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OC1968-0730 - ESTATE OF SICKMAN
" PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate FormV Estate of ~~~~.~~~.~._.e.~~.~___.__----.-- Deceased No 6.j~.68:'::".7.3_Q --.--..---.. Fiduciary....~I?:1J.r.~...~.t.~~.r:;.h...~i.~~~~!!:._~Q ..... Albert S.Diaz Date of Date of Decedent's death M?-Y.:.}.$.l.~9..§§__ __--_Grant of Le!tters _!'!!?-.y.?J.-L}.9.§~_ _.. This is the :f.~.~?~?-~~·f~~?,.~account fi led in this estate If there have been former accounts filed in this estate,list file number or number and term _. .............................................................~~.~..~:r.p..~~.<:.~:t?~~_..""'_"'" Election to take Under or ~iZ!1]§M'will.(cross out one) Date 'Election Place of; Fi led ::'.::::'.:'___.._Record ,__::::".:':';":".:-:. Name of surviving spouse._.._J:..I?:1J.r.~..N~~~.~.~..,~~.~t:~?-!?:__ __ __..__ __.._..__. List issue,where material: NON E Did decedent marry after execution of will?(indicate)~.No.Any children born after execution of will?(indicate) 3t~..~o.If answer yes,name the'm ___ __.._:_ _ _ _... List,if exceptions to above: If partial intestacy,give facts: Adeemed:Revoked: NON E Lapsed:Abated:Give Cause: NOT APPLICABLE Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account .and of call of audit?Yes.liOC If any exception give cause:N9 ~.~~.~.P.:tJ9.J}~. File copy of Notice .9 1969 and date of mailing !:~~~~.~?~. Is estate subject to the filing of a Federal Estate Tax Return?x.~.~. Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $.1.,.1.00 . If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant... .......................................................................~.?~~PJ?..~.~.~~~:!-.~. Give Names and addresses of all unpaid creditors who are legally entitled to notice,tog-ether with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. NON E Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: NON E Balance for distribution per account, Itemize any additional debits not shown by account: Interest,U.S.Treasury Bond 3118J Total additional debits (Add) Itemize any additional credits not shown by account:Register of Wills,filing Account Personal Property Tax .S·:J. Total additional credits (Subtract) Balance for distribution $.1.5~6.86.•.5'O . $106.25 $.10.6 ..25··········. 23.00 300.32 $.}2-3..-32 . $.15.~U.69.•.53.. If balance for distribution is not in cash,list each .item held in kind,giving appraised Value (or distribution Value); '0'0 -, If Family Exemption claimed by Petition,give place of Record:::'.::..':'.::::. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:. Laura Miksch Sickman,widow,comprised part of the household of the decedent List any advancement or distribution on account that has been made,and nature and amount of same: Lena W.Johnson,bequest -$2,500.00 Christ Lutheran Church of Charleroi,Pennsylvania,bequest -$1,000.00 Laura Miksch Sickman -1/6 interest in White Oil and Gas Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: Laura Miksch Sickman -residuary legatee. 12, r: COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, .sworn.being duly doth depose and say that the facts set forth in the foregoing petition are true And your petitioner will ever pray,etc. to the best of t.b..E?.~.:r knowledge and belief.'.' .......::~~9.!.!?-.'~.~..::to and subscribed before ~ ~,,-;......2L~o .:of '.'.._ -'.".6 .. me thIS :.:d.ax 4·~~!.~~l..'··~1 9.~~?r£~~~-'.-'~~i;:-"'i ,"" . -'-Signature of Off.ice·r............~ Titl f~Off'~"tarv Public .~.A ~.A.~.e 0 Icer ".........................................~.;:ll..r...j Office expi res Augus.t..22.,19.7.Q .. ~' No.63 -68-13.9...-:.. Estate of._..~~.£~_~tH~J~.9.§}A~E.tb~n . Deceased Fiduciary....J....q.\u·.?..Miks.c.h..Bi.c.kman··and ...i\.J·.Q~.r.t S.~D.i.a.~_. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:po rag raph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. .~:;..~.A",~;~.~2 ···=·A~t·~·'M··' .o ey ''1d "00 N01~lNIHSv}A S111/{\::10 1j31.SID3tl oNItf '1~'1 T1J SSnu EZ II WV 12 ff~r 0[, tnJ··'!~U':i If~:J , (.,"j_\.( c •r \'.\."." fl".."tt tJ'\ ALBERT S.DIAZ ATrORNEY AT LAW 613 :l:aX9<:FALLOWFIELD AVENUE CHARLEROI,PENNSYLVANIA 15022 AC 412 483-5547 August 29,1969 Mrs.Laura Miksch Sickman 516 Lincoln Avenue North Charleroi,Pennsylvania IN RE:ESTATE OF ALBERT S.SICKMAN You are hereby notified that an Audit List will be made up, and that the above-named account will be listed.Said Audit List will be taken up on MONDAY,SEPTEMBER 8,1969,and con- tinued thereafter each day (Sa.turday a.fternoons,Sundays, Monday morning and Holidays excepted),until the whole has been disposed of. Very truly ~9urs, ASD/,jl ('V')-'. .. '<'J f. 0 <.1>,« ...J 0-:z ...J (;:-::>0 ..1f· ::c ~lI:f <..) ~" or.::.l:~"-U_ '" :..w.~..Z Cl 0 0 ,. _.1 "- iI (L.I- W ('.1 .~.•J tJJ (!:o' W l-X :;n:.(,)1 <J)- _J .a::to :c -':)::;l ~(/)-0:::u..l ~.. c:::>Ct:. U-r- \ ... ~.- ""'r_.~...-------~~~-~---~--------------~~------~-~,--~~.- <1Inmmnuwtalt4 nf 'tUU5g1Unuta.} lIa54tugtnu QInnutg.55. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,.in the County aforesaid on the 23rd.day of May A.D.19 68 ,before me, Russell Marino ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in t:he Commonwealth of Pennsylvania, the last Will and Testament of Albert S.Sickman late of The Borough of North Charleroi in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and Iaura :Miksch Sickman and Albert S.Diaz the Executors in said Will and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid:,do grant these LETTERS TESTAMENTARY,unto the said laura Miksch Sickman and Albert S.Diaz committing unto Them the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring Them to exhibit a true and perfect inventory thereof into the Register's Offi'C'e,at Wa:shington,within ninety days from the date hereof,and to render a just and true account of s'aid administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this 23rd. day of May nine hundred and Sixty Bight III the year of our Lord one thousand q d/;)y#~-v(J.................f1i1.-:i?... Register ~~!11oj 'l"i! fIJi p.j CD!r-i!r-t!'l"ii+IifIJi+IiF-4!t)!.o!r-t!~I j; .(~ • . I \ .'".. ,. ~'.'.:: I I I,ALBERT S.SICKMAN,of the Borough of North Char1ero~,Wash-IIingtonCounty,Pennsylvania,do make this my Last Will and Testament: .:o:c:--=~..-....::....:~....,. 1 1i I! 1 1 J1 1 hereby revoking any and all Wills heretofore made by me. FIRST:I direct that all of my just debts and funeral , { expenses be paid by my Executors at such time or times and in such manner as they deem to be convenient. I direct that all inheritance,succession and estate taxes assessed because of my death,whether the property or I I I funas to which such taxes are attributable pass under this my Will 0 not,be borne by the principal of my residuary estate and that my Executors payor provide for the payment of such taxes at such time or times and in such manner as my Executors deem to be conven~ent. SECOND:I give and bequeath the sum of Two Thousand,Five Hundred ($2,500.00)Dollars to 1ENA !i.JOHNSON,if she survives me. ($1,000.00)Dollars to CHRIST EVANGELICAL CHURCH of Charleroi, f! THIRD:I give and bequeath the sum of One Thousand Pennsylvania. ,, ~ 1 J, iIl FOURTH:'A11 ..tl)e rest,residue and remainder of my estate,. real,personal or mixed,·o~'~hatsoevernature or wheresoever situateJ I give,devise and bequeath unto my beloved wife,LAURA MIKSCH srC~~N,if she survives me. FIFTH:In the event that my said beloved wife,L~URA MIKSCH §IC~~N,fails to survive me or should we die as a result of a common.accident or disaster,or under conditions from which the order of death cannot be established except by resort to inference I I.J. or presumption,I then direct the follm-ling: 1 ",,_'''",'+"r ",'.".•'i••~.,,".,..,.~~i[iC""c.,,",."i;if"'"'''''"''''~~""".·"!""'"'·~"i"!""",""...fhi~"'''''''':''''"'':l'';I".'''.'':''';'',f,,,lh,'.,:,""'>"'·f";";t.,);,.,,O:,,;W,:,,,,,.q\•.,,.,:""~;'''4e~'4~~';;:.".~ I .'PI ..11 Part liB"•. of Part "Bn in proportion to their original share so designated in (a)I give and bequeath the sum of Five Thousand, ($5,OOO.OO)Dollars to GERTRUDE CLEGG,provided she survives me. (b)I direct that the rest,residue and remain- der of my estat;.e be divided into two (2)equal parts hereinafter for convenience called Part "A"and Part "B"to which the following directions shall be applicable: I P~rt nA"is to be distributed as follows: One-half (1/2)to!.!.SICKMAN,my brother,of Venetia,Pennsylvania,or,if he is then decea~ed,to his wife,or if neither of them is then living,to their issue,per stirpes. One-half (1/2)to ELIZABETH SICK}mN SUTTER,my sister,of Pittsburgh,Pennsylvania,or,if she is then deceased, to her daughter,NANCY SUTTER STEELE,or if neither of them is then living to be distributed among the issue of NANCY SUTTER STEELE, per stirpes. PART "B"-- Three-fifteenths (3/15)to my niece,WENDY MONACK~of Ruther- ford,New Jersey.If the said WENDY MONACK is not then living,this I three-fifteenths (3/15)share shall be paid to the other beneficiaries j I 1 One-fifteenth (1/15)to ARTHUR ~.MIKSC~,my brother-in~law,ofj I Ford City,Pennsylvania,or,if he is then deceased,to his wife,orlI.I if neither of them are then living,equally to their two .(2)daughte~sI ,, ANNA .!&!.§.liUTCH1Sill!and BETTY vlIEfI~. 2 I 1 ....... r One-fifteenth (1/15)to ANNA LOIS HUTCHISON,my niece,or if .----- she is then deceased,to her issue,per stirpes. ,One-fifteenth (1/15)to BETTY WIEHL,my niece,or if she is then deceased,to her issue,per stirpes. Three-fifteenths (3/15)to MRS.CHRISTOPHER BROWN,my siste'r- in-law,of Ford City,Pennsylvania,or,if she is then deceased,to her issue,per stirpes. Three-fifteenths,(3/15)to MARGARET H.MIKSCH,my sister-in-law I I of No::-th Charleroi,Pennsylvania,if she is then living and has not remarried,or if she is then deceased,or if she is living and has remarried,to her daughter,LAURA M.~"or if the said LAURA M.I ~is then deceased,to her issue,per stirpes. Three-fifteenths (3/15)to GERTRUDE ~KSCH CLEGG,my sister-in-I law,of North Char1~roi,Pennsylvania,or,'if she is then deceased, to her issue,per stirpes. SIXTH:In the event that it is necessary to divide my estate into Part "A"and Part "B"as described above,and in the event that any of the named legatees or devisees stated therein conferred by law,the following discretionary powers and authority which may be exercised without application to any court,and I di- to inquire into the necessity or propriety of any of their acts or !irf• , j IIrequire~ I i SEVENTH: to see to the application of any money paid to them: rect that no person with whom my Executors may deal shall be select to take any personal or real property in kind,I then direct I ""'that my Executors evaluate the selected property and said evaluation' I I I give to my Executors,in addition to the powers! .t ! "be deducted from their share. I......;;".... 3 I "I' ~! ft,. persons against my estate. I appoint my beloved wife,LAURA MIKSCH SICKMAN,EIGHTH: my wife to qualify or of her renunciation,resignation,disability or death,then I appoint my sister,ELIZABETH SICKMAN SUTTER,to of this my Last Will and Testament.In the event of the failure of serve in her stead,with ALBERT S.~,ESQ. Any personal representative named herein shall and ALBERT ,2,.