HomeMy WebLinkAboutOC1968-0163 - ESTATE OF BUSHMIRE_02NO. . __ _......3""'"1 2 of 1968 ·_-. _: 19-.-
ORIG. FILED WITH. No.6 3-68-163
ESTATE OF
.
WILLIAM BUSHMIRE,
DEC''D
PRAECIPE FOR APPEARANCE
and
ANSWER TO CITATION
DATE. ___ f_1_l_e_d_: __ Fe_b_._2_8_,, __ 1_9_68 __ _
Georgt3 J. Modrak ATTORNEY-----~-------~--~----~~ Attorney for Respondent
Irene Bushmire
,_
F€1Rl\.167
RJJV. il.-50
REG. WILLS
1\ppliratinu for i4rttrrs. of .Abministrat1ou nu tbr
Estc.te of ................................ W..!.h.h.!.~M ... ~.h!.~.!:1M.!.~.~ ................................................................................................................................... ..
.... ·································· ·················· ......................................................................................................................................................................................... .
· l~te ·of ......... ~?..?. ... ~·~.:.~.?.~.~ .. ~.!~.:.:.!.~ .... ~.~.~.:.~ ... ~:.~.~.:r!.~~.~.~.~ ........... ~ .................. , Deceased.
Before the Register of ,Nills of Washington County
r:ers.)na_l y appel: red ..................................... ,: ................ ..Jr.e.ne ... 6.v.shrnir.~ ..................................... 4 ............................................................... ..
who, b~ting dul: sworn deposes an~ says that.. .............. W.J..I .. I.J.~!!L~~~b.!:l:!.!r.~ ....................................................................... .
a_se.4 ..... ~& ... , ha\ing ..... h.i:; ...... last family or principal residence at.. .... ..I.Z.9. .. .Qr.£.19H:!...S..tr..e.e.t. ..................................... .
· (Street and Number)
................. : .................................. _ ........... Muse .............................................. , Washington County, Pennsylvania, died intestate
(City, Bo-~ough, Township)
' ' '
;:j: .... 4 ................... Cc nor:lsbur~ ... Gel-1er.cl.l:fhsp.i.tp oriif'the .... !:i. ... day of ....... ,Au~ust ........................................................ ..
L D., l9 .. 6Z ......... , at... .. _, .............................. ·.~ .................... M., posse~sed of personal estate to the estimated value
$ ... 2-,.Q.~.O .... O.O ........... , and ()f real estate in the Commonwealth of Pennsylvan.a to the estimated value of
$.. ............ 4 ... ~~~: ....... , situEte in ............................................ : .............................................................. _ ................................................................ ..
-·····-······-·················-.................. ······················································································································-·································································· < •
T:1e name:3 and addresses of the decedent's surviving spouse (if an~;) an'd other heirs including
beir:; b·; adoptic·n) are :!IS follows.
RELATIONSHIP I RESIDENCE
~ ..... Wil.Li.am .. J .•.. Bu.shmire.r···Jr .............................. ; .. s~m .............................. Ri.d.ge.A')l.em. e., ... Cancnsbur.g., ... .P.a ................. ..
l«l'f.D'lond Bushmire Son R. D. #2, Wcshington,r Pa . ............ ... ·····································-·············································· ..................................... ·································-··································································
-::. .. J-~9~ r..!~~ ... G..~h!.!... ..... -............................................... !?.~~abt.~r. ................. ~!.~ ... P~.~.9.~~~ .. ~~~~~~l ... ~~~~~9.~~.( .... P.~.: ..... ..
·-····~~~--~~~b.~.~.~~ ............... -............................................... ~.~-~ ............................... ~ .. :.!?..:.~4-r. ... M~.P.~!:!~.!.~.t. ... ~~-: .................................. .
....... tl!9r.!Y .. ~Y.!ihrn.i.r.~ .......... -.............................................. S.9.D.. .............................. M.9.!.D .. .B.9.£1.9 . .t ... M!:'.~~"-.. P.g .. ! ....................................... ..
r..-... f. .!t~ .K9~~9..'!. ................. _; ..................................... ; ....... P9Y.ab.t.~t... .............. ~!.~ .. P.9.~ .. L~t~~~tl ... .Q.1.~~~~.~-~.( .... P.~.: ................. ..
