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OC1969-0014 - ESTATE OF WAGNER
, Testate Form PETITION SUR AUDIT •, IN THE ORPHANS' COURT OF WASHINGTON COUNTY f?ETER WAGNER Estate of _____________________ -----------------.................................. -.-.. . No ....... fJ3 ... :-... 6.9 .. ::· __ _j_4 _________________ : •...............• -·--------·------------------·---·-------·--------·------------------------------------------· Fiduciary ........ ~!.!.~---~: ... ~~~-i-~~--------------·:········------ Deceased Date of Date of Decedent's death .. !?~.'?~~-~~-~-}.!.~.J?.?.~----------------------------Grant of Letters .... ~-(_3-~-~-?.CY. .. ~'----'-~~~-------------------------------- This is the ....... ~_i_:.~~--~~~-f~-~~-~---------------------------------------account filed in this estate If there have been former accounts filed in this estate, list file number or number and term .... ----------------------········;· Election to take Not app I i cab I e Under or Against will. (cross out one) ' ' Date Election Place of; Filed ----------------------------------Record : ____________________________ _ Name of surviving spouse ............... ~9n.~------------------------------: ________________________________________________________________________________________ _ . List issue, where material: l .,.., ' ... " .~ Did decedent marry after execution of will? (indicate) mxNo. Any children born after execution of will? (indicate) ~~No. If answer yes, name them .......... ·----------------------------------------------------------··:·----------------------------------.----------------------· --------------------------------------------------------------------------------------------------------------------------------------------------------·-;·i·---------------------------· 'Leg.atees Opa I; Smith Charles Wagner Dorothy Pickens Haro I d Wagner, Helen Chaney V i o I a MuMeman Haro·J d P. Wagher Alfr_ed P. Wagner J u I i a Crawford Joyc~ Bed i I I i ori Carol Wi IIi ains ' ··' Frank ·wagner James P. ·Wagner Jennie Burnfield Norman_P. Wagner List, if exceptions to above: If partial intestacy, give facts: Relationship Granddaughter Grandson Grand.aughter · Grandson Granddaughter Daughter Son Son Daughter Granddaughter Granddaughter Son Son Daughter Son Adeemed: Revoked: NONE NONE '· Interest Fiduciary, if deceased or not sui juris l/50th l/50th !/50th !/50th f/50t 1/IOth' 1/IOth. 1/IOth 1/IOth 1/lOth{ ~~ l/20th). 1/IOth 1/IOth 1/IOth 1/IOth Lapsed: Abated: Give Couse: I Notice to interested parties. Hove all parties, having either vested or contingent interests and all crediors entitled to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. ~~ · If any exception give cause: ............................................. . File copy of Notice · and date of. mailing ................. ~~~~~~!: ... ~~-~---~.?-~.? ............................................................. : .. ~: ........................... ; .......... . j '' I I I Is estate subject to the filing of a Federal Est.ate Tax Return? ........ N0 .......................................................................... . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ......... ~.Qt:l.~ ........................................... . 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 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. None 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: None ; !J .!~~ ' ~..... _... .':.-.... -;::;-..- Balance for distribution per acco~nt, Itemize any additional debits not shown by account: Total 1 additional debits (Add) ltemiz~ any additional credits not shown by account: ~~)6( Total additional credits (Subtract) Balance for distribution $ ... .J I , 492. 28 .................................... $ ................................... . $ ................................... . $ ... .!.!.1.1.?.?. 28 .................................. If balance for distribution is "riot in cash, list each item held in kind, giving appra.ised Value (or distribution Value); Cash . .. •:' l•f F ·1 E -I - d b · P · · · · I f R d· . None , ami y xempt10n C a1me y er1t1on, g1ve pace 0 ecor ------------------------------------------------------------------------------------. . l.f F 'I E t' . I . d . d' · · ·1 · · h' d b · f Cl · · None , am1 y xemp 1on IS c a1me at au 1t, g1ve name, re at1ons 1p an as1s or a1m ......... ---------------------------------------- List any advancement or distribution on account that has· been made, and nature and amount of same: None Suggested distribution of balance shown, both as to· principal and income, attaching signed and itemized elections t9 take in kind if balance is not in cosh: residuary shares being stated in proportions: Opal Smith l/50th residue Char I es. Wag her l/50th residue 6orothy Pickens .I /50th residue Ha ro IJd Wagner l/50th res due Helen Chaney l/50th r.es due Viola Muhleman 1/IOth res due· Haro I d 'P. Wagner I/ lOth res due Alfred P. Wagner 1/IOth res due J.u I i a Crawford 1/IOth res due Joyce Bed i I I ion l/20th res due Carol Wi II iams l./2011rh res due Frank Wagner 1/IOth rest due James P. Wagner 1/IOth residue Jennie Burnfield 1/IOth residue Norman p. Wagner 1/IOth residue COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ....... .S.'O'.QCn .................... 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 ........ -~-~!': ................. knowledge and belief. ~-<k ... flz.~--~~--------------------- Executrix ... 1). " ..._ No. . .. 6.3. .. :-... 6.9. .. :: .. J. !1 .............. _ ....... _ ..... __ .. Estate of ..... .E.~T.t;R.JI£8GN.I;R ........................... · Deceased Fiduciary ...... !:.L~~--~-~---Q-~_\:1_1 TT. ------------·---------------- PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A .WILL Counsel of Fiduciary will submit herewith the· following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1 .. Written praecipes of all Counsel in the case. 2. Copy of order appointing Guardian ad litem, if pertinent. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. 3. 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. McCreight, Marriner & McCreight R Y..--------------------------------------------------.. -... -.......... . Attorney ~2 • <~> S~Jt~:! :ft)}C:llSfD3y o,,,&"V"N lfJssn& ."''' .. ~~"·_:_--r_>" ~-:' :l ~-; ~~" > • ·-;. ,~J . . -~ ::: -~... .. . t/ ~ /"':> (' .,· I j•/ ''> '! 9 r: : ii I!V 91 O:O{rf 60.~-, ~ vO. OJ 7t_~f ' ',· M~CREIOHT, MARRINER ~ M~CREIOHT ATTORNEYS AT LAW IN RE: JOHN B. M~CREIOHT STE:PHB:N D. MARRINER .JAMES C.MGCREIOHT ESTATE OF PETER WAGNER, DECEASED saO WASHINGTON TAUST BUILDINO WASHINGTON, PENNSYLVANIA 16301 NO. 63 -69 -·· 14 N 0 T I C E A RitA CODE •12 PHON I!: 2211•111100 PLEASE TAKE NOTICE that Li Ia M. DeWitt, Executrix of the Estate of Peter Wagner, deceased, filed her First and Final Account in the Office of the Register of Wi I Is of Washington County, Pennsylvania, on Tuesday, October 14, 1969, at No. 63-69 -14, and that the same wi I I be presented to the Orphans' Court of Washington County, Pennsylvania, for confirmation November 24, 1969, and be called for Audit by the Court at a ti.me ··fixed by the Court during the week of December 8, 1969,. when and where you may appear, In person or by counsel, and be.heard if you so desire. Washington, Pa. October 16, 1969 John B. McCreight, Esquire McCreight, Marriner & McCreight 520 Washington T~ust Bldg. Washington, Pa~ '15301 ,· .I .• ,.Jiif• to 1"7) .. C) -O<r.l -. <:-J -~ tu :i!:: 0:3;: '1 ""' ~4. f ...... 0 ~ lo ::fa= --'-J tu'-'-1 LL_ <r.l'-0 (/)~ :.. :::;,(.!