HomeMy WebLinkAboutOC1972-0019 - ESTATE OF MOSS\J
C!lommollwraltq uf 'rlllluyluanlr.t.
lIanql11gton C!lounty.n!l:
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
on the 6 day of January A.D.1972 ,before me,
Russell Marino ,Hegister for the Probate of Wills and Grantin~
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
.th.e last Will and Testament of
Robert G.Moss
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Clarence Paul Elliott
the Executor in said Will and Testament named,having appeared before me and taken and subscribed
111 the County aforesaid,deceased,Peters Township
the oath of office prescribed by law;
.late of
NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do
Clarence Paul Elliott
grant these LETTERS TESTAMENTAHY,unto the said
chattels,rights and credits,which were of said deceased,and requiring·him
the administration of all and singular the g'oods andhimcommittingunto
to exhibit a true and perfect inventory thereof into the Hegister's Office,at Washillgton,within .Ilillety
days from the date hereof,and to render a just and true accoullt of s:lid 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 TES'T'IMONY \;VHEREOF,I have hercun't\J set my hand and the se:d of said
Office at Washington,this 6
day of January in the year of our Lore!one tIIUUS:IlIc!
nine hundred and seventy-two
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Register
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I,nOm:~:T G.MO~~S,of J:.-eters Towm;hip,Washington
(SEAL)
,....~
1962.day of ~.
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1.0 day
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IN WITNESS WHEREOF,I have hereunto set my hand
Signed,sealed,published and declared by the above
THIRD.I do hereby nominate,constitlite and appoin
FIRST.I direct that all of my just debts and
memory do hereby make,publish and declare this to be my Last
Will and Testament hereby revoking any and all Wills heretofore
made by me.
property,Teal,personal or mixed,wheresoever the same may be
SECOND.I give,devise and bequeath all of my
funeral expenses be paid as soon as may be conveniently done after
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County,Pennsylvania,bein~of s6uhd irid disposing mind and
my decease.
situate,to my half-brother Clarence Paul Elliott of Dravosburg,
and Testament,to serve without bond.
and seal this
Pennsylvania •.
presence of each other,we believing him to be of sound,and dis-
presence,who at his request and in his presence and in the
Clarence Paul Elliott to be the Executor of this my Last Will
witnesses,this
posing 'mind and memory have hereunto subscribed our names as
named ROBERT G.MOSS to be his Last Will and Testament,in our
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03--1;)-Ii
Affi~nuit (@f 1Exrrutnr (@r Abmiuistrntnr
~tatr of 'rttttayluattia.~ss:
ClLouttty of Baaqittgtott ~,
P II b f h d
. d h'Notary'Public .d f 'dersonay e ore me,t .e un ersIgne aut orIty,a In an or Sal
CLARENCE PAUL ELLIOTT .County and State,appeared who,beIng duly
sworn according to law,deposes and says that he is the executor~of the estate of
...gQ~.~R1'9..~)i9..?.§deceased,that the foregoingschedliles.c~:mstitute a
I t · t T d . t f th I d I t f ROBERT G.MOSS '"comp e e mven or)an apprmsemen 0 e rea an persona es ate 0 ,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item
of real and personal estate in the foregoing schedules are determined and stated by the undersigned to
be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each
item made by the above named Executor ~.
day O~;;~~9.~~.:::'.;~)~;:.~'hi,!...........)~.~:=::'.E~~.
..·..J.·~,..·.-;.."'·~/· · ·..· · ·)Clarence Paul Ell~ott
ADDITIONAL INSTRUCTIONS
1.An inven~ory must be filed within three months after appointment of personal representative.
2.A suppleihental inventory must be filed within thirty days of discovery of additional assets.
3.1 Origin:;!1 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
lJuututnry nub 1\pprnispweut of the goods and chattels,rights and credits which
were of ~?~~.~.~~.~~9.~.~Jate of ~.~~.~.::.~~9.~~.~~~.p..-./.'
Washington County,Pa.,taken and made in conformity with the above affidavit.
J
DOLLARS
REAL ESTATE:
CENTS
ALL that certain tract of land situate in Peters
Township,washington County,pennsylvania,more
particularly described in Deed Book Volume 607,
page 280.
PERSONAL PROPERTY:
U.S.Savings Bonds
Bell of Pennsylvania,rebate
$8,500.00
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REAL ESTATE:$8,500.00
PERSONAL PROPERT':1.388.59
TOTAL INVENTORY:$9,888.59
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The within named Accountant being duly sworn according to law,depose and say that the above account
as stated is true and correct a5.-__J~~verily believe.
.." ",/A~Sworn and subscribed before me ,thlS .r..,l...:.L .
~:~C::'::::::::..-·:.::··.1.9 ..7:~.....:.
:R1lW~~UN..GI·~.otary Public
M!,~wm~~tf.xpj~S rebrU~ry 8,1 13
Wa~fi1flgtU!l,;W~~ing'ton County,Penna.
.."..(!~~q~...~)};,1J:;
Clarence Paul Elliott
Washington County,ss:
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I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court,as evidence by proofs
thereof filed to No.-.--.4:-.3.-:::-7-~..~-..70J-.2-
o+'
Witness my hand and official seal this---.~-7-.:.__._'t..
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day of _._.._._/)/_q.y._~_.k.~:_.___19__7 __-=?-
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The Court is respectfully requested to determine
proper distribution in this estate.
BLOOM,BLOOM,ROSENBERG &BLOOM
By 170i.tA-:zuLJ._~
Counsel for Accountant --;rL-L
..
FIRST AND FINAL ACCOUNT
OF CLARENCE PAUL ELLIOTT,EXECUTOR OF THE
ESTATE OF ROBERT G.MOSS,DECID.
The Accountant is charged with the following:
................................................................
As per Inventory and Appraisement $9,888.59
TOTAL ASSETS OF THE ESTATE .•....•............••...••••$9,888.59
TOTAL CREDITS CLAIMED BY THE ACCOUNTANT ...•••••...•..•4,350.41
BALANCE FOR DISTRIBUTION••......•..•...•.............•$5,538.18 L..
.....
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The Accountant is credited with the following:
.................................................................
Register of wills
Washington County Reports
Observer Publishing Company
Letters Testamentary
Advertising
Advertising
11.50
14.00
14.00
Walter L.Lash For material and labor in
repairing estate property 1,577.12
Walter L.Kennedy
Recorder of Deeds
Register of Wills
Notary Public
Clarence Paul Elliott
Bloom,Bloom,Rosenberg
&Bloom
Register of Wills
Funeral expenses
1%Realty Transfer stamps
Balance of Letters and
Filing Inventory
Five acknowledgements
Executor's commission
Attorneys'Fee
Filing Account
857.25
60.00
9.50
2.50
494.27
494.27
16.00
TOTAL CREDITS CLAIMED BY THE ACCOUNTANT ................•$3,550.41
Payment made on the pennsylvania
Inheritance Tax on August 28,1972,
Official Receipt No.B 79869 800.00
TOTAL CREDITS CLAIMED BY THE ACCOUNTANT $4,350.41
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Observer .Reporter'
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,S5:.
