HomeMy WebLinkAboutOC1971-1018 - ESTATE OF STEWARTr=----~--
' Form No.' RCC-62 (4-71) :~"HIS FORM REQUIRED IN ALL ESTATES wfTH GROSS 'ASSETS UNDER 110,000, UNDER SECnON 701 OF ACT OF
EF'P'ECTIVE .JANUARY 1, 1962. (FILE. IN OUPUCA:TE' WITH COPY OF WILL ATTACHED) > . ·-&,3-JI-/cJ/8·/
OFFICE OF THE REGISTER OF WILLS
/ County of_. -~~~J:l~!19.t.o.l1 _. __ . __ . _ ... _.
l3L'1\LFL G, .BORNE .............. ·-.................. of .B.,O,. #1, . .Ma~:i.aoo~~-.~e.nnsyl vania ........... .
(Name) · (Addreaa)
being duly ------~~9.~Q _______________________ .according to law, depose·s and ·says that he 'is the .... info.:rmant __________________ , __________________ _
. N 11 · E H St · t /k/ · (Exec., Adm., Leptee, Etc.) e 1e • orne ewar a a - . -
of the estate of .•. Nelli.e __ H_, ___ S.:t.e.w.a.r.:t _______________________ whose last residence was .. R •. D.a. .. #l~_.Maz:ianna~_..Ee.nns)!l'llania
· (No.) (Street) .
---------------------------------------------------·deceased, and that the whole of the estate of said decedent, who died --~Y._gl}_§.t_J_4,__j_97J (Cicy, 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 A~lD RELATIONSHIP OF OTHER OWNERS.
--Estimated Real Estate Value
--..
' ·:· ...; ~
-..
'•
" ...
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i
NONE
'
Personal Property
63 shares--common stock--
Cc:msumer Discount Co. @$2.55 per share tt.-k'. 160.65
Debenture Bond of Educators Investment & Consumer Discount Co. I~ 252.00
Public School· ·Employes' Retirement fund check . r!K, 279!00 . --
l~l tL(!_ <
..
Rich's Mobile Homes . 961'. 20
·'
TOTAL tJ-1<. 1652.85
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
1
I
\
I
Jointly Held Property
NONE
Transfers.·within TWO YEARS Prior to Death
NONE
' '
Estimated
Value
That at the time .of death there was no safe deposit box registered ih decedent's individual name, or jointly with, or as agent or deputy of
another, or in de.cedent's individual name, with right of access by another· as agent or deputy, with the exception of the foilowing:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
'' NONE
THIS SAFE DEPOSIT BOX RENTED
IN NAM.E OR NAMES OF
BENEFICIARIES
BENEFICIARI·ES AND ADDRESSES (State full names of all and their addresses who have
an interest, yested, contingent or otherwise, in !!state;.)
Blah G ... Horne
R.D. #1, Marianna, Pa.
RELATIONSHIP
(If step-children or
illegitimate children
are·involved,. set~
forth this fact.)
Son
SURVIVED, AGE ,OF LIFE TENANTS ·oR DECEDENT ANNUITANTS ~TATE YES .AT DEATH.OF
OR NO -DECEDENT
.Yes·-
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
-·-.. •.~ INTEREST[ OF
. BENEFICIARY
. lN ES~ATE-
Sole~ heir
' -'
't •
RESIDftNT DECE;:DENT DEBTS AND DEDUCTIONS CLAIMED
NOTE: List first five items in the spaces so provided observe notations thereon and instructions ' ' P~E-ST OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN
•J !KEGISTER ONLY
Shrontz Funeral Home Funeral expenses paid ' 1300 00 ' I .'j CJ c, CJ
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses •
Sanford S. Finder, Esq. Counsel fees • 100 DO _j_ () 0 tJ .
Fiduciary commission •
OTHER DEBTS AND CLAIMS
(•) See Note below
Register of Wills Filing Petition to settle small
estate & 3 certified copies 9 00_ Cf oo
Register of Wills Filing RCC form 3 po .3 c;q
-· a 0
..
