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HomeMy WebLinkAboutOC1970-1172 - ESTATE OF GILLIAMbeing duly sworn ..according to law,deposes and says that he is the __.administr-ator-----------------------------CExec.,"i\om"Legatee,Etc.) G,3-7 o 117)/OFFICE OF'THE REGISTER OF WILLS QUlRED IN ALL ESTATES WITH GROSS ASSETS UNDER 110,000,UNDER SECTION 701 OF ACT oF'JUNE 16,18"j61' IlE IN DUPLICATE WITH COPY OF WIll ATTACHED)'.t3: '.fig,YSSr County of ..W~.~q.~t:lgt9!1 . . . .James .W Lo.we.·, ,'"of .85.Highland Ave Was:;hing.ton,.Ral . (Name)(Addre8ll) of the estate olM.atii.e__Gilliam...whose last residence was _.a5_1iighlan.d_A:ve._Was~.-l?a.,-.----- (No,)(Street) ------,deceased,and that the whole of the estate of said decedent,who died __Aug.__2'O_~-19.7-Q--- (City,Borough or Township)(Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS, Real Estate Estimated NONE Value r Personal Property ... Held b'y.--J.arr\~Q W T,OWl"in ,..h~,..ldnO'!:I ::It Pith:: National Bank af':f':oC'i::ll f':pC'l1ritv "Lve oi ~?!1 9~ Held by hospibl ::I !:Inri nair'!tn _T!:IYYl""Q W.T,owp 01<747 4R 4;'"--'J'..... rTYYrA T ~1 ~7q 4.1 oK i"~ .;J,X NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered.x Jointly Held Property ... ========JF===T_l_.a_n_s_fe_l_.s_w_it_h_in_T_W_O_Y_E_A_R_S_~_~_iO_~_~_O_D_ea_t_h I _ I _______1__ That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NONR 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 ._--- - - BENEFICIARIES RELATIONSHIP SURVIVED AGE OF LIFE BENEFICIARIES AND ADDRESSES (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARYaninterest,vested,contingent orotherwise,in estate.).are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT - C::ab LlH·...,...harl ('<I. •.-'-"l:::- ..__. I I l ,j FORM.67 REV.1-50 REG.WILLS Application for J£ttttrs of A~utini5tratinn on tht Estate of.~.'!.~!.~~..~g.~~.!:~.M .. late of..Cj!,Y...Q.LW.g...$..Jb.j,n.g.tQ.nol W.9.sb.ing.tQn..GQ.un.t~.P.g ,Deceased. Before the Register of Wills of Washington.County personally appeared 19xn§.§W..t LQYl!.~.. who,being duly sworn deposes and says that..M~.t.!A.~!?..~Q.HH~.~: . age .7..~,having h.~.r....last family or principal residence at 8.5 Hlghland..Ay..e.nlle.. (Street and Number) ..................................Yv..g..~h!J:m.t.9..D:,Washington County,Pennsylvania,died intestate1(City.Borough.ToynshiP)at...2mYErl.u~b~:.Jt.ilj3~1ifl~~~~,on the.2.0.thlay of..A.b\g.b\.$.:t:... A.D.,19].Q ,at...Q.:.O.Q ;P.M.,possessed of personal estate to the estimated value $..5..o.o d.Q ,and of real estate in the Commonwealth of Pennsylvania to the estimated value of $..." ,situate in ~.. The names and addresses of the decedent's surviving spouse (if.any)and other heirs including heirs by adoption)are as follows. REI,ATIONSHIP RESIDENCE .Ig.m.§.$...W..~LQ.Y.Y..~:Br.o.the.r 8.5 Highlgnd..A:v..en.u.e Was.hing.tQn pa • .P.er.c.e,¥LQ.w.e.Br.Qtb,§r .6.§QkJ§,Y.ol W..e.s.t..Y.im.in.i.g... .Tb.eni.e Glg,t.y,&It Sister i7.J..s~ynat~1l::.b~.~8~~..z.fiOl9.~.~.?:. :::::::::::::::::::::::::::::::::::~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::r::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: ........................................................................................................................................"'1'.. That deponent is over 21 years of age,..'resides at.......8..5....H~~bl..