. •:: ... ~.\Y.~~ .. .T..: .... ~~.~.h.~.!E.~.-............................. : ................ ?..~D ............................... ~ .. :P.:.~~r. ... f~~!:l.~~~.~S.r. .... ~~.~ ............................... ..
. ..... ~~!!: ... ~~~~!!.~~-~ ..................................................... -... !?.9.~~-h.!.~E ................ !?~ .. 9~.:.~.~-~-~.?.~~:.:.~!. ... M~.~~!. .... ~~.: ........ : ......... ..
'
That deprnent is )ver 21 years of age, reside3 at... ....... ..!Z.9. .. Qr.~.b.g.r.9 .. ~.t.r.~.~t~. ... MY.~~.t ... P.9.~ .................... . . ~
..
"'"•••••-••••••-•oooooooooooooooooo oooooooooooooooooo •••ooooooooooooooooooooooooooooooooOoooooo-ooooooooooooooooooOOOO••••••••oooooooooooooooooooouo•••••••••••••••••••••-•••••••••••••••••••••••••oooooooooooooooooooooooooooooooooooooooooO . -
5s ~ ci:izen of the Unifed States and a resident of Pennsylvania, and respectfully applies for Letters of l
A.dmin.stration upon tre Estate of said decedent, no letters having been ?reviously issued thereon.
Sworn and rubscriberl before me this ....... ..;i ... O..: ....
day o£.. ............. J~2Y.~!:I:!.~J.f. ................. , A. D., 19 .... 9.!. ...... . -9-1-~~d_ .. ?.?L~r.a···-.. ................................................. ! .............. : ...................................... ..
·~~~~L~~~t,EmtsYtVANrA1 s~~ -· ->'" '"·-· ·
Jl.nd now ... ~.~.'f.~.~.~E ................... ~.~ .. : .... : 19 .~!. ...... , comes ............. !~.~D.~ ... ~.~.~.~.~~.: ................. : ...................................... .
woo bdng duly sworn doth depose and say that.. ............ sbe ..... will well and truly administer the goods and
:hEttels, rights. and credits of ......... : .................. W.!.JJ.!.~!!I .... ~!J.~b!:I:!.~F.~ ............................................................................ , deceased,
to :he best of... .. b.er..skill and judgment in strict compliance with the laws of this Commonwealth, mind-
ful of the lawe relatinf. to inheritance taxes.
-.
,:lwc-rn and mbscribed before me this ....... ~ .. ¢. .......... .
::la: of. ....................... hlo~emh.er ............ , A. D., 19.67. .......... .. ............ ,f .... ~ .......... ~ .................. ~ ................ /::;;:jj~"~ ....... : ... "__t!!!~"'""""'-""""""""""""""""": ....................................................... ..
............. .............. ............... -...................................................... ~. .. ....................................................................................................... .. £ REGISTER
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~, 63-~%.-;;-'/03
APPLICATION FOR
Letters of Administration
ESTATE OF
WILLIAM BUSHMIRE
Deceased
R ·$ .............................. ...
~ Letters...................................................... /.0 ·-
p $ ................................ .
Extra Alias $ ·, ............................................... .
Certificates ........ / .... $ ......... /r. ... '::~ .... .
Renunciations ...... / .... $ ...... /.' .... ~ ....... ..
······~:.:.:.:::::::: ::.::~=:oi::.:.~:::;:::::::::~~::::::: ......... ~i.t.'!.. .. ~ ..... Jf ~
al ............... . Tot ·········· · r
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Attorney
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ESTATE OF
........................ WILLIAM .. SUS.I:iM.lRE ............................................... · ....................... DECEASED
. .
