HomeMy WebLinkAboutOC1971-0546 - ESTATE OF HILL, ·. . ..
' • -'r ~~
Form R~C...,33 COMMONWEALTH OF PENNSVL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
RESIDENT DECEDENT COUNTY OF WASBlNGTON
IMPORTANT: This return must be completed in detail and filed in duplicate, ·with will attached, with the·
Register of Wills of the County where decedent resided; Return is due within one year after
date of death, unless an extension is granted by the Secretary of Revenue. (Section 703 of
the Inheritance and Estate Tax Act of 1961.)
~-~-~-I ...... $ .. :.: .. :.::.:.:.:.:;:..:.:::;;_~;l::. ................................. }:::UA;;: OF
(State full name of decedent)
Late of ............................................. W.~--'--~-~ .. 1.\&.~ .... ~ ............................................. Colinty ADMINISTRATOR
:.:.~---::::~:~:~:::=::=_}·"
........................ E..l .. V\.:l ..... ']::.o_hh!'.~.~-----·----:J--··--,;t:=. .... ~--~-Y~~---~----··----·····--······----·····--·· ................................... .
..Admi:u~r.rtor of the estate of the above-named decedent being duly sworn, depose and say
.............. l. .. .l. ................ , 19 ... ?.1 ...... .J testate leaving a last will, copy of which is hereto attached. }
(llay) (Y.,.r) l intestate
Decedent dled .................................. ~~--~.Jt ..
(Month)
Name and address of attorney or}
other authorized representa,tive to
whom all correspondence should be
mailed.
····j:-·h~. ~: ~~?:.~~~-~: ........................... . r -8 r ? '-t? _ 1 1 ·_o ____ ... ____ o._·_·_·_·_·_·_·_·_--_·_·_·_ ......... -. .. Q · ..... ~. o?c ~ l.. I .. \ .. .¥.1 ~ 6"'1( ~ L'lf l .. ~
That as such ...... J.i:.b..~Y-'-~.~ ....... deponent is famiiiar with the affairs of said estate arid the property con-
< ~;x.,cu tor-Administrator)
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
None
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 Sc.hedule A attached hereto and made part hereof sets forth full v and in detail all the
real property in the Commonwealth .of Pennsylvania of which decedent died having an _interest therein. It
also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving
the amount still due at death, name of ~~rtgagee, 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 8 attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover si.tuated 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 comp~nies, or oth~r institutions, whether individually, or in trust for
any other perSon or persons giving also separately the accrued interest thereon, if any, down to the last
interest day prior to decedent's death in the case of savings banks, and to the date of decedent's death
in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent; all obligations, whether by statute or agreement they
are designated as tax free, of the United States, or any state, or political subdivision thereof, or of
any foreign country, which are owned at the time of death; all wearing apparel, jewelry, silverware, pic-
tures, books, works of art, household fUrniture, horses, carriages, automobiles, boats, and any and all
other personal chattels of whatsoever kind or nature, left bydecedent, together with the fairly estimated
market value thereof; all bonds and mortgages held by decedent and of all claims due and owing decedent
at the time of death, and all promissory notes or other instruments in writing for the payment of money
of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face
value and estimated fair market value thereof, and if such estimated fair market value be less than the
face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys payable
to the estate from life insurance polici-es carried by decedent; all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends
due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death, with the market
value thereof at such time.
j
·' • '· .~
In the case of securities of close or family corporations, the values reported are as far as
possible substantiated by financial statements of the corporations, showing the assets and liabilities
thereof as of the date of death. The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business, and in support of the value of such interest there is annexed to
said schedule, financial statements showing the assets and liabilities of said co-partnership or 'business.
A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business, its location, and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted. It should also set forth in itemized form, together with the fair market value
thereof, any other property owned or bequeathed by the decedent at the time of death.
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's
death, in contemplation of decedent's death, or intended to take effect in possession or enjoyment at or
after death, said schedule sets forth the nature and value of such property, to whom transferred, the
relationship of the transferees to the decedent, the proportionate share received by each transferee and
all other facts of a pertinent nature regarding said transfers. In the case of transfers intended to
take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y
of the deed, trust agreement or other instrument creating the trust. Thero~ is also set forth in said
schedule a list of all property, real and personal, with its value, which passes at decedent's death by
virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint-
ment vested in decedent, either individually or jointly, by the will, deed, or other instrument of another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death, the nature of their res-
pective interests, their relationship, if any, to the decedent, together with the ages at the time of
decedent's death of all minors, ~nnuitants 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, andthe relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property, real and per-
sonal, owned by the decedent jointly with another or others, including intangible, standing in the name
of the decedent and others, plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty, plus the name, address and relationship, if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid;
family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's
commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli-
gious services, in consequence of the death of the decedent; debts and claims owing and unpaid at time of
death; taxes accrued chargeable for period prior to decedent's death (except those allowed under Section
651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga-
tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the
estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this ..... £.:~ ......
.•...... day~~~~~
PHYLLIS L. KON'EK, Notary P·ublic
California, Washington Co., Pa.
My Commission Expires
January 29, 1975
~~~rtv~YV ........................................................ , ............................ , .. _,,,, ........ ~ ........ -......... _.,,
(Executor-A inistrator) .............. a ... :P. ...... I.t ........ lJ..~.i ..... 7.lS ..................................... ~ ........ "~--
(S'treet Number)O
................ Ic~;;-~~~ .. ·:s't~r ..................................... .
NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None", and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business, that the
data and statements required under the paragraph above relating to Schedule "B" are attached. Also make
certain that column #1 in the "Summary" has been properly completed as above-directed.
> R,CC-34. (1;.64)
-COMMONWEALTH ·oF PENNSYLVANIA
DEPARtMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEQENT
... )
SCHEDULE "A"
REAL PROPERTY
~ ~·
Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece-
dent. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property held by
the decedent as tenant in common with another or others should be identified as to quantum of interest and I
the estimated value should be that of the decedent's interest only.
The real property located In the Commonwealth of Pennsylvania should be (1) (2) (3)
described by lot and black number, street and street number, together with DEPARTMENT a general description af the property, with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title; If a farm state number of a-FOR YEAR OF ESTIMATED CAUTION cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DEATH In this space) to be listed on Schedule "F" and must not be deducted from this schedule.
