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Home My WebLink AboutOC1971-0415 - ESTATE OF HAYS(;3 -7/-flS'~ 1\ffibuntt (@f 1Exrrutnr @r l\ltmtutntratnr J S>httr of 'ruu11yluuttiu } I1t ttl f 1ltIt.9:l;~~!!P_..1111:\tl-OU y 0 1IIII'I:'Il!KplJqPlH1K: Personally before me,the undersigned auth·)rity.a ~~~.~!.y_..~p!.!~in and for said County and State,appeared ~!'.y.~!~t~P:~~~..L _ ,who,being duly sworn according to law,deposes and says that s he is the executor uxm~cf the es- tate of Ag~~.~~~J..~~.J~~y..~.,'_dece!l,sed,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of ..._~g~~§...~~!.!~....~~.y..~ deceased,except real estate outside the Commonwealth of Pennsylvania;that the figu:-eE opposite each item of real and personal estate in.the foregoing schedules are determined and st:l.tE,d 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 ~ Sworn and subscribed before me ihis ...J,.~.tb.......}~//J'h ~.LJ/"Jlil;!1}.::=~r::.....19 .n.mT~~~u[~::~~NOfa:rYPiib{~~~~~*'~lM'&'M¥r'bWsn expires Jan.6,1973. 1.An inventory must be filed within three mor:ths dter appointment of personal reI;.resentative. 2.A supplemental inventory must be filed with~n thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,UndEr $1(.,000;1 Original and 2 Copies anc 2 RCRI-33, Over $10,000,including Copy of Will;1 Orig3nal and 3 Copies and 2 RCRI-33,Over $1:-0,000,in- cluding Copy of Will and copy of Federal Estate ':'ax Return. REFERENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3Juurutory uub ,,"pprUi11rmrut·of 'he goods and chattels,rights and credits which were of :.Ag~~~~.~.~~.~.~~~y.~.late of ~~~~~.~~~.~.~.?:. Washington County,Pa.,taken and made in conformi.;y with the above affidavit. ( Schedule nA" Schedule "B" SUMMARY Personal Estate, Real Estate, Total, DOLLARS $7,1194il None $7,119 41 CENTS ,.' J,' t,(-I ...i ~~til ...... I:X';:l......:trj ~'";:le:.... ~0"1trj~ tr.l ;,~;:ltr.l ;:,... <Il...,~til ~"::r...,"::r tr.l ~;;;. ~~'";:l......... J \0 ,l,~clON 2L025~d .\t _..J ,J ..l.1.< ",.,,I,,.I _ \- ·J INVENTORY AND APPI1AISEMENT ESTATE OF AGNES BELLE HAYS l~te of Washington,Washington C.)unty.,Pennsylvania,deceased. .. SCHEDULE "A"PERSONAL ESTATE 1.Checking Account No.60-63358,The Miners and Mechanics Savings and Trust Compa:lY, Steubenville,Ohio, 2.Distributive Share of the Estate of Clarence C.Hays,late of Washington,Washington County,Pennsylvania,deceased,.to wit: $301.28 (a) (b) Cash, 3 Shares of West Penn Power Company, 4!%Preferred Stock, $3452.50 ,196.88 Total Personal Estate, (c)75 Shares PNB Corporation,Cc·mmon Stock, SCHEDULE "B"REAL ESTATE 3168.75 6,818.13 $7,119.41 I)':I'.'l;'..trL "~, I ,t1 '}\ T1' -...,..\j fJ.J! \.'..L 1 .1 ,r.1 .,Ib. •,.J \,J._, ."~ -..i f ~..!1 • J ....J" .1, \'f I.' t,..J'd 1,,,1 ' ,. J " .,J ,ill -',.,I ,., ,l. ,-,J \; \' ~'L \~ \~} \ )~~ I ~~""-... ~~ .,....}, ••ft A"·"~.•~ J QInmmnulUtttl:tlJ nf 'tu:nnylttttuttt.t IIttn4tu;ltnu QInuuty.~ KNOW ALl..MEN BY THESE PRESENTS:Wl:ereas,at Washington,il1 the County aforesaid on the 4th.day of May A.D.1971 ,before me, RUESS11 Ma:r ino ,Register for the Probate of Wills and 3ranting Letters of Administration in and for the County of Washington,in the Commonwealth of Penrsylvania, the last Will and Testament of late of Ag:ne s Be 11e Hays Wa~hington in the County aforesaid,jeceased, (a true copy whereof is to these presents annexed),was c.uly admitted to probate;and :Mary M.Matthewsrix the Executdl:in said Will and Testament named,having appeared before me and taken and S'lbscribed the oath of office~mescribed by law; NOW,THE3.EFORE,I,Russell Marino ,Register as afOI-esaid,do grant these LEITERS TESTAMENTARY,unto the sai:l Mary M.Ivr.a tthews committing unto Her the ad-=ninistration of all and singular the goods and chattels,rights and credits,which were of said deceased,a:ld requiring He r to exhib~t a true and perfect inventory thereof into the Register's Office,at Washington,witHn ninety days from the d:ote hereof,and to render a just and true :Lecount of said administration at the expiration of six months from the date hereof~and to regard and amply with the provisions of the laV""s of this Commonwealth relating to inheritanoe taxes. IN TESTIMONY WHEREOF,:=have hereunto set my hand and the seal of said Office at Washington,this 4th. day of May in 'the year of our Lord one thousand nine hundred and Seventy One _.."'l2~~_2?z~~. -Register \ '",i-;Of;' •.0 0 T 71 119.41 71 385.62 14)5 95'.03 S 14.505.o3T N --I FORM NALY No.112·9 WILL 10,";t.•For Bale by P.O.'NElly Co.,Law B'anl:P",bllaher.415 Grant St..Pgh.,Pa.:.52:9 Jll'I publish and declare thi8 to be my Last Win and Te::tament,in manner and form following,hereby revoking any will or wi~here-:o!ore mcde by me. I, of and 8tate of A~i1~SJ8I.LB lL\YS 720 ITorth I:nin 3troot li1\~jlII!TG'roI1,15301 'Oounty of PElIlTSYLV1LJIA bei:"lg 0/80Und mind and memory,do hereby ma;'te, f Fir8t.1 direct that an my jU3tde:bts and funeraZ e=pen8es be funy paid and satisfied,as 800n as conveniently may be,after my deceese. Second~I=y ExecuteI'is d::'rectcd.to clw..Il2,-o to DJ.'ld pay out of my oo-:;ate all succossion,transfor~irJloritalilce end ostato tC'.Jtos uhich Day bo assGssod against Ely estatG,or tho intol"ost of nn;y bonofic.iar;r thoroil1o Thi:L,~d,I do herob;y deviS':3 ~boqu.oath and [;'iva to tho '.;:rustoos of -:;h·:3 Creos CrosT;::UnitodProsbyto:d<:!.l1 Chur'Jhll cO;;;f.1on]y 1::n0iil1 an tilO Tont Church,in Croos (- Crook DiGtrictll Drooko Count;y~,hest Yirgfnia the StlIn of f:i200.00 (':i:'uo =I~ldred Dollars)'to be used by ;Jaid clr..lrch for uLntovor usc or purposo tho SC3cions of tho 'ront Church miGht d!3Cido. Fourth,I do furtier dovice,bequeath and givo to tho Cross Cro)k Cometery ASfJooio.t:i.;::m tl:.o sun of ·noo..09'(Ono Htinclrocl ::-iol1al:'s)knOHll ns tho Tont United Procb:!toria.'1 Church CGL1JtGr;y ~J.~oinillg tho f}:\;:mt Unitocl P".:;."c'3sbytoricm C11urch pro- porty in Cross Croek Di.3trict,.Brooke County,Ues.t Virginino Pifth,Tho Foot-Locker that I 01J'n to[pther with its contents is to become n;j'dOLlis8?and in thocQ,sc of hO!"docoas3 it shall be placed fl,the I:o~soElGion I diroct that tho old-fashioncd throo-dri2uoruash staric:.-:;hat I Olin be delivored to D;;,r noice,I.lrs.'lirginia):GIJ:e Richey HolDes?and in tho cO.so of her deceaso it shall bo l)lac.ol~in th0 possoBsicnof '':Jzrnoico I',rGbl':~Y ::BI'garet sevonth,All the rest o=?the propert;>r that 101m is to be equally divided. betlTCon my noices !lrso Ear'J I:;J.rearet Hichey I:atthO'iTs and r.Trs e Virginia Bolle Richoy Holmos and ruy nophon I,::::,o John Locnard RichoJro _.;J Ful"thor,I purposo that if any of the persons named last abov':3 be d.ecoacod at tho tiDo of my cloniao the f'ollo1ring c..iGt:,ibution shall b0made: IfI:ro.I1ar~t Lal"[;Clret R:'cho;1 I~atthous bo deceasod hoI':shn.r0 io to bepaosocl to her husba:1d ~:r.C.Kenneth I";attholTs,"arid if T~rs.Virginia JJelle Richo;y HolDoe b0 docoai:3od h0r sharo aha:'l nO)passed to hor husband Er.Glonn R. IIblr:ios.If Er.John Locma::-d Richey be doc::n:mod tho ohtJ.ro that he ooe;boon na.")od to recoive oha1l bo pQOood oqually to ng no1coo Erso I-lary Ilar{pr0t Fdchoy I.!attholTG Dnd 1:1"80 Vi1"cinia :Oolle Richey Ilolnoo, ij, "~ r 1 do hereby make,constitute and appoint myn0ico,i~ro.I:o.ry !I.Eattllons 10[';3 Soventhstroot to be my'executratrix W~~Gobur~,Po~~a.15370 01 this my Last wm and Te8tament I, ~l~. ~~.~ ~~ [ )Z__G~__E1&_1i~__-----:--e _. :iiIii f.} '1II!.i I, JI I ..-' ,J.-'::.. the TestatriX wt Win and Te8tament AL"7l0S Bello'IIo..yG, hoI' Signed}sealed,published and declared by the above named 7·...,0 ~T t'-..1 • -.-'t t 11 ,.•-D d fc..l;or il unll ':'J roc \l ,)[131unC"tOlls'19-Q8 an .OT JJnWftness mbeceof,1,AGlBS DELLE llAYS above named,have hereunto subscribed my name and affixed my seal,the day ofrn.Oftc-~~,)~-/Cj'!iJ in the year of our Lord one thousand nine hundred and SovGnt.y.-/ in the presence of us}who have hereunto subscribed our names at hoI'request a8 witne88e8 thereunto}in the presence of said testatrix ,and of each other. \.... .l ,:,u"1'{)/I){\-r':'-.);1~,~,./1 ~,.'f.;/ !)l~'i::c -..~f""/f-:?cJ .a-v,t1:££1 .:vt4.---;;C-:---;2/-_·_--~~_:_._.~a-.__~__••. cl ":"... 110.... ,i lt5 ~ II , -llo ., i , "i .i !:....:.:i I1l 0) I :~ ~ ""l :1\) .. v):-i~ 0 ~ !0 .. >i t t4.. <t;:j 1 i . ..J: 1 .!! ~m;~ : :;; I .:.:: t- o g ~MWiMj~ ,.. III 0, i r:Q c .~ ~ 1 " ~ :;:: iii~'&-';,.... , ~ t.lJ:i ~ ! .1 ~, I ,~to:i ci t!.~ t,) !0 » , : ;; V}1 . : z 1 ~. ;;,'>7.ft,/" IIJl c ! 0 ., ~0 I:}! ~ 0 ~~I\): \e). 0 ~Q)<::::t!<:l ~~:~.to:~>I "i ~t5! ,."'~. L :,._ ~0..~0 1--o 0 ~III . III '<0 III ~»...::r 0..,.....M5'3:;;;::.....::J Q.M-I 10 ~-<=:~:0 Cll ~ZmogoCO)~~:5-0..Cll !tr30::J .-0 :z );.,-.<'""-0 :;:",:s;:III 1Il:5.n CD .§;~:s::..........."o 5 ~c:?":0-2::r m§§.0 ~0:~Cll::J i!Z .-jo ~:z c:c .::t:::::!.o::J Z'<=-....0 ~::....0-::J 0 n en~"'.x ::0 V",....Cll 0..0III:I>.."00z::p.>0..3 c--<III on _.,~Cll r-••:g ~c>.;";.0-8 0..Z < 2.en ::0 o~'C!l'".»a ~~~~-o'....:z ?g:g ~K ~Z S.~nr'"-<i'"Cll .....8 ..~2.,,0 '3 0 s::.. !to.~.(1)~:s!l.~:<~.....0':g ......:,~~-v---til ; 0-en ,Cll en:'-rn 5'•• '0 :(..t:r 10 :...:1 :~\.~0..:(.1):s::::-< ~ 0.......-on -.......g o ::T..,o ::J '<Cll Cll ::J 0 O ..,III nIIInCll 'n~<.0'"_<n:::5 -to>cr:3 0..~0.....-to>Cll Cll 0 _.a. ::J =.:0..0..'<-..~.~tt ~d ~0-~,".....-to>:+lb .....:~3 0 ~g:.~Cll 0'<ZOCll'<<- ::T 0..........~'Cll 0o .~:!,:::r :til ~~ ::J ,(\)::7 0......'.0.. 0..:::J : 0:g 10 _~'Cll::J ~0..0 ::r :"8 ~\' 0..:~,,,;;o""0 :~ O if.......<'.....~~::TCD :U) .....:Cll Cll 10 0 n :,0 ~<':~::JoN'.....-.Cll '0..:o:t-:l :VlIII:0 _._:-0~'Xu s::::J Cll ,'<_'i'N~:+0 <g .:~til .-to I n -:~:T :1 0 n :~::T . '{Vl 0 ::J '0~:l.C1l s::~:~.....,.........:'i _.'.......:~tn ~:~\;;r ''N 0 fJ g:.~.[i,l ~ o-Cll=:< '0 '<3-0 :(\) -0 0 Cll :g 8..,::J ii1 :n ::J 0 '0 ;TCD::J :s:: v'..,III ::J..... ;;0 Cll10iii'Cll. .! ~::o •-1"1-.I l>/'T1::O """S ~0'C -:::r.:-(j)::J: ~(J1 ::z:",r:z -I O?-e: G:>f11 rt1 "'"rn-I ""J 1-o'-r-rv ::z::O 0 "-"1 ~-0 ... 0::£5';::::x :;::::-~"0 r'"Zl>(J10 ~ ~ ESTATE OF McCIlEIGIIT,MAnnINEn & McCREIGHl'and,-,0.:P.Q~QG.~.J ;p.Q~.~QGJ~~~ijQM!.\.S.'~'"I.-to> Attorne~for Accountant 'T""-~ ~/Z;'4~.2LJfJ~ And now to wit....~:2:.:7... 197..3..,the within account presented to the Court ...................A·9~.~..J~~.~~..)!~¥..~. ~.?:-.~.~.~....~~4....¥..?:-.~.~J......................Account of MARY M.MATTHEWS Executrix.......................................................1 . 9..~~P.-.~....!~.~.:t...Y!..!.!J:~~.4.r~.~.1:.~m~.~t 9..~~g~.~...~~!!~~....~¥.§.~J.~.1;.~...9..!.. ~~.~~.~.~~.~.~.~.l .....~~.~.~.?:-.~~.~.~.~9.~~.~~y , ~~.~~~.y.!.!.!:':.~~~.j ~~9..~~.~.~.~.!. !~.~.~..~:~.~~~. Register and Ex·Officio Clerk Qf O.C. ,/.' ~.' ~ . ... .) • l-' '~ /.,.