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Home My WebLink AboutOC1971-0290 - ESTATE OF BLAYNEYIn t4t 01nurt nf atnmmnn illras nf llns4ingtnu C!tnunty, Jrnnsylnnnia, ®rp4nnli' C!tnurt 13ittisinn ESTATE OF Marguerite Blayney a/k/a Marquerite A, Blayney, deceased No. 63-71-290 In the matter of the First and Fin a J Account of Donald W. Hodgens Executor ADJUDICATION AND DECREE And now March ..{,L , 19~, this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof the balance for distribution in rthe hands of the Accountant is determined to be $ 1529.86 and the account is accordingly confirmed; and it is ordered, adjudg~d and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or on appeal be token herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account $ 1.$30.8 6 6 Additional credit asked at audit I ~ I $ 1,529,8 Balance Deduct Clerk's Costs & Receipts 12.50 $ 1,517.3 6 J A~torney John J, Hughes ~ ~~ / -?' 7 -z....--'#' /~ ,,s-2) Russell Marino,; Agent, transfer inheritance tax, Donald w. Hodgens, nephew, residue, cash, . I 121 .oE 1390.28 ~~~ ~cJe. $1,390,2 8 No balan ce ~/0 ~ / /~7-z....--- $'/;;; 7· t:J g ~~ ~~ \ --c • .. r . ,. ~ ' )· J/-D 0 > z .... :s ~ £' ·n p S· -+ -;:: :r· 0 c: CD ~· S' :s 3 ~ .... 0 0 0 '""' .... .... '""' .... CD ... a 0 .... -+ t Er :r CD = N ~ a, ~ ~ ~ ~ . •. l . '' ...... _· .. , .... ,• ' .. ( j 'r r . ., ., "' -,._ ~~ :::J --...: I i =~ ;:v rv rn (/) t:,"") c: ::.:;;: ~ (/) Ul = f""'-""'-' --en :::0 z -f" "··: ~-; .... rri r ., ~ ~--..) ~ l 1 ---.; ::r• ..... ..) 0 ,..._ :;:: C· ' _.,., ...... --r: .. "" :t:.~ ... C) ~ ::::r: 0 ::'E ... ·.1 r--:4:: -u r-)> (/) 0 '-n ... •, PETITION SUR AUDIT IN THE ORPHANS' COURT OF WASHINGTON COUNTY Testate F~rm J _ , Estate of ..•. .A., ... MARGUERITE .. BLA.YNEY .. .a/k/a ........ . No ... 2.9.0 ... of ... l.9.7.~ .................................... . MARG.liE.Jlll'.~ ... aLA.¥.lffl.X .................... , .................. , ......... . Fiduciary ..... D.ONALD .. W.I ... HOD.GENS.ol ................. . -~~~-~Y..t.Q.:r ............................................................. . Deceased ~~~ . ~~~ 1 ' Decedent's death ...... J.~.P.!J.~rY ... 2.~:.. ... 1~.7.l ..................... Grant of Letters ..... M~r.~.h .. .l~L .... l~7J ........................... . This is the .................................................................... ~ ....... account filed in._ this estate If there have been fo~mer acc~unt~ f'iied i~-this estate~ list file number or number and term .. NQ.:t;l.~ .. .f.:i:J.~Q.: ........ . ~- . . .. ---..................... ·-................. --................................................ ·--........................ -.. -..................... · ............................................ -.............................................................. "' ............................................................. -......... -.. . Election to take Date Election Place of; Under or Against will. (cross out one) Filed .... N.o.ne ... file.d ...... Record ........ ; .................... . Name of surviving spouse: ...... NO .. .SlJl'.Y.i.v:ing .. .S.P.Q'US.e.., ... : ......... :·········································································· List issue, where material: Testatrix unmarried, no issue. Did decedent marry after execution of will? (indicate) ~HS{ No. Any children born after execution of will? (indicate) }(~ No. If answer yes,. name them ............................................................................................................................. : .. . Legatees Relationship Interest ·Fiduciary, if deceased or not sui juris DONALD W. HODGENS Nephew All Sui Juris List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Couse: No exceptions: If partial intestacy, give fads: No partial intestacy. Notice to interested parties. Hove all parties, having either vested or contingent interests and all crediors entitled to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. Mil'§. If any exception give cause: ........ No ... e.z.c.ep.ti.Qn .•....... File copy of Notice and date of mailing ... A.t.t~.~h~.d ... tl~X-~.t.Q ... ~JH~ ... 9.~:t~~L.F.~.Q ...... 2".9., .... l~1.~ ........................................................ . l I 3 ! l ·t r l .; Is estate subject to the filing of a Federal Estate Tax Return? ........ NQ., ................••..................................... ~ ................ . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $.No.n~ ... pa.id ... o.n ... the .. ~.s.t.a:t.e ..... . If the Will makes any portion of estate sub.ject to a life-estate, give nome and birth date of life tenant.. ................... . No. ... li.f.e ... t.enan.t.~ ............................................................... ~ ........................ ." .............. ~ ............................................. . Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they are admitted to be correct; and whether the claim is denied. ·"-·' Give reference to such parts of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: None required. Balance for distribution per account, Itemize any additional debits not shown by account: $ .. l.~.l5.a9.,.~Ji. ............. . Total additional debits (Add) $ ......... No.n.e ................ . Itemize any additional credits not shown by account: Affidavit to this petition, Total additional credits (Subtract) $ ....... ~.J!.Q.Q .. . .................... Balance for distribution $ .. l.,.Q2.~.·-~.§ .............. . If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); Balance in cash. " ~ -~ . / • l 1 .. ' t i t; I· ~ r . . ~ {i ~i 'F ,, i I 1' ! I l I l "i-'' r f l t t . ., If Family Exemption claimed by· Petition, give place of Record: ...... NQn~ ... c.l.3.iiMHL .............................................. . If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ............................................... . List any advancement or distribution on account that has been made, and nature and amount of same: No advancement. ·•· Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections to take in kind if balance is not in cosh: residuary shares being stated in proportions: Residue. c: , .:> '~ ~;. ~:. k II_ ".-:0 _:::-:"-_,.....,.:}, COUNTY OF WASHINGTON, SS: COMMONWEALTH ·oF PENNSYLVANIA. The above named Fiduciary or representative thereof, . being duly ....... S:W.OT..~ .................... doth depose and soy that the facts set forth in the foregoing petition ore true And your petitioner will ever pray, etc. to the best of.. ......... hi.s ............. knowledge and belief . .......... Sw.o.:rn .......................... to and subscribed before X\ me th;s.LO:~ .. day af .Mar.ch-..................... 19.7.2. •. _ All~.2Y:. .. 7~---·········· . Signature of Officer ........... , ................ G.