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Home My WebLink AboutOC1971-0515 - ESTATE OF BOTTARINI"3-11-!71~ i\ffi1tauit ®f fxrrutnr ®r i\bministratnr j;tntr nf Jrnnnylnnnin. ~ ss: C!lnunty nf lllnn~ingtnn \ Personally before me, the undersigned authority, a ........................ ; ........................................................... in and for said County and State, appeared ............ Cathe.r.i.tle ... .M ....... RQ.tt.a;t;.;i.n.i. .............................................. who, being duly sworn according to law, deposes and says that she is the executor or administrator of the estate of .............. ~~E2.?.i.~ ..... ~.~ ..... ~.2.!:~.~E~.~~ ......................................... deceased, that the foregoing syhedules constitute a complete inventory and appraisement of the real and personal estate of .... Ambr.o.s.e. ... !I .•.... Bo.t±.a.r.i.ni.., 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 ~~~Kllf.. ' ' . . 18th vll--zi da~~Q~:;;:.~;_t: t '················ ... ·· l ~h~~?ii~··-· M fa·~ ... rsn';ry'o~~r·y-P'UbTJ.:c" ...................... . Wash in on, V~Tash. CQ. , Pep._Jil)J)JTIONAL _TN..'iTRUCTIONS My Co lS.SlOn Explres Mafcn TZ; T973' I. 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-33, Over $10,000, including Copy of Will; I Original and 3 Copies and 2 RCRI-33, Over $50,000, in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 llunrutnry aub .Appratartttrut of the goods and chattels, rights and credits which were of ......... ~.*.9..§~ .... .'J:.P •.•••• ~Q.t..t.iil.*.i.n . .:b ................... Jate of ......... Y.~.n.§t.;h.C?.-................................................................... .. Washington County, Pa., taken and made in conformity with the above affidavit. Personalty 288 Shs •.. McGraw Edison Company common stock at $38.71 per share DOLLARS CENTS $10,889.28 J ./. . . ··//' ~~·: .• l o&6-3~ ?3~ 7/-0-;:;- lnventory and Appraisement IN THE EST ATE OF AMBROSE T. BOTTARINI, DECEASED • . ... , ................................................................................................. . r,' \"." • 0-c.£/~ / Fzled .................................................................. , 19 .. ,Z. .. . !E::;:J :r>n:::o (/) (;-_) c:: ~-(f) ::::: (!""; ( ") z: ---..f ; ..... :~; !·~ ~~ c·~ <'C· 0 :IE :;:;t -a;->en--~ '" --.: ::::;::) ,-;. :._-,'..) ·-;::~ T. ..r:- <=:t ...c -·,~1 ('; j r..::; .. ~!?.2-~-JiLo', GREENLEE, RICHMAN, DERRICO & POSA ATTORNEYS AT LAW WASHINGTON TRUST BUILDING WASHINGTON, PENNA. ' •' ·> J Qtnmmnuwtaltfl nf J:euu!igluauia. ( llasfliugtnu C!!nuutg. ~ !ill: j KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid on the 20th. day of May 71 A. D. 19 , before me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, the last Will and Testament of Ambrose T. Bottaripi late of Venetia in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and Catherine M. Bottarini the ExecJ~X in said Will and Testament named, having appeared before me and taken and subscribed the oath of office pr,escribed by law; NOW, THEREFORE, I, Russell Marino , Register as aforesaid, do grant these LETTERS TESTAMENTARY, unto the said Catherine M. Bottarini committing unto her the administration of al] and singular the goods and chattels, rights and credits, which were of said deceased, and requiring her to exhibit a true and perfect inventory thereof into the Register's Office, at Washington, within ninety days from the date hereof, and to r,ender a just and true account of said administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said Office at Washington, this 20th. day of May in the year of our Lord one thousand nine hundred and seventy-one I' 4.4 .. ~ [ij 1?1 !lj 0 ~ C/.l = t.x.1 ~ 1-3 +-t• • m 111 * tl1 (JJ a -1 0 > ~ ~ -1 m N 1'11 ....... s; ·0 ~ .... a H ~ ~ a ~ +-t ~ ·. - . , · .. t••"·'.''·' :·, LAST HILL AND TESTAMENT I, AMBROSE T. BOTTARINI, of R. D. :/11, Venetia, \.Vash- ington County, Pennsylvania, do make this my Last Will and Testament, hereby revoking in full all wills heretofore made by me. FIRST: I direct my Executrix, or Executor, hereinafter I named, to pay my debts and the expenses of my last illness and funeral . SECOND: I give, devise and bequeath unto my wife, Catherine M. Bottarini, all the res·t, residue, and remainder of my property, real, personal, and mixed, of whatsoever nature or kind, and wher~soever situate, of which I shall die seized and possessed, or of which I shall be entitled to dispose at my decease. THIRD: In the event that my wif·e, Catherine M. Bottarini, shall die during my lifetime, or shall die simul- taneously with me, or in the event that my said wife shall not survive me by at least thirty (30) days, I give, devise, and bequeath all the rest, residue, and remainder of my estate, af.ore~ said, to Mellon National Bank and Trust Company, IN TRUST, NEVER- THELESS, for my so.n, Robert T. Bottarini, who was born on October, I I 4, 1945, for the follmving uses and purposes: A. The Trustee shall hold, manage, invest and reinvest~ the Trust Estate and sqall distribute the net in- come (hereinafter called income), and principal from time I !· ·. 1. I r l -! -L to-time as follmvs: -. (1) The Trustee shall use the income, together with as much of the principal as may, in the opinion of my Trustee, be advisable therefor, I. for the welfare, comfort, recreation, support and education of my said son. The Trustee shall have complete discret.ion as to h~v much shall be used and may pay sums directly to or for the benefit _of my said son. (2) When my said son reaches the age of twenty-five (25) years, the Trustee shall pay over t·o-hinr tne~ remainder of the principal and all in- come and accumulations, free of said Tr~st, at which time the said Trust shall terminate. (3) If my said son should die before the complete termination of this Trust, the remaining principal, income and accumulations, shall be transferred and delivered, per stirpes, to his surviving issue, or, if he has none, then to his heirs. (4) The interest of my said son hereunder shall not be subject to anticipation or to volun- tary or involuntary alienation; and the principal and income shall be paid by. the Truste~ directly to or for the use of my said son ~vithout regard to any assignment, order, attachment or claim what- -----·ever. (5) In the administration of the Trust here-~- 1 j in created, the Trustee shall have, in addition·to _·,· ... '+'!' ;. -~ .. · :, ....... : .... · i·l .! I :! il l ! .... , and not in limitation of any authority given to itj -I by la\v and v-1ithout the necessity of obtaining the l I consent of any court, the follmving pmvers: to accept in distribution of my estate and to retain investme~ts and property i.<7hich are a part of my estate; to invest and reinvest the principal of the Trust Estate in any kind of property, real or personal, or part interest therein, r_.7ithout being restricted to investments \>7hich are legal for trust funds; to give options for sales, leases and exch~nges; to borrmv money; to sell, pledge, exchange or mortgage any real or personal propertyi; to compromise any claims; to lease real or per- sonal property for _terms exceeding five (5) years ;I l to join in or oppose the merger, consolidation, l reorganization or readjustment of the financial structure of any firm or corporation in ,,,hich the I Trust Estate may have an interest; to carry I ·securities in the name of a nominee; and to dis- tribute the Trust Estate either in cash or in I kind. (6) The Trustee may resign at any time by petitioning a court of competent jurisdiction to designate and appoint a successor corporate Trustee. In case of the merger or consolidation I of· the Trustee, the resultant company shall become! successor Trustee hereunder without notice to any l~l -party. I --! ' ... ~ .