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Home My WebLink AboutOC1971-0283 - ESTATE OF MOODY.......... R C C-61 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Miss Camilla Charlton-Informant IN YOUR REPLY PLEA•E REP'IER TO In Re: Estate of _______ E=l=i=za.:;:.b=..;;..et.::.;h:::__C:..,•:........::l'.::.;lo:.:o:.:d;~y----_____ _ ______ ..::W.:::ia:::;sh~l.:!·ng~t:..:::o~n.__ ___ County-File No. 63-71-283 Dear 1-'Iiss G!harlton, You are hereby notified that ~he original appraisement in the estate of El1.zabeth c .• MoodY has been filed in the office of the Register of Wills qf Wash:ington County on March 18 , 19 71. Said appraisement reflects the following valuations: Jt. Held ]~ijiJj!JiQiijQijQ€ ____ _.:.;25::...::,~09=-::2~. 7=--::7,..---- Personal Property ____ ~5~0:.:·~0:.:0:__ ___ Transfers _______ ~~~~~~-- Total ___________ ~~2~5L,L~l~~2~·~7~7 ____ _ 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 (8%) percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date ____ Ma~r~c:.:h~l~8~,_1=97~1~---- DATE OF DEATH: February 22, 1971 Note: This is not a bill. Signed Title ~. :Jir» L (?•~ ALFRED 'IDSI, APPRAISER I J R C C·39 ( 5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of Moody (Last Name) Elizabeth c. (First Name) (Initial) SUMMARY DATE OF DEATH 2-22-71 REPORT OF INHERITANCE TAX APPRAISER FILE NO. 63-71-283 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 item in the last column to the right in Schedules "A", "B", "C", and "E". Dated: March 18, 1971 ------------~----------~~~ ~' iERiTANcE TAX APPRAISR REPORT OF THE REGISTER OF WILLS 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 deponen as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F'(', which great or lesser amount represents the sum allowed as a deduction. . Dated: -----'Ma=r_.;c=h-=1=8;;.;1,'---=1-<-97'-=1=---- 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 Valuation of life estates or annuities ................... ESTATE TAX ASSESSMENTS FOR USE OF REGISTER ONLY Tax on$ Tax on$ Tax on$ Tax on$ Tax on$ 23,414 77 \ VALUE AS REPORTED VALUE AS APPRAISED $ $ 00 50 00 2 25.092 77 2 25,142: 77 1,728 00 2 23.414 77 $ $ COMPUTATION OF TAX 2% $ 6% $ 5% $ 10% $ $ 3 .. 512 23 Exemptions Total Estate TOTAL TAX ~ $ (*) 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 BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6% from _________ to ________ _ $ $ $ AMOUNT OF ESTATE TAX ASSESSED $---------+-- Estate tax paid $ _________ __._ __ _ BALANCE DUE Add interest at rate of 6% from ----------~0--------- $-----------4--~. $ ________ _.J.... __ ......; $----------~---- $-----------4---- TOTAL TAX BALANCE $ ------+-- PAID $ ----------L-- FOR USE OF REGISTER ONLY ADJUSTMENTS 11628..00 100.00 1728.00 T 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 . F..L:I:ZJI.l3:E;'J:'l:I .. C ..... MOOPI Deceased Late of . WASHINGTON ... County of WASHINGTON ,. Commonwealth of Pennsylvania REPORT AND APPRAISAL . 't ' Fonn RCC-2 DATE ......... l.1a.;r..Qb.. .... J...$,. ..... l..97.l: .............. .. . -.,.--DEPARTMENT OF REVENUE COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT COUNTY .... ~lh~.<?..~t ........................ .. - BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1712 7 FILE NO ...... ?.?..:?..~=~?..?. .................................................. . Whereas, .................................. ~.~~.~~~.~~.h .... 9..~ .... ~9..~9.:Y. .................................................... late of ..................... ~9.~.~~~.1:1~.~.~ ................................................. . in the County of ..................................... W~.;?.g:j,ngt.QP.. ................................................................ Commonwealth of Pennsylvania, having died on the ................................ ??.4. .................................................. day of ...................... f.~P.:r.~rY ............................ 19 .. 7.+. ... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ALFRED TOSI 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 inheritance taxes at the lawful collateral rate on any such future interest. the right to appraise and assess transfer Unit Appraisement Description of Asset Values Mado for Inheritance Tax Purpoaes $ PERSONAL: See copy of schedule "B" attached to appraisement 50 DO JT • HELD: See copy of schedule "E" attached to appraisement 25,092 77 t&tal 25.:U.2 77 form~;v::h ~a': ~:~~sw<>r!l ~~~~'f~a~, ~:; .~·~~~~ ce=~~::;;:·~? .. ~t isi:d~~: pratser ................................................................................................ ....... ..... ································-················· oW (Number and Street) ........................................ ~ ......... .................................. , Penna . ost Offlee) ------------- WASHINGTON . ................ County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ELIZABETH C • l-100DY ······· ···················································································· Deceased. Late of ...................................... MONONGAHELA ................................................ . Date of Death, ...................... ?.~.~?.~7.+.. ................................. . Appraisemel!t Docket Vol .....3 ¥' ., ······················································ Page, .... /..,.5.~e? ... ~No. 63-71-283 ······································ Filed in Register's Office, ...... ~~F.?.f.l .... ~.?. ..... J~~····· Amount of tax due, $ .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal f1'om Appraisement, Entered and charged, l (! -·~ ...,.,j, .. ' COMMONWEALTH OF PENNSYLVANIA RfC£tyr: gEPA~TMENT OF REVENUE CouNll~EAiJo~ " . HARRISBURG cOLLt~~ i. AI . @·IJirS Mm:•ch 11 1971 17/ifi j .... . ' · RCC·43 (4·69) NOTE: TO BE SUBMITTED IN TRIPLICATE Pennsylvania Department of Revenue Bureau of County Collections 26 S. 4th Street Harrisburg~ Pennsylvania Dear Sir: · -~ l:3 fH ·?.J I I Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: NAME OF REPORTING rieatem Penna. Na:t*l Bank FINANCIAL INSTITUTION ________________ _ Fourth & t.fain St •. 1 Monongahela• Pa. 1$06) j . j) ADDRESS "'DJ ACCOUNT NO. OF JOINT, Checldr-s accmmt 04.3 372 102 /; TRUST OR INVESTMENT DEPOSIT ~~ of NAMES ON ACCOU_N_T_c_am_tu_ .. _a_c_n_ar_l_·to_n_or_sl_i_e_nb_e_th_M_oo_d:f.:....______ (S / tJ OR INVESTMENT DECEASED JOINT DEPOSITOR, lW.sabeth Mood;y TRUSTEE OR INVESTOR _______________ _ DATEOFDEATH ____ P_·~_b_._2~2'~1~_._l _________________ _ SURVIVING DEPOSITOR, CamilL.'l Charlton BENEFICIARY OR INVESTOR---------------- lU Elgbtb. St. 1 Monongs.bela, Pa. l$06) ADDRESS ____________________________ ~----------- RELATIONSHIP TO DECEDENT ___ S_is_te_r ___________ _ DATE DEPOSIT OR INVESTMf8~2-66 WAS ESTABLISHED __ ......;.... ______________ _ BALANCE, INCLUDING INTERiSf7.3.64 DUE,ATDATEOFDEATH$ __ '~·--------------------- I; 3 .f t. · ~ 2 Q AS~.., S% A)~ { S-c<o?--71)~ t~ TITLE J RCC-!:34 ( 1-69) GOMM!.lNWEAL TH Of PENNSYLVANIA _/DEPARiMENT'OF REVENUE ,~UREAU OF COUNTY COLLECTIONS INHeRITANCE TAX DIVISION OFFICIAL NO'TICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSI;;fS,NOT SUBJECT TO ADMINISTRATION TO: CAMILLA CHARLTON 311 EIGHTH STREET __ ~_IO_N_ON_rG_A_HE_"'LA---',_PE_N_N_SY_L_V_A_NI_A __ 15063 Date: March 9, 1971 County \vashington County File No. _________ _ Bureau File No. _________ _ We have received notice that, ~~~'ilfe'{L'QXIXX£XXXXXXXXX:XXXXXXXXXXXXXXXXXXXXXXXXXXX on February: 22 19_11, you come into ownership of certain property through1t)(g.~.*Killt ~~""NJ~H&K~l~ transfer from, ELIZABETH ~JOODY, deceased. Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers ore 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 • CheckingAAccount #043 372 102, held in the \/ESTERN PENNSYLVANIA NATIONAL BANl<, ~fONONGAHELA OFFICE, MONONGAHELA, PENNSYLVANIA. In the names of CAMILLA CHARLTON or ELIZABETH HOODY. Opened, August %, 1966. Balance as of date of death, $2,773.64. appraised by the Commonwealth, as of the date of death, at $ 2' 773.64 50 %of this amount is taxable at the rote of 15 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE D If you pay the above om.ount within three (3) months of the dote of d2~h of the decident, or on or before May 19_7_, you may deduct a discount of 5% of the amount of tax due, or 0 This tax become delinquent, fifteen (15) months after the date of death and, in addition to the tax, statutory interest at the rote of 6% of the tax per annum is also due as of *------ l9 __ in the amount of *If the tax is not paid by the above dote additional interest is due at the rate of 6% per annum unti I paid $ ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ 1, 386.82 $---------------- 208.02 10.40 208.02 $ ================ ----/' TOTAL AMO~T DUE APPRAISED BY~--r---c.u; ~ {Inheritance Tax Appraiser} ASSESSED BY=---------:-:-:------ (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: To insure proper credit to your account this Official Notice must accompany your payment. Mail or bring it to: If you have a I ready paid this tax to an executor, administrator, attorney or other persona I representative of the decedent for forwarding to the Commonwealth, list below the dgte paid, name and address of the person t~ w~~~m you made payment, their official title and the amount. · · · · "'-'4 . ' Date Paid Name and Address of Payee offidai"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: l -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 Date Paid Name of Payee Description of Obligation Amount Paid TOTAL $ (attach separate sheet if required) COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF: _______ _ 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 pay out 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 ___ . Signature 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$ --------o Date of Approval: ______________ _ Register of Wi lis ,, '. RCC·43 (4·69) COMMQNWEAt. TH OF PENNSYLVANIA DEPARTMENT OF REVENUE HARRISBURG NOTE: TO BE SUBMITTED IN TRIPLICATE 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 · \{estero Penna .• N'at'l I!ank · ADDRESS ll'ounh & Main S~., Monootiahela, P4• ltl06l ACCOUNT NO. OF JOINT I TRUST OR INVESTMENT DEPOSIT Saytnp oecount iflJOijQ NAMES ON ACCOUNT OR INVESTMENT Camilla Charlton or &Uzabttb Moocb' ,. DECEASED JOINT DEPOSITOR, TRUSTEE OR INVESTOR ---,~Ew·laY.!:!' ~Hat:a~~~&r~ht:-~!t!kleH::tetlltlyP----------- ADDRESS . AND COUNTY 3U Bigbtb ~., Monon~abel.a., Pa• t.taeb1agtoa DATE OF DEATH Feb. 22. 1!flt . 1971 SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR __ G...;.;azd=Ua=_;:C=har=l=ton~--------- ADDRESS lU Ef.ihth St.•» MgnoneaMla1 Pa. 1506). RELATIONSHIP TO DECEDENT __ ___;;S;:.:i:..:Gt~e::..r __________ _ DATE DEPOSIT OR INVESTMENT WAS ESTABLISHED Befol!O !lov, 1t lfil62 BALANCE, INCLUDING INTEREST DUE, AT DATE OF DEATH $.:::.2·S~, ..... 2~~:.~~7......e:l.s:•4-l~------------ ~ .~~gn'a-tu~re~~==~~~~T~I=T~L-E J RCC-134 (1-691 COMMONWEALTH OF PENNSYLVANIA DEPA.RTMENT·OF REVENUE BU.:ii'EAU OF COUNTY COLLECTIONS .J ' INHERITANCE TAX DIVISION OFFiciAL NC.TICE OF INHERITANCE TAX APPRAiSEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO: CAMILLA CHARLTON 311 EIGHTH STHEET MONONGAHELA, PENNSYLVANIA 15063 Date: __ )-"fa~r...;;;...ch;;.;;:.._;9'-',r........;;:;1;..:;;.9.:..;71=----- County __ _,..\t/...,a....,s""h.,i..a.nacg;o.ot..,o...,n...