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HomeMy WebLinkAboutOC1971-0741 - ESTATE OF SIMMONSOIOmmOl11Utaltq of ,rl1115!}lUal1ia,} lIa5q1ugtou QIOltutg,55. K~OW ALL ME::--J BY THESE PRESENTS:Whereas,at Washington,In the County aforesaid j on the 19t.h day of July A.D.19 71 ,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 late of Union TOl-rnship,in the County aforesaid,deceased, (a true copy whereof lS to these presents annexed),was duly admitted to probate;and J 0 H N S I M M 0 N S-...;;.......;.~;.-;;.;.-.--_.----~~._.~, the Executor In said Will and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; ~OW,THEREFORE,I,Russell Harino ,Register as aforesaid,do grant these LETTERS TESTi\~m0JTARY,unto t he said J 0 H N S I M M 0 N S-..:....-::.......;..;;....~---_.__...._._.....:::J_~ committing unto him t he 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 ()ffice,at Washington,within ninety days from the date hereof,and to render 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 provision~of the laws of this Commonwealth relating to inheritance taxes. I:"J TESTIMO::--JY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this n i net e e nth Julydayof nine hundred and s e in the year of our Lord one thousand ;1 'i~I 'Ij .~·1 ~;~ ) ;•...:..",). ~;'.>,... I,MARY McQUISTON SIMMONS,of Union Township,washington County,Pennsylvania,being of sound and disposing mind and memory, do hereby make,publish and declare this to be my Last Will and Testament hereby revoking any and all Wills heretofore made by me. ~.~1: i f~ ,FIRST:I direct that all of my just debts and funeral expenses be paid as soon as may be conveniently done after my decease. SECOND:I give and bequeath all of the money which I have in any banks whatsoever,equally to my son,William Simmons, and my daughter,Rhoda Simmons,share and share alike. THIRD:I give and bequeath my quilts,bedding and all coverlets,to my daughter,Rhoda Simmons. FOURTH:I give and devise what interest I have in the• farm where I live,equally to my eight children,share and share alike. t. !,Iir FIFTH:I hereby nominate,constitute and appoint my son,JOHN SIMMONS,to be the Executor of this my Last will and Testament,to serve without bond. IN WITNESS WHEREOF,I have hereunto set my hand and seal this 30/;,4 I ;1 1 -..j /i 'f Signed,sealed,published and declared by the said MARY McQUISTON SIMMONS to be her Last Will and Testament~in our presence,who at her request and in her presence and in the presence of each other,we believing her to be of a sound and disposing mind 1969. ~j ()(J ~(JJcV7t 6Jt/31/t;ke!Ja Address /S /~ and memory,have hereunto subscribed our names as witnesses,this '3 0 day of r~14ULJ~ ~(jJ~Name . • 6 J-7/-7tJ/ l\ffi~auit OOf tExrrutnr ®r A~miui!ltratnr J 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 $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 ~tate of 'euusyluauia } C!touuty of lIas4iugtou ss: Personally before me,the undersigned authority,a ..~~:t::~EY R~J:?~~_S:_in and for said County and State,appeared ~2~~!~9.~.~_:.__.__ _who,being duly sworn according to law,deposes and says that he is the executor ~of the es- tate of ~N~:¥~~.Q!!,;J;.$.~Q~_..e.~.~9.~_$.deceased,that the foregoing schedules constitute a ~.'complete inventory and appraisement of the real and personal estate of ~"E¥..M.~_QJ1ls.~Q.:N ...S.J;MMONS.~~..~deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite'8 ."O":If each item of real and personal estate in the foregoing schedules are determined and stated by the .~".~~..undersigned to be the fair value of said items as of the,date of the~.eed~ent'sdeathbased upon a .2!~i5 just appraisement of each item made by the above ~~Executo 0Jlu i 2:~.c ..28th t'<.:I'~.e Sworn and subscnbed before me this /i)./ ~.~~~~-'><'.-day~.June ~72 }~..:=:::U-l ~..;,,....Executor-Administrator U-l c ;El4I.'~:"•••••••...•.......•.............................................................•.........I ~<Il II:~.~~ADDITIONAL INSTRUCTIONS a:::10 :c U '"~~ :1Iuueutl111J aub 1\.ppraisemeut ~f the goods _and chattels,rights and credits which were of .M?\RX..M:9.QVJ.$.'r9.~~~.~9.~.~late of y.~.~9.~~9.~P.:~.~.~J?... Washington County,Pa.,taken and made in conformity with the above affidavit. DOLLARS PERSONAL PROPERTY: Western pennsylvania National Bank,Finleyville Office, savings Account No.005-000214-6 $2,474.~9 REAL ESTATE: CENTS ALL that certain piece or parcel of land located in Union Township,Washington County,pennsylvania,being a 75 acre farm upon which is erected a two-story frame house,barn and other farm buildings. PERSONALTY: REALTY: TOTAL INVENTORY: $30,000.00 $2,47~.49 30,000.00 $32,47fi.49 I..l !.1....-__------!.:nt.'j'" ~~~~::;0 ~~~ 'Vd "00 N01~)NIHSV/" ~~~6'-.:() :0 ......0::Z '"~ t SlllM .JO B31SW3tJ :c::;:i :H .... ~ ~c ON Iti V~i .11]SSna :(J)"'l \ :8 ~ I tTl ;,.~ ~ :0 ;:i ~!2:tTl ~.r.n ~S,2 Ud 52 lOr 2L. :(J)'-l ~\ ~ ~~ :H '-l ~~:~tTl ~ t l::'~'03l l~:0 0 ~...:!2:~'"~:(J);:i.... STATE OF PENNSYLVANIA, WASHINGTON COUNTY,}55: The within named Accountant being duly sworn according to law,depose and say that the above account as stated is true and correct as.---~-~----___..verily believe. Sworn and subscribed before me ,this ..~.Q:t;:..h.....__.. day of __._.:T.~_D:~___19...2.?.,~'.- ............_--~___. RGWEME EBEUNG.Notary Ploib My Commission Expires February 8,197::1 Washing-.on,Washington County,Penna. .__1~~_~.___.___._.__.__.__..~~'~-{~ons Washington County,ss: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 Cour,as evidence by proofs thereof filed to No.-.---4..3::-1d--:.3.3.------------.. Witness my hand and official seal thiS_._~g.H....____• 19_1~. ~...our.--~--;----~.....-------------.. Register of Wills day of -....---l.-.UJ~~~~ ~00ioH ..., >l 10 I!l o:l..., >l :C1-4 t<l ::; ,0 0<) f t!)<) p::-0::'-rr:!S•i0 ~...:0 >.~Q)rr:!;::: 00 ....00...,...,p::-0:: :>lo:l ...,;:::::; 0 ~<)<) cd~;::::.8...;...,.~.~ 0 Q)...,~~0 t:t>l "0>l .,.;-0::.... 1'~€l'rJ,!iiid '/IJ/oljI","II-•4·..''j ~'~.".1:;'Jj!l..::~~~~~~'t •.I~l\l;i0 ~::; 0 FI LED,oo!<) <) Z!-0:::0: ~i ~['15~Hi r JUL 25 PM 2000: ~ril 5:Eo<~,-0::8i 00Eo<RUSSELL .'.'~"'OUl00,Z !,,;'"t\11'" ril H,0 REGISTER OF WILLS::>i ~~!()l,VASHINGTON CO.•PA.u'H~:00"9i l>ii zp::,::r:~!0 ci I-) Z •.'.~~ t \ ., -,.. ... -, " " --------------- ------- ---~------- ---------, '-..... The Court is respectfully requested to determine Qroger distribution in this estate.BL OM,BLOOM,ROSENBERG &BLOOM By ~/c4 ~/Jkf Counsel for Accountant 1 .1 FIRST AND FINAL ACCOUNT OF JOHN SIMMONS,EXECUTOR OF THE ESTATE OF MARY McQUISTON SIMMONS,DECID. The Accountant is charged with the following: ................................................................. As Per Inventory and Appraisement •...•...•.....••.....$32,474.49 TOTAL ASSETS OF THE ESTATE ...........•........•....•.•$32,474.49 TOTAL CREDITS CLAIMED BY THE ACCOUNTANT .•...........••5,954.31 BALANCE FOR DISTRIBUTION..•.•...•.....•.••.•.....•...•$26,520.18 Balance for distribution consists only of real estate. '.. .- The Accountant is credited with the following: ................................................................. Thomas L.wilfong,M.D.Last Illness 15.00 N.Merle Vanderslice,Tax COL 1971 Road Tax Malcolm L.Morgan,Co.Treas.1971 County Tax 28.72 74.98 Register of Wills Letters Testamentary 19.50 walter L.Kennedy Funeral Home Funeral Expenses 1,174.25 Home Spun News washington County Reports Advertising Advertising 14.00 14.00 N.Merle Vanderslice,Tax Col.1971 School Tax N.Merle Vanderslice,Tax Col.1972 Road Tax Malcolm L.Morgan,Co.Treas.1972 County Tax 236.36 30.08 74.98 Register of Wills Register of Wills Notary Public John Simmons Bloom,Bloom,Rosenberg &Bloom Register of Wills Short Certificate Filing Inventory Four acknowledgements Executor's commission Attorneys'Fee Filing Account 1.00 4.00 4.00 1,623.72 1,623.72 16.00 I TOTAL AMOUNT CLAIMED BY THE ACCOUNTANT $4,954.31 ,payment made on Pennsylvania Transfer Inheritance ~ax on June 28,1972,$1,000.00 1,000.00 TOTAL AMOUNT CLAIMED BY THE ACCOUNTANT $5,954.31 ,---- I \. Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929, P.L.1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON}SS. STATE OF PENNSYLVANIA Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS, the official legal periodical for said 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: Estate Notices The Register of Wiills 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. •••••••••• • • • •••• SI,MMONS.MARY McQiJISTON.Dec·d.I Ji,ate of Union Township.Washing-ton County.Penna. Executor:John Simmons,R.D.#1Finleyville.Pcnna • Attorneys:Bloom,'Bloom.Rosenberg &Bloom..200 Washington TrustBuilding.Washington.Penna.15301 .........................J..u..l..y,2.9.f t.9.1.1.... ........................AU.gu.S.t .5.f .l.~..l.9.Z.L .. that the affiant or the corpora,tion in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to the /)"ce and ~haracter of the publication~~:~md.~~~:~~L/ ....l.2J:h day of ,8,Y9.Y.S..t ,19 1.J...,.jk--'~~l-+d-~~*'P,§,;J JOSEPHINE T.SCIAMANNA Notary Public,Washington.Washington Co. My Commission Expirc§)JJly J.J~14 --_.--• ESTATE .OF MARY McQUISTON SIMMONS deceased late of UNION TOWNSHIP,WASHINGTON COUNTY, PE~~~~~" Letters TESTAMENT ARY upon the above estate havi~g been granted to the undersigned,all persons '.'having claims against the estate are requested to makerknownthesametotheundersigned'orhis attorney and ;all persons indebted to the decedent are requested to _.make payment to the undersigned Without delay. JOHN SiMMONS,R.D.1,Finleyville,Penn.sYIVtlnla BLOOM,BLOOM,ROSENBERG AND BLOOM Attorney - = AFFIDAVIT OF PUBLICATION Before me,a Notary Public, personally appeared HJ!Z",'f/J?/l/Y .L>. E?~/fd/:Tr who being duly» sworn,deposes and says that he is the authorized agent of HOME SPUN NEWS,a weekly newspaper of general circulation ~ published at Finleyville,County of Washington,Pennsylvania,and that the notice attached hereto was published in the regular issue of said paper of July 28,1971 August 4,1971 August 11,1971 and further that the affiant is not interested in the sUbject matter of the said advertisement;that all of the allegations of this statement as to time,place and character of publication are true. ~~4f,/l-,&-<-# me 'j'Y:~~~L--/--'1971. My commiss~,J?1fiP.,h.J;;@!l%N,.HJ£ITlee 01"iHE PEACE 15TH M'AGISTERIAL.DIST.WASH.CO••PA." MY COMMISSION EXPIRES FIRST MONDAY IN JAN.1978,. !Ii "I i"II ": '.. ~n t1Jt Qtnurt nf Qtnmmnn Jltus nf Ihts4iugtnn Qtnuttiy. Jtttttsylttttttitt <Orp~ttttS 9 Qtnurt iinisintt j ESTATE OF No.63-71-741 Mary McQuiston Simmons, Deceased Inthematterofthe First and Final Account of John Simmons,Exr. ADJUDICATION AND DECREE .Ij.-/-hAnnowJanuaryQ2.:::::::,19~,this matter came on for hearing, audit and distribution of this session and testimony taken;and thereupon,upon due consideration thereof of t~4b~~~cg3for distribution in the hands of the Accountant is determined to be $,.and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto,be filed sec.reg.or an appeal be taken herefrom sec.leg. .~~. SCHEDULE OF DISTRIBUTION ,$1,733.55 Balance per account,.1 Additional Credits -Audit Balance:1 Deduct Clerk's Costs &Receipts,&_A_d_v_e_r_t_i_s_i_n=.g 1 Attorney B_1_0_o_m--,-,,---B_lo_o_m_,<-.::.R::.c:o-,,,s_e_nb_e~r:.>g",-=&::.....=B..::.l.:;..oo~m:::'-1 Register of Wills -Certification of Real Estate Recorder of Deeds -Recording certification of real estate Cbntribution by heirs to maintain real estate in kind $26.520.18 .' I John Simmons,Oliver P.Simmons,Samuel Simmons,Rhoda Mae Simmons,William R.Simmons,Robert Simmons,Richard Simmons and George Simmons,each an undivided 1/8 interest in real estate in kind at appraised value as certified herein 30 000 00,.NO BALANCE '" '-J.,. •.J . ~ 0 »-'z ~.~ m 0 ::l III ·0 -+9...0 ::l"' t:Y .0 c CD....::l ~i CD .-to 3 0 0 ~--....CD t'\ ., t a 0- c' .......::l"' ~ CD N := ~ -:...1 & ...,;.~',.'S ~ ~. ,.r:.... tl~~ *.;1.··. :';.T'. -,.;.'. '. .'\" "'.j:'. '.,:! IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, .PENNSYLVANIA ORPHANS'COURT DIVISION ******************************************* IN RE: .'.,ESTATE OF: '-.~'~·.MARY·McQUISTON'SIMMONS, DECEASED. ) ( ) ( ) ( ,),, No.63-71-741 ·In The Matter Of The FIRST AND FINAL ACCOUNT "OF 'JOHN SIMMONS,EXECUTOR t:'*******************************************,": '1.' . ADJUDICATION AND DECREE And SCHEDULE OF DISTRIBUTION Dated c.,,,;.. Filed c·.. ******************************************* ,Including ..'.. the ....>~". .~::' Following, ******************************************* :,",~;.' .- .\-:~. "1 """'-,",'- 'i'"...., REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF DEEDS OF WASHINGTON COUNTY BY THE CLERK OF THE ORPHANS'COURT DIVISION .+" :) ".,.- "f"> t'. '.',': MARY McQUISTON SIMMONS,Devisor,to JOHN SI~~ONS,OLIVER P. SIMMONS,SAMUEL SIMMONS,RHODA MAY SIMMONS,WILLIAM R.SIMMONS,ROBERT SIMMONS,RICHARD SIMMONS and GEORGE SI~~ONS,Devisees,all the right, ti~le and interest of the Devisor,in and to: ".ALL that certain tract of land situate in Union Township,Wash- ington County,Pennsylvania,bounded and described as follows: "',.; \ BEGINNING at a point in the intersection of Pa.Route 88 and .., Cardox Road,being Township Road 755,the said point of beginning .,_'If-~ being the Southwestern corner of the property herein described;thence from said point of beginning in.Pa.Route 88,North 57°18'01"west, 548-.14 feet to a point;thence in said Pa.Route 88,.North 68°38'01" West,165.25 feet to a point on the Southerly side of said Pa.Route ,.... 88;thence along lands now or formerly of John A.Trax and lands now • or formerly of Trax Farms,Inc.,North 15°06!59"East,359.70 feet to a pipe;thence along lands of Trax Farms,Inc.,North!9°37 '01"East,'. ].4:.6i'Jfeeti·:to'')a)sy<t:~more;thence.continuing along same North 1°'12',59".'. 'f'· "......'East,938.04 feet to a stone;thence along lands now or'formerly of William A..Krall,North 20°54'28"West,5l4~05 feet to a post;thence continuing along same North 70°15'50"Eas·t,595.72 feet to a stone; thence along lands now or formerly of Catherine L.Latorre and lands now or former'ly of Robert F.Golightey,North 58°52'44"East,·865.49 feet to a stone;thence along lands now or formerly of Rohert F.Go- lightey,North 84°10'17"East,682.87 feet to a post;thence along lands now or formerly of Kingswood Joint venture,South 50°44'43"East, 763.96 feet to a point in Cardox Road;thence in said Cardox Road,South ._---.~--~~------~--~~_.~------~~~.."..----._-,-,-~---~---~~.;-,;......:"~-~:;: ,. ,. .....,.,~-'. .:.< 50°32 1 52"west,533.39 feet to a point in Cardox Road:thence along ".~,'-" .;,. ,. lands now or 'formerly of James P.Devine,North 52°05 1 10"west,330.00 feet to a post:thence along lands now or formerly of James P.Devine and lands now or formerly of William D.Hogg,South 41°25'07"West, 259.99 feet to an iron pipe:thence along lands now or formerly of H. Edward Vero~'North 50°08'27'"West,234.40 feet to a post:thence along "lands now or 'formerly of H.Edward Vero,lands now.or formerly of Rhoda "",'.,:\ Mae Simmons,lands now or formerly of George R.Simmons and lands now " .i)\or formerly 'of Richard Simmons,South 15°;",,15 1 00"West,1,638.21 feet to'a point in the intersection of Pa.Route 88 and Cardox Road,the, .',~.'"..',...~,,.'.'..'. place of b~ginning.