HomeMy WebLinkAboutOC1971-0970 - ESTATE OF FOWLERFORM 67
REV.1-50
REG.WILLS
i J
Application for 11lrttrrs of Ailmtntstrall.?n on tbr
Estate of QRA~~.~~;f..Q.Y.Y.:~~.~..
late of W.~§.h!.Qg1g.g1 ;r..~.gP.-.~y.J.y.9:.~~9:,Deceased.
Before the Register of'Wills of Washington County
personally appeared J.Q.F.tr..TA.R.,~M.9..C..Q.JdbtJl.M ..
who,being duly sworn deposes and says that...QI?~J N.,E~?:w..lg.r...
age ?},having..................last family or principal residence at..?.g.§:g:.9:.~.t...M§.J9.~,g §.tr..~.~!.l .
(Street and Number)
.~.?:!?.~~~.g!:9.P:~R.~.~~.~.Y.~.y.~.~~~,Washington County,Pennsylvania,died intestate
(City,Borough,Township)
at..~.~!?.~~~.[1;9..~~R.~.~!:.~.y.~.y.~.~~~,on the..~.?day of §.~.P.!.~.~E.~E .
A.D.,19 IL ,at.....;1:.;..Q.9 '.;P:M.,possessed of personal estate to the esti1l1ated;value
':;';)none d fl'h C .I h f p'I'h . d 1 f$,an 0 rea estate III ~e ommonwea t 0 ennsy vama to t e estlm~te va ue 0
$D:9..~~,situate in ;~:.
The names and addresses of the decedent's surviving spouse (if any)and other heirs including
heirs by adoption)are as follows.
REI,ATIONSIlIP RESIDENCE
Joetta'D.McCollum daughter R.D.#.6.........................................................................................................................................'_.
.......................................................................................................Wa.s.hil1,gtQ.n.P~nl1sy,ly..~l1i~J.Q.s..Q.l
................11 11 11 ~~..
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::r:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
........................................................................................................................................"1'..
That deponent is over 21 years of age,resides at..J.L P.,#.Q.l W.~§.h~D.gt9..!1.l ..
...........?~.~~.~.y.~y.~~.~~~..?~.9..~~.
is a citizen of the United iStates and a resident of~Pennsylvanhl,and respectfully applies for Letters of
Administration upon the Estate of said decedent,no letters having been previously issued thereon.
Sworn and subscribed before me this ?.9...
day of...~.~.P..~.~.~E.~.r.,A.D.,19 .7.J ..
,~.~.
REGISTER
,O.JJ7!;i/~:&t c ~v.:tf':;:".·"':':.~....·........·:~..·......·..·......·......·..........·..·....·......·..........·
COMMONWEALTH OF PENNSYLVANIA}SS:
WASHINGTON COUNTY,
And now ~~.p.~.~~~.~!.?9.,191!.,comes ~.Q~.!:.!.~p..!l.19..9..g.l1!·Jp.L ..
who being duly sworn doth depose and say that..!ilR.~...l .....will .,lYell and truly administer the goods andvpsN•./:l'owler
chattels,rights and credits of...~~.~~~,deceased,
to the best of....D.e.r....skill and judgment in strict compliance with the laws of this Commonwealth,mind-
ful of the laws relating to inheritance taxes.
Sworn and subscribed before me this 2.Q ..
day of....§.~P.!:.~rr!l>..~.;r.,A.D.,19 7..1 ..
:::..~..~~~..~..~.•.~~::::::::::::::::::::
REGISTER
,~
APPLICATION FOR
Letters of Administration
ESTATE OF "
))
z-t
,)
J_....,
.)
OPAL N.FOWLER
Extra Alias
Certificates
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Peacock,Keller,Yohe &Day.......................................................................................................
Attorney
"-'2
",
j
Estate of OPAL N.FOWLER
}No of , .
