HomeMy WebLinkAboutOC1971-0576 - ESTATE OF CAMPSEYTestate Form
PETITION SUR AUDIT
IN THE ORPHANS' COURT OF WASHINGTON COUNTY
Susan J. Campsey,
Estate of---------------------------------------------------------------------------·--No. ________ §)_~_?-~-~Z!.~-·-----------------------------------
Fiduciary ...... .P.9.~~-~-~---~~-~~-~-~--_9-~~P.-~-~Y.! ...... .
Executor
Deceased
Date of ' May 14, 1971 Date of June 1.~, 1971
Decedents death ........ ------~--------------------------------------------------Grant of Letters .... --------------------------------------------------------------Will Book 108, page 427
This is the ............... :f..~!.~-~----~-~~--f._~~~~~-------------------------account filed in this estate
If there have been former accounts filed in this estate, list file number or number and term ................................... .
none filed
Election to take Date Election Place of;
Under or Against will. (cross out one) none Filed ----------------------------------Record ------------····--------------
N . . none; testatrix never married ame of surv1v1ng spouse·-------------------------------------------------------------------------------------------····················---------------------------·--·
List issue, where material:
Did decedent marry after execution of will? (indicate) '6ex No. Any children born after execution of will? (indicate)
~-No. If answer yes, name them ....... ~:-::-~---------------------------------------------------------------------------------------····------------------·······
Leg.atees Relationship Interest Fiduciary, if deceased or not sui juris
George A. Campsey brother none (see below)
Donald McLain Campsey brother $3,000 legacy none
David Mc1VJ:illen Campsey l residue none ( 4
'~ l. residue none ~~ 4
l residue none 4
Mary E. Campsey niece
Margaret c. Eisenhart niece
l residue none 4
Lois Adeline Campsey, now
Stauf.fer
List, if exceptions to above: ~ ~ Lapsed: ~It Give Cause:
Legacy of $3,000.00 to brother, George A.·campsey, by death in 1958
prior to death of testatrix per terms of will.
If partial intestacy, give facts:
none
Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled
to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account
and of call of audit? Yes. ~
If any exception g.i'le cause: ..... !?-.9 ... ~-~~-E?.P..t~.<?-~~----------.
File copy of Notice -· _
and date of mailinQ-------~~-~-~:?-~--~~-~-~~-~-'---~~g~~~---?J.t .. J.9.7.~_; ___ .9·.RP.Y. .•. ?.:t.t.~Q.h~.9.., .................................. .
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a~\~~~~du)bi~~~o t:~ilfi4! 8/i~371 ~s~'f~ Tf~ R/~{1?;-·-~-i~~·i:~~i~~t~;~:~t-~~-~~j~~;~-~~P.X ...... .
Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ... 5..$_.._Q.Q9.tt.Q.9. .. 9~~§.Q,_ __ _p~~!L ...... .
$891-t.72 credit.
If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant ..................... .
no life estate
Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts
of such claims; state whether they are admitted to be correct; and whether the claim is denied.
All known claims have been paid in full.
1972 U. s. and Pennsylvania income tax returns wil+ be due at end
of calendar year 1972, and some ta~ will be due. Re-award for
such purposes requested below.
Give reference to such parts of the will as require interpretation by the Court; a reference to all questions re-
quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication:
none
Balance for distribution per account,
Itemize any additional debits not shown by account: $.311J. .•. 5J.l.t:.,.9.§ ........ : ..
Total ·additional debits (Add) $ ................................... .
Itemize any additional credits not shown by account:
Total additional credits (Subtract) $ ................................... .
Balance for distribution $ ................................... .
If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value);
Balance, part cash; and part securities and real estate, to be taken
--~
in kind per elections attached, and lists of secu~ities and
descriptions of real estate attached.
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA,
ORPHANS COURT DIVISION,
Estate of
SUSAN J. CAMPSEY,
Deceased
)
)
)
)
)
No. 63-71-576.
AGGREMENT TO TAKE IN KIND.
KNOW ALL MEN BY THESE PRESENTS, that I, the under-
signed DAVID McMILLEN CAMPSEY, of Claysville, Pennsylvania,
being a legatee and devisee under the will, and a party entitled
to share in the distribution of the estate, of the above named
Susan J. Campsey, deceased, intending hereby to be legally bound,
hereby consent and agree, to accept and take in kind as part or
all of my distributive share in said estate, and for the above
named Orphans Court Division to award to me as such, anyuhrquidated
stocks, bonds, or other personal property of the said estate, or
any real estate not herein provided for, equalized if necessary
by cash, all according to a division and distribution to be made
in his discretion by the executor and a~uomn~,Donald McLain
Campsey, to arrive at the pro rata award to be made by the court,
at inventory values; and
FURTHER, specifically, to accept and take, and for the
said Orphans Court Division to award to me, on account of my said
distributive share, at the inventory values, all those two certain
tracts of land of said estate, described in summary as tract of
101 acres, 122 perches, of land in Donegal Township, Washington
County, Pennsylvania, and as tract of approximately 29 acres of
land, partly in Donegal Township and party in Claysville Borough,
Washington County, Pennsylvania, respectively, (Nos. 1 and 2 in the
inventory), as in the will and deeds recited in the inventory and
in extended descriptions to be furnished to the court by the executor,
more fully set out, and by reference incorporated herein. Witness
my hand and seal this 11th day of September, 1972.
WI~NESS: ._
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(Audit Petition -Susan J. Campsey Est. -#63-71-576)
.Balance for distribution, per account
Additional debits:
Dividends:
8/7/72 Joy Manufacturing
8/7/72 J. C. Penney
8/21/72 Washin~ton Steel
· 8/28/72 ReXl Chain belt
9/6/72 American Brands
9/6/72 Armstrong Cork
9/6/72 Lone Star Gas
9/6/72 G. C. Murphy
9/11/72 Rockwell
Interest on bonds and debentures:
7/3/72 Greenville Joint School
8/7/72 Fox Chapel School
8/7/72 Beaver Falls Mun. Auth.
8/7/72 O'Hara Township
8/7/72 Clarion School
8/7/72 Braddock School
8/7/72 Baldwin School
9/6/72 North Fayette Mun. Auth.
9/6/72 Wilkinsburg Borough
9/6/72 Allegheny County Airport
9/6/72 Wean United debs.
Rentals:
49.00
46.80
·64.50
89.25
34.32
72.00
458.32
48.00
48.65
52.50
102.50
62.50
50.61
131.25
87.50
L~o. oo
121.25
43.75
21.24
33.l:i_
7/24/72 240 A. tract, Armstrong Co.
7/24/72 101 A. tract, Donegal TW?•
Columbia Gas Trans~ Co.
9/6/72 2L~O A. tr8ct, ArmstronP: Co.
·Gain on sale of stocks:
16.67
25.75 25.00
27 Allegheny Power,
Sale price $590.63, inventory $563.63 .27.00
120 Amstar:
16 Armco:
~5,248.50
354.00 4 H. J. Heinz:
165.50
18 Lone Star Gas:
598.50
6 PPG Industries:
259.50
20 J. C. Penney:
1,617.50
$1700 face US Steel debs.
1,118.63
38 Rex Chainbelt:
1,619.75
$1 ' 16 2 • 50 4cB6 • c 0
333.00 .21.00
454.50 U~4.00
216.75 42 .. 75
1,408.75 208.75
1,080.56 38.07
1,296.75 323.00
102 U. s. Truck Lines, adjusted
for 4/1 split:
5,686.50 943.50
1,138.31 192.56
6,630.00
·39 Rockwell:
1,330.87
18 Washington Steel:
?.83.50
Accrued interest to 9/12/72,
'280.13 3.37
sale of US Steel debs.
Balance for distribution
Additional credits:
' ..
Jul 25, 1972 Barbara Laird, '72 Ti-m. tax
Robt. W. Walker, insurance
Robert W. Walker, insurance
Aug 9, 1972 Russell Marino, Agent, acct.
24.36
32.00
17.20
of Pa. transf~;r tax 41,000.00
Iona Ramage, '72 Boro.t3x 28.23
Barbara Laird, 1 72 schroltax 194.92
Aug 23, 1972 Register, short certificates 19.00
Gladys C. Harshall, notary,
affidavits, stock sales
Sept 9, 1972 Constance Taylor, affidavits
Sep 13, 1972 Parker/Hunter, costs, stock
sales
Loss on sales of stocks:
14 H. H. Robertson:
Inventory ;nt+l.25 sole
price $.327.25 14.00 120 Ark-Louisiana:
3,330o00 2,907.50 422.50 25 Hershey:
7?.5.00 543.25 181.25 1)~.0 .Joy:
7,586~25 5,80).00 1,781.25
3 GHC:
256.13 2JC.63 25.50 10 Tenneco:
276.87 25~.00 21.87 250 Tex. Gas Transm.:
19.00 .7S
727.31
8,921.88 8,281.25 6)+0.63 ).~.Q.f37.0Q.
Total, additional credits
Net balance for distribution
$314,511+.94
910.84
746.25
67.42
$322,290..98
(Audit Petition -Susan J. Campsey Est. -#63-71-576)
~--· "'" ~ \ // Value in Inven-! ·
, tory and Appraisei
ment. ,,/' · .. -
160 shares Allegheny Power common $ -3~-34U.UO _____ ...
60 shares American Brands common 2,778.75
'T ASSETS TO BE TAKEN IN KIND.
....... ·-~ -·~-· ------
100 shares Armco Steel common 2,081.25
360 shares Armstrong Cork common 13,725.00
60 shares General Motors Corp. common 5,122.50
320 shares H. J. Heinz Co. common 12,880.00
200 shares Hershey Foods common 5,800.00
1330 shares Lone Star Gas common 33,582.50
160 shares G. C. Murph Co. common 5,560.00
160 J. C. Penney common 11,270.00
420 shares Pennzoil United common U~, 726.25
940 shares PPG Industries (2ittsburgh Plate Glass )cap 33,957.50
200 shares Rex Chainbelt Inc. cap 6,825.00
260 shares H. H. Robertson common 6,337.50
100 shares Rockwell Ivifg. Co. common 2,918.75
84 shares Tenn. Gas Trans. (Tenneco) common 2,325.75
240 shares Washington Steel Corp. common 3,735.00
20 shares Gnorge Washington Hotel Corp. common · 50.00
4 1M N. Strabane Twp. Mun. Auth. 5% bonds 2,872.00
5 1M N. Strabane Twp. Mun. Auth •. 4 3/4% bonds 3,872.50
3 1M Greenville Jt. Sch. Auth. 3~·bonds 2,504.10
1 5M Fox Chapel Area Sch. Auth. 4.10% bonds 4,931.00 5 1M Beaver Falls Mun. Auth. 2~ bonds 3,579,50
3 1M O'Hara Twp. 3 3/8% bond& 2,206.50
1 5M Clarion Area Sch. Auth. ~*% bonds 4,021.50 5 1M Braddock Sch. District 32% bonds 4,193.00 5 1M N. Fayette Co. ~1un. Auth. L~. 85% bonds 3, 908.50
5 1M Wilkinsburg Boro. 1 3/4% bonds 4,237.50
21M Allegheny Co., Pa., Airport 2 1/8% bonds 1,602.50 5 1M Glassport Boro. 6% Equipment bonds 5,ooo.oo
2 1M Baldwin Twp. Sch. District 4% bonds 1,-462.00
2 U1 Greensburg City G/0 3% bonds 1,405.40
1 5M Ft. Cherry Jt. Sch. Bldg. Auth. 3.35% bonds 4,486.00
1 1M Beaver Co. l'-1un. Auth. 5 5/8% Bridge bonds ·. 825.40
1 5M Octorara Area Sch. Auth. 4~ bonds 4,950.00
1 5M Highlands Sch. Auth. 3.45% bonds 4,494.00
1 5r1 Patton Mun. Auth. (Uambria County)5.50)b bonds L~,471.00
1 5M Patton Mun. Auth. 5.55% bonds 4,463.00
2 U1 Beaver Co. Housing Aut h. 2% bonds 1, 382. flO
2 U1 O'Hara Twp. Sch. District 1 7/8% bonds 1,859.80
3 1M Titusville Area Sch. Auth. 2 3/4% bonds 2,377.80
1 5M N. Allegheny Jt. Auth. 4t% bonds 3,502.50
1 5M Farrell Area Sch. Auth. 5 3/8% bonds 4,053.00
1 1M N. Y. Central R. R. 5% Ref. & Improv. bonds 140.00
1 5M Phila. Electric Co. 8.10%.bond . 5,021.25 ~~' 1_$1300 face 1rJean United conv. deb. 5?t% 199§ 702.00
~ ~~~r #1. Tract of 101 A., 122 P. land, Donegal Twp. 7,000.00
-#2. Tract of 29 A., Donegal Twp. and Claysville furo 780.00
#3. l/6th interest in 240 A., Armstrong County 1,000.00
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If F ·1 E · 1 · d b p · · · 1 f R d· none claimed amr y xemptron c arme y etrtron, grve p ace o ecor ................................................................................... .
If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ...... ~::-.~ .................................. .
List any advancement or distribution on account that has been made, and nature and amount of same:
none
Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections
to take in kind if balance is not in cosh: residuary shares being stated In proportions:
Donald McLaim Campsey, executor, re-award for tax
contin~encies $5,000.00
Donald McLain Campsey, brother, legacy, cash, free
of tax 3,000.00
David McMillen Campsey, nephew, to include real
estate invento~ied as-Nos. 1 and 2 valued
together at $8,780.00, balance in cash and
in kind including real estate tract No. 3,
election attached
Mary E. Campsey, niece, in cash and in kind,
including real estate tract No. 3,
election attached
Margaret C. Eisenhart, niece, in cash and in kind,
including real estate tract No. 3,
election·attached
Lois Adeline C. Stauffer, niece, in cash and in kind,
including real estate tract No. 3,
election attached
Complete real estate descriptions attached·
COUNTY OF WASHINGTON, SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly ....... ~.liQ.f.!1 ................... doth depose and say
1 4
1 4
1 4
1 4
that the facts set forth in the foregoing petition are true And your petitioner will ever pray, etc.
to the best of ....... hi.s .................. knowledge and belief .
...................... $.W.9.f.D:. .............. to and subscribed before
me this ..... 9. .. ~ .... day of ..... ~~.P.t~~P.~.~.I.. ........ l9 .. 7.g ..
Signature of Officer ....... rl~~rl .. /J.~
Title of Officer ................................................................ .
• Notary Public, Claysville, IVashingt~n Co.
Office expr res ....... f:4..--Go··m•··•············································ ·' "" ''"•'vn LX~ttes lil<Jrch 8, 1976
residue
residue
residue
residue
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No. 6 1 -71-c.'76. ---------"'--·-------2 ................................................................................... .
Estate of .......... i?.~.~-~.I?:.J.! .... 9.~.P.~-~-Y..t ....... .
Dec.eased
Fiduciary .. .l29.m~J..g ___ ~~-~~JJL.Q~ffiP.-~.e.Y.~-·-
··························---~~-~-~-~-9.r. ........................ .
PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
Counsel of Fiduciary will submit herewith the
following, in conformity with Court Rules
adopted effective December 3, 1951, being
rule No. 9: paragraph b-e; and divisions
thereof: shown on pages 23-24.
1. Written praecipes of all Counsel in the
case.
2. Copy of order appointing Guardian ad·
litem, if pertinent.
3. Copy of Order appointing Trustee ad
litem, if pertinent.
4. Proof of service of above ..
5. Letters Testamentary or Administration
C. T. A. or an attest copy of Will.
6. Copy of inventory and appraisement.
7. Proof of advertisement of grant of letters
if not filed with account.
8. Certificate of liens in case any of the
funds for distribution are from judicial
sale of real estate.
9. Signed and itemized elections if any
distribution in kind.
10. Copy of Federal Estate Tax return if es-
tate is subJect thereto.
--------~g_Q~-~---~-~---~gc:J:~-~~-'?-~_, ____________ : ______ _
Attorney
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Slli!A .:W ~l"-H'31~3tl
ON!i:J\·;·i "ll3SSnH
Ll1 II \.!U U i ~~ON 2L
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NOTICE.
In the Court of Common Pleas of Washington County,
Pennsylvania, Orphans Court Division, Estate of Susan J.
Campsey, also known as Susan Jeanette Campsey, and Susan
Campsey, Deceased, No. 63-71-.576.
Please take notice that Donald McLain Campsey,
executor of the will of the above named decedent, has filed
his first and final account as such executor to the number
above set out, and such account will come before the above
named court for audit, determination of the balance due,
final decree of distribution, and hearing and determination
of objections, exceptions, and all other matters pertaining
to the estate, at a hearing to be held on Wednesday, Septem-
ber 13, 1972, at 10 o'clock a. m., Eastern daylight time
(9 o~clock a.m., Eastern standard time), in the Orphans Count
Room, 3rd floor, Court House, Washington, Penns:y lvania, when
and where you may appear and be heard if you so desire.
(s) DONALD McLAIN CAMPSEY, Executor,
Thomas L. Anderson, Attorney,
1026 Washington Trust Bldg.,
Washington, Penn1 a. 1.5323
241 Birch Street,
Claysville, Penn'a. 15323
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C!tnmmnuwralt4 nf Jruu.ayluauia. ! .!i.!i: lla.a4tugtnu C!tnuuty.
KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid
on the 4th. day of June A. D. 1971 , before me,
Russell Marino , Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania,
the last Will and Testament of
Susan J. Campsey aka Susan Jeanette Campsey aka Susan Campsey
late of West Alexander in the County aforesaid, deceased,
(a true copy whereof is to these presents annexed), was duly admitted to probate; and
Donald McLain Campsey
the Executor in said Will and Testament named, having appeared before me and taken and subscribed
the oath of office pr.escribed by law;
NOW, THEREFORE, I, Russell Marino , Register as aforesaid, do
grant these LETTERS TESTAMENTARY, unto the said
Donald McLain Campsey
committing unto him the administration of all and singular the goods and
chattels, rights and credits, which were of said deceased, and requiring him
to exhibit a true and perfect inventory thereof into the Register's Office, at Washington, within ninety
days from the date hereof, and to r·ender a just and true account of said administration at the expiration
of six months from the date hereof, and to regard and comply with the provisions of the laws of this
Commonwealth relating to inheritance taxes.
IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said
Office at Washington, this Fourth
day of June in the year of our Lord one thousand
nine hundred and Seventy-one
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iJlrttrr.a IDr.ntamrutary
ESTATE OF
/
•'•"!"'.;' ~~ SUSAN J. CAMPSEY aka SUS~N .......................................................................................................
JEANETTA CAMPSEY aka SUSAN
CAMPSEY
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WILL.
I, the undersigned SUSAN J. CAMPSEY, of Donegal
Township, Washington County, Pennsylvania, being of sound and
disposing mind, memory and ~nderstanding, do hereby make, pub-
lish, and declare this my last will and testament (hereby re-
voking any will or wills or testamentary writing or writings
by me at any time heretofore made), in manner and form following,
towit:
1. I give ·and bequeath_ to my brother, George A.
Campsey, of Pittsburgh, Pennsylyania, the st~ of Three Thousand
Dol'lars (t3,000.00), free of all tax, provided, however, that if he
should not be living ~t the time of my death, then this bequest
shall go in equal shares to the children· of my brother, Donald
McLain Campsey 1 of Claysville, Pennsylvania, na.rned in paragraph
3 hereof.
2. I give and bequeath to my brother, Donald
McLain Campsey, of Claysville, Pennsylvania, the sum of Three
Thousand Dollars ($3,000.00), free of all tax.
3. All the residue of my estate, of whatsoever
kind, wheresoever situate, I give, devise, and bequeath, in
equal shares, unto the children of my brother, Donald McLain
Campsey, towit, David McMillen Campsey, Mary E. Ca.'!lpsey,
Margaret C. Eisenhart, and Lois Adeline Campsey.
4. I hereby make, constitute, and appoint my
said brother, Donald McLain Campsey, and Thomas L. Anderson,
of Washington, Pennsylvania, as executors of my will.
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IN WITNESS WHEREOF, I have hereunto set my hand
and seal this sixth day of February in the year 1952.
-Signed, sealed, published and declared by the above
named testatx·ix as her last will and testament in the presence of
us, and-each of us, who, at her request, and in her presence, and
in the presence of each other, have hereunto subscribed. our names
thereto.
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No. 63-71-576
Estate of
SUSAN J. CAMPSEY,
Deceased
Filed
INVENTORY AND APPRAISEMENT.
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THOMAS L. ANDERSON
ATTORNEY AT LAW
1026 WASHINGTON TRUST BUILDING
WASHINGTON, PENNA. 15301
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1\ffi~nuit ®f 1fxrrutnr ®r 1\bmiutatrntnr
&tatt nf !ftnnnylnanta. t nn: ~;7»
Cllnunty nf 11lllan~ingtnn \
Personally before me, the undersigned authority, a .............. ~.~~-~:!:.l ... P..~.'!?..~.~-~ ........................ in and for said
County and State, appeared ....................... .P.~~~-~9.: .... ~~~.!!.~.~~ ... 9..~~P..~.~.I ..................................... who, being duly
sworn according to law, deposes and says that he is the executor~ of the estate of
......................................... ~~~-~~L .. ~.!. ... ..Q~.~P~.~.Y.. ............................ deceased, that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of ......... S.Y.~.!i\Xl. .. J..a ..... Q~J!J.P.§.~J: ........... ,
deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item
of real and personal estate in the foregoing schedules are determined and stated by the undersigned to
be the fair value of said items as of the date of the decedent's death, based upon a just appraisement of each
item made by the above named Executor Administrator.
-z;,f,.
Sworn and subscribed before me this ...... i.?:-:f .. ::::.... l CJl-/J () l,A C ~~-
day of. .................. May: ..................... (l .. 1-9.?J·~ _,/ ~ .~:~2.~ . ../f~~~~t~~~········· ........ ~ Notar:Y''ru'6i';~~ .. ~~-..... No·t~y-::'Pub·:t±c· ·
My commission Expires rviarch a, ~.QZQ. ADDITIONAL INSTRUCTIONS
1. An inventory must be filed within three months after appointment of personal representative.
2. A supplemental inventory must be filed within thirty days of discovery of additional assets.
3. 1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-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
1Juntutnry null .2\p.pruiatmtut of the goods and chattels, rights a,nd credits which
were of .......................... $.JJ.;;t.~D. .... J.., ..... Q.gmP..~.~.Y. .................. late of .......... ~~-~.Y. .... A±.~~~.!?:9.:~~ .. L ................................... .
Washington County, Pa., taken and made in conformity with the above affidavit.
Stocks, bonds, and cash per attached schedules
Claim on notes and open account against estate
of Jessie B. McCleery' deceased, said to
be insolvent, face $1,625.24, on which a
ring is pledged appraised at
Total personalty
REAL ESTATE.
1. Tract of 101 A., 122 P.~·land~ Donegal Twp.,
Washington County, Pa., adj~ land now or late
pf McDonald, Jamison, Myers, and Campsey,
improved'with 1-sty. frame-house and barn. See
W. B. 32. p~ 180,. and D •. B. 311, PP• 622, ])~~B,.;
313, p. 418, D. B. 315, P• 307, and D. B. 352,
P• 93
2. Tract of approx. 29 A., land, party in Donegal
Twp. and partly·in Claysville Boro., Washing-
ton County, Pa., ··adj~ land of Borough. ·unim.;.
proved. See W. B. 32, p. 180, and D. B. 171,
P• 243
3. Undivided one-sixth interest in unimproved tract
of land containing 240 A., in Sugar Creek Twp~
Armstrong County; Pa., adj. ·Hepler, Templeton,
Crawford, Mateer, 'and Flick. ·see D. B. 98, P•
100. (Armstrong· Co.) and W. B. 32, P• 180,
(Washington Co.), the one-sixth
Total real estate
Total personalty and realty
DOLLARS CENTS
I
436 ,;7B4£ 6<.
100 00
4~6,88[1 62
7,00) 00
78~ 00
l,OOD 00
8,78D oo
414:5,661. 62
' ., ' .
~ -<1>
r \ ...... ~ ..
~ .-..... ' t:! · . . <:' '<1> ) . ' ~
lo..j 0 :)
I
•-' ::t:· ~
~. ~ t ,_. ttl ~ " ' ~--Cl) ~ \0 ~ ~ t;1 ~ !;;•
J 0 <1> ~ ~ <1> ~ .... 1-' r
-------------------~-------------------------,
I
. I.
' '
....•
. I . . . ..
'
item
1 187 shs., Allegheny P0wer com
2 60 aha., American Brands com
3 Dividend on item 2 to record
5/10/71
4 39 shs., American Standard 4-3/4% pfd
. .:~ .'.
S 1~6_shs., ASG Industries com
6 S4 shs., ASG Industries cumpfd
. :-· .
