HomeMy WebLinkAboutOC1968-0460 - ESTATE OF FUSS*:.'.
That I,MARY FUSS,'WidOW ,of Canonsbur'g
in the County of Washington and State .of Pennsylvania.being of sound
mind.memory and understanding.and considering the uncertqinty of life.d.ohereby make,pub.
lish and declare this document to be my last mill anb'4Eestament,hereby revoking and making
void any and all other former Wills by me at any time heretofore made.
FIRST:I direct that all my debts and fuO€ral expenses be paid by my Execut or
hereinafter named,as soon as may be convenient.
SECOND:I Rive,devise and bequeath all of'my estate,real,personal,
and mixed to my beloved son,Walter Lo Fuss.
AND LASTLY:••-I do make,constitute and appoir.t VIal te r L.Pus s
to be Execut or of this my last Will anb t!Cestament.
3Jn Q\mlitne55 ~bereof,I have hereunto subscibed
'J.rP'i:~day of Jeme
hundred and s ixty-five (65)
Signed.sealed,published and declared by
my name and affixed my seal,the
in the year one thousand nine
.Me.r_y..E'l<.S.s.,}i:i~OY~..._.__---~_.----..--..-~
the testatrix above named,as and fQr
her last WiIi and Testament,in·the
presence of us,who have at her request,
subscribed our names in her presence,and
in the presence of each other,as wituess
heT\~'V,,.C~,t·if?Mf~fpjJL .
.pltlift/.A'ifriU!/{.
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RESIDENT DECEDENT
'-.,
Form RCC-33
&3-10 tf--£/-6 tJ
T£J .3?-I (J 7 -1-
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
..
E.........,
1AFFiDAVIT OF
..........~
County
IN THE MATTER OF THE.ESTATE OF
.....~¥rn.$.$3~L~/~~$~¥~Q$$.
(State full name of decedent)
IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the
Register of Wills of the County where decedent resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of
.~he Inheritance.an!!Estate Tax A,ct of 1991.)
Name and address of attorney or}
other authorized representative to
whom all correspondence should b
mailed.
GE!0r9E!..J .~c:I:E:'c~J~I~~1;9.:E:':p..~y ..~~:r"CI,W .
22 N.CE!Jltl:"al ~v~...,Ci:l:p.Qn~:pl:l:t"g,J?c:l ..,:l~~)"7
That as such,deponent is familiar with the affairs of said estate and the property con-
(Executor·Administra or)
stituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in 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
Marv Fuss
Mellon National Bank &Trust Co.
Canonsbura.Pa.
That the contents of said safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth full v and in'detail all the
real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It
also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giVing
the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record
thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said
parcels,the estimated market value thereof as of date of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of death;all moneys left by the ·-decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks
of deposit,saVings banks,trust companies,or other institutions,whether indiVidually,or in trust for
any other person or persons giving also separately the accrued interest thereon,if any,down to the last
interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death
in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in-
debtedness of the United States to the decedent;all obligations,whether by statute or agreement they
are designated as tax free,of the United States,or any state,or political subdivision thereof,or of
any foreign cONntry,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic-
tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated
market value thereof;all bonds and mortgalZes held by decedent and of all claims due and oWing decedent
at the time of death,and all promissory notes or other instruments in writing for the payment of money
of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face
value and estimated fair market value thereof,and if such estimated fair market value be less than the
face value,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable
to the estate from life insurance polici'es carried by decedent;all annuity and endowment contracts the
proceeds of which were payabl~upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent ~t the time of death,with the market
value thereof at such time.
In the case of securities of close or family corporations,the values reported are as far as
possible substantiated by financial statements of the corporations,showing the assets and liabilities
thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business,and in support of the value of such interest there is annexed to
said schedule,financial statements showing the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business,its location,and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted.It should also set forth in itemized form,together with the fair market value
thereof,any other property owned or bequeathed by the decedent at the time'of death.
The Schedule C attached hereto and made part hereof sets forth a tru~answer to'each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's
death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom transferred,the
relationship of the transferees to the decedent,the proportionate share received by each transferee and
all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a cony
of the deed,trust agreement or other instrument creating the trust.Ther,~is also set forth in said
schedule a list of all property,real and personal,with its value,which pa~ses at decedent's death by
virtue of the exercise by decedent,either individually,orjointly with another,or any power of appoint-
ment vested in decedent,either individually or ,jointly,by.the will,deed,or other instrument of another,
with a copy of the instrument,creating such power attached to the schedule.
\...\\..