The u:-d~signed · ...................... l~gqt.e.e.$ .................................................................................... and heirs
of ···-· ....... W.i.l.i.i.Q.~ .. ~Y.~hm!r.~ ................................. late of .. !?..? . .9~.~.~.~~~ .. ~~.~~~!.' ... 0.~~~-~ .. ~~~~~Y..1.~~-~.~a ·
I d . b . h • • h d • • . h' aeceas:e , .nere y l'enounces ..... t .. e 1 r. ng t to a mtmster on ................... ..1.~................................ .. estate
znd ~~e:::tfully asks that Letters of Administration be issued to ........... lr.ene .. Bushro.h:~ .................. .
Sgned :.n.the presence of:
V:"' / ~"' . ~~~~ .... {'~ ... , .................. .
~ X _/!// . ·. • ...................... ~ ......................................... .
,;
· · · ···· .. ··Raymond· Bu.sh ill.(;.················:·· .. ···--.-·
. ··········~~, .......... : .......................... .
••ooooooo•u•-•-••••••••••-•••••o•oooooooooooooooooOoooooooooooojooooooooo · ···········Le·o··sushmii-'e ............................. , ............ .
·-·······-······ ................................................. :: ........ . . '
. -·······-~"--............................... ··········· ......... : ....... .
· · · · · · ·:;; Hai-r~Bu shriiTre · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · ·
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Estate of ....... 1fi~).J.~~l:D:. :S.~.LJ~~.r.~ ......................... } 7t1
M No ... 2.2-..... f .... of 19 .......... .
late o;. ......... .1-~$.~ ........................................... , Deceased
. Kl"OW ttLL MEz..· BY ThESE PRESENTS,
Tlut we, Ir,~-~~--;B,.ll~.l~4:r.~ .... ~.~ .... ~.:r.~~~ .. ~J?.~.~-:.Iil~<:l: .. ?~~~~-~---·~-~~~-~--~---~~-~-~-~-~-~!. ... ~~-~-·-·""
_ ... _ .. ~U.arf)..n.ty .. Q. o.~ .... l=·.~.l.tJmm;·~-# ..... ~q-~ ... ~!l.r.et.~.Y. .................................................................................... .
.all of Washingtolb County Pennsylvania, are held and· firmly bou~d unto the Commonwealth of Pennsyl-
·val!tia, for the use of those interested in the estate, in the. sum of .... '.r.!R.Q ... ~:PQ.l1.~~A~ ................. Dollars, to
be pa:d t:> the said Comm:mwealth, to which payment, well and truly to be made, we do bind ourselves,
, ~oiatl y. , and .. seve'ral.;y,-for-a:nd -in··l'hc, ,,w hole;~our .. ·heirs,~· cxec,1:1 tors,., •administra torsr··successors-and· ··assigns;--and · ~~
each :.nd every ot. them, ~irmly by these presents. Sealed with our seals and dated the. 2P.t.b." ...... day of
.... _ ...... ~~~-~.a...r.! ..................... A. D., one thousand nine hundred and ........... ~~~~.1iY. ... ~~g~~ .......... .
THE CC·NDITICN OF THIS OBLIGATION IS, That if the_ above bounden ............................ .
. . ·.:· .............. -......... "'. ;;r.,~P.~ ..... ~.ll. ~-~Jr.~ .. "." ... " .. ".""."." ....... ,_.," ......... "."." ......... " ...... "." ............ " ...... " ... " ..
Ad.._'Tiir.istntor ............................................................................. or any, of them, shall well and truly administer
«
>the es:ate accordin~ to law, this obligation shall be void as to those who shall' so administer the estate; but
otberwise, it shall ~emain ir: force.
..--~~?.Z .. ~~EAL)
Sealed an::l deliver.·d in the presence of: Uni.ted States Fidelity-and Guaranty-
. ()'~gD!()"O ~ !l!t1• 81l"et~(SEAL) .
8fttOr~~ :!'~(SEAL)
············································· ........................... (SEAL) .
~tutrmeut nf ~urdy
I, -------------------~----------------------------'c... ..... __________________ , surEty in the sum of $------------------on the
admi.n:;stration bond in the ~state of ___ __ ·-----:--------------:------------.. -----· say that I reside at
-------· Washington County, Pennsylvania; that I am the owner of real estate, the
titl~ tc· wE.ich is in my own name and ·duly recorded, situated in .............. -.................................................................................... ,
Washi11gto•. County, Pennsyl...ania, worth above all encumbrances $ ......... ~----------.... -... -.... -...... ; and that I am worth the
.rumwi: eli(>ressed ia said boad, over and. above my just debts and liabilities. . . ."·)
·--------------------.:.. .. , .. _____________ : ______________ .~-------------,----7: .. ..: . </
-------------------------------------------·------------------------------Street P.O.
