HomeMy WebLinkAboutOC1971-1225 - ESTATE OF DAYFORM 67
REV.1~50
REG.WILLS
.!\pplirntinn fnr 1Jj~tt~rs nf !\~ministrntinn nn t4~
Estate of ~~.~t!~P..~x.J ~L~L~~H.t ;r.,.,D§,y...
late of §9.1I~fL.f.~@.~~.Q!rn.§.~~.P.,t w.S!R.b..~c.Q.t,;,t ~.A ,Deceased.
Before the Register of Wills of Washington County
personally appeared J~~:4.~J:~~p.~y.:.
who,being duly sworn deposes and says that.HY.~.~.~t.,~y...
age 1.~,having ~~~last family or principal residence at...~.~.:r.;ti.~.J.g,EQad.,.R D 6.,..
(Street and Number)
............R~§hj.ngt.on ,Washington County,Pennsylvania,died intestate -
(City,Borough,Township),
at w.~~.g;4:!~9.P:J ~~.~,on the 29,day of .N9.v.e.mb.e.r...
A.D.,19 7.l ,at.6.:.15 AM.,possessed of personal estate to the estimated value
$*9.,t.5.QQ.~.QQ ,and .of real estate in the Commonwealth of Pe~nsylvania to the estimated value of
$none ,'situate in ..
.The names and addresses of the decedent's survIVIng spouse (if any)and other heirs (including
heirs by adoption)are as follows.
REI.ATIONSIDP RESIDENCE
~~.~~~p.~y.w.;:i,g,QY.E.,D.,Q."Ra.6hingt.on,.P.a l~3Ql .
~9.y.g.~.D.aY....D.1.ly.all da.ughter.R.~P..,Q.,Wa.~hj.ngt.on,.P.a~15.3Q1....
w:;i..Ui.~QA .D.aY.:~.9..~l16J.EJI Maig,~1l S.:t.,..,.Wa.6h .P.a.15.301
W9.~J.:~M ...HQW?tQJ1 da11ghte.r E.~P.,9."W.~~h;j,ng:t9.1.h .Pa.,~5.30l ..
~~th ~y....He.ooic.k..:;da.ughter.R n 6,v.lashington.~l?enna.l~~Ol
................................................................................................................................................................................................................................................
...........................................................................................................................................
...........................................................................................................................................
That deponent is over 21 years of age,resides at..B.~D.ll 6.,W.ashingtcn.,.P.a i5.3Dl."
.........................................................................................................................................................................................................................................................
is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of
Administration upon the Estate of said decedent,no letters having been previously issued thereon.
Sworn and subscribed before me this........*.9.~.~..........
day 0 ~.g.~.mQ~;r.,A.D.,19 7~..
.........2b.:..
REGISTER
COMMONWEALTH OF PENNSYLVANIA}SS.
WASHINGTON COUNTY,.
And now ~.9.~mQ§l;r.lQtJ1.,19 7.l..,comes ~d~~;Lne D.a.y...
who being duly sworn doth depose and say that.l?,h~will well and truly administer the goods and
chattels,rights and credits of !lY.~§l§l L.~Dlitoy.,deceased,
to the best of....h~.:r.....skill and judgment in striot compliance with the laws of this Commonwealth,mind-
ful of the laws relatinl?;to inheritance ta:xles.
Sworn and subscribed before me ,this......~Q:th...........X m~~.
day of ~.c.e.mb~~,A.D.,19 7l..........:::::::::::rr....
::::::::::::::~~::::::~::~::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.:::::::::::::::::::::::::
REGISTER
'.
'I,•
c.'
,,#~_~3 -7/-1 I-~~S-
APPLICATION FOR
Letters of Administration
Hysee L.
. .,...fLetters................................/ .~
$1..
Extra Alias .
Renunciations .....
r
r--_'-~'I ~:..-
VIC>c.a
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......~..L.......s.andar.a.,....B.....A.....E.rank.s....:....
Attorneys
~2
,
(ltnmmnuwraltij nf Jruu.ayluauia,t ss.
1ltIItts4iugtntl C!!nutltg,\
I Russell Marino,,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of PennsYI~~,
to Madeline Day
administ:a t r ix of all and singular the goods and chattels,rights,and
credits,which were of Hysee L.Day,aka H.L.Day late of Washington County,deceased,
GREETING:
WHEREAS,the said Hysee L.Day,aka H.L.Day late of
in the county aforesaid,lately died intestateSouthFranklinTwp.
(as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County,
Russell Marino
by r,easori whereof the power of granting administration thereof doth belong to me;I therefore,confiding
in your fidelity,do by these presents gl'ant unto you these LETTERS OF ADMINISTRATION,here-
by committing unto you full power to administer the goods and chattels,rights and cr,edits,which were
'of said deceased within this Commonwealth,you having taken 'and subscribed the oath of office pre-
scribed by law;requiring you to well and truly administer the goods and chattels,rights and credits,
which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's
office,at Washington,within ninety days,and to render a just and true account of your administration
at ,the expiration of six months from the date hereof,and to regaJ'd and comply with the provisions of
the laws relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and
caused the seal of said Office to be affixed this 13th.
day of December in the year of our Lord one thousand
nine hundred and seventy-one
Q~~_.
RUSSELL MARINO,Register.
oJ-~/--~7J·-,o f(
/'
'"of 19.......
Estate ofIIye;~~...:r..~...p'~y"..a/;k:/~,....~.~...~.~...~Y....{
late of~~~~~Jt~~~t;;.Peiilia~'Deceased ,No....
KNOW ALL MEN BY THESE PRESENTS,
That we,....~~:J,;tp,~..:P~Y.~9,..~A~..VP,;i,~~.4...~~t~f3.F..i.cl~.1:~t,y.~p.c:I..(}~r.~~y..~.()1Jl~Y,~~..
...............~1.~;4n.9~,~.:rY+a.P,cl..............................
all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl-
vania,for the use of those interested in the estate,in the sum of TwentY~o.ne.~.Tb.Q.~~.~9,...(.~l:b~H?r;,°Po)
be paid to the said Commonwealth,to which paymen t,well and truly to be made,we do bind ourselves,
jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assigns,and
/.~each and every of them,firmly by these presents.Sealed with our seals and dated the 0 -day of
....~.~.~W:R~.:r A.D.,one thousand mne hundred and.Sev:e.nty.~o.ne....cL97;LL .
THE CONDITION OF THIS OBLIGATION IS,That if the above bounden ..
............... .Ma.4.e.l.:i.n~D.e.y ".
Administrat~...rix.or any of them,shall well and truly administer
Sealed and delivered in the presence of:
the estate according to law,this obligation shall be void as to those who shall so administer the estate;but
otherwise,it shall remain in force.
