF $_2_,_8_56_._3_3 _ (Date)I I as of the date of death of the decedent,Helen Thompson ,on_1_1__1_7_0 _ (Name of Dl1cedent)(Date of death) Washington,Pennsylvaniawhowaslateof282NorthFranklinSt., (Street and Number) Washington, (Post Office)(County)(Stote) The securi ties are registered as foil ows:H_e_l_e_D_T_"_h_on:_"'_'p_s_o_n _ (Name or names in which certificates are registered) a.D-M.lHLSIRATOR))James C.Thompson.2040 Payne Court,Lae Cruees.New Mexico ~(Name)..(J\d.dressl NAME OF APPLICANT Jay W.'croutman,Attorney tor Estate COUNTY FILE NUMBER 63-70-1103 ADDRESS OF APPLICANT W:s~~Jg~t~~~'~~'Utdlrig BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT ~o>y ~~,c.n,~C)~ NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATEJanuary 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. (County)(Title) Signature} Register of Wills Washington ~Vd ..O~)NO 1~~\N\HS'1/A Slll'i\\.:W ).J31S!S3U ON \'8 r:1 n ~~ss nH • \11·I L.J J.JU ~ 1- I am the attorney of record f~r the es- tate or the transferee sho,vn on the front of th~s form.I do hereby person~ ally guarantee the payment,within the time prescribed by law,'of any Pennayl-~ vania inheritance tax wb'ir:.htiiay 'be dUEl on t.he tran"'fer of thi"'t;leen:rftieQ 1 if~ted her~on for which a C'Ot1$lmt to'transfer ,,'J, . t "-'',",-:;'!.s~ra'1.eo.'.-"'~"~(;""-,..d 1 ...~L,"",,~,~.~.J'~~..,. (Date)(Signature)I .. 01 ~I~ t ~J.,,-..;' "I '\'\..-.~~--. ; ~ 'J Rcc-n (9-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE Jan.28,1971APPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)19 (b)RCA (c)..=C:...:::::O.=O,1=ID:::..::O::..:::_O:.....-_ (NOTE:In describing securities enter in (a),ab Ole;either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON 11/10/07 ,and having a TOTAL MARKET VAilUE OF $...::4=3a=.~7..:::S _ (Dote of death) (Dote) as of the date of death of the decedent,_--=H=.e=l::..;:e=l1=--..=T-=h=o=ID:::.p""s=-o=l1=--,on_...::l:.=1:L./...::1..<../....:..7=O _ (Nome of Dlilcedent) who was late of 282 North Franklin St., (Street and Number) Washington, (Post Office) Washington,Pennsylvania (County)(State) The securities are reg istered as foil ows:.=.:H=..::e:=l..::.e=.n--.:T::..:h=.o=.:m=.-::.Ip=..::s=..::o:.::;n=---_ (Nome or names in which certificates are registered) ADMINISTRATOR)James C..Thompson,2040 Payne Court,Las Cruces"New Mexico ~~~)(Nome)(Address) NAME OF APPLICANT Jay W.Troutman,Attorneyfor Estate 316 Washington Trust BuUding COUNTY FILE NUMBER 63"'70-1103 ADDRESS OF APPLICANT Washington.Pennsylvania BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT -~uu ~A.!....LI\-C'<V NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE January 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject purs~ant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. (Title) Wills washington (County) f (].:J ,:-J '\1d "0'J NUJ.~.'NIII S·If /;1 S~Ill!.i .j0 H]J S J{)BU oNHI V~'1n !S')nid I am the attorney'of record .for the es- tate or the transferee shown on the front of this form.I do hereby person- ally guarantee the pa~TIent,within the time prescribed by law,of any'Pennsyl- vania inheritance tax i{1hieh may be'due on the transfer of.the securities listed hereon for which a consent.