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's'death~the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property,real and per-
sonal,owned by the decedent jointly with another or others,including intangible,standing in the name
of the decedent and others,plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationshi.p-,if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and Impaid at time of
death;taxes accru~d charge,able for period prior to decedent's death (except.those allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of WillS,and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein"
have been carried forward and properly registered in the Summary•
......2P..t!!;-
NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None",and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business,that the
data and statements required under the paragraph above relating to Schedule "B"are attached.Also make
certain that column #1 in the "Summary"has been properly completed as above-directed.
RCC-34 (1-64)'
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEtH OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE uA"
.j(EAL PROPERTY
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the de.cedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commo!,wealth of Pennsylvania should be
described by lot and block number,street and street number,together with
a general description of the property,with a reference to the record af the
conveyance by which the decedent took title;If a farm state number of a·
cres;also statement of mortgage encumbrances upon each parcel at death
of decedent.Taxes,assessments,accrued interest on mortgages,etc.,are
to be Iisted on Schedule IIF"and must not be deducted from this schedule.
(1 )(2)(3)/
DEPARTMENT
ASSESSED VALUE VALUATION
FOR YEAR OF ESTIMATED CAUTION
DECEDENT'S MARKET VALUE (00 not write
DEATH In this space)
ALL that certain parcel of ground
situate in the First Ward of the Borough
of Canonsburg,Washington County,Pennsyl-
vania,known and designated as Lot No.5
and the southern half of Lot No.6 in a
Plan of Lots laid out by Harry Soroka,of
record in Plan Book 7,page 162,Washington
County Records;and being more particularly
bounded and described in Deed from Walter L.
FUSS,Executor of the Last Will and Testa-
ment of Mary FUSS,to Thomas Soroka and
Delores Soroka,his wife,dated December 23,
1968,of record in D.B.Vol.1291,page
805 ,Washington County Records.
Having erected thereon a 1-story brick
house and garage known as 540 Craighead
Street,Canonsburg,Pa.
Actual sale price
Insert thi s total opposite ureal property",Schedule"A"in the X X X X X
uAs Reported"column on the last page of this return.
$18,000.00
$18,000.00
RCC-36
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time or his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Inta~gible personal property,titled in the name or the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the ract that they are not or the administered estate.
Tangible personal property should be listed rirst (e.g.jewelry,wearing apparel,household
goods,and rurnishings,books,paintings,automobiles,boats,etc.)
Intangible personal property,such as bonds,treasury certiricates,cash on hand and in bank,..
stocks,'mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capacity,partnership interests,interest in any undistributed
estate of or income from any property held in trust under the will or agreement of another,even though
located outside of the State,at the time of death,should be listed in this schedule.
Item
No.
ITEM
List and describe rully
UNIT
VALUE
ESTIMATED
MARKET VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1
2
Mellon Bank Savings Certificate 4~%
No.C01655,issued to Mrs.Mary Fuss I.T.
Walter L.Fuss (son)August 2,'1966
Mellon Bank ~avings Certificate 4'!%
No.C01654,issued to Mrs.Mary Fuss I.T.
Walter L.Fuss (son)July 13,1966 '
•
$
)
100.00
400.00
3
4
5
6
7
Mellon National Bank &Trust Co.Savings
Account No.6378,in name of Mary Fuss
Balance as of ,~'Mal1·eb:i.,17,1968
Refund from application for motor vehicle
license
Fire insurance premium refund
Pittsburgh National Bank Savings Account
Noi 9673 in the name of Mary Fuss
Balance as of March 17,1968
One lot of household goods (too old to
be sold),all given away except stove and
refrigerator.
13,101.82
10.00
51.30
4,878.25
200.00
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page or this return.
x X $18,741.37
~C~-30
COM~fONlmALTH OF PENNSYLVANIA
Tfu\NSFER INHERITANCE TAX
~SSIDENT DECEDENT
SCHEDULE "c"
TRA.NSFERS
(1)Did decedent,wi thin two years of death,make any transfer of any material part of his estate,without
receiving a valuable and adequate consideration therefor?(Answer yes or no)_
(2)Did decedent,within two years of death,transfer property from himself to himself and another or
others (including a spouse)in joint ownership?(Answer yes or no)__
(3)If the answer to (1)or (2)above is in the affirmative state:
(a)Age of decedent at time of transfer _
(b)State of decedent's health at time of making the transfer.(Note 1).
(c)Cause of decedent's death.(Note 1).
(4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment at or after his death?
(Answer yes or no)_
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)__
(b)What was the transferee's age at time of decedent's death?_
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no)_
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)_
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or 0 thers --=-_
(7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor?(Answer yes or no)_
(8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was sUbject to change,
because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)_
(9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no)_
NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property
transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans-
fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which prOVided in Schedules A,B,or E.
