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Home My WebLink AboutOC1970-1121 - ESTATE OF DAVIS63-10'-//2i jSUPPLEMENTALINVENTORY Affibanit (@f £xrrutnr(@r Abmiuiatratnr §tntt of JtnnBt!lUuntn.}. Qlounty of lIIlIuB~tngton BB. Personally before me,the undersigned authority,a .N.Q.t.exy,f.y:b.li.Q in and for said County and State,appeared Ax:.thur A Bo.y.aO who,being duly sworn according to law,deposes and says that he is the executor or administrator of the estate of .......Gl.adv..s C.•....D.ay.is deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of..Ql.ady..s C 'O'ay..iS , deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each item made by the above named Executor Administrator. .day o~=~~_:~:~_~:~.:~~;~::~;:..me th;s.d.2.d._(._...~._.£~.~ '7 e-=~~i~~~~blTRUCfIONS.Executor-A~;r 1?1''''in i~ventory must be filed within three months after appointment of personal representative. ~2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.An original and one copy must be filed. SUPPLEMENTAL lIuurutnrn aUll 1\pprailirWtut of the goods and chattels,.rights and credits which were of Gladv.s C D.av.i.s 1ate of S.Ol1:th S.tr.ahane.iatmsh:i.p .. Washington County,Pa.,taken and made in conformity with the above affidavit. PERSONALTY Sentry Insurance Refund Hanover Life Insurance Co.Medical Payment Hanover Life Insurance Co.Medical Payment Social Security Death Payment Total DOLLARS I I 111 ~~I3571 14 1001 00 255 00 723 14 CENTS I / ~....~ \~ .;:r- U)<1('"":)0 ......~.....l a..~t 'Z .....l .....~~~~,~ev.'l -_..-'!r::::;:0 ~ ~~-<:'(<0 ~c I.;-..LL ~~Ql.....4.:-ZCC'~~It:.~___.l I"'~'"J-.....~~\f'..'1..1..1 . r-~l._.V)~t_j <f'.J ~.:-l \-:z:~%'~~Nl ':./)uJ -.....-l ())-:r::~~._1 =:'1 c."(j'j ~:::::>.~~.~.-:l 0:::Ul <1a:-.....~:;....-0 ::tI.r--~~"""-..~~......... I 10 ---------------------------------' Q!uttttttuttwralt4 uf Jrtttt.aylttattta.~.an:lIan4tttgtutt Q!uuuty.. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid on the 16th.day of November A.D.19 70 ,before me, Russell Marino ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will and Testament of Gladys C.Davis late of South Strabane Township in the County aforesaid,deceased, (a tme copy whereof is to these presents annexed),was duly admitted to probate;and Arthur A.Boyan the Executor in said \Vill and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; NOW,THEREFORE,1,Russell Marino·,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said Arthur A.Boyan committing unto him the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring him to exhibtt a true and perfect inventory thereof into the Register's Office,at Washington,within ninety days from the date hereof,and to render a just and true account of said administration at the expiration of six mOllths from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. 16th. IN TESTIMONY ·WHEREOF,1 have hereunto set my hand and the seal of said I Office at Washington,this da~of .November in the year of our Lord one thousand seventy .~~~.. .Register --_..-.,'~_"~L.._~........_"--'--<--,,,",,'....:....:..~- ) ", 1'1 ", 1,;\8'1'HILL AND TESTA~lZNT -of - (~LADYS C.DAVIS. I,GLAlJYS C.DAViS,of South Strabane Township, hfc1shinL~ton County,PCll'1sylvania,being of sound mind,memory and,understan,dinz:;,do mc.;;:e this my Last Will and Testament,hereby revoking all former wills or papers in the nature thereof hereto- FII~ST:I give,devise and bequeath all my estate, real,·)t':>--<':O'"~-1 corIo'f ,,-L '."l.1.0.("".....-.mixed'and wheresoever the same may be ~:ituate, in c(1)al shares to my ~~:Lstcr,Dorothy Hinton,of 3125 Levelylen Dl'~,ve,;iest Covina,Calirorl1ia,and my niece,Marilyn Piper,of 7850 Allen Grove Street,Do\vrwy,California,share and shD.::e In.the event either of the aforementioned legatees.. ,predeceaSES mc,I do heLeby direct that my entire estate shall go to the t1urviVO)~,hel:"heirs and assigns. SEC()ND:I nominate,constitute 'and ~ppoint ArtJ1UJ:"A.Boyan,of \JashingtoTI,Pe.nnsylvania,Executor of this mv 'La s t ~')i 1 J.end Testalll(:'n.t..I ,) 11/J I /I J".",,/,~'/1 II:',I I';///'..,.;'~l I ~_V/{/tA"J---:""_'...;../'~j-:--!-:-/;j;....;(.:_~~__/--:-<SEAL) Gla<;1ys C.Davis .',IN l,-JITNESS T..JHEKE:OF,~hereunto set my hand and !•I ( I /.-'-1 ,c"1961_LL;')__aay O.L ..Junc,+.this S ·d ] d,lgne ,~;co..e ,published and declared by the above f",/.-L~ ,; I'1CJ1~led Gladys C.J).:1vi~;as ,'l11d for her L:s t Hi11 nnd Testament in the Pl."C t:;(:,nc e of us,\-,'110,ut her request,in her presence and in the F'·.r e E:f~11C c-of ea.ch other,have hereunto sub ~~cribed our names as witnesses thcr0to. 2'-- \---' :1.,_1 , I ~\'I",',j -","','\ '/l,.' :" :/ I l\ffi~auit (@f iEXtrutnr ®r l\bmtuiatratnr J ~tatt nf 'tuuayluauia l . C!tnuuty nf lIaa4iugtnu 5aa: Personally before me,the undersigned authority,a .N..Q:!;9.tyJ'.YQUQ in and for said County and State,appeared __.ArthyLA.!.J?Qy9JL..._.who,being duly sworn according to law,deposes and says that he is the executor l§10'11~~of the es- tate of ._.GladY-s__G.__Da.v:is.deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of G19gy_$_._C._.__.D9.Yl~..._...., -di~ceased,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 Jd·uS\f:~b:r:mUsa:r.:y:cr::e;a::lf~:e7:1e~~~.e~~t~eabov}ena~e~7~~ ay ~.'P-. •.......;7,.............".'.-Executor~-e~~.~~.. CHARLOTTE L.YOUNG~P:b~c Washington,Washington Co.,Pa.DITIONAL INSTRUCTIONS 1.A~~00¥y'Wi\!~t'~slfllelt7~thin three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3J'uututnry aM l\ppraiatmtut .of the goods and chattels,rights and credits which were of Gl.ady.s C Davis :.late of so.uth..S.traban.e..T.ownship,.. Washington County,Pa.,taken and made in conformity with the above affidavit. REALTY None PERSONALTY Pittsburgh National Bank Checking Account Refund -Blue Cross Refund -Southern California Gas"Co. 1966 Chevrolet Diamond Ring Diamond Ring Miscellaneous household goods as ,":appraised by Martin R.Hallam TOTAL \ DOLLARS o 00 30,787 39 60 00 10 81 700 00 200 00 200 00 -469 -50 '32,427 70 CENTS ,. ,. .... \0 ~ '.(': -..,;~",.,J r'"..- ,I· STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,depose and say that the above account as stated is true and correct as J:J·.~verily believe. , Washington County,55:I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribe~by Statute ~.~~ule ~f Court,as evidence by proofs thereof filed to No,.JJ/3 1L.3ZO'.. Witness my hand and official seal thiS.3G~,........... doYOf----------------_:--_--~~-: Register of Wills ...-.~-- ...!-Ii ...,..., 0 '"'>=::s 0 (/)!C':l...,0:0 ..., I'l ~"\0 ~i >=::s +Ji 0 ::s 0 ::I:Q)t!),0 <:.l ~....~i <:.l G<:.l CJi ...,0 <:.l<0':....~'"""':I 1 [f)0 ....,ril,<I :...,~~!IV)-1 ~i f":I I '"'S!