HomeMy WebLinkAboutOC1970-1185 - ESTATE OF MCINTYREForm RCC·IO DEDUCTIONS ALLOWED IN J
OFFICE OF THE
REGISTER OF WILLS
OF _--,W:.:.:A:..::=S.:.:H::.:I:.::N~G=-TO::.·=N:....-_COUN'fV
AND AGENT OF THE COMMONWEAL':H
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF $i(t!!!~:~(?
DATE APPROVED .....•..#!(2;;
<2z4J£~~Register o~~A;;;t
ESTATE OF ----:VE=LMA=:.:..._.=E:..:!.~M.::::c::.:I~N~T.=.YR=.=E'____LATE OF Canonsburg,Washington CO ••Pa.
DATE OF FII.ING APPRAISE:MENT DAT5 of DEATH __--!S=:!.e::::.t:p~t~e~m~b~e::..:r!:l..·--=9:..J.,--=1..:9~7~0!:!.-__
DATE NO.OF
VOUCHIOIll NAME OF PAVEE
Griffi1:h Funeral Home
Forest Lawn Gardens
Canonsbur U.P.Church
Dr.W.A.Prideaux
Vehmans Pharmac
Geor e J.Modrak
REMARKS
funeral ex ense
&closin
church services
medical services
medicine
attorne fee
rave
AMOUNT
50 00
15 00
100 00
Russell Marino filin Inh.Tax Return
TOTAL
o
$1,472 00
I,
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Washinqton S8:
ARCHIE L.McINTYRE-----~==.::::.:::::!.-:=.::--=:=.:::.::.:...:::..;:..::.:::::..------------_HEREBYCERTIFY,THAT,TO THE BEaT OF
MY KNOWLEDGE AND BELIEF,THE FOREGOING ISA JUST AND TRU E STATEMENT OF DEBTS.FUNERAl.EXPENSES AND EXPENSE!!OF
ADMINI~TRAT10N SUBMITTED TO THE ESTATE OF VELMA E.McINTYRE DECEASED.AS DEDUCTIONS FOR
INHERITA:C~':rAXPURPOSE~.'..'.I~J-'1'9.-1:.ANDSUBSC~IB_ED l!'EfC::IRE ME THIS It;et:tC.DAY Of"Archl.e L.MCln~(1..5.1
over ./,",=We'"~.[/",dt~~
...,GEORGE J,lVlODRAK.lV~A
Canonsb 'UUlJi'''_.....urg,Washington Co ~.
-Commiss'on Ex .....'
.I pires May U.197a.
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF .
J~
RESIDENT DECEDENT
IMPORTANT:This return must be completed in detail and filed in duplicate,·with will attached,with the·
Register of Wills of the County where decedent resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of
the Inheritance and Estate Tax Act of 1961.)
IN THE MATTER OF THE ESTATE OF }AFFIDAVIT OF::-~~~~::~:;~~;~~:;~~~-~~~~.-:::~
::t~:,-::::~:~::~~~-~:~::~~=:}."
..................................................................MG;a.I.~I!.~Mg.I.N~Info.rm.ant JiliWll4it
of the estate of the above-named decedent being duly sworn,deposeS and sayS
Decedent dJed .se~::;~er (~;i ..'19 (?Ei{~::::::t~eaVing a last will,copy of which is hereto attached.}
Name and address of attorne',or}
other authorized representative to
whom all correspondence should be
mailed.
......G.eQJ.:'g~.J.Modra.k.,.AttQr.n.e.y a.t.I!a.W...
..~~:N~GeIl:t::J::a.:I,AYeIll.1e,qClI1QlJ~Pl.1:J::g,;l?a.~..:I,?~..:I,.7...
That as such !.g!.Q.l~.m~:t deponent 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
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
NONE
----
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the ~xcepti()n of the following,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth fullv and in detail all the
real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It
also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving
the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record
thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said
parcels,the estimated market value thereof as of date of death of decedent.
