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Home My WebLink AboutOC1969-0006 - ESTATE OF ROHMI: ' ''! l.. PETITION SUR AUDIT Testate Form j IN THE ORPHANS' COURT OF WASHINGTON COUNTY · · GEORGE HOW.ARD ROHM a~f.a · Estate of ....... ,: ................................................... ~----........ .. . 63-69-6 . No .................................................................. . -··----··----~-------Q_~_QB_Q~--·.tl_. __ RQHM .... ~----------··------·--------·· Fiduciary .... ~~!!l:~.f! .. ~~~-~~~--~-9.~:rP. .. ?:~~---------:-- ~-••••• : .•• ; ••• r, •. -.:. ---------,. •• -------~-: •• ---,,-.. : :,:~-----i-:------.: -:-,----.-.::.---,--.-. "·: .:. _ -~-_______________ ?_~~~-~~~--~E.~!!.~-_~~~~!.--_____ . __ -------.-.. Deceased EX~Guto;r-s Date of . · · · · . · Date of ·-·" Decedent's aeafh~------:~ _ _P._~~-~-~J?~ ~--~2 L ~~~ ~--.. --------_---Grant· of Letters ... ~~ -~-~-}~C!-!:l.~~~YJ..~. J~ ~-~--------.--------.. -. -·-.. \ ., r . T'-.,.. , ( . ,. ..... • ) ~-. L...;. • . . . ,· • ·-• ,· This is the ...... ¥..~~-1?~--~~~-X~.:t:l:?:~------·--------------------------------account filed in this estate '> )f there have b~en .former accounts filed in this estate, list file number ~or -~~'mber ard ter~----·--·---~~!:1--~----·----------- Election to take Under or Against will. (cross out one) Date Election Filed , Place of; . -·-------------·---------·-----·-: Record . -.:·r--~---,.-::·:::··-·:·------- u ~. v , r ~a me of . s.urvivi~g spous~-------.-------:_---: ... : ........... P...~-~~9-~~~--~~-~-~--~~~~~~-~--~-~-~~~-~-.<?J..~~~t!?. ........................... . . -~ ' . .... .. . ·-. ' ..... List issue; wh~r~ m9t-~r.ial: . . •" ... \ ~.-I Did decedent marry after exe,cution of will? (indicate) YIKS. No. Any children born after execution of will? (indicate) ~ No. If answer yes, name them·---------------·----------------··--------------------------------------------------·-·----------·--··----·---··------·-···-·--· /. Jo • •'. '\· ·\·---------·--·.-----·-----.......................... -----------........................... -----................ -------••• ----~ .................. -------------....... --...... ---------.. --..... --------...... ). --.... ---... --... -•. -.---~:'! .. . \. • ' • > . Legatees James Howard Rohm " Susanna Irene Butz . -List, if exceptions' to above: If partial intesta·cy, :give facts: Adeemed: Relationship ... son. Daughter Revoked:. NONE NONE Interest Specific & Residuary . Specific & Residuary Lapsed: .~-~ Fiduciary, if deceased or not sui juris Sui Juris Sui Ju:ris Abated: Give Cause: Notice to interested parties. Have all parties, having either vested or contingent it:~terests and all crediors entitled to notice (Court Rule No. 9 paragraph C:· Section 6: Subdivision c) received written not,ice of the filing of the account and of call of audit? Yes. XM<KX If any exception give cause: ... ----·--------------------·--·-----·-------· . File co of Notice Notic 1 e mailed to all interested parties on ~ · ~-: · . and d~ie of mailing ......... ~~g~~~}~.~-)~~-~!. .. ~.?I~Y.::~~C~~~~~-}-~-~Kg'~~::~~-~-~~~~~-~----~:~,--~-·-···:-~.~--~-::.'.--~----·-······· • I . I J Is estate subject'to the filing of a Federal Estate Tax Return? .. •·a;·························-~~---··············································· .. , · '. _ 'Tax paid on ql''l,OOO.OO at 6·1o, Less 5% discount At I d P · ~-1 ·-·T f ·1 '-'-·t· T A.-t $. 399 00 · · c ua payment ma e on ennsy van1a rans er. nuen once ax. moun ......... ~ ................................................. . If the Will makes any portion of estate subject to a life.-estate, give name and birth date of life tenant ..................... . NONE ............................................................................................................................................................................................................................. · .............................................................................................................................. . . . Give Names and addresses of all unpaid creditors who ore legally entitled to notice, tog-ether with the amounts of such claims; state whether they ore admitted to be correct; and whether the claim is denied. There are no known unpaid creditors. Give reference to such ports of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: • \ . _Jalance for distribution per account, Itemize any additional debits not shown by account: ~ Total additional debits (Add)\ Itemize any additional credits ~t shown by account: 7/30/69 to James Howardl\ohm -Advance ... ' :cash distribption 7/30/69 to Susanna Irene Butz\.-Advance $ ................. Q.~_~Q ........ . cash distribution \ 1, 000 iOO George P. Schmieler M.D -Bal. due ?-fter medi-9,( 55 $ ........ ~.~-776. 30 .. _ ............ -~-.................. . Total additi~nal credits (~ubtract) car~edit · · $.~ ................. ! ............... . Balance lor dlstributian '" -· _ \ I $ ....... ~.·-~~.2.:.~.5 .......... . _ If bol once for. distribution is not in cash, Ust each ~m. held in k i ndl ng appro ised Vo I ue (or distribution Vol ue); CASH ~ Advance Distribution (See ·Exhibit No. I, Page 4 of Acc:ount) · . ~' j$ 6. 171.25 571. &0 $ 6~742.75 =====~=== .... , ~~ ,, ! .I I ·IN THE COURT OF COMMON PLEAS OF WASHINGTor COUNTY~ PENNSYLVANIA ORPHAN$1 COURT DIVISION Estate of GEORGE HOWARD ROHM~ a/k/a GEORGE H. ROHM~ Deceased No. 63-69-6 SUBSTITUTING SUPPLEME~JRARY ACCOUNTING TO REPLACE THAT CONTAINED AT PAGE 2, OF ORIGINAL AUDIT PETITION FILED. Balance for distribution per account . Itemize any additional debits not shown by account: Check No. 01128622 from Continental Can Company Insurance.; Group Health,Claims Division, Metropoli- tan Life Insurance Co. -Refund for payment of ambulance service ' Mellon National.Bank and Trust Company. "Master Charge" in n/o George H. Rohm, Refund of credit balance $ 20.00 19.44 Total Additional debits (ADD) $ 39.44 Itemize any additional-credits not shown by account: 7/30/69 -James Howard B,ohm. -Cash advance on 1/2 interest in residue $ 1. 000.00 7/30/69 -Susanna Irene Butz -Cash advance on . 1/2 interest i~ residue 1. 000.00 George P. Schmieler. MD. -Balance due after medicare payment 7/8/6.9 Russell Marino. Reg. -Balance due on Grant of letters. fee for filing Inventory • . and fee for filing Account Total Additional credits (SUBTRACT) . BALANCE FOR DISTRIBUTION 33.50 $ 8,776.30 If balance for distribution is not in cash. list each item held in kind. giving appraised Value l(or distribution value) CASH Advance distribution of bequests of personalty (See Exhibit No. 1. Page 4. of Account) $ 6.17.7.74 571. 50 =======-- ) 7 ··'-.. ,, lf .F :1 E . I . d b P . . . I . f R d· , NONE . am1 y xempt1on· c a1me y et1t1on, g1ve pace o ecor ................................................................................... . IfF 'I Ex . . I . d d't · . I t' . h' · d b · f Cl · NONE . am1 y empt1on IS c a1me at au 1 , g1ve name, re a 1ons 1p an as1s or a1m: ............................................... . ! . ·List any advancement or distribution 'on account that has been made, and nature and amount of same: See Exhibit No. 1~ page 4 of Account $ 571. 50 7/30/69 To Susanna Irene Butz-Cash advance 1, 000.00 · 7/30]69 To James Howard Rohm -Cash advance 1~ 000.00 Suggested dis~t'ribution of balonce 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: . I ~ 0 ,.) II I JAMES HOWARD ROHM Son / SUSANNA IRENE BUT Z Daughter COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly .......... ~.W.Q:rn. ................. doth depose and say that the facts set forth in the foregoing petition are true to the best of.. ....... their. ............. knowledge and belief. ·--~---····§lff-Q~~;;···············-~-..... to and subscribed before .. -~. C.lhi" (ir1 · .'""h· ~ •.: c:i~,. . f . 10 69 ~rt ~~;·" .. ,. .... ::.~~~~0 ... . . ~ ... ::JJ ... v-:jj--- si~natu;e of ~!!~"2~~~-'3 .... ~. . . .. V..C .. ~ T <tl f··Off' ~ c -OHN P. LIEKAR, Notar1 Public-', 1• e 0 · lcer.:;,. .. f---··.-·:.;·wAS'ATN'GTUN"C"OUffi'Y;·pA;------· ......... ~-'c' ·""-.2 MY COMMISSION EXPIRES Of.f' ,.. •·· .-..., ::: JANUARV -:lQ )o-.n . 1ce exp1 res .. , ...... :-~· ..................... ~.)'. •.. .>tut ............... , ... .. ...... ~.;; -· , .. Specific bequest of following: Tools and gardening equipment in accordance with paragraph 'SECOND" of Will. Inventory .Value -$ 83~ 50 Hunting and Fishing equipment and clothing~ in accordance with paragraph-"THIRD" of Will. Inventory Vc:due - $ 208.00 1/2 Household furniture in accordance with paragraph ''FIFTH" of Will. Inv. Val.$115.00 l/2 ResidU:~ • credit to be taken for advancements heretofore made. SP.._ecific bequest of "twelve place setting of Bone Chinaware""in accordance with paragraph "FOURTH" ofWili.Inv. Val.$50 .. 00 1/2 Household furniture in accord,ance with paragraph "FIFTH" of Will. Inv·. Val. $115 ~ 1/2 Residue -credit to be taken for advancements heretofore made. And your petitioner will ever pray, etc. \ ,r -- ~-r ; l .,, ) . (' ~. · .. No. 63-69-6 Estate of __ _g_~g~g~ __ :ff_<?.W.?.-~si.B.<?.tJ:m_, _________ _ ...-:- ~_(~f.~_g_~~E-~~--~:-.. ~.?.~_! ________________________ _ Deceased Fiduciary .... J.~m-~§ __ :ff9.w.·g_:r_g_.:ft._<?.hm .. ~.m~--- Susanna Irene Butz. Executors 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: pa rag roph b-e; and divisions thereof: shown on pages 23-24. 1. Written proecipes of all Counsel in the case. ·· 2. Copy of order appointing Guordion-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 on attest copy of Will.· J-6. Copy of inventor), and appraisement. ) . -~ · 7. Proof of advertisement df1 grant of letters if not filed with account. 8. Certificate ot liens in case any of the funds for distribution or1e from judicial sale of real estate. 9. Signed Ol)9 itemized elec_tions if any distribution in kind. 10. Copy of Fed~~ol Estate Tax return ,if es- tate is subject thereto .. " Ho..vard 0. Stevens. . .... -..... ---..... ----------.... -------------------------------------------------. Attorney· ~2 FILED. 1970 J.':/~ 8 Al-l 10: 38 -I (' ·'I ~. RUSSELL t·1ARINO Rt:GISTEH OF WILLS ... - ··~ ( .,...., '-• .; +, . ~ -1 - J ..... '-. -~·:. • , 0'. ,, ~ ~ ~-'/-.. r 1 , ·.