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Home My WebLink AboutOC1971-1054 - ESTATE OF CHAPMAN.'v .->&3-7/-ICJ~Y .r 1\ffibauit (@f txrrutnr (@r 1\bmiutatratnr ~ttttt of 'tuusyluttttitt l atounty of IItts4iugtou J ss: Personally before me,the undersigned authority,a ~~~.~E.y.~~:i?~.~.C?in and for said County and State,appeared J~§.~QHA~MAN who,being duly sworn according to law,deposes and says that he is the executor HlKX~of the es- tate of MARX t..!C.M.~~N deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of ....MARx.....L.,...C.Mf~N, 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 saiQ.items as of the date of the decedent's death,based upon a just appraisement of each item made by the above named Executor JUl:i»m.wtI@t~ t1EdbF?~'~'ldilbf~{~~N"'~p.,,,,,w.."'••~"'•••o."'ADD!ONAL INSTRUCTIONS My Commission Expires July 19.1976 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. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.·513 Sec.5.2,72 ·P.S.4844.2 ~UUtutory ttub 1\pprttistmtut of the goods and chattels,rights and credits which were of MARY.~.,G.lJA.f.MAN late of GJ~y~.v.j.Jl~.. Washington County,Pa.,taken and made in conformity with the abvve affidavit. DOLLARS CENTS PERSONALTY Checking Account-Mellon National Bank &Trust Co. (Claysville Office) 11-$20.American Express Travelers Cheques 78 sh American Standard,$4.75 Cum.Pfd.Stock (@ 70-7/8) 120 sh A.T.&T.,Com.Stock (@ 44-7/8) 6 sh A.T.&T.,$4.Conv.Pfd.Stock (@ 58-13/16) Div.on A.T.&T.,Pfd.Stock,11/1/71 8 Warrants for A.T.&T.,Com.Stock (@ 8-3/16) 35 sh Atlantic Richfield,Com.Stock (@ 68-5/8) 59 sh Atlantic Richfield,$2.80 Conv.Pfd.Stock (@ 53t) 107 sh American Window Glass,Com.Stock (now ASG Industries,Com.)(@ 7) 51 sh American Window Glass,5%Prior Pfd.Stock (now ASG Industries,5%Cum.Pfd.)(@ 12-3/4) 24 sh Burlington Northern,Com.Stock (@ 54-7/8) 16 sh Chrysler Corp.,Com.Stock (@ 31-3/8) 212 sh Columbia Gas,Com.Stock (@ 34-7/8) 584 sh Continental Oil,Com.Stock (@ 29-15/16) Carried Forward .........•.. 13,425 28 220 00 5,528,25 5,385 00 352 88 ....... 7 26 ~1'. 65 50 '.'. 2,401 88 '-,,'\,' 3,141 75 749 00 r. 65,25 1,31,00 , 50 J 00 ,"! 7,39150 17,483 50 58,62J 05 •.••".1,'1 ,......>.J ,./..'........1?v\J,.'" :',),~I(.t.. /:>""',',.;.; .-J' ~ '.>t" ... ;. 'Vd "0:)NQ.L~NIHSVM S111,,\jO t!31SI~3tJ ON\H\I~'1l3ssnH I rO £Wd 9\no 2L' &a~~l-t I,~~ ,. " \, Brought Forward $58,623.05 71 sh Fuqua Industries,Com.Stock (@ 20-9/16) 44 sh National Fireproofing,Com.Stock (now Fuqua Industries,Com.)(@ 20-9/16) " 17 sh Natc~Cor~.~Com.Stock . (now Fuqua Industries',Com.)'(@ 20-9/16) 318 sh Lone 'Star Gas,Com.Stock (@ 27) !80 sh National Biscuit,Com.Stock (@ 52) 38 sh Northern Natural Gas,Com.Stock (@ 47~) I 'I (@ 5-7/16)57 sh Pennsylvania Railroad,Com ..Stock 728 sh Pittsburgh Plate Glass,Com.Stock (@ 43-1/8) I 254 sh Socony Mobil,Com.Stock (@ 48-5/16) 60 sh Soutnern Pacific,Com.Stock (@ 43-5/8) 34 sh The Texas,Co.,Com.Stock (@ 31-15/16) ,I •'I24shUnion Oil of California,$2.50 Conv.Pfd.Stock(@ 46~) 1,459.94 904.75 349.56 8,586.00 4,160.00 1,805.00 309.94 31,395 ..00 l2,271.38 2,617.50 1,085.88 1,116.00 177.19 15.00 5,956.25 Div.on Union Oil of Cal.Pfd.Stock,11/10/71 100 sh UnioA Pacific,Com.Stock (@ 59-9/16) I' !I 7 sh.VU1c~n Materials,Com.Stock (@ 25-5/16) j . $400.A~T.&T.,30-year,8-3/4%Deb.,due 2000(@ 109-3/16) Bankers,Life &Casualty Co.·-PaYments a/c medical expo ii IIProtect~on Mutual Ins.Co.-PaYments a/c medical expo IINorthern Nat.Gas Co.-Proceeds sale of Rights 436.75 727.63 502.00 6.96 IiWarthen'Oil &Gas Lease-Kearny County,Kansas (W.if B.Osborn,Operator) U.S'~'Treasurer -Refund on 1971 Income Tax 87 piecesli S,ter1ing Silver F1atwar~,and Dishes Househoilld Furniturei: Diamond:Engagement RingI,• Total Personalty REAL ESTATE! 'IIIHouse'and lot,known as 135 Main Street, Clays;iville,Pa.(See Will Book 61,page 99) I 'I TOTAL ESTATE - 2 - 2,743.62 388.45 100.00 3,047.01 100.00 138,884.86 14.000.00 152,884.86 ."" .:.,;f :: .'........ i' '., .~.. '~ t'\..~ .~.J,. ~'~' ~~ .... .., ,.. '1'l~Q".~ - :' ,,~~~O ;r '~ :n ....~ :rt ~... .: ~~;:l :0':.~ ....~;0' c :CD :(') ~ :'1 ~~ ttl ;,. ttl ;:l Q", " :'"d <;n '-i i.' o.~~~ CD :z ~ .;ni-l:;' CD:0 1....0):,'1'l ," '0 cn: ..~,CD:r'o.~'•.J~. ¥4 j Q Q!nmmnututalt4 nf 'tuu!iyluauta.!!ill:lIa!i4iugtnu Q!nuuty. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid ) on the 19th.day of October A.D.I!¥'1 , ,before me, Russell Marino ,Register for ,the Probate of Wills and Granting " Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will and Testament of Nary L.Chapman late of Claysville in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and James L.Chapman the Executor in said Will and Testament named,having appeared before me and taken and subscribed the oath of office pr,escribed by law; NOW,THER~FORE,I,Russell Ivlarino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said James L.Chapman committing unto him the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring him to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety days from the date hereof,and to r,ender a just and true account of said administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this day of October 19th. in ·the year of our Lord one thousand nine hundred and seventy-one ~~'"''''''''''''''''''''''''''''''Register f ~,~~~) ~ [t-i ~ c-t"J (f)<:( i = C> ~Z -J 0- k"J ~ -J +-t -- is; a:;3:0 ts:'t ::c:..,-;L (.) :"In N 0-:.E t'-'! !~fIJ el ..0 Z -i (::J (;) :>~ _f c:::l- -i ts:'t 0:::. In u.J ,~ ...... tl~~j U..i ,,~ 1-Z 0 ~ .....,'1'en tf) "Tl a ....... ..~o;;~...l .cc cf):r: -::l :;:)(..')tf) ~ ~.:0:::W <:( a CYl oc 3:,t-o i ~ 1 ......_... +-t<= --- l I .. '. ._•••••••••1" ,,-_.'..' ..._'·'''·T-·~·".", •J LAST WILL AND TESTAMENT I,MARY L.CHAPMAN,of the Borough of Claysville,.Washington County,Pennsylvania,declare this to be my Last Will,and revoke any Will previously made by me. FIRST:I direct that all my just debts and f~eral ex- pensesshall be paid from the assets of my estate as soon as ~.' II '1 my son,James L.Chapman...'..". THIRD:I devise my farm situate in Kearny County,Kansas, near Lakin,containing three hundred fifteen (315)acres,more or less,which I received under the Will .of my father,Marion A. Liggett,decea.sed~to my son,James L.Chapman. FOURTH:I devise my house and lot situate at 135 Main Street,Claysville,Pennsylvania,which I received under the Will of my father,Marion A.Liggett,deceased,to my son,James L. Chapman,and Vida S.Chapman,his wife,as tenants by the en- tireties. .·1 FIFTH:'I bequeath the sum of Five Hundred Dollars '($50o.oo~ to Vida S.Chapman,wife of my son,James L.Chapman. SIXTH:I.bequeath the sum of Two Thousand Dollars {$2,OOO.OO),and also my diamond engagement 'ring and all my . sterling silver and dishes to my granddaughter,Sandra Sue Flake. the survivor of.them,during their'lifetime,for'the use and and ,Vida S.Chapman,his wife,to be held IN TRUST by them,or of every nature.and,wherever situate, SEVENTH:I devise and bequeath the residue of my estate,I to my son,James L.'Chapmun J \ III' benefit of themselves,or the survivor,and their dBughtor, Sandra Sue'rlake,and the'income received therefrom dividod amonl~ the said ,James L.Chapman,Vida S.Chapman,and Sandra Suo 1"11.11\0 : I in such shares or amounts as the said James L.Chapman and Vic1u S.' Chapman'may deem proper.Upon the death of the survivor of snlcl \ •., , ~;~~.~~;:7_~-~':';:-""7~·~~_~--;:-.i;.~~_~:.;;;;;;::.",~;..~..;.i.'''_''''<'''''''''':'~;.,,",,=_:.=:;'f"~~~~;.;:..,~::...~~.::=.......=s2_.__~~~=::-~~~?, ....*.""••,."'-.-..-~._.0••_.'••,~.. • - I I~:~~I ;~.::"-:".'~\'•...•;.1 i:1.j James L.Chapman and Vida S.Chapman,I give and bequeath the .principal of the Trust to my grandd~~ghter,Sandra Sue Flake, her heirs and assigns.I direct that said James L.'Chapman and VidaS.Chapman shall not be required to enter security,and shall not be insurers of the Trust Fun~,and shall be liable to .the persons interested only for such care,prudence and dilfgence in the execution of the Trust as other trustees are required to exercise. EIGHTH:I appoint my son,James L.Chapman,Executor of this my Last Will,and I direc t that he·..shall not be requlred to give bond for the faithful performance of his duties in any jurisdiction. IN.WITNESS WHEREOF,I have set my hand and seal to this my Last Will and Testament this ~day of September,1963. Signed,sealed,published and dec'lared by'MARY L.CHAPMAN, the above named Testatrix,as and for her Last Will and Testament, in the presence of us,.who,at her request,in her presence,and in the presence of each other,all being present at the same time, have hereunto subscribed our names as witnesses. \ - 2 ~ .., c I.~ STATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The within named Accountant being duly sworn according to law,depose S and sa~that the above account as stated is true and correct as h~verily believe. Sworn and subscribed before me this../3w.... If .','.D,October 72~",to~;·..····'·f(~.~···19..__~. .'..:'~~~.'"''I .~4.!!-!_J../"..,'.(7i...~~~~...~.=.~.=(f .. •"0 •'.•...VIC,TORIA DALLY r·L_--et;~_-----------_._-- Notary.Publlc"Washlnllton,WashIngton Co. 1,'"'._..,'My c~m';'i;9ion Ex,lres July 19,1976"'"\;.-..'. Warshington County,ss:I do certify that I have given leg'al notice 'to all persons concerned of the filing of the within account in the manner prescribed by Sta'tute and Rule of Court,as evidenced by proofs thereof filed to No....!R...~.~.7..~..~.7~.~ Witness my hand and official 'seal thiS..__~._1.._...._...... RUSSE Ll.M.:;fU N0 REGISTER OF WILLS WASHINGTON CO..PA. 02Pi13 .r ..:t; day of ,/)!.t?.!':.~.k:~_19..7..&- ···········~.·.-----R~®·..·..l.::."...';'2tJ:~ ~--~'~j' o 0 ~.... o ~§"'"i i~~;~~ ~·3 ge "i ~~~.t ~~~"~!f i ~i~~~~'~ =Ni g '0 "'i ...=""0~.-<.... ?"!2 OCT /6 ~.,', k ~~,Ql i «Jco(I) ellQl ~Z~,., ~,P:.~i0 ~Ii:1 Eo<~:..;:t ~l.f)Eo<U 0 ~rn .-I Ii:1 .: I :~H,i.-I,"':'>,111~i('1"'):~!\Oi!jl ojz· ~: :1,., I ........ J., :1., r-------~.. ~o t.l::Z2l~P JadoJd au!wJa,.J..ap 0l palSanbaJ AII ~saJ S!lJn0Jayl. \ •~••"oj" i,!~>"-.'>"./.'~ 'I J"~---l' t.-, ,. The First &Final Account of James L.Chapman,Executor of the Estate of MARY L.CHAPMAN,deceased,late of Claysville, ~ :Washington County,Pennsylvania. .-----------------~------------------_._-~------~------------------.. I".\.. \. .. ,.'\ TOTAL ASSETS OF ESTATE ......••••...$161,336.55 ~- TOTAL CREDITS CLAIMED . BALANCE DUE ESTATE 43,302.54 e 118,034.01 ,'. The Accountant is charged as follows: 'I',!! iiil:~:,',I,i illl :\1,'II "i!1 ;;i!----------------------------------------------------------------- Oil of California -Dividends ,To amount of Inventory &Appraisement 'Id :;':Bell Telephone Co.-Refund on deposit "';'1H1,'1 11:1 Vance &Westfall Insurance Agency -Refund on premium ii,': II"~j Proceeds sale of 7 Warrants for Fuqua Industries I!I! :II!Connnon Stock,il Ii:, tl Proceeds sale of fractional share +2 sh Stock,~II ":i[Dividend on Fuqua Industries Connnon Stock ;:11 American Standard,Pfd.-Dividends,,' ii,A.T.&T.,Connnon -Dividends , :,0,1 1:'11 A.T.&T.,Pfd.-Dividends II Atlantic-Richfield,Common -Dividends I11 I !i Atlantic-Richfield,Pfd.-Dividends ',Ii : Ii Burlington Northern -Dividends ;,,! i! I I:,:!,Chrysler Corp.-Dividends 1\, ','I . '"!}Columbia Gas -Dividends ~IIi I,' ':1 Continental Oil -DividendsIII; Lone Star Gas -Dividends National Biscuit -Dividends Northern Natural Gas -Dividends Pittsburgh Plate Glass -Dividends Mobil Oil -Dividends Southern Pacific -Dividends ,'I Texas Company -Dividends!'II,'I, :111 I'1I U •,i'l nl.on ii'! "III !"I Union Pacific -Dividends III I~:I :,:1 Vulcan Materials -Dividends :11:1,'1 :i!1 A.T.&T.,8-3/4%Debenture -Interest 11,1 I!,'I ;'1 Warthen Oil &Gas Lease -Royalties li;i 'I",;i!Clarence Kash -1972 rent on Kansas real estate $152,884.86 3.31 ' 4.00 22.44 57.43 370.50 318.00 18.00 ' 70.00 165.20 36.00 8.80 , 382.66 876.00 432.48 132.00 98.80 1,041.04 660.40 91.20 41.82 45.00 200.00 5.39 35.00 1,705.36 318.00 Carried Forward 160,023.69 - 2 - Brought Forward $160,023.69 161,336.55 .'I Gain on sale of 51 sh ASG Industries,5%Pfd. (formerly American Window Glass,5%Pfd.) Gain on sale of 132 sh +3 sh Stock Div., Fuqua Industries,Com.(formerly 71 sh Fuqua Industries 44 sh National Fireproofing 17 sh Natco Corp.) Total assets . - 3 - ..." 477.68 321.32 209.34 276.81 27.71 .'.... The Accountant claims credits out of the assets of said Estate,as follows: ---------------------------------------------------------------- Russell Marino,Register Wash.County Reports Observer Pub.Co. Russell Marino,Reg. Marie Guidos Victoria L.Dally Russell Marino,Reg. Russell Marino,Reg. Letters Testamentary Executor's Notice Executor's Notice Short Certificates Notary Fees Notary Fees Filing Inventory Cert.copy of Will $21.50 14.00 14.00 11.00 3.00 5.00 15.00 5.50 10/27/71 11/3/71 11/3/71 11/3/71 11/3/71 11/23/71 12/15/71 12/16/71 12/16/71 i Ferrell Funeral Home 11'1:I:!II'r i,~Henry S.Burrows,Treas. Ilil iii,Henry S.Burrows,Treas. :,~ II "I Jlf Richard M.Fanning 'I'"~Ii :1 Taylorstown Nat.Gas Co. " I Bell Telephone Co. Ii::Washington Hospital I,' 'I:Russell Marino,Agent "I1,,', Alexander McIlvaine Funeral Expenses 2,081.46 1971 Real Estate Taxes on Kansas property 103.91 1971 Per.Prop.Tax on o &G Production (Kan.)49.33 Lawn care 24.00 Gas bill for Oct.7.76 Telephone bill 29.67 Bal.on account 0.92 a/c Trans.Inh.Tax 6,840.00 Reimbursement for money advanced for decedent prior to her death 300.00 2/4/72 Dr.W.A.Prideaux 2/10/72 Dr.R.J.Fagioletti 2/10/72 Malcolm Morgan,Co.Treas. 3/17/72 Int.Rev.Service 3/17/72 Pa.Dept.of Revenue 3/17/72 Pa.Dept.of Revenue 3/22/72 Ins.Co.of N.America Doctor bill 10.00 Doctor bill 49.00 1972 County Tax 46.51 1971 Inc.Tax(Fid.Return)117.52 Bal.197l Pa.Inc.Tax 21.59 1971 Pa.Inc.Tax(Fid.Return)34.89 Premo on Indemnifying Bond for lost Stock Cert.3.00 4/13/72 VFW-Post 764 Ambulance service 20.00 Carried Forward - 4 - 9,828.56 Louis Emeterio Olga Woodward,Recorder Taylorstown Nat.Gas Co. '\ 5/22/72 5/22/72 7/10/72 :::i i;:1 Ma lco1m Morgan,Co.Treas . :;:1 Ii ;li S.White's Sons I,:~ "}i Iii Int.Rev.Service li:iII il:ll,i,1 \1 1 1,1 11:1 I1I1 1:11 1:1L! Brought Forward . 1972 Per.Prop.Tax Marker Federal Estate Tax 1/2 Realty Trans.Tax Bal.pro-rata share 1972 Taxes Gas bills-Nov.1971 thru June 1972 II ... $9,828.56 103.64 199.50 ' 15,882.91 105.00 ' 78.66 , 246.28 Loss on sale of 16 sh Chrysler Corp,Com. Loss on sale of 57 sh Pat R.R.,Com. Loss on sale of 34 sh Texas Co.,Com. Loss on sale of 7 sh Vulcan Materials,Com. James L.Chapman Executor's Commission Alexander McIlvaine Attorney's Fee Russell Marino,Reg.Filing Account Total Credits . - 5 - 44.65 98.60 44.73 1.01 8,150.00 8,500.00 ' 19.00 43,302.54 .'.' Observer -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May,1929. P.L.1784,as amended. Commonwealth of Pennsylvania,County of Washington,SS:;.. ,Personally appeared before me,a NotarYjI Public in and for said County and State,Richar.d S.•....Cowan................