~.-... -:-:.·-.. · .. '.~.:·-.· .'.·.~-,;~ ... :--__ ..... :. · ... ·-_'_ ----.... , . ...,.,...-----... i " '' ... ----·· · .. . -.. -· --. ·..: .:. , ;;.•.· .. • ... ; c··-I 1 . -3-.· l II j I ! I il J ,, I .. :J (7) The Trustee shall be entitled to receive annually con1pensation for its services hereunder in accordance \<Tith its schedule of compensation currently in effect when the services·are performed, but not in excess of such compensation as would bel approved by a court of competent jurisdiction. . I FOURTH: I hereby no~inate, constitute and appoint my 1 . wife, Catherine M. Bottarini, to be Executrix of this my Last Wil! I and Testament·. In the event that she cannot serve for any reason,. I hereby nominate, constitute and appoint my sop, Robert T. Bottarini, to be Executor of this My Last Will and Testament. IN l-JITNESS \.ffiEREOF, I, the said A:tvlBROSE T. BOTTARINI, have to this my Last Will and Testament, set my hand and seal /1;-~+ C" this --'-~;._ ___ day of dEpll:?w tf~=f) , One Thousand Nine Hundred and Sixty-six (1966). (SEAL) I -4- . '! i.-,: t ' STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ 55: ., The within named Accountant being duly sworn according to low, deposefS and says that the above account as started is true and correct os .......... .s.he _____________ ., ________ · __ ;verily believe. ··. .. .. Washington County, ss: ~~~::...~_,.. ____ ;;-_-----.....,._ .--=·-~· -,____._.-. -~..-.. ... --. \... ··-~·----. "-~----~;o..., --.• ·_ --......--·-- \~ ~I r-1! lf"'i I i r-li "' I! C")i "', 0 z .; •.-li c:i •.-li lo-1! Clli +Ji +J! Oi r:Q! •: .... 0 H: . ro. QJi aJ! ooi oo: Cll! Qi QJi ~o-~! o! ..O!. QJi ~! "'! -!-.,...; ~ . ,...; ~ ca ~ ~ 0: '4 ~ ai. ~ Q •.-I . ,...; 1-1 ~ +J (U :J ~ () '-1-J: QJ cu: ~ ~ ril ·i ' \ -.,.,_ --··_-~,- ' •.\. I do certify that I hove given legal notiC_e to all persons concerned of the filing of the within account in the manner prescribed by Stdtute opd Rule of Court,·as evidence by proofs ·thereof filed to No. __ fsp_3__--::__/.2-:-:.L _______________ _ w·-ess my hand and official seal this ... ??..~~--------------- ••• ,..#:_.:...,.. __ -"""~-~ . --~ -. -':....:.,.. ~--· ....-----..-... --~ .---• .,,w-,,.~ -· -~ .. .. .,._,_ _ __..----~---~ .. ..., .... := 0 0 Q) .Cl' ..., r-:0 ~ . v·-r'l 0 ';'<>" -~"'''"'"' t: ! .! • ..., ! "' '0"'', j Q) ..., ~ y7 I nE'· ? fl j•j 9 45 Q) ' 'I.J L "' ' ''i;l Q) .... p. ..., ~-:= R US~; F.:iJ. M ;, ;·\I No' 0 c:.> c:.> c:d HEGISTEH 0'" WILLS 'I ~ WASHINGTON :a co .. PA . ..., 0 -~ ..., Q) ~J g : "':~! ~ : < ~ •.'H -"" ·~ / ! UO!,lnq!J-lS!P JadoJd fPadsaJ S! ,lJnO) ay_L (. 0 ·-" (. j -, .. 1, ... .--.· IN THE ORPHANS' COURT OF ~vASHINGTON COUNTY, PENNSYLVANIA IN THE MATTER OF THE FIRST AND ) ) FINAL ACCOUNT OF CATHERINE M. ) ) BOTTARINI, EXECUTRIX OF THE' ) ) ESTATE OF AMBROSE T. BOTTARINI, ) ) DECEASED. ) No·. 63-71-515 ' The Accountant is charged as follows: To Amount of Inventory and Appraisement To Gain on Inventory and Appraisement $ 000.00 To Income on Personalty 000.0;() To Gain on Sale of Personalty ~-.· 000.0.0 ... To Loss on Sale of Personalty 000.00 To Income on Real Estate 000.00 To Gain on Sale of Real Estate 000.00 To Loss on Sale of Real Estate 000.00 TOTAL ESTATE $ 10,889.28 TOTAL DISBURSEMENTS 5 2 730.51 $ 5,158 . .77 $10,889.28 000.00 gl0~889.28 j ., ' The Accountant claims credits as follows: Disbursements in the administration of the Estate: 1971 -Mar. 12 • Queen of Heaven Cemetery -Lot and Grave $ 330.00 26 Director, Internal Revenue 26 26 26 26 26 31 Apr. 29 29 May 7 13 24 Dec. 3 Washington Hospital Robert E. Wilson Columbia Gas Co. West Penn Power Co. Bell Telephone Co. John Gaydos Perry Smith, M.D. Gerald Nies, M.D. William H. Kittr~ll, M.D.~ Sun Drug Store Queen of Heaven Cemetery Catherine M. Bottarini Register of Wills Greenlee, Richman, Derrico & Posa -1970 Fed. Tax 195.62 -Hospital service 1,217.77 Funeral Expenses 1,663.00 -Gas 15.00 -Electric 14.76 -Telephone 72.47 -Grave marker 35.00 Physician's services .30 .00 Physician's services 15.00 ~ Physician's s~ivi6~s 179.00 -Drugs 35.00 -Urn for grave 30.00 -Family exemption 1,000.00 -Inheritance tax 330.39 -Reimbursement for follow- ing expenses: Register of Wills -Letters & Certs. $ 20.50 Wash. County Rpts. -Advt. Estate 14.00 ' ' Observer-Reporter -Advt. Estate 14.00 Register of Wills -Filing Inventory 3.00 Register of Wills -Filing Account 16.00 67.50 Dec. 3 Greenlee, Richman, Derrico -Attorney's fee 500;00 & Posa $5,730.51 ashington County Reports Washington, Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. 3, paragraphs (3) and (25). CouNTY oF WASHINGTON} SS. STATE OF PENNSYLVANIA Personally appeared before me;· a Notary Public in and for said County and Commonwealth, CHARLES C. KELLER, who, being duly sworn, deposes and says: that he is the Editor of the WASHINGTON COUNTY REPORTS, the officiail legal periodical for said Washington County, published weekly hav·ing its place of business at Washington, Washington County, Pennsylvania, and is acting as its agent in this behalf; that the said WASHINGTON COUNTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for 'Vashington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly ·as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: May 27, 1971 .............. ~.!:!.n~ .... 3..J .. _J.9. .. a .... J..9..Z.L .................................. · Estate Notices The Register of Wins has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. • • • • • • • • • • • • • • • • • BOTTARINI, AMBROSE T., Dec'd. Late of Venetia, Washington County, Penna. Executrix: Catherine M. BDttarini, R. D. #1, Venetia, Pennsylvania Attorneys: Greenlee, R•ichman Derrico & Po~a. 325 Washington Trust Bldg., Washmgton, Pennsylvania that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the .Ueg.rtioM of urn. ru!ido,;t " to th• {;;&_ ond clu'"'"' of th• publi<Otion ~· ""'· _ _:':__?)ufa ____ f!1_i[;:.£~ ~~_j""'aito:r Sworn to and subscribed before ~__:---~--------=====--'-<-;:::-- .... ~.th .. :::.d; of ................ J.une."]'""""""""' 19 ... 1.1... ... . ~~~~ .... ~~_£,~ JOSEPHINE T. SCIAMANNA Notary l"ublic, W2shir.gton, Washington Co, My Commission Expires July 1, 1974 .. "· \ 1. ( .... , Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, a;s amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Personally appeared before me, a Notary Public in and for said County and State, .... Ric.har.d ... S.~ .... C.owan ................... , who being duly s•worn according to la;w, deposes and says tha;t he is the .. Y!.~-~-~J?.-~-~-~J-.4.~-~_1:' of the Obs•erver Pul>lishing Company, a Ptennsylvania corporation, and its agent in this behalf; that the said Company is, the owner and publisher of the Observer-Reporter, succ1essor to The Washington Observer, established Septembe•r 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newspape.r of general circulation, printed and published and having its place of busineS's at Washington, Washington County, Pennsyl- vania, where it or its predecessors have been established and pu,bHshed continuousiy for more than six months prior to the publication of the notice h-ereto attached; tha;t the pr.inted notice ~;, '!dvertisement hereto attached is a ·copy of an official advertisement, ot ~L.i. :wtice, legal notice or legal advecrtis·ement, exactly as printed or publLhed 'i the Obs,erver-Reporter in its regular editions on the following date o. · I) -~es; ........................................... . ................. M.ay .... 24.,.Ju.n.e .... l .... an.d .... 