HomeMy WebLinkAboutOC1970-0192 - ESTATE OF METZ------------------~---------------------------------
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Q!nmmo1tturaUq nf 'rnnBylnanta,t
BUBqingtnu Q!nuttty,\.6.6:
KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
on the 24th.day of February A.D.19 70,before me,
Russell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania.
the last \Vill and Testament of
JOHN S.METZ
late of Speers in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Janet E.Forsythe
rix
the Exec:Jt~in said Will and Testament named,having appeared before me and taken and subscribed
the oath of office prescribed by law;
Russell MarinoNOVl,THEREFORE,I,
grant thEse LETTERS TESTAMENTARY,unto the said
Janet E.Forsythe
,Register as aforesaid,do
committing unto her the administration of all and singular the goods and
chattels,:rights and credits,which were of said deceased,and requiring her
to exhibi:a true and perfect inventory thereof into the Register's Office,at Washington,within ninety
days from the date hereof,and to render a just and true account of said administration at the expiration
of six months from the date hereof,and to regard and comply with the provisions of the laws of this
Commonwealth ,relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal
of said Office at Washington,this 24th.
day of February
nine hundred and Seventy
in the year of our Lord one thousand
~~,.
"Register
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LAST \HLLA1\JD TESTAHENT
KNOW ALL J'1EN BY THESE PRESENTS 1 that I,JOHN S.HETZ,
of the Borough of Speers,Washington County,Pennsylvania,being
of sound mind,me!11ory and understa.nd.ing~do her8by make,publish
and declare this to be rr~Last Will and Testament,hereby revoking
any and all former Wills by me at any time heretofore made.
And as to a 11 of my estate ~\vhether the same be real,
personal or mixed,of 1;"hatsoever kind and nature and \Y'heresoever
situate,of \vhich I die seized and possessed,T give,devise and
bequeath as follows:
J
FIRST:I dir.ect thp.payment r'lc.lt of my estate of the
expenses of my last illness and funeral.
SECO~'1):I give,devise and bequeath all the rest,
residue and remainder of my estate,of whatsoever kind and nature
and wheresoever situate,I give,devise and bequeath unto my
beloved daughter,JANET E.FORSYTHE,to have and to hold the same
unto her,her heirs and assigns,f6rever,provided,nevertheless,
that in the event the said JANET E.FORSYTHE,predecease me or
die simultaneously as a result of a COEllilon disaster,I give,devise
and bequeath all the rest,residue and remainder of my estate,
equally unto my three (3)beloved grandchildren:JUDY FORSYTHE,
~ANET FORSYTHE and BETSY FORSYTHE,to have and to hold the same
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..
..
unto them,their heirs and ass:l.gns forever.
THIRD:Should any beneficiary und.er this illV W.st
I,vill and Testament be a minor at the date of my death,I then
nominate,const-Ltute and appoint JOHN G.FORS''l'~T'rtE,FiducL:'cry
Guardian,to protect,preserve and pay ov~r the assets to which
said minor children are entitled as and "vhen they reach majority.
FOURTH;I nominate,constitute and appoint JAN~r c.
FORSYTHE,Executri.x,of this my Last J;vill and Testament.In the
event that JANt;T c.FORSY1TIE does not survive me,I nominate,
constitute and appoint JOHN G.FORSYTHE,Executor,of this wy
Last Hill and Testament.I further direct that neither shall be
required to en-ter security in any jurisd.i.ctiorl in ,,,,hich the)-may
.act.
IN hTITNcSS WHEREOF,I have hereunto set my hand and sea.1
to thi.s,my Last \"i11 and Te~tament,this ..:il.t!:day of 'February,i::-,
the year of our Lord,One Thousand Nine Hundred and Si}:ty (1960).
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,;.'Affibautt (@f fxrrutnr (@r Abmtntstratnr
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t;tatl'af 'l'nnByluanta.t 5B:
C!1aunty af BaB4tngtan \
Personally before me,the undersigned authority,a ~~~.~.~X ~.~~.~.~~in and for said
County and State,appeared J.~.n.~.!:;F.;..~F..Q.~§.y.t.h~who,being duly
sworn according to law,deposes and says that s he is the executor or administrator of the estate of
......J.9..h.~..J?..~..J1.~~.~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of...J..Q.h.n S.."Mg..t;.~,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item
of real and personal estate in the foregoing schedules are determined and stated by the undersigned to
be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each
item made by the above named Executor Adm!i~.
Swam and ,ubmibed before me thi•...l.9..t.b.......)/(/-:::r-hfdo~~.•19}~..\r..&.'E~~~~~~.._....
A ITIONAL INSTRUCTIONS
1.An inventory must be filed within three months after appointment of personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
lJUttfutnry aUlll\pprailifmfut of the goods and chattels,rights and credits which
were of J..Q.hn S..,M~.1;.g late of ~.Q.t:~n~gh .Q.f.s..p..~.~.~.§.
Washington County,Pa.,taken and made in conformity with the ab01Je affidavit.
DOLLARS CENTS
REALTY
ALL those certain lots of ground situate in the Borough of $13,5 0.00
Speers,County of Washington and Commonwealth of Pennsyl-
vania,known as Lots Numbers Three Hundred Fifty-six (356),
Three Hundred Fifty-seven (357)and Three Hundred Fifty-
eight (358),in the Maple View Plan of Lots laid out by
Charleroi Home Building Company and recorded in the Recorder
of Deeds Office for Washington County,aforesaid,in Plan
Book Vol.6,page 204,said lots being more particularly
described as follows,to wit:
Beginning at a point on the Northside of Grandview Way,
upon dividing line between Lots Nos.355 and 356;thence
along said dividing line in a Northeastwardly direction One
Hundred Forty (140)feet to an alley;thence South 46°50'
20"East along the South side of said alley for a distance
of Eighty-seven and Twenty-three Hundredths (87.23)feet;
thence along the dividing line between Lots Nos.358 and
359 in a Southwesterly direction for a distance of One
Hundred Sixteen and Sixteen Hundredths (116.16)feet to the
Northside of Grandview Way;thence along the North side of
Grandview Way in a Northwesterly direction along an arc
with a radius of Three Hundred Twenty (320)feet for a
distance of Sixty and Three Hundredths (60.03)feet to the
place of beginning.
Having erected thereon a two-story stone and wood house
known as 270 Grandview Way,Map1eview,C~ar1eroi,Pennsy1
vania.
PERSONALTY
1.MacBeth Evans Division Employees Federal Credit Union
2.1968 Buick Riviera automobile
3.500 shares Diamond Oil Company common stock
(See Sdiedule "A")
$1,655 63
2,750 00
No va ue
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Inventory and Appraisement
IN THE ESTATE OF
JOHN S.METZ
Filed ~.~~.~~E.Y.,19..]1
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Woodward and Bassi,Attorneys
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SCHEDULE "A"
4.100 shares Werner Continental,Inc.common
stock @ 5%bid
5.500 shares Metals,Science &Processing,Inc.
common stock
6.400 shares Colonial Floral &Gift Shoppe,Inc.
common stock @ 8.76
.1 ".