•who being duly s>worn ~ccording to law,deposes and says that he is the ..Vic.e;Pr.e.si.dent of the Obs>erver Publishing Company,a I"ennsylvania corporation,and its agent in this behalf;that the S>aid Company is'the'owner and publisher of the Observer-Reporter,succ'essor to The Washington Observer,establishedSept~mber 18,1871,and The Washington Reporter.'established August 15, 1808,a dally newspaper of·,general.circulation,printed and published and having its place of 'busines's at Washington,Washington County,Pennsyl- vania,where it'or'its predecessors have bee):!established and published~tinuousIyfor inorethan six months·prior to the publication of the notice hereto attached;that the pr.inted notice or advertisement hereto attached, is a copy of an official advertisement,official notice;legal notice or legal advertisement,exactly as printed or publisl)ed iii th~Obslerver-Reporter in its regular editions on the following date or dates;. ...............Q~JQb.e.r.2.9..,.N.Q.Y.e.mbe.r.5 an.d 12.,.19.11.:.. tilll:t neither thoe affiant nOT the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the allega- ~~"';.:;<h"aff'davit M to th':i~"PI'if!1:::1J~ EXtwfOR'8NOTICE ESTATE OF MARY L.CHAPMANdeceasedlAteoCCJIlJlSvllle.Wash-Ington County,PennSylvaniaLettersTestamen~AlY upon theahoveestatehll\'ir.u:~~gunted tot:le undersigned.9lI~t'l;ons hilv- Inr claims against th~estilte ~re reoquestedtomake·known the same' to the undersigned ,dr his attorneyIandallpersonsindebtedtnthede- cedent are reque~,led I<l make pllY' ment to the ,under~igl1ed withoutdelay. .Tames I..~hapmal1917S.Trei'lton Ave..)Pittsbureh.Pa.13221 •I ExecutOr ;I Alexander McIlvaine'J Attorneyt33W.Beau StreetWashington.Pa.15301·l--c':.......-,._7~P'rl-~J Sworn to and ,SUbS~j)efOre me th~.3I·day or...No.velllber..1971m~~E:::~~~ WASHINGTorl,WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6.1972 .' Washington County Reports Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929, P.L.1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON}SS STATE OF PENNSYLVANIA,• Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS, the offici!\ll legal periodical for said Washington County,published weekly hav,ing its place of business at Washington,Washington County,Pennsylvania, and is acting as its agent in this behalf;that the said WASHINGTON COUNTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: ..........?~.!.?~.~.~:.?~..L}.?.?..~. ..........~Q.y..~.m!?~..;4.}.!.J .!.2?.}. .Estate Notices The Register of Widls has granted letters,testamentary or of administration, in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. ••• •••••••• • ••••• CHAPMAN.MARY L.,Dec'd. Lalte of CI a y s v I I I e,WashingtonCounty.Penna.:..Executor:James L.Chapman.917 S.Trenton Ave..Pittsburgh.,Pa.lolllliAttorney:Alexander McIlvaine,33W.Beau'Street..Washington,'PllI.15301 .., ~o''J'".. .......JJ.t.h.da~Of ~;9.:;1mQ~.f.,,19 ?.!.. ~-f-k~1;;;;r;;-- JOSEPHINE T.SCIAMANNA Notary Public.Washington.Washington Co. My Co'mmission Expires July 1.1974 that the affiant or the corporadon in behalf of whioh he is acting is not interested in the suhject matter of said notice or adven:ising and that all of the ~~''::~of tim ""."rit "to th~"md ''''''''''@'~ Swom to >nd oubocrlbro w,,:·c:::0!td_m __~~~ ~-.fir,.)~'....,.';;.;.r ~_~./. ~1t t4~Q!nurt nf Q!nmmnn Jl~us nf lIus4ingtnu Q!nunty (@rp4unn'Q!nurt 1.fIinisinn In the matter of the Audit of Account in J J~ Estate Of-c-'__.=..:MA=R.=..:y=--..:L=..:....--=C.=..:HA=P~MA=N::.:...z..,~.I Deceased TO THE AUDITING JUDGE: 63-71-1054No._ Enter__.....m...Y1-appearance for_-'--=A=.;c=c~o~u~n=t:.:::a~nc:.:t~_ 20th day of_~D~e~c~e~m~b~e~r~,'19_7_2_ N.B.-Counsel shall,by separllite paper,present a concise statement of each claim,w.ith supporting calculation of any interest claimed.Objections to an account as filed,shall be conc·isely stated in a separate paper. Council suggesting proper 'distribution shall file a separate concIse state- ment in that regard. No.63-71-1054 In re Audit of Account in EstaJte of MARY L.CHAPMAN, Deceased AUDIT 'rtt~rip~fnr i\pp~araUt~ FOR ACCOUNTANT ALEXANDER McILVAINE Attorney ~2 Testate Form PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY -----1 J MARY L.CHAPMANEstateof -. ......~_~:"--.-..:'-. .....£1 --.'r:r/~".......-..-~~;._.._-_.._ _-_.__.._. .Deceased 63-71-1054 .No '."'-':"::' Fiduciary J.~W:~~~.~Gh~pm~A.1 :. Executor.. Date of .'l'.Date ofDe~edent's death..'..:....•....9gJ;.~..J.~.1 ..J9.l1 'Grant of Letters 9.~.~.e ~9.LJ.9..7J : : . •"d .. This is the -·..¥.J~~.~~..¥.~~~1.account filed in this estate If there have bee~'former'a'ccounts'filed in this estate,Iist file number or number and term :':.':".:':~':".:: . ...l"".." '__:. Election to take Under or Against will.(cross out one) Date Election Place of; Filed Record·,. . .Decedent's husband predeceased herNameofsurvIVingspouse . List issue,where material: James L.Chapman -son Did decedent marry after execution of will?(indicate)Dl(No.Any children born after execution of will?(indicate) XX*;.No.If answer yes,name them . Legatees Relationship Interest Fiduciary,if deceased or not sui juris Sandra Sue Flake .\ James L.Chapman gramd-daughter son Bequest -$2000. Diamond ring -$100. Silver &dishes·~$100 . 'Bequest -$2000. Household furnishings - ~into in House &lot Warthen 0 &G Lease Kansas real estate $3047.01 $6884.92" $2743.62 Vida S.Chapman James L.Chapman ) Vida S.Chapman ) daughter-in-law Trustees Bequest -$500.r. ~into in house &~ot -$6884.91 Residue List,if exceptions.to above: None If partial'intestacy,give facts: None Adeemed:Revoked:Lapsed:Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No..9 parag!51P_~c;:Section 6:Subdivision c)received wr.itten notice of the filing of the account and of call of audit?Yes.msdS. If any exception give cause:. File copy of Notice Nov 7 1972 I and date of mailing ~~. Is estate subject to the filing of a Federal Estate Tax Return?ye.s '='.•.C.o.py..fil.e.d b~t'~:w:i.th ..'' Actual payment made on Pennsylvania Transfer.'Inheritance Tax.Amount $z.?Q9...•....(.J:-.~~.~...:?~...~?:-.~.~~.~~.~L If the Will makes any portion of estate subject-to a life-estate,give name·and birthClatEr,of (ife tenant . James L.Chapman -9/8/15 and Vida S.Chapman -5/28/20 ..................................................._.__----·_--····..·..·····.._..-·····_··..--·l~..·--·-···_·..····_··. Give Names and addresses of all unpaid creditors who are legally entitled to notice.;·tog,ether with the amounts of such claims;stat~whether they are admitted to be correct;and whether the cla"i~,i~denied. None .'\. Give reference to "such parts of the will as ;~qui';e "interpretation by the C~urt;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the prepar;,ation of the adjudication: (1)The Court is respectfully requested to tax bo;th the 1ife'-estates and.'~he 'remainder,so t,hat at the death of the survivor C?f James.L.·,C1?apm~m and. Vida S.Chapman the proceeds of .the Trust will pass to the remainaerman tax-free....- (2)AII'par'ties'in interest in the Trust created under'paragraph SEVENTH of decedent I s Will have agreed that certain asse'ts,in ki:nd,be awar~ed to the Trustees.'(See Family Agreement attached) ~".r ~:~,lJ.,'l ~!'/.,f •••..q. Balance for distribution per account, Itemize any additional debits not shown by account: A.T.&T-Deb.-Int.11/5/72 $17.50Co1.Gas -Div 11/15/72 96.46 Burlington North.-Div 11/10/72 9.00UnionOil-Div 11/10/72 .15.00 A.T.&T.,Pfd.-Div 11/1/72 6.00 Warthen 0 &G Lease-Royalties 199.78 Total additional debits (Add) Itemize any additional credits not shown by account: 5 Short Certs.$5.00 Delinq.Per.Pr.op.<Tax 4.44 ~otarY'fee 1.00 $.~1.~.1.Q~!±~.9J . $343.74.....-..-_-. Total additional credits (Subtract) Balance for distribuHon ' 10.44$ ;..,~. $..~~.?~}~.?.:.~.~. If balance for distribution is not in cash,list each item he/din'kind,giving appraised Value (or distribution Value); I '. -apI>at 1,1 "1.1 1.1 1-'1.1 .•1.1 ,1.1 II''.1' I"I" .....\.~ ,.. I' II $5,528.25 -'5,385.00 ,352.88 3,141.75 ..7,393.50 17,483.50 8,586.00 31,395.00 _ I~1.12 ,271.38 It .436.75 91,974.01 " IJ .;.,.,. " 78 sh American Standard,$4.75 Cum Pfd Stock 120 sh A.T~&T.,Com.Stock 6 shA.T.&.T.,$4..~f~..Stock 59 sh Atlantic'Richfie1d,$2.80 Pfd Stock 212 sh Co1umbi~qas;Cern Stock 584 sh Continental Oil,Com'Stock I ·318 sh Lone Star Gas,Com 'Stock 728 sn~P.itts~urgh Plate Glass,Com Stock ,}.".....,.-254 sh SoconyMobiL,..Com Stock $400.A.T.&T.,30-yr,8-3/4%Deb.,due 2000 Warthen Oil ~'Gas Lease-Kearny County,Kansas ""2,743.62 I,., ·1\~ ,0 I," IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION Estate of MARY L.CHAPMAN, Deceased ) ) ) ) ) No.63-71-1054 FAMILY SETTLEMENT AND REQUEST FOR DISTRIBUTION IN KIND AND NOW,December 13,1972,we,the undersigned,being all the parties in interest in the Trust created under the Will I of MARY L.CHAPMAN,hereby request the Court to award to James L. I:Chapman and Vida S. Chapman,Trustees U/W of Mary L.Chapman, h the following assets,in kind:'IIl App.Value I.1 I I I 78 sh American Standard,$4.75 Cum Pfd Stock 120 sh A.T.&T.,Com Stock 6 sh A.T.&T.,$4.Pfd Stock 59 sh Atlantic Richfield,$2.80 Pfd Stock 212 sh Columbia Gas,Com Stock 584 sh Continental Oil,Com Stock 318 sh Lone Star Gas,Com Stock 728 sh Pittsburgh Plate Glass,Com Stock 254 sh Socony Mobil,Com Stock $400.A.T.&T.,30-yr,8-3/4%Deb., due 2000 $5,528.25 5,385.00 352.88 3,141.75 7,393.50 17,483.50 8,586.00 31,395.00 12,271.38 436.75 91,974.01 Vida S.Chapman)/ ~~~cJ-- Sandra Sue Flake I I I J --------- ,~-1- -.../~--------------------_. ., "'I~.".' IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION .'.,. Estate of MARY L.CHAPMAN, Deceased ) ) ) No.63-71-1054 DISTRIBUTION RECEIPT AND NOW,September 30 ,1972,I,JAMES L.CHAPMAN,hereby acknowledge to have received of James L.Chapman,Executor of the Estate of MARY L.CHAPMAN,deceased,the sum of TWO THOUSAND DOLLARS ($2,000.00),and all household furnishings,appraised at $3,047.01,being in full of all bequests to me under paragraph SECOND of the Will of said Mary L.Chapman. ..... ·---.------.---r.--~~--•-p.-:-(_:~..#1... '..: !.,. •''I'I • j IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION Estate of ) MARY L.CHAPMAN, Deceased )No.63-71-1054 ) DISTRIBUTION RECEIPT i:~J t J I -L t4.c L C/t-.V+z-"-~;;_,/ Vida S.Chapman/ AND NOW,September 30 ,1972,I,VIDA S.CHAPMAN,hereby acknowledge to have receI;ed of James L.Chapman,Executor of the Estate of MARY L.CHAPMAN,deceased,the sum of FIVE HUNDRED I DOLLARS ($500.00),being in full of bequest to me under paragraph I FIFTH of the Will of said Mary L.Chapman. j 40':pp UP4.....I •I ...f •• No.63-71-1054 ) ) )Deceased MARY L.CHAPMAN, Estate of i 1 I 1 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA !ORPHANS'COURT DIVISION II II I: ......------..----- DISTRIBUTION RECEIPT i AND NOW,September ~,1972,we,JAMES L.CHAPMAN and II VIDA S.CHAPMAN,his wife,hereby acknowledge to have received of I !James L.Chapman,Executor of the Estate of MARY L.CHAPMAN,de- ,ceased,the sum of Thirteen Thousand Seven Hundred Sixty-Nine & i 83/100 Dollars ($13,769.83),being in full of the net proceeds ofisaleofhouseandlotsituateat135MainStreet,Claysville, r Pennsylvania,which real estate was specifically devised to us :under paragraph FOURTH of the Will of said Mary L.Chapman. I I II II, , I Ii -,II .. 1 ....."'., I I IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION Estate of MARY L.CHAPMAN, Deceased ) ) ) No.63-71-1054 Sandra Sue Flake DISTRIBUTION RECEIPT 1 !AND NOW,September~,1972,I,SANDRA SUE FLAKE,hereby , :1 acknowledge to have received of James L.Chapman,Executor of the ,Estate of MARY L.CHAPMAN,deceased,the sum of TWO THOUSAND 1!DOLLARS ($2,000.00),diamond engagement ring,appraised at $100.00~ I and sterling silver and dishes,appraised at $100.00;being in I I full of all bequests to me under paragraph SIXTH of the Will of I i said Mary L.Chapman.I I 1 'I 11 II 'I., :1 Ii__________~L~~~__~_ I • '. If ;"I }?,/>07'..)Date Iv'..,f!..-(...e,nvU--&v/oJ,L~ / Amount $__4-.!.-..:-,_L/-..:.--L..:...cJ -.,- 3151Receipt I \r,~ I/I !\I I, I~tlI .~I; I} I' II~------------------------------------------------------------------J ! i,' ea..J4a.. .~. 'If F 'I E "I'd b P 't'"I f R d No claimamiyxemptloncalmeyetiIon,give pace 0 ecor :. .-. If F "I E t"I'd d't'I'h'db'f CI'No claimamiyxempIonIScalmeatauI ,give name,re atlons Ip an aSls or aim:. List any advancement or distribution on account that has been made,and nature and amount of same: SANDRA SUE FLAKE -Bequest $2000; :VLDA S.CHAPMAN ~.,_:Beques t .$500 JAMES L.CHAPMAN-Bequest $2000; diamond ring;silver &dishes -total::: total::: household furniture tota1= $2,200.00 500.00 5,047.01 JAMES L.CHAPMAN -son Warthen Oil &Gas Lease- Kearny County,Kansas .(app.at $2,743.62) .,... JAMES L.CHAPMAN and VIDA S.CHAPMAN Trustees Residue,including assets,in kind,per attached lIFami1y Settlement and Request for Distribution in Kindtl ; subject to payment of 1972 Fiduciary Federal Income Tax and Pennsylvania Income Tax COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ~~?~_doth depose and say that the facts set forth in the foregoing petition are true to the best of _h~.~knowledge and belief. ,I .1:; .............".:.~~~.~.~.~to and subscribed before~•.,A- me t~~s..~~/.1.~.?&jy -'of..P.~~.~~J?~;..·..:19..7..?.-::;~, Signature 'of Officer ~?11.:!!.~. )~ Title of Officer ~J~9.~.?;-y ~~!?~.J.~. And your petitioner will ever pray,etc. !%!1--t---~~-------------------------__ .. Office expires ~:f"('1..7..~............................./J-)1-CNO~~~/-;,...~~~'d -j--. Deceased Estate of MARY L.CHAPMAN ......................................-----~--_'_ _.. ......-.---_._-_..--..-_..-..--__-_--_- -.'73 JAN 8 P~l I 36 .......-~ "'':\ ,''..' ~...~'. I ;'~'F'- !f-I!~'-f <.,'"t';;' f~-'r 63-71-1054No.,- iI !J ~ •o:'~'\,1]. 4 _I'.. FiduCiary .":!~~~~!:-.=~~.:e~~~_~... _ Executor RUSSE LL t,L\R!N(I REGISTER OF WILLS WASHINGTON CO.•PA. -, 7~\~ -to •",.I'>~ < ',' i' Ie" -'-)~) PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:pa rag raph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. .4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an att~st copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account.' 8.Certificate of liens in case any of the funds for distributiqn are from judicial sale of real estate.~ 9.Signed and itemized elections if any distribution in kind.' 10.Copy of Federal Estate Tax return if es- tate is subject;thereto. ,;i i,.,.-:....ALEXANDER McILVAINEr''.I • ~2 Attorney ,, "-,' .i.'.-, ATTORNEY AT LAW 33 WEST BEAU STREET WAS HINGTON,PENNSYLVANIA .X~~JlX 225-9935 November 7,1972 TO:Mrs.Sandra Sue Flake 1147 Biak Avenue Norfolk,Virginia 23500 NOTICE OF AUDIT ESTATE OF MARY L.CHAPMAN,DECEASED Please be advised that James L.Chapman,Executor of the Estate of MARY L.CHAPMAN,deceased,has filed his First &Final Account to No.63-71-1054 in the Orphans' Court Division,Court of Common Pleas of Washington County, Pennsylvania,and the same will be called for audit on Wednesday,December 20,1972,at 10:00 o'clock A.M.,in the Orphans'Court Room,Court House,Washington,Pennsylvania, at which time you may appear and be heard,if you so de~.ire. I""· /I f)n .",'\.../",P ".,;.~~n'7 "/f/;~.(Vu-Il....A 1-~t t:::..--f...v~ .--Attorney for Estate of .MARY L.CHAPMAN,deceased ,,0''\_ II .. , \~I ,.. ,..... .A.r..EXANDER MCILv.AINE ATTORNEY AT LAW 33 WEST BEAU STREET WASHINGTON,PENNSYLVAN IA X~X*l¢}QX 225-9935 November 7,1972 TO:Mrs.Vida S.Chapman 917 South Trenton Avenue Pittsburgh,Pa.15221 NOTICE OF AUDIT ESTATE OF MARY L.CHAPMAN,DECEASED Please be advised that·James L.Chapman,Executor of the Estate of MARY L.CHAPMAN,deceased,has filed his First &Final Account to No.63-71-1054 in the Orphans' Court Division,Court of Common Pleas of Washington County, Pennsylvania,and the same will be called for audit on Wednesday,December 20,1972,at 10:00 o'clock A.M.,in the .Orphans ,CourtRoom,Court House,Washington,Pennsylvania, at which time you may appear and be heard,if you so desire. /1'"\ {II,;.'--::n....(I.\ -:--_\....;./._~_..:_~'\L.:::....:.c..;,;;:...::;;-...-~.:.:.'~~..;;;;'-A.~.._f:.:.:.r/_.//-:..l,_~~~~""''':':_~''-.::.::(;:..:.::/~::.::!..;;;;;/_;;;;::;.._-<..