Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
OC1968-0339 - ESTATE OF KURTZ
Testate Form PETITION SUR AUDIT IN THE ORPHANS' COURT OF WASHINGTON COUNTY THERESA KURTZ, Estate of .................... ---···································-----------------·--63-68-339 No ..... -------------------------------------------------------------- . . Donald Kurtz, Executor F1duc1ary _________________________________________________________________ _ Deceased Date of February 17, 1968 March 1, 1968 Decedent's death-----------------------------------------------------------------Grant of Letters .... -------------------------------------------------------------- Date of This is the ____________ fix:s.t. __ §,.n,g ___ t.:!.J1~J: ............................ account filed in this estate If there have been former accounts filed in this estate, list file number or number and term .... -------------------------------- no former accounts ............................................................................................................................................................................................................................................................................................................................................................................. Election to take No Election Under or Against will. (cross out one) Date Election Place of; Filed not ___ g,pP.l..i..~9:.l;.?1.E?. _____ Record ------------------------------ Name of surviving spouse _______________ ~.?_--~-~:':.:Z~~~~-9: ... ~.P..'?.~~-~---------------------------------------------------------------------------------· List issue, where material: not material Did decedent marry after execution of will? (indicate)X'il'e£xNo. Any children born after execution of will? (indicate) ~~ No. If answer yes, name them·-------------------------------------------------------------------------------------------------------------------------------· --------·-------------·---------·------------------------------·-------------------------------------------------------------------------------------------------------------------------· Leg.atees Relationship Interest Fiduciary, if deceased or not sui juris Louise K. Rieland daughter 1/6 SUl. JUrl.S D_orothy K. Ben lock ctaughter 1/6 sui juris ' . ' 1/6 sui juris Walter J. Kurtz, Jr. son Kathleen K. Paci daughter 1/6 sui juris Mary K. Hewitt daughter 1/6 sui juris Donald Kurtz son 1/6 sui juris List, if exceptions to above: Adeemed: Rev.oked: Lapsed: Abated: Give Cause: No Exceptions If r(artial intestacy, give facts: No Partial Intestacy Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. ~-, If any exception give cause: ..... Il:Q ... ~~-9.§P.~i9P.-.~--------- File copy of Notice and date of mailing .. Ma¥ .. .2.l+.--1.9.6.9 ... and ... ~1+9J.J..$.!:;. ... f:?_, ___ J~.E?-~-----------------·------------------------------·-----------------------· ·-·- Is estate subject to the filing of a Federal Estate Tax Return? ... !:.? .............................................................................. . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $~.9.~ . .9.9 ................................................ . If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant ..................... . no life estate Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they ore admitted to be correct; and whether the claim is denied. no unpaid creditors Give reference to such ports of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: none Balance for distribution per account, Itemize any additional debits not shown by account: _. none Total additional debits (Add) Itemize any addition<:J_I credits not shown by account: Angeline Sorice, Notary Public, affidavit on statementof_debts and deductions Angeline Sorice, Notar¥ Public, affidavit on this audlt petition Total additional credits (Subtract) Balance for distribution $.~.t.?.1.~.~.?.~ ............... . 0.00 $ .................................... $2 '2 7 9. 6 9 $1.00 .75 $ ................ --------·-----·--··· 1.75 2,277.94 $-------·--·--·--·-··-··-----------·- If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); Entire balance for distribution is in cash. -~ If Family Exemption claimed by Petition, give place of Record:.~~--J~-~~-:J:Y ... ~?_{_~~P:t:.~.g~---~J~.:!-.~§.9: ............... . If F "I E t" . I . d t d"t · I t" h" d b · f Cl · not applicable am1 y xemp 1on IS c a1me a au 1 , g1ve name, rea 1ons 1p an as1s or a1m: ............ _ --------------------····-------- List any advancement or distribution on account that has been made, and nature and amount of same: 1969 May 20 20 20 20 20 20 Louise K. Rieland Dorothy K. Benlock Walter J. Kurtz, Jr. Kathleen K. Paci Mary K. Hewitt Donald Kurtz $300.00 300.00 300.00 300.00 300.00 300.00 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: c Louise::K. Rieland Dorothy K. Benlock Walter J. Kurtz, Jr. Kathleen K. Paci Mary K. Hewitt Donald Kurtz 1/6 1/6 1/6 1/6 1/6 1/6 Credit for $300.00 advanced to each child is claimed by the accountant in calculating the allocations. COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, being duly ....... sworn--------------·--·--doth depose and say that the facts set forth in the foregoing petition are true to the best of ... J)..:hl=i ..................... knowledge and belief. -------------------Sw.orn ................. to and subscr" ed before me this ... r·~{, .... day Signature of Office . ____ ... --------------------------------------··· • ~ I Title of Officer ....................... ····------~-- Office ex pi res---~-···.l..·(f .. .L'J.7.../. ............ . ANGELINI! SORieE, Notary Publ~ 80 E. Chestnut St. Washington, Wash. Co., Pa. My Commission Expires January II, 197! f And your petitioner will ever pray, etc. ~-~~~ . ... &: ............................................... _______ , _____________________ _ (Donald Kurtz, Executor . ................................................................................................................................... . i . . l ! ! ! . r r ... No. . .... ~}::~_?..::} 3 9 --------------·------------·------·-· Estate of ..... ?;'.