$550.00
No value
3,504.00
TOTAL PERSONALTY $8,459.63
TOTAL INVENTORY AND
APPRAISEMENT
$21,959.63
•~J
THE FIRST AND FINAL ACCOUNT OF JANET E.FORSYTHE,EXECUTRIX OF THE
lAST WILL AND TESTAMENT OF JOHN S.METZ,DECEASED,lATE OF
THE BOROUGH OF SPEERS,WASHINGTON COUNTY,PENNSYLVANIA
c
Principal Personalty
Income Personalty
Principal Realty
Income Realty
Total Assets of Estate
Cash contributed by Executrix and
sole legatee in order to preserve
assets in kind
Less Credits Claimed
Net Amount for Distribution
$8,459.63
None
13,500.00
262.50
$22,222.13
2,933.07
$25,155.20
4,851.20
$20,304.00
..
PRINCIPAL PERSONALTY
The Accountant charges herself with Principal Personalty
received out of said estate as follows:
Per inventory and Appraisement
INCOME PERSONALTY
$8,459.63
The Accountant charges herself with Income Personalty as follows:
None
The Accountant credits herself with the following out of the
assets of said Estate:
1970
Feb.11
13
16
West Penn Power
Mrs.LeRoy Slagle
culligan
Electric bill
Travel expenses from
Florida to attend
funeral paid by estate
Account in full
$8.33
100.00
4.24
March
16
17
18
23
24
3
3
2
5
Bell Telephone
Wolf's Men's Store
St.Clair Hospital
Gulf Oil
Russell Marino,Register
Washington County Reports
Mon-Valley Newspapers
Harold Schrock
Columbia Gas of Pa.
Phone bill
Funeral clothing
Hospital bill
Amount due
Probating will
Advertising estate
Advertising estate
Funeral expenses
Gas bill
9.23
10.48
75.00
5.72
19.50
14.00
10.00
1,885.00
17.00
April
May
Ea.Dept.of Revenue
Gulf Oil
Russell Marino,Register
Russell Marino,Agent
Drs.Steph &Arnhaim
Transferring auto title 16.00
Balance due 5.72
Short certificate 1.00
Inheritance tax 1,100.00
Medical expenses 7.00
14
Dec.4
1971
Jan.6
19
S.White Sons
W.L.Wilson,M.D.
Russell Marino,Register
Woodward and Bassi
Notary Public
Russell Marino,Register
Marker
Doctor bill
Short certificate
Attorneys'fee
Notarizations
Filing inventory,first
and final account,etc.
112.00
320.00
1.00
1,097.98
10.00
22.00
PRINCIPAL REALTY
$4,851.20
The Accountant charges herself with Principal Realty received
out of said Estate as follows:
Per Inventory and Appraisement
INCOME REALTY
$13,500.00
The Accountant charges herself with Income Realty as follows:
Rent collected from 12/15/70
to 1/19/71 $262.50
7
Washington County Reports
Washington,Pennsylvania
(PU6LISHEO BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,
P.L.1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON}SS.
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 officiaJI 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 wa:;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:
...........March 12.,1.9 Z.6 1.9.7.Q .
Estate Notices
.The Register of Wills has granted
letters,testamentary or of administration,
in the following estates.Notice is hereby
given to all persons indebted thereto to
make payment without delay and to those
having claims or demands to present
them for settlement to the Executors or
Administrators or their Attorneys.
•• ••• • • • • • •• • ••• •
.~--~-----------~_.
•~ETZ,JOHN S.,Dec'd.
'Late of Borough of Speers,Washing-ton County,Pa.Executrix:Janet E.Forsythe 408CrestAve..Charleroi,Pa..Attorneys:Woodward &Bassi 701McKeanAve.,Charleroi,Pa.'
-"Q-
that the affiant or the corporation in behalf of whioh he is acting is not
interested in the subject matter of said notice or advertising and that all of the
:r~eg~~~of this affidavit as to tytj~PI;ce and chara~rJthe ~f:ion~~~I!:.{_·~:~_:,,-lr!S~
(-------~~~;:..--
Sworn to and subscribed before·me--this · ·------:-
..?.Q:!i.h day of ~.*-£!?:,19 ?.Q.!..
........~~~...&~~..
Notary Public
KAT!IEfWiE C.1~IC!lOLAS,Notary Pulllie:
Wazhingtcr.,\'hehington Co"Pa.
My C0:n~ission Expires
~;a"'~r.1l:cr 1,1973
,..
Proof of Publication of Natic.in The Valley Independent
Under Act No.587,Approved May 16,1929,P.L.1784,
alamended by Act No.51 of April 24,1931,P.L.67
State of Pennsylvania }
County of.Westmoreland IS:
Personally appeared before me William H.Pore,General Manager of The Valley Independent,who being
duly sworn,deposes and says that The Valley Independent is a daily newspaper of general circulation in
Fayette,WashingtOn and Westmoreland counties,Pennsylvania,and elsewhere,published in the City
of Monessen,Westmoreland County,Pennsylvania,that it wos established June 28,1902,since which
date The Valley Independent has been regularly issued in said county,and that a copy of the printed
notice or publkation is attached hereto exactly as the same was printed and published in the regular
editIons and issues of The Valley Independent on the following dates,Ma r ch 6,1970
March ]3 and 20,]970
Affiant further deposes and says that he is General Manager of The Valley Independent,a doily
newspaper of general circulation,and as such is authorized to verify the foregoing statement under
oath,and Affiant is not interested in the subject matter of the aforesaid notice or advertisement,and
that all allegations in the foregoing statements as to time,place and character of publication are true.
COPY of NOTICE
Swom to and subscribed before me this·_
day of ,19 _
Notary Public
My commission expires _
STATEMENT OF ADVERTISING 'COSTS:
Woodward and Bassi.Attorneys at Law
701 McKean Avenue
Charleroi.Pa.15022
TO THE VALLEY INDEPENDENT,OR.
For publishing the notice or advertisement attached hereto in The
Valley Independent on above stoted dates $10.00
Notary '. . ...$ _
(....
,
Total $10.00
lECEIPT FOR ADVERTISING COSTS
The Valley.Independent,a daily newspaper of general circulation,hereby acknowledges receipt of
the aforesaid advertising and publication costs and certifies that the same have been duly paid.
THE VALLEY INDEPENDENT
B~3/5/701m.
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I do certify that I have given leg'al notice 'to all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court,as evidenced by proofs
thereof filed to No b.3...~.2L:-::..!..
W;'l\'0f..hand and a!f;c;al 'Seol th;s..J.~.
day Of =tf..\~--CSf\i).~----19..7(.62~...ITl~...,_...
,Register of Wills
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The within named Accountant being duly sworn according to law,deposes and sa)S that the above account
STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
t t d ' t "d ' ,she '1 b I'as s a e IS rue an correct as ven y e leve.
Sworn and subscribed before me this.......~~.~~......
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The Court is respectfully requested to determine
proper distributiofi\.i~thi~d;fT
y~
or Accountant
3Ju tQr ~rpQanli~CUnurt nf lJaliQingtnn (tInunty
In the matter of the Audit of Account in
J
Estate 01".f-=J:...:O:...:HN.=.;.....;S::..:.,•....;ME=..=T..=Z;...·I
TO THE AUDITING JUDGE:
192 of 70No.~...,19__,A.A.
192!...
our Janet E.Forsythe.ExecutrixEnter-....Iappearance for'_...::..=..:;:.:...::..-=.:--=-..:...:::....=."-_-.:::.-:=...J_~:::;:,,;;.;:..;:..~;.:;..:::...;:;~---~--'-_
:tru:........~t::':::-="S-=S~-=L--."--·_
15th day of March
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.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
-------------------------------------------~-------------,
PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form)
JOHN S.METZEstateof .