__ ____ _ County File No. _________ _ Bureau File No. _________ _ We have received notice that, ~~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX on February 22 19_11, you came into ownership of certain property through r~~~IX ~~~~ transfer from, ELIZABETH MOODY, 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. Savings Account #13040, held in the WESTERN PENNSYLVANIA NATIONAL BANK, MONONGAHELA OFFICE, ~IONONGAHELA, PE~~SYLVANIA. In the names of CAMILLA CI~RLTON or ELIZABETH MOODY. Opened, 11-1-62, Balance as of date of death, $25,573.41. · 25,573.41 appraised by the Commonwealth, as of the date of death, at $ lJU.IUIXXDIX 50 %of this amount is taxable at the rote of 15 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE 0 If you pay the above amount within three (3) months of the date of death of the decedent, or on or before May 22 19 71 you may deduct a discount of 5% of the amount of tax due, or D This tax became delinquent, fifteen (15) ;nonths 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 *------- l9 __ in the amount of *If the tax is not paid by the above date additional interest is due at the rate of 6% per annum unti I paid ~ ~~ TOTALAMOUN~~UE $ ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ _ _;:1:.;:2;..1.,, ..:....;7 8::...:6:....:. • ..:...:71=----$---------------- 1,918.01 95.90 1,918.01 $ -==============: APPRAISED B~<..-<:-;;;; ~ (Inheritance Tax Appro i ser) ASSESSED BY: _____________ _ (Agent for the Commonwealth) 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, name and address of the person to whom you made payment, their official title and the amount. ~·· · · . .., · · · '· 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 ~f 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: l -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 trans.feree. SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obligation Amount Paid TOTAL $ (attach separate sheet if required) COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY Of _______ _ 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 pay out 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_. Signature of Tax payer 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 $--------co Date of Approval: _______________ , Register of Wills. RCC-72 (9·68) ~ C!t£WEALTH OF PENNSYLVANIA "'PA~i"MENT OF REVENUE BU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION (MUST BE FILED IN TRIPLICATE} TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: DATE March lS, 1971 Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a) J 2 (b) Standard Brands (c)~C~omm~~o==-n _____ _ (NOTE: In describing securities enter in (a}, ab CNe, either the number of shares of stock or the face amount of registered bonds, in (b), the nome of the issuing company and in (c) the class of stock or the stated interest rote and maturity date of registered bonds.) 66 ISSUED ONl0-29-Sl to 5-17; and having a TOTAL MARKET VA!LUE OF $--..J.5+-701..LL..l.o.L:!.o"------- (Date) as of the dote of death of the decedent, Elizabeth C. Moody who was late of 311 Eighth Street (Street and Number) (Name of Decedent) Monongahela (Post Office) ,on 2-22-71 (Date of death) Washington (County) Pa. (State) J The securities are registered as follows: Miss Camilla Charlton and Mrs. Elizabeth C. Moody as (Name or names in which certificates are registered) j t • ten • ADMINISTRATOR) Miss Camilla Charlton 311 Eighth St. Monongahela, Pa. 15063 EXECUTOR ) (Name) (Address) NAME OF APPLICANT Miss Cami 1 1 a Charl ton COUNTY FILE NUMBER 63-'71-283 ADDRESS OF APPLICANT .31J Eighth St., Monongahela, Pa. BUREAU FILE NUMBER Same I _. J A , l5063 SIGNATURE OF APPLICANT.,.~~ NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE March 23rd. 19'71 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of Aptil 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. (Signature) Register of Wills (Title) (County) Washington RCC-72 (9·68) COMMONWEALTH OF PENNSYLVANIA DEPA~TMENT OF REVENUE BUitEAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: DATE March 15, 1971 Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Associa1ion located in Pennsylvania: (a) 220 (b) American Telephone and Telegraph (c)_..uCJ._;ollJ.mwm.u..ou.n.~.