~~~§}\. KURTZ ---.... ----................................................ -... --- Deceased r: Fiduciary .. .D.onald .. Kul:.tz.$ ... Exec.u:t.ar .. -.. 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: paragraph b-e; 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 Wi II. 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- +,..,+o ie e1 thior+ -+har.o.+"' PATRONO, CEISLER and EDWARDS Attorneys at Law 80 East Chestnut Street Washington, Pennsylvania 15301 ~:! t"l ··' !' 1• 'I c: .-1 ·:.; .. .. ~ : .... ~ .:·.: ~~-:'~ ~---: .. ·: : .. ·:· .. · ... ~--, ··~,·,.~,·-'f".c'C:" '""' ~,"'~';' 7:;;'"'"""'~~"7"'',, P"'Q. z:~"":"'V~""-::: ::;Y'' : . (~;; ·' ..t., ''I, ' ' ' ....... ' . . . ' .. . ' . . . '.. . . ' . ., . ' . .. . ~ . _,_. . . . . . : ' ... · ·. < .. , . . ... . ) . :. ~ ' ,·.,.., ..... t;;•••::""'~-......_-_._,..;:..__..:_,_· ,_.4 _..,.:_: •• :: • .'~-· -· "'i.;_.'. -·-:-:~._:'_._.'~. :---•':· .. ~_' ;.~.'.~-.. :.~ •.... L .,. ___ ;;~.~:..·.~ .. !):' ·~ ·.· .. _ .· -'~ ..... _ '.·~~J -~:·~;'.;i~-' _\~~· ... ~ . -:~::,( ... ,.::~·~':.~;~~· .. ,.;.~";.'·:':. .. :.•._ r •.. : •• :. '· ' .. . . ,•' I ' .j • ~' f ' ~ \ .;; . '. . i,•, . ·. -~· l ;, . ,·. . :.': ... . ' LAST vliLL AND TEST AMBNT I, TH.'SRESA KURT~_, of Fredericktown, East Bethlehe~ 'l Township, washington County, Pennsylvania, do hereby make my ., ' , · Last \11111 and Testament,· and revoke all. Wills by me at any time ~- i . . ~ : l . ;. :j • ~ . ·1 ,· ' .. ; ·-· •' ·t . ~-t ·l . . ~ H . r 'I ~ : ~ : . : I j', : ll! ; . · '·:· heretofore made •. ,, . 1 --~~ .· ' .. n. ~ -~~ ,· .. ) .. . . . . -~-~ ' . ;~ ; ~ . , .. • . • ' ~'i 1. I direct the payment out of my estate of the· expenses of my illness and funeral • 2. All the rest, residue and remainder of my ,·· ' ' .·. t.-i.l : ~ '! ! ·': ;-t : l \ ~ ~; ~~ ; l \ l 'll .. · · ·. · . ;:·. · estate, real and personal, I give, devise and bequeath in equal· . . · :-.. . . ·' ' ~ ' .. ·' :· .. shares to my following six (6) children~ their heirs and assigns forever: Louise K •. Rieland, Pittsburgh, Pa.; Dorothy K. ~· . '¢ . ' ·. '' ;; . . . . ... ' ... i:· Benlock, \-lest Brownsville, Pa.; Donald Kurtz, !1arianna, Pa.; . . . ,; . · Walter J. Kurtz, Jr.; of Fredericktown, Pa.; Kathleen K. Paci, ' l . of Fredericktown, Pa.; and Mary K. Hewitt, of Fredericktown, Pa •. 3. I nominate, constitute and appoint Donald Kurtz'~ecutor of this my Will, an~ I direct that he shall not • ·be required to enter security in any jurisdiction in which he may . '1. !' i': ·act • IN l-.'ITN3SS vlH1illEOF I have set rrry hand and seal to this my Last Will and Testament, this /'fruday of All1tec II ' I . r i 19$6 •. . . ·'' or~ -~~{Seal} ... ·. ~· Signed, sealed, published and declared by Ther~sa Kurtz, the above named testatrix, as and £or her Last Will and Testament, in the,presence of us, who at her request, in her presence, and in the presenc~ of each other, all being present ·<· at the sazne time, have h~reunto subscribed OUI' names as witnesses. ·.·~ / '/1 • . . '-~ I ~ . _ ~~~M--tt-~ N-cl.s:~ .. c<J Y(_f-, .. . I · .. · • ~, I ~· l .l: ' i i . ' 63-68-339 Affi~auit ®f 1fxrrutnr ®r Abmintatratnr jltatr nf Jrnnaylnarita, ~ !l!I: C!1nunty nf Jlllaaqtngtnn Personally before me, the undersigned authority, a ....... !:f.?.~~EY. ... ~~P..!.~.~ .................................... ..in and for said County and State, appeared ....... P.9.~~~P. ... ~~.!.~ .............................................................................................. who, being duly sworn according to law, deposes and says that he is the executor ~~UWfXof the estate of .......................... Jg~~.~.~A ... ~!'.~ .............................................................. deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate o£.. .... !.~~~~~ ... !5~~~ ................................. , 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 ~ ~-~~:;~;;;::J;:~~~E;~~-····- 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 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~ eluding Copy ~f 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 : lfuurutnry aub l\pprai.armrut of the goods and chattels, rights and credits which were of .................... !'.~~?.:~~.~ ... !5!!.?.:!.~ .......................................... Jate of ........ ~~~.~ ... ~~~~~~~~~ ... ~~~~~~!?. ....................... .. Washington County, Pa., taken and made in conformity with the above affidavit. DOLLARS CENTS PERSONALTY: Cash in purse at time of the death of deceased Household furnishings and personal effects REALTY: ALL that certain parcel of land situate in East Bethlehem Township, Washington County, Pennsylvania, known as Lots No. 16, No. 17, and No. 18 Block No. Four (4), in the VESTA HEIGHTS Plan of Lots, of record in the office of the Recorder of Deeds of Washington County, Pennsylvania, in Plan Book Volume 4, at page 30, and bounded and described as follows: FRONTING 120 feet on Vesta Avenue and extending back of equal width a distance of 120 feet to Grosset Lane. I~ BEING the same property awarded to Theresa Kurtz as a devisee of Walter J. Kurtz by decree of the Orphans' Court of Washington County date~ January 23, 1959 and recorded in the said Recorder's Office in Deed Book Volume 1039, at page 499. SUBJECT, NEVERTHELESS, to the following: Lot No. 16 is subject to the exceptions and reservations therefrom of the coal in and under said premises, together with the mining rights, set forth in deed of George W. Dawson et ux. dated November 6, 1913 and of record in the said Recorder's Office in Deed Book Volume 449, at page 602· Lots Nos. 17 and 18 are subject to the exceptions and reservations therefrom of the coal in and under said premises, together with the minin, rights, set forth in the deed of George \\T •. Dawson, unmarried, to Stefan Buttura et ux., dated October 21, 1912, and of record in Deed Book Volume 516, at page 639 in the said Recorder's Office. 