The URL can be used to link to this page

Home My WebLink AboutOC1971-1231 - ESTATE OF MOORE•!I J..' ". ;,....J C!tnmmnUlUtaUI1 nf ,tUUSYIUaUia,} lIasl1iugtnu C!tnuuty,ss. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid on the 15th.day of December A.D.1971 ,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 Anna C.Moore late of West Bethlrhem Township in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and Bernice L.Sargent and Cecil B.Barr trices the Execuoor in said Will and Testament named,having appeared before me and taken and subscribed the oath of office pmscribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said Bernice L.Sargent and Cecil B.Barr committing unto Them the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring Them to exhibit a true and perfect inventory thereof into the Register's Office,at WCl'shington,within ninety days from the date hereof,and to render a just and true account of s'aid administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this 15th. day of Dec ember nine hundred and Seventy One in the year of our Lord on~thousand /D ~~..........................l ..~. Register ../1 ! ;!i ! I ,co I !~ :.;,.. 0 C/')~ I ~ C'V")Z -J 0- to --J is .... :t::a::.~0 !.... : c...........~: I i~"' :.::£1.J_(..) !a 0 .:c !io r--_J 0 1- m t"';"J -l cr:.I- I~ (Jl e-I l;J 1.L,j C~ > ~_.l- to C-) (,f)tJ):z i 10 -I tn c::;)(J)- !O m ... -:x:::;)0 I iii 0 ~ "-l a:::W U) ~i<D '1\a f'-0:<:..~ ; 1 i to : ~....... !l ::: !!l ..... ! !~ i !toot(.t; ].~~UZe.~,Of.)fzd~~~ County of )/;~~..and State of beinJ!of sound mind,melnory and understanding,do malce and publish this my last TFill and Testarnent,hereby revoking and lnaking void all forlner Wills by n'be at Glny time heretofore made. I"69·CS-Wtll and 'l'estamelH'---'1Ienry Hall.Inc.•Indiana.Pa._.p- ...J ~I,r j IIIl-IIjIIj 1! ------'-------------~----------------- --_.---------------------------'------------------ -~-'----'---------------------'-'--- .<".'-, c. \.'",' l'~ .:,oj,---~-----f'·'-..' "r ---y .(2::,.: "......\,,'i'":.__.;,.)."_..."',; P,,"~::,;.-. ~, ~=======~=:====~---:--------~~-----~...=.:.-.-.:._----......,--'-"----~===================''/','';,.,.,.. I do hereby lnake,constitu,te and appoint ~~1~ ,cad ~iB~ to be Execu~this my last 111'ill and TestanLent~~--,-__ " " ,TCJ h~. ]n --m!ftnts5 mf)tteOf,-I,ah4~,"'-...~.._q".·,!the, Testa~above named,have h'~reun{osubscr~bedmy'nameand--affixec[myseal," the ..of fLuL-,dayof.~~?C..---d 'intheyearofour Lord one th;usand ~ine hundred ~F-11~F-'-'='];~--Lzt1~",,'Lk~:::.......,-... .,.~(?h~~ Si~ned,sealed,published and declared by the above named _ ~-<£e ~~""..a,s and for,~2 last Will and Testament,in the presence of us,who have hereunto subscribed our names at da./'request as witnesses"thereto in the presence ofthe saidTesta~ and of eachpther. .....,~ r:=~""0 ) .~I ~~e '~~ ~«lq~'N et1 C ~ ~c 'l) tf.)~~ OJ /"""""f-4 'N ,..~ ""'0 ".-.--.-.'"~ ~'N ~0 ~ cd 'l)'~... ~~C ..-t ....,~ ."",'l)~ ~""'l:;~,.,.,~.-~"1:3 -+-..J '>-.:..1:3 1tf.)c ~, C'd ~ ~' Ir,~.."'"~ .",.""c '"~0.>-.:.l .'"."""i •~ .{.," ., '~'''',~'.................'}-.·""'"'·~··l"·....,......'.....,..-..,'.',...~,..........,,'";:"""'..-".....;;.,."~.., i., I' ••+~ "'.~I ,I'f i t",,'.III "I.' Ii 'ij rf,: III'i .., "r',f \." I )1 I I I IJc -rj '"'"~0ro-,-0,,-4 ~ ~ (I) cd~ t ,<:,'<:jJ:.i I do ~re';;nak~.Jon;titu;e a,nd appoint ~-C ,~.1:-'-»;' p~M.&t.~="L&-0-i6._AJdd/zL----------'----~___1l!_-,'::\' to be Execll~this mi/Zast Will and Testament'".;:.-;-:':,:,',: t.,I' It,." 1.-f' ..:lin ~it,ntSS mliercof.I,0"'''~C?~p~,rhe Testa~t/a,bove name(t,have hereu,nto suoscnbed my name and afji,xed my sfa~, the c2 fLft-cL da,yo!.Cl;~"t:..LA:dintheyearof'our Lord one thollsand n,ine hundred---<-~( ..~e.k~~ hi,f"...Sig'ned,sea-led,pnbUshed and declared by the above named----='- ~~--e ..-.ff~as and for ~.-/last If'ill,I, and Testan~ent,in the presence of us,who have hereunto subscribed our name~at -~l.'/rerllMst as witnesses'thereto in the presence ofthe said Testa~k-,- and of each other.~c~~~t ' cL ~\'ii'"Q../L.I i' '",',II . .;: ,." ,. ...i" , \\. .i ',', .' ., I: ,."," \. -~, ,r / , .1." ',' •I ..' J ,-.-'~•./ , / ,',:t::~'~j , I . r'oI .' 8',:,..t:~,-.,...i:,: _.:t·.j :~~:~~ ., / ,.:," .~'.'",.i' <"'''; .'e',;:.'"'.' r " "•.•':"<'" -~··t~.~ -~;;,. ~~·t ,...< ~tatt of 'tuusylual1ia l QLnuuty nf Ifas~iugtnu }ss: to 3-//-/;;<·3/ i\ffi~auit (@f fxrrutnr ®r l\bmiutatratnr hf0/ Personally before me,the undersigned authority,a Uo.tar¥-__.P.ublicin and for said County and State,appeared ....~.~!!?-_!9.~...!'.:....§.~£<J.~¥~~g.~.<?!.!...~.~.._.~_~?;~who,being duly sworn according to law,deposes and says that they RlXt'he executor or administrator of the es- tate of ~nn~.c..~MQ.Q;r;:~_deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of .Ann.a C.•__.M.QQ.,re.., 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 ~f each item m~de by the above name?rExe~utor.~dm~~istrator. Sworn and subscrIbed before me thIS ...22f.l:d..........}[tAl--J·-B r-A,{ ~f?d&:$May 1~~,c ltn..V'i/-·'·-c,;,··:Y "~;/~~'K;t;:..\.._0 .~;/i/E:xec6.t6t-in§trator ."R~'..,a~""""".........MARG I T N co..PAl WASHINGTON.•IN '[/1911 ADDITIONAL INSTRUCTIONS My Co~issl~~r;e~aim~st be filed within three months after appointment of personal representative. ;2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, .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 3-'UUtutory aub 1\ppraistmtut .of the goods and chattels,rights and credits which were of ~~~~~..~r:.~.~.r..~.late of ~~~~~.~.~.~.~.~?~~~?~~.~.~.~J?.!. Washington County,Pa.,taken and made in conformity with the above affidavit. PERSONALTY: Mellon National Bank and Trust Co.(Washington Office) Checking Account Mellon National Bank and Trust Co.-(Washington Office) Savings Account DOLLARS 6208 2689 CENTS 54 35 First National Bank and Trust Co.-(Marianna Office) Checking I 0289 12 u.S.Series E Bonds (redemption value)285 61 Cash in pocketbook 9 42 Proceeds from sale Personal property 4292 75 Columbia Gas System -meter box rental 3 00 Retirement check -Pa.Teachers Retirement Fund -final chec~204 78 Jewelry: 1 yellowgold wristwatch (out of repair)$1.00 1 yellowgold "5.00 yellowgold ring with ruby 5.00 yellowgold bracelet 3.00 yellowgold stretch bracelet 1.00 1 lot costume jewelry 1.00 1 $2.50 gold coin 2.50 18 50 24001 07 REALTY: Tract of land situate in West Bethlehem Township,Washing on County,Pa.containing 25 Acres,71 perches.Excepting and reserving the Pittsburgh coal. For legal description,see deed Book 246 page 534 12700 $36701 00 07 , ... (t - " ,,.. - Inventory and Appraisement IN THE ESTATE OF ANNA C.MOORE,deceased Filed ~~.:~f..,19.??.. .. _1 r....::':.::-::J :::a>-rn :::::i:c =.en c,-::>(():..c:::1:--en (f~ JZ..........".~ .,\ -,rn . .~)-i -~l - 0 t_-:'.....'""-':-::.•".G .'0 -.-::>I _.-""D I <.:::>!-A,)>-c/') v..... SHERMAN H.SIEGEL,ESQUIRE 215 Washington Trust Bldg.~ Washington,~~~ylvan1apd.3.0 0 STATE OF PENNSYLVANIA, WASHINGTON COUNTY,}55: The within named Accountantsbeing duly sworn according to law,depose and say that the above account t d . d they'.\b IasstaeIStrueancorrect05.__---.-.__.ven y e ieve. Sworn and subscribed before me Ithis ----.-..1-3 . ay of ._._.~:t:l:~~_.19_..J?. ···--·····d·····~.····~·········RG~,BAllS,Notary Public J,ON W,ASH1NGTON cO..PA. I'WASHIN •197~I,Commission Expires February 27, Washington County,55: ~dt-_~II .f -/1..-.-.-.~.--~-t3----..1__J.-.tWv I do certify that I have given legal notice to all persons concerned of the filing of Ithe within account in the manner prescribed by Statu'te and Rule of Court,as evidence by proofs thereof fi led to No..__.lI3.:.12.·<t3.L..__ Witness my hand and official seal thiS.a.~4.....__.__. day of .LA.AhoI!'l.L.A.6Io~.:!'...-:.__._.__.__,__. .__.__.___19_~" ~~~-...~--':lJt~---.------.-------.--...Register of Wills +'c.5 OJ +'....H .::;::l 'r-!oj00+'0 ;j .::;::lQ)tJ1 0 .()l'","~en <:.l +'.<:.l ~!~t··....i !0 rz:l <l1 ~4 ..,!-i }+'.... 't:l <:>....Q)r-l;-'"'I Jlil'!r:Pr1 I '{I +'»}(L .::OJ Q)tn·J ...-Q)0\.::rJ1Q)........OJ 0p.+''"'r-!+',+'U)<l1.::RUS:3tl_~_::/,r{:t·~O ;::l (b0<:.lREG!STl::r~Cf WILLS <:.l ::r:Ioj\8VII~SHIri GTON CO.,PA..::r:::8 ltl+''~S v:0 Q)H.....,~OJ ~.c:~0 ~CIf.::Q't:l ~.::0-;<l1 ..... "/ ,. ~.~.-a :....~i 0 ~!~en::3 OJ0<:.l ()<:.l .r-!<l1 rd H~+J ;j ()"':r;.,+i OJl)')i 0 r-l @.~ fi:1 rz:l ltl rz:l~Eo<p;:;r::t;tl <l1 0 .r-!~... Eo<0 ~H. J i Ul ~~H ~fi:1 '0 ltl\';r::~ll:l.f j ()ltl .N'l!F:t:+J ~ll:l ~I z en QZH-r-l r-lF:t:-r-!~.r-! ~~() 0 (J},OJ Z ll:l:() ,, II ". .-j . I .:- '. "\ t.