HomeMy WebLinkAboutOC1971-1079 - ESTATE OF ANDERSON.~..
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-and -
DAVID HAMPTON ANDERSON
I
I,DAVID HAMPTON ANDERSON,of North Franklin Township,Wash~Ii "
ington County,Pennsylvania,being of sound mind,memory and understanding,do :..1
hereby make this my Last Will and Testament,hereby revoking any and all testa-
mentary writings heretofore made by me.
FIRST:I give,devise and bequeath all my estate,real,
personal and mixed,to my wife Katharine McMurray Anderson,her heirs and assign ,
provided,however,that she survives me for a period of thirty (30)days,and in the'
event that she is not living on the 31st day following my death,I give,devise and
bequeath all my estate,real,personal and mixed,in equal shares to my fourchil-
Anderson and Sara Louise Anderson,share and share alike,their heirs and ass~gns.
ciren,namely:Phoebe Anderson Cassidy,Judith Anderson Thistle,Thomas Howard
SECOND:I nominate,constitute and appoint my wife,Kath-"
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arine McMurray Anderson,Executrix of this my Last Will and Testament,without"
liability in any jurisdiction to file bond,and in the event that,for whatever reason,
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of my estate in her stead,without liability to file bond.'
my wife,Katharine McMurray Anderson,should be unable to serve in that capacity'I
I do nominate,constitute and appoint my son,Thomas Howard Anderson,Executor I
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IN WITNESS WHEREOF,I have hereunto set my hand and seal,this
gLday of'~.,1968.
,
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~-"da/M,di:rz~(SEAL)
David Hampton Anderson '
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in his presence and in the presence of each other,have hereunto subscribed our
as and for his Last Will and T.estament in the presence of us,who,at his request,
Signed,sealed,published and declared by the above named Testator
I.:'.
Address:ls:
~7J.U~~W4fi
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Witnesses:
names as witnesses thereto.
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Affi~auit (@f 1fxetutnr (@r 1\~mini!1tratnr
t;tntr of :II1rnn5ttlnnnin,!oIfJ:1 55:
C!Lounty of lIa5~tngtnn
P all b f h d . d h'Notarv Public . d f 'dersony e ore me,t .e un erslgne aut orlty,a ""ln an or Sal
County and State,appeared ~.t.h.~,;:!.~~..M£.M.~~E.~Y.~.~~~1i-~.~who,being duly
sworn according'to law,deposes and says that she is the execu1lOX mxxdmixlWer:tJR of the estate of
..............pg,y..i.g..H~P.lp.j,9.n ..Agg~.r..e.9..~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of.............R~Y.:~g...f.r~m.P..t9..n ..~.ng.~.r.,son
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 fo
be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each
item made by the above .named Executor .~dmi~ator.
dii1.tIi71.;:.2.:';}ud.?~~.'.~~~~..?'.:.~::.i.~~.'2.~~~.~~!....".....
• •~~~!..............Executor-Administrator
Washington,W NAL INSTRUCTIONS
1.iAn inven~~ust be filed w~hin th:ee 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,
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
lIuufutl1ry uui'a .Appruistmtut of the goods and chattels,rights and"c:fedits whkh
wert<of Dii\Y.1sl...Hg.ffiP..t.Ql1..Angg.r..1?Q.g Jate of ~2E.t.h ¥.)::.~~~gE:..:Eg.~.~~.?~.p..~,.
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Washington County,Pa.,taken and made in conformity with the above affidavit.
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DOLLARS CENTS
=======================::;:;=====;=====-=--
REALTY
None
PERSONALTY
2081 shares,common stock,Cyclops Corporation
1970 Ford automobile
TOTAL PERSONALTY
o
45~7.82
~.....~Jl.J"•
2,650
48,432
00
00
00
00
:1.•
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The within named Accountant being duly sworn according to law,depose and say that the above account
as stated is true and correct as ~h~verily believe,
Sworn and subscribed before me this f1~h .
day of J~~y.19~.~.
.~~~~
Washington.Washington Co.,Pa.
My C~mlsslon Expires August 3.1974
Washington County,ss:
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I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the mCJ!i1ner
prescribed by Statu'te and Rule of Court,as evidence by proofs
thereof filed to No ~..~..::-..7..t-.:::.3.G?~,.>'
Witness my hand and official seal this ~.G .
day of A·q··9··k{··£·r.·························19.7-%-:
...................~.~
Register of Wills 1'n0
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FIRST AND FINAL ACCOUNT
of KATHERINE McMURRAY ANDERSON,Executrix of the E state of
DAVID HAMPTON ANDERSON,late of North Franklin Township,
Washington County,Pennsylvania.
THE ACCOUNTANT CHARGES HERSELF AS FOLLOWS:
Inventory and Appraisement:
PERSONALTY
REALTY
$48,432.00
None
TOTAL •••••$48,432.00
TOTAL DEBITS
TOTAL CREDITS
$48,432.00
8,499.81
BALANCE••.••••$40,332.19
THE ACCOUNTANT CHARGES CREDITS AS FOLLOWS:
11/22/71 Richard Piatt Funeral Bill $1,449.70
Funeral Home
10/28/71 Nurse 6.00
12/10/71 S.White &Sons Marker 420.00
1/30/73 Fergus,Martin &Attorney Fees 4,500.00
Fergus
10/21/71 Thomas Anderson Costs advanced 450.00
11/3/71 Ashmore's Florist Flowers 47.70
1/6/72 Dr.Berman Final Bill 30.00
1/5/72 Observer Publish-Advertising car 5.40
ing Co.
1/26/72 Pittsburgh Press &Advertising car 33.51
Post-Gazette
10/27/71 Register of Wills Probate Will 12.50
FERGUS.MARTIN
AND FERGUS
ATTORNEYS AT LAW
27 SOUTH COLLEGE STREET
WASHINGTON.
PENNSYLVANIA 1530I
12/7/71 Register of Wills
Observer Publish-
ing Co.
Washington County
Reports
Short Certificates
Advertisement
Advertisement
1.00
16.00
16.00
(cont'd•••••••••
","
CREDITS (cont'd.)
Page #2
Register of Wills $12.00
FERGUS.MARTIN
AND FERGUS
ATTORNEYS AT LAW
27 SOUTH COLLEGE STREET
WASHINGTON,
PENNSYLVANIA 1530I
Widow's Exemption 1,500.00
TOTAL CREDITS...$8,499.81
Observer .Reporter;
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
EXECUTRIX NOTICE
ESTATE OF David Hampton And"r·son deceased late of South Stra·bane 'l'ownship.Washington Coun·ty,Penna.
L"tters Testamentary upon theaboveesta\e having been grant"d
to the undersign"d.all persons hav·ing claims against the estate lire re·
quested to make kn()\\,n th"same tothe,und"rsigned or his attorney andallpersonsindehtedtoth"dec,,·.dent are requested to make paymenttot11"undersigned without delay.
Katharin"McMurray
Allderson.Executrix705S.Main St.