~,ESQ.,of Charleroi,pennsylvania,Executors (d)To compromise and settle any differences and· (b)_To sell and dispose of any property,real or ·(a)To retain as apart of my estate any stocks, (c)To grant leases for any term or terms,with claims be made by my Executors against other persons or by other claims arising in the administration of my estate,whether such or without options for renewal or purchase. personal,which I own at.my death,at such price and upon such terms as they may deem proper,and to execute proper deeds. to transfer the property so retained to my legatees. 'bonds or other items or property belonging to me at my death,and have the right to select any fee due him or her as a legacy from my estate or a normal personal representatives fee,at their option. I direct that ~LBERT g.DIAZ,ESQ..•be retained as IN WITNESS \VHEREOF,I have hereunto set my hand and seal,to Signed,.sealed,published and declared by the above named typewritten(4) 4 Q/~Iii.<..,f\!'-.i"il,-·l \!~·t·....~\J \,f';It·\,:I__"-_J......_\·~t.;..·t_~:;:.....:..;..\~_._'~_;;;..).;..'."-....;;.;..y.;...;...r _.I...:.~..;.;.'.._-,...;.,,;.;.i_\""",,\_\;..'__(SEAL)l Albert S.Sickman \I Ii1j 1 day of september,1964. ,;:+-,.;Ipages,this _..:../__ jCounSel in the administration of my estate. I j 1I this my Last Will and Testament,consisting of four ,. -',---I Testator.ALBERT .2..SICI<Ml\N.as and for his Last Will and Testament.!- "ro- in the presence of us,who,at his request,1n his presence and in the presence of each other,have hereunto subscribed our names as \iIt!\ rl!ri t r 1 i iI, i ti\t•f, ! j I, f , r \.! \III.III ~, , ~Ifi•I witnesses: residing at l I .\ I \ \ II .:"...._:•.•,..1~~_~,:....~.;...1"',: 'I '; t 1I I,tIIt I I~.-.".::..'..-.--;:~- .Affi~anit (@f iExerutnr (@r .A~millil1tratnr t!'lulr nf 'rl1115yluul1ia,~55: C!1nu111y nf .a5~il1g1nl1 \ Personally before me,the undersigned authority,a tl..Q~..7!.'!:.9.!d::f.in and for said 1'_.._-M!L._L \'~.A'L.,.·,.-I-5 0.'County and State,appeared ~..I.~IUv.J.Q:{,..,Jk . ...",:'1r.~.~Jc'.\.:~~who,being duly sworn according to law,deposes and says that .:the y.J:·:the executotl ~of the estate of ..........................................................t.Ub.~..SA...s.~deceased,that the foregoing schedules constitute a complete inventory and appraisement of the r~al and personal estate of....l.I1.he.oi:...5./I 5.Lcb.ao.a., 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 Executor4 ~~. '.-'..3rd (l a'............,Sworn p!td subscrzbed before me thzs........................~f!~..•()~12~M·~·~~:j~~···19 ..§9..~~·':1J[~e~ ...7fY3~s Sfoii'..EXp·rre·~Jili¥l·~~~·t ..·~;r&UCTIONS 1.An invent6ry 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 were 3Juntutn~g aub "ppraispmtut of the goods and chattels,rights and credits which of &:!?~..:~..~~f~!!:!!!-:.late of ~q,~C~~!::t .. Washington County,Pa.,taken and made in conformity with the abO'Ve affidavit. 7JeJl/.Jo.-orr /-1-"'_________~...JL;,.' 5an D.Ler;t?yM and {).ec:f:A-L.e,corrmon 4ioch 100 4!u:uteA,dated 4/IO/4l!,.CeJd.#I\(jf8/ 100 t1 t1 4/10/41,II A['jf82 ]2 t1 II /I II -·Ne 3)58 29 II t1 1//24/59 1/~~_41808 ---0261io1:al.4hcvLe4 a::t $4J.2188Sjxvt.4hcvLe DU£&Ue4ne '-!:#Co.,corrmon 4iock CeJd..#y 119318;' da:ted 5/7/68,100 4hmt.RA a::t $2<;.1250 pe;t 4hcvLe i't'Ydkn Nai:iJJnal.IJJ.nh.&,T/lU/.J;{;Col1l(X1fUf1 CIu:vUe;w.L olfi-ee cltecki.ru;}acClJun;{;'#·/95.Ji.o50 DOLLARS $11,280 II CENTS Un.U:-eri 5:4:J;/:RA T/l£.CJAWUj 1JOnd,No•.JI18 :J,4f%"face $5,()(x).oo,rrr:d:J.iAi.;ty.di-de ~/5,1992 /J1€mbeJl/.JIt.Lp,CAwz..!.e;w.L FiA.1Wu;Club.___ /'rJembeJl/.JlU.-p,1Iu.nf.eJuJ lIaven (tjoiJdVeni:tutR..Tweniy.-ei..gh;t) /'rJembeJl/.JIt.Lp,UnU.ed IIuni:.i.ru;.Club 1/7 i.rd.e.Il£A;{;i.n.tlJe4;{;Vi..Ju;jini.a coal.J..ea/.Je M p€A- de~n 01 :!:AuA;{; .//6 i.rd.e.Il£A;{;i.n.Wh..Ue Oil and}.yM 4,15/00. 250 (X) ]00 00 200 00 I,fX)()00 500 00 ~25~241-j2 GO .'. ,.,.,J ~.I • ~.,- \. ,. ,.,'\.\; \~'',-":"............fj........~f I-='4 ,, ....-:.'-.'1.~~ f ", "f,.,......;:l......d<:'";:l.....~<;:l ~"'l<.t: I~t:':l ~~;:l I~~~Ci:l ~~"I::l-"I::l-I~~~~1;;' Ii\.<1l0~~~'";:l..... "'.... .1" ,. -I IN THE ORPHANS'COURT DIVISION OF THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA IN RE: ESTATE OF ALBERT S.SICKMAN, Deceased FIRST AND FINAL ACCOUNT OF LAURA MIKSCH SICKMAN and ALBERT S.DIAZ, EXECUTORS SUMMARY SCHEDULE A PRINCIPAL -PERSONALTY Receipts Receipts BALANCE Page 2 SCHEDULE B INCOME -PERSONALTY Page 3 SCHEDULE C DISBURSEMENTS ' Page 4 $33,935.75 851.31 $34,787.06 19,100.53 $15,686.53 THE BALANCE FOR DISTRIBUTION CONSISTS OF THE FOLLOWING: U.S.Treasury Bond No.3118J Membership,Hunter's Haven (Joint Venture Twenty-Eight) 1/7 interest in West Virginia coal lease as per declaration of trust 1/6 interest in White Oil and Gas Office equipment and medical instruments Miscellaneous items of clothing Cash $5,000.00 300.00 3,571.42 500.00 205.00 370.00 5,740.11 $15,686.53 .--- IN RE:ESTATE OF ALBERT S.SICKMAN,DECEASED SCHEDULE A PRINCIPAL -PERSONALTY RECEIPTS Inventory filed Additional Assets: U.S.Treasury Bond,No.3118J incorrectly listed on Inventory at actual value,$4,151.00,in- stead of face value,$5,000.00 1/7 interest in West Virginia coal lease valued on Inventory as $1,000.00;actual value is $3,571.42 1/20 interest in Snyder Farm Oil and Gas Co.,final liquidation, distributive share Office equipment and medical instruments Accounts receivable Miscellaneous items of clothing ~ain on Sale of Assets: $25,241.32 849.00 2,571.42 120.86 205.00 3,513.00 370.00 Net Proceeds,sale 522 shares San Diego Gas &Electric,.common (261 shares listed on Inventory,2 for 1 split 5-28-68 Inventory Value Net proceeds,sale 100 shares Duquesne Light Co.,common Inventory Value $12,234.64 11,280.11 $3,023.12 2,912.50 954.53 110.62 onversion of Assets without Gain or Loss: Proceeds,sale of membership in Charleroi Fishing Club Inventory Value Proceeds,sale of membership in United Hunting Club Inventory Value $250.00 250.00 $200.00 200.00 0.00 0.00 $33,935.75 IN RE:ESTATE OF ALBERT S.SICKMAN,DECEASED SCHEDULE B INCOME -PERSONALTY RECEIPTS Dividends: San Diego Gas &Electric Duguesne Light Co. Interest: United States Treasury Bond,3118J Royalties White Oil &Gas o $365.40 83.00 $448.40 212.50 190.41 $851.31 .;.."......'..l f , , IN RE:ESTATE OF ALBERT S.SICKMAN,DECEASED SCHEDULE C DEDUCTIONS dministrative Expenses: Register of Wills Wash.Co;Reports Register of Wills Valley Independent Register of Wills Register of Wills Register of Wills Albert S.Diaz Letters Testamentary and short certificates Advertising Estate Probate Advertising Estate Short certificates Filing Inventory Short certificate Attorney's fee $25.00 12.50 15.00 10.50 2.00 9.501.00 13,400.00 $13,475.50 Funeral expense Nursing service Nursing service Nursing service Nursing service Nursing service Nursing service Preferred Debts: Harold L.Schrock Louise Crabb,R.N. Lillian DeMarino, R.N. Carol Zendri,R.N., Judy Riva,R.N. Elizabeth Henson, R.N. Shirley Gottke, R.N. Eleanor Lewis, R.N.Nursing service L.J.Quetsch, M.D.Medical service Charleroi Boro Ambulance service $2,567.60 27.75 26.75 .10.32 17.20 27.75 26.75 27.50 75.00 5.00 $2,811.62 other Debts: Joseph Nursery & Garden Center Kurtz Monument Co. Lena W.Johnson Don A.Ducoeur, Postmaster Texaco,Inc. Gulf Oil Corp. Humble Oil & Refining West Penn Power Bell Telephone Co. Gezzer's Pharmacy Bentex Pharmaceuti- cal Co. Roy I Carson John F.Seals Comm.of Penna. Grave planting and care Grave marker Past due wages stamps Gasoline debt Gasoline Debt Gas,oline debt Electric service Telephone service Pharmaceutical supplies Pharmaceutical supplies Debt Tax work and accounting for estate Payment on inheritance tax 123.67 620.00 100.00 18.00 13.00 10.85 5.70 26.32 26.04 12.72 89.11 168.00 500.00 1,100.00 $2,813.41 $19,100.53 Washington County Reports ~~x Wasbington,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,publis'hed weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COVNTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement,exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: ........J.l.I:ne...),~?Q.t ?1..Il 19..9.~. that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of ,h;,.ffid,,;,..<0',;,plare ..d <h'U~'h~"'ru< /!1.. Editor 27th.8.........~day of...~,196 ........t:~..~..,.~- 'fJry Public KATHERINE C.YARD,Notary P lO Washington,W.as~lington .Co.,a.My eoml~ISSlon Expires November "1969 Estate NotIces The Register of Wills has granted letters, testamentary or ofadministraticn,in the following estates.Notice is he ..by give... to all persons indebted thereto to mal payment without delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys. •• •• • •• •• • • • • • • • • SICKMAN,ALBERT S.,Dec'd. Late of North Charleroi.WashingtonCounty.Penna. Executors:Laura Miksch Sickman 516 Lincoln Ave..North Charleroi'Pa..Albert S.Diaz,613 FallowfieldAve.,Charleroi,Pa.~ttorney:Albert S.Diaz,613 Fallow-field Ave.,Charleroi,Pa. ,e .... j 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 Valley Independent,who,being duly sworn,deposes and says that The Valley Independent is a daily newspaper of general circulation in Fayette,Washington and Westmoreland counties,Pennsylvanio,and elsewher~,published in the City of Monessen,Westmoreland County,Pennsylvania,that it wos established June 28,1902,since which dote 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 dotes,June 8,1968 June 15 and 22,1~9~6~8 _ 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 ond character of publica- tion are true.~~/_~)~~tL~.._Z I r=A=-= COpy of NOTICE STATEMENT O~ADVERTISING COSTS: Albert S.Diaz,Attorney at Law -~tesi&"me;;ta;;0;(the estate of Albert S.Sickman,late of North Charle'lroi,Washington CounlY,deceased,hav·Ing been granted by the Register ofWashingtonCounty,nollce is hereby giv- en'to all persons indebted to said estate to make immediate payment,and to,those having claims against the same to present them without delay to Laura j Miksch Sickman,Albert S.Diaz,exec- utor,516 Lincoln Ave..,N.Charleroi,Pa. ,Albe.rt S.Diaz,Esq.,attorney,613 Fal·I lowfleld Ave.,Charleroi,Pa.6:8,15,22J My commission expires CHARLES fNotary':'PuQli,C)Pliblif. Moneroq1.1\'1.•·:."rhi (;•Pd. My Con,m •.vll Ex.pires '·VH........7 1071, 6]3 Fallowfield Avenue Charleroi,Pa.15022 TO MaN VALLEY NEWSPAPERS,INC.,DR. For publishing the notice or advertisement attached hereto in The Volley Independent on above stated dates $10.00 Notary :.....................................$.50 II Total $10.50 PUBLISHER'S RECEIPT FOR ADVERTISING COSTS Man Valley Newspapers,Inc.,publisher af The Valley Independent,a daily newspaper of general circulatian,hereby acknowledges receipt of the aforesaid advertising and publication casts and certi- fies that the same have been duly paid. dA. MaN VALLEY NEWSPAPERS,INC. 7/16/63 Pd.By c ~en III ~III.....c -1 en ... -+:::t:mCD::l"-0-CD Z 0 III ~~"".....=+...~...::r 0 ms::CD ::l Z Z C ::l n Z ::l C en 0-3 0 -< n CD C r- 0 0-Z ~...»~...CD Znn.....n ..>C 0s::..r ::l.....C::l -v-- C1i , 0-en:c+CD ~:D"::l :CD lC ;:<:0-s::-< III~0... ::l Cn<nCD0.,., -<0- ::l0-lCCD..... CD 0 <5'!1l ,~ 0-CD"00V)C1l C::l0- IIIC'< .....::rc..........::l"CD C0-0<C1l Cnn0s:: ::l..... 3CD :f- III I\) I\)::sp.. (J') ~o...::l o::l 0- IIIs::0-IIIn ::::!. 0-CD0- 0-~@ ~~l'~ ¥i~'"~~ ~ ~~:~~K :-0:0'\ i\.O » j (X) "'-I\) I\) -......:...-.Jo ----"no::lnCD... ::l 0- CD 0 0-noCD"'":+~~ "'"~::rc ::l ..... lC 0 ::r.....,c ~< ::l"CD CD lC ~<'=+CD ::l"::l ::l ro c lC n e-n ::l0s::~::l n'~CD5'..... .....0 ::r cCD 3 "0 C CD ::l ...III ::l 0 CD ::l...III ,'~~~~III •0:!.'():'""" ::l 0 : <a.I 'llIS:l"0 S '.::l I-':.n -,00'1 \o 'I rt.l :~§I'....,.:,C-j \)--t 0:_r;::".)"~..'::s 'i'\I--'",'•.'.\.'f.....«:,....~~...";m .~ ••..,:•..:,:.