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HomeMy WebLinkAboutOC1971-0794 - ESTATE OF AVERY~.. ~lt t4r Qrnurt nf Qrnmmnu 'Iran nf lIan4iugtnu Qrnuuty ®rp4aun'Qtnurt 1ilittininu In the ma;tter of the <Audit""6f-.A'lc·c6unt:~Ifi' ~-.J... Estate Of__Gl..n.Ou;RlJDi.LOUJ.l1!l---.oAlll.),JI.TJ.im4:.:.A-,~!.-,,--------{ DECEASEQ TO THE AUDITING JUDGE: No.7.L-9=41o--.=o=--f------"'1........9'--1-7__1 _ Enter ~mW,>:.y ,appearance for__.A.lKEo!i!.AI""T.LH~A"-!V~E~R.!<.!YL--,-_ in the above matter. N.B.-Counsel shall,by separate paper,present a concise statement of each claim,wHh supporting calculation of any interest claimed.Objections to an account as filed,shall be conci.sely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. ). ~ I ..... ....:: >.! 0 <J) OJ ~ e ...,$.t 0 <d :13-, ...,~ ...- '" <i: Ii:1 ~ .S :+ ...,I-~>:l;:l -0'"0 ~ '"~~$.t 0 !II ....;=r:r..t 0 « 'I. ....,:a;:l ~ ~ <J) :+ ....... ~ .....~~ .,,', $.t 0 ~ Z "I" .., ·."+ " .. IN THE COURT OF COMMON PLEAS 0 VASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION -'-~....~~~----~"..._--~-~------~-1 1I I NO.191 of 1971 .~ (" • ,- ~---------~~-'_.""-~ ESTATE OF GORDON AVERY, Deceased. PETITION FOR SETTLEMENT OF ESTATE OF $5.000.OR LESS UNDER PROVISIONS OF SECTION 202 OF THE fiDUCIARIES ACT OF 1949/JS 'Af.iEiiDED-. .~.<\J '\.J • ~~ ~j ~~~~-~J Jl.~6° RODGERS AND RONE'Y.:~.(\'9~~/ ATTORNEYS AT LAW :t ;~.., 63 SOUTH MAIN STREET "\ WASHINGTON.PEN~:LVAN.IA~ /.~4~,-~~.X __-.._.____..li,."__.."..D..__L.-__ J IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION ESTATE OF GORDON AVERY, Deceased.~NO.________.of 1971. PETITION FOR SETTLEMENT OF ESTATE~5,000 OR LESS UNDER PROVISIONS OF.SECT10N-202 OF THE FIDUCIARIES ACT OF 1949.AS.AMENDED. TO THE HONORABLE,THE PRESIDENT JUDGE OF SAID DIVISION: The Petition of EDWARD AVERY respectfully represents: I.Gordon Avery died on April 27,1971, a resident at 695 Mary Street,Washington,Pennsylvania,15301. 2.Your petitioner,Edward Avery,also resides at 695 Mary Street,Washington,Pennsylvania,and is a brother of fue decedent,Gordon Avery. 3.The decedent,Gordon Avery,died intestate;no letters have been granted in this estate. 4.The decedent,Gordon Avery,left no spouse to sur- vlve him and his only heirs at law are his daughter,Irene Haml in of 210 Baldwin Avenue,Bluefield,West Virginia,24701,age 33, and his son,Keith Avery,1018 West 77th Street,Chicago,II I inois, . 60620,a minor,who wi II be 18 years of age in August,1971., 5.The-entire estate of the decedent,Gordon Avery, consisted of the following: A.Commercial Credit Plan Consumer Discount Co~any of Wash i ngton " P~n~syl~ania,refund.on une~rned discount on loan death claim.,•..•••••..$622.14 B.Commercial Credit Corporation, Pitt.burgh;Penrisylvania~finance charge refun9 on automobile loan.......76.86.-. RODGERS AND RONEY ATTORNEYS AT L.AW 63 G.MAIN STREET WASHINGTON,PA. C.Beth lehem Mi ries Corporat i on at Ellsworth,Pennsylvania,wages, etc.due at time of death ..•.••..•.••.692.01 " ".... D.One 1967 Ford sedan (used)•••..••..•..$1,175.00 ,, Tota I .............•......................$2,566 •0I Re~1 Estate -None. 6.The disbursements made p~r to the fil ing of the Petition are as follows: A.Quinn'R.Banks,'Funeral Director, Wash ington,'Pennsy Ivania"'funera I ~xpenses,frpm funds advanced by Irene Haml in,daughter of the deceased ~$1,004.50 7.The only unpaid claims of which the petitioner has notice or knowledge are as follows: A.Department of Revenue,Pennsylvania I,nheritance Tax ••.••••,•••••••••••••••$ ". B•.Samue I l.Rodgers,Attorney at Law, legal services and costs of fil ing Petition $ 85.74 132.50 RODGERS AND RONEY ATTORNEYS AT L.AW 63 S.MAIN STREET WASHINGTON.PA. T~ese claims are admitted and your petitioner has no knowledge of any other creditors of the decedent. 