HomeMy WebLinkAboutOC1969-0248 - ESTATE OF SCHLUTZPETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
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Testate Form j
Estate of t.;1Jf:A.l?.t.;:rB..K~..~.c.H;I;..v.r~-..
Deceased
No Q~..::..~.~..::..2A~A.A.
Fiduciary ~.E?~~.y.I 9-~h.~~~?_':¥;~.f?9.~t.~~.
Date of Date of
Decedent's death l~.I2'.:.g~f.y...?L.J.~.l?~Grant of Letters f.f?p.f.'d?f.y...2.1J..J.~.Q.~.
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This is the Hx§1..9.mt.U-n?L account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term N9.ne .
Election to take
Under or ~will.(cross out one)
Date Election Place of;
Filed Record .
.Name of surviving spouse NQD.~.
List issue,where material:
Not applicable
Did decedent marry after execution of will?(indicate)XSb.No.Any children born after execution of will?(indicate)
~IRS.No.If answer yes,name them N.9.t.?p.P.u.9.?f>J~.,
Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris
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Henry J.Schlutz Son One-third
George William Schlutz Son One-third
Carl B.Schlutz Son One-third
List,if exceptions to above:
None
If partial intestacy,give facts:
Not applicable
Adeemed:Revoked:Lapsed:Abated:Give Cause:
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.!>m.
If any exception give cause:~~.I!:~.
File copy of Notice
and date of mailin9·······f.·~J?r.v.9.r.Y..~.?.I..J.~2.9 ·.··..·..······.·.,··,····..·,···.,··:..··.·'ii··".·i.'.i·'.···..'i:··:
Is estate subject to the filing of a ~ederal Estate Tax Return?N~".,",c••••.•••,••••,
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $NQ.I:.v?-.
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant........•.............
.....~.<?!..?PJ?!~.s:~e.~~.
Give Names and addresses of all unpaid creditors who are legally entitled to notice,together 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
Balance for distribution per account,.
Itemize any additional debits not shown by account:
u.
Total"cidditional debits (Add)
Itemize any additional credits not shown by account:
$.
$2.,.?~.9.!.~~.
Audit costs,to be determined
Pennsylvania Transfer Inheritance Tax,to be determined
Total additional credits (Subtract)
Balance for distribution
$.
$.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Balance for distribution is in cash.
c"."
If F ·,E .I'd b P ... I f R d'Not app.licableamiyxemptloncalmeyetltlon,give pace 0 ecor .
If F ·,E t'.I'd 't d't'.I'h'db'f CI"Not applicableamiyxempIonIScOImeaauI,give name,re atlOns Ip an aSls or aim .
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:
Henry J.Schlutz -One-third thereof
George William Schlutz -One-third thereof
Carl B.Schlutz -One-third thereof
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COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly l?.YY:QrxL doth depose and say
that the facts set forth in the foregoing petition are true
to the best of ht~_.._,knowledge and belief.
.....S.w.Qrn ~'to and subscribed before
~e Ih;S_3_!!L :day ~LM9E9)L--------------77~.
Signature of Offlce.r..~~~..a...~.
Title of Officer ~.....•:,NQ.~~r.y ..~gP.J.t9 .
Office expires ~~~~~.~.-.~:.~~y.?~~:.~~!~!Y..~~~I~'"
,PJtts~rgh.Aile;:;"eny County,Pa.
MyCpmmssion Expires June 8,1970
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And your petitioner will ever pray,etc.
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Deceased
No..§~..::..§~..=:..f.1.~_.__..A.A.
Estate of.f;1J~.~f;:rH..K~..Q.QH1V.r.~.
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ONI}3VY-J -1l3SSnH
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Attorney
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PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
Fjducjary....g~~y..1.~..~9.l:J:~~.~~.!._~~.~~~~~~.
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 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.'
1O.Co~~ederal Estate Tax return ifes-
tate./bject thereto.
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',_EUG.ENE J.REINBOLD'
,.ROSINA BECK LEwIS.':>
,Deoamb.l"1969:
TELEPHONE
AREA CODE 412
•'281-2738
JOSEPH A,BECK
"66S-1955
BERNARD B.MCGINNIS
,OF COUNSEL
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PITTSBURGH,.PENNSYLVANIA 15219•of '..'.
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THOMAS F;LAMB
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Pitt.burgh,Penn.ylva~_a.15236.
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1233 We.t texll'l9tonAv$nueFortWayne,InCslaile-468Q7 .'.•,..'".J ..;.
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NtII Henry -J~Sohluta·'".
'5396 .Orchard'HUI·lilv,..
Pitt.burgh,:Pennaylvan1a..,15286 .
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I-em plea.*<S'to advta.you that OJ)DeCember 10,'1969 f the fit.t-snd final AccOunt In,
the·Eatate of YOur motherI 81izabetb K.'$Cblutz:,Dtcea'ed,waafU.Ci with the aevtater
.of Win,In the Orpheo.at,CoUrt of Walh1ngton County,Pennaylvante ~.' ,.'~~_.~.'"-.:-.'«.~,fl..7.'11"~",'.~\'.'~':~-~,.'".,ct ~~.~.