-- / .~~.. " .' The Court is respectfu II y requested to determine proper distribution in this estate. e Lt1 ~,----- tor Ac cCounsel- I' IN THE COURT OF CCMMON PLEAS OF WA,SHINGTON COUNTY,PENNSYLVA~~IA ORPHANS'COURT DIVISION FIRST AND FINAL ACCOUNT OF MARY M.MATTHEWS,EXECUTRIX OF THE LAST WILL AND TESTAMENT OF AGNES BELLE HAYS,DECEASED. NO.63-71-415 SUMMARY SCHEDELE "A" PRINCIPAL-PERSONALTY Receipts Disbursements Balance:Principal-Personalty SCHEDULE r'B" INCOME-PERSONALTY Receipts Disbursements Balance:I n,::::ome-Persona1ty SCHEDULE "C" PRINCIPAL-REALTY Receipts Disbursements Balance:Principal-Realty SCHEDULE liD" INCOME-REALTY Receipts Disbursements Balance:Income-Realty $7832.07 3321.54 $4510.53 $262.66 262.66 $0.00 $0.00 0.00 $0.00 $0.00 0.00 $0.00 SCHEDl1LE ·'A't PRINCIPAL~PER30NALTY Per Inventory filed $7119.41 Contributions by Residuary Legatee~to preserve assets in kind: By Mary Margaret Richey Matthews, By Virginia Belle 3ichey Holmes, By John Leonard Ri~hey, $150.0:> 150.00 150.00 '450.00 Transferred from Income-Personalty 262.66 $7832.07 DISBURSEME.NTS $2521.041140.00 following :: $1331.04 10.00 40.00 Mary M.Matthews Re::.mbursement for The James Funeral Home,Funeral Expenses, The James Funeral Home,Funeral Flowers, Ambulance and Chair Service,AIrbulance, Russell Marino,Register,Payment on Account of Pennsylvania Inheritance Tax, 1972 Nov.13 13 James C.McCreight Reimb~rsement for follOWing: WaShington County Reports,Adv~rtising Estate,$14.00 Observer-Reporter,Executrix's Notice,14.00 Russell Marino,Register,Short Certificate,1.CO 29.00 13 Pollock,Pollock &Thomas Reimbursement for Probate of Will and Two Short Certificates,18.00 1973 Apr.6 Pennsylvania Department of Revenue 1972 Pennsylvania Income Tax,5.30 May 7 James C.McCreight Reimbursement for Filing Fee on Inventory,3.00 7 William R.Johnson Notary Fees 7 Mary M.Matthews Executrix's Fee 7.00 369.10 7 McCreight,Marriner & McCreight Attorney Fees 184.55 7 Pollock,Pollcck &Thomas Attorney Fees Total Disbursements 184.55 $3321.54 SCHEDULE "B" INCOME-PERSONALTY Clarence C.Hays Estate -Net Share of Accumulated Dividends before Transfer of Stock West Penn Power Comp~ny -Dividends PNB Corporation -Dividends Total Receipts, DISBURSEMENTS To Principal-Personalty $144.'70 10.14 107.82 $262.66 $262.66 Per Inventory filed SCHEDULE "C" PRINCIPAL-REALTY DISBURSEMENTS NONE $0.00 $0.00 .,. SCHEDULE uD" INCOME-REALTY NONE DISBURSEMENTS NONE $0.00 $0.00 •Observer .Reporter WASHINGTON,PENNS"·LVANIA PROOF OF PUBLlC.l-TION In compliance with the News,paper Adv~rtising A€t d'16 May,1329, P.L..,1784,as amended. Commonwealth of Pennsylvania,County of rNashingtoCl,ES:. Personally appear,ed before me,a Notary Public in OlnlL for said COlcnty and 3tate,J~..iJ;.h.~J.4 ~..~g..9W.~.~,wh:>baing duly s,vorn acco:-ding to law,deposes and says that he i3 the .Y.i.~.e.::,:P'x.~.§.~.9..~~.t of tte Obs'erver Publishing Company,a f'lerms,ylvania ::or;>oration,ane its agent in thil;behalf;that the said Company is,the owr.,er and publisher of the ·)bserve:r·Reporter,succ'essor to The Wia.:;hington ('bsErver,establbhed Sept.3mbe'r 18,1871,and The Washington R~porter,es·.ablishedAugus'15; 1808 a daily newspap'e,r of general circulatiJn,printec aI:.d published and havi.::lg its place of busineS's at Washington,Washingbn County,PelllSyl· Yam,where it or its pred6'cessors have !:Ben estabLshed and pubH3hed continuous'iy'for more than six months,prior to the pub'ica;;.ion of the n'Jtice hereto attached;thrut the printed notice ::;";'p"dvertisen:.eni hereto atta.2hed is a 'copy of'an official advertisement,Of·.~Li.notice,leg£.l notice or .egaJ advE,rtis,ement,exactly 3:8 printed or publLh.3d ':1 the Jbs.3rver·Report~rin its regular ,~ditions on the following d,ate 0"Ii .::es;___,. ,May 6.,.13 an<:.2Q.~lJ.9.7..1 . that neithe'I'the aff:ant nor ;;he Observer Plblishing C:)mr.any is intensted in be subject matter of s'aid notice or adver'jsing and :hat all of the a::I·e,ga· tiors'of thIs affidavit as to the time,plac:e and cha.:-acle,rof publie;ttion are tme......;l~d.£d ..~~ E=E-:::UTR:X'NOTi'Cm-'-'/ ESTfl.rEOF AG:'lES BELLE HAYS.d"~as~d latC'of Washington ./'r~l1r,gt.m count..v,Fen.nSYlv.ania'fb e rEo restan~ntary''iupon theIaove.e.ta:e .haVIng been:.granted!o th-)l:J.derslgned,alI pei'sons hav.mg c_,nr:J.s againEt··the es'tate are reo qnest:d o.:nake known thesame to tte I.lt.derszgn,ed lOr his~ttorney and~po rS'>UE mdeoted'ta''''the dece t enth2=xe .re-aue.sted tll"rnake paymento t -,Uld2rslgn=dl;without delay,1"[aIY M.Matthews1)a~Seventh Stteet P 11 ,Va;:-nesbJ;rg,Fa,1537() (l 0'0<,PdIcck,&Tb:masW'iYI,",sb.1r~Pa M'cCr:igU,Mar;ner&Me :reig~t,Washhgt()n.Pa,Attor::ey; 8worn to and SUbSe~)efOre me t:1is....2Q.dEY <7...M.ay.......19.V.eU~r:!~¥:,:!~ WASf INGTON,WPSHI-.JGTON CO~~I" MY OlMMISSION EXPIEES MAY 6,197:' Washington County Reports Wa:thingfon;Pennsylvania (PUBLIS-iED BY Vl.ASHIN:::;TON C:lUNTY BAR ASSOCIATION) PROOF ('F PUB~ICATION In compliarrce wEh the Newspaper Advertising Act of May 16,1929, P.L.1784 Sec.3,pangraI·hs (3·and (:;-5). COUl:1TY OF W.....SHIN.:;TON}SSe STATE OF PENNSYLVANIA Personally appear~d before n:e,a No-:ary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposeS' and says:that he is thE Editor of t:J.e WA8IINGTON COl.'NTY REPORTS, the OCIiciail legal perioEiical for said Washington County,published weekly ha"ing its place 0:"business Et Was:iington,Washington County,Pennsylvania, and i3 acting as its ag-ent in th:s behalf;that ~he said WASHINGTON COUI..JTY REPO::lTS was e,;tablisJ:ed on March 31,1920,and was designated as thE official legal pubricaticn for "'Vashington County,Pennsylvania,by order of theseveral courts of Eaid County,dated November 11,1920;that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactt;y 'as printed or pLblished,which appeared in the said legal periodical in its reeular issues em.theiollowing d3tes: ........_M.~.y.~J.3...t f.Q.J J..9.Z..L . Es:ate Notices The Register of WiUs,hll3 ;p-anted letters,testame3tary or of admmiEtratio:l, iI:the following:estates.Not::e is herety g:ven to all persons indebted thereto :0 :rr..ake payment 'Vithout delay ~n·l to thoE-e having claims;or demand,;b :JreseLt them for settlement to the E.xe.:utors cr A:hninistrators Jr their Attome}:S. • • • • • • • • • • • • • • • • I EAYS,AGNES BELLE,Deed. L ate of Washington,"'asllir.gton County,Pennt.Executrix:l'I.l:3ry M.Matth3ws.1083SeventhStreet.Waynesbur;;,P"nna. 15370 -.Attorneys:F 0 110 c k,Pllbc,,-& Thomas.Wa~Jlesburg,Pen_~a.,.McCreight,Marrmer &.,.cCraght, Washington,?enna. that tlte affiant or the corpcratioJ.in be~"la1f of which he is acting is not interested in the subject matt3r of s:dd notic'l or advertising and that all of the"'l,gati~of tim .Jiro.,;,u to th,711!"md oh~''''''!!!.publi,.lion~t=.-~~---------"--i;:-L&L/'~-----------._'/Editor Sworn to and sues:ribed before ~~-~~ 20th Mao,71 .........................day of...,,19 :;.. ~~~~ JOSEPilNE 1.SCI.\MANN~_ ~otary Public,\iJashilgton.Washirgton Co. My Commission Expires July 1,1974 ~u t4:c QInurt nf Qrnmmnu 'l:cua nf maa4iugtnu <ltnuuty @rp4aua'QInurt iiniainu In the ma.tter of the Audit of Account in Estate of AGNES BELLE HAYS TO THE AUDITING JUDGE: No._--'6><.....3..L--J7e-:l=----c4'--=1'-'S'--_ Enter__---!..C!..l.,lWlr~appearance for Estate of Agnes Belle Hays Po])'oek ,Po·]]Gel{&fTlboma s .S_e:....Jp"-t..:...-:..e.:...;ITl.:...;b'-Ce.:...;r.e..-,19---.ll N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of any interest claimed.Objection.s to an account as filed..shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment inthat regard. Jr';;..~~ ;/II,,rl ~~ No.63-71-415 In re Audit of Account in EstaJte of AGNES BELLE:HAYS AUDIT 'rtt~tipt fnr .ApprttrttUr~ FOR ------~--"~-;:o t....l l>fT1 ::n -en G)C_c:::>~_ -to-,--0---,-------\0 ~a-en en --t;Z'-i ,_:,~""~"'l_='u •~,- -i ,:::0 1-t.o 0~iCi 't .di ;"11 :?~~,,:=-c ";5()'__>::::r 0'..0:::;:1.:1';;::::z:;:::::; -or-a'!>V>'U"1 u;:) McCREIGHT,,MARRINER &McCl-{t;IGIIT 800 Washington Trust Building Washington,PA 15301 BY Attorney ~2 '-." PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J ·AGNES BELLE HAYSEstateof,. &•.\.....__._--'-..__._--'_._--_.-----_.._._-__-_...·.',.. 63-71-415 .No . ..Fiduciary ~~~~~..,.M·!,··M~~.~~.~~!?·.················. Deceased ,.f ~~~~~~ Decedent's..de9th.,"-~A~~.~Y..,.~:?J ~~J.~Grant of Letters ~~y.~.L..~.~I~~~. Th''.tl.:I ".'First lond'Final ,"",Tn )'.)f"d'h'IS IS fie "'a·.count I e In t IS estate If there have bee'"forrner accounts fil~d in this.estate,list'file ~umber or number and term :. •,~"~1 •~)" Election to take Under or Against will.(cross out one) Date Election Place of; Filed Record _..c••••••••••••••••• f Name of surviving spouse.......................•N.Q...s.";r.v:i.v:j.AK..~P.9."S.~:. List issue,where material: Did decedent marry after execution of will?(indicate)XlK:K No.Any children born after execution of will?(indicate) ....r,"""f"'r y _I •~ ~No.If aqs",:,e~yes,narne.them =-'"•••~••:.,••,••j L."". _•••__._••_._._.__.__•••••••_•••_.-••••__••_•••••__.--••_••_••-._--_•••-_••_-_.__••-•••__._•••••_._-••••_._.-_••__._••-----_.__._-,;._---_••_:_--_:_-_••-_._--_••-ow. Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris Trustees of the Cross Creek United Presbyterian Church, commonly known as the Tent Church None Cross Creek Cemetery Association,known as the Tent United Presbyterian Church Cemetery None Mary Margaret Richey Matthews Niece Virginia Belle Richey Holmes Niece John Leonard Richey Nephew $200.00 $100.00 One-third of Residue One-third of Residue One-third of Residue List,if exceptions to above: No exceptions If partial intestacy,give facts: No partial intestacy Adeemed:Revoked:Lapsed:Abated:Give Couse: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivis·icn c)received written notiCe of the filing of the account and of call of audit?Yes.2cbllllt If any exceptiot;l give cause:..}f9 ~Jf~~.P.:t;;JQ.~.\... Fi Ie copy of Notice ..f' and date of maiI1ng ~~.p.y.~J ~9.~.~g.~..h~r.~t9.~:t;:ta9.);H~.g ..ma.:i.J:~.g ..M~y ~.Q.t...~.~?~.~. Is estate subject to the filing of a Federal ,Estate Tax,Return?~?.'.,,,. ,.'v ~ Actual payment made on Pennsylvania Transfer Inheritance Tax.Amourt $..1.1~9.•.Q.Q..p.aj..<t..Q.n.J€:~Q.Q.·j)D face of tax,less 5%Discount. If the Will makes any portion of estate subject'to a life-estate,give name and birth date of life tenant... No life estate Give Names and addresses of all unpaid creditors who are legally enbtled to notice,tog,ether with the amounts of such claims;state whether they are admitted to be correct;and whethe-the claim is denied. None ..,"'.,'"-,..,.,... Give reference to such parts of the will as require interpretation by th~Court;a reference to all questions re- quiring adjudication,and.a statement of any other facts deemed neces~ary for the preparation of the adjudication: None Balance for distribution per account, Itemize any additional debits not shown by account: West Penn Power Company -'Dividend, PNB,Corporatio~-Dividend, ~ $3.38 36.38 " $~.!