HomeMy WebLinkAboutOC1971-0403 - ESTATE OF NICHOLS'.j
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-OF -
O.ALFRED NICHOLS
1,O.ALFRED,NICHOLS,of South Strabane ro-.hip,
Washington county,Penn.,l~an~a,declare this to be my Last
Will and Testament,herel:yrevoking all wills and codicils
previously cade by me.
F]~ST:I appoint my sister in law,Clara
P.Carl~on of the City 01 Washington,Washington County,
Pennsyb,ania,as Executrix of-this,my Last Will aDd Testame,,'t.
I di~eet th@t no bond shall be required-of my said Ex.~~trix.
SEC(JID:1 direct that my remains be interred
in the buria~lot owned bV ae in the Washington CeDeter/.
T~:::RD:I direct that all my just ~ebts and
funeral expenses be fully p~id and satisfied as soon as
conveniently may be after my death.
FOIJRTH:I give,devise and bEqueath the SUD
of .Two 'thousand Dollars (S2 ,00).00)_to the Faix Hill MaDoJ:
..Christian Clc.rch of the C~ty ot Washington,',vaahington County,
t'ennsylvania.,
FI ITH:I give,devi••aDd bequeath all the
shares cf stock that I may own at the ti.e of my death in the
Rducators CO!'1'sumer Discour-t Company of 326 South lOth Street,
Le Mayne,Pennsylvania,t~my sister in law,Clara P.Carlson,
her heirs and assigns.
:".
SIXTH:1 give,deYise and bequeath all of
my inter2st i~that certain lot'of ground known as ~he Wood
lot in East P.andolph,Conewango TOWIIlhip,Cattaragus County,
New York,tc tty sister in law,Viola Nichols,of 246 Su_it
Street,Salamanca,New York,her heirs and assiqns.
SEENTH:All the rest,residue and re.ainder
of my estate,of whateve=nature and ~erever situated,of
which I ~~y be seized or possessed or to which I may be
entit12d at the time of my death,shall be divid~d into two
(2)equal shares.One such share I give,devise and bequeath
to my sister in law,Clara P.Carlson,.her heirs and assi;;Jns.
The other such share I give,devise and bequeat~to lIY sister
in law,V~ola Michols.In the event that the said Viola
Nichols shall tave predeceased me,I give devise and bequeath
the share give~to her to Arthur Nichols.Haro~d Nichols and
Irene Milanowsk.i,share aDd share alike,per stirpes,to 1";ave
and to hold absolutely ane forever.
IN VllNESS WHEREOF,I,O.ALFRED NICHOLS,have
hereunto set uy hand and seal this ~day of January,i~
the year ODe Thousand Nine R~ndred Seventy One.
O.(4fJJ~hP
O.Atre~Nichols
(SEAL)
Signed,sealed,putlished and declared by
O.Alfrej Nicho:'s,the above Testator,as and for:,is Last
Will and Testacent in our presence,and __,at his.request,
in his pres2nce and in the 'presence of each other,have
hereunto sU0sc:r-ibed our nau:es as witnesses thereto_
ADDRESSES:
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Qt11mm11nUttalt~11f lbnnli.ylnania.\li.li:
Ihtli~tn9t1111 Qtuunty.
A.D.19 71 ,before :ne,
Register for :he Probate of \\i1ls aro Gran:ing
day of
RusseJ..l Marino
12th
KNOW ALL MI.N BY THESE PRESENTS:Whereas,at Washington,in the Count?aforeEaid
Letter~of Admini~tr:::tiull in alld f.)r the County of Washbgto:l,in the ::'::ommonwealtt.of Pmnsylv::nia
on the
the last Will and Te~tamtnt of
o.A L F RED N 1 C H 0 L ~
.;.-._,........_-~---_.._-----.._....------.".......
in the County ::foresa:d,deceased,~cuth StrEbane Towr.s~ip,
(a true copy whereof is to these presents annexed)was duly admit~d 10 probate;and
late of
C L ~R A F.CAR L S r N----,..~...~_.--.-..--.._-----_.--..----
the Executor in ~'aid -Nill and Testament named,hc.ving appeared be:ore me and t:lken nd subs::ribed
the oath of office prescr-bed by law;
NOW,THEREFCRE,I,Russell Ma~ino',Register a~aforesaid,do
grant these LET'='ERS TESTAMENTARY.untc the sard
her
f1e administration of all and si.gular the go)ds and
of six months from :he date hereof,and to-egud and comply -,vith the provisio:ls of :he law:>of this
days from the d:lter,ereof,a:ld to render a just anc..tru~account of !laid administFation &t the e-(piration
to exhibit a trUE ane perfec1 inventory thereof :ntc the Register';Office,at Was:,ington,within n.nety
chattels,rights u:Jd credit~,wllich were of saiC de:ea:;ed,and requi:-ing
committing unto
COlllnlonwt'alth fI.1:lting to iDheritance taxes.
l~TESTIMONY WHEFEOF,I have ·,erc:unto set my hand aed the seal ef sai:l
()Ificl:':\t Washington,this
day of Apr i 1
t w elf t h
i1 tht year of our LJrd one thousard
flInt lundred and s eve n t y -0 n e.
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~8 0 0 :;1 \-.tfi
~8 0 0 -.:1 .1
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~8 0 0 -.:1 A-'
8 0 0 -.:1-'
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1
:;5 4 0 0
2 0 9 0 0
~@ :;6 61.
1.8 ,t5 0 J
4019:;6~~
/.00 T
·2 1,5 0.0 .00
27,500.005
31625
500.00
1191558
101349.26
1'6a53.61
618.01
~163.o0
300.00
2711
L550.73
233.00
125.00
LOS8.GO
900.00
108.GO
172.74
153.16
220.80
435
70;699265
70,59926 T
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--...~~
•-..
-OF -
O.ALFRED NICHOLS
I,O.ALFRED NIOtO:S,of South Strabane Township,
Washing~on County,Pennsylva~ia,decla~e t~is to-be my Last
Will and Testaw~nt,hereby r2voking all wills and codicils
previously made by me.
FIRST:I :ip~oint my sister in :.aw,Clara
P.Carleon of the City of Nashington,Washington County,
Pennsylvania,as Executrix of this,my Last Will and ~estament.
I direct t~at no bond shall ~e requirec cf my said Executrix.
SECCND:I ji~ect tha1 KY'remains be interred
in the bur~al lot owned by m2 in the Washi~gton Cemetery.
~HIRD:I :li~ect tha1 all my just debts and
funeral expenses be fully paid and satisfied as soon as
conveniently may be after my d~ath.
FOURTH:I ;;Jive,devise and bequeath the SU'1l
of Two ihousand Dollars (S2,000.00)to the Fair Hill Manor
Christian O1urch of the Ci.ty ofWashinQtcn:J ~vashiDgton Countv,
Pennsyb,;an:'a.
FIFTH:I g~ve,devise and bequeath all the
shares of stock that I may own at the time of my death inth~
Educators Consumer D~scount Company of 326 South :;"Oth Street,
Le Moyne,Penn~·lvania,to my sister iD law,Clara P.Car1so~,
her heils and assigns.
..
SIXTH:
..
give,devise and bequeath all of
my interest in that certain lo~of ground known as the Wood
lot in East Ranc.olph,Conewango Towns:'1ip,Cattara01s Countv,
New York,to my sister in law,Viola Nichols"of ~46 Summit
Street,Salamanca,New York,her heirs and assigns.
~EVEN'IH:AI:the rest,residue and remainder
day of Janua,ry,in
of my estate,of whatever ~atu=e and wherever sitLated,of
which I may be seized or p~ssessed or to which I gay be
entitlec.at the time of my death,shall be divided in~o two
(2)equal shares.One such share I give,devise and bequeath
to my siste:r in law,Clara P.Carlsoon ,her heirs and assigns.
The othe:r such share I give,devise anc.bequeath ~o my siste~
in law,Viola Nichols.In t-:le event tl:at the said Viola
Nichols shall have predeceas~d me,I give devise and bequeath
the share given to her toArth~r Nichols,Harold Nichols and
Irene Milanowski,share and share alike,per stirpes,to have
and to hold absolutely and f~r'aver.
IN WITNESS WHEREOF,[,O.ALFRED NICHOLS,have
hereunto set my hand and seal this ~~
the year One Thousand Nine Han1red Seventy One.
,
(SEAL)
Signed,sealed,published ,nd declared ~y
O.Alfred Uicho:s,the abcve Testator,as and for his Las~
Will and Testament in our presence,c.nd ge,at his re=luest,.
in his pr'esence and in the presence of each other,ha"e
hereunto subscr~bed our names as witr.esses thereto.
---::'f!'
@Itate nf 'rnn5yluania.!5.9:
QJ.nunty nf lIa511ingtnn
Personally before me,the undersigned authority,a .No.ta.r.¥Re.p.u.b.l.~.(l,..in and for said
County and State,appeared Cl.~fa r.Ca.r..l.&.O'Il who,being duly
sworn according'to law,deposes and says that she is the executor XIX ~.R~of the estate of
................9..~~}.f.r.~~~j.~~~.1.~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate o,f..:.lJ.A.:Atfr.e.d N.i.c.b.o.l.S ,
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 ~klt~",
.rl
Sworn and subscribed before me this.....?:................l ~da~.,~oJw~Tir0?:.~~;~"""~",,'m','''''m-1~~~;;;t~;'''''''m':~=..~4~~~~'''INSTRUCTIONS
1.An inventory must be filed within three months after appointment of personal representative.
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 Copies and 2 RCRI-3.'3,
Over $10,000,including Copy of Will;1 Original and .'3 Copies and 2 RCRI-3.'3,Over $50,000,in-
cluding Copy of ",rill 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
lIuueutnrg aub 1\ppraiapmeut of the goods and chattels,rights and credits which
were of Q.:A.1.f.r.g.g N.1..~.Q9.J..~late of $.Q.y.t.t1.$..t.r..g.Q.~.n~IQ~.l1.~.bJp...
lVashington County,Pa.,taken and made in conformity with the abO'Ve affidavit.
