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HomeMy WebLinkAboutOC1971-0018 - ESTATE OF WILLIAMSONR CC-43 (5-65) COMMONWEALTH o~~r~~SY.LVANIA DEPARTMEN't1J tft@f~~~JsHAR~~~~I\O.E'".ItOUt{ 1 \\11~"'1~ \}'t.\' NOTE:TO BE SUBMITTED IN TRIPLICATE 11~30·10, Pennsylvania Department of Revenue Bureau of County Collections 26 S.4th Street Harrisburg,Pennsylvania Dear Sir: Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report:. NAME OF REPORTING ..... FINANCIAL INSTITUTION =OUon GGtlonal Babk U ~t.OOCPU01 ADDRESS Moltl St HoQuo ~1POotQI)~_e.O'totow#'40 15021 ACCOUNT NO.OF JOINT,-..... TRUST OR INVESTMENT DEPOSIT_----:::6:.1l!..~:.;.:,;t::.:8::.::1:Jl!!31=·:.:...-.-,;._ NAMES ON ACCOUNT OR INVESTMENT .11.0.aO'OIl m~lI011 ...MillO 01100 ffllUllt\lI01l 6 Ie) ,< /{TITLE ,://.f--:/ ., Signa,ture DECEASED JOINT DEPOSITOR,.~I TRUSTEE OR INVESTOR ttitop ltoloa·t.1U1101:1fibJl ~~ ADDRESS IReta &;,1«_01""$stt).~8ue;Q,tOUotmjt Pa.1;oft :J-} DATE OF OEA TH m~a8070 I SURVIVING DEPOSITOR, BENEFICIARY OR INVESTORl%lso Olivo tJtl11Ameoll ADDRESS ,If;6 '.Ch\dlOb.St~o~o DdQO"(J'",~~'~.lJ021 RELATIONSHIP TO DECEDENT---..:.....JD=a~Mhs:·t:!l'!.~to:::.!:.-·_ DATE DEPOSIT OR INVESTMENT 6-'-0$9 v WAS ESTABLISHED ---------:r--------- BALANCE,INCLUDING INTEREST I # DUE,AT DATE OF DEATH $!.,,96030 ~-:.:lft /£ \., t /1.1/;f&%t:~f~/~~Iffy S~~~,~,71 -f '. ,~..' Bur,gettstO\·m,Pennsylvania 15021 OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT I..ND AS.SESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION County File No._ Bureau File No.&3-7/-/<::5 Date:Dc OOl)'lbCl'4,]CflO ...tCountyliashlngj)O TO:_...:.M=i=5=S_O=1=i::..:v;..;:e;.....:.:.1'l=:il=1.."j=-a""'TI:::;:;.s""'on""--_ l,6 Church Street RCC-134 (1-69) ~ CQMMONWEALTH OF PENNSYLVANIA ;'~EPA-FTMENT OF REVENUE BUREAU OFtOUNTY COLLECTIONS INHERITANCE TAX DIVISION We have received notice that,~'£{('e$.\,'jrJ oKll!Ye"dIDllOCGtxxxXXxxxx.,'CXXXXXXy'!,i('·O["",-·{"{·;-n:XYX':nTxYYVXXYXXYX on Novprnher 28 19~you came into ownership of certain property through a'~llOll::kXJmooal5iJ:i:p:~fm:dx::ccr ~mKi1l¥y,Q~»IDOOeibm:KKX transfer fr:Jf!\EaS.H..,L~:;!dILLIAHI:l0N,deceased. Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable and the liability for the payment of the inheritance tax due is imposed upon you,as transferee. The property on which tax is hereby assessed consists of:Jt.[;,avings Account 1/63-18131 held in the .ELLON NATIONAL 1',NK &"'1 I~,1 "y.o N·...- In the names of rom;:').I-tEL::.N iJILLL\t/:SON OR NISS OLIVE WILLI!,ri!..~ON.09Gned 6-2lL-59. Balance as of date of death,$l~q6.3Q appraised by the Commonwealth,as of the date of death,at $_..I:4A....9Qo6'-11·..,.oI!3Jo.!Q~_ 50 %of this amount is taxable at the rate of 6 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT $__...:2;::::.-4""'8:::.0.....1...5'--_ AMOUNT OF TAX DU E 1J",89 o If you pay the above amount within three (3)months of the date of death of the decedent,or on or before February 28 19 71 you may deduct a discount of 5%of the amount of tax due,or .74 o This tax became delinquent,fifteen (15)months after the date of death and,in addition to the tax,statutory interest at the rate of 6%of the tax per annum is also due as of *_ 19__in the amount of ASSESSED BY:_ (Agent for the Commonwealth) *If the tax is not paid by the above date additional interest is due at the rate of 6%per annum until paid TOTAL AMOUNT DUE APPR AISED BY:_l.:1f.,(.L.