7 120 shsc, Amstar 68¢ cum conv
ptd A
8 120 shs., Arkensae-Louisana
Gas com
9 116 ahs., Armco Steel com
10 360 shs., Armstrong Cork com
11 121 shs~, Assoc. Dry Goods com
12 164 shs., Bo~den Co~ cap
13 15 shs., Bowser, Inc., 1.20
cum pfd
~ 78 Burlington Ind. com
15 125 shs., Celanese Corp. com
16 10 3hs., Celanese Corp. 7~
2nd pfd
~7 26 Chrysler Corp. com
18 14 Continental Oil com
19 90 Cudahy Pack. Co. com
20 10 Duwuesne_Light 4r6 pfd
21 20 shs., Equitable Gas com
@ 20.875
@ 46.3125
@ 84.25
@ 6.1875
@ 10.0
@ 9.687.5
@ 27.75
@ 20.8125
@ 38.125
@ 53.50
@27.3125
@ o.oo
@ 44.125
@ 78.312.5
@ 75.00
.. @ 29.62.5
(a), 35.687.5
@ 18.375
~ 27.87.5
@ 34~125
-1'\-
~ ..
.• "-#
'•,
3,903.63
2,778.7.5
33.00
'3,285. 75
779.63
' .540.00
1,162 • .50
3,330.00
2,414.25
13,72.5.00
6,473 • .50
4,479.25
o.oo
750.00
770.25
499.63
1,598.63
278.7.5
682 • .50
..
' '
...•.. .:: .. ~ :
' .
... .. . t
:'•
22 13 shs. Gen. Aaoept. Corp. ~1.00
. pfd Redeemed 6/l/71 f~ '20•875 $ ;~71. 38
23 63 shs. Gen. Motor Corp. com ~' _85.375 5,378.63
24 Dividend on item 23 to record
5/13/?1 53.55
2$ 48 shs. Gen. Tel. & El. com <m, 32.375 1,554.00
26 20 shs. Geo. Wash1nrrton Hotel com ~ 2.50 50.00
27 324 shs. J. Heinz Co. com I . 40.25 13,041.00 H. Wl
28 225 shs. Hershey Foods cam
(Hel'shoy Chocolate CoQ-) @:
I
29.00 6,525.00
29 46 shs. Jones !c Laughlin Stael ;
Corp. com 01 1 15,8125 727.38
30 9 shs. Jones & Law~bl1n Steel
Corp. S~ cum prd A @ '57 .25 515.25
31 10 shs. Interna·t tonal Ut!.l1t1es
Corp. ~~5.oo prd ~-45.875 458.75
32 Dividend on item 31 to racord S/14/71 -11.25
33 11+0 shs. Joy Mfg. Co. com ® 54.1875 7,586.25
I
34 .20shs. ~aise~ Steel Co.$14 .. 6 pfti @ 19.625 392.50 ..
3$ 15 shs. Kaiser Steel Co. com @ 29.50 442.50
36 30 zhs. Kannecott Copper oom @ 35.9375 1,078.13
37 27 shs. Koppers Co. ~ pfd @ 60.50 1,633.50
38 300 shs. Kraftco com @ 43.6875 13,106.25
39 10 shs. Latrobe Steel Co. com ~ 10.1875 101.88
40 1348 shs. Lone Star Gas com @. 25.25 34,037.00
1~1 35' shs. Mesta Machine Co. com ~ 27.9375 977.81
42 50 shs. Midwest 011 Corp. oom @ 104.375 5,218.75
43 160 shs. G. c. Murphy Co. com @ 34.75 5,560.00
-2A-
' ~ .
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•.
44 Dividend on item 43 to record 5/6/71
45 30 shs., Nat. Biacu1,t Co. com
46 304 shs., National Cs.n com
47 Dividend on item 46 to record 5/14/71
48 148 shs. North. Nat. Gas com
.. 49 22 shs. Owens I1~inois Glass com
50 Divid~nd on item t~9 to reocrdS/7/71
!·)1 8 shs. Owens Ulino~.s Glnss ~-~-~ pfd
S2 180 shs. .r. c. Penney com
S3 1!~ sbs. Penn Central Tr-ans. COI!l
54 420 shs. Pe~nzoil United com
55 118 sh~. Phila. I::lectric Co. com
56 9!~6 Sh3. PPG Ind. C:lp
57 Dividend on item 56 to record 5/5/71
58 4 Public Service-El. & G. com
59 238 she. Rex Chainbelt Inc. cap
60 Dividend on item 59 to !'Acord 5/5/71
6l 274 shs. H. H. Hobertson com
.-~-
?.6 shs. Robroy Ind cap
(formerly Pgh. St. Conduit)
63 139 shs. Rockwell Mdg. Co. com
64 30 sbs. Sargent Ind. 4~ pfd
65 15 shs. AMP~o.Pittsburg~ cap
(fol"'I1et>ly Pitts. Screw & Bolt)
66 10 shs. Southern Co. oom
67 Dividend on item 66 to record 5/3/71
68 228 shs. Stone Container Corp. com
69 94 shs. Tenn. Gas rrrans. (Tenneco)
common ·
-3A-
@ 54.3125
@ 30.0625
@ 50.9375
@ 63.375
@ 72._')0
@ 70.4375
@ 5,6875
@ 35.0625
@ 2).125
@ )6.125
.. 'il '.· .. ~ .
@ 28.00
@ 34.125
@ 24.375
@) 8.75
@ 29.1875
@ 27.75
@ 8.8125
@ 23.1875
@ 10~625
@ 27.6875
·~ r·-
.: "'.,.
$ 48.00
1,629.38
9,139.00
34.20
7,538.75
1,394.25
7e43
580.00
12,678.75
89.63
14,726.25
2,728.75
o:~;.
34,174.25 ··,
331.10
112.00
8,121.75
89.25
6,678.75
227.50
h., 057.06
832.50
1)2.19
231.88
3.15
2,422.50'
2,602.63
..
'
I .
' '
... '
. il
70 250 shs. Texas Gas Trans. $1~5o pt'd
71 1 sh. Toledo Edison com
72 96 shs •. Transcont. Gas Pipe tines
common
73 102 shs. u •. s. TPUOk Lines cap
74 3 shs. w •. Penn Power $4.50 pfd
75 258 shs. Wash. Steel Corp. com
76
77
78
36 shs. Wean United com
2~ shs. Durant Motors
.,
>';f:o .... ·-:
4-lM N. Strabane' Twp.: Mun. Auth. .5~ :t3ll-re:r-revenue· bonds series
k, >issued 7/1/67 !ll9turing
7/112007 '
.t:
79 IntaJ:9r;st on item 78, 1/1/71-.5/lh/71
80
81
82
83
84
85
86
87
.
5-lM N. StrabAne Twp. !-tun. Auth. 4 3/4% sev.rer _revenue bonds,
·series· A is sued 7/1/67 t'ta. turing
7/1/87
InterP.st on itmn no, 1/1/71-S/1!;./71
J•lM Greenville Jt. Sch. Autb. 3~
bon6z issued l/1/53 r:r:tl~:·ing
1/1/79 .
Interest o.n ite, 82, 1/1/71• . .5/lh/71
l•SM Fox Chapel Area Sch. Auth.
. . 4.1<>% bonds issued 12/1/67
maturing 2/1/74 .
Interest o,n item 84, 2/1/71-.5/14/71
S-lM Beaver Falls Hun, Auth •. 2~
refunding and water revenue
honds issued 12/15/44 maturing
8/1/80
Interest on item 86, 2/1/71-5/ll~/71
-4A-
---------~-------------
@ 35.6875
@ 28.8125
@ 18.375
@ 55.75
@ 62.,2.5
@ 15 .. 562.5
@ 7.8125
@ o.ooo
@ 71.80
~ 98.62
® 71.59
/ /
'
$ 8,921.88
28.81
1,764.00
5,686.50
186.75
4,015.13
295.25
2,872.00
74.44
3,872.50
88.39
2,504.10
)9o08
4,931.00
58.65
3,579 • .50
35.76
I J;.
. :;
' '
...• ,,
. "
·. ,,
88 3·111 0 1 Ht;~ra T~ .. -p. 3 3/81, i•~undlnn:
& Improve. bonds issued 2/i/63
@ 73.55 $ 2,206.50 maturing 2/1/82
89 Interest on item 88 2/1/71-5/14/71 28.96
90 1-5M Clarion Area Sch. Auth. 5~%
_ hondo issued 8/1/68 maturing
. 8/1/9~ @ 80.43 4,021.50
91 Interest on item 90 2/1/71·5/14/71 75.10
92 5-lM Braddock Sch. Dist. 3~ bonds
-issued 8/1/65 maturing 8/1/77 @ 83.86 4,193.00
93 Interest on item 92, 2/1/71-5/14/71 50.07
911. 5-lM 'N. Fayette Co. :*1un. Auth. 4.85% ~rater revenue bonds serios
1966, issued 12/l/66, matuPing
9/1/91 @ 78.17 3,908.50
95 Int~r(~st on 1 tom 9l.!., 3/1/71-5/14/71 55.23
96 S-1:'1 ':J1l!cinsburg Boro. 1 J/4% bond a
issued l/1/S?. m,qt;nrin~ 3/1/75 (i1l 8!t .• 75 4,237.50
97 Interest on item 96, 3/1/71-5/14/71 19.93
98 2-lM Allegheny Co-. Pa. 2 1/8':0 A.ir-
port bon0.s issued 3/1/49 mstur-
@ 80.26 1,602.50 ing 3/1/77
99 Inte~eat on !ten 98, 3/1/71-5/14/71 9.67
100 5·1M Glo3s~ort Boro. 6% !q~ipment
. bonds issued 4/1/69, maturing
5,000.00 4/1/77 @ 100
101 Interest on item 100, 4/1/71-5/14/71 36.67
102 2-1M Baldwin Twp. Sch. Dist. 4~
bonds issued 8/1/59 naturing 8/1/86 . @), 73.10 1,462.00
103 Interest on item 102. 2/1/71-5 /ll.t./71 22.88
104 2-lM Groensbur' City G/0 3~ bonds
issued 5/1 62 maturing 5/1/82 (0 70.27 1,405.40
105 Interest on item 104, 5/1/71 .. 5/1!~/71 2.33
-5A-
.. .
106
-'
-·
• .
. 'il
1·5M Ft. Cherry Jt. Sch. Bldg.
Auth. 3.35~ school building
I'~Jvenue bonds L.>sued ;)/1/65
maturing 5/1/75
107 Interest on item 106, ~/1/71-S/14/71
108 1-lM Be9vor Go. l!un. Auth. 5 5/8%
Toll Bridge bonds issued
11/1/57 maturing 11/1/97
109 Interest on item 108, 5/1/71-5/14/71
110 i-5M Octornra Ar·ea Sch. Auth. Jd;~
@ 82.54
school building revenue bonds
issued 11/1/66 maturinh 11/J/7 5 6. 99.00
111 Interest on item 110, 5/1/71•5/li.J./71
112 1 ~''-n_• ,.• " d •' 'I A '--\ ~ l, C".'l' •:;>•·!. ·:l.L-•·.tlJ.AO S »Ln. U1.tle· >•-,.:;>;<·
school bulldin;~ rovenuo bonds
issued r?/1/6 7, maturing 5/1/77 ~ 89 .·88
113 Interest on it~ 112, 5/1/71•5/V~/71
114 1-5M Patton Mun. Auth. (Cambria Co.) 5/#~ sewer revenue bonds issued
5 1/63, maturing S/1/82 @ 89e42
115 Interest on 1tem·ll4, 5/1/71-5/14/71
116 1·5M Pt1tton r-1un. Auth. ( Camb~··ia Co.)
5.55~ ~eHer revenue bonds
issued 5/1/68 maturing 5/1/83 @ 89.26
117 Interest on item 116, 5/1/71·5/14/71
118 2-lM Beaver Co. Housint:: Auth .. 2~
housing bonds issued 6/1/51
maturing 6/1/Gl @ 69.14
119 Interest on item 118, 12/1/7CJ .. 5/14/71
.120 2-lM O'Har~ T\-TP· Sch. D1st. 1 "'(/8<fo
G/0 bonos-issued 6/1/SO
maturing 6/1/73
1~1 Interest on item 120, 12/1/70-5/l!.i-/71
-6A-
@ 92.99
. . l
• .! ......
$ 4,486.00
6.51
4,950.00
8.75
4,471.00
10.69
4,463.00
10.79
1,382.80
17.22
1,859.80
16.15
rJ
.. •·
·~ . -·
' '
.......
..
·. 1/
·-~·:; . ...-.....
122 3-lMT1tusville A~en Sch. Auth.
2 3/4?; school bu1ldin~ reve-
nue bonds issued l2/lt54
maturing 12/1/77 @ 79.26
123 Interest on item 122, 12/1/70·5/14/71
124 l•5M North Allegheny Jt. Auth. 4t%
school bu1ldinrr revenue bonds
issued 2/1/67, '·maturing 12/l/2001 0'1 70.05
125 Interest on ttern 124, 12/1/70-S/llt/71
126 1-5M FArrell Area Sch. Auth. 5 3/8~
school bu11cUn~ revenue bonds A.
issUCld ~/1/f,8, · maturtn.r.; 6/1/200) CS? 81.06
127 Intorost on item 1?6. 12/1/70-5/lh/71
128 1·1M W. Y. C~ntral l.R. 5~ Ref. &
Improve. i·~t~<.;. bonds is sued
10/1/21, matur·inf, 10/1/2013
129 · Interest on: iten 1?8, 1.+/1/71-5/14/71
130 1-5M Phila. Fleetric Co. 8.10~ '76
131 Interest on. item 130, :;/1/?1-S/1!;./~'1
132 $1,300 fncf; Wean Un. conv. deb. 5~%
is suo~. J/9/68, m.'lt'!!"inr 3/1/93
133 Interest on item 1)2, 3/1/71-5/14/71
134 ~1,700 face U. Sn Stoel deb. 4 5/8~
1996
135
136
137
138
Interest on item 134, 1/1/71-5/14/71
Simplified savings account 181-28-1043
n/.o D. M. Campsey, in trust for
decedent (convenience ace ount),
Mellon Nat. Bank & Trust Co.,
Claysville, Pa. 15323
Interest on item 136 to 5/14/71, from 1/1/71 .
Checking account, Mellon Nat. Bank &
Trust Co •• Claysville, Pa.
-7A-
@ 54.00
..! • # .
$ 2,377.80
3_5.52
3,502.50
91.49
4,05.).00
'11~.71
140.00
o.oo
5.021.25
15.75
702.00
16.28
l,oBq.56
29.26
75.42
12,341.13
.. .
r,
. '
;' ·,
..
. "
1'39 Cert. denosit, Mellon Nat. Bank &
Trust Co •. Claysville, Pa.l5323
#08820, 7/1/70, 2 years,
5 3/4%
140 Interest on item 139 to 5/14/71
from 1/1/71
141 C/D #08821, Mellon Nat. Bank &
Trust Co., Claysville; Pa.
15323, 7/1/70, 2 years 5 3/4%
142 Interest on item 141 to 5/14/71,
from 1/1/71
143 C/D #08822, Mellon Nat. Bank &
Trust Co., Claysville, Pa.,
15323, 7/1/70, 2 years, 5 3/4%
144 Interest on item 143 to 5/14/71
from 1/1/71
Total, stocks, bonds, and cash
-8A-
. ~ -. .
10,000.00
214.00
10,000.00
214.00
20,000.00
428.00
$4J6, 784.62.
·-
.. . ;.
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY, ~ SS:
The within named Accountant being duly sworn according to law, deposeS and sayS that the above account
as stated is true and correct as.---------------~~----------------------verily believe.
Sworn and subscribed before me this ..... ?.?.!.':"! ________ _
day of --------------------··J"U.lY---------············· 19.7.2 ...... .
~ /] 10~~/.} --------------------~---~--"=-------7~---------.
Notary Public, Claysville, ,Washington Co.
·My Commission Expires March 8, 1976
Washington County, ss:
0 z
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 evidence by proofs
thereof filed to No. ____ f..t3.~.1d~.3.3.L ........... .
Witness my hand and official seal this. __ :l_Z_ ________________ _
-~~"""--~--~-1. ----------------------------------------19.14 ...
~~:~---------------------
Register of Wills
f \lED-,
'll JUt lS P~ \
RUSSELL Mb,R\
REGISTER Or W . ,
WASHINGiON CO. Pf.
,
0 ....,
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The Court is respectfully requested to determine
prope' d;stdb"jlt;~;;s't;, tuJu~
Counsel for Accountant
• . '
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA,
ORPHANS COURT DIVISION,
Estate of
SUSAN J. CAMPSEY,
)
)
)
)
)
.No. 63-71-.576.
Deceased
FIRST AND FINAL ACCOUNT,
Of Donald McLain Campsey, Executor of the Will of Susan J. Camp-
say, Late of West Alexander, Washington County, Pennsyl-
vania, Deceased.
DEBITS.
The accountant charges himself as follows, to wit:
To amount of inventory of personalty and
real estate filed $44.5,664.62
To gain on liquidation of stocks:
90 Cudahy com:
$1,980.00 Sold for
Appraised at 1 1 ,298.63
Gain 381!.37/
126 ASG Ind. com:
Sold for 976 • .50
Appraised at 779.63
Gain 196.87 I
54 ASG Ind. cum pfd:
Sold for 810.00
Appraised at s~o.oo
Gain 270.oo 1
10 Duquesne Light pfd.:
Sold for 292._50
Appraised at 278.71
Gain
20 Equitable Gas com:
Sold for 687 • .50
Appraised at 682.50
Gain _5.00
46 J. and L. Steel com:
Sold for 84.5.25
Appraised at 727.38
Gain 117.87'
-1-
. . .. '
9 J. and L. Steel pfd:
Sold for 532.13
Appraised at 215.25
Gain 16.88
50 Midwest Oil com:
Sold for 5,512.50
Appraised at 5 2218.75
Gain 293.75
118 Phila. El. com:
Sold for 2,829.75
Appraised at 22 728.75
Gain 101.00
26 Robroy Ind. cap:
Sold for 273.00
Appraised at 227.50
Gain 45.50
1 Robroy Ind. cap., stock
dividend after death,
sold with foregoing,
noted here for clarity, 10.50 sale price
10 International Ut. pfd:
Sold for 550.00
Appraised at Y:58.75
Gain 91.25
8 Owens-Illinois pfd:
Sold for. 602.00
Appraised at 580.00
Gain 22.00
30 Sargent Ind. pfd:
Sold for 843-75
Appraised at 832.50
Gain 11.25
10 Celanese pfd:
Sold for 820.00
Appraised at 750.00
Gain 70.00
-2-
i ' •,'
300 Kraftco com:
Sold for 13,312.50
Appraised at 13!106.25
Gain 206.25
26 Chrysler com:
Sold for 884.00
Appraised at 770.25
Gain 113.75
3 West Penn Power pfd:
Sold for 188.63
Appraised at 186.75
Gain 1.&8
1 Toledo Edison com:
Sold for 30.25
Appraised at 28.81
Gain
l.tf-4.
30 Nabisco:
Sold for 1,788.75
Appraised at 1 2629.38
Gain 159.37
121 Assoc. Drygoods com:
Sold for 6,710.25
Appraised at 6 2/±73.20
Gain 236.75
Total gain on liquidation
To dividends not shown in inventory:
Allegheny Power, 7/6/71-7/3/72
Am. Brands, 9/7/71-6/5/72
Am. Standard, 6/28/71-12/27/71
Amstar, 7/12/71-7/10/72
Ark.-Louis.Gas,6/20/71-6/19/72
Armco, 6/14/71-6/19/72
Arm. Cork, 6/lL~/71-6/5/72
Assoc. Dry G.,6/14/71-3/l/72
Borden, 6/14/71-3/6/72
-3-
321.64
134.64
139.23
397.50
195~00
145.00
360.00
146.65
196.80
1
•,
Burlington Ind.,6/14/71-3/l/72
Celanese, 6/28/71-1/10/72
Chrysler, 6/1~/71-12/13/71
Continent. Oil, 6/14/71-3/14/72
Duquesne Light,7/6/71-l/10/72
Equit. Gas, 6/14/71-3/1/72
GAC, 6/14/71-7/1/71
GMC, 9/13/71-6/12/72
Gen. Tel.& E., 7/6/71-4/1/72
H. J. Heinz, 7/12/71-7/10/72
Hershey, 6/21/71-6/19/72
J.& L. Steel, 6/14/71-2/28/72
Internat Ut., 7/7/71-3/1/72
Joy Mfg., 7/29/71-5/1/72
Kaiser St.pfd, 7/6/71-1/10/72
Kennecott, 6/21/71-12/27/71
Koppers, 7/6/71-1/10/72
Kraftco, 6/14/71-3/10/72
Lone Star G.,6/14/71-6/12/72
Mesta Machine, 7/6/71-1/10/72
Midwest Oil, 6/14/71-3/10/72
G.C.Murphy, 9/7/71-6/5/72
Nabisco, 7/12/71-1/17/72
109.20
240.00
11.70
21.00
15.00
45.80
3.25
229 ._95
72.96
411.48
309.40
79.75
35.00
196.00
21.90
37.50
81.00
515.10
2,250.78
42.00
151.50
192.00
49.50
National Can, 9/7/71-3/~72 102.60
North. Nat.Gas, 6/28/71-12/27/71 288.60
Owens-Ill., 7/12/71-3/22/72 46.29
J.C.Penney, 8/2/71-5/8/72
Pennzoil, 6/21/71-6/19/72
Phila. El., 7/6/71-1/27/72
PPG Ind., 9/13/71-6/19/72
Public Serv., 7/6/71-12/31/71
Rex Chain., 8/30/71-5/30/72
H. H. Robert., 6/21/71-6/26/72
Robroy Ind., 12/12/71
-4-
183.60
420.00
145.14
1,338.59
4.92
357.00
376.75
3.15
...
I .
Rockwell, 6/14/71-6/12/72
Sarget Ind., 7/29/71-1/10/72
AMPCo-Pgh., 7/19/71-1/17/72
Southern Co., 9/13/71-3/1/72
. Stone Cont., 7/29/71-1/31/72
Tenneco, 6/21/71-6/19/72
Tex. Gas Trans.,b/21/71-6/19/72
Toledo Ed., 8/2/71-1/31/72
Trans.Gas Pipe,8/2/71-2/7/72
U. s. Truck., 6/21/71-6/19/72
W. Penn Power, 7/19/71-1/24/72
Wash. Steel, 6/14/71-3/22/72
Total dividends not in inventory
To interest not shown in inventory:
North Strabane bonds,
5/14/71-7/3/72
Greenville bonds,
5/14/71-1/4/72
Fox Chapel bonds,
5/14/71-2/7/72.
Beaver Falls bonds,
5/14/71-2./7/72
O'Hara bonds,
5/14/71-2/7/72
Clarion bonds,
5/14/71-2/7/72
Braddock bonds,
5/14/71-2/7/72
North Fayette bonds,
5/14/71-3/6/72
Wilkinsburg bonds,
5/14/71-3/6/72
Alle~heny County bonds,
5!14/71-3/6/72
Glass_port bonds,
5/14/71-4/3/72
Baldwin bonds,
5/14/71-2/7/72
-5-
243.25
50.64
L~.o5
9.55
43.32
155.10
468.75
1.36
80.64
257.04
10.14
270.90
493.42
118.42
146.35
89.24
72.29
187.40
124o93
187.27
67.57
32.83
263~33
57.12
j
12,019.61
-I
...
Greensburg C,ity bonds,
5/14/71-5/1/72 57.67
Ft. Cherry bonds,
5/14/71-5/1/72 160.99
Beaver Co. Bridge
5/14/71-5/1/72
bonds,
53.96
Octorara bonds,
5/14/71-5/1/72 216.25
Highlands bonds,
5/14/71-5/1/72 165.79
Patton 5s bonds,
5/14/71-5/1/72 264.31
Patton 5.55s bonds,
5/14/71-5/1/72 266.71
Beaver Co. Housing bonds,
5/14/71-6/5/72 42.78
O'Hara S. D. bonds,
5/11.4./71-6/5/72 40.13
Titusville bonds,
5/14/71-6/5/72 88.23
North Alle~heny bonds,
5/14/71-/5/72 227.26
Farrell bonds,
5/14/71-6/5/72 287.41
Total, municipal bond interest 3,711.66
Phi1a. El. bonds,
. 5/14/71-5/8/72 389.25
Wean Un. conv deb~
5/14/71-3/6/72 50.02
US Steel deb,
5/14/71-7/3/72 88.69
Total, other bond interest 527.96
Savings account, Mellon 84.96
Certs. deposit, Mellon 2,594.00
Total, bank interest 2,678.96
Total, interest not in inventory
-6-
.,
\
6,918.58
' .,.
1971
To rentals from 101 A. tract, Donegal Twp.,
Washington County, tract #1 in inventory:
Columbia Gas Transm. Co.,
7/29/71-4/24/72
To rentals from 240 A. tract, Sugar Creek
Twp., Armstrong County, tract #3
in inventory, 7/2971-5/30/72
Aug 23 Robert w. Walker, refund of insurance premium
Nov 15 George E. Mumper, refund of insurance premium
1972
Jun 1 U. S. Treasury, refund, income tax, form 1040
Jul 21 Jessie McCleery Estate, gain on claim
Total debits
CREDITS.