~, FIRST AND FINAL ACCOUNT of BERNICE L.SARGENT and CECIL D.BARR,Executrices of the Estate ~f Anna C.Moore,dece~sed,late of West Bethlehem Township,Washington County,Pennsylvania. THE ACCOUNTANTS CHARGE THEMSELVES AS FOLLOWS: INVENTORY AND APPRAISEMENT: PERSONALTY:$24,001.07 REALTY:12,700.00 Peiry Pappas ~Buyer's share 1972 Re~l Estate taxes Columbia Gas Company -refund TOTAL DEBITS TOTAL CREDITS BALANCE $36,701.07 109.92 3.06 $36,814.05 .; 11 8 $24,915.80 I THE ACCOUNTANTS CLAIM CREDITS AS FOLLOWS :', 1971 Dec.17 John Shrontz Funeral expense 18 Quinet Monument Co., Columbia Gas Co. Grave marker Gas service to decedent's residence ",1 , 233 •00 340.00 85.65 20 -' Marianna &Scenery Hill Telephone Co. Telephone service to decedent's re~iderice 23.51 21 21 27 30 1972 Jan.6 Russell Marino,Reg. Obseiver Pub.Co. West Penn Power Co. John Shrontz Fredericktown Real Est.Company 2 short certificates Advertising letters Electric service ~o decedent's residence Ambulance service Insurance premium 2.00 14.00 23.23 20.00 9.00 Robert P.Van Voorhis Appraisal fee 75.00 11 Drs.Huffman &Jones 21 Wray Barr 27 Fredericktown Re~l Estate Company Feb.5 William Bennington Hospital services Repairs to decedent's sutomobile General Liability insurance premium Labor at auction 86.00 12.51 9.00 10.00 William Coombs John R.Sargent Patricia Sargent Dorothy Pryor " " " " " " " " " " " " 10.00 10.00 10.00 10.00 1972 Feb.5 LouiseSuromersgill Labor at auction 10.00 Hank Watson Auctioneering, Advertising,etc.1751.39 Apr.6 Fredericktown Real Estate Vacancy Insurance on deCedent's residence 4.00 Personal Income tax 1.86 Reimbursement for costs 56.01 Transfer tax on deed 127.00 Hauling rubbish 15.00 9.36 3.05 3.00 1.00 20.00 25.14 30.00 Salt,fuses,gas &Oil 5.25 Reimbursement expenses for decedent 32.79 Reimbursement: 1972 County tax 1972 Road tax Obtaining witnesses to Will Filing Inventory Short certificate Account due for payment of medicare premiums Final payment 8 William Atcheson Wray Barr 17 Dept.of Revenue 17 Sherman H.Siegel,Esq. 18 Bernice L.Sargent Olga Woodward,Agent Sherman H.Siegel,Esq. 1971 DeC.24 Guy Rogers May 23 Malcolm L.Morgan, Co.Treas. M.Mihalek,Tax ColI. 22 Russell Marino,Reg. """ 30 West Penn Power Co. June 13 Bernice L.Sargent Bernice L.Sargent and Cecil B.Barr Sherman H.Siegel,Esq. ExeCutrices'corom. Counsel fees 1846.56 1846.55 Mary L.Stewart Witness to Will 7.50 Margaret Bails Notary fees 6.00 Russell Marino,Reg.Filing this Account Perry Pappas Estate's 1/4 share 1972 taxes 36.64 7837.001) Mar.J,1972 Russell Marino,Agent: alc Inheritance tax Less 5%discount $4275.00 21:3.75 TOTAL CREDITS 4061.25 $11898.25-1 Observer .Repor~er. WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION 71298-Mon-3t._--~.~ EXECUTRICES NOTi"CE -~ .ESTATE OF Anna C.Moore,de':ceased lat~of West BethlehemTownship,Washington County,Pa. j.Letters Testamentary upon the ·above estate having been granted to the Ilpder"igned,all persons hav·ling claims against the estate are reo quested In make known th~same ·to the undersigned or his attorne,.v·and all persons ihdebled to the qe·l cedent are requested to ma.ke\.pay-rment to the undersigned WIthout:delay._.- !Bernice L..SargentR.D.;:rl,Scenery Hill,Pa. Cecil B.Barr .R.D.;ttl,Marianna,.Pa, Executrices,Sherman R.·SiE>lel,Esq. 215 Washington Trust Bldg. Washington,Pennsylvania 'Attorney 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 file.a Notary Public in and for said County an~State R,i~.9..~J:9.S..!CQW.fUL who being duly sworn according to law.deposes and says that he is the ...Yic.e.;.P.r..e..s..i.d.e.p..t of the Observer Publishing Company.a Penns,ylvania corporation,and its agent in this behalf;that the said Company is,the'owner and publisher of the Observer·Reporter,succ'essor to The Washington Observer.established Se.ptember 18.1871,and The Washington Reporter,established August 15. 1808.a daily news,pape,r of··general.circulation.printed and published and having its place of business at Washington.Washington County.Pennsyl. Vania,where it'or'its predecessors have beell established and published cOllJtinuous'1y for more than six months prior to the publication of the notice hereto attached;thlllt the printed notice or advertisement hereto attached· is a copy of an official advertisement.official notice;legal notice or legal advertisement,exactly a:s printed or publis1)ed iii thj'l Obs'erver-Reporter-in its regular editions on the following date or dates;. .P_~.~.~~~p..~.r :?Q.,..?'J...t.J:.9..'J..~.,.J.~n.~.~.~y ..J..,1.9..7..-?!~.. thll.t neither tll!e affiant nor 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,place and characte.rl0 publication are true·&~.d.._...\..e.~ Sworn to andsubscr~efore me this......3....day of....J~n.~~J:y 1972 .........~.if.7tt.~~. MARGARET M.BRADLEY,NOTARY PUBU~ WASHINGTON,WASHINGTON COUNTY . MY COMM1SSlON EXPIRES MAY 6,1972 .\ ~~-------------------~----------------------------------..... Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In c?mpliance with the Newspaper Advertising Act of May 16,1929, P.L.178,~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 officiaJI legal periodical for said Washington County,published weekly hav,ing its place of business at Washington,Washington County,Pennsylvania, and is acting as its agent in this behalf;that the said WASHINGTON COUNTY REPORTS was established on March S1,1920,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: .............Q~.~.~!!.!~~.r...?J.,J.9..J...J.9..z..L .. .............~.~.~.~~.~.Y.~..t ~..~.??.. Estate Notices The Register of wms has granted letters,testamentary or of administration, in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present ' them for settlement to the Executors or Administrators or their Attorneys. ••• •••••••• • • • • •• MOORE.ANNA C.,Dec,d.- Late of West Bethlehem TownshipWashlll/?ton County.Penna.. ExecutrIces:Bernice L.SargentR.p.#1,Scenery Hill.Pa..~:~Il B.Barr,R.D.#1,Marianna. Attorl;ley:Sherman H.Siegel.215WashlllgtonTrustBldg.,Washing-ton,Fa. that the affiant or the corporation in behalf of whioh he is acting is not interested in the subject matter of said notice or advertising and that all of the :..,:::~of ""'"''''.''''..t.the {;l;ondd~'''''~PUblkoti.. Sworn to ond oubocriW bol=-:Z:::JdIi.d.-~ ...~.~.~day Of ~~~.~.~~EY.,19 ...?.~..= .~~.~~~.M(f~() JOSEP,lIrJE T.SCit'.r.WWI\ Not:lrj Public,\'I~~hir.!'ton W~!';:',ton (,0. My Commi~si:;r,F.'OJ 1,lS74 of OJummnu ®rpijuun' Qrourt ,Itun of Ifunqiugtnu Qtnurt miuininu O!nuuty j In the matter of the Audit of Account in Estate of__A_N_N_A_C_._M_O_O_R_E--!-f_'_D_e_c_e_a_s_e_d__f TO THE AUDITING JUDGE: 1231 of 1971No._ Enter m-=.Y ,appearance for_--'A:..::....:cc-'c=-o=-=-u_n_t.:....a=n=-t=-s=-__~_ ____,day of,_ N.B.-Counsel shall,by separa;te 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 conctse state- ment in that regard. 'Vd ··OGNOleNltH)VIt',~". S111M :.\0 U31SW3U ON \\iVV!'n:3 ssnu' att t"d Ll no lL. '03"':1 1231 of 1971No.,_ In re Audit of Account in Estaite of ANNA C.MOORE,Deceased AUDIT 'rattipr fnr !\pptaraUrt FOR BERNICE L.SARGENT and CECIL SHERMAN H.SIEGEL,ESQUIRE Attorney ~2 SHERMAN H.SIEGEL ATTORNEY AT LAW WASHINGTON,PENNSYLVANIA WASHINGTON TRUST BUll-DING IN THE ORPHANS I COURT OF WASHINGTON COUNTY.PENNSYLVANIA IN RE: ESTATE OF To ANNA C.MOORE,deceased Mrs.Louise Summersgill Box 673 Fredericktown,Penna. ) ) ) ) NO.1231 OF 1971'A.A. NOTICE OF FILING ACCOUNT AND AUDIT PLEASE TAKE NOTICE that the Account of Bernice L.Sargent and Cecil D. Barr,Executricesof the above captioned Estate,has been filed in the Office of the Register of Wills of Washington County.Pa.,at the above Number,and that the same will be called for audit before the Orphans I Court at Washington,Pa••at the -Session of said Court beginning WedBesday, Sept.13,1972 at 10:00 0'clock A.M.,at which time and place you may appear and be heard,if you so desire. Dated at Washington.Pa.• August 28,1972. SHERMAN H.SIEGEL, Attorney for Accountant. P.S.Copy of First and Final Account enclosed. Notice of Audit and copy of First and Final Account mailed Aug.28, 1972: IMrs.,Louise Summersgill Box 673,Fredericktown,Penna.,. Mr.Raymond Moore,Jr.Finleyville,Penna. Mrs.Mabel Varner R.D.,Waynesburg,Penna. Mrs.Martha Lewis 8118 El Portal Drive,Tampa,Fla. Mrs.Dorothy Pryor R.D.,Marianna,Penna. Mrs.Jessie DelGiudice 324.Tropicana Ave.,Space 122 Las Vegas,Nevada Mrs.Elizabeth Moore 3347 Randolph,Waterloo,Iowa Mrs.Louise Robinson 7506 New Market Drive Bethesda,Maryland 20034 Mrs.Edith M.Bell 27 Wilmington Road, Burlington,Massachusetts Wilker and Duvall Mrs.Anna M.Moore,Executrix Guy E.Moore Estate Box 429,Coudersport,Pa.16915 Mrs.Cecil Barr R.D.