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HomeMy WebLinkAboutOC1969-0887 - ESTATE OF BUSCHORRCC-39 (5-68), COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of BIJSUHOR. (Last Name) WJU:IAJd:T. (First Name)(Initial) DATE OF DEATH 6-28-69 FILE NO.63-69-887 REPORT OF INHERITANCE TAX APPRAISER WASHINGTONI,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _ 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". D_ted,Yf~'November 13.1969 INHERIT~NCETA~- REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated:_ REGISTER OF WILLS VALUE AS REAPPRAISED $-------~- 31,013 00 $ 31,013 00 - 31.013 00 VALUE AS REPORTED VALUE AS APPRAISED $'----"......--,.,~-+.....-- INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or -t FOR USE OF REGISTER ONLY Tax on $---------t--2% Tax on $---------t--6% Tax on $-----------4--5% Tax on $-----------4--10% Taxon $@ ~~ptioos * Total Estate -*-__ TOTAL TAX COMPUTATION OF TAX $-------+-- $-------11--- $--------4-- $--------+--- $-------+-- ,$--------'---- (*)'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 $t= Add interest at rate of 6%from to --~C$---AMOUNT OF ESTATE TAX ASSESSED $. Estate tax paid $I BALANCE DUE $...JL- Add interest at:;te of 6%from $--------1t= TOTAL TAX BALANCE $-----~. PAID $...J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. """"..~~-.FTt .---~,.~=,~~~,v,,~·"_,~~~.-------~--" Will Administration (No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF WILLIAM T.BUSCHOR Deceased Late of .vJASHINtGTON County of ..WASH.JN.G'lON. Commonwealth of Pennsylvania REPORT AND APPRAISAL .~ ""'-''- ","" Fonn RCC-2 .DEPARTMENT OF REVENUE BUREAU OF COUNTY COL:M:CTlONS•HARRISBURG.PENNA.17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX.. APPRAISEMENT DATE__I!QY§1jQ~_r_J3,_:J,2~2= COUNTY ~~.~~.~~~.~~:::::.::::::::::1 I FILE NO §.?::::.§.?:~.~.?... Whereas,~,!J+.~.;~f...~~~.~.~:r late of ~?:.~.~~.~&~.?~. in the County of W~.§b.~.ngt.9.P..Commonwealth of Pennsylvania,having died on the ?~tA day of ~.~~19 ~.9.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,W.~.:ft:..!9..h§.~.~.Y ,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for 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 Appral.ementDe.crlptlon of Allot Value.Made for InheritanceTaxPurpole. $ PER..,~NALTY : •Pittsburp?:h National Bank,buccessor Guardian of the Estate of William T.Buschor,an Imcompetent,now - deceased.Account No.80023-4 Cash awarde oer decree dated 9-15-69 at No.860 of I 1969 in the Court of Common Pleas of Washington County, Pa.,Orphans Court Division 31,013 00 .. Total 31.013 00 fonn~;~"fh~:::~l~w~~~nt~::~a~o~e~..~~~~s:..~=r~i~~i~d~i~~~ GiJOJ.:':I(J .L'I .I .Il.A (Number and Street) .......................~............r......................................................................................,Penna. .(POIt Ofllee) WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of WILLIAM T.BUSCHOR Deceased. Late of WASHINGTON Date of Death,J.:~~?J~.J J,,9.9..9.. Appraise/nel!t Docket Vol.,37 . Page,?43.~.J..No ??::~9.':::??7.. Filed in Register's Office,..N9.y.~:IT.l1:>.E;;l:r.).J.19..9.9 . Amcunt of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,;. Wrote abo.ut Appraisement, Appeal f"om Appraisement,. Entered and charged,. t, • ,. 37-243-3 " RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE . BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT PITTSBURGH NATIONAL BANK (Executor ~' IN YOUR REPLY PLEAOE RE"ER TO J In Re:Estate 0 f ....:wn..==L=IAM=:...-=T..:.._B::..U.:.:S.:.:C:.:H.:.:O~R.:._._ ____--:W.;..:A;;;;;S;;;.:HI=.;N;;,;.;G;;:.:TO:.=.;N County - FHe No.63-69-8eJ7 You are hereby notified that the original appraisement in the estate of William T.BUschor has been filed in the office of the Register of Wills qf Washington County on November ]3 ,19JQ9.Said appraisement reflects the folloWing valuations: Real Est ate _--'-".."......".",.".-~_- Personal Property ~3~1~,..:.O~13~.O~O~__ Transfers "'""='""-.".,,..,,......,,.,.._- Total ~~---==3~1;.L,..;;.;Ol=-3~.:..;;O;,.;O~- 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. Dat e -=N:.:.::o~v;..:e;:m=b..:.e=-r_'1=_3<..i,t.....::;1~9..:.6..!_9 _Si~ned (j;J R.~2-v"A i~ Title W.R.CHANEY,CIll APPRAISER DATE OF DEATH:June 28,1969 Note:This is not a bill. --------------------------------- I FORM 67 REV.1-50 REG.WILLS 1\ppliration for 1£rttrr.a of 1\~mini!itratton on tbr Estate of ~.~.!.!.~~!E_:f.~;§y..I?,.shg.E . late of Q.t.t;y.Q.f N.~.~b.ing,t.Q.n ,Deceased. Before the Register of Wills of Washington County Chas.E.Enlow,Assistant Vice President of Pittsburgh National personally appeared B.ank .. who,being duly sworn deposes and says that...W.Ul;!..g..m I B.l.\s.~hQr.. age .7..~,having ~.~.~last family or principal residence at..!.~g g.h~;-s.h ~E.E~~E... (Street and Number) QJ.ty.gJ R~Ji.bj..lJ:&);g.ll.,Washington County,Pennsylvania,died intestate (City,Borough,Township) ~a~Rellf Man~r Nur~infl·Home 28 JatoSl::J:gg gg."~.:g;P.,§Y.:Y.g.*.~,on the day of 1l:P:!?. A.D.,19 6.9 ,at..9..:.QQ .F.•.M.,possessed of personal estate to the estimated value $1Q.".Q.Q.Q.~.Q.Q ,and of real estate in the Commonwealth of Pennsylvania to the estimated value of $M.gg!=:,situate in . The names and addresses of the decedent's surviving spouse (if any)and other hei~.s including heirs by adoption)are as follows. , RELATIONSHIP RESIDENCE .....................................................::::562e..·Sandalwo,o'd·..·Drive-..· · ·..·..· ·.. A.t.thur LeRo:}l P.iat.1~I:.'!~p.~~~QE.J~g4.9..~;ng.E.~.g.~}.~.§.Q.~..,1 .............................................................................................................................................Rte:.:..·'3·;....fl,ox..·8·1·r..·..·..·..· ·..·....·..· · ·..·..·.. .Ng:F.:rE:~.P.:b.~l~~E.)::J~~p.h~.~JA~~W~J.~.~.1 ~J.gEJ.g.~~}.?:?}.. That deponent is ~~_~~~Mi~~~~~.~~~~~.~.~.~::~.~. ...::~~.9.~~.h ~~~~E.E~~E..?~~~.~.~~1?i.;.?.~.1 ~.~~g.?y..!.Y.~.P.:~.