••L._L·,Q) C(!rili 'f 0 @1 ....~:>.oj 0 Q) -:L r;:.(/)Zi Jill 22 Pt1 3 34 a4 '<)<i >=~'"'0 iE 0~H >S\z!...,(IIafil:>0 ...,tEo<~0:>I Hi < <i=Q:fil HiNEo<!F;I [".,~-'I '\:,,\[il 1'10 '1::l ~1 G?~w.v ..)~)~.,..L >=~Ifil0:h C':l \c..:><:rd•GISTEfI OF WILLS ....;'"'~Q) (/)~i rSHINGTON (;)'~...,ojco..PA.c rn (/);,~~$!.J 0 'M ""Q ...,Q)§:-Q)~\-..';:S Hi ~~~ ~: ...,~~;~0 t!)<I >=~~Ici'1::l N q>=Z <Cl>.....~; .~ ..,.... .....,I_til -.j ,..· " The Court is respectfu II y requested to determine proper distribution in this estate. THE FIRST AND FINAL ...- ACCOUNT OF .. ARTHU~A.BOYAN EXECUTOR OF THE ESTATE OF GlADYS C•DAVIS,LATE OF South Strabane Township,Washington County,Pennsylvania. The Accountant charges himself as follows: Inventory and Appraisement: Realty Personalty I'ncome Certificate of Deposit matured Feb.16,1971. Total Debits Total Credits'and Advance Distribution Balance None- $33,150.84 246.55 $33,150.84 246.55 $33,397.39 11,487.72 $21,909.67 The Accountant charges credits as follows: Advance Distribution FERGUS.MARTIN AND FERGUS ATTORNEYS AT LAW 27 SOUTH COLLEGE STREET WASHINGTON. PENNSYLVANIA 15301 Dorothy Minton Marilyn Piper Estate Expenses Mary F.Houser Mrs.Joseph B.Leckie Naneydel Davis Piatt Funeral Home Harry G.Bentz"M.D. $3,000.00 3,000.00 Nurse Nurse Nurse Funeral Bill Medical Bill $6,000.00 $35.00 35.00 35.00 2,142.00 20.00 fERGUS.MARTIN AND FERGUS ATTORNEYS AT LAW 27 SOUTH COLLEGE STREET WASHINGTON. PENNSYLVANIA 15301 George Washington Hotel Blodwen Fox General Telephone Co.of Calif. Charles S.Muller Kelley's Delivery Service Blodwen Fox Blodwen Fox Pirris,Ruben &Underwood Observer Reporter Washington County Reports FergUs,Martin &Fergus Blodwen Fox Russell Marino Russell Marino Russell Marino BillOwed Room and Board To Death Final Bill Medical Bill Storage Long-Distance Telephone Calls Laundry Medical Bill Advertisement Advertisement Attorney Fee Damage Claim Inventory· Probate Will Short Certificate Balance $212.03 255.00 36.47 305.00 164.87 38.00 15.85 20.00 14.00 14.00 2,086.00 35.00 3.00 20.50 1.00 $5,487.72 " ~ '.. Observer -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May,1929, P.L.1784,as amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally appear,ed before me,a Notary Public in and for said County and State,RJ.~.:p..~.r..g $..!g9W~r.L ,who bein,g duly s,worn according to law,deposes and says that he is the .Yi.(:;.e..~P..x:e..s.i.d.e.n.t of the Obs,erver Publishing Company,a I"enI1sylvania corporation,and its agent in this behalf;that the said Company is,the owner and publisher of the Observer-Reporter,succ'essor to The Washington Observer,established Sepoiembe,r 18,1871,and The Washington Reporter,established August 15, 1808,a daily news'pap'er of general circulation,printed and published and haVing its place of busines's at Washington,Washington County,Pennsyl- vania,where it or its predecessors have been established and published continuous'1y 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 advertisement,exactly as printed or published in the Ob;;lerver-Reporter in its regular editions on the follOWing d,ate or dates; ......................No.v.e..mbe..r 19,2.5 a.nd.D.e.c.elnb.e.r 3..,1.9.7 0 that neithe'r th!e affiant nOT the Observer Publishing Company is interested in the subject matter of s,aid notice or advertising and that all of the all-e,ga-~~~I1~r~~.this affidavit as to the time,:.r£i9~characte5eUblication ... . ..{-t:....~1.-?(.:J.,.~,.v.:".. -.-~..,........~ESTATE NOTICE,ESTATE OF GLADYS C.DAVIS de-ceased late -of South Strabane'Township,Washingto'n County,Pennsylvania. Letters Testamentary upon·th.eaboveestatehavingbeengranted"to the undersigned,all persons hay'-,ing claims against the estate'arerequestedtomakeknownthesame to the undersigned or his attorney-.and all persons indebted to the de-, II cedent are requested to make 'pay-jmenttotheundersignedwithoutjdelay., Arthur A.Boyan,,Executor 120SouthMainStreetWashington,Pa.15301Fergus,Martin and FergusAttorneys 27 S.College Streett Washington,Pa.153011 70273-278-284-3t' Sworn to and ,"b"~~;~~~?O WASHINClOi"WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6.1972 (PUBL.ISHED BY WASHINGTON COUNTY BAR ASSOCIATION) Washington County Reports ..=••~~~N=M~4ffR&&T WashingtOD,Pennsylvania Estate Notices •The Register of Wills has granted letters, testamentary or ofadministratioI1,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys. ••••••••••••••••• 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 rSS. 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 Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COUNTY 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: ..............N~1y..e.m.b.e.r 1.9..,2.6..,.1.9.1Q . December 3,1970 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 alfof the ajIega-tfo this affidavit as to the time,pla:e'an<;l',char~cter/6f the pu,bjic;tlon ar-e-~e. \.~',/"'f"','•J I'!l.tIf/I'..J/./},~j;-..,......-"\."("\/~\.........;;.-:.:::=..:=.~.::..;.:.;.:;;.~..-.•.~·:~=:····..···Eait~-;~ DAVIS,GLADYS C.,Dec'd. Late of South StrAbane Township,Washington County,Penna. Executor:Arthur A.Boyan,20 SouthMainStreet,Washington.Penna.15301 Attorneys:Fergus.Martin &Fergus.27 S.,College Street,Washington,Penna.'15301 t..-~//L--./ Sworn to and subscribed before me this ::~~daY Of:P.~.~.~J.~.~.r.,1%.7..Q.! (Jr~J.~~ JOSEPHINE T.SClf.:,:ANNA n~,tary Public,.""'1,\','"shington Co. My Commission [x.,ires July 1,1974 •• '.i Ih·-,Y, "" . ~lt :t4t Qrnutt of Qrnutmnu ,ltali nf lIan1]iugtnu Qrnuuty ®rp1]aun9 <trnurt 1ltinilitnu In the matter of the Audit of Account in J E!>tate of Gladys C.Davis I TO THE AUDITING JUDGE: B No.__-'-_ ••...."'..~'.....-.. > ~......t""~444~~4 19 "71,--- N.B.-Counsel sball,by separate paper,present a concise statement of each claim,w.ith supporting calculation of any interest claimed.Objections to an account as filed,shall be concisely stated in a sep'arate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. A FILED 1971 NOV 12 AM 3:28 RUSSELL MARINO REGISTER OF WILLS .No.-'-------,-__ In re Audit of Account in Estate of Gladys C.Davis AUDIT 'ra~tip~fnr i\pp~araUt~ FOR Arthur A.Boyan.Executor FERqUS,MARTIN and FERGUS ~,: BY Attorney PETITION SUR·AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J Estate of Ql~9'y'~..g.~..P.~.~t~. Deceased No . Fiduciary j\X'.th.)J.r...A~B..Qy.~.n.. Date of Date of Decedent's death NQY..~.mR~X'.J.O.J.J~.7.Q Grant of Le1tters NQy~.mb.e..r...l6 .l9.7.0 . This is the JfJr.9.t..gg.g..ftn~J accou!'"!t filed in this estate If there have been.former accounts filed in this estate,list file number or number and term N0JJ.e.. Election to take Under or Against will.(cross out one)None Date Election Place of; Filed Recor9c <.