-/!......:....~{::....",,_L_''-'',-"-/==7''----- (Inheritance Tax Ap raiser) $14.89 -$================== INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to:To insure proper credit to your account this Official Notice must accompany your payment.Mai I or bring it to: If you have already paid this tax to an executor,administrator,attorney or other personal representative of the decedent for forwarding to the Commonwealth,list below the date paid,nome and address of the person to whom you made payment,their official title and the amou~t.'-~/.~.. Date Paid Name and Address of Payee Official Title Amount Paid Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended by you may qualify as deductions against the gross value of the property in the computation of tax due.If any such expenditures meet all of the three following tests,it is recommended that you itemize the payments below, execute the affidavit,and return this notice.The Register of Wills will examine the debts claimed and allow those which he determines to be proper.The tax will then be recomputed and you will receive an amended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT:\, 1 -You were personally legally responsible for these debts,and 2-You actually paid these debts out of the account or property described above and can furnish proof of such payment,if required,and 3 -These same debts are not also claimed,for tax purposes,by an executor,administrator or other personal representative of the decedent handling the administration of the general estate of the decedent or any other transferee. SCHEDULE OF DEBTS (attach separate sheet if requ ired) Date Paid Name of Payee Description of Obligation Amount Paid /1--7 y-10 /IJl#//1I1/'/P How,/....JhOA,?<"h/.1 ,l:;;:UJ 14,/01 h,,'/(A4 Y.J,//.~.2.~ '/~-30 -7/)-I PE..-r::'cA I'9L //~/l ,,('/F,<,,0"./p~./I "cV./J,("j U ,./fZ0i2~s-~ \// TOTAL $~t5/4:?1lo --v ""':"!':-..-"'_ COMMONWEALTH OF PENNSYLVANIA) COUNTY Of _ SS: I,hereby certify that the foregoing is a just and true statement of funeral expenses and other debts of the decedent,,for which I was legally responsible and which I did payout of the property herein taxed.I further certify,that to the best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance tax purposes. SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF____________19 __. Si gnature of Taxpayer REPORT OF REGISTER OF WILLS I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I have allowed deductions listed above in the total amount of $• Date of Approval:_ Register of Wills Fonn RCC-2 DEPARTMENT OF REVENUE ;. BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX ....4·• APPRAISEMENT 1 DATE J...~ny.~.r.y 6,l.Q.7.1 . NTY Washingtoncou . FILE NO §..3..~.7.1~.l.e.. Whereas,Mr..$..~H~l..~.P.,w.;j...l..l..i.~.m~.9..n ~late of p.y.r.g.~.t..t...$..t..Qw.n.... in the County of W~.~.h.;i,.ng.t.Q.n.Commonwealth of Pennsylvania,having died on the ~.8 th day of N.Q.Y..~m:b..e..r.19 7.0,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,w:.~..~.~9..h~.