\'I\i :>< '0 ~"O::r ...CD CD...III~9.'"""0- '"""CD=..:.0- CD 0-0-,< d ~ z~o s::.~ CD C::l~.O ~.,;;cJlV'Js:: :\CD~~ :--On: I 0~~:-J-~b~~.~. 0-CD::lnCD 0-'< '0 8'"""III :f- !" ~ ,,~~ :6""""i'-Q ~i~III •.-+'CD • ...:o .-tor.:.. ~' III presented to the Court And now to Wit...~..d.5). 19..h.1.,the within accou ~.~.~..~~~.9rL~.. Register and Ex·Officio Clerk of O.C. Attorney for Accountant ALBERT S.SICKMAN '\))(·r ,~:;)-'Pr>.¥36' ~.2 ESTATE OF FIRST AND FINAL Account of-------_--------..--_. _,~.n~'~ No,4.4::..~.~.~.z.J.(2 ~tf}.....-.--_. ...~.~~!..?:M~~.~.~.h e.~s::.~.?:n ~D..g:. Albert S.Diaz Executors...................................................J .. eO -< 1 1 ) •!, "" :rE0:u ..'t';t~ ,. :P.o.r.,;0 c:ri til : u:;) . (.0 0 c::i ~~'" 0)(,{) e..-i""""'"c=. " z~tn r:-: ...'\ ci rn iq ~ -j :;:0 ,...-.~r(l , c.'r c......>,. z C)Go";1 :T~::t::>o."'"~~;;::x ~r:;;;- ~L;;5 ~ ..-.~ ~. ") ..".. -- • " .~ ,. .."~ \ -,/ '- 1 •~l-: ,t : • The Court is respectfully requested to determine proper distribution in this estate.• a~L~ Counsel for Accountant lin tqr ®rpQttns f QIour1 of IItt!lQtugton arnunty In the matter of the Audit of Account in / Estate of AL.BERT S.•....Sr.C.KMAN . TO THE AUDITING JUDGE: No 63.~.68.~.7..3.o ,19............•A.A. Enter ~y appearance for AQ.Q.Q1J.:nt.ant.S . r~·--·'···············-············~·-.-...•.•.................................__-_-__-. .......____-___-___..-_ -_..-__-_. .......................................................•••••••••••••44•••••••••••••••••••••••••••••••••••,•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• .B..t.h day of .3.e:p.temb.er............................19.69· 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.Counsel suggesting proper distribution shall file a separate concise statement in that regard. -- No .2.3..-::6§.:::13.Q...........................19 __...A.A. In re Audit of Account in Estate of ALBERT S.SICKMAN AU D IT 'raecipr fur i\ppearance FOR Accountants ...-___-..-----_-.---.-.-___--_...............• ....................................~...............................................................• ;,;=0 -:;~f1l ;z,c:::>•J ..........·························~··0···c:·····················__...............• -i..-{j)c....-en ,..:r.::..~····························,S··F.:i··T~··············~··.....:........................• -;;ry ;-h..>rn.;::,,--;.....:;;e..0···········t'-."~ ..,...:;r---'("");:::r::..... ~~S ::I::...;::~ v r-...::.~cnO '"'-.J<.v Attorney ~8 l ~__t"'! J lu t1Jr mnun of mnmutnu Jlras of lIasl1iugtnu mounty. Jruusylttttuitt.(@rpqaus'moun BinililnU ESTATE ,OF No._~6-,-3.:::.:-6~8.L.:-:.J.7....J.3~0 _ Albert s.Sickman a/k/a In the matter of the,_-=F-=i!::,,!r~s~t~a~n~d~F....i!:.!:n~a~l!:....- A1b~rt Sickman,Account'of Laura Mi kscb Sickman &Albert deceased.S.Di a z,ExecJ1tors ADJUDICATION AND DECREE And now January "'/,191SL-,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereof the bala~lCti.6fQr d~stribution in the hands of the Accountant is determined to be $1.'7.,and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDULE OF DISTRIBUTION Balance per account _$'$,686 ,$0 Additional debit aaked at audit Additional credit asked at audit Balance'_ 106.25 $15,792.75 23.32 Laura Miksch Sickman,widow,residue,inclUding cash,U.3.Treasury Bond #3118J valued at $5000.00;Membership Hunter's Haven (Joint Venture Twenty Eight)@ $300~00;1/7 interest in 1J1Jest Vi,rginia Coal Lease as per declaration I of trust @ $3571.42;1/6 interest in White Oil I and Gas @ $500.00;office equipment and medica~ instruments @ $205~00;and miscellaneous items of clothing @ $370.00;held in kind and dis- tributed as such at the value as Shown,11936.93 Deduct Clerk's Costs &Receipts'--_ Lena W.Johnson,legacy,credit to be taken the accountant for f~ds advanced prior to tribution by the Court, $11,936.93 No balance 1000.00 Christ Evangelical Church of Charleroi,legacy, credit to be taken by the accountant for funds advanced prior to distribution by the Court, Attorney ...J:.A~JubJJ:e::...lr~tI,o...l.;S...,,.....lD..L.;ue;l.,jZ'----------~Is~ -., .... 6 ~{IL.•.....a _..J ...... 0 ,>S"z..... )l»K'n p8....:r' t:Y ~C tll ",.....~3 ~9.-0 a...._.tll M ""0a..... -+.....:r'=tll ::: ~~ ~~~~~ Form .RCC-33 RESIDENT DECEDENT \1 •COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF ........V!a.1J~r1:. 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 1;!,!e.Inheritancean!i Es1;ate'.l,'ax Act of 19B1.) ..~~.b.=..j:,~:~~:.~:~~~~OF C."ount..y}~~:=.~(State full name of decedent)~ Late of t'!..~~~",.".,.",,, ,..',. :,:'.;~:~~::::::_:=}'" ".,..."..,.",LC!!J.!.YJ:.,,!!'JJB4..mSi~....~....IJl..b.gaiS.,O",f,g,~.....,......,.....,......,... ~of the estate of the above-named decedent being duly sworn,depose and say ....,Executor/.! Decedent'died ..../rkL,!f., (Month) Name and address of attorney or}', other authorized representative to whom all correspondence should be mailed. /8... (lIay) ,..,.,19,...6..8.......,f'testate ·leaving a last will,copy of which is hereto attached.} (V""r)Lintestate That as such t>!:.~9.:!f;Q!!4.deponent is familiar with the affairs of said estate and the property con- (1';xe~1I tor·Administrator) 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:- OTHER INSTITUTION SAFE DEPOSIT BOX o. THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF REL~n,IONSHIP OF JOINT HOLDERS TO,DECEDENT e That the contents of said safe deposi t box or boxes are itemized under Schedules ABC;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 fullv 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 esti,mated 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 decede~t's death in all other cases;all bonds,postal saVings,treasury certificates or notes and other ~~iden;~of in-:-",".'-~debtedness of the Uni ted States to the decedent;all obligations,whether by statute ora,gr'ee~ent t~ey are designated as tax free,of the United States,or any state,or political subdivisioh thereo~'or~of ":--,,-'..any foreign country,'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,lq~d.an)~nd all ,....other personal chattels of whatsoever kind or nature,left by decedent,together with the faiF~y,.estimated ,...'market value thereof;all bonds and mortgal!es 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 pa~e~t ;f 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 payable 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,witq the market value thereof at such time. Subscribed and sworn to before me this .. d .~..-.-.-.Q--:::::i;t~••••••·'.•••·•••••••••••••..l:~~~~~~·J0.?/7d I'~, 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 Habilities thereof as of the'date of death.The schedule also sets forth the interest of necedent 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 true 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 copy 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 0 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 lssue,and the relationshlp of such lssue to the beneflciary. That Sc/1edule 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 relationship,if any, of co-owners to the decedent. That Sc/1edule 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 commi~sions 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 ann unpain 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. I~~~(ExeC'Utor-~ ...51.6..tdA.CQJ.n t./lt.en.u.e . (Street Number) ./!Y..~C~~b P.q.!. (City or Town and State) NOTE:Before~\fgning 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 requiren 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·C)t.I ••=.AL ~) 6/J Fail.owp-e1.d Avenue ChmJ.e/Wi.,'fa. RCC-34 (1-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMEN'l OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT S.tHEDULE "A" -lEAL"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 hf'ld by thede.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 (1 )(2)(3) described by lot ond block number,street and street number,together with DEPARTMENT a general description of the property,with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title;If a farm state number of a.FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encum~rancesupon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this space)to be listed on Schedule "F"and must not be deducted from this schedule. None Insert this total opposite "real property",Schedule "A"in the X X X X X "As Reported"column on the last page of this return. None ,. 8CC-35 GOMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned indiVidually by the decedent,at the time of 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 of 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 fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,etc.) Intangible personal nroperty,such as bonds,treasury certificates,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 anyundistributed 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. ]()().oo . 250.00 1 200.00 500.00 /,000.00 J 4,/5/.00 I 29/2.50 //7 iJdell.f!/.Ji:.in lPf!/.Ji:.V~coal.l.eMe,M peA- aeclruu:cti.on 01 huud. Duqpe/.Jne Li.tJd:.Co.,corrmon /.Jioch. /00 /.Jlw.ll.e/.J,drded 5/9/68,CeJd.#Y//9178 !YIell.on Naii.onal.Ba.nh.8 T/l.U/.Ji:.Co.,Ch.aA.l.e;wi. olf.i-ce--ch.e~accoun:l--#/95-4050 Un1.i:.ed 51.aif!/.J Tll.eMU/l.ff Bond,No.]//8 ~,4f %, 1$5,00.()(),~ff dn:te Aug../5,1992 Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION No.List and describe fully VALUE MARKEl'VALUE (Do not write in this space) /.San.Di.egp yM 8 [l.ec:l:.tti.c,COfT1T1On /.Jioch. /00 /.Jh.aA.e/.J,drded 4//0/4/,CeJd.#NC jf82 /00 ""11 II NC jf8/ ]2 II II II II NC49~a!J //,280.// _?J "fI "1IIU:.. 0 dS/ioJ:ol../.JAO/lRA 4].21 ]. 2. 7. 5. 8. 6. Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. RCC-36 rO\BIO\'li?\LTH OF PFNNSYLVANI A. Tn...\~~FFll INHElUTANCE TAX lill~InEXT DECEDENT SCHEDULE "c" TRAXSFEnS (1)Dirt rtecedent,within two years ofrteath,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)--=-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)_.LJTlJw..'L__ (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 decertent's rteath.(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)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 01'01'the right to income from the property transferred? (Answer yes or no)__~no~_ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)__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 I ifetime 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)no (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reservert 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)__~no~_ (9)If the answer to (8)above is in the ~ffirmative,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)_no-'-_ NOTE 1:The answers to these questions should be supporteil.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 prcperty 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 f1eed 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 NoflJ!. DESCRIPTION MARKET VALUE (Estimated)DEPT.VALUATION (Dppt.Only) __-'--l--L .....,.