Washington,P"nnsylvania.<,15301
,F"rgus.Martin &l""riusAttorneys
27 S.Colleg"St.Washington.Pa.
L __~~_~_72~ues-3t
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 Notary Public in and for said County
and State,Ri.chard S Cowan ,who bei11Jg duly SJworn r
according to law,deposes and says that he is the .v..•.P.r..es .
of the ObSJerver Publishing Company,a Penns,ylvania corporation,and its '
agent in this behalf;that the said Com.pany is the'owner and publisher of
the Observer·Reporter,succ'essor to The Washjngton Observer,established
September 18,1871,and The Washington Reporter,established August 15,
1808,a daily news:pape,r of.general circulation,printed and publis,hed and '
having its place ofbusines's at Washington,Washington County,Pennsyl·
vania,where it'or'its predeces,sors have been established and published
cOIl!tinuous'ly for inore than six months·prior to the publication of the notice
hereto attached;that the printed notice or advertisement hereto attached·
is a 'copy of an official advertisement,official notice,'legal notice or legal
advertisement,exactly as printed or publiShed iii.th~Obs'erver·Reporter.in
its regular editions on the following date or dates;.
.....................Qctober 3~*NQv.ember.7 and ~4.,.l9.1.2 ..
that neither the affiant nOT the Observer Publishing Company is interested
in the subject matter of said notice or advertising and that all of the allega·
tions'of this affidavit as to the time,t:3lac6.nd characzterof jJblication
are true./.t~.....................·.~~l !..~·
Sworn to andsubsc~}jfOre me this.14.....day of...Nov..l.91.2.
....nr?J:;:.'(;;;~;;~y
WASHINGTON,W/\SHINGHlN COUNTY
MY COMMISSION EXPIRES MAY 6.1976
Member,PennsylvaniaAssociationof Notaries..,
"---------------------~.
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}88.
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 officiad legal periodical for said Washington County,published weekly
having 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:
November 2 9 16 1972.................................................1 ,t .
Estate Notices
The Register of WiHs 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.
• •••• • • ••• • •••• ••
IANDERSON,D A V I D HAMPTON,I
,Dec'd.I
I Late of South Strabane Township,I
/
.Washington County,Penna..
Executrix:Katharine MCMurr~yAnderson,705 S.Main St.,Washing-ton,Penna.15301
Attorneys:Fergus,Martin &Fergus,
!~~3gi College St.~:ashin~t~~~~enna.
that the affiant or the corporation in behalf of whioh he is acting is not
interested in the subject matter of said notice or advertising and that all of the
::~:d~::::~:~::~L/
......16.th day of NOY.emb.er.,19.7..?.~_.tL-I-~;;;;;~~
JOSEPHINE T.SCIAMANNA
Notary Public,Washington,Washington Co.
My Commission Expires July 1,1974
~::1~
Es.i~tk of David Hampton Anderson
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nf <trnmmnn·.Jf~an nf JtlJal1ijingtnu
®rpijanl1'<trnurt iinil1inn
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';l:H-'In the matter of the Audit of Account in
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TO ~}IE f-UDITING JUDGE:
I '
EnteJ,our appearance for .Katharine McMurray Anderson,Executrix of
thel:Es:tate of David Hampton Anderson
FERGUS~,RTINand FERGUSByfJt=~J'-------'~~
11th day of eptember ,19~
N.B.-Counsel shall,by separ,a:te pape,r,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
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NO.__=--------------::---=
In ra Audit of Account in EstaJte of
DAVID HAMPTON ANDERSON
AUDIT
'ttt.rrip.r fnt !\pp.rtttaur.r
FOR
Katharine McMurray Anderson
FERGUS,MARTIN and FERG US
By.--:-:-:__
Att.orney
~2
PETITI01'~SUR !\UDIT
IN THE ORPHANS'COURT OF V/ASHINGTON COUNTY
.I
...............................................................................
................................................................................................
Deceased
C 5-7/-(0'11No..~......•...•......::.....•••....•..•
Fiduciary.s.Kat.b.ar.tn~..M~.MJJ.:r.r.~u;..AmJ.~.r.s.Qn .
..
Date of Dote of
Decedent's death....•Q~t.QR~.r..;U•..l~.7.L Grant of Letters .
Th' .th First &Final f"d'h'IS IS e...........•.•...••...................••..............••....................occount I e In t IS estate
If there have been former accounts filed in this estate,list file number or number and term :.N.QmL ........'.
.............................................................................................................................................................................................................
Election to toke None
Under or Against will.(cross out one)
Date Election Place of;
Filed Record .
Name of surviving spouse .Kathal:iue..M.c.M.ur.ray..h.llderS.9.tl :..
list issue,where material:
Did decedent marry after execution of will?{indicate}Xdt.No.Any children born after execution of will?(indicate).f -....~No.If answer yes,name them :.::.
............................
Legatees·
Katharine McMurray Anderson
Relationship
Wife
Interest
Entire estate
Fiduciary,if deceased or not sui juris
List,if ~'Xceptions to above:
If partial intestacy,give facts:
None
Adeemed:Revoked:Lapsed:Abated:Give Couse:
Notice to intc.·csted parties.Have all parties,having either vested or contingent interests and ·011 crediars enl died
to notice (Courl r~ule No.9 paragrooh C:Section 6:Subdivision c)received written notice of the filing ·of-the occnunt
and of call of audit?Yes.:Nt'."
If any exception give causc:NQXHL.....................•
File copy of l\jol-ice·...
and date of n'ojling ~.~~S,l;l.t£.~~..IJ:.i§.J?RJ~..h~~r.::..
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Is estate subject to the filing of a Federal Estate Tax Rcturn?y~.$: :..
AcluClI payment made on Penns'Ilvania Transfer Inher,itance Tax.Amount $..4.~.§.~1~~.
If the Will makes any portion of estate subject to a life.estate,give name and birth date of life tcnant...
........................................................................................No .
Give Nomes and addresses of all unpaid creditors who are legally entitled to noticc,together with the amounts
of such claims;state whether they arc admiHed to be correct;and whether the claim is denied.
None
~'..,
Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re-
quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication:
None
Balance for distribution per account,
Itemize any additional debits not shown by account:
NOne
Total additional debits (Add)
Itemize any additional credits not shown by account:
$N.o.n~.
$.1Q~.3.3.2~.J.~L .
Register of Wills
Total additional credits (Subtract)
Bolancefor distribution
$16.00
$.lfi~..Q.Q.••••••.•••.••••••••••••
$:lQ,..316,.1~.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
The widow -executrix has advanced all costs to take the entire estate in kind.
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(3)
II.
If family Exernptiol1 claimed by Petition,give place of Record:;.
If Family Exemption is claimed at aU~it,give name,relationship and basis for Claim:.:..
Katharine McMurray Anderson,widow
List any advancement or distribution on account that has been made,and nature and amount of same:
None
~,
Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections
to take in kind if balance is not in cosh:residuary shores being stated in proportions:
Entire estate to Katharine McMurray Anderson.The widow -executrix has advanced all
costs to be able to take the estate in kind and by this petition does elect to take the estate
in kind...
II
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.............9.w.:~r.n.to and subscribed before ,.C)
me th;s.•Htn doy ~..:;;.s~~e~....:J~K!ii1a~~~~~4.xtLa~.s.o~.~....0.:-~.D.::}..
Signature of Officer.~~~~v
. .Notar Public ~_,:..Title of Offlcer y :.
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being d·Cly·J!:w.-9.:r.n doth depose and soy
that the facts set forth in the foregoing petition are true
to the best of..h~r.knowlcdge and belief.
Office cxpires CHA'RL'OT'I'!:..I:.:-yOUMG:.N'c.t~.PUUht'..
Washington,Washington Co.,Pa.
My Commission Expires August 3,197."P
.And your petitioner will ever pray,etc.
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'74 SF It}fd1 \\25
Deceased
..............................................................No.
...........--.