8•.A schedu Ie of assets and deduct ions for Inher itance Tax purposes has been filed with the Register;the amount of the Inheritance Tax due has not been assessed. 9.The net balance In this estate after the payment of unpaid claimants is in th~amount of $2,347.77 ,such assets being in the form of the aforesaid 1967 Ford sedan valued at $1,175.00 and the balance in cash.Irene Haml in and Keith Avery, daughter and son of the decedent and his sole heirs at law,have.......,.. agreed that Irene Hamlin shall retain the aforesaid Ford sedan in kind and your petitioner,Edward Avery,be empowered to trans- fer the aforesaid Ford automobile to Irene Haml in upon condition ~at said Irene Haml in be made whole for the funds advanced by her .Tor the funeral expenses after necessary deduction to make the' ,,- distribution between Irene Haml in and Keith Avery equal. RODGERS AND RONEY A·rTORNEYS AT LAW 6a S.MAIN STREET WASHINGTON,PA. The petitioner therefore prays that he be authorized to receIve,collect and distribute the property as hereinabove set forth and to make any and al I necessary assignments and transfers as follows: To Iren~Hamlin,210 Bald~in Aventie,Bluefield, West Vi~g.inia,one 1967 Ford autombbi.le at i;he appraised value of ••..•••••.•••••..••••••$1,175.00 TO'Samuel t.Rod~ers,Attorne~at Law, for legal fees and costs advanced •••.•••.•.••132.50 Register of Wil Is of 'Wijshington County, Pennsylvania ,State Inheritance Tax ••..•••...•85.74 To Keith Avery,1018 West 77th Street, Chicago,Illinois,60620 (cash)...............671.63 To Irene Haml in,210 Baldwin Avenue,Bluefield, West Virgjnia,(Cash).........................501.li Total $2,566.01 And your petitioner will ever pray,etc. '." -..-. COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON J SS: RODGERS AND RONEY ATTORNEYS AT LAW 6a S.MAIN STREET WASHINGTON.PA. Before me,the undersigned authority,a Notary Publ ic, personally appeared EDWARD AVERY,who,being duly sworn according to law,deposes and says that the facts set forth in the fore-.,."". going ~ition are true and correct to the best of his knowledge, information and bel ief. Averyb Sworn to and subscribed before me this ~cl day of ~•1971. ~;~~~; \. ,.SHIRLEY jANt<OW~Itt.Notarv'uSUa My Comm i5S i on exp ires:Washington,Washington Co.,Pa. My Commission Expires January 26,1973 " IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION ESTATE OF GORDON AVERY, Deceased.~NO.________of 1971. CON SEN T hereby acknowledge ~eceipt of a copy of this Petition for Settlement of Estate of $5,000 or less and proposed Decree and consent and ~pprove the proposed distribution. ..... RODGERS AND RONEY ATTORNEYS AT LAW as s.MAIN STREET WASHINGTON.PA. D e)7 ~·ihkIreneHamlin '. .'.'.. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION ESTATE OF GORDON AVERY, D~ceased.~NO._.....7_91_i----of 1971. ,I 1971,AND NOW,this Q....LC R E E 3J day of ~11~.....~~~~~~~.A~~, upon consideration of the annexed Petition and plrsuant to the prov is ions of Sect i on 202 of the F"i duc i ar ies Act of 1949,as amended,the fol lowing property of the estate of Gordon Avery, deceased, Commercial Credit Plan Consumer Discount Company of Washington,Pennsy Ivan ia, refund on unearned discount on loan death claim··•••••••••••~•••••••••••••••••••••$622.14 Commercial Credit Corporation,Pittsburgh, Pennsylvania,finance charge refund on ~utomobile loan .•••.•..•••..••..••••.••....76.86 Bethlehem'Mines Corporation,at Ellsworth, Pennsylvania,wages,etc.due at time of death .692.01 One 1967 Ford sedan,Title Number C19078706 ....................•..•..•....... Total $ I «175.00 ..... 