'l., .... .1.9.71 ............................................. . that neither th!e affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the aUe.ga- tions• of this affidavit as to the time, place and charact~ion are true. . .. {~ -,~J.. .. ....... .. Sworn to and subscribed before me this .... J .... day oL..J~~-~ ... J~_?_l '#J''tr·!:~~·~~······ WASdi~GTON \'IASHI,';GTON t;OUNTY MY COMMISSION EXPIRES MAY 6, l9Jl .,. \ ' • ' \ ~lt <1tnurt nf Qtnmmnu JUran ®rp4ann ~ Qtnurt In the matter of the Audit of Account in nf llan4ingtnu mtnininu Qrnuuty 'AMBROSE T. BOTTARINI, Estate of_-'''-------------------1 No._~6~3::!....-_7!....;1:!::..----=!..5.=1.:=.5 ________ _ DECEASED. TO THE AUDITING JUDGE: Enter __ o_u_r ______ appearance for Catherine M. Bottarini, Executrix of the above estate N. B.-Counsel shrall, by separaJte pape,r, present a concise statement of each claim, with supporting calculation of any interest claimed. Objections to an account as filed, shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. J 1,. " ' • ... : I ,-0 I ~-· L. " '72 APR 17 M1 II 08 RUSSELL 'L\~INO 11EG1s·r EH OF WILLS Vf AS i·W,h;TQ N CO .. PA. No. 63-71-515 In re Audit of Account in EstaJte of AMBROSE T. BOTTARINI, DECEASED. AUDIT Jra~rip~ fnr 1\pp~araur~ FOR CATHERINE M. BOTTARINI, Executrix Greenlee, Richman, Derrico & Posa 325 Washington Trust Building Washington, Pennsylv~nia 15301 B A , Attorney ~2 ~ ~ ~~ ~~~----~-------~~-~--~--~~~ --~-------.,.,....,.-:---=...,.....,.-------~ PETITION SUR AUDIT Testate Form } IN THE ORPHANS' COURT OF WASHINGTON COUNTY AMBROSE T. BOTTARINI, Estate of ............................................................................. . N 63-71-515 . 0 ..... ·-·······--······················-·············-····c········· Fiduciary ..... ~9-.th_~;!:;'..:i-.n~.--M-~---~t.tax::ini., ..... . Executrix Deceased ~~cl ~~~ Decedent's death ...... ~~!-~e __ }_~! .... !~.?.~---·······-·············-Grant of Letters ... J1~Y ... 4.Q_, ___ l_9.:Z.L .............................. . This is the ........ ~~~-~.:t:: ... ~D-.9-... f.;i,._J}~.l ................................ account filed in this estate If there have been former accounts filed in this estate, list file number or number and term ............................... -.... . None. Election to take Date Election Place of; _ Under~~~ will. (cross out one) Filed --···-····--·-···-·-----··-----··· Record -·······---·····---··-·-··-·-· Name of surviving spouse·--··---~~-!:e.~~-~-~~---~-~---~-~:f::-~~E~.!.l:~.-----···----··-··-····-···--·············-··············-········-,·-·····-··-··-· List issue, where m~terial: -• ~ 1 j1 ">'" Did decedent marry after execution of will? (indicate~. No. Any children born after execution of will? (indicate) ~ No. If answer yes, name them ............ ---------------·------------------------······-----------·-·----·-····---·······--···-------·······-·················· Leg.atees Relationship Interest Fiduciary, if deceased or not sui juris Catherine M. Bottarini Widow Entire Estate List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: None If partial intestacy, give facts: None. 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: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. ~ · If any exception give cause: ............................................. . File copy of Notice and date. of mailing .......... ~~ES.:b-... ~.t .... J:~.7.f.! ............................................................................................................. . " ·- Is estate subject to the filing of a Federal Estate Tax Return? ................ ~.?..: ............................................................... . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ..... }}.9.:}.~---······································ If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant ..................... . None • ........................................................................................................................................................................................................................................................................................................................................................................... Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they are admitted to be correct; and whether the claim is denied. None. Give reference to such parts of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: None. Balance for distribution per account, Itemize any additional debits not shown by account: Total additiona'l debits (Add) Itemize any additional credits not shown by account: Reg~ster of Wills ~ Pa. Inh. Tax Executrix claims the full family exemption an additional credit on account thereof - $1,000 having been claimed in the account Total additional credits (Subtract) Balance for distribution $ ... 5..,..4.8.8. •. 9.6. ............. . $ ............................... -.... . 330.39 and 500.00 830.39 _$ ...................................• ~,658.57 $ ................................... . If balance for distribution is not in cash, list each item held in kind, giving ~praised Va!u~·(o.r ,distrJbutior:t ,Value); 288 Shs. McGraw Edison Co. Common stock $10 ,.8.89,.-?8. The Petitioner-Executrix, Catherime M. Bottarini, advanced the cash necessary to make payment of all debts and expenses for the estate in order to preserve the assets in kind, having an appraised value of $10,889.28. --..,. ~,~~~------~--c-. -----~------~----------------------~ If Family Exemption claimed by Petition, give place of Record: .. ~;l;-.c?:~~~g. __ JJ:l: .. ~~f.9.~D.t .................................... . If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ............................................... . List any advancement or distribution on account that has been made, and nature and amount of same: None. Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections to tak~ in kind if balance is not in cosh: residuary shares being stated in proportions: Catherine M.-:-Bottarini Entire Estate COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, sworn~-' being duly ................ : ..................... doth depose and say that the facts set forth in the foregoing petition are true And your petitioner will ever pray, etc. to the best of ......... J:l:~_:;: ................ knowledge and belief . .............. S.W9.+.D ....................... to and subscribed before me thisJJd .. day oL~ ................ l9'.7.2 .. . Signature of Offke~:l)!~-'-"'-· •~----·· ~fd.~~--~-?2?~~---·· Catherine M. Bottarini -~ Title of Officer ..... :~ .. LAU-RA;·W:·fHN-f-ftr······················· . , ;NOTARY._:PUB_l/C, C~N.I,ON-.T-OWNSHIP Office exptres ...... , . .W<~&IliRgtoo·Cuorrty;·p;·······;,., •..•.•.••.•..••••.•••• --M ' · .: -•. -~fll)_syJvama . ~-. ~901,1Tll~~io1J. ~~~ir~s -; _ll/G/l2 . .................................................................................................................................. ~. / ) tl (!) ~ h -,. :-H 0 ... ;: •·' I t· No. 63-71-515 Estate of._~gQ§_~ __ J __ . ____ l?.Q.'!:?;~g_:n-!J _______ _ Deceased Fiduciary .. 9~~~-~~~~-?. .. ~: .... J?.~-~?;~~-~-~};_t_ _____________________ l?_:e§.9.:Y.J~~.:!--~---------------------·-·-----· PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being · rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written praecipes of all Counsel in the case. 2. Copy of order appointing Guardian ad litem, if pertinent. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A. or an attest copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of 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. :~-~en~7J~·:=~~ ~-as a -k)~ Attorney ~2 •' •' ' •. , ,. ~ :/-....'>. .:~·-· ·""' ~ t' 0 ~ -~ !·-.- ~ :. ·• G I -::. -;..-" --......... -;._ <' . ~.