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Home My WebLink AboutOC1969-0888 - ESTATE OF LANG,..,,1\ Form RC ('·10.. OFFICE OF THE REGISTER OF WILLS OF Washington COUNTY AND AGENT OF THE COMMONWEALTH &2>-&c;.~~'(I STATEMENT OF DEBTS AND DEDUCTIONS Reglder of W~.r'JttJJ.J LAT5 OF TAT",..lo.';ESTATE OF CSARLES 11.T..t\b1G ~U ...~"--"'"WaRhinaton Coun~ DATE OF FILING APPRAISEMENT .-------DAT5 OF DEATH __...;1_-_z..._}~_-__"_ff_----_/1 AMO~NT....A ,J ...."v", 12 00 10 00 e;.C;~, 1nn nn 14 nn lll.nn 12 1l1. Q')')nn 5 73 loooo... r"AQ n-=7l 123 ~ (h~I~ ~ 23 6R 500 00 47 on 1n nn 14 00 """I",...- 450 00 35 00 - Q nn 100 00 'c;nrr REMARKS Bond 1970 Citv Tax Leaal A- Balance of lq6R Tax 1969 School - 1970 School Tax Letter;ncr .. Letter Leaal Advertisina Add'l Bond Premium 1970 County Tax Attornev Fee Fire Insurance Funeral Bill Hosoital Bill Kurtz Monument Comoanv City Treasurer Georqe J.Modrak Washinqton County ReDorts Georae J.Modrak Prenarincr &T;1 ;nrr 'D,:d--F,..yo City Treasurer York Reality Co.Aonraisal Observer Columbia Gas Comoanv Hummel Funeral Home City Treasurer S.W.Miller Aqency Sunny Hills Real Estate Co.Comm. Russell Marino Filincr 'PAT Tn.,..~;::t1 Co ,..-F 'D ,.. Russell Marino The Washinqton Hospital F.J.Buckley Agency County Treasurer Georqe J.Modrak Internal Revenue Service ,10'.T Un,.."1 Co,'- DAT! sale of R.B.·Preoal!incr nCoP/ See attached addenda COMMONWEALTH OF PENNSYLVANIA ... COUNTY OF Washjngton I,Charles H.L9Dg~Jr....ij£ltEBY CERTI~,THAT.TO THE BEOT OF.J 1nc~ua1na the at€a€ched aaaendalilYKNOWL!DGE AND BELIEF,TH!FOREGOIN'I IS A JUST AND 1RUE STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF Charles H.Lang DECEA8ED,AS DEDUCTIONlO FOR '"","'TA"C'T~X PUR"""EO.J-_~~2i ~'L.S.' SWORN~ND BED BEFORE ME:.THIS "7~y01"1/'lP:tA--.A:1-JLA7~7~.-;:)jrr~~~1~W~......J')/;;;o;;-;r://A7.f"'"":fAt-;;-1/r- ~~--~------ ,;.. YOUl,,;H~~ .,' J Modrak Ba1 of Att'v Corom "10,'"150 00 ~4 4$1'..... 11 lq 771 1h' 271 16\ !./tt--t"'":!1 C~ ~~S'-v ., Transfer Stamos Admr.Comm. _.4- John Mazza - (Yh;:l't"1 OC!H.Lana Jr_ I TAT".c,h;- C 'f ,' •J ...... ,..I) ,.. , v ••••J ,J) (J I J '. ~.r'....1 •~.•" --l :i-~ , I ~~.'.'. ,.~- "I ·........l • J (•.:._,'r ~.'....l.l J..Jk l '.I ~.J..)1 r,:U ..l.L ,lr...'\-.' .1 <'_ \....' I\..,.J.j)I "'. \. I.()'j ~J "" flf,rtq~·6 t..,rI~'1.F;:tjr.; '011£..1 ..11 ,. '..•• RCC-BI (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT CHARLES H.LANG JR. (~Administrator) IN YOUR REPLY PLEAOE REFER TO 37-243-7 j In Re:Est a te of__----:C::;:.HARLES===-H~.-=LAN=:.::G~a:::./~k~/~a~_ ____~WAS~·~H~IN~GT.:.:O~Nc!...-County -File No.63-69-$88 De ar Mr.Lang, You are hereby notified that the Q~r~i.g~+na~·~I--------------- appraisement in the estate of CHARLES H.LANG has been filed in the office of the Register of Wills qf WASHINGTON County on August 10 ,19~.Said appraisement reflects the following valuations: Re alEstate --L7~,.J.50.::<;0"'.L-'·0::.,>0"--_ Personal PropertY_7~,~9~J~J~.~JJ~·_ Transfer s ---=-.,.,.-.,-:-=--=-=-_ Total --=1:£5.z.:,4:I:l::lo3~.~3:L3 _ As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date __-=A.:.:ug=-=u:;::s...::.t...;l=O;::..,~l::.!97~·.=l~_ Title FRANCES LEO,CHIEF APPRAISER DATE OF DEATH:July 23,1969 Note:This is not a bill. RCc;~Z9 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of-'U'--N_G C_HARLES_"--·__----'H..:...;._----'a;;;.t../..::.;k:<-/=a DATE 0 F DEATH 7-23-69 (Last Name)(First Name)(Initial) FILE NO.63-69-888 REPORT OF INHERITANCE TAX APPRAISER p-ub. INHERITANCE TAX APPRAISER August 10,1971 I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E". ~~L 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 _---.!!:::'15 413 3:3 NONE VALUE AS REAPPRAISED $-------+-- Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $---------i--2% Taxon $~ Tax on $5% Dxoo$lK Tuoo$l~ Exemptions * Total Estate --4-__ TOTAL TAX COMPUTATION OF TAX $--------+--- $--------1-- $--------4-- $-------4-- $--------4-- $...J-__ (*).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 $~ Add interest at rate of 6%from L AMOUNT OF Et~TATE TAX ASSESSED $-------1L-$------ Estate tax paid $L-I BALANCE DUE $....JL-- Add interest at rate of 6%from to $-~t=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. Will Administration t No. IN THE Year MATTER OF THE APPRAISEMENT OF THE ESTATE OF CHARLES H.LANG a./k/a Deceased Late of .WASlI:mG'I'O:N. ., County of ..WASHINGTON. Commonwealth of Pennsylvania REPORT AND APPRAISAL /) ~ .Fonn RCC-2 I .,.............Augue.t....1O,.....lm.....................~COMMONWEALTH OF PENNSYLVANIA DATE DEPArRTMENT OF REVENUE RESIDENT INHERITANCE TAX WASHINGTONBUREAUOFCOUNTYCOLLECTIONSCOUNTY................................................................................................ HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO......Q3..~6..~.a.ea.................................................... Whereas,....................................................C.HAR..l.~;...Ull...J4.~NG....~/¥:/9.-.......................late of ..............~.~g~.9.~............................................................ in the County of ......................................................WASHINGT.ON................................................Commonwealth of Pennsylvania,having died on the ................................23,d...................................................day of .......................~.........................................19.§9..,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,..........................F.RANC.ES....~.....................................................................,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 transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest. Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpoles $ REALTY: SEE COPY OF SCHEDULE "A"ATTACHED TO APPRAISEMENT 7,500 00 PERSONAL:.. SEE COpy OF SCHEDULE "B";ATTACHED TO APPR1t[SEMENT 71913 33 tot.al lS.li3 3'3 , 1 , fonn~;v;;:fhb~:::~:.w~a~~~:~a~::~:~certi~Y=~=~iS7:~~ Appraiser ................................................................................................................................................................ (Number and Stre.et).......................................Lu..~......................,Penna. (Post eel .·.··..WASHING'ION................County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .......................CHARLES H•...LANB . Deceased. Late of .............WASHINGTON . Date of Death,~.7~?:?.:{>.9.. Apprat"semel!t Docket Vol.,3.7 . Page,?.4:?..-::-.7 No.§.~.??=?~.~. Filed in Register's Office,.....A~~.t.....l..Q:...19...7.+.. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abo.ut Appraisement, Appeal f"om Appraisement,.. Entered and charged,. J' , .'It> FORM 67 REV.1-50 REG.tWILLS Application for 11lrttrrs nf Abministration nn thr Estal~t·~hllft5/;....~!!.Y.'..1-~.~~=~_a..1.1f.':.!~-d.!I.£..'2.,-.'1····~··~J.'}··t········..····..·········......~~I1':t:..:.~t.:'. late of r:.r..!:.f.!....1.1~..fj."",Deceased. Before the Register of Wills of Washington County perscmally appeared ~6.~..d{~j!..,..i.f..'I1fi.'P..f.-.cCJe.;'j,=:'.'l . who,b~g duly swor91deposes and says that..klJ..C?.q,e.//J..L... age.1 ,having ?ZI...§last family or principal residence at..<!..l:l2.f..III..I..Y.l..'f(..s..t...I.fo (Street and Number).f.tf:[?!.(..J....~fr..?:1 ,Washington County,Pennsylvania,died intestatealyf..q.?AL>j'f.;;;;,.:~'lfVj1;L._J)on th~L??f.y oL JfI..!.y....:.. A.D.,19 {1,:e,2..J..,t..:...l...M.,possessed of personal eslate 10 the eslImared value::~~~~:0f~a:::~£~~1t.:~~;..if.:JJ.;[~L~;l;;;:~~..t~:..:.:~:~'~..~~.~.~..~~ ...................................................................................................................................................................................................................u .. The names and addresses of the decedent's surviving spouse (if any)and other heirs including heirs by adoption)are as follows. •.R~I,ATIONSHIP q 7>,,bIJ S-Sf-DENCE .' tIg!r:kf.··..·lJ·e.f!~·..·y:;;···..·················:.:~~t~'1~r.;;.·rJt-/f/J~rl'·;{ir~.......(}1L.;'jf:xa..;;J;r..··..······..·················;~l!;;···..,~1-..~~.~.11tfl.1 ·..·"V..·K.·· · ··'(j.··..·JtJ61f!1it.·~..'!j::·~!:..~..,..·..· ·..· · ·..·.. #.4,LI.J1..£t..T:::l<t..&.:J.1.d..:....:k1.':r.A.~I.w.4.c~:$..~..~........ .........................................................................................................................................,.. ................................................................................................