PERSONALTY
125 Shares Educators-Consumers Discount Company
$500.00 Educators-Consumers Discount Dompany Debenture
172 Series IIE II $50.00 U.S.Savings Bonds
5 Series IIE II $100.00 U.S.Savings Bonds
2 Series IIE II $25.00 U.S.Savings Bonds
lip Bonds bought almost monthly from September,1948 to November
1962.Value includes all accrued interest as of date of death.'
First Federal of ~~ashington ,
South Main Street,Washington~Pennsylvania
Savings Account #S 20443
Pittsburgh National Bank
South r~ain Street,~Jashington;Pennsylvania
Savings Account #87-2132568
Mellon National Bank
South Main Street,Washington,Pennsylvania
Checking A~count #449-1759 .
Mellon National Bank
South Main Street,Washington,Pennsylvania
Savings Account #178-09-1386-02
American Express Travelers Checks
Cash
John Hancock Co.Life Insurance Policy #4311.
Beneficiary -The Estate of O.Alfred Nichols
$1,000 Face,$550.73 accumulated dividends
Swedish Lodge Death Benefits
Baider Lodge Death Benefits
_____.J
DOLLARS
316 25
500 00
11 ,915 58
10,349 86
12,453 61
2,163 00
618 07
300 00
27 11
1,550 73
233 00
125 00
CENTS
t10
~...1 ~dJ:\,t,-'fOY.J nno£;'~·.'
.tfi ,~t<:.~-;t·:-..~~r'''''i
f',i ,r.1;U:\.t~~x3 ~..ttj -::tJoO ,.~I...~
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Household goocs
1966 Mercury A~tomobile
BaT~r Lodge Sick Benefi ts
Pennsylvania N~tiona1 Insurance Co.
Automobile Col~ision Claim
Public Schools Employees Re1iremE-nt Check
Social Securit~'Check
Bell Telephone ~efund
$1 ,088.00
900.00
108.00
172.74
153.16
220.80
4.35---
TOT,ll,L 543,199.26
EERGUS.MARTIN
AND FERGUS
ATTORNEYS AT LAW
2"SOUTH COL.L.EGE STREET
WASHINGTOK.
PENNSYLVANIA 15301
REA~TY-,-.-.
Lot No.89 in t~nson Deve10pnent Company Plan
of Lots No.3 Re~ised,situated ir South Stra-
bane Township,tJashingtol1.County,Pennsylvania
whi ch Pl an of Lc T.S is of record in:the Offi ce
of the Recorder {if Deeds for ~ashi1gton County
Pennsylvania.
1/2 interest in ~ight Acres of uninprov;ed land
situate in ConewQ1go Valley Tcwnship,Cattaur-
l:lgus County,New "fork.Decedent o\l.ned property
cs tenants in comnon without right Jf survivor-
ship.
TOTAL
Total Personalty
Total Realty
TOTAL
$27,500.00
.300.00
$27,800.00
$43,199~26
27~800.00
$70,999.26
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The within named Accountant being duly sworn according to law.depqs~and say that the above account
as stated is truB and correct as she \erily believe,
....;<Jl.lt?Sworn and subscribed before me th·s .
Wa'shington County,ss:
...~.y~.:~_.
Clara P.Carlson,Executor
I do certify t'1at I have given legal notice 'to all persons
conc3rned of the ~i1ing of the within account in the manner
prescribed by Statute and Rule of Court,as evidencE:'d by proofs
thereof filed to No..<O.3.:-:.7.~.:.L .
Witness my hand and official 'seal thiS ~.~_:.
day OL~------------CYVi-------:-191k~-11!J).A..lJ~------Register of Wills
11
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IN THE COURT OF corvlr·1ON PL~AS 0':HASHINGTON COUNTY,PENNSYLVANIA
ORPHA~S'CJURT DIVISION
ESTATE OF O.ALF~ED NICHOLS~
Deceased
)
)
)
FIRST FND FlNAL .~CCOUNT OF
CLARA F.CAF:LSON,EXECUTOR
TO AfvlOUNT OF INvENTORY
AND J\PPRAISrllENT FILED
tl~.R!::[-;-D ITS.-..-._---
Stewart F.Barnhill
Fergus,Martin,and Fergus
Clara p.Carlson
Washington Observer
~Jashi ngton Courty Reports
Russell r~arino
Be 11 Telephone
~Jest penn Powe'"
Columbia Gas
Citizens vJaterCo,
Lawn Care and Cleaning
Real Estate Taxes
Guy Zurric ..car repair
Ameri can Oil Co.
Rea 1 Estate Tr:msfer Tax
Real Estate S.:lles Commissie-n
Me.llon Bank
Bernard Bermar,M.D.
$957.80
4,100.00
3,600.00
14.00'
14.00
50.00
48.03
49.78
.61,44
38.11
203.00
472.00
272.74
5.20
555.00
1,665.00
5.20
__"-:...41.00
$70 ,99~~.26
.\,)'
$12:152.30
FERGUS,lIIARTIl\
AND FERGUS
ATTORNEYS AT LA\J
27 SC'UTH COLLEGE STREET
WASHINGTON.
PENNSYLVAf\IA 153).1
TO AMOUNT OF INVENTORY
AND APPRAISEMENT FILED $70~999t26
TOTAL CREDITS 12~~52.30
Balance for Distribution 1~~~
ObJerver -ReD~rter...
W,!Sl-iINGTON,PENNS{LvANIA
:::J.:WOF OF PUBLICt.TIC·N
In compLance with tae Newspaper AdvErtis ng Act of 16 Ma!",1:.2L
P.L.1784,as ame1ded.
Commonwealt,of Pennsytvania,County of Vlasl-"ington,SS:.
Personall}app8ared JEfore me,a Notary PubEc in and for said tJoulllt}
and State,Ric:ha.r~:i..s.Co.wan _,who beinlg dulys,wcrn
according t.o law,dE poseE and says that he is :he Vic.e~P.r.es.ident
of the Observer PuJlishir.;g Company,a Bennsylvania corporation,and its
agent in this b:lhalf that the said Company is;t.he owner and publisrcer -Jf
t.he Observer-R~port~r,su:C'~ssor t.o The Washingtcn Observer,establishEd
Septembe'r 18,_871,~nd '::"h:l Washington Repo~ter:establishedAugust 15,
1808,a daily nE wsp:::per c'5'eneral circulation,pri:tted and published anj
having its placE of tmsinos'at Washington,W'lshington County,Pennsy-
vania,where it or i~s prejl"cessors have been est'tblished and published
continuously for morE than;s:x months'prior to·tie lAlblication of the n.}tic!!
hereto attached;that the [I'nted notice or adv-ertisement hereto at.ta.ohec
is a 'copy of an ::>ffici'll ad''€r-tisement,official nJtic>!,legal notice or 13gai
advertis·ement,e::::actly as I:."i:lted or published it th8 Ob£lerver-Reporte~in
its regular editio:J:s or the 10:lowing d,ate or dates;.
.................................A.p.:r.i.l ~3.~.30 and M8.y 7--,l9-7-1 - .
that neither the £.ffian~nOT ,h;l Observer Publis:hing ,Jompany is interested
in the subject matter o!'s,aid nJtice or advertising and that all of the all-ega-
tions'of this affiC:avit as tc the time,place and chaacterof publicat:on
are tme...--.--.--.:Jfd~.Ak.I.~~..
;'.'",.;".,!,I ._,.'',_'',_.,_/EX~CU:I:RI=::,\S,_NOTICE."
ESTATE )F·O,,:A~F;RED.l"ICHOL5.deceasec",late.)l-:South sftab'lne,TV/p.;W3shingtoD,1,'ehns:rlvani<:;
:Letters 'J:es:amE..'ltaryo ur:on':he.ao<;ve est..te'havbg-·been'gran:ed
Ito the und.rsigned,~alllperso.~ls·h.av-ling.claims .agaiI1st he estate ~re "e-t'.::~,nested to 'make k,-nown thE sa,ne':0 the und=rsigned or his,a:tOIn=Y,~nd all pel:Sons"iriclabted to 'ne'ce-
,~edent are requesterl t!)make pay-I·mr:nt to t1e un.,da-fii,gneu :'iiitt,'oIt,ielay.,...,..;~",'I,Cla.I'3 p,.·Ca:lson /,).
I 268 ";ummer~a Ave.'-.Was;'lngton,'Pa.15301
",I"ergus,Martin &•li'\lrgus •
"'-ttorney ,'.a1 5.College 51.~ashington.~a,
Sworn to and sub~r~e~)Jre me this.__.7 daJ)t-M~'i--l.9.71..n~!G~~~~
WASHINGTO"l,V'ASHINGTON COUNTY
MY COMM1SSJON ::XPIRES MAY 6,1972.
.'
Washington County Reports
Was~ingt'::»n#Pe1l1sylvania
(PUBLISHED BY WASHINt;TON COUNTY BAR ASSOCIATIO"'~)
PROOF O.?PlJ'BLICATlON
In compliance with the NewEpaper Mvertising Act of May ~6,1929.
P.L.1784 Sec.S,paragraph~(S)and (2;1.
COUNTY OF WASHINGTON}SS.
SrATE OF PENNSYLVANIA
Personally appeared befOIe me,a Notar°,r Public in and for said Co>.mty
aLd Commonwealth,CHARLE3 C.:<ELLER who,being duly sworn de];oses
ar.d says:that he is the Editor of th€"WASElNGTON COUNTY REPOFTS,
th3 officiail legal periodical fOe·sai<:Washbston County,published weeklyh~,ing its place of business at \Vashington,Vhshington County,Penmylvrnia,
an:!is acting as its agent in this behalf;that the said WASHIUGTON
COUNTY REPORTS was estaNished on Marcil S1,1920,and was de,ign'lted
as the official legal publication br Washing~o"1County,Pennsylvania,by oNler
of the several courts of said COU;lty,d'lted No,,:ember 11,1920;that the prir.ted
notice or advertisement attachec hereto is a CJ:?y of a notice or adverti5em"nt,
exactly as printed or published,which appear~din the said legal periodicai in
its regular issues on the followin5 dates:
._~p..~_~?~.L..;,~?..~.