§.n.Q ..A.y..eD.!J.e..I...w:9.§.h.tD.g:t:.Qn.I........ \" ....................p..~.QD..§.y.~y.~!}J.~::' is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. Sworn and subscribed before me thiS.......~..........~lvJ ,.1-....,..,01'0...;~.Q.y..g.rnp.~,A.D.,19 Z.Q .. ,A,d.~I&.ll:J..:'lt..._:~.. REGISTER .~.. ~J...........;.......d.J.....~~...... .......................................................................................................... COMMONWEALTH OF PENNSYLVANIA }SS: WASHINGTON CQUNTY,~L.tJ.'I And now ~~e.r.,19 7..0..,comes .I9..m.~.~..W.~19.:Y.Y.~.. who being duly sworn doth depose and say that..b.e will well and truly administer the goods and chattels,rights and credits of..M9.-.ttie..B..,Gilli.g,llL ,deceased, to the best of....ber.....skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. Sworn and subscribl~d befor1J me this M . da of~Q.M~:taS:e.rA~.D.,19...ZD :.. ................·........·..·...::.·~l~:::::::::::::::::::::::::::::::::::::::::~REGISTER '1".. ~J-7(J-/J7L ;:APPLICATION FOR Lett¢rs of Administration 'I ESTATE OF Deceased R $. ......,..........Z '/"'\Letters...:.................................~v P $.. Extra Alias Certificates ·..··..·....·..··..·F S -----"-w J>"VI U",•t.CI Harold Fergus....................................................................................................... Attorney ~2 ~ 1 .~.'. 'f"'Il...~} --J NN f\) ....-.....-.~CC'\J10 ~'}O r'9 1=>P ,.... .0100 0000'1 wo 00 oow, l j l(UIIUt 1\11 jtpu iy wllpsp Itrpsputs Estate of....MA.T.TlE..B..,...G.IL.LIAM......................................}N f 19h100 ..late of.W9.§....:ingt,Q!J..,....p..?.m},§.y...Y.'.i?:!J.J.9:.,Deceased . KNOW ALL MEN BY THESE PRESENTS, That we,HAB:r..f.Q.R;p..A.Q.GU?f;.N.:+...bN.R..INP.~M.NIr¥...u~m.P.MN.9I;9Q.M.r.AN.¥.~.!}.9 . .....Ih.M.f;§..W..~1Q.YY..f;.. 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.Q.n.e...ThQJJ.s.9:nct...(S.l.,..QQ.O....l.Dollars,to be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves, jointlyand 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 l..;;!.t day of .........~..'O.e.(f.emR.~.m..D.,one thousand nine hundred and §.§y.§!J..t.y.n.~.7..Ql .. THE CONDITION OF THIS OBLIGATION IS,That if the above bounden .. ........................................................................................JAMES..W LO.WE . Administrator XlX~lbe~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 otherwises,it IShdall rdem d al~n indf~rceh'f ...~'~'~W'~......t.!d....~·SEAL) ea e an e were tn t e presence 0 :U~S::W·;~:uvvc: ..........................................................................................................m~=~ij.~~r;f8~=::::::::~; ,By.~~...Zl~~) I ./~tatement of ~urety ...........JAMES ~~..~L.Q.Y.Y.:E ,surety in the sum of $l....O.Q.Q Q.O ~.~Wtr ..."",,---,.~the estate of MAT.T.IE B GILLIAM .......IilMlll\!I'!ilrl,J ..........W.Q.shin.Q-.tQ.n , , .8.5...HlgblQ..n.d.A.y.~nu~."...Wg,.s.bingt.Qn.t....p..e.nn .a Street P.O. 8'tatement of §urrty I,,surety in the sum of $on the administration bond in the estate of...::,say that I reside at ..............................................................................,Washinfiton County,Pennsylvania;that I am the owner of real estate, the title to which is in my own name and duly recorded,situated in , Washington County,Pennsylvania,worth above all encumbrances $;;and that I am worth the amount expressed in said bond,over and above my just debts and liabilities. Street P.O. COMMONWEALTH OF PENNSYLVANIA,}SS. WASHINGTON COUNTY,. And now..........................................19 comes .. who being duly sworn,says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incum- brances and exemptions. Sworn and subscribed before me this . day of A.D.19 . .. '"And ~3 -70 -//72 No.