HomeMy WebLinkAboutOC1971-0970 - ESTATE OF FOWLER_02F,'rm RCC·1O £,~-7/-DEDUCTlONS ALLOWED IN970
OFFICE OF THE tJ STATEMENT OF DEBTS THE SUM OF ............$.....
REGISTER OF WILLS
WASHINGTON AND DEDUCTIONS
OF COUNTY DATE APPROVED ..................................................
AND AGENT OF THE COMMONW&:ALTH
Aegi'ler of Wills,Agool
ESTATE OF OPAL N.FOWLER LATE OF Washington,vVashington County.Pat
DATE.01'FILING APPRAISEMENT OATS Of"DEATH .September 13!1971
'::1'
DATE No.OF NAMa OF PAYEE REMARKS A~OUNTVOUCHr;~
9/20
Grant of Letters of
1971'Register of Wills Adm.inistration 12 00
Q/?1 1<:17 W~c:hinp'ton Countv Reports Le gal advertisirtft 14 00
-lLLUl 1 ~7',Observer Publishing Company Legal advertising 16 00
10/7 197 Paxton-McIlvaine Agency Administrator's bond 19 00
9/8 197'Paxton-McIlvaine Agency Administrator's bond 19 00
.~/ 1 ()107,Paxton-McIlvaine Agency Administrator's bond 19 00
Russell Marino.Register Filing Inventory 3 00
Russell Marino Register Filing Account 17 00
Shrontz Funeral Home Funeral bill 1,238 10
WashinQton Hosnital Hosnital bill 1 373 37
I Dr.I Randall Medical services 150 00
Dr Corwin Medical services 325 00
Dr.Tripoli Medical servlces 25 00
Aldens Open account 267 61
I Central T.V.'Ielevisionbill 10 60
Bell Telephone Company T eleohone bill 13 21
Bell Telenhone Company T eleohone bill 3 39
Columbia Gas Company Gas bill 15 00
ritv ()f Vi1~chiYlcrton Waf!.e tax 29 51
Peacock Keller_Yohe &Day A ttornev'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 Reimhllr,::ement of leo-al eXDen~es 67 85
rrrVTIl T 7 ~7~14
COMMONWEALTH OF PENNSYLVANJA }SB:WASHINGTON ~
COUNTY OF
I,;IOETTA Dc i McCOLLUM HEREBY CERTIFY.THAT.TO THE BE_r OF
MY j(NOWLE:DGE AND BELIEF.THI!:FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSl!:S OP'
A0lo41NI5TRATION SUBMITTED TO THE ESTATE OF OPAII N 'FOWLER .OEC£.AliI£D.AS a.EOUCTIONS FOR
INHERITANCE TAX PURPOSES.
,
(L:5.l
SWORN AND suaSCRIBED !lEFOR£ME THiS 20th DAYe;,..Joetta D.McCollum
~~~~QE~r 1~-1L
Peborah Davis,l~liC
.Notary Public,Wa.shington.Washington Co.
My CO~I)l.mission Expires June 7,1976
..
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*1.238.10
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1 2.0 0
1 4.00
1 6.0 0
1 9.0 0
1 9.0 0
1 9.0 0
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1 7.0 0
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6 7.8 5
1.373.37
150.00
325.00
2 5.00
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1 0.6 0
1 3.2 1
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1 5.0 0
2 9.5 1
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7.575.14*
225.'00 +
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104-00 +
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l,515 -14 -
729-84*
FORM 67
REV.1-50
REG.WILLS
1\pplirtttion for i4rttrrn of 1\ilmtntntration on thr
Estate of...J:~g.~~.P.~!::.~~9.s;,Y ::.!..~.t..~"..~~.~~~.:~gs:y ..
late of w:~.!?hJ.ggj:.Q!].A .P~n:g§y.1y..~gJ.~,Deceased.
Before the Register of Wills of Washington County
personally appeared J..Q~.T.r.A R.~M.~.Q.Qb!.~Y.M ..
who,being duly sworn deposes and says that..........L.~9.ng J2g1~L..L.Q.Qy.~.!.};~I~!?~.~~~.:!::.?~;Y...
ag·e ..7.g,,having last family or principal residence at....~..9..~E1.~§.t M.~.t.g~n S..t.r..E2.~.L .
(Street and Number)
............W.~.~.tJ:~.~g!g.~l..?~.gg~y..ly.~g~~,Washington County,Pennsylvania,died intestate
(City,Borough,Township)
at...W.~.~.tJ:~n:g!g.g/r.~.g!]..~y..ly.~.g~~,on the ?.~..:day of -A:':!-.@.~.L .
A.D.,19..7..!,at....~.;.Q.9.P...M.,possessed of personal estate to the estimated value
$).JnJ~gQY?.n ,and of real estate in the Commonwealth of Pennsylvania to the estimated value of
$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.ATIONSHIP RESIDENCE
....QP..~~~.~;E.~~.~.~!.;.:9.~~.ght~E ?~?.~.~.~!....M~~9.~.g $.tE.~~}"..