103.00
108.35
183.00
59.00
250.00
1,408.79
J $469,0.81.42
The accountant charges himself as follows, to wit:
1971
Jun 4 Russell Marino, Register, letters, short cert.
Jun 4 Washington County Reports, advertising letters
and copies of will
32.50
15.60
Jun 4 Ruth H. Sharpnack, witness to will 10.00
Jun 10 Claysville Cemetery Association, opening grave 85.00
Jun 10 Brownlee Funeral Home, burial expenses 1,686.50
Jun 10 Dr. Robert J. Fagioletti, medical services 5.0Q
Jun 10 George E. Mumper, insurance 191.00
Jun 14 Barbara M. Laird, Tax Col. '71 township tax 24.44
Jun 14 Malcolm L. Morgan, Co. Treas., '71 personal prop.tax 187.21
Jun 14 Malcolm L. Morgan, Co. Treas., '71 county R/E tax 56.69
Jun 16 Russell Marino, Register, short certificate 1.00
Jun 30 Claysville Recorder, advertising letters 12.00
-7-
Jun 30 Mellon Bank, postage, GAC liquidation 1.18
1.00 Jun 30 Russell Marino, Register, short certificate.
Jul 1 Postmaster, postage, Cuday liquidation 3.06
Aug 10 Russell Marino, Agent, account Pennsylvania
transfer tax 17,000.00
7.84
18.82
194.82
94.00
Aug 21
Aug 21
Aug 21
Aug 31
Oct 11
Nov 1
1972
Jan 21
Jan 24
Jan 25
Feb 12
Feb 29
Feb 29
Iona L. Ramage, Tax Col., '71 Boro. tax
Iona L. Ramage, Tax Col., '71 school tax
Barbara M. Laird, Tax Col., '71 township tax
Robert W. \.J'alker, insurance
S. White's Sons, grave marker 293.00
Mellon Bank, safe deposit box rental 7.00
Russell Marino, Rer·ister, short certificates 6. 00
Gladys c. Marshall, notary, residence affidavits 38.00
Russell Marino, Register, short certificates 32.00
Internal Revenue Service, account, estate tax 12,000.00
Parker/Hunter, broker's charges, sale stocks 1,416.50
Loss on liquidation of stocks:
13 GAC pfd:
39
27
Appraised at
Redeemed at
Loss
American Standard
Appraised at
Sold for
Loss
Koppers pfd:
Appraised at
Sold for
Loss
pfd:
78 Burlington Ind. com:
Appraised at
Sold for
Loss
148 North. Nat. Gas com:
Appraised at
Sold for
Loss
14 Penn Central com:
Appraised at
Sold for
Loss
271.38
262.16
3,285.75
22!±96.00
1,635.50
1,617.38
3,441.75
22 915.25
7,538.75
6,376.50
89.63
68.25
-8-
9.22
789.75
16.12
526.50
1,162.25
21.38
164 Borden cap:
.Appraised at 4,479.25
Sold for 4 2 379.00
Loss 100.25
35 Mesta Machine com:
Appraised at 977.81
Sold for 800.63
Loss 177.18
36 Wean Un. com:
Appraised at 295.25
Sold for 2Y:7-50
Loss 47.75
22 Owens-Illinois com:
Appraised at 1,394.25
Sold for 1 2053.25
Loss 341.00
228 Stone Container com:
Appraised at 2,422.50
Sold for 2 213Y:.OO
Loss 288.50
96 Transcont. Gas Pipe com:
Appraised at 1, 76i~. 00
Sold for 1 2 752.00
Loss 12.00
4 Public Service E. & G. com:
Anpraised at 112.00
Sold for 101.00
Loss 11.00
48 Gen. Tel. & E1. com:
Appraised at 1,554.00
Sold for 1,464.00
Loss 90.00
10 Southern Co. com:
Appraised at 231.88
Sold for 201.25
Loss 30.63
20 Kaiser Steel $1.46 pfd:
Appraised at 392.50
Sold for 375.00
Loss 17.50
10 Latrobe Steel com:
Appraised at 101.88
Sold for 83.75
Loss 18.13
125 Celanese com:
Appraised at 9,789.06
Sold for 8 2 I:~:OO. 00
Loss 1,389.06
-9-
I I~
14 Continental Oil com:
Appraised at
Sold for
Loss
15 Kaiser Steel com:
Appraised at
Sold for
Loss
30 Kennecott Copper com:
Appraised at 1,078.13
Sold for 780.00
Loss
15 AMPCo-Pittsburgh com:
Appraised at
Sold for
Loss
304 National Can com:
Appraised at
Sold for
Loss
132.19 121.88
9,139.00
4,934.4.6
116.38
178.12
298.13
10.31
4,204.54
Total loss on liquidation of stocks -,} 9,855.70
Mar 6 Internal Revenue Service, balance,
estate tax 72,071.37
Apr 10 Internal Revenue Service, '71 tax for~ 1041 1,720~02
Apr 15 Pa. Dept. of Revenue, '71 income tax 242.84
May 12 Internal Revenue Service, interest, estate tax 430.99
May 25 Constance Taylor, notary, inventory, Pa. tax 1.50
May 25 Russell Marino, Register, filing inventory 17.00
Jun 12 Malcolm L. Morgan, Co. Treas., '72 Co. R/Etax 56.69
Jun 20 Malcolm L. Morgan, Co. Treas., '72 P. P. tax 215.86
Jun 20 Washington Co. Personal Property Tax Dept.,
in full of personal property tax claims 443.96
Jun 21 Internal Revenue Service, balance tax, '71
form 1041 56.28
Jul 24 Donald M. Campsey, executor's compensation 18,000.00
Jul 24 Thomas L. Anderson, attorney for estate 18,ooo.oo
.Tul 25 Constance Taylor, notarizing account .75
Jul 25 Russell Marino, Register, filing account 2!±.00
Total credits $154,566.44
Balance for distribution $314,514.98
-10-
f.j-f, 5 .,:r(. I:(
The Claysville Recorder
Claysville, Pennsylvania
PROOF OF PUBLICATION
In qompliance with the News.pa,per Adverti.s~ng Act of May 16, 1929,
P. L. 1784, Paragraph 3, Sub-.para•graph_2y.
Comrn!Onw~ealth ennsylva · , u f of Washington, ss:
Personally eared bef re . :;otar~·6~ic in and ~or said County
and S~te ---~-fo ____ 7~...a.-Qbemg duly#orn
accordmg to law, ~e/s;. d .says that he 1s the ~--~_/:ff::.::::::_
O'f the Cla.y,sville R.ecor er, and its agent in this behalf; that the a.bove named per..s·on is the pu:bli~her of The Cla.ysville Recorder, estrublished
June 15, 1888, weekly new:o.paper of general circulation, printed and pub-
.l:idhed and having its place of bu.s.ines'S at Claysville, Waehington County,
PellllJS.y.lvania, where it has been establ~ihed and publisihed continuously
for more than six months prior to the publication of the notice hereto attached; that the printed notice or advertisement hereto atta.ched is a
copy of an official advertisement, official notice, legal notiee or legal adver-
tisement e~aotly as printed or published in The Clays.v:ille Recorder in its
NOTARY PUBLIC
Claysville, Washington CtHtl'it~
My Comm.Exptr.es Mar.30, 19i 4
r· EXECUTOR'S NOTICE:
Estate of Susan J. Campsev, •
deceased, late of West Alexander\
Washington County, Penna.
Letters testamentary upon the t'
above estate having been grant· I
ed to the undersigned, notice is 1
hereby given to those indebted!
. thereto to make immediate pay-
ment, and to those having claims I
,, to present them for settlement.
i Thomas L. Anderson, 1
, Attorney I
1 1026 Washington Trust Bldg.
, Washington, Penna. l-3t ~
Donald McLain Campsey,
241 Birch Street, ·
Claysville, Pa., 15323 1
-------·
Washington County RepOrts·
Washington.. Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In·' compliance with the Newspaper Advertising Act of May 16, 1929,
P. L. 1784 Sec. 3, paragraphs ( 3) and ( 25).
Cou~TY 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 officia!l legal periodical for said Washington County, published weekly
hav.ing its place of business at Washington, Washington County, Pennsylvania,
and is acting as its agent in this behalf; that the said WASHINGTON
COUNTY REPORTS was established on March 31, 1920, and was designated
as the official legal publication for 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:
......... J.u.ne .... .l.O ..... .J .. 1 . .,. .... 2.~ ...... 19.1l ...................... .
that the affiant or the corpora·tion in behalf of whioh he is acting is not
interested in the subject matter of said notice or advertising and that all of the
~·,:~~ m iliU offid,nt " w tho · ,, p •re ~d ro~:~~-~:~E
• Editor
Sworn to and subscribed before
24th June 71 • ........................ day of ...................................................... , 19 ................. .
~.?-;1~
JOSEPHINE T. SCIAMANNA
Notary Public, Washington, Washington Co.
Mv Commis8ion .Exnirrs July .1. .JSl-4
Estate Notices
The Register of Witlls 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.
• • • • • • • • • • • • • • • • •
CAMPSEY, SUSAN J., Dec'd.
Late of West Alexander, Washington County, Penna.
Executor: Donald McLaim Campsey, . 241 Birch Street, Claysville, Penna.
16323 1,
Attorney: Thomas L. Anderson, 1026 Washington Trust Bldg., Washing~ ton, Penna. 16301
~tt t4t <ttnurt nf <ttnmmnu Jtltali nf llas4iugtnn <trnuuty
®rpqaun' Qtnurt minininu
In the mllJtter of the Audit of Account in
Estate of __ s~u!:..!:s:!..!a~n~J:!...!.•---...:C;!_a=m=tp~s=e:...Jy~, ______ 1 N No. 63-71-576. 0. _____ -=_..:___; _______ ___:__
Deceased
TO THE AUDITLNG JUDGE:
Enter· ___ .=:m:.:y[.__ ____ .appearance for __ _:D=--:.o...::.n_a_l_:__d_M_c_L_a_i_n __ C_a_m_p=--s_e_:y::__:_, __ e_x_e_c_u_t_o_r_a_n_d_
accountant.
13th day of ___ s_e_:p:_t_·_e_m_b_e_r ____ , 19_7_2
N. B.-Counsel shall, by separate paper, present a concise statement of each
claim, with supporting calculation of any· interest claimed. Objections
to an account as filed, shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate conctse state-
ment in that regard.
J
No. 63-71-576.
In re Audit of Account in Estwte of
Susan J. Campsey ~ ...
.:. Deceased
AUDIT
Jrarripr fnr · 1\ppraraurr
FOR
Donald McLain Campsey,
Executor and Accountant
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Thomas L. Anderson,
Attorney
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ThT THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNA.
ORPHANS' COURT DNLSION
IN RE:
Estate of
SUSAN J. CAMPSEY, a/k/a
(
)
(
)
(
)
(
)
(
NO. 576 of 1971
SUSAN JEANETTA CAMPSEY, a/k/a
< SUSAN CAMPSEY,
z < ~Deceased.
)o
Cll z z Ill II.
z 0 .... C) z
X
~BEFORE:
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~APPEARANCES: ~ c ::> ..,
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ui ~TIME: .... 0:: 0 II. llJ 0::
.... ~THE COURT:
0 u
HEARING ON AUDIT
THE HONORABLE RICHARD DiSALLE, J.,
Specially Presiding .
THOMAS L. ANDERSON, Esquire, of Washington,
Pa., representing the Accountant.
Wednesday, September 13, 1972, at 10:00 A.M., EI:~T
The estate of Susan J. Campsey, also kno'vn as
J
~ Susan Jeanetta Campsey, also kno,vn as Susan Campsey. The Exec otor
u ii: "' 0 is Donald McLain Campsey and the attorney is Thomas L. Andersc n.
MR. ANDERSON: If the Court please, I have the Audit Petition and
other papers. The Federal Tax has been paid in full and 'Ve have
a closing letter. Something has been paid, a substantial amount of
Pennsylvania Tax, but there is still probably $2500.00 due, in that
neighborhood. All claims have been paid. The executor is in the
L__----------"-------------------~~-------
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-------------------------------------------------------------------------
process of selling some stock, and I don't have a complete final re ort
on that. I'd like to hand up a breakdown on the financial part of thE
Audit Petition when I get that. The residuary devisees and legatees
are a nephe'V, who livES in Washington County, and three nieces.
And they have agreed that the nephew should take real estate in
:! z < Washington County as part of his distributive share at the appraise
> ~ )o
Ill z value. Those papers have been filed.
z Ill 0.
i THE COURT: Is the election filed?
0 .... C)
~
X MR. ANDERSON: The elections are attached, yes.
Ill < ::: THE COURT: Is there anyone here interested in the estate of
t-= u
a: .... Ill
Susan J. Campsey, also known as Susan Jeanetta Campsey, also h own
c
~ < as Susan Campsey?
0
0 ::> ..., ( NO RESPONSE )
:t 1-,..
N
THE COURT: ui
The estate is closed.
a: Ill .... a:
0 0. Ill a: .... a: ::> 0 0
~ <
0
ii: II. 0
(AUDIT CLOSED)
2'
-·----,, _______________________ _J_ __ i
I hereby certify that the proceedings and evidence
are contained fully and accurately ln the notes taken by" me on the hearin
of the above cause, and that this copy is a correct transertpt of the same
The foregoing record of the proceedings upon the
hearing of t}le above cause is hereby approved and directed to be filed.
By the Court1
•
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ESTATE OF N 63-71-576 0, ___ .:...::___:_:::;___;;:_:__::.__ ______ _
Susan J. Campsey, a/k/a
Susan Jeanetta Campsey, a/k/a
Susan Campsey, Deceased.
In the matter of the First and Final
Account of Donald McLain Campsey,
Executor
ADJUDICATION AND DECREE
November 9 72 And now , 19 __ , this matter came on for hearing,
auditanddistributionatthissessionandtestimony taken; and thereupon, upon due consideration
the~f.of the balance for distribution in the hands ~f the A~countan.t is deter':li~ed to be
$ L.'['( 141. Zb · · and the account 1s 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 disribution hereto attached and made part hereof, unless exceptions hereto be filed
sec. reg. or an appeal be taken herefrom sec. leg.
By the Court,
< ~~4-4 p(/ ~~~._
WSpecially Presiding
SCHEDULE OF DISTRIBUTION
Balance per account
A dditional debit asked at audit
A dditional credit asked at audit
Balance
Deduct Clerk's Costs & Receipts. ____________ _
Thomas L. Anderson Attorney _____________________ _
Russell Marino, Clerk 0. C., costs in certifying real
estate to Recorder, (Washington County), $ 5. 50
Costs certifying real estate to Recorder of
Armstrong County, and costs recording same, 12.50
Donald McLain Campsey, Executor, rea ward for tax
contingencies. After the taxes are fully paid and the
accountant's liability ceases, any balance of this award
remaining shall follow the decree of disfribution herein-
made as it relates to the distribution of the residue and
the proportionate shares therein and no further formal
accounting to the Court of the fund shall be necessary,
7776.04
45149.77
5000.00
$ 3142 514.
$322' 291.
$ 277' 141.
98
02
25
Donald McLain Campsey, brother, legacy, 3000.00
$270,420.03
$267,420.03
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David McMillen Campsey, nephew, 1/4 residue, including
parcel of real estate situate in Donegal Township; parcel
situate in Donegal Township and partly in Claysville;
parcels subject to quit-claim by the other residuary
legatees, said quit-claims ordered recorded herewith;
undivided 1/4 interest in an undivided 1/6 interest in
parcel of real estate situate in Armstrong County; all as
hereinbelow described; including cash and securities as
itemized hereinbelow; held in kind and distributed as
such at the appraised value, per election filed, 66855.0(
Mary E. Campsey, niece, 1/4 residue, including an
undivided 1/4 interest in an undivided 1/6 irterest in parce
of real estate situate in Armstrong County and including
cash and securities as itemized hereinbelow; held in kind
and distributed as such at the appraised value, (see quit-
claim deed ordered recorred herewith -quit claiming
interest in Washington County real estate to DavidMcMillep.
Campsey hereinabove), per election filed, 66855.01
Margaret C. Eisenhart, niece, 1/4 re~idue, including an
undivided 1/4 interest in an undivided i/6 interest in real
estate situate in Armstrong County and hereinbelow described;
including cash and securities as itemized hereinbelow;
held in kind and distributed as such at the appraised value,
(see quit-claim deed ordered recorded herewith -quit
claiming interest in Washington Countyreal estate to Dar i<
McMillen Campsey hereinabov~, per election filed,
Lois Adeline C. Stauffer, niece, 1/4 residue, including an
undivided 1/4 interest in an mdivided 1/6 interest in real
estate situate in Armstrong County and including cash and
securities as itemized hereinbelow; held in kind and
distributed as such at the appraised value (see quit-claim
deed ordered recorded herewith -quit claiming interest
66855.01
in Washington County real estate to David McMillen Campsey
hereinabove) per election filed, 66855.01
I
No balance
NOTE: INCLUDED in the above residue for distribution are the foll,wing assets
held in kind and distributed as such at the appraised value value as hown) and in
the proportionate shares as set in the above residue share~: .
160 shares Allegheny Power common
60 shares American Brands common
100 shares Armco Steel common
360 shares Armstrong Cork common
60 shares General Motors Corp. common
320 shares H. J. Heinz Co. common
200 shares Hershey Foods common
1330 shares Lone Star Gas common
160 shares G. C.Murphy Co. common
160 J. C. Penney common
420 shares Pennzoil United common
940 shares PPG Industries (Pittsburgh Plate Glass) cap
200 shares Rex Chainbelt Inc. cap
260 shares H. H. Robertson common
3340.00
2778.75
2081.25
13725.00
5122.50
12880.00
5800.00
33582.50
556 O.OCil
11270.00
14726.25
33957.50
6825.00
6337.50
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100 shares Rockwell Mfg. Co. common
84 shares Tenn. Gas Trans. (Tenneco) common
240 shares Washington Steel Corp. common
20 shares George Washington Hotel Corp. common
4 1M N. Strabane Twp. Mun. Auth. 5% bonds
5 1M N . .Strabane Twp. Mun. Auth. 4 3/4% bonds
3 1M Greenville Jt. Sch. Auth. 3 1/2% bonds
1 5M Fox Chapel Area Sch. Auth. 4.10% bonds
5 1M Beaver Falls Muu. Auth. 2 1/2% bonds
3 1M O'Hara Twp. 3 3/8% bonds
1 5M Clarion Area Sch. Auth. 5 1/4% bonds
5 1M Braddock Sch. District 3 1/2% bonds
5 1M N. Fayette Co. Mun. Auth. 4. 85% bonds
5 1M Wilkinsburg Boro. 1 3/4% bonds
21M Allegheny Co., Pa., Airport 2 1/8% bonds
5 1M Glassport Boro. 6% Equipment bonds
2 1M Baldwin Twp. Sch. District 4% bonds
2 1M Greensburg City G/0 3% bonds _
1 c5,M Ft. Cherry Jt. Sch. Bldg. Auth. 3 ~ 35% bonds
1 1M Beaver Co. Mun. Auth. 5 5/8% Bridge bonds
1 5M Octorara Area Sch. Auth. 4 1/2% bonds
1 5M Highlands Sch. Auth. 3. 45% bonds
1 5M Patton Mun. Auth. (Cambria County) 5. 50% bonds
1 5M Patton Mun. Auth. 5. 55% bonds
2 1M Beaver Co. Housing Auth. 2% bonds
2 1M O'Hara Twp. Sch. District 1 7 !ffl!o bonds
3 1M Titusville Area Sch. Auth. 2 3/4% bonds
1 5M N. Allegheny Jt. Auth. 4 1/4% bonds
1 5M Farrell Area Sch. Auth. 5 3/8% bonds
11M N.Y. Central R. R. 5% Ref. & Improv. bonds
1 5M Phila. Electric Co. 8.10% bond
1 $1300 face Wean United conv. deb. 5 1/2% 1996
2918.75
2325.75
3735.00
50.00
2872.00
3872.50
2504.10
4931.00
3579.50
2206.50
4021.50
4193.00
3908.50
4237.50
1602.50
5000.00
1462.00
1405.401
4486.00
825.40
4950.00
4494.00
4471.00
4463.00
1382.80
1859.80
2377.80
3502.50
4053.00
140.00
5021.25
702.00
REAL ESTATE TO BE CERTIFIED TO THE RECORDER 0 WASH GTON
COUNTY BY THE CLERK OF THE ORPHANS' COURT
Susan J. Campsey, ajkja Susan J eanetta Campsey, ajkja us an Ca psey, devisor,
I
to David McMillen Campsey, devisee of an undivided 1/4 i1terest; t Mary E.
Campsey, devisee of an undivided 1/4 interest and grantor of same t David
McMillen Campsey, aforesaid by quit claim deed filed her with and rdered
recorded; to Margaret C. Eisenhart, devisee of an undivi ed 1/4 in erest and
grantor of same to David McMillen Campsey aforesaid by uit claim deed filed
herewith and ordered recorded; to Lois Adeline C. Stauff , devise of an undivided
1/4 interest and grantor of same to David McMillen Campsey, afore aid by quit claim
deed filed herewith and ordered recorded; subject real es ate being n and to all the
right, title and interest of the devisor in parcels of real estate desc ibed as follows:
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ALL that certain tract of land situate in Do neg 1 Towns ·p,
Washington County, Pennsylvania, bounded and described
BEGINNING at a white oak, thence by land no
Mehaffey's heirs north 02 degrees east 115.4 rods to a bla k oak stu p; thence
south 87 1/2 degrees east 75.4 rods to a post; thence by 1 nd of D. • Campsey
south 6 1/4 degrees east 132. 6 rods to a post; thence sout 81 1/2
50. 5 rods to a stone; thence by land now or late of T. L. heirs south
WJE"5""1
19 3/4 degrees.1'40 rods to a stone; thence by land now or 1 te of E. • Dennison
north 88 1/4 degrees west 123.2 rods to a post; thence no th 09 de
61.2 rods to a white oak, the place of beginning. Containi
perches, more or less.
BEING the same premises; of which David M. Campsey father of
the testatrix, Susan J. Campsey, died seized, and in and y his will probated
and of record in the office of the Register of Wills of Wash ngton Co
Pennsylvania, in Will Book 32, page 180, devised to the s id Susan • Campsey.
waivers, oil and gas leases, rights of way, easements, an other c rges
appearing in the record chain of title or on the premises.
ALL that certain tract of land situate partly i Donegal ownship
and partly in Claysville Borough, Washington County, Pen sylvania, bounded and
described as follows, to wit:
BEGINNING at a white oak, thence by land of • M. Ca psey north
Miller north 15 3/4 degrees east 21.45 feet to a point; the ce by sa e north
82 1/4 degrees east 1026. 9 feet to a stake; thence by land now or la e of March
B. Toland south 07 1/2 degrees west 447.15 feet to a ston ; thence
or late of Thomas F. Hilton south 21 1/2 degrees east 438 5 feet to stake;
thence by the northerly line of the Adrian Plan of lots reco ded in th Recorder's
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Office of Washington County, Pennsylvania, in Plan Book , page 18 , south
87 degrees 15 minutes west 207 feet more or less to a poi t; thence by same and
along the easterly line of a private alley south 22 3/4 degr es east 9 4. 20 feet to
a point; thence by line of land of Claysville Borough on wh ch the wa er dam is
situated, south 80 degrees 50 minutes 20 seconds west 546 19 feet t a point; and
thence north 29 1/4 degrees west 1030.17 feet to a white o k, the pl ce of beginning.
Containing 3L 232 acres, oi· which 17.052 acres are in sai townshi and 14.180
acres are in said Borough.
EXCEPTING AND RESERVING a tract of lan
situate adjoining the northerly line of the said water dam t
as more fully bounded and described in deed of Susan J. C
I oontainin~ • 668 acre
act of sai~ borough,
mpsey, u~married, to
said borough, dated June 29, 1927, and. recorded in said R corder's !office in
Deed.Book 546, page 330.
UNDER AND SUBJECT to a right of way for a electric power line
of the West Penn Power Company as described and convey d in instr ment
recorded in said Recorder's Office in Deed Book 458, pag 113; a r ght of way for
a water line of said borough as described and conveyed in ·nstrumen recorded in
said Recorder's Office in Beed Book 891, page 127; and a s,
reservations, leases, rights of way, easements, or other harges a pearing in
the record chain of title or on the premises.
TOGETHER with a right of way over and upo1 the said
extending southerly over adjoining and other lands to a tertinus in
in said borough, as appearing of record or otherwise. j
rivate alley
orth Alley
certified to Recorder: Nov. 16, 197 •
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REAL ESTATE TO BE CERTIFIED TO THE RECORDER F ARMST ONG COUNTY,
PENNSYLVANIA, BY THE CLERK OF THE ORPHA S' COUR DNISION
Susan J. Campsey, a/k/a Susan Jeanetta Campsey, a/k/a usan Ca psey, devisor,
to David McMillen Campsey, devisee of an undivided 1/4 i terest; t Mary E.