&tutrmrut nf 8>urety
I, -----------------------------·--------------------------------------· surety in the sum of $----------------------------on the
admi.n;Stration bond in the ~state of ...... _____ .. ______________ .. _:·----------------------;--------'---------------------· say that I reside at
_______________________ _: __________________________ , Washington County, Pennsylvacla; that I."am the owner of ·real estate, the
tite teo wlbich is in my own name and duly recorded, situated in .............. -.................................................................................... ,
Washi11gtom County, Pennsyh..ania, worth above all encumbrances $ .... _______________________________________ ; and .that I am worth the
.amJun't ·e);(lressed. ia said. boa~. over and ab~ve my just debts<and liabilities:.
----------------------· ----
Street P.O.
COO!Illl<>WVEALTI:I OF PEN:~SYLVANIA, } SS: W'!\SHINGT•)N COUI''TY,
Al:.d J:()W .......... _ ................. -......... 19 ............ , comes ...................................................................................................................................... ..
who reing duly s~c·rn, says <that he is acquainted with the financial standing of the securities to the within bond; that
the said obligors hcve each ~xecuted the said bond and that the sureties thereto are the owners of real estate in their
owl right (){ value more than the penal sum of said bond over and above all incumbrances and exemptions.
S\\Drn and sub:.cribed before me this ............ ---------
da: ol ......................... ..., ........................................................ A.D. 19 _____ ..
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1\~miuistrntinn 11lnM
IN THE ESTATE. OF
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And now ........................................ , . 19 .: ....... .
Bond approved and Letters issued to
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Bond Book ....... ~.L-~---· Page _;{_qf
BADZIK PRINTING ~9 DONORA
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Fonn No. RG:;-6~ (12 66) rHIS FORK REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 18, 1981, . . f
EF'FECTJVE lAN:ti'ARY 1, 1982. ( ~ILE IN DlJPUCA'fE .WITH COPY OF WILL ATTACHED) . "·-•"'• · '.,.. . · .. , • :~¥ 1',
~ . . . -
OFFICE OF THE REGISTER OF WILLS
WASHINGTO~l County of ........................... .
I'RENE BUSHZQ:RE 128 Greenwood Drive, Bridgeville, Pa • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . · ................... of ............ · .................................... .
(Name) (Address)
being du..y -----· _____ :~~-~~-: ............. .according to law, d~~oses and says that he is the ----"------~g~~4,-~~~-~-----------------. . · (Exec., Adm., Legatee, Etc.) . .
of the egat( oi ...... W!~~~tJ~.Y-f?~~-~--------------whose la~t residence V.:as ... .£~~A~---~~~lli1P-.L--------·--~-------------·· · . (No.) Street)
...... .9.~~-;! __ ~-~~!=: ............ deceased, and that the. w~ole of the estate of said deced~nt, ~ho died -----~M~_§!t ... l~'-"_196 7
(CitY, Bore ugh or TownshiJ;) · · (Date)
consistedl of . . . : ~
REAL PROPERTY
REAL PRO!l'ERTY IN J'ENNSYLV.ANIA, WITH STATEMENT OF MORTGAGE ENCUMBRAN~ES ·UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PR)PlffiT~ HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE ~AMES, ADDRESSES Aim RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated u Value
-!tGlZE 'N 0 N E
-,
Personal Prope:-ty
.
Proceea·s,·of Metropolitan Life :Ensurance Policy .2,041;.92.
NOTE: You may exped .. te the processing of this return by filing with it, and as a part of the return,
letters from fL'lar:dal iri&titutions or mortgage holders, certifying to amounts on deposit or owed by the
decedent as . oi' tl:e date of death. Such letters must be signed by a responsible officer of the financial
institution or nortgage I:.older and indicate clearly amounts of principal and interest in the decedent's
account a1 the date of C:eath and' the type of account, account number and the exact name or names in
which the acc:otmt ~s regiEt~red.