..........................................................:w:g.§.b..j..t\g:t;.Q!1 P.~!1.t\I?y.ly.g.P..;\.g .+..R.;3 01
::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::1::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
...........................................................................................:"1"..
That deponent is over 21 years of age,resides at...R"D.,#.2 W.@,I?..bj,n,gj;Q,P...
....P~.n)}§.yly.~.n~~1..?.~.9.J :~.:..:.:.:.~g-:.
is a citizen of the United States and a resident of Pennsylvania,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 ?.Q ..
day of....~.~P..~..~.~~~.;:,A.D.,19...7..~.
......................~....~.....
REGISTER
COMMONWEALTH OF PENNSYLVANIA}SS:
WASHINGTON COUNTY,
And now $.§.P..t.§m'Q.~.;r.?Q ,191.1 ,comes..J..Q.e.:t..t.~;O'.t MQ.C..Q.llJ.ID),..
who being duly sworn doth depose and say that...sh.t.will well and truly administer the goods and
. .Leona Dale Loey aka Dale L.Loeychattels,nghts and credIts of ,deceased,
to the best of...,b,.e.:r.....skill and judgment in strict compliance with the laws of this Commonwealth,mind-
ful of the laws relating to inheritance taxes.
Sworn and subscribed before me this ~.Q ..
day of..s..~.p.:t.§.mg.§.t:,A.D.,19 11 ..
:::..::::::..:::::::::~::~:::::::::
REGISTER
~..AI Gl:A eli.JJ IJ
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APPLICATION FOR
Letters of Administration
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PEACOCK,KELL!!ft,
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I ......\..........iLetters..................do 0
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Extra Alias \.\..$.
Certificates \j'.$2.."..d ~.
Renunciations .. ..$..
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ESTATE OF
LEONA DALE LaCY a/k/a
.PA11.~.....!::!.....1~~·~~·d··"""·"······················"......
Attorney
~2
Estate of ,L,~'()Il~".PClJ~,..L,(),qy..tl.!~l.tl ...P9:~~....L,.}Lacy
No.,"
late of ,..Wa(:?h,ingtmJ,,:P~.nnsylv;:P1.i~Deceased
'.., ,..of 19..,.,
KNOW ALL MEN BY THESE PRESENTS,
That we,..J.Q.€)tt~.,.P,M.G.G..o.n.4m ~p-'q A.~~p:a.L,g~8"".G<3.,f3.t1clJtY G,(),~.P<:tt:ly ,.., .
.,,,.
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$t80O'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 the 22 day of
"Se.ptember.A.D.,one thousand nine hundred and ,.s,eventy-:-.one (l..97.i:L,.
THE CONDITION OF THIS OBLIGATION IS,That if the above bounden .J.()~tt.tl...P~.
..M c.Gollum..'.
Sealed and delivered in the presence of:
~~---
~J../ii.c ~(SEAL)
~~t;:'!J'··~J7~1ffomp~)
···yM1~(£6~·'·(SEAL)..............................".",...."...:-.-.hAL)
&tnttmrttt of ~urttl1 ~.Q "
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.
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.
._-------_.~._-_.~_._~_.~~-~.~--~-_.~-~~~-~~~.~~~~_._-.~~...~-_.~_.~~----~-------_.~--_..~.._---_.~-~~~-~--~---~-------_.
P.o.
&tattmettt of ~urdl1
I,--..----.-----------------------------..----....----..--.---...--.---.-------------------------...... ,l'iurety 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 P.o.
COMMONWEALTH OF PENNSYLVANIA,}
sS'WASHINGTON COUNTY,'".
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 th3t 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 __~-~~-~~._~....~...~~._~~~-~~~~-_.._--~_.~~.~~~~~._----~-_.~--.~-_._-----_._-~-------------------------.
b 3 -71-fiP 1
.'~.
No.....~~B---
i\~miuil1trntinu 1Brlu~
IN THE ESTATE OF
LEONA DALE LaCY a/k/a
:OA.L.E L.!~QQX .._..___
And now J?~.P.t.El:m.Q!?:r g.z."",1971 .
Bond approved and Letters issued to
-J.Qf).t.ta..D Mc.C.ollum _.
.-HhQ was....dulN=...qU:8·1-i-t;·ied-····
RuS se.1J....Marino _.__.......................Register
Bond Book .....?~:.................Page ...~29..
BADZIK PRINTING ~9 DONORA
--~------~~--
1-,~"
~I"
THE JETNA CASUALTY AND SURETY COMPANY
Hartford,Connecticut 06115
UFE8tCASUALT.Y
POWER OF ATTORNEY AND CERTIFICATE OF AUTHORITY OF ATTORNEY(S)-IN-FACT
KNOW ALL MEN BY THESE PRESENTS,THAT THE IETNA 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 2)rd day of March ,19 70.