..................~.'Y.p.!~?..?!?..?.:!:,.
E;tste Notices
The Register of Wiills has 5I"axted
'etters,testamentary or oof adminiEtration,
b fue following ·~states.~otice is herebye·iv.~n to all pers:ms ind~bted thereto to
nale payment wEhout delay and to th.,se
hav:Og claims or dem~nds to .Jresent
then for settlemmt to the ExecI£or3 or
Adoinistrators ortheir A:torneys.
•••• • •• ••• •• •• •••
"CHOLS,O.ALFRED,Dec'd.
Late of South Strabane Twp.,Vash-it:gton County,Penna.
Kxecutrix:Clan P.Careson,26S Sum-Ir.£rlea Ave.,WashingtoL Pa.153.)1
~:torneys:.Fergus,Mar:in &Fergus,
2f S.CoLege St.,Wa[,hington Pa.15301 '
that the affiant or ,the corporation in beha _>'of which he is acting is :I:Ot
interested in the subject matter of said notice 0'::'advertising and that all ,of be
allegations of this affidavit as to thelJit,~ce nd character(f~;~epuhh:atiDn
are :rue.'~/Il U G //---/1/fliicl>~!;~j ,IJ~~'o ~~
';worn to ""d .....""""bof~:C:-,._~
.J...~.~day of ~.Y.,'19 ~..Z~~~
j:)SEP;iH~E T.3C;A~~,,;NNA
Nob:y Pub:ic,~·.';)silin:;tcnt V/t:;sliingh·n Co..
lily Commission Expir~.Ju:y 1.1:F4
lin 11ft (@rpQttns·mnurt nf l1tiht!i~ingtnn <ltnunty
In the maHer of the Audit c·f Account in
J
O.ALFRED NICHOLSEstateof .
TO THE AUDITING JUDGE:
No..,19.............A.A.
our CLARA P.CARLSON,ExecutrixEnterappearancefOL•.••.•.•..••._.
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..F..~.j,..~Hi.ll Ma.x:o.z:Clrr.is.tian Chu.r.ch l~hi-Gh is Aot ;J;-efl-eeted in .
...:e~.t..i..1ti.Q[L..S:uJ:Audi.t _.
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.........................................................................._fERGUS.,.MARIIN and fERGlJS ..
BY_~JJ·tr_:__m ;~
..L day of ,19 ..
N.B.-Counsel ;aaIl,by separate paper,present a concise statement of
each cIai::rc,with supporting calculction of any interest claimed.
Objection;to an account as filed,"hall be concisely stated.in a
separate paper.Counsel suggesting proper distribution shall file
a separate;:oncise statement i:t that lOegard.
No ,19 ,A.A.
In re Audit of Acc'ount in Estate of
AU D IT
'rarctpr fur .Appearance
FOR
''Vd "0;)tjJl'~N\\-\S'1l~
s-"1 \t\:\()\j ~\\.\:;\~"3 \..;
oH\'~:;'.,".'2 f)n1.1
.•.u.\-..:':'•.1 .....'''it~~1 t ..1 Attorney\i IinS~~cj
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Estate of .Q.~..A~f.~~.~rn~::m~?_ .
Deceased
No .
Fiduciary J~k~R~..P..•....CARLSQN.._ .
Date of Date of
Decedent's death Ap.r.iJ Q-'.J.n.L Grant of Lette.rs .I:\:p.r.i.1..12~..197l ,.
This is the .f.tr.?.t.~!1~..f.j.!1~L _account filed in this estate
If there have been former accounts filed in this esta-e,list file number or number and term .
..................................................................NQN.~~.
Election to toke
Under or Against will.(cross out one)
lDate Election Place of;
Filed Record .
Nome of surviving spouse ~.9.~.~:.
List issue,where material:
Did decedent marry after execution )f will?(indicate ~XNo.Any children born after execution of will?r(indicate)
X««>X No.If'answer yes,nome them _.
...........___--_-___--_._-_-.-_------____------__.''_..__..__._---------..-_.._-.---_'.__.------.----_.
Leg.atees Relationship Interest Fiduciary,if de,ceased or net sui juris
FAIR HILL MANOR CHRISTIAN CHURCH
of The City of Washington,washington
County,Pennsylvania
$2,000.00
specific bequest
sui juri s
CLARA P.CARLSON
VIOLA NICHOLS
sister-in-·aw specific bequest
and
1/2 resi duary
sister-in-"aw specific devise
and
1/2 res iduary
sui juris
sui juris
List,if exceptions to above:
If partial intestacy,give facts:
AdEemed:Revoked:
f<./A
NONE
Lapsed:Abated:Give Couse:
Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled
to notice (Court Ru~e No.9 panJgraph:C:Section 6:Suodivision c)received written notice of the filing of the account
·:md of call of audit?Yes.~a{X
If ",.NON!:'any exception give couse hI••••.••.•••••••••••
File copy of Notice
and dote of moiling.....................................•...........~J~r~h..~.,...l.~l.Z ,.
.'
Is estate subject to the filing of a Federal Estate Tax Return?x.~~:~.Q..I~.~...Q.V.~.
Actual payment made on Pennsylvania Tlansfer Inheritance Tax.Amount $NQNE .
If the Will makes any portion of estate sul:ject to a life-estate,give name and birth date of life tenant .
NONE
Give Names and addresses of all unpaid :reditors who are legally entitled to notice,together with the amounts
of such claims;state whether they are adnitted to be correct;and whether the claim is denied.
NONE
Give reference to such parts of the will I)S require interpretation by tne 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
"\
Balance for distribution per account,
Itemize any additional debits not showl1'by account:
Interest -from savings account
Accrued interest through March lS72 on
U.S.Govt.11[11 Bonds
Total additional debits (Add)
Itemize any additional credits not shown by account:
1971 Fiduciary Income Tax
1971 Pennsylvania Income Tax
Total additional credits (Subtract)
Balance for distribution
$816'.03
407.66
$84.39
28.15
$~§.~§~§.:~§.
$1,22.3.•.6.9.
$__112.54............_-......
$..............59,958.11..........................
..
If balance for distribution is not in cash,list each item held in kind,givling appraised Value (or distribution Value);
Interest ~n Real Estate mentioned in Paragraph Sixth of Will is
described on attached paper.
One hundred and tvJenty-five (125)shares Educator's Consumers
Discount Company with accompanying $500.00 Educator's Consumers Discount Company Deb¢nture.
One hundred and seventy-two (172)Series 11["($50.00)U.S.Savings
Bonds and five (5)Series 11["($"00.00)U.S.Savings Bonds and two (2)Series liE II ($25.00)
Savings Bonds ~or a value,with accrued interest as of April 1st,in the total amount of
$12,323.24 for the Executrix elects to take the same as part of her distribution.
-!
If Family Exemption claimed by Peti-ion,give place of ~ecord:,N.9.~_~.
If Family Exemption is claimed at audit,give name,relationship and basis for Cl'aim:NQNE..
List any advancement or distribution on account that has been made,and nature and amount of same:
VIOLA NICHOLS
rlj'III.0"1)1'1
6/5/71
1G/15/71
TOTAL
$2,500.00
1,500.00
--~
/$4,000.00
f
Suggested distribution of balance sno''Vn,both as to principal and income,attaching signed and itemized elections
to take in kind if balance is not in c@sh:residuary shares being stated in proportions:
1.Award the interest in the 'Certain lot of ground in East Randolph,Conewango Township,
Cattaraugua County,New York,to Viola Nichols in accordance with Paragraph Sixth of
the Will..
2.Award one hundred and twenty-five (125)shares Educator's Consumers Di scount Company
and a $500.00 Educator's C:msumers Discount Company Debenture to Clara P.Carlson as
pr~vided in paragraph Fift1 of the Will.
3.Divide residuary balance e~ually bet\'Jeen Viola Nichols atid£lara P.Carlson.Note:The
one hundred and seventy-t\'D (l72)Series IE"($50.00)U.S.Savings Bonds and five (S)
Series IIE II ($100.00)U.S.3avings Bonds and two (2)Series ;IE II ($25.00)Savings Bonds
for a value,with accrued interest as of April 1st,in the total amount of $12,323.24
for the Executrix elects to take the same as part of her distribution.
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly _s.WQr.n _..doth depose and say
that the facts set forth in the foregoing petition are true
to the best of.._.her __knowl':dge and belief.
.sl~.O.rn to and subscribed before
And your petitioner wm ever pray,etc.
.......................................................................""'..
me this.Z.Z.o.9 day of MM:.c.b _19.?f....~,'y,.':~,
Signature of Office~L't7...,.
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,eo ~..'cer :'AIft.-o-rtE.r:Y~(jNif.;:,-;;~~.p~~:
O·ff·lce exp',res 8ShInIfen.WaShll1gtor C ~,.···.:,······.M:r-·rJj..·..······..···"····,a ..-on ~lrea August a,1974
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REGlsr!:",c.F WILLS
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Estate of O•..J\LERED..N1CHOLS...........•
PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
Fiduciary ~~8R8..P....CARLSON.._---......--..----_....--_...._-_.......
Deceased
Counsel of Fiduciary will submit herewith the
following,in conformity with Court Rules
adopted effective December 3,1951,being
rule No.9:pa rag raph b-c;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 WiII.
6.Copy of inventory and appraisement.
7.Proof of advertisement of grant of letters
if not filed with account.
8.Certificate of liens in case any of the
funds for distribution are from judicial
sale of real estate.
9.Signed and itemized elections if any
distribution in kind.
10.Copy of Federal Estate Tax return if es-
tate is subject thereto.
\~"
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•
FERGUS,MAltTIN !\.ND FERGUS
ATTOBNEYS AT LAW
27 SOUn-.COLLEGi!STREET
WASHlNGTOr-,.PENNSYLVANIA 15301
HAROLD V.FERGUS
BDWARD S.MARTIN
HAROLD V.FERGUS,JR.