That Schedule i3 attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks
of deposit,savings banks,trust companies,or other institutions,whether individually,or in trust for
any other person or persons giving also separately the accrued interest thereon,if any,.down to the last
interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death
in all other cases;all bonds,postal saVings,treasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent;all obligations,whether by statute or agreement they«are designated as tax f'r-ee,of the Uni ted States,or any state,or political subdivision thereof,or of
any foreign country,whieh are owned at the time of death;all wearing apparel,jewelry,silverware,pic-
tures,books,works'of B,rt,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated
market value thereof;all bonds"and mortgages held by decedent and of all claims due and owing decedent /
at the time of death,and all promissory notes or other instruments in writing for the payment of money
of which decedent diea poss'essed,of whatsoever nature,with interest thereon,if any,giving the face_J
value and estimated fair-market value thereof,and if such estimated fair market value be less than the
face value,it sets fort.h briefly the reasons for such depreciation as to each item;all moneys payable
to the estate from life insurance polici"es carried by decedent;all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid a.s 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 c;":'parOtnership 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 thf:!,.character of the business,.its loc'~tiorl,&nd:S~ch 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 'wi"t~h the fair market value
thereof,any other property owned or bequeathed by the decedent at the time of death.
T~e ?:chedule C attached hereto and made p~rt qereof 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 pro'perty,'to,whom transferred,the
relationship of the transferees to the decedent,the proportionate share received by each transferee and
all other facts of a pertinent natur.e 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 copy..,.\r ','..~.
of the deed,trus~agr~ement or other instrument creating the trust.Ther~is also set forth in said
schedule a list of all property,real and personal,with its value,which passes at decedent's death by
virtue of the exercise by decedent,either individually,or jointly with another",or·any power of appoint-
ment vested in decedent,either individually or jointly,by the Will,deed,or other instrument of another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,their issue,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 r.ecord of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time'of
death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that
the amount of tax assessed can be reassessed in accordance therewith.
«136 N.Heide L .8..............................................•...............____.._..
(Street Number)
.~~~.~~¥~~~.!~.~.~.~?.
(City or Town and State)
That the totals of the appropriate columns in Schedules "A","B","en,"E",and "F"as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this ....../~..'"!!!!::......i
................~/J........d.RY of ~.~~~~~19..!.!?.-_JtM~1J!;;£!it!:~~(.:~.;...........~iirtJ.-:c"#i:~~,G,,~7..'<".;Iu\.~
tanonsbiJre,Wa:;hinf;toll Cd.;[';;1,
BY Commission Expires May 14,1972'
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.
(31
DEPAR
VALU
CAU
(Do n
In this
(2)
ESTIMATED
MARKET VALUE
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
;j;-.
SCHEDULE "A"
REAL PROPERTY
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of d
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule liE".Property he
the decedent as tenant in common with another or others,should be identified as to quantum of interest
the estimated value should be that of the decedent's interest only.
,1
RCC-34 (1-64)
COMMONWEALTH OF PENNSYL.VANIA
DEPARTMENT OF REVE-,NUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
The real property located In the Commonwealth of Pennsylvania should be
described by lot and block numbElr,street and street number,together wi th
a general description of the propl,rty,with a reference to the record of the
conveyance by which the decedelnt took title;if a farm state number of a·
cres;also statement of mortgage encumbrances upon each parcel at death
of decedent.Taxes,assessment's,accrued Interest on mortgages,etc.,are
to be listed on Schedule "F"and must not be deducted from this schedule.
-
,
.
ece-
Id by
and
TMENT
ATION
TION
ot write
space)
(See Schedule nc")
Insert thi s total opposi te "rea l property",Schedule IIA"in the X X X X X
liAs Reported"column on the last page of this return.
RCC-35
COMMONWEALTlI 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 owned by the decedent jointly with another or others
must be listed under Schedule "E".Intangible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (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 anyundis tributed
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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION
No.List and describe fully VALUE MARKET VALUE (Do not write in
this space)
1mNE
.:l
Insert this total opposite "Personal Property",Schedule "B"in X X
the "As Reported"column on the last page of this return.
RCC-3D..
Cmf'fON1IK\LTH OF,PENNSYLVANIA
TIUNSFER INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDULE "c"
TRA.NSFEllS
v«1)Did decedent,within two years of'death,make any transfer of any material part of his estate,without
rece'iving a valuable and adequate consideration therefor?(Answer yes or no)fill (J
V-(2)Did decedent,wi thin two years of death,transfer property from h~iself tlkf1imS~la~nothelr oJ;()
others (including a spouse)in joint ownership?(Answer yes or no)-:_eS ...·_~~
(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)AJ ()
(a)Was there any possibility that the property transferred might return to transferer or his
estate 01'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)}J ~
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)AJ'~
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or others -_----:-_
(7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor?(Answer yes or no)y6.5
(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)tv 0
(9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no)_--_"_
NOTE1:The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death ceI"tificate.
NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property
transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans-
fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM DESCRIPTION MARKET VALUE
(Estimated)DEPT.VALUATION
(Dept.Only)
ALL that certain piece of ground
situate in -the Second Ward of the Borough
of Canonsbu:cg,Washington County,Penn-
sylvania,being known and designated as
Lot No.86 :in a Plan of Lots called -
"Thornwoodll as the same is recorded in
Plan Book 6,page 209,Washington County
Records,sa:id lot being more particularly
bounded and described in Deed from Velma
E.McIntyre,widow,to Archie L.McIntyre
Ve Ima Ann M;aggard,and James R.McIntyre,
as tenants in common,dated April 1,1970
of record in D.B.Vol.1315,page 174,
Washington County Records.
Having e:rected thereon a two-story bri
dwelling knl::>wn as 457 Woodland Road,
Canonsburg,Pennsylvania,15317.
Assessment $3,710.00
Insert this total oppos:l.te "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.$12,500.00 ):2,-000.0 0
• , f ,1
COMMONWEALTH OF PENNSYLV:\NL\
'rnM\~FEn INHERITANeE TAX
r~SIDENT DECEDENT
SCHEDULE lIElI
JOINTLY OWNED PROPERTY
n;sTRrcTro~s:This schedule must disclose all property,real and personal,owned by the decedent jointly
wi th another or others,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated lmder 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 "8",plus date of acquisition,and the name,address and relationship (if any)of co-owners to
the d€cpdent.
Des~';i~)tion of Property,Date of Acquisition,iamel unit
Address and Relationship of Co-Owners,and Place ;Value
_nt,where Real Estate.!
percentage
Share
Estate
Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
Insert this total opposite "Jointly Owned Property",Schedule"E"
in the "As Reported"column on the last page of this return.
,,,..
ROC::37'.(12-~3)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
,\~i
SCHEDULE "D"
BENEFICIARIES
,,
(
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)fortll this fact.)OR NO BIRTH
NONE -NO :~STATE
I
-..
,.
.,~
•.
Deponent further says that 8~1 the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
..
.'......
OF THE
ESTATE OF
~IATTER OF THE APPRAISEMENT
(Executor-Administrator.
must complete "As
Reported"column #1.)
~'"d ~...(1)(1)~0;~:::l til _
'"0*'::s ""d(1)~0;"1 ....0en"C~(1)o 0;
"C ~~
~'"'"
t%j
'"S'!ii
.~
~;-
...Year ,.
CIl THE
Will IN
Administration ~o.
,
VELMA E.McINTYRE
Deceased
Late of ....c:al1<:>l1iiJburg...........-.
Commonwealth of Pennsylvania
..
County of Wasll:~n.91:<:>11 ..
~.~
enc::~
~>-~en -<
?-
REPORT AND APPRAISAL c1 ~.~
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'Ut ''Ut:8:::8'.'.:0 :0:0 :0
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<':l"l""-35'
<':C.
Rcc-al (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION IN YOUR REPLY PLEASE
REFER TO
J
NOTICE OF FILING OF APPRAISEMENT
c
XlCG!IDOOODC.?OL'{UMIi()(B¥J{IID{)
Archje Mclnt~rre-Informant
In Re:Estate of 'JLJ\re,","-lJ.lm.l.ll",~Iw.~''''i-,~~:fcI.:-T.1.Jnu.t",,·~¥-z:rl.:lel;.:i._
_____--"-1;T....,~c;J.lb."l,jJ.ll4e:r.'~,...!.yO.,.1=l.-------County -File No.~3 7o-nS5
Dear !~.McIntyre,
You are hereby notified that the __~o~r~i~g~.iun~a~1~_------_
appraisement in the estate of V~'e~JJ.lm~.~~,~l~.rC~T~!nu.t~.yr~e~------------
has been filed in the office of the Register of Wills qf Hfjs~rin-·telll
County on Decq',hrr 11 ,19m.Said appraisement reflects the
following valuations:
Real Estate _---'-_
Personal Property __
Transfer s --------:12b6-)...!512400~.r!OO'*l--.---
Total -----------::I:u::J6..,.-!=5;1"GO/d-..'""OO~---
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.
An'jr party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Title
Date -Z.D:s<e.l;e.BEmJl.,b!Le,.,r.......J,r.,l.l.,IJ-oJIo.,;'Tlu.;,OL------Signed -6-~bo"~/!'-I-/~'l."...(~1"""".~~_~;"<-7-J'-<--;/-:_::-!)~/-'!7"jr:!
