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HomeMy WebLinkAboutOC1970-0808 - ESTATE OF HOOTMANRCC-8\(2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT 0:=REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING 03'APPRAISEMENT Edgar A.Hootman (Executor ~) IN YOUR REPLY PLEA8E REFIER TO 38-95-9 J In Re:Est ate 0 f __---l0:!.J.L.lV!....!.!.!:B~6~o~t.!!!ma~n~a=:../!....!k~/-::a:....-------- ____.....:v~~a::.:s::.:.·h.:.::i::.;n:cg..:::t..::;o.:.:n County - FHe No.63-70-808 Dear Mr.Hootman, You are hereby notified that the ~o~r=i~g=i~n~a=l~----------- appraisement in the estate of ~O~.~V~.~~~o~o~t~ma~n~__ hcfs been filed in the office of the Re€ister of Wills qf \rvashington County on November 20 ,19-1Q Said appraisement reflects the following valuations: Re alEstate ----'-------=-:::----:-=--:;--r------- Personal property_~=1-~~L,4~2~5~.1~6~_ Transfers ...,-_ Tota1 ...:!::1,",)~,4~2:::..5t_l.L:!1::.l::6:___ 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 da,e of death,interest at the rate of six (8%)percent per annum is charged. Any party in interest who i3 aggrieved by an appraisement may appeal therefrom as provided by law. Date _--=l::!:l=---.::::2~O-_7L..;O::.-_ DATE OF DEATH:August 14,1970 Note:This is not a bill. Signed Ti tle !AJ.i?~/1bJ..J W.R.CHANEY,CHIEF APPRAISER R CC-}9 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT Estate of Hootman (Last Name) o. (First Name) v. (Initial) SUMMARY DATE OF DEATH 8-14-70 FILE NO.63-70-808 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_----:.\tJ:~a~s::.:.h:.=i=.n""E:...::!t~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". -' 11-20-70Dated:--=-='----'--------- REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated:_ REGISTER OF WILLS VALUE AS REAPPRAISED $-------+--13,425 16 13,425 16 $ 11.Lc25 16 1'3.425 16 VALUE AS REPORTED VALUE AS APPRAISED $ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E)I TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or -t== FOR USE OF REGISTER ONLY Tax on $----------1l--- Tax on $----------4'--- Tax on $----------4-- Tax on $----------1l--- Tax on $---------i-___\. Exemptions========I==Total Estate -+.__ TOTAL TAX 2% 6% 5% COMPUTAnON OF TAX $--------1--- $--------1--- $--------1-- $--------1-- $--------1-- $-----_----1._- (*)As evidenced by Charitable -Exemption Certificates issued .by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death :::::::::::::t=='= BALANCE OF INHERITANCE TAX DUE $L Add interest at rate of 6%from_____to $---..,.---J ' AMOUNT OF ESTATE TAX ASSESSED $------'L- Estate tax paid $--IL- BALANCE DUE $----Jl- Add interest at rate of 6%from t= ------Ito-----$---------<, TOTAL TAX BALANCE $-----~PAID $-J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will Administration !No. IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF o.v.HOOTMAN Deceased Late of County of ...~IASHIIDTON ~vASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ,.. , Fonn RCC-2 D~PARTMENT OF REVENUE BuBt;AU ·OF CO~NTY COLLECTIONS HARRISBURG.PENNA.17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE N.9.y.~lJl9..~.:r.:g.QJ..+..9.7O'. COUNTY Wa.shing.t..OIl':. FILE NO...??:.?'?:.?.q.?.. Whereas,Q.~..y.~.H.9.9.:t.ID8JL late of ~fa.s.b.ingt.Qn . in the County of Jfg.~.b.in,gt.Qn Commonwealth of Pennsylvania,having died on the 14th day of A:ugust 19..70 ,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,.Ji.~:f.l.~g!iA.~§.T ,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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurposes $ PERSONAL' See COpy of schedule liBII attached to apnraisement 13.L2'i 16 TOTAL 13.425 16 .. - ". I ,," ,, I Having been duly ,swo.rn according to law,I do hereby certify that the above appraisement is made in on- formity with law on this a..O~day of ·.::·.::Z;X :·.//?·.:·.·.·.·........::..:..:::.:..::.::::..::.::::::::..:::::..:::..~<() Ap iaer .............................,Penna. ~_.f',.-n!~"IT ~~,~..·t\1 :".•.•¢)'t ..w.~~~~g~g~County 9'"\P!\!I I..J:\?..~t\nhI:1 54 RESIDENT INHERITANCE TAX APPRAISEMENT Estate of P.J ~,~)EL.L l'i'\N0 EEC\STEH OF WILLS Wi\S\i\NGTON CO.,PA. O.V.Hootman Deceased. Late of Wa~0~:n.~?:n.,.. Date of Death,J3.::~4::::7Q . Appraisemeilt Docket Vol.,.,3.EL . Page,9.5..::':'.9 No..9.:3.~7.~.$.9..$.. Filed in Register's 0 ffi.ce,.........N.:~.y..~...?9......19..79... Amount of tax due $J ••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut A ppra.isement, Appeal f,.om Appraisement,. Entered and charged,. ,.. , I. .,' atnmmnulUtalt4 nf 'tuuliyluauia.f li.!l:1llIIali4iugtnu Q!nuuty. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid on the 18th day of Aug u s t 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 W~ashington,in the Commonwealth of Pennsylvania, the last Will and Testament of late of 0.V.H 0.V ERN City of Washington, o 0 T MAN aka HOOTMAN, in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and E D GAR A.H 0 0 T MAN the Executor in said Will and Testament named,having appeared before me and taken and subscribed ,the oath of office prescribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said E D GAR A.H 0 0 T MAN committing unto him the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring him to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety days from the date hereof,and to r.ender 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 e i g h tee nth day of A.u gus t in the year of our Lord one thousand nine hundred and s eve N t \ -_._..~_._--_.---'---- ~.., ..