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Home My WebLink AboutOC1970-0729 - ESTATE OF URBANSTATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The within named Accountant being duly sworn according to fowl ~epose and say that the above account t t d ' d .they ..,b ,.as 5 a e IS true'an correct as veri y e leve, Sworn and subscribed before me thiS..~.fd.... day ,of ~~.~x.19LQ . ~.~~'.;;€~+------ .,MO ONGAHELA,WASHINGJON CO~~~~.,•t i MY COMMliSltlN EXPIRESAI'RIL !l.19'73 Member,PennsylvaniaAsso,iationofNetarlea iio 10:q...(.!l~ ;0 :'8m:~ :~ 'r;i1 'C•I::l:oj ,...,CD...,rn:'M:cD!P::(>5~~t), o ,...: ...,...::lo Co) ~Eh1 r1 : ~,•..4....._, °t~~r ,I .,1 I do certify that I have given legral notice to all persons 1, concerned of the filing of the within account in the manner," prescribed by Statute and Rule of Courtl as evidenced by prooh! thereof filed to No '-..J.:..2(L:..3.ZQ , Witness my hand and official -seal thiS..,31f!!!:!:.__.u ------------------C\iYi----;-1910_.U£2o.J!71lf£l\v(\l}:!.. ,Register of Wills day oL.... REGISTER.OF WILLS ~JASH1NGTON CO .•PA" S1-rO'Il!!'?0'VUL .s-!) \ I I . t -Walshington CountYI 55: '"I - ...., 0..., I::l Uli::l0 Ht) '01 t)0;<+J; N B:(!)!~1 ::;sj x;~~! 'i 0 z ~!~: f.q ~01~Eo<I=Q ~i U i <~~; Eo<Z 9 ~iw.<r:u; I i r;i1 i=Q ~'i:l H; P::I=:~!~:::J H ro~zi~i <r:~<r:,'>Hi ~!~~~i 1-), 0Z ..1ii, '\",.'.- J -,\"'. -------------------------------------------------------- ., .II' " ." , \'\ \ - THE FIRST AND FINAL ACCOUNT OF WILLIAM URBAN AND JEAN WICKERHAM,CO~EXECUTORS OF THE ESTATE OF EVA URBAN,DECEASED,LATE OF MONONGAHELA, PENNSYLVANIA.Date of Death:July 19,1966 The Accountant is charged as follows: PRINCIPAL PERSONALTY To Amount of Inventory and Appraisement INCOME PERSONALTY Non e PRINCIPAL REALTY To Amount of Inventory and Appraisement INCOME REALTY Non e TOTAL CHARGES $378.94 5,000.00 $5,378.94 The Accountants claim credit as follows: Preferred Debts and Other Debts and Taxes,as shown in Schedule '-'A"'.$1,905.60 TEMPEST &SIMMONS . 223 SECOND STREET MONONGAHELA,PA. TOTAL CREDITS BALANCE FOR DISTRIBUTION $1,905.60 $3,473.34 SCHEDULE "A" Administrative Expenses; 7-27-67 7-27-67 8-4-67 8-4-67 7-28-70 7-28-70 7-28-70 7-28-70 7-28-70 7-28-70 7-22-66 Josephine M.Douglas Guy Rogers Washington Record Co. Daily Republican Russell Marino Russell Marino Tempest &Simmons Tempest &Simmons Recorder of Deeds Recorder of Deeds Preferred Debts: L.M.Frye,Co. Other Debts &Taxes: Probate Probate Advertising Letters Advertising Letters Filing Inventory Filing Account Attorneys'Fee Preparing Deed Recording Deed Transfer Stamps Funeral Bill $12.00 15.00 12.50 12.50 3.00 15.00 250.00 25.00 7.75 40.00 "$392.75 $1,180.00 7-22-66 7-22-66 7-22-66 Russell Marino,Treasurer James W.Gee Tax Collector James W.Gee Tax Collector County Taxes City Taxes -1966 School Taxes -1966 $48.01 80.56 166.28 7-8-66 TEMPEST &SIMMONS 223 SECOND STREET MONONGAHELA.PA. Long-Warne Agency Fire Insurance 38.00 $1,905.60 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 state, ...~E:l.~.rl...~.l:!Q.mIH:l9JL,who,being duly sworn,deposes and says:thaL..J'!~E:l...:...is the 't?Q.Q~~~P~.~of The Monongahela Publishing Co.,a Pennsylvania corpora- tion,and its agent in this behalf:that the said company is the publisher of The Daily Republican,published daily except Saturday and Sunday,having its place of business at Monongahela,Washington County,Pennsylvania;that the said Daily Republican was established in the year of 1846;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 newspaper in its regular issues on.the following dates: THE DAILY REPUBLICAN MONONGAHELA,PA. PROOF OF PUBLICATION ~.".ESTATE NOTiCe:ESTATE OF EVA URBAN de.'~esaed,late of Monongahela,Wash."mgton County,Pemlsylvanla.: Letters Testamentary upon theaboveestatehavingbeengrantedtotheundersigned,all person.hav: mg claIms against the estate are'requested to make known the .ametotheUndesignedorhisattorneyandallpersonsindebtedtothe',decedent are requested to make'payment to the undersigned without'delay, William Urban and JeanWickerham,Co·Executo...\.500 Park Avenue ,,'Monongahela,Penna.15063TEMPEST&SIMMONS,Attys.223 Second Street jMOnOngaheJa.pen.na.15063Aug.8,15,22,19.67•..._ ...........~.~~.~.~~.~~2.t ~?L.~9~7....... Estate of Eva Urban that the affiant or the corporation in behalf of which ........~h~.....is acting is not inter- ested in the subject matter of said notice or vertising and t ~t all of the allegations of this affidavit as to the time,place and ar ter T til iication are true. ma:do~u~s~ef~reme this '''RlEI CHATf~OjjjiY·""iC·······"'..-D-t,AA- MllHONGAHElA,WASP.INGTON COUNTY MX COMMISSION fXPIRES SEPTEMBER 14,1967 (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) ~ Washington,Pennsylvania Washington County Reports iff PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON) STATE OF PENNSYLVANIA (SS. Personally appeared before me,a Notary Public in 'and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,publisbed weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COVNTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement,exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: .......!.