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Home My WebLink AboutOC1968-0389 - ESTATE OF HORN~RCC-46 (10-64) , ---· COMMONtiEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION RECOMMENDATION FOR ADJUSTMENT OF INHERITANCE TAX RECORDS Na3S / Estate of fRedeR1cK C. /ioR'7\. County File No. 31-Joq.z. Bur. File No.b3.(,l.j!9 Date of death J., ~ IS'· bK Date of filing of Appraisement. ___________ _ Name and Address of Attorney S. BqR 1t "\ Fl ncl e RS o-n Q on oRa.. , P r.l Name and Address of Personal RepresentativeCI~aRLtS R HaR..'"h. 7'n6'hOnCjheLt;_ PR Date on which current and active lien was last filed_---J~.:;:..:::...------------- ~~~~· 4'0 o:· 0 c l"" ~ ~ Do ct(eT of W R Shcnq1()~ 0o4.,'1'J. A proper investigation has disclosed: ff)t PeR .5mlfL 8ePR.eJe,rofuJc a11J. J./e1 R Ct/aRli>S. 8 /-loRn. -11 hoca~aqe laJ Recely~S Jt,/.{}'6 Petl. mo~'lh &i'lSiot\, l.S t(ecetl-\9 bts Twa SISU(lS Ql.Se Ueu.s. \!:) "'uki!tci 'ESIQt~, tnaR.99A~T !.S now Btte..1X a,d. YnQR•e.... acre. Gt9. -n, ( foR.nt(>ll.. a, r,., eon-. pe ... Te.,r Q,.,d_ :rh, Lorrcs. a Uacll~ oE Cance@..' 02> 7Jou II. /971 RTTo/t~€''1 oF Reca n..l .S B9f.~'i RndeftS~ h1oJc.. o.. ctt&c Re.Que5r ftHt !bess. PeopLs-Who LHJc_, ilf\. .Su bl.fc7 R et<L P1?o PellT'-1 $Tt:tfinq 71t en l. uJ(jJ Le f't i""' rz,(. Checi(t~o~c, Fl CC:ot.t.,T llPPI.~Jt..im lTe'-'t -.lllf;J0.01l qv.d.h•<i. ~lt~,r was "Tfly,.,~ lo ·R41Skei\ovt~ 'F'o(l.1hc. haJo.,c~ Out.. rRo~n b'J fe .. /l.SIOh P.RbC"t.!S, 1h(. 'RJTtllt"tt'={ a .... .t P!f.Sok~L RePr.t>se.,ToTI\Je.. wep.c:.\lo'\TO .Sec. rn~ · Tod li~l)ngac" ~. 1914 a,.d. oFF"el\td. T~ Pet"( i1t ~ Face. Fl tno'<n'f oF Ttt-i. oF "S{p$.Ko Rcc6 @.d.ms l ';I 'baT To c Reart. avzl{ Fu l.t1tett Fl tc\..Gl.1.1 Cl Qr... 1-fa~J:,sb I e Oh P,s. ot..J t>B, Pe6PLt. of ou.ll Clc,bom6b"ll\'Qqh and Tht. He1et~ lt'l Th\S cSt<bX@<'T ·E"sToltt. Ree<~vru,,e~-~J. Q LURIT(.-O(E oE TbfL ll'lTelleJT ThaT ThiJ Rc-coLLhl Ynt:f'-l he_ Clo.Stod_ (Attach Additional Sheet if Necessary) Investigated by Fl~d R e(;(J ,.:[ me Ru R D,IS'f. ~y PUR. (Name)(Title J-G-1'1 (Date) /7 1 _ ptsr.~uPU~ Approval recommended by~ 1 ~ Ma:nagewnt Aad:ttor. Date J,.b .7L/ Approved on _ ____,;J::;.."' ........... ~/....,~_-....--:7'---+tJ-- (Date) .T Approved on __ r.::--:---.~---- (Date) .... •'". FORM 67 REV. 1-50 REG. WILLS • i\ppliration for 14rttrrB of i\!lminiBtratinn nn tbr Estate of... .......... J.~:§.P.:§.~!.9..!S .. .9..: .... g9..~.~ .. ! .... ~~.?..~ .. ~E.9..:Y.~ ... ~.:?.J.~~.P. ... 9...= .... ~9..~~ .. t ......................................... . late ofRJ.99.~.Y..i§YI..c .... B.., ... .P.., .... #.J.~. .... M.9.P..9.P..g.!?:h.~lg . .< ... .:P..!?:.~ .. .< ................. , Deceased. Before the Register of Wills of Washington County CHARLES A. HORN personally appeared ................................................................................................................................................................................................... . who, being duly sworn deposes and says that...f..~&..P.~B:!.9..!S ... 9...~ .. ):19..~~ .. t. .. ?./~/~ . ..f.~.~P. .. .9..: .... ~.9.~.N.! .. .. age ..... .Z4 ...... , having ....... h.~.:?. .. last family or principal residence at... .. R.~.99.~Y..~.~jY..< ... B..~ .... R.: .... #.J . .< ....................... . (Street and Number) M.9.!29.Il:9..?..h§:JS!:.!. ...................................................................................... , Washington County, Pennsylvania, died intestate (City, Borough, Township) at... .. ~~.~.?.!:.~:::.~ ... ~.?~?..~~:::.~ ..................................... , on thJ.?..!~.day of .......... .f..~.~~.~~~Y..! ............................................ .. A. D.; l9 ... 6.8. ........ , at... ................ lO.:.O.O ... P. .•................. M., possessed of personal estate to the estimated value $ .. L .. Q.Q.Q .. ,.Q.Q ......... , and of real estate in the Commonwealth of Pennsylvania to the estimated value of $ . .3 . .,.5.0.0 .•. 00 ........ , situ ate in ............... G.!?:!'I9..U ... T.Q~D:~hJP..!. ... W.9..~.h~n.gJQ.!2 ... Q.9.~ntY..c ... .P.§D.P.:.~Y.JY.9.!2J.Sl:.: .. The names and addresses of the decedent's surviving spouse (if any) and other heirs including heirs by adoption) are as follows. I REI,ATIONSHIP RESIDENCE 9..~.?.-E.~.~.:?. .. ~.: .... !i9.E.~ ....... : ............................................... o' • .1?.:!9..th§:.~ ............... ~.: . .P..: .... #J..t. ... .M.9.D:2:0..9.~h.~~.?. .. ! .... P.~.~ ................ . Clyd,e L. H;prn Brother. Cleveland, Ohio ·r·~·~·~k ... R:.: .... :H6f~ ..................................................................... ,.,. ............................. R.j5·~ .... #.L .... Mo~0~·9~'heia·~ .... fi~ .. : ............... .. 'tP.•: r:~:wre·nc:·e ... l~··; .. ·Hofn ......................................................... ,.,. .................................. ;r.~ ........... w ....................... ir ............................ ,., ..................... . Marie P. Horn Sister 11 11 11 11 ·iVi·~~:~.;~·.t .. c;·: .... H:~;~ ......................................................... ,.,. ............... : .... : ............. ;; ............. ,.; ........................ ,.; ................ : ........... ; ...................... .. UY~·ri:!/·fi~~~·~rr:~.t .. : .................. :;.;r ........................ N'~·phe·w .............. ~\~Jf:~~l'lo~~; .. ·New .. Ter·s·ey ................. .. 'fti:l:i:ce .. ·Pol:ey ..................................................................... "Niece .................... fnd:taner·, .. ·P-a .. ; ............................................................... . Doris Miller Niece Connellsville, Pa. That deponent is over 21 years of age, resides at .... .R.~.P .. ~ ... :If.J .. r .... M.QP.9..D:9.~h.~J~.I. .... P..~9..D:~YJY..?,..!2}a, ................................................................................................................................................................................................................................................... is a citizen of' s~~United States and a resident of Pennsylvania, and respectfully applies for Letters of Administration ll;J:>On the Estate of said decedent, no letters having been previously issued thereon. ~l ~ )?/./)A/ ~ Swom and sub,.,ribed before me this .. 7.. ...... -········-··· T:~~-·a. ..... ~············-····· day of... ........ M.~ES?.b:.! ............................. , A. D., 1 9 .... ~.~.: .... .. ,. .... ~ ........ ~~ ........ .. REGISTE.R COMMONWEALTH OF PENNSYLVANIA } SS: WASHINGTON COUNTY, 7:/ . And now.~.~.-!.. ... 7. ............................. , l9 .. §JL .. , comes ............ Q.H.l:\E.~f;.g . ..f.L .... H.QE.N., ................................ .. who being duly sworn doth depose and say that... ....... ~.~~ ........... will well and truly administer the goods and chattels, rights and credits of . .fr.~.9.~E~.9.t: ... G .. : .... H.9.ID.:( .... ?,./.)5/~ .. .f.r.~.9 ... G .. : .... H.9IP. ............................... , deceased, to the best of... .. ~.~.~ .... skil1 and judgment in strict compliance with the laws of this Commonwealth, mind- ful of the laws relating to inheritance taxes. )fb Sworn and subscribed before me this .. 7.': .................... . day o~f ................... M.R.r.c:.b ..................... , A,. D., 1 9 ..... 6.S. . .~~ .. .. ;;a~~ ......................................................................................................................... REGISTER (.1£.~.-a._.~ Charles A. Horn ~·· .. ........................................................................................................... . .. J ~1 ' \, -_~-: i :-: ·>!, / I I 1 \ I ' I ·I •i l \ t I I ~ ~ I .. } l /I((J. / 3t1 ~-G J-:-c p-.--3 Y/ APPLICATION FOR Letters of Administration ESTATE OF f.Rf!.P.f!EJ9.~ .. 