Deceased
192 of 1970No .
Fiduciary J~.~~.t...~.!f~.~~y.!:J::1.~.t...
~~~~~~.I.:t~.
Date of Date of
Decedent's death f~:t?;~.~?;.Y....?,J~.?Q Grant of Letters f.~.~:r:~~E~~~.~..}~.?~.
This is the g~~.~~~~~~~?~.~account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term ~?~.~..~.
Election to take
Under~will.(cross out one)
Date Election Place of;
Filed Record .
N f . .Noneame0survIvingspouse .
List issue,where material:
Janet E.Forsythe,daughter
Did decedent marry after execution of will?(indicate)XKs.No.Any children born after execution of will?(indicate)
....No.If answer yes,name them """""""""""'"
Legatees
Janet E.Forsythe
Relationship
Daughter
Interest
Residue
Fiduciary,if deceased or not sui juris
Sui juris
List,if exceptions to above:
None
If partial intestacy,give facts:
~,None
Adeemed:Revoked:Lapsed:Abated:Give Cause:
Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled
to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account
and of call of audit?Yes.~x
If any exception give cause:NQne .
File copy of Noti~~March 3,1971
and date of mailing .
Is estate subject to the filing of a Federal Estate Tax Return?.~.?..
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $LJ:.9..Q.~.QQ .(Photocopy of receipt a ttac~d)
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant None .
•--••••--..----------•••••_..__----_..------------------------._--------_______..--_.._---------_-.-__0
Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts
of such claims;state whether they are admitted to be correct;and whether the claim is denied.
None
Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re-
quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication:
None
Balance for distribution per account,
Itemize any additional debits not shown by account:
Total additional debits (Add)
Itemize any additional credits not shown by account:
Total additional credits (Subtract)
Balance for distribution
$~.9.}}.9.~.~.Q9 .
$None......----..----_.._--....._-_..._--...-
$~~~.~_ .
$20,304.00...............___-_._-.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Real estate
1968 Buick Riviera automobile
500 shares Diamond Oil Company common stock
100 shares Werner Continental,Inc.common stock
500 shares Metals,Science &Processing,Inc.common stock
400 shares Colonial Floral &Gift Shoppe,Inc.common stock
--~,
~,-
.~
$13,500.00
2,750.00
No value
550.00
No value
3,504.00
~.I
.
".--.(
If Family Exemption claimed by Petition,give place of Record:~~~~.
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:N.9.n.~.
List any advancement or distribution on account that has been made,and nature and amount of same:
None
Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections
to take in kind if balance is not in cosh:residuary shares being stated in proportions:
Janet E.Forsythe
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly ~~2~.~doth depose and say
that the facts set forth in the foregoing petition are true
Residue
And your petitioner will ever pray,etc.
to the best of he.r knowledge and belief.
....S.wQ.~n to and subscribed before A
me th;s .l9.tlLday ah J.an~a.rll/:IJ 19:!J:--_~..._.~{~~~....
Signature of Offlce~..~
Title of Officer._..__r:!!?~~..~~__.~~!.~~..__._....__- .
OHice expires WANnA.CAR~ms.r.QN;-t:eni/Y'f1.~tre""""""""
CHARLEROI BGRDUeH 1"·~··!"r·IU"I·~p"'TYIIJHU."fU I 1,"'..l.i1~
MY COMMISSIOII EXPIRES AUGilST 19,1972.
..................................................................................................................
~.
~~'.
Estate of.JOHN S.METZ'Ooo'O-'O-__..'O 'O -oo..--..
.
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,
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No.192 of 1970
''tId "0:)NOJ')N1HSVf,\
C'll/I',-In ).)')j C"":l~.l~"l ~~,,,J",,,..)I v ..Jtl4
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....'O••_.._••'O'O__._._'O __oo •'O_'Ooo ____w"o
Deceased
Fiduciary__.;!.~g~~.__~_~__.f.~_~.~Y_~~~-,-.._.__....-
Executrix_._..__Oo oO _oo'O__'O_____0
PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
Counsel of Fiduciary will submit herewith the
following,in conformity with Court Rules
adopted effective December 3,1951,being
rule No.9:pa rag raph b-c;and divisions
thereof:shown on pages 23-24.
1.Written praecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem,if pertinent.
3.Copy of Order appointing Trustee ad
litem,if pertinent.
4.Proof of service of above.
5.Letters Testamentary or Administration
C.T.A.or an attest copy of Will.
6.Copy of inventory and appraisement.
7.Proof of advertisement of grant of letters
if not filed with account.
8.Certificate of liens in case any of the
funds for distribution are from judicial
sale of real estate.
9.Signed and itemized elections if any
distribution in kind.
10.Copy of Federal Estate Tax return if es-
tate is subject thereto.
woodward and Bassi
Attorney
"'~2
[£,.VI I.ii''/'/'J I J
...Y 'I ~~1,.
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA.
ORPHANS'COURT DIVISION
IN RE:ESTATE OF JOHN S.
METZ,deceased ••
NO.
ELECTION TO TAKE IN KIND
KNOW ALL MEN BY THESE PRESENTS,that I,JANET E.
FORSYTHE,do hereby elect to take the following assets of the
Estate of John S.Metz,deceased,in kind:
1.ALL those certain lots of ground
situate in the Borough of Speers,
County of Washington -and Common-
wealth of Pennsylvania,known as
Lots Nos.356,357 and 358 in the
Maple View Plan of Lots (See
Inventory and Appraisement for
more specific description)
2.1968 Buick Riviera automobile
3.100 shares Werner Continental,Inc.
common stock @ 5\bid
4.400 shares Colonial Floral &Gift
Shoppe,Inc.common stock @ 8.76
5.500 shares Diamond Oil Company
common stock (No value)
6.500 shares Metals,Science &
Processing,Inc.common stock (No value)
IN WITNESS WHEREOF,I have hereunto set my hand and
seal this 19th day of January,1971.
WITNESS:~~SEAL
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
1
j.
III
i
I
!:
I '
IN RE:ESTATE OF JOHN S.METZ,:
deceased .:
NO.192 of 1970
NOTICE
You are hereby notified that the First and Final Account
of the above-named decedent has been filed in the Register of
Wills'Office in and for the County of Washington,Pennsylvania,
on January 25,1971.
You are further notified that final audit of said account
.will be made on Monday _,;.,,;M_ar_c_h .!2-,1971 ,at 1:30
o'clock ~.M.in the Orphans Courtroom on the third floor of
the Washingtori County Courthouse,Washington,Pennsylvania,at
which time you are entitled to appear and be heard if you so
desire.
