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Home My WebLink AboutOC1971-0955 - ESTATE OF ELDERForm RC C·lO,.' OFFICE QF THE REGISTER OF WILLS OF W~a~s",-!h~in~g..!e:to~n~COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN J THE SUM OF .,....,.. ...$)~}~~~JA~~197t9 RUSSELL MARINOj~jJ.-,.ILt,-::_·~-,.,,,,-'~_"···-=····_·····_·····.=t:-·····.....:····· ESTATE OF _=-F..:.A::,:N::..:.:.N:.,:I:::E:....:E::.:L=D:.,:E=.;R:::.::....----LATE OF Vestaburg.East Bethlehem Township DATE OF FILING APPRAISEMENT DATIi OF DEATH _---:S=-e;:;Jpl:..t..;.;e::.;m~b:..:e:..:r:.....:l=2..!.,......:.19::...:..7.=..1 _ DATE NO.OF NAME OF PAYEE REMARKS AMOUNT VOUCHE" Gordon Greenlee Funeral Home Funeral Expenses 1654 60 Greenlee Funeral Home Ambulance bill 25 00 Bernard M.Berman M,D,Medical Services 46.50 Dr.Tibbens Eye~lasses 37 00 Washin~on Twp.,Fayette Co.1971 Twp.Taxes 75 46 Register of Wills Probate Will 24 50 .. Wash.Co.Reports Estate Advertising 14 00 Brownsville Telestraph Estate Advertisinst 9 00 Witness Fees for Will Bernice R.Finley 7 94 Witness Fees for Will Cecelia Mow1 ;.5 '00 Notary Fees 10 00 Administration Costs 40 00 John J.Moschetta,Jr.Attorney's Fee 536 13 LaVon W.McHenry Fiduciary's Commission 536 13 Steve Baker,Tax Collector 1972 Taxes 80 25-- n1"T ,P1"OV Harshman Medical Services 37 00 .. Total J~ilx~i COMMONWEALTH OF PENNSYLVANIA } COUNTY OF Washington 58: I.LaVON W.McHENRY HEREBY CERTIFY.THAT.TO THE BeaT OF ~y KNOWLEOGE AND BELIEF.TH\!.FOREGOING ISA JUST AND TRU E srATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF FANNIE ELDER .0ECEA.ED.AS DEDUCTIONS FOR INHERITANCE TAX PUR?QIlES.~L~@e~~(1..5.) lORN AND SUBSCR:JUD BEFORE ME THIS DAY OP'LaVON W,Mc~' Ie ---'..::=...J .e .0 J (ltnmmnUlUtaUq of ,tUUSglnauta.} llIlIasqiugtnu mnnutg.ss. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid on the 21 st.day of September A.D.1971 ,before me, Russell Marino ,Register for the Prob~te of Wills and Granting Letters of Administration in and for the County of Washington,in t!he Commonwealth of Pennsylvania, the last Will and Testament of Fannie Elder late of East Bethlehem Township in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and LaVon W.McHenry. rix the Execu~III said Will and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said LaVon W.McHenry committing unto her the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring her to exhibit a true and perfect inventory thereof into the Register's Office,at Wa'shington,within ninety days from ~b~date hereof,and to render a just and true account of s'aid administration at the expiration ;~~J*(;';';J("ttofsixmonths~'from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this 21st. day of September in the year of our Lord one thousand nine hundred and seventy-one .,lI.A..<'!'~...•...•~.•_1l!~:_'__!~~~gister •••'~-.'-it • .;~: i I I ~~ j4 ~~..........I ~~ I ~i 1 ~t= t ('IIren Gl-I»~ '" -I t= i ('II ..... 0 ~ 'T\a~:::.....~~<= i',;:~~~~ ,~~,,',:::.~ ,> I . -'.- ,•. , --'.. LAST WILL AND TESTAMENT. I,FANNIE ELDER,of Washington Township,Fayette County, Pennsylvania,being of sound mind,memory,and understanding do make and publish this my Last Will and Testament hereby revoking and making void any and all former Wills by me at .any time heretofore made. FIRST:I direct that all my just debts and funeral expenses be paid as soon after my death as maybe convenient. SECOND:I give,devise and bequeath my entire estate,real it personal or mixed,whatsoever and wheresoever situate,to my b~loved sister,Della Elder,to be hers absolutely,proVided, however,that if my beloved sister should predecease me,I give, devise,and bequeath my entire estate as above,to my beloved niece,Mrs.LaVon McHenry,of Syracuse;New York. THIRD:I nominate and appoint,my beloved sister,Della Elder,as Executrix of this my Last Will and Testament but should she predecease me then I nominate and appoint my beloved niece, Mrs.LaVon McHenry,as Executrix of this my Last Will and Testament and I further provide that if she act as Executrix of this my Last Will and Testament that she do so without being required to po~t any bond of any kind in the administration of this estate. -1- t· ••• (}-...:J .. t..D.,••Cl !/VI.JJJ-f . , IN WITNESS WHEREOF,I,FANNIE ELDER,the Testatrix above named have hereunto subscribed my name and affixed my seal thisS~day of.July,in the year nineteen hundred and fifty-seven. ~_._Q~~...::l/.:w4=A~4=W_;~fl~&~·J..4.."-)"",,Ob~J,-._.__(SEAL) Signed,sealed,published and declared by the above named,FANNIE ELDER,as and for her Last Will and Testament in the presence of us who have hereunto subscribed our names.. at her request as witnesses thereto,in the presence of the said Testatrix and of each other. -2- t~I; I~IIi\i!I ............,.,... b 3 -7/-fs-s-J i\ffi~uuit <tf iExrrutnr (@r i\bmintstrntnr ~tatr of Jrnu5ylnattta.t DD: C!1ounty of Illlhml1ingtlln \ P 11 b f h d . d h'Notary"Public . d f 'dersonay e ore me,t e un erslgne aut orlty,a.m an or Sal County and State,appeared Lg,Y..O:N 1Y.r.~HE.NB.x who,being duly sworn according to law,deposes and says that he is the executor or administrator of the estate of .....................EANN.IE E.LDEB deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of!..F.AN.~I:g,fi;.k:P..~.R , deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each item made by the above named Executor Administrator. Sworn and subscribed before me this....~th.,.........l /vi)//YJd//ft/J /7/~\~~,---,(h ",/f',///\/~da~.._.AJ.lg.1!~k •...............19....~.~..$I":"~"~~~~i ~...1.4·····~···"ji;;;;~~t;;;:'t;j;~.·····~bn"........\~.\',.."..,iw~;~·:~·;~·~tt:"\..·~\WI\'a~I~ Nota y P ctcl(;,,~Cl~'.MDDI~~AL INSTRUCTIONS~~y..\~:'i>$)~.~<;s$ 1.An inventory must b'\:jj~~P~~~\1hree months after appointment of personal representative. 2.A supplemental inve"~MS'st be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Cop1~s 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 lhtututnry null !\ppraisrmrut of the goods and chattels,rights and credits which .FANNIE ELDER Vestaburg,East Bethlehem Twp.,were .of .late of . Washington County,Pa.,taken and made in conformity with the abO'Ve affidavit. REAL ESTATE: DOLLARS CENTS Situate in Washington Township,Fayette County,Pennsylvania, Lot No.1,4 and 5 in the Watkinsville Plan of Lots,recorded in Deed Book 863,Page 107. Two tracts of land situate in Washington Twp.,Fayette Co.,Pa., containing 0;287 acre and 113 square perches recorded in Deed Book 862,Page 584. The westerly portions of lots numbered 1,2,3,4,5 and 6,and all of number 7 and 8 in the Watkinsville Plan of Lots,recorded in Deed Book 862,Page 578. PERSONAL PROPERTY: United States Savings Bonds Savings Account in Pittsburgh National Bank~Charleroi Office TOTAL 6,600 00 1,329 33 2,793 17 10,722 50 tt 2 ~d EI ~n~tL. ~Q]-\\.:l ~N.-'I). STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,deposeS and sayS that the above account as stated is true and correct as ~.~.~~verily believe, -. 4.z;uSwornandsubscribedbeforemethis£'. ..;23.................19 P'. N6f8ry PUblic,State of Florlde et I.r••M~cOmmission expires Feb.17.1876 Wa1shington County,ss: -~~WM_---------------- .Executrix 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 Sta'tute and Rule of Court,as evidenced by proofs thereof filed to No.....&..3.::::...Z5...:-...23.3 ~...-/ ~....~0 ;..> '0 ...,::s~C)(l)::l (l)-..J:;rn 0 ~-cd <.l ,g::f <.l fi1(l)~ C).. 'l; (l)>;q Cili P:4rx...Z~i 0 P:4 l=:,fi1...-/:ri1 fi1 ~~0.....1 Eo;q~~'0:U I !Eo;l=:1 ~rn.fi1 ~:2'J ri1 fi1 ;..>'~~~rn! Z ~:I j ...-/:~(Y)Z ~~~ ~~~ ciZ ". •, ( ~........_~ Witness my hand and official 'seal this €.7 . day of d.f?£.0?:?..Iz..~19..1~a.A~----_.~_._(~--------~...._-------_._._-_._- Register of W~~ 'Jy ~\...,...,...1::1::l ,,0./"cd0...., °P:4 1::1 0 ::l ~<1l /-;)0..c:I <.l...,....<.l0 I=-i I r'"D,0 ..~.~ L.f'''''~...,~~......1_'0 OJ E-i 0<1l 0 .... \'ij ...,E-i ;>..J1::1'73 OCT 3 Pt1 I 4S <1l 0 fi1 OJ til '0 e\'i <1l iE ~...0D<U ..., 0 ..., 1..., ><~~1::1::l ri1 RUSSELL i'r1i\HINO 0<.l '0 ~<.l ~ REGISTER OF VII LLS cd cd ~....-WASHINGTON :a I'i iJ)i-:l ~CO .•PA....;...,...,,8 til'~'~...,'biJ Zcd<1l ~0 <1l S P::~...,..c:I ...0~...,CI::0 ~1::1 i-:l1::1 0 '0 <.l ~0;... ~0ri.... .'•.•:r"""'--....--'<..,:--.-. J J ·'" , \ ... •I.,r...,.....••1""""" " ""-""'-" .~ The Court is respectfu Ily requested to determine proper distribution in this estate, IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS'COURT DIVISION IN RE:ESTAT:E OF FANNIE ELDER,Deceased. FIRST AND FINAL ACCOUNT OF LA VON MC HENRY,EXECUTRIX JOHN J.MOSCHETTA.JR. ATTORNEY AT LAW Date of Death:September 12,1971 Letters Granted:September 21,1971 Letters Testamentary Advertised:May 18,25,and June 1,1972 May 11,18,and 25,1972. PRINCIPAL -PERSONALTY RECEIPTS The Accountant charges herself with the Personal Estate of decedent in accordance with the inventory filed with the Register of Wills of Washington County on March 1,1972. CASH: Savings Bonds: 8 -$25.00 dated May 10,1947,Nos.Q763027464E thru70 1 -$25.00 dated Dec.5,1947,No.Q77656122E 1 -$50.00 dated June,1947,No.L90580936E . 