}.l!L.g.a -'. Total aClditional debits (Add)$_.~~~]~,. Itemize any additional credits not shown by account:.,Rus$~ll Marinq,Filing Account,$20.00 .''''',-j ..:'1 ~~;4, Total additional credits (Su!?tract) Balance for distribution $20.00..----___-_- $.,1.~~.Q..·..?9 . If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); ) 3 Shares of West Penn Power Company 4!%Preferred Stock,appraised value, 75 Shares PNB Corporatfon Common Stock, appraised value, $196.88 3168.75 $3365.63 The residuary legatees have elected to take the above stock in kind at the appraised value thereof,per their elections heretq att~ched• .f' $200.00 ; If Family Exempti)n claimed by Petition,give place of Record:NQ~~~J~J.m~.g . If F '1 E .~I'd d't'I t'h'db'f CI"None claimedamiyxemptlonIScalmeatauI ,give name,re a Ions Ip an aSls or aim ···. List any advance,nent or distribution on account that ha:;been made,and nature and amount of same: None: and including contributions by residuary legatees to preserve assets in kind, Suggested distribution of balance shown,both as to princ pal and income/attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shar:!s being stated in proportions: Trustees of the Cross Creek.United Presbyterian Church, commonly known as the Tent Church,R.D.#1, Colliers,W.Va.26035, Cross Creek Cemetery Association,known as the Tent United Presbyterian Church Cemetery,R.D.#1,Colliers, W.Va.26035,$100.00 Mary Margaret Richey Matthews,niece of decedent, Virginia Belle Richey Holmes,niece of decedent, John Leonard Richey,nephew of decedent, GREENE COUNTY OF W~55: COMMONWEALTH OF PENNSYLVANIA. One-third of Residue One-third of Residue One-third of Residue The above named Fiduciary llK»xprxX':Xl:kXi7fg[xk~ being duly :?~~.~~doth depose and say that the facts set forth in the foregoing petition are true to the best of.~~.:r :knowledge and belief. §W.Q!..J:l:_to and subscribed before me this.$~~~_day Of C~19..7.~.. Signature of Office~.~~.~ Title of Officer ~Qt~!.y...?.~J?J~9 . Office expi res c!.f:l:~.~~~~y.9.~..J:.~.7.'l.P•••••••••••••••••••• And your petitioner will ever pray,etc. ...?12..~..1l2 211a~u/~.. ..a,.~,'" '"'!'.. ~,No..~~:-.'1..:!-:::415............._-_.._'.. Estate of....ft...g~§..~~.Li.E'HAYS ..;....-_.._-__-..--_..'. ..,: -, ~ Deceased'; f-I I r~'r..i L c,J, '13 OCT .9 Pti 12 ~9 I I IIii,-_. F"d'M'a;v'M -M tth )I uclary..••........"~~..••...~~~.J•••••••••••;. r. Executrix........-,-_- - -.---_--," )PETITION SUR.AUDI1 .J FROM WHERE DECEDE~T LEFT A WILL. Counsel of Ffauciary -"':iil submit herewith the following,in conformity with C;ourt 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 praecipesof all Counsel in th~e case.. :~....~ 2.Copy of,ortler appointing Guardian ad litem,if pertinent.,~ 3.Copy of'O~der appo:inting Trustee ad litem,it pertinent.. 4.Proof of service of above./'. 5..Letters Testamenta-ry ~or Administration C.T.A.or an attest copy of Will. 6.Copy ot'i.nventory ~nd appraisement. 7;Proof of advertise":;ent of grant of letters if not filed with account. 8.Certificate of liens in case any ,~f the funds for distribution are fr9m jl,ldicIql sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federql Estate Tax return if es~ tate is subject thereto. McCreight,Marriner & McCreight,and ......~?~.~~.?~.!...??.~.!?.~~...~..~~~-~~-~-. Attorney ",,~L RUSSELLHAFdNO REGISTER OF WILLS WASHINGTON CO .•PA. .- J ,, 1 . :::- r: ·,-. M9CREIGHT,MARRINER &"-I\9CREIGHT ATTORNEYS AT LA/N eoo W.6.SH1NGTON TRUST BL.ILDING WASHINGTON,PENNSYLVAN A 15301 ..JOHN B.M~CREIGHT STEPHEN O.MARRINER ..JAMES C.MSO:CREIGHT CLARENCE A.CRUMRINE STEPHEN D.MARRINER,JR. September 25,1973 Jay W.Troutman,Esquire Washington Trust Building Washington,Pennsylvania 15301 .AREA CODE 412 PHONE 225-6600 IN RE:Agnes Eelle Hays Estate No'.63-71-415 Our Fi~e No.G-2859 Dear Mr.Troutman: In response to your inquiry today I have ascertained that the personal property referred to in paragraphs Fifth and Sixth of the Last Will and Testament of Agnes Belle Hays,deceased,had disappeared prior to her death. The Petition Sur Audit shc.uld therefore have shown those legacaes as having adeemed. \~: Yours very truly, McCREIGHT,MARRINER &McCREIGHT JCM/dl eel Ewing B.Pollock '1," "'L :.~,,'.,' ~",~f"· !"o)..,,' -(> ",.'.~..u..> c=> (""').....;.' ,, ~I' ~;, •~:'lo '::~: j<'i" ')'. .""':. ,~,:",.. "',i"J ~'.",'~, ," ;~; ••1~:.'""'"")-11 '"T , t ..,""~.'''~"~,.'.'-".'~- ~' ~. o IN THE COURT OF COMMON PLEAS OF i\ASHINGTON COUNTY,PENNSYLVANIA i Ii II :1II,-'I IIii \Ii!ESTATEI!OF ORPHANS'COU~T DIV1SION Ple~se take notice tha~the ~irst and Final Ac~ount of Estate :~O.63-71-415 Respectfully submitted, ) ) C--·-dLt/~eY for the NOTICE OF FILING ACCOUNT AND AUDIT DECEASED. in said Estate: AGNES BELLE HAYS,II! iII 1/I!IIIiI:II I:1 To the He:"rs,Legatees,Credi~or!::and ('ther Persons Interested II,I 11ilf:n'IIIH:i Mary M.Matthews,Executrix cf t1e abo·Je estate,was fi.lej in the Ii . II Office of the Register of Wills ~f Wasnington County,?ennsylvania lion May 22,1973,and is docketed to the above nJmber. Ii!I!l Als:>please take not ice that the Aud it of saic.accountIwillbeheldtheweekofSepte.~er 10,1973,by the ~pb.ns' II Court Divisicn of the Court Jf Common Pleas of Washington County, II Penney1vlnia,in its Courtroom on the Third Floor of th3 I'IIi Courthouse ~ashington,PennsylJania ..,'I ij j I 11II Ii.IiII :Ma y 30,1973. J ~it tqt atnurt at atl1UUtUtu JaaE uf lIa.a4in!1tnu atnumy. Jtuu.aglnauia.(@rpqmt.a~atum iini.ainu 63-71-11-15ESTATEOFNo._ Agnes Belle Hays, Deceased. In Me matter ofthe__F.....:1=r:;..;s:;..;t~.....;an=d"'--F.....:i=n=a=1~ Account of Mary M.Matthews, Executrix ADJUDICATION AND DECREE And now October C ,19 73 ,this matter came on for hearing, audit and distribution at this session and testimony taken.;and thereupon,upon due con;i deration thereof of the balance for distribution in the.hands cf the Accountant is determined to be $11.53°.29 .and the'account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be,pO d ou-~by the Accountant in accordan:e with the schedule of disribution hereto attached and mad-a part hereof,unless exceptions hereto be filed sec.reg.·or on oppeal be token herefrom sec.leg:.~! .Y SCHEDULE OF'DISTRIBUTION Balance per account ~__'_·..,:..,_ Additional Debits -Audit Additional Credits -Audit Balonce _ Deduct Clerk's Costs &Receipts _ Attorney_--=M..::.:c::...;C::...:r::...;e::...;i=.sg:;.l.:'h:::..t::..:".L.-M-=a::..:r:.,:r:.,:i=.:n:=,.:e::...:r:........:&::.......::M:=,.:c:::..;.C:..:r:..,:e:....:l::.s;g;;L:h=..t=----_ Russell MRrino,Agent,Balanc~of'Trcanster In- heritance Tax on estate assets and taxable tran- sfers during decedent's l1f'e time 596.29 Interest 4/22/72 to 10/22/73 53.67 Trustees of the Cross Creek United Pt'esbyterian Church,commonly known as the Tent Ciurch,Par~ agraph Third of Will. Cross Creek Cemetery Association,kn::>wn'ss the Tent United Prebyterian Church Cemetery,Para- graph Fourth of Will Mary Margaret Richey Matthews,1/3 Residue,in.... cluding one share of West Penn Power Company,4!%preferred stock,and 25 shares P.N.B.Corp- oration common stock,awarded in ki.nd at appra- ised values per Election filed. Virginia Belle Richey Holmes,1/3 Residue,in- cluding one share or West Penn Power Company,4~preferred stock and 25 shares P.N.B.Corp- oration,common stock awarded in ktr:dat appra- ised values per Election filed. John Leonard Richey,1/3 Residue,including one share 'of West Penn:Power Comp8.ny 4~'preferred stock and 25 shs1:'es P.N.B.Corporatlon ,common stock,awarded'in kind at appraised values per Ele'ction filed. $4510_53 39~76,4550.29 20.00 649.96 3660.33 200.00 3660.33 /1&d=·/913(~·~~rj!A~~lOO.OO~~3560!3~'6 lnt 1186.78 1186.78 1186.7 No balance No:..'F~f f r:..f"\t I...~_'t...~'; ,..> .- ...iJ",< ",'. .."~ In the matter of the Account of of Estate of r13 acr 9'-Pt1.12 "ij RUSSfU.'-J!:\mua REGtSTEH -OF WILLS r/ASHINC:Tqf/CO.,Pit --" ~_t r -".~;. ,·1 ""~ ..' .' L. "I I J\bjtWirntinu noo Ittrtt ,'".. ... , ~~-' c. ., ......~ "" f'"J . •< ,.. ~ J '~ "/ ,.r-,'. " IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA. ORPHANS'CO~RT DIVISION IN RE: ESTATE OF ) )NO.63-71-415 AGNES BELLE HAYS,) DECEASED.) ELECTION TO TAKE IN KIND. The undersigned Ma::-y J.l.iargaret Richey Matthews.,one of the residuary legatees named in the last Will and Testament of . Agnes Belle Eays,deceased,hereby elects to take in kind the following items of personal property at the inventory value thereof in the estate of the said Agnes Belle Hays,deceased: PROPERTY 1 Share West Penn Power Company . 4!%Prefe::'red Stock, 25 Shares PN3 Corporation,Comw.on Stock, Total, PER SHARE VALUE 65-5/8 42-1/4 INVENTORY VALUE $65.63 1056.25· $1121.88 ., ,(,I{;I i"I IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PEN¥SYLVANIA ORPHANS'CCURT DIVISION IN RE: ESTATE OF AGNES BELLE HAYS, DECEASED. ) )NO..63-71-415 ) ) ELECTIO~TO'TAKE IN KIND. The undersigned Virginia Belle Richey Holmes,one of the residuary legatees named in the last Will and Test8ment of Agnes Belle Hays,deceased,hereby elects to take in k:.nd the following items of personal property at the inventory value thereof in the estate of th~s~id Agnes Belle Hays,de~eased: PROPERTY 1 Share West Penn Power Co~pany 41%Preferred Stock, 25 Shares PNB Corporation,Qo~non Stock, Total, PER SHARE VALUE 65-5/8 42-1/4 INVENTORY VALUE $65.63 1056.25 $1121.88 r ' l'... ,. .~..( ..~.l Ii ~L 1 ~ IN THE COURT OF C'OMMON PLEA~·OF WASHINGTON COUNT~,PENNSYLVANIA ORPHANS'COURT DIVISION ~. .I'(.' IN RE:),,••ESTATE OF .')NO~63-71-415 AG:NES BELLE HAYS,) DECEASED.) ELECTION TO TAKE IN KIND: The undersigned Jc·hn Leonard Richey,one of the residuary legatees named in the last Will and Testament of Agnes Belle Hays,jeceased,hereby elects to take in kind the following items of personat'Jproperty at the inventory value thereof in the estate of the said Agnes Belle Hays,deceased: PROPERTY PER SHARE VALUE INVENTORY VALUE 1 Share West Penn Power Company41%Preferred Stock, 25 Shares PNB Corporation,CoDLllon Stock, Total, 65-5/8 42-1/4 $65.62 1056.25 $1121.87 . :"I i1 "..1:.JH!.!!' .,I -\ 1fLfj~,~OJ-"v ,n"'l\;.1•.I. ". I t:~-t.I!:'C ~.. ( •I.'. ( .:.un Ll ;)1/1'\)'j'vI(IT~i",J:t--...*'-_......,,-_...._--."".----.-.....""-"....._.- ""'..,,.........ojr,•,J :.Jt:.tl '_, c :.(.."'1 c....--:> f ;,,·f~.:J••\X-~ J:c ~.-,t·: :Tkt .;........---........ t ('\ .'..'."J ,I .1..il \I"il.T ~,,__,Jf.':.-~'-""""'-;"'.';~'..,__~_\\o.