March 3,1971'I
.WOODWARD AND BASS I
PY./s/Melvin B.Bassi
.Attorneys for Estate
"
1!I I
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1
~"''';~'.,....COMMO~~~':.~T~~FR:!e~U~SYLVANiA '.'~;I
":~:==:C='~='V:::::~==~==J=:=:==~=~==5==i=~==:==;==I;=~A::::::n=:==:==;C:::::~==E:=.~.==~==:==;=.~=;=N=DS=y=t==Y==A=~a==I:==d=·IN==,==;~==E==~~==:;=;==.~=~=~==,~=="N==~==~,::::;==,~==~A==~~==;'=='T==,~AX==h,==:=,lo=='~=ce==o=r~==dO=II=a=rs====11
From:C 0 ATTYS"WOOD\V'ARD f1 BASSI Estate Tax due from the fOIlOW$""."0'.'~.I
Address __7.:..0=1---=.;M;;.::c:.;;.K~E:.;;.A;;.:N~A_V.;..E....,N_U_E'---i 2%Tax on $_________---'I~
CHARLEROI PENNSYLVANIA 15022 6 %Tax on $__O_n_A_c_c_o_u,...n_t__$__1.L,_1_S_7_e_8_9__'
1111
Dote of Paym ent._.__--a.::w.,~~----I.'""-.L.3I!--.,....,..---I
Na~e of Decedent _.......,................=.J........o.=.-..=Z:..--t
15%Tax on $'--_$~File No.63-70-192 Date of Death_...l!!!,.;:;..L.;::;;..L.~-l
1
%Tax on $--------$,II~·..'l·Estate Tax,Act of
May 7,1927 $
$5-.;.7_e_8_9__U1
$1,157e89---=------
II$--IIJI
$=1==,==10,===0==::"0==0=I~.,ITOTALAMOUNTPAID
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months aftef
dote of death
Plus interest at the rate of
_._%frorn _
to - _
'S EA l
fIIOTE:To be clellvered to !lDlfIoyer 38-48-5
,.".R@~!illved by ..........d,~~~~~~~-....:':..-i-.;..,;,.;.......;;..:~~4..IWI
,NOTE,In aeeopll,,;lko tran,for Ink,rUaneo la.an futuro "tilt",prior to tho doath 01 thll \110
teliClnlor lonanl lor yOlln,01 oVldenced by Inla rocolpl,\I I'undeulood Ikllt the Commonwooltn ,hall
not be precluded.or pre~·ented from herellflet al8elllng additional Inheritance to.at the death of thll
IIle tenant.or tenant lor·years whenever It t1ppearl that such additional lox may be legally due and-fl--~:"""'----i~:-7""""-----"'-~-----·1U1
collectible lor any reason ",haisaever..
Remarks:
County _-,.._.....;;_-!L,w,;!.U..I~~~'__--_-__-1
--....--.-.,_..--,,~,'"....'_.
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In tqe moun of mommon 'letts of IIttsqington mountg,
'rnnsgluttnitt,(@rpqttns'moun Ditti1iinn
ESTATE OF No.,92 of 1970
John s.Metz,In the matter of the:_--=.F-=i=-r6~t~a:~~=-=F,-"ina.l="",-_
deceased.Account of__J:::.:an=e~t:...=.E.::..-=F~o~rs~ythe=::...-_
Execut.rix
$20,304.00
SCHEDULE OF DISTRIBUTION
Balance per account _
ADJUDICATION AND DECREE
A~d now March L r 1911-.,this matter came on for hearing,
audit and distribution at this session and testimony taken;'and thereupon,upon due consideration
thereof the balance for distribution in the hands of the Accountant is determined to be
$2°,301,.00 and the account is accordingly confirmed;and it is o~dered,
adjudged and decreed that the said balance be paid out by the Accountant in accordance With .the
schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed
sec.reg.or on appeal be taken herefrom sec.leg.
Bolance:_
Deduct Clerk's Costs &Receipts:a..-_
Attamey Wl::.:o:::.:o~dw=a~rd~&~B~asllliasi _
Russell Marino,Clerk O.C.,costs in certifying real
estate to Recorder,
John Mazza,Recorder,costs recording certification
or real estate,
Russell Marino,Agent,transfer inheritance tax,inCIUdinl
tax dUe on individual liability,
Contribu.t1.on'Pi ··:r,sidua'r:Y"1,ga'tee1'tOT the'l~pUrpose of
maintaining assets of the estate in kind for I
distribution,I
247.26
$20,007.24
296.76
$20,304.00
Janet E.Forsythe,daUghter,residue,inclUding real
estate as hereinbelow described,valued at $13,500.00;
1968 Buick Riviera Automobile valued at $2,750.001 500
shares Diamond OU CompaD1'Common stock at no valueJ
100 shares Werner Continential,Inc.common stock valued
at $550.00;500 shares Metals,Science &Processing,
Inc.common stock at no value;400 shares Colonial Floral.
&Girt Shoppe,Inc.common stock valued at $3,504.00;
held in kind and distributed as such at the value as
shown (appraised value),20304.00
No balance
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REAL ESTATE TO BE CERTIFIED TO THE RECORDEli OF WASHIt pTON
COUNrY BY THE CLERK OF THE ORFW'~-'COURT
DIVISION
John S.lletz,devisor,to Janet E.Forsythe,devisee of all the rigl:It,title and
interest of the devisor in and to parcel of real estate delscribed as,VIZ:
ALL THOSE CERTAIN lots of ground situate in the borough 01 Speers,(ounty'or
Washington,and COJIDIlonwealth of Pennsylvania,known as lot~Numbers 356 -3,7 and
358,in the Maple View Plan of Lots laid out by Charleroi ~ome BuUdling Compan;y
and recorded in the Recorder ot Deeds Oftice tor Washington County,~oresaid,in
Plan Book Vol.6,page 200-,said lots being more particular~descriDed as tollons,
to wita
BEGINNING AT A POlM on the Northside of Grandview Wq,uppn dividin~line
between lots NOSe 355 and 356;thence along said dividing ~1ne in a ~ortheastwa~
direction 140 teet to an alley;thence South 46 degrees 5pt 20"Eas ~along the
South side of said alley for a distance ot 87.23 feet;thepce along IIhe dividing line
between Lots Nos.358 and 359 in a Soutbnster~direction tor a dis r-ance ot ll6.16
teet to the Northside of Grandview Wq;thence along the ~orth side ot Grandview
"Irq;1n a Nortbwester:q direction along an arc with aradiu of 320 f et for a
distance ot 60.03 teet to the place of beginning.
Having erected thereon a tll'Qoooioet01'7 stone and wood house knPwn as 270 Grandvi~'lay,
Maplev1ew,Charleroi,Pennsylvania.
(Certified to Recorder Apri]16,197 ..)
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA.
ORPHANS'COURT DIVISION
)
)
)No.192 of 1970
)
)
)
)
Monday,March 15,1971,at 1:30 o'clock P.M.,
EST .
HEA RING ON AUDIT
WOODWARD &BASSI,ESQS.,of Charleroi,Pa ,
representi;ngthe Accountant.
THE HONORABLE P.VINCENT MARINO,Jud e
of the said Court.
ESTATE OF
JOHN S.METZ,
IN RE:
i Deceased.
~~01ZZIIIII.
ig BEFORE:
ClzxUI~
t APPEARANCES:
~UIQ
..I0(
~TIME:
:l.,
~III
ui~THE COURT:Number 192 of 1970,the estate of John S.Metz,
l-ll:oII.~deceased.The Executrix is Janet E.Forsythe and the attorneys
l-ll:g are Woodward &Bassi.Mr.Bassi?u
..I0(
i3 MR.BASSI:If Your Honor please,this is a testacy of Johnii:II.o
-,
S.Metz.The Executor is again the sole legatee,.ttte sole residua y
legatee.And the assets of the estate which the sole residuary
legatee has elected to take in kind consist of real estate and an
automobile and common stock.The executor has advanced all of
the monies necessary in order to pay the debts and expenses of
the estate.We know of no outstanding claims or debts.There ha
i'-J
been a payment made on Inheritance Tax.
2
THE COURT:Is there anyone else in Court interested in this
decedent's estate?