} eJ O.:tu 0: 8$ 0') ·-· I I I I ~ I . ' ........... _ '1'1- atnmmnuwtalt4 nf Jruusylnanta, } 1mt .. 'tft .l1l1. :n~ao"tqton ".ouutg, . KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid on the 6th. day of January Russell Marino A. D. 19 69 , before me, , Regi~ter 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 Peter Wagner late of City of Washington · in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and Lila M. DeWitt trix the ExecullDx m 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 TESTA1\1ENTARY, ·unto the said Lila M. DwWi tt committing unto Her the administration of all and· singular the goods and chattels, rights and credits, which were of said deceased, and requiring Her 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 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 6th. day of January in the year of our Lord one thousand nine hundred and Sixty Nine . :9h . ' .............................................................................. ~.4. ............... -....... _.~ Register ,' ' . . ./ I, ., .. '· .! , . . ,, . L' l :~~. I' I' :1\:; II l fi:::t ... 'I ·.11, \ :f.i ·rt i . l 1 j . I I ,I . +··. . '. . ~ ~ \ ~ ... ··o . ... .0.· ----_ _, .... ......_ --·-·· .... __ .... ·-~ .... ___________ ·~-_ _... __ ., ____ ,.._-., ·--··~:-~""--.. -~ .... ~+~-··"'- . ~ . . .. • l. f .. WILL OF PEtER WAGNER t, Peter Wagner, of the City of Washington, Washington County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking any other Will or Wills by me at any time heretofore made. ~ I direct my Executrix hereinafter named to pay all my just debts and funeral expenses as soon as convenient after my decease. ~ All the rest, residue and remainder of my estate of whatsoever kind and wheresoever situate, I give, devise and bequeath to my children, Peter J. Wagner, Viola Muhleman, Harold P. Wagner~ Alfred P. Wagner, Julia Crawford, George P.· Wagner, Frank· P. Wagner, James P. Wagner, Jennie Burnfield and Norman P. Wagner, share and share alike. ~ I nominate, constitute and appoint my granddaughter, Lila M. DeWit~, .to be Executrix of this my Last Will and . Tes·tament. WITNESS my hand and seal this _!?..-:./ 11( da.y of January, 1961. (SEAL) Signed, sealed, published and declared by the above named Peter Wagner, ~s and ·for his Last Will ~nd Testament, in the presence of us, who have hereunto subscribed our names at his request as witnesses ther~to in the presence of the said Testata~ and of each qtber. I / .. I . ' .. / I , I .. t .. .. ·,' j I, 'f I J "'ffi?tauit ®f ifxrrutnr ®r Abmtnistratnr ~bt1.r nf J.ruusgluauta } C!tnuutg nf llas4tugtnu ss: P I b f h d ···. d. th .t Notary Public . d f 'd ersonal y e ore me, t e un ers1gne au ·on y, a --------------------------------------------m an or sa1 County and State, appeared. _________ J~!J~ ____ M_! ____ ~_W_~t"t __________________________________________ .. who, being duly sworn according to law, deposes and says·that he is the executor or administrator of the es- tate of ____ P.~J~t ___ :W~g~-~~-----------------------------deceased, that the foregoing schedules constitute a complete inventory and appraisement of the· real and personal estate of ---~~~~-~---~~~~-~~----------, deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items··as of the date of the decedent's death, based upon a just appraisement of each item made by the above named Executor Administrator. ·' s· c d b ·b d b f thi 26th F ~ · . wo.rn an su scrz e e ore me s ........................ . . •. ~d y of . .Mav. 1~69 ,. .. .... ~ ... 0.? ..... 4.~L~ ......... . / ·~···· .. · •• • · ·················· Executor-A<Im>RieOP...,r . ;: ; ~ASHINGTON. WASHINGTm~ COU~Y ITIONAL INSTRUCTIONS · ::.MY 'COMMISSJON E,XPIRES JJJNE 25.=1970· • • • • • ' 1 C. 1. An mventory.must be f1led Withm three months after appomtment of personal representative. ""~ 2. A suppleni.~i!t'il inventory must be filed within. thirty days of discovery of additional assets. ' .3. 1 OrigihiH_ ... and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, r Ovel' _$lO;·ooo, 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 ~ttttrtttnry aub 1\ppratsrmrttt .of the goods a~d ch~ttels, rights and credits whi~h were of ........ ~~-~~:r; ... ~~J~.~-~-~.: .. : ................................... late. of ....... g.~-~X ... ?..~----~~~~~~~~.?-~ .................... : .. Washington County, Pa., taken and made in conformity with the above affidavit. · PERSONALTY: I ~ Checking Account ·in Washington office of Mellon National Bank and Trust Company U. S. Treasury De~artment -Death social security ; benefit Medicare Reimbursement for ambulance fees / ' Savings Account -Washington office of. ·Mellon National Bank and Trust Company TOTAL INVENTORY ------------------------------------- DOLLARS CENTS 3,613 73 255 00 60 00 10,000 00 ------------- 13,928 73 I ,. ' .. " ·11~ "·{)~:» !f~,~1DtiH:Is·v.iA ·. SllMl ~© -~3iSW3B ·'' . ®itll\llJl'~ ll~LSS.n~ ... ..... . \0 ·. . : .... ~ ~ . -~ .... __ . \ THE FIRST AND FINAL ACCOUNT OF LILA M. DeWITT, EXECUTRIX UNDER THE WILL OF PETER·· WAGNER, DECEASED, LATE OF THE CITY OF WASHINGTON, WASHINGTON COUNTY, PENNSYLVANIA. ================================================================== As Per Inventory and Appraisement Income from Personalty Schedule "A" DISBURSEMENTS: Costs of Administration Schedule "B" Funeral Expenses and Preferred Claims $1,506.25 $13,928.73 404.00 $14,332.73 Schedule "B" 1,334.20 'l"'2,840.45 BALANCE FOR DISTRIBUTION -----------------------$11,492.28 /. 1/6/69 1/21/69 1/21/69 1/21/69 1/21/69 5/27/69 5/27/69 5/27/69 5/27/69 5/27/69 1/6/69 2/10/69 2/10/69 2/10/69 2/10/69 , .. --. ' .. SCHEDULE "A" INCOME FROM PERSONALTY Interest paid on Savings Account in Mellon National Bank. 10/1/68 5/1/69 $ 200.00 204.00 TOTAL INTEREST~------------$ 404.00 SCHEDULE "B" COSTS OF ADMINISTRATION Russell Marino, Register Russell Marino, Register Washington County Reports Observer-Reporter McCreight, Marriner & McCreight Barbara Craig Russell Marino, Register Russell Marino, Register Lila M. DeWitt McCreight, Marriner & McCreight Letters testamentary 19.50 Short certificate 1.00 Advertising letters 14.00 Advertising letters 14.00 Notary fee • 75 Notary fees 5.00 Filing Inventory 4.00 Filing Account 16.00 Executrix's commission 716.00 Attorneys fee 716.00 TOTAL ---------------$1,506.25 SCHEDULE "C" FUNERAL EXPENSES AND PREFERRED CLAIMS Robert E. Hummell Funeral Home Funeral expenses 1,184.00 .M. E. Ruben, ,M.D.' Professional services 30.00 Washington Hospital Hospital bill 40.40 Visiting Hurses ·Assn.· Professional services 22.10 Viehman's Pharmacy Medicine 57.70 . ' . . TOTAL -----------------$1,334.20 (1-)"" tr,- ""' Observer·-Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In· compliance with the Newspaper Advertising Act of 16 May, 1929, P. L. 1784, as amended. Commonwealth of Pennsylvania, County of Washington, SS: .........•.. Personally appear-ed before me, a Notary Public in and for said County and State, ...... g.JJ~h-~_r._g ____ $. .. ! ..... 9.9.W.~D. ................. , who being duly sworn according to law, deposes and says tha;t he is the .... §.~-~.r.