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HomeMy WebLinkAboutOC1969-0131 - ESTATE OF SHAWAffi~auit (@f 1txrrutnr (@r Abmittistratnr J. j;tatr nf 'tltltllylualtia.t llll: C!lnUltty nf~'f Personally before me,the undersigned authority,a no.tar.y.p.ub.ll-.c ..in and for said County and State,appeared ~.~~:~?::t~:~..~~~~.~!who,being duly sworn according to law,deposes and says that she is the executor or:lalld:miJJtstMar of the estate of .........N.Qr.man.,.Ep.ggr..Qh.~~.).i deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of...N.Qr.m.an E.ctgar.Sbaw , 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'd~'dbf h·/})tfD l ~~.w(jr~an ~uCrt e e ore me t 1S..6..................~9 do;,Of.~'!-::.~Ad...······7t 9..1;1r t I?../L..k.i...........i~;~;;;;;:~U ........·..\"t~..I...·U?f /~:\. ,'J"A I IONAL INSTRUCTIONS "" <1'.AU,inventory must be filed w'ithin t months after appointment of personal representative. 2.A supplemental inventory must be file ithin thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL Copy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 lJuurutnrg nub ""pprni.armrut of the goods and chattels,rights and credits which were of ~9..~~~.~~.~~.~!:~~.~~Jate of ~~.~.~!.:~~.?~~.~.?~p...?.. Washington County,Pa.,taken and made in conformity with the abave affidavit. DOLLARS CENTS $500.00 2',300.00 1,000.00 795.67 917.,00 325.00 200.00 450 '.00 300.00 10.00 3bo~00 20.0.00 300.00 2 shares Bethel Masonic Hall Association,.capi'tal, face value $25.00 SQ,·shares Botany Industries,Inc.,common @17.8958 7000 shares National 'Organic Corporation of Delaware (no market). 100 shares The Standard Register,Company@27.•83"':1/3 ' TWA refund check The Standard Reg,ister Company Salary and bonus payments a/c,decedent Notes of and.unpaid checksbfJ Howard G.Burr,a/k/a Howard Burr,payable'to Norqlan E.Shaw,a/k/a Norm Shaw,as follows: Note dated 8/24/61 in amount of ""9/4/62""" ""2/1/63""" ""9/21/63""" ""10/28/64"""' ""121.3/65""" ""7/31/67""" Check Ii 4/24/63"" " ""4/10/64""·" ""6/8/6,4""" ""6/17/6,4""" ""6/18/64""" ""10/1/68 II "" $7,597.67 Total value TOTAL No falue ">894 79, 1 00 2,783 33 19 79 3,704 74 1 00 Filed ,19 .. .. NORMAN EDGAR SHAW ........................................................................................................ ""..--" ... ',"') .:'I- :;... c -=' 'I., "I " \,". ,". d,(,7g '3-b ?-f3/ Inventory and Appraisement IN THE ESTATE OF ,{ J i'.:1•={I' II.,.1 ''l..f-, I,•,,. ., j ",,,. '1+' ,, uo .:) .~ ... '. ".~ j .' ., :) ___J/ n .'---I·'-"'f~..-'--'/1·',····/....'"~.-/ ..''/J'L.,.";')l ~.:;.,-/r"./.....//,,,~,.,./#.,-".;-.- "": :." .": .... .-> I :""1..co-- .=r x::: ,.'"0..:. -('"] i i ,; (.,,0 ~J ~0:: ._.t CI.-ce:::: .f...L_ c:;l ~.,.. oU)<{_.-1 Cl.. .,!;..--.!•;:;~~0::~r :~0 :;l:~:zo ~~c.:::f~ _J LlJ <:> ,1.-"-11_Z (/)(J)- U)-:I: ::::>c..?U)o:::w<~3: Thomas D.Thomson Thomson,Rhodes &Grigsby Attorneys at Law . 1524 Frick Building Pittsburgh,Pa.15219 Telephone -261-0747 ~9 Dkrg/-(f~70 " f,,-- ~-----"l"!""""--------------------------------.--.-• IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION ' No.t:3 -r::f'~/./11 ESTATE OF NORMAN EDGAR SHAW,DECEASED FIRST AND FINAL ACCOUNT OF KATHRYN T.SHAW,EXECUTRIX May 15,1970 SUMMARY SCHEDULE A PRINCIPAL -PERSONALTY vReceiptsPage 2 $7 ,404.65 i- Income-Personalty 125.00 ,$7,529 •.65 Cash advanced by Kathryn T.Shaw 2,783.00 Disbursements Pages 2-5 Balance SCHEDULE B INCOME -PERSONALTY $10,312.65 6,374.06 $3,938.59 Receipts Page 5 Disb ursements Fr1neipal-Personalty $125.00 000 125.00,125.00 Balance o 00 NET BALANCE THE BALANCE CONSISTS OF THE FOLLOWING: PRINCIPAL-PERSONALTY 50 shares Botany Industries,Inc. 7000 shares National Orga~ic Corporation of Delaware 100 shares The Standard Register Company Cash Judgment $7,597.67,Kathryn T.Shaw,Executrix of the Estate of Norman E.Shaw,deceased,v.Howard G.Burr,also known as Howard Burr,in the Court of Common Pleas of Allegheny County,Pennsylvania, Civil Division,No.2486 October Term,1969 -1- $894.79 1.00 2,783.33 258.47 1.00 ,,'-t ...• • ., ESTATE OF NORMAN EDGAR SHAW,DECEASED SCHEDULE A PRINCIPAL -PERSONALTY RECEIPTS 1970 . April 6 1969 Nov.6 Inventory filed Conversion of Assets Without Gain or Loss Judgment $7,,597.67 entered"KathrJn T.Shaw, Executrix of the Estate of Norman E.Shaw" deceased,v.Howard G.Burr,also known as Howard Burr,in the Court of Common Pleas of Allegheny County,Pennsylvania,Civil Division,No.2486 October Term"1969 $1.00 $7,404.65 Notes and checks as listed in inventory 1.00 000 Amount transferred from Income-Personalty Account to pay debts Cash advanced by Kathryn T.Shaw to pay debts DISBURSEMENTS 125.00 $7,,529.65 2,783.00 $10,312.65 $1,000.00 $1,,000.001969 March 11 1969 Jan.20. Feb.6 25 28 Mar.3 14 18 21 26 Family Exemption Kathryn T.Shaw"widow Administrative Expenses Register of Wills Letters and 1 short certificate $12;50 Washington County Reports Advertising letters 14.00 Bell Telephone Company Telephone calls to McMurray,Pa.9.92 . Register of Wills 1 short certificate 1.00 Certified mail 1.69 Register of Wills 1 short certificate 1.00 Observer Publishing Company Advertising letters 14.00 . J.C.McCleery Appraisal of residence 35.00 ..Bell Telephone Company Telephone calls to McMurray"Pa.,Washington"Pa.,and Dayton"Ohio ._----:1=.:2=...:...;8;..::0:..._ Amounts forwarded ·$101.91 -2- ESTATE OF NORMAN EDGAR SHAW,DECEASED Amounts forwarded $101.91 $1,000.00 Administrative Expenses (Continued) Bell Telephone Company Telephone calls"to McMurray,.Pa.3.60 Bell Telephone .Company Telephone calls to McMurray,Pa.3.50 Court costs -Kathryn T.Shaw,Executrix of the Estate of Norman E.Shaw,deceased, v.Howard G.Burr,a/k/a Howard Burr,in the Court of Common Pleas of Allegheny County,Pennsylvania,Civil Division,No. 2486 October Term,1969: James F.Clarke,Prothonotary,filing complaint 6.75 William H.Davis,Sheriff,service of complaint 13.00 James F.Clarke,Pr.othonotary,entry of judgment $7,597.67 5.50 Claire·Niederberger Affidavit of non-military service 1.00 1969 April 25 June 29 Sept.22 24 Nov.6 6 1970 April 7 27 May 15 15 Register of Wills .Certified copy of will Register of Wills Filing inventory Register of Wills Filing account Thomson,Rhodes &Grigsby Attorneys'fee 4.50 10.50 19.00 1,954.34 2,121.60 Preferred Debts 20.00 20.00 20.00 . 