- ,.,"':''\,:,:,~,\,' <,'i',:j[ ,,';I I'I,.;J'"f •"f I I,O.V.HOOTMAN,of the City of Washington,Washington County,Pennsylvania,being of sound and disposing mind,memory and understanding,do hereby make,publish and declare this as and for 'my Last Will and Testament,hereby revoking and making void all other wills,codicils or testamentary writings by me at any time heretofore made. FIRST:I direct that all my just debts and funeral ex- penses be paid and discharged as soon as conveniently may be done after my decease. SECOND:I g~ve,devise and bequeath all the rest,resi- due and remainder of my estate,real,personal and mixed,of whatso ever kind and nature and wheresoever situate of which I may die seized or to which I may in anyway be entitled to my three nephews in equal shares,namely;Edgar A.Hootman,FrankM.Hootman and Henry F.Hootman,their heirs and assigns. LASTLY,I nominate,constitute and appoint Edgar A. Hootman,Executor of this my Last Will and Testament and hereby di- rectthat he shall not be required to post bond. IN WITNESS WHEREOF,I,O.V.HOOTMAN,the Testator,have hereunto set my hand and seal to this my Last Will and Testament th ',s 2nd day of April,1958. The foregoing instrument bearing the genuine signature of the above named Testatort O.V.HOOTMAN,was duly signed,sealed, published and declared by the above-named'Testator as and for his Last Will and Testament,in the presence of us,who at his request and in his presence,and in the presence of each other have hereunt subscribed our names as witnesses thereof. 'II I! tt II!l ~J.7t1-t5~8 1\ffi~auit (@f iExrrutnr ®r 1\~miut6trutnr ."' jtatt of 'tuu!iyluauia l <1Lnuuty nf lIa!i4iugtnu J!i!i: P II I b f th d'd th 't Notarv Public . d f 'dersona~e ore me,e un erslgne au orl y,a L m an or Sal County and State,appeared ~P9.~.:R ~.t••••ijQQ~MAN.who,being duly sworn according to law,deposes and says t~%RNhR O~1IJltAEf executorX&X~~of the es- tate of .~.~...y.~....~9.~.~~~...~!.!~/!:l:...9..~.!..~.decease~,thJ~J\he foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of Q.L.v..~RQ.Q~.Ml\N , 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 Administrator. ~Sworn a;~~~~:~ed betf90re ;~this 21 }G!/~'!y?!...C.)~/~t?!;;;?~. a 0 1:2...,;..(J <"''''''''rJ'~''-;'~Executor-~~X ........~~,~. .AR RET flS,Notary Public ADDITIONAL INSTRUCTIONS WASHINGT'(,,)"l.A9HINGTON co..PA. Mf.COMi~'iitl'Vemi@feilml.2~,el!fjled within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3Juututnry atU'a ,Apprai!ittlttut of the goods and chattels,rights and credits which o.V.Hootman a/k/a o./vern Hootman City of Washington,were of ~late of . Washington County,Pa.,taken and made in conformity with the above affidavit. PERSONALTY: ...,. C~eck ing Account -Mellon National Bank and Trust Co. Cash on decedent's person Household furniture soId at auction Medicare u.S.Series H Bonds:n/o O.Vern Hootman and Lillian B. Hootman (co-owner died 1958): 5 -$1,000.00 issued December,1954 U.S.Series H Bonds:n/o O.Vern Hootman 5 -$1,000.00 issued April,1960 Social Security Administration -burial allowance Total REALTY: NONE ~---------------------- DOLLARS 2827 39 488 69 5000 5000 . '..255 13680 CENTS 80 00 76 60 00 00 0:0 16 .;6 /,/..5- ~3·-7t7 -gCJ% Inventory and Appraisement F I i F 'r,:L -41, IN THE ESTATE OF'i'"tO ocr 25 PH II, Filed Oct............................................., O.V.HOOr.~N...a/k/.a··········R~~55EU.M;.·;i~.rrw..··......6·~·..VERN·..HOOTMAN,decear~f.Ei·~c:~n:;P (\C'UII LLS 1"1(.........,h,.....I~_~t\vI t. 7MJASI11NCTON co ..PA.19 . ~g/~Jt-s- SHERMAN H.SIEGEL,"ESQUIRE 215 Hashingccon IIQsE Bldg~ Washington,~n~ylvania _. \ FIRST AND FINAL ACCOUNT of EDGAR A.HOOTMAN,Executor of the Estate of O.V.HOOTMAN a/k/a O. VERN HOOTMAN,late resident of the City of Washington,Washington County,Pefinsylvania. ,THE ACCOUNTANT CHARGES HIMSELF AS FOLLOWS: ,Inveri~ory and Appraisement:~ PERSONALTY:$13680.16 TOTAL Cm~;iBITS REALTY: Income: Rents Interest U.S.Bonds None 106.75 249.60 13680.16 356.35 ..--J 14036.51 TOTAL:wRED'ITS BALANCE THE ACCOUNTANT CLAIMS CREDITS AS FOLLOWS: 1970 4836.84 $9199.67 Col.Gas System,Inc.Account due 52.98 West Penn Power Co. Bell Tel.Co.of Pa. Citizens Water Co. " " ", " " " 18.09 4.14 5.96 I 3ept.14 Krajacic Mary Carter Paints 17 Washington Hospital 19 S.Charles Badiali,M.D. Kurtz Monument Hauling rubbish 30.00 Rent 37.50 Account due 54.34 Account due 135.00 Lettering monument 14.00 Oct.23 Barnhill Funei&l Home Observer Pub.Co. Funeral expense Advertise letters 1647.30 14.00 Reimbursement: 1971 JXar.Sherman H.Siegel,Esq. 1970 Aug.18 Register of Wills 20 Wash.Co.Reps. Register 'of Wills probate costs Advertise' letters Filing Inv. $14.00 14.00 7.00 35.00 ~argaret Bails Edgar A.Hootman Sherman H.Siegel,Esq. Notary fees Executor's fees Attorney"sfees 5.00 702.00 702.00 / ______--J.!....~_ 1971 Mar.citizens Water Company ; Final bill 6.78 Dr.J.N.McMahan,M.D. RusseTl Marino,Reg. Oct.23,1970 RusseTl Marino,Agent: Medical services Filing Account 3.00 16.00 3483.09 alc Inheritance tax Less 5%discount .$1425.00 71.25 .1353.75 Total $4836.84 Observer .Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION ..."• In compliance with the News,paper Advertising Act of 16 May,1929, P.L.1784,!liS amended. Commonwealth of Pennsylvania,County of Washington,SS:. Pe,rsonally appeared before mle,a Notary Public in and for said County and State,Ri.c.b.ard S.•....C.Qw.an ,who being duly s,worn according to law,deposes and says thltt he is the ..~.gc..r.g.t..g.,x:-Y .. of the Observer Publishing Company,a !"enDJs(ylvania corporation,and its agent in this behalf;that the said Company is the owner and publisher of the Observer-Reporter,succ'essor to The Washington Obsierver,established Septembe'r 18,1871,and The Washington Reporter,established August 15, 1808,a daily newsrpapeil'of general circulation,printed and pUblished and havin~its place of busines's at Washington,Washington County,Pennsyl- vania,where it or its predecessors have been established and published continuous'1y for more than six monthsl prior to the publication of the notice hereto attached;that the printed notice or advertisement hereto attached is a copy of an official advertisement,official notice,legal notice or legal advertis,ement,exactly a.s printed or published in the Obsterver-Reporter in its regular editions on the following dJate or dates;.. .................AMg,~§..t 2.4..,..3J ~n~L.~.e.p.tgm ..l?g.~8.