__ Attorney for Estate of MARY L.CHAPMAN,deceased • i ./ I J IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS I COURT DNISION • IN RE: Estate of MARY L.CHAPMAN, Deceased. ( ) ( ) ( ) (--:;I c( z c(~>-I/)zZIII0. HEARING ON AUDIT .~".,,., ~...'~ ""I ~BEFORE:l-e>z J:l/l c( ~ ..=~APPEARANCES: l-I/)o .Jc( o C :l., ~IME:,.. til The Honorable ALEXANDER R.CURRAN,J., Specially Presiding. ALEXANDER McILVAINE,Esquire,of Washington, Pa.,representing the Accountant. Wednesday,December 20,1972,at 10:00 o'clock A.M.,EST lIilI:IIIl-ll:o~HE COURT:.- l-ll: :loo .J« oiLu.o The next estate is that of Mary L.Chapman.James L.Chapman is the Executor.Alexander McIlvaine,the attorney. All the papers have been filed.The balance for distri bution is $118,000.Is there anybody in Court interested in the estate of M ry L.Chapman? (NO RESPONSE) rr'HE COURT:We will consider the audit closed.All the papers havp. been filed in this cas e. ( AUDIT CLOSED) ( I •I hereby certify that the proceedings and evidence are -Q~~.1.:~I Ofc~al ~~ographer • The foregoing record of the proceedings upon the hearing of ~U ll:I-UIo oJ 0( i contained fUlly and accurately in the notes taken by me on the hearing of0(•>oJ~the above cause 1 and that this copy is a correct transcript of the same. z 1II 0. ioI-~Z :J: UI0(~ ~the above cause is hereby approved and directed to be filed. =>.., J: :::By the Court1III iiill:1II l-I ll:00.1IIll: l-ll:=> I 0U oJ0( U-,'.ii: \I. 0 , i e 1------"*"--------------------------------t---- j ~u t4e <truurt uf <trummnu 'lens uf IIns4iugtnu <truuutY1 'euu.aylnnuin1 ®rp4nu.a 1 <truurt mini.atnu ESTATE OF Mary L.Chapman, deceased.. No.__.=...63L.---L7~1...-=1=0:.....!5~4 _ First and FinalInthematterofthe'_ Account of James L.Chapman Executor ADJUDICATION AND DECREE And now January £--,19-ll,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereolof the balance for distribution in the,hands of the Accountant is determined to be $llB ,36 7.31 and the account is accordingly confi rmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of disribuNon hereto attached and made part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. ~~Jjr SCHEDULE OF DISTRIBUTION Balance per account _ Additional debit asked at audit Additional credit asked at audit Balance,_ Deduct Clerk's Costs &Receipts,_ Attorney ..=.A"-"l=e=x=a=n=d=e=r'-----"'M=c=I=l"-"v~a"_"i""n=e::.....__ Ruesell Marino,Agent,transfer inheritance tax,$809.44 Interest from 7-13-72 to 1-15-73 24.56 83 ,00 $118,034..01 James L.Chapman,son,legacy,credit to be taken for funds advanced,2000.00 $115,448.31 James L.Chapman,son,specific bequest in kind of household goods and furnishings and jewelry (except as reserved in Paragraph sixth of the will},held in kind and distributed as such at the appraised value,credit to be taken by the accountant for items advanced, James L.Chapman and Vida S.Chapman,his wife, specific devise of parcel of real estate situat in Claysville,Penn'a,net cash as converted, credit to be taken by the accountant for funds advanced prior to distribution by the Court, Vida S.Chapman,legacy,credit to be taken by the accountant for funds advanced, $112,401.30 $98,631.47 ·' 0 ~ -+.» m n :J Z III n 9 0- '0 r:r YOO+' C •I r ~ ...:J ltl~ ltl ..,. ....0 0 3 M -+.-+.0..,. ,a ..,. ltl., S' 0 N = -+...,. :::Jltl ~=ty, ,'r t at~M~ ~ ~~ r r , ,- ,r r r 1. 1 "I...~/'~".-.. . I ! Sandra Sue Flake,granddaughter,legacy of $2000.00;diamond engagement ring and sterling silver and dishes;held in kind and distributed as such at the appraised value,credit to be taken by the accountant for funds and items ad- 2200.0Cvancedpriortodistribution'by the Court, $95,931.47 James L.Chapman,son,Warthen Oil &Gas lease 'under Kearny COWlty,Kansas Real Estate,(W.B. I Osborn,operator)described as personalty in the 27u.l.6(I inventory,valued at I $93,187.85 James L.Chapman and'Vida S.Chapman,Testament- ary Trustees,residue,in trust for James L. Chapman;Vida S.Chapman;and Sandra Sue Flake; as set forth in paragraph Seventh o~the will, I including the following assets,held in kind andIdistributedassuchatthevalueasshown;saici distribution sUbject to payment of 1972 Fiduciar T Federal Income Tax and Pennsylvania Income Tax; per'Family Settlement and election to take in kind as filed: ", 78 $h American Standard,.,4.75 Cum Pfd Stock••'•••••~••'••$5,528.25 120 sh A.T.&T.,Com Stock~•••••,••••5,385.00 6 sh A.T.&T.,$4.lfd Stock •••••••352.88 59 $h Atlantic Richfield,•••••••••••2.80 Ptd Stock••••••••••••••••••3,141.75 212 sh Columbia Gas,Com Stock•••••••7,393.50 58k sh Continental Oil,Com Stock•••17,483.5031shLoneStarGas,Com Stock••••••8,586.00 728 sh Pittsburgh Plate Glass, Cbm Stock•••••••••••••••••••••••31,395.00254shSoconyMobil,Com Stock••••••12,271.38 I $400.A.T.&T.,30 yr,,9'3187.8 1 I 8-3/4%Deb.,,due 2000 •••••••••••~••436.75 I No'balance I ..'\ ..,-.r .,. .' I I , ,.,~..r-.,'.-, ::'fl'r ( r . .',,.,•')"r II' ,. ..r (" Z !:> )" r " -- ,r'-.i ~ . r {' c'r ( co "',' .', I,: ~nO.C·,:J '-+,. 0'-t\ .. ," ). r ,I,.~ ", .: .'.- ... ( 'J'\ '~f'J C o-t\ •r, r ," ~"O'e;ti ,'0,' -t\ r • ..• 1" ....~..... I' ,', r...1 .........,.1,J, ,~ .....II":...•.,...... r r '. " 'I ·' -,)1--•.. ...\(l ,,,..~, -~..S r~_"·~.':i·····. • f ~··~)·~ ';~,..•·•·r1.'.···.0'r .. ·•.) ~··..\ t' 0 ··. "•+ ''I .....\(r .'. ,() ,. t N ~/J /%3/t§/603 -/005of!- IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA No.63-71-1054 ESTATE OF MARY L.CHAPMAN, RELEASE AND INDEMNIFICAnON Susan Mondik Key,Esquire LAw OFFICES OF PEACOCK KELLER &ECKER,LLP 70 EAST BEAU STREET WASHINGTON,PA 15301 ~ .~ ~I 0;' V3 .... 4 ,, IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION In Re: ESTATE OF MARY L. CHAPMAN, No.63-71-1054 TYPE OF PLEADING: RELEASE AND INDEMNIFICATION COUNSEL OF RECORD: Susan Mondik Key,Esquire Pa LD.56782 Peacock Keller &Ecker,LLP 70 East Beau Street Washington,Pennsylvania 15301 (724)222-4520 Firm LD.807 .--~'--'~;-_.-.,." :...-:--j::'::'-.~"'~''-,';....--.0:' -~,!",.: ,.,:"=':......-.v 0_', "--';:~-..' ....p. ,'>0: \.0 N C)Q i~-J :'A..=Co';)<::::>~ N:\WPDATA\ESTATE\A-D\22659smk.r01 (rev.1/30108 cmm) , I RELEASE AND INDEMNIFICATION WHEREAS,by Will dated September 6,1963,MARY L.CHAPMAN,created a Testamentary Trust naming JAMES L.CHAPMAN,"Trustee";and said Trust named JAMES L.CHAPMAN and VIDA S.CHAPMAN,his wife,as life beneficiaries and SANDRA SUE FLAKE,(hereinafter referred to as "Residuary Beneficiary")as Residuary Beneficiary upon the termination ofthe Trust;and WHEREAS,JAMES L.CHAPMAN died January 9,1999 and SANDRA SUE FLAKE was appointed substitute Trustee on January 31,2000;and WHEREAS,VIDA S.CHAPMAN died December 18,2007,a copy ofthe death certificate being attached hereto;and WHEREAS,this instrument serves to inform the Residuary Beneficiary that she is entitled to an accounting of the Trustees administration of said Trust with a court of competent jurisdiction prior to the distribution of her Trust interest;and WHEREAS,.the Residuary Beneficiary has received distributions from the Trust and is satisfied that she has sufficient information to make an informed decision in waiving her right to an accounting. WHEREAS,the Residuary Beneficiary has agreed to the distribution ofher Trust interest to her,and wishes to waive said accounting ofthe administration ofsaid Trust;and WHEREAS,the Trustee is prepared to voluntarily distribute said interests to the Residuary Beneficiary without filing an account ofadministration with a court ofcompetent jurisdiction in consideration ofthe Residuary Beneficiary executing a Release and Indemnification. NOW THEREFORE,the Residuary Beneficiary does hereby on her own behalf and on behalf ofher heirs,executors,administrators and assigns,and in consideration ofthe Trustee distributing said interests without an accounting,waives her right to an accounting '. N:\WPDATA\ESTATEIA-D\22659smk.r01 (rev.1/30108 cmr.I) .'I ofthe Trustees'administration ofthe Trust and agrees to release,indemnify and save harmless the said Trustee from and against any and all losses,claims,demands,surcharges, causes ofaction,either at law or at equity,including legal fees,which may be incurred in , defending the same and which arise from the administration of said Trust by the Trustee,and from the distribution ofthe residuary beneficiary's interest in said trust without the filing ofa formal accounting. Intending to be legally bound,I hereby set my hand and seal this \.~day of I ~J~.&;:'f:;:)~EAL) Sandra Sue Flake,Trustee of the Testamentary Trust under the Last Will and Testament of Mary L.Chapman Date:\,~Q)~ .C~~AL) Sandra Sue Flake,Residuary Beneficiary Date:'\\..;i.-..JLl9,.o~ .... C) r-::::. '-~ _UJ ~~ ~c ~ ~'-..: IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA No.63-71-1054 INRE: ESTATE OF MARY L.CHAPMAN,Deceased, PETITION UNDER SECTION 7101 OF PROBATE,ESTATES AND FIDUCIARIES CODE FOR APPOINTMENT OF SUBSTITUTE TRUSTEE r Susan Mondik Key,Esquire LAW OFFICES OF PEACOCK KELLER ECKER &CROTHERS,LLP 70 EAST BEAU STREET WASHINGTON,PA 15301 ';'-'''''~.~ I~i: ~ ~ "'~" F.:\WPDATA\ESTATE\A-D\22659smk.p01 (rev.12/20/99 Ijgl • IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DMSION InRe: Estate of MARY L. CHAPMAN, I 'c•.•P '-'"-<• I ..,.~ Deceased. No.63-71-1054 TYPE OF PLEADING: PETITION UNDER SECTION 7101 OF PROBATE,ESTATES AND FIDUCIARIES CODE FOR APPOINTMENT OF SUBSTITUTE TRUSTEE FILED ON BEHALF OF: Petitioner,Sandra S.Flake COUNSEL OF RECORD: Kenneth L.Baker,Esquire Pa I.D.15264 Susan Mondik Key,Esquire Pa I.D.56782 Peacock Keller Ecker &Crothers,LLP 70 East Beau Street Washington,Pennsylvania 15301 (724)222-4520 Firm I.D.807 F.:\WPDATA\ESTAiE\A-D\22659smk.p01 (rev.12/20/99 Ijg), • IN TIlE COURT OF C0l.\1l\10N PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION In Re: Estate of MARY L.CHAPMAN, Deceased. No.63-71-1054 PETITION UNDER SECTION 7101 OF PROBATE,ESTATES AND FIDUCIARIES CODE FOR APPOINTMENT OF SUBSTITUTE TRUSTEE TO THE HONORABLE JUDGE OF SAID COURT: AND NOW,comes the Petitioner,Sandra Sue Flake,by and through her attorneys, Peacock Keller Ecker &Crothers,LLP,and Susan M.Key,Esquire,and files the within Petition under Section 7101 of the Probate Estates and Fiduciaries Code for Appointment of Substitute Trustee,setting forth as follows: 1.The decedent,Mary L.Chapman,died testate in October,1971.Her Last Will and Testament dated September 9,1963 was admitted to probate at Number 63-71-1054 in the Office of the Register of Wills of Washington County,Pennsylvania.A copy of the Will is attached hereto as Exhibit "A." 2.Under ITEM SEVENTH of decedent's Will,a Trust is created by the following terms: "I devise and bequeath the residue of my estate,of every nature and wherever situate,to my son,James L.Chapman,and Vida S.Chapman,his wife,to be held IN TRUST by them,or the survivor of them,during their lifetime,for the use and benefit 1 l _ F.:\WPDATA\ESTAYE\A-D\22659smk.p01 (rev.12/20/99 Ijg) of themselves,or the survivor,and their daughter,Sandra Sue Flake,and the income received therefrom divided among the said James L.Chapman,Vida S.Chapman,and Sandra Sue Flake in such shares or amounts as the said James L.Chapman and Vida S.Chapman may deem proper.Upon the death of the survivor of said James L.Chapman and Vida S.Chapman,I give and bequeath the principal of the Trust to my granddaughter,Sandra Sue Flake,her heirs and assigns.I direct that said James L. Chapman and Vida S.Chapman shall not be required to enter security,and shall not be insurers of the Trust fund,and shall be liable to the person interested only for such care,prudence and diligence in the execution of the Trust as other trustees are required to exercise." ITEM SEVENTH does not provide for a substitute trustee. 3.The trustee,James L.Chapman,died January 9,1999.(A copy of a Certificate of Death is attached hereto and marked as Exhibit "B".) 4.This Petition is filed because the remaining trustee,Vida S.Chapman,suffers from Alzheimer Disease and is incapacitated. 5.Vida S.Chapman currently suffers from Alzheimer's,dementia and is receiving continuous care at home.(A copy of the Medical Report of Richard L.Fawcett,M.D.is attached hereto and marked Exhibit "C".) 6.Her daughter,Sandra Sue Flake,the Petitioner herein,is her attorney-in-fact. (A copy of the Power of Attorney is attached hereto and marked Exhibit "D".) 7.Petitioner requests the appointment of Sandra Sue Flake as substitute trustee. (Consent of Sandra Sue Flake to act as trustee is attached hereto as Exhibits "E".) 8.The Petitioner,Sandra Sue Flake,resides at 1421 East View Avenue,Salem, Ohio 44460. 2 ----------~ f.:\WPDATA\ESTATE\A-D\22659smk.pOl (rev.12/20/99 Ijgl 9..The Petitioner,who is not resident of the Commonwealth requests the Court waive the necessity of filing a bond (§7111)and the appointment of a resident co-trustee (§7103)since the proposed trustee is the sole residuary beneficiary of the trust estate. WHEREFORE,Petitioner prays that this Honorable Court enter a Decree appointing Sandra Sue Flake as substitute trustee of the Trust under ITEM SEVENTH of the Last Will and Testament of Mary L.Chapman dated September 9,1963. Peacock Keller Ecker &Crothers,LLP By: Susan Mondik Key, Attorney for Petition , Sandra Sue Flake 3 --••.~•-,, ~ LAS'l'WILL ANti T~STAMENT ,' I J 11ARY L.CHAPMAN,of the Borough of,Claysville,Washlngto Coun~,Pennsylvania,declare this,to be my Last Will,and revoke '! any Will previously made by me.' FIRST:I dlrec't that all my ,j~st debts and funeral ex- pensen shall be paid fron the &9sets of my estate as soon as pra.cticable after my decease. SECOND:I bequeath the !lum of Two Thousand Dollars ($2,000.00),and also ell my household furnishings and jewelry, except as hereinafter disposed of in paragraph SIXTH hereof,to' my son,James L.Chapman. THIHD:I devise my farm situa.te in Kearny County,Kansas, near Lakin,containing three htmdred fifteen (315'),acres,more or less,H'hich I raceivl3d under the ~vill of m'y father,Marion A. Liggett,decea.sed,to my son,James L.':::hapmnn. FOUI1'l'H=I devise ffi3-hnuse and lot situate at 13.5 Main " ' S treat.,Claysv1l1e',.P er.,ns:!lve.n:i.c""ilhloh I received under the t·1111 of !:r~r father,11r~rion j",":'.J,?,gett,deceased,to my sen,James L. Chapman,and Vicia S.Chapman,his '\-!ire,as tenants by the en- tiretios. FIFTH:!tequellth the stun of Five ,Hundred Dollars (~.5oo.ool to Vida S.Chapman,wife of my son,J'amas L.Chapman. SIXTH:I bequeath the sum of Two Thousand Dollars ($2,000.00),and also my diamond,engagement ring and all my sterlinr,silver and dishes to my granddaughter,Sandra Sue Flake. SEVENTH:I devise and,bequeath the residue of my e~tate, .EXHIBIT the survivor of them,during ,their lifetime,for the use and of ove"!"'J nature und,Hherever situate,to I11Y son,James L.Chapman, l::UiI.'i.Vida S.(,llllproan,his wife I to be held IN TRUST by them,or benofit of themselves,or the survfvor,and their daughter, l'Snr.(1r'u Sue Flake,llnd the income received therefrom divided among IthesaidJwn(~S IJ.Chapman,Vida S.Chapman,and Sandra Sue Flake Ii in such shares or amounts as the Baid J'a.mes L.Chapman and Vida S j Chapman may deem proper.Upon the death of the survivor of said I ,II I'IIII!I IiII "IiIII;,I'!~ ~ .".·1 '..'.~~. ...."'.i..,"..•.I . ....~---_._---~_......'.•.,.•. James L.Chapman and Vida S.Chapman,I give andbequoath the principal of ~he Trust to my granddaughter,Sandra Sue Flake, her heirs and assigns.I direct that said James L.Chapman and II Vida S.Chapman shall not be required to enter security,and ::shall not be insurers of the Trust Fund,and shall be liable to ;. the persons interested only for such care,prudence and diligence ,.in the execution of the Trust 8S other truateas are required to exercise. EIGJUH:I appoint my eon,James L.Chapman,Executor.of this my Last Will,ana I direot that he shall not be required to give bond for the fai thful p.erformance of his duties 'in any jurisdiction• .. ::IN WITNESS WHEREOF,I ·havo set my hand and seal to this my .