HomeMy WebLinkAboutOC1971-1158 - ESTATE OF CLARKPETITION SUR AUDIT
IN THE ORPHANSI COURT OF WASHINGTON COUNTY
Too""Form J
Estate of A.$.A..~.~..~bABK___.__--------
Deceased
Noo_~.~..::.J.~..::_J~.~.?.. ..._.
Fiduciary-.Ly'gig..F.•__.CJg;r;'.~,E.~~~:g.t;r;'.:i.~_ .
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Decedent's death QQt.QR~X'..2..t t~.IL .._.Grant of Letters..NQyg.mp..~r.J.~.1 t!;l.I~.._.__..--..
ThO .th F'r"'t and·Em·al .',in -:Jl "0..·fOI d'h'.IS IS,e .l >J....",...........•........•;..,account I e In t IS estate
If tb~re have been former accounts filed in this estate,list file nu~ber or number and tgrm__.:.~_~~.-:..,....,.,
Election to toke
Under~~:gJli~iXI.{cross out one}
Dote Election Place of;
Filed .._ _Record .._.
Nome of surviving spouse _._:r..:ygt~.E.._._Ql~r.~__.____..._.__... ..__ _..__..__.
List issue,where material:
Did decedent marry after execution of will?{indicate})t~No.Any children born after execution of will?(indicate)
....No.If answer yes,nome them _._.__ _____..___.__..._..
Legatees
Lydia F.Clark
Relationship
Wife
Interest
All
Fiduciary,if deceased or not sui juris
List,if exceptions to above:
If partial intestacy,give facts:
Adeemed:Revoked:Lapsed:Abated:Give Couse:
Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled
to notice (Court Rule No,9 paragraph C:.Section 6:Subdivision c)received written notice of the filing of the account
and of call of audit?Yes.~
If .,.Noneanyexceptiongivecause_,····.
File copy of Notice
and dote of mailing__.__:!~.J?:~30 -J ~.~.'!..~_..
Is estate subject to the filing of a Federal Estate Tax Return?.N.9.!.
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $JJ.Q.~.Q~L .
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant .
Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts
of such claims;state whether they are admitted 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:
Total additional debits (Add)
Itemize any additional credits not shown by account:
Total additional credits (Subtractl··
Balance for distribution
$.
$.
$~~.??:..~.~.
$.~.~~.?~.~~.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Executrix is surviving wife of decedent and sole legatee and she advanced funds to pay all
bills in order to.retai.n the real estate in kind.
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If Family Exemption claimed by Petition,give place of Record:~.
If F 'I E ..I'd d"I'h'db'f CI'Family Exemption isamiyxemptlonIScOImeatauIt,give name,re atlOns Ip an aSls or aim;.
payable to surviving wife,Lydia F.Clark,who lived with decedent immediately prior to
his death.
List any advancement or distribution on acco.unt that has been made,and nature and amount of same:
NONE.
Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized electi9ns
to take in kind if balance is not in cosh:residuary shares being stated in proportions:
ALL TO LYDIA F.CLARK.
COUNTY OF WASHINGTON,5S:
COMMONWEALTH OF PENNSYLVANIA.
,,
The above named Fiduciary or representative thereof,
being duly _~.~~~!?:.doth depose and say
that the facts set forth in the foregoing petition are true
to the best of ht~.._knowledge and belief.
...1?~.<?E~to and subscribed before
me this ~day of ;[gJY.19..7.?..
Signature of Officer..e~'77t._Jl~
Title of Officer N9.t?-r.Y..EgJ;lg~.
Office expires X~!?..!??.~.~~I!?.
Washington,Washington County,Pa.
And your petitioner will ever pray,etc.
f C!f'~...0JJid.cItt!?~..V-d:.
(I Lydia F.Clark
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No.63 -71 -1158
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Estate of -8-.$.A.B.,..C.LARK .
Deceased
Fiduciary J.:y.9.!.~.Jf.!Q!~:r.k _._.
PETITION SUR AUDIT
FROM WHERE'DECEDENT LEFT A WILL
Counsel of Fiduciary will submit herewith the
following,in conformity with Court Rules
adopted effective December 3,1951,being
rule No.9:po rag raph b-c;and divisions
thereof:shown on pages 23-24.
1.Written praecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem,if pertinent.
3.Copy'of Order appointing Trustee ad
litem,if pertinent.
4.Proof of service of above.
5.Letters Testamentary or Administration
C.T.A.or an attest copy of Will.
6.Copy of inventory and appraisement.
7.Proof of advertisement of grant of letters
if not filed with account.
8.Certificate of liens in case any of the
funds for distribution are from judicial
sale of real estate.
9.Signed and itemized elections if any
distribution in kind.
10.Copy of Federal Estate Tax return if es-
tate is subject thereto.
...........?~y...Y!.'!'!.?~~.~.~~__.._...
Attorney
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PI LED,
'12 OCT 5 PH 2 18
RUSSELL MARINO
REGISTER OF WILLS
WASHINGTON CO .•PA,
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COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE:ESTATE OF
ASA B.CLARK,
DECEASED.
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NO.63 -71 -1158
NOTICE OF FILING ACCOUNT AND CALL OF AUDIT
A First and Final Account in the above Estate has been filed at
the above Number in the Register of Wills Office of 'Washington County,
Pennsylvania.The account will be presented for confirmation August 28,
1972,and will be called for audit during the week of September 11,1972.
June 30,1972 Jay W.Troutman
316 Washington Trust Building
Washington,Pennsylvania 15301
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA
ORPHANS'COURT DNISION
ASA B.CLARK,a/k/a
HEARING ON AUDIT
The Honorable ALEXANDER R.CURRAN,J.,
Specially Presiding.