~ 1 .. ' .-I "' ., t
Jointly Held Property Estimated.
Vahie " ----------------~--------------~----------------------~------------~~--------------~------------~· '
NONE
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Transfers within TWO YEARS Prior to.Death
NONE
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That at the.time of death there was no safe deposit box registered ih decedent's individual name, or jointly wit~, or as agent or dePifYON E
another, or in decedent's individual name, with right of ac~ess by another as agent or deputy, with the exception of the following:-
...
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH .DECEDENT _REN:TED A SAFE DEPOSIT BOX. .IN NAME·OR NAMES. OF HOLDERS TO DECEDENT
' '·
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
RELATIONSHIP SURVIVED AGE OF LIFE
(If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and the.ir addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest, ve,sted, contingent· or otherwise, iri estate.) are involved, set OR NO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT
"ESTATE IS INSOL'?ENT"
.
. . . . .
-
•
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... • • J a ' • '-• •
~ RESII:ENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOTE· List first five items in the spaces so provided, observe notations thereon, and instructions.
:JEBT OR CLAIM ___ N_A-=T_U:....R_E_O_F_S_A_M_E _____ ---r------.---to
Balance of
AMOUNT THIS COLUM~
f.KEGISTER ONL"{
Louis life Sollon Funeral expenses paid
.,_L'e.ne ~vs· m:.:r;-e, Utl.U.9Ul;.e.J; KeS:LQea. Wl.'CD h1m at -cne 'Cl.me
of decedent of his death
·.-. -. ,T -George J. Modrak, Esq.
Zrene Bushmire
O'THER DEBTS AND CLAIMS
Rev. George Bock
Dr.. Da~id l:. Inghram
Oueen of Beaven cemetery
GeO:rge J. Modrak, Esq.
·Russell ~tarino
Family exemption (will not be allowed unless
qecedent died residing with a spouse or children.)
Adm,inistration Expenses •
Counsel fees • , Minimum Estate Fee
Fiduciary commission •
(*) See Note below
·Church services
Medical·Services
Openin.g and Closing Grave
. Attorney fee for preparing
and filing An~er to Peti tior
for· ·Re'\TOcation of Letters
F.iling fee for Answer
Total
$ 1394
1000
19
150
102
25
11
90
so
3
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Oh
0(
O(t
14
0(
0(~
0(~
Ot ou
2,844 10
$
Note: The e.atate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission oi· debt is greater
or less than ~he estimated amount claimed and allowed.
Subs~ri~d and sworn to before me this .... -~ .....
~ r ·······~~~~ ................. ·/i day of .. 1.2.~. !9 b_j/
.............. /.~~-D~· ... !?.~~~··· 128 Greenwood Drive
· '· " ·• Notary Publio Cancnsbu , w hington Co p .• ..,. ., a. -...;,. Commission Exnires M"l' 14• 1972
(Street Number)
Bridgeville, Pennsylvania
(City or Town and. State)
Having hem dull-,S'J'J)~n _ acc01-ding to law, I d~here certify that the above appraisement is made in conformity with law on this ./7"Z.£/ . . c 0 .
( ~.//..... . . ...~ :4:: .......... ..
/""""'"' Appraiser
................. -:": ..... ~ ..... dayof ......... ~-........... _ .... ~ .... ,19 .~ r'J ~-
In the event that :;ny future interest in this estate is transfened in possession or enjoyment to co ateral heirs of the decedent after the
expiration of :.ny estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer·inheri-
,. ·tance taxes at the lavful collateral rate on any such future interest. --I ======~================================================================================================
'i
·/ ,. REPORT OF THE REGISTER...J>F WILl:.
/ I, the undersigned oiuly elected Register of Wills in· and for. . . .~. . .... County, Pennsylvania, do respectfully
.report that I h:.ve aile-wed debts anti deductions in the amo s claimed by deponent cept as to those items where a greater or lesser amount
is set forth~ast column to the r~ in said schedu above, which greater or sser am~epresent~t:e su~~-
Dated';;;T~·-··· -~/.?.'G/.. . .... .f.~;;.;~~iWiil;· ··· .............. .