#l,Marianna,Penna. Mrs.Bernice L.Sargent R.D.#l,Scenery Hill,Penna. Mr.Victor Moore R.D.,Waynesburg,Penna. R.D.,Waynesburg,Penna. P.O.Box 643,Anderson,Calif. ....... "'-!-(...) <:::;) l"\oA.......... 0'.a Lu --1-LL Mrs.Mabel ~rner.:::t- oV)<i Mr.Roy Fr~klin~~ns :z::a::~0.,~~QC-.;:.,-~;:;:;;:: C)---;c.:::1-i-W IJ.J C!) (/)1-:z:,(.1)-'-"-:J:::::>(..?V)cr:I.U'-,-:::r.....s ;. PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY ) 1 Testate Form ANNA C.MOOREEstateof . .........._-----.._--__------__-_-------.------. Deceased No J~~J 9.~J~.7.J,. Fiduciary B.erni.c.e..L.a Sarg.en.t..and . Cec:.il...D.•...Ba:t";I;:'.y...ExeGQ-"t3:·.i:ees·················· ~~~~~~ Decedent's death O'~.c.:~mbe.r...9...,.l:9.7.l Grant of Letters .Decembe:t"15·y ···19:]·1··············· This is the .F.ixs.t..and-..F.i.-na-l account filed in this estate If there have been former accounts filed in this estate,list file number or number and term . ...........................................................N9...;e.9.*m~r....A..c..~Q1JD.t:?..;f;.il.e.d.•................................................................... Election to take NONE Date Election Place of; ~~~~X~~~1.(cross out one)Filed Record . Name of surviving spouse !?~~~~~~~~.~y~~~~E;-.~.~~~. List issue,where material: None , '.\ Did decedent marry after execution of will?(indicate)~.No.Any children born after execution'of will?(indicate), 3(~No.If answer yes,name them ,. Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris Cecil Barr victor Moore Guy Moore (Died 12/29/71) Mabel Varner Louise Robinson Martha Lewis Edith Bell Children of Raymond Moore, Raymond Moore,Jr. Louise Summersgill Dorothy Pryor Betty Moore .BerniceL.Sargent Roy Franklin Simmons Jessie Del Giudice Niece Nephew Nephew Nie'ce Niece Niece Niece deceased nephew Grandnephew Grandniece Grandniece Grandniece Niece Nephew Niece Anna M.Moo~e,Executrix (died Feb.,1941): attached to Will have been List,if exceptions to above:Adeemed:Revoked:Lapsed:memorandum \..Items of personal property given in ~X~ delivered to named devisees. If partial intestacy,give facts: None Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and aU 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.~x No exceptionsIfanyexceptiongivecause:. File copy of Notice Nt'"1 d'28..0 1ce ma1 e August ,1972,copy of same attached hereto.and date of mailing . ·-'), "' Is estate subject to the filing of a Federal Estate Tax Return?~9 . None. Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.42.7.5...0.0...1es.s...$.213.•.7.5...di.scount paid March 7,1972. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant . 'II], 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 distribut.ion per account, Itemize any additional debits not shown by account: Mellon Nation~l Bank &Trust Co.-into Refund -real 'j"estate insurance 117.05 9.00 $..?.1.1..~.J:.?.!..~.9.. 126.05 ~ -::.Ii $25,041.85. 3.00 1.00 33.00 29.00 2.50 20¥~04$-!..()-8-..·0·5·····. ..2~:~8 $.~.1.1..~}~:!.~.+.. " $. Balance for distribution Total additional debits (Add) I,temize any additional cr~dits not shown by account: ~QJ:ma~.n H.Siegel 7/24/72 Soc.Sec.r. "'!~:7/15/72 .Wills Items of person'en in kind by devisees Mary -services re decedent .National Bank -checks Total additional credits (Subtract)(See sheet attached) If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); Cash '-. .' IN RE: ESTATE OF, NO.1231 of 1971 ANNA C.MOORE, deceased Additional Credits not shown hy A'cccunt : 7/15/72 Sherman H.Siegel -reimbursement short. certificate -Register of Wills Items of personalty taken in kind by devisees Mary Stewart -services rendered to decedent First National Bank -chebks for decedentts estate M.Mihalek,Tax Collector -school tax Reimbursement for gas stove Columbia Gas Co.-gas service to residence To gain on conversion of assets: Real estate in West Bethlehem Township: 1.00 33.00 29.00 2.50 108.05 21.00 7.49 $202.04 \ Sold for Appraised at $12,700.00 12,700.00 -0- 'PO If Family Exemption claimed by Petition,give place of Record:None._.claimed.______. .__. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:_. List any advancement or distribution on account that has been made,and nature and amount of same: None Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: any. and children of deceased nephews as 21/880 21/880 21/8&0 21/880 1/22' 21/220 21/220 21/220 21/220 ' 21/220 21/220 21/2,20 21/2-20 21/220 decedent: (1/2)shareNephew Niece Nephew Niece Niece Niece Niece Niece Niece Deceased Nephew nephew who predeceased Grandnephew Grandniece Grandniece Grandniece (a)..'Audit costs .. (b)'.Balance inheritance taxes,if (c)Balance .to nephews and nieces follows: Roy Franklin Simmons Cecil Barr Victor Moore Mabel Varner Louise Robinson Martha Lewi:s Edith Hell Bernice Sargent Jessie Del Giudice Anna Moore,Executrix u/w Guy Moorer Children of Raymond Moore, Raymond Moore,Jr. Louise Summersgill Dorothy Pryor Betty Moore COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly__ __~~C?!.~.._doth depose and say that the facts set forth in the foregoing petition are true to the best of t..h~J;J:;"knowledge and belief. And your petitioner will ever pray,etc. ..............SworIl.to and subscribed before me thiS 5:th day~s.ep.tember n9..7:21J ~~d!.~~. Signature of Officer ~..J::).Q.!JUU (}.I,--/2 ~ T 'tl f Off';'MAR ARET AILS".."···~···IJ·········/·J;··~·.··.I'e 0 Icer IIl.o:r ..~Le..........................'. WASHINGTON,WASHIN NCO.•PA'. .MY COMMISSION EXPIRES FEB.27,1975Officeexpires . Deceased Estate of_...._~_I}~_~__~_~__.!12ore...---.._.--,;" -: ./ No.1231 of 1971 Ff LED, 'll OCT Z7 P/1]M Fiduciary ~.~~_I}!_<;.~~_~__.?_~~9_~n._t.~~~ Cecil D.Barr,Executrices PETITION SUR AUDIT FROM WHERE DECEDEN~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. SHERMAN H.SIEGEL,ESQUIRE Attorney ""~2 j 6 RUSS EJL ,trlN0 flEG/8Tt/fOp WILLS W4SHINCi@,y CO""4: j IN THE COURT OF COMMON PLEAS OF WASIDNGTON COUNTY,PENNA ORPHANS'COURT DNISION INRE: Estate of ANNA C.MOORE, 0(Deceased. z 0(~>-IIIZZIIIII. io~BEFORE:z :cIII 0( ~ ( ) ( )No.1231 of 1971 ( ) ( HEARING ON AUDIT The Honorab1e RICHARD DI SALLE,J., Specially Presiding. • ..=u~APPEARANCES: Q ....~uo:::l.., :t~TllVIE: SHERMAN H.SIEGEL,Esquire,of Washington,Pa., representing the Accountants . Wednesday,September 13,1972,at 10:00 A.M.,EIST are Bernice L.Sargent and Cecil B.Barr and th~e attorney is .papers for the audit of this account.The decedent left a Will here in Sherman H;Siegel'. The estate of Anna C.Moore.The Executrices If Your Honor please,I have the necessary iiia:IIII-a:2 THE COURT: '.IIIa: I-a: :::loU ....0( Uii:II. o MR.SIEGEL: , • '-.' which she left several items of personal property to named legateE s., and left the balance of her estate to be divided among her nieces ,ard nephe1vs,_all of whom are sui juris.One of whom died subsequent to the death of the decedent,and "ve have attached Letters sho'ving appolntment ot hlS 'vldo'v as executrlx.There are no credltors. All the legatees are sui juris. 2 :!:z<I:>..I>-UIZZIIIII. ie Clz :tUI<I:~ THE COURT: Anna C.Moore? THE COURT: Is there anyone here interested in the estate of (NO RESPONSE) The audit is closed. (A UDIT CLOSED) I, I. ~u ii:I-UI C ..I-~.!:!c:l., :tI::til iii 0:III+-II:oII.11/il: I-0::loU ..I<I:U ii:1I.o I hereby certify that the proceedings and evidence are·~ontainedfUlly and accurately in the notes taken by me on the hearing of the above cause,and that this copy is a correc~transcript of the same. o The foregoi ng record of the proceedings upon the hearing of the above cause is hereby approved and directed to be filed. By the Court, J. J r,• t .i 1 ', ",';J; p ~~ :" )',.~ --I ,-.J.j ". ::>0z j ...,.,"3~: ~...."\...~...f:~•.,:'"\'/0 'J,;~ ~....--;...-'-'......0 ~7J .I .1,.J,to -' t j '.''T r-=.: ,-0 r-<:) \,»u>,•. 'V" ..-'q-I '"", c::l :r--"'III>!("""). -'1 -... b.J ,I !. .,....J l::J -C:::c I..AJ '..-,...,.. CO l;.....\.",,')~...I:J ,'-J. '. ~..) L '."-'.' if ..\ - ,{' ~.1) ,J .', J ,3 ."...J-..J..\, 'J ,j j v " 'I,, .'• 71 Harry C.Palmatier,Jr.~.---------------------------------------------- Register for the Probate of Wills and granting Letters of Administration in and for the County of Potter,in the Commonwealth of Pennsylvania,do hereby certify and make known that on the -3-rci.day of __.8J).-&1J.~tt._ .th f L dOTh d-N'H d d d Seventy-twom e year 0 our or,ne ousan me un re an _ Letters _T~~t~~~~_~~~][_____________on the Estate of ~~][_~_~_!!~~!_~,~:_ late of -:'_k./llJ rJ;_Q..!