ITEM DESCRIPTION
NONE
I
MARKET VALUE
(Es timated)DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
C.C,M\h)~'iJF:\LTH uF PENNSYLVANIA
fn \"~FF!t Ii\HFltl1"\NCE TAX
lu:'~I])EXl'nECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
I\STRlT.TIO!'iS:This schedule must disclose all property,real and personal,owned by the rlecedent jointly
wi th another or others,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule
"A",plus the date and place of record of instrument effecting vestiture,but rlo not include entireties
or out 01'state real estate value in estate valuation column.Personal property should be listed as in
Schedule'"B",plus date of acquisition,and the name,address and relationship (if any)of co-o-wners to
the decedent.
Description of P~ope;ty,Date ofAcquisit-ion,N~mel Unit
Address and Relationship of Co-Owners,and Place I Value
of Record of Instrument,where Real Estate.f
NONE
r----·-----.------
percentage Estate
Share Valuation
DEPARTIAENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
Insert this total opposite "Jointly Owned Property",Schedule "E"
in the "As Reported"column on the last page of this return.
I
1
iiIIL--~__-.:..j
RCC,,;,37 (12-63)
~i ,
COMMONWEA1,TIl OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
"
(
h
"\
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED\(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
walter L.Fuss
%22 N.Central Ave..,
Canonsburg.Pa••15317 son Yes sole heir
-
..
/
/
/
/
/
Deponent further says that all the above-named bfheficiaries are living at this time except below:
NAME \/DATE OF DEATH RESIDENCE
\V
\/
"./
~[ATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
(Executor-Administrator
must complete "As
Reported"column #1.)
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Year .
P.I1 THE
(No.Will
Administration
MARY FUSSa./~1c:l ~S .~~FUSS
Deceased
Late of .G~()ll$P~g
County of .Wa,8.ll i Il9:\:C>1')
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of FUSS,
(Last Name)
MARY
(First Name)
DATE OF DEATH 3-17-68
(lnitial)
FILE NO.63-68-460
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E".
Dated:__-'0=....5-<-..:::0..=:.6-_6;:.,9~_
03-17-68
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum
allowed ..a deda.tio..~.,
Dated:05-06-69 ~k?0JptPl4~
REGISTER OF WILLS
VALUE AS REAPPRAISED
$--------+---le,ooo
18.741 37
36.741 37
3,587 26
33.154 11
$18.000 00
1~7L..1 37
36,741 ,37
3.587 26
33,l'iL..11
VALUE AS REPORTED ~ALUE AS APPRAI~D
CLEAR VALUE OF ESTATE
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
Valuation of life estates or -t
FOR 'USE OF REGISTER ONLY
~::~::=========:3:3::.::;.1:5~4=:1l~~=~
Tax on $---------1--5%Tax on $-1__10%
Tax on $15%
~~ptioos *
Total Estate -1-__
TOTAL TAX
COMPUTATION OF TAX
$
$.1.--=.-:,'_I"l5'J-+_"':_:,
$--------+---
$-------+--
$----..,.----t--
$-'--__
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death ::::::::::=t====
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $---J
AMOUNT OF ESTATE TAX ASSESSED $L--
Estate tax paid $l-
BALANCE DUE $-----~I----
Add interest at rate of 6%from t=
-------'lto-----$--------1.
TOTAL TAX BALANCE $-----.-1PAID$-J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration (No.
IN THE
Year .
~
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
MARY FUSS
Deceased
,/~
Late of .
County of
CANONSBURG
..WMI1)::N'O'l'ON.....
I
r
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
,
f.
...~,.....
Fonn'RCC-2
COMMONWEALTH OF PENNSYLVANIA DATE """""",,,",,,~~:r.,,,f!,'..,:,,,~,??,?,,,,.,,,,,,,,...............
-'DEPAl\TMENT OF REVENUE RESIDENT INHERITANCE TAX .
J COUNTY """"""."...w.~,~h.,~~!-,?~""""."",,,,,,,,,.,,,,,,BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127 "APPRAISEMENT FILE NO.,,,,,,,,,.,,,,,,,,,9.J.~.9..~~.4.QQ.,,,,,,,,..,,...,,.,,,,,,,,,,,,,,,,.
Whereas,,.................,',....,",......~!'Y..."f.~~,~...,...............,.............."",...,..........",..,...............,....,'"late of ...."....,........................"9.,~.9.:l1,~~~g ..,..,,...,...........,..,..,.......,
in the County of .....,..............,.......w..~~h.~~.~~......................................................................Commonwealth of Pennsylvania,having died on
the ..,.......,........"""""",....'J..7...:t...h.,..,...",.."..'",.........'..""""day of ".............""...""M9.r,c.b".."",..........."............19.....§~seized and possessed of an estate
I subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,..................................W~.R,~.....9.~:l1,~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 AppraisemontDescriptionofAss.t Valu••Mad.for Inherltanc.