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Fonn No. RCC-62 (12-66)
=nistration }No.··· ....... Year .. · .. .
IN THE
MATTER OF THE APPRAISEMENT .
OF THE
ESTATE OF
WILLIAM BUSHMIRE
Deceased
Late of .... ~.E7<?~.~ TOillship .....................
County of.·. Washington ............................
Commonwealth of Pennsylva.:Q.ia
!, ' c_._, -· . {;;r.Q R
REPORT AN-D APPRAISAL . ..._,_. ..... . ~ ~:.·::! ;~~ ----
--~ s:-~ . . .. ----~----
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GEORGE J. MODRAK
A.TTORNEY AT LAW
!12 ~~fORTH CENTRAL AV.!':NUE
CANONSBU.RG. PA.
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F C C-3':1 (2-64)
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CO~MONWI;AL TH OF PENNSYLVANIA
DEPARTMENT OF REVEt·WE
B,LI~!:AU OF COUNTY COLLECTIONS
INH(:RITANCE TAX DIVISIQN
NOTICE OF Fl,LING OF APPRAISEMENT
ffiENE BUS illiiRE
IN YOUR REPLY PLEAIIE
REFER TO 3?-10l-1
In Re : Est ate of -..,.,...,,.....,.,_,..,..-.-:WI.;=:L:=L~IA=M:.,..:.BU=..:S::;.:ID=11R:;::::E::._,.,.,-,-..,.....,...,..---,.,...---,
D:!a:r:: Miss Bushmire •
-:ou are ~e:reby Il.Otif~ed that the original
a?p~iseme~t ~n the ~stat~ of William Bushffiire ·
has 11:-een f:..l,ed in the' pffice 9f' the Reg~ster of Wills qf . washington
Counrt!y on ~an.':laz:v$4. . .. , .. , 19_Q2. f:)aid ~ppraisemept :-e.flects the
foll=wing valua~i6np: · .
Ref' t ]i:~ tate ,--,..,..;.,..,....,.-.----,.,:12~.L.5"-l0~041,~0~0::..· .....---
Person a ;I, Prope.rtY. ---:..:::2~·~ ~9=;¥=-a..·· .4:92:,.., -·.,..-_...,...
Tr~nsfers~~~~~-~~~--..,....,.~---~ota~ ~~~~-~~·~·.~f4~.~'L.5~4~.1~.·~92~ .. ~-----
k:; to ~uc;:h ~ax tha~ is paid w.i,th~n tb,ree
deat~ a five ( 5%) per.qent di~count i~ allowable.
reJila_!.ls unpaid after on~.Y~C!or froDidate of death,
of si.;c (6%) p~rc~;nt per annu~ is chargeq.
months.from c;late of
As to any tax that
i~tere!:l't at the rate
A.!.lf pa,rtr ill. inter.est who is a.ggr.i,eved l?¥ an app;z;ai~e111ent maf
ap;::>ec: . .L ther3from iaS prqvic;led by law.
IATE 03' DEATII: August 17, 1967
Note:: Thi$ i:e not a bill.
..
,·~-~CC-39 (6-67)
COMMONW:AL TH OF PENNS'rLVANIA
TRANSFEI 11'-HERITANCE HX
RESIDENT DECEDEIH
BUS HMffiE, WILLIAM
FrLE # 63-68:..163
August 17, 1967
SUMMARY
···----..).~.:.~ .
FILE # 63-58-163 TlEPOHT Of•' INHERITANCR TAX APPRAISER
I~ th·~ undersi.~ned rtuly appointed Inheri tarice Tax A.ppraiser in and for t}'le County of
# 63 ·r~ashington , Pennsylvania, do respectfully rep.ort that I have appraised
the re~l and person~l property as repo~ted in the foregoing return at the values set forth
opposite e&ch item ~n the last column to the right in Schedules "A", "B", "C" and "E".