~ Title of Officer ............. ~~~:rON RIHAtt;·NU11Qty··Piiai.ic········ 0 0 MY COMMISSION WASHINGTON COUNTY Off1ce exp1 res ............ ~-"D!········fJCPJB£S.APRH:-1z-1 ... , •.•••.•• . r,.-•IIIISYivan_fa Assoc:fat•-• " 5 "'11 of Notarlaa ..................................................................................................................................................... ............................ ~ ............................................................................................. . 1·---------.:...----~-~----· --·-"'-""-=---,-.-,-..;,---,--c::-!:':'::-·---,.,-,:.=:-:·;-·:::::""-':::::~..::::·---~· -~---· --~-- .. J ~· .Q ... . --· _, -t' -~ :·· ~-~ ..e'.,.. --~ :" 2 ~ "'~s:.. g?sa ~-;..-v:; 2~~~ v~~~ ;-i.-t ~ r& ;..B·~~ ..-. --<\ ~!!~~ '-~X!:· -~ ~~ ~':~:iM ~ :;_• .,; No. --~~ .Q •• 91 ... ~9.7.1 .............................. . Estate of.A,_ .. MARGliER.I.'IE. .. BLA¥JU:!::Y------· .. ~/..~!.~ ... r.MBQV.~RX::r.~ .. J.lLA..Y.NEY~----------·· . Deceased Fiduciary ...... D..Qn.~.ld. .. W ..... Hadg_ens..,. ........ . Executor. ...................................................................... --------......... -~----.. --.................................... . PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written praecipes of all Counsel in the case . 2. Copy of order appointing Guardian ad litem, if pertinent. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A or an attest copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of I iens in case any of the funds for distribution are from judicial sale of recil estate. 9. Signed and itemized elections if any distribution in kind. 10. Copy of Federal Estate Tax return if es- tate is subject thereto. ................................... John J. Hu_g!}_~§ .................... Att~;;;~;;--· ·---=-~-----·-·-------~---·~-------~------... ..-..--..... ~--------...-..__.._:;;...;; ...... __ .. ....... ~ 1.:.-p I ! '72 ti~ Ru~, REGf WASH. f f. l '· ~ r~.~.· (1 . '. <i 11 I 5 .J ;-~ 0 '.,'ILLS Jrn.Pt-~, ., ~-..... _ • < I# ;' ·~\ :\i I l ; . -~ I i ! l I ) I 1 l . ·f To: Pennsylvania 15323 F AITORNEY AT LAW 203 MAIN STREET CLAYSVILLE, PA. 15323 (412) 663-7788 SUWECT: L. Wylie Sampson a/k/a L. W. Sampson E9tate No. 475 of 1971 I DATE .Feb. 22, 1972 You are hereby notified that Margaret A. Sampson, Executrix of Estate of L. Wylie Sampson a/k/a L. W. Sampson, deceased, has filed her First and Final Account at the above number and term of the Orphans' Court of Washington County, Pennsylvania, which account has been placed on the Audit List and will be taken up before the said Court on TUESDAY, MARCH 21, 1972, at 10 o'clock, A.M., at which time you may present yourself at the Court House in Washington, Pennsylvania, should you so desire. Enclosures: Copy of Will Copy of Account ........ -... --- <..0 00 (!). q 00 00 ·= z --- RECEIPT FOR CERTIFIED MAIL-30~~ (plus postage) POSTMARK OR DATE . PS Form JSOO Apr. 1971 NO INSURANCE COVERAGE PROVIDED-(See other side) NOT FOR INTERNATIONAL MAIL « apo' u1o o-••1·••• To: Miss Margaret A. sampson Cl~ysvi1le ,-/ "' Pennsylvania 15323: . ( FROM .. ~_... l: ,. -~ JOHN J. HUGHES ATTORNEY AT LAW 203 MAIN STREET CLAYSVILLE, PA. 15323 (412) 663-7788 /' SUBJECT: L. Wylie Sampson a/k/a L. W. Sampson Estate No. 475 of 1971. · I DATE Feb •. 22. 1972 \ r You are hereby notified that Margaret A. Sampson, Executrix of Estate of L. Wylie Sampson a/k/a L. W. Sampson, deceased, has filed her First and Final Account at the above number and term of the Orphans' Court of Washington County, Pennsylvania, which account has been placed on the.Audit List and will be taken up before the said Court on TUESDAY, MARCH 21, 1972, at 10 o'clock, A.M., at which time you may present yourself at the Court House in Washington, Pennsylvania, should you so desire. Enclosures: Copy of Will Copy of Account I' ,...., ~. RECil~~ FOR CERTIFIED M~=:IO¢ (plus p-=~l . --~ d A ' . OR DAT.E ~0 ~ 4 ~-.;;------;.. I POSTMAllK A 1./2/"7 _,· ':? £/7.-A'UhLA ~"/~~ \ I'-' I .J~ I ·~ .I..; 00 00 Q z \. I 1~/~ /~;< ~~~ES FOR ADDITIONAL_::F..:E:=E7S __ -\- ~ 1. Shows to whom and date delivered ........ . With delivery to addressee only ......... . SERVICES l!. Shows to whom, date and where delivered .. ¢ =~~~ With delivery to addressee only ............ 8 DELIVER -TO ADDRESSEE ONLY ····'································· ............... 50ft SPECIAL DELIVERY-( extra fee required) .. ·- PS Form JSOO NO INSURANCE COVERAGE PROVIDED- Apr. 1971 NOT FOR INTERNATIONAL MAIL »GPo• ••7oo-3o7-•s• (See other sid ) .. '.,_ ~ To: ~:.-' l J Mrs. Leah s. Driehorst 55 Acheson Avenue Washington, Pennsylvania FROM 15301 JOHN J. HUGHES ATTORNEY AT LAW 203 MAl N STREET ClAYSVILLE, PA. 15323 (412) 663'-7788 SUBJECT: L. Wylie Sampson a/k/a L. w. Sampson Estate No. 475 of 1971 tDATE Feb. 22, 1972 You are hereby notified that Margaret A. Sampson, Executrix of Estate of L. Wylie Sampson a/k/a L. w. Sampson, deceased, has filed her First and Final Account at the above number and term of the Orphans' Court of Washington County, Pennsylvania, which account has been placed on the Audit List and will be taken up before the sa·id Court on TUESDAY, MARCH 21, 1972, at 10 o'clock, A.M., at which time you may present yourself at the Court House in Washington, Pennsylvania, should you so desire. Res,ectf;¥:.1 yours, cC <~ • ~.z=~·c..4d::.---7 J ~ ;7~ ohn • ughes Atto y for Ace untant Enclosures: Copy of Will Copy of Account I I 00 00 <..0 . ~ 00 00 RECEIPT FOR CERTIFIED MAIL-30~' (plus postage) ----~~s-~~~ rv-.11 MARK OR DATE • Q ~---si'tCIALDEliVERY (extra fee required) Z PS Form JSOO NO INSURANCE COVERAGE PROVIDED-!See other side! Apr. 1971 NOT FOR INTERNATIONAL MAIL "'apo, •o7oo-3o7· .. •• L----~--------------------------------------~ ~_), \ .) ,. C!tnmmnumtalt4 nf ftuusyluauia./~ .!i!i: lla!i4iugtnu C!tnuuty. ~ KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid on the 19th. day .of March A. D. 1971 , before me, Russell Marino , Register for the Probate of Wills and Granting \ Letters of Administration in and for the County of Washington, in the Commonwealth of _Pin_psylvania, the last Will and Testament of / / / A. Marguerite Blayney aka Marguerite Blayney late of Donegal Township )n the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and Donald W. Hodgens the Executor in said Will and Testament named, having appeared before me and taken and subscribed the oath of office pr.escribed by law; NOW, THEREFORE, I, Russell Marino , Register as aforesaid, do grant these LETTERS TESTAMENTARY, unto the said Donald W. Hodgens committing unto him the administration of all and singular the goods and chattels, rights and credits, which were of said deceased, and requiring him to exhibit a true and perfect inventory thereof into the Register's Office, at Washington, within ninety days from the date hereof, and to render a just and true account of said administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. ,IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said Office at Washington, this 19th • day of March in the year of our Lord one thousand nine hundred and seventy-one ..... -.