:'D(2~..~7(SEAL)
·~r,r~~~m.~
~~"·"·AttorneYo.'in;Fa;ct /.(SEAL)
·/...[~~..C;;~~{SEAL)
f51tattml'ttt of 1'urdy
I,------------------------------------------------------------------------------------------..,surety in the sum of $on the
administration bond in the estate of --------------------------------------,say that I reside at
----------------------------------------------------,Washington County,Pennsylvania;that I am the owner of real.estate,the
title to which is in my own name and duly recorded,situated in ------------------------------------------------------------------------~---------------------------,
Washington County,Pennsylvania,worth above all encumbrances $;and that I am worth the
amount expressed in said bond,over and above my just debts and liabilities.
,.",
'~-----..._-.--_._-------------------------------------------------------._----------_._--------------------
.--_.._-~-----_.~---_._._.-._-_.~----_._--~---_..__.---...._~...__..-._--_._~--_.._------~----._-----
Street P.O.'
.i'tatl'mtttt of @/urrtU
I,------------------------------------------------------------------------------------------,surety in the sum of $on the
administration bond in the estate of ----------------------------------------------------------------------,say that I reside at
------------------------------------------------------------------------------------,Washington County,Pennsylvania;that I am the owner of real estate,the
title to which is in my own name and duly recorded,situated in ,
Washington County,Pennsylvania,worth above all encumbrances $---------;and that I am worth the
amount expressed in said bond,over and above my just debts and liabilities.
.........................................................................................................................
•~---.~.----.---••------~------~.------.-----------------------------44 _
COMMONWEALTH OF PENNSYLVANIA,}ss-WASHINGTON COUNTY,'".
Street P.o.
And now 19 .,comes ._
who being duly sworn,says that he is acquainted with the financial standing of the securities to the within bond;that
the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their
own right of value more than the penal sum of said bond over and above all incumbrances and exemptions.
Sworn and subscribed before me this __
day of .A.D.19 _
~3-7/-I ~:AS-
l..
No..905':".,".1 '.i
•.,.1"
!\bmiuintrntinu 18uM
IN THE ESTATE OF
Hysee L.Day,a/kia,
.........~.!~P.~y.·.
And now p.~.~~.~~.r...J..9.,19..1.;1;.
Bond approved and Letters issued to
.........~.~~.~.~~.~.~..P~.l _.
-I•
..
",'II ,t..a··j
"
...~,-
-.I ~.}
who ~~~d::U11 qual'l·f'ied •....................,,,••••:1..\..})C)"'-t:::J ..__-..
I:-;::t;")~!-L'"~,,.~...)~~-'~.m..............Ru.s;;se:l~.M~.r..tnQ ..:.
~.~I ~.-'.-r-~RegisterZ0."..-",'
'""""11 ?i'::c:=="o j,....:::r;
o <:::n
Bond Book ..f?4 .
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Page ..215--~----.--
~
BADZIK PRINTING ~9 DONORA
Adam L.Sanders-B.A.Franks,Attorneys
.
l
."...--
Date ot death:0 1",
Nov.26,1971
l\ffiilautt (@f 1£xrrutnr (@r l\bmtutntratnr
~tutt of 'tuusyluuttiu }
<l!nuuty nf lIus4iugtnu ss:
Personally before me,the undersigned authority,a no_tar_}L_public.in and for said
County and State,appeared --------.MadQ-li.ne--.Dav----------------------------------.who,being duly
sworn according to law,deposes and says that s he is the~~administra~f the es-
tate of Hyse.e__L_.DaV deceased,that the foregoing schedulE)s :It~titute a
complete inventory and appraisement of the real and personal estate of _-----Hyse.e--L..---DaV------,
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 determin'ed 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
justappraisement of each item made by the~ove named~Administratmx:rix
Sworn and subscribed before me this .:<iJ.tI?}L-:h".IJ ;11 ~
.day of ..~.~7.2 ···«.p.·~~······;Ad~················:·················~J..·~::·····::.::::.;:::.Z.~............x~d ..tralxllXix
-£~~Notary_Public
My Com.Exp:Mar.26p1975 ADDITIONAL INSTRUCTIONS
Wf.shlt~ftMlJ.to~\ifi\tf~e :f:1R~thin 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
3Juututnry uub l\ppruistmtut of the goods and chattels,rights and credits which.
were of Hy.see L•...Day late of ..Sout.h..Franklin Tow.nship ..
Washington CoUnty,Pa.,taken and made in conformity with the above affidavit.
J
Personalty
DOLLARS CENTS
Savings Account No.14042 in First Federal Savings
and Loan Association,Washington,.Pa.
Certificate of Deposit No.4238,dated 8/21/69-5%-
Pittsburgh National Bank,Washington,Pa.
1967 Buick Sedan Skylark
1957 Ford-3/4 Ton Truck
Tota1---------------------------
Realty
None
Total Assets
11,988.69
7,000,.00
8751.00
2751"00
Personalty
Realty
$20,138.69
0.00
I
Total Estate--------$20,138.69
;,
'"
ItI??
~3-7 /~/j;;5'
Inventory and Appraisement
IN THE ESTATE OF
Hy.s:~.e ...L .•.Day.,.a/k/a"1...H.•....L .•....Day
.Filed ,19 .
:::::'J
):>.rn :::0
(fJ i;")c:
:!:::-::,,!'~
;;~~=S--I .•
::;;.,,-
--."........----r.
o ~-.
I ..~_
-0 r c-;,:;::..(;i .~
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.;:
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Adam L.Sanders~B.A.Franks
Attorney~_~Law
.1i)-r-r.83-f3~OS-~d
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The within named Accountant being duly swom according to law,deposeS and sayS that the above account
as stated is true and correct as she verily believe.
-4SwornandsubscribedbeforemethisS'~t .
day af--;;,..J-'tJ,.......~9..n.
~.~...............................•....Notary Pu 11C
My Com~Exp:March 26,'1975
Washington,Wash.County ,Penna.
VrJJ~C1::x
...l_~!.__~_N··T·······
Washington County,55: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..~:::?d?-:33.l.._ _.
Witness my hand and official seal thiS__~~m __m ••
day of...M.~.~.w."'-~..::~..:...::::~~
Register of Wills
d ~§
0 @§
""'H 8 '-;:)-0 r:c.;'-'
.!:ll :<C''":...
Ql • 05<d""'(Y)i!l!
