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HomeMy WebLinkAboutOC1971-0561 - ESTATE OF CARROLL.... FORM 67 REV. 1-50 Ct,3-71-s~ / . . ., REG. WILLS 1\ppliratinu fnr 1Ettttr.a nf 1\~mini.atratinu nu tqt · Estate of ....................... MT.A .... Y. ....... Q.AB:RQX:!~ .................................................................. : ........................................................................... . .. o.f ... .Am:w.e.ll. ... T.o.wnshi.p..~ ..... washi.ng:t.QJ1 .... G.Q.1J.n:t.Y. . .~ ..... P.~.Q.n§.Y..!~ .. n1.~ ...................................................... . l~:e~.!!i .......................................................................................................................................... , Deceased. Before the Register of Wills of Washington County personally a p p e are d ................................ M ....... GOI.JlY.E .... HATT.I.E .................................................................................................... .. who, being duly sworn deposes and says tha>t.. .......... ZATA .... V. ....... CARROLL .................................. : ..................................... . age ..... ~~ ....... , having .... her. ... last family or principal residence at ...... R.~ ..... P. .. ! ..... ?. . .s ..... ~.Q~ .... ~.1.§., ..................... .. (Street and Number) .. ~.~~~.~.~ .... !.?..~.~.~.~~.P. .. ~ ..... ~.~.~.~.~-~-~~.?.~ .. r... .. ?~ .. ~ .......... , Washington County, Pennsylvania, died intestate (City, Borough, Township) at.. .. JV:g..§.hingt..QP..., ..... P..e.nn.a.A .......................... , on the ..... 2.2.day of .......... M.aY. ............................................................... . A. D., 19 ... 1.:;t. ........ , at ............... Jt; .. J..Q .................. f. .. : ... M., possessed of personal estate to the estimated value $ ... ?..9..~ .. Q.9.Q .. ~.QQ., and of t'eal estate in the Commonwealth of Pennsylvania to the estimated value of $ ... l.~AO.Q .... OQ .... , siltx~:»x. ... be.ing .... 6./.35. ... i.nt.er.est .... i.tt .... r.ea~ ... .es.tat.e .... s.ituat.e .... i.n .. .. .. ~~W.!?.J.! .... T9..~~.§.~.~.P..~. ..... ~.~§.J:?:.~.~K~.Q~ ..... g.9.~.~.~.Y. . .L .. .:!?..~.P..~~.Y..~Y..~P..~.~ ................................................................ .. The names and addresses of the .decedent's surviVmg spouse (if any) and other heirs (including heirs by adoption) are as follows. RESIDENCE J .. 9.~~.~.~Y. ..... ~.~ ...... g~E.~9..~.~ ............................................ !?.~9..~~.~.~ .......... ~~-~ .... g.~-~~.~ .... ~.~!~.~~ .. ~ ... · .. g.!?..~~E .... 9.:~9..ve, N.J.· .. M ........ GQJ.d.Y..~ .. : .. a~.t..t.i..e. ............................................... $..i..t:?..t.e..~ .............. ~J.1.Q .... W.;i;.§.9..QQ.§i.n .... AY..~.: .. N .. ~.w.., .. .~ ..... Wg.s h • D • c . .. AP..4.r.e..Y. .... C. ........ EY.~.n§ .................................................. §J.t:?..t.e..r. .............. ?.§.Q.Q .... WJ.§.9..Qn.§.:tn ... .AY.~ .. : .. N .... W.., .. .l •.. Jfg_s h • D • c • .. Gw.e.ndal.y:n ... .M ....... Ma.ddo.x. .................................. s.i.s.t.er. ............. .±1.?.;?. ... JH?:Q.g.~ ..... J.§J.~n.g ... .AY..~ .. : . .N.~ .. W .. ~ .... . .. ~-~~~.~ ..... ~-~ ..... ~.~.!..!:.~.~.~ .............................................. ~~.P.h~~ .............. ~.6 .. ::.5.B. .... F.9.r.mh.Q~~ .. e. .... L.an~., ..... ~~-~.~.~ .. ' D • c · Morristown, N. J. 07960 ......................................................................................................................................... ······································································································· ·········································································································································· ...................................................................................................... . ......................................................................................................................................... ······································································································· That deponent· is over 21 years of age, resides at... ............. 3.14.0 .... Wis.c.an.sin .... Av..enue..,. .... N .• JL . .......... W~J?.h.:t.ng:t.9..n., ... :;P. .... G. ......... ?.Q.QJ.J?. ....................................................................................................................................................... .. is a citizen of the United States and a resident of Pennsylvania, and respectfully applies for Letters of Administration upon the Estate of said decedent, no letters having been previously issued thereon. Sworn and subscribed before me this ...... 27 ................ .. ' May : A D 71 0 .......................................................... , . ., 19 ................ .. COMMONWEALTH OF PENNSYLVANIA } SS· WASHINGTON COUNTY, . ...M.~""G'Cil'dy·a .... Ha:t·t·t~ .............................................. .. .'721.r. ....... ~ .... J¥.~ ........................ .. And now ........ .May .... 21 . ., ........................ : ........ , 19 .. 1.1 ... , comes ....... M ....... Go.ldy.e .... Ha.t.ti.e ................................... .. who being duly sworn doth depose and say that.. ........ ~.h.~ .......... will well and truly administer the goods and chattels, rights and credits of... ........................ ~~J~ .... .Y.~ ..... 9~.!:.~.9..!.~ ......................... : ............................................ , deceased, to the best of . .b~.r ...... skill and judgment in striot compliance with the laws of this Commonwealth, mind- ful of the laws relating to inheritance taxes. Sworn and subscribed before me this .......... ?.? ............ .. day of.. .................. ~.~Y.. ............................. , A. D., 19 ..... ?..~ ...... . <in;. ~dfif. ~ ...N.C .... GB'i'af~ftl~rt'tTei ............................................. .. r=l ............... ifO .. ~:::::::::::::::::::::::::::::::::::::::::::::::: ~~ REGISTER ·' l,!J-71-s&l 1 APPLICATION FOR " Letters of Administration ./ y ESTATE OF ZATA V. CARROLL, ....................................................................................................... Deceased L . R $ ............................. . etters ........................ . ............................. c?l") ~ ... P t.r~ec: ............... . Extra Alias -J ~ ·-~· 0 0 0 0 0 0 ~-0 $:-=.::: ..................... . 0 ;:r:n~ _..,. - Certificates CP· 9. .5 .... -~. $.;-.:···~··7·····~··· :::: (j) (i' ' ' l Renunciati01fs':_ .-~. ~: .. .1'.~>1• $ ·-·/..1 CI'-C) .--;. ... r . ···::..:...····-!.··················· '--·----. ,--· ······························~···~:···~-:.::············::::g$ ... : ......... :.: ........... . 0~-~ t_.V ································:··~··::;:·········~·.=·························:···· Total ..................... ~ ..... w .. E .......... ~ .... /...~ ..... O:::?J ... ......... F.;r.~.u.K ... 9.,_ ... ~~.r.!'.QJJ .................................... . Attorney (l" ~· \. Form 23. Register of Wills . . -irnunrintiou ___________ z_A_T_A_V_._C_A_R_R_O_L_L ___________ Deceased. The undersigned ________________________________________________________ __ (Parties entitled to Letters) hereby renounce, _ ____,t~h,_,e""i,_,r'----------right to administer on said estate and respectfully request that Letters, _______ o_f __ A __ d_m_i_n_i_s_t_r_a __ t_i_o_n ______ _ be issued to _____ ~M~·~GO~L~D~Y~E~HA~TT~=I~E~------------------------ O!nmmnumrultq nf Jruunyluauia. lltas4tugtntt C!!nuutg. I, 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, ~ M. Goldye Hattie administr atrix of all and singular the goods and chattels, rights, and credits, which were of Zata V. Carroll late of Washington County, deceased, GREETING: WHEREAS, the said Zata v. Carroll late of Amwell Township in the county aforesaid, lately died intestate (as is affirmed), possessed of divers goods and chattels, rights and credits, within the said County, Russell Marino by reason whereof the power of granting administration thereof doth belong .to me; I therefore, confiding in your fidelity, do by ·these presents grant unto you these LETTERS OF ADMINISTRATION, here- by committing unto you full power to administer the goods and chattels, rights and credits, which were of said deceased within this Commonwealth, you having taken ·and subscribed ·the oath of office pre- scribed by law; requiring you to well and truly administer the goods and chattels, rights and credits, which were of said deceased, and .to exhibit a true and perfect inventory thereof into the Register's office, at Washington, within ninety days, and to render a just and true account of your administration at ·the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws relating to inheritance taxes. IN TESTIMONY WHEREOF, I have hereunto set my hand and caused the seal of said Office to be affixed this 27th day of May in the year of our Lord one thousand nine hundred and seventy-one c--- ' r 1N ~ ~ ;> .... '1-:i .... ~> ~ +'t 1< trt ~ ~· z = 1n M M\ ;~r 0 ~ ., \I) > ~ :::o ;:... t:l io .. 't"i ~ s M .... 0 = ~ .... trt .... +'t ~ .... .... = = i Estate of zata V. Carroll ·late of Amwell Twp. ..... of 19 ...... . .. .... , Deceased KNOW ALL MEN BY THESE PRESENTS, That we, .M.• ... Gq_:tqy~----~-~~-~-~---~-~---~r.~.P.~.~paJ. ~rl:~ .. lJI1~~~~·-· S..~~-~.<3.~ ... 1<'i.<:lt3}}~Y. .. ~.~9-Guaranty Co. Baltimore, Md. Surety '················································· ························· ····················································· ··············· all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl- vania, for the use of those interested in the estate, in the sum of F.,i:f'~.Y .. T.J:?..O..l:l.f!I.Ei.f.lq _______ ........ Dollars, to be paid to the said Commonwealth, to which payment, well and truly to be made, we do bind ourselves, jointly and severally, for and in the whole, our heirs, executors, administrators, successors and assigns, and each and every of them, firmly by these presents. Sealed with our seals and dated the ~71ib,. • . day of ............ ~~.Y. ............................ A. D., one thousand nine hundred and ... Se.v.e.nt.y .. One .. . THE CONDITION OF THIS OBLIGATION IS, That if the above bounden ..... . JVI~ ... ~.()~~!..~.--~-~-~--~~---······························································································ ···r·1x······ ··············· Administratin" . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . .. . ....... .... ... . . .. . or any of them, shall well and truly administer the estate according to law, this obligation shall be void as to those who shall so administer the estate; but otherwise, it shall remain in force. Sealed and delivered in the presence of: ...... (SEAL) ~tatrmrut nf ~urrty I, -·---------------------------------------·--------------------------------------------------------------·------------·· surety in the sum of $---------------------------on the administration bond in the estate of --------------------------------------------------------------------------------------·------· say that I reside at --·-------------------------------------, Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in .................................................................................................... , Washington County, Pennsylvania, worth above all encumbrances $ .. __________________________________________ ; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. ·-----------------------------------------------------------------------------------------------Street P.O. &tatrmrut nf &urrty I, --------------------------------------------------------------------------------------------------------------------------· surety in the sum of $-------------------------------on the - administration bond in the estate of -------------------------------------------·--·---------------·--------------------------------------------------------· say that I reside at --------------------------------------------------------··---------------------------· Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in .................................................................................................... , Washington County, Pennsylvania, worth above all encumbrances $--------------------------------------------·--; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities . COMMONWEALTH OF PENNSYLVANIA, } ~ SS: WASHINGTON COUNTY, ......................................................................................................................... ·-----------------------------------------------------------------------------------Street P.O. And now ........................................ 