~ .. ~~ ........ . Register J cul ~ ..!:dl ~ ~~ lZ ...... = ~ ~I a ~l II. <l lZ 0 ..:I! ...... 11.1 t:01 ~l N u:t 1-f:ili ~! t ~ <( ...:Jl a 1-E-il t:01 (/) H! 11.1 P::l fill u:t ~1 E-il ~ H! ~ ~= P::l = P::l fil! ~ ~, pl ~ ol p::; ·= <l <j ~j Form No. 15 {1960) ~z Washington County Bar Association Washington, Penna. Will 1Jlant lltll autl Wrntumrut l, ................................. A .•.... MARGUEB.lTE ... .BLA.YNE.Y~t .... wido.w., .......................................................................... -... -.... -.... --"'-, of ... .Buf.falo .... T.own.s)ip,. .... W.ashint;ton .... C.oun.ty.r .. P.ennsy.lv.ania., ........................................... ------------, · being of sound mind and memory and understanding, do hereby make, publish and declare this to be my Last \Vill and Testament, in manner and form following, hereby revoking any will or wills heretofore made by me. 1/ First. I direct that all expenses attributable to my lastillness and funeral be fully paid and satisfied, as soqn as conveniently may be, after my d.ecease.: Second. I give, devi.se and bequeath all the remainder and residue of my estate, real, personal and mixed, of whatever kind and wheresoever situate, to my nephew, DONALD W. HODHENS," absolutely. i . ' • z :-• ~ .. j ~ ~- .. f ' I do hereby make, constitute and appoint DONALD W. HODGENS Executor of this my Last Will and Testament, an« should he predecease me, then, WINNIE K. HODGENS, - - - - - -~ - - -.-~ ~ - - -~ -- - ------- to be my executrix of this my Last Will and Testament IN WITNESS WHEREOF, I A. MARGUERITE BLAYNEY the Testatrix above named, have hereunto subscribed my name and affixed my seal, the day of ft. )/ ~vf; 2 (i:fl· ··1 in the year of our L~rd one thousand nine hundred and sixty-. (.. :7; "/~I seven ( 1 67) • · /} .l-P; . • ~ -1:-/) ()__ · · _f.{,.L//.r)rf!.~ . ../.J~~c ..•. (SEAL) Signed, sealed, published and declared by the above named A. MARGUERITE BLAYNEY , as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names at thereunto, in the presence of said testatrix her request as witnesses , and of each other. kz-J-L ¥A-~ - ..... .f&?.r.:k... ·····fl-······ .. . . . . . .. . ·················-. . I ! i =~ i iv o\ :....., I :en i II ~ : ....... ~ !b.() ;v i~ -0 > i ~ I 0 0 ...... I p:) ~ -! -...... ·~ ....... ~ 0 -..c; ~ II v ...... ..... '"d ...... ....... v '"d '"d ~ 1-o 0 CIS u '"d v v ~ ~ :> '"d b.O 0 CIS 1-o ~ ~ ~ CIS · ·.. b..J_ 7/_ ..2 ?'o j 1\ffi~autt ®f fxrrutnr ®r 1\~mtutntratnr g,tttlt nf Jruunylttttttitt } Qtnuuty nf 1ltllan4iugtnu nn: Personally before me, the undersigned authority, a ____ N~~-~y--~-~~~~~------------in and for said County and State, appeared ----~-QNAP.? __ _w_. ___ ~_~g~~-L--------------------------------------------.. who, being duly sworn according to law, deposes and says that he is the eX'ecutor ~~~r of the es- tate of ~-!---~QTI~U:'J;_~--~~~~-------------------deceased, that the foregoing schedules constitute a 1 t . t d · t f th 1 d 1 t t f A. MARGUERITE BLAYNEY comp e e mven ory an appra1semen o e rea an persona es a e o --------------------------------------------• deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death, based upon a just appraisement of each item made by the above named Executor Administrator. Sworn and subscribed before me this ........ !.'. .. ~ ....... } v;J\ II 0 'lA r .....z I . c1 f ~~ 19 71 ···/!.W-~·-r-v~--...... -:nr .. ~.AA.J!~ ... iv ~mnm.2'ir~;~:~~L INSTRUCTION:xecutor-Ad inistrato 1. An inventory must be filed within three months after appointment of personal representative. 1 2. A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.-1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Oopies and 2 RCRI-33, . : Over $10,000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, in- , eluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L. 513 Sec. 5.2, 72 P.S. 4844.2 3.futttntnry UtW i\pprninttutUt of the goods and chattels, rights and credits which we~e of --~-~---~-~~~-~--~~~~-~---~~-~~-~~-~?.~ ... late of .... ·~-~ ... P..~ ... #.?, .... Q~~Y.~~~~~~---··········· .. ···· ....... Washington County, Pa., 'taken and made in conformity with the above affidavit. DOLLARS PERSONALTY: Article of Agreement for sale of two-story frame building, the first floor· of which was formerly the Crothers Post Office and general store and the second floor living quarters, situ- ate in Buffalo Township, Washington County, Pennsylvania, between MARGUERrrE BLAYNEY, Seller, and GOLDEN H. CARROLL and WILMA JEAN CARROLL, his wife, Buyers, for the amount of $1,850.00, dated June 8, 1970. Amount held in escrow pending delivery of deed. 1,275 Account No. 356-8478 in ]ellon National Bank & Trust Co., Claysville, Pa. in the name of Alice Marguerite Blayney. 1.296 Personal Prcperty: 2,571 j -. REAL :ESTATE: ,.,., NONE NONE CENTS 00 24 24 I ,. ... \0 f. ' . r· FIRST AND FINAL ACCOUNT OF DONALD W. HODGENS, EXECUTOR OF THE LAST WILL AND TESTAMENT OF A. MARGUERITE BLAYNEY a/k/a MARGUERITE BLAYNEY, late of Donegal Township, Washington County, Pennsylvania Accountant is charged as follows: To Inventory & Appraisement filed: Personalty $2' 571.24 Real Estate None Total . . . . . . $ 2' 571.24 To Gain over Inventory & Appraisement filed: Balance due on Agreement for Sale of real estate Interest on U. S. Bonds ''H" Civil Service Annuity Fed. Comp. Life Insurance Refund on Letters Total Assets ' . Accountant claims following credits: 75.00 13.25 81.20 500.00 .50 4-22-71 4-22-71 Brownlee Funeral Home -Funeral Claysville Cemetery Association -Opening 4-22-71 4-22-71 4-22-71 6-10-71 12-8-71 and closing grave, Curtis Pharmacy -Medical supplies Claysville Recorder -Adv. letters Washington Co. Reports -Adv. letters Dr. Fred D. Large, -Last illness Bank Service charges Simon White's Sons -Grave Marker John J. Hughes, Attorney, Advances: (a) R. Marino, Reg.-Letters Testa- mentary and Short Cert. 12.00 669.95 $ 3,241.19 1,160.90 85.00 28.07 12.00 14.50 15.00 1.86 160.00 (b) R. Marino, Reg.-Filing Inv. 17.00 & App. 5.00 . Russell Marino, Reg.-Filing Account John J. Hughes -Attorney for Accountant '· R E C A P I T U L A T I 0 N TOTAL ASSETS Less Credits BALANCE FOR DISTRIBUTION $3,241.19 1,710.33 $1,530.86 j 16.00 200.00 $1,710.33 The Claysville Recorder Claysville, Pennsylvania PROOF OF PUBLICATION In QOmpliance with the Newspaper Adver~i.;;:ing Act of May 16, 1929, P. L. 1784, Paragraph 3, Sub-paragra 5. Commonwealth of Penru;.ylvan· , un of Wa ·. ihgton, ss: . Personally a ared be!or ~?tary , ·q~ic in and for said County and State __ _ _________ fu.