-_~....,;::::....-_...•'if·.I.~;I...".__.(*.,;.:.•.,.';:::_ •.:.1 \.1..,':1 '.'$\(.lt ",~U ',(,J ', -'. "~~.~'-'_';~':4-~~ t,I' .. ,'"."'". .." ,,.~~....., .:,"IN'TH'E:cCnJRT:OF COl\lMONPLEAS:OF WASHINGToN:coUmy '~A,'".'~..."',.'.- -,.,{..,ORPHANS"COURT·DNISION '.-.i '...~~. ,!..;".'. ,The Honorable 'PAUL A~SIM:M91;'TS,Judge 0:the said Court.",''.,#,4.;.~ AGNES BELLE H~YS, •.j . .1 ,I ..I I~. ( f ",{, .'") '''( ,), ( '. ,, :HEARING ON,AUDIT <•., I, "·~.f ~,i'. " ;.. ", ". IRRE:'.,,, Deceased.~.,z 0( >~ ')-VIZZ'11I.0.. io~'BEFDR'E: :IVI 0( ~" i; '. "' '~nd w:e h~nd up'bU~'ap~~a;'anc;e with,"t'hem and,aile of.the nec~s ary" l.", r~. f,.'· " '... ,''I;h'e next case,is the estate'or:,AgnEs.Belle ..' .. ,' ,' ,/ W~~nesqay,S~i:temb'e.r;·12,19~3,at,10:00 A.M.,ED~ •~",..~'~'"''.•r ".'"'" McCREIGHT,l\lARRINER &·McCREIGBT:Esqs.,'of ,Was.hitfgton,Pa."re'pres enti~g,the AccouritC:nt. •'r ~.'~'.,,~.'.,,.f "t ".~ .'Jlays. .M~y it I:1e~s e t¥'e ~ourf~,in this'e'state we are .......'..'.,. ,.'.cls~octat~·d·with,POllO~k'.'Pollock '&.'Thoniasc;:>f ~reene County." +........ ,. ui • ~IIII-0:::',",jo0..~THE COURT: 1-'~:JoU', ~ 0(," ~'JAMES McCREIGHT:;. ll."',o t-= U "0::.....,"."tIiiAPPEARANCES:~c ~"'".~,~,0( U51, :J., :t~~TIME: "' "j " 1 ''·:e paper~:",There a:r:e el~dions to tak~'i~',kind ,anci.app~icati0!1-s'1'..- charitable exem'ptiot:J,s have been filed.W.e ~no:w of:no questio .I .".~"'f.'"J'•.J.'j ~.'"",,- ,, 10-"" ,. ,, .t I ,-, I There is. :. ,No,:.they.are not,.Your Honot-.;The charitable 'claims in ex~ess o(~10i JOp apie'ce}. -..:,."..J...,--!,.~ •I ~,f-"-, legacy is in'the ,amount,qf $200.00 and $.100.00,. ,,.<t '.•:',I,t f •'.,"_~I""~ ,•.'"4 "'."~__,..,~.,,f Secondly".,we have to 'put on the ·reccrd,there ....t ~.r!-,'".:.....:~'.~'.,p'"....'}i .,.~".'! .~....'..')':',...:;'is money available'to~taJ.H~..care"ohthese charitable bequ~sts.' ,~,~,9 .~ttl (-,4,.'1/./,t"}".;"..,f,'" ,...;.,~,l',~'\'~~l'~"Z-,"'it".'Y 'r }."~'/f ,,~Ii''j ~.•", THE COURT: , 'MR.'McCREIGHT:• I .' MR.McCREIGHT:' '".'l ." "e>'"~~",. ·.f"'"'>-it .~,•• Hays? THE COURT: ... ;) I-"'~.MR.ZERMA~I: yvould'yOt:announce es :ate of Agn,es B~lle Hays?;_ THE COURT:- l1« :=THE COURT: ", ,-,.. ...';. -I 'j', Hearingnp'response,,the audit 'of this 'account' (NO:,RESPONSE)- ,Is anyon~in,'theCourtroqm'in~er,este(J iJ?-,.tl).e .' .: c ...•• ~o . i:: '.I-!!:o ,+.~ I)". o :l., l[ , ~." is ordered clos ed. ", " ~I ." ai ll: IIIl-ll:o"-IIIc: l-e::J- etU. .J-: vi:, L.o '.'.;.(AUDIT CLOSED) ., "'./.'.1., ", .. ,., .. " ," .I "," • i .. ","'.'II',t , " ,. :.' '.• I ~.~" '. " '" ."·f ,\'.' l'j, " .';-" .~: .,;: ~ ,', ,,' .. •':~l ;'~f~\tot.~~ ,-"~,,.',-, " \l ,H t,.', (I ' <Iix 1"III X j 1-Ill, :Ii II: ::Jj .) .I v 0( J LL LL j " .....~ " . :-:10 ,l ''(. ,:1:'.:.'~ ~~.~l ....1, ., ., , ; _.t"•• -..f"~~...."..,...•_..!the above ca~1Se,and,that'this copy is a;Gor~~cttr2nscriplofthe,same. ,.~. '"''•,.'.•,,,"...'t '.~•t, I'her'eby cm;·'tify t'1at thE?proc~edings'and'eV·~·dence,9-re,., ;"I 1 ,..•.~..I,',:,:.~l'."~"'~•~....," •/;".~..'..."',rr ~;, eontained fully and accurately in tg3t1otes taken by me on the hearing of.. '~.,.l ...I . "'.~• ,.,.. ::!,:.,II: II ::l .I 0(' '::!,::l ::J, :t .. ;(..J I) !:..ii • L {; 5','!: ,. " ., " " " '. " f"'~ ,. ..."~'!!,t !-'. (;;:~,'i (.~,t ,. J r. "t ..,/I " "'...... • I '.,T ,.<i<i I "f:"'.,"~.--'~' ,}1. ".~ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA. ORPHANS'COURT DIVISION ESTATE,OF )NO.63-71-415 AGNES BELLE HAYS,) DECEASED.) DISTRI3UTION RECEIPT. The undersigned hereby acknowledges to have this day received of Mary M.Matthews,Executrix of the las~Will and Testament of Agnes Belle Hays,deceased,the sum 0=Two hundred ($200.00)Dollars,in fuLl payment and satisfaction ~f the amount awarded"to the Trustees OI the Cross Creek·United Presbyterian Church;c'ommonly known "as the'Te~t Church,~by the sa id Orphans' ••••-;'"r •i j '"•~.-I'1 COlJrt Division of the Court of Common Pleas of Washi::lgton County, Pennsylvania,in its Decree ~nd Schedule'of Distribution filed to the above number,in paym03nt of the'bequest made tc ~he said Trustees of the Cross Ci:-eek,·Unite.d Presbyterian Church,commonly known as the Tent Church,in Cross Creek District,.Brooke County, West Virginia,by the Thi~d Paragraph of the last ~i:l and Testament of said deceden~,and in consideration thereof,the undersignej.hereby r~leases and discharges the said fiduciary from any f~rther liability on account of t~e same. WITNESS the due execution hereof this ~~-L~:A.D.1973. day of TRUSTEES OF THE CROSS CREEK UNITED PRESBYTERIAN CHURCH,CCMMONLY KNOWN AS THE TENT CHURCH, By ~4Yt.fb.~ P Pres ident. ATTEST: (RtJfU1AJ IJ.~~~ Secretary. ", ". IN THE COURT OF COMMON PLEJl~S"OF WASHINGTON COUNTY,PENNSYLVANIA. ORPHAN~'COURT.DIVJSION ESTATE OF )NO.63-71-415 AGNES BELLE HAYS,) DECEASED.) DISTRIBUTION RECEIPT The undersigned hereby acknowledges to have this day received ~f Mary M.Matthews,Executrix of the last Will and Testament of Agnes'Belle Hays,deceased,the sum of One hundred ($100.00)Dollars,in full payment and satisfaction of'the amount awarded to)the Cross Creek Cemetery Association,knc·wn as the Tent United'Presbyterian Church Cemetery,by the said Orphans'Court Division of the Court of Common Pleas of.Washington County, Pennsylvania,.in its Decree and Schedule of Distribution filed to the above number,in payment of the bequest made to the said Cross Creek Cemetery Association,~nown as the Tent United Presbyterian Church Cenetery adjoining the Tent United Presbyterian Church property ~n Cross Creek vistrict,Brooke County,West Virginia,by the Fourth Paragraph of the last Will and Testament of said d~cedent,and in consideration thereof,the undersigned hereby releases ~nd discharges the said fiduciary from any further liability on account of the same. WITNESS the due execution hereof this day of CROSS CREEK CEMETERY ASSOCIATION, KNOWN AS THE TENT UNITED PRESBYTERIAN CHURCH CEMETERY, ([;).·~~A~,~~S?Q,~_.~~By rr~.,,_-r"/~ Presid:mt. ATTEST:/'-1".~~c:e;~er~ " r, IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNS~LNANIA. ORPHANS'COURT DIVISION ,ESTATE OF )NO.63-71-415 AGNES BELLE HAYS,) DECEASED.) DISTRIBUTION RECEIPT The untersigned hereby acknowledges to have this jay received of Mary M.Matthews,Execu-:rix of the last Will anj Testament of Agnes Belle Hays,deceased,the sum of One tb.o.lsand stock valued at $1056.25,in full payment and satisfaction ~f the amount awarded to me by the said,Orphans"Court Division of the Court of Common Pleas of Washington County,Pennsylvania,'in its Decree and Schedl.:.le of Distribution filed.to the'above nUIllb~r, arid in consideration thereof,the undersigned hereby rele~s~s and discharges the sa,id fiduciary fr~m any further liability on account of the same. Witness: ~~~d~~.'. day of 1/7£/vU -IllIff/vtliVr.-Vr-./dd",/111a/"f-!:'"~EAL) ,"(M~:tfr M~r~z:et,Richey!Matthew:;) -~.,~,'. I I ·-,, IN THE COURTO?COMMON PLEAS OF WA.SHINGTON COUNTY,PENN.3YLVANIA •. ORPa~NS'COURf DIVISION ESTATE OF AGNES BELLE HAYS, DECEASED. )NO.63-71-415 ) ) DISTRIBUTION RECEIPT The undersigned hereby acknowledges to have this day received of Mary M.Matthews,ExeCl:tr~x of the last Will and Testament of Agnes Belle Hays,deceased;the sum of One thousand one hundred eighty-six and 78/100 ($1186.78)Dollars,being $64.90 in cash,one share of West Penn Powe~Company 4!%preferre~stqck valued at $65.63.and twenty-five shares of PNB Corporation common stock valued at 81056.25,in -full payment and satisfactio~of the ~mount awarded to me by the said Orphans'Court Division of the Court of Common Pleas of Washington County,Pennsylvania,in its Decree and Schedule of Distribution filed to the'above nunber, and in co~'sider:at:io~thereof,"th~\undersigned herebYt"'rc~leases and..~••I t 1:i-'.I., 'If ii'+ discharges the said fiduciary from any further liability on· account of the same.,, WITNESS my hand and seal this Iq~ ~•A.D.-19711.- day of \Htness: ," ..'r • IN THE COURT OF COMMON ,PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA. ORPHANS'COURT DIVISION 'ESTATE OF AGNES BELLE HAYS, DECEASED .. )NJ.63-71-415 ) ) DISTRIBUTION RECEIPT The u~dersigned hereby acknowledges to have this day received of ·Mary M.Matthews,Executrix of the last Will and Testament of Agnes Belle Hays,dece-ased,the sum of One thousand ,one hundred eighty-six and 77/100 ($1186.77)Dollars,being $64.90 in cash,one share of West ~enn Po~er Company 4!%preferred stock valued at $65.62 and twenty-five shares of PNB Corporation common stock valued at $1056.25,in fuil payment and satisfaction of the ~mount awarded to me by the said Orphans'Court Division of th~ Court of Common Pleas of Washington County,Pennsylvania,in its Decree and Schedule of Distribution filed to the above number, and in consideration thereof,the u3dersigned hereby releases and discharges the said fiduciary from any further liability on account of the same. WITNES~my hand and seal this A.D.19"74. day of ,, " RESIDENT DECEDENT ~g,~7/--¥/b" , COMMONWEAl.TH OF PENNSYLVANIA DEPARTME'lT ·)F REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF ~-_..' .Wi\samGTQN j I MPOH.TAN:r:This return mus-~b~co.-nplet(:)ci in.detaJl and filed in d\lplicate,with will a:ttaehed,with the P,egi~t.er of WiLs of the .,County where dece1ent resided;Return is due wi -:hin one year after date .of deat.h,'lIll~ss an (:).xtensi91~ts gra.ted hy the SeGretar'y Qf H.ev~I1'e.(Section 70:j or the Inheritance :and Estate .Tl:i,x Act.of 1961.) Late of IN THE MATTER OF THE,ESTATE OF . ......AG-Nl:S BELLE HAyS .. (State full name of ;Jecedent) ,}AF~IDAVIT OF EXECUTOR C01Qlt!~ County of State of .....J?~Il.JJ.l:;y:Ly~Il.~~... Greene ..........................} 5S: ...........·•........M~~yM.!M:~:t:..~.!l..~~.~,. of the estate ,)f .the above-named decede:nt being duly SWOl'n,depose S and say S Executor Po11()(:J.(,..Poll()·:*&;'1'll()IJl~f),1\~~g:t'n~ys at La.w, 60 W.·H~.ghS1:reet,Waynesl,>urg;,Pa.·1537C Decedent .died ". Name and address,of attorney or}" other authori.zed representative to who~all correspondence should be mailed. (Hayj' ..,19...J.1 ......J t"state ~eaving,~last will.copy'of whioh'is hereto atta~hed•.} (Ym:L:xiXOlKJaX . That as such ~.~.~.9..~.:t.Q.:r.;.deponent is ,.familia~with the,affairs of said estate and the property con- .(EX"ClltOI'.·Admin'Rtrator) stituting the assets the,reM and their fair market'vlilu--e. •.',"',I I "..''..