...'.,'~•'._,. •,,'.~",-_.:..•'-.'I .',."t.'.,',;1It,""-......~"~I''........".:"".Plea..be advt.ed that 1t Will be ce11.dfor Audit at 10,00 A.M.'!on·March .16,1910,or
".a.800n thetHftar ••m••tathe conv.nt.noeof the Co\lft.,The'Audltwll1 h conducted
Yb.fotetheHonotobl.P.Vincent ~ertn9'"at the 'Oo~b()u••tn,Wa.b1ngton#·'.nnaYlvanta#
at whtchttnie'a~:P~tltton Sut ,A\icUt wUl be p,.aented to tb.Court-wherein the Court will'.'
,'be eaked tQ."de6r••·one....thirdof.tb.n.1:.~ed.ofthee~~..to eaob of you.
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:".1 can al,o confirm -for you tl)et l·theln.t~U.tionofUl.gt.va~rker haa been compl.ted,
.:and,•••oon i.thia was confirmed for1i.,the,Account wa.fU.d~It any of yOU have·
"."any Clu.•aUona ebout o~vth1nV,plea••do not bealtet.to let m.know.•...••t._I • •••
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BERNARD B.MCGINNIS
OF ,COUNSEL
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'':'AREA <:ODE412
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,1233 West 'L~)dn9tonAve"nue:,t'",'"~......•'.~-'i "'•.Port Wayne,-Indlaria ,'46807 ..
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5396·Oroherd.~IUbrly•.;.,'.,'",'{'~;''No~,fi~:=r:'9.~~248~:",.;;,~''"j
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n.ar'Geo;'e 'C~rlten~·H~~l·".!":,('.';;:t~;~:'>',.,',,,'p '.~<\",.~"J
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,You ~1l teo8:Utha.t I Wrote.you:o~l~ie.i 17,1969,it_~fln19,the f~l)ng ·ot~th.
fSrat and.~no~:."count,lll th~.,E.~te>of"Yo~,nto.ther·~.~~'a,be~~~K.:.s9hlu~~,oe~,.~aed-.,,-
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ta~d1r'be~dvt'edtbet_tb'E'tat.\vfiUb~':Qai~edfotAudlt'a.t.lO:OOA'.M;.·onMarotl17:~,
'197,0,before tbeHQnOrebi."P.:Y1nof~nt:Mat1nO.t ·tb..·<:»urthou••lnWalhtn(Jt:on,.~.,,,';·;':,~,~--1:.-·,~~~..>-."~""',."'.:..'~'1 ,.-~'![,",';:c'",~~"",':,',.,."'~'.P.~~.Yl~n1~,.;At ~at;,~Jne~~·P!ttU()n.S~r~~dlt!"l,l'b.p~.entedto ~hf!Court .,'
Wheretn the 90~Wtllp.'8.ked:to.~,.e.td·~eaQh·ot~~~&bove named lone-third
of the net proceeds ofthe EatateavraUeble for dtatrtbu.tlon~'.:;''
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'ca~b.~.ntto,t~t~d5;l~the 1~t..t~'~'iof~M~,i'~hQ~~h••~ly.~ttof,April,.;~970.
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RAVMOND :'AI CRO'MER
"THOMAS F:'LAMB'
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KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
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on the 24th.day of February A.D.1969 ,before me,
Russell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
the last Will and Testament of
Elizabeth K.Schlutz
late of McMurray in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Henry J.Schlutz
the Executor in said Will and Testament named,having appeared before me and taken and subscribed
the oath of office prescribed by law;
NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do
grant these LETTERS TESTAMENTARY,unto the said
Henry J.Schlutz
committing unto Him the administration of all and singular the goods and
chattels,rights and credits,which were of said deceased,and requiring Him
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 24th.
day of February in the year of our Lord one thousand
nine hundred and Sixty Nine
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L.t\.ST HILL AND TESTAH8NT
I,ELIZABETH K.SCfILUTZ,of Peters Tmmship,11vashineton County,-
declare this to be my Last 'IIill and Testa.'1lent,in manner and form follm·Jing,
Pennsylvania,being of sound mind and memory,do hereby ma..1{e,publish and I·i,
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IIIIdirectthatallmyjustdebtsandfuneralexpensesbe1.
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·1 hereby revoking a..ny Hill or Hills heretofore made by me.
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fully paid and satisfied,as soon as conveniently m~be after my decease.
2.I give,devise and bequeath m~r entire estate,real,per-
sonal or mixed,of whatsoever nature and vTheresoever situate and howsoever
acquired,unto my husband,J.HE:'ffiY SCHLUTZ,absolutely cmd in fee sinple.
3.In the event that my said husband,J.l-i'"EJ:.rRY SCHLUTZ,
should predecease me,I giYe,devise and bequeath !J1-Y entire estate,real,
personal or mixed,of 1vhatsoever nature and i'Theresoever situate and hQ1:'lsoever
acquired,_to IT'lJ'-three sons,HENRY ,J.SCE1UTZ,GEOR.GZ~rrLLIAl!I SCHLUTZ a..l1d
CARL B.SCHLUTZ,equally,sha.re and share alike.