195 00 50 00 UPON which Lots is erected a two-story frame house. ~· 3,000 00 ~ 3,245 00 TOTAL PERSONALTY TOTAL REALTY TOTAL ~ .. $ 245.00 $ 3,000.00 $ 3,245.00 63-68-339 ~-o ~~ .1 C'/ ~ I f C: Y /tltJ;:l. Inventory and Appraisement IN THE EST ATE OF " ............. !..~.~-~~-~-~---~~!.~ .. ~ .... P.~~~~~~~ .................. . Filed ...... ~P.~.!! .... !±.r. ...... . ......................... , 19 .. ~.~ .... J....;.Jt (.!') ~n 1...0 ::u )_ ...... r:~:::n u -......-C)C: :0 • i (/)~ -_,,.,., .p. r fT1-:::.:or- ~:::;: rT1 '•:;::::. 2:; .:"E::v .....:;.. 0 r-:-;: ·~ r-o C',; <.n .. w -..J ~;L ?tl-/~ j(j PATRONO, CEISLER and EDWARDS Attorneys at Law 80 East Chestnut Stre;et Washington, Pennsylvania 15301 STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ ss, The within named Accountant being duly sworn according to law, deposes and say s that the above account as stated is true and correct as__ ............ ~.E! ........................ verily believe,s. Sworn and subscribed before me this ...... ~-~-----~o~z;q _________ _ day of ···········;-~'~---················ 19 .... ?.~---· . ()~( 0 • T_._:~~;~. ~~;~.:-~=: ~~~;;~ 80 E. Chestnut St. Washington, Wash. Co., Pa. My Commission Ex7irzs J~nuary 11, 1971 Wa,shington County, ss: I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribed by Sta·tute and Rule of Court, as evidenced by proofs ~ (\[)j I i ~! "'.j ) i «Ji '3, ci z '· . . .. ; N; IX. E-<! 0 O::! iJ:1 ;:J; E-< ::0::1 <11 E-< w. <X:i' IJ;1 oo: jj:1; o::: jj:1! \ ::r:: .I ~~ ..... 0 +' ~ ::l 1-1! 0 0: '-' '-' +'! <11 ~ tJi ~ 1<:; ~ r-i .j. cd N s:: ~ ..... 0::: r... :=i ~ '0 s:: d cd ...:i <!l +> ~ {I) a 1-1 ~ ..... r... ~ . ..,....__- thereof fil:d to No ... ~.3~~}~~-Q.9. .......... .. Wltnns~~~'~a~~nd ofHdal seal this_ C)_~-~ - day of - --""op·-----ii ii ------------------;--19 6.1. __ ····---~-~---· .. ········· Register of Wills . ... '" .:: -. .. ... ~ ......... ~-, •• so ::l 0 0 -...... -· ... . ·-"•t ... ., 0 I ~ t 0 rl ~~ Q) r--· ~ ,<::1 ..... E f);' +' f" 0 t.L 0 ~ +' .!<1 ... I 't:l Q) Q) 0 '69 +' NAY 2( ~ rn q IZ Q) 0 "' ·c:; Q) ... iE p, 0 ::: Rlf.SC'll' IJ;1 MMHNO v,. k .. 't:l REGIS'ER ~ OF WILLS ol l " ,_ WASHINGTON co .. PA. .....; -~ 0 Q) +' ,<::1 ::= +' 0 ~ .... r ~ 't:l ~ ~ a.: ... <11 0 ,..., .... en 0 a: 0 < (') s: lt) ........ 0 cu cu Ill Ill :: .. ·-.... c on Ill en m c.J .... ~ Ill .... :s >. Ill c Ill a: .... c 111111 111 c .J >. cu cu en ~ <3 o. -.. .... c Ill 0 o:::: Ill 0 Ill .... o< Ill Cl c z 0 ·-co.s: 0 Ill a: Ill 1-s: < Q, '-' ' / -~ 0) ....... \ .~ • ~ • The Court is respectfully requested to determine Counsel for Accountant .. ) . The First and Final Account of DONALD KURTZ, Executor of the Estate of THERESA KURTZ, deceased, late of East Bethlehem Township, Washington County, Pennsylvania Account Principal of Personalty, Schedules A and B Principal of Realty, Schedules C and D Income from Personalty, Schedules E and F Income from Realty, Schedules G and H •. Administration Ef~ense~, Schedule'!' 1' ' Famiiy Exemption, Schedule J · ~ '··t: Debits '$ 417.53 4,000.00 None .5f.77 < k .. • ' ·' ' ,' ' • J ~urial, Medical and'Nursing :Expenses, and Employees.' 1 Services, ScheduleJK, 'Grave Marker, Schedule L Rents of Residence, Schedule M ~eneral Claims, Schedule N $4,471.30 Credits Balance None $ 417.53 '$ 469.27 3,530.73 None None None 53.77 ' ' 328.46 328.46 None None 1188.50 1188.50 175.00 175.oo None None $2,219.69 .1968 Mar. 21 29 June 7 14 20 25 July 25 S CHEDU L:E !A PERSONALTY, Debits: !Amount of Inventory a~d !Appraisem~nt filed with the Register of Wills of Washington County;·Pennsylvania, on April 2, 1968, in Inventory Vol. 79 , at Page 83 Greene County Memorial Hospital Pennsylvania Blue Shield, !Agent for Medicare Pennsylvania Blue Shield, !Agent Pennsylvania Blue Shield, Agent Pennsylvania Blue Shield, !Agent Pennsylvania Blue Shield, Agent Refund on account of decedent's bill Payment on account of hospital and physicians' bills Payment on account of hospital and physicians' bills Payment on account of bill of Dr. A. J. Patterson P~yment on account of bill of Dr. c. P. Huffman and of Lucas-Behm Ambu- lance Service Payment on account of $245.op 140.op bill of Dr. c. w. Grimes 5.6 Blue Cross of Western Pennsylvania-Refund of excessive premium SCH:EDUL:E B PERSONALTY, Credits: N o n e 4.8 $417.5 1968 Sept. 27 Feb. 20 22 Mar. 6 SCH:EDUL1E C REALTY, Deb.i ts: Amount ~f·I~v~nto;y and-Appraisement filed with the Register of Wills of Washington County, Pennsylvania, in Inventory Vol. 79 Gain on sale of realty: • Sale price Inventory valuation Gain on April 2, 1968, , ·at Page· 83 I $4,000.00 3,000.00 SCH:EDUL:E D .. Expenses of unproductive realty: -, South Penn Telephone Company Service !or March and toll calls Columbia Gas of Pennsylvania, Inc. Tri-County Joint Municipal Authority West Penn Power Company Gas for heat Water to February 10 Electricity to February 16 23 Columbia Gas of Pennsylvania, Apr. 18 May 24 24 Inc. Gas for heat West Penn_Power Company Electricity to March 19 South Penn Telephone Company Service for April and toll calls Columbia Gas of Pennsylvania, Inc. Tri-County Joint Municipal Authority West Penn Power Company Gas for heat Water to March 10 (final bill) Electricity (final bill) 28 Columbia Gas of Pennsylvania, Inc. Gas (final bill) $3,000. 0 2. 7 3. 7 54. 