HomeMy WebLinkAboutOC1970-0870 - ESTATE OF SHRINER----~---------,.-------------=------------.-------.
"
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPP~NS'COURT DIVISION
IN RE:
ESTATE OF THOMAS H.
SHRINER,deceased.
NO.
PETITTONFOR SETTLEMENT OF "SMALL ESTATE__·~r..--II'_42 ..•...._.-.',_,_
~~tANDNOW,thiS·.L~-1l~y of ,1970,comes ANNA SHRINER,
by her attorneys,PATRONO,CEISLER AND EDWARDS,ESQUIRES,and
prays your Honorable Court as follows;
1.Thomas H.Shriner,died on June 24,1970,a resident
of Cokeburg,Washington County,Pennsylvania at the address of
27 Franklin Street,Cokeburg,Pennsylvania.
2.The said Thomas H.Shriner was survived by the following
individuals:
a.Anna Shriner,widow
b.Thomas H.Shriner,Jr.,son
c.Shirley Ann McCombs,daughter
d~Mary Chopp,daughter
e.Caroline S.Olson,daughter
f.Richard W.Shriner,son
g.Anna Mae Shriner,daughter
h.Joseph C.Shriner,son
3.The said decedent,Thomas H.Shriner,died intestate.
4.Letters of Administration were never issued.
5.The said Thomas H.Shriner died possessed of personal
property valued at approximately Three Thousand Seven Hundred
Fifty-four and 85/100 ($3754.85)Dollars and enumerated as follows:
a.Chevrolet Sedan automobile,1969
model,registration No.A20589472
(The said automobile was sold by
heirs of the deceased to James
.J..
-...~.'.
Myers and Pitney A.Myers on
August 6,1970 for the amount
of $2,300.00,the said amount
being the prevailing market value
at the time of the said sale as
was reflected in N.A.D.A.Official
Used Car Guide listings effective
as of the said date of the 'sale)
b.Wages and benefits due from
Bethlehem Steel Corporation at
date of death and noted at Exhibit
"A".(The figure $1182.42 was
reduced by $11.82 for local taxes
and $15.75 for store house pur-
chases made by the deceased).
c.Personal effects
$2300.0C
1154.85
.300.0e--~..;
$3754.8~
6.The following expenses were incurred by the deceased,
Thomas H.Shriner,and were due and owing at the time of his death:
a.Sears Roebuck and Company,
amount due on account
b.Weber Furniture Company,
amount due on account
c.Marianna and Scenery Hill
Telephone Company
d.State Farm Mutual,automobile
insurance company,insurance
on 1969 Chevrolet automobile
e.West Penn Power Company,
electrical power
f.Equitable Gas Company,natural
gas
$827.49
304.27
156.29
86.10
13.56
8.82
·..
..
g.Borough of Cokeburg,
Department of Water,water
and garbage services
l.March 18,1969 to
April 20,1970 $7.35
2.April 20,1970 to
May 18,1970 7.45
3.May 18,1970 to
June 19,1970 7.60
22".40
$1418.93
(Note:Real Estate Tax in amount of $14.53 was paid
by petitioner.This amount was not included above be-
cause the property having been solely vested in peti-
tioner,was taxable to petitioner and not deceased
husband.)
7.The following expenses have been incurred as a result
of the death of Thomas H.Shriner:
a.Funeral and burial expensei:
1.Greenlee Funeral
Home,Bentleyville,
Pennsylvania,
2.Quinet Monument
Company,monument
stone
3.Beallsville Ceme-
tery Assn.,ceme-
tery lot S.H.No.
183
4.Beallsville Ceme-
tery Assn"opening
grave of Thomas
Shriner
$890.50
635.00
300.00
80.00
$1905.50
...'.
b.Administration expenses:
1.Attorneys fees:
a.'Settlement of,
small estate $75.00
b.Handling inher-
itance tax
settlement 60.00
c.Handling sale of
automobile ,,'25'.00
$160.00
2.Register of Wills,
filing petition for
settlement of a
small -estat~
3.Angeline Sorice,
Notary Public,
notary fees
4.Greenlee-Funeral
Home,Bentleyville,
Pennsylvania,three
copies of death
certificate
c.Family Exemption claimed
at Exhibit "Bit
8.00
0.75
3.00
TOTAL
$171.75
1500.00
$3577.25
(Total Expenses Set Forth in Paragraphs
6 and 7)$4996.18
8.All of the above expenses or claims have been paid by
the petitioner,Anna Shriner,except for the following:
a.Attorney's fees
b.Register of Wills,costs for filing
Petition for Settlement of Small Estate.