19 ............ , comes .............. ·-···-····························-···············-···--·················-······························-················· who being duly sworn, says that he is acquainted with the financial standing of the securities to the within bond; that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this day of ------------------------------------------------------------------------------------A.D. 19 ......... . ·----------------------·------------------------------------------------·----------------------------- ~3-7/-5~1 No .... l.9.l.§ _________ __ 1\~miutatrutinu ianM IN THE ESTATE OF Zata V. Carroll ·-------------------------............... ------------------------------------~-- ... -~ I ~ And now ---~~--?~1¥.-:Y.--27.:::: ..... ;.:.,-19.'11 .... Bond approy~d-and Letters issued to I-~·~ ~ -fJ) ....... -c.:: ~ ,.,..; ~_: ') li-1 _____________ M.~ ... ;ld:9J~gj~ ___ ij_~t~J~;:-:-::; ............. . .... _, c·... -~ --,-; ,:: ~ .. whe>O~?s::Cduly-qualified -----------------,·-::-··--r-----------------:_-..,-------------------------- -ur-z l> v'> o - -------------~~-~~-lJ ... M~_r.t!:f§ ________________________ _ Re'gister Bond Book _____ j?_4_________________ Page ___ _17_4_ BADZIK PRINTING ~9 DONORA ' I -, .., . I • 'l ~~ . ' c;, 3-1 (->-.6 to ) i\ffibauit ®f fxrrutnr ®r i\bministratnr ~tatr nf Jruuayluauia, t BB: C!tnuuty nf BaafJittgtntt \ Personally before me, the undersigned authority, a .................. ~~.~.~.!'Y. .... ~~.~.!J.~ .................... in and for said County and State, appeared ......................... M.~ ..... ~.QJ.9.Y.~ .... .H~.tt.i.~ ....................................................... who, being duly sworn according to law, deposes and says that She is the ~IXtll«aaxadministrator of the estate of .................................. Z.~.!;:.~ .... Y..~ ..... G.~!.r..QJJ ....................................... deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of.. ........... ~.~.!;:.~ .. Jl..~ ..... G.~!.r..Ql! ........... , 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 ~K Administrator. day of ................ J.~.P.~.~;_J.:.: ...... y;19 .. .?..?. .. ~ J ............. { ..... 2?..zt ..... ·~~A~~~ ........... . Sworn and subscribed before me this ......... ~ .. ?. .... :... l ············~\i6'~·················· wash., Wash. C~~taPlnKa. 1.c ADDITIONAL INSTRUCTIONS My com "l.e~~cfut~/fu'&lt~ 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; 1 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 1Juututnry auik 1\pprai.atmtut of the goods and chattels, rights and credits which were of ................... ?.~.'!~ .... .V..! .... ~~.RRQ.~~ ............................ Jate of .............. ~!m:?.~ll. ... 1'.~.9§.hb.P. ................................. . Washington County, Pa., taken and made in conformity with the above affidavit. DOLLARS CENTS REALTY: Undivided 6/35 interest in 50 acres, more or less sit- uate in Amwell Township, Washington County, Pennsyl- vania. For more complete description see Deed Book 498, page 683. 1 400 00 - TOTAL REALTY 1.400 00 PERSONALTY: Savings Account 083-2064411 in name of Reita L. Carroll (predeceased decedent) or Zata V. Carroll in Pitts- burgh National Bank, Washington, Pennsylvania 6,826 14 Savings Account 83-2090935 in the name of Zata V. Carro 1 in Pittsburgh National Bank, Washington, Pennsylvania I 2,828 66 Savings Account No. 11-005264-2 in the name of Zata V. Carroll in First Federal Savings and Loan Assn. of Washington, Washington, D.C. 20005 4,504 18 Savings Account S-16531 in the names of Zata v. Carroll or Reita L. Carroll (predeceased decedent in First Federal Savings and Loan Association of Washington, Washington, Pennsylvania 242 68 Checking Account in Pittsburgh National Bank, Wash- ington, Pennsylvania, in the name of Zata v. Carroll Account #83-5-376736 366 29 Checking Account in Pittsburgh National Bank, Washington, Pennsylvania --special checking account 1133-4-793775 904 31 Total personalty carried forward----15.672 :.!26 J I I ., ~ -q, ~ ....... ....... ~ ~ q, ~ .... ~ 0 ~ I t:l'j l:l tt:1 ~ ~ t CI'J ~ ""':l ~ ::g \0 ~ i:1 ~· J q, I 0 ~ ":j q, ~ I .... ~ r ' r--------- ,; INVENTORY & APPRAISEMENT Estate of Zata V. Carroll, Deceased. Page 2 --------------------------------------------------------------.---------------- Personalty (continued) Balance carried forward 50 shares common stock of Bethlehem Steel Corporation @22.875 358 shares common stock of Columbia Gas System, Inc. @'34.9375 25 shares of common stock of Curtiss Wright @12.71875 11 shares of Dan River common stock @9.625 226 shares common stock of Dayco @18.15625 102 shares common stock of Greyhound @20.125 174 shares common stock of Lehman Corp. @17.15625 30 shares of common stock of Mobil Oil Corp. @55.46875 5 shares of Niagara Mohawk Corp. @16.28125 115 shares of common stock of United Corp. @9.21875 18 shares common stock of Warner Lambert Pharmaceutical Corp. @74.2125 13 shares of Frawley Enterprises, Inc. @4.50 74 shares of Resource Exploration & Development Co. Ltd. 1 1950 Dodge automobile Mutual of Omaha -Hospital and Accident Ins. refund Mobil Oil Company -dividend -record date 5/3/71 15,672.26 1,143.75 12,507.63 317.97 105.88 4,103.30 2,052.75 2,985.18 1,664.06 81.41 1,060.16 1,335.83 58.50 Unknown 50.00 171.43 Bethlehem Steel Corporation -dividend -record date 5/11/71 19.50 15.00 Warner-Lambert Pharm. Corp. Dividend -record date 5/5/71 CNA Insurance -payment of claim for hospital expense Rike's Dept. Store, Dayton, Ohio -refund of credit on account TOTAL PERSONALTY CARRIED FORWARD 5.40 470.86 2.90 $43, 821L tZ·7 • • INVENTORY & APPRA !SEMEN!' Estate of Zata V. Carroll, Deceased. Page 3 -----------------------------------------------------------------------------Personalty continued Balance carried forward from Page 2 $43,823.12 Banker's Life and Casualty Company -refund of unearned premium 28.24 Banker's Life and Casualty Company -refund of unearned premium Louisiana & Southern Life Ins. Company -.insurance on life of decedent Old American Insurance Company -insurance " •. i:T Social Security Administration -Civil Ser. Ann. FOLLOWING U.S. SAVINGS BONDS, SERIES E: Date 11/50 3/51 7/51 10/51 2/52 7/52 10/52 8/53 3/54 10/54 2/55 7/55 2/56 6/56 11/56 4/57 1/58 6/58 11/58 4/59 9/59 2/60 7/60 11/60 5/61 10/61 2/62 9/62 Serial No. Q943 439 647E Q959 871 908E Q969 999 078E L222 241 077E Ql033 075 987E Ql024 864 713E L251 356 926E Ql095 469 209E L274 672 463E L286 533 150E L291 427 245E L299 467 404E L309 406 616E L317 121 091E L324 335 lOSE L333 004 745E L456 837 703E L463 407 079E L4l5 604 154E L486 199 043E L491 760 642E L534 898 957E L542 909 286E L548 634 179E L562 171 298E L568 693 061E L577 487 152E L588 107 777E Face Amount 25.00 25.00 25.00 50.00 25.00 25.00 50.00 25.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 50~'00 50.00 50.00 50.00 50.00 50.00 50.00 50.00 TOTAL CARRIED ·FORWARD 23.28 1,005.20 1,000.00 272.80 38.25 37.60 36.81 73.62 36.14 36.08 70.68 34.78 68.34 65.82 65.98 64.88 63.80 63.76 62.44 63.68 61.66 61.92 60.62 59.66 58.30 58.40 57.32 56.16 55.12 54.72 54.86 52.32 $47.72-1.01 INVENTORY AND APPRAISEMENT Estate of Zata V. Carroll, Deceased. Page 4 -------------------------------------------------------------------------------- Personalty continued Balance carried forward from Page 3 (U. S. Date 2/63 8/63 10/66 4/67 10/67 11/57 1/68 12/48 2/49 8/51 8/51 12/54 12/54 12/57 12/57 12/58 12/59 12/60 12/61 5/61 12/62 12/63 12/64 12/65 Bonds -Series E continuedl: Serial No. L599 428 685E D85 966 545E C471 214 664E C478 538 813E C482 815 691E C353 592 664E C485 680 696E Ll86 436 513E Ll89 282 423E Cl69 611 118E Cl69 611 119E C223 446 483E C223 446 484E Ql600 748 658E L456 837 683E Ql656 537 063E , Ql800 482 918E Qt860';114 973E Ql908 108 208E M83 703 695E Ql967 441 555E Q2028 258 .213E Q2092 459 729E L664 079 480E Face Amount 50.00 500.00 100.00 100.00 100.00 100.00 100.00 50.00 50.00 100.00 100.00 100.00 100.00 25.00 50.00 25.00 25.00 25.00 25.00 1,000.00 25.00 25.00 25.00 50.00 TOTAL PERSONALTY TOTAL REALTY TOTAL ESTATE $47,727.01 52.54 515.20 89.68 87.76 85.84 ~25.28 84.00 77.90 77.90 147.24 147.24 131.96 131.96 31.46 62.92 30.45 29.20 28.13 27.43 1,102.40 26.27 24.73 23.71 45.84 $50,891.36 1,400.00 $52.314.05 I •. I ~ ~ .., • I ol S(, 3 ~ 3-Ji-6:'~/ ESTATE OF F I t r r)-. -- I lzf~A E\7'. CARROLL, '7 2 JAH I 9 M1 II Z 7 DECEASED. R US S F 1 L t-~ A 111 N 0 REGISTEP. OF WILLS WASHINGTON GO .• PA. tt ' 1 --- - - - ------- INVENTORY AND APPRAISEMENT ATTY: FRANK C. CARROLL ~ g'.Z,_, ·4-· 413 ~ \Q,~ \ STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ SS: The within named Accountant being duly sworn according to law, depose sand sayS that the above. account t t d · t d · she does ·1 b 1· as s a e IS rue an correct as ......... ~--------------------------------ven y e 1eve. Sworn and subscribed before me this ......... (] ______ _ day of ... , .. : ..... J~m.t,H:J!.Y.~-----------------------J9.]% ___ _ -~ --------------·-Not~fry P'liol"ic·-------------------------- washington, Washington County, Pennsy vania My commission expires Feb. 20, 1975 Washington County, ss: -0 .... 1'1 :::s 0 <> <> ... < ~ ~: t-:! 1-f "! t-:! H ~ ~ ~ E-f ..... ~ -Sot ~ 0 ~ +J < cu r.1 ..i ~ u ~ ~ E-< '"01 < +J E-< w: CJ) ~ rn > CJ)i 1-l •r-1 r.1 cui 0. s:: I 1 e:s w: 9 •r-1 . CJ! s m' < w: ,j '"0 ~i 'l N ~~ < ci z , . '·.1" It ~-pi, ' ' .) .... " I.' I •· I do certify that I have given legal notice 'to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court, as evidenced by proofs thereof fil~d to No .... 'b.'J .. -:..72_-:_ __ /_ ____________ , Witness my hand and official •seal this ____ {R.__'ff._ _____________ _ dayof.~----------------------------------------19.7~ ~-~~fJ1JlMi1~------------Register of Wills .... i:i ,. . ... :::s c.) ctl .'' .! I, t ::• ·~ I 0 .._, ~-r ·~ 0 1'1 0 :::s Q) 0 .<:l -<> 4 .., 0 <> < r·· ... ~-'\ 0 '\""-.., .!d ... .. ... --<··· u, "" .2 .-4 0 Q) .... .., 0 .-4 1'1 ~ I" '·' Q) 0 0 s:l rn '8 :,.; .... i ! ( 7 Q) ~ ... i\ I I ... iE ~ 0 ... p. .., 0 cu .., .., ~ < 1'1 u :::s r.1 t pi I r' (-. r~ I 1 0 <> "" tv._. VL!_f ... '·!: R''' <> 1'1 1-.; •• r 1 f·l 0 ctl ctl u REGISTER (' ~-WILLS 1'1 !il vt" ;§ ~ WASHiNGTON .... s:: co .. -~ rn PA. ·g, cu Q) ~ 0 Q) ~ .., .<:l ~ !;!: .., 0 ~ 1'1 "" 1'1 a> < ,...., ·~. '· . - "· .. ~ .) , . . . '\." . ~ ·,, .. <i' ~I I ~I <r C'- \5) --\-.'- ~ G -=-4 ·: .. •·. f • lj •· ... The First and Final Account of M. Goldye Hattie, Administratrix of the Estate of Zata V. Carroll, Deceased, late resident of Amwell Township, Washington County, Pennsylvania. PER INVENTORY AND APPRAISEMENT After-discovered asset: Refund of moneys held for contingent Federal Esta-te Tax in Reita L. Carroll Estate, as advanced by Zata V. Carroll out of her individual funds INCOME: Dividends:· Niagara Mohawk Power Corporation, 6/30/71 Greyhound Corporation,7/l/71 The Lehman Corporation, 7/14/7.1 The Lehman Corporation, 7/14/71 Dayco Corporation, 7/26/71 Columbia Gas System, Inc., 8/20/71 Bethlehem Steel Corporation, 9/20/71 Mobil Oil Corporation, 9/20/71 Warner-Lambert Co., 9/20/71 Niagara Mohawk Power Corporation 9/30/71 The Lehman Corporation, 10/14/71 The Lehman Corporation, 10/14/71 The Greyhound Corporation, 10/1/71 The United Corporation, 10/4/71 Dayco Corporation, 10/25/71 The Columbia Gas System, Inc. 12/6/71 ·warner-Lambert, 12/10/71 Niagara Mohawk Power Co,, 12/20/71 Mobil Oil Corporation, 12/10/71 Bethlehem Steel Corporation, 12/10/71 1.38 25.50 2.32 10.73 64.41 157.52 15.00 19.50 5.85 1.38 2.32 10.73 25.50 28.75 64.41 157.52 5.85 1.38 19.50 15.00 Total dividends received --------------------------- Sale of automobile 50.00 Appraised value 50.00 52,314.05 115.50 634.55 No Gain Amount carried forward $53,064 .. 