}__~Q~~!.lJ_'2 ,Potter County,Pennsylvania,deceased,were granted unto __A~_~_~~_!'1~gr_~_ having first:ualified as executor ad~r of said estate weIland truly to administer the same. Said Letters ~re still in force and effect. Given u er my hand and seal of office this 3J'_q day of __~~Ji~~_~_ I,th 'Lo d th d'h d d d seventy-two -n e year o'our r,one ousan mne un re an _ .>4L eGa£~!A~Register of Wills.;// ~,: ..i'1 -e:::0 --.J ll'-m:::%J '"(f)c.>C c:::::l:::c _.OJ --(f'j c->i~ Z-l(f) ~ :7.1 rn PI l"'.)r~i1 _j ;;c i- t ! o .1'."-..J Z.,O l'J (") •...,..C?::.,-0"-~! 0 ...,."1>-'''e::.,• ..t;~;rJ -.... r--- ""Q r-Z ~ '!>(J)0 .;: CO J ~,u t1Jt {ttnurt nf {ttnmmnn 'ltali nf ltulilJingtnn {ttnunty, Jtnnliyluuniu,(@rp4uns'{ttnurt iiuilitnn ESTATE OF 63-71-1231No.'-'----'-'-...:....:::....-._ Anna C.Moore, Deceased. In the matter ofthe First and Final Account of Bernice L.Sargent and Cecil B.Barr l Executrices.' ADJUDICATION AND DECREE And now October 25 ,19~,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration t~Jfo~§~tm,balance for distribution in the hands of the Accountant is determined to be $,.•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 disribution hereto attached and made part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. By the Court,uA 1F~"#~}-L .-y~ Specially Presiding SCHEDULE OF DISTRIBUTION Balance per account ---,._ Additional debit asked at audit Additional credit asked at audit Balance _ 126.05 202.04 $24,915.80 $25,041.85 $24,839.81 Deduct Clerk's Costs &Receipts,_46.50 Attorney ...::So..:h;:.;:e=-=r-=m=a=n:.::..:::H.:::..c,,---,,,,Sc.::.ie::::.;g:;!.:e~l=----_ Russell,Marino,Agent,transfer inheritance tax,$52.31 Interest from 9-~-72 to 10-31-72 .45 Roy Franklin Simmons,nephew,a lf1/2 sharell or 1/22, of residue, Cecil Barr,niece,21/220tresidue, Victor Moore,nephew,.21f220 residue, Mabel Varner,niece,2111;~20 residue I 'I 52.76 1124.57 2361.60 2361.60 2361.60 , Louise Robinson,niece,,(1/220 residue,2361.60 Martha Lewis,niece,21,;~20 residue,2361.60 Edith Bell,niece,21/22C,lresidueI' Bernice Sargent,niece,''1/220 residue I ' 2361.60 2361.60 ; I Jessie Del Giudice,niec !'21/220 residue,2361.60 ill --------1;1 _ > 0.....~ g men n s:ocr 0 -+ c CO ::s-+ t ....0 3 t"\ .....0 ~ .....0 ~ ; N .., =: 0..... -+ ~ :rco ~ S-~::l~~ ". .' Anna M.Moore,Executrix of the estate of Guy E.Moore nephew,now deceased,21/220 residue, Raymond Moore,Jr.,grandnephew,child of Raymond Moore,a deceased nephew,1/4 of 21/220 residue, Louise Summersgill,grandniece,child of Raymond Moore,a deceas ed nephew,1/4 of 21/220 residue, Dorothy Pryor,grandniece,child of Raymond Moore, a deceased nephew,1/4 of 21/220 residue, Betty Moore,grandniece1 child of Raymond Moore,a deceased nephew 1 1/4 of 21/220 residue 1 2361.59 590~40 590.40r 590.40 590.39 No balance ,.~ (. , fib 0 ~~""'"' ~ ~ ::::s Z n ....p ty 0 ::r ~/g§i c CD ~f.b ....-.( i a 3 a-&1- (0 0 0 :df::i.. ""'"' :::,;F ~.""'"'f.f tv'>~?;;a_.' .., e.;;i 0 0 t ?t::~;C;;)~ -+. e e.-~'J._;;r¥~ .... (~).;tr;..~ :::r ~(:~=CD N ::-~l~.........t--.1-..:...1 W r!) I .~tif a~,jJ t.!)r'"'~ i r-'f]j r..i2 ;F. ;:,....) ::.~i:;~Cl ~(;0 ifJ ~Gel ~ tl,.,:..............f'J 0;;~S I .r--btw ..,a~~ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA (ORPHANS'COURT DIVISION) IN RE:) ··ESTATE OF )·NO.63-71-1231·ANNA C.MOORE,) : DECEASED ) PAY TRANSCRIPT The undersigned hereby acknowledge to have received of Bernice L.Sargent and Cecil B.Barr,Executrices of the Estate ~f Anna C.Moore,deceased,.payment in full,in accordance with Schedule of Distribution of the Court dated October 25,1972. J Russell Marino,Clerk, costs $46.50···~·~ Russell Mar1I10,Clerk /he-- Russell Marino,Agent, transfer inheritance tax 52.76 .~~ RUsseIMariilo,Agent /?---J e- Roy·Franklin Simmons, nephew,1/22 of residue Cecil Barr,niece,21/220 residue Victor Moore,nephew, 21/220 residue Mabel Varner,niece, 21/220 residue Louise Robinson,niece, 21/220 residue Martha Lewis,niece, 21/220 residue 1124 .57 =,sc.@€!~~~:e.c~!:-l'n;LIt-L~.::l'+t-".r..at-:..e":.llit.~.:IL -1-Roy Frank11n S1mmons ··~~1adM/ Cecil Barr 2361.ao .See·receipt·attached victor Moore See receipt attached 2361.60 Mabel Varner 2361.60 ~e~re6ei~t ~ftacbed Louise Ro inson . 2361.60 See receipt attached Martha Lewis Edith Bell,niece, 21/220 residue 2361.60 Bernice Sargent, 21/220 residue niece, 2361.60 See cancelled check attachec Edith Bell -~PA":P ,;i.~AA"f.- Bernice Sargent )~ Jessie DelGiudice,niece, 21/220 residue 2361.60 .See receipt attached Jessie DelGiudice Anna M.Moore,Executrix of Estate of Guy E.Moore, nephew,deceased,21/220 residue $2361.~9Seeieceiptattached. Anna M.Moore~Executrix Estate of Guy E.Moore, deceased Raymond Moore,Jr., grandnephew,1/4 of 21/220 residue 590.40 See receipt attached Raymond Moore,Jr. Louise Summersgi11,grandniece,.-fr?(/ 1/4 of 21/220 residue 590.40~~.~~ouise summersgi11 Dorothy Pryor,grandniece, 1/4 of 21/220 residue Betty Moore,grandniece, 1/4 of 21/220 residue 590.40 See receipt attached Dorothy Pryor 590.39 See'receiot attached. Betty Moore ~.. .:,'1 ~.,.,.~"~Il.,,,,,,,,,,..,::- 'Iv ..... TO:Donald Wayne Simmons ( Date:_>.~1_--,fl.----,-2_:L-.::..._ OF FICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION "., RCC:,134 (9-71l COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION Iselin,New Jersey County Washington County Fi Ie No._~3"-,L3,;l~- / Bureau File No.C-3 -z/-/~..31 We have received no tic e that,as a re suit of the dea th of :--A::..:;:.;n:.:.n:;..:a~c=-=-.~M:.:.::.o-=o-=r:..:e:.-:----:-_-:--_ on Dec.9 191..L,you con;e into owqership ~ertain property through right of survivorship,which was formerly owned by the decedent.L.:J.j.·X~ivV.~""). Under the Inheritance and Estate Toy Low",fJf the Commonwealth of Pe".,sylvoni"<;,!rh trQ""f~r<;\!r~t!lUl~tt and tho:.\(,\:.. "..~<-I'·f.'.,,:~'.'",""',I,t'''''>':U ~jJOIi you,us transferee. The property on which tax is hereby assessed consists of:Savings Account No.61-1909 in Mellon National Bank and Trust Company entitled "Anna c.Moore ~n trust for Donald wayne s~mmons"opened August 21,1951 and balance as of daLe of 22.06 ,,,,.,..vI .M ~~"••1I"'.Uuhl wi/n,n ,r.,,,,,:.:n filvilln~01 rhe date of death of the decedent,or on or before _ _________19__,you may deduct a discount of 5%of the amount of tax due,or AMOUNT OF TAX DUE } ..i.., 'J-----------------------------'-----------------_..~. ~dl,s;eOJ;aiIWt....h..a.......loot.nu_~D:s:e~c~e::Jmb~e:..:!r:.......:9'!...L,-:!:.1~9..!...7.=:1~-::......'J$::..:1!:.:4~7!....:....O~7.!...:.....--:;:\ A -a-p-pr-a-is-e-:-d-'-by-th-e-C-o-m-m-o-n-w-e-:-a-It-h-,-as-o-f-th-e-d-ot-e-o-f-d-e-a-t-h,-ot-$====14::7:.:Cf7==========------------:'<""".1~.:'.'.'·, 100 %of this amount is taxable at the rate of 15 %.... ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABLE AMOUNT $--."j,JJoI+/l+-7.....0'IJ-f----$•...•j..'.. LESS:ALLOWED DEB TS , NET TAXABLE AMOUNT ---------'-:j'1"}--------1 <l i 1 This tax became delinquent nine (9)months after death (one year if death occurred prior to December 22,1965 and fifteen months if death occurred on or after December 22,1965 but prior to June 17,1971)and,in addition to the ta~i statutory interest at the rate of 6%of the tax per annum is also due as of *19__ in the amount of . l l j' '.>.~ $===========22.06$ *If the tax is not paid by the above date additional interest is due at the rate of 6%per annum unti I paid TOTAL AMOUNT DUE ,,~'{' APPRAISED BY:",(:1 /(..4,rvti~,6'-"~'4)ASSESSED BY:_~4~..JlAQ~~·_ (Inheritance Tax Appro i ser)(Agent for the Commonwea Ith) Make checks or money orders payable to:To insure proper credit to your account1/ ":~.this Of.ficial Notice must accompany //I!i2)~...f.[.Il.R oyour payment.Mai I or bring it to: ll\~"IIJV\~. IN~TRUCTIONS TO TAXPAYERS THE THREE TESTS WHICH MUST BE MET ARE THAT: Amount PaidOfficialTitleNameandAddressofPayee Under certain circumstances,if,after the dote of death of the decedent,you personally paid funeral expenses or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended by you may qualify as deductions against the gross value of the property in the computation of tax due.If any such expenditures meet all of the three following tests,it is recommended that you itemize the payments below, exocute the affidavit,and return this notice.The Register of Wills will examine the debts claimed and allow teton which he determines to be proper.The tox will then be recomputed and you will receive on amendod oSGossmont of tax. ,...Datt Pgid ,.:~----..,:.,..·.=,·t-,......~}-;·,...~'-·-,-------,i._:.'l t?,."~~~::"'~t,..,"'~_\:,.