· ·..· ·1 · · ·..· ·..· · ·. That,-deponent is ~21 years of age,resides at./.t2 f!/!..gl..'@i...!..~?:!1.:.?!.f.... .l!'Y..fL.s...b/.·..:Y.1.1·~·fflj . is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. .Sworn and subscribed before me thiS ~..~. ~,, day of...iLr _~A.D.,1~·6.4 . ............................................................................~.. REGISTER l COMMONWEALTH OF PENNSYLVANIA}SS: WASHINGTON COUNTY,'f . And now ;[f.ly.~t::..,19.bJj..,comes ~4.f.iy.k..1 lt..b4nq rr... who being duly sworn doth depose andfay t9,x #;.,e will well and truly'administer the goods and chattels,rights and credits Of...(f.hAi.(e.J....(j ~.1 fJ;;/A...r!..I;1.!:lt.f ...!It..t:r...r.t...l.t1.J!.tq deceased, to the best of...skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. ~~r..~~':.:~:::~::':P:s:":=;;:;;~l~::::~~~~~ ............................................................................................................... REGISTER •.''".r.... i*,-~lJ3A.~'1-~f->o7?'F APPLICATION FOR Letters of Administration /i I 11 d../IESTATE OFuto,,~:rt ,~,q~q-" ~h1:t·!···_~;~~·"r~-···_··_· R.$. Letters......................................................atCi'C P $;1.(.... Extra Alias $Certificates '('$>~..;.. ............... Renunciations /$I.('1 ;".1"'.............................. ..................................................................$. ..........................................::;~T t '<{1}. o al ~?:;.;.................77,.tt"~'.0 rn -...~=-ry~::2 2:'"a:t:.,.........., ~en (I')s:---,~(,")~(;)m f"I1 r-.r--;-"""l r-'· "~~r-:;;:rtJ ,<').."3:'~"Jl~.~,h'""b'~"_,;u ~,,,-......r---..........vr--~·'~_~<:)-.l:::- 4!l.''-71-4-t~~/tI(C...£1tijI!,A,.1 ......•·•..·11······················.n········Att·~;~~y······ ~6~ (/~/$'l. / ~-.; ! -~-...j ESTATE OF ........................c.HARIJ.:;.S.H LAN.G alkLa.c H LANG ?t:K9.-..~Qh.~.~..~~.DECEASED The ~~~t..H·~·LANG·u d{~;a t!A~~·1#~~;,~f:~·..~"a·n·1 · ·..·and ,heirs of ~.LkJ.a C.H LANG ..late of Wa.s.hingto.u,Washing.tan Co ,Pa., CHARLES H.LANG deceased,hereby renounces th~.ir...right to administer on 'iLk4~c.tf H UNG ~estateCtI1If¥teS IIPtt''''''!J..tI{1it~, and respectfully asks that Letters of Administration be issued to CHABLES H LAN.G.,J.R . Signed in the presence of: ....~.~..~......4?~..~\.~....£~.e,..~_. ~ac~"r~e"t~~·····_·················..··-?l2 .&g~a····································_·············. FILE D» '69 JUL 7K PH 4.\32 RUSSELL MtlRINO "'''.REGISTER OF WILLS .~ ,;li YlkSHtttGTON bO:i PAi · ·'.;.'.:"';..,: :\\. ("10 ' •~;l.. ", ::0mzc:zn-» -I-oz '.. ..------l (finmmonmraltl1 of JrnnByluuniu.t 55. IIht54iugtnn QInlUtty.\ I,Russell Marino ,Register for the Probate of Wills and Granting administr a t or Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, to Charles H.Lang,Jr. of all and singular the goods and chattels1 tj,g1¥.s,andCfiarlesHenrylang,,,/K/1I..C.H.I.ang credits,which were of Charle s H.rang,~/K/A/late of Washington County,deceased, GREETING: WHEREAS,the said Charles H.Lang,AjK/A Charles Henry Lang late of Washington in the county aforesaid,lately died intestate (as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County, Rus sell Marino by reason whereof the power of granting administration thereof doth belong to me;I therefore,confiding in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here- by committing unto you full power to administer the goods and chattels,rights and credits,which were of said deceased within this Commonwealth,you having taken and subscribed the oath of office pre- scribed by law;requiring you to well and truly administer the goods and chattels,rights and credits, which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's office,at Washington,within ninety days,and to render a just and true account of your administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and caused the seal of said Office to be affixed this 28th. day of JUly nine hundred and Sixty Nine ,. in the year of our Lord one thousand i ../ 1JlrUrrB .of 1\~miuiBtrntiou IN ESTATE OF Char Ie 5 H.lang,....................................................................................................... ~t~:I.~9..~.::..~.~..?~~.~;:..!.~~~~L . .....l~:/.~/~.:..9...!~.~~s.. ~2 .-'\.:.I ,iii..,~-'i '7 I DEC ZI PH 3 54 RUSS':.l f j';~I NO lil:GIS I rJ~Or WILLS W/\SIIIN<,TON CO.,PA . 1 1 o / Estate Of g~!.}.~.~~.~;~~,}N f'19Whit00 . late of ~.~D:g 9.tl.,Deceased KNOW ALL MEN BY THESE PRESENTS, That weH~.!..~~.~....~.~~.~.~.L ..~!:.~.....~.~....~!.~.~.~.~P~.~....~.~9 ~~~.~~.9:~.~~.~~..~~!9.:~)J.ty.. ..................~~~~.?~..~.p.~.¥.~.!?..~~.~.~.~~~.!:.~.l ~.~..~~~.!:~.~1.. all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl- vania,for the use of those interested in the estate,in the sum of....Qn.~~l:l.(:>.~3.~.nd Dollars,to be paid to the said Commonwealth,to which payment,well and truly to be made,we d~bind ourselves, jointly and severally,for and in the whole,our heirs,'executors,administrators,successors and assigns,and each and every of them,firmly by these presents.Sealed with our seals and dated the ~.~.~.~~day of .........................~.R*.Y.A.D.,one thousand nine hundred and §:!~.t.y.W;tn~. THE CONDITION OF THIS OBLIGATION IS,That if the above bounden . ......................................................9.h~.r..!~.~~.~~~.~g.I!~r..!.. Administrator or.any of them,shall well and truly administer the estate according to law,this obligation shall be void as to those who shall so administer the estate;but ~::~::::::::~:::::::::::::::~:..~::~:...'.:..".~'!~~:~:y:::~d.~ .......Ct.(SEAL) '",tatrmrut nf ~urrty I,,surety in the sum of $on the administration bond in the esth'te of..,say that I reside at ..............................................................................,Washington County,Pennsylvania;that I am the owner of real estate, the title to which is in my own name and duly recorded,situated in , Washington County,Pennsylvania,worth above all encumbrances'$;and that I am worth the amount expressed in said'bond,'over and above my just debts and liabilities.. Co • o .......................................................................................................................... Street P.O..'8Jtatrmrut nt @lurety oI,,su'rety in the sum of $9n the administration bond in the estate of ,say that I reside at ..............................................................................,Washington County,Pennsyhrania;that I am the owner of real estate, the title to which is in my own name and duly recorded,situated in :, Washington County,Pennsylvania,worth above all encumbrances $;and that I am worth the amount expressed in said bond,over and above my just debts and liabilities. Street P.O. COMMONWEALTH OF PENNSYLVANIA,}SS. WASHINGTON COUNTY,. And now 19 comes . who being duly sworn,says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incum- brances and exemptions. Sworn and subscribed before me this . mm _ day of A.D.19 ...;. 117$3 No.63-69-888 1\~mini.6trntinn iSnn~ IN THE ESTATE OF CHARLES H.LANG a/k/a CHARLES IlENRl LAR.G a/k/a C.H.LANG :> And now July 28,.19_6_9_ ~~ Bond approved and Letters issued to Charles H.Lang,Jr. '.-r, ::c ~en'"Who :a£1diay au8.fU:i.c4..::r:~(n -~r-i~Mar~fTJ~__L _d,.-.)r-;;:;0 .,~n ...,3:t:;;te9ister 0<':>-0".:_:::0 ::r:r--.~r-;;z:.&::-•en 0 Bond Book ~63 Page 139 ~2 Atty:George J.Modrak 1t, j il\uuw All mru iy'wqrsr 'rrsruts Estate ofqf.1a..r..1..E3.~li.~1:Jl:l.n.:g }6 :3 ~6 f?..??; late of .YVl:l.~~~~~.()!1,Deceased No of 19 . KNOW ALL MEN BY THESE PRESENTS, That we,ql~~.I'.~E9.S.~.~~~.Ilg.LJ~.~....~..~~.r..~n?i.pt3.~.,.~~~YTl.1.~~?~~~.~.e..~..:~,~~.~.~.~! ...~.~~G..1l13:~~!1 ~.Y ~.().~I:3~~~.~.~.()r.E3:'.~~.~~.ll.!'~..t.!., ,. all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl- vania,for the use of those interested in the estate,in the sum of FiVE'3 rl)~9.~~.~.Ilci Dollars,to be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves, jointly and severally,for and in the whole,our ·heirs,exe(;utors,administrators,successors-:-and'assigns,and each and every of them,firmly by these presents.Sealed with our seals and dated the J~~.ll..day of ......~.P!.'.~.~A.D.,one thousand nine hundred and.