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Home My WebLink AboutOC1971-1058 - ESTATE OF HARRIS,Page 1 of2 County County State 058 PENNSYLVANIA wing spouse (if any)and heirs (attach nsupport thereof aver(s)the ite,durante absentia.durante minoritate 021 divorced,was not a party to a pending and did not have a child born or (State)with his/her last---- Washington d been established as defined Borough ed by Register) 0_1_/1_4_/1_9_67 and Codicil(s) ounty ALUE $ 0:232-38-9219 66 \,~. ..,•." ..' PETITION FOR GRANT OF LETTERS REGISTER OF WILLS OF WASHINGTON COUNTY, Petitioner(s)named below,who is/are 18 years of age or older,apply(ies)for Letters as specified below,and i following and respectfully requests the grant of Letters in the appropriate form: Decedent's Information Name:MILDRED A HARRIS FileNo:63-71-1 alkla:MILDRED S.HARRIS (Assign a/k/a: alkla:Social Security N Date of Death:10/08/1971 Age at Death: Decedentwas domiciled at death in Washington County,PA principal residence at 6 BUCEY ROAD,Burgettstown 15021 Burgettstown Street address,Post Office and Zip Code City,Townshipor Decedent died at Street address,PostOffice and Zip Code Cily,Township or Borough C 0 Estimate of value of decedent's property at death: Ifdomiciled in Pennsylvania......................All personal property $ Ifnotdomiciled in Pennsylvania................Personal property in Pennsylvania $ Ifnotdomiciled in Pennsylvania................Personal property in County $ Value ofreal estate in Pennsylvania...................................................................$/IJ.IJM.oil 0 TOTALtSTIMATED V Real estate inPennsylvania situated at (Attach additional sheets,ifnecessaIY.) Street address,Post Office andZip Code City,Township orBorough DA.Petition for Probate and Grant ofLetters Testamentary Petitioner(s)aver(s)that he/she/they is/are the Executor(s)named in the Last Will ofthe Decedent,dated thereto dated DALE F.HARRIS DIED 2-21-1992 THE ONLY NAMED EXECUTOR State relevant circumstances (e,g"renunciation,death ofexecutor.etc.) Except as follows:afterthe execution ofthe instrument(s)offered for probate,Decedent did not marry,was not divorce proceeding wherein the grounds for divorce had been established as defined in 23 Pa.C.S.§3323(g), adopted;and Decedent was neither the victim of a killing nor ever adjudicated an incapacitated person. D NO EXCEPTIONS [iJ EXCEPTIONS d.b.n.c.t.a [i]B.Petition forGrantof Letters of Administration (Ifapplicable) c.I.a.•d.b.n.,d.b.n.c.t.a.,pedente I If Administration,c.t.a ord.b.n.c.t.a.,enter date of Will in Section A aboveand complete list ofheirs. ExceRt as follows:Decedent was not a party to pending divorce proceedi~wherein the grounds for divorce ha in 23 Pa.C.S.§3323 (g)and was neitherttie victim of a killing nor ever a Judicated an incapacitated person. [i]NO EXCEPTIONS D EXCEPTIONS Petitioner(s),after a proper search haslhave ascertained that Decedenlleft no Will and was survived by the folio additional sheets,ifnecessary): Name Relationship Address DALE HARRIS Son 6 BUCEY RD BurQettstown PA 15 Form RW-02rev.10-11-2011 Copyright(c)2011 form software only The LacknerGroup,Inc. Oath of Personal Representative Official Use Only COMMONWEALTH OF PENNSYLVANIA } }SS: COUNTY OF Washington } Petitioner(s)Printed Name Petitioner(s)Printed Address ANNA HARRIS 6 BUCEY ROAD Burgettstown,PA 15021 ~~C:;:)Fg-.::;:;::>0 ""=:::G")~~Zc;;:;(;);::;:1 ::0 <:...r), f\);::;:1,~;:>0 .... .;;::::0 ~-,...]:a.n~:x C'.:70-.;-r-•r-- -oC/'}'::'::i,;:,l>~~"-" The Petitioner(s)above-named swear(s)or affirm(s)the statements in the foregoing Petition are true and correct to the best of the knowledge and beliefof Petitioner(s)and that.as Personal Representative(s)of th~ecedent,Petitioner )will well apd truly administer the estate accordi~to laj Sworn to.or affirmed and subscr!bedbefore .J Date ir.:L 0/i me this day of ,rltJ/4f Dale ~~ Oale BOND Required?D YES ~NO FEES: Letters ".l?J $,15.f1~ ()Short Certificate(s)".""" ()Renunciation(s)"" ()Codicil(s).."""".. ()Affidavit(s)"."". Bond " . Commission . Other To the Register ofWills: Please enter my appearance by my signature below: Attorney Signature: Printed Name:SARA A GASSER Supreme Court10Number:--.;..3..;,10:..,:6:..:6..;,4 _ Firm Name: Address: JONES DEILY CAVICCHIO 401 WOOD STREET 3RD FLOOR Pittsburgh,PA 15222 Automation Fee "...:r.,,1 ~~~:~~:lir;7.J3..l..3::::$£)'fsj Phone: Fax: E-mail: 412-456-4700 DECREE OF THE REGISTER ,in consideration of the foregoing Petition, Date of Death:10/08/1971 Social Security No:-=2::.;32:..·::.;38:..-::.;92::..:1~9 _ File No:63-71-1058 2014 Estate of MILDRED A HARRIS a/kJa:MILDRED S.HARRIS AND NOW,April 29 satisfactory proof having been presented before me,IT IS DECREED that Letters -=o.;.,.f:..:A=dm~in.:.:.is::.;t::.:ra::.:t::.:io:.:.n:...__ are hereby granted to .....;.A.:.;.N.:.;.N.:.;.A..;,H:..:.A:..:R:..::.,:R:.:IS=--_ Page 2 of2 in the above estate and (if applicable)that the instrument(s)dated ....:0:.;1;.:./1.:.:4:.:,./1:.:9:.,:6:.:.7 ,-_ described in the Petition be admitted to probate and filed of record as the last Will (and Codicil(s))of Deced Form RW·02rev.10/1112011 ." w I L L '"J 'q I~'f ,....)0 'j,:.'.n.:I.,I,,\.t\,\')~-!n..r'()ver T()'W\,l:'-'hi),"\'ri.'.sltir.gton County,Pennsylvania,decla:c(-:,! .t,is to b~my last will and do h0reby revoke any will previously mad8 by me. FIRST:I ~ive and bequeath all of my personal prnp~rty, inclu1ing cash,furnitur~and household equipment,to ~y two children, ~ildred Ruth Pearce and Da18 fr~nklin ~arris,equally. S~~COND:I devise al'.of my re,tl estat/2,to my s8.id son, nal~Franklin Hirris. TRIED:I appoint my said son,Dale Franklin Harris, E~ecutor of this my will and direct that he shall not be required this Siened,sealed,published ::l.nc c1ecl::l.red by the above named Tes tatr1x 8.S arid for her last wi l]':tlid test:1ment,in the presence of us,who,at her request,in her presence and in the presence of.each other,have hereunto subscribect our names as witnesses th~reto. IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my official seal at Washington, Pennsylvania,this..?.~.~.~.~..·..day of :Q.~..~·9.:9.~.t··..····..·..·· A.D.,19...:?..1"M A// ..........l~·~~····················Register w 1?-..§duly sworn as the law directS.I hereby certify th.t the above appointment is in lull loree and effect on tbis date. w..!"..~in the said testament named to be Exeeu'or thereol,that letters testamentary upon the estate 01 the said..!.!.