JAY W.TROUTMAN,Esquire,of Washington,Pa.,
representing the Accountant.
No.1158 of 1971
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Estate of
INRE:
~A.B.CLARK,
z0(>~Deceased.
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III~BEFORE:
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Tuesday,September 12,1972,at 10:00 A.M.,EDST
is the attorney.There are no problems.'A 11 the papers have been
Clark.
The estate of Asa B.Clark,also kno'vn as A.B.~THE COURT:
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The Executrix is Lydia F.Clark.Mr.Troutman aga in
filed and there appear to be no problems.Subject to this possibilit)1>
we will consider the estate closed.Is there anybodyin Court
interested in the estate of Asa B.Clark,also known as A.B.Clar ?
(NO RESPONSE)
THE COURT:We 'vill consider the audit closed.
I A TTr\T'T'roT \
./
I hereby eartHy that the proeeedinqs and evidence
are contained fUlly and accurately in the notes taken by me on the hearing
of the above cause,and that this copy is a correct transcript of the same...
The foregoing record of the proceedings upon the .
hearing of the above cause 1s hereby approved and directed to be filed.
By the Court,
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ESTATE OF
Asa B.Clark,a/k/a
A.B.Clark,
Deceased.
63-71-1158No._
In the matter of the First and Final
Account of Lydia F.Clark,
Executrix
ADJUDICATION AND DECREE
And now October ~.,19~,this matter came on for hearing,
audit and distribution at this session nd testimony taken;and thereupon,upon due consideration
thereof of the balance for distribution in the hands of the Accountant is determined to be$3,322.90 and the account is accordingly confirmed;and it is ordered,
adjudged and decreed that the said balance be paid out by the Accountant in accordance with the
schedule of disribuNon hereto attached and made part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg.
Balance per account ----'-_
Balance'_
Deduct Clerk's Costs &Receipts,_
Attorney ---:;.J~a;.,L.y_W.:..:....:.._T=_=_r=.o.:::.u=tm=a=n _
Russell Marino,Clerk O.C.,costs in certifying real
estate to Recorder,
Olga O.Woodward,Recorder,costs recording
certification of real estate,
Russell Marino,Agent,transfer inheritance tax,$4.23
Interest from 5-6-72 to 10-4-72 .10
Contribution to maintain assets of estate in kind for
distribution by the Court,
Lydia F.Clark,widow,reSidue,including real estate
as hereinbelow described,held in kind and distributed
as such at the appraised value,
16.50
5.00 .
7.50
4.33
1710.43
5000.00
$3,322.90
$3.322.90
$5,000.00
No balance
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REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF WASH NGTON
COUNTY BY THE CLERK OF THE ORPHANS'COUR
Asa B.Clark,a/k/a A.B.Clark,devisor,to Lydia F.isee of all
the rig1}.t,title and interest of the devisor'in and to parce of real e tate described
as follows:
ALL that certain lot of ground sit~ate in Donegal ownship,IWashington
County,Pennsylvania,bounded and described as follows:
BEGINNING at ':l Doint in the ce'nter line of U.S.oute 40;thence along.
land now or formerly of Christopher North 200 50'West 30 feet to a point;
thence by same North 890 30'West 125 feet to a point;t ence by 1nd now or
formerly of McMurray North 200 50'West 87.67 feet;th nce by s~me North
700 '45'East 152 feE?t to a point;thence by same South 72 22'East 41.36 feet
to a point;thence by land now or formerly of Dorsey Sou h 220 13'West 18.11
place of beginning.Containing 0.71 of an acre according to a surv
feet to a point in the center of a run;thence by same and along the center liue
of said run South 21 0 59'East 58 feet to a point,South 30 57'East 109.31 feet
to a point,South 300 52'East 27.76 feet to a point,southl520 25'E st 30.58
feet to a point in the center line of a CUlvert,South 40 2'~ast 32.0 feet to a
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point in the center line of said U.S.Route 40;thence by the cente line of _
U.S.Route 40 South 850 58'West 19.42 feet to a point;hence co tinuing along
said center line of U.S.Route 40 South 880 27'West 72.8 feet to point,the
Stegman &Schellhase,Inc.,made on November 20,
erected a one story concrete house.
BEING part of a tract of land conveyed by Mary B Eakin et con,to
der's
Office of Washington County,Pennsylvania,in Deed Boo 550,pag 89.
CERTIFIED TO RECORDER •.OCTOBER 1 ,1972
A.B.Clark by deed dated April 1,1927,and recorded i
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COURIOF COMMON PLEAS
OF W ~~V~~K~lANTY .
ORPHANS'COURT DIVISION
NO.63 -71 1158
IN RE:ESTATE OF
ASA B.CLARK.
DECEASED.
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ELECTION TO TAKE IN KIND
.Vd ..0a N01~)\\l \Ii SOC'"
S11 \f~\j 0 't 31sin 'd
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.JAY ~WT:;~:~MAN~a'3 .~
WASHINGTON.FA.
WASHINGTON TRUST BUll-DING
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COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE~ESTATE OF
ASA B.CLARK,No.63 -71 -1158
DECEASED.