13.00 69.97 706.40 12.00 100.00 190.00 75.00 580.00 250.00 " Mrs.Leonard Thomas Reimbursement payment cemetery lot Edward B.Laughlin,Inc. Funeral expenses $1,286.40 Less Social Security payment 255.00 "Veterans Administration payment Washington County payment Reverend R.W.Kelley Honorarium Reverend J.H.Rodgers Honorarium Reverend H.N,Peelor Honorarium John F.Beauregard,M.D. Services to decedent McMurray Pharmacy Drugs for decedent Louis Signorella,M.D. Services to decedent Morris A.and Lee M.Hershenson Services to decedent 5 5 5 5 5 5 5 1969 Jan.15 Feb.5 Amounts.forwarded $1,151.37 $3,123.60 -3~ "~' ,",. ESTATE OF NORMAN EDGAR SHAW,DECEASED Amounts forwarded Preferred Debts (Continued) 1969 Feb.5 MedtcalCenter Clinic,Ltd. Servic·es to decedent Mar.20 William T~Smith,M.D. Services to decedent 21 Shadyside Hospital Services to decedent Other.Debts 1969 Feb.5 M.B.Thomas Bill of de~edent 5 Dorothy Greiner,.PH.D. Bill of decedent for services to daughter · 5 Bell Telephone Company Bill of decedent dated 1/1/69 · 5 Columbia Gas of Pennsylvania,Inc. Bill of decedent 5 West Penn Power Company Bill of decedent 5 Boron Oil Company Bill of decedent 5 Schneider's Dairy Bill of decedent · 5 The Embosotype Company Bill of decedent 5 Volkwein Brothers,Inc. Bill of decedent 5 Tomsic Olds &Cadillac,Inc. Bill of decedent 5 Spencer Fassett Bill of decedent 5 Texac 0,Inc. Bill of decedent· 19 Bell Telephone Company Bill of decedent dated 2/1/69 26 Andrew W.Cummins Bill of decedent 28 Texaco,Inc. Bill of decedent 28 The Citizens Water Company of Washington Bill of decedent Mar.21 Schneider's Dairy' Bill of decedent .21 Dorothy Greiner,Ph.D. Bill of decedent 21 West Penn Power Company Bill of decedent Apr.10 C.Raymond Baird,Collector /1968 Peters Township wage tax of decedentJune10/1969 real estate taxes . Amount forwarded -4- 291.00 53.80 6.10 1,502.27---- $30.00 60.00 59.73 77.58 19.00 ·12".1,60 ' 38.11 134.09 .90 134.08 32.32 64.17 61.74 65.00 42.05 9.72 7.10 20.00 12.12 180.86 327.02 1388.19 $6,014.06 •r ESTATE OF NORMAN EDGAR SHAW,DECEASED Amount forwarded Other Taxes 1970 Apr.C Commonwealth of Pennsylvania Payment on account Pennsylvania Transfer Inheritance Tax SCHEDULE B $6,014.G6 360.00 $6,-374.06 INCOME PERSONALTY Receipts Dividends Standard Register Company,common 100 shares 3/7/69-3/13/70 Disbursements None Amount transferred to Principal-Personalty Account to pay debts -5- $125.00 o 00 $125.00 Observer .Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News,paper Advertising Act of 16 May,1929, P.L.1784,as amended. Commonw~lth of Pennsylvania,County of Washington,SS:. Pe,rsonally appeared before mle,a Notary Public in and for said County and State,.....J.a.me.s...S~....L:y..o_n..__..__._........._,who being duly sworn according to law,deposes and says tha;t he is the ..~X_"....Y.i.c..e.:::P..r~.S ... of the Obs'erver Publishing Company,a I'tenIlJs,ylvania corporation,and its agent in this behalf;that the said Company is'the owner and,publisher of the Observer-Reporter,SUCCiessor to The Washington Obs,erver,established Septembe'r 18,1871,and The Washington Reporter,established August 15, 1808,a daily news1paper of general circulation.,printed and Imblished and having its place of bus,ines's at Washington,Washington County,Pennsyl- vania,where it or its predecessors have been established and published continuous'1y for more than six months'prior to the publication of the notice hereto aHached;that the printed notice or advertisement hereto attached is a copy of an official advertisement,official notice,legal notice or legal advertisement,exactly-a:s printed or published in the Obslerver-Reporter in its regular editions on the following date or d'ates;,_,'. March 17,24 and 31 1969.....................,-",'-,- that neither th!e affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising a~:a~';;ll of the aHega- ~~~.fui.~fi"vlt ..;:0fu(;;:,:a::a~~:9 Sworn to and sUbscr~e me thIS day of.... .."..~M<1M::;:~~~~ WASH;,~G1CN,WASHINGTON COUNTY MY CGrviMISSION EXPIRES MAY 6.1972 "T~'.~#"'~· ,.,EXECUTRIX";;:N;OTtC~'" 'Estate",of ,NORMA EDGARSHAW,a/k/a"NORMA SHAW,a/k/aNORMAN SH/a,,N. E.SHAW,deceased'iCanons.burg,Washington Co""enna.'_Letters Testamentaryutx>n',theaboveestatehavingbeen·granted.to the undersigned,notice is hereby,given tel'those'indebted thereto to makeUmmediate pai'inent,-'and to'those having claims ',.oY'.£!!emands to present·them for settlement;'! ,-,,,',KAT..H..;E.RIN~ll.'!:ti:,·.SHAW..104..QakwooaJ!R2!!a,;,.Canonsburg;Pe,nna.15317'THOMAS;D.THOMSON'. Thomson,"Rhodes &GrigsbyAttorney~.' 1524 Frick,'Building:Pittsburgh,Penna.15219 69064·Mon.·3t ,I '\' Washington County Reports 63 SOUTH MAIN STREET Washington,Pennsylvania (PUBL.ISHED BY WASHINGTON COUNTY BAR ASSOCIATION) 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 them for settlement to the Executors or Admin- istrators or their Attorneys. ..... 1:oJ' • •• • • •• •••• • ••• •• PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON) STATE OF PENNSYLVANIA (55. 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,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'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: SHAW,NORMAN EDGAR,a/k/a NOR-MAN S.SHAW,a/k/a NORMANSHAW,a/k/a N.E.SHAW,Dec'd. Late of Canonsburg,WashingtonCounty,Penna.Executrix:Katherine T.Shaw,104OakwoodRd.,Canonsburg,Pa.15317Attorney:Thomas D.Thomson,Thomson,Rhodes &Grigsby,1524FrickBldg.,Pittsburgh,Pa.15219 ...-.F..e.b~,uax:¥-13..,20·t..·27..,.1.9.6.9 . ..,.......2.7~of Eebx:uax:y.,196..9 . ..........ZfdU:Le~....~.:.{;~ (j«ry Public I(ATHEIUNE C,YARD,Notary Public \WtalrfnlllGn,Washington Co"Pa. M1 Commission Expires November 1,1969 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.,Hid<Vi,,,'h,·m,.pore ..d ~_~~"iOO '.:''ro,· Sworn to and STATE OF PENNSYLVANIA,f S5:~€iif&~COUNTY,ALLEGHENY ,> The within named Accountant being duly sworn according to law,deposes'and says that the above account". t t d 'd'"she 'I b I'as 5 a e IS true an correct as ven y e leve,S • Sworn and subscribed before me this . mfJ y :)j-&l day of 10.647 ;;$.0 19..I9.... --u~~uu __u_ .'"