·., -7!''11!(', '.II ,r: f ·. r -.._. (• .. ~n t!J.e Qtnurt nf Qtnmmnn Jl.eus nf Baslfingtnn Qtnunty. Jrnnsylnunin. ®rp4uns· Qtnurt flinisinn ESTATE OF No .. ---J6~3~-~6~9~-u6 ______________ __ George Howard Rohm, a/k/a In the matter of the First and Final George H. Rohm, Account of James Howard Rabm & Susanna deceased. Irene Bntz, Executors ADJUDICATION AND DECREE And now January ~ , 19.]SJ_, this matter came on f~r heari_ng, audit and distribution at this session and testimony token; and thereupon, upon due con_s1derat1on thereof the balance for distribution in the hands of the Accountant is determmed to be $ 6,7119,211 and the account is accordingly conf.irmed; and it is o~dered, adjudged and decreed that the said balance be paid out by the Accountant m ac.cordance With .the schedule of distribution hereto attached and mode a part hereof, unless except1ons hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account:---------'----------- Additional debit asked at audit Additional credit asked at audit Balance'---------------------- Deduct Clerk's Costs & ReceiptS-------------- Attorney:__ _____ H~6!!w~a.;.r~d~0_.,--::::S:..l.t!..l0euv~e~n,...s~------- Russell Marino, Agent, transfer inheri ta.nce tax, Redebit for accounting purposes -cash advanced in distribution, James Howard Rohm, son, specific bequest in kin of tools and gardening equipment, held in kind and distributed as such at the appraised value, credit to be taken ~y the accountants for ftems advanced prior to distribution by the Court, 8)..50 James Howard Rohm, specific bequest in kind of items under paragraph Third of the Will, and as therein set out, held in kind and distri~uted as such at the appraised value, credit to be taken by the accountant for items advanced pri to distribution by the Court, 208,00 Susa.nna Irene Butz, daughter, specific bequest in kind of Bole China ware, held in kind and dis- tributed as such at the appraised value, credit to be taken by the accountants for items. advanced prior to distribution by the Court, James Howard Rohm, son, 1/2 residue, including 50.00 cash and an undivided 1/2 interest in househol goods and furnishings, held in kind and distrib ted as such at the appraised value, credit to be ta en by the accountants for items and cash in the amount of $1000.00 advanced prior to d.istributi n by the Court, 4162.08 $ 8,582.16 $ 8,374.16 $ 8,324.16 I I 0 ~ ~ .... :;- I z a .... p :r ,._.. c tl) = ~ a 3 ty 0 0 ~ . -· .... .... +"\ a ... t 0 a· ...... g. .. = (J) ~ :~ s ~ ~ ~ -----~ \ ' .. Susanna Irene Butz, daughter, 1/2 residue, includ ng cash and an undivided 1/2 interest in household goods and furnishings, held in kind and distribu ted as .such at the appraised value, credit to be taken by the accountants for items and cash in t~e amount of $1000.00 advanced prior to·distributio~ by the Court, 4162.08 No balance 0 ~ ..,.. ~ ~ ~;j-D t:V i ~ 0 ..,.. .... t"\ ~ t = ... = ~ s ~ ~ ~ ~ ,. ~ n 0 c a 0 .... :I ..... ::r (I) 3 0 :::: (I) ., 0 ..,.. ..... ::r (I) I c... w c.o z !-' 0 . · . ,. IN THE ORPHAN'S COURT OF WASHINGTON COUNTY, PENNSYLVANIA Estate ·o( 63-69-6 GE-ORGE HOWARD ROHM~ a./k/a GEORGE~_.,B...,OHl\..., . .a:..· """11,....,~·,-------,-------- No. ____ , ------·----· Deceased NOTICE OF FILING ACCOUNT AND AUDIT To the Heirs, Creditors and Other Persons Interested in Said Estate:: . . l9 __ A.A. Please take notice that the first and final account of -.James &~ohm and Susanha...lrene Bntz, Execntormf the above estate, was filed in the Office of the Register of Wills of Washington: County; Pennsylvania, on ~:uly_l6.,_. _ 19.6.L, and is dock~ted to the above number. Also please take notice that the Orphans' Court of Washington County, Pennsylvania, has fixed lnlednesday, ; ~eptember 10 196L at _J!...._ ___ O'clock, --· M. in its courtroom on the Third· Floor· of· the Cour~ouse, Washington; Pennsylvania; as the time and place for the audit of said account. Uy submitted, . · __ ·August _ 19, ~rlfo.~ Attorney fqr the Estate Above Notice mailed to: Susanna Irene Butz, 3500 Crest Drive, Murrysville, Pa. 15668 James Howard Rohm, 350 West College St., Canonsburg, Pa. 15317 J .. / .-·"" Cltnmmnuwrnlt4 nf Jrutisylunuia~} ss. 1!lllas~iugtnn Qtouuty, · . . .. KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, m the County aforesaid on the 7th. day of January A. D. 19 69 , before me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania,· the last Will and Testament of George Howard Rohm, A/K/A George H. Rohm late of Borough of Canonsburg in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and James Howard Rohm and Susanna Irene Butz the Exec'utor S In said Will and Testament named, having apl?$.ared before me. and taken and subscribed ,. j.Jft-··· the oath of office prescribed by law; . NOW, THEREFORE, I, Russell Marino , Register as aforesaid, do grant these. LETTERS TEST AMENT AR Y, unto the said .. :,.. Jame~ Howard Rohm Them /~ . ?~? ·and Susanna Irene Butz .,. committi11g unto the administration. of all and singuiar the goods and chattel~, rights and credits, which were of said deceased, and requiring Them to exhibit a true and perfect inventory thereof into the Register's Office, at .Washington, within ninety days ·from the date hereof, and to render a just and true account of said administration· at the expir~tion 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 7th. . day of January m the year of our Lord one thousand nme hundred a!id Sixty Nine / J· _.r-.. ,\,,.~ ~--...-· .( - ::.,-, t " --._ .... . .,:! '. \ . ' I 1 ! I : I ·! i i i . ~ i : ip:: io . 'i:e ,ill' i'i jO. !~ io ~~r : i ! ._'1 ' .. .-.; ~·. . .. .,..; '· , .. .·-_l. _:: •. ·: :. ·: . ~ :•' ... ; .. . "-.•; r· •", ,....._~:.: (..,:l ~ ;.. .· ~·. LAST. WILL AND TESTAMENT OF .GEORGE HOWARD ROHM , ' . ·. I, GEORGE HOW;,~\._RD. ROHM. widower, of tJ:!e B~ro_ugh of .Canonsburg. Washington County. Pennsylvania, being of sound. and dispo~ing mind, memory and understanding. do hereby make,· publish ·and declare this. t~ be my Last Will and Testament. hereby revoking all testamentary writings .· . . heretofore made by me . FIRST: . I direct that the expenses of my last illness and funeral be first ·paid. out of my estate as soon as may be found coiwenient.. and that my remains be buried alongside of those of my dear wife, Ruth Elizabeth R.ohm, in our family plot in Brush Run Cemetery. Peters Township. Washington County~ Pe11nsylvania, and if the same has not bee:J:l. done in my lifetime, !hat a suitably inscribed headstone, of reasonable value •. be placed on our grave. I further· direct that so long as any lots in our family plot remain unused, that any of my children, their spouse and issue, shall have the privilege of being buried therein. SECOI'-JJ): I give and bequeath unto my son, JAMES HOWARD ROHM, all of my tools and gardening equipment. of any kind or nature what.soever. THIRD: I give and bequeath unto my son, JAMES HOWARD ROHM, all of my hunting and fishing equipment and clothing. with the request that he turn them over unto my grandson, JA.!vfES HOWARD .R.OHJVI, JR.. j at- such time or times as he believes my said grandson can safely use and possess the same. FOURTH:· I give and. bequeath unto my daughter. SUSANNA. IRENE BUT Z, my twelve place setting of Bole China ware. FIFTH: I give and bequeath the remainder of my household furnishings. in equal sha:r--es. unto my son. JAMES HOWARD .ROHM. and tny - .>-t . . .. :·.,. i .. '•· I / .l .... . .. / ~ :. : ,y ;_' ·• ":. ~-••• 3 .... . .... ,;(:::;. ... , , . . da~ghter, SUSANNA IRENE BUTZ, to be divided bet.ween them as they might amicably agree upo.n; provided; that any of my household furnishings that they do not desire to take or are unable to amicably agree upon the disposition thereof, shall pass into and become a part of. my residuary estate and be disposed ! of as hereinafter s~t forth. SIXTH: All the rest, residue arid remainder-of my estate, real, personal and mixed, of whatever kind and nature and wheresoever situate, which I may own or shall have the right to dispose of at the time of my death, I order and direct shall be sold by my Executors hereinafter named, ·at either public or: private sale, at such price or prices,· to such person or persons, at such time or times and upon such terms and conditions as my Executors, in their sole discretion, shall deem to the be~t interest of my estate,, and I direct that the funds received from said sale shall be merged with my personal estate and distributed, in equal shares, unto my two children, JAMES HOWARD ROHM and SUSANNA IRENE BUTZ. SEVENTH: I direct that all estate, inheritance and other taxes in the nature thereof, together with any interest thereon, becoming payable because· of my. death with respect to the property constituting my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid from the residue of my estate passing under Article "Sixth'' hereof; and no legatee or devisee or any person having a beneficial interest in any such property, whether urider this Will or any codicil thereto or otherwise •. shall at any time be required to refund any part of such taxes.· EIGHTH: I do hereby nominate, constitute and appoint my son, JAMES HOWARD ROHM, and my daughter, SUSANNA IRENE BUTZ, to be the Executors of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal .this '' . :-t i l t I . ' •'', . • • -.i ~ • c·' ·~-c:• ... ..,... • .._. _ _, ............ v ... ·•· ..----r·-·.-· ~-:-.,.~-'""" -... -•""' ~;pfty of August, 1961. (SEAL) Signed,-sealed, published and declared by the above named testator, . GEORGE HOWARD ROHIVI, as and for his Last Will and Testament, in the presence of us, who, at·his request, in his presence and in the presence of each other, have hereunto ·subscribed our names as witnesses. ' ' '1 •· - .Affibauit ®f fxrrutnr ®r .Abmiuistratnr &tatt nf Jr~nsylnanta, f ss· QJ.nunty nf llas}ftngtnn \ · . Personally before me, the undersigned authority, ·a ........ ~.?.!~~Y. ... Y~'!?..!.~~ ...... : ............ _ ................. in and for sa·id County and State, appeared ... J:.9.-.~.~.2 .... H9.~.9.-!..4 .... R.2h~e·@.Q ... .$..~.~-9.-.!m9.:J.r..