2,566.01 is ordered to be distributed and is awarded as follows: A.To Irene Ha~ti~,210 Baldwin Avenue, Bluefield,West Virginia,one 1967 ford automobile at the appraised value of $r,175.00 B.To Samuel L.Rodgers,Attorney at law, legal fees and costs advanced .•••.••..•132.50 C. D. Reg ister of Wi I Is of Wash i ngton--County, Pennsylvania State Inheritance Tax •..•• To Keith Avery,JOl8 West 77th Street, Chicago,II I irois,606Z0,cash ••••••.••. 85.74 671.63 "rota I $ E.To Irene Haml in,210 Baldwin Avenue, BIuef ie 1d,West Vi rg inia,cash •••...•••,.__"",5~0..:.1..::.•..:.l4... 2,566.01 RODGERS AND RONEY ATTORNEYS AT LAW as S.MAIN STREET WASHINGTON,PA. .' Payment and distribution are accordingly so decreed and Edward Avery of 695 Mary Street,Washington,Pennsylvania,15301, the petitioner,is authorized to receive,collect and distribute the property as hereinabove set forth,and to make any and all necessary assignments and transfers. RODGERS AND RONEY ATTORNEYS AT L.AW 63 S.MAIN STREET WASHINGTON,PA. By J~3-7/-79c; OFFICE OF THE REGISTER OF WILLS Waoh1nsten 'County of ..,. . . . . . . . .... . . . .~~~~~.~~~~~of ..~~~.~~~~..~~~~.,..~,!~~.i.~~~~~!..~~.~. (Name)(Address) Form No.RCC·62 (2·64)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS-UNDER $10.000.UNDER SECTION 701 OF ACT OF JUNE 16,1961, EFFECTIVE JANUARY I,1962.(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)• being duly ~_~~~.according to law,deposes and says that he is the ------------------------A-d------------------)----------------(Exec,.m"Legatee,Etc. of the estate of ~~~~~~_~~~__.whose last residence was _§_2S M~~)'~!~~(-~--~-)---.------------------(No,)Street _________W~~~J_~~~_~,dece~sed,and that the whole of the estate of said decedent,who died _~e!._!_L_W.L__'_?Z • (City,Borough or Township)(Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT. WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value None , Personal Property Commercial Credi1:Plan Consumer OiecQunt Compon)'of Washington, t'ennrw.van I 0,roTuno on unearnea olscoun-c on loon OGQ'Cn Claim U",••Il+ Commercial C.-.odit Corporfttiont p'i ttttburgh,Pennsylvenl&#-rtnonee Qhorge roTund on automoDI (0 toan /0.00 Bethlehem Minee Corporot ton#at Ellsworth,PennGytvanlo# wagoa,etc.due ot tlmo of'doath Ct9018106 oY~.Vt One 1967 ford sedan,Title Number .,'75.00 Total $2.566.01 NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered. r------------------------------------->~------.~--.-~--~-- "t'-o ..~.EstimatedJointlyHeldProperty. Value "-">~. L ....-nuno 'I - II Transfers within TWO YEARS Prior to Death ,,,one ,; That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT ,,",t,,,nu 1, - , BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT I ...I ~ft...I,>"v>I •'t;Juw u_..,n --._- 2.0 Baldwin Avenue "Bluefield,W(1O't Vlrgin>ia Koith Aver,t:o ".......,...~... tnt Q w__..ltl7.....t~ Chic$gOt .....I no;&60620 : , , ,. RESID~N.I'DECEDENT DEBTS AND DEDUCTIONS CLAIMED NQTE'List first five items in the spaces so provided,observe notations thereon,and instructions Ouhu~IJ>"EBm _t:\D cLAIM NATURE OF SAME AMOUNT THIS COLUMN.-QfUu-i.ne".nro--'.lfl'f=.OEli~r~e·ctr..E.a=O~"=.:'·~------'-----~~~~~~~-----'~I~,~r UU~4'h-rIS'lTioUIR'EGISTER ONLY Funeral expenses paid $$J 11')lJt.Jr7\ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) 1:\2 If\O OTHER DEBTS AND CLAIMS Fiduciary commission * -...........'_'v.._._.,-# PennaytVQA Ie inheritance Ton (*)See Note below Total IfS?'to ~ 'If---'"" / Note:The estate agrees to advise the Register of Wills if the amount actually paid in se or less than the estimated amount claimed and allowed. Subscribed and sworn to before me this.',..June , .................