HomeMy WebLinkAboutOC1969-0262 - ESTATE OF HOLLOBAUGHPETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form j
Estate of .EdM M.•"_.H.9.1.1Q};>.augh,-._~
"..._~_._---_.__._-_.._---_.__._-----_._.-----._.-------.--_._--.--_--_.-----.
.......__ __.__.__ ___----._---_.._----_..:.:_---------_._---__._--""----_.
.Deceased
•No._63~69.~2.6.2 ___..__.
..Fiduciary__.._He~en ..H.Bar.nh.o.us.e.,.
._E.~~~.1J,:t!.9.r..
Date of .Date 'of
Decedent's death..r..~~.~~~~y.J.3.L.~9.~9.__-- :_.Grant of Letters.._f..~_~r~~.~Y.'?§.,l9.9.9.__...
:;This is·the Fir.s.t and...Final _account filed in this estate
"If there have been former accounts filed in this estate,list file number or number and term No._..__.
...!.Q.rP.J,e..r a~.c.9.1J,nt.Jt _____:_ _ ___..__.._
.Election to take Date Election Place of;
Under or Against will.(cross out one)No Election Filed ~.._~._.::'...::'...::'...::'__.~...:Record ~_..::'~.._::'...~...::'....":".
N f . .l\T S •••ame 0 surVIving spouse_llLQ.._ur.Y-~v.~ng.--sp.Qus.e ------.--..---..--..--.----..---..---------..--.
List issue,where material:
Helen H.Barnhouse,daughter.
Did decedent marry after execution of will?(indicate)~No.Any children born after execution of will?(indicate)
XMSK No.If answer yes,name them ~~':':~.__::'___ _ ___.._.....
.).......-_--_- - --_-_..~~~~~~~.--__.--..~-.-_._.-_._-_..-_..-..-------- --_._-_.._-_._.---------.
Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris
Helen H.Barnhouse Daughter Sole Legatee
and Devisee
List,if exceptions to above:Adeemed:Revoked:Lapsed:Abated:Give Cause:
No exceptions
If partial intestacy,give facts:
No partial intestacy
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.I}(OC'.
If any exception give cause:.
.'File copy of Notice
and date of.mailing ~!?_.~..~~.'?~.~~.~..~.~~*.~.~~9:~~9J~..J~~~J~.~..~mL.~.~.YJ~~.~.,.
Is estate subject to the filingof a Federal Estate Tax Return?N~L :.:.
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..60.Q..0'0 .
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant .
............................................................................N".Q..Lif.e..Es.ta.te .
Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts
of such claims;state whe.ther they ar~admitted to be correct;and whether the claim is d~nied.
~,
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:
None
Total additional debit~(Add)
Itemize'any additional credits not shown by account:
None
Total additional credits (Subtract)
Balance for distribution
_.t~~
$.22.,262Jl1.7..
$9,~Q.O'.
$0.•,00..i
$.~.~£?.9.~,.7.7..
\,
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Household Goods .38~.25
Goldfarb and Goldfarb,Trustees,to
insure the payment of Pennsylvania
Inheritanc e Tax
Cash
400.00
10,043.38
Distribution on Account to Helen H.
Barnhouse,sole legatee and
devisee.11,435.14
$22,2'b2.,77
't-~.__..~
~-~-
)
If Family Exemption claimed by Petition,give place of Record:":"::'::'::':'::':.
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:..~~~~~~.
List any advancement or distribution on account that has been made,and nature and amount of same:
Distributions on Account to Helen H.Barnhouse,sole legatee and
devisee,$11,43$.14.
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:
To Helen H.Barnhouse,sole legatee and devisee,entire balance for
distribution,which includes the above Distributions on Account.
And the said Helen H.Barnhouse,who is also the Accountant,hereby
elects to accept all unconverted assets in kind.
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above namtd Fiduciary or representative thereof,
being duly..A.~doth depose and say
that the facts set forth in the foregoing petition are true
to the besb~L..f~knoWledge and belief.
.............~y..~to and subscribed before
me this../..4.~oy o?1-~,19..7.f
Signature of Officer.}.~.~~
Title of Officer ~~@ Q .
Office expires .
And your petitioner will ever pray,etc.
,~d~1~.."............•...............\...
"
!
/No..6.J~b.9.~262 ~.
Estate of...ED..NA..Ma..HQLLO.BAUGH•.........
Deceased
Fiduciary lreLEN a•...BARNH.O.US.E.,..
.Exacuto.r.................__......._-----------_......_--_........_--
PETITION SUR AUDIT
FROM WHERE DECEQENT LEFT A WILL
Counsel of Fiduciary will submit herewith the
following,in conformity with Court Rules
adopted effective December 3,1951,being
rule No.9:po rag raph b-c;and divisions
thereof:shown on pages 23-24.
1.Written praecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem,if pertinent.
3.Copy of Order appointing Trustee ad
litem,if pertinent.
4.Proof of service of above.
5.Letters Testamentary or Administration
C.T.A.or an attest copy of Wi II.
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 ttemized elections if any
distribution in kind.
10.Copy of Federal Estate Tax return if es-
tate is subject thereto.
........Al.~.~~ng.,~~...W.~...Ay.b.~~.9,:g..L ...,......,.
Attorney
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In t4~Qtnurt nf Qtnmmnn 'l~nB nf mnBqinglnn Qtnunty.