1 -$25.00 dated December 5,1947,No.Q776656123E 1 -$100.00 dated December 5,1947,No.C132691345E 4 -$25.00 dated January 30,1948,Nos.Q776656166E thru 69 4 -$25.00 dated 2/27/48 Nos.Q776656196E thru 99 1 -$25.00 dated 3/29/48,No.Q776656213E 1 -$100.00 dated 3/29/48,No.C132691382E 1 -$50.00 dated 4/30/48,No.L173720824E 1 -$50.00 dated 4/30/48,No.L173720825E TOTAL VALUE 1,281.22 Savings Account in Pittsburgh National Bank, Charleroi Office,Charleroi,Penna.2,793.17 TANGIBLE PERSONAL PROPERTY: None. ..... JOHN J.MOSCHETTA.JR. ATTORNEY AT LAW REAL ESTATE: Real Estate situate in Washington Township, Fayette County,Pennsylvania: Lot No.1,4 and 5 in the Watkinville Plan of Lots,recorded in Deed Book 863,Page 107 Two tracts of land situate in Washington Twp., Fayette County,Penna.,containing 0.287 acre and 113 square perches recorded in Deed Book 862,Page 584. The westerly portions of lots numbered 1,2, 3,4,5 and 6,and all of number 7 and 8 in the watkinville Plan of Lots,recorded in Deed Book 862,Page 578 TOTAL ASSETS OF ESTATE DISBURSEMENTS The Accountant claims credit for the following: Greenlee Funeral Home,funeral expenses Greenlee Funeral Home,ambulance bill Bernard M.Berman,M.D.,medical services Dr.Tibbens,balance due for eyeglasses for deceased Washington Twp.,Fayette Co.,1971 township taxes Register of Wills,Probate Will Washington County Reports,advertising Estate Brownsville Telegraph,advertising Estate Mrs.Bernice R.Finley,witness fee for Will Mrs.Cecelia Mowl,witness fee for Will Notary Fees for administration documents Administration costs John J.Moschetta,Jr.,Attorney's fee LaVon W.McHenry,Fiduciary's Commission Steve Baker,Tax Collector,1972 pr.operty taxes Dr.Leroy Harshman,medical services Mt.Auburn-Fayette City Cemetery Assn.,care of lots Steve Baker,tax collector,1973 property taxes Register of Wills,inheritance taxes paid 6,6.00.00 $10,754.39 1,654.60 .,.. 25.00.,/' 46.50 v 37.00 ...... 75.46 v 24.50 .0/ 14.00 ,/ 9.00v" 7.94 v 5.00 v 10.00 ..... 40.00 -./ 536.13 v 536.13-./ 109.48' 37.00 200.00 109.48 1,215.57 Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) .~ Estate Notices The Register of WiHs has granted letters,testamentary or of administration, in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. ••••• •• •••• ••• ••• ELDER,FANNIE.Dec'd. Late of East Bethlehem Township,Washington County,Penna. Executrix:LaVon W.McHenry.82 N. W.102nd Street,Miami Shores, Florida 33150 Attorney:John J.Moschetta,Jr.,78EastBeauStreet,Washington,Penna. 15301 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 officiaJl legal periodical for said Washin~on 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: .................~.y...J.?t :.?~..t .!.2.'!.?.. .................;[~.~~~!.???... that the affiant or the corporation in behalf of which he is acting is not interested in the slJlbject matter of said notice or advertising and that all of the ::~.~~~of tIm mIid.,;,~t.""0 pl=m;;~.cto'.f th'pu~-~U~~~ Sworn to and slJIbscribed before ~.~~ 1st June 72........................day,of "L~ ...~~..::..Z..,..o rJ I Notary Public JOSEPHINE T.SCIAMANNA Notary Public,Washington,Washington Co. My Commission Expires July L 1974 ,..------------------_.._--- \. Proof of Publication of Notice·in Brownsville Telegraph L Under Act No.687,Approved May'.16,1929. State of Pennsylvania, Countyof Fayette C~~.~.~.~.~~.~.~~.~.~~.~~.lL..~.~P:.~.~g~..~of the BROWNSVILLE PUBLISHING CORPORATION, of the County and State aforesaid,being duly sworn,deposes and says that the BROWNSVILLE TELE- GRAPH,a newspaper of general circulation published at 16-18 Bridge Street,Brownsville,County and State aforesaid,was established January 27,1915 since which date the BROWNSVILLE TELEGRAPH has been regularly issued in said County,and that the printed notice or publication attached hereto is ex- actly the same as was printed and published in the regular editions and issues of the said BROWNS- VILLE TELEGRAPH on the following dates,viz: ......___~~1._.~.!.,_.~~.'-.._.9 __ _ __ __ _A.D.19 12.. .W~.~.p..1p.&t.9.D_.•.p..'nn.•.•....15J'O'.1..__ . TO BROWNSVILLE PUBLISHING CORPORATION,DR. LaVon W.McHenry 82 N:W.102nd Street Miami Shores,Florida 33150 John J.Moschetta,Jr, .Attorney at Law \78 East Beall street Washington;Pennsylvania 15301 , Affiant further deposes that he is an officer duly authorized by the BROWNSVILLE PUBLISH- ING CORPORATION,a corporation,publisher of said BROWNSVILLE TELEGRAPH a newspaper of general circulation,to verify the foregoing statel1lent under oath,and affiant is not interested in the subject matter of the aforesaid notice or advertisement,and that all allegations in the foregoing state- m,nts as to tim'.place and <hamel"of publkation a"t'_~;o~~iruA!~~X4 .jlst -, .-...Sworn to and subscribe([before me this .'.EXECUTRIX NOTICE ".. ,~.~m'i~.:>:::":~J~:~I <lay ~4;L-~.19J~:- j Washington County,Penna....!itEuN.:J(AWi.~NOtAR.Y...P.UBlT~. ;Letters Testamenfaryupon I B II F C P Notary Publicl.the above'estate.having b~en i rownsvi e,ayette aunty,a. ~granted.to the und.ersi!ined,,~My Comm~·sion Expires Februarla'1975'..C I notice is hereby given to.th.OS!!:tatement 0 vertlslng ostsjindebtedtheretotom-ake im·, ,mediate payment,and to those I:~~:~~~t ~~~i~sfO~rse~fl~~~:.to I J:~~~...!.!.~~.~.~~~.~~.~,~.~_~......_~.~.~.~~~~.Y.~.~.law .._7.§.~.~.~.t ~~.•g S:t;r..~.t.____.._ . For publishing the notice or publication at-9 00 tached hereto on the above stated elates $ _!~. Probating same .._.._ __$ _ _ . Total ____ _ _$l.!.9.9... Publisher's Receipt for Advertising Costs THE BROWNSVILLE PUBLISHING CORPORATrON,publisher of the BROWNSVILLE TELE- GRAPH,a newspaper of general circulation,hereby acknowledges receipt of the aforesaid notice and publication costs and certifies that the same have been duly paid. BROWNSVILLE PUBLISHING CORPORATION,a Corporation Publisher of Brownsville Telegraph,a Newspaper of General Circulation _ . By :. ~lt t4:r Qtnurt nf Qtnmmnu 'l:rua nf lfua4iugtl1u Qrnuuty ®rp4uua'Qtnurt 1lliniainu In the m3itter of the Audit of Account in Estate of FANNIE ELDER.Deceased No._ TO THE AUDITING JUDGE: Enter__m~y aDPearance fOr__L_a_V..,...o_n_M_c_H_e_n_r.::..y....::.,_E_x_e_c_u_t_r_ix_o_f_t_h_e_E_s_t_a_t_e_o_f_ Fannie Elder,Deceased. ~.6th ......d~,19-1.L N.B.-Counsel shall,by separ3ite paper,present a concise statement of each claim,with supporting calculation of any interest claimed.Objections to an account as filed,shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. J No0 _ In re Audit of Account in EstaJte of FANNIE ELDE~ne~e_as_e_d AUDIT Jrarripr fnr !\ppraraurr FOR LaVon McHenry,Executrix of the Estate of Fannie Elder, Deceased. JOHN J.MOSCHETTA,JR. Attorney ~2 '3-7/_C;S't;- PETITION SUR AUDIT •.i IN THE ORPHANS'COURT OF WASHINGTON COUNTY T"tat.Form j Estate of ¥A~.~J~_.:g:.~.R:g:.R .__ Deceased No.__ _ .___-. Fiduciary____..__.~.~Y9.~_.Mg.~~~.:r.Y.__. ~~cl·.~~cl Decedent's de9th :.e.~~~.~~!?~~-.!-?-~..~~.?.~-.-,"-.-.-.-----..'.---.Grant,otLeltt~rs ~~p~~!P:~.~.~..?L..J~.?L - . Th' .°h -..:'~first and'final ----.:.-----.:.'--(o.·.~;fOI d-::'.h'c -t'..IS IS t e _..account Ie In t IS es ate ,\~..-= If there havel5eeno former accounts filed'in this estate,list file=-number or number-and term _ _. Election to take Under or Against will.(cross out one) Date Election Place of; Fi led _ ___Record ._;;_ . Name of surVIVI ng spouse_::-.:::::~.::::.-:_-=-..._..__._ _ _.'._.:_ __.__..._...__._..,.,.,."_"'"° List issue,where material: Did decedent marry after execution of will?(indicate)YIoo.No.Any children born after execution of will?(indicate) '11m.No.If answer yes,name them_____._.__.._ ___.___._.._.._._.._. Leg.atees LaVon McHenry Relationship Neice Interest 100% Fiduciary,if deceased or not sui juris List,if exceptions to above: None. If partial intestacy,give facts: Adeemed:Revoked:Lapsed:Abated:Give Cause: 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.2Ni[X If any exception give cause:__ . File copy of Notice . and date of mailing Q9.t.9.l?~r..~.Q.t.J~.??.. Is estate subject to the filing of a Federal Estate Tax Return?~.9.~. Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.l.t.gt!?!.R1.. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant N1A . 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: Washington County Reports.advertising 10.00 Total additional credits (Subtract) Balance for distribution $.6.•.0.6.1..6.0 . $. $~Q.•..9.9.. $6,051.60....._-..--__-_- _-.. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); Real Estate situate in Washington Township,Fayette County,Pennsylvania: Lot No.I,4 and 5 in the Watkinville Plan of Lots,Deed Book 863,Page 107 Two tracts of land containing 0.287 acre and 113 square perches,D.B.862,Pg.584 Westerly portions o}Lots I,2,3,4,5 and 6,and all of 7 anrd 8,D.B.862,Pg.578 Distribution Value $6,600.00. ..-~ ........".----_...- ~-., -~--- .0 CA.a 4 If Family Exemption claimed by Petition,give place of Record:N1A.. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:. List any advancement or distribution on account that has been made,and nature and amount of same: None. Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: LaVon McHenry,100% COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly f?~C?~~doth depose and say that the facts set forth in the foregoing petition are true to the best of her knowledge and belief. ···.····to and subscribed before me this 6.th.~..day ot Dec.emb.er..~19.1.3 .,r,t'. ".r (?!eA-e..SI.gnature o~O~flce,~..~&~.... : . Title of Offlcer ~.'.=.'••~.4.4fr-::::Ldd./:./~.~. ,,:..,CECElJ:?':I:-.Q\.'.!L.N~G Off"WASHI''TON \':~s'::::urOi:COUNTYIce·explres !;~!...................•,..o'"..7!.~••••••••'MY C.O;,lCiS"IO:1 lA'"',i".';)..,I.~v•••:< M~ll1berI PennsylvaniaAssociationof ilotanes And your petitioner will ever pray,etc. ~---~-_2~//J_1.9--------- ....................................................'!'~. ''Vd "08 NO.L~NIHSVM Slll!A .:10 H31SI~3U ONliPni THSSnU ~O.31 J.~ ) l No. Estate of FANNIE ELDER-__ _-_.