~E3YE:l!lt.Y...Q:Il.E3 . THE CONDITION OF THIS OBLIGATION IS,That if the above bounden ..... Charle s H.Lang,Jr.........................................................................................................................',. Administrator.....or any of them,shall well and truly administer the estate according to law,this obligation shall be void as to those who shall so adm~nister the estate;but otherwise,it shall remain in force. t:;;jdiM=~:f'_ &tnttmrut of ~urdy I,---------------------------------------------------------------------------------------------.__.._.•surety in the sum of $on the administration bond in the estate of --------------------------------------------------,say that I reside at -..---------------------------------------------------------,Washington County,Pennsylvania;that I am the owner of real estate.the title to which is in my own name and duly recorded,situated in ..----------..----..---.------..----..----------------..---.----....--..--..----..--..-------------., Washington County,Pennsylvania.worth above all encumbrances $..;and that I am worth the amount expressed in said bond,over and above my just debts and liabilities. ._-~-------.---------_.._--_..-..._--------._---_.-_.---_.._.-....---._--_._----._--_._----_._------_... P.o.Street --_._-._-----.._--_.._--_._._-_._---._--.__...-----_...._._._.._.._-_._---._.__._--------------------- ~tnttmtut of @/urdy I.-----..------.---.--.--..-.--.--.-----..----..-.---.--------------..___.•surety in the sum of $....__.__on the administration bond in the estate of ..---....-------....---....-----...-.--.--..----------...._..._....._..__..__.•say that I reside at ----------..---..--..----.----..---...--....----------------....-..----........-.-------.Washington County,Pennsylvania;that I am the owner of real estate,the title to which is in my own name and duly recorded,situated in ______, Washington County;Pennsylvania.worth above all encumbrances $..- ___..___._..;and that I am worth the amount expressed in said bond.over and above my just debts and liabilities. ...................._-. ..-._---.._-----_._-----_.._---------_.._----------------------._----_._-----------------_._- Street P.o. COMMONWEALTH OF PENNSYLVANIA,}~ Sl:):WASHINGTON COUNTY, And now ____..__19.............comes ____________..____ who being duly sworn.says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this .............._ day of ................__A.D.19___ /~.{~::<.--------_.__._---..--._._-------_.__..._-------._------.._----.__._-------._---_._-----------------_..- ,i I II.,, f I ". i\ffi~autt (@f ifxrrutnr ®r l\~mtut!ltratnr / , ~tutt of 'tuunylttuuiu } C!touttty of lIun4iugtou nn:, P II b f th d · d th "t a Notary Public'd f .ersona y e ore me,e un erslgne au orl y,a......................III an or saId County and State,appeared .~.~S H LANG.,JR who,being duly sworn according to law,deposes and says that he is the executor or administrator of the es- tate of c..b.9~.1~~a.A :M9n9.deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of .~b.~J.~.!?..R.~...~9.:ng ..., deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite '.each item of real and personal estate in the foregoing schedules are determined and stated by the \undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each item made .b~bove named Executor Administrator. rn and subscribed before me this ..7I./." }tf}J?./J /<-;'~7 //~~~ day °July ~71 ~k:U/.~./1.;... ....""".......C......,Executor-Ad istrator ' .......-. ~EORGE J.,ODRAK,Notary Public ADDITIONAL INSTRUCTIONS Canonsburg,Washington Co.,Pa. 1.~WilileJdiorJxIlliW$aYJmjite.tl within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3JUtttutory uub 1\ppruintUttut ,of the goods and chattels,rights and credits which were of "GA~;J;:~~,~;a.~",M.~g".".." "late of .W.ashington , " . Washington County,Pa.,taken and made in conformity with the above affidavit. REAL ESTATE DOLLARS CENTS ALL that certain lot of ground situate in the Eighth.Ward of the City of Washington,Washington County,Pennsylvania,known ,and designated as Lot No.4,Block "J.J."in the plan of lots known as the Weaver Addition to the City of Washington,said lot of ground being more fully bounded and de- scribed in deed from Charles H.Lang,Jr.,Adminis- trator,of the estate of Charles H.Lang to Lyle R. Hartzell et..ux.dated Aprilj,e),l~]l,and of re- cord in Deed Book vol.!)3(.,page f~7.Having erected thereon a dwelling known as 820 Ewing st., Washington,Pennsylvania.Said property was sold for $7,500.00 $7,500 00 PERSONALTY , '. Check account','balance in Mellon Bank Washi~gton,Pennsylvania Proceeds from Redemption of u.S. Bonds (E) Proceeds-from sale of 1960 automobile .----~ $6,261.78 1,051.55 650.00 $7,963 23 Total ,.J t, ,J,:, "01 '\id ..0:)no 1C;NIH S'n.\ Sll'/'.10 ~q /·...'CI-:1\lIrt\,.'._'.~,;'lJ,:J \.,I /'\IJ'\\"'.:'i,'°'1':;"':'.'},••..•vrt •..I'p .tiiO 55 2i ~,d u ~1']"I IL!I J (.,I"'"I ..,; "U .:J ••.....J ,! .... \D ~ .r,,~: ~.'.-.J.," ::1,).1,1, i ... '.1.i..'r,-.'"1 :..~_I . I J ..:/ ,'\.. •\/">I\.......1. ~1.'..L I . .j , \.. l.,•....) ~.l ~:),):.:f \·,:C.:.,tt'I "~l "f'J Ito' \ .. :u! ,I I /.1 ••••'v ,.-..... t ~1\i \\ , "" ~J..\, ,.I.,,, )\ •L. -l;i..lJ ,,:J '::;',.:~)(" .'l ... ,.\,\..\.~ ':. j,:1)'",):, II i ,' " I'~'..t "..".'),(J'I~'I ) ,..' I , ,( \.\\ " J J ". STATE OF PENNSYLVANIA, WASHINGTON COUNTY,}55: before me this ..?:.)~.. .7/ -------.-..- _19,. ....:::ii~1 Register of Wills day 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.--~-3--'C:?-l~-380.---.----.--. Wit ess my hand arid official seal thiS._3.Q~._._.._ ,j ,,Washington County,ss: ..., :::loj-;:;...'"00~'"':~'"'I{)~'0)~'0 ,~....0...II'0 »::§0)...:::l it.......0 0...,:~..., :f;t1 ~~:-0':::l I.oj 18 ''-0:...,~d '",8 ''bfj 0)..., :1=1::1oj S ~,~...:::l~ql..., ...,....:::loU f'l 1J,~(',-,,',:.,),,),j'•It:I'"•.'..•...Ill_nr,'('I r i'"-...0'j \•.:.\j 0:tit'n,;~-t~d ILL (',,/,~,..,v VI ASH 11<CT,"":r-('I OJ'l ......i v,..,I \., ~o r.1~~k \~ ~:'''1 ~i~i~: 1 !~i ~: ~ 1 c:iZ ..-.. ----~----_.._-- j is .. to determineTheCourtisrespectful proper distribution in tbt'i i . ..··..r ~ ."" ') "'.I, i / The First and Final Account of ~arles H.Lang,Administrator of the Estate of Charles H.Lang,deceased,late of Washington, washington County,Pennsylvania. The Accountant is charged as follows: Inventory and Appraisment filed Total Assets of Estate Total amount of credits claimed by account Balance of distribution $15,463.23 $15,645.23 $3,811.69 $11,651.54 ", The Accountant claims the following credits out of the assets of the estate,to-wit: Name of Payee Russell Marino,Register F.J.Buckley Agency City Treasurer George J.Modrak Observer Washington County Reports Internal Revenue Service Hummel Funeral Home Columbia Gas Company City Treasurer County Treasurer City Treasurer The Washington Hospital George J.Modrak F.J.Buckley Agency S.W.Miller Agency Kurtz Monument Company Russell Marino Sunny Hills Real Estate Co. York Reality Co. Russell Marino George J.Modrak John Mazza Estate share Washington Sewer Authority Charles H.Lang,Jr. George J.Modrak Remarks Letter Bond 1969 School Taxes Retainer Legal Advertising Legal Advertising Balance of 1968 Tax Funeral Bill Gas Bill 1970 City Tax 1970 County Tax 1970 School Tax Hospital Bill Attorney Fee Add l 1 Bond Premium Fire Insurance Lettering Monument Bal.of Letter,inv. and acc't. Comm. Appraisal Filing Pe~.for Sale of R.E. preparing &filing Pet. for sale of R.E.:Pre-.'paring deed &'-closing Transfer Stamps 1971 R.E.Taxes Sewer Lien Admr.Comm. Bal.of Att'y Comm. Amount $12.00 10.00 65.31 100.00 14.00 14.00 12.34 922.00 5.73 89.07 23.26 65.31 23.68 500.00 47.00 10.00 14.00 29.00 450.00 35.00 8.00 100.00 150.00 54.48 11.19 773.16 273.16 .' Total -------------------------------------------$3 811 69,. Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with uhe Newspaper Advertising Act of May 16,1929, P.L.1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON}88. STATE OF PENNSYLVANIA 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 officiail 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: ...........Septembe.r 18 2S 19.6.9.. ..........Q.ct.o.be.r 2 19..6.9.. that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of th~id}wit as to the time,t'and:2~er of the publication are true.L-/~0c;UiJ e.~ Sworn to and ~~:::f ·........Edit·~~ .......2.0~..;?ay .of Q'~e.be.r ,19 69 .. ..........