JrnnBylunnin.@rp!Jnns'Qtnurt tliuisinn
ESTATE OF No.63-69-?62
Edna.M.Hollobaugh,In the matterofthe F1 rat end Fins]
deceased.Account Of ---l.H~e:::..1I,.Ce~n~HI.ot.~B~a>&r""tl.~QI.lOlOL.W11~S e
Execlltrix
$??~t..~0],,t
SCHEDULE OF DIS RIBUTION
Balance per account 1
ADJUDICATION AND DECREE
And now ,Tannary !,192L,this matter come on for hearing,
audit and distribution at this session and testimony taken;and thereupon,upon due consideration
thereof the b<;JlalJce for distribution in the hands of the Accountant is determined to be
$22,2 2.77 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 on appeal be token herefrom sec.leg.C£
Balance'_
Russell Marino,Agent,balance transfer in-
heritance tax,including tax due on indi-
vidual liability,$1540.3~
Interest from 5-13-70 to 1-17-71 62.92
Deduct Clerk's Co'sts &Receipts _
Attomey-----~klr:lll:_4!e~x~gHR*QM@HP~"iI"Il;r-IJ.lr4ieHaMe!HBiM:e*Rl-------
Helen H.Barnhouse,daughter,residue,including
cash,household goods and furnishings,Escrow
account with Goldfarb &Goldfarb,Esqs.at$400.00;credit to be taken by the accountant
for funds in the aMount of $11435.14 a,dvanced
prior to distribution by the Court,
36.50
1603.31
20622.96
20,622.96
~v/311"'7/~~6tJ3.3/
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No balance
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In the C01~t of Common Pleas of Washington County,Pennsylvania
Orphans'Court Division
Estate of )··Edna M.Hollobaugh,)··deceased.)No.63-69-262
Distribution Receipt
I,Helen H.Barnhouse,hereby acknowledge that I have
received from Helen H.Barnhouse,Executor of the ~Vill of Edna
M.Holloba~gh,deceased,Twenty Thousand Six Hundred Twenty Two
Dollars and'Ninety Six Cents ($20,622.96),th~t being the amount
awarded to me by the Adjudication and Decree of the Orphans'
Court Division of the Court of Co~mon Pleas of Washington
County,Pennsylvania,dated January 8,1971,upon the audit
of the First and Final Account of the said Executor,the said
amount including cash,household goods and furnishings at
$38l+.25,escrow account with Goldfarb and Goldfarb,Esq~ires,
at $400.00 and distributions on account in the amount of $11,435.14
made to the said Helen H.Barnhouse during the administration
of the estate.
Witness my hand and seal this /;..3~(day of .Tanuary,1971.
Witness:
~~~t.(C2J-~
No.63-69-262 O.c ..
8state of
Edna M.Hollobaugh,
deceased.
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Distribution Receipt
Alexander W.Acheson,
Attorney at Law
.-
C!!nmmnuwra1t4 nf 'ruusylnauia.~ss:
lIas4iugtnu C!!nuuty.~
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
J
on the 28th day of February A.D.19 69,before me,
Russell Marino ,Register for the Probate of Wills and Granting
-
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
the last Will and Testament of
late of
E DNA
City of Washington
M.H 0 L LOB AUG H
in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
HELlEN,H.BAR N H 0 USE
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
committing unto
H E LEN
her
H.BAR N H 0 USE
the administration of all and singula:r the goods and
chattels,rights and cr,edits,which were of said deceased,and requiring h e :e
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 t wen t y - e i g h t h
day of Feb r u a r y in the year of our Lord one thousand
nine hundred and six t y -n i n e.~..~~._..-
Register
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I,ED~TA M.BOLLOB:'l..UGH:oJ th'2 C.i.t.y of Wnsh ington:·Wash-
ington County:Pennsylvania,domak~this my last will and
testament,hereby revoking any and all wills by ~e at any time
h~retofore made.
FIB-ST.I give,devise and bequeath to my daughter,
Helen H.Barnhouse,absolutely,my entire·estate,both real and
personal,of whatsoever nature and wheresoever situated,includ-
ing my residence property situated in the Seventh Ward of the
City of ~ashington,W~shington County,Pennsylvania,known as
350 Shirls Avenue and being the same property which was conveyed
to me by Earl ~.~cVehil by deed dated November 23)1934,and
recorded in the Recorder's Office of the said Washington County
in Deed Book Vol.597,at page 232.
SECOND.I appoint my daughter,the said Helen H.Barn-
house,the Executor of this will and I direct that she shall not
be required to give hand.
IN YJJ:TNESS ViHETi.EOF I have hereunto set my h2"no and
seal this day of Nav.one thousand nine".hundred ~md
fifty-six (1956).
Signed,sealed~publishert and declared by Edna ll~
1.:r011obaugh.tree testatrix 8.bovs p?'1l8d,~s and i:rH'her last w'lll
and tp::;t;->T:1'C''1 t i.n the rrresenC't"of 1~S;\"tl(',in her pre::::en(:'~..~_t
I
i:~_),!,~l'eq1.l~c:t 8nrl i ~1 +110 E'I'0~(':n("le of 9a~h n~'.her.hJ.\"'I~he-C8'1'1 to
I C;t:.b'3·~'''ibed 0ur 118meS 8C::a+-ts,::1::i.n s:'::i tnesspc::.
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G3-~9'--~'y
Affi~nutt (@f fxrrutnr (@r A~mtnt!ltrntnr
J.
&tatr of Jrnn9yluania.t 99:
ClLounty of DIIa9~in!lton \
Personally before me,the undersigned authority,JQ.....the...Reg.i.s.t.er o.f'1iills .in and for said
County and State,appeared ~.~J.~.g g.!!?.~:r.gh9~§!.~.1.who,being duly
sworn according'to law,deposes and says that s he is the executor S 1PxatD!t of the estate of
.~g..P,..~~t~~9.J±.9P.§:~g~.o?deceased,that the 0 9W1.~Redules constitute a
complete inventory and appraisement of the real and personal estate of......E9J.:l.@...J1..,.....Rg.J.lg.1?g,.Yg£L.....,
deceased,except real estate outside tP~HWlll-pu'Xealth of Pennsylvania;that the figures opposite each item
of real and personal estate in the :&itt_~dules 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 ~~.
Sworn and'subscribed before me this........l.?!.......:...~/:".-v/A ./
day of g.~§.t.t 19 ~..'",~~..L.~\.I~............"".!:?l..~~Executor~NI1lJt:
WRBiil:Q.liJi'::-t"im.,..".......,.q-=>.'..'5i?}'y"••,<.,._z.:ezt••.•·f·..;;;CM~')9'~.~);-·~",.;,;·-'..."".~1.1,1,~.t'~i,Z~··.i.'~~~~"'~eiF..l._".,·'}.;".~':'<~~"jA\~D~a:I@NX~J£~~INS['RUG1:IONS·,;.~'t---.;,;j;2S"",,_·,·~~.,t ..~t••.~~'!,::~w.J~~.