___--__._---_... Deceased Fiduciary bgy'O~:L_M.9.HEl':{RY_.._.._-------- PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:paragraph b-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 litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. JOHN J.MOSCHETTA,JR. Attorney ~2 "2-:I c:~l d SI I,Vr hL -./"1 './~~'.~f \':..r ......"0 10 .-.\'." ,-' .{... ~n t4t Q!nurt nf Q!nmmnn 'ltus nf lIustpugtnu Q!numy, 'tuunylnuuiu,®rpquun'Q!nurt iinininu J ESTATE OF Fannie Elder, Deceased. No._~6~3_-7L=:1=----L.95.:...5:::.....-_ ~ In the matter ofthe:_----'F=-i=r~st~a=n=d-'F;;;..=in=a=l= Account of LaVon McHenry, Executor. ADJUDICATIO~ANDDECREE And now January !S .-,19-.1lL,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration the'60f of the balance for di.stribution in th~hands of the Accountant is determined to ·be $051.60·and the account is accordingly confi rmed;and it is ordered, adjudged and decreed that the said balance be,paid out by the Accountant in accordance with the schedule of disribution hereto attached and mdde part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.I~g. SCHEDULE OF DISTRIBUTION Balance per account _ Additional Credit -Audit. Balance _ Deduct Clerk's Costs &Receipts,_ Attorney J.:;...o.:;...hn=_J.:..._M.:;...·-"-o-'-s-"-c..;;.:h.:;...e-.:t-.:t-=.a,---,oJ-=r....,.'-','--_ Register of WillS,filing certification of real estate.'. Recorder of Deeds,recording Certification of real estate. Contribution to maintain real estate in kind. 10.OC 20.00 26~09 598.40 $6061.60 6600.00 :-1 I LaVon McHenry,residue,comprising real estate in Fayette County,Pennsylvania,awarded in kind at appraised value per Certification set forth herein.6600.0C No balance .. .... .3- N M ~O~. ~ 0-» m n :l Z In n i 0 0 -+9 ; c ~ :l '(1) -+ ~t 0 3 ~-0 ~ ..,..0-+ ..... -+ St (1)., :: 0..,.. -+ § ~(1) ~ ~~~~~ -.. \ ..\)- J ~'. "' REAL ESTATE TO BE CE:.RTTFIED TO THE RECORDER OF AYETTE OUNTY By THE CLERK OF THE ORPHANS'COURT DIVISIO Fannie Elder,Devisor to LaVon~McHenry,Devisee,all ri ht,title,and interest of the Devisor in and to the following describd real estate: d.,situa te in as Lot Number All that certain piece or parcel of la d situate in SECOND:All that certain piece Washington Township,Fayette County,Penney-Iva ia,know as Lot Number four~(4)and Lot number five (5)in the Washington Township,Fayette County,Pennsylv one (1)in the Watkinsville 'Plan of Lots. BEING the same property,which was ed to'D lla Elder and ~,.. PARCEL NO.I: FIRST: Fennie Elder as joint tenants ip and not as tenants in common,by deed of Della Elder date 1956,and re... corded in the Recorder's Office of Fayette Cou .,in Deed Book 863,Page 107.The said Della Elder died June 20,1959,thereby vesting entire title in Fannie Elder. PARCEL NO.2: Monumented f St~te Highway n said lots hwestwardly,in ance of 88 feet, feet northeast- and ughiogheny;'· distant 109 feet,more or less,northeasteardl Base Line of Survey of the Pittsburgh,McKeesp being the westerly portions of lots numbered 1,2,3,5 and 6,and all of lots numbered 7 and 8 in the Watkinsvil Lots,more particu1s,rly bounded and described,as follows: BEGINNING at a point which is 'common t lots n bered 8 and 9 in the Watkinsville Plan of Lots arid the Weste known as Legislative Route 247,Traffic Route ALL that certain piece or parcel of 1 in the Town- ship of Washington,County of Fayette,Cornmonw alth of ennsylvania,, Railroad Company as measured in the dividing 1 numbered 8 and 9;thence southeastwardly,in th, Highway,a distance of 122 feet more or less, dividing line between lots numbered 6 and 7;th said dividing line between lots numbered 6 and , a more or less,to a point,said point being dis " .'0 I~ ....~~ :J Z t=f n ooT p O·0 .::r ""....(t C CD ~ :J 3 0 -+0 0............:+' ~ CD t ., t 0.... ooT = ::r N CD ~~ ~~::l~~ ., of 170 feet to eastwardly in rough lots northeastwardly ing a forward e..point at t mentioned dividing line;thence southeastwardly in a str ight lin ,through lots wardly f~om said Monumented Base Line as measu humbered 6 and 5 and part of lot numbered 4, a point in lot numbered 4,which is distanto from said Monumented Base Line as measured in angle of 81 0 03'to the left with tangency the Survey Station 25+06.79 thereof;tben.ce contin a straight line,through1'.part of lot numbere to a corner THIRD,con~ part thereof. •, ered 1';,.and 2; , a dis ta,nce d distance 25 southwesterly the following ce of 74 feet, ner point of the inuing southeast- nUDlb~red 1, red in said y line of lot lOne to the left to iss Della Elder of urvivorship,and and 9,rossing said ss,to the place FIRST,northwestwardl BEING th~same property which was con of drawing dated May 5,1955,attached hereto a d made crossing said Monumented Base Line,a distance of 74 fe t,m~reor less, courses and distances: BEING land shown by letters A-B-C-D-E--G-H-I-J K-A on the print dividing line between lots numbered 7 and 8;OURTH,c ntinuing north- westwardly a distance of 148 feet,to a corner the dividing line between lots numbered 8 and 9;thence nor ly,in first and Miss Fannie Elder as joint tenants with a to a corner point of said lot boundary line of lots numbered 1,2,3,4,5,,7 and mentioned dividing line between lots numbered Monumented Base Line,a distance of 172 feet, of beginning;CONTAINING 1.56 acres,more or to a corner point of the dividing line between SECOND,continuing nc1>rthw~stwardly a distan€e point of the dividing line between lots numbered 3 an~ tinuing northwestwardly a distance of 240 feet,to numbered 3 and 2,a distance of 1~0.33 feet to a point on the dividing line between lots !lumbered 1 and 2,said point being di tant'·27.1 feet northeastwardly from said Monpmented Base Lin dividing line between lots numbered 1 and 2;t wardly through lot numbered 1,in ,the arc having a radius of 548.69 feet,being feet northeastwardly from the said Monumented of 67 feet,more or less,to a point in the so numbered 1;thence southwestwardly,in said Ii ~ 0.....~~ :J Z t:I ~n """!' yo+. 0 ::r ~~ c CD :J 3 0 -+ .....0 0.....~ t ~~ ., 0..... N """ ::: if' \ ~' t.J"'l .d N 0 t1)~ .-l 0-z:.-l r-n ...-c::~0 .......-<:(<..)r-...-\j...,a-~........0 ..... 0 0 ---l 0;::1- \-..,_oJ uJ c..:: ~ ~l.lJ i-;z:.. ~ ::;c.t()t1) ---l oG'C t1)-:.r: ~::::><:)t1) -a::w 4: .:::r-c::3= l1-r--.. not as tenants in common,by special warranty e Pittsburgh, 20,1959,there.. McKeesport and Youghiogheny Railroad Company,d ted May 11,1956,and recorded in the Recorder's Office of Fayette Co ty,Pe nsylvania,in Deed Book 862,Page 578.The said Della Elder by vesting entire title in Fannie Elder. PARCEL 3: All those two certain 'tracts of land s Washington Town- .ship,Fayette County,Pennsylvania,more pa.rti ularly b unded and describ- ed as follows: line between ber one and lot he Little Red- et northeast... 6-40.81 tthereof, s.n of lots,said Beginning at a point inFIRST'TRACT: ,. .. said line making a forward angle to the left 0 67 degr es 40-1/2 with stone Creek branch of the p.McK.&Y.R.R.at point being a distance of twenty-seven and one \-Jsrdly,as measured in said dividing line number two,from the Monumented Base Line of s lot number one and lot number two of the Watki and dis- tion in said oint;thence ecember 13,1913; er four~a dis- h is forty-three s thereto from sai4 line pro- Survey,the last e land conveyed to the left of tant ten feet northwestwardly as measured at said dividing line bet-ween lot number three an lot n plan of lots;thence continuing in a northwest southerly line of highway,a distance of ten in a southwesterly direction in a line which i tance of one hundred feet,more or less,to a and forty-seven one hundredths feet distant Line of Survey at Station 25-06.79 ~h&reof, duced an@'intersection with,and making a forwa. 81 degrees 03 minutes with said Monumented Bas described line being ~]s,o~g the southeasterly 1 ~o Elmer Elder,by James M.Schoonmaker,by de said Monumented Base Line of Survey;thence in sterly.direction in said dividing line between lot number mot n ber two,a dis- tance of ninety-five feet,more or less,to a oint in he southerly line of highway}thence in a northwesterly said southerly line of highway,a distance of one hundred tw nty feet to a point in the dividing line between lot number three r four~of said ~ 0......~~ :J Z n 00+!=> yoot. 0 :r ~al' c (\) 0 ~3 ..........0 0 ~ -+.::+ t ~ (\).., 0...... .. 00+ = :r(\) ~& s~~:; n (0.287)one thence in a southeasterly direction in a strai t line 30.53 feet to a point of beginning,containing two hundred thousandths of an acre,more or lese. SUBJECT to the exceptions,reservations,easem nts,rights of ways,rights and privileges,as set forth in p ior inst uments of record. SECOND TRACT:Beginning at a walnut st 'ump in line of lands, " South 83-1/4 degrees West 4.25 perches to the eginning,con- taining One hundred thirteen (13)square perch measure. formerly of Williams Donaldson,themce ees West,5.6 perches to a corner;thence by said Donaldson's line,N 44-3/4 degrees West two and two-tenths (2.2)perches in line of lands formerly of said Dona1~soh;thenc~by same,No degrees East 12.5 perches to a post;thenc~'~Soqth 65 degree East 7.perches to a post;thence South 17-1/4 degree~West 10 perc as to a ost in line of lands formerly of said Donaldson;thence with dson's line, as ella Elder and I July 2 ,1956,and record-tenants in common,by deed of Della Elder date SUBJECT to exceptions,reservations,e sements,rightsc6f way, rights and privileges as set forth in prior in truments of record. ed in the Recorder's Office of Fayette County,Pennsyl nia,in Deed .dfe.dBook862,Page 584.The said Della Elder -;rune 20,195 ,thereby vesting entire title in Fannie Elder. BEING the same property which was conv .,ofFannieElder,as joint tenants with a right su, CERTIFIED TO FAYETTE COUNTY FEBRUARY 0,1974 I f I lj03 )-g-/97'( ·\ ~ 0"""~ t:Y ~ ::J Z n --to ~ i 0 :::r ar c CD ::J 0 --to 3 ....""" 