(Personally appeared before me,a Notary Public in and for said County
and State,R.i.c.ha.r.d S .•....c.owan ,who beiI1Jg duly s,worn
according to law,deposes and says that he is the Vic.e.~.Pr.e.si.dent
of the ObS1erver PUblishing Company,a Penns,ylvania corporation,and its
agent in this behalf;that the said Com.pany is,the owner and publisher of
the Ob'server-Reporter,succ'essor to The Washjngton Observer,established
September 18,1871,and The Washington Reporter,established August 15,
1808,a daily news,paper of general circulation,printed and published and
having its place ofbusines's at Washington,Washington County,Pennsyl·
vania,\where it'or'its predeces,sors have bee).l established and publishedoo!J!tinrio~sIyfor more than six months prior to the publication of the notice
h·ereto attached;thlllt the pr.inted notice or advertisement hereto attached·
is a copy or an official advertisement,official notice;legal notice or legal
advertisement,exactly a:s printed or publis1).ed in th~Obs1erver-Rellortet in
its regular editions on the following dlate or dates;..
.....J.~.O'.M.~.r.y 2.4 3.1...,and.:..E.ebr.uar.y 1..,.19.7.2 :..
thlit neither tne affiant nor the Observer Publishing Company is interested
in the subject matter of said notice or advertising and that all of the all-ega-
tions of this affidavit as to the time,place and character of publication
are true...~~:..d.~
~
.ExnEr;C~U:;;T'"O;vR;;';';:'S;-;::N:'::O"'T"'r""C""E----"""""
Estate of ROBERT G MOSS de'w::~~·late of Peter~Township.·1,lUg on County Penna ~
ab etters Testament~ry upon the
,th ove estat!!having been granted to~
. .e underSIgned.notice is hereb '
:~v~n ~o thos,e indebted thereto t~'1th~s:~~~~dl.;\~~rrPsa~~~~~a~~~to~
present them for settlement toI
Clarence Paul ElIiott :;'\6 Gordon.Lane I
BLOOMWest Mifflin,Pa.15122 I.BLOOM,
ROSENBERG &BLOoM:Attorney .,1
200 Washington Trust Bldg /'Washington,Pa,15301 •..
7219-MoJh.3t'
OW."to ~d.Ob"~~~m~~.~Dl:i::;:~?72
YjI\SHINGllJN,WP.S:iINGION ~~'tr~(C""
MY COMMISSION EXPIRES MAY 6,1972
·-,
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
Estate Notices
The Register of WiHs has granted
letters,testamentary or of administration,
in the following estates.Notice is hereby
given to all persons indebted thereto to
make payment without delay and to those
having claims or demands to present
them for settlement to the Executors or
Administrators or their Attorneys.
•••••• • • • • •• ••• ••
!
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MOSS,ROBERT G.,Dec'd.
Late of Peters Township,,Washing-ton County,Penna.Executor:Clarence Paul Elliott,6GordonsLane,West Mifflin,Pa.,15122Attorneys:Bloom,Bloom,Rosenberg
&Bloom,200 Washington TrustBuilding,Washington,Pa.15301
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,
P.L.1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON}SS
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 REPORTSwas established on March 31,1920,and was designated
as the official legal publication for Washington County,Pennsylvania,by order
of the several courts of said County,dated November 11,1920;that the printed
notice or advertisement attached hereto is a copy of a notice or advertisement,
exactly as printed or published,which appeared in the said legal periodical in
its regular issues on the following dates:
.................~.~.~~.~Ey.~?..L ~..~.?..?..
................x.~.~.~~.~E.Y....}..~~..~..~~..~?.~.
that the affiant or the corporation in behalf of which he is acting is not
interested in the subject matter of said notice or advertising and that all of the
allegations of this affidavit as to the time,place and character of the publication
are true.rJ#I/)_.~._..~~-~L-/"
Sworn to and subscribed before ~~
.....~..9..~.~day of f..~.~.~~.~E.Y.,19...??...:..
.~-..zll<.J~
JOSEPHINE T.SCIAl.1MN:\
Notary Pt:blic,Washinr,ton,V/ashington Co.
My Commission Exf:ircs July 1,1974 ..:
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No.19 of 1972
In Re:Audit of Account in
Estate of:
ROBERT G.MOSS,DECEASED.
AUDIT
PRAECIPE FOR APPEARANCE FOR:
CLARENCE PAUL ELLIOTT,
Executor.
BLOOM,BLOOM,ROSENBERG &BLOOM
Attorneys
PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Teatat,Form)
Estate of gg~.?!3.~~~~9.~§.t p.~~.~~.~~9._0-•__
Deceased
No ~.~~~~-~~~_ .
Fiduciary_.Q~h:R~~~~..J?~P~..~~;r,.JQ.r.'r.,.
.................~~.l?~JJ:t;9.t:___...
Date of Date of
Decedent's dearh p.~~.~~~.;_..}.?.~~.~.t!·_Grant of Leitters ..'.'..'!.~~:':"':~;_.¥.€?!~~.?~.
This is the ,_...f~E..~~~.~9_f.A_.~~J account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term _..None : .
Election to take None
Under or Against will.(cross out one)
Date Election Place of;
Filed ~9_~§.._ _Record ..~9D-_~__._.
Name of surviving spouse N9D-.?__.___. _ _ ...__..__.._....__:..
List issue,where material:None
.1
Did decedent marry after execution of will?(indicate)~.No.Any children born after execution of will?(indicate)
:axs.No.If answer yes,name them __N9.n~___.._ _______...___._.._.__.
Leg.atees
Clarence Paul Elliott
Relationship
Half brother
Interest
100"/0
Fiduciary,if deceased or not sui juris
List,if exceptions to above:
None
Adeemed:Revoked:Lapsed:Abated:Give Cause:
If partial intestacy,give facts:No ne
Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled
to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account
and of call of audit?Yes.xbm;
If any exception give cause:N9.nl;!.
File copy of Notice .
and date of mailing N9Y.~~~£-1-A.'-J..~:??:,.
,
Is estate subject to the filing of a Federal Estate Tax Return?.J~i!g .
Actual payment made on P,ennsylvania Transfer Inheritance Tax.Amount $~.QQ.~.Q9..gILJ?/~.?/7.~.
If the Will makes any portion of estate subject to a life-estate,give name and birth date of lifetenant N9.n~.
Give Names and addresses of all unpaid creditors who are legally entitled to notice,tog,ether 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
**The accountant reports that a portion of the real estate appraised in the
Inventory and Appraisement was sold to Walter Lash,et ux.,for the sum of
$6,000.The said real estate as a whole was appraised at $8,500 and the
portion sold to Walter Lash,et ux.,contained 2.709 acres upon which was
erected a one and one-half frame house.The remaining real estate of 1.4206
acres is appraised at $2,500.Attached hereto and made a part of this '
Audit Petition is a description-and survey'of the -sale -real·e'state~-_.-.-_.