~ct..,.,.. tary Public ~ATHERINE C.YARD,Notary Pu Withington,Washington Co.,P", My Commission ExpireD Novemller 1,1909 Estate Notices The Register of WiHs has granted letters,testamentary or of administration, in the following estates.Notice is hereby given to all persons indebteo 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. •••••••••• ••••• • • LMW,CHARLES H.,a/k/a CHARLES HENRY LANG,a/k/a C.H.LANG,Dec'd. Late of Washington,Washington;County;'Penna.", Administrator:Charles H.Lang,Jr.,. 1091 Jefferson Ave.,Washington,Pa.15301 Attorney:George J.Modrak.22 N.:Central Ave.,Canonsburg,Pa.15317 I "___--r-__-~· ."'Observer -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May.1929. P.L.1784.as amended. Commonwealth of Pennsylvania,County of Washington,SS:.........•.. Personally appeared before me,a Notary Public in and for said County and State,Ri.c.lHtr.<L.~..!Q9.yv~.D-who being duly sworn according t.o law.deposes and says t.hat he is t.he S..~.c..rgt~.r..Y.. .of t.he Observer Publishing Company.a Bennsylvania corporation,and its agent.in this behalf;that the said Company is the owner and publisher of the.Observer-Reporter,succ'essor to The Washington Observer.established Septembe,r 18.1871.and The Washington Reporter,established August 15. 1808,a daily newspape-r of general circulation,printed and published and having its place of business at Washington,Washington County,Pennsyl· vania,where it or its predecessors have been established and published continuousIy for more than six months prior to the pUblication of the notice hereto attached;that the printed notice or advertisement hereto attached is a ·copy of an official advertisement.official notice.legal notice or legal adve·rtis·ement,exactly as printed or published in the Obs1erver-Reporter in its regular editions on the follOWing date or dates;. ...............Se.pt.emb.er l.7..,.2.4.a.nd.O'c.t.o.O'~.r:.J..,l9..Q.9... that neithe'r the affiant nor the Observer Publishing Company is interested in the subject matter of s,aid notice or advertising and that all of the allega· tions of this affidavit as to the time,place and character Q,f publication are true..........lZ-//..~£,~U?~.... ADMINISTRATOR'S NOTICE Estate of CHARLES H.LANGa/k/a CHARLES HENRY LANGa/k/a C.H.LANG,deceased lateofWashington,Washington County, Pennsylvania.Letters of Administration upontheaboveestatehavingbeengrant·j ed to the undersigned,notice is'hereby given to those indebtedtheretotomakeimmediatepay·Imentandtothosehavingclaims or demands t;>present them for I .settlement.'CHARLES H'LANG,JR.Administrator1091Jefferson Avenue Washington,Pa.15301 GEORGE J.MODRAKAttorney 22 N Central Ave.ICanonsburgPa.15317 69219·Wed.·3t Sworn to and sUbscri~~ore me this....1.:~a~of~c;.t~b;.r....1969······/IlO·<vz!A~E;Io'~;{c;~~ WASHINGTON,WASHINGTON COUNTY MY COMMISSION EXPIHE~MAY 6,197~ ~tt t4e Qtnurt nf Qtnmmnu 'lean nf lIan4iuglnu Qtnuttty ®rp4attn'Qtnurt minin1ntt In the matter of the Audit of Account in j Estate of__C=HA=.=R:=L==E::..:S:::.-...:H::..=-..:..'-=L=..A::..=Nc:...:G==----r -; I, 888 of 1969No.-:....._ TO THE AUDITLNG JUDGE: Enter__....:o::...u::::.r=-,appearance for ) JOE HUSEMAN and JUNE HUSEMAN,his wife, against the above captioned estate for services rendered.Claim of Joe Huseman in the amount of $760.00 for services-rendered in con- nection to repairs to house,etc.,and claim of Joe Huseman and June Huseman,his wife,for services rendered from July,1966,to July, 1969,at $100.00 per month,total claim $3,600.00. TOTAL CLAIM:$4,360.00 ROSENBERG &BLOOM 17th day of--=S:..::e::..c::...:==-=-+-,19--.2J. N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of any interest claimed.Objeotionstoanaccountasfiled,shall be concisely stated in a separate pa-per. Council suggesting proper distribution shall file a separate concise state- ment in that regard. f 7!DEC ?I Pi'i 3 5If ~-r,\'..-I ~. ill &....1 1f_..·4 RU.,c:~'.I •,J 'll ',I ()~~<I I~L L .t,! .:\(I j' nEG!STEH 0F ¥/1 LLS VI/\SHI~h;rtHJ co..PA. -; ,..= )No._888 of 1969 ' In re Audit of Account in Estate of' CHARLE S H.LANG AUQIT I 'rarripr fnr)i\ppraraur.r FOR )JOE HUSEMANu}and JUNE HUSEMAN, "\his wife, I .BLOOM,BLOOM,ROSENBERG &$LOOM (.,' ~2 Attorney 31u tqr ®rp~ttu1i"QIourt of IItt.eqing1nn (flaunty In the matter of the Audit of Account in Estate of ~~.M~!?..~.'!~~. TO THE AUDITING JUDGE: NO .....~~.~...~.~...~~~.~.........Term,~ Entel·~y.appearance for ~.~.~~.~~gY.~.~~.~:, ................................................................................................................................................................................ ................................................................................................................................................................................ ................................................................................................................................................................................, .............:;~. .......~7.!::~day of..~.~pt~mp.~;t;',19 :7)·.. N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of any interest claimed. Objections to an account as filed,shall be concisely stated in a sepal'ate paper.Counsel suggesting proper distribution shall file a separate concise statement in that regard. .Vd "0J NU1'~NIH s:~,;\ s'n!!.\.:if),131Si03U o;':,:..r':,j'j'4 SS!l ;j] No.....~.~~.,9.~....~~.§~.....,Term,~. In re Audit of Account in Estate of .............CHAA;J;,E.s...R.•....~G . AUDIT 'rurript for 1\pprurunrr FOR ....................!:\G.99.~r.~r.. ............................................................................... ...................................................................... 115 E lid I Z J3Q I L .................................... r I '~~"j • I I •.'• I ._1 Attorney ROSCOE €~,LEDGER .'I Ju t4t @rp~an1i'<ltnurt nf lIasqiugwn Q!uuutg In the matter of the Audit of Account in / Estate of G~M~~.?~.~~~~. TO THE AUDITING JUDGE: NO ~.~.~.~~.~.~~.~~, q~P.P.J.~.l]~.tiJ!?-.J.~l:\g.gJ.t.:j,Q.n.~l ..s;:.t'.~9.i.t ..J}9.t.~hQ»!n p.Y l:\r;;.9.Q.UD.t ~n..g ~M9.;i...t... Petition •................................................................................................................................................................................ q~.~.;:9.~~t1.9.~.E.~~!~9~.~.tA:~.~~~~tt:9£~~y.f.~~J9';~.~!?<;'9D.~~.f.~~.<;'~.~~~.9 . ~r;.7...~l..f.~.~p..~r;9.n.~:::b.?l.:},t ...g.P.-y..16~.&JJr S.~t.t.:},~.~~D.t Q.f..HMR.~m~Xl $..4:.•.~.9.9..•.Q9 , c;.~~.~~~9.~.~~.~.t:tP.:~~.e9.~~~.~~~.t~~~E ~.~.!.9.99.~g9.~'.. ................................................................................................................"..........................................................·········..·······..·..·:··:·::::::·:::··..:..···i11)j;j;;l:::·:::::::::::... ..........................day of.....P..~~~.[~:(1;?~I...........19....7J.... N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of any interest claimed. Objections to an account as filed,shall be concisely stated in a separate paper.Counsel suggesting proper distribution shall file a separate concise statement in that regard. -,....j' ~~.~~,,' ".r....~lo'~r 1l_.1.1 No §};-§.~::-.§.?~,~ '71 DEC 2I PI1 3 54 Rus:::::.'.I,I,~;;I~0 fiE G!STl:.iI QF ~)II LLS r:.~$H if'lI,TO N (0..PA. •. ..,( i - In re Audit of Account in Estate of .............Q~M~.~lj.p :J:..AN~. .. AUDIT Jrarripr fnr ~ ADDITIONAL CREDIT ..................................................................... ............................................................................... ...................................... ............................................................................... ~ttorney ROSCOE ~~,LEDGER __.""-""..___-.._v__·----==------------------"'(""~"':..rmlill"'"W~··"'h""er""e-d"'ec·e·d·e""nll't·d""ie..d-iOllln_:_:g."'sli:lltalltl:!!elll)---jlla:lt#~=r.l~1 lilt t4r (@rpl1auli'<!!nurt nfllasl1tngtnn arnunty ESTATE OF No.Term,19 71,A. A. Account of Charles H.Lang,Jr • In the audit of the First and Final .......CHARLE.S a...,~.G . Deceased The petition of G~~.~~.!!J~Q.t _~..!. (Name of Petitioner) respectfully represents:. (a)The decedent died J:ul.y ~3.,1.9..6..9 _ ,intestate and (Date) letters of administration on b.i..§.estate were granted ~~.~y ~~.,J.~§.~. (Date) State (I)";hether de- cedent was married or unmarried;(2)if mar- ried,whether a husband or wife survived and his or her name;(3) whether or not there was any marriage settle- ment;(4)whether or not family relation was maintained until deced- ent's death;and (5) whether the decedent left children or issue of deceased children. as per record thereof appearing in Administration and Bond Book No . at page . Decedent was survived by the following children: Vale C.Betts Charles H.Lang,Jr. Mary A.Landock Norma J.Poland '0 •. within 'h(b)At the time of death,the decedent's domicile was ~t e Com- \\•••;l monwealth of Pennsylvania,to-wit,at _w.