~.1.AE.~.9.....:'l..,....•!J'.'..Er.~.~.-"t;!l.'.i..A.····~li 1 dred A.He.r r i s ............................................................................................................................. .............................•...............................................were issued on the..g.1..~.~.'day 01 <J.~·~·2.t'.~.:':························19?1.··· to the above named Execut or and that he I,~".:."-~g:l.~.:':.~!':2.•........................................................................Register lor the probate 01 Wills, and granting letters 01 administration within and lor said County and State,do bereby certily that the records of my office show:That .J.~n.gx.~g ?.,)!~.r..r.~.~.•.....A.J.l.'!;;~l~.1£E.'!.9 ~.,..···!I.e.:.r..r·~·~·······························. 01 l!':J:!2.y..~.r.::r..9!!.'.':~.J;1~.!',in the said CountY,died on 'be !J..~·l.'.,·····day01 .9..c.·~·".1'.·~:r..···············. A.D.19 1.1..,estate;that said will was duly probated on the..?:l..~.~··:··················day ol ?~·~·~.'<l·~·':,,················· A.D.19 ?.1 and recorded in Will Book No J:l.:?··········Page ·•······················· Th.t P.!'.I~1.':E~!'.l<'.HJ:!!.l.".r.d.S.__.......................................•................•..........•.................................... <1lotUtUOuUttalt4 of 'tuuliyluauia Iht114ingtllU Q1.11unty.1111: ·j \3-<0-3 Register of Wills of Washington County Pennsylvania INVENTORY Estate of MILDRED A.HARRIS also known as MILDRED S.HARRIS _____________-',Deceased No.63-71-1058 Date ofDeath OCTOBER 8,1971 Social Security No.232-38-9219 Personal Representative (s)ofthe above Estate,deceased,verify that the items appearing in the following Inventory include all ofthe personal assets wherever situate and all ofthe real estate in the Commonwealth ofPennsylvania ofsaid Decedent,that the valuation placed opposite each item of said Inventory represents its fair value as of the date ofthe Decedent's death,and that Decedent owned no real estate outside ofthe Commonwealth ofPennsylvania except that which appears in a memorandum at the end ofthis Inventory.I/We verify that the statements made in this Inventory are true and correct.I/We understand that false statements herein are made subject to the penalties of 18 Pa.C.S.Section 4904 relating to unsworn falsification to authorities. Telephone:_7.:..-2:-4.::..-_7.:..-2---'9:--_3::-8.:..-5.:..-3::-....._ Dated: Personal Representative: ~-L2~MNameof Attorney: I.D.No.: Address: Telephone: SARA A.GASSER 310664 401 WOOD STREET 3RD PITTSBURGH PA 15222 412-456-4700 X 213 6 BUCEY ROAD BURGETTSTOWN PA 15021 Description 6 BUCEY ROAD BURGETTSTOWN PA 15021 TAX PARCEL NUMBER 340-011-02-04-0006-00 _"-...l ..::.T-<.::><0, Co<c V~ C::::l ~C C~;I:St....:c::::'-'--::>l ...L..J 0-"-Ck:::'::If")C t-LJ =l-- fo-"N ~~ ~-'~2 (.9 ~C):r")w..J t..r L1-l ...,.=-e:z: ~~<-c::::>C.~~I (Attach additional sheets if necessary) Value $10,000.00 Total:$10 «000.00 Note:The Memorandum of real estate outside the Commonwealth ofPennsylvania may,at the election of the personal representative,include the value of each item, but such figures should not be extended into the total of the Inventory. "...,.."'.. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA THE ESTATE OF MILDRED A.HARRIS AKA MILDRED S.HARRIS DECASED ORPHANS COURT DIVISION FILE NO.63-71-1058 STATUS REPORT Filed on behalf of: Anna Harris ofthe Estate of Mildred A.Harris,aka Mildred S.Harris, Deceased Counsel ofrecord: Sara A.Gasser,Esquire 401 Wood Street,3rd Floor Pittsburgh,PA 15222 (412)456-4700 x 213 PA ID No.310664 ~~--~-------------------------------------, "1"'I "'.I STATUS REPORT UNDER RULE 6.12 Name of Decedent:Mildred A.Harris AKA Mildred S.Harris Date of Death:October 8.1971 Will No.Book No.:112 Administration No.63-71-1058 Pursuant to Rule 6.12 ofthe Supreme Court Orphans'Court Rules,I report the following with respect to completion ofthe administration ofthe above-captioned estate: 1.The Estate Administration is complete and this is the FINAL Status Report. 2.(a)The personal representative did not file a formal accounting. (b)The Estate was reopened due to the failure to transfer the real estate at 6 Bucey Road,Burgettstown,PA 15021 with Parcel ID 340-011-02-04-0006-000. (c)Researching the Estate that was opened in 1971,the personal representative did not see where an Inventory was originally filed.She filed an Inventory with this Court on June 25,2014. (d)Inheritance Tax was paid on the real estate on January 3,1972,a copy ofthe receipt is attached for your reference. Address 401 Wood Street.Third Floor Pittsburgh.PA 15222 Telephone:(412)456-4700 x213 Capacity:Counsel for Personal Representative Date:September 23.2014 Signature ....,.~:::'=':"'---r--P=--L---- Name Sar A.Gasser (EASE TYPE OR PRlNT) l.f) C'\.J 0_u..; (/) ...".........c:;:-,~ (e)The Personal Representative completed and recorded a Fiduciary's Deed from the Estate to the beneficiary Dale F.Harris.A copy ofthe recorded Deed is attached for your reference. .'I , TENTATIVE STATEMENT PENNSYLVANIA TRANSFER INHERITANCE TAX Dote ~~/97;Z Real Estate Personal Property .~;~raiseu-d_.J-J_--->o.3L--"-L7_rJ.-,---.--L~.~ty pi!-e?J 7-c2 J()000.00.I c)3.5'().OCl . i State ·File t:>J-V-IOSJT Joint Accounts /-5s,s.S3 Less Exemptions I ..TAXAl,\LE AMOUNT . Less Debts and t 3/,3 9AdministrationExpenses,__~_~_~..,.--,-----,~,1-,........:.-.-._•.,...,1,.......,.,...,.... 2S c;:;..3Y TAX ouu...~@._--:.....,.,._%---.-- AmO\Ult Previously Paid 4s's-.-51 39y 7</ __%onL...--__~__-_-_ TAX BALANCE 60 ?o Interest froID'--'--_t.....O-4'-··.'----.---...............,----.'"------~-:%J;.£'-7.2-J'.cJ ./ ~7,7t, ____~L~@~~f7'~I~-BALANCE DUE COMMONWEALTH fc:!I •i96J DISCOUNT (570)IF PAID WITHIN THREE MONTHS FRO~ATE JF DEATH. ~.S-77b CL_.lJ.7;/17LPA~O: REGISTER OF WILLS WASHINGTON COUNTY COURT HOUSE WASHINGTON,PENNSYLVANIA ~~. Register of Wills and Agent'·for~~9:t Commonwealth of Pennsylvania. z ....· t ~t I RCC-81 (5-7\) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT DAlE FRJ',IOO.TN HARRJS (Executo~~ In Re:Estate of ZUI.DRED A,.HARRID slkla IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division 38-217-2 IjASHINJ.'roN County -Fi Ie No.63-71-105B Dear l-1r.HarrisI You are hereby notifj ed that the-----OQ:t!!"'1*1g~1Jw:nal~..I;--~--_t_--- a ppra isementin the estate Of-~~!"i!""nlODbI.I~;{dtEDldJ-...p.:A""fIi-IDMAlI\R~l.R~:mIO;r------------ has been fi led in the office of the Register of Wi lis of--¥4WJIAJ\S~mM:Hl'~lGr:lTO:Yl\Ill------- County on-:-~an.