SCOTT H.FERGUS fJlarcn 8,1972
412-225-7030
412-225-6420
Mrs.Viola Nichols
246 Sunmit Street
Salamanca,New Yc-rl<14779
In Re:Estate of O.Alfred Ni:hols
Dear Mrs.Nichols:
You are ad vi sed that Cl ar·l Carl son has fi 1ed an account to
the current tenmof the Orphan;'Co~rt of Washington County in the above
entitled estate.
The estctewill be audited during the week of March 20,and
if you have any qlestfons as to the administration,you may communicate
\'/i th the unders i grad or attend the dudit.
Very truly yours,
FERGUS,MARTIN and FERGUS
BW
Harol7fY:tergus------
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In themattercfthe First and Final
oraun al orammnu Jlrus af lfusl1iugmn
Jruusyluaniu.(0rp11ttus'orann mittismu
6:>-.71-400No.~_ESTATE OF
O.Alfred Niehols
deceased
.,
"
Account of__C_18_r_8_,_P_.,---C_9_r_l_s_o_n _
E'Kecutrix
AD'JUDICATION AND DECREE
'"
And now Ma,'·,19 72 .this matter came on for hearing.
audit and distribution at this session and testimony t ken;and ther=upon,upon due consideration
thereof5the ~aJ:l,e for distr.bution in the hands of the Ac.cQuntant.is detern:i,:ed to be
$9,9~.J..l ,and the C'ccount is accordingly confirmed;and It IS ordered.
adjudged and decreed that the sai,9 balance be paid out by the Accountant in ecce rdance with the
schedule of distribution hereto :Jttached and made a part hereof,-unless exceptiors hereto be filed
sec.reg.or ,an appeal be taken &terefrom sec.leg.
SCHEDULE 0::DISTRIBUTION
Balance per account '--_$58,846.96
$60,070.55
$51,426.71
112.5'
,959.958.11.~;;.~;..v:,"'1 ,".~.1'-1/.,8.0..,./.
Jf~~O~~~.
Additional debit ask~at audit
Balance _
Additional credit Bsked ataudit
Deduct Clerk's Costs &Receipt:::..c _
Attorney Fergus Ma.rtin Fergus
Russell Marino,Agen~,transfer inheritance
tax,
Cred~t to be taken b!the accour-tant for ap·
praised valu~of parc91 of real estate situa.te
in the S,tate of New Y;,rk,
~ilp Hill Manor Church,Washington,Pennta,
';.leg'acy,credit to be taken by the accountant
for tunds advanced prior to distribution by
the Court,
300.0"
$51,126.11
I
2000.0(
$49,126.'717
Clara P.Carlson,sis~erMin-law,specific be-
quest of 125 shares Educators Consuiners Disccunl'
Company and a $500.00 Educ~tors Consumers Die~
count Company DebentL:re,he'ld in kind and dis-...
tributid as such at the appraised value,816.2c
I $48,310.52
Clal"8 p.Carlson,sister-in-law,1/2 residue,
inclduing cash and 172 Series E ($50.00)u.s~
Savings Bonds and 5 Series E ($lOO.OO)U.S.
Savings Bonds and 2 Series E.---($25.00)Savings
Bonds with accrued interest as or April 1st at
a value of $12,323.24;:held in kind and distri-
buted as such at thevelue as shown,
Viola Nichols.sister-in-law,1/2 residue,in-
eluding-cash,credit to be taken by the accoun-
tant for funds in the:am.ount of'$4000.00 ad-
vanc~~prior to distMbution by the Court,
2415S.2€-
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,No balance;,
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IN THE COUHT OF COMMON PLEAS OF WASHINGTON COUNTY PENNA
"-".',,',...~.~;ORPHANS 'COURT DIVISION ._-.,,-
O.ALFRED NICHOLS',
Estate'of
,Deceased.
';..••>~.~
"
"No.400 of 1971
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Wecnesctay,March 22,l'd72,a't 10:00 A.M.,EST
,r />:HEARING ON AUDIT
The ::Ionorable P :yINCENT MARINO,J~dge of the
'said Court;:.,...l ,f.
.,
.._~E;RGUS~-'MARTIN,&FERGUS,Esqs.,of ,
Washington,Pa.o,representing the ACl?ountarit.
';
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i~"ziIII0(~,..:APPEARANC~ES:
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Q~TIM-E:
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Z~.I.)0IIIZZ - '~BEFORE:
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Nichols,deceased.The-Executrix is Clara~.Carlson'and 'the
MR.FEhGUS:
Number .400 of 1971,the estate of O.Alfred
Mr.S~6t~.Fe rgus ?
,If the Court please,I hav'e here a Petition Sur
attorneys arE:Fer~us,Martin &Fergus'.
,,-
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~THE COUHT:LIIIII::
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Audit in this estat'e.'Ther.e.,are no outstanding 'claims to my knowl~'ge,
,,
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with one exception.The bala'nce due on Pennsylvania State Inherita ce
Tax.We have filed a Federal Estate Tax £i.eturn in this estate"
".
but there is no tax due.'We don't have a'final letter,but we ,don't
o '-enV.8 ion any liability there.
"
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2
decedent'.s estat'e?
(NO hESPONSE)
,THE COURT:..,
"~he audit of this 2'ccount is'ordered closed by
!the'Court ,"
"
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(A UDIT CLOSED).
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I hereby cerlUy that the pr~eeedtnCJS and ~vtdeneea.re
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uia:.'_~.the ,above cause,'and that this.copy is'a corr-ect transer-lptof the same._
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The foreqotng record of the proceedings upon tbe
be~ttn9 of the a.bove cause l~_~eret>y approve4 at'!d directed t.o be tUed."..
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1,VIO=.A.NICHOLS;.,
'.
hereby acknowledge the receipt of
.!i ''.i _
Two Thousand "Fh"8 Hundred Dollars_($2,'SOO.OJ'),being an advance on
my share of the C .Alfred Nichol's:;'E state.'
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Viola Nichols
Dated:June -.:fi.-,1971
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I,VIOLA NICHOLS,her2by acknowledge the receipt of
One Thousanc Five Hundred Dollars ($1,500.00)being an advance
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on my share of the b.'"Aifred'Nichols Estate.
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Dated:October -'/L....::<6__,1971
1)~CL YLG Jx~?J
"Viola'Nichols
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ALL THE RIGHT,t-tle,and interest of the decedent,O.Alfred
Ni cho1s,in and to a lot of ground descri bed as fo 11 O\'/S :
Sitlate in the t0wn of Conewango,County of Cattaraugus and State
of New York,being part of lot numter six in the third township and ninth range;
bounded north by lands on the same lot,heret:J conveyed by deed,and formerly
owned by Huzeskial Burt;east by the east l:in=of sa.id lot number six,being
also the township line;south by lands formerly O\,med by Shelete Pierce;and
west by the lot ;;ne of said lot number six.
CONTAINING one hU1dred and sixty-six (166)Acres.
Excepti ng and reservi ng from tlis cJnveyance all of the above descri bed premi ses
lying north of thE east and we:;t rO:ld that passes through the said premises.
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COMMONWEALTH OF P~NNSYLVANIA"...oEPARTMENT OF REVENUE
BUR'EAiJel'o'COUNTY COLLECTIONS ,-~,
APPLICAT N =OR Ct-ARITABLE EXEMPTION
FROM.PENNSYL.A"IlIA TRANSFER INHERITANCE TAX...
(A.ct of Moy 28,1956,P.L.1757,and Act of June IS,1961,
"',0,P.L.373,:IS amended)'
J
4.Neme of Deceden t
Application is hereby filed for the apprcval
of an exemption from Pennsylvania Trarsfer
Inheritance Tax on the transfer of th~p'operty
described below:
1.Bllreau File #6_3_-7_1_-_4_0_0 _
2.Dc te of Death A-"-p_r_11__6-',:--1_9_7_1 _
3.Dcte of Approva I M_a-=y_l_O_t_h_o_l_9-:7'-.-2'---_
00 Alfred Nichols
5.The Commonwealth's appraised value of the property for whi'chan exemption is claimed is,$2~.:..,O~O~,,~O..:.•..:.O_O _
(Note:Where t'he property is other than a specified amount d cash,the exemption cannot be approved until t'he value of
the property has been established b)o appraisal by the-Commo)nweal t'h,except in those cases where ,the,amount of t'he gi ft
or bequest represents a stated fractional or percentag,e porti"n of the entire estate or the entire residue.In those cases
enter such fractional,or percentage emo,u'nt above).
6.Check the manner in,which the trans~er was effected and su~mit a copy of the document author'izing the transfer,unless.,.•..-,I 1
such material has been previously fi ed.', ,
WI'LL '5';DEED 0;lRUST INDENTU~E0;SURVIVORSHIP 0;OTHER 0;
(If other,explain)_
7.Correct Business Name and 'Address of Charitable Orsaniiat on receiving property:
NAME Fair Hill Manor,'Chr1stian Church of t~City of.Washington
ADDRESS Mont-gomery Ave.nue"Wash1ngton.PemUlylvan1a 15301
8.I certify that the information containeod herein is,to the best of my knowledge and belief,true and correct.
Signature of Applicant lL,~~!6ft ~.~"k~V~1;.~~fu~~~I
~7 South Coll~ge Street.Washington,Pennsylvania 15301AddressofAppli.cant _
Official Title Attoroe,s fDr tb~Es::ate of o.Alfre.d Date May 8,1972Nichols-~-~~=---"--------
This form must be completed in triplicate and all three copies celivere:l to the Register of Wills for the County in which the decedent
resided,or in which letters were issued for d non.resident decedent's estate.If the decedent was a non-resident of Pennsylvania and
letters were not issued by a Pennsylvania R"gister of Wills,deliver al three copies to the Director,Bureau of County Collections,
Penna.Department of Revenue,26 S.4th Str-"et,Harrisburg,Pa.