0 0 NI • ~ """:+ ~ CD .~ ., 0""" = --to ~ :::r ~1~ CD ~6, ~~ S~ IN RE:ESTATE OF FANNIE ELDER,Deceased DESCRIPTION OF REAL ESTATE I I PARCEL..NO.,1: FIRST:All that certain piece or parcel of land situate in Washington Township,Fayette County,Pennsylvania,known as Lot Number four (4)and Lot number five (5)in the Watki'nsville Plan of Lots. SECOND:All that certain piece or parcel of land,situate in Washington Township,Fayette County,Pennsylvania,known as Lot Number one (1)in the Watkinsville Plan of Lots. BEING the same property which was conveyed to Della Elder and Fannie Elder as joint tenants with a right of survivorship and not as tenants in common..by;deed.'bf De·l1a Elder dated ,July 31,195'6,>and recorded in the Recorder's Office of Fayette County,Penna.,in Deed Book 863,Page 107. The said Della Elder died June 20,1959,thereby vesting entire title in Fannie PARCEL NO.2:Elder. ALL that certain piece or parcel of land situate in the Township of Washington,County of Fayette,Commonwealth of Pennsylvania,being the ~~ westerly portions of lots numbered 1,2,3,4,5 and 6,and all of lots numberE d 7 and 8 in the Watkinsville Plan of Lots,more particularly bounded and described as follows: BEGINNING at a point which is common to lots numbered 8 and 9 in the Watkinsville Plan of Lots and the westerly line of State Highway known as Legislative Route 247,Traffic Route 711,said point being distant 109 feet, more or less,northeastwardly from the Monumented Base Line of Survey of the Pittsburgh,McKeesport and Youghiogheny Railroad Company as measured in the dividing line between said lots numbered 8 and 9;thence' southeastwardly,in the westerly line of said Highway,a distance of 122 feet more or less,to a corner point of the dividing line between lots numbered ' 6 and 7;thence southwestwardly,in said dividing line between lots numbered 6 and 7,a distance of 88 feet,more or less,to a,lpoint,said point being distant 44.6 feet northeastwardly from said Monumented Base Line as measured in last mentioned dividing line;thence southeastwardly in a straight line,through lots numbered 6 and 5 and part of lot numbered 4, a distance of 170 feet to a point in lot numbered 4,which is distant 43.47 feet northeastwardly from said Monumented Base Line as measured in a line making a forward angle of 81 0 03'to the left with tangency thereto from a,'.f 'C •.,•t point at Surv~y Station 25+06.79 thereof;thence continuing southeastwardly, •f in a straiglt line,through part of lot numbered 4'and through lots numbered 3 and 2,a distance of 130.'33 feet to.a point in the dividing line between lots numbered 1 and 2,said point being distant 27.1 feet northeastwardly from said Monumented Base Line as'measured in said dividing line between lots numbered 1 and 2;thence continuing southeastwardly through lot numbered 1, in the arc of a curved line to the left having a radius of 548.69 feet,being concentric with and distant 25 feet northeastwardly from the said Monumented Base Line,a distance of 67 feet,more or less,to a point in the southeasterl line of lot numbered 1;thence southwestwardly,in said line of lot numbered 1,crossing said Monumented Base Line,a distance of 74 feet,more or less, to a corner point of said lot numbered 1;thence in the southwesterly boundar line of lots numbered 1,2,3,4,5,6,7 and 8 the following courses and distances:FIRST,northwestwardly a distance of 74 feet,to a corner point of the dividing line between lots numbered 1 and 2;SECOND,continuing northwestwardly a distance of 123 feet,to a corner point of the dividing line between lots numbered 3 and 4;THIRD,continuing northwestwardly a distance of 240 feet,to a corner point of the dividing line between lots numbered 7 and 8;FOURTH,continuing northwestwardly a distance of 148 ' feet,to a corner point of the dividing line between lots numbered 8 and 9; thence northeastwardly,in first mentioned dividing line between lots numbere 8 and 9,crossing said Monumented Base Line,a distance of 172 feet,more or less,to the place of beginning;CONTAINING 1.56 acres,more or less. BEING land shown by letters A-B-C-D-E-F-G-H-I-J-K-A on the print of drawing dated May 5,1955,attached hereto and made a part hereof. BEING the same property which was conveyed to Miss Della Elder and Miss Fannie Elder as joint tenants with a right of survivorship,and not special warranty as tenants in common,by/deed of The Pittsburgh,McKeesport and Youghiogheny Railroad Company,dated May 11,1956,and recorded in the Recorder's Office of Fayette County,Pennsylvania,in Deed Book 862, Page 578.The said Della Elder died June 20,1959,thereby vesting entire title in Fannie Elder. PARCEL 3: All those two certain tracts of land situate in Washington Township, Fayette County,Pennsylvania,more particularly bounded and described as follows: FIRST TRACT:Beginning at a point in the dividing line between lot number one and lot number two of the Watkinsville Plan of lots,said point being a distance of twenty-seven and one-tenths feet northeastwardly, as measured in said dividing line between lot number one and lot number two, from the Monumented Base Line of survey of the Little Redstone Creek branch of the P.McK.&'Y.R. R.,.at Station 26-40.81 thereof,said line making a forward angle to the left of 67 degrees 40-1/2 with said Monumented Base Line of Survey;thence in a northeasterly direction in said dividing line between lot number one and lot number two,a distance of ninety-five feet,more or less,to a point in the southerly line of highway;thence in a northwesterly direction in said southerly line of highway,a distance of one hundred twenty feet to a point in the dividing line between lot number three and lot number four of said plan of lots;thence continuing in a northwesterly direction in said southerly line of highway,a distance of ten feet to a point; thence in a southwesterly direction in a line which is parallel with and distant ten feet northwestwardly as measured at right angles thereto from said dividing line between lot number three and lot number four,a distance of one hundred feet,more or less,to a point which is forty-three and forty- seven one hundredths feet distant from said monumented Base Line of Survey at Station 25-06.79 thereof,as measured said line produced an intersection with,and making a forward angle to the left of 81 degrees 03 minutes with said Monumented Base Line of Survey,the last described line being also the southeasterly line of the land conveyed to Elmer Elder,by James M.Schoon- maker,by deed dated December 13,1913;thence in a southeasterly direction in a straight line 130.53 feet to a point of beginning,containing two hundred eighty-seven (0.287)one thousandths of an acre,more or less. SUBJECT to the exceptions,reservations,easements,rights of ways,rights and privileges,as set forth in prior instruments of record. SECOND TRACT:Beginning at a walnut stump in line of lands formerly of Williams Donaldson,thence North 77-1/4 degrees West,5.6 perches to a corner;thence by said Donaldson's line,North 44-3/4 degrees West two and two-tenths (2.2)perches to a post in line of lands formerly of said Donaldson;thence by same,North 36-3/4 degrees East 12.5 perches to a post;thence South 65 degrees East 7.6 perches to a post;thence South 17-1/4 degrees West 10 perches to a post in line of lands formerly of said Donaldson;thence with said Donaldson's line,South 83-1/4 degrees West 4.25 perches to the place of beginning,containing one hundred thirteen (113) square perches,strict measure. SUBJECT to exceptions,'reservations,easements,rights of way, rights and privileges as set forth in prior instruments of record. ,.r • BEING the same property which was conveyed to Della Elder and Fannie Elder,as joint tenants with a right of survivorship,and not as tenants in common,by deed of Della Elder dated July 25,1956,and recorded in the Recorder's Office of Fayette County,Pennsylvania,in Deed Book 862, Page 584.The said Della Elder died June 20,1959,thereby vesting entire title in Fannie Elder. r---- \. ~ (' 1 <---- " .! " .,\,. ,. ........' ..~<\ II Ii .':-~I· ·,~ "T·..": ·j:;-. ,_I "~.~_.I .\ ,,. .~.p .' -....~-... ~~~"" .:.11 ..,... '.. "~, ~.' ~.:'"."' .,/:.' :, ..tor_':""_ ".~...r.. I.",• ~.t:/:<·~;~+..~·~··jl ',:~;"=:1••-,'o ~' .'..~~~':' ...,•u'I....-,.··~··i ./ 17~56-Y5-/ '. /~?!-(/N "i/'fI r CF »~.\·.....INtjrON t .• ccJ·"-"rY ~r F /9>CTr~. .:";"I"'1 ...N ut':/,>L.TN a,·'PENNSYLV,.:://vNI ..---_.-.-..,. 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ORPHANS''COURT DIVISION ) HEARING ON AUDIT The Honorable PAUL A.SIMMONS,JUDGE of the said Court. • INRE: Estate of FANNIE ELDER, ~Deceased.«>~>-IIIZZ1&1D. ioI-~BEFORE: :IIII«~ ( ) ( ) ( ) ( No,.63 -71-955 . I Mr,.Moschetta. MR.MOSCHETTA:'"' ....U 0:I-~APPEARANCES: ~« u o :J.., :t..,.. N TIME: !Ii0: 1&1I-0:oD.1&1 0:THE COURT:I-0: :Jo U ~« U ii:ll.o JOHN J.MOSCHETTA,EsqUire,of Washirgton,Pa.. representing the Accountant. Tuesday,December 11,1973,at 10:00 A.M.,EST The next estate is the es tate of Fannie Elder. Your Honor,I'm appearing on behalf of my brother.My name is James Moschetta,and I'd like to submit.. the papers regarding the estate of Fannie Elder.Your Honor,the e are no,outstanding claims against the estate,and everything is in order.The assets for distribution are cash anq real estate. THE COURT:There is no occasion for a hearing,is that ri~ht ? I MR.MOSCHETTA:That is correct,your Honor.