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Estate of_••_D~YlL1.H~M.:eJ:Q~._Al'iR.f;.B.~O N
~
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Fiduciary__.Kath.ar.ine..McMur.r.ay-..And.er.son RUSs~C.it',.l~r~~NO
REGIS1[-"::;:YilLLS
WASHIN'·'(~~CO"Ptl.
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PETITI.QN 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:paragraph b-c;and divisions
thereof:shown onypages 23-24.
1.Written praccipes of 011 Counsel in the
case.
~~-i-
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4/10
2.Copy of order appointing Guardion ad
litem,if pf,'!rtinent.
3.Copy of Order appointing Trustee ad
litem,if pertinent.
4.Proof of se'rvice of above.
5.Letters Testa~entary or Administration
C.T.A:or an attest copy of \-Vill.
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 distribution are from judicial
sale of real estate.
9.Signed and itemized elections if 6ny
distribution in kind:
10.Copy of Federal Estate Tax return if es-
tate is subject thereto.
/-\
FERGUS,MARTIN and.FERGUSf"BY........~..~.~.~~:;;...
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'tuullylnnuin (Orp4nUllf Qtnurt llinilltnU
ESTATE OF
David Hampton Anderson,
Deceased
N 6)-71-1079o.__---"'"""'_---'-'=--=~_'--_
In the matter of the First and Final
Account of Katherine McMurray Anderson,
Executrix
ADJUD'.CAWN AND DECREE
An now september c!l </-::::::-,19-.1lL,this matter came on for hearing,
audit and distribution of this session and testimony taken;and thereupon,upon due consideration
thereof of the balance for distribution in the hands of the Accountant is determined to be
$"~3J6.12 ,and the account is accordingly confirmed;and it is ordered,
adjudge and decreed that the said balance be'paid out by the Accountant in accordance with the
schedule of distribution hereto attathed and -made a part hereof,unless exceptions hereto,be filed
.sec.reg.or an appeal be taken herefrom sec.leg.
I ~b
-...,.~
SCHEDULE OF DISTRIBUTION
,-
-"OJBalenceperaccount~__",--:..t
Additional Credits -Audit 16.00
Balance 1
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Deduct Clerk's Costs &Receipts.&_A_dve_r_t_i_sln_·....::g"--I
Attorney ---=F--=e=ra.gu=s"--o!,'--=Mart=-=in=-:-&=...:;F:....::e;.;::r.ggt1=s=--I
Russell Marino,Agent -Balance of Transfer
Inheritance Tax $).00
Interest to 10/21/74 .41
Advanee by residual legatee to preserve assets of estate
in kind
Katherine McMurray Anderson-Residue including:
2,081 shse Common stock of Cyclops Corporation and
1970 Ford Automobile in kind at appraised values
(45,782.00 and $2,650.00)per election filed
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No.63-11-10~9
Inthe mqtter of the First and Final:
..;:",
Account of Katherine McMurra,-Atlderson,
ExecutriX
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of Estate of.Dav:id Hampton Aiiderson,
Deceased
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rn THE COURT OF CONlJV[ON PLEAS OF WASHINGTON COUNTY,PENNA
ORPHANS'COURT DIVISION ,
J
DAVID HAMPTON ANDERSON,
HEARING ON AUDIT
The Honorable PAUL A.SIMMONS,Judge of the
said Court.
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INRE:
Estate of
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-'>UlZ
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II.
iot-e>z~BEFORE:
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No.63 -7,1-1079
•
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I!:t-UI~APPEARANCES:
0(
u
o::J.,
~TIME:,..
N
FERGUS,MARTIN &FERGUS,Esqs.,of 'Washington,
Pa.,representing the Accountant.
Thursday,Septemb~r 12,1974,at 10:00 A.M.,EDST
r
\
uiI!:\&It-I!:o~THE COURT:The estate of David Hampton Anderson.I!:
t-~Mr.Scott Fergus.ou
~MR.FERGUS:Again,Your Honor,I have the Petitionu
b:~Sur Audit and related papers in this matter,including
Debts and Deductions and a RCC33.
THE COURT:
MR.FERGUS:
No complications?
No complications.The Federal Estate
Tax Return lS filed and audit held.
THE COURT:
Anderson.
Announce the estate of David Hampton
2
MR..ZERMA:N I :
(Court Crier)
Your Hon.or,I received no response,.
"
THE COURT:
r ;...."IIsanybodyinthe Courtroom interested
in the estate of David Hamp~on Anderson?
,.•~"'.
"'--THE COURT:
.'.(NO RESPONSE).
Hearing no response,the audit of this·
estate is ordered closed.
«Z«>..I>-UIZZIIIA.
iol-ez:ill)«~
(AUDIT CLOSED )
I heroby certify that the proceedinls and evidonce
The foreloing record 0,the proceedings upon tho hoarin
correct transcript of the s
on the henring of tho abovo cause_and that this copy is a
Ii~l-ll:~~
l-e:J8 of the above cause is horeby &l'proved and directed to be filed
tii:'aTO contained fUlly and acc:uratcly in the notes taken by lie
I-"Q
.I.«Uo:J'"l
:rI:.til
~Uii:II.o
By tho Court,
•
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RCC-71 (gobS)
~/,
COMMONWt-AL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BURE&U Gr!=COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
I
f
DATE~.~_rAPPLICATION(MUST BE FILED IN TRIPLICATE)~
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:~'--
Application is hereby mode for calsent to the transfer of the followi securities of a
Corporation or a Notional Bonking Association located in Pennsylvania:See attached she
(0)(b)(c)_
(NOTE:In describing securities enter in (0),ab CNe,either the number of shores of stock or the face amount of
registered bonds,in (b),the nome of the issuing company and in (c)the closs of stock or the stated interest rate
and maturity dote of registered bonds.)
ISSUED ON ,and having a TOTAL MARKET VALUE OF $45.782.00-_
(Date)
as of the dote of death of the decedent,_--,D=a,",-v:..;id~H=.,----=-A.;:.;n=d=-e=r:...;s",-o=n,-,-,on October 21.1971
(Name of Decedent)(Date of death)
who was late of 705 S.Main St.
(Street and Number)
Washington
(Post Office)
Washington
(County)
Pennsylvania
(State)
The securi ties are regi stered as fa 1I0ws:-=D~a~v~i~d'-'H~.--,A~n~d~e.=:.r~s~o~n,--_
(Name or names in which certificates are registered)
~1Jm Katharine McMurray Anderson,705 S.Main St.,Washingt<2n,_Pennsy1vania
EXECUTEltRIX)(Name)(Address)
NAME OF APPLICANT Fergus.Madin.and F~\lL-.__
COUNTY FILE NUMBER 63-71-107~DDRESS OF APPLICANT 27 S.Co1Jege Str~e~t _
w~~fJ:f.~n,Pr nnsy1vania 15301BUREAUFILENUMBERsameSIGNATUREOFAPPLICANT\-;.'.,.)k'~<J/'•I
~OTICE:IF YOU FAIL TO PROPERLY FILL I~A~Y PORTIO~OF THIS APPLICATIO~,ITIWILt1~OT BE
CO~SIDERED COMPLETE A~D WILL BE RETUR~ED TO YOU FOR COMPLETIO~.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE 5 Ap-ril 1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is mode 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.
(Si gnature)
Register of Wills Washington'------_._--._--(Title)(County)
f.