Norae.
•,
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.
I
RCC-~5"
COMMONWEALTH OF PENNSYLVANIA
TRANS.FER ;INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent, at the time of his death. Property owned by the decedent jointly with another or others
imust be listed under Schedule "E". Intangible personal property, titled in the name of the decedent, but
payable at death to another or others, including but not limited to P.O.D. u. s. Savings Bonds and tenta-
1
, tive trust accounts, must be listed, despite the fact that they are not of the administered estate.
, Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household
goods, and furnishings, books, paintings, automobiles, boats, etc.) , ,
Intangible personal property, such as bonds, · treasury certificates, cash on hand and in bank,
stocks, mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay-
able to the estate or fiduciary, in said capacity, partnership interests, interest in anyundistributed
' . estate of or income from any property held in trust under the will or agreement of another, even though
( ~ocated outside of the State, at the time of death, should be listed in this schedule.
! ITEM UNIT ESTIMATED DEPARTMENT VALUATION Item
NOo List and describe fully VALUE MARKET VALUE (Do not write in
\ this space)
I !None. !
'
-
.,
Insert this total opposite "Personal Property", Schedule "B" in X X
the "As Reported" column on the last page of this return.
COM\fON'1\'EALTH OF PENNSYLVANIA
j· TRANSFER INHERITANCE TAX
~SSIDENT DECEDENT
" . .
SCHEDULE "C"
TRA_NSFERS
(1) Did decedent, within two years ofdeath, make any transfer of any material part of his estate, without
receiving a valuable and adequate consideration therefor? (Answer yes or no) no
(2) Did decedent, within, two years of death, transfer property from himself to himself and another or
others (including a spouse) in joint ownership? (Answer yes or no) no
(3) If the answer to (1) or (2) above is in the affirmative state: \
(a) Age of decedent at time of transfer no
(b) State of decedent's health at time of making the transfer. (Note 1).
(c) Cause of decedent's death. (Note 1).
(4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no) no
(a) Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition? (Answer yes or no) __ n __ o ____ _
(b) What was the transferee's age at time of decedent's death?---------
(5) Did decedenti in -his lifetime make any transfer without receiving a valuable and adequate consideration
therefor undef which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a) The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no) --~n~o~--------
(b) The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom? (Answer yes or no) l'lO
(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 1 ifetime make a transfer, the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor? (Answer yes or no) no
(8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was sub_ject to change,
because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms
of transfer or by operation of law? (Answer yes or no) no
(9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no) ---"l'l-"--0-'--------
NOTE 1: The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property
transferred, it's fair market value at date of de~th, dates of transfers and to whom transferred, with
relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans-
fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based.
NOTE 3: List applicable property below in manner in wh~ch provided in Schedules A, B, or E.
DESCRIPTION MARKET VALUE
(Estimated)
Tbe cleoe4ent con'VeJed h•J> ,..al ••tat•· in $6, soo. oo
W•at Pike nun Townlhip, Wa•bington County,
P•nn•Jlvania, to Leo J. lUll. lUna
John•on, oneS Cec•lt• Kokkil&, 15~tdde4 dat• d
June l6t 1970, an4 reco.-d.•d tn Deed Book
1319, at page 011, on Jun• 10. 1970~ A
Qopy of the de•d ia att•ched to thil
r•tua'"n fo~ 1nbeJ':lta.noe t••••·
Insert this total opposite "Transfers", Schedule "C" in the
"As Reported" column on the last page of this return.
sa.ooo.oo
DEPT. VALUATION
(Dept. Oniy)
5.566 --
...
' '
----------------------------------~
.fonn No. l ( 1969)
GENERAL. WARRANTY DEED·.·.·
~· ~' t
Tl1is. Deed
Wuhln~ton County Dar Aaaoclatlon Wuhln~ton, Pa.
1~1)"'> udDtJ
MADE th•-··---····"·L?.!-.~--~···-:-··.day oL-.. ··-···-:-~ in. the
. year Nineteen hundred and-.. ~.~.Y.~.P..t.Y~ .. Llit7_Q1 .... -····-····-····~··-
BETH'EEN LEMPI HILL, a/k/a LENTI HILL,· Widow, of West Pike Run . .
Towns hi}), Washington County, P~nnsyl vania,
. I
. ... . ,-;,, ~ .. -~ ~ ,.. .. .. ....
I • ,, '
• ,, .... ~ ., :H ~.: ~ ';j -' . .., ... i .. 1 •
rr •:j Iii
~-.;; l,, . .. • . . ' -·.a
·' ~.( , . ,, . ~
'-. I . -
. grantor , and
t LEO .J. HILL, of West Pike Run Townsllip, Washington County, Pennsylvania,·
ELNA JOHNSON, of :the same place;, and CECELIA KOKKILA, Of Fallo•f-ield
Township, washingt~,n County, Pe!fn.syl:V~.Oia!', ·
' . ·. r '; "'' : t,..·'
_grantees;
WITNESSETH, That in consideration of ONE AND NO/lOO-----;.. ___ ..,; __ ~,;,. _________ ~----
-; l . ·;·: .; • --------------------------------------< $1. OO) ---:-------------Dollars
in hand paid, the receipt whereof is hereby ackpowledged, the said grantor doa s hereby
grant and convey to the said grantees, ALL those two certain tracts of land
situate in West Pike Run Township, Washington County, Pennsylvania,
a s f o 11 ow s : ·
TRACT NO.·,!: BEGINNING at white oak, corner common to the
tract hereby conveyed and lands now or formerly of George Deems and
land of now or formerly of Lewis Carson; thence with lands now or
formerly of the latter, north thirty five (35) degrees and twelve (12)
minutes east, one hundred and thirty two and four tenths (132.4) feet
to a stone; thence south eighty nine (89) ~egrees apd eig~teen (18)
minutes ~ast, two hundred sixty and four tenths (260.4) feet to a
.point in the middle of a public road; thence along the middle. of said
public road and with lands of which the tract hereby conveyed was
formerly a part. south nine degrees and thirteen minutes west, one
hundred ninete~n and seven tenths ( 119. 7) ;feet to a point; thence
still along the middle or near the middle of said road. Sotith one
degree and forty three minutes west four hundred and eighty six and
seven tenths ( 486. 7) feet to a point in the middle of said road; thence
leaving said road and with lands now or formerly of George Deems,
north fifty five de~rees and twelve. minutes west, three hundred and
sixty nine and eight tenths (369.8) feet t~ a. post; and thence with
same, north no degrees and riine minutes East, two hundred ~nd eighty
eight and ~even tenths (288.7) feet to the place of beginning,
CONTAINING three and five hundred and forty one thousandths (3.541)
acres, more or less, as per survey of w. s. McClay, August of 1917.