0 1968 Sept. 28 28 28 28 1968 July 12 Aug. 7 "' . ' Taxes on unproductive realty: Expenses of sale~ Thomas Dunseath et ux. Thomas Dunseath et ux. Thomas Dunseath et ux. Thomas Dunseath et ux. 1968 road tax 1968 county tax 1968 school tax $18.62 15.20 63.80 Pennsylvania realty transfer tax East Bethlehem Township transfer tax 1969 local realty taxes ! of 1970 local realty taxes $40.00 40.00 97.62 48.81 J.. N C 0 M E I PERSONALTY, Debits: PERSONALTY, Credits: REALTY, Debits: Thomas Dunseath et ux. · Thomas Dunseath et ux. SCHEDULE E N o n e SCH:EDUL,JE F N o n e SCHEDULE G Interest on agreement for purchase of realty Interest on agreement for purchase of realty $97.6~ $226 43 $469.2~ $lo • .:eo 1968 Aug. 19 homas Dunseath. et ux. Sept. 25 homas Dunseath et ux. 1968 Feb. 23 Mar. 25 Apr. 02 May 14 June 25 Sept. 24 27 ADMINISTRATION :EXP:ENS:ES: Register of Wills Register of Wills Register of Wills Register of Wills, Agent Angeline Sorice, Notary Public Angeline Sorice, Notary Public Angeline Sorice, Notary Public Interest on agreement for purchase of realty Interest on agreement for purchase of realty SCH:EDUL:E I , Probating will and issuing Letters Testamentary Two short certificates Filing inventory and tax return Payment on account of in- heritance tax Acknowledgments on agree- ment for sale of realty Acknowledgment on deed for sale of realty Affidavit as to down payment on realty $ 7 • Of 21 1( $ 53.7": $ 13.00 2.00 4.00 20.00 2.50 .75 .75 Oct. 21 Washington County Reports Advertising Letters Testamentary 14.00 1969 May 21 May 21 May 21 29 Observer Publishing Company Patrono, Ceisler and .Edwards Angeline Sorice, Notary Public , Register of Wills Advertising Letters Testamentary 14.00 Fee for service as counsel for personal representative Affidavit on this account Filing this account 236.71 .75 20.00 $328.46 ----------------.-----.. SCHEDULE J FAMILY .EXEMPTION: · N o n e SCREDULE K BURIAL. MEDICAL AND NURSING EXPENSES, AND EMPL,OYEES~ SERVIC_ES': 1968 Feb, April 29 Elizabeth M. Jakubik Frank Burkus Funeral Home 29 Lucas and Bohm Ambulance Service 30 1968 Feb. 21 Charles R, Hoffman, M. D. GRAV.E MARKER: Greene County Memorial Cemetery Company RENTS OF RESIDENCE: ~·· GENERAL CLAIMS: 1968 Feb. 15 17 Mar, 08 Arduino Paci Car~enter Arduino Paci Carpenter Jewel Tea Company Hillcrest Dairy ~ Bill for spray Undertaker's services Ambulance on 2-16-68 Physician's services during last illness SCHEDUL.E L Opening and closing grave, and marker SCHEDULE M N o n e SCHEDUL.E N Reimbursement for telephone ·calls made during last illness Re~mbursement fo~ telephone ·calls made after death in con- nection with notifying relatives Unpaid bill Unpaid milk bill $ 26. 5( $960.0( 17.00 ' .· 185_._00 $1188,;50 $175.00 3,49 $ 30,38 • .. ~ ~ ., Washington Coon~ ReportS o:t: :8():lj:l!foi:~S~I!t&a' Washington, Pennsylvania (PUBL.ISHED BY WASHINGTON COUNTY BAR ASSOCIATION) 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 W ASHINCTON ) STATF. OF PENNSYLVANIA ( SS. 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 official legal periodical for said Washington County, publis'hed weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in this behalf; that the said WASHINGTON COVNTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or adver- tisement 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: ......... .O.~t.Ql?.~r. ... ~~ ....... 3..L .................................. . .......... NQY.~ml?.~r. .. ..?. ...... l~9..S .............................. .. 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 allegaticns of this affidavit an~ time, place and c'/ijer of~_7lication are true. ~a . .lc:._ ........ l..J~~. KATHERINE C. YARD, ,ary Public Washington, Washington Co., Pa. My Commission Expir~s November 1, 1969 Editor Estate .es The Re er of Wills 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 hav- ing claims or demands to present t:hem for settlement to the Executors or Admin- istrators or their Attorneys. ••••••••••••••••• KURTZ, THERESA, Dec'd. Late of East Bethlehem Township Washington County, Penna. · ' Executor: Donald Kurtz Box 284 Marianna, Penna. ' ' Attorneys: Patrono, Ceisler & Ed· ~ards, 80 East Chestnut St., Wash-Ington, Penna. .. fhserver -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, a;s amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Pe·rsonally appeaved before me, a Notary Public in and for said County and State, ...... Ri.c.hard .. )~~ ........ Gow.a.n .................. , who beirug duly s1worn according to law, deposes and says that he is the ... §.~~.t.~.t.a.:r.Y. ............. . of the Obs,erver Publishing Company, a Bennsylvania corporation, and its agent in this behalf; that the said Company is, the owner and publisher of the Observer-Reporter, succ1essor to The Wiashington Observer, established Septembe'r 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newsvaper of general circulation, printed and pUblished and havin'g its place of bus.ines•s at Washington, Washington County, PenllByl- vania, where it or its prede·ces.sors have been established and published continuous•ly for more than six mon:ths' prior to the publica;tion of the notice hereto atJtached; tha;t 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 published in the Obs1erver-Reporter in its regulaT editions on the following d1ate or dates; ........................................... . ........................... .Oc.t.ob.er ... .23.~ . .3..0 .... a.n.d .... N.o.v~.mb.e.r .... 6 .. , ..... 19.6..8. ... . that neithe•r th<e affiant nor the Observer Publishing Company is interested. in the subject matter of said notice or advertising and tJhat all of the anega- !~n~~~!. this affidavit a·s···t·~--t-~~--~i~~'/t:.~:~::?l~tJ::=i-~~~ Sworn to and w. 26752 subscribed before me this ...... P. ... day or.N9..Y.~mJ?.~J' .... 19 68 ····~~:t.~~~···· WASHINGTON, WASHINGTON COUNTY MY COMMISSION E~PIRES MAY 6, 1972 1Jn t~r (@rpqau.s· Qlnurt nf lfa.s~ingtnn C!Inunty In the matter of the Audit of Account in Estate of _ _:T:.:H=E=..:..:R=E:.:S::A..:...._K::..:..::U-=R..:..:T=-Z=-r.,--=D:..:e=-c=-e.=-..::;a::s:..:e=-d=---; No .. __ -=6,3-6 8-3 3 9 TO THE AUDITING JUDGE: our accountant Enter __________ appearance for·--------------------------- Francls H. Patrone 9thday of September , 19__6_9_.:_ N. B.-Counsel shall, by separate paper, present ·a concise statement of each claim, with supporting calculation of any interest claimed. Objections to an account as filed, shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. No. 6,3-68-339 , ~XXX~~~ In re Audit of Account in Estate of THERESA KURTZ, Deceased AUDIT Jrarripr fnr !