Balance for distribution per account,
Itemize any additional debits not shown by account:
**
Total additional debits (Add)
Itemize any additional credits not shown by account:
Total additional credits (Subtract)
Balance for distribution
$None_.._--_-_ .
$None._-.--_._------_-.
$..~.t.~J.?..J.§__ .
$5,538.18.____-__.._-.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
1.4206 acres of real estate situate in Peters Township"Washington County,
Pennsylvania,appraised at $2,500.00.
Residue in cash7 $3,038.18
If Family Exemption claimed by Petition,give place of Record:~~.~~.
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:~g.~~~.
List any advancement or distribution on account that has been made,and nature and amount of same:
No advancements.
,
Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections
to take in kind if balance is not in cosh:residuary shares being stated in proportions:
Clarence Paul Elliott -lO~/o of estate
Description of real estate attached hereto.
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly ~.~~.~?--doth depose and say
that the facts set forth in the foregoing petition are true
to the best of ~;i,..$knowledge and belief.
..........................s.w9.r.n to and subscribed before
me this..2.6.th day of NQy.~nm!'j!.L 19..7.?:...
Signalu,e af Office,_,~_~_
Title of Officer NQ.t.~.;:y R~.~.bJg .
Office expires f.~p.~}J..gX.Y..J?,1~.7.~.
And your petitioner will ever pray,etc.
Clarence Paul Elliott
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Estate of..g9.l?;I?~~...g.!...!'~1:Q?$.L...p';I?9.~!:\?.~p·
Deceased
Fiduciary..~MR~Rc;.F.:...r.b.Q;J;"...F.:~t.J.QT.'r..I....
EXECUTOR~'
PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
Counsel of Fiduciary will submit herewith the
following,in conformity with Court Rules
adopted effective December 3,1951,being
rule No.9:pa 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.
~~9.?!'i!...~~9.?!'i!...~?§_?~~~~~._~~9-q~
Attorney
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'72 DEC 21 PH 12 00
RUSSE LL.1>1 itP.!N0
P.EGISTEH OF WILLS
WASHlt'~':;TOr-l CO ..PA·.~-
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LAW OFFICES
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AREA CODE 412
TELEPHONE 225.4100
200·210 WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA
15301
November 14,1972
BLOOM,BLOOM,ROSENBERG &BLOOM
I.C.BLOOM
GEORGE I.BLOOM
MILTON D.ROSENBERG
SIGMUND L.BLOOM
GEORGE R.SEWAK
W.BRYAN PIZZI II
IN RE:)
:
ESTATE OF:)
:
ROBERT G.MOSS,)No.19 of 1972.•
DECEASED.)
NOTICE OF AUDIT
This is to notify you that the First and Final
Account of Clarence Paul Elliott,Executor of the Estate
of Robert~G~:Moss,deceased,has been filed in the Office
of the Register of wills of Washington county,Pennsylvania,
at ~he above -number and this Account will be audited on
Wednesday,December 20,1972,at 10:00 a.m.at the Court
-House,Washington,Pennsylvania,at which time and place you
can~be present if you so desire •."t ~~
BLOOM,BLOOM,ROSENBERG &BLOOM
Attorneys for Clarence Paul Elliott,
Executor
cc to Mr.Clarence Paul Elliott
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA.
ORPHANS'COURT DNISION
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HEARING ON AUDIT
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BLOOM,.B:GOOM,l.ROSENBERG &'BLOOM,Esqs ..,
of Washingto n,Pa.,representing the Accountant.·
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W~dnes.da:y-,r::~cen;be~20,1972"at 10:00 o'clock
AM''EST ',,'t •. .".
.-....,-i-~::G~:,-,~",-,
u.~C:ii.~~Ql ~
The Honorable,ALEXANDER R:CURRAN,~.,
Specially Presiding.
Deceased.
ROBERT G.MOss,
Estate of
IN RE:
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filed for audit in the Moss estate.
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ll:THE COURT:l-ll:::>
8 Mr.Pizzi;?
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THE COURT:
Number 19 of 197f.the estate of Robert G.Moss.
Your Honor.I do have all the necessary'papers to b
Is there anybody els e in Court ,interested in the estat
of Robert G.Mos s ?
(NO RESPONSE)
THE COURT:The Court will consider the audit closed.
(A UDIT CLOSED)
_.-
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I here~.certify that the proceedings and evidence are contained
•fully.and accurately in the notes taken by me on the hearing of the above
.~cause,and that this copy is a correct,transcript of the same.
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By the Court,
The foregoing record of the proceedings upon the hearing of the
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o~above cause is hereby approved and directed to be filed.
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ESTATE OF
Robert G..Moss,
deceaseda
No.63"'72w19
In the matterofthe First and Final
Account of Clarence Paul Elliott
Executor
ADJUDICATION AND DECREE
And'now December 21 ,19~,this matter came on for hearing,
'audit and:distribllltion atthis session and testimony taken;and thereupon,upon due consideration
the'reof of the bc:dance for distribution in the hands,of the Accountant is determined to be
$5,538 _18,.and the ae:count 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 disr.ibution hereto attached and made part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg.-J
~'-:f-?t;..<:~=-=--:~-r--r:-.op....;.u_r_t_+.:-~~-r--_.,..---r::-4--
S~ecial~y'Presid ng
SCHEDULE OF'DisTRIBUTION
Balance per account _
Balance'_
Deduct Clerk's Costs &Receipts,__~---------
Attorney Bloom Bloom Rosenberg &Bloom
Russell Marino,Clerk O.C.,costs in certifying
real estate to Recorder,
Olga O.Woodward,Recorder,costs recording
~ertification of real estate with plat,
Russell Marino,Agent,transfer inheritance ta ,
including tax due from estate and from individ
ua1 liability,$145.56
Interest from 9"26-72 to 12-30-72 '2.28
Clarence Paul Elliott,residue,including cash
and parcel of real estate as hereinbelow de-
scribed,valued at $2500.00;held in kind and
distributed as such'at the appraised value,
REAL ESTATE TO BE CERTIFIED TO THE RECORDER
COUNTY BY THE CLERK OF THE ORPHANS t COUR
Robert G.Moss,devisor,to Cla.rence Paul Ellto
right,title 'and interest of the devisor in an
estate described as,VIZ:
$5,538 ..18
of all the
of real
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ALL that certain tract of land situa,tl~in PetErs Township,
Washington County,Pennsylvania,bounded and de;cribed ~s follows:
BEGINNING at a point on the west edge of Bowe Hill Road,
and being a corner common to land now or former y of Wa.ter L.Last,
et ux.,and land now or formerly of Robert p.Dlmpler,Bnd land
herein described,thence from said point of beg nning,~orth 79°
J....3 t 55ft West,a distance of 277.•44 feet to a po nt in I"y Lane,
thence the following courses and,distances:So th 64:>3~t IOn West,
214057 feet to e,point;thence South 20°20 t 45 t East,,91.,70 feet
to 'a point;thence North 33"53 t 25ft East,413."7 feet 10 a point,
the place of beginning.