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 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
"
lIuututnry nub ""pprniBPWtU!of the goods and chattels,rights and credits which
were of ~.g:!?:§..:..l:1.~R9.JJg.J?.!!~gJ:~=late of 9..!.~.y.g.f.~~.~:~~~gE.?.~.L .
Washington County,Pa.,taken and made in conformity with the above affidavit.
DOLLARS CENTS
Personal Estate
Checking Account -Pittsburgh National Bank and Trust.
Company,Washington,Pa.,Office 1,214 07
Savings Account -Pittsburgh National Bank and Trust
Company,Washington,Pa.,Office 11,1.~35 14
1 $500.00 u.S.Savings Bond,Series H,No.D3 310906H,
issued September,1958
Household goods as per list thereof attached hereto
500 00
38
Total 13,533 46
Real Estate
All that certain parcel or messuage of ground situate in
the Seventh Ward of the City of Washington,~iashington
County,Pennsylvania,fronting thirty-three (33)feet on
the northern side of Shirls Avenue,and extending back
therefrom of the same uniform width one hundred fifty
(150)feet to Alley "E";being the eastern thirty-three
(33)feet of Lot No.281 in the plan of lots laid out by
Jonathan Allison et ale and called Allison &Co's
Addit-idn.::..to the Borough of Washington;bounded on the
East by lot No.280 in said plan;on the South by said
Shirls Avenue;on the West by the western seventeen (17)
feet of said lot No.281;and on the North by the
southern line of said'Alley nEn •
Being the same lot of ground which was conveyed to the
said Edna M.Hollobaugh·by Deed of Earl W.McVehil dated
November 23,1934,and recorded in the Recorder's Office
of Washington County,Pennsylvania,in"Deed Book Vol.
597,Page 232.
Said parcel or messuage of ground is conveyed,however,
subject to the restrictions,conditions and reservations
contained in Allison-&Co's.Deed to J.L.Booher,dated
February 7,-1908,-and recorded in said Recorder's
Offic'e in Deed Book Vol.359,Page 448.·.15,000.00
Real Estate Outside Commonwealth of Pennsylvania
-None -
Surmnary
Personal Estate
·Real Estate
13,533·46
1,5,000.00
28,533.J+6
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HEGISTEH OF WILLS
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In the Court of Common Pleas of Washington County,Pennsylvania
Orphans'Court DivisiQn
No.63-69-262
First and Final Account of Helen H.Barnhouse,Executor of the
Will of Edna M.Hol10baugh,deceased.
Summary
Schedule A
Principal -Personalty
Receipts
From:
Page 3 $14,033·46
Pages 3 and 4
Schedule B
Income -Personalty
Principal -Realty
Income -Realty
Disbursements
10.37 '-
12,136.59
85.50
Receipts
Income -Personalty
Page 4 10.37
To Principal -Personalty for debts,
expenses and distribution
Schedule C
10.37 0.0
Receipts
Disbursements
Primcipal -Realty
Pages 4 and 5 14,861.67
Page 5 2,725.08
To Principal -Personalty for
debts,expenses and
distribution 12,139.59 14,861.67 0.0
Schedule D
To Principal -Personalty for
debts,expenses and
distribution
Receipts
Disbursements
Income -Realty
Page 5
Page 5
4.50
85.50
90.00
90.00
1
List of Household Goods
Bedroom
Sheets and Pillow Cases
Spreads
Quilt
Blankets
2-9x12 Rugs
4 small rugs8Towels
2 Beach Towels
Kitchen
Stove
Refrigerator
Cabinet Base
Utility Cabinet
Oak Cabinet
2 Metal Stands
Wall Clock
Kitchen Furniture and Equipment
Porch Furniture
Miscellaneous Furniture
Cricket Rocker
Wicker Rocker
Fernery
Chairs
1 Drawer Table
1 Swivel Rocker
Platform Rocker
Hassock
Ceiling Fixture
Miscellaneous
Household Items
Electrolux Electric Sweeper
Miscellaneous
Tools,etc.(3 Ladders,Lawn Mower,
Tools,etc.)
Total
75.00
55.00
3.50
2.50
.50
1.00
2.50
32.25
17.00
10.50
6.50
2.50
7.50
2.00
16.00
12.00
2.00
1.00
25.00
5.00
80.$0
172.25
,17.00
60.00
30.00
24.50
The balance for distribution consists of the following:
Household Goods $
Goldfarb and Goldfarb,Trustees,to
insure the payment of Pennsylvania
Inheritance Tax
Cash
400.00
10,043.38
Distribution on Account to Helen H.
Barnhouse,sole legatee and
devisee (See Exhibit No.1,Page5).11,435.14 (.
t.-$22,262.77
- 2 -
.~
Schedule A
Principal -Personalty
Receipts
Mar.11
Amount of Inventory and Appraisement
Loan from Accountant
$13,533.46 ~
500.00
Redemption of U.S.Savings Bond,Series HI
No.Dg 310906H,issued September,1958 ~
Inventory value
12,232.46
July 3
From:Income-Personalty
Principal-Realty
Income-Realty
500.00
500.00 0.00
$10.31 $14,033.46
12,136.59
85.50
$26,265.92
Disbursements
Administration Expenses
Helen H.Barnhouse -Accountant's commission 676.61
Russell Marino,Register -Letters $18.50,
Short Certificate $1.00 $
1969
Feb.26
Mar.21
Mar.21
June 18
June 19
June 23
July 11
July 11
1970
Aug.13
Oct.9
Oct.27
Oct.27
Oct.21
Washington County Reports -Advertising
Letters
Russell Marino,Register -Short
Certificate
Martha M.Herceg,N.P.-Residence
Affidavits
Russell Marino,Register -Short
Certificate
Martha M.Herceg,N.P.-Affidavit re:
Redemption of Series H Bond
A.E.Masten &Co.-Service charge re:
Transfer of stocks
Observer Publishing Co.-Advertising
Letters
Russell Marino,Register -filing
Inventory
Gladys C.Marshall,N.P.-Affidavit
Russell Marino,Register -Filing Account
Alexander W.Acheson -counsel fees
-,3)-
19.50
14.00
1.00
3.00
1.00
1.00
15.00
14.00
7.00
1.00
22.00
1,122.52 1,897.69 C
1969
Feb.20
Feb.20
Mar.12
• I
Preferred Debts
Mrs.Albert -Nurse 30.00
Ambulance and Chair Service -Balance not
paid by Medicare 4.00
Piatt Funeral Home -Funeral Expenses 1,424.26
June 2 J.Paul Proudfit,M.D.