KNOW ALL MEN BY THESE PRESENTS,
That we,.J.Q.e.ttCl..'p,..M~.G.9.IJ.~.~....ClP:~..A~.t.~~.~.if~...~.~a.s..11.a}tY."~.().J:!lP8:?1.
all of Washington County,Pennsylvania,are,held and firmly bound unto the Commonwealth of Pennsyl-
vania,for the use of those interested in the estate,in the sum of .$~~o.Q.,..Qo.Dollars,to
be paid to the said Commonwealth,to which paymen t,well and truly to be made,we do bind ourselves,
jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assigns,and
each and every of them,firmly by these presents.Sealed with our seals and dated the2.~..'.day of
.Se.p.t.emb.er A.D.,one thousand nine hundred andSE:ly~n.:t.y.-:-.().1l€)..9~.7.P .
THE CONDITION OF THIS OBLIGATION IS,That if the above bounden .Jo~tta..P ..
.M.9G.QUll.m .
Administrator or any of them,shall well and truly administer
the estate according to law,this obligation shall be void as to those who shall so administer the estate;but
otherwise,it shall remain in force.
Sealed a;"d delivered in the presence of:
-~
................
...(SEAL)
&tatrmrut uf @lurrty
I.--------------------------------------------------------------------------------------------------..,-...,surety in the sum of $.on the
administration bond in the estate of -----------------------------.---..-------------.........._.say that I reside at
-----------------------------.------..-..----..---------------,Washington County.Pennsylvania;that I am the owner of real estate the,,
title to which is in my 'own name and,duly recorded.situated in ______~_ .
Washington County,Pennsylvania,worth above all encumbrances $--....;and that I am worth the
amount expressed in said bond,over and above my just debts and liabilities.
._-~-~----~-----~-----_._---------------------------------_.-_._-_._-----~---------------------_._-----_._-------------
------.---------------_._----------------------.---------._-------------------------------------
Street
itatrmrut uf ~urrtti
P.O.
I,----------------..--....----..------------..--..--......--..-------..---..---------..---------------------,surety in the sum of $_........on the
administration bond in the estate of ----------------..----------------..---------..-------------------..-..-----.........._..: ,say that I reside at
_____.._......c ..__............,Washington County.Pennsylvania;that I am the owner of real estate,the
title to which is in my own name and duly recorded,situated in --.
Washington County,Pennsylvania.worth above all encumbrances $........_..___;and that I am worth the
amount expressed in said bond,over and above ~y just debts and liabilities.
............................................................................................................-.
.-._--..._-----------_.._---------------------.---------.-------------------------
COMMONWEALTH ,OF PENNSYLVANIA,,}SS·WASHINGTON COUNTY,".
Street P.O.
And now ,_.............19.............comes _ _____ _.._ .
who .being duly sworn.says that he is acquainted with the financial standing of the securities to the within bond;that
the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their
own right of value more than the.penal sum of said bond over and above all incumbrances and exemptions.
Sworn and subscribed before me this -----------....---..--------....
day of ......_..__..............__...._......A.D.19 __._-----....--_._----------_..------_.----._---_.._-_.-.-----.--._-------._--_.._----------------------.
03-7/-970
No .648 .
Abmiui.atrntinu 1Bnub
IN THE ESTATE OF
OPAL N.FOWLER
And now ..s..~p.t..~mR.~;r...~2""""197.1.....
Bond approved and Letters issued to
......J.ofl.t.ta..DA Mc.C.Qllum..
who was dUly qualified •
........Rus.sB.ll..Marino..
Register
64 .Bond Book Page .Z3.Q .
BADZIK PRINTING ~9 DONORA
..;
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-.,
•UFE&CASUALTY
THE JETNA CASUALTY AND SURETY COMPANY
Hartford,Connecticut 06115
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT
KNOW ALL MEN BY THESE PRESENTS,THAT THE iErnA CASUALTY AND SURETY COMPANY,a corporation duly organized
under the laws of the State of Connecticut,and having its principal office in the City of Hartford,County of Hartford,State of Connecticut,
hath made,constituted and appointed,and does by these presents make,constitute and appoint Ralph W.Peacock,Charles C.