(NO RESPONSE)
0(i:~oJ>-mzzIIIII.
i~ziUl~
TIlE COURT:
the Court.
The audit of this account is ordered closed by
(AUDIT CLOSED)
I
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1&1~I hereby certify that the proceedings and evidence are
oII.
III~contained fully and accurately in the notes taken by me on the hearing of
II:•
:JoU the above causel and that this copy is a :orrect transcript of the same.
~ij
ii:ILo
of the above cause is hereby approved and directed to be filed.
By the Cf'Gt.
\
\
J.(
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE:ESTATE OF JOHN S.
METZ,deceased NO.192 of 1970
RECEIPT AND RELEASE
The undersigned does herewith acknowledge the receipt
of all funds from Janet E.Forsythe,Executrix of the Estate of
John S.Metz,deceased,pursuant to decree of Orphans'Court
at the above number and term.
The undersigned,by execution hereof,does herewith
release,exonerate and otherwise save free from suit,claim or
demand Janet E.Forsythe,Executrix of the Estate of John S.
Metz,deceased,with respect to all acts done and committed in
connection therewith.
--I
I
April 7th,1971
~anet E.Fo~sythe
'.,r.I ~
Form RCC-33
.'•
RESIDENT DECEDENT
.,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF WASHINGTON
J
Eueutor
.penn$..Y1Y~.9..i..?}
ss:.WashJ.qgt.Q.Q .
Ja.~~~~¥..~.~.~'l~~.~.
County of
State of .
IMPORTANT:This return must be completed in detail and filed in duplicate,'with will attached,with the'
Register of Will.s 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.)
of the estate of the above-named decedent being duly sworn,depose and say
Decedent dJed
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
Woodward and Bassi Attorneys at Law.......................................................................,........................................................................................
.701 McKeanAvenue,CharleroL,P.ennsylvania .150.22 ..
That as such .=~=~Y:E.~:.deponent is familiar with the affairs of said estate and the property con-
(ExeclItor·Administrator)
stituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly
with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent
or deputy,with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER 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
--Mallon Nat:ional Bank and Trust John S Metz and Janet .....
("',-(r.harl ero;nrri f"e).E.Forsvthe
That the contents of said safe deposit box or boxes are itemized under Schedules ~A~__of this
return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth 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 of death of decedent.
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover situated owned by the decedent at the time of 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,and 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 designated as 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 death;all wearing apparel,jewelry,silverware,pic-
tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated
market value thereof;all bonds and mortga~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 policies 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.
L'rJ'
.'
.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 toa 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 prope~ty owned or bequeathed by the decedent at the time of death.
The Schedule C attached hereto and made part hereof sets forth a tru~answer to each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's
death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or
after death,said schedule sets forth the nature and value of such property,to whom transferred,the
relationship of the transferees to the decedent,the proportionate share received by each transferee and
all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y
of the deed,trust agreement or other instrument creating the trust.Ther.~is also set forth in said
schedule a list of all property,real and personal,with its value,which passes at decedent's death by
virtue of the exercise by decedent,either individually,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 0 attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,thei~issue,and the relationship of such issue to the beneficiary.
That Schedule E attached hereto and made a part hereof sets forth all property,real and per-
sonal,owned by the decedent jointly with another or others,including intangible,standing in the name
of the decedent and others,plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-owners to the decedent.
That Schedule F attached 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 consequence 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.
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.
Subscribed and sworn to before me this .
m _!.9.~I1..day OmmmJ""tlll':Ymm.19n...v::::..(E~;;;;;;;;;::~d__-.~/.~G.r.~.!?.~Ay.~.P.JJ.g __.
WANDA CARRltmTGll,NOHRY FUtllC (Street Number)
\'I'~"'''''n'l CnUt'TY Ch 1 .Pl'CHARLEROI BOp.n~Z:t ,""i.H.h 'I "\a.r.e.rO'.:L.,......e.nns.y v.an.~.a .
MY COMMISSIUN EXPIRES mUST 19,1912 (City or Town and State)
NOTE:Be fore 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 Th.listed securities,
securities of close or family corporations or an interest in any co-partnership or business,that the
data and statements required under the paragraph above relating to Schedule "B"are attached.Also make
certain that column #1 in the "Summary"has been properly completed as above-directed.
RCC-34 (1-64)~OMMQN,WEALTH O'F PE~NSYLVANIA
DEPARTMENT O'F REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSF~R INHERITANCE TAX
R'ESIDENT DECEpENT
..
SCHEDULE uA"
REAL PROPERTY
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the decedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
$13,500.oooiK /s5~tZ1
Vrt,j,'I '1 ~
The real property located In the Commonwealth 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 "FlO and must not be deducted from this schedule.
ALL those certain lots of ground situate in
the Borough of Speers,County of Washington
and Commonwealth of Pennsylvania,known as
Lots Numbers Three Hundred Fifty-six (356),
Three Hundred Fifty-seven (357)and Three
Hundred Fifty-eight (358),in the Maple View
Plan of Lots laid out by Charleroi Home
Building Company and recorded in the Recorder
of Deeds Office for Washington County,
aforesaid,in Plan Book Vol.6,page 204,
said lots being more particularly described
as follows,to wit:
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this spoce)
Beginning at a point on the Northside of
Grandview Way,upon dividing line between
Lots Nos.355 and 356,thence along said
dividing line in a Northeastwardly
direction One Hundred Forty (140)feet to
an alley;thence South 46 0 SO'20"East
along the South side of said alley for a
distance of Eighty-seven and Twenty-three
Hundredths (87.23)feet;thence along
the dividing line between Lots Nos.358 and 31 9
in a Southwesterly direction for a distance
of One Hundred Sixteen and Sixteen Hundredths
(116.16)feet to the Northside of Grandview
Way;thence along the North side of
Grandview Way in a Northwesterly direction
along an arc with a radius of Three Hundred
Twenty (320)feet for a distance of Sixty
and Three Hundredths (60.03)feet to the
place of beginning.
(See Deed Book Vol.636,page 205).
Having erected thereon a two-story stone
and wood house known as 270 Grandview Way,
Map1eview,Charleroi,Pennsylvania.
Insert this total opposite ureal property",Schedule uA"in the X X X X X
"As Reported"column on the last page of this return.
$13,500.00 /~SDO.OOr
RCC-35 '
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Intangible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household
goods,and furnishings,books,paintings,automobiles,boats,etc.)
Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,
stocks,mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay-
able to the estate or fiduciary in said capaci ty,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 outside of the State,at the time of death,should be listed in this schedule.
Item
No.
1
2
3
4
5
6
ITEM
List and describe fully
MacBeth Evans Division Employees Federal
Credit Union
1968 Buick Riviera Automobile
500 shares Diamond Oil Company common
stock
100 shares Werner Continental,Inc.
common stock
500 shares Metals,Science &Processing,
Inc.common stock
400 shares Colonial Floral &Gift
Shoppe,Inc.common stock @ 8.76
UNIT ESTIMATED DEPARTMENT VALUATION
VALUE MARKET VALUE (Do not write in
this space)
$1,655.63 ~f hSS":b3I
2,750.00 $i.2,?50 b0
No value
550.00 (f?-J.~SD.60
I
No value
3,504.00
()1);1:J
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X $8,459.63
COmlON '\'E.-\LTH OF PENNSYLVANIA
T~i~SFER INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDULE "e"
TRA.NSFERS
(1)Did decedent,within two years of death,make any transfer of any material part ofNSs 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)~NuO~_
(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 wp5ch was to take effect in possession or enjoyment at or after his death?