~;(/L J\~miniBtratinn ilnn~ IN THE ESTATE OF Mattie B.Gilliam -Ji;!~..-...:;~...o....f'rJ .::t:>~•i now De<$Jl~e~1,r;:::,~70 Bond appr.oved"'arrd.LettertCiisued'-i:o>::-.),..;;·"""1 ...,~ -f ....,,.....i71James~..:'i1)we _:,~_~~____~~_I C)":::.~i.<.O...Ja-;;,>.J:::"..t.'-.:-...~..-~.....~-......who ~;f:"d.,W-Y qualified.:=-v')-<:;:>------- c...r, Russell Marino c.o Register l.. " • Bond Book _~Pag.e~ ~2 , I ---~~--------------------------------.---- IN THE C:OUR T.OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA• .ORPHANS'COUR T DIVISION IN RE: ESTATE OF MATTIE B.GILLIAM {,3.7()·//72- JifJ 95-78~ NO.OF 19---- FERGUS,MARTIN AND FERGUS ATTORNEYS AT LAW 27 SOUTH COLLEGE STREET WASHINGTON, PENNSYLVANIA 1530I PETITION FOR SETTLEMENT OF SMALL ESTATES ACT L. The:Petition of James W •Lowe,Administrator of the Estate of Mattie B.Gilliam,respectfully represents as follows: 1 0 The Decedent died in Central State Hospital,Peter'sburg, Virginia,and at the time of her death was a resident at 85 Highland Avenue,Washington,Pennsylvania. 2.The date of Decedent's death was August 20,19700 3.A detailed statement of all personal property of Decedent is as follows: (ao)Held by Administrator during Decedent's lifetime as Social Security Representative in Savings and Checking account in Pit~sburgh National Bank 0 0 0 • 0 •••••0 ••••••••••0 •••••o.$925.93 (b.)Held by Hospital account and paid to personal representative...................$747.48 TOTAL ASSETS.....$1,673.41 4.Names and addresses of persons entitled to share in distribution of Decedent's Estate are attached as Exhibit lIA". 5.Decedent died intestate. 6.There are no unpaid creditors. 7.All assets are in cash. FERGUS.MARTIN AND FERGUS ATTORNEYS AT LAW 27 SOUTH COLLEGE STREET WASHINGTON. PENNSYLVANIA 15301 8.Decedent died unmarried and without issue. 9.Attached hereto and marked Exhibit "B"is a Statement of Account of your Petitioner which shows a balance for distribution in the amount of $762.78 WHEREFORE,Petitioner requests a Decree of Distribution under the provisions of the Fiduciary Act as the same applies to the Settlement of Small Estates • FERGUS,MARTIN &FERGUS -2- IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY ,PENN~. COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON ) ) ) ss: FERGUS,MARTIN AND FERGUS ATTORNEYS AT LAW 27 SOUTH COLLEGE STREET WASHINGTON. PENNSYLVANIA 15301 Before me,the undersigned authority,personally appeared "J.W"LOWE,who,being duly sworn according to law,deposes , and says that the allegation of facts set forth in the within Petition are true and correct to the best of his ;knowledge,information and belief. J.W.Lowe Sworn to and subscribed before me this ,I{day of -:ftJ1a..y ,1975. EXillBIT "A" HEIRS: 1..J.W.Lowe 2.,Percy Lowe Brother Brother 85 Highland Avenue Washington,Pa.15301 548 Broadway Street . Beckley,West Virginia 25801 3.Children of John Lowe (Deceased) James Lowe Nephew Mrs.Thanita Lowe White Neice 217 Smoat Avenue Beckley,West·Virginia 