BGOK 1319 PAGE 615
)
\
~·t
,--~ .a ill 11. I a } ... o-~,·.,_,..........;,....a::;;:;m;r .... ~.nwrm.-·~'... . ..... • ~,. "¥? ........ ~.~ .
•
8GOK1J19 fAGE 616
11111• ....... 'I' •I ' ~" '
'. EXCEPTING the seven (?) foot or River vein of coal and .
mining rights conveyed by James E. Smith et ux. to New York &.
Cleveland Gas Coal Company, by deed .dated October 1, 1892, and recorded
in the Recorder's Office of Washington County, Pennsylvania, in Deed
Book 176, Page 573.
Upon said tract of land there are.ere~ted 2 frame dwellings
houses and outbuildings.
TRACT NO. ~:. ~BEGINNING at a point in the Centerville~
Bentleyville road; thence North 3' 00" East 20.40 feet to land of
Jack Hill et ux., above named grantees; thence along the line of
said Jack Hill, North 55' 12" West 369.80 feet to a post; thence.
along line of. said Jack Hill North 0' 09" East 288.70 feet to land·of
John Lynn; thence.along line of John Lynn North 49' 00" West 73.45
feet to an iron pin at intersection of lands of John Lynn and above
named grantors; thence along line of above named grantors South
10' 41" West 325.34 feet_, to an ir~n pin; thence along line of above
named grantors South 59' 11" East 485.23 feet to the place of
beginning. Contain~ng area -0.926 acres.
EXCEPTING AND RESERVING all of the coal of the Pittsburgh or
River Vein as conveyed by John Jac}{s.on Deems et ux., February 27 th,
1893 to ~he New York and Cleveland Gas Coal Company and of record.in
Deed Book 187, Page 164, in Recorder's Office of washington County,
Pennsylvania.
Tract.No. 1 above described was conveyed to Jack lUll and
Lempi Hill, his wife, by Ma.ri Silander, widow, by deed dated the 6th""··--
day of June, 1950, and recorded in the Recorder's Office of Washingtori
County~ Pennsylvania, in Deed Book 770, at page 460.
Tract No. 2 above described was conveyed to Jack Hill and
Lenti Hill, his wife, by Earl Strausser and Mildred Strausser, his
wife, by deed dated the 16th day of A:ugust, 1947, and recorded in
the Recorder.' s Office of Washington County, Pennsylvania, in Deed
Book 730, at page 207. The said Jack Hill died on December 22, 1969,
and the fee simple title to said premises ~ested in Lenti Hill.
as surviving tenant by the entireties.
This is a conveyance from mother to son and daughters.
To have and to hold the .~arne. unto and f 1qr the use of the
said grantees, their heirs and assigns, as tenants in cornmori.
:I
---_...,. ---
' , __ --·-----· ------------·------~-'-----................................................... -····-·· .. ···-··-·· .. -~---------
(If the Grantor has not certified there is such a right of support, the Grantee should note the following:) . '
N 0 T J C E -Grantee (hereinafter, whether one or more, callecl "Grant<e") hereby stat<s that
he may not be obtaining the right of protection against subsidence resulting from coal mining operations and .that the
purchased property may be protected from damage due to mine. subsidence by a private contract with the owners of the
economic interests in the coal.
_£)_ ·-17~'/?/~' ' ' ~'!fK~·~·LX..::: ......... _ ....... :.._ .... _ .. :_ .. _,_,__ f
-(il; -~ ;' . I .. -fl!;;:tJri!:J:X~-~.
I ATIEsf'\~· . / , ~~-·-·-.. -... --·-·--. ,_LJL... . ·ij ·.
' '
...
...
NOTICE-THiS DOCUMENT MAY NOT SELL, CONVEY, TRANSFER, INCLUDE OR INSURE THE TITLE TO THE COAL·
AND RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND DESCRIBED OR REFERRED TO HEREIN, AND THE
OWNER OR OWNERS OF SUCH COAL MAY HAVE THE COM·PLETE LEGAL RIGHT TO REMOVE ALL OF SUCH COAL AND,
IN THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY. HOUSE, BUILDING OR
OTHER STRUCTURE ON. OR IN SUCH LAND. THE INCLUSION OF THIS NOTICE DOES NOT ENLARGE, RESTRICT OR
MODIFY ANY LEGAL RIGHTS OR ESTATES OTHERWISE CREATED, TRANSFERRED, EXCEPTED OR RESERVED BY
'THIS INSTRUMENT. (This notice Ia set forth purauant to Act No. 255, approved September 10, 1965.)
--~a
$.~!· ... .• --.,_ ; .. .,.. . .
.... ' ..
NOTICE-THIS DOC.UMENT MAY NOT SELL, CONVEY, TRANSFER, INCLUDE OR INSURE THE TITLE TO THE COAL
~NO RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND DESCRIBED OR REFERRED TO HEREIN, AND THE
OWNER OR OWNERS OF SUCH COAL MAY HAVE TH_E COMPLETE LEGAL RIGHT TO REMOVE ALL OF SUCH COAL AND,
IN THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE, BUILDING OR
OTHER STRUCTURE ON OR IN SUCH LAND. THE INCLUSION OF THIS NOTICE DOES NOT ENLARGE, RESTRICT OR
MODIFY ANY LEGAL RIGHTS OR ESTATES OTHERWISE CREATED, TRANSFERRED, EXCEPTED OR RESERVED BY
THIS INSTRUMENT. (Thla notice Ia aet forth purauant to Act No. 266, approved September 10, 1t66.)
And the said Lempi Hill, a/k/a Lenti Hill, widow,
. will warrant generally the property hereby conveyed.
grantor .
IN•WITNESS WHEREOF, the saidgrantor has hereunto .set her hand and
seal , the day and year· first above written.