__.,. Insert this tnt,rd opposlt"!"Transfers",Schedule "C"in the "As Report"!rl"colullm on the last page of this return. ReC-38 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I NSTRrCTIONS:This schedule must disclose all property,real and personal,owned by the decedent 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 under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of 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-awners to the decedent. Description of Property,Date of Acquisition,Name IUnit Address and Relationship of Co-Owners,and Place Value of Record of Instrument,where Real Estate.I. ~:::!.!:J£== All.iJw-1e iwo ce.Jli:.ai.n.lolA 01 f)/Wund, kwwn aa Lot No.I and Lot No.2,i.n. John CoMnd'-1 Second A.irJ.J..ii.on to iAe Vi.JJ.a.CJe 01 Loch.No.4,rww lite BolWugA 01 NoJti:h CluvzleJWi.,{//aa!U.nghn Courd!f, PenMui-vani.a,Aavi.n.t;eJl.edted lIteJl.eon a iwo -1toll.ff bll.i..ch.b~kwwn aa 502 Lincoln Avenue,and a :l:wo 4toll.ff f-;zame bui.ldi.ru;kwwn aa 502 Li..bvdff Avenue, and a :l:wo 4toll.ff bll.i..ch.bui.ldi.ru;known aa 516 Lincoln live.,and a :tM.ee 4:talJ. fP-IW{fe uJu...ch.iA eJl.eded on LolA 1 and 2 in 4ai.d pl.an..7oW value $44,200.00 percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest !:!.!:!.?~fE.-- [.I.DuPoni.deJVemoUllA 8 Co.corrmon -1tocf.. ]0 4!wA.e4 date "/12/54,C<Vtio#0]]8495 Zq II 1/1/5/55 1/#UJ 022086 100 1/Aeld joi.rdl.ff i.n.flJ:JJTleI.J 01 Al.bvd 5.5i..ch.nrm.,8 Laww.;no 5i..ckrrrm. toM value $15,571088 Fomi tnotoll.Co.,common -1toch. 100 -1AQ/l.e4,dated 7/26/55,Cvd #cr 72]22,Aeld joi.rdl.ff in name4 01 Al.bvd 5.5i..chnan and.Laww.,tio 5i..chnrm toM value $5,425.00 KaiAeJl.Alumi.num 8 CAemi..cal.COll.p. 100 -1h.a1l.e4 4 ]/It%cwrul.a.i:.i..ve con- veAilble pll.eleJl.enCe,Aeld joi.rdl.ff i.n. flJ:JJTleI.J 01 Al.bvd 5.5i..chnan and Laww.;no 5i..chnrm toM value $4,po.6] I I I tJ • M '{ I i I I I_____________________L--_----IL----I.-i--i-_ Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"coluem on the last page of this return. RCC-38 COMMONWEALTH OF PENNSYLVANIA TnAN~F'EH INHERITANCE TAX P.ESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRrCTIONS:This schedule must disclose all property,real and personal,owned by the decedent 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 do not include entireties or out of 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-awners to the decedent. Description of Property,Date of Acquisition,Name I unit Address and Relationship of Co-Owners,and Place i Value of Record of Instrument,where Real Estate.! (~1~e <tCJ/.J 1,0rnpa.ny,conm;n 500 4hnA.eA,date 4/25/56 CeAi:.N04. m1745 iNww;A m1749 100 4AO/l.eA daie 7/18/57 CeAi:.#N!!]114l 11.59),'loq II "II "N!!]1142 7fJO "Ae1d.jJJi.nil.y in flf1.ffI£/.J ot Al.6ed 5.5i..ckrwt and La.wz.a.tn.5i..ckrwt 1:.0:1:0.1 val.ue $2'-1,215.66 yefl£Afl1 Cl.eciJU..c corrmon 4:toch. 504AO/l.eA daie 1I/10/5-"CeAi:.#tWi¥5 50 II "11/17/5]Ce/d.#tWll . 94li097 100 II "6/11/54 Ce/d.#NJ/A ]2089 100""11/12/54 "#/iI:!/A ]11162JriJ:total 4hnA.eA Ae1d.jJJi.nil.y in flf1.ffI£/.J ~0.625l~ 01 Al.6e/d 5.5i..ckrwt 8 ~tn.5i..ckrwt I :toM value $27,187.50 YenR.llfl1 /Yb:toM COIlf.,corrmon 4:toch. 100 /.JAMeA,daie 1/2/51 ce/d.#WII 15-517 5""2/17/55"y 855-009 100""11/7/55 "rp 162-842 100""11/7/55"rp 162-84] 10""11/7/55 "/;'148-65] 50""7/9/62 "K 717-250 ]6""I /6/flI.II tVA 142-082 .5Q II II 1/4/65 "tVA 619-686 li51 :total /.J~Ae1d.jJJi.nil.!f in nameA 01 Al.6e/d 5.5i..ckran and La.wz.a.In.5i..ckrm. :to:l:o.1 value $]6,it7.80 percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space.----,.-:----- Value of Value of Entire Decedent's Property Interest I I____________________--1.-__.1.---'-+-+-, Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"C01W~Dl on the last pagt1 of this retllrn. ;{CC-38 CCM1\.l()~WE\LTH elF PENNSYLVANIA T1U\,Sl·'ER TNHERIT:\NCE TAX RF.SIDENT DECEDENT ",...., SCHEDULE "E" JOINTLY OWNED PROPERTY I~STRrCTIOKS:This schedule must disclose all property,real and personal,owned by the decedent jointly wi til 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 under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of 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-~wners to the decedent. Description of Property,Date of Acquisition,Name I Unit Address and Relationship of Co-Owners,and Place I Value of Record of Instrument,where Real Estate.I . j mmM.'J ,../...aAk.COrrrntJn /.Jtock. 100 /.Jh.rute4 d.a:ted.10/28/55 CeAi.#C2/517 100 11 11 10/27/55 11 C21094 4"11 3/25/60 11 C051554- 5 11 "4/17/61 "C070551 ~7.625C __2"11 4/19/62 "C0111610 214 to:l:a1./.Jh.aJl.e4 h.e1d.joiJdl..!f in.f1fJJ7leI.J 01 AJ..6eAi 5.5Lchnv.n.and Laww.tn.5Lchnv.n. toM vaJue$12,3]1.75 percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest yu1l Od Colt(JOllfl.ii..o~capi.i-nJ./.Jtock 100 /.Jh.aJl.e4 d.cded.7/25/55 CeAi.#Ii 165227 100 11 11 ""N 16532] 8 11 "12/5/55 11 f!1))J9729 100 11 "]/16/56 "N 176259 12""]/13/!J5 "f!1)44]94] 16 11 11 12/6/tp 11 f!1)5dt27 16"11 12/3/Sl 11 f!1)661278 I""1/6/58 "f!1)742754- 14""12/2/lj8 "f!1)80'j212 I""12/22/58 11 f!1)876)51 769"11 12/21/59 "91 ]0671 I""1/29/60 11 9J 17/9rii Jt""12/6/60 "9J ]10947 I 11 "1/10/61 "W )57441 I"11 1/17/62 11 (jJ 576284 2]""12/8/61 "9J 45]824 1197 to:l:a1./.JhaJZ.e4 h.e1d.joi..nJ:l..!f i..n.f1fJJ7leI.J 01 Ai.6eAi 5.5Lchnv.n.and Laww.tn.5Lchnv.n. to:l:a1.vaJue $88,]16.22 7].78/~ Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return. f I ... COMMCl\'WEU.TH elF PENNSYLVANIA Tn:\.~~l·"ER INHERITANCE TAX PillsrDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I:\STRrCTIOKS:This schedule must disclose all property,real and personal,owned by the decedent 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 under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of 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-owners to the decedent. Description of Property,Date of Acquisition,Name I unit Address and Relationship of Co-Owners,and Place I Value of Record of Instrument,where Real Estate.I . 50CJJfUJ /tb6i.l.Oi.l.COll.pollfliion,capLtal.4:toch. 27/.J!wA.eA,daied.6/28/95,Cw.#NY/F 2d)16~ I 1/1/6/29/95 1/tW/F mdl 10 1/1/5/8/57 1/IW/F 496637 14 1/1/2/21/57 1/Nl/F 42688513.937 100 1/"5/8/57 "Nl-ll 216453 152 1/1/6/30/66 1/X 166562-]fit toW 4hmteA h.elri joi.ni:l.ff in naJT1RA 01 tU6w 5.5ichm:m.and L(JJJA(l tn.5ichm:m.. :toi:.a1 value $13,357.00 percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest Na:lionol.Uni.on Li/e 1M.Co.rp0.,capUal. 500 4hmteA d.ated.9/20/61;Cvd.N04.11/.687rp605ilvwultrp609,h.elri joi.ni:l.ff in nmneA ol1U.6w S.Si...chm:m.&L(JJJA(l tn. Si...chno.n.:tow value $5,843.75 ~!LtJ~'Y!:!:_~_~_!I!~_C~~!.._9!.'!!!!!.:: 804hmteA,da:ted.3/11/54,Cvd.#01887 20 1/1/II /9/54 1/03305 2 II 1/3/10/~8 "010084 2 If 1/3/9/59 1/016118 I 1/1/4/9/59 1/018616 2 1/1/3/7/60 1/0229]2 I76.1251) I It 1/4/11/60 It 025583 II 2 1/It J/IJ/61 1/029988 II1/1/4/17/61 It 032596 I II , II1/It 2/27/62 1/(f{)5022 cap.I .....~-I 166 1/"2/2/62 "/YlI 141J "I---I278toW4hmteAh.el.d foi.rd1ff in.naJT1RA 01 IItU6vdS.Sickm:r.n and.L(JJJA(l tn.Si...c.krw7.I II total value $21,162.75 III I I Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return. r-\.CC-38 COMM()~WE.\l.TH OF PENNSYLVANIA T1UX~l"'FH TNHElUT,\NCE TAX PiliSTDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I~STRrCTIOl'\S:This schedule must disclose all property,real and personal,owned by the decedent 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 under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of 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-~wners to the decedent. Description of Property,Date of Acquisition,Name I Unit percentage Estate Address and Relationship of Co-Owners,and Place !Value Share Valuation of Record of Instrument,where Rea!Estate.! DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest /I /I II " 7/31/64 7/31/64 II " " 100 4hmteAJ 100 /I 7 /I 100 II tVoJdh.eJlJ1.lliuwiA yM ·Corn.peutJJ,corrmon 4tock da:ted.3/18/55 CeM..#2-/~/]8 2-/~/.Jl 1-646j12 .2-1578Jll .!..l.."II 7//1/61"1-~5J879 320 total.41taA.eA Aeld joi.nil.!f iJL 1U1IT1S 01 1U6w 5.5i-ckrrm and LaJ1Ilf1.5i-chmm. toial value $10,~50,02 tVoll.iJuoeAt fJll.OCiueti..on COll.p.corrmon 100 4hmteA dated.3/31/61 Cw.#IV 6/~2lI 100 II "II "IV 61~25 100 II "/I /I tV 6/~26 100"II "II tV 6/~27 100 /I /I II /I IV 61~28 100 /I /I 5/31/57 /I tV 2]095 100 /I "II "tV 2]057 700 total /.Jh.cuteA h.e&.joi.nil.!f iJL nameA 01 1U6€1d 5.5i-chmm.and LaJ1Ilf1.;n.5i-chmm. total.value $2,209.~I 3.1953 lAe iVollJJJi-cA fJfuuuracal.CoTTlfXll7-!f,comrvn /.Jtock 100 /.Jh.o/teA,da:ted.3131/52,Cw.#C17326 100"/I ~/26IS7"C)51]0 200""12/10159"B 3]82 ~OO /I /I 9/28167"B 7629 800 total /.Jh.cuteA h.e&.joinil.!f in.fUIJT12A Of 1U.6w 5.5i-chmm.and Lawux m,5i-chrro.n total value $)5,875.dI ~.09)~ . I Insert this total opposite "Jointly Owned Property",Schedule ."E" in the "As Reported"column on the last page of this return. ----_. H.CC-38 CCMM()\'WE.\LTH OF PENNSYLVANIA T1U\'~i·"FIl INHERITANCE TAX RFSIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY nSTRrCTIOKS:This schedule must disclose all property,real and personal,owned by the decedent 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 under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of 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-~wners to the decedent. Description of Property,Date of Acquisition,Name I unit Address and Relationship of Co-Owners,and Place I Value of Record of Instrument,where Real Estate.i percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest Nolli:h.Arne.JU.can.Rochwel.1 (Oltp.,corrmon 4tock. 100 4h.arLe4,dated 10/9/67 (w..#7(1/j780 ~!!l_""10/9/67"7(1/j781 200 toial.4!wA.e4 Judd p;i.niJ.U i.n I1OJTle4 01 Al.6w.S.Si..ckman.and LQJJAO.;no Si..ckrrm to:ta1 value $7,225.00 0weM,-Il.l.i.rwiA Y.LfuM (0.,corrmm 100 4h.arLeA,dated 10/1//tjf (w..#(N 6lI-77/j 100""10/19/55"cr 25096 ?!E""/j/29/55"SYJ 19592 400 w:ta1 4h.aA.eA held joi.ni:l.!f i.n nJ1In£/.J 01 A1.6w S.Si..chnwt and Laww.tn.Si..c.kran w:ta1 value $21,825.05 Okl..ah.Oflll.Na:IuJwl.yM (0.,corrmon 100 4hwte4,dated 5/28/tjf (w.#N 197)) I ()()"II ""N 197J7 66"II 12/3/58"NO 32975 I""1/16/59"AD 40567 26""8/31/62"NO 70709 I""10/18/62"AD 79583 !..00""1/3166"N 99469 ]94 w:tal.4hwte4 held p;i.ni:l.!f in nJ1In£/.J 01 A1.6w 5.5ichnrm.and Lawza tn.5ichnrm. w:ta1 value $7,609.13 ~.125? 9.312 YJenMy1.va.ni.a YJOweJl.&~(0.,cormvn 100 4hQ/l.e4,ckded 3/25/'P,cw.#I(49227 85 II "5/23/57"I(051251 10"II 1/15/59"N(0209592G7.7/J 10";;4/21/59"A[0298208 ~ 15 "4!14/jt"t(01/j!j203 I 100 II "4/21/59"1(96302 1 100"" " "A(96301 tj"2[T w:tal.4h.arLeA held p;i.ni:l.!f i.n nJ1In£/.J of. A.L6vd S.Sickmn &'n''''libfiFl17ren fitl 64-1 (~O Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return.-~----"'-' RCC-38 C(\MM0N'.vF,\LfH UF PENNSYLVANIA rHi\t\Sf1::n I\"HFlU TANCE TA\: IlF~I])E~T DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY nSTRITTIOXS:This schedule must disclose all property,real amI personal,owned by the decedent 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 do not include entireties or out of 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-owners to the decedent. Description of P;operty,Date of Acquisition,Name!unit Address and Relationship of Co-Owners,and Place I Value of Record of Instrument,where Real Estate.I percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest 7Jh.i.l1...p /tbMiA,Inc.,--cortmJn 100 /.Jh.aA.€/.J,daied 7/26/62,Celd.#C35974 h.e1rJ...p;i..niJ.!f in.I1f1JTl€4 011U6rvd 5•.5i...ckrron. Lawta ;n.5i...chman.ioial.value 115,450.00 CPaAhe,DaviA 8 Co.,cap.i..ia1 /.Jio ck 100 4h.aA.€/.J,dated.5/7/51,crvd.#tV 54455 100""12/1/58"tV 172810 100"" " "tV 172811 ]00 ioial../.Jhwi.€/.J h.e1rJ...p;i..niJ.!f in.fIOJTle4 01 Al.6rvd 5.5i...chman.and Laww.;no 5i...chman. .ioial..value $8,9ft.39 9.781 I II 7<.J.7<eyrw~70bacco Co.--corrmon /.Jiock I 100 /.Jh.aA.€/.J,dated.4/"/58,Crvd.#D 149003 42.1583 100 It It 4/9/59 II NJ-([554Sl I 200 II "10/9/67 II N:/(Jlj 6)503 I 400 ioial../.JhnA.e/.J Ae1rJ..in.fIOJTle4 (fJi..rd1!f)01 I A1.6rvd 5.5i...chman.and Laww.tn.5i...chnr.t.n I ioial..value $/6,862.52 I 7<adio COll.pwudi...on ollimeAi..ca--cortmJn 100 /.Jh.aA.