("/UdAle y (JtlJ1J/~ ..... ,MARSHA E,DiMICHELE NDTARY PU'- \,U_._'·C--.UPPERST.CLAIRTOWNSHIP~.Ingt=on _~unty,55.ALLEGl4lNY COUNTYA"£:Jh~/I.,<7'..CQMMISSIOIl ElPIKES SEPT.24.19 • .......~~ I do certify that I have given leg'al notice 'to all persons concerned of the fili,ng of the within a<;,col}nt in the manner prescribed by Statute and Rule of Court,as ~videncedby proofs tnereof Hied to Nob3~1()~31()_pi:.. Witness my hand and offiCial ·seal thls.3./. -:----------(y}i;:-:;-----.19/0_.l~••n~..--...... Register of Wills 0'~!~ I !~~! J i 't?! .~ ciZ :0 ~:~ :~~~;6:0:'''';.<.>'iE ,cO ,[p~....,o w.:g ."61>S i (])...i~ ~...: .L \ .\.' .'y ,- If>...•.•.'IP ----·-------_t -__~_I_.. ".oj I ... " ·. ·."c --~~ """'" ~,!,. •.. r"',; -""'./ •#~. '(~-I'r ...\,...:-- :l-" ::.•LL '4":...~ .,~.',,) .\ ,.\.4 "4' ..~.' The Court is respectfuIly requested to determine proper distribution in this estate. I~J./~~ .Counsel for Accountant, Testate Form ) .-. -Ii\ r Fiduciary ~~~~.~y.!l:..~.~?h.~~. .i : \.,Shaw','. PETITION SUR AUDIT .IN THE Olf!U.NSX¥4WWJOJX~NI~IQCY4OUIQCJl' COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION Estate of ~.?~~~~.~~~~~~~~.~~.~~.<?..~.~~~~~s No J9.9.9:::~3J . Norman ·E.Shaw,Norman'Shaw'and'·N.:E. ...._..O'~.:.__:.__~..'::::.:.:~..__.._'O!!'!__~~'Of.".~..:_.._ _~~. Date of Decedent's J ····································:···-·D~~~~~~d····.,- -,...,\::. I.\r I".'(,_~:'\,1'"'.I '".6 Date of 6January12,19 9 .January 30,19 9death,Grant of Letters !'.:,""....-•..-J ~..J .This is the ~~::.~~•..~~~~~.~~.~acco'unt filed in this estate..,.....' If there have been former accounts filed in this estate,list file number or number and term ~~.~~. •."".~.. •.\i ~,'....... Election to take wi~l Under or A3adU~-(crossout one) Date Election herewith Place of; Filed Record . Name of surviving spouse ~~~.~:':.~!?-?;.~~.~~!:. List jssue~,wnere ·material:T- .'..\.....J Did decedent marry after execUtion of will?(indicate)Mex No.Any children born after execution of will?{indicate}-,..\'\..~ XX«s.·No.If answer yes,name them.:. ........._.-----_._..__.._-_._-.-._.~_..~_._-__-_.-.._---..-----~.:..--~_-----_. Legatees Relationship Interest Fiduciary,if deceased or not sui juris Kathryn T.Shaw wife entire \List,if exceptions to above:Adeemed:Revoked:Lapsed:Abated:Give Cause: If partial intestacy,give facts:None. .,'.... Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.'bdDt If any exception give cause:. File copy of Notice and date of mailing ·~::,.;....:~.:~:. .-,....... Is ~state subject to the filing of a Federal Estate Tax Return'Yes,but n01;tax payable.,'.....__-. Actual payment made'on Pennsylvania Transfer Inheritance Tax.Amount $.J~g.~.9.Q :. If the Will makes any portion of estate'subject to a life-estate,give name and birth date of life tenant... 'not applicable ......._._..__._-.--:~:-_.._--._._._-_._:.._..-___-__--_.._----..---_-___-_-..__ __-__._--.._-__-_.. Give Names ~nd 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 whE~ther 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. I'· 124.00 Balance for distribution per ac~ou'nt, Itemize any additional debits nqt shown .by account: Dividends Standard Register Company ,100 shares 6/5-9/4/70 Total additional debits (Add) Itemize_any additional credits not shown by account: Allegheny County Treasurer Pe~sonal Pro~erty Tax Lawrence Memorials Gravemarker Total additional credits (Subtract)·..TJ.:,,:r i,',-," Balance for distribution 1.73 $3..,~~.3.~5.9.. $_,..._...._._5..9..•00--. $._~~?.:.1.~. 386$~??.~. !'. If b~lance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); 50 shares Botany Industries,Inc. 7000 shares National Organic Corporation of Delaware,. ~, 100 shares The Standard Register Company •~.,.~1,)..~. JUdgment $7,597.67,Kathryn T.Shaw,Executrix of the Estate of Norman E.Shaw,deceased,v.Howard G. Burr,a/k/a Howard Burr,in the Court of Common Pleas of Allegheny County,Pennsylvania,Civil Division,No:2486 October Term;1969 .,.~..tJ $894.79 ·~o 1.00 2,783.33 J "'1.00 '" .......~'t T P,"~;1;',0 -.;1...' 'J. ~ I ----'--~ ....-...~' LAST WILL AND TESTAMENT I,NORMAN EDGAR SHAW,of Peters Township,County of Washington,and State of pennsylvania,being of sound mind and memory,do hereby make,publish and declare this to be my Last Will and Testament,in manner and form following,hereby revoking any will or wills heretofore made by me. FIRST:I direct that all my just debts and funeral expenses be fully paid and satisfied,as soon as conveniently may be,.after my decease. SECOND AND LASTLY;All the rest,residue and remainder of my estate,real,personal and mixed,I give,devise and bequeath to my wife,KATHRYN T.SHAW. I do hereby make,constitute and appoint KATHRYN T. .sHAW to be my executrix of this my Last Will and Testament. IN WITNESS WHEREOF,I,NORMAN EDGAR SHAW,the Testator above named,have hereunto subscribed my name and affixed my seal,the 20th day of December in the year of our Lord one thousand nine hundred and sixty-eight (1968). """1...;;s;..:,/--:N;.:..Jo.::-r::.;m=a.:.:n~E:.::d:.::gl.::a::.:r:.-.:S::.:h=aw.:.:.-__~(SEAL) NORMAN EDGAR SHAW Signed,sealed,published and declared by the above named NORMAN EDGAR SHAW,as and for his Last Will and Testament in the presence of us,who have hereunto subscribed our names at his request as witnesses thereunto,in the presence of soid Testator,and of each other. Is I HOvlard C.Thomas lsi Andrew W.Cummins Certified a true and correct copy of the original on file. /~~lAp~Mri~? ,'~'~ L IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION In re Estate of NORMAN EDGAR SHAW, Deceased ) ) ) ) No. ELECTION TO TAKE IN KIND I,KATHRYN T.SHAW,sole legatee under the will of my husband,NORMAN EDGAR SHAW,deceased,do hereby elect and agree to take in kind the following at inventory value on account of my distributive share in the above estate: Botany Industries,Inc. 50 shares $894.79 Natbnal Organic Corporation of Delaware 7000 shares 1.00 The Standard Register Company 100 shares Judgment $1,597.67,Kathryn T.Shaw, Executrix of the Estate of Norman E.Shaw,deceased,v.Howard G. Burr,also known as Howard Burr, in the Court of Common Pleas of Allegheny County,Pennsylvania, Civil Division,No.2486 October Term,1969 2,783.33 1.00 I~ -seal "this IN WITNESS WHEREOF,I have hereunto set my hand and ~~6 day of September,1970. WITNESS: j72t(iMJlA.!f)i5r41:icw !Uor//;ey 'PuIJ;;e MARSHA t.DiMICHELE NOTAIfY ItUIUO uPPEIi 51.CLAIR roWNSHIl' ALLEGl"ib.i COUM'f MY COMMISSION Ut'lrlES SEPT.24.1971 .,"!::.,•.. ..