Sealed and delivered·
-~=----_;-..;..:...:...,:.: .. :~.;..'..--··---··-··········-··~-: ... ~---···-·-
I I
.....__ ........... !.-.::.·-----·
• l-·Jo.,-
. ~-· , ..... 11di.'_ . . . ' . ..
~ .. ~......................... .. ............................. : ....... " ........ ..:.. ................. (Seal)
•_.i ~~~nw i !!J-11 ~~ (~Ja~ . :. .-. :.
: .... ~ ........ ~ ................ ~ ...... _ .................. {Seal)
,. Lenti Hill , ,. ~ .,, ,.-: ··· .
............... .: .............. : .................. : ......... .., .. ~ ...... , ................. ~.--... : {Seal) . .
r l · ................................. : ................................ ~ ......... -.... ·····-:--···· .. · (Seal)
! I
I • '
....
.... ~ ..................... : ..... ~ .. : ..................................................... , ............. (Seal)
..................................... :.. ............ -... _.,... .. :.. ......................... ~ (Seal) . . .
. . -:---:--.--~ ..,._...,_ .~. -.. ..,._, ---·: ....... "!'.'~ . ..,..-_ ~ .. ll· .. ·.~ .. ~-· .. -·-----.
~--·~..;i,( .:..O:.r..&'f' ;J'.:!~ ·~J.r.·~ ,!-l~· l~J;s;..i' ••• ,.: .#~ _,(-##-'. .. \
_,,"' ·... . . e . u ,.,~ d
'-1' .f
'} ' JC
State of Pennsylvania t . ss.
County of ...W~.Slll:N.<lt.QN ............. : .... ... .. ' '1 1\
1,. .. . . . ..... ~· ...... ~ . ,. . . . '
. . . . . . ·'' T, q 0, ·. I 0 · .. ;: ' :: . . .
On this; the._ ............ ./.~ .. M ......... day of.:..:.. ..... ,: ............. #.-f.~.t.c.:.. ....................... ,~, ·t9 .... 7.~~L ..... , before
. . a :ta ,,h, " ;r " . ,, h d . . .d . ·ff' . 11. me,-----·--~-... :..l'.:l. .. .l) . .1lt.b'..m..t-..0 .... .:.-...... ____ ,! .................... ~ .• -, t e un erstgne . o tcer, persona y
.r· :, · · · , ._,.. • -.1 · .s· appeared LEMPI HILL, at,k/a-LENT!'. HI~~, Widow, •. ~ P. ., 1 ,.,_.
' I' '. •'
r. . .
known to me (or satisfactorily proven) to be the person whose.name is
subscribed to the within instrument, and. acknowledged that she executed the ·same
for the purposes therein contained. __ , . .-··:''" ·:r:~i;,_.:.:, . ··;;:~:.
' . . . ' I. • .. 'I '• . . In Witness Whereof, I hereunto set my hand and official seal. , .'. ~-· · · · · · ... l'· ( · ·. · · . "-./"2/ . \.y·. . . 1 • "·
........... ~~-~ ... 0.t:.!. .. ~ .. ::: .... : ..... ,~~~~---f -~"'-_..-( '. l. . y; •
PHYLLIS L.:_SHROYER, Notary . ""lie: .' . .. ....................... i)alihnlia;··~~~on·-c.,•;··,_:.,-:-1
M C . . . E . · MJ Commiaslon Eaplr•• , . ": .. y ommtsston xpues ..................... : .. ~t·:i~--·11~-.. ~-·~·.; .
··,,~,~.J..~.·J .1·.:·.·. .,._··-~.,·· ..... ·,r
) /~",,,~ :~o''h ~· ,. \ ~., •.. ·• •
1319 617 1-:IHHn• BGOK PAGE . ··~-
' J \ '.···.
8GOK1319 PAGE. 618
Stat~ of P~nnsylvania f . . ss.
County. of ..... -: .................................................. :
' ..
.......
~~ { \,. . . -... , .. -~ ' , ~ .
·on this, the .............................. day of .. ~ .................... ~ ......... _._ ........................... ~ ...................... : ........... , 19 .... ; .... ..,. ..... , before me,
......................... ~ ................. ; ............................................. : .......................... , the undersigned .officer, personally appeared
known to me (or satisfactorily prove~) to be the pers~n· · whose riame
. subscribed to the within instrument, and acknowledged that executed the same
for the purposes therein contained.
In Witness \Vhereof, I hereunto set my hand and official seal. __ ....... _. _________ _
My Commission Expires ........... -.;. ...... -.... -.--.. ·----
• . . . ·-----·-..... ~~-. __ ...................... .&>...,.... ..... ,o!'"-·',l<~-...~·~-~ -~ ...... ~~--......... ~'f-..,;. ··-·+ .......... -~...._-·-.. ----~-... -.... ..... -----.....
M
De
"'' \Y)
•
0
CiJ
CiJ
0
..
~ ~· I
..J . ~L R E C 0 ~ .. 0 it D · ~ l H: !
Juu \9 3 aSh rl\ '70 a ~ !
0 JlJ'l\ 'l f'J ~ ·"' ,·!· :-; ... M • I l . ~;I • ·: ,.,1;0 ~ p'-··· aS,.,,·:·! ....
q,• , c 1.. ; :·.: ." ~ ; ~ • .'' i r.1 ' 1.11-'·\ .... oi • L ·!·'' 11. ~I i
:X:i ! ·~ J. ~! d ~i ~ ....:l' ~
Stat~ of P~nnsy/iianiiz': ,.. ') :; I · v ~ . . County of ... , ...... Jl3.b.1ngt.on ............. .
118,
:zj
0. ~ =. 0! l ~~ ....:l! ~:
.i
....:l!
....:li 1-4!
:X:!
~ ~ ol ~~ ....:l'
I j
I ~
I -! I ! i I : • I ! } . ~~ ~ -l
'" 110 ~ ....
H "'0 ·~.