-----_____ _ (NOTE: In describing securities enter in (a), ab 01e, either the number of shares of stock or the face amount of registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON 2-17-50 to 6-J -64Ind having a TOTAL MARKET VAILUE OF $~lO~,J-17--'5!..!..1_._,.4~0"'---------- (Date) as of the date of death of the decedent, El j zaheth C. Moody (Name of Decedent) , on 2-22-71 (Date of death) who was late of 311 Ei ghtb Street (Street and Number) Monongahela (Post Office) Washington (County) Pa.. (State) The securities are registered as follows:Cami 1 J a Charlton and Eli z.aheth C. Moody, Jt, Ten. (Name or names in which certificates are registered} ADMINISTRATOR) EXECUTOR ) Cami J1 a Charlton (Name) 311 Eighth Street, Monongahela, Pa. 15063 (Address) NAME OF APPLICANT Miss Ca.miJ 1 a Charlton COUNTY FILE NUMBER (j-I I-')-J3 ADDRESS OF APPLICANT Jll Ei ghtb St. Monongahela, Pa. ' ~ /J DJ...-f 15063 BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT~~ NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATEMarch 23rd. 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343 .. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. Secretary of Revenue By (Signature} Register of Wills -~~ Washington (Title) (County} ---~cc-n t9·68) ::OMMONWEALTH OF PENNSYLVANIA OEP~R·f"~ENT OF REVENUE :3URE1U OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: DATE March 1~~ 1971 Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a) 330 (b) United States Steel -· (c)_C,._c,...mm~·o~n~------ (NOTE: In describing securities enter in (a), ab 01e, either the number of shares of stock or the face amount of registered bonds, in {b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) . . 55 -.· . ISSUED ON 4-18-c)O to 5-U-; and having a TOTAL MARKET VAtUE OF $__,_,10....:...:. ,,_,~,._..1-+7 ...... ...-.1"-'-0 ____ _ (Date) as of the date of death of the decedent, Elizabeth C. Moody (Name of Decedent) , on 2-22-71 (Date of death) who was late of 31 1 Eighth Street (Street and Number} Mononga.,Ala (Past Office) Washington (County) Pa. (State) Thesecuritiesareregisteredasfollows:IUss Cam11Ja r.harlton and Elizabeth c. Moody, jt.ten. (Name or names in which certificates are registeJed) ADMINISTRATOR) Miss Camilla Charlton 311 Eighth St., Monongahela, Pa. 15063 EXECUTOR ) (Name) (Address) NAME OF APPLICANT Miss Camilla Char1 ton COUNTY FILE NUMBER 63-71-283 ADDRESS OF APPLICANT 311 Eighth St., Monongahela, Pa. /( . • f)/J ' /f) /) " I__ . 150 63 BUREAU FILE NUMBER -Same ·SIGNATURE OF APPLICANT ~ ~ HOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATIOH, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU EOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE March 23rd. 1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. (Signature) R~~~~ W hi Register of W~l~ · as ngton (Title)· ( oun y) 1 ..• ' f; r t Form RCC-33 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ,~ 3 ~? /-:{~ j J RESIDENT DECEDENT COUNTY OF ... Washing.t.o.n ........... : ................................... . 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 Re.venue, (Section 703 of the Inheritance and Estate Tax Act of 1961.) ........... Mr S .... ~:~:Ez::::. ... ~~ .. :::::~~ ~F .............................. }:::UA;~: OF (State full name of decedent) Late of .... .W.S\.~ p.J.ng ton .. . . .. ................... County ADMINISTRATOR State of ..... Pennsylvania. ............................................... } ss: County of Washingtcn.. . .. ............. ,_, Miss .Camilla ...... Gha.rl.tan ......................................... .. .. ............. Executor Administrator of the estate. of the above-named decedent being duly sworn, depose and say Decedent died ........ F.eb.r:U.a.ry ......................................... 2.2 ......... , 19 .... .7.l.. .. ..J testate leaving a last will, copy of which is hereto attached. } (Month) (flay) (Ye11r) l intestate · Mr .•.. Ro.b.e . .rt .E •. Cha.rlto . .n .................. . Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. .5544 Clark Av.env.e., J~ethel.. :PB.,r.lf, .. _:pg., ...... J5.l..O?. ............................... .. That as such ...................................................... deponent is familiar with the affairs of said estate and the property con- ( J•:x.,cu tor·Adm inistra tor) Rtituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT \IIJPNB-Honong:ahela Office Camilla Charlton Sister Elizabeth Moody Decedent Fred C. Charlton Brother Robert E. Charlton Nephew That the contents of said safe deposit box or boxes are itemized under Schedules E return, with the exception of the following, for the reasons hereinafter set forth: of this That Sc.hedule 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 property at the date of death, giving the amount still due at death, name of mortgagee, date, rate of interest, and book and page or 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 8 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 free, of the United States, or any state, or political subdivision thereo~ 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 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 mortga~tes 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 or money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face value and estimated fair market value thereof, and if such estimated fair market value be less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys payable to the estate from life insurance polici'es carried by decedent; all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death, with the market value thereof at such time. .. In the case of securities of close or family corporations, the values reported are as far as possible substantiated by financial statements of the corporations, showing the assets and liabilities thereof as of the date of death. The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business, and in support of the value of such interest there is annexed to said schedule, financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business, its location, and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted. It should also set forth in itemized form, together with the fair market value thereof, any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's death, in contemplation of decedent's death, or intended to take effect in possession or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers. In the case of transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y of the deed, trust agreement or other instrument creating the trust. Ther•~ is also set forth in said schedule a list of all property, real and personal, with its value, which passes at decedent's death by virtue of the exercise by decedent, either individually, or jointly 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 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. 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 tmpaid at time of death; taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this ................................ . ················'····························· ............. day of .............................. , ............................. 19 ............. .. vc ...... ~---~········ .. ~·········-.. . (Executor-Administrator) .............................................................................................................................................................. .... .3.ll .... Eig.hth .... S.t.r..e.e.t ......................................... ~ .... -··-h·· f Street Numbe7') .... M.o.nong.a.h.ela., ...... P..a ............ l5.0.63 .............................. . (City or Town and State) NOTE: Be 'fore 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. RCC-34 (1-64) COM,..~WNWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece- dent. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property held by the decedent as tenant in common with another or others, should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be (1) (2) (3) described by lot and block number, street and street number, together wl th DEPARTMENT a general description of the property, with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title; If. o form state number of a-FOR YEAR OF ESTIMATED CAUTION cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,ore DEATH In this space) to be listed on Schedule "F" and must not be deducted from this schedule. NONE. Insert this total opposite "real property", Schedule "A" in the X X X X X "As Reported" column on the last page of this return. . - RCC-35 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 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 (~.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 anyundistributed 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 MARKEr VALUE (Do not write in this space) Wearing apparel. $50 L't/~/:::r. J $.50.00 $o.oa Insert this total opposite "Personal Property", Schedule "B" in X X $.50.00 so.6J the "As Reported" column on the last page of this return. ,, ~ RCC-36 COMMO.NWEALTH OF PENNSYLVANIA ~RANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "C" TRA.NSFEil.S ( 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)~N~o~.L---- (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) ... N...,a ....... ___ _ (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)~Nuo~·------- (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 0 (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 promise to pay income to or for the benefit of care of transferor? (Answer yes or no) ~N~o~.L----- (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 the decedent alone or the decedent and others? (Answer yes or no)------- NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans- fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based, NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E. ITEM DESCRIPTION None. Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MARKET VALUE (Estimated) \ DEPT. VALUATION (Dept. Only) ,8C.C-33 COMMONWEALTH OF PENNSYLVANIA THANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRrCTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule "A", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal .property should be listed as in Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to the decedent. Description of Property, Date of Acquisition, Name I Unit Address and Relationship of Co-Owners, and Place j Value of Record of Instrument, where Real Estate. ! Percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Savings account #13040-WPNB-Mononga-r,f/r<J hela Office. Established 6-13-34{~25, 57~.41 )5o% 12,786. 7P (J., ??&,.?0 Checking account #433-169-43-372.02 9liC.:Off•prl-5o% .L,Lt.:>G.G 4>f/1-J· WPNB-Monongahela Office. Est. Oct. lz-77.3. 1,4 I 3 f&.v~· (; 3 f(..i:l.. 1931. /1 220 shares common stock-A. ~. ill. Acquired 2-17-50 to 6-1-64 330 shares common stock-U. S. s. Acquired 4-18-.50 to 5-13-55 12 shares common stock-Standard Brands. Acquired 10-29-51 to 5-17-66. All held jointly with sister, Miss Camilla Charlton 311 Eighth Street Monongahela, Pa. 1.5063 48 7/S 31 7/8 47~ I I 5o% 5o% 5o% ~l:br 5,375.7P 5_3'}5.70 ~h~ 5. ').5 f. :;;..s' 5,258.5~ ) tr; VrJ ' 285.0 8 ;((~06 Insert this total opposite "Jointly Owned Property", Schedule "E" 0 r--0 1'7 • .:1.. -... ~..., 0(01 0 7'.:)· in the "As Reported" column on the last page of this return. L;) )040.7 'L--..,..~----....J (2~-() ~:J.17 Value of Decedent's Interest RCC-;37 (12-63) . ' COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State full names and addresses of all who ( h ave an interest, vested, contingent or other wise, in estate) 0 : M iss Camilla Charlton ~11 Ei12:hth Street . Moncm~Zahe la. Pa .. 1S061 SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth this fact.) OR NO BIRTH ~i~t:P.'Y' YAP. ~-19_-_88 Half interest . . Deponent fUrther says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE Will Administration ! No. Year ........... . Dl' THE :\lATTER OF THE APPRAISEMENT OF THE ESTATE OF .:Mrs .• Elizabeth ... C .•. Moody Deceased Late of. 31L.Eighth .S.t .• , Monongahela. County of l!J'ashington. Commonwealth of Pennsylvania REPORT AND APPRAISAL (Executor-Administrator must complete "As Reported" column #1.) CJ .... 