00 10t write below this line·For Official Use Only
Approved:For the Secretary of Revenue
(Signature of Register of Wills)
Washington
(County)
May lOth.1972
(Date of Approval)
Referred to Bureau Headquarters
(Initial.of Register of Wills)
(Ccunty)
(Da:e of R:lferral)
MUST BE =ILED N TRIPLICATE
Approved 0
For Secretary of Revenu5t
Denied*0
(Authorized Signature)
(Title)
(Date of Action)
*See reverse side for reasons
,'0
""IfThissectionwillbecompletedbyBureauHeadquartersonlywhentheapplicationf«r exemption has been·denied~
Date:__~_
r ,'r
T~e application for exemption contained on the face of this form has been denied because _
Note:Any party in interest,including the Commonwealth,aggrieved by this action may within sixty (60)days after
the date of this notice exercise their rights of Protest,Notice,or Appeal in accordance with the provisions of applicable
Pennsylvania Inheritance and Estate Tax Acts.
RCC-3 (1-69)
COMMONWEALTH OF PENNSYLVANIA~EPARTMENTO'F REVENUE •
BUREAO~Q~lCOUNTY COLLECTIONS··--:-
,-..
APPLICATION =OR CHARITABLE EXEMPTION
FROM PENNSYLYANIA TRANSFER INHERITANCE TAX...(~ct of May 28,1956,P.L.1757,and Act of June 15,1961,
P.L.373,:15 amended)
Application is hereby filed for the a::>plcval
of an exemption from Pennsylvania Trarsfer
Inheritance Tax on the transfer of the ~·tOperty
described below:
1.B~lreau Fi Ie #63-71-400
2.Date of Death April 6,1971
3.Date of Approve I May 10th.1972
4.Na"e of Decedent O.Alfred Nichols
5.The Commonwealth's appraised val.e of the property ~or whkh an exemption is claimed is $2;::...z..-=0-=0-=O,-,.,-,0:..:0~_
(Note:Where the property is other tIlan a specified amount of cash,the exemption cannot be approved until the va'Ju~of
the property has been established b:..appraisal by theCommcnwealth,except in those cases where the amount of the gift
or bequest represents a stated frect'-.nal or percentagE-portion of the entire estate or the entire residue.In those cases
enter such fractional or percentage .mount above).
6.Check the manner in which the tronmr was effected a,d submit a copy of the document authorizing the transfer,unless
such material has been previously fihd..
WILL Bj DEED OJ SURVIVORSHIP OJ 'OTHER OJ
(If other,explain)-----------
7.Correct Business Name and Address cf Charitable Orgcnizaticn receiving property:
NAME Fair Hill Manor,Christian Church cf the City of Washington
ADDRESS Montgomery Avenue.Washington,Pennsylvania 15301
8.I certify that the information contai,nec he ein is,to the best of my knowledge and belief,true and correct.
Address of Appl icant __Z_'i_S_o_u_t_h_Co_l_l_e_t=-e_S_t_r_e_e_t--",--W_8_s_h_i_n..=::g_t_o_n..:c.'_P_e_D_n_s-,y:-l_v_s_n_i_a_l_5_3_0_l _
Official Title Attorneya'for the Est6.te of O.Alfred Date May 8,1972
Nichols
This form must be completed in triplicate one ,11 three copies del,ivered :0 the Register of Wills for the County in which the de·cedent
resided,or in which letters were issued fo'a r on-resident decedent's eslate.If the decedent was a non.resident of Pennsylvania and
fetters were not issued by a Pennsylvania Re;lister of Wills,deli-er all tHee copies to the Director,Bureau of County CoHections,
Penna.Department of Revenue,26 S.4th Stree1,Harrisburg,Po.
Do n)t write below this line.For Official Use Only
(Signature of Register of Wills)
Washington
(County)
May lOth.1972
(Date of Approval)
Referred to Bureao Headquarters
(Initials of Regi5ter of Wills)
(County)
(Date·)f Referral)
MUST BE FILED IN TRIPLI,CATE
Approved 0
For Secretary of Revenue
Denied*0
(Authorized Si gnature)
(Title)
(Date of Action)
*See reverse side for reasons
.',.,.
This section will be compl eted by Bureau Headquarters only when the application f<rr exem}ltion has been denied...........~
Date:...,.-_
The application for exemption'co~tairiedon the face of this form has been den'ed because _
Note:Any party in interest,including the Commonwealth,aggrieved by this cction may within sixty (60)days after
the date of this notice exercise their rights of Protest,Notice,or Appeal in accordance with the provisions of applicable
Pennsylvania Inheritance and Estate Tax Acts.
.
Form RCC-33
It.E,SlDENT DECEDENT
COMMONWEAlTH OF PENNS"ilVANIA
DEPARTMENT OF R~VENUE
BUREAU OF COUNTY COLLECTIONS
COUl\?fY OF
J
'iMPORTANT:This return must be-completed in d~tail :md filed in.duplicate,with will attaehed,with the'
Register of Wills 0;'the County where dEcedentres:tced;Return is cue within one year after
date of death,unl~;;s a:n extension is g'anted by the Secretary of ::l.evenue.(Section 703 of
the.I"nlleritl:l.nce..an(E.~t8.teTa,x 1\ct of 1961.)
...9.,._81 f;:QT=-~;;~~;~:;~~~~._..}:::A:;:OF
Late of Wilsh.i I1gtQO . .....~unty ADMINISTRATOR
:.:.~~;:;~~;:~i~--:::.-:-:::}'"
..........~J..~.r.~.P...~._Gt:l.rJ...~Q.n ....Executor
of the estate of t!le above-named decedent being duly SWOI"n,depose S an.)says
Decedent'dJed .............Ap.ril.......
(Month)
.Name and address of attorney or}
other authorized representative to .
whom all correspondence should be
mailed.
..................6 ,19..71 J testate leavbg a·last will,'cop..of which is hereto attached.}
('Day)(Year)L~K'K)(lX
....~~t§g~ihM·C~Ncige~S~r~~{g4~-
Washi ngton:'Pennsylvani a
That as such _deponent :g familiar with the affairs of said ~state and the property con-
(Executor·Administc:a.5.or)
stituting the assets thereof and f1.eir fair market value.
··That at the time of death thel:cE was no safe deposit b:Jx registered in decedent's individual name,or jointly
with,or as.agent or deputy of anther,or ind.€CEdent's:individual m..me,with right of access by another as agent
or deputy,with the exception of ;:1e fo1l0wing:-
.~,.INSTITUTION RELATIONSHIP OF JOINTNAMEANDADDRESSOFBANKOROTHE~THIS SAFE JEPOSIT BOX RENTE"
IN WHICH DECEDENT RENTED A SAFE EEPOSIT BOX IN NAM=OR NAMES OF HOLDERS TO_DECEDENT
MELLON NATIONAL RANK .
()III pD:J:'n IIITf"Unr C'!\lnI\ll:'
~lashi naton Penna
That the contents of s~id safe deposit box or boxes are itemized under ScheduleN_-lB"l-_of this
return,with the exception o·f t":l8 following,for the reasons hereinafter set forl.h:
That Schedule A attached h,ereto and mad'e part hereof sets forth full v and in'detail all the
real prop.erty in the CommonweaLth of'Pennsylvar:.ia o,f which decede'nt died haVing an interest therein.It
also sets forth the mortgage encumbrances upon each I,arcel of ree.l property at the date of dealLh,giving
the amount s:till due at death,name of mortgagee,date,rate of interest,and book and page of record
thereof.It also sets forth i;}the columns p:"ovide:l therefore the assessed ve.luation of each of said
parcels,the estimated market vitue thereof as )f dat3 of death of decedent.
\
That Schedule B attac'3d hereto and IIl!l.de part hereof sets forth fully e.nd in detail all personal
property wheresover situated ownd by the deced=nt at the time of"death;all monEys left by the decedent
a.t the time of death,whether in decedent's illUl.ediate possession,standing to decedent's credit in banks
of deposit"savings banks,.trust companies,or ,other inst!tution~.,whether individually,or in trust for
any other person or persons givt-'g also separat31y the accrued interest.thereon,if any,dOWn to the last
interest day prior to decedent's death in the case 01'savingS bar.ks,and to the date of dece-dent's death
in all:other cases;all bonds,postal savings,treasury cert!fiC6tes or notes a",d other evidence of in-
debtedness of the United States to the deceder:t;all obligations,whether by s-:;atute or agreement they
:''(.",.1I"I1.1.:'l-"'.r."H1Y.,~"rtft"""".,.are designated as tax free,of the United Stat~s"or-any state,or polit;lca~su?diViinb'Ji t'l1ereof',or of
to...•0,,)",~~M~·"",U..~..,....any foreign country,which are ')'Ylled at the tim3 o·f d3ath;all we3.r!~~!~f~:SiJi~:i~~~~':~r.~.~re,pic-
ture,s,books,works of art,hou;.ehold·furnitur~,horses,carriages,automobiles.'b<Jal',"and''1lhy and all
other personal chattels of what5)ever kind or n3.ture,.le.ft bydeceient,together Y!ith the fairly estimated
m,arket value thereof;all bond:;;and mo,rtgages :leld by decedent arld of all claims due and owing decedent
at the time,of death,and all r-romls'sory notes or ot:1er tnstrume!lts in writing :'or the payment of money
of which decedent died possesse.l,of whatsoever nature,with in~erest thereon,if any,giving the face
value and estima.ted fair marke·t value thereof,and if such estillJ!l.ted fair markee;value be less than the
face value,it sets forth brief'ly the reasons ':'or such depreciation 'as to each Hem;all moneys payable
to the estate from life insurarce polici'es car'ied by decedent;6.11 annuity and endowment contracts the
proceeds of which were payable -non the'death of the iecedent;ani all the corporate stocks and dividends
due thereon and unpaid as of ttE'date of death,"bond5 and accruej interest ther~on to the date of dece-
dent's death and other investment securities owned b~the decedeat ~t the time 01'death,with the market
valu.e 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 \;Jusiness as maybe 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 fa:lir 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.Therl~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 0 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 f?rth 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,tombs tunes or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims OWing and unpaid at time of
~.,
death;taxes accrued chargeable for period prior to decedent's death (except.those allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported ~)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","en,"E",and "F"as directed therein,·
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this 2 ~,~.