~ ct "" .~ 5:1 'f"4 u C1! .. ~ s:: ... ~ a s:: aS 00 ..... :> ~ ~ ..s:: r-1
p.. ..s:: ·e :» .... :SU')fll
.... r-1 s:: C1! ~ (\') s:: ..c: !I) Q)
..... ~ >< >.· -..... t:
~ .l! 51 ~ II ..... ~ l 0 i : > ~ ... u
C1! 0 p. So Ill .. ~ ~..-~:;:: -5 tt: 0 ~:0. ......! . I ~ .cJ
t1 ~ r4 C1! u 0
,.. , ,... .. .,. ..
.... J ~ .... ~·-
"3 >. "'0 .a M !IJ 0 M u !I) ~ ..c: ~ ......
--1-) 0 • :»
!l.l A fll u ·•1"1 s:: ·aS ~ CI::A
""'""'"-.... , ... _.,J
I -... ·.-..... ~-
. I
I i ! .. ~ '1 I .• I ! l D. ""' as: 1 a: .. 'f'fl 'f'fl l <( g ~! ~~· : . == ... ~
aS: .aS! J 0 : >! < :> i . I 111 . it .. .! r-1; r-1 ! . ! . "0 • :;; c
. :>i U) :»! i c ..J ~
It) fll' 0) fll I I ~. II ~ -
r-1 d (\') s:: i . !~ a: ~ c ~ (\') ~! . s:: j : Ill Cll 'i ~ Qli >( Q) l l ..J ~ .S:. II
>< p.i 0 p. ! ~~ !!? c u a.. 0 !lXI! i ~~~~ .... s:: lXI -! .. i i .. u :::: : 2
s::: ... "·~· 0 ct 111 Cl r-1 ll:i C'J 0 ! i z 0 .:
tt: 0 [ tt: $.1 i --!. . 0 co ~ -1-): Q) -,. ::--, • a: II
• ;>j •r-1 . ..ll-==
A flli A $.1 J<C . •1"1! aS a. . .... . .... . . "'' .... . . .r-C~::A!C~::U ~
L ..
.. ' . .. ,.J
· . .~ ·. ~"' .: '·-~ ., • "'~ r: ·., '-··• '
Recorded on this .... ; ... ~-2.~.~--.. day ............... ;r~.!~ ............................ :.A. D. ·19-t . .'ZO .. . • ...... \ '
· -~~~·.;.;~~·:1• :. ':·.': ·:>:··~· \ in the RecQrd~r's Office of the said County, in Deed Book, VoL ... l319. ....... , : .•. \. .' -.-~·I'.·.~~ II . • .. . 1 ·-~ . .• 611:! ~;' ~ 0, • ~ ~ I ' ,.,., t ·~ '' o ;J , ;·. • :1 . "' .... ··~ . • • t? ·.. Page .......................................... . ' • 1, ' I I \.. ' ' • . ' /I •.) j ' .J • \:~ 11 I .. ,. • ' , • I . • I ( .. • ~:. I
·, ,. : 1\ :<· .; .1 : .· 1 ~< )~; ~ ~-Given under my hand and seal24f t e said office. ·. · · · .
:· t~;. •• ,·t :· ..... •.J _\ : I : .~ · . . . ·, • ' . -. •. ... .,1 • ·~ ; ·. ·.:, · ·. · · , · ,. _.....,. .. .... -~· · ............. ~ ...................... · ~ .. -p;,. .... Id 11 ..... ·-··-·~ \··~ .... -. f,{Jt ~~ • • · • • ., ..... • • • " 0-•• · Recorder . .
' ·" .,. • •.• • • • • • • I "j" }• ' • ~ • r . ('. •.
I e,t;. I'' t\_, V ... ••, " :r .o , -.,._..llf. . . ... ... . "· ·-;"" ~ .
. . .
~. ....: --·~ "" " "
CCMNONWF.ALTH OF PENNSYLVANIA
THAN::'FEH INHERITANCE TAX
RFSIDENT DECEDENT
. _,,
) ., ......
SCHEDULE "E"
JOINTLY OWNED PROPERTY
I~STRlTTIOKS: 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 tmder 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
Schettule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to
t.he df'cedent. =:;;;-=·=-------
Des;;; iption of Property, Date of Acquisition, Name.J Unit
AQdress and Relationship of Co-Owners, and Place j Value
of Record of Instrument, where Real Estate. !
savtnae Account #$129, W••t•~n
P•nne)'lvanta Nattou.l 8&1l1t, California·
Oftioe, Calttornta Borough, w&ebtncton
CountY. Penn•rlvan-.a. in the •••• of
tempt Bt11 or Leo J. Bill or Elna
Johneon, •• joint teuante with the
ri8ht of eurvtvor•btp~
Thte aooount wae opened 1••• than
two yea,_.. pl'lo:r to t.h• death of
Lempi Bill and tb• tu11 aaount t•
taxable.
NOTBa There wae a joint I&ViDII
aocount in the name• of tempi 8.111
and Ceo•lta KokJdla • u joint tenant•
with the rtaht ot aurvtvorebtp. in
the ':CbiJ.l'lero:l i'ederai Savina• and
Loan Aaaooiatton. Cha~1•~o:l,
P•nn•Ylvansa. The lnherttanoe Tax
on this account ha • al~eadJ been
paid bJ Mrs. Kokkila.
percentage Estate
Share Valuation
8,823.91
r ..
'·. ,,
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of
Entire
Property
Value of
Decedent's
Interest
I . . .
I
Insert this total opposite "Jointly Owned Property", Schedule ''E" e. 828 .. Ll~. -------....Jl,~ 11'} {J.3/i/
in the "As Reported" column on the last page of this return. . OJ
h
RCC-37 (12-63) .
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
BENEFICIARIES AND ADDRESSES
State full names and addresses of all who
ave an interest, vested, contingent or other
wise, in estate)
. ~· . .._
•
SCHEDULE "D"
BENEFICIARIES
RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF
illegitimate children DECEDENT OF BENEFICIARY
are involved, set STATE YES IN ESTATE
forth this fact.) OR NO BIRTH
Deponent fUrther says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
• I;
I'" ··-~ .,.
...
·'
-.,
•
Will
Administration t No. ................ Year .......... ,.
Dl THE
~iA TIER o·F THE APPRAISEMENT
OF THE
ESTATE OF
LEMPI S. HILL, a/k/a LENT! HILL ..........................................................
Deceased
Late of .... Y~ CiS:tl.f:ngton .... ······················ ....................... .
County of W.ashington .