Other Debts
35.20
$~003.15
1969
Apr.28
1970
Oct.27
Si~on White's Sons -Grave Marker 112.00<,
Helen H.Barnhouse -reimbursement for loan
to Estate 500.00
Schedule B
612.00
,.~.,Income -Personalty
Mar.1
Receipts
Interest on U.S.Series H Bon~
i.
Disbursements
$__1_0._3...7
$10.37 ~
To Principal -Personalty for debts and
distribution
Schedule C
Principal -Realty
Receipts
Net proceeds of sale of property known as 350
Shirls Avenue in the Seventh Ward of the City
of Washington,Washington County,Pennsylvania,
sold to Robert H.Hallam and B.Madeleine .
Hallam,his wife,by Deed dated June 12,1969,
and recorded in the Recorder's Office of Wash-
ington County,Pennsylvania,on June 16,'1969,
in Deed Book 1300,Page 0383.The Inventory
- 4 -
$
$
10.37
10.37 \.-
value and consideration named in said Deed
were both $15,000.00.
Disbursements
Expense of sale of said real estate:
John D.Woodward,Recorder -Pennsyl-
vania Transfer Tax
John D.Woodward,Recorder -City of
Washington,Pa.,Transfer Tax
Fetherlin &Carl -commission
First Federal Savings and Loan Associat-
ion of Washington - 2 points
$14,861.67
150.00
150.00
800.00
282.00 1,382.00
June 19 Russell Marino,Agent -Pennsylvania Inheritance
Tax
Accountant's commission
To Principal -Personalty for expenses,debts
and distribution
600.00
743.08
$2,725.08 C-.
12,136.$9
$14,861.67 "-
Schedule D
Income -Realty
Receipts
Mar.11
April 4
March rent from tenant house
April rent from tenant house
Disbursements
45.00
4$.00 $90.00 (.
Accountant's commission 4.$0
To Principal -Personalty for debts,expenses and
distribution 8$.50
$90.00
Exhibit No.1
1969
April 3 To Helen H.Barnhouse,sole legatee and devisee $11,435.14
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The within named Accountant being duly sworn according to law,deposes and says that the above account
as stated is true and correct as .ahe verily believe.
Sworn and subscribed before me this 27_th _
do.f _..__--Octoher..-....------------------19--1-0.----
~~JJ(~---------..-..-
Washington County,ss: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 Stdtute and Rule of Court as evidence by proofs
thereof filed to No...I~L3':.2Q--:'..7._q¢..._.
Witness my hand and official seolthis.__~~_~...__
::;---:::::--------~~::
Register of Wills
c.5
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,!oll...OJo
o"::feE:~
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------.......
The Court is respectfu Ily requested to determine
proper distribution in this estate.
~L£~
Counsel for Accountant
Observer -Reporter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the News,paper Advertising Act of 16 May,1929,
P.L.1784,a,s amended.
Commonwealth of Pennsylvania,County of Washington,SS:.
Pe,rsonally ap,pear,ed before me,a Notary Public iIi and for said County
and State,Ri.~h.~.r.g ~..!GQw.~.n.,who being duly i?>worn
according to law,deposes and says thll;t he is the ~.~.~.r..e..t.a..r.-y'_.
of the Obs'erver Publishing Company,a !"ennsylvania corporation,and its
agent in this behalf;that the said Company is'the owner and publisher of
the Observer-Reporter,succ'essor to The W.ashington Obs'erver,established
Septembe'r 18,1871,and The Washington Reporter,established August 15,
1808,a daily newspaper of general ciI"Culation,printed and published and
h'avin'g its place of bus,ines's at Washington,Washington County,Pennsyl-
vania,where it or its predecessors have been established and published
continuous'ly for more than six months'prior to the publication of the notice
hereto atitached;thllJt the printed notice or advertisement hel"eto attached
is a ,copy of an official advertisement,official notice,legal notice or legal
advertis,ement,exactly a:s printed or published in the Obs1erver-Reporter in
its regular editions on the following date or dates;.
........................M.ar.c.h...24.~3.L..a.nd A.p.r.i.L...7..,.1.9.6.9 .
that neitheT th'e affiant nor the Observer Publishing Company is interested
in the subject matter of said notice or ll;dvertising and that all of the allega-
tions'of this affidavit as to the time,place and characteT of publication
are true../e:~Lit.tl.I.t%.Cf,£tl:::~.
Sworn to and
W.28792
sUbsc~efore me this 7.day of.Apr.il 1.9.69
~~~!;?:~;~~
WASHINGTON.WASHINGTON COUNTY
MY COMMISSION EXPIRES MAY 6.1972
/
WCijhington ..County Reports
63 SOUTH MAIN STREET
WashinglOD,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P.L.
1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON}
STATE OF PENNSYLVANIA 88.
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,published 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:
.............Mar.ch...21.,19..6.9 .
............Apl:il...3~lO.,.19.o.9 ..
that the affiant or the corporation in behalf of which he is acting is not interested
in the sUbjec.t.m~.J;ter of said noticerBr~Iertisinlkan~that all of the allegations of
this affidavlCas/to the time,place a djaract'f'f."gVih~b.wati~n are tn~ULO;Li~1 '-~.lJ~~~_:..
Editor
.......10th.day oL.Apl:il ,196..9...~~~~b&
Washington,Washington .Co.,Pa,
My Commission Expires
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 them
for settlement to the Executors or Admin-
istrators or their Attorneys.
• • • ••• ••• ••• • • • • •
HOLLOBAUGH,EDNA M.•Dec'd.