4.I hereby nominate,constitute ffild appoint my oldest son,• I
HENRY J.SCHLUTZ,to be the Executor of this my Last "llill and Testament,and
I cJ.rect that he shall not b'e required to enter security in any jurisdiction
in which he n~act.
IN vlITNESS1,'~~OF,I,ELIZABETH K.SCHL'u'TZ,the Testatrix
above named,have hereunto subscribed my name and affixed my seal this 11th
[
II day of Hay,1962.
II
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"IIIi Signed,seeled,published etne.declgyed by the abo'~e nar:.ed!i ELIZ.''l.3ETH K.SCHVJTZ,as e.nd for he!'Last Hill and Test92!lent,in t1:.e presenc~
II of ~s,.Hho have hereunto subscribed our narr.es at her request as ivi tnesses
!I there~'3-to,in the DresenCe of said Testatrix and of each othe!'.
if',,Of .-7 //-:.11.///~c ((L ,--",-,(~,.j 1:.c,-_,--~lL-''--~'--residins at..5Z>J~.)'.J-(,.,L /-1//r;i )7A'.
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,I ~IJ ~£\l),/7JF--".'.'~,,&..7 p/i,L.!II ·QJtP1-1-1Lt-t~,:.C-b·residing at !.jJ.6.:j:J~~PIf{:tr:;[-:it.../9 J,Q..II -/-:-iol-.7'~!+1.-.....-+'-'''''"'.--.---------tl""----'7 -/I -.I
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1\ffibunit (@f 1£xrrutnr ®r 1\bmiutatratnr J
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(!tnnuty nf ~£ii~sW'!i!i:
Personally before me,the undersigned authority,a NQtary..P.!J.ol.Lc in and for said
County and State,appeared H.E?.my.IA..S.Qhl!Jt~who,being duly
sworn according to law,deposes and says that he is the eX'ecutor oaxxclmimstxatclx of the es-
tate of ~.u;;;;.9..Q.E?tJ:LK!...s.QbJJ:lJ?.deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate ofBUz9.b.e.th..K•..S.QbllJJ?.,
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 ~Kbox.
Sworn anis~bs~ri~ed before me this ..~.t~L }')nl_0 ~//'
J,y Of,~..I.ra19 A~:"""://.f'~~~~t~~~':a~mtw"""""'"''''''''
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:,,~...-ADDITIONAL IN,STRUCTIONS
An inventory must be filed within three months after appointment of personal r,epresentative.
A supplemental inventory must he filed within thirty days of discovery of additional assets.
1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,ip-
cluding Copy of Will and copy of Federal Estate Tax R,eturn.
REFERENCE FOR ADDITIONAL COpy
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
'.
3JUtlfutnry ttUll !\pprtti!ifWfut .of the goods and chattels,rights and credits whkh
were of EU;?:.~p..E?th...K S,GbJv.t.?,late of Mg.M~IT.i?Y r..E?):JJ)..~Y~.Y.i?n~~~·
Washington County,Pa.,taken and made in conformity with the above affidavit.
REAL ESTATE:
DOLLARS CENTS
ALL that certain lot or parcel of land situate in Peters 5,400.00
Township,Washington County,Pennsylvania,bounded and
described as follows:
BEGINNING at a stake in the public road leading from
Thompsonville to the Pittsburgh-Washington Road,the common
corner of Gaynard and Klein lands recently conveyed by
Leander Neads,et ux.,thence by line of said Klein land in
center of said public road,North 820 42'East 31.1 feet to a
point;thence by other lands now or formerly of Leander Neads,
of which this is a part,South 70 46'East 327.1 feet to a
point;thence by same,South 720 288 West 140.0 feet to a
point;thence by same,North 30 11'West 350.5 feet to a
point in said public road in line of the said Gaynard land;
thence by line of said Gaynard land in center of said public
road,North 81 0 0'East 78.9 feet to a stake the point of be-
ginning,containing an area of .960 acre according to survey
made November 27,1945,by R.K.Lightholder,surveyor.
1969 Assessment -(House -$900)and (Lot -$600)
PERSONALTY:
Proceeds of Death Benefit,Check #03264248 7 of the Metro-
politan Life Insurance Company,payable to Henry J.Schlutz,
as Executor U .L.W.T.of Elizabeth K.Schlutz,Deceased.1,214.57
Proceeds of Mutual of Omaha Hospitalization Policy
No.PLH 86746 -PL 51 54 •28
Return Premium of Mutual of Omaha Hospitalization Insurance.
Policy 5 ~05
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Inventory and Appraisement
IN THE ESTATE OF
~ELIZABETH K.SCHLUTZ•.................................................................................
';.,'Deceased.~,'
/IJI'I'JI .\,\\\J J'i\."Filed ,19 .
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Raymond W.Cromer._~sq.
Beck.McGinnis &Jarvis
800 Porter Building
Pittsbu...r f.h2....Penna.1521928-738
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S'tntr of 'rmui1J!pnttin },.4'llfy Ht'n'l .as:Cttouuty of ...,
Personally before me,the undersigned authority,a N.Qt9:.r.y..J~llJ;~ltQ__._in and for said
County and State,appeared ..H.~.l}f.Y.J.!$S:b..!~t?who,being duly
sworn according to law,deposes and says that he is the executor &l{~Ul:P!l:1o;M~~of the es-
tate of ..);:.U~.9:.Q.~th ..K•...s.gbJ\)J.~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of .~H?;.~p..E?_th..K!...$.gb..tl:l.t.?,
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 apprai~~ement of each item made by the above named Executor aZd7.i~rator.