-------?:1-~b~/uly ~orn according to law, d p Ge~ays t-hat he is the ~~f:::-r: __ of the CLay:sville , rder, and its agent in this behalf; that the a.bove na.med p&son is the pu:b1ic:her of The Claysville Recorder, established June 15, 1888, weekly new~:paper of general circulation, printed and pwb-1~hed and having its pla.ce of bu.s<iness at Claysville, Wa~hingbon Connty, Penns.yJ..¥ania, where it hrus been e.stabl~hed and oublmed continuously !or more than six months orior to the outblication of the notice heret.o a.ttached; that the printed notice or advert1sement hereto attached is a oopy of an official advertisement, offic:ia.l notice, legal notice or legal adver- l:iilSement e~actly as pr:inted or pubJiished in The Claysville Recorder in it1 NOTARY PUBLIC ~laysville, Washington County My Ccmm.Ex~1res Mar.30. 1973 EXECUTOR'S NOTICE , Estate of A. Marguerite Blay- ney {l;k/a Marguerite Blayney de~eased late of Donegal Town- ship, Washington County, Pa. Letters Testamentary upon the •above estate having been grant- ed to the_ undersigned, notice is hereby _given to those indebted thereto to make immediate pay- .ment and to those having claims j or demands to present them foi" settlement I ,bohn J. H~ghes, 1 Attorney , Claysville, Pa. 47_3t r Donald 'Y·. Hodgens, . Executor 1 I RD 2 Claysville, Pa 15323 • . ' ---J I Washington County Reports Washington; Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION · In compliance with t!he Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. S, paragraphs (S) and (25). CouNTY oF WASHINGTON} SS. STATE OF PENNSYLVANIA Personally appeared before me, a Notary Public in and for said County and Commonwealth, CHARLES C. KELLER, who, being duly sworn, deposes and says: that he is the Editor of the WASHINGTON COUNTY REPORTS, the officiail legal periodical for said Washington County, published weekly hav.ing its place of business at Washington, Washington County, Pennsylvania, and is acting as its agent in this behalf; that the said WASHINGTON COUNTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly ·as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: ............... ~.PJ.::!l ... ?..9. ....... !.9..7.~ ........................................ .. ............... ~.¥. .... ~.~ ..... !.~ ........ ~~?..!. ..................................... . that the affiant or the corporation in behalf of whioh he is acting is not interested in the subject matter of said notice or advertising and that all of the Estate Notices The Register of WHls has granted letters, testamentary or of administration, •. . .. :,;. in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. • • • • • • • • • • • • • • • • • BLAYNEY, A. MARGUERITE a/k/a MARGUERITE BLAYNEY; Dec' d .. Late of Donegal Twp., Washington County, Penna. Executor: Donald W. Hodgens R D #2, Claysville, Pa 15323 ' · · Attorney: John J.'Hughes, Claysville Pa. · · .. '"''"'ti""' of thO ruJidovit "' to th~re md ""''"" of th• publiootion : '" -· ___ !__y'Jk ____ (£ __ ~ ~d1tor ...... l.~.:th .... day of .............. M3.Y. ......................... , 19 ........ 7.! ... ~~-Notary Public JG::Er;:r;~c T. SCL~~;.il.HNA Notary Pu!:,!jo l''•"·'ll.'"'"n ,.1 , . • ... , •• ~ .... dt;.~. ' }I ~B!ilngton Co. My Commi~sion Expires July 1, 1974 STATE OF PENNSYLVANIA, WASHINGTON COUNTY, .' --;·~ !..:, :-.-• , The within named Accountant being duly sworn according to law, deposes and says that the above account \ as stated is true and correct as ________________ h.e. ................... veri ly believe. Sworn anCl subsc~ibed before me this ... IZ~-- day of-~-------------------!9_3_2. ____ _ ~~c:~-- . WASHINGTON, WASHINGTON COUNTY MY'COMMISSION EXPIRES APRIL 12, 1971 ~'.,hnna,YIVIIIiaAMtdltiiRCII- Washington County, ss: ~ '0~ Q)i o\ ~ C"(! I! ......,, N t! <'rJ! 4 0 z •:-, ·' _,.,. ---~~---------------- -.. ' I do certify that I have given legal notice to all persons concerned of the filing of 'the within account in the manner prescribed by Statute and Rule of Court, as evidence by proofs thereof filed to No ... Jt7.3.~.?.2 .. -::.L _______________ _ day Witness ,;.,y hand and official seal this ___ (a __ ~---········--- of ~ csna·---~ -19'];;.,_ ~---1~-----------------· · -------------Register of Wills ·-. ' .., .... 0 ... ~~ Ul;al CD'E ,d: 2 bil~ ;::~:" ~ •: ~ s::' .d' o: 1-;): . .__ , J o~.sa S! ! uo!~nq!J~S!P JadoJd au!UJJalap o~ palsanbaJ AllnpJadsaJ S! lJnO) ay_t • -. ' I <f" .. -· I'•• , r·. r T" ~ b C$11'-' ....... .4 "" .. ''\ •:..-... ~ .• ;)~.1 ' I ~-. ·. \ ~- ~tt tijr Qrnurt nf Qrnmmnu Jltan nf lfanijiugtnu Qrnuuty ®rpijaus' Qrnurt iliuininu In the matter of the Audit of Account in Estate of A. MARGUERITE BLAYNEY a/kh 290 of 1971 No._-=.::::...:::__::::..=.__::..=....:....=:..._ ________ _ MARGUERITE BLAYNEY, Deceased. TO THE AUDITING JUDGE: Enter __ wmCJY'------·appearance for __ A.c::L.!o.c~cL!oJ..u~nut!<.!a~n!LI,tu•L.._---------------- N. B.-Counsel shall, by separate paper, present a concise statement of each claim, w.ith supporting calculation of any interes,t claimed. Objections to an account as filed, shall be concis-ely stated in a separate paper. Council suggesting proper distribution shall file a separate conctse state- ment in that regard. ' 19 72. J '~"·• ! ' 1.,_, ~ ., ,_ ., t ~.. r ·~ I l }_ ~--"-"' J ~'72 t·iAH 7 J Hi II I 5 R US S E L L : .. ,\ id N 0 f:EGISTEF OF WILLS WAS H i N !7 T 0 N C 0.. P 1\. ,/ No. 290 of 1971 In re Audit of Account in Estrute of A. MARGUERITE BLAYNEY a/k/a MARGUERITE BLAYNEY, Deceased. AUDIT Jrarripr fnr Appraraurr FOR Accountant. John J. Hughes. Attorney ~" fi """ . .•. "' I (I ~-.:.1 ~-....,, ~- ~ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY PENNA ~-~··. I'" " • ' •• -· i··ORPH~N'S·' COURT DIVISDN · '_. · ; I ! I t ) ' - I • .:..t.... ~;~ JJ INRE: .'v72 flPR ~ P!·1 ·_z~ · 48 Estate of . ( . -R u c: -::· :. i I ' ' ' -~ ,) A. MARGUERITE BLAYNE:Y~;r~-1_ik;'a·;··,.,11.\111'1Q . '~ ,, .IL I • ~} r-iC ) c . W/iSHirr~Tn · ·. l" MARGUERITE-BLAYNEY, ... ,.ft GO., [A. No. 290 of 1971 ) :5 Deceased. ( .. , z ~ .I > Ill z z Ill II. i 0 t; BEFORE: z % Ill o( 3: ..: 0 a: . ~ APPEARANCES: 0 .I o( 0 0 :I ., x ~ N TIME: ui a: Ill .. 0: 0 II. ~THE COURT: .. 