-'.J..9..1Q .. that neither th'e affiant nor the Observer Publishing Company is intereswd in the subject matter of said notice or advertising and that all of the aUega- ~~~n~~~~.this affidavit ~~_..t_o__,t_~~_.~i::~'Zll:~i..~Z~:.~~ Sworn to and W.267!52 "b~~i';R~;P;/ WASHINGTON,WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6.197~ Washington County Reports tJ3:::~::M;WH:~8~EI Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,19Z9,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON ) STATE OF PENNSYLVANlA (SS. Personally appeared before me,a Notary Public in and for said CouIt}and Commonwealth,CHARLES C.KELLER,who,being duly sworn,depo;es and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,publislhed weekly ha-,ing its place of business at Washington.Washington County,Pennsylvania,and is act- ing as its agent in t'his behalf;that the said WASHINGTON CCL'NTY REPORTS was established 0:1 March 31,1920,and was designated as the oficial legal publication for Washington County,Pennsylvania.by order of the se-Jeral courts of said County.dated ~ovember 11,1920;that the printed notice or aC:ver- tisement attached hereto is a copy of a notice or advertisement,exactly as ;JrL"1ted or published,which appeared in the said legal periodical in its regular issues ,on the following dates: August 27,1970, September 3,10,1970,..._,_..--_. ;.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 Admir.- istrators or their Attorneys. •••••••••••0 •«)••• HOOTMAN,O.V.,a/k/a O.VERNHOOTMAN,Dec'd. Late of Washington,Washington County,Penna.Executor:Edgar A.Hootman,R.D.;#2,Washington,Penna. Attorney:Sherman H.Siegel,215WashingtonTrustBldg.,Washington, Pa. that the affiant or the corporation in behalf of which he is acting is not interfEted in the subject matter of said notice or advertising and that all of the allegati:me of <hi,,ffid,"""'0 ,he ,im,.'I"{..-}J{;;~h','@.oo ~~. Sworn to and subscribed before~~'='~---'--''''''~~':::::~ iFJ....!Q.t.b....day of..~.......S·~P.·t.~1!?·~·r......."19f11.Q..'-'::;. ...........~1&."'.~~~~ -4;...- •Notary Public .i r JOSEPHINE T.SCIAMANNA Notary Public,Washineton.Washin~t.n Co. .My CommiSSion Expires July I,1974 STATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The within named Accountant being duly sworn according to law,depose S and sa,!,that the above account as stated is true and correct as h.e.~~..__.verily believe, .26thSwornandsubscribedbeforemethis_ _ . Wa'shington County,ss: --- I do certify that I have given legal notice 'to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court,as evidenced by proofs thereof med to No __h..3.~_JL-':ll'l ~ -W~""my hand and official 'seal this.$. dOYOL~:_:_:_::-------:--~~~:- Register of Wills \ 'ClQ) -l-'i=IQ) -l-'...;:loo Q) .'3 o-l-' Russru,t:;:JnNO r~EG!STEf<OF WILLS WA.SHINGTON CO .•Pi-\' ".j',_.::::'r.l,...L KI"'~_~, ~ ~:- Cf ~j rx.·~i 0~:P:1 \i ~~i .?;;"'to 'P:1 f i\'<)j 1oz 1-- 1-" "", .,_.,~_I ~----------- \- -, >':'".,, '"' T The Court is res proper distributio ctfully requested to ~Ji Counsel for Accountant ~u :t4t Qtourt of Qtommou 'Itas of DlJas4iugwu QInuuty ®rp4aus ~Qtl1urt 1!Iiuisinu In the matter of the Audit of Account in Est!i'te of__.l.o!Oc...•.........:vlL...L.-.-.I.Hu.O.LlO.LT~MAI.Col.N1.-a~/....,k....l,-,a=--{ VERN HOOTMAN,deceased TO THE AUDITING JUDGE: No.808"of 1970 my AccountantEnter"'--,appearance for .,.--_ 21s t day of_---"M:.ua...,yl--,19-21 N.B.-Counsel sh1all,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 concIs ely s tated in a separate paper. Council suggesting proper distribution shall file a separate concise state- lllent in that regard. No.808 of 1970 In re Audit of Account in Estllite of O.V.HOOTMAN a/k/a VERN YDATM~N ~o~o~~oA~~........:wo ......,""""""""""'...........,c""""........ AUDIT 'rattipr fnr i\pptaraUtt FOR Executor Edgar A.Hootman,~MMMX ~~1..~~=o.:::~;~b 1..-,;z;_ ~C?Z:;2:;r-"~ -(,'1 r.)~~Z -:;.~ ~-!:~~:r- c.":>.~-'- ~C) 0"""'":4.:: ;0 ~E ~~_r--~r-.;;:..en 0 ,''V -~-_'!i~ t.o P"-.o-j.\t<;;,~'" '" U'l ..;J:;:" SHERMANH.SIEGEL,ESQUIRE ..':~1 ,.~2 Attorney .~.,,,,.,.. PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J Estate of Q.•...Y.•...HQO.'r.MAN al~la ..v:ERN . .HOO.TMAN . Deceased No J~Q.a Q~l.~.7.Q . Fiduciary EQ..gg.r...A.•....tlQ.Qtman..,, . .Ex.ecutor . Date of Date of Decedent's death Augl:s.:t..l4.,1.9.7.D Grant of Letters Aug:us.t..l8.,1.9.7..0 . This is the f.~.:r§.t.C!ng f.Jn§.J account fi led in this estate If there have been former accounts filed in this estate,list file number or number and term . ...............................................~.9.:t:Qx:~.~.t"..l\g.9..9.!J.n:t;.$. Election to take Date Election Place of; ~K~lfK!x(crossout one)NONE Filed Record . Name of surviving spouse ~~.~~. List issue,where material!: None Did decedent marry after execution of will?(indicate)XKs.No.Any children born after execution of will?(indicate) ~.No.If answer yes,name them.....................•...............................................................................................:. ...............................................................................................-_-_--_--___.._--__.._._---..-_---. Leg,atees Relationship Interest Fiduciary,if deceased or not sui juris Edgar·'A.Hootman Frank M.Hootman Nephew Nephew 1/3 residue 1/3 residue Barbara Ensor Grandniece 1/3 residue (Daughter of Henry F.Hootman,nephew,who died May 25,1968). List,if exceptions to above:Adeemed:Revoked:Lapsed:Abated:Give Cause: If partial intestacy,give fCicts: No exceptions None 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.~. ..No exceptionsIfanyexceptiongivecause::. FilecopyofNoti~~Notice of Audit mailed May 3,1971,copy of same being attached.and date of mailing ,. Is estate subject to the filing of a Federal Estate Tax Return?~.?.. Actual pay'ment made on Pennsylvania Transfer Inheritance Tax.Amount $I-.~.~.?!.g.9...J.§.l?~$.:zJ..•..?~9.~.$.~9unt$1353.75 paid October 23,1970. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant . None 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: Interest -U.S.Bonds Total additional debits (Add) Itemize any additional credits not shown by account: Dr.Anthony R.Haradin -medical services Commonwealth of Pa.-Death Certificate Total additional credits (Subtract) Balance for distribution $. $31.00 2.00 $. $..~.~~.~??. 137.50 $9337.17 33.00 $.9.3.Q4.•.1.7.. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); CASH C", " If Family Exemption claimed by Petition,give place of Record:No.ne c~aime.d ~. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:~. None claimed 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: After payment of costs of audit and balance of inheritance taxes,if any, balance be awarded in equal shares unto Edgar A.Hootman,Frank M.Hootman and Barbara Ensor,daughter'of Henry F.Hootman,deceased. COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, swornbeingduly doth depose and say that the facts set forth in the foregoing petition are true to the best of hi.l?knowledge and belief. And your petitioner will ever pray,etc. ·Sw.orn _..to and subscribed before ~e thiS l.e :da~,.L._~_J!-:~,ay-------------------rJ--.1};i1 -~~C;;)~f~&---------- Signature of Off,cer..-7--/.-\....Ch...i!:.f):;;;;).~ Title of Office;~~~~~..~!~!..~.ry.;~~~'.i:_ . WASKINCITON.WASHIN co..PA. Office expires ~Y..~~~~!~!~~..~p!~~~..~~~.r.~~ry.~?!.~~~. /No.808 of 1970 Estate of O V..•...HOO.'rMAN...aLk/a . VE-:RN...HOO~MAN····························D·~~~~~~d··· Fiduciary .Ed.gar A •...HoD.tman.,. Ex-eG~t.G-: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. 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. 3.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inve!1tory 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. SHERMAN H.SIEGEL,ESQUIRE Attorney ~2 'Vd "00 NOJ~)NIHSVA\ S-lliN\:F)}J31S!C)3U OlU t "·.··.,--"'-'"'''''n'''inG~n I d::,:)a ~S fi WV 2 Hnr IL "n'J'lI-f\..J ~t t j .~"'~ /...; ! SHERMAN H.SIEGEL ATTORNEY AT LAW WASHINGTON,PENNSYLVANIA WASHINGTON TRUST eUILDING IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA NO. ) ) ) )Mr.Frank M.Bootman R.D.12,Box 203 Brownsville,Penna. NOTICE OF FILING ACCOUNT AND AUDIT o.V.HOOTMAN a/k/a O.VERN HOOTMAN,deoeased IN RE: ESTATE OF To PLEASE TAKE NOTICE that the Account of Edgar A.Hootman, Exeoutor of the above captioned Estate,has been filed in the Office of the Register of Wills of Washington County,Pa.,at the above Number,and that the same will be called for audit before the OrphansI Court at Washington,Pa.,at the 'Session of said Court beginning f4ay 21,1971 at 10:00 o'olook A.)'I.,E.D.S.T.,at which time and place you may appear and be heard,if you so desire. SHERMAN H.SIEGEL, Attorney for Accountant.Dated at Washington,Pa•• lliay 3,1971. P.s.Copy of First and Final Account is enclosed herewith. I Notipe Audit and copy of First and Final Account mailed May 3,l~'/l: fr,Mrs.Barbara Ensor 7923 Chestnut Way,Littleton,Colorado~; Mr.Frank M.Hootman Mr.Edgar A.Hootman R.D.#2,Box 203,Brownsville,Penna. R.D.#2,Washington,Penna.15301 ... r"""'-,_. tJt_J --_J ,•I1-".".• .::;1- L.rl 0""1 :c ~=:r: (,- _....-=-::> r-... (j)-<t:C)-.1 0.. 2-.1 :~~:t:g -~~zoex:.:I- ...-~j ill .:'.!) i....'..1 i-Z U)U?::.;: (j)-.-- --....0 (1)c::LU <tc:::;:: I Ir,If'6i IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS'COURT DIVISICl\r •SHERMAN H.SIEGEL,ESQ.,of Wash ington,Pa , ,represe nting the Accountant. t,t • '. ,No.808 of 1970 ) ) ) ,) ) ) ) ) :.-J §,)'~ .~r. HEARING ON AUDIT '.THE HONORABLE P.VINCENT MARINO,Judge of the said Court. O.V.HOOTMAN,a/k/a ESTATE OF ~0 ..VERN HOO'IMA N;, ~,~..~Deceased.:;::;: Ul:. "..aec2~BEFORE:c 31 IN RE: " ,. '-.,e -,! ..r',., •d~cease~;.The.E~ecutori~Edgar A.HootIJ;Jan and the attorney is,•-I"' ",Sherman H.Siegel.Mr.Siegel? S TIME: uia:III...a: lZ~THE COURT: Ii:::>ou... :$uii:...o .' Friday,May 21,1971,at 1:30 o'clock P.M., EDST. Number 808 of 1970,the estate of O.V.Hootma for the audit of this accoun~.This deceder:t died leaving a Will in which he left the residue of his estate to the three brothers ~One,. MR.SIEGEL:If the Court please,I have the ne'J3.~@l5Ssary paper brother had predeceased the decedent and left a daughter surviving. So we request that distribution bemade to the daughter of her fathe share of the residue.There are no debts,against the estate.The b lance 2) I\f'-------"l------------.,.;....---------------------~!~---.- 4~ is in cash.And we ask the Court to award the balance to the three .. residuaries pursuant ,to the WUl.The daughter taiking the share of J her father,deceased father's interest. decedent's estate? THE COURT:Is there anyone else in Court in,terested in this The foreg~~ng record of the proceedings upon the hearing ?f th ...1 ( AUDIT~"CLOSED ) (NO RESPONSE ) The audit of this account is ordered closed by the l'. f " }." Court. COURT:·' ~.]'::i:.";0:>~·THEtl;;;;;;. '... Co ~. (. ~I.! 2iIII CP t it... II:C~.I .hereby certify that ,th~proceedings and evidence are containe •i::.l·..i ~.Iii. . ,';'.."'... :;fully and accurately in the n()tes 'taken by me on the hearing of the above :z:'.'.•,. ' 5··,.cause,and that this copy is a correc III . 11:-.~ II:o •II.11IIII: ~:J'0-u- ..Ic( U ii:II.o -''\... -,..t': .' above caus e is hereby approved and directed to be filed. J:I ~n t4t aruurt nf arnmmnn 'lens nf Ihls4ingtnn arnunty. Jennsylunnin.(@rp4ans'arnurt iiuisinn J ESTATE OF O.V.Hootman a/k/a O.Vern Hootman deceased No.63-70-808 Inthematterofthe"First and Final Account of Edgar A.Hootman Executor ADJUDICATION AND DECREE And now June I ,19.-1J,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereof th~balance for distribution in the hands of the Accountant is determined to be $9,3011.17 and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDULE OF DISTRIBUTION " Balance per account _ Additional debit asked at audit Additional credit asked at auditBalancec.._ 137.$0 33.00 $9,337.17 Deduct Clerk's Costs &Receipt;)..s _ Attorney Sherman H.Siegel Russell Marino,Agent,transfer inheritance tax, Edgar ~.Hootman,nephew,1/3 residue, Frank A.Hootman,nephew,1/3 residue, Barbara Ensor,grandniece,child of Henry F. Hootman,a deceased nephew,1/3 residue, ~1---;iR/ tN ,.