(Answer yes or no)NO
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)__
(b)What was the transferee's age at time of decedent's death?_
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or enjQyment of or the right to income from the property transferred?
(Answer yes or no)__N_o _
(b)The right to designate the persons who sha~cf0ssess 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 others _
(7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor?(Answer yes or no)&N~o:-_
(8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change,
because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)No
(9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserved in the decedent alone or the decedent and others?
(Answer yes or no)_
NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property
transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans-
fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based.
NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E.
ITEM DESCRIPTION
None
MARKET VALUE
(Estimated)
None
DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.None
CCM1>\UNWE,\LTH OF PENNSYLVANIA
'rm\N~F1::R TNHERI TANCE TAX
r~~IDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
nSTRlTTIOKS:This schedule must disclose all property,real and personal,owned by the rlecedent 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 decf'dent.
percentage Estate
Share Valuation
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Property Interest
1.Savings Account at Charleroi
Federal Savings and Loan Association
in the names of Janet Metz Forsythe
or John S.Metz $8,015.54
1-1..P--(,1
2.Checking account at Mellon
National Bank and Trust Company in
the names of Janet Metz Forsythe or
John S.Metz (Charleroi office)
IfJewcj )-fJ(P}..$}(,sj~·t7:g.
3.Checking account at Pittsburgh
National Bank (Charleroi office)in
the names of Janet M.Forsythe or
John S.Metz $870.94
~-J '--~}-
,
1 cfJ1,1J~4,007.7 ~~
-r·-~-----I.,
I
I
III
I
I
I
I
II
IIII IIIiIII!I I i
j I I IIII
I
IIIIII,
i I
i I IIIII
I I
I
I
I
I
1
II j
Insert this total opposite "Jointly Owned Property",Schedule ·"E"5:?.finthe"As Reported"column on the last page of this return.$5 218.6~/'0./,
Mc~'j7''(12-6'3)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
(
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnameSandaddresses?f all who illegitimate children DECEDENT OF BENEFICIARYaveaninterest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
----~--,-
Janet E.Forsythe .Daughter Yes Sui juris Residue
0
Deponent fUrther says that all the above-named beneficiaries are living at this time except below:
NAME
None
DATE OF DEATH RESIDENCE
OF THE
ESTATE OF
~IATTER OF THE APPRAISEMENT
JOlW .$.....~'l'Z.
Deceased
...
."L.t~~~o jl)...Cb
:1-'_:::1 '"Il'....til 0 .....
-.....:::I_CD jl)~
:t l ~~....J-'0'<l ~16:1 "1 "1· 0 ~g-16
·"1......!:!po ....
i:sHo'Q~HnIi<:
~~~Cb
(Exeeutor-Administrator
must complete "As
Reported"column #1.)
trltil....~g
GJ...~til
............Year .
Dl THE
(No.Will
Administration
Late of ....Borough of Speers................................................
REPORT AND APPRAISAL
Commonwealth of Pennsylvania
County of W~~.h~llg~C?Il
""'"00;.....o W;::T'::r·.::r:i
tx:l ::-
trJc:::::::>~
trJ trJ -<(")(")?"?"
~>:::-
.~
--EI9~-E/)-EI9-E19-E19
-EI9-E19-E/)-EI9-E/)-E19
.IId ..I)J I;()1 'J 1'1 !HSV,'t'
S11!i~'.:1 ~l r :.~.~,:~:~j U
o~:r(~~;:';I~.'r;2f:H
:N:-....1:..
'J-I:-....1,00;.
:N
0\
~'00 t:;~
v :\,;.'
N ~:+:,-'VI ~J-'0 'VI :0-0 ~
00 ::s :\00 Q ---~m ;.;.~
0\0\0 ~W :WO'::::
hO il :H::f •'''n I LJ,;I;JJ 4-
~l.....j ','I .'f·..;:./
:9--\
,,"-.::l
'!J
............
;"""Q
.~
'\~
RJ~
~
"~.:'1'
>.A..'"~~<v.j,tJ:l.{L ('t.-.~.~f{~.,.~2.~~~.Q §..~~-
i
..'
,..........------------_-.--_------------_--._-----_.-
DEDUCTIONS ALLOWED IN J
THE SUM OF ..',_.......$1.~(J.f)~7Q.
APPROVED " .."7.=~f~1¢
.."C 3-70 -/7d.-/~
STATEMENT OF DEBTS
AND DEDUCTIONS
JOHN S METZ Borough of SpeersESTATEOF•LATE OF ..:::-~_
DATIi OF DEATM --:F:....::e::.:b::.:r:..u=a=r..Ly---=.7....:l,"---=1::.:9:....:7:...;0::........_DATE OF FILING APPRAISEMENTJanuary,1971
OFFICE OF TME
REGISTER OF WILLS
WashingtonOF=-_COUNTY
.....,.
AND AGENT OF THE COMMONWEALTH
Form RC ColO
DATE N·O.OF NAME OF PAYEE REMARKS AMOUNT
I VOUCH""
I 1970
Feb.11 West Penn Power Electric bill 8 33
13 Mrs.LeRoy Slagle TraVe.L expenses -rrom 1".LOrUlc 100Itoattendfuneralpaidby 00.-,,""...."".-
I
16 Culligan Account in full 4 24
16 Bell Telephone Balance due 9 23I
17 Wolf's Men's Store Funeral clothing 10 48
18 St.Clair Hospital Hospital bill 75 00
2-3 Gulf Oil Amount due 5 72
24 Russell Marino,Register Probating will 19 50
March 3 Washington County Reports Advertising estate 14 00
3 Mon-va11ey Newspapers Advertising estate 10 00
April 1 Pa.Dept.of Ievenue Transferring auto title 16 00
1 Gulf Oil Balance due 5 72
17 Russell Marino,Register Short certificate 1 00
March 2 Harold Schrock Funeral expenses 1,885 00
5 Columbia Gas of Pa.Gas bill 17 00
May 8 Drs.Steph &Arnhaim Medical expenses 7 00
14 S.White Sons Marker 112 00
Dec.4 W.L.Wilson.M.D.Doctor bill 320 00
j~/l 6 Russell Marino.Register Short certificate 1 00.an
19 Woodward and Bassi Attornevs'fee 1,097 98
Notary Public Notarizations 10 00
:[+l~ng ~nventory t --r~rst and -
Russell Marino,Register f~na1 account.e c.22 00
(l.A .lA-'>£.'..If ~rA-.-£A A -1M yo,5''V
JhJo R76
TOTAL I~71:\1 I?o
COMMONWEALTH OF PENNSYLVANIA
}S.:COUNTY OF Washington
I..Janet E.Forsythe HEREBY CERTIFY.THAT.TO THE 8EaT OF
MY KNOWLEDGE AND BELIEF,THE FOREGOING IS AJUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSE!l OF
ADMINISTRATION SUBMITTED TO THE EST"TE of·Tohn S Metz .;DECEASED.AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES./<:z ~~2:;;.~
19th L /a.j.?JLr/?(f:?/I/~~.(L.6.1SWORNANDSUBSCRIBEDBEFOREMETHISDAYor'j!'~~1.~;;;-;:,.
WANDA CARRl~GTml.I:mARY PUBt!~
CHARLEROI nnROUGfl,r:,\SU;':GTOfl comm
MY CC:,U,!ISS\GU EXr:RES AUGUST 19.1912
.':#'*of .'"u;;'t:'2;-.""....