~D transfer is granted..' .'{?~(?!...~..·~~.8~~. (Date)(Signature) ( ...... n'}U'"/11'1u~,1l ,"I'I LJi.dU·,1 1~ RCC-72 (9-68) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU·OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE Jan.as,19'11APPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Associalion located in Pennsylvania: (a)65 (b)U.8~Steel CO~(c)...3Cl!.!lou"mWmiAi,,JJ!lontA--_ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON 11/8/61 ,and having a TOTAL MARKET VAilUE OF $...,:1::.J!.-=6:..;::4:,:.6.!...:.5~8~_ (Date) as of the date of death of the decedent,__....;H=..::;.e;::.;le::...:n.:......:::T;..::;b=o=tn=p~s:::.;o::.:n=--,on __l::...1~/L....:l::..!/....;'l:...",O"--_ (Name of Decedent)(Date of death) Washington,Pennsylvaniawhowaslateof282NorthJ'rankUn St•• (Street and Number) Washlniton. (Post Office)(County)(State) The securities are reg istered as foil ows:__~H~e!!!l~e:!!!n!.....T.:!t.'.!!h~o~m~p~a~O!!!D~_ (Name or names in which certificates are registered) ADMINISTRATOR)James C.Tbot!ilpson,20.0 Payne Court.Las Cruces.New Mexico ~)(Name)(Address) -'-""",c'-A NAME OF-APPLICANT Jay W.Troutman,Attomey lor Eatate 316 Washington Trust BUilding COUNTY FILE NUMBER S8·70·1H~3 ADDRESS OF APPLICANT Washirlgton,Pennsylvania BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT ~..........1\......"LGtl4 NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATEJanuary 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the fi ling of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of Aptil 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. ( .gnature) Register of Wills Washington (Title)(County) ". [.am lne attorney of reco;rdfo:r,th~~=o'HI';I ",."~ate or the trans:feree shown,on th~,.''1'1 ,J~:./....·'rilI/SiY,1.4 'front of th~E:f'o:rm.I do hereby jJ@~~~1{fl\:;;II ij ,:t.L SI02?J a,l,ly ~ja.ran-te~t,ne nayment,with:l:n t'trelH i r;",/T,I >'}~f;:f)'\ld0.....","...,••'\,'•."JIG}time p-rescrHmd by If3,w.of r:m:v;Pehrtsy,l~,'~?!:).!i 'f"'~""""H-"'l1"e tpx whi cb may 'be due (j'fi t'hp trl'l~~r"""0f t-b~,"Pr??1"HiesOYi S~~~!ifj '~::l {'110'I J hArpnJ1 f'(w,'vbichi a ('onf;ent,to transfer .J "t...",{,.(. !,.is granted.'"':--'"'"'t,',""--'","',".','",t!'i!( ,t I~r..{I ':t:,r;"_'~11.:t /'f .~;I ....~.1 ...,'"~<o-o.t'~.:J.~O--v\..Jl ...J '(Date)•(;Signature) ",;'" 4-; ,;;' '- .f_..... - Rcc-n (9-68) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE Jan.28,1971APPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for cO'lsent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)2 (b)American Standard (c)-"C=o==m,"""m~o=n,--_ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON 11/6/67 ,and having a TOTAL MARKET VAilUE OF $_6_7-'.-0_2_5 _ (Date) as of the date of death of the decedent,__H__e_le_n_T_h_o_m_~p_s_o_n ,on~1:....:1:..:../.c.:l:..:../...:.7....:.0 _ (Name of Decedent)(Date of death) who was late of 282 North Franklin St.,Washington,Washington,Pennsylvania (Street and Number)(Past Office)(County)(State) The securities are registered as follows:H_e_l_e_n_T_h_o_m~p,-s_o_n _ (Name or names in wh i·ch certificates are registered) ADMINISTRATOR)James C.Thompson,2040 Payne Court,Las Cruces,New Mexico ~~)(Name)(Address) NAME OF APPLICANT Jay W.Troutman,Attorney for Estate 316 Washington Trust Building COUNTY FILE NUMBER 63-70-1103 ADDRESS OF APPLICANT Washington,Pennsylvania BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT 1~......fi ...'''''