25801 209 -1/2 Smoat Avenue Beckley,West Virginia 25801 4.Child of Mary Jane Lowe Ripley (Deceased) Mrs.Mary Jones Neice 3524 South King Drive Chicago,Illinois 60653 5.Children of Creolia Lowe Davis (Deceased) Willie Mae Wairston Niece 47 Point Street Yorikers,New York 10701 Thomas Davis,Jr. Nomenious Jones James W.Davis Robert W.Davis Nephew Neice Nephew Nephew Crown,West Virginia 25616 Box 17 Crown,West Virginia 25616 54 West 13th Street Jamestown,New York 144 S.Broadway Yonkers,New York 10701 6.Children of Maggie Lowe Carter (Deceased) James W.Carter Nephew Sally Carter Welch Neice 420 Farragut St. Washington,D.C. Box 25 Madison,North Carolina 27025 FERGUS,MARTIN AND FERGUS ATTORNEYS AT LAW 27 SOUTH COLLEGE STREET WASHINGTON,. PENNSYLVANIA 15301 Jiles Carter Troy Carter Nephew Nephew Route 3,Box 393 Walnut,.North Carolina 27052 Route 3.Box 396 Walnut,North Carolina 27052 ---------=-------------------------------------~- FIRST AND FINAL ACCOUNT ESTATE OF MATTIE GILliAM TOTAL ASSETS $1,673.41 DEDUCTIONS: Percy Lowe -Funeral Balance $201.63 J.W.Lowe -Administrator Commission $200.00 Fergus,Martin &Fergus Attorney Fees $200.00 Fergus,Martin &Fergus - Costs Advanced $50.00 Vance &Westfall -Bond Premiums $40.00 J.W.Lowe -Final Hospital Statement $19.00 Pennsylvania Inheritance Tax $200.00 $910.63 FERGUS,MARTIN AND FERGUS ATTORNEYS AT LAW 27 SOUTH COLLEGE STREET WASHINGTON. PENNSYLVANIA 15301 BALANCE FOR DISTRIBUTION EXIDBIT "B" $762.78 FERGUS,MARTIN AND FERGUS ATTORNEYS AT LAW .', DECREE OF DISTRIBUTION .~~~ AND NOW.TillS ~~day o~,i975,upon petition of J.W.Lowe,by his attorneys,Fergus,Martin and Fergus,it is hereby ordered and decreed that the assets of the Estate of 1\'1 attie Gillian,Deceased,be dis,tributed as follows: Debt s and Deductions as per Petition $910.63 J.W.Lowe 127.13 Percy Lowe 127.13 James Lowe 63.56 Mrs.Thanita Lowe White 63.57 Mary Jones 127.13 Willie Mae Wairston 25.42 Thomas Davis,Jr.25.42 Nomenious Jones 25.43 James W.Davis 25.43 Robert W.Davis 25.43 James W.Carter 31.78 Sally Carter Welch 31.78 Jiles Carter 31.78 Troy Carter 31.79 BY THE COURT 27 SOUTH COl.l.EGE STREET WASHINGTON, PENNSYLVANIA 15301 ,-,;c:~~ I ~,~t !f' "'~~'f'~' t""'".'\t.''...~....-' -",;,i. :'C,"!>I·'!":......,.:;.i;~"-;:i.''f :g;':;) ~r t_,:::: W;::.l. TutdeLawPrint!Inc.,Publishets!Rutland!Vt, ~J -1a -/17J..., PETITION·,'FOR SETTLEMENT OF SMALL ESTATES ACT 2.•.7.S.·.au..THi;.c....o.i..i...·.EG.E.:S.·..T.R....E.ETr'.........,'','"~";'<"i ',::'..:.;'~;:-.>/i WASHINGTON,PE:NNSYLVANIA1S301 ·!c29-J3 IN.RE.: ESTATEOF MATTIE B. GILLIAM IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS'COURT DIVISION NO.OF 19 ,- DEBTS AND DEDUCTIONS CLAIMED I-NOTE'(List first five items in the spaces so provided observe notations thereon and instructions....•, ~..-'!DEBT OR CLAIM:NATURE OF SAME AMOUNT THIS COLUMN f'""KEGISTER ONLY Percv Lowe Funeral expenses paid $,)()1 ~Q $ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses *.I:)()(1 () Counsel fees *')()()(1I()I Fiduciary commission *')()()(I() OTHER DEBTS AND CLAIMS (*)See Note below Insurance Vance and Westfall 40.00 James W.Lowe final Hospital Bill 19 00 I I I I Total ~710 lw~7/0 11-3 RESIDENT'DECEDENT Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greater 01'less than the estimated amount claimed and allowed. Subscribed and sworn to before me this -. ....~.4:day of J.l.lly 191.5. ..........c.t~..t.