< .', .::::r 1-",. erH :c:....a CJ r-... L!..i ~.~:::::I ~ -::l t.1_r-.. ", '.r r. r .'(''. I "' , I ,'- r . r',, .f ,-~n .oc:ao.... r - ,j,I- Z9 IN THE'COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA (ORPHANS'COURT DIVISION), IN RE: J ESTATE OF O.V.HOOTMAN a/k/a O.VERN HOOTMAN, DECEASED ) j ) NO.63-70-808 PAY TRANSCRIPT The undersigned hereby acknowledge to have received of Edgar A.Hootman,Executor of the Estate of O.V.Hootman a/k/a O.Vern Hootman,deceased,payment in full,in accordance $25.50 with Schedule of Distribution of ,the Russell Marino,Clerk, costs Court dated June 1,1971 • ..~~ Russell Marino,Agent,transfer 4'7fi1..._\. inheritance tax 57.54 ~L-~~~~~~~~~~~~~~11~~Agent '. Edgar A.Hootman,nephew, 1/3 residue Frank A.Hootman,nephew, 1/3 residue Barbara Ensorr.grandniece, 1/3 residue 3073.71 ~ 3073.71 See receipt attached Frank A.Hootman 3073.71 See,receipt attached Barbara Ensor RESIDENT DECEDENT C3-1(J-%tJl COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF W.1.\~HJNG.~QN . IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the· Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of the Inheritance and Estate Tax Act of 1961.) County of state of l?ennsylva.n.i.a j ...............Washing.ton Jss: :E:.P.G,A,R.l.\~H.QQ':I:'Ml:\N ..........Executor of the estate of the above-named decedent being duly sworn,depose and say Decedent died A1J.g1J.st.....l ..4., (Month) Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. That as such §:?:~9.}!t9..;r deponent is familiar with the affairs of said estate and the property con- (ExecIItor-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 004\1Ir1ir Moll"n N:=I ....;;..,n;:,l R:=Ink fi,'T'rll!=:t rn TT ()V rAT;:,C!h;()ffi~p That the contents of said safe deposi t box or boxes are itemized under Schedules 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 fully 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,householdfurniture,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 mortgages 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 polici'es carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. ." .,' In the case of securities of closk 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 sho\dng 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 maybe pertinent to a fair and jl!lst appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of neath. The SChedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In the case of·transfers intended to take efrect 1n possession or enjoyment at or after death,there is also attached to the schedule a cORY 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 individua.lly or jointly,by the will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedttle. .....That'Schedule D attached hereto a.nd made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement shoWing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,and the relationship of such issue -to the beneficiary. That Sc/>edule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,intluding intangible,standing in the name of the decedent and others,plus the date and place of record of instrpments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,add'ress 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 unpaid at time of death;taxes'accrued chargeable for period prior to decedent's death (e~cept those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a st~t!,!ment of collateral pledged for obliga- tions,1f 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 'les's 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 ?J . T N,WASHINGTON CO"I'l"" Expires February 27,1971 y'/l)~-·····~~~;:Ad;i~i;t;~~···..·..····_..· .~.~p...~#..?. (Street Number) .~~~.~~?~.~?~.!.;.~.~~.~9.:..~;!;.?.}..9..L .. (City or Town and State) NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with.details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or busiriess,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. ..;: FjC C-S4 (1-04) Co,MMONWEAL.TH OF PENNSYLVANIA DEPA'kTM~NT OF REVENUE BUREAU OF COUNTY COLLECTIONS 1J~ANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY •• Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property heid as joint tenant or tenancy by entireties,report on Schedule "E".Property hl'ld by the de.cedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commo['lwealth of Pennsylvania shoul·~be (1)(2)(3) described by lot and block number,street and street number,together "\11th DEPARTMENTageneraldescriptionoftheproperty,with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title;If a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;alsa statement of mortgage encumbrances upon each parcel at deJth DECEDENT'S MARKET VALUE (Do not wrIteofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In th Is space)to be listed on Schedule II F"and must not be deducted fram this schedule. NONE " Insert this total opposite "real property",Schedule "A"in he X X X X X "As Reported"column on the last page of this return.NONE RC!C-,35 COMMONWEALTH OF PE~NSYLVANIA ,/TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" 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.D.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 I isted 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 firluciary in sa:l.rl capacity,partnership interests,interest in anyundistributed es tate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Item No. 1. 2. 3. 