0: :I HEARING ON AUDIT The Honorable P. VINCENT MARINO, Judge of the said Court. · · ·- JOHN J. HUG:£:IES, Esquire, Qf Claysvill'e-, Pa., represen~ing. the Accountant. TI?iuesday, March 21, 1972, at 10:00 A. M. , EST Number 290 of 1971, the estate of A. Marguerit 8 Blayney, deceased. The Executor is Donald W. Hodgens and the .I <( 0 ii: II. 0 . attorney is_ John .J. Hughei:?. Mr. ·Hughes? MR. HUGHES: If the Court please. I have all the necessary papers in this estate. All others have been filed. There is only one· party in 'interest. Mr. Hodgen9. who is also the Executor. And J the balance for distribution is in cash. There were some joint acco nts here which.were returned for Inheritance Tax purpa:; es. The tax has been paid. - I. ~----~~~~~~----~~----~-------------------------------------4---~2- e· .... / ~ z < > .J > Ul z z Ill n. z e Cl z x . (II < ~- .,.: 0 0:: f. Ul a .J < .. u a ::l THE COURT: . Is.there anyone else.in Court interested in this ··decedent 1 s estate? ( NO RESPONSE ) The audit of this account is ordered closed by ..: the Court . .. (AUDIT CLOSED). · . I hereb~ cer~tfJ that the prQe~edlngs and evtclence are ~ contained tully_ and aecnrat&ly tn the ·notes :~n by me on the bearing of (II 1 the above-cause, and that thts eo~y is _a correct transel"tpt of·the same. f. 0: ·0 n. Ill 0: f. II: ::l 0 0 .J ~ 0 ii: II. 0 · The foregolnq reeord of th~ proceedinQS upon the · hea:rtng of the aoove cause 1s hereby approved and direeted to be ttl~.' • / ,., .. .. -~ / -~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE HARRISBURG R C C•43 (5-65) NOT~: TO BE SUBMITTED IN TRIPLICATE ' .I - Pennsylvania Department of Revenue Bureau of County Collections 26 S. 4th Street Harri'sburg, Pennsylvania Dear Sir: , Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, ~we herewith submit the following report: ,., I NAME OF REPORTING FINANCIAL INSTITUTION __ Me_l_l_oo~-_Ma_u_·, _one..:..· _1_·~ ___ en_4 __ tru __ tt~t_Coul..:;;;;.,ti. p4!1J,.,;;:;,;,.;,t~:...-- ADDRESS 100 KUrt SUJee' GlayG\flllQt to, ISJU. ACCOUNT NO. OF JOINT, TRUST OR INVESTMENT DEPOSIT __ 9f.mp_.-·_lf_,f_t_ecl_· _s_~Vi..:..·....:na=-o_:A_c_e_oun_ ... _l ___ _ , NAMES ON ACCOUNT A• .Maqu&dtre Bla,,ney 0# OR INVESTMENT __ ~------~========------------------- DECEASED JOINT DEPOSITOR, A• t~G~d.'C$ Blayney ~ TRUSTEE OR INVESTOR-----------------------~-------- ADDRESS ________ a_._o_._,_-•_a ____ ~_C_l_a_~s_v_,1_1_e_;;_r_a_. ___ l_~ __ u ______ __ DATEOFDEATH ____ &•_a_t•_l_l ____________________________ _ SURVIVING DEPOSITOR, ....,_ BENEFICIARY OR INVESTOR--~--_· _l_d_W_-•·_·Ua4se_· _· · __ -"'---------- ADDRESS ____ a_._o_. __ , __ a _____ c_14_Y_sv_· ,_,_1•_•_-_ra_.:.... ___ ,_sa_u_-______ _:__ ____ _ RELATIONSHIP TO DECEDENT ___ &_-_Phev_. -_______ :_.· ___ _ DATE DEPOSIT OR INVESTMENT 6•1,0•61 WAS ESTABLISHED-----------~-----:--------~~~~~~ED~~~L~~~EGA ~HTi_RE_~_-_-•_3_1 _¢/~g~"-=-[...:;.,3_7 __ ~_-... f..J...JA;,.,:.:;:.?A.:...'t::..L-9 ---- ~.~--- Signature J RCC-134 I.,L-·6~) ,,__ <" COMMONWEALTH OF PeNNSVl.ltANIA DEPARTMENT OF REVENUE BU~EAU OF COUNTY COLLECTIONS •·-'""' . INHERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO: DONH.D 1¥. HODGENS CT.Ay;.)VTIJ.i<i1 PENNSYLVANIA 15323 Date: __ .;:..Feebl;l.ll!~'.w:J.a~cy'.}f-.l.r.,.Bo,;t-tl..:;~1l'+JJ... ---- County HASHINGTON County File No. J f-/5 f f BureauFileNo. iz)-V---rJfo We have received notice that, a~~"~~-~-~~~~~~~~~~~~~~~~~~~~~~~~~~~ Jan~y 29 19-41-, you came into ownership of certain property through1U · DWmOOc-~OOcWJilt~ transfer from A~ HARGUE1UTE BLAYN,..rr, Deceased. Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers '~re 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. Simnlified Sayings Account held in the Mf.LTON NATIONAL BANK AND TRUST CONPJ\NY, CLAYSVIlLE OFFICE, CLAYSVILLE, PENNSYLVANIA., In the oames of A. HAR.GUEHITE BLi'i.YNEY OR DONALD V!. HODGENS. Opened 6-10..65 Balance as of date of death1 $$45.37 appraised by the Commonwealth, as of the date of death, at $ ___ ~So::,: .. •::.::J:..:.7 ___ _ 50 % of this amount is taxable at the rate 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 April 29 19 71 you may deduct a discount of 5% of the amount of tax due, or 0 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 ~f *------ 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 until paid TOTAL AMOUNT DUE ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ __ ..!::14::22!:.1•u:6~9 __ _ $--------- ---_j..J.2 ___ _ $ $ ============== ASSESSED BY: ______________ _ (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: ~ ~ q?c:_ /.Y;?/ ~ ,#" _#'/.:?:/7 ;?/ To insure proper credit to your account th1s Official Notice must accompany your payment. Mail or bring it to: t' . i c l ~\. j\ V£.,/'\;\..{,(...0 COURT HOUSE WASHINGTON, PENNA. 15301 paid this tax to an executor, administrator, attorney or other persona I repre~en t.9.tive .<11 the If you have already decedent for forwa you made payment, rding to the Commonwealth, list below the date paid, name and addres§·-of the~ person to whom their official title and the amount. i:.. Date Paid Name and Address of Palee Official Title Amount Paid mstances, if, after the date of death of the decedent, you personally paid funeral expenses of the decedent, with funds derived from the property herein taxed, such amounts expended as deductions against the gross value of the property in the computation of tax due. If any Under certain circu or other just debts by you may qualify such expenditures execute the affidav those which he det assessment of tax meet all of the three following tests, it is recommended that you itemize the payments below, it, and return this notice. The Register of Wills will examine the debts claimed and allow ermines to be proper. The tax wi II' then be recomputed and you wi II receive an amended THE THREE TES TS WHICH MUST BE MET ARE THAT: 1 -You were per so nally legally responsible for these debts, and aid these debts out of the account or property described above and can furnish proof 2-You actually p of such paymen t, if required, and bts are not also claimed, for tax purposes, by an executor, administrator or other 3 -These same de persona I rep res decedent or an entative of the decedent handling the administration of the general estate of the y other transferee. SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obligation . (attach separate sheet if required) COMMONWEALTH COUNTY OE __ OF PENNSYL VAN~ A) SS: ) Amount Paid TOTAL $ I, _____ _ hereby certify that the foregoing is a just and true statement of and other debts of the decedent, , for which I nsible and which I did pay out of the property herein taxed. I further certify, that to the funeral expenses was legally respo best of my knowle tax purposes. dge and belief, these same debts will not be claimed by any other person, for inheritance SWORN AND SUB SCRIBED BEFORE ME THIS DAY OF 19_. Signature of Taxpayer REPORT OF REGISTER OF WILLS I, the undersigned have allowed ded , duly elected Register of Wills in and for the above county, do respectfully report that I uctions listed above in the total amount of$ " Date of Approval: Register of Wills ---- -' -~ .. iii . Fonn RCC-2 COMMONWEALTH OF PENNSYLVANIA DATE ..... AP!.g ... ?.?.?. ...... ?.:?.!.~ ............................. DEPARTMENT OF1iEVENUE RESIDENT INHERITANCE TAX ........... Y!?.:.~~~~ .. ?.?. ........................................ COUNTY Btrnli:AU OF COUNTY COLLECTIONS APPRAISEMENT FILE NO ............. ~?..:?..