Sworn alld s~bscribed before me this 3J!?L })4/~.ffh,,/--
day of..
O.ctO.b..or 19 6~l ./'".'}~..::..~_~.'::~....."~.e tor-~,;;;..,
..........7~y···I6;;c···~~~~~~1\L INSTRUCTIONS
1.An inventory must be filed within three months after appointment of personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies 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
PAGE TWO (2)
3Juurutory nub l\pprni.armrut .of the goods and chattels,rights and credits which
were of ~Ug:.~p.~Jh..K,S..GbJ4tg:late of ..M.9.M\l.rray..L P.e.nn.s.y.l.v.anka :.
Washington County,Pa.,taken and made in conformity with the above affidavit.
PERSONALTY-CONTINUED:Amount Forwarded
DOLLARS CENTS
Total 1-$7,362'.10
Pennsylvania Blue Shield check,Medical Reimbursement
on Account of Medicare
Social Security Benefit for J.Henry Schlutz,deceased husbane
of Elizabeth K.Schlutz,Decedent
433.20
________________________________----!!--.l..._~~-'--~
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o 3-t.o~-;J,qf
Inventory and Appraisement
IN THE ESTATE OF
.ELIZABETH K.SCHLUTZ~,···················..·······..···..··De·~·eas·ed·······.
Filed ,
"->;;.0
f......,Jc.:.u
;lJ CO,
rT':;:Q nf -:"(";CJC 0v?~-;:;;~.....
0 -~,-.-"r-~3:~f r::,r,.::JE ~)
0,.--:;.0
.~10 ..-V)..
I"\)
0
19......·......
Raymond W.Cromer,Esq.
Beck,McGinnis &Jarvis
800 Porter Building
Pittsburgh,Penna.15219\}~
281-2738 etY~~;5
~-5 .'»~~
Okr:J>0tfG.jy-l/~r
...
--------------..---..
...
IN THE ORPHANS'COURT OF'WASHINGTON COUNTY,PENNSYLVANIA
•I
IN RE:
ESTATE OF ELIZABETH K.SCHLUTZ,
Deceased.
No.~9,a.
FIRST AND FINAL ACCOUNT OF HENRY J.SCHLUTZ,EXECUTOR OF THE LAST
WILL AND TESTAMENT OF ELIZABETH K.SCHLUTZ,DECEASED.
SUMMARY:
Principal:
Receipts
Disbursements
$7,372.10
4,631.77
BALANCEBOR DISTRIBUTION-- - - - - - - - - - - - --$2,730.33
...
PRINCIPAL
RECEIPTS
As Per Inventory and"Appraisement
DISBURSEMENTS
Administration Expenses:
Russell Marino ,Register of Wills 1 Probate of
Will and Letters
Guy A.Rogers I Deputy RegisterI Proving signature
of decedent
Russell Marino,Register of Wills 1 Short Certificates
Washington County Report 1 Advertising Letters
Observer Reporter1 Advertising Letters
Russell Marino1 Register of Wills 1 Filing Inventory
and Appraisement
Russell Marino 1 Register of Wills,Filing Account
Raymond W.Cromer I Esq.1 Attorney fees
Henry J.Schlutz ,Executor1s commission
Notary Public fees
$16.00
15.00
3.00
14.00
14.00
3.00
16.00
550.00
550.00
3.75
$7 /362.10
Bell Telephone Company1 telephone expense
Preferred Debts:
Jefferson Memorial Park,Interment fee for decedent
Lutheran Welfare Concordia Home 1 Services for
decedent
Frederick J.Terkel,M.D.I Medical Bill
John H.Slater Sons,Decedent's funeral bill
Jefferson Memorial Park ,Gravemarker
•,I
$125.00
167.85
32.44
1 /104.60
460.00 $1 /889.89
I
Other Debts:
Jefferson Memorial Park/Interment fee due from
decedent for J.Henry Schlutz
A.B.Miller,Final newspaper bill
Columbia Gas of Pennsylvania,Inc.,final gas bill
The Citizens Water Company of Washington/Penn-
sylvania,Final water bills
West Penn Power Company /Final electric bills
Malcolm 1.Morgan,County Treasurer /1969
Washington County Real Estate Taxes
C.Raymond Baird,Tax Collector,1969 Peters
Township Real Estate Taxes
John H.Slater Sons,Unpaid debt of Elizabeth K.
Schlutz for funeral of husband
Expenses of Sale of Real Estate:
$125.00
3.18
21.21
10.80
9.12
,25.65
15.75
1,112.60 $1,323.31
Deed Transfer Stamps
Unpaid Real Estate Taxes
Stamp Service
Services in re:Agreement of Sale /Deed and
Settlement
$54.00
62.87
15.00
100.00 $231.87
..
Total Disbursements $4,631.77
W.28752
Observer -Reporter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the News,paper Advertising Act of 16 May,1929,
P.L.1784,as amended.