---() ··,, I· . ·-,,1 tl·L ~ • I I ' • ' . . ·' ,. . .., : •, GREENLEE, RICffiviAN, DERRICO & POSA 325 Hashington Trust Building ~ Hashington, Pennsylvania 15301 TO: Mrs. Catherine M. Bottarini R. D. 1 ~1arch 9, 1972. Venetia, Pennsylvania In Re: Estate of f\.J.nbrose 'l'.Bottarini, deceased. Dear Mrs. Bottarini: You are hereby notified that the accounting in the above estate has been filed at the Register of Pills Office (Clerk of Orphans' Court) at No. 63~71-515 The Orpham~ 1 Court 'V1ill audit said account on Friday, Ha.:_~_h 2::,_19?.2~-----at 10:00 o'clock, .~ .M., at which time you may be present if you wish_ l'le shall be in attendance .for the estate. It \Jill be several weeks beyond this date before dis- tribution can actually be ordered. Very truly yours, GREENLEE, RI CI-IMAN, DERRICO & POSA AMBROSE T. BOTTARINI,DECEASED. ' l' ;l: i ,j l1 ; /1 I / I ' I ,/ /' ,: ,, ,, ,0' ,, !;. 'I 'I l: -,;I 'il ,l~ 0 f ,, ,, "' /-), "'" " ·~~ ' ~\ ~ .,.;,-~~ ... IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNA. No. 63,....:71-515 IN RE: ESTATE OF AMBROSE T. BOTTARINI, DECEASED. ELECTTON TO TAKE. TN KIND v GREENLEE. RICHMAN. DERRICO & POSA ATTORNEYS AT LAW WASHINGTON TRUST BUILDING WASHIN~TON, PA. 15301 0 c F ~ i c i"l . , I, I , .. !' • ••~.-• -· It-.0 9 -/2 f1PR 17 1\M I! 08 " H U S S E U.. :.~ :., ,·;,~ N 0 REGISTER C.:F WILLS WASHINGTON CO .• PA. • 0 ~ ~ '1...,. Q <I .. _ J IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA. IN RE: ESTATE OF AMBROSE T. BOTTARINI, No. 63....:71-515 DECEASED. ELECTION.TO TAKE IN KIND I, Catherine M. Bottarini, hereby elect to take on account of my distributive share in the estate of Ambrose T. Bottarini, deceased, the following: 288 Shs. McGraw Edison Co. Common stock ..,. -. 1·~--.. The above is to be credited against my distributive share in the final distribution of the estate. IN WITNESS WHEREOF, I have hereunto set my hand and seal this zt.,t,u{day of ~ 1 19 7 2 o . ' Catherine M. Bottarini j --------~~--~--------~------------------~----------------__ , ____ , IN THE COURT OF COMMON PLEAS. OF WASHINGTON COUNTY, PENNA. ' ' • ORPHANS' COURT DNISION IN RE: ( . ) E·state of .. ( ... ) No~ 515of1971 AMBROSE T. BOTTARINI, ( . :5 z < > .J > .Ul Deceased. z. • .• z . ~BEFORE: .i 0 ... C) z i Ul ' ~ . . \ '' ..:APPEARANCES: I' u it ... Ul 0 .J < 2 . §TIME: . .., X .. . " N ui ~ THE COURT: It: 0 ) ( HEARING ON AUDIT . - The Honorable P. VINCENT MARINO, Judge of the s_aid .Court. GREENLEE, RICHMAN, DERRICO & POSA, Esqs., of Washington, Pa., representing th'e Accountant. Friday, Me3:rch 24, 1972, at 10:00 A. M., EST Number 515 of 1971, the estate of Ambrose T. 11.-111 It: . .... Bottarini, deceased. The Executrix is Catherine M. Bottarini It: :I 0 u ... < ii -ii: IL· 0 and the attorneys are Greenlee, hichman, Derrico and Posa. Mr. Greenlee? MR. GREENLEE: Iff the Court please, Your Honor, I have ail " t~e hecessar:y papers_. There are no complications, nor outstandin! ... ; claims. in this estate: THE COURT: Is there anyone else in Court interested in this decedent's estate? ( NO RESPONSE) -.. ' j . \ :T THE·COURT: -The a~dit of this account is ordered closed by the Court. ( AUDIT CLOSED ) " - ' .. . . I hereby ee:rttfy that ~the p:roeeed~ngs and evidence; ::! _ ~ are_ contalned fully and accurately tn the notes. taken by·m.e ?0:. the.beartnq ~-of the abOVe C~e, ,~lid that thiS Copy ts' ~ COfti$Ct ~a~rtpt d. the same. Ill a. z . 0 ~ ~ :z :E 1/) •l( :!: .. The _foregoing record ()f the proceeding~ upon the l: ... ... . : heart;ag. of the above cause t,s hereby· approv-ed and directed to be ftled.. 'G: 111 .. . a: 0 a. "Ill· a: .. a: :J 0 u ... ~ 0 iL 1&. 0 . .. .) .. - f J. .· 2' • ' .... i I ·I I ... ' -· t!"\. ... : ( ,.,.. .. ' J..; ' ' ... .. ! ' ... , ~~ ~'1 .-t 4t .'· ,., . t i .. .. ,J-, b j·_;) . ' ' -~-t7-!-"-•• _, . ' ,. . J!~ ... ' .. t , . , ,··· "· ~ I" l I ~ ; 'I~ .a- . \ . .. } .• J . ·~~ _ .. . -.,;. ... ;i.,;t.,.!_ f'~ <{:. \," ' •. J .,_, .. '1 ·. . ,.1'" j,L" ... . •.;..;._ .. h . 't.! ~ .. {t_ J . ' ·. • '"''· t ' 1 ...... . • J.. ' • ; ~ ... ~ ~ .. l. 1· ~ . 1lll. ' .! -t • ..I '.t}'J " ~ .. ~ • ;i ;;.'l· ~ < ~ . ~~-;~ =~ ::--...J > fT! (11 G") ::r..: en z -·l 1"~· r.: ---l -:::> z 0 l'i ...__, 0 :r~ -o r- ~ . \ .. _.,. . r- :t> (f) .. ,... ' :.:..~ ... < '-· ::;tJ c.:: (r> C"l r-· '· .:- x; o·· ' -.1 rv ::r.::---:o :-:r.;: -.....J .. :::',f4 =<:: c::;:;'J = .,, 4 • ·. 'I " ., ' ; -.... v • -.. I! ~ J :1 t:_;t .. In t4~ <trnurt nf <trnmntnn JUras nf ltn.a4ingtnn Qtnunty, Jrnnsylunnin, ®rp4nns' O!nurt Bittininn ESTATE OF No. _ ___,.6._3._-4-7 ..... J --.5 ...... 1..,...5'-------- Ambrose T. Bettarini First and Final In the matter ofthe _________ _ deceased Account of Catherine M, Bottarini Executrix ADJUDICATION AND DECREE And now April /]C, 19R., this matter came on for hearing, audit and distribution at this session and testimony 40!<en; and thereupon, upon due consideration thereof the 'ia1Qn~e for distribution in the hands of the Accountant is determined to be $ J.i,,g5_t5.;27 and the-account is accordingly confirmed; and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account------------,-------$ 5,488.96 Additional credit asked at audit Balance _____________________ _ $ 1~, 6,58. 57 Deduct Clerk's Costs & Receipl:.-------------- Attorney ___ G=-=-r_,.e=e...,.n...,l.,.e"""e'--'-R:.::i..,c~h=-:;:m..,.a=-n~D._,e....,r._.r,_.i...,c""o...._.&;....;P ... o=s::;.':.a __ _ I Contribution to maintain assets of estate in kind, $4,640.07 (Ya.U!L t$(8, so Pt~~,lq?J-/ ~~- Catherine M, Bottarini, widow, residue, includ- ing 22 shares McGraw Edison Co. common stock, I held in kind and distributed as such at the appraised value, 10889.28 $10, 889. 28 (IJ-rn) No balance r· r \' 0 ..... ;4;i ~ !r -r'1 ~ ....... ~ 0 -· ..... M a -· t t:+ = .. ~ & ~ ~ ~ ~ -.' . ---- ·t' . ·--............ ) r . } r. I • I' : J ' . • r r 1 •'-. ,)> n-n' 0 c :J .... 0 ..... ., ~) . . . -. c:. --1" .. 0 ~ r :.4': u ' ::.> (f) 0 ,:J z !=> .. ..... :r CD 3 0 ff ""' 0 ..... .... :r CD ... 'I ( ~ '- ... -...! ~ j f'.!;rir \ .,. ,. r::x;:.. • -:t:l I -,,. :F..;;-r •. .-. r. 1 --.l ·-/ r I!'orm ~DC-33 h 3-7/~ S/s- coMMONWEALTH Of PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS J RESIDENT DECEDENT COUNTY OF .... .W AS.H .l.N.G. TON. ...................................... .. IMPORTANT: Thls return must be completed in detaU and filed in duplicate, with will attached, with the Reglster of Wills of the County where decedent resided; Return is due within -one year after date of death, unless an extenslon is granted hy the Secretary of Revenue. (Section 703 of the Inheritance and Est.ate Tax Act of 1961.) IN THE MATTER OF THE ESTATE OF AMBROSE T. BOTTARINI } AFFIDAVIT OF . .................... ... . ............. -.............. (.S:t;;t~ .. t~ii .. ·~;;;~ .. ·~~ d;,.;;;d~~t). ... ... ............... ...... ................ EXECUTOR Lnte of .......... V.ene.ti.a .. , .... W.ashington ...................... . ~'XO:R County Catherine M. Bottarini .............................................. ····················•······ ·········· ········ .......................................................... .. ················. ················· ···················· ··················-......................................... . ~tor ~Si:Jlli£Gi2: Z · of the estate of the above-named decedent being duly sworn, deposeS and sayS Decedent dJed .................. ~.§1::?;~}1(M~~t:-.. ·'·· (llay) ... , i9(vi~··•{ ~~~~~aving a last will, copy of which is hereto attached. } Name and address of attorney or other authorized representative to Greenlee,· Richman, .. Derr-i·co ...... & .. · .. ·Posa .. } Gaylord W. Greenlee whom all correspondence should be 325 Washington Trust Bui.l<ling -· .................................................................................. _ .. mailed. Washington, Pennsylvania 15301 That as such .. ~.