~:~.?..?. .......................................... ' -~ HARRISBURG, PENNA. 1712 7 Whereas, ....................................... Mg,.r.gy.~r..i.t..!?. .... :S.J.AYD.~.Y .............................................. late of ...................................... 9.¥.:Y.~.Y?::P.:ra. ...................................... in the County of ....................................... W~.!?.h;l,ngt...Qn ............................................................. Commonwealth of Pennsylvania, having died on the ......................................... ?.~.~ ......................................... day of ................. ~~~.~1. ..................................... 71 19 ............ , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, FRANCES LEO an appraiser duly appointed according to law, ...................................................................................................................................... , having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purposes $ Jt. S.imolified Savizw:s Account held in the MEILON NATIONAL BANK.& TRUST COHPANY. CLAYSVILLE OFFICE. CLAYSVILLE. PENNSYLVANIA. In the names of A. MARGUREITE BLAYNEY OR OONALD l:J. HODGENS. Ooened 6-10-65. Balance as of date of death 845 37 .. - Having been duly sworn according to law, I do h~reby certify that the ~hove appraisement is made in con- formity with law on this ........................ &l,.:t;;/,.<.. .......... day of .................. ··~·· .......... '/&Y . . ................ ~"//., ....................................... ~ ............. ~ .................... ppra1ser ......................................................................................................... ... . ................................................... 4.J (!Cumber~ Street) Penna . ................................................ ~ ................................. , (P Ofllee) WASHJNGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of A. MARGUERITE BLAYNEY ············ ·················· ················································ ······································· Deceased. Late of CLAYSVILLE ............................................................ . Date of Death, ................. :J.-:~.?..9.:::-:TL. ....................................... . Appraisemel!t Docket Vol., ............ .?..?.. ................................ . Page, ~~~-:.?. ............................ No ..... § . .?.:-.7.~-~?.?.g .......... . Filed in Register's Office, .... :~~P.~.~ .. -~.?. ....... 19 .... ?.~ Amount of tax due, $ ................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal f1'om Appraisement, Entered and charged, ' l ..... RCC· 134 ( 1·69) COMMONWEALTH OF PENNSYLVANIA ~;,DEPARTMENT OF REVENUE _jUREAU OF COUNTY COLLECTIONS r' INHERITANCE TAX DIVISION ) OFFICIAL NOTICE OF li<~ti'~NCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO: DONALD W. HODGSON u.n. 11 2 CLAYSVILLE, PENNSYLVANIA 15323 Date: --=M=ay..__3=-'"---"'1=9;....;.7-=l'------ County \vashington ?<7-!S'I~ 7 County File No._g~o'--·---~--- Bureau File No. 63 ~ '71-;2 96 We have received notice that, lJCU·wtOCdf»~XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX on Janna ry 29 19-'ll..,. you came into ownership of certain property through M~~X9ttXXX ~fUJY4L'iX!ll06Hi~:»KX transfer from, A. MARGUERITE BLAYNEY, 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: .Tt. held U.S. Series "Hlf Sayings Bonds held in the SAFE DEPOSIT BOX OF ALICE MARGUERIT BLAYNEY OR DONALD \v, HODGSON. Bonds ~wer.e':' issued in the names of ALICE MARGUERITE BLAYNEY OR DONALD 'if. HODGSON. (1) $500.00 pur 6-70 and (1) $500.00 nur. 10-70. Balance as of da.te of death, $ l., __ -"<.O=O_,._O_,._;_,._Q_,O _______________ ~--~---- appraised by the Commonwealth, as of the date of death, at $ 1, ooo·:.-...-0=0=--- 100 % of this amount is taxable at the rate of 15 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE D If you pay the above amount within three (3) months of the date of death of the decedent, or on or before 19 you may deduct a discount of 5% of the amount of tax due, or D 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 *------ 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 , / TOTAL AMOUNT DUE $ ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ _1 ,_ooo. Qo~-__ $------------ -~--:1:--5 0. --=-00~-- ---------------------- -_,;._ -------- 15~-· 00 $ -================= \ '-;;/ /':_/ APPRAISED BY: \/~.-:<":-2/---A' __... ,.-; (---:/. _ __e._,...- -(Inheritance Tax 'Appraiser) ASSESSED BY:_· --------'--:-:-:------ (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: fJ. f..SO. a o C-rl· 1 ( {J.c.4/ /5J!.Jij To insure proper credit to your account this Official Notice must accompany your payment. Mail or bring it to: 1(~11AU~ AGENT FOR THE COMMON~Jt.<l r ' COURT HOUSE ' WAsomororJ, Permrt 15301 If you have already paid this tax to an executor, administrator, attorney or oth)H·personal representative of the decedent for forwardin~ to t~e. Co~monwealth~b_£tlow the date paid, name and address of the person to whom~ you made payment, thetr offtctal tttle and the ·amount. ,. tt 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 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 l 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$ __ , _______ , Date of Approval: ______________ _ Register of Wills '- Form RCC-2 \1 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE .......... !.~.~~ ...... ~.?. ... ~ .. ~.-~.?..~ ............................ . i O..DEPARTMENT OF REVENUE ,/BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 12 7 COUNTY ....... ~f.~.~ .. hJ .. IJ:.gt. . .Q.!:}. ................................ . FILE NO ......... ??..: .. ?..~ .. :.?. .. ~.2 ..................................... .. Whereas, ..................................... A .. ~ ...... NA~Q.Y..~~TT..~ ...... V..!-AX~X ...................... late of ............... G.L..AXS.Y.l.L.L.E ...................................................... . in the County of .................................. YA$..H.J..NG.'r..O.N ............................................................ Commonwealth of Pennsylvania, having died on the ............................................. ~.Q.~.h .................................. day of .................. ~.~.l}.l:l:~.!.Y. .............................. 19 ... 7.1, seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, FRANCES LEO an appraiser duly appointed according to law, ...................................................................................................................................... , having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves 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 Made for I nherltance Tax Purposes $ Jt. Held U.S.Series "H" Savings Bonds held in the SAFE DEPOSIT BOX OF ALICE ~fARUERITE BLAYNEY OR DONALD w. HOBGEN (l) $500.00 pur 6-70 and (1) $500.00 pur. 10-70. Balance as .XX of date of death. $1.000.00. Having been duly sworn according to law, I do h~reby certify that the above appraisement is made in con- fonnity with Jaw on this ............... ~~········day of ~~ ~ . A praiser ...................................................................................................... ............................................................ (Number and Street) ...................................................... i.J~ ................ , Penna. (Post Ofllee • I I I I I \vASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of A. ~~RGURITE BLAYh~Y Deceased. Late of CLAYSVILLE Date of Death, 1-29--71 ··································· Appraisemel!t Docket Vol., 38 Page, 151-9 63-71-290 Filed in Register's Office, ........ J.:u.ne ..... l.5 ..... 19 .. .7.1.. Amount of tax due, $ .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal f1'om Appraisement, Entered and charged, j •• r• \ ' .. ri'"' u .54& SXQ. ;zz c~; _w;p;:: m, *" ;.c , . . . . . *" +.• . . -. ..... . . . . ss 'fi'___..,.,....,...;_,._""""""_· _.......,.,.,.;:~....---~-~--.--.-...... <.<:-•·-.:;oo ... ~=--T·.,.,~--:---r·-·--T"'~" for"l No. R~C-6.2 (6-ZQl THIS FORM REQUIRED IN ALL ESTATES V£llH GRO~!!t ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1961, J EFFEC'liVE JANUARY 1, 1962. (FILE IN DUPLICATE WITH COPY OF WILL ATTACHED) {.,3-lJ-. Z'i(J OFFICE OF THE .REGISTER OF: WILLS .· · , vlASHINGl'ON : County of .......................... . . . . ~9~A.IP. .W~ .?9P~.~ ........ · ................... of ?.·. P· . .If:~,. 9~!iY.8.~~~E?, .~fi.•) .. ~ .... -: .. --· ...... . (Name) (Addrel!ll) being duly -----~~~~~~------·-----------------.according to law, deposes and says that he is the-----~<::~~-~~---------------···---------------------(Exec., Adm., Lega=, Etc.) of the estate of-~~~-:~-~~~-~-~-~~!_~~~:. .. ! .... ~---: .. v.~hose last reside rice. was .:~--~!-=c~~---#.?.: .. ~c-----------C' ..... :~--~~C'c ........... . (No.) (Street) _____ g_~-~~-~~~~!._ _______________________ .deceased,.and that the, whole oflthe estate of said decedent, who died .i!'~~~~Y.: __ ?.Q~-~~7~ (Cicy, Borough or Township) · (Date) · consisted of: .,- REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WH~RE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS:' Real Estate Estimated Value NONE NONE Personal Property Article of Agreement for sale of two-story frame building, the first floor of which was fornerly of the Crothers Post Office and General Store and the second floor living quarters, situate in Buffalo Township, W~shington .. . ·. . c{ :It v Pennsvlvania between MARGUERITE BLAYNEY, Seller, and GOLDEN H. r, liiHH\T.T. and wrLMA. JEAN CARROLL. his wife. Bu:vers. for the amount of $1, 850.00 (J dated June 8~ 1270. .AmoU11h held in escrow Qending deliver~ of deed. 1,275.00 Account No. 356-8478 in Mellon National Bank & Trust Co., Claysville, 1,296.00 6 Pa. in the name of Alice Marguerite Blayney. 8-. J. .s-7 J, oo , 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 financtal 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. ' ,. .. '. 0 . . Jointly Held Property Estimated Value ·- U. s. Government BondSlJl Series nHtt, Cert. No. D9181156H -10/70 and ' ""-.. ·--' c ert. No. D9175242H -6/70, in the names of Miss Alice Marguerite Blayney or D onald W. Hodgens 1,000.00 !~ .. -.Jl.. !" ' Account No. 195-30-0033-01 in ~llon National Bank & Trust Co., claysville, p a.' in names 'of ·A. Marguerite Blayney or Donald -w. Hodgens. ened 6/10/65 in the amoWII; of $845.37 - Iess one-half 422.68 422.69 or T o·tal Joint Property 1,422.69 Transfers within TWO YEARS Prior to Death 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 NONE - BENEFICIARIES RELATIONSHIP AGE OF LIFE -' BENEFICIARIES AND ADDRESSES (If step-children or SURVIVED TENANTS OR INTEREST OF DECEDENT (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 HODGENs, #2, ' Nephew .. ~ DONALD W. R. n. l yes . ALL Claysville, Pa. ---- . ' ~ . . . ' . . -. . . --' . , ' . ·' .• DEBTS AND DEDUCTIONS CLAIMED NOTE ;__,..-List first five items in the spaces so provided, observe notations thereon, and instructions. --~---------------------------.-------------DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN .-------~--~~-------------.----------~~~~~~~----------.-~~~~--~~EGISTERONLY OTHER DEBTS AND CLAIMS Funeral expenses paid Family exemption (will not be allowed unless decede~t died residing with a spouse or children.) Administration Expenses • Counsel fees • Fiduciary commission • ( •) See Note below Total $ $ Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater or less than the estimated amount claimed and allowed. Subscribed and sworn to before me this ..................... . yAJ~.?.f{.zfu?,~. (Executor-~ .............. I!-.• .. :Q .• .. ll~·'· ....................... . · (Street Number) .............. 9;t..B:Y.~~;t..l;~ 1 •. r:'?.• ................ . (City or Town and State) Having been duly swom accord-ing to law, I do hereby certify that the above appraisement is made in conformity with law on this ... ' ............ /~.~ .... : ... dayof ......... U?/~Q ............ _. ... ,19<1(: t_ . .... J(..)&--r.k~ ... dJd--././"~.-.~·W. ..... / Appraiser In the event thl!-t 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 he1·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 'fH:f1jREGIWJ'E'R OF WILLS I, the undersigned duly elected Register of Wills in and for. \ff. ~~~ ........... County, Pennsylvania, do respectfully report that I have allowed debts and deductions in the amounts claimed by depo t, except as to those items where a greater or lesser amount is set forth in the last column to the right in said schedule above, which greater lesser amount represents the sum allowed as a deduction. Dated: ..................... · · · · · · · · · · · · · · · · · · · · · · · · 0 0 ••••• 0 • 0 ••••••• 0 •• 0 • 0 .• ~' ••••••• 0 0 ••• 0 0 ••• 0 ••••• 0 0 ••• Register of Wills G F .. ~ (/ / J Form No. RCC-62 (6-70} Will Administration lNo ........... Year . _ .. . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF A. MARGUERITE BLAYNEY •••••••••••••••••••••••• 0 •••••••••••••• Deceased Late of ft. D. #2, Claysville, ••••••••••••• 0 •••••••••••••••••• County of .Vf~l?J:l~ngt;on • 0. 0 •••••••••••• 0 •••••• ... ~ --) i Commonwealth.~ Pennsylvania---- <I> .;:;--.: c: c::> ::r: -en .._-;, ---C.:·; ,..t) ~ 9~ REP6~t:J ~ND AP-BRA~siL ~~ ~· . r-:_-.; ....._ ~ ~~:. -u ;--~~ > (J) 0 :::-=· ::;, -c- r"..J I --- . ( -' .. •" ,.. ..... RCC-81 (6-71) In Re: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT DONADD M., HODGENS (Executor or Administrator) Estate of A; MARGUERITE BLAiN'EY IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division \vAS --1t1 · ' . . HING! ON f:./l . T· ·"'('r\ ----------County-File No._'_'·_r-J_-_ ... _ ... _;v _____ _ You are hereby notified that the .. --::-;:::-:::-;;O::..:l:::.' if;·,.;:· j:.:;.n::::"ll~·;,-------------. . h f r, • • "~-·r?'t'"'"· • ~ ~· 'l ..... ,..,.,... appra1sement an t e estate o "'"·~..:.. ...... ""''"' -•..