\Ugu.s.t.1Q.,~.7.,~.4..,J..9.9.7.. ..... Estate Notices The Register of Wills has granted letters, testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t'hem for settlement to the Executors or Admin- istrators or their Attorneys. • • • • • •e •••••••••• URBAN,EVA,Dec'd. Late of Monongahela,Washington County,Penna.Executors:William Urban &JeanWickerham,500 Park Ave.,Mononga-hela,'Pa.15063Attorneys:Tempest &Simmons,223Second,St.,Monongahela,Pa.15063 that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to the time,place and character of the publication are true. .~Uf---iQ--IJdI~ Sworn to and subsc~me this ~~ 24th.~"'li_".!:_u~s~t~==-.-t'~11L-:::::~~~:::e:::::::::::,l~ Not Public KATHERINE C.YARD,Notary Pu Washington,Washington Co.,Pa. My Commission Expir~s November 1,1969 F mommoulUru1t~of ,rUU5YiuUUtU.}llIIIU5~iu!1tou monutg.55. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid J Josephine M.Douglas on the 24th .day of July A.D.1967 ,before me, ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pen~sylvania, the last Will and Testament of Eva Urban late of Monongahela in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and William Urban and Jean Wickerham the Executor in said Will and Testament named,having appeared before me and taken and subscribed the oath of office prescribed by law; , grant these LETTERS TESTAMENTARY,unto the said NOW,THEREFORE,I,Josephine M.Douglas ,Register as aforesaid,~o committing unto them William Urban and Jean Wickerham the administration of all and singular the goods and chattels,rights and credits,which "were orsaid deceased,and requiring them to exhibit'a true and perfect-inventory thereof into the Register's Offic'e,at Wa'shington,within ninety ". days from the date hereof,and to render a just and true account of s'aid administration at the expiration of six months from the "date hereof,and to regard and comply with the provisions of the laws of this "ICommonwealthrelating'to inheritance taxes.. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this t day of July'· ,-..-<.. 24th I III the year of our Lord one thousand nine hundred and r' LAST WILL AND TESTAMENT I,EVA URBAN,of the City of Monongahela,Washington County,Pennsylvania,being of sound mind and memory,do make,publish and declare this my Last Will an~Testament,hereby revoking any and all wills heretofore by me mdade. FIRST:I-direct all my just debts and funeral expenses to be paid as soon as conveniently may be done after my decease. SECOND:All therest,residue and remainder of my estate,real,personal or mixed,wheresoever the same may be found, v'I give,devise and bequeath in equal share amto my five children: v William Urban,my son,of 4,96 Cuff Alley,Monongahela,Pennsylvania; Jean Wickerham,my daughter,of Crescent Hill,Pittsburgh 22,Pennsy- lvania;Benjamin Urban,Robert J.Urban and Edmund Urban,my sons, all of rear 1115 -4th Street,Monongahela,Pennsylvania. THIRD:I hereby nominate,constitute and appoint my son,William Urban,and my daughter,Jean Wic~erham,as the Executors of this my Last Will and Testament,and further direct that no bond shall be required of them. IN TESTIMONY WHEREOF,I,EVA URBAN,have hereunto set my hand and seal this .. 21st day of March,1953. ,b;va Urban I (SEAL) Signed,sealed,published and declared by the said EVA URBAN,to be her last Will and Testament in the presence of us who have hereunto subscribed our names at her request as witnesses the~e- unto,in the presence of the said testatrix and of each other. Palmera Williams Louis R.0EEenheim .,. I b _~ .....,.... tJ:j ~<:. ~l"!)..... q .....l"!) :::0 ~ tJj t=~ITI t 21 C/l El-I»l"!) -I t=..ITI ..... 0 ~ "TI al"!)=..... .'..~..~= 'J ~lt t4r <1tnurt nf <1tumtttnn JUrun nf lfus4ingtnn <1tnunty ®rp4unn'<1tnurt 1Diuininn In the matter of the Audit of Account in j Estate of Eva Urban TO THE AUDITING JUDGE: No.729 of 1970 Enter__.....;O~u""'-'!::r ,appearance for William Urban &Jean Wicherham,Executors _.TEMP;ST~ N.B.-Counsel shall,by separrute pape,r,present a concise statement of each claim,wHh supporting ca IcuIa ti0 n of any interest claimed.Objections to an account as filed,shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. No.729 of 1970 In re Audit of Account in Esta,te of Eva Urban AUDIT .'rurripr fnr i\ppruruurr FOR William Urban Jean Wickerham,~Jr~.:!E ::;:;,~. 3>il7l ::u (n .r.">C c:::>.......'-J-i::::r::--v'--4 -vI"')(n ~n Z--i rn --~. "".~i --it f-i -,-.,t£)o ;;,-t...,.J ...:;;'l K ""'"'C- o }:>::i:oZ::;:u r-z-or-al><n ~2 f""J tonc::::) Attorney Testate Form PETITION SU R AU DIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY ) Estate of l?Y..~yE~.':":~___.---------------.-- Deceased No._..?~-~-...9J..J~.?.Q ... . .Wiiiiam Urban and JeanFlduclary..___.._____ . Wickerham,co-executors ......-_-__--_---_..-----___-__-_. Date of Date of D d 'd h July 19 1966 G f L,tt July 24 1967eceents-eat ._l _ _..__rant 0 e·ers _ ___'-.. This is the J~.:ir.~.t.._'~m..d.f.iD.9,.l._account filed in this estate If there have been former accounts filed in this estate,list file number or number and term__N~.1);~..__. Election to take Under or Against will.(cross out one) Date Election Place.of; Filed _..N.o.u_e__..___Record __ . N f . .Noneame0surVIVingspouse..__ ____.__._.._... .._.__. .__..___.. .__... List issue,where material:Not material Did decedent marry after execution of will?(indicateXX){~No.Any children born after execution of will?(indicate) X'K~.No.If answer yes,name them ___._.___.__.._ _... . -__-_-__-_____._--__--__---__-__--..--___--..