10 Carried forward Interest: Interest on Savings Account in Pittsburgh·National Bank June, 1971 December, 1971 Total Interest on Savings Account in Pittsburgh National Bank June, 1971 December, 1971 Total 083-2064411 153.59 33.29 83-2090935 58.56 64.96 Interest on Savings Account No. 11-005264-2 in First Federal Savings & Loan Assn. of Washington, Washington, D.C. Dividend No. 2 -1971 Dividend No. 3 -1971 Dividend No. 4 -1971 Total 54.89 56.99 57.70 Interest on Savings Account No. S-16531 in First Federal Savings & Loan Assn. of Washington, Washington, Penna. TOTAL AMOUNT OF ASSETS TOTAL AMOUNT OF CREDITS CLAIMED BALANCE DUE $53,064.10 186.88 123.52 169.58 9.10 53,553.18 10,463.20 43,089.98 0 ..... The Accountant claims credits ott of said estate as follows: PAYEE Piatt Funeral Home Russell Marino Washington .t:iospital Joseph McMahon, ·M. D. Bernard H. Berman, M.D. Wilson D. Pizzi, M. D. FrankS. Bakewell, M. D. Kurtz Monument Co. Frank C. Carroll Frank C. Carroll Russell Marino Observer Wash. County Reports F. J. Buckley Russell Marino Russell Marino Marie Guidos REMARKS Funeral expense Inheritance Tax on account Balance due Balance due Balance due Balance due Balance due Monument Attorney's Commission Reimbursement of following costs advanced: Letters & S. Cert. 29.00 Adv. Letters 14.00 Adv. Letters 14.00 Bond premium 260.00 Filing Inventory 8.00 Filing Account 17.00 Notary Fees 5.00 TOTAL AMOUNT OF CREDITS CLAIMED AMOUNT 2,189.50 4,600.00 ! 60.701 25 .ooJ 5 .ooi 6.001 5.001 125.001 3,100.00 I I 347.00, $10,463.20 ~~ Obsel/l. -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, as amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Personally appear-ed before me, a Notary Public in and for said County and State, ..... Richar.d .... S. .•..... CQ.W~~---···············• who being duly s•worn according to law, deposes and says tha;t he is the .. .Vi.c.e.~.Pr.e.si.den.t of the Observer Publishing Company, a Pennsylvania corporation, and its agent in this behalf; that the said Company is the owner and publisher of the Observer-Reporter, succ•essor to The Washington Observer, established September 18, 1871, and The Washington Reporter, established August 15, 1808, a daily news•pape.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 published continuous-ly for more than six months prior to the publication of the notice hereto attached; thrut the printed notice or advertisement hereto attached is a •copy of an official advertisement, ofC.:3i;:;,l notice, legal notice or legal advertis-ement, exactly as printed or publi£hed in the Obs,erver-Reporter in its regular editions on the following date or 6. ~tes; ........................................... . ................................................. J.un.e .... 8.,.15 .... and .... 22., .... 1.91..1 ........................ . that neither tl!!e affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the aUega- tions· of this affidavit as to the time, place and character of publication • are true. /~ .4 {!?_ ················--·------&&.~.P .......... ~..-v Sworn to and ''·:· ::~::f.i::;B~ WASHINGTON, WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6. 197t I- I ?~ Obseil -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, as amended. Commonwealth of Pennsylvania, County of Washington, SS: ........•... Personally appear-ed before me, a Notary Public in and for said County and State, ..... Richar.d .... S. ....... CQW~~ .................. , who being duly s•worn according to law, deposes and says that he is the .. .Vi.c.e.~Pr.esi.dent of the Observer Publishing Company, a Jliennsylvania corporation, and its agent in this behalf; that the said Company is the owner and publisher of the Observer-Reporter, succ•essor to The Washington Observer, established September 18, 1871, and The Washington Reporter, ·established August 15, 1808, a daily newspape.r of general circulation, printed and published and haviD'g its place of busines•s at Wash.ington, Washington County, Pennsyl- vania, where it or its predecessors have been established and published continuouso!y for more than six months· prior to the publication of the notice hereto attached; thlllt the printed notice or advertisement hereto attached is a <:opy of an official advertisement, ofE;::iai notice, legal notice or legal advertis-ement, exactly as printed or publiEhed in the ObSJerver-Re·porter in its regular editions on the following date or ciates; .......................................... .. ................................................. J.une .... 8.,.15 .... and .... 22., .... 1.9.Il ........................ . that neither tb!e affiant .nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the allega- tions• of this affidavit as to the time, place and character .of publication () / Estf~lP~b~T~~~~xJ. '11TJ~~~ 1 decea.sed late of~ Amwell Township · i Washmgton Cou~t:y, Pennsylvania:,: ! Letters of Admmtstration upon the 1 above esta~e having been granted to : clthe understgned, all persons having '. alms against the estate are re· I . quested to make known the same to the undersigned or his attorney and ! all persons indebted to the decedent : are requested to make payment to the undersigned without delay : M. Goldye Hattie · : Administratrix ~ 3140 Wisconsin Avenue N. w 1 Washington, D c · ~" FRANK C. CARROLL. . ' 33 W. Beau Street , Washington, Pennsylvania i Att-orney i '71134·Tues.-3t are tme. .. ........................ 1!5:.&.~~-tl. .... e~ Washington Co 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 official legal periodical for said W ashing.ton County, published weekly hav.ing its place of business at Washington, Washington County, Pennsylvania, and is acting as its agent in this behalf; that the said WASHINGTON COUNTY REPORTS. was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly ·as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: June 10, 17, 24, 1971 \ r:; Estate N. ~The R r of WiHs 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. • • • • • • • • • • • • • • • • • CARROLL, ZATA V., Dec'd. Late of AmweH Township, Washing-ton County, Penna. Administratrix: M. Goldye Hattie 3140 Wisconsin Avenue, N.W., Wash~ ington, D.C. Attorney: Frank C. Carroll, 33 W. Beau Street, Washington, Penna. that the affiant or the corpora·tion in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to the~, p ce and character of the publication are true. @ _ ··--·-··· ·-····· . " .................... "·--·~ G ---=-~r Sworn to and subscribed before ~ . ~~ / .. . .Z!t.th ........ day of ................................ J.ul'le· ....... , 19].1 ........ .. ~-.,.;?., ..... " j.j;;;;;;;p;;;;~;, JOSEPHINE T. SCIAMANNA Notary Public, Washington, Washington Co. My Commission Expires July l, 1974 ~lt tijr O!nurt nf atnmmnu Jlras nf lfanijiugtnu Qtnuuty ®rpijaun' Qtnurt iliuininu In the matter of the Audit of Account in Estate of __ Z..:..a_t_a_v.:...._. _c_a_r_r_o_l_l_,~-----( No. _ _,S~6,[_!l~o~f~l:....;!9'_L7~1:......_ _____ _ Deceased. TO THE AUDITLNG JUDGE: Enter ___ ___:.m;;:...yt__ ____ appearance for __ _;.M.:...._. ____:;.G_o_l_d___Ly_e_H_a_t_t_i_e_..!._, _A_d_m_l._· n_i_s_t_r_a_t_r_i_x __ _ of the above-captioned estate. N. B.-Counsel shall, by separate paper, present a concise statement of each claim, wJth supporting calculation of any interest claimed. Objections to an account as filed, shall be concise 1 y stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. J i~~. II '. r-, ~~ ~.n ~ i ~ ~· ~} J ~.~ ! ... _.... r •. ,.. r.u.-P· '12 APR I 2 PH 12 2 3 R US S Ell: tltd:~ I N 0 REGISTER OF WILLS Vf:ASHLNGTON. CO., PA. ----- No. 561 of 1971, AA In re Audit of Account in Estalte of ZA TA V. CARROLL, Deceased. AUDIT Jrurctpr fnr · . 1\pp.ruraurr FOR M. Goldye Hattie, Administratrix. Frank C. Carroll Attorney ~2 (For-m where decedent died intestate·) lin t4r ®rpqaus~ <tlnurt nf llasqtugtnu <trnuuty 1971 ESTATEOF No. 561 ~,A.A. In the audit of the First and Final ZATA V. CARROLL Account of M. Goldye Hattie, Admin is tr a tr ix. State (I) whether de- cedent was married or unmarried; (2) if mar- ried, whether a husband or wife survived and his or her name; (3) whether ·~or not there was any marriage settle- ment; ( 4) whether or not family relation was maintained until deced- ent's death; and (5) whether the decedent left children or issue of deceased children. Deceased The petition of .................... M .. ~ ....... .9.J9.yg ___ _ij~J:;-~-~~---···················································--··················· (Name of Petitioner) respectfully represents: ............................................................................................................................................ . (a) The decedent died ..................... ~.Y. .... ~.?. .. t.. .. ~-~.1..! ............................ , intestate and (Date) letters of administration on ........ h.e:r. ...... estate were granted .......... Ma.y ... 21.., .... .19.1.1 ..... . (Date) as per record thereof appearing in Administration and Bond Book No ..................... . at page ............................................................ . Decedent was survived by Oakley L. Carroll brother M. Goldye Hattie sister Audrey C. Evans sister Gwendolyn M. Maddox sister James W. Carroll nephew (son of deceased brother, George Carroll, who died on February, 1937) within (b) At the time of death, the decedent's domicile was :mi~ the Com- J monwealth of Pennsylvania, to-wit, at ......... A.mw.ell. ... Tow.ns.hip..~ .... Wa.s.hing.t.on County Oakley L. M. Goldye (Town or Township, State and Nation) Penna • and residence was a t ... :R..~ .... .P..~ ..... ?..L .. W~-~-hJP.:g_~9P.: .. ~-----~~-~P.:~.Y.!.Y..~I.l:.~.? ........................... . (Town or Township, State and Nation) (c) The names of all persons having any interest as heirs or next of kin with the names of their deceased parents, to show relationship if they take by representation are as follows: Of age, sui-Name of Guardian, Trustee or Committee, if juris, or not, any, or beneficiary, manr..er and place of NAMES Relationship ·Interest (write yes or record of appointment and is bound suffi- no). cient to cover and protect share. Carroll ,brother 1/5 yes ~ Hattie -sister 1/5 yes Audrey C .Evans . sister 1/5 yes Gwendolyn M. Maddox sister 1/5 yes James w. Carroll nephew 1/5 yes State exceptions, if any, giving names and dates of death and the names of their executors or administrators, or the names of their issue as the same may be mater- ial. Describe type of notice. All of said parties in interest are living,JCmoptxx written (d) All parties having any interest have had ..... ../. ............. notice of the filing of the account by letter dated March 1, 19 72. -~ ;. Insert word "not" where necessary. If taxable state wheth- er tax has been paid. (e) Balance for distribution per Account $ ... .4.:J..~.Q.89. .. t. 9 8 (f) Additional debits, not shown by Account (Itemize) $ .... :?..4..?...~.}~---·· (g) Additional credits, not shown by Account (Itemize) $ .... !?..?. .. ~).§ ..... . $ .... 4..~ _ _,.4.8.4. .. ~.9 4 not (h) Claim for exemption has/been made, and has ........................ been paid. (i) The estate is .................. subject to the payment of inheritance tax to the State of Pennsylvania. (j) The estate is ........................... subject to the payment of the county 4 mills tax. (k) 1The estate is ........................... subject to the payment of Federal inheritance tax. ,.. (1) All creditors (and other persons who have complied with Rule II, Sec. 9), of whose claims the accountant... ..... b.9.§. ............ notice or knowledge, have .• . ........................ received actual notice of this audit; the amounts of their claims and if too many _for the I whether or not they are admitted to be correct are as follows: space, annex a hst there- of; if no such claims, r, insert the word "none." If _any creditor or other I NONE clatmant has not re- ceived actual notice, that fact must be stated. Indicate such claims as may be secured or en- titled to a preference, and give detailed infor- mation concerning such security or preference. Here insert a reference to all questions requir- ing adjudication, and a !'tatement of any mater- ial facts not already given. If none insert the word ''none." If any share has been assigned or attached that fact should also be stated here. State kind, form and character of property composing the balance for distribution, and if any part thereof is not cash, whether or not 1 there has been any elec- tion to take such part in kind. (m) NONE (n) The balance for distribution consists of property in kind, form and character, as follows: Undivided 6/35 interest in 50 acres, more or less situate in Amwell Township, Washington County, Pennsylvania. (See Description of Real estate marked Exhibit "A" ) 1,400.00 Stock listed in Exhibit "B" hereof Cash 27,417.90 14,667.04 43,484.94 ~Additional debits, no¢ shown by Account: Value of Resource Exploration & Development Co. listed as unknown in Appraisement 1.48 Dividend from Lehman Corp. 154.86 Dividend from Greyhound Corp. 25.50 Dividend from Dayco Corporation 64.41 Anticipated refund from 1971 Income Tax 158.34 Redemption of Savings Bonds 4,903.49 Appraised Value 4,760.76 Interest received-------------------142.73 Total additional debits~--------------------------------547.32 Additional credits, not shown by Account: 1971 Penna. State Income Tax 1971 Fiduciary Income Tax 1972 Personal Property Tax Advanced by Frank C. Carroll for additional certificates, etc. 25.17 55.19 68.00 4.00 Total additional credits-----------------------------152.36 Balance---------------------------------------------$43,484.94 Are there any advance- ments by decedent to be considered on distribu- tion and has any distri- bution on account been made by accountant to any distributtee? (p) None ( q) Give brief location of any real estate sold. None If prior accounts have ( ) heen filed, list number r and term. None Wherefore your petitioner asks that distribution of principal and income be awarded to the persons thereunto entitled and suggests that the balance of principal and income should be awarded respectively as follows (shares being stated in proportions but not in amounts) :-· Reaward to Administratrix for contingency fund for additional federal, state tax which may become due after disposit:ioo of proceeds of estate, without further accounting to the Court necessary----------------------------~------------$500.00 Oakley L. Carroll M. Goldye Hattie Audrey C. Evans Gwendolyn M. Maddox James W. Carroll County of Washington, ss. The above named petitioner being duly sworn doth depose and say that the facts set forth in the foregoing petition are true to the best of h .... g.