~.§.b.;!,.~g~9..P... -••(Town or Township,State and Nation) and residence was at Wgl;ih.i..n.9t.QIl.,Wash..i.n..g:t.Qn GO'.Mn.t.y.•.....;P..e.P..n.~.•......... •(Town or Township,State and Nation) (c)The names of all persall'S having any interest as heirs or next of kin with the names of their aeceased parents,to show relationship'if they take by , representation are as follows: NAMES Relationship Interest Of age,sui~ juris,or not, (write yes or no). Name of Guardian,Trustee or Committee,if any,or beneficiary,manp..er and place of record of appointment and is bound suffi- cient to cover and protect share. Vale C.Betts Daughter 1/4 Yes ---------------- Charles H.Lang,Jr.Son 1/4 Yes ---------------- Mary A.Landock Daughter 1/4 Yes ---------------- Norma J.Poland Daughter 1/4 Yes ---------------- State exceptions,if any, giving names and dates of death and the name. of their executors or administrators.or the names of their issue as the same may be mater- ial. Describe type of notice. All of said parties m interest are living,except NO EXCEPTIONS (d)All parties having any interest have had notice of the filing of the account by written notice dated September 3,1971. (e)Balance for distribution per Account (f)Additional debits,not shown by Account (Itemize) (g)Additional credits,not shown by Account (Itemize) $...~~.~.§.?~..~..?4 $ . Insert word u not"where necessary.. If taxable state wheth- er tax has been paid. H too many for the space,annex alist there- of;if no such claims, insert the word "none." If any creditor or other claimant has not re- ceived actual notice,that fact must be stated. Indicate such claims as may be secured or en- titled to a preference,and give detailed infor- mation concerning such security or preference. Here insert a reference to all questions requir- ing adjudication.and a statement of any mater- ial facts not alreadygiven.II none insert thewordIlnone." II any share has been assigned or attached that fact should also be stated here. $ ; . $ . (h)Claim for exemption ha'~~~made,and has D.g.t been paid. (i)The estate is subject to the payment of inheritance tax to the State of Pennsylvania. (j)The estate is ':O'Q.t subject to the payment of the county 4"m'ills tax. (k)The estate is no.t subject to the payment of Federal inheritance tax. (1)All creditors (and other persons who have complied with Rule II, Sec.9),of whose claims the accountant :h.~9 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 follows: (a)Mr.and Mrs.Joseph Huseman (represented by Bloom, Bloom,Rosenburg,and Bloom,Attorneys At Law). Claim not admitted. (b)Mr.and Mrs.Lyle Hartzell (represented by Greenlee, Richman,Derrico &Posa,Attorneys At Law).Claim not admitted. (m) ,. (n)The balance for distribution consists of property in kind,form and , '.. State kind,form and character of property composing the balance for distribution,and ifanypartthereofisnot cash,whether or nottherehasbeenanyelec- tion to take such part in kind. character,as follows:Cash l .-"".,-,'',''.._.,.'__,~__..:.....:.__~c~_._"_..~~~~__~~_.._"""'-. , Are there any advance~ ment,by decedent to be considered on distribu- tion and has any distri- bution on account been made by accountant to any distributtee? If prior accounts have heen filed,list number and term. (P)Five-hundred Dollars has been advanced to each of' the four distributees. (q)Give brief location of any real estate sold. Two-story frame house and Lot known as 820 Ewing Street Washington,Pennsylvania,sold to Mr.and Mrs.Lyle Hartzell ~~~(r)for $7,500.00. 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):- One-fourth to each of the four children of Charles H.Lang. County of Washington,ss. The above named petitioner.being duly sworn doth depose and say that the facts set forth in the foregoing petition are true to the best of~.....his .knowledge and belief. n to and s d efo e me this ,day of....~,19 7..l . ~.~~ ....._"_.~~~~~:~.~~.~:tf:.~~~;;~~.~~:.:.;.~:~.I¥Commission .Expir.es May.14...197..2 And your petitioner will,etc., ~;/~~....................................................................................u ••••••••••••••••••••••••••• (Signature of Petitioner) f ! II'. ,1"I··~..,.... ..• I ~r ,~;~ v IN THE t7 I DEC Z!P/i 3 5l~ I ~. ORPHANS'COURT WASHINGTON COUNTY,PA. Esotate of c.W\R.~.S a...'!~.G.. Deceased. Sur account of CHARLE.S H L1.\NG-I JR. Administrator 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 acco!Jntant. 4.An appearance for those represented. 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. .......~ for Accountant. Ii U~)S ;:.l..'.';~/';:c IN0 i1 EGIS H..R uF ','/I LLS V!1\SHifF;T[)N GO.,Pit \. " , ~. C' E-<-< :I :j >.\.' .',-~., t "'-'I It' (, '. ESTATE OF CriARI.ES .H.tANG IN THE ORPHANS'COURT DIVISION OF THE COURT OF C(~N PLEAS OF WASHINGTON COUNTY,PENNSYLVANJA NO.888 of 1969 You llre hC::.t'.eby J10 tl i~";tl d l the L.duc·ary,whose name appears u ~ belo\'1,t,aq fi ed nn aC'-OUl1t d~J'l\it;the Off Ice of t-he Clerk of-i 'I the C\rpnCln,'),C,?ur1t'and [.'J'ster of vVills for Washington County,-. r Penns]1van~a,nl ~le c~vo r I.m (..··l,and that the same wi 11 be pre- :r oented for conflrrnatlon.on fI ~-'j~e~~ber 11,191..1,at in:00 a.m.•'II:.~i _'... ....,or na ooon .therenft.er'-an sa.l.d accoun t is reached.~M Gporge J.Modrak Attorney for Estate or':'lc:',.....( C'... '. j IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY.PENNA. ORPHANS'COURT DIVISION No.888 of 1969 ) ) ) ) ) ) ) ) ) GREENLEE.RICHMAN,DERRICO &POSA,ES~S., of Washington,Pa.,representing Mr.and Mrs . Lyle Hartzell,Claimants. BLOOM.BLOOM,ROSENBERG &BLOOM,by GEORGE R.SEWAK,ESQ.•of Washington,Pa., representing Mr.and Mrs.Joseph Huseman, Claimants. HEA RING ON AUDIT GEORGE J.MODRAK,ESQ .•of Canonsburg.,Pa representing the Accountant. THE HONORABLE PL \'iINCENT MARINO,Judge .of the said Cou rt. ESTATE OF Deceased. IN RE: CHARLES H.LANG,a/k/a ~CHARLES HENRY LANG,a/k/az~C.H.LANG, ..J>-IIIZZIIIII. ioI- el ZiIII~BEFORE: ti itl-ll) Q ~APPEARANCES: § Q:J., X~til iiiII:1:1I-0:o.. IIIII: I-0::JoU ..J<l:oii:1Lo TIME:Friday,September 17,11971,at 10:00 o'clock A.M.,EDST. ,.; THE COURT:Number 888 of 1969"the estate of Charles H. 2 Lang,deceased.The Administrator is Charles H.Lang,Jr.and the attorney is George J.Modrak.Mr.Modral~? MR.MODRAK:I have he re all the necessary papers for audit. I want to make this comment,that there are two claims against the estate.One claim which is represented by George Sewak here. ~z~I think he's substituting for I.C.Bloom.And Mr.Bloom requested....>-UI §that the hearing in this case be held some time the latter part of11/Do Z~October,for the reason that he is leaving for vacation right now. Clz~THE COURT:Let's .get the other mat~ers in the estate.~ I don't know whether he's here or not. THE COURT: MR.MODRAK: / ~MR.MODRAK: II:l-UI o .... 0( § o:J.., :I:~N iii~THE COUR T: II:oL~MR.MODRAK: I-a:8 THE COURT: ....0(~MR.MODRAK: ILo THE COURT: MR.MODRAK: THE COURT: MR.MODRAK: THE COURT: MR.SEWAK: The other claim is represented by Arthur Wilson Both of these claims are denied by the estate? These claims are denied,yes. What other matters do we have? That's all. Is everything else in order? Everything else is in order. No questions for adjudication by the Court? No. Simply these two claims that are outstanding. That's right. All right,Mr.Sewak. I have a Praecipe and claim to hand up to the COl rt. ;., THE COURT: 3 Mr.Modrak,how about the claim there represeIl ed by Richman and Derrico? MR.MODRAK: THE COURT: MR.MODRAK: That's Arthur Wilson. Arthur Wilson i!iJ:with that firm,that is correct. Yes. THE COURT:We will talk about this Sewak claim first.Who n •. .J ~z~do you represent in your claim ? ..I>-Ql ~MR.SEWAK:We represent Mr.and Mrs.Joe Huseman.I IIIa. ie believe he is a stepson. "z ~MR.MODRAK:She's a stepdaughter.<~ t MR.SEWAK:Joe Huseman and June is the wife'sname. ii:I-~THE COURT:You have sort of a double claim there . ..I<~MR.SEWAK:Yes.One is the husband's alone for repairs to :J"'I :t~the house and the other claim is both the husband and wife for perso al \\I oi lI:services rendered to the decedent.