$160.00
8.00
·.,'w
c.Angeline Sorice,Notary Public,
affidavit on this Petition
d.Family exemption claimed at
Exhibit liB"
e.Quinet Monument Company,
monument stone
0.75
1500.00
635.00
9,An inheritance tax return for insolvent estates RCC-l03
along with a statement of debts and deductions,RCC-lO,are at-
tached herewith and marked Exhibit "C",and indicate that no in-
heritance tax is due;and owing.
10.The heirs of the estate of Thomas H.Shriner have
consented to the distribution of the estate in the manner prayed
for in this petition,and the said consent is hereby attached,
made a part hereof,and marked Exhibit "D".
WHEREFORE,your petitioner prays your Honorable Court to grant
her power and authority to cash the two bank drafts issued to
the estate of Thomas A.Shriner and to decree distribution of
the proceeds after the payment of the attorney's fees,court costs
notary fees,and the amount due and owing the Quinet Monument
Company totaling $635.00,to the petitioner,Anna Shriner,in
partial satisfaction of the funeral expenses and other expenses
paid by her and the family exemption claimed at Exhibit "B";and
your petitioner further prays your Honorable Court to decree that
your petitioner and the estate be relieved of any obligation to
pay the Pennsylvania Inheritance Tax because of the insolvency
of the estate.
PATRONO,CEISLER AND EDWARDS
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.BETHLEHEM STEEL CORPORATION AND SUBSIDIARY COMPANIES
SUMMARY OF WAGES AND BENEFITS PAID
IN RESPECT OF A DECEASED EMPLOYEE
42393 (3-70)/
UNIT SYM.&NO.EMPL.OYEE'S NAME SOC.SEC.NO,YEAR
Home Office"5-0600-257 To H.Shriner
A.ORDINARY INCOME:
(Gross wages and benefits earned but unpaid as of date of death.)
169-03-5376 1970
AMOUNT
1.Wages earned but unpaid $
2.Unused vacation (including any vacation bonus)-Current year .
3.Vacation benefit under Vacation and Retirement Savings Plan (VRSP)-Current period :.
4.Extended Vacation Benefit (EV)and/or Single Week Vacation (SWV)-Entitlement before death
5.
407.70
774.72
Not 'Applicable
6.
7.
B.DEATH BENEFITS:
(Employee did not possess,immediately before his death,a nonforfeitable
right to receive the amounts while living).
1.Allowance payable in respect of a deceased
salaried employee based on his compensation for one month
2.Vacation allowance (including any vacation bonus)-Subsequent year
TOTAL $
$
1,182.42
1,119.00
1,032.96
3.Allowance based on remaining vacation units in a 5-year period
to which the employee would otherwise be entitled under VRSP .
4.EV po id as a Death Benefit under SVP ;.:;.
5.Retirement savings unit for 1961,1962 and 1963 under VRSP
1.807.61
Not APplicable
6.
7.LESS:Employee's Death Benefit exclusion (I.R.Code,Sec.101(b)(2)(A)
SUB TOTAL $3·959.57
5,000.00
8.TOTAL (B-6 minus B-7,but not less than zero)$
C.TOTAL AMOUNT inc ludable in gross income of the rec ipient (A-7 plus B·8)
D.DISTRIBUTION OF INCOME
$1,182.42
Recipient's Nome &Address
Anna Shriner
Estate of T.H.Shriner
Cokeburg,Pa.15324
Identify ing
Number
Gross
Amount
3,959.57
1,182.42
Death Benefit
Exclusion
5,000.00
Net Amount>
(Item C above)
1,182.42
Any questions regarding the above should be directed to R.o W.F1ickinger,Assistant to 'conlP'tro
NOTICE TO RECIPIENT -Income Tax Information
>Amounts of $600,or more,are reportable by the employer on U.S.information return form 1099.Retain this form as port of your income tax information.
I-------~"'--------.........._----------------"-
EXHIBIT "A"
..
.'''...
..
'FAMILYEXEMPTIONCLAIM
I,Anna Shriner,of 27 Franklin Street,Cokeburg,
Pennsylvania,widow of Thomas H.Shriner,who died on June 24,
1970 as the provider of my household,do hereby make claim for
the family exemption permitted under the applicable acts of as-
sembly of the Commonwealth of Pennsylvania.
I hereby make claim for the maximum amount permitted
by said acts of assembly,One Thousand Five Hundred and 00/100
($1500.00),or the total of the said decedent's eatate,whichever
is less.