Keller or Reed B.Day *
of Washington,Pennsylvania ,its true and lawful Attorneys-in-Fact,with full power and authority hereby con-
ferred to sign,execute and acknowledge,at any place within the United States, or,if the following line be filled in,within the area there
designated ,the following instrument (s):
by his sole signature and act,any and all bonds,recognizances,contracts of indemnity,and other writings obligatory in the nature of a bond,
recognizance,or conditional undertaking,and any and all consents incident thereto not exceeding the sum of ONE HUNDRED
THOUSAND ($100,000.00)DOLLARS *
and to bind THE iETNA CASUALTY AND SURETY COMPANY,thereby as fully and to the same extent as if the same were signed by
the duly authorized officers of THE iETNA CASUALTY AND SURETY COMPANY,and all the acts of said Attorneys-in-Fact,pursuant
to the authority herein given,are hereby ratified and confirmed.
This appointment is made under and by authority of the following provisions of the By-Laws of the Company which provisions are now in full
force and effect and are the only applicable provisions of said By-Laws:
ARTICLE IV-Section 8.The President,any Vice President,or any Secretary may from time to time appoint Resident Vice Presidents,Resident Assistant Secre-
taries,Attorneys-in-Fact,and Agents to act for and on behalf of the Company and may give any such appointee such authority as his certificate of authority may pre-
scribe to sign with the Company's name and seal with the Company's seal bonds,recognizances,contracts of indemnity,and other writings obligatory in the
nature of a bond,recognizance,or conditional undertaking,and any of said officers or the Board of Directors may at any time remove any such appointee and
revoke the power and authority given him.
ARTICLE IV-Section 10.Any bond,recognizance,contract of indemnity,or writing obligatory in the nature of a bond,recognizance,or conditional un-
dertaking shall be valid and binding upon the Company when (a)signed by the President or a Vice President or by a Resident Vice President,pursuant to
the power prescribed in the certificate of authority of such Resident Vice President,and duly attested and sealed with the Company's seal by a Secretary or
Assistant Secretary or by a Resident Assistant Secretary,pursuant to the power prescribed in the certificate of authority of such Resident Assistant Secretary;
or (b)duly executed (under seal,if required)by one or more Attorneys-in-Fact pursuant to the power prescribed in his or their certificate or certificates of
authority.
This Power of Attorney and Certificate of Authority is signed and sealed by facsimile under and by authority of the following Resolution voted by the Board
of Directors of THE lETNA CASUALTY AND SURETY COMPANY at a meeting duly called and held on the 22nd day of November,1968.
VOTED:That the signature of William O.Bailey,Senior Vice President,or of Andrew H.Anderson,Vice President,or of D.N.Gage,Assistant Vice Prt:s-
ident,or of Neil H.Pfanstiel,Secretary,or of Benjamin I.Radding,Secretary,or of Curtis K.Shaw,Secretary,and the seal of the Company may be affixed
by facsimile to any power of attorney or to any certificate relating thereto appointing Resident Vice Presidents,Resident Assistant Secretaries or Attorneys-in-
Fact for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof,and any such power of attorney
or certificate bearing such facsimile signature or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified
by such facsimile signature and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which
it is attached.
IN WITNESS WHEREOF,THE iETNA CASUALTY AND SURETY COMPANY has caused this instrument to be signed by its
Secretary ,and its corporate seal to be hereto affixed this 23rd day of March ,19 70.
THE iETNA CASUALTY AND SURETY COMPANY
Hartford}ss.
State of Connecticut
County of Hartford
Secretary
On this 23rd day of March ,19 7Q before me personally came BENJAHIN I.RADDING
to me known,who,being by me duly sworn,did depose and say:that he is Secretary of
THE iETNA CASUALTY AND SURETY COMPANY,the corporation described in and which executed the above instrument;that he
knows the seal of said corporation;that the seal affixed to the said instrument is such corporate seal;and that he executed the said instrument
on behalf of the corporation by authority of his office under the By-Laws thereof.