Commonwealth of Pennsylvania
I I
REPORT AND APPRAISAL
V d '. 0 ,) N 0 .L J N !I I S l! 1!\
sru,·.\ .:!J :·:·;L.~lvJa ON!~:~;. , I • ··:sn1::1
z t~J . ·;.,:.; I I (,. I I ,J,f L-'
< ,.
' \,. f ... ~
j
.;
(Executor-Administrator
must complete ''As
. · .. Report<:d" column #1.)
(') :Cot a· :o "' , ..... "' :::s ..., :rt ~ ~ ..... >< ~ ~-· r::r Cb !i trl "' :::J .... '(I) ~· .... :P. (!)
.its '11 :o ~ :n> :11 :rt k:
-00 g.
• tx:l -
-(1') -(1') -(1') :,...: :
'~~o:co' . . .
:.... ;-. : :w: CX):
'N'N' :w:w: :. :. :
:\O:ID: :....,: ..... . . .
,._;; ~ ~ ... ~ (!) ~>-' e:.. :::1 "' "' 0
(;' :::1 ~ ... e:.. ...
"' 0
"d"' ... (!) 0 ...
"0 ~ (!) ... ·~
Cll c:: ~ ~ > : ~ ...-....-....-....~ w Cll Cll (") (")
?" ?" ?"
0 ~ > : • •
-E/)-(1')-(1')
:tn ;, :tn :o :o :• :o :o
> "' ~ (b-'::3-o-., .... . Cb c..
-(i')-E/).00-(1')-(1')-EI)
> ;r.
tl rt_ r:~ ., -2. ::s r. c..
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
RCC•43 (5-65)
NOTE: TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department of Revenue
Bureau of County Collections
26 · S. 4th Street
Harrisburg, Pennsylvania
Dear Sir:
Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit the following report:
NAME OF REPORTING CHARLE;{Ol F=L.:Rr\L SAVII'lGS & LD.~!l it~:l?L
FINANCIAL INSTITUTION ----¥-:o .;:n~r :::-:\.:,..' ~~=-t7oqH1-91«t ... r-&o-f~:::-:·· ~~":-7-~' ·:.;...· ~·;..:.· ·.;.-___ _..=:, • oV.o __ _.\. '-"CU l..J( Gt If l. .. d 11.../lll {1/l..
C" · '· ·~ .. ,, ' PEr·'~~ ADDRESS ti. !0\L..LIIVI, 'ii\r\. EJ' ~ ACCOUNT~N~0~.70~F~JO~I~N~T,----------------~~~~~~~~~-------~~I
TRUST OR INVESTMENT DEPOSIT Snvinco Account 04675
NAMES ON ACCOUNT . .
OR INVESTMENT Lo..'1pi Itl.ll. or·. Oocalin KokldlA
DECEASED JOINT DEPOSITOR, Lcr.tpi Hill
TRUSTEE OR INVESTOR------------------------------
ADDRESS n. D. t1 l, Daieytown): Po.. 15427
DATE OF DEATH ltD.rch 11., 1971
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR Coealin Kol;ldl.n ----------------------------------------------------
ADDRESS ____ n_._D_. __ 0_2_,_q ____ ~_rl_c_r_a1_~_ .. _P~_._·_l51_02_·_2 ______________________________ __
RELATIONSHIP TO DECEDENT Cooolitl Itokt."'iln is d.o.u.Gbtcr to Loopi Hill
DATE DEPOSIT OR INVESTMENT January 12, 1970
WAS ESTABLISHED:=---:-:----------------
BALANCE, INCLUDING INTEREST 4,$95.00 DUE, AT DATE OF DEATH$ ___________________ _
~'~~ Signature TITLE ltnnn«er
Charbrci Fcdr-.... 1 o.,.,.71·nas d -~~~~u ............ 1 .... ~ an
Lorut !: .. so-~cb.tioa
j
RCC-134 ( 1-69)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMeNT OF R'EVENUE
BYREAU OF C'OUJIIT'Y ;:!OLLECTIONS
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO: CEGBLI.~, *OKKIIJ, Date: ---:~APr'!,p~r"3:il3::--,!S~,.--±lg:{'H:!l=-------
C o u n ty ----!.l~'liS!!a~shamo!d· ~~i:l-!ct.O!!>oan!.-______ _
Cl;TARI:EROT, PENNSJl.VANIA 15022
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
ond the liability for the payment of the inheritance tax due is imposed upon you, as transferee.
The property on which tax is hereby assessed consists of: J·t. Savings Account. #4f?75 held in the
CW·HlF20I "'EDToJ?I\J. snJNGS 8· lOAN M-'~SN. CH\lUJillQI1 OFFICE, CHAIU.,:E.ROI, PENNSYLVANIA. In the
of lEM.PI IUIJ., Qi~ cr.~cr.IA KOKKU.A. Opened J-12-70. Balance as of date of death,
appraised by the Commonwealth, as of the date of death, at$ h,595.00
100 %of this amount is taxable at the rate of 6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF TAX DUE
D If you pay the above amount within three (3) months
of the date of death of the decedent, or on or
before J'me U 19 7l you may deduct a
discount of 5% of the amount of tax due, or
D This tax became delinquent, fifteen (15) months
after the date of death and, in addition to the
tax, statutory interest at the rate of 6% of the
tax per annum is also due as of *------
19 __ in the amount of
*If the tax is not paid by the above date additional
interest is due at the rate of 6% per annum until
paid
TOTAL AMOUNT DUE
$---~L~,,~5~9~5~.o~o~---$-----------------
275.70
$ $ =============
APPRAISED BY: ,~--;/r,... -~-5• /~-'/. ASSESSED BY: ______________ _
(Inheritance Tax Appraiser) (Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
Po~ . .:2 fo I 91
s--c2 7-7 I
~#-(/3!1;), '17
To insure proper credit to your account
this Official Notice must accom:Jany
your payment. Mail or bring it to:
15'301
If you have already paid this tax to an executor, administrator, attorney or other personal representative of the
decedent for forwarding to the Commonwealth, list below the date paid, name and address of the person to._whom
you made payment, their official title and the amount. .,."' , , :_ '
Date Paid Name and Address of Payee Officio I Title
Under certain circumstances, if, after the date of death of the decedent, you personally paid funeral expenses
or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended
by you may qualify as deductions against the gross value of the property in the computation of tax due. If any
such expenditures meet all of the three following tests, it is recommended that you itemize the payments below,
execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow
those which he determines to be proper. The tax will then be recomputed and you will receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1 -You were personally legally responsible for these debts, and
2-You actually paid these debts out of the account or property described above and can furnish proof
of such payment, if required, and
3-These same debts are not also claimed, for tax purposes, by an executor, administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation Amount Paid
.