9.., ... .H.QBJ':r~. .... ~/15!.?.l: .................. . Deceased Fred C o Horn, R $ ............................ .. Letters...................................................... . p-c./ p $ ........... l.r..:, ..... . Extra Alias .............. $ ........................... ... cP~ "--..J.f2-a~ Certificates .............. $ ............................. . •J I c.rf7 Renunciations ... / · · · · · · · $ ... ,. .................... .,. i) I .................................................................. $ .......... ( .. 1.. .. ., ..... ~ Total.. ........................................................................................ . ~~. t/,) ~ ij 1.' j .::0 r'l:;n ~. C>c::: ,-;:- ·t;;cn 5j -.... (/) (':-1 t""":''j . .:uj-,_......,., r-,. ~~ ~..-'l. ~~, --~ r-_h s 0 BARRY i!N~ERSBN fl1 .................................. ~;.;·'-.) .. r-... ............. ~···~~····· ......... "i?t"~;~~y ..... . ..... 2 ~~ y~ !,~ {).. q:;., f/ I· 'J ! I I I l 1 I I I ! .f I• ,. ESTATE OF ..... ~~~P.~.~~.~.~ ... ~.: .... ~.Q~.~.: .... ~~.~.9. ... ~~9..~~ ... ~.~ ... ~.~.~P. ... ~.: .... ~.Q~.~ ................................................... DECEASED The undersigned ............ .?.Eg.!0..~E.~ ... ~?.-.~ ... ~.~:?.~.~~ .......................................................................................................................... and heirs Frederick C. Horn, a/k/ a of..I..Er.ed ... C.~ ... Har.n, ........................................................................ .late of ... S;.~EE.2H .. T..9.~E.~hJ.P..~ .. W..~.~h.~gg_t.9.E. .. g.9..: .. ! ... Pa · ' deceased, hereby renounce$ ..... th.e.ir. ....... right to admininister on ................ !?:~.?. .................................................................. estate and respectfully asks that Letters of Administration be issued to .................................................................................................... .. CHARLES A. HORN Signed in the presence of: ~p~ M·-·:··-e···p:··rrom·······~-············-·········· .. ~~ ..... q::._,,, ....................................................... .. Frank R. Horn ~~~~i~:::::::::::::::::::::::::::::::::: 1 t' • • 1 ' 1'/ ... i '. p.... • • -.~. ~ l~, • ts 1,, v, u •..••. t ::0 111 z c z 0 """ )> ~ -0 z ... 1!\unw i\11 !lru iy IDqrsr Jrrsruts Estate of Frederic.k .. G ..... Hor.n ............................ { late of ~g~~~~B:i'a~~~~; //:1. .. , Deceased } No .. ··· ... of 19 ....... . KNOW ALL MEN BY THESE PRESENTS, Charles A. Horn as Principal and United States Fide;ity and That we, .................................................................................... ........................... . ........... .. . . . . . . . . . . ':t~~.r..~.t:l:~.~ ... ?. ~-~-... !39:.~.~-~~~~~-·'· ... rd.~.~-. -~~l:'~. ~.Y.: .................................................................................. . all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl- vania, for the use of those interested in the estate, in the sum of ..... ':rli/.Q. ~~9.\l.~.~~-q ............. Dollars, to be paid to the said Commonwealth, to which payment, well and truly to be made, we do bind ourselves, jointly and .~everally, for and !n th:: wh~!:o, c-:;r heirs, cx;::cutcrs, admini;tratcr;, successors ·and assigns, and each and every of them, firmly by these presents. Sealed with our seals and dated the 7~J:l.• day of ...... ~.~-~-~---······················A. D., one thousand mne hundred and ... $1:-J.C.~.Y. ... ~~g:t"l:~ ............ . THE CONDITION OF THIS OBLIGATION IS, That if the above bounden ..... . Cha rle a A. Horn Administrator or any of them, shall well and truly administer the estate according to law, this obligation shall be void as to those who shall so administer the estate; but otherwise, it shall remain in force. Sealed and delivered in the presence of: . . . (SEAL) &tutrmrut of ~urrtu I, ----------------------------------------------------------------------------------------------------------------· surety in the sum of $-------------------------------on the administration bond in the estate of ---------------------------------------------------------------------------------------------·· say that I reside at ------------------------------· Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in .................................................................................................... , Washington County, Pennsylvania, worth above all encumbrances $ ... _______ : _____________________________________ ; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. ·----------------------------------------------------------------------------------------------------------------------~ -----------------------------------------------------------------------·-----------·-----------Street P.O. &tutrmrut of ~urrty I, -----------------------------------------------------------------------------------------------------------· surety in the sum of $ .... ___________________________ on the administration bond in the estate of ----------------------------------------------------------------------------------------------------------------· say that I reside at _____________________ , __________________________________________________________________ , Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in .................................................................................................... , Washington County, Pennsylvania, worth above all encumbrances $ ........ ________________________________________ ; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. ······················-···-···················-················--------------·············--··········--·······-------··· Street P.O. COMMONWEALTH OF PENNSYLVANIA, } SS· WASHINGTON COUNTY, '" . And now ........................................ 19 ............ , comes ....................................................................................................................................... . who being duly sworn, says that he is acquainted with the financial standing of the securities to the within bond; that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this ------------------------- day of ------------------------------------------------------------------------------------A.D. 19 ________ __ / -----------------------------------------------------------------------------------------------------~-------- 63 -68 -389 No ..... /3_& __ '/_ ___ _ A~miuiatrntinu 1Bnub IN THE ESTATE OF HORN FREDERICK C. . aka _____________________ .,t ________ FREn···c·~-------------:-~------~-- And now ---------Mar.cb-----~4 ........ , 19 . .6.8 ... . Bond approved and Letters issued to ...... ' . ,. ----------------0-HARLES. .. A ... f.HORN _________________ _ ::::J ---rq:ry !;?~~ -i -- ___ Y!~_Q __ ~~~---~u:Ly q ualif ie a; -~-:";_::r·-----.. 1::.;;--··------::...~---~-~-·····----·- -.Jr-,;;;. ,..__ ~~ I _________________ Rus.s~:I~.--M~r.1n9_D: t= 25 :.-a~9i~-t~;-- "' . ~ "'~ -...1 Bond Book .......... 6.2_____________ Page BADZIK PRI_NT•NG ~9 DONORA J W. _-, , •.. STATE OF PENNSYLVANIA, WASHINGTON COUNTY, } SS: The within named Accountant being duly sworn according to law, depose sand sayS that the above account as stated is true and correct as ............. h~-------------------------verily believe.s. Sworn and subscribed be,fore me this ---~~ Washington County, ss: 0 z I .. _.... I I H 0 +' ctl H +' (/.) ·..-< I=: ·..-< s "0 <l:! ... 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 -~e 8.f ~urt, as evidence by proofs thereof filed to No. _________ }% __ f __ Q_p_L_, ________ _ Witness my hand and official seal this~------ day of ________________________________________________________________________ 19 ......... . Register of Wills ...., ...., .... ~ ::I d cd 0 ...., 0 ~ 0 := 'Q) 0 ..c:: ..... 0 ...., 0 0 0 < ...., ,bd .... .... 