--i'----~i..-.:,;~..:.....:=.;::.::;;:.;:::..::.::.=.;::..::..;;;.;;..:.----~~-=--.:...:~~---::;----~---t_-- t'.,, ~,i '.,(,,~:(I ". r--------~------------------------------ 2 THE COURT:Would you announ'ce the estate of Fannie Elde ? MR.ZERMANI: (Court Crier) Your Honor,I received no response. •~,I'! THE COURT:+s anYone.in the ,~purtroom interes ted in the ," '\estate of Fannie Elder?(: (NO RESPONSE) 0( ~THE'COURT: ~>-UIZZ \&I II. Zol-ClZ :I: UI 0( ~ The audit of this account is ordered closed. (AUDIT CLOSED ,.' ,\" !.-. ..~~I I :J,I "~",~,f,f'<i.••f'l-"~1·~1•\j(t ..:/'1-"~,•.,-The foregoing record of the proceedings upon the hearing of the. ui .0:~1 hereby certify that the proceedings and evidence are contained oII.~fUlly and accurately in the notes take~by me on the hearing of the above 0::J 8 cause.and that this copy is a correo .J0( uiLll.o ~u itl-UI C .J 0( ~o :J., ,~ '"til .'~':. above cause is hereby approved and directed to bettled._..,. •."!"I. .,By the Court• ~~.aul A.Simmons.J.- r ..... RCC-43 (5-65) ,( NOTE:TO BE SUBMITTED IN TRIPLICATE Pennsylvania Department of Revenue Bureau of County Collections 26 S.4th Street Harrisburg,Pennsylvania /SEr 17 '18 PH tll Assistan~Cashter TITLE D,ear Sir: Pursuant to Section 742,'Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: NAME OF REPORTING First National'Bank &Trust COt FINANCIAL INSTITUTION Washington,Pa.--1'hlr~e;rid'JS'er'FS'1t1·cl'f"ll~rit"i"!o>mwn"Pi...,..O""tf""ltf"'olll'"7'¢l'1l!5er--------- ADDRESS Fredericktown,Fa.lS333 ACCOUNT NO.OF JOINT, TRUST OR INVESTMENT DEPOSIT..--__O_'_O_2_2_3_0.,.-4_20_._ NAMES ON ACCOUNTORINVESTMENT Fannie M.Elder or Mrs.LaVon McHenry DECEASED JOINT DEPOSITOR,Fannie M.Elder.'TRUSTEE OR INVESTOR _ ADDRESS Box 463,Vestaburg,Pa.15366 DATE OF DEATH September 12.1971 SURVIVING DEPOSITOR,... BENEFICIARY OR INVESTOR r~rs.LaVon McHenry ADDRESS e2 NW l02nd St.;Miami Shores,F~orida 331S0 RELATIONSHIP TO DECEDENT Niece......-------------------- DATE~A;P~~i~~~I~~~~STMENT December 5,1967 BALANCE,INCLUDING INTEREST b'.. DUE,AT DATE OF DEATH $;i}-=,:....O.;:.-36_··•....:.9_0_._ -JA/~YJ .1 1 I)IJi13,0 J 1>,r o ~I;~-/F.J/J If '.~)Jy l/J'.Jtv;V /sJtJ 1"S-/'1,4 J.---.J-'-7·71 S,gnalur. -.5-7/)5 2..'2-7 I 11 Z 1/,Ji .,~cc-134'"(1-69I tit',t_II- COMMONWEAL TH OF PENNSYLVANIA PI;PARTMENT OF REVENUE BUREAU OF..COUNTY COLLECTIONS1~!"'tR1TANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO:l'U's •.Won McHe:o,rx 82NVl 102nd St., Miami Shores,Florida 33150 Dot~:September 21,1971 County I'JASHIN./I'ON County File No._ Bureou File No.(.3 -7/-7.s-.5 We hov e re~eived no tice th15}y\(i[SCQXi~$.1il£GUCm~Cd~@JJyJOC:axXv..Yn.xXTi7AYX'(X¥XXXXYXXXXXXXXXXXXXX on Sept,12"19--7,lyou c;:ame into ownership of ~ert(]in property :ifu;'i?"-I!!iJLl<J!.,:.(dc{ID'~hmXl'&biltdr w.iis:}f~r~ty.YDWJi~ifrJ:iyJmlUiJet:~e.tUJC Transfer from Fannie 1,1.Elder,deceased (Vestaburg) Under the Inheritance and Estote Tax Lows 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 tronsferee. The property on which tax is hereby assessed consists of:Jtl He]d jp First.Nat,j ODA)Bank &Trust Comnany ,Fredericktmm Office,J.1'rederickto\rm,Pennsylvania.In the nanc of Nrs.LaVon HcHenry....Balance as of date of death ~3,036.90. appraised by the Commonweqlth,OS of the date of death,at $3,036.90 15 %of this amount is taxable at the rotE!of _.6 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT DA H;OF ASSESSMENT TAXABLE AMOUNT lESS:ALLOWED DEaTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE o If you pay the above amount within thre~(3)months .of the d(Jt~of death of the decedent,or on or before.Dec.12,1971 you may d~duct a discount of 5%of the amount of tax due,or o This tax became delinquent,fifteen (15)months after the date of death ond,in addition to the tax,statutory interest ot the rote of 6%of the tax per annum is also due as of*_ 19_..~in the amount of *If the tax is not paid by the above date additional interest is due at the rate of 6%per onnum until paid TOTAL AMOUNT DUE $ 227·77 .-M:iJ'~---~~~----- $-.........."...........-...----- --------~-- APPRAISED BY:.:I,',,(._"";,f'/((ASSESSED By:........-K,..,..uS,..,..'S,..,..£L,..,..L,..,..M..,.,..A_R,..,..llY,..,..O_.~~__ (Inheritance Tax Appraiser)(Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to:To insure proper credit to your account117../.'1.".th.i S OffiCia.I Notic.e must.acc.ompany~J ?7''\tl#!i ,AM~J1paYment ..Mad ar bring ,t ta: _fJ J--.'t.~...i:..•1 I 0.;THE \,ONlMONWEALTH U $'h;t,-3 :2-, __COURT HOUSE , .1:J --d .3;;;;;Wh§!!!NGT(lN.PENNA.15301 ~)i,I Y7 L ~;1J77 fJ :J- ~ If you have already paid this tax to an executor,administratoli.attor-lJey or other personal represe~t~tive..of the '" decedent for forwarding to the Commonwealth,list below the date paid,name and address of the person to whom you made payment,their official title and the amount. Date Paid Name and Address of Payee Official Title Amount Paid Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended by you may qualify as deductions against the gross value of the property in the computation of tax due.If any such expenditures meet all of the three following tests,it is recommended that you itemize the payments below, execute the affidavit,and return this notice..The Register of Wills will examine the debts claimed and allow those which he determines to be proper.The tax will then be recomputed and you will receive an amended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: 1 -You were personally legally'responsible for these debts,and 2-You actually paid these debts out of the account or property described above dnd 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 handl ing the admin istration 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 requ ired) 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 Approva I:---'-\~ \\Register of Wills ~.'/ //"v· Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF j 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 Inherit~nce_an!i.E.f!1;ate~ax 1\ct of lQ61.) IN THE MATTER OF THE.ESTATE OF }AFFiDAVIT OF EXECUTOR .........................................FANNIE .E.LDER.............................EXECUTOR (State full name of decedent) Late of .Y.~.$..t.~p:tP.;'g,u.:w:~.$.h.~P.:gt.Q.J1 County ADMINISTRATOR state of :p~nP.:§ytv.:~J1t9.:uu } County of ....~'::f:l~?-[i:??-..u uuuu......................ss: ............................uuL.9VONW.....M.c..HEN.R.Y.... of the estate of the above-named decedent being duly sworn,depose S and sayS u.u..........................Eecutor Decedent'dJed ..uS.~p.t~.mp~:r...l~.,. (Month) u ,19u..7lu.u..,r testate leaving a last will,copy of which is hereto attached.} (Hay)(V""r)Lintestate Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. ExecutrixThatassuch deponent is familiar with the affairs of said estate and the property con- (Executor-Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception ofthe 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 'Y1-<.None. That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth full v and in"detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail allllersonal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether individually,or j,Q.-,trust for any other person or persons giVing also separately the accrued interest thereon,if an),-:a~~to 'the last interest day prior to decedent's death in the case of saVings banks;and to the dat'e·;.o'f:decedent's'death'..:::-in all other cases;all bonds,postal saVings,treasury certificates or notes and other evidence of in- debtedness of theUnited states to the decedent;all obligations,whether by statute or agreement they ,c"--..are designated as tax free,of the United States,or any state,or poli~ical subdivfs~Dn thereof,or of any foreign country,which·are owned at the time of death;all wearing apparel,jew~i~Y;·.;ilverware,pic-.'.tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and'any and all other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and OWing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giVing the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable to the estate from life insurance policles 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 accrlll;!d ltlUif't:!l!it Utt:!f'l!tlfl ttl th@ dAte fir dece- dent's death and other investment securities owned by the decedent at the tim.or death,with the market value thereof at such time. In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within ,two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y of the deed,trust agreement or other instrument creating the trust.Ther,~is also set forth in said schedule a list of all property,real and personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either individually Qr joinqy,by the will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,tlie nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instrlooents 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 accru~d 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 estilnated 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 collOOl1s in Schedules "A","B", "C","E",and "F"as directed therein,· have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this ....~~~~~..•._.._. 82 N.W.l02nd Street.