However,I defer this right of claim to the payment
of the debts and expenses incurred by my deceased.husband during
his lifetime,tQ the payment of the administration expenses,and...
to the payment of the funeral and burial expenses incurred by
reason of his death.
Date:August 27,1970
EXI-I IBIT "B"
---./'i'I •IForm'!CC·10 .{.DEDUCTIONS ALLOWED IN !:.I.j ...
OFFICE OF'THE!STATEMEN:r OF'PEBTS THE SUM OF ••••••••.••••....................................:~.................
REGISTER OF WIL\.;S AND DEDUCTIONS #./.'WASHINGTON I,
DATE APPROVED .
01"I COUNTY ............................................................,.,
AND AGENT 01"THE COMMONWEALTH
Rellill"of Will.,Allut
i
ESTATE OF 'THOMAS H.SHRINER LAT&:OF Borough of Cokeburg,Washjngton
i.County,penns~lvania
DATE OF FILING APPRAISEMENT Sept.,1970 DATE OF DEATH .Tnne Ll ,1970
i
DATI!NO.01'NAME OF'PAYEE REMARKS _AMOUNTVOUCH""
EXPENSES INCURRED BY DECEAS j::,D AND WHICH WERE DUE AND
"AT DEATH:
bears,KoeoucK and"company amount due on account 827 f49WeberFurnitureCompanyamountdueonaccount30427
Marianna and Scenery Hill
rp~,.r.----ro ,.hi",~e;:I?'Q
State Farm Mutual Automobile insurance on 1969 Chevro-
:T_~••___~~roo ----,".',,..,.I,,..
"r:'J.~~.....vv ,....v
West Penn Power Company electrical power 13 56
'..t:qu~tab.Le Gas company natural gas 8 82
Borough of Cokeburg,Dept.water and garbage Servd:ces:
of Water 3-18-69 to 4-20-70 $7.35
A_')n_7n -1-,....l:;_'Q~7n "7 A c:
I 5-18-70 6-19-70 7.60to ??!L1.n
FUNERAL AND BURIAL EXPENSES
r',..,"""'...'"''"'''''',J'""""'""T.'I••_'_._",,,,.,,0c!on"Ir="...
Quinet Monument Company Monument stone 635 00
~,~~~
I V.L..L....~\.o~~I1~...<::.Ly l'1.:n:>u'.\...l::.IlIl::l..l::.L'y .J-V l...Juu IUU
Beallsville Cemetery Assn.Opening grave 80 00
II 1M "'1.1 b'l'.Kl\'l'.1 Vl'ol 1<')(l-!..
Patrono,Ceisler and Edward Attorneys I fees 160 001-Register of W~lls Pet~t~on for settlement of
rI ~m::l"~!=:t-.ate R Inn
AIj1geline Sorice,N~~fry fees .0 75.,'-,p,,';,..Notary
Greenlee ~Funeral Home Three cop~es of death
1 nnicertificat~,.
,FAMILY EXEMPTION:'r......,•••.',1,~,,c:;nn nnAnna~hrinobr Familv exemntion
IT1rVJ17\T i:Annc ho
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COMMONWEALTH OF PENNSYLVANIA }sa:WASHINGTON \\'"COUNTY OF
I,ANNA SHRINER HEREBY CERTII"Y.THAT,TO THE BEOT 01"
MY kNOWLEDGE AND IIELIEF,THI!,"OREGOiNG 18 A JUST AND TRU E srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES 01'
.ADMINISTRATION SUBMITTED TO THE ElJ'Y'ATi 0'"THOMAS H.SHRINER .oacu.om,All DEDUCTIONS ,.OR
INHIlRITANCE TAX PURPOIIEO.. . {.J
.)f!,IJ.U{,.-~<a/g~''~¥f (L,1\.)
8WO~AND 8UBSCRIBIlD BEFO E IE THiS ~a nna r~n .
Sentember '8 70 .,
f t .I dl {/~,~"..1"\~;;-;:;-v 'j .I
,
:~GEElINE SORICE,Notary PUbllo
.,Chestnut St..
W""shirigton,Wash.Co p .EXHIBIT ~I ellMe',"a.Y 0:n~ISSIOp Expires,January 11,1971."
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•R.CC-I03 (2-64)
COMMONWEAL TH OF PENNSYLVANIA
.O~PARTMEt!T OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE lAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT "DECEDENTS
.~~;
COUNTY OF WASHINGTON
This return must be completed In detail ond flied in duplicate,with the Register of Wills In the County where the decedent resided within one
year after date of death,unless on extension is granted by the Secretary of Revenue.