'ft
~~
I am the attorney of record for the es-
tate or the transferee shown on the
front of this form.I do hereby person-
ally guarantee the payment,within the
time prescribed by law,of any Penns"l
vania inherit;·mee tax which may be ,-.,
on the t~ansfer of the securities l
hereon for 'llhich a consent to tra.
is granted.r=;e.tJr-~~~.71~/7.~.~..~.V~t-
.(Date).q"8ignature)-!....
:::~fN·
;::·~~~.~~;-::~i;:
'.A:~~~1_:;4i"
~
NUMBER OF ~A~lE C'f ..t\SS ISS"CE ('ER]1~CATE
SHARES DATE \;l'YI:BEH.
100 CyC'lOTlS C Orp0l'dlion ('nn1rr.n 'l Ft"'h.4,j ~f ::,·t 8~}OI
75 "II -,.l u1\-16.l(l:'>7 P02f11
60
..I'".1 ~1 ;-I •~S!J 1:'6 2 PO:2317-1-
51
.,I'I'.1811.10,HJ:=i 9 1J0-i:72'L
1 "",.J eb.2:1,1~l58 'IJU;022
58 II "I';dO.U;l,Hl60 }JU,-j:")3-1-
•""
oo 10:-1<;013 0:)1251),:'10.
50 I,"I'.',:-)6 01'~OG[1-:a !J._u.
55 II I'Jan.I;).'(\:-)8 P0l5~7
100 "II "r)f-.('•;0,19::i 7 12768
100 "f1 oo .iuhHi.1957 p:noo
100 I'oo ".Tul,v 16,1057 P3:101
100 "'I ".J u1v 16,1(1.Oj 7 P:UO~
100 I'",..Tuly 16,1~)57 p:no:~
100 "",July 16,HLC)7 P:3 3 04
100 """July 16,1057 P3305
100 I'!!",July 16,1957 P3306
100 II "".ruly 16,19217 P3:-;o7
100 """lJecem!>t:'r 2:),1952 '1-1-73
100 """Dec.-l-,1~)Sl 911:)
100 ""I'nee.10,1950 8484
100 """Feb.17,IPSO 7938
100 ""'I :\0',•1,1q-l9 7757
100 ""I'Feh.17,1049 7577
100 ""I)e ('.:n,1~~48 75:i8
..
:j~{.
"·t::::-:.
...
J
RCC·72 (ll-15S)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU'Or COUNTY COLLECTIONS
-------------,-----------------,
&,-..3-7/-/0 79
APPLICA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE ---lJloUuul>+-y.-'5~,'--""'-'19~7..=.2-APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for c (J'Isent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a)_,2302 (b)Cyclops Corporation (c)_J.ClJo!Q~mmolWLln.A.-_
(NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of
registered b(J'lds,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.)
,and having a TOTAL MARKET VAilUE OF $,llL5~0,~6~4~4.~0:.l!!0--_ISSUED ON July 16,1969
(Dote)
as of the date of death of the decedent,__~Da~v~i~d~H~,~A~n~d~e:.!!!.r..=.8o~n~,on October 21,1971
(Nome of Decedent)(Dote of death)
who was late of 705 S.Main Street
(Street and Number)
Washington
(Post Office)
Washington
(County)
Pennsylvania
(State)
The securities are registered as follows:DavidH.Anderson Dnd lCatharine McMurray Anderson
(Nome or names in which certificates are registered)
X1Iaal~Katharine McMunay Anderson,705 S.Main St.,Washington,Pennsylvania
EXECUQ&RRII )(Nome)(Address)
NAME OF APPLICANT Fergus,Martin and Fergus
COUNTY FILE NUMBER 63-71-1079 ADDRESS OF APPLICANT 27 S.College Street
Wa~f~gtpn~.Pj~SYlvanta 15301
BUREAU FILE NUMBER 63-71-1079 SIGNATURE OF APPLICANT KJ&'-'rJa (~4t.....!.'(.-.
NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WIL~OT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE JUly 5,1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing ofa 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
abovet'named Decedent.
S~for the Secretary of Revenue~v··).<J J f)/)0 fi ~4lfa/~/YLfy(0
;r
(Signature)
Register of Wills W.ahl~
(Title)(County)
.~,
I am the attorney of record for the es~
tate or the transferee shown on the
front of this form.I do hereby person-
,ally guara~tee th~payment.within the
time prescribed by law,of any Pennsyl_
(vania inheritance tax which rna:"be due
I on the t:r~in8fer of the S61'urities 1 j flied j
, h reon f(\)'·which a ('ons~nt to transfer I:
4 i granted.~,/_(I .·fllll-..,;~~.?:-I.'.ifte)Signatur.e)p .
(
...
Rcc-n (9-68)
COMMONWEALTH OF PENNSYLVANIA
DEPART-MENT OF REVENUE
BUREAli"'OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN TH E NAME
OF A RESIDENT DECEDENT
DATE _=Ju=lz-Y~5:.L'~1=9~72=--APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for CQ'lsent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a)600 (b)INA CORPORATION (c)_----!CO_1'IIDOIIoI!Il!.UD'--_
(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 the issuing company and in (c)the class of stock or the stated interest rate
and maturity date of registered bonds.)
(Date of death)
,and having a TOTAL MARKET VAilUE OF $..!!3~Oc.6~O~O~.O~O~_ISSUED ON July 17,1969
(Date)
as of the date of death of the decedent,__.....D8-...v....1d.........R;a.e.--e:>A...."d....er;ur'-'l....o...a.o-.,on_.....:O:...;:e:..=to-=-be:::....::..::r=--.:::.2=1.~1:..:.9..:..7=1_
(Name of Decedent)
(Street and Number)
who was Iate of_---..:7~O~S~S:.!...~Ma=1~n~S~t.!....-....!:W==a~8b::!:1~DI~t==o~n~_!W:!.l!.~.~hc!!!;lng!!!O_!t~o~n!....._Pe~DU~!.Jy'-ill1LL'¥~aD~le!1.L.
(Post Office)(County)(State)
TI1e secu ri ti es are reg istered as fo II ows:_~Dla~v~lcl~H~.~AIl~d~.~r~a==o~n~a!!!!n~d~ICa~tb~.~r!L!l~n!!!e'--Mc~Mu~r~r.!!.yI---JAn~d~.~r.!!!:.o!!!!n!L-__
(Name or names in which certificates are registered)
~-Katharine McMilrrAJ ADderaoD,70S.S.Main St.,waab1ostoa,Pennaylvaai.EXECUTmaU )(Name)(Address)
NAME OF APPLICANT hrgua.Martin and hraua
COUNTY FILE NUMBER 63-71-1079
BUREAU FILE NUMBER 63-71-1079 SIGNATURE OF APPLlCANT~~......ul~-{...oo!CLj~~~__
NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS AP LICATION,IT WIL
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES DATE JUly 5,1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the 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.
r the Secretary ~)fue.
B'f':-t.~~~~~~:...L.~{Q::::::V::::....f:::L,,:::::.L/)..t...-'~
(Signature)
Register of Wills Washington
(Title)(County)
.._-_.--:-.....i I am the attorney of record for the es-I
I tate or the transferee shown on the
,~:r:ont of t.h,is form.I do r.srp,by person-\
s.ll,v l:"11?rn nto p,tl'~('T'f1:'Jr1pn-l:;."f\~}~i n the
+l'me n"C>~""Y';}o'\r]h"1r,'"of''\Yl'!~)0nYlC"vl-IJ _••.,v.V",_..,o..~~..0"".
y'p"!i g ;r,l...,('\p~.j',.~'Pc..J-<"1"">{w~i (".lAo r.....~":qT l---.~rJ1.'C1 ;
I r\~L +~('",'.""~'f'"'1 ,,'''I,nllY.';~';r"'1 i ~:ed \'
,h"'N~r +,~,:.,;::;:,1,';'::J~::C'l!+"t~tr~nsf~~
fJjj.L·,·...~;f.lV:4SJ/~.....~I
I L~Le)(SIgnature)J'--_.,.-.._--,~~------..;
"...-<"",.