'· ..
1
..
..
Total 1412 00 llfl).. od
Note: The estate agrees t.o ·advise the Register of Wills if the amount ·actually paid in settlement of any fee, commission or debt .is greater
or less than the estimated amount claimed and allowed.
Subscribed. and swo1·n to ~f~re me this .... ?:t.h ............. .
. " '~--·-~~"~;tl''(:1..f;.
·"' . ::-:>·-,'I· December ts71 .. .. ·~" ........ ~ ...... -~a-·},~-:~ 't .. · ... · ........ -~~~~·~·L. MiLLER · 7' k' ~ · Sf '0-;,' -~A.# } . 1 i ton. Washington Co. . . . . . ~-£70 ~./.{.~Notary·PuJ:Jhc, Nasi) fig.... 72 = . -~ ~ · March 20,19 • •. .,._.. '~. ;;:. My Commission Expires . ~· -~ ·~ ::\~~~$·
-~~.A~ .. /.1~ .......... ·
( E:r:ecutor-AdministratOf" ).
... ~~P~.#.~ ..................................... .
(St-reet Numbe-r)
... ~?:t:~?nl!?., .. l?~l!~.s.y:). :v:~~~-~ ................. .
· (City or Town and State)
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Having been duly sworn:;a~~ding to law, I do h~y certify t~at the /hove appraisement is made in conformity with iaw on this
... . .i.'f7J:-/,.dayof . 7'il~~.!!;}tJ: ... : .... ~~~·
ln the eveni that any future interest in this estate is transfened in possession or enjoyment to collate1~e decedent after the
expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise· and assess transfer-inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF T~GIS R OF )VILL~
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 depon cept as those items where a greater or lesser amount
is set fo.rt~ in the last column to the right in said schedule above, which greater o. esserfmount presents.ihe sum allowed as a deduction.
Dated: ....... ~~-~ .. ~-~J~?.l_RUSSE_~~-~~~~.... . ....... '~~ .t.l .. l ~---. ~ ... ~-~-~ .... ·.... ,. ... .. __ -·-~ "'r· Y· Reg1ster Cf~1~ ~. t. 1
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Form No. RCC-62 (4-71)
Will_. l Administration J No. · · · . · . . . . . Year .....
IN THE
M~TTER OF THE APPRAISEMENT
OF THE
ESTATE OF
NELLIE E. HORNE STEWART a/k/a
NELLIE H. STEWART--
Deceased
,-
· Late of . R.D. •· . #1, . Mar.ianna ........... .
County of ... \~Vq!?htngton · • • 0 0 0. 0 ••• 0 •·• •• 0. •.• •••••
. .Cqmmonwealth of Pennsylvania
REPORT AND APPRAISAL
S~NFORD S. FINDER, ESQ.
729 Washington Trust Building
Washington, Pa. 15301
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U.S. POSTAL SERVICE
OFFICIAL BUSINESS
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SENDER: Be sure to follow instructions on other side
PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S)
(Additional charges required for these services)
D Show address
where delivered D Deliver ONLY
to addressee
RECEIPT
Received the numbered artiele described be/ow
REGISTERED NO. SIGNATORE-mfNA-ME OF ADDRESSEE (Must always be tilled in)
CERTIFIED NO. ·-u/c~
767262 'S AGENT, IF ANY
INSURED NO.
DATE DELIVERED SHOW WHERE DELIVERED (Only if requested, and include ZIP Code)
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PENALTY FOR PRIVATE SE TO AVOID PAYMENT
OF POSTAGE, $300
SENDER INSTRUCTIONS
Print in the space below your name, address, including ZIP Code. \.1.1 • If special services are desired, check block(s) on other side • V • Moisten gummed ends and attach to back of article •
~AMES R. DONALDSON
. AT.TORNIIY AT LAw
81.4 WQHrNGTON TRU8T BUILDING
WUHIN.G7.0N. f'ONSYLVANIA 1530 t
U.S. MAIL
RETURN
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SENDER: Be sure to follow instruc.tions on other side
PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S)
(Additional charges required for these services)
D Show address
where delive.red D Deliver ONLY
to addressee
RECEIPT Received the numbered article described below
NO.