'C Q) 0 Q) 6 .... ...., z ;:.. '' . ' ~ Q) ;~·/J Q) 0 ·~ j I rn '5 0 ~ I Q) .... .... iE C/)_ 0 Ill ---A ~ ...., 0 ...., t ...., < ~ ~ lJ;:l := ri1 C1 0 0 'C ~-.... ·~ ~ ( ~ 5 0 ~ z F'' (-. .r .I c-, cd cd <l:! ..; ·i· ~ .... ...., :d ~ Q) -~ ...., -~ ...., ~ rn f; 1,1 ~ .., -• ~ • A J ,..., 0 ~ • "') -~ ...., ·sn ~ 0 cd f\ · 'I ;-" ,.. ·. · ' ·'V ...., s Q) ~ -L '"' 1'-·' ·• ::t.LS Q) ~ :;: ..c:: -~ <l:! ...., 0 ..... ~ ~ r:q 0 'C <.) ~ .,.; .... < 0 U)_ ..-< ..... ... I .•. f ... _ ......... ·~ ~ I s ''-.... •, ) i_ ' ~ . -------,.. .... .. The Court is respectfully requested to determine proper distribution in this estate. ~:~?':J~ -. r . - I IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA In r e: Estate of FREDERICK C. HORN, a/k/a FRED C. HORN, deceased. ) No. :? YIJ 1968 ---~~~~F+------ ) ) FIRST AND FINAL ACCOUNT OF CFJ4:R~ES~. A_ •. HORN, ADMINISTRATOR The accountant charges himself as follows: / Per Inventory filed . $ 5039.58 Total Charges Total Total ~*~************** RECAPITULATION Charges Disbursements $ 5039.58 $ 5039. 58 1684.35 B a 1 an c e for Dis t rib uti on $ 3 3 55. 2 3 Balance consists of: Real Estate per inventory filed Personalty Ford Truck Chevrolet Sedan Cash--Mellon National Bank $ 200.00 50.00 455.23 2650.00 705.23 $3355.23 I I : 1968 March April May July Aug. ·~ - The accountant takes credit for the following disbursements: 26 Lawson-Rabe Funeral Home--Funeral services $ 1242.00 1 F. J. Buckley Agency--Administrators' Bond Washington County Reports--Advertising Valley Independent--Advertising Commonwealth of Pa. ,Dept. of Revenue--auto transfer National Ambulance Service--Ambulance Charles A. Horn--reimbursement for following: Bell Telephone Co. --balance due $ 16.54 Russell Marino, Reg. of Wills--letters 19. 00 St. Charles R.C. Church--Mass 15.00 Stamps. Cards of Thanks 8.00 Internal Revenue Service--1967 Inc. Tax Return 23 Mellon National Bank & Trust Co. --Clear check on 10 10 22 5 old account by decedent Peter J. Gallick, Tax Collector--Real estate and Fire Hydrant Peter J. Gallick, Tax Collector--School tax Malcolm L. Morgan, Treasurer--Co. tax Kurtz Monument--Marker Total Disbursements 20.00 12.50 10.50 12.00 25.00 58.54 102.00 8.00 9.36 60.64 18.81 105.00 $ 1684.35 Washington County RePorts f!CCSO~~~ Washington, Pennsylvania (PUBLISHED 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 WASHINGTON) STATE 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, published 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 COTJNTY 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: ........... ~P.~-~-~ ... :1.t.....!.~.t ... .!.?.LJ.9..9.S ............... . that the affiant or the corporation in behalf of which he is acting is not interested in the subject matte~£ sap-notice or advett:iSi~te-.'lllegations of this affidavit as t~rthe). tim-e, place and character of the plbli&'ii"tJ .J'r t. rue. , (I t I / ( :;:_;;;v-··;; , / ' I . / , '_ -_ _/ --' (._.....-v /1 __ -, ~ Sworn to and subGfore me thi~ ........................................................... ~: ... ; ...... : ... : .. Edit~; l~d.y "'-~~~~:~-· 196 .. ~ .. . _j:::~:.~,~::~;bi; Washington, Washington Co., Pa. My Commission Expires November 1, 1969 Estate Notices The Register 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 . • • • • • • • • • • • • • • • • • HORN. FREDERICK C., a/k/a FRED C. HORN, Dec'd, Late of R. D. #1, Monongahela, Washmgton County, Penna Administrator: Charles A. 'Horn, R. D. #1, Box 637, Monongahela, Pa. 15063 Attorney: S. Barry Anderson, 617 Mc- Kean Ave., Donora, Pa. 15033 Proof of Publication of ·Notice in The Valley Independent Under Act No. 587, Approved May 16, 1929, P. L. 1784, as amended by Act. No. 51 of April 24, 1931, P. L. 67 State of Pennsylvania County of Westmoreland }ss: Personally appeared before me William H. Pore, Secretary of Mon Valley Newspapers, Inc., a Penn- sylvania corporation, publisher of The Volley Independent, who, being duly sworn, deposes and says that The Volley Independent is a daily newspaper of general circulation in Fayette, Washington and Westmo·reland counties, Pennsylvania, and elsewhere, published in the City of Monessen, Westmoreland County, Pennsylvania, that it was established June 28, 1902, since which date The Valley Independent has been regularly issued in said county, and that a copy of the printed notice or publication is attached hereto exactly as the same was printed and published in the regular editions and issues of The Valley Independent on the following dates, March 30, 1968 April 6 and 13, 1968 Affiant further deposes and says that he is General Manager of The Valley Independent, a doily newspaper of general circulation, and as such is authorized to verify the foregoing statement under oath, and Affiant is not interested in the subject matter of the aforesaid notice or advertise- ment, and that all allegations in the foregoing statements as to time, place and character of publica- tion ore true. h:;~ J? F~ COPY of NOTICE Letters· of administration on the estate.·~ of Frederick C. Horn, a-k-a Fred C. Hom, late of R. D. 1, Monongahel.a, Pa., Washington County, deceased, having 1 been granted by the Register of Wash• lngton County, notice Is hereby. given to : aH persons Indebted to said estate to 1 . make Immediate pavmenl, and to thOse having claims aga lnst the same to pre-· sent them without delay to Charles A, . 1 Horn, administrator, R. D. 1, Box 637, Monongahela, Pa. 15063. S. Barry An- derson. attorney, 617 McKean Ave., Do-\ nora, Pa. 15033. 3;30,4;6,13 My commission expires STATEMENT OF ADVERTISING COSTS: A. Barry Anderson, Attorney at Law 617 McKean Avenue Donora. Pa. 15033 TO MON VALLEY NEWSPAPERS, INC., DR. For publishing the notice or advertisement attached hereto in The Valley Independent on above stated dates .................. $10.00 Notary ........ ·....................................... ....... .................. $ • 50 Total .......................................................................... $ 10.50 PUBLISHER'S RECEIPT FOR ADVERTISING COSTS Mon Volley Newspapers, Inc., publisher of. The Valley Independent, a daily newspaper of general circulation, hereby acknowledges receipt of the aforesaid advertising and publication costs and certi- fies that the same have been duly paid. MON VALLEY NEWSPAPERS, INC. By -3/28/6~ .... i\ffi~auit ®f £xerutitr ,®r l\~ministratnr ~tntr nf Jruuaylnnuin, t ss: C!tnuuty nf :llna4ittglntt \ P II b f h d · d h · 1\T otarv Public · d f 'd ersona y e ore me, t .e un ers1gne aut or1ty, a ..... J..'I ............. ., ............................................................ m an or sru County and State, appeared ..... QJJ.AB.~.:g-~ .. .A! .... ~.QB:N.~ ...................................................................... who, being duly sworn according to law, deposes and says that C ~he is the ~~ooa.tm~:ur administrator of the estate of f.~.~P..~~.fg~--~.~ .... .?.9..~~.~ .... ~/.~/.~ ... ~.~-~?.!..~g~~teased; that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of .. E.r..e.d.e.r.i.ck ... C. ..... liQ.:r.u ...... i?..l.ia~ etc •• 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 E~e~H*~~Administrator . . "sw~rn·and subscribed before-me this.~]~~ l ~~ 1'/J/ day(jt' ··:···May.._ ................ .L. .. l9 ..... §.~~ JoHN£ VERBICI\, fD~~~.a. ... ~.~ ........ . . . . . . 7/ ~ • ; . -~ora, V4a~hln;~:~ f.~plraa_ _ , .. ~~dtp.inistrator · .-·~····Puhli~······"·fiy·~~ml;o, ~eGa 1 _ .• · ~~ :.--y ADDITIONAe INSTRUCTIONS ' l. 2. An inventory must be filed within three months after appointment of personal representative. A. supplemental inventory must be filed within thirty days of discovery of additional assets. l Original and 2 Copies and 2 RCRI-34, Under $10,000; l Original and 2 Copies and 2 RCRI-33, Over $10,000, including Copy of Will; l 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 -r lluneutnry aub 1\ppratsrmtut of the goods and chattels, rights and credits which . FRED c. HORN ; were of...