~:g~ .... :J?..gt.~ . .,who, being duly sworn according tJO law, deposeoc and sa~ that t he/JSXthe executOisox::alilmrn~~x:JOf the estate of .Q.~g.E_g~ .... ~9.~.~E.~ .... ~9.?.~~ ..... ~/~/~ ... 9..~.~E.K~ ... ~.~-~-<?.!liweased, that the foregoipg schedules constitute a I complete inv'entory and appraisement of the real and personal estate of .... .9..~.9..r.g~ .. '.H..QY.Y.9.:r..9: .. .B..Qh.m..a .. _e:f,k/a., etc. deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item of real ;and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fa;, value of sa;d ;tems as of the date of the decedeot's death, based upon a just a~ ::: o~=~:.b:;: a~~~~~:~~x;£'~:,~:7~J1t'trato}'· -_--~tor~ ==~----=~ . ·; ~ / E ~ ·~ ·······~······U ~41Hv.:·j~GTON co~'r~; PA. ........................................................ xecutor-J~W~X . _cOMMISSION EXPIRES ADDITIONAL INSTRUCTIONS 1. An inv~~f~~'Mu~h~~7flled 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, including 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 llttUfUtOnt attll 1\pp,rai.!lfWfUt of the goods and chattels, rights and credits which 'Were · George Howard Rohm, a/k/a · of .......... -.Q~Q:r.K~ ... H.! ..... R9..h:!!!.t ........................................................... -.late of ... J?..9.:r.Q~gh ... 9..f. .. G .. ~.Q~.~P.~r..g,_ __ .............................. _ Washington County, Pa., taken and made in conformity with the above affidavit. PERSONALTY: Cash on person Checking Account No. 356-4923 in Mellon National Bank and Trust Company (Canonsburg Office) in name of George H. Rohm or James H. Rohm -admitted to be monies of the decedent. Christmas Fund in Mellon National Bank and Trust Company, (Canonsburg Office) n/o George H. Rohm Savings Account No. 209-09-6070-01 in Mellon National Bank and Trust C<:>mpany, (Canonsburg Office) in n/o George ~· Rohm, or James H. Rohm. Admitted to be monies of decedent. Balance date of death Death Benefit from Knight~ of Pythias., Canon Lodge #204 Check from Protected Home Circle -Refund of Insurance premium Blue Cross of Pennsylvania -Refund .of premium George M. Challener Agency -Refund of premium -Homeowners policy No. H94984 45 -General Accident Company Continental Can Company {General Pension Fuftd-)~ -Reimburse- ment for part hospital expenses -Last illness Lot of Garden Tools and Equipment -(See itemized list in Exhibit A, attached hereto) Tools -(See itemized list in Exhibit A. attached hereto) \ DOLLARS 8 00 136 11 48 00 129 80 100 00 15 tl.O 38 80 32 00 77 20 61 75 21 75 CENTS . ' . ' r . \ .. \j .; ' \.• . , \. l L _, l . ' ..._,._,, ',.,I I lS l. ' J . [. [. \ ( .' ~·. ' ,. . ' . ' .i.o ··' . t .• ...... ) -· ... \ I .. ... ·' . .. ~ :::.: "' ~ i ~ 1 ! ! I ! i : ! j ·! ! . I' J -~ i l l i ·' I .. ' -' (." r:_ .. ... I • i I I I. I ! I I I I . ~ ! ! I -)' : "' . : .•· L· I.L. ·i ·' ., .. ~ J " .. • I· r ) . r·. ,. [: 1 I-. r: ) - I I. \ I I ~ • I ' ' Re: Estate of George Howard Rohm., a/k/a.,, etc. Lot of Hunting and Fishing Equipment -(See itemized list in Exhibit A., attached''hereto)i·· ,, '. Iri.complete (originally 12 place setting)• set of Bone Chmaware '' Lot of household furniture ·(See itemized ;Jl;,st in Exhibit B. attached) Total Personalty REALTY ' ' All that certain lot or piece of ground situate in the ·Second Ward of the Borough of Canonsburg, Washington County., Pennsylvania., aridlocated on the E.ast side of Jefferson Avenue., and is bounded and described as follow, to wit: . Beginning at a point in th~ eastern side of said Jefferson Avenue at the northwest corner of lot of Estate of J. J. Miller,. formerly of George Organ; thence eastwardly by lot of sai? Estate of J. J .. Miller., 165 Jeet to lot of Boyd Kelso; thence northwardly by lot of Boyd Kelso, 41 feet'to the souther:t:I boundary line of lot of Mary Paxton Hamlin; thence westwardly along the southern boundary line of lot of Mary Paxton Hamlin, 165 feet to Jefferson Avenue; thence southwardly along said Avenue., 41 feet, to the point the place of beginning. Being the same lot of ground conveyed by Ruth Brehm;' single, to Geo·rge H •. Rohm and Ruth E.' Rohm, his wife 1. by deed dated August 1., 1941 and recorded in the office of the Recorder of Deeds in and for Washington County aforesaid., in Deed Book Vol. 648., page 347. The said Ruth E. Rohm died July 7., 1961., whereby full title to the within described premises became vested in G~orge H. Rohm, ·as·· surviving tenant by-the entireties. There is erected upon the above described lot of ground a two story., brick house, containing 6 rooms and bath, and a small frame tool shed., known and designated as 242 North Jefferson Avenue., Canonsburg., Pa. -Value date of death Total Realty SUMM'ARY Total Personalty $ 1., 156.51 Total Realty TOTAL ASSETS OF 'ESTATE $ 10,156.51 $ 208. 00 50. 00 230. 00 $ 1., 156. 51 ==='===== ' . ! ~,_i)Q_O ~ O_Q _ $ 9,000.00 ----·---------- '· ,. 'r, • Re: Estate of Georg·e. Howard Rohm, a/k/a, etc. EXIDBIT A~ . . ITEMIZED LIST OF GARDEN TOOLS AND EQUIPMENT 3 shovels 1 Wheel Barrow 4 rakes' · 6 pieces of assorted hose 1 Garden. Sprayer· 1 Post hole digger 3 pair pruning shears 1 Pick 1 Hose reel 1 length garden hose 1 Lawn Roller 1 Hand cycle 1 10 foot wooden ladder 1 40 foot wooden ladder 1 wooden step-ladder 1 "Lawn Boy" gas mower 1 Building Screw jack Total.value Value ----$ 3.00 .2.00 2.00 3.00 3.00 1. 00 . 1 .• 50 .50 .50 2.00 '1.00 .25 2~00 10.00 3.00 25.00 . 2. oo--$--61.75- ITE_MIZED LIST OF TOOLS': ' 1 Metal SqlJ.are $ .pO .. 1 Jack Plane • '50 1 Block Plane .25. 1 ·c.oping saw : .50 1 Hack sa~. .25 ·2 Hand ·saws 2. ·oo 2 4\.xes ' 1. 50 1 Cro'ss Cut Saw . 1. 00. 2 Hammers 1.00 1 .. Hatchet . :5o · 2 -i/~11 Electric Drills (Not working) . 2. 00 1 Old 1/4 H. P. motor 3.00- L_ Propane Torch (Old) .50 3 .·Screw drivers# .. 75 Assortment of chisels, pooches, etc. 4.00 1 Wood lathe (no motor) 3.00 Total Value $ -21.75-.. . . ~ ITEMIZED LIST HUNTING & FISHING EQUIPMENT 1 Remington· 30-06 Rifle 1 Remington 222 Rifle 1 L. C. Smith 16 guage Dbl. bbl. shotgun 1 Unmarked 16 guage shotgun 3 boxes 222 cartridge 1 ·,Hunting coat Total Value $ . 80.00 60.00 50.00 . 10. 00 6.00 -2.00 -----$ 208.00 EXIDBIT 11 A11 i. . '· · .. Re: Estate of George Howard Rohm, a/k/aJ= tc. EXHIBIT B. HOUSEHOLD FURNITURE ---------------- KITCHEN: Old refrigerator -no value (junked) Old green metal stool 4 painted kitchen.chairs Drop. ~eaf tabl~ Metal storage chest Odd lot everyday dishes , pans (no silverware) Old mixer (35·ye~rs old) Old electric toaster Sandwich grill (12 years old) Cannister Old gas stove HALL: Telephone stand and mirror DINING ROOM: 50 year old dining room set Library table {40 years old) Assorted table cloths, dish towels, etc. {Old) Cuckoo clock· {not authentic) . Total Tot9-l Assorted glassware -badly chipped, magazine rack, vases, etc. Badly worn rug, and old curtains CELLAR:. Old record player Old electric tub-washer, 2 lawn chairs LIVING ROOM: JlL small upholstered chair T: V. set (12 years old) Imitation leather chair Sofa bed (15 years old) Books l rocker (poor condition) Assort'ed pictures (mostly familY) Total Total 2 end tables and .coffess table {made by son in 7th gr~de) Carpet and small rugs (old and soiled) Total Yard· Shed: 1 - 9 yr. old porch glide,r {Tools listed separately in, Exhibit A.)· EXHIBIT B~ $ 0.00 .25 1. 00 2.00 1.00 5.00 1. 00 1.00 1. 00 .25 2.50 ----- 2.00 ----- 30.00 1.00 4 .• 00 1.00 30.00 3.00 .50 2.50 2.00 2.00 5.00 1. 00 2.00 5.00 1. 00 3.00 1. 00 ·6. 00 $ ------- 15.00 2.00 72.00 5.00 26.00 2.00 I '. !. •' l I ' ...... ~ EXHIBIT B~ (Continued) UPPER HALL: 1 Picture Plant holder FRONT BEDROOM: Total 5 piece, 50 year old. bedroom set. dark veneer of unknown wood type. Cedar chest -poor condition· . 2 piece~ old luggage '1 partially refinished bureau Worn carpet Old cotton curtains. towels and bed clothes Total l Large BACK BEDROOM: 4 piece bedroom set, 9 years old 3 old straight chairs @ $1.00 each 1 small rocker Mirror Carpet -9.years old Sweeper - 9 years old SMALL BACK BEDROOM! 3 piece maple bed!rloom set Old rug and curtains Assorted bedclothes. mostly badly worn. Total Total $ . 25. .75 20.00 2.00 ~.00 1. 00 1. 00 3.00 40.00 3.00 1. 00 .50 4.00 1. 50 25.00 1.00 5.00 $ 1. 00 28.00 . . 50.00 31.00 TOTAL VALUE OF FURNITURE$ 230.00 . " .. l l-..~ i • .L L r l ~ l I '. .· T :~: ,. ........ I ,. ..,, f ,_ f " ···:::· . . ... · .. ' ·' . G r~ ,, 1 .. -,. ,. ' .. 'J l •. !· ,.._ ... ' r , .. ·r~ :~i " ·s J. • .. '' r -,I...., -.. r ·-r /t r.:~ (./) tf ·~ ·; .,, ' ... )·_ ... ; ··' iL 11 ,j .I } ' I .; to --...1 .,o - c.... r • :f », :z:: . .,;... 0 .!. . '\ ' ,., q ("~ • I ,,0 t J ·;. l l. .· -... \/ '' -~ I " J l r .... r ~ ...... J J, . ' (' ,. ·~ .. I'; . ·, IN THE COURT OF COMMON PLEAS 0F WASHIN<;iTON COUNTY~ PENNSYLVANIA . . ORPHANS1 COURT DIVISION ... FIRST AND FINAL ACCOUNT OF JAMES H •. ROHM ·AND SUSANNA IRENE BUTZ, EXECUTORS OF THE ESTATE 0F GEORGE H~ ROHM, a/k/a GEORGE HOWARD ROHM~ ·DECEASED~ 1 . NO. ___________ .__ , > --~------------------------------------------------------------ Receipts (Page 2) : Disbursements , {Page 2) · Receipts (Page 3) Disbursements', {Page 3) . \ ·; ' ' ' ' I ,, • Receipts {Page 3 } : Disbursements (Page 3}.! SUMMARY. _____ ,_ ,.. ~ r-.. . ' ' v ' I ·. 't SCHEDULE A~ --------PRINCIPAL.,. PERSONALTY --·-------·----~- .. -{ f , ·"' $ 10~ 92.1·2.; 52 __ 2~·16~~~.~ Balance ":'·Principal.., Personalty SCHEDULE B~: ' INCOME.,. PERSONALTY $ 2.60 . 2.'. 60 ' ------ Balance Income-Personalty . "" S.0HEDULE C. PRINCIPAL-REALTY $ ·9, 000.00 _ ~LOQO~ Q_O~, Balance Principal;... Realty NET BALANCE Above balance consists of the following: CASH ADV ANGE DISTRIBUTION (See Exhibit'No. 1, Page 4} $ 8, 204.80 571.50 o.oo o.oo $ 8~776.30 ========= $ 8, 776.30 ------------------- Re: Estate of George Howard Rohm, a/k/a, etc·. 3/14/69 2/ /69 .1/9/69. 1{9/69 1/21/69 1/25/69 2/28/6 9 SCHEDULE A. ·PRINCIPAL-PERSONALTY. --.------------ RECEIPTS To amount of fuventory and Appraisement filed Other Receipts: Cash advanced by Susanna Irene Butz, Daughter~ ':t6J estate for distribution.purposes only. Transferred from Income-Personalty Transfer.red from Principal-Realty Total Principal-Personalty DISBURSEMENTS Robert E ~ Wylie, Funeral Home Funeral expen$eS .. $ 1198.00 Less Social Security Death_,Benefit. __ 2~~ QO George C. Clark Opening Grave Bell Telephone Company Final Bill R •. A. Douglas Furnace Repairs Utilities paid from ·12/20/68 to 3/17if6 9 .