~o~THE COURT:All right.We will set a date for a hearing on tha l-ll:5 claim.Is it suggested that this be in the latter part of October?u ~o MR.SEWAK:Yes.ii:...o THE COURT:Very well.We will fix that hearing for Thursday, October 28,1971 at 10:00 o'clock A.M.Now the other claim represented by Richman,is Mr.Wilson or anyone from that firm present?Do they have a suggested date for hearing on that,Mr.Modrak? MR.MODRAK: the othe r day. THE COURT: They have notice of it.In fact,I saw Mr.Wilson What is the claim about? 4 ..,.-' MR.MODRAK:This property was sold to certain persons,and after they purchased it they founa out there was something wrong wit 1 a water heater,rather something wrong with the pumping pipes and we had told these people,we told Attorney Wilson that this was in the hands of the real estate and these people had plenty of opportunit to desert the property and they bought it as it is.And they put in a claims,Mr.Modrak? a claim of Mr.and Mrs.Hartzell.·We will set that hearing for claim will be heard at that time.Were there any other outstanding bill for some repairs we didn't know about. The Hartzell ThereI S no amount. We will set that hearing on that claim for---that' What is the amount of the claim? Friday,October 15,1971,-at 10:00 o'clock A.M. THE COURT: MR.MODRAK: ~u itI-(I) o ...I«U ~r o::l'"l :t......C\I :!:z«>...I>-(I) ~THE COURT: \IIll. ioI-oZ :J:(I)«3i / vi~MR.MODRAK:No,Your 0 Honor. I-0::o~THE COURT:Is there anyone else in Court interested in this I-0::~decedent's estate?u ~o (NO RESPONSE) ii:II.o THE COURT:The audit of this account is ordered clos ed by thE Court,subject to the disposition of the claims adverted to. (A UDIT CLOSED) The foregoing record of the proceedings upon the hearing of the ,. ~~_._----iJ. :!I hereby certify that the proce€'dings and evidence are contained f\,lll z«>~and accurately in the ftOtea taken by me on the hearing of the above cause, UIzz~and t6at this copy is a correct transcript of the same. ioI-~z iUl«~ .,:.uii1I-UIa -..«(3 a:J., :J::::N aiII:IIII-~above t:ause is hereby atlproved and directed to be filed. a.IIIII: l-II::JoU..«(3 ii:.I&.o , I ,/ j IN THE COURT OF COM.LviON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS'COURT DIVISION No.888 of 1969 ) ) ) ) ) ) ) ) ) BLOOM,BLOOm,ROSENBERG &BLOOm,by Bryan W.Pizzi,II,of Washington,Penna., representing mr.and mrs.Joseph Huseman, Claimants. Friday,December 10,1971,at 10:00 o'clock A.M , EST. GEORGE J.mODRAK,ESQ.,of Canonsburg,Pa. representing the Estate. THE HONORABLE P.VINCENT mA RINO,Judge of the said Court. HEARING ON mATTER OF CLAIm Deceased. BEEORE: ESTATE OF IN BE: CHARLES H.LANG,a/k/a CHARLES HENRY LANG,a/k/a ~C.H.LANG,«>oJ>-III Z Z \IIII. io~zZ l/I.~ ..=~II:..Ul Q APPEARANCES: oJ«U Cl::J., :tI::(\I aiII:~oLIIIII:..II:::J8 TIME: oJ«Uii:II.o.--.~... .LV1R.PIZZI:Good morning,Your Honor.This is the time set for the claim of Mr.and Mrs.Joseph Huseman against the estat of Charles H.Lang at Number 888 of 1969.Your Honor,if I mig t go off the record for one moment,before we begin.Mr ..LViodrak as you approached the bench,has stated to me there is an offer 2 would like--- THE COURT:Do you .want a few minutes?You may go out and ell discuss it with your clients and be back in a few minutes. (Mr.Pizzi leaves the Courtroom with his clients). MR.PIZZI:Your Honor,thank you for the Court's indulgence. sum of $1,000 . we will make an award in that amount. business down the re.That IS understood. of our main witnesses are from New Jersey and they have The Court approves the agreement of counsel and Thank you,Your Honor. I might say this:one reason for that is because tW( So that it is agreed that the claim represent ed by $1,000. the attorneys will be acknowledged and paid by the estat e in the MR.PIZZI: ~I have c;Qmer.:rtd with my clients and they have agreed to acceptz~~Mr.modrak's last offer.tilzZ ~THE COURT:How much is the offer?ioI-~MR.PIZZI:xtil ;THE COURT: elill:IIIl-ll:oLIIIll: I-THE COURT:ll::Joo...«Uii:ILo ..,:o~!!! Q...«§ Q ~MR.lVl0DRAK: :I:~N ;' (Proceedings Closed). } • 'rho foregoing record of the proceedings upon the 1 hereby certify that the pro<;eedlntpJ a.nd evtdence of the above cause,and that this copy is a correct tra.nscript of the same. iol-I:)ztI.'l <C~ :$z«>¢are contained fully and accurately tnthe notes taken by me 011 the bearinq UlzZlitQ. ..=uii1I-.00 '0 .,I '"~o~."1 'l:•.t:, 1II • J • !Ii~hoortnq of tho above cause is hereby approved and directed to be filed. D!.~ ~...It':lov .,I<tU~. 0 ... • ----11----~--.-------·----·--·----..------------of--- In t4t Qt.um uf Qt.ummun Itlrus uf lIus4ingtnn Qt.uunty, Jrnnsyluuniu,®rp4nns'Qt.uurt i3iuislnn J ESTATE OF Charles H.,Lang alk/a Charles Henry Iwmg,a/k/a C•.H•.tang, deceased. No.63-69-888 In the matter of the First and Final Account of Charles H.Lang,Jr. Administrator UDICATION AND DECREE And now ~19U,this matter come on for hearing, audit and distribution at this ssion and testimo 'If taken;'and thereupon,upon due consideration thereof the bolo ce for di ribution in t ands of the Accountant is determined to be $61 and tl1 account is accordingly confirmed;and it is ordered, adjudged and decreed thate said balance be paid out by the Accountant in accordance"with the schedule of distribution hereto attached and mode a port hereof,unless exceptions hereto be filed sec.reg.or an appeal be token herefrom sec.leg. SCHEDULE OF DISTRIBUTION Balance per account ._ Balance _ $11p651054 $11,651.54 Deduct Clerk's Costs &Receipts,_ Attorney__-'o.....e...o.....r"'t!g,.,."'.........,I....~MlI.\,owdL.lOr4ak _ Mr.&Mrs.Joseph Huseman,(Bloom Bloom Rosenberg and Bloom,Esqs),claimant,as compromised,1000.00_. $10,623.04 George J.Modrak,Esq.,additional compensation for extraordinary services,credit to be taken by the accountant for funds advanced on this matter,prior to distribution by the Court, Russell Marino,Agent,transfer inheritance tax,$639.32 Interest from 10-23-70 to 1-5-72 46.15• Vale C.Betts,daughter,1/4 balance,credit to be taken by the a::countant for funds advanced prior to cU.stribution by the Court, Charles H.Lang,Jr.,son,1/4 balanco,credit to be taken by ,~he accountant for funds advanced prior to distribution by the Court, MaI7 A.~ock,daughter,1/4 balanco,credit to be taken by the accountant for funds advanced prior to distribution by the Court, Norma.J.Poland,daughter,1/4 ba:J.~ce,credit to be taken by the accountant for funds advanced prior to distribution by the Court, 2446.90 2446.89 No balance 0 ~ §1- ~ ....Z m ::J !!I. ·,n ....? t:Y 0 ::J"' i a c CD J;j..tJ' CD ::J 3 0 .... 0 0 .................... M CD ~ ., t ...0 S' ........::J"' ::: (l) II ~:::t:Y '!.~ %:l~ --~~,~~"~,--,--'~'---_.---,~,~----~-~-~---'---'-----,-~~-.."-,--.''~~,~,~--,-----~----------------~~--~-----~-----~~~--~---=-~'--- ,. ~ r IN THE COURT OF COf-tt:'..oN PLEAS OF t'lASHINGTON COUNTY PE~SYLVANIA ORPHANS I COURT DIVISI.Q.PI NO.C 1-~9i_76'lt' 11J RE: ESTATE OF CHARLES H.LANG, Deceased PETITION OF AD~NISTRATQR FOR DECREE FIXI~!G BOND FOR S~!.E OF REAL ESTATE et- 1)13e.R[£ ~~~ I,)"•'~"..(~~~~.~:~~~ "'~"\..~~f'\~~ '.'\1 ......,\~I •~~~ /'Yj?C C ~ .... I :<l ..9::1!.i..~ " IN THE COURT OF COMKON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF CHARLES H.LANG, Deceased ) ) )NO. ) ) PE'1'ITION OF ADMINISTRATOR FOR DECREE FIXING BOND FOR SALE .OF REAL ESTATE 'l'O:THE HONORABLE P.V.MARINO,PRESIDENT JUDGE OF SAID COURT: The Petition of CHARLES B.LANG,JR.,Administrator of the Estate of Charles H.Lang,Deceased,represents as follows: 1.That Charles H.Lang died intestate on July 23, 1969,a resident of Washington,Washington County,Pennsylvania, and Letters of Administration on his estate were issued to Charles H.Lang,Jr.,on July 28,1969. 2.That by deed dated February 26,1941,recorded in Deed Book 643,page 571,Washington County Records,Elva C. Hazlett,et con.,Charles A.,conveyed to Charles H.Lang the following described real estate: ALL that certain lot of ground situate in the Eighth ward of the City of Washington,Washington County,Pennsylvania,known and designated as Lot No.4,Bloak "J.J."in the plan of lots knO\"1J1 as the Weaver Addition to the City of Washington,said lot of ground being more fully bounded and described as follows: On the North by Ewing Street,on the East by Lot No.3 in said plan,on the South by Ross Alley, and on the West by Lot No.5,in said plan,fronting thirty (30)feet on said Ewing Street and extending back of the same uniform width one hundred fifty (150) feet to Ross Alley.Upon which lot of ground is erected two frame houses. 