- , I .... If Family Exemption claimed by Petition,give place of Record:. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:~. Kathryn T.Shaw,widow 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 to take in kind if balance is not in cosh:residuary shares being stated in proportions: Kat~ryn T.~haw,sole legatee and devisee. Election to Take In Kind attached. ALLEGHENY COUNTY OFX«IdM~SS: COMMONWEALTH OF PENNSYLVANIA.-.. The above'named Fiduciary or representative thereof, ......._f'"/~",,,,,.;.,.. b . ' d I ;;sworn d th d delngu y ,0 epose an say that the facts set forth in the foregoing petition are true.-..-And your petitioner will ever pray,etc.."'- to the best oL:..~:h~.:r.knowledge and belief..~.-,~. ---::l.._o.r:~:to and subscdbed beiore'd-h A__\'J me th;s--12(6--do~;;;;~~p.~~~__/j":19~I9_:t-!..);-!.~:iLlt-~!£-7!',,--1~----------- Signature of Officer~~..r;;:".~.~ Hie 01 OffiCer----b--V~----------------------------------------------------------------------------------------------------------- Office exPires ~.•.....~j.QZ.~.:....................... MARSHA E.DiMICHELE.NOTARY PUBUO UPPER ST.CLAIR TOWNSHlfI ALLEGrii.N I CuUNfY MY COMMISSION EAt'lkES SEPT.24.197J ,No.1969-131 '~d "09 NO.L;)NiHS'V/i, s-n/M :!O H3JSID3HON!~VN lT3SSm.1 ,, I 'J .' .·i '- r ~~~~~f-a~Q-N~~~a~-~~~~s-~~~~-~1'J6-;~~ Shaw and N.E.Shaw, ....................................................................................................-..... Deceased • J:1 Fiduciary Kathryn__T_.S.b_a.w__.~_ PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL .r., Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:paragraph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case..~.:' 2.Copy of 'brder appointing Guardian ad litem,if pertinent.none 3.Copy of Order appointing Trustee ad litem,if pertinent.none 4.Proof of service of above.not applicable 5.Letters Testamentary or AdministrationC.i5::t.a%tacrcCfit~€Jt.copy of Will.copy of . 6.~opy of Inventory'and appraisement.COpy of 7.~d'~Jl~cat'~ti~¥nte~fgpgrantof letters if not filed with account.flIed withaccount 8.Certificate of liens in case any of the funds for distribution are from judicial. sale of real estate.none . 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto.previously filed. Thomas D.ThomsQnThomson,RhaES &Grigsby ··i52·4--Frick·-Buiiding·········-Att~~~ey Pittsburgh,P1!";'52l9 2/ ,\' \ ff i~'d 8z d3S Di,I , I,Q'"1 --,j ,;..:J J ':j" l.... -';~. ..j ,.-., ~: "...." ,......, ,.I 4~-::•<..•: .........••.+..,. ···./:(Ir ,;\>,' /.,)"."~::...,,:.,,,,("'"" J '/~''''''''(,_• !I .l .\-"_ ."....., ~ j _I , c'E (r, .,:.t"i ,..., In t4t arnurt nf arummun Jllrus uf lfus4iugtnn arnunty. Jrnnsylnuuiu.(@rp4un~'aruurt mini~inu J ESTATE OF Norman Edg~r Shaw a/k/a NormanE.Shaw,a/k/a Norman Shaw ik/a N E Shaw No._~6~3~-=69.L..---=l:-03:=.1 _ In the matter ofthe First a nd Final Account of·_--o!.lK='la..J<tU..lhu.;r".J.Y..lJnI-.,.,!;T..a.--!::S~ho.saa..aw!...-__ Execu.t pi.x Deceased ADJUDICATION AND DECREE And now Sept'ember LZ ,19 70,this matter came on for hearing, audit and distribution a:t this session and testimony taken;and thereupon,upon due consideration thereof tbeaQ-a4a.Qlle for distribution in the hands of the Accountant is determined to be $J,.Q62,nfi and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDULE OF DISTRIBUTION Balance per account -'-I Additional debit asked at audit Additional cr~.dit asked at audit Balance 1 Deduct Clerk's Costs &Receipts _ Attorney'-...IeT...hJ..lOIDw·,g,a~s~D...,_..I.T.u.b.uo.wmQs.uQ.un _ Washifigton County,Division of Personal Proper- 'ty '!!~x,.per praecipe filed,credi t to be taken '~Y/'.f;he accountant for funds advanced prior to ·distribution by the Court, Russell Marino,Agent,transfer inheritance tax,.'$46,60 Interest from 4-12-70 to 10-9-70'.33 Kathryn T.ShaH,widow,residue,including cash 50 shares Botany Industries,Inc.stoc~ at $~94.79:7000 shares ,National Organic Corp oration of Delaware at $1.00:100 shares The Standard Register Company at $2783.33;JUdg~ ment $7597.67,Kathryn T,Shaw,Executrix of estate of Norman E.Shaw,deceased,v.Howard G.Burr,.lso known as Howard Burr,in the Court of Common Pleas of Allegheny County, Pennsylvania,Civil Division,No.2486 October Term,1969 at $1.00;held in kind and distri- buted as such a t the app:rai sed value,(value as shown)per election filed, 20.00 125.73 15.50 16.56 $3,830.80 No balance r:.. \ \,\, "j .. ~(l •(~+nocao... , ,t , I r,! f,:.'\r-'-----:t j "l \.'\., ,.t- ,> (..,,",0' r r ") f_,,! ,·....-i', ('"I' -~0 ~~".r f .n,'l-i :.") ~)'..)) cc~ C',l b .... 1..J..J V":1 r t '().. d )'1J'";'"' ,'r~•~~, ,\,!'l.l t;.._,,,,', (,'")r·-~"r ,I..,.t,0'( ~<..,,r ~,r ;-,,,--.( ,')f.•. ( t_;~"..,'1 [.~. J~~',."I,;1, .).,f '1 ,;1 ",- ,'1£1 r .'''')....J ..'r t'''',~r 1"'.')( '(.~"\"r )'.'r '/ '\I ,.r t ..(.,. ); r ;.n'o·')"" u_ 6. LLi TDT:jb 10/5/70 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION / ESTATE OF Norman Edgar Shaw a/kIa, Norman E.Shaw,a/k/a Norman Shaw and a/k/a N.E. Shaw, Deceased ) ~ !No.63-69-131 KNOW ALL MEN BY THESE PRESENTS,that I,Kathryn T.Shaw, do hereby acknowledge to have received from Kathryn T.Shaw, Executrix Cash Botany Industries,Inc. 50 shares National Organic Corporation of Delaware 7,000 shares The Standard Register Company 100 shares Judgment $7,597.67,Kathryn T.Shaw, Executrix of the Estate of Norman E.Shaw,deceased v.Howard G.Burr, also known as Howard Bu~r,in the Court of Common Pleas of Allegheny County,Pennsylvania,Civil Division, No.2486 October Term,1969 $258.47 894.79 1.00 2,783.33 1.00 $3,938.59 in full of the amount awarded me under the decree of the Orphans' Court of Washington County,Pennsylvania,entered at the above number. And I do further authorize and direct the Clerk of Orphans' Court to enter a receipt on the Audit Docket in my name,place and stead. ,WITNESS my hand and seal this if 2-tL..day of &e:llr&I , 1970.