••••.•.••••••••••••••• Name of surviving spouse ~.<?~~':. List issue,where material: None ' ---......;•t Did decedent marry otter ex:cutio~of will?(indica~e)~u No.Any children born after execution of will?(indicate) ~llS{No.If answer yes,name them . ......................................................................................................................................................:.J-:. Leg,atees Dorothy Minton Marilyn Piper. Relationship Sister Niece Interest 1/2 1/2 Fiduciary,if deceased or not sui juris N/A N/A List,if exceptions to above: None If partial intestacy,give facts: None Adeemed:Revoked:Lapsed:Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.~x If any exception give cause:N.Qne . File copy of Notice . and date of mai Iing Augu-st..3)1-9-7.1 ,g.?p.~.~.~..~~~~~J:?:~~..~~~.~.!~.:. v Is estate subject to the filing of a Federal E~tate Tax Return?~.C?.. ~- Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $N.one ,·. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant . ....................................................................N.9.n~. Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. None Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: None Balance for distribution per account, Itemize any additional debits not shown by account: Interest PNB on Estate Account Due and payable to September 22:1971 Total additional debits (Add) Itemize any additional credits not shown by account: Notary $6.00 Russell Marino $19.00 $.,5.17.•.8.3 . $.~L.~Q.~.~.9.1 . Total additional credits (Subtract) Balance for distribution c. v $.25 00 . $..22..s.4D2.•.RD . If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); All cash .J c. ----_._._---~- ••ua.xus If Family Exemption claimed by Petition,give place of Record:NQn..e . If Family Exemption is claimed at audit,give name,relationship and basis for Claim:~.?.~~:. List any advancement or distribution on account that has been made,and nature and amount of same: eos Dorothy Minton Marilyn Piper $3000.00 $3000.00 And your petitioner will ever pray,etc. Advancements included in First and Final Account Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: 1/2 balance of estate to Dorothy Minton 1/2 balance of estate to Marilyn Piper t,,.r , ~,\ ){ ,'"...""....'/k,: • ('-. ,--~ COUNTY OF WASHINGTON,55: COMMONWEALTH OF PENNSYLVAN.A. The above named Fiduciary or representative thereof, being duly §W9X.:n doth depose and say that the facts set forth in the foregoing petition are true to the best of h.~!=?knowledge and belief. .........S.w.QrD-:to and subscribed before me this./~~ay of S.~p.t~mR.e.r..........19..:n..~ S;gnature ~f Off;cer.~~~ T ',tl f Off'Notary'Public ~.leo Icer . Office expires . CHARLonE L YOUNG,Notary Public Washington,Washington Co.,Pa. My Commission Expires August 3,1974 .~..., # -~ ,,.- No. Estate of...._g_~~PX_~__g·DAVIS...................--........._........---... r r..............................- - -------------I:)~~~~~~d -_. Fiduci9ry_._...A£_~h)!_:r._h;..._~9.Y.§3:n-._ PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL ( Counsel of Fiduciary wi.ll submit herewith the following,in conformity with Court Rules adopted effective"December 3,1951,being rule No.9:paragraph b-c;and divisions t,hereof:shown on pages 23-24. (1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or on attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. l?~~R~~~7---~~~~~,~~~~~-----~~Attorney ""~.'2 FILED 1971 NOV 12 PJ1 3:27 RUSSELL MARINOREGISTEROfWILLS ~,"- \", ~,'\ • FERGUS,MARTIN AND FBRGUS ATTORNBYS AT LAW 27 SOUTH COLLBGB SnBBT WASHINGTON.PENNSYLVANIA lS301 'Pf-;1--6··· ;;}-(r/ HAllOLD V.PBRGUS BDWARD S.MARTIN HAROLD V.FBRGUS,JR. SCOTT H.FBllGUS August 3,1971 411-225·7030 412-225·6420 Dorothy Minton 721 West Berkley Court Ontario,California Dear Mrs.Minton ,.\. By HarOTdV:Fergus,Jr:- FERGUS,MARTIN,AND FERGUS Very truly yours, Ene1osed here\>Ji th you wi 11 fi nd a copy of the fi rs t and f1 na1 account filed by Arthur Boyan in the estate of Gladys C.Davis.This account will be presented to the Orphans Court during the week of September 13,for final~account.If you have any questions conserning this account you may either be present~in court or contact the undersigned. I" ~..~'.... •..~....1 ... .....-t '.., 1.~ :7\'~ ... t.•.........,\oJ -~~"-', f if, ..J HVF/cp Enclosure ~.. '-<0::::J~~~.,...,-~'""C/)CI>;;frr,...."""--~::=1\:>.r-~~ 3:111:!~r-~ ~'-0 wC/) •• l\) Q> .. j IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA ORPHANS I COURT DNISION IN RE:~ qLADYS C.DAVIS, Deceased. ( ) ( ) (0 ) ( No.1121 of 1970 .'~ HEARING ON AUDIT FERGUS,MARTIN,'&FERGUS,Esqs.,of Washingto , Pq.~;representing the Accountant. rhe HONORABLE P.VINCENT MARINO,Judge of the said Court.. Tuesday,September 14,1971,at 10:00 o'clock ·A.M.,EDST. TIME:' z BEFORE:oI-eIZXUle(~ ~z"e(>...I>-Ul Z Z IIIII. APPEARANCES:'':oitl-.,~ C ...Ie( ~C:J., :r...l:i are Fergus,Martin &Fergus.Mr.Harold Fergus,Jr.?.. Davis,deceased.The Executor is Arthur A.Boyan and the attorney Th~re are no problems.The entire esta'te consists ,of cash,Howeve Number 1121 of 1970,the'~state of Gladys C. .- If it ple~se the Court,11;J.ave all the relative pape s.MR.FERGUS: vi~THE COURT: I-D:oII.IIID: I-D::Joo ...I, e(oii:...o yesterday,I believe it was,we did receive a communication from th ·State of California,:indicating that ,there was some 1969 California Income Tax due.Mrs.DavitS lived in California for only a few mont s. She was not employ.ed and I don't believe any of her money was,ever out there,so I am quite confident th<:tt we will be able to straighten 2 this out without any claim.We wrote today to explain this to them and expect to hear shortly. ~THE COURT:Is there anyone else in Court interes ted in this • es tate? THE'COURT: ~z~Court. .J ,~zZ·~III11.- (NO RESPONSE) The audit of this account is 'ordered closed by the ( A UDIT CLOSED) • l ..I ." ':1,ber~by corttty thnt tJ,c pro-.:ocdlngL:i and uvWUI1~t:.0.1"(""ontainod fl,llly '. ii~ {tal ~ooJ~phcr '. 1 'as u~tbb lr.::e.rtll5 '.)1 tb~@f,,)ve ai'a:III...•0::o11.III0::...,.~tlnc1 accurately in the notes ta!ton bY:.40 on tL1(,;hear-ina (If thO·Qt)OVO l.:OUSO, U ..f 4.-:...~and thottbiG copy irJ a ":Orrect tl"'Sl13cript ii:...o I -, .!ll~)\,{!8','-::-,.,-.1(/,' f,' \' ');~.('~..l ~~.•J -'-.• ., 'l..:y "'i •- " .,i .,... I i ;" .... I ~... r- 171 CJ .',• J In t4t Qtnurt nf Qtnmmnn 'lrns nf Ifns4ingtnn Qtnunty. Jrnnsylunnin.