Late of City of Washington,Wash-ington County,Penna.
Executrix:Helen H.Barnhouse.350ShirlsAve.,Washington,Pa,15301
Attorney:Alexander W.Acheson,414WashingtonTrustBldg.•Washington.
Pa,15301
I DATE REFERENCE CHARGES
BALANCE FORWARD
CREDITS BALANCE
M~R 24'69 14.00 +.+
EXECUTOR'S NOTICE
ESTATE EDNA M'.HO LO.BAUGH,
MON.3 TIMES,MAR.24,31
AND APRilL 7,OBSER ER-
REPORTER,AffIDAVI.
i t of naymE nt of this aoooull tuponT'2Ce p 1-
Froof of Fublication \'ill be furnished.
14.00 *
1/
l!&biSerber ~Reporter
OBSERVER PUBLISHING COMPANY
WASHINGTON,PENNSYLVANIA 15301
AREA 412-222-2200
PLEASE PAY __t
LAST AMOUNT
OWNED AND OPERATED BY THE WASHINGTON COUNTY BAR ASSOCIATION
WASHINGTON COUNTY REPORTS
PHONE:225-6710
AREA CODE 412
THE OFFICIAL LEGAL PUBLICATION FOR WASHINGTON COUNTY
523 WASHINGTON TRUST BUILDING
WASHINGTON.PENNSYLVANIA 15301 CHARLES C.KELLER,EDITOR
KATHERINE C.YARD.BUS.MGR.
Alexander W.Acheson,Esq'
414 Washington Trus t Bldg.
Washington,Pennsylvania
TO:Advt.of Estate Notice REo:EDNA M.HOLLOBAUGH • • •.$14.00
LEGAL ADVERTISING COMMERCIAL ADVERTISING LEGAL FORMS
"
"-
,~
.,
No.63-69-262 A.A.
ESTATE OF
EDNA M.HOLLOBAUGH,
Deceased
I Proofs of Advertisement of ]
the Grant of Letters and of
Payment of the Costs thereof
ALEXANDER W.ACHESON
ATTORNEY AT LAW
,....WASHINGTON TRUST BUILDING
WASHINGTON,PA.
•
.Vd •.0 Q Nell ~\NIH S't1,\
S1'1/N,J 0 i-l]l.SIQ:3 U
ONlll','1"i i n~~sntl
gO ~I~d 8 N~r IL
rrJ·-l·J..J'l .~:--"'t'-..,;Ii ...'
Jl~an nf lfan4iugtnu
<1ruurt minininu
<1rnurt nf <1rnmmnu
@rp4aun'
OJuuuty
./
In the matter of the Audit of Account in
Estate of n Edna M.Hollobaugh,
Deceased
TO THE AUDITING JUDGE:
N 63-69-262 A.A.o._--=..;~--=--.:...-....-::..,-_..::..::....::....-...::.=-.:=--_
Enter m~1_----,appearancefor__----"'H...e.....l""-"!e~n~H~.~B~a~r~nh~o~u~s~e~,---"'E~x~e~c~u~t!!:o~r _
J 5th day of__...JDJjAt1U.C-l:lewIDub,uA::l..rC--"19-1.0.-
N.B.-Counsel shall,by separate paper,present a concise statement of each
claim,with supporting caIcuIati0 n of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
Noo_63-69-262 A. A.
In re Audit of Account in Estate of
Edna M.Hollobaugh,
deCLeased
AUDIT
'ratript fnr 1 !\pptaraurt
FOR
~......
Helen H.Barnhouse ~...-.......-,.-.._~~.,
.:;:,..'T")::n -~~<;")c=Executor==(/)-V.i ::::f:':)II p""T_2:.u;::z:=
.0;I ;:;![7;
""l:J .~---.
--4 ~'"--......,'-.J r-:;z:O
It -._o --=-:--.~:5AJ
-0:=2:!>cno
'='0
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r~'J
Alexander W.Acheson.
Attorney
~2
".
i •
Form RCC-33
RESIDENT DECEDENT
..
C.OMMONWEALTH OF.PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF Washington.......................................................................................
IMPORTANT:This return must be completed in detail and riled in duplicate,·with will attached,with the·
Register or Wills or the County where decedent resided;Return is due within one year arter
date·or death,unless an extension is granted by the Secretary of Revenue.(Section 703 of
the Inheritance and Es tate Tax Act of 1961.)
IN THE MATTER OF THE ESTATE OF }AFFIDAVIT OF
."~.9.:~.~~·~·..····!i·'?··~i~~·f~~~~···~f···d;";;;deDt·)""··EXECUTOR
Washington XRH~Lltte (If , ......County
State of ...
County of ::::::~---~~~:~-~~},"
...........JJ:.~.l~n JJ:.!L :e..~rn.h9..~.~.~,..
of the estate of the above-named decedent being duly sworn,depose S and say S
Executor
That as such Ex.e.c.:u.t.Qr.deponent is familiar with the affairs of said estate and the property con-
(Ex""utor-Admini8trator)
stituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly
with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent
or deputy,with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTIONINWHICHDECEDENTRENTEDASAFEDEPOSITBOX RELATIONSHIP OF JOINTHOLDERSTODECEDENT
is
B and
That the contents or said safe deposit box or boxes are itemized under Schedules:$or this
return,with the exception of the following,for the reasons hereinaner set rorth:Fire insurance
policy and property of Mrs.Helen H.Barnhouse.
That Schedule A attached hereto and made part hereof sets forth fullv and in detail all the
real property in the Commonwealth of Pennsylvania or which decedent died having an interest therein.It
also sets forth the mortgage encumbrances upon each parcel or real property at the date or death,giving
the amount still due at death,name or mortgagee,date,rate or interest,and book and page or record
thereor.It also sets rorth in the columns provided thererore the assessed valuation or each o~said
parcels,the estimated market value thereo~as of date or death o~decedent.