(while house was held for sale): Columbia Gas Company · Gas service $ 112. 15 Boro of Canonsburg Sewage charges 7. 6 8 Citizens Water Company Water service 9. 36 West Penn Power Co. · Electric service 15. 85 James B • Shaler, M . D. Last illness John T. Hart Funeral Home· Ambulance service Katz Brothers Hardware Supplies for repairs.' $ 1, 156. 51 915'.00 2.60 $ 10,942.52 ---------------- · ..... $ 943.00 75.00 1.05 5.00 145.04 30.00 20.00 3. 13 3/19/69. · Commonwealth of.Pennsylvania . , !* Payment on Pennsylvania Transfer Inheritance Tax 399.00 Howard 0 .. Stevens, Reimbursement for following costs advanced: 1]2/69 Russell Marino, Register . Probate Will-Grant of 1/4/69 Washington County Reports 1/24/69 The Daily. Notes John P. Liekar Howard 0 ~· Stevens, Letters Advertising Letters Advertising Letters Notary fees Attorney Fee $ 12.50 14.00 12.50 6.00 James H. Rohm and Susanna Irene Butz, Executors: No Executors Commission claimed or paid Total Disbursements Page 2. 45.00 500.00 o.oo $ 2,166.22 Re: Estate of George Howard Rohm~ a/k/a~. ete. 2/1/69 SCHEDULE B •. INCOME~ PERSONALTY --------·~--·-- Interest on Savings Account No. 209-09-6070~0 1 in. Mellon National Bank and Trust Company Total Income Personalty '• Disbursements .----:---·--- Transferred to Principal-Personalty Total pisbursements SCHEDULE C. PRINCIPAL-REALTY . • <\.·· To amount of Inventory and Appraisement 'Other Receipts: To sale of house and lot at 242 N • Jefferson Avenue~ Ca:rjon~;iburg~ Pa:' . Selling Price Inventory Value Gain on sale $9, 000! 00 _ ~Q_O_Q.OQ_ Total Principal Reaity Disbursements First Federal Savings and Loan -Assn~-·. Seller's share of ·following expenses of sale: Pro-rata share 1969 taxes 1% Pa. Realty Transfer Tax Transferred t0 Principal-Personalty $ 41. 59 90.00 · Total Disbursements Page 3 $ 2.60 -----------·- ------------ $ 9, 000. b6 .. ---·--------- $ 131.59 ' ; EXHIBIT NO~. 1 ---------- . ADVANCE . DISTRIBUTION ... ; .. \' Following Tangible Personal Assets distributed "In Kind'' at inventory values: TO JAMES HOWARD ROHM: Tools and Gardening Equipment as· specifically bequeathed in paragraph: ''SECOND'' of Will - Hunting and Fishing Equipment and Clothing·~ as· specifical:j.y bequeathed in paragraph "THIRD'' of Will -i One -half share of household furniture as specifically bequeathed in paragraph "FIFTH" of Will - Total TO SUSANNA·IRENE BUTZ: One-J:Ia1f share 0f :ho-q.sehold .furniture as specifically bequeathed in paragraphnFIFTH" of Will - Incomplete set of Bon~ China (originally twelve place settings). as specifically bequeathed in paragraph "FOURTH" of'Will - Total $ 83.50 208.00 115.00 $ 406.50 . $ 115.00 50.00 $ . .165.00 . TOTAL DISTRIBUTED "IN KIND" $ 57~-50 Page .4 •. · .. THE~DAIL Y NOTES 1 CANONSBURG, PA. PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784, Sec. 3. paragraph (3) and (25). State of Pennsylvania } County of Washington ss. Personally appeared before me, a Notary Public in and for said county and state, ___ M.g_~l-.. ~ . .! .... ~-~y _____________ , who being duly sworn, deposes and says: that ___ she_ ______ is thd>_oo.kkeepeli'f the Notes Publishing & Printing Co., a Penn- sylvania corporation, and its agent in this behalf: thart the said company is the pub- lisher of The Daily Notes, published daily except Saturday and Sunday, having its place of business. at Canonsburg, Washington County, Pennsylvania; that the 'said D~Uy Notes was established August 1, 1875; that the printed notice or advertisement, attaclled hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said newspaper in its regular issues on the following dates: _ _J~u~_9.__,__l'~!!ar;>.':_]J>_1_~ an~~_y __ ?l_L_!_?_~----·----·-----------·--------·--- that the af~iant or the corp~ration ~n behalf of which --------~.h-~----is acting is not inter- ested in the subject matter of said notice or advertising and that all of th. e~allega.tions of this affidavit as to rthe time, place and character of ~n a:e rue. ---------------Bo~~r-- Sworn to and subscribed before me this OK~pe .._ ...,. =:~~~ ' • Wn:o'·hgtnn ·county., Pa. · · ;:;;; .. : ,,::· :~~··,;'::! ~~;::··ite~ ··i\af';h ~::.;: :~~ LEGAL' NOTICES' . i . EXECUTOR'S. NOTICE ~ · Estate of George 'Ho\l'ard Rohm, a/k/a George H. Ro)im · deceased, late, of Canonsburg, · \Vashington County, Penna. · . · · . , 1 LETTERS Testamentary utjon I the · above esta,te having-·.been ?Tantecl .~o the unclerljligned,. notiee IS hereby given to thosB ·'incl.:bte~l 'thereto to make immedia~e. vay~ ment, and to those' h;aving; eh~ims or demands to present them foJ'· settlement.• J'it~lCS ;_j~waJ't!' R6hm . 350 w:. •Coll<~ge. St~ -Susanna I;en'e Butz 3500. C1'est Drive · ' Murrysville, Fa. H668' • :. , ·Executors Howarc~ 0 .. Stevens Atto\·ney · Mellon Ban!< Bldg .. · c' :• · •·.· Canonsburg, Pa. · •· · · · [anuary 9, 16, · 23, 19li9 · '· · ., 1- Washington County Reports 63 SOUTH MAIN STREET Washington, Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. 3, paragraphs (3) and (25). CouNTY OF WASHINGTON} STATR 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 COUN1Y REPORTS, the official legal periodical for said Washington County, publisbed weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in t"his behalf; that the said WASHINGTON COL'N1Y 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.anuai:¥---1~-• J 2~.:.3"(\. .. ~.9-6-9 .......... . that the affiant~~rporation in behalf~vhich h~ is)lcting is not interested in the subject tte ~aid no7!ile or advAGsi g and)!ta-t all;:ilfr~ allegations of this affida~it 'a · :J,leS!PJ4/1!> a,nd charii.C? er of V!el~\:lbljUtio "are1true. _/ .'----VC(f/J \____..... ;_;c_..(----(!_/C..__...-~ ;..--r . ____ L__ --- u.;..~~..,.......,.....~_.....,'-:'_~~~:--_-·=·:·,..--~--·.,·--....,·-... ··,.,--_·""'--:,.,--· .. --.,. ... ...-c .. ::,--·~-~:::~:-:----:·--Edit:?; Sworn to and subscribed before me th1s -. <•'•"'"-·'·'"·~;~4)_;{.;G..;i>&..ii~'./.;,. ... lQ.tb ... day of...Janua.I::y .................... , 196 .. 9 ... _d./~ ' ~ ......... ~~-----:::../.-...... 0 --~~ ary Public KATHERINE C. YARD, Nota ubllc Washington, Washington _co., Pa. My Commission Exp1r~s November 1, 1969 Estate Notices The Register of Wills has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present ehem for settlement to the Executors or Admin- istrators or their Attorneys. •••••••••••• 0 •••• ROHM. GEORGE HOWARD, a/k/a GEORGE H. ROHM, Dec'd. Late of Canonsburg, Washington .County; Penna. Executors: James Howard Rohm, 350 W. College St., Canonsburg, Pa. and Susanna Irene Butz, 3500 Crest Dr., MurrysviHe, Pa. 15668 Attorney: Howard 0. Stevens, Mellon Bank Bldg., Canonsburg, Pa. ''\ / ..,.j ,- STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ SS: The within named Accountants being duly sworn according to law, depose and say that the above account as stated is true and correct as·-----------~~~Y. ..................... verily believe. Sworn and subscribed before me this ..... +1}y. .. ~ ~ ~ . ··Ronm~ ··-Ex·e·cufor··-------------- ······-------------------·-····· ~-----------------~----4-Susahna Irene ~cut~ I do certify that I have given legal notice to all persons concerned of the filing of the within account in the. manner prescribed by Sta·tulte and Rule of Court, as evidenced by proofs there~f filed to No .. b.3.-:.f?..f-::.6..Q_Q __________ _ daya:•t~e~~~;~~: ... Regist~r .of Wills ...., d .... ::;j 0 ol 0 ..... 0. ci s:l ::s ~~ ~h ''\ ro! -! Q) 0 ~~' -: ~ i"" l r ;:; ,<:l ... <:,) \ J ~: r·· l ..... 0 <:,) -: 'H f.. ... D; 0 <!j 8 ..... .!<1 .I roi 0 ~"'' ' pi .... .... ' ,; " Q) 0 .. +' '"" .... <:> .. : ~ "di '69 JUL 0 Si lj) ~ 16 ::l §l P/'1 lf r:.. ...c:: 0 55 0 Oi C) .; r:il ~i Si C) :;E! E-< <t: , r· <!j "di ...c:: ::C:i R'fUSt;'r.~t·v , . E-< ~: o: ..-I . '·''"" .. , f.' ~H l'f\J'O ~! rn ro: ~: ro Oi .) :E G J.s I.f_a 0 F:W li~LS ~ r:il ~i ~ ~: ...... o: •: ~ Cll 'i :r:: ::C:i .: ~ .. A.SH!iNGTOM CO p :r:: '(V)j <1>! "d 0 ·• . A4 (1.): ~ r.ni ~ ~~ bJ] o.e ro ~: ~i ~: C) o: o: +' ~! (1.) <1>! Cll (1.): ~ ~ oj o: ·<r:i ~ 0 ...... z ~ .1-:lj , r: .. : .. -~· ;..; ~.· ··I- 0 (;\ "5 Cll ~ .... i8 ~ 0 ..... N fo 0 (I) ..... t :< > <!j r:il (I) +' 0-"d r.n s:l ol . 0 <1 fD ....; ..... .Lt rn "d -~ "b'o Q) ~ -0 Q) ~ ro >r ..... ,<:l ~ i:!: ..... 0 ~ 0 ~ s:l (3'-...; :r: p "d '9 s:l .... <!j 0 ...... .... ----~-~-~---~-... ,__ ~-_,._...--~=-r·""-~,-------~~~~____,._.~,__-=~~~ I· • r :-r··· ... r /· •/' \' •' ' ...... ;:·:::;':; I> 'v ·~ -. / "•· · .. '-~ -c.• -· f : <-~ r: ~~· .. u -.. . ·~ ,. .. "·· .. :_: ~'!} '>. ( ~ .. ,$ ' C', = ~"'" .. ,, / •,• 11 ': • f I f i ' f.~\ \_'1(. !t<! .. ~?# .. 1, \ /. c; ·- ' ·' • > The Court is/espectfu lly requested to determine · ut;on ;n th;s est~ ~ti(). ~~ Counsel for Accountant • '\ ,/J ....... )!- i· ,· ~ ... ; ·•· ' . . ~ . - --1_-.. j. ~ .. ·-.--·. C!Innntu ... ·In the matter of the Audit of Accollnt in ..• . Estate or -GEORGE HOWARD ROHM, a(k/a No .. __ _ __ 6~3~-__;6:.....;9:.....;-_.;.6 __ _. 19~ A. A. GEORGE H. ROHM .Deceased .·· . TO THE AUDITIXG JUDGE: ' . _; Enter _ __:M:.::..J.y~ ______ appcarance for James ·Ho:ward £ohm. and Susanna Ire:ne :i3utz. · Executors· in:the above caption~d ·estat"e. · . -~~t . September N. B.-Counsel shall, by separate p;~per, present a concise statement of each claim, with sujlportin; calculation of any interest claimed. Objections · to an account as filed, shall be concisely stated in a separate paper. Council suggestiGg proper distribution shall file a separate concise state- ment in that regard. . .. 19_69 ·6 ,. a) ti.!..Jt El --.l. ··-· ' t !~ 'I ce Q'ii ..., ·- :t ··~ . J . \" ..... '.\ . ~ ,. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY~ PENNSYLVANIA ORPHANS1 COURT DIVISION ' IN RE: ESTATE OF GEORGE H. ROHM, a/k/a GEORGE HOWARD ROHM, D>.ECEASED No. 63-69-6 RECEIPT FOR ADVANCEMENT TO THE HONORABLE~ TH~ JUDGES OF SAID COURT: I, JAMES HOWARD ROHM. being beneficially interested in the. ·above titled estate, hereby acknowledge to have received from James Howard Rohm and Susanna Irene Butz, Executors of the Estate of George H. Rohm, a/k/a George Howard Rohm, peceased, the following: UNDER ARTICLE "SECOND" OF WILL: ~· . Tools and Ga~dening Equipment -at Inventory Value UNDER ARTICLE "THIRD" OF WILL: rLrMA~ J ., Hunting .