CERTIFICATE
I,the undersigned,Secretary of THE iETNA CASUALTY AND SURETY COMPANY,a stock
corporation of the State of Connecticut,DO HEREBY CERTIFY that the foregoing and attached Power of Attorney and Certificate of Au-
thority remains in full force and has not been revoked;and furthermore,that Article IV-Sections 8 and 10,of the By-Laws of the Company,
and the Resolution of the ,Board of Directors,as set forth in the Certificate of Authority,are now in force.
Signed and Seale.d at the Home Office of the Company,in the City of Hartford,State of Connecticut.Dated this
,19
day of
(S-I922·B)(M)1-69
b3-7/-970 J
Affilluutt (@f 1fxrrutnr (@r A~mtutlitrutnr
t;tatr of Jrttttuyinattia,~BB:
C!1oUttty of lIau~ittgtott \
P all b f h d
.d h'Notary"Public . d f ..'dersony e ore me,t .e un erslgne aut onty,a In an or Sal
County and State,appeared J.OEI.TA..D Mc.C.QLLUM ri~ho,being duly
sworn according'to law,deposes and says that she is the ~mxadministratooxof the estate of
............QPAL..N•.~..FQW.LE.R deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of...QPAL..N.E.QWLE.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 J3l§rNXJXr Administramtxrix.
d~~=.;:;;:~~:;:.~.~...~~~;~.7;.~this.....~Q1h.......lri!!.&!.i1..::f"...~.~..
C\\\<.--{\\,::,,\(\C'~Notary Public,Was1\ngton,iashington C~=~$ii.-AdministratotxrixDeb'~~~~v~~·..~a:~Y--pubHc ......,MY·cl1mlltlS'~ron Epir~),!n~lJ 1~79
-~ADDITIONAL INSTRUCTIONS
I.An inventory must be filed within three months after appointment of personal representative.
-2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
3.I Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Over ,$10,000,including Copy of Will;I 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
lIuututnrg aull.!\ppraiStmfut of the goods and chattels,rights and credits which
were of Q.PA.~..NA F..Q.WL~J.L late of W.§J?h!gro:g.~.
Washington County,Pa.,taken and made in conformity with the above affidavit.
Savings account#Account No.4-802481#Pittsburgh
National Bank
Christmas club fund#Account No.530990,Pittsburgh
National Bank
1965 Rambler valued at
Balance from the Estate of Leona Dale Locy#a/k/a
Dale L.Locy
Recovery in the survival action at No.312 July Term#1972
A.D.;#Washington County Court of Common Pleas
TOTAL
DOLLARS
2#261
104
225 .
964
4,750
$8#304
CENTS
15
00
00
83
00
98
-----~--~.--.....,-------------------=-----~--------j
'I-'-
r
County Q(-..~W~.~i!~.Noi'Ql':J"....,......~~-.,
,JQ~rTA.,D.•.I.McCOLLDM ..',, , ,..of .,.R•.D.•..#.6~.Washington».:Pennsylvania.J.5301
(Name)(Addrellll)'
Form No.RCC-62 (6-70)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961,
EFFECTIVE JANUARY I,1962,(FILE IN DUPUCATE WITH COpy OF WILL ATTACHED)~~'~71-'17'fJ
OFFICE OF'THE·REGISTER OF -WILLS
being duly §~Q.rn according to law,deposes and says thatSle is the A.dm._inis.tr_a.trix _
.(Exec.,Adm.,Legatee,Etc.)
of the estate of o.PA_L__N..Uf_O'W.L~.R whose last residence was S.!HL~.~_§t..M_9:i.d~n_.Str_e.et._
(No.)(Stteet)
Wa.sbiggtQI4-__pg....deceased,and that the whole of the estate of said decedent,who died __S~p-t..--13r--19.7-1
(City,Borough Ot Township)(Date
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
'----
OlWfJ
3~
04f.lp
5~
OO~I
Real Estate Estimated
Value
l"\Il J1"\1 t<;
,
,.