ELECTION TO TAKE IN KIND
I,LYDIA F.CLARK,sole devisee u'nder the Will of Asa B.Clark,
eby elect to take and receive in kind at the appraised value of $5000.00,
ate more particularly bounded and described as follows:
ALL that certain lot of ground situate in Donegal Township,Washingo
County,Pennsylvania,bounded and described as follows:
BEGINNING at a point in the center line of U.S.Route 40;thence alon
land now or formerly of Christopher North 20 0 50'West 130 feet to a point;
thence by same North 89 0 30'West 125 feet to a point;thence by land now or
formerly of McMurray North 20 0 50'West 87.67 feet;thence by same North
70 0 45'East 152 feet to a point;thence by same South 72 0 22'East 41.36 feet
to a point;thence by land now or formerly of Dorsey South 22 0 13'West 18.11
feet to a point in the center of a run;thence by same and along the center line
of said run South 21 0 59'East 58 feet to a point,South 30 0 57'East 109.31
feet to a point,South 30 0 52'East 27.76 feet to a point,South 52 0 25'East
30.58 feet to a point in the center line of a culvert,South 4 0 2 r East 32.08
feet to a point in the center line of said U.S.Route 40;thence by the center
line of U.S.Route 40 South 85 0 58 r West 19.42 feet to a point;thence continui
along said center line of U.S.Route 40 South 88 0 27'West 72.98 feet to a poin ,
the place of beginning.Containing O.71 of an acre according to a survey mad
by Stegman &Schellhase,Inc.,made on November 20.1969.Upon which is
erected a one story concrete house.
BEING part of a tract of land conveyed by Mary B.Eakin et con,to
A.B.Clark by deed dated April 1,1927,and recorded in the Recorder's
Office of Washington County,Pennsylvania,in Deed Book 550,page 89.
~Lydia F.Clark.
aInmmnuwtttlt4 nf 'tuuligluttuttt.t
'ltttli4tugtnu aInuutg.\lili:
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KNOW ALL MEN BY THESE PRESENTS:
on the 18th.day of November
Whereas,at Washington,in the County aforesaid
71A.D.19 ,before me,
Russell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
the last Will and Testament of
Asa B.Clark a/k/a A.B.Clark
late of Donegal Township in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Lydia F.Clark
the Execut~i~n said Will and Testament named,having appeared before me and taken and subscribed
the oath of officepr,escribed by law;
NOW,THEREFORE,I,Russell Marino
grant these LETTERS TESTAMENTARY,unto the said
Lydia F.Cl,ark
,Register as aforesaid,do
committing unto her the administration of all and singular the goods and
chattels,rights and credits,which were of said deceased,and requiring her
to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety
days from the date hereof,and to r,ender a just and true account of said administration at the expiration
of six months from the date hereof,and to regard and comply with the provisions of the laws of this
Commonwealth relating to inheritanoe taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said
Office at Washington,this 18th.
day of November in ,the year of our Lord one thousand
nine hundred and seventy-one
CkJt~:--.
RegIster
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LAST WILL AND TESTA~ffiNT-
I,ASA B.CLARK,also knovrn as A.B.CLA~K,or Donegal
Tovmship,WashinGton COt:nty,Pennsylvania,being or sound mind,
memory,and understandlns;,do make,publisc.,and declare this my
last wi.ll and testament,hereby revokinG all former wills by me at
any time heretofore made.f,
ITEM 1 _I order and direct the payment or all my just
debts and funeral expenses as soon.as conveniently may be after
my decease.
ITEM 2 _I givei devise,and bequeath,all the r~st,
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residl.1e,'3.nd remainder 0(.~y estate,real,personb.l,and mixed to
my beloved wife,~ydia F.Clark,if she is livinG at the time of
my death.
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Clark,dies during my 1ii'8-
hereina£'ter named,to sell
I~F.M 3 _In the event that my beloved wifn,Lydia F•
time faU:tho'rlze~ana.-ai'rec t-rn!°exe"-cutor l-·~
Iallofmyrealestateandalltherest,
residue,and remainder of my property,of vrhatsoeV0r nature and
wheresoever S7.t'late,and make distri1Jution thereof in accord.ance
with the provisions hereinafter made.
l!:~4 -During my life time I have made advancements to
some of my children as follows:Warren W.Clark _'300.00;
W.Cecil Clark _$500.00 U~230.00 of which is represented by a
promissory note);and John E..Clark _~~500.00.
ITC;;U 5 _.I direct thnt all of the afor0said adv8.ncements
be accounted for accordinGly.
advancements,I direct that T!1Y exec"-ltor after payment of my just
6 _Subject to the above provisions relatinz toITE?{~
ImadebymeinmylifetimeshallbetakenandconsideredaspartI
of the sharf)of such child in my estate l.mder this will,and shall I
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debts shall divide,the proceeds of my estate equally amonc my si:(I'
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children,Warren w.Clark,Jessie Hillbery,W.Cecil Clark,
John E.~lark,Etta M.Craft,and George Thomas Clark.
lT~~7 _I nominate,constitute,and appoint my beloved
wife,Lydia F.Clark,as executrix of this my last will and testa_
TTlent.In the event that·my beloved wife,LJrdia F.Clark,is not
living at tIle time of my death,I hereby nominate,constitute,and
I eT):)oint Jay VV.Troutman as executor of this my last will and
testament and do confer upon my said executor power to sell my
real estate which may at any time for-ill part of my estate at either
public or private sale 01"sales,at s1Jch time or times,and for
sucb.price or prices,and upon such terms and conditions as to him
may seem for the best interest of my estate;and to Grant and con_
'ley the S8.!"1e to the purchaser or purchasers thereof,free from all
liability on the latter to see to,or be responsible for the
application of the purQhase~mO)1~3__~.__~~_.
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IN WITIJESS VnmR:SOF,I have here-LUltoset my hand and seal
this Zl~day of September,1047.-r-
SiGned,sealed,published and declared by the above named
te.stator as and for·his Last Will and Testament in our presence,
who,in his presence,at his request,and in the presence of each
other,have hereunto set our hands as attestins witnesses this
~«:!._day of September,1947.
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Washington COLmty,Penna.