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF ~ITIN~OF APPRAISEMENT
Janet L.?orsyt,he
IN YOUR RE..LY ..LEA.I:
Ral"ER TO
)8-hS-5
J
In He:Estate of --.:::.J:::.o:.;h:::..:..n:....=S:..!.~F.:.::.e~t~z=___
______~\~·m~s~l~lln=·~c~t~o~n~county -File No.63-70-192
Dear Hrs.Forsythe,
You are herebY DO t i fi e d that the __....:::o=...r.=i;/::lgJ.,:·~n~a:.:l=---_
appraise me nt in the estate 0 f --loIJ~Ql..l.hn.IU....!oSLo..........l:.l:ei<.Jt""'z~_
has been filed in the office of the Register of Wills qf }lashitij;ton
County on February 22 ,19...1l.Said appraisement reflects the
following valuations:
RealEs tate -=1::..<3~!'"'"5..:::.0=.O%.,;.0::.;0::..-.__
Personal PropertY ~8~,~I,__5~9~6~3~----
Jt.Hd.~Jl'(~....E.2~.~2b~O~.~1~8 _
Tota1 2..:,.7..£.,_2_19.:...•.:...8_1 _
As to such tax that is paid within three months from date of
death,a five·(5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (5%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Dat e ..:.F~e~b:.=.r~u~al::...'.:..v.....::::.22:::..J-.....l=.97.L...Ll",,-__Signed __0_,_·U_·-f?""-J_·:_·~-'(I_"-_~"-;-'...:..::'<..::-.,-+=---7'fl-~......
Note:This is,not a bi II.
Title ALFlli.D 1'051.APPLLlJ.3Eh I
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
,til'
.~
RCC-39 (5-68)
I'
SUMMARY
.;.
Estate of_M=..=e;..t=..;z=--J::...;o:::..:hn.=::....$...:;;.DATE OF DEATH 2-7-70
(Last Name)(First Name)(Initial)
FILE NO.63-70-192
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__W,_a_s_h_in---=gt:....-o_n _
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.!J;.ul..~.!d ~~HERITANCE TAX APPRAIER .
2-22-71Dated:---=-=""--'-='--------
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum
allowed as a deduction.
Dated:_
REGISTER OF WILLS
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
VALUE AS REAPPRAISED
$-------+--
27,219 81
Valuation of life estates or
COMPUTATION OF TAXFORUSEOFREGISTERONLYTaxon$-+-__
Tax on $+-__
Tax on $----------+---Tax on $-+-__
Tax on $-+-__
Exemptions=========*===Total Estate ~--
TOTAL TAX
2%
6%
5%
10%
15%•
$--------4--
$--------+---
$--------4--
$-------+--
$--------+---
$----l.__
(.)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 $L
Add interest at rate of 6%from_____to $----J
AMOUNT OF ESTATE TAX ASSESSED $-------lL-
Estate tax paid $----Jl-
BALANCE DUE $-----lL-
Add interest at rate of 6%from E
-------1to-----$-------1
TOTAL TAX BALANCE $-------l
PAID $-1
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will !...No.AdmInIstration
IN THE
Year .
.....
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
...JQtIN ..:3 •..ME'I'2:....
Deceased
Late of .
County of
.SPEERS .
WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
.'
r
..'
•COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
(File in Duplicate)
.,-.
IN YOUR REPLY PLEASE
REFER TO
,Director
Bureau of County Collections
Department of Revenue
Finance Building
Harrisburg,Pennsylvania
Re:Estateof __--=J~o~hn::.:.....:::S..!.•..;.,:.:M:.:;:et.::.::z _
Date of Death _~2==-:..J..7=-L70l>!-_
County 0 f __----!v~Ia~s~h~ing:!!Qt.l!:o~n!.!.__
State File No._~6:..13::::-:.L.7.l::!:~::"l=!o.9£:.2:::.__
Dear Sir:
Pursuant to the memorandum of February 25,1958,concerning valuation
of closely held business interests,I herewith request your advice concerning
the value of the following:
A.Corporations
NAME OF CORPORATION
BUREAU USE ONLY
TYPE OF NO.OF INVENTORIED VALUE SUGGESTED VALUE
SHARES SHARES UNIT TOTAL UNIT TOTAL
1.
2.
COIpNLttL FLOHAL &GIFT SHOPPE,INC.Com.1.00 8.76 $3,504.~~J
CHARLEEOI,PA.'3/71
3.
B.Non-Corporate Interest
NAME OF BUSINESS ORGANIZATION
TYPE OF BOOK
BUS.ORG.VALUE INVENTORIED VALUE SUGGESTED VALUE
1.
2.
3.
Remarks:
.al data for all requests under "B"l
aPe rai sing any of the above described
Very truly yours,
OJ/~~'
I ~'-"-7~
..,,-.•.,~Inheritance Tax Appraiser
County of \'lashington
t
.,_.......
~~f'~~r ~.•"•
',:
11,".
J <r,..'..'
Enclosed is the av~i abl~~~j~
above and await your advice before
assets.~.,I"":.?"'l ~~"rr""""\,r:~'fi..•."J'J ~..JI.'L:
.".~'-?C.--t;l~-r-------i,.~".~
Fonn RCC -4?-RI
~__:T"""-'''-_.
Fonn RCC-2
-'
....'DEPARTMENT OF'REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE F.ebruary 22..,..l.971 .
COUNTY ~9.:~.hi.P.-gi..2.P.:.
FILE NO. .§?::::?.9.:~.?.~.
Whereas..JQhn ..s...•....M~t.~late of §p.~.~!.~.
in the County of W.?.!3..h;4lgt.9.~Commonwealth of Pennsylvania.having died on
the ~~.y.~~t-.h day of .f..~l?~~c:l..:r:-y 19 ..7.~seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore.I....................................ALFRED.....TOS.I.............................................................•an appraiser duly appointed according to law.
having been designated to make a fair and conscionable appraisement of the said estate.and to assess and fix
the cash value of all annuities and life estates growing out of said estate.hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years.the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future Interest.
Unit AppraisementDescriptionofAssetValuesMadeforInheritance
I
Tax Purpoles
$
REALTY:
See conv of schedule IIAII attached to annraisement 1'3.1)00 00
PEHSONAL:
See copy of schedule liBII attached to appraisement 8.459 63
JT.HELD:
See copy of schedule liE"attached to appraisement 5,260 18
total 27.219 81 I
.
i
I
I
I
._-------
Having been duly sworn according to law.I do h~reby certify that the above appraisement is made in con-
formity with law on this '5>JZd..day Of~~~~i~~.
•••••••••••••••••••••••••..••••••••••:;Q~.....••••..•..••••••••••••••••.......;~~:.
WASHINGTON County
\."
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
JOHN S.METZ............................................
Deceased.
Late of
SPEERS
Date of Death,?'":':'.7.'":':'.7Q..
Appraisemel!t Docket Vol........38J•••••••••••••••••••••••••••••••••••••••••••••••
Page,4?-:::?No §2.:?<?:~.??..
Filed in Register's 0 fJice,.......y.E:l?..~.....??........19....7.~
Amount 01 tax due $J •••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appra.isement,..
Appeal f"om Appraisement,..
Entered and charged,..