~.~.S:.~.:t..~J.~ ................. deponent is familiar with the affairs of said estate and the property con- ( Jt:xN~\1 tor-Aflm in istra lor) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT That the contents of said safe deposit box or boxes are itemized under Schedules of this ---return, with the exception of the following, for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fUll v and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the date·of death, giving the amount still due at death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fUlly and in detail all personal property wheresover situated owned by the decedent at the time of death; all moneys left by the decedent at the time of death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings banks, trust companies, or other institutions, whether :!individually, or in trust for any other person or persons giving also separately the accrued interest thereon, if any, down to the last interest day prior to decedent's death in the case of savings banks, and to the date of decedent's d~ath in all other cases; all bonds, postal savlngs, treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent; all obligations,. whether by statute or agreement they are designated as tax free, of the United States, or any state, or political subdivision thereof, or of any foreign country, which are owned at the time of death; ~tll wearing apparel, jewelry, silverware, pic- tures, books, works of art, household f\Jrni ture, horses, carriages, automobiles, boat!', and any and all other personal chattels of whatsoever kind or nature, left by decedent, together with the fairly estimated market value thereof; all bonds and mortgal!es held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other instrt~ents in writing for the pa~~ent of money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face value and estimaterl fair market value thereof, and if such estimated. fair market value be less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys payable to the estate from life insurance policles carried by decedent; all annuity and endowment ·Contracts the proceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends due thereon and unpald as of the date of' death, bonds and accrued interest thereon to the date of dece- dent's death and other lnvestment securities owned by the decedent at the time of death, with the market value thereof at such time. In the case of securities of close or family corporations, the values reported are as far as possible substantiated by financial statements of the corporations, showing the assets and liabilities thereof as of the dRte of death. The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business, and in support of the value of such interest there is annexed to said schedule, financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business, its location, and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted. It should also set forth in itemized form, together with the fair market value thereof, any other property owned or bequeathed by the decedent at the time of death. ·The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's death, in contemplation of decedent's death, or intended to take effect in possession or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers. In the case of transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y of the deed, trust agreement or other instrument creating the trust. Ther•~ is also set forth in said schedule a list of all property, real and personal, with its value, which pa~ses at decedent's death by virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint- ment vested in decedent, either individually or jointly, by the will, deed, or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death, the nature of their res- pective interests, their relationship, if any, to the decedent, together with the ages at the time of decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, and the relationship or such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property, real and per- sonal, owned by the decedent joinUy with another or others, including intangible, standing in the name of the decedent and others, plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty, plus the name, address and relationship, if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and claims owing and 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 npon re- quest, that if the amount ac·tually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Scherlules "A", "B", "C", "E", and "F" as d:irected therein, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this .. l.S.tn ... : ......... . ~IE:k~:SHX ········~·~···~····-~·-~·······················: ..... day of ........ .O.c..to.be.r ..................... 19 .... .1.1. '. I ~····-~-))~J~;i/ /; :~V<2~ ... x.~ ....... ···············~······· Myra y~ Harsh, Notary Public Washington, \vashington Co. , Penna. My Commission Expires March 12, 1973. h"' I <::· /! _j__ ·. f /_: -.--/· ' //". -( / ; . ,' / r ( . ' . . ' Vl /,/ /,/:/, __ ./..-,-.. I-;; ,_,_ ;..-r.~ ·,1 /!·_.;:_,:<"../._ __ ······~·ca:~fctPo~~±ri± .......... ~:-·····--~ ......... R .•...... D .......... #.l .. _ .............. -...... _ ................. -...... -....... -... ---·-.. ·--- ( Street Number) ........ .Y.~.~~ t..~-~-.r ...... ~.~.!l:!.l.§Y.:l..Y.?.D..~.?. .................................. . (City or Town and State) NOTE: Before signing affidavit make sure Rll blRnk spaces in the affidavit and schf!r!Hles annexed ure filled in with details or the word "None", unci 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 stn.tements required under the parngruph uhove relating to Schedul•? "B" are attached.. Also make certain that column #1 in the "Surmunry" h11s been properly completed as nuove-directed. --------------------------------------------, RCC-34 (1-6() COMMONWEALTH OF PENNSYLVANIA , DEPARTMENT OF REVENUE BUREAU OF CO.UNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania, with statement of mortgage encumbrances upon each porcel at death of dece- dent. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property held by the decedent as tenant in common with another or others, should be identified as to quantum of interest and the estimated value should be that of the _decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be described by lot and block number, street and street number, together wl th a general description of the property, with a reference to the record of the conveyance by which the decedent took title; If a form state number of a- cres; also statement of mortgage encumbrances upon each parcel at death of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,ore to be listed on Schedule "F" and must not be deducted from this schedule. None ·. (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH Insert this total opposite "real property", Schedule ''A" in the X X X X X "As Reported" column on the last page of this return. (2) ESTIMATED MARKET VALUE (3) DEPARTMENT VALUATION CAUTION (Do not write In this space) • R(C -35 CmiMONWEALTI! OF P!;:NNSYLVANI<\ THANSFER INHERITA.NCF TAX 1msrm:N'r m:r:ErmN'r SC.HEIHJLE "D'' PEI:SO"'AL PllOPERTY -------·~--·-··---------------------INS'l'HUCTJO\S: Thts S•·lt•!:hle Joiu,.t <iis .. ·lc-·s" all t.angiblcandintangible personal property owned individually by the de•~edent, nt.. tlif~ t.l111" ol' !~-" d•:.:.'.!::!'!