\ppraranrr FOR Accountant _. (,0 en <..::) :::u (/) fT'l::::O rn C")C:: \J -n U>Ul ~1"'1 ...... - f"'lr-0 r ;;o.- 03: ..,)> ~ m :E:o r-::. 0 r-o (/) w w PATRONO, CEISLER ~D EDWARDS Attorney ·~~·2 In t!J~ ainurt nf Qinmmnn Jtl~ns nf llas4ingtnn Qinuuty, Jruusyluauta, ®rp4an.a' ainurt 13iutstnu ESTATE OF No. 6}·~68 .. 339 Theresa Kurtz, Deceased, In the matter of the First and Final Account of Donald Kurtz, Executor. ADJUDICATION AND DECREE And now September /c:J 19Q2_ this matter came on for hearing, audit and distribution at this session and testimony taken;' and the:eupon, upon due consideration thereof the balance for distribution in ifhe hands of the Accountant is determined to be $ 2 1 277 .. 91~ · 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 distribution hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken here from sec. leg. . ... , r ) SCHEDULE OF DISTRIBUTION Balance per account _________________ _ Additional credit asked at audit, Balance_ ____________________ _ Deduct Clerk's Costs & Receip~------------- Attomey __________ P::....:a~t~r~on=o~,.....::.:;C.:.:e..;;~;i;.~;;~s,..l..:.e...,r_&"-'~~E~d6.11w.ll.iia ... r...lod ... s"--- Russell Marino, Agent, transfer inheritance tax, $105.23 Interest from 5-17-69 to 9-19-69 2,14 Louise Ke Rieland, daughter, 1/6 residue, credit to be taken by the accountant for fund~ advanced 1.75 16.50 -__,..... 107.37 prior to distribution by the Court, 359.02 Dorothy K. Benlock, daughter, 1/6 residue, credit to be taken by the accountant for funds advanced prior to distribution by the Court, 359,01 Walter ._T, Kurtz, Jr., son, 1/6 residue, credit to be taken by the accountant for funds advanced prior to distribution by the Court, 359.01 Kathleen K. Paci, daughter, 1/6 residue, credit to be taken by the accountant for funds advanced prior to distribution by the Court, 359.01 Mary K. Hewitt, daughter, 1/6 residue, credit to be taken by the accountant for funds advanced pri r to distribution by the Court, 359.01 Donald Kurtz, son, 1/6 residue, credit to be take by the accountant for funds advanced prior to distribution by the Court, 359.01 2,261.44 No balance t .. .t ... ·~· .. -F· 51111.\ .:lO m1SID3U ONl{!'lfW lT:JSSnB g<;; : ( l~d 0! d3S 6961 . ! r l ' l' ) ~ . n' l . I . f i'' ; \· \ ;\ \I ' f f \I ( ' 0 .... r ( . \' ~ S· c :J ..... 0 .... . ·~ . :J z >+ p ::r~ (1) 3 a (1) ..... 0 -..... ::r (1) ' 0 ~· r r ) , • r IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In Re: ESTATE OF THERESA KURTZ, Deceased PAY TRANS CR I P T NO. 63-68-339 ~XXXXXXXxMX~X~~X Each of the undersigned does hereby acknowledge to have received on the date set forth to the left of his/her name the sum awarded to him/her by the Orphans' Court of Washington County, Pennsylvania, by its Adjudication and pecree of September JO. J969 and set forth to the right of his/her name, including in kind any property awarded to him/her b~ the said Adjudication and Decree, from DONALD KURTZ. Executor , personal representative(s) in the above named Estate; and each of the undersigned does, by his/her signature hereto, release and discharge the said personal representative from any further lia- bility for the discharge of the obligation resting upon him by virtue of the said Adjucation and Decree, Date of Receipt .J-<s-·{14-_, 196~ Signature of Distributee Amount Received hl.ll.L.~~_L }L U/lleUL ~£.-$ 359.01 (Walter J. <\;rtz, J~, son) __ , 196 _ '" __ , 196 - . __ , 196 -- __ , 196 - __ , 196 _ ------- __ , 196 _ ----~-------· 196_ -'! / v / / • IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In Re: ESTATE OF THERESA KURTZ, Deceased NO. 63-68-339 ~~XXXXXXXXKXXXKKXX¥X~X~. PAY TRANS CR I P T Each of the undersigned does hereby acknowledge to have received on the date set forth to the left of his/her name the sum awarded to him/her by the Orphans' Court of Washington County, Pennsylvania, by its Adjudication and Decree of September 10, 196 and set forth to the right of his/her name, including in kind any property awarded to him/her by the said Adjudication and Decree, from DONALD KURTZ, Executor personal representative(s) in the above named Estate; and each of the undersigned does, by his/her signature hereto, release and .discharge the said personal representative from any further lia- bility for the discharge of the obligation resting upon him by virtue of the said Adjucation and Decree, Date of Receipt ature of Distributee Amount Received September ~. 196~ $ 16.50 Clerk 196~ September 15 107.37 __ , __ , 196 _ __ , 196 _ __ , 196 _ -------------___ , 196_ __ , 196 _ ---------------• 196_ '" r ... IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In Re: ESTATE OF THERESA KURTZ, Deceased NO. 63-68-339 N~XXXXXXXX~XXXE~XXXXEXEX PAY TRANS CR I P T Each of the undersigned does hereby acknowledge to have received on the date set forth to the left of his/her name the sum awarded to him/her by the Orphans' Court of Washington County, Pennsylvania, by its Adjudication and Decree of September 10, 1969 and set forth to the right of his/her name, including in kind any property awarded to him/her by the said Adjudication and Decree, from DONALD KURTZ, Executor personal representative(s) in the above named Estate; and each of the undersigned does, by his/her signature hereto, release and discharge the said personal representative from any further lia- bility for the discharge of the obligation resting upon him by virtue of the said Adjucation and Decree. Date of Receipt W c) t r . 196.2,_ ?/ __ , 196 _ __ , 196 _ __ , 196 _ __ , 196 _ -------------__ , 196_ __ , 196 _ --· 196_ Signature of Distributee Amount Received ~?zra~.-,rd '""" z;e $ 3 s 9 . o 1 (HaryT.d'Hewitt, daughter) : .. ,, !· ~ ' . • < • IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In Re: ESTATE OF THERESA KURTZ, Deceased NO. 63-68-339 ~XXXXXXXX>2fX~X~X:XX PAY TRANSCRIPT Each of the undersigned does hereby acknowledge to have received on the date set forth to the left of his/her name the sum awarded to him/her by the Orphans' Court of Washington County, Pennsylvania, by its Adjudication and Decree of September 10. 