~,;,19...!l2-'Said appraisement reflects the following valuations:,.' Real Estate 10,000,00 PersonaI P ropertY---,2~.r?,\"J:*O,,=·±OOIH-------- Transfers 1;17 • . Jointly Ow~~~-..(t;555~ Total --~l9O~-' J ;-.1 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 o~curred 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 January 3,19'72 DATE OF DEA'rH~October S,1971 Note:This is not a bi II. ::0 !:;.:ri::f'!j ji"j "'O:t,..I:;~J.:: !1)U~Q c::::t :J':::O:J:i~~1.~t ""'..:I --1 ~:r.::~.::t::J o;r:a-~':J Z ""1:::V~"11 !~_.orTi !::::J 'J r1'lr'"::t;..rrl r- 0:1>i.'J1 ~:fo ~ ~J ....,j ....)".1)., ':"'1 ':•.rl':=1 .:, I--! ~~." I11I1111111111111111111111111111111111111111111111 R0016GUZ WCROD0312 ~o I RECORDER OF DEEDS OF WASHINGTON COUNTY,PENNSYINANIA GRANTORS:ANNA HARRIS, ADMINISTRATRIX DBNCTA OF THE ESTATE OF MILDRED A.HARRIS AKA MILDRED S.HARRIS GRANTEE:DALE F.HARRIS Property:6 Bucey Road,Burgettstown,PA 15021 Parcel In:340-011-02-04-0006-000 After Recording,Return to: Sara A.Gasser SARA A.GASSER,ESQ.LLC PA lD.No.310664 2021 Sunset Boulevard Steubenville,Ohio 43952 Telephone:(740)284-1000 ,\ MAIL TO:SARA A.GASSER,ESQ. 2021 Sunset Boulevard Steubenville,Ohio 43952 FIDUCIARY DEED '1 '2rclMADEthe~day ofJuly,2014, BETWEEN,ANNA HARRIS,Administratrix,DBNCTA of the Estate of MILDRED A.. HARRIS aka MILDRED S.HARRIS,Deceased,ofBurgettstown,Pennsylvania,(hereinafter called "Grantor",and DALE FRANKLIN HARRIS,of6 Bucey Road,Burgettstown,PA 15021,(hereinafter called "Grantee") WHEREAS,the said Mildred A.Harris aka Mildred S.Harris (DECEDENT)in her lifetime seized in fee in and of and a certain tract of land hereinafter described,and WHEREAS,the said Mildred A.Harris aka Mildred S.Harris (DECEDENT)died on October 8, 1971,a resident ofWashington County,Pennsylvania,having first made and published her Last Will and Testament,dated January 14,1967 and WHEREAS,the said Will was duly probated in the Office ofthe Register of Wills of Washington County,Pennsylvania,on October 21,1971,as case number 63-71-1058,and WHEREAS,Letters Testamentary were granted to the Executor Dale Harris October 21,1971, and WHEREAS,Dale Harris died on February 21,1992,intestate,with Letters ofAdministration were issued to Anna Harris on July 9,2014,and WHEREAS,the Estate was reopened on April 29,20]4,and WHEREAS,Letters ofAdministration,dbncta were granted to the Adminstratrix,DBNCTA Anna Harris on April 29,2014,and new Certificate ofGrant ofLetters were issued by the Office ofthe Register ofWills ofWashington County on April 29,2014. NOW WITNESSETH,that the said Grantor in consideration of$O.OO Dollars,pursuant to Article Second ofMildred A,Harris aka Mildred S.Harris's (DECEDENT)Last Will,receipt ofwhich is hereby acknowledged,does grant bargain,sell and convey to the said Grantees,their heirs and assigns, all ofthe Grantor's right,title and interest in and to the following property: .All that certain lot ofground situated in Hanover Township,Washington county, 1 I ,• Pennsylvania,being known as Lot #2 in Allotment No.2,in the Ferguson Plan of Lots, situated near Paris,Hanover Township,Washington County,Pennsylvania,being further bounded and described as follows: BEGINNING at the corner of Lot #1 of said plan and public road (30 feet)thence South 41 000'East,eighty four (84)feet to a point,thence South 66 0 49'West,two hundred twenty three and five tenths (223.5)feet to a point,thence North 11 023'West,eighty feet (80)to said lot #1,thence North 66 0 49'East,two hundred one and three tenths (201.3)feet to the place of beginning. BEING DESIGNATED AS Parcel Number 340-011-02-04-0006-00 BEING the same property conveyed to CLARENCE H.HARRIS and MILDRED A. HARRIS as tenants by the entireties,by deed dated September 17,1951,and recorded October 30, 1951 in the Office ofthe Recorder ofDeeds ofWashington County,Pennsylvania,in Deed Book Volume 811,Page 297.The said CLARENCE H.HARRIS died on the 19th day ofNovember, 1965,leaving the said MILDRED A.HARRIS aka MILDRED S.HARRIS the sole surviving tenant by the entirety. UNDER AND SUBJECT TO coal and mining rights and all rights and privileges incident to the mining ofcoal heretofore conveyed,expected or reserved by instruments of record;the right ofsurface, lateral or subjacent support;or any surface subsidence;and all easements,rights ofway and restrictions as contained in prior instruments ofrecord and/or as installed or located on the premises and all other matters ofrecord appearing prior hereto. With the appurtenances thereto:TO HAVE AND TO HOLD,the same to and for the use of said Grantee,his heirs and assigns forever,and the Grantor for herself,her successors and assigns,do covenant,promise and agree,to and with the Grantee and his successors and assigns,that she has not done,committed,or knowingly,or willingly suffered to be done or committed,any act,matter or thing whatsoever whereby the premises hereby granted,or any part thereof,is,are,shan or may be impeached, charged or encumbered,in title,charge,estate or otherwise howsoever. NOTICE:THIS DOCUMENT MAY NOT SELL,CONVEY,TRANSFER,INCLUDE OR INSURE IN THE TITLE TO THE COAL AND RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND DESCRIBED OR REFERRED TO HEREIN,AND THE OWNER OR OWNERS OF SUCH COAL MAY HAVE THE COMPLETE LEGAL RIGHT TO REMOVE ALL OF SUCH COAL AND,IN THAT CONNECTION,DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE,BUILDING OR OTHER STRUCTURE ON OR IN SUCH LAND,THE INCLUSION OF THIS NOTICE DOES NOT ENLARGE, RESTRICT OR MODIFY ANY LEGAL RIGHTS OR ESTATES OTHERWISE CREATED, TRANSFERRED,EXCEPTED OR RESERVED BY THIS INSTRUMENT. THIS STATEMENT INSERTED PURSUANT TO ACT NO.431 OF THE 2 I ,."I WITNESS WHEREOF,the said Grantor has hereunto set her hand and seal the day and year first above written. Signed,Sealed and Delivered in the presence of~~::.=...::....'--v:::-';:&~.~--=-='.tUA~~_·_Bya~~ Witness ANNA HARRIS,ADMINlSTRATRIX, DBNCTA ~('(\j ldQ?d.A·VQ\'"r;J (Q!l(k I'l\;(4 rtq S,\-\~I'S NOTICE-THE UNDERSIGNED,AS EVIDENCED BY THE SIGNATURES TO TIDS NOTICE AND THE ACCEPTANCE AND RECORDING OF THIS DEED,ARE FULLY COGNIZANT OF THE FACT THAT THE UNDERSIGNED MAY NOT BE OBTAINING THE RIGHT OF PROTECTION AGAINST SUBSIDENCE,AS TO THE PROPERTY HEREIN CONVEYED,RESULTING FROM COAL MINING OPERATIONS AND THAT THE PURCHASED PROPERTY,HEREIN CONVEYED,MAY BE PROTECTED FROM DAMAGE DUE TO MINE SUBSIDENCE BY A PRIVATE CONTRACT WITH THE OWNERS OF THE ECONOMIC INTEREST IN THE COAL.TIDS NOTICE IS INSERTED HEREIN TO COMPLY WITH THE BITUMINOUS MINE SUBSIDENCE AND LAND CONSERVATION ACT OF 1966, As AMENDED 1980,OCT.10,P.L.874,NO.156 §l. WITNESS: ~U~ ANNA HARRIS,ADMINISTRATRIX, DBNCTA 3 .