Will
Admn.,No.19_'__I,__--=-AN=N:.:.:;A~S::,H:::=_:R=I.:.:N=E:.:.R=--------of27 Franklin Street,
Misc.(Name)Cokeburg jAdpt!mlnsylvania
being duly sworn according to law,deposes and says thai3he is the __--=~_--,-tnfQ;rmga..Lnut__-------:...---BoroU~h:.,(j.fm.,Legatee,etc.)
of the estate of~,_....;T:.:H:::O::.:MA=S=--.::H~.--==S::..:H.::R~I::.:N::..:E:::;R~--_-_loteof Cokeburg,Washington County,
(City,Borough,or TownshiP)Pennsylvania
deceased,and that the whole of the estafe of SQid decedent,who died on Jun~e:::...-~2..:l4w'l--;:~1.-!9~7:..l0<!.-__.,--_,'.~(Dote)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair mal-ket value of the assets and
,'.
no Pennsylvania Transfer Inheritance Tax is due.
Sworn and subscribed before me
Type of Asset:.
Real Estate,Pers.
Property~Jolntly "Held Prop.or
Transfers
tVuaUt/~~,·z/Infonnant
Department
Valuation
CAUTION(Do not writ,e
in this space)
(Title)
Estimated
Market
Value
1,154.8300.0.1;------+-----'--
TOT~LS $3,754.85
$2,300.0
(Signature)
so·,-\lJGlsh..,11 19. ."ton.1"tiM'},,Was\1\n6 .."£'lllircS a ASSETSCmmlSSIQ-'M'}0 (Attach additional sheets if necessary)
Description of Asset
,
a)Chevrolet Sedan automobile,1969 model,
registration no.A2n589472.(The
said,automobile was sold by heirs
of the deceased to James Myers and
Pitney A.Myers on 8-6-70 for the
amount of $2,300,the said amount
being the prevailing market value
at the time of the said sale as
was reflected in N.A.D.A.Official
Used Car guide listings effective
as of the"'said date of sale)..~.t_Wages ,~nd benefits due from
Bethlehem Steel Corporation at
date of death.This figure was
reduced by $11.82 for local taxes
and $15.75 for storehouse pur-'
chases m ale by the deceased
c)Persqnal eff~cts
l '.~~..~~'.;,..',..
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Personal
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,;
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed;lnheritcinc~-Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported i~the foregoing schedule at the values set forth opposite each item in
the last column to the right,..
Date'"~.,n er once all ppro,ser
DEaTS AND DEDUCTIONS Amount Amount Approved
Nome of Payee --N-atura of Claim Claimed by Register
;.
~
,"
TOTALS
,\'REPORT OF THE 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 in the amounts set forth in the above schedule as claimed,except where I have set forth a greater or lesser amount
in the last column to the right,whic~,greater or lesser amount represents the sum allowed as a deduction.
:.,
Date of Approva I:~---,---,..----Register of Wills
EXHIBIT "c"
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1r-..u---,-__.J-__1lI
C O..N SEN T
\The undersigned,the only heirs at law of the Estate of THOMAS H.
'jSHRINER,hereby consent to the distribution of the estate according to the
petition for the settlement of small estate presented by Anna Shriner under
the provision of the Act of 1949,April 18,P.L.512,Art.II,Sec.202,
as amended.
".
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Heirs of the Estate of
THOMAS H.SHRINER .•
BY~~~~TomasH:SrineY)JT:;son
By~aw )j1f-~~Ann McCombs,aughter
By:tff4A~(!/#ary Chp~a:u er
By ~~.()~
Caroline S.Olson,daughter
Byfl[~SM;--vuJ~lcar W.Shriner,son
By D O'l TO N:;:>e:t'Le.-51 -U~~)\~0s0AnnaMaeShrIner,dau~ter
By ~~~II.'"J~hriner,son v
DATE
~3,/970
EXHIBIT "D"
--=
·,......
.~
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COMMONWEALTH OF PENNSYLVANIA
SS:
COUNTY OF WASHINGTON
Before me,the undersigned authoritYt personally appeared
ANNA SHRINER,who,being duly swo~n according to law,deposes and says that the
facts set forth in the foregoing Petition are true and correct upon her
personal knowledge.
Sworn to and Subscribed
before me this ~
daYOf~1970
ANGElINE'SORiCE',Nota;y r-~::;~
80 E.Chestnut St.
Washington,Wash.Co.,PD.