~E;.R;§.~g;;.~ .. E~.~ .... !?..Qg.~!. .... ?.:f.~f..<:.f.. ....... late of ...... B.~ .. P..~ ..... #..L .... M.2gg,gg,~h.~.~~l. ...................... :~ .. W ashingto"n: County, Pa~, taken and made in conformity with the abOIJe affidavit. REAL ESTATE PARCEL I: An undivided one-fourth (1/ 4) interest in those certain parcels of land situate in Carroll Township, Washington County, Pennsylvania, being p~rt "C" and "D" of the plan showing the sub-division of the property owned by the late MaryA. Horn and being mo:J;"e 1fully described as follows: Beginning at an iron pin in the edge of State Highway Route No. 837; thence by such RouteS. 85° 38' E. a distance of 65. 77 feet to a point; thence by a line runningS. 13° 07' W. a distance of 270. 34 feet to a property line; thence by said property line N. 76° 53 1 W. a distance of 65 feet to an iron pin; thence by a line running N. 13° 07' E. a distance of 260.33 feet to an iron pin in the edge of State Highway Route No. 837, the place of beginning. For chain of title see Deed Book Volume 825, pages 45 and 48, records of Recorder's Office of Washington County, Pa. PARCEL II: All that undiv~ded three-sixth (3/6) interest in that certain parcel of land situate in Carroll Township, Washington County, Pennsylvania, known as part "B" of the plan showing a sub-division of the property owned by the late Mary A. Horn and being mor'e fully described as follows: Beginning at a point in the edge of State Highway Route No. 83 7 and on the line dividing part "B 11 and "C" in the above mentioned plan; thence by said dividing line S. 13° 07' W. a distance of 270. 34 'feet to a property line; thence by saiq property line S. 75° 53' E. a distance of 112. 56 feet to a point diViding DOLLARS CENT~ ; $ 300 00 cont. .... • .a .. Inventory and Appraisement IN THE EST ATE OF FREDERICK C. HORN, a/k/a ·FRED C. HORN , deceased Filed .................................................................. , 19 .......... . ~2 .. , ~ : I -< l . . -. Affi~nuit ®f £xrrutnr ·®r A~ministratnr ~tatr nf Jruuayluauin. t 55: <nnuuty nf llla5~iugtnu \ Personally before me, the undersigned authority, a .............................................................................. ~ ..... in and for said County and State, appeared ......................................................................................................................................... who, being duly sworn according to law, deposes and says that he is ·the executor or administrator of the estate of ............................................................................................................................... deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of... ........................................................................... , 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 Administrator. day_~:~;~::":~d::~~:~~~~;;;:.:~;~~'::·~':.'.:~ ·~: :::::·:··:~ l··-···· ·· · ·· ··· ··· -E~~~~;:Adri~i;tt~;~;········-· ADDITIONAL INSTRUCTIONS 1. An invent9ry must be filed within three months after appointment of personal representative. 2. A supple.mental inventory must be filed within thirty days of discovery of additional assets. 3. 1 OriginaCand 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over $10;0.00, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, in- chiding '~9PY 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 , r·. . • 1,]fuurutnry aull1\pprai.!itmrut of the goods and chattels, rights and credits which :'FREDERICK C. HORN, a/k/a/ FRED C. HORN, R.D. #1, Monongahela, were OJ ......... :··· ........................................................................................ late of .................................................................................................... .. Washington County, Pa., taken and made in conformity with the above affidavit. cont.---#2 property here conveyed and property known as part 11 E 11 of the above mentioned plan; thence by said dividing line N. 13° 07' E. a distance of 287.66 feet to an iron pin on State Highway Route No. 837; thence along the edge of said Route No. 837, N. 85° 38' W. a distance of 113.87 feet to a point, the place of beginning. DOLLARS The above described property being the same property title to wfiich was vested in F;retl Horn by Will of his mother, Mary A. Horn, date~ Dec. 7, 1945andprobatedJan. 11, 1946inWillBookVol. 68, page CENT~ 363, records of the Register of Wills' Office of Washington Co., Pa. 1350 00 PARCEL III: All that certain parcel of land situate in Carroll Township, Washington Cqunty, Pa., and more fully described as fo:ll@.:vs: Beginning at an iron pin on the Southerly side of State High~~y Route No. 837 and on the line dividing property here described and l~nds now or formerly of Walter Horn, et ux.; thence by said dividing line S. 13° 07' W. a distance of 237.25 feet to an iron pipe on the line dividing the land here described and lands formerly of Mary V. Sam11son; thence along said dividing line N. 76° 53' W. a distance of 193. lOfe,t to a point on the dividing line between lands here described and lands~ formerly of Mary V. Sampson; thence by said dividing lineN. 13° 07 E., 210.74 feet, more or less, to an iron pin on the Southerly side of said State Highway :~Route No. 837; thence along said HighwayS. 85° 38' E. a distance of 195.37 feet, more or less to a point, the place of beginning. BEING the same property that was conveyed to Frederick C. Horn by Mary V. Sampson, et con., by deed dated Aug. 12, 1919,; and recorded in the Recorder's Office of Washington Co., Pa. in D.B. Vol. 466, page 686. 1000 00 cont. Inventory and Appraisement IN THE ESTATE OF FREDERICK C. HORN, a/k/a ERED. .. .C •... HORN. ..... d.e.~.e.as.e.ct .................... .. Filed ..................... : ............................................ , 19 .......... . !l .,.,.2 . . -''-I • ,.. Affi~nuit ®f fxrru!nr r®r .Abministrntnr ~tnte nf Jeuunylunutn. t sn: C!tnuuty nf Bns~iugtou \ Personally before me, the undersigned authority, a .................................................................................... in and for said County and State, appeared ......................................................................................................................................... who, being duly sworn according to law, deposes and says that he is the executor or administrator of the estate of ............................................................................................................................... deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of.. ............................................................................ , 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 Administrator. day--~~~;.~~:~=:.:':~~":':.:~~~::;':~~':·:~~ .. :~··::::.:··::::::·::: l· · ·· · ·· ······ ··· -E;;~~;~;:Adri~i;t;;;~;·······- 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 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 $50,000, in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 . 1Juurutnry aula -"pprai!ittttrut of the g_gods and chattels, rights and credits which ·. Jj FRED C. HORN, were of.E.:;g.E.!Q.E.!;g.!.g.~ ... g .. ~ .... !!9..~~.! .... ~./..~.f..~L .... late of ....................... B.: .. P..: .... !f..!., .... M2P.-.2gg~h.~~9.-.! ...... : .. Washington.L.County, PCJ-., taken and made in conformity with the above affidavit. DOLLARS CENTS cont.---#3 PERSONALTY Proceeds--State Mutual Life Assurance Co. of America 1210 13 · .. L Mellon National Bank and Trust Co.