Commonwealth of Pennsylvania,County of Washington,S5:.
Personally ap,peared before me,a Notary Public in and for said County
Richard S.Cowan .and :State,,who beIrug duly ~worn
according to law,deposes and says that he is the S.e.c.r.e.t.ar.y._.
of the Obs'e,rver Publishing Company,a Benrus\ylvania corporation,and its
agent in this behalf;that the said Company iSI the owner and publisher of
the Observer-Reporter,SUCCiessor to The Wa~hington Observer,established
SeIl'tember 18,1871,and The Washington Reporter,established August 15,
1808,a daily newspapeir of generalciI'culation,printed and published and
havin~its place of busines's at Washington,Washington County,Pennsyl-
vania,where it or its prede,cessors have been established and publishJed
continuous'ly for more than six months'prior to the publication of the notice
hereto atJtached;that the printed notice or advertisement hereto attached
is a ,copy of an official advertisement,official notice,legal notice or legal
advertis,ement,exactly a:s printed 01'published in the Obslerver·Reporter in
its regular editions on the following date or dates,;.
March 3 10 and 17,1969............................................................1...
that.neither true affiant nOT the Observer Publishing Company is interesred
in the subject matter of said notice or advertising and that all of the all~ga
tions'of this affidavit as to the tima:'e.and Cha~rcta~.ppuubblliiccaattii<on
are tru'e..'~.................................'.k.:..
Sworn to and subscrie~e;.ore me this...17...day of.Ma.r.ch .1.9.69.....M~';;!:~;~¥
WASH:NGTON,I'IASHINGTON couto
MY COM~;lSSION EXPiRES MAY 6•.1972
5236~."
RA ....llW.!~CROMER.)Esc{;,.;,I,..,Beckif~McGifinis"&iJaiyis f.Attys.~.'.800 Porter"'Buildingf.ill,'·.,-",-'
Pittsburgh,Pa.·.15219,.'.'..'...,.'I ·~-·""7690~2.~on.•3t
Washington County Reports
63 SOUTH MAIN STREET
Washington,Pennsylvania
(PUBLISHED ElY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P.L.
1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON)
STATE 01'PENNSYLVANIA (SS.
Personally appeared before me,a Notary Public in and for said County and
Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and
says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the
official legal periodical for said Washington County,publis'hed weekly having its
place of business at Washington,Washington County,Pennsylvania,and is act-
ing as its agent in this behalf;that the said WASHINGTON COVNTY
REPORTS was established on March 31,1920,and was designated as the official
legal publication for Washington County,Pennsylvania,by order of the several
courts of said County,dated November 11,1920;that the printed notice or adver-
tisement attached hereto is a copy of a notice or advertisement,exactly as printed
or published,which appeared in the said legal periodical in its regular issues on the
following dates:
.........E~.b.r.uar.y 2.1.,--.-1069-..- --.----.--.
.........Ma.r.ch....6.,13.,....19.69 .____
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
,m,'ffidavi'~~~md C!t 3r~
.((------:::::::.~....··..........·..·....·..·····..·....·..Edi;:~;
Sworn to an subscribed before me this ~-~--
::::::~~~(i~:::::.:-::::.-::::..~.:~::~::..
Notary Public
KATHERINE C.VA~D,Notary Public
Washington,Washington .Co.,pa,
My COffir.1ission Expll'es
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.
• • • ••• ••• •••••• • •
SCHLUTZ,ELIZABETH K.,Dec'd.
Late of McMurray,WaShington Coun-ty,Penna.Executor:Henry J.Schlutz,5396OrchardHillDr.,Pittsburgh,Penna15236•
Attorney:Raymond W.Cromer,Beck,McGinnis &Jarvis,800 Porter Bldg.,Pittsburgh,Pa.15219
rIf
STATE OF PENNSYLVANIA,
OUNTY,
ALLEGHENY
The within named Accountant being duly sworn according to law,depose and say that the above account
as stated is true and correct as 1)..~....verily believe.S
Sworn and subscribed be'fore me this __.~J~t.....__.....
day af_Q~t~P-~~j;J27~:--
---~~publrc··-------_····--·-------_····_·-
<:>~'
NORMA A.DAVOLI,.Notary Public
Pittsburgh,Allegheny County,Pa.
My Commssion Expires June 8,1970
I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court,as evidence by proofs
thereof filed to No.Ia.3_~__1.a.~k ..._._._--------_..
Witness my h~nd and ofHdal seal th;s c2_~_
daYOf__~~~~:
Washington County,55:
-----_....~-
\~----~.....,
Register of Wills
o
o
IWSSELl ti.<\RiNOREGiSTER0;=VllLLS
la59 DEC 10 Pt·j 12·5 6
oz
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...
_~._.-__.'10-_--,.'-._....~_.J1
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In the.matter of the First and Fi pal
~u :t4t Cttnurt nf Cttnmmnu ,ttUS nf lIuslJingtnu Cttnunty.
'tuusyluuuiu.(0rp4uus f Cttnurt Ilittisinu .fT
"~-~7'-~4'-&
ESTATE OF No.248 of .1969
Elizabeth K.Schlutz.
deceased.Account of Henry J.Schlutz
Executor
ADJUDICATION AND DECREE
3
3
3
1?-70
/s-"o -0
~o I!Ak ~c.'