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C!touuly of IItts4iugtou )ss:
Personally before me,the undersigned authority,a NQ:ta.r-Y..Public in and for said
County and State,appeared ~Xp.~..¥Q!_:AB.KL.who,being duly
sworn according to law,deposes and says that she is the executor ~of the es-
tate of ASA..B•...c.LARK.s deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of ASA.J.?QJdARK ,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite
each item of real and personal 'estate in the foregoing schedules are determined and stated by the
undersigned to be the fair value of said items as of the date of the decedent's death,based upon a
just appraisement of each item made by the above named Executor A~~.
Sworn and subscribed before me this ..,..J,6......,.."..}-i ;/~~~jJ "-0A
d f June 19 72 .,"J1.dA.~-...{r:~d:a/J!Y~, .ay 0 '.;;7......L:::...j f xecutor~BD
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My C9mmlssionl:t9~p17es:~1§/75 -ADDITIONAL INSTRUCTIONSWashmgton,Washmgton County,Ya.
L An inventory must be filed within three months after appointment of personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return..
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
~uurutory ttull 1\pprttisrmtut of the goods and chattels,rights and credits which
were of ~A..~.~g.~~~late of ..~~.P.·..~.~~~.?~..A~.~~~.~.~~E.~-..
Washington County,Pa.,taken and made in conformity with the above affidavit.
DOLLARS CENTS
REAL ESTATE:
o.71 of an Acre situate in Donegal Township,Washington Countyl)
Pennsylvania,upon which is erected a one story concrete house.
Being part of a tract of land conveyed by Mary B.Eakin et con,
to A.B.Clark by deed dated April 1,1927,and recorded in the
Recorder's Office of Washington County,Pennsylvania,in Deed
Book 550,page 89.5000 00
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The within named Accountant being duly sworn according to law,depose s and say s that the above account
as stated is true and correct as ~h_e _.._.__verily believe,
Sworn and subscribed before me this ~.~.
day of _.._.__.__~~?~___. _ _..19_7.2 ..
--.dff~~(..-.c£~kA--..---..-..-....--
tl Lydia F.Clark
~'72J...J!~J-.-.--.-..-...Notary Public
My Commission Expires:Feb.5,1975
Washington,Washington County,Pa.
Washington County,ss:I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court as evidence by proofs
thereof filed to No,'lP.3.~.72..~.13L . ,
Witness my hand and official seal thiS..al.g.d..
day of..__.._\,,<_~~~~.-----.-.-,-------.--------.-.--.-.....•__19_1:lJ..
¥A..<~..~-......~~.-.--.-.--.-..---
,·I..-'··'1egister of Wills
'g ...,--..J...r-.;=-:::-..::"0...,0-:::'J~~=0>-ITl 0 c-=c:.::0 U>0 =~(,):5.::::(,.;~':~(,)'\'(\<l1 .8;::_0":~
~"d:'r'!~.""l .~
~p:;~~:r<t::0)••_'-'.'0 "0r;:.gj-'-_.(,'<3 N':fco0p:;~:?~L(j fil <t::U .-..J t~1'"'"1 Eo<~
1'"'"1 <l1 U ...-i:.:::l •
Eo<~0-0 _'.-ro:8!>.'8 .....~rn ~::...0fil.~cd •cd~0,-4:1'"'"1 ~:.S .,~to->---l ....;
<t::0 '~.<:l =.0)~'01 ...,0 ...,
VJ.~..~~..~~:0 ~cd ,M
M <t::roj ~~...,OJ S .~
CD ~.<:l ...•+>':>,...,;;:::00,0ro=NH:I-;)'''-;:"d t-q0~i ='"Z <l1 M
~t'1.--......
•f,
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-"---
.-.
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The Court is respectfully requested to determine
proper distribution in this estate.
.1.,,\.....j~9V'"'<
ounsel for Accountant
"-,
The First and Final Account of LYDIA F.CLARK,Executrix of the
Estate of ASA B.CLARK,deceased,late of R.D.2,West Alexander,Pennsyl-
vania,to-wit:
The Accountant is charged as follows:
To Amount of Inventory and Appraisement:
The Accountant claims credits out of the assets of said
Estate as follows:
Oct.1971 Ferrell Funeral Home Funeral Services $1063.30
Oct.1971 Claysville Cemetery Opening Grave 85.00
Oet.1971 Washington Hospital Hospital Bill 40.00
Nov.1971 Register of Wills Letters Testamentary 13.00
Nov.1971 J.Paul Proudfit,M.D.Doctor Bill 40.00
Dec.1971 C.Graham Cowieson Ambulance Service 24.80
Dec.1971 Washington County Reports Advertising Letters 14.00
Dec.1971 Observer Publishing Co.Advertising Letters 14.00
June 1972 Russell Marino,Agent Inheritance Tax 110.00
June 1972 Jay W.Troutman Attorney for Estate 250.00
June 1972 C.M.Troutman Notary Fees 5.00
I June 1972 Register of Wills Filing Inventory 3.00
June 1972 Register of Wills Filing Account 15.00
$5000.00
$1677.10 I
,fBALANCEFORDISTRIBUTION-----------------------------------$3322.90
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.S,paragraphs (S)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 officiail 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:
December 16.23.30,1971
Estate Notices
The Register of WiHs has granted
letters,testamentary or of administratior.,
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.
•••• •••••• •••••••
~-----~'-cLARK,ASA B.,a/k/a A.B.CLARK,
Dec'd.
Late of Donegal Township,Washing-
ton County,Penna.
Executrix:Lydia F.Clark,R.D.2.
West Alexander,Pa.