(@rp4nns'Qtnurt Ilinillinn ESTATE OF Gla.dys C.Davis deceased No.63-70-1121 In the matter of the Firs t and Final Account of Arthur A.Boyan Executor $22,427.50 $21,909.67Balanceperaccount_ Additional debit asked at audit ADJUDICATION AND DECREE And now November /'&,19~,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thew..of ,the2baJance for distribution in the hands of the Accountant is determined to be $~~,~O .5P and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDULE OF DISTRIBUTION Additional credit asked at audit Balance _ 25.00 $22,402.,0 9129.92 4105.67 Deduc:t Clerk's Costs &Receipts'--I \.- Attorney .Fergus Martin &Fergus 'Russell M~_rino,Agent,-transfer inheritance ····,.·tax,.','%/71.8al dc<e,.f{10$.&7 pLl.ls 1 1 t aJJL.11fT, ,_."J '"..Doroth~Minton,sister,1/2 residue,cash,cred~t to be·taken by the accountant for funds in the Iamoun~"of $3000.00 advanced prior to dis tri- bution by the Court,I I Marilyn Piper,niece,1/2 residue,cash,c redit I to be taken by the accountant for funds in the amount of $3000.00 advanced prior to distri-I button by the Court,I I 37.00 9129.91 $22,365.50 4(...pJ lo/J.o/71'z:.Joo()~~•."-~Q:.l\.'''.-r~-l1qe ..""" $18,259.83 ~0 'F~117S- ~1 /().s-'~7 '-;-I 9 I ;z-o p~/;2.lf,~7 ~~ ,n..,&/' No balance ~ L. No._ -In the matter of the Account of of Estate of i\.~ju~itutinu uub iI.rtttt '- .....a '1 FILED 1971 NOV cl2 An '3:27 RUSSELL MARINOREGIStEROFmu.S ~I . .,,,. FERGUS,MARTIN AND FERGUS ATTORNEYS AT LAW J Orphans Court Washington County Court House Washington,Pennsylvania 15301 Attention:John Hana HAROLD V.FERGUS EDWARD S.MARTIN HAROLD V.FERGUS,JR. SCOTT H.FERGUS 2.SOUTH COLLEGE STREET WASHINGTON,PENNSYLVANIA 15301 October 19,1971 412-225-,030 412 -225-6420 Re:Estate of G1~dys Davis Dear John: At the time of the audit of the account in this estate I asked you to hold up the Adjudication and Decree to enable me to clear up a California Personal Income Tax claim.I am enclosing our most recent correspondence from California and on the basis of this you may close the estate and request the judge to issue an Adjudication and Decree. Very truly yours, HVF/cp Enclosure ." J 1 ' STATE OF CALIFORNIA FRANCHISE TAX BOARD SACRAMENTO,CALIFORNIA 95867 In reply refer to GA-RTF:eoq !MC ~ OCt 41971 '1ElfGus HIJ-R r.rN"J(:J)FERG/IS :J7 S'ojJffl C!oJ..LcGG 5T \A/ASf+INGT(}1\J J 1'A I~;]()J ATTN:MR.HAROLD V F£d2GL1 S . 1969 California Personal Income Tax ,,_J-. .~«.,'...,.-....~...._J #I , Accoun't Number /71or cC49-.DflllL . t IA~~!!ss~eni Humbert'9 t:J:;;3 ttl /{,J? Q;L;Q:!2YS 7J/iJ/IS Based on the information you recently furnished this office,the above- mentioned assessment has been canceled. Thank you for your cooperation. General Audit Section Technical Information Unit Telephone (Area Code 916)445-9700 FTB 4275 (9-71) ,f \. -<0;:::.;:0 ~n-t.;:oQc;: '"'."-<nC/)<n~1TJ _.--...""r-:Or-1\),r-O~""ll>~",;e:o-- 0r-:c:'-0 tAl(I).'. I\) "" ;t 3~·7 0 '7/1::2/J ! ""..""" Form'RCC-33-RI RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF .washin.gton . 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_an!!Estate Tax Act of 19.!J1.) .................G1a~:.s~~~.•~::::.:.~THE ..::~~~~OF }:::=UA:~:OF (State full name of decedent) ADMINISTRATORLateofW.a.shingt.on County state of ...... County of pennSylVania } ss: Washington . ______._____.......A~THU~A ~.9.¥.AN......Executor of the estate of the above-named decedent being duly sworn,depose and say DecedentdJed November - ---10-.-,19-.7Q.J testate leaving a last will,copy of which is hereto attached.} (Month)(Ilay)(Y""r)l.k!lr.X!XH Name and address of attorney or} other authorized representative to_ whom all correspondence should be _ mailed. FERGUS,------MARTINANDFERGUS,.......27 S •.CollegeSt._ Washington,-..Pennsy1van.ia ----------------------------------.. That as suchA.*..:tb.:g.*.....8:.11.....6.Qy.al\lepoJient is familiar with the affairs of said estate and the property con- (Executor·Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of'another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTiTUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF -HOLDERS TO DECEDENT NONE .--.. That the content::>of said safe deposi t box or boxes are itemized under Schedules of this return,with the exception of the follOWing,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth full v and in'detail all the real property in the Commonwealth of Pennsylvania of which decedent died haVing an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real p'roperty 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 •.I Iofdeposit,savings banks,trust companies,or other institutions,whether individually,or in trust f~r any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of savings banks,and to the date of-decedent>s death··.·.., in all other cases;all bonds,postal saVings,treasury certificates or notes and other evidence of in~ debtedness of the United States to the decedent;all obligations,whether by statute or agteem~nt they ... are designated as tax free,of the United States,or any state,or political subdivision thereof,or of-;..any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic-:-' tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and ~~~_~~d all other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and mortg8lteS 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 possess~d,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 policles carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. ·.~ In the case .of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the f'air 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 proporti~nate 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.Therl~is also set forth in said schedule a list of all property,real and personal,with its value,which pa~ses at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,'either individually or jointly,by the Will,deed,or other instrument of another, with a copy of the instrument creating such power attached'to the schedule. That Schedule D attached hereto and made part hereof sets forth th.e names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors"annuitants and beneficiaries for life under decedent's Will.It also contains a statement showing which of the beneficiaries named in the decedent's Will,if any,died prior to decedent,the dates of their death,their issue,and the relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. ;"'1'. iciary's gravemarkers,and reli- claims owing and unpaid at time of nt's death (except those allowed under Section with a statement of collateral pledged for obliga- duciary will present proof of said claimed obligations upon re- ly paid in settlement of any fee,commission or debt is less than the and allowed,that the same will be reported to the Register of Wills,and that essed can be reassessed in accordance therewith. Tha roe a par r 0 and deductions claimed for and on behalf of this decedent's estate,including family exemption,where applicable;costs of administration of this estate;co commissions paid or to be paid;cost expended for burial trusts,. gious services,in consequence of the death of the deced ~.death;taxes accrued chargeable for period prio 651 of the Inheritance and Estate Tax tions,if any.It is agreed t quest,that if the estimated amount the amount Tha ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~i~I:I.