~.~ Last·Will and Testament this er day of S'eptember,196.3_ -. Si[.ned,sealed,published and deolared by MAHY L.CHAP~ffiNt the above n£l1lled Testatrix,as and for her Last \-1111 nnd Testament, 1n the presence of us,who,at her request,1n her presence,nnd' in the presenoe of each other,all being present at the same time, have hereunto subscribed our names as witnesses. ,I ;i F i I \ I II'.Ii II - 2 - .........,,····_--:·.::.:.xc····..~·,·~···,-·······-···_•·_..-_-_,-"',.,•.:-.........','....•.,·I··'·/~."-.....'...,··~~~1-~..~_...._....,.....~..,.. I'.-1 ,.'Iil 3.Date of Death {Month,Dey,Yeer}1-I...'.-·;·Jan~·9 1999 ·1., State File No. 2.Sex Male .• •.....'1# Ohio Department of Health VITAlSTATISTICS CERTIFICATE.OFDEATH .TYPE OR PRINT IN PERMANENT BLACK INK .',"f •~_'(l,~:". . CHAPMANLIGGETT Sa.Age·Last Birthday F5::;b'.;:U.:.:;nd:;:e::..rD~n.::e~Y.;ea;:;.r_--f~=:':"':'~,--.~-l6.Oats~)~lt;t (Mf~08rY8i:~{j'~~Birthplace (Ci!y8ndSlst8 Of ~reign Ccun~ {Years}83 Months DaVSSept~8,,.915 •'A1magordo,New ~ieO I .f DNo Reg.Disl No._--L.t...;::6-.;·D::....,oL;:=;:::_·..'_.".-_ Primary Reg.Disl No._._.:..,'.'/-1-,,0£·~O.L>.cL"""",---,-_ Registrar's No._--:-__·_.....;.....;·6"""".~,...,·.-.:,._~...--_ 00 Yes I.Decedent's Name {First Middle,lAST} JAMES 4.Social Security Number 211 -03 -9357 8.Was Decedent Ever in U.S.Armed Forces?9a.Place ofDeath {ChBckOnlyOne}f h-H:":'O--sP~it:-'al--XJ-I-n"':pa-ti-en-t-O':"""E-Rl:"'O-ut-p-at-ie-nt-O-'-D-O-A-T.O;;:th~~:-:r-D-N-urs-i-n-g-Ho""m-e-'--D-Re-s-id-e·~n~:-;-·l-·D-·':"~O-t""h~-r_-(-sp-e-cify-}----.-::- c._ d._ e._ a._ b._ DONOTWRITElN MARGIN .RESERVED FOR OOH DATA CODING q'I 7665 A Approximata Intarval Between '1 OnsetandDaath ; I •.1 1 ,...1...... 44460 LIGGETT Port Authority CO. MARY Sa lell!,.Oh i o·.44460 13d.Streat and Number 28d.Was Case Referred to Coroner? j~o 2361 Oak Street IS,Rece-American Indian,Black,16.Decedant's Educetion White,etc.{Specify} White 21b.License Number 26b.DiSl No. 23.Name end Adctress oJ Fa,~ity •1 .~tarkMemOrlal i Inc. 1014 LState'Street P.o.Box 748 Salem,Ohio 9c.City,Village,Twp.,or Location of Death .9d.County of Death S~le~;:C~lumbiana 12a.Decedent's Usuel Occupation (Give kind ofworkdone 12b.Kind of Business/Industry duringmostofworkinglife.00not use Retired) Bus Driver 19b.Mailing Address /~rreetendNumberorRurelRoute Number.Cityor Town,Stete,ZIPCode} 1421 Eastview Ave.,Salem,Ohio 44460 /Type/Print) .__23]O:Southeast Blvd., 13c.City,Town,Twp.,or Location Philip T.Crowgey 4561 20b.Place of Disposition {Neme ofCemetery,Cremetory,20c,Location Cityor Town,Stete orOtherPiece}• William Penn Memorial Cemetery Pittsburgh,Pennsylvania 22b.License Number {ofUcensee} c.Due to (or as a Consequence of) oRemoval from Stete d.Due to (or as a Consequence of) Columbiana Salem" 44460 13b.County 28c.Date Pronounced Dead {Month,Day.Yeer} 'January'9,,:1999 131.ZIP Code .14.Was Decedent of Hispanic Origin?iJYasXl No {ff Yes,SpecifyCuben,Mexican,PuertoRicen,etc.} ~Certifying Physician " Tothe bestofmy knowladga,death occurred at thetime,date,end place;and duetotha c8usals)and manner as stated.1--------------------------------------------~7-----1LCoroner", On tha basis ofexemination and/or investigation,in my opinion,deathoccurred et the tima,date,end place;and due to the causels)andmanner~Iltated.' aVes DNo Ohio Sequentiallvlist conditions, if any,leading to tha immediate cause. Enter Undertving Ceula Last {Oiseese orinjurythetinitieted events resulting indeath} Salem Communit 9b.Facility Name (IfNotInstitution,Give StreetendNumber) 10.Marital Status-Married,NeverM8rried, WidoY.l!d,Divon:ed (Specify) Married 13a.Residence·State 17.Father's Name /First Middle.Lest) CAMEL LEMON CHAPMAN 13e.lnside City Limits? 19a.Informant's Name {Type/Print} Mrs.Sandra Sue Flake n.,...--.,,...-_ r.__-'-,_ u._ IFDEATH OCCURRED ININsnTUnON.OM RESIDENCE eEfORE ADMISSION --. p._-- q._-- o....·~·..---' s._ l _ k. 1 '" ";1':, m SEEINSTRUCTIONS .j ON RMRSE SIDE 33e.Place of Injury·AtHome.farm.Stree~F8etllry.Dfficeauilding.ete.ISpecify} ,,- HEA2717 5152.06 Rev.5/94 2'!atural=Accident ::Suicide ::Homicide c:PendingInvestigation ::Could Not be Oetermined 33a.Date of Injury {Month,Dey,Yw/..- 33b.Time of Injury -M 33c.Injury at Work? =:Yes ="Nil' - ..,-" 331.Location ISueetand Numbe~---- CERTiFIED TRUE COpy REGISTRATiON DISTRICT #1502 SALEM,OHIO JAN 1 41999 (I~A)LJ~ CANDICE S.P1EASONREG~STflAR Of VrIAl STATISTICS 4 '.._",_ ·" -----------------------:----c--------~----.------ Family Practice Center ofSalem,Inc. 2370 Sou.!heast Boulevard Salem,Ohio 44460 (330)332-9961 FAX (330)332-3860 Richard L.Banning,M.D. Richard L.Fawcett,M.D. James G.Gardner,M.D. Constantine V.Economous,M.D. January 11,2000 RE:CHAPMAN,VIDA To whom··it may concern: Mrs.Chapman suffers from mild.hypertension, chronic anxi~ty and tension,organic brain syndrome secondary to probably cerebrovascular disease or possibly Alzheimer's,fibrocystic breast disease, chronic rhinitis and capsulitis .of the left shoulder.She is physically stable at this point, but mentally is not able to function independently and could definitely not manage her own affairs at this time. I hope this information will be of help to you. Sincerely, ~Jtf~/7!I? Richard L.Fawcett,M.D.,F.A.A.F.P. RLF/km t 1/12/00 EXHIBIT I ·F:\WPDATA\ESTATE\A-D\22659smk.p01 (rev.12/20/99 Ijg)I II • IN THE COURT OF COl\1MON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE:ESTATE OF MARY L.I • CHAPMAN,Deceased No.63-71-1054 ACCEPTANCE OF PROPOSED TRUSTEE I,Sandra Sue Flake,do hereby consent to being appointed substitute trustee of the Tru~t created under ITEM SEVENTH of the Last Wi~l and Testament of Mary L.Chapman, I Deceased. January 4,2000 I EXHIBIT ~~~ Sandra Sue Flake F:\WPDATA\ESTATE\A-D\22659smk.p01 (rev.12/20/99 Ijg)• ,•f .. VERIFICATION .I,Sandra Sue Flake,verify that the averments of fact made in the within Petition Under Section 7101 of Probate,Estates and Fiduciaries Code for Appointment of Substitute Trustee are true and correct based on knowledge:information and belief.I understand that false statements herein are made subject to penalty of 18 Pa.C.S.A.Paragraph 4904 relating to unsworn falsification to authorities. Date:January 4,2000 ~£)~:1~L.,Q Sandra Sue Flake .' F,:\WPDATA\ESTATE\A-D\22659smk.p01 (rev.12/20/99 Ijg) IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION In Re: Estate of MARY L.CHAPMAN, Deceased. No.63-71-1054 AND NOW,this sff.L day of __+---+-_""--""=-__'2000,upon presentation of the Petition Under Section 7101 of the P oba ,Estates and Fiduciaries Code For Appointment of Substitute Trustee,it is hereby ORDERED and DECREED as follows: 1.Sandra Sue Flake is appointed substitute trustee under ITEM SEVENTH of the Last Will and Testament of Mary L.Chapman,Deceased. 2.The trustee shall/shall not post bond in the amount of $,-----,,t--~-- BY THE COURT: Thomas D.Gladden,P.J. ..'I....,.' DURABLE POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS that I,VIDA L.·CHAPMAN,of 2140 Monroe Street,Apt.5,Salem,Ohio 44460,do hereby make,constitute and appoint my daughter,SANDRA SUE FLAKE,of 1446 County Road 512,Divide,Colorado 80814,but if she should not accept the power or ceases to act,then I appoint my son-in-law,MARK C.FLAKE,IV,but if he should not accept the power or ceases to act,then I appoint my grandson,JEFFREY M.FLAKE,Of 393 E.Brentf?rd Circle,Highlands Ranch, Cplorado 80216,as my true and lawful attorney in fact, To transact any and all business,directly or indirectly with any and all banks in which I have deposits or with which I have business;to enter my safe deposit box at any time; To sell and convey,by bill of sale,assignment or other proper instrument of conveyance with the customary warranties,terms and provisions,for such price and prices, and upon such terms of credit or otherwise,and to such person or persons as my said attorney shall deem best,all or any part of my property,whether real,personal or mixed and wheresoever situated,which I may own or have the right to dispose of; To sell,assign,transfer,and set over all and'any shares of stock standing in my name and for that purpose to make,execute and'deliver all necessary acts of assignment and fransfer;to receive payment of the purchase money thereof,and to endorse,collect and receive payment of any and all checks,drafts or other media representing 'such pur:chase money;to exercise and grant stock and other options and rights,enter into or oppose any reorganization,recapitalization,consolidation,merger,exchange,liquidation,and creditors' and security-holders'arrangements,and retain property resulting therefrom for my benefit; ou zo11)ziiioII dl J UWU j J~ZW:l J:~.b:'. To withdraw,in whole or in part;and from time to time,from.any and all banks in which I have deposits,all monies now'or hereafter on deposit in my name,to sign my name ~to checks upon said banks for the purpose of withdrawing said deposits,to make deposits in ~said banks and for that purpose to endorse my name upon checks,drafts,bills of exchange, ~promissory notes and other commerdal paper drawn to my order; wzIIo~ tJ FOR ME AND IN MYNAME,PLACE AND STEAD:To transact any and all g business for me that I might or could do,if personally present,and without limiting the III~generality of the foregoing,also ID~ Q J:o i.wJ~ And to my use,to demand,institute legal proceedings for,recover,collect and receive any and all manner of goods,chattels,debts,claims,demands,choses in action, duties,rents,sum and sums of money,whatsoever,.due or hereafter to become due and owing or belonging to me or on any account whatsoever:by any person or persons whomsoever,and upon receipt of the same,or any part or parts thereof,to make,execute and deliver all proper receipts,releases or other discharges of and for the same,under seal,or otherwise;. To compound,compromise,settle and adjust all claims and demands,whatsoever,due or hereafter to become due or owing or belonging to me,or which I.may now or hereafter owe or be liable for,and to execute and deliver,or to receive,all proper receipts,and releases o'r discharges therefor; To grant .extensions of time for the payment of any debts,claims or demands,due or hereafter to become due or owing to me,for such periods and on such terms as my said attorney shall deem best,with or without security; To invest my funds in such manner as my attorney shall deem for my best interest without being limited to legal investments as set forth by the Ohio Statutes; EXHIBIT I "D" To sign,execute,deliver,pay and perform all checks,drafts,agreements,contracts and all other instruments in writing of whatever nature as my said attorney shall deem fit; To pay,at any time,and from time to time,any and all debts,claims and demands, incurred by me or by my said attorney for me,or for which I may be liable,",and irrespective of whether the same be evidenced by a note,draft or other written instrument; To enter into and take P9ssesslon of any property,both real and personal,that I may own or have the right to possession; To demand,institute legal proceedings fot,collect and receive all'or any rents,issues and profits of any or all such lands,tenements or hereditaments,and to lease,let,or sell and convey the same in such manner,and for such rents or prices a'nd upon such terms,as my said attorney shall deem proper,and from time to time to renew leases of the same,or any part or parts thereof,and to execute,acknowledge and deliver such deeds,leases,and other proper instruments of conveyance,or lease thereof as my said attorney may think fit; To effect insurance upon any property owned by me in such amounts and upon such terms as my said attorney shall deem fit and proper;to sign any application for such insurance',any representation of the condition and value of said property,any agreements, promissory or premium note or other instruments or 'documents that may be necessary for said purpose;and also to surrender,rescind and procure to be canceled and annulled any policy or policies of insurance which my said attorney may so obtain,or by me heretofore obtained, and on such cancellation or expiration,of any of said policies of insurance,to collect and receive any dividend,return premium,or deposit that may be due or payable,and on receipt of the same to execute and deliver full release and discharge therefor;also to assign and transfer any policy or policies of insurance upon any property now owned,or hereafter acquired,by me; g ,To institute,maintain and prosecute any and all actions,legal proceedings or suits,for IIIo the recovery of the possession of any of said lands,tenements and hereditaments,or for anyo~goods,chattels,debts,claims',demands..rents,duties or choses in action,due or to become 3 due and belonging to me;and the same to prosecute and follow,or to discontinue or dismiss; ¥"and to defend any action,suit or legal proceeding .whatsoever that may be brought or ~'instituted against me,and to make compromise,composition agreement,or end of controversy ~or litigation over and concerning such goods,chattels,debts,claims,demands,rents,duties, ~choses in action,matters or things,or any pait thereof; ~.J ~ Vl~ZII:E~ <i.0.J ciu, zoUIziiioII: III .J~To collect and receive any dividends,interest,or other accretion or income,due or to :I become due upon any such stocks,bonds,or other evidence of title or property,and to ~execute proper receipt,release and discharge therefor;zw"i To employand discharge such attorneys,accountants and other agents,and for such~','remuneration as my said attorney may deem best; To take possession of any and all monies,goods,chattels,and effects belonging to me,wheresoever found;to drllw,collect and receive any and all monies on deposit to my credit in any and all banks; To sell or redeem U.S.Government Bonds and/or Treasury securities owned by me; To make,verify,sign,and file f~deral,state,and local income,gift,and other tax returns of all kinds,claims for refund,requests for extension of time,petitions to the Tax Court and,other courts regarding tax matters,and any and all other tax related documents, including but nat limited to,receipts,offers,waivers,consents,powers of attorney,closing agreements,of all kinds,and generally,with respect to all tax matters of all kinds,including but not limited to income,gift and intangible taxes,and for all periods to perform any and all acts that my said attorney can perform and to represent me before any and all offices and officers of the Internal Revenue Service and any other taxing authority,including receipt of confidential information and refund checks (and to endorse same)and to retain legal coUnsel or other representation for any and all such proceedings; 2 To make any and all kinds of gift and other transfers on my behalf,including but not limited to,gifts and transfers subject to conditions and withdrawal rights,as my said attorney deems appropriate; To revoke any trust in whole·or in part over which I have a retained power of revocation should my attorney in fact determine in·his or her sole discretion that such revocation is in my best interest;. To transfer assets of whatsoever nature and kind into or out of any trust which I have created during my lifetime and to do a!l necessary acts to accomplish said transfer. I hereby grant to my attorney inJact authority to disclaim,in whole or in part,any or all assets which I might inherit or receive by trust or contract.My attorney in fact shall have all such authority as I might have to effect said disclaimer as provided by law. g If I no longer have the capacity to make informed decisions with respect to health care 10q matters,I hereby grant to my attorneys full power and authority to make health care decisions for meo ID to the same extent that I could make such decisions for myself if I had the capacity to do so.My.