SCHEDULE OF DISTRIBUTION
And now ,19.1SL,this matter came on for hearing,
audit and distribution at this session and testimony a en;and thereupon,upon due consideration
thereof the balance for distribution in the hands of the Accountant is determined to be
$.'2,130.33 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...
,'",/'
/
Balarce per account ~$2,730.3
.
I .
Balance $2,730.3
Deduct Clerk's Costs &Receipts 15.00
$~3AttorneyRatmondW.Cromer
Russell ':Marino,-Agent,'transre:r inheritance tax l61'2J
PtUl'~~/r/.$2,3.8
Henry J.Sch1utz,:son,1/3 residue,851.27 pet;;George William Schlutz,son,1/3 residue,851.27 ~,Carl B.Schlutz,son,1/3 residue,851.26.;No balance
,.
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t
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"\;.....-;,'..$-........oct:
0',
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0 ~i~Z......"(ptr<n .....
0 :::r.....c (\)0i a 3
0 0 0..........:+(\)-.
0..........:r(\)
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''''''-':'''.
ORPHANS'COURT DIVISION
Adjudication and Decree dated March 17,1970.
I!,
i,
!<X'i·!.~t~
\
851.26
161.53
$15.00
No.248 of 1969
.'~.
PAY TRANSCRIPT
Henry J.Schlutz,1/3 residue
Carl B.Schlutz I 1/3 residue
George William Schlutz I 1/3 residue
Russell Marino,Agent,Commonwealth
of Pennsylvania,transfer inheritance
tax
Russell Marino,Register of Wills,
Audit costs
Deceased,the sum set opposite our respective names being made under
,
received from Henry J.Schlutz,Executor of the Estate of Elizabeth K.Schlutz,:II
1
We,the undersigned,do hereby acknowledge to have
j
Deceased.
ELIZABETH K.SCHLUTZ,
ESTATE OF
I
1IiI
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA'
F -------.......-.,.,....,..........--..,.~------"""""~"""""="'"",.,....,,"""'lI
Fonn Xo,RCC-62 (12-66)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961,
EFFECTIVE .JANUARY I,1962.(FILE IN.DUPLICATE WITH COpy OF WILL ATTACHED)J
OFFICE OF THE REGISTER OF WILLS
County of ..W?~lf~Ifg~9n ../.
...........I:I~.f!I'.Y.J.•..~ql).!\lt~..'of ?~.9.q .Q;f~.qq~q ):IH:(Or~y~,..~i.ttpp.t!I:gl)".P.a.,..1.5236
(Name)(Address)·
being duly __~:w9ID ..__..according to law,deposes and says that he is the_._J;~_e_Q\!tQL _
(Exec.,Adm,.Legatee,Etc.)
of the estate of__EH?gg_E?_th__K!__~g_bl!J.t?._whose last residence was __J~~._Ab.QmR~.9_ny.tU_~_RQ~H:L._
(No.)(Street)
J~§le..rJLl'_Q_W.D§b.JR __.__.__.,deceased,and that the whole of the estate of said decedent,who diedIQ.D!J.QIY..2.1_,__1.9.6.9
(City,Borough or Township)·-TOate)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY~ENTIRETIES,GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
All that certain lot or parcel of land situate in Peters Township,Washington
County,Pennsylvania,upon which is erected a one-story dwelling house
I
known and numbered as 134 Thompsonville Road.See Deed Book Vol.740,IJ \J,jL.,
Page 672,in the Recorder's Office of Washington County
[j ~~.,..-
'»5,400.00
i
Total Assessment -$1,500 (House -$900 and Lot -$600)A
R-r J CJ JJ~'7_~/J,.-..........
"IP..f /:I(.
'1//]Yij~q)/.r 9~II-t '7IlII-O'•()B --r k ~#(\<),.IJ_Pr~/'J..D ~-,3),t:j ~<C,,V5'/l-OI),~
Personal Property
Proceeds of Death Benefit Check #03264248 of the Metropolitan Life Insurance
Company,payable to Henry J.Schlutz,as Executor U.L.W.T.of Elizabeth K.
Schlutz,Deceased 1,214.5.1
\
Proceeds of Mutual of Omaha Hospitalization Policy No.PLH 86746 ,..PL 51 54.28
Return premium of Mutual of Omaha Hospitalization Insurance Policy 5.05
.\
Pennsylvania"Blue Shield check,on Account of Medicare 433.20
"".
\
8dcial Security 2eMfit for:J,H@my SGhlutz-,-de-eeased lras'band of Elizabeth K.
Scl}.Mz..,-the....decedenL c/!J~L'_//'0
'7:J lA/I ,;'Jo//0
NOTE:You may expedite the processing of this return by filing with it,and as a part of the return,
letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the
decedent as of the date of death.Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account,account number and the exact name or names in
which the account is registered.
Jointly Held Property
None
Transfers within TWO YEARS Prior to Death
None
.'.Estimated
Value
That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of
another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
None
.
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
(State full names of all and their addresses who have
an interest,vested,contingent 0,1'otherwise,in estate.)