•I.,,b' STATE OF OHIO COUNTY OF JEFFERSON ) ) ) ss: On this,the f23rd Day ofJuly,2014,before me,a Notary Public in and for State ofOhio,the undersigned officer,personally appeared ANNA HARRIS,Administratrix DBNCTA of MILDRED A. HARRIS (also known as MILDRED S.HARRIS),ofthe County of Washington,State ofPennsylvania, known to me (or satisfactorily proven)to be the person described in the foregoing instrument,and acknowledged that he executed the same for the purposes therein contained in the capacity aforesaid. IN WITNESS WHEREOF,I hereunto set my hand and official seal. ."Notary Public ~/J~~9·:~.\Il!b..1.(In and fortne State of Ohio ~'...L&L........I.UJ,A....tL-+I.'ntP1~.L-_ :~~~gS'~'::SaraA-Gasser t P bl';*My Commission Has No,0 ary u Expiration PursantTo Ohio Revised Code}147.03 This deed is exempt from Pennsylvania Real Estate Transfer Tax pursuant to 72 P.S.Section 8102 C.3.(7). CERTIFICATE OF RESIDENCE I hereby certify that (1)FOR THE PURPOSE OF DELIVERY OF TAX STATEMENTS ONLY that the precise residence for the Grantee is 6 Bucey Road,Burgettstown,PA 15021 and (2)FOR ALL OTHER PURPOSES (including delivery ofassessment change notices)the precise residence of Grantee is 6 Bucey Road,Burgettstown,PA 15021. Witness the due execution hereofthis ~day ofJuly,2014. {jAfA1?<L;;II~~(1~~ On behalfofGrantee This Instrument Prepared by:SARA A.GASSER (310664) SARA A.GASSER,ESQ.,L.L.C. 2021 Sunset Boulevard Steubenville,Ohio 43952 4 Date Recorded Page Number Book Number See reverse for instructions. REALTV TRANSFER TAX I~St:-:-at-::e1::-=axR~;a=-;,7do:...:..:R=-=DE:;.R.:..·..:::....S =-=US:.=..E..:::..:ON..=..=LY.:....--_ STATEMENT OF VALUE ~--'"l\~I·]pennsylvania,m DEPARTMENT OF REVENUE Bureau of Individual Taxes PO BOX 280603 Harrisburg,PA 17128-0603 • t 'folE'(/"l83 EX (04-10) Complete each section and file in duplicate with Recorder of Deeds when (1)the full value/consideration is not set forth in the deed,(2)the deed is without consideration or by gift,or (3)a tax exemption is claimed.AStatement of Value is not required if the transfer is wholly exempt from tax based on family relationship or public utility easement.If more space is needed,attach additional sheets. A.CORRESPONDENT -ALL inquiries may be directed to the foLLowing person: Name Sara A.Gasser,Esq.LLC Mailing Address 2021 Sunset Boulevard B.TRANSFER DATA Telephone Number: (740)284-1000 City State Steubenville OH C.Date of Acceptance of Document ZIP Code 43952 Grantor(s)/Lessor(s) Mildred A.Harris aka Mildred S.Harris Grantee(s)/Lessee(s) Dale F.Harris Mailing Address 6 Bucey Road Mailing Address 6 Bucey Road City Burgettstown IState IZIP Code PA 15021 City .Burgettstown \ state IZIP Code PA 15021 D.REAL ESTATE LOCATION Street Address City,Township,Borough 6 Bucey Road Hanover County School District Tax Parcel Number Washington Burgettstown Area 340-011-02-04-0006-00 E.VALUATION DATA -WAS TRANSACTION PART OF AN ASSIGNMENT OR RELOCATION?0 yON 1.Actual Cash Consideration 0.00 4.County Assessed Value 8,591.00 5.Common Level Ratio Factor X 9.17 6.Fair Market Value =78,779.47 F.EXEMPTION DATA 1a.Amount of Exemption Claimed 78,779.47 lb.Percentage of Grantor's Interest in Real Estate 1c.Percentage of Grantor's Interest Conveyed 100 100 Check Appropriate Box Below for Exemption Claimed. I8l Will or intestate succession.Mildred A.Harris aka Mildred S.Harris 63-71-1058 (Name of Decedent)(Estate File Number) o Transfer to a trust.(Attach complete copy of trust agreement identifying all beneficiaries.) o Transfer from a trust.Date of transfer into the trustIftrustwasamendedattachacopyoforiginalanda-m-e-n-'d'-ed~tr-u-st"-.---------------- o Transfer between principal and agent/straw party.(Attach complete copy of agency/straw party agreement.) o Transfers to the commonwealth,the U.S.and instrumentalities by gift,dedication,condemnation or in lieu of con- demnation.(If condemnation or in lieu of condemnation,attach copy of resolution.)o Transfer from mortgagor to a holder of a mortgage in default.(Attach copy of mortgage and note/assignment.) o Corrective or confirmatory deed.(Attach complete copy of the deed to be corrected or confirmed.) o Statutory corporate consolidation,merger or division.(Attach copy of articles.)o Other (Please explain exemption c1aimed.)_ Under penalties of law,I declare that I have examined this statement,including accompanying information,and to the best of my knowledge and belief,it is true,correct and complete. %gn.:lture O.f c.orre~Po.~dent or Responsible Party DateI'7''1 _'//iu:./r U_/O-Ji /~'?'C{~;I I " I AlLURE Te....COMPLETE THIS FORM PROPERLY OR ATTACH REQUESTED DOCUMENTATION MAY RESULT IN .........~HE RECORDER'S REFUSAL TO RECORD THE DEED. RECORDER OF DEEDS WASHINGTON COUNTY,PA INVOICE ..600975 0601-RECEIPT GM --CHARGES -- ·~ < #001 DEED Instrument Number -201430462Recordedon-Sep 12,2014 1:12:27 PM Total Pages:6Muni-HANOVER TOWNSHIPGrantor-HARRIS.MILDRED AESTGrantee-HARRIS,DALE FConsideration-$0.00 Tax Basis -$0.00PARCELIDENTIFICATION NUMBER 340-011-02-04-000600FeeDetaiI:RECORDING FEEIMPROVEMENTFEE -COUNTYIMPROVEMENTFEE-RECORDER JCS I ATJ I CJEA FEEMARGINALNOTATIONSFEE PARCELS FEEPERPAGEFEE STATE WRIT TAX FEEAFFORDABLEHOUSING FEEAFFORDABLEHOUSINGFEE CHECK:230 TOTAL PAYMENTS AMOUNT DUEPAVMENTON INVOICE BALANCE DUE Receipt By:MAIL Customer:GASSER.SARA AESQ $79.50 $11.50 $2.00$3.00 $35.50 $2.00 $10.00 $4.00 $0.50 $10.78 $79.50 $79.50 $79.50 {$79.50> $0.00 THANK YOU DEBORAH BARDELL ARECORDEROFDEEDSCOUNTY..6309/12/2014 1:12:19 PM -- I 1UOQO.oO .1 0)0 ()0 .0 0 $ '100:00 Z250.o0 IZ350.005 213.75 1J341.78 13J 965.535 6,313.19- 7J592345 7,592 31~T .00 T 10..50 2.00 Z015.00 22.00 7..50 12.96 11.60 95.00 184.00 150.00 ))7 9 9.63 3.00 613 1 3.1 9 T .00 T Form RCC-33 RESIDENT DECEDENT t 3-1/-'/O~-S/ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF J IMPORTANT:This return must be completed in detail and filed in,duplicate,~ith 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.) "state of ,P,ENNSYLVAN.IA } ss: County of ",WASHIN.G.T.QN., . , " ,""P.ALE F.RANKLIN.HARRIS,,., " ,, : " ","""','".,. ~NK of the estate of the above-named decedent being duly sworn,depose S and sayS Eueutor Decedent dled "OC.t.Q,P..e.fM:~~~')",,""'Ii';;;';.)"19~~~i''''''{:::::::t~eaVing a last will,copy of which is hereto attached.