· Prop<>rty owned by the decedent jointly with another or others mt1st. be listed under Schedule ''1~". lntc~.ngible personal property, titled in the name of the decedent, but payubJ•) :,t dentlt to another or oth<'rs, including but not limited to P.O.D. U. S. Savings Bonds and tenta- tive trust accounts, must be lisU,!l, c!espit.•) the fact that they are not of the administered estate. Tangible personal pl'OJ'•~J·t~ s!J.,ulrl be listed first (e. g. jewelry, wearing apparel, household goods, and furnishings, hooks, pilintii•;:·., "utomobHes, boats, etc.) Intrmgihle personal properr.l·, stwh as boncls, treasury certificates, cash on hand and in bank, stocks, mortgages, notes, together ·.dth :,.ecrued .interest or cUvidends, salaries or wages, insurance pay- able to the estttte or fiduciary in stdd ._,::paeity, partnership interests, interest in anyundistributed estate of or income from any property hr·ld .in trust under the will or agreement of another, even though locut.ed outside of the State, at till! r,)J~<'' nJ' death, should be listed in this schedule • .... _. I tern ITEM UNIT ESTIMATED DEPARTME:\'T VALUATION ~o. Ust and desc r itJ(~ J'cll'lly VALUE MARKEr VALUE (Do not write in this space) -- 288 Shs. McGraw-Edison Company conunon # !Jlf -1 /0,1:'07-~~ stock at $38.71 per share $10,889.28 - I I I I I I I ' I ' '• I l Inscr t this total oppos.i te "Personal Property", Schedule "B" in X X rt /0, t!J?-c2 tf the "As Reported" columll on the last page of this return. 10,889.28 I ,,,.,.,,, .. , ... \1.Jil. tl!' I'I·:~NSYLL\\T.\ t•;\\..:;·l·'ti 1\i:J·:l\rT.\:\CE 'L\X SCHEDULE ·''C" TIL\\'~ !·'1•:.1 :s ' ' ll\.1 ,j,>,·•·.l••nt, wi.t.hin t\H1 years of' de., til, make any transfer of any material part of his estate, without r······l\ lit):'' valuable and adequate consideration therefor? (Answer yes or no) No, ,11 .1 .t······d••nt., within two years of rlieat!J, transfer property from himself to himself and another or , 1 "'' r" \ lncludi ng a spouse) in .i oint ;Jwnershi p? (Answer yes or no) No. ! 1 ti11• :111SW<'r to (1) or (2) above is in the affirmative state: (a} A1~e of clecerlent at. tim•~ of transfer \I>) State of dececient' s health at t.ime of muki ng the trans fer. (Note 1), (I') Cause of ciececient' s death. (Note 1), :\1. 1 .t •. ,.,.,t,··nt., in his U.fetime, make any transfer of property without receiv·ing a valuable or adequate •• ,,1,i.\t'rat ion therefor which was to take effect tn possession or enjoyment. at or after his death? 1 ....... ·r ~···s o1· no) No (al \las there any possibility that the property transferred might return to transferer or his estate or be subject to his power of flisposition? (Answer yes or no) No. (It) \\'hat was the transferee's age at time of decedent's cieath? ------;•.;·:· .~o•,·•'•knt in his lifetime make any transfer without receiving a valuable and aciequate consideration ~·.•·rd'o~r under which transferor expressly or impliedly reserves for his life or any period which does ,, 1. '" ~''"·:t end hefore his death: (a) The possession or enJoyment of or the right to income from the property transferred? (Answer yes or no) --?l><i~h'Q'I---- ( h) The right to clesignate tl1e persons who shall possess or enjoy the property transferred or income therefrom? (Answer yes or no) No, , . 1 f t !:>' 11 nswer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent .; •) .. :t•' nr others------------------·----------------------~------- ,'\·1 .!•.·c·Pdent i.n his lifetime make a transfer, the consineration for which was transferee's promise to 1 '! 11n·ume to or for the uenefit of care of transferor? (Answer yes or no) No. :•1 : .t•·c·••ctent, at any time, transfer property, the beneficial enjoyment of which was subject to change, • ~. 111,_~,, of a reserverl power to alter, amend, or revoke, or which conld revert to decedent under terms r 1 rt~ns fer or by operation of law? (Answer yes or no) No. ; r \!:<' answer to (8) above is in the '!-ffirmative, was the power to alter, amend, or revoke the inter- ,.,: .. r the beneficiary reserveci in the decerlent alone or the decedent anci others? lc ~•·.·r yes or no)------- 1: rite answers to these questions should be supporten by affidavit by the att.ewUng physician as • r ~! c.~ ,\ copy of the death certificate. t'· •. 1 r answer to any of the above· questions is yes, set forth below a description of the prcperty t. ,_, •f··rr·•d, it's fair market v:tlue at elate of death, d:ttes of transf'ers ann to whom tr11.nsferred, with , • ; . ·\·,:·,.;hip of transferees to nececient, if any. Submit copy of any trust iJeecl or instrur.~ent, if' tr.ms- f,· ·, ,,, . .-taimeci to be non-taxable, also submit detailed statement of facts on which said claim is based. ' :• .t; List applicable property below in manner in which provideiJ. in Schedules A, B, or E. DESCRIPTION MAR!illT VALUE (Es t:l.ma ted) DEPT. VALUATION (D~?pt. Only) --·-··-r·---------------------------------.---------,------~---~---' I 'l t t-· None. None ''""I o;oposlt·~ "Tr:onsf'~rs", SchedtLie "C" ill t.he ... ,.,~ ,.,dumn on the last page of thJ.s return. - . , ' !. - i ..•. LAST HILL AND TESTAlvlENT I, AHBROSE T. BOTTARINI, of R. D. #1, Venetia, \-lash- ington County, Pennsylvania, do make this my Last Will and Testament, hereby revoking in full all wills heretofore made by :I me. FIRST: I direct my Executrix, or Executor, hereinafter1 named, to pay my debts and the expenses of my last illness and I funeral . SECOND: I give, devise and bequeath unto my wife, Catherine M. Bottarini, all the res·t, residue, and remainder of my property, real, personal, and mixed, of whatsoever nature or kind, and wheresoever situate, of which I shall die seized and possessed, or of which I shall be entitled to dispose at my decease. THIRD: In the event that my ~-1ife, Catherine M. Bottarini, shall die during my lifetime, or shall die simul- taneously with me, or in the event that my said \'life shall not survive me by at least thirty (30) days, I give, devise, and . 1 bequeath all the rest, residue, and remainder of my estate, aforer said, to Hellon National Bank and Trust Company, IN TRUST, NEVER-\ I THELESS, for my SQn, Robert T. Bottarini, who was born on October; 4, 1945; for the follatdng uses and purposes: A. The Trustee shall hold, manage, invest and reinvest: the Trust Estate and shall distribute the net in- come (hereinafter called income), and principal from time ~ . ... ' .·. ~ . -. ,_. . . . ·' .. ,, i• .. . I . I I I ! I I f.. to time as follmvs: (1) The Trustee shall use the income, together with as much of the principal as may, in the for education of my said son. The Trustee shall have complete discretion as to hmv much shall be used and may pay sums directly to or for the benefit of my said son. (2) When my said son reaches the age of twenty-five (25) years, the Trustee shall pay over to· hinr the-remainder of the principal and all in- come and accumulations, free of said Tr~st, at which time the said Trust shall terminate. (3) If my said son should die before the complete termination of this Trust, the remaining principal, income and accumulations, shall be transferred and delivered, per stirpes, to his surviving issue, or, if he has none, then to his heirs. (4) The interest of my said son hereunder shall not be subject to anticipation or to volun- tary or involuntary alienation; and the principal and income shall be paid by. the Trustee directly to or for the use of my said son ~vithout regard to any assignment, order, attachment or claim what- ··.