~ontainirig76.692 acres.This ,description is drawn in accordanc~with the survey of Englehardt-Power &Assoc.,Inc., '/"'," J?'".,.-.~.;' "' .'. ".. ;,;.-< ·',f ". ,~-~_._--~------------~-----~._----_._._---.-.--~------.--.-.-----.----.~----~.-..-...,.-----.-.---.a IIIiIIIIIIIllfI'S IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS'COURT DIVISION No.63-71-741 ---- IN RE: ESTATE OF: MARY McQUISTON SIMMON"-ll, DECEASED. =======-==""::::.:----.------; ..'\ ~ " 4t II 'I PAY TRANSCRIPT --_. L.AW OFF,CES BLOOM,BLOOM,ROSENBERG &BLOOM WASHiNGTON TRUST BUlL-DING WASHINGTON,PENNSYLVANIA , -~ \. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE:) ) ESTATE OF:) ) MARY McQUISTON SIMMONS,)No.63-71-741 ) DECEASED.) PAY TRANSCRIPT The undersigned hereby acknowledge to have received of JOHN SIMMONS,Executor of the Estate of Mary McQuiston Simmons, Deceased,payment in full in accordance with the Schedule of Distribution dated January 24,1975. Russell Marino,Clerk costs,Receipts &Advertising $ Russell Marino,Register certification of Real Estate Olga o.Woodward,Recorder Recording Certification of Real Estate 55.00 4.00 11.50 Russell Marino,Clerk Russell Marino,Regist r Olga o.Woodward, Recorder John Simmons,Oliver P.Simmons, Samuel Simmons,Rhoda Mae Simmons, William R.Simmons,Robert Simmons, Richard Simmons and George Simmons, each an undivided 1/8 interest in real estate in kind appraised value as certified in Schedule of Distribution $30,000.00 PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY T..tat.Form j No .?~.~~.~~~.?~. Fiduciary _'!.9~~..~~~9.~.$.~~.~~g~9.:R . Deceased Date of Date of Decedent's death M~y..17.,J~.7.J.Grant of Letters !I.lJJ..y...J..~.I l~:z.l . This is the f.J.R~.~..l\:[I?..Jf.~~:k\~account fired,in this estate If there have been former accounts filed,in .this estate,list file number or number and term ~9~~~. •'.•.'••-.-•'.• 1 •••'..':...">'., Efectiol1 to take Under or Against will.(cross out one) Date Election Place of; Filed N.QNE_Record NONE _ . Name of surviving spouse NQJ1~_ _..______..__..____.____.. List issue,where material: Did decedent marry after execution of will?(indicate)~.No.Any children born after execution of will?(indicate) ~No,If answer yes,name them Ngp.E?___..__.__.. .............................___-___----_..-_--.---_-_.__.._---_-_.._-.-____.._--_.::.:-_--. Leg,atees JOHNSSIMMONS OLIVER P.SIMMONS SAMUEL SIMMONS RHODA MAYS IMMONS WILLIAM R.SIMMONS ROBERT SIMMONS RICHARD SIMMONS GEORGE SIMMONS Relationship Son Son Son Daughter Son Son Son Son Interest 1/8th 1/8th 1/8th 1/8th 1/8th 1/8th 1/8th 1/8th Fiduciary,if deceased or not sui juris List,if exceptions to above: None Adeemed:Revoked:Lapsed:Abate'd:Give Couse: If pC!rtial 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.D4X If any exception give cause:.NQNE . File copy of Notice ond date of mailing Au.gu.s.t 2.9.,J.9.7.2.:.,. I, I Is estate subject to the Jiling..of.a Federal Estqte Tax Return?~~., Actual payment made on P.~nnsylvania TranSfer Inheritance Tax.Amount $....J..£.QQ.Q.•..9.Q...Qn....J.JJnS!...;?a..I J..~.72 If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant..~<?!?~. Give Names and addresses of all unpaid creditors who are legally entitled to notice,tog-ether with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. NONE Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: NONE' Balance for distribution per account, Itemize any additional debits not shown by account: Total additional debits (Add)$. Itemize any additional credits not shown by account: N.Merle Vanderslice,Tax Collector, 1972 School Tax $257.84 $?9.J..?~.9..•.J.?. Total additional credits (Subtract): Balance for distribution $?~.?.~.~.1 . $.?§.~.?§.?,~}~. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); Balance for distribution consist of real estate appraised at $30,000.00",.. ,",. The legatees have all :paid estate I s expenses so,as to or any encumbrances. ·1 ~~ into the estate their proportionate share of the receive the real estate in kind free and clear..\ "." If Family Exemption claimed by Petition,give place of Record:MgJ.l.~. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:~~!.1.~. List any advancement or distribution on account that has been made,and nature and amount of same: NONE Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions:. Johh Simmons l/Sth undivided interest in real estate Oliver l'~Sirrimons '.,l/Sth undivided interest in real estate Samuel Simmon~l/Sth undivided interest in real estate Rhoda May Simmons.l/Sth undivided interest in real estate William R.Simmons l/Sth undivided interest in real estate Robert Simmons l/Sth undivided interest in real estate Richard Simmons l/Sth undivided interest in real estate George Simmons l/Sth undivided interest in real estate Description of real estate is attached hereto. Survey of the property is presently being made and the same will not be completed before the audit of this estate.The Court should not hand down its Adjudication and Decree until the survey is completed and presented to the Court. COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ~.~~E!.1.doth depose and say that the facts set forth in the foregoing petition are true to the best of hi.s knowledge and belief. ...........?~E!!to and subscribed before me th is_-__8:th__-__day aL;l:.tf!!OOf!-+.----_j-;1:__J;? Signature of Officer ~~ Title of Officer ~.?~.~~Y...~.~e.~~~. Office expires ?d:r ~.1....?~. And your petitioner will ever pray,etc. x.--~d~----------------------------- No.741 of 1971 ~, ,j I' I ~:." Estate oL....Ml\R.Xc.M~Q.'QtS.'XQt'I..~$.JMM.Q:N.~, "' DECE·AS~l?P.·~·'··';·········D·~~~~~~d_··.............._-.-_-;_...... \,... Fiduciary ~Q£WL.$.;IJ1MQ:N~.,.::.._... <c. ". f'EXECUTOR ~. ___.____..w ___",__. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WI'LL Counsel of FidLiCia'ry will·submit herewith the following,in conformity.with Court Rqles adopted effective .,December ~,1951,being rule No.9:p.arqg raph .b-c;'and .divisions thereof:shown on 'pages 23-24...:..' 1.Written p~a'e~ip~s ';f'dU't:~u~s'el in 'the ",.case., 2.Copy of Qrderappoin~ing.Guardian ad litem,if pe,!,inent...: .' 3.Copy of Oi-derappointing'T'r'ustee ad litem,if pertinent.'. 4.Proof of se.ryil:e .C?.f ~bov~,'...... 5.Letters Te?torne.ntary.or.Adrn!r'istration C.T.A.or on attest copy.of Wi II. 6.Copy of inventory-qnd appraisement. 7.Proof of ad~ertisement':~t'grant'of letters if not filed with acc'oimt.. .. 8.Certificate'of.liens ·in ca:se al")y of the funds for distribution are fror:i)judicial sale of realestat~. 9.Signed and·itemized "elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. ..~~~~~.'.._.~~.~~~!..__~~.~~~~~~~.._~~~~M Attorney ~2 I,j "- .1 .,SUPPLEMENTAL PETITION SUR AUDIT. IN THE ORPHANS'COURT OF WASHINGTON COUNTY 'fOllllllll Form Estate of f'@.RX ~s.Q!!.~.§T.QN §.I~QN.$.. Deceased No 7.1.~2J~..J..~?J . Fiduciory.!.:..~r(;m:~..~.IJm19.W.1?,§!5:§~g::r.9.R . Date of Date of Decedent's death•........~~.Y.!Z.~J~ZJ Grant of Letters .J.~J.Y...J.~/J.~.?J . This is the f.E~§.'E..~.~f..~.~~.~occount filed 'in this estate ...>,).-'..J.-J •NONE'JVIftherehovebeenformeraccountsfiledinthis'estate,list file number or number and term . ,.................................................................................................................................................................................................. Election to toke Under or Against will.(cross out one) Dote Election Piace of; Filed ~9~~Record ~g~~.:. RICHARD SIMMONS GEORGE SIMMONS Name of surviving spouse ~9.~.~:. List issue,where material: JOHN SIMMONS OLIVER P•.SIMMONS SAMUEL SIMMONS RHODA MAE SIMMONS WILLIAM R.SIMMONS ROBERT SIMMONS Did decedent marry after execution of will?