767263
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U.S. POSTAL SERVICE
OFFICIAL BUSINESS
PENALTY FOR PRIVATE USE TO AVOID PAYMENT
OF POSTAGE, $300
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SENDER INSTRUCTIONS \·-~-~ v-1~ ~'/
Print in the space below your name, address, including ZIP Code. ',_.:-(~El:QRN' ...L • If special services are desired, check block(s) on other side. • ' :ro~· 'f • Moisten gummed ends and attach to back of article •
JAMRS R. DoNALDaoN
ATTORNU AT LAw
614 W.A.HINIITON 1'RUIJT. BUILDING
WAaHtNAXON. P.&NNan.VANIA .18301: j
SENDER: Be sure fo follow insfrucfions on ofher side
PLEASE FU~NISH SERVICE(S) INDICATED BY CHECKED BLOCK(S)
(Additional chc:,rges required for these services)
D Show address
where delivered D Deliver ONLY
to addressee
RECEIPT Received fhe numbered ortic/e described be/ow
REGISTERED NO. SIGNAtOirE-o-!fNAMEOFADDRESSEE (Must always be tilled in)
CERTIFIED NO.
767264 SIGNATURE OF ADDRESSEE'S AGENT, IF ANY
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SHOW WHERE DELIVERED (Only if requested, anll include ZIP Code)
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OFFICIAL BUSINESS
SENDER INSTRUCTIONS
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.JAMEe R. DoNALDsoN
ATTO,.NSY AT LAw
614 WMHINCITON TJtueT. BUILDING
WAetUNGXON. P&HNSYLVANrA t!S30t
U.S. MAIL
RETURN ("'
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SENDER: Be sure fo follow instructions on other side
PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S)
(Additional charges required for these services)
D Show address
where delivered
RECEIPT
D Deliver ONLY
to addressee
Received_ the numbered artiele described below
(Must always " in) .\
DATE ZIP Code)
~-~61.-7'1
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U.S. POSTAL SERVICE
OFFICIAL BUSINESS
Postmark of Delivering Office
SENDER INSTRUCTIONS
Print in the space below your name, address, including ZIP Code. \.L • If special services are desired, check block(s) on other side. 'V • Moisten gummed ends and attach to back of article •
.JAM~ts R. DoNALDsoN
A'ITORNIIY AT LAw
814 WAeHINIITON TRu•T BUILDING
WA8HIN.G:rON. PENNSYLVANIA 15301
RETURN
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SENDER.: Be sure to follow instructions on other side
PLEASE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S)
(Additiona~ charges required for these aervices)
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where delivered to addressee
. RECEIPT Received the numbered article described below
REG I in)
767266
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Postmark of Delivering Office
SENDER INSTRUCTIONS
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er side •
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An'OitNft AT LAW
lNG' 814, W.UHINCITON TttuaT. BUILD
WA8HfNGT.ON. PKHNSYI.YANIA US 301.
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$""3Ulr
RETURN • TO
SENDER: Be sure to follow instructions on other side
PLE,I\SE FURNISH SERVICE(S) INDICATED BY CHECKED BLOCK(S)
D
NO.
767267
(Additional charges required for these services)
Show address
where delivered
RECEIPT
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to addressee
Received the numbered f!rtic/e described be/ow
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IN THE COURT OF COMMJN PLEAS OF
WASHINGTON COUNTY, PENNSYLVANIA
ORPHANS' COURT DIV~
NO. Lo6-'J (-jtJ / l)
IN RE:
IN THE ESTATE OF
NELLIE E. HORNE STEWART
a/k/a NELLIE H. STEWART,
Deceased.