Henry J.Schlutz
5396 Orchard Hill Drive
Pittsburgh,Pennsylvania 15236
George William Schlutz
917 Nurnberger Drive
Pittsburgh,Pa.15236
Carl·B.Schlutz
1233 West Lexington Avenue
Fort Wayne,Indiana 46806
RELATIONSHIP
(If step-children or
illegitimate children
are involved,set
forth this fact.)
Son
Son
Son
SURVIVED
DECEDENT
STATE YES
OR NO
Yes
Yes
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF
DECEDENT
Sui juris
Sui juris
Sui juris
INTEREST OF
BENEFICIARY
IN ESTATE\
One-third thereof
One-third thereof
One-third thereof
,..,.....--r-~----'-~--~-,,---~~~--------------"""-------~----""'-----1IlI"IIIlI
NATURE OF SAME
DEBTS AND DEDUCTIONS CLAIMED.
DEBT OR CLAIM
RESIDEN,T DECEDENT"\.c
t--cl~TE.:List first five items in the spaces so provided,observe notations thereon,and instructions.,.,
John H.Slater Sons Funeral expenses paid
None
Ravmond W.Cromer Esa.
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses *See below
Counsel fees *550.00
Henry J.Schlutz Fiduciary commission *SSO.OC
OTHER DEBTS AND CLAIMS
(*)See Note below
Jefferson Memorial Park nterment fee due from decedent for
J.Henry Schlutz
Jefferson Memorial Park nterment fee due for decedent
Lutheran Welfare Concordia Horr e Services for decedent
A.B.Miller Final Newspaper bill
Columbia Gas Co.[Pinal gas hill
Frederick J.Terkel,M.D.Medical bill
The Citizens Water Co.of
Washington,Pa.Final water bills
West Penn Power Company [Final electric bills
Malcolm f.-.Morgan,Co.Treas 1969 Washington County RIE taxes
C.Raymond Baird,Tax ColI.1969 Peters Township RIE taxes "
John H.Slater Sons Unpaid debt of decedent for funeral of
husband
Jefferson Memorial Park Gravemarker
12S.0C
12S.0C
167.8~
3.IE
21.2
32.4L
10.8C
9.12
2S.6~
15.7~
1,1l2.6(
460.0(
4,399.9COI(
Administration expenses as abo'e:
Russell Marino,Register,Probate of Will &Letters
Guy A.Rogers I Deppt y Register I Proving signature
Register of Wills I Short Certificates
Washington County Reports,Ad'ertising Letters
Observer ReporterI Advertising ~etters
Notary Public Fees .
Bell Telephone CompanyI telephone expense
Register of Wills I Filing Invent<ry &Appraisement
Register of Wills I Filing Accourt
$16.00-
15.60
1\I\3·fOO
1~.foo
14\1 00.\3l~SU9~3 i.OO
16loo
$861700t<-
,f------+---If------+---
Total
, I
I
..~i.~t.~~.~~~~.,..~~.r:~~y'lY?:r:~?..~~.~~.~.
(City or Town and State)
..~.~~6.Qn:~l)P.r:<;i.l"UH.;or~~~.
(Street Number)
~.iii;.~·t;;':Ad;;';.,.;;.;;,;~.Subscribed and swornto before me this ..3.~$.t..
....................."..da~~of ..~~b.er ,19.6.9
........~~~;/t2'Y~A'"''A ·OAVOl.:r 'Notary Public
N P bI 'NORM,,,otary U lC P'U b h Allegheny County Pa.-,,,'I S urg ,.,
M)€oma:t5s:cr Expires Illoe 8 1970
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi'debt is greater
or less than·the ~stimated amount claimed and allowed.
Having been duly sworn according to law,I do hereby certify that the above appraisement is made in conformity with law on this
...................................day of ,19 .
.t)Ppraiser
In the event that any future interest in this estate is transfened 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'inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF T~~E_G}STE~l'LS
I,the undersigned duly elected Register of Wills in and for.Vf/.\~~-County,Pennsylvania,do respectfully
report that I have allowed debts and deductions in the amounts claimed by depo ent,except as to those items where a greater or lesser amount
is set f~ort.the last column to the right in said schedule above,which greater or lesser-amou presents the sum allowed as a deduction.
Dated:..~:'...~.."':.74...........................9h~
Register of Wills
..:oJ'
04 <."\-.("
~~.,
Form No,RCC-62 (12-66)
Will·1 .~~SNo Year ..' .
1
IN THE
MATTER OF THE APPRAISEMENT
OF-THE ~/
~ESTATE OF 1 /1/((\\\'1 1;/11 p
".
ELIZABETH K.SCH~UTZ
Deceased
.t.Late of .JYf<;Ml1.r:r:~Y...Pa...
County of ,W<:t~hi.~gton .••••_0 •••••••••••••••
Commonwealth of Penn,s.ylvania\..)CJ)
(.,;)
::n 0REPOR~f4ND tAPPRAISAL
(j.(i')
---4f -~J-aI~-',0 r--....r-I
rn
o
Esq.
~-:l..
c·~-ll-JI-1';-~::t.J
r--··
Raymond W;~Croifier,
800 Porter BUild~Bg
Pittsburgh,Pa.c.l!5219
281-2738.~:~
~/,.