4. ITEM List and describe fUlly Checking Account -Mellon National Bank and Trust Co. Cash on decedent's person Househo~d~furniture sold at auction Medicare UNIT VALUE ESTIMATED MARKET VALUE 2827.80 39.00 488.76 69.60 DEPARTMENT VALUATION (Do not write in this space) 5.U.S.Series H.Bonds n/o Vern Hootman and Lillian B.Hootman (co-owner died 1958): 5 -$1,000.00 issued December,1954 6.U.S.Series H Bonds n/o Vern Hootman: 5 -$1,000.00 issued April,1960 7.Social Security Administration -burial allowance Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X 5000.00 13680.16 ·'RCC-36 ·Cm.fMON~~LTli OF PENNSYLVANIA ~TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "c" TRA.NSFERS (1)Did decedent,within two years ofde11th,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)No (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)No (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _ (b)State of decedent's heal th at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)lSfo (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 impl iedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)--~l.'l:r~O~--- (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)__~N~O~_ (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or 0 thers _._ (7)Did decedent in his lifetime make a 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)__~lSf~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 transferor by o'peration 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 MARKET VALUE (Estimated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return.NONE ·RCC.-3,8.. COMMONWEALTH OF PENNSYLVANIA /TnI\NSF1~n INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRFCTIOSS:This schedule must disclose all property,real and personal,owned by the decedent jointly wi th another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated lmder 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 nan~,address and relationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Name \ Address and Relationship of Co-Owners,and Place of Record of Instrument,where Rea!Estate.1 NONE Unit Value percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of this return.NONE Rcc:i((i'2-63) COMMDNWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDCLE "D" BENEFICIARIES BENEFICIARIES AND ADDRESSES (state full names and addresses of all who have an interest,vested,contingent or other wise,in estate) Edgar A.Hootman~~11 ..,r.T.......T'l ...~...,•,,-,'-;;I ~••,~• Frank M.Hootman R.D.#2,Box 203~'i,,,T'l Barbara Ensor ~.~ 1::1 "'.J \..lH:::;:).............n",.l Littleton.Colorado 80120 RELATIONSHIP SURVIVED(If step-children or DATE illegitimate children DECEDENT OFareinvolved,set STATE YES forth this fact.)OR NO BIRTH -.v"......I .- n -..i VOQ... Grandniece (daughter of Henry F Hootman, !•~ INTEREST OF BENEFICIARY IN ESTATE 1/3 residue ....,wno lu~eu lVlay <:;:>,.1.::HlOJ Deponent fUrther says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE :\IATIER OF THE APPRAISEMENT (Executor-Administrator must complete "As Reported"column #1.) :Vdill ..tr ti l No .•"'mlms a on ~ IS THE OF THE ESTATE OF Year . GJ...Sl'"..., ~ll) 0-Cb ~g- et ...,'"d ~...Cb Cbll)...ll) ::l 1S ..-~::l '"dCbll)........-0 '"'0'"d Cb.......g ~ ~~ -0 .' O.V.HOOTMAN a/k/a O.VERNHOOTMAN;.Deceased Late of ..9~1::y.,q.:t:..Wc3,~.l1,i..I.1gt:.9.:rl ........ Commonwealth of Pennsylvania REPORT AND APPRAISAL County of Washington enCa::a::>~W~~-< ?"~~n ~->.:.;~_. :z ......... :0 >:~'":CD ~Cb ........"'0-0-...etc..- :1-':0'\ -69~-69 .:......:z :W:0 :0'\ :~:00:CD :0,. -69-69-69 :......:W:0'\:co:0:.:......:0'\ Sllll.\:J 0 tJ J .L SIS 3tl oN~';j';':'\'j'i]S ~.;nH ''Vd "00 NOIOHIHSVM c'.,.'"'10 OJ.:.1(..d _,-69-69~-69-69-69 SHERMAN H.SIEGEL,ESQUIRE 215 Washington Trust Bldg. Washington,Pennsylvania II I i ~Hu ~(i ~]·'''1\~.....J 1 !.::J -~: ~~,0) "-f"'..: ~ \.0: ·15 :(',..":"':~-l "--tr'-. >'"t:l~........("Cl'-J...-2. ::l("Cc.. ~- ;f, ~\I '0 • \ ESTATE OF O.V.HOOTMAN DEDUCTIONS ALLOWED IN j I m,SUM 0''2?~41>1 DATE 7:. of Washington to j -·7d..g-Ot~ STATEMENT OF DEBTS AND DEDUCTIONS ...Form RCC·IOrc4gf~. "OFFICE OF TME REGISTER OF WILLS OF __--:.:W~A~S::.:H:.:.I::.N=..:....::G:..=T:....:O::.:N~COUNTY AND AGENT OF THE COMMONWEALTH DATE OF FILING APPRAISEMENT DAT5 OF DEATH AI:UolU~gJ_Ll....1S...t...·---oIl..:4'4_,--I.l_9",""7wO~_ . A"'OUNT 52.98 18 09 A 1 A ,..nr J J~ ~()()() 37 50 ~A ;~4 135 00 14 00 le::A"7 -:In 14 00 REMARKS II II II II II II -. II Reimbursement: Advertise letters Rent Letterinq monument Account due .,."......1 ~::o,,1in('J ....."hh;eh 'i=::o1.TT NAME OF PAYEE Sherman H.Sieqel,Esq. Kurtz Monument observei Pub.Company Charles Badiali,M.D. citizens Water Co. columbia Gas System,Inc. IMarv Carter Paints 'West Perin Power Co. NO.OF VOUCH"" 7 1 19 DATE 17 1 ( 1 c 7 0 'Mar. 1970 n,,('J 1 Q 'Doni ei=o.....nr TAT;1 1 c:::.Prnh;:\t"p 14 ()() ..,,..nn- I:)00 702 00 "7n'l nn-- 1 h 00 h 7ft ~()()- 3483 09 "1/q), ?-ev. Z~f~ 14.00 '''7nn Total11 Attornev'sfees Final hill 'M. Notrlrv fpA!=: Fil;nrr t-hic:::.n "R::o;1c:: 'l\TT ,,- - -20 Washington Co.Reps.Advertise letters -. ,..t=T.~'"""~,'~ Sherman H.Sieqel.Esa. ..L'-......,~'""'••~.~........uv,.L'-'""''';;l. citizens Water ComPanY Inr .T N M"Mrlh;:m M n COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON I,EDGAR A.HOOTMAN HEREBY CERTIFY,THAT.TO THE BE8T OF MY KNOWL!!:DGE AND BELIEF.TH!!:FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSDl OF ADMINISTRATION SU~MITTED TO THE ESTATE OF O.V.HOOTMAN,DECEASED,AS DEDUCTIONli FOR INHERITANCE TAX PURPOSES. SWORN AND SUBSCRIBED BEFORE ME THIS 26th ~~~"""7'""--_---J~~:.Io!:.r-/l"-l..l- r.1y Commission Exp:res Fcb~llary 21,19711 ,---,r~1rnZ G"~ --t ::-1 c:>C) .o!!-~t,.., -',-~-......o -.;: 1 :,Lur-i..J):..:=..C/) ..."~'tl_J '--_..~,~-~~, ~......- \ .... ,f :, '. IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. In the matter of ,uhe Audit of Account filed in the Estate of o.V.Hootman De(:eased )Dat"3 of death ~f_-....;.../_'I~---,J:--O_--- \No.808 of 191,...::0:..--Term,19__,A.A. i )Dockel_3_8_-_9_5-_9 TO THE AUDITING JUDGE: Enter my 'appearance for the Commonweal'th of PennsylVla'Ilia,claim ng tronsfer inheritance tax in the above estate,as follows: DR. To appraised V1alue of Estate:Realty--------...---------.--....-.---.$------_ Personalty----------------.............$__-I'/~_~11_...,.~:JZ>~s:...::...