:.~•Ql ~~1:1'-'0:1'"'iE ' 0 NI+':0 ~~ti~~:.l'il (!J (b:'0 "0 l.1:1 r::til f)<:J
'"~\I)Ql ur+''"-,OM it {;Ql 01i~
Ei~Q~
+''"::l00
0001 Ql..c:l<i!+'
0+'
r\ll"33
RUSSE ~.:.:L:':1 :lW
R·E G!STEf(Cr \'II LLS
IliAC HI'd ""'11 P "'0 PAt!v 1~lcO I'.'f'!'-.1..•
tel"J ,....l 1
oz
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<-.#
0/(J
p.
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*1,,-
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The Court is respectfu Ily requested to determine
proper distribution in this estate.
--<-qd~w(i,dOM~
Counsel for Accountant
'281~59
....,
'192.50-
appr~iseinen~'.'5 '",-,','
,,,'""$20','1,38.9'9
.''-',..,~
..'.:;,~:':'\:~(.~.-,j•.'.
.I,nterest'on'SavingsAccount-First
<Federal,Savings &Loan-death ,toacct,~·
'-Feb'.].'972intere~t/()~,Pittsb'urgh Nat.'J
Bank-Certificate of Deposit>,
Estate of HyseeL.·Day",Ot:a/~/af,H.,~,L •.Day,,deceased,late of South_
~.:/.,~'_',!•,_j-~;:·,1 ii'·,:'4 .~Z,.~,M~"~:.•,
.-,;~;;;...;;.;.;......;;.;...;.T~.;..O.;..·w_,~n...;;s~h_ip.,;.",.s~~,~J:i~ngton'County,Penns'Ylvan~a
,The ·A~~~~d~'a.ntis'Charged,as f,ollb~sr'(":.'
Apr.25
....':'.'.
,:.1971-1972
.'.",
..:"
47:4.09,$
5,186.51
•.jo',
$20,138.69
-.474.09
0.00--
Total Assets----..,;,----$20,612.78 J
None','
'IricomeSRealtyi
None
B~nance due~'------~--$15~426.27
.,
,
Total------...:.;;;....-----
Principai~Reaity',
Prillcipal-Realty
Totci:ictedi ts claimed-~'-----
,Income-Realty
'-T6t~~i Assets
,Principal-P'ersonalty
''Inco~e-Peisona1ty-~..,.'.."'-...
.....
'..'
,
"
~I'""~_",,t'-"to
10.16
19.00.I
8.171
741 00
'19;36
31 00,1
of dec '"d2s146of,Dec~31s1
1100
:J::
11so
'..;1"
1.()0I'.
.75
106160
14100
'1 020100:,.6soJ~01
11so -
,16100l
fees-car title
a~In~n:bondpr~mium
filing inventories'
e '0 ,"
..'
1 short ,cer't.
~dver.gr.of letters
attorneY-fee
medical for dec'd
notary-acct~&D &0£
1 short cert.
'filing account
.,.Ilotary
.accountants fee
Total Credits claimed-------~...·$,5':··i~6J5l
&i,Smith,M.D.'s
"'.,
"Adam'L•.Sanders...•.;..,.-"._.",
.::HeleIi'..'J3~veridge
R~~·::~i·:i"~~~~:*o~,·Reg •.
,;f'.'/,>,.>:,:,.-:<.':',.N .',...-..:':~,"<'_~,He;I.el{)B.¢veridge :
•,',·-d ',}:','--,.,.'.•
,.0bserv~:n"·~Reporter''
'::,Madeline ,:Day
June ,ffo
,June 050
,~
\.
Observer -Repor.ter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the News,paper 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..R~~.h~x~L.S.'"c.QWa.n................who being duly sworn
according to law.deposes and says that he is the ....Vic.e.,...Px.esid.ent
of the Observer Publishing Company.a f'lennsylvania 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 Woashjngton Observer.established
September 18,1871,and The Washington Rellorter,'established August 15,
1808.a daily news,pape,r of general cireulation.printed and published and
having its place ofbusines's at Washington.Washington County.Pennsyl-
vania.where it'or'its predecessors have bee):!established and published
cO:ritinuousIy for more than six months prior to the pUblication of the notice
hereto attached;th3Jt 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 publis1).ed iil th!!Obslerver-Reporter in
its regular editions on the following date or dates;.
................................D.ece·mb-e·I'....1,s·,..2.2-·..a-nd....2-9·r ..·1-9-71·..·..·:........·....
Huh neither tb!e 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,placepya.Characte.1'10e::)~tc.ation'
are true.~~V
.............................t:..{,..
ry::-.,
Sworn to andsubsc~ore me this..2.9...day of.De.cember....1971
............~.~&.t..7f{:.~~.
MARGARET M.BRADLEY,NOTARY PUSUC
WASHINGTON,WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY 6.1972
~1t t4:c Qrnurt nf Qrnmtttnn .JUran of lJan4ingtnn O!nunty
®rp4ann'O!nurt minininn
In the matter of the Audit of Account in
j
Estate of Hysee I..Day,a/k/a,
H.L.Day
TO THE AUDITING JUDGE:
N~63 -71 -1225
Enter_--'0Lol.L'1Jur'--,appearance for A~c!..lc"'_o~u~n~t.!<..!::a~n~t.!<._"'sC_.____:_---------
N.B.-Counsel sll'all,by separa: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 conc1se state-
ment in that regard.
\\.
'V'd r-OO NOJ.~\NIHS'1A\.'
S11jA\~O H3l,SI::J3Uo~~jBVjf~~llIJ S9n}J
h2 :h ~4d ~2.lJO 2l.•
10 ;:~""'I,I d·....-;:j I I'··I.~
\
No.63 -71 -1225
In re Audit of Account in EstaJte of
Hysee L.Day ~a/k/a,
H.L.Dav
AUDIT
'rartipr fnr Apprttraurr
FOR
Madeline Day,Administratrix
or the Estate or Hysee L.Day,
a/kia,H.L.Day,dec'd
Adam L.Sanders-B.A.Franks
.A~orney S
~2
(Form where decedent died Intestate)
lJn tIte (@rp~an!i~<11onrt nf lla5~tngtnn <11nunty '.)
ESTATE OF.No.63 -71-1225 ~
Hysee L.Day,a/kia,In the audit of the First and Fillal
Madeline Day,AdministratrixAccountofliL.P.ay .
Deceased
The petition of.Mad.eline Day._.
(Name of Petitioner)
respectfully represents:.
(a)The decedent died N.Q.v.e.m.bex:~.6..,1.9.7.1.,intestate and
(Date)
State (l)whether de-
cedent was married or
unmarried;(2)if mar-
ried,whether a husband
or wife survived and
his or her name;(3)
whether or not there
was any marriage settle-
ment;(4)whether or
not family relation was
maintained until deced-
ent's death;and (5)
whether the decedent
left children or issue of
deceased children.
letters of administration on .his estate were granted DeC 13.,1.9.11..
(Date)
as per record thereof appearing in Administration and Bond Book No : .
at page .