~.~.d "F"as directed therein~ have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this ..~...~.d........ ............................"L.-.day of ..··.n ·.···19..1...r... ....c ~lJ ~,. CASIMIR D.KNODLE,Notary Public WASHINGTON.PI'..WASHINGTON COUNTY ,NlY commission Expires Feb.10,197·3 ..----.-.~~.~0--. •u . (Executor-Administrator) (Street Number) (City or Town and State) NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. ,~. );r:r.~~:la-,Tn Clh\11\ON\VTIALTH OF PENNSYLVANIA '1'!l\N:-:]i')';[l.INHBIU1'.ANCE 'l'AX HESIPENT DECEDENT ,' SCHF.DULE "A." REAL PROPERTY ~leal property in Pennsylvania,with statement of mortgage encllmbrances upon f~ach parcEll at death of decedent.Where property held as jointte~ant or·te~ancy by entireties,report on Schedule "F.".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 shouldbedescribedbylotandblocknumber,street and street number,together with a general description of the property,with a refer- ence to the record of the conveyance by which the decedent took title;if a farm state number of acres;also statement of mortgageencumbrancesuponeachparcelatdeathofdecedent.Taxes,assess-ments.accrued interest on mortgages,etc.•are to be listed onSchedule"F"and must not be deducted from this schedule. NONE Insert this total opposite "real property",Schedule "A",in the "As Reported"column on the last page of (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH xxxxx (2) ESTIMATED MARKET VALUE (3) DEPARTMENT VALUATION CAUTION (Do not write in this space) r RCC:--33b-RI. •'COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "B" 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 "wned by the decedent jointly with another or others must be listed under Schedule "E".Inta;gible person~l 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 listlld first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles"boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,.'stocks,'mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in 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 DEPARTMENT VALUATION (Do not write in this space) -i~."~$30,787.39 .Jq '1 f 7.37 ~m#60.00 to d.0 (!) ,'KirJ,.;},10.81 10.r /~~11.00 II.0 I:) dl~.6.'357.14 361,1</6't!<)7J//,100.00 If)".0-0 ._-.~~ ~l-m.1,700.00 70-0-~ !J1J'7JJ~200.00 tJ..,O-Q,O-O d11?nd",200.00 4&0.0--0 ().~,469.50 <I,'1'.-S-O Insurance Co. Insurance Co. NpA)7//IAI3L(;, Pittsburgh National Bank Checking Account Refund -alue Cross Refund -Southern california Gas Co. Refund -Sentry Insurance Co. Medical Payment -Hanover Life Medical Payment -Hanover Life Social Security Death Payment 1966 Chevrolet Diamond Ring Diamond Ring Household goods TOTAL '$:~~,lS9TfM:If 32)8'15,%'1 Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return. .ncr -';~;1 c-Hr .i Cl1mIO:\'\;~.\LTII OF PE~NSYLVANIA Tll\t"SFER INHERITANCE TAX ~~SIDE~T DECEDENT SCHEDULE "e" TH..A.NSFEnS (1)Did decedent,within two years of death,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)No (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)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 enjoyment at or after his death? (Answer yes or no)No (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?__ (5)Did decedent in his lifetime make any 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 enjoyment of or the right to income from the property transferred? (Answer yes or no)No (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 others -:-_ (7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's prolnise to pay income to or for the benefit of care of transferor?(Answer yes or no)No (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms of transfer or by operation of law?(Answer yes or no)~N~o~_ (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in th~decedent alone or the decedent and others? (Answer yes or no)__ NOTE 1:The answers to these questions should be supported by affidavit by the 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 ahy 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 (Es timated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. RC C.~3;j e-1U--..... .;tCMMOXWE.\l.TH OF/PENNSYLVANIA T1UXSl-VH INHERITANCE TAX REstDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I~S'TRrCTIO~S:This schedule must disclose all property,real and personal,owned by the rlecedent jointly wi th another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-o-wners to the decedent. DEPART~dENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's percentage Share _...---.--'-'-"-.......,....,r'-c-=_·=--.~-=.==-'1"'-=====j========== Description of Property,Date of Acquisition,Name I Unit Address and Relationship of Co-Owners,and Place I Value of Record of Instrument,where Real Estate.! Property Interest NONE Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return. I-., R('r.-~d-RI COl\lM6NWEALTii OF PENNSYYLANIA TRr1NSEER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES ( h 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 Dorothv Minton 721 West Berkley Court Ontario.California Sister Yes Onp J.bl,of: .- Marilvn Piper 7850 Allen Grove St. 0,•r~l;"".~N;or-o Vo~{'\ft"""u""'~ -- - Deponent further says that all the above-named beneficiaries are liVing at this time except below: NAME PATE OF DEATH RESIDENCE OF THE ESTATE OF :\IATTER OF THE APPRAISEMENT Will Administration t No. P.I<THE Year . (Executor-Administrator must complete "As Reported"column #1.) CJ ~""C ~....~~0 Il'....e..'"::s '"'"'"0...,(t ::s ""C....e...... Il''"0x'1:lIl'""C ~0'"........ ~0 ~'1:l trl ~.... '"~.....Il'.....~ Gladys C.Da,,:i:.!;...........................Deceased Late of ...SQ'Uth.St.rabane.Tow.nship. County of Washington. Commomn>alth of Pennsylvania REPORT AND APPRAISAL enc::~ ~:> .--...--..~ W en en ~ ()() ?"?"?"' C'5 ~>==: ~~~~~~ \. .Vd ,.O:J N01 ~Hn HS'9'h\ SII i/,~:W T3 J.SI0 3Ho['!l ~\1 ~~-f"l ~.3 Sn(j CJJ;:,.,. ~..."'q:. Ci:... oq: ',~ :f l ::.--..i~tf:~~:0-'!o 0::JO():::s ~.--..~~:ll).g..-,i~!~-- <!,""."~I'-"{I ..:.'I f'~r .J 1 I .~f ~*~*~~ht £~JJ i:;~'l'l!'I /.1....c...tn w·5 .~~~ :'"'9 .~ :~" {~ ~~ ~::'C):~. .~. :><r. Urt_ 8"l'O....--~.::l~c.. .... .,( " AND AGENT OF THE COMMONWEALTH I ''':\..-:,~, Register of Wills,Ag••~ 63..,7.&:2 "~:V~J7 THE SUM OF $:~-::':. ·~\\\4~?1 ...