~··· ......... knowledge a~d belief. Sworn to and subscribed before me this 1 day of... ......... Ma.r.c.h ................. , 19 .. .1.2 ..... .. ......... ~~~..t--~ -········ Notary Public brother 1/S.residue sister sister sister nephew including stock (See Elec- tion to Take in Kind filed herewith) and cash " II II II And your petitioner will, etc., ... ~/lJ ... ~~-···············- M. Goldye Hattie , .... _.W~§.h~~g-~.C?.~.'-..... W~.~-~-~~.8.~-~~ .... ~.~~?.~Y.L. Penns y 1 van ia My commission expires Feb. 20, 1975 r ~-FORM IN CASES OF INTESTACY No ....... JJ?.J: .... 9 f_ _ __!_9.}J ............ -n~~-~--• A. A. IN THE ORPHANS' COURT WASHINGTON COUNTY, PA. Es-tate of ZA TA V. CARROLL -----·-------------------------------··------------· De·ceased. Sur account of .... J1 .. ~ .... G.~~dye Hattie -------·········------------------------------· Administratrix PETITION SUR AUDIT In Conformity with Court Rule III, Sec. 5 (B) COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1. The letters of administration. 2. A copy of the inventory and appraisement. 3. Proof of advertisement of the grant of letters, if not filed with accountant. 4. An appearance for those represented. 5. lnher·itance tax receipts, if any. 6. Certificate of liens in case any of the funds fo.r distribution are derived from the sale of real estate. 7. Copy of Federal Estate tax return, if estate is subject thereto. 8. Signed elections to take in kind, if any . .......... F.rank ... C.a .... C.a.rr.oll ........................... . Attorney for Accountant. ~2 ,......----r--~~-,- ;--·) r" I 'l;.,..:,.. .... ..r p '12 i\PR I? Ptll2 23 ' ~SSEL.L !.l~.RINO -.: 'iCTf:"R n·-wll' c; , ~-J v_ . .-. _, .. .~ ~ tt L"""' \'.'/<-H!~WlOI~ CO .. PA. •' . ) 1 , 1 ·' .. ... .· ,. ,. . ~ . ~ .... .. IN RE: ESTATE OF ) ) ZATA V. CARROLL, ) No. 561 of 1971, A.A. ) Deceased. ) EXHIBIT "B" LIST OF STOCK HELD FOR DISTRIBUTION 50 shares common stock of Bethlehem Steel Corporation @22.875 1,143.75 358 shares common stock of Columbia Gas System, Inc. @34.9375 12,507.63 25 shares common stock of Curtiss Wright @12.71875 317.97 11 shares of Dan River common stock @9.625 105.88 226 shares common stock of Dayco @18.15625 4,103.30 102 shares common stock of Greyhound @20.125 2,052.75 174 shares common stock of Lehman Corp. @17.15625 2,985.18 30 shares common stock of Mobil Oil Corp. @55.46875 5 shares of Niagara Mohawk Corp. @16.28125 / 115 shares common stock of United Corp. @9.21875 18 shares common stock of Warner-Lambert Pharmaceutical Corp. @74.2125 13 shares of Frawley Enterprises, Inc. @4.50 74 shares of Resource Exploration & Development Co. Ltd. 1,664.06 81.41 1,060.16 1,335.83 58.50 1.48 ... ........ -~ -.1 f") ~-- ::D" r---· -o l :::0 ~-~~ ; \I f"J 0 ~, / 'I I e ~ z < > .I >-(JI z z Thf THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENN • ORPHANS' COURT DIVISION INRE: ( ) Estate of ( ) No. 561 of 1971 ZATA V. CARROLL, ( ) Deceased. ( HEARING ON AUDIT ~ BEFORE: i The Honorabl e P. VINCENT MARINO, Judge of the said Court. 0 ... " z :z: (JI < 3:: ..: APPEARANCES: !:! FRANK C. CARROLL, Esq., of Washington, Pa., representing the Accountant. a: ... (JI Q .I < u Q ~ TIME: :z: ::: N ui a: Ill ... Thursday, March 23, 1972, at 10:00 A. M., EST ~ THE COURT: Number 561 of 1971, the estate of Zata V. a. Ill a: ... a: ::J 0 u Carroll, deceased. The Administratrix is M. Goldye Hattie and ~ the attorney is Frank C. Carroll. Mr. Carroll? u ii: ~ Mh. CARROLL: I have all the necessary papers here, Your Hon r. There are no problems in the estate. The heirs who are brothers and sisters and one nephew of the decedent have elected to take sto k in kind. And we have attached the election with the itemized numbe of shares for them to take. We are asking that the Court rea ward without further accounting an amount of $500. 00 to the Administrat ix J ! / / I J ~ z < > ..1 )o Ill for a contingency fund for any additional Federal Tax which might be due as well as any state income tax. THE COURT: Are there any outstanding claims? Mh. CARROLL: No. THE COURT: Is there anyone else in Court interested in this decedent's estate? (NO RESPONSE ) ~ 'IHE COURT: The audit of this account is ordered closed by Ill a.. z 0 1-Cl z i Ill ·~ ..,: ~ 0: l-UI Q ..1 < § 0 :l ., :r ... .... N ui a: the Court. (AUDIT CLOSED) I hereby certify that the proceedings and evidence are contained Ill 1-~ fully and accurately in the notes taken by me on the hearing of the above a.. Ill « ~ cause, and that this copy is a correct transcript of the same. ::J 0 u ..1 < u ii: ... 0 The foregoing record of the proceedings upon the hearing of the ab ve cause is hereby approved and directed to be filed. J. I 2 . , u ... ,-. r '· .1 r J J. •' 1-; ; . J •.) ..... ,J J ' . • r ~··-,; ,.... .. .i ~~·.J ., . ,, . () I" ; . f • -~~ ' J. l ·, . r.·J ' . . ::_·T . r I-~;'( .~ J \ J i .: ' ~ ' .. : ; .t.' .;! • ......... :: ;: ~) r-..> > rn :::0 ~-:;Do (JJ G) , __ --o i ( .-. :~ ((.> \.,., -::. ' -~, -1 ·-" ") .. ~.:J ,, :-> 0 ~-1~ ~- i 1'-..> -o r 0 J:> (J') :-'-.1 L·-· ~ I L ,_ ! .. r ~u t4t <ttnurt nf <ttnmmnu Jllrns nf llas4iugtnu <ttnuuty. Jruusylnnuia, ®rp4nns' <ttnurt llinisinu ESTATE OF No. 63-71-561 Zata v. Carroll In the matter of the Firs t and Final deceased Account of_~M~.L-.o.::G:..loowl~d .... yJ-le"'--"H...,a~t .... t~i ew.._ __ Administratrjx ADJUDICATION AND DECREE And now April , 19_1_g, this matter came on for hearing, audit and distribution at this session and testimony aken; and thereupon, upon due consideration there¢ the8~ala'!ce for distribution in the hands ~f the Ac.countant. is deterll!il!ed to be $ · .U3 ,)J; 1J,. 9~ and the account IS accordmgly conf1rmed; and 1t 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 _________________ _ Additional debit asked at audit Additional credit asked at audit Balance _____________________ _ Deduct Clerk's Costs & Receipts_c ____________ _ Attorney Frank C. Carroll Russell Marino, Clerk o.c., costs in reel estate to Recorder, Olga o. Woodward, Recorder, costs recording certification of real estate, Russell Marino, Agent, transfer inheritffi ce tax, M. Goldye Hattie, Administratrix, reaward for contingent taxes, that may be determined to be due. After the taxes are fully settled and the accountants liability ceases any balance of this reaward remaining shall follow the decree of distribution herein made, as it re- lates to the distribution of the balance and the proportionate shares there~n, and no fur- ther formal accounting to the Court,shall be necessary, Oakley L. Carroll, brother, 1/5 balance, in- cluding eash, an undivided 1/5 of a 6/35 in- terest in real estate as hereinbelow described and the ~ollowing assets, held in kind and dis tril:nlted as such s t the appraised value, per election filed:- 10 shares of common stock of Bethlehem Steel Corp. 152.36 5'2.00 5oo.oo $43,637.30 $ 43,484.94 J , 0 -~ w =· tj at t:Y 0 -;::· a t ~ er .. = ~ & ~ ' r I' ~ l:i ~- ~ r r ) . ._ r r J ~ \ r ~· .I .:I 1'\' -+' 0 :::; c: II> a 3 0 0 --+ or ... 0 ""' -+ :::; II> r r ) r r '..., ) ) r . ' '} r ' ' z ? J '} (' r .. 71 shares of common stock of Columbia Gas System, Inc. 5 shares of com. stock of Curtiss Wright Corp. 2 shares of com stock of Dan River Corp. 45 aha. of com. stock of Dayco Corp. 20 shs. of com. stock of Greyhound Corp. 34 aha. of com. stockaf Leham Corp. 6 aha. of com stock of Mobil Oil Corp. 1 shs. of com. stock of Niagara Mohawk Corp. 23 shs. com stock of United Corporation 3 shs. com. stock of Warner Lambert Pharma- ceutical Corp. 2 shs. com. stock of Frawley Enterprises, Inc. 8160.94 M. Goldye Hattie, sister, 1/5 balance, includin~ cash and an undivided 1/5 interest in an un- divided 6/35 interest in real estate as here- inbelow described and the following assets, helc in kind and distributed as such at the appraisec value, per election filed:- 10 74 5 3 46 22 38 6 1 23 6 5 74 aha. of com. stock of Bethlehem Steel Corp. aha. of com. stock of Columbia Ga.s System, Inc. shs. com. stock of Curtiss Wright Corp. shs. of com. stock of Dan River Corp. shs. of com. stock of Deyco Corp. shs.of com. stock of Greyhound corp. aha. of com. stock of Leham Corp. shs. of com. stock of Mobil Oil Corp. aha. of com. stock of Niagara Mohawk Corp. shs. com. stock of United Carp. aha. com. stock of Warner Lambert Pharma• ceutical .. Corp. aha. com. stock of Frawley Enterprises, Inc. aha. of Resource F~ploration & Development Ltd. Audrey c. Evans, sister, 1/5 balance, including cash, an undivided 1/5 of a 6/35 interest in real estate as hereinbelow d ascribed, and the following assets, held in kind and distributed as such at the ~ppraised value, per election filed:- 10 shs. of com. stock of Bethlehem Steel Corp 71 shs. of com. stock of Columbia Gas System,· Inc. 5 shs. of com. stock of Curtiss Wright Corp. 2 shs. of com. stock of Dan River Corp. 45 shs. of com. stock of Da.yco Corp •• 20 aha. of com. stock of Greyhound Corp. 34 shs. of com. stock of Lehem Corp. 6 aha. of com. stock of Molbil Oil Corp. 1 shs. of com. stock of Niagra Mohawk Corp. 23 shs. of com. stock of United Corp. 8160.93 3 aha. com. stock of Warner Lambert Pharma- ceuticsl Corp. 2 shs. com. stock of Frawley Enterprises, Inc. 8160.94 Gwendolyn M. Maddox, sister, 1/5 balance, in- cluding cash, an undivided 1/5 of an undivided 6/35 interest in real estate as hereinbelow described and the following assets, held in kind and distributed as such at the apnraised value, per election filed:- 10 aha. of com. stock of Bethlehem Steel Corp. 71 aha. of com. stock of Columbia Gas System Inc. 5 shs. 2 aha. 45 aha. 20 aha. 34 shs. 6 aha. com. stock of of com. stock of com. stock of com. stock of Com. stock of com. stock Curtiss Wright Corp. of Dan River Corp. of Dayco Corp. of Greyhound Corp. of Leham Corp. of Mobil Oil Corp. ') r ) '"" ') f.' ~ ) .) ,• r ., ) r ( . ') r . . ' [ \ I ' -' 'I;\ 0 ~ -to. ~ :rr ) ~ z n .... !' 0 :::r i .... ') r c: (I) ' \ (I) :s 3 '! 0 ..... -0 0 ~· -:+ ) (I) r r ... +"\ fa t 6- ~') .S, .:} N = I (!)• ') n r fa ') \ I ~ r . ' ~ ~ r r ~ ~ ') . ) ' \ .\ r r ., ,, r ,. f . r r I r r ')f ) ') '• I ') ' I lr r . r . r r r < ' • r ) " •' r r ·~ .. • r r ') ... r r r 1 shs. of com. stock of Niagara Mohawk Corp. 23 shs. com. stock of United Corp. 3 shs. com. stock of Warner Lambert Pharma- ceutical Corp. 2 shs. com. stock of Frawley Enterprises, Inc. 8160.94 James w. Carroll, nephew, child of George Car• roll, a deceased brother, 1/5 balance, includin cash an undivided 1/5 of an undivided 6/35 in- terest in real estate as hereinbelow described, and the following assets, held in kind and. dis- tributed as such per election filed: ... 