I -'~,",
R C C-81 (2-64)
.COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
HENRY J.SCHLUTZ
IN YOUR REPLY PLEA8E
REP'I:R TO .37-189-9
In Re:Estate of --=E~L=IZ~A~B::::E::.:TH~K~•....::S::.::C~·H=::L~U'I~'Z::.._
_____-.JWwA::uS.u.H.I..II~NL>lG;.I,;TQI.LIN.lI-----County - FHe No.63 -69-248
Dear Mr.Sch1utz:
You are hereby notified that the original
appraisement in the estate of Elizabeth K.Sch1utz
has been filed in the office of the Register of Wills qf Washin~ton
County on January 19 ,191Q...Said appraisement reflects the
following valuations:
Real Estate _--'-5t!...,z..:4~O::.::O::.:.~OO~_
Personal Property ~1~,L7~O~7w·~1~O~___
Transfers .....,.._
TotaI --7~ll.le:Q""'7L......l~O.t.---
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 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.
Date __--=J:::..:an=ua::::::..ryL-..:1::.<9:...z.-=1L.97J.,.;O~---Signed \..!:C~~~~~1-~~-Th~{(.
TitIe ..u..I.l.l:.s...-.l~~:i..:.J~~::!§I..i;,=:!J.~~'='=::~-
Dim OF DEATH:January 21,1969
Note:This is not a bill.
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
tState of SCHUlTZ,
(Last Name)
ELIZABETH
(First Name)
K.
(Initial)
DATE OF DEATH_-=I:.--=21=---=6..!....9_FILE NO.63-69-248
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 foregoi.ng return at
the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E".
Dated:01-19-70
01-21-69
REPORT OF THE REGISTER OF WILLS
~~
REGISTER OF WILLS
Dated:0...1,;;;;-_1.....9;;;;;-7..1.-'0"'--_
I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a grea ter or
lesser amount is set forth in the last column to the right in Schedule "F",which er or lesser amount represents the sum
allowed as a deduction.
VALUE AS REAPPRAISED
$~I)},OO )0
1.707 10
7,107 10
4,399 90
2.?0?20
VALUE AS APPRAISED
$
CLEAR VALUE OF ESTATE
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint -Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
Valuation of life estates or
FOR USE OF REGISTER ONLY
Tax on $-+-__~
Tax on $?7()7 ?()C2Y
Tax on $5%
Tax on $10%
Tax on $15%
Exemptions *
Total Estate --I-__
TOTAL TAX""-
COMPUTATION OF TAX
$-------,-+---$--=.16~2=+.ttl..l.L-1
$-------+--
$-------+--
$--------1---
(*)As evidenced by Charitable
Exemption Certificates issued
by the Sec~~tary of Revenue.
---L
$=====
$-----
___--ll_
TOTAL TAX BALANCE :----~~
PAID $--lL
$=====~=
BALANCE OF INHERITANCE TAX DU~'-'_
Add interest at rate of 6%from_____to _
AMOUNT OF ESTATE TAX ASSESSED $-------1
Estate tax paid $-..1
BALANCE DUE
Add interest at rate of 6%from
------Ito-----
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
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
:E~I2;A13ETH K.SCHLUTZ
Deceased
Late of
County of
..McMURRAy....
.WASHINGTON ......
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
".
''t
..
Fonn RCC-2
'';.
.OEPARTMENT OF REVENUE
..r ~"'"BUREAU'bF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 12 7
'.COMMONWEALTH OF PENNSYLV~I~'.
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE January 19."l9.7Q .
COUNTY W.§.~h.~g~g.P.:.
FILE NO..~?:§.9..:.?4..?..
Whereas,~.±.~~.~J?~~.h...J\.~e~.~.?::!:1:!?.~late of ~~~~.:e...!...
in the County of Wa.shingt.o.n Commonwealth of Pennsylvania,having died on
the 21 st day of Ja.nJJ.anr....................................19 9.9.,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of PennsylvanIa;
Therefore,I,W."J~.~Q.h§,Il:~,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 Ufe or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Description of Asset
REALTY :
All that certain lot or parcel of land situate in Peters
Townshin.Washington County,Pennsylvania,upon which is ereceted
a one-story frame dwelling house known and numbered as
Unit
Values
$
Appraisement
Made for InheritanceTaxPurpoles
1 '),},-
672.
PERSONALTY:
i 11e HOR.d See Deed Book Vol.7l.J.0.nage
t:i..f'lr f'If'I.>
See copy of appraisement filed
Total
1,70 10
7.107 10
.................................WASl:lING.TON....County
.,..
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
.......~.L12Ap.);\)'r..H K.•...§GJ::I.LIJ'r,?;.
Deceased.
Late of
....MGHURRA..X .
Date of Death,J..wn~~..4J"."J..:9..9.9..
Appraisement Docket Vol.,3.7 .
Page,1.$9~9 No Q3.~.Q9~Z4.$.
Filed in Register's Office,JmJ.JJ.~y 19 19.7O'..
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appra.isement,
Appeal f"om Appraisement,..
Entered and charged,.
\,
i;
I