--Checking Account 929 45 Ford Truck 200 00 1959 Chevrolet four-door Sedan 50 00 ·"'! rt o?tJstJ t3-df-Jc?f Inventory and Appraisement IN THE ESTATE OF FREDERICK C. HORN, a/k/a ·~ ~ ·-~ ~-FREn cl"" HQRl\.T ~: ...... : ...... :.: ..... : ..... N: .. "!::: ... ~...... • • J.."l.,. •••• de;c.ea.s.ed .. .. Filed.: ....... Z.f...::.. .. /..4...t!..._ .. _., ;:;:) r~:o CJC:: -(.r) (./)(/) ;:;~~ ;;:w;- 0-;--q-~ 1:~ ~::..::1. ;:==;;: r-o V> . -· t , t ( ("_ t • ... _; ~-- ~ ~ ...... .. C,) Ll'l 0) ~2 I ; ---r--1 m 0 19 .......... . (Form where decedent died intestate) j llu tqr ®rp~aus' illnurt nf Dllaslltngtnu <nnuuty ESTATE OF No. 63-68-389 In the audit of the First and Final FREDERICK C. HORN, a/k/a FRED C. HORN, Account of CHARLES A. HORN, Administrator Deceased The petition oL .......... 9MR_!;:~_$_A._:.JiQ.RN .................... ---········-··············································· (Name of Petitioner) respectfully represents: ........................................................................................................................................... . (a) The decedent died ......... ~~?.T.~~-~.Y.}.!?..~-----~--~-~-~---························-, intestate and (Date) I f d · · · his d etters o a mm1stratwn on ........................ estate were grante ........................................................... . (Date) as per record thereof appearing in Administration and Bond Book No ............. : ....... . at page ............................................................ . Stdatet (I) wheth~rd de-·Decedent was ~br not married and was survived by Charles A. e en was marne or J/Y.~ u_nmarried; <2> if mar-0 orn, Clyde L. Horn, Frank B. Horn Lawrence F. Horn Marie P. Horn, ned, whether a husband ~.1 ' ' 0~ wife survived and Margaret G. Horn, June E. Herbstritt, brothers and sisters; and hiS or her name; (3) whether or _not there Walter Horn, Jr.' Alice Foley and Doris Miller' nephew and nieces. was any marnage settle~ ment; (4) whether or not family relation was maintained until deced- ent's death; and (5) whether the decedent left children or issue of deceased children. within (b) At the time of death, the decedent's domicile was~~ the Com- monwealth of Pennsylvania, to-wit, atC.ar.r.Qll .. T.o.wnship._, ____ Pa. ...... :-: ... U .... S ... A.~ ... (Town or Township, State and Nation) and residence was a t..fL . .:O..: .... #..L ..... M.9.P:QP._gg,h_~Jg_, ____ _p_g,_: .... ::: ... U.: .. S .. :.A .................................. . (Town or Township, State and Nation) (c) The names of all persons having any interest as heirs or next of kin with the names of their deceased parents, to show relationship if they take by representation are as follows: Of age, sui-Name of Guardian, Trustee or Committee, if NAMES Charles A. Horn Clyde L. Horn Frank R. Horn Lawrence F. Horn Marie P. Horn Margaret G. Horn Relationship brother 11 11 11 sister 11 June E. Herbstritt ( 11 Walter Horn, Jr? ~-~ [)}\ nephew Alice Foley {)JfJJJV'\ ) Niece Doris Miller 11 juris, or not, Interest (write yes or no). 1/8 yes 1/8 " 1/8 II 1/8 " 1/8 II 1/8 \1 1/8 '11 1/24 11 1/24 11 1/24 11 State exceptions, if any, giving names and dates of death and the names of their executors or administrators, or the names of their issue as the same may be mater- ial. All of said parties in interest are living, except No exceptions any, or beneficiary, mancer and place of record of appointment and is bound suffi- cient to cover and protect share. - - - - - Marie P. Horn, Trus - - - - Describe type of notice. (d) All parties having any interest have had .. w.r.H.t.~P.notice of the filing of the account by Charles A. Horn, Administrator. tee Insert word "not" where necessary. (e) Balance for distribution per Account (f) Additional debits, not shown by Account (Itemize) Supplemental Inventory (g) Additional credits, not shown by Account (Itemize) S. Barry Anderson--legal fee $250.00 S. Barry Anderson--costs adv. R. Marino--filing acct. & inv. and Short Cert. Anne Verbich--Notary Fees 24.00 6.00 $ .... ~.~-g--~-~--~--~-- $--·-----~-?..? .. :.?..~-- $ ________ ?._~-~-: .. ~?. __ $----~-?..?.~_ .. __ ?._?. __ _ (h) Claim for exemption ha~0~een made, and has .... E~9.~--------·--been paid. (i) The estate is _______ : _________ subject to the payment of inheritance tax to the State of Pennsylvania. rr taxable state w~eth-1 (j) The estate is ________ ~9.~-------··--subj ect to the payment of the county 4 mills er tax has been patd. 1f too many for the space, annex a list there-of; if no such claims, insert the word "none." If any creditor or other claimant has not re- ceived actual notice, that fact must be stated. Indicate such claims as may be secured or en- titled to a preference, and give detailed infor- mation concerning such security or preference. Here insert a reference to all questions requir- ing adjudication, and a statement of any mater- ial facts not already given. If none insert the word "none." If any share has been assigned or attached that fact should also be stated here. State kind, form and character of property composing the balance lor distribution, and if any part thereof is not cash, whether or not 1 there has been any elec- tion to take such part in kind. tax. (k) The estate is-------~9.~---·----·---subject to the payment of Federal inheritance tax. (1) All creditors (and other penons who have complied with Rule II, Sec. 9), of whose claims the accountant ________ h9.-_q ____________ notice or knowledge, have ________________________ received actual notice of this audit; the amounts of their claims and whether or not they are admitted to be correct are as follows: 1 Gravely Tractor, with attachments -claimed by Lawrence Horn. Ownership by Lawrence Horn denied. (m) None (n) The balance for distribution consists of property in kind, form and character, as follows: Real estate in Carroll Township--per inventory Ford Truck Chevrolet Sedan Gravely Tractor Miscellaneous Tools Cash--Mellon National Bank $2650.00 200.00 50.00 100.00 100.00 175.23 Are there any advance- ments by decedent to be considered on distribu- tion and has any distri- bution on account been made by accountant to any distributtee? (p) None ( q) Give brief location of any real estate sold. If prior accounts have heen filed, list number and term. (r) None None Wherefore your. petitioner asks that distribution of principal and income be awarded to the persons thereunto entitled and suggests that the balance of principal and income should be awarded respectively as follows (shares being stated in proportions but not in amounts) :- Charles A. Horn 1 I 8 Oyde L. Horn 118 Frank R. Horn 1 I 8 Lawrence F. Horn 1 I 8 Marie P . Horn 1 I 8 Ma;r;:garet G. Horn 1 I 8 June E. Herbstritt 1 I 8 Walter Horn, Jr. 1124 Alice Foley 1 I 24 Doris Miller 1 I 24 County of Washington, ss. And your petitioner will, etc., The above named petitioner being duly sworn doth depose and say that the facts set forth in the foregoing petition are true to the best of h . .is ................ knowledge and belief. ·~~/..?l .... :JL~ .................. . Sworn to and subscribed before me this day oL.P~-~-~~~-~E ............. , 19 ... ~.~-=--·-· Notary Public ANNE VERBICH, Netarr PubiiO ··--------h···--······················-····-·······················--···1kJaara;--WuMRgtta··Cow PIDIIo IIJ Commlaatoa Explm Jun 10, 1972 (Signature of Petitioner) Administrator ,I ,__ FORM IN CASES OF INTESTACY 63-68-389 No ....... ______________ , ·-----·--···-·--··------------~:ll!!J:: ....... , A. A. IN THE ORPHANS' COURT WASHINGTON COUNTY, P A. FREDERICK C. HORN, Estate of ----··--··--·-----------------------··--·--·-----------···--------------········ a/k/a FRED C. HORN, Deceased. Sur account of .. GHAR.L.ES __ A_, ___ _HQR.N ........... . Administrator PETITION SUR AUDIT In Conformity with Court Rule III, Sec. 5 (B) COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1. The letters of administration. 2. A copy of the inventory and appraisement. 3. Proof of advertisement of the grant of letters, if not filed with accountant. 