THE IETNA CASUALTY AND SURETY COMPANY
State of Connecticut }
County of Hartford ss.Hartford
Secretary
On this 2)rd day of March ,19 7Q before me personally came BENJAIHN 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 Sealed 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
i\ffioanit OOf
.&3-7/-;9~i
1E*rrutnr ®r l\?tntiUlstratnr J
:f5ltn.tl'of ~tnns.ylnania,~E.6:
O1llunty of Dush,tngtnn
Personally before me,the undersigned authority,a N.9J?-E.Y ~p..~t~..in and for said
County and State,appeared J..Q&..TTA..P..,M.(;.~.Q.4.~V.M ,Tfstho,.being duly
sWO(f1\T"gc15<U~~~o)acrc~;o~elk/~says that Ehe is the ~roxroxmxad~inistratOir of the es:ate ofb~LJ:n :1;...:t..deceased,that the(,~6'A'!!.nD£i~erd'~§~n1J.'ftttf':
complete inventory and appraisement of the real and personal estate of...Dale L Q.G.y.,
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 namedXJ:eeXiJOX Administrati:i:lXrix.
Srvorn and subscribed before me this...2.0tll........\
day ~eptember"ffi9,a ."ot..,M~C'w,,"tit{,.~~,~~t~RiK~~~~;;;';;;i;;;;~;:;;
....~.J~'.l:<.nc:~.~\,.L~\)O.&~st-:'.MY:.com1ission Expires June 7.1976
Deborah Davis,Notllry IAlWcrIONAL INSTRUCTIONS
1.An inventory must be filed within three months after appointment of personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.S.1 Original and '2 Copies and 2 RCRI-34,Under $10,000;1 Original and '2 Copies and '2 RCRI-33,
Over $10,000,including Copy of 'Will;1 Original and 3 Copies and '2 RCRI-33,Over $50,000,in·
cluding C?py of vVill and copy of Federal Estate Ta.x Return.
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
l1nnrntnm nub .Appraigrm~ul of the goods and chattels,rights and credits which
LEONA DALE LaCY,a/k/a
were of DALE L LQC.y late .of Wg.s.bingt.Q!1 ..
Washington County,Fa.,taken and made in conformity with the abO"Ve affidavit.
Recovery in survival action at No.311 July Term~
1972 A.D.,Washington County Court of Common
Pleas
.,....
··1....."."';.!;/
TOTAL
DOLLARS
$4 000
$4,000
CENTS
00
00
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COURT OF COMMON PLEAS OF'b~'J~~s,o~dtR{fNrlMl~~NA;F:0'of 1973
IN RE:
ESTATE OF LEONA DALE
LOCY.A/K/A DALE L.l
LOCY,DECEASED
PETITION FOR SETTLEMENT
OF SMALL ESTATE
..,
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LAWO"".CES
PEACOCK.KELLER.YOHE &DAY
EAST BEAU BUILDING
68-70 EAST BEAU STREET
WASHINGTON.PA.15301
/.2 7-77
!,
,"
)
(No.
)
COURT OF COMMON PLEAS OF WASHINGTON COUNTY.PENNA.
ORPHANS'COURT DIVISION
l$3~7/-?t:,7
of 1973
IN RE:ESTATE OF
LEONA DALE LOCY.A/K/A
DALE L.LOCY.DECEASED
PETITION FOR SETTLEMENT OF SMALL ESTATE
J oetta D.McCollum.Administratrix.by her attorneys.Peacock.
Keller.Yohe &Day.petition your Honorable Court as follows.to wit:
1.The petitioner is the duly qualified Administratrix in the within
estate,Letters of Administration having been granted on September 22.
1971.She resides at R.D.#6.Washington.Pennsylvania 15301.
2.The decedent died August 28,1971 as the result of an automobile
accident in South Strabane Township,Washington County,Pennsylvania.
3.The sole assets of the decedent at the time of her death were
a joint bank account in Pittsburgh National Bank.Account No.4-802481.
held jointly with Opal Fowler.her daughter.in the amount of $2.261.15,
and a Christmas club fund in the same bank.No.530990.held jointly with.
the said Opal Fowler in the amount of $104.00.As the resUlt 'of the death..,.."f',,,.
of decedent,a recovery of $4,000.00 was made in the survival action filed
at No.311 July Term.1972 A.D.
4.The decedent was not married at the time of her death and was
survived by one child.Opal Fowler,who was 53 years of age and who
resided with the decedent at 358 East Maiden Street.Washington,Pennsyl-
vania 15301.
5.There are no known creditors of decedent.
6.The debts of decedent,totaling Three Thousand Thirty-five and
17/100 ($3,035.17)Dollars.have been paid.