~3 day of ,19 . /s/Shirley Jankowski.....................'S-HiRL~iANROWsic(;"iot~t1'i'ublici . (Sea I)WClshington,WI~hington Co.,P... M.:..Mll:!u;r ~l.v e""..,,,.,,26.1973 (City or Town and State) l. Having been duly swor:--rr'ding to law,I do hereburt~~t,above appraisement is made..in conformity with law on this ...........,7..~f.:--1J day of .'"~.QL ,,19.7/);)~ .....;V~~~-.~k..-/.ty .AppraiseI' In the event that any future interest in this estate is transfelTed in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF ~IST I,the undersigned duly elected Register of Wills in and for.~tJ....County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by depone ,xcept as to th e items where a greater or lesser amount is set forth in the last column to the right in said schedule above,which greater 0 Ie ser~mount repr ents the.sum allowed as a deduction. Dated:Q.GJ .7 1~7t .~VSS~~L.MARINO.........~.,..t.~~.Regis~of Wills .. ". ,III ~ Form No.RCC·62 (2·64) WillAdministration INo Year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF GP.ROON .A.V.ERY.....De~~~~~d'........... Late of Wash i nston . County of Wash •Fl9t~n . Commonwealth of Pennsylvania REPORT AND APPRAISAL 'Vd "00 NOL~)NIHSVM SllJA\.-10 ~13LSIDJU ONIL":';,j ,";s:;ntJ 00 Ei~d Z2d3SIL t(]--..'I...:.~::,:-:/ ,. ,t, Form RC ColO OFFICE OF TME REGISTER OF WILLS OF _W;.;..::a:.:s~h:...:..:i-"n.:.o9;;L.:t;.;:0;;..:n'-'-__COUNTY ..~~'- 7 /-'7 fjL ," STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN THE SUM OF __. • • . . . . ...$ . DATE APpROVED .......• j AND AGENT OF THE COMMONWEALTH Register of Will.,Agenl ESTATE OF -'G~o:!:!.!..r~d~o~nC!.-.:..:A:..!v~ei:.!ri...yJ.-LATE OF _...!W!..la~s>!!.lh...!i..1n.l:9~tkJo!o"-JnL.-_ DATE OF FILING APPRAISEMENT DATS OF DEATH __..JA~PI_U,..~L·I..L1--'2""7~,-.L1.;.I9'-J.7'-L1----- ........\ \ I, COMMONWEALTH OF PENNSYLVANIA } COUNTY OF _.....:.:W-=a:.:s~h:..:...:.i..;..n:..lig;z.t=o..;..n:....-____sa: ____--'E!:::.J:jduw1:all!.Lr...::d:L-:..:...:Av~e""_r~y ~_~HEREBY CERTIFY.THAT.TO THE BEeT OF DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHCO" Quinn R.Banks,Funeral Director•.'Wash i ra~ton.Pa.Funeral expenses I OOLl SO Department of .Reven _, T""I--no,._""_A 0'__ .1 1 .'.... Samuel L.Rodgers.Attorney legal services and costs of"T I I I n9 Pet It Ion 132 50 I I -, /131.I~~ .\ -:=:::::..<:'=;-7+---;----;:----=------=-=-------r-(L.5.) A OMI NISTRATlON SU8MITTED TO TME EST...TE OF _-J.i.c~1o.n.-.8.~~~-I-'-I---:/-I- INMERITANCE TAX PURPOSES. SHIRLEY'JAN1<OWSKI,Notal)l Public Washington,Washington Co.,Pa. My Commission Expires January 2'6.1973 ;;.... ... R C CoB I (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT EDWARD AVERY (Executor or Administrator) IN YOUR REPLY PLEASE REFER TO In Re:Est ate of__GO_RD_O_N_A_VER-'--_Y _ ___----..:..WAS~:.::HIN=G:..::T..::.ON:.::,____..:..County -File No.6'3)-71-794 Mr-.Avery:Dear You are hereby noti fied that the ...::o.:;r.:;i;sg!=in::.;-:.::8.1=-__-_---- appraisement in the estate of Gordon !very-------_...::-_------=-:.---:-:_~--has been filed in the office of the Register of Wills qf Washington County on October 7,,19 71.Said appraisement reflects the following valuations: Real Estate None Personal pro-p-e-r~t~y~_~_~_~_2:l:5:6~6~.~O~_~i~-_-_-_-::::~_ Transfer s ------..,.,--,.'"7'"'t'-..,.....------Total -..,..-2~,.:..;5_66_._0..;.OC:_ As to such tax that is paid within three death,a five (5%)percent disc01,mt is allowable. remains unpaid after one year from date of death, of six (8%)percent per annum is charged. months from date of As to any tax that interest at the rate Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date October 7(,1971 DATE OF DEATH:Apri127,197JL Note:This is not a bill. .....".." .- RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of AVERY,GORDON (Last Name)(First Name)(Initial) DATE OF DEATH April 27,71 FILE NO.63-71-794 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of vJASHn;GTON 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:_....:0~c=t=ob=e=rC--L7.3-,~1"'-'CJZ..........,1'--__ \~]2J~~~LJf2 'rLu',(&J.)w"'d ~ INHERITANCE TAX APPRAISER 7 REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for ~1ashington 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~..reater or lesser amount represents the sum allowed as a deduction.(fJ .c:- Dated:O CT 7 1971 RUSSELL MARINO ~,~1~-vy~~1 VALUE AS REAPPRAISED $-------+-- ~,566,Ol2,5 __-1,13;:7 .00 __-...."~--..·I"~- __).,429.!!1~{))1 VALUE AS REPORTED VALUE AS APPRAISED $$----........,...,...,....j.........-2,&;f..f.."1l CLEAR VALUE OF ESTATE 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) Valuation of life estates or FOR USE OF REGISTER ONLY COMPUTATION OF TAX ~------.-.~ :~~~~~~~~-42_-J.4_::·'_'~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 :::::::::=t==== BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $------ AMOUNT OF ESTATE TAX ASSESSED $------IL- Estate tax paid $---Jl- BALANCE DUE $--------'~ Add interest at rate of 6%from E ------Ito-----$-------1' TOTAL TAX BALANCE $-------1 PAID $...J 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. 'lJ1I\ Will Administration !No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF GORDON AVERY Deceased Late of .WASHINGTON.... County of WASHI1'llTON ..' Commonwealth of Pennsylvania REPORT AND APPRAISAL : I• ,.1' " ., -..Fonn RCC-2 •<It )....'",>.'"~ COMMONWEALTH OF PENNSYLVANIA DATE """,.....:,,,,.'OC.TQ.B.JiiR,,.,,7,,.,,,,1.9.7.J..,,....,...,,.....,.*;.;..DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX WAgHING~ONCOUNTYBUREAUOFCOUNTYCOLLECTIONS........................,...........................................................................".'"'.. HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO.".".63..~71~7"94...........""............"...".".".....",,. Whereas,GORDON AVER~late of .........W.~~.h~~.9.P.-........................................................................................................................................................................................................................ in the County of ..................!!!3:.~~~~~.!?~...................................................................................Commonwealth of Pennsylvania,having died on the ..................................?7~.h................................................day of .........4p.r.~,+....................................................197.+......,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,Dominic DeMaria 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 AppraisementDelcrlptlonofAlletValuesMadeforInheritanceTaxPur.polel REAL ESTATE $ None PERSONAL SEE COPY OF APPRAISEMENT 2,566.01 Total $2,566.01 I I form~;vi';:~h~~::%~w~a~~to~:.~a~:r~~~~~~~~~~;", AppralBer ......................................,...........................................................................,................................................. (Number and Street) .....................................................................................................,,Penna. (Post Oftlee) ·······WASHINGTON County I,t \ RESIDENT INHERITANCE TAX APPRAISEMENT Estate of GORDON AVERY.........,.. Deceased. Lale of , WASHINGTON Date of Death,!I,p:r..g ?7,.+..97~:.. Appraisemel!t Docket Vol........~Y'..,. Page,d...t?..f..=..l N o ~?:?~:??.~. Filed in Register's Office,1 Amount of tax due,:ti . DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abo.ut Appraisement, Appeal ft-om Appraisement,.. Entered and charged,.. ."-. I * ,~ ~ f y ';. .. • ,;, .90 T .00 T '- .00 T 2)556.01 1;137.00- 1;429.C1 T .00 T .00 T L004.50 13250 '1<7 r OT1)oJ .v