• That at the time of death th~re was no safe dep9sitbox =-egistered in decedent's individual name,or jointl~l with,or as agent ordeputyof~.nother,orin·decedent's in~ividual name,with right of ~~cess py another as agent or deputy,with the exception o~the following:-...... NAME AND ADDRESS OF BANK OROTiIJ:R INSTITUTION TQIS SAFE DEPOSIT BOX ,RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX .IN ~AME OR NAMES.OF 'fOLDERS TO DECEDENT None ,'. That the contents of said safe deposit box or b)xes are itemized under Schedules __~__of this return,with the exception of'~he :following,for the reas'lnS hereinafter set forth: That Schedyle A attE.ched hereto and made part hereof sets forth fully and ir.detail all the real property il1 the Commonweal th of Pennsylvania of whic:-J decedent died havipg an interest therein.It also sets forth the mortgage er.cumbrances upon each parcel 'of real property at the date (.f .death,giVing the amount still due at death,name of mortgagee,!late,rate of interest,and book and page of record thereof.It also sets forth in the columns provided thErefore the assessed valuation )f each of said parcels,the estimated market v:llue thereof as of dat~of death of decedent. That Schedule B attac"led hereto and made part bereof sets forth fuily and in detail all personal property wheresover situated oW:J.ed by the decedent at the time of death;all moneys left ty the decedent at the time of death,whether i,decedent's immediate poseession,standing to decedent's credit in banks of rleposit,savings hanks,trust companies,or other institutions,whether indiVidually,:>r in 'trust 'for any other person or persons giv:ng also separately the acc:,ued interest thereon,if any,down to the last interest day prior to deced.ent'·;death in the case of'saviEngs banks,and to the date of d~cedent's death in all other cases;'all bonds,postal savings,treasury c~rtificates or notes and other evidence of in- dehtedness of :theUnited :Statesto the decedent;all obligations,whether by statute or agreement the;r are designateo.as tax free,-of tile Uniteel States,.or any state,or political subdivision thereof,or of any foreign country,-which are owned,at the time of death;all wearing apparel,jewelry,Silverware,pic- tures,books,works of ar·t,hOllsehold furniture,horses,~'arriages,automobiles,boats,f.nd any and all other personal chattels of whats,:>ever kind or nature,.left)ydecedent,together with the fdrly estimated market.value thereof;all bonds and mortg6!!eS held by deCEdent and of all claims due and oWing decedent ,1 t th~time of ri~a th,and all pro"!issory notes or oth;!r ir"struments in ,writing for the payment of money uf wllieh tip-cedent·riie;}possesse,~,oJ whatsoevernatur-e,w.~th interest thereon,if'any,gilving the face vallJ.~",wI estiWlterl fair marketv.alue thereof,am!.if such estimated fair market value be less than the face ,allie,it sets forth briefly the reasons for SUC:l depreciation as to each item;all iIloneys payable to til..estate from 1 i fe inslJrancoe poli ctes carried by deceien t;all annuity ami endowment contrac ts the 1'rnceeds ')l'which we re payable upon the death of the decene:lt;ann all the corporate stocks and dividends 1111<,thereon andllnp;.drl as of the date of death,bonds and :lccrlJed interest thereon to the date of dece- dent's d8ath Fln(l other investmen:securities owned by the cecedent at the time of neath,wLth the market ""J1.Ie therenf'at such tjrn~. .t!Z~.~;:~~---_._. .:t"9..§.:3,,~,~.Y.~.p..t.h S..1;.;r..e.~.t .. (Street Number) ..~.~.¥~.~.~1:>..~.~~..,?~..~l.:.?.~.?..9 . (City or Town and State) \ 1 In the caSl?of securities of close or family corporations,the values reported are as far as I'llssible sl1bs:Utl~tiat~rl byi'inanctal statemen'ts of the corporations,showing the assets Imn liabilities thereof as nf the (lat.e "of death.The sche.dulealso sets forth the interest ,Of .necenent at the time of death in an~'cO~l'artners!lip or business,and in support of the value of such i~terest there is annexed to said sc!lNllIle,'fi'n'lncf'al 'statements showing the assets and liabilities of sain cO'-partnership or business• .\Ct)py of'the co-partnership agreement,(if oral,a statement setting forth the natllre of Ule itgreement) tt)f!:pt!ler with ,a statel11entsetting forth t~le character of the business,its location,and such other facts pertaining to the l;l11siness as may he pertinent to a fair and just appraisal of the decedent's interest tht'!'ein :nllSt he submittf~n.It shouln also set forth in itemized form,together with the fair market value t hereof.any other p r'operty owned or bequeathed by the decedent at the time of neath. 1..t ~J J'It The Sct>edule C attached hereto and made part hereof sets forth a true answer to each inquiry <.:ontained therein ann in the case of transfers ofproperty,real or personal,within ,two years of,decedent's neath~in contemplation of necedent's death,or int.ended to t.'3,ke effect in possession or enJoyment at or after death,sairl schedule sets forth the nature ann value of such property,t.o whom transferred,the relationship of the transferees to the decerlent,the proportionate share receiven by each transferee and ,'Iallotherfactsofapertinentnatureregardingsairltransfers•.In the case of transfers intenderl to take effect in possession or enjoYJ!lentat or after death,there is also attacherl to the schenule.a copy' of the deed,trust agreement or other instrument creating the trust.Ther,~is also set forth in said schenule fl.list of all property,real and personal,with its value,which pa!':ses at de'cedent's neath by virtue of the exercise by decedent,either indiv1nually,or Jp~ntly witl1 another,PI'any power of appoint- ment vested inldecedent,efther'inrlividu{llly or,jointly,by.the,wi\l,.·deefl,t.'or other instrument of another, with a copy of the instrument cre~ting such power attached to the schedule.,.....t...J.-•~'J ~d /'p That Sct>edule D attached hereto and made part hereof sets forth the names anrl addresses of all persons beneficially interested in this estate'at the time of decedent's death~·'the'nature'-or th~ir res- pective interests,their relationship,if any,to the necedent,together with theage,s at the time of decedent's death of all minors,annuitants and beneficiaries for life unner decede~t>s IVill.It also contains a statement shoWing whiCh of the beneficiaries named in the decedent's Will,::ifany,died prior to decedent,the dates of their death,their issue,and the relationship of such issue to the benefi'ciary. That Schedule E attached hereto and made a part hereof sets for.th 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 ann the date of acquisition of personalty,plus the n~me,address and'relationship,if any, a f co-owners to the decedent. That Sct>edule F attached hereto and made a part hereof sets forth fully and in detail all nebts and deductions claimen for and on behalf of this decedent's estate,inclurling funeral expenses paid; family exemption,where applicable;costs of arlministration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing ann unpain at time of death;taxes accrued chargeable for period prior to decedent's death (except those allowen under ,Section 651 of the Inheritance and Estate Tax Act);together with a s~ateJTient 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 aI1Y fee,commission or debt is less than the estimated amount clai~ing and allowed,that the same will be reported to the Register of WillS,and that the amount of tax assessed can be reassessed in accordance therewith. That 'the totals of the appropriate colunms in Schedules "A","B","e","E",and "F"as directed therein, have been.carried forward and properly registered in the Smrunary. Subscribed and sworn to before me this ,. .......................L..~~......day of~,I.-::~~.e:.~19..7..2 .. ...•.....~~~•................... WAYNESBURG BOROUGH,GREENE COUNTY MY COMMISSION EXPIRES JAN,6,1373 Member,PennsylvaniaAssociation ofNotaries NOTE:Before s i.gning affidavi t make sure all blitnk spaces in the affidavit.and schedules annexed are filled in with details or the word "None",and'in case the assets inclune rare and unlisten securities, securities of close or family corporations or an interest in any co-partnership or business,.that the nata and statements requiren under the paragraph above relating to Scherlule "B"are attachen.Also make 1:8rtFiin that column #1 in the "Summary"has been properly completed as above-directen. 1 RCC-34 (:-64)•• CPMMONlIEA.LTH OF,PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEpENT SCHEDULE HAil REAL Pf'OPERTY Real property in Pennsylvania,with statement of mortgcge encumbrances upon each porc~1 iQt 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 cthersJ should be identified as to quan-ulil of interest an,d the estimated value should be that of the decedent's int~rest only. The real property loceted In the Commonwealth of Pennsylvania shadd be (1 )(2)(3\ described by lot and block number,street and street number,togethe with DEPARTMENT a general description of the property,with a reference to the record cf the ASSESSED VALUE VALUATION conveyance by which the decedent took title;if a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VA _U:(Do not writeofdecedent.Taxes,assessments,accruE!d Interest on mortgages,et:.,are DEATH in this space)to be listed on Schedule "F"and must not be deducted from this sch.,dule." None None I , , ,, • I , ~ I insert thi s total opposi te "real property",Schedule"A"in the X X X X X "As Reported"column on the last page of this return. None ----------------------------------------------~ RC~~5 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE liB" PERSONAL pqOPERTY INSTRUCTIONS:This Schedule must disclose all tangible md intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".Intangible per;onal property,titled in the name of the decedent,but payable at death to another or others,including bAt not limited to P.O.D.U.S.Savings Bonds'and tenta- tive trust accounts,must be listed,despite the filCt tl.at they are not of the administered estat,e. Tangible personal property should be ltsted first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiLes,toats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank, stocks,mortgages,notes,together \'lith accrued inl,eres~or dividends,salaries or wages,insurance pa~' able to the estate or fiduciary in said capacity,partnership interests,interest in any~ndistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death.sho~ld be listed in this schedule. Item No. ITEM List and describe fully UNIT VALUE ESTIMATED MARKET VALlIE DEPARTMENT VALUATION (Do not write in this space) 1.Checking Account No.60-63358,The Miners and Mechanics Savings and~T~ust Company, Steubenville,Ohio,-1J~ 2.Distributive Share of the Estate of Clarence C.Hays,late of Washir:.gton, Washington County,Pennsy1vania~ deceased,to wit: $301.28 c;>- J 0 J•.~f (a) (b) Cash, 3 Shares of West Penn Power Company,4i% Preferred Stock, at 65-5/8, $3452.50 196.88 3,t{5,}.Sa (c)75 Shares PNB Corporation, Common Stock,at 421, ~_---'---I_(r .