My Commission Expires ~M~y~Co~m~m~i~=I~on~~~o~lr~es~Ja~nu~a~rv~tl~..~I~~~I"__
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE~
ESTATE OF THOMAS H.
SHRINER,deceased.
NO.
DEC RE E
AND NOW,this £'.!!!i-d:Y-O~1970,in considera-
tion of the within petition it is found that the estate of Thomas
H.Shriner is insolvent and that no Pennsylvani.a Inheritance Tax
is due:and it is ORDERED AND DECREED that the petitioner is here
by granted the power and authority to cash the bank draft from
the Bethlehem Mines Corporation in the amount of One Thousand
One Hundred Fifty-four and 85/100 ($1,154.85)Dollars and the
bank draft from the Mellon National Bank and Trust Company of
Pittsburgh,Pennsylvania in the amount of Two Thousand Three
Hundred and 00/100 ($2,300.00)Dollars which amount was secured
to purchase the 1969 Chevrolet automobile belonging to the said
estate;and that from the liquidated assets of the estate she is
to pay the debts owed to the Register of Wills in the amount of
$8.00,to Angeline Sorice,notary public in the amount of $0.75,
to Patrono,Ceisler and Edwards on account of fees in the amount
of $160.00,and to Quinet Monument Company in the amount of
$635.00 and that she retain the remainder on account of funeral,
burial,and other expenses paid by her and the family ex,emption
claimed by her;and it is ORDERED AND DECREED receipts for the
payments ordered herewith be procured and filed in the Orphans'
Court Division of the Court of Com~on Pleas of Washington County
at No.______________;and a copy of this decree shall be full
and adequate authority to any bank for the cashing of the checks
hereinabove set forth.
By th
1"
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IN THE COURT OF COMMON PLEAS
OF WASHINGTON COUNTY,PENNA.
ORPHAN~COURT DIVISION
NO.''''#'7tJ 1>1'/97(J;
"
IN RE:
ESTATE OF THOMAS H.
SHRINER,Deceased.
.....,.
.......
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PETITION FOR SETTLEMENT OF
,SMALL ESTATE
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PATRONO,CEISLER and EDWARDS
Attorneys at Law
80 East Chestnut Street
Washington,Pennsylvania 15301
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Pay to the order of
U.Nt()N NA.T10U"(BANK
Bentleyville r»a.
QUINET MONUMENT CO.
James Quinet
Grayce Quinet
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.~CC'I03 ~~-64)
COMMONWEALTH OF PENNSYLVANIA
-DEPARTMEIH OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE rAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS COUNTY OF WASHINGTON
This return must be completed in detail and filed in duplicate,with the Register of wills in the County where the decedent resided within one
year after date of death,un less an exten si on is granted by the Secretary of Revenue.
Will
Admn.No.19__I,AN__N-,-;Ae::-.:::.S.H_R...;:I~N..:.=E:::.:R:...:......of 27 Franklin Street,
Misc.(Name)Cokeburg ~Adp~>.nsylvania
being duly sworn according to law,deposes and says thaphe is the __---==--_---,-:x....·:n~·...f"'-'oo<;rrn~··.......~a....n.....t-'"'-------------BOrOU9<lile.,@fm.,Legatee,etc.)
of the estate of __T=H:...=O..::.MA=S=--=H~.--=S:..:H:.=.:R::..:=.I=..:N=E=-=R-=--Iate of Cokeburg,Washington CountY-I _
(City,Borough,or TownshiP)Pennsylvania
deceased,and that the whole of the estafe of s(lid decedent,who died on Jun.,,-,e=--.:=2,-4"-L.,~1,-,9,,-77-""0_-,--_
(Date)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair ma'tket value of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
Sworn and subscribed before me
th~~~~h~~_k:~..c ,,19 70 0 publiC
__---:,£//-'~---'___,c=;=,...,.,,~\!;l.I'~C:.:;:,-/ I ,Mr.1.c.t
~t/~Informant
(Signature)(Title)
Type 'of Asset:
Real Estate,Pers.