Attorney:Jay W.Troutman,.316WashingtonTrustBldg.,Washmg-
ton,Pa.
that the affiant or the corporation in behalf of which he is acting is not
interested in the subject matter of said notice or advertising and that all of the~g':::"of"'.,f£ida"it M to'7;;(;;;;/;'-@'mtv~
Sworn to and subscribed befor:"~""""''''''''''''''''''~5--~
...3.Q:t.b day of.."!?~.~~mp.~..~" ,19 7A ..ff~--Jr(1)~,)
JOSEPHINE T.SCIAMANNA
Notary Public.Washington,Washington Co.
My Commission Expires July 1,1974
Observer -Reporter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of 16 May.1929.
P.L.1784.as amended.
Commonwealth of Pennsylvania,'County of Washington,SS::..
,Personally appeared before me.a Notary Public in and for said County
and State,.Ri.c.b..aIQ S..•.....c.ow.an.who being duly s>worn
~ccording to law.deposes and says that he is the ...v.ic.e~Pz:e.siden t
of the:~.0bS'erver PUbliShing.Company.a :Pennsylvania corporation.and its
agent,{1n this behalf;that the said Company is'the'owner and publisher of
the Observer-Reporter.SUCC'essor to The Woashjngton Observer.established
September 18,1871.and The Washington Reporter,'established August 15.
1808.a·daily news,paper of ..general.circulation,printed and published and
having its place of ·business at Wash.ington.Washington County.Pennsyl.
va.nia.where it'or'its predecessors have bee,n established and published
CO:nitinuous'1y for more 'than six months prior to the publication of the notice
hereto attached;th8Jt the pr.inted notice or advertisement hereto attached·
is a copy of an official advertisement.official notice;legal notice or legal
advertisement.exactly as printed or publisijed in th~Obs'erve!"·Reporter in
its regular editions on the following date or dates;.
..............................De.c.e.mb.ex:13..,.2.Q and 27.,.19.7.1 :.
thl!;t neither th<e affiant nOT the Observer Publishing Company is interested
in the subject matter of said notice or advertising and that all of the alle-ga-~~~~r~~.this affidavit as to th~..~i~.e.....2ii=l.~
Sworn to and ·subscribed before me this..2.7....day of.p..e..~.~mp..~.r...1971
...~~s7/!(.~~
MARGARET M.BRADLEY.NOTARY PUBLIO
WASHINGTON,WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY.G.1972
~lt t4:r <1tnurt nf <1tnmmnu 'l:run nf ltun4iugtnu <1tnuuty
®rp4uun 1 <1tnurt iinintnu
In the matter of the Audit of Account in
J
Estate of_.::..A:::!S~A:.=....;B=.--,=C"-,L=A::.::R,"",K~,---::::d:..:::e:...::c,-"e,-"a::..::s~e~d",,.,--__{
TO THE AUDITING JUDGE:
63 -71 -1158No.,_
Enter__--=.:ffi:=.Ly appearance for_--=Ac=...=c...;:c:...:O:....U::.ll=::.t.=a:=ll:..:t..:.._
~day of ~,,1::>f...,------"19~
N.B.-Counsel shall,by separate paper,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.
r----------;;~t:-.-
Form No.RCC-62 (6-70)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961,J~FFEC'I"I1'J£.JANUARY I,1962.(FILE IN OUPUCATE WITH COpy OF WIL'L ATTACHED)t:,.3 _7 /_/ /SO
.•OFFICE OF THE REGISTER OF WIL~S
County of .W,qq1J.iI).gt9A ,.
.'"J;.X~I~.f.9;r.;.4\-.~~·,of .~•.p..~~.yy-~.s.t.Al:~:l,{~?:4~~~.~~~~y'~~~?:i.8;,.
(Name)(Addreaa)
being duly ~~9E~..according to law,deposes and says that he is the.~~~~~~!:i~. _
(Exec.,Adm.,Legatee,Etc.)
of the estate of_._.ASAJ?-!C_~_M_K .whose last.residence was R•.D....__2 ......._
(No.)(Strttt)
.W_E;_:;;_Lf~J~E;_¥..9J1g.E;_:r,P9.:U ....deceased,and that the whole of the estate of said decedent,who died __.Q,Q.t...__Q.£.__1_9_7..1....
(City,Botough ot Township)(Dale)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate ALL that certain lot of ground situate in Donegal Township,Wash-
Estimated
Value
ington County,Pennsylvania,bounded and described as follows:
$5000.00l=n-a.:.1'\11'\1 11'\1 .:.!:)t !:)nn;nt ;n thp l;np of n.~Rnlltp 40 +1-~
along land now or formerly of Christopher North 20 Q 50'West 130 feet to a oK
no;nt·,1-,p hv Q!:)'YY1P N ,r'"R!=l °~O'WPRt 12:1 fppt to ~nn;nt·L1.hv l~nrl
~
now or formerly of McMurray North 20°50'West 87.67 feet;thence by same
North 70°4:1'~aRt 1:12 fppt to a nr.;nt·+1-,~~~~hv Q~'YY1P &lllth 72°22'EaRt
41.36 feet to a point;thence by land now or formerly of Dorsey South 22 °13'
Wpst 18 11 fppt to a no;nt in thp center of a run'thence bv same and along
the center line of said run South 21 0 59'East 58 feet to a point,South 30°57'
East 109 31 feet to a Doint.South 30°52'East 27.76 feet to a Doint.Southl 52 Q
25'East 30.58 feet to a point in the center line of a culvert,South 4 0 2'East
32 08 feet to a Doint in the center line of said U·S.Route 40'thence bv the
center line of U.S.Route 40 South 85°58'West 19.42 feet to a point;thence
continuing along said center line of U.S.Route 40 South 88°27'West 72.98
feet to a point,the place of beginning.Containing 0.71 of an acre according
to a 'YY1~rlp h';,...,~n R..~phpllh~QP Tnp.'YY1~rlp on Novpmhpr 20 196 ~
Upon which is erected a one story concrete house.