~~y ,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. Description of Allet JT.HELD: Jt:.Saving:s Account #63-18131 held in the MELLON NA'T'TONAI RANK f~TKU:'S'l COMPANY RURGE ~I 0WN U]:IlIl\.E BURGETTSTOWN,PENNSYLVANIA.In the names of MRS. HELEN WILLIAMSON or MISS OLIVE WILLIAMSON.Onened. June 24 1959.Balance as of date of death. Unit Values $ Appraisement Made for InheritanceTaxPurpoles $496.30.(One half taxable)248 15 .---------1-/' 1 ~_'__--"T'-""o~ta=1"'---+-__-tt-_-=24......,~A""-----t-.....'~~ I-----...---,--------,.-------,-/--://--t----tt----+--I _________--=E.::.ST.:.;A:.:.:T:..:E=--:::I.=.:.NS:::.:O:::..:tJl=.:..=E~N~T -+__-fl --1f---1 WASHINGTON County ....... RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MRS.HELEN WILLIAMSON Deceased. Late of BURGETTSTOWN Date of Death,N.Q.Y.~.mp.~.:r...~.f:3..t J~.?.9.. Appraisemel!t Docket Vol.. .,. .. Page,. . No.63071=18...' .:: Filed in Register's Ofjice,.J.an•......6..,19 .71 Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,:.. Wrote abo.ut Appra.isement,.. Appeal jt-om Appraisement,.. Entered and charged,.. t' ; ,, ~ Form No.RCC-62 (4-71)TH,IS FORK REQUIRED IN ALL ESTATES WITH GR08SASSETS UNDER tl0,Ooo,UNDER SECTION 701 OF ACf OF JUNE 16,1861,) EFVEC'I'IVE JANUARY 1.1962.(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) _-/."-S ij £<~;U 5¥t OFFICE OF THE REGISTER OF WILLS County of .W.~..S..~.:l:.~.~.A.Q .~..... .'".:'~~~..J:~t:~"""".,.,.."."..,'"of .,.1.5,7..W.l~\lt,S.t..r.tltlt,.Bl1rse,ttstoW11.'Pa..". (Name)(Addrea) being duly _.._.__._~~OJ:l\..__according to law,deposes and says thatShe is the__.J';~f~~~~__.__.._...c •••_._•••••_.__• (Exec.,Adm.,Legatee,Etc.) of the estate of JIELEN._WILLlAMSQN...._.._.whose last residence was _~.&._~r.:.CLtt:...:f-y_:_. (No.)(Street) ___m~£.1.t::.Q~.i.b:._'WCI.:'J.m..deceased,and that the whole of the estate of said decedent,who died __.N9-Y.!~.IJl\H~t.__2.8.~--1970(Cicy;-florough 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 Value Lot of ground situate in the Borough of Burgettstown.Washington ounty.Pennsylvania.held as ioint tenants by Helen Williamson.Olive illiamson and Jane Jeram.as appears by deed of record in the Recorder's ffice for Washington County,Penna.,in Deed Book ll98,page 46 val\le of interest of deceased 1 ,000,.:00 ...-,iA.-10 Personal Property "- W o c 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." Jointly Held Property .1. Transfers within TWO YEARS Prior to Death ,, ..I Estimated 'Value ._~_ -.. That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT - 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 BENEFICIARY an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT , '. RESIDENT DEC~DENT...DEBTS AND DEDUCTIONS CLAIMED DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN .KEGISTER ONLY Funeral expenses paid $$ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses • 'Counsel fees •I Fiduciary commission .. OTHER DEBTS AND CLAIMS (..)See Note below Bal.of Funeral Bill not required with original 85appraisement1,408 No.63-71-18 Dkt.39,p.20,Line 3 I I Total 1,408 85 ILJo€.K.. -NOTE:List first five items in the spaces so provided,observe notations thereon,and instructions.• Note:The estate agl'ees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greater or less than the estimated amount claimed and allowed. Subscribed andlwom to before me this . .....J.".t.¥:0t of ..·011JL···,'OnI~:~••~•..••••••••.•..•..•..•..