7.Petitioner is also the Administratrix of the Estate of Opal
Fowler,deceased,who died on September 13.1971.Petitioner is the
daughter of Opal Fowler and the granddaughter of the decedent,Dale Locy.
WHEREFORE,petitioileriprays y'our Honorable Cou~t to authorize
the distribution of t~e balance of Nine Hund:~d;Sixty-four and 83/100
($964.83)Dollars t~her in her capacity as Administratrix of the Estate of
Opal Fowler,deceased.
PEACOCK,KELLER,YOHE &DAY
-2 -
\\
COMMONWEALTH OF PENNSYLVANIA )
(SS:
COUNTY OF WASHINGTON )
...,
Before me,the undersigned authority,personally appeared
JOETTA D.McCOLLUM,Administratrix of the Estate of Leona Dale
Locy,a/k/a Dale L.Locy,who,being duly sworn according to law,depose~
and says that the facts set forth in the foregoing Petition for Settlement of
Small Estate are true and correct as she verily believes.
~f}-?n c faLlffrV'-/
Joetta D.McCollum
Sworn to and subscribed
before me this 20th
September
day of
1973,A.D.
,Notary Public
1?eborah Davis
No~ary Public,Washington,Washington Co.
-My'Commission Expires June 7~1976
-.
COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA.
ORPHANS'COURT DIVISION
IN RE:ESTATE OF
LEONA DALE LOCY,A /K/A
DALE L.LOCY,DECEASED
)
(No.
)
of 1973
ORDER
/-AND NOW,this t~day of September,1973,on consideration of
the within Petition and on motion of counsel for the Administratrix,
Peacock,Keller,Yohe &Day,it is ordered that distribution of the
balance of Nine Hundred Sixty-four and 83/100 ($964.83)Dollars
in the within estate shall be made to Joetta D.McCollum,Administratrix
of the Estate of Opal Fowler,deceased,subject to the payment of any
inheritance tax which may be due and owing.
BY THE COURT
...,.-""~~'I
R CC-43 (5-65)
COMMONWEALTH OF PENNSYLVANIA
DEP~TMENT OF REVENUE
HARRISBURG
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department of Revenue
Bureau of County Collections
26 S.4th Street
Harri sburg,PennsyIvan ia
Dear Sir:
Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit the following report:
NAME OF REPORTING
FINANCIAL INSTITUTION ~ttsblJrgb NatiOtlaJ.iame
ADDRESS aSouth Main $t,reet Wasb~Dgton,Pell.'lSfa.l'4a 1$301
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT~8~3-E.4t-.80~.~24i!d'eH,l-----~---
NAMES ON ACCOUNT
OR INVESTMENT MN Opal N Fe\':le:r er lips Bale L Loet
DECEASED JOINT DEPOSITOR,
TRUSTEE OR INVESTOR _.......M~vsQ-.l"Da:aa.o4I3e=-·...Lt,..........II~,()'""c'*'7-----------
ADDRESS 358 East Haident Street Washington,Pennsylvania )5301
DATE OF DEATH August.as 1971
SURVIVING DEPOSITOR,',
BEN EFI ClARY OR INVESTOR --=.:Mr:..:s.:..ll.,--O:.lva==l...:N::JI.:.-FL.lQ~w:-.l~er....._
ADDRESS _....3~5"*"8-'=Ea==·.....st.L~M_a~id_e.....n~StiUor..:oiie~etliL~Wa;asi:Llh.l4:i..u,ng&Jtw.ol.Llnof-,......p;.J:;e'"Dnws~.,r..Ll..v..vai:WD,I.£i,Cl.a--.-.l'..;~JO~l........_
TITLESignature
Kenneth Krikorian
Platform AsUstant
RELATIONSHIP TO DECEDENT_oi,&IOaa.t."~lgbHl:tirllie:r-r_·_
DATE DEPOSIT OR INVESTMENT .'
WAS ESTABLISHED June 24,3964
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $_----t$flLoI2~,~26iJJJ ......01.;';;1-------------
Y~L
\'lashington,PennaIi 15301
TO:f.1rs.Opal N.Fowler
22.B East Maiden Street
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
Date:Sept.17 J 1971
County ,HASHINGTON
County File No.\.q?-2cJ?-t..j
Bureau File No.bs.3 '-7/-q(,9
We have received notice oo.Jtx..~~XXXXXXXXXXXXXXxx:xx:xxxxxxxxY.xxx.xXY..XXXXXXXXXX
on August 28;19-1l,you came into ownership of certain property tliKO'.u9~~~
Wj22t~~Transfer from Mrs.Dale L.Lacy,deceased (Washington)
COMMONWEAL TH Or-PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
.-~ct-'i'3';~1-69)'.,
-
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed Up<)O you,as transferee.