~\<Lte ~a~~'o ~.,e-f Ft'-~\0 0't Witness~~'M.~ T.M.MeC B'IIfI'ARY PUBLIC FRANKLIN COUNTY,OHIOMYCOMMISSIO'N EXPIRES FEB.28,1975-- 0\'.~\{H ..r rr .J.. i r:,',.'r'\t,:'I ~-l,~.It,.•t-"<-, }10 NOY 4 nrllO 25 I t \'I .,'"'1't (, 1--..t .J r 1 ( ( ", 'V \;")(~." .!\,I- ..'.... .f:r.r:.r ,:J. .'."..., ,.)fIr) \.,I£C1,'l :;............,-, i ••l .,- .T,'.' (".II ;'\".If.',~~ r'£':;t~"c:>r::i .D ;.i'.r'ff:>C...' r .'/b~'~'.Gc:)-:.r,f.'.3tl'";." 1 !.~t o"~"-I)'.•'....t.",7 •.,'.··.t r....)"..1. 3'-.,.(~~(1m'.10:':.t ~::..'Ie·.I r-rr'G"""}'rr,q ,-'flO(" .,>v '\v';~.,.",. [J"'-''1-••('O'j ~'f ...I \~..(....(1 ',.,.1;',..A.'.,.,'-I "'-''..J • ':fl; lv. t'r."'BI"f2 0_. ·,sm'. .,','.a '"r,6 .,' " ",rr'"gI t,: "'{·•.jo.~·r:4 :t(J ";)18 '.," ,.•fl :.:j )IJ :11,~,.i~.,'I ..).J ::..J."J ,•....,~).t,c-.. \ I ,cr J r jr r"::'\~:J'J:.B ",~j ,r..) b JB br ,[f VlJ -.~({(.~:....\.0\'/.~. () -" to"~ .; <"')• .•,.-.........J. Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF WASHINGTON 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 ye&r after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of theJnl).eritance.an!l Estate .Xax A,ct of lQ61.) IN THE MATTER OF THE ESTATE OF } N Ed Sh AFFIDAVIT OFormangaraw-..........·i"Sbt~..f~ii..~~~·..~f d~~~nt)....EXECUTOR Washington ~~~Late of """'"... .County S~.~..--::~::~~:;~~--------}55: Co nty of . .,.. Executor and says (Month) January 12 .........Kathr.yn.•...T Shaw.................... of the estate of the above-named decedent being duly sworn,depose S 69 r .}(Day).J 19i·y;;.;;-~·i....'JL ~~~~aVing a last will,copy of which is hereto attached.Decedent'died Name and address of attorney or} other authorized representativ.e to. whom all correspondence should be mailed. ..Thoma.sD..•..Thoms.on.. 1524 Frick Building,Pittsburgh,Pa.15219 That as such ~.~~.~.¥.~.r.J.~,deponent is familiar with the affairs of said estate and the property con- (I';xecutor·Arlministrator) 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 indecedentJs individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TODECEDENT None That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth full v and in'detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the asse~sed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of dea,th;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 institu.tions,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 b~nks,and to the date of d~cedeni's~death in all other cases;all bonds,postal savings,treasury certif:l,cates or notes and other ~Vidence"of1ri-". debtedness of the United States to the decedent;all obligations,whether by statute or:ag~eement they~. -Jaredesignatedastaxfree,of the Uni ted States,or any state,or political subdivision thereof,or of . any foreign country,which are owned at the time of death;all wearing apparel,jewelry,~siiVerware,pic~ tures,books,works of art,household furniture,horses,carriages,automobiles,~oa'ts,;.and;.any and all J other personal chattels of whatsoever kind or nature,left bydecedent,together 'with''the'fairl;r estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of Which decedent died possessed,of whatsoever nature,With interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable to the estate from life insurance polici'es carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. In the case of securities of close or family corporations,the values reporte'd are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the'date of death.T'he schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedUle,financi,al statements sho~ing the ll:ssets and liabilities o'f s'aid c<;>-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of'the agreement) together wHh a stateme'nt setting torth '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 uf the decedent's'interest therein must be submitted.·It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofpropel'ty,real or personal,within two years of decedent's death,in conte~platlon of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transfe~ee.and all other facts of a pertinent nature regarding said transfer~•.In the case of transfers iritended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a cODY of the deed,trust agreement or other instrument creating the trust.Ther.~is also set forth in said schedule a list of all property,real and personal,with its value,which pa~ses at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either indiVidually or jointly,brthe Will,deed,or other instrument of another, with a copy of the.instrument creating such power 'attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons ben~ficially 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,and the relationship of such issue to the beneficiary. That Schedule E attactied hereto and made a part hereof sets forth all property,real and per- sonal,.owned by the decedent jointly with 'another or others,including intangible,standing in the name of the decedent and 'others;plus the date and place of record of instruments effecting the vestiture of real estate and the date of acqUisition of personalty,plus the name,address and.relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and dedl,lctiolls claiined fo·r and on behalflof this decedent's estate,including funeral expenses paid; fa~ily exemptiO~,where applicable;'costs ~f 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 conse~lence of the death of the decedent;debts and claims owing and unpaid at time of ~.death;taxes accrued charge.able for period prior to decedent's death (except.those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of WillS,and that the amount of tax assessed can be reassessed in accordance thereWith. That the totals of the appropriate columns in Schedules "A","B","C","E",and "F"as directed therein,· have been carried forward and properly registered in the Summary. • Subscribed and sworn to before me this ~z.J...r3.?... ;,.';::........