"
4
'('
~
RCC-72 (9-68)
COMMONWEAL TH OF PENNSYLVANIA
DE,PARTMENT OF REVENUE
BU~E-AU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
j
DATE April 8,1971APPLICATION(MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for Calsent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associalion located in Pennsylvania:
(Name of Decedent)
(a)SOO (b)Metals Science and Processing,Inc.(c)Common
(NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of
registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate
and maturity date of registered bonds.)October 19 1964
ISSUED ON November 24.19~~nd having a TOTAL MARKET VAilUE OF $None (inactive)
(Date)
as of the date of death of the decedent,_=J..c:..0..c:..hn:;::..:;....-=So....;:.=----=Me=:::....t=z=--,on February 7,1970
(Date of death)
who was late of 270 Grandview Way,Mapleview.Charleroi,Pennsylvania
(Street and Number)(Post Office)(County)(State)
The securities are regi stered as follows:__--..IIIJ~o~h.YncL.....ISoL...ilL.....JMlLJle~t..z'____
(Name or names in which certificates are registered)
A~~~--..IIIJ~a~n~e!!..!!t!!....-..A:E!U.l....-.AF'_'!o!!Ur!L!si!.,y"1__'t!!!.!h~e""+,--.:4:10!lOoL8~CCAlr.!lii!eclOl8C11tL-&]AUlve~nu.uUie'Y,~C....ha.-Jr.....1Io!eOLrlo..lo~i........._P.Le....DuunJCll8~y...l..!l!v~anl&Lloi.JlilaL-.EXECUTOR)(Name)(Address)
NAME OF APPLICANT Melvin B.Bassi.Esquire
COUNTY FILE NUMBER 63-70-192 ADDRESS OF APPLICANT 7 1 McKee A Due
t
BUREAU FILE NUMBER same SIGNATURE OF APPLICANT~~~~~B;:~~~~~_
NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION,IT WILL NOT B
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE April 8 1971
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521,\
\
as cimended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions \
of the Act of April 9,1929,P.L.343.
Thi's Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
(Signature)
Register of Wills Washing~on
(Title)(County)
RCC-72 (9-68)
COMMONWEALTH OF PENNSYLVANIA
DEPJCRTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS"
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE April 8.1971
,and having a TOTAL MARKET VAilUE OF $.....:5::...:5::...:0::...:.~0:...:::0=--_
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for CQ'lsent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a)100 (b)Werner Continental,Inc.(c)Common
(NOTE:In describing securities enter in (a),ab Ole,either the number of shares of stock or the face amount of
registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON April 9,1968
(Date)
as of the date of death of the decedent,....;J::..o-=-hn:...:....;:--=S-=...--=-:Me=..=t:..=z=----,on February 7,1970
(Name of Decedent)(Date of death)
who was late of 270 Grandview way,Mspleview.Charleroi,Pennsylvania
(Street and Number)(Post Office)(County)(State)
(Name or names in which certificates are registered)
~Janet E,Forsythe.408 Crest Avenue,Charleroi,PennsylvaniaEXECUTOR)(Name)(Address)
NAME OF APPLICANT Melvin B.Bassi,Esquire
701 McKean Avenue
COUNTY FILE NUMBER 63-70-192 ADDRESS OF APPLlCANT--'~~ap:~-'fi!mll8J~bUA--
BUREAU FILE NUMBER same SIGNATURE OF APPLlCANT-v-c"..L=~=~;;a.h~------!.--_--
NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS AP ICATIO,IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE April 8 1971
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the fi ling of a certificate certifying to the payment of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521,
as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions
of the Act of April 9,1929,P.L.343.
This Consent to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Register of Wills Washington
(Title)(County)
't..,
i\ffi~auit (@f 1£xerutnr (@r i\~minilitratnr
t;tate of Jtltltuyluultiu,t ss:'
ClLuultly of muu~iltgtolt \''
P all: b f h d . d h'Notary Public .d f 'dersony e ore me,t e un erslgne aut orlty,a~1n an or sm
County and State,appeared J.~.!1.~~~..,F..Q.*.§.y.t..h~who,being duly
sworn according to law,deposes and Says that S he is the executor or administrator of the estate of
......J.Qh.Q ~..~:M~.~.~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of ~.J..Qh.u S..r.Mg:t.~,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item
of real and personal estate in the foregoing schedules are determined and stated by the undersigned to
be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each
item made by the above named Executor ~.
day 0~.~.~:..:~::;~~.~~..~.~~;~.1~{this l.2.tn..:...l .
Executor-~
.................i .
ADDITIONAL INSTRUCTIONS
1.An inventory must be filed within three months after appointment of personal representative.
2.A supplemental inventory must be filed within thirty days of discovery of additional assets.
S.1 OrIginal and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COpy
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
lJuueutnry anb .Appraisement of the goods and chattels,rights and credits which
were of ;J..Q.b.P,.S...t M~.t;;g JC!lf!of;';a.Q.t:Q.ygh Q.f S.p..~.~.*-.~L .
Washington County,Pa.,taken and made in conformity with the above affidavit.
DOLLARS CENTS
REALTY
ALL those certai~1p~s of 'ground sttuate ~r the Borough of $13,5 0.00
Speers,County of Washing~on and Commonwealth of Pennsyl-
vania',known as Lots Numbers Three fiundred Fifty-six (356),
Three Hundred Fifty-seven (357)anq ,Three H4ndred Fifty-
eight (358),in the Maple View Plan of Lots laid out by
Charleroi Home Building Company and recorded in the Recorder
of Deeds Office for Washing~on Co.unty,aforesaid,in Plan
Book Vol.6,page 204,said lots being mor~particularly
described as follows,to'wit:
Beginning at a point on the Northside of Grandview Way,
upon dividing line ,between Lots ~os.355 and 356;.thence
along said,dividing line in a North~astwarqly dire~tion OQe
Hundred Forty (140)feet to'an alley;thence South 46°5QI
20"East a1~:>ng'the South side of'said alley:~or a"~istarice
of Eighty-sev!i!n and Twenty-three Hundredths (87.~3)feet;
thence along the dividing Jine between Lots Nos.,3~8 an~
359 in a Southw~sterly direction for,~distance qf One '
Hundred Sixteen and Sixteen Hundred~hs (116,16)~eet to ~he
Northside of Grandvie~Way;thence along the North side qf
Grandview Way in a No~thwester1y ~ire~tion~long ~n arc
with a radius of Three Hundred Twenty (320)feet for a
distance of Sixty and Three Hundr~~~hs (60~P3)fe~~tq Fhe
place of beginning.. .<':
Having erected thereon a tw~-stofY ~tone and wood house
known as 270 Grandview rTay,Mapleview,Char1eroi'~'Pennsy1vania..:;.,':;.",'.'I}.',
!:"..,;~.t-j:',;,.'1 t-
PERSONALTY
1.MacBeth Evans Division Employees Federal Credi~Union
2.1968 Buick Riviera automobile!
3,500 sparea niamond Oil Company fommon sFock
(See Scliedule "A")
$1,655 63
2,750 00
No va ue
I
I
I,
I
Jl
SCHEDULE "A"
;l..'+
4.100 shares Werner Continental,Inc.common
stock @ 5~bid
5.500 shares Metals,Science &Processing,Inc.
common stock
6.400 shares Colonial Floral &Gift Shoppe,Inc.
common stock @ 8.76
$550.00
No value
3,504.00
TOTAL PERSONALTY $-8,459.63
1.
TOTAL INVENTORY AND
APPRAISEMENT
$21,959.63