~'l incapacity to make health care decisions for myself shall be certified in writing by my treating ~physician.In exercising this authority,I request my attorneys to make health care decisions that are .~..consistent with my desires as stated in this document or which I have·otherwise made known to my ~attorneys.My attorneys may also make health care decisions about which I have not stated my ~desires. ~.J~.I intend to authorize my attorneys to make all decisions pertaining to my health care ~including,without limitation,the authority to give informed consent,to refuse to give informed ~consent,or to withdraw informed consent to any care,treatment,service,or procedure which is beinga:~or could be provided to maintain,diagnose,or treat aphysical or mental condition of mine. .~Specifically,if I am in a terminal condition or in a permanently unconscious state,and my Attending ~Physician determines,to a reasonable degree of medical certainty,and in accordance with reasonable 6 medical standards,that there is no reasonable possibility that I will regain the capacity to make ~informed health care decisions for myself,I authorize my attorneys to refuse or withdraw informed ~consent to any medical procedure,treatment,intervention,or other measure that will serve principally iii to prolong the process of my dying.For purposes of this document,a "terminal condition"shallo~mean an irreversible,incurable,and untreatable condition caused by disease,illness or injury from .J which,to a reasonable degree of medical certainty as determined in accordance with reasonable~..medical standards by my Attending Physician and one other physician who has examined me,(i)there ::I .can be no recovery,and (ii)death is likely to occur within a relatively short time iflife-sustaining ~treatment is not administered.For the purpose of this Durable Power of Attorney for Health Care,Iz~shall be considered in a permanently unconscious state if my Attending Physician and one other ij physician who has examined me determine,to a reasonable degree of medical certainty as determined t·in accordance with reasonable medical standards,that I an1 in a state of permanent unconsciousness, am irreversibly unaware of myself and my environment and have sustained a total loss of cerebral cortical functioning,resulting in my inability to experience paid or suffering. My attorneys have the power and authority to:(a)receive information about any and all proposed care,treatment,service or procedure to maintain,diagnose,or treat any physical or mental condition I may have;(b)execute on my behalf any release or other documents that may be required in order to obtain such information;(c)consent to the disclosure of such information to other;(d). review medical and health care records;(e)execute any document necessary to implement the health care decisions made by my attorneys;and (t)execute any waiver or release from liability that my attorneys determine to be appropriate.. GIVING AND GRANTING unto .my said attorney full power and authority to do and perform all and every act and tiling whatsoever requisite,necess.ary and proper to be done in and about the premises,as fully,to all intents and purposes,as I might or could do,if personally present,with·full 3 ... power of substitution and .revocation,hereby ratifying and confirming all that my said attorney,or his or her substitute shall lawfully do,or cause to be done,by virtue hereof. This Power of Attorney shall be general and shall not be limited to the foregoing categories. This Power of Attorney shall not be affected by disability of the principal. I hereby revoke any and'all previous Powers of Attorney by me heretofore made. IN WITNESS WHEREOF,I have hereunto set l~y hand this ..!.Jih day of June,1996. &;./~.,!.,~I '.~??U2d ,A L.CHAPMAN Before me,a Notary PUblic in and for said county and state,personally appeared the above named VIDA L.CHAPMAN who acknowledged that she did sign the foregoing instrument and that the san1e is her free act and deed. oOJ IIIo6 \P~q Q' J:o i.w.J<{(/) ~.J I-<{ ESTATE F OHIO,COUNTY OF COLUMBIANA,SS: z0:~ .( 0..J N tary Public RY G.CECIL,Notary ~ubllC Attorney -at •Law . .Ullflrnlfed Term 0RG s-1'4...-......1.09 ~.This instrument prepared by:<{~Fitch,Kendall,Cecil &Robinson Co.,LPA ~600 East State Street,P.O.Box 590 G.Salem,Ohio 44460 I-.. G: ou z IN TESTIMONY WHEREOF,1have hereunto subscribed my name and official seal at'0~Salem,Ohio,this /Jih day of June,1996. iiioII a'l J 8u 4 ------------ OFFICE OF THE REGISTER OF WILLS AND J CLERK OF THE ORPHAN'S COURT WASHINGTON COUNTY WASHINGTON,PENNSYLVANIA 15301 Y105<0.71,';) MISCO 15.00 tilseD 10•nn 3 rOll ~~5 •em ~12~14:l1JAN.31·OD~CNfU{25,OrJ LJ~E (j5 69730 R C C-49 (8-7 II , COMMONWEALTH OF FtENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION HARRISBURG,17127 --PENNSYLVANIA ESTATE TAX DETERMINATION I~{ 1 fld.an '7 (j ~~rt'd etaS.LTR • J Date JQ~g'19 72.- Estate of:----.Mu R..~I L C tic(P 121 q"l1 Date of Death /6 -J3_..._'7~/_ County WaJ tI j h'J,{}h .31 ..1 /(,·7 Bureau File No.0..3 ·71 -/oS4- 1.Taxable estate per U.S.Estate Tax Return,Form #706 ..J6#l /.I cr-'7J 2.Taxable estate per final change in Federal Return dated AIM)-.2.0 ICj7'J... 3.Amount of credit for State death taxes. $golf 0 S 'I.gJ $l1a ~t.Qh4'L FlccoJ;'J.as Flltd... As shown on return form or final change notice ($--- As verified by computation 351 4'+ 4.Penna.Inheritance Tax due and!or paid Gl\R~c r $ 5.Normal·lnheritance taxes paid to other States lei LffJ .0'"0 C R~J.I r NbMe... 6.Total Inheritance tax credits (4 +5) 7.Total liability for Penna.Estate Tax (3 -6) 8.Less:Previous payments on ajc of Penna.Estate Tax Date of payment Amount of Tax paid Amount of Interest paid $------~$------- 9.Balance of Penna.Estate Tax due (7 -8) 10.Interest due from to @6%'per annum 11.Balance of Penna.Estate Tax and interest due as of $===J!::!1~(j;,;I1~e..~= Prepared by nuT..SuplJR. (.TlTLE) Reviewed and approved by _ (DATE) .1 (NAME)(TITLE)F'9A.=t:"~,..,f!".rQ ...r ..TOt.Pc.eA,POl •..) :r~H TCi'(l)tte,IfIJO 'j.44 PI4J:rJ;lr'?"~ST liT R«Te.of GoA Petl",~q,, FRo h\.,.13 •T~T(1 D(iTe..0 F P4.·~I'YH'..r RTT"0 Q.1 YrU!~_.D..t-!.T ~~t.l PI)~~ Form RCC-33 RESIDENT DECEDENT ~--------------- COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF W.~.~~~;NG?;Q.N . IMPORTANT:This return must be completed in detail and filed in dupl1cate,with will attached,with the' Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of,Revenue.(Section 703 of the Inheritance and Estate Tax Act ,of 1961.) Eueotor "\l IN THE MATTER OF mE ESTATE OF }MARY L.CHAPMAN .AFFIDAVIT OF_ -·· ····i·st~t~..f~Ii'..~;;;~..·~I..d~;;d~~t·)................................................................EXECUTOR Late of C..la.y.s.vi.l.l.e..~W..~.~.h.~~g,~Q.P.:County ~ PENNSYLVANIAStateof } WASHINGTON ss:County of.....,....... ....................................J.~$~..~G..B.AJ>.~_.. of the estate of the above-named decedent being duly sworn,depose S and say S Decedent dJed .Q.G.J::Q:l.?~+... (Month) Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. ...............lJ ,197.1.,{'testate leaving a last will,copy of which is hereto attached.} (lilly)(Yf:llr)iat~ .........Ale~a.nq.e.r...Mc..l.l.va..in..e...)A.t..tQ.t.':n..ey a.t ~a.W .. ............33 W.•.....Beau Street.,Washington,P.a 15.3.0.1.... Executor fThatassuchdeponentisamiliar with the affairs of said estate and the property con- ('·;x"cutor·Aclmini.tralor) Rtituting the assets thereof and their fair market value. That at the time of death there was no safe deposit bux registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- w NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT Mellon National Bank &Trust Co.Decedent Clavsville Pa James L Chaoman ~nnVidas.Chapman daughter-in-Ia That the contents of said safe deposit box or boxes are itemized under Schedules ~B~of this return,with the exception of the follOWing,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fUllv and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of d4:!ath of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate pos~e~S.1on,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether indiVidually,or-io,trust for (\J .any other person or persons giving also separately the accrued interest thereon,if any,down to the last~ interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other cas~s;all bonds,postal saVings,treasury certificates or notes and othe~:evidence of in:~. debtedness of the United-States to the decedent;all obligations,whether by statute or agreement they are designated as tax free,of the United States,or any state,or political subdivision thereo~or of any foreign country,.which are ownep.:a tthe time of death;all wearing apparel,jewelry,8ilverware,pic:' tures,books,works of art,household furniture,horses,carriages,automobiles,boats,.and aqy and all other personal chattels of whatsoever kind or nature~-I-eft bydecederit~-together with 'the fairly''estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,_.g~ving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance policl'es carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. -.-----,.~........... In the case of securities of close or family corporations,the values reported.are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also set's forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together.with a statement setting forth the character of the business,its location,and such other facts pertaining to the busiDess as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with.the .fair.market ~alue thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,w~thin two years ·of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or e~joyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,'the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y of the deed,trust agreement or other instrument creating the trust.Ther.~is also s~t forth in said schedule a list of all property,real and personal,with its'value,Which pa~'ses at decedent's death by virtue of the exercise by decedent,either individually,orjointly with another,or any power of appoint- ment vested in decedent,eithe.r individually or jointly,by the.wilJ,deed,or other instrument of another, With a copy of the instrument creating.such power attached to the schedule. That Schedule 0 attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement shOWing which of the beneficiaries named in the decedent's will,.if any,died prior to decedent,the dates of their death,their issue,and the relationship of such issue to the beneficiary. That Schedule E attached hereto .and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Schedule F attached h~reto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and Impaid at time of death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for Obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein, have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this ......I3tJ..l.. ;:;1;"--_.•.........~ay ofi;:;/:;;'!c;~~19.Z?~~;;~~---------- .~d~i1'io~c···_··_······?U····1i'i~~;iW~';t~~'---------_· ~;s~~:~~~io~a:~~~;:~n nty,penns y l Q7 ia ~.if~~:·~~~~·f.~~···S~~·r·4.l.. NOTE:Before signing affidav make re all blank spaces in the affidavit and schedules annexed are filled in with details or the word."None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in'the "Summary"has been properly completed as above-directed. ..~ RCC-34 (1-64) COMMONWEALTH pF PENNSYLVANIA DEPARTMENT OF:,REVENUE ,BUREAU OF COU~TY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT !I, SCHEDULE "A" REAL PROPERTY Real prop~hy in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Whefe property held as joint tenant or tenancy by entireties,report on Schedule liE".Property held by the decedeht as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property 16cated In the Commonwealth of Pennsylvania should be described by lot and block number,street and street number,together wi th a general descripti~n of the property,with a reference to the record of the conveyance by whi~h the decedent took title;If a form state number of a. cres;also statemeri,of mortgage encumbrances upon each parcel at death of decedent.Taxe~,assessments,accrued Interest on mortgages,etc.,are to be listed on Sch~dule "F"and must not be deducted from this schedule. House and::lot,known as 135 Main Street, C1aysvii1e,Pa.(See Will Book 61, page 99) (1 ) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE $14,000.00 (3\ DEPARTMENT VALUATION CAUTION (Do not write In this space) Insert thi s total"opposi te "real property",Schedule"A"in the X X X X X "As Reported";icolumn on the last page of this return. $14,000.00 It.!600.~ MM I ',RCC-35' COMMONWEALTH OF PENNSYLVANIA .TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "13" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangibl~and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".Intangible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank, stocks,mortgages,notes,together with accrued interest or nividends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnershi.p .~l1terests,interest in anyundistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Item No. ITEM List and describe fully UNIT ESTIMATED DEPARTMENT VALUATION VALUE MARKEl'VALUE (Do not write in this space) ~13,425.28 13 '1;;5'~!' 220 .00 L 2 CJ I 00 5,528.25 55 c2i',;}S 5,385.00 53 is.00 352.88 '35:2,J>Fr 7.26 7.:J..' 65 .50 II),f).I:iIJ 2,401.88 2/-1 01,~f?' 3,141.75 3/'11.75" 7 0-7/8 I 4-7/8 5 )-13/1 ) '7 I-J9.()() t!?().;).S" J 311.()0 SD:J.,CJD 7/393,SO /7 18E.Sv I '151,9'1 9tJ'-/,75'- 5LfCJI56 <;]/58'~'(;;)b 4,1 C>O.00 I ¥()S,OO 30Q,CJtf .J/3f5"tJV /2 ;).7/,.3" ;;'C,1'l50 J o{;.!<1 JJ )It;•15,0 0 5q5G~~S /77,111 1f3~,75 . 7 ;).7.b3 ' 5~fo/~o~' .2 7lf.-3.6 2--. 3 8 T.J./5 ' 100,60 , 5'0 4 1,01. Ibo.o o 749.00 650.25 1,317.00 502.00 7,393.50 17,483.50 1,459.94 904.75 349.56 8,586.00 4,160.00 1,805.00 309.94 31,395.00 12,271.38 2,617.50 1,085.88 1,116.00 15.00 5,956.25 177.19 436.75 727.63 502.00 6.96 2,743.62 388.45 100.00 3,047.01 100.00 2-3/4 4-7/8 "1-3/8 4-7/8 2 -15/1) 0-9/1 Checking Acct-Mellon Bank,C1aysvi11e,Pa 11-$20.American Express Travelers Cheque 78 sh American Std.,$4.75 Cum.Pfd.v 120 sh A.T.&T.,Com.,,/,/' 6.sh A.T.&T.,$4.Conv.Pfd..~ D1v.on A.T.&T.,Pfd.-11/1/71 8 Warrants for A.T.&T.,Com.Stock v/8-3/1 35 sh Atlantic Richfield,Com.v 59 sh Atlantic Richfie1d,$2.80 Conv.Pfd.v 53~ 107 sh American Window Glass,Com. (now ASG Industries,Com.) 51 sh American Window G1ass,5%Prior Pfd. (now ASG Industries,5%Cum.Pfd) 24 sh Burlington Northern,Com.~ 16 sh Chrysler Corp.,Com.~ 212 sh Columbia Gas,Com.v 584 sh Continental Oil,Com.~~ 71 sh Fuqua Industries,Com./ 44 sh National Fireproofing,Com ~ (now Fuqua Industries,Com)/'0-9/1 17 sh Natco Corp.,Com.(now/Fuqua Ind.)t/.0-9/1) 318 sh Lone Star Gas,Com.v 27 80 National Biscuit,Com.v 52 38 sh Northern Natural Gas,Com.V,A7~ 57 sh Penna.R.R.,Com.(now Penn-Central!'5-7/1) 728 sh Pittsburgh Plate Glass,Com.v"I 3-1/8 254 sh Socony Mobil,Com.4 )-5/16 60 sh Southern Pacific,Com.V J I 3-5/8 34 sh The Texas Co.,Com.3 -15/1) 24 sh Union Oil of Ca1if.,$2.50 Conv.Pfd.46~v Div.on Union Oil of Ca1.,Pfd.