-~.t~.rY ............. . of the Observer Publishing Company, a Pennsylvania corporation, and its agent in this behalf; that the said Company is the owner and publisher of the Observer-Reporter, succ'essor· to The W.ashington Observer, established September 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newspap'e-r of general cir-culation, printed and published and having its place of business at Washington, Washington County, Pennsyl- vania, where it or its predecessors have been established and published continuousiy for more than six months, prior to the publication of the notice hereto attached; that the printed notice or advertisement hereto attached is a copy of an official advertisement, of.ficial notice, legal notice or legill advertisement, exactly as printed or published in the ObSJerver-Reporter in its regular editions on ·the following d.ate or dates; ........................................... . ......................... J.an.uary .. .24.,. ..... 3.l ... and .... F..e.br.ua.r.:y .... 7..,. .... 1.9.6.9. ... . that neither thre affiant nor the .Observer Publishing Company is interested in the subject matter of S'aid notice or advertising and that all of the anega- ~~~~!. th,, affidavit ~ ,, :· ~~··t!Z::tz:t::::=: Sworn to and w. 26752 subscribed before me this ... 7. ...... day of .. P..e:b.r.u.a . .r_y ___ 19 6 9 /Ji~;;::t~~~ WASHINGTON, WASHINGTON COUh-11 MY COMMISSION EXPIRES MAY 6, 1972 '' ~ EXE~UTRIX'Jt;OTICE 1 ·; ESTATE OF Peter Wagner deceased . late of City of Washington,, .Wash: " mgton County. Pennsylvar.ia.--~ ~etters Testamentary upon-..Vthe . above estate having beer1'granted to the. undersi!1'ned, ·J a_lljp_er.sop~having clauns agamst the•e•tate '!l'e re-quested to makelkn~~tPte same to the undersigned(or~bi~iitt<irr.ey and all persons indebted]loUJ1e' decedent are requested!'t6l1'1'1al>ie~payment to ·. t~e unde.rsigned..j.without, delay. Lila M. ·. DeWitt;ji!Executrix ) 616 Broad ·Street-~., : Washir.gton,. Pa!ttl5301 • .,.,..( , John B. McCt·eight:tEsq. McCreight, Mat~& ' McCreight ~ ; .• 520 Washington Trust Bldg.~-,-. • Washington;~.Pa. 115301 ~-• 1 • r · ··' • 69020-Fri:--3~ • t . . -" ' • ~~ ~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} STATF. OF PENNSYLVA.NIA 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 t'bis behalf; that the said WASHINGTON COl.'NTY 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.anua.t:.')l ... 3.0.~ ... 1.9.6.9 .................................. . ....... Ee.J:u:uax:.}c.6.,. ... l.3., ... l.9.6.9 ...................... . 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 <hi• •""'"'' ~' <im<, pi•« •od (!:?"' ':J'~bii"<ioo '" <ru<. td4oA!tJ ...... ~ ... : ....... Lit..l!LeJ.£-?: .. -· Ed1tor ....... l;t}day of...Eeb.rua.t:.}l' ................. , 196 ... 9. .. . ... _;r~<tji::-"Y~;: KATHERINE C. YARD, Notary Public Washington, Washington. Co., Pa. My Commission Expir1!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 !:!hem for settlement to the Executors or Admin- istrators or their Attorneys. •••••••• 8 •• 0 ••••• WAGNER. PETER, Dec'd. Late of City of Washington, Wash-ington County, Penna. Executrix: Lila M. DeWitt, 616 Broad St., Washington, Pa. 15301 Attorney: John B. McCreight. Mc-Creight, Marriner & McCreight, 620 Washington Trust Bldg., Washing-ton, Pa. 15301 ' STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ 55: The within named Accountan't · · lSeing· duly sworn according to law, depose and say that the above account t t d · d · sworn ·1 b 1· as s a e IS true an correct as ............. : ........ , ................... ven y e 1_eve. Sworn ary.d:subscribed .before me this ..... 26.th. ...... . ,.:.. . . /'" day.:<)f_ ................. ~ .. MaY.~---···················· 19 .. 6.9. .... . t~P:-~-·--- ~ ,, WASHINGTON .. Y/ASHINQION COU:lTY '"""~ MY co~MISSibH1fxrlfiES J_UNE 2s. mo . ..,~ --""; . --,<'· -Wa•shington County, ss: J~ ~--·· -/1_ 1/----r-r-~~---······L/../...:.A.??.: ... ~~~---····· Executrix I do certify that I have given leg·al notice to all persons concerned of the filing of the within account in the manner. prescribed by Sta1ute and Rule of Court; as evidenced by proofs thereof filed to No .... b.J.-::.h.r..~_£__2.;( ___ : __ _ Witn s my .hand and official •seal this .... d~-----··· day of.. ...... . -------~- Register of Wills --~--~~--------0 ~ -----· ..-~: ~~ "! I l ~ '.91 I ! "Ji '-3! . ~ i " ·\_.! ., ci z < •• ""' 0 ..., >l ::s 0 '-' '-' < r:x::! f·' ~= z: ~! '. ~~ ~: ~l r:<:~i ~! -~! ~! '"' S::i Q.l; Ql .; . :;e;l CIS! r-t: '"' 1 D; ~~s~ OCT JL~ Pn 2 36 RUSSEl t ·~ REG!.~--MARINO . _· SttR OF WILLS WAs fi'tN G ro A_, c· . · · .r. · 0 P·A· . ~ .. ,, ' '" ~ .t: b.O •1"4 .... >l Q.l <13 ..., ~ >l ~ C) ::s 0 0 C) =s C) < o(J .... -~ 0 ..... ~ :>. } Q) Q.l ~ a .... 0 N •1"4 1:!j t ~ !< ~ (b ~ I .. a ~ .t: b.O -•rot -~ Q.l f ~ C) ::-.i · ... ·o ::=s ..0! (f ·( \~~ -~· .,./~ .... _. \"' ' "' ,, \· \\1 -l' ~ r. ,," ,,~ <>I, Jl J; '··,,., ~ ~." / ·";..._ -,-r' "%-v -:. . ./ :: . ......,. ·-·· -.. .. ... .•. ,, .r ."",... The Court is respectfully requested to determine proper distribution in this estate. ~-~,j-~-1kc unsel for r l ./ .. In tho mnttcr of tho Audit of Account in Estate o~._f __ ;_PE;:.T;..:E:.;.R..;,._;,W;.:..A;.;::G:.;.;N:.:E.;.;R _________ 1 63 69 -14 No,._ _ __, _......;;..;__..;....;. __ __. 19_.__ A. A. • i TO THE AUDITING JUDGE: .. . ' Enter· _____ o_u_r ____ .appearance for accountant' L i I a M. DeWitt /,. . N. B.--counsel shnll, by scpnrate pnpcr, present a concise statement of ench claim, with supporting calculntlon of nny Interest clnlmed. Objections to an account ns til'ed, shall be concisely stated In a separate paper. Council suggesting proper dlsLrlbutlon shall file a separate concise state- ment In that regard.· ! ' If, ,' •' '. j . I '; ' 11 t i '"l·j.·"• i-•• l Slll/~1 Jo ~::usm:n-.1 0NJ~\1W 1T3SSfW 9( :. H ~IV 9I 030 6961 031/::J ---_-;---;-- In t4t, <!tnurt nf <t!nmmnn Jlrns nf lfnli4ingtnn <!tnunty. Jrnnsylnnnin. ®rp4nns • <!tnurt llinisinn ESTATE OF N 63-69-14 o. _ ___.:~~~=-:r__ _______ _ Peter Wagner, In the matter of the First and Final deceased, Account of· __ _,L~i::.;l::.:a~M.!.J'L-.:!:D~e~WL:!i~t~t~-- Executrix ADJUDICATION AND DECREE And now December /G 19Q2_, this matter came on for hearing, audit and distribution at this session and testimony taken; 'and thereupon, upon due consideration thereof the bc_Jonce8for distribution in ifhe hands of the Ac.countant. is deterrr~ir:ed to be $ 11, 92.2 and the account is occordtngly conf1rmed; and 1t 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 port hereof, unless exceptions hereto be flied sec. reg. or an appeal be taken herefrom s~c. leg .• ,· SCHEDULE OF DISTRIBUTION Balance per account ________________ _ Balanc~~--------------------- Deduct Clerk's Costs & Receip~l::;_ ____________ _ $ ll,ij_92.28 $11,492.28 33.50 j $ 11,458.78 Attorney McCreight, Marriner & McCreight ·'· ~&.,;13g,,ro ./;J-1~-I:i~ Rus.se;l_l )iarino, Agent, transfer inheritance tax, 647,99 ~ .. ~1 ~ ~ .~ ~ $ 10,810,79 . Opal Smith, granddaughter, child of Peter J. r:JA.#t u7,97 Wagner, a deceased son, 1/5 of 1/10 residue, 216.22 VOt ~7 Charles Wagner, grandson, child of Peter J. Wagl-1/) I )--I r -b 9 I ner, a deceased son, 1/5 of 1/10 residue, 216,22~UUAAnP~~ Dorothy Pickens, granddaughter, child of Peter J. Wagner, a deceased son, 1/5 of 1/10 residue, 216.21 Harold Wagner, grandson, child of Peter J. Wagn~r, a deceased son, 1/5 of 1/10 residue, 216.21 Helen Chaney, granddaughter, child of Peter J. Wagner, a deceased son, 1/5 of 1/10 residue, 216.21 Viola Muhleman, daughter, 1/10 residue, 1081,08 Harold P. Wagner, son, 1/10 residue, Alfred P. Wagner, son, 1/10 residue, 1081,08 1081.08 Julia Crawford, daughter, 1/10 residue, 1081,08 Joyce Bedillion, grandda.ughter·, child of George Wagner, a deceased son, 1/2 of· 1/10 residue, 540,54 Carol Williams, granddaughter, child of George Wagner, a deceased son, 1/2 of 1/10 residue, 540,54 ~- t f .. r ' , . . . ' ' ' ~ ~· ~ .... t"\ a tr = ~ 6, ~ ~ ~ ~ '· / ,. 