~4~/I~~/l.lJJ-Q 'rJ~~L~----·_--- _·/G:~HL~~····{lf2t,,···~_:~1Q!lQj:lis~~:l,~~;;;~;;}g·_!lP.~_,_3J_q=-E .;ETHH PARK~~~l:;.Y A~~;~~ENY COUNTY .:f:l.~.~.~.~.~.~.~~~..?:f:l.~.~~.?.?..?...~. .MY COMMISSION EXF'lftEs JULY 17,1972 (City or Town and State) NQTE: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) EOMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE • BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" ,.-REAL PROPERTY // Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property heid as joint tenant or tenancy by entireties,report on Schedule liE".Property held by the .de.cedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commo!,wealth of Pennsylvania should be (1)(2)(3) described by lot and block number,street and street number,together wi th DEPARTMENTageneraldescriptionoftheproperty,with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title;If a farm state number of a-FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this spoce)to be listed on Schedule "F"and must not be deducted from this schedule. NONE .' .-Ir' Insert this total opposite "real property",Schedule "A"in the X X X X X liAs Reported"column on the last page of this re,turn. None ,---------~------------------------------------------, RESIDENT DECEDENT ;;COMMONWEALTH OF PENNSYLVANIA T~SFER INHERITANCE TAX RCC-35 ....... 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".Intarigible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.Jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,... stocks,'mortgages,notes,together with accrued interest or diVidends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed estate or or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule.--...,.--_._------------------...,.--.....,------,.-------- Item No. ITEM List and describe fully UNIT ESTIMATED VALUE MARKEl'VALUE DEPARTMENT VALUATION (Do not write in this space) 1 2 3 4 5 2 shares Bethel Masonic Hall Association, capital,face value $25.00 00 ..:.s:o:.shares Botany Industries,Inc., common 1~.9375 7000 shares National Organic Corporation of Delaware (no market) 100 shares The Standard Register Company ~8. Investors Diversified Services,Inc., Certificate No.20-95518,nlo Norman E. Shaw,trustee for Kathryn T.Shaw,paid up certificate due 2/4/78 @ 9,320.63, value date of death No value ,,8'96.B8 1.00 2,800.00 6,975.68 6 Check of The Standard Register Company Credit Union to Kathryn T.Shaw, beneficiary 277.12 7 TWA refund check 19.79 8 The Standard Register Company Salary and bonus payments alc decedent 3,704.74 9 Notes of and unpaid checks Q~Howard G. Burr,alkla Howard Burr,payable to Norman E.Shaw,a/k/a Norm Shaw,as follows: Note dated 8/24/61 in amount of $500.00 ""9/4/62 """2300.00. ""2/1/63 " ""1000.00 ""9/21/63 """795.67 " " 10/28/64 """917.00 ""12/3/65 """325.00 ""7/31/67 " " " 200.00 Check "4/24/63 """450.00 ""4/10/64 """300.00 ""6/8/64 " ""10.00 " " 6/17/64 "" " 300.00 ""6/1a.z64 II ""200.00 ""10/1/68 "" " 300.00 7,597.67 Valued at 1.00 Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X .,,"..--'.-i "11r;'6'T6 •21 RCC:-3D >,'.,'• •CO\f'lWN'I'1'<:ALTH OF PENNSYLVANI~ T1UNSFER INHERITANCE TAX' ~~SIDENT DECEDENT SCHEDULE "c" TRA.NSFERS (1)Did decedent,within two years of death,make any transfer of any material part !if his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)Yes (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)~l'llIl...o_-- (3)If the answer to (1)or (2)above is in the affir~tive state: (a)Age of decedent at time of transfer __:;_..1._ (b)State of decedent's health at time of making the transfer.(Note 1).Poor (c)Cause of decedent's death.(Note 1).Sarcoma (4)Did decedent,in his lifetime,make any transfer of.property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)No (a)Was there any possibility that the property transfer~ed might return to transferer or his .estate or be sUbject to his power of disposition?(Answer yes or no)No (b)What was the transferee's age at time of decedent's death?47 (5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or e~joyment of or the right to income from the property transferred? (Answer yes or no)__N_O _ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)No (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or 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 decedent,at any time,transfer property,the beneficial enjoyment of .which was sUbject to change, because of a reserved power to alter,amend,or revoke,or which conld revert to decedent under terms of transfer or by operation of law?(Answer yes or no)__~N~ou-__ (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no)__ NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM DESCRIPTION MARKET VALUE (EsUmated)DEPT.VALUATION (Dept.Only) 1 2 1962 4 ~oor Oldsmobile 98 1965 Delta Oldsmobile 88 Decedent transferred items 1 and 2 to Kathryn T.Shaw,his Wife,in January, 1969,as gifts. 315.00~M 1,015.00 f ~ Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. 