Containing 1.4206 acres.
This description is drawn in accordance with a survey of
Englehardt-Power &Associates,Inc.,dated Maret 3,197~.A copy of
the said survey is attached hereto and made a pfrt herecf.
BEING a portion of the same tract of and which was con-
veyed to the said Robert G.Moss and Elizabeth •Moss,his wife,by
deed of Myra Dee 'COWden,unmarried,dated June (5,1936,and of record
in the Office of the Recorder of Deeds of Washixgton Co~nty,Pennsyl-
vania,in Deed Book Volume 607,page 1280 •The laid Eli2ab'eth N.Moss
died May 5,1949,and title became vested in Ro'ert G.~oss by right
of survivorship by the entireties.The said RolertG.Moss died
December 26,1971,and Letters Testamentary werE granted on his estate
to Clarence Paul Elliott by the Register of Wil s of Washington
County,Pennsylvania,on January 6,1972 0
UNDER AND SUBJECT to all the exceptiors,reservations,
rights-of-way,etc.,as are contained in the pr or deeds in the chain
of title.
CERTIFIED TO RECORDER:JAN~ARY 29,1973
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,.""",C CHAIRMAN .
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SE\;RE"'ARY
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DWG NO 8 -1600
PROPERTY SURVEY
FOR
CLARENCE P.ELLIOTT
SITUATE
PETERS TOWNS HIP
WAS H IN G TON CUi..)NTY,PENr~SYLVANIA
SCALE I INCH:IOU FEET MARCH 3,1972
ENGELHARDT-POwER a ASSOC,INC.
REG ENGRS CANONSBURG,PA.
P£TERS t'7.PGS zo.z~,2B·:!>1 J-8093
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APPROVED BY THE BOARD a:SUPERVISCRS OF
PETERS TWP"WASHINGTON CO.,PENNA.THIS'
::'..0 AY OF •t ---.::".',"•197 _
R IW LI~E
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BLDG c.INE
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SECRETARY
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APPROVED BY THE PLANNING COMMISSION OF
PETERS TWP,WASHINGTON CO,PENNATH IS
'}/~)DAY OF ,.."}'r,-',I,•:97.::-,
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2.7904 ACRES
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RICHARD M
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I HEREBY CERTIFY THAT ',HIS IS A CORRECT PLA"J OF
SURVEY MADE UPOflJ THE PRE\1ISES THE 2nd DAYal"
FEBRUARY,197 2 SHOWING THE.LOCATION OF BUILDINGS,
FEi\;CES O'?ANY OThER EASEME'.jTS OR SE~VITUDES
APPt.RENT f~I)M 4 ';URVEY ON 'HE GROUNL
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63-72-19
ESTATE OF
ROBERT G.MOSSi;'
DECEASED.
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leoPY OF SURVEY ACCOMPANY~NGJ
ADJUDICATION AND DECREE AND
SCHEDULE OF DISTRIBUTION
DATED DECEMBER 21,1972.
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flfG/STEiI 0,0 WiLLS
WASH/NarON co..PA,
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IN THE COURT OF COMMON PLEAS
OF WASHINGTON COUNTY,PENNA.
ORPHANS·COURT DIVISION
No.63-72-19
IN RE:
ESTATE OF:
ROBERT G.MOSS,
DECEASED.
PAY TRANSCRIPT
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LAW OFFICES
BLOOM,BLOOM,ROSENBERG &BLOOM
WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA
c-.'.'.!'"-/..
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE:
ESTATE OF:
ROBERT G.MOSS,
DECEASED.
No.63-72....19
PAY TRANSCRIPT
The undersigned hereby acknowledge to have received of
Clarence Paul Elliott,Executor of the Estate of Robert G.Moss,
deceased,payment in full in accordance with the Schedule of
Distribution of the Court dated December 21,1972.
Russell Marino,Clerk
Costs &Receipts $19.5
Russell Marino,Clerk
Costs in certifying deed
Olga o.Woodward,Recorder
Recording Certification
Russell Marino,Agent
Transfer Inheritance Tax
and interest
Clarence Paul Elliott,
residue 5 ,356 .84tt/tMi1-d-.D?Ctul ~fId~t;t;'
Clarence Paul Elliott
Form No.RCC-62 (4-71)'l'HIS FORM REQUIRED IN ALL ESTATES~ITHGROll,S ASSETS UNDER '10,000.UNDER SECTION 701 O,F ACT OF J,WE 18.IMI.JEFll'ECTIVI:JANUARY 1.1982.(FILE IN DUPUCATF:WITH COPY OF WILL ,ATTACHED)/'_. "~_s-7:;l-/7
~OFFICE OF THE REGISTER OF WILLS
County of .Yfl;\?H+~.q~9N .
.q~.f\g~~~~.?AV:J:...~:J:.~~9~~.,"of ~.~C?~~~~~..~?-n~f ••Vf~~.~.~~~!=.~t~.,..:P~.
(Name)(Addretlll)
being duly ~~<?.fP-.according to law,deposes and says that he is the ~_~~_~~!:_<.?~"_
.,~(Exec..Adm,.Legatee.Etc.)
of the estate of ~_Q~~g~~_~~Q~§whose last residence was g_~P_=__.:I±~!.__.Y_~_~~.!:~~!_
(No.)(Street)
~~~_~~_~~_<?~!?:~~?.-~P-..deceased,and that the whole of the estate of said decedent,who died __!?_:_:~_~_~::~_§_~_1971
(CitY.Borough or Township)(Date)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES Allm RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
LL ,that certain tract of land situate in Peters Township,,.
ashington county,Pennsylvania,more particularly described in tJ #'1-A..--/ J 'oJ
eed Book Volume 607,page 280.Jilt LfO,.,/$8,500.00
R/~/.f-..~',yf,-/.(,v
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\tth r;.,~0 l(J;t ~~8,500.00~/TOTAL REAL ESTATE:
r>5 ~~~.,J:)J .)/p~
f
----J
~~V7 ~w-'(!j~'V1I)f -,
/.'A....Pft ,/
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u;>'(
Personal Property f,lP-L -J/Ii
_~b~L~t?f.j P 1...'W l!
u.S.Savings Bonds 1,383.04KegvBellofpennsylvaniatJ?"""~~ft.Pc..;1~#"~L ~,,~r'rJ 5.55
I I ~U
,.TOTAL .PERSONAL PROPERTY:"~~$1.,388.59..
.~:'..',''.