€/.J,dated.1//18/54,Crvd.#C7744 100""12/6/54 "7<6]4989 I 4""2/1/60 "7(77]2]0 I 4""1/20/61 "7(931768 I 4""1/29/62 "WJ 91088 9.812 I""2/21/62"WJ 167863 4""2/4/63 "WJ 268677 I It "3/1/63 "7?!J 352010 ~E._""2/1/64 "7t2 I J7474 654 ioiol./.Jh.aA.e/.J h.e1rJ...p;i..niJ.!f in.fIOJTle4 01 1U6rvd 5.5i...chman.and Laww.tn.5i...cknrm. ioial..value $]2,577.]8 Insert this total olJPosite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return. SCHEDULE "E" JOINTLY OWNED PROPERTY CCM-\ll1XWE.\l.TH elF PENNSYLVANIA T1UX~l·"FH INHERI T:\NCE TAX PillSIDENT DECEDENT "... HiSTRrCTIOKS:This schedule must disclose all property,real and personal,owned by the decedent 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 under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of 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-~wners to the decedent. Description of Property,Date of Acquisition,Name I unit Address and Relationship of Co-Owners,and Place I Value of Recorrl of Instrument,where Real Estate.I percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Y?u66emrai.d.,Inc.,--cJJrnmon 4tock 100 41wA.e4,d..ated 1/27/59 C€/d.#C591f 100 """"C5995 100 """"C5996 100 """"C5997 100 """ "C5998 39.95;;~ 25 ""12/1/59 "C02144 26 ""12/1/60 "Cdf870 27 ""12/1/61 "C07714 28 ""12/1/62 "C01(J747 18 ""3/2/64 "C013553 18 ""3/1/65 "C016058---- f!f2 toM 41wA.e4 Ael.d joi.rdl.U-in l1flJT1f!4 01 1U6€!d 5.5i..chrran and Lawza;n.5i..chrrl1fL I toM value $25,399.13 5an Di..eg.o [fad 8 C1ec:hdc Co.,cofTIJ7Vn 77 4.1u:vte4 d.ai.ed.10/20/!Ii C€!d.#i\(02296( 77""5/6/57 "5C 99619i~3.2188 _2Q""1//24/59"1(1)df2a5,/ 174 toM 4h.ruz.e4 Ael.d joi.rdl.U-in JWJne4 01 1U6€/d 5.5i..chno.n and Lawza ;no 5i..chm:m. ToM value $7,520.(J7 Value of Entire Property Value of Decedent's Interest 5cAeA.i.ruJ COltp.,cofT1TlOn 4toc.k 100 4h.ruz.e4,d.ai.ed 4/15/54,C€!d.#487 100"" " "488 100""10/11/57"N4523 100"" " "N4 ')24 400""4/28/66"!IU 1/868 800 toM 4haAe4 Aeld in l1flJT1f!4 /joi.rdl.!f)01 A16€!d 5.5i..ckrrm and L'JUIW.,11.5i..ckrwz. total.value $55,100.00 I~.875~ I Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return.___-~l RCC-38 C(\MMuN\~Ft\UH UF l'ENNSYLVA.NIA THM,Sf1:]t I\"HFHI Ti\NCE TA\: llFSI])E~T DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY nSTRlTTIOSS:This schedule must disclose all property,real ana 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 lmder Schedule "A"~plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of 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-owners to the decedent. Description of Property,Date of Acquisition,Name I Unit Address and Relationship of Co-Owners,and Place i Value of Record of Instrument,where Real Estate.I percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. 5U1Vlt1'f /fJi.d.-(0n.J.in.e.n:tnl OLl..Co.,--common 4i:ock 100 4haA.e4 d.a;ted 6-/5-61,CeJd.#22it51 3. AeJd joi.nily in.name4 01 AL6eA:!.5.5ichm:m.&: Laww.111.5ichnan.10M value $4,JOO.00 Value of Entire Property Value of Decedent's Interest Uni.:ted 5Aoe /YhchJ..ruvz.y COltp.--common 100 4AGA.e4,drded 3/26/59,CeA:!..#I(8351 100"""";\(8J52 200 10M /.JAGAe4 AeJd jOi..rd1y in.name4 01 1U6eA:!.5.5ichnrm.and Laww.In.5icknan 10M vake~/5,4()5.26 Union CaA.6i.d.e &CaA.6on COltp.--common 58 4AGA.e4,dated 1/8/53,ceA:!..#B 101921 58""5/7/65 #0 114725 116-10M 4haA.e4,AeY..joi..rd1y in.name4 01 A16eA:!.5.5icknan and Laww.111.5ichnrm. 10M vake $4955.38 5eaA/.J 7?oe6uck &Co.,--corrmJn 4i:ock 100 4AGA.e4,d.a;ted 1/25/51,ceA:!..#C73540 100""11/23/55"tVA 91827 100""1//23/55 "tVA 91826 J""12/20/55 "NAOIit311 3""12/28/56 "tVA03398!2 I""1//1/57 "tVlO~29/9 Pl""3/20/65 "5]-()52297 757fr 10M /.JAGA.ed AeJd joi.rdJ.y in.named 011U6eJd 5.5ichnrm.and. Laww.In.5ichnrm.10M value $4I,579.it 7.0JI Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return. Comnr;fIlIJe.G1.Jh ot 7>~yJvanifJ. TMMfeA.I,,}uvu.:J:ance Tax .. , .5cAedul.e •"t", ~0iIdl.y.0»flR.fi 7>1Wpe;d!f /967 Cadillac 5edan.5eA.i.rJl.#B 72/4079 rrwzhei value 01 $4,335,(JO,held joi.n:J:J.!f in nameA 01-IUbeA:t 5.5irzhnrm.and LCJ.Wl.G.tn.5ickrrv.n. /963 Cadi.l1ac 5edan.,OeVLlie,5eA.i.rJl. #63 L /]dt28,rrtJAhei value ot $/,225.00 held joiIdl.!f in fl£lmeA Of fl.5.5icA'nan. and LGLVla 111.5i~ UJeAteAn 7>~y1vani.a iVa.tional f3a.nh 5avinfyJ Ce.Jl.iifi-caie #/0275 value held jOiIdl.y.in nameA ollUbeA:t 5. 5ichman.and Laww.m.5icAI7rlTl. IneJ10n iVrdiorwl.Bank &TIW/.Ji Co. 5av~CeA.iitJ.cafe #]9295 value held joi.n1l.!f in narneA 01-IUbvd 5. 5ichrrrm and Lawlil tn.5ickro.n. ;f $5,000.00 5,000.00 C.;'\~\II)\"VF\trH l)F PENNSYLVANIA [,::\\,~:'FH rXm:1UT,\NCE TAX SCHEDULE "E" JOINTLY OWNED PROPERTY I\STRrCTlo"s:This schedule must disclose all property,real and personal,owned by the decedent 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 do not include entireties or out of 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-owners to the decedent.------·---··-1----·---·-····--------Description of Property,Date of Acquisitio~,Name!unit percentage!Estate Address and Relationship of Co-Owners,and Place ,Value Share Valuation of Record of Instrument,where Real Estate.}I...___.--1 _._._'._ DEPARTtlENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest 00.00 , Ii "00.00 I 00.00 I {W.W , 00.00 170.84 SeIli..ed fit bondA held ioi.ni:ly in.named 01 011..Al..beA1.S.Sichmm 011.Lawza ftJ.Sichmm------------------17.LlffI.6eA.I.a/.Jue daie----------------C5323808 -C J/an.21,19Lt2 val.(fhy 18,1968 $169.!P 1/21/Lt2 1968 169.!P 1/21/112 1968 169.!P 1/21/Lt2 169.tp 5/2/Lt2 e5323809 C val.tYb.y 18, C532]810 C val./Yhff 18, C5323811 C - I hunlll1')I (J/.:8VaA.JtIf~,I .1-]VI e85)5031 C val. C975Lt]80 C val. e975Lt381 C val. 5/2/42 170.8Lt 5/2/Lt2 00.00 I(00.00 Q25002]'f7 C val. 6/25/Lt2 Lt2.02 Insert this total opposite "Jointly Owned Property",Schedule "E" ln the"As Reported"column on the last page of this return. Q37125376 C Val. ftJ2107877 C val. Q 6939261Lt C val. L 11005292 C val. In 3975335 C val. I1J 5Lt25Lt50 C val. 7/9/Lt2 Lt2.02 8/29/Lt2 1680.80 11/10/Lt2 Lt2.02 12/I/Lt2 82.68 Lt/22/Lt3 1653.60 9/21/Lt3 1621.20 25.00 {cw.~ , II II!125.00! I 50.00 III {cw·4 I :I IfOOO.a1 I I C~I,""'It)\'VFnTH UF I'ENNSYLVANI,\ :'~\\:\~~:VH [:\lWlU'l"\NCE T,\\ llF~mru nECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I\SrRrCTIO~S:Tllis scheelule must disclose all property,real and personal,owned by the decedent 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 tmeler Schedule "A",plus the elate anel place of record of instrument effecting vestiture,but do not include entireties or out of 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 anrl relationship (if any)of co-~wners to the decedent. Description of P;operty,Date of Acquisition,--N-ame-I unitTperce~-;;-ag~---Estate Arldress and Relationship of Co-Owners,and Place i Value I Share Valuation of Record of Instrument,where Rea~E;state._!.-1 -L-_ DEPARTtlENT VALUATION CAUTION-Do not Write In This Space. Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return. 5We1 "t"6otu:iA hel.cL joi.11J:1!f iJL flf1/fle1 01 Oft.1U6eA.1:.5.5i.chm-.J.n.Oft Laww.lil.5i.ckrrm ru.un6eJl.l/.J/.Jue dai.e-------------o7026109 t 9/30/4] vaJ.../'}h!l 18,1968 81].60 ftJ 7972898[,6/22/44 vaJ.../574.80 Q4}605962]t 7/6/44 vaJ...39.17 L ";]989]50 t 6/2]/45 val..76.2!I- L 1143-)076]C 6/2]/45 vaJ...76.2!I- L 121739472 t 6/)]/45 vaJ...76.2!I- ftJ Iitl]17 t 6/30/45 vaJ...152'-1.80 o 13584]19 [,6/12/45 vaJ...762.40 o 13592897 C 6/]0/45 val.762.40 In 10876969 C 6/12/45 val.1524.80 C148}07684 C ]/]1/49 val.135.28 C148307685 C ]/]1/49 val./]6.28 C148307686 C ]/]1/49 val..1)).28 C15129449]C 5/24/49 val.135.28 II flXJ•1XJ 000.Of.. 25.00 50.00 50.00 50.00 lav.a 00.00 ,00.()() ~av.~ I i.I 100.00 i 100.00 I ),00.00Itoo I Value of Entire Property L~~J Value of Decedent's Interest C:",fv!'ldS''liF:\LTH l)F l'ENNSYLVANI,\ r:,\\'::,:·~·:n r:\HI~l\l'l"\NrE TAX n.F~I DE:\T nECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I\SrRlTTIO~S:This schedule must disclose all property,real and personal,owned by the decedent jointly wi til 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 indJcated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisi tion,and the name,address and relationship (if any)of co-o-wners to the decedent. Description of P~operty,Date of Acquisit-ion,-"N;me l-iJnit1-perce~t;g-;;---~tat;-- Address and Relationship of Co-Owners,and Place ;Value Share Valuation of Recorrl of Instrument,where Real Estate.I 1-_.._~..,-_.._--------------'-----_.-._- DEPARTIlENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Value of Decedent's property Interest SeAi.ed '~"60ndd Aeld joinilff in named 01 VIl..IU6eAi:-S.Si..chman.Oil.Lawza In.Si..chnnn. ruun6eA.1..1..1ue d.a:te [-/49305520 C 5/24/49--- val.1)5.28 e149JfJ5sg/t 5/24jt1-9 val.1)5.28 IItoo,00 00.00 JII--I !IIIII, ! ! IJIIIIIII I Ij i"E"I i L-J 00.00 I 00.00 00.00 00.00 00.00 00.00, j I I100•00, I II, I I1°O·00 ! I I /)5.28 IJ6.28 1}5.28 117.}5 1]6.28 1]6.28 135.28 1]6.28 135.28 117.35 117.)5 1]6.28 II " " " " 5/16/49 4/21/49 5/16/49 5/16/49 6/IJ/49 Insert this total opposite "Jointly Owned Property",Schedule in the"As Reportedll colwnn on the last page of this return. e149305522 C val. e149J05511 C val...e149305512 C val... e148307711 t val. e148307712 C val... e15/294539 C val... e149J05514 C val... e14930551J t val... e14830771J C val.../'fhU 18,1968 e148307714 C val.. CorrmoflUJefJ.1th.01 J>eJlJ7/.1yJ.~ TJUJ.M1eA.InJu!AJ.xf1.fl£.e Tax 5cAeduLe '(:" Joi.nil.ff O»ned.rpIWpvdff con1:.i..nuaii.on 01 4eAi..eA '(:"60n.rM held joi.nil.ff in.nnmM 01 Oil..1U6vd 5.5i..ch.rrwt Oil.Lawza tn. ~~~_________________Unit flJJJTlhell.144ue date Value ~------------------------------------------------~15129411!'~6/IJ/49 100.00 vaJ.uatwn lnaff 18,1968 I]7.)) ~151294552 (6/24/49 100.00 Iv~.1]7.)) 137.)5 9/7/49 I ()(J()~00 . 1373.60 10/2/49 100.00 137.)5 ~15129455J C valua1i..on ~151294554 £ v~. ~151294555 val. ~15176710'-1 ( v~. ~151767101 ( val. ~151767102 C val.. ~-15176710J t -v~ II"152689528 (Iv val. ~152689529 ( val./rh.ff 18,1968 ~152689530 C val. ~152689531( val. ~21181566!( val. ~152689584 ( v~. II " " 'II 'I " ", 8/16/49 " " " 1]7.}5 137.)5 137.)5 1]7.)5 137.}5 137.}5 -1-37.)5 137.)5 137.)5 100.00 100.00 100.00 100.00 100.00 100.00 !-(:J();fXr 100.00 100.00 100.00 100.00 .' >C01!DOflJ1)eaJ.;tA ot Pe.nhA!Jl-van1.a TIlllMteJt IrJuvuiance Tax 5cAedd.e ''C'' Join1l..!f Ouned PIWpeM-tf ~eAJ...eA ''C''60ndA Ae1d joi.rdl.tf in f1f1JI1I!/.J ot £~!.._'5!:~~_~:_~~~011.Laww./II.Si..chmm Uni.1 flLIJ7IbeJt L:j/.Jue da::te Value-------------------------------------------------i~/52689585 C 10/J/49 100.00 valua1i.on !rhtf 18,1968 117.)5 ~152689586 C "100.00 val.117.)5 ~152689587 C "100.00 val.117.)5 ~15748]1]5 C Jan.2],'50 100.00 val..135.(ft. i~1574831)5 "100.00 val.1]5.m ~15748]117 C "100.(JO val.135.m ~1574831}8 C "100.()() val.135.m ~/5782}829 C 3/7/50 100.00 val.135.m I~15782}8]O C "100.00 val.135.m ~157Q2]8]1 C "100.00 val.135.m ~15782]8]2 C "100.(JO val.135.m ~159149297 C 4/10/50 100.00 val.135.O'-t =159/49298 C "100.00 val.135.m :159/49299 C "100.00 val.135.m ~159/49300 C "100.00 val.135.m :1595474]1 C 5/11/50 100.00 val.135.m ·Comnonweal.J:A o{Pel1f!A!Jl-vrn}J.a T/l1lf1/.JleIl.In}uvuian:ee Tax 5ch.edu1e '(:" (joi.J7J.l.!f Own£d P/l.()peM.!f eJU..e/.J ''t''honda h.eld ioi.J7J.l.!f m 1UI.I71fM o{ ~~~.~::~.L~~~Olt LOWlO.In.5Lchnwt 1Jn.U ell.I/.J/.Jue d.ate Value ..