'RH"Tl\Tr..1'\!:)"'+nf !:)+,..<:>r>+I"\f l!:)nrl "1-..",l\/f<:>"''U 'R I-l ,lrin 0+r>1"\....+t
~-.
1927,anc}'/rec~~ded i~the Recorder'sA.B.Clark by deed dated Apnl 1,Off;pp r.f W!:)o.'·~lPonn ,,r '!:);n noorl Rnn'1<t;t;()n!:)rro A Q
~~~
Personal Properly
.
.
,
\
NOTE:You may expedite the processing of this return by filing with it,and as a part of the return,
letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the
decedent as of the date of death.Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account,account number and the exact name or names in
which the account is registered.x
1""1'-....-__-_-_-_-_-_-_-_-_-_-_-_-._-_-_-_-_-_~_~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~_--_-,--'+-_._E_st:...:im:..:..a:...:te_d__'.,Jointly Held Property ,j ..'Value .
N~E ~~
,'
Transfers within TWO YEARS Prior to Death
__i'....,.'~N.:".&)~N~E.......__:...._,,..:____;:;_-------,---:------"'-------:----_+-----
I .
."2'j
,-....\.'"I ....j~!;
c,0-
:t I)"-
~.-,...,~
C t r-tf....·,,<'.
~..,,',to
,...~
."..~.....:.,
That at the time of death there was'no safe deposit box registered ih decedent's individual name,O!"jointly with,or as agent or"deputy of
another,or in decedent's i~dividual name,with right of access by another a;ageitt 0;'dep,uty,with the exception of the .following:---.r ..--.~'I!'.--,",.
..
RELATIONSHIP OF JOINTNAMEANDADDRESSOFBANKOROTHERINSTITUTION,THIS S!\FE DEPOSIT BOX RENTED ~
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT.~~.-.-.,....
-
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
RELATIONSHIP SURVIVED AGE OF LIFE
("if step-children or DECEDENT TENANTS OR INTEREST OF(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest,vested,contingentor otherwise,in estate.)are involved,set OR NO.AT DEATH OF IN ESTATE
forth this fact.)DECEDENT
Lydia F Clark Wife Yes Sui 3uris All
R.D.2
West Alexander Pa
~
II·----··_~I I
,..
-+ .',¥>
r •
,.
RESIDENT DECE;DENT DEBTS AND DEDUCTIONS CLAIMED
NOTE:lftist first five items in the spaces so provided,observe notations ther~on,and instructions
~r DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN.-iltEGISTER ONLY
Funeral expenses paid $$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses •
Counsel fees *
Fiduciary commission *
OTHER DEBTS AND CLAIMS
(*)See Note below
"
.
I
I
I
Total
.Jr/;~.~rfJuv"A .
(/(Executor~)
R.,D.2
Subscribed and sworn to before me this ~~.
........................day of .;r~I?-~,19.72.
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi'debt is greater
or less than the estimated amount claimed and allowed.
(Street Number)
.W~I?~.N~~!3:J:?~~!:~.~~J:?~I?Y~':?:J:?~?:.
(City or Town and State)
Appraiser
Having been duly sW~/according to law,I do hereby certify that the above appraisement is made in conformity with law on this
........,.,,J-·l·'~·"·····day of ..'S).A'~.r1~'iY'.:..:/9,··,19.)..~/
{l IJ.~C?:<Jk1:?t.~..,.
In the event that any future interest in this estate is transfelTed in possession 01'enjoyment to collateral heirs of the decedent after the
expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF TH~.$T::lFWILL
I,the undersigned duly elected Register of Wills in and for.....~;:(..,i"..r~",,~:.......County,Pennsylvania,do respectfully
report that I have allowed debts and deductions in the amounts claimed by deponent,etas to those items where a greater or lesser amount
is set forth in the last column to the right in said schedule above,which greater or less,mount represents the sum allowed as a deduction.
Dated:.
,Register of Wills
'~
,
J ,j
~
..
Form No.RCC-62 (6·70)
Will l 63 -71 -1158
~~M SNo year .
IN THE
MATTER OF THE.APPRAISEMENT
OF THE
ESTATE OF
ASA B.CLARK
Deceased
Late of R•D.2,West Alexander,Pa........................
County of Washington..............................
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
'V d "0:;NO.L '.'Nj HSIt/,\
Slll!.'.Y:;Tj I C;!:)]U
aUI ..::';.~n~
nr 2 ':~(,unr 2/t'.:i ';u"I 11/....
(
i!,r
!I.
Jay w.Troutman,
,,
Attorney
DeceasedCJark,Ass B.s/k/a A.B.Cla,..,k
In the matter of :bhe Audit of Account filed in the Estate of
,.
/:,;~.
.,..IN THE ORPHANS'COURT OF WASHINGTON COUNTY.PENNA.
)Date of'-'1t:2-1:.•7/
)No,]971-]158 ,Term,19 __,A.A.
)DOCk"~-,;Q 2l-_'__
TO THE AUDITING JUDGE:
Enter my 'appearance for the Commonwealth of PennsylVill!Ilia,claiming tNlnsfer inheritance tax in the above estate,as follows:
DR.
To appraised Vialue of Estate:Realty ...---------------.------$_
Personalty . .------..---.--.-..$_
Additional Assets per Account,Subjeot to Tax --------------------------.-.------.-$_
Additionall Assets per Audit,Subject to 'I1ax -----------------------------------------$
GROSS VALUE ----------------------------.----------.--.$_
CR.