-
1"\1'11"\11-<
Personal Property
1 !=lRli.R!:1"","h1 "".~7....1""rl ...,+225 0
Balance from the Estate of Leona Dale Locy,a/k/a i0~1 p L Ln('v !=lR4 R
Recoverv in the survival action at No 312 Julv Term 1972 A iD .-4 750.0
Washington County Court of Common Pleas,...A ~~~..,-I-N ()L1_Q(l')L1Q,1 ......•l'Y'eJ'h Nl ,1 "R~nk 2 261 -1
~~.-~--.--'-...'-•v
Christmas club fund.Account No.530990.Pittsbure:h National Bank .104
,-
,
TOTAl.8,304.98
NOTE:You may expedite the processing of this return by filing with it,and as a part of the retu;n~
letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the
decedent as of the date of death,Such letters must be signed bya responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of d~ath and the type of account,account number and the exact name or names in
which the account is regist~red.'
\Jl-
~.-.-."~~------------------...--.....----------------
Jointly Held Property
TOTAL
104.00
5.15
Transfers within TWO YEARS Prior to Death I
---...NuOo£.Nu...!=EL.-~~_
i
_____..~..-'----..-----41 --
r.I-1--
_____________________________----JL;NE__
That at the time of death there was no safe deposit box registered ih decedent's individual name,or:r,jntly 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 I RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF ---I HOLDERS TO DECEDENT
NONE
-_._---
-
-
BENEFICIARIES
RELATIONSHIP SU·RVIVED AGE OF LIFE
.BENEFICIARIES AND ADDRESSES -(1(step-childrel\or DECEDENT TENANTS OR INTEREST OF
(Sta~full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an in.terest"vested,contingent or other't1{i!!e,iT,l estate.)\ire inyolved,.se!OR NO AT DE.ATlhOF --IN ESTATE_
forth this fact.)DECEDENT..-.-
.Joetta'D McCollum -..DauQ'hter ,Yes -Entire,
R.D #6 .-...--,,.--'-
W~~hinO'ton p~1 ~~O1 ,
,
,
L
_.-
I I
RESI~N-T-DECEDENT DEBTS AND DEDUCTIONS CLAIMED -.
NOTE:List first five items in the spaces so provided,obse-rve notations thereon,and instructions.
r--'D=--E.::...B_T-----=°:....::R~C_=L.:..:A:.::..IM::..::.._____,-----....:.N.:..:A.::..:T=--U=...:R:..:.:E=-.:O:...:F:.......::S.:..:A:=M:..:E=----r----:A:.=.M=-=O...::U...:.N:...:T:.--InTHIS COLKEGISTER
Shrontz Funeral Home .Funeral expenses paid $1 238 1($
Pp~('()('k Kpllpr.Ynhp R,..Dav.
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses •
Counsel fees •
NONE
119
250
OC
od
Fiduciary commission •NONE
OTHER DEBTS AND CLAIMS
(.)See Note below
o5968
$67.8t
$1,373.3
$150.0l
$325.0(
$25.0(
$267.6
$10.61
$13.2
$3.3(
$15.01
$29.5
$
$
$
$
12.0J
Ug,.OC
16.0C
19.0C
$19.0C
$19.0C$3:0Q
~
$119.01
Attorney's fee in death 1
action $3,687.5
Attorney's reimbursement of
legal expenses in death
action
Hospital bill
Medical services
Medical services
Medical services
Open account
Open account
Telephone bill'
Telephone bill
Gas Bill
Wage tax
GIr~:i:J.ttof"Lettersof~.-.