0 > .... f :n r r·::J z s ~ ·. ~ ? c Ill II) ::J 3 a ..... 0 a .... Ill .. 0 .... .... :r Ill ., .. Frank Wagner, son, 1/10 residue, James P. Wagner, son, 1/10 residue, Je.nnie Burnfield, daughter, 1/10 residue, Norman P. Wagner, son, 1/10 residue, 1081.08 1081.08 1081.08 1081.08 No balance 0 .... 31 ~ ~ ~ i i 0 .... .... ~ ta g. t = .. ta ~ ta;l ~ l:l ~ ~ ~ n 0 c :s -+ 0 .... :s ""' :r (1) 3 0 ::t (1) .., 0 .... ""' :r (1) .. -· ...... -.. z !J -r- i'i~i a . '~ •· ;. ' ·' ,, ' .: I ., :1 ;j IN THE COURT OF COM~ON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF PETER WAGt\JER, NO. 63-69-14 DECEASED. DISTRIBUTION RECEIPT t; AND NOW, December ~~ 1969, I hereby acknow I edge to have received ~ ~ ~' ., from Li Ia M. DeWitt, Executrix of the Estate of Peter \~agner, deceased, I' ;1 estate check in the tot a I sum of __ T_w_o_H_u_n_d_re_d_T_w_e_n_t...:.y_· _a_n_d_3_3/_l o_o_. ------ :1 . ;. ($220.33) !i l Dol Iars, being my distributive ( ;; share in full per Adjudication and Decree .dated December 16, 1969, plus my Jl ~distributive share in the income from interest on the savings account accrued n ., ·'since the time of the Audit. i ; '· :i ,, ' .I ., : ~ .. ;j • i ~ ' •' :; I '· / ($216.22 plus $4.1 I interest) . :,, ·' : ~ .. ·~. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ESTATE OF PETER WAGNER, DECEASED. ORPHANS' COURT DIVISION ) ) ) NO. 63-69-14 ) ) DISTRIBUTION RECEIPT AND NOV/, December~~ 1969, I hereby acknow I edge to have received from Li Ia M. DeWitt, Executrix of the Estate of Peter \o.Jagner, deceased, :; estate check in the total sum of One Thousand One Hundred One and 61/100 --~~~~~~--------------------------~~ ________ .!.;($~HD!:..:O~I:....:·~6~1...!.) ________ __:Dollars, being my distribu.tive .. .· .. share in full per Adjudication and Decree dated December 16, 1969, plus my ,, ·:distributive share in the income from interest on the savings account accrued i ~: . since the time of the Audit. ;! i ,, .v ji l ' / ($1081.08 Adjudication-Interest $20.53) . ' IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION i ESTATE OF . PETER \'/AGNER,. NO. 63-69-14 :1 DECEASED. ,. :! DISTRIBUTION RECEIPT AND NOW, December d.... 0 , . 1969 ,' I hereby acknow I edge to have received from Li Ia M. DeWitt, Executrix of the Estate of Peter lvagner, deceased, >estate check in the total sum of. ·Twa Hundred Twenty and 33/100 ($220.33) ,. Dol Iars, being my distributive ----~~----------------------------------- ·'share in full per Adjudication and Decree-dated December 16, 1969, plus my .I .. . j distributive share in the income from interest on the savings account accrued 'I . ~ , .. . ' ' ,, .:' ,. . since the time of the Audit. ( $AdJ ud I cat I on $2J6.~ 22· pI us ·1 hterest of· $4 ~ J t) :. IN THE COURT OF C01v1tllON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ., ... F ~ -;; ESTATE OF .. .. ~ •' ·' .,. !t ., " PETER ~/AGNER, NO. 63-69-14 DECEASED • DISTRIBUTION RECEIPT AND NOW, December ;;;( D , 1969, I hereby acknow I edge to have received '1 from Li Ia M. DeWitt, Executrix of the Estate of Peter Wagner, deceased, :I ' ~ ~ .. :. estate check in the tota I sum of Two Hundred Twenty-and 32/100 ($220.32) --------------------------------------------- ----------------------------------------~Dol Iars, being my distributive • .. share in full per Adjudication and Decree _dated December 16, 1969, plus my .~distributive share in _the income from interest on the savings account accrued ~ ;; since the time of the Audit. : ~ !. 11 •I : ~ H .. ~ . I ., ' ' ~ ~ ·' .. 1 I ~:· >) ,, ·" ., / (Adjudication $216.21 pi_ us interest $4.11) ~y Pickens i. ·' ., 'C 1) IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENN SYLVAN I A .' ~ ~; ORPHANS' COURT DIVISION ,. '· ~ 1 ~ ~! ESTATE OF PETER \'IAG"JER, NO. 63-69-14 DECEASED • . , . ~ DISTRIBUTION RECEIPT AND NO\~, December _hZ_, 1969, I hereby acknow I edge to have received : ~ from Li Ia M. De\~itt, Executrix of the Estate of Peter ~~agner, deceased, ) il estate check in the total sum of ~------------------~--------------------~ Two Hundred Twenty· and 32/100 ($220.32) ,! ··----------------------------------------~Dol Iars, being my distributive :i >!share in full per Adjudication and Decree .dated December 16, 1969, plus my :. ~ . i! distributive share in the income from interest on the s9vings account accrued :i ·.since the time of the Audit. ;j .. . •1 •i :i ii ... :· ! ~ ! If' ·• ;, ~ ' ·' I ; ~ '~ I! I ' '· ~ (Adjudication $216.21 plus $4.11 interest) · Haro I d Wagn .. !· 1 :· ,, IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTi\TE OF PETER v/AGNER, NO. 63-69-14 DECEASED. DISTRIBUTION RECEIPT AND NOW, December .'i_-j, 1969, I hereby acknow I edge to have received ;j from Li Ia M. DeWitt, Executrix of the Estate of Peter \vagner, deceased, il estate check in the total sum of Two Hundred Twenty and 32/100 ($220.32) ·i ;; ------------------------------~--------~Dol Iars, being my distributive 'i '!share in full per Adjudication and Deere~ dated December 16, 1969, plus my ., ;. distributive share in the income from interest on the savings account accrued . since the time of the Audit. (Adjudication $216.21 plus interest $4.1 I) ',,: -- :~ '• ~ ~ ·' / .. ' '\ 0 ·" '~ ,, ' :i IN THE COURT OF COMfv'ON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF PETER \'/AGNER, NO. 63-69-14 DECEASED. DISTRIBUTION RECEIPT AND NOW, December _M, 1969, I hereby acknow I edge to have received from Li Ia rv1. DeWitt, Executrix of the Estate of Peter \~agner, deceased, :I .; estate check in the tota 1 sum of One Thousand One Hundred One and 61 /I 00 ($1 101.61) Dol Iars, being my distributive ·share in full per Adjudication and Decree _dated December' 16, 1969, plus my . . ,: distributive share in the income from interest on the savings account accrued :1 . ;: since the time of the Audit. (Adjudication $1081.08 plus interest $Z0.53) .. ~; • ·• I . ' Viola Muhleman / ·. !N THE COURT OF COi··~i·:';ON PLE?.S OF \·l.t..SHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATC OF NO. ·63-69-14 DECEASED. DISTRIBUTION RECElPT AND NOW, December 1969, I hereby acknowledbe to have received from Li Ia ivl. Dev/itt, Executrix of the Estate of Peter l·lagner, dccGascd, estate check in the total sum of One ffihousand One Hundred One· a~d 61/100 .I $$1101.&0 Dollars, being my distributive ., ------------------------~~~~~~---------; share in ful I per Adjudication and Decree dated December 16, !969, plus my distributive share in the income from interest on the savings account acZ~ued since the time of the Audit. (Adjudication $1~81.08 plus Interest $20.53) Harold P. ; 0 / IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,. PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF PETER WAGNER, NO. 63-69-14 DECEASED. DISTRIBUTION RECEIPT AND NOW, December 2....2...., 1969 ,. I hereby acknow I edge to have received from Li Ia M. DeWitt, Executrix of the Estate of Peter \~agner, deceased, ; estate check in the total sum of One Thousand One Hundred One and 61/100 ~ ~ I 1: --------'----..._< .... $.._1 ...,1 0..._..._.1~· 6LJI._.>'-------..cDo I I a rs, being my dis tr i but i ve ~ ~ ;; share in ful I per Adjudication and Decree dated December 16, 1969, plus my I ., ' .: distributive share in ·the income from inte(est on the savings account accrued I :ri I; :• ., since the time of the Audit. (Adjudication $1081.08 plus interest $20.53) ''1/ . ··~ "~· I j I '/• r. ·' I ,( ' ',' •'' IN THE COURT OF COMf'/J()N PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ; ESTATE OF ) ) ~:. ·: PETER ~'/AGNER, DECEASED. ) NO. 63-69-14 ) ) DISTRIBUTION RECEIPT·.