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NOTE:You may expedite the processing of this return by filing with it,and as a part of the return,
letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the
decedent as of the date of death.Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account,account number and the exact name or names in
.'.which the account is registered.
Jointly Held Property
None
Transfel's within TWO YEARS Prior to Death
None
(.
.-:"
Estimated
Value
Norte
That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of
another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:-NONE
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
-
BENEFICIARIES
BENEFICIARIES AND ADDRESSES(State full names of all and their addresses who have
an interest,:vested,contingent or otherwise,in estate.)
CLARENCE~AUL ELLIOTT
I::>Goraons .!,JaneWestMifflin.Pennsylvania
RELATIONSHIP
(If step-children or
illegitimate children
are involved,set
forth this fact.)
SURVIVED
DECEDENT
STATE YES
OR NO
yes
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
of age
INTEREST OF
BENEFICIARY
IN ESTATE.
entire estate
,\.
RESIDENT DECE;DENT DEBTS AND DEDUCTIONS CLAIMED
NOTJi:N'List fir~t five 'it~ms in the spaces so provided observe notations thereon and instructions.'..,,,.DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN
KEGISTER ONLY
Funeral expenses paid $$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses *
Counsel fees *I
Fiduciary commission *
OTHER DEBTS AND CLAIMS
(*)See Note below
Statement of Debts and
Deductions will be filed..
'.
I
I,.
Total
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission or debt is greater
or less than the estimated amount claimed and allowed.t!cu1.Yvl./f.../L-!~&.~7£[:
Subscribed and sworn to before me this.. . . . . . .. . . . . . . . . . . . . .X .~(Executor-Administrator)
00 00 ..00 oo?..00 00 day of ..N;l9':1.~:t:00'19.?~CLARENCE PAUL ELLIOTTIl:-~ROWENE EBELING.Nnlil'J Public ..~.~~.~~~~~.(ti~~~N~;';b~;/.
• • • • •'c'••~.•.....•.••..•".•·My .(X)mmlsslVR .E;xp~n;s .February 8.1973
Washington,Washmgton County,Penft!'.. .WE?~t...~~.~;E.:I;.~.t:l,l..g?:~..~.~~.~?.
(City or Town and State)
Having been duly sworn according to law,I do hereby certify that the above appraisement is made in conformity with law on this
................../.7.·~dayOf ~..~~.,19.J~~~o········~~·······.;;::r:~·········r···~;····
In the event that any future interest in this estate is transfel'l'ed in possession 01'enjoyment to collateral heirs of the decedent after the
expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respectfully
report that I have allowed debts and deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount
is set fortll in the last column to the right in said schedule above,which greater or lesser amount represents the sum allowed as a deduction.
Dated:.
Register of Wills
l,
,
"
form No.RCC-62 (4-71)
WillAdministration INo Year .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
ROBERT MOSS
,";Deceased \
Late of.RE?t:.~J;~..':J;'9Y'J:I?-I?P.i:I?.
County of .W?i.q1J.~.ngt:ql:)..:.-!.
COnUno~wealth of Pennsylvania..
REPORT AND APPRAISAL
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RCC-Sl (6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUIHY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
38-236-8
j
~CLARENCE PAUL ELLIOTT
(Executor~
In Re:Estate of _----=R=O=B=E=R=T"""-=G~.~M""'O=S""'S'__
WASHINGTON Coun ty -File No.__6=..:3=--_7.!...!2=---:1=-=9:--_
Dear Mr.Elliott,
You are hereby notified that the__~o...r_j~g:t-J...·n........a....l _
appraisement in the estate of ROBERT G.MOSS
has been filed in the office of the Register of Wills of WASHINGTON
County on August 17 ,19--12,Said appraisement reflects the following
valuations:
Real Estate 8,500.00
Personal Property _
Transfers --=----:--=-=-_~-------
Jointly Owned _-=1::...J,'--"3~8~8::...!.'"-'5~9~_
Tota I ---"'9'-#,......8....8.L>8.........,5......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_u.=q=u.==s-=t--=1'-."-7--'-,--=1:..:::9-=7-=2"---_Signed _---'F=....:RE=D=-T.=..O=S.""I _
Title APPRAISER I
DATE OF DEATH:December 26,1971
Note:This is not a bill.
LAW OFFICES
BLOOM,BLOOM,RoSENBERG &BLOOM
I.C.BLOOM
GEORGE I.BLOOM
MILTON D.ROSENBERG
SIGMUND L.BLOOM
GEORGE R.SEWAK
W.BRYAN PIZZI II
200-210 WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA
15301
August 14,1972
ARE:A CODE:412
TE:LE:PHONE:225-4100
PENNSYLVANIA DEPARTMENT
OF INHERITANCE TAX
Washington Trust Building
Washington,Pennsylvania 15301
In Re:ESTATE OF ROBERT G.MOSS
Gentlemen:
Relative to the above captioned estate,
please be informed that the item listed as u.S.
Savings Bonds $1,383.04 represents the proceeds
received,including interest,when the bonds were
cashed in.This item appears in Form No.RCC-62.
Sincerely yours,
BLOOM,BLOOM,ROSENBERG &BLOOM
By
MDR/je1
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RCC-39 (5-68)
.,"i,"'"~;'.,.':';
COMMONWEALTti OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMA~Y
Estate of_M_O...:S....::S:.....-__R~O:....:B::...:E::...:R:...:.T=-_-.......:.G....::•...,...,.,....,...,.,....,...,.,.-DATE OF DEATH
(Last Name)(First Name)(Initial)
12-26-71FILE NO.63-72-19
RErORT OF'INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Apprlliser in and for the County of WASHINGTON
Pennsylvania,do respectfully report that t 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,August 17,1972..~3~~
INHERITANCE TAX APPRAIER
REPORT ()F THE REGISTER OF WILLS
I,the undersigned dqly elected Register of Wills in aJld for ,County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amoun~s claimed by deponent,except as·to those items where a greater or
lesser amount is set forth in the lastcolumn to the right in Schedule "1"",which greater or lesser amount represents the sum
allowed as a deduction.
Dated:-__-............-
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
9 888 59
9 888
o E
9 888
59
59
VALUE AS REAPPRAISED
$-------+--
:..,........'---"-E
FOR USE OF REGISTER ONLY
Tax on $-_........__2%·
Tax on $-+-..._............6%
Tax on $5%
Tuoo$W%
Tax on $15%
&e~tioos *
Total Estate'---'_
TOTAL TAX
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
COMPUTATION OF TAX$----.....,.......,.,.....,.........--
$......._------+--$-..4__
$--------+--$-_--..4--
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $"---....J .
AMOUNT OF ESTATE TAX ASSESSED $----.--:.,,....,..~L-.
Estate tax paid $__--_....JL.-$..,......;--11 .
BALANCE DUE L-
Add interest at rate of 6%from
------tt'o-_-_-$,..-,----~...t=....TOTAL TAX BALANCE $----.-.....------',
PAID $--,...J
FOR USE OF REGISTER ONLY ADjUSTMENTS
..NOTE:Where subsequent adjustments are made to the above cOmPutation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration (No .