~nd Fishing Equipment and Clothing, -. ~j,;,vv at Inventory Value . UNDER ARTICLE "FIFTH" OF WILL: One-half share of remainder of household furniture, at Inventory Value $ 83.50 208.00 115. 00 \ ! ... , UNDER ARTICLE "SIXTH" OF WILL: On account of partial distribution to me of my one-half interest or equal share of the residuary estate of said decedent -1;000.00 and request Your Honorable Court to' charge the same to me in the Decree of Distribution to be entered in said Estate. In consideration of this advancement being made prior to the filing and audit of a Final Account, I hereby agree to refund on demand, all or any part of this advancement which may be determined to hav~ be'en improperly made. DATED this __ ~!!I_ day of ____ J_!!l.y ____ •. 196 9. W~TESS: ~ ~-. ----. ~--~ -----------~-.J ,, . I ( I '·' 1: '. , '. ' ' . _,L L ,.t ... •r·• ... .,. I r . ·. I ,.; . ,(.' J .l , . [.~" I~ J. ., ri :'· r H [ . '· ' . )t• ) J .l ., r. V' y .. , \ f . ' r • I ·r . ·r .-'T T (f ..... , f, .. ( , ~ r ... F J ·t· 'I I' '1 . ! ~ rt'>: 1 r '. II ·; I • I ·f. I ;- l' ' ;. ~ : ·' .. ;r d .. 'I :Iii ' I r · J r r: r: p -~ r-1. I, t ,:;· JJ:)Jjl ~~ ' , . ..... } 1': f ' "i ' .. .. ' ' f , : r ' . ,. L ·T T I . ... ,. I l<. "Ir (c·1' ' l_ ) ''J ·'· ·' • 'I '' m 0 Cc · •• <i:" ,, .r. 1 • •• • 1 r r:J · · ·-I' 'I .I I .. r '' •. . f !' (•I .. ' . ~- .. I ., .·,. ;. j I . ' .!ll •. ' ·. ' " llflt.7 4 . • IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY 11 PENNSYLVANIA ORPHANS1 ·COURT DIVISION IN RE: ESTATE OF GEORGE H. ROHM, a/k/a GEORGE HOWARD ROHM. DECEASED No. 63-69-6 RECEIPT FOR ADVANCEMENT ·. 'I'O THE HONORABLE, THE JUDGES OF SAID COURT: I,. SUSANNA IRENE BUTZ, being beneficially interested in the above titled estate, hereby acknowledge to have received from James Howard Rohm, and Susanna Irene Butz, Executors of the Estate of George H. Rohm, a/k/a George H onard Rohm1 . Deceased, the following: UNDER ARTICLE "'FOURTH" OF WILL: Incomplete set of Bone china. at Inventory Value UNDER ARTICLE "FIFTH" OF WILL: One-half share o.f remainder of household furniture, at Inventory Value · UNDER ARTICLE "SIXTH" OF WILL: $ 50.00 115 0 00 ·. c:>n account of partial distributioiDl to. me of my ·one-half interest or equal share of the residuary estate of said decedent -1,000.00 and request Your-Honorable Court to charge the same to me in the Deere<{ of Distribu- ~-tJ~m to.be entered in said Estate. In consideration of this advancement being made prior to the filing and a·udit of a Final Account~ I hereby agree to refund on demand~ all or any part of this advancement which may be determined to have been improperly made. DATED this _j §--f'" __ day of -~~ ____ , !96 9, WITNESS: 4, . ~ WJ . ----~~-------------- . ; r ' . '.l l ( .L I ,,If l.-•. '! .., . oc.:.r· '+ .i. ...... f. ,.,..{ .. ,. i. ) ' I. 1: T ,. f I l ' 'I . •. ;, . ~ J. : J. ..... r \... J.. r. ·:.i. ... • .. , _1,. 11: ' ·.,... . . .. _ -.' .. 1; ·.· '· I..: ('!.:' l f· I I' (' ; \ \ " li ",f-• •. ) ( J (, :' , 'Lt rs ·. ·rr,JJ. 1 r I r 'J :f. , ' '!rtf n r ·.t ,. l I ! ' t ·.1' l - .) . I 'I ' ' . f 'I II( '\•, j .. ·: ·.r t; -~ l[ ·.I·· r: r,: r T :.~ • ; > ; • i · , 1· j .. j · .: -( ".l J·. . ·----........ _, __ ~ ___ ._ __ .......... ·'"..:~---J. •• ~ . '.1. J' u. ~ J I. \, 'l .· ' ;::r· I ; ~ • .. /I>. ·.r r ,,J.J. 'i •t."" ,._d. '.t. .. J! l ~.J· t! : .. )'"J ·' l . ['.( j, f -.. ' \ • ',J 1 .J..~ • • i r, '• \ . ' ......... ·.~-~·"".J... ... ('!.)' ' .. J ....... 1 0 .. vJ OJ ,. l ' l ~ t II r r • ·- :'1' -'?"'<! l ·j r· f'f"i'\ ...... · .i' .l .. . I . '.J . J.l ·" ;.;:l..J't.. .... ~ -:__. .. ,--· ·t _ . ,_ _IN THE ORPHAN'S COURT OtWASHINGT~q_N.i:~9~~TY, _PENNSYLVANIA U· : -_, .t l ::. _ o::: '\ ~ ....... '-.... \.. t. 1 _._ \··. . "' ESTATE OF: ~ v • • '" , <. George Howard Rohm, a/k/a 63-69-6 . NO. ----------------------------of 19 ....... :A. A. ---------------------------------------------------------------------------- George H. Rohm, deceased DISTRIBUTION RECEIPI' The undersigned, hereby acknowledges .to have this day received of James Howard Rohm and Susanna Ir~ne Butz. Executprs in the above captioned estate, ·-------------------.---------:---------------------------------------------------------------·-----------------------------------------------------------------------------------------·-· the sum of --~~~~~--~~~~~-~~~! ... !.~:?. .. ~~-~~-~~~-~~-~-~~~--~-~~--~-~1.!.~~~~-~-J~-~-~-?.-~.?.-~-~~-L_____ DOLLARS, in. full payment, and satisfaction of the amount awarded to me .by the said Orphan's Court in its Decree and c •• Sc~edule of Di~tribution filed to the above number and in consideration thereof, the undersigned hereby re- le~ses and discharges the said fiduciary from any further liability on account of the same. :' WITNESS my hand and seal this ..... .f..Z. ....... day of ----------------}-~~~~EY. ________________________________________ 19.~~--- Witness: R _:_ /: t ;JA._"VVt\ ---h--rt----. ........... L .. ~-----'------~~~~~--·------------------------------------------------· ~ . II ~'1 ~ .' r ......,... r" c;(~Cu~ ~u ·~ .... ,... __________________ z _____________________ ----------------------------<~ ~Susanna Irene Butz -. _ --,. Total amount received consists of following: Set of Bone China (Sr>~cific Bequest) 1/2 Household furnishings (Specific Bequest) Cash advance from 1/2 share in residue 1/2 Balance residue Total ' .. \ v . .• 0 z :IU· m n m ., ... \ \ .. f • ('!) c+ () , .' •• • ·, • I I. '. m Cit ;: .... m 0 ., T '"" ,, .Z. ~ . :0') :w 'I : 0') :co :I l~ ' 0 ..... .. ... .,. J . ' : ~ .i ' IN THE ORPHAN'S COURT(~! .~~HI.N~~~~ ~()~Nn:,. PEN~~~.l~_AN~A~ ( j' ' • ,., • ' ) . . .I 1 ; .: > '" ' (:-; "I.-·) ..,, J. \ .. ( _; ~, . ESTATE OF· r -"" • 't-t '-_ • ; ·-. " t • George How.ard Rohm. a/k/a NO ... ~}_-:-_~-~-::~---------of 19 ........ A. A. -.. : '\ . George H. Rohm, deceased DISTRIBUTION RECEIPT The undersigned, hereby acknowledges to have this day received of ... J.~~-~-~--H-~~~-~~--~-<?.~~--~-~~--~~~-~!:I:~~}!.'.~~-~--!?.~~~-~---~~-~5:~~-~:':-~.-~?:.~~-~--~~-~~~--~-:::P.~~~~-~~---~-~tate. Four Thousand, Four Hundred fifty-three and 60/lOOths - - - - -· the sum of ........ -.................................................................. -------------------------------·------------···----------------------·--·· DOLLARS, \· in full payment a'nd satisfaction of the amount awarded to me by the said Orphan's Court in· its Decree and ( I Scl:ledule of Dis;~ibution filed to the above numb~r and in consideration thereof, the undersigned hereby re- le~ses and discharges the said fiduciary from any further liability on account of the same. • 1 WITNESS n:t:Y hand and seal this .. /~-~----·day of ------------~-----------~~!;I:~~EY. .......... ~ ..................... 19 -~-~-- Witness: n/ "") • / (f;~{/}1/~). Jt;;_~ . ......... /. .. !:~------------------------------------------------·-----------------------------· ' ! i ., .; ) . ' Total amount received consists of the following: Tools and Gardening Equipment (Specific Bequest) Hunting Equipment. (Specific Bequest) 1!2 Household furnishings (Specific Bequest) Cash advance from 1/2 share in residue 1/2 balance residue '' Total \ \ ~ $ ' 83.50 208.00 ' il5.00}~:, . 1~000.00 -t-/-f~}/.og 3,047.10 $-.~--4 •. 453:-~ro . ,~ _ .. ~-:, --\-' ' .L -c ~ c.~~~~~ ·~ -;, ·" .. ';. .. ·r -----\ . .' .. .. -' .. ~-!o ::r: z 0 c ~ :ro ~ Ill "' !o :m li :11 :w 0.. ~ !(J'q ! I ··-yd.t'(Y." . ;Ia ('1) :m 0 · .. ::r: :co ' S Q /V.(j}!r~~ 1: :I . ~7r;~ _:to ::r J.~ts'ti,1 g, 0 r UJ. c ~ c+ 0 N "'1' .· . . -3 .1. S I EJ 3 tJ Ill ('1) Cl < ' ( ;· i·" 7 -... li , 7.:~ssrn.~ 0.. -4 ('1) J> ::s 0 ~ -4 Ul rn -2.1 ~ 'I J z 0 ::r 0 0 ~ .,t . he: {' .. ..., ~ C/ ',itr s "'I DL~ :Ia .... c+ --~ n _I . '() c+ 0 e~'J " m li ~ Ill 'J.. '7 I n -::s -n-.·r r ~ ('1) .:.::.1 ... : m '-<: ! -··' p;--'!>-.. ., ('1) '!>-~ c+ ('") . . J COMM:ONWEA~ TH OF PENNSVL VANIA ' -~ ·· Form RCC-33 .DEPARTMENT OF REVENUE BUREAU OF COUNTY ~OLLECTIONS RESIDENT DEcEDENT COUNTY OF Washington IAWORTANT: This return must be completed in detail and filed in duplicate, ·with will attached, with the· Register of Wills of the County where decedent ·reside~ Return is due within one year after date of death, unless an extension is granted by the Secretary of Revenue. (Section 703 of th~ Inl'Jerit!l-nce .. !l-n!l .E.E!t!lte _TBJC: A:ct of 1!!91.) george ~~OWJ-Td Rohm, atK/a AFFIDAVIT OF ...... ~Q:f.ge. ............ ~ ...... ~~Q~~;'-'f~}i"·;:;;;:~~ .. -~f .. d;;;;;;d;~t'}' ......................................... , .................. ;.. EXECUTOR IN THE 1\J.'\TT~ OF TI!E·ESTATE OF } Canonsburg, Yvashington ~tbl Late of ............ ............................................ ........................................................................................ County ::.:· .~ ~~:::=-_::_~~~~~-=~:=} '" ..... J..AM..~§ .... ij.QW.A.gp ... ~.Q!!.M .... ~.~ .... §!!~~-~-b .. ..!.~~-~~ .... ~.Y..~.?.: ...................................................................................... .. of the estate of the above-named decedent being duly sworn, depose and say Decedent dJed .......................... P.~.~-~-~~h~.!.: .......... ?..Q{j;;;·;; ............ , 19~-~~~}""·{ :::::::t~eaving a last will, copy of which is hereto attached. } Name and address of attorney or} other authorized representative to ····· whom all correspondence should be. mailed. Howard 0. Stevens, Attorney at Law. ···· IVieiion "aank ... sieig·~--~ .................................................................. . ..Canonsburg·; ·pa~·-15317 .................................................................................................................................................. .. Executors d txa:.;,ef ·1· 'th h ff · f · d h That as such ...................................................... eponen lQl am1 1ar WI t e a airs o satd estate an t e property con- ( Ex.,r.utor-Ailministrat.or) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of .access by another as agent or deputy, with the exception of the following:- ' NAME AND ADDRESS,OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAF~ DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT Mellon National Bank and Trust company, Mr. Geo. H Rohm and !1'atner ~t :(Canonsburi! Office) 1 West Pike St. James H~ Rohm {Son) ,..on Canonsburg, Pa. < , That the contents of said safe deposit box or boxes are itemized under Schedules ___ of this return, with the exception of the following, for the reasons hereinafter set for~h: That Schedule A attached nereto and made part hereof sets forth full v and in'·detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein. It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at death, name of mortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof as of date of death of decedent. · That Schedule 8 attached hereto and made part hereof sets forth f'ully 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 il),tlnts~ for • l t • • _,, . ,,,,_ any other person or persons giving also separately the accrued interest thereon, if any, down\}o the last~ interest day prior to decedent's death in the case of savings banks, and to the_ date of;dece'dent' s death·-:_ in all other cases; all bonds, postal savings, treasury_ certificates or notes and oth~r evidence of in- debtedness of the United States to the decedent; all obligations; whether by statute~or,.agreement they are designated as tax free, of the United States, or any state, or political subdivislo~ thereof, or of any foreign country, -which are owned at the time of death; all wearing. apparel, jewelrY, ·S~lve~ware, pic- tures, books, works of art, household furniture, horses, carriages, automobiles, boats,-.~n~ any and all other personal chattels of whatsoever kind or nature, left by decedent, together with the fa:lrly estimated· market value thereof; all bonds and mortgages held by decedent and of all claims due and o~lng· d~cede~t at the time of death, and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face value and estimated fair market value thereof, and if such estimated fair market value be less than the face value, it sets forth briefly the reasons for such depreciation ·as to each item; all moneys payable to the estate from life insurance polici'es carried by decedent; all annuity and endowment contracts the proceeds of which were payabl~ upon the death of the decedent; and all the corporate stocks and dividends due thereon and unpaid as of the date of death, bonds and accrlll!d itttl!t'l!st thl!t'I!I:IH ttl th@ dllt@ or dece- dent's death and other investment securities owned by the decedent at the timo or death, With the market value thereof at such time. '"" In ~he c~se of securities of close or family corporations, the values reported are as far as possible substantiated by financial statements of the corporations, showing the assets and liabilities thereof as of the· date of death. The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business, and in suppo~t 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. i ~ • f ' I . .•. The Schedule C a~tached hereto and made part hereof sets. forth a true answer to 'each inq';liry contained therein !tnd,in the case of transfers ofproperty, real or personal, within two years of decedent's , • 1 l w f ~ · 1 death, in contemplation of decedent's death, or intended to take effect in possession or' e.njoyment at or after death, said schedule sets forth the nature and value of such property, to whom tra.risfe.rred, ·the . ~ I • ! ; ' . relationship of ·the transferees to the decedent, the proportionate share received by each transferee .and all other facts of a pertinent nature regarding said transf-ers. In the case· of t~ansfers intend~d to take effect in possession or enjoyment at or after death, there is also attached to the schedule a.c0~y of the deed, trust agreement or other instrument creating the trust. Thero~ .is also set forth in said schedule a list of all property, real and personal, with its value, which passes at decedent's death by virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint- ment vested in decedent, ei•ther in'dividually or. jointl"y, .. by the will, deed, or other in.strument of another, with a copy of the instrument creating such power. attached to tPe schedule • . ·: That Schedule D attached hereto and made part h~reof 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, annul tants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary. That Schedule E attached hereto .and made a part hereof sets forth all property, real and per- sonal, owned by the of the decedent and real estate, and the decedent jointly with another or others, including intangible, standing in the name others, plus the date ana·place of .record of in:;truments .effecting.the vestiture of date of aGquisition of personalty, plus the name, address and relationship, if any,. de-a eden i~ · · ' ' · 'r .. l r .·· _, . .., · of co-owners to the I · ' . ~ .. { ' ' I' I That Schedule F attached hereto and made a part hereof .~'ets for:th lfuily 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 co~issions 'paid or to be paid; cost expended for burial trusts,. tombstones or gravemarkers, and reli-.. gious services, in consequence of the death of the decedent; debts and claims owing and •mpaid at time of death; taxes accru~d cha.rge.able for period prior to decedent's de'ath. (except. those. allowed under S~ction 651 of the Inheritance and Estate Tax Act); . together with a statem~nt 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 ·an~ allowed, that the same will be reported to the Register of Wills, and that the amount 'or tax assessed can be reassessed in accordance therewith. That the totals of the· app'ropriate columns in Schedules "A", "B", "C", have been carried for.ward and properly registered in the Summary , Subscribed and sworn to before me this ..... 2..& ------:·~~ •.. d•:on~··.·····l~== .............................. ... ..-~ '·""'~o-f ~-i I . ",_~·JOHN p, LIEKAR, Notary PubliC , . ~ ~:WASHINGTON COUNTY, PA. ~ ~ MY COMMISSION EXPIRES ~· ... ; JANUARY 30, ~970 ... .35.0.0 .. Cr.est .. Dr-ive ....................................................... ~ ........ M .. .. (Street Number) .M.Y.,r.r.y,e.:v..U.l.~ ....... P.a ......... l5.6.6.8 ........................................... . ·(City or Town and State) NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled' in ~ith detail~ o'r the word. "None", and in case the assets' 'include rare and unlisted securities, securities ~f close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summary" has been properly completed as above-directed. -!.-. RCC-34 (1·64) "COMMONWEALTH OF PENNSYLVANIA •J DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEPENI ;t· SCHEDULE "A" R€AL P·ROPERTY Real property in Pen~sylvania, with statemen"-1 of mortgage ~ncumbrances up_on each parcel at death of dece- dent. Where property heid as joint tenant or tenancy by entireties, report on Schedule "E". Property hf:'ld by the .decedent· as tenant in common with another or others/ s~ould .be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. (1) The real property located In the Commo!'lwealth of Pennsylvania should be. described by iot and block number; street and street number, together wl th a. general description of the property, with a reference to the record of the conveyance by which the decedent took title; If a farm state number of a- cres; al.so statement of mortgage encum~rances upon each· parcel at death of decedent. Taxes, assessments, accr.ued Interest on mortgages, etc.,are to be listed on Schedule "F" and. must not be de_ducted from this schedule. ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH All that certain 'lot or piece of ground situate in the Second Ward of the Borough of Canonsburg. Was .1- ington County. Pennsylvania~ and located on the Eas side or' Je'fferson.Avenue·. and is bounded and descril ed as follows.· to wit: Beginning at a pomt in the eastern side of said Jefferson Avenue at the northwest corner of lot. of Estate of J. J •. Miller, formerly of George Organ' thence eastwardly by -lot of said Estate of J , J, lVfillE r. 16.5 feet to lot ofBoyd·Kelso; thence northwardly by l~t of Boyd Kelso• 41 feet to the southern boundary line of lot of Mary Paxton ·Hamlin; thence westward!~ along the southern boundary lirie ot lot of Mary Paxt< n • I Hamlin. 165 feet to Jefferson Avenue; thence south- wardly along said Avenue• 41 feet to the point• the · place of beginning. .. Being the sru~1e lot of ground conveyed by Ruth BrE hm• · ~ingle. to George H. Rohm and Ruth E. Rohm• his ·wife .•. · by deed. dated A~gust ·1. 1941 and recorded in the office of the Recorder· of Deeds in and for Wash_. . . .l~if . ii'lgton County aforesaid. ib De~d Book Vol. 648• · · page 347. The said Ruth E • n:gh~ died July 7 • 1961• whereby full title to the within described premises beca~e vest.ed m George H. Rohm., as surviving tenant by the ~ntireties. Value date of death : ~ sty brik house Lot 41 x 157 ' 1. 915.00 370.00 ·' <" ;' ~I ! I 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. (2) ESTIMATED MARKET VALUE ., ' 9.~000.00 (3) DEPARTMENT VALUATION CAUTION (Do not wr lte In this space) '• ·' ., \ C'Om!0\'.1"1~.\LTH OF PF~NSYi,VANIA 'Fll\N8FFH. INHElUTANCE TAX llESJ])E\'T DECEDENT SCHEDULE "C" T !liZ:~ S FE!lS ' (1) Did decedent, within two years of death, make any transfer of any material' part of'his estate, without· receiving a valuable and adequate consideration therefor? (Answer yes or no) __ ~~~ (2) Did rtecedent, wi thln. two years of death, transfer property from himself to him~e~f and a'nother or others (including a spouse) in joint ownership? (Answer yes or no) N . (3) If the answer to (1). or (2) above is in the affirmative state: · 0 (a) Age ·of aecedent at time of transfer------ (b) State ·of decedent's health at time of making the transfer. (Note 1). (c) Cause of decedent's death. (Note 1). (4) D.id decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect j_n possession or enjoyment at or after his death? (Answer yes or no) __ ~~~- . . · (a) Was there a~ 9ossibility tl'!at the property transferred might return· to transferer o.r his ·estate or be subject to his power of disposition? (Answer yes· or no)----- , (b) 'ivhat was the transferee's age at time of decedent's death?