-· ·~ .. :--· · ·ever. (5) In the administration of the Trust here- in created, the Trustee shall have, in addition to' i l \I II I! : ,- and not in limitation of any authority given to id I by law and withoGt the necessity of obtaining the · consent of any court, the folla:ving pouers: to accept in distribution of my estate and to retain l investments and property \•7hich are a part of my 1 1 estate; to invest and reinvest the principal of the Trust Estate in any kind of property, real or personal' or part interest therein, r,.7ithout being restricted to investments which are legal for trust funds; to give options for sales, leases and; exchC\lnges; to borrmv money; to sell, pledge, exchange or mortgage any real or personal property:; I to compromise any claims; to lease real or per- sonal property for _terms exceeding five (5) years;: . i to join in or oppose the merger, consolidation, I I l reorganization or readjustment of the financial structure of any firm or corporation in l·lhich the I I Trust Estate may have an interest; to carry I ·securities in the name of a nominee; and to dis- tribute the Trust Estate either in cash or in kind. (6) The Trustee may resign at any time by petitioning a court of competent jurisdiction to designate and appoint a successor corporate Trustee. In case of·the merger or consolidation i i of· the Trustee, the resultant company shall becom0: I successor Trustee hereunder without notice to nny -party. -~-·~ -. - -~ .,. •. '"' "' • _,' • ,. • .... • ·-·· .,.. ~ -~.. ,,.._,, ..,._,.: 1' .....,,......" ... v ........ .:. • '. ~ ··"-·•, ••.o-L-·.• -'" . ..... .;.3_- ' . '· ... ~· ,._, '• -·· ~· . - 11 :f I I I I i I I I ' !I II ~ .. (7) The Trustee shall be entitled to receive annually con1pensatio~ for its services hereunder in accordance with its schedule of compensation l currently in effect when the services·are performed~ . I I but not in excess of such compensation as would bet approved by a court of competent jurisdiction. I I li FOURTH: I hereby nominate, constitute and appoint my I I . I wife, Catherine M. Bottarini, to be Executrix of this my Last Will il . I i and Testament·. In the event that she cannot serve for any reason!' I hereby nominate, constitute and appoint my son, Robert" T. Bottarini~ to be Executor of this Ny Last Hill and Testament. IN lviTNESS HHEREOF, I, the said AHBROSE T. BOTTARINI, have to this my Last Will and Testament, set my hand and seal /1~-.~+ C' I / . this 7. day of dEp7~H(LL-f; , One Thousand Nine Hundred _.L:;____ ' and Sixty-six (1966). (SEAL) I I I ! i Signed, sealed, published, and declared by AMBROSE T. I BOTTARINI, the testator above named, as and for his Last WiJ l <1nd 1 I ; Testament, inour presence, who, in his presence, at his request,! ; and in the presence of each other, have hereunto subscribed our names as attesting witnesses. -4- ·~ ~ . ,' .... i. ' RCC-37 (12-63) COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT .BENEFICIARIES AND ADDRESSES (State full names and addresses of all SCHEDULE "D" BENEFICIARIES RELATIONSlliP SURVIVED (If step-children or who illegitimate children DECEDENT have an interest, vested, contingent or other are involved, set STATE YES wise, in estate) forth this fact.) OR NO Catherine M. Bottarini ~urviving Yes Spouse l Deponent further says that all the above-named beneficiaries are living ·- NAME . DATE OF DEATH DATE INTEREST OF OF BENEFICIARY IN ESTATE BIRTH Residuary Legatee ; ' at this time except below: RESIDENCE ..,......_,., •.. ,..._,.,·,,";,_.~·,......:t..,.~;....:,._..,..:;; .. '~~~~......:..ob~>....t.;.W{!.o4W& ¥ ..... ?; k.r _ _,..,..;._._L~\UI. ......... ~ .... L ....... ~;>,__.d.::~:d ...... _o> ,. ,.,_ ..... ,. "'"-~~"..w. ......... ...t ........ -... ~-..,_. "-~--·c~:-... ~: .. , ·-·~···· '>" , ,. l "c·•.'c."~· -'". ; .. I RCC-38 COMMONWEALTH OF PENNSYLVANIA THANSFER INIIEIUTANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY IJSSTRl'CTIOl\S: This schedule must disclose all property, real and personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule "A", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal property should be listed as in Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to the decedent. Description of Property, Date of Acquisition, Name 1 Unit Address and Relationship of Co-Owners, and Place Value of Record of Instrument, where Real Estate. ! Lot No. 10 Springdale Plan of Lots, Nottingham Township, Wasnngton County Pennsylvania, having erected thereon a dwelling house. D.B. 1159, page 257 Joint names of Ambrose T.Bottarini and Catherine W. Bottarini, his wife, as joint tenants by the entireties percentage Estate Share Valuation o-~·~20,500. ~ ,'frO Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" colwlD1 on the last page of this return. DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest ~ : ~ ' 'j I ~ ' i. 1 J ~ a I 1 , l l I 1 I I L • --------~----------------- • Will Administration ~ No ............ . TS THE .. Year ........... . :\lA TIER OF THE APPRAISEMENT OF THE ESTATE OF .AMBRO.S.E ... 'l' .•... ~.O'r.'l'AR;J;:.I>J'J ........... . Deceased Late of .veneti.a.,. ... J?.ennsy.l:v.ania.......... . ...... Countv of Washington ~ ..... ·······•······················ Commonwealth of Pennsylvania REPORT AND APPRAISAL '):'d ··o- • ·; Nu1 -·~Jfur::-~~···J ~ • 1 I f 0...1 ; lrJ (' 7 7/1~ .J f\ • I ., _, . ,;j ...J \J b 1 1 ~I j .:1 \I ("'-~ ! I I ' , 1 ' , ., k t.; •..; ll . I J ; i _{ ~·~ S'D!:! C3REENLE)j} RI~Hf'?~N, 9TR~ICO & POSA ATTORNEYS Aif IL~'lY..70 fL WASHINGTON tTf1UST BUILDINb il WASHINGTI5,.J", PENNA. 'IJ '1 / I I _, i 1 ''i --~_,__,.=~-~--.,..._ ..... ,...,.....,.... ................. ~-~-~~ ... ---·~------'--'-____________ .........,. __ ~ II • - \.. (Excc>.ltor-Administr::.tor must complet<' "As Reported" rolumn #1.) C') .., 0 Vl "' ~ ~ ;- tr1 Vl -II) -<b * 1-' 0 .. co CX> 1.0 . 1\J co ~ -(/) * "* ""'-~ :~ .. ,_;_CS ~: :~: :<J: ~: c.q: ~-l 1-0 ~ ~ ~ re ::I "' -"' 0 ...... ::I '"0 <b II) ., ... -0 "' "t:l ~ ~ .g ~ ~ ... '< ..................... w C/) C/) () () ?"' ?"' ?"' c) o5 > : : ; --- * * * , ...... :o C/) c ~ ~ > ~ ....:: > Vl .. ~~-:co <b..., :co ::S"O..._.. :\,0 CD ~ : . -:rv ~ :oo "**~ ~. : ~'-J : ~: :~: ?-<)' N ~ > "' ti r._ 2'~ 3- g c.. OAT!! OFFICE OF THE REGISTER OF WILLS COUNTY ~3·-7/-s-1~ 3%-/7,z-C STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN J THE -SUM OF ............ $ !:,.1/,lJ.J ... ~c/</:_7/ Register of Wills, Agent ESTATE oF Ambrose T. Bottarini LATE oF Venetj a, Pennsylvania DATE OF FILING APPRAISEMENT ----------DATE 01" DEATH _ _.M;~t,~,.6l,Q.~;;r';.(OCrih~-d.l,.dlb-r-1 -,~l~9~7+-J:l,...0,------- NO. OF VOUCHIO'Jt NAME OF PA.YEE REMARKS Director, Internal Revenue 1970 Fed. Tax William H. Kittrell, M.D. Physician'~ services Perry Smith, M.D. II II II II AMOUNT 195 62 179 ~0 30 00 1t; ()() f•bc'h;r.rrhvn l-TAcn;-f-::.1 Hosnital Serv_irp 1 ?17 77 --.· .. ___ :_ __ I----H!II.Q.Sfl~~q.:I;_,;.Q,l;+-~~ .... p..l~iii..I.,-------~J.l.l.W.J!ol..L...Io.,l;l .... ~s:;..l.....ll...l..l.=..-------+-~-"-........ -t ....... -- nnP_en of Heaven Cerneterv Lot and Gr;:n.rP 11n nn Utilities 102 43 -~~~------------------+-----------------------------;---~--+-~- \J-0-hn GayElos, Grave marker 35 00 ------------+------------------r---~r--- Catherine M. Bottarini Family Exemption ,soo, 00 Greenlee, Richman, Derrico Administrative Expense 50 00 & Posa Greenlee, Richman, Derrico ,. n,.., ... , Attorneys' fee 500 00 30 00 Sun Drug Store Drugs 35 00 -----;----~----+-----------------------------~-----------------------------+-------r---- COUNTY OF Washington sa: COMMONWEALTH OF PENNSYLVANIA } Catherine M. Bottarini I, ------------------------------iHEREBY CERTIFY, THAT. TO THE BEaT OF MY I<NOWLI!DGE AND BEL.IEF, THI!: FOREGOING 18 A JUST rriSD TRUE SfATE~ENT OF QEBT,S, FUNERAL EXPENSES AND EXPENSI!S OJI' ADMINISTRATION SUBMITTED TO.THE ESTATE OF A rose T. OttarJ.nJ. "ECJLAeED. AS DEDUCTION& FOR INHERITANCE TAX PURPOSF.S. /~ --1 . ::..\. / ,;, ar-;, ' . . ' ---''.:..::· ~:..r.·t_' 1·.:..~'...:. -'-''· /.._'-',:-:.>.~"--:...; . .:...(---7!:...:/r.._.' __ ""'/::...