IN THE
Year
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
ROBERT G.MOSS.........................
Deceased
Late of ....l?ET~R.S 'I,'WJ:l~.
County of WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
='.
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..
-Funn RCC-2
COMMONWEALTH OF PENNSYLVM.JIA DATE August 17,1972..............................................................................,.........
DEPARTME1'~T OF REVENUE RESIDENT INHERITANCE TAX .....W'As..HIN..G..'r.QN........................I •r.COUNTYBuREJ'iU OF COUNTY COLLECTIONS ...........,
HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO............~.~.:.......?.~.:.~.~................................
I
Whereas,...................g9.:E3,:e.;.B~....G..!.....M9.$§.......................................................................late of .........J:>.~':';~.~~....~.~......................................................
in the County of .................WASHI.N.G'l'QN.............................................................................Commonwealth of Pennsylvania,having died on
the ............................~.§t.h..................................................day of .................p..~.C?~l:>,~.~...........................19.......?.~seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,.......................FRED....TOS.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 transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest.
Unit Appraisement
I
Description of Asset Values Made for Inheritance
Tax Purposes
$
REALTY:
SEE COpy ATTACHED TO APPRAISEMENT 8,500 00
PERSONAL:
SEE COpy ATTACHED TO APPRAISEMENT 1,388 59
total 9,888 59
,
:
-I
L.<J (NUm~and Street)
...........................................~.
fPoat Offiee)
........,Penna.
,---
WASHINGTON......,.......•......•....••..•..•..••.......County
..~
-le.
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ROBERT.G.!!.~9.§§.
Deceased.
Late of
PETERS TWP.
Date of Death,~,.~~.?§.~.7J .
Appraisellleilt Docket Vol.,38 .
Page,2.3.6.~.8 No.6.3~.72~1.9 ·
Filed in Register's Office;~':1.9.~J.?.19 7.2
Anwunt of taxdtte,$ ;,.
DEPARTMENT OF REVENUE
Received,
~xamined and Apprpped,:':..
Wrote abo,lIt Appraisement,
Appeal f,.ol1l Appraisement,.
Entered and charged,..,
J'
AND AGENT OF THE COMMONWEALTH
Form RC C·lO
I'OFFICE OF THE
REGISTER OF WILLS
OF WA~1NGTON COUNTY
STATEMENT OF DEBTS
AND DEDUCTIONS
ESTATE OF ROBERT G.MOSS LATE OF _p;;;.-.;:.e....;t;..;e;..;r;..;S~..;;T;..;O;..;W~n~s.;;.h;..;i.....p~......,.._
DATE OF FILING APPRAISEMENT DATS OF DEATH --=D"",e=c""e;:;m;::b,..e=r---,,2;..:6::..L.'--=1:..:9;...7;...1=-_
DATE NO,OF NAME OF PAYEE REMARKS AMOUNT
VOUCH""
1-6-7D.Reaister of Wills Letters Testamentarv 11 50
1-21-02 Washinqton County Reports Advertisinq 14 00
1-26-172 Observer Publishing Co.Advertising 14.00
For materJ.al.and l.abor J.n
1-27-172 Walter L.Lash repairinq estatepropertv 1 577 12
2-11-172 Walter L.Kennedy Funeral Expenses 857 25
5-2-7~Recorder of Deeds 1%Realty Transfer Stamps 60 00
R-11-2 Reaister of Wills Filina Inventorv &'Rrllrlnroe 9 SOofletters
Notarv Public Five Acknowledaement s ?..;n
Clarence Paul Elliott Executor's Commission 494.27
Bloom,Bloom,Rosenberg &Bloom ,Attornevs'Fee 4.G4.?7
Russell Marino,Register Filing Account 16.00.U~·_~·_"~~\J't S'O',~lA.JU.AU.t A ...lY\.(J TOTAL:I~':)I::1::"1111
"'.
-.,
-
.
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF WASHINGTON
I.CLARENCE PAUL ELLIOTT
ROWENE EBELING,Notary P.tJblic
My Commbsion Expires February 8.1973
Washington,Washington Coull!y.Penft,-
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MOSS,Robert G.
In the matter of :the Audit of Account filed in the Estate of
~.~..
IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA.
)naoo of d~I i -'tIp-1!
\No.19 of 1g~,Term,19__,A.A.
D«.."")DocketJH)G--1_,
TO THE AUDITING JUDGE:
Enter my 'appearance for the Commonwealth of PennsylVla\wa,claiming tI'ansfer inheritance tax in the above estate,as follows:
$----------_..
$---------
CALCULATION
Gross v:aJ1ue_________________V vI ~j)~11
Less Deducti(}ns ~,'-~'1~-cr7-------
Clear Value --.---JJ s~}rSL _
TOTAL DEDUCTIONS,$ _
$-------
$------
$--------
$-------
$------
GROSS VALUE ..__..........$
CR.
Additional Assets per Account,Subject 'to Tax..... . .__.__
Additional Assets per Audit,Subject to l1ax ..__$--;:-_-:::::--_
Z;~l ~flJ::t-
3 ~'-tLf ri-f-_
~:'appraised Vialue of Estate:Realty_________ .__... . . .00_..____$2::s\.~,~.
Personalty .._.....__. . .....$_J_~_.~~r-I-....~s---fr:---...-
/2...k 5~)r ,~•
\-------._---_...----
-----_._---------_.
ToJ
able
a'l:
2%
$"'L_
$----'-------
$---
$
$
--'7",---r---7---":-~_'___Tox-?J'!.~').fl,=--=
\I'"1/f.t>./_.=-u t5>,-~=--'----+------}
a.~PAID ON ACCOUNT
_q_$?'rJ.tJ t
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h .1i No.,Term,19__,A.A.
ESTATE OF
DeceaSEH1
PRAECIPE FOR APPEARANCE
FOR
COMMONWEALTH OF PENNSYLVANIA
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
,I,
RCC-43 (5-65)
NOTE:'TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department of Revenue
Bureau of County Collections
26 S.4th Street
Harrisburg,Pennsylvania
Dear Sir:
Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961
we herewith submit the following report:.,'
NAME OF REPORTING
FINANCIAL INSTITUTION Western.Penna.l~ational Bank
ADDRESS )SOO Extension Avenue,'F:Wleyville,pa.t,332
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT Sa,v1nge #005 0032 093 "
NAMES ON ACCOUNTORINVESTMENT 'liobert G.MoeSOl"Clarence P.Elliott
RD#l,Box ,3,Venetia,l'a.15:367
DECEASED JOINT DEPOSITOR,/
TRUSTEE OR INVESTOR 'Robert G.Moss V.