-~-/'3/lPf-7 J 3168.7f 6818.13 I I~sert this total opposite "Personal Property",Schedule "B"in t~e "As Reported"column on the last page of this return. x X $7119.41 ~7//7,t// D k'.'~.1. RCC-36 1::# COMMONWEALTH OP PENNSYLVANIA TRANSPER IKHERITANCE TAX RESIDENT DECEDENT SCHEDULE "c" TR.<L"'l SFE:!1.S (1)Did decedent,within two years of death,make any transfer of any material part of hiE estate without receiving a valuable and adequate consideratio,therefor?(Answer yes or no)Yes ' (2)Did decedent,within two years of death,tra-,sfer property from himself to himsel:'and another or others (including a spouse)in joint ownership'(A,swer yes or no)No (3)If the answer to (1)or (2)above is in the af:'irmative state: (a)Age of decedent at time of transfer 86 (b)State of decedent's health at time (.f making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfEr of property without receiving a valuable or adequate consideration therefor which Was to take effect in [ossession or enjoyment at or after his death? (Answer yes or no)No (a)Was there any possibility that the prop~rty transferred might return to transferer or his estate or be subject to his power o~diEposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?---------(5)Did decedent in his lifetime make any transfer ~itho~t receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does no t in fact end before his death: (a)The possession or enjoyment of or the rig:,t to income from the property tra:lsferred? (Answer yes or no)No (b)The right to designate the persons w~o sh~ll possess or enjoy the property transferred or income therefrom?(Answer yes or no;No (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others ----------------~_ (7)Did decedent in his lifetime make a transfer,the cor.sideration for which was transfere-e's promise to pay income to or for the benefit of care of transferor?(Answer yes or no)_~N~o~_ (8)Did decedent,at any time,transfer property,th~beneficial enjoyment of which was subject to change, because of a reserved power to alter,amend,or :revok3,or which could revert to decede:1t under terms of transfer or by operation of law?(Answer yes or n~)No (9')If the answer to (8)above is in the affirmative!was the power to alter,amend,or rev-)ke the inter- est of the beneficiary reserved in the decedent Llone or the decedent and others? (Answer yes or no)__ NOTE 1:The answers to these questions should be sJpported by affidavit by the attending physician as well as a copy of the death certificate.' NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Su~mit ~opy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in ~hich prOVided in Schedules A,B,or E. ITEM 1. 2. 3. I DESCRIP'rION 10 Shares Miners and Mechanics Savings and Trust Company,Steubenvi1:'e,Ohio, Capital Strick,at 72 5 Shares West Penn Power Company, 4!%Preferred Stock,at 65-5/E 150 Shares PNB Corporation,Common Stock,at 421 "~ -'lJP1r .j,.f . The above stock was transfer~ed about December 18,1970,by the decedent to Mary Margaret Matthews,Virgin~a E. Holmes and John Leonard Richey,Nieces and Nephew of the decedent. MARIillT V.<\I..l:"E (Es timated) $720.00 328.12 6337.50 DEPT.VALUATION (Jept.Only) of .3')...Y~/~ <J>G231,S-d Insert this total opposite "Transfers",Schedule "e"in t,e "As Reported"COllXMn on the last page of this return.$7385.62 (1 7 3?s-.h :L O,K..j_/. "........ ReC-38,.::.-. COMMONWEALTH OF PENNSYLVANIA THANSFEIl INHElUTANCE TAX RESIDENT DECEDENT SCHEDUL3 "E" JOINTLY )WNEJ PROPERTY I~STRrCTIOKS:This schedule must disclose all prop@rty,real and personal,owned by the decedent jointly wi th another or others,including intangibles,sl.andLlg in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule "A",plus the date and place of record of instrume::J.t ef1'ecting vestiture,but do not include entireties or out of state real estate value in estate valuat~on calumn.Personal property should be listed as in Schedule "B",plus date of acquisition,and the naoe,ajdress and relationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Name I Unit Address and Relationship of Co-Owners,and Place i Valu~ of Record of Instrument,where Rea!~state.l None percentage Share Estate Valuation None DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value or Value of Entire Decedent's Property Interest I I I Insert this total opposite "Jointly Owned Property~,Sc,edule"E" in the "As Reported"column on the last page of th:s re:;urn.None I II I I I I J '0 OF THE ESTATE'OF ~IATTER OF THE APPRAISEM~NT Ii ~,~ ...Il:>til _ o i:l '"CIl:>.......0 ''0'"t:l (1).......g ~ ~'-< :i '::S,(I),p. :It:l:Ii '0~:(1):Ii ,C"t.,,< :c:.e ...,,0,~. ,....i:l ,t:l ~,C"t .~ .:....til~ (Executor-Administrator must complete "As Reported"column #1.) trltil....Il:>....(1) ..., Il:>X~~ o...otiltil ;- L+ ::- ..-:Year .19.7.1 . Dl'THE t No. AGNES BELLE HAYS....................L. Deceased Will xI8iXU!f~ Late of .Vi~!:)~~.Ilg1:<:>1:1. McCREIGHT,MARRlNE.R ~.McCREIGHT Washington Trust 'Building Washington,Pa.15301 POLLOCK,POLLOCK '&'THOMAS ... 60 West n~gh Street Waynesburg:,Pa.153?~0 <.. .' l) 'iI ',:,' ." >til >:r. v(t~8"tv""l_3 ::lr.c.. ~~ :-.:J :-.:J;..;,.,:~Z 'w :....z (1)-O :00 :L-I :0 '0 ......-r-.0-t:l :(J1 ,CD 't:l ... (I):.,.:(1)8":m :11::-c..N:....- CJ'lc:~._:,~:~::~ ::;r--'->-<:.:.CJ'l CJ'l CJ'l:g.g.g.. :~~.. :.......,,~ ~..:- ,.:... <:-. -00-00-*-00-00-00 .-00 -f*-*-00 -fP.>-00 "-:. ~....:1-',~~., :..;.;. :(J1 :<•l?i~~ :0 ;1" cI·:-W :.~'J ;...., ,. '. ,-, t· c. '-.:- {-.> ---'---- -'- <-". r"'-.) en .--.,.-' , County of ....W~13l1ing1:()J:l'r'l .~,.:riE::o r->.l'_ ~""~Commonwe~t~f~ennsy~ia r--r:-:.0 ,.c;::;:(r>(l)r"'q .:f:.-..{rr:·_l.....'''-}rn ~.,--- REe6RTrXND APPRI~AL'~c~:~..::~14if~~ o~~~_"1000::::_ ;•'7:-0'0:>(J) Form RCC-10 ~.3-7/-·liS-DEDUCTIONS ALLOWED IN OFFICE OF THE ,/''- Rl:GISTER OF WILLS OF Wa$h~Dltoa COUN"I:Y AND AGENT OF THE COMMOi-I\YliALTH STATEMENT OF DEBTS AND DEDUCTI9NS THE SUM OF $.Z.,~o.qL'1J.'.. DATE APPROVED ••........9./.'4.s<.J..?.Y:, 'D __,'\~~/~'~Q~\Mlll.,MMb'' .Regllter of Wills.Age~t ' ESTATE OF 'Aloes Btl,le .'8 " DATE OF FILING APPRAISEMENT Dec_ber 6.~..-',...,.'I, LATECF laUiAC".,laSJalDI'OD Co,.",'A. rloi-. '912DAT~9':DEATH '.......uar,22,'.1911 .4Q 00 1331 04 10,00. AMOU,NTREMARKS NAbu1aoce rineral Gses NAME OF ·~AYEE Ambu1aoce a.d ChairService tbe 'a-es r••e~al Bame Tbe 4.e$ruaeral lIome NO.OF VOUCH'''' 10 29 10 DATE 1911_,Iaa •. IIa '''obate'ot Il11,etc,18 00 Wasbio 00 eouat1 Rel)orts "1400 1972 1 7 lussell MariDe ' 1 '.'.l.eo",,,,1.'s ree 14 00 1 00. 3 00 7 00 369 10 7 ,22 ", Pollock "Pollock •ThOJDas',' aussel11llarillO RUssell Ifal"lao Atto$'Qe Fees AUdit Costs.ad Reeel ts 30 00 Russell ..~...lno Stock 10 00 SWORN AND SUBSCRIBED BEFORE ME ~HIS 2ith,lll-t3- (L.5.) WI1~Ii\M_R.J SON.NOTARY PUBUC WAYN~SBURG BORO.GREENE COUNTY MY-({OMM!.SSION EXPIRES JAN.6,1977 Member,PennsylvaniaAssociationof Notaries i , ,1., C ...j.,ft,. I , ('( I,• I. ,. ,f •f, I , ..I 1 ,. ,,. •'I'd "00 NOl~)NI HSV1~ S.lllM .:10 ::l31Sj~3t.1 ONIWn~113SSmJ 1 .l ,I .1 .- 1 ..\ l., .. , J ,) '. ., Agnes Belle.Hays,.Deeelsed..ESTATE OF ------------------.--.;-------- .........~...'..•........"... $_--'""3....tJ_.<....tt-d.......__.·_. $----- $------ ".'...-';''..-~_..~'-....:-::..,..........'.~~."',"... , .. ., ".:BALANCE .ADDITIONAL DEDUCTIONS -ACCOUNT &AUDII ADJUSTHE:~TS -FILE r~o.63-71-415 ,.DEBTS &DEDUCTIONS FJRN -AHOUNT CLAll(EI) LESS IT27·lS DISALLQ-.'[D: .~;.~;?4L:;~~:t'.~-t&j.4-t j-;(l./~~7£). ..TOTAL j1T:T.ml.ABLE DEDUCTIONS·· $------ $----- $------ '. $·:J,IJ.o-rl .$~'21~7~' _~[2.&-1 '7 ~ ISate Approved RUSSELL HARINJ,REGISTER OF "lILLS By:,~~_ i .i ,.. :.. ....: '. ,-""." I,--~__~~_I RCC-81 (6-711 COMMONWEALTH'OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COL_ECTIONS HARRISBU~G 17127 NOTICE OF FILING OF APPRAISEMENT MAR~M.MATTHEWS (Executor or Administr'Jtor) IN YOUR REFLY'PLEAS':;: REFER TO Inheritance T'JX Di-'ision J In Re:Estate of __A_GN_E_S_B_ELL_"_H_o!\_Y_s _ WASHINGTON Count)"-File No._-=6=3-_7.:...;1=--_4~1::..:5:::.....__ Dear Mrs.Matthews, You are hereby noti fied that the o_r_l._"g=---i_n_a_1 _ appraisement in the estate of__-"A.".,-GN""'-'-'E"....,S--'=B~E~L""'L~H""Ao..:Y~S~~===::_=_------ has been fi led ill the office of the Register of Wi I'ls of ~vASHINGTON County on December 5 I 19--.12,Said appraisement reflects the following valuations: Real Estate ~----- PersonaI Property__7'"--',<....::...=1=9=--=-•....:::4..::;:1'--_ Transfers ...L7J.,--'=3'-"8~5.L.'"--6:.!.....2 _ J 0 intIy Owned __---=---:---=-:=-=----=--=-_ Tota I -=1:....::4.£.,.::::..S.::::..0.::::..5~.-=-0-=-3 _ As to such tax that is paid within three months from date of death,a five (j%', percent discount is all.)wable.As to any tax that remains unpaid after nine (9)mon"hs (fifteen months when death occurred from Decembel 22,1'965 to June 16,1971,inclusi..e; and twelve months whe:'!death occurred prior 10 De:ember 22,1965)from date of deeth. interest at the rate of six (6%)percent per anr.um i5 charged. Any party in hterest who is aggrieved by cn appraisement may appeal therefrJm as provided by law. Date __D--=e--=c--=em=b:...ce::..c:r:...e-S-=-...:.-,--=1-=-9--=7--=2=--_Signed F_RAN__C_E_S_L_E_O _ Title C_H_I_E_F_AL_P_RAI__S_E_R_I_I _ DATE OF DEAT~:Januay 22,1971 Note:This is not a bi I. ,-> RCC-39 (5-68).~.. COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SJMMf\RY Estate of_H_A_Y_S A_GN_E_S B_-DATE OF DEATH 1-22-71 (Last Name)(First Name;(Initial) fILE NO.63-71-415 REPORT OF INHERITAI'CE TAX APPRAISER I,the undersigned duly appoint,ed Inheritance Tax Appra:ser in and for the County of--.:.W:.;:.A..::S=H=I:.::N.:...:G=.:TC=-=:N::.:..._ Pennsylvania,do respectfully report ihat I have appraised the ~eal and personal property as reported in ihe foregoing return at the values set forth opposite each ite,n in the last column to the righ in Schedules "A","B","C",ani'E". Dated:December 5"1972 INHERITANCE TAX APP~AiSER ~~ REPORT OF THE F:EGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I have allowed deductbns in the amounts claimed by deponent,except as to those items \O'hecre a greater or lesser amount is set forth in the last c(.lumn to the right in Scheiule "'F",which greater or lesser amount re)resents the sum aHowed as a deduction. Dated:_ REGISTER OF WILLS 7.119 41 7.385 62 14,505 03 NONE 14,505 03 $ 7 119 41 7 385 62 14 505 03 NONE 14,505 03 VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$-------+-- 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) 2LEAR VALUE OF ESTATE Valuation of life estates or FaR USE OF REGISTER ONLY ';'u on $-----------t--2310Taxon$--+__6% Tax on $-----------t--5"70 TEx on $10% 'Tax on $l1D 'Exemptions • TJtal Estate --I-__ TOTAL TAX COMPUTft_TION OF TAX $--------1--- $--------+--- $------~- $-------+-- $--------1--- $L--_ (.)As evidenced by :::hilritable Exemption Certifi'ca-es issued by the Secretary cf F:evenue. Less tax previously paid BALANCE Le~s 5%of tax if paid within 3 n:mths after death ::::::::::::::t== EAiLANCE OF INHERITANCE TAX DUE $L Adi-interest at rate of 6%from_____to $--J AMCUNT OF ESTATE TAX ASSESSED $-----1- E"late tax paid $l- BALANCE DUE $-------~~ Aile interest at rate of 6%from t= ------I.to-----$-------1 TOTAL TAX BALANCE $--------1PAID$--1 FC~_USE OF REGISTER ONLY ADJUSTMENTS NGTE:Where subsequent adjustments are mace to the above computation of :ax by the Register of Wills,for proJ::er reason, ;e'hould be uoted below,witb ,bo,t explanatioo, Will Administration (No. IN THE Year .. MATTER OF THE APPRAISEMENT OF THE ESTATE OF AGNES BELL HAYS Deceased Late of . County of vlASHINGTON ~II1ASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL .,.' Funn !