--____-----. Legatees Relationship Interest Fiduciary,if deceased or not sui juris Jean Wickerham Daughter one-fifth None111SpringGroveRoad Pittsburgh,Penna.15235 William Urban Son one-fifth None 500 Park Avenue Monongahela,Penna.15063 Benjamin Urban Son one-fifth None 1115 Fourth Street Monongahela,Penna.15063 Robert J.Urban Son one-fifth None 120 Vernon Ayenue Belle Vernon,Penna. Edmund Urban Son one-fifth None1110CorrinAvenue Monongahela,Penna.15063 NOTE:The above named Jean Wickerham,William Urban,Robert J.Urban and Edmund Urban have executed a Release of any interest they may have acquired by virtue of the Last Will and Testament of Eva Urban and assigned any said interest to Benjamin Urban,one of the above named Legatees.The said Renunciation and Release is attached hereto. List,if exceptions to above: If partial intestacy,give facts: Adeemed:Revoked: None None 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.2NbX If any exception give cause:....Al.l...leg.a.t.ee.s...haY.e executed a Release of any interest they may have acquired by virtue of the Last Will and Testament of Eva Urban to File copy of Notice Benj amin Urban. and date of mailing . 1--..IS eSTaTe sUOJecT TO the tllmg ot a t-ederal tstate I ax Keturn?.N-o-··············.···.··········.····. I,Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $NQn..~. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant N.9.n.~. Give Names and addresses of all unpaid creditors who are legally entitled to notice,tog,ether 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: .J 'J Total additional debit~(Addl Itemize.;any additional.credit,s not shown by account: '., Total additional credits (Subtract) Balance for distribution $ _..__..N.C?~~. $__.._.._NQ.lJ.~. $3.,.4.7.3.•.34 1••••••••••• -. $~.1.~.7.J }~. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); ALL that certain lot or parcel of land situate in the Second Ward of Monongahela,Washington County,Pennsylvania,known and designated as Lot Number 10 in the Corrin Plan of Lots,which plan is of record in the Recorder of Deed's Office of Washington County,Pennsylvania,in Plan Book.Volume 5 , Pages 190 and 191,and upon which there is erected a dwelling house known as 1115 Fourth Street,Monongahela,Pennsylvania.The appraised value is $5,000.00. -.- .-~-' If Fam'ily Exemption claimed by Petition,give place of Record:~.~!}.~. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:N.on.e . List any advancement or distribution on account that has been made,and nature and amount of same: None Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: The executors and all the heirs of the Estate.ofEva Urban,executed a Deed to Benjamin Urban,one of the Legatees,conveying any and .all interest they may have acquired by virtue of the Last Will and Testament of Eva Urban,deceased.The said Deed is dated December 18 ,1969, and recorded in the Recorder of Deed's Office of.Washington County, Pennsylvania,in Deed Book Volume):>21,Page /l3t . It is requested that the Decree of Distribution note that the real estate has been conveyed to Benjamin Urban and Helen Ann Urban,his wife, and that all the expenses of the Estate have been paid by the Executors to the extent of the cash noted in the inventory and all other bills, including the inheritance tax to be paid is to be paid by Benjamin Urban, one of said Legatees. COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly _$.W.Qr.11 _ _doth depose and say that the facts set forth in the foregoing petition are true to the best of ht~knowledge and belief. .............S.WORN to and subscribed before me this.-!c;..Lay of $.~:p.t.e.mb.~r 19.?Q . Signature of Officer...G~~~.T;tl~01 Ollicer"1-~~:;.~' Office exPlres M~l1:~r.WASffIN(lruN"tOUNff . ,My COMM"SI6N EXPIRES APRIL 9 197" Member,PennSYlvania Assooiationot N~ari': And your petitioner will ever pray,etc. .__.M~_I/~.._..._ William Urban,Executor ........................................................................................................-.:-. No.729 of 1970..------_--_-..-_--__-_. .......; ~. ,,,.,./' .r ,.. Estate of EVA URBAN----_- ----_.-------~----_._. Deceased Fiduciary..W.il.liaOL.Urb.an..and . ..~.~.~~...~~~.~~Eh~.~.'-._.~9_::~.~~.~~.t.~~_?_.·.. PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following/in conformity with Court Rules adopted effective December 3/1951/being rule No.9:pa rag raph b-c;,and divisions thereof:shown on pages 23-24': 1.Written praecipes of all'Counsel in the case.I 2.Copy of order appointing Guardian ad litem/if pertinent. 3.Copy of Order appointing Trustee ad litem/if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. ~EST &SIM~!.:~~;- ~2 'Vd "00 NOl.:JNIHSVM Sll!M .:10 831SI~3U ONltlVPI T1JSSnH OS 2 I~!d 6/1JO OL 'C13"'JIJ ...~.\ -J IN THE COURT OF COMMON PLEAS OF.WASHINGTON COUNTY"PENNA. ORPHA NS'COURT DIVISION,. TIME: the attorney is Clyde G.Tempest. deceased. MR.TEMPEST: ,. d I IN RE: ESTATE OF EVA URBAN, :$Deceased.z~....