Rcc-n (9-68)
COMMONWEALTH OF PENNSYLVANIA
DEPAR'rMENT OF REVENUE
BURE~U'6F COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE _J;::...u::.c;:1;JLy-:5:"""!':...-.c:.;19::.c;:7_2_
APPLICATION (MUST BE FILED IN TRIPLICATE)
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:
(a)2650 (b)Hobart Manufacturing Company (c)__C_o_nm_o_n _
(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 the issuing company and in (c)the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON July 18,1969 ,and having a TOTAL MARKET VAilUE OF $...=1:..:...7""'--'7,£..::5=5..::....0.:....:0:...::.0---"--_,
(Date)
as of the date of death of the decedent,_----'Da::..c:-v_i_d_H~.'_'_._A_n_d_er_8_o_n ,on __0_c_t_ob_e_r_2_1=-,_1_9_7_1_
(Name of Decedent)(Date of death)
who was late of 705 S.~in St.
(Street and Number)
Washington
(Post Office)
Washington
(County)
Pennsylvania
(State)
The securities are registered as follows:David H.Anderson and Katharine McMurray Anderson
(Name or names in which certificates are registered)
~Katharine McMurray Anderson,70S S.Main St•.•,Washington,Pennsylvania
~)(Name)(Address)
EXECUTRIX NAME OF APPLICANT Fergus"Martin and Fergus
COUNTY FILE NUMBER 63-71...1079 ADDRESS OF APPLICANT 27 S•.College Street
Wash gt ,Pep¥ilyania 15301
BUREAU FILE NUMBER 63-71-1079 SIGNATURE OF APPLICANT (./~'--
NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS AP LICATION,IT WILL N T BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE July 5.1972
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the 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 Washington
(Title)(County)
B
or the Secretary of Revenue I CD
._I.2
C J:r''.
I am the attorney of record for the es-
t~te or the transferee shown on the
front of this form.I do hereoy person-
ally p;1J8.rAlltee the paymf'mt.wi thin the
\time pr~scrioed oy law,of any Pennsyl-
.vania inheritanc8 tax which rna:'!De due
on the tranf'.f"lr of thA securiti88 list.ed\~H~~~·WhiCJEn~ranS.fer \'
.(·Jifl2-··(s;~~at~?r:·?-:··
,Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
J
.......w.Ci.~.~~~gt.9..~.
IMPORTANT:This return must be completed in detail and filed in duplicate,'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.)
____E~;~~~~~;.~i;~::---------}:::UA:;:OF
Late or _.:w..e..~.h~.p.gt..QP.:, ,,................................count)'ADMINISTRATOR
state of R~.!1:!1:.~y~.Y.~~~}
,\
,55:
County of Yf..,?:~.hJ.p.gt.Q.P:_.
,KATHliRINE McMURRAY ANDERSON ..,,:.
~of the estate of the above-named decedent being duly sworn.depose and say
..~~rix
21 19I1 {testate leaving a last will,copy of which is hereto attached.}
(DIlY)(Y(,llr)intestate
OctoberDecedentdJed,.,,..
.(Month)
o t herN:m:t:::i.:::~::~r::e:ttt::;::::}".,.,"..,F~.,~g.~~..,M~.:rt.i.,:p".,&t:..,.,,F.e..rg.u.s..
whom all correspondence should be . .?IS()1l~h<:::()11.(;lg~$~r~~t,W~~h.~:p,gt.9.:p"P~.l.53.Ql ..
mailed.
That as such E~e.~u.tr.ix deponent is familiar with the affairs of said estate and the property con-
(Ex"cIItor-Administrator)
stituting 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 JOINTINWHICHDECEDENTRENTEDASAFEDEPOSITBOXINNAMEORNAMESOFHOLDERSTODECEDENT
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 fUlly 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 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 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 in 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;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 owned at the time of death;all wearing apparel,jewelry,silverware,pic-
tures,books,works 'of art,household fUrniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated
market value thereof;all bonds and mortga~es 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,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.
.,';"'tn,,,,."",a:...t-:','-,,+,"~I
/
Subscribed and sworn to before me this , .
'~,
...,;/~."..""."",..day of ",~??l..'e£:19 :2~-~U.itM.Y'~"C~..","..
Washington,Washington Co.,pa~,\!Q\J
My Commission Expires August 3,19748 .
In the case of 'securities of Close or fl!J1lily 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 da.te 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 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 tI1e~agreement)
together with a statement setting forth thecnaracter of,the business,its location,and such other facts
pertaining to the business as maybe pertinent to a fair and just apprl;li,sal 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 dec'edent'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,tl')e proportionate share received by each transferee and
all other facts of a pertinent nature regarding said,transf~:rs~,In the cti.seof transfers intended to
take effect in possession or enjoyment at or after death,there i~also attached to the schedule a cony
of the deed,trust agreement or other instrumentcl'eating the trust.Therl~is also set forth in said
schedule a list of all property,real and.personal,with its value,which passes 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,either individually or jointly,by the Will,deed,or other instrument of another,
-with a copy of the instrument creating such power att,achedto the schedule.
:'
That Schedule 0 attached hereto and made part hereof sets forth the nti.mes and addresses of a.ll
persons beneficiti.lly interested in this ~state .at the time of decedent's deti.th,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,annuittl.nts and beileficiariesfor life under dec.edent's Will.It also
contains a statement showing which of thebeneficiariel3 n/lli1ed in the decedent's Will,if any,died prior
to decedent,the dates of their death,their issue,and the relatiol')ship of,s\lch issue to the beneficiary.
,' '\
That Sc/ledule E attached hereto and made a part hereof sets forth a.11 property,real and per-
sonal,owned by the decedent jointly with ij,notheror others,inclUding intangible,standing in the name
of the decedent and othe~s,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 Sc/ledule F attached hereto and made aparthereofsetsfc>.rth :flullyandin detail all debts
and deductions claimed for and on behalf of this de~edent's estate,:I.nciqdingfuneral 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 bqrial trqsts,t;ombstones or gravemarkers,and reli-
gious services,in conseqqence of the death ,of the decederitjdebts and claimS oWing and UIJ,paid 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 amoqnt claiming and allowed,that the.same will be reported to the Register of WillS,and that
the amol),Dt 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 S\lIDIDary.
'~.'''.~..~.~/l.I..'lite.,~..~a.~J.+_.......(Executor-Admin~tor)I
....2~£.,.~.&~L"b "s.::-L:_h•.