The property on which tax is hereby assessed consists of:.-...;J:...;t:..l!.~H..:::e=1=d....;in~....:t:.:.;h==e~Pi=..t:...:t:.:5:.:b:.:ur=...2g~h_N...:a::..;t:.::i:..:o;:.:na:::1=-_
Eank W"sh5ngtOXl Office,Wasbjngt,oD,PennsyJyania.In the name of HI'S.Opal N.Fmv1er.
BaJance as of date of death ~2,26l~.1_5~.L-_
appraised by the Commonweal'th,as of the date o~death,at $'2,26).J 5
50 %of this amount is taxable at the rate of 6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
$--------
AMOUNT OF TAX DUE 67.83
o If you pay the above amount within three (3)months
of the date of death of the decedent,or on or
before Nov.28,19 71 ,you may deduct ci
discount of 5%of the amount of tax due,or
o This tax became delinquent,fifteen (15)months
after the date of death and,in addition to the
tax,statutory interest at the rate of 6%of the
tax per annum is al so due as of *_
19__in the amount of
*1£the tax is not paid by the above date additional
interest is due at the rate of 6%per annum until
paid '
TOTAL AMOUNT DUE $67.83
$:::::=========:=====.:
APPRAISED BY:~_
(Inheritance Tox Appro iser)
ASSESSED BY:RUSSEll MARINO..,.......,(
(Agent for the Commonwealthj
INSTRUCTIONS TO TAXPAYERS
Make check,S or money orders payable t~.I"At{To insure proper credit to your account
r n "Lt.A...I'•1~1~Qificial Notice must accompany~~If.All ...,.-r"~yment.Mail or bring it to:
,...,7/AGENT FOR THE COMMONWEALTH/0 -:J-I -COURT HOUSE
WASHINGTON,PENNA.15301
~#-8//741
If you have already paid this tax to an executor,administrator,attorney or other personal r~prese51tative o'fih"e"r ~.
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
..p ~-
2-You actually paid these debts out of the account or property'described above and can furnish proof
of such payment,if required,and
3-These same debts are not also claimed,for tax purposes,by an executor,administrator or other
personal representative of the decedent 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
Si gnature of Taxpayer
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I
have allowed deductions listed above in the total amount of $"
Date of Approval:_
Register of Wills
Form RCC-2
DEPARTMENT OF REVENUE
."It'
I\UREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE .9.~~.<??~~~.7..?~.?.?..~..
NTY WASHING'IDNCOU .
nLE NO...9.J.::':.7J.~.9..9.9._ .
Whereas,~.~..~P.~~~~.~~??.!.late of W~~~.m.y~.P.:.
in the County of ~~~.~.~.~.~~.~Commonwealth of Pennsylvania,having died on
28th August 71 .the day of 19 ,seIzed and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,:f.~.~~~.~~~~.~,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Description of Asset
Jtl Held.in the Pittsburgh National Bank Washington Office,
Washington,Pennsylvania.In the names of Mrs.Opal N.Fowler.
Balance as of date of death $2,261.15.
Unit
Values
$
AppralsemantMadeforInheritance
Tax Purpoles
2,261.15
form~;V:fh~:~:fh~sw~.~~ng~~~:~.~o~e~:~c~~~~~=~e;?;~~n.:
/Appraiser
......................................................................................................,, ,.
(Number and Street)
........................................................................................................................................,Penna.
(Poet Oftlee)
WASHII-n'IDN County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
MRS.DALE L.LOGY
Deceased.
Late of
v.l.a.f3.0.:i?~9r.1............
Date of Death August 28,1971
A ppraiscllleI!t ;~;~;;"';~~;.',"'.:.:~~::":::.:::::"':"::.:".::.":::.::.::
Page,...208-4.................. .N o 63~71.,~.96.9 .
Filed in Register's Office,l
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo,ut Appraisement,
Appeal f,.om Appraisement,..
Entered and charged,.
...
~
,.'
L
\,_........!.........",,'......L.'_'_
County of "WASHINGTOl\l., ., , .,_.,,\...,,"1 _:J ,~"L
JQ~,'l''l':~,J:>.i.McC.OLLUM,,,','" '",.'",".'"of E.,J:>.,#6.,Washingtonl ,.Pennsylvania .1530.1.
(Name).(Addrellll)
~"-----,--_._--'-~----.-~
Form No,RCC-62 (6-70)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS A,SSETS UNDER 110.000.UNDER SECTION 701 OF ACT OF JUNE 16.1861.
\'EFlI'ECTIVE JANUARY 1.1962,(FILE IN DUPUCATE WITH COpy OF'WILL ATTA<;HEO)J\'?'~-71-9b1 ~,.~-~OFFrCE OF'THELREGISTER-OF WILLS :-~~~
~L ~~
being duly _._B.:.w-9X,:rL._._.~..__'according to law,deposes and says thatEbe is the _Adm.iniQtx.atx.ix..____. .