Tax Purpo••s
$
REALTY:
All that certain parcel of ground situate in the First Ward
of the Borolli<h of Canonsburg.Washin.qton County.Pa••known
aBd aesiJ:mated as lot No.5 and tha Southern blaf of Lot No.
6 in a Plan of Lots laid out by Harry Soroka,of record in
Plan Book 7,page 162.18,000 00
PERSONALTY:
Mellon Bank Savings Certificate 100.00
Mellon Bank Savings Certificate 400.00
Mellon Nationalb Bank &t:rust Co.,Savings Acct.13,101.82
Refund from application for motor vehicle license 10.00
Fire Insurance premium refund 51.30
Pittsburgh National Bank Savings Account 4,878.25
One lot of 8ousehoald goods.200.00
18~741.37 18,741 37
Total 36.741 37
I
I
fonn~;~hbl:~::I:b~wl>l"l1~cco,t~la~:~a~o~"':~:;;:~~~=~7~i~a~~?-
.J ~~rai..,r
~..··,..;~~,·"..""""""···'('·,..·"';~~·..~d..'St~;~ti'·'··"····..,·········"·"".."""·,..·..·,,··....",..
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(Post OtDee)
............WA$BJNc:r'J:'QN......................County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
MARY FUSS...................
Deceased.
Late of
Date of Death,l.1~.~.9.h +.7,J.9f>.f3..
Appraisemel!t Docket Vol.,.3..7..
Page,l.07.~.9 No 9.3~.9.$~4.p.Q .
........................................................................................................................
Filed in Register's Office,~Cl:y.9.,19 §.9.
Amount of tax due,$..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote ab(),ut A ppra.isement,
Appeal f"om Appraisement,.
Entered and charged,..
/
Form RCC·IO·DEDUCTIONS ALLOWED IN
THE SUM OF $.~.~lZ:2~
DAn:APPROVED...........~~.c;.=.~1'.~~~Regill.,of Wills,Ag.~i
STATEMENT OF DEBTS
AND DEDUCTIONS
ESTATE OF --"'............--""......~.-....-..£W..LATE OF Canonsburg,Washington CO.,Pa.
OFFICE OF THE
REGISTER OF WILLS
AND AGENT OF THE COMMONWEALTH
OF __W'--"-'a..;;;;s..:;;,;h""'i;....n.;.;..g....t..:;;,;o..:;;,;.;.;..n'--_COUNTY
DATE OF FILING APPRAISEMENT __6__--=c:.~-....lo?~y:....-__DATE 0 ..DEATH .......:M=a:=r""c:,::h.:-l::...:..7.s.,---=1::.,:9,..,;6=.,8::::....._
DATE NO.OF NAME OF PAYEE REMARKG AMOUNTVOUCH"'"
-".Russell Marino Letters 11.~o
-Krawczvk Funeral Home Funeral exoense 1 215 ~O
Washinqton County Reports Legal Advt.12.pO
Daily Notes Legal Advt.12.DO
West Penn Power Co.Electric bill 14.4
Columbia Gas of Pa.,Inc.Gas bill 41.>5
Bell Telephone Co.of Pa.Telephone bill 10.>3
Georqe M.Challener,Inc.;Fire insurance 65 )0
Russell Marino,Clerk Filing Inh.Tax Return 3.~O
Georqe J.Modrak ~relaring Sroka Deed and 65.~Oreaestateclosinqfee
Georqe J.Modrak ~tty.Comm.on estate 1,837.11..0
XXl1IlKiKX
Robert A.Sonerson ~.E.Appraisor 35.)0
JohnD.vloodward One-half of transfer stamos 180.)0
Canonsburg General Hospital paid by Medicare 11.'6Bal.of hospital bill not
Mary M.Cavasina,M.D.Bal.not paid by Medicare 40.)0
.....Penn Co final bill 5.7
Citizens Water Co.final bill 6.~O
Columbia Gas of Pa.,Inc.final bill In ,R
Borouqh of Canonsburq final sewer bill 4 113
-
$3,587~26TOTAL
COMMONWEALTH OF PENNSYLVANIA
k-}SO:COUNTYc;fz Waon.;nrrton.l LVf'rbf/'t \1 'v7A ...T 'IOITT~I,'"HEREBY CERTIFY.THAT.TO THE BEaT OF
MY KNOWLEDGE AND B{LI~ITHE FOREGOING ISA JUST AND TRU II!:.~;;EM~OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED TO THE ESTATE oFMARY FUSS a/k a S•MARY FUSS DECEAOED,AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES.~7 ~/(
SWORN~~B~I~EFOREME THIS in ~OF
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