~''<\AQ''IA NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE January 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. Register of Wills Washington (Title)(County) r: '''1 d :'0')tWl:)NIH SVfll' S-lll!.\dO H31Si;)IU 0 ..1.1;:,;,\-:,.,·iI.)r,,..,on <\ji~I"""j~_1:ll~~~p 51 no JLII 40,',.~,-'1,,t,;1",,"..\"j;, ' ""...J =li _ 0,1 IfY , 1 I f ,C2 ,l r.(\"j •.:::!)~.~;~~~.•• •I, (Signature),.I, '1!-~I'J.',,'.• (nate) I am the attorney of record for ,the es- tate or the transferee,shown on,the front of this form.:I do hereby person- ally gnarantee the'-p8yment,wJthin the time prescribed by law,of any Pennsyl- vania inhpr1~ance t~x whichm8Y be due on t'he ~"'''''~''f0'''of'tlw "''''l'u:rfiiH'<>.,i ""f'=:;]hl'ar~~;~'f)'"'''hi~b u ('Ol~s~nt i~.'t~~n~:f~;~ i:,>gran~,;e,1 • ,----------------~..._-~--_.~_._. , .'''' ~ (' RCC-72 (9-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE Jan.28,1971 (Name of Decedent) APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for Calsent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)11 (b)Standard Brande Inco (c)_C_o_m_"w_._on_"_ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) 11/15/61 '487 83ISSUEDON,and having a TOTAL MARKET VAi[UE OF $__0 _ (Date)I as of the date of death of the decedent,H_lt_l_en_"_T_h_o_m_,_p_s_on ,on_1_1_'_1_70 _ (Date of death) who was late of 282 Nortb Franklin St.,Washington,Washington,Penneylve-uSA (Street and Number)(Post Office)(County)(State) The securi ties are regi stered as foil ows:H_G_l_e_D_T__h_o_m--=p,---s_o_o_,_ (Name or names in which certificates are registered) A~~1SIB.~TOR)James~.Thompson,2040 Payne Court,Las Cruces"New Mexicoe~)(Name)"~ddress) .-.:..,,.-""J NAME OF'<'APPLICANTJ.y W.Troutman,Attorney for Eetate .'"316 \\!asblngton Trust BqUdlng COUNTY FILE NUMBER 63-70"11103 ADDRESS OF APPLICANT Wastllngton,Pennsylvania BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT ~'-''H J\A~,.lboa<lf' NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE ' CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATEJanuary 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. ( Register (Title) Washington (County) .JO .:1 B:j.~.:i 'Vd "0,)IWJ.-)HI HSvM 51111.\::1 0 ;]3 1.SW3U (HW:,,::'~ilJSSfll:l [,am the attorney of record 'for the 90- ta~e or the transferee,shown on the front of this form.I do herebypar~on= ally gUarant.ee the ,payment.within the' time prescl":ihE'O by ,law;Of[11W "PAnnsy-l;- vanla )1'l},P'l".t+",y;!,~tax vlhi.C'h may be due." M~tk~~~P~~~0~~~the'R~puritieslist~d. j.,'-''Y'I''It''r fOr..",which a :consent t<,)"tranSfer",I' is granted.r'. .(/?b17e....'...~.~..ti.~I6M.:,'I.'" (Date)(Signature)-------_._-".-_.-._...•_-~-. or Oi ltV 'j I lJO lL ". Rcc-n (9-68) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU.OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE JaR.28,1971APPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)15 (b)Parke DaviS CQ.(c)~C~o~mH;_maalQna.