LEONA DALE LOCY,a/k/a <-(Exec"Adm.,Lega=,Etc,)
of the estate of___..DALE.L...LLOCY ___whose last residence was _.._3.5.8.E.a.sLMaiden_Str.e.et.__..
(No.)(Stteet)
Washinm:on,..Ea.,,__.._deceased,and that the whole of the estate of said decedent,who died __.AJJ..gU:st.2.8,19.71(Ct!Y:Borough or 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,
•..J .;,:.~..L -
Real Estate Estimated
Value
-
NONE
--~
,.
1'\11 11'\1 H
Personal Property
Recoverv in survival action at No.311 Julv Term.1972 A.iD.l.Washington
r.Court of CO'mYrion Pl p~~$4 000 00
/J1U1
","-..--.-'-"----
'-.....___.C "~
l •-,-.-
)
,
TOTAL $4 000 00 I
NOTE:You may expedite the processing of this return by filing with it,and as a part of the return,
letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the
decedent as of the date of death.Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account,account number and the exact name or names in
which the account is registered.•
I
Estimated
.Value'-,
,I ,
her
her
~t in~
_L<-
Chrlstmas club fund held in the names of Leona Dale Locy and O:g
A t No 530990
Joint bank account held in the names of Leona Dale Locy and Opal Fowler~
p.bur h National Bank Account No.4..802481
Jointly Held Property
-t,
ONE-HALF OF TOTALFORINHERITANCETAXPURPOSES,
I
~
~N~O=.=.;N!..=:E=--_
i
Transfers within TWO YEARS Prior to Death
...'
,.
"...-
.i!,.;'
";
.,...-,
That at the time of death there was no safe deposit box registered ih decedent's individual name,or ,:"intly with,or as agent 01'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:-
_.-I RELATIONSHIP OF JOINTNAMEANDADDRESSOFBANKOROTHERINSTITUTIONTHISSAFEDEPOSITBOXRENTED
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF I~LDERS TO DECEDENT
NONE
._._--
-
,.BENEFICIARIES\'.'--\'--
BENEFICIARIES AND ADDRESSES
(Statei full names of all and their addresses who have
an interest,vested,contingent or otherwise,in estate.)
RELATIONSHIP
(If step-children or
illegitimate children
are involved,set
forth this fact.)
SURVIVED
DECEDENT
STATE YES
OR NO
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
.-INTEREST or
BENEFICIARY
IN ESTATE
t Maiden Street
Da hter Yes 53 Entire
--------------------t--------.----+----
Ii .,......'~•
RESIDE,N,T DECEDENT DEBTS AND DEI?UCTIONS.CLAIMED,.
NOTE:List first five items in the spaces so provided,observe notations thereon,and instructions
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN
iKEGISTER ONLY
0'Funeral Home Funeral expenses paid $1~206 50 $
""
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)None
Administration Expenses *(See below).145 25
Pp~('o('k K pll P'Y'Yohe &Da~Counsel fees *(See below).150 001
Fiduciary commission *Nnnp
OTHER DEBTS AND CLAIMS
(*)See Note below
Administration Expenses:-,
Register of Wills Issuance of Letters of
Administration $11.00
Washington County Reports Legal advertising $14,00
Paxton..Mcllvaine Agency Bond premium $19.:00 I
Mrs.Jean E.Hamel Copy of Coroner's
inquest transcript $15.75 1
Paxton-Mcllvaine Agency Bond premium $19.00
Paxton...Mcllvaine Agency Bond premium $19.00I
Register of Wills Filing of Petition for
Settlement of Small
7.50 IEstate$
Ambulance &Chair Service Ambulance expenses ~40.'00
Total $145.25
Counsel Fees:
Peacock,Keller,Yohe &Da.IT Attorney's fee for estate
proceedings $150.00
I
Other Debts and Claims:-
Peacock~Keller~Yohe &Da,Reimbursement of
Yohe &Dat
litigation expenses 33 42
Peacock,Keller,Attorney's fee in litigation 1,500 00
Total 3.035 17 3t>3S,t1
I
Subscribed and sworn to before me this .20th , "
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greatel'
01'less than the estimated amount claimed and allowed.(l/~.J,..~..~.~-~v~~.-.-.•..·~~-Administratmxl rix
........................day of ..Septemb.er.,.......,197.3.R D.#6
...&.~t~)()\~f~".1.~.~~.................,:,(s't~~~i N~~b~;/""""""'"o.
Deborah-Davis,Notary Public Notary Public.Washington.Washington C/)o ..W.~!3.~~p'gt~l),..~~:p..l)~Y+Y.~J;1~o~.)~~9~....
M C ..E''(City or Town and State)y ommlSSlOn .xpires June..L..ill6
Having been duly 'sworn #ing to law,I
............'....:'..tit.1.........day of ...