Property,Jointly
Held Prop.orTransfers
\30 t..v'n wash.\"u.,rv 11 19/1
.'washingt?.'"£X~ifes }a"ua ASSETS
!'/I'!comtt\\SS\O (Attach additional sheets if necessary)
.Description of Asset
Estimated
Market
Value
Department
Valuation
CAUTION(Do not writ.e
in this space)
Personal a)Chevrolet Sedan automobile,1969 model,
registration no.A20589472.(The
said automobile was sold by heirs
of the deceased to James Myers and
Pitney A.Myers on 8-6-70 for the
amount of $2,300,the said amount
being the prevailing market value
at the time of the said sale as
was reflected in N.A.D.A.Official
Used Car Guide listings effective '11//)?;.:i :2..r 30 CJ,0 0asofthesaiddateofsale)$2,300.0 ~C~.7V;"l/lt.e.7~
b)Wages and benefits due from
Bethlehem Steel Corporation at
date of death.This figure was
reduced by $11.82 for local taxes
and $15.75 for storehouse pur-
chases merie by the deceased
c)Personal eff~cts
,1
REPORT OF INHERITANCE TAX APPRAISER
I,the....undersigned duly appointe(Unheritanc~'Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported iJ!.:the foregoing schedule at the val~es ~forth opposite eachf'item in
the last column to the right.-,rJJ!fl A 0 J,J~.A..--u .,.,.§.;,#.v...Jo
Dated:t ..]-7/~,,'.Inheritance Tax Appra~er I 7
Name of Payee DEBTS AND DEDUCTIONS
Nature of Claim
TOTALS
Amount
Claimed
Amount Approved
by Register
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for the above County,do respectfully report thot I have allowed
deductions in the amounts set forth in the above schedule as claimed,except where I have set forth a greater or lesser amount
in the last column to the right,which greater or lesser amount represents the sum allowed as a deduction.
Date of Approv!l~:__..:::k-=-__'_
EXHIBIT "c"
Register of Wills
Will }
Administration No.
IN THE
____year
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
THOMAS H.SHRINER
Deceased
Late of Borough of Cokeburg
County of WashingtoD
t:J...
tV
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Commonwealth of P~\I'I;~:YI~nia ;;::;
.::r:G',)C:-C;;en Co"")
REPORT ~~AJ;RAIS.cfE
<:::>--r-:::0<:'0~",,-o f _,~O~1:>..:-..•~r--~r-::<i!!:C/)O
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CO
PATRONO,CEISLER and EDWARDS
Attorneys at Law
80 East Chestnut Street
Washington,Pennsylvania 15301
Form RC C·lO
~
OFFICE OF THE..
REGISTER OF WILLS
WASHINGTONOF COUNTY
AND AGENT OF THE COMMONWEALTH
STATEMENT OF'DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN J
THE SUM OF $1;??4..:Zr..'.
D~D ••••••••~...
C.
DATE OF FILING APPRAISEMENT Sept.S?
ESTATE OF _--=T~H~O.:."MA~S=--~H.....---,S"",H"""-,R-=I""N....E""R",,,-__LATE OF Borough of Cokeburg,Wash;ngton
County,Pennsylvania1970DATI;OF DEATH ,Inne 24,1970
DATE NO.OF
VOUCHER NAM&:OF PAYEE
State Farm Mutual Automobil
West Penn Power Company
qUl a e as ompany
Borough of Cokeburg,De t.
of Water
REMARKS
WHICH WERE DUE AND
on account
on account
1969 Chevro-
electrical power
na ura gas
water and arba e serv~ces:
3-18-69 to 4-20-70 $7.35
AMOUNT
827 49
304 27
13 56
8 82
FUNERAL AND BURIAL EXPENSES
0080Openinggrave
Monument stone
Beallsville Cemetery Assn.