----------------------------------------------- 1595474J2t 5/11/50 100.00 val.ua.:tion iYh.!f 18,1968 1]5.df 1595474]]t "100.00 val.1]5.df 1595474if t "100.00 val.1]5.O'-t 160]27511 t 6/19/50 100.00 val.1]2.80 160]27512 t "100.00 val.1]2.80 1603275']C "100.00 val.1]2•.80 160J275'4 t "100.00, val.1]2.80 160]27555 C 6/20/50 100.00 val.IJ2.80 160]27556 t "100.00 val.1]2.80 160]27557 t "100.00 val.1]2.80 160]27558 C "100.00 val.1]2.80 162705J;-2 C 9/21/50 100.00 val.1]2.80 16270SJ;-J C "100.00 val.1]2.80 16270sif4 t "100.00 val.IJ2.80 16270sif5 t "100.00 vaL 132.80 _2]271210 C 10/2/50 1000.00 aI..!thy 18,1968 1]28.00 .Cvrrm;~vl J)eJ1I!AyJ.va:do- TIlaMleJt Inh.vU.i.ance Tax 5ch.edu/..e '~I/ Jvi.nil.ff Qonetl.PIWpe;dff l5eAi.lVJ'DVruM h.eld jvi.nil.ff in flGJne1 vI~I ~~_t5!:~~_~~_~~~Vll.Laww.in.5i..chnwt Unil nurniJeJt I/.J/.Jue ria leVaiue ------------------------------------------------ (1630]2403 t 11/2/50 /00.00 val.5/18/68 1]2.80 ~16]0124m t 1/100.00 val.1]2.80 ~16iO12lt05 t val. ~16]O]2lt06 t val. ~163998944 t val. ~1639989lt6 C val... ~163998947 C val.. ~789/427 C val. 'R 7 891lt28 C val. ~1753]8848 C val. ~1753]8849 C val. ~175338850 C val.. ~1753]885/C val.. ~175]28214 C val.. ~175328215 C val.. ~175328216 C val.. 1/ 1/ 12/7/50 1/ 1/ 1/ 1/ 1/ 1/ 1/ 5/8/52 1/ 1/ 132.80 132.80 130.60 1]0.60 130.60 1]0.60 252.80 252.80 126.lto 126.40 126.40 126.40 12').92 125.92 125.92 100.00 100.00 100.00 100.00 100.00 100.00 200.00 200.00 100.00 100.00 /00.00 100.00 100.00 100.00 /00.00 ",Corrmoweal.i:h.Of Pen{lLjyl.vG;nJ.a : 7JlllfiAleA.InheJti.i:ance 7ax 5cAedu1e '~" {;oi.n1:l.ff Owned Pll.Opvdff SeJti..e4 '~"DondA Ae.id.joi.n1:l.ff,i.n.flfJme4 01 ~~:._~~~~_~:._~~~_?~Laww..In.Sicknoll.ur:u ru.un1JeA.L::J-1ue d'a:l:.e Value-------------------------------------------------C175]28217 C 5/8/')?100.(XJ val.lnaff 18,1968 125.92 R8 505569 C 6/5/52 200.00 val.252.48 R 8 505570 C val. 'R 8 505574C val. R8 505575 C val. ~.101 JIOdt C val. '~lol}IOO5 l val. V?10133625 C val. ~101J)526 C val. [ 1014J629 C val• ..1013)5]0 C val. ~101]8002 C val. ~101]8003 C val. ~101]801J C val. ~101]8014 C val. ~10947660 C val. " 252.48 7/JI/52 252.1/8 " 252.48 " 252.48 10/16/52 247.76 " 24-7.76 11/25/52 247.76 " 1/12/53 24-8.]2 " 2!t8.]2 3/9/53 248.]2 " :!-t8.]2 4/21/53 2!tJ.68 200.00 200.00 200.00 200.00 200.00 100.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 Corrmo~01 'Pertl1Aylvcini.a ~ 7IWfI/j~vt I MeJt.i.i:an~e 7cd. 5ch.eduJ..e ''[,'' ~0iJdJ./f Owned 'PlWpe;d/f 5eAi..e4 ''[,''60ru:i4 held joiJdJ./f in IUL!T1f!/.j 01 ~:::-_!J!:~~_~:-_~~~'!_l!.::_f~_0:-_~~~UrU.:i n.um6vt DMue date Value ~-I09~766J-l-----------~/21/5J------------200.00 val.frIa/f /8,/968 243.68 l?/0947670 {,7/23/53 200.00 val.21;!f.:it 24'-1.2'-1 10/12/53 200.00 2]9.68 R /0911767/{, val. I?11410095 C val. R 114/0096{, val. C212058028{, val. e212058025 {, vaJ.. C212058026 {, val. e2120)8027 t val. I?I /653949 {, val. 7?/1653950 {, val. R 1/91666/C val. L 274720j08 C val. C214857747 C val. e214857749 t val. e216315593 t val. " " 1?/3/53 " " " " 3/16/54 " 4/6/54 4/21/54 239.68 120.20 120.20 120.20 120.20 240.40 2'f0.40 2)5.00 59.00 118.00 1/8.00 118.00 200~00 200.00 /00.00 100.00 /00.00 100.00 200.00 , 200.00 200.00 50.00 100.00 100.00 100.00 Corrvnol1JlJ€f11th.0/rpenJ1/.Jf/-varW.t. T/l.(Jf//.jleA.1nJuvui.ance TaX" 5cAeduJ..e '(:" ~oi.rdJ..ff Owned.rpIl.OpeJdff 5vti..e4 '(:"bondtJ AekL joi.rdJ..ff i.n 11f1ITle4 ot !J-:!:~_(t!:~~_~~_~~~!!!!!_~I_f~_~:_~!:~.JjnU ruunbeA.L(j/.Jue d.a:te Value C-216JI5600-Z----------~/JO/5~------------;OO~00 val.118.00 J?1/9/7251t-C val. J?119 /7255 C val. C218162103C val. [)32709501 C val. L 273P0766 val. R 119/7259 C val. L 273POl96 C val. J?11917265 C val. C218lt-21605 C val. L Z;Lq20276 C val. C218lt-21623C val. " 5/11/51t- 5/11/54 " 5/28/tjt-. " . 6/IO/51t- 6/7!tjt 6/23/51t- 6/2]/tjt 2}5.00 2}5.00 118.00 2)5.00 2)5.00 590.00 59.00 236.00 59.lit- 2)5.56 . 2)5.56 118.28 59.lit- 1/8.28 200.00 200.00 100.00 200.00 200.00 500.00 50.00 200.00 50.00 200.00 200.00 200.00 100.00 50.00 100.00 Conmo~01 rpel)J7/.J~vp.ni.a... 7Il11JJA leA.I nluvu..iance 7ax -. 100.00 100.00 1/8.28 118.28 " 5ch.edui.e "[" Joi.rd:J.!f Owned.rpIWpW.!f SWe4 ''[''60f1Ji4 h.e&..foi.n1l.!f in.fl1MIf!A ot OIL.!U6etd.S.5i..chman.OIL La.uAa In.5i..chman./I..-----------------------------------------unLt :flJ.JJn!JeA.l/.J/.Jue cLa:te value C-218~216~8-Z----------7/8/~------------~OO.00 vaJ../fJa!f 18,1968 118.28 C218~216'f9 [7/8/5~ VaJ.. C218~21650 [ vaJ.. L 27961JI1 9 t val. 7/1~/54 59.14 50.00 C218~21655 [ val. " /18.28 100.00 C218~21661 t val.118.28 100.00 L 27961JI51 t val. 50.00 L 27961J/5J [ val. C218~21669 t val. ·7/27/54 59.lit 1/8.28 50.00 100.00 C219928~58 t val...118.28 100.00 L 27961JI61 t val. C2199281t7J t val. " 8/171tft ... 59.14 118.28 50.00 100.00 ~1/9/7271t t val. 8/IO/51t 2J6.~· 200.00 C219928~67 t val. II 118.28 100.00 L 27961J176 t vaJ.. C221107205 t val. 59.14 118.28 50.00 100.00 I[J Jitl0177 t val. 9/18/54 59/.Ito 500.00 .' Corrmo~01 rpe~yJ.~dn1o. 7IU1lI/.JI-eA.I nAeJli..fn.nce 7ax ... 5cAedu1.e "t" ~oi.rdl.'J Owfl£fi rpIW[X!-!d'J SWe1 "t'DonciLJ held jOi.nil.'J in name1 Of DIl.:.._0!:~~_~:.._~!:~_c!-I};_f~_~):.._~!:~Unil n.wnbeA.i./.Mue date Val.ue----------------------------------------------- L 284114773 C 9/2//1t 50.00 val..t1h'J 18,1968 59./LJ f?12/14193 C 9/21/5LJ 200.(JO val..2]6.!P 1<.12LJ]O)57 C 9/29/1t val.2]6.~ f?124]O}68 C 10/6/54 val..232.24 C221902058 C 10/13/5LJ val.//6.12 f?124]0170 C " val.232.:J!f L 284114817 C /O/18/1t val.58.as C221902073C 10/28/1t val..116.12 1<.1211]0171 C " val..2]2.:J!f R /2LJ]0J75 t 11/8/54 val.2]2.24 1?124]oJ76c " val..2]2.24 L 28411LJ748 C " val.58.as C221902//8 C 11/18/54 val.116.12 L 280538770 C 11/22/1t val.58.a5 1?124]0]8]C 12/2/54 val.2]2.72 C221902147 C " val..116.]6 200.00 200.00 100.00 200.00 .50.00 100.00 200.00 200.00 200.00 50.00 100.00 50.00 200.00 100.00 .. CorrmoflJJJeO.1:fA 01 PenJ?/.J!Jl..v.an1.a • 7IlfJ.I1/.JfelL 1nAe.Jl.i..ir.mce 7ax Sch.edtde "t' :;0i..rd1.?f O»ned PlWpvd?f SeALed ''t''60ntM hel.d ioi..rd1.?f in.nmneA 01 OIL,1U6vd 5,5i..chman.OIL Laww.iT!.5i..ckrr:m.1J.._________________________________________nit, rtl.l111DeIL I/.J/.Jue daie Val.u.e C-22~74215-Z----------/2/9/54-----------~OO~OO val./Yh?f 18,1968 116.)5 L 2805]88C6 {,12/9/54: val.58.18 7?12!t]0384 {,II val.2]2.72 L 2805]8828 {,12/21/Sll val.5J.18 C222674816 {," val.116.35 7?127952]]{,12/30/54 v·,i 2J2.72t..• L 288644799 {,1/IJ/55 val.58.18 7?127'P235 C 1/6/55 val.2J2.72 R 127562)SC 1/1]/55 val.2]2.72 50.00 200.00 50.00 100.00 200.00 50.00 200.00 200.00 12643 C 2f%7lLeJMUlLff Bond 1:96]-68 1000.00 11650 L Jf%",,/978-8J 1000,00 .A.5,Si..ckrr:m.OIL~,Laww.tn,5i..chmnn.OIL /.JUlLvi..VOIt--------------------------------------------------7)S ]f %7lLeJMUIL?f Bond 01 1990 500.()() jf53 }f%"""1990 1000.00 jf11 Jf%"""1990 1000,00 jf55 Jf%"""1990 1000.00 RCC-37 (12-63)•COMMONWEALTH OF PENNSYYLANIA TRANStER INHERITANCE TAX RESIDENT DECEDENT .. SCHEDULE "0" BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFstatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH Lena tv.fjohrv.Jon none IjPA 5ui fjlJAiA 5peci..tLc l.eqp.;tee 502 Li.ncoln.Avenue , --- NoJdA (AcvU.ewi.,Pa. CluuAi LuiJuvw.n OUl/u:h.none {/5peci..f,i.c Leqp.;tee(J__ 5i.x:I:A 8 WQ/.Jh innf,m AVp. u (hanJon"i CPa Laww.!YlikJch.5.Lckrnn.Vhf.e Ij£/J 7?e/..IiduaA.!i Benefi-ci..aA.!i 5/6 U.nCiJl.lti_Avenue NoJdA (AcvJ.ewi..,Pa. - ( h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE -_._-_._-_-=:-==--================='========================================== Deceased REPORT'AND APPRAISAL :\IATTER OF THE APPRAISEMENT !U6vd S.5i...cknrm., (Executor-Administrator must complete "As Reported"column #1.) Cl ....,'"0 =:0...,....(1)(1)Sl :§;;\e:.. V'l ~'V'l g....,:~(;)'~~~:~;;\.-0x:'tj~:.'"0 (1)cr".....,..., (b ~:.g~ tTl :a:~~:l~:~~:..... (1): :':-.."*'::(:s~:1: ~: :L;;-: :~::a..: ~en:1')c: ~:~II ,~:_:~:-....:::.:>-.':~ (J)~~~(')(')(')II ".?"?"?" ci ~>:::::--------- ~~W~~~ .1\...1\•.~::C):C)0:C)-;: ~..:~:Vl :;--::;--.~:::: \..u ::"-u:'g ---:1\).1\J ...... ..... (1)c...--- Year . -.....J .. Dl THE ...... •.J ..., !No. fJ./aAh ,'"r>-J."n . ....~.~.~. ESTATE OF OF THE :.-, I -1-'-' (..I) •1 -1 Late of .Bo./l.OugA (){IJ<?~.c~~i... Commonwealth of Pennsylvania County of Will Administration .~ r~ ~~. ,~.: ~: :~. ~: w-oo-oo~ ~'i-\ ''\ .~ .~. >-:.r. o(1)~8"tv...,~~. ::l~c... -' RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHi:RITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT LAURA MIKSCH SICKMAN &.ALBERT S.DIIZ (E~ecutor ~).. IN YOUR R~PLr PLEA.IE RIEP'IE~TO 37-118-7 ,/ In He:Estate of IXIOCIENTIDNX ALBERT S.SICKMAN a/k/a ,•.".•...,',-•','-".>,.•r' .,..........,....,........,........,......W:.:.;;·A.,:.;:SFH;;:I.;:.,;;f\G~T:...;a~N;...,......,......Cqunty _F.j..1e N<;>.63-68-730 You are herepy ~otified that the_.~_.~o~~~i~g~i~n~al~-r~__ appraiseme:p.t ~n tne estate of.....Albert S.Sickman a/k/a· has been filed in the office of th~Regi~ter of Wills of Washington County on .Ja-nUafY J S ,19...29.Said appraisement reflects the following valuations: Re al ;Estate ......---------__-- Personal Property_.~~2~5~,2~4~1~~~3~2~._.___ Transfers __----__------- Tot?>l __-...".,..._..:2....5u,..:::2~41:!:.!.o.3"-=2::...·__ As to sucn ta~that is paid within three death,a five (5%)percent discount is allowa~le. remains unpaid after one year from date of death, of six (6%)percent per ann~is charged. ~ontQs from date of As to any tax that interest at the rate Any party in interest who is aggrieved by an ap~raisement may appeal therefrom as Provided by ~aw. Dat e _..,........;D~an~.::::ua~:rx~."".....::;14~.z.,.,-=1:..t:9~6,t..9.,...,..........,..._....s,g~~L~Y e~ Title W.R.CHANEY,C~APPRAISER DATE OF DEATH:May 18,1968 Note:This is not a bill. ;;.qcc-39 (6-67l ':OMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SICKMAN,ALBERT S.a/k/a SICKMAN,AIB&'1.T FILE #63-68-730 May 18,1968 ' SUMMARY I,the undersigned #63 Washington FILE #63-68-730 the real and personal opposite each item in rmponT OF INHERITANCE TAX APPRAISER duly appointed Inheritance Tax Appraiser in and for the County of ,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"~"B","c"and "E". Dated:01-15-69 05-18-68 ~L.:........:...·~~~YINHERITANCApPRAIS. REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for _ County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts claimed b;y 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 greater or lesser amount represents the sum allowed as a deduction. Dated: REGISTER OF WILLS VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $,$~25,241.32 :=25,241.32 '~----~ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) ,J oint-Held Property (Schedule E) rOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE 25,241.32 =====.-- 25,27+1.32 =====:=.:-=====:= Valuation of life estates or annuities ....•..•$--- ESTATE TAX ASSESSMENTS $------ COM;PUTATION OF TAX TOTAL TAX BALANCE PAID $------ $-------- $------- $-------$ (*)As evidenced by Charitable Exemption Certificates issued by th~Secretary of Revenue. $--.;.....,---!t--.,..---- *--------'d>~)------- PO,R USE OF REGISTER ONLY Tax on $________fi% Tax on t,~'o-------_.', T a'x on ~$ T ax on $:~$----~....:.- Exemptions :,(:::) Total Estate __ TOTAL TAX $_ Less tax previously paid *==~==~====\~ BALANCE *__ Less fi%of tax if paid within 3 months after death $========~==:=== 3ALANCE OF INHERITANCE TAX DUE Add interest at rate of 6%from to AMOUNT OF ESTATE TAX ASSESSED Es tate tax paid BALANCE DUE Add interest at rate of 6%from to FOR USE OF REGISTER QNLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,same should be noted below,with short explanation. Will !...No.Admmlstration IN THE Year .. MATTER OF THE APPRAISEMENT OF THE ESTATE OF .i\LBERT s ..