>-01ZZIIID. i~BEFORE: Clzi01~ t-=A PPEARA NCES:uii:I-!!!c ....0(oQ ;) ." :I:I::l\I ui~THE COURT: 0:oD.11/0: I-0::JoU....0(oii:II.o ) ) )No.729 of 1970 .) ) ) .) HEARING ON AUDIT THE HONORABLE P.VINCENT MARINO,J~dg.e.. of the said Court. CLYDE G.TEMPEST,ESQ.,of Monongahela,P!1., representing the Accountants; Thursday,September 17,1970,at 10:00 o'clock A.M.,EDST. Number "129 of 1970,.the estate of Eva Urban, The Executors are William Urban and Jean Wickerham aJ d Mr.Tempest? If the Court please,I have prepared all the neces~ary papers in this estat e.I'd like to advise the Court exactly what we die with the Inventory.There was a small amount of cash and a residene e house tJltlilt the decedent had lived in.All the heirs and the Executors joined in the deed and I have attached a copy of that deed here conve~ing it to one of the heirs,one of the sons.His name is Benjamin Urban. And it names Helen Ann Urban,his wife,as also a grantee.There - were five children.The other four exeClted Renunciations under this Will.So the entire distribution will be awarded to the one heir,the grantee,under this'deed.All the debts havebeen paid and there will be, 2 however,the Inheritance Tax to be figured.We respectfully request he Cou:rt to figure that as no payment has been made on Inheritance Tax (, e 0(z0(. >...>-III Z Z11/II. i0I-l!lZiIII0( ....-.........#.~~ ..=u ii:;I-!!!ce...0( Uii~., :I:I::N THE COURT: MR.TEMPEST: THE COURT: decedent's estate? THE COURT: Court. There are no outstanding claims? No outstanding claims. Is th~~e anyone else in Court interested in .this (NO RESPONSE) The audit of this account is !!larked closed by the ( AUDIT CLOSED I hereby certify that til¢proceedings and evidence ~r4!f cOI1tained uill:11/l-ll:oII. 11/ll:.~fUlly tlnd accurately :in the notes tak(l"n by ,ene on the hearing of the above ~.ou~cause,and that this copy 10 a correct transeript of the uamc. oii:II.o Tho foregoing record of tb prooeedinza upon tho hearing of the above catu:ae is hereby.pproved and directed to bE:rUed. By the Court. In t4t mnun nf Qrummnn Jirus nf lIus4iugtDn mnunty, Jrnttsylttttnitt,(@rp4uns'moun Ilittininn J ESTATE OF Eva.Urban, deceased. N 729 of 1970O._---.!.~__=_=_~...l.....::_ In the matter of the Firs t and Final Account of William Urban &Jean· Wickerham,Executors ADJUDICATION AND DECREE And now October /f·,19.--79,this matter came on for hearing, audit and distribution at this session and testimonytaken;and thereupon,upon due consideration thereof4the b~lance for distribution in the hands of the Accountant is determined to be $3f _73·34 .and the account is ac cording Iy confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDULE OF DISTRIBUTION Balance per account _ Balance;_ Deduct Clerk's Costs &Receiptso-_ Afttorney ..;:.C=l'"""y....::;d=e----"'G~,__=T..;::e~m.p..;;;e~s..;:t~_ Russell Marino,Clerk O.C.,costs in certifying real estate to Recorder, Recorder of Deeds of Washington County,costs recording certification of real estate and registering same, Russell Marino,Agent,transfer inheritance tax,$68.87 Interest from 10-19-68 to 10-30-70 8.39 Benjamin Urban (and Helen Ann Urban,his wife,) real estate as hereinbelow described,Distri- butee takes the real estate,an undivided 1/5 in his own right as legatee under the will as a son;an undivided 1/5 interest llil"OiIl~ji!e8n<;;Wic kerham as assigned Who would otherwise be en- titled to an undivided 1/5 interest as daughter- legatee;an undivided 1/5 interest from William Urban,as assigned who would otherwise be en- titled to an undivided 1/5 interest as son-leg- atee;an undivided 1/5 interest from Robert J. Urban,as assigned,who would otherwise be en- titled to an undivided 1/5 interest as son-leg- atee;from Edmuad Urban,as assigned,Who would otherwise be entitled to an undivided 1/5 in- terest as son-legatee,per paper filed and re- cordeq·~in Deed Book 1321 page 1134,Washington County Recorder of Deed's Office,any costs, taxes and administration fees unpaid to be paid by the aforesaid Benjamin Urban,grantee and assignee, No balance -/ " .- 0 ~ ....~-~ (_:l ,Z n ..-to ~ ~ 0 ::; i c CD :l 3 0 ... 0 0.............-to t'\ -+CD ~- .. t .-.....0 er -t\ -+ .'.== ::; .. CD ~=Cf ~ti~~ r ,') -) 1, \ ~r . -, r • _r '\I r ' REAL ESTATE TO BE CERTIFIED 'ro THE RECORDER OF W SHINGTO COUNTY BY THE CLERK OF THE ORPHANS'COURT DI ISION Eva Urban,devisor,to Benjamin Urban,devisee 0 an und vided 1/5 interest;to Jean Wickerham,devisee of an undivoded 1/5 interest and grantor of same to Betjjamin Urban,aforesaid;to Wil iam Urban, (i.dev.isee of:an undivided 1/5 interest and grantor of same to Benja- ",.I-\1 mirl;Urban~aforesaid;',to Robert J.'Q'rban,devisee of an divided t of·theBenjaminUrbanaforesaid,thus placing the entir subject real estate into Benjamin Urban (and Hel n Ann U ban,his wife,)by virtue of paper dated December 18,196 orded in Recorder's Office in and for.Washington County,ennsylv nia in Deed Book 1321 at page 1134;parcel represented eing a1 the right, title'and interest of the devisor in parcel as VIZ: 1/5 in'terest and grantor of same to'Benjamin fWrb n,~;af9r'~a-iCh;lU1t,¢Edmund Urban,devisee of an undivided '1/5 'lnterest and rantor f same to te in t e Second sylvani ,known in Plan of Lots ALL that certain lot or parcel of land which se,id Plan is recorded in the Recorder[i,s Of ice of aid Wash- Ward of Monongahela City,Washington County, and designated as Lot Number Ten (10)in the ington County in Plan Book Vol.5,pages 190 and 191,an which said Lot Number Ten (10)in said Plan is bounded and des ribed as Fourth four tenths e of Ninety- Lot Number the uniform width of said Forty-five (45)feet, four and one tenth (94.1)feet along the Souther Nine (9)in said Pla,n,and a distance Street in said Plan;and extending Eastwardly th refrom,preserving follows,to wit~ FRONTING Forty-five (45)feet on the Easter (99.4)feet along the Northern Line of Lot Numbe Eleven (11)in said Plan,to the Western line of Lot Number For (48)in said Plan. THE PROPERTY hereinabove described is hersb under and SUbject to the Oil and Gas Lease,the exceptions and eservations of coal and the building restriction set forth and contai ed in Deed 0 ~\ .....