~€~~;;'!t;:;£~,-/6i(>f
NOTE:Before signing affidavit make sure all blank:spaces in the affidavit and schedules annexed are
filled in with detailsor the word "None",andln ~ase yhe assets inclqderare and qnlisted secqrities,
secqrities of close or family corporations or an inte~est :J.n any co-partnership or bqsiness,that the
data and statements required l),Dder the paragraph above ~elat:\.ng to Schedqle ".a"are attached.Also make
certain that col1).Jll!1 #1 in the "Sqmmary"has been properly completed as /ibove-directed•.','-"..,
I,.,/
RCC·34 (4-73)
COMMONWEAL'f.H OF P/:NNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "Au
REAL PROPERTY
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Property held by the decedent as tenant;in common with another or other,should be identified
as to quantum of interest and the estimated value should be that of the decedent's interest only.(Property
held as joint tenants with right of surviorship or tenancy by entireties should be reported on Schedule liE.")
The real property located In the Commonwealth of Pennsylvania should be
described by lot and block number,street and street number,together with
a general description of the property,with a reference to the record of the
conveyance by which the decedent took title;If a farm state number of a.
cres;also statement of mortgage encumbrances upon each parcel at death
of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are
to be listed on Schedule "FlO and must not be d~ducted from this schedule.
NONE~......
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not write
In thl.space)
Insert this total opposite "real property",Schedule "A"in the X X X X X
"As Reported"column on the last paae of this return.
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RCC-3B ,.
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS: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 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 dividends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capacity,partnership interests,interest in any undistributed
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
VALUE
ESTIMATED
MARKET VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
2,081 Shares -Common Stock -Cyclops Corp.$22 $45,782.00 is-;75')..,00
1970 Ford Automobile
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X
2,650.00
$48,432.00 c.(fJ 1-.3 ~.aD
o r(.;j,.~
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RCC-36., ,
SCHEDULE "c"
TRANSFERS
(1)Did decedent,within two years of death,make any transfer of any material part of his estate,without
receiving a valuable and adequate consideration therefor?(Answer yes or no)~O
(2)Did decedent,within two years of death,transfer property from hi~~elf to himself and another or
others (including a spouse)in joint ownership?(Answer yes or no)l\JO
(3)If the answer to (1)or (2)above is in the affirmative state:
(a)Age of decedent at time of transfer __
(b)State of decedent's health at time of making the transfer.(Note 1).
(c)Cause of decedent's death.(Note 1).
(4)Did decedent,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?
(Answer yes or no)~O--'----(a)Was there any possibility that the property transferred might return to transferer or his
estate or be sUbject to his power of disposition?(Answer yes or no)_
(b)What was the transferee's age at time of decedent's death?__
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no)~~O _
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)~O
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or others --::_
(7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor?(Answer yes or no).~O
(8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change,
because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)~~~O~_
(9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(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 answer to any of the above questions is yes,set forth below a description of the property
transferred,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.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM DESCRIPTION
NO~E
MARKET VALUE
(Es timated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
Rct-38 ..
CCMM0NWFALTH OF PENNSYLVANIA
''rl~i\~~FTn DiHFlU TANCE Tn
RF~lnEt\T T'ErEnENT
.-.~,
SCHEDULE "E"
JOINTLY O!VNED PROPERTY
nSTRlTTWSS:This schedule must d.isclose all property,real and personal,owner!.by the necedent jointly
with lUlLlther or others,including intangibles,standing in the name of the decedent and others.List
re-al e-state first.:.IS entireties,or joint tenants,giving brief description,as indicated nnder Schedule
"A"~plus the dat.e ann place of record of instrument effecting vestiture,but no 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 decelient.
.----_-__---_-__-_..___.____---,_-"_...•..___.....•...__----------
Description of Property,Date of Acquisition,Name I unit percentage Estate DEPARTMENT VALUATION
Address and Relationship of Co-Owners,and Place i Value Share Valuation CAUTION-Do not Write
of Record of Instru-"!.ent,..~~~~_~ell:.~.~~_ta~e.~_!______In This Space.
Value of Value of
Entire Decedent's
Property Interest
Decedent and his wife,the Executrix of his
Estate,owned following property as Tenants
by the Entireties:
Real Estate at 705 South Main Street,
Washington,Pennsylvania (North Franklin
Township)
200 Shares -Penn Manufacturing Corp.
2,650 Shares -Hobart Manufacturing
600 Shares -INA Corporation
2,302 Share s -Cyclops Corp.
CO~~IY
I
I!II I
I I
i I!I
I i I
Insert this total opposite "Jointly Owned Property",Schedule"E"
in the "As Reported"colur:Jl1 on the last page of this return.
,.
RCC.-'37 (12-63)
COMMONWEALTIl OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
\
h
BENEFICIARIES AND ADDRESSES ,RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
ave an interest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
Katharine McMurray Anderson Wife Yes Entire Estate
"..,.
.,
"
,.
Deponent fUrther says that all the above-named beneficiaries are liVing at this time except below:
NAME DATE OF DEATH RESIDENCE
~IATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
(Executor-Administrator
must complete "As
Reported"column #1.)
~'"d ~
""(b (b~""~::l ~-~::l '"d
(b ~""
""- 0til"0~~.g ~
(b
""~
(')
""otiltil...,
~~(D'
~til
S'ft
Year .
P.I<THE
!No.
Will
Administration
..D.avid.Hampton..Ande.r.s on..
Deceased
Late of .N()r.th.:f.;l;".Ci.~U.:Q..J.'9WP,~}:~JP.....
County ofWa$hingt.on ..
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
-(ih
enc::~~>
..-..~".
W en en 0-<:
n n?"?"?"n ~>::::::---
"*~"*"*"*
z:H:>-:Z >-o :00 :0 til::s ~:CD :H:>-:::s ~.-
:IJ.).CD ~-
:N 0-;.:4-
:0 ~:0 .::;
"*"*~:""'~~:
J
~<.e <.e <.e.~.
~~
~.'ci
>-:r.
t:l
('1:.-8"1'0""-§.
:::Ir.:c.....
...
RCC-Sl (&-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
Katharine MCMurray Anderson
(Executor~)
In Re:Estate of David Hampton Anderson
IN YOUR REPl.Y Pl.EASE
REFER TO
Inheritance Tax Division
38-218-2
j
___W_a_sh_1._'n---"9=-t_o_n__County -File No.63-71-1079
Dear MS e Anderson,
I You are hereby notified that the-::--'::':o::::r..;:i;.,jj9!,;;;:i:.:;.n:;.:a::;1::..-....:.-_
I appraisement in the estate of David Hampton Anderson
has been fi led in the office of the Register of Wi lis of Washington
County on September 20 ,19..:u..,Said appraisement reflects the following
valuations:
Real Estate _
Personal Property_-:.!4~8~,~4!..l!3~2!!.JeL.:!0~0~_
Transfers _
JointIy Owned ~----,-,::_=_---=-:------
Total 4_8..:...,_4_3_2..:...e_0_0 _
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 this notice may object thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961,72 P.S.2485-1001,P.l.~,~fl
Date September 20,1974 Signed ~~.~~
Title Chief Appraiser II
i
,Date of Death:October 21,1971
I
Hote:This is not a bi II.
."
j.t.~
OF DEATH 10-21-71 FILE NO.63-71-1079
APPRAISER
r the County of ;Wa,~hirigtQn.,
onal property as reported in the fore~oing return at
hedules "A","B","C",and "E".·~lJL
INHERITANCE TAX APPR~
F WILLS
County,Pennsylvania,do respect-
ent,except as to those items where a greater or
which greater or lesser amount represents the sum
REGISTER OF WILLS
AS APPRAISED VALUE AS REAPPRAISED
$
432 00
432 00
ne
432 00
t=t=.