-...:....:f_·-"-" ~/.::..·· .::.~..::.c-:':..::o..:·~;----' L. s.) swoRN AND euescRIBEo uFoRE ME THis 18th DAY Of" Catherine M. Bottarini , oc;:toher -~--·--~ '". 71 '-·/ ~ <~/. . , r / r-- Myra/ .J7 .I-i~~sfi, N~~;Y ·Pu'blic Washin~ton, WashJ.ngton Co., Penna. My Commission Expires March 12, 1973. --0 .::;:- "' C!.,. :F-'·""~"r L...,__.,ft ,...,_ ~:..,. ~. ~ . ! '--.l ~ C::J -r-.. (f) "":!: 0 -.p _, a_ ~:tt;.~ -.t cc 0 (~) ,,· ·~ i . .t_ -:.~~ . ...:_;. ~·-............ ........ "'!<•-!--,-., ~.£~i ~~t }-.. ..... ~ :/.~ ""'-:.r) ""···, ::r: ,...,T.,.i" ::) 0 (.1) a::: i..LJ «:( c.: :5t: -'i . .. COMMONWEALTH OF PENNSYLVANIA DEPART·MENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG R C C·B 1 ( 6·7 1) 17127 IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division NOTICE OF FILING OF APPRAISEMENT 38-172-6 XM CATHERINE M. BOTTARINI (Executor~ In Re: Estate of AMBROSE T. BOTTARINI WASHINGTON County - F i I e No. _6=3=--_,_7=1'---5=1=5"--------- Dear Mrs. Bottarini, You are hereby notified that the ___ _,_o..._r ...... i6g_,_in._..,q""-J~----------- appraisement in the estate of AMBBQSE T. BOTTARINI has been filed in the office of the Register of Wills of "\tlfASHINGXON County on November 4 , 19--21-, Said appraisement reflects the following valuations: Real Estate _____________ _ Persona I Property __ .,1=0~, 8=8 ....... 9'--"'-=2""""8 ____ _ T ronsfers ______________ _ Jointly Owned ____________ _ Total ______ ~1~o~,~8o8~9~.2~8~------ As to such tax that is paid within three months from date oi death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when death occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date __ N::..:.o~v.!...e:::!mb=e~r'---.=:l4~,---=1:..L97~1~---Signed __ _,MA~D<;'=EL=INE=~__,F'"""'I~NNEY~· =-=------- Title APPRAISER I DATE OF DEATH: }iarch ll, 1971 Note: This is not a bi II. ) . RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of BOTTARINI AMBROSE T. (Initial) DATE OF DEATH 3-ll-71 FILE NO. 63-7l-5f5 (Last Name) (First Name) REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__J~~:::::__~~~~~=#~~':lL Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foreg the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E". Dated: Novem.ber 4, ) 97J ~~~-U~~. INHERITANCE TAX APPRAISER t7 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and 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 column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated:----------------REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) $ $ ____________ 4---- Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or annuities................... $------+---- ESTATE TAX ASSESSMENTS $ _____ ..)___ FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on$ 2% Tax on $ ---------+---UY $ _______ ~_ $ ________ -+--- Tax on$ 5% $-------------4~-- Tax on$ 10% $ ________ ~--- Tax on$ 15% $ ______________ 4---- VALUE AS REAPPRAISED $ ____________ 4---- Exemptions * Total Estate _______ ---'-- TOTAL TAX $--------------~--- (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid $=====~== BALANCE $------+--- Less 5% of tax if paid within 3 months after death $======== Add interest at rate of 6% from ----------to ----- AMOUNT OF ESTATE TAX ASSESSED $------+--- Estate tax paid $ __________ ___J __ _ BALANCE DUE $ _____ ___~. __ Add interest at rate of 6% from ------~10---------$-------4-- TOTAL TAX BALANCE $ ----------+---- PAID $ --------~--- FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration t No. IN THE Year ........... . MATTER OF THE APPRAISEMENT OF THE ESTATE OF .. AWlR.QSE 'I' ~ .. :S.OTT ARINI Deceased Late of . . . . . . . Vf!:NETlA County of . WASHINGTON .. Commonwealth of Pennsylvania REPORT AND APPRAISAL ' Fonir'RCC-2 DATE .... NO.Y.~.~r. ..... 4.~ ...... l.97l .......... .. DEPRRTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 77 1 2 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT ~~~ERITANCE TAX APPRAISEMENT COUNTY ... Y.fAe.£!~Q:f..Q!'! ............................................... . FILE NO ..... 63=7.1=515 .................................................... . Whereas, ............................... AMB.RO.S.E .... T ...... B..OT.T.AJ1..J.N.J; ................................................ late of .................. ~~~~ ................................................................... . in the County of ............................................. WASHINGTON ............................ , ........................... Commonwealth of Pennsylvania, having died on the ......................... 11th ........................................................ day of .............. March ............................................. 19 .. 71 .. , seized and possessed of an estate subject to Inheritan~ under the laws of the Commonwealth of Pennsylvania; • . ...-1 Therefore, I, .................. ~~~-~ .... ~~-~ .. ,~an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purposes $ PERSONAL: SEE COliT OF SCHEDULE "B" ATTACHED TO APPRAISEMENT 10,889 )8 I I . Having been duly sworn according to law, I do hereby certify that the above appraisement is made in con- formity with law on this m m day of ~~z;,;;;:::~~;; ~ : ~-¥ c::Y~r. Z:_,J ~ 1 r . ........................................................... ~ ....................................................................... ~ ~( m&dStreet) .............................................................. ;;r-1 ........ :::-~.<i-.!.. ....................................... , Penna. (Poat Offiee) ....... WASHINGTON ............ . County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of AMBR.OS.E ... T •.. .BOTTARINI ..... Deceased. Late of 0 n • • •• .VENE.'r.IA. •••• Date of Death, ......... .3~.l.l~7l .. AppraisemeHt Docket Vol., n ••••••• .3$. ........ n •• n ................ .. Page, .... l72~.6 .................... No ....... 6} ... 71 ... 515········ Filed in Register's Office, .Nov.emb.er. .. 4.19.7.1. A1nount of tax due, $ ........................................... : ...................... . DEPARTMENT OF REVENUE · Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal ft'om Appraisement, Entered and charged, RECEIVED THREE HUNDRED THIRTY and 39/100 Catherine M. Bottarini • Excr. .............................. " ..................... .,. .... dollars representing Pennsylvania Inheritance or Estate Tax due from the following estate: From: ATTY. GAYLORD GREENLEE Address 325 l1ASHINGTON TRUST BUILDING liASHINGTON PENNSYLVANIA File No. 63-71-515 Date of Death_.::.3_•..=l::::l:_•....:7:....:1=----l Date of Payment __ D_~~ce_m_b_e_r___:_3~....:1:....:.9....::7....:.:1::..__ __ ___, Name of Decedent A).iBROSE BOTTARINI WASHINGTON County _______________________________________ ~ Remarks: MJR. -' I "j 0, S E A L NOTE; This Triplicate R~ceipt to be retained for audiBS'.g,pl'f2•6 2% Tax on $ ___________________ "'-------------------1~ 15% Tax on $. _________________ _ % Tax on $ ________ _ Estate Tax, Act of May 7, 1927 TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of __ % from---------------- to _______________________ _ TOTAL AMOUNT PAID $ _________ _ $ _______ _ $ _______ _ $_.:::.;33::..::0::..:::•..:::.3.=...9 --- $ ________ _ 330.39 /'!] -)/ ' Received by (/ /.u ,.,. u..tf //1/l> t·t'l-·t.( / NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life ' .) (Signature) tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall ' • // not be precluded or prev'ented from hereafter assessing additional inheritance tax at the death of th~e. _;!_...!..:::!:......:~L.L::::::::._:__,..:..,___.:::_,.!--"::__:"-"'-.<..!:·C:..:"';....,:__ ___________ 1111 life tenant or tenant for years whenever it appears that such additional tax may be legally due collectible for a reason whatsoever. l