Administration
Legal advertising
Legal advertising
Administrator's bond
Administrator's bond
Administrator's bond
Filing Inventory
Filing Ac.count
Other Debts and Claims:
Peacock,Keller,Yohe &Day
Washington Hospital
Dr.Randall
Dr.Corwin
Dr.Tripoli
Aldens
Central T.N.I
Bell Telephone Co.
Bell Telephone Co.
Columbia Gas Co.
City of Washington
Washington County Reports
Observer Publishing Co.
Paxton...Mcllvaine Agency
Paxton-Mcllvaine Agency
Paxton...Mcllvaine Agency
Russell Marino,Register
Russell Marino,Register
Peacock,Keller,Yohe &Day
Administration Expenses:
Register of Wills
Total
I
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greater
or I:S than'the 'e:~i7ated amount claimed ana allowea.)N'"l..J,l ,'".'....,.,V ~')J C ••'
S b 'bed "d''.'-'t~b f .thO 20th.)(')A.Ji;/;)!),P1:A ,~.u scr~an sworn·0 e ore me IS ·.1''''';''''(~~~'~i~istr~ticfii:iX"""""
..........,day of ..$~pt~.mJ?~~,19.}.~R D'#6...@~~m.~.~..................,(St~~~t'N~~b~;i"""""""'"
Deborah Davis,Notary Public Notary PUbli~,~aShin~ton.Washington C~'..Wq.sbingU~n,..=P.a•..Jp.~PJ .
My CommISSIOn Expires June 71.197~(City or Town and State)
Having been duly S~dingto law ify hat the above appraisement is made in conformity with law on this
..............~?day of .~~~~..oc....."~"""y~'.-()',19/~,
1 ~..K J)J2 ..~.
ApprRiser
In the event that any future interest in this estate is transferred in possession 01'enjoyment to collateral heil's 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 transferinheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF (HE')RF;fiISTE
I,the undersigned duly elected Register of Wills in and for.~~.....,.,".'--;'..,.County,Pennsylvania,do respectfully
report that I have allowed debts and deductions in the amounts claimed by depone ,xcept as to tho~items where a greater or lesser amount
is set forth in the last column to the right in said schedule above,which greater 0 ser ~mount repre.se'rJts the sum allowed as a deduction.
Dated:~.~T}I.~7~.~~,~~~~.L.M~~I~.Q.......,,\.\.~~~lt,.~~.~.
•.-..-Register of Wills
I
i
I,-
Form No.RCC-62 (6-70)
WillAdministration }No."....I ....Year .....
IN THE
MATTER OF THE APPRAISEMENT
bFTHE
ESTATE OF
.....OPAL.N.•.JTQWL.ER .
Deceased
Lateof ..W.a,q1)t~gt9A ":.., .
J
County of .W !1.s.4~IJ.gton .)..'..
I '-1
i .~"
.,
\.J\\/"1,,\
i:0,'\
r,.t 11
•It
'/
~~..
.}I'.\'
;Commonw~alth of PennsYlvani~:.)
i'-I
)
I'-1
l-
,,
REPORT AND APPRAISAL
'Vd "00 NOlji.jiHSV/~
S11L\\.j ')lEU SI~3U
ONI~VH r13SSn~
S7.I'~~52 .d3S fl,
'a 3 ''OJ I .:1
Form RC C·lO &3-7/-~70 DEDUCTIONS ALLOWED IN J
OFFICE OF THE STATEMENT OF DEBTS THE SUM OF ............$'''......................................-....
REGISTER OF WILLS
WASHINGTON AND DEDUCTIONS DATE APPROVED ........OF COUNTY ...........
AND AGENT OF THE COMMONWliALTH
Register of Will.,AgeQ!
ESTATE OF OPAL N.FOWLER LATE OF Washington,Washington County#Pa,
DATE OF FILING APPRAISEMENT DATE OF DEATH September 13.'1971
:~,~.
DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHS'1lI
Grant of Letters of
9/20 197 Register of Wills Administration 12 00
Q/?1 1Q7 W::u::h;nlJ'ton Countv Renorts LeQ'al advertisinQ'14 00
9/13/Hl7~Observer Publishing Company Legal advertising 16 00
10/7 197 Paxton-McIlvaine Agency Administrat0r'R bond 19 00
9/8 197'Paxton-McIlvaine Agency Administrator's bond 19 00
Q/10 H:t7 Paxton-McIlvaine Agency Administrator's bond 19 00
Russell Marino.ReQ'ister Filing Inventory 3 00
Rll s sell Marino ReQ'ister FilinQ'Account 17 00
Shrontz Funeral Home Funeral bill 1,238 10
WashinQ'ton Hospital Ho~nital bill 1 373 37
Dr.Randall Mp.n;C'al !=:erv;ce!=:150 00
n".r Medical services 325 00
Dr.Tripoli Medical services 25 00
Aldens Open account 267 61
Central T V.Television bill 10 60
Bell Telephone Company T elenhone bill 13 21
Bell Telephone Company T elenhone bill 3 39
Columbia Gas Companv Gas bill 15 00
rHv of W",ahinO'ton WaQ'e tax 29 51.
Peacock Keller.Yohe &Day Attornev's fee in death action 3.687 50
Peacock Keller Yohe &Day Attorney's fee in estate 250 00_
in death action
Peacock.Keller Yohe &Day Rpirrlhll"'~errlent of 1eO'al eXDen~es 67 85
rlYYrA T 7 f\7f\14
COMMONWEALTH OF PENNSYLVANIA }ss,WASHINGTON
.~
COUNTY OF
I,,IOETTA D I McCOLLUM HEREBY CERTIFY,THAT.TO THE BE.T OF
MY KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E SrATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED TO THE ESTATE OF OPAL N FOWLER t;......DEDUCT'ON''OR
INHERITANCE TAX PURPOSES.
DAY .;~Jei;k ~cco~'L .,SW"ORN AN~SUBSCRIBED BEFORE ME THIS 20th
~~%~tJ~,18-1L
Deborah Davislo~ubhc
Nutary Publ!c,~/asr.ington.Washington CQ.
-N4'Commlssion Expires June 7,.1976
RCC-81 (6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
JOETTA D.McCOLLUM
II&X~~dm ini strator)
IN YOUR REPLY PLEASE
REFER TO 38-208-5
Inheritance Tax Division
J,
In Re:Estate of OPAL N.FOWLER
__Wn..AD.lS>l,.JHu.IL.lN,nGuTL..!o.Ou:.NL-_County -File No.63 -71-970
Dear Mrs.McCollum:
You are hereby notified that the original.--
appraisement in the estate of Opal N.Fowler'
has been filed in the office of the Register of Wills of Washington
County on September 27 ,19~,Said appraisement reflects the following
valuations:
Real Estate .,..----.......~"7<7'r----
PersonaI P roperty 8----L,3_0_4_._9_8 _
T ransfers _
Jointly Owned _
Tota I ~8:!_1·,~3~O~4~.~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.
Any party in interest who is aggrieved by an appraisement may appeal therefrom
as provided by law.
Date September 27,1973
Title __A_PP_RA_I_S_E_R_I_I _
DATJil OF DEATH:
Note:This is not a bill.
September 15,1971
.-
RCC-39 (5-68)
COMMONWEALTH OF PENNSYI,.VANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
.r-
SUMMARY
Estate of FOWLER,
(Last Name)
OPAL N.
(First Name)((nitial)
DATE OF DEATH 9-15-71 FILE NO.63-71-970
........A.