ADDRESS....;':--_----:.__RDlI-:.':....l..:,,_Bo_·,:.-X....:S:..:3-=-i_V....:,El-:ne_t_i_a:..,_P..:.:,a•.::....'..:::1.::..:":..:6....:..'_
DATE OF DEATH Deo.26,1971
SURVIVING DEPOSITOR,j
BENEFICIARY OR INVESTOR Olarence P.Elliott
RELATIONSHIP TO DECEDENT Step....brother
DATE DEPOSIT OR INVESTMEN'-=T----=----~-----------:.-
WAS ESTABLISHED_·,J_.Uly_.;;....._S.=:..,_1..;...971_.·.·---','---_
BALANCE,INCLUDING INTEREST I'j
DUE,AT DATE OF DEATH $_'$12_...·_,2_'...;.,0._'0_·'_'_'--!:/_';~_',-l_()~e..::::-;V:::..·!..../_S_I_4()__
1"7;1J 1.).:>-J7I,JO '"I)1"J J ··~f
"?'1'b 1,'i.s7·S '/="!/.G'r/Signature TITLE
~<\RCC;~9-7t)
'C~EAL TH OF PENNSYLVANIA,...
DEPARTMENT OF REVENUE'
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF INHERITANCE
TAX APPRAISEMENT AND ASSESSMENT
OF ASSETS NOT SUBJECT
TO ADMINISTRATION
Box 53,Venetia,Pat 15367
TO:--JC.u.LAREoM&UoI~N~CE~P...!...~E::.:!:::LL~I:::..::O:...:.TT-=--_
R.D.#1
Date:MARCH 6.1972
County ltJASHINGTON
County File No.\..i?-c:2.3 6 -9
Bureau Fi Ie No.---",6~.3",--......:/);,...=:rfl;....-.l-/~;,L...f _
We have received notice that,as a result of the death of Robert G.l-10BS (Venetia),
on December 26,19 71,you came into ownership of certain property through right of survivorship,which
was formerly owned by the decedent.
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.
The property on which tax is hereby assessed consists of:JT.SAVU:rr,S #005 0Q32 093 HEW IN THE
WE~TimJ PENNA.NATIONAL BANK FINLEYVILlE OFFICE,FINLEYVILLE,PENNSYLVANIA In the names'
of Hobert G.Moss or Clarence P.Elliott.Opened July 8,1971.Balance as of date of
death $12,250.)0.
appraised by th~Commonwealth,as of the date of death,at $12.250.30
100 %of thi~amount is taxable at the rate of J 5 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
$--------
AMOUNT OF TAX DUE
"'
1,837.54
If you'pay the above'amount within three (3)months of the
date ofdeath'of the decedent,or on or before March
'26'19~,you may deduct a discount of
5%of the amourit of tax due,or '91.88
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 tax,statutory interest at the rate of 6%of
the tax per annum is also due as of *19__
in the amount of .--------
*1£the tax is not paid by the above date additional
interest is due at the rate of 6%per annum until paid
••
(Agent for the Commonwealth)
1,237.54 $================
RUSSEll MARINO.
$TOTAL AMOU.NT DUE(/iL-1"''c')//,.,J;c".f'b <'ASSESSED BY:
(Inheritance Tax )\ppraiser)
APPRAISED BY:('"
INSTRUCTIONS TO TAXPAYERS
,',.,~,I'u t···0.···e,h",..............u • ,..,...t~.I'i."""".'
15301
COUfil HOOSE
~ASHINGTOn.PEGRA.
Make checks or money orders payable to:,To insure proper credit to your account
~" "this Official Notice must accompan,y,'II An It •your payment.Mail or,bring it to:,P~~/lls£t '~/~~'"",,
J_/b -7c1-
~tl Stj£Ob(J
(over)
--
If you have already paid this tax to an executor,administrator,attorney or other ,.p~rsonal representative o~.~
decederi'tfor for';:"arding to the Commonwealth,list below the date paid,name and address of the person to whom
you made payment,their official title and the amount.
Date Paid Name and Address 'of Payee Official Title Amount Paid
Under certain circumstances,if,after the date 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 agafnst the gross value of the property in the computation of tax due.If any
suC'h expenditures meet all of the three following tests,it is recommended that you itemize the payments below,
execute the affidavrt,and return this notice.The Register of Wills will examine the debts claimed and allow
those which he determines to be proper.The tax will then be recomputed and you will receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:,.
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 ~ai1dling the <:ldministration of the general estate of the
decedent or any other transferee.
'';:
SCHEDULE OF DEBTS
C
I
Date Paid Name of Payee ~Description of Obligation Amount Paid
"
...\,
".
..
.
TOTAL $
(attach separate sheet if requ ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF:_
SS:
I,hereby certify that the foregoing is a just and true statement of
funeral expenses and other debts of the decedent,,for which 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
tax purposes.""~\:'p
SWORN AND SiJBSCRI BED BEFORE~~~JYU:H,I\.,~D;A~~~"l,-r_I.,....-----::~_---:::-=-_
Si gnature of Taxpayer.~.*.....~
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I
have allowed deductions listed above in the total amount of $•
Date of Approval:---.,;_
.,
Register of Wills
NTY WASHINGTONcou .
FILE NO.63-72-19........................................................................,....
Fonn R.CC-2
r_""y
DEPAR.TMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG,PENNA.17 127
COMMONWEALTH 'OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE MARCH 16,1972
Whereaf!,RQ,e.~T.G:.,MQ.$S.late of VENE.TI.A..
in the County of WASHlN.GTON Commonvvealth of Pennsylvania,having died on
the 2.6th day of PEC.EMB.ER 19.7.l ,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,f.r..~~.~§,1.~Q ,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:
I
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 AppraisementDescriptionofAssetValuesMadefol'Inheritance
Tax Purposes
JT.SAVINGS #005 0032 09)HELD IN THE WESTERN PENNA.NATIONAL BANK OF $
FINLEYVILLE OFFICE,FINLEYVILLE,iiENNSYLVANIA.In the names of Robert C ......."-'12,250 30...',
~,.
Moss or Clarence P.Elliott.Opened July 8,1971.Balance as of date..
of death $12,250.30
,
..'
I
;
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,
Having been duly sworn ~6%hding to law,I do hereby certify that the above appraisement is made in con-
formity with law on this day of M~r.~.h..................................................................................................19.7?.
Frances Leo••••••~••.•..••••..•••••(Jj~,;.,J<b~=t:.~••••••Ql~~".penn~.
WASHINGTON County
",':':.:
R~SIDENT INHERITANCE TAX APPRAISEMENT
Estate of
.ROBERT G.MOSS
Deceased.
Late of
J1E.NE.'l.'JA......'".
Date 'of Death,I?~g~~~~.?'...~.9..?~.
Appraisemel!t Docket Vol.38~.\,,J'~,/-~.
Page,2.3.6.~f;t No.93..~7.2.~19 .
Filed in Register's Office,~r.~h..Jq.J.....J9..7?.
Am.ount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Ex-a.mined and Approved,.