Quinet Monument Company
Patrono,Ceisler and Edward
Register of Wills
Attorneys'fees
Petltlon for settlement of
160 00
Notary fees
Famil
Three coples 0
certificat
Angeline Sorice,
FAMILY EXEMPTION:
Anna Shriner
Greenlee Funeral
"
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF _..:.;W:.::.A::.:S;:..:H.::.:I::.;N:.;..G.::.T=O.=.;N:.....-____80:
______.::.:AN=N.:.:A:.=--=S;.:.H:.:R;.:.:I=.:N=E:.::R.:..-.~HEREBY CERTIFY,THAT.TO THE BEaT OF
MY I(NOWLI!:DGE AND BELIEF,THI!:FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSe:!!Ol"
ADMINISTRATION SUBMITTED TO THE ESTATE OF THOMAS H.SHRINER DECEASED,AS DEJ:lUCTIONi FOR
INHERITANCE TAX PUMP08ES.~~~
~:A.(L.!5.)nna r'rner
~~GEEUNE SORICE,Notary Pub/'o.Chestnut St.W,"shin~o~.Wash.Co.,Pa.EXHIBIT "c"
My CommissIOn Expires January 11,1971
85 Z lid 0dlS Oi,
'0 3 7/.::J
~_fS.•
Rcc-al (2.-64)
COMMONWEALTH OF PENNSYL VAN IA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
Anna Shriner-Informant
IN YOUR REPLY PLEAGE
REFER TO
In Re:Estate 0 f T.J,..L.LbJo:./,OIDWas::J.,;;Ls_Hu....•...JSoLbU,r.L.JJ..·Du.es:<,r.L.:-_
____--:.W~a!::::s~h=i~nQ.gt~o~n~County - FHe No.63-70-870
Dear Mrs.Shriner,
You are hereby notified that the __~_o~r~~~·g~~~·na~l~_-------_
appraisement in the estate of Thomas H.Shriner
has been filed in the office of the Register of Wills qf Washington
County on June 3 ,1971.Said appraisement reflects the
following valuations:
Real Estate _
Personal Property ~3~,w7~5~4~.~8~5 _
Transfers ,--__
Tota1 ---i.3~I..L.7,J,54~.8...51..-_
As to such tax that is paid within three months from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (8%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date J=..un=e:.......<3:..l.---=.1.L,97J..,:1=-_Signed 1?7.addJ&l)~/"'-'fl.u.
Title MADELINE FINNEY,APPRAISER I
ESTATE INSOLVENT
DATE OF DEATH:June 24,1970
Note:This is not a bill.
j
"RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of Shriner
(Last Name)
Thomas
(First Name)
H.
(Initial)
DATE OF DEATH 6-24-70 FILE NO.63-70-'?!70
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E".
June 3,1971Dated:---_---:::~---''--'------
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for Washington 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",~teror lesser amount represents the sum
allowed.,a deductioo.~J-
Dated:June 3,1971 "~l\~_JV·".c~
.~EGISTER OF WILLS
VALUE AS R.EAPPRAISED
$-------+--1-ru 8~
3.754 85
L qq6 8
INSOLVENTTE
$~.71)L 81)
3.754 85
L qq6 1~
ESTA
VALUE AS REPORTED VALUE AS APPRAISED
$
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
FOR USE OF REGISTER ONLY
Tax on $----------4--2%
Tax on $@)
Tax on $5%
nX~$1~
Tax on $15%
~~pti~s *
Total Estate ---I-__
TOTAL TAX
COMPUTATION OF TAX
$--------1--
$--------1--
$--------1--
$-------+--
$--------1---
$....L....__
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::::::::1===
TOTAL TAX BALANCE :-------.j~
PAID $--1L
BALANCE OF INHERITANCE TAX DUE $L
Add interest at rate of 6%from_____to $----l
AMOUNT OF ESTATE TAX ASSESSED $------11-
Estate tax paid $---J~
BALANCE DUE $---ll_
Add interest at rate of 6%from
------ltIO-----
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration !No.
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
'I'H.QNASli.SHRINER
Deceased
Late of.COKEBURG
County ofWAS.H.INO'l'ON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
..
(r
Fonn RCC-2,COMMONWEALTH OF PENNSYLVANIA DATE .........~:tmE?.....3.J......+..9Z~........................
bEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX...-COUNTY .....Wa9.hingt.o.n............................BUREAU OF COUNTY COLLECTIONS ..............
HARRISBURG.PENNA.J7127 APPRAISEMENT FILE NO•.....63.~.7.o.~.e:1.Q.................................................
Whereas,.............................T.hQma.$.....H.....$..hr.i.n~.r..............................................................late of ...................G.9..~:!?~g,.............................................................
in the County of ...................................................J1.{;§.h.mgt..9.n...............................................Commonwealth of Pennsylvania,having died on
the .....................................?4:t:-.P.:...........................................day of .................~~~.................................................19...~.....,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,MADELINE FINNEY 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 aftertheexpirationofanyestateforl1feorforyears,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
I
inheritance taxes at the lawful collateral rate on any such future interest.
Unit AppraisementDescriptionofAssetValuesMadeforInheritance
Tax PurpoleS
$
PERSONAL:
See conv attached to annraisement 3.754 85
ESTATE INSOLVENr
I
I
I
I
I form~~V~fhbJ::::~:.w~~w.~a~:;~:~=7:~~~G:::~l~
AppraIser
..................................................................................................................................................................
I
W (l'IumbCl"and Street)
Penna.............................................~...........................................,
Post Offiee)
...WASHINGTON....County ,
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
THOHA5..H S.HR.J.NER .