10 shs. of com. stock of Bethlehem Steel Corp. 71 shs. of com. stock of Columb~a Gas System, Inc. 5 shs. com. stock of Curtiss Wright Corp. 2 shs. of com. stock of Dan River Corp. 45 shs. of com. stock of Dayco Corp. 20 shs. of com. stock of Greyhound Corp. 34 shs. of com. stock of Leham Corp. 6 shs. of com. stock of Mobil Oil Corp. 1 shs. of com. stock of Niagara. Mohawk Corp. 23 shs. com. stock of United Corp.' 3 shs. com. stock of Warner Lambert Pharmaceu- tical Corp. 2 shs. com. stock of Frawley Enterprises, Inc. 8160.94 REAL ESTATE TO BE CERTIFIED TO THE RECORDJ-t~ OF BY THE CLERK OF THE ORPHANS' COURT D VISION No balance COUNTY Zata v. Carroll, grantor by intestacy to Oakley 1, grantee by intestacy of an undivided 1/5 interest; to M attie, grantee by intestacy of an undivided 1/5 intere t; to Au ey c. Evans, grantee by intestacy of an undivided 1/5 interest; to Gwendolyn M. Maddox, grantee by intestacy of an undivide 1/5 in- terest; to James w. Carroll, grantee by intesta y of an divided 1/5 interest; each undivided interest being in nd to al the right, title and undivided 6/35 interest in rea estate escribed as, VIZ: ALL that certain tract of land situat ship, W ashington County, Pennsylvania, bounded and desc ibed as follows: BEGINNING at a hickory stump, thence D. H. Swart, South 88-1/4 degrees West, 67.14 perches to a poi the road; thence by the lands of s. McQuay, North 3 degrees 40 perches to a point in the road; thence North 1-/4 degre 20 perches to a. point in the road; thence by la Estate, North 6 degrees East, 40.09 perches to • Riggle the road; thence by same South 88 degrees East 90.5 perch thence by land of Ellwood Ears, South 13-1/2 degrees W perches to a post; thence South 22 degrees West 19.7 pe ches to hickory ... . ) -I r t' ') 0 ~) ~ ..... 'Z ~ .:::J n '"" (~ t:Y 0 • :r 1:r a c (1) -I (1) a "3 ·t:Y 0 0 ·~ r r ..... j+' ""' ,m ... ~ ~ ·) .g_ t g. ) ·:f = ') (!) ,, N . ) .~ r ) . . & s ~ ti ~ ~ . \ r ) \ -r ) '\ r r .· SUBJECT, however, to the exception an reserv the Pittsburgh or River Vein or Coal underlying said tr gether with all the mining rights and privilege , as all excepted and reserved and rully set forth in the deed fr m. James • J1cDon- ough, to N. D. Riggle, dated July 21, 1902, and recorde in Deed Book Vol. 266, page 242, Washington County Reco ds. BEING the same tract conveyed by John F. Ruetschi, et ux to William H. Carroll and Orpha L. Carroll, his wire, b deed dated March 31,, 1922, and of record in the Recorder's Orfice ton County, Penna., in Deed Book 498, page 683. The sai Washing- William of in his H. Carroll died on December 25, 1942, whereupon by law, the fee simple title in and to the said tr wife, Orpha L. Carroll. Orpha L. Carroll died 1962, leaving as her heirs at law, the followin er 29, childre , Oakley L. Carroll, Reita L. Carroll, Zata.V. Carroll, M. c. Evans, Gwendolyn M. Maddox and James w. Carr a deceased son, George R. Carroll, who of 937. Reita L. Ca~roll, one of the ed above, died testate on October 24, 1969, and in the Adjudic, tion and Decree of her estate of record at No. 63-69-1229, Zata v. was awarded a 1/5 interest in her 1/7 interest, sai ation of Real Estate being of record in the Recorder' Office f Washington County, Pennsylvania, in Deed Book._~ ~f-.­ CERTIFIED TO RECORDER: May 11, ----· r r r r' ' ' t r 9 0 ~ z ), ""' ::J ~ ~ n ~"'i' ' 9 o• ::r ~ c (D ........ fir a 3 ly ~ o· 0 0 ""' ""' :::1: .... (D t'\. ... ~ 0 -n ~ "'i' t . ::r (D = N . fa ~ r Ufl ~ ~ ~ ~ ') r r ... ' r ~ r t_ - -·-' ' I ":>' --:::J .-..... }..r r·n :::r.: (,/) t0 :::""' ·-o ,I :..-:.~ " (" ~ .. ' ..... -•J " 0 .... i -':) . -C.' ,, r./· ......., r-..: J IN RE: ESTATE OF ZATA V. CARROLL Deceased. ) ) ) ) ) No. 561 of 1971, A.A. EXHIBIT "A" DESCRIPTION OF REAL ESTATE TO BE AWARDED IN KIND ALL that certain tract of land situate in Amwell Township, Washington County, Pennsylvania, bounded and described as follows: BEGINNING at a hickory stump, thence bybnd of D. H. Swart South 88-1/4 degrees West, 67.14 perches to a point in the road; thence by the lands of S. McQuay, North 3 degrees West, 40 perches to a point in the road; thence North 1-3/4 degrees East, 20 perche to a point in the road; thence by land of N. D. Riggle Estate, North 6 degrees East, 40.09 perches to a point in the road; thence by same South 88 degrees East 90.5 perches to a stake; thence by land of Ellwood Heirs, South 13-1/2 degrees West, 78.71 perches to a post; thence South 22 degrees West 19.7 perches to a hickory stump, the place of beginning, containing 50 acres, more or less. SUBJECT, however, to the exception and reservation of all the Pittsburgh or River Vein of coal underlying said tract, to- gether with all the mining rights and privileges, as are excepted and reserved and fully set forth in the deed from James H. MeDon- ough, to N. D. Riggle, dated July 21, 1902, and recorded in Deed Book Vol. 266, page 242, Washington County Records. BEING the same tract. conveyed by John F. Ruetschi, et ux. to William H. Carroll and Orpha L. Carroll, his wife, by deed date. March 31, 1922, and of record in the Recorder's Office of Washing- ton County, Penna., in Deed Bobk 498, page 683. The said William .. ~ H. Carroll died on December 25, 1942, whereupon by operation of law, the fee simple title in and to the said tract vested in his wife, Orpha L. Carroll. Orpha L. Carroll died on September 29, 1962, leaving as her heirs at law, the following children, Oakley L. Carroll, Reita L. Carroll, Zata V. Carroll, M. Goldye Hattie, Audrey C. Evans, Gwendolyn M. Maddox and James W. Carroll, a child of a deceased son, George R. Carroll, who died February 8, 1937. Reita L. Carroll, one of the heirs named above, died tes- tate on October 24, 1969, and tn the Adjudication and Decree of her estate of record at No. 63-69-1229, Zata V. Carroll, was awarded a 1/5 interest in her 1/7 interest, said Certification of Real Estate being of record in the Recorder's Office of ashington County, Pennsylvania, in Deed Book ______ , page _____ _ .-. , '' J ., ~~ :::;J :r>-Ill (fJ t7') ,) ......... ! 0 u r· .. ::., !-......,., r-...-(j) , .. .J J \ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PE~~SYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF ) ) ZATA V. CARROLL, ) No. 561 of 1971 ) DECEASED. ' ) ELECTION TO TAKE IN KIND And now, pl.. this i ..-day of March, 1972, I, the undersigned, an heir of Zata V. Carroll, Deceased, and entitled to receive 1/5 of the residue of said estate, hereby elect to take in kind the following shares of stock, as a portion of my share of the estate, and request that the same be awarded to me in the Schedule of Distribution of the Estate of Zata V. Carroll, Deceased: 10 shares of common stock of Bethlehem Steel Corporation, 71 shares of common stock of Columbia Gas System, Inc. __ 5 ___ shares common stock of Curtiss Wright Corporation, __ 2 ___ shares of common stock of Dan River Corporation, _4_5 ___ shares of common stock of Dayco Corporation~ _2_0 ___ shares of common stock of Greyhound Corpora~ion, shares of common stock of Lehman Corporation, -----34 6 shares of common stock of Hobil Oil Corporation, /-i shares of common stock of Niagara Hohawk Corporation, _2_3 ___ shares common stock of United Corporation, shares common stock of \-Jarner Lambert Pharmaceutical Corp. ----' 3 __ 2 __ -'shares common stock of Frawley Enterprises, Inc. ~itness my hand and seal the day and year first above vJ~itten. \.·Jitness: \ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF ZA TA V • CARROLL, DECEASED. ORPHANS' COURT DIVISION ) ) ) ) \ , No. 561 of 1971 ELECTION TO TAKE IN KIND And now, this t.s-day of March, 1972, I, the undersigned, an heir of Zata V. Carroll, Deceased, and entitled to receive 1/5 of the residue of said estate, hereby elect to take in kind the following shares of stock, as a portion of my share of the estate, and request that the same be awarded to me in the Schedule of Distribution of the Estate of Zata V. Carroll, Deceased: 10 shares of common stock of Bethlehem Steel Corporation, 71 shares of common stock of Columbia Gas System, Inc. __ S ___ shares common stock of Curtiss Wright Corporation, __ 2 ___ shares of common stock of Dan River Corporation, _4_5 ___ shares of common stock of Dayco Corporation: _2_0 ___ shares of common stock of Greyhound Corporation, _3_4 ___ shares of common stock of Lehman Corporation, 6 shares of common stock of Mobil Oil Corporation, ----- _1 __ shares of common stock of Niagara Hohawk Corporation, _2_3 ___ shares common stock of United Corporation, 3 shares common st0ck of \Varner Lambert Pharmaceutical Corp ------r _2 ___ shares common stock of Frawley Enterprises, Inc. Witness my hand and seal the day and year first above written. -~ --"1-'1 ... -.. ~ ;::::J ;-...; > rn ;o (j) C) c ~.1 !;" w,-=-.f ...... (_l') --o :.:-·::: -·· (.() :'"_!)-~ ~ z ---! r· . . , .... ) rn r ·-~ -·-1 ~-i : ···~) -:.> ·;L:, -J ., ---.. 0 --.. '-' r-~ .... r. £> 'P-(/) :-=-> .r~ \. ' 2...1\ TA V • CARROLL, ) No. 561 01. 1971 DECEM: ED. / ELECTION TO TAKE IN KI"'m And now, th:s h day 01. ha:cch, 272, I, -c~-~<: .n __ ;:·slgned, a ...... "1.eir of Zat.s V. Car:-o?_l, Deceased, an..:. 2nt:it.led ·co receive ' c; ·-J of the residue of saic es~ate, hereby ;. __ j,.:.~ rollolving shares of stock, as a portior: of !:'lY s:.,;-~2 o£ -che t~~e, and request that the same be awarded to me L1e Scnedule ·-2:s.:-r.i_jution of the E;:;tate of Zata V. c~·:::-ol:_ 10 shares of common stock of Bethlehem .. {:c· . C ::r t)Ur a t io:-: , 71 shares of common stock of Columbia --~ -l:""lC. \.)(.::~ ·' 5 shares corL~~~on stock of Curtiss ~~ .. tr i:-: ·c .. _· :)i_ t=.on,. 2 S 'h.., .• :.c• o£ cor: ,1on s-.:ock of Dan River ' ~ . ~r. .. LGl-4.."--V \...."···--..;_v.,t) 45 shares of common stock of Dayco Cc-::~ ... -~ ~ _..:;~ 20 shares of common stock of Greyhound ((,_ ~ -~ --' -V'-1' 34 shares of common stock of Lehman ~0~::. ·:, -~---::!._, 6 shares of common stock of Mobil Oil. r·-. -. ·~.-.. _ion; ~v~ .. . v.L..c... 1 ;;hares of common Si.OCk of Niagara f:fc, t 13 \!\: ;: :::orLor.s ·.:io::-:, 23 ... _ :::-'":S _]_~.-~lares common stock of Harner Lambert . 2 s:'.ares commor. stock of Frawley Enter;:)'r:.~·.E::o, \-:itness my hand and ;;eal the day and year fir~t ~· , .!. t:' ... _ • A .. _.._,,_, .. \ IN TilE COURT OF COMt\G.·I PLEAS OF WASHINGTON COUK~:·>·, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF ZATA V. CARROLL, ) ) ) ) ) No. 561 of 1971 DECEASED. ELECTION TO TAKE IN KIND And now, this --~Jr-day of March, 1972, I, the undeTsigned, an heir of Zata V. Carroll, Deceased, and entitled to receive 1/5 of the residue of said estate, hereby elect to take in kind the following shares of stock, as a portion of my share of the estate, and request that the same be awarded to me in the Schedule of Distribution of the Estate of Zata V. Carroll, Deceased: 10 shares of common stock of Bethlehem Steel Corporation, 74 shares of common stock of Columbia Cas Sys tern, Inc. __ 5 __ shares common stock of Curtiss Wright Corporation, ___ 3_ shares. of common stock of Dan River Corporation, __ 4_6_ shares of common stock of Dayco Corpora "Cior;, __ 2_2 __ shares of common stock of Greyhound Cornorat~on, __ 3_8_ shares of common stock of Lehman Corpora_ ic:.·., __ 6_ shares of common stock of Hobil Oil Corporation, __ :::_I_ shares of· common stock of Niagara Hohawk Corporation, 23 shares common stock of United Corporation, 6 shares common stock of \\farner Lambert Pharmaceutical Corp ---""""' ~~5_shares common stock of Frawley Enterprises, Inc. 74 shares of Resource Exploration & Development Ltd. Witness my hand and seai the day and year ::irst aoove -;·rritten. Hitness: -~-'2?J~·_ . ..:.;;;;;~~~~~f/~~...;.:;;~.:::.=....;...__., --~SEAL) M. Gol~tie '1. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PE~~SYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF ) ) ZATA V. CARROLL, ) No. 561 of 1971 ) DECEASED. ) ELECTION TO TAKE IN KIND And now, this3.o.-J day of March, 1972, I, the undersigned, an heir of Zata V. Carroll, Deceased, and entitled to receive 1/5 of the residue of said estate, hereby elect to take in kind the following shares of stock, as a portion of my share of the estate, and request that the same be awarded to me in the Schedule of Distribution of the Estate of Zata V. Carroll, Deceased: JJl_ shares of common stock of Bethlehem Steel Corporation, 71 shares of common stock of Columbia Gas System, Inc. 5 shares common stock of Curtiss Wright Corporation, 2 shares of common stock of Dan River Corporation, 45 shares of common stock of Dayco Corporation, 20 shares of common stock of Greyhound Corporation, 34 shares of common stock of Lehman Corporation, 6 shares of common stock of Mobil Oil Corporation, 1 shares of common stock of Niagara Mohawk Corporation, 23 shares common stock of United Corporation, 3 ~shares common stock of Harner Lambert Pharmaceutical Corp . 2 shares common stock of Frawley Enterprises, I~.c. Witness my hand and seal the day and year first abvve "L'itness: v ~'" re, G~ csEA""l Audrey C. ans l" • • ••• ; ' '. , IN THE ORPHANS' COURT OF, W~SHINGTON COUNTY, . -·· i IN. RE: ESTATE OF ) ) .;"" ' .... •,,,. .. : ., . ' PENNSYLVANIA ···· .