~~ :J Z n ..,.~ 0 ::T' YO+. C CD ~i :J 3 0 .... 0 0 ;:::...........::+CD ~ ... t ,~ '0 ,. i .......,. ;: ::T' N CD ~ ~~ ~a~ I . r I • of D.H.Borland,et al.,to Vincent Urban,date~Ma.y 10 1924,and recorded in the Recorder's Office of said Washin~ton Com~ty in Deed Book Vol.521 page 155. BEING the same parcel of land that was convleyed to incent Urban and Eva Urban,his wife,by Beed dated April 20,1935 and re- corded in ,the Recorqer of Deeds Office of Washin~'ton COUl ty,Penn- sylvania ip Deed Book Vol 600,page;75.The saild Vincen~Urban, died on the 15 day of Novembe,r,1951,thus vestitJ.g all tl'e right, title and interest in the above described premisleS in hi wife,Eva Urban,by virtue of her right of survivorship. The actual consideration for this conveyanc~is $2,'DOO.00. This Deed has been executed pursuant to the Fiducia~ies Act of 1949,Section 541,whereby the personal representatives 1 re author-:.ized to sell any real estate specifically devise~subjec to the joinder of the specific devisees. CERTIFIED TO RECORDER:OCTOBER 16,1972 32 0 ~:3 Z......9>,q'.~n '"!' 0 'J~c (1)ty -0~fI '"!'a 3§:.(1)00o·=1:............(1) ~.... ~0,~,...... '"!'J(1).. t :: ~.)N ~ S~~.~.~ 0 Ll'"'J 0 (J)<! -l CLZ-l("'\.1 -tt'.0-~:=:...,:-~c· 0...."'<;I-I:...-,.'"..l.0 ...- P C"J_1 ~.~-en ,L....J c::>Lit I-z~,,f).-(/)_.1 "-_I CI)-'-c.,::>'-"(J) c:r.:tJJ <CJ c:::..,~~.!...L l""-e. ~... 11 •..; ~,~, ... "..' ," .'. RECEIPT FOR DISTRIBUTION AND RENUNCIATION OF IN- TEREST UNDER WILL. 'Vd "00 N01::JNIl-!S'th\ SllJh\.W \~IJJ.SIO::J(l aNi ;:]\;;T::;'SIll:! ~ L--. '.. 'I'I TEMPEST &SIMMONS ATTORNEYS AT LAW 223 SECOND STREET MONONGAHELA,PA.15063 .;:os .i"·,tIii."~'I,":J" 'til L~ -)".c.~!d ~rl \J fi I 130 OL !.~:J ( TEMPEST 8<SIMMONS 223 SECOND STREET MONONGAHELA,PA. " RECEIPT FOR DISTRIBUTION AND RENUNCIATION OF INTEREST UNDER WILL WHEREAS,Eva Urban died on July 79,1966,at Monongahela rWashingtonCounty,Pennsylvania,and her Will dated March 21,1963 was duly probated in the Register of Wills Office of Washington County,Pennsylvania,on July 24,1967,and WHEREAS,in and by the said Will the decedent gave and devised all her Estate to her five children,namely,William Urban Jean Wickerham,Benjamin Urban,Robert J.Urban and Edmund W. Urban,and WHEREAS,the total Estate consisted of a house and lot having an appraised value of $5,000.00 and a checking account in the Western Pennsylvania National Bank in the amount of $378.94, and WHEREAS,it has been agreed by all the heirs of Eva Urban,deceased,to grant and convey to Benjamin Urban and Helen Ann Urban,his wife;the real estate which is included in the Inventory and known as 1115 Fourth Street,Monongahela,Pennsyl- vania,and WHEREAS,said Deed has been properly executed by all the heirs in order to properly effectuate the transfer. NOW,THEREFORE,the Undersigned for and in consideration of the sum of $1,000.00 to each of them paid by Benjamin Urban and Helen Ann Urban,his wife,the receipt of which is hereby acknow- ledged,the said undersigned do hereby renounce and disclaim all right to take any interest in the remainder of the Estate,if any, and do hereby release the said Executor or Executors of said Estat from any and all claims the undersigned may have under the law or the Last Will and Testament of Eva Urban,deceased,against the Estate and said Executors. seals IN WITNESS WHEREOF,we have hereunto set our hands and this 2 '!day of r=r.,1970. -TEMPEST Be SIMMONS 223 SECOND STREET MONONGAHELA,PA. "-2- TEMPEST &SIMMONS 223 SECOND STREET MONONGAHELA,PA. RECEIPT FOR DISTRIBUTION AND RENUNCIATION OF INTEREST UNDER WILL WHEREAS,Eva Urban died on July 19,1966,at Monongahela, Washington County,Pennsylvania,and her Will dated March 21,1963, l _.. was duly probated in the Register of Wills Office of Washington County,Pennsy~vania,on July 24,1967,and WHEREAS,in and by the said Will the decedent gave and devised all her Estate to her five children,namely,William Urban, Jean Wickerham,Benjamin Urban,Robert J.Urban and Edmund W. Urban,and WHEREAS,the total Estate consisted of a house and lot having an appraised value of $5,000.00 and a checking account in the Western Pennsylvania National Bank in the amount of $378.94, and WHEREAS,it has been agreed by all the heirs of Eva Urban,deceased,to grant and convey to Benjamin Urban and Helen Ann Urban,his wife,the real estate which is included in the Inventory and known as IllS Fourth Street,Monongahela,Pennsyl~ vania,and WHEREAS,said Deed has been properly executed by all the heirs in order to properly effectuate the transfer. NOW,THEREFORE,the Undersigned for and in consideration of the sum of $1.00,and other valuable consideration,to each of them paid by Benjamin Urban and Helen Ann Urban,his wife,the receipt of which is hereby acknowledged,the said undersigned do hereby renounce and disclaim all right to take any interest in the remainder of the Estate,if any,and do hereby release the said Executor or Executors of said Estate from any and all claims the -" undersigned may have under the law or the Last Will and Testament of Eva Urban,deceased,against the Estate and said Executors. IN WITNESS WHEREOF,we have hereunto set our hands and seals this day of ,1970.