------ (NOTE:In describing ~ecurities enter in (a),ab CNe,either the number of shares of stock,or the face amount of registered bands,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ,and having a TOTAL MARKET VAilUE OF $_~36..u2~4:-'.10 _ISSUED ON 11/9/67 (Date) as of th e date of death 0 f th e deceden t,__--LHl.J:e:u.l~e:un-T..L.LIhuo.L1m.Lip,Lbs:uQ.u.n.l.-----,on _.L-ll.....,/~14/~7'-"'0J.-..-_ (Name of Decedent)(Date of death) who was late of282 North Franklin St., (Street and Number) Wa sbington, (Post Office) Washington. (County) Pennsylvania (State) The secu ri ti es are reg istered as fo II ows:--~Ht1ee,ule~l1;t......:JTb=..Ih:l(o)lmn.};lp~s.Qo.gn,...---------------- (Name or names in which certificates are registered) ADMINISTRATOR)James C Thomasan 2040 Payne Court Las Cruces New Mexico~).•(Name)4 »»(Address), ..--.,......·,,'t NAME Of,.AP"PLlCANlJay We Troutman,AttQrney for Estate .316 Washington Trust Building COUNTY FILE NUMBER 63"70-1;1.0.3--ADDRESS OF APPLICANT Washington,Pennsylvania' BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT Ac........e!L-ec~~"da....a NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE January 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. ignature) Register of Wills Washington (Title)(County) •'\id"f',r r'OI~'NluSHtl'i v,}..~'..r1 vI' SJ'lIA\dO H31SlfJ3U CH!I })In':'j rJ SsntJ .."..' !em the attorney of record.for the es- tate 01'the transferee shown",on the front of this form.'I d.o here1:JY,l)"e~ ally guarant1?8 the ro;nnent~'Wi'tmllD itbe " time pr~BCTibed b:;r ).'a";'":off ';any -Pehn:-Eiv:n.- ,·v~''i:a~n'iforpJ''-;;-ij·:i'J''1,..lj)"'d-~'::>."¥.\'?hti:C":},;:'m!iJiil T!;r9 ~","-i-, •';'1"~~t\-,,*,Iit-~:tr;"'~W.~f?'tJ'!.~f'!'0\..~~:d\-ei;~:Dfst8'd' 1 '~""I"'(O'Y'-PI'Y'"'ht"1",:,,,C'<Jll:'C-"'6"'t ':-U,'?!"t''''''''Xl0 f'e''r I•. -..--.:.-+£-,'-#.......~,..........-:-;lJJ.:)~·~.Q h:p"Y'pnted. 'I '',,,,t\"" " ,...2.S.h./.. . . ...,~.~....{S~~.'. I.({Date)(;Slgna'tu~e:»)._.'I -. , 0Z 01 !-IV 11 I DO I L •,-'",1 ~..I t....f'I r{I -J ~.•...J,-l .!.~J '-, RCC-72 (9-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU .OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE Jail.28.1971APPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)1 .(b)Chrysler Corp.·.(cL~9.n;101:...:;.o=n _ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON __l'&"'14/~sll-l.u..67.L--__'and having a TOTAL MARKET VAilUE OF $--42:o."l'h-.~6~3------ (Date) as of the da te of death 0 f the decedent,--lHIJi8a.la.ceu;DI-....T-&lbl\ololl.lm;I,.Jp\llS,.,,0ol4D&---------,--,on --1-1-4-1/1---1-11/,.-7....0"--_ (Name of Dl!cedent)(Date of death) who was late of 282 NQrtb J1ranldin St., (Street and Number) Wl!uBbingtOQ. (Post OHice) Washington,Penn.sylvania (County)(State) The securi ties are regi stered as fo II ows:--a.H..e....l...e....n'-T"""-&Ab....Q""'m>AjPl"'s....o....n>L..-~_ (Name or names in wh ich certificates are registered) ADMINISTRATOR)James Co Thompson.20402810"Court.Las Cruces,New MexicQi~§':"iiJX)(Name).