ION OF TAX
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
L
l-
'==
of tax by the Register of Wills,for proper reason,
48,
no
48,
DATE
$---
$---
SUMMARY
COMPUTAT
$------
$------
$------
$------
$------$------
:::::::::~t==
VALUE AS REPORTED VALUE
$$~-::--48
REPORT OF INHERITANCE TAX
H.
(Initial)
$---
TOTAL TAX BALANCE $---
PAID $ _
David
(First Name)
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6%from_____to $---
AMOUNT OF ESTATE TAX ASSESSED $------iL-
Estate tax paid $L-
BALANCE DUE
Add interest at rate of 6%from
------tto-----
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
TOTAL TAX
FOR USE OF REGISTER ONLY
Tax on $---------4---2%
Taxon $~
Taxon $~
Tuoo$lK
Tax on $15%
Exemptions *
Total Estate-------l---
RCC.39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
Dated:_
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation
same should be noted below,with short explanation.
REPORT OF THE REGISTER 0
CLEAR VALUE OF ESTATE
-I
Valuation of life estates or
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint -Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
I,the undersigned duly elected Register of Wills in and for _
fully report that I have allowed deductions in the amounts claimed by depon
lesser amount is set forth in the last column to the right in Schedule "F",
allowed as a deduction.
I,the undersigned duly appointed Inheritance Tax Appraiser in and fo
Pennsylvania,do respectfully report that I have appraised the real and pers
::I::I:e~~::~p::~el:::ilemin ~e last column 10 ~e right in::i
Estate of Anderson
(Last Name)
Will
Administration ~No.
IN THE
Year .
.MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
.P.avidHampton Anderson
Deceased
Late of.North .~r;Ci.nlt~:i.n~.
:...
County of Washington
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
,
COUNTY Washington
FILE NO.63-7••1079
RCC-2 (2-64)
DEPkRTMENT OF REVENUE
BU~EAlJ OF COUNTY COLLECTIONS
HARRISBURG,PENNA,17121
COMMONWEA.LTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE September 20,1974
Whereas,David Hampton Anderson late of North Franklin Twp.
in the County of Washington Commonwealth of Pennsylvania,having died on
the 21st day of October 19.2l.,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,Franc;::es Leo an appraiser duly appointed according to law,.
having been designated to make a fair and conscionable appt:aisement 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 AppraisementDelcrilltionofAlletValuelMadeforInheritance
Ta~PurpOles
$
Personal:
See copy attached to appraisement 48,432 00
.
j
.,,
.
I
t
!
,
Having been duly sworn acc;p~g~to law,I do hereby cert'that the above appraisement is made in con-
formity with law on this ...c::>J..~)day of ---=i~~IIQ,;;!~~..s...c:.~""",",------A19E;i:.
,~".
!A )~'lfumber and Strtju
-"'~-"-'-_'\"'~=...:~=,-=~~~_:..=.--__,Penna.
(Polt g.Wll8)
Washington County
-----------------------------------------------------
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
David Hampton Anderson
Deceased.
Late of
North Franklin Twp.
Date of Death,10-21-71 .
Appraisement Docket Vol.,_...;3~8~_
Page,218-2 No.63-71-1079
Filed in Register's Office,Sept.20 19-.2-4
Am.()unt of taxdfle,$-'--_
DEPARTMENT OF REVENUE
Received,
Examined and Approved,_--'-_
Wrote abo.ut Appraisement,
Appeal f"om Appraisement,
,.
'.
..
Entered and charged,_
""',
'..
.
",.
J
IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA.
In the matter of ,the Audit of Account filed in the Estate of
Docket
1971)Date of death Odol>er 21,
\No.-6J-11-J rJl9 Term,19__,A.A.
)Deceased
David Hampton Anderson
TO THE AUDITING JUDGE:
Enter my 'appearance for the Commonwearth of PennsylViania,claiming tllansfer inheritance tax in the above estate,as follows:
DR.
To appraised Vialue of Estate:ReaLty.........$_
Personalty $__4_8_,4_3_2_._°_°_
Additional Assets per Account,Subjeot 'to Tax _$_
Addi'tiona,l Assets per Audit,Subject to 'I1ax _$-~_
GROSS VALUE $48,432.00----------
CR.
Debts rand Expenses per Account;see Note
Audit Costs
Register of Wills
~__8,499.81
$63.00
$16.00
$-------
$-------
$------
Additional Debts and Expenses per Audit
$--.1.9..00_.
$--
TOTAL DEDUCTIONS,$_~8 .81_._--_._---
NOTE:The following credits claimed in the Aceount are
held not deductible '8<S against the tax:
CALCULATION
Gross V,aUue .....n ••m ......nm••---48,h32 •00
Less ~ductions _-----=8:..;tr..e5'-!7c..=8...:.c::8.=1'--_
Clear VaJue n __•----39,853.19
._-----------------_._-
-----------_._-----
$
_.J,_
able (
at '.---
15%).__
2,391.19
---'------
$--_._---
TAX PAID ON ACCOUNT
2,388...!~_Less amount previously pra1id ,$
Total Tax ._....................._............................$2,3.n.12 _
Balance __$3.007/21/72 to 10/21/74 ------.---
.Interest__2_yrs.__3_mos.__days@_6_%-$--_.h_l__
(.135)
TOTAL TAX AND INTEREST DUE -~~
6-;/
1/1,/73 $1,200.90
61 h/73 $1,187.29
$
$
$
,
Z?
n0s:11s::u0~Z m«~nt..O (/)
0-m 11
t':l
f'-J c-:).-J
~m
~
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~
--,::;t.--~-,..
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0 :u.-
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!......
m 11Zm
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...."')~......Z ~-::z:U>:u,I....~
<~....}J "IJ 0:i ~z
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<.:)<.l)m::::>LJJ 4 Z
iOCc.::>>
>;~Q.
TENTATIVE STATEMENT
PENNSYLVANIA TRANSFER INHERITANCE TAX
~~~~:::...~~..~~:..!f?..-d!..:....7L .
~~~~aised.iil~~~~£:-J/L2 ~~:.~~~:ZL-:.L??..1.£.
J
Real Estate
Personal Property
Joint Accounts
Less Exemptions
....~tJ..3d.:.Q ..Q .
.......................................................................................................................................................................-:!..~.0...c?:...q.~...
Amount Previously Paid
TAX BALANCE
Interest from 2~..q!·:::...7r:l.to ~..
(,;J.c>0..................%on ..
Less.!?ebts.and 'f 5lY t /Admmlstratlon Expenses /...
TAXABLE AMOUNT ~2 l..s..J...:..I..f...
TAX on @ %.
TAX on..J.2..[S..3..;!..~@ ?%~.J...f./...!..7...
.....cg ~.?.~..!..7...
......................d:q..Q ..
BALANCE DUE COMMONWEALTH d::¥/..
DISCOUNT (5%)IF PAID WITHIN THREE MONTHS
FROM DATE OF DEATH.
PAYABLE TO:
REGISTER OF WIL.L.S
WASHINGTON COUNTY
COURT HOUSE
WASHINGTON,PENNSYL.VANIA
/
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RCC-49 (8-71)
COMMONWEALTH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
HARRISBURG.17127
PENNSYLVANIA ESTATE TAX
DETERMINATION 1ST,
111\.~6\-\1 tJ ~et F"FL.
Date OCT 1..
j
Estate of:bOld Jda ""'F'''oY'Rnde /?cSb'n.