--------- 7<!JJL~(SEAL) William Urban TEMPEST &SIMMONS 223 SECOND STREET MONONGAHELA.PA. WITNESS TO SIGNATURES: AND AGENT OF THE COMMONWEALTH Form RC C·10 .i OFFICE OF THE REGISTER OF WILLS OF Washington COUNTY :Jcj J·t~~3S- STATEMENT OF DEBTS AND DEDUCTIONS 63~70-72 Ii)J7 -3t/-1 JDEDUCTIONSALLOWEDIN THE SUM .,~a}~'~GO DATE APPROVED (j.J1.fJI]~ ~~Mw ESTATE OF _..lEd.lvl£Ja~Ulol..J..rb~a.JJDI.-LATE OF Monongabel a,Pennsy1 \Zan;a DATE OF FILING APPRAISEMENT DATE OF DEATH ~J~u~1:!:..yl__=1~9_1,__=1~9~6~6~_ DATE NO.OF NAMIi:OF PAYEE REMARKS AMOUNTVOUCH5''' 'I'"It>I Ju1v 27 Joseohine M.Douglas Probate 12 100 July 27 Guv ROf!:ers Probate 1~00 , AUf!:.4 Washin.r~ton Record Co.Advertising Letters 12 50 AUf!:.Lt·Dai1v Republican Advertisin~Letters 12 1)0 1'",bb Frve Funeral Funeral Bill 11 RO 100Julv22L.M.Home County Taxes (1966)48 01 Ii Julv 22 Russell Marino,Treasurer .1111 '\7 I??T",,,,,,,,,,W GAP 'l':::J.x CollI-C..jtv 'T'tl"ll"A(:l (1qhli)AO c;h .Tll1·u ~T.nno--Wtl rnA AQ'AnC'v Firp Tn ':lA Inn J11lv I??J:::lmA~W Gee Tax Collector School T;:l1ce~(19l16)1IiIi I?R 19 70 Julv 28 Russell Marino ReQ:.of Wiltis FilinQ:Inventorv ':\100 July 28 Russell Marino,Reg of Will~FiliDf;Account 15 00 .1111v 2R 'l'-&Simmons Attornev~Fe.es ?c;n nn " Julv 12R Ta-rn1'"\.a~t:&Simmons PrenarinQ'Deed ?l)nn Julv I?~T\dAr ,"of Dppd~T\..:I.nO'Dppel 7 71:\ Ju1v 28 ..'Commonwealth of Penna.Transfer Stamns ?O Ion Julv 28 Citv of Mononl2:ahela Transfer Sf-~mT\C!?n In() I ,TOTAL 1905 60 G·)f C'..~.~ed--6l ~>I If J'n I.(}:·,,(;(,·t/·_-C&f<"'it'.A ..;I 0J~vlA,¢;Ce:i1/1:'A ....-(OLl~~I {5'"0 V I I . COMMONWEALTH OF PENNSYLVANIA COUNTY OF WashingtoD I.Wi 11 j am Urban HEREBY CERTIFY.THAT.TO THE BEaT OF •MY KNOWLEDGE AND BELI~F.THE FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSU OF ;::~::;::::I::XS~::~:::.TOTHE ESTATE OF Eva U.rb~..DECEASED.AS DEDUCTIONS FOR "MJ~~{A~2 (L.S.) SWORN AND SUBSCRIBED !!lEFORE ME THIS 28th DAY Of"William Urban -----,e---A--r¥..!~r-r-~--/I.,...18 .:l.Sl- -ETHEL R.BARKEY.NOTARY PUBLtC MONONGAHELA,WASHINGTON COUNTY ~v COMMliSI6N E.XPIRES APRIL 9.19'73 Member,PennsylvaniaAssociationofNotarlel .. .. RCC-81 (6-73) COMMONWEALTH'·OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING or APPRAISEMENT \iilliam Urban IN YOUR REPLY PLEASE REFER TO 437-3·-8 Inheritance Tax Division J In Re:Estate of M_r_s--.:._E_v_a_U_r_b_a_n _ __,v--=a.:...:.;s,-h.:...:.;i,-n:..>;;gl....:.t....::...o=n__County -File No.9438-235 Dear Mr.Urban: You are hereby notified that the Supplemental Apprais ement appraisement in the estate of Mrs.Eva Urban has been filed in the office of the Register of Wills of Washington County on July 21 ,19 76,Said appraisement reflects the following valuations: Real Estate _ PersonaI Property ~2!_"5~0:!..l.uO~0~_ Transfers _ J 0 int Iy Own ed ------=c::;-:----=--=------- Total -----'--2....::...5....::...0-=.•....::...0--=-.0 _ 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 nine (9)months (fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive; and twelve months when death occurred prior to December 22,1965)from date of death, interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act af 1961,72 P.S.2485-1001,P.L.3:3:1 _~hl~ Date July 21,1976 Signed §2~/~~~~(l~~~~rt{ Title Chief Apprais_e_r_I_I _ Date of Death;July 19,1966 Note:This is not a bill. COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT 'Supplemental SUMMARY Estate of Urban, (Last Name) Mrs.Eva (First Name)(Initial) DATE OF DEATH 7-19-66 FILE NO.9438-235 REPORT OF INHERITANCE TAX APPRAISER July 21,1976Dated:---~-~------- I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of \vashington Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E". £~d:~gYL- INHERITANCE fAX APPRAISER~.Jk< 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:_ Supplemental AppraisementREGISTER 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 REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$$250 00 ------1--- 250 00 Non ~ 250 00 Valuation of life estates or • FOR USE OF REGISTER ONLY Tax on $2."\0 00 GJ Tax on $6% Tax on $5% Tax on $10% Thx~$1~ Exemptions * Total Estate -+..__ TOTAL TAX COMPUTATION OF TAX $---'S""--~J('~~)'--- $--------+--- $-~------I-- $--------1--- $--------1-- 5 00$..1--__ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::=,===.= BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from _____to $------ AMOUNT OF ESTATE TAX ASSESSED $-_~_---IL- Estate tax paid $--Jl- BALANCE DUE $----Jl- Add interest at rate of 6%from t= ------'lto-----$---------l 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 WillS7forprope reason, same should be noted below,with short explanation. Will !...No.Administration IN THE Year . t ',- I ,":.t MATTER OF THE APPRAISEMENT OF THE ESTATE OF .EYA.URaAN. Deceased Late of . County of MONONGAHELA WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL .' COUNTY _...-.,;....\v..=;a;.::s;.;:.h=i=n;;.(g:;;>.;t:;..:o:.::n=--__ FILE NO.