~:r.,,,. i6xatxxtaeQ{l~fotk«~~rloSta.1leX~~:lOfxR~and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. PITTSBURGH~ANK Sworn and subscribed before me this.....J.t................~y......~r~'Ea:t:t ...\f'rc~n:t ......... day of ~~.!Y.,A.D.,19 ?.~.. ·~··2{~·_··_·RiiGiSTiiR-·· COMMONWEALTH OF PENNSYLVANIA }SS:-WASHINGTON COUNTY,Chas.E.Enlow,Assistant'i Vice President And now J.1l:!Y..2.i.,19 §.~,comes gJ ~~.!;J.!?!?1l:*-gh ~9;!.~Qg:?;.L;§:?;g~, who being duly sworn doth depose and say that...i.t will well and truly administer the goods and chattels,rights and credits of KH.g~m l'.~:\}.1f..~.~hgI ,deceased, to the best ofH.!?.......skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. Sworn and subscribed before me this 2l . day of :!.~.~Y.,A.D.,19 ??... ........~=w :. ................fL.L~. REGISTER PITTSBURGH NATIONAL BANK By..·......·..........As·s'is·tant..·Vice..·Pres'ideu·E....·......·.. 01 ", *~3~0 '~/g:0-0 he f/j-?f-vlTrj!c./.tr() ~..L~~ ~(J.00 DI APPLICATION FOR fIl-- Letters of Administration f ESTATE OF William T.Buschor....................................................................................................... Deceased R $.. .i..etters ;;. Extra Alias . . . . . . . . . . ...$. Certificates $. Renunciations $... I ..................................................................$..;,,:~ otal...1.n b¥J_/a (j'fYi :;;;.·..~..W:..;Z..·;l .. ~ { ~ tv'> t"o") x::,Q.. C lu ......JS"";3............ ~~~o;~o.<:(<.;)=-u...~.b :Z ;.0"'-'0:::1-'-.1w UJ0 (f)I-~ti)~::I: :::';0(.0 ti:W <:(lZ1?0:::3lL~Ariiton Brownlee......................................................................................................... Attorney c( ~2 t5 /'3P- JJ!{T7, ESTATE OF, .........__...___._.WJ~~.:f~..f..!_..~.V.~f.g9.~_._...._.._.__...,...._..DECEASED The undersigned _l\~~?~~~~.~~y._X~~.~_~?:~_c:J:_.~~~~?:~~_~_~!_~~~_~.?:~_~._...and heirs of .....__.JnJ,J~~P.!..r.~~.f?_9.hm::..late 'of QJ~Y..9_t.W_~~p.Jp.g~.<;m.._..._.._ deceased,hereby renounces.Q~_r right to administer on . .hJ~..estate and respectfully asks that L.etters of Administration be issued to PITTB_BU.RGR._NAT_IONAL__BANK_._ ------------------------_._----.-_.._---------.._.----..._-----_.._--------_.__._-----------------------'-~-~----_..._---_._--~-----------_:_------ ~e:enti'.~..........................·~~d!:)E~'f~I . ~...J[~...Ao/~h~~i"Jt~~fl7,~~~~..~Z':4~~J~;~J~~",D'~.....~-..---~-----~.----,----------.------.--.-... . ..._.....I ..._.~....-------------_.------.-.-.._.---.-..-------...------------.--.:~~-----_.---_._...--- ·'..''....~.~ FI LEO, '69 JUl 30 PM 1 )3 RUSSELL MARINO HEGISTER OF WIllS WASHINGTON CO.,PA. :u rrI Z C Zo-}> -i-I~ J , .-:-'I ~~-~7-&7'"1..'i j /!/!., iNVENTORY of all real and personal estate of Jg.JA.:~Mi.r~..J~lJ.~.9.HQ!L deceased, late of ~!.?~~~~..~~~!.~~!'.~.~.~~..~~~~~~~!.1:~~~~City Ward .......................................................................Borough Township,Pennsylvania. PERSONAL ESTATE SCHEDULE Pittsburgh National Bank,Successor Guardian'of the Estate of William T.Buschor,an ~1competent,now deceased,Account No.80023-4 Cash awarded per decree dated 9/15/69 at No.860 of 1969 in the Court of Co~~on Pleas of Washington County,Pa.,Orphans Court Division HTP $31,013.00 ."/ ; None None REAL ESTATE SCHEDULE REAL ESTATE IN PENNSYLVANIA MEMORANDUM OF REAL ESTATE OUTSIDE THE COl4MONWEALTH OF PENNSYLVANIA STATE OF PENNSYLVANIA l 88.: COUNTY OF ALLEGHENY i Personally before me,the undersigned authority,a Notary Public in and for said County and State,appeared Chas.E.Enlow,Assistant Vice President, Pittsburgh National Bank who,being duly sworn according to law,depose and say that PITTSBURGH NATIONAL BANK is the ~m Administrator of the estate of WILLIAM T.BUSCHOR deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate,of WILLIAl1 T.BUSCHOR 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. ~or Administrator Sworn and sU~d before m;.)this 1i!:.of J-19-felJ~e??J~ Pittsburgh National Bank By: Assistant Vice President '.,h'r"t....;'c';.''.1\.•;ttr{,~\-..I.''}',,',..,,,. 4 ~•~~.....".~'t~1,f(ED ,~,~~'-I·,"',~~0 '69 [JCT 77 gf0 ~--~11 ..P/1 IZ Z8 :8 r-I -.....D ~0 ~~<6~~ia IRUss~v ,~(\)!l.t'\ ~~r-I t'6.~!<'fGlIS ItfER"'.t'~i~fi9~f1t ji ~, 0)"@3:•01""4 l:l.t lW~S;q.iiJ:~G;1i"Of?'&bD..ts cO ~....~::r::!A..0 Fi 0 0:' ,I,om'(;IJ ~&j ~~C/):.''-.,~.. ~:::>:~g ~P=l~~:0 N Z ~0:+::I t'o QI~.:+>:.~cfj ~!..c::.~~U2 (():Q.)!~~:-=x::..c ..c:(()(()>H:.:~~~i Cl; 0 Zz ~i >.mQl~d od ...f~0 't:I~Ql ..~..'t:I-<-< , 'I'\ \I I' --------_._------------------------------------------'--' 'ft J -b ~/'~f'7 COMMONWEALTH OF PENNSYIRANIA ) COUNTY OF WASHINGTON )SS.: Assistant Vice President o~Pittsburgh National Bank, Chas.E.Enlow/X~KX~~the within named accountant,being duly swor~~ae~~rding to law,deposes and sa¥8 tnat the foregoing account as stat.~d .i~ true and correct as he verily believes. PITTSBURGH NATIONAL BANK .~XX~~X~~K~X¥~Ass~stant ~ce Pres~Qent Sworn and sUbscribe~.efore ~~i~~~*,daY of ~a2;5tJ /'{..--K.~.-=..~~ Register BY -[....--.//. ~~~ ./,)!l-,,~~.J._~-..::.::::::..~,- WASHINGTON COUNTY,SS.:I 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.L3r 10 -IDk, Witnes~~d and official seal this C(~ day of ,19 70 6<twABM .9li~ Register of Wills AI:il ILl ..s:: u.l 0 0'0 0 r-l ~~!:'-(1)or!0 J 8 Z .j.).j.)(Y) 0 Z ~ 0\s::«I 0 l.!".j.)-\) ~1 I:il :::> ...-4 (1)S •..-1 I::bar-l s::\.~ A 0 UlH t>o I::«It 0 ...:l (1)or!or!•..-1 •..-1 m .j.)~0 iii 0 e::t:', H~~Ul '0 •..-1 s:: 0\0 /l::c:x:~./l::PoS::~•..-1 r-ll:::::s f...-4 0 ,0 I r ' 0 0t>•..-1 m 0 ::r:8 .t> r.il ~H .j .j.)t>I •..-1 I:il~t> ~8 0 8 ~s::XA I:il ~t> 0 e::t:u.l Z e::t: :::s H r.il e::t: 8 :::>H z 8 .j.)o 0 H+'Ul.~1 '-J u.l p:j ILl C/)or!t>~'00 ZUl§H r.il ::r:H ~t>s::.:;:~0 ,.A 0 ?-;roP «10 @8& ~t;{ 8 Z /l::H H e:t::::>"..~'s:::::s H~p:j ~ '\(')~p:j .0 (1)0 I::I::(1) ~8 u.l 0 .j.)zoo ~- 0.-.ga 8 .j.){/)~g+'+'~ 0 H 8 •..-1 (1)•..-1 H ::r:~~0 Z H H H ~.~M(1) .j.)~ H P-t J')(1)...