'eby certify that the above appraisement is made in conformity with law on this
.:/l -~19.?J L:?L I ~.
:~~.....2rt....Gk.."'~i~~
In the event that any future intel'est in this estate is transferred in possession 01'enjoyment to collateral heirs of the decedent after the
expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appl'aise and assess transfer"inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF TJf17RJ:GIS R OF
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 dep e ,excep1as to those items where a greater or lesser amount
is set forth in the last column to the right in said schedule above,which greater sseI'a~mount r.e~resents the sum allowed as a deduction.
Dated:~.~J<~.~l~.~~.~~~~~.~~.~I~Q.....:..t.\~~.~.c .~~~.~.'......,,.;j Register of Wills
"
I,
\
")1
"I
~:1
Form No.RCC-62 (6-70)
'Will '.Administration lN9..,Year .}S ),)",)
I
IN THE
MATTER OF THE APPRAISEMENT
, I
OF ,.HE
ESTATE OF
I;I /
'0
•I rf "-'J'
'J ,)'J)
}
J
));)LEONA DALE LaCY,A/K/A,
....PAJ:-..E.L.•..~QCX 0 •••••
Deceased'
),
.,Late of Wasbingtop..'0'••'••
).,
)J)i)
)County of '...Washington.;....0 •••0 •••, )-,{,.., '~,)I;
.J )'I.)).
_;Commonwealth of PelJnsylvan~a
)
-I
I ~
REPORT AND APPRAISAL
.Vd 'oO:J NO1 ':..'NIfJ SVA1
S77/1t1 -10 ~31S/33U
ON i Hyi N -/'.7 SSnH
S?JJ 1~i1 S2 ,d3S Ell,
'a~J·I/.j
,)
",y',)
}
~~
RCC-81 (6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
JOETTA D.McCOLLUl{
(IW~XXr Administrator)
IN YOUR REPLY PLEASE
REFER TO 38-208-4
Inheritance Tax Division
J
In Re:Estate of LEONA DALE LOCY a/k/a
WASHINGTON County -Fi Ie No.63-71-969
Dear Mrs.McCollum:
You are he reby noti fi ed that the '_'_-----,=--=-o""-r-"'=ice:g.",i~n""a"_"l=__~...,......------
appraisement in the estate'of Leona Dale Locy'~/kla
has been fi led in the office of the Register of Wi lis of WashJ.ngton
County on September 27,19 73,Said appraisement reflects the following
valuations:
ReaI Estate -...---=~,-------,=-=------
PersonaI Property 4..::....L.'-=-O-=-O-=O-=.-=O-=O~_
Transfers -=-::------,,_
Jointly Owned ~5~2~.~0~0~_
TotaI -:::l4L.i,f->0.....5LA2............0Ll,O'-_
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 twelv,e 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 s;gne~£~2L;.
,~~t<
Title __A_P_P_RA_I_S_E_R_I..:.....I _
DATE OF DEATH:August 28,1971
Note:This is not a bi II.
..,...
-,I
.
RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of LOCY,
(Last Name)
LEONA
(First Name)
DALE
(lnitial)
a/k/a DATE OF DEATH 8-28-71 FILE NO.63-71-969
REPORT OF INHERITANCE TAX APPRAISER
September 27,1973Dated:
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules"A","B","C",and "E".
j)~f1k~
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS ~~;--
I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amountS claimed by deponent,except,~to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",wh~greater(i)r lesser amount represents the sum
allowed as a deduction.(rJD~ted:OCT 1 J 197:1 ltUSSElL MARINO \ \~lllLt.~~
••~iii REGISTER OF WILLStil,.....Ito.
VALUE AS REAPPRAISED
$--------+---4 000 00
S2 00
4.052 00
3.035 17
1,016 83
VALUE AS APPRAISED
$
VALUE AS REPORTED.~
_E
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,-E
FOR USE OF REGISTER ONLY
Tax on $~--/2%--)
Tax on $~--c..6%/
Tax on $5%
Tax on $10%
Tax on $15%
Exemptions *
Total Estate -L.__
TOTAL TAX
COMPUTATION OF TAX
$--------+.---
$-------'----+---
$-------.+---
$--------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 $--------'
AMOUNT OF ESTATE TAX ASSESSED $--~--I-
Estate tax paid $l-
BALANCE DUE $--------~
Add interest at rate of 6%from
-----Ito-----$-----""""t=TOTAL TAX BALANCE $------1'PAID $-J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will (N
Administration ~o.
IN THE
Year ..
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
LEONA DALE LOCY a/k/a
Deceased
Late of .
County of
WASHINGTON
WASHIlGrON
-~r ...)
~,.
~-
~
"""'1 -,..
-='
~,
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
,.
(..;.