~W ~,i I~ STATEMENT OF DEBTS AND DEDUCTIONS COUNTY ';? OFFICE OF THEJJ'-lJ >;.REGISTER OF WILLS Form RC C·lO OF Washington ESTATE OF Gladys C.Dayis LATE OF South Strabane Township,Washington County,Pennsylvania DATE OF FILING APPRAISEMENT DAU OF DEATH November 10,1970, NO.OF "DATE NAME OF PAYEE REMARKS AMOUNTVOUCH"" Marv F.Houser Nurse 35 00 MTQ .....R ,....,..1,.;.......~r:;Inn Nan.vdel Davis Nurse ~.li 100 Piatt Funeral Home Funeral Bill 2 ..142 00 ..G.Bentz M.D.Medical Bill 20 00 Georae Washinaton Hotel Bill Owed 212 03 R1 ..Fox Room &Board to Death 255 00 Calif. r 11 T ....l .'L Co.of J:'';...~,n~'1 36 '47 I .Ola -OQ ~Mn11lC)T Medical Bill 305 00 l(01''''Q n ....l·v Service Storaae 164 87 n 1 ",AweD J."'ox 5?ng T....'.C::l11Q ~R nn. Rl ..Foy Laundrv 15 85 Pirris..Ruben &Underwood Medical Bill 20 00 1"\1-J?c:anorte r Advertisement 14 00 ......Countv Renorts Advertisement 14 00 -..·"D &Fermts Attornev Fee 2.01Jfl\00 Rl ......nv ....rlA4m ~s:;inn ...•11 M::lTino Inventorv 3 00 -.1 1 M::l~';...o Probate Will 20 50 0.·...........11 Marino Short Certi£ica~o 1 100 Total 5,487 72 CtAd~{~::&'~v"H~IT~-,'"J}.C'O~ ~7//)-)-td./ ECILA.ED,AS DEDUCTIONS;FOR 22nd -7T-bl"~::::.=:l,L;::::.=L...L-I--II-~G!-r1-!-/;~-"'==::--(L.5.) SWORN AND SUBSCRIBED BEFORE ME THIS --=:--DAY 01"July 71--"'~'--~7--'-,6j,.,--,g;;;d,8_ COMMONWEALTH OF PENNSYLVANIA } COUNTY OF Washington S8:. I,--"-A_r...;:.t.:.:,hu.::.,J:":.......:A:::.•:..-.::Bo=.!.ys=n=-_ HEREBY CERTIFY,THAT.TO THE BE.T OF' MY ICNOWL!OGE AND BELIEF,TH!FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS, ADMINISTRATION SUBMITTED TO THE ESTATE OF Glad I C.vie INHERITANCE TAX PURPOSES. CASIMIR D.KNODLE,Notary Public WASHINGTON,PA.WASHINGTON COUNTY My Commission Expires Feb.'10.1973 .,':'. ·\\~.....I 38-118-4DocketDavis,Gladys C. ,I'~ IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. )Date of deoth (,/l-/o~10, \No.~J2L_~970 Term,19__,A.A. D..."",) In the matter of :bhe Audit of Account filed in the Estate of TO THE AUDITING JUDGE: Enter my ,appearance for the Commonwea~th of PennsylVlalli.a,claiming transfer inheritance tax in the ahove estate.as follows: DR. To appraised Vlalue of Estate:Realty_________.._-.---.----------.-----$-~~?(9)\'ff ((~ Personalty .._..._ .._.....---..-------..--.$:_ Additional Assets per Account,Subjeot ,to Tax .-----..-.------------------------$_ Additiona,l Assets per Audit.Subject to '11ax ---"----------.------------.----.-----.-.----.------.--------------------------------$-._ GROSS VALUE ...._.........--.----------------------------------.---$ _ CR. Debts and Expenses per Account;see Note Additional Debts and Expenses per Audit I ) $-------- $------ $------ $------- $--------L __~_ $-_. TOTAL DEDUCTIONS,$_ NOTE:The following credits claimed in the Account are held not deductible a's against the tax: CALCULATION Gross V.aJlue _ Less Deductions __ Clear Value __ ..... Interest__yrs.__mos.__days @ __% -$._ '-i/OS'y6 Z, '-tID)'I'1, $~----- $..-:J JO}"~~J r , ) _.1 able a'l: 2% Less amount previously pa[d ------..----$___.__ Balance....... .$!:!I ()~'t/~_ TOTAL TAX AND INTEREST DUE --..----..._....__$ Total Tax . . . _ $------ $--_._-- $------ $-------- $------_. -------',- TAX PAID ON ACCOUNT .. zp () 0s:'Vs::II0»z ITI:E () ITI 'V ~»ITIr--i "II ~t J:"II 0 0 0 :II "II :II »'V 'V ~iITI'V""Z ITIZ»(/I :II<»...r-z co~() I ITIZ i;; III >~~0. R CC-81 (2-64) COMMONWEALTH OF PENNSYLVAN IA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT ARTIDJR A.BOYAN (Executor ~) IN YOUR REPLY PLEASE REFER TO 38-118-4 J In Re:Estate of__~G!J!:LA!!ll!DY:!<.!S~C:!.J.~D:!!AJLVI::!:!S:!.--------- ____--lWlw:'A!!::SwHI""'=!!NGI"LID.uu:NL-----County -File No.63-7Q-ll21 De ar Mr.Boyan, You are hereby notified that the __~o~~~j~g~j~n4a~J _ appraisement in the estate of GLADYS C.DAVIS has been filed in the office of the Register of Wills qf WASHINGTON County on A!uiust 21 ,1971....Said appraisement reflects the following valuations: Real Estate _ Personal Property 3u2~,~8~9~5~.~8~~~----Transfer s _ Tota1 --.,-_31.!:2..,,~8~9..£5.a.:.S4~,~_ 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 _--==Aiugu==s::.;:t:......:::2:,.z,-=1£.97L:1=------- DATE OF DEATH:November 10,1970 Note:This is not a bill. Signed 2/trHLe~~;,~iLu. Title mnELINE FINNEY,APPRAISER I ;-'\ R"t C-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of DAVIS. (Last Name) GLADYS;. (First Name) G:. (Initial) DATE OF DEATH ll-10-7Q FILE NO.63-70-11 2J REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_....:WAS==:.:H:.:I:.:N=G:.:TO:..=..:::N:..-_ Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". Dated:.August 2,1971 ~~~F~.INHERITANCE TAX APPRAI R REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated:_ REGISTER OF WILLS INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE VALUE AS REPORTED VALUE AS APPRAISED $$-----~-- VALUE AS REAPPRAISED $-------+-- Valuation of life estates or annuities.. . . . . . . . . . . . . . . . . .$t=-ESTATE TAX ASSESSMENTS $.-E FOR USE OF REGISTER ONLY Tax on $-----------1--2% Tax on $-----------1--6% Tax on $-----------1--5% Tax on $-----------1--10% Taxon $~ Exemptions * Total Estate -I-__ TOTAL TAX COMPUTATION OF TAX $------~_.....:. $-----.;;.....~--'- $------~-~ $-------+-- $------~-- $----l.__ (*)As evidenced by Charitable ~Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::::E= BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%fro~ to ---C$---AMOUNT OF ESTATE TAX ASSESSED $. Estate tax paid $I BALANCE DUE $----JL- Add interest at rate of 6%from to $----It=TOTAL TAX BALANCE $-------1. 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 Administration t No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF GLADYS C.DAVIS Deceased Late of .WASHINGTON /. County ofWASHHGTON. Commonwealth of Pennsylvania REPORT AND APPRAISAL ,. . I ~ i Fonn RCC-2 •'DEPARTMENT OF REVENUE~01'" tilmEAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.1712 7 ., COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~~~·~~~t ?,l.9.7.l.. COUNTY WASH.lIIG.TON . FILE NO 63.~7.~lJ2.J.. Whereas,GLADYS C DAVIS late of WASHINGTON . in the County of·-WAS.Hl.N.G.1P.N Commonwealth of Pennsylvania,having died on the ·tenth ·day of ·November ·19 7.0,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,N.A.P.~.~f.;J;.Nm ,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Oescrl pilon of Allet PERSONAL: SEE COpy OF SCHEDULE "B"ATTACHED TO APPRAISEMENT Unit Values $ Appraisement Made for Inheritance Tax Purpoles Having been duly sworn according to law,I do hli:!reby cert,ify that the above appraisement is made in con- formity with law on this ~day of ~~~·.·.·.~.··.