· AND Nmv, December :2 !L-, 1969, I hereby acknow I edge to have received :1 from Li Ia M. DeWitt, Executrix of the Estate of Peter Wagner, deceased, ;( One.Thousand One Hundred One and 61/100 . ;; estate check in the tota I sum of ---------------------- I ;' --------...:(..::$..:.1..:..1.;;;..0..:..1.:... 6--..:.J.)--,--------~Do I I ars , being my d i s tr i but i ve. ~;share in full per Adjudication and Decree .dated December 16, 1969, plus my . . .: distributive share in the income from interest on the savings account accrued i~ since the time of the Audit. (Adjudication $1081.08 Interest $20.53) '· .~ I· ··~ / . .V ---------~·-·-------.. ·~=---.,.,.-...... .-; __ ~ ... _ ......... .;,. .. ~, . __ ,, . ..._ .. .:: - IN THE COURT OF COM~IION PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION i ESTATE OF PETER \tJAGNER, NO. 63-69-14 DECEASED • . , I DISTRIBUTION RECEIPT AND NOW, December ~C7, 1969, hereby acknowledge to have received ·from Li Ia M. DeWitt, Executrix of the Estate of Peter \vagner, deceased, ;r estate check in the tota I sum of One Thousand One Hundred One and.61/IOO --------------------------------------------- ;, ----------------~<~!~1~10~1.~6_1_> ____________ ~--~Dol Iars, being my distributive ·,share in full per Adjudication and Decree _dated Decem~er 16, 1969, plus my 'i distributive share in the income from interest on the savings account accrued : ~ ,. , since the time of the Audit • . I; :.· ; .. .. 'I .. ·' / (Adjudication $$@0.54 plus interest $10.27) IN THE COURT OF COM~ON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION " :• ESTATE OF ) . ) PETER \11AGNER, ) NO. 63-69-14 ) DECEASED. ) DISTRIBUTION RECEIPT AND NOW, December~~ 1969, I hereby acknowledge to have received from Li Ia M. De\1/itt, Executrix of the Estate of Peter ~vagner, deceased, i· ~~estate check in the total sum of Five Hundred Fift.y and BVIOO --------------------------------------------- ________________ <_$_5_5_o_._a_J_> ____________________ Dol Iars, being my distributive :·share in full per Adjudication and Decree _dated December 16, 1969, plus my "l . ~' .; distributive share in the income from interest on the savings account accrued , since the time of the Audit. '· ·l •: d .. " -,1 ,, ., -, Carol Wi IIi ams c/" ' " ,, IN THE COURT OF COMMON PLEAS OF WASHINGTON ~OUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION -~ ESTATE OF PETER WAGNER, NO. 63-69-14 DECEASED. DISTRIBUTION RECEIPT AND NOW, December~~ 1969, I hereby acknowledge to have received ~~ from L i I a M. DeWitt, Executrix of the Estate of Peter ~~agne r, deceased, ~ l -- ;: estate check in the tot a 1 s urn of --.:O_n_e_T_h_o_u_sa_n_d_O_n_e_H_u_n_d_re_d_O_n_e_a_n_d_6_1_1_1 o_o_._· ._' ··__;\....;.·....r-·1< .i 1 ~---------~<$~1~10~1~·....;.6....;.1_> ____________ ~Dollars, being my distributive ·share in full per Adjudication and Decree dated December 16, 1969, plus my distributive share in the income from interest on the savings account accrued since the time of the Audit. (Adjudication $1081.08 plus interest $20.53) / .;, · ... v . ·I ~ . ! . ., ., .• i· ESTATE OF PETER v/AGi\JER, DECEASED. ORPHANS' COURT DIVISION ) ) . ) NO. 63-69-14 ) ) DISTRIBUTION RECEIPT AND NO\•/, December ~ 1969, .I hereby acknow I edge to have received from Li Ia M. De\·•/itt, Executrix of the Estate of Peter ~~agner, deceased, . ·: estate check in the tota 1 sum of One Thousand One Hundred One and 61 I I 00 . , t .-' __________ <_$_1_1 0_1 ._6_1_> __ --,-_____ .Do I 1 ars, being my dis tr i but i ve share in full per Adjudication and Decree '.dated December 16, 1969, plus my ;; distributive share in the income from interest on the savings account accrued ' :;• (Adj.udicatlon $1081.08 plus interest $20.5:!) ; since the time pf the Audit. ,. ':' 1 ! ~ I Jennie Burnfield '· : ..... ....., ,; .; '· /· ·V ' ' IN THE COURT OF COM~ON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION '! ESTATE OF PETER \'/AGNER, NO.· 63-69-14 DECEASED. DISTRIBUTION RECEIPT ,, AND NOW, December 6..Q_, 1969, I hereby acknow I edge to have received from Li Ia M. DeWitt, Executrix of the Estate of Peter \vagner, deceased, ._:;estate k · th t t 1 f One Thousand One Hundred One and 61/100 . chec 1n e o a sumo ($1101.61) Dollars, being my distributive ------------------~~~~~--------------- :share in full per Adjudication and Decree .dated December 16, 1969, plus my ,.,; ·;distributive sha~e in the income from interest on the savings account accrued ·X ~~since the time of the Audit. (Adjudication $1081.08-interest $20.53) !: , . .. :·• .; / v u.. 0 V> < w _J a... ~ ;a: 0 (..) u.. 0 ~ ::::> 8 w :I: 1- z .. >-I-z ::::> 8 z 0 I-(!) z I V> < 3: . < z c:r::: > ...J >-(/) z z w a... . 0 z u.. 0 ~ c:r::: I-V> w . 0 w V> < w (..) w 0 .. a::: w ~ c:r::: 3: a::: w 1-w a... i I I I I I I ·I ' I ., t .. l J E·~ 0 .. f -. tw -. ··~ t lkll:l .. . . I I ~za J~N ! -~ .Pi1 ' oj 0... I ·, '~ I I wRUSSCLJ .v~~INO ~F. G l!s T E R ~ o ·F: I·~~' L L S: UbASfii NGTON CO p i a::: •• A-1 McCREIGHT, MARRINER & McCREIGHT ATTORNfiYS AT LAW WASHINGTON TRUST BUILDING WA~HINGTON,':-_pA. ' w 0:: u u ~ C) z 0 .J 3 < Ill a. Form RCC-33 ' ·COMMONWEALTH OF PENNSVL VANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS J RESIDENT DECEDENT COUNTY OF ....... .WA.S.Hl.NG.T.QN .......................................... .. IMPORTANT: This return must be completed in detail and filed in duplicate, ·with will attached, with the· Register of Wills of the County where decedent ·resided; Return is due within one year after date of death, unless an extension is granted by the Secretary of Revenue. (Section 703 of the __ Inl).~rit!lnce __ !ln!f _E_f!!t!l-te. _TB,Je A.ct Qf lQ§l.) IN THE MATTER OF THE-ESTATE OF } __ . • _ . .. ·-.., AFFIDAVIT OF PETER . WAGNER--.. .................. ~·-.................................. (.~t~ .. 'f~)} .. ~;;;~---~f .. d~;;d~~t) ............................................................. _.. EXECUTOR Late of ........ W.~_$_b,_j,p,_g_j:;.QP,...................................................................................... County ADMINISTRATOR Pennsylvania ::.:· .~--~~~~-~~~~~-~:_-_:~~--_::~-~-~=} "' Lila M. DeWitt Administrator of the estate of the above-named decedent being duly sworn, depose Executor and say Decedent.dJed ................. J?.~~-~~-~-~~-ti}~-~ ....................... (j·;;;;·j .......... , 19.(.y~~?--{ :::::::~!eaving a last will, copy of which is heret~ attached._} otherN:m:tha::i:::r:::r::e:tttao:;:: ~:} ·····---~gh.~----~-~--... M9..Q.J.;~-~-g_J;t_1;,, ...... ~.§q_! ... J ...... Q.~ ....... M9..G.:r.~ .. !.g_Q._t.._,_ .... ,~.:r..:r..~.P..~.:r. ..... ~ ................... .. whom au correspondence should be_ ~~c::Gr.eig_~_t,_ .?.?.<> W~~_p_;i,p,gt.9.A .. ':J;);IJ.~:t. .. ~J.4.K!t. .. , .W.