TOTAL $
( attac~ separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
SS:
COUNTY OF: ________ _
I, hereby certify that the foregoing is a just and true statement of
funeral expenses and other debts of the decedent, , for which I
was legally responsible and which I did pay out of the property herein taxed. I further certify, that to the
best of my knowledge and belief, these same debts will not be claimed by any other person, for inheritance
tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS ___ DAY OF ____________________ 19 __
Signature of Taxpayer
REPORT OF REGISTER OF WILLS
I, the undersigned, duly elected Register of Wills in and for the above county, do respectfully report that I
have allowed deductions listed above in the total amount of $ --------o
Date of Approval: ______________ _
Register of Wi lis
\ \ ..
Fonn RCC-2
DEPARTitENT'ot REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA. 1 7 1 2 7
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ....... June ..... l., .... l9.7l ......................................... .
COUNTY ....... !!~.~-~~-~.?..!.:~ ......................................... .
FILE NO ......... ?.~ .. :?..~:.?..4.?. .......................... -.................. :
Whereas, ......................................... L.§mpi ... Hill ......................................................................... late of .............. ?.~t~Yt.9.~ ................................................................ .
in the County of ..................................... ~{~-~hJpg:\1.9.:n. ............................................................... Commonwealth of Pennsylvania, having died on
the .......................................... 11th ....................................... day of .............. M.ar..ch ............................................... 19 . .7l ... , seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, ............................. f.RA~G-~ ..... ~.9 ................................................................... , 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
inheritance taxes at the lawful collateral rate on any such future interest. assess transfer
Unit Appraisement Description of Asset Values Made for Inheritance
Tax Purposes
$
Jt. Savings Account #4875 held in the CHARLEROI FEDERAL SAVINGS & LOAN
Asso2IATION, CHARLEROI OFFICE, CHARLEROI, PENNSYLVANIA. In the names
\
of LEMPI HILL OR CZCLIA KOKKILA. Opened 1-12-70. Balance as of date
of \ death. $4.595.00 4,595 00
........... •.
'· \
-
' >·'
;
~i
\ \
' '
\ \ ; . ..
_,/ .,
' i ..
form~;v~~~h b1:~ ::rh~w~---~~~--~-~~·-~a~ o~~~~~-~---~-~-~~~-~--~~-~~----~~~-~~-~-~-~:~-~~-.. i·~---~-~~e 1~n .... £J../~ ........................................................... ~ ....... ¥?-La ......... ~ .............
:Appraiser
........................................................................................................ .......................................................... W (lfumber and. Str~et)
Penna . ............................................ ~ .. ................................ ,
(P Oftle~)
't-TASHIJ:.r;TON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
LEMPI ... HLLL .......... .
Deceased.
Late of
........ DAISYTOWN ................................................................ .
Date of Death, ...................... J-11-71 .................................. .
Appraisemel!t Docket Vol.,
Page, 63-71-546
Filed in Register's Office, ....... J..\U'l..~ ... J ............. .19 . .7J... .. .
Amount of tax due, $ ................................................................... ..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,
Wrote abo,ut Appra-isement, ....................................... .
Appeal j1'om Appraisement, •
Entered and charged,
#'
r-, ~,-.. ~~-,_ -~·-~
!
5 c:: -·· 8 8
1 4 3
0 0
2 '3
2 3
0 0
9 1
9 1 ':':~
I
I
I
i
Form RC C·lO .,. "'
OFFICE OF THE
REGISTER OF WILLS
!o 3 ~; y,__ ~6
STATEMENT OF DEBTS
AND DEDUCTIONS
O<Omlo .. ACCOW<O '"l. ~
THE SUM OF ............ $ J~S.. .S .
OF _ __;W:.:.;a=-::;S:.;:h=i~n:..sg.._t..:.....::O..:n;::___ COUNTY DATE 197JKUSSELL MARINO
AND AGENT OF THE COMMONWEALTH
ESTATE OF L E MP I S • HILL , a /k/a LEl'{_'.(-h: ~I_L_L ____ W_e_s_t_P_i_k_e_R_u_n_T_o_vt_n_s_h_i.;.;;p'---
DATE OF FILING APPRAISEMENT -----------DAT!i OF DEATH _....;Ma;;;:_..:;;r..:C::;..h:;::_..:l;:..l:;;.....r.t__;l;;;..:.9_,7..:1~-----
DATE NO. OF NAt.!£ OF PAYEE REMARKS AMOUNT VOUCHEJit
John B. Greenlee Funeral
Home Funeral expenses 1,352 55
Wa~h i.ne:t on Hosn ita 1 Hospital bill 22 00
Malcom L. Morgan,
County Treasurer 1970 County tax
West Pike Run Township
Robert O'Neil, Tax Collect ~r road tax
Robert O'Neil, Tax Collect ~r 1971 School tax
Patrono, Ceisler,. Edwards
and Pettit Attorneys fees 75 00
Filing Statement of Debts
Re_gister of Wills and Deductions 3 00
"'
~
~352•55 + 22 ~·oo + 75•00 + 3· 0 () + ~1,45:2. 5$ *
----~
kiAL I '-/l{ :l 55
COMMONWEALTH OF PENNSYLVANIA .}
COUNTY OF Washington ./7 ~~
1, ~ ~AA~ /'~.~ /. HEREBY CERTIFY, THAT. TO THE BEaT OF
114Y KNOWL!:DGE AND BELIEF, TH!: F~EGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES 01"
ADMINISTRATION SUBMITTED TO THE ESTATE oFLE MP! s. HILL.aLkLa LENT! HI L L DECEASED. AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES. .C:huv&~-~AND SUBS.]!~BE/EFORE ME THIS ? ~ DAY 01'
(L. 6.)