(indicate)~.No.Any children born after execution of will?(indicate) •NONE .X'JG.No.If answer yes,name them :.. Legatees Relationship Interest Fiduciary,If deceased or not sui juris JOHN SIMMONS SON l/Sth SUI JURIS OLIVER P.SIMMONS SON l/Sth SUI JURIS SAMUEL SIMMONS ·SON l/Sth SUI JURIS RHODA MAE SIMMONS DAUGHTER l/Sth SUI JURIS WILLIAM R.SIMMONS SON l/Sth SUI JURIS ROBERT SIMMONS SON 1/8th SUI JURIS RICHARD SIMMONS SON l/Sth SUI JURIS GEORGE SIMMONS .SON l/Sth SUI JURIS List,if ~~~eptions to above: NONE If partial intestacy,give facts: Adeemed: NONE Revoked:lapsed:Abated:Give Couse: Notice to interested parties.Have all parties,having either vested or contingent interests and all credio-rs entitled to notice (COlHt Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing ·of the n<:co.unt and of call of audit?Yes,M~ If any exception give cousc:......NQ~~................................ File copy of Notice ...'~.v r . and date of.n'Qiling ~~g~.~:t ~.~/*.~.7.~~..~\. (I.) •~_....;-......•-1":~..............."...,__~_.~.....:.~-.f--.-.....;_~.......F.~.~........_~_....,,'_.....-;V'~'"#'_~.~,.--......_K~-<;,~_"-_'_.'.--\.01.'•.:t~.........."1 •.~.~.~~.....-.._~_·.-...,-....-,r............",.......~., "' (7,-) Is cstote subject to the filing of a Federal Estate Tax Return?,.~~:.• . .$1,000~00 on 6/28/1972 Actuctl payment mode on Pennsylvania Transfer Inher)t'once Tax.Amount $....$.§.7}.~.?~...~.l)...~!*~!.*.~}.~.....:... If lhe Will makes ony portion of estate subject to a life·estate,give nome and birth date of life tenont....~9.~!':.......•. Give Names ond addresses of all unpaid creditors who are legally entitled to notice,together with the amounts of such claims;state whether they arc admit~ed to be correct;and whether the claim is denied. NONE ~". Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: NONE I " .} Balance for distribution ~AUDIT PETITION FILED 9/15/72 Itemize any additional debits not shown by account: None ~- J.. 1 $..~§.!.~.?~.:.?~. .1.1Total additional debits (Add) Itemize a"ny additional credits not shown by account: Englefiarqt~Pbwer &Assoc.,Survey of farm Russell Marino,Agent Balance of Pennsylvania Transfer Inheritance .Tax Total additional credits (Subtract) Balance for distribution $..~<?~.l?...................•..•• $802.00 $673.71 •.:""'")0,"$.;,l:~41;i;..7.l . $..?1.t.Z.f?~~??'. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); Balance for distribution consist of real estate appraised at $30,000.00 , I ••L ~, , ."J ~.. 1 ... (3) If Family Exemption claimed by Petition,give place of Record:f:iJ:~E.~. If Family Exemption is claimed at aU~it,give name,relationship and basis for Claim:.:N9.1}~. List any advancement or distribution on account that has been made,and nature and amount of same: None Suggested disfribution 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: I ~he heirs of the decedegt herein advanced moneys to pay the estate expenses in order to maintain the'· real estate in kind.Tqe total amount advanced was John Simmons,Son,l/Sth undivided interest in real estate Oliver P.Simmons,Son,l/Sth undivided interest in real estate ~-. Samuel'"Simmons,Son,l!Sth undivided interest in real estate Rhoda Mae Simmons,Daughter,l/Sth undivided interest in real estate william R.Simmons,Son,l/Sth undivided interest in real estate Robert Simmons,Son,l/Sth undivided interest in real estate Richard Simmons,Son,l/Sth undivided interest in real estate George Simmons,Son,l/Sth undivided interest in real estate COUNTY OF WASHINGTON,55: COMMONWEALTH OF PENNSYLVANIA. $5~213.37 $3,750.00 $3,750.00 $3,750.00 $3,750.00 $..3,750.00 $3,750.00 $3,750.00 $3,750.00 The above named Fiduciary or representative thereof, being d·Cly·_~~c::?~.I}_doth depose and say that the facts set forth in the foregoing petition are true to the best of hJ~knowlcdge and belief. .......................S:o/.QJ:!l to and subscribed before Si.9noturc o~Officcr.X ~,:. Tltlc of OfflCcr f:~~~r ~. Office expi res :1--0};.f:,..!.J...1.."1... .And your petitioner will ever pray,etc. ..~..~~. ._,:. .., p."',!-'. I . I.'.';' _.,.--.....•~'~:"_4_·.~.._."""'--._'"._-.•.:"'-..-:...._.•..:.__::..;:.-._...-.......,.....-:.:~..:.._._~-_..=~::"_:--~"'.':"::":::"":--~~'::~'..:.---::'.:.:=:=._.:,.::"-".-_._--.:::::..:..:::=.=~:":":.~--=-=...--~_......::::==.=--:::;.::-~.:=-:-_:..:,,:...;.::....e-..._.::-~_,._.._.__.~;.~~,__..;.....;,-.~~~~=;;;:;;;:;:=~• .,J. •• No.63-71-741 1.. Estate of.•..Ml?.E¥...M9.QgJ.§1'.Q~L§J.~.QN.~., ..I?~s:~~.~~.J?:(". Deceased c FidLlciary JOHN S IMMON:S,EXECUTOR...........................-::. SUPPLEMENTAL PETIT!ON SUR AUDIT FROM WHERE DECEDENT LEFT A WILL ~-+-\.../ • c c ( ( v- '- (. (c eiections if'-any (( Copy or Federal Estate Tax return 11 es- tate is subject thereto. -Counsel of Fiduciary will submit herewith the following,in con fo(:m i ty with Court Rules odopted effecti'.'e.December 3,1951,being rule'No.9:paragraph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes ,of all Counsel in the case. 2.Copy of order appointing Guardian ad iitem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of servke 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.Certifir:ate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized distribution in kind,~ 10. .~.~9.'?~.~...~~?9~!....~~.~~~~~~~...~..~~9gM Attorney...m..·2 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENN ORPHANS I COURT DIVISION j MARY McQUISTON SIMMONS, ( ) ( )No.741 of 1971 ( ) ( HEARING ON AUDIT Friday,September 15,1972,at 10:00 A.M.,EDS BLOOM,BLOOM,ROSENBERG &BLOOM,Esqs. of Washington,Pa.,representing the Accountant. The Honorable ALEXANDER R.CURRAN,J., Specially Presiding. Estate of INRE: .:u~APPEARANCES:~c oJ~ ~C:J., J:~TIME:(II ~Deceased. z~>oJ>-IIIZ Z 1&1D. io~BEFORE:z :tIII~~ uiII:1&1I-~THE COURT:The es tate of Mary McQuiston Simmons.TheD.1&1 II: ~Executor is John Simmons and the attorney is Mr.Pizzi.:JoU ~MR.PIZZI:Your Honor,I have all the papers.The only thi g uii:~that is missing ,is the description of the real estate ,~hich we will supply to Mr~Hana shortly.There are no complications other tha that in this es tate. THE COURT:Is anybody else in Court interested in the estate ( / of Mary McQuiston Simmons? (NO RESPONSE)/ .----U----------------ti ..., ! THE COURT:We will consider the audit closed. (AUDIT CLOSED) 2 J ) I 0( z0(~>-IIIZZIIIII. io~I hereby certify that the proceedings and evidence are containedz :t~fully and accurately in the notes taken by me on the hearing of the above:= ~caus eJO and that this copy is a correct transcript of the same.ii:IiiCi .I0( UCi :)... :tI-r-N iiiII:IIII-~The foregoing record of the proceedings upon the hearing of the II.IIIII: ~above cause is hereby approved and directed to'be filed. :)oU .I By the Court,0( uii:I&.o I'--~--------------"'-H/ RCC-43 (4-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTE:TO BE SUBMITTED IN TRIPLICATE REPORTING FINANCIAL INSTITUTION ADDRESS OOUAR 8..'1vnrGS DANlt ZIP CODE _ :eEOEMBER 3,1971 Pennsylvania Department of Revenue Bureau of County Collections Gable BUilding,3rd,Floor 411 S.Second Street Harrisburg,Pennsylvania 17127 Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961,we herewith submit the folloWing report: ACCOUNT NO.OF JOINT,TRUST OR INVESTMENT DEPOSIT __-.l60Ioi!lo·,...3!So!OOlo!18iL-_ NAMES ON ACCOUNT OR INVESTMENT MARY SIMMONS (MRS.)OR RHODA MAE SIIQDfS (MISS) DATE OF DEATH _....!KAC!!!:!:Y--'l=.?w.L-..:!:1.::t.9L:.?1:!:.-_ DECEASED JOINT DEPOSITOR,TRUSTEE OR INVESTOR MARY SIMHOHS ADDRESS R.D.#1.CARDQX RD.COUNTYWASBINGfQI ---:!F:...:!·INLEY~.!:!:!:..!vn'""':!!!!!J~.E!.S.--:P!o.j1~.!--ZIP CODE ~1....5""",3,.".3,,,"2 _ SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR __~RH~O~D.