~.<...,.;,~ .... has been filed in the office of the Register of Wills of_..:...·;:_::t=!~-"'!".:::::1::...;-·.'-t.:!:!.··~:l-.'1."". _______ _ County on !)ct;ltH::r .U,, , 19 "/J., Said appraisement reflects the following valuations: Rea I Estate------,.,:~-.• -:er.;•",ll:::--aOO,-:;-------p ersona I Property __ ---::~-=-"'-=--...:·____:. _____ _ Transfers _____ ~.,...-__,_~__,.,_,.-,___ _____ _ J o inti y Owned ____ . .t"r-.. ~-~_~",-~i'_·~ "_,t:~; ______ _ ;.J~ ;-u.o>; Total---------------------------- 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 dote of death, interest at the rate of six (6%) percent per annum is charged. Any party in interest who is aggrieved by on appraisement may appeal therefrom as provided by law. U"'" I"'J . ..,. '·t _! "'··1. Date · ""···· ·• .!. '' t· Tit I e _L_~,_,::-_~:;_.r_ • .l_\"'_. _D_r:_t1_.:u_'·o_i._"l_: __ · _,_:!'_~_!"_. ~_·r __ _ Note: This is not a bi II. J ....-' RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of BLANEY A. ~1ARGUERITE a/k/a MARGUERITE DATE OF DEATH 1-20-71 FILE NO. 6J-71-290 (Last Name) (First Name) (Initial) • REPORT OF INHERITANCE TAX APPRAISER WASHINGTON I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _____________ _ 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: October 14, 19'71 Sc~~))_.,,·, kW~ INHERITANCE TAX~~/ 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 deponent, except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated:-------------REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) $ $------=-==~~--2.571 .00 2,571. 00 Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or 1.,4~2-: oi.J :U~2Z. W none none 3, 993. 69 3, 993. 69 annuities . . . . . . . . . . . . . . . . . . . $ _____ ____... ___ ESTATE TAX ASSESSMENTS $ ____ ---~.... __ FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on$ 2% $ ____________ -4---- Tax on $ 611/i Tax on$ S~o- $ ____________ -4---- $-------------4---- $ ___________ -4---- Tax on $ ________ -t--15% $ ____________ -4---- VALUE AS REAPPRAISED $ ______________ ~ __ Taxon $ ~ Exemptions========l== 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 $ __________ ___L __ _ ------to -------- AMOUNT OF ESTATE TAX ASSESSED $----------+~--- Estate tax paid $ _____ ---~.1 __ BALANCE DUE Add interest at rate of 6% from ----------~·10----- $ ____ .~...-.-1_ $ ------------+---- TOTAL TAX BALANCE $ -----------+---- PAID $ ------------'---- FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ~ No. IN THE Year .......... .. MATTER OF THE APPRAISEMENT OF THE ESTATE OF . . ~Q~.T]; :£3IJ\}·J:E;La/k./~ MARGUERITE Deceased Late of. DONEGAL .. TOWNSHIP County of . . WASHDIGTON ..... Commonwealth of Pennsylvania REPORT AND APPRAISAL .. f ·; • • I • I .... ,.., • · .• _ Fonn RCC-2 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT OCTOBtli 1.4, 1971 DATE ..................................................................................................... .. ~·JitShi:~GTOU .. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG. PENNA. 77 72 7 COUNTY ............................................................................................... . FILE NO ............. ?.?.:?..~=.~~.~ ........................................... . Whereas, ............... .A.~t .... H/.iJJQlmUJTfi ... m:-!1\J.J~XX ........................................................... late of ... G.+.AX~.YJ.b>J¥ ....................................................................... . . t·!ASHINGTON · · · m the County of ......................................................................................................................................... Commonwealth of Pennsylvama, haVIng died on 2oth JAIJUioot 71 · the ............................................................................................ day of ............................................................................... 19 ............ , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; DO"'INIC DeNAli.IA Therefore, I, l'1 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 A ppral sement Deacrlptlon of Asset Values Made for Inheritance Tax Purpo1es RCAL ..131'/t'f.E $ none PERSONAL 2,571. 00 See copy attached to appraisement JOil:JTLY HEI-D PROPERTY See Copy Httached to appraisement 1,422. 69 i total 3, 993. 69 ' Having been duly sworn according to law, I do hereby certify...J;h~t the above !lppraisement is made in con- formity with law on this ......................... .1£/ ..... cl..l .............. day of ...... ~~~·.~~~~~·.~~~.·.<:~<~~:~~:·.;~~·.;.~~~~~~:.··.·.·~~·.·.;~:~~~~~::>;t.·.;)(L.~.·.~:::::~;.;(.:·./..'.·.·.::·.·~·. ~!.!!!:...·.·.· .. ·.·.· !' ' Appraiser ' ......................................................................................................... ......................................................... ( K umber and Street) ...................................................................................................... (Post Olllee) ............................... , Penna . I I I ~:ASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of A • HAHGUERITE BU\.YI!LY Deceased. Late of CLP.YSVILLE Date of Death, .. ~!·~·J.lJ.!~~X. .. J?.Q,. 1'>71 Appraisemel!t Docket Vol. . j·iJ······························ , ······················································ Page, ./..$~/.-:=.'J ........... No. 6.3-71-290 Filed in Register's Office, Amount of tax dtte, DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appraisement, Appeal fyom Appraisement, Entered and charged, • • ~·· i • • '. • ":,...;, .. • ',. '.•"-' WASBINGTON 4/22/ 71 4/22/ 71 4/22/ 71 4/22/ 71 4/22/ 71 6/10/ 71 . 12/8/ 71 • • Donegal TotmSbip January 20, 19'10 Brownlee FUneral Rome FUneral Claysville Cemetery Aesoo. Opening It closing grave Curtis Pbarmacy Claysville Recorder Washington Co., ~~~rts Dr. Fred u. Large · · Bauk servtee charges Simon White's Sons Russell Mart.ao, Res. Russell Marino~ Register IUssell Karino, Rei~ WASHINGTON JOHN J • HUGHES , Med~cal supplies Adv4 lettel"s Adv, lettes-s Last 1lln&$.s Grave Marker Letters & Short Cert. Pili»l !nv. & App. Piling Account 1,160 90 86 00 28 07 12 00 14 &0 15 00 1 86 160 00 12 00 6 00 16 00 200 00 !7 5'0 • ·",I '' ., .. . ,, . .. . 00 T .... • .00 T !.. .00 T L2 7 5 .00 1)2 9 6 .22 I '£l ··y-·. t:;;:' -.-.J -.i LO 0 0 .0 0 ~~:u ,....,_, l~ 2 2 .69 ;t:l G'') c.; ( c._ !l:;'' ·~ ~:,·, • :::0 \~•• C" -.<" •• 3J Q 9 3 .91 T ~ .. (/) ~-. .,_ -.~ / r:: -1 ;~ ~ T-""! ... ,.-:-~ n··t · ~-~l I I "I l!. ··-' ·= .. .. ~~ .-v r·---t· ¢ '-· • . I . I ··-~ ... ,.1' ~=-:.x.:;:, '.• ~ .......... :~ ~-·w~ ~ ~: ...... r----: ... -u r-~'- :> ({) (:) ; c c.. ..... , .. .,