-4 u.l •..-1 •..-1 .j.) ~ (1)/l::0 c:x:..c:..c:e::t: ..c:o {/){/) -l-'.j.)e;mm":>;3: Il~, I~-__..4IJ TR-2 REV.9-62 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION NO.&..2-C~f'-fJ7 ESTATE OF WILLIAM T~!BUSCHOR,DECEASED FIRST AND FINAL ACCOUNT OF PllTSBURGH NATIONAL BANK ADMINISTRATOR NO.80788-8 PITTSBURGH,PA.FEBRUARY 27,1970 SUMMARY SCHEDULE A PRINCIPAL -PERSONALTY Receipts Page 3 $31,013 00 Disbursements Page 4 8,044 86 Balance $22,968 14 SCHEDULE B INCOME -PERSONALTY - Receipts Page 5 $765 75 Disbursements Page 5 45 95 Balance 719 80 NET BALANCE $23,687 94 II ! WILLIAM T.BUSCHOR TR.2A REV.9-62 THE BALANCE CONSISTS OF THE FOLLOWING: PRINCIPAL -PERSONALTY Bonds United States Treasury Bills $20,000 due 5/7/70 $19,767 00 Cash -On hand 3.201 14 I $22,968 14 INCOME -PERSONALTY Cash -On hand 719 80 $23,687 94 I I I I I I -2- WILLIAM T.BUSCHOR TR-2A REV.9-62 SCHEDULE A PRINCIPAL -PERSONALTY RECEIPTS 1969 ~Oct.27 Inventory filed 31,013 00 Assets Purchased 1969 Sept.a $25,000 United States Treasury Bills due 2/19/70 $24,234 25 1970 Feb.27 $20,000 United States Treasury Bills due 5/7/70 19,767 00 I $44,001 25 Cash disbursed to purchase above assets 44,001 25 0 00 Conversion of Assets without Gain or Loss 1970 Feb.19 Proceeds redemption $25,000 United States Treasury Bills due 2/19/70,at 100 (por- I tion of proceeds applicable to $24,234.25principal) Carrying value 24,234.25 0 00 ~31,013 00 -3- , ,..>,'".., WILLIAM T.BUSCHOR TR.2A REV.9-62 DISBURSEMENTS Administrative Expenses 1969 JUly 31 Russell Marino,Register of Wills - Letters of administration and renunciation $19.00 1 short certificate 1.00 $20 00 Aug.25 Washington County Reports - Advertising letters of administration 14 00 28 Observer Publishing Co.- Advertising letters of administration 14 00 Oct.28 Russell Marino,Register of Wills - Filing inventory 3 00 1970 Feb.25 Department of Vital Statistics - I 1 death certificate 1 00 27 Russell Marino,Clerk of Orphans I Court Division - Filing this account 20 00 27 G.Ashton Brownlee - Attorney's fee 1,500 00 27 Pittsburgh National Bank -~Administrator's compensation 1.500 00 3,072 00 Preferred Debts 1969 •Aug.1 Pratt Funeral Home - Funeral e'xpenses $1,677.41 Less Veterans Administration allowance $250.00 Allowance from County $of Washington 75.00 325.00 1,352 41 13 Maybelle Manor Nursing Home - Nursing care from May 28,1969 to ,June 28,1969 388 0013AnnexPharmacy - Medicines and drugs -May 1969 through June 24,1969 48 25Sept.17 The Washington Hospital - Hospitalization of decedent 49 20 1,837 86 Other Taxes 1969Aug.25 Russell Marino,Register of Wills - On account Pennsylvania inheritance tax -15%on $22,000.00 3,300.00 Less 5%discount 165.00 3.135 00 I ~8,044 86 ! I I -4- I , I WILLIAM T.BUSCHOR TR.2A REV.9-62 SCHEDULE B INCOME -PERSONALTY RECEIPTS Interest -Bonds United States Treasury Bills $25,000 -9/8/69 to 2/19/70 $765 75 I I DISBURSEMENTS Pittsburgh National Bank - Administrator's compensation $45 95 WCS:rw -5- Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) Estate Nlces -" The ister of WiHs has granted letters,t amentary or of administration, in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. ••••• • • ••• •• ••••• ... 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}SS. STATE OF PENNSYLVANIA 1BUSCHOR,WILLIAM T.,Dec'~=:l Late of City of Washington,Wash-, ington County,Penna.IAdministrator:Pittsburgh NationalBank,6 S.Main St.,Washington,Pa.I15301Attorney:G.Ashton Brownlee,Wash-Iingto~_~U~ldg.,Washington,Pa.I 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 acting as its agent in this behalf;that the said WASHINGTON COUNTY 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 advertisement 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: .................Aug.u.s..t.2.8.,J..9..69 . ..................:?~ntf,.ID.Q.~.r.:1..1 g."J.2.f?.2 .. 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 this ~~s ~o th~time,pli/jd ch~Ofthe ublication are true.~~_/J&t. Sworn to and su~efore me:· ···..· · ··Edit~; .....:Llth qay of 5.e..!t~.e.m.Q.e..t'..,19 Q.9.. ..........kLt..d.<.~;{1.:.~.... /,otary Public KATHERINE C.YARD,tlQtary J1{i~c Washington,Washington .Co" My Commission Expires November 1,1969 Ob&er .Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News,paper Advertising Act of 16 May,1929, P.L.1784,31S amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally appeared before file,a Notary Public in and for said County and State,Ri.c.ha.r.d..5 C.o.wan ,who being duly s,worn according to law,deposes and says tha;t he is the S.~.c.r.e:t.a.ry _. of the Observer Publishing Company,a Pienns,ylvania corporation,and'its agent in this behalf;that the said Company is,the owner and publisher of the Observer-Reporter,sUCCle,ssor to The Washington Observer,established Septembe,r 18,1871,and The Washington Reporter,established August 15. 1808.a daily newspapeiI"of general circulation,printed and published and havin'g its place of busines's at Washington,Washington County,Pennsyl· vania,where it or its predecessors have been established and published continuous'1y for more than six months,prior to the publication of the notice hereto aHached;that the printed notice or advertisement hereto attached is a copy of an official advertisement.official notice,legal notice or legal adve:rtis,ement,exactly as printed or pUblished in the Ob'slerver-Reporter in its regular editions on the following d'ate or dates;. ,Aug.us.t 2.5..,.Sep.temb.e.r L._and 8.,1.9.6.9._ . that neither tIm affiant nor the Observer Publishing Company is interesrtied in the subject matter of s'aid notice or a;dvertising and that all of the aHe,ga- ~:.~,,~:th;,affidavit ..tot~.ti~"f1!I::;t;{~ ..~,~I ADMINISTRATOll'U,NOTICEEstateofWILLIA!l:r.~USCHOR, Ideceased late of Cltr of WAshington,'Washington County,.'~nn....I Letters of AdmllU .