....................................:.,,,;.....day of f..eb·(~~T 19..::1.~
.~~••••••mm••m
My Comft ....'n ....Au_3.1974
~-p.~.......................................................................................................................................
(Executor-Administrator)
.....4..~.??..:..6.~~:~_.
(Street Number)
..(J.!~.~{..~~..:.(Cit~Town and State)
L
NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None",and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business,that the
data and statements required under the paragraph above relating to Schedule "B"are attached•.Also make
certain that column #1 in the "Summary"has been properly completed as above-directed.
RCC-34 (I-64!
COMMONWE'ALTH OF PENNSYLVANIA
.DEPARTMENT OF REVENUE
BUREA\J OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEPENT
•SCHEDULE "A"
REAL PROPERTY
Real property in Pennsylvania,with statement of mo"tgage encumjrances 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 ot~ers{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
described by lot and block number,street end street number,together ·.lIth
a general description of the property,with ::r reference to the record of the
conveyance by which the decedent took tlte;If a farm state number of a.
cres;also statement of mortgage encumbrances u'pon each parcel at deQth
of decedent.Taxes,assessments,accruec interest on mortgages,etc.,are
to be listed on Schedule "F"and must r.:ot be deducted from this schec'ule.
(1)
ASSESSED VALUE
FOF YEAR OF
DE(;EDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3\
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this spoce)
1 Lot No.89 in Wilson D=velopment Company Plan
of Lots No.3 Revised,situate in South Stra~
bane Township,Wahsing~on County,Pennsylvania
which Plan of Lots is cf record in the Office
of the Recorder of Deecs for Washington C)unty
Pennsylvania.This lot is commonly known as
221 Crest Avenue,Washington,Pennsylvania.
Valuation based upon arms length sale by the
Executrix.
2 1/2 interest in Eight Acres of unimproved land
situate in Conewango Valley Township,Cattaur-
ugus County,New York!Decedent owned proJerty
as tenants in common without right of survivor-
~/J1~$27 ,500.00
ship.
value.
Valuation based u,on three times assesse
Insert this total opposite "real proper'Y",Schedule "A"in the
liAs Reported"column on the last pa~e of this return.
XXXIX rj ~7).s0(1,CJ2tJ lid;'S.f}CJ,&eJ
tJ-fC':)7l .-3.
RCC-35.
COMMONWEALTH OF PENNSYLVA¥IA
TRA~SFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDJLE "n"
PERSON~PROPERTY
INSTRUCTIONS:This Schedule m.st disclose all tangible and intangible personal property owned individually
by the decedent,at the time o~his death.Propert7 owned by the decedent jointly with another or others
must be listed under Schedule 'E".Inta~gible personal property,titled in the name of the decedent,but
payable at death to another or others,including bu~not limited to P.O.D.r.S.Savings Bonds and tenta-
tive trust accounts,must be ]~sted,despite the fa~t that they are not of the administered estate.
Tangible personal ~Ioperty should be liEted first (e.g.jewelry,wearing apparel,household
goods,and furnishings,books,paintings,automobilEs,boats,etc.)
Intangible personal ""Jroperty,such as bor,ds,treasury certificates,cash on hand and in bank,
"stocks,'mortgages,notes,togEl.her with accrued int~rest 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 p~operty held in trust under the will or agreement of another,even though
located outside of the State,.it the time of death,should be listed in this schedule.
---t----.------------------"T'"--"T'"-----'T"""-------
Item
No.
ITEM
List and de5Jribe fully
UNIT ESTIMATED
VALl"E MARKEl'VALUE
DEPARTMENT VALUAfION
(Do not write Ln
this space)
500.00 M"
1
2
J125 Shrs.Educators-Consumers Di scount :ompany ~~~2.53 k
/$500.00 Educators-Cor~umers Discount ConpanyDebenture
316.25
500.00
II 115 set/
172 Series "E"$50.00 U.S.Savings Bonds I J
5 Seri es "E"$100.00 l.S.Sa vi ngs Bonds 1/f:UJ.V .-t.
2 Seri es lip $25.00 U.S.Savings Bonds 0:--1<-:'til ~
aJ~~"E"Bonds bought almost monthly from September,p :.-"/LJ,
1948 to November,1962.Value includes all '1#vt b jd'v-
accrued interest as of date of death.tlf<J~11,915.58
•First Federal of Washington
South Main Street,Washington,Penna.
Savings Account #S204~3
3
4
5
..i33.()O
/..<'s.tJ(J
/;{)J>i'.()(J
tlo(J,o(J
/,550,7.1
618.07
900.00
l11<}17 ~1,550.73
t1f<"iOitr:233.00
!rH(m~.125.00
fJ1(lh.:'1,088.00
J/fJ,rY 2,163.00 d/,163,tJ {)
~rn?·300.00 3otJ,tJO
04dfJ?JV 27.11 ,;?~II
,
~11.,l 12,453.61
1966 ~1ercury AutomobilE""'"
7
6 Pittsburgh National Ba1k
South r~in Street,Waslington,Penna.
Savings Account #87-2:32568
Mellon National Bank
South Main St.,Washi~9ton,Penna.
Savings Account #178-09-1386-02
8 Mellon National Bank
South Main St.,Washington,Penna.
Checking Account #449-~759
9 American Express
Travelers Checks
10 Cash
11 v John Hancock Co.Life Insurance
Policy #43111.Benefi:iarY·-The Estate of
O.Alfred Nichols
$1,000.00 Face,$550.73 accumulated divitends
12 Swedish Lodge Death Ben~fits
13 Balder Lodge Death Benefits
14 Household goods
15
Insert this total opposite "Person.it Property",Schedule "B"in
the "As Reported"column on the la~t page of this return.
x x
RCC-35"
COMMONWEALTH OF PENNSYLVA~IA
ITRANSFERINHERITANCE TAX..
RESIDENT DECEDENT
SCHEDU:="E "B"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule nw:.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".Inta~gible persor.al property,titled in the name of the dec,edent,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 pr:>perty should be listed first (e.g.jewelry,wearing apparel,household
goods,and furnishings,books,;J.iintings,automobiles,boats,etc.)
Intangible personal J=r,operty,such as bonds,treasury certificates,cash on hand and in bank,..
stocks,'mortgages,notes,toget"13r 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,fut the time of death,&hould be listed in this schedule.
'--.....--_._------------------..,...--..,...-~---.....-------
18 Public School Employees Retirement Check
19 Social Security Check
20 Bell Telephone Refund
Item
No.
16
17
ITa:
List and describe fully
Balder Lodge Sick Benefits
Pennsylvania Natlona1 :nsurance Co.
Automobile Collision (":aim
UNIT ESTIMATED DEPARTMENT VALUATIDN
VALUE MARKET VALUE (Do not write in
this space)
ClKm-~".1"08.00 I !JR.00
tJI(/J1~V 17;;;,74172.74
(}-kinlr 153.16 IS3./t;
~lJL~220.80 ~".;o"?o
!M)n=9-4.35 Lf,3.5"
Insert this total opposite "Personal P')perty",Schedule "B"in
the "As Reported"column on the last p16e of this return.
xx f/5,1'1.~'#,/.3/199,"<'6
tf-/0JlY-
rcc-%•
cmmQN1\'K\LTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
~ESIDENT DECEDENT
SCHEDULE "c"
TRA.NSFERS
(1)Did decedent,within two years of death,make any transfer of any material part of his estate,without
receiving a valuable and ade:}uate consideration therefor?(Answer yes or no)~IQ
(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)NO
(3}If the answer to (1).or (2)3.bove is in the affirmative state:
(a)Age 'of decedent a~time of transfer --,rL.l,lt~Au....__
(b)State of decedent s heal th at time of :naking the transfer.(Note 1).
(c)Cause of decedent s death.(Note 1).
(4)Did decedent,in his lifet1m~,make any transfer .)f property without receiving a valuable or adequate
consideration therefot,AI'hich was to take effect i[\possession or enj oyment at or after his death?
(Answer yes or no)I~U _
(a)Was there any possibility that the pr')perty transferred might return to transferer or his
estate or be sUbject to his power of Usposition?(Answer yes or no)NtA
(b)What was the tramferee's age at time (.f decedent's death?N/A i
(5)Did decedent in his lifetime make any transfer without receiving a valuabie and adequate consideration
therefor under which transferor expressly or impUedly reserves for his life or any period which does
not in fact end .before his death:
(a)The possession or enj0¥!'lent of or the right to income from tht'property transferred?
(Answer yes or no)~_lu _
(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 (~1Ab)at,ove is in the affirmathe,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 tenefit of care of transferor?(Answer yes or no)--'~-'lJIOU-_
(8)Did deced~nt,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 whjch could revert to decedent under terms
of transfer or by operation o~law?(Answer yes or no)N_O _
(9)If the answer to (8)above is in the affirmative,was the power to al ter,amend,or revoke the inter-
est of the beneficiary reserved in th~decedent al3ne or the decedent and others?
(Answer yes or no)NtA
NOTE 1:The answers tothes'e qU3stions 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 ~es,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.Subnit copy of any trust deed or instrument,if trans-
fers are claimed to be non-taxab13,also submit detai13d statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in w~ich provided in Schedules A,B,or E.
ITEM DE,CRIPTION
NON::
MARKET VALUE
(Es timated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"coI umri'on the last page of this return.
ReC-3S"
CC1lr~ONWEi\LTH OF PENNSYLV:\NIA
Tni\N~FEn INHERITANCE TAX
RE~IDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
•
INSTRrCTIONS:This schedule mus::.disclose all property,real and personal,owned by the decedent jointly
wi th another or others,inclu.ling intangibles,standing in the name of the decedent and others.List
real estate first,as entiretiEE,or joint tenants,giving brief description,as indicated lmder Schedule
"A",plus the date and place or record of instrument effecting vestiture,but do not include entireties
or out of state real estate va~-1e 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-~wners to
the decedent.