1,330.00 Rcq-3S,~ COMMONWEA.LTH OF PENNSYLYANIA TRANSFER INHERITANCE TAX. RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY ! IN STRrCTION S: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 under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co~owners to the decedent. Description of Property,Date of Acquisition,Name I Unit Address and Relationship of Co-Owners,and Place !Value of Record of Instrument,where Real Estate.! The following all in the names of Norman Edgar Shaw and Kathryn.T. Shaw,tenants by the entireties: House and lot,104 Oakwood Road Peters Township,Washington County, Penn~vania,being lot No.4 in the Plan of Lots of A.B.Brown Heirs. BEING the same premises which Willi~~ K.Lambie et ux.by their deed da-te 5/12/55 and recorded in the Recorder s office of Washington County,Pa.,in Deed Book Vol.934,page 4,granted and conveyed to .Norman Edgar Shaw and Kathryn T.Shaw,his wife, u.S.Treasury check dated 7/19/62 payable to Norman E.andK.G.Shaw in the amount of $10.00 Checking account #217-8822 at Mellon National Bank and Trust Company, Pittsburgh,n/o Norman Edgar Shaw or Mrs.Kathryn T.Shaw ($293.64) Savings account #72-003600-3 at The Union National Bank of Pittsburg 1, $603.99 96%of 151.019 shares Crossroads Investment Club -144.97824 shares @ 9.948 -$1,442.25 1 share Standard R~ster Company stock n/o Norman E.Shaw and Rollin C. Shaw as joint tenants with the right of survivorship 28. percentage Estate Share Valuation Not taxable Not taxable Not taxable Not taxable Not taxable 50%14.00 DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return.14.00 f~r -.-I"R.cq-37'(12-63)',~, COtfMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES ,. ,-,..,"...I r RELATIONSHIP1.BENEFICIARIES AND ADDRESSES .(If step-children or SURVIVED DATE INTEREST OFStatefullnamesandaddressesofallwh~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, Kathryn T.Shaw wife ves sole devisee and 410 Abbeyville Rd.:~'Ap't:'141'~b#legatee---r.L"'gn,ra...L:JC:C:O J ,. -- _. - .. - , ( h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE Will ~Administration ~No.Year . . D<THE ~IATTER OF THE APPRAISEMENT OF THE ESTATE OF .Norman·Edgar.Shaw·······················. .Deceased (Executor-Administrator must complete "As Reported"column #1.) 0 :~...,'"d :;:r::l...:0 ~~~0 ...e:..'":1-'0 ::s '"'":::s ~0 ~::s '"d:c:1"~e:..... II>:I-''"0><"0II>:C<'"d ~0-:I ...... ~0 ~:0 "0 t%j :~~... '":::s M- M-:(1)'<II>M-:p.~ :t-ej:~:0:"d :(1) :~ :c:1":C< /" ... Late of l'eter.s ..'l'owns.hlp . REPORT AND APPRAISAL Commonwealth of Pennsylvania County of Washington :. -00 -00 enc: ~~:>..-.,::;:r::lCIJ"-"'"...-....-..>-<:()W W W::r?"?"?".~=C'5 >tx:I:::=................ ..,;)~~~ 'V'd "00 N01~HIHSVll\ Slllff,.:10 'd31Sln3B O'f •".....1'.-j ~-,~,sn~)",/j F"f -<".11 ,~f .1 .".,.,t-V I :a3~'lj ~~'..,;)~-00 ~ .J\.): ~: ~' , >-'"t:l8-~"'-3 ::lr.c.. .i--'I::1-':tl::>...;..:Z '":w 0\,1:0 ~..-.. I-':w ~1:::S "0 >-t:o 0.'\',:(1)0-.:.:.....,o :0 ru):cto:0 )--->,>:--= "-.:"',""'::.:~:6'-'".~:'\..)~...~():':': :.':~:o .0:: Q :0 .",:. .. D ~o :~...o if\):9. :":.:~6'\• .~: .......... HJ~OL9I I ~tttlid Thomas D.Thomson Attorney at Law 1524 Frick Building Pittsburgh,Pa.l52l9~\ -----------------_.._------------------------~ RCC-BI (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT KATHRYN T.SHAW IN YOUR RIPLY PLEA•• RIFIR TO 37-181-8 j In Re:Estate of ..:;:N:;;:::O;::m:.:::\1AN~.;E:.=:D;.:::.GAR:.:;.::...:S:.;;<HA::.:.:.:.\'J _ __-.;.__---:W:.:.:AS~Q::.:.H:.::I;:;N:..:::::G:.:::.TO.::::~;;..J County - F11e No. Dear Mr$.Shaw: 1-12-69 You are hereby notified that the original appraisement in the estate of Norman Edgar Shaw has been filed in the office of the Register of Wills Qf Washington County on May 13 ,1919..Said appraisement reflects·the following valuations: Jt.He1cae~_-.;...---.::-:--.,.;1~L~~.:.;o0~O__ Personal property 1~4~,~6~7~6~.2~1~-- Transfers ---------~l;;.o,~3~3::;;O~•...,;i0~O--Total -....:;1:.::6~,..;;.O.;;;2.;;.O;.;.2;;;;;1=--_ As to such tax that is paid within three months from date of death,a five (5*)percent discount is allowable.As to any tax that remains unpaid after one year from date of deatn,interest at the rate of six (6*)percent per annum is charged. Any party inlnterest who is a~~rleved by an appraisement may appeal therefrom as provided by law. Date ....Ma:!;;;£yx.....;l:..?u.-=l....97.L.;O~_ Title DATE OF DEATH:January 12,1969 Note:This is not a bill. COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of-"S:<.:HA=\\j~,__---"-N=O=R1"-"v1AN="",E=DG",-,A,,,,\R,,,--. (Last Name)(First Name)(Initial) ____DATE OF DEATH 1-12-69 FILE NO.63-69-131 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". Dated:05-13-70 01-12-69 APPRAISER 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 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 VALUE AS REAPPRAISED $---------+---11.,.676 21 1.110 00 lL 00 16.020 21 14,b'(b ~ 1.110 0011.,00 16.020 2l VALUE AS REPORTED VALlJE AS APPRAISED $$ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or -t= FOR USE OF REGISTER ONLY Tax on $--+~ Thxoo$~ Tax on $5% Thxoo$lK 1'"00$l~ Exemptions * Total Estate -I-__ TOTAL TAX COMPUTATION OF TAX $--------1-- $--------1-- $--------1-- $-------+-- $--------1--- $1.-._ (*)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 :_-1= $======'=== BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $--1 AMOUNT OF ESTATE TAX ASSESSED $--~---II- Estate tax paid $--Jl- BALANCE DUE $-------~I ___ Add interest at rate of 6%from l= ------Ito-----$--------l TOTAL TAX BALANCE $----------I PAID $....J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will Administration !No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF NOHHAN EDGAR SHAW Deceased Late of County of PETE11ST T'VJP. ..WASbIN.GTCN . Commonwealth of Pennsylvania REPORT AND APPRAISAL " i Fonn RCC-2· DEPARTMENT OF REVENUE BUR~OF ~OUNTY COLLECTIONS. "HARRISBURG.PENNA.171 Z7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~y..~3.,+9.7Q . COUNTY }.~~.~.~.!.l:g~~~..- FILE NO..9.2..::9..9.::J.:?~. Whereas,~.'?~.~~.~~.C3:~~~C3:.~late of ~.~~.~~.~~.~. in the County of W.~~h.t.p.gt.9..p.Commonwealth of Pennsylvania,having died on the 12 t.h day of ~.®Wl-.r.y 19 ~.9..,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~.~~..~g~~~~.;r.,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years.the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. I Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purposes $ I PE..R.SONALTY: I See copy of Schedu~e "B"attached to appraisement 14,676 21 I - TRANSFERS : - 1962 4 door Oldsmobile 98 315.00 I 1965 Delta Oldsmobile 88 1,015.00 1,330.00 1,330 00 JT.HELD: 1 share Standard Redster Co.Stock in the names of Norrran E.Shaw and Rollin C.Shaw.14 00 Total 16,020 21 - form~;V;;:~hb::::~h~W~~CCO.tJ;g~,~:o~e~~~t;t~e~~~entism~~e1~~.........