} o t herNaa:et:::i :::r:::r:fseantttao:;;:~:}Ric.ba.r.d."G...",..,Mille.,r",,,Jr.,•.,,,..,,,,,,,,,,......""""'.."..".,,,,,,,,'.,,..,,,,,,,,,,". whom all cor respondence shou1d be,4:17 ,Was hing.t.on,.,Tr.us,t"",Build.in.g,,,..Wa.§.h.i..PKt.9;l;b..,,,,,P.a...~.. mailed. That as such Exe.c.ut.o.r.deponent is familiar with the affairs of said estate and the property con- (Jo:x"r.lltor·AXiM~r) Rtituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name.or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT None That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the folloWing,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fullv and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of'death of decedent. That Schedule 8 attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether individually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death tn the case of savings banks,and to the date of decedent's death in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;~ll obligations,whether by statute or agreement they are designated as tax free,of the Uni ted States,or any sta~~'\t.8r....llr.0litical..subdivision thereof,or of~...,_,~..u...,...~j ,J .., any foreign country,which are owned at the time of death;alI'Y~..~~t1.~T:JlR!.u:~I"oj~!!~~r.y,sil~erware,pic- t ures,books,works of ar t,household furni ture,horses,ca·ii1';:1ia,g~1i!~"·I!.ut.9inob:n'e!1;;:boats,and any and all other personal chattels of whatsoever kind or nature,left b~g~d~)ft'l\:together-,withthe fairly estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and owing deceqent a t the time of death,and all promissory notes or other instruments in wri ting for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance polici'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. r In the case of securities of close or family corporations,the values reported.are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest ther~is annexed to said schedule,financial state~ents showing the assets and liabilities of said co-partnership or business. A copy or the co-~artnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,·(together with the fair market value~\. . thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom'transferred,the relationship of the transferees to the decedent,'the proportionate share received by.each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y of the deed,trust agreement or other instrument creating the trust.Ther.~is also set forth in said schedule a list of all property,'real and personal,with its value,which pa£ses at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either individually or.jointly,by the "iill,deed,or other instrument of another, with a copy of the instrument creating ,such power ~ttached to the schedule.... That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ag'es 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 Schedu(e 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 hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and lmpaid 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 all'owed,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. ..R..~P...~H..~. (Street Number) Burgettstown,Pa ........................................................................................................................................ (City (Yf'Town and State) f2t~~~ .(ExeCt/.i~. Subscribed and sworn to before me this 2.2.nd . ................~, , ,day of p.,~,G,~m.p.~.r...,.,,19.7.l,!'" ,.~'L~7·~~~L_... MY COMMISSION El(PIRfI APa 12.1mMember.PeMlYlWlnllt··,w..........NOTE:Before signing afffda,r-l rna 'su~l blank spaces in the affidavit and schedules annexed are filled ·in ·w~ik'details or the word "None",and in case the assets include rare and unlisted securities, securiti~sof 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).,CgMMONW~AL THI;OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEr>ENT SCHEDULE IIA" REAL PROPERTY Real prop~rty in Pennsylvania,with statement of mortgage encumbrances upon each petrc~1 at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule lIE".Property held by the decedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property I'ocated In the Commonwealth of Pennsylvania should be described by lot an:d block number,street and street number,together wi th a general descriptl'on of the property,with a reference to the record of the conveyance by whi'ch the decedent took title;if a farm state number of a- cres;also stateme~tof mortgage encumbrances upon each parcel at death of decedent.Taxe's,assessments,accrued Interest on mortgages,etc.,are to be listed on Sch~dule "FlO and must not be deducted from this schedule. Lot in Hanoyer Township,Washington County, Pennsylvani~,being known as Lot No.2 in Allotment Np.2 in the Ferguson Plan of Lots, Plan Book 7,page 248,near Paris,Hanover Township,and being the same lot conveyed by Charles H.Pearce,et ux.to Clarence H. Harris and ~ildred A.Harris,his wife,by deed dated $eptember 17,1951,Deed Book 811,page 297. (1 ) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE (3) DEPARTMENT VALUATION CAUTION (Do not write In this spoce) Under and spbject to mortgage from Clarence H.Harris ahd Mildred A.Harris,his wife, to Hancock County Federal Savings and Loan Associatio~of Chester,dated September 15, 1956,Mortgage Book 501,page 180.Amount due under said mortgage at death of decedent: $3,799.63.'I (The said CQarence H.Harris p~edeceased Mildred A.Harris)4,545.00 $10,000.00 If/O/rJ-rI-tf ,tl-tJ .:..., Insert this tot~1 opposite "real property",Schedule "A"in the X X X X X "As Reported":'column on the last page of this return. ~--------------------------------------- ,. 'RC:C-3<:;,....OJ ,I' COMMONWEALTH OF PENNSYLVANIAITRANSFER'INHERITANCE TAX ,:RESIDENT::DECEDENT SCHEDULE "n" PERSONAL PROPERTY .I·.INSTRUCTI~NS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the ,time of his death.Property owned by the decedent jointly with another or others must be ltsted under Schedule ~E".Inta~gible personal ,property,titled in the name of the decedent,but payable at death to another or others;including but not limited to P.O.D.U.S.Savings Bonds and tenta-I ",tive trust accounts,must be listed,despite the fact that they are not of the administered estate. IITangiblepersonal property -should be listed first (e.g.jewelry,wearing apparel,household goods,an~furnishings,books,paintings,automobiles,boats,etc.) ,IIntangible pe-rsonal property,such as bonds,treasury certificates,cash on hand and in bank, "fIstocks,-mQ,rtgages,notes,together with accrued interest or rlividends,salaries or wages,insurance pay-I, able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed estate of lior income frqm 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 listerl in this schedule. I Item ..,No. 1. 