That Schedule B attached hereto and made part hereorsets rorth fully and in detail all personal
property wheresover situated owned by the decedent at the time or death;all moneys len by the decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks
of deposit,saVings banks,trust companies,or other institutions,whether individually,or in trust for
any other person or persons giving also separately the accrued interest thereon,if any,down to the last
interest day prior to decedent's death in the case of savingS banks,and to the date or decedent's death
in all other cases;all bonds,postal savings,treasury certiricates or notes and other evidence or in-
debtedness or the United States to the decedent;all obligations,whether by statute or agreement they
are designated as tax rree,of the United States,or any state,or political subdivision thereo~,or or
any foreign country,which are owned at the time or death;all wearing apparel,jewelry,silverware,pic-
tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left bydecedent,together with the fairly'estimated
market value thereor;all bonds and mortgages held by decedent and o~all claims due and oWing decedent
dt the time of death,and all promissory notes or other instruments in writing ror the payment o~money
or which decedent died possessed,of whatsoever nature,with interest thereon,i~any,giving the face
value and estimated fair market value thereor,and if such estimated rair market value be less than the
race value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable
to the estate from lire insurance polici'es carried by decedent;all annuity and endowment contracts the
proceeds or which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date or death,bonds and accrued interest thereon to the date or 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 reported are as far as
possible substantiated by financial statements of the corporations,showing the assets and liabilities
thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business,and in support of the value of such interest there is annexed to
said schedule,financial statements showing the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business,its location,and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted.It should also set forth in itemized form,together with the fair market value
thereof,any other property owned or bequeathed by the decedent at the time of death.
The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's
death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom transferred,the
relationship of the transferees to the decedent,the proportionate share received by each transferee and
all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y
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 passes at decedent's death by
virtue of the exercise by decedent,either individually,orjointly with another,or any power of appoint-
ment vested in decedent,either individually or jointly,by the Will,deed,or other instrument of another,
with a copy of the instrument creating such power attached to the schedule.
That Schedule 0 attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement shOWing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent"the dates of their death,their issue,and the relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property,real.and per-
sonal,owned by the 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 heretu and made a part hereof sets forth fully and'in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of
death;taxes accrued chargeable 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 UpOll 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.
Q:C~t3~h ••'.(Executor-~
....5..95...P.9..~p.Ay.~g~.~,_..
(Street Number)
...~.~.s..~.~.!:':~.~.??~~.~.~~.?.?.g.~..
(City or Town and State)
NOTE:Befo~e 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-direc.ted.
Subscribed and sworn to before me this .
................;~day of A1J..@,~.~19 ..7..9..•
~~~......~.
~.
RCr::·S4 (1-114)
COMMONWI;ALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
RUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE CIA"
REAL PROPERTY
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the decedent 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 Commonwealth of Pennsylvania should be
described by lot and block number,street and street number,together with
a general description of the property,with a reference to the record of the
conveyance by which the decedent took title;if a farm state number of a-
cres;also statement of mortgage encumbrances upon each parcel at death
of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are
to be listed on Schedule "F"and must not be deducted from this schedule.
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this space)
All that certain parcel or messuage of gro1nd
situate in the Seventh Ward of the City
of Washington,Washington County,Pennsy -
vania,fronting thirty-three (33)feet
on the northern side of Shirls Avenue,
and extending back therefrom of the same
uniform width one hundred fifty (150)
feet to Alley liEu;being the eastern
thirty-three (33)feet of Lot No.281 in
the plan of lots laid out by Jonathan
Allison et ale and called Allison &Co's
Addition to the Borough of Washington;
bounded on the East by lot No.280 in
said plan;on the South by said Shirls
Avenue;on the West by the western
seventeen (17)feet of said lot No.281;
and on the North by the southern line of
said Alley liE".
Being the same lot of ground which was
conveyed to the said Edna M.Hollobaugh
by Deed of Barl W.McVehil dated Nov-
ember 23,1934,and recorded in the
Recorder's Office of Washington County,
Pennsylvania,in Deed Book Vol.597,
Page 232.
Said parcel or messuage of ground is
conveyed,however,SUbject to the
restrictions,conditions and reservat-
ions contained in Allison &Co'S.Deed
to J.L.Booher,dated February 7,1908,
and recorded in said Recorder's Office
~n Deed Book Vol.359,Page 448.
There is erected on the said~parcel of
ground a residence property known as
350 Shirls Avenue and a small tenant
house known as 350 1/2 Shirls Avenue,including garage.
The estimated market value as shown in
Column 2 is the amount received on sale
of said property.See Deed dated June
12,1969,and recorded in Deed Book Vol.
1300 ,Page 383.
-l~County assessment
15'OOO.O~~
Insert this total opposite "real property",Schedule "A"in the
"As Reported"column on the last page of this return.
xxxxx
'RCC-35,.
COMMONWEALTH OF PENNSYLVANIA"
-TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Intangible 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 of or income from any property held in trust under the will or agreement of another,even though
located outside of the State,at the time of death,should be listed in this schedule.
Item
No.
1.
2.
3.
4.
ITEM
List and describe fully
Household goods as per list thereof
attached hereto
Checking Account -Pittsburgh National
Bank and Trust Company,Washington,
Pa.,Office
Savings Account -Pittsburgh National
Bank and Trust Company,Washington,
Pa.,Office
1 $500.00 u.S.Savings Bond,Series H,
No.D3 310906H,issued September,
1958
UNIT
VALUE
ESTIMATED
MARKEl'VALUE
384.25
11,L~35.14
500.00
DEPARTMENT VALUATION
(Do not write in
this space)
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X
13,533·46
List of Household Goods
Bedroom
Sheets and Pillow Cases
Spreads
Quilt
Blankets
2 -9x12 Rugs4SmallRugs
8 Towels
2 Beach Towels
Kitchen
Stove
Refrigerator
Cabinet Base
Utility Cabinet
Oak Cabinet
2 Metal Stands
Wall Clock
Kitchen Furniture and Equipment
Porch Furniture
Miscellaneous Furniture
Cricket Rocker
Wicker Rocker
Fernery
Chairs
1 Drawer Table
1 Swivel Rocker
Platform Rocker
Hassock
Ceiling Fixture
Miscellaneous
Household Items
Electrolux Electric Sweeper
Miscellaneous
Tools,etc.(3 Ladders,Lawn Mower,
Tools,etc.)