#~N~X~~~~ 01-14-69 Dated:
·0~17-57
REPOR'J:' OF THE REGISTER OF WILLS
I. -:.hE undersigned duly elected Register of Wills in and for Washington
County, JPer.ns_1l vanic;, do respec tfu'lly report that I hav_e allowed ·ieductions in the amounts
claimed by C.ep:Jnent, except as to those i terns where a greater or l9sser amount is set forth
in the last c-Jlumn to the right in Schedule "F", which greater or lesser amount represents
the sum alJow2d as a deduction.
Dated: 01-14-69
INVE~TORY
Heal Pro:Jerty (Rche<iule A)
PersoTL<tl ·Prop-erty (Schertule B)
T rans:f"ers :schedule C)
cT oint-Held Pr:)perty (Schedule E)
TOTAL JRCDSS. ASSETS
LE~~ Debts a~ Dedu~tions xxj
(SC-tEDULE F)
CLEAR VA~UE OF ESTA~E
Valuatio1 of life estates o·r"-
annui t..i.e3 ...
ESTATE TU A~ESSMEIITS
. 'i FOH USE JF REGISTER ONLY
REGISTeR OF WILLS
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$ 12,500.00 $ 12,500.CX:• $
2,041.92 :-2,041.9·<= -------
14,541.92 ·-
2,844.10 ·=
11,697.82 ·-
$..,_,..,... __ ,
$ ------
14' :541. 9.2"-
2,844.10:-
11,697 .82 __
-------·--
COMPUTATION OF TAX
================:===
Tax on <!: ·~·· 5% *~~-------
Tax on $ . __ 10'% t
--1-l.-;6-97-_-:-82-. Cfj) $~: --=-=23:-::-3--=. 9~6-Tax on ¢' · .. •
T f!..X on $ ___ lfl% $_...;....-:------:-
Exemptio-ns := (':')
T 6.tal Estate ------'TOTAL TAX
Less t!x previo~sly paid
3ALANCE
1Less t% ·of" tcx .if paid within
·3 :months 'aftEr deat.:1
JALANCE OF It-"J!ERITA:-l'CE TAX DUE
Add ir:tere:;t at rat:! of o% from
to
AMOUN'l OF ~S'IiATE TA:< ASSESSED
EstatE t:ax pcid
3ALANCE DUE
Add irtere:;t at rat:! of 6% from
to
FOR U~E 'OF REGISTER ONLY
$ ____ ~
*===== ~= $ ------~
*======;::==:=
$ ____ _
$ ------
TOTAL TAX BALANCE
PAID
ADJUSTMENTS
(':') As evidenced by Chari table Exemption
Certificates issued by thB .Secretary
of RevenuE.
$ _______________ _
$ ______ ~
$ ______ _
$ ______ _
$ ______ _
$
NOTE: Whe!re subserpent adjustments are made to the above computction of tax by the
He~Q.sl.er of rVills, for proper reason, same should be notec. below, with short
explar.a tion.
:.,,
Will
Administration ! No .......... .
IJ1J THE
Year ........... .
MATTER OF Tf-1~ APPRAISEMENT
OF-TH~
E:STt\TE OF
WILLIAM BUS HMIRE
De~ed.
Lat~ of. MUSE
County Qf WASHINGTON
Commonwe;,1lth of Penn~ylv~JJia
~EPORT AN_, APPRAlSAI.
,f,,-
'>-V
,/
l~J!
I
... -_
.:: ..
..
.:.
_. Furm'HGC-2
... ' '·• COMMONWEALTH OF PENNSYLVAl~UA .•
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ................. !J.:.~Jj~Y ..... M.,t.. ... !.?~.? ........ ..
DEPARTMENT' OF RE"'"ENUE
BUREAU OF COUNTY COLLECTIONS
HARP..ISBURG, PENNA. 1 7 1 2 7
COUNTY ....................... \.:l.~~.l.J:~.~!:.;~.?.!.l: ....................... .
FILE NO. .. ................. QJ..::.9..?.::.~.9..J ................................ ..