•:.tton upon the above estate haV'lli bt",~lI'antedtotheunderstgn~~'Io~k"is hereby,given to thosll'inaco~r thereto to'make immedIate Jr-\yment,And tothosehavingclalID,ll or demands to.prt:sent them for settlement.t PlTTSaURGH NATIONAL BANKIMministrAt6i., 6 South Matn Street I Washington,Pennsylvania 15301G.Ashton Brownlee,Attorney ( Washington Trust Building Wuhingtcln.pennsYlvan.ia 1530189200·Mon.·3t Sworn to and W.26752 ,"b'"~~;$;~~~e/9 WASHINGTON,WASHINGTON COUNTVO MY COMMISSION EXPIHES MAY 6,1972 ~u tij~Qrnurt nf Qrnmmnu Jl~as nf masijiu:gtnu mnultt!} ®rpijaus'Qrnurt minisinu In the matter of the Audit of Account in J Estate of_---=-W;..:i=.;l=l.=i:..:a:::m=-.=T--=.---=B::.u=s-=c:...;:h.;:..o.:....r=-------f TO THE AUDITING JUDGE: 63-69-887No.__..:::...._....:-_---.:_ Enter -"'m""¥I--appearance for ---"t""-h..,e"'--....a'""'C~C"-'O~U~n...,t"'a""-'-'n..,t'--_ 20th day of.~M.........aY-J..,19~ N.B.-Counsel shall,by separllite paper,present a concise statement of each claim,with supporting caleuIa t ion 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 conctse state- ment in that regard. No.63-69-887 In re Audit of Account in Esta;te of William T.Buschor, deceased AUDIT 'rattipt fnr i\pptarautt FOR -~...,., :r:--,.-cn"'-~-=~.<.n t.,.').mz·-f m '''~} ~::::o c:::>>-.r'!1~ (f>oC:=:1:._ ~l~."-t.;xi ~..._~-..Jo'.r-'"I__.C>~ ~;;~"' a -..~=-.-.r-Z -0:1,-0»<.n. <::D G.Ashton Brownlee, Attorney ~2 -----------~._.~._.~.~.....---------------~-.•~------------------, (Form where decedent died intestate)J 1111 t~t ®rp~UU!1'Olonrt of lIaa~iugtDlt mOUltty 63 . ESTATE OF NO./'69 -887 ~ In the audit of the First and Final Account of Pittsburgh National Bank .....Rill.i.am..l'B.1!t;;.GhQ1=:. Deceased The petition of PittsblJI.gh_.NatiQnaL.Bank.".'.'.."'."".""'. (Name of Petitioner) respectfully represents:. (a)The decedent died _.._.lune..3.0.,...l9.69 ,intestate and (Date) letters of administration on...his....__estate were granted .J1!.ty...J.Q.,..J,9.Q.9.... (Date) I IState(1)w.hether de"'Icedentwasmarried or unmarried;(2)If Imarried,whether a husband or wife sur- vived and his or her name;.(3)whether ornottherewasany marriage settlement; (4)whether.or not family relation wasmalntalned~ntll de- cedent's (jeath;and (5)whether the de-cedent left children or Issue of deceased children. as per record thereof appearing in Administration No 63 at page _.13.6 . Decedent was survived by Arthur LeRoy Piatt -Nephew Norman L.Piatt -Nephew and Bond Book within h(b)At the time of death,the decedent's domicile was w:i~t t e Commonwealth of Pennsylvania,to-wit,at Was.hingtQu,...I's;J),ua....JJ.•...S.,..A. (Town or Township,State and Nation) and residence was at ..W.Q..s.hing.tQn,...f-~nJ)._$Y-l),1Jmi1'L...:lJ.•...~_!.••~••.•••.•.•••_••••.•••_•••.•••. (Town or Township,State and Nation) (c)The names of all persons having any interest as heirs or next of kin with the names of their deceased parents,to show relationship if they take by representation are as follows: •NAMES Arthur LeRoy Piatt Relationship ~ephew Of age,sui-Name of Guardian,Trustee or Committee,juris,or not,if any,of beneficiary,manner and place Interest (write yes or of record of appointment·and Is bond no)..sufficient to cover and protect share. ~Yes Norman L.Piatt Nephew 1:2 Yes IStateexceptions,If any,giving names and dates of death and the names of their executors or ad-ministrators,or the names of their Issueasthesamemay be material. All of said parties in interest are living,'.except No Exceptions Describenotice.type (d)All parties having any interest have had.writtennotice of the of I filing of the account by letters dated March 24,1970. (e)Balance for distribution per Account (f)Additional debits;not shown by Account (Itemize)Interest on Redemption of $20,000.United States Treasury Bills dueSl7/70 $_._?~-\.9.~.?.•..~!r.. $2.3.3 D.O.. (g)Additional credits,not sh own by Account (Itemize)Internal Revenue Service -1969 Income Tax $46.66 Pittsburgh National Bank-Compen- sation 13.98 " .-, Insert word "not" where necessary. If t a x a b I e,st~te whether tax has been paid.I If too many for thespace,annex a list thereof;If no such claims,Insert theword"none." If any creditor Or other claimant has not received actualnotice,that fact must be stated. Indicate such claims as may be secured orentitledtoaprefer- ence,and give de- t a i led Informationconcerningsuchse- curity or preference. Here inser·t a refer- ence to all questions requiring adiudica'I tion,and a statementofanymaterialfacts not already gtven.If none tnsert the word "none." If any share has been assigned or attached that fact should also be stated.here. State kind,form and character of property composing the bal- ance for distribution.and if any part thereof is not cash, whether or not there has been any electiontotakesuchpartIn kind. $_§g.!.~~. $._.?}-'.~§g.~}~.not (h)Claim for exemption has/been made,and has..Jl9.L..been paid. (i)The estate is ....::.::-:...subject to the payment of inheritance tax to the State of Pennsylvania. (j)The estate is._J19.L.subject to the payment of the county 4 mills tax. (k)The estate is .,!!Q.t.:.....subject to the payment of Federal inherit- ance tax. (I)All creditors (and other persons who have complied with Rule II,Sec.9),of whose claims the ac countant -..had..notice or knowledge, have ..':'.:".:::-:..received actual notice of this audit;the amounts of their claims and whether or not they are admitted to be correct are as fol- lows:None (m) (n)The balance for distribution consists of property in kind,form and character,as follows: Balance for Distribution consists solely of cash Are there any ad- vancements by dece- dent to be consideredo:n distribution and has any distribution on account been madebyaccountanttoany distributee? (p)None • I· If prior accounts have been filed,list number and term. (q)Give brief location of any real estate sold. None (r) None Wherefore your petitioner asks that distribution of principal and income be awarded to the personS'thereunto entitled and suggests that the balance of principal and income should be awarded respectively as follows (shares being stated in proportions but not in amounts):- To:Arthur LeRoy Piatt -1/2 Net Balance Norman L.Piatt -1/2 Net Balance County of Washington,ss.)And your petitioner will,etc., The above named petitioner being duly sworn doth depose and say that the Pittsburgh National Bank :~~.:ett~O:~~sttho~~O~~:~i~:n:;~~~~(B'f-~___-_ and belief.I'),<Signature of Petitioner)Assistant Vice President Sworn to and subscribed before me this day of --------MaY---.