~.,....................J .....~........~.re Appraise;zzJ............................~.~;.........................................................................................,.£../mber and Street) Penna.y~y._..........................................................., (Post Ot!lce) WJ\$H:rNG.'.l'Ol\T ..County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of !lTQ:P~..:ri:P..G.!ill $HA1~J.. Deceased. Late of PETERS TvJP. Date of Death,~@.1Ja.:r.y 1.2.,..1.96.9 . Appraisemellt Docket Vol.,37 . Page,=L.?=L...:::?No..f>3.~.9..9.~J..31 . Filed ill Register's 0 fJice,......~1<:l.y.....+.3..t.....197.Q... Amount of tax due,?J .. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appra.isement, Appeal f1'Om Appraisement,.. Entered and charged,.. oJ ~ J Form RCC·IO Of"FICE OF THE REGISTER OF WILLS OF _-,-,W=a..",s"",h"",i=n:,...-<;g...",tc.:::o=n:..-COUNTY AND AGENT OF THE COMMONWEALTH {;3-61'-/3/ STATEMENTfOF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN '.. THE SUM OF $.. DATE APPROVED . Register of Will.,Agent McMurray,PennsylvaniaLATEOF _Norman Edgar ShawESTATEOF... DATE OF FILING APPRAISEMENT --=5;.;../_1.;;.:3:..:./.....;7:.;,..0--.;..OATI>OF DEATH _1....;;/_1_2....;;/_6_9::-_ DATE NO.OF NAMi OF PAYEE REMARKS AMOUNTVOUC>l"JIl l.~O~family exemption 1,000 00Mar.11 Kathryn T.Shaw,widow Jan.20 Register of Wills le~~ers and 1 short certifif-12 50t>£l :"" Feb.6 Washington County Reports advertising letters 14 00 25 Bell Telephone Company telephone calls to McMurray ,Pa.992 I 28 Register of Wills 1 short certificate 1 0'0 Mar.3 Certified mail 1 69 14 Register of Wills 1 short certificate 00 I1 18 Observer Publishing Compan~advertising letters 14 I00 21 J.C.McCleery app~aisal of residence 35 00 26 Bell Telephone Company teTephonecalls to McMurray,P£l lAT!:lC!hi P!:l <>r'I~ ~~Dajton,Ohio 12 80 Apr.25 Bell Telephone Company telephone calls to McMurray, 1>::1 ~60 June 29 Bell Telephone Company "telephone calls to McMurray~ Pa.~~n:::>ep't ~~.James F.Clarke,ProthonotaIry Court Costs {filing compl liint 6 7524.Willi<>m H Davis Sheriff ""se'l"'vit>p of',..nmnl!:l ",1:1 ~nnNov.b James F.Clarke,Prothonotary ""entr.y of judgment 5 50'.~7 C:::07 t:.7\:t_--:;....~.,..,--Kathryn T.Shaw,Executrix.,..~-4--'1......."'~,,"~.j,.,...,..-p n ,..- - .. Shaw,deceased,v ...Howard L .Jjurr,a/K/a tlowara ~urr,~:il 'the,..of'..Pl I=>!:l~of' Allegheny County,Pennsylv:mia,,...~'•.,......~..n ",ltn;- V.LV.L.L JJ.LV ,~~v.~"TVV October Term,1969 Nov.6 Claire Niederberger afft.non-military service 1 00 ApF~0 7 Register of Wills certified copy of will 4 50 27 Register of Wills filing inventory 10 50 May 15 Thomson,Rhodes &Grigsby attorneys'fee 1,954 34 21 Register of Wills filing account 19 00-.l~O~ 15 Mrs.reimbraement payment ofJan.Leonard Thomas 1 n+19o 00 Form RC C·10'.OFFICE OF THE V'REGISTER OF WILLS OF Washington COUNTY AND AGENT OF THE COMMONWEALTH '"STATEMENli OF DEBTS AND DEDUCTIONS Page 2 ,0"""""m='7...,' THE SUM OF ,$... ~Ci'_v9,70DA~.APPROVED '.'~....=1;. Register of Wills,Ag••t\J;:j Norman Edgar ShawESTATEOF.LATE OF _M;:..:·...:c~M:..:u:::r:...:r:....:a~y~,-:;.P....;:e..:.:n::.n:.:s:...!y'-.,;l::.v..:...::a.:,:n:.:;i:.;:::a:;....._ DATE OF FILING APPRAISEMENT ---,,-__DATi OF DEATH .....;.._P-=o,.,..,..'). DATE TgO~ Feb.5 5 V--VJ /iJ"lATf I/vI lip,"l?,'-.I'A :.,1'""''''"-1 i .II J U -'iT '~''tlf~i'l.(7J7 "' ~dward B.Laughlin,Inc.funeral expenses Reverend R.W.KeTley honorariwn AMOUNT I1.286 9,Q, 20 00 5 Reverend J.H.Rodgers'II 20 00 5 Reverend H.N.Peelor,u.20 00 ~~ohn F.Beauregard,M.D.services to decedent l~100 __--+_.-J.~C+-__¥~~lcM2u.!:!;r:!:..:r~a!::!:.lvL_.:P!:..!h~a~r~m~a:!:.lei!.lwr...__+~dI'.~g~_tOl'no .~. ~~ouis SiQ.'norella.M.D.services to dE:!-~ ~o 0'1 1 ~nn ~"orr1s A.and Lee M.5 ~1~.services to decedent lon [00 5 ~edical Cen ter Clinic,Ltd.services to decedent 2Ql 00 5 ~.B.Thomas bill of decedent 30 poc::('l__,~~._~_P,,",'T'\11...."1"",p -"-~',en Inn ' Feb. loH 11 "I ~m rp ~m"l t:h M n 1::..,IOn 7 vvv 5 Sell Telephone Company·bill of decedent dated 1/1/€:9 59 73,...~--.......;;,..--_....''oJ "U'~-~...0..,......."'.IT.L.L~V..L u·'ff DO 5 rlest Penn Power Company bill of decedent 19 pO ?joron·UJ..l Gompany olTT or-decedent 12 ~O 53chneider's Dairv bill of decedent ~R l' 5 Phe EmbosotypeCompany bill of decedent 134 09 c:;:Tn11l'hTj:>~""R,..,,-o,..c:::Tn....hill nf'..:I .;>'nn 5 Pomsie Olds&Cadillac,Inc.bill of decedent 134 p8----+-"5-::;+---~rer:rmw~-F"a:s-sre1;:t------.:-----:--ttrt:tr\Jr_'dermroJrnr-:-------r-~z-m:-1"'....I:'(:I.I:);::H::I""rUJ.-J.'I or I"~~'\:Sh)~7 I __---1--=,....::5~---4Pe~x~.~a~e~0~.-=I~n~c:...:..____::~------4b~i?l?l~o~f~d:.:e:..!:c~e~d~e~n~t~::__:-:__::_;:::__;_::::t:_--:-~hl7-LJ-tf.-;19 Bell Telephone Company bill of decedent dated 2/1/619 6i 174'")t;:~T.f __h..,t"l"l _&0 -~_~r,....'" ?1 to··no,..'s n:ai l"V .hil lnf'no~It:'1 (\ 21 Dorothy Greiner,Ph.D.bill of decedent 20 )0n~__...•~~_ ........oJ 'v2~Pexaco,Inc.bill of decedent 42 J5 ~o .lC!"-WCIt;er liO.01 IAI!:H:H n~It;On -bl.l1 O!'<:lee ederit 9 2 Apr. June c;................~-;LUW=_...'U ~V':L J.~.~ 10 •Raymond Baird,Collector 1968 wage tax decedent6eterslrtwnlBO B6 10 .909 reaT esta-cetaxesI"/327 ~2 .J.Ai..A a ••(1_.~.;~I~'_1\ ....-r TOTAL -,- COMMONWEALTH OF PENNSYLVANIA -..~~COUNTY O~Allegheny I,Kathryn T.Shaw'HEREBY CERTIFY,THAT.TO THE BEaT OF-. -~Y kNOWL.Ei:iGE-ANO BELIEF,THI!FOREGOING IS A JUST ANO TRU E srATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENse OP' AOMINISTRATION:a:'UBMITTEO TO THE ESTATE OF Norman Edgar Shaw DECEASED.AS DEDUCTIONli FOR -.INHER(,TANCE TAX PURPOSES.~r./~. .',f::i It.f~~/YI4,Z YAJlf/C (L,S.) SWORN AND SUBSCRIBED BEFORE ME THIS 1/DAY Ol"<~li.a a lJ1 md&,.01~(}~. MARSHA ie.DiMICHELE NtTAIt'Y PU" lJPlt[1C ST,CI.J\1I1 ,T8WNSHIP ALllli~L"1 LtW'ln MY COMMISSION ~'lllt.~SfPT.24.un .. ~I •!'I .,..r '•~) \ ! \, ,., J J. ..' .. n. .I........ ,,'J ..,~ v • lZl •.1 1 ,,_......- ic~ '.')'. L·._1 .c.II C'('f , o' 1.,I.',,~ .I. I).-l.-.[. :...0 .0 .'.,'-~,.. .\. ..... .' r • '. :'0 I • ,I \., :11 :...- _.-\"'", ~.\/>~~/,,~ ~....:""./ / ", .'