~~~MAE~~S~IMMON~·~·~S~____ RELATIONSHIP TO DECEDENT ~D~~~U~G~H=·eE~R~_ DATE DEPOSIT OR INVESTMENT WAS ESTABLISHED DECEMBER 30.1966 BALANCE,INCLUDING INTEREST DUE,AT DATE OF DEATH $---=1~1~.~1.L:7(f)~,.~OO~':...-._ WTC/sak RCC-134 (9-71.1.. COMMONWSALT,H OF PENNSYLVANIA DEPARTMEN"tOF REVENUE BURl<AU OF COUNTY COLLECTIONS 4NHERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION FINlliYVILIE,PENNSYLVANIA 15332 TO:RHODA MAE SIMMONS R,D.1 CARDOX ROAD Date::Deeemlaw 10,lnJ. County HASHI NGTON County File No.9-/9/-? Bureau File No.&:J-2/-2# We have received notice that,~~~~~~ on May 17 19-ZL,you came into ownership of certain property through .'" transfer from 11ARY S llft-fONS I DECEASED (FINU;YVILIE) Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable and the liability for the payment of the inheritance tax due is imposed upon you,as transferee. The property on which tax is hereby assessed consists of:Jto Savin~s Accowt #603018 held in the DOLIAR SAVINGS BANK,PITTSBURGH OFFICE,PITTSBIffiGH,pENNsn,VAN TA •In the ~es of Mli'S.MARY .s'iJ1MDNS OIt RHODA MAE SUll"roNS (MISS)Of)@R8Q 12-,30-".Ealanee as e:f date r£ of death $U,170000 appraised by the Commonwealth,as of the date of death,at $",]7°.00 50 %of this amount is taxable at the rate of 6 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE If you pay the above amount within three (3)months of the date of death of the decedent,or on or before,..,...-_ ______19__,you may deduct a discount of 5%of the amount of tax due,or 335.10 $-------- RUSSEll MARINO; (Agent for the Commonwealth) This tax became delinquent nine (9)months after death (one year if death occurred prior to December 22,1965 and fifteen months if death occurred on or after December 22,1965 but prior to June 17,1971)and,in addition to the tax,statutory interest at the rate of 6%of the tax per annum is also due as of *19__ in the amount of *If the tax is not paid by the above date additional interest is due at the rate of 6%per annum until paid .TOTAL AMOUNT DUE $335.10 .de '/?APPRAISED BY:UL-yy:;'c&L'>~~J v..),,·~;ll>Lo~SSESSED BY: {Inheritance Tax Appraiser) $============== INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable ~to...To insure proper credit to your accountIIIt.I lhis Official Notice must accompany ~1VV\~ayment.Mail or bring it to: A -1Y J3~/C! ~.c?3///?/ fiG r/3//f'£'? AGENT FOR THE COMMONWEALTH COURT HOUSE WASHINGTON,PENNA.15301 {over} -If you have already paid this tax to an executor,administrator,attorney or other personal representativ~of the decedent for forwarding to the Commonwealth,list below the date paid,name and address of the PE;.rsoFl~whom you made payment,their official title and the amount. Date Paid Name and Address of Payee Official Title Amount Paid Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended by you may qualify as deductions against the gross value of the property in the computation of tax due.If any such expenditures meet all of the three following tests,it is recommended that you itemize the payments below, execute the affidavi't,and return this notice.The Register of Wills will examine the debts claimed and allow those which he determines to be proper.The tax will then be recomputed and you will receive an amended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: 1 -You were personally legally responsible for these debts,and 2-You actually paid these debts out of the account or property described above and can furnish proof of such payment,if required,and 3 -These same debts are not also claimed,for tax purposes,by an executor,administrator or other personal representative of the decedent handling the administration of the general estate of the decedent or any other transferee.• SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obligation Amount Paid TOTAL $ (attach separate sheet if required) COMMONWEALTH OF PENNSYLVANIA) COUNTY OF:__---.;....~_~__ SS: I,hereby certify that the foregoing is a just and true statement of funeral expenses and other debts of the decedent,,for which I was legally responsible and which I did payout of the property herein taxed.I further certify,that to the best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance tax purposes. SWORN AND SUBSCRIBED BEFORE ME THIS_~_DAY OF____________19 __ REPORT OF REGISTER OF WILLS Signature of Taxpayer I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report'that I have allowed deductions listed above in the total amount of $• Date of Approval:_ Register of Wi lis Fe DEPARTME'l\!T OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG,PENNA.17 127 COMMONWEALTH OF PENNSYLVM~IA RESIDENT INHERITANCE TAX APPRAISEMENT DATE p.~?~~.~.~??~~?..?.~ COUNTY ..Y.{.~~.h~.l}g~9.P.:. FILE NO•....??:?~.=?.~~. MARY SIMMONS FINLEYVILLEWhereas,,'late of , , in the County of ~~.~~.~~~.~?~:Commonwealth of Pennsylvania,having died on the 17.th ·day of ~~19 ..?~,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,f.r.~n~~.~~~Q ,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest.-. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purposes JT.SAVINGS ACCOUNT #603018 held in the Dollar savings Bank,Pittsburgh $5,;25 00 Office,Pittsburgh,Pennsylvania.In the 'names of Mrs.!"!•ary SJ.mmons or Rhoda Mae Simmons Opened 12-30-66 Balance as of date of death 11,170.00 TOTAL 5,585 00 , form~~V:fhbl:~::l:h~w~~?9r;.i~g..to ~~~'~:;~e~~~.r..p~~~~~~~~...~~~.~~~.~~.~~pr~~.se~~.~t is m~de1~n71n_~ ..........Vr.9-nG.~~.L~o......... Appraiser.............?44.WCl,Sl1iIlgtol}...J~r~~i;,..Bldg........• ~umber and Street)I ................~.:i:~!.l.~.f.lg~~.f.l.?......:i:~.................,""...,.,Penn! (Post Office)I ga .......WASHmNGTON......County RESIDENT INHERITANCE TAX APPRAISEMENT .. Estate of MARY SIMMONS Deceased. Late of FINIEYVIU.E Date of Death,MAY 17.,···19.71 ······· Appraisemel!t Docket Vol.,..38.~. Page,..1.91~N 063.~.71""'741 · Filed in Register's Office,19 . Amount of tax due,$. .DEPARTMENT OF REVENUE Received, Examined and Approved,,.. Wrote abo.ut Appra.isement,. Appeal f,.om Appraisement,.. Entered and charged,. = :r- .~ '\1 j..~," COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COllECTIONS COUNTY OF .WASB.mG.TOI .. Fqrm RCC-33. RESIDENT DECEDENT ~'•.;,~..."I ,~, IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the' Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of the Inheritance and Estate Tax Act of 1961.) and Saye State of .......~~.#W~'Y.'~~~a: }ss: County oft1QshiQ9tOJ),. ...~Qm.i$.~........................................................ ~of the estate Of the above-named decedent being duly sworn,depose$ Eueutor Decedent dJed (M;~th)..~yJr~:;i ...,19(y!~~'{~aVing a last will,copy of which is hereto attached.} Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. BLC.1024 BLOOM ·1\OSBNBERG Q BLOOM2otfwaehl.nTrt1stBiiildili..·····.. ·W&$b:l..n9tofl:,·····P~ftJlSYlvania·-15311··········· ---That as such ..