Description of Property,Date of Acquisition,Namel Unit 'I ~e;~~ntage Estate
Address and Relationship of Co-Cwners,and Place I Value!Share Valuation
of Record of Instrument,wher.e Real Estate.I.;
./'-
)<
>>
NONE
Insert this total OllPosite"Jointly Owned Property",Schedule"E"
in the "As Reported"column on the last page of this return.
DEPARTMENT VALUATIOl"
CAUTION-Do not Wri te
In This Space.
Value of Value of'
Entire Decedent's
Property Interest
RCC-37 (12-63)
..'O~t:\ll)~\\·E:\l.TII OF l'r::'\:'\~YYL\NIA
TIL\NSFER 1:'\IIEH1T:\:'\CE TA.:\':
RESIDENT DEl'Em:NT
SC HEOULE "0"
BENEFICIAHIES
]-
BENEFICIARIES AND ADDRESSES RELATIONSHIP SJRVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofall'~IO illegitimate Ghildren D~CEDENT OF BENEFICIARY
,He an interest,vested,contingent or otl~r are involve.'!,set STATE YES IN ESTATE
wise,in estate)forth this :act.)DR NO BIRTH
CLARA P.CARLSON Sister-in~law Yes Ovpr 30 1/?Rp,d ..l51~':''':':.~I·~-
680 Sumerlea Avenue
Washlngton,pennsylvania ....
j
VIOLA NICHOLS Sister-in-law Yes Over 50 1n Rp,,:npnrp
I
I
I
,
.
,
\
h
Depcnent further says that all the abov::l-named benefici'iries !l.re liVing at this time except below:
NAME DATE OF DEATH RESIDENCE
~IATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Will
Allministration t No.
P.iI THE
Year .
Deceased
(Executor-Administrator
must complete "As
Reported"column #1.)
CJ ~""0 ~'"''"'et>et>0 Il''"'~VI ::l VI
VI VI 0....,.,::l ""0~et>~'"''"'Il'VI 0x'0Il'""0 et>0-'"''"'(b 0 ~'0
trl et>'"'VI ........'<Il'....et>
~,1 t
Late of .
County of
Commonwealth'of Penns}:lvania
REPORT AND APPRAISAL
'V d "'0;)1J 0.L.~2·',1 \B'S''Jf#i\
'S'-1 .'1 1;1 .,'""f-!"'Ie"I .r',...,'.\'1:i .n"'':;\.J ...~:'L:L.O In)~U
\0 ~~,:J l~~'';-1 .~-i'~'~,'~.:~r~'~
-£;9-£;9
",~
i..l)
."-0
~:.
:~
"
CI'lc:
~~>
.~..-......--....--....~W CI'l CI'l
?"'?-'f}
C'5 oj >:::
OO-£;9~-£;9
~~---
.;;,.....~~"~~~:\S ~-;::~:\)0-:.:.looot:~:\\&.~\)~
i;,~
i;:..~'
-t:~.£:~
1..~:
'$1.
!~;Stf:
f r"~"l
I ·i".J~"'....~.f~"~-\-I1:
-£;9-£;9-OO-£;9~-£;9'92 ..,'\')i.{'iL1~.......
,
l..8JJ ?l.r,
...,i'".,l
·ii..'!'t~:l~.5 ~•.;
~.
-...C>
G"..•
~.
~:
<J'..
.\L ---~~/'0,;>,~::r."''--'\}'''~tJ:,:(1\<1:~:"""('0,:_\(t I,:)
:'-l ~'"'_·~·C:S2.:~.g~S)c...~()-
\
ol
«.
..
DEDUCTIONS ALLOWED IN J
(t;J-lo ,~0THESUMOF$ .
6 ~.--=7/'-~a c:J
STATEMENT OF OES:rS
.•,
OFFICE OF THe-..."
Form RC C·lO
J .;:"-REGISTER..oF WILLS AND DEDUCTIONS )~,
,~--"Wast:lingtor:l DATE ~.....................;.....OF COUNTY
AND AGENT OF THE COMMONWEALTH
Register of WIII-~(
Alfred Nichols South Strabane Township 71 p""
~ESTATE OF Q.LATE OF
DATE OF FILING APPRAISEMENT DATE OF DEATH j)'1 6,1971..prl
DATE NO.OF NA"'''OF PAYEE REMARKS AMOUNTVOUCH""
Stewart F.Barnhill Funeral Expense 95J 80
.... • d Feraus Attornev's Fees 4.10C 00MiU:1 I.an
r1::o...::o 0 r"'....1 ..l'In r:I~rnmmic:c:inn ~t::1"ir I..........
"'~~hinn+nr:l .......icdnn IIInn,
".-,,_&,-.ic:;nn "1lInn..
Il"IQ';)IIII1~I.QU '.."J
0 .........11 a.4"'....;,.....1\rim O~•,t:i,1('\('\\
Bell Te1enhone Final Bill 4f:In~
1.1.....4-n.....__n......~.........Rina1 Bill 4(17R·
rnl"mh.;::o.r:6..~in~l Rill t::1Idll
".:....:I'_.&.,,-Final Bill "c I",.
v ...,.....~-.......
l;twn r::o ......::on....r1o::on-1nn r:-.:__,0':""n"hn
"'~
Real Estate Taxes 11071 T::ovo..JI "fl'!nl'\.."
Guy Zurric -car'repair Final Bill ?7,)"d '
American Oil ':0 ••~in;\l Rill r-Io\l'\
v .'"
Real Estate T -T;ty C=::o1 ...l'\~.....,.,.......
-or '-.r.;;Tv ".1
Real Estate Sales Commissi:m Sale of ProDertv ~1 ~~~1n
~1ellon R;tnk 1('.,4:'.....,n .....___.:,...n ),~P-'7 ·t·"'......"'""n
In .-M n .3_...,...410D "
-<,.'--av ~4-(f~1 --.J.:.~'v ........""y I"'~~~"~'6"-.~,
,
I
COMMONWEALTH OF PENNSYLVA...IA
}SS:COUNTY OF Washington
I,e k'A\49 e·(!'Q\Q.L'5 q-,....HEREBY CERTIFY.THAT.TO THE BEaT OF
lilY KNOWLI!:DGE AND BELIEF.THI!:FOREGOING IS A JUST ANI:TRU E SrATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES 0.-
ADMINISTRATION SUBMITTED TO THI:ESTA"!'E OF O.Alfred N1 chol S DECEASED.AS DEDUCTIONlii FOR
~""7,~._____~:..:......:-=-~=~=~L_(L.S.l,.,,..,0
SWORN AND SUBSCRIBED BEFORE ME TH.S ...JOC-DleY OP'
~~L
INHERITANCE TAX PURPOSES.
)
c.d ..
<--.1
0 (/)<t:-J a..-,..-J,'-C"'-..l c:::::3:0:c ''e'(0c!._::E tL 2t,-:>c:::C:J c:c !-"-~,U.J !~,~1 i u.1 I-Zj_i....J U)U)-:rXJ .(/).....1 LW 0 V)""'"',....-"""'~1...0....::Ja:.:W <:('<..,J L::.~r--
'"
\..'
.~,..
::1Il111l'l \"1IJQI1 ••mrjOY.J atrWi/AN:>
.eCi ,.«)1'I01!1'l1tf'G'V .1'I~"l'If.?.:W
P-\l'1 ,E TW1fuA &!0Uqll3 noir.2lmmao \'M
.',
·IN THE ORPHANS'COURT OF WASHIN;GTON COUNTY,PENNA.,-,
)
In the matter of ,the Audt of Account :"Led in the Estate 01
Nichols,O.Alfred
),oate of dealh __--;;~~r-,_'-G"~,--'_"",_~-",1 _
\No.h.oa Qf lm,Te-m.~9 72,A.A.
I
DoclGt ---1.-8 -161-7
ro THE AUDITING JUDGE:
Enter my ,appearail1ce fer the Commcrwealth of Pennsylvania.claimirg t~ansfer inh~ri,aiUce tax in :ilie a'bcwe estate,a!:follaws:
JR.
fo appraised Vialue of Estate:ReaLty________$ol Z 6-~O ..0 ~_
?ersonalty -----------------------------------------------------------------------------._______'$------t~'---'~=__;r-=-/~9--'9.'-,;!:-.-..:;j::....Jh:....A'----,/'-
Additional Assets per Accouct,Subject 'to llax $_
Addrtion3l1 Assets per Audit,Subject to 'I1a~$_
CR.
Ilebts rand Expenses per Acceunt;see KotE
GROSS VALLE -------------------------------------------------------$-_"e-2--={)-.I.'--=~_tfL-L.P-=-..~d~6c--__":r c -
_It V/O,';rJ
Mdttional Debts and Expenses per Audi-t
':'OTAL DEDUCTIO:~S,
NOTE:The following credit3 claimed in me Account are
held not deductible '3IS against the tax:CALCULATDl\;
Gress ~.mue m_m :J__/)6f r V (;
Le~Del!uctions /4_V_t_,'A()---:r=--:,_O-----;.---_
Clea'r VcJue________________--.i~Y§<l'=-fL__
)
tax-!
able
:it
2%
-rl:ltere~t__yrs.__m:>s.__days fl2 __%$
Total Tax_____________________
Less amount previousl~PEid___________________________________________$_
Ealance $J q?~',r"..
$------
$-------
$------
$--------
$-------
TAX PAID ON ACCOU'lT
T-)TAL TAX AND ll'-TEREST DCE ..$
$--____________-==~-~-"-_,V 8'Y\.~L_
------------------~\,--------------
}{}t ll'""'"
---------$DJ I j(,,"~
-----------------------------------------$_j~£(2 },_~Y,_
~"
..
.
..1'..-
?,
'.
~
\
No.,________Tenn,19 __•A.A.
ESTATE OF
Deceased
V'~cb)
J1'..<:s
-r ,,-
..
,r>
'~
PRAECIPE FOR APPEARANCE
FO R
COMMONWEALTH OF PENNSYLVANIA
~5
\4)
\,6'
"...