2. . 'ITEM List and describe fully Fur~iture,. "~i30shares of common stock of the Union Bank of Harrisville,Harris~ille, W.Va. UNIT ESTIMATED DEPARTMENT VALUATION VALUE MARKEr VALUE (Do not write in this space) 100.00 1f>I (J (),t')tJ 75.00 2,250.00 #c2,2 SO,(flCJ 3.Int~rests in royalties from certain gas ~ells inherited from June M.Elliott, ~ister of decedent,total income be-~ng $63.34 per year: il " JUNE M.ELLIOTT Account No.19711~/8 of 1/8 Royalty Interest in Dnift Run Gas and Oil Co.Wells Nos.1 and'Iup on the June Elliott Farm,..Murphy District,Ritchie County,W.Va. ~ank 111901..' JUNE M.ELLIOTT Account No.184317 1/8 of 1/48 Royalty Interest in StarI,•Fork Oil &Gas Co.Wells Nos.1 and pp on the Frank R.Cox Farm,Union pistrict,Ritchie County,W.Va. il'ank 5131. JUNE M.ELLIOTT Account No.801012~/8 Royalty Interest in Consolidated pil and Gas Co.on 240 Acres,Walker District,Wood County,W.Va. JUNE M.ELLIOTT 1/8 Interest in Surface of the June~.Elli~tt Farm,Murphy District, Ritchie County,W.Va.Approximately i52 Acres,also better known as the Fhester Reed Place. Ii~/8 of 1/32 Royalty Interest in the~.&B.Oil and Gas Co.Creed Cox Well #1,'Union District,RitchieIICounty,W.Va.II :i :1 None None None None None Insert this iotal opposite "Personal Property",Schedule "B"in the "As Repo~ted"column on the last page of this return. ,: ii x x 1/2 ,350.00 ~1f--?.3S0,.tkJ ff(i7}J'"~ .RCC'-36 ,,r I~'• .COMM0NWEAfml OF PENNSYLVANIA TRANSFER INHERITANCE TAX II IRESIDENTIDECEDENT SCHEDULE "c" TRA.NSFEllS "Ii(1)Did declfdent,within two years of death,make any transfer of any material part of his estate,without receivipg a valuable and adequate consideration therefor?(Answer yes or no)No (2)Did deqedent,within two years of death,transfer property from himself to himself and another or others II(including a spouse)in joint ownership?(Answer yes or no)No 'I(3)If the ;~nswer to (1)or (2)above is in the affirmative state: I:(a)Age of decedent at time of transfer _ I !(b)State of decedent's heal th at time of making the transfer.(Note 1). ~c)Cause of decedent's death.(Note 1). (4)Did dec:fdent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answe~:yes or no)~N~O~___ I ;(a)Was there any possibility that the property transferred might return to transferer or his .II estate or be subJect to his power of disposition?(Answer yes or no)_ :I(b)What was the transferee's age at time of decedent's death?___ (5)Did dec,~dent in his lifetime make any transfer without receiving a valuable and adequate consideration IItherefor under which transferor expressly or impliedly reserves for his life or any period which does not in Ifact end before his death: [i(a)The possession or enJoyment of or the right to income from th\:'property transferred? I'(Answer yes or no)_Nl.Uolo'--_ :i(b)The right to designate the persons who shall possess or enJoy the property transferred or income therefrom?(Answer yes or no)~N~O~_ (6)If the I~nswer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone d~others ---:_ (7)Did deJ~dent in his lifetime make a transfer,the consideration for which was transferee's promise to pay inJbme to or for the benefit of care of transferor?(Answer yes or no)~N~o~___ (8)Did deJ'edent,at any time,transfer property,the beneficial enJoyment of which was subject to Change,becaus~1 of-a reserved power to alter,amend,or revoke,or which could revert to rlecedent under terms of tradsfer or by operation of law?(Answer yes or no)No (9)If the Ijianswer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of Ithe beneficiary reserved in the decedent alone or the decedent and others? (Answe~1 yes or no)_ NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a ~opy of the death certificate.'INOTE2:If answer to any of the above questions is yes,set forth below a description of the property"'.transferre<i,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship.of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.:rNOTE3:Ltst applicable property below in manner in which prOVided in Schedules A,B,or E. ITEM DESCRIPTION NON E. MARKET VALUE (Estimated) DEPT.VALUATION (Dept.Only) I Insert thi~total opposite "Transfers",Schedule "C"in the "As Report~d"column on the last page of this return.II Ii II II' I,MILDREDA.I-IARRI S,(b~ing .the s'ame'person'as MIL!.)REtr s. ,"HARRIS)of Hanover T0'.'.'TlC;;:!1 i::;,";ashington 9o\\nt;i;·Pentl~Ylva:nia ,declare .this to be 'my last .will and do'hereby'revoke'any ·will·previously made by r.1e. .FIRST:.I--_._.-!;ive and bequeath ,all of my per sonalpr6perty, inc luding cash:£llrnitLIre'and household equipment;,to my two children, '.. nIildred.Ruth Pearce ::tnd Dale"FranklinI~arris,eql..lally ~ I c?vise all'of m~:r.r~c"l esta te"to !!:ly s'?~id 'son, Dale.Fran!.:1 in :-Iarris. Iappoinfmysiid son,Dale·Ff~nkliri Harris, .,E~~ecutor of this·my viill and direct 'that he shall nbt be"reqUired to give hand in any jurisdiction in ',vhich he'm'a:yserve. , " .,;:' this IN W.ITNESS ..//~/{if .day of W~ERtOY,rhaveh~reunt6 sei /1 t/··...,0 ''<.:-?'0 >/-<4''/i L ;l..67 .<~.i/..'.'.'": .'.. :my'hand arid seal ~:,'.; Sirrned,sealed,published ind (lee fared.by'the above.na,ril,ed Testatrix as and for :her l<:tst wiil and testament,'in the 'presence of us,who,at her request,in her presence·.and'in the pr.esence of ,each other,have hereunio subscribed our names aS~iinesi~~th~reto.·. ..),/ t"4'I /,,''':''0(·,/~':.',~. .,/.J-j'.. (,yi·,,·I.,-(,A'~l!.:.~(.:_....:.-__.~ -." ',','.- .._--- ...\.--..-......~ 'Rec-sa COMMONWEALTH OF-PENNSYLVANIA Tni\N~FER INHERITANCE TAX RESIDENT DECEDENT- SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRrCTIONS:This schedule must disclose all property,real and personal,owned by the decedent ,jointly with another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal.property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Name I unit percentage Estate Address and Relationship of Co-Owners,and Place I Value Share Valuation of Record of Instrument,where Real Estate.I DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest 1.Checking Account in the Peoples Bank of Weirton,West Virginia, in names of Mrs.Mildred Harris 'or Mildred Pearce or Dale Harris (Co-owners are daughter and son of decedent)$641.24(l116J.) 2.Savings Account No.29826 in the Peoples Bank,Weirton,W.Va., in same names as above,$4,025.00 (11&)..) 