Vl.H.~CHil.NEY ,CHIEF APPEAISLli.
DATE OF DE!,TH:September 9,1970
Note:This ill not a bill.
RCC-39 (506,!!)
COMMONWEALTH OF PENNSYLVANIA.
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of McIntyre Velma
(Last Name)(First Name)
E.
(Initial)
DATE OF DEATH 9-9-70 FILE NO.63-70-1185
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly apP,ointed Inheritance Tax Appraiser in and for the County of_~W~a~s~hc=::i=::n~g:>..:t::..:o~n~--,-_
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E".
Dated:_--=l=--2_-.:::.1_1--"7~0 , _
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly ele:cted Register of Wills in and for Washington County,Pennsylvania,do respect-
fully report that I have allowed dleductions 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",WhiCZ e er or lesser amount represents the sum
allowed as a deduction.,~
Dated:12-11-70,'//;ltttvu/vO
REGISTER OF WILLS
VALUE AS REAPPRAISED
$-------+--
12.S00 00
12.1)00 00
1 .1,72 010
11.028 00
12 ')00 00
,')l:;nn nn
,'J.'1?AA
11.028 00
VALUE AS REPORTED VALUE AS APPRAISED
$$
CLEAR VALUE OF ESTATE
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)
Valuation of life estates or
COMPUTATION OF TAXFORUSEOFREGISTERONLY
Tax on $----------1--
Tax on $11 ,028 00
Tax on $----------1--Tax on $-1__
Tax on $~--
Exemptions=========I==Total Estate .---1-__
TOTAL TAX
2%
~5%
10%
15%
*
$-------,-.,..-----.f-,-,.--
$-.:::6=6=1-+...::::6.:::.8_
$---------4--
$---------.f--
$---------.f--
$--1.__
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death ::::::::::::t==
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from
to -~---IC $__--.....JAMOUNTOFESTATETAXASSESSED$
Estate tax paid $I
BALANCE DUE $-JL-
Add interest at rate of 6%from
to $-----It=TOTAL TAX BALANCE $------1'
PAID $-J
FOR USE OF REGISTER ONLY ADJUSH1ENTS
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
...,VELMA..E•..MGJNT.mE...
Deceased
Late of .CANONSBURG..
County of ..WASHINGTON··
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
JO
Fonn RCC-2
COMMONWEALTH OF PENNSYLVANIA DATE .........D.e.c..embJ~r......J...1..,......J,,97.Q.......
DEPARTMENT OF REVENUI~RESIDENT INHERITANCE TAX ....Wa..R.b..t.ngt,9..n..............................BUREAU OF COUNTY 'COLLECTIONS COUNTY ....-..
'HARRISBURG.PENNA.171n APPRAISEMENT FILE .63-70-1185"NO .............................................................................................
Whereas....................y.f?+n.1.?:....J!;.~....M.~.J.nt.Y:r..~......................................................................late of ..................9.§P:.C?~.~.t!.~g .........................................................
in the County of ..............................W.asbingt.on.......................................................................Commonwealth of Pennsylvania.having died on
the ...............................ntnt.h...............................................day of ..............?f?p.t..f?.mQ.E3.r.................................19.....7.9.seized and possessed of an estate
subject to Inheritance Tax:under the laws of the Commonwealth of Pennsylvania;
Therefore.I.'(<I[.R.CHAt-J'EY 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 annui.ties and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit Appraisement
Description of Asset Values Made for Inheritance
Tax Purposes
$
TRANSFERS'
See schedule "G"attached to annraisement 12 &;00 100
Tnt.Rl 12 &;00 100
I
..
.
"
I"
.·l·
!
I
Having been duly sworn according to law.I do hereby certify that the above appraisement is made in con-
formity with law on this ~day of b~192.0 ..............tu..A•.R.'~~~).~~;i·;;·-
plumber and Street)
.............Lv·~··oiii~~i··..····Penna.
.....W.;l..f?hingtQXL County
..
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
...Y~.~~~,t1~.:I:!.1t.Yr.f?.
Deceased.
Late of
Q:'.anQns.burg ..
Date of Death,9~.9~7'O ,..
Appraisemellt Docket Vol.,3..f1....:.
Page,..../J..tf~..7..No 9.J..~7.~~+.$..5...
Filed in Register's Office,De.c ll 19..7'O.
Amount of tax due,$..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo./It Appra.isement,
Appeal f,.om Appraisement,..
Entered and charged,.
I:
'.
,