3.The assessed value of the aforesaid real estate is $13 c.,,,If"ll_t as will more fully appear by reference to .-' Schedule "A"attnched hereto and made a part hereof. • ,. 4.The personal property of the estate is valued~f)tJ at approximately $....G""",""f)r..:6:-....;D • 5.That said real estate is badly in need of repairs and your Petitioner has an opportunity to sell said real estate to Lyle R.Hartzell and Sharon M.Hartzell,his wife.for the sum of $7.500.00.as will more fully appear by reference to a copy of Agreement of Sale attached hereto as Schedule "B". 6.That your Petitioner has already filed Corporate Bond in the sum of $t tf d 6 t'~ WHEREFORE,your petitioner respectfully requests that an Order be made setting the amount of additional bond,which he must file before accepting the purchase price from the proposed:buyers. AFFIDAVIT COMMONWEAL'fR OF PENNSYLVANIA) )SS: COUNTY OF WASHINGTON ) Personally appeared before me.the undersigned authority,CHARLES H.LANG,JR•.r Administrator of the Estate of CHARLES H.LANG,deceased,Who.being duly sworn according to law,deposes and-says that ~he facts set forth inthe foregoing Petition are true and correct as he verily believes. Charles H.Lang.Jr. I .fj~OR(l£J.MODRAK:Notary f1uftlTcf Canonshurg,Washington Co.,Pa. ~y Commission Expires May 14,1-972 Swo:cn to and subscribed before me this ~daY of ~ril,1971.4y~ 1\ssrssmrut Olrritftttttr WASHINGTON COUNTY"PENNSYLVANIA OFFICE OF THE BOARD FOR THE ASSESSMENT AND REVISION OF TAXES Washington,Pa.ARri_l l_~.19.....11 This is to certify that the following is a full,true and correct transcript of the assessment of property taxable for county purposes,as shown by the books of records in this office,at the above date,for the tax year 19 71,assessed in the district of Washington 8th in the name of tANG,CHARLES H.620 EWING STREET WASHIOOTON,PA.15))1 2 STY FR HSE-GAR LOT 4 78-12-23 DB 1,270 90 1,360 (SEAL) " ~ I wrunsrript nf .Assfssment Washington,8th Ward District Lang,Charles H. Name Lang,Charles H. Tax Year 19 11 :--_.~--....---------------------~F9 Porm MALT Mo.UI-8-AlI'Teement to Pureb...Real m.tat.(Adopted)(Wltb Coal MoUee) For Sale by P.O.Naly Co.,Law Blank Publisher. 415 Fourth Avenue,Plttaburah,Pa,lUn .,_-___- 01.0Mr or BeDer Agrermttti tn JUrrl1u5P -~'- -~9 .~l_;.q~~_._ .Date ~.m1~.H..JJlt ~.1.!...___. AS/lmt I,~~bvagr8~topurc'P;;.:Bpro{;:~~bedNO ~.i:~~:~·r~~o·~~··l~ba{iiio·..··..~~QB.~t:dt;sA }l __~.. Gr.l..1.00....12Af.}s)...Jo.~A5.g 9.P.P~~!~~Q.t .. TOTAL PR101l .aona ~o.uson~..fi~.fLbl!D.~tr.§.~~Qll~.~.. TormD:,...1-0500-•.110....Oah on delivery 01 cIeed.The balance payable aa lolloto8J.'.lf~~_~~Q~.rJ..4~Ol t~·~~i~~··~~f)dO~~~~:j~~i9.~~·Q~i~M~~:l~~···~~li~ef~i~rr=irt~~-ro"iofi\..·f;f?l·~..·..··~·..·t~ns~or·..·tOi·~..··__..··..···..··-.!J..~_..__~____... It'"tm4cm::tood 'Mt a mork~abZe title v to be lumtahed and tjme ta to be S/h1eft,ua (not to ezceed..........._ dBytJ)to CJOmpl,..,.,16 tAe termo 01 aajd purchaae price. TC1::elt,nmtD,"'term and.jnaurance to be pro-rated aa 01 deli11e71l 01 deed. ~.to bo gtu:m -.o.n._.Q.r ho.rsu~.Q ~_!~~:L}....a...12n _.. I,toO 1l.6rebfl depoait unth..S~..B.U}..I.the aum Of.~•..~.~~_...DoRarD,8.~.Q9..~ GO etrmd money,recdpt 01 'Ohkh u hereby acknowledged,to apply Oft the puTcha.!e price.Bajd d8pCiftt shan be roo femecl "'Afa oDor v not accepted by aeJler unthjft.......l.O...._.......dBy8 from the datehereol,or ahan be lorleUelI "1, WCI IGfJ to oompJv unth the above tMma. ll'O'DCll!l-TB:I DOCtJJDINT UI\Y NOT (DOEll NOT)IIELL,CONVEY,TBANSFEIl,INCLUDE OR I:NSUltE nu:nTLE TO THE COAL AND RIGHT OF 8UPPORT UND~ !CD lltr.:lI'AmL&Jm DC:IOIIIBIlD 0I:l UFI:Il&ED TO 1IEBIaN,AND TIlE OWNER OR OWNERS OF SUCH OOAL MAY HAVE (HAVE)TIlE OO:lllPLBTI:LJ:OAL RlOIft TO .. ~.u.a.fD Il11C:I COAL AND.IN ftlAT OON!QllOTlON,DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE,aUIu=mOR OTJD:B 8TBUannu:Off oa IN DumLAND.'l1IJ:1N000U8ION OFTIIIII NOTIOIt DOES NOTENLABOEORBESTBlGrOR MODIFY ANY LEGAL RIGHTS ORESTATES O'lHEllWI8llOIIEATDl,TBAJI8J1'1:J1A11lD, itiIltW'i'CD VCD IS'I'TRUJ 1N'8'I'IlUMENT.['l'b1aDOUce ill 8et forth in the manner provided In Section1 of the Act ot July17,1967,P.L.884.u amended.1 .~~~~~../Z.~~B;,pr-- ._- _~_~-..·~c,.r;:J:'t,.~·~1:I~~..·..···liu:ii;;:- ACCEPTANClil NMD,to .nt,••to.4I,.a<e:....""OI~...•.•...•...A.D.19'7J.,...''''''.....o/fOr ........_ lTN:'._.•~.J2?~_._~~]L~£ii- ~'~~t. ...... IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION .. IN RE: ESTATE OF CHARLES H.LANG, Deceased ) ) ) ) ) DECREE NO. AND NOW,April /~~1971,on the basis of, I the averments of the foregoing Petition and upon Motion of GEORGE J.MODRAK.,Attorney for Petitioner,the Petitioner.. CHARLES H.LANG,JR.,as Administrator of the Estate of Charles H Lang,is directed to file his additional bond as ::m~h Administrat r with oorporate surety in the penal sum of ;ff.!~;~..~?'7before . receipt by him of any funds in connection with the proposed sale of the described real estate of the decedent to Lyle R.Hartzell and Sharon M.Hartzell,his wife. L No·8 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE45828OFFICIALRECEIPT0PENNSYLVANIAINHERITANCE AND ESTATE TAX dollarsRECEIVED$n ~I1QHrt 51X and 22/100",I :a i..: representing·Pen1,""s;,ea~iai~~M~nceor I iiI CW\.lUE.S H.LANG,JR..",JUll1R.Estate Tax due from the following estate: From:----:j~F..f;.rl3Ei:»t(m__t,.,11f)jOO:l'dt"-------T--------:-------------------~1 Remarks: $,----..-..7:.:--...-----11140.90 $ $e,,9.,2 $ $ $ $6'9.~2 $ 6 %Tax on $----,1:t:19~,d'6~;r"lIS=.2z.!j6!'1-._ 2%Tax on $_ %Tax on $_ Estate Tax,Act of May 7,1927 15%Tax on $_ TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of r%from l~O to j)~ae Date of Death----!'f-'5~r---l Jl.rQ..-f .{ ;'1 r' Name of Decedent -~~Hi::l::zb~-H...-:f:-.A:l~--t't-R:'-I:l:-------i Date of Payment ----.da:rm~y~tw~'11lr----1 File No."",9.8S9 County ----~1H1C:=HiHttf;Hff----------____I Address~~NafmHHliPff1~r*VENti!3-------1 SEA L TOTAL AMOUNT PAID $'=~6e6~.2299=.====1;] NOTE:This Triplicate Receipt to be+,etain'eci f~r audit purposes..(~1 < ,.37":::'43-1 Received f):t ~...~/f;'-rrz~)f-/~I/J~'+lM)f..,-t-:-7'r7'';----ltJ NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the'~)Y'~-;()(;I~n'atlfr'~p tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth shall~ not be precluded or prevented from hereafte.r,oss.essing additional inheritance tax at the death of the_~)':Zj:;v0;:;tJ;;;r:::::~H'i::;tT.t::.Z:f2r;;t-------"life tenant or tenant for years whenever it appears that such additional tax may be legally due and'........_~ collectible for any reason whatsoever./\ ...-:--'---~-,----_._._,--'_._.__._--------_._._:.-,---,-,---=------~-~-------~ J.1" COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF ..~. r,· Form RCC-33 RESIDENT DECEDENT .-' IMPORTANT:This return must be completed in detail and filed in duplicate,'with will attached,with the' Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of the Inheritance and Estate Tax Act of 1961.) IN THE MATTER OF THE ESTATE OF }.AFFIDAVIT OF .--~-~·ls!!;;;;;-;;';;";;;;;-------EXECUTOR Late of ".t1O$)h~•...t:"~tnitOn..:.."COlinty .ADMImSTRATOR . Su;te of vonn~lVauO "}ss: County oft'J:t1obm~. Administrator ······Cbooloo···O.···LOrJe#····,B1:.··············..···········:,. of the estate of the'above-named decedent being duly sworn,depose.~~and say ..~ Decedent dJed ...•.•..•.~)..y........".. (Month) Name and address of attorney or.} other authorized·representative ~~.' whom all correspondence should be mailed. ..sa ...,19OO.,{'testate leaving 'a last will,copy of which is hereto attached.,} (nay).(Year)intestate '.' ",, That as such ~WlnA.at,ul.t:1tn:?..deponent is familiar with the affairs of said estate and the property ~on- (Io:x""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 or'another,orin decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:-' NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPosiT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT DOS That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the folloWing,for the reasons hereinafter set forth: That Sc.hedule A attached hereto and made part hereof sets forth fullv and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date qf death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail.all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether individually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down.to the last interest day prior to decedent's death in the case of savings banks,.an"d to the 'date of decedent's death in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute or agreement they are designa~ed a~tax free,of the United States,or any state,or political subdivision thereof,or of _any foreign country,which are owned at the time of dea.th;all wearing apparel,jewelry,silverware,pic- -..