PETITION FOR SETTLEMENT
OF SMALL ESTATE
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SANFORD S. FINDER
' ATTORNEY AT LAW
729-734 WASHINGTON TRUST BUILDING
WASHINGTON, PENNSYLVANIA 15301
/ ;AS-'/
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IN RE:
;,
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN THE ESTATE OF
NELLIE E. HORNE STEWART
a/k/a NELLIE H. STEWART,
Deceased.
)
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)
)
)
)
)
)
)
NO.·
PETITION FOR SETTLEMENT OF SMALL ESTATE
TO THE HONORABLE, THE JUDGES OF THE SAID COURT:
The petition of BLAIR G. HORNE respectfully represents:
-1-
That the decedent Nellie E. Horne Stewart a/k/a Nellie H. Stewart,
died intestate on August 14, 1971, a resident of Marianna, Washington County,
Pennsylvania.
-2-
That no Letters of Administration-have qeen granted or applied for.
-3-
That the only heir at law of tne decedent is BLAIR-G. HORNE, her son.
-4-
'.
The assets in said estate are as follows:
63 shares of common stock of Consumer
Discount Company @$2.55 per share •••••••••.•.•••.••••••• $ 160.65
Debenture Bond of Educators Investment and
Consumer Discount Company ••••••••••••.•••••••••••••••••• 252.00
Public School Employes' Retirement fund check ••••••••••• 279.00
Rich's Mobile Homes, refund due on trailer payments ••••• 1001.20
.TOTAL ASSETS ••..••••.••.•• $1692.85
-5-
That your petitioner paid the funeral bill from his personal funds
and inasmuch as there are no other debts or assets in said estate, your
petitioner requests your Honorable Court to direct distribution of said funds
to your petitioner as restitution and repayment by him for the advancement of
said funeral bill to the Shrontz Funeral Home in the amount of $1300.00, in
accordance with the Act of May 10, 1959, P.L. 1450, Section 1.
AND HE WILL EVER PRAY, ETC.
Blair G. Horne
COMMONWEALTH OF PENNSYLVANIA ) ) ss.
COUNTY OF WASHINGTON )
A ....
Personally appeared before me, the undersigned authority, BLAIR G.
HORNE, who being duly sworn according to law deposes and says that the facts
set forth in the within Petition for Settlement of Small Estate are true and
correct to the best of his information, knowledge and belief.
Sworn to and subscribed
before me this 1fuf day
of#.1.1r;f;4uJ , 1971.
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~--.· -.,_'· .· .,-·
. -.. -~~ , ALICE L. MILLER
·' . -Notary Public, Washington, Washington Co.
My Commission Expires March 20, ~~~'
Blair G. Horne
;
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVtNIA
ORPHANS' COURT DIVISION
IN RE: )
)
IN THE ESTATE OF )
) NO.
NELLIE E. HORNE STEWART )
)
a/k/ a NELLIE H. STEWART, )
)
Deceased. )
upon consideration
~ORDER
AND I'DW, this _c day of~' 1971,
of the foregoing Petition for Settlement of Small Estate and upon motion of
SANFORD S. FINDER, ESQ., it is ORDERED, ADJUDGED AND DECREED that the assets
hereinbefore listed being in the total amount of $1692.85 shall be and hereby
is distributed to Blair G. Horne, the son and only heir of decedent, as
of the funeral bill which was in I
~~
BY THE COURT,
,
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RCC-81 (6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127 IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
'<' (Executor or Administrator)
·In Re: Estate of NELLIE E. HORNE STEWART
__ W~A=S_::.::.H=IN~G:...::TO-=-:iN:..:..____ County - F i le No. -=-6""""~-__,?l""". '--'•1=-0:....::l=B--'-. ---'--~-
Dear Mr;o ·Home2
You are here by notified that the ---:::=::-:::-=::-::0:=: I='i~g"='inal.'===-==:-::::-==--------
approisement in the estate of NELLIE E. HORNE STEWART
has been filed in the office of the Re_g,ister of Wills of WASHINGTON : · ··
County on December lJ., , 19_./_J. , Said appraisement reflects the following
valuations:
Real Estate---------:----:-----
Persona I P roperty ____ _,l,...L.::6~5=2=•=8:£5 ___ _
T ronsfers ______________ _
Joint I y Owned --------=-----==-----=-:=-----
. T ota I --,-----------=1:.!!!.•~65~2=-=·~B~S __ _
As to such tax that is paid within three months from dote 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) fr·om 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 December 14•· 19(l /?J,f_ J /J . OJ .