0 Vl Vl ...., ll> >< ll> r:::r en trl Vl ...... ll> ...... (1) ...., '"0 ~ .... (1) (1) ll> .... ll> ::1 Vl -Vl 0 ....... ::1 '"0 (1) ll> .... .... -0 Vl '0 '"0 (1) .... .... .g ~ ~ '< U) c::: s:::: ~ > ~ U) U) C/) >-<: () (') (') ?" ?" ?" tzj n ~ > . : ;: : -En-En-<n-En-En-En '0'1 0 • 0 oo > Vl ~ (1)---- o"g;:::: .... [ -En-En-<n-En"""-En ----·~· > ;r. . "' . ·& ~ t:l "' . ~· ~----,. ~-~II ·~· •\5 • ~· C) :. ::l •-..:? ~ 0 r. \.;) c.. \.:1 . ' • I OFFICE OF THE REGISTER OF WILLS OF---------COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN/, 7 .;2_ j/. THE SUM OF ............ $ ,Ht.2f2 .00 DATE APP DYED ' I I ESTATE OF r1rs. Elizabeth c. Moody LATE OF 311 Ei€;hth St.' Monongahela' Pa. DATE oF FILING APPRAISEMENT _---.~M::.w:a.-a.. r~c:.+h .......... l~9~7~l.__ __ DATs oF DEATH Feb o 22, 1 9 71 o DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCH lOIII '), 71 Bebout and Yohe Funeral expenses $ 1628. 00 K11T>t.'7. Mnn11ment Monument -~----100. 00 1. 71 expense ,...., ;, /7117( 117 I /.· '7 r7 .P 0() COMMONWEAL~~A:t~A} jssee· c~~;?{&;;_~~ HEREBY CERTIFY. THAT. TO THE BE•T OF MY KNOWLEDGE ANO BELIEF, THE FOREGOING IS ADMINISTRATION SUBMITTED TO THE EST-1\TE OF ..!o..a...o£..:::~114..=s;..a...t.:!:l...<:........::~~-L.J....U::.~~7i===----.C INHERITANCE TAX PURPOSES. THOMAS e.. SCORriEI:D, Nom9, ~u6UCl Monongahela, Washington Co.,. P.a, h MY Commission ~Pires September 10, 1973: \ ·---:: '. . .. !11--~~-,..,.....,.~--... ~· ,.,~·:·*_,.f. ~ ... ~~~~,,.~,·· -~---~~--- ~~ > U> ...,. (;) -I <::) :.;: \.J 0 u ::t.~ r A) Ill C".J vl -4 n,; ---,.,. .... 0 If --~ ""...::: r r- (i) .. .,. ... . .__,._. t .-.... · ..... '" , ... --...1 • f ::n c:: :::-:: ....... -L~_... u) =-=.:~ (/) ;::-:, :ll ~ t"----.J ~::11 :::;.J; ... =~.( :..:J ..... (::;:} --0 ..: 0 Form RC C-10 OFFICE OF THE REGISTER OF WILLS SUPPLEMENTAL DEDUCTIONS ALLOWED IN J THE SUM OF ............ $ ... oF JQfash;jngton COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OF DEBTS AND DEDUCTIONS ·~~~ Register of Wills, Agent ESTATE oF Elizabeth C. Moody File no. 63-71-283 LATE oF 311 Eighth St. Monongahela, Pa. DATE OF FILING APPRAISEMENT ----------DAT&: OF DEATH _..JF.:....s:;.eJ..bu•t..-J2~2"-"1'--l..l....:lg:...,jz:..l&......------ 15063 DATE NO. OF NAME OF PAYEE REMARKS AMOUNT M!:!,..,.. VOUCH£Jt n ~() lq71 Carrnilla Charlton paid Inter a1 'RAf'Al" t.n ~nn'iAQ Of 9fif, 71 ?q Revenue Service for Eliz. nn~nmP.nt!=~ I mai len Mnnnv'"' ~nn'it.'innJ:!l Jq{,q vou June 21 lg71 v in~nmA tax due on bond 1nt.Al"A~t 'IAThi ~h she had not ...... ..,-tr:l ,...,.,,., ~"' +-o'Y>AQt; .L--I:" . - ' COMMONWEALTH OF PENNSYLVANIA COUNTY OF ]plashington 1, CaJ+J.ill~a Charl+o n HEREBY CERTIFY. THAT. TO THE BEST OF MY I<NOWL.I!:DGE AND BEL.IEF, THI!: FOREGOING IS A JUST AND TRUE BfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF EJ j zabe t;h · C • Mo0d1 DECEASED, AS DEDUCTION$ FOR INHERITANCE TAX PURPOSES. - l.n o-0 ;!: cr: ::c: ~.·~ 'I> oi:::I: ~~--:. ::::t -I -~ ~-~ t c--.; :...~_ -1 ~:"> :::::::1 (./) -:;:, ::::) 0::: :Dr_ r-- U) -..1 -' --:~ i.J._ 0 ,.,... ....... w 'J) 0 L:,j c:: .q n.. 0 Ct .... _ c 1- (_!,: z U) <( ~- , ' IN RE: &ST. OF EL12ASETH 0. MOODY wasbingtoa County eami.lla Charlton, Petitioner PETITION ;FOR REFUND of Transfer Inheritance Tax. AND NOW TO WIT October s. , A. D. 1971 , I certify that the following is the action of :the Board of Finance and Revenue of the Commonwealth of Pennsylvania .in this matter: 11And now to wit OCtober 1; , A. D. 1971 Refund is hereby granted in the amount of$ 9S~7CJ't BY ORDER OF THE BOARD OF FINANCE AND REVENUE GRACE M. SLOAN, State Treasurer and Chairman J. SHANE CREAMER, Attorney General C. DeLORES TUCKER, Secretary of the Commonwealth ROBERT P. CASEY, Auditor General ROBERT P. , Secretary of Revenue ATTEST: Secretary, Board of F1nance and Revenue Copy mailed to: 'Miaa catnUla Cha1rlton 31.1 Eighth Street Monongahela • Pa. 15063 ran on October a .• 1911