Decedent was survived by his wife,Madeline Day.
There was no marriage settlement.
The family relationship was maintained until death.
Decedent left issue all listed below.
within(b)At the time of death,the decedent's domicile was ~the Com-
monwealth of Pennsylvania,to-wit,at...SOut.h...F.rankl.in....Xownsh.ip..,.Wash.Co •Pa.
(Town or Township,State and Nation)U.S •A
and residence was at.R D 6.,Was.hington.,..Penna 15301 :.
(Town or Township.State and Nation)
(c)The names of all persons having any interest as heirs or next of kin
with the names of their deceased parents,to show relationship if they take by
representation are as follows:
NAMES Relationship Interest
Of age,sui-
juris,or not,
(write yes or
no).
Name of Guardian,Trustee or Committee,if
any,or beneficiary,manl!er and place of
record of appointment and is bound suffi-
cient to cover :1nd protect share.
Madeline Day
Joyce Day Duvall
William O.Day
Norma Jean Houston
Ruth Day Hennick
widow 1/3 r es.yes none
$150C .W.E.
daughter 1/6 res.yes
son 1/6 res.yes
daughter 1/6 res.yes
daughter 1/6 res.yes
State exceptions,if any,
giving names and dates
of death and the names
of their executors or
administrators.or the
names of their issue as
the same may be mater-
ial.
All of said parties in·interest are living,except
no exceptions
Describe type of notice.(d)All parties having any interest have had.ac.tual.notice of the filing
of the account by receiving a copy of the accoUnt and notice of
the time and place of aUdit.
.;_1..1
(e)Balance for distribution per Account
(f)Additional debits,not shown by Account
Ju~ri~nt.on First Fed.Savings ---133.38
int.on C.of D.-P.N.B.---192.50
(g)Additional credits,not shown by Account
(Itemize).,•0 7Notaryfee-audl.t petl.tl.on • 5
$.15.,.426.•.27.
$325.~.88
~~...
;'--,
InseJ word u not"where
necessary_
II taxable state wheth-
er tax has been paid.
if too many for the
space,annex a list there-
of;if no such claims,
insert the word u none."
II any creditor or other
claimant has not re-
ceived actual notice,that
fact must be stated.
Indicate such claims as
may be secured or en-
titled to a preference,
and give detailed infor-
mation concerning such
security or preference.
Here insert a reference
to all questions requir-
ing adjudication,and a
!ltatement of any mater-
ial facts not already
given.If none insert the
,word u none."
II any share has been
assigned or attached
that fact should also be
stated here.
State kind,.form and
character of property
composing the balance
for distribution,and if
any part thereof is not
cash,whether or not
there has been any elec-
tion to take such part
in kind.
$:0..,.7..5
•$L,5..,..7.51.".4.0.herel.n
(h)Claim for exemption has been made/and has....'oot.,.......been paid.
(i)The estate is subject to the payment of inheritance tax to the
State of Pennsylvania.$741.was paid 2/11/72';:
(j)__T.be estate is no.t subject to the payment of the county 4 mills
tax.
(kfThe estate is not subject to the.payment of Federal inheritance
tax.,.
(1)All creditors (and other persons who have complied with Rule II,
Sec.9),of whose claims the accountant....had notice or knowledge,have
.....................:..received actual -notice of this audit;the amounts of their claims and
whether or not they are admitted to be correct areas follows:
All known claims except audit costs and balance of inheri-
tance tax have been paid.
Through her execution of this Petition,the Administratrix
and widow,of ueceased claims her Widow's Exemption of $1500.
in cash and ~equests'the Court to award same to her.She
further elects to take the 1967 Buick Skylark automobile'
appraised at $875.in kind,at appraisal,and requests the
Court to award same to her as a part of her one-third inte-
rest in the residue.
(m)
(n)The balance for distribution consists of property in ~ind,form and
character,as follows:
1967 Buick Skylark automobile appraised at $875.-Election
Balance is cash
,,_~,~"--"--"=-"-..~-._~,;:.._~_,_--:;;;,""'-'-~,.,-~__~-=:-.~_I
..__~_~.._~..~.,c.~._.__~.._._.~..•.__".~.".__."~'"_."._.."".>0•••~_~I
/..'"Are there any advance-
ments by decedent to be
considered on distribu-
tion and has any distri-
bution on account been
made by accountant to
any distributtee?
(p)None
II prior accounts have
heen iiled,list number
and term,.
(q)Give brief location of any real estate sold.
None
(r)No prior accounts
(,
...,
Wherefore your petitioner asks that distribution of principal and income
be awarded to·the persons thereunto entitled and suggests that the balance of
principal and income should be awarded respectively as follows (shares being
stated in proportions but not in amounts):-
Madeline Day,widow
$1500.00 Widow's Exemption in cash
1/3rd residue including B~ick car appro @875.00
balance in cash-.
Joyce Day Duva11---1/6 of residue in cash
William O.Day ---1/6 of residue in cash
Norma Jean Houston-1/6 of residue in cash
Ruth Day Hennick---1/6 of residue in cash
County of Washington,ss.And your petitioner will,etc.,
The above named petitioner being duly
sworn doth depose and say that the
~:::e~~::~:::;:~:~:'~ie:~:~::~e::~;;f~f#r-.-----_.
j.-a-r day of..~19..7.2 .
\
..~d c'•••..·Not·a·r~:Y"··..01·1'6"······
-->My Com.Exp:March 26,1975
Washi.ngt.on.,.....Washin.g.ton...-County..,.P..enna.
/,1
FORM IN CASES OF INTESTACY
No g.~~7l.~J.~,??~~~
IN THE
ORPHANS'COURT
WASHINGTON COUNTY,P A.
Hysee L.Day,alkla,
Estate of H L Day:.
Deceased.
Sur account of ..Madeline Day...,:,.
......................................................AdministI.atrix
PETITION SUR AUDIT
In Conformity with Court Rule III,
Sec.5 (B)
COUNSEL FOR THE ACCOUNTANT WILL
SUBMIT HEREWITH
1.The letters of administration.
2.A copy of the inventory and appraisement.
3.Proof of advertisement of the grant of letters,
if not filed with accountant.
4.An appearance for those represented.
5.Inher'itance tax receipts,if any.
6.Certificate of liens in case any of the funds for
distribution are derived from the sale of real estate.
7.Copy of Federal Estate tax return,if estate is
subject thereto.
8.Signed elections to take in kind,if any.
......Adam...L •....sandeI.s.~B ..A...Fr.anks
Attorney s for Accountant.