Debts and Expenses per Account;see Note
Add~tional Debts and Expenses per Audit
)
I
)
$-------
$-------•$--------
$-------
$-------L ~__. . _
$
.-
TOTAL DEDUCTIONS,$ _
NOTE:The following credits claimed in the Account are
held not deductible ,a's against the tax:
CALCULATION
Gross Vailue S~1 ~IH:J--"'~_
Less Deductions ~_CJ 2 ,/1)
Clear Value ----L-~~9---=O----
)-LiD3r~fL-
)
$
Tax-
able
at
15%
~-j-----=----$~---'}
$-lL-4£."}
i I Or tJtOLessamountpreviouslypalid---------------$
Balance . .. .. . .$4_,'Z;~
Interest__yrs.~mos.-vvdays@h%$,_/IO
TOTAL TAX AND INTE~ST DUE ..-----$_;,..-_
"O~41
~1J""'f1 G~If ~%tY~//;N~
f7(t.J-S
Total Tax .__
$-------
$------
$--------
$
TAX PAID ON ACCOUNT
6-1&""c<..$/IOf 00
I'.7
r ~It.No.,Term,19__,A.A.
ESTATE OF
Deceased
•
•
PRAECIPE FOR APPEARANCE
FOR
COMMONWEALTH OF PENNSYLVANIA
~5
03-7/-//50
STATEMENT OF DEBTS
AND DEDUCTIONS
COUNTY
LATE OF R.D.2.West Alexander.
DATE OF FILING APPRAISEMENT _J_u_n_e_1_6_...=.1.;;.9...:,7..:2DAT5 OF DEATH --..;:O;;.c.::::..::.;t.:......;6::;...1--,;1=-9;::....:..7.=1 _
ESTATE OF ASA B.CLARK
AND AGENT OF THE COMMONWEALTH
_OFFICE OF THE
,/1:.._:I REGISTER OF WILLS
OF 'Washington
Form RC C·lO
DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHE"
Oct.971 Ferrell Funeral Home Funeral Services 1063 30
Oct.971 Claysville Cemetery Opening Grave 85 00
Od 971 Washinp"ton Hosnital Hospital Bill 40 00
Nov.~971 Register of Wills Letters Testamentary 13 00
Nov.~971 J.Paul Proudfit.M.D.Doctor Bill 40 00
npC'h!)71 C Graham Cowieson Ambulance Service 24 80
Dec.~971 Washington County Reports Advertising Letters 14 00
npC'[971 Observer Publishing Co.Advertisinp"Letters 14 00
June 972 Lvdia F.Clark Widow's Exemption 1500 00
June 1972 Jay W.Troutman Attorney for Estate 250 00
June 972 C.M.Troutman Notarv Fees 5 00
June 972 Register of Wills Filing Inventory 3 00
.Tllnp <:)72 IRpp"i Rtpr of Wills FilinQ"Account 15 00
~Ai~~HA~/,5()
({);A'-j-"J)A d ~"h-~~I}/5'-tJ
V
TOTAL ....,...1>..,1nuvv.
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF ~WA=SHIN~GTO=.:......-N_8&:
I,--...I ...NI..D.r.uI...A~F.:..........:C!l.UL..I.Ao.J;Rlo.Kc.....·~~HEREBY CERTIFY.THAT.TO THE BEeT OF
MY KNOWLe:DGE AND BELIEF,THe:FOREGOING IS A JUST AND TRUE SrATENENT OF DEBTS,FUNERAL EXPENSES AND EXPENSe:s OF
ADMINISTRATION SUBMITTED TO THE ESTATE OF ASA B.CLARK.DECEASED,AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES.J,fu&a\!'!'f~(L.S.)
SWORN AND SUBSCRIBED BEFORE ME THIS 16 DAY OP'/1 Ly~~Clark
June Ie -12.-
Alua<J(}faJ#ptbift=:'rl)
My Commission Expires:Feb.5.1975
Washington.Washington County.Pa.
I,\
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RCC-81 (6-71)°
I,
iiCOM~ONWEAL TH OF ~ENNSYLVANIA
DEPARTMENT OFI!IREVENUE
BUREAU OF COUNTY aOLLECTJONSI;HARRISBURG
17127 Ii
I
I
IINOTICEOFFILINGOF~PPRAISEMENT
\1CLARK.LYDIAF.I:
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
J
Date __J_UNE_o_o_2_7_,_1_9_7_2 _
In Re:
Mrs.Clark:
October 6"1971
Dear
(Executor or Admirlistrator)
IiEstateof__~ASA.=--=B~.,--=,CI.JOO(=TI==-...=a/L..:k:=L/--=a=----_
1
I
1
1
°
__--.,.W_A_SH_I_N_G_TO_N County _Fi Ie No.63,,:,,71-1158
1\
II
Ii
You are hereby noti fi ed that the __O+~_G.IN=AL--=---:==;---r.---r-_
appraisement in the estate of II ASA B.CLARK a!k!a
has been fi led in the office of the Register of Wi lis of__W.~A~S~H~IN~G~TO=N _
County on JUNE°27.,19~,Sail~appraisement reflects the following
valuations:[Il .
Real Estate sllooo.oo
Personal Property_----4II _
Transfers I!
Jointly Owned +-~_
Total S~OOO.OO
As to such tax that is paid within threll mo~ths from date of death,a five (5%)
percent discount is .allowable.As to any tax tH:at remains unpaid after nine (9)months .
.(fifteen months when death occurred from Decerilber 22,1965 to June 16,1971,inclusive;
and twelve months when death occurred prior toll December 22,1965)from date of death,
interest at the rate of six (6%)percent per annu~is charged.