(Address) NAME OF APPLICANTJay w.Troutman,Attorney for Estate 31 a Wasbington Tntst SuUding COUNTY FILE NUMBER 63-70-1103 ADDRESS OF APPLICANTWasbIDgton.Pennsylvania BUREAU FILE NUMBER Seme SIGNATURE OF APPLICANTs-b....,o"u;~N~~rH" NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE January 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. (County)(Title) (Slg ature) Register of Wills Washington I am the attorney of record for the e's- tate or the transferee shown on the front of this form.I do hereby person- ally gual"a:ntee the ;payment,within the . time 'Pt'MeI'f"l'bed byl~w,of·any Pennsyl:';;' ,vnnifl 11'l>iPY"l't&n",@ t.I1X wh:l r.bmay be due . :nn t118 t1"...·~~f'~r C'lf the 3""~lirit.'ies listed.,.,I :here",!'for·whiell a:!."o:ns€int t,c transfer~_-\ i is granted..j,.- II .~..~.'1' I .'.?-!s.l~l ....~~~~.~.~~.: (Dat~){Slgnature) 'Vd "0'.)NU1.~\N!HSV;h g-lllM ;jO ~3J.Slv3U ONIUnJ T13$:SrHj oz'0l1P2 :~lDD I L. ~(.].'.'.-1'--'I >.1 I...-1 ,.Ml·....J.i i _" ...., RCC-72 (9-68) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU .OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE Jan.28,1971 (Date of death) ,and having a TOTAL MARKET VAilUE OF $......2"...,3.....0<.L..""""'6.....3 _ APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for cO'lsent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Associa1ion located in Pennsylvania: 1...$200.00 AT,&T ~i'~'l!?_ure(a)4 (b)AT &T (c )-1~uu::;yr.:.L.r_l1DLLJ.toQ.s _ (NOTE:In describing securities enter in (a),ab eNe,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUEDON 7/31/70 (Date) as of the date ofdeath of the decedent,__-=H=.e::.:;l:.;:e;,..:::n=-T=.::.;h=°.::.;m=p"'-'s::-°::...:n:::..:.-,on _.:...1.:...1''-1=':-7_0 _ (Name of Decedent) who was late of 282 North Franklin St.,Washington, (Street and Number)(Post Office) Washington,Pennsy1vania (Co'unty)(State) The securi ties are registered as fo II ows:__--"'H"'-'e....,l'-"e~n....T~h""o""'m~p~s"'-'o"'-'n~------------_- (Name or names in which certificates are registered) ADMINISTRATOR)James C.Thompson,2040 Payne Court,Las Cruces,New Mexico :I~I:l)(Name)(Address) NAME OF APPLICANT Jay W.Troutman,Attorney for Estate 316 Washington Trust Building COUNTY FILE NUMBER 63-70-1103 ADDRESS OF APPLICANT Washington.Pennsylvania' BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT bs·.........fl ....~tt..e NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE January 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the fi ling of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. Register of Wills Washington (Title)(County) , -,' -~tit'/,."!. l._ 'I am the attorney of recor~tor the es~ tate or the transferee shown on the front of this form.I do 4ereby.pe;gGh:':'ClJ NJ1::NIHSV/A ,a~ly guara.YJ.~?e the payment,?within t?~llf:,~O ':!j'lSI~::llJ \ t1.me prescnbed by law,of any Penns:m-t:f!Br,''11 J:'c;n vaniainheritance tax wh"tc.h may be due ..",,-J ,),~}j \on the transfer of t}l.e sAcurities IJ..sted I h,ereon for which,a eonsen~,,to tran~:f!r'U':1 I.'H t',',.,. I is granted.' "..U "t,iV::l 1....10 I L6 1(2.4 [71 .I:,~\..~.,:••••~.....••.•.--!.s~.~'......-~~e. (Date)(Signature),--_.._._--_..._-~ RC c-n (9-68) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU .OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE Jon.28,1971APPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Associalion located in Pennsylvania: (a)33 (b)General Motors Corp.