~9
'V;cf "0:)N01:}NIHSV1t'
.s ll!lJ\:J Q,H31 SWJU
jl\\>ll'l \l'"ri \t,~'-;f]':I r('('I\J"yjJ.l;ti ,-1.1;"..;.,..,..;J.....J:J!I 0
'h2 tl U'd~2 1JO 2L~
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12,25
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~f.\tto:J;'neyfor:th.e;Estate,of Hysee
DaY'~"~,/k/a~H~":L.Day ,'<d~c'd,'
".:,
:.'''!
<",D~c~a~~d
H:
Re:,-Estate ,of'.:','
-You'~re,;he'!,~<:;bY'n~tifie'd thattheuJjdersi'gned has filed a
..':.-•.•'('•'.•.:~:<'.J :'~:
ad66unt}Wiil thereafter be''neld by the said.Court the wee~of ..~'''.''.";;.
Washing1:oh C?U~ty,g!a~nsYlvania,in theabove'capti'oried estate at
:-;:<,>":~~"':-:',.."-:~""",::/-\,:,:,''~"-':
the abdve:~:iTieniiorlednumberand that;'th~sanie:will be presented for'.,,"..~,.;'..~
'confirmation att'he'.August Term,1972,..of,the sai'd OrpQans'Court,
and th,at:it'~wil1 be c6nfirmedon the 28th day of August ,,1972,-
:uIil~.ss,exceptions are filed thereto,and that.the audi1;of said
First,~i:ihd Fin~i 'Accounf~in the:Office ofth~'Register'of .wills of'-'.' . -".',-,f ','
AdamL.Sanders~·B.iA'.{F.ranks>;'f'
.At:i:or~~y~at L~V,iJ,j:,;"~'\{~:lH.it::C'.'~;'~
.611 Washl.ngton4,'.Vr"ust):I?}dgb~:~I<"
15301'
,Septe~t>er .11,1972.,
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IN THE COU:RTI\~F.:',GOl\/I:M®..1)fj:P~~....E]P.:~.,O;F WASHIN(jTON.COUNT~\,PEl9:V
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j
ESTATE OF
Hysee DW a/k/a
H.I .•Dq
deeeased.
No._~6......3=..7",-,"1~-:.l!J12.....2....5 _
In the matter of the,_----"":...:;·F..;:ci.!'",,-,=$.t..:;;..·....;;aIl=d;.;,;·,F"""inal=='--
Account of Madeline D~
Administratrix
ADJUDICATION AND DECREE
And now October 24.,1912-,this matter came on for hearing,
audit and distribution at this session arid testimony taken;and thereupon,upon due consideration
thereof of the balance for distribution in the hands of the Accountant is determined to be
$1~7S1.40 and the account is accordingly confirmed;and it is ordered,
adjudged an decreed that the said balance be.paid out by the Accountant in accordance with the
schedule of disribution hereto attached and made part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg.
By the Courtt::t&,.tfft,_-I'~.d~VC-C-~__
Speciall1Presiding
SCHEDULE 'OF DISTRIBUTION
Balance per account 1
Additional debit asked at eudit
Additional credit asked at audit
Balance _
Deduct Clerk's Costs &Receipt;>..s 1
Attorney----~SaanRl40JAe~r~s~&--JFtl.::Jr~anRlk~;ss-----------
Madeline Day,widow,Family Exemption as requested in
cash at the aUdit,
Russell Marino,Agent,transfer inheritanc~ttalC,$69.63
Interest from 8-26-72 to 10-30-72 .74
Madeline Day,widow,1/3 balance,including cash
and a 1967 Buick Skylark automobile valued at $875.00,
held in kind:and distributed as such at the appraised
value,
Jay-ce Day DuVall,daughter,1/6 balance,cash,
William O.Day,son,1/6 balance,cash,
Norma Jean Houston,daughter,1/6 balance,cash,
Ruth Day Hennick,daughter,1/6baJ.ance.cash,
32.00e
1500.00
4716.35
2358.17
2358.17
2358.17
2358.17--
$15,719.40
No baL:1.Ilce
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Fo~m RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF WASHJ.NGrQN...
IMPORTANT:This return mus t 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.)
HYs.e.e LI.ND.:::..:;~:,.:..:~.~~::.~:.~};=:;F
(State full name of decedent).ADMINISTRATRIC:rixLateof.sou.th Frankl~n Twp Wash...........COlUlty
AdministratqICr ix
......Made.1ine..Day.....................................................................,.
of the estate of the above-named decedent being duly sworn,depose S and say S
...........................~
Name and address of attorney or}.....AdamL..Sanders,..Att.o.rney.....at.....La:w..
other authorized representative to
whom all correspondence should be 611 Washington Trust Bldg.
mailed.Washington,Penna.15301
That as such Adminis.tJ:atrmeponent is familiar with the atfairs of said estate and the property con-
(Ext!cutor-AdminiBtrator)
Rtituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedf!nt'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
l\T"'...."
That the contents of said safe deposit box or boxes are itemized under Schedules of this---return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth fullv an~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 thereof,or of
any foreign cou~try,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,leftbydecedent,together with the fairly estimated
market value thereof;all bonds and mortgages held by decedent and of all claims due arid owing decedent
at the time of death,and all promissory notes or other instruments 1n 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.
In the case of securities of close or family corporations,the values reported.are as far as
possible substantiated.by financial statemenls of the corporations,showing the assets and liabilities
thereof as of the date 9f death.The schedule also sets forth th~~nterest of decedent at the time of
death in any co-partnership or business,and in support of the value of such interest there is annexed to
said schedule,financial statements showing the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business,its location,and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted.It should also set forth in itemized form,together with the fair market value
thereof,any other property owned or bequeathed by the decedent at the time cof death.
The Schedule C attached hereto and made part h'~reof s'ets forth a true answer to each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's
death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom transferred,the
relationship of the transferees to the decedent,the proportionate share received by each transferee and
all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y
of the deed,trust agreement or other instrument creating the trust.Ther,~is also set forth in said
schedule a list of all property,real and personal,with its value,which 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 attached to the schedule.
That Schedule D attached hereto and made'part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of th'eir death,their issue,and the relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property,real and per-
sonal,owned by the decedent jointly with another or others,including intangible,standing in the riame
of the decedent and others,plus the date'and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of
death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of WillS,and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein,
have been carried forward and properly registered in the Summary.
Subscribed and sworn to before me this .
....o?~day of ,19.;7.2......~~__....:;:~/._<.~................•........'.___R.~~~:~~:_----_.
Notar Public _(Street Number)
My Com.Exp:March 26,1975 Washing.:ton.,p.enna."1.53O'l..
Washington,Washington County,Penna.(City or Town and State)
NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None",and incase the assets include rare and unlisted securities,
securities of close or'family corporations or an interest in any co""partnership or business,that the
data and statements required under the paragraph above relating to Schedule "B"are attached.Also make
certain that column #1 in the "Summary"has been properly completed as above-directed.