1969 and set forth to the right of his/her name, including in kind any property awarded to him/her by the said Adjudication and Decree, from DONALD KURTZ. Execntor personal representative(s) in the above named Estate; and each of the undersigned does, by his/her signature hereto, release and discharge the said personal representative from any further lia- bility for the discharge of the obligation resting upon him by virtue of the said Adjucation and Decree. Date of Receipt .~/6f 1/)thr 9/!t/t f __ , __ , __ , __ , __ , __ , __ , __ , 196_2_ 196~ 196_2_ 196.1_ 196 _ 196 _ 196 _ 196 _ Signature of Distributee Amount Received ~~/(£~r;LL $ (Lbuise ~. Rie1and, daughter) fl.14 . .J_ld ,/[-~ ,r;_!l__.d · (Doroth~ K. Ben1o~k, ~ daughter) .-1/ __; I /;-/ -() / 7J a:L-tC-Ut-p·c. 1 J I -!-l-i!-U (Kathleen K. Pac~, daughter) (Donald Kurtz, son) 359.02 359.01 359.01 359.01 ------- Form No, RCC-62 (12-66) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER •10,000, UNDER SECTION 701 OF ACT OF JUNE 18, 1981, -/ EFFECTIVE JANUARY 1,1982. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) 1/ OFFICE OF THE REGISTER OF WILLS County of . ·W.ASIUNG!l'ON'· · · · · · · · · · .... OONALQ KURXZ. ...... ·. . . . . . . . . . . . . . . . . . . of .. .MA.!UANNA.. P.:l'mNftlriVANIA .......... . (Name) (Address) being duly --------~------------------.according to law, deposes and says that he is the ____ ~nJtc ___________________________________ _ __.._~c., Adm., Legatee, Etc.) ~Mea Keta · a:-68!i .F~d~\ti>wa;--~--------C---------~-""-c ________________________ whose last res1dence was ----~---------------------CSt~~eii ____________________ __ SC\si_Be.tbteum __ ~ .. __________ deceased, and that the whole of the estate of said decedent, who died _F-eh. __ J._f-..,_1966- CCicy, Borough or Townsh1p) COate) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRAN<i:ES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AI'lD RELATIONSHIP OF OTHER OWNERS. Real Estate AL.L ·tbat certaitt pa;~el of laud e:lt.ua.to a:£. Betblebem TW,p. i Estimated , Wa .· Co~. Po •. t .~aaLotNo. l6# No. lladNo.J, Value Personal Property ·C.eh in PD• at tlmt;of! the 4edh of deeeaaed Jt~o1dllm4flldUs• ~p~·~· 19S.OO so.oo 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. ·'I "· Jointly Held Property . Estimated., . .,. Value •· - - ·NtJna . - Transfers within TWO YEARS Prior to Death . : None : ' . . : . . 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:- 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 BEN·EFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest, vested, contingent or otherwise, in estate.) are involved,-set OR NO AT DEATH OF IN ESTATE forth this fact.) DECEDENT Loul•&. B.Wand --..to. • "tma ..... ...:lL 3320 Ma~ &. Pi.U-"••·~ • -... , .... ·& ~ .. ft . -1~ " .. a. o. t. West a.~ava~e: •. Pa. - Waltorl• ~-~~. ·-= ~~ OUC•8iatll 13oa68$; ~ .. P-a• Kathleen K. Pad ft... -"*'·· u ··---a.o. a.,atc-ea ~~ ... h. --- MaJ~Y'K. ·SewJ.t.t -ft ,. --.....:--"'-... Co,yaboga Falls. Olllo· "!, .DonalcS!tQfta 'Bon tt O!H!• ............. BosaM. MadAa:oa. Pa. ' , ... ·:> RESI~ENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED .. NOTE· List first five items in the spaces so provided, observe notations thereon, and instructions. DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN :KEGISTER ONLY c Funeral expenses paid $ $ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses • Counsel fees • ' Fiduciary commission • I OTHER DEBTS AND CLAIMS (*) See Note below ·' "' ., ' .J ' ' '' ,, ""'··4 ~~-·' ' ' ,, ,. " > ' )• ' .. .. ' ' " ' . ' ' • ' • : • ., • ' : ; " Total Note: The estate agre~s ~o advise the Register of Wills if the amount actually paid in settlement of any fee, commission oi· debt is greater or less than the e~~il'l)ated amount claimed and allowed. · ' x:2J~2~~.~~-.............. . ( Executor:,~:i:is?it~r.) : · .· Subscribed and sworn to before me this ..................... . ..... · .. /; ... ~a~ of ... ~ ......... , 19~j ·'··~sP--'~:;,e t f<ttv; !P-s-_,to.cz .~ .. ~.r..Y. ................. '.'. : ... ~ .... . (Street Number). . ... ' ~ ' .. . ~~~~-.A:~-.-.. !~.~}.1.?.~- (City or Town and State) Having been duly ,s~n ycording to law, I do hereby certify that the above appraisement is made. in. conformity with law •Pn this .............. /.?.~ ...... dayof ··~······ ;dJ/).!':~ .... c:Z,. ~~;;;··· In the event that any future interest in this estate is transferred in possession or enjoyme~eral 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--inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF T~ ~EGIS~R 0~ I, the undersigned duly elected Register of Wills in and for ... 1/.V~"""'.'Z.~."'li ..... ~ ...... -.-J •••••••• County, Pennsylvania, do respectfully report that I have allowed debts and deductions in the amounts claimed by depo t, except as to those items where a greater or lesser amount ~::d~o~t~. ~;;.;. ;?e;~tp~~~ .s~~~~~:~ .above, which greater or le.s~~~ .~~~~~~;:::, .. ~ Register of Wills I Fonn No. RCC-62 (12-66) Will l · Administration SNo. · · · ... ,' .. <Year·~ .: ... IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ...... mn.~.auan ....... : .... . · Deceased Late~·of Z&tl.aedl~ ,....., ..... · .. · County of .. Wa~ .............. . Commonwealth of Pennsylvania ....... REPORT AND Af~RAISAL ~_..... -~ e~ . ::~ (/) (I) -.rtl r~-. ~r-·, ~ ~-~ // .,__.~I "Tl ...... =<~ ;=::;; [;;CS ~ :::.; w .. w l:J -.... l • .....____ r-i rn 0 :...,: ·:i .. J /, '· / q .. ~ ----. :'~CC-;q { 6-64) COVMONWEALTH OF PFNNSYLV,\NI:\. T~l:\N :': FF.H. INHERIT AN C~ T A.X R.