~ If yfu'hcl\.oalready paid this tax to an executor,administrator,attorney or other p"rsonal {cH;rOodntoti~~~:-~' docodClnt for forwardin9~td th;:Commonwealth,list below the date paid,name and address of tho persOn·~,tAtOQ you made payment,their official title and the amount.: 1•You were personally legally responsible for these debts,and 2•You actually paid these debts out of the account or property described above and can furnish proof of such payment,if required,and -', 3.These same debts are not also claimed,for tax purposes,by an executor,administrator or other personal representative of the decedent handling the administration of the general estate of the decedent or any other trarlsferee. {.' SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obligation Amount Paid '''_.'''~-'-'~---._...._.,....--------1---.. ._-,.~,..-.~,---_.-,.-.-i-.._~.........-Jt</o...,._.......:.,.._ -.-------------.--._._---..._~_._'. -'-'-"-'.._"-_.-.--.,.---'--~---~,-_.--..,-- - TOTAL $.. (attach separate sheet If requ Ired) COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF:) Si gnature of Taxpayer I,hereby certify thot the foregoing ;"0 ilJst and true statement of funeral expenses and other debts of the deceoent,__•_...•__•.'VI .nu:h I was legally responsible and which I did payout of the property herein taxed.I further certify,that to the best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance I.tax purposes. .~, 1\SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF ~19__. REPORT OF REGISTER OF WILLS I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I have allowed deductions liste~~bove in the .total amount of $• 0. Date of Approval:---'_ Register of Wills Fonn RCC-2 DEPARTME'l\JT OF REVENUE #BUREAU OF COUNTY COLLECTIONS," ./HARRISBURG,PENNA.17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~81t.?'.~.???.. COUNTY w.A.?.lir~.g.TQ~. FILE NO•.~~.=?~:~~:?..~. Whereas,~~~..~~Qq.~late of ~~.~~~:r..~~~~~.~. in the County of ,~!?:~~~.~q,~9~Commonwealth of Pennsylvania,having died on the 9.th day of DE.CEMBER..............................................19 ?~:.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~.~.~~.~.~~,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. Description of Allet SAVINGS AccnuN'l'NO.61-1909 in MELLON NATIONAL BANK AND TRUST COMPANY ENTITLED "ANNA C.MOORE IN TRUST ,FOR DONALD WAYNE SHIMONS"Opened August 21,1961 and ba1a.nce as of date of death on December 9,1971- Unit Values $ Appraisement Made for Inheritance Tax Purposes 147.07 Appraiser Having been duly SWOl11 ac~rding to law,I do hereby certify that the above appraisement is made in con- formity with law on this ?..?.day of MAgQ.H..................................................................................................................19 ??.. FRANCES LEO . ................?4.4....IrJ.~.~.~.~!l§~.?~....~!'.~~.~....~.~~~•............ W h ·t p (Number and Str~et)as lng on,a.P...................................................................................................................................,enna. (Post Office) "lrfASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ANNA C.MOORE Deceased. Late of w.BETHLE.tI~l-1 ~L . Date of Death,!DECEMBER 9.,19.71 ; . Appraisemeilt Docket Vol.,.:3.?:-. Page,..?3?:-::+;.No 93.~7l.~1231 . Filed in Register's Office,..~.r.:?l:9..L 197..? Amount of tax due,$. DEPARTMENT OF REVENUE Received, Ex-a.mined and Approved,"". Wrote abo.ut Appraisement, Appeal f,.om Appraisement,. Entered and'ch(Jrged,., .; \....... ,. Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTION.S COUNTY OF J ...WAS.H.IN.GT'ON . IMPORTANT:This return.mustbe completed in detail and filed in duplicate,witb will attached,with the Register of .Wills of the Coul1.ty where decedent resided;Return is due within one year after date of death,unless an extension is granted hy the Secretary of Revenue.(Section 703 .of the Inheritance and Estate Tax Act of 1961.) IN THE MATTER OF THE ESTATE OF}, -ANNA C.MOORE ' .AFFIDAVIT.OF .....................,,EXECUTOR S.· (State full name of decedent) Late of .........w.~.s..t......;a;e.t.hle..h.e.m..T.owns.hip...:........COlinty UM:1Ni~iiii}fHK ............x~ Decedent died State ,of ,.Pennsy.lvan.i.a,,} County.of .•..,:~~~~~i~~~:....ss: ............;a~.r.n.i.c.e.....•L.S.ar.ge.n:t.......an.d......C..e.ci.l.....B.•......B,arr.....J .....~:x.:~.~~.~E~..c:::~~·... Ad1!\!~or of the estate of the above-named decedent being duly sworn,delJ,ose and say ......D.e.ce.mb.er.,..9.,1.9.7L..,19(..y=r...)......,t::::;~~eaVing a last ~ill,copy cd which is hereto attached.} .(Month)(flay)<~\.R.n::t'I.7\:.IT.l'>. That as'such ~¥.;.§~c.JJ..t.ri.c..e..s deponent is familiar with the affairs of said estate and the property con- (Execlltor·AdminiRlrator), stituting the assets thereof and their fair mark~t value. That at the time Of death there was no safe deposit box.registered in decedent's individual name,or jointly with,dr 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 IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT ·BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF 'JOINT HOLDERS TO DECEDENT That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the followi-ng,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fully,and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died haVing an interest therein.It also sets forth the mortgage .encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provi~ed therefore the.assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether individually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute or agreement they are designated as tax free,of the United States,or any state,or political subdivision thereo~or of any foreign country,which are owned at the time of death;all weating apparel,j ewe!ry,silyerware,pic- tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left by decedent,together with the f~:i,riy estimated market value thereof;all bonds and mortg6ltes held by decedent and of all claims due..and ow.ing decedent <'l.t the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be'less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance polici'es carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. . i In the case of securities of close or family corporations,the values reported are as far as possible substa.ntiated by financial statements of the corporations,showing the assets andli'abilities thereof as of the da.te of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such int'erest 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 n'ature of the'agreement) together with a statement setting forth the character of the business,its locati~n,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. 'I' The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to t~ke 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 cOllY 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,or jointly 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'sWill,if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue·tq the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,.ownedby the decedent jointly with another or others,including intangible,stariding in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate .and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including 'fune'ral expenses paid; family exemption,where applicable;costs of administration of this estate;coun~el 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 amourit 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. /1.....·1~uJ!il·?/1 ..~~~~~~. .R.~.D :#..1..,M.ar:i.anna..,Eenna•..........~~i.7 (Street Number) .g.~p...~#.J..I $..9..~.g~.ry tl.;tJ.,J..I r..§.nna .. (City or Town and State) Subscribed and sworn to before me this . ~,~.~l1d,day Of~.._:19..??. ....~~.:·,~li~~.c.'.. WASHINGTON ClO"'A,. W HINGTON,7 ta7f'..fAy mission Expires f.bnJIlY 2.I ill . 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 in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in'any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. RCC''34 11,-54)',', ' COMMONWEALTH OF PENNSYLVANIA DePARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEpENT [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 whi ch 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 IIF"and must not be deducted from this schedule. Tract of land situate in West Bethlehem Township,Washington County,Pennsylvania, containing 25 Acres,71 perches. EXCEPTING AND RESERVING the Pittsburgh (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE (3\ DEPARTMENT VALUATION CAUTION (Do not write In this space) coal. FOR LEGAL DESCRIPTION,see Deed Book 246 page 534. Insert this total opposite "real property",Schedule "A"in the "As Reported"column on the last page of this return. ~vOJ:'flJ.;d 12,700.00 12,700.00 ~~~---~---------------------------------, RC.C-,35 ,COMMONWEALTH OF PENNSYLVANIA 'TRANSFER INHERITANCE TAX RESIDENT DEr,EDENT SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".Intangible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and fUrnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank, stocks,mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in 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. 