..-..
RCC-34 (1-64)
COMMON,WEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "A"
REAL PROPERTY
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the decedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commonwealth of Pennsylvania should be
described by lot and block number,street and street number,together wi th
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 "Fit and must not be deducted 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 thIs space)
Insert this total opposite "real property",Schedule "A"in the X X X X X
"As Reported"column on the last page of this return.
!""
RCC-35
COMMdNWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX\
RESIDENT DECEDENT
,,
SCHEDULE "n"
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,treaSl,lry certificates,cash on hand and in bank,
stocks,mortgages,notes,together with accrued interest or div1dends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed
estate of or income from any property held in trust under the will or agreement of another,even though
located outside of the State,at the time of death,should be listed in this schedule.
Item
No.
ITEM
List and describe fully
Savings Acct.No.14042 in First Federal
Savings &Loan Association,Wash.Pa.----
Certificate of Deposit No.4238-dated
8!21!69-5%-Pittsburgh NatiQna1 Bank,Wash.
Pa.---------------------------------------
1967 Buick Sedan-Sky1ark----------------
1957 Ford-3!4 Ton Truck------------------
UNIT ESTIMATED
VALUE Mr VALUE
t51/1-..J
-/$11,988.69
oA~::J
(/7,000.00
':KlfJ 875.00
ofj;J 275.00
DEPARTMENT VALUATION
(Do not write in
this space)
7J aoo ,t1'C
175'..0 D
~70.0'0
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X ~20,138.69
..
RCC-36
CmmON'\'EALTH OF PENNSYLVANIA
,T~iNSl~R INHERITANCE TAX
~~SIDENT DECEDENT
')
SCHEDULE "c"
TRA.NSFERS
(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)no
(2)Did decedent,within two years of death,transfer property from himself to himself and another or
others (including a spouse)in joint ownership?(Answer yes or no)no
(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)no
(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)__D~OL-_
(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)no
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)DO
(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)no
(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 conld revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)_~n~OL-_
(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)DO
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
None
DESCRIPTION MARKET VALUE
(Estimated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
·.
ReC-38
COMMONWEALTH OF rENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRl'CTIOt<iS:This schedule must disclose all property,real and personal,owned by the decedent jointly
with another or others,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule
"A",plus the date and place of record of instrument effecting vestiture,but do not include entireties
or out of state real estate value in estate valuation column.Personal.property should be listed as in
Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to
the decedent.
Description of Property,Date of Acquisition,Name I unit
Address and Relationship of Co-Owners,and Place I Value
of Record of Instrument,where Real Estate.!
None
I
I
Percentage
Share
Estate
Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
Insert this total oTJPosite "Jointly Owned Property",Schedule"E"
in the "As Reported"column on the last TJage of this return.
-----------------------------------------------
..~
RCC-37 •(12-63)
COMMUNWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesof-all who illegitimate children DECEDENT OF BENEFICIARY
ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
Made1inp Dav tAr;rlnm 'Uoe::S1S00 Widow's Ex
~
1/3RnnW;:tc::hi ....P;:t and of residue
:JovC"'p D;:tv nll'U::I"rI","..,h+PT VPC::1 In of Toe::;rill 0
D n f-TAb C>h;n ..,+nn P::I,
T.T';1 1 .;f'\1')",..C>l"'\n 1TOC>1/6 of residue
."
1"'e..~1::'M",';rI",,.,c+.
W::le::h;-~.fo",-Ponn""-,
"T 10::ln Un1 ....+l"'\n rI...1TOC::,If-n-r roc::;nil 0
R n n W::Ie::hi P;:t
D...fo'h T\.....u",,.,_';,,,l,...:I '~+or 'Uoe::,In of TPc::iClue
D n f-T.T..'to •...._-P",
>-..>
.
(
h
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
OF THE
ESTATE OF
~IATTER OF THE APPRAISEMENT
HI
Administration t No.
P.I<THE
Year
(Executor-Administrator
must complete "As
Reported"column #1.)
0 ~"'t:l ~...,...,C!>C!>0 ~...,e.Vl :::l Vl
Vl Vl 0......:::l "'t:l~C!>e....,...,
~Vl 0x'0~"'t:l C!>0"'...,...,
(i"'0 ~'0
tT:l C!>...,
Vl ............'<~......C!>
tIy~~~l.,.Pay,Q,/k/a,H•.L.Day
Deceased
Late of$OlltnF'ranKlinIQwnship
Washington County,Penna.
Commonwealth of Pennsylvania
County of Washington.
;r.!;;~:v .,.,
REPOR1'c'AND APPRAISAL::r:"'"(.,..
E;~J~~
':~)
----
enc:::.~
~>~W en en >-<:
?""~~n 65 >:::
~~~~~~
:(\)N
:0 :0 >'!I':.:.Vl
:f-'::f-'.~:w :w .C!>-;:::
:01>:000 'g-•~~"""I
:()\()\0(;):'""'Oc
)
..:t.,.
c_"~~..j
...-........
(;.
t.~~....\.,J
~4 .,~-","J f-(~.)1::~en
-00.-00 ~-00 -oo.~
Adam L.Sanders,B.A.Franks
Attorneys at Law'
~:,i::)
~:
~~.~.
~.,,'0:
.~.
.~~~.
>.;;r.
t?io('t _
:8"..l'V
-'''''1_·3::;.
'r::c..."
".,
!r->--.
- ---------~--------------------,
ESTATE OF __H~~T:.ss..,.e~e~l.T.....__JPu.aa.yy~----LATE OF South FraDk]j D
"DOC'''",'''OW'O''J
THE SUM OF ""'.....,,£f/J..,rt,
(O-~-7 V
STATEMENT OF DEBTS
AND DEDUCTIONS oK.
....~
,.OFFICE OF TME
'ti REGISTER OF WILLS
J
OF <'Washington COUNTY
AND AGENT OF THE COMMONWEALTH
Form RC C·10
b3-7/-/.;)~
_____________--.JL ....L__~(~,..~~~~·~~·T~'t.r-Of:~rt'~~~·~Ag_.~_t i
'il~V'TOWDShip,Wash Co.,Pa.
DATE OF FILING APPRAISEMENT Apr.25,]972 OATS OF DEATH November 26 ,J 97J
DATE
1971
n",.1 ('I
NO.OF
VOUCHER
1
N~M;:OF PAYEE
...........I "JI..~REMARKS
..L
AMOUNT
1n ..,{"'a]G;:\c::aT ,...,A 71
Po,..10 ~Wee::t Penn Power {"'o ] 0 J n
1~;:\r1ver .n-r 10 1 A ('1('1
1 1 ('II=..