-,19 ...7.0.._. '7Z"'''''4I.E/J----.OOOLIlUINI "- r.OTARY PUBLIC .-..-...._...._.._.-...__N_9.tAI::Y...!'JJ.b.1.ic.._.•m.Q>'~""'X""...I!!'<'l'll'GTON COUNTY p1f,••i........~jll'....I'\Jd,,.H.:>n 1 , MY COMMISSION EXPIRES F~BRUARY 1;1973 ~ • FORM IN CASES OF INTESTACY ~11"69-887No.....................•................_._~~XW5UQq{~:xIE IN THE ORPHANS'COURT WASHINGTON COUNTY,PA. Estate of W'.:j,.!.!.i.aID.T.A .B.us.c.hQr _ . Deceased. Sur account of ~~~~!:lburgh National Bank...................--__-----__-_._----_-. ...- --."AdministI::-Gl.t.o.r:- _ . PETITION SUR AUDIT In Conformity with Court Rule III. Sec.5 (B) COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1.The letters of administration. 2.A copy of the inventory and appraisement. 3.Proof of advertisement of the grant of letters, if not filed with account. 4.An appearance for those represe'l1ted. 5.InheritanCE.'tax receipts,if any. 6.Certificate of liens in case any of the funds for distribution are derived from the sale of real estate. 7.Copy of Federal Estate tax return,if estate is subject thereto. 8.Signed elections to take in kind,if any. .................G..~.A!?h!;.9.g_.JH::.Q~!!-J.~.~___ _ . Attorney for Accountant. MONONQAHELA PUBLISH,NQ co. 'Vd '·08 NOl.~N\HS'th\ SYiIIA j ()tELL S\~3'tl ONiH':~1 Tr3SSnB \.."'I'-l~tl nL9\I \.-I.u~n'Ht u t '('1-1",\.~':-.4 .-~~t .;.j I i ._Ji .., •~~~, ~'""'....~-, •I • PITTSBU~GH IIATIc/:Al CAliX WASHINGTON OfFICE -83 ~l PITTSBURGH NRTIONRL 'BRNK PITTSBURGH,PENNSYLVANIA 15230 I-torch 24,1970 Ur.Arthur LeRoy Piatt 5620 Sandaluood Drive Orlando,Florida 32869 Dear Mr.Piott: We enclose herewith copy of our First and Final Account as Administrator of the Estate of William T. Buschor,deceased,'lhlch Account we have this day filed in the Office of tbe Register of Wills of Washington County,Pennsylvan1a,to No.63-69-881. This Account \'1ill be presented to the Court for confirmation on lIay 4,1970.and 't1ill again come before the Court for audit durina the \Jeck be- ginning May 18,1970. Sincerely yours, Choat E.Enlow Assistant Vice Prco1dent CEE/bsk Enclosure PITTSBURGH NAnoHAl BANK WASHINGTON OffiCE·83I.IVASIUNGTON.;PA.e ~ PITTSBURGH NRTIONRL BRNK PITTSBURGH,PENNSYLVANIA 15230 March 24,1970 l1r.Norman L.Piatt R. R.One Box 454"'Bl Lake Uales,Florida 33853 Dear l-Ir.Piatt: We enclose herewith copy of our First and Final Account as Administrator of the Estate of William T. Buschor~deceased,which Account we have this day filed in the Office of the Register of t'1111s of Washington County,Pennsylvania,to No.63...69 ...887. This Account will be presented to the Court for confirmation on ~1ay 4,1970,and utI!again come before the Court for audit during the week be- ginning May 18,1970. Sincerely yours, Cbas.E.Enlow Assistant Vice President CEB/bsk Enclosure j ~n t4r arnmt nf arnmmnn Jlrnll nf IIn1l4ingtnn Q!nunty. Jrnnllylunnin.®rpl1nnll'arnurt Bitti£iinn ESTATE OF No.__6::..3L--=6~9_-~88::....7L'_ William T.Buschor, deceased. In the matter of the Firs t and Final Account of Pittsburgh National Bank Administrator $23,687.94 233.00 $23,920.94 60.64Additionalcreditaskedataudit Balance per account _ Additional debit asked at audit SCHEDULE OF DISTRIBUTION ADJUDICATION AND DECREE And now May ~7 ,19 70 ,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereo13tha b..pI~llce for distribution in the hands of the Accountant is determined to be $ ,60.U 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....-- Balanc....e _ Deduct Clerk's Costs &Receipts"-I Attorney G.Ashton Brownlee $23,860.}O~f!~o-h.'"~9.Ifia-1.4~ 39.00"".71.o..A.Vo".~C!f.l $23,821,30 '6.e!, Russell Marino,Agent,transfer inheritance Arthur LeRoy Piatt,nephew,1/2 balance, Norman L.Piatt,nephew,1/2 balance, I " 0 f....:J Z I .0+P:::rcCD Cb a 3 S-o ~....CD., 0.... 0+:::rCD ~~v-+.§,....~~.-+....e.::: ~~ Ui1~ '.~ <t to:) Q..~ ·'"V~';"...""..;;~ ,,..~-J '~'~11 [[" J No.9~::99.::&&7..of 19 .. Deceased ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA ~ )......William.T.•.Buschor In re Estate of RECEIPT KNOW ALL MEN BY THESE PRESENTS That I,Arthur.LeRoy..Pia.tt , do hereby acknowledge to have received from PITTSBURGH NATIONAL BANK Administra.to.r.... .......of the Estate of William T •.Buschor............................,Deceased, the sum of Eleven.ThOllSand..Six.Hundred:.:Nine.and ·.341:10.0..,...,..($.11.,.6.09.•.34)......"dollars,in full payment of the amount awarded me under the decree of the Orphans'Court of Wash- ington County entered.May.27.....,19.70.....,at the above number and year;and I do hereby authorize and empower the Register of Wills in and for said county to enter and file this receipt. In ",:,itness whereof,I have hereunto set my hand and seal at ..Orange...Co:unty~.Qr.J..ando,Fla. ....,this 4 day of ·J.\ln~A.D.197.0 . WITNESS:'!J /.'/IDA!j?L(i2J2I~(SEAL) ..........................~1t4/LfULA '..~'......N~~10Pub~ic,.StaEte of Florida at [argE!..Notary Public 80 mmlssron xpires Dec.It 1972 oded Bv Amsricitn FirQ "Cau1ahy Co. 17-934 REV.3-63 .~\ "..: .t....l.'~!;..':4'!.:'. I~~ I0\ IH W I~I 0\ \0 ~,I '00 m 100 ~1-....1 I-Im 0 I '"II 0 I1110III~~VIIn .,,0 i 'Vd "00 N01~NIHS'f'~ SlllM 30 B3J.SI~gU oH\)j'V f~"n 3SSn)j ~nm;; Hnr 01&S\01 U~6 aC13'~\ i No..6.~.":".6.~.":".8.~.7..of 19 . Deceased ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA ~ \I In re Estate of I I~- RECEIPT KNOW ALL MEN BY THESE PRESENTS That I,N():pn~n~.