4. An appearance for those represented. 5. Inheritance tax receipts, if any. 6. Certificate of liens in case any of the funds for distribution are derived from the sale of real estate. 7. Copy of Federal Estate tax return, if estate is subject thereto. 8. Signed elections to take in kind, if any. S. BARRY ANDERSON Attorney for A·ccountant. ~2 ''Vd •·oa NOl~H~lHSV/A S lllf~~ .:! 0 IEJJ S It) 3 U 0 ~~~~,,,,. __ 1 ., .• , .. l~"·<:nu rv l rj '~· f'1 I ~ ~··I :) ;.) a L 0 ~ i{ d U i Bl:J 0 L 'n· '3 -, I r ,f -. i t ·4 \.,.,j -i J .. '1;1' . ' J \ '\ \ .. ' ~J ... ' , .. "t lJn t4r CJDrp4anB 11 Qinurt nf 1Jas4ingtnn Qiounty In the matter of the Audit of Account in Estate of FREDERICK C. HORN, a/k/a FRED C. HORN, deceased No. 6 3-9 8""--_,3~8"-"9'---____ ,xoox.xx.._, A. A. TO THE AUDITING JUDGE: Enter ___ m____.y'----------'appearance for CHARLES A. HORN, Administrator Attorney f~ mistra tor 9th day of December, 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. ,19~ No. 63-6S-389 ,X1X!XX., A.A. In re Audit of Account in Estate of FREDERICK C. HORN, a/k/a FRED C. HORN, deceased AUDIT 'rarripr for 1\ppraraurr co <::;:) Q(l)-<:( ..:r ;z-JO.. --J • FOR z:: c::: -. <3:::0 .... c.... :~: t.t_ (...) a o<= LLJ <::::< _J c:x:: 0 --.1 ~ tW W•:!> ' c:o U)l-;z -.J L.u U)- u... U) -:Z:: -::::l<:.!IU) !.J.... c::> O:::l..i.J<J: ,...__ cc3::: ... CHARLES A. HORN, Administrator S. BARRY ANDERSON Attorney <~·2 .. .,;_ . ~- .I . ,., ... : "'' .... ..../\ .. -. ... ,____._ I IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY_. PENNA. ORPHANS' COURT DIVISION IN RE: ESTATE OF No. 389 of 1968 FREDERICK C. HOEN., a/k/a FRED C. HORN .. - ) ) ) ) ) ) ) ) Deceased. STIPULATION BARRY ANDERSON_. ESQ.: If the Court please, in the matter of the hearing in the Frederick C. Horn estate, Number 63-68-389~ wherein Lawrence Horn claims the ow_nership of one Gravely Tractor, subject i ' .1< . to the Court's approval, the parties have agreed to settle the claim as . . follows: That the estate would concede ownership of the Gravely Tractor, together with the attachments, being one cutter bar, . a mower, garden cultivator, two extra blades for mower, which are lis ted among the assets of the estate. This is on behalf of the Ad minis- trator of the estate. And in return of this stipulation, Lawrence Horn, the claimant, relinquish any claim he might have in a 1930 truck and tools as listed in the Supplemental Inventory as filed in the estate and his undivided one eighth interest in one acre of ground that was owned b~ the decedent. Lawrence Horn, in addition, agrees to execute any papeJs necessary to carry out the terms of this stipulation, including whatever legal documents may be necessary to convey his undivided one eighth interest in the one acre of ground. IN WITNESS WHEREOF, the parties hereto have hereunto set their hands and seals this t@ day of February, 1969 ·• Attest: ~ ~ ~-;J C)// /7Ji/~ 7 ,/1 ';(;,4 rt....-£+ ... ~~ = (SEAL \::::CJfLM R '!:::::J( ;(g df ~vi£'.7 La wrenceE. Horn S b~"'-' e~/ij ~/(SEAL Charles A. Horn, Administrator of the estate of Frederick C. Horn, a/k/a Fred C. Horn, Deceased. -· .1 , ·4 ' • ·rlli Page 2 J The stipulation of the parties is hereby approved by the Court and ordered filed. (? ·. By the C~7~_rt~, •. ·· / ('' ,. ·, ~ 7 'i' '-!, \v( v P. J. / ' \ ' "\.· .. , . '-"~ ,· - ,__ U) <( ~ 0 .....J 0.... z _J .::r --0 c: ··~ -:: ;!:»· 0 :r.: -~.-....... z 0.-_...,._ .... (::) "" 0 C:l o:: i-c::;: ._l lL.I {"__!) L.:.J 1-z l}MJ U) <J) -0.":1 {/) --l 1..1...1 :=J c <I) ----I..L- 0::: w <( e;:: -<:::) :::.-~-l·-r-... In t4~ Q!nurt nf Q!nuunnn J!tns nf llns{Jiugtnn C!tnunty, ttt~nnsylunnin, ®rp4uns' C!tnurt linisinn ESTATE OF No. 6 3-68-389 Frederick c. Horn a/k/a Fred c. Horn, deceased. In the matter ofthe First and Fin a J Account of Charles A. Horn Administrator ADJUDICATION AND DECREE And now Febrna ry / (!) , 19-2fl_, this matter came on f<?r heari.ng, audit and distribution at this session and testimonyttC;ken; and thereupon, u~n due con.s1derat1on thereof the balanc;,.e fc.r..dis..tribution in, the hands of the Accountant. IS deter~•':ed to be $ J,f:."(!J.~j and the account is accordingly confirmed; and 1t IS ordered, adjudged and decreed that the said balance be paid out by the Accountant in ac.cordance with .the schedule of distribution hereto attached and made a part hereof, unless except1ons hereto be flied sec. reg. or·an appeal be taken herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account;..._ ________________ _ Additional debit asked at a.udit Additional credit asked at audit Balance _____________________ _ Deduct Clerk's Costs & Receip,::._ ____________ _ Attorney S • Barry Anders on Russell Marino, Clerk o.·c., costs in certifyin real estate to Recorder, John D. Woodward, Recorder, costs in recording certification of real estate, Lawrence Horn, (Frank c. Roney, Esq.), claimant settlement per stipulation filed of Gravely Tractor with attachments, Russell Marino, Agent, transfer inheritance tax $565.80 Interest from 5-15-69 to 2-21-70 26.03 Contribution to maintain assets of estate in 200.00 280.00 21.00 kind, 101.80 Charles A. Horn, brother, 1/8 balance, includin an undivided 1/8 interest in undivided interes s in parcels of real estate as hereinbelow des- cribed, held in kind and distributed as such a the appraised value, 331.25 Clyde L. Horn, brother, 1/8 balance, includin a undivid~d 1/8 interest in undivided interests n parcels of real estate as hereinbelow describe , held in kind and distributed as such at the appraised value, 331.25 Frank R. Horn, brother, 1/8 balance, including n undivided 1/8 interest in undivided interest i parcels of real estate as hereinbelow describe , held in kind and distributed as such at the appraised value, 331.25 $ 3,355.23 $ 3,555.23 $ 3,275.23 $ 3,254.23 / .• '' "'· . ' ~ 0 ~ -t.. ~ m· :I z "-'-0 n ..... ~· ~" i 0 :r ar c CD 0 ~ 3 ..... -0 0 '" t M -t.. ::1: ~ CD ~·. ('> ., 0 .. -t.. ·~ = ..... :r ~ CD ~ ·~· ~ I • ' . "'' ~ '. ·M +1 ~ ~ ~,., t . Lawrence F. Horn~ brother, 1/8 balance, includ"ng an undivided 1/~ interest in undivided intere1t in parcels of real estate as hereinbelow des- cribed, held in kind and distributed as such at the appraised value, 331.25 Marie P. Horn~ sister, 1/8 balance, including ~n undivided 1/~ interest in undivided interest "n parcels of real estate as hereinbelow describ d, held in kind and distributed as such at the J appraised value, 331.25 Margaret c. Horn,~, sister, 1/8 balance, includi g an undivided 1/~ interest in undivided intere t in parcels of real estate as hereinbelow desc i- bed, held in kind and distributed as such at e appra~sed value, 331.25 Jqne E. Herbstritt, sister, 1/8 balance, inclu "ng :an undivided 1/8 interest in tindivided interest in Parcels of real estate as hereinbel-ow desc i-bed~. held in kind and dist!,'ibuted as such at I the appraised value,-331.25 Walter Horn, Jr., nephew, child of Walter Horn, Sr., a deceased brother, 1/3 of 1/8 balance, including an undivided 1/3 of )./8 interest in undivided.interest in parcels of real estate as hereinbelow described, held in kind and distri- buted as such at the appraised value, 110.42 Alice Foley, niece, child of Wa~ter Horn, Sr., a deceased brother, 1/3 of'l/8,balance, inclu ing a:h ·undivided 1/3 of 1/8 interest in undivided interest iri parcels of real estate as herein- below described,.held in kind and distributed as such at the appraised value, 110.4? Doris Miller, niece, child of Walter Horn, Sr., a deceased brother, 1/3 of 1/8 balance, inclu - ing an undivided 1/3 of 1/8 interest in undivided interest in parcels of real estate as herein- below described, held in kind and distributed as such at the appraised value, 110.41 No balance REAL ESTATE TO BE CERTIFIED TO THE RECORDER 0 WASHIN'TON COUNTY BY THE CLERK OF THE ORPHANS' COURT IVISION Frederick