1 00
1 1 c:nn
..,~Ol=..('1('1
..,..1('1
10 ~h
~00
2C;4f.
~SJ
1 00
1 t;O
'2 (){)
,~r.
,(){)
'/::
1 ()t:..t:..n -
,r.!~I~~,
t=..c:n I(){)
,I /::1"\
'oc::
'::lJ aT c'lel"'n
1971-Per Income tax of del"
-roo
bill of dec'r1
ine::t"'rintion on e::tone
1 c::hort ,..prt
adver.grant of letters
-."'....+"..;:",-,.
1 c::hort ,..""rt
-r;1;nn ;
..,
mon;,..",l -rr.....ri",.'ri
-r;1;nn -
,]Homp
'nno
'nnp
Pa Dent of Revenue
Dr Harl"om M D
Ho10n -
Rnc::c::p.ll Marino Ren
P::l Dr,:mt of"'"
Ho1on ...
Rl1,..k1pu Tnc::A
S Wb;tpe::Sane::
rnud oc::nn ~
...·11 M;:\ri no Ron
Roll n-r Penn::l
7
Q
11
12
]0
21 Observer-Reporter
??M",no1;no P",,,
1 t;
17
1~
14
1A
1f.
A
4
A
')
1
')r::
1'7
T",n
An...
T","
l1'oh
M",...
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T......"..50
T......"~6
~D+",l -------
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX PURPOSES.
COUNTY OF Wasbi ngton
I,Ma de]i De DaJ'HEREBY CERTIFY.THAT.TO THE 8E.T OF
IIoIY KNOWL!!:DGE AND BELIEF.TH!!:FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSU OF
ACMINISTRATION SUBMITTED TO THE ESTATE OF HJTsee I Da}T DECEAeED.AS DECUCTIONli FOR
c3.J:/-XI,--L-7rl.....:-:..~-=--=--==--~·=-~JJ~k-_(L.5,1
SWORN ~ND SUBscr'msED BEFORJHltE THIS .e7 DAY orr4 Madeline Day ~
/Tn"",J 1'././,,,72 {j'"'7U'/".I ./l7./.-,.J -~.~..
_.,.'Notary Public
My Com.Exp:March 26,1975
Washington,Washington County,Penna.
~
tr)<rC'"'<'":
Q -l b...;z -l
(~~.",.z".0':i.¥..(.)
~~
,"",-t'k..:d':'::'0::::::"";I~"..'...~""C·~'""\
c::1-
"~..t:n..<::J ,.-'~Lt.l 4 '~Ij1/,:0·~)ILl 1--'~Z~J)t,l)~r.......
CD >:1)--:>
tu <J:~-::;;
r".".......,~
~.P.Lt•l"'--U:t'.3 ..
"\!;',~~>I;:,·r~C
"~:1.....,,;.:..!__.''~
"'..
j'IN THE ORPHANS'-;Ce>J~TP.FW.A.SHING'fbNCOUNTY,PENNA.
$-------------'-----
-H •.L.
.,.:..)t:t ".J>b~~'''1//
In the matter of :the Audit of AccoUnt filediri.;~~El'Esfute.of /"..Da·te.o£death
t~,;No;-l.9.71-122~-'-Term,19__,A.A.
'"n,e<?",~,;C).Docket-O s:·~S/_·.._I_
PersonaltY_LL_.._c,_-,:.,,:__:.,,-'_:._.:.,::_..,_..,.:.--:..$-------,.----,."""d(.x>-,=O--")l-·:..../.l!!!!3:.....:~=-·~..~6oiLJ.9:_
:::.:,';........,,'
Ad?itioIl!al Assets per Account,Subject 'to Tax.__.._,,.__._.__..--..-.---.---..----..---------$-_
DR.
To apPl'aised Vialue of Estate:Realty------__-.
I .-.•
TO THE,AUDITING~DGE:f~','-
Enter my'appearan~fforthe conlmonw~~rtli'~ffeiihsyIVl~fua.cl~imingtl'ansf~r{inheritaillcetax in the above estate,as follows:
,-''';.~...,.,,"
f',
.Day,Hysee
AddItional.~ssets per Audit,Subject to Tax.....---------.------------.--..--.--.-----------,-------.-------.--.--.-.-.------.--$,-------.----"--------
$-'--~------_..-._-_._---
$--
------------
~-------,,----._~=)_.-
TOTAL DEDUCTIONS,$
Tax-
able
at
15%
J,.,
Total·}ax·,._...__',._.._._____.._.._.,_•.__.__.1••_$
I :-""_..2..-_
I $--------
j.\:_----'---,-
GROSS VALUE."__..._.._........_..-.--...,.-,-------------------.-----------..-..$-----'-
~~,~~"flfJ;14.
A:~/,D3.
_'_~~·{Ol¢
,,_.oM
zPiO"o'/tY
i~~';';C
$--'----"----~-
$
$
~-------------
Less amount.'previously pa1id _._........____-------,--------'i.'is'.-,-,-'--:-'''-fr'=-:-::.....-~_~
Balance ._.._..__.__.$',,:~;,~{,-.Ji,W;:
-;V C I r~I~tere~t_-_'_'yrs.eJ....V mQs._(_days@__%.-------.-..-$~_,.>~"l,'.'
~~~~OTAL TA]C AND IN'fhmST DUE ......._..._._......_........$~.(;;Yf •~-
-,.'...)~~,,!1'f01J1i ,.'~.~(3':.7£~.....I <'cARll,;"....v9~7()07 .',-~~,-~~l~_,"_c,,'.,~
TAX!'AID ON ACCOUNT
CALCUllATION
Gross ~aJue .,__,.________,L.r;l~~~i~G:-~:·_
It-~Jil,J '.~-..-.:~
Less Deductions m m_...,;~TIf ...•1i "'..'.'
Clear Value __...:_;;_.•,_-_..~~~__'!!f:....3='',--'~~_._._
'.>hIe.i'.!___--::....---__-------"---'--------------:--...,:..---<t :,---
0')__
NOTE:The following credits clainiifu in the Account are
held not deductibIe'aiSagainst the tax:,'.
Additional Debts andExpense~per Audit
02 .1/.~~1rt:;$
(;l;t.$'C .
CR
Debts and Expenses per Account;see Note
\
",
.;fI'
".-./
No.,Tenn,19 __•A.A.