Signed 0eft,_~j .~(/7 ,IJ.-?U~
Title MAD;ELlNE F-INNEY, A~P.RA~SER l .
DATE OF .DUTH: August 14; 1971
Note: This is not a bill. '·
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JOT
1300.00
lOO.VO
9.00
3.00
1J412.00T
. · ..
'.011 s .eo s
.00 s .oa s
1,652.85
1,& 52 .8 5 s
1,412.00-
240.85 s
240.85 T
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COMMONWEAL "'('H OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
~.i.
SUMMARY
S.TE\'iART, NELLIE E. HQRNE 1 1 Estate of_-"-------------------DATE OF DEATH 8 14 71
(Last Name) (First Name) (Initial)
REPORT OF INHERITANCE TAX APPRAISER
FILE No.63-71-1018
WASHINGTON I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _____________ _
Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A", "B", "C", and "E" • .
Dated: DECEMBER 14, 1971
. ~~
INHERITANCE TAX APPRAISE~
REPORT OF THE REGISTER OF WILLS
I, the undersigned duly elected Register of Wills in and for WASHING'IDN County, Pennsylvania, do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,. except as to those items where a greater. or
lesser amount is set forth in the last column to the right in Schedule "F" · eater or lesser amount represents the sum
allowed as a deduction.
DEC 1 4 1971 RUSSELL MARINO Dated:. ·· ..-""' .... -.
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$ $ $-------+--
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
1,_652. 85
1._._ 2. 00
240. 5
annuities .. , . . . . . . . . . . . . . . . . $------+--
ESTATE TAX ASSESSMENTS $ ______ ~--
FOR USE OF REGISTER ONLY
Tax on·$ 2%
Tax on$ 240. 8:;> 6%
$ ________ ~T-4T~-
$ ______________ 4-~-
Tax on$ 5% $------~-~---
'J:ax on $ 10% $ _____________ 4----
Tax on$ 15% $ ____________ 4-~-
. ·'
Exemptions·.
Total Esta.te
TOTAL TAX
•
$--------L----
(•) As evidenced by Charitable
·Exemption Certificates issued.
by the Secretary of Revenue.
Less tax previously paid $=======+===
BALANCE $-----+--
Less 5% of tax if paid within
3 months after death $========
Add interest at rate of 6% from
------to -----
AMOUNT OF ESTATE TAX ASSESSED $-----+--
Estate tax paid $ _______ ---.~ ___
BALANCE DUE S-----~---
Add interest at rate of 6% from
-----~10-------$---------1----
TOTAL TAX BALANCE $ ------+---
PAID $ --------~----
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
. .... NELLIE E •.. HORNE .. STEWART ..... ·. Deceased
Late of ......... MARIANNA ............ . . .
County of WASHINGTON
Commonwealth of Pennsylvania
REPORT AND. APPRAISAL
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COMMONWEALTH OF PENNSYLVANIA DATE .J?.:~~-~-~~-~ .... !4.?..: .... !?..?.~ ........................
DEPARTMD!T OF REVENUE RESIDENT INHERITANCE TAX WASHINGTON
COLLECTIONS COUNTY .............................................................................................