Campsey, devisee of an undivided 1/4 interest; to Mar gar t C. Eis nhart,
devisee of an undivided 1/4 interest; to Lois Adeline C. S auffer, d visee of an
undivided 1/4 interest; each undivided 1/4 interest being i and to a 1 the right,
title and undivided 1/6 interest of the devisor in and to par el of rea estate
described as follows:
An undivided one-sixth interest in an unimpro ed tract f land
Pennsylvania, adjoining lands of Hepler, Templeton, Cra ord, Mateer, and
Flick.
Being part of the interest devised to the said us an J. ampsey
by the said will of her father, David M. Campsey, also kn wn as D. M. Campsey,
probated and of record in the office of the Register of Will of Washington County,
Pennsylvania, in Will Book 32, page 100; the said D. M. ampsey
County, Pennsylvania, in Deed Book 98, page 100.
MAILED TO ARMSTRONG COUNTY(KITTANN NG) FOR
NOVEMBER 16. 1972
ORDING:
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(Susan J. Campsey,,#63-71-576)
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DESCRIPTION OF REAL ESTATE.
1 .•
All that certain tract of land situate in Donegal
Township, Washington County, Pennsylvania, bounded and
described as follows, to wit:
Beginning at a white oak, thence by land now or
late of Robert Mehaffey's heirs north 02 degrees east 115.4
rods to a black oak stump; thence south 87~ degrees east
75.4 rods to a post; thence by land of D • .1'1. Campsey south
6i degrees east 132.6 rods to a post; thence south 81~ degrees
east 50.5 rods to a stone; thence by land now or late of T. L.
Anderson's heirs south 19 3/4 degrees 40 rods to a stone;
thence by land now or late of E. H. Dennison north 88i degrees
west 123.2 rods to a post; and thence north 09 degrees west 61.2
rods to a white oak, the place of beginning. Containing 101
acres, 122 perches, more or less.
Being the same premises, of which David M. Campsey,
father of the testatrix, Susan J. Campsey, died seized, and
in and by his will, probated and of record in the office of
the Register of Wills of Washington County, Pennsylvania, in
Will Book 32, page 180, devised to the said Susan J. Campsey.
Under and subject to the exceptions, reservations,
conditions, waivers, oil and gas leases, rights of way, easements,
and other charges appearing in the record chain of title or on
the premises.
2.
All that certain tract of land situate partly in
Donegal Township and partly in Claysville Borough, Washington
County, Pennsylvania, bounded.and described as follows, to wit:
Beginning at a white oak, thence by land of D. M.
Campsey nortl). 11~ degrees west 778.8 feet to a stone; thence
by land now or late of E. L. Miller north 15 3/4 degrees east
I • • j, . . .
21.45 feet to a point; thence by same north 82! degrees east
1026.9 feet to a stake; thence by land now or late of March
B. Toland south 07~ degrees west 447.15 feet to a stone;
thence by land now or late of Thomas F. Hilton south 21!
degrees east 438.5 feet to a stake; thence by the northerly
line of the Adrian Plan of lots recorded in the Recorder's
Office of Washin~ton.County, Pennsylvania, in Plan Book 7,
page 183, south 87 degrees 15 minutes west 207 feet more or
less to a point; thence by same and along the easterly line
of a private alley south 22 3/4 degrees east 914.20 feet to
a point; thence by line of land of Claysville Borough on
which the water dam is situated, south 80 degrees SO minutes
20 seconds·west 546.19 feet to a point; and thence north 29!
degrees west 1030.17 feet to a white oak, the place'of beginning.
Containing 31.232 acres, of which 17.052 acres are in said
township and 14.180 acres are in said borough.
Excepting and reserving a tract of land containing
.668 acre situate adjoining the northerly line of the said
water dam tract of said borough, as more fully bounded and
described in deed of Susan J. Campsey, unmarried, to said
borough, dated June 29, 1927, and recorded in said Recorder's
Office in Deed Book 546, page 330.
Under and subject to a right of way for an electric
power line of the West Penn Power Company as described and
conveyed in instrument recorded in said Recorder's Office in
Deed Book 458, page 113; a right of way for a water line of
said borough as described and conveyed in instrument recorded
in said Recorder's Office in Deed Book 891, page 127; and any
exceptions, reservations, leases, rights of way, easements, or
other charges appearing in the record chain of title or on the
premises.
Together with a right of way over and upon the
said private alley extending southerly over adjoining and other
. ' .
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lands to a terminus in North Alley in said borough, as appearing
of record or otherwise.
~'
NOTE: The foregoing described two tracts, Nos. 1 and
2 as set out in summary in the inventory and appraisement, are
to be awarded in their entirety to David McMillen Campsey, one
of the distributees, as part of his distributive share, at the
inventory values of $8,000.00 and $780.00, respectively, or a
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J the agreement of the distributees ;1
audit petition papers. ~~
total of $8,780.00, by reason of
attached to and made part of the
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~' 3.
An undivided one-sixth interest in an unimproved
-·.
tract of land containing 240 acres, situamin Sugar Creek ·
Creek Township, Armstrong County, Pennsylvania, adjoining -
lands of Hepler, Templeton, Crawford, Mateer, and Flick.
Being part of the interest devised to the said
Susan J. Campsey by the said will of her father,·David M.
Campsey, also known as D. M. Campsey, probated and of record
,4r/
in the office of the Register of Wills of Washington County,
Pennsylvania, in Will Book 32, page 100; the said D. M. Campsey
having acquired an undivided one-half interest therein by deed
of T. F. Birch, single, dated October S, 1894, and recorded in
the office of the Recorder of Deeds of Armstrong County, Penn-
sylvania, in Deed Book 98, page 100.
,./""
NOTE: The foregoing interest in land is to
to the four distributees as tenants in common.
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IN THE Cm!JMON PLEAS, O.C.DIV.
No. 63-71-576.
f ,,
Estate of'
l~ '• SUSAN J. CAMPSEY,
Deceased
~) PAY TRANSCEIPT.
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THOMAS L. ANDERSON
ATTORNEY AT LAW
1026 WASHINGTON TRUST BUILDING
WASHINGTON, PENNA. 15301
<----l I
L I ------------~-------------------------
..
IN THE c·OURT OF COHMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA,
ORPHANS COURT DIVISION,
Estate of
SUSAN J. CAl\{PSEY, No. 63-71-576.
Deceased
RECEIPTS.
We, the undersigned, hereby acknowledge to have received
from Donald McLain Campsey, executor of the will of the above named
Susan J. Campsey, deceased, the moneys awarded to us by the final
decree and schedule of distribution of the above named Orphans
Court Division, dated November 9, 1972, and filed to the above
number, on the dates and in the sums set out below opposite our
signatures, to wit:
Nov. J.kL_, 1972. ~$1,370.67,
b::tlance, '-..../) _" ~"" .
traqsfer tax 7~ 7/~~ ~ ---'----;=;R:-u_s_s_e-:;1-:;l---;-M-;;-a-r"'""'i.-n-o-, -A'g_e_n--.'t --&'----
Nov. _f£_, 1972. ~~ 176.00 court
costs
Nov • .L£.__, 1972. $ 12.50 re-
cording real
estate
Nov. __i.L,l972.
Nov._Lf_, 1972.
Nov.j_£_, 1972.
Nov.JiL, 1972.
$
$ 131.70 tax
stamps on
QC deeds
~$3,000.00 legacy
$5,000.00 re-
award
~£ ~cV~~ a_f,_ 0-(!,
Russell Marino, Clerk, 0. c. Div.
a~k~rt~r:~ ~--" [2<~_._,<!--e.,~
by o/ 921::
Olga o. Woodward, Agent
by ___ ~~7?r~--· -------------
~(2n.?~ ~j-~~--'.&#.-
Donald McLain Cam~
'.-' .. L • fill ••
IN THE COURT OF COMMON PLEAS OF \nJASHINGTON COUNTY, PENNSYLVANIA,
ORPHANS COURT DIVISION,
Estate of
SUSAN J. CAHPSEY,
Deceased
)
)
)
)
)
No. 63-71-576.
RECEIPTS.
And now, December 30, 1972, we, the undersigned
residuary legatees under the will of the above named testatrix,
Susan J. Campsey, hereby each acYillowledge to have received from
Donald McLain Campsey, executor of the will of said testatrix,
in cash and in kind, the one-fourth of the residue of the estate
of said testatrix, to wit, in the sum of $66,855.01 ($66,855.00),
in full of the severalawards made to us per decree of said Orphans
Court Division, dated November 9, 1972, and filed to the above
number.
WI'l'NESSES:
;~~-~
~-~-~
~~-l'k.C?~
~··~·<4-.i.~<
'2?~,.,4£/ C. ~ .. ~ Maiaret C. Eisenhart.
L~t-~ Lois Adeline C.~
. I
•
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA,
ORPHANS COURT DIVISION,
Estate of
SUSAN J. CAMPSEY,
Deceased
And now,
undersigned,
)
)
)
)
)
RECEIPTS
No. 63-71-576.
AND RELEASES.
/
10 , 1974, --~~----+--------we, the
o have received from Donald
McLain Campsey, executor of the will of the above named
Susan J. Campsey, deceased, each the sum of $ I, '/,/::of{){)
in full of the share of us and each of us in the sum of
$5,000.00 re-awarded to said executor by the decree of the
Court dated November 9, 1972, and other sums of the estate in
'
his hands, less proper deductions, of which we acknowledged to
have received a proper statement, and release the said Donald
McLain Campsey, his heirs, executors, administrators, and assigns
from all claims on account of his administration of said estate
and moneys received or expended thereino
-.,__ , ..
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA,
ORPHANS COURT DIVISION,
Estate of
SUSAN J. CAMPSEY,
)
)
)
)
)
No. 63-71-576.
Deceased
AGREEMENT TO TAKE IN KIND AND QUITCLAIM.
KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned
HARY E. CAMPSEY, of Pittsburgh, Pennsylvania, being a legatee and
devisee under the will, and a party entitled to share in the distri-
bution of the estate, of the above named Susan J. Campsey, deceased,
intending hereby to be legally bound, hereby consent and agree, to
accept and take in kind as part or all of my distributive share in
said estate, and for the above named Orphans Court Division to award
to me as such, any unliquidated stocks, bonds, or other personal
property of the said estate, or ahy real property not herein pro-
vided for, equalized if necessary by cash, all according to a division
and distribution to be made in his discretion by the executor and
accountant, Donald McLain Campsey, to arrive at the pro rata award
to be made by the court, at inventory values.
And FURTHER, I, intending hereby to be legally bound,
hereby release and quitclaim unto David McMillen Campse~, of Donegal
Township, Washington County, Pennsylvania, also such distributee, his
heirs and assigns, and authorize the said Orphans Court Division to
award to him, the said David McMillen Campsey, on account of his
distributive share in said estate, at the inventory values, all my
right, title, and interest, of, in, and to, all those two certain
tracts of land of said estate, set out as Nos. 1 and 2 in the inventory
of the estate, described in summary as tract of 101 acres, 122 perches,
of land, in Donegal Township, Washington County, Pennsylvania, and as
tract of approximately 29 acres of land, partly in Donegal Township
and partly in Claysville Borough, Washington County, Pennsylvania,
as in the wills and deeds and extended descriptions to be furnished
to the said Orphans Court Division by the executor more fully set
-1-
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out, and by reference incorporated herein.
I certify that I am unmarried.
IN WITNESS WHEREOF, I have hereunto set my hand
and seal the day and year first above written.
Commonwealth of Pennsylvania, ss., County of Allegheny:
On this, the _______ //_._~ _____________ day of September,
1972, before me, the undersigned officer, personally appeared
Mary E. Campsey, unmarried, satisfactorily proven to be the person
whose name is subscribed to the foregoing instrment, and acknow-
ledged that she executed the same for the pruposes therein con-
tained.
IN wn~NESS WHEREOF, I hereunto set my hand and
official seal.
'
~c/. (7:
Notary Publi~
Address
My commission expires
-2-
I'IITS8U:lGH .• ~LLEGHlNY COUNTY
I',JY COMMISSiON EXPIRES MAY 3, 1975
Member, Pcnns;'ivan!a Assoctation of Notaries
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10697
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PE}lliSYLVANIA,
ORPHANS COURT DIVISION,
Estate of
SUSAN J. CAMPSEY,
Deceased
)
)
)
)
)
No. 63-71-.576.
AGREEr1ENT TO TAKE IN KIND AND Q,UITCLAIM.
KNOW ALL MEN BY THESE PRESENTS, that I, the undersigned
LOIS ADELINE C. STAUFFER, of Lakewood, Ohio, being a legatee and
devisee under the will, and a party entitled to share in the
distribution of the estate, of the above named Susan J. Campsey,
deceased, intending hereby to be legally bound, hereby consent
and agree, to accept and take in kind as part or all of my
distributive share in said estate, and for the above named Orphans
Court Division to award to me as such, any unliquidated stocks,
bonds, or other personal property of the said estate, or any real
estate not herein provided for, equalized if necessary by cash,
all according to a division and distribution to be made in his
discretion by the executor and accountant, Donald McLain Campsey,
to arrive at the pro rata award to be made by the court, at
inventory values.
And FURTHER, we, the undersigned, the said LOIS
ADELINE C. STAUFFER and THOMAS GEORGE STAUFFER, her
husband, of Lakewood, Ohio, intending hereby to be legally bound,
hereby release and quitclaim unto DAVID McMILLEN CAMPSEY, of
Donegal Township, Washington County, Pennsylvania, also such a
distributee, his heirs and assigns, and authorize the said Orphans
Court Division to award to him, the said David McMillen Campsey,
on account of his distributive share in said estate, at the inventory
values, all our right, title, and interest, of, in, and to, all those
two certain tracts of land of said estate, set out as Nos. 1 and 2
in the inventory of the estate, described in summary as tract of
101 acres, 122 perches, of land, in Donegal Township, Washington
County, Pennsylvania, and as tract of approximately 29 acres of
-1-
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land, partly in Donegal Township and partly in Claysville
Borough, Washington County, Pennsylvania, respectively, as
in the wills and deeds and extended descriptions to be
furnished to the said Orphans Court Division by the executor,
more fully set out, and by reference incorporated herein.
IN WITNESS WHEREOF, we have hereunto set our hands
and seals the day and year first above written.
Signed, sealed, and delivered
in the presence of:
-------___:sb~· ~dlL~;:::·~c ,~~~(SEAL)
State of Ohio, ss., County of C~yahoga
On this, the 5th ------~-----------
• .
day of September,
r-1972, before me, the undersigned officer, personally appeared
Lois Adeline C. Stauffer and Thomas George Stauffer, her
husband, satisfactorily proven to be the persons whose names
are subscribed to the foregoing instrment, and acknowledged
that they executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and
official seal.
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COffifTY, PENNSYLVANIA,
ORPHANS COURT DIVISION,
Estate of
SUSAN J. CAMPSEY,
)
)
)
)
)
No. 63-71-576.
Deceased
AGREEMENT AND QUITCLAIM.
KNO\rl ALL MEN BY THESE PRESENTS, that I, the under-
signed MARGARET C. EISENHART, of York, Pennsylvania, being a
legatee and devisee under the will, and a party entitled to share
in the distribution of the estate, of the above named Susan J.
Campsey, deceased, intending hereby to be legally bound, hereby
consent and agree, to accept and take in kind as part or all of
my distributive share in said estate, and for the above named
Orphans Court Division to award to me as such, any unliquidated
stocks, bonds, or other personal property of the said estate,
or any real estate thereof not herein provided for, equalized if
necessary by cash, all according to a division and distribution
to be made in his discretion by the executor and accountant, Donald
McLain Campsey, to arrive at the pro rata award to be made by the
court, at inventory values.
And FURTHER, we, the undersigned, the said r~RGARET
C. EISENHART and ;;s ~ ~-EISENHART, her husband,
of York Pennsylvania, intending hereby to be legally bound, hereby
release and quitclaim unto DAVID McMILLEN CAMPSEY, of Donegal Town-
ship, Washington County, Pennsylvania, his heirs and assigns, and
authorize the said Orphans Court Division to award to him, the said
David McMillen Campsey, on account of his distributive share in said
estate, at the inventory values, all our right, title and interest,
of, in, and to, all those two certain tracts of land of said estate,
set out as Nos. 1 and 2, in the inventory of the estate, described
in summary as tract of 101 acres, 122 perches, of land , in Donegal
Township, Washington County, Pennsylvania, and as tract of approxi-
-1-
J
mately 29 acres of land, partly in Donegal Township and partly
in Claysville Borough, Washington County, Pennsylvania,
respectively, as in the wills and deeds and in extended descrip-
tions to be furnished to the said Orphans Court Division by the
executor, more fully set out and by reference incorporated herein.
IN WITNESS ,,,JHEREOF, we have hereunto set out hands and
seals the day and year first above written.
ned, sealed, and delivered
the pres nee of:
~~~~~~~~~-------~~-~~ (SEAL)
Commonwealth of Pennsylvania, ss., County of York:
On this, the II~ of September, 1972,
before me, the undersigned officer, personally appeared Margaret
C. Eisenhart, and ~ b .? ... > Eisenhart, her husband,
satisfactorily proven to be the persons whose names are subscribed
to the foregoing instrument, and acknowledged that they executed
the same for the purposes therein contained.
In Witness Whereof, I hereunto set my hand and official
seal.
PA .
Address Yorl, Yon Co .. Pc. 1
My CoMml~ ~-M!bnK>ry 21, 197~
My commission expires
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PRESENT RECEIP; WHEN LIFTING INST;RU\EN,T
Washington, Pa.,./,./.-;:::L4..~; .. 2 .... ~ ........... 19 ........... .
Registration Fee .... $ ................... .
~ Recorder of Deeds
----------------------.
N~ 16643 Washington, Pa.
OFFICB OF
CLERK OF ORPHANS' COURT DIVISION
County
State, etc. -• • ·========
Per ___ __;~==--~~----Total ------$ /JT &",.57)
NO. 63-7~-576
··~ ' '·-..
• I .. Kittanning, Pa. 16201 ___ N_o_v_em_.:b_c_·r_20....:,;___ __ 19_72
~ County of Washington ----~--~-----=Ru_s_s~e~l,l-nM~ar=~~·n~.o~,--c'Tie~r~·k~o~f'-o~.~c~t~.-nivision
ltia sbi ngt.on, Penna. 15301
IN ACCOUNT WITH
HENRY L. LIVENGOOD
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REGISTER and RECORDER
CLERK OF ORPHAN'S COURT
Adjudication & Decree and Schedule of Disttibution
in the Estate of Susan J. Campsey
NO. 63-71-576
PAIB: N6'l. 22, lQ72 Cl'erk O.C.Check ·#145 $o.oo
Note: Elea ::ze X:!eceipt and "~"'~='+1l'rn f'r."Y" r.n"Y" "~"'~"'.
Russell Marino~lerk O.C.Div'n ..
All Fees are Payable in Advance. Remit Promptly.
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RUSSELL MARINO
REGISTER OF WILLS AND EX-OFFICIO
CLERK OF THE ORPHANS" COURT
DEPUTIES
GUY A. ROGERS
MARGARET GLASER
lhts4iugtnu. lbuusyl ttauta
~a
Recorder of Deeds,
Court House, Armstrong County,'
Kittanning, Pennsylvania.
j
November 16, 1972
IN RE: ESTATE OF SUSAN J. CAMPSEY,aka,etc.,Dec 1 de
NO. 63-71-576 WASHINGTON COUNTY, PENNA.
Dear Sir:-L
Enclosed, herewith, please find Certification of Real Estate
to Recorder of Armstrong County, Pennsylvania, by the Clerk
of the Orphansm Court of Washington County, Pennsylvania, in
the above estate far recording, per Adjudication and Decree
and Schedule of Distribution, dated November 9, 1972, Thomas
D. Gladden, J., Specially Presiding.
Upon receipt of adviGe from you as to your recording fee for
this instrument,, check will be forwarded by return mail.
rm/fkh
Encl.
vez;_t:~:zr~ ~~-·,
Russell Marino ~;(ov
Clerk O.C.Div'n
···......._
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ORIGINAL
REGIS=fER
&
RECORDER
COUNTY OF ARMSTRONG . ~::~2e92_~
Rece1ved o~~ _ ~...p
I MONEY ORDER kt /c~·-1 CASH I
AS PER ITEMIZED STATEMENT BELOW:
No.
0 ASHE PRINTING CO., FORD CITY, PA. 16226
'\
Kittanning, Pa. 16201 ___ N_o_v:_.e_m_b_e_r_2_0~, ___ 19~ ·
~ County of Washington ---~-~~----~R-u~s~se~I~r~Mr-a~r~i~n~o-,~cr~e~r~k~o~I~o-.-Actr-.~nivision
JnTashi ng+.on, Penna. 15301
IN ACCOUNT WITH
HENRY L. LIV·ENGOO.D
REGISTER d RECORDER an
CLERK OF ORPHAN'S COURT
Fee for: 1 Adjudication & Decree and Schedule of Disttibution $ 6 00
in the Estate of Susan J. Campsey --
NO. 63-71-576
·---------r---
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-Russell Marino, Clerk o_ •. C. Di y.i:-n
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Alt.MS'TI ;Q~G CO., ?A.
NOV • ·4 1 t7!
HOUR ········· ... _,._
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All Fees are Payable in Advance. Remit Promptly. t't.NG;;·; ·, ~r; . .t:.;.nftr ------~---·· ~
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OOffitt nf itgisttr nf llills
RUSSELL MARINO DEPUTIES
REGISTER OF WILLS AND EX-OFFICIO
CLERK OF THE ORPHANS' COURT GUY A. ROGERS
MARGARET GLASER
lht.a~tugtnu. Jtuu.ayl ua:uta: ._.,a
Recorder of Deeds,
Court House, Armstrong County,
Kittanning, Pennsylvania.
November 16, 1972
IN RE: ESTATE OF SUSAN J. CAMPSEY,aka,etc.,Dec'd.
NO. 63-71-576 --WASHINGTON COUNTY, PENNA.
Dear Sir:-
Enclosed, herewith, please find Certification of Real Estate
to Recorder of Armstrong County, Pennsylvania, by the Clerk
of the Orphansm Court of Washington County, Pennsylvania, in
the above estate for recording, per Adjudication and Decree
and Schedule of Distribution, dated November 9, 1972, Thomas
D. Gladden, J., Specially Presiding.
Upon receipt of advise from you as to your recording fee for
this instrument, check will be forwarded by return mail.
rm/fkh
Encl.
Ve71ruly yo~s,
f~tl..) A .r£--·~4-~~
Russell Marino ~;r'ov
Clerk O.C.Div'n
......
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IN 'rHE COUR'r OF COMMON PLEAS OF \·lASHINGTON COUNTY, PENNSYLVANIA,
OR?HANS COUH'r DIVISION,
Estate of
SUSAN J. CAMPSEY,
Deceased
And now,
)
)
)
)
)
No. 63-71-576.
RECEIPTS AND RELEASES.
,/"·· 1.~ ' 1974, --~-r----~--------we, the
undersigned, hereby acknow o have received from Donald
McLain Campsey, executor of the will of the above named
Susan J. Campsey, deceased, each the sum of $ I) 2/ Yo, o()
in full of the share of us and each of us in the sum of
$5,000.00 re-awarded to said executor by the decree of the
Court dated November 9, 1972, and other sums of the estate in
'
his hands, less proper deductions, of which we acknowledged to
have received a proper statement, and release the sa.id Donald
McLain Campsey, his heiPs, executors, administrators, and assigns
r
from all claims on account of his administration of said estate
and moneys received or expended thereine
J
[N TI-LL~ COURT O.F' CC.il·10N PLEAS OF' \n!ASI-IINGTON COUNTY, PENNSYLVANIA,
O~PHANS COUHT DIVISION,
Estate of
SUSAN J. CAHPSEY,
Deceased
)
)
)
)
)
R r<~CEIP'l1S.
No. 63-71-576.
And now, December 30, 1972, we, the undersigned
residuary legatees under the will of the above named testatrix,
Susan J. Campsey, hereby each ackn01.Jledge to have received from
Donald McLain Campsey, executor of the will of said testatrix,
in cash and in kind, the one-fourth of the residue of the estate
of said testatrix, to wit, in the sum of $66,855.01 ($66,855.00),
in full of the several~dards made to us per decree of said Orphans
Court Division, dated November 9, 1972, and filed to the above
number.
':JTI'NESSES:
.. ku.-<>-0--CJ-~ . ~~cs "
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IN ~rHF. COURT OF COHMOl~-PLEAS OF \rJASHINGTON C OUWrY, PENNSYLVANIA,
ORPHANS COill~T DIVISION,
Estate of
SUSAN J. CM1PSEY,
Deceased
)
)
)
)
)
RECEIPTS.
N(). 63-71-)76.