~SIDENT DECEDRNT KURTZ, THERESA FILE # 63-68-339 February 17, 1968 SUMMARY FILE # 63-62-339 TtEPOrtT OF INHERITANCE TAX L\PPRAISEH I. the unrlersigned duly appointed Inheritance Tax Appraiser in and for the County of # 63 ~:ashington , 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 eolumn to the right in Schedules "A"~ "B", "C" and "E". Auf~ INHERITANCE AX Dated: 05-17-68 02-17-68 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of 'Nills in and for------------ County, Pennsylvania, do respectfully report that I have allowed deductions in the amounts claimed by deponent, ~xcept as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated: REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VAL~U~E~<~J~\S~,RE~-=·AP~P~RA~I~S~E=D Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) $ J,OOQlOO,_ $ L,OOO.OO $-----~- ----""2,.,_45""-' • ...,0=0 ·~ 245,00 TOTAL GROSS ASSETS LESS Debts and Deductions (S C HE 0 U L E F) CLE~q VALUE OF ESTATE Valuation of life estates or annuities ESTATE TAX ASSESSI\ffiNTS ____3~245.00,_ 4.245.00 =====""-:~-======:= ======:= *--~-- (!> '·'------ FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on $ _________________ ; ___ ~% $ _______ __ Tax on $ 10'/,', !t .·---~) ~----------Tax on $_________________ ~ ~ Tax on$ , __ Hi% $ _____ ~ Exemptions::;=======:=('!') Total Estate __________ __ TOTAL TAX Less tax previously paid BALANCE Less 5% of tax if paid within 3 months after death BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6% from to AMOUNT OF ESTATE TAX ASSESSED Estate tax paid BALANCE DUE Add interest at rate of 6% from to FOR USE OF REGISTER ONLY $ ____ _ * ======~= *-~---- *=====:= $ _____ _ $ ------ TOTAL TAX BALANCE PAID. ADJUSTMENTS (:::) As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue, $ ________________ _ $ ______ _ $ ______________ _ $ ______ _ $ ______ _ $ 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 t No. r.-1 THE Year ........... . :\lATTER OF THE APPRAISEMENT OF THE EST.\TE OF ... THERESA .. KURTZ .. Deceased Late of. .. E. •.. B. :;:;:TBLEHE.~ : ... 'rr"!P. .~ County of .Wli$}IJTO'l'OP. Commonwealth of Pennsylvania REPORT AND APPRAISAL ,.- ·---~-~~~··.~ ,, ---·---...--~-----:-,:------"\ l !' :, '• i i I r I! 1 I .I i ' I ! ; ! ! ., ' ' ' I Form RCC-2·· . DATE ............................. V,.ay. ..... l7.1 .... 19.68 .. . COUNTY ............................ Wa.m.ingto.n .. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 1 2 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT FILE NO. . ..................... 6,3 . .,.6!?.""'_3,3.9 ................................ . Whereas, ........................................................ T.hN'!'.e$U. .. J~ur.tz ................................................ late of ................................ !!:.-.:::Be:hf!le.hem ... T.wp ................... in the County of ............................................. \\ta.shington ................................................... Commonwealth of Pennsylvania, having died on the .................................... 17. ... th ......................................... day of ................... F.o.br.uar.y ............................... 19 ... 6.S. ... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ........................................... .l~~ • .R ...... Chane.y ................................................... , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or·enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit Appraisement Deacrlptlon of Aaset Values Made for Inheritance Tax Pur pons - $ .. ~l:lli As oor appraisement filed .. 4,000 .oo ... .. .. PFRS9~J~L'l'YJ.. As per appraisen:.ent filed . 245 00 ·--·- TRANSFERS: --- NOI\E N0f...1J1 ·-·-·- JT. HEL!2J.. NONE NONE ... .. .i I ; ·I l'flnt.A1 _Lt. .2k'1 oo. , ·• I . . · . ! ' ,. I _, I I j ,( .. W.~.SHINGTOH. ........................ County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ... 'l'.HE.RE.SA ... lHJRTZ ......................................... . Deceased. Late of . ..E ..... BETHLEHEK .. 'I\i.P.-.. ~ Date of Death, ............. F.e.b.ruary. .. l7~ .... l9.68 ....... . ( Appraisemel!t Docket Vol., ..................... 3...1. ..................... . Page, .......... 97.~ ................. No ..... 6.'J~.6s~:n.9 .......... . Filed in Register's Office, .. 1~.a.Y. ... l.7., ...... 196$. .... . Amount of tax due, $-·······································-··-·····---- DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal f1'om Appraisement, Entered and charged, ---- " f;,J'-&f-5:3/ v f.litrm RC C-10 ' ~ DEDUCTIONS ALLOWED IN --. ~ OFFICE OF THE STATEMENT OF DEBTS THE SUM OF ..•......... $ ... ······························· ............... REGISTER OF WILLS WASHINGTON AND DEDUCTIONS DAn:: APPROVED .•...... OF COUNTY ............... .. ....... AND AGENT OF THE COMMONWEALTH Register of Wills, Age~! THERESA KURTZ :"': G D _.. D t:1 ~&A.._ C J:! C Ill .1. V W &A.!:!' && .": ~ Washington County, Pennsylvania ESTATE OF LATE OF DATE OF FILING APPRAISEMENT April 2, 1968 ~February 17, 1968 DATS: OF DEATH DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHEJII J:' .til\;:; 'NA ue ll."tS. I .!ll§. ADDITIONAL ASSETS I Mar. "J. \ireenc:~ "u"'" "~ 1nc:~wu.~o·.r.a..&. in e :1 u11 a on ac cu1.1u" -or "'" "'" \ ,Jf35 Hospital dent's bill -I~ .._ .., 29 Penns{lvan1a Blue Shie-ld, .... ,_._.. .... -·· ....... 8\J Agen for Medicare hospital and phyl!filns' 19 June 07 Pennsyl.van1a tnue ~nTe~a, Agent ~~u:w:nc'l ptiyJl~~~~R~ I u6itl8~' .. 1 " 44 14 Pennsylvania Blue sn · ,, :-~.a, .t"fYi)""" onJac~otn-.; 0:1 u ........... 5/ 1\60 Ab.;ht o r. A. • a terson 20 Pennsylvania Blue Shield, ~fYBen-.;conPacHo¥?~ o~ ~aJ.!t 141 \o Agent o r. • • u man Bn o Lucas-Bohm Ambulance ervicE 25 Pennsyl.van1a Hlue ~:>n--re-ra, Ag~nt Payment on account or Dl.J.J. of Dr. c. W. Grimes p a\ July 25 DJ.ue '-.l.·uatt uJ.. "e~tt "" .... " -£ .. "'"" Refund of excessive prem1um lm.l~ 8t)\. sylvania "f',.+.,.1 Jl.!llRR't .... EXPE: JSES PF UN '1\U UU l; .l .l V J!o 1\ J!.JU ... l.l • lARA B , ... • ... n ~ .., .. ... ... liJV ... I.U ,·.,.•••• •., '""'"' t" -·---· -----.... ~ Company toll calls 7 01 Feb. 20 Columbia Gas of ~ennsyJ.