· . · ... ·.· , .. • 't -·~ ZATA V.· CARROLL ) No. _6...,3....,-... 7.,..1....,· -.,..5.,..6.;;;;;l __ of 19 2.L.•"<A.~A. ·· ....... : w ·'. _.~-. Deceased ) .. ·,_ .... R E C E I p T ... ' ~"-f. :•r AND NOW, this .f!J, ;cj: day of 1~~.~ I, 'the undersigned·, hereby acknowledge to have received from · ·' M. GOLDYE HATTIE Administratrix of the J • .. .'·':.: . :-.. ~. . .I ., .. ·. · .... ~ Estate· of .Zata. V. Carroll Deceased, the sum of •.): . . ,.-;!·. ( _T~w_o~t_h_o_u_s_a_n_d~f_i_v_e~h_u_n_d_r_e_d~s_i_x_t~y-~_n_i_n_e~a_n_d~0-5~/_l_0_0_-_-_-_-_-_-~($2,569.05) ~ . Dollars, in accord with the distributi·on of the Adjudication a_nd '!~:~:;: -~)~.~~:~·;, ~~l~U .Decree·of the Orphan•' Court of Washington: County, ~ennsylvania ;·: ·. " • •' • ,; I ' ' • : • :' -~· ::.•. . ~· ··' . . '·i· . Witness: · . , · ...... ·: ···.{:"i:.\:.··:·.r~-•.... , .·· !nm~·SEAL).I;·::;·:· I • • • ' ' • ~· ,<~,:,;'·,:,.~1,0 • v _I 1 ~1Lt,J.w~ • :_,, ,•,•: .. :::·~:: ·, .. , ... ,,.~ .. lc.·--· '~''.t:f"~·.:~ •. ,,.,,;·~.~·;,_ .. !·~·~.··r .. ····· .... ;(·._;~~/ .. '('~·~ ~~; .~·.~;.ll;~>. .. t~;r_., ,;:·.~ ';-~1~;~G;:f.r·.:2;;:,':~:i.r.~;SVt!W!lXf{:t~:~;,::;:;:~.~[;iF).·::1'·~;j~;)£i;~·f£:~~Wi:~1:~~;;,J~~:~i~~\ti~i ,;~~r , .. ,.·,,_,,.1.,.:,•:-·l.'';~o•,\. ·/ ·{',! ,,.•,1 ~·<!• ., ;,-.• •; •''; ·-'.'1•·1;-~ •"t,~;[;~ '· .. ,;t' {,'''~\·~ ... _.,, ,• .. .;•r··. ·/~l,.c!;··~ )~·~~···:'• 't,i4(~1$l .. ,,,,';;·;·' ',.; ., :: ''"tj ~·:!··.-· ':1,'•' ~ WITNESS my 1• hand :and.' .. ' seal::.; the.> · ... · .·· day·. of·:>· ,_ · · . . .. .·· · · ···~·.·· , ·.· ... : ..••.•. ; ~·:fJf}.tlft:: n :·~··: .· .. ·:--.... -... ·. ··: · ----.~';, ::;: :' .···,· .. -.-.. -, .. ;.-:·· .. ·. __ '!"" ___ ·:·;·,._~:~:!; •.,' ~.. ' '> ' ~ · .... .. ., t 't L'.~\ ..... :• t .._..•:'~ 1 , IN THE ORPHANS' COURT OP. W~SHINGTON COUNTY, '' ·I'·, IN RE: ESTATE OF PENNSYLVANIA . ). ' ' ..!· .. '' . . ·. :. r : •. ,. . · ·.: 'ZATA V. CARROLL ) ) ) ) No, __,6 ... 3._--7.-1_-· ... s6 ... 1..__o:f 19 ~, '.A ,A • ···>f;.;:} * Deceased 'I.· :· .. ·. ! :·· .. • RECEIPT •' ·xj this /'J tf. day i91i._-·.:.: . . . . ~ . : from·.:··.':·· o:f ~ to have received AND NOW, 'the hereby acknowledge undersigned, ·M. GOLDYE HATTIE Administratrix~ of the Estate of Zata v. Carroll Deceased,· the sum of Two thousand five hundred sixty-nine and ·o5l100~----... -($ 2, 569.05) '' ·;.' Dollars, in accord with the distribution of the Adjudication and::··. ,· ·Decree o:f the Orphan .. ' Court ~f Washington County, ];)enosylvania; :··.: WITNESS .. my.~hand.·:aod.::aeal ::.tlie:·;,-· .. /-;x~' · .. : day~::~of:i .. , . · ·· ··· .. , .. :.~: .. , ·,·.,.. .@,~. ' . ·' ( .. .·., .. . ~ :~ -~~ .. , : ,·! ~ f ·!:• ., . .. , .. ; ·-:~~~~~:. ~)·.-~ ~:;;~ ;!; .. .. !.~~;{ :~' --~~~}CL··. ~f;;.t:( .. ~ ~ . \ . ' . : ..: .. :•:: ~ ... IN THE ORPHANS' COURT OF WASHINGTON.COUNTY, PENNSYLVANIA IN RE: ESTATE OF ~·ZATA V. CARROLL ) ) ) ) No. 63-71-561 of --~~~~~~--- Deceased RECEIPT AND NOW, this day of --------May I, 'the undersigned, hereby acknowledge to have received from M. GOLDYE HATTIE ~mvscxw,x~p~:t Administrat~x of the Estate of Zata V. Carroll Deceased, the sum of ,'' ·.· :·' '. '• ~ : !•. r·· : .. .\ .\'-' . ~: ~-\·· \ ~·· .~( ~ \ ' IN THE ORPHANS' COURT OP W~SHINGTON COUNTY, ' .. ' _: t " ~ • ~ ./ . I -.'1 •••·• ',' J PENNSYLVANIA --~: \!" ·' IN'.RE: ESTATE OF ) ) ) ) • _:-:· . i{ ·. ZATiJ y. tApLL : ·· . ecease · _No._63-71-561 R E C E I P T May AND NOW, this day of --------11th "',,.t •. • 'I, ; ~ . 'f . '' .. ~ .. I, 'the undersigned, hereby acknowledge to have received ?. from :~ ;· .... . ~ ',.. .. ~t.r."l,ft~J.,...,..,.-~M. GOLDYE HATTIE . i the ~~~ , Administratr x of -------M-~-------~--------------- .. ~-·' ... ··: ~f ? .. , Estate of Zata v. Carroll Deceased, the sum of ~~·-;·.< Two thousand five hundred sixty-nine and 05/100 ($ 2 569 0~ ·.}(\ -------------------------------.... --------------------' .. ,, :.:~~~il in accord with the distribution of the Adjudication and ::.:·:;:-~' •I , ··:71:·; _: Dollars, Decree. of the Orphans' Court of Washington· County,. Pennsylvania.,-:.:,/;,;";~:,-:· ·. :. . . · .· ~-·. . . ... :·;·; . . .:\~ · . :·~·;_ . . ~·. · . . . . · . · ··_ ~._: .. . ·. :· :,: : -:~~-tr~ ;~ · WITNESS my_· band_.and seal, t~e::': 11th · · · d~y<o~.·.. ·May· :.·,. ,. H~"F:~ · · ·: ,. ·· · · · · · _:._)·:t<~:_\_·._;~?~'·i.~;·_:: .:~::-~·,t. ·" ::_-~}\':{ <:~~~r~:- . i_;·. • :·..... . \•·'· . ·'.\' ' ., ',. ... : ... ; ~-.'-• _;-:_:.·.'_;·. ~-, :· ~,' . ',,. ·:.·. . •, . .... " .•" :• .•.. ), ·:.'-' ;-'• ;.~·:, . ~ ' : . :··, .: .. :..1 '• I ~ • I~ •' Witnesei ·.·· •. ,,· ··-... ., . ... .... . ' ... ' .. I I . IN THE ORPHANS' COU~T OF W~SHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF ) ) ) . ) No. 63-71-561 of 19 72 , A.A. :-ZATA V. CARROLL Deceased R E C E I P T _____________ day of----~~~~----' 197l/, I, 'the un.dersigned, hereby acknowledge to have received from .. ':·I AND NOW, this M. Goldye Hattie Administratrix of the Estate of Zata V. Carroll , Deceased, the sum of --~------~----~--------- Two thousand eighty-nine and 95/100------~-----------($ 2,089.9~ Dollars, in accord with the distribution of the Adjudication and Decree of the Orphans' Court of Washington County, Pennsylvania, WITNESS my hand and seal the --~-----day of··_. ________ _ 19 ..ll.· Witness: M-~---•. ~&v.:..~.o~ld...;;f~.e~O;/;Qo:l~~ft""'ftM~e~.-·,.;;:;; .. :....-__ (SEALr . ' J ,, . ! . ' .. . . ~ ' . . ' .. ·r . ,} ~·' . • .. \·:. '.· ., • f . ' ~. '' .... ..;'·.·:, ,•.' .. ~. ' ~ ' ., ~"'l '--..'; ~ ~. ~ ·~ v..,:, ~~....!:!~ '):<.. 1'11 ::t; ·t.;;, r:~ (f) G') •c;: :e ::::c {l') . .._ '(:~ (1~ fft ·-.._oif ;"';i ~- ~··-c·:t n~ ;.:......:.. .. __, ~' --1 .:1.1 ;= ..• 0 \:.:::> ~~ ' ........ ,...; \! -q ..... ;,:~, ,_, 0 ~· -:--r.~ 0 ~~ :v --~ r-~ ""t1 r--© p.. en = ~ ....._ r PREJSEl~~CZIPT WHEN LIFTING INSTRUMEN'f Washington, Pa., .... S:: .. ./.f:::. ... ?...~ ........... l9 .......... .. N~ 6173 RECORDER1S OFFICE RECEIVED ~ ................ M..... ... .;-. ~ .. ~ .............................. .. :•:::;=~~·-;31.;~;5::---PNo;::~·=:;·~~:: bo "=dod ..... .. . ·'-~o ~ y g //J . State Tax .......... $ ........ iiiii ~-···-·····-·····-~ Certificate and Seal $.................... <:: _ TO Registration Fee .... $ .................. .. Satisfaction ........ $ ... .). .............. . Total ............... $z~'22 .. .. Recorder of Deeds State Realty Tax ... $ ................... . RC C-43 (4-69) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE HARRISBURG NOTE: TO BE SUBMITTED IN TRIPLICATE Pennsylvania Department of Revenue Bureau of County Collections 26 S. 4th Street Harrisburg, Pennsylvania Dear Sir: ReCEIVED BUREAU OF COUNTY COLLE C T!ONS ' Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: NAME OF REPORTING FINANCIAL INSTITUTIONittllon 5ationa1 Bank and !ryt c_.,, ADDRESS 40 Iouth Katn Street. WuhtagtoA. ltellfi8tlvanl.a 15301 ACCOUNT NO. OF JOINT, TRUST OR INVESTMENT DEPOSIT , ••• ~ ~~ a/c 1061•1~18 NAMES ON ACCOUNT OR INVESTMENT lata V. Can:o11 or: 11. Golctp httie DECEASED JOINT DEPOSITOR, TRUSTEE OR INVESTOR kt& y. CVroll ADDRESS AND COUNTY I. D. f2 Vaahtqtou PtMaylvanta 1$3()1 DATE OF DEATH Mq 22• 19ll SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR _ ____;:;ti.;;:._;:Co=ld:::.~:t!..:::;_;:U.=tt1::::· !!::,e ________ _ ADDRESS __ -=V•=•~b=~~bm~•~D~·~C~·~-~------------- RELATIONSHIP TO DECEDENT __ ..::8.=.;11;:;.,;t;;.;::er;;;.;a=-.· ------------ DATE DEPOSIT OR INVESTMENT WAS ESTABLISHED 11/lS/24 BALANCE, INCLUDING INTEREST DUE,ATDATEOFDEATH$ ____ 2~,_10~7_.64 ______________________ _ J ~~21. . u•S.ata.t Manaau Signature TITLE ,, 1: , , c~ ~ 4 , .. 140000 5 0 9 1 4 0 5 52 31405~:~ -· RCC-134 ( 1-69) J .. • COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF <iOUNTY COLLECTIONS INfiERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO: }4.COilrn: HATTIE W4SHINC~~',;,D ,C. Date=-----~~~~~H-------------Hey 26;.1971 County WashingtGa County File No. ...7/, // t, ~ C:, Bureau File No. t:f-..3-?/-~b / Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable and the .liability for the payment of the inheritance tax due is imposed upon you, as transferee. The property on which tax is hereby assessed consists of: --Jt.HE;;ld Suviass i~cce-unt ,;0~1 121S he:a in -tl:!rJ,lf.E:U.~l 1L1T.IGWJ. gA~!A " TE:.'JST GG)'J1!J.JX,liA.SHUJC'I'GN,PJi:.~ala.Y.LVM:IA. Is the names ef,ZiTA V. f'AAH~Oll. Qlll4,COlDU: ;;NrT:m. ~eRed. I~ovetal>or 15 1 1924. Balan;e as ef Q&te o£ de&th1$211 1G?.~ appraised by the Commonwealth, as of the date of death, at $ 2,.107.6/1 50 %of this amount is taxable at the rate of _ _.1r...;5J---% 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 Aug,wn 22,. 19 7·1 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 rote 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 rote of 6% per annum until paid TOTAL AMOUNT DUE $---------------- 1 §8,G'l --_rz..go _____ _ $ $========= APPRAISED BY: _________ _ ASSESSED BY: ________________ _ (Inheritance Tax Appraiser) (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: ~~#/SO,// ~ -?f//7/ g,r/;f/13/3 To insure proper credit to your account this Official Notice must accompany your payment. Moil or bring it to: i(um-!11 NA~ AGENT fOK THE \JO\IIIMUNV'JEALTH COURT HOUSE WASHINGTON, PENNA. 15301 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, nam(ra'ncl a'Cldress of the person to whom you made payment, their official title and the amount. ___ ., . --· Date Paid Name and Address of Payee Official Title Amount Paid Under certain circumstances, if, after the date of death of the decedent, you personally paid funeral expenses or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended by you may qualify as deductions against the gross value of the property in the computation of tax due. If any such expenditures meet all of the three following tests, it is recommended that you itemize the payments below, execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow those which he determines to be proper. The tax will then be recomputed and you will receive an amended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: 1 -You were personally legally responsible for these debts, and 2-You actually paid these debts out of the account or property described above and can furnish proof of such payment, if required, one! 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 Obi igation Amount Paid TOTAL $ (attach separate sheet if required} COMMONWEALTH OF PENNSYLVANIA). SS: COUNTY OF: _______ _ I, hereby certify that the foregoing is a just and true statement of funeral expenses and other debts of the decedent, , for which I 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 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ........... J.:un.~ ..... 7., ..... 1.9.Zl. ...................................... . DEPARTMENT OF REVENUE BUREAU -OF OOUN'FY~COLLECTIONS HARRISBURG, PENNA. 1 7 1 2 7 COUNTY ...... ~§:~.J:l.:Y.l.~.~:9: ........................................... . FILE NO •....... 9.?..::.Tb::2.9.+. ........................... -................... . Whereas, .................................... ~.~!?..<?.: .. .Y..-. .... 9.~~~g~.~ ............................................................. late of ................... ~~.~.!l.~!~g~.~:I?: ....................................................... . in the County of .................................... Washington ................................................................. Commonwealth of Pennsylvania, having died on the .............................. ?.?.4 ....................................................... day of ............ ~.~¥. ....................................................... 19 ... .7~ ... seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ......................... ..f.JtANQ~~ .... ~¥.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 assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Description of Asset Unit Values Appraisement Made for Inheritance Tax Purpoaes $ Jt. Held Savings Account #061-1218 held in the MELLON NATIONAL BANK Rr 'T'HITS'T' COMPANY vlASHINGTON PENNSYLVANIA. In the names of ZATA V. r.AHH.OT.T OR. M GOLDn: HATTIE. Onened ll-15-24. Balance as of date of death. $2.107.64. 2,107 64 Having been duly sworn according to law, I do h~reby certify that the above appraisement is made in con- formity with law on this ............ ~ .... day of ....... _:::::::::::·.::::::::::·.:·.::·.:·.·.:·.·.~~··.::·.·.~:::···~--~~ .. ·;~.· .. ·.~< .. · Appraiser IA.J (Number and Street) ........................................................ ~ ................................ , Penna. (Post ffflee) WASHINGTON .. County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ZATA V. CARROLL Deceased. Late of WASHINGTON Date of Death, ........... .5~z2~71 ....................................... . Appraisemel!t Docket Vol., .......... JJL ................................ . Page, ..... 176..,6 ................... No ....... 63.~'7.1~.561 ......... . Filed in Register's Office, ... ~':l!L~ .... ?. ................ 19 .... .?.~ Amount of tax dtte, $ .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal f,.om Appraisement, Entered and charged, Form RCC-33 .. · COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS j RESIDENT DECEDENT COUNTY OF ....... W.l:l.~.h~~g~~-~-..................................... . 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.) IN THE MATTER OF THE ESTATE OF } AFFIDAVIT OF Zata v. Carroll '"•"'"''"'""""'"'"""'"""'""''''""""""""""'"""""""'"'"''""''"""""''"""""'"''"""""""""~ (State full name of decedent) Late of ..................... :W..~.~b:i.,AgJ::Q:I!. . .. ......... ..... .. .. .. .. ....... County ADMINISTRATOR State of ..... County of Administrator .............................. ~X and say S Decedent died ... ~Y 77.., .. (Month) .. , 19 ]J .. ,J x.GK~*(h¥GXGXGX!;~GXQX.BX~x.GXCX.X.X~ } (!lay) (Year) l intestate ............ F:l::'~nk C • C~l-":J::'c:>ll 33 W. Beau Street Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. washingt:on~·····:Pennsyivania ····························· ................................. . Administratrbc t · f ·1· 'th th ff · f 'd t t dth That as such ...................................................... ueponen Is ami 1ar WI e a airs Q sa1 es a e an e property con- < EXt!~\1 tor·Administrator) Rtituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedenes 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:- 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 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 8 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 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 countr~, .which are owned at the time of death; all wearing apparel, jewelry, sU verware, pic- tures, books, works of art, household furniture, horses, carriages, autpmobiles, boats, 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 mortga~es 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. In the case of securities of close or family corp'orations, 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 cony 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 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 attache~ 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 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 ;7 :::~::1?~~---·········1:-~~·· Notary Public Washington, Washington County, My commission expires Feb. 20, Pennsylvania 1975 ...... {~~~~~--------- ........... 3.l4.0 .... W.is..~.Q.P..s..in .... Av..e..nu..e. .. , ...... N .. ~.w..! ....... . (Street Number) .......... Wc:t~.b.!.ng~.Qn .. I ..... P. .. ~.c. .. ~ ....................................................... . (City or Town and State) NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None", and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summary" has been properly completed as above-directed. RCC-34 (1-64), COMMONWEALTH OF PENNSYLVANIA DEPA.RTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT 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 the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth ~f 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 farm state number of a· cres; also statement of mortgage encumbrances upon each parcel at death of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are to be listed on Schedule "F" and must not be deducted from this schedule. Undivided 6/35 interest in 50 acres, more or less, situate in Amwell Township, Wash- ington County, Pennsylvania. For more complete description see Deed Book 498, page 683. Assessed as Orpha Carroll Est. for year 1971 1-1/2 story frame house-bldg. 50 A. surface (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH 1390.00 450.00 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) (3) DEPARTMENT VALUATION ESTIMATED CAUTION MARKET VALUE (Do not write In this spoce) 1,400.00 1,400.00 . RCC-35 , COMMONWEALTH OF PENNSYLVANIA TRANSFER 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 must 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- 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, et.c.) Intangible personal property, such as bonds, treasury c:ertificates, cash on hand and in bank, stocks, mortgages, notes, together with accrued interest or r!:l.vJ.dend.s, salaries or wages, insurance pay- able to the estate or fiduciary in said capacity, partnership '!lterests, interest in anyundistributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be listed in this schedule. Item No. 1 2 3 4 5 6 ITEM List and describe fully Savings Account 083-2064411 in the name o Reita L. Carroll (predeceased decedeat) or Zata v. Carroll in Pittsburgh National Bank, Washington, Pennsylvania Savings Account 83-2090935 in the name j of Zata V. Carroll in Pittsburgh National. Bank, Washington, Pennsylvania I Savings Account No. 11-005264-2 in the name of Zata V. Carroll in First Federal Savings and Loan Association of Washington, Washington, D.C. 20005 Savings Account S-16431 in the names of Zata v. Carroll or Reita L. Carroll (predeceased decedent) in First Federal Savings and Loan Association of Washington, Washington, Pennsylania Checking Account in Pittsburgh National Bank, Washington, Pennsylvania, in the name of Zata V.Carroll -Account No. 83-5-376736 Checking Account in Pittsburgh National Bank, Washington, Pennsylvania, special checking account #83-4-793775 Carried forward to I UNIT ESTIMATED VALUE MARKEl' VALUE 6,826.14 2,828.66 4,504.18 242.68 366.29 904.31 page 2 ----$15,61.~.26 Insert this total opposite "Personal Property", Schedule "B" in X X the "As Reported" column on the last page of this return. DEPARTMENT VALUATION (Do not write in this space) INVENTORY & APPRAISEMENT Estate of Zata V. Carroll, Deceased. Page 2 ------------------------------------------------------------------------------ Personalty (continued) Balance carried forward 50 shares common stock of Bethlehem Steel Corporation @22.875 358 shares common stock. of Columbia Gas System, I~c. @34 .9375 25 shares of common stock of Curtiss Wright @12.71875 11 shares of Dan River common stock @9.625 I . 226 shares common stock of Dayco'@l8.15625 102 shares common stock of Greyhound @20.125 174 shares common stock of Lehman Corp. @17.15625 30 shares of common stock of Mobil Oil Corp. @55.46875 5 shares of Niagara Mohawk Corp. @16.28125 I 115 shares of common stock of United Corp. @9.21875 i 15,672.26 /1,143.75 12,507.63 317.97 105.88 4,103.30 2,052.75 2,985.18 1,664.06 81.41 1,060.16 c I I /' I I ¥-3. 75 I:( 6-o?. 63 31797 i {0 srss 410 3.30 / d O~o(,1-5 ;) 95'.5; If }t:,hi./6-' . , ? J. 'II 1 0 (o. It 18 shares common stock of Warner .Lambert Pharmaceutical Corp. @74.2125 1,335.83 J 33..5;!3 13 shares of Frawley Enterprises» Inc. @4.50 /. 58.50 ~ ·74 shares of Resource Exploration & Development Co. Ltd. Unknown 1 1950 Dodge automobile 50.00 Mutual of Omaha -Hosp.ital and Accident Ins. refund 171.43 ·Mobil Oil Company -.dividend -record date 5/3/.71 19~50 · .Bethlehem Steel Corporation -dividend -record date 5/11/71 15.00 warner-Lambert Pharm. Corp~ Dividend -record date 5/5/71 5.40 CNA Insurance·-payment of claim for hospital expense .'. 470.86 Rike's Dept. Store, Dayton, Ohio -refund of credit on account . 2~90 TOTAL PERSONALTY CARRIED FORWARD $43,82B~;z7 56.5CJ. . . . I .s tJ. .s p e. i1 J_ c.J.. so- 1 "71· )l3 ./ /Cf,SO;, 5 ;,c:l / I ·- _E.I/6./ . 4 ., /) I fl., ./ .. _;;,9tl / .. INVENTORY & APPRAISEMENT Estate of Zata v. Carroll, Deceased. Page 3 ---------------------------------------------------------~-------------------Personalty continued Balance carried forward from Page 2 Banker's Life and Casualty Company -refund of unearned premium Banker's Life and Casualty Company -refund of unearned premium Louisiana & Southern Life Ins. Company -.insurance on . life of decedent Old American Insurance Company -insurance 'i .Social Security Administration -Civil Ser. Ann. FOLLOWING U. S. SAVINGS BONDS, SERIES E: Date Serial No. Face Amount 11/50 Q943 439 647E 25.00 3/51 Q959 871 908E 25.00 / 7/51 Q969 999 078E 25.00 10/51 L222 241 077E 50.00 2/52 · Ql033 075 987E 25.00 7/52 Ql024 864 713E 25.00 ' 10/52 L25l 356 926E 50.00 8/53 Ql095 469 209E 25.00 3/54 L274 672 463E 50.00 10/54 L286 533 150E 50.00 r'~. 2/55 L29l 427 245E 50.00 7/55 . L299 467 404E 50.00 2/56 L309 406 616E 50.00 6/56 L317 121 091E 50.00 11/56 L324 335 lOSE 50.00 4/57 L333 004' 745E 50.00 •. l l/58 L456 837 703E 50.00 "' 6/58 L463 407 079E 50.00 11/58 L475 604 l54E 50.00 4/59 L486 199 043E 50.00 ' . 9/59 L491 760 642E 50~00 2/60 L534 898 957E 50.00 7/60 L542 909 286E 50.00 . ;.. . 11/60 L548 634 l79E 50.00 . 5/61 L562 171 298E 50.00 10/61 . L568 693 061E 50.00 2/62 L577 487 152E 50.00 9/62 L588 107 777E 50.00 TOTAL CARRIED ·FORWARD I $43,823.11 28.24 .,.( f.~ t/ 23.28 ~ 3 .. d-.f 1,005.20 , ) o 05, :J-o 1,000.00 1 o t:?d / 272.80 ~7:<-f~ . 38.25. 38.~5' 37.60 37.6o 36.81 3~r;>,SI 73.62 7~. I, L 36.14 3 G. .1'-f 36.08 . 3~Df 70.68 70.63 34.78 84. 1Y 68.34 ~3'. g£j. 65.82 b~r2... 65.98 foS.9 f 64.88 (, 4. r'f 63.80 ~3, ~0 63.76 t3# 7(:, 62.44 (;.l.., </q 63.68 ~3,(, 0 61.66 Gf, ~6 61.92 Gl Cf2.. 60.62 r ... c<r; '- 59.66 5 q,~ (:, 58.30 5~~3u 58.40 .5~/;...Ju 57.32 57. 3~ 56.16 5""t,, /' 55.12 55. 12.-. 54.72 54, 7~ 54.86 51-/, f't. 52 . 32 5:;).' 3 2... $47.727.01 Lj 1f}.,.1.,rA ().tf~ • •. ' . INVENTORY AND APPRAISEMENT Estat.e of Zata v_. Carroll, Decea~ed. Page ·4 -~------------------------------------------------------------------------------ Personalty continued ·Balance carried forward from Page 3 (U. S. Bonds -Series E continuedl: Date · · Serial No. Face Amo~nt 2/63 L599 428 685E 50.00 '' ~/63 D85 966 545E 500.00 10/66 C471 214 664E 100.00 4/6 7 C478 538 813E 100~ 00 10/67 C482 815 691E 100.00 11/57 · C353 592 664E 100.00 1/68 C485 680 696E '· 100.00 12/48 Ll86 436 513E 50.00 2/49 Ll89 282 423E 50.00 8/51 C169 611 118E 100.00 . 8/51 Cl69 611 119E 100.00 12/54 C223 446 483E 100.00 12/54 C223 4~6 484E 100.00 12/57 Ql600 748 658E 25.00 12/57 ,L456 837 683E 50.00 12/58 Ql656 537 063E r· · 25 • 00 ', 12/59 Ql800 482 918E 25.00 12/60 Ql860~114 973E 25.00 12/61 Ql908 108 208E 25.00 5/61 M83 703 695E 1,000.00 12/62 .Ql967 441 555E 25.00 12/63 Q2028 258 .213E 25.00 12/64 Q2092 459 729E 25.00 12/65 L664 079 480E 50.00 ·' . TOTAL PERSONALTY TOTAL REALTY TOTAL ESTATE $47,.7'1.7..01 52.54 SdtSI..f 515.20 516 :J-cJ 89.68 ~f..~y 87.76 '97. 7£ 85.84 9J",'g9 125.28 /.2.);;;Lo< 84.00 ~tf. o-o 77.90 rl?Jto · 77.90 77. q 0 147.24 147.24 ltt?~Ol ¢ 131.96 /'f7uJ<I 131.96 I3J, 9t \. 31.46 1-3/, 9£ 6 2. 9 2 31 . tit 30. 45 t ". '71- 29.20 :3tJ, tjl~ ..... 28 .13 ~CJ. ;}_.(, 27.43 ~~ 13 1,102.40. ~7. '1'3 26 . 2 7 I 1 o :J. 1 lf o 24.73 .::J4 '':17 ' 23.71 ":<.4·73 45. 84 ..L3 7 I 1f5, ¥ y ~· So; 91'1' oJ.-So, 91165 $50' 8'91:. 36 J6, ~91,""3, i 1, 400. 00 . J ~() () .' ...s-ot, .Jic/. o.s-s-..6 .3/</ os- . $52,31:4.95 sC: 1 . ;,v s·'. ~.· RCC-36 ... COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT . . SCHEDULE "C" TRA.NSFEII.S ( 1) Did decedent, within two years of death, make any transfer of any material part of his estate, without (2) (3) receiving a valuable and adequate consideration therefor? (Answer yes or no) no 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 If the answer to (1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer ----------- (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) no (b) What was the transferee's age at time of decedent's death? no (5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under 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) nO (6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent alone or others----------------------------------------------------------------------------~-----------­ (7) Did decedent in his lifetime make a transfer, the 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 subJect to change, because of a reserved power to alter, amend, or revoke, or which conld 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) no 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 death, 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 which provided in Schedules A, B, or E. ITEM DESCRIPTION NONE Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MARKET VALUE (Estimated) NONE NONE DEPT. VALUATION (Dept. Only) RCG-38 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT .. • • >-. SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRl'CTIOKS: 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 I Unit Address and Relationship of Co-Owners, and Place j Value of Record of Instrument, where Rea! Estate. ! Savings Account in the names of Zata V. Carroll or M. Goldye Hattie in Citizens National Bank, Washington, Pennsylvania, now Mellon National Bank, Washington, Pennsylvania Account 1218 -Opened 11/17/69 (Fully taxable) -Tax of $150.17 charged and paid June 3, 1971. percentage Estate Share Valuation 2,107.64 DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest ----------------------------------------~----L-------~--~----+-----------~-------~ Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. h . I. ....... 