Wrote abo.ut Appraisement,.
Appeal ft-om Appraisement,..
'Vel ··O~)NO.t~)IHHSWA
S-n !~\\J 0 If::J.t SI~3l:l
ON\C1 -rUsSnB
to Zl~d ~/.]30 2L
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Entered and charged,.
l'ir ,IJ
",hl
~.<!'.,j,-.,
BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
DEPT.280601
HARRISBURG,PA 17128-0601
if)3f-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX
STATEMENT OF ACCOUNT
REV-1607 EX AFP (03-96>
J
BLOOM BLOOM &BLOOM
200 WASINGTON TR BLDG
WASHINGTON PA 15301
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
08-05-96
MOSS
12-26-71
63 72-0019
WASHINGTON
101
Amount Remitted
ROBERT G
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
WASHINGTON CO COURT HOUSE
WASHINGTON,PA 15301
NOTE:To insure proper credit to your account,submit the upper portion of this form with your tax paYment.
CUT ALONG THIS LINE ~RETAIN LOWER PORTION FOR YOUR RECORDS ~----------------------------------------------------------------------------------------------------------------REV-1607 EX AFP (03-96)~~~INHERITANCE TAX STATEMENT OF ACCOUNT ~~~
ESTATE OF MOSS ROBERT G FILE NO.63 72-0019 ACN 101 DATE 08-05-96
THIS STATEMENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAMED ESTATE.SHOWN BELOW
IS A SUMMARY OF THE PRINCIPAL TAX DUE,APPLICATION OF ALL PAYMENTS,THE CURRENT BALANCE,AND,IF APPLICABLE,
A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT OR RECORD ADJUSTMENT:
PRINCIPAL TAX DUE:
PAYMENTS (TAX CREDITS):
03-06-72
2,783.09
PAYMENT RECEIPT DISCOUNT (+)AMOUNT PAIDDATENUMBERINTEREST(-)
03-16-72 XF046060 91.88 1,745.66
08-28-72 XF079869 .00 800.00
01-29-73 XDOO0556 2.98-147.84
08-03-96 WRITEOFF .97-1.66
TOTAL TAX CREDIT 2,783.09THEDEPARTMENTHASWRITTENOFFTHE
BALANCE DUE AS UNCOLLECTABLE BALANCE OF TAX DUE .00
INTEREST AND PEN..00
TOTAL DUE .00
1-..._----------------------------------------------------
RECEIVED EIGHT HUNDRED and 00/100 --------------------------------------dollars
Clarance P Elliott -Excr.representing Pennsylvania Inheritance or
From:ATTY.BLOOM BLOOM,ROSENBERG &BLOOM Estate Tax due from the following estate:
Address 200 WASHINGTON TRUST BUILDING 2%Tax on $---------$---------~
WASHINGTON,PENNSYLVANIA 15301
File No.63-72..19 Date of Death 12-26-71 15%Tax on '.$On Account $800.00------'-----101
$----------Ifl
August 28,19_7_2 4
Nome of Decedent H_O_B_E_:;'R_T_G_,_M_O_S_S_'--{
%Tax on $---------$---------Illl
Estate Tax,Act of
May 7,1927
.County \,_vA_S_f_l_I_N_G_T_O_N_i --{
Remarks:
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest 01 the rate of
__%from _
10 _
800.00$----------II'J!
$---------
$----------'"1
i I
NOTE:To be delivered to taxpayer
SEA L TOTAL AMOUNT PAID $==8:=0=0:::::.:::::0:::0==:1A
Ln'!.
...--Tl
:IE :::0
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J>rn ::0
(J)G)c:e:;:,
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6 ;......_~
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0 :::0-r Z ,-'J
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1
1
1
1 5 7
8 5
6
4 9
4 9
1
:3
:3 5 8
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1 5 0
4 0 0
4 o 0
7 1 2
7 2 5
0 o 0
9 5 0
2 5 0
4 2 7
4 2 7
6 o 0
4 5 0
4 9 1 ,I-',',
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L-21-13Date;~-+__~---L.__-I--197_
RECEIVE~:
~.Ll)n4AA~
to be recorded in the Recorder's Office of
Washington County,Washington,Pa.
~1 FROM
If~;t b,In ~
TO
Miscellaneous .
Recording fee $'__-IZw,~a_o-,-_
Type of instrument
Instrument number
........"....
State Stamps $I ~_
N~2436 Olga O.Woodward
Recorder of Deeds
By
).001
•8,5 GO .00
8;500.COS
L3 8 3 .0 ti
S5S
91 8 g 859 S
91 S g 8 .5 9;
.00 T
"J I
i\ffi~auit ®f 1£xrrutnr ®r i\~mtut6tratnr-
.,~tatr of 'rnn!iylnanta.t lUi:
.Qrnunty of lIaBQtngtn~\
.Pers.onally before me,the undersigned authority,a ~.~.~.~y.~~.l1:-.9.~,.in and for said
County and State,appeared ~~~~~~~~;.~~who,being duly
sworn according'to law,deposes and says that he is the executor~of the estate of
...~~~~~.'!'~.~~deceased,that the foregoi1'1g s~hedules constitute a
complete inventory and appraisement of the real and personal estate oL.~9.~~~!F 9.~~§.~,
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 an~Lstated by the undersigned to
be the fair value of said items as of the date of the decedent's death,basedupon a just appraisement of each
item made by the above named Executor~.."0,
S'worn and subscribed before me this....1.1::!I..1.......
day of J\.QftO.\19 1~..H./..i:./..((..Lf..<.:.?-.-.(:•.:t:J....t::.<./..-.t!lf..t~,,(;,.;;s£~(t..{.f&L1:
/.
,j /}.'/(I"•,I Executor-~..4.y....:#.;;;f.':::~;.~'".+,.......5:••"<:'~r£.£..,;(....:/.C~/':.......................Clarence Paul Elliott
(.L~l)ADDITIONAL INSTRUCTIONS
1.An inventory must be filed within three months after appointment of.personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
3.1 Original and 2 Copies and 2 HCRI-34,Under $10,000;1 Orig'inal and 2 Copies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of W'i!l and copy of Federal Estate Tax Hetnrn.
REFERENCE FOR ADDITIONAL COpy
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
,
Wl'.l11,
were
lhtttrutnry aUlI Appratarmt111 of the goods and chattels,rights and credits which
aoBBRY G.MOSS Peters ~.hipof·late of .
Washington County,Pa.,taken and made in conformity with the above affidavit.
ALL·that eertaift tract of land situate in Pet$rs
'fO\nlchip,waahlft9~on COUnty,Pennsylvania,more
smrticntlarly dG8cr1bed in Deed Book VOlume 607,
p$qo 280.
..11 of Pennsylvania,rebate
REAL ESTATEI
PERSONAL PROPER
'l'O'l'AL INVENTORY I
DOLLARS
$8,500.
1,383•
CENTS