.•.I Fonn RCC-2..DATE ..........~.~P.t~P.l.l;>.~.r..,.....?.!...,.......:1.~.7..~....COMMONWEALTH OF PENNSYLVANIA
,.DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX ................w.:~.~!J:J.~.~..Q.L._..._..........BUREAU OF COUNTY COLLECTIONS COUNTY
HARRISBURG.PENNA...17 127 APPRAISEMENT FILE NO....,.............§.~..~.7..1..~.9..§..~....___..................
Whereas,......~~.....~.~.~.~~....p..~~.~.....~?.~.y......~.1~/.~.............................late of .................~!.~.~.~.~.~g~.~.P.:...................................................
in the County of .................w..~.~.h.!.~.~.Q.P.:..............................................................................Commonwealth of Pennsylvania,having died on
the ...........................~.~.....~.h................................................day of ............A~.~.~.~.........................................19...7.'+'..,seized and possessed of an estate..
subject to Inheritance Tax under the laws of·the Commonwealth of Pennsylvania;
Therefore,I,..............D.ominic......RII......P..e.Mari.a...........................................,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for Ufe 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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurpolel
$
PERSONALTr:.-'
See appraisement attached hereto:4,000 00
JT.HELD:·...~.".-
See appraisement attached hereto:52 00
,
.,.r.
-..
,,-
·1 !--.f
J .......'.i
';'""r '·1
·)
"...,
........·...
Totl~"..4.052 00·.
~.
"
~
fonn~;:':fhbl~:::~:,w<>rrl~d~~~~:~.~o~~~~~~~~~e~s;;~:
Appraiser
·....................·........·..·........·............·..·~i·..·....·....·......·..·.................................................................
....(.;Zd'".Lcr '-r::';;".Penna.
WASHINGTON.....-..................County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
LEONA DALE LOCY a/k/a
Deceased.
Late of
WASHINGTON
Date of Death,..~~g~~.:t:..~.~.,J.~7..::L..
Appraisemei!t Docket Vol.,~.~.
Page,ZQ.a~.4 No.63..~.7.l~.9.6.9 .
Filed in Register's Office,5.e.pt.•......27 19 7.3..
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appraisement,.
Appeal j,.om Appraisement,.
Entered and charged,.
•I
!.;.~...
r~)
;,
\.'
)
.J
')
~
-....:
....
No·8
~R~C;;C;;:'4::J!!(8a'6~8}c~UE.:BE_E.:::m __~aRi:lI!g_aD_Ii.:il::liI:3~m~H~;;;:._•••;.:a9_iii'li~gE~~J
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE11744OFFICIALRECEIPT•PENNSYLVANIA INHERITANCE AND ESTATE TAX
RECEIVED SIXTY FOUR Qtld 44/100..-~-.-------_ --_-_-.;.-_dollars
representing Pennsylvania Inheritance or
From:MRS.OPAL N.FOWLER-PAYING ON IND.LIAB.Estate Tax due from the following estate:
2%Tax on $$.I~Address 358 EAST MAIDEN STRBET
WASHINGTON,PENNSYLVANIA 15301 6%Taxon $1.130.58 $__6.::.-7:.-:.--=.8-=..3 u
Name of Decedent $,---------IU
File No.63...71...969 Date of Death 8 ...28...11
Date of Poyment _---=-O.=c....::t:..=:o....::b;...::c:..=:r---:::2;;..:1c...z-....::1::..::9:...?:..,:1:::...-~--f
MRS..LEONA t..LOOt'a Ik I
15%Tax on $.$.1.1
%Tax on $$---------11IlI
Estate Tax,Act of
May 7,1927
WASHINGTONCounty-----------------------i
Remarks:
JJ.fO
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__%from _
to _
67.83
$,---------It'J1
3.39
$---------Ilil
$,_--------111
Lim ~[p ~~@illLim'SEALTOTALAMOUNTPAID$I==6=4.=4=4===I8l:
NOTE:This Triplicate Receipt to be retained for.au~ll'f~08...4 (~\J}1111 '--Yl/!<-
Received bY,..~J.~~'X-ll\a./,J/VvD
NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the life ""-.(SignahJi'e)•.,
tenant or tenant for years,as evidenced by this receipt,it is understood thot the Commonwealth s~all .11/
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the~)I J\0-1 I ..I /.J!J(.
life tenant or tenant for years whenever it appears that such additional tax may be legally due and /.'\/\(r'f )
collectible for any reason whatsoever.'",I
-~(
_SOOO.-·~O +.,iooo~oO ~
52-00 +Lib"~'2~oo ~
~(U~--17 -
~O 16-"8 $*
1.206.50
1 1.0 0
1 4.0 0
1 9~0 0
1 5.75
1 9.0 0
1 9.0 0
7.50
4 0.00
1 5 0.0 0
3 J.4 2
1.5 0 0.0 0
3.035.17¢
3.035.17*