We, the undersigned, hereby acknowledge to have received
from Donald T1cLain Campsey, executor of the 1t-Jill of tho above named
Susan J. Campsey, deceased, the moneys aVJarded to us by the final
decree and schedule of distribution of the above named Orphans
Court Division, dated November 9, 1972, and filed to the above
number, on the dates and in the sums set out beloVJ opposite our
signatures, to wit:
Nov • ./ftL_, 1972. :~1, 370.67,
bRlance,
trar;sfer tax
Nov. _&__, 1972. ;'~ 176.00 court
costs
Nov. _LL, 1972. $ 12.50 re-
cording real
estate
Nov. _LL, 1972. ~~
Nov.~, 1972. $ 131o70 tax
stamps on
QC deeds
N I~ .. ov. __ , 1972.
Nov.J..6_, 197~.
flo ~3,000.00 legacy
~~5, 000.00 re-
m-.rard
He corder / f Deeds, A.r.tlis trong ifounty,
,.
Form RCC-33
#63-71-576
COMMONWEALTH OF PENNSYL VAN lA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
RESIDENT DECEDENT COUNTY-OF WASHINGTON ............................................................
IMPORTANT: This return must be completed in detail and f'iled in duplicate, witbw11.1 attached, with the
Register of' Wills of' the County ~here decedent resided; Return i,s due within one year after
date of death, unless an ex tens ion is granted by the-Secretary .of' Revenue. (Section 703 of'
the Inheritance and Estate Tax Act of 19_61.)
-=-~~~~~~~~~I~: 0~-----}::=:::_
Late of ........................... .W.a..~h.in..gt.QP. .. ....... . ........................... County '
County of
....... P~.g~-~Y!.Y.~.Ji.!..~ ...... ~ ................ : ..... _. ... } ss:.
. ...... W~:i..~ .. hln.g,t._9.P. .................... , .... : ........... , .... .
State of .....
.................................. P..9.A~:i...l9.. ...•. M9..1~.ln .... .O.~mP.~-~y, ______ . .. ........ Eucutor
of the ·estate of the above-mimed decedent being duly sworn, dell•ose S and sayS
Decedent dled ........... , 19.7.! ......... .J testate ieaving a last_will, copy of which is hereto attached._ }.
(Day) (~ear) l~.
Ma_y_ 14 ..
(Month)
Name and address of attorney or}
other authorized representative to ··
whom all correspondence should be
mailed.
Thoma~ :IJ! AI.lci~~~<?.~,.. ....................... .......... _ .... ..
1026 Waf!l:JJJ:lg~()J:l T:r>l.ts~: ~~cis .. ,..1t{~~l?:~~S.~<?.~~ Pa ..... ~.?..JOl
That as such .......... ~.~~-~-~t.9..r. ............. deponent is familiar with the affairs of said estate and the property con-
<Kxer.utor-AcJministrator)
stituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's . individual name, or jointly
with, or as agent or deputy of another, or in decedent's individual name, with right of access by another as agent
or deputy, with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
Mellon Nat. Bank & Trust Co.
C1a svi1le Penn'a. 1 323
'THIS SAFE. DEPOSIT BOX RENTED
IN NAME OR NAMES OF
us an J. Campse or
D. M. Campsey
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
brot er aCting
as a>gent; this
executor
That the contents of' said .saf'e deposit box or boxes are itemized ~der Schedules
return, with the exception of' the f'ollowing, f'or the r~asons ~ereinaf'ter set f'orth:
B . of' this
no except ions,
That Sc.hedu/e A attached hereto and made part hereof sets f'orth fully and in detail ap 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 -o.f real property at th~ date of death, giving
the 8J11ount Still due at death,· name of mortgagee, date, rate of'. interest, and book and page of record
thereof'. It also sets f'orth in the columns 1provided theref'ore 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 f'orth 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 certif'icates or notes and other evid~nce of in-
debtedness of' the United States to the decedent; all obligatior,s, whether by statute or agreement they
' ' are designated as tax f'ree, of the United States, or any state, or political subdivision thereo~ or of'
any foreign country, .which are owned at the time of death; all wearing apparel, jewelry, silverware, pic-
tures, books, works of' art' household furniture, horses, carriages, automobiles, boats, • ~nd. any and all
other personal chattels of whatsoever kind or nature, left by decedent, together with the fatrly estimated
market value thereof; all bonds and mortgaees held by decedent and of' all claims due and "owing decedent
<t t 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 int~rest thereon, if' any, giving the f'ace
value and estimated f'air market value thereof, -and if.such estimated f'air 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 f'rom 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
dt~e 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 U1ereof at such time.
' '
In the case of securities of close or family corporations, the values reported are as far as
possible substantiated by financial statements of the corporations, showing the assets and liabilities
thereof as of the date of death. The schedule also sets forth the interest of decedent at' the time of
death in any co-partnership· or business, and in support' of the value of such interest·. the~~-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 yea,rs 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 COJ:lY
of the deed, trust agreement or other instrument creating the trust. Ther•~ is also set forth in said
schedule a list of all. property~ real and personal, with its value, which passes at decedent's death by
virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint-
ment vested in decedent, either individually. or jointly, by. the will, deed, or other instrument of another,
with a copy of th~ instrument 9r:_eating such power attached to the schedule.
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death, the nature of their res-
pective interests, their relationship, if any, to the decedent, together with the ages at the time of
decedent's death of all minors, annuitants and beneficiaries for life under. decedent's Will. It also
contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior
to decedent, the dates of their death, their issue, and the relationship 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 relatio~ship, if any,
of· co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detaii 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 tmpaid at time of
death; taxes accrued chargeable for period prior to decedent's death (except those allowed under Section
65i 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 imd properly registered in the Summary.
Subscribed and sworn to before me .this ............................... ..
................ , .... i!: . .,2,. ... ~ .......... day of ........... May. ............................... 19 .. 72 ..... .
--rt~:::::ov::,,~~;:~r--············· --
IYlY. _Commission Expires March s; 1976
~2/±~Htrr-
............ ?.4.± ..... J?..~!:.Q.P.: ..... $.~r..~.~.tL .............................. ~ ............. .
(Street Number)
... 9 .. ~.f:l.Y..~.Y.~.~.~-~.:! ...... ~.f:l .. ~ ...... ~2.}?.} ............................. .
(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 ~r 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
DEPARTMENT 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 of Pennsylvania should be
described by lot and block number, street and street number, together wl th
a general description of the property, with a reference to the record of the
conveyance by which the decedent took title; If a farm state number of a-
cres; also statement of mortgage encumbrances upon eoch 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.
Washington County
1. Tract.of 101 A., 122 P., land, Donegal
Twp., adj. land now or late·of McDonaw,
Jamison, Myers, and Campsey, improved
with 1-story frame house and barn. See
will of father, D. M. Campsey, 1919~ w. B. 32, Pe 180, ·and deeds in D. B.
311, P• 622~ D. B. 313, p.·418, D. B.
315, P• ~07, and D. B. 352, P• 93
2. Tract of approx. 29 A., land, part:J..y. · in·
Donegal Twp. and Claysville Boro., adj
land of Claysville Borough. See will
of father, D. M. Campsey, and deed~~ in
D. B. 171, P• 243
Armstrong County
3. Undivided one-sixth interest in unim-
proved tract of land containing 240 A.
ln Sugar Creek Twp.; about 14 miles
north of Kittanning, adj.·lands now·or
late of Hepler, Templeton, Crawford;
Mateer, and Flick. See deed in D. B.
98, p. 100, and wil1'in Washington
County records, W. B. 32, p. 180
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
Insert this total opposite "real property", Schedule "A" in the X X X X X
"As Reported" column on the last page of this return.
(2) (3}
DEPARTMENT
VALUATION
ESTIMATED CAUTION
MARKET VALUE (Do not write
In this space)
7,000.00
(JO <) Otro -
au
780.00 7 g ()
1,000.00
8,780.00
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. Savi~gs· 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. go jewelry, wearing app.arel, household
goods, and fUrnishings, books, paintings, automobiles, boats, etc.)
Intangible personal property, such as bonds, treasury certificates, cash on. :hand. and in bank,
stocks, mortgages, notes, together with accrued interest or dividends, salaries or wages, ·insurance pay-
able to the estate or fiduciary in said capacity, partnership interests, interest in_any~distributed
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
to 144
ITEM
List and describe fUlly
UNIT
VALUE
Stocks,·bonds, and cash, per next followilg
pages, pages lA to 8A
Claim on notes and open account against
estate of Jessie B. McCleery,·deceased,
said to be insolvent, face $1,625.24,
on which a ring is pledged appraised at
ESTIMATED
MARKEr VALUE
436,784.62
100.00
Insert this total opposite "Personal Property", Schedule "B" in
the "As Reported" column on the last page of this return.
X X 436,884.62
DEPARTMENT VALUATION
(Do not write in
this space)
' '
...•.
·. ".i(
.. tllr. • ''
------~~-____ . ___ __:· _____ , ·. __ ~..:._. ~ .... _:_ ___ ..:.........~ ... -.:. ____ ....... .:....-· ....... ~..:._~_ ...... _ .. -____ ,...,._,. ___ , _______ ·.;._ __ ._
,
item
1 187 shs •• Allegheny P0 wer com
2 60 sbs., American Brands com
3 Dividend on item 2 to record
$/10/71 . .
. -:
39 shs., American Standard 4" 3/4% pfd
. ···:..:.-· ..
S 126 .. shs., ASG Industries com -:. '
@ 20.875
@ 46.3125
@ 84.25
@ 6.1875
6 $4;. shs., ASG Industries cumpfd @ 10.0
. -,~. ' .. ·'' '. . ~~-. .
7 120 shs., Amstar 68¢ cum conv ptd A @ 9.6875
@ 27.75
@ 20.8125
@ 38.125
@ 53.50
@27.3125
@? o.oo
@ 44.125
@ 78.3125
@ 75.00
@ 29.625
®, 35.6875
@ 18.375
@ 27.875
@ 34~125
-~ " ..
3,903.63
2,778.75
33.00
. ~ . ; ' .
3,285.75
779.63
. 540.00
1,162.50
3,330.00
2,414.25
13,725.00
6,473.50
4,479.25
o.oo
3,441.75
9,789.06
750.00
770.25
499.63
1,598.63
278.75
682.50
l . .
. ·,
..•.
. .,.
22 13 shs. Gen. Accept. Corp. $1.00
pfd Bedeemed 6/l/71
23 63 shs. Gen. Motor Corp. com
24 Dividend on item 23 to ~ecord
5/13/71
25 48 shs. Gen. Tel. & El. com
26 20 shs. Gao. Wasbin~ton Hotel com
27 324 shs. H. J. Heinz Co. com
28 225 shs. Hershey Foods com
(He~shey Chocolate Co.)
29 46 shs. Jones t.c Lau,:r.hlin Steel
Covp. com
30 9 shs. Jones & Laughlin Steel
Corp. 5% cum pfd A
31 10 shs. Interna·tiona.l Utilities
Corp. ~~5.00 pfd
32 Dividend on item 31 to racoPd
S/14/71 -
33 140 shs. Joy l-«'g. Co. com
34 20 shs. 'E{aise!' Steel Co.$1-4 .. 6~
.... ·' 35 15 shs. Kaiser Steel Co. com
36 30 shs. I"Cennecott Copper com
37 27 shs. Koppers Co. 4$, pfd
38 300 shs. Kraftco com
39 10 shs. Latrobe Steel Co. com
40 1348 shs. Lone Star Gas com
41 35 shs. Mesta Machine Co. com
42 50 shs. Midwest 011 Corp. com
43 160 shs. G. c. Murphy co. com
I ,.
I I. -
f~ :'20.875
$ll 85.375
fi: :. 32.375
~· 2.50
I I Wl· 40.25
I @:
I 29.00
I
01 '15,8125
I
@ 57.25
I
~I 45.875
@ 54.1875
I
I
@ 19.625
@ 29.50
@ 35.9375
~ 60.50
@ ·43.6875
~ 10.1875
~ 25.25
@ 27·9375
@ 104.375
@ 34.75
-2A-
."· ..
/ I
$ 271.38
5,378.63
53.55
1,554 .• 00
50.00
13,041.00
6,525.00
727.38
515.25
458.75
11.25
7,586e25
392.50
442.50
1,078.13
1,633.50
13,106.25
101.88
34,037.00
977.81
5,218.75
5,560.00
r·
I
J
~
. ..
· ... ·
) ·. ..
. .. '
_; .
; ·.
44 Dividend on item 43 to record 5/6/71
45 30 shs., Nat. Biscuit Co. com
46 304 shs., National Can com
47 Dividend ~n item 46 to record 5/14/71
48 148 shs. North. Nat. Ggs c~m
49 22 shs. Owens I1~inois Glass cam
50 .Dividend on item 49 to recordS/7/71
~1 8 shs • Owens nlinoia Glnss lt5! pfd
$2 180 shs. J. c. Penney com
S3 1!~ sbs. Penn Central Trans. com
54 420 shs. Pe~nzoil United com
55 118 sh:;. Ph11a. I:lectl'ic Co. com
56 946 shs. PPO Ind. cap
57 Dividend on item 56 to record 5/5/71
58 4 Public Service-·El. &. G. com
59 238 shs. Rex Chainbelt Ina. cap
60 Dividend on item 59 to r~cord ~/5/71
6l;. 274 shs. H. H. Hobertson com .-;:.
62 26 shg. Robroy !nd cap
(formerly Pgh. St. Conduit)
63 139 shs. Rockwell Mdg. Co. com
64 30 shs. Sargent Ind. 4~ pfd
65 15 shs. AMPJo.Pittsburgh cep
(formePly Pitts. Scretr & Bolt)
66 10 sho. Southern Co. com
67 Dividend on item 66 to record 5/3/71
68 228 sbs. Stone Container Corp. com
69 94 shs. Tenn. Gas Trans. (Tenneco)
common ·
-3A-
@ 54.3125
@ 30.0625
@ 50.9375
@ 63.375
@ 72.50
@ 70.4.375
@ 5,6875
@ 35.0625
@ 23.125
@ 36.125
@ 28.00
@ 34.125
~ 24.375
@) 8.75
@>-29.1875
@ 27.75
@ 8.8125
@ 23.1.875
@. 10.625
@ 27.6875
$; 48.00
1,629.38
9,139.00
34.20
7,538.75
1,394.25
7e4)
580.00
12,678.75
89.63
14,726.25
2,728.75 .,
"·~
34,174.25
331~10
112.00
8,121.75
89.25
6,678.75
227.50
1!.., 057.06
832.50
1)2.19
231.88
3.15
2,422.50
2,602.63
i ., r··l
.. ..
J
I ·.
. .. '
70 250 shs. Texas Gas •rrans. $1.50 pfd
71 1 sh. Toledo Edison oom
72 96 shs. Transcont. Gas Pip.~ tines
common
•13 102 shs. u. · s. Tr'uck Ltnes cap
74 3 sbs. w •. Penn Power $4.SO ptd
75 258 shs. Wash. Stee1 Corp. com
76 36 shs. Wean United com
77
78
21 shs. Durant Motors
•t :·,-~~,
~--~
4-lM N. Strabane .:Twp.' Mun. Auth.
~~ ::J3"t~ore.ro revenue bonds aeries
A,-·issued 7/1/67 m9tur1ng
7/1/2007 '
.t:
79 Inta~~st on item 78, 1/1/71-5/lh/71
·"\: .
80 5-lM N. Strabane 'l"wp. T-1un. Auth. 4 3/41> sev.rer _r.-evenua bon.ds,
·series· A is sued 7/1/67 rrta tur·ing
7/1/87
81 InterAst on itm:a ~0, 1/1/71-S/11;./71
82
85
86
87
3-lM Greenville Jt. Sch. Autb. 3~
bonrJ$ issued 1/1/53 ~;tu:·ing
1/1/79
Interest o.n ite, 82, 1/1/71•.5/lh/71
l•5M Fox Chapel Area Sch. Auth •
. , 4.10% bonds issued 12/1/67
maturing 2/1/74 .
Interest o.n item 84, 2/1/71-.5/14/71
5-lM Beaver Falls Hun. Auth •. 2i1'
refunding and water revenue
honda issued 12/15/44 maturing
8/1/80
Interest on item 86, 2/1/71-5/14/71
-4A-
@ 35.6875
@ 28.8125
@ 18.375
@ 55.75
@62.25
@ 15.5625
@ 7.8125
@ o.ooo
@ 71.80
@ 77.45
@ 71.59
•. i
/ t
-~ .. ~ ...
$ 8,921.88
28.81
1,764.00
5,686.50
186.75
4,015.13
295.25
o.oo
2,872.00
74.44
3,872.50
88.39
2,504.10
39.08
4,931.00
58.65
3,579.50
35.76
.. ...
.,
. '
.... ' ." . . .. ~
.....
88 3-U~ 0 • P."2ra T~ ... "P. 3 3/8~ ?undi~
& Improve. bonds issued 2/1/63
@ 73.55 $ 2,206.50 maturing 2/1/82
89 Interest on item 88 2/l/71-5/V4/71 28.96
90 1-5M Clarion Area Sch. Auth. 5{~
. hondo issued 8/1/68 maturing
8/1/98 @ 80.43 4,021.50
91 Interest on ite~ 90 2/1/71-5/14/71 75.10
92 5-1M Braddock Sch. Dist. 3~~ bonds
· issued 8/1/65 roatur:-ing FJ/1/77 @ 83.86 4,193o00
93 Interest on item 92, 2/1/71-5/14/71 50.07
94 5-1M N. Fayette Co. l1un. Auth.
4.85~ water revenue bonds ser1os
1966, issued 12/l/66, maturing
9/1/91 -@ 78.17 3,908.50
95 IntP-rast on ito~ 9l.!., 3/1/71-S/14/71 55.23
96 S-1:<1 ':lil!cinsburg Boro. 1 J/4~ bonds
is'3ued 1/1/52 m1\tnr-in~ 3/1/75 @> 8h..75 4,237.50
97 Interest on item 96, 311/71-5/14/71 19.93
98 2·1!1 Allegheny Co-. Pa. 2 1/.1};0 Air-
port boncis issued 3/1/l..t.9 mstur-
1,602.50 ing 3/1/77 @ 80.26
99 Interest on ite~ 98, 3/1/71-5/lh/71 9 .. 67
100 5-lH Gln..J~nort Boro .. 6% ~q_·ytprn"3r:.t
. bonds issued 4/1/69, matUring
5,000.00 4/l/77 @ 100
101 Interest on item 100, 4/1/71-5/1!~/71 36.67
102 2-1M Baldwin Twp. Sch. D1st. 4~
bonds issued 8/1/59 r~turing 8/1/86 . (@, 73.10 1,462.00
103 Interest on item 102. 2/1/71-5/11+/71 22.88
104 2-lM Groensbur' City G/0 3% bonds
issued 5/1 62 maturing 5/1/82 01 70.27 l,J..~os .4o
105 Interest on item 104, 5/1/71-5/11+/71
-5A··
..
·~·
' .
. '
..
106 1·51-I Ft. Cherry Jt. Sch. Bldg • ~uth. 3.35~ school building
hYVenue bonds 1.:-:sued ';)/1/65
maturing 5/1/75
107 Interest on item 106, ~/1/71-5/14/71
108 1-1M Beavor Co. 11un. Auth. 5 5/8fo
Toll Bridge bonds issued
11/1/57 maturing 11/1/97
. "
@ 89.77
@ 82.54
109 Interest on item 108, 5/1/71·5/14/71 ... • ,,•\1"':.
110 i-5M Octorora Area Sch. Auth. 4E~
school building revenue bonds,
issued 11/1/66 rnaturlnr, 11/1/.7..5 0>. 99.00
111 Inte!'est on item 110, 5/1/71•5/Ut./71
112
113
114
1 ~'{ ''!" • .. d ~ • • '. ~ . (.---~' -;~··• , l.~-:ru.An s .,en. iiU1~n •. )•!~.::.>.-~·
school bu1ldinrt rovenuo bonds
issued 5/1/67, maturing 5/1/77
Interest on 1tere 112, 5/1/71•5/11+/71
1-5M Patton Mun. Auth. (Cambria Co.) 5i~;b sewer revenue bonds 1.ssued
5 1/63, maturing 5/1/82
115 Interest on item-114, 5/1/ll-5/14/71
(?) 89.88
@ 89.42
116 1-5M Pa.tton nun. Auth. ( Camb~··1a Co.)
5.55% ~eHer revenue bonds
issued 5/1/68 maturing 5/1/83 @ 89.26
117 Interest on item 116, 5/1/71-5/14/71
118 2-1M· Boaver Co. Housing Aut h. 2~-.
housing bonds issued 6/1/51
maturing 6/1/nl @ 69.14
119 Interest on item 118, 12/1/70·5/14/71
.120 2-lM O'Ha:r11 Tup. Sch. !:'1st. 1 7/8'fo
0/0 bonos issued 6/1/SO
maturing 6/1/73 @ 92.99
1~1 Interest on item 120, 12/1/70 .. _5/ll.J./71
-6A-
$ 4,486.00
825~40
2.18
4,950.00
8.75
4,494.00.
6.71
4,471.00
10.69
4,463.00
10.79
1,382.80
17.22
1,859.80
16.1.5
..
) :
..
•ii
':.
·~· .~ .. :
122 3-lMTitusville Ar.ea 3ch. Auth.
2 3/4.?; school buildi~ reve-
nue bonds issued 12/1/54
maturing 12/1/77 @ 79.26
123 Interont on 1 tom. 122, 12/1/70-5/1!~/71
124 1o5M North Allegheny Jt. Auth. 4t.%
school buildin.~ revenue bonds
issued 2/1/67 ,--·maturing 12/1/2001 (@, 70.05
125 Interest on item 124 .. 12/1/70-C:-/1h/71
126 1-5M Farrell Area Sch. Auth. 5 3/8~
school bu1ld1nR revenue bonds A,
issued ~./1/f)S, maturing 6/1/2003 @ 81.06
127 Interest on item 1?6, 12/1/70-5/lh/71
128 1-1~ W. Y. CPntrsl R.R. 5~ Ref. &
Improve. t-·~tga. bonds is sued
10/1/21, matUJ•ine; 10/1/2013 @ 14.00
129 ·Interest o":_ iten 1?8, L~/1/71-5/14/71
130 1-5M Phila. Rlectric Co. 8.10% '76
131 Interest on item 130, 5/l/il-S/l!i./~'1
132 $1,300 fact) Wean Un. conv. deb. 5~%
issued J/9/68, nt'lt•:'."inp; 3/1/93
133 Interest on item 132, 3/1/71-S/14/71
134 ~1,700 race u. Sc Stoel deb. 4 S/8~
1996
135
136
137
138
Interest on item 134, 1/1/71-5/14/71
Simplified savings account 181-28-1043
n/.o D. M. Campsey, in trust for
decedent (convenience account),
Mellon Nat. Bank & Trust Co.,
Claysville, Pa. 15323
Interest on item 136 to 5/14/71, from
1/1/71
Checking account, Mellon Nat. Bank &
Trust Co., Claysville, Pa.
-7A-
@ 54.00
.J .. .,. :
$ 2,377.80
3.5.52
1,502.50
91.49
L~,o"53.00
. 11~. 71
140.00
o.oo
5,021.25
15.75
702.00
16.28
l,o~q.56
29.26
75.42
12,341.13
r·
.. .
·•
. .. .
"il
139 Cert. deuosit, Mellon Nat. Bank &
Trust Co •. Claysville, Pa.l5323
#08820, 7/1/70, 2 years, 5 3/4% .
140 Interest on item 139 to 5/14/71
from 1/1/71
141 C/D #08821, Mellon Nat. Bank &
Trust Co., Claysville, Pa.
15323, 7/1/70, 2 years 5 3/4%
142 Interest on item 141 to 5/14/71,
from 1/1/71
143 C/D #08822, Mellon Nat. Bank &
Trust Co., Claysville, Pa.,
15323, 7/1/70, 2 years, 5 3/4%
144 Interest on item 143 to 5/14/71
from 1/1/71
Total, stocks, bonds, and cash
-8A-
•
.l .......
10,000.00
214.00
10,000.00
214.00
20,000.00
428.00
$4~6,784.62
... r ·~
.. ..
t ' • RCC-36 • • I
COMMONWEALTH OF PENNSYLVANIA
TRANSli'ER INHERITANCE TAX SCHEDULE "C"
TRANS FEllS
RESIDENT DECEDENT
( 1)
(2)
(3)
Did. decedent, within two years of death, make any transfer of any material part of his estate, without
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) __________ __
(b) What was the transferee's age at time of decedent's death?
(5) Did decedent in his lifetime make any transfer without receiving a val_u_a_b_l_e ___ a_n_d--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 thEe· 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)~n~o~------
(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 could revert to decedent under terms
of transfer or by operation of law? (Answer yes or no) __ ~n~o~------
(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) ____________ _
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)
o.oo
o.oo
DEPT. VALUATION
(Dept. Only)
X
COMMONWEALTH OF PENNSYLVANIA
THi\NSITH TNHElUTi\NCE TAX
RFSIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
I:>iSTRl'CTIOSS: 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, Namel
Address and Relationship of Co-Owners, and Place i
of Record of Instrument, where Rea! Estate. !