(c)....:lC,.,.;,O;L'.l,--!-·n,-"-.a~"lO'-!lnCL'----'-_ (NOTE:In describing securities enter in (a),ab (Ne,either the number of shares of stockor the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON_--:1::...::1:L/--=9~/-=-6"1-=---__,and having a TOTAL MARKET VAilUE OF $.....2!!4,-""2cx.9.a-J1.L...!4L.04'---_ (Date) as of the date of death of the decedent,__--""H..,.e=l=en=-'T'"-'h=o=m~p=s'-"'o'-"'n'"------,on 11/1/70 (Name of Decedent)(Date of death) who was late of 282 North Franklin St.., (Street and Number) Waabington, (Post Office) Washington,Pennsylvania (County)(State) The securi ties are regi stered as follows:__--'H~e~le!!!!ncL.-!TL!h~o~m~p~s~o:!.!!n'--- (Name or names in which certificates are registered), ADMINISTRATOR)James C"Thompson,2040 Payne Court.Las Cruces.New Mexico~~)(Name)(Address) NAME OF APPLICANT Jay W.Troutman,Attroney for Estate 316 Washington Tl"\Jst Bullding COUNTY FILE NUMBER 63-70"1103 ADDRESS OF APPLICANT Wasbiniton,Pennsylvania BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT h~\p'=~....."=.~4 04" NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.\ COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE January 28 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the fi ling of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. (Signature) Register of Wills Washington (Title)(County) /. 'Vd "OJ N01".'NIHSV/.\ STlIN;~1O H31SUJ3U ON Iifi1 v:IT:1SS0tf I am the attorney of record for the es- tate or the transferee shown on the front of this form.I do hereby person- ally guarantee the p8;Tmebt,wi thin the time prescribod by law,bfany Pennsyl- vania inheri.knee tsx whi eh rr:ay be due on the transfer aEtna SBcurities listed ,. hereon for which aconsertt to transfer Iisgranted.'..j X2{J/.'1/.... (Date),02 OJ ml t' SI :1]0 IL, .~, l Rcc-n (9-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU.,OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT.I •."••-• DATE Jan~.2;~"1971APPLICATION(MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)105 (b)Detrolt Edlsol'l Co.(c)C..:::::...::..om=m=..;o-..:.;I'l:..-_ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock.or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON 11110/67 ,and having a TOTAL MARKET VAilUE OF $..:::.11-'8~7c...:::9-=--.5=0"-_ (Date) as of the date of death of the decedent,Helen Thompson ,on_I=-,l=-:/:....:l::.!:/:....:'1....;:O _ (Name of Decedent)(Date of death) who was late of 282 North JJ"rankUn St.,Washington.W3shington,Pennsylvania (Street and Number)(Post Office)(County)(State) The securities are registered as follows:H_e_l_e_n_T_h_om_,-=p:-s_o_n ~_ (Name or names in whi'ch certificates are registered) ADMINISTRATOR)James C.Thompson,2040 Payne Court,Las Cruces,New Me::deo x~lfX)(Name).(Address) NAME OF APPLlCANTJay W.Troutm~n.Attorney for Estate 816 Washington Trust Bundlng COUNTY FILE NUMBER 63-10-1103 ADDRESS OF APPLlCANTWashlngt.;>n,Pennsylvania BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT ,J>ih<\"'''!l ....~.l aLJI NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE January 28,1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in'reference to the estate of the above-named Decedent. gnature) Register of Wills Washington (Title),(County) ''Vd "0)N01~INIJISV!t\ ST1U.