__94_38_-_2_3_5 _ RCC-2 (2-641 DEPAIjTMENt OF REVENUEBU~EAU Of COUNTY COLLECTIONS HARRISBURG,PENNA,17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INFJERITANCE TAX APPRAISEMENT DATE July 21,1976 Whereas,Mrs.Eva Urban late of Monongahela in the County of Washington Commonwealth of Pennsylvania,having died on the 19th day of July 19 66,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,Harold A.Smith ,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 Appraisement Description of Asset Values Made for Inheritance Supplemental Appra[sement Tax Purposes $ Personalty; The "'estern and Southern Life Insurance So •• Cincinnati,Ohio,Policy $15,714,022.Dated February 12.1951.Insured Eva Urban-Beneficarv Vincent Urban.Husband (Deceased)250 00 (As per Safe Deposit Box Inventory) i Total 250 00-., ~~ , " , . ;"-I . ., Having been duly sworn according to law,I do hereb~ertif that the above appraisement is made!2-inco- formity with law on this o?'/~.day of - _~~~19 . c::?'~,.d/d ~.-U/APpralB~tC Gi?u~"=!and Strtet) _...._"'"""::;....<;,,~;;;;;.-O":=::;~'PF:::.:;..-:::-"':'"-::-::-:-------,Penna.(Poet OIBee) County SUPPLEMENTAL APPRAISE1ffiNT WASHINGTON RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MRS.EVA URBAN Deceased. Late of MONONGAHELA Date of Death,July 19,1966 Appraisement Docket Vol.,__-=3:..,:7 _ Page,34-8 No.9438-235 Filed in Register's Office,July 21 19 76 Amount of tax dtte,$_ DEPARTMENT OF REVENUE Received, Examined and Approved,_ Wrote abo.ut Appraisement, Appeal f,.om Appraisement,_ Entered and charged,_ .- / .' ~ !' t-,.' ,. ,.,, RCC-134 (10-75) COMMONWEALTH OF PENNSYLVANIA D,Ep,ARTIl4ENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION OFFICIAL NOTICE OF INHER ITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO:Edmund Urban 1110 Corrin Avenue (",3-~0 -'7.2J Oa'.:,_·__J:....:u=ly~2l=..l,t.-=.,;19;...:".7-=-6 _ County_---",L~_S_h_1_·n_g=.t_on_·_ 9438-235 ,:3 ~ 37-34-8_--=.;:M=o=n=o=noga=h=e=l=a:::,,;'z..-..::P:.....::e:..=;n=n=sJLy=l....:...va=n;:::.ia=---..l5063 We have received notice t~at,as a result of the death of l-frs.Eva'Urban (Monongahela) on July 19 19 6l;,you came into ownership of certain property through right of survivorship,which was formerly owned by the decedent. Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers'are taxable and the liability for the payment of the inheritance tax due is imposed upon you,as transferee. The property on which tax is hereby assessed consists of:U.S.Series E.Bonds,issued in the names of Edmund Urban or Eva Urban.Bonds held in the KKilIXlIX Sa~e Deposit Box of Eva Urban,Robert Urban and Edmund Urban.1-$50.00 Bond,purchased on 4-43.20-$25.00 Bonds purchased from 5-43 thru 3-57.Balance as of date of death,$649.18. appraised by the Commonwealth,as of the date of death,at $_6_4_9--=.._1_8 _ 50 %of thi s amount is taxable at the rate of 2 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABL E AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT $_3~2~6;..=..-=-59~__$-------- AMOUNT OF TAX DUE 6.51 If you pay the above amount within three (3)months of the date of death of the decedent,or on or before _ -----19--,you may deduct a discount of 5%of the amoun t of tax due,or -_._------- This tax became delinquent nine (9)months after death (one year if death occurred prior to December 22,1965 and fifteen months if death occurred on or after December 22,1965 but prior to June 17,1971)and in addition to the tax,statutory interest at the rate of 6%of the tax per annum is also due as of *10-19 19 67 in the amount of to 8-19 1976 3.39 $==========$9.90========== APPRAISED BY :~~:"='-=-~..:..::::2~~~AS SE SSED BY:_-;-:-----;----;---:;::-__......._ ~.(...(Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS *If the tax is not paid by the above date additional interest is due at the rate of 6%per annum unti I paid Make checks or money orders payable to:To insure proper credit to your account.,':te;J17 '-this Official Notice must accompany q4.e,."your payment.Mail or bring it to: IJ #90 'Harvey Stuart,Agent .~()/~.Y--.£4J,$'vashington County Court House .'r·~///JI~~-f IV.lvashington,Penna.15301 C6 d ///o(.'j,NOT~';AnQ"y;n~a is aggdeved by 'h;s no';ce may abject ,here'o w;,h;n s;x'y days oft..rece;pl 01 said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S.2485-1001. ORIGINAL -DELIVER TO THE TRANSFEREE If you have already paid this tax to on executor,administrator,attorney or other personal representative of the decedent for forwarding to the Commonwealth,list below the dote paid,nome and address of the person to whom you mode payment,their official title and the amount..," Dote Paid Nome and Address of Payee "'l.r .-'""" ...,,..,, Official Title .,~r', Amount Paid .U.n~er_certain 'citcumstances,if,after the dote of death of the decedent,you personally paid funeral expenses or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended, by you rnj:ly-qua)ify ,as.deductiolJ,s',agail),st the Q~o,~s value of the property in the computation of tax due.If any such ex"penditures 'meet 011 of tf.>e three following tests,it is recommended that you itemize the payments below, execute the affidavit,and return this notice.The Register of Wills will examine the debts claimed arid alfow those which he determines to be proper.The tax will then be recomputed and you will receive on amended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: .'...~. .~~.~-;~..1 t'",to. 1.,Y:OIJ ......ere p,err~onaIlY."le~~lIrJ>~~spons ible.fort?esepebt~,and."'.".." ~.. ..," "' 2.You Q;f~all~-paid fhes~d:bts 'and can fu'rni~h'proof i such pay~e~t~'if req~i'red,and ~,. 3,These some debts are not also claimed,fo~tax,purposes,by on executor,administrator or 'other personal representative of the decedent handfj'ng the administration of the general estate of the decedent or any other transferee," \. SCHEDULE OF U~K I ~ Date Paid Name of Payee Description of ObliQation Amount Paid-,",. , , ".,- ~.