1. 2. 3. 4. 5. 6. 7. 8. ITEM List and describe fUlly Mellon National Bank and Trust Co.- Checking Account (Washington Office) Mellon National Bank and Trust Co.- Savings Account (Washington Office) First National Bank and Trust Co.- Checking Account (Marianna Office)' U.S.SeriesE Bonds (redemption value) Cash in pocketbook Proceeds from sale of personal property Columbia Gas S¥stem -meter box rental Retirement check -Pa.Teachers Retiremen~ Fund -final check UNIT ESTIMATED DEPARTMENT VALUATION VALUE MAR.KE1'VALUE (Do not write in this space) 6208.54 0';<0 f.51 2689.35 dh 5tl.35 10289.12 /CJ /~tCj I V 285.61 0?%rS:~I 9.42 9,~a< 4292.75 IfdjdrlS- 3.00 3,(ii~ 204.78 ~tJ tj.72' 9.Jewelry: 1 yellow gold wristwatch (out of 1"""" 1 yellow gold ring with ruby ""bracelet ""stretch bracelet 1 lot costume jewelry 1 $2.50 gold coin repair) $1.00 5.00 5.00 3.00 1.00 1.00 2.50 18.50 Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X 24001.07 .. •RGC-306·. COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDE~T DECEDENT SCHEDULE "c" (TRANS~RSSEEBELOW) -- (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)__ (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)_ (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)__ (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?__ (5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)__ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)__ (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or 0 thers --::--_ (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)__ (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms of transfer or by operation of law?(Answer yes or no)__ (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved(in the decedent alone or the decedent and others? (Answer yes or no)__ NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM DESCRIPTION 1\T,,'a n a Tentative Trust Savings Account/opened in Mellon National Bank and Trust Company at Washington,Pennsylvania,captioned "Anna C.Moore in trust for Donald Wayne Simmons",balance at time of death amounted to $147.07. Tax in amount of $22.06 paid March 8,1972,per receipt attached. MARKET VALUE (Es timated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return.o '.»'...-...:".RCC':")7~(12-63) COIUl\lONWEALTIl OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH Cecil Barr R D #1 Marianna.Pa.1\1;,::or',::o YPP.l/llth Vl.ctor Moore ,",_Lp~ .1'\.J..J.,vvax ';1,.c-a....&.t::i::)~I ~~_u GUy Moore l/llth~"~.-...,.....'".........,....u..-~l'lU •J..1t.{1t.'I I J..} Mabel Varner--p~-. .1'\•J..J.,vyax ,'.:1'...a..&.t::i::)J.t .L.L1:n Louise Robinson .l::Setnesaa,LVLary.Lana Nl.eCe res l/llth Martha Lewl.s Niece Yes l/llth,~.~ -..,..... t:al.tn .l::SeJ.J. P.~.,...,-,.,~...",.......,.&.t::i::)J.../J...J...l..H Children of Raymond Moore,decld:Nephew No l/llth I J ~['.l:t::JJJ...uClry,J.'::J '!J.}-~...Tr ~r .,",,::oT.7 V,::oe:: Finlevville.Pa• T.()l1;e::,::o'• 1 1-GrandnieceFredericktown,Pa.Yes Dorothy Pryor Marl.anna l.K.l).},.l:'a.lirananl.ece res Betty Moore MXRXXKKX}J:X1UIXX lirandnl.ece Yes.,..-- Bernice L.Sargent R.D.#1,Scenery Hl.ll,Pa.Niece Yes ljllth Rov Franklin Simmons Nephew Unknown l/llth Jessie Del GiBdiC~::l 1 11 1 ....1-.T.ne::1\H ,::o~,::o ,V,::oe::. \ h Deponent further says that all the above-named beneficiaries are liVing at this time except below: NAME DATE OF DEATH RESIDENCE QF THE 'ESTATE OF ~IATTER OF THE APPRAISEMENT Will Administration !No, DO THE Year " (Executor-Administrator must complete "As Reported"column #1.) C1 ...,'"0'::0..,..,Cb Cb 0 Sl'..,Sl' '"::l o ......'"'"......::l '"0...,Cb e:........, Sl''"0x'0Sl''"0 Cb0'"......, ~0 ~'0 ~Cb.... '"........'<: Sl'....Cb ANNA C.MOORE Deceased Late of West Bethlehem T()"lIlS.J::1:iP ~~.~~~~ ,,,~, ", County of Washington....-. COrllmonwealth of Pennsylvania REPORT AND APPRAISAL .''''''d "0''{'1''\·II·~r'C1"~_,Y.r ,:.J fl'~..",':,r.';)\loJ._ S-Tli t.\·ro ~J:L ~)ID:.;~ O ~i1.':,'j I,·'~C'n\J!'.. .~.......;1 -0 co '1\'.,!'I'll)'1!r ..111 I,';.11'Ct tSHERMANH.LSIEGE~,ESQuIRE 215 Washington Trust Bldg~ Washington,Pennsylvania ~:oo,,*-'* lS':Ju::.,,.,,Q)', '-4 ...~.:..........,~.0. -:~:.., :... . ,(I .. ,\).\. :{;'...' 'J'a.:-- ~ .'..:1 U'Jc:~ ~>-::0WU'J U'J -< ?"?-p- q ~>; '*'*'*rov'i--'_ ~tv >- .....,.tn o 'J ::0 OOCb-1-'0"0"'-.~~- 00 .... -.J 0 i5.. ~.. ~.'~. lJ:;;~~.:r.~:~o,,:"~'--',"'r.~",(J..,~-.J::3~:<:l._...~ o oB.."J O~ '/., '", ~;- "I. ~,. Form RC C.l?DEDUCTIONS ALLOWED IN Ji,,.,.;;;~" OFFICE OF THE STATEMENT OF DEBTS THE SUM OF ............$................... l 'REGlilTER OF WILLS AND DEDUCTIONSiNashington DATE APPROVED ........OF COUNTY .........,.... AND AGENT OF THE COMMONWEALTH &3-7/-/23} Register of Wills,Ag.~t ESTATE OF Anna C MOOre LATE OF West Bethlehem Trnnmshi p DATE OF FILING APPRAISEMENT DATS OF DEATH DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHEIIt 1 9 7 1n.....,..17 .Tohn ~,.T:t.,1 1')':1'2 nn ,,.,".,.."...A"""......."'._....60_-,----___v_..,-.;v vv Columbia Gas Co.Gas service to decedent's. .L 0;)O~ 20 Marianna &Scenery Hill T~lephone service to "" _. ~L ,.-, '-0.......-............. 21 Russell Marino,Register 2 short certificates 2 00 Observer Pub.Company Advertisinq letters 14 00 27 West Penn Power Co.Electric service to 1 ~,• •........~'.),.) 30 John Shrontz Ambulance service 20 00 1 9 7 2 Jan 6 Fredericktown Real Est.Co Insurance premium 9 00 Robert P.Van Voorhis APpraisal fee 75 00 11 Drs.Huffman &Jones Hosoital services R~AO "\1 T.7_.,...n ...__Repairs to decedent's,-.-...J.~:>J. 27 Fredericktown Real Est.Co Gener~l liability ins. I:'.L O::::l11..L UUI ".:'vv Feb 5 William Bennington Labor at auction 10 00 William Coombs ""II 10 00 John R.Sarqent II II ",,,"1'\....""...", Patricia Sarqent II II II J.U OU 'hv "II II 10 on-~ Louise Summersgill II Ii Ii 10 00 Hank Watson Auctioneering,advertisinq. etc..1751 39Aor6FredericktownRealEstateVacancy1.ns.on decedent's residence 4 00 n r.Y':, , •_'",.TT ".:.~_.•1-.1-••\...""""......."IV Nray Barr Salt,fuses,gas &oil 5 2& 17 Dept.of Revenue Personal Income tax 1 86 Sherman H.Siegel,Esq.Reimbursement costs 56 01 COMMONWEALTH OF PENNSYLVANIA }ss:(continued) COUNTY OF Tjl.\SHINGTON WB.Bernice T,Sargent and Cecil D.Barr HEREBY CERTIFY.THAT.TO THE BEGT OF MY KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES 01" ADMINISTRATION SUBMITTED TO THE ESTATE OF Anna C,110~,D~AS DECUCTIONli FOR INHERITANCE TAX PURPOSES..x,A A.PA (L.5.)-/.7~ r:\0RN AND SUBSCRIBED I!EFORE ME THIS 13 DAY OF &·J73 -0'I ,()June /"'\.IJe 72 crA.--l'-tf V n AA"n A£i"J (}.6..r,IV./') '---.~MARGAR BAILS,Notary Public WASH;NGTON.WASHINGTON co,.PAl My Commission Expires February 27,19R>' DEDUCTIONS ALLOWED IN THE SUM OF $?t~~,}y. ......t~=,1:'.~~,?~ CONTINUED . STATEMENT OF DEBTS AND DEDUCTIONS ANNA C.MOORE West Bethlehem TownshipESTATEOFLATEOF__-=..::..._.:.:....:~.:..::..=.:.;:..:..:.:.:.._...:..:~.:..::...:.:..::==__ ~., OFFICE OF TWE ~'REGIS'tER OF WILLS ~ OF WASHINGTON COUNTY AND AGENT OF TWit COMMONWIi:ALTH Form RC ColO DATE OF FILING APPRAISEMENT DAT6 OF DEATH -_ DATE 1 c 7 2F",,~~---rR NO.OF VOUCH""NAME OF PAYEE ~prn;ro""T.- Olga Woodward,Agent REMARKS Reimbursement expenses for -"4 ............ Transfer tax on deed AMOUNT ..,..,.., 127 00 Sherman H.Siegel,Esq. ~"'''4 Reimbursement: 20 00 I"c:1 A n 'll:' 3 00 1 00 3 05 .:ro 100 1846 55 1 R4h 1:\1:\ ..,c:n 6 00 16 00 . I __-~{.,IV :U"'lI I 7tj.)fVV If Itf ttl,{tiJ - Total Filing Inventory Short certificate Final payment lQ7? Obtaining witnesses to Will Account due for payment of-. Notary fees Executrices'commissions Counsel fees """ ~l{all'!O1m T, M Mih.::ilek T.::iY ~oll Bernice L.Sargent Russell Marino,Reg. Bernice L.Sargent and West Penn Power Co. J.JI,&. Dec.24 Guy Rogers r.largaret Bails L:ecJ..l --a.~arr Sherman H.Sieqel,Esq. 22 23 30 13 Mav June COMMONWEALTH OF PENNSYLVANIA } ___sa:COUNTY OF I.-------------------HEREBY CERTIFY.THAT.TO THE BEGT OF MY KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES 01" ADMINISTRATION SUBMITTED TO THE ESTATE OF ---J:lOECEASED,AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. ____________________(L.5.) SWORN AND SUBSCRIBED BEFORE ME THIS DAY OP' ______________le __ " J :"C ::n _. >('1'1 ,...'""" (f)C)c::: (j"!::c (fJ -Ct';::z:......