I
BUREAU 0~-COUNTY --APPRAISEMENT I!'~ ' FILE N§J.~7.!.::::!.9.!.~ ........................................................ HARRISBURG, PENNA. 17 12 7
Whereas, .............. ~~-~~: ... ~-~ ..... ~9.~ .... e.~A..~~ ...................................................... late of MARIANNA ···············································································································
in the County of .......................... :.:~J\.~.~.~-~9:~.9.~ ......................................................................... Commonwealth of Pennsylvania, having 'died on
the ..................... : .................. 14th ........................................ day of ..... A~~~~ ..................................................... 19 .... 1.~ ... seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, r; ................... MADELINE .... FINNEY .............................................................. , an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix
the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit Appraisement Description of Asset Values Made for I nheri lance
Tax Purposes
$
PERSONAL
SEE copy of pppraisement ' 1,652. 85 -
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Qz,,. ~ ?J"";::;;;[{d{'= , Pen a ..
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
NE.~:.~ ....... l:l.Q~ .... S ... T..~:1il.f!J?.. tyt
Deceased.
Late of
......................... ~:J:ANNA ........... .
Date of Death, ........ August .... l4., ... -tJ.7.L ............ : ...... .
Appraisemel!t Docket Vol., ..5
Page,c2....!..(.-:.~ ................... No .... §3.::'7.J.:~:l:9.:1:?. ..... ..
Filed in Register's Office, ......................................... 19 .......... .
Amount of tax due, $ ............................................................. : ...... .
DEPARTMENT OF REVENUE~·
Received,
Examined and Approved,
Wrote abo.ut Appra.isement',
Appeal f,.om Appraisement,
Entered and ·charged,
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PRc~c-~401ii18_6~8)~~~~iiiiiiiE~Biiii:liiliC30iiiM11M~OEN!EiiW~Eil!IAaLTi'iliH~Oii!F~PiiiiENi:i.1iiilliiNBiSLiiiliY~L V:liiiA~N~IA!iil!D!EE~IM~!m!Bil~~~~q J
• DEPARTMENT OF REVENUE No.8 11964 OFFICIAL RECEIPT • PENNSVLVAN~A INHERITANCE AND ESTATE TAX
FOURTEEN and 45/100 ~ ............ -.. -~ ....... ~ ............... -.. ... , ........... ~---~ .......................... .
RECEIVE!Bla!r Cw llo.Pl\0 "* Il\f. dollars ATTY • SANFDBD FINDER representing Pennsylvania Inheritance or
Estate Tax due from the following estate: From: ______________________________________________________________ ~----------------------------~
Address
729 \t/ASHINGTON TRUST BUILDING
WASUINGTON, PENNSYLVANIA 153
63-71 ... 1018 8 .. 14-71
File No. _______________ Dote of Death ________ --!
December 20, 1971
Dote of Payment -------------------------=---=------1
NELLIE E• HORNE
Nome of Decedent -------------------------------l
liASHINGTON
County ______________________________________ --l
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2% Tax on $ _________________ "'----------lfOOll
240.85 14.45
6%Toxon $ __________________ "'-------------------11111
1 5% T ox on $__________________ $ -------------------lll
% Tax on $ _________________ $ ___________________ ,1111
Estate Tax, Act of
May 7, 1927
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rote of
__ % from------------------
to ______________________ __
$ _________ _
14.45
$-------~--
$ _________ _
$ _________ _
..... .,1
f . :. 14.45 VOO~(P[L~.@flflf~ sEA LJ TOTAL AMOUNT PAID $==·===
NOTE: This Triplicate Receipt to be ret~ined Ia; au~it p~rposes/ wf) . /J 11 '-)'])~ ' ~~ W--) 1 ~ ' ~JU(_, fl C.V-t.J../'Y'--() :/ Received by ---'/'-7. ----'-· ---:------;::,.-----==7."'""-----,.,------------
NOTE: In accepting the transfer Inheritance tax, ?n, future estates, prior to the death of the {tile ) (Sig notuw.e) i)JJL·· ~
tenant or tenant lor years, as evidenced by this r_eceipt, it is understood that the Commonwealth sh~ll '1'\ 1 ~ 1> , :i 1 f {/. l
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of tlie___. ./"""',._..,;....v '-" ~
life tenant or tenant for years whenever it appears that such additional lox may be legally due and---'~"':A;:----o-----~:r.--:------------------
collectlble lor any reason whatsoever.