Whereas, ..................................... W.t..l..ll~m ... 1?..~.hm;i,.r.~ ....................................................... late of ............................. ~~-~ .................................................................. .
in the Cou:tty :>f ......................................... W.a.s.hingt.on .......................................................... Commonwea:th of Pennsylvania, having died on
the ............................... J.:.7. ... ~~ ............................................ day of ....................... ~~~~-~ .................................. 19.?.?.. .... , seized and possessed of an estate
subj~t to [nhuitance Tax under the laws of the Commonwealth of Pennsylva.:tia;
Therdore, I, ................... , .. W.~.R.,. .... Q.b9.-.Jl~Y ........................................................................ , an appraiser duly appointed according to law,
having been d~signated to make a fair and conscionable appraisement of the said estate; and to assess and fix
the c~sh vElue of all annuities and life estates growing out of said estate, here.Jy file the following appraisement:
L"l the I:Vent; that an~ future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the ex~;iratior: of eny esta~ for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inherit:mce te:xes s.t the lavful collateral rate on any such future Interest.
Unit Appraisement Description of Asset Values Made for I nherltance Tax Purposes
$
REALTY:
Two story shingle house, Deed Book 1158-5 12,500.00 12, 50( .oc
PERSONALTY :
Proceeds a;r· Metrcpolitan Life Insurance Policy 2,041. 92 2,041 92
'
Total 14,541 92
(·
I
~
-
\ : .
-
~
fonn~;'~%,b~:' ::%i:w<>l"Jl~L~ ~=: ~:; o~·~~~~~~{,;3~~o:.e ·~~r~s•=·n.~:~~n.~
' ~~
•" ................................................................. ~-~b;; ... .;-.:;d· ·st~~~-i·;············· .. ·············· ............................... ..
.... ........... ........... . .. .. .. .. ............................................................. , Penna.
IPOBt Ofllee)
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
WILLIAM IDSHMIRE
Deceased.
Late of
].lliSE
\
Date of Death, .. · ... .J.i.."!:lg:Ll.~.1?. .... ~.7, ..... ~.9f>.7 ........................ . \
·~\
Appraisemellt Docket Vol., .............. .3..7 ............................... .
Page, ............. J.-:9.~::~ .................. No ....... f>?..~.f>?.~:lA?. ......... .
Filed in Register's Office, ~-~."!:l~Y .... l.:4.1. ... 19.:9..9. .. .
Amount of tax dtte, $ .............................................. : .................... .
DEPARTMENT OF REVENUE
Received,
Exan:r-ine~ and Approved,
Wrote abo.ut Appra-isement, ................. .
Appeal j1'om Appraisement,
Entered and charged, ....
-"(-
"' ·.;
.. l' '
.. ..
,.
< •
·~,
t. t
' . ' f.
I
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
RCe-121 (2-"72)
IRENE BUSHMIRE AIJG. ,
t'L2S: GREENWOOD DRIVE
.BIUDGE'CJ:ILLE, PENNSYLVANIA 15017
}..TTY • GEORGE MODRAK
I•ear Mrs. Busbmire,
17127
Date June
Re: Estate of
Date of Death
Bureau File II
County File II
27, 1973
·WILLIAM BUSHMIRE
8-.17-67
63-68-163 37-lOl•l
Ac=ording to our records, the following taxes a:r:e delinquent on the
c:bove estate:
Nature of Tax Amount Delinquent Plus Interest at 6% From
INHERI~CE TAX
,, '.
11-17·68 to S-17-13
. $15.3.6
Unless payment of all tax and interest due is ma3e to the Register of
Wiils oi Washington County within thirty (30) days from date of
t:!his le;:ter, this Department shall take legal action. -to effect collection
without ·any further notice to you. ·
'll'AX DlJE: $64.,·02
DiT .• DUE 15.36
EAL ;oDQe . 82.;90
....... ~ ~r·~· Jl.y y~ur s, . /)
...... ~~~ ~~.
Address Reply to:
INEERITAtiCE TAX DIVISION
244· WASHINGTON TRUST BUILDING
Wl.!_SHINGtt'ON I PENNSYLVANIA 15301
' ' FRANCES LEO, CHli:EF APPRAISER II -For: Peter J. McHale, Director
Bu~eau of County Collections
,._
\