·...::...,...LI-.:~=___ Addiijoll!al Assets per Account,Subject ,to Tax ----------..---..---------..---..---$_ Additiona,l Assets per Audit,Subject to Tax ',----_______------------..--------------------------------------------------------$----------~----- GROSS VALUE .....-------------------------..-.-....-------..$ _ CR. Debts and Expenses per Account;see Note Additioml Debts and Expenses per Audit II ) $------- $--_._-- $------- $------- $------ }5\.Lf/r J-? ( $----------- $----------- TOTAL.DEDUCTIONS,$_ NOTE:The following credits claimed in the Account are held not deductible 'a'S against the tax:CALCULATION $IGross~ooue ../~z JJL/6_._~_ Less Deductions ,.s \.'f~£-J---.iIo----- Clear vaJue m_________'t ~&~S_\.-+-_ ) ToJ able at 2% $-----'---- 98'?p,-s'""--l--_.1------ ._________________able (__c9\ r ''---$-jY~~(-!1 \~:Ji:,;,tt PAl:ONIA~::.3 .1S~rot.l Tox _._.._m_m __._._,__/_ Cfe_z,_,_j_v, /J $7 ~'7 I .~S'Less amount previously pa,ic mh mm ......_..$_{V1.-)}-()1j --S..... $,I if "S"'L~-c)Balance nmh n .._m_h m mm __m __m ..mm m hm mmm__..$__~-~ $-------- $------- Intere5t__yrs.__mQ~.__days @ __%-------------$_ TOTAL TAX AND INTEREST DUE m~~~ j /6{jJOJJLIfS7,5t( ~'7{Wll ~ >',>-. ., I \ ( No.,Term,19 __•A.A. ESTATE OF Deceased PRAECIPE FOR APPEARANCE FOR COMMONWEALTH OF PENNSYLVANIA ~5 NO,A125161 COMMONWEALTH CPFPENNSYLVANIA DEPARTMENT'Qf REVENUE OFF.ICIAL RECEIPT e PENNSYLVANUl:l INHERITANCE AND ESTATE TAX i'ONE THOUSAND THREE HUNDRED FIFTY-THREE and 75/100 -------------RECEIVED dollarsEdwardA.Hottman -Excr.representing Pennsylvania Inheritance or From:ATTY.SHERMAN H.SIEGEL Estate Tax due from the following estate: Address 215 WASHINGTON TRUST BUILDING WASHINGTON,PENNSYLVANIA 15301 File No._6_3_-_7_0_-_8_0_8__Date of Death 8-14-70 Date of Payment October 23,1970 Name of Decedent 0 •V.HOOT~N County __--,._W_A_S_H_I_N_G_T_O_N --l Remarks: 2/f"Tax on $_ 6%Tax on $_ 15 %Tax on $_O_n_A_c_c_o_u_n_t__ %Tax on $_ Estate Tax,Act of May 7,1927 TOTA_TAX CREDIT Less five percentum of tax if paid "Iithin three months after date 0f death Plus interest at the rate of __%from _ to _ $ $ $1,425.00 $ $ $1,425.00 $71.25 $---------1111 $=::::::1!::::,~3!:::!!5~3~.:=:!:7~5===:I[Il1SEAL 38-95-9NOTE:To be delivered to taxpayer Received LJ'!C..,.....-=::?'l~oIollo1""'"'~~-f-f-!'~oo!!o..6.t.~~-,------1fl1•NOTE:In accepting the transfer inheritance tax an future estates,prior to the death of the e tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth hall nat be precluded or prevented from hereafter assessing additional inheritance tax at the death 0 he life tenant or tenant for years whenever it appears that such additional tax may be legoll~due o::':::n';-~~~~~ol!!ooo.o<~~.q-~I!£I,~!5..IIO.tiL-----ltil collectible for any reason whatsoever.. , -.. -;,. ., I '.',.' ...f"".-.,. .-, RU<:C-"L'"'fJINOiv·.)t:.t rr~,_,\. REGISTER ()F WILLS WASHINc.TYN;qO.,PA.·_ .....,~ "0' July ,19~ ----<2Jj~~ooperSchedu.le of Div.of Court of Common L ~ed:i:5 ua:-t:..--eu u Ulre-·~-,I'j·/-J.. $3,073.71 ~J~_-d~~ Frank M.Hootman July ,1g~ ~_o~~Edgar A.Hootman,Executor of Estate of o.V. ~-±?__Hootman a/k/a O.Vern Hootman~deceased filed ~~"~at No.63-70-808.·. i~hrpf?thouaurH:1 ::;eventy three and 7l!100-----0~ 100 In full payment of 1/3 residue per Schedule of Distri- bution of Orphans'Court Div.of Court of Common Pleas .dated June 1,1971.~~$3,073.71 .~-J-46-tR--~ .BARBARA ENSOR SHERMAN H.SIEGEL ATTORNEY AT LAW WASHINGTON,PENNSYLVANIA 15301 WASHINGTON TRUST ~-UILOI'NG ~':-.·D'. ..L.t.,41 RECEIPTS II'·'I., I j uUL 1(,<P "~l!I:.!".(:r ESTATE.OF O.V.HOOTMAN a/k/a RU~~.~'!""j '."I':0 REC:~,~I ~~:'.~";'.It.;I':'L~; \V/~SHtt.~C-~-OLI GJ~_P/\. f O.VERN HOOTMAN,deceased NO.63-70""-808 Washington,pa.,-----\,~~__~-I~---,1911-N~11356 CLERK OF ORPHANS' r----i D DD! i State,etc••••$======= RUSSELL MARINO elk of Orphans'Court Division I , •.••••$c25:'$CJTotal ~~~ut~1AJ~~~~UE~==========~IDollars For_~h~~-2()~-~~~~· C.,.ty .....$Jii~U~%~ Clerk of Orphans'Court per__----L.f.-:.Id./)l ."..,\_... ~'".... '.. :~,.\, .' I,O.V.HOOTMAN,of the City of Washington,Washington ..':.;'.:...i.~.. I' I· II County,Pennsylvania,being 'of sound and disposing mind,memory and understanding,do hereby make,publish and declare this as and for .my Last Will and Test.ament,hereby revoking and making void all other wills,codicils or testamentary writings by me at any time heretofore made. FIRST:I direct that all my just debts and funeral ex- penses be paid and discharged as soon as conveniently may be done after my decease. SECOND:I gi.ve,devise and bequeath all the rest,resi- due and remainder of my estate,real,personal and mixed,of whatso ever kind and nature and wheresoever situate of which I may die seized or to which I may in anyway be entitled to my three nephews in equal shares,namely;Edgar A.Hootman,Frank M.Hootman and Henry F.Hootman,their heirs and assigns. LASTLY,I nominate,constitute and appoint Edgar A. Hootman,Executor of this my Last Will and Testament and hereby di- rect that he shall not be required to post bond. IN WITNESS WHEREOF,I,O.V.HOOTMAN,the Testator,have hereunto set my hand and se~l to this my Last Will and Testament th's 2nd day of April,1958. ".....-;;,,((...·..;;.I....!.........-~.;;.../.,...·l.J_f_";....;;.;~:7--:...-->-~;-~c:.....~>wl-;:;...;;;..:~<--~(SEAL)O.V.Hootman The foregoing instrument bearing the genuine signature of the above named Testator,O.V.HOOTMAN,was duly signed,sealed, published and declared by the above-named Testator as and for his Last W~li and Testament,in the presence of us,who at his request and in his presence,and in the presence of each other have hereunt subscribed our na.es as witnesses thereof . ........-.....-.~.""-~........,...-... .'t(;J -r- r"'';i''f; '.to • .' ,'. ',. .' ,!t..... ~..3-,70~yO"?. ..,,'··..r.- COpy OF,'.IN\{E'NTORY •r~.');........'. ""'.,'-t,",..~,',.f 10-..~•••!....~\";-...'''':.}.. .Notary Public,..,...... ,EDGAR 'A ~:.HOOTMAN . 'x"cxxxxxxxxxx ..~,. .'o.V.HOOTMAN ,-'"...