(ll/10/7 ) 100 sh Union Pacific,Com.~~9-9/1) 7..sh Vulcan Materials,Com.v ~5-5/1 ) $400.A.T.&T.,30-yr 8-3/4%Deb-due 20001 11~9-3/1~ !Bankers Life &Cas.Co.-Payments a/c med.e p. ~rotection Mut.Ins.Co.-"" " " ~orthern Nat.Gas-Proceeds sale of Rights Warthen 0 & G Lease-Kearny Co.,Kansas O.S.Treasurer-Refund.on 1971 Inc.Tax 87 pieces Sterling Silver Flatware &d.ish~s Household.Furniture Diamond.Engagement Ring 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X 138,884.86 )3 t;8'1L!,g'b rft/!1J ---------------~------------------------------ II i:,RCC-36 I, -.J."COMMONWEAL'F;H OF PENNSYLVANIA ITRANSFERINHERITANCE TAX !I Iii RESIDENT DBCEDENT SCHEDULE "c" TRANSFEllS II (1)Diet etece~ent,.within two years ofeteath,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)No (2)Did dece:d r 'ent,within two years of death,transfer property from himself to himself and another or others (~nclueting a spouse)in joint ownership?(Answer yes or no)No (3)If the a~swer to (1)or (2)above is in the affirmative state:I'(t)Age of decedent at time of transfer (~)State of decedent's heal th at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note'1).II (4)Did dece~ent,in his lifetime,make any transfer of property without receiving a valuable or adequate consider~tion therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)__~N~o~__ (i)Was there any possibility that the property transferred might return to transferer or his :1 estate or be subJ ect to his power of disposition?(Answer yes or no)_ (9)What was the transferee's age at time of decedent's death?_ (5)Did dece1ent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor II under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death:I'(a)The possession or enjoyment of or the right to income from the property transferred?Ii :1 (Answer yes or no)No (~)The right to etesignate the persons who shall possess or enjoy the property.transferred or II income therefrom?(Answer yes or no)No (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent'Ialoneori:others ----:----:_ (7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to pay incofue to or for the benefit of care of transferor?(Answer yes or no)_~N~o~__ (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subJect to Change,Ii • because of a reserved power to alter,amend,or revoke,or which conld revert to etecedent under terms of transfer or by operation of law?(Answer yes or no)__~N~O~_ (9)If the ahswer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter-IIestofthe beneficiary reserved in the decedent alone or the decedent anet others?II(Answer yes or no)_ NOTE 1:The:answers to these'questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If Ilanswer to any of the above questions is yes,set forth below a description of the property transferred"it's fair market value at etate of death,dates of transfers and to whom transferred,with relationship'of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are cl~~med to be non-taxable,also submit detailed statement of facts on which said claim is based•.IINOTE3:LiS,[t applicable property below in manner in which provided in Schedules A,B,or E. ITEM I,IIiN 0 N E :1i; [I ,I Ii I[ 1 I' j:Ii DESCRIPTION MARICET VALUE (Estimated) DEPT.VALUATION (Dept.Only) Insert this II total opposite "Transfers",Schedule "e"in the "As Reporte~"column on the last page of this return. NONE ·ReC-38 Ii I, COMMONWEALTH Of'PENNSYLVANIAITHANSFERINHERITANCETAX RESIDENT DE9EDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRPCTIOKS:1 1 1 This schedule must disclose all property,real and personal,owned by the decedent Jointly wi th another,or others,including intangibles,standing in the name of the decedent and others.List real estate ~irst,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule "A",plus th~date and place of record of instrument effecting vestiture,but do not include entireties or out of st!te real estate value in estate valuation column.Personal.property should be listed as in Schedule "B";i plus date of acquisition,and the name,address and relationship (if any)of co-owners to, the decedent.; I'IDescriptionqfProperty,Date of Acquisition,Name Unit Address and Relationship of Co-Owners,and Place Value of Record!lof Instrument,where Real Estate.I IiII II NON E'I percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's..Property Interest Insel1't ·this total opposite "Jointly Owned Property",Schedule ."E" in th~"As·Reported"column on the last page of this return. I. I ' RCC-37-{l2-63~_'" .ttl'•Ii ' . COMMONWEALTH OF PENNSYYLANIA 'PRANSFER INHERITANCE TAX RESIDENT DECEDENT :1 'I'I SCHEDULE "0" 1 BENEFICIARIES Deponent further]l says that all the above-named beneficiaries are liVing at this time except below: ""II RELATIONSHIPBENEFICIARIESANDADDRESSES•(If step-children or SURVIVED DATE INTEREST OFStatefullnamesandaddressesof-all who 'illegitimate children DECEDENT OF BENEFICIARY .,JI t't th STATE YESaveanInterest,vested,con Ingen or,o ,er-are involved,set IN ESTATE ,wise;!in estate)-•.'-'forUI this fact.)OR NO BIRTH JAMES L.CHAPMAN son yes pver 21 12000.beauest !I Household Furniture917S.],renton Ave. Pittsbut~h.Pa.15221 ~R~f1 ES~~f:in ,II ,,Int.in residue II VIDA S.I!over 21 ~500 "-CHAPMAN dau2hter-in-1a II yes :r il ~Real es~ate in917S.~!t"enton Ave. Pittsbux!gh,Pa.15221 Claysville .II Int .in residue j[ "$2000SANDRASUEFLAKEErand-daughtel-yes over 21 beauest 1147 Biait Ave.·Diamond Ring Norfo1k,li Va.23500 Silver and dishes if Int.in residue II il It I 11i. I! If ~I J[ !l 11 11 1f , I'.-IIi< II ~. 11 I il II , II 11"II J! " ( h :1 NAME DATE OF DEATH RESIDENCE 1[ ~IATTER OF THE APPRAISEMENT P.Il THE OF THE ESTATE OF ......:J ""0 ~...('l)('l)ll>...ll>::l Vl -Vl 0>+>::l ""0('l)ll>......-0Vl"d""0 ('l)......0 ~'0('l)...~'< trlVl~ll>~.('l) (Executor-Administrator must complete "As Reported"column #1.) 8.ll>" Xll>0-Cb o.....oVl.Vl 63-71-1054 ...YeartNo. Will ~bb»ilrri«;ilrRI;'Iit. MARY L.CHAPMAN..................................... Deceased :- Late of .......G.1..ay~.Y.~:L];.e .... j, [j COl]nty of .......WC:1.~l1.:i..l1g.t:<:>n . Common\\'ealth of Pennsylvania REPORT AND APPRAISAL V'J V'J V'JC':l 0 0?'"?'"?'"n ~;;:::::::: V'Jc:~ ~.:>-.~ ~. ----" " ~'~... ~~'*~~~:1-'::.:1-': V1:::t.A):1-'_ :N:::Z:oo:.po.:>-. . .:0....Vl :::S :00:0 ~ :('1):00:0 ('l)-:.po.:0""">-~.~.Q-- :00 :0 ct:0"\:0 c... "-:co:"':00,:.po..:. ~.:00 C\'. !. 'VJ "00 N01~)N1HSVM STl,ll~:.1 0 }j 31 SI~3 H ON Ie\n~T13 SSm~ :.' 9i lJO ZL I L~ £0 r '/I(.~H.:l ~("!-";1 •·..1'U .1 I.~.....5 ~f .J~~J J~:r ~r ~ ~:S'\~.-:~: ..~.: :~ :~. ~~ (>..).:-<~""'-:>-~~~:C)~~:C\C':l'-:.> :;".J :.3'"~:~:Q::,,-':"::lC':c... ,- ;...~. RCC-Bl (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT JAMES L.CHAPMAN (Executor~ IN YOUR REPLY PLEASE J REFER TO Inheritance Tax Division ( 38-216-7 Jl) In Re:Estate of _--=MAR=.=:.:.Y=--...:L::...:...._C.=::FlAP=.:=....:..::MAN::.=.::_ ___T;lAS_H_I_N_G_T_O_N__County -File No.63-71-1054 Dear Mr.Chapman, You are hereby notified that the~~=_o_r_i-=g,-i_n_a_1 _ appraisement in the estate of MARY L.CHAPMAN has been filed in the office of the Register of Wills of WASHINGTON County on October 25 ,19~,Said appraisement reflects the following valuations: Real Estate -=1:..:4~,--=O:..:0:..:0:..:.:....:0~0=___ (PersonaI P roperty_--=1~3~8:.L,-=8:.;:8:....:4~.~8::..::6::.....-_ T ransfers _ J0 int Iy Ow ned __----:=-=-=--=-=--:----=--:,--_ Total 1_5--:.2..:....,_8_8--=.4...:..._8...;:,.6 _ 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 October 25,1972 Title APPRAISER II DATE OF DEATH:October 13,1971 Note:This is not a bill. r" RCC-39 (5-681 II II IIIIII 'I.,.'1f-' If COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT II SUMMARY MAN II Estate of CHAP j, (Last Name):i MARY (Firs t Name) L. (Initial) DATE OF DEATH 10-13-71 FILE NO.63-71-1054 il REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_.:.:~'l.:..AS=H.:..:I.:..:N:.:..G-=-=TN.:..:-_ 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:octobL 25.1972 ~t~L£~~dA- INHERITANCE TAX A~R " ii REPORT OF THE REGISTER OF WILLS I,the undersigled duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I hare allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set1lforth in the last column to the right in Schedule "F",which greater or lesser amount represents the sumIIallowedasadeducti'on. II II Dated:III'REGISTER OF WILLS:~ :1 INVEN'FORY Real Property (Schedule A)IfPersonalProperty(Schedule B) .Transfers (ScheduleiIC) Joint -Held Propert~i(Schedule E) TOTAL GROSS lSSETSII Less Debts and Deductions' I(SCHEDULE F) CLEAR VALUE OF!!ESTATE 15 884 86 NONE 152,884 86 152,884 86 NONE 152,884 86 VALUE AS REAPPRAISED $-------+-- I'Valuation of life estates or annuities .1:..... ... .•..$t='I ------ ESTATE TAX ASSJSSMENTS $•.. II ."FOR USE OF REGI~TERONLY COMPUTATION OF TAX (*)As evidenced by Charitable Exemption Certificates issued by ,the Secretary of Revenue.$L.-----'-o $--------1--- $--------+-~ $:----,.------4-- $--------+-- $--------1--- ::::::::::!:::t=:= "If TOTAL TAX Less tax pre~iously paid BALANCE Less 5%of tax if p~id within 3 months after death :1 BALANCE OF INHERITANCE TAX DUE $------It= Add interest at rate'of 6%from_____to -,1:-1 $-1. AMOUNT OF ESTAITE TAX ASSESSED $-------lL- Estate tax'paid ,I -$.....l- .BALANCE DUE $----ll_ Add interest at rat~of 6%from-----~to-~I'-I:----$-----~t=TOTAL TAX BALANCE $--------4' il PAID $-1 ]1 FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where sub~equent 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 ..........~":(..r,..~G~~. Deceased Late of . County of CLAYSVILLE WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ,.- j ~'unn iICC-2 .., .\DEPAP..TM~~T OF REVENUE BUREAU OF'COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLVM.JIA....., RESIDENT INHERITANCE TAX APPRAISEMENT DATE .9..q.t..9.P.~.:J:;:~..~!~.~..7..~.. COUNTY ~~.~~.~.~~9.~.. FILE NO ~.~..:.?..~..:..~.?.~.~.. Whereas,~X ~..~9.~~late of ~~~X~Y..!.~~.~.. in the County of y~~.~~!.~~~Commonwealth of Pennsylvania,having died on the .J:.~.th day of .9..9.!:.9..P~.!:19 ?~.,seized and possessed of an estate subject'to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,P..9.~~.!.~~.~P.~~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. Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpoles $ REALTY: SEE COpy OF SCHEDULE A ATTACHED TO APPRAISEMENT 14,000 00 PERSONAL: SEE COpy OF SCHEDULE B ATTACHED TO APPRAISEMENT 138,884 86 ..total 152,884 86 , .'; , ...., ,.. ., I Having been duly sworn according to law,I do hereby certify that the a ove appraisement is made in con- formity with law on this &&~day of ·rrv ·..,· ·.~r..A ..;:;:·~·..19.IJL. #~h ~LJ(l.~. Appraiser ...........Wb.S:E:I.;r:NG'rON .Coullty .., :.P"~~.1-,.,•~~,~;~\ r~~~:~ ,.. RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ...~x :r....!!9:I.~~. Deceased. Late of CLAYSVILLE Date of Death,.l.'O'~.l..3..~..71 .. Appraisemeilt Docket Vol.,3.JL . Page,219.;.7 N o...J?.~.~7.l..~.1.Q.~.4.. Filed in Register's Office,..?~~~.?.19 72 Amcunt of tax due,$..: :.. DEPARTMENl OF REVENUE· Received; Examined and Approved,. .Wrote abo.ut Appraisement, Appeal /,.0»1,Appra;sement,:,.. Entered and charged,:. .'.... ..' . ." i .. '.-... .0 3 ~?/--/.tt!)~-Y'j ./Forrn RC.p.IO DEDUCTIONS ALLOWED IN AND AGENT OF TME COMMONWSALTH OF •OF"FICE OF TME • REGISTER OF WILL6 WASHINGTON COUNTY STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF $.~11.1...~'...~.~·.07t::i .•.....t=~:~~_.. DATE OF FILING APPRAISEMENT _O_c=-t.:::....:....1....;9....;7_2__0AT!i OF DEATH ESTATE OF __MA__R_Y_L....;._C_HA_P_MA__N__LATE of C_1_a~y,,--s_v_i_1_1_e _ October 13,1971 DATE:NO.OF NAtAii:OF PAYEE REMARKS AMOUNT ___--r__+v.:.OU:.:C~H.:..:.:~+_--__._:-----------__t:------------.---_+---,---..,-__ Russell Marino,Reg.Letters Testamentary $21 50 Wash.County Reports Executor's Notice 14 00 Observer Pu .CO.II II 14 ~ Russell Marino Reg.Short Certificates 11 00 Mar~e Gu~dos·INotary fees 3 00 Victoria L.Dally Notary Fees 5 00KussellJYlar~nO,Keg.l1'~l~ng lnventory 1)UU Russell Marino,Reg.Cert.copy of Will 5 50 !~errel!r·un.Home I.t<·uneral expenses Z ,lJ)~4£1HenryS.Burrows,Treas.1971 Taxes on Kans.property n.T]'.-9~ Wash~ngton Hosp~tal l13a1.on acct.Russell Marino,Agent a/c Trans.Inh.Tax ("'"6.840 0(" j r J~g gg .(rfo'- [, (1 to deatJ::lDoctorbill IlJoctor b~ll 11 g7?r.Olmt"v Tax 11971 Inc.Tax ~Fid.Return) Bal.1~71 Pa.Inc.Tax Int.Rev.Serv~ce Pa.Dept.of Rev. Alexander Mcllva~ne IRe1mbursement tor money ad- vanced for decedent prior Taylorstown Nat.Gas.IGas b~ll tor Uct.7 76 Bell Tel Co.Telephone bill 29 6 Henry S.Burrows,Treas.1971 Per.Prop.Tax (Kansas)-42~4~OrrO IRichardM.Fanning Lawn care Dr.W.A.Prideaux Dr.R.J.Fag~olett~ IM;:)l('olm MorO";:)n Co Treas 11 3 7 11 3 7 12 15 71216/7 12 16/7 11 3 7 11"23 7 3 17/73'22/7'P. 4 13'7 1971 Pa.Inc.Tax (Fid.Return)Premo on Indemnifyin~BondforlosESEockCere. VFW~Post 764 Ambulance service j UU 20 00 .,rInt.Rev.Service Federal Estate Tax Olga Woodward,RecQrQ~e~r ~~Realty Trans Tax Louis Emeterio Bal.pro-rata share 1972rax~s Malcolm Morgan,Co.Treas.1972 Per.Prop.Tax S.White's Sons Marker Taylorstown Nat.Gas Co.17as b~IIs-Nov.1~/1 thruJune1972 Loss on sale of 16 sh Chrys~er Corp.,Com.44 65 Lo ss on sa1e 0 f 57 sh Pa.Tj-R-.-,--C-o-m-.------------------+----I-9-8-+-6-0-+- LOSS on sale 01;J4 ·sn Texas ICO.,com.44 f::iLossonsaleof7shVulcanMaterials,Com.1 01 7,10/7 James L.Chapman ~xecutor's Commission 8,150 00 Alexander McIlvaine Attorney's Fee 8,500 00----t-----=--------.-----+---"---+--Russell Marino,Reg.~i1ing Account 19 00 I Total Credits "'FJ,.)V,,-.....--..-_-+__+-j-~._...,...--+.-'-.--=.-'-';~.....;.;..._=_'__I_--:..::;....z....::::....:::.;;:.+_==--..:...- 1 I ~~_.L ~~(}1) •'11(, COMMONWEALTH Of'PENNSYLVANIA 1. t"ASHING~.ON j 80:COUNTY OF _---'-'c:.:..:::..::.::...=:..:..;_ I,JAME-S L.CHAPMAN _________HE.P.EBV C::RTlFV '(HAT.TO THE BElIT OF MY KNOWLEOGE:AND e'LIEF.THe:;;-OREOOING IS A JUST AND TRU F.STATEMENT OF CE!:lTS.FUNERAL.,"PENSEa AND EXPEN91:$01" ADMINISTRATION SUBMITTEO TO THE ESTATE 0;:-MARY L.CHAPMAN .ofC..A.li::O.AS DEDUCTIONS "'OR !';;iJ;;;:lI"A~ICE T"X PURPOD;'6.#~e¥ 1"::2 -L..1.-~CWJ,u?1 L.~L2M 0.,s.).:g;;;ilL~'iih-:;fl~_'__L)~Y Of'. "-~~-fub-:b.-c VICTORIA DALLY Notary PUb!Jc,Wasl1lnglon,Washington Co. My.Commission Expires July 19,1976 '. ....-'11 --.I N --c::>rn..-('=""(1i!.l en r-.......~ "\ ·~ ,.' (.jif·i -.i In the matter of :hhe Audit of Account filed in the Estate of Deteased CHAPMAN,Mary L. r"....PIN.THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA, \Datooldeatb 10...../7 ....1/. (NO,1054 of 1971 Term,19 .A.A. )DOCkcl~U '-f TO THE AUDITING JUDGE: Enter my 'appearance for the Commonwea~th of Pennsylvooia.claiming transfer inheribalJ1ce tax in the above estate,as follows: DR.lL(~fW To appraised Vl8lue of Estate:ReaLty_.__ _ __.___$. _ Personalty ;..__$~--"'!~~.=:.....-._ Additional Assets per Account,Subject to Tax _------'"$_ Additionall Assets per Audit,Subject to 11ax _ --$_ $ $-- $------- $------ $------- $------- $----- i ) GROSS VALUE__._.... ..._..$I )'l..~~t.llJp , L~1t;t..(,v} Additioml Debts and Expenses per Audit Debts and Expenses per Account;see Note CR. TOTAL DEDUCTIONS,$ NOTE:'11he following credits claimed in the Account are held not deductible a'S against the tax:CALCULATION Gross V:ailue .. $ Less Deductions " Clear Value .._..."_/1 ~t(~(),..3 /~:3 't £0,~3 - $------- /7 ~:!------'~------------at :-----.------- ~-'I---r:..--...:....'---=--~-_,,.)-- 7 2,.....~-/3 =;?-------- at ' 15%),...,._ .------------$---Y._-- I \.-lIt :~~PA~ON C~°c{O .rJO ·T.t,1 Tox I ~.t"'! \)~\1(p 0 \~Less amount previously parid .