1/3 1/3 213·,75 1341.78 Insert this total opposite "Jointly Owned Property",Schedule ·"E".~/KLL"r~JZ/./:e: in the"As Reported"column on the last page of this return.tff<'.)n~/de:J'';';.;J 'r .5'5.:J ,J3 .,,'to :1 II .. "'--",.,'II RCC-37':(12-63') i :('OMMON,WEALTH i',QFPENNSyy,LAN:IA TRANSFER :INHERITANCE TAX iRESIDENT DECEDEN:f I,! ': II'. --_.._----------------------, SCHEDULE "D" BEN~FICI:ARIES :lBENEFICIARIES AND :ADDRESSES (state full names 'andaddresses of all who ,have an interest,·v~sted,cont-i,ngent ,or other- ...."..wis~;,in estate) Mildred'Rui~'Pearce IIWernersvill'e.Ohio 43952 ifDaleFrankl:.in Harris R-.D.#111 IiBurgettsto~n Pa.15021 II 11 RELATIONSHIP (If step·children or illegitimate children are involved,set forth this fact.) Daue:hter Son SURVIVED DECEDENT STATE YES OR NO Yes Ve~ DATE OF BIRTH INTEREST OF BENEFICIARY IN ESTATE 1/2~oersonaltv 1/?,1 TV !:Inn all real estate. Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE OF THE ESTATE OF Deceased County of (Executor-Administrator must complete "As Reported"column #1.) 0 ....,'"t:l ~""""Cb Cb0'Il:>""e:..'"::3 '"'"'"0.....::3 '"d...,Cb e:..""""0~"'.'"t:l "0Il:>Cb0-"""";-'0 ~"0 tr1 Cb""....'"'<....Il:>....Cb en C s::::'11 "s::::>~~.....-...............0<W en ennn?'"?'"?'" q 05 ~::::--- ~~~~~~ .->'"~.-Cb_'g- ""....~c..- ~~-GO ~~~->;r. 0 .~.~_II C'tl'O""-3 II 1t::3 .C'tc.." IN THE !No Year ... REPORT AND APPRAISAL ~IATTER OF THE APPRAISEMENT Late of ,.. Commonwealth of Pennsylvania Will Administration CEOuenONS moweo "J THE SUM OF $.....l.~.J :~1.. ,JAN - 319~uSSELL ,L:~ PROVED i ..:.,.......:.::.::.::..:.:..~ ''I) (,i ~-7/-/CJ~r' STATEMENT OF DEBTS AND DEDUCTIONS ...Jl1!.o...!~!:.£~...t.Z.J---..LoIo.BoAA....oIo.b~__L.ATE OF __Hll.Ba......nU.QLlVtJeo;.r.L.-.....T.l.oUwiKJnu.;s~h.....i..:t;pL..--'-_ .'OFFICE OF THE REGISTER OF WILLS AND AGENT OF THE COMMONW5ALTH OF WASHINGTON COUNTY Form RC C·lO __________DAT'"OF DEATH October 8,1971DATEOFFIL.ING APPRAISEMENT .. DATE NO.OF NAMIL OF PAYEE REMARKS AMOUNTVOUCH,;II RpO'i!=::tpl'of Will~iJrl"',atP-1=&+1'10 IF\O Notarv fees 2 00 ~tpp1 R.Wi'll i'1=&-,1 hi 11 9 01F\100 Bell Te1enhone Co.22 00 Coll1mhia r.~!=::7 Ic;o Rell '1"e1enhone Co.1?QEl West Penn Power Company 11 60 Western Auto Humidifier 95 00 Flahertv Charnie Ins.Co.li'il"e>T ,....~'"'1 RA.!QQ Rir.hard r..Miller .Tr.Attornev's fee 150 100 Ha -_.-('ountv 'Federal Savings and Loan Associ- Mortlralre ~7qq I~~ation of Chester 1?'II..f~rJ1 II!//J!&.rJA:-;'M1f1,tM.J1)1:f)."3 ()!) I V I -j i! b 3/3 J9 - COMMONWEALTH OF PENNSYLVANIA } COUNTY OF _.....:W~a=.s:::..::h:.::i~n:..cgL:t::.::o::..:n::..-·68: I,--__----lDu.ai:L.Ll.J;:p:.-....lF~rr.;.;ai:UJ,nAk.....1..Jjun.L_Htul.a.J.r.....r..Jiw:S::L_~_~HEREBY CERTIFY.THAT.TO THE BE.T OF I\4Y KNOWLEDGE AND BELIEF.THE FOREGOING IS A JUST AND TRUE S FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF .......:Mi~lrJa.d.~::::....Hl~Q~--,.__-=-_.DECEAeED.AS DEDUCTIONS FOR INHERITANCf TAX PURPOSES. ,r :, '. ". ~I' ;' ... .'. :...i . ,. f • '". .;I ')~I ,., .i '...t.' .< ~.IE~mnm .JWi:.~~.~tv'A.!i. ,milo,)MOTaw:m2A\'t .l10ri»ilH~ !!e:,Sf J!lU ~J ~I~~i~)l~'1:-~~~~.':ldN!•• RCC-81 (6-71) . COMMONWEALTH .OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT DAlE :F'RANYJ.ThJ HARRIS (Executor~) IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division 38-217-2 J In Re:Estate of _...JM...Iy,IJA.!.DI!..l<RE~DbL....LA~.,-.!..!!HARR~!<.=IS!o!.....::J...a""'./c.J:k'>l-l,ga _ I ..I,". Dear .WASHINGTON Mr.Harris, County -Fi Ie No.63-71-1058 You are hereby notified that the ~o!O.r~ioElg=in~al~_ appraisement in the estate of MILDRED A.HARRIS has been fi led in the office of the Register of Wi lis of_---¥.lWl£!>Ah.!.SHIN........,J!.l,Gd..o!T~O'AlN'___ County on January 3 ,19...12-,Said appraisement reflects the following valuations: ReaI Estate__-,l=.:Oo!.J'L.l::O~O~O.t..:.O~O~_ Persona I Property~2,,-,~3;J.;5;l.l.O,,--......O!UO,--_ Transfers _ JointIy Owned __J.....,.,.....5J..,;5L,.1S ,.l;53.J-------- T otal ~1......3~,c.J.9.>.<.Q5~5"""'3---'------- 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 _...:::J-=a=nua=ry~..-!3..z.,_'1=.97LL.::2=____ bATE OF DEATH:October 8,1971 Note:This is not a bill. Signed ~k-u~ Title ~~ RCC-39 (5-68) 11 II i,:i".;:--.--l' II II 1,[ COMMONWEALTH OF PENNSYLVANIA "TRANSFER INHERrrANCE TAX IRESIDENTDECEDENT SUMMARY HARRIS ~Estate of II Ii(Last Name) ; MILDRED A.a/k/a (First Name)(Initial) DATE OF DEATH·10-8-71 FILE NO.63-71-1058 REPORT OF INHERITANCE TAX APPRAISER , :~ :1 ' Da ted:_-:J=an........ua.7-<"IY-...-y!~~..-=1:...0/7~2 _ II ,i I,the under~ignedduly appointed Inheritance Tax Appraiser in and for the County of---=.:W:;.::'A=.S;.:H=.IN:.;.G=-T=..O::.;N:.:..-_ Pennsylvania,do !~espectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". ~J' INHERITANCE TAX APPRAISE~ VALUE AS REAPPRAISED $-------+-- .........Dated::._JA_N_....,~,:,.z.~l..!-rz=~~~""=~S~S.=.:EL:.::..L..:.!.I.M.u.lA!.......,lli~Q'I _ 0" "INVENTORY Real Property (Schedule A) 'IPersonalProperty (Schedule B) Transfers (SchedJle C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS 'iLessDebtsandDeductions 'I (SCHEDULE'F) ,I CLEAR VALUE eF ESTATE II:REPORT OF THE REGISTER OF WILLS I,the underLgned du'iy elected Register of Wills in and for WASHINGTON County,Pennsylvania,do respect- fully report that I::have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is ~et forth in the last column to the right in Schedule "F"lch gre ter or lesser amount represents the sum allowed as a dedulction·. (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. . COMPUTATION OF TAX $--------1--- $--lJ.....'t:;I..,I.;t:;--+...JJt:;;JJOl--' $--------1--- $--------1---'-- $--------1--..:- $---1.__ :::::::::==t=== FOR USE OF REOISTER ONLY Tax on '$---"";;-----4---2% Tax on $?t;q??./,@:) Taxon $r 5% Thxoo$I 10% Tax on $lr 15% Exemptions I * Total Estate_",,;',:-l 1--_ ii TOTAL TAX Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death I: ,I LBALANCEOFI~HERITANCETAX DUE $----~ Add interest at rate of 6%from_____to:l_____$...J. AMOUNT OF ESTATE TAX ASSESSED $-~--_I- Estate tax paid ~I $L-.I il BALANCE DUE $---JL- Add interest at rtte of 6%from t= -------11Q-----$-----~. I:TOTAL TAX BALANCE $--------1PAID$...J If FOR USE OF REGISTER ONLY ADJUS'tMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will lAdministration~No.Year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ...Mll.J)REDA•..HA.RRrs . Deceased Late of HAWO~'rWP..L . -~,.., County of "tvASHI NGTON Co~monwealth of Pennsylvania REPORT AND APPRAISAL ,_rio " Funn ilCC-2 DEPART~~T O~REVENUE BUREAU OF COUNTY COLLECTIONS .;HARRISBURG,PENNA.17127 COMMONWEALTH OF P~NNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT '.,.'