Deceased.
Late of
COKEBURG.,-..-
~atc a;:el~:~:h~~;~;;..;~~~.~7.Q ~.
ppr ,J)!:.
Page}./7..7..='No 63.~.7~.~Q .
Filed in Regist~s OfJice}J.un~.3 197.l ..
Amount of tax due}$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved}.
Wrote abo,ut Appraisement,
Appeal ft-om Appraisement}..
Entered and charged,..
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..
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--------------
'0.;;-.:L I .Form '!C C·1O DEDUCTIONS ALLOWED IN
...OFFICE 0 ..THE STATEMENT OF'DEBTS THE SUM OF .........,..•""."."."".""",.."".."....""...".""....REGISTER OF WILLS AND DEDUCTIONS ,/
OF'WASHINGTON COUNTY DATE APPROVED .,,'.,.,....................................................
AND AGENT 0 ..THa:COMMONWE"'LTH .il
Reglator of WillI.Agenl
ESTATE OF THOMAS H.SHRINER I-...TE ~FBQrQugh of Cokeburg,Washjngton
.g County,penns~lvaniaDATEOFFILING"'PPRAISEMENT Sept.,1970 D"'TE 01"DEATH .In ne 4,1 97 a
I
D"'TE NO.0"N"'ME OF P...YEE REM...RKIi ...MOUNTVOUCH"'1t
EXPENSES INCURRED BY DECEAS ::.D AND WHICH WERE DUE AND
AT DEATH:
bears,./;{oeouCK ana (,,;ompany amount due on account 827 1 49
Weber Furniture Company amount due on account 304 27
Marianna and Scenery Hill'T'~1 .r~-,-_..rel .hi lJ 1 t:e;1"0
State Farm Mutual Automobi1 ~insurance on 1969 Chevro-,.-._-,-,.,,~.I..1.• ,~,11 ~.....-oJ.---.uu I....u
West Penn Power Company electrical power 13 56
Equl.taO.le lias company natura.l gas 8 82
Borouqh of Cokeburq,Dept.water and qarbaqe servd:ces:
of Water 3-18-69 to 4-20-70 $7.35
l1_?n ,in -I-n t:_1Q_in .,A c;.
5-18-70 to 6-19-7Q 7.60 ??IL1 ni
FUNERAL AND BURIAL EXPENSES
""''''''·",1 'Qr'\m"",'l:'••_~~..,1 ............onn Ie:n
~Quinet Monument Company Monument stone 635 00
1 1 •1 1 1'v ..............c '-'C~LLC "'"CoL.1 no",",u.,",C'LLC "'"CoL.1 ..."'""'"~uu IUU
Beallsville Cemetery Assn.Opening grave 80 00
J).1M 1\<..:'I-lA.'J.UN t;Xk;!..
1 Patrono,Ceisler and Edward~.Attorneys'fees 160 00.,
Regl.ster of Wl.lls Petl.tl.on for settlement of
rI C!m~11 p-l';tate Q In n.Angeline Sorice,Notfry fees .b 75Pllhif'"Notary
Greenlee Funeral Home Three copl.es of death
certificate 1 100
,FAMILY EXEMPTION:,"'Anna ~hriner Familv exemotion ~.1':;00 100
rJ1f"1rJ11\.T ,...A nne '0
...
1
,,
II
COMMONWEALTH OF PENNSYLVANIA
\.\....
,I
__--'ao4£.Z:ft:1<~4~1<a~,'-tl/~~!~1kKl\7/*{~it.!~e<JlI!...-(L.s.)\.A.nna o:>!frl.ner).
EXHIBIT "c"
~~G",ELJNE SORICE,N~tary Publ10
.-'....Chestnut St.
W."shington,Wash'C', ' , .Me'. .0.,Pa.Y ,omm,ss,op Expires January 11,1971
lJ-11t--E THIS _=__-&;1
--+r--"'~:!-!::;~~::.=..._~,*--I.__7_0_
COUNTY OF WASHINGTON
i,ANNA SHRINER HEREBY CERTlI"Y,THAT.TO THE BEeT 0'-
MY kNOWLEDGE AND BEl-iEF,YHE FOREGOING 18 A JUST "'ND TRU E IIrATEMENT OF DEBTS.FUNERAL EXPENSES AND IEXPENSE!I 01"
AOMINISTRATION SUBMlnED YO THE ESTATE 0"THOMAS H.SHRINER 0EC&AOIiO,AS OEQuCTIONS "OR
INHERITANCE TAX PURPOSE...
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