~~Z~. Apprai""r ..........................................,. (Number and Street)..............................................UJ..~,Penna. .WAP.:EUNO:'JPN..H..••••••••••••County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .............G.4.WX~9.."P.AV..l.§;H.H .. Deceased. Late of ..H.H.SQUT.H.HS1'.RABA,NEH.TQWN$.HJ:.P...H...HH.H.H Date of Death,'HHHH.ll~l..~7QHHHH"H'H"""''''''''H'''''''''''''' Appraisemcl!t Docket Vol.,H,38 H . Page,..H)J.~.~H..N o...{>.?.':7..9=~.. Filed in Register's Office,H..August.H.2.H 19..71. Amount of tax dtle,$.HH H H H:.H.H H .. DEPARTMENT OF REVENUE Received, Examined and Approved,H H H . Wrote abo.ut Appra-iscment,..H .. Appeal f1'Gm Appraisement,H .. Entered and charged,..HH..H H .. , •1 .. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 J Date February 20,1975 Re : Estate of ......;::..:::.",,~~..-:---=.-=---...;zp.~_ Date of Death -==~-=-=~-=-=~~L....._ Bureau File IF ~~~~~::.._ Coun ty File /1 --=~-==:.=-.-:....._ RCC-121 (2-72) ARTHUR A.BOYAN Excr. 20 SOUTH MAIN STREET WASHINGTON,PENNSYLVANIA 15301 ATTY.HAROLD FERGUS 27 SOUTH COLLEGE STREET WASHINGTON,PENNSYLVANA 15301 Dear Mr.Boyan: According to our records,the following taxes are delinquent on the above estate: Nature of Tax Amount Delinquent Second &Final Notice Inheritance Tax $105.67 Plus Interest at 6'7.From 2-10-72 2-20-75 $19.20 Unless payment of all tax and interest due is made to the Register of Wills of Washington County within thirty (30)days from date of this letter,this Department shall take legal action to effect collection without any further notice to you. MAKE CHECK PAYABLE TO: RUSSELL MARINO,AGENT TAX DUE INTEREST BALANCE $105.67 19.20 124.87 Very truly yours, ~ft~~~~ For:Peter J.McHale,Director ~~ Bureau of County Collections Address Reply to: INHERITANCE TAX DIVISION 244 Washington Trust Building Washington I Pennsylvania 15301 PERSONALTY D &D CLEARVALUE TAX @ 15% PREV.PD. BALANCE $32,895.84 5,524.72 27,371.12 4,105~67 4,000.00 105.67 RCC·4 (8·68) No·8 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE11720OFFICIALRECEIPT•PENNSYLVANIA INHERITANCE AND EST/t.TE TAX J FOUR TIIOUSAND and OO/100---....-----..---....-----------..----------......---~IIRECEIVE~..uO ars A,-{'1'HUf(A.UOYAN-fl..;x«"representing Pennsylvania Inheritance or ATTY.HAROLD FERGUS Estate Tax due from the following estate:From:I I 27'SOUTH COLLEGE STUBETAdd~~I 2%Tax on $--------$~ lvASfIINGTON.PENNSYLVANIA 15301 6%Tax on $DUlUD $~A---------'------1111 File No.63...70.1121 Date of Death 11...10.70 15%Tax on $ON ACCOUNT $4,000.00--=-------111 $-------- Date of Payment October 20,1971 Nome of Decedeo'GLADYS C.DAVIS II %Tax on $$l!f Estate Tax,Act of May 7,1927 SEA l County WASHINGTON I Remarks: JMO -:-A J lYOO ~[p [L~@illurn NOTE:This Triplicate Receipt ta be retained ;ar auJf.rr.;L1$-4 /..~.- 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 _ TOTAL AMOUNT PAID 4,000.00 $------- $n $lUi 4,000.00 $I J ONE HUNDRED TWElTY-FOUR and 81/10O'-.----.--~---.-------~---••- RECEIVED·:p"",.dollarslU"~nul"::A~Boyan "'!'iiA>cr.representing Pennsylvania Inheritance or From:ATTY..,HAROLD FERGUS Estate Tax due from the following estate: I Address 2'1 SOUTH COLLEGE STREET I 2%Tax on $$--------1rii'I WASlIINGTON,PENNSYLVANI A 15301 63..70.1121 11..10.10 File No.Date of De~th I 6%Tax on 15%Tax on $21,371.1:2 $-------- 4,105.67$..Inl $• 124.87 $I! $19.20.~ %Tax on $$II!I Estate Tax,Act of May 7,1927 $----;----- 4'I TOTAL TAX CREDIT p,.105.67 Less five percentum of tax if .rev...~d.!t 1°.°6".,.96 paid within three months afterBalance 105.67 date .of death $ "Ius Interest at1...ero!':..d..---------IRI __%fr"fi T,l, to ate SEA L ,, 1, \,, Ii }. ~~." \"1ASHINGTON, •'.~'!".../,(~,OO ~~[L ~@ill,{r~ NOTE:This"Triplicate Receipt to~be·rit~ined for audit pu~n.118 ..4 "........... 'I -~'>1 r',o TOTAL AMOUNT PA!0 Received by eh~11 LL{~• NOTE:In accepting the transfer Inheritance tax an future estates,prior to the death of the life -J::~.nature).~, tenant or tenant for years,as evidenced by this receipt,it Is understood that the Commonwealth shall ,~.-!"~UJ ' not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant/for years whenever It appears thai such additional tax may be legally due andl--------,f-I----....,,(T::-i-t.,.le~I-------------.-.-11 collectible for ony reason whatsoever. Date of Payment February 20,1975 Name of D«edeo'GLADYS C.DAVIS II Remarks: _:..-_~==---~-------IICounty --,._--,..........~_......-_._.'-....._-'_---..I.--._._---,~-~~---_.,-..-li_..-....;~,.----.l..1.o.-.·.......;",...,,:-..·~---:......· , 0:> C\l •• a M oCt) :z:::: l.LJ ~--0:;:2-....;<;(- --.l ;rL,-0ru-.I,...,.--d~ LL <n..... >-(/)~ Q ::>c.:;l O:::LU"'-c::: ~0)...~ .; ~~-a~a u. tj 0 'tit rJ) N III t...~~c(a ...<CUJQIII ut •k ()~=:rJ) ~~fit j 0 ....-.-,~, HAROLD V.PBJ.GUS BDWAJU)S.IlLUTlN HAItOLD V.FBItGUS.JR. SCOTT H.FBItGUS FERGUS,MARTIN AND FERGUS AITORNBYSAT LAW ]7 SOUTH COLLBGB STKBBT WASHINGTON,PBNNSYLVANIA 15301 August 3,1971 J-f;1'---rs' :J-!(I 41]-225·7030 41]-225·64]0 ..... 1 Dorothy Mi nton 721 West Berkley Court Ontario,California Enclosed herewith you will find a copy of the first and final account filed by Arthur Boyan in the estate of Gladys C.Davis.This account will be presented to the Orphans Court during the week of September 13,for·final account.If you have any questions conserning this account you may either be present in court or contact the undersigned. Very truly yours, FERGUS,MARTIN,AND FERGUS By HarordV.Fergus,Jr. HVF/cp Enclosure I {\ ;'\. i '!!, .,,. /3"-'/C)-II:)I l", ,. L -of - GU,DYS C.DAVIS. 1,GLADYS C.DAVIS,of South Strabane Township, \'1'ashington County,Pcn'1sy1vania,being of sound mind,memory and tmderstanding,do ma1,e this my Last Will and Testa'11ent,hereby 1 ~"!~', };. ,revoking all former \-li11s Ol~papers in the nature thereof hereto- fore made by me. <I r ; \' in equal shares to .m)1 sister,Dorothy Hinton,of 3125 Leve1ylen real,personal and mixed and "Jhercsoever the same may be situate, FII~ST:I give,devise and bequeath all my estate,~·f • Drive,'West Covina,Ca1iforni~,and my niece,Marilyn Piper,of' i?,.. ,{ i 7850 Allen Grove Street,Do~ey,California,share and share alike.In the event either of the aforemention~d legatees predeceases me,I do hereby direct that my entire estate shall go to the survivor,her heirs and assigns. ;i(, ,~.. ~.f my Last Will and Test31l1cnt. Arthur A.Boyan,of Washington,Pennsylvania,Executor of this '-" '-f',','{,,'"J,~~~, ..',,; I'/1'')I~,/!"I,.i!'/_/(;/,;.,4/1 ./' / ://,1 /;_;,'"j(j-lA:/ __~~_U_:",~'v_'f~_·.'_~_-(SEAL) Gla<;lys C.Davis ;. I nominate,constitute 'and appoint Signed,scplcd,published and declared by the above SECOND: f.IN HITNLSS T'i~tEKEOF,I hereunto set my hand and Real, day (\=JUllC,19'64.i . I I • this \.' .;'.p .;..