None
Unit
Value
Percentage
Share
Estate
Valuation
o.oo
Insert this total opposite "Jointly Owned Property", Schedule "E"
in the "As Reported" column on the last page of this return. o.oo
DEPART~lENT VALUATION
CAUTION-Do not Write
In This Space.
Value of
Entire
Property
I
Value of
Decedent's
Interest
\
h
··-
RCC .. 37 {12-63)
COl\1!\lON\\"EALTII OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
BENEFICIARIES AND ADDRESSES
State full names and addresses 6f all'who
ave an interest, vested, contingent or other-
wise, in estate)
George A. Campsey,
Pittsburgh, Pa.
(substitutio
Donald McLain Campsey,
Claysville, Pa. 15323
David McMillen Campsey.
Claysville, Pa. 15323
Mary E. Campsey,
53 Shady Dr. West,
Pittsburgh, Pa. 15225
1-1argaret C. Eisenhart,
609 Owen Road,
York, Pa. 17403
Lois Adeline c. Stauffer,
1044 RoyDrive,
Lakewood, o. 44107
-
' r •· I'
SCHEDULE "D"
BENEFICIARIES
RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF
illegitimate children DECEDENT OF BENEFICIARY
are involved, set STATE YES IN ESTATE
forth this fact.) OR NO BIRTH
brother no .. died about 1958,
p.ary gifts to ne~pih.ew nd nieces no ~ssue
brother yes $3,000.00 legacy
nep_~w yes ! residue
niece yes * residue
Niece yes J. residue 4
niece yes -"" residue ~
.\ . -
Deponent fUrther says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
George A. Campsey or issue about 1958 Pittsburgh, Pa. (see above)
, .. ;.... .,
( 1)
(As Reported) SUMMARY
Real Property ................................................................ (.Sch. "A") $ ......... 8,780.00
.... C'd v ;;...
0 z
Personal Property
Transfers
J. ():l.P.t. .
Gross Taxable Estate .
i:-z r..:J ...... ~ r..:J (J) ...... < 0::: r:... Po.. 0 Po.. w < w :X: :z: w 1:-< r..:J 1:-< r<
"" -'!'! 2:: :I: r< 0 r< (J) w ~ __...__ 0
:::: 0::: 0 w :c ~ r< .P r< "' ·a < -'§ ,..,
~~
:"0 ·<II :Cil ... ~
::-:,: CJ (]):<!>
tT.I 0 ...
p,: ~· s (]):
CIS. rt:~: o: d
CIS •· X ·"':l .. (]):
...-l.
d <: CIS:
I'll .P:
;:j: I'll.
tl) (]) ::s:
..... 0
<1.1 .... <-.:: ....:l
$. 4.3.(>, ~~4 .. ~?. .. o.oo .............. (Sch. "B")
................. (Sch. "C") $
. . ..CS._qp_ •... ".:E.•t L $ .. o.,oo.
$ ........................
$ .. 44?..,.?~4~.?2. .
c ; r~-' .-) I : .. .,
..;l ~7~ tiAY ~~ !\ Jr -til/ 10 57 < ~-C'd ell: ·a 0 ~ C'd +=~• ...:: f;!w: r· .• <.,1 0 { ~ ' . " ., 0 bO ~. d Vl RcGIST::· .. -, :·1• :::: oM . ,.. \''~, ....t-. J(' •:ILL~ ..d a:; "' hiN :ynN r '"' I'll: Po..
' t. · •· Q. PA CIS: ...... !-., . 0 ::S· ell: ..c: 0 ....
~ ~
<1.1 '-l ..... ;.. ell: 0 ,. ::::
.C· 0
E e E 0 0 u u
. .
( 2)
(As Determined)
$ f?7&:J.oo.
$'/J.t, e.~ 1 G. ..2
$
$ .
$
$ 4'/f"(c;' 1.. b.Z
§
tT.I
~
(])
'0
0 < .
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I'll
~ 0 ..d 8
0 ~ --v ·. ,-~
' ·-; I ~~~ _.· .: ~: l . '; L ........
'] OFFICE OF THE STATEMENT OF DEBTS
REGISTER OF WILLS -· (t . /(/
Was·tfirtgtori AND DEDUCTIONS II
[ . [
OF COUNTY f~ AND AGENT OF THE COMMONWEALTH /l t '{f qt[~,__:.., .. ·-.;/\,• .A... . I
(.· ~ " .. I ~
ESTATE OF Susan J. Cam:ese::r LATE OF West Alexander, Wasningtort' Co., Pa .'
DATE OF FILING APPRAISEMENT Ma~ 22. ·1272 OATS: OF DEATH Ma::r 1~1 1971
DATE NO. OF
VOUCH CO'~: NAMli: OF PAYEE REMARKS AIIIIOUNT
1971 -
Jun lJ. Russell Marino, Re~ister letters.!. short cert. 32 2_0-
Jun 4 Washington County Reports advertising letters, etc. 15 60
Jun h _R.11,th H. Sharpnack witness to will 10 00
.T11n 1() r.1~v~villA r.AmAt.AT"V A~Rn onAninr:r Q'ra.ve I 8c; 00
Jun 10 Brownlee Funeral Home burial expenses () 1,686 50
.T11n 1(} Dr> RobRr>t. .T l"a.r:riolP.tti mRdica.l services c; 00
)'-un 10 George E. ~.lfumnP.r insurance R/~, net 132 00
Jun 14 Barbara _M. Laird, Tax Col. '71 township tax 24 44-!
Jun 14 Malcolm L! Morgan, Co! Trea . ' 1 71 person. prop. tax 187 21 I
Jun 14 Malcolm L. Morga 1 Co.Treas . 1 71 county R/E tax 56 69
Jun 16 Russell -Marino. Register' short certificate 1 00
.Tun ~0 C!la.vRvillA _Recorder advertising letters 12 .QO_
Jun 30 IVfe 11 on Nat • Bank postage, GAC lig1.lidation 1 18
Jun 30 Bussell Marino, Register short certificate 1 100
Jul 1 Postmaster postage, Cudahv liquidation 3 06
Aug 21 Iona L. Ramage, Tax Col. '71 Boro. tax 7 _84
Aug 21 Iona L. Ramage, 'J'ax Col. 'Jl school tax 18 82
Aug 21 Barbara M. Lairdt_ Tax Col. '71 townsl;lip tax 194 82
Aug 31 Robert W. Walker insurance, real estate 94 00
Oct 11 s WhitP.'s Sons graJlA ma.r>kP.r> I 293 00
Nov 1 Mellon Nat. Bank safe deposit box rental 7 00
' , Q7~ -
Jan 21 Russell ~arino, Register short certificates 6 00 ..
Jan 24 Gladys c. Marshall, notary affidav:ilts, residence 38 )0
Jan 2'? Russ-ell Marino. Register s oort certificates ~2 00
(continued)
COMMONWEALTH OF PENNSYLVANIA }ss:
COUNTY OF Washington
I, Donald McLain CamQSe! HEREBY CERTIFY, THAT. TO THE BEOT OF
MY KNOWLEDGE AND BELIEF, nt£ FOREGOING .IB A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENS~!I 0?'
ADMINISTRATION SUBMtTTED TO THE ESTATE OF Susan J. CamQsex .OEC!iAEIED. AS DEDUCTIONs; FOR
INHERITANCE TAX PURPOZlES. ·: .Kb:, ..&e_b ~ ;,e..:_~ tJ. CL. 5.)
SWORN AND BUBSCRIElED :'!:::FORE ME THIS . 9 l September ~~ 72 . DAY Of" . et-·nA.bhw~ (!.-a~
Notary Public, CIJys•:illc, Washington C;
My Commission Expires March 8,_ 19(6.
-
' : " ·~ .,
' '• ' _. ,. --
--·· ., l1 • -~ . ..J --~ . .. _, l . .
• I
' •,, . ' I
DEBTS AND DEDUCTIONS (Cont.)
1972
Feb 29 Parker/Hunter, broker's charges, sale, stocks 1,416.50
Apr 10 Internal Revenue Service, '71 tax,form 1041 1,720.02
Apr 15 Pa. Department of Revenue, '71 income tax 242.84
May 12 Internal Revenue Service, interest, estate tax ~
May 25 Constance Taylor, notary, inventory and tax state. 1.50
May 26 Russell Marino, Register, filing inventory 17.00
Jun 12 Malcolm L. Morgan, Co. Treas., '72 R/E tax
Jun 20 Malcolm L. Morgan, Co. Tr.eas., '72 P. P. tax
June 20 Washington Co. Personal Property Tax Dept.,
in full of personal property tax·claims 443.96
Jun 21
Jul 24
Jul 24
Jul 25
Jul 25
Jul 25
Jul 25
Aug 9
Aug 9
Aug 23
Aug 23
Sep 9
Sep 9
Internal Revenue Service, balance '71 income tax,
form 1041 56.28
Donald M. Campsey, executor's compens~tion . 18,000.00
Thomas L. Anderson, ~ttorney for estate · 18,000.00
Constance Taylor, notary, executor's account .75
Russell Marino, Register, filing account 24.00
Barbara Laird, '72 township tax ~
Robert W. Walker, insurance, real estate 49.20
Iona Ramage, '72 borough tax ~
Barbara Laird, '72 school tax ~
Russell Marino, Register, short certificates 19.00
Gladys c. Marshall, notary, affidavits, stock sales
Constance Taylor, notary, audit petition
Parker/Huntrer, broker, costs, stock sales
Court costs, final, i"Q.Zarsbetl
Total
19.00
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
RCC-81 (6-71) 17127 IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
NOTICE ORIFILING OF APPRAISEMENT 38-178-1
DONALD McLAIN CAMPSEY
(Executor ~r)
In Re: Estate of __ S_U_S_AN __ J_. _CAMP ___ S_EY _ __:::_a,!__/k/.:...:!._--=a:.___ ______ _
WASHING'!ON County-File No. 63-71-576
Dear Mr. Campsey,
You are hereby notified that the __ _loo!.Lr....li"-\g:f--iLJnL.lla~l------------
appraisement in the estate of SUSAN J. CAMPSEY
has been filed in the office of the Register of Wi lis of WASHINGTON
County on July 6 , 19_1_2, Said appraisement reflects the following
va I uations:
Rea I Estate ___ ___,8~,L.7L.:!8~0~. 0~0~-----
p e rson a I Property ---..::~4~3!.Joo6l.4,u.8o!l8~4z..a... lol6-"2~-----
T ransfers ______________ _
Jointly Owned-------------
T ota I ____ _..!4i:tc!4:t-.:5~ • .-~:6)..t6).1i4h • .-t6~2~----
As to such tax that is paid within three months from date of death, a five (5%)
percent discount is allowable. As to any tax that remains unpaid after nine (9) months
(fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may appeal therefrom
as provided by law.
Date __ J_u_l~yL-6~,~1~9_7~2 ___ _
Title __ AP_P_RAI_S_E_R_I_:J.. ______ _
DATE OF DEATH: May 14, 1971
Note: This is not a bill.
J
RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of CAMPSEY
(Last Name)
SUSAN J.
(Initial)
a/kj/a DATE OF DEATH 5-14-71 FILE NO. 63-71-576
(First Name)
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of WASHINGTCN
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: July 6, 1972 ~.RJJ
INHERITANCE T~
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
annuities . . . . . . . . . . . . . . . . . . . $------~--
ESTATE TAX ASSESSMENTS $ _________ ....~,.__
FOR USE OF REGISTER ONLY COMPUTATION OF TAX
Tax on$ 2% $ _____________ ~----
Tax on$ 6% $ _____________ ~--~
Tax on$ 5% $--------4--
Tax on$ 10% $ _____________ ~---
$ ______________ ~---
VALUE AS REAPPRAISED
$ ______ ~---
Taxon$ _________ +---'~
fue~ti~s *
Total Estate _______ ---4--
TOTAL TAX $--------L----
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid $========!==
BALANCE $---------+---
Less 5% of tax if paid within
3 months after death $===========
Add interest at rate of 6% from
---------to ------
AMOUNT OF ESTATE TAX ASSESSED $---------+--
Estate tax paid $----------'---
BALANCE DUE
Add interest at rate of 6% from
-------~10-------
$ _______ _J ___
$--------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. ... Year ........... .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
~U::SN'l .r~ <::~~:e:x a/lt/CJ, ..
Deceased
Late of WE.:.~'r AI,~~P:E.R.
County of ... WASHINGTCN
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
'<
~ \
\. I \ ...--
l''unn ~CC-2
I COMMONWEALTH OF PENNSYLV M.JIA· DATE ····---~~!Y .... ~ .. I. ........ l.~..7.~ .............. .
. , DEP11t'fM~~T DF REVENUE .
RESIDENT INHERITANCE TAX
APPRAISEMENT
COUNTY ... W.~ID.:-~G.'J,;9.~ ....................... . ·BmAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA. 1 7 1 Z 7 FILE NO. .J~.3.~.7.l.~.5 . .7.Q. .......................... .
Whereas, ............................... ~~~AN ;r.-. CAMPS:EY .. :~/k/a ..................... late of ............... WEST ... ALE.XANDER. ................................. .
in the County of ....................... W.M.Hl.NG.TQN .................................................................. , .... Commonwealth of Pennsylvania, having died on
the ........ . .............. ~~~~·-· ............................................... day of .. ,.)~~~Y.......................................................... 19 ... ..7.1, seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, ....................................... ooMI-Nic .... a . ., ..... DeMARI·A· .................. , an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix
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 Deacription of Asset Values Made for Inheritance
Tax Purposes
$
REALTY:
SEE COPY OF SCHEDULE A ATTACHED TO APPRA.Is B 7BO 00
PERSONAL:
SEE COPY OF SCHEDULE B ATTACHED TO APPRAISEMENT 4~t:\ RR4 ~?
total 445.664 62
......................
W~___.,...._~ ...................... , Penna.
'1.'
WASHINGTON ........................................ ······························ County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
.............. SUSAN ..... J .•..... CAMP..S~ .. a/k/a .................... .
Deceased.
Late of
WEST ALEXANDER ................ , ....... ·········································································· ..... .
Date of Death, ........ S.~~-4.-~?..-! ................................... .
AppraisenzeHt Docket Vol., ....... 38 ..................................... .
Page, ..... 1.78-1 ................... No ... 63 ...... 71 .... 5.76 ...... .
Filed in Register's Office, ..... Jui.y ..... S ........ 19 .... 7.2
Amount of tax dtte, $ .................................................................... .
DEPARTMENT OF REVENUE
Received,
Examined and Approved,
Wrote abtwt Appra.isement,
Appeal ft<om Appraisement,
Entered and charged,
. V d '. 0 0 t'HJl ~; l J1 H S '11,\
s·nl/,1 ;;Q 11.?1lSID3U
0 U I ~J '.1 i I -~ ., 71 S :) il t1
u, II !i~ OJ ;iJN ?.L .
•. ·''1 """';; U.:; ~i I ··1 . .. ~
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-----~------------------------~~~----------~~----~
COMMOH\'Ic.At TH OF ?EN}!SY~.VANIA
Of!!P:,:.RTMI;NT OF RE'IEHUE
BUf(!L1.'u QF COUNTY COt.LECTION'S
1 ..
APPUCA TION FOR, AND CONSENT
TO TRANSFERSECURITIES
REG1SrERED IN THE NAME
OF ARESIDENT DECEDENT
.A!:.E1JCATiOH (MUST BE FILED IN TRlPUCA TE)
. TO THE PEtiNSYLVANIA DEPARTMENT Of REVENUE:
DATE Jan •. 25, 1972
Application is hereby mod,~ for cmsel'!t to the transfer of the following securities o,f a Pennsylvania ·
Corporation or l'l Notional Banking Ass•Jciotio::~ located in Pemi"ylvan.io:
j
46 shs. Jones and Laughlin Steel Cox-p. common
(a) 9 shs. {b)_· _. Jones and Laur:hlin Steel Coxap~ ·(c) 5". cum ptd A --· _.
(NOTE: . In describing securities enter in {o), ab 1:.11e, either the n!Jmber of shares of stock or the face amount oJ
registered bcinds, in (b), the name of the issuing company arid in (c) the class of ste>ck or the stated interest rate·
and ma-turity dote of registered bonds.) . · .
ISSUED ON 19l.j.l-1969 · , an~ having a TOTAL MARKET VA1LUE OF r__t2_4.._2...:...~6_J_;·~'----'. ~----
(Date)
as of the dote of deoth of the decedent, Susan· .J ~ :, Campsey · .· ··· , on May 14, .1971
(Hal'lttt of Decedent) (Dot .. of d .. ~th}
whll was late of ________ ...,...,... ____ w_e_s_t_A....,l_e..c,.x_. _a_..n_d_e_l'_•..,...· _w_a_s_h~1_ng-:--t_o_n....;· _c_o_ • .:._' ,_. ~P_.a_~ ,.,...,.............,_~-:---
(Str<te1 an& Number} (Post Offi·ce) (Co~,~nty) (Stute-)
The securities ore regi·stered as follows:_· __ S_u_s_a_n_·_J_ • .,--· _C_a_mp....;· ::.... _13-'e.,_y __ "-------"---~-~~.......
(H~me o~ nomes. in whidl certificates are registered}
AN~
EXECUTOR )
Donald McLain Ca,mpsey, 241 B1,rch St., Claysville. Pa. ~.3_
(Name) (Address)
NAME Of APPLICANT ghomas L. Anderson, · · . . . . . . 102. Washington 'l'xaust Building;
COUNTY FILE NUMBER 63•7l•576 ADDRESS OF APPLICANT~~ in t~n Pe n•a. 1 .~
BUREAU FILE NUMBER SIGNATURE OF APPLICANT • 6 t,(tfe/tt/l'f..~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PO.RTION OF THIS APPLICATtON, IT WILL NOT BE f
CONSIDERED COMPLETE AND WfLL BE RETURNED TO YOU FOR COMPLETTON.
[-·-----~--~-------~-------~----~------.=========================·=====·· ============
f . COMMOHWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVeNUE
f CONSENT TO TRANSFER SECURITIES
DATEJ.anu~.ry 27
i.
' '
I hereby consent to the trar.sf~r of thecbnve securities now registered·inthe ntJme of the of()re~aid 1972
Decedent and waive t~e filir:g of c certificate certifying to the payme.nt Qf the transfer inheritance 'tox to which
. . . . . . . . . .
. the property of said Decedent is made subject pt:rsuant to the provisions ofthe Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L 373t as amended •. This: is also in occordonc:e with the provisions
of the Act of A~ril 9, 1929, P.L. 343.
This Consent to. Transfer the herein described property operotP.s only in reference to the estate of the
above-named D·ecedent.
. Signetl for the Secretary of Revenue . . . · L? . ~ .
B ~cr<U'~~. y . . .. . . .. . .
(Signature)
Registel'" of Wills Washington
(Tit~e) (County~ ·. . .
•
COMMONWEALTH OF PEN!'JSYLVANIA
DEPARTMENT OF REVENUE
BUREiAU OF COUNTY COLLC:CTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDEi~T DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE Jan. 25, 1972
Applicatior. i~ hereby made for consent to the !ransfer of the foll·owing securities of a Penrisylvanic
Corporation or a National Bonking Associolion l,ocoted in Pennsylvania:·
126 shs~· ASG Industries (American Window Glass) common
{a) 51, shs. {b)_AS_G__Industr1es (American Wind.ow G]as.s_l_(c)..o_um_p,....fJ .... d ________ _
(NOTE: In describing securities enter in {a), ob ote, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuin~ company and in (c) the class of stock or the stated interest rate
and maturity dote of registered bonds~)
'
ISSUED ON 3.94,1-SS , and having a TOTAL MARKET VAtUE OF $ _.l..._,.;.IJSJ~~J,;JJ•a.;o5 ..... 0,.~ ~~--__;_
(Date)
as of the date of death of the decedent, Susan J • Oampse:r , on_ M1;1y 14, 1971
(Name of Decedent} (Dote of death)
who was late of West Alexander, Washington Oounty,Pa.
(Street and Number) (Post Office) (County) (State)
The securities are registered as follows: __ S_u_s..:.._a_n_J_..._O_a_m-"p,_s_e_r~<-----,-~--~-~
(Name or names in wh i·ch cer·tificates are registered)
~ EXECUTOR ) Donald McLatn Oampsey, 241 B1rcb St., Claysville; Pa. 15323-
(Name) (Address)
NAME OF APPLICANT ____Thomas t.. Anderson, Attorney
· 1026 \'lash1ngton '!'rust Bldg., ·
COUNTY FILE NUMBER. 63-71-$76 ADDRESS OF APPLICANT ~5301
BUREAU FILE NUMBER ·SIGNATURE OF APPLICANT ~,f }-£+_ r iLt£_ ~'11,
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
J============C=O=N=S=ID=E=R=~E=D==CO=M=P=L=E=T=E=A=H=.D==W=IL=L==B=E=R=E=T=U=R=N=E=D=T=O=Y=O=U=·=F=O=R=C=O=M=P=L=E=TI=O=N=.===================
j
i l 4 ' ~ ,I
l ~ ·.i
. :i 1
i
I . ~ . r ' A
·l
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE -Jan. 27,1212
I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provision~ of the Att of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended, This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent •
Signed for the Secretary of Revenue
By~~
(Signature) ·
Refti~er oi' Wills--"'-Hashington it e). (County)
-------------------------------.--------,---------
COMMONWEALTH OF Pi:NI-.ISYLVANIA
DEPART,MENT OF REVENUE
BUR\::AU oc COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION '{fAUST BE FILED IN TRIPLICATE) DATE-Jan. 25, 1972--
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporution or a National Banking Associalion located in Pennsylvania:
(a)-3 sh~_(b) West Penn Power Co. -~~ pfd (c)_'---------,--
(NOTE: In describing securities enter in (a), ab (}{_e, either the nt•mber of shares of stock or the face amou11t of
registNed bonds, in (b), the name of the issuing C(lmpany and in (c) the doss of stock or the stated interest rate
and maturity date of registered bonds.) .,._
ISSUED ON Mar. 11!-• 1940 , and having a TOTAL MARKET VA'LUE OF $_,1!!..:8~6:L!_-.u7._,5L..-~---,-----
(Date)
as of the date of death of the decedent, ___ S_u. __ s--t __ m_· _.J...,.•=----C-'-a __ rw'"'--'s-'~"""Y._. ---~-, on Muy llh 1971
(Name of Decedent) (Date of death)
who was 1 ate of__ ~--------_:_-_:\i~e::..:s=-t~=A=l=e::.:_:t=a=n=-=d.::.:e:.::r:__,,L__:W:_:_a=s l-=1-=i-=ng~·~t-=o-=n-= __ o __ . o=---:..;. -~---P..:.....::..:9·-=-·-------
--(Street and Number) (Post Office) (County) (State)
The securities ure registered as follows:~--~Suu~s~a~l~l~J~~~c~a~~~p~sue~y~·----~-------,----
(Name or names in which certificates are registered)_
AWMMJM.Mi:~.~--=-D-=-ol=la=-l=-d:..:__f...:.::·ic::--=L::..:.~:i::..:.l.-::..n.:___C..:...a..:...m~ps e..:...y~,!"-2_.4!_l_3~i_r_c_h ___ .:;,<'-' t_. ::;,_• _c_J l_&...:!"J..:...s_v_1_l_l_c_,_, __ Pe~ __ • _J..--'-5-'-3_2....:.3_
EXECUTOR ) . (Name) (Address) .
NAME OF APPLICANT Th.o:nl:'ls TJ. Andersen, At to·r'ney
1026 ¥?::3lliflt-;ton Truot Bldg. • ·
COUNTY FILE NUMBER 6J .... 7l~_r_;"(6 ADDRESS OF. APPLICANT ljanfli!'!K!"n€ 1}-; 153~1 .
BUREAU FILE NUMBER ___ ~ ____ SIGNATURE OF APPLICANT ~/1//d_ t ~ U~h.
HO'TICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION; IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE.
CONSENT TO TRANSFER SECURITIES
DATE Ja.u. · 27
I hereby consent to the transfer of the above securities now registered in the name ofthe aforesaid 1972 ·
01Jcedent and waive the fiiin~ of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provision~;
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretory of Revenue
(Signature)
Rogist0r of Wills Washington
(Title) (County)
COMMONWEb.L TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
· BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE Jan~
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Bonking Associa1ion located in Pennsylvania:
(a) 15 she. {b) P1ttcburgh Sex-ow & Bolt Corp., now AMP (c)___:c __ n~p-=i=t--=-n=l ____ ..,--
{NOTE: In describing securities enter in (a), abo.'e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the 5tated interest rate
and maturity date of registered bonds.)