------- (5) Q.id ·dece'dent 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. i'n fac.t end before his death: · ' ' (a) The possession or enjoyment of or the right to income from thl'.· property transferred? (Ariswer yes.o~ no)---~~~-- (b) The r-ight to designatel'if.i\e persons who shall possess or enjoy the property transferred or ' income therefrom? (Answer yes or no) ·. · (6) If the answer to (5) (b) above is in the affirmative, NOte whether the right was reserved in decedent alone or 0 thers ________________________________________________________ ~-------- (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of car~ of transferor? (Answer yes or no) · · (8) Did decedent, a't any time, transfer property,. the benefiCial en'joyment of which ~g stibject to change, because of a reserved power to alter, amend, or· revoke, or which could revert.to rlecedent under terms of transfer or by operation of law? (Answer yes or no) __ ~~~---- (9) If the answer to (8) above. is in the affirmative, was the pt'tQr to alter, amend, or revoke the ln~er-. ' . . . . est of the beneficiary reserved in the decedent arone or the decedent and others? (Answer yes or no) · NOTE 1: The answers to these questions should be supporterl.by affidavit by the attenrU.ng physician as well as a· copy of the death certificate. . NOTE 2: ' If answer to any of the above questions is yes, set forth below a description of the property transferr.ed; it's'fair market,value at·rlate of death; dates of transfers and to whom transferred, with relationship of transferees to rlecedent, if any. Submit copy of any trust deed or instrument, if trans- fers are claimed to be non-taxable, also submit detailed statement of facts on which ~aid claim is b<lsed. ·NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or. E. ITEM ' i I i ! l I DESCRIPTIO!"/ NONE Insert thi.s tnt:o.1 opposlte "Tr,.Lns·fers", Schedule "C" in the "As Reporter!" column on the last page of this return. ·' MARKET VALUE (Estimated) None . \ DEPT. VALUATION (D~p t. ·On~y) ;> ' RCC-35 " .r ., . ' '-\· . )' ..... · I COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE 'fAX RESIDENT DECEDENT ·SCHEDULE "B" PERS8NAL PROPERTY INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually by the decedent, at the. time of his death. Property o~ned by the decedent jointly with another or others must be listed under Schedule "E". Intangible personal property, titled in ·the name of the decedent, but payable at death to another or other:s, including but not limited to p,Q,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 person~! property, such as bonds, treasury certifi~ates, 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 or.or income from any property held in trust under the will or agreement of another, even though located outside of the Sta,te, at the _time of death,. should be listed in this schedule. .. ----~--~-·--~--------------------------------------~-----T------------~----------------- Item No. ITEM UNIT ESTIMATED List and1 describe fully VALUE MARKET VALUE ' ' 1. Cash on person 2 ' . Checking Account No. 356-4923 in Mellon National Bank and Trust. Company (Canonsburg Oftice, in ~tame ot George H. Rohm or James H. Rohm. (Admitted to be property of decedent) Balance .date of death 3. Christmas Fund in Mellon National Barut and 4·. Trust Company (Canonsburg Office) n/o George H. Rohm Savings 'Account No. 209•09-6070•01 in' Mellon National Bank and Trust Company, (Canonsburg Office) in h/o George H. Rohm o~· James H. Roli m, (Admitted to be monies ot decedent) Bal. date of c eath 5. Death Benefit from K~ights of Pythias, Canon 6. 7. . Lo~ge No. 204. Check from Protected Home Circle • Refund of · Premium Blue Cross of Pennsylvania -Refund of Premiu p. 8. George M. Cha~lener Agency • Refund of premil~ 9. ·to. . 11. 12. 13 14. on Homeowner's Policy N.o. H94984 45 -General Accident Company Continental Cart' Company (General Pension Fum ) Reimbursement for part hospital expenses -las llness Lot of Garden Tools and Equipment ... (See itemi~ed "list in Exhibit A._ attached hereto) .. Lot of Tools .., (See itemized list in Exhibit A, attached hereto) . Lot of Hunting & Fishing Equipment (See itemiz• d list ip Exh~bit A. attached hereto) Incomplete set of Bone Chinaware (originally . 12 place setting) Lot of househ()ld furniture (See itemized in Exhibit B. attached hereto) 8,00 136. 11 48.00 129.80 100.00 15 .• 10 38.80, ' 32.00 77.20 61.75 21.75 208. OQ:. ·so. oo 230.00 DEPARTMENT VALUATION (Do not write in this space) ·• .. f.oo /it. II -<jf. 6 6 .•. ?J ..(0 ol/1S So.uo o/30! 00 Insert this total opposite "Personal Property", Schedule "B" in the "As Reported" column on the last page of this return. X X 1. t5G.5t /;st.· .5/ .·-: ,. 1. .••.• ...... :COMMONWEALTH OF PENNSYLVANIA THAN~FEH INHERITANCE TAX HFSIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY . ' ·'. :,•. · . IKSTRrCTIOKS: This schedule must dlsclose all p·r.operty, real and personal, owned by the decedent jointly with 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 tlie date and place of record of instrument effecting vest:i.ture, 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-o-wners to the decedent. Description of Property, Da.te of Acquisition, Name I Unit. Adqress and Relationship of Co-Owners, and Place i Value percentage Estate of Record of Instrument, where Real Estate. 1 NOTE: See Schedule "B" herein, wherein is sted checking account N-o. 356·4923 and Savings IAccouf1t l'Jo. 209-09'!'6070..,01, both in the Mellon Nat~onal Share Valuation Bank and Trust Company and both in the nal~es of George H._ :Rohm or Jame_s :a. Rohm (Father and so!n rest ectively) whi·ch account~ were admitted to be wholly tlhe prctperty of decedent and therefore, were listed under "~ersof1al . Property", Schedule "B" herein. as Administrati~ e ~ssets of th~ estate, at the full balance of e ch ac~ount •. ~ ·. Insert this total opposite "Jointly Owned Property", Schedule !IE" NONE in the "As Reported" column on the last page of this return. DEPARTMENT VALUATION CAUTION-Do .not Wr:i,te Iri This Space. · Value of Entire Propenty I I vai-u·e of Deced~nt's Inter-est '·. · .. I· I \ h 1-' I 1,' RQa .. 37 ·(12-63) etnn\L)~\\'1-:Al.TII OF PE;'\~SYYl.:\N\.A THANsn:R l~IIEHiTA~l'E TAX . RESIDENT DI::L'EDE~T SCHEDULE "D" -BENEFICIARIES BENEFICIARIES AND ADDRESSES' RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF State full names and addresses of all who illegitimate children DECEDENT OF BENEFiCIARY ave an interest, vested, contingent or other-are involved, set STATE YES IN ESTATE wise, in estate) forth this fact.) OR NO BIRTH i James Howard Rohm. Son Yes Slui .T uri~-: '350 West Collette St. -' L 1/2 Residue Canonsburg, Pa. 15317 Susanna Irene Butz Dau£rhter Yes Sui ~Turis .. . 3.500 Crest Drive 112 Residue Murrysville, Pa. 15668 ' ' -''' .. ' .. ' ' ·- ' - - Deponent fUrther says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE ,. .. .... ' . , ,, _. Will {. N Administration · \ o. Year: ..... : ..... P.-1 THE ~lATTER OF THE APPRAISE}.·IENT OF THE EST.\TE OF GEORGE HOWARD ROHM. a/k/a GEORG.E .. H.~ ... R.OHM., ... Deceased Late of . -Canonsburg .... County of . '\1\f ashington . . ·ii-. .f.: -o ~~~--Commonwe·.lt}i of PennsvlYinia i I' ~::::0 "u::> l:> m :::o ·--<::.n G") c: c._ -:x: -(f) c:: r -en en r--RE..roRiT n:t. ND APPR*ISAL G')rrJ ~ -E'~ -i __ r c:n . ...u I r-:-v· 0 0 .... _, :z: -n ~ -o: ~ 0 --l> ::x-0.-.-:: ;;':) :-.. r= :z -o.r-0 ~(f) .--> ..c- t.r.1 co Howard 0. Stevens. Attorney ~ -~,: ....... ""-. (Executor-Administrator must complete "As Reported" column #1.) 0 ,..., >-c:1 "1 "1 ('1) 0 ~ "1 "' ::s "' "' "' 0 ....., ::s ,..., ('1) e:.. "1 ~ "' X >-c:1 ~ 0'" "1 (b 0 '0 t%1 ('1) .... "' .... ,.... '< ~ .... ('1) V'L Vl (") (") ?" ?" q ~ ~ ('1) e:.. >-c:1 "1 0 '0 ('1) "1 ~ Vl c ~ -~ > ~ Vl >< (") ?"' ~ ~~-fh~~~ ,_ :o .. :,_. oCTI : c:» :o ~01 :- . > : :~:co"' ,z ,-. ,-. ~ '0 :~'0C1l~ :::s :en :o'g ~ ;ro !~!~!. -oo~-~~-oo~ ~:: ... ~: "' :~ ;6'\ :~ ~ > :r. .:t:--(,.,. ti : ( "' ~ ., : ~- (.,. _:~::~ r. '"' : '. ""'1.-~ Q 3 > :q :;· ~ :~ 8.; :" :0 •' ' \:, / ..• •• ~ I·, · .. • > -~ ., ~.:5 ~i RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT .TAMES HOlv~,RD ROHM f-i SUSANNA TRRNE lHIT7 IN YOUR REPLY PLEASE REFER TO 37-174-4 In Re: Estate of ___ _....:G~E~O~R~G!:!.:E~H!..!.:O~W~A~Ru.D!!.--!R~O~HM!..Y:.!. __ _ _____ ...,!W.!..!A:!:.JS>Liu!.-!o.I.J..JN~G!.....!T~O.!.!N.!..J ____ County -File No. 63-69-6 You are hereby notified that the original appraisement in the estate of George Howard Rohm has been filed in the office of the Register of Wills qfWahhington County on Augsut 1 , 19 69. Said appraisement reflects the following valuations: Real Estate __ ~------~9~,~o~o~o~o~o~---- Personal Property ____ ~l~,~l~5~6u·~5~1~---- Transfers ____________ ~~~--------- Total _______ ~l~O~·~l~5~6~·~5~l~· __ As to such ~ax that is paid within three months fromAa~e of death, a five (5%) percent discount is allowable. As to any ~ax that remains unpaid after one year from date of death, interest at the"rate of six ( 8%) percent per an.num is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date Signe~:!z Q, ~ Title ~ HTEF APPER DATE OF DEATH: December 20, 1968 Note: This is not a bill. RCC•39·(5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of~R~O~H=M __ ~G.uEuO.uR.u:GuE __ uHllOW=.A.u.Ru.'A ______ DATE OF DEATH 12-20-68 FILE NO. 63-69-6 (Last Name) (First Name) (Initial) REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington' Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each i tern in the last column to the right in Schedules "A", "B", "C", and "E". Daw~ 08-01-69 ------------~=-~~~~----~-12-20-68 REPORT OF THE R~GISTER OF WILLS I, the undersigned duly elected Register of Wills in and for County, Pennsylvania, do respect- fully report that I have allowed deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated: ..... ____________________________ _ REGISTER OF WILLS INVENTORY VALUE AS APPRAISED VALUE AS REAPPRAISED Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) $ $------------~---Q nnn nn 1 '1 56 51 Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDU'LE F) CLEAR VALUE OF ESTATE Valuation of life estates or annuities . . . . . . . . . . . . . . . . . . . $·----'---------+---- ESTATE TAX ASSESSMENTS $ __________ ..