\CC-2 DEPARTME'l\JT OF REVENUE BUREAU OF COtJN'·TY COLLECTIONS I'IARRISlsURG,PENNA.171Z7 COMMONWEALTH OF'PENNSYLVANIA RESIDENT·INIJERITANCE TAX APPRAISEMENT DATE P..e.Ge.mbe.r 5.1..l.9...7~. NTY WASHINGTONCOU _.. FILE NO•...?~.:.?.~.:.~.~..?. Whereas,~~~.~~~~.~~X.!?, ,late of "w.~.§~~.~.G.~9.~,. in the County of WASHINGTON Commonwealth of Pennsylvania,having died on the 2.2.d day of January 19 71,seized and possessed of an estate subject to Inheritance Tax under the laws of the Ccmmonwealth of Pennsylvania; Therefore,I,¥..~.g~§..J~~9.._ ,an appraiser duly appoin-:ed according to law, having been designated to make a fair and conscbnab1e appraisement of the said estate,!lnd 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 trar~sferr€d in possession or enjoyment to collateral l:eirs 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 int~rest. Descrlpllon of Asset REALTY: NONE PERSONAL: SEE COpy ATTACHED TO APPRAISEMENT TRANSFERS: SEE COpy ATTACHED TO APPRAISEMENT .. " U.lt VatJes SCHEDULE B total $ App.ralsement Made for I'nherltan.e Tax Purpoaes 7,119 4-, 14,505 03 lv'(Number an~'Street) ......................~.~.···..·....·····....·..·······..r·~r...'(Po8t Office).........,Penna_ WASHINGT<)N County ~I P RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ...AGNES BELL.HAyS...... Deceased. Late of HA$:IUr:iG.':J:'9N . Date of Death,1.~.2.2~.71 ,. Appraisemel!t Docket Vol.,d ..r.. Page,./..,~=i..No §.~.~7.:t,.~4..+..~.. Dec.5 72FiledinRegister's Office,J§ Am~unt of tax due,$.. DEPARIMENT OF REVENUE Received, Examined and Approved,·············~·V.d..~·:O·O··NOT"§N·J /-{SifM ..t S11/iiI .{n ).!::1.1"<:;'ICI:-1 ,jWt·.bo.ut Appra.rsemen,"..,"'-Y.....!"v.:::J 0roe a Ot/I"'" .Il'.l'di llil~~.s sntJ............................- ----~-.. AppiiJlfrom Atprmsement,aUZrlMsiJO fl. .................................................................,:;.:;~.~~,:.~.~.~ Entered and charged;..··......·....··..·..··ti..·::j..·../I .:1 •·"'t .. RCC-3 (1-69) COMMONWEALTH OF PENNSYLVANIA DEPARTM~NTOF REVENUE BUREAoU OF"COUNTY COLLECTIONS APPLICATION FOR CHARITABLE EXEMPTION FROM PENNSYLVANIA TRAHSFER INHERITANCE TAX (Act of Moy 28,1956,P.L.1751,and Act of June 15,1961, P.L.373,a,s omended) J Application is hereby filed for the cpproval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of t~e property described below: 1.Bureau Fi Ie #~--'__'~---__,_--- 2.Date of Death __--"'J""'&.",Il!!'!'u""ar!!'!!'-OIIy'-·~2~2~'-,''-.-.:1==.:9:::...1~1~·_ 3.Date of App:ova I __'__,_--- 4.Name of Decedent A,aes ":U.•flays 5.The Commonwealth's appraised value of the property for which 03n exemption is claimed is $300.00 (Note:,where th.e property is other than a specified 'amount of cuh,the exemption cannot be approved.until the value of the prope.rty has been establishec:by appraisal by the Commonw~alth,except in those cases where theamounf'~f the gift or bequestr~presents a stated fractional or percentage portion of the entire estate or the entire residue.In those cases enter such fractional or percentag'll amount above). 6.Check the manner in which the transfer was effected and submit ::I copy of the document authorizing the transfer,unless such material has been previously filed. WILLJ'f;DEED 0;TRUST INDENTURE 0;SURVIVORSHIP 0;OTHER 0; , (If other,explain)_'---,-~---,-____,_----_,_"_--__,_-__,_---------- ;,,;,,:';..'"f ,_•.i _...1..",~.'•.'•',',/~t,",'. 7.Correct Business Name and Addr,essof Charita~leOrganization.receiving pr~perty: \,.',-'. NAME _..,........,.-__--'8:::,,:e=·e~·.=L=t=s...:::...t=io=I............,O=Il::..::·.,....;...Re....;..._v....;...el"..:-s....;...e....;...•.·._8....;...1_'d_e_-_-------.._---.--___,,..-:-_---- ADDR ESS_~.,_____.,_____---'--.,_____--,--~-------~'---."..__--+--__:,._--~--............;------ •.,'J .''.".•"'.'"'.'1.1 • ;•• 8.I certify that the information c:ontair;ed herein is,to the best of my'knowledge and beli,ef,true and correct. Signatur~ofApplicant~~~:~·~~~.~.~~~~~_.__'~~~7w·~~~L~'~~~~'~.~.~_ Address of Applicant 1083 $e-Vtatb street,"a,8$s)).1'8;Pa.16310 Offi ciaI Title --'I""'X=8=0==\1=t=....=1=8=--_·Date__~N~G!.:!!v~e!:!!!m~b~e~l'!:...··_1!!!:.6~··:.L.--=1:..=91:..=·....!:2:L..·___,_ This form must be completed in triplicote ontl all three copies delivered to the Register of Wills for the County in which he decedent resided,or in which letters were issued for a non-resident decedent's estate•.'f the decedent was 0 non.resident of Penn;ylvanio and letters were not issued by 0 Pe'nnsylvanio Register of Wills,deliver all t.hr.ee copies to the Director,Bureau of County Collections, Penno.Deportment of Rev'enue,26 S.4th Street,Harrisburg,Po. 00 n·:>t write below this line·For Official Use Only (Initials of Register 01 Wills) Referred to Bureau Hea~quarters~·tr;;'~:;::;; \1-----------..:._---- (Signature of Register of Wills) Approved 0 For Secretary of Revenue Denied*0 (Authori zed .Si gnature) (County) washington (Date of Approval) December 5th.1972 (County) (Date of Referral) MUST BE FILED IN TRIPLICATE (Title) (Date of Ac tion) *See reverse"'side for reCl$CH1S r-r--------------,-------------------~----~-.---.-.-------,-------- .., This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. ,I f :,.Date:__---'-_ The application for exemption contained on the face of this form has been denied because ~ .~.,,I.,,!•. Note:Any party in interest,including the Commonwe~lth,aggrieved by this acti,on 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. NAIlS AND AJ>DRlSS AMOUNT $200.00,,t.;~\~";-..I 1.}.J. Trustees of theC..oss c,.eek united Presbyte.ian ChUJ'ch, commonly knowo as the Tent Ohurch R.D.#1 ' Colliers,W.Va.'26035 ' eross Creek Cemetery Association,known ae the Tent United Presbyterian Church Cemetety R.D.'lColliers,w.Va.26035 .\, '.,4•,'l I~i.~~;_,\.'1 '~""'J ~.-(~_~;j J:J".',::".~~-'".\', !'I :;!,I I.,~...I .f ~,., RCCc 3 (1-69) COMMONWEALTH OF PENNSYLVANIA DEPA~!M~NTOF REVENUE BUREA'IJ OF COUNTY COLLECTIONS APPLICATION FeR CH\RITABLE EXEMPTION FROM PENNSYLVANI 6;TRANSFER INHERITANCE TAX (Act of May 28,19'56,P L.1757,and Act of June 15,1961, P.L.373,a;amended) Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of me property described below: 1.Bureau File #{;3 ...-.'7 1-#/0 2.Date;)f DeJth 'a'llAft'aa.le71 ?t-r/V"-=..:z.:2..,-J ~7 '-:i--3.Date.,f Approval '--_ 4.Name of De:edent ,',,'. 5.The Commonwealth's appraised ..alue of the property for ....hich an exemption is claimed is $300,.00' (Note:Where the property is other than a specifi'ed 'amourt of c-ash,the exemption cannot be approved,until the value of the propert,y has,been es'tablished by,appraisal by the COlllmon¥o'ealth,except in those cases where the amount of the gift or bequest represen.tS ,a sta,ted,fr-:Jcti'onaFor percentage po:tion .f,the entire estate or the entire residue.In those cases enter such fradionaLor"pe,rcenfage amount above). \"j j • 6.Check the mariner:in which the,transfer wClseffeCted aitdsubmit a copy of the document authorizing the transfer,unless such material has been previousI)filed." }I:\j ,'I:\\" WILL'.;,,'DEED 0;TRlJ'ST INDENTURE C;SURVIVORSHIP 0;.'O'rHE~-0; ,.;. .':~.,'. ' .._~'I ,:,',;'\'\,,"-I'f;:'._',"~'.~.,:,:i.• .:• , ' 7.Correct Business Name and,A~dre~s ofChor,itabl~Organiza:i()l1re~-eivi~g property:I .:'•.'•'_..~,'~.,"';'.','':",-"I't -.'•r.'. e r"/......t ;,',,!,~,l ,~~.,.f' ;\, .'it i' 8.I certify thcitthe information c;o,ntQi,r ed "erein i,s,to the ,best of,my kno~ledge,afl.d bel i,ef,true and,,correct. \.", Official'Title'----==~=''~,'=,:=U:..:=1I:.=•.=1=.,--'Date__~lfo!~'"'~Y~em=be~:=.._"!!!l~&:..z.~l,-=.:.-=."~a:-__ Th!sform must.be ,completed in tripiicote ane"all three copies delivered '0 the Register of Wills for the County in which the decedent resided,or in which letters were issu,ed for a-non-resi'dent decedent's es"ate..f the deceden,t was,a non.resident of Pen",-ylvonio and letters were not issued by a Pennsylvonia R~ister of Wills,deliver all hree c;)pies to the Director,Bureau of,County Co lections, Penna.Department of Revenu~,26 S.4th Stre~t,Harrisburg,Po.', I """Do n"t write below this line -,For 'Cffi1:ial Use Only ~,Fo'the 5o"e'o,>,of Reven"e Refe""to 8"eo,Heol.,onen \~~~Q %~0-U "',_ (Signature of Register of Wills)(Initials of Regi'ster '0*Will's) Approved,0 For Sec',etary of Revenue Denied*0 (Authorized Si gnature) (County) Washington (Date of Approval) December 5th.1972 Office Copy ••,Po (Date of Refenal) MUST BE FILED IN TRIPLICATE (Title) (Date of Action) *See reverse s ide for "easons ....'". This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied~-'C~ Date:-,-_----,-~_ The 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"~ Pennsy[vania Inheritance and Estate Tax ,Acts.,' AMOUNTd,;J;. $2~.OO .100.00:l '.. ,~' ',',\ Trustees 0'the Cl'olsCreek UQited Pre$b"e"""CU'\II'cb.co_oD11 flao_as,tbe .at Cb\WCb 'a.D.'1 COl11.l's,w.Va.26038 '.; Cross Creek.Cemeterr Assooiatioat ' kaOWD as tbe ,Teat 'tJa1ted PNsbyterian Churcb ;cemeter,,a..D.#1COlliers,I.Va.a808& ':I ..~ ';I ;; '\. •..."........ C4) c:::l .....-.,!--I F?"""i.b c..o 0' '""tJ "".::::x rv tn to :"' ,.'~I . RCC-72 (9-68) -COMMONWEALTH OF PENNSYLVANIA QEPARf.MENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATIOtJ FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIJEN-DECEDENT J DATE ..'No••'·29.I 1978APPLICATION(MUST BE FILleD IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:., Application is hereby made for CQ1sent to the t·ari~fer of the following securities of a Pennsylvania Corporation or a National.Banking Associa1ion located in P~n"sylvania: (a)'15 (b)';P8Corporatioll"..,.-(c)COWI!Oll',.:.:., (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock o·the face amount of registered bonds,in (b),the name of the issuing company and in fc)the class of stock or the stJted interest rate and maturity date of registered bonds.) ,on ,Jan.,22.,:197)1" (Dot,!of death) ISSUED ON Aug"29.191~l ,and having a TOTAL HARKET VAilUE OF $_:..:.....,~e..!!!!.16~8:::..:.,.