Total
75.00
55.00
3.50
2.50
.50
1.00
2.50
32.25
17.00
10.50
6.50
2.50
7.50
2.00
16.00
12.00
2.00
1.00
24.50
80.50
172.25
17 ..00
60.00
30.00
24.50
~RCC-31b
C'Om!O!'hK\LTH OF PENN SYLVANI 1
TIUNSFER INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDULE "c"
TRA.N SFETtS
(1)Did decedent,within two years ofdeath,make any transfer of any material part of his estate,without
receiving a valuable and adequate consideration therefor?(Answer yes or no)No
(2)Did decedent,within two years of death,transfer property from himself to himself and another or
others (including a spouse)in joint ownership?(Answer yes or no)No
(3)If the answer to (1)or (2)above is in the affirmative state:
(a)Age of decedent at time of transfer _
(b)State of decedent's heal th at time of making the transfer.(Note 1).
(c)Cause of decedent's death.(Note 1).
(4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate
consideration therefor which was to take effect in possession or enjoyment 'at or after his death?
(Answer yes or no)No
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)_
(b)What was the transferee's age at time of decedent's death?--------(5)Did decedent in ·his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:.
(a)The possession or enjoyment 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)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 could revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)No .
(9)If the answer to (8)above is in the affirmative,was the power to alter,~mend,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
-None -
DESCRIPTION MARKET VALUE
(Estimated)
DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.0.00
'.RCC-:-3$
C~MMONWE~LTH OF rENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRVCTIONS: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 1 ,unit
Address and Relationship of Co-Owners,and Place Value
of Record of Instrument,where Real Estate.!
On date of death of Edna M.
Hollobaugh,the decedent,the
following stocks were held by the
said decedent and Helen H.Barnhouse,
her daughter,as joint tenants with
right of survivorship:
percentage Estate
Share Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
156 shares General Motors Corp.
12,489.75 80.0625 6,244.8~
200 shares National Dairy ,Products
Corp.8,250.00 41.25 4,125.0D
80 shares American Telephone and
Telegraph Co.(N.Y.)4,380.00 54-.75 2,190.0~
25,119.75
1/2 thereof taxable 12,559.87
1 $500.00 u.S.Savings Bond,Series ~
issued to Mrs.Edna M.Hollobaugh
or Mrs.Helen H.Barnhouse in
July,1956
1/2 thereof taxable 250.00
I
,I
Insert this total opposite "Jointly Owned Property",Schedule "E"8l~
f hi '.l2,B69.Iinthe"As Reported"column on the last page 0 t s return.L-~
•
RCC.-37 (i2-63)
COl\hIONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
.
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other-are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
Helen H.Barnhouse Q.r."",-1/QOI
~9~Donnan Avenue -u Sole legatee and
vlashington,Pa.15301 Daughter Yes devisee •
.
(
h
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
-No Exee tions -
~IATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
(Executor-Administrator
must complete "As
Reported"column #1.)
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Year
IS THE
No.Will ~
Administration ~
Edna r-1.}I():I::l<:>l).~:u.-g!l,
Deceased
Late of ....c.~:t;y.().f..W.a...S.!.l:i.Jlgt;(?l1 .
County of ..Wa..~!.liI1gt;oIl
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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R C C-Bl (2-64)
COMMONWEALTH OF PENNSYL VAN IA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
HELEN H.BARNHOUSE
(Executor ~.u~I~iXJUX~·
IN YOUR REPLY PLEA8E
REFER TO 37-191-5
In Re:Estate 0 f E_D_N_A_~,.;...f_._H_OL_L_OB=-A:.,.:.U..:...G.:.:H:..::....-.......-
___--...:.:\i.:.:A:.=.S.:.:H.:IN:..:.G::..T::..:O~N~----County -FHe No.63-6 9-262
Dear Mrs.Barnhouse:
You are hereby notified that the original
appraisement in the estate of Edna M.Hal]ohausth.....----,.-_
has been filed in the office of the Register of Wills qf waS'fiington
County on September 24 ,19-10 Said appraisement reflects the
following valuations:
Jt.Held
Re al Est ate ~1~5.1-'..::::.O..::::.O..::::.O~.~O~O:....-.__
Personal Property l~3~,~5~3~3~.~4~6~_
~---..Jl~~~,~8.J.iO.L;9:l.<•..J.8~7'--.,..---
Tota1 ...:4~1b-i,,....3.t.::.4L>3Ll.L>3,J,j.3l.----
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 in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Title
Dat e __S_e:...!p......t:...:e:..::m::.:b:...:e:..::r~2=-4:...;,L.-:l::..::9=-7:...:0::....-__Signe~~~~~-=~::::::;...~~
W.R.CHANEY F APPRAISER
DATE OF DEATH:
Note:This is not a bill.
February 13,1969
~'
RCC-~9'(5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of HOLLOBAUGH,EDNA
(Last Name)(First Name)
M.
(Initial)
DATE 0 F DEATH ---=2=---=1:..:3:.---=6-=9_FILE NO.63-69-262
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of \vashington
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".
9-24-70Dated:---''''--.=-!'--"'-=-------
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
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
VALUE AS REAPPRAISED
$-------+--
Valuation of life estates or
annuities.. . . . . . . . . . . . . . . . . .$t=
-
ESTATE TAX ASSESSMENTS $.
FOR USE OF REGISTER ONLY
Tax on $--+__~.%\
Tax on $----------+--<§Y
Tax on $5%
nXoo$lK
Tax on $15%
Exemptions *
Total Estate -+-__
TOTAL TAX
COMPUTATION OF TAX
$--------+---
$---------l~-
$---------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 :::::::::::!::t==
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from
_____to $------
AMOUNT OF ESTATE TAX ASSESSED $-L-
Estate tax paid $L-
BALANCE DUE $----~~
Add interest at rate of 6%from t=
------Ito-----$--------1
TOTAL TAX BALANCE $------lPAID$-1
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 .l No.
Administration ~
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
EDNA M.HOLLOBAUGH
Deceased
~
Late of .
County of
WASHINGTON
WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
o
.-)
,I
Fonn RCC-2
DEPARTMENT OF REVENUE ..