c. Horn a/k/a Fred c. Horn, granto by int~stacy of an undivided 1/8 interest to Charles A. Horn, gra tee by ittestacy; to Clyde L. Horn, grantee by intestacy of an undivided 1 8 inter st; to Frank R. Horn, grantee by intestacy:•of an undivided 1/8 interest to Lawrence F. Horn, grantee by intestacy of an undivided 1/8 interest to Marie P. Horn, grantee by intestacy of an undivided 1/8 interest; to M rgaret c. Horn, grantee by inte.stacy of an undivided 1/8 interelst; to J e E. Herbstritt, grantee by intestacy of an undivided 1/8 interest;'to W lter Horn, Jr., grantee by intestacy of an undivided 1/24 inte est; to lice Foley, gran~ . tee by intestacy of an undivided 1/24 interest; to Dori Miller, grantee by intestacy of an undivided 1/24 interest; each undivi ed interest being in and to all the right, title and undivided i terest o the deceased grantor in parcels of real estate as set forth, as, VIZ. PARCEL 1: An undivided one-forth (i) inter certain parcels of land situate in Carroll Township, Washingto County, Pennsylvania, being part of "en and nnn of the plan showing prop erty owned by the late Mary A. Horn and being described as follows: 0 ~ ..... ~ ~ :::s z s "'1' ? :r i i t: CD 0 ~ 3 ..... 0 0 ..... ..... ::t CD ... 4'"\ ~ ~ 0 ..... "'1' ::r CD t = N ~ ~ !l ~ ~· ~ ... . .. ...-. Beginning at an iron pin in the edge of Stat Highwa Route No. 837; thence by such Route s. 85° 38' E. a distance 0 65.77 eet to a point; thence by a line rLmning s. 13° 07' w. e of 27 .34 feet to a property line; thence by said property line N. 60 53' distance of 65 feet to an iron pin; thence by a line runnin N. 13° 07' E. a distance of 260.33 feet to an iron pin in the edge of te High ay Route No. 837, the place of beginning. 1 For chain of title see Deed Book Volume 825,[page 45 and 48, records I of Recorder's Office of Washington County, Pa. j .PARCEL II: All·that undiyided three-Sixth (~/6) int~rest in that par- cel of land situate in Carroll·Township, Washin~ton Co ty, Pennsylvania, known as part nB" of the pla1;1 s'bimdng a sub-div~sion of the property.;owned by· the late Mary A. Horn and.· being more fully dl scribed as follows: Beginning at a point in the edge of State Hi hway Ro te No. 837 and on the line dividing part "Btt and:ncn in the above mention thence by sa.id dividing line s. 13° 07' vJ.. a distance of 70.34 f property line; thence by said property line a dist ce of 112.56 feet of the above mentioned plan; thence by said div"ding li e N. 13° 07' E. a distance of 287.66 feet to an iron pin on State Highway Route No. 837; thence along the edge of said Route No. 837, N. 85° 38 1 W. a distance of I 113.87 feet to a point, the place of beginning. I The above described property being the same bropertyjtitle to which was vested in Fred Horn by Will of his mother, ~ary A. ~orn, dated Dec. 7, : I I I 1945 and probated Jan.ll, 1946 in V.Jill Book Vol 1 68, pa$e 363, records of the Register of Wills' Office of Washington Co. Pa. I PARCEL III: All that certain parcel of landlsituatejin Carroll Town- ship, Washington County, Pa., and more fully dekcribed Js follows: Beginning at an iron pin on the Southerly si~e of St~te Highway Route No. 837 and on the line dividing property here rescribei and lands now or formerly of Walter Horn, et ux.; thence by said dividin~ line s. 13° 07 1 W. a distanc~ of 237.25 feet to an iron pipe on the lin dividing the land here desc.ribed and lands formerly of Ivlary V. Sa pson; t ence along said 0 ~. ..... ~ ~ :J z t:V 8 ...,. 9 :J"' i ar c (!) 0 ::1. 3 -0 0 ..... ..... ::+ (!) ., +"'\ ~ g. 0 -...,. :r (!) t = .. ~ g, r f'!) ~ .., -' .. ~ .. /.., dividing line N. 76° 53' W. a distance of 193.1~ feet t a point on the dividing line between lands here described and ~ands fo Mary v. Sampson; thence by said dividing lineN. 13Q 07r E., 21 .74 feet, more or les~, to an iron pin on the Southerly side of s~id Stat Highway Route No. 8~7; thence along said Highway S. 85° 38 1 E. a ~istance of 195.37 feet, I more or less to a point, the place of beginning BEING the:1 same property that was conveyed to Frederi k C. Horn by Mary v. Sampson, et con., by deed dated Aug. 12, 191 co~der's Office of Washington Co., Pa., in D. B and redorded .in the Vol. 4~6, page 686 0 I I CERTIFIED TO RECORDER: October ' ·I I 19,1 84. I I Re- .. ' ·~ 0 """ ~ ~ 13" z t:Y n ..... 9 i 0 :::r i c CD :::J 3 0 .... ~· """ 0 0 """ ::+ ~ CD ., 0 """ ..... :::r CD t .. = ta §, ~ 4"'\ +'t ~ ~ .. 0 - Form No. RCC-62 (2-641 THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1961, . EFFECTIVEJANUARY1,1962. (FI~E IN DUPLICATE WITH COPY OF WILL ATTACHED) , .. , • ..,.. •• ---·~·~·-· ./ OFFICE OF THE REGISTER OF WILLS County of . W ~Fl.4i_11g1:9P. ............. . ~~~~~?. ~· .. ~.C?~~.' ....... · ................... of .. ~:. '?:. ~!.' .. !??~ .~~? ~. ~?.~~~~~~~~~~ ~~: .. 1.~063, (Name) (Address) being duly ---------------~~~~-~------------.according to law, deposes and says that he is the -----~.9-~!~~~~-!E.~!_?,£ ________________________ _ -FRED C, HORN, (Exec., Adm., Legatee, Etc.) of ~he estate ol~~~~~!~-~-~-'---~~~~~-~_L~~~_/ whose last residence was·-----~~--_:Q-~--~_!-~ ___ ¥9_~~~g_~~~l~! ________ _ (No.) (Street) Pennsylvania, . . Feb. 15 1968 ----------------------------------------------------deceased, and that the whole of the estate of satd decedent, who dted -----------------~-------------(Cicy, Borough or Township) (Date) consisted of: REAL PROPERTY REAL PROPERTY IN P;ENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JO!NT TENANT. OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate_pARCEL I: An undivided one-fourth (1/4) interest in those certain parcels of land situate in Carroll Township, Washington ounty, Pa., emg art "C" and "D" of the lan showing the sub-division of the property owned by the late Mary A. Horn and being more fully described as follows: Beginning at an iron pin in the edge of State Highway Route No. 83 7; thence by such Route S. 85° 38' E. a distance of 65. 77 feet to a point; thence by a line rnnning S. 13° 07' W. a distance of 270.34 fTee o a ro er line; thence by said property line N. 76° 53' W. a distance of 65 feet to an ir N. 13° 0 7' E. a distance of 260. 33 feet to an records of Recorder's Office of Washington County, Pa. "' p ARc E L II: All that undivided three-sixth (3/6) interest in that certai parcel of land s1tuate in Carroll Township, Washington County, Pa., known as art "B" of the lan showin a sub-division of the ropert owned by the late Mary A. Horn and being more fully described as follows: .- n oin in the ed e of State Hi hwa Route No. 837 and on the line dividing part "B" and "C" in the above mentione0 plan; theme/ . • . • • 0 1 . t. • • the Register of Wills) Office of W'ashin$on Co. , Pa . .-.~I ,.. - . . c -- J PARCEL I I I: All-thc{t certain parcel of land situate in Carroll Townsh ·p, Washington County, Pa., and more u y escr1 e as o ows: Be innin at an iron in on the Southerl side of State Highway Route No. 837 and on the line dividing property here described and lands · hence b said dividin lineS. 13° t'> .. • .. !.~ .,_ ... 07' W. a distance of 23 7. 25 feet to an iron pipe on the line dividing the lan Mary V. Sampson, et con., by deed dated Aug. 12, 1919 and recor e in D. B. Vol. 466, a e 686, in the Recorder's Office of Washington Co., Estimated Value .;·~ ' _.....,l I tr '-t_.:. ~ NOTE: You may expedite the processing of this return by filing with itQ ana as a part of the return, letters from financial institutions or mortgage holders, certifylng 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. " Proceeds--State Mutual Life Assurance Company of America Mellon National Bank and Trust Co. --Checking Account Ford Truck . ' 1959 Chevrolet four-door Sedan Total JOINTLY HELD PROPERTY None Estimated Value $ 2389. 