.-~.").. ,: DATE J"anua:r.y.J,1972 . COUNTY ..WAS.flINGTON . fiLE NO 63.~.7.1~lQ5.8 .. Whereas..M.;qJ)REO .A•.....HARlllS a/k/a late of HAN.QVER T.WP .. in the County of yJASHINGTO.N Commonwealth of Pennsylvania.having died on the ~:tght.h day of Q.gt..9.P.~r.19 7l.seized and possessed of an estate ~. SUbj:e:::r:~~~~t~:::::::::i:~ly a~ointed aceording to law, haying 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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurPOles $ f?H:Ll 'y • SEE COPY OF SCHEDUIH'IIA"Amm.~m~1'0 AP PR II TC)EM'F.l\l'l'10.000,00 PERSONAL:. SEE COPY OF -F."li"Amm.~.~~'PO APPRA 1.'-;"':IVI"'II\?_1t;O m JT.mD:. SEE COPY OF SCHEDUIE "E"ATTACHED TO AFPRAISU1ENT 1 .t;t;t;It;~ total 1'3.905 5'3 ". Having been duly sworn according to law,I do hereby certi that the above appraisement is made in con-formity with law on tbis(~...day of ......•••....••••..•.........•.......•...•...•....••.••••~..~~19?~ d~iK;~.·;d~·~~ ..........................................................~.q.................,Penna.c7 (Poat Offlce) ····WASHINGTon····County ~;::' RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .:l1:I..I.:J.?~p...A f.¥.I:~.I.?<:l./1.<.I~::............'. ..Deceased. Late of ..HANQVEll TWP... Date of Death,1<e~7.1 . Appraisemel!t Docket Vol.,313 . Page,21.7--2 No 93.~7l~l.Q5.J?.. Filed ilJ Register's Office,~~D.:~.3..:.19 7.? Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined.and Approved,. Wrot.e abo.ut Appra.isement, Appeal j,.om Appraisement,. Entered lmd charged,. ------------------ ,, < I ..~.,. , 'l '\ RCC-4 (8-68)COMMONWEALTH OF PENNSYLVANIA "''"'DEPARTMENT OF REVENUE .,'. NO.8 1lHH?·Br.f,I£I~~L,,~~CEIPT.PENNSYLVANIA INHERITANCE AND ESTATEH~1;i~~'i dollars THREE.liUNDRED SEVENTY~FlVE and 00/100 ~_-__•_ REClDliile Frnnl~liR Harris II:E){Gr. ,representing Pennsylvania Inheritance orATTY~RICHARD G.liILLER Estate Tax due from the following estate:From:__--..:.r--.:....-·IIIIJ 417 WASHINGTON TRUST BUILDINGAddress~__l 2%Taxon $$--------,r.:.1 375.00 $,---------1111 $ $ $ 394.74 $ 19.74 $ $'========'J %Tax on $_ Estate Tax,Act of May 7,1927 On Account 394t746%Tax on $$,1111 TOTAL AMOUNT PAID TOTAL TAX CREDIT 15%Taxon $,_ Less five percentum of tax if I?aid within three months after date of death Plus interest at the rate of __%from _ to _, •. \.)1,. lr 00 ~[p [L ~@illlr rn S E~A L: NOTE:This Triplicate Receipt to'b~retained for audit~~p~~7...2 ,J -):..-//, '.'Received by I tJi/-i-d,i,2LLR/(~~tU:~ NOTE:In accepting the transfer Inheritance tax an luture estates,prior to the death 01 the lile '/'1:''>(Signature), tenant or tenant for years,as eVl9.encedlby this 'receipt,I,t is,Snderstood that the Commonwealth sholl (/•(:t<'.~I c..7~/''l//~'J/' not be precluded or prevented Irom hereafter assessing additional inheritance tax at the death of the :.---J-":><V ~,/t/.t'-.~ li,fe tenant or tenant for years whenever 11 appears that such additional tax may be legally due and ("Mtle) collectible for any reason whatsoever,_ MIlJ)RED A.UARRIS a/k/; Name of Decedent ....., WASHINGTON XBX December 7,1971 Date of Payment --------------__l County ....., WASlJINGTON,P~SYLVANIA 15301 63-71...1058 10...6..71 File No.'Date of Death_-,----i ----~----------~.:::====,=::.:::::=:~J-I RCC·4 (8·68)COMMONWEALTH OF PENNSYLVANIA ~ •DEPARTMENT OF REVENUE NO.8 11998 O'FFICIAL RECEIPT.PENNSYLVANIA INHERITANCE AND ESTATE TAX RECEIVED r'IFTY SiWEN ..md 76!'lO~I DALE ntANKLIN MAnIlla Eii£a, From:,".1 .'"I,CWrI •. 'I «.,......J 5 .,).1;'b8r"._.to";'.·'...1..-.'1 '...,·.r .'!Ii"#.,!.l "I 'dollars representing Pennsylvania Inheritance or Estate Tax due from the following estate: WhSHLiGTON PENNSYLVANIA 1 01 Name of Decedent -.......,......~~........,'+--I:u:~.................0!f-''''f-'0\0---1 Date of Payment -~~~~-r-+r--.J.!J'+2~--------J 2%Tax on $$ 6%Tax on $t7,~92 ...3l;$",$.,4 15%Tax on $$ %Tax on $$ Estate Tax,Act of May 7,1927 $ Date of Death-J~aSe!4J~--1FileNo.6J-7W:OS(a County ------:-~ffi7tH:¥.b"t'l;;Ia---------__i Remarks: TOTAL TAX CREDIT $--4Ipr.:5"i15J1.r.;,514.i4~---11:I1 Less five percentum of tax if p nA ", 'd 'th'th th ft rov,.l:u.:2,CJ/t;...:Iit.pal WI In ree mon s a er'r\...6Bal"'u~O ~Odateofdeathtt.d .:1;....$----.j;j!.t2;'"~'~'il-i;;"---InlPI'h f;)~~~.,,,,tl ..us Interest at t e rate 0 Bat.Duo 57 ...76 __%from '. to _$---------1111 5 E A L TOTAL AMOUNT PAID $===:;!:57~·.=762:===:~J NOTE:This Triplicate Receipt to be retained lor audit pU~~:217"!i12 1/J ,-.711 . .'•Receive~by").,~JL..iIV:J.j~./J NOTE:In accepting the transfer inheritance tax an future estates,prior to the death of the lift t (.5,ignWtufie)l~ tenant or tenant for years,as evidenced by this receipt,it Is understood that the Commonwealth shall .,'~I)'I not be precluded or prevented.from herea.f~er.assessing additional inheritance tax ot the death of th·e"'>)i'LC\.;~flJt...-J ,.J....-V life tenant or tenant for years whenever'lt appears that such additional tax may be legally due and "(\(Title) collectible lor any reason whatsoever.-....) ...i ;,....'...'it WI L L ' L3--7 1-/b~'6~~ ,Ii, -, -,I,MILDRED A.HARRIS,~eing the same person as MILDRED S. HARRIS)of Hanover Township,Washington County,Pennsylv~nia,declare this to be my last will and do hereby jevoke any will previously made by me. FIRST:I give and bequeath all of my personal property, including cash,furniture and household eqnipment,to my two children, Mildred Ruth Pearce and Dale Franklin Harris"equally.' t, " -Sr~COND:I devise all of my real estate,to my said son, Dale Franklin Harris., THIRD:I appoint my said son,Dale Franklin Harris, Executor of this my will and direct that he shall not be required to give bond in any jurisdiction in which he may serve.- this IN WITNESS WHEREOF,I have hereunto set my hand and seal ;Iv -01#day of ""~'M~I/'1967.d -.:;-Ij , ;'zt;~d~6i A1~EAL) Signed,sealed,published and declared by 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,have hereunto subscribed our names as witnesses -thereto..\ .J",".,.,. -.\JI~~;l'