•..:P~qt:t...., do hereby acknowledge to have received from PITTSBURGH NATIONAL BANK .Administrator... ....""....of the Estate of ...William.T.•.Buschor , , ,,.,Deceased, the sum ofElevenThousandSix..HundredNine ..and..34/100...,.~.($1l.,609.•34.).......dollars,in full payment of the amount awarded me under the decree of the Orphans'Court of Wash- ington County entered May,27 ,1970 ,at the above number and year;and I do hereby authorize and empower the Register of Wills in and for said county to enter and file 17.934 REV.3-63 this receipt. In witness whereof,I have hereunto set my hand and seal at ..£~....;?f'~.... '7~,this~""day Ofr A.D.19Zt1 . ~/2;1~.................;r;~(SEAL) 55 0 .1...~.....:.....·4tlfl~.....;.... JjOTARY PUBLIC OF FLOI~iDi~Af t:ARGE MY .Commission Expires 11·6·73 :James E.Pedersen ...~.'.'.,'1/.i('I \ ~~Ht""'~t""'H 16- 'Vd "OC;N01~}NIHSVA'l~~ 811ltA .:10 B3J.SI~3U ,00 ON\t1\:tYt ""13 ('~i3H td i"" I,.J J c::::m I n tr.l ~I m CJ I::r:I "lJ 0 -I I Mn1 l'::I m I 91 01 L~~6 OL 0'11 I 40 3 --I 1.=1 0 IIII0 r III ~)- VIIII OJ r ,/ -/,-----11----------------------------------1--- IN THE COURT OF COMMON PLEAS OF WAS ffiNGTON COUNTY,PENNA ORPHANS'COURT DIVISION ) ) )No.887 of 1969 ) ) ) ) G.ASHTON BROWNLEE,ESQ.,of Washington, Penna.)representing the Accountant. Thursday,May 21,1970,at 10:00 o'clock A.M., EDST. THE HONORABLE P.VINCENT MARINO,Judge of the said Court. HE~RING ON AUDIT WILLIA M T.BUSCHOR, ESTATE OF IN RE: cz Deceased. ~g zZ11/Q. i~BEFORE: zxUI~ t APPEARANCES: ~UI Q..co Q TIME:;)., ~III uiII:~THE COUR T:Number 887 of 1969,the estat e of William T. II:oQ.~Buschor,deceased.The Administrator is Pittsburgh National Banl1 l-ll:;)8 and the attorney is G.Ashton Brownlee.Mr.Brownlee?..coii:MR.BROWNLEE:If the Court please,I have entered my appearancE...o '\ for the Accountant.We have the Audit Petition and all the other relevant papers.The estate has been reduced to cash and I know of no claims against the estate. THE COURT:Is there anyone else in Court interested in this decedent's estate? (NO RESPONSE) r I ,/2 THE COURT:The audit of this account is ordered closed by th Court. • (A UDIT CLOSED) •f ..:u EQ oJ~I hereby certify that the proceedings and evidence are contained oji fully and accurntely1n the notes taken by me on the hearing of the above ~nIII lli cause,and that this copy Is/correct transcript of the same. Il:Ilfl-ll:og.. ll: l-ll:"::> 8~The foregoing re,cord of the proceedings upcO the hearing of theuii:~above cause 18 hereby approved and c:Sirec;ted to 'be filed. J"• • .,. ,t --------------"----~.~~~.~_._~---- ·.... Form HCC-3a RESWENT DECEDENT COMMONWEALTH'Of PENNSYI.VANIA DEPARTMENT Of REVENUE BUREAU OF COUNTY COLLECTIONS COUNTry OF, \vASHllJGTON J Late of Administrator ~~_._----_._-~ nf.PI)HTAH'l':This return must be completed.in detail a.nd t'Hed in duplicate,with will attached,with the Register of Wills of'the County where decedent resided;Return is due w.ithin one year after .date of death,unless an ext.ension is granted hy the Secretary of Revenue.(Section 70:3 of the Inheritance.and Est,ate Tax Act of 1961..)--~--------------------, IN THE l'IMTTER OF THE ESTATE OF }AFf'iDAYIT OF v-lILLIAH '1'.BUSCHOR.................."'c'St~t~f~ii"~m~'~f de-;~~nt)~.ID'.mx . ...........!.'1~H It\U~O.~_.........COWlty ADMINISTRATOR PENNSYLVANIA:::.:'::_.-..WI$HIm;;O;~_~-_~~~_·~~J '" ~"gl1~.~.e.~~.?v.'.?..~~~.~~~.~.~y..~.?...~~~.~.~~~:1.~.?~~.~.~.~.?.~~.gh N~.~.~.?~.~~.~. of the estate of the above-named decedent being duly sworn,depose and 53y Decedent'died lhln~.. (Month) Name and address of attorney or} other authori2e(1 representative to .. wh~m all correspondence should be malled,. ....Pi.tt-~btJ,rghN<,lt.i()rlt:t~~~u _..........u u .. Six So~th Main$1;.r..e~t,WC3..Sh:iDg1;.911,PCl J,5JQ1...u . rr"t·h Administrator d t'f 'I''th th·ff'f 'd t t d th rtJ.na as sue eponen IS amI lar WI e a all'S 0 sal es a e an "e prope y con-(I~.Adminislr"tor)• 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:~. NAMF.AND ADDRESS OF BANK OR OTHER IJIiSTITUTION !N ~!1!C~t DECEDE~'!"R:!:~TED A SAFE DEPOSIT'BOX THIS SAFE DEPOSIT BOX RENTED _.~!~~.~~~.A~u~~_nR NAMR~OF 'f .RELATIONSHIP OF JOINT HOT.nERS TO DECEDENTI ----.----.---------..--.----..--.---.-.---.----------.--t-------'-----.:.---., That the contents of s.'iid safe deposit box 01'boxes are itemized under Schedules of this ret.urn,with 'the exception of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth full v and in"detail all the real property in the Commonweal th of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage enctmlbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of :record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover si tuated owned by the decedent at the time of deathj all moneys left by the decedent ~t the time of death,whether In decedene s tnullediate possession,standing ~o 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 sepal'ately the accrued interest thereon,if any,down to the last 'interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other caseSj all bonds,postal savings,treasury certifi~ates or notes and other,evidence of in- debtedness of the Unlted States to t.he decedent;all obligatl()n~',whether by statute or agreement they are designated as tax free,of the United States,or any state,or political subdivision thereof,or of any forei 6'11 country,which are owncrl at the tIme'of death;nIl wearing apparel,jewelry,silverware,pic- tures,books,works of art,hou5fJhold furTli ture,horses,carria.ge,S,automobiles,boats,and any and all o titer personal chattels of what.soever kind or nature,left bydec'edent,together with the fairly estimated market value thereof;all bonds a.nd 1Il01'tg3e:es held by decedent and o.f l'.ll clatms du~Ilnd owing decedent at the time of death,and all promissory notes 01'other instruments in writlng for the payment of money of wllich decedent died possesseo1 of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the faCf~value,it sets fOl'th brIefly the rea:,ons for such depreciation ·as to '~Ilch item;all moneys payable to the estate from life insurance policles cllrried by decedent;all mliluity lind endowment contracts the pr()c;?cc!s of which W8re j.wyllble uT,,::n tlte death or the flecedcntj lin(I all the corporate stocks und d..lvid,-mris due thereon lind lHlTH1.ld as of the <.lllte of death,bonds anti Ilecrued interest thereon to the dr1te of'r!f!