[)...i .....63:::7{)'~1/;)/ .).'.Affi~ituit OOf~r:~ut:r ~'tI~mtui!itrutnr ...'~'...~i J.J;t';."','~'-:"..:=fn~;=:=}OS:,.~.,.:.·"V'>.• "'\....,",....",.\Petsori~Uy before rne;the u~der.;igned·authori~,a : :1!<:>tar ····pbli.C···::::iri ~nd ·for·said 'Oounty ~nd\State,~p~e:r~cf::.~:.~,~..::~L ~:..:;_::..\.J:!~t /t...~:~..:L~:..L..~:who,'beihg'dulysvJor~according ttl l~w,d;eposJs"ai,*'I~.~::~1?Ia.n ~h2eiecJtof"of ~drftifiis~trator d:'the.esiate ·of..L::..~:,:~.~::::~:.::,:..:~::.~::deceased,that the foregoi~g schedules constitute a IGladvs 'C .:DMllS .'...'...''../ompTete mvenro'y ancr appral,semenct of the rea}~~d.perscmal.~statepf ;,-··.·····_·.··.····._··:·.·····.····_ , deceased,except real estate outside the CommOnwe'alth of.Pen1!sylvania;that't~f\CilUo~si~~item.l'Of.·...rea.l...a.~.d pers.,on.a1,e.~t"ate.~n the fo.regaing.sch.ed'tile.s..'a.re o.·ete.r.mine.dand.stat.ed b.y the;.undersi.gned to.be the faIr value ohald Items as of the date of the decedent's death,based U'pon-a Just appraIsement of-each, item rp.ade by the 'above named Executor'Adininistrator~:....,1 t,•.•.• 1 .'..Sworn ~",z,ubsc~bed,b;foreme!ili,U~:).~'~••~;'\,,~:.:·;t ..A .•. •day of..·..r1:.:··~,·:···,·,···..·..··..·.·_.:c..~9/2..(-_.I'I",.'"'}:.--.S,~~fJ...~..:::~..p 0,,K'I .,c;;.....,~.'.....,'E Ad'•.:~"~d.ts:!...,..:1P~c•.......".,............'.• . ,xecutor-..m~.s rator . .·~~·t:f/!;<j;ti/1·~'ADDITIONAL INSTRUCT~ONS .',.. 1.An inventory 'must be filed within three months after appointment.of personal representative. 2,A supplemen611 invent'ory must be filed Within thirty days of Cliscovery 'of additional a.ssets. 3.10riginal and 2 Copies and 2 RCRI-34,Under.$lO,OOO;1 Original'and 2 Copies and'2'RCRI-33,Over. $lO,OOO,indudJn:g Copy of Will;1 Original and 3 Oopies and;2 RCRI-33,Over $50,000,including Copy of Will and copy of;F~deri:l1 Estate Tax Ret~rn.l.:.''.-:"..',.. REFERENCE FOR ADDITIONAL .COPY Act·of 1947 P~1:513 Sec.5:2,72 P.S.4844.2 ~......~.,-.. .. .,.,.:-:'\.'..- SUPPl.EI.mNTAL :'3hror-tttnf!{'~Ull'!\ppr,ai.!irmrut of the goods and chattels,rig~ts.an~credits which were ~f ;~~::Gi.~y.$c.•.....Dav..is ~_.late of .sOU:th S.t.r.abane T.own.shi~,_· "WashinfTton 'County','Pa.,·~aken and -ri-tade 'in co'1ito;mity with the'above·affidavit.':.'" t-•_~~,v~_.~-.-.,",.'...~-.r..._:.... .-.,-';'~_.~~'-~.':' PERSOOALTY ,.,'.,..,:.. •j ,', •;1 .'t. DOLLARS .' CENTS Sentry Insurance Refund Hano:v:er"Life Insurance.Co.~edi~alPaymeQt· Hano,,:er Life Insurance;Co.Medj.cal Payment .. Socj.al Security J)~ath ~~yment All,;)'7/ltA-(!:,~v :~ .' " 11 00 <.357 14 100 00 .:.::Ie]go=: .' " ! " ,. ""," 'TOtal' ""., .' .'. ~.I "t, ,> "i,',- ,ji:<"~. <-'J "-1'23 14 if'''if./4 <."..~i."~• ..,1..•."['~;..~~ ,. f , j , r l,!', /I, ~., AND AGENT O~THE COMMONWEALTH Regilter of Will.,Agent -----.",,f.t''. STATEMENT OF DEBTS AND DEDUCTIONS COUNTY OFFICE OF THE 'U!GleTER OF WILLS .. .":';:"~,~-,,~·:.~i,*?'~":~:~'":t ,- •_~_:.....;.:....f ' Form RCe-lEl'.. 0..Wubington ESTATE OF _~Gi!,ojllLlla~d...ll~I_~CUl...........DIUa:~v...i_s LATE OF South Strabane Township,Waulbcrt. County,pennsb1vania". DATE OF FILING APPRAISIEMIiNT DATIO O~DEATH Ncmem_er J 0.1970 Nr__--- ., 25510&,'\ m~ttl 212 OS, .c'~ 2 ..142 loci',~~ r.l'. Sf:orat'IQ ~Bl Rill ~oom &Board to Death Bill Owed M-..........'Rill Nu....lle ....-...",.1 Bill r ..'4...., Co.o~ M D.t::L -..... Geoxae WaalU.Daton Hotel -_..At:l ~_.....1,.W" .1 Daria III '" III .. Ita"u'.nsl" 04......1 Hama .. Ill'.v Pirri.•Ruben ..Underwood Medical Bill 2008 ...:Advertisement 1400 '.' 201m '. ';\' ••I~ 1.108:.,Advertisement T -rl ..4", ...,.,--taL ._]['lI:in &;- Ill'-"'....--',,u __"....... ...-.-.1 ........ft.... ,1''MA...~nn .'' A J f\"I /.~"r COMMONWEAL.TH OF PENNSYLVANIA } VAah4 ...·COQ,ss:COUNTY OF _~"':':"'__~=~~...-_..,..-__ I,iitbur'4.Ioyaa HERIEIIY CERTIN.THAT.TO THE aqT OJl'~ MY kNOWLEDGE AND BELIE~.THE FOREGOING 18 A JUST ANt TRU E srATD:~ENT OF DIEBTS.FUNERAL EXPENSIES AND EXPENe..0,. ADMINISTRATION SUBMITTED TO THE ESTATE O~G _ely.C.vi.If DECEAS.D.AS DEDUCTIONS POll INHERITANCE TAX PURPOSES.',...../!~.~(j ;:4"/,"i 22ad '-Y _,{(."I tL 2,4J~L ----==-(L,•.• SWORN AND Sl.lB,CRIBED BE,FORE,ME THIS DAY ~7 'J .JUl.,"HI 71 !',ett::O~;&t:"l-_i t;, ..........-"":... .~. COpy OF INVENTORY Ho."Pdl1c . Arthur A.Bo,an Gladys C.Davis ~brua(y 11 15th Gladys C.Davis lhtututnrg nub !\pprniatmrut of the goods and chattels,rights and credits which were af ;9.~.~9.y...~g.,·P~.y..1.~.,,",.,,,.,.., ,late of.,.~()ut~~,~~.~~.~1'P~.~.~.~JP..L ,.. Washington County,Pa.,taken and made in conformit!j with the above affidavit. RgALTY None ~kBSCNAm Pittsburgh National Bonk.,:;heck,lng Account Refund -81 ue Gros5 Refund -Southern CalifornIa Gas Co. 1966 Chevrolet fHd mond Ring Diamond Ping tv',L:>celldneous houst.:hold goods as appraised by MarUn R.Hallam 'OCTAL DOLLARS o 00 30,787 39 60 00 10 81 100 00 ZOO 00 200 00 I 469 50 $32,121 71) CENTS .-.~--._-.----.n--'-_-..-~_'__~~_.._~~..~~-~._--~\'';~~ 6tatt of ',nuglmmta. CllInmtg nf lIhudpttgbnl !' Affioolrlt 03fsr:-*nbntbttBtrahtt }- Personally before me,the undersigned authority,a --.(IOtar'y ltc.._···.··....in and for said ~~;:yac::~d~~;t~~~~:a~~~·~~·~·~~I~··,~\···¥rili;-~;~~~~~~··~~···~d··~i~i~~~-~~o;·:~~h:e~:~~u~ r ........<1lidji C~··-··DavlS-·--.---- -------___._._deceased,that the foregoing schedules constitute a complete mvelltory and appraIsement of the real and personal estate oL.__..__.__ _~_-l:;;_..··, deceased,except real estate outside the Commonwealth of Pennsylvania;that t~o~lJtK~item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each item made by the above named Executor Administrator. daYa~~"-~'a_~d,u_~,~d_b;~~,::~,th~,===}..Encutor-Admin;""t~ ADDITIONAL INSTRUCTIONS 1.An inventury must be filed within three months after appoiutment of personal representative. 2.A suppleroelltal inventory must be filed within thirty days of discovery of additional assets. 3.'~Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,Over '':~lO,OOO,.including Copy of Will;1 Original and 3 Oopies and 2 RCRI-33,Over $50,000,including Copy of Will aild copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 >PLltMBNTAL )nnrntl111J Ittb Appraisrmrnt of the goods and chattels,rights and credits which {vere of···_-·..· ·.---~~~,~~.~late of -..~~~~.~~!~.~.~.'--- Washington County,Pa"taken and made in conformity with the above affidavit. DOLLARS CENTS Ii s.t%y In"S'aDce Ret'uad HaacMtr U:fe InlAW-.ee Co.Nedioa1 P.,..••t HaDCMtI'Uf.Inauruce Co.Jledtca1 ~t Social Seau:lty Deatla P__t 11 00 357 14 100 00 255 00 Total 12314 / -<0~ ::0 a""::0 .,.,c;;c::<:-(/'J(/'J(/'J --1rrl ...I'TI,-ro r::0,- o~rn""l>~<::0 0;=2 '-0 w(J)-. N<»