- -. (Street Number) .....lV),1e,m.LSh.Qr.e..s.",F.lo.r.,i,d.a 3.3.l.5..Q . (City or Town and State) ..····7l..····..········~·······:·..day of A:t:l.~~.t ···········;;j.t···19.!..?.~1J~1:I'\~v.'{1:I~~1:I~~~1" ..........................................,...................~.~.\~fj'\\l";\~h .'i.."..p......... Nctary p~~'t'\~s~\,-~ss~'Q~o\~o.c~c ~'\~~.~'j..v'\r:I-\"\~~s¥.\~~S\~~\at-\"J~~~\~\~..~1i clJ ~e\\\\';j NOTE:Before signing ~~avit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that collOOl1 #1 in the "Summary"has been properly completed as above-directed. >. (2) 8,600.00 ESTIMATED MARKfTVALUI (1) ASSESSED VALUE FOR YEAR 0' DECEDENT'S DEATH SCHEDULE "A" REAL PROPERTY ..,.... F'!NM~YLVANIA .aVENUE'n COLLECTIONS .,,i! Tbt 17 poJ1lou of loti munbm.-cd 1.a, I.t.I I.ud au 01 mamber .,and 8 in.thewPlu·oI Lote,recorded in Doed Book e81.Pap "8. Real Bltatlllt8telo WllIdqtoa TOWIlIhlp,,..,..CO'Ii&W•....,........ Lot No.1.•ad.•in the WatktnvDle Plaa fA LotI.MOoNed ill Deed Book 888,Pap 10'1 Two tr~to at lend situate ill W"G~Twp., Fa,..Cottn~,Por.:nn..,eontnln!ng O.D8'aero aDd ua square P(.1:"e~lOL :.:-~O'act::in Deed Book 8.1.Pqe 8M. .~I property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at ded' dent.Where property heid as joint tenant or tenancy by entireties,report on Schedule ItE".Proper, th.d.uedent os tenont in common with another or others,shou Id be identified QS to quontu,.of ...., the estimated value should be thot of the decedent's 'interest only. .'._----,.-----....,------...,,............'TIl.t~t property loeoted In the Commo{lwealth of Pennsylvanl _hould be d..c#lb.et by lot and block number,,-tr.et and IItreet number,tODether wi th •te'\jtf0.lhscrlptlon of the property,with a reference to the record of the eonvey4'lktJ b1 which the .tecedent took title;If 0 farm IItote number of o· cr•.;alto 'tcrtetl'lent of mOl'tlJOge .ncum~ronc ..upon each parcel at deoth .f deced."t.Taxe.,ouessment.,occrued Inter••t on mortgage.,etc.,are to be U.t.d on Schedule "F"ond mu.t not b.deduc:ted from this schedule" _---JI..-_ Insert this totol opposite "real property",Schedule "A"in the X Y X X X "As Reported"column on the last page of this r'lurn. 6.600.00 ),~,;.;"hA7",\'.... SCHEDULE "B" PERSONAL PROPERTY RCC-35 COMMON~ADTH OF;PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT r . ".' "_0"i 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,titied 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 any undistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Savings Account in Pittsburgh National Bank, Charleroi Office,Charleroi,Penna.tftI/")'7?IJ -2,793.17 Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. RCC-36 CO'.t\lO\"'lic\L'rH OF PE~N~YLV~.\NU. T1UNSFFI\INHEIUTANCE TAX lm~InE:\'T DECEDENT SCHEDULE "c" TRANSFEnS (1)Din necedent,within two years ofdeath,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)~o. (2)Did necedent,within two years of death,transfer property from himself to himself and another or others (incluning a spouse)in joint ownership?(Answer yes or no)No. (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _ (b)State of decedent's heal th at time of making the transfer.(Note 1). (c)Cause of decenent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enj oyment at or after his death? (Answer yes or no)~o. (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?-----(5)Did decedent in his lifetime make any transfer without receiving a 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)No. (b)The right to nesignate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)No. (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserven in decedent alone or otherS ---;-_ (7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor?(Answer yes or no)No (8)Din decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserverl power to alter,amend,or revoke,or which could revert to rlecedent under terms of transfer or by operation of law?(Answer yes or no)No. (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in th~decedent alone or the decedent ann others? (Answer yes or no)_ NOTE 1:The answers to these questions should be supported.by affidavit by the attenrUng 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 prcperty transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which prOVided in Schedules A,B,or E. ITEM None. DESCRIPTION MARKET VALUE (Estimated)DF2T.VALUATION (Dell t.Only) __---1 --'---"'--...,. Insert this toUd opposite "Transfers",Schedule "C"in the "As Reporter]"eolullm on the last page of this return.None.o ,""ReG-38 CaMMON~~ALTH OF PENNSYLVANIA THANSFEH.INHERITANCE TAX RFSIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRrCTIONS:This schedule must disclose all property,real and personal,owned by the decedent jointly with another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in 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 Va.lue of Record of Instrument,where Real Estate.! percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not WrHe In This Space. Value of Value of Entire Decedent's Property Interest J oint Checking account at First National Bank,Fredericktown in the names of Fannie Elder or LaVon McHenry in the total amount of $695.18 J oint Savings Account at First National Bank,Fredericktown in the names of Fannie Elder or LaVon McHenry in the total amount of $3,036.90 ( 500/0 347.59 Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return. -------'----------'--------L---L-----L--,-__--t---:=-__~-+_----~J::866.04') 7t3/f75J &K'»J-~ RCC-37 (:t2-63) ,'.COMl\IONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest.vested.contingent or other are involved,set STATE YES IN ESTATE wise.in'estate)forth this fact.)OR NO BIRTH LaVon McHenry Niece Yes 1910 100% ( :, ( h Deponent further says that all the above-named beneficiaries are liVing at this time except below: NAME DATE OF DEATH RESIDENCE --,.--- .. ._--.--- ~IATTER OF THE APPRAISEMENT OF THE ESTATE OF Will Administration !No. 'P.I<THE Year . (Executor-Administrator must complete "As Reported"column #1.) Cl ...,"'t:l ~........Cb Cb0II'....e.CIl ::s CIl CIl CIl 0.....::s "'t:l...,Cb e......... II'CIl 0><"'t:l "0II'Cbcr-........ ~0 q-"0 I:%j Cb.... CIl ..........'<II'....Cb FANNIE ELDER,.. Deceased Late of Vestaburg,East Bethlehem Twp.,..............";......... REPORT AND APPRAISAL Commonwealth of Pennsylvania County of Washington. '*'*~ :~:0.. :-J :r..:l :r..:l:. 01:0 CJ')II (~c:::~ ~>~-.-.-.>-<:W v,CJ') ()()?"'?"'?"' C"5 ~~~ '*'*'*:~en»lit -.. :~:m >:r..:l:0 CIl :r..:l:O ~.•:-(tl'-" :01 :O"':l"'-:0 :0 0----. .........Cbc..---- l EE ''Vd "00 N010NIHSVIA S-nillo .:!O ~EllS/D3tJ ONlen"lT3SSnl;J Z Uri EI 9n~EL, 'rl·.,..... U ;j-TT3 ,*,*~-f:P--f:P-,* >CIl t:J (1:_8"tv....----3 ::l ()c.. -l.•.·e· Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVAN IA DEPARTMENT OF R~VENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF 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.an!l.E.st,ate .Tax Act of lQ61.) IN THE MATTER OF THE ESTATE OF }AFFiDAVIT OF EXECUTOR ...........................................FANNIE....ELDER..............................................................................EXECUTOR (State full name of decedent) Late of v:.e..S.tabu.rg,Wa..shingtO.n.County ADMINISTRATOR state of Penn$yl~a.}ss: County of Washin~~n . .....................................L.aVQNW McHENRY... of the estate of the above-named decedent being duly sworn,depose S and says Eueutor Decedent·dJed Se.pte.mb..e.r..12, (Month)(lIay) ....,19 71 ,r testate leaving a last will,copy of which is hereto attached.} (Year)l intestate Name and address of attorney or} other authorized representative to. whom all correspondence should be mailed. That as such Executrix deponent is familiar with the affairs of said estate and the property con- (Ex",,"tor·Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DEC~DENT None. That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fullv and in'detail all the real property in the Commonwealth of Pennsylvania of which decedent died haVing an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giVing the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent•. That Schedule 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,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether indiVidually,or in trust for, any other person or persons giving also separately the accrued interest thereon,if any,dOlm..·to the last.~,interest day prior to decedent's death in the case of saVings banks,and to the date~of.decedent'sdeath in all other cases;all bonds,pos tal saVings,treasury certificates or notes an«l:'o.th~r·evidence'of in- debtedness of the United States to the decedent;all obligations,whether by statute~oragreementthey are designated as tax free,of the United States,or any state,or political subdivision thereof,or of any foreign country,which.are owned at the time of death;all wearing apparel,jeweiry,silverware,pic-r'·... tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and owing decedent dt 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 policies 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 ll1UflelH thefle611 tu th@ dllt@ or dece- dent's death and other investment securities owned by the decedent at the tim.or death,with the market value thereof at such time. f'..' ._. (Executor-Administrator) .....a...2.N.P.W..•...1Q.2,nd...S.tr..e.e.t -. (Street Number) ......Miami..Shor..es Florida 3.31S0 . (City or Town and State) In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the-date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y of the deed,trust agreement or other instrument creating the trust.Ther.