(:fl- .kllL's d'.'IIt.h ilnd othu!'invesl.llwll(,securiLlcs owned hy t.he ~~eced.ent at the tilllt}of denth,wit.h the market value therf.)of Ill.such time. HTP In the case of securities of close or family corporations,the values reported are as far as T'ossible substantiated by financial statements of the corporations,showing the assets and liahilities thereof as of the'date of death.The schedule also sets forth the interest of rlecedent at the time'of death in .an~r 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 t.he business as may be pe.t:t1nent to a fair and just appraisal of the decedent's interest therein must be submitted.·It should also set forth in itemized form,together wi.th the fair market value thereof,any other property owned or bequeathed by the decedent at .the:"t1lrie of death. •I •'~4J':~? 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 pel'sortiil,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 transf~rred,the relationship of the transferees to the decederi t,the proportionateS'Share received by each transfe~ee and..r~,..,.all other facts of a pertinent nature regarding said transfers.·..-;·tri"the case of.transfers,intended to take effect in possession or enjoyment at or after death,there is also attached to the scherlule a COllY of the deed,trust agreement or other instrument creating the trust.Ther,~is also set forth in said scherlule a list of all property,real and personal,with its value,Which passes at ~ecedent's death by virtue of the exercise by d~cedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either indiVidually or jointly,by the Will,deed,or other instrument of another, 1dth a copy of the instrument creating such power attached to the schedule. That Schedule 0 attached hereto ffild 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 Sc~edule 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 uecedent and.others,plUG the date !l.nG.plll.ce of record of instruments effecting the vestiture of real estate and the date of acquisition ot'personalty,plus the n~me,address a.nd relationship,if any, of co-owners to the decedent. That Sc~e.dule ~attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of adJninistration 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 lmpaid at time of death;taxes accru~d charge.able for period prior to decedent's death.(except.those allowed under Section. 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will pr·esent proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of WillS,·and that the amount of tax assessed can be reassessed in accordance thereWith.· That the totals of the appropriate columns in Schedules "A","B","en,"E",and "F"as directed therein,. have been carried forward and properly registered in the Summary. Pittsburgh.National ~.Assistant ~v.:r i.g.~P..r.~..:;'!.igent (~Administrator) Six South Eain Street..............................................................__..-..__. (Street Number) \~<;lg!.l.~.!!.g.~.?n.,p..?:~~.5.?.Q±. (City or Town and State) !'lOTE:Be fore signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in wi th details or the word "None",and in cO.se 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 requirerl (mder the paragraph above relating to Schedule "B"are attached•.Also make certain that column #1 in the "Sunnnll.ry"has been properly completed as above-directed. Subscribed and sworn to before me this .2 7 ..,.~c:-I-:=::"":::~2iJ:~f''- "'."-~ ";';:<:-34 \1-64) C:-~;("MONwEALTH OF PENNSYLVANIA P=PARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS '-'ii:ANSFER INHERITANce'TAX J,;::SIDENT DECRPENT SCHEDULE CIA" REAL PROPERTY Real property in Pennsylvania,with statement of r.1ortgage encumbrances upon each parcel ot death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "t::".Property hr'ld hy thedececient as tenant in common with (mother or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest onl)'. rna real property located In the Commo!"wealth of Pennsylvania should be described by lot and block number,street and street number,together with a seneral description of the property,with a reference to the record of the conveyance by whi ch tho decedent took title;If a farm state number of a· CNHi also statement of mortgage encumbrances upon etich parcel at death of -ciecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are to be listed on Schedule "F"and must not be deducted from this schedule. None Ii'sert this total opposite "reai property",Schedule "A"in the --.'-~;eported"column on the lost page of this return. (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH xxxxx (2) ESTIMATED MARKET VALUE (3) DF.PARTMENT VALUATION CAUTION (Do not write In this spoce) ---~------------~~~- .2€':;-35 Cfjlvl!lWNWEAL1'H OF PENNSYLVANIA '-TRAJ~SFER INnEIUTAJI;'CE TAK RESIDENT DECEDENT SCHEDULE "nil PERSONAL PROPERTY .1 '\STRUCTIO~S: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 l::Just be iisted under Schedule "E".Inta~gible personal property,titled in the name of the decedent,but pasableat death to another or others,lncluding 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 es tate 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. ITEM List and describe fully Pittsbnrgh National Bank"Successor Guardian of th~ Estate of \ii11iam T.fuschor"an IncompetentJ now ; deceased,Account No.80023-4 Cash awarded per decree dated 9/15/69 at No~860 of 1969 in the Court of Con~on Pleas of Washing- ton County,Pa.,Orphans Court Division .'