$""Iv01)•~.__-~$~Balance _$_~¥til $-•G."Y ''J 0 ~~,s-c."Interest__~rs._·_mos.__days @ __y.,-$......:.....:........__ C't~IJ~TOTAL TAX AND INTEREST DUE _..___..___$~7, .-03 .~ ,.f.)hQ l.J..._. -1))f)J if- '-$1J"1/.tJI'--O ..1 /.;U,/97..3 I.CD / ~~A-'~~I-_------------------------------~ , ).'lr /r ~; ~ t ,0, \. . 1/ ~., .':' t ,"'\ No..Term,19 __•A.A ESTATE OF Deceased PRAECIPE FOR APPEARANCE FOR COMMONWEALTH OF PENNSYLVANIA ~5 F ,!1 f.::~0·'· I ~l..I '73 JAN B PH I 35 RUSSELL MAI~INO I1EGISTER OF WILLS WASHiNGTtDN CO .•PA . - --------AfPLIcATro~rFuHAND-CD NS-EfrTCOMMONWEALTHOFPENNSYLVANIA DEPARTMENT OF REVENUE TO TRANSFER SECURITIES BUREAU OF COUNTY COLLECTIONS REGISTERED IN THE NAME OF A RESIDENT DECEDENT j APPLICATION DATE Mar.23,1973 TO TH.E PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby mode for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: PITTSBURGH PLATE GLASS CO.. (0)728 sh (b)(nmv PPG INDUSTRIES,INC.5 (c)·Common Stock (NOI E:In describing securities enter in (a),ab Ote,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the closs of stock qr the stated interest rate and maturity date of registered bonds.).. various dates from ISSUED ON 1945 to 1968 ,ond having a TOTAL MARKET VAilUE OF$=-3-=-1.3-::,3~9~5:...!...~00~._ (Dote) as of the date of.death of the decedent,_-,--t1A_R_Y_L_.-,--C_HA_P_N_AN ,on.;...._0.-:.c.-:.t.-:.._1_3..:..,_1..:..9..:..7_1__ (Nome of Decedent)(Dote of death) (Street and Humber) who was Iate of -,--_--:...!l.I.C.J..l51a+y.>2s..Y.v...!.i'-"'l'-"'l...se'--W~a=sh~i~nc6Jg-.!:t~o~n!....-_---=P~e"'-'n'_"n"_"_"<.sJ_y-=l...l!.v~a~n~i::=a!..- (Post Office)(County)(State) The s~curities are registered·as follows:~_~~~a~r~y~L~.~C~h~a~p~m~a~n~~ (Nome or names in which certificates are registered) James L.Chapman (Nome) ~) EXECUTOR ) 917 S.Trenton Ave.,Pittsburgh,Pa.15221 (Address) NAME OF APPLICANT _--=A:.:1.:=.e~x_=_an~d:7e~r~~~c::..:I~1=-:v~a"-"i=n=e~--- 33 W.Beau Street COUNTY FILE NUMBER same ADDRESS OF APPLICANT tYasbington,Pa 1 5301 . BUREAU FILE NUMBER 63-71-1054 SIGNATURE OF APPL~CANT\=>·[e_,-.~rf..,(~??z Qh-z,~~.~ NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE . CONSIDERED COMPL.ETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE March 231973 I hereby 'consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the fi ling of a certificate certifying to the payment of the transfer inheritance tax to which the property of sai.d Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961",P.L.373,as amended.This is also in accordance with the.provisions .of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. @(Title)(County) Signature) Register of Wills Washington '--------'----------'------'------'---'-'--'--'--'-'.~-==-=..~--=--=--.=-=.====--,'_._-----.-"._.,._..,. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUR~AU OFvCOUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION DATE June 15,1972 (Nome of Decedent) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for CQlsent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania:, (0)59 .sh (b)ATLANTIC RICHFIELD COMPANY'(c)$2.80 ·Cum.Conv.Pref. (NOTE:In describing securities ent.r in (a),ab Ole,either the number of shares of stock or the face amount of .registered bonds,in (b),the name of the issuing company and in (c)the class.of stock or the stated interest rate and maturity date of registered bonds.).. .. ISSUED ON Mar.31,1969 ,and having a TOTAL MARKET VAtlUE OF,$....3.....,..;...14_1._•...;.7..;;..5 _ .(Dote) .as of the date of death of the decedent,__M_a_r~X'--L.....;..._C_h_a__p~m_a_n ,on Oe t.13,1971 (Oat.of death) who was late of_-"1.....3~5 Main"Street. (Street and Number) Claysville (Post Office) Washington (County) Pennsylvania (Stote) The securities Qre~egistered as follows:__~~M_a_r~y~L~"_C_h_a~p~m_a_n~~~~~~~~~~~~~~ (Home or names In which certificates are registered) .lames T,Chapman 917 S"Trenton Ave.,PittSburgh,Pa"15221 (Nome)(Address) NAME OF APPLICANT Alexander Me 11vaine,Atty COUNTY FILE NUMBER 63-71-1054 ADDRESS OF APPLICANT 33 W"Beau.St.,Washington,Pa. BUREAU FILE NUMBER same SIGNA TUR E OF APPLICANT .-'t.';·'N .-<',.-)),/ .'Yir-e ,-,-_-"-~ NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. ., COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SE"cURITIES 27 JDATEune 1hereby consent to the transfer of the above securities now registered.in the name of the aforesaid 1972 Decedent and waive tho filing of Q'certificate certifying to the payment of the ~ransfer inheritance tax to which th~property of said Decedent is made subject pursuant to the provisions.of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,·P.L~373,as amended.This is also in accordance with the provisions r'. of the Act,of April 9,1929,P.L.343•. This Consent to Transfer the.herein described prope~ty operates only in reference to the estate of the above-named Decedent. :",'. . .;',"'.-."," ...,~;~, ," ,',:-'Si ~.".,.f.~",cr:~~~(S~lg.&no~t....ur~e)-I-J4I.o!oL:::~~"'----- ,'.Register of Wills Washington .".'::(Tltl.)(County)® COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BURf-AU OF~COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION DATE June 15,1972 TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby mode for Calsent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania:. (0)35 sh (b)ATLANTIC RICHFIELD COMPANY (c)Conunon Stock (NOTE:In describing securities entcH in (a),ab Ole,either the number of shares of stock or the face amount of ,registered bonds,in (b),the name of the issuing company and in (c)the class.of stock or the stated interest rate and maturity date of registered bonds.)·. (Date af death) on Oct.13,1911·,-----.",;.--...-- :ISSUED ON Mar.31,1969 ,and having a TOTAL MARK'ET VAIlUE OF.$_2.;..,4_0_1_._88 _ .(Oato). . ." .as of the date of death of the decedent,. .MARY L.CHAPMAN i (Name of Decedent) who was Iate of 135 M_a_~.,....·n_S_t_r_e_e_t_~__C_1_a...:y:-s_v_~_·1_1_e W_a_s_h_in_g=--to_n P_e_n_n_sY:;..l_v_a_n_;ia_ (Street and Number)(Post Office)(County)(State) The securities are~egistered as follo~s:~_~M=a~r~y~L~.~C~h=a~p~m=a~n~~ (Name or namel In whlch certlflcatos are reglltered) ,) James L.Chapman .(Name) ~~ EXECUTOR } 917.8.Trenton Ave.,Pittsburgh,Pa.15221 . (Addre..) NAME OF APPLICANT Alexander McIlvaine,Atty. COUNTY FILE NUMBER 63-71-1054 ADDRESS OF APPLICANT 33 W.Beau St.,Washington,Pa. BUREAU FILE NUMB~R same SIGNATURE OF APPLICANT .A:.,~...._..t:....-))/-Jri-.-..----C,-> NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. I . I COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SE'cURITLES DATE 27 June 1972 I hereby consent to the tran'sfer of the above securities now registered in the name of the aforesaid Decedent and waive tho filing of a certificate certifying to the payment of the transfer il)heritance tax to which. the property of said Decedent is made subject pursuant to the provisions.of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,·P.L~373,as amended.This is also in accordance with the provisions /"of the Act of April 9,1929,P.l.343•. This Consent to Transfer the herein described property operates only in reference to the estate of the '.(Signature) ..":.Register of Wills Washington (Title).(County).,.@ " '... .,.' "..;.," above-named Decedent. COMMONWEALTH OF PENNSYLVANIA OEPARTMENT OF REVENUE 8UR~AU OF ,COUNTY COLLECTIONS' .! APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES .REGISTERED IN THE NAME OF A RESIDENT DECEDENT .'1 APPLICATION 'DATE June 15.1972 (Name of Decedent) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:. Application is hereby made for calsent to the transfer of the followi~g securities of a Pennsylvania Corporation or a Notional Bonking Association located in Pennsylvania:' (0)57 sh (b)THE PENNSYLVANIA RAILROAD COMPANY (c)Capital Stock (NOTE:In describing securities entor in (0),ab CNe,either the number of shares of stock or the face amount of .registered bonds,in (b),the name of thet issuing companY and in (c)the class,of stock or the stated interest rate and maturity date of registered bondl.) :ISSUED ON Oct.30,1941 ,and having a TOTAL MARKET VAILUE OF $..,;;3;..;;0..;.,9..;...9;;...4:--_ ,(Date) ,as of the date of death of the decedent,MA-....R_Y_L_._C_HA_P_MA_N ,on Oct.13,1971 (Date of deoth) whowas Iate of 135 =.;Ma::::.;:i:.:,:n:-.::·S;..:;t:.::;r..:;e;.;:e;.:t:.....;...._-.:C;.;:l;.;:a~y_=s:..:v-=i=-=l:.=l:.:e=_____--.,;.W;.;;;a;.;;;s;.;;.h=_=i:.:,n:.s;;gz..:t:.:o;.;;.n=_____=P..;;e;.;,n;;;:.n:.:s:...:y...:1:..;v...:a:.:,n:.:i:.:a:...- (Stroet and Number)(Post Office)(County)(State) The securities ale~egistered as follows:~_~~M~a~rLy~L~.~Ch~a~pm~an~=___~~~~~~_~~ ,(Name or nameI In which certlflcatel are reglltered) J ~~)James L.Chapman 917 S.Trenton Ave.,Pittsburgh.Pa.15221EXECUTOR')-~~;,:,o,...=J.(N-a~m:.:oe)==~~~...::..:::..:-...::..:--=:..::..:::.:.:.::-..;;.;;;~;..;...:(;;..::Ad-Jd'-re...;:II-=)::.=..:;;.;:;.;;~~~...;;;..;;~....::;;.;;~;..;;; NAME 0F APPL.I CA NT _---=A.:=;l:.::e:.:.::x:.::a.:;.n.;:;.d.::.;er::....-:M.:,:c:..:I:.=l:..:,v..:;a..:;i.:.:.n.;:;.e.z...'.-,;;A~t:..:t::.l:Y-:'._ COUNTY FILE NUMBER 63-71-1054 ADDRESS OF AP'PLlCANT 33 W.Beau St .•Washington,Pa. ,.~?7"(~BUREAU FILE NUMBER same SIGNATURE OF APPLICANT /~';.,.47._,(~.r J -/h 4'I.A-':'_,{;-..' NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SE'cURITIES DATE 27 June 1972 I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid Decedent and waive th~filing of a certificate certifying to the paym,ent of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions,of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,·P.L~373,as amended.This is a'iso in accordance with the provisions, ".of the Act of April9,1929,P.L.343." This Consent to Transfer the herein described property operates only in reference to the estate of the .'above-named Decedent..:", i'I";, ........ ," :~"J ,",,:Register,of Wills Washington ...(Tltl.).......(c•••tr1m CvM.~\OSWEAL TK OF PENNSYLVANIA DEPARTMENT OF REVENUE SURE)"U OF COUNTY COLLECTIONSr• APPLICATiON FOR AND CONSENT TO TRA~~SFER SECUR!TIES REGISTEReD IN THE NAME OF A RESIDENT DECEDENT APPLlCAT10i"l DATE June 15,1972 TO TH,E PENNSYLVANIA DEPARTME!':T OF REVEt\UE: Application is hCHeby made for consent to the trcnsfer o{the following securities of a Pennsylvania' Corporation or a National Bcnking Association located in Pennsylvania:. (0)17 sh ,(b)NATCO CORPORATION (c)Common Stock (NOTE:In describing sccuritic~0ni'C'r in (0),ab CIC,(;;;';ler ¥hc number of shares of stock or the face amount of registered bonds,in (b),the nama of the i$suing compCiW and in (c)the doss of steck or the stated interest rate and maturity date of registered bond~.), Apr.30 1954 -''. ISSUED ON Apr.22,1957 ,and ha'ving a TOTAL MARKET VAilUE OF $3-,-4",-9",-.5;;...6~_ (Data) as of the date o~death of the decedent,M_a_r..::,y_L_._c_h_a...:;p_m_a_n ,on __O_c_t_._1_3....;.,_1_9_7_1__ (Nomo of Docodont)(Doto of dooth) Pennsylvania (Stoto) Washington (County) Claysville (Post Offico) who was late of 135 Main Street...:.=..=-..,;;:.-=..=;:;;.:;...-:...__..;;...;;;;=.L...=......:-:;;;.:::....:;:..~__--..:..~.;.;.:;.,;~;;;""..----'~_ (Stroot and Numbor) ~he securities are registered as follows:~__~~M~a~r~~~L~.~C~h~a~p~m~a~n~~_~_~_~_ (Nama or nomos in which cortificotos oro r09i~torod) I ·1 .~~James L.Chapman EXECUTOR)(Nomo) 917 Trenton Ave.,Pittsburgh,Pa,15221' (Address) NAME OF APPLICANT Alexander Mc I1vaine,Atty, COUNTY FILE NUMBER 63-71-1054 ADDRESS OF APPliCANT 33 W.,Beau St.,Washington,Pa ~ BUREAU FILE NU,l.-\BER same SlGNATURE OF AP?LlCM,r{/',t~<~_:<:_,,-.,,-"'..<.~c...:))~"_-;/;,t._"..J __-<.._q. NOTICE:IF YOU FAIL TO PRO?ERLY FILL IN ANY PORTION OF THIS APPLICATION,I.T WILL NOT BE CONSIDERED COMPLETE AND WiLL SERETURNED TO YOU FOR COMPLETION. DATE 27 June 1.972 I hereby consent to the transfer of the above securities now registered in th0 name of the aforesaid COMMONWEALTH OF PENNSYLVANIA -DEPARTrolENT OF REVENUE C01'lSENT TO TRANSFER SECURITIES .' Decedent and waive thc fi !ir.g 01 a cer';'l¥iccte ceiti1ying to the pcYrr:~nt of,the transfer inheritance tax to which the property of sai.d Decedent is made su~iect pursuant to the provisions of the Act of June 20,1919,P.L.521, as clT;cndcd and the Ac¥0';:JUil(:'IS,1961,P.L.373~a~amended.This is alse ir.c.;,;,:ordance wi:·h the provisions of the;Act of April 9,1929,P.L.243•./" This Cons0ni to Trcn:dc;~the 'h~.cin desc;r.ibed property operates only in reference to the estate of the u~ove·named D~ccd.::n1. o he 'Secretary of Revenue..- Register of Wills_washingt.~~ (n~lo).'(Colin,')')..0 ..... COMMOSW:;AL TH OF PENNSYLVANIA DEPARTMENT OF REVE1\U::: 6Ui\:::.....U OF COUNTY COLLECTIONS.'. r.. APPLicATIO;~FOR AND CONSENT TO TRA;~SFER SECURiTiES REGISTERED IN THE NAME 0;=A R::SIDcl~T DECEDENT APPL!CAT!O~~DATE June 15,1972 TO TH.E PEi\!NSYLVANIA DE?A~~-nAENT 0;=REVENUE: Application is hereby made 'foT c onscnr to 'lhe transfer v~the foliowing securities of a Pennsylvania' Corporation or a National Banking Association loccZed in Pennsylvania:.'. (0)44 sh (b)NATIONAL FIREPROOFING CORPORATION (c)Common Stock (:\0 I E:In describing securities Cii~cr in (a),ab Ole,either 7h~number or shores of 5:'ock or the face amount of registered bonds,in (b),the name of I·he-j:;;suing compGl'!Y and in (c)~hc dass of stock or ~oe stated interest rate and mcturity dot~of register~d bond::i.). iSSUED ON Oct.27,1941 ,cnd having a TOTAL MARiCET VAilUE OF $&-90=.,.4.:...z....7:..:5~_ (Data) o~of th~date 0f.deothof th e d~ccden i,MA_R_Y.;.......;.L:;;..;.'--C;;-.HA-'--P_MA-:;;...N"'--,on_..;.O..;:;;c.=t;..:..--::;1:.;;:3,-",,---=1:..:9;...:7;...:1=--_ (Nomo or Docedont)(Doto of dooth) Pennsylvania (Stoto) Washington (County)(po~t Offico) .Claysvillewhowaslateof135Main0Street-------'-----~---....;.....----_::::.-_-....,..------"'----- (Stroot and Number) ~he securities are registered as follows:~~~~r~~~L~._Ch_a~p~~~a_n__~~ ..(Nomo or nomo:>i;l whicn cortificato:;oro rogi:;torod) ~)Ja~es L.Chap~an EXECUTOR)(Name) 917 S.Trenton Ave.,Pittsburgh,Pa;15221 (Address) NAME OF APPL.lCANT·Alexander McIlvaine,Atty. COUNTY FILE NUMBER 63-71-1054 ADDRESS OF APPLICANT 33 W.Beau St.,Washington,Pa. BUREAU FILE NUMBER same SIGNATURE OF APPLlce;N~'-·I)~''-/..,"<,,-••._.:',.•~~-:51J,-'(;?h~z.-~ NOTICE:IF YOU FAll TO PROPSRL Y \=llL IN ANY PORTION OF THIS APPLICATION,IT WilL NOT BE CONSiDERED COMPL.ETE AND WILL BE RETUl~NED TO YOU FOR COMPLETION.. '.COMMONWEALTH OF PENNSYLVANiA -DEPARTMENT OF REVENUE CONS'~NT TO TRAl~SFER SECURITlES DATE 27 June 1972 I hereby cons:::nt to thctrans'iei v1 rhc above securities now registered in the nam'e of the aforesaid Decedent and waive the:fi lir.g of c c.::rdficat,z:c~rtjfyil'1g 10 the payment of the transfer inheritance tox to which ~he property of sai.d Dqcedent is rna'::,,:~~6j:,;;c~pursuant.¥o ~he provisi'ons of t;,i:Acz 01 June 20,1919,P.L.521, 1 d d 1 A·r j .......'"1 0''\73 . d d .,...,i 1"L . .as omcnac an tnc C¥Cl'.ur,·;·);;"',.,)~li ••L...,:),as omen (:.i his IS OI:.;C·~:,.:Jccoraancc WiZn toe provIsions -rho C ..-(.!. "'b d .,. .f ..!.•f hISonse:!t i'0 l ....:,'£,·:<;':¥·i~he-;-i;;;i1 ac:s~ra e p~'opel'\'Y o?~ra.cs oniy II";r;;)il;renc;e 'iO m~es·..aj(~0 t e CGove-nomed D~cC'C:",n.1. (Si!jnoturo) Register of Wills Washington--- 'II. ':::0 - '.-, !'1""'j ~~... RCC-72 (6-67) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION DATE Oct.29,1971 TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania,' Corporation or a National Banking Association located in Pennsylvania: 107 sh AMERICAN WINDOW GLASS CO.Common (a)51 sh (b)AMERICAN HINDOH GLASS CO.