~J:q~lIJ.a/}{/a. Deceased· Late of .N.CHARLEROI County of ._vf.A$Hl~TON Commonwealth of Pennsylvania REPORT AND APPRAISAL l Jf 11u tbt ®rpl1ttuS f maurt af IIttBl1iugtau <!tanuty IN THE MATTER OF THE AUDIT OF ACCOUNT Albert Sickman In re Estate of..$.i&'km~U1J Al:t?e.r..t...S.a ~J~~/~No 63.~6.8.~.7,3o..3!'.d..q.tlTerm,19 6.9.,AA ~~~J.~~~.~k~Qh ..~J9~.f?:~~..All>.~r.t §.~P.l~~.J ~.~r.~•....................Alp.~.:r.t!~.P.l~.~.I-..At.t.y . .~ Date of death..~?-y..1.~.t ..J.9.~~Date of filing Inventory Appraisement .J"fJ.J}L.9 1.9.9.9.. ~MeJll1K TO THE AUDITING JUDGE: Enter my appearance for Personal Property Tax Due Washington County,viz: IT E M 1969 261 sh San Diego.Gas&Electric 1968 261 sh San Diego G~s &Electric 1967 261 sh San Diego Gas &Electric 1966 261 sh San Diego Gas &Electric 1965 261 sh San DieQ'o G&l!=l ~E1A~t:~i~ 1964 261 sh San Diego Gas &Electric @ 24.50 @ !.L2.00 @ 41.00 @ h~.OO Valuation 6394.50 10962.00 10701.00 11745.00 1017h ,7~ 9526.50 ",<::..I} A \'\l 1fL/ /l~..~/') "~JJJ'''L'I"./,,Q ~~..\\. Year Inventory Assessment Valuation 12%Assessment Tax at ["'-n1'%Cll1ection 6%Interest Total ClaimAppraisementReturnedPenalty4MillsPenalty 19 69 6395 None 6395 2 t;.-t;8=2.c;6 .----~-...-28 11,--.~ 19 68 10960 None 10960 !L 1..8h 4.38 2.6~50.85...- 19 67 10700 None 10700 'tL2.80 11.28 C;lJt C;;:>;:>;:>.... 19 66 11Th·5 None 1171~5 --hh oR I.7()R It~60.14 19 65 10175 None 10375 --It1.C;O 11....1 r:;9.96 C;C;,6] 19 64 9525 None 9525 --38.10 3.81 11.h5 5~..36 Please make check payable to Washington County Personal Property Dept.TOTAL CLAIM 300.32 The foregoing is a statement of all items taxable as they appear in the Inventory Appraisement,Affi- davit or Assessment filed for the purpose of determining the Personal Property Tax on said Estate. ......~.1~~day of~~.~.~.~_................19..9.2 .A.V.CAPANO,Solicitor #.'I z,,~~rM.~, No.9.3-,:·J?~~J3,Q..__...__.3r_4_.-ge1fil?l,19.J~9_."..,AA In re Audit of Account in Estate of SICKlvmN.ALBERT S. AU 0 IT' 'ratripr fur 1\ppraranrr FOR WASHINGTON COUNTY PERSONAL PROPERTY TAX ",Vd "00 NOleNIf-lSVfli' 'SlllM .:10 H31SW3U !ONnP-/jr~l13SSnH , £2 II,UV I2 Nur 0Li~f ·q03ll~< A.V.CAPANO, Solicitor' ~9 ..,, DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLVANIA, RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~.~~~J.'.~.?:'.~.???.. COUNTY ~~.~.~.~.!1.~..!1 . FILE NO..Q.3..~.6..$~.73..Q _, Whereas..AJ.:~.~:r.~§.~~~.~.~:l?t:J:.I.I~/8:.late of ~.!9..~F;l,~F~.~. in the County of W.~.~hj,pgt.9.n.Commonwealth of Pennsylvania.having died on the :L,.~t.h day of ~y 19 ~.?..seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore I W.R.Chaney 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 AppraisementDescrlpllonofAssetValuesMadeforInherllanceTaxPurposes $ PERS6NALITY: See copy of Inventory attached to appraisement 25,241.32 25,24 32 II I I I I I, I J Total 2'>2b.~2 I I i I Late of ·WAS..HI.NGTON..H...................County r~·""~-:-e"""~lJ"""'"\',.t ~~".!J ;J ~h_~}_,~;i, RESIDENT INHERITANCE TAX APPRAISEMENT,."/,,.I"".~1 '"1 t"'-'.t;j tJ?-:r~~~-;i·~)J ~1 (J Estate of •••H •••••••••••••Ab~~Wr....?..~....~..J:.9.I.9vJJ.\.N.r.,~g~~i;/~~\~:~~~JS n '-D'iieasea:,.j I " Ylp~SHtt!G'ro:~GO..?·A~ N.CHARLEROI Date of Death,~,?:y.~,f3..~~.9..~?.,.. Appraisemellt Docket Vol".3..7..,. Page,.11$~7..,No..q3..~.9.~73.Q . Filed in Register's Office,t!9.-.p.Ye:r.y ~.5.,19 ..9..9.. AtnOunt of tax due,$. DEPARTMENT OF REVENUE Received, Exa.mined and Approved,. Wrote abo,ut Appraisement, Appeal f,.om Appraisement,.,.,.. Entered and charged,.. ~ ~ ---_..- {,..'(.,I'...G3 -6r-7~vForm/RC C,JO ,.:DEDUCTIONS ALLOWED IN.-$fJ~~(.~I .c•...,OFFjCE OF THE STATEMENT OF DEBTS THE SUM OF"c .............,REGISTER OF WILLS DEDUCTIONS ,."k/;'orlt::3fI Washington ANDOFCOUNTY AND AGENT OF THE COMMONWEALTH .fA "'AIJ}.."., I Regllter of Willi,Agent H- Albert S.Sickman LATE OF Borough of North CharleroiESTATEOF I Ja.n.9,1969 May 18,1968DATEOFFILINGAPPRAISEMENTDATEOFDEATH DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHIOIt..-. ......,\,;\,;I;;J,I:I J,I;;I:I oJ ....~~.... Register of Wills short certificates 25 00 County Reports Advertising Estate 12 50 Register of Wills Probate 15 00 Valley Independent Advertising Bstate 10 50 Register of Wills Short Certificates 2 00 Register ,of Wills Filing Inventory 9 50 Register of Wills Short Certificate -1 00 ~1l'L ..1_7 7-VU I Cl'o'UAlberts.D1az Attorney's fee ..'yp ...-;:T"- Harold L.Schrock Funera.l r 2,567 60expense Louise Crabb"R.N.Nursing service 27 75 Lillian DeMarino,it.N.Nursing service 26 75 Ca.rol Zendri;R.N.Nursing service 10 32 Judy Rlva,R.N.Nursing service 17 20 Elizabeth Henson,R.N.Nursing service 27 75 Shirley Gottke"R.N.Nursing service 26 75 Eleanor Lewis,R.N.Nursing service 27 50 L.J.Quetsch>M.D.Medical service 75 00 Charleroi BorOUgh Ambulance service 5 00-Joseph Nursery &;Garden Grave planting &care 123 ~7 Kurtz Monument Co.Grave marker 620 bo Lena W.Johnson Past due wages 100 bo - Don A.Ducoeur/t Postmaster Stamps 18 bo Texaco,Inc.Gasoline debt 13 :>0 i "In Kl'\Gulf 011 Corp.Gasoline Debt :IXm Humble 011 &;Refining Gasoline debt 5 170 West Penn Power Electric Service 26 132 COMMONWEALTH OF PENNSYLVANIA libert (CONTINUED JWASHINGTON coU~tWa Miksch Siektnan artd S.DiazI,HEREBY CERTIFY,THAT.TO THE BeaT OFMYKNOWLEDGEANDBELIEF,THE FOREGOING ISAJ(~1:Je~T~e:a'tem&'all0F DEBTS,FUNERAL EXPENSES AND EXPENSES OFADMINISTRATIONSUBMITTEDTOTHEESTATEOF. •DECEASED.AS DEDUCTIONS FORINHERITANCETAXPURPOSES.4UM('l1tJ~,vlJarUl~'..91 (L.5.) DA-Y 01"C t ..4.....,SWORNJt1'iY'BS~RIBfiDBEFORE ME THIS 60(=1 .f)-;j 18 -~"e'.~ t ~d .;-1 ~-#"'~"'.rc:---'-.. /f (c~ 8/22/70Mycommissionexpires ,r,,'Form RC C·lO......, DEDUCTIONS ALLOWED IN ~,,'•I,Of;FiCE OF THE REGISTER OF WILLS Wa.shingtonOF COUNTY STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF $ DATF.:APPROVED . AND AGENT OF THE COMMONWEALTH Register of Wills,Agent ESTATE OF Albert S.Sickma.n DATE OF FIL.ING APPRAISEMENT Borouah of North CharleroiL.ATE OF _~....:....::....;;...:t:I):::;;.;;.--.,.;..;;;.....;;.:..:;.....;.-.;..;;.:.--:;.:.:..:;;~:..:....:;;...:..:::-__ Jan.5)"1969 DATi;OF DEATH _M_a.~Y_l_8.;;..'_1_9_6_8_·_ DATE NO.OF VOUCH""NAME OF PAYEE REMARKS AMOUNT PAGB NO ..2 Bell Telephone Co.of Pa.Telephoneserv1ce 26 04 GeZ2e~'s Pharmacy Pharmaceutical supplies 12 72 Bentex Pharmaceutical Co.Pharmaceutical supplies 89 11 Roy I Ca.rson Debt 168 00 John F.Seals Tax work and accounting for estate 500 00 I I---~--+----+----------------+----------------+---+--I 1 ----+----+--+--------------1----------'------t---t--- TOTAL I"0 ---'-- s.Diaz COMMONWEALTH OF PENNSYLVANIA 1 COUNTY OF WASHINGTON iss: I,Laura Miksch S1clallan ana Albert HEREBY CERTIFY.THAT.TO THE BEaT OF ",y kNOWLEDGE AND BELIEF.THE FOREGOING IS AA.1sg ANt T!f E 't!!C~tI.n0F DEBTS.FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE EST",TE OF er.DECEASED.AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES.~•~A '--"Y!'/~,'..,",----,,;h _-21 '(,:f.&uAj //,.1 roO".-.....~/;7-za~U (L.S.) S~1y 8UBSCRJB~rJEF'}/E ME THI 1 :~DAY 01'6 . "~A..." \~-'~f~~7 ~--"~/"T._'oJ tf (."- My commission expires 8/22/70 ,'Vd"OO N0181'~IHSVA'- Sllif,i "~v ~;31S1~3H ON1H'I1H 1-;]SSml Of ,I ~V ~2 lnr 69, ~O 311 d ·-. " RCC-49 (8-70 COMMONWEALTH OF PENNSY4VANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION HARRISBURG,17127 PENNSYLVANIA ESTATE TAX DETERMINATION J<ST 0Yl reeL 7air., Estate of:~Ll1eR:r .s I S,cKmatt Date of Death ,$.Jt·bJ' County UJAJ1'/111110h '-:0.37·1/!-7 Bureau File No.&3"bS A 1.30 Date RP1hL j,4.{1973~-- FldJ'Ltd 'can d VI CIj /)p c p.~e. 1-~/·70 1.Taxable estate per ~~~.Estate Tax Return,Form #~Q6 Fd ~J./ -.11 .70 2.Taxable estate per final change in Federal Return dated _ 3.Amount of credit for State death taxes. As shown on return form or final change notice ($87&.&0 )......-~ $321 7!.flf.'+~ $------- As verified by computation b 2.'f 7.82. 4.Penna.Inheritance Tax due and/or paid 5.Normal Inheritance taxes paid to other States 6.Total Inheritance tax credits (4 +5) 7.Total liability for Penna.Estate Tax (3 -6) it$---J I 00,O"f)'R~c.<f~9039 NoAJ c.. Ii od.c.tQ 8.Less:Previous payments on a/c of Penna.Estate Tax Date of payment Amount of Tax paid $._------ Amount of Interest paid $------- 9.Balance of Penna.Estate Tax due (7 -8) 10.Interest due from II-18 .b'l to $.'8·13 @6%per annum 3 "11t.5 ~1Tl <0 al 0/0 11.Balance of Penna.Estate Tax and Interest due as of _ .£i 141..82- ,o~LC)'1 Prepared by (TITLE) RCC-49 (8-7\) COMMONWEALTH OF PENNSYL'VANIA- DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION HARRISBURG,17127 $<?<,ot,J ReQ.qeSr fol..pay It\t'~;""" PENNSYLVANIA ESTATE TAX DETERMINATION ~f)d. on FeJelle;L eL OJ 1"'9 LelTe", Estate of:-FlL BERr S.$,cf(ma'n Date of Death ~~.13 .61 County Loa.st/,W\"O'"',0 37.III·7 Bureau File No.(.,3 .~r '1'~a 1.Taxable estate per U.S.Estate Tax Return,Form #706 f"~cL i-.11.70 $J12 7 "I'{.i/,y 2.Taxable estate per final change in Federal Return dated IO-"J..l...l/$714 ChQIt'i ~.-.....,ftf.~d Kh ol73 3.Amount of credit for State death taxes. As shown on return form or final change notice ($R1G.tnJ ) As verified by computation G,lL.f7.H2.. 4.Penna.Inheritance Tax due and!or paid $II 00.0'1J 5.Normal Inheritance taxes paid to other States MaNe. 6.Total Inheritance tax credits (4 +5)i'oO,U-O 7.Total liability for Penna.Estate Tax (3 -6)~-,47.gz.. 8.Less:Previous payments on a/c of Penna.Estate Tax Date of payment Amount of Tax paid $------ Amount of Interest paid $---~--- 9.Balance of Penna,Estate Tax due (7 -8) 10.Interest due from 1l.lt,bL to',3·13 @6%per annum3"f\.~b ~o l5 J)q, 11.Balance of Penna.Estate Tax and interest due as of ,ILl~<3,1«'73 Subj~cl To Rdd''T\~''''liIl..l*"i~td.\rq1~t.R,tif(.oF 6 01a j).,lOI\QIHltA""-IF"0't 'P'14 f.N\0 p."Be f'o II.e...J'LA'"~3,j'l'13 Prepared by ClmJ;lvw t:~DI·ST-"st.tPcJR • (N A E)(TITL E) .5 I Lj.7,82. Reviewed and approved by _ (NAME)(TITLE)(DATE) SCA.bjtcr 16 l~q(jL Flc11d ~l\io\c::hl\~"F'O/l.~em tV1;PRo,R4:'(~ Fo (l.,11 t)Vi.PCil-{rto.'V'I r RFrett J'"~"c.3.,'7J. ./.....-'5 400 N.8th St.,Richmond,Va.23240,800 Delawar.Ave.,Wilmin-,on,Del.198013401N.Broad St.,Philadelphia,Pa.19108 4 P.O.Box 24M,Pittsburah,Pa.15~30 --------------------------c------- Acldres.any reply to DISTRkr DIRECTOR at otrlce No.-..!± ~rrn[M)@~®f1 @U@ lftr@~U'W g,,9 ESTATE TAX CLOSING LETTER (This Is not a bill for tax due) RC;::::Z D1otr1ct D1r.c~ Form L-l54 (Rev.5-691 Albert S.Siclonan May 18,1968 @)~@~[{~@~@)~[{@@~@[{ Internal Revenue Service ntT22 19 71 lin r.~~;f;~:~~l_O _ Laura Hiksch Sickman,Co-Exec. 516 Lincoln Ave. N.Charleroi,Pal 15022 t> &ute of: Date of Death: -1 tJ ~t'1i~}:~. •t '.~If~.'"..:--~l;,.....,.........1 V',~, The computation at the bottom of this letter shows the Internal Revenue Service's determination of the Federal estate tax liability for the estate named above.You should keep a copy of this letter as a permanent record,since your attorney may need it to close the probate proceedings for the estate.It,together with proof of payment,is eVidence that the Federal estate tax liability for the estate has been settled. Gross estate tax..............................•.....•S__~8~8~,~9~7~8~.2~3L-_ Less credits allowed: State death taxes :S 876.00 Federal gift tax.-~O-~_ Tax on prior transfers.........-0-. Foreign death taxes.....-0- Total credits......................................