~.ette=wa~'1ttt-. My Commission £AphiS Aq\iA S,le18 ..85.Highland .Ave.•......................... (Street Number) ..Washington Pe.nna . (City or Town and State) Having been duly Swol'ntX,('ordlng to law.I do hereby certIfy that the above appraisement is made in conformity with ......................<J.dayOf ~.....................•19.7~ ..........~~~. law on this Appraiser In the event that any future intel'est in this estate is transferred in possession 01'enjoyment to collateral heirs of the decedent after the expil'ation of any estate for life 01'for years,the Commonwealth hel'eby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF ,ToftE I!,EGIS'7,'ER OF pILLS I.the undersigned duly elected Register of Wills in and for \,.-:.:/I.r~~~........County.Pennsylvania.do respectfully report that I have allowed debts and deductions in the amounts claimed by de po ept as to those items where a greater or lesser amount is set.forth in ~t colu~~,~right in said ,sch,e,dule above,which greater sseI'mount rep.resents the sum allowed as a deduction...,ti 08 ~1·:)Russnl MA~lNO ~_. Dated:...'~'k'~~l~""l.~"""""" ~...,\ ~ ~>,- ";. Form No.RCe-62 (6-70) Will Administration !No.. . . . . . . ...Year _.._. IN THE MATTER OF THE APPRAISEMENT 01"THE ESTATE OF . . . . .. . . . . . .. . .Mattie .G ilUam.. Deceased Late of Washington 0 •••••••• County of Washington . Commonwealth of Pennsylvania REPORT AND APPRAISAL p-~.,.- ...t ~r;;"':,-, 1::""• l-~~'~r ",-..U !3"~'"'t~~-i..f •to',;..}:.~fij'.L1 ','.)..~...',<..,t....i· f"l:'~-,4.~_;-.\.;. .. EXHIBIT "A" HEIRS: 1.J.W.Lowe 2.Percy Lowe Brother Brother 85 Highland Avenue Washington,Pa.15301 548 Broadway Street Beckley,West Virginia 25801 3.Children of John Lowe (Deceased) James Lowe Nephew 217 Smoat Avenue Beckley,West Virginia 25801 Mrs.Thanita Lowe White Neice 209 -1/2 Smoat Avenue Beckley,West Virginia 25801 4.Child of Mary Jane Lowe Ripley (Deceased) Mrs.Mary Jones Neice 3524 South King Drive Chicago,Illinois 60653 5.Children of Creolia Lowe Davis (Deceased) Willie Mae Wairston Niece 47 Point Street Yonkers,New York 10701 Thomas Davis,Jr. Nomenious Jones James W.Davis Robert W.Davis Nephew Neice Nephew Nephew Crown,West Virginia 25616 Box 17 Crown,West Virginia 25616 54 West 13th Street Jamestown,New York 144 S.Broadway Yonkers,New York 10701 6.Children of Maggie Lowe Carter (Deceased) James W.Carter Sally Carter Welch Troy Carter Nephew Neice Nephew Nephew 420 Farragut St. Washington,D.C. Box 25 Madison,North Carolina 27025 Route 3,Box 393 Walnut,North Carolina 27052 Route 3,Box 396 Walnut,North Carolina 27052 ... '75 MIG pu Ali 9 5D RUSSE:.1,r:\RIN0 REGIS H i~(;F WILLS WAS rl /IV:!(',t~CO..PA. RCC-81 (6-73) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT James Wo Lowe (Executor or Administrator) IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division J In Re:Estate of __Ma_t_t_i_e----'-B_o_G_i_l_l_i_am _ Washington County -Fi Ie No._-'6:,,:3~-...L70.:::..-_=1=1::..l7..:::2____'__ Dear :Mr.Lowe: You are hereby noti fi ed that the -=-O~r1.""·g~1.~'n"""a:==l=----_ appraisement in the estate of Wlattie Bo Gilliam has been fi led in the office of the Register of Wi lis of Washington County on Angust 8,,19~,Said appraisement reflects the following va Iuations: Real Estate _ PersonaI Property --'-J+-I,6..L....j7l.",.3l.4-.J.I~..J..J _ Transfers _ Jointly Owned _ TotaI 1.l..J,~647,.)