RCC-81 (6-71)'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRIS3URG
1712'1
NOTICE OF FI,L1NG OF APPRAISEMENT
ClARA P.CARLSON
(Executor~
IN YOLoR REPLY PLEASE
REFEF'TO
Inher tance Tax Division
38-161-7
In Re:EstJte of 0.ALFRED NICHOLS
__-,-W=A=-SH=-=-I__N__G__TO_N__County -Fi Ie No.__6-=--3_-7_1_-__4_°_(_
Dear Mrs.Car1so:1,
You are her~by notified that the ~or~J..=..·gJ.:::>:·~na~l"___
appraisement in the E-state of 0.ALFRED NICHOlS
has been fi led in the office of the Register of Wi lis of WASHINJ-TON
County on Febrm:"7 8 ,19-22-,Said appraisement reflects th~follcwing
valuations:
ReaI Estate --'-=-27'--<,L.<5:....::0c.:::.0~.0.=...;0=--_
Persona I P roperty-----"I4~3..,.,,1=9:;.;9;o,......~~'6~-----
T ransfers -'-_
Jointly Owned _
Total 7+-'O"",......6L;1.9'-7-9......2""t.L._
As to such t.x that is paid w~thin t.ree months f'rom date of deat~,a fiofe (5%)
percent di,scount is allowahle.As to any tax that remains unpaid after nire (9)llonths
(fifteen months when c"eath occurred from December 22,1965 to June 16,B71,hclusive;
and twel,ve months wh~l death occurred prior to December 22,1965)from cote of death,
interest at the rate of six (6%)percent per an1um is charged.
Any party in I1terest who is aggriev:!d by an appraisement may af peal therefrom
as provided by law.
Date F_e_br_ua_r-;....:<y_~~,_1..:.....97'_2 _
DATE OF DEATH:April 6,1971
Note:This is not a bi I.
RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
(l~A " .(!r/LAJ
Estate of NICHOLS
(Last Name)
0.
(First Name)
A.
(IniHal)
DATE OF DEATH 4-6-71 FILE NO.63-71-40C
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed b:heritance Tax Appraise.in and for the County of __W_'A_S_H_IN_G_T_O_N _
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item i:1 the last column t<>the right in Schedules "A","B","C",and "E".
Dated:February 8,1972
INHERI ANCE TAX APPRAIS
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Rel;ister of Wills in a:ld for 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 colLI::m to the right in Schedde "F",which greater or lesser amount represents the sum
allowed as a deduction.
Dated:_
REGISTER OF WILLS
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
VALUE AS REAPPRAISED
$-------+--
annuities.. . . . . . . . . . . . . . . . . .s t=
-
ESTATE TAX ASSESSMENTS ;0 .
"'(;1_'0
FOR USE OF REGISTER ONLY
Tax on $----------.1--
Tax on $----------.1--f%
Tax on $----------.1--:%
Tax on $~--1('%
Tax on $C!;%5
Exemptions=========t===Total Estate --+-__
TOTAL TAX
COMPUTATION OF TAX
$--------1---
$--------1---
$--------+--
$--------+--
$--------1---
$------_...1..-_-
(*)"As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Re,,·enue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
:----It=:
$.======L====
BALANCE OF INHERITANCE TAX DUE $L
Add interest at rate of 6%from_____to $---------'
AMOUNT OF ESTATE TAX ASSESSED $-_~_----,L-
Estate tax paid $-Jl--
BALANCE DUE $------__~~
Add interest at rate of 6%from--~---'lto-----$-----~t=TOT'&.L TAX BALAl\CE $-----~,
PAID $__-'--__....J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are cude to the abovecompulation of tax by the Register of Wills,for proper reason,
same should be noted below,with dlOrt explanation.
Will
Administration (No.
IN TIlE
Year
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
..O.ALFREE...N.I.CHOIS .
Deceased
Late of .
County of
SOUTH STRABANE Tv~.
..WASHINGTQN ....
<"
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
"r l loj
\.\
".
...,
...,
Funn.RCC-2
c·
DEPAttTME~JT OF REVENUE
..BuRtt'AU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.171 Z7
COMMONWEALTH"OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE X.f?l?~~~:ry ~.,~.9.7?.
COUNTY WAS..H1NG.T.QN .
FILE NO 2?.::.7.!::4..Q9.._ .
Whereas,9..!l:Y.'Xt.~~P.N.~9RQ~late of ?.QtJ..r.!.j:~.r.M.~AI':J~TWP..!!.
in the County of t-U\$..B.ING:T.QN :Commonwealth of Pennsylvania,having died )n
the s.ixth day of April.....................................19 .71,seized and possessed of an estste
b'ttl h't Tax nd the I of th Comm wealth f Pennsylvania'su Jec 0 n en ance u eL'"~s e on 0 .,
Therefore,I,.......M.?kc.t.;:J.................~......................................,an appraiser duly appointed according to la'V,
having been designated to mak3 a fair and conscionable appraisement of the said estate,and to assess and f.x
the cash value of all annuities ar_d life estates growing out of said estate,hereby file the following appraisemen-;;:
In the event that any future intelest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent aft=r
the expiration of any estate for life or :'or years.the Commonwealth hereby expressly reserves the right to appraise and assess transf~rinheritancetaxesatthelawfulcollatel.El rate on any such future interest.
I
Unit AppraisementDescriptionofAssetValuesM'ade for Inhe"ltanceTaxPurpo.es
$
REALTY :,
SEE COPY OF SCHEDULE U~lI ATTACHED 10 APPRAISEMENT ?7 .l)O(();00
,
PERSONSAL:
ISEECOPYOFSCHEDULE"B-'ATTACHED TO APPRAISEjItJEN'1'J.?1 00 ?t..
total 70.699 '26
,
0
,
form~;'7;;fh~:::rh~w~~£a~:~a~o~er~~~~~n~~:.
............'1...............................................................~........................................................~
~~~str ••t)........····..·..:........·........·........·v ..··..·..··ip~;;t..·()ffi~~·j····......................,Penna.
..........WASHl..NGTON .County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
O.ALFRED NICHOIS
Deceased.
Late of
SOUTH STRABANE TWP
Date of Death,4.':::~7l ..
Appraisen;eilt Docket Vol.,38 · ·
Page,:J,,9.:J,,~~-7.No 9.3.~.7:J,,~4Q.Q .
Filed in Register's Offi.ce,..lt.~p.$19..7.2..
Amount of tax due,$.
DEPARlMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo,ut Appra.isement,
Appeal f,.om Appraisement,..
Entered and charged,: .
L
"\
'.
~
.(.
.;'.
R C C-49 (8-71)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
HARR,ISBURG,17127
PENNSYL~ANIA ESTATE TAX
DETERMINATION IS r
LIS poSy.n ~~b
wash p "9 f()f/I..CO u.'1T~J
rt I<Z.,bJ "7/"Lfo 0
19 72..
Estcte of:----'(?~,----=Fl_L__:...r...:.--R...:.--~=__!._N_.:·l~C..:....Jh~o.!:>.:LS:L___
Date of Death __--L¥-_-~C'__·....:7-=..f _
County ~W~a>.l..sQh...l:th~97_/c!-:()~r:....:.~----_
Bureau FileNo.--,~~~3~~+7l-1-".........lfL...:"=---'0=--_
.1.Taxable estate per U.S.Estate Tax Return,Form #706 fi Ie~J...t .12....
2.Taxable estate per final chang=-in Federal Ret Jrn dated
3.Amount of credit for State deah taxes.
[){{r J~'1~/"7
N.:r~'ht'....~])ttA.e-S/II/',-
$__-I.'jI}~o.:.I.h..lo.e~_
$-------
As shown on return form o'final change notice ($
As verified by computatior '1l6he.
4.Penna.I:nheri tance Tax due and/o.r pa id
5.Normal Inheritance taxes paid tco other States
6.Total Inheritance tax credits (4 +5)
7.Total liability for Penna.Estate Taix (3 -6)
$
8.Less:Previous payments on a/:of Penna.EstJte Tax
Date of payment ~.mownt of Tax p'Jid
$._-----
Amouht of ,Interest paic
$,-------
9.Balance of Penna.Estate Tax c'ue (7 -8)
10.Interest due from to @Q%per annum
11.Balance of Penna.Estate Tax cr.d init~rest due cs of _
Reviewed and approved by -,...-_
(NAME)(TITLE)(DATE)
R CC-49 (8-71)
COMMONWEALT!H OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
HARRISBURG,17127
PENN'S'(LVANJ'A ESTATE TAX
.",
DETERt.lIN/iTION ;tt-,e:{
,,
[lV\t~A.Ct,QS _L',r{,
J
('...."Date -..,~.I'i )....
Es ta te of:__C"-")L-.L-'-!-F...::..1.::..LL.r.:....i(--'...J~_A..::.I_,..::.C-=-.H.:..:o:.-l_S _
Date of Death ~4'------.:·l=--._'1'_,_
County l.u11:5IISj''''4~T;O 31r·/v/.1
Bu reau FileNo.;,;/.;;=:J,-=,-~7....!....L.J_'-!.../-:,:d='t _
1.Taxable estate per U.S.Estate Tax Return,FOrTI #706
i 3d
2.Taxable estate per final change n Federal Return dated-3.Amount of credit for State death ·'axes.
$_--J:'1IIP...::::-"'--e""t=_
$__'1'W..o:..=N'_I..I.....;:....=.__
As shown on return form or iinal change not ce ($"')1~\..........-,
I As verified by computation ..tt~....
4.Penna.Inheritance Tax due and/or paid
5.Normal Inheritance taxes paid t:>other States
6.Total Inheritance tax credits (4 "5)
7.Total liability for Penna.Estat~Tax (3 -6)
8.Less:Previous payments on arr.of Penna.Estate Ta<
Date of payment
,
~.mount of Tax paid
$------
.Amount of Interest paidl
$-------
:f-.."..--"-~9.'Balance of Penn'a.Estate Tax 1ue (7 -8);-----.
:},..........;t,';,...,..",....~""•l.)10.Interest due from \:tc @6%pe e anr.um
"
11.Balance of Penna.Estate Tc,x :md interest due :IS of _$===~='~=~='='..(.===
Prepared by
Review4ed and approved by _
C....AME)(TITLE)(DATE)