.".' .'., UNIT VALUE ESTIMATED MARKEl'VALUE DEPARTMENT VALUA'l'ION (Do not write in this space) .".:.......,..': ....,:'. ,I .,';".,..;:~ lnse::-t tltis toLcl.l opposite "Personal Property",Sel,cr1l1!'"";\"ill the "As HeporteLl"column on tile ];,,,~t p;t'::'·0 I'this 'ret.\I1·1~. x X $31,013 ..00 (1)Dirl rlecedent,1I'1t.hin two years ofdellth,In.'lke any transfer of any mat.erial part of his estate,without receiving a valuable and aderluate consir!f.lrfl.tion therefor?(Answer yes or no)--.N_o__ (2)Did rlecedent,within two years of rteath,transfer property from himself to himself and another or others (inclurling a spouse)in joint ownership?(Answer yes or no)--=~c:;lo::::.-__ (3)If the answer to (1)or (::!)above is in the a.ffirmative state: (0.)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 es tate or be subj ect 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 Inake any transfer ~ithout receiving a val-u-a-b-I-e--an-d--arlequate 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 enioyment of or the right to income from the property transferred? (Answer yes or no)_11_0 _ (b)The right to rlesignate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)No (0)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or 0 thers _ (7)Did rlecedent in his lifetime make a transfer,the consideration for which was transfere'~'s promise to pay income to or for the benefit of care of transferor?(Answer yes or no)No (8)Dici decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserven power to alter,amend,or revoke,or which could revert to rlecedent under terms of transfer or by operation of law?(Answer yes or no)__~N~O~_ (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of·the beneficiary reserved in the decedent alone or the decedent anci others? (Answer yes or no)__ NOTE 1:The answers to these questions should be supporteci 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 descrip tion of the property transferred,it's fair market value at rlate of death,dates of transfers and ~o whom transferred,with relationship of transferees to dececient,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,D,'01'E. Rec-_3ft rO\!\tO:\'n;:.\LTIl OF P[':\,NSYLVANI;\ ·rlt.\:\~FI;~n INIlEl\ITANCf;TAX·SCHEDULE "C n TIUN SF1~TtS lI Ii t ITEM DESCRIPTION MARKET VALUE (Es timated) DEPT.VALUATION (Dept.Only) II I.nsp.rt thi"totrll opposite "TrlJnsfp.rs",Schedule "CO in the "As lteporterjll efJ1l1llll1 on the last page of this return. Rec -..-;.,8 . COMMONWE,\LTH OF PENN?YLVANIA TnANSF1~n INHF.1UTANCE TAX RESIDENT DECEDENT SCHEDULE "E" .JOINTLY OWNED PROPERTY ISSTRrCTIOSS:This schectule must disclose all property,real ancl personal,owned by the rlecedent jointly with another or others,including intangibles,standing in the name of the decedent and others.List .real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule "An,plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in esta.te 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. ':.,/v (9' Unit Value percentage Share Estate Valuation DEPART1ffiNT VALUATION CAUTION-Do not IVri te In This Space. Value of Value of Entire Decedent's Property Interest None -...1..-_---''-----1._.,.-__-/-+-.,-_ Insert this total opposite "Jointly Owned Property",Sclledule "E" in the "As Reported"colwnn on the last page of this return. INTEREST OF BENEFICIARY IN ESTATE DATE OF BIRTH SCHEDULE "0" BE:--JEFICV\RIES f-{CC;)r~i12-63) C~):ilM9i\j\\'EALTJI OF PENNSYYLANIA 'fRANSFEH INHERITANCE TAX ru:SIL>ENT DECEDENT ".. Arth~r 1BRoy Piatt .5620 Sandalwood Drive -:::=====================::::;=~:===-====::;.;::======-:::::;:::=---=======::;:::==============..-~ENEFICIARIES AND ADDRESSES .(lr~~~~~~I~~~~;Por 1-SUR~IVEDI State full names and addresses of all who illegitimate children,DECF,~ENT Ii~Y>?an interest,vested,contingent or other are involved,set STATE YES~ wise,in estate)forth this fact.)OR NO ._----~~~~::..:::.::~:L------_j------~____ir_---.---......;..-----j-------------- Nephew Yes grlando,Florida 32B09 Norman 10 Piatt Nenhe\1 Yes Rteo..J,_~Bo~X~B::::::l:...l7 t_I--------+------+------+----------.- Lake Wales,rJLorida 33B53 -.---------------t--------t-----t------+------------- !, -.----------------+--------+------t-------j-------------- I------------------I----_---+------t-------+----_-----_- I" -.-----------------+--------t-------I-------+-------------; ,--------------------I--------+------t-------+------------ ---,----------------;-.-------t-------t----'----t-----.--------- '------------------1--------+-----,---+-----"---+------------ --..-- NAME DATE OF DEATH RESIDENCE-- \ -- ..!)~r(ment further says that all the above-named beneficiaries are living at this time except below: I . REPORT AND APPRAISAL ~IATTER OF THE APPRAISEMENT Commonwealth of Pennsylvania •, , '... \IIIi,I.1II!II >-:.r. Ci I!r:'-I I;;lvl::;~-'I~I:::.I:::Ir.I Co.L ,, I(;)Ic.~...I~l'j ;0 I~I I' I! I!-;:1 Vl I !~,::IIQ-j 2'I'-j'" I ....:.:,.. ~~ :w .:J...J ....:0:\-' \J..':<>:0:0 .................. Vl Vl~0?"' ~>; 'U :::::J~.(i).....ll>(~ Cl:::l '-c:~......0 >-tl 'V('C........0 ..~"0ct>.....~'< .:~::::--:: .:().:".::~;. :0 ::a (Exccu\oi.'·A~i:n\t'liHt"ilinr Il1I1:;t (.;i)ll1ple\.,"/'.:' H('IHli'h,'!I"t'lltlliH'ilL) :0 : :0,: of:n 'EIi)of:n '*-00 -fP. :w:\-':...:0:\-':W:.:0.:0 ~"""-Y.>,"'".~! :0 :~: 0 :e,:::-:::0 ,.;'1 :......:::l0Vl::.:1 Vlv.:c+~....,,:t-'~~~I":00'".<.-:;3(0 trJ :(j)II :0..Vl~ :'"ll> ~ :'1(b :0~:~ ~ :........ :(J)......... :0 CFl:::r g.. :~'.:=q'.:"""--'............ 'I\I, I!I! I .., .. ~. D1 THE OF THE 'rd ""f)j.ffiliJJ.~t1q##S.,!~ S11Ut!JO B?JJ..S#:fJ3~OiNg~P'I~It?iSSi)~ Bl II II,}il 1)0 Ga. ,"fJa '7 L~ No ,Your ESTATE OF .....W~~~t.l1gtQn ,.... ....,.......,,WILLIJl'}'1..T,•.,BU$C BOR .... Deceased Late of ..,.....Mayv.elle.ManQr..Nu.r.,$ir.g ..B.ome .... City of \rJashingt:,on County of Will 1 Administration ~