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of lvashington
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
::t:::lue::~:o~:~::s:::ac::::in the last colomn to ~e right i;D=:"'Z1"'~
>INHe::RITANCe::TAX APPRAISe::R)I:{.?u~,(
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for .Wa.shington County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amQunts claimed by deponent,except,as-Wthfse items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which gre'fuer or lesser amount represents the sumallowedasadeduction,I ,~_~.ill I .Il.~7__
Dated:OCT 1 M1973 RUSSELL MARINO -b..._~V'--t----u
.Re::GISTe::R OF wl'c"Ls
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint -Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULe::F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
VALUE AS REPORTED
$t=
-----I~
~C
VALUE AS APPRAISED
$--------.4--
7 575 14
729 84
VALUE AS REAPPRAISED
$-------+--
FOR USE OF REGISTER ONLY
Tax on $---------+--ATaxon$-+--'-.b.'ib
Tax on $5%
Tax on $10%
Tax on $15%
Exemptions *
Total Estate !--_
TOTAL TAX
COMPUTATION OF TAX
$-----.:.----.4--
$---------.4--
$-----'--...,.--+--
$-------+--
$-------+--
$--_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
TOTAL TAX BALANCE :-----~I
PAID $---__....JL
BALANCE OF INHERITANCE TAX DUE $--C...Add interest at rate of 6%from
_--__to $
AMOUNT OF ESTATE TAX ASSESSED $----~L-
Estate tax paid $-..Jl-
BALANCE DUE $---__~I___
Add interest at rate of 6%from
_-----Ito-----
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 !...No.Admlmstration
IN THE
Year .
~
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
OPAL N.FOWLER
Deceased
WASHINGTON
Late of .
WASHINGTON
County of
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
I
:
~f ~
,,
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.,
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'....
n&TE Sep'tem1;>er n '•COMMONWEALTH OF PENNSYLVM.JIA ..................,..........................................................~..........DEPAPwT1':iEl':T OF REVENUE RESIDENT INHERITANCE TAX COUNTY ,,,.,,~~.~,~.~.~.~.~.~.~.....,""""BUREAU OF COU~TY COLLECTIONS
HARRISBURG,PENNA.17.127 APPRAISEMENT FILE NO 63 -71-970.,.....................................................................................................-
Whereas,................9..p~!.....N.~....·..¥..'?~!.~!...........................................................................late of .......................W~.~h.~.~,g.~.~~..........................................".
in the County of ......,................W~.~h.~.~.g.~.9.~........................................................................Commonwealth of Pennsylvania,having died on
the .......,............1.5.,...th.....................................................day of ..::...........S.~p:t.~mb.~;r ..........................19....71,seized and possessed of an estate
subject to Inheritance Tax under the laws of-the Commonwealth of Pennsylvania;
Therefore,I,Dominic R.DeMaria an appraiser duly appointed according to law,.......................................................................................................................................,
having beer..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 transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest.
Unit AppraisementDescriptionofAssetValuesMadeforInheritance
Tax Purpo..s
$
PERSONALTY:,"-.....
.."
See a'DDraisement attached hereto:8,304 98 .-
.',.,.-.-,
1 .,'\
,.."
I
(.~
~,
-'.
.;.'j"",,",.',
I
v .
•.•!Total 8.304 98.--~.
..
..
form~v:.':~h b~:::~h:'W~4~~~'~a~:re~~~~~~x~a~:35~~?~d>;p~:
AppraIser·······(2);.·······;t3i~S;;;;ii···.....................................................
Penna......................~....~(J"~..~.............,.................................,
(Post Offlee)
WAS.HINGTON .......................County
....'~.-'..,
~'--
,".":;',
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
OPAL N.FOWLER
Deceased.
Late of
WAS:fiI.NGTON.....
Date of D~atlz,§..t!.P.~.~J:ll:t3..~:r..J.§..,lfJ..Tt
Appraisemel!t pocket Vol.,3.8 .
Page,....z.Qa.~.s.No.6..3..~.71.~.9..7.Q ..
Filed in Register's Ofjice,..s.e.pt 2.7 19..7.3.
Amount of tax due,$..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo,flt Appraisement,
Appeal f"om Appraisement,..
Entered and charged,.
.
-~
-
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!
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1.