(c)5%Prior Preferred (NOTE:In describing securities enter in (a),ab Ole,either ,the number of shares of stock or the face amount of registered bonds,in (b),the name of tho issuing company and in (c)the class of stock or'the stated interest rate and maturity date of registered bonds.) 1941 thru 1955 182.00 ISSUED ON 1955 ,and having a TOTAL MARKET VAJlUE OF $_4'-'-9'-'-.-'-0-'-0 _ (Dote) as of the date of death of the decedent,__---'M=a=-r.;..y--=L'-'-.---.o;C.;;:.;h=a~p..;;;;m=a=n"'_,on Oc t.13,1971 (Nome of Decedent)(Dote of death) who was Iate of 135 M~a=i.::.::n--=S_=t'""'r_=e;.::e:..:t=--__--'C:;.:l::..:a:;:..yL...;s:::..v;;....:l.=_·l::..l=.::..e W.::.;a..;;.s.::.;h:.::;i;....n....g<..;;t--'o...;;.n"---_P_e.;...n'-n_s"-y"-l;....v.;...a=n---'-"i=a__ (Street and Number)(Post Office)(County)(State) The securities are registered as follows:Mary L.Chi3:::J;p:.:.m::.:a::.:n~_ ~ EXECUTOR ) (Nome or names in whi'ch certificates are registered) S. James L.Chapman 917/Trenton Ave.,Pittsburgh,Pa.15221 (Name)(Address) NAME OF APPLICANT Alexander McIlvaine COUNTY FILE NUMBER 63-71-105L~ADDRESS OF APPLICANT 33 W.Beau St.,Washington,Pa. BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT ~6"..--~,-/A ~A-~ NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE Oc t.29th.1971 I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive thct filing of a certificate certifying to the payment of the transfer inheritance tax,to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. (Signature) Register of Wills By •~A Secretory of Revenue ::0~ Washingbon (Title)(County) Form RCC-60:(11-64)) l ;-7!/-IO~Y ......., COMMONWEAl.TH OF PENNSYl.VANIA DEPARTMENT OF REVENUE HARRISBURG CERTIFICATE UNDER ItEVENUE ACT OF 1926 Date ~~.;:Y.!.~.L..A?.7.~::.. ~(,'..., TO THE UNITED STATES COMMISSIONER OF INTERNAL REVENUE: THIS IS TO CERTIFY that in the estate of MEl"""L Chanrn.::l1'\.....................~~,~.aI !~.,t~.'I _I I 1 ".___ i .""...late of ;,"~.5~n.g:tgnH _H H ~County,Pennsylvania, ii '.I II "•~• who di~d _9.e.tp.];}~J::1J .1.9.7~,.,~,:_.,no refund of ii''.. inheritance taxes has been authorized by the Department and/or by the Board of Finance and Revenu~of this Commonwealth;and that there is no claim ~~~'~ending for :a refund of such , IItaxesiii said estate. " I,Subject to additional tax,if any,under the Act of May 7,1927,as amended.I .., ,..Amouni Paid Dlscouni lDieredToblTall:Im~d In Cash Dale PaId Allowed Cbaqecl ': " On Iudi..to $6~840.00 l2~16 ...7l $360.00'.ooun· ~. For SEAL ~~&~y~f Rfm<ae ilco:'Russell Marino,R~9ister of Wills ,i\ddr~ss ;:my r~ply to:P,O.Bex 2.t5.Cornwe!ls Heights.P3.19020 @Jj[Fj@ms[fu1J@U1)lS @g {S[}u@ 1J(?®@~(yJ[(~ . I .j" lin reply refer to: D?-612 Date: rov.20,1972 ','. ,[>Janes L.Chapr1Etn1 Exec• 917 S.Trenton fve. Fgh.1 l'3..'15221 :(. Estate of:l'~ary L.Chapttan Date of Death:October 13,1971 331;:206··18-9519 DLli:2560620860014 ;;-,I ,t j ~I 1 j Ij ~JIj 1j t1,1 i, i ESTATE TAX CLOSING LETTER (This is not a bill for tax due) ; I .j \{ 0\ 'J !~.'",; ,I The computation at the bottom of this letter shows the Internal Revenue Service's determination of the Federal estate t~x liability for the estate named above.You should keep a copy of this letter as a permanent record,since your attorney may need it to close the probate proceedings for the estate.It,together with proof of payment, is evidence that the Federal estate tax liability for thi estate has been settled. '1=~our~.~~ Director $352.44 -u- 'Gross estate tax ' . Less credits allowed: State death taxes . Federal gift tax . Tax on prior transfers . Foreign death taxes ' . $16,235.35, Total credits ','. . . . . . . . . . . . . . . . . . . . . . . . . . ...$--~I~5-,~,;~:~i .Net estate tax ,~..........$---~-_.-"--_-0-Penalties,if any.. . . . . .... . . . . . . . . . . . . . . . . . . . . . ...$ I . i ·1 Form L-154 (Rev.9-69) . " ____-~_~.,_ro_------.-,_._-_._._~.--.~---.-~_.~.,~--......,.,.............,_-_.__..,....'~'~~'_.------,""""!"""~..........-----~~.~"~~r:-~---J dollars $---------1111 $ $ 7,200.00 $ $ $ $ 7,200.00 360.00 $ On Account $-------- 00/100 --~-~----------~--~- 6%Tax on $_ 2%Tax on %Tax on $_ Estate Tax,Act of May 7,1927 15%Tax on $_ 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 _.. Name of Decedent ------------------i Remarks: ~fJR December 16,1971 Date of Payment ----..-.....,.~........-""7'nTT'ftTll'r1i:y-----___t 63....71..1054 10.13...711FileNo.Date of Death ----l WASHINGTONCounty ---; SIX THOUSAND EIGHT HUNDRED FORTY and RECEIVElames L.Challah •keF. representing Pennsylvania Inheritance or ATTY.ALEXANDER McILVAINE Estate Tax due from the following estate:From:--.m 33 'VEST BEAU STREETAddress ---l WASHINGTON,PENNSYLVANIA 15301 No·8 P=RC:::;C'4:Jl(Siiil'6SiE):=::!lEElEII"EIII3IIElElIIlC·OIlME:lMllloDNE&::W==ea!AIILyMiHmEO·Fllpil'llle·N3INlEsEyliillLc::JVIlA5iliN=IA"&:"-~"'&:r;~SIIE:iil=-lJ DEPARTMENT OF REVENUE11927OFFICIALRECEIPT•PENNSYLVANIA INHERITANCE AND ESTATE TAX ..]'[RJ~[P[b~@&'[j'~ISEAl TOTAlAM~LP-AID $6,840.00 NOTE:This Triplic;te Re:eiplto be retained for au~m;l16-7 \)1IJI~. \"Received b~~.kdz..~ie--u.rl\...().. NOTE:In accepting the transfer Inherjtance tax an future estates.prior to the death of th?,'life ).~f-(SignatureFJj'"~ tenant or tenant for years.as.eVld~nc~d by this receipt.it Is understood thot the Commonweolth shall-".~Jl.\1M ~J',,) not be precluded or prevented from hereafter assessing addltlonol Inheritonce tax at the deoth of the--'",>.::,..('--\:,.'-J v-,..~ life tenant or tenant for yeors whenever 11 appeors that such additional tox may be legally due ond .....-\(Title) collectible for any reason whatsoever..)""_________~~~_J ,,~ffibauU OOf ~hrrutnr oo/'f~nfutat{a'fufY ,.1 .§tutr of 19~nnsyluut1iu }.!is: .mounty of mU!il1iugton Personally before me,the undersigned authority,a ~~.:~.~?;::t.X~)?~.~.c::in and for said County and State,appeared }~§~9.Mg~N who,being duly sworn according to law,deposes and says that he is the executor :wKxdm~of the es- tate of _..MARX :t,..!QM.r.~R deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of ....M.ARX...L.•...~tJAfMAN, deceased,except real estate outside the Commomvealth of Pennsylvania;that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated bv the undersigned to be the fair value of said items as of the elate of the decedent's death,based upon a just appraisement of each item made by the above named Executor lUtM~K'it~~ ":"'/"..'.I::J'J.& \\S1i(om an~subswbed before me tIm .....Q.LIL...};}./)b ~t/,..\'""};'.b 7 lh'AA i?/l r '\....It ..Y1A;U~..')'~."~"",Ulc:;.to er .19 2 0..•Y.YJ<.(j.,./..r.:.. /.'-}.:.1 j ......:;••\.:.r ..-.:,....................·..I.."';".1 . ,Executor;'~n~t&~ ,0'),l k -1-:,.,/.\,'mr.lnY AI M ...--/~'-It·./.,,/t.A.:.X...ir.t\ti.~Jt7:~.UL ~. :>:"\Notary PUb;(C,)'IO·~hin8t',Washington r:"ADDI ONAL INSTRUCTIONS . • . "My coma'ission E~plres July 19,1976 1,t,. _'I 1 1",I"",'1.i J 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':/1;Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies and 2 RCRI-33, I ','Over!$10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,i~ eluding 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 3Jnurntory ani)~pprais.rm.rnt of the goods and chattels,rights and credits which 111ere of M!.\R.X ~.~G.J;JA.~MAN late of :.GJ~y~.v.;t.~.~.~:.. Washington County,Pa.,taken and made in conformity with the above affidavit. DOLLARS CENTS \...., f (@ 8-3/16) (@ 31-3/8) (@ 34-7/8) (@ 44-7/8) Div.on A.T.&T.,Pfd.Stock,11/1/71 sh A.T.&T.,Com.Stock 8 Warrants for A.T.&T.,Com.Stock 6 shA.T.&T.,$4.Conv.Pfd.Stock (@ 58-13/16) 59 sh Atlantic Richfield,$2.80 Conv.Pfd.Stock (@ 53~) 35 sh Atlantic Richfield,Com.Stock (@ 68-5/8) 24 sh Burlington Northern,Com.Stock (@ 54-7/8) 78 sh American Standard,$4.75 Cum.Pfd.Stock (@ 70-7/8) 11-$20.American Express Travelers Cheques 51 sh American Window Glass,5%Prior Pfd.Stock (now ASG Industries,5%Cum.Pfd.)(@ 12-3/4) 16 shChrys1er Corp.,Com.Stock 212 sh Columbia Gas,Com.Stock 107 sh American Window Glass,Com.Stock (now ASG Industries,Com.)(@ 7). 584 sh Continental Oil,Com.Stock !120 I I I II P=ER=S=O=N=A=L=T=Y==============:========--===I=i:!'I==:::::T::::;=::'====== Checking Account-Mellon National Bank &Trust CO.II (Claysville Office)1'113,425;28 .1 ! II 220 1 00 1;5,5281 25 j'I 115,3851 00 !I 3521 88IIj I 7126 I,65150 II , Ii 2,401j 88 e II 3,141 75 11 II! II 7491 00 d I II ,II'II 650:25 'I IIIII1,317 1 ,00 IIP iII502 00 I Il!III7,393.;50 Ii I (@ 29-15/16)Ii 17,483 50i·:1 ! Ij ICarriedForwardII58,623 05I.Ir'I,I I"'--__.--_"_..._-._._.,;;;.~....:.;.,;,.-;;;:_...::_::;_=__====_=_=~='_='~=--_~'--='-=--=_=_::::..,====_=_==.__=_=.__:::__=._==:================:::.:1.I======-....,...-._........._._--..---_._-...._._- Brought Forward ~$58,623.05 71.sh Fuqua Industries,Com.Stock (@ 20-9/16) 44 sh National Fireproofing,Com.Stock (now Fuqua Industries,Com.)(@ 20-9/16) 17 sh Natco CorR.~Com.Stock (no~Fuqua Industries,Com.).(@ 20-9/16) 318 sh Lone Star Gas,Com.Stock (@ 27) 80 sh National Biscuit,Com.Stock (@ 52) 38 sh Northern Natural Gas,Com.Stock (@ 47~) 57 sh Pennsylvania Railroad,Com.Stock (@ 5-7/16) 728 sh Pittsburgh Plate Glass,Com.Stock (@ 43-1/8) 254 sh Socony Mobil,Com.Stock (@ 48-5/16) 60 sh Southern Pacific,Com.Stock (@ 43-5/8) 34 sh The Texas,Co.,Coci.Stock (@ 31-15/16) 24 sh Union Oil of California,$2.50 Conv.Pfd.Stock(@ 46~) Div.on Union Oil of Cal.Pfd.Stock,11/10/71 100 sh Union Pacific,Com.Stock (@ 59-9/16) 7 sh Vulcan Materials,Com.Stock (@ 25-5/16) 1,459.94 904.75 349.56 8,586.00 4,160.00 1,805.00 309.94 31,395.00 12,271.38 2,617.50 1,085.88 1,116.00 15.00 5,956.25 177."1.9 $400.A.T.&T4 ,30-year,8-3/4%Deb.,due 2000(@ 109-3/16) Bankers Life &Casualty Co.-Payments a/c medical exp·. Protection Mutual Ins.Co.-Payments.a/c medical expo Northern ,Nat~Gas Co.-Proceeds sale of Rights 436.75 727.63 502.00 6.96 Warthen Oil &Gas Lease-Kearny County,Kansas (W.B.Osborn,Operator) U.S;Treasurer -Refund on 1971 Income Tax 87 pieces Sterling Silver Flatware,and Dishes Household Furniture Diamond Engagement Ring 2,743.62 388.45 100.00 3,047.01 100.00 REAL ESTATE Total Personalty ....................138,884.86 House and lot,kno\Vll as 135 Main Street, Claysville,Pa.(See Will Book 61,page 99) TOTAL ESTATE . - 2 - 14,000.00 152,884.86 •_·__•____.."..M __•__••••_._-._•••-._-_.__.~"._~._._-'_••__._----~-_••"_.:---_.,_.-••-.-"'"":'---.-.--.------.-..~.--::.----.-.---.--.-.-. (V') c:::::l 0 (/)<t ~~-.J Q.. (V')---J c-:-0 J::-:;I:3J:..D.-..,'"lJ._<':' 0 ..~:.0 ...,.....~ u:: .:X 0 {'-:; .....J r- ~UJ 1.1.1 (~ ~-U)r-z ..--.J C->U) (/)- c:;)-::c -~~: :::::>0 (/) LL f"..I a:::lJJ <:t r--!Z ~.. I<, ~~,)t;;'9~".1,,',- 2 1 5 0 1 4 0 0 1 4 0 0 1 1 0 0 3 0 0 5 0 0 1 5 0 0 5 5 0 2 0 8 1 4 6 4 9 :3 3 2 4 0 0 7 7 6 2 9 6 7 9 2 3 0 0 0 0 1 0 0 0 4 9 0 0 2 1 5 9 3 0 0 2 0 0 0 1 9 9 5 0 1 0 5 0 0 8 1 5 0 0 0 8 1 5 0 0 0 1 9 0 0 8 5 0 0 1 9 3 9 4 2 3 .1,',' t $sr...',6"•••ee;;.'•••·.'M",·aft ti±t.**i.A:M'"'O"'...¢.A-..h ......-.... (.00 T •14,000.00 14,000.005 1142528 220.00 5,52825 5J385.o0 -352.88 726 6550 2,£~OL88 3J 141.75 749.00 65025 1/317.00 502,.00 139350 17J 48350 1459.94 904..15 34956 8,586.00 4,160.00 h805.00 309.94 31395.00 12,27138 2,61750 b085.88 1,116.00 15.00 5,95625 177.19 436.15 127£>3 56 ,2 '.00 6.96 2,143.62 388.45 100.00 1047.01 100.00 152,B84.865 152,884.86 To .f "'~ 1\ftibnutt ®f iE~rtutnr OOr 1\ominiatratnr ;f'II' ~tutr of ~rnn£iyluttt1iu l <!tannty of 1[iu.aqington S .an: P II b f th d . d th't Notary Public . d f 'dersonay e ore me,e un erslgne au on y,a 111 an .or Sal County and State,appeared .J.~§~.·..J;;.Mgl.'1A~who,being duly sworn according to law,deposes and says that he is the executor mx:Re1m~of the es- tate of J1ARX L.!CM.r.!1A.~:deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of ...J1~RX ..L.~...c.HAeM.AN, 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 saiq items as of the date of the decedent's death,based u'pon a just appraisement of each item made by the above named Executor 1Ul:Ml~Kit~ \\S~~~~1~all~subscribed before me this ..IJ.i..iC..,}\J jJ I}()~\':~la-~:-.:".;b'.ctober 19 72.....}~p~..rI L;r"-4 )~~...',),";.,\/..'.;,..·..?i7"LL ,I'/Executor ~ ",J"t;":'z.,.C~UfItr.~FiU'~u{~......:..~t~'..·....···,J , \Nolary publIc,,Yh'~hlngt I Woshlngton "'ADDI ONAL INSTRUCTIONS .M .Commission Expires July 19,1976c,'J J r,.. • •,I :f.'i Art i'nv.ehtory 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.'/':;1;Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, J 'lOver'$10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,it:l- 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 ,3Jnurntnry ani)1\pprui£irmrnt of the goods and chattels,rights,and credits which were of MARY.L.~G.M.~~N .late of GJf:J..y~.v.~.~.l~. .Washington County,Pa.,taken and made in conformity with the ab(}1)e affidavit. DOLLARS CENTS '-.•.. "..', (@ 8-3/16) (@ 29-15/16) (@ 31-3/8) (@ 34-7/8) (@ 44-7/8) sh Columbia Gas,Com.Stock Div.on A.T.&T.,Pfd.Stock,11/1/71 .sh Continental Oil,Com.Stock 8 Warrants for A.T.&T.,Com.Stock 6 sh A.T.&T.,$4.Conv.Pfd.Stock (@ 58-13/16) 16 sh Chrysler Corp.,Com.Stock 51 sh American Window Glass,5%Prior Pfd.Stock (now ASG Industries,5%Cum.Pfd.)(@ 12-3/4) 59 sh Atlantic Richfield,$2.80 Conv.Pfd.Stock (@ 53~) 24 sh Burlington Northern,Com.Stock (@ 54-7/8) 35 sh Atlantic Richfield,Com.Stock (@ 68-5/8) 78 sh American Standard,$4.75 Cum.Pfd.Stock (@ 70-7/8) , 11-$20.American Express Travelers Cheques 107 sh American Window Glass,Com.Stock (now ASG Industries,Com.)(@ 7) .=---.----=.=.--=--=--=-=-================n====;===~===1 PERSONALTY II I Ghecking Account-Mellon National Bank &Trust Co.I '.. (Claysville Office)1113,425\28 II I II 2201 00 II I. II 5,5281 25 15,385!00 11 352 1 88 II 71 26 II 65!50 II I I III2,4011 88 Ii I,I II 3,1411 75 "IIII 'I';749'00I! il I":1Ii 650;25 l!III, III ,1 ,317 1 00 ,,L III502 00 "I11i III 7 ,393 50!IiI1!17,48350 1.1IIIICarriedFonvard.....•...••.1'1 58,623 05II,1-'...J'I "'__'_~'~'__""_'_'__._._.._~_'_.._"~'~--__.._-.~---.....;.._..__~-'---..--J-.,.-1 ,__~. 120 sh A.T.&T.,.Com.Stock Brought Forward $58,623.05 71 sh Fuqua Industries,Com.Stock (@ 20-9/16) 44 sh National Fireproofing,Com.Stock (now Fuqua Industries,Com.)(@ 20-9/16) 17 sh Natco Corp.~Com.Stock (no~Fuqua Industries,Com.)(@ 20-9/16) 318 sh Lone Star Gas,Com.Stock (@ 27) 80 sh National Biscuit,Com.Stock (@ 52) 38 sh Northern Natural Gas,Com.Stock (@ 47~) 57 sh Pennsylvania Railroad,Com.Stock (@ 5-7/16) 728 sh Pittsburgh Plate Glass,Com.Stock (@ 43-1/8) 254 sh Socony Mobil,Com.Stock (@ 48-5/16) 60 sh Southern Pacific,Com.Stock (@ 43-5/8) 34 sh The Texas"Co.,Com.Stock (@ 31-15/16) 24 sh Union Oil of California,$2.50 Conv.Pfd.Stock(@ 46~) Div.on Union Oil of Cal.Pfd.Stock,11/10/71 1,459.94 904.75 349.56 8,586.00 4,160.00 1,805.00 309.94 31,395.00 12,271.38 2,617.50 1,085.88 1,116.00 15.00 100 sh Union Pacific,Com.Stock (@ 59-9/16)5,956.25 7 sh Vulcan Materials,Com.Stock,(@ 25-5/16)177.19 $400.A.T.&T.,3o-year,8-3/4%Deb.,due 2000(@ 109-3/16) Bankers Life &Casualty Co.-Payments a/c medical exp'. Protection Mutual Ins.Co.-Payments,a/c medical expo Northern Nat.Gas Co.-Proceeds sale of Rights 436.75 727.63 502.00 6.96 Warthen Oil &Gas Lease-Kearny County,Kansas (W.B.Osborn,Operator) U.S;Treasurer -Refund on 1971 Income Tax 87 pieces Sterling Silver Flatware,and Dishes Household Furniture Diamond Engagement Ring Total Personalty REAL ESTATE House and lot,known as 135 Main Street, Claysville,Pa.(See Will Book 61,page 99) TOTAL ESTATE . - 2 - ...''--.~~'-. 2,743.62 388.L~5 100.00 3,047.01 100.00 138,884.86 14,000.00 152,884.86 ............ ...~i1--.I c.o.>--C-,--::t:-.."';Z rn -::0 CJ...