-., .. OCtober ",'.70 Is/..Edgar:A.HootmanX~XXXX](X~ '/s/Margaret Bails MARGARET ,BAilS,',Notary Public WASHINGTON.WASHINGTON C('"PA, , 'My Commission Exp}reS februa~2!.19ll,. '." .' .) .~\,,~ -, o.iJnUhb'A'Jgacm~4c¥Pttttj~'nr oflR9~o~P an~~tMlsP~ghl~b~t~hiCh were-..".:,....~ ,, of ~; ::: :~~..:,:..: : : ::..late·Of..::.::..; : ::::::;:;~.;~:: Washington County,Pa.,taken and made in conformity with the abO'lJe affidavit, PERSONALTY: " )0'• DOLLARS .CENTS Check Lng-Acoount.-M~llon .Nat::l.'ona1 ','Bank 'and Trust Co.' ,' Cash on deoedent:'8,person" Household furniture soo:d at'auct:lon' 'SO ',00.. 76 . 2827- 39 '.'0'4,88 ..69. '" '..,~, ", .'Medicare o~.S •.Series R Bonds#'D/O o.Vern Hootman'and'Lillian'B. ifootIitan (oo-owner 41e4 1958)':''.·i.:~',',:". 5,-:,$1,000.00 issued ,December,'19S4','., _v '.; ""-•-'\'.,I'U~·S.Series:H Bondsl,n/oO.•.yern Hoo~man ." 5000 00 ,.''. 16 . 00 00· 5000 .255 13680 ,.'.," c , lo •~,l' Social Security Admlnlst~at:ion -burial allowance ' "+•:L.~~~".'~oil';,...~-i ,,!.'..-","....... " ~.', ,. ...'' -.t 4 .~,~,~) ,.1 i \.....,.',',. _.~-I ','.';..' ).'..' 'NONE .. ;, ,.~.." ........L '4:~ ',. ," .' ! ,i .,J'- I.- ,t ...,," ,',.;',.L"~ -,"'l.J ~.f t' •'••,h ~,~.~-"t'(-.' I- .. ", ," " ..~'" ,, 'f "",".,.:....", "..-t . , .'. )' ,. .l t, COpy-'OF U~-IVENTO'RY 1I I ..t..)..t,,.~ ,..! Notary Pub1io' ,."~... ,.. .," ", EDGAR A.:.IOQ'1'MAN· O.·V •HOOTMAN elk/a 'Q.jVE~.HOO:-N .. •,...1 't':.. l ; •/:.f ,~~I ~. (.J-."...,.-~ xxxxxxxxxxxx o.V.·BOO'l'MAN ,J'~...''~~,r,-'.--11' OC1:ober 70 23 ..'."'- ,, lsi Edgar A.Hootman .XXXXXXXXXX .lsi"Mar,garet Bails !R~I\RH B~\LS,..Notary publie,Mil...NGTON'CO..PA. WASHINGTON,W.~SHI.21 1971 .My Commission Explf6S february .t,. .' '. .'. -., ). .'... .31nUtutnrg anb !\pprai.6e~ll.l o~~~~f.;d~and chat~els:rights and credits ~hich were o.V.Hootaan'alkla 6./en.00 .all Cit.y of washln9ton, 0/..: :; :;.;;: :..;..J~te ~f.::;.'::.:::: : : . Washington County,·Pa.,taken and made in confor~ity·.with ·the abave affidavit:.. • . : .',:..'•....-+.: DOLLARS CENTS I I rt ·U.s.Se~ies RBondsl D/o O.'Vern Hootman and ,Lillian Bootman (co-owner ~ied"19~8)I '. .PERSONALTY:;...,- ,•••l'.....~ Ch~ck 1n9'ACCOUnt'-·:Mf!'11.0n National'Bank and ·'tru~'t Co'. .. Cash on decede~t·.·person Household tuJ:nitur~~sOiJ;4·atauction, Medicare .. 2827 "-.80 39 00 ...488 76 69 60 .. B. .. '5 -$1,000.00 1••ued.·December;'l9S4 .u.s.Se.rieeRBondSt,n/o'o.Vern Hootman .5000 .' 00' Social SecuJ:lty Administration -b~rlal allowance 5 ~$l,OOO.~O issued April,1960,..,('5000 255 00 00 13680 16 ... .,-I'Non...."'.. ,."".>i)~,. .'1' .. .";:., ., ..'.'~A,., l~..' ,. ..-:...~~ , j'"•,.I~~.•<\•• i I "~'~'to-:.,~r I t~~ '/-:~ .•..~.or -".,~ ~.".- ,.' ~.,- .'\~"... -. ." \/ .,j " '., .' " ,. '. \'.., .., 'r' >{ ~(:1,.r.('.t.J'~ ,, :1lt!f'1'O(~?•r;t ..0 ;,- '. ...:: " )'l~",\,r!\\JI ~;!:1'~1~\'I'm ''''li\il.i'\,?J\{.~:I),-\~h;~~,h(,JJJ,i~'.'\,.,~in,~;1t,;~Ji37q.'lAn,'1ll l1tatn~t.fn~ I!1"'t¥i;n;l.+..,"~t\;"'""It''"U;'.:.JQP,I a:r.;;w"'",,"""'','...',,'\'¥_~"-:'Y;;':~",,'::£:.t·...1.l,~,'."\:~,T ,i3i\n l'Xc.r"'.':roo,*I •\t,~O . ':.~,,~.;...,,:.."'_,··~·t ,.,..,.'"::..-_~~;,.,.,~·..l._"\~-u~.~~.";...~....•<~••;._.:•••,;-~•••••,;:.~~~.~.,.,•••_;-"••_.,,~._••,~,:••'c .'~'.~~~:hrrinP;l:u '~:'lt;~~\\\,S\~~I~"~_~i.;l~'~'!~·\JJ $\~~~~t·~t-;~,\'r'4~~~f)"t"!)~'~\'k~\.ro01.:.crl~s\:t\~.fi-';'Il', ,aRA.,JJoc -Of 'i';f;:;S \}Q ~t:: (1.\tlB~.~...", lJ(\t ev '> ..!'Itsl..trJ.rOOf.J!rl~::k..";t''~f."lf.JV',0 o\n :~'btt02,t~J~,'-}l~t,,;a .:1 .lJ' .~(Cci1!'':r~~.Wt"'70-fl O)r~J~V'7:10o"J "., 1're~<t ~~.a4"'i~O£)C!·l).$Il1?f:l 00.COo .1A -e n~r'~OO~:(t1~o\l'".!';.t:I\n plbttofl it,a-41':Jpa .•a ,tj' 00 tH}f!~'~".................,,_..._~""-.....,.....- ,,. '~".,.:#i , ", ~ .,. I,• I. ...,1'':£''. ,.,. :ri"!J-·~ .~-- ,. " ,.. ",. ,' ",,''. .. .'. "j~.7tf-,cff!J6' _COpy OF INVENTORYi'. -\...,/'';."../' Notary Public- . "EDGAR A.HOOTMAN·.'. , I • I • ,0..v..HOOTMAN a/k/a -(r~/V~~N HOOTMAN. .XXXXXXXXXXXX '0.V.HOOTMAN- Octob'?lr . lsi Mar.g~tet Bails .MARGARETBA!LS,Notary Public . ,,.:WASHINGTON,WASHINGTON CO.,P'A; " '~Y'Commi~iQn Expires'february 27,'191I ,"oj ..·70 ", '23 i ". "lsi Edgar A.Hootman XXXXXXXXXX .r -,'f<' .~ '0 .~ , I ~;.'"",.'.•,"",,:'~"'"..''.;~'.'t ;-";'"<.i:~,'., .',• -0.''ibt.tt.a~.Adifl!llillyliiffirofJt;A?~P.a;uC9l~~~sqti~~stii~lti\ich~ere ,""~r •••'!t.r." of ::~::~late-of :.~. Wd.shingt~Cou~ty,P~.,~ken and m;w,e in conformity with 'th~:aboveafjidcrvii.:'...4,......,, PERSONALTY: .-,Check ingAooount - I' Cash'on 'decede~t's pe.rson Household'furniture sood at auot.ion r . 'DOLLARS CENTS 2827 80 '39 00 ,-488,,.76 .. U.s.Series H Bonds:,n/o O.Vern Hootni~m and Lillian B...,Hootman (oo-owner 'died 1958):-, Me<iioare _.',.. " ., ,60 ..\5000 '.~.:,'~~....'.., ""',',oloi,. \. ... .,5·~$1,000.00'issued April,1960 Sooial'S~curity Ad~inistrat.ion·-buria~allo~ance Total ::".. REALTY': -..... ..;5000 "255. 13680 00 00 ,00 1'6 ...~ .' -.NONE ",, ..'..... "'":';r."'> "" " \.~(.'," ,-\. ,- .' ." ,- .,. '1.Gt1':h)c.'~•f~,+J:i1;t.')4 \a\ _;gXS'l~:X.XX}~:t " "~m!dtJ(i ,\"!r,b"1 ,il:",So lY;O;fM,' l •.#q.oo>.,4.0;·;v.'~W';"'t.C.~l~!j---I~,~WIS~'t'.1~~'lLaw~':j'~'1',kJJ iK}12JilmriOJ''/fit'' ,. '/,1~::'!:...... !.~,. ,. " .... -' •••,'~,....'11'::"0."""..~,"1\";..•,.;;;•••'"",, ,.......•••.•"••~.A..~\~~~~"\_,,,.~L..~;.~\,.:~n '.._......••"~:~~~",',~_r\••••••~:.•.•••.~•••,..,-r <••••••9\~ ~.,-,.~..~~'1)hi'Ul}-'l~UI\u ..;,,,\A\hr \i~hWt()t~t');r,$~~tli~'~'i;tt~~~1'~<X ,tl·lt~'';)~~':!.:u~~~·-N ",C:t .:.':..,'I 11::t'! ~~~\;.l'·!\'l:b'!f')t~~)r.~:~:~-:'~it~;~:~~~~~~.l-!~~~\;':\Q ~i~W,§i(>~~l!;j~,~f!tlq~,t;~lttW I' ,,. C~A..!Joa, .'*..~T'JlH:6rfFiq.~.~..-,....~~ I -I '.."'l", ~;~if:Gi~J: " ... ,i me,fti,:t.ot:'l'ff n':!.s'\t ~(l ·n\n ,.f 2hl:o:1'::..v.i.he<.1 .~,U =(ate t,6elto'''!~.P:'''tn·~o~)t':f''J,:tncH ..$~Hti,,"ol.t$..ta.b:ild',·...'pti13'ii"1:h1J;!l1:,~f;:;1 "{1.b:f,l'o~e ',t Co l:'}Ou. ,. '0\ enu~..........c::l: C (",. lL.h (It)-::::=...'_......~ .,',., "/~~J.:U~.......~_.-.- ',' ;. .,... •<I;,- .I.- I'-, -,, '.