\\tures,books,works of art,household furniture,horses,carria?es,automobiles,boats,and ~~and all other personal chll;tte.l,s of whatsoever kind or nature,left bydecedent,together with the fairly:--es timated r $1...,.;-,'.-I ~market value thereof;all bonds 'imd mortgal':es held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance polictes carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. In the case of securities of close or family corporations,the values 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 poss~ssion 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 transrers intended to take effect in possession or enjoyment at or after death,there is also.attached to the schedule a cony of the deed,trust agreement or other instrument creating the trust.Therp.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 exer'cise by decedent,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, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part.hereof sets forth the names and addresses of all persons 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"il-part'hereof sets 'fo'rth-ail prop'erty;real iuid'per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the "name,address and relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a.part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,.where applicable;costs of administration·of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequenJe of the death of the decedent;debts and claims owing and Impaid 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 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. "en,"E",and "F"as directed therein, ~~~~ .........G,J:.:;!.J~nn AvGmUe _.. •.., •~'f '(SlTeet"'Niimber) the totals of the appropriate columns in Schedules "A","Bn, been carried forward and properly registered in the Summary. me this ..1:.7~Subscribed and sworn to be That have :GEORGE J.lW'RAI!,.,:'J';"~hfic' Canonsburg,Wash'ngton Co.,Fa. !My Commission .Expires May 14,1972 NOTE:Before Signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "Bn are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. RCC'S4 '(1-64) -COMMO~WEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TR'ANSFER INHERITANCE TAX RESIDENT DECEpENT SCIiEDULE "A" REAL PROPERTY • Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property hl:'ld 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 Commo!'wealth of Pennsylvania should be described by lot and block number,street and street number,together wi th 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 )(2)(3)I DI;PARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTION DECEDENT'S MARKET VALUE (Do not write DEATH In this space) ALL that certain lot of pounCl e1t\l~te in the 8ightb wud of the··C:U:.y of Wa$hint .. ton.Washington COunty.,Pennsylvania. lmown and Afilsignated as !.ot N~It 4.Block, WeaveX'Addit.ion to the c:i.ty of tlashingto.,. ea:i.d lot of 9t'OW'ld being mo~e fully bOUI'u:led I and desQribe4 in4eed ft'Om eberles H.Lar.19 IIt:",Mm1n!st.I'ator of the Betate of CharJ!es H.Len9 to Lyle a.·Suteel1 et we.dat" April M ,19'1,ana of I'ecol'd in Deed Book Vol .."'J~page f-rtf Ha.ing $J.:'eeted tbe~eona dwelling known as 820 Ewing St., Wasbington,Pennsylvania~~a1d prop~ty Insert this total opposite "real property",Schedule "A"in the X X X X X "As Reported"column on the last page of this return. ~/-4b- $1,500.00 -=- SCHEDULE "B" PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT ·'RCC:-35 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 any undistributed estate of or income from any property held in trust under the will or agreement of another,even though located outs,ide pf the State,at the tim~of death,should,b,e listed in this schedule. Item No. ITEM List and describe fully UNIT VALUE ESTIMATED MARKET VALUE DEPARTMENT VALUATION (Do not write in this space) Check account balance in Hellon,$ Bank,Washington;Pennsylvania ~roQeeda,from aedem,ption of U.S. Bon's on Ptoceeds ,from sale of 1960 ,~ auto=b11e $ j:11 ,, . I , I ''or Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return. R.cC:'36 rO'D10\T:7.\LTIl OF PF~N~YLV ...\.NB. TH...\NSFFH.INHERITANCE TAX H.ESInEXT DECEDENT SCHEDULE "e" TRA~SFETtS (1)Did decedent,within two years of death,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)_ (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)_._ (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)_ (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 pot 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)_ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)_ (6)If.the answer,to (5)(b)above is in the·affirmative,state whether the right was reserved in decedent alone or'0 thers -.,..._.,.--.,...--'-_ (7)Did decedent in his lifetime make a tra~sfer,the consideration for which was.transferee's prOInise to pay income to or for the benefit of care of transferor?(Answer yes or no)_ (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to Change, because of 'a ~E!served 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)_ (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 th~decedent alone or the decedent and others? (Answer yes or no)_ NOTE 1:The answers to these questions should be supporten by affidavit by the attenrUng 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 need or instrument,if tritnS- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable 'property below in manner in which prOVided in Schedules A,B,or E. ITEM DESCRIPTION , MARKET VALUE (EsUlnated) DEPT.VALUATION (Dept.Only) . I. .. Insert this tnt,ld opP0slte "Transfers",Schedule "C"in the "As Reporterl"c01umn on the last page of thls return• ·..RGC-38 CC~{ONWE~LTH Ov PENNSYLVANIA T)'tANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRVCTIONS:This schedule must disclose all property,real and personal,owned by the decedent jointly wi th another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column•.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Name I unit Address and Relationship of Co-Owners,and Place I Value of Record of Instrument,where Real Estate.1 Percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do not WrHe In This Space. Value of Value of Entire Decedent's Property Interest ....-........................ Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return. '•.,,',.t.. -,RCC-37 (12-63) COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT i, SCHEDULE "0" BENEFICIARIES .- BENEFICIARIES AND ADDHESSES HELATIONSHIP SUHVIVED(If step-children or DATE INTEREST OFstatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIAHY ave an interest,vested,contingent or other are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OH NO BIRTH-'------Chacles H.LtmCj',Jr.Son 'tes Over 21 .One-fouth Washington,Pennsylvania-----Vo1$C.Be~ts Daughte$Yes bve~21 " Ste.r:J.1h9,New Jersey 07980 ..tt ..n - ~2UY A.,Landoo'k .."b It Wa8l\ingt.on,Penns!J,vanUl NoJ:Qa I.Poland ..If .... Washington.Pennsyl'Qanla .' " " .~... ( h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE :' ~IATTER OF THE APPRAISEMENT Commonwealth of Pennsylvania ..Charles'.H..··LanJl~'~~~~d""""" ~",:~,» '""-l -.,;-.....;VI::(,,::C~:~;:,.,.g::::~:g-~.i.~~i~~ ~5f :;rco£\)E..::l '"VI 0 ff ::s ~llo) VI -0~""'"l C1lo'"l""~"'(I)'"l~'< enc:~II I( ~>::c W en en ><II "::r'n n.~~n ~..~: (Executor-Administrator must complete "As Reported"cvlumn.#1.) ~~fh~-E9-E9 ~~: ~:. :(.~::2:::G;. . I C)...0'"en ...:j ~ ~.II §. '.ii' t'fjen~llo) ~C1l ,} ....OJ'",':"'"...,....~~-~-"._.a"";'_~- ,~. !.{. ,._-'~ ... 'J -.,-' ~--,~, ...,Year ,') (.)':.} DJ THE ,. No. L.••}n" --i:~_-).c~, ....,-il ("",:::-.: .J0---r' l)',---t.:.)>-(!) 'Washington' ··1~shin9t:Gn···. '" REPORT:AND _APPRAlSAL.'!·"""'"M"J -.. (f)C)(::rr-"': OF THE ESTATE OF Late of . County of .Will ~ Administration .~ -E9-E9~-E9-E9-E9 GEORGE J.MODRAK ATTORNEY AT LAW aa DoRm CENT"AL:AY£NU' -CANONseUACi.PA. ,~i ~:,~ ~: ..>"""'-J ~'-.);r.~or-,t:l :f':~;:::,\~-.'-\):~~:•3-~~[0-