-;.,""""'1rn.~,,::;c 0 r-'~:...,-""'na .~ :;,;.::~~; 0 ..~-"r :'Z: -0 r <..::~ :P-(/'J v·'.. ~~~"~1 --..l f""-.l ._- .....r', .' t'"" IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. In the matter of :bhe Audit of Account filed in the Estate of Moore,Anna C.Deceased )Date of ""alb /2 -Cf -7 / \No,----l971-1231 ,Term,19__,A.A. )Docket 0~';;3:2_--,---'_ TO THE AUDITING JUDGE: Enter my :appearance for the Commonwealth of Pennsyl~alnia,claiming tl'ansfer inheritance tax in lfue above estate,as follows: DR. To appraised Vialue of Estate:ReaLty_________$__--.!./--c;~~,-7..L-----.::::OO=-=-----.:-•..=O--=:()_- Personalty_________________.$_------';2~__L9:..L/__!()~C):_:/__.:.#_="~~.!:._ Additioll!al Assets per Account,Subjeot 'to Tax --------------------------------------$,_ L _ $--- $------- $------ $------- $------- $-------- l )Addttional Debts and Expenses per Audit CR. Debts land Expenses per Account;see Note Additionall Assets per Audit,Subject to 'I1ax -__----------___-----------~-------------------------------------------------------$------ GROSS VALUE .$_-,-1-,,--~"1 0&0 1 _ 1 ~5'7...,~If I TOTAL DEDUCTIONS,$ _ NOTE:The following credits claimed in the Account are held not deductible a's against the tax: CALCULATION Gross V;ailue __ .'j ----------- ------------------- ) Less Deductions _ Clea,r Value tl~'f!d.J\"7.3, Tax·! able at 2% '-(j 1,7",I . $----------------- 'i;z..~'a;/./~~"J ~/.",",,-Total Tax ,-----------------------------------------------------------------------------------$"$'7v (>•0(,,",-,_------------------ $6l ~7~_Less amount previouslyparid_________________________________________________________$'-t ~..1 S_~I ~ $~d ~()0 Balance ...$~'"_~~}J ( $Interest__yrs.__l_mos.V~ays @~%$_~"".... TAX PAID ON ACCOUNT 1m;.ItoIJtI,:.;_ TOTAL TAX AND INTEREST DUE $__ .~O"\ 7h?::-~/.~i77--~~)&i-,r?~~·i'ic2y-. 7:?7 .c/ $ I L (')I~ 0s:'lJs::IJ0>Z I'll:E (') I'll 'lJ t:':l>I'll ~r-l TI ~t J:TI 0 0 0 :IJ TI :II > ~'lJ 'lJ >-,3I'll 'lJ ~'"Z I'llZ>en :II-<>...r z <C><(') I»I'llZ i); III >gs ~~ ,. RCC-81 16-711 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT BERNICE L.SARGENT &CECIL B.BARR (Executor ~~ IN YOUR REPLY PLEASE REFER TO 38-232-1 Inheritance Tax Division J In Re:Estate of A==.N~N~A~C",-=--.~M~O=...:O=-=R~E=--_ _--'W.......A....,S'"""HL!I~N~G~T..!o!O.±.!N __County -File No.63-71-1231 You are hereby notifi ed that the,__'-:::-_~o~r~ice:g~i~n~a~l!:------,---:..._ appraisement in the estate of Anna C.Moore has been fi led in the office of the Register of Wi lis of Washington County on 'July ]4 ,19-'Z.2,Said appraisement reflects the following valuations: Rea I Estate ----=1::..:2=-,L7!....:°~0~.!....:0~0~_ Persona I P roperty ~2.::!44,~0~0!...,!lo..l.wO!!....7L.-_ T ransfers _ Jointly Owned _ Tota I ..::..3..::..6z-'7"-'0:....=1:....::.-=.0...:....7 _ 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 __........uhlLJ]"""Yr-...L].::r4:...,,---Il....;9z.J7w2"'--__ DATE OF1~DEATH:December 9,1971 Note:This is not a bill. ./'RC<;-3~(5-681 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of MOORE,ANNA (Last Name)(First Name) c. (Initial) SUMMARY ....-......t.f DATE OF DEATH 12-9-71 FILE NO.63-71-1231 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:July 14,1972 ~iNHERiNCETAXAppRAiSER 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. JUl 1.';gl'RU('SE'l'MA'P:l~\"Dated:V'"'U •l....1 II •• REGISTER OF WILLS 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 36 701 07 VALUE AS REAPPRAISED $-------+-- 36 701 07 Non 36 701 07 annuities . . . . . . . . . . . . . . . . . . .$t= -------1 ESTATE TAX ASSESSMENTS $----J. FOR USE OF REGISTER ONLY Tax on $-----------1-- Tax on $---------t-- Tax on $----------1-- Tax on $---------t-- Tax on $---------4----' Exemptions=========l~= Total Estate --------1--- TOTAL TAX 2% 6% 5% 1 % 15 COMPUTATION OF TAX $--------+--- $---------4-- $---------4-- $-------4--- $---------4-- $----l.__ (*r 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 $-----~ AMOUNT OF ESTATE TAX ASSESSED $--~----lL- Estate tax paid $----Il- BALANCE DUE $----JI_ Add interest at rate of 6%from t= ------lto-----$-------1 TOTAL TAX BALANCE $-------1 PAID $-1 FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will t. , .No.AdmInIstration IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF ANNA C.MOORE Deceased WEST BETHLEHEM TIVP. Late of . '-, 1 County of \vASHINGTON ,. ; Commonwealth of Pennsylvania REPORT AND APPRAISAL ./ }"onn HCC-2 DEPARTM~!T OF REVENUE BUREJ:!HlF COUNTY COI:LECTlONS HARRISBURG,PENNA.I 7 I 27 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT TE July 14 1972DA:......•..........J . COUNT}'~~.~~.~.!l:,g.~.~!l:. FILE NO...?..~..:.?.J.:.!.?..~J .. ...;::ij,.~iEJ)m~na..,"'J (Post O!tlee) Whereas,A-.P.:P.:~9...~MQQ.r..~,late of W~.$..t a..~.t.h.~lh.~.m..T..w.p . in the County of W:as.h.ingt.o.n ·c Commonwealth of Pennsylvania,having died on the ,9.t.b day of D..~.c..~.mb.e..r 19 7.1,seized and possessed of an estate. subjectto Inheritance.·"under the laws of !he Commonwealth of Pennsylvania; Therefore,I,U.,~~,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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurposes $ REALTY: See Schedule "A"attached hereto:12 700 00 PERSONALTY: See Schedule "B"attached hereto:24.001 07 t I." I , -... I T 01":;:1,1 36,701 07, . fonn~;V~hb~~::llh~;~.a?~la=,~:;~~~~~del;~~ and Str.et WASHINGTON County ... RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ANNA C.MOORE Deceased. Late of -.", WEST BETHLEHEM TWP. Date of Death,p..~G.~.mp..~.r.9...,1.9..7.+. Appraisemel!t Docket Vol.,3..8.. Page,~.3..Z.~.l No.§.~.~.7..1~.+..7..~.+... Filed in Register's 0 fjice,.)).(J..:Y l4...,19...7.7.. Amount of tax dtte,$:. DEPARTMENT OF REVENUE Received, ._Examine~and Approved,. Wrote abartt Appraisement, Appeal j,.om Appraisement,. Entered and charged,. " ". i.. rI.~• ..;;.. No·8 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE46026OFFICIALRECEIPToPENNSYLVANIAINHERITANCE AND ESTATE TAX, RECEIVED FOUR THOUSAND SIXTY ONE BERNICE L.SARGENT-EXR. From:ATTY.SHERMAN H.SEE and 25/100-------------------dollars representing Pennsylvania Inheritance or Estate Tax due from the following estate:I Address 215 WASHINGTON TRUST BUILDING , WASHINGTON PENNSYLVANIA 15301 File No.63-71-1231 Date of Death 12-9-1 Date of Payment __,_H_a_r_c_h_7_,_1_9_7_2__-,..,__--1 Name of Decedent _..:.·A.::N~N:.:..A~~C...!..____"'~~fO~O~'=!1-------i County r.!.!d~:A""'S"-l.A'O"'O';'_"'_........._i Remarks: JMO ;1;1 2%Tax on $_ 6%Tax on $_ 15%Tax on $ON ACCOUNT %Tax on $_ Estate Tax,Act of May 7,1927 TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of __%from _ to _ $ $ $,4,275.00 $ $ $4,275.00 $21 3.75 $>---------101 SEA L TOTAL AMOUNT PAID $>===4::!::,0=6~1~.!:::!2,,:,:,:5~=1~1 38-232-1NOTE:To be delivered to taxpoyer Received b""-.:,.".;;,;z:.\-!~::loI6o~~"4:~~~¥-I.::::!Io!....-------I~1NOTE:In accepting the transfer inheritance tax an future estates,prior to the death of the Ii tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth s all not be precluded or prevented from hereafter assessing additional inheritance tax at the death 0 ~e;"-~*"~~:!..!!:::~~g-;-;l.,,4...eL-o.::!..,{J.L------IU life tenant or tenant for years whenever it appears that such additional tax may be legally due an collectible for any reason whatsoever. --------_._-_._---------------"--- --•I f-I~;o I"J>TTl :::0 c:::>.r-"(J).G")c:C"""){f)........:::r::- .rn'-en u}:z -4 rn !'"'V~...)rn r -I CJ .. :D r-iCD ...Z 0 -..'""'C""T':~:::xn:P-..-;::;J0<: t.V.-r-Z.-0 r-0 -C"»en c:::o LN t\)f-1 m ~i.\) --:zo--:z 000 f-1f-10 000 --:Z--:ZO November //~72 ~!i/h~___l/W.;- ~~j Bernice L.Sargent and Cecil B.Barr,:~,-_:_--~A?~~/Executrices of Estate of Anna C.Moore, :Wt'ea/~~//~L'----4d:ree-eG'€e~aHs~e3-lda----------------- :Eleven hundred sixty six and 20/100---------~~ I In full payment of 1/22 share residue as p~~Schedule of ~Distribution of the Orphans'Court Division of the Court~of Common Pleas of Washington County filed at No.63 71 1231 ll166.20*..'1..0N·..O..E.C;O.U.5.... I~J~~<v /T~O~NKLIN SIMMONS ~._.-November 4~72 ~_..Bernice L.Sargent and Cecil B.Barr,. .~A?~Executrices of Estate of Anna C. JP~~Moore,deceased Twenty four hundred forty nine and 01/100------~J1)~~~/j/ In full payment of 21/220 share residue asIfgr Schedule of Distribution of Orphans t Court Division of the Court of Cornmon Pleas of Washlngton county flIed at No.63 71 1231 l2449.0l *W'I..QM·.I0"~"~o.U,5....