~is also set forth in said schedule a list of all property,real and personal,with its value,which paEses at decedent's death by virtue of the exercise by decedent,either individually,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 the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instrlments 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 lrnpaid at time of ~..death;taxes accrued charge.able 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 . ..........................................................,day of Augue.t 19..1..3 ..~//,1 -#, .....................................................,.,,/..~,······R'fll\l~U~. Notary Public \-l\O~\.'t-i()~~\)10t-i couG \~1' \:,l.(,\:.\.\r>,t-i 'l'l~s\'I\st.\l"i.\•1r.'4t\es~t>-S\'l\t-i\)10 o~t.'f-\,\RtS ~\(lt\o"~ c,ow.tlI\SS\~a~\e~OCNOTE:Before signing af~tl~~,e~e sure all blank spaces in the affidavit and schedules annexed are filled in with details or.~e word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Slmmary"has been properly completed as above-directed. RCC-34 (1-64) COMM.ONWEA'L,TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY t..·.•.i:~;", .'..' Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property heid as joint tenant or tenancy by entireties,report on Schedule liE".Property held by the decedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commo!,1wealth of Pennsylvania should be described by lot and block number,street and street number,together wi th a general description of the property,with a reference to the record of the conveyance by which the decedent took title;If a farm state number of a- cres;also statement of mortgage encumbrances upon each parcel at death of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are to be listed an Schedule "Fit and must not be deducted from this schedule. Real Estate situate in Washington Township, Fayette County,Pennsylvania: Lot No.1,4 and 5 in the WatkinvUle Plan of Lots,recorded in Deed Book 863,Page 107 Two tracts of land situate in Washington Twp., Fayette County,Penna.,containing 0.287 acre and 113 square perches recorded in Deed Book 862,Page 584. The westerly portions of lots numbered 1,2, 3,4,5 and 6,and all of number 7 and 8 in the WatkinsvUle Plan of Lots,recorded in Deed Book 862,Page 578. (1)(2)(3)I D~PARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTIONDECEDENT'S MARKET VALUE (Do not write DEATH In this space) 6,600.00 Insert this total opposite "real property",Schedule IIA"in the X X X X X "As Reported"column on the last page of this return. 6,600.00 RCC-35 eCOMMONWEALTHOFPENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY -e· 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 of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Item No. ITEM List and describe fUlly United States Savings Bonds: 8 -$25.00 dated May 10,1947,Nos. Q763027464E thru 70 1 -$25.00 dated Dec.5,1947,No.Q77656122E 1 -$50.00 dated June,1947,No.L90580936E 1 -$25.00 dated 12/5/47,No.Q776656123E 1-$100.0'0 dated 12/5/47,No.C132691345E 4 -$25.00 dated 1/30/48,Nos.Q776656lE6E through 69 4 -$25.00 dated 2/27/48 Nos.Q776656196E through 99 1 -$25.00 dated 3/29/48,No.Q776656213E 1 -$100.00 dated 3/29/48,No.C132691382E 1-$50.00 dated 4/30/48,No.L173720824E 1 -$50.00 dated 4/30/48,No.U73720825E TOTAL VALUE Savings Account in Pittsburgh National Bank, Charleroi Office,Charleroi,Penna. UNIT ESTIMATED VALUE MARKEl'VALUE "I.;).~ 1,3~ 2,793.17 DEPARTMENT VALUATION (Do not write in this space) Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X ...~,~4,1~ · .rcc-36 . CO~~fONlmALTH OF PENNSYLVANIA TlUNSFER INHERITANrs TAX ~~SIDENT DECEDENT SCHEDULE "c" TRANSFERS (1)Did decedent,within two years of death,make any transfer of any material part of.his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)~o. (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)No. (3)If the answer to (1).or (2)above is in the affirmative state: (a)Age·of decedent at time of transfer __ (b)State of decedent's heal th at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)No. (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?__ (5)Did decedent in his lifetime make any transfer without receiving a 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 enjoym~~t of or the right to income from the property transferred? (Answer yes or no)l."l0. (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)No. (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others ---'-_ (7)Did decedent in his lifetime make a transfer,the consideration for which was ~ansferee'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 reserved power to alter,amend,or revoke,or_Y'hich could revert to decedent under terms of transfer or by operation of law?(Answer yes or no)1~0. (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 th~decedent alone or the decedent and others? (Answer yes or no)__ NOn;1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM None. DESCRIPTION MAIUCET VALUE (Es timated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return.None. ReC-38 COMMONWEALTH OF PENNSYLVANIA TllANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY ··e· DiSTRVCTIOKS:This schedule must disclose all property,real and personal,owned by the decedent jointly with another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and reLationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Name I Unit Address and Relationship of Co-Owners,and Place i VaJ.ue of Record of Instrument,where Real Estate.! percentage Estate Share ValuaUon DEPARTMENT VALUATION CAUTION-D(l not WrUe In This Space. Value of Value of Entire Decedent's Property Interest Joint Checking account at First National Bank,Fredericktown in the names of F annie Elder or LaVon McHenry in the total amount of $695.18 50%347.59 J oint Savings Account at First National Bank,Fredericktown in the names of Fannie Elder or LaVon McHenry in the total amount of $3.036.90 Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return.1,866.04 I RCC-37 (12-63)~ COl\ll\IO'NWEAl:TH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES '•. ( h BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH 1 aVon McHenrv Niece Yes 1910 100% , Deponent further says that all the above-named beneficiaries are _liVing at this time except below: NAME DATE OF DEATH RESIDENCE (Executor-Administrator must complete "As Will t No. II Reported"column #1.) Administration Year ............ II C1 ...,"tl ~'"''"'(1)(1)0 ~'"'e:...DO THE II Vl ::l Vl Vl en 0......::l "tl...,(1)~'"'~IATTER OF THE APPRAISEMENT II ~'"'......0enX"tl"g~0"''"''"'OF THE II Cb .g ~ t%1 (1)'"'ESTATE OF II Vl ..........'<~.....(1) ...F.ANNIE.ELDER.II •Deceased Late of ..Vestaburg•..EastBethlehemTwp.• en County of ....Washington ..................c:::,[~r.'i ~. Commonwealth of Pennsylvania II >i. ~'(;;-;;-;;>-< (')(')(')?"?"?" REPORT AND APPRAISAL II n ca >:::::::........................ ~~-€I>-OO~-OO,...~m "11 -0 ..-=--...t-&Q» "'-l N 0 Vl N ~?~----l\)• .(1).....•qt <:>""-~00 0..'"'0 ....(1)c........... -OO~-€I>~~~ >-'J: U<'1:~8"t'V'"'-.....-2.g c.. ,.'... RCCoB1 (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 IN YOUR REPLY PLEASE REFER TO j Inheritance Tax Division NOTICE OF FILING OF APPRAISEMENT 38-207-5 La Von W.McHenry (Executor~ In Re:Estate of FANNIE ELDER __W=AS=H=I==Nc:..;G::..::TO=N~_County -Fi Ie No.63-71-955 DearMrs.McHenry, Y h b 'f'd h h originalouareereynotlIetatte-=-_ appraisement in the estate of__---"F'--"ANN==I=E~EL=D"'_'E=.:R~_____=_=_:====.__----- has been filed in the office of the Register of Wills of WASHINGTON County on August 31 ,19-2..3,Said appraisement reflects the following valuations: Real Estate 6==...L.,.=:6..::0..::0~._=0:.::0:...-._ Persona I Property 4"-',<....:1=-5=-4-=-=..•.;::.3..=.9 _ Transfers ---::,....,..-:=--""'=-=-_ J0 int Iy Owned __--=-=-----=3=-:4:...,:7..:.~5~9:------ Tota I --=1:..=1:....!.,-=1:..::0-=1~.__=9__=8 _ 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. Sign.~J~ Titl.~~~ Date ~A:..::u=gu=.=:s_=t~3-=1~,__=1:..::9:....:7_=3=_______ Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. DATE OF DEATH:September 12,1971 Note:This is not a bi II. ~I RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of ELDER (Last Name) FANNIE (First Name) DATE OF DEATH 9-12-71 (lnitial) REPORT OF INHERITANCE TAX APPRAISER FILE NO.63-71-955 I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__W_A_S_H_I_N_G_TO_N _ 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 S~/'A'""B", "C",and "E". Dated:August 31,1973 ~~V~ INHERITt'NcE TAXAPPRAiS~ REPORT OF THE REGISTER OF WILLS .WASHINGTONI,the undersigned duly elected Register of Wills in and for ounty,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 se.t forth in the last column to the right in Schedule "F",which gr.,e~aterOFl.esser..amount represents the sum allowed as a deduction.f . Dated:AUG31197jKUSSELLMARIN~.1u-vv1j \~~ ........