B(JRI:AU -oil'COUNTY COLLECTIONS
HARRISBURG,PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ~.~p..!..~.r.r.l.~.~E ?4...L J~?Q .
COUNTY :w.~.$..hi.n,gt...Q.n .
FILE NO.?}.:..?~..:.?.§..?..
Was.hingtonlateofEdnaMHollobaughWhereas,.................................................................................................................................................................................................................................................
in the County of ...............................W:a.s.hingt.o.n...............................................................Commonwealth of Pennsylvania,having died on
the ....................l3.....t..h........................................................day of ...............F..e.lrr.u.a..;nr..............................19.....6.9,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,.....................W..~.:R:.~......9..h~.P.:.~.y ...................................................................,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.'
•Unit AppraisementDescriptionofAssetValuesMadeforInheritance
Tax Purpoles
$
REALTY:
See copy of Schedule "An attached to appraisemert 15.000 00
PERSONALTY:
See copy of Schedule "B"attached to appraisement 11 .c;"~.1 A.R
JT.HELD:
See ~onv of .~l"h""~11'p "E":Jrr;u...hprl t'n ~nn.,.~;12.809 17
~
I ~
I
.
Total ,41.343,33
form:v~~~hbl:~::7h~w,,",,~~~:~~o~e:~~~tii~~is:~e~t~de~-1"
~.".....~...................................4•••••••••••••.•••••••••••••...•••••.................................................
/(Number d Street)
............./-~...:,.,•..........,Penna.,(Post Office)
.....,..........,.............,
.:0
·WASHINGTON .......County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
EDNA M.HOLLOBAUGH
XIU}H1XMXxH~KU
Deceased.
Late of
'''ASHINGTON to.:
1969February13DateofDeath:
Appra.isemeilt Docket Vol..37,.
Page,l~l~.~No §.1~.Q..Q.~.~.Q..Z .-.
Filed in Register's Office,Se.pt..•......24..J97.0 .
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appraisement,.
Appeal ft-om Appraisement,.
Entered and charged,....
<(••
ESTATE oFEdna M.Hollobaugh LATE OF City of Washington,Wasb;ngton County,Pa.
DEDUCTIONS ALLOWED IN j
lJ~70,v 3 I
THE SUM OF $..
1-1~7//STATEMENT OF DEBTS
AND DEDUCTIONS
OFtlCE OF TME
•REGISTER OF WILLS
OF Wash1ngteD COUNTY
AND AGENT OF THE COMMONWEALTH
Form RCC·IO
"
DATE OF FILING APPRAISEMENT Sept.21 1,1970 OATS OF DEATH February 13,]969
HEREBY CERTIFY,THAT.TO THE BE.r OF·
COUNTY OF Washington
I,HeJ aD H..BsrnhQUS e
DATE NO.OF NAMi:OF PAYEE REMARKS AMOUNTVOUCH""
191b9 .Admimistration Expenses
Feb.26 )ussell Marino.Re~lster Letters l8.50.Sh.Certi.tl.OC 1Q &::0
Mar.21 ~ashin,gton County Reports Adv.Letters lll.bo
Mg,"?,Rnsse"MO'Y>-tnO RAD'a ISho:rat Cs['·uit.,ho
-_1"\~.....--"'..,...,.,.,~.:I A .D.I:I.!f ~.~--U I.U.£'C'.v .""...VA_.n.·~..._-o,........•..,~.............y ...",g ,;).'"'V
.T'lln~,Q b......"",Mo,"i1"lG.ReD'iste:ra ISho:rat ;A1"OT,;l'a ,ho
•Tune ?~~~:rath$t M.Herceaa N.P •Affidavit re:Redemntion 4)1'
Series H Bond 1.PO
July 11 ll.E.Masten &:Co.Service charge re:Transfer -.......""..1_-,..,....;;J.IV'"
.T,,1 ...."n""..'Pnh';qninCl'(!n AAI .'l qin....T...L , I 1r"I"....,
1970
I Russell Marino,Register Filing Inventory 7.POAug.13
I
Oct.q J.ladvs C.Marshall.N.P.Affidavit 1a 00
I
(\...~':)7 bn...."""Mo,";nn "Ro,l!l';q+:Q,"lH'i'i1"\1!I'A.............._....':)~""Oct.27 ffe1en H.Barnhouse-Accountant's CQm-Re:Real Est ate74.1.S~-,....0-",,'"".....u .......A .........Lt ..·'l ....of ........Lr7t...V'v-v.'T --"","'.1
O~T.-27 alo..........rl"'....W·..Acheson Connql:tol fees ,.,??-I&::?
!19l>9 Preferred Debts
Feb.20 ~s.Albert Nurse ~O.DO
Feb.20 ITIl "i 01"1"'0 R..('!'h..-t ....<"I ..1 ,.....,.l'Rg1 nr.+'1"\Di n h~Morl-t,.~........I.fo\"-v "1''"'...
I Mar.12 Piatt Fune:raal Home IFnne'P'01 T:'I ,I.'ll.bl.-..
June 2 •Paul Proudfit,M.D.~~a PO -Jther Debts
Apr.28 pimon Whitets Sons Grave Marker -112.)0
Expense of Sale of Real Est!te
"- --IV""""...u.V1,.....-.....,_...........""...I.L 'C'....u....a..oc I.a1jY 'l'ransrer '.Cues 300.~O.._.-..1 ......R..t"""....,-......"........A"n ~"
st Federal Savin~s &:Loanof Wash.-2 points 282 ..DO
COMMONWEALTH OF PENNSYLVANIA .,,l~ota].5,1)32.7))
.oECU8ED.AS DEDUCTIONS;FOR
INHERITANCE TAX PURPOSES.
MY KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND.EXPENSES OP'
ADMINISTRATION SUBMITTED TO THE ESTATE OF Edna M.HollobaUgh
~~""""",,r]~=~~--,,-,,-%3L4'o~~===-------~_(L.5.)
SWORN AND SUBSCRI8ED BEFORE ME THIS 27th DAY OP'
~~IJ-.1117fLG.~M1L -7f((lA;;;,~l
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