•,~87~6~.~O~O~___ Net estate tax ,................•,__~8~8~,.lO~2~.~23~__ .Penalties,if any ,......•,___ 1.Bureau Fi Ie #-----'---1J--~-------....L-~~--_ 2.Date of Death _~M'4Iia....,(j~1..,.8~'J---"1....9p600<.>8,,--_ 3.Da~e ofApprova I ~-LI_t~-_I_O~~--ff,----~~~~I Albert S.Sickman4.Name of Decedent APPLICATION FOR CHARITABLE EXEMPTION .~FROM PENNSYLVANIA TRANSFER INHE~ITANCE TAX (Act of May 28,1956,P.L.1757,and Act of June 15;1961, P.L.373,lIs"amended) Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Taxon the transfer of the property described below: RCC-3 (1-69) <,. COMMONWEALT.H OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNlYCOLLECTIONS 5.The Commonwealth's appraised value of the property for which an exemption is claimed is $=l:'O,L..0;:..O.::.·...:::O....::.:.-O.:..O..:.·_ (Note:Where the property is other than a specified amount of cash,the exemption cannot be approved until the value of the property has been established by appraisal by the Commonwealth,except in those cases where the amount of the gift or bequest represents a stated fractional or percentage portion of the entire estate or the entire residue.In those cases enter such fractional or percenta~amount above). 6.Check the manner in which the transfer was effected and submit a copy of the dO,cument authorizing the transfer,unless such material has'been pre'viously filed.', WILL f1i DEED 0;TRUST INDENTURE Oi SURVIVORSHIP 0;OTHER Oi" (If other,explaln)~_ 7.Correct BusinEHis Name and Address of Charitable Organization receiving property: NAME _~=_____=_C=h..:..ri..:..st=__··_E\r'-,-a_n=g_el_1_'C_aJ._··__C_h_U_r_ch_.._0_£_'_Ch_·._a._r_l_er_o_1 ~ ADDR ESS~Sc.1X....t~hlUlo..__'S.....t"'_'r...,e~e!O.>t<_·,.",atl=·=d=-.-:.W'=a;:::..sl1=1=!1S=·",-t.:-,O=-'n=-';:::..A:...;.v.-:.e=-n_u_e.L.,j_Ch_·_a=-r_l_e_r_o_l......~P_a_._ 8.I certify that the information contained herein is,to the best of my knowledge and belief,true and correct. Signature of Applicant ~.<.M4 'm'>~ Laura Miksch Sickman 516 Lincoln Avenue Address of Applicant North Cha.rleroi,Pa. o U.,J.,A.~••, Albert S.Dis,z613Fallowt1eld Avenue Charleroi..Pa. Official Title__-=Ex!!::;··~e~c~u~t~o~r'-=s'-----Date_--=l=-=2::.!../_4..£..}_6~9 _ This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided,or in which letters were issued for a non-resident decedent's estate.If the decedent was a non.resident of Pennsylvonia and letters were not issued by a Pennsylvania Register of Wills,deliver all three copies to the Director,Bureau of County Collections, Penna.Department of Revenue,26 S.4th Street,Harrisburg,Po. (Date of pproval) /Z -If)"6! Do not write below this line -For Official Use Only Referred to Bureau Headquarters (Initials of Register of Wills) (County) (Date of Referral) MUST BE FILED IN TRIPLICATE Approved 0 For Secretary of Revenue Denied*0 (Authorized Signature) (Title) (Date of Action) *See reverse side for reasons This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Date:-------- The application for exemption contained on the face of this form has been denied because _ Note:Any party in interest,including the Commonwealth,aggrieved by this action may within sixty (60)days after the date of this notice exercise their rights of Protest,Notice,or Appeal in accordance with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. L Bureau FiIe #__~---"'--_-=_.E-__.E----""--""'~_ 2.Date of Death May 18,1968 3.Dat~,af A~~,av.1 IL -10 ~b J 4.Name of Decedent Albert S.Sickman APPLICATION FOR CHARITABLE EXEMPTION .1 FROM PENNSYLVANIA TRANSFER INHE~ITANCETAX .(Act of May 28,1956,P.L.1757,and Act of June 15;1961, P.L.373;as.amended)....... Application is hereby filed for the approval of an exemption from Pennsylvania Transfer Inheritance Tax on the transfer of the property desGribed below: RCC-3 (1-69) COMMONWEALT.H OF PENNSYLVAN{A DE-PARTMENT OF REVENUE BUREAU OF COUNT.Y COLLECTIONS 5.'the Commonwealthis appraised value of the property for which an exemption is claimed is $_1....,'-0_0_0_._0_0 _ (Note:Where the pi'cipertyis other than a specified amount of cash,the exem'ption cannot be approved until the'value of the property hu been established by appraisal by the Commonwealth,except in those cases where the amount of the gift Or bequest represents a stated fractional'or percentage portion of the entire estate or the entire residue.In those cases enter such fractIonal or percentage amount above). 6.Check the mariner in which the transfer was effected and submit a copy of the document a.uthorizing the transfer,unless such matehal has been pr~~iously fiied.·..'" ,..'..... WILL Xl;DEED 0;TRUST INDENTURE 0;SURVIVORSHIP 0;OTHER 0; (If other,expl(jln)~~_ 7.Correct Busineu Name and Address of Charitable Organization receiving property: NAME __~~__C_h_r_i_s_t_Ev_a_n_g_e_l_1_·c_a_l~~C_h_u_r_c_h_o_f_C_h_a_r_l_e~r-o-i------------- ADDR ESS~~___:;S::;..:i=x"'_t::;..:h"'___'S::_t=._:r::_e_e'--t_a_n_d_=W~a_s_h_i_n__=g=__t_o_n_A_v_e_n_u_e__=,'--C_h_a_r_l_e_r_o_i__=,'--P_a_._ 8.I certify that the information contained herein is,to the best of my knowledge and belief,true and correct. Signature of ApplicantJfg&A./u:v'~L~ /Laura Miksch Sickman 516 Lincoln Avenue Address of Applicant North Charleroi,Pa. 0,1 '"J,...6t., Albert S.Diaz 613 Fallowfield Avenue Charleroi,Pa. Official Title__---'Ex=·---'e---'c_u_t_o_r_s__~Date__l_2_'_1_4_'_1_6....::;9 _ This form must be completed in triplicate and all three copies delivered to the Register of Wills for the County in which the decedent resided,or in which letters were issued for a non.resident decedent's estate.If the decedent was a non.resident of Pennsylvania and letters were not issued by a Pennsylvania Register of Wills,deliver all three copies to the Director,Bureau of County Collections, Penna.Department of Revenue,26 S.4th Street,Harrisburg,Pat Do not write below this line.For Official Use Only lCJIr.6lu "n",t y ..)~ (Date of Ap roval) It -1f)-fJl Referred to Bureau Headquarters (Initials of Register of Wills) (County) (Date of Referral) MUST BE FILED IN TRIPLICATE Approved 0 For Secretary of Revenue Denied*0 (Authorized Signature) (Title) (Date of Action) *See reverse s ide for reasons This section will be compl eted by Bureau Headquarters only when the application for exemption has been denied. Date:----- The application for exemption contained on the face of this form has been denied because _ Note:Any party in interest,including the Commonwealth,aggrieved by this action may within sixty (60)days after the date of this notice exercise their rights of Protest,Notice,or Appeal in accordance with the provisions of applicable Pennsylvania Inheritance and Estate Tax Acts. Rcc·n (6-67) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICA TION DATE August 14,1968 TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:'. .Applicotio'n is hereby mode for CCX'lsent to the transfer of the following securities of a Pennsylvania Corporation or a National Bonking Association located in Pennsylvania: (a)100 (b)DuQuesne Light,(c)__c_omm_o_n _ (NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of registered bonds,in (b),the nrime ofthe issuing company and in (c)the closs of stock or the stated interest rate and maturity dote of registered bonds.) .ISSUED ON-'5~-.£..9--=6_8 ,and having a TOTAL MARKET VALUE OF$~2:::..;·,~9.::..12~,.~50 _ (Dote) as of the date of death of the decedent,Albert S.Sickman (Name of Decedent) ,on~5/_1--1.8/_6_8 _ (Date of death) who was late of 502 Lincoln Avenue (Street and Number) N.Charleroi, (Post Office) Washington, (County) Pa. (State) The securities are'registered as follows:~~Al_b~ert__S~._S_ic_km_an~·~~ (Nome or names in which certificates are registered) ~f Albert S.Diaz 613 Fallowfield Avenue,Charleroi,Pa•.EX ECUTOR )'---'~LS!,...!:!-:(~N!-am...!e~)~-----=-=~'::"==='::~':::"'::":=--~·-(-A-:'dd~re-s-s)---~------ NAME OF APPLICANT Albert S.Diaz COUNTY FILE NUMBER 63-68-730 ADDRESS OF APPLICANT 613 Fallowfield Ave.,Charleroi,Pa. BUREAU FILE NUMBER 63-68-730 SIGNATURE OF APPLICANT C~"--'--.\-----l:l d-.-..~¢:::a: NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF T.HIS APPLICATION,IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE Nov.12th.1968 I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance ~ith the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the washington e Secretory of RevenueBY--/''t-J?!:.~~·~---!.~~·~~~~~~..... (Signature) Register of Wills (TItle)(County) above-named Decedent.p'tr cd h ~ Form RCC-4 Rl 3-66 ~9 COMMONWEALTH OF PENNSYLVANIA_ _IlESIDENT DECEDENTS 949039 OFFICIAL RECEIPT No.Transfer Inheritance and Estate Tax File No.63.68-130 Date ,1\111'30 1968 --Office REGISTER OF WILLS.t'1ASSINCTON Pa. WASHI~"CTON County,ss:Received from....:-:'=:'a::::.·;u::::,l:"a=..;·:::.'.-:):..:J:.::...._,,;;/!.:::.(\i:::.i..=.ek=·,_=':::.l:;;,;:.'~--"-_'--_'--.:...:-_""--~_ (Executor,~It~VtiU of the estate of ALBERt S..SICI)fAN who died Kay 19 1968 ,the sum of GNE THOUSA'N1>OBm.m»tmD an«no/100."..........Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Real Estate Tax on $5%$------------- Date Valuation $Tax on $...,10%$----------- $Tax on $,On Aeeo'UD't ~$1,151.8'9 Total $Tax on $15%$------"-----"-- Personal Property Exemptions *$============= Date Valuation$Total Estate $_ $Total Tax $_ Total $Less Tax Previously Paid (if any)$=========== Total Gross Assets $Balance $---------- Less Debts and Expenses of Less five per centum of tax if paid 5''89Administration$within 3 months after date of death $'" Clear Value'of Estate $IlTCmmLETE Amount of Estate Tax Assessedunder Valuation of Life Estates or Annuities the Act of May 7,1927.$----------- ,Date 19__$1 _ Add interest at the rate of ~.__________19__$from Estate Tax Assessments ---------------- Date 19__$to $==1=..='.1,·=0=0=,.=IV\=== Total $'.'....\IV -,.19__$*As evidenced by Charitable Exemption Certificates issued by the Secretary of .NOTE:In accepting the transfer ~nheritance tax on future estates prior to the death of Revenue under Act of May 28,1956,P.L.1757,effective June I,1957,as amended the life tenant or tenant for years,as eVldenced by this receipt,it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance by Act No.381,approved July II,1957,and Act No.207,1961,Section 302. tax at the death of the hfe tenant or tenant for years whenever it appears that such additional ...may be 1_,d~....roll.o!ibl,'"<mY re_whaIro<>.~..•...S•.,V.~<AA.;).L..,-'...;......"....'~,,;.iT 00 0[F)[LO©£vrE 37·118.'tlbJke,,>I-~~$'~~tf.'l . NOTE:ThIs triplicate Ileceipt to be retained by the Ilegister of Wills and filed in numerical RegIster of Wills sequence for audit purposes.MOORE BUSINESS FORMS,INC.,ELMIRA.N.Y. J FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 31'Page US I inel---!7;".-- Estate of lImtt ALDER!S..SIClMAN Date omCE OF REGISTER OF WILLS july 30 19--(i5- SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY 15.1945.P.L.528 1201 (g).Act of April 9.1929.P.L.343.as amended.viz:-"To receive from Registers of Wills all duplicate ,re-ceipts for taxes paid to them by executors or adminis-trators and to,charge the Registers receiving the money with the amount receipted for.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator.whereupon it shall be a proper voucher in the settlement of the estate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills." Fill in below name and address of person to whom tax receipt is delivered: I TO-".,-=T::r.-.......,r---'1f'O""-""Ifl:';iHr''5'-_ Al'l'X.,A.&..liDZ 613 jltWtJIIBW Amroi L .J