ISSUED ON 19.29, 1931 , and having a_ TOTAL MARKET VAtUE OF $1,02$ •. Q_~ __ _,______,..-,-'---
<oatel
as of the date of death of the decedent, Suann J • Oa~sar , on "foy 14, 1971
(Nome of Decedent) (Dote of death)
who was late of __ ~ _______ ¥_e_s_t_A_l_o_x_e_n_d_e_r__:_• _W_s_s_h_1_ng...:.,_t_o~n_c..,...o_._,_?_. a_·-~--~-,-'--
(Street and Number) (Post Office) (County) (State)
The securities are registered as foil ows: ---~·.;_S_us_a_n_J_ .. =:.___C_a_m-=.p_a_e_!:y:..__~---------~
(Nome or namu in which certificates ore registered)·
NfAWt~~'f:R~
EXECUTOR )
Donnld Hoi~ntn Campnoy, ;:?t~l Bit"'tlh St;., ClEJYLPJillo, Pa. l$323
(Nome)
COUNTY .FILE NUMBER 6 3•?1-!576
(Address)
NAME OF APPLICANT 'ilhonun L. Ander•.ncm, AttOl"fle)'
102& t:nuhington Ttnuat 11:\dg.t
ADDRESS OF APPLICANT_ 'rlnu\ rwton E' 01
t
NOTICE: IF YOU FAIL ·TO PROPERLY FILL INANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Jnn.27, 1'i'12
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid. .
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which.
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L 521,
as amended and the Act. of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretary of Revenue·
By
(Signature)
Register of Wills WaEb 1ngton
(Title) .(County)
COMMONWEALTH OF PENNSYl-VANIA
DEPAR\MENT OF REVENUE
BUR'EAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRiPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE Jan~ 251 1972
Application is hereby mode for ca1sent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania: ·. ·
Standard Conduit)
(a) 2r?. ·shs. (b) Robroy Industries (formerly Pgh./ (c)_c=a=p=1=-=t=-=a=l=----'-----
(NOTE: In describing securities enter in (a), ob ote, either the number of shores of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON . 1959"1971 , and having a TOTAL MARKET VAtUE OF $ ...,2._),'icw6_....~..,2S,L.~------
(Date)
as of the date of death of the decedent,· Susan J. C.ampsey ,on ___ ·~N~a~x~l~4~·~·~1~9~7~1~··._
(Name of Decedent) (Date of death)
who was 1 ate of_· _ _..;_ ____ ___:__\'1::.1 e=-=s-=-t-=A=l..::.e=x=n=n::d::e:.::r2,:_· -=-\oi:..:R::.::S:.:h=i=n=.,;g~. t=-o::..:n:.::_;_G::..o=-u=n=t.:::.JL,.Lt-=-P=ac.=.•---~....---.,-
(Street and Number) (Post Office) (County) (State)
The securities are registered as foJiows=~~~~S~~~s~e~n~J~·~C~a~~~p~s~e~.~~-------------
(Name or names in which certificates <ire registered)
~~ Donald McLain Campsey, ?41 B11•ch St., Claysville, Pa, 15323
EXECUTOR ) (Name) (Address>
NAME OF APPLICANT ThOlilas l. · f,nderson, Attorney
120 Washington Trust Building, · .
. COUNTY FILE NUMBER 63 .. 71576 ADD.RESS OF APPLICANT Wa1t:tton,l_t:::li/
BUREAU FJLE NUMBER SIGNATURE OF APPLICANT· _t(£,;} ~·-~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE .
CONSIDERED COMPLETE AND WILL BE RETURNED TOYOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Jan. 27,1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the pciymentof the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretary of Revenue
By
(Signature)
Register of Wills Washington
(Title) (County)
t
i
COMHOHWEALTI'-i OF PENttSYL.VAH:A
DEPARTMENT OF REVENUE
BUREAU OF COUttTY .COLLECTIONS
APPUCA TiON FOR AND CONSENT .
TO TRANSFER SECURlTIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT·.
APPL:.ICATION (MUST BE FILED IN TRiPUCATE)
TO THe PENNSYLVANIA DEPARTMENT OF REVENUE: ·.
~ .. . . ·.. . . . .
Ap,plicatio.n is hereby mode for coosentto the transfer of the fallowing se<:uritles of a Pennsylvania .
Cocrporo.tion or c National Banking Associolion located in Pennsyivonlo:
(o) 10 $hs • .. ·(b) Duquesne L1gbt. Ca. . . .. . (c:)~-.~P=f~d!:..!!•:...........-. ____,..._......,_;....._
(NOTE: In describing securities enter in (a), ob Ofe, either the number of shares of stock or the face amount of
registered b0i'1ds, in (b), the name of 1he isSuing company and in (c) th.e doss· o-f stock or the stated interest rate
and maturity dote of registered bonds.}
ISSUED ON Nov, 13, 1952 , and having a TOTAL MARKET VAtLUE OF$_._27.._8_ • ..,...:.7.;:;_5~. -.:............~~..,......:...-
(Dote} . . •...
as of the dote of death of the decedent, Susan J. Campsey
(Nom~ of Oeeederrl)
! ·on May_~ •. 1971··
(Date of cl1t0 th)
who was late of West Alexander, Washington co,, Penn•a. ·~
(Street an& Humber} (County) (St.;te}
The se-curities are registered as follows: SU$'-.!ia!!.!n!.-· ....!J:!.c•ll..·_ ....cC!:!!am~~PcuS~e!...l"''-'-·__:___...,.,----'----'-.:.-..'-..---_,...-,_-~--
(Name or names in which ce.rtificote-s.are relJistered)
~)
EXECUTOR )
Donald. McLain .campsey, 24.1-.Blreh St •• Claysville. _fa. 15323
(Nome) . (A!'icltess)
NAME OF APPLICANT Tho:ma3 L. ·A~ . ....,p!.Alln._._•~-'------
1026 Washington Trust Bldg.,
COUNTY FILE NUMBER 63•7l•S'76 ADDRESS OF APPLICANT_~W~ton P:~~-
SUREAU FILE NUMBER SIGNATURE OF APPLICANT J;JMj_tvi"t.,;~.:_~.
NOTICE: IF YOU FAIL TO PROPERLY FILL~~~ ANY PORTION OF THIS APPL!CATIOH, IT WILL NOT BE
CONSiDERED COMPLETE AND WILL BE RETURNED TO YOU .FOR COMPtETIO~. i
I i======~=========·~·======·=··=============·===· ==· ============·========~========== f COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE I CONSENT TO TRANSFER SECURITIES
i I r
I 1 I I
DATE Jan. 27 .
I hereby consent to the transfer o.f the above securities now registered in the name of the aforesaid 1972.
Dece.dent and waive the filing of a certificate certifying to the p~yment of lhe transfer inheritance 'tax to which
the property ofsaid Decedent is made subject .pursuant to the provisions of the Act of June20, 1919, P.L. 521,
as amended and the Act of June 15, 1961; P.L. 373, as amended •. This is also in accordance with the provisions.
of the· Act of April9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above•nomed De~edent.
. Signed for. the SKre.tary of Revenue
By ~z._/~~~~
'.
I
I
(Signature)
· Register ot ·Wills
(Title) . (County)
Washington
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE Jan. 25, 1971
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located 'in Pennsylvania:
(a) 118 shs.(b} Philadelphia Eleotrto Co (c)_._,._c_omm_o_n ____ '---..,-
(NOTE: In describing securities enter in (a), ab 01e, either the number of shcres of stock or the face amount of
registered bonds~ in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.) ·
ISSUED ON __ l_94._3-_l_9_6_7 _ __,..., and having a TOTAL MARKET VA1LUE OF $_____.;.2~•-=-7_28_.--'7=$----~
{D.ote)
as of the date of death of the decedent, ___ S,;.._u_s_e_n_,T.,:.._C_a._nro..:...~·-S_e_,y ____ , on __ Ma_y::...· _14~~• _1_9_7.;.,.1_-'--
{Nome of Decedent) (Dote of death)
who was late of _________ W=e.:::s...:.t.;_· .:::.:A:.:::l:.,::e:.:::x.:.:a::..:n-=-d=-e=--r~; ...;,· ~--~~-=-a-=-s_h_i_,ng~. e:....t_o_n_C_o_.-=-~-· _P_a_•-----:------:-
(Street and Nu~ber) {Post Office) {County) (State)
The securi~es are registered as follows:~. -~-S_~...;,s...;,a_n_J_._c_a_~_P_8_e_y_~--~---:-----~--~
{Nonie or names in which certificates ore registered)
~~U~iOBt Donald McLain Campsey, 241 Birch St., Claysville:, Pa. 15323 EXECUTOR )~--~:.,::=~~=-=<N-=-a-=-m-=-e)--=-~-~-~-~------.-~-<A-d-dr~es_s_> __ ~-----~---.--
NAME OF APPLICANT Thomas L. Anderson, Attorney
· 1026 Washington •rrust Bldg.,
COUNTY FILE NUMBER 63~71-~76 ADDRESS OF APPLICANT ~ngto~> p=
BUREAU FILE NUMBER SIGNATURE OF APPLICANT_:.·_j-=:·L!hh~t~L:.· _W{IJ~__jhiL.J·l-Lc-.!0:~==-.::__~'---
NOT!CE: ·IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Jon. 27, 1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act ofJune 15, 1961, P.L. 373, as emended. This is also in accordance with the provisions
of the Act of April9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretary of Revenue
By·~~
(Signature)
Register of Wills Washington
(Ti tie) (County)
i.
COMMONWEALTH OF PENNSYLVANIA
DEPART.MENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATiON FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED/IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE Jan. 25; 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for coosent to the transfer of-the following securities of a Pennsylvania
Corporation or a Notional Banking Association located in Pennsylvania: .
{o) 14 shs. (b) Penn Central Transp. Co. (P.R.R. CO.) (c)_c_o_mm_on_---'-----
(NOTE: In describing securities enter in (a), ob 01e, either the r.umber of shores of stock or the face amount of
registered bonds, in (b), the nome of the issuing company and in (c) the class of stock or the stated interest rote
and maturity date of registered bonds.)
ISSUED ON 1931,1933 , and having a TOTAL MARKET VA!LUE OF $_6_5_._6_2-"-···------
(Date)
as of the date of death of the decedent, __ S=u~s-=a~n:__.=J~·~__::C:...:a=mp=· s=-e.::..Y.AL-_· ----'--, on_M,...,.._a-"'-y_l_,4-"''"-· _1_;9_7:-1__,....--
(Name of Decedent) (Date of death)
whowaslateof~--~---------~W~e=s~t~A=l~e~x~a-'n~d-'e=·r_.L_W_a_s_h __ in-=g_t_o_n_C_o~·~•--P_a_. ______ ~--~---
(Street and Number) (Post Office) (County) (State)
The securities are registered as follows: --------------------------------------~~
Susan J. Oampsey
(Name or names in which c<~rtific~tes are registered)
~~~ Donald McLain Campsey, 241 Birch St., Claysville, Pa. l$323
COUNTY FILE NUMBER 61·71•576
(Address)
NAME OF APPLICANT Thomas L. Anderson, Attorney 1026 Waah!ngton Trust Bldg.,
ADDRESS OF APPLICANT_ Wa ngton, 530.~
EXECUTOR ) (Name)
I .
BUREAU FILE NUMBER __ ~ __ SIGNATURE OF APPLICANT v~/fiJt/J 11"11
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
· CONSENT TO TRANSFER SECURITIES
DATE Jau. 27,1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the fili~g of a certificate certifying to the payment of the transfer inheritance tax to whi!=h
theproperty of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretory of Revenue
By~~
(Signature)
Register of Wills Washington
(Title) (County)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
Bl.iREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE .Tan. 2.5~1.912 q
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for coosent to the transfer of the following securities of a Pennsylvania
j Corporation or a National Banking Associ a! ion located in Pennsylvania:
(a) 3S she o. (b) Mesta Machine Co. (c) . oommon . .
(NOTE: In describing securities enter in (a), ab oie, either the number of shares of stock or the face amount of
registered bonds, in (b), the nome of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON Oct. 3, 1946 , and having a TOTAL MARKET VA1LUE OF $_9~7....:..7_._81_;.·----:-'-----
(Date)
as of the dote of death of the decedent, . Susan_J_"-"·-'C""a .... mo=s,...,e....,y,__ ___ _ ,on __ ~Ma~y~·~==*~•~l~9~7~1~· _
(Name of Decedent)· (Date of death)
West Alexander, Washington Co •• Pa.
who was late of ____ ~------~--------------~--------------------~~~~-------------
(Street and Number) (Post Office) (County) (State)
The securities are registered as follows:~------~S~~~s~a~n~J~·~C~a=~~p=s~e~~~·----------------~~----~
(Name or names in which certificates ore registered)
A~ Donald McLain Campsey, 241 Birch St., Olaysville,Pa. 15323 EXECUTOR ):----~~==~<N~a~m~el~~~~~~~~~-.----~.--~--(A~d-dr-es_s_l~-----------~.--. -----
NAME OF APPLICANT Thomas L •. Anderson, . Att~rney ~026 Weahington Trust Bldg.,
COUNTY FILE NUMBER 63•71·576. ADDRESS OF APPLICANT Wash1ngton, Pa. 5301' u
BUREAU FILE NUMBER _______ Sl GNA TURE OF APPLICANT__~__:_~...:...../4-!:!U:..::t41::...:'~~~~---'--+--
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETI.ON.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE.
CONSENT TO TRANSFER SECURITIES
. DATE .I'lnuary 27
I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid 1972
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretary of Revenue
By~~
(Signature)
Register of Wills Washington
(Title) (County)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BU'REAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME.
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) .-
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE Jan. 25t 1972
Application is hereby rnade for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associ a! ion located in Pennsylvania:
(a) 1 <L shs. (b) TAt robe· Steel Co-. (c}_c=o=mm=o=n=------
(NOTE: In describing securities enter in (a), ob 01e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
i · and maturity dote of registered bonds.) . ·
.ISSUED ON A$)r• 8. 1960 , and having a TOTAL MARKET VA!LUE OF $~._;_~_0_1_.8_8 _____ .,.---
(Date)
as of the date of death of the decedent, . Susan J, eampsey
(Name of Decedent)
I<tay 14,. . 1971 ,on ____ ~~~~--~~~
(Date of death)
whowaslateof _____ ~ ____________ W_e_a_t __ A~l __ e_x~a_n_d~e_r~·~W_a_s_h __ i_ng~t~o_n~C_o~·~·~·-P~a~·------~~---
(Street. and Number) (Post Office) (County) (State)
The securities are registered as follows:~(~·~~s~s~>~s~u~s~a~n~J~·~c~aM~~p~s~e~y~~--------------~--~--~
(Name or names in which certificates are registered)
Af)~ Donald McLain Oampsey. 241 Btroh St.,. Claysville, Pa. 15323 · EX E CU TOR ):__-=.=.=:::=.::_<N-=.a.::::me:..:::>:::=:.-:-::::=.:.:I.:~_L_=.::r.:::_:~-=:.::::......=.~----=~~~==---~~~.~--
COUNTY FILE NUMBER 63•71•576
BUREAU FILE NUMBER SIGNATURE OF APPLICANT _ _:___:___:__ ____ ____,..__--'
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE JaDlwry · 27
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid 1972
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritcnce tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretary of Revenue
By ~~
(Signature)
Russell Marino· Washington
\
I
I
RCC-72 (g-58) l CO.MMCNWEAL TH OF PENNSYLVANIA .
DEPARTMEHT OF REVENUE \
BUREAU OF COUWrY COLLECTIONS
APPUCA HON FOR AND CONSENT
TO TR;\NSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDE~H
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for c 01se·nt to the transfer of the following sec;urities of a Pe~nsylvania .
Carp·oration or a National Bonking Associolion located in Pennsylvania: ..
(a} 20 sbs_.__(b) Equ,itable Gas Cp.. . · (c)____.OQtttmQn .
(NOTE~ In describing securities etrter in (o), ab Ole, either the number of sh~res of stock or the face amount of.·
re.gistered bonds, in (b), the nome of the issuing company and in (c) the class of stock or the stated interest rote
and maturity da:te of registered bonds.) · . ·
ISSUED ON . Dee. J.J, 19$0 , andhoving a TOTAL MARKET VAiLUEOF $_68,_2_ .• _.::;.$_0_. -~----
(Date) · · · ·
as. of the date of death of the decedent, Susan J. Campsey , on_ May lit • ·1971
(Nctme of· Dece.dent) (Dote of d~atft)
(Street and Numb.er) (Post Office) (Caunty} (Sinte)
~ese~ritles.o~rngistered~f~l6w~~~~~·-S_~~s-a~n~J_.~····-~_a_m~·p~s_e_y~·-··~~~~~~~~~~~~~
(Name o~ nome$ in whi.ch certiflc.ates O:re registar,;cl)
ABUi~)
EXECUTOR )
Donald McLain Campsey,. 241 Birch ·st., Claysville. Pa. 15323
(Name) (Address)
NAME OF APPLICANT _'l'b.Qmas t. Anderson,
102~sh1ngton Trust Bldg.,
COUWTY FILE NUMBER 63~71·~ ADDRESS OF APPLICAWT ll'a~ l2 ~ri -~
euREAu FILE NUMBER siGNATURE oF APPLICANT £ ~' =Utu-h'f:..v{
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT W·ILL NOT BE
CO~SIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETiON. . . . .
. . . . . . .~.' . . . .
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE&nuery 2.!--
1 hereby consent to the transfer of the above securities now registered in the name of the afon?soid 1972
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance 'tax. to which
. the property of said Decedent is made subject pursuant to the provisions of theAct of J~ne 20, 1919, P.L. 521,
as amemded and the Act o.f June 15, 1961, P.L. 373~ as amended •. This is also in accordance with the provisions
of the Act of April 9, 1929, P .L. 343.
This Consent to Transfer the herein described property operates only in referG:-nce to the estate of the
above-named Decedent.
. Signecl for the Secretary of Revenue
(Signature)
Rogiataro of· Wills Washington
(Title) (County)
r-
{./) <! ...:r 0 --' c.. z --' ~ C!;-~ 0 •\, \ p,, \ "'~ I \ '' ' '_ ~ '--.. •·:;-;,..,_ -~ ,\ '"~....:: t>J ....__ " 0 0 --' 0~ 1-c;:::; _, UJ C.!.)
U.J ,_ z LU V) U) =~..., (..~ ! = :::=> C) (/) --= 0::: w <X: a:: 3= ('..J
r--Ll-..
"""--, (9•68) I ,
.MONWEAL TH OF PENNSYLVANIA
/ D1EPARTMENT OF REVENUE
.lJREAU OF COUNTY COLLECTIONS
I \
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE August 24 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
{a) 18 she.raa (b) Washington Steel Corp. (c) Ol">mm.Qn
(NOTE: In describing securities enter in (a), ab CNe, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON_l_9_4_5 _____ , and having a TOTAL MARKET VA!LUE OF $_._2 _80_. •_1_3 _____ _
(Date)
as of the date of death of the decedent, Susan J • Ct4"'ilp$e"!( May 14, 1971 ,on ________________ __
(Nom!' of Decedent) (Date of death)
who was lateof _______ -_· _____ W_e_s_t __ A_l_e_x_a_n_d_e_r __ t_W_. ·_a_s_n_t_n_g_t_o_n __ C_o_un_··._.t_y_,_· .. _P_a_· • ________________ _
(Street and Number) (Post OHice) (County) (State)
The secu ri ties are registered as fo II ows: ____ s_u_.s_a_n __ J_. __ C_a_:rrro--";.'---3-a--"y=--. ----------------------------
(Nome or names in which certificates are registered) . '
~,.::~~ Donald r~ct,tti'fl Onmpsey-, 2l~l Birch St .. lll Clays"lt1lle1 Pa., 1$323 EXECUTOR )---------(N_a_m_e_l __________________________ (A-d-dr-es_s_l ______ ~-----------
NAME OF APPLICANT Thomas tl,. Ande:r-son, P.ttorney
COUNTY FILE NUMBER
1026 Wash1neton Trust Bldg.,
ADDRESS OF APPLICANT i¥mtonya!~
SIGNATURE OF APPLICANT tlMftWJ~' LdJ~L BUREAU FILE NUMBER same
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Aug. 24, 1972
I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer t.he herein described property operates only in reference to the estate of the
above-named Decedent.
Register of Wills Washington
(Title) (County) ( ':!:
1 ·0
RCC-72 (9·68)
'
COMMONWEAI.JTH OF PENNSYLVANIA I
DEPARTMENT OF REVENUE
BUREAU OF COUNl\Y COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE A't18• 2-l;.,· 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associa1ion located in Pennsylvania:
(a) '= 8~ . ee (b) ~-. • -"''* "*"'"* ~tJ,.. . · (c) ·e~ (NOr~ . ~escribing s~"C'i.rities e';;'te~ri.f'(a),-;b"'~e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON 1952 , and having a TOTAL MARKET VAILUE OF $___..1-..,;i-ol'li..;JJ.!o!.6.,.3~1..__ ___ _
(Date)
as of the date of death of the decedent, $URR:ft 39 · Campaox , ori Ma7 14• · 1971
(Name of Decedent) (Date of death)
(Street and Number) (Post Office) (County) (State)
The securities are registered as follows: _____ ..:a.:3u.Uuau&ll.ln~JL-.,.,_. _:C!iot· ul.l!lt9~. tl!ilGt!IIG~JL· ___________ _
(Name or names in which certificates are registered)
AE~~ t>oua'l,d Motatn OampneJ1 21-tl BiPOb Su., dla,-av111e, Po •. 15323 ~ (Name) (Address)
NAME OF APPLICAN[ romas ft., . Anderson;. Attorne-1
l!JI! . w.C ~t lnd!;.,
COUNTY FILE NUMBER 6Jo41-J>76 ADDRESS OF APPLICANT We ~~!:JS301
BUREAU FILE NUMBER 63-7l-.576 SIGNATURE OF APPLICANT -~Ltt~/h/
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Au@• 24, 1912
I hereby consent to the transfer 'of the above securities now registered in the name of the afores.aid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
(Signature)
Register of Wills Washington
(Title) (County)
I
RCC·72 (9•68)
'
COMMOR:~WEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY' COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
DATE Au.g~ 24t 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associa1ion located in Pennsylvania:
(a) 14. shares (b) H. II .• Robertson co. (c) _ _....c_o_mm_on--"--'-----
(NOTE: In describing securities enter in {a), ab Ofe, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of reg.istered bonds.)
ISSUED ON_l9_;:5_0_· ____ ,and having a TOTAL MARKET VAILUE OF $____:..3_....41_____,-,_2$"---------
(Date)
as of the date of death of the decedent, ----=8=-u=s::.:a=n=--J=-· .!!;.-• _e""'"·_ =an:::.:t~P.::S..=.e.aY _____ , on --'Ma=y..__l=4.=·.,..;-=l=9.3..7=1'----
(Name of Decedent) (Date of death)
who was I ate of ___ -_.... . .:•_....•:::__ ___ ~..:..:.rf-=e-=s_,t---=A,l,_,e""x""'a==.n=.,d~e,_,:r:...li,L-..:\I=-=ia::.!'a,_,h""'1=n=g::>..t.:::...o=n~C=,~o.::...un..::::·-=-=t-'~--y_..._--=-P=a.'-"'•--------
(Street and Number) (Post Office) (County) (State)
The securities are registered as follows: ___ S_u_aa_n_J-"-,_e_a_:m.::..p_s_e_,J_· _____________ _
(Name or. names in whi·ch certificate;5 are registered)
A DIM~ ronald netain CampseJ; 241 Birch: Stt, Claysville, fa~ 1$.323 EXECUTOR )-----(-Na_m_e_l ______________ (A-d-dr-es-s~l----------
NAME OF APPLICANT Th()tnar.t t~ Ande:N!Ol'l1 Attorney. 1026 Washington·Trust Slag.,.
COUNTY FILE NUMBER 6.3• 72-576 ADDRESS OF APPLICANT Wu~ton., l'.a. 15 301
BUREAU FILE NUMBER 63-71-576 SIGNATURE OF APPLICANT ~l/i:J t~~
NOTICE: IF YOU FAIL TO PRqPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF. REVENUE
CONSENT TO TRANSFER SECURITIES
I h b h f f h b . . . d . h DAfTEh ~ug,. .f4o• 1972 ere y consent to t e trans er o t e a ove secunt1es now reg1stere 1n t e name o t e a oresa1
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Register of Wills W~shington
(Title) (County) (;;\
t~
RC C-72 (9·68)
COMMONWEAI.!.TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE Aug. 24. 1972
Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a) 14,0 sh.are.:b) Jor Mf'g. Co. . (c) cOll4'110n.
(NOTE: In describing securities enter in (a), ab 01e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON 1939 . , and having a TOT:AL MARKET VA1LUE OF $_7L-!_."""5=--=G-=6...!e.•=2S~· ____ _
(Date)
as of the date of death of the decedent, Susan J., Campae,-, on May 14, 1971
(Na"!e of Decede.nt) (Date of death)
who was lateof ______ •_·~-~_.·· ____ W~e~s_t~A~l_·_a~x_a_n_cl_G~r~,~·-W_a_e_h_i_na_·=-t_o_n __ C_o_.~#~P_a~~--·------------------
(Street and Number) (Post O.ffice) (County) (State)
The secu ri ties are registered as fo II ows: ______ S_u_s_a_n __ J_w __ C_a_m_p_· _s_e_':f ____________________________ _
(Name or names in which certificates are registered) . .