~~?.b.;i,p,_g_1;_Q_P..,. ....... P..a. mailed. That as such Executrix deponent is familiar with the affairs of said estate and the property con- (J•:x.,r.utor-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 al)other as agent or deputy, with the exception of the following;- . -HiSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JO.INT NAME AND ADDRESS OF BANK OR OTH~R IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO_D~C~DENT .... NONE --- -- -- --- That the contents of &aid safe depo$it box or boxes are itemized under Schedules _________ of this return, with the exception of the following, for the reasons hereinafter set forth: That Sc.hedul~ A attached qereto 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 enc~brances 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 o~ record thereof. It also sets forth in the columns provided therefore the assessed valuation of each o~ 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 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 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 a?y state, or political subdivision thereof, 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, and any and all other personal chattels of whatsoever kind or nature, left bydecedent, together with the fairly estimated market value thereof; all bonds and mortga,:tes held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing for the payment o~ mo~ey ·of which decedent died p~ssessed, 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 a·ccrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent ~t the time of death, with the market value thereof at such :time. In the ca~~ 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 set-s forth the interest of decedent at the time of death in any co-partnership or business, and in support of the value of su~h 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 suc.h 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~1'air market Ya:lue 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 ahsw~r ·to· each· inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's .. : · death, in contemp.lation of decedent's death, or intended to take effect in posses~:i.on or Emjo;Yment 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 'transfe~ee and all other facts of a pertinent nature regarding said transfers. In the case. of t~ansfers intended to take effect in possession or enjoyment at or after death, there is also attached ~o the schedule a co~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, wlth its value, whic~ 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.de:Ced~nt,. eJther indi:yidu~l.ly or jp1ntly, bythe w~ll, deed,, or other instrument of another, with a.·copy of the instrument ... crel/-ting such power attached to the. schedule. t ;, o..). ·" ••• • • 1:.. ' . . .• • . . \:.. . . •. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death, ·the:nature of their-res- pective interests, their relationship,,if any, to the decedent, together with the ages at the time of decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also contains· a statement_showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, andthe relationship of such issue to the beneficiary. That Schedule E attached her·eto .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 Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's commissions·paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and.claims owing and unpaid at time of death· taxes accru~d. cha.rge.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. Subscribed and sworn to before· me this .. · ~:1..:: ... 2z;(..;,;~ ..... ~~ ............ -.. . ( Exeeutor;.Administrator) 616 -Broad .Street . . ....... " ..................... ,(s;~·~ .. i\i~-;b~T .......................................... -.. -.. ... ~~~-~ .. ~-~.~ .. ~.?..~.~ ...... ~~ .. ~ ....... ~.~.~.Q.~ ........................................ .. (City or Town and State) ;-:~~@:;:~: ~:-:~- • : BARBARA CRAIG, ·NOTAR;~~·;·~· . WASHINGTON, WASHINGTON COU"rv MY COMMISSION EXPIRES JUllE 25 _Jff"JJ NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None", and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached._ Also make certain that column #1 in the "Summary" has been properly completed as above-directed. ~"\ . .. RCC-34 (1•64) COMMONWEALTH OF PENNSYLVANIA DI::PARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT. c SCHEDULE "A" REAL 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, r~port on Schedule "E". Property held by the decedent as te·nant 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 th·e· Commonw:e.c:JI-~hJof..Pennsylvania should be described by lot and block number, street and street number, together wl th a gene~al 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; also statement of mortgage encumbrances upon each parcel cit death of decede-nt. Taxes', assessments, accrued Interest on mortgages, etc~,are to be listed on Schedule "F" and must not be d~ducted from this schedule. ( 1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH ESTIMATED MARKET VALUE (3) DEPARTMENT VALUATION. CAUTION (Do not write In this spoce) ,_. _···~ l:.:c..,·,.~.,. ·' . ; .. , t,l .• 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. COMMONWEALTH OF PENNSYLVANIA . TR!\NSFER INHERITANCE TAX RESIDENT DECEDENT ·- SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually by the decedent, at the time 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, inc_luding 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 property, such as bonds, treasury certificates, cash on hand and in bank, . . stocks, ·.mortgages, notes, together with accrued interest or rlividends, salaries or wages, insurance pay- able to the estate or firluciary in sairl capacity, partnership interests, ·interest in anyundistributed estate o.f' or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be listed in this schedule. --~~----·--~----------------------------------~----~------------~--------------- Item No. 1. 2. s .. ITEM List and describe fully Checking Account -Washington office of Mellon National Bank and Trust Company Medicare Reimbursement for ambulance fee~ Savings Account -Washington office of Mellon National. Bank and Trust Co.· : Insert this total opposite "Persona~ Property", Schedule "B" in the "As Reported" column on the last page of this return. UNIT VALUE ESTIMATED. .DEPARTMENT VALU~TION MARKEr VALUE (Do not write in this space) . ;.Vf~ . 3 '613 • 73 J1;frlt.i 60.00 ~ 10,000.00 ~ X X 13 1 673 • 73 rcc-36 COW~fOr~'I'E..\LTH OF PENNSYLVANIA. TlUNSFER INHERITANCS TAX ·R..t;;S IDENT DECEDENT --- SCHEDULE "C" TRANSFERS (1) Dirt rlecedent, 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)~N~0~--- (2) Did decedent, wJ thin two years of death, transfer property from himself. to himself and another or others (inclurliryg a spouse) in joint ownership? (Answer yes or no) No (3) If the answer to (1). or (2) above is in the affirmative state: (a) Age·oT decedent at time of transfer----------- (b) State of decedent's health at time of making the transfer. (Note 1). (c) Cause' of decedent's death. (Note 1). (4) Did decedent, i~ his lifetime, make any transfer of property without receiving a valuable or adequate consideration t~erefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or ito) No (a) Was there any possibility that the property transferred might return to transferer o·r his esta:te'.or be subject to his power of disposition? (Answer yes or no)-------- (b) Whatrwas 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 !hich transferor expressly or impliedly reserves for his life or any period which does not in fact end'before his death: (a) The possession or enjoyment of or the right to income from the property transferred? (Ans'Yer 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) _________ _ (6) If the answer to (5) (b) above is in. the affirmative, state whether the right was reserved in decedent alone or others ___________________________________________________________________________________ __ (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no)------ (8) Did ciecedent, at any time, transfer property, the beneficial enjoyment of which was subJect to change, because of a re~erved 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 t~ (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in th~ decedent alone or the decedent and others? (Answer yes or rio) _____ __ NOTE 1: The answers to these questions should be supportert. by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with relationship of trari~ferees to decedent, if any. Submit copy of any.trust deed or instrument, if trans- fers are claimed to ,be non-taxable, also submit detailed statement of facts on which said. claim is based. NOTE 3: List appliqable property below in manner in which provided in Schedules A, B, or E. ITEM DESCRIPTION t. NONE · . . I l ., .