..3.fL1.4,Jo.11,,-,-__ 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 nine (9)months (fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive; and twelve ml)nths when death occurred prior to December 22,1965)from date of death, interest at th(~rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S.2485·1 DOl,P.L.373.,", Date ~~-:~e:.-J.'7;/q7J-Signed ~a./vv~C~Au-/I/J (,,/)~)---- .Title t:::fr4 f2;#~.Lf/./- Date of Death:Augm t 20,1970 Note:This is not a bi II. ,-",- "I RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of Gjlliam,Mat.tie B. (Last Name)(First Name) DATE OF DEAjH (Initial) ::8-20-70 FILE NO.63-70-1172 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of VtJashington 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:_..:.:A,-",uoQgu"",s"",t<-...>.<8'4-'~1,,-9;w7...,..15~_Frances Leo,Chief Appraiser 11 INHERITANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS Dated: ~~ I,the undersigned duly elected Register of Wills in and for Washington 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 lIast column to the right in Schedule",hich greater or lesser amount represents the sum allowed as a deduction. /'AUG 08 197!J RUSSELL MA~IN~· 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 $-------+-- Valuation of life estates or FOR USE OF REGISTER ONLY Tax on·$-4__2% Tax on $----------f--6% Tax on $----------4--5% Tax on $--------,....--4---,~~ Tax on $962 70 15% Exemptions=========lF==Total Estate .-1-__ TOTAL TAX COMPUTATION OF TAX $--------+--- $------~-­ $------~-- $------..,-+--$..lajlli:t!:11):l:..L+,l!:::l:.!,2:::.-- $------_1.--- Paid in Full 8-23-~ Red,.#D 33706 (*)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 :------It= $=====L== 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 $----11_ Add interest at rate of 6%from ------Ito-----$-------1t=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 Administration !No. IN THE Year .. ~ MATTER OF THE APPRAISEMENT OF THE ESTATE OF Deceased Late of . County of Commonwealth of Pennsylvania REPORT AND APPRAISAL ... RCC-2 (2-64) ~ '....., .DEPARTMENT OF REVENUE: BUREAU OF COUNTY COLLECTIONS: HARRISBURG,PENNA,17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE Allgllst 8,1975 COUNTY Wa sbi ngt 0 n FILE NO.63-70-1172 Whereas,Mat.ti E7 B.Gj 11 j am late of ~_W~·~a.b!.s.u.h.!.in.l...!.6g.l:l.iro~n _ in the County of iDra shi:Rgt0];:],Commonwealth of Pennsylvania,having died on the 20th day of August 19_7pseized 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, 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 I~ollateral rate on any such future interest. Personal: .' Description of Asset Unit Valuea $ Appraisement Made for InheritanceTaxPurpoaes See coPY of Appraisement 1,673.41 Hav.ing been.duly swcrrn acconIj~~to law,I do hereby certify that-{he..above appraise~p.t is made in~o formity with law on this _Zd2l.day of fA~A_-.:?".-d-J../19 0. L::,'</.,/1/'..L'~I j (;;<:::r ;);).J 7 a.. Washington Coullty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of Mattie B.Gilliam Deceased. Late of Washington Date of Death,Allgllst 20,]970 Appraisement Docket Vol.,__3"B:::,.-_ Page,1 22-2 No.63-70-]172 Filed in Register's Office,_Augilst 8,19~ Amount of tax due,$~_ DEPARTMENT OF REVENUE Received, Examined and Approved,_ Wrote aba/lt Appraisement, Appeal j1'om Appraisement,_ Entered and charged,_4'.\