-vania, Inc. Gas for heat 15 00 22 Tri-County ,, o 1n t Mun 1 c1pal. Authority Water to February 10 5 25 Mar. 06 West Fe"n Power company .tiJ.ec-.;r1Cl."tY -.;o .re"llruary J.o " "1.1 23 Columl>1a Gas o:r PennsyJ.- vania, Inc. Gas for heat 15 00 West Penn Power Company Electricity to MareK "IS 4 56" I I" --South Penn Tel.epnone l;Om-;:;erv1ce :ror Apr·1~ ana ~.u.&..&. ' pany calls 6 26' 4 Apr. 18 l;OJ.Umu~a leal:! v.~ 7reun;.,.3 ... vania, Inc. Gas for heat 30 00 May 24 Tr 1-coun 't y ..1 o 1n 't IYlun J. c .1. pa.1. Authority wa-.;er -.;o Marcn TU \"fl:na;!. bill) 2 80 24 West Penn Power Company Electricity (final bill) 3 17 28 Columbia Gaf of1Pennsyl-van a, nc. Gas (final bill) 54 00 -•"'""' Taxes on unpr~~l:C"t;l.Ve ~ .. ~~u~ ..,..,. .... ,.r~a Y. county"i&x.:rf.2o-:·~eae ... &ciil ax-$6 • 97 62 - Sept. 28 Thomas Dunseath et ux. Pa. realty transfer tax 40 00 28 Thomas Dunseath et ux. J:.aS'!' oe"ti!.Lenem Townsn1p transfer tax 40 00 28 Thomas Dunseath et 1968 local realty taxes 97 62 I ux. ! 28 Thomas Dunseath et ux. ~ ot 1970 local realty taxe "" --z-g .,.._. SEE CONTINUATION ON PAGE TWO ~ ,.orm RC C -10 ·P·AGJ!' TWO OFFICE OF THE REGISTER OF WILLS WASHINGTON OF----------COUNTY AND AGENT OF THE COMMONWiALTH \ STATEMENT OF DEBTS AND DEDUC:T IONS THERESA KURTZ Washington County, Pennsylvania ESTATE OF--------------LATE OF-------------------- 2-17-68 DATE OF FILING APPRAISEMENT ----------DATI> OF DEATH ---------------- NAM& OF PAYEE REMARKS AMOUNT of Wills 13 Mar. 25 Register of Wills 2 Apr. 02 of Wills 4 June 25 2 Sept. 24 27 Oct. 21 Washington County Reports 14 29 Observer Publishing Company 14 Patrono, Ceisler 236 May 21 May 21 Angeline Sorice, Notary Public May 21 Register of Wills Filing account 20 May 2ID r e Publlc debts and deductions 1 AND NURSING EXPENSES AND Feb. Elizabeth M. Jakubik Bill for spray 26 Apr. 29 Frank Burkus Funeral Home Undertaker's services 960 29 Lucas ang Bohm ervice Ambulance Ambulance on a-16-68 17 30 Charles R. Hoffman, M. D. Phrsician's serv ces during 185 ast illness KER: Opening and closing and marker grave, 175 LAIM Arduino Paci Carpenter Reimbursement for calls durin last telephone illness 1 Arduino Paci Carpenter Reimbursement for telephpne 16 calls no f i latives Jewel Tea Com any Unpaid bill 9 Dillcrest Dairy Unpaid bill for milk 3 TOTAL COMMONWEALTH OF PENNSYLVANIA } ---!!..=~-88: COUNTY OF _ ~ashington I, --------~D~o~nua~l~d~K~u~r~t~z~---------~----------~ H£REBY CERTIFY, THAT. TO THE BE8T OF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF ThereSa Kurtz ECIEAtiED, AS DEDUCTION$ FOR -~~--DAY OP'-JF})'---~~O~na~-v-;KU'"'"~n~~4---<L. S.l INHERITANCE TAX PURPOSES. ANGELINE SORICE, Notary Public 80 E. Crestnut St. Washington, Wash. Co., Pa. :.:y Commission Expires January 11, 1971 00 00 00 50 75 75 00 00 71 00 00 50 oo· 00 00 00 28 50 11 49 ' ' ·~d -'"00 NOlDMIHSVM , 'S11JM JO tl11SW3H ' OtiHf1l:; TB'~St1H 21 ~ ~d 12 AV~ 694 ~ ~a. :~ --;. J J I~ ;!Jj~~ ll .IJ .... :] ,.,. . " .. '·--·-.. Form RCC-4-RI-3-66 ~9 No 948807 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT RESIDENT DECEDENTS File Ncf3•68-339 Transfer Inheritance and Estate Tax Date ~fAy lS, 1968 Office REGISTER OF WILLS, t~ASHINGTON t Pa. WASHI!\"GTON County, ss: Received from--.....:D::..:o~na:::·=:!l~d=--=K~urt~:!t~-------------- (Executo:Or~mat~Q of the estate oLf _____ _::T:;::IiE==.:l'tE:::=SA=---:K!:!.U~RT~Z=------------------ who died February 17 19 68 I the sum of TWENTY and tto/100 ...... --""' .... .. . . Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Real Estate Date Personal Property Date Valuation $, _____ _ $·------ Total Valuation $ ______ _ $·------ Total Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date 19 __ $. _____ _ $. _____ _ $. $ ____ _ $. DlCO)JPLBTE $ ____ _ ________ 19__ !::$======= Estate Tax Assessments Date 19__ $'-~----- ________ 19__ !::$======= NOTE: In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com- monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional lax may be legally due and collectible for any reason whatsoever. lJOOD [p:>[LO ©£ 1J[E 37-97·6 NOTE: This Triplicate Receipt to be retained by the Register of Wills and filed in numerical sequence for audit purposes. Computation of Tax Tax on$-----------5% $-------- Tax on$ 10% $ -------- Tax on $ On Account 61' D% $ 2ll OS Tax on $ 15% $ ----------- Exemptions * $ =============- Total Estate $ ----------- Total Tax $ ---------- Less Tax Previously Paid (if any) $ =========== Balance $ ----------- Less five per centum of tax if paid within 3 months after date of death $ 1. OS Amount of Estate Tax Assessed under the Act of May 7, 1927. $ ---------- Add interest at the rate o % from----------------- to '." •.. Total $ $ ==~2o~.===oo==- *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as amended by Act No. 381, approved July 11, 1957, and Act No. 207, 1961. Section 302 .. /,: 2 1 \ ~ ~-~C-~~~~ Register of Wills MOORE BUSINESS FORMS, INC., ELMIRA, N.Y. 0 ~ FORM RCC-4-Rl · TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT 37 91 Docket~ ______ Page: ______ ~I~ine•-------- Estate O>L-------------------------- OmCE OF REGISTER OF WILLS WASJII~"CTON, __________ ...:;_ __ Fa. Date. ___ }1a_y_· _l_S ___ l9 GS SIGNED AND SEALED AS PROVIDED BY SECTION 1201. ACT APRIL 9. 1929. P. L. 343 AS AMENDED BY ACT MAY 15. 1945. P. L. 528 RUSSBLL laRINO Register of Wills 1201 (g). Act of April 9. 1929. P. L. 343. as amended. viz:-"'To receive from Registers of Wills all duplicate re-ceipts for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the money with the amount receipted for. The original of each such receipt shall be signed and sealed by the Register of Wills and transmitted to the executor or administrator. whereupon it shall be a proper voucher in the settlement of the estate. In no event shall the executor or adminis-trator be entitled to a credit in his account by the Register unless the receipt is so signed and sealed by the Register of Wills."' Fill in below name and address of person to whom tax receipt is delivered: VASJIINGTON, PBNN'SYLVANIA L l530l _j