~ < ' •' .., Insert this tntal opposite "Transfers", Schedule "C" in the "As Reported" column': on the last page of this return. MARKET VALUE (Estimated) · NONE DEPT. VALUATION (Dept. ·Only)' RCC-38 COMMONWEALTH OF PENNSYLVANIA THANSFE!l INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED'PROPERTY Ii\STRrCTIOKS: This schedule must disclose all property, 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 the date arid 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 Acquisiti~n, Name! Address and Relationship of Co-Owners, and Place I I of Record of Instruri!ent, where Real Estate. 1 NONE Unit Value percentage Share Estate Valuation Insert this to tal opposite "Jointly Owned Property", Schedule !IE" in the "As Reported" column on the last page of this return. DEPARTMENT VALUATION CAUTION-Do not Write In This Spa(!e. Value of Entire Property NONE Value of Decedent's Interest .. BENEFICIARIES AND ADDRESSES Jennie Burnfield 26 Milbeck Drive Washington, Pa. Norman P. Wagner 128 Cumberland Avenue Washington, Pa • ..... ' j • ·-· SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED INTEREST Daughter Yes 1/lOth Son Yes · 1/lOth \ h 1"1. .:), ' 'RCC-37 (12-63) Cl):\t)lt~:'\~\'E:\l.Tll OF l'E:'\:'\S\'Yl.:\NIA TRANSFER"I;-.;IIEHITAM'E TAX. RESIDENT DEL'EDE!'\T BENEFICIARIES AND ADDRESSES ( State full .names and addresses of all who ave .an inte-rest-, .. vested, contingent or other ... wise, in.estate) OQal Smith - Vl~~hYNgi(i~~u~~v~uu~ t ~a~r~~~~:Wa~¥er Wash1ngton, Pa. Dorothy Pickens P..l-~t~~-Pro~Rect Avenue Was n ton, • Harold Wagner 111 w. ~na :street ....... ic. ~ Helen Chaney ~· p. fF;j Washington, Pa. Y!~la Muhlem 0-.JoJ .IHY..L";'~ 0 1...1.-CC 1.. WashinE;!'ton Pa. 15301 t na.r:u.Lu .l:'e nc:t~u~.&.- 130 G~o:v:e AJt:enue Washington, Pa. Alfred P. Wagner ~.~~. Jl~garrelJ. Avenue Wash1ne:ton. Pa • .. ..... -.. , . . - Julia Crawford. ?.6~ M~r.~-r-rP11 AvPnllA Washington, Pa. Joyce Bedillion .l:{,e_,u. ff~ Washington 1 Pa. Carol Williams 131 Path Finder Drive Jt~-: AA'l r..+"'"''"' nn .. ~.._ __ ..__ v~:•-J ~-• ,-··--· ,. K~~n~ W~g~~r A "''"'~-... , • ..,,.. ...... ,.. ... ~vu .n.vc • Cai:ion;;_burgh-, l"a • . Tames. P wa2ner ·t~~h'~~¥Rnst~et SCHEDULE "D" BENEFICIARIES ~ RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth this fact.) OR NO BIRTH Granddaughter Yes l/50th Grandson Yes 1/f>Otb Grandson Yes l/50th Grandson Yes l/50th Granddaughter Yes l/50th Daughter Yes 1/lOth ovu ~~;::. l'ti10Xlir;·,;~ Ji1F(.'>r,IJ~ "'·':l~hi1,,o('J'"('(!lf\' ~-!. Son Yes 1/lOth Daug~ter Yes 1/lOth . : r • • ~A o Granddaughter Yes l/20th :·l ,.. '- Granddau2hter Yes 1/20th Son Yes 1/lOth Son Yes 1 /1 O+.h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE J. Peter ~'wagner: Geor~e P. Wagner ' ... .• ·.· . <: ·- Will Administration ~ No. Year ........... . P.ol THE ..; :\lATTER OF THE APPRAISEMENT , · i OF THE;. ESTATE OF P.F,:':l'~:R. WAGNER Deceased Late of .. City of Washington .................. ······························· County of Washington Commonwealth o6 ;Pennsylyania REPORT AND APPRAISAL. I. ·,Vd ··,o:a NDi~MHJSYM ~ ~-S~hM~ . .+G ~~1SW3a OtWif1tP~ 1l3SSO!i· · . . . : !It ':~ ~~ ~ ~:': lJlf_ Q~-· 4t .. ' ' 0. ! 0:31J .:l ~ ~ ,1 ~ I l ! r L ' 0 ,, .. · :-4 t ;. 0 '• .. · ..... . '. ( ·: ~ ' ·- . . ·~ (Executor-Administrator must complete "As Reported" column #1.)· CJ .... 0 "' "' ...., "' >: "' 0" ~ trl "' ...... . . "' ..... ~ ...., ""d .... ~ "' ... ::: "' "' 0 ....., ::: ~ ~ ... Cll ""d ... 0 "0 ~ ... ...... '< ::0 ~ ~ ""d .... 0 "0 ~ ... -< en c: ~ ~ > ::0 C/) C/) :c;; >-<: (') (') (') ?" ?" ?" ci ci > : : : -f:fl ~ ~ .-oo , ...... ~.00 :w :e "' :o.....-.: :m :o i!' :-.J . :1:;1) .. 'a> ''~ '"' :• ''I :w '· ~- ~--~ ~ ~~-: ~ ~ ~( :: :~·:: :.~: :~: \.:)..}: :w .. .. :o ~- "' :0"'0 >-:w. S?- ~~~~ ~· ''\1: "': ""-1: ~: '-...!' ~· ..... ~ > "' u n:_ 8" l.:J .... __ 3 ::: r. c.. '""-' . ' • R C C-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX. DIVISION NOTICE OF FILING OF APPRAISEMENT LILA M. DeWITT (Executor~)· IN YOUR REPLY PLEA8E REFER TO 37_173_2 In Re: Estate of _____ P_E.:..· T_ER __ W_A_GNER ________ _ ______ W_A_S_H,_IN_G_TO_N _____ County -File No. 6.3-69-14 Dear Mrs. DeWitt: You are hereby notified that the original appraisement in the estate of Peter Wagner has been filed in the office of the Register of Wills qf Washington County on November 10 , 19~. Said appraisement reflects the following valuations: Real Estate ----'---------,,...---- Person a 1 Property -----=1:.::34z..;:6;,l.7.::.3..:.•.J..73~- Transfers ______________ ~~~~~-- Total ____ ~--~~~l~3L,~67~3~·~7~3 __ As to such tax that is paid within three months.from date 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 (6%) percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. D a t·e _____ N__;o;_v__;e..:;:;mb=..;.e.::.r_l;::.O.:..,il!-....:1::::.:9::..;6~9;__ __ _ DATE OF DEATH: Decmmber 31, 196~ Note: This is not a bill. / ,. 1 ... -~· I COMMONWEALTH OF PENNSYLVANIA. ;. TRANSFER INHERITANCE TAX SUMMARY RESiDENT DECEDENT Estate of WAGNER PETER (First Name) DATE OF DEATH 12-31-68 FILE NO. 63-69-14 (Last 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 rep~rt that I have appraised the· real and personal property as reported in the foregoing return at the values set forth'opposite each item in the last column to the right in Schedules "A", "B", "C", and "E". ' Dated: ___ ___,1=1=--~1c=.0-_;6:;..9~--- 12-31-68 REPORT OF THE REGISTER 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 Ute 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 allo~ed as a deduction. · Dated:-------------REGISTER OF WILLS ; INVENTORY VALUE AS REPORTED VALUE AS APPRAISED Real Property (Schedule A) •' Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS I Less Debts and Deductions '(SCHEDU'LE F) CLEAR VALUE OF ESTATE Val~a~i,im of life estates or $ $ 1 1 ilnnriities . . . . . . . . . . . . . . . . . . . $·------+-- ESTATE TAX ASSESSMENTS $ _____ L.__ 13.673 73 13,673 73 FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax •On $ ______ :....__-+--2 o Tax •on $ _ __;__-'------+--~ 6% Tax·on $ ---------+-- Tax:on $ ---------+-- 0 10% 15% $ ___________ ~--- $ _______ ~--- $------------4---- .$ ----:-----+--- $ ____________ ~--- VALUE AS REAPPRAISED $ ______ -+-- Tax ion; $ -----'------+---:- Exemptions=======~~= To till Estate--------+--- TOTAL TAX * $-----------~--- (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less -tax previously paid ; BALANCE Less 5% of tax if paid within 3 months after death I BALANCE OF INHERITANCE TAX DUE Add' interest at rate of 6% from $====~F=== $-----+-- $====~= _ _:_ ___ to -------$ --------'-- AMOUNT OF ESTATE TAX ASSESSED $-----+-- Estlite tax paid $ _____ ___,~:___ BALANCE DUE $ _____ ___. ___ Add: interest at rate of 6% from _ _:_ ___ -tO-----$-----~~- TOTAL TAX BALANCE $ -------+--- PAID $------~-- FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, ~~ same should be noted below, with short explanation. --~-~~-----· Will Administration ~ No. IN THE ........ Year ........... . MATTER OF THE APPRAISEMENT OF THE ESTATE OF .PETER. .. WAGNER ············· ······ ... ri~~-~~sed Late of WASH INGTCliT .... ······ ..................... . County of WASHJNG.'J:'<:l\I .................... . Commonwealth of Pennsylvania REPORT AND APPRAISAL .•. ~. " -.. ·,-_I; -~ .~::::.. ..... Fonn RCC-2 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ......................... ~~Y..~~-~~ ..... ~g-~ ...... ~.?.?.?. ...... . DEPARTMENT OF REVENUE ri · , BUREAU OF COUNTY COLLECTIONS ~O!JNTY ..................... J~~~ .. h.!:P.:.8~.~ ............................ .. HARRISBURG, PENNA. 17 12] . . FILE NO ...................... ~?..:?.?.::::.~ .......................................... . Whereas, .................................. P.~.t..~r. .... W.?.:gn~.r. .......................................................................... late of ............................ ~~-~-~-~~?.~ ............................................... . in the County of ................................. Wa~.bi.ng.to.n .................................................................... Commonwealth of Pennsylvania, having died on the 31 st day of December 19 68 seized and possessed of an estate .................................. ..................................................... ····································~········································· ............ , subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, .................................... W.~.R.~ ..... 9.h~~~Y ............................................................. , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred In possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for 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. Unit Appraisement Description of A net Values Made for Inheritance Tax Purpoaen $ PERSONALTY: ' Checking Account -Washington Office of Mellon National Bank & Trust Company. 3,613.73 60.00 ,.:; -:..- Medicare Reimbursement of ambulance fees Savings Account -Washington Office of MellG>n National Bank & Trust Company. 101000.00 ~6TJ..,IJ_ 13,673 73 I I / . .. . . Total 13,673 73 £•=~~·;::~ b~~ ::~:h~w~ ~"J'Ii!e'~·:· ~:; ~·~~~~;;:t.:?i1~2::Z ~~~~-:~;_~1~~·~: Appraiser ························~································································································ . ~ {l!l mbcr and Street) ............................................................................................................................... , Penna. (Post Otuee) - ' I I ' ............... W.J\§Ji.:I:~.Q'l'~... .... ........ ........................ County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of PETER WAGNER Deceased. Late of WASHINGTON Date of Death, ........ P.~~.f3.I.II:l>..~.I.: ... }~, ..... ~.9.(>.~ ............... . AppraisemeHt Docket Vol., ............ .3..7. ................................ . Page, ....... l7..3~.?. ....................... No ..... f>.~-~-9.:-J-4 .............. . Filed in Register's O[jice,N.9.-..~.m9.~:r. ... l9 ... 19 .... ~9 Amount of tax due, $ .................................................................... . DEPARTMENT OF REVENUE Received, ,, E:.ra.mined and Approved, n 000~ Wrote abo.ut Appra-isement, Appeal f,.om Appraisement, Entered and charged, ... . :. Form RC C-~0 OFFICE OF THE . ··'~ STATEMEN;y" ~DEBTS REGISTER OF WILLS WASHINGTON AND DEDUCTIONS OF--------COUNTY AND AGENT OF THE COMMONW&ALTH ESTATE OF _P_E_TE_R_W_A_G_N_E_R _____ LATE OF_C_ITY __ O_F_W_A_S_H_I_N_G_T_O_N ______ _ 5/28/69 December 31, 1968 DATE OF FILING APPRAISEMENT ---------DATS OP DEATH _______ .:...,_ _____ _ DATE NO. OF VOUCH£" NAMii: OF PAYEE REMARKS AMOUNT 1/6 69 Russell Marino, Register Letters testamentary 19 50 .. -· 1/Bl 69 Russell Marino, ~egister Short Certificate 1 00 - 1/21 69 Washington County Reports Advertising letters 14 00 1/21 69 Observer-Reporter Advertising letters 14 00 1/6 69 Robert E. Hummell Funeral H 1>me -funeral expenses 1,184 00 2/10 69 M. E. Ruben, M.D. Professional Services 30 00 2/10 69 Washington Hospital Hospital bill 40 40 2/10 69 Vi!=:i.tin~ Nurses Assn. Professional Services 22 110 2/10 69 Viehman's Pharmacy Medicine 57 70 1/21 69 B. Craie: Notary fee 75 5/27 69 ~ussell Marino, Register Filing Inventory 4 00 5/27 69 Russell Marino, Register Filing account 16' 00 fi /?.7 f\9 Barbara Craig Notary 5 00 5/27 v 69 Lila M. DeWitt Executrix's commission iZ16 00 5/27 69 McCreight, Marriner & Attorney's commission 716 00 McCreight ' 2.840 45 ~'V ~av ~ J; 5'0 -. COMMONWEAL. TH OF PENNSYLVANIA _} COUNTY OF WASHINGTON sa: I, Lila DeW1 1:1:. \.L1.La 1Vf. DeWitt) HEREBY CERTIFY. THAT. TO THE BEaT OF NY I<NOWLI!:DGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE. SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION sUBMITrED :ro THE EST ... TE OF ' PETER WAGNER DECEASED. AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. " . . DAY 0P t7(?L& m SWORN AND SUBSCRIBED ISEFO~ME THIS 26th 4 ~~-a~ (L. 6.) = ~~av ,59 ~~ / (l/_;.._~::;:;-, BARBARA CRAIG, NOTARY PUBliCU WASHINGTON, WASHINGTON COUNTY •· MY COMMISSION EXPIRES JUNE 25, 1970 - - · §tat~ 11f l\J.rttn!i!J httmht { (!louttty of manliittgtott s . Notary Public . , Personally before me, the undersigned authonty, a ............................................ m and for said County and State, appeared -----~---)~·~~J~ .. }J.! .... ~.W-~_:t~---········································ .. who, being duly sworn according to law, deposes and says that he is the executor or administrator of the es- tate of .... J?.~.t~.~~---)~~g~-~?:" ............................. deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of ... ~0:::-~~-~---!!.~--~~-~!:' .......... , • 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 elate of the decedent's death, based upon a just appraisement of each item made by the above named E1xecutor Administrator. Swam ;.nd subscribed before me Ibis.:· ..... ?.?.~?. ......... }· ·,, _,?--: /' .-J.-/:·7 . , ./ ~ .7 . d . 1·. _ _..., Ma.y le'169 .. /.~~d.-.-:e::{.,, ... :,/./~~---··6.-..?.~.~--\.. .... «'d..,.:..:...::.---; ......... . -~::.;·/~ ....... ~i................... /.............. . :./ Executor-MRH-Hi&t¥a-ter ...... )_.,.,,, .J. a.:~ .. .-.~ .. ~ }~\ .. !c..(~./. ...... :. !:-:. ... 1.r...!'... .. cr. ................. . BmLiU (R.\IG, :!JT.IRY r·.:~I.!C . 1f . 1\',ISHI:lGD:I. \'i,IS!i!!!';io:: c.nm ABDITIONAL INSTRUCTIONS ~IV ('i\''.'l-$\'0'1 :X"·P"$ JI'''F 25 1970 .· " r.'·' A!1 'il1\i€mfoi·y 'mu~t 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. r Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and ~ 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 ~nd copy of -Federal Estate Tax Return. REFERENCE FOR ADDITIONAL ·COPY Act of 1947 P.L. 513 Sec. 5.2, 72 P.S. 4844.2 · jlnurutury Utt~ 1\pprai.s.rmrttt .of tbe goods aud cbattcls, rights a1/(l credits which were of ....... P~.~-~!. ... Y:~~-~-~.~.~ ....................................... .late of ...... ·.~-~.~X .... ?.~ .... ~~~-~~~.~~~-~.?.~ ..................... .. Washington. County, Pa., takm a11d made in conformity with the above affidavit. PERSONALTY: Checking Account in vrashington office of Mellon National Bank and Trust Company u. s. Treasury Department -Death social security benefit Medicare Reimbursement for ambulance fees Savings Account -Washington office of Mellon National Bank and Trust Company DOLLARS CENTS 3,613 73 255 00 60 00 10,000 00 -------------- TOTAL INV~NTORY -------------------------------------13,928 73