0 RC.C-37 -(12-63)' COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State full names and addresses ~f all who ave an interest, vested, contingent or other- wise, in estate) Oakley L. Carroll R. D. 2, Box 348, Washingtc . ' -' -' -- M. Goldve Hattie SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or illegitimate children DECEDENT are involved, set STATE YES forth this fact.) OR NO brother yes n, Pennsylvan ~a sister ves 3140 Wisconsin Avenue, N.W., Washington, D.C. Audrey C. Evans sister yes 2800 Wisconsin Avenue, N. \1 . ' Washington, D.C . Gwendolyn M. Maddox sister ves 1425 Rhode Island Avenue, l'.W., washingt :>n, D.C. ves James w. Carroll nephew 25-5B F Morrist DATE OF BIRTH armhouse L own, N. J. I, ~ - () 7' - INTEREST OF BENEFICIARY IN ESTATE ~rl I 5 res idue 115 residue 1/5 residue 1/5 residue :me 1/5 residue Deponent fUrther says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE ----- Will Administration ! No. Year r. THE ~lATTER OF THE APPRAISEMENT OF THE ESTATE OF ZATA V. CARROLL Deceased Late of_ Amwell Township County of Wa~hipgt()n Commonwealth of Pennsylvania REPORT AND APPRAISAL "ltd '·oa NOJ.::.;,;ii--!S'VA~ s rw.'. .:1 : ~n j s 1 j 3 'tf 0 fJ j -.! .' : 1 "7l~ ':; s llti 92 if .. ,, 111 .-\.; r ' '!';-!r ZL tJ f 1 f ~· ' _.. ·-~ . .._,.. i : • .i -~ ·;.:;) ··•:j tr r ·1 I .::f (Executor-Administrator must complete "As Reported" column #1.) 0 ... 0 til til ...., j:» :>< ~ ~ ~ til .... !=;. (!) ··c:... ...., '"'d •o .., (!) ::c • ..... § ;;I ~ : Vl 0 -,::s (b' ~ .'"'d ;rt ~ -'"'1 :t-' wo 0 "-" '0 '""' ~ (!) . 0 ... = '0 ~ :ro ~ ...... ~ p.. ~ C--zn -zn .: ~ ?-?- C'5 ~ > ~ ~ en c ~ ~ > :::0 >-<! ~~-€~)~~~ ~ ~ ~ ~ -~ ! -~· > ,C) j-.. :. ... ....,_ ::s ''"' t--(!) -0 0' 0 'g-::s "'· ... CD ~p (b &02: ,o ~~-tn~-EP.~ .~ '~ ·~: "'(· -~· r;,· ,. ~: :G.. -> : ' : :r. ~~''-u . . (t--~ ·~ 2" l'V ""-: ., .... -~ Q 3 ··"-0 :;· D -~ §.. (;.., Cl-'- l ' .. Form RCC-10 fo 3-7 ;--~~I STATEMENT ·~F~EBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN ;.,. • OFFICE OF THE REGISTER OF WILLS • • OF __ W.D.Iila.a;~S.,.hl..tli...._n.Ljg!;Jt~O~n'-'---COUNTY AND AGENT OF THE COMMONWEALTH THE SUM OF . . . . • . . . . . . . $ . ?f7i-:ZP . 4 ._ftJ-71/ D~,~oou, Register of Wills, Agent EsTATE oF _ ___.,ZA~TA=-=-'"""'VE-.!..... _:C=ARR:~=O-==L~L:__ __ LATE oF --=A:.::mw=e=l,;;:l--=T:.:ow=n~s:..:h~i:.~P~-------- DATE OF FILING APPRAISEMENT DAT&: OF DEATH Mav 22 1971 2 DATE NO. OF NAM&: OF PAYEE REMARKS VOUCHEit AMOUNT Piatt Funeral Home Funeral Expense 2,189 so 'Rn~s~ll Mat:"inO Inheritance tax on account v4,600 ''00) Washington Hospital Balance due 60 70 Joseoh MCMahon, M.D. Balance due 25 00 U.o.,...,... "'rn R n ........ -. .,n M n Rs:~lanl"~ dn~ 5 00 Wilson D. Pizzi. M. D. Balance due 6 00 Frank S. Bakewell. M.D. Balance due 5 00 Kurtz Monument Co. ' 125 00 .. Monument Frank c. Carroll Attorney's Commission 3,100 00 I Frank C_ Carroll Reimbursement of following Rn~sell Marino I,gi~s ad~agcee: 29 .0~ 347 00 ers . ert. Observer Adv. Letters 14.01 Washin2ton County Report ~ Adv. Letters 14.0 F. J. Buckley Agency Bond premium 260.0 Russell Marino Filing Inventory 8 .OlD Russell Marino Filing Account 17. OlD Marie Guidos Notary Fees S.OD 0--AAA.])( Gr~-fx er~cv;d'A; 14 $-1/ d.() " ·rrt...~" ~ ' -~ t-11r S'C ""1. v \ -~~~j~f..M l( ~ v - COMMONWEALTH OF PENNSYLVANIA }ss: COUNTY OF Washington I, M. Gold~e Hattie HEREBY CERTIFY, THAT. TO THE BEaT OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfATEMENT OF DE~t FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION sueMITTEc To THE ESTATE oF Za ta V. Carro DECEASED, AS DEDUCTIONS F'OR INHERITANCE TAX PURPOSES. 17 v);7.~~v~· (L. 5.) SWORN A;C SUBSCRIBED i}!"FORE ME THIS anuarv 18 '72 cAY 01" M. GO~e ~ /1i..n _., .I , .) -;AI J .4o. Notarv Public Wamngton, Washington County, Pennsylvania My commission expires Feb. 20, 1975 I • --:-.. - .~ -·~ --- RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEA8E REI"IER TO 38-176-6 NOTICE OF FILING OF APPRAISEMENT M. GOLDYE HATTIE (~XX~ Administrator) In Re : Estate of __ ____r.Z.uA1.T.._.Ao.._.J:..V_._.~Cu.Al.!R~Ru:O!to.I...I.IL~L'------- ___ .... W_::.A:;.;.;;S_;;,H:=I:.:.N:...::G--::T_;;,O...:..:N~----County -File No. 6 3-71-561 Dear Mrs. Hattie: You are hereby notified that the original appraisement in the estate of Za ta V. Carroll has been filed in the office of the Register of Wills qf S Washington County on January 26 , 19n. Said appraisement reflects the following valuations: Real Estate _____ ,...1~, 4~0~0~·..::0u,O~-- Personal Property ____ ~S~0~,~9~1~4~.0~5 ___ _ Transfers ______________ ~~---------- Tota l -------,--'"S~2'4,...,3L.Ml..:4LJ•wO.u5.~..-__ 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 one year 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~r~yL-=2~6~,~1~9~7~2~-----Signed __ ~D~O~M~I~N=I~C~R~·~D~e~MAR~~I~A~---­ Title APPRAISER I DATE OF DEATH: May 22, 1971 Note: This is not a bill. J RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of CARROLL, ZATA v. (Initial) DATE OF DEATH 5-22-71 FILE NO. 63-71-561 (Last Name) (First Name) REPORT OF INHERITANCE TAX APPRAISER 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 in Schedules "A", "B", "C", and "E". Dated: _ _.Jua""n.,..u .......... a..._r-.~-y~2u6y,~1.._.9"--7L2o!L.__ ~4<-t~., ££JRAU?~ INHERITANCE TAX APPRAISER 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 Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or VALUE AS REPORTED $ 1 zJ:OO 00 50 Ql4 o.c; 52.314 05 52 314 0 None None 52,314 05 52,314 05 annuities . . . . . . . . . . . . . . . . . . . $-------+-- EST ATE TAX ASSESSMENTS $ ----------'--- FOR USE OF REGISTER ONLY COMPUTATION OF TAX Taxon$ _______________ ~--- Tax on $ ----------+--- Tax on $ ------------t----Taxon $ __________ ____. ___ 2% 6% 5% $ _______ 4---- $ ___________ 4----- $-------------4----$ _________ 4--- $ ________ ~--- VALUE AS REAPPRAISED $------------~--- Tax on $ -------------t--'o...l5% Exemptions========l== Total Estate ----------1---- TOTAL TAX $--------~--- (*) As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid $========+== BALANCE $----------+--- Less 5% of tax if paid within 3 months after death $========== BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6% from ------to --------- AMOUNT OF ESTATE TAX ASSESSED $----------+--- Estate tax paid $ _____ ___.'---- BALANCE DUE Add interest at rate of 6% from $---------~---- ---------~'0------$-----------4---- TOTAL TAX BALANCE $ -----------+---- PAID $ __________ -L--- FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ( No. IN THE Year .......... . MATTER OF THE APPRAISEMENT OF THE ESTATE OF ZATA V. CARROLL Deceased Late of . . . AMWELL. TWP •. County of .. WASHINGTON ... Commonwealth of Pennsylvania REPORT AND APPRAISAL ... .. • Fonn RCC-2 ... • COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ........ i.t!J.t..ii.~.i~ .. '. ........ :.~.~ = ... NTY Washington cou ............................................................................ . -UPARTM£1\~T OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 1 2 7 ,FILE NO ............ ?} .. : . .?..! .. :.?..~.! .................................. . Whereas, ...................... ~.~.~.~ .... Y..~ ...... 9..~.:r..r..9.ll. ............................................................... late of ............ Amwe.ll .... Tw.p ...................................................... . in the County of .................... Jf~.$h.i.ng:t.Q.n ....................................................................... Commonwealth of Pennsylvania, having died on the ............. , .............. ~.?. .... P..4 ............................................. day of .................... M~Y........ .................................... 19 .. 71 ... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ............. D.o.minic ..... R. ....... D.eMa.ria ............................................. , 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. Appraisement Unit Description of Asset Values Made for Inheritance Tax Purpooes $ REALTY: See Schedule II A!! attached to annrai~ement: 1 40C 00 . . PERSONALTY: See Schedule "Bn attached to appraisement 50' 91~ OS Total 52. 31~ OS \V A$.J{I:N.QJ'QN County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ZATA V. CARROLL Deceased. Late of I. AMWELL TWP. Date of Death, ... Ma.Y ..... 4.2 .. , ..... 1.9.7l. ......................... . Appraisemel!t Docket Vol., ....... 3.~ .................. : .................. . Page, .. ):,?..§.~.§ ................... No. ..§.:3. .. -:::.7.1.:-.?..§.l. ....... . Filed in Register's Office, J.an .•...... 2..6 .. ,. ...... J9 .... 7.2 Anwunt of tax due, $ .................................................................. . DEPARTMENT OF REVENUE Received, Examined and Approved, .................. . Wrote abo.ut Appraisement, • Appeal j1<om Appraisement, Entered and charged, t i • /:" ' ?' /' ~ ' ., ~ :'i.l RCC-49 (8-71) · · ' ;!: , ~· COMMONWEALTH OF PENNSYL.VANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY·CdLLECTIONS INHERITANCE TAX]DIVISION HARRISBU R(;(i7127 /· PENNSYLVANIA ESTATE TAX DETERMINATION IS r-' Date _jf(~_e--=b:_____:_I~S__ 19 12.. Estateof: ZGifl 1/ CaRRoLL Date of Death .S -ll 1/ County lA)4'Sb I~~ r 0 V\ Bureau File No. lJ ·11· ~ .. C I l. Taxable estate per U. S. Estate Tax Retur~_, Form #706 f"• 1<'<!., .l. · IS· 1 2.... $ __ __._-n'-J.-o""-..:.1.!1..!\oo'--- 2. Taxable estate per final change in Federal Return dated $ ______ _ 3. Amount of credit for State death taxes. As shown on return form or final change notice($ As verified by computation 4. Penna. Inheritance Tax due and/or paid tM/tqnT $ 'f,75o, 17 5. Normal Inheritance taxes paid to other States 6. Total Inheritance tax credits (4 + 5) Lfl .. )"o '7 7. Total liability for Penna. Estate Tax (3-6) 8. Less: Previous payments on a/ c of Penna. Estate Tax Date of payment Amount of Tax paid Amount of Interest paid $. _____ _ $. ______ _ 9. Balance of Penna. Estate Tax due (7 -8) 10. Interest due from _____ to _____ @ 6% per annum 11. Balance of Penna. Estate Tax and interest due as of ----------$=======~~o=n~c~== P d b ~ ([ '"'Yb,.uw-t... 1) t S t: S 1,( PLIS R.. rep are y ~,qu:~~==-.,< ~+A-M E-!l....::==-=...::__=-----==--"'...:_:_--=--< T-'-,-'-T L-=E.,....,l _::_ ________ _ Reviewed and approved by------------------------------- (NAME) (TITLE) (DATE) RCC-49 (8·71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION HARRISBURG, 17127 PENNSYLVANIA ESTATE TAX DETERMINATION ,_ "J. t!h ·--: F: L ·. Date -~a:.....!:c~·r_C}.l--_ 19 13 Estate of: '7. ATl1 \J, CaR ·RoLl Date of Death a/l.l_,/1 J County Wl~SHfh~T'dh J:D Jj.I'J,.t Bureau File No. bJ .. 1 I • £' b I l. Taxable estate per U. S. Estate Tax Return, Form #706 $ __ IJL=...IJ::..=...fti~e. __ 2. Taxable estate per .f!.ug,!_change in Federal Return dated £'-Ji-11.. $ "111 u e~ Q6t ~ < 3. Amount of credit for State death taxes. flc:c1'ritk:is F• l+~cL As shown on return form orj!nal-4hange notice ($ __ _,_/J~ON~t....:...) As verified by computation AltHlt. 4. Penna. Inheritance Tax due and/or paid $ to il,£.i-f~ 5. Normal Inheritance taxes paid to other States /V4AJt.. 6. Total Inheritance tax credits (4 + 5) 7. Total liability for Penna. Estate Tax (3-6) 8. Less: Previous payments on a/ c of Penna. Estate Tax Date of payment Amount of Tax paid Amount of Interest paid $. _____ _ $. ______ _ 9. Balance of Penna. Estate Tax due (7 -8) 10. Interest due from ____ to ____ @ 6% per annum 11. Balance of Penna. Estate Tax and interest due as of ________ _ $ A )t1AJ-L ==~'="I== Prepared by __ CkJ~-~~,t.J.L..~t-1-~--~~~-=----....:D~IS=-...:T~. ·~J!il.:u~· .J_P~V~"~ . .._. ___ _ (NAME) (TITLE) Reviewed and approved by------------------------------ (NAME) (TITLE) (DATE) j