•• GEORGE D.McMAHON,Notary Publld Burgettstown Borough,Washington County ·~~F~·"·"·····"""p -c7'..4:ellillIIWt;ato1) ......~~7..W~~~~t:.~.t:!..(Street Number) Burgettstown,Penna. (City or Town and State) My l;ommlSSjOll PlJll~~IVlalell I•.13i& Having been duly sworn according to law,I ~".ebY certify that the above appraisement is made in conformity with law on this ...............d~-(:..'"day of .'::7.L.~~~:'.'..~,19%-? ./~~o-;..r-.~~£?dJ~'". AIlIl'Ri.er 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 expiration 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 THf=JpGI Wi)LLS I,the undersigned duly elected Register of Wills in and for.,./t'~,..:.I County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by nent,excep s to to'ems where a greateror lesser amount ::~o~~.:~;~r.~'~79t~4;~;~~~~~:;~~d~.1:.abo..,whi,h <"a""l~~~a .~]~P~=Ul.t~.~.... Register of Wills r i , Form No.RCC·62 (4-71) .WilL 63-71-18 Administratioil INo......~. ...Year ..... IN THE MATTER QF THE APPRAISEMENT OF THE ESTATE OF '~ .........~~~.~~Q~. Deceased Late of ..the.BpJ'fJJ.t.8Q .Qf;B\1J'&e.t;t;qtOW. County of ..~~~~~~.g.~on ' ..... Commonwealth of Pennsylvania REPORT AND APPRAISAL ( f ".. ~~,.;;~~.;~ ::::(0 ~~~ 2"'.-I ~.:: _-.J rr,·:'..~. ~--'"....,....... :...~c· c-! <::):~ v r-~~~J-:.(f)'.,. ""'~~ ,..I.•=-.-....; •I "7 .'J' '-'oJ ~#f1j •-',.......-..:I~ --"=~....:. ,.,.• :1O"•lJ --:J;:c. '= -' RCC-81 (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT JANE JERAM Informant IN YOUR REPLY PLEASE REFER TO 38-20-3 Inheritance Tax Division J In Re:Estate of H_E_L_E_N_W_I_LL_IAM---.:-S_O_N _ __'_NA_S_H_I_N_G....:::.T....:::.O_N_County -File No.63-71-18 Dear Mrs _J eram: You are he reby notified that then-:::-'i"""':::-:-~0i-.ii-r~i-7lgt=:i:.::::n::=a::=l=--_ appraisement in the estate of Helen WJ.11iamson has been filed in the office of the Register of Wills of \vashngton County on May 22 ,19-.L~Said appraisement reflects the following valuations: ReaI Estate -=1=..z..,0.=....=..0..::..0..::.._..::..0..::..0 _ Personal Property _ T ransfers _ J 0 int Iy Owned --...........------....--------- Tota I 1-','-0_0_0 0_0 _ 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 months when death occurred prior to December 22,1965)from date of death, interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date __-=M=a=.oyL..-.::2=-.::2=....l,L--::1:..::9~7-=2 _SignedCV~/r ~ Title __A_P_P_RA_I_S_E_R_I_I _ DATE OF DEATH:November 28,1970 ESTATE INSOLVENT Note:This is not a bi II. :::'j RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of WILLIAMSON,Helen (Last Name)(First Name)(Initial) DATE OF DEATH 11-28-70 FILE NO.63-7]-18 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington 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 itern in the last column to the right in Schedules "A","B", "C",and "E". Dated:_---:..M..::;a:..w.y---::2:...=2::....l,L-.::1=..::9:...:7..:::.2=----__ INHERITANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS VALUE AS REAPPRAISED $-------+-- TER OF WILLS ate Inso1ven $1 nnn nn• 1.000 00 1.408 85 Est VALUE AS REPORTED CLEAR VALUE OF ESTATE Dated:MAY 22 197.tR~SSELL MAmN~ 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) I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect-f 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",whic ser amount represents the su,m allowed as a deduction. Valuation