~@~t:~'O;:depqnent is familiar with the affairs of said estate and the property con- (Executor-Administrator) Rtituting 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:-!TOne NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT That the contents of said safe deposi t box or boxes are itemized under Schedules Bone of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fullv and in detail all the real property in the'Common~ealthofPennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,~tanding to decedent's credit in banks of deposit,saVings banks,trust companies,or other institutions,whether indiVidually,or intrust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of saVings banks,and to the date of decedent's death in all other cases;all bonds,postal saVings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute or agreement they are designated as tax free,of the United.States,or any state,or political subdivision thereof,or of any foreiin;c~~ntry,whi~h 'are'owned'at the time of death;all wearing apparel,jewelry,silverware,pic- tures,books,works of art;household furni ture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,leftbydecedent,together with the fairly estimated market value thereof;all bonds and mortgai!es held by decedent and of all claims due and OWing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giVing the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance polici'es carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of·dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. ~. I •. I .. 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 th~assets and liabilities thereof as of the date of death.The schedule also set~forth the inte;est of decedent at the time of death in any co-partnership or business,and in support..of the value of s~~h interest t)1.ere is annexed to said schedule,financial statements showing the assets and liabilities of sa'id co-partner~hip or business. A copy of the'co-partnership agreement,·(if oral,,a statement setting forth the nature of the agr.eement) 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 It 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,ivithin two y~ars·(j)f decedent's death,in contemplation of decedent's .death,or intended to take effect in possession ~~enjoyment at or after death,said schedule sets'forth'the nature and value of such property,to whom 'trEjIlsferred,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 cOllY 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,whicl1.pas'ses at decedent's death by virtue of the exercise by decedent,either ~ndividually,orjointly with another,or any power of appoint- ment vested in decedent,either individually or jointly,by the Will,deed,or other instrument of another, With a copy of the instrument creating such power attached to th~schedule.' That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this es'tate 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 ()f their death:,their issue,~d the relationship of such issue to the beneficiary. That Schedule E attached hereto .and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, ·of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including fUneral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fUdiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to ·the Register of Wills,.and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B","en,"E",and "F"as directed therein, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this 30th June 72...........................................................day of :19 ...:_.. .(Executor-Administrator).R.J)~#1 (Street Number)Plnleyvl11e,Pennsylvania....................................................................................................................................... (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 th~assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed~ RCC-34 (1-64) COMMONWEALTH OF PENNSYLVANIA DEPARtMENT OF REVENUE ' BUREAU OF COUNTY COLLECTIONS ,TRANSFER INHERITANCE TAX RE~DENT DECEDENT I • :SCHEDULE "A" REAL,PROPERTY Real property in Pennsylvania,with statement of 'mortgage encumbrances upon each parcel at death of dece- dent.Where property'h,e',ld as joint tenant or tenC!n'cy by entireties,report on Schedule "E".Property held by the decedent as tena~t in common with another 'Elrothers:sh()uld be identified as to quantum of interest and the estimated value should be that of the deceden-t's interest only. The real property located Inthe:Commonwealth of Pennsylvania should be des.crlbed by lot and block number,stree,t and street number,together wi th a general description of the property,with a reference to the,recor,d of the c'o'nveyance by whi,chthe d'ecedent took title;If,a fa'rm state number of',a- cre's;also statement of mortgage encumbrances upon each 'parcel at death "of decedent.Taxes,'aS$essmen,ts,accrued Interest o'n mortgages"etc,."are to be listed on Schedu'le "F"andmust not be deduct,edfrom this schedule. (1) ASSESSED VALUI" FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE (3\ DE·PARTMENT VALUATION ,CAUTION (Do not write In this space) ,"' ~ c,J 1 ...-" -/,~ 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. J ".R£C -35. COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX 'RESIDENT DECEDENT I • SCHEDULE "n" .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".Inta;gible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and fUrnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,..stocks,'mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed estate or 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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION No.List and describe fUlly VALUE MARKET VALUE (Do not write in this space) 1 Western Permsylvania National Bank.~/1-:J/Finleyville Office,savings Account i ~JL/.7 'ffl if!NO.OOS"'OOQ214-6 $2~474.49 -~~:::p Idl ;A 'f7't/fj.c:: Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return.$2,474.49 , 0( RCC-36',. COMMONWEALTi,OF PENNSYLVANIA TRANSFER INHERITANCE TAX ~RESIDENT DECEDENT SCHEDULE "c" TR-<\NSFETtS (1)Dirt rtecedent,within two years ofrteath,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)-.:.NO.:.=__ (2)Did rtecedent,within two years of rteath,transfer property from himself to himself and another or others (inclurting a spouse)in joint ownership?(Answer yes or no)-.--'N_O _ (3)If the answer to (1)or (2)above is in the a.ffirmative 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 propertJ without receiving a valuable or adequate consideration therefor which was to take effect in .posses5~loa or enj oyment at or after his death? (Answer yes or no)__~JSr~()~··_ (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)__Jk)~.~.__ (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 valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)...;N=-.;o'--_ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)!lo (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others ------------------------------------------- (7)Did decedent in his 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)~~~O~._ (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reservert 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)~!k)~---,_ (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 anrt others? (Answer yes or no)__!l~O,--_ NOTE 1:The answers to these questions should be supportert 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 rtate of death,dates of transfers and to whom transferred,with relationship of transferees to rtecedent,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 providert in Schedules A,B,or E. ITEM DESCRIPTION MARKET VALOE (EsUmated) DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. -- None •RESIDENT DECEDENT CC~l~N~{\LiH'OF PENNSYLVANIA THANSFEH TNHEllITi\.NCE Ti\X J{Cl -38 ..,.I , ,. SCHEDULE "E" JOINTLY OWNED PROPERTY nSTR('CTIO~S:This schedule must disclose all property,real and personal,owned by the decedent jointly wi th another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Name I unit Address and Relationship of Co-Owners,and Place I Value of Record of Instrument,where Rea~Estate.! percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return. - .'" RCC-37 ('12-()3) COMMONWEALTH 0F PENNSYYLANIA TRANSPER INHERITANCE TAX RESIDENT DECEDENT .. SCHEDULE "D" BENEFICIARIES ( h .. BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddresses'of ~rlwho illegitimate children DECEDENT OF BENEFICIARY ave an interest,vested,contingent or other are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH ~stmtmlS 8m..A~0<1 Aft'ft. ~:....'