~,"-TOTAL~·$, ,- (attach separate sheet if required) COMMONWEAL TH OF PENNSYLVANIA) SS: COUNTY OF L, I,hereby certify that the foregoing is a just and true statement of funeral expenses and other debts of the decedent,,for which I was legally responsible and which I did payout of the property herein taxed.I futher certify,that to,the best of my knowledge and belief, these same debts wi II not be claimed by any other person,for inheritance tax purposes. SWORN AND SUBSCRIBED BEFORE ME THIS---DAY OF19__. Signature of Taxpayer "......REf'ORT OFREGISTER OF WU:'LS I,the undersigned,duly elected Register'of Will~i~a;d fof the:abo~e ~'o~nty,do respectfully report that I have allowed deductions li,sted above in the total amount of $---------- Dote of Approval:_ Register of Wills RCC-134 (10-75) COMMONWEALTH OF PENNSYLVANIA D.Ep'AR"~ENTOF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION (;3-76 -7~9' OFFICIAL NOTICE O~INHEtlTANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO:Robert J.Urban 120 VemOD Ayeue Date:Jill,.III 1976 County V••Ja!D&ton Belle Vel1lOae.Pana.15012 Coun ty File No.'---_3_7_-_J_4_-8_._ Bureau File No.__U_I_'1_M~38-__2~35~,-__ We have received notice that,as a result of the death of lIN.I.Vr'baD·(Koaaphe1a) on Jul7 19 19 66,you came into ownership of certain property through right of survivorship,which was formerly owned by the decedent. Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable and-the liability for the payment of the inheritance tax due is imposed upon you,as transferee. The property on which tax is hereby assessed consists of:U.S.Serle.B bdl.1••ued iD tM DUe.ot Robert J.Urban or Hra.ITa Urban.Bondi were held ill the Sale Depnit Boa of EYa Urban,Robert Urbu and.Edmw4 Urban.12-$25.00 BoDO,purchaaed fro.2-57 tbru 1.58..Ba1aJ2ce as of date of death.$313.96. app-raised by'the Commonwealth,as of the date of death,at $313.96 SO %of thi s amount is taxable at the rate of 2 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABL E AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT $-----..:1=5:;...;:6;.::.•..::::...98~__$-------- AMOUNT OF TAX DUE If you pay the above amount'within three (3)months of the date of death of the decedent,or on or before _ -19 __,you may deduct a discount of 5%of the amoun t of tax due,or This tax became delinquent nine (9)months after death (one year if death occurred prior to December 22,1965 and fifteen months if death occurred on or after December 22,1965 but prior to June 17,1971)and in addition to the tax,statutory interest at the rate of 6%of the tax per annum is also due as of *10-19 19 67 in th e amo un t of to 8-19 1976 $===========$===4=.=1'1===== AS SE SSED BY :--;-:-----;c---;~----;-:;-__------(Agent for the Commonwea Ith) ( INSTRUCTIONS TO TAXPAYERS TOTAL AMOUNT DUE APPRAISED BY:/1 (r/' (Inheritance Tax Appraiser) ,*If the tax is not paid by the above date addi,tional interest is due at the rate of 6%per annum unti I paid To insure proper credit to your account' this Official Noticetiru~t--a:ccompany your payment.Mail or bring it to: Barvq 1S~,Agent Wa.hington Count7 Court Houae WashiD&toa.Perma.--15301 Make checks or money orders payable to: NOTE:Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S.2485-1001. QUADRUPLICATE -REGISTER OF WILLS COpy If you have already paid this tax to an executor,administrator,attorney or other personal representative of the decedent for forwarding to the Commonwealth,list below the date paid,name and address of the person to whom you made payment,their official title and the amount..'..• Date Paid Name and Address of Payee Official Title Amount Paid Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended by you may qualify as deductions against the gross value of the property in the computation of tax due.If any such expenditures meet all of the three following tests,it is recommended that you itemize the payments below, execute the affidavit,and return this notice.The Register of Wills will examine the debts claimed and allow those which he determines to be proper.The tax will then be recomputed and you will receive an amended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: 1.You were personally legally responsible for these debts,and 2.You actually paid these debts and can furnish proof of such payment,if required,and 3.These same debts are not also claimed,for tax purposes,by an executor,administrator or other personal representative of the decedent handl"ing the administration of the general estate of the decedent or any other transferee. C\rHl=nlll 1=m:DEBTS Date Paid Name of Payee Descriotion of ObliQation Amount Paid TOTAL $ (attach separate sheet if required). COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF _ I,hereby certify that the foregoing is a just and true statement of funeral expenses and other debts of the decedent,,for which I was legally respons ible and which I did payout of the property herein taxed.I futher certify,that to the best of my knowledge and belief, these same debts will not be claimed by any other person,for inheritance tax purposes. SWORN AND SUBSCRIBED BEFORE ME THIS---DA Y OF19__. Signoture of Toxpoyer REPORT OF REGiSTER OF WILLS I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I have allowed deductions listed above in the total amount of $. Date of Approval:_ Register of Wills