~7~,5=----_ (Date). as of the date of death of the decedent,Agnes;Belle Bays ' (Name of Decedent) (Street and Number) who was Iate of ---:-~·W:!ja.&!s~b~l~n~gl:.!:t~o~n~·',,-'_......:·...::..':'W'!!aBl!!!·~h~i!!!!n~g::f::,t~O!!!!D~'~,e~··O!:!..·.!..:..I..._._---'!P~a!!!!...!!-·_ (Past Off ce)(County)(State) The securities are registered as follows:!a."M.Mait:tbews.,·B2C.·as:t'"Q:t Agnes .B$ll'J.e Bays .Decd. (Name or names in which certificates are registered' ,1083 Seventb ,atte.~~_-J:!;:M!:!!!a~;rJl-r~lI!!!::..!.....·:~·M~a!.:!!t!:..!!:t~hew~.·!!!s~-----=:-----=W~aY.r....:·n=e!!:.!s~b~t.I~:rJii!g.1'~·P~a!:L'.~··-=1:..:=S~3:.1=-·C-=--:'- EXECUTOR)(Name)..(Address) NAME OF APPLICANT .:.;fdaQ ·1.Ma:\thews . ..'l08S'evea'th'Stftet, COUNTY FILE NUMBER6a-.7~-41i ADD.RESS OF APPLICANT WaYI1@sbur&','Pal 15370 BUREAU FILE NUMBER 63"",71.-415 SIGNATURE OF /liPPLICANT1l2 ~.127."/tr«>bti!A.taU NOTICE:IF YOl!FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCATJqi IT WILL ",eT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRAN5FEJ;'SECURITIES DATE January 8 1974 I hereby consent to the transfer of the above seculities.now registered in the name of the aforesaid l Decedent and waive the filing of a certificate certifying to the payment of the transfer inherHance "ax to which the property of said Decedent is made subject pursuant to the p·ovisi ons of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amendec.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property'operates only in reference to the estate of the above-named Decedent. Register of Wills Washington (Title)(Cou'nty)',@ i ;.L _j RCC-72 (6-67) COMMONWEALTH OF PENNSYLVANIA ~DEPARTMENT OF REVENUE BUR!AU OF"COUNTY COLLECTIONS APPUCATIO~FOP.AND CONSENT TO TRANSFER SECURITIES REGISTER =D 111 TH E NAME OF A RESIDENT DECEDENT APpLicATION DATE NoV'.•.29,.1&7,3· TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for CQ1sent to the hansfer of the following securitie5 o·f a Pennsylvania· Corporation or a National Bankirlg Association located in P~nnsylvania:. (a)3 (b)West l)enrLPOWe~,Co~p.y".(c)4t'PrefeX'red (NOTE:In describing securities enter in (a),ab Ole,:!ithe"the~umber of shares of stock o·the face amount of registered bonds,in (b),the name of the issuing company a,nd in (c)the class of stock or the stated interest rate and maturity date of registered bonds.). ,on "ath.22.19~1,: (['ate of death) ISSUED ON Aug_,25.1972,,and having a TOTAL M·ARKET VAilUE OF $__1_:9_6_.,_8_8_,_ (Date) as of the date of death of the decedent,,Agnes $$11$'HayS (Name of De;cedent) (State)(County)(Street and Number) who was late of -'-.;...:..:,--.:W~a""s~b.i'Z.:l""'·ll=tIii!._·,·~.:':..O::..:I1==_.JL..__,_.:W-'--,=a.:::..$;.;:.:.b;.;:.:.l.:...;.J)""'gc...:.t_O;.;:.:.Il_··_·{:;.;:.:.O__-",-'P_,a_._"_ (Post Offbe) The securities are registered as follows:Mat,M~19."n'''8.k.Est..of,'AgDes Belle,.v&: (Name or nones in which certificates are registered1083Se'V'$oth,St~eet -_----"'Ma.=...•=.~......y_.•=,..':4'_-.'-':D=.a::...l:'t...::.:t......::he-"-w-"-S_·'_fA':::.....I1_e.:-s_b_tU'_.·.-=-*;..:....,,_'_.a_._·_1_5_3_700_·,_ EXECUTOR)(Name)(Address) NAME OF AFPLlCANT Iarry',M.·,Matthews'10S3.'eveDtb.Stl'eet COUNTY FILE NUMBER 63-!7:1....415 ADDRESS OF APF L1CANT 'ayaesbQl"g,P".15310 BUREAU FILE NUMBER 61...,11-415 SIGNATURE OF AOPLICANT1Jj ~~12/.1l1~ NOTICE:IF YOU.FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATIObl',IT WILL 1ol0T BE .. CONSIDERED COMPLETE AND WILL BE RETURi-lED to YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANA -DEPARTMENT OF REVENUE CONSENT TO TRAN~FER SECURITIES DATE January 8 1974 I hereby consent to the transfer of the above secudies now registered in the name of the aforesajd Decedent and Naive the filing of a certificate certifying to the payment of the transfer inheritanc:!tax to which the property'of said Decedent is made subject pursuant to the pr:>visions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described prope-rtyoperatesonly in reference to the estate of the above-named Decedent. Relister of Wills washi~ ~Title)'.(County).12:'1 13~'7";~~/'·~...'lal,~P.0.'Walr ~Lay Blank .........f...£/-./.~,.:::J'"III Grut It..J,,~...11111 , ..l '.-'G',.. .(iant lIill nub wrntalurut GM Stat.01 I 01 't Ar.7iT:S "J8LLC ItAYS 720 l;orlh !:n1n Stroot UA~rrffi;('K'n,15301 'County of FEl;}mlLV,AlTIA ",bl"h and decIGTe "'i.t to b~my Last waz aM Testament,i'1 manner and lorm fo~ngJ.hereby revoking any tDiJ or 10Wa 'he1'etolO1'e made by me. Frat.1 dtrect ~hat ai my jU8t debta and lunera!e:tpenBU be fully paid and 8Gtisfied,0]8 100ft•..'I> aa COft11elliently f"UIy be,after my dec6(J8(J. Second,r:y Exocutor 1a dirQctod to clk.'U'CO to and pny out of my octato all succom~:'on,tt'aJ1ofor,inhoritanco end OGto.tJ t~ms uh1ch D.."lY bo l1060'SC..oi o.cninst By Gotn10,or tho into~Dt of ~.0onoficia~y thor3in. Third., I do horob~dovi60,bequoath m1ci eive to tho i~steeo of t~o Crooo ~o~l;::United Prosb;;.rtorio.n Churoh~co;-:.r:onl~l Inol;n aD tilO 'i'cnt Church,in Cr:>oo-l ·jrook Ii:''Jtrict,~~:I:,ooke County,~;ost ijircinin tho sum of ~~200.00 ('I11O Hur-tlr.Jd Jollnro~to be usodby enid clmrcll for ljhntwor UriC or purpose tho So ~ciono of tho ~ont Churc3 oisht ~cido. Fourth,I do furt-~er devioe,bcquoo.th end C'iV3.to the Crooo ero:,lc '~orrcto~,. .~·:mo~int.ion tho mm of ;":100.00 (One Hunclrod Dollaro)1;n011l1 ns tho Ton~~Jt1ited ,- .PrC::;byto:"inn Cl.urc}:;CtJDe,tory aujoinin:1 the 'l'cnt Uni':,;od F-.:.'C3obytorinn Cl1coh pro- perty in ';rooo ,Crocl~Di:=trict,Jroolm Count~;"i;co.t i;irGinia. Fifth,.rr110 root-locker that I Olm toc.;othor Hi th its contonto if:to bocooo tho possGosion of OJ'noi:Jo,::rs.::ary :;-arca.rot ~'.i.chcy I:atthous,at tho ti::o of r:.:;'dOI:1ioo,and ::'n t~o ca.Je of her doccaoo it 011.-'1.11 h3 placed in tho po~'ro::mion of her hU:ibnnd.,C.I:onno-;h ::attho17o. Sixti:l.,I direot that tIll')ol:l-fnohicncd.tLroe-drmror nash stand ~t I o'tJn. bo cio11vor-)d to 0:,'Iioicc~;:rs.Vir~:;inia 1;0110 ~iche:r Holeon,and in tho oc-se of her doccuco it filn.ll h3 placed in tho poor.:.ossion of-:::.Z::noieo :-,l"(.~.·l.:~Y:7c.rco---ot Richo~;t ~~ntthouo. Sov6n1h,All.t~G reat of tho property that I oun io to be oqually di·lic.ed bott100n nyneicoo ::r3.r:a....-y I:a.rcaret Richo:t l:a:tthous .:md !Tro.Virginia Io1:0. Richey nolnos anc..my nophc,u :,:r.John Loonn.rd Riche3". Furthor,I purposo that if ~y of the persons named last above be dGco~ooU 1'.-titf~iho til:1E:;I'of'OY dooiSG thQ follo\l'in6 diGtribution stall baoadel If'::r:J.I:a.l"Y l:arcnrot Richey !:atthous bo docoasod hor sha%-o is to bo :faoGed t.=hor :Ouobarid :::-.C,.Y.cnneth I:o.tthous,-and if'I~o.Virginia.D-3l1e Riohoy Holo.:nJ bo c.oool:.ood hor cha.ro ohall bo paoood to hor huoba.~d l·Ir.G10....n fie lIbID,)s.r:'"1:r.':01111 Loon~Riohoy be deooL10oa tho aimro that he has boon n~."Jod to rocoivo fUnll bo pacood oqunlly to my n01008 i;ro.Unr'J nnrcnrot R1oho~-I'!r;.tt~0110 and Cro.V1rcinio.Doll:>Richo;}lloll10o, I dOhttreby mGke,constitute and appoint ~-noieo,Tiro.r~tIe l:t:ltthew 1()[;3 Soventh Stt-Jot / ."~.~J~-, .~."' ,;r,. \to be my uecKf rntrix 01 thLt my LGri wm aroll Testar.:te1lr 15370 JR Wltnz,.mlbereof,1,AGl;::S DELLE IB.YS above tItImed,he"e Mreunt.)subscribed my Mme Gnd 'Jffi:ted fr.y aul,the dGy 0/rnoft~~J~~/97D '91 the year 01 our Lor:J one th-:>U8and nine Aundred aMd So~nt:y ... I,I Signed,see-led,published and declared by the abotle Mmeci Ar...-noo Jollo lIn:':::, ,and 01 e~h other•. =n the preeence 01 us,tcho OO'PB hereunto BUb8cribed our NJme3 Gt thereunto,'n the preset-.ce 01 ,aid tBstGt ri:: her her request aa wimessu D·,,"-r:.-)n~-r"19 ;ttl.. I .?'1'1\,::_.~f:-/f"?tJ "./II/ ..:I "i !i t ~ I I toi0)...... i ""l .:i Il ~l'~.&: i ~J <III i t !.. -:xi -~ ~t 0 .. !:~.c !I ... +~I .. I ~• ~I 8 t~: -:( I :• "e'!rQ .a -.I:•\&..:i a ~ 19 I ~t. I od .. !.. i I::•~...iiitf)I ~•",".Ii11U..1~.~I ~i ~0 !i~l>!1 ~.. i ~~~~ ~bl :is:~:~!~ ~:·ii~.~ \, "-~'~~ '. !\ti~antt (tf £xrmtnr'OOr !\hmilt,tstrahtt &tau of ,,:tullgbama } GtI11U1tg of .=..1111: P all be!th d · d th't Notarv Public . .f 'dersonyoreme,e un erslgne au JrI y,a .,1.ano or 881 . County and State,appeared ~!..1.~!~~.~~~~~.L ,who,being duly sworn accordin~to la"'"l,deposes and says that S.1e is the executor _~""'af.the es- tate of Ai~~.~~~!.!~~~y.~.L.deceased,that the foregoing schedulee ::.on~titute a complete inventory ar:d appr.aisement of the real and perE<onal estate of ....~~.~!_.~!,~...~.1..., deceased,excep~real estate outside the CommomiO'ealth of Pennsylvania;that the iieures opposite each item of res.l and personal estate in the foregdng schedules are determined and liJutetl by the undersigned to be the lair value of said items as of the date of the decedent's death,~8eC upon a just appraiseme::lt of each item made by the above named Executor s1tlq1pC - J "'\J oSwf0111 and su~scribed be1f901e ;;this }"'''' . -J Executor--""''' ........................................................................................... ., '~.., ADDITIONAL It'STRUCTIONS 1.An inventory must be filed within three montrJoaS after appointment of personal represe:.1tative. 2.A-supplemental inventory must be filed within thirty days of discovery of addibo.al ae:sets. 3.1 Original an:!2 Co)ies and 2 RCRI-34,Under $10,000;:..Original and 2 Copies 8.1C 2 RIJRI-33, Over $10,000,including Copy of Will;1 Original and 3 CJpies and 2 RCRI-33,Ov~r $.50,800,in- cluding Copy Jf WiI:and copy of Federal Estate Tax Re-:;urn. .REFERENCE FOR Al:'DITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 -=-:---=1 In.,ntnrg anb "ppraisrmtut of the goods and chattels,rights and c"eJits which wire of :~~~~~.~~~y.~.late of ~~~~~~.~~~.~.~.L :~ .Total, Real Estate, Personal Estate, Schedule "B" Schedule "A" I I I Washmgton County,P,.,taAm and 1n4de ;11 conformity wJih the abO'lle affidavit.I (DOLLARS CENTS I SUDARY ======"iTll==:;r=====~ 1$7,11941 i l ·!None t .$7,119Ij:'I I It "',""';:':".""1.... INVENTORY AND APPRAISEMENT ESTATE OF AGNEE BELLE HAYS late of Washington,Washington County,Pennsylvania,deceased. SCHEDULE "A"PERSONAL ESTATE 1.Checking Account No.60-63358,The Miners and lIech:lnics Savings and Trust Company, Steuoenville,Ohio, 2.Dlstributive Share of the Estate of Clarence C.Hays,late of Washington,Washington County,?ennsylvania,deceased!to wi~: $301.28 (a) (b) Cash, 3 St.ares of West Penn Power Company,4!%Preferred Stock, $3452.50 193.88 (c)75 Shares PNB Corporation,Common Stock I 3168.75 13,818.13 Total Personal Estate, SCHEDULE "B"REAL ESTATE $7 ,119.41 None None j