!.J~!,'I a . ._. 'ft.Io.,I.'"."-- CLl\-1!8 P.SlmtOltS Son Yeo OR atto Bodford,Oblo 1CI_.........Itt{}ftfttA BnlUlA,OHIO ....,......,--...........,.... _.............111\.11 y ....ltt.i'W)~_If:]}.-~~••_,.---..... n ...'.-.,.'---........ DIU,IAM..R.SJ\I ,UQB Bon Van Of t\t.tn :;~,!.v+1 \nA Pr\.. Ill.80D llnn MAim...:¥.0:"111'.l1 On. lUawtD S!tm03 Soa Yoo 01 Of!G 'flil"'·~ft lA h. G!10RCm sIrmons Sott Yeo OR Altn !.lJ.OJ....",on.,. '. .,. .. ".'. ., . Deponent further says that all the above-named beneficiaries are living at this time except below:tlone NAME DATE OF DEATH RESIDENCE ;\IATTER OF THE APPRAISEMENT Will l N Administration ~o. DO'THE OF THE ESTATE OF ~ Year . (Executor-Administrator must complete "As Reported"column #1.) ! '- 0 ....,"'t:I ~......(1)(1)0 p;...~til ::l til til til 0....,....,::l "'t:I(1)~......p;til 0:><'"p;"'t:I (1)c::r ...... ~0 ~'"M (1)... til .-+....'<p;....(1) tlARy··tlcQ01S'lOIt·.SImons·.Deceased Late of ..Unlon.YO'OD.ohip County of .tlnab.1DSCoD ... Commonwealth of Pennsylvania REPORT AND APPRAISAL en C~ ~:>~..--.><:W (J')en (')(')?"?"?" r5 ~;;::: -GI9-G19-*-GI9ffi-G19 ~, <' ·Vd "00 N01~N1HSVft\ SlllM jO H31SI~3U O.N!BVfi 1.13SSnU . 9I'2 wd S2 lnr 2L. I a 3 '"1 1.:1 =..•~..•~t1) ~~ "'~. .~. ~ ~. :Wt!:I DO)0 :>()'!-..til"~2 ~ (j)~0-2~'·.....c ....~Q~ -*-GI9 -GI9 -GI9 \).~..--.~""--'.:>·~til.-.e:..·a t:l· :<1::~:,..,.~~C)~N .'3~.sO 5':,)G>2.. ... AND AGENT OF THE COMMONWEALTH Form RCC·IO ,L,1 OFFICE OF THE REGISTER OF WILLS OF w1i.SHINGTON COUNTY STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN J THE SUM OF $(.(1()~.'t ")' t -1-7) om AfC..,ji~; Register of Wills,Age~t ESTATE OF MARY McQUISTON SIMMONS A union TownshipLTEOF-:;._ May 17,1971DATEOFFILINGAPPRAISEMENTDATIiOFDEATH__--=:...-_~~_ Wash~ngton County Treasurer 1972 County Tax AMOUNT 15 00 28 72 74 98 19 50 14 00 14 00 1,174 25 236 36 1 00 .- TT4-~~ (.!tr -08) ........-- )(I XIX 4 00 4 00 1,623 72 1 623 72 16 00 CfC{flJ /Z,5"0 REMARKS Filing Account Executor's commission Four acknowledgements Attornevs'Fee Filing Inventory Short Certificat e Last Illness NAME OF PAYEE Notary Public Register of Wills N.Merle Vanderslice,Tax Col.1972 Road Tax John Simmons Register of Wills Register of Wills N.Merle Vanderslice,Tax Col.1971 School Tax N.Merle Vanderslice,Tax C~1971 Road Tax Thomas L.Wilfong,M.D. Washinqton Countv Treasurer 1971 County Tax Reqister of Wills Letters Testamentry Home Spun News Advertising Washington County Reports Advertising Walter L.Kennedy Funeral Funeral Expenses BLOOM,BLOOM,ROSENBERG & 'RT.()()M'~ NO.OF VOUCH';" 1 -8-7 5-31-7 ...t,,,· DATE 8-18-7 8-24-7 8-24-7 7-9-71 7-1-71 5-31-7 8-18-7 6-21-7 6-30-7 v TOTAL: COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON JOHN SIMMONS I,-----:--~~-7.,---~----------------HEREBYCERTIFY,THAT.TO THE BEOT OF ~y KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF MARY McOUISTON SIMMONS DECEAOED,AS DEDUCTIONli FOR INHERITANCE TAX PURPOSES.Wtb.~o~(L.5.) SWO~N AND 'i!JUBSCR~IBDBEFOREME THIS 30th DAY Of'(jfi;hn Slmmons,ExecutorJune"~I'~~-- llC'ivHH:.EBalNG,Notary Public My C.orr.rr.is:ion Expires F.ebruary 3,1973 Washington,Washil'!gten Coullty.Penna. ------ I I if '.'('~':w ~~o\"l:·~..~~"'~7.i':form RC C·lO t'-4 ;-.7/-DEDUCTIONS ALLOWED IN ",'L(fO(PrZ,~-I·',..'I OFFICE OF THE STATEMENT OF DEBTS~)',.1 THE SUM OF .......,....$""""""""",""""""""'''''''''''''''''' ~/REGISTER OF WILLS 7[::°AA ~j£1::=7""PI;O,.~liSHINGTON I AND DEDUCTIONS..DATECOUNTY I·.,.;-·AND AGENT OF THE COMMONWEALTH ·v _vV'~".... j Register of Willi,Agent ESTATE OF MARY McQUISTON SIMMONS LATE OF Union Township \;May 17,1971DATEOFFILINGAPPRAISEMENTDATEOFDEATH DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH"" I'5-31-7 Thomas L.Wilfong,M.D.Last Illness 15 00 I'6-30-7 N.Merle Vanderslice,Tax Cb1.1971 Road Tax 28 72 7·1-71 Washinaton County Treasurer 1971 County Tax 74 98 7-9-71 Reqister of Wills Letters Testamentry 19 50 8-18-7 Home Spun News Advertising 14 00 8-18-7 Washington County Reports Advertising 14 00 8-24-7 Walter L.Kennedy Funeral Funeral Expenses 1,174 25 8-24-7 N.Merle Vanderslice,Tax CPt 1971 School Tax ;236 36 1 -8-7 Register of Wills Short Certificat e ;1 00... 5-31-7 Washington County Treasurer 1972 County Tax (f4 ~8) 6-21-7 N.Merle Vanderslice,Tax C01.1972 Road Tax (30 OV ~1.;,-·;~~liioo~llL X~ Register of Wills Filing Inventory 4 00 Notary Public Four acknowledgements 4 00 John Simmons Executor's commission 1;623 72 BLOOM,BLOOM,ROSENBE.RG & 'RT.()()M Attornevs'Fee 1'.623 72 Register of Wills Filing Account 16 00 I I~A'~J;>t .',~I/t (..,. : f)J f)I -r~A ,·YZr·ISf)\.A..../WA.~(It ~A "..": V I '.,.;,:'.:.., ""'.I:·t,1I i " '1 -..", ;."'-.. ""/'" '.,'..," , ".i ~..._~.'\;',',,'";<.'~;," ".', '.lfuI'.Ot::A InTOTAL: COMMONWEAl..TH OF PENNSYLVANIA ,}sa:, WASHINGTON '. ..'COUNTY OF .,. SIMMONS .:..~i~..;..:" .I,JOHN HEREBY CERTIFY,T"AT.TO TH'If,BEGT OF .~MY I<NOWU;DGE AND DELIEF.THE FOREGOING 18 A JUST AND TRUIf aTATEMENT OF DEBTD,FUNERAL EXPENSES·AND EXPENDD OF A.DMINI8TRATION SUBMITTED TO THE ESTATE OF MARY McQUISTON SIMMONS .0ECEADKO,AD DEDUCTIONS ~OR .'.,INHIFUTANCE TAX PURPODE8.9k[.J'.''~ f". , "'.',l0Avi~/..'··".n:.jii,lI;.,.30th -lJOhI1S1!nmon~r ..,. ... \....:.SWORN AND aU.SCRf.tD BEFORE ME THIS DAY 01",""~".":;..~'~...j , ,·..,i.~'.:....,June.72,..~:. .18 4-,'/........'::,..,-..,.: ,.-/4).;e;;~gJ ..~'t •.,' I \."..(~J·,..,~-,~ r·.'...,. ~~. .. "·'.'~",",.',,.,,, "" --------_.._--------------------, r ) r RC CoB 1 (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT JOHN SIMMONS (Executor~ IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division 38-19.-6 j In Re:Estate of MARY McQUISTON SIMMONS __W_AS_._HI_N_G_TO_N County -Fi Ie No.63-71-741 Dear Mr.Sinmons, You are hereby notified that the_o_r_1_'9=--i_n_a_1 _ appraisement in the estate of MARY McQUISTON SIMMONS has been fi led in the office of the Register of Wi lis of WASHINGTON County on Augnst 7 ,19-'Z2,Said appraisement reflects the following valuations: Real Estate 30,000.00 Personal Property2~,4_7_4_._4_9 _ Transfers _ Jointly Owned _ Total 32,474.49 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 August g,1972 Signed~.eL#~ DATE OF DEATH:May 17,1971 Note:This is not a bi II. Title FRED TOSI,APPRAISER I ---------------------, ,.'"....t RCC-3~/(!5-68)•COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANce TAX RESIDENT DECEDENT .SUMMARY Estate ofSIMMQNS (Last Name) MARY (First Name) M (Initial) DATE OF DEATH 5-17-'J:...=:1=.-....~FILE NO.63-71-741 ~EPORT OF INHE~ITANCE TAX APPRAISER' I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of WASHINGTON Pennsylvania,do respectfully report thatl h\lve appraised the real and persona operty as reported in the foregoing return at the values setforthopposite eilchitem in the last column to the ri~ht i es "A","B"l "C",and "E". Dated:~_A-=U:.:;:jqL..::u=s:...::t~8'-!.·'.,...-=1=9...:.7-=2:.........,.....- REPORT OF THE REGISTER OF WILLS I,the undersigned du~y elected Register of Wills in and fqr County,Pennsylvania,do respect- fully report that I have allowe4 dedu.ctions in the amounts claimedby deponent,except Utothose items where a greater or lesser amount is set forth in the last column to the rjght 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 32,474 49 32474 49 32,474 49 VALUE AS REAPPRAISED $-------+-- ::'::::::~t=::::::;..=... FOR USE OF REGISTER ONLY,Tax on $-+---~ Tax on $-l6%o). Tax on $------_--+---..