Ai~ Donald ~~~Lain Campsey·,. 241 Birch Stj>, Claysville, Pa. 1.5323 · EXECUTOR )----~~--(-N-am-e~)--~----~~~--~--------~~(~Ad-d-re-s-s)~----~~----~~=--
NAME OF APPLICANT Thomas t. A.nde1•son, Attorney)
1026 t4ash1ngton Tr•ust Bldg.,
COUNTY FILE NUMBER 6:i•7l .. $76 ADDRESS OF APPLICANT ~~~ P~>.~l
BUREAU FILE NUMBER same SIGNATURE OF APPLICANT ~·fv ~~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
~======================================================~~ COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Aug. 24.. l. 972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Re ister of Wills ton
(Title) (County)
RCC-72 (9·68)
COMMONWEAl:. TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
'
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE Aug. 24., 19?2
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for consent to the transfer of the following securities of a Pennsylvania
Corporation or a Notional' Bonking Associo1ion located in Pennsylvania:
(a) h. ahares (b) n. I. Holez Oo., (c) __ o_ommo_.·_n ____ _
(NOTE: In describing securities enter in {a), ob Ofe, either the number of shore.s of stock or the face amount of
registered bonds, in (b), the nome of the issuing company and in (c) the class of stock or the stated interest rote
and maturity dote of registered bonds.)
ISSUED ON 19Sl , and having a TOTAL MARKET VAlLUE OF $_1_6_1_._00_· _____ _
(Date)
as of the dote of death of the decedent, SUSGQ ~If Compeer . , on . Hay 14, 19?1
(Name of Decedent) (Date of death)
who was late of _____ . _ _. ____ W_e_a_t_A_l_e_x_no_d_e_f'_,1"--·, _W_a_a_td._na-=· .·_t_oa_··_o_o_Uft_t-=' '1_::, t'--P_e_w ____ _
(Street and Number) (Post Office) · ·(County)'· · (State)
The securities are registered as foil ows: __ S:::.u=s-=a:.:::n~3__:!•:___::C~a=m3p~a!!.!o!.Jir[__ ______________ _
A
EXECUTOR
(Name or names in which certificates are registered)
(Name) . (Address) · ' ·
NAME OF APPLICANT TbODU\8 L. Aftt'ieJ' •. Oftt AttorftOJ'J .. · 1026 Weeblngtoa. 'l'i"u.,t Bias.,
COUNTY FILE NUMBER 63 .. 71~S76 .. ADDRESS OF APPLICANT' ' C1'tt::.0'
BUREAU FILE NUMBER 63-71-.57.6 SIGNATURE OF APPLICANT _d. __ ,-~~
NOTICE: IF YOU FAIL TO PROPERLY 'FILL IN ANY· PORTION OF THiS APPLICATION, IT WILL' HOT BE·
COHSIDER!ED COM~LETE AN[) WILL BE RETURNED TO YOU FOR COMPLE.TIOH.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
. CONSENT TO TRANS•FER SECURITIES
DATEAugust 24, 1972
I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Register of Wills Washington
(Title) (County) ®
RCC·72 (9·68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE Aug. 24, 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a) 6 aharea (b) ·ppo ~du~t.rlea (c)_O.;::_::a.~p:...::.1:...::.ttt:.:...:1__::..·_:.__ __ _
(NOTE: In describing securities enter in (a), abate, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
19$$ f s ISSUED ON _______ , and having a TOTAL MARKET VAILUE OF $_1._S_·....:.a__;.7_.:_. _____ _
as of the date of d<~;;h> of the decedent, Suaa:n 1": <hunptt•Y , on May .14-t 19?1
(Name of Decedent) (Date of death)
who was late of ___ •_•_· __ V_e_s_t_·_A_l_e_~_a_rw_er_· . ....:.·'-· _'T_a_s_b_·Uts_. _t_on_. _O_c...:...··u...:....n_t_"'_t..:..· _P_;_a_• _______ _
(Street and Number) {Post Office) (County) (State)
The securities are registered as follows: ___ S_u_a_:a_n_J_. •.::...· _0_· ·tl_m....:.. P::__&_O::__'f _____________ _
(Name or names in which certificates are registered)
A~ Donald McLain CampsO.J:t; 241 !l:roh St., Clnysvtlle• Pa. ).$.323
EXECUTOR )-----<N-am_e_)----~-----mk-.--.~1.A~dd~~-ss~>---------
NAME OF APPLICANT ..,u.OmB8 .. ,. AndorOObt AttornoJ 102(J Waab!nl·• t~on 'fr·uet Dld~. ,
COUNTY FILE NUMBER bJ-.71•S'76 ADDRESS OF APPLICANT \fa~ p~ ~
BUREAU FILE NUMBER63-71-576 SIGNATURE OF APPLICANT ~ldi/)d__t_, ~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES DATE AUEJ~ 24., 1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Register
(Title)
ignature)
of Wills Washinmton
(County) l (!;
~
r-
.:::t-(f) <( 0 -1 0... z -1 -0::: :3': 0 ::c: .. ::z c .. •'-.!; t_,_ -<.7:) ....._
Cl 0 ·--· 0::: l-c::: ' I " ; !JJ u-: i ~~.) , .. ;---...-.;; ..... ,:".;:I f..t) (./) = c!) :c •, -.........: ~ :::J (.!) (f) cc: lJJ <( ,......., 0:::: -~ LL r-~ ..
RCC·7Z {9·65)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE}
DATE ____________ _
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for cons.ent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associo1ion located in Pennsylvania: ·
100 ~hur.eAt noo.kw.all ~-,nnuraotu~t.ng CQ. oo~n
{a} (b) (c) _________ _
(NOTE: In describing securities enter in (a}, ab 01e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
1945·1960 2.918 .. 75
ISSUED ON _____________ , and having a TOTAL MARKET VA1LUE OF$--------:-=--~-.----=-==---
Susan J. CB:trp$t'lf lm:t 141 1971 (Date)
as of the date of death of the decedent,---------------, on ________ _
· {Name of Decedent) (Date of death)
West Alcxaniler, Weohlt'lgton aourd~f• Penn •n. .
whowaslateof ____________________________________ __
{Street and Number) (Post Office) Su~utn J' • fltUn:,f).s&y
{County) (State)
The securities are registered as follows: ____________________________ __
{Name or names in whi·ch certificates are registered)
XXXXX~XXXX.X n~nnld Hctatn Oa~ooy, 241 B1rch Street, 01eyav1llo. Pa. 1$3~3
ADMINISTRATOR) for Estate EXECUTOR ).--------<-N-am_e_) ___________________ -=T~b-o-~---d~=--lA~n-d~e-r_s_o_n_ .• ~A~t~t~o=r~h=e~J7
NAME OF APPLICANll026 Waah.1ni¢ton ?rust Bldg. 1 63·?1-576 Wasbinuton. Penn•a. 1$.)01
COUNTY FILE NUMBER . ADDRESS OF APPLICANT ---#--· / ~
BUREAU FILE NUMBER~_S_am_e __ SIGNATURE OF APPLICANT~ih/.1UC/Jh, ~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES Oac. 8• 1972
DATE ____ _
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
{Signature)
Register of Wills Wa shing ton
(Title) {County)
RCC-72 {9 ... 68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE Doc. ?6, 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a)$S,ooo.oo (b) Pb1ladolph1a Eloctl'·ic co. (c) 8,10s. S/l/76
(NOTE: In describing securities enter in (a), ab (J(e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.) ~,021.2$
1nt. to death 15.7; ISSUED ON r~ay 1, 1970 , and having a TOTAL MARKET VAtUE OF $ ~,jfi)'l;'OO
(Date)
as of the date of death of the d eced en t, ---~~.J.Jd ..... ts~n~. 4-'l-· ~J.,..____.,.Co.:c6&-l''l"l!l!.!7.u,Q,..e~.Jlll-'---, on _....:t~'o~.· ~?J-·'--;~.llil+-,..•---.~l"'ii9~7f-.,jl~r---
(Name of Decedent) (Date of death)
who was lateof _________ ~W~e~s~.t~·-A~l40u·~x~a~n~d~e~~~~~w~~~lS~.h~.i~n",~~~~t~o~n~C~o~l~'Ul~i~~~~,,~._P~ .. ~n~•-------
(Street and Number) (Post Office) (County) (State)
The securities are registered as follows: ____ ....:8~u~a~a~n!.......!:J~•~C~a::!.:·I11D=:. s~e~Y~-----------
(Name or names in which certificates are registered)
~ti.MHm~:L__.!;!n~o~na~l~d~t-~Yc!:!::L~ac=i~n_.:O!!_;a~m:!!!p~s~e~v_..,_.!:!:2.4~l~· ---"B~ ... t~t~2'-o=h'----=S~t.!!:.. • ._. ---"O~l~$l!..:!V.=!s~v~1~ll~e~·IL-....::P~a~.:--7l..t!.S~32~3.L..
EXECUTOR ) (Name) (Address> Estate
NAME OF APPLICANT 'J:homns Th Antlaraon, Atty. foy./ I
1026 Waslltngton Trust Bldtt•t
COUNTY FILE NUMBER 63~11~~76 ADDRESS OF APPLICANT lfn~\'fll~ton• P"y l~
BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT /fvP..ULrCIA ·1A \ ~ ~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Dec. 26, 1972
I hereby consent t.o the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Office copy
(Signature)
Register of Wills Washington
(Title) (County)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE Poe. 18, 1972
Application is hereby made for consent to the transfer of the following securities of .a Pennsylvania
Corporation or a National Banking Associa1ion located in Pennsylvania:
(a) 20 shares (b) Ooorgo Wnshinp~ton Hotal Corp • (c) _ _!c!!..!(:!!nn!!!m,!!!o!!.lncL-____ _
{NOTE: In describing securities enter in {a), ab CNe, .either the number of shares of stock or the face amount of
registered bonds, in {b), the name of the issuing company and in {c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON Aug~ l, 19.36 , and havi.ng a TOTAL MARKET VAILUE OF $_rJ~O,_, • .,_,,O~O"--------
{Date)
as of the date of death of the.decedent, ___ g.:::.r..::..;u=a..::..;a..::..;n:........::J--='"--· ---'C=-=a:::::1ll..::!P"'--B:::..e.=.......f_· ____ ,on May 14, 1971
{Name of Decedent) (Date of death)
who was I ate of ________ _:t:.::rlo=-=.n~i;--=..:A:.::l:..::e~:x=n::n::.::d::..:e::..:r:._,!L· _~:.:..lq.:..::· =.a.:::n:.::i:=.:n:.cg!2t:.:o:..:n.::...· _:O~u~un=.::.t.,_y~•--=-P~3:.!.:n~n~'~a~·~----
{Street and Number) (Post Office) (County) {State)
The securities are registered as follows: _____ S_u_s_a_n_J_._• _C_n_"l.:...p_a_e~y ____________ _
{Name or names in which certificates are registered)
Donald t-iet,.oin Cau~HH))'J 2ltl Birch f.tt!eet., Claysville~ Pn .l$323
{Name) (Address) state
NAME OF APPLICANT "'homna r.. Andm-uHnl• Atty. ror I
1026 Washinr.ton Trunt Bldg,,
COUNTY FILE NUMBER 63-'ll•li76 ADDRESS OF APPLICANT ~~-,. ~· l$j01
BUREAU FILE NUMBER same SIGNATURE OF APPLICANT~(/J.~_}t• ~~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Dec. 18, 1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Office copy
(Signature)
Register of Wills Washington
(Title) {County)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICA!E)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE Nov. 30, 1972
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associa1ion located in Pennsylvania:
(a) 260 shs. (b) H. H. Robertson Co. (c) common capital
(NOTE: In describing securities enter in (a), ab 01e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or· the stated interest rate
and maturity date of registered bonds.)
ISSUED ON ~.9.50•1968 , and having a TOTAL MARKET VAILUE OF $_6__.:,:....::.3_:_3_7_._5_0 ____ _
(Date) 4
as of the date of death of the decedent, ___ s_u_s_a_n_J_._C_a_m_p_s_e_y _____ , on __ Ma_y_l_,_· _1_9_7_1 __
(Na"'!e of Decedent) (Date of death)
who was late of _______ W_e_s_t_A_l_e_x_a_n_d_e_r_,_W_a_sh_i_n_g_t_o_n_C_o_un_. t_y_,_P_a_. ________ _
(Street and Number) (Post Office) (County) (State)
The secu ri ties are registered as fo II ows: _____ _:S:...:u=:s::..:· a=n=--=-J.::.•--=C.::.a:.:.:m:£.p::...:s:..:e::...!y!.__. ____ ----:-______ _
(Name or names in which certificates are registered).
~ Donald McLain Campsey, 241 Birch St., Claysville, Pa. 1$323 EXECUTOR ):----=::...:::...:~::..:=<_N~a=-me=>~~~~~~L-~=-~~---~<-A-dd-re-s~s>---~---~~---
NAME OF APPLICANT Thoman L. Anderson
1026 Washington Trust Bldg.,
COUNTY FILE NUMBER 63•71 ... 576 ADDRESS OF APPLICANT vias n ton P • 01
BUREAU FILE NUMBER __ Sa ___ m_~_. ____ SIGNATURE OF APPLICANT !J. { tttvlt-
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Nov. 30, 1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of sa-id Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Office copy
(Signature)
Register of Wills Washington
(Title) (County)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE nov. 30, 1972
Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a) ?.J3 aha. (b) Wanbtngton Stool Cor.-p. com.lYlon {c} ________ _
(NOTE: In describing securities enter in (a), ab Ofe, either the number of shares of stock or the face amount of
registered bonds, in (b), the ·name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON 19~9,1968 , and having a TOTAL MARKET VA!LUE OF $-'3'"-'· ,f!...C6::..:2:::...:6::.....:.•:_0......::6 _____ _
(Date)
as of the date of death of the decedent, __ S_u_o_o_n_Z_;.•_· _C_a_m_,p,_n_o_y~----, on _ _..c.Mwe'-dyL......Il~ftri1~1 .... 97-7~1.,.· ..... -
(Name of Decedent) (Date of death)
who was lateof ___________ Wnae~s~t~· ~A~l~e~x~n~n~d~a~r~.~HwA~s~b~t~n~g~two~n~Ov·uou~~n~t~y~,~P~e~·~.-----
(Street and Number) (Post Office) (County) (State)
The securities are registered as follows: ---~S~u~s~a~n~J~·!L· __.:C~a~mp::==:s-=e~y ______________ _
(Name or names in whi·ch certificates are registered)
~ Donald f-4GLo1n Campsoy, 241 Birch St., Clayav1llo, Pa. 1$)23 EXECUTOR . )---~~~(~N-am__.:e~)~~--~~~-~------(~Ad-d-re-s-s)=---~~--~~~
NAME OF APPLICANT Tbomns L. Ande~tson,
1026 Wnsb1nr.ton Trust Bldg.,
COUNTY FILE NUMBER 63 .. 71•S76 ADDRESS OF APPLICANT W~tonya•, 15301
BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT JtviwuaAft. ~~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATEllOv. 30a 1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
. above-named Decedent.
Office cmpy
(Signature)
Register of Wills Washington
(Title) (County)
RCC-72 (9·68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE Nov~ 30~ 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for c oosent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a) 938 aha. ·(b) ·ppo Industries (c) _ _::c:.-=e::.!:p-=lc...::ct=al=-----
(NOTE: In describing securities enter in (a), ab 01e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON l9h.6-S$.w60..61•§/.kmd having a TOTAL MARKET VA1LUE OF $......::3::....::3:...::.,_8___.:8$=--· •_·2-=-$ ____ _
(Date)
as of the date of death of the decedent, ___ S_u_o_a_n_J_._O_a_r.'lp-=----U_e_r ____ , on __ r-T_n_y_ll_.,._._l_9_7_l __
(Name of Decedent) (Date of death)
who was 1 ate of ________ \i_e:._s_t_A_l_o_x_a_n_d_e_·I'..:...!~ ,::.__W_a_a_h_1_n_.::g=--t_o_n_C_o_un_t_y_.::,_: _P_a_• _____ _
(Street and Number) (Post Office) (County) (State)
The securities are registered as fo II ows: ____ _!!>S!..!u!l!!so!..!a~n~J'~. -2!!:0~anm~· ~tl~e~JL__ ____________ _
(Name or names in which certificates are registered)
~at1413} Dono.ld McLain Campoey,. 241 Bll"Cb St • ., Claysville, Pa • ·l.$323
EXECUTOR ) {Name) (Address)
NAME OF APPLICANT Thomas L. -Anderson
1026 Washington Trust Bldg,,
COUNTY FILE NUMBER 63*71·'i76 ADDRESS OF APPLICANT Wet~ Pti4.15J.Ol
BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT CfA ' ~t., It-"""
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES tt 30 1972 DATE .ov. · ' ·
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Office copy
(Signature)
Register of Wills
(Title) (County)
Washington
RCC-72 (9-68}
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION {M~ST BE FILED IN TRIPLICATE) DATE Nov. 30, 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby mode for consent to the transfer of the following securities of a Pennsylvania
Corporation or a Notional Bonking Associolion located in Pennsylvania:
(a) 320 abe. (b) H, 3 • Ue1nz Co.. (c) __ c_o_mmo_· ._n ____ _
(NOTE: In d~scribing securities enter in (a), ob ;,e, either the number of shores of stock or the face amount of
registered bonds, in (b), the .nome of the issuing company and in (c) the class of stock or the stated interest rote
and maturity dote of registered bonds.)
ISSUED ON 1946•51•61•69 , and having a TOTAL MARKET VA1LUE OF $ 12,880.00
(Date)
as of the date of death of the decedent, ___ s_u_s_a_n_,._J_.,_C_a_mp-=---s_e...;_y ____ , on_t_·~_sy=--1_4__:._;::_._1_9_7_1 __ _
(Name of Decedent) (Date of death)
who was late of ________ 'W_e_e_t_A_l_o_x_o_n_d_e..:.....r......::•:__W_o_o_h_1_·11B_:·=--t_o_.n_C_o_un_· ._t_,_::."'-=· •_P_,_a_._· _____ _
(Street and Number) (Post Office) (County) (State)
The securities ore registered as follows: _____ ..... Suusl!!lidOl.loioUn.A.......J:riL.JL• ___w:C.Soiln~mp¥"slllie!..;}y~------------
(Name or names in which certificates are registered)
~~ Donald 1-1oLn 1n Compsey, 241 81~ch St • • Clayuvllle1 Pe. lSJ23 EXECUTOR )~-~-~~-~(=--N=--am_e_)~~--~=--=--~L-~--~---(~Ad~d-re-s-s)-=---~----~-=
COUNTY FILE NUMBER
BUREAU FILE NUMBER
NAME OF APPLICANT Thomas t* Anderson 1026 Wash1rigton Trust Bldg ••
63•71•'.176 ADDRESS OF APPLICANT lf~on,}a.~Ol ..
Same SIGNATURE OF APPLICANT ~{0 'fLl. ~~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Nov. )0,. 1972
I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Office copy
Signed~he Secretory of Revenue
By r~~-;;;~;9~~Ud)
(Signature)
Register of Wills Wa. shington
(Title) (County)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE No~. 30, 1972
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associa1ion located in Pennsylvania:
(a) 160 shs~) G •. c •. Murphy Co. (c)_--=--co=-=mm=o=n=------
(NOTE: In describing securities enter in (a), ab 01e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON 1941•46 ... 62 , and having a TOTAL MARKET VA!LUE OF $_L5:..ztL.-5-=-6-=-0~•·0~0:::.__ ___ _
(Date)
as of the date of death of the decedent, ___ S_u_s_a_n_· _J_._C_a_m...=.p_s_e_,Y,__ ____ , on __ Ma--=..:.y"-· ------'1---"4~'------'1::....:9::....:7,_1 __
(Name of Decedent) (Date of death)
who was 1 ate of ______ ____:_:vl-=e-=s:....:t:....__::A.::.:l:.::..e.:..:x:.::.a.:....n..::...:..:d..::.e.:::.r~1___:_W.:..::a.:..::s:..:..h.::.:i:....:n~g~t.:..:o_n.....__ __ c_o_u __ n=-t....!!y'-!,~·-P_a:_:__. _______ _
(Street and Number) (Post Office) (County) (State)
The securities are registered as foil ows: -----~sc.!!!uwst.Sa~n'----.I.Jl:.J· ·~cllo!C· a"""millp~.IOls.!lile-J.y ___________ _
(Name or names in wh i·ch certificates are registered)
lUll\."tlmXUimn~---=D:...:o:..:.:n~a~1:..::d:_.:.:M::::c=.L.:::.a=-i:.:.......nC:::.am:::::~p.::..:s~e~yo[_,~24::::r..::'l~B~1:.::.r~c~h=---=S:...::t~._J..·-· =-C=l.:::.aJLy=-s v_:__i=-1=-l=-e=-,I!..........:P:...:a::...:•~· ...:.::·1::...5~3!.:::2::..3!..--
EXECUTOR ) (Name) (Address)
NAME OF APPLICANT Thomas L •. Anderson
COUNTY FILE NUMBER 63-71 .. $76 1026 ington Trust
ADDRESS OF APP LICANT_.w.a:fi3..'~.GP;.:l#Qa-..-~h-;.47~1t----
BURE AU FILE NUMBER __ Sa_me __ Sl GNA TUR E OF APPLI CANT--=--:::____:_:_--=-.!=---__;__--"'-V'vf___._
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Nov. 30. 1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Office copy
RCC .. 72 {9-58)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
~
I
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE) DATE Nov. 301 1972
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associalion located in Pennsylvania: , .
. (a) ,360 shs. (b) Armstrong Corfu Co. (c) _ ____!..ic<.l.owmm"""""o.._.n"'-· _____ _
(NOTE: In describing securities enter in (a), ab a~e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON 1955-64•69 , and having a TOTAL MARKET VA1LUE OF $__.!!!!.l....t.3.._ • ..~..:72~5~.0=-0=-------
(Date)
as of the date of death of the decedent, -~S-'-'u-=s--'-a--'-n::.___:J.....:•=-·-C-'a-'-'.m""". p""-"'-s..::.e...._y _____ , on_-=.M=a::....Y'-----'14==-..._' _1=9~· _,_7=1'----'--
(Name of Decedent) (Date of death)
who was lateof ________ W~e~a~t-=A=l~e~x=a=n=d~e=r~,~W~a=s~h=i=n~gLt-'o~n~O~o~un~~t~y~•-·~P~a~·~---L------
(Street and Number) (Post Office) (County) (State)
The sec uri ties are registered as foil o~s: _______ S_u_s_a_n~: __ J_._C_a_mp __ s_e--='1~----~------------
(Name or names in which certificates are registered)
~ Donald McLain Campsey,·2Y.l Birch st.,·Claysville,,Pa.·l$323 EXECUTOR )-~~~~<~N~am~e~)~~~~~~~~~~~tiL~~~(-Ad~d~re~s~s>~~~~~~~~~L-
NAME OF APPLICANT Thomas r_.. Anderson;
. 1026 Wash gton Trust Bldg.,· ·
ADDRESS OF APPLICANT_-lllU:~~~~~~--.a,...;;~~.~.---COUNTY FILE NUMBER 63•71•576
BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT__:L..:..!..-=..:..::~----lL.!~--=-------'----==--
HOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL HOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Nov. 30, 1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waiv'e the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to·the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act cf April 9, 1929, P.L. 343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Office copy
Signe~the Secretary of Revenue
By V !:v;;;;-~c!_o ~·U./Cs?
(Signature)
Register of Wills
(Title) (County)
Washington
RCC-49 (8-71)
COMMONWEALTH OF PENNSYLVANIA"
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
HARRISBURG, 17127
I.
PENNSYLVANIA ESTATE TAX
DETERMINATION lJ I;
hd. an '1 o " ·F. F, L ,
J
Date Fl Pi~ t l J q 19 7 3 ___:;:___
Estateof: Susac..._T C.avnp.Se'-1
Date of Death 5-14~ 1/
County Lua.sl..flJ<tq1oh D6d{e1' 3f~J7K .. f
Bureau File No. GJ · 1/ · $ 7 fo
1. Taxable estate per U.e S. Estate Tax Return, Form #ZQ6 F• ted iJ . 1 o . 11..
2. Taxable estate per final change in Federal Return dated 8 ·l'l. 12.
3. Amount of credit for State death taxes.
As shown on return form or final change notice{$ /p 3q {, ,g 2. ) ----..-----,
$ 327 lfoo. too
$ '11a c.ha119e.
As verified by computation ~ 39&. 8 2..
4. Penna. Inheritance Tax due and/or paid ......__,
5. Normal Inheritance taxes paid to other States
6. Total Inheritance tax credits (4 + 5)
7. Total liability for Penna. Estate Tax {3-6)
$ .59JJ(j. '7
A)tJIJ!..
8. Less: Previous payments on a/ c of Penna. Estate Tax
Date of payment Amount of Tax paid Amount of Interest paid
$ _____ _ $ ______ _
9. Balance af 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 ---------$====±!/I)~[J::!:!:JJ~e.=
Prepared by
Reviewed and approved by------------------------------
(NAME) (TITLE) (DATE)