58 --------------------------------~----------·--------------------------------------+------------- Transfers within TWO YEARS Prior to Death None - c 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 is agent or deputy, with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT ~N:_o:~_ ., _ _ec.¥ ,_c_ ~R. t:i_g""'_:n=l=S'--------------------------+------------------------------+----------------- -----------------------------------------------~----------------------------~--------------~ BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LlFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of aU 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 ' Charles A. Horn Brother· Yes -1/8 R. D. #1, Monongahela, Pa. Clyde L. Horn " " -1/8 Cleveland, Ohio Frank R. Horn " " -1/8 R.D. #1, Monongahela, Pa. Lawrence E. Horn " " -1/8 R. D. #1, Monongahela, Pa. MariP 'P Hnrn ~{~fP'Y' " -1 I R R. D. #1, Monong?-hela, :pa. Margaret G. Horn " " -' 1·/ 8 R. D. #1, MonongaheJa, .Pa. June E. Herbstritt " " '. 1/8 - ' St. Marys, Pa. Walter Horn, Jr. Nephew " -1/24 -· Niece " 1/24 Alice Folev Indiana Pa. - Doris Miller Connellsville Pa. I " -1/24 __ _j RESIDENT DECEDENT DEBTS AND DEDUCTIONS CIJ.A.lMED ' ./ N-OT';;· List first five items in the spaces so provided, observe notations thereon, and instructions ~~~----~~~---------------,------------- DEBT 0 R CLAIM __ --=.N.:..:.A.::..:T::...cU=--R_E_O'--'F---'-'S'-'-Acc.M.::..:E=----------,----'-A.:..:M-=-0-=-U-=--=-N--T,----toTHIS COLUMN .ttEGISTER ONLY Lawson-Rabe Funeral Home ·Funeral expenses paid -.;.. ~ . \ ~ ~ ') -- Letters and adv. estate OTHER DEBTS AND CLAIMS Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * Fiduciary commission * ( *) See Note below F. J. Buckley Agency Bond Pa. Department of Revenue Auto transfer National Ambulance Service Services Bell Telephone Company Services St. Charles Church (Mass) an~ Thank-you Cards & Stamps Internal Revenue Service 1967 Income Tax Mellon National Bank Outstanding check Peter J. Gallick Pro rata share of real est. taxes $ 1242 00 $ 42 00 20 po 12 00 25 00 16 541 23 001 102 00 8 00 I 9 36 Total $ 1499 90 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. Subscribed a·nd swom to before me this ..................... . ' r b./.~.a .. ¥.~ ...... . (.1!1"-:t~~.t~ dministrator) .E. •.. P.· .. #~., .. ~9.¥. p_q}. ....................... . (Street Number) Having been duiy s":~n ~cording to law, I do (h~y certify that the above appraisement is made in conformity with .law on this .............. /.~JA ....... dayof .. ~~·······z__;:':;;;~····~~-4 e :;a~;. .L J / ... :.:C: .. ~ ... c:A'.~."'-7·--· ········~·.·,:····~·~ An. 1ser /' ~ . . In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after t)le 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. ,------ ;' \ ) I Form No. RCC-62 (2-64) ~:~w:ttJcX< · l - Administration 5No ........... Yearl.Q~?. "J -"-, .---- IN THE l MATTER OF THE APPRAISEMENT ' l / / OF THE ESTATE OF - ·' FREDERICK C. HORN, a/k/a :f.B-~0. ~ ._ -~.OR~., .................... . Deceased /' Late of .R-.:P .. .ftL. M9.I1Q~g?;4~lc;t~. ~~:. County of .W.C!-~!J.~p.gton ....................... Commonwealth of Pennsylvania t • -·, c._ rr. ::1 ~ ·.; REPORT::AND ·APPRAISAL ~.~),"') -. ~..., 1-' rr' -~ . ~ ;_.;-~ ~::~ :r~ ~ ~:..0 .,.. .. ---1 I i CJ r-6 (/) . ~ 57~':5-- //- ...... ~ l t .. .. "'-- RCC-3"9 (6·67) ..:-,rcoM"MONWEAL TH oF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT FILE # 63-68-389 HORN, FREDERICK C. a/k/ a HORN, FRED C. FILE # 63-68-389 February 15, 1968 • SUMMARY TtEPOHT OF INHERITANCE TAX APPRAISER I~ the undersigned # 63 Washi.nston duly appointed Inheritance Tax ~ppraiser in and for the County of the real and personal opposite each item in , Pennsylvania, do respectfully report that I have appraised property as reported in the foregoing return at the values set forth the last column to the right in Schedules "A" 1 "B", "C/'1 ~r _____ W~-~16~-~6=8_______ -~- 02-15-68 APPRAISE~ Dated: REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for Washington County, Pennsylvania, do respectfully report that I have allowed deductions in the amounts claimed by deponent, except as to those i terns where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which great lesser amount represents the sum allowed as a deduction. Dated: 07-16-68 REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) $ 21650.00 ·-· -$ 3.,300.00 $ 110 0, tM> 2.,3a9.58 2,389.sst1.Sf :- TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEA.'"J:l VALUE OF ESTATE Valuation of life estates or annuities ESTATE TAX ASSESSMENTS 5,039-58 3, 5.39.6Et_, __ $--~-- $ _____ _ -; 5.689.58 J-,499:!90 =:= 4.189.68 ftfi't{: 3111.<ff ·- FOR USE OF REGISTER ONLY ."/ <t> COMPUTATION OF TAX Tax on $ ~ ]1 I • 'l¥,_,S~a ·:> ~ bS. f.o__ Tax on $ , __ 10% ~------ Tax on $ ________ ~. ~------ Tax on $ ~8 :_~ $ _ ___.6...,2,.,8""" • ..,.4,...5_• _ 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 H% 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 $ _______ _ cf> ·~======:.,.....____ *-~---- *=====·- $ _____ _ $ ~----- TOTAL TAX BALANCE PAID ADJUSTMENTS (':') As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. $ ______________ _ NOTE: Where subsefJ.uent 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. 1::'11 THE Year ........... . :\lATTER OF THE APPRAISEMENT OF THE EST.\TE OF FREDERICK .. G~ HOj=tN ~/k/a. Deceased Late of .. MONONGAHELA County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ,. 1; ----- Fonn RCC-2· • . . ¥ COMMONWEALTH OF PENNSYLVANIA DATE ................... ~.:qJ._Y.. .... !~.I .... .+.9..§.?. .......... ············· .... _.,-Di.'PARTMENT OF REVENUE RESIDENT INHERITANCt TAX' ............... !!.~.~~.?::~~.?.~ ................................ < ...... COUNTY BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 7712 7 APPRAISEMENT FILE NO. ................... §..?..::.§.?.::?.~.9. ............. _ ................ Whereas, Frederick C. Horn a/k/a ................................................................................... '()··· ............................................................ late of ............................... ¥.<:?.~~~~~.~~~ ...................................... ' in the County of ........................................ W.~.~.h.:j,,r.).gtQ.D.. ........................................................... Commonwealth of Pennsylvania, having died on the ................................... 4:.5 .... ah .......................................... day of ......................... F.:.~~.r..t.l~Y. .................... : .... 68 19 ............ , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ................................ W.,.R.~ ..... Chi:ne.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 Description of Asset Values Made for Inheritance Tax Purpoaes $ Bi&LTY: As per appraisement filed 3,300 00 PERSONALTY: As per ap pra. is ement filed 2,389 ..... 58 i j I TRANSFERS: I NONE NONE JT. HELD: NONE NONE Total 5,689 58 0 form~;vi..%, b1:':: ~:~:.w<>r!l ~~i'g#, ~.~ 0~e~~~t t~~~~~r!ii·•~·&~~:;~ =~~:; ~ ~~~~! ~~76;.' ................................... , Penna. { . .. W.J:\9..fl:l:l\IGTON ... ........... ..... c OUtlty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of FRI!;P~:I:C::~ ... C::.~ .... ~9.1:fJ'1 .... ~/k/~ ..................... . Deceased. Late of M.O.NO.NGA.~:L.A Date of Death, .......... f..~Pr.~y .. J,.5, ... J.9.6..8 .......... . AppraisemeHt Docket Vol., .............. '.J...?.. ............................... . Page, ........ ;1,.99~? ....................... No .. 6.3.~ga~38.9 ............ .. Filed in Register's Office, ...... cJ).l~:L.Y .. Jf>.~. ........ J9f>.~ .... Amount of tax due, $ ......................................................... ----- DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appraisement, Appeal f,.om Appraisement, Entered and charged, .... · ......... • I • II . } • l I l •