~~~MOORE ,~lliO~L V~K~~K 72_November /;1J2----- >nd-d.?/~------------' ~.. ~Bernice L.Sargent and Cecil B.Barr,...(,-£nr~/Executrices of Estate of Anna C.Moore ~~',v_QElC€HiSElQ Twenty four hundred forty nine and 01/100----~~j/ In full payment of 21/220 share of residue4 °fs per~Schedule of Distribution of the Orphans'Court Division of ~the Court of Common Pleas of washlngton County flled at!No.63-71-1231 iIe 2449.01 ~*."•••.,....,••,... t November 2,/;ij2 729k__ ~.(.Bernice L.Sargent and Cecil B.Barr,...~.£:11/~/Executrices of Estate of Anna C.Moore, ~~//~L deceased Twenty four hundred forty nine and 01/100------ .-/00 In full payment of 21/220 share residue as per Schedule of n;~t_r;hllt_;nn nf ()rDh;::)n~'rnllrr n;v;~;nn nf t_hp rnllrr nf Common Pleas of Washington County filed at No.63-71-1231 t 2449.01 *•.L.ON-JONE.c:O'........... c/~R~ LOUISE ROBINSON ·i'------------·---·--·;·-.'II'.November /0 7~II:,_Bernice L.Sargent and Cecil.J IIal.•J/01 Barr,Executrices of Estate of I !~A~~a C MOOre deceasedI-,IITwentyfourhundredfortynineandOl/l~~t I Payment in full of 21/220 share resi~~per IIScheduleofDistributionofOrphans'Court IIfiivisiolIof'l:he Cotlrt:of COHIfRon P1,ga.1S of washingfon I County filed at NO~l ~It$244~01,, ,MARTHA L WIS I l 'MADE IN U.S.A.••~-,,•••~"-'(~~~I~~.-.c~~=_:.-....-..~~~~.-.c""'I_J __~..-.r~..-.:. IF .~-~~-~f,Ii ",..-.-,1/I,,j"",~~ , "--=-'j~::~n -;;g 153 N >'P ~v .•ANNA G.MOqRE!ESTA~!E .... "~r;::t:'".0 l2cY 60.1 12-X --."<>'7-J'.~,N ;1 ,.-t &1 I 19~433 t t;)1:-...'" ...i:fO.I ,.I$,g~$~¢¥9-PAY TO THE d ·11~~1 _. 0,""0'-~;.n ~~.d>f7 .~"'/:tt~~!,.:.~r-,')~~/JU4<.I ~OLLARS~'U!7A.4L~(./tJ//c:>d'...•I ,FrrstNatiO;~~.~~~~T~Co.~rt,17LQ iJ--t.U 6~iJ;u.' Marianna,Pennsylvama 1534!>J ."t.,.-;-r ','''''r;~ :;;"ll"'O L L~,:~~lr;8:211..5 5"'0 b 195 !iL ",.,;ij,--"'''\I?",~--i ~~)omx"mo...."'"".-," L 8 9 .-T 1 ,I .~•'I •November 2,//~72 ~Bernice L.Sargent and Cecil B.Barr,.,-~:._._~A?~~/Executrices of Estate of Anna C.Moore, Wt'aV~/V"~L deceased Twenty four hundred forty nine and 01/100-----()~j/ In full payment of 21/220 share residue as Iftr Schedule of ~triblltion of the Orphans'Court Division of the Court of Common Pleas of Washington County filed at No.63-71-1231 t.2449.01 .-r;.,~~uODICE 9tt.November 0(//~--.:l2 ~'.Bernice L.Sargent and Cecil B.Barr, " ".1/LZ.IM Executrices of Estate of Anna C.Moore,~~~deceased Twenty four hundred forty nine and 01/100----~~~ In full payment of 21/221 share of residue4p~r Schedule of Distribution of Orphans'Court Division of the Court of Common Pleas of Washington County filed at No.63-71-1231 i 2449.01 *..'1...0..•..0..11:.co.u.~..... /I~1rfM:tlJ;:ll1#tfu~:Leof GUy E.Moore,deceased Six hundred twelve and 26/100---------------~~A)/ --/00 In full payment of 1/4 of 21/220 share residue as per Schedtlle of Distribution of the Orphans'Court Division of the Court of Common Pleas of Washington County filed at No.63-71-1231 !9k:."November .4:1272 ~~'._Bernice L.Sargent and Cecil B.Barr,~£:r/t!....Executrices of Estate of Anna C.Moore,~~/.deceased !t 612 26 ~ #4t/'~~d/?c /'7 __~'RAyMOND MOORE,JR. 9k_-~-November 4~72 ~.-. '.Bernice L.Sargent and Cecil B.Barr,.~A?~~Executrices of Estate of Anna C.Moore,~FP/.deceased -a-) Six hundred twelve and 26/100----------------~~~ In full payment of 1/4 of 21/220 residue as4~r Schedule of Distribution of Orphans'Court Division of the Court_-c ,..,~:t:"'l..-1____.c T'T l'_......1.-----------..£'_..L...J...'J\T L:'~_~~"'"}__1VLcvllunon----r~<:::c:G:>UJ..VVa.-O-U.LU'.:;j \..uu--~uuu\..y a.-\..-DIU ;--O-J--'.L-;J.:Z;= II 612.26I~._--...-/)~/L~ DOR9'J1iHY PRYOR ,~November /;fJ2 72 ~~Bernice L.Sargent and Cecil B.Barr, 0.•'.~/2~Executrices of the Estate of Anna C. ~~~Moore,deceased Six hundred twelve and 27/100---------------~~~ In full payment of 1/4 of 21/220 share of ~tsidue as per Schedule of Distribution of Orphans'Court Division of the Court of Cornmon Pleas of Washington County filed at No. 63-71-1231 J'. ~.'..BETT~~.OORE/~JJ~//7~-/. ~3-7/-/~c~/ - .1 N~16389 Washington,Pa.,~,,/ OFFICE OF ,19~ CLERK OF ORPHANS'COURT DIVISION RUSSELL MARINO,Clerk of Orphans'Court Division Received Of;;>~"';? ~~~1:2...~.224-~ozk' 7L~.~~~~~/ez Dollars For~ ~&"S7J .0 ./J4J/U -*_~_~~County _._--$/~,/~ Clerk of Orphans'Court Per 7:J-7 G.--'\_•••_-$.Total --$------St....ot,.-%.$71 ~2 ~~.:::->.~~~~=-==~~~-------------- ., •10 l\ffillautt (@f fxrrutnr (@r 1\bmtittstratnr }66: "\'j". 'il ..It,!,.,;',.:,~ "";';;11 •,:: -I ., :J~.@/tatr of 'rnuaylutttlitt .:'GtOUM!J of IItta~iugtou ".'. !..Personally before me,the undersigned authority,a No.tary...Publicin and for said ,/..,,d '1 l~rrICountyandState,appeared !?~E~.~S;.~~..~e·~~·~fe~···~·I}······9.~·9.~~.~.,who,being duly. ,:",'j•.sworn according to law,deposes and says that t hey ~tlhe executor or administrator of the es- ;,'t,'tat~of ,_._~nn~_._~_~._.MQ~QX:~._._..._...deceased,that the foregoing schedules constitute a·-',. ·)1 ..'complete inventory and appraisement of the real and personai estate of .Ann..a C.•...M.Q9.l:e.,·,r.deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite ·ri each item of real and personal estate in the foregoing schedules are determined and stated by the,..f undersigned to be the fair value of said items as of the date of the decedent's death,based upon a"":il'just apprglsement of each item made by the above named Executor Administrator, ,'/;.'.''J oSfworn/~~sU~:ybed be1 f 90re7;e thrs .22nd }. ,1'1'.ay Executor-Administrator 1 1"r "~,":~.,.;.,;.~·\.l;,..:..,.,~~~~~~~~~INSTRUCTIONS .. 1:~.'j..1~An inventory must be filed within three months after appointment of personai representative. ;~!2.A supplemental inventory must be filed within thirty days of discovery of additional assets. :ij 3.;.1 Original and 2 Copies and 2 RCRI~34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, ;".:.~.Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- .i ::,,:eluding Copy of Will and copy of Federal Estate Tax Return.. :'','."REFERENCE FOR ADDITIONAL COpy .i ''...Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 ..(-' .1 ., ;'. ••'I ," .1..' .,. 42 35 7S 78 00 61 .{ 9 ,i"285 110289 -,Ii it " :(Ii 4292 ..1'l(,i;3 " E Bonds (redemption value) ..._-__--_.,::q::-_.,.".•,_-.......=-=.,.,=~'""'.,...-......,-:..~=::'~.:~..,.=~..=-.:-:"':'::'..'.:',:".,~"'~"...;.,.;~'''''.~'::":-~::-~~.,,,-::''''''''-::.,..~=":':".,.~.:~-::-::=_'..1'.,.__-._,-.~-~'~~-'~"_.~.__.,_~..,~_ ,..,..,~.,,-""'.""'"-_.-_.-~,,--,.-~.""..,.~_~.,--"-.._,,_.._--"._-..,_._._-"_.~.,.,~'.-4'"....,;i ",'.':.'.-.------..,----.-.---.----..-~-_._,_._,,-_._----._.. "",1 {II ~.~,:;"'.31uurutnry ttub Apprttiarmrut of the goods and chattels,rights and credits which . ":1 Anna C.Moore ,..'..'"/.)j.".were of : ,late of :.. "'..'·~'JWashi1Jgton C~nty,Pa.,taken and made in conformity with the above affidavit...·...".-"ii:~1 !:"{;''..•....'..DOLLARS CENTS 'f'..=.,..._~-_~~.::~__".::.::::~:::::::;:;:"~=.;;"=..-:::::.•"":;::;.l".--==,"",:::~:,"'='.:.,..".:.;:::..:',.:;;,•...::;;,:~.;.~.:.~:;:::;::::..:...:..::'..:.:,:::::;:::::~C";:.';:C:'::.::;:';.;.~:c,.~-;::..~.,.:=~,..';-II'.::.:.;;:.,,:~~.::';::"r·C"7.;;;'·.:".=:.:::;:;;;.::-.i':";::::'-":::_:;::::::l::'-.=.::.~;:'''~'...til,..'....I .I ' PERSONllTY:.'I :.... ·Melloit~ational Bank and Trust Co.(Washington Office))1 6208 j 54 ."Chec~ing Account ;:f Mellon National Bank and Trust Co.-(Washington Office)11 \ ·.'savi~gs'Account ri 2689 "•.;\.'•iO II First National Bank and Trust Co.-(Marianna Office) ','Ghec.~ng' .'.-!.~.':~.'.. ,. ..j Cash i.pocketbook :.~'.1-~,;.jt:,'.1':,:.rroc~~~~fr.0m sale Personal property ?~l~t~"Gas.systell\-meter box rental .;ri'l',..Retire~ent'check Pa.Teachers Retirement Fund -final check 204 .;.:;'.:'I.·1,',·";'...;./ J;~we1ri:.'...~:I .:'r"~'"..I J i . "',l t ·1··.''".l'yellowgold wristwatch (out of repair)$1.00!; ;'j1 yel1owgold "5.00 ;;';:'"~";.".~:'!~i~:~~i~~~~~e~;~h ruby .~:~~Ii .:"1 ye lowgold stretch bracelet 1.00 11 .'.,t 1 10.'costume jewelry 1.00'1 ,~'t i·j i;'\""~:~"~;lr,5.i.;~90,ld coin ,2".50 :1 18 50 ~. 'f·!i I '.:24001 07 ,.r- i',',:'>'II'<',ii""~REALTY~",'i:! Trac~of<land situ~t7 in West Bethlehem.Township,Washington; .cou,ty,Pa.conta1n1ng 25 Acres,71 perches.Excepting ,;L"~'andljreserVing the Pittsburgh coal.I:f.~Foi;,1~gal description,see deed Book 246 page 534 ~:12700 ~00 ,"!'~ .~.1 1 1•$3670 l!07 : •I't,'i I :I ""- •,;1 ~.,'.~ :!!!l!lm£ii!I!!!l~lJO!iQlilliIW..!!\I!~~!~~.'li§lf.re'!"t'f!!·~~~'??:l';'r;w·--:-."·!'''!'nr."l1R'''~'''·:r...;',::""oc:.:t'~:;=~~,,:,'(T_"_"..J..'1"""'1:-1r"';""""-r ...........,....:.."';'""'~ffi j I ..-r1--.I r"-'-c::>r--~I \~f"J CJ--J ..