Date of Death 10 ,-~i .11
County WE }t/I Vl '1 1 h"\TD.3f·:llJ'·~
Bureau File No.G3 '7/~1071
1.Taxable estate per U.S.Estate Tax Return,Form #706 5-14.1'1 $1L.f7,(/{7 .3'L..
2.Taxable estate per final change in Federal Return dated if·19.'ll!$I 56 ~/lf,bfc
)
3.Amount of credit for State death taxes.
As shown on return form or final change notice ($/(;;o,S,J,.3 )
".
As verified by computation Il,05.1.3
4.Penna.Inheri tance Tax due and!or pa id $2;So:,ifI--5.Normal Inheritance taxes paid to other States AleUt..
6.Total Inheritance tax credits (4 +5)J.So.3,4 I
7.Total liability for Penna.Estate Tax (3 -6)AJOAh
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 _
No /UCc
$=======IJ==(j=AJ=t===.
Prepared by ~L (J Vru.un~'An..t..n-__b i.sr:"Suru g.,
(NAME)"'--(TITLE)
RevieYi.ed and approved by _
(NAME)(TITLE)(DATE)
"0 .,:.Form RCC·IO..'."
~~FICE OF THE
/REGISTER OF WILLS
/'-
OF "W~/nI COUNTY
AND AGENT OF THE COMMONWEALTH
C:,1-71-/'017
STATEMENT OF DEBTS
AND DEDUCTIONS
OEDUCTIONS ALLOW'O,"J
THE SUM OF $..<gtl!lt~t/.
1/I?rpYDATE~~PROVED """".~~'
ReQiItfOf Wills.Agent e..--V
ESTATE OF David Hampton Anderson LATE OF North Franklin Township
October 21.1971DATEOFFILINGAPPRAISEMENTDAT5OFDEATH_-.:.~~~_..::....!__::.:...;.~_
DATE NO,OF NAME OF PAYEE REMARKS AMOUNTVOUCHIOII
11/2,/71 Richard Piatt Funeral Home !.Funeral Bill $-,~.l.44q 70
10J2~/71 Nurse ','600
12/1£1/71 S White &Sons IIJrave Marker 42(1 00
11/3(1/73 FerQus.Martin &FerQus lAttornev Fees 4 ~0(1 00
10/2 /71 Thomas Anderson Costs Advanced 4~(1 00
11/3 71 Ashmorel s Florist Flowers 47 70
1I6/~2 Dr.Berman Final Bill 30 'OL
1I5/~2 Observer PublishinQ Co.lAdvertisinQ car Ii 40
1/26 72 PittsburQh Press &Post Gazette Advertising car 33 51
10/2!/71 Register of Wills tErobate Will 12 50
12/7j 71 Register of Wills Ishort Certificates 1 00
Observer Publishing Co.!Advertisement 16 00
Washington County Reports lAdvertisement 16 00
RelZister of Wills 12 00
Widowl s Exemption U'500 00..,~-
TOTAL ••••••$8,499 81
-
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Washington S8:
I,Katb'arine McMurray Anderson
CHARLOTTE L.YOUN
WaShington Wa h'G,Notary PUblicM's mgton CYCommiSsionE'0.,Pa.
xpires August 3 1 .'~<;J-,9710
HEREBY CERTIFY,THAT,TO THE B~T OF
MY KNOWL!DGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS FUNERAL EXPENSES AND EXPENSES 01"
ADMINISTRATION SUBMITTED TO THE EST"TE OF David Hampton Anderson'DECEASED.AS DEDUCTIONS FOR
/'/J'/)j-Lp/(ib'/t Ji(C!llu1ltC4('L.{::tJkZ;olC7 }(L.6,)~:::OM~__DAY 01'//
"/'
ESTATE OF =Da~vi;=d-=Hamp='::J=-::t=on:::....=.:An=d=e=r=so::.:.n::.z.J~D:....:e-=.c.::..:ea==s~ed=-_
63-71-1079ADJUSTMENTS-FILE NO.__--J..o--=:>LJ..L _
DEBTS &DEDUCTIONS FORM -AMOUNT CLAIMED
LESS ITEMS DISALLOWED:
$8,499.81
BALANCE
ADDITIONAL DEDUCTIONS -ACCOUNT &AUDIT
Audit Costs &Advert.:..!:is::.:.i~ngii>---_
Register of Wi11s-
TOTAL ALLOWABLE DEDUCTIONS
$
$
$
$
$$
$8,499.81
$63.00
$16.00
$
$"
$
$
$
$$79.00
$8,578.81
September 24,1974
Date Approved
RUSSELL MARINO,REGISTER OF WILLS
By:tiJ/J!~~=----
•-·'40 ;;....p"~:'••.-~-.'1
·1~I
-and -
DAVID HAMPTON ANDERSON
1,DAVID HAMPTON ANDERSON,of North Franklin Township,
I
Wash-I
i
ington County,Pennsylvania,being of sound mind,memory and understanding,do
hereby make this my Last Will and Testament,hereby revoking any and all testa-
mentary writings heretofore made by me •.
FIRST:I give,devise and bequeath all my estate,·real,
personal and mixed,to my wife Katharine McMurray Anderson,her heirs and assign ,
provided,however,that she survives me fora period of thirty (30)days,and in the'
event that she is not living on the 31st day following my death,I give,devise and
bequeath all my estate,real,personal and mixed,in equal shares to my four chil-
dren,namely:Phoebe Anderson Cassidy,Judith Anderson Thistle,Thomas Howard
Anderson and Sara Louise Anderson,share and share alike,their heirs and assigns.
.'
.."...."-':'--.--.--.~.•.-;.....;..--.-:-~.::..-:----;:-f
.
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I nominate,constitute and appoint my wife,Kath-SECOND:
~1Iaj(£ti~(SEAL)
David Hampt6n Anderson
IN WITNESS WHEREOF,I have hereunto set my hand and seal,this
arine McMurray Anderson,Executrix of this my Last Will.and Testament,without
liability in any jurisdiction to file bond,and in the event that,for whatever reason,
my wife,Katharine McMurray Anderson,should be unable to serve in that capacity,
I do nominate,constitute and appoint my son,Thomas Howard Anderson,Executor
of my estate in her stead,without liability to file bond.
1.1-day of _,,:::,~_'~-Lt__'1968.
t"
T
1.4 4 9.7 0
6.0 0
4 2 O.0 0
4.5 0 O.0 0
4 5 O.0 0
4 7.7 0
3 O.0 0
5.4 0
3 3.5 1
1 2.5 0
1.0 0
1 6.0 0
1 6.0 0
1 2.0 0
1 5.0 0
7.0 1 4.8 1 T
45.782.00
2.6 5 C.O 0
4 8.4 3 2.0 0 *
*
~~~~----------~,-_._-----
1..
,.
Signe~i,sealed,published and declared by the above named Testator
as and for his Last Will and Testament in the presence of ,us,who,at his request,
in his presence and in the presence of each other,have hereunto subscribed our
names as witnesses thereto."~,
I
Witnesses:Addre~s:
~"}s.Uy.St ~fL
/kt$;;/~~
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J
N2 3474
~-~---------~-~-~------
Washington,Pa.,,-----.,..c~~~:-L...::::..:£-,19~
OFFICE OF
CLERK OF ORPHANS'COURT DIVISION
County ••••••i......-!l!:..-..l~:..-_
~==Dollars
Total •••••••
State,etc.•••'-..:======:;;;;:;::;&,g~~
Clerk of Orphans'Court /?
per-__;.;~i::..--__~_'_/_C-/_