ESTATE OF
Deceased
PRAECIPE FOR APPEARANCE
FO R
COMMONWEALTH OF PENNSYLVANIA
~5
RCC-81 (6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
MADELINE DAY
(~Administrator)
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
38-231-1
J
In Re:Estate of _--=HY=..=...::S=:..::E::..E---=D=-A_y_a=.</k-.2/_a=--_
WASHNGTON County -File No.63-71-1225
Dear Mrs.Day,
You are he re by noti fi ed that the_---=o~r=::l=-·g=i.:..:n:...:a:..:l=--_
appraisement in the estate of __~HY~S:::.E=E~D:::.A~Y~::.,-,:=-=::-:-::-_
has been filed in the office of the Register of Wills of WASHINGTON
County on April 28 ,19-1.2,Said appraisement reflects the following
valuations:
Real Estate _
PersonaI P roperty __-=2.:::.0-,-,-=1c::3:..::8:..!.~6:...:9=--_
T ransfers _
Jointly Owned _
TotaI ----J2"-'O.L.,'-'1~3»l:8~.:;"t6.d.9 _
As to such tax that is paid within three months from date of death,a five (5%)
percent discount is allowable.As to any tax that remains unpaid after nine (9)months
(fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive;
and twelve months when death occurred prior to December 22,1965)from date of death,
interest at the rate of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may appeal therefrom
as provided by law.
Date _----=A-'":!p~r.....l.....·1~2"",8~,--=.1=9-!.-7.h<2 _Si gned F=-RE=.:==D_T_O-..::S:..-I _
Ti tie AP_p_RAI__S_E_R_I__-----'_
DATE OF DEATH:November 26,1971
Note:This is not a bi II.
RCC-3;(5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of....;D;;;,..A_Y=-__-=-HY=-=-=S=-=E=E=---------=a=/k~/'___=a DATE 0 F DEATH
(Last Name)(First Name)(Initial)
11-26-71 FILE NO.63-71-1225
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of WASHINGTON
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E".
Dated:Apr;1 28~1972 {J(Ju-d.;]~~
INHERITANCE TAX APPRAI~.
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for 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 lesser amount represents the sum
allowed as a deduction.
Dated:_
REGISTER OF WILLS
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$$$-------+--
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)
CLEAR VALUE OF ESTATE
Valuation of life estates or
FOR USE OF REGISTER ONLY
Tax on $-+-__2%
Taxon $®
Tax on $5%
Tax on $10%
Tax on $15%
~~pti~s *
Total Estate --------4---
TOTAL TAX
COMPUTATION OF TAX
$---------4--
$---------4--
$--------1--
$-------+--
$---------4--
$-----_---1._-
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::::=t===.
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from ._____to $--.J
AMOUNT OF ESTATE TAX ASSESSED $------lL-
Estate tax paid $---JL-
BALANCE DUE $---_----11_
Add interest at rate of 6%from t=
------Ito-----$--------4
TOTAL TAX BALANCE $------1PAID$-1
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration !No.
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
............HYSE.E DAy.a/k/a .
Deceased
Late of SOUTH .FRANKLIN.T.WP .
County of..WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
J'
/~
Punn RCC-2
DEPAP..TMEl'~T OF REVENUE...BUREAU OF COUSTY COLLECTIONS;
HARRISBURG.PENNA.17 127
COMMONWEALTH 'OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE Apri.L..28.,1.9.7.2 .
COUNTY ..~!:\e.I.:I.~.~.§.~.9.~.
FILE NO ??:::::.7.!..:::::.!..??:?.
Whereas,HYSEE DAY .a/k/.a late of SQVTH..¥RAN.KL.!::r:N.TWl?.!.
in the County of WASHI.NG.TQN..Commonwealth of Pennsylvania,having died on
the 2.Q.t.h day of N.9..Y~p.S!.:J::'19 7.1,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,¥.~~.P.~9..e.~,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit Appraisement
Oescriptlon of Asset Values Made for InherilanceTaxPurposes
$
PERSONAL:
SEE COpy OF SCHEDULE liB II ATTACHED TO APPRAISEL 20,138 69
(,,1
"."
.-
form~;v~~hb~::~rh:sw~..~ccog~~a~..~:o~er~~~ce~t.~~;E~~ls~=e~t~el~c~?
~=18er
......kJ..~~~r..A,..,Q .................,Penna.
WASHINGTON County
II
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
..........~x.~~:E.:....pl\x...<:l/:I5,/g....
Deceased.
Late of
.SPV'J:'tl .f.RbNK!,.:;J;:;N..'rWP..!......
Date of Death,11.",..2.6.=.71 .
Appraisemeilt Docket Vol.,38...
Page,.?.~~:.~No..?~.:.?!.~..~.??.?..
Filed iJJ Register's OjJice,...!\p.E.~~....?~....19..?:?
Ainounl of tax due,$,:..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,; .
Wrote.abo.ut Appra-isement,;,..
Appeal f"om Appraisement,; ; .
Entered and .charged,:,..
.~.
~-.I '.,r7f't·.,1 ~'~i~H •~,;..t~.fL".i J
f72 DCT 2tt Pf1 If t4
RUSSELL MARINO
REGISTER OF WILLS
WASHINGTON CO.,PA.
'.
,
.'\to'
-------
RECEIVED SEVEN HUNDRED FORTY-ONE
Madeline Day -
From:ATTY.SANDERS
and 00/100
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
dollars
.j
2%Tax on $$
6%Tax on $On Account $780.00
15%Taxon $$
%Tax on .$..:~.$
Estate Tax,Act of .n
May 7,1927 $-,
TOTAL TAX CREDIT $780.00
Less five percentum of tax if
paid within three months after
39.00dateofdeath""$
Plus interest at the rate of ..:'.-""':
__%from
to $
TOTAL AMOUNT PAID $741.00SEAL
38-231-1
Received by ......~~.Al.iM6::~~L.!~~~'4L~:.L,or-----.lfl
NOTE:In accepting the transfer inheritance tax on future estates,priarta the death of the lif
tenant or tenant for years,as evidenced by this receipt.it is understood that the Commonwealth sh I
not be precluded or prevented from hereafter assessing additional inheritance tax at the death oft
life tenant or tenant for years whenever it appears that such additional tax may be legally due and •r:\
"".ct'b1.w,,",":;M~='::__::_::<CO :::b
MJR
dJ·-i
NOTE:To be delivered to taxpoyer
Name of Decedent _HY_S_E_E_D_A_Y_....;.a...L-k....L-a"-'----t
Date ofPayment,--_Februar 11 1972
Remarks:
File No.63-71-1225 Date of Death~.......;.;...""C>oL-""""1o........l
WASHINGTON PENNSY
County 'V':..:.A=.:S:..:.H=I:....:N..:..:G-=T:....:O:....:N..:.....-~
t •.(l
UJ,
...-J
\
'"
,..~r
1-1;938.69
700.00
700.00-
7J 0 00.0 0
8?5.D0
245.00
24SJlO -
275.00
20,1 38 £9 S
20,133.695
20J138.691