of life estates or ::::::::::=t=== FOR USE OF REGISTER ONLY Tax on $-----------4-- Tax on $----------+---+ Tax on $-----------4-- Tax on $-----------4-- Tax on $-----------4-- Exemptions========I===Total Estate --l-__ TOTAL TAX Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death 6 5% 10% 15%• COMPUTATION OF TAX $---------i-- $---------i-- $---------i-- $-------+-- $--------+--- $L-_ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $--------1 AMOUNT OF ESTATE TAX ASSESSED $----~L- Estate tax paid $L- BALANCE DUE $----~~ Add interest at rate of 6%from t= ------'lto-----$-----~, TOTAL TAX BALANCE $-----~ PAID $.....J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will !...No.AdminIstration IN THE Year .. MATTER OF THE APPRAISEMENT OF THE ESTATE OF HELEN WILLIAMSON Deceased Late of ..BURGETTSTOWN County of .WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ,. Funn RCC-2 DEPARTMEiJ\:T OF REVENUE ." J BuREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 1.27 COMMONWEALTH OF PENNSYLVM.JIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ...........M.~y....:?7..J,....J:.~.?..?...... COUNTY ~:W.~.~.h.!.!1:.~r~.~.!1: FlLF;NO §}.:..7!.::.!.~.. Whereas,H~l~.n W.i.l.li..a.m.$..Q.p.late of B.U.r..g.~.t.tS.t.Q:w.n . in the County of Wa..sh.i.ngt.o.n ::..:Commonwealth of Pennsylvania,having died on the .:7..8 t..h.................day of N.Q.y.~.mb..~.r.197.0 ,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,D.ominic .R.D.e.Maria ,an appraiser duly appointed according to law, haying 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. Unit AppraisementDescrlpllonofAnetValuesMadeforInherilance Tax Purpoles $ REALTY: Lot of ground situate in the Borough of B~rgettstown, ~ashington County,Pennsylvania,held as -joint tenant bv Helen Williamson.Olive Williamson and Jane Jp'r::llm ::II.~'.::II.hv rl~~r1 ni',..~,..n'rr1 in +-h~D ~p.'ri~ Office for Washin~ton Countv..Penna ••,in Deed Book 1198.naE!e 46.Value of interest of decedent:1.000 00 f";.--_. \-,,..- to:-· r-'.':· .~..-. ..... .,.. ,~.... ..':.·I -..... Total 1.000 00 -....... ESTATE INSOLVENT .....(J<:f't ~.:~:::,:;;.:?,;·U,;;b~~..·~d..t~~~t;............:/~¢..,~..... (Post Office) ..,Penna. U~~:··WJ\~lU:~GTON .County -:-" RESIDENT INHERITANCE TAX APPRAISEMENT Estate of '. -+ MRS.HELEN WILLIAMSON Deceased. Received, Late of Appeal.ft-om·Appraisement,,.. ...;, -. j-,:---~ -...,.....-,....,. ., ~ .J ...' ,. , .,; '. .)., ..,' .;: •1- c..+ -' -:: -." ...,-; .~ .;) .--~ ..-....,_._. '-L -~-,-.,......., ..JP',. -.....,; ·0 .J ::; .., ~) .;; -~-.::..,..,u ~~- "..-.'-.. .~'-...,......,,. ~...'..;....-.). ,,'..""";... _.'.....-..:::......-::,.........;....... ....:J , ....;-"..:.J .-J :;--~+, ~ ,,).-"!-;.:::::':'"V ....,. ~.:).-~~.. ;,.J., (~ o..l- :J tyt., ..: :.> ..-, ,- .:... .' .. -:: -l-.'• 1:' -,) '--..-, -- ,) ..} --:: "';'1 l-_'_.....,."': ......... ..' BURGETTSTOWN...........-,. November 28,1970 ......................................................................... ....., DEPARTMENT OF REVENUE Date :gf Death, ..;:"Appraisemel!.~Docket Vol.,~~..f.. Page,z..Q~..3.No..J5..~.~..7.~.~.J::.~. Filed ill Register's Office,M~y ~.~..,197..~.. Am.ount of·tax due $.'. Examined and Approved,c.,.•,••.••.••.,•••c.•••..•••,. Wrote 'abo.ut"Appraisement, ~ '- Entered and charged,..". ..'. ". "'.