____ 10 156 51 FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on·$ 2% $ __________ -4--- Tax on$ 6 o $ ___________ -4---- Tu~$ % $-------------4---- Tax on $ ----------------1---10% $ ___________ -4---- Tax on$ 15% $ ____________ -4---- Exemptions * (*),As evidenced by Charitable Total Estate-----------------'--- TOTAL TAX $-----------~---- Less tax previously paid $========!== BALANCE $----------+--- Less 5% of tax if paid within 3 months after death $========= Add interest at rate of 6% from -------------to --------- AMOUNT OF ESTATE TAX ASSESSED $----------+--- Estate tax paid $ _________ .....J __ ..... BALANCE·DUE $ __________ _J ___ Add interest at rate of 6% from ----------~10---------$----------~---- TOTAL TAX BALANCE $ -----------+--- PAID $ ------------1..---- FOR USE OF REGISTER ONLY ADJUSTMENTS i Exemption Certificates issued -~by the Secretary of Revenue. NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ( No .................... Year ........... . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF .... Q:E..ORQF; .. H..O,iARP ... RO.BM ........................ . Deceased Late of. ..CANONSBURG ....... . County of ................ .WASHINGTON ..... . Commonwealth of Pennsylvania REPORT AND APPRAISAL . 'I / ~- ···-c r:." .• .;--..,,J ' .... , :>·.(; ·. , . • ~"-· :·:,_<" --~.;~:~· -~ •--"-DEPARTMENT OF REVENUE COMMONWEALTH OF PENNSYLVANIAn RESIDENT INHERITANCE TAX APPRAISEMENT DATE .......................... A.u.gu.s.t ..... .J. ... , ....... l.9.6 .. 9.: .... . BUREAU 6F COUNTY COLLECTIONS y Washington COUNT ......... _ ........................................................................................ .. ... JIARRISBURG, PENNA. 1 7 1 2 7 FILE NO. .. ................. 6..3. .. 7.: .. 6. .. 9..:-.. § ............................................ . Whereas, .................................. G.e.o.r.g.e ..... H.o~T.ar.d ..... Ro.~ ...... ~ ............................... late of ............................ C..an.Q.ns..b.:u.r.g ....................................... .. in the County of ....................................................... J:la.s.hin.gt.on ..................................... Commonwealth of Pennsylvania, having died on the ............................. 2.0 ..... th ............................................ day of ................... P..~ .. c..g.:mb.e..:r .......................... 19 .... 6.e., seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Penn~ylvania; Therefore, I, .................... , ................. W. .... .R.D ...... Cha.n.ey. .................................................. , 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 llfe 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. Description of A11et Unit Values Appraisement Made for Inheritance Tax Purposes $ ----~----------------------------------------------------------------------~------~----------+----- REALTY: --~~~~------------------------------------------------------~----------~------~----------4----- All that certain lot or niece of ground --------~~~~~~~~~~~~~~~~~~~~~~----------------~----~~--------+---- ~;1-11::11-P ;n t:he SeE:ond \vard of the Borough of --o' · · ---o -·., ' " <>-nrl ln,..~~~rl nn ~'h~ R~c:11"<1;np nf' Jpf'fpr~nn A,rP Q.OOC 00 PERSONALTY: See Schedule ~tB" Of annraisement attached hereto. 1, 15E 51 ::: t'' ~ .. .. '. I ~ : ., : .. I .. I . -1 ;\., Total 1:0 156 51 .. ... -.. .. ------------------------------------------------------------------------~------~----------+---·· ............... WASH.INGT.O.N.................................... Cou11tj_ ~I.: RESIDENT INHERI'l'ANCE TAX APPRAISEMENT Estate of ............ Q~.9.R9.J!.: .... H.QWARP. ..... RQBU .................................... .. Deceased. Late of ,·' ......................... f.'.~ ... CANONSBURG .. ,.., Date of Death, .............. P.~.9 .. ~m.P..~.:r. ..... ~.Q .. , ...... l..9..6.8 d Appraisemel!t Docket Vol., .......... 3. . .7. ................................... . Page, ... 1.7.4.~.4. ....................... No. 9..3..::-.. 9..9..:::-.. 6 ................. .. Filed in Register's Office, ... Aug.u.~.t ...... l., .. 19 .. 6.9 .. Amount of tax due, $ ................................................................... . DEPARTMENT OF REVENUE Received, Exa.mined and Approved, ..................... .. Wrote abo.ut Appra.isement, Appeal j1'om Appraisement, Entered and charged, .... ' ., Sll\t:1 .:U tC l_Sl~:;:.J 0\H(!'~',.~ ll3SS!iH g£ : c: ~l'J n ~ .,. '·""~ ('lL~"o, U Q\~·,.: U IL. 03-\\J .. ;... '-' r ( ' ,-- Form RC C•lO .-' --~ 'OFFICE OF THE REGISTER OF WILLS oF Washington COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN Ge.orge H.o_wa.rd Rohm. a k a ESTATE OF Geo't'ge tl, jtonm, LATE OF _--.;C:...:a::..:n:.:.O;;.;n=S.::.b.;;;U:.::.r.I:.gu•~p....;a::.::..• --------- DATE OF FILING APPRAISEMENT ----------DATE OP DEATH -=D;..;e~C,._e""m=b::..e""'r=--:2:..Q:::..&.., ....::1._.9._.6._.8"------ DATI!: NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHEit 1\Jti ~ Jan 9 101 Bell Telephone Company Final Bill 1 05 Jan 9 105 R. A. Douglas Furnace repairs 5 00 Jan 21 107 James B. Shaler. M.D Last illness 30 00 Jan 25 108 John T. Hart Funeral Home Ambulance service 20 00 Feb. 111 George C. Clark Opening & Closin~ ~rave 75 00 Feb. 28 115 Katz Br~thers Hardware Supplies for repairs 3 13 / Mar 14 120 Robert E. Wylie. Funeral Home Funeral Expenses 1, 198 00 Utilities paid from 12/20/68 to 3 '17/69 while house was held for sa e: i~:-----r--~r----r~C~o~l~u~m~b~i~a~G~a~s~C~o~m~tp~;a~n~tY~-----+--~G~a~s~s~e~rv~ic~e~------~$1~1~2~·~1~5~------r---- Boro of Canonsburg Sewage charges 7. 68 Citizens Water Company Water service 9. 36 West Penn Power Co. Electric service 15.85 First Federal S. & L. Assn. Seller's share of expenses relative to sale of house at 242 N.Jefferson Ave. Csbg. IPa. 'c1>111 c::n . Pro-rata share 1969 taxes: 1% Penna. Realty Transfer Tax 90,00 Howard 0. Stevens ... Reimbur~ ement for following costs adv.: Russet! Marino Reg. Probate Will and Washington County Reports Xa~~~t~~_LfMl~s t~:88 The Daily Notes Advertis. Letters 12.50 145 04 IV .......... 1 Q 1 1;0 John P. Liekar Notary fees 6. 00 45 00 ----~,---~----+-----~~~~~~~~--------~--~~~~~~----------~~-+----~-r~-- Howard 0. Stevens. Attorney fee 500 00 " u \(/ COMMONWEALTH OF PENNSYLVANIA } W h . gt sa· COUNTY OF aS ln on · ~We, .Tames H. Rohm and Susanna Irene Butz, JOHN P. LJ EKAR, Notary Public WASHINGTON COUNTY, PA. MY COMMISSION EXPIRES JANUARY 30, 1970 Executors IIEREBY CERTIFY. THAT. TO THE BEaT OF f' ,\ .. : C8 '") -~.J 'I J .. o cu ·'·' v~ 'j \ •. () ' :\1 ·'' • ,-. r ,,\_. 1 ... .. \., ·~' j J ('. ( . ' . '. ') -- '. :: r d !' '; ' ... '· ~ ... j: ·r 1 • • r .i' ... .t:-"' . r· ."' ... r~ f : : '.£ ',l ~~ j -~.,!_'J'' JI ~ .t r;. ·,, ..... I ' "',1 I .• ( ., j '!Jf(·ll J.. _. .. _, .. :·1'1 r ('J' \ I ··' I... · Ct... L'' :. ,: . 'I .L ') ., .-.,• ... 'I l ··.r,! 'j r j .. f • ~ • 9S ·.~ ~ :r r I. J:: .. , r.: I ., I f • ·;. 'I ~I l f•J Li. ·r , J . i. . • J J: ( ' ~ v . r . 2 ~-~. ·, -~~ /1. '-'~· ' ' ''""I :...•,!" r, \ ... _ tC 'I . ,, --=-:.r- . \ . ' ,. c.'' ·\ \ , r.:r i ·; f.-.:.s·.r •. .1 .• ! l .. II ·r If 'I . "' . ·' I' 'I ' -:J r • l ._, ~. ... .(. I \ I • L ....... f ') . .'J 1 1 !l . :. •' r ,-.. ... r -. . ' •''"'f.) ' I_ : .. i ..., _, 'f.. .i: r. ·:ti".- , .. J,·C1 I. 1 r ~: ·' 1 ' · r • • 1. .•. t .. I ;,;, ·:-...·_. .J • '' I l .( ".•. I'• II !1. ·' . ' ''l •../-. •. l .~ .. -~ )' i ( ,...; ' .... ,( . r I I: . I ~' ,{ ,. ·,. ' \ \ I[ •J ~ i ' (l l ti ~ 'i! . :1 .. , \ .. rul ', : I . ;_ ,.. .. ,,~ • .. , . r •: ; ) .. ,,.., I ~ ! [: 'i ,;, ,/ ,,., (:; ' ,[ . ( ; \. ·- .(•" \'( J, ...,_ '"',, i I\. ', . 'r . f. '' 0 1 ~ ; l· ; .., j •. ,;'-·· "' ' t) .. t l: c. • "I : :. ·' ,, ----:-·-·--::-·----·-..;---.------------·.-----,---,-.----~,-~-.·-·-------------·---.-·---~.-·-~··-··-.- P=~~~~~~~~~~~~~~~~~~~~lJi RCC-4.(8-681 COMMONWEALTH OF PENNSYLVANIA I DEPARTMENT OF REVENUE .NO. A 0 8 53 4 3 OFFICIAL RECEIPT • PENNSYLVANIA INHERITANCE AND ESTATE T~ • dollars RECEIVED . FIFTY-SEVEN and 08/100 : : : -• - - -• - - -• • - James H. Rohm & Susan Irene Birtz, Excr. repr~senting Pennsylvania Inheritance or Estate Tax due from the following estate: .From:~~~~~~~~~~~~~~~~L-------~--------------------------------~-----------------1~1 A~dress. MELLON BANK BUILDING CANO~SBUR(;, PENNSYLVANIA 15317 File No. __ 6_._3_..;._6_9_-_6 ___ Dote of 2 o/o Tax on $ _________________ "'------------------lr..ll . 6% Tax on $ __ 7'--"-,.;;;...9-"-5=1;..::; • ...;;;2;..;:9:.___ $ 15 o/o Tax on $ ________________ _ $ o/o T ox on $-----------------$ Estate T ox, Act of Name of Decedent G~ORGE HOWARD ROliN aka etc. May 7, 1927 $ County __ ___;__W_A~S~H_I-=-N_G......:T_O_N_. ---------i Remarks:· .. ,.. -.. " -, TOTAL TAX CREDIT p e Less five percentum of tax if r V • paid within three months after date of death Plus interest at the rate of __ % from----------------- to ______________________ __ Pa. 477.08 420.00 57.08 $ $ ________________ __ TOTAL AMOUNT PAID $===5=7=·=0=8=== /;) r. c·· c J .. Received by J (~t.V..J.-..J....tJ-{::.:....-· 7 h /2.· .r.. ...... c.. o.-~o NOTE: In oc~~piing the transfer inh_erii~nce tax on future estates, prior to the death of_ the life 1 _.,._.-. ) • (Signature) _, 'tenant or tenant for years~ as evidenced' by this receipt, it is understood that the Commonwealth shall /!' ./ ).' / , .. / . not be precluded or prevented from hereafter assessing additional inheritance lox at the death of the L.I..-~.~·U.c. ~L .. p"'~/':::?._...-· life tenant or tenant for years whenever it appears that such additional lox moy be legally due ond--'-----=::.,,.,;,-:::.:==..L..::..""--(:;--:tAT~it-:-le-:-)"-'-'::..__:.:::.....c::::....= ________ ~-'- collectible for any reason whatsoever. VI