..#"'·" /A ~
7':;;:?A ..,~, L .J r-Y I /~ ./_L /
P~~ l. KONEK, Notary Public C · rnia, Washington Co., Pa •.
My Commission Expire!!
January 291 11175
I
r: a...
r--..
. ...., z
-: 0 :... l·-·
t,j w '.
j) ~--z
(/) ( !) -r-
::;) (.? ;:;:;
a:: LtJ ·-c.::::'-~.:
...
RCC-81 (6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
ELNA JOHNSON Informant
IN YOUR REPLY PLEASE
REFER TO 38-175-7
Inheritance Tax Division
In R e: Es tote of --=L-=E.:..::.M_P--'-1--'S-'-.::__:;_H=I-=-L--'-L-=a/.__k;..:.J/~a~ _______ _
Washington County -File No. _ _.:6:..:3~·-7~1~·~5~4~6~---
You are hereby notified that the_~_o_r_i....,gLi-=n=-a_l-:--:-::::-=-----:..,--r--------
appraisement in the estate of tempi S. Hill a/k/a
has been filed in the office of the Re..9ister of Wi lis of Washington
County on January 18 , 19n_, Said appraisement reflects the following
valuations:
Real Estate _____________ _
Person a I Property-----:=--=-=-=---=-=-----
T ransfers _____ ___:s:::_.Ls:::_o:::...o~. -=:.0-=0 ____ _
Joint I y Owned ___ ___,S~,J-:!8~2~3~• 9~1~----
T ota I _____ _,1""--4~,'--"3=2=3..:<.... =91,__ __ _
As to such tax that is paid within three months from date of death, a five (5%)
percent discount is allowable. As to any tax that remains unpaid after nine (9) months
(fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) from 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 __ J_a_n_u_a_ry_l_s_· ,_1_9_7_2 __ signed _D_O_M_I_N_I_C_R_._D_e_MA_R_I_A ___ _
APPRAISER I
Title----------------
DATE OF DEATH: March 11, 1971
Note: This is not a bi II.
J
.•
<RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
HILL LEMPI S. Estate of ___ , _________________ DATE OF DEATH 3-11-71
(Last Name) (First Name) (Initial)
REPORT OF INHERITANCE TAX APPRAISER
FILE NO. 63-71-546
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington
Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right i:!_ched~:_A", '~B", "C", and" ".
Datedc Janua!:J': 18, 1972 :_ J(./q · 2 --Jrl~
·-INHERITANCE TAX APPRAISER :!1:' -;!/.
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 VALUE AS REAPPRAISED
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)
14 323 91
None
CLEAR VALUE OF ESTATE 14,323 91 14,323 91
Valuation of life estates or
annuities................... $------+--
ESTATE TAX ASSESSMENTS $ _____ _.___
FOR USE OF REGISTER ONLY COMPUTATION OF TAX
Tax on $ $ --------+---
Tax on $ ---------+-"""""'-
Taxon$---------+--
Taxon$ ________ -+--
Taxon$ ________ -+---
Exemptions========!== Total Estate _________ -1---
TOTAL TAX
6%
5%
10%
15%
*
$ ________ 4---
$--------+---$ __________ ~---
$ _______ -4---
$--------~--
Less tax previously paid
BALANCE
Less 5% of tax if paid within
3 months after death :== ~=== ~===~===~:=="":!:=· :=~~
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6% from
-----to ------
AMOUNT OF ESTATE TAX ASSESSED $------1---
Estate tax paid $ _____ __,1 ___
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
BALANCE DUE $---------~----
Add interest at rate of 6% from
---------~0-------
FOR USE OF REGISTER ONLY
$-----------4----
TOTAL TAX BALANCE $ ----------+----
PAID $ -------L..---
ADJUSTMENTS
Will
Administration ~ No.
IN THE
Year ........... .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
LEMPI S. HILL CJ./J</a.
Deceased
Late of .. CHARLEROI ...
County of . ... l\TASJUNQTON ...
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
...
..
..
}..,unn R.CC-2
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ........... ~-~-~~~.!.Y. ..... ~.~ .. P.: ..... !.?72
~ •DEPARTMEl\!T OF REVENUE
, BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA. 1 7 1 2 7
COU~Y ....... ~ ..... ~~-~~~~-~:~.~··········· .... .
FILE NO •........ ~ .. ~.: .. ?..~.=~-~-~······································
Whereas, ............................. ~~~P.~ ..... ~ .. ~ ..... ~.!.~! ........................................ : ......................... late of ................... 9..~~-~~-~-~~.i.: ................................. .
in the County of .......................... W.as.bngt.on ....................................................................... Commonwealth of Pennsylvania, having died on
the .............................. .ll. .... th .......................................... day of ............. March .......................................... 19 .... 71, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, ................ P9m.i.P..l~ ..... R ......... P.~.MA.r.:i.a .......................................... , 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
th h I f II T d rf t t t f . d t t h b fi1 th f 11 t e cas va ue o a annu1 1es an 1 e es a es growmg ou 0 sa1 es a e, ere y e e 0 owmg appra1semen :
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
$
-
-· --
TRANSFERS:
SP-"' St".h"'dn1P"C" attached to appraisement 5,500 00
JT. HELD:
See Schedule "E" attached to aPDraisement 8.823 91
Total 14,323 91
form:!;v:fhbl:: ::%:.w~ ·~~=: :U,~ 0~e~~~;ify :h~t th ........... ~e app:ai~;j~
C]i:••·············'~······~···==·····················································~ L (Number and Street) "'""·u· .,-7 . ,...::;··oo;;;· . ..............• Penna.
....... WASHINGTON .... County
RESIDENT INHERITANCE TAX APPRAISEMENT.
Estate of
. LEMPI S. HILL a/k/a
Deceased.
Late of
Date of Death, ....... ~T.C.b. .. l.l, .. J~.7l.. .............. .
Appraiseme1!f Docket Vol., ................ 3.8 ............................ .
Page, ..... J'1..~~.1. ............... No. Ji..~.~.7.~.~.$..4Ji. ...... .
Filed in Register's Office, .. J.~n" ..... le. .. ,.J9 .... 7.Z
Amount of tax due, $ ................................................................. ..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,
Wrote abo.ut Appraisement,
Appeal f1'om Appraisement,
Entered and charged,
·'
#