~"".RE ISTER OF WILLS INVENTORY VALUE AS REPORTED Real Property (Schedule A)$6:600 I~Personal Property (Schedule B)4 154 Transfers (Schedule C) Joint-Held Property (Schedule E)j41 ~'::I TOTAL GROSS ASSETS lLI01 98 11,101 98 Less Debts and Deductions 3,138 51 3,138 51 1 (SCHEDULE F)~CLEAR VALUE OF ESTATE 7,963 7,963 47 Valuation of life estates or VALUE AS REAPPRAISED $---------''-+-- FOR USE OF REGISTER ONLY Tax on·$--I__2% Tax on $--+__6% Tax on $----------+--5% Tax on $----------1--10% Taxon $~ ~~ptioos * Total Estate ~-_ TOTAL TAX COMPUTATION OF TAX $--------1-- $---------4-- $--------'--1-- $--------+-- $--------1-- $1--_ (*)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 $--.J AMOUNT OF ESTATE TAX ASSESSED $--~----"l.L- Estate tax paid $-JL- BALANCE DUE $------------I~ Add interest at rate of 6%from t= -------1to-----$-----~, TOTAL TAX BALANCE $-----~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. Will Administration !No.... IN THE Year .. MATTER OF THE APPRAISEMENT OF THE ESTATE OF FANNIE ELDER Deceased Late of ..E.BETHLEHEM TWP. County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ~. I Form RCC-2 o-f·... COMMONWEALTH OF PENNSYLVANIA DATE ·August..·..·-3·1·,........19·73..·..·..·····..········ DEPARTMENTOF REvENUE RESIDENT INHERITANCE TAX COUNTYWb.?..U~N.G.T..Q~~L ..._....______.........BUREAU.,OF COUNTY COLLECTIONS(APPRAISEMENT 63-71-955HARRISBURG,PENNA.17127 FILE NO......................"............................................._._._.............. Whereas,.............¥.~.~.~.....~P~.g ......................................................................................late of .......~.~......~~~.~.~~....~y.?I?..~............................ in the County of .......................II\1ASHIN.GTON.......................................................................Commonwealth of Pennsylvania,having died on the .............l.2..t.b....................................................................day of ...~.ept.emp.g.J.;:......................................19.....7J,seized and possessed of an estate SUbj:;:::~~~~:_:~e;;;tl~:=~t~.o:::::::i:~yappointed acconling 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 AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpolel $ REALTY: ~w.w.('oov (),;'sr"totl':JIII,W.A ,'1Y)AOO~ATs 6,600 00 PERSONAL: ~F.F.ropv OF .w.R "rro 1100~l1T~w.Mmrr 4,154 39 .. .TIT'TU'C'T.1"\• SEE Copy OF SCHEDIIT,E E ATTA('l-mn rro AOO~AT 347 59 I".,total 11,101 98 .. ,', .. , , ; , form~v;;:fhbl::::IfJ,~w<>rll~d~~~~'~~~~~~~~~~~~iSe:~~tisltl~~e l~c;hI I ~~...-../.....................................................................................................~..............~ ~/fL/:--.,1'-,'~~ I ..iCt2~i~').;~::. ...............WASHIN.GTON .County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .....FANNIE ELDER.. Deceased. Late of E.Bethlehem Twp.' Date of Death,~::::;J..:2-71...............-. Appraisemel!t Docket Vol...........38'..:. Page,2.0.7.""5 No.6.3.,."...7l 9.55 . Filed ill Register's Office,..bug 3.l 19..7.3. Amount of tax due,$.. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appra-isement, Appeal fl'0»1 Appraisement,.. Entered and charged,.. \J ~.<'.,IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. _----:::.20.c::..7 -5 12,1971 Docket__3..L:8:::.-_ )Date of deoth September )No,----.6.1=:1l~_~.;.,Term,19__,A.A, Deceased ) Fannie Elder In the matter of ,the Audit of Account filed in the Estate of TO THE AUDITING JUDGE: Enter my ,appearaiIlce for the Commonwea~th of PennsylVi8!wa.claiming tl'ansfer inheritance tax in the above estate,as follows: DR. To apPl'aised V1alue of Estate:Realty___...___._.._.__.._..__.--.--------$__~t.~...Jl;,Ll.-O!_Qw...'wO~OL__ Personalty __..__......__....._:_.__..__..__..._---____.._._..$L/..L-.L./...!S'!!......./.'f~,~3!..r~_ Additional Assets per Account,Subjeot ,to Tax.__.._......_..__. ..-.-....----.-------------.-..---..-.-$,_ Additiona,l Assets per Audit,Subject to 'Dax .._....__..__..--.---..------------..-..--.-------.-..$ GROSS VALUE ...__...._..__....--.,--..---.---------..-.-....---.---------$/0/7 5 '::L..=...3-1-2 _ CR. Debts land Expenses per Account;see Note Additiol1lal Debts and Expenses per Audit ) I ) $-------- $------- $------- $------- $-------- ~3/..3~:::'/,---_._--=----:..._.:-.._--_.----_.- $Sa.C()--------- --_._----------$---- ""/f f,~I----TOTAL DEDUCTIONS,$ NOTE:The foI:lowing credits claimed in the Account are held not deductible 'a'S against the tax: CALClJLATION Gross V,ailue __mm__mh__m--.L07 75'-1..3..2------.- Less Deductions m__m_____;)I <j t,~t-I--.---- Clear Value -_.......----Z-S's.~K...------ )- Tax·! able at 2% ._----_._-_._--- $---- ----------------Tax-) able ( ---at -----@ )---------- $/IJ 'f,<lei TAX PAID ON ACCOUNT Total Tax ._____.._..._.._.._.......__......_...__..__......_________$--.i..L 2 ,j (/"('-r;;;Ln~_ Interest__yrs.__IDos.__days @ __%.-.-.--------$ Balance ._._~!::.~£.--..---.----------.-------$._ $------ $------- $------ $-------- $ Less amount previously palid .._.__..-------------$H'Ht.$£1 L TOTAL TAX AND INTEREST DUE .__..____ _..$__CJ--<",.oa,-"a~,C!'---'-Lt"-".J__ d~ ILL r ..1....' , 83:3:'11 o ~~~ ~'11!:;111 :t "II ~o 0 :u "II :u'11 )0 111 '11Z'11Z111III)00(:ur)0<z)0 nz111 ); { ~~~ ~j- i ce I III~>~ ESTATE OF-FBDD1~E1.dl.r.D~!Hlsed. ADJUSTHENTS -FILE NO.63-71-95$ "DEBTS &DEDUCTIONS FORH -AHOUNT CLAII1ED LESS lTEL·lS DISALLO~'JED: ~." $---- ... -$.$'()."a $J.j f~,~L .. .';":'" o. $.__""":i:...::~.,;;;d;...;;O__ $d-o.llii~""",~a~~_ $2....0-.,.......i o~o-.- $----- • •".••.'.","..'0 .".••:';:.'•.~-...."~~.:.••••,..•••••• '0 TOTAL AI,LOlJABLE DEDUCTIONS $-------°"$------------------------- $------ RUSSELL MARINO,REGISTER OF WILLS By:, .,. ....: I. ,.. " "o •o \ .;.,.l ., "• ESTATE OF --......,~tl't'i~~~r_:_-+.~~~-..-------------- .'.. ADJUSTHENTS -FILE NO.63-:+J,..;e955 DEBTS &DEDUCTIONS FORH -At·1OUNT CLAn1ED LESS IT2.j,lS DISALLQ;'lED: $3/31,~f '\......-: '. .' $._------.$------ $------$----- .:BALANCE .ADDITIONAL DEDUCTIONS -ACCOillfr &AUDIT ";e~~~i:J :17~j~~/~j -·~f~~~~~·~~.:·ji~~-i;Z.J $_.~..,;'.~~~_.__~.';" '.>JO "1 ItJl)./-,:,1'.4?1 Ii ~.i ~.J~...A-,t~..u...')?";'~..,...~#'.-.'~../Ctr.........A:,·,.L4;.."....-,"I'i...L.A~t::<.",,:.......~.$_--c;6-..~.:0.0:,........~().....(y _'..d.'r, tA..__.•.~&:::t?_..cC.J (I $__2....._....0 .......·.;;;.0...<.....')_ $------ .TOTAL J.T.T.m-tABLE DEDUCTIONS',.$";'<70 ~'''.'.~.;,I J ,,,../- RUSSELL HARINO,REGISTER OF "lILLS By:. .....: '.,.; ,. o'TO "•'0 .\ /2%Tax on $$-----t'-----1iiiII 1/ 6%Tax on $----------$,------tl'-·-·11 I$-~;tloi.<l"~L..I1.....9L:l14~!i45-..c2......__•15 %Tax on $'_--L1~,-",!:9~6~3U!.J,.;:;41L7L..-__ Address 82 111.w.102 STRSBT File No.63-71-955 Date of Death 9..12-11 From~t\V'ON w.McBmRY ED. RECEIVED ONE THOUSAND TWO HUfU»\EJ)SEVEN'1'Y TWO and 16/100 --..-dollars, representing Pennsylvania Inheritance or / Estate Tax due from the following estate: $--------·0 Date of Payment __S_ep=-_t_anber_''_2_6....:..._1_9~1_3__--l Name of Decedent ---.:F=-~==·:..::l:..::B=-·.....:m.,:::::=.:J:)==I·=R:....__~__---i %Tax on $$__-'--111 Estate Tax,Act of May 7,1927 $---------u $1_---<il~,f._ol....9£!411U.-...5"'-'2"-,--u ,J $,==1:::::,:::2:::::'=2:::::_:::::16='==ml $.__---"'-"'...........6;;&.4__1'1 TOTAL AMOUNT PAID TOTAL TAX CREDIT less five percentum of tax if paid within three months after date of death Plus interest at the rate of L %from 6-12-12 to Date SEA l ,Received by --ii-----4..-..L.,;...L:....;""""-l.""""<f.:--....L.,.......<....f::.."'--....:;....;'-"'-__-7~. NOTE:In accepting the transfer inheritance tax on future estates,prior ·to the death of the life tenant or tenant for years,as evidenced by this receipt,rt is understood that the Commonwealth shall not be precluded or prevented from hereafter ossessing additional inheritance tax at the death of the---':....;.,~-p.~:::-_*~~.....;.:..""""":.!<...,;:..-.---~--II life tenant or tenant for years whenever it appears that such additional tox may be legally due and collectible for any reason whatsoever. NOTE:This Triplicaiil Receiptto be retained f~r ~u!elll20'.S County __-..:.:W::.:AS=HI=·=:HJ:::....=TON:.,::·:::.·:.....-----------1 Remarks: J.t«) /"I.-......-~--..-_---__..._.'..._-.....__.....··_w.....·-=-~._~~_"_._,_'' _ N~1203 Washington,Paot-,_-..ZL-:!.~:o<:.....:'-'-il--_~_o__,191f/ OFFICE OF CLERK OF ORPHANS'COURT DIVISION Total ••••••• County ••••-$_~---=-__ State,etc.•••'''====:::::;: 6()I (r(J Per _ lI '"II I I~I, ,. T 1.6 5 4.6 0 25.0 0 4 6.5 0 3 7.0 0 7 5.4 6 2 4.5 0 1 4.0 0 9.0 0 7.9 4 5.0 0 1 O.0 0 4 0.0 0 5 3 6.1 3 5 3 6.1 3 8 O.2 5 37.0 0 3.1 3 8.5 1 T ~-----....,....,.-- r ~t;•nr .J. .1 r ·t;r + ":I 7 •,..,r t 75·•r"" '!4 •I:;(-t'.' 1;1 ·()('.. 1 r\.nr + l!,'\•n r + c'~:~·11 .. t;~G•I',-+ RO.?t;.l ~7.f'.('-I -' _J ~::;')•''''J t1 .. 4 1 •<)("..,fa l1 ~•7 J'.j. ~1 •?,..,.!- If:4.Af:of lc,t:·f;r .\ 1 hr:.r;("l .. 41·'72 -I 1 r:4 •':l r .\ ~f\.42 ..t fl(~·~{+ ?7 Q :;·17 +.. 11)7r,4.·~Q 1\.. jJ7·S Q + ,1 10'•Q ~~.. ~..l·H·Jl - 7Qc'1·17 (,.. tt'COPY OF INVENTORY"tt· Notary Public: LaVON McHENRY Ii'ANNIE ELDER FANNIE ELDER 9th August Notary Public '18 xuxxxxxx 1Junttdnrg aub i\ppratstmtut of the,.goods and chattels,rights and credits which were .FANNIE ELDER , _Vestaburg.East Bethlehem Twp'."of late of . Washington County,Pa.,taken and made in conformity with the abo-ve aDida-vit. DOLLARS CENTS '..~. REAL ESTATE: Situate in Washington Township.Fayette C~unty.p"ennsylvania. Lot No.I,.4 and 5 in the V/atkinsville Plan of 'Lots,recorded in Deed Book 863.Page 107.. Two tracts ot land situate in Washington Twp••,Fayette CO't Pa•• containing 0.28'1 acre and 113 square perches recorded in Deed Book ..f .....662,Page 584.'.'_..'. Tbe westerly portions of lots .numbered I,2,3•.4.5 and 6•.and all of number '1 and 8 in the Watkinsville Plan of Lots.recorded in Deed Book 862"Page 5'79. -! PERSONAL PROPERTY:... United States Savings Bonds Savings Account in Pittsburgh National Bank.C~rlerol Office TOTAL 6.600 00 1.329 33 2.793 17 10,722 50