~.:Fl t31SI~3U ON!l.l~h j-13SSW.:l I;r',.., 'Ult _.-A 1 em the attorney of recorafor tne ea- tate or the transferee shown on the front of tbis form.I do hereoy ~erson- ally guars1l-tee the -pas-ment,with~n the time prescriMd by 10'11,of omf p.;nnsyl- van i •inherit,ence tro:",,'c"rn~"be cria .!out!'"t""np~'rof tbe orc,,-V;OO 1.1 sted \be roon for which a consent to ',rensfer -_\'is granted.:.'JuJi,I...."~L,~..lt~,"",,;" (Dete )(Signature), \ 02 II'-j!Wuiill.!J I1JO i L .._~;; •..-1 (''', ... t;:. ., ,CQMMQNWEALTH,OF PENNSYLVANIA ,!" ,""DEPARTMENT OF REVENUE ',', OFFICI~t RECEIPT'~PENNSYLVANIA INHERITANCE';ANO eSTATE fAX 0' ~ RECEIVED FIVE HUNDRED and James J.Thompson From:ATTY.JAY TROUTMAN 00/100 --------------------------------------- -Admr.representing Pennsylvania Inheritance or Estate Tax due from the following estate: dollars Address ;$1.6 WASHINGTON TRUST BUILDING I 2%Tax on $$1[jIli $526.31 111WASHINGTON,PENNSYLVANIA 153011 6%Tax on $On Account 11-1-70 File No.63-70-1103 Date of Death xnIU I 15%Tax on $$III $~ Date of Payment December 24,1970 Name of Decedent HELEN J.THOMPSON %Tax on $_$II Estate Tax,Act of May 7,1927 County .WASHINGTON Remarks:~ /fYlJ/f TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of __%from _ to _ $526.31 $26.31 ..IHI $" SEA L 38-116-8 ®00 ~ill5 ~~ru[L NOTE:To be delivered to taxpoyer TOTAL AMOUNT PAID $500.00 l/Jill ~~, Received by ~~III NOTE,'0 0".'''"'..."ood.,'"'."'00'.,~00 fo'",••"0'.'.,,'"''"...d.o"of ...hf.~(S,goa'"o)•tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall • not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the ~:t::~~lUi life tenant or tenant for years whenever it appears that such additional tax may be legally due and ~(tie) collectible for any reason whatsoever. '; ,..en 0 U)<s: =:!:_J 0...c::J ....J C"~::;;....0:t=,.;~..~~,....---...,.l.......--- ".-.......(•..,.i 2':,'"'-- Lr":n:l- I 1 f ...1J :; """--,-.:...,,,,)(.I)f_)L)::cc:::J :::::><:.!)(f) !:t::ld '<l:c:::~:,..1"--..~- bo -I I-'I-' t'"'t'"' 0"\C1' (j\C1' ww tolo VI V1 -l .... bo.... -'-- -. "'--j ...... r •La ~-7 0 -IJ L?ai. Affi~auit (@f"1£xrrutnr (@r A~mini!itratnr l'tatr nf 'rnnaylnania.~.a.a: C!lnunty nf Ibta~ingtnn ~ Personally before me,the undersigned authority,a NQt.ar.jr...E.\lbl.i~..in and for said County and State,appeared ~~.~.~~~.~~.!!Q.Mg~.Q~t who,being duly sworn according to law,'deposes and says that he is the ~Hadministrator of the estate of ..H.~~J~~N "I,T.RQM.P.§QNA deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of.!!.~.+.!7..~~.~~.~:?E:?;p..~.~~.t , deceased,except reat 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 'ust appraisement of each item made by the above named~~Administrator. Sworn and subscribed before me this l4 .. day of M.~y.19..7..L. ~Y commi1:~ml:~~~~~~··INS RUCTIONS ashington,Washington Countv,.Pa.h . h f . f .1..:An mventory mustoe fILet!.wifum tree mont sater appomtment 0 personal representatIve. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets.. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return.. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3Juurutnrg aull "ppraisrmrut of the goods and chattels,rights and credits which were of tl~l~g J:~1:h9.g?-.l?.§.Qn late of :w.~§.h~n.g~QJ:l:,.. Washington County,Pa.,taken and made in conformity with the above affidavit. Savings Account -First Federal Savings &Loan of Washington Social Security Death Benefits Checking Account -Mellon National Bank and Trust Co. Household Furnishings Stock Dividend Checks 62 Shares - A T &T Stock @ 42.844, 1 -$200.00 A T &T 8-3/4 Debenture @ 100.438 . 4 - A T &T Warrants @ 7.438 105 Shares Common -Detroit Edison Co.@ 17.90 16 Shares Common -Central Hudson Gas &Electric @ 20-1/8 19 Shares Common -RCA @ 22.9875 1 Share Common -Chrysler @ 24.625 13 Shares Capital -Standard Oil Co.@ 47.156 33 Shares Common -General Motors @ 69.4375 15 Shares Common"Parke,Davis @ 24.16 55 Shares Common -US Steel @ 29.938 11 Shares Common -Standard Brands @ '42.53 2 Shares Common -American Standard @ 33.625 DOLLARS CENTS 348 68 255 00 3 96 300 00 12 92 2656 33 200 88 29 75 1879 50 322 00 436 76 24 63 613 03 2291 44 362 40 '1646 59 467 83 67 25 TOTAL 11,918 95 r,'.I ":Ij....~ r I 1!J . .COpy OF:INVE~frORY ':.... '.'\ ,-. .Notary'r~bUc - JA).-iESC.-THOMPSON.'.I '~ tilllliH .-. • •c.11 "., '- -. '""I ,,; .-. "'r~,.'i!.... , • -I ~'" .. '. .'~l .,., ~.,. DOLLARS'·CENTS 34e 68 " 25:):00 't",,' ,....I,'•,~". -'8•."lfnul.utar.u u~'~pp~Ut.6rmtttt\~f the goods '.a~chattels,rights a~d .~redit~which were_.,ere,n.J.Til~O:lpSOn,A_;,,~.,.~.·"Vova8h~J1.itQn.' , . .of i ; :,.:;::;:.:::-..;late•.'of :,;;,:: ;;;..::......... ,Washington.County,Pq.,taken.qnd ?1Zadein conformity:.;nth thpabove'affidavit.'< ,"•.I "',,....'-~~..:..,..~'~ SavUlgsAeeQunt ...Fir-tit F$d'e~alSavlngs'&Lt)anof W~usbmiton....,"'.,~ ,,\•4' Checking Account ~MeU{)n National Baelk and.Trust Co~...,"",~'. ..',: aO~6eb·)ldJ'urni$hlngs ' ,. Stoek Dlvid.al".l Cbeck$ 62 ShareAlt -A T ..T Stock@ -41.844 .1 -$200.GO A.T'&TQ-a/4.Debeutu~e @ 100:43$ 4 -A·T.TWar~ant$~t ••38 . l05SbAr'ea COIDn10n ..Detf'Gtt Eot&l3nCo.@d.90 Us'Shares C()ltt'~Qn'"CGQtral H"dI10~Gas"Electric:@ 10"'118.;'.,~,. 1&Sbai-es COO:Wl{.:}B ..a ,C A @ 32.-9$75 '.. 1·'Sna....Co~mQn ....Chrysl...@ 24.6~5 '.' 13 Shares Capital -Standard Oil Co.@ 41.use.~. 33 Sbo.resCOirt9)OU'..General MQt'-?ra @,IUi.4376 II-....'. 15 $bares Common"Paric.e.Dav(a@34.16·. .65 Sbares Common"U S Steet@ 39.933, 11~ha..esComm(ln ...Standard B:ran<ls @ 42.5~ 'J SJutres Camc30n ,-Amllu·leanStandard <I 33.825 •.\.... .,:' '3'-&6 300 'Ot)' 12 _92 . 3656 sa 200..88 .' 2975 •.! una 10 323 00 436 16, '24 61 61303 aa91 44 362 .~o: 1646 1-9 46183 . .81 25 TOTAL 11.911 95 ... ,,-/'" .' ".., ,...... \ ., \. 0•••~. ~t .•....""u'. •"'~''"\\..':'~j'\ ..~.~~"''~"..'.,-,-,.",',.~,_.....,-..~ '.j'• '".'....,. ',' .."....".: .... ;.1 ..~.-'•. ,",-r .. ....;...$..:..:.'<.{ .,c,t,· C 1- ....-LiJ t- e}) 0 (f) -l -l l..~.c:....... ..::::;. 'J. .~... a~A.J.;oa • •c;n ...." r_ ~:1r .~f'"~r~ ~-~) ~~t L-..rf t .'"I~'"''.'~~., '\."~)t ,.,.. "'I •" r '~,~.\:/....r 'It ,....I "I'.." " .'''\#,\. , 1.-I.;''h.• ... J ., ...... ...:t'. ,- t I ••\. t."'. •,J ...... ..<,."'. .',, -.,#' .. " ,. .1 ",,,> '!'I,,.(( ,..., .•.t'-.';'t,. tf,.•••:..,'".''-- ,".I '"t .. I c·,'