~ Tax on $10% Tax on $15% ~~ptioos 0 Total Estate --I--_ TOTAL TAX Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death COMPU.TAnON OF TAX $-------...-4-~ $....-....-----...-4-- $..,...--.-...-..---4-_ $-----.....--+.-- $....,..------+-......... $--......--.--........_- (0)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE $$_.__-,-__C.'..'.Add interest at rate of 6%from_____to ......- AMOUNT OF ESTATE TAX ASSESSEP $.....,...,.....;..,...-_-..ll.........:-..'..,.• Estate tax paid$..._--__.....L-$--'----.,....;.J.I '. BALANCE DUE L- Add interest at rate of 6%from ------ltIO-'-----$-.-.;...........----1t:: .TOTAL TAX BALANCE $----~.PAIl)$.,;.........J.'. ) i FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are m~de to the a1;love C9mputatil,ln of tax by the Registerof Wills,for proper reason, same should be noted below,with short <""planation. WAdill ...~No.....mInistration ~ IN THE Year . ·'~/ MATIER OF THE APPRAISEMENT OF THE ESTATE OF ...MARY.McQP:IS.'r9.lil.SI~qlilS Deceased Late of ...UNION TWP.· County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ~. 0:. L" ~ Funn ~CC-2.. PEPAR.TME~T OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG,PENNA.17 127 COMMONWEALTH OF PENNSYLVM.JIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE .Augus.t 8.,19.7.2 . COUNTY ~~~.~~'!'9.~. FILE NO ~.~.::..?~::.?.~.!. Whereas,~¥M.c.o.m;..s..~N S.I.MMQN.S.late of P.N.I.QN TI'!.P...!!. in the County of WASHIN.GTON Commonwealth of Pennsylvania,having died on the 17th ·day of May 19 ·7.1 seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~.~P.~.9.!,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Oeser!ptlon of Asset REALTY: Unit Values $ Appraisement Made for Inheritance Tax Purposes SEE COPY OF SCHEDULE A ATTACHED TO APPRAISMENT PERSONAL: SEE COpy OF SCHEDULE B ATTACHED TO APPRAISMENT 30,000 2.474 00 149 total 32.474 49'-------------------------------~~=~---t_---*~!..L~~-.p:~-I form~;v:fhb~e:::7h~w~~.•ccordingto~~:~~:rer~bY~ertif&.j;e~';e~~~r.ise~e~tis~~de1~~!t, ILI~-«~··· ··········..··v·__.,~Appraiser .......................~~")...................,Penna. ······WASHINGTON·····County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ......MARY ..McOUIS'l'ON .5I.MMONif.. Deceased. Late of UN·:ION···TWP·.·····,.,.. Date of Death,5-1.'-71 · · ·.. Appraisement Docket Vol.,38 . Page}....·19·1-6..........·........No.·6·3-71-·7·41........ Filed ill Register's Office}~~g."!7.19 1~. Am,ount of tax due}$. DEPARTMENT OF REVENUE Received, Examhred and Approved},,.. Wroteabo.ut Appraisement, Appeal f"o»l Appraisement}..:,. Entered and charged}.. ~ II, _.-~-- ---- -,_.- - - --~-~- - -~- ------_.,--- -~-- -- ----- ----------~~-,,,.......,.-----.............. RCC-4 (8-68) No·8 ,. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE11968OFFICIALRECEIPT0PENNSYLVANIAINHERITANCE AND ESTATE TAX J THREE HUNDRED THIRTY-FIVE and 10/100 ...------_..------...----------dollarsRECEIVED---=-_ representing Pennsylvania Inheritance or From:RlIODA MAE SI~fMONS ....Paying On Ind.Liab.Estate Tax due from the following estate: Address R.».:fJ 1 CARDOI ROAD 2%Tax on $$---------1[:1 FINLEYVILLE,PENNSYLVANIA 15332 6%Taxon $5,585.00 335.10$---------111 File No.6_3_'_-_71_-_'_4_1__Date of Death_5_-_1_7_-_7_1_'-----i 15%Tax on $$---------01 $--------·II'JI I--Date of Payment _D_e_c_em_b_e_J'_2_7-::;,_1_9_7_1 -----1 Name of Decedent _raR_'_Y_S_I_Mt_;fO_N_S _ %Tax on $---------$---------Ild _ Estate Tax,Act of May 7,1927 County '~_1A_S_H_I_NG_T_O_N ___i Remarks: MJR ~;Z TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of __%from _ to _ 335.10$,-------- $--------Ul $,---------111 SEA L TOTAL AMOU~T PAID 335.10$'========Ig /'NOTE:This Triplicate Receipt ta be retained lor audi~1-6 Received by .'_,~-../tJ-"/i \)'.0 NOTE:In accepting the transfer inheritance tax an future estates,prior to the death of the life '~•,.(Signa1't7ref I)'.~' tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall ,J not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the._---''"""=::---'..::;'-....:::./:......;:;~::../""',.../"'=-;.4:"'"---:;::./:....::.~~'.~/..:...::':....::::.oC/::::'=--------IUIlifetenantortenantforyearswheneverItappearsthatsuchadditionaltaxmaybelegallydueand---(Title.)' collectible lor any reason whatsoever. ....-_~, ,__'_~.,:".•~",":fACOMMONW!ALTH OF-PENNSYLVANIA ....-'.....,q,,<,!~:~0;":,'i ,.,.,','~\DEPARTMENTOFRe"ENUE ')~;;t;':'>'~"'::'i;:\'.{";"1: ~(iB46484 OfFICIALRECEIPlo PENNSYLVANIA 'INHERITANCE ANDEST~!E TAX;;",'; 2%Tax on $$----------R $_----..;;1"-",'-0-'-0_0.;:....O,,-O:...--._u6%Tax on $On Account -----------------------------------------dollars representing Pennsylvania Inheritance or Estate Tax due from the follOWing estate: WAS RECEIVED ONE THOUSAND and 00/100 John Simmons -Excr. From:° File No.63-71-741 Date of Death--,5~-""""'-'----'-'_--I 15%Taxon $$---------'ICI $----...,..,...--- Date of Payment June 28 1972 Name of Decedent MARY McQUISTON SIMMONS %Tax on $------$----.,.------Ild Estate Tax,Act of May 7,1927 County '_vA_S_H_I_N_G_T_O_N ---l Remarks: MJR! dl·J.. TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of __%from _ to _ $_--=l::..J1,"-"'O...:.O..,o..O.:....0;:...0:::--_ $--------0 $,---------1l1J $1,000.00===-=====I~TOTAL AMOUNT PAIDSEAL 38-191-6NOTE:To b.delivered to taxpoyer Received by )C;ql;~i/W&I&!~~..,l;-L..:.~~l!!I.o£p~_r_-----,1!'1 NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the fe • tenant or tenant for yeors,as evidenced by this receipt,it is understood that the Commonweolth s all not be precluded or prevented from hereafter ossessing odditlonal inheritance tax ot the death of t . life tenant or tenant for years whenever it appears that such additional tax may be legally due and>-~ifo'lo¥_bJI!.:.=~~"=_'l:F._.........So6"L6,.,.A.~::._,.-_:_r~-1III collectible for any reason whatsoever_ •1 J 71/100 .---------------------.-------dollars representing Pennsylvania Inheritance or Estate Tax due from the following estate:. RECEi~ED SIX HUNDRED SEVENTY-THREE and John Simmons -Excr..'.. <From;!TTY.BLOOH BLOOM ROSENBER &-BLOOM' Add~ess 200 ''1ASHINGTON TRUST BUILDING 2eyD Tax on $$---------.r.:i ''lASHINGTON .PENNSYLVANIA '15301 6%Tax 'on'$On Account File No.63-71-741 .Date of Dea~h'"5-17-71 ,.' 15%Tax on $--$-~-------.1Ilt $--------.'1 ;1,.· '~I : Dote of Payment __""'--':....::..:~~'""-....;1:::...::,.5..L-;.··...::;1:;...;9:....7;:",..;::.3__--;.:..;eyD Tax on $_~--__---$-------'--'----Ifli Estate Tax,Act of .May 7,1927Nam~of D~tedent MARY McQUISTON SIMMONS $======6::::::7==3=.7=:1=·==pj $_---:6:....:;5.....;.4...=..•.;;.-.27.:....-__0 $-........-------Ill '.$__-=1.::=,..9.,,-4,-,4_'-,--~-'-Ill TOTAL AMOUNT PAID TOTAl.TAX CREDIT less five percentum of tax if. paid within three months after .date of death Plus interest at the rate of ~%from 8';'17-72 to Date .~',I ',>" County _'..:.:.l1.=..:A~S.=..:H:.;::I:;:.;NG;.;:..::T...:;.0:;:.;N~.---,----,------1 Remarks;.' .;..~':.." MJR/'".,'..di-j.''.''~~,::',,"..,\..',.:.," 'i',::/.";"';"l':':.':~>\\:\ ,'":,®[[1~~n~&[Lo:-!S E ~l "NOTE:,To be deli~e;~~~t~ayer .':.,II)38-191-6 ,>:<,;j,'".,,.'.;.1',:/';Received by-.....~~~:'O"S".......""'-_+.:J-3,~'-=~:::::l>.!.---_---.rt.I .~,..NOTE:'..In QC~eptin!i the trQn~er InherilQn~e t~on future estates,prior to Ihe death af Ihe~'e . 'tenant or tenant for years,as evidenced by ihls receipl,il Is understood tlial the Commonweallh s·all , not be precluded or prevented from hereafter assessing additional inheritance lax ollhe death of I It' life tenanlor tenant for years whenever It appears Ihal such additional tax may be legally due and'--''-7o;~r''~'""'''''"...,e--':'::i7"\.,.,..,..........,.........<-.....r'--::n;-l-,----II collectible for any reoson whalsoever.. ;~.•