Any party in interest who is aggrieved!lby an appraisement may appeal therefrom
as provided by law.II .
SignedJlr'~J2 cJ~
1
\Title i APPRAISER 11
Ii
il
II
I
DATE OF DEATH:
Note:This is not a bill.
~Recorder of Deeds
Registration Fee $.
Satisfaction $.
ToW .....HHHH$l~
State Real y Tax ...$..~.......
~-~~-~~~----~-~~-~-~---~-~~-l
:~a ,.,PRESENT RECEIPT WHEN LIFTING INS;"~UMJj}NTp.......•!Washington,Pa.,.L{!...::~/..!...=..?..?.l~.
[N~9380 RECORDER'S OFFICE I
I RECEIVED OF..~.?!::~e..
i :.:;~':-~;~-:;1ff'!~;:;-P:o::~;:~~~:-::be re=dod~Fees $'-.t.?e..;ny
f)I S..to Tn $1:::£iod t.~_.._..
~Certificate and Seal $....................TO
~P
II
Ir
I
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IlI,.
COpy OF INVENTORY
ASA B.CLARK.
'I
f...YDlA ...CL.A.ttK.
•
te
Notary Publtc,
4j"........
ABA D.CLAP.K
.xussau_.I.ln
3Inutntorg anb !\ppraistmtnt of the goods and chattels,rights and credits which were
ABA B.CLARK R.D.2.We.t AI.zander,of late of..· · ·..·····..··.
Washington County,Pa.,taken and made in conformity with the above affidcroit.
DOLLARS CENTS
REAL ESTATE:
o.'it of an Acre .ltuat.In Donepl Townahlp.W••htnpn County.
Penn.,lvanla.upon which t.erected a one .t01'1 concrete honae.
BetDf part of a tract of led cODV87ed b7 MDry B.Eakin et COD.
to A.B.Clark by deed dated April'I.182'1.and recorded in tbe
5000 00
~----
,I.
"~
1 0 6 3 3 0
8 5 0 0
4 0 0 0
1 3 0 0
4 0 0 0
2 4 8 0
-1 4 0 0
1 4 0 0
150000
2 5 0 0 0
500
3 0 0
1 5 0 0
1 6 5 0
1 2 5 0
309610*
,t.",
Funn ilCC-2
...\....'"
DEPARTMEl':T OF REVENUE
BUREAU 'OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 127
COMMONWEALTH OF pBNNSYLVM,JIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE J.UN.E Z7 19.72 .
COUNTY Y.!A.e.~.~.~.'r9.~..
FILE NO.....??:?~.:~.~.?.?...
Whereas,,;ASA B.•,riLARK a/k/a ~late of p.Q.~.QA.b r..~fl>..~..
in the County of WA$H.J.N.Q!'QN :,;Commonwealth of Pennsylvania,having died on
the ::::?~~day of 9.q.~.9.~19..?.~..,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,:.P..9.~.~q p.~.~~:,art appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all anrtuitiesand 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 heteby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
REAL ESTA'IE.
SEE COpy OF APPRAISEMENT
'Description of Anat Unit
Valuas
$
Appraisement
Made for Inheritance
Tax Purpoles
5,000 00
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.................................WASHINGTON...................................COUllty
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
.ASA B.CLARK a/k/a
Deceased.
Late of
............:pQNmA~M.L ,.
Date of Deat/"?~.~.~~~.'..:..~?.?.~.
Appraisemeilt'Docket Vol.,?~..
Page,???.::o:2 No 9.?.::o:.7+..~++.5..~..
Filed il~Register's Office,.~?7..L 19..7.?..
Anwunl of tax due,$ :..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appra.isement,
.Appeal f"om Appraisement,:.
!l-ntered and charged,: .
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RCC-39,(5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
i Estate of CIA RK,ASA B.a/k/a
(Last Name)(First Name)
DATE OF DEATH_-.lll..l.OC:-:l.l6-~7J.f-..L..-_FILENO.6,3-7]-i158
(Initial)
REPORT OF INHERITANCE TAX APPRAISER
WASHINGTONI,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of ---,-__~_
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E".
JUNlj1 27,1972Dated:-------------v<!Y~eo<?~{#V
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for WASHINGTON County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or
lesser amount is set forth 'in the last column to the right in Schedule "F",which greater or les'ser amount represents the sum
allowed as a deduction.
Dated:_
REGISTER OF WILLS
VALUE AS REAPPRAISED
$-------+--
VALUE AS APPRAISED
$').
5,000.:>0
none
5,000~:>0
ALUE AS REPORTED
$~,JIll .uu',,.,
5,,000 .00
none
5,,000Ie00
VINVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or ------It:
FOR USE OF REGISTER ONLY
Tax on $+-_~
Taxon$~
Tax on $5%
Tax on $10%
Tax on $15%
~e~tioos *
Total Estate ----4__
TOTAL TAX
COMPUTATION OF TAX
$-------+---
$--------+--
$-------+---
$--------+--
$-'-------1---
$L-_
(*)As evidenced by Charitable
Exemption Certificates issued
~y the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
:-------It=.
BALANCE OF INHERITANCE TAX DUE $~
Add interest at rate of 6%from L
AMOUNT OF E~TATE TAX ASSESSED $---------1L-$------
Estate tax paid $L-I
BALANCE DUE $--JL--
Add interest at rate of 6%from
to $-----~t=TOTAL TAX BALANCE $-------1
PAID $....1
··r
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
1>._
Will lAdministration~No Year
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
ASA B.CLARK a/k/a
Deceased:
Late of . ..DONEGAL TWP•.-.•..................•..........:.........................•.•.••.•.•
County of ...WA~l:f.l:NGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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