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Home My WebLink AboutOC1970-0961 - ESTATE OF HARSHMAN.. Rt C-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY I Estate of Harshman \'Jinona (Last Name)(First Name) DATE OF DEATH 9-12-70 (Initial) FILE NO.63-70-961 REPORT OF INHERITANCE TAX APPRAISER 12-24-70Dated:------------- 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". bu£~t u.f1 INHERITANCE TAX ~PPRAISER'V 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 WI LLS VALUE AS REPORTED VALUE AS APPRAISED $$--------1---]8':j':j0 27 18.'110 27 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 18.'3'30 27 18.330 27 VALUE AS REAPPRAISED $-------+-- Valuation of life estates or :::::::::~t== FOR USE OF REGISTER ONLY Tax on $+-__ Tax on $----------f--- Tax on $---------+---Tax on $+-__ Tax on $+-_-\ Exemptions=========F==Total Estate --l__ TOTAL TAX Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death 2% 6% 5% 10% 15% COMPUTAnON OF TAX $---------1--- $--------4--- $-------4-- $---------+--- $-------+--- $------_-..1.._- (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $------..1 AMOUNT OF ESTATE TAX ASSESSED $-----1- Estate tax paid $L- BALANCE DUE $---IL- Add interest at rate of 6%from t= -----~tIO-----$-----~, 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 .l No. Administration ~ IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF WINONA HARSHHAN Deceased Late of ....EAST.F3E'I'f:IL.F,}IF.J'1 County of ..v.lASHINGTON . Commonwealth of Pennsylvania REPORT AND APPRAISAL ;' ·f Affi~autt OOf iExrrutnr ~r "~mtnt!itrutnr t;tatr nf Jrnnnyluanta.t nn: C!tnunty nf Dlhl!i~tngtnn \ P II b f h d . d h'Notary'Public ' d f 'dersonay e ore me,t .e un erslgne aut orlty,a In an or Sal County and State,appeared :kQ.p.JQ ~.,.G.RPJWJ~.JN~who,being duly sworn according to law,deposes and says that he is the executor or administrator of the estate of .........WII,'{QN~RA:R§B:.MA.N deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of......:~:!~.Q.~~...~A.~.~.~~.~.~......., 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, S d b 'b d b f h'15th·l~-worn an su scn e e are me t lS .. d:Y'-ot::..D..~~.m~bb~eef!·:·~··~·~..··~e.··E~~~~t~;:Aii~w -t:R~~i~~(~r~~..·..........··~~~~;~·~;;~·~..·INSTRUCTIONS WASHICGI~Rf\Sttl~~iqit-_I!eAriled within three months·after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 lJuufutnry null Apprnispmfut of the goods and chattels,rights and credits which were of WJN.QN.A M.R§J!MAN Jate of l[.r.~.~~.:r..!5:~.~!?~~!.~.?:~~~~.~~!.!:~.~.~:Ewp., Washington County,Pa.,taken and made in conformity with the above affidavit. J REAL ESTATE: PERSONA L PROPERTY: None. DOLLARS CENTS Checking Account,First National Bank..Fredericktown..Pa. Savings Account..First National Bank..Fredericktown..Pa. Savings Certificates..First National Bank,Fredericktown..Pa. Earnings for nursing services at Spear Convalescent Home..U!:tOWI1 Refund from automobile insurance,All State Insurance Co. Bone China,Cups and Saucers (The following items have been sol d) 305 61 1..15C 38 15..001 00 54 80 25 00 1968 Chevy II Automobile Household Items: 1 Television 1 Hide-a-bed 1 Pole floor lamp 1 Rocker 1 Coffee Table and 2 end tables 1 Pair living room drapes,9x12 rug and pad,and 4 scatter rugs 1 Dinette set 1 Portable Washing Machine 1 Cedar chest 1 Vanity and bench 1 Chest &drawers 1 Single bed 1 9x12 rug Miscellaneous Items Total of items(household)sold 15.00 5.00 2.00 3.00 2.00 15.00 15·.00 50.00 7.50 10.00 7.50 15.00 10.00 63.00 220.00 Total 1..50C 00 220 00 $18..33027 (,. 1,~.....~,,...• I \-'';'~, ...... ......::l .'t d,.0')NO 1.~J N\\~l~ <:l ~<:'1> Sl-\\t.\:i ()'tl,1 IS\~3'U ::l ~.....0 ~"'l ~.]!"c\\B ~ o'~\\\.J ;.1 \\.~",(I,~l ~~ ~::l ""- ~ ~~I ~I ;,d ~\J1G GL,~::t:.~~! ~(t ~ ,( ..L.t.~\ ~ ~ (i .'~.....1 I ~ dO ~.,~\J 1;;' ~. ,\~ 0 '1> ••1 ~~~'1> ~ ::l "'-........ j~:r (, , I I ' .(' 1~( I I ,( . i . I '-I'.( ·.. Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF ,' WASHINGTON J 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 hy the Secretary of Revenue.(Section 703 of the Inheritance and Estate Tax Act of 1961.) ........w.I.~.Q.~~~;~~~;:;..:.~~:~.~=:.~}~;::U:v;:~OFLxOUIS A. (State full name of decedent) Fredericktown,WashingtonLateof county CRUMRINE and say : state of :p~.P:I.l..~y!.y.~~.~} •ss: County of W.l::l:.~h.!.P:.gt:c:>.r.:l.. .........................J~QP]S...A..,G.R.P.:.MRI~~.....Eecutor Administrator of the estate of the above-named decedent being duly sworn,depose Decedent died .s.e.p.t~mp..~r.J~~. (Month) ...,197.Q...,{'testate leaving a last will,copy of which is hereto attached.} (lillY)(Y""r)iXiXaXi:e otherN::t:::i::;r:::r::e:tttao;:::;:}J()llP:J M()~.~l:1~~~l::l:,c!~!'.~f3..q.~..~?.~~.~~~J.?.~.~~~~.~~.~~.~. whom all correspondence should be Washington,Pennsylvania,.J!>.~QJ~............. . mailed. That as such ~.~.~.~Y.-.!Qr.deponent is familiar with the affairs of said estate and the property con- ()i~xeeutor-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 INSTITUTIONINWHICHDECEDENTRENTEDASAFEDEPOSITBOX NONE.. THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fullv and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks or 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 subdivis\on thereof,or of any foreign country,which are owned at the time of death;all wearing apparel,jewel[y,silverware,pic- tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and mortgal!es held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money (..~A,.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 pollci"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. ~~•, f In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial s~atements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location;and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of t~e decedent's interest therein mus t be submi t ted.It should also set forth in itemized form,together wi th the fair marke t value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or ·personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such pr~perty,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect'in possession or enjoymeht at or'after'death,there 1s also attached to the schedule a cony of the deed,trust agreement.or other in~trument creating ,the trust.Therl~is also set forth in said schedule a list of all property,real and personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either individually or jointly,by the Will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement shOWing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and lmpaid at time of death;taxes accrued chargeable for period prior to decedent's death (except those allowed tmder Section 651 of the Inheritance and Estate Tax Act);together With a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amotmt of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein, have been carried forward and properly registered in the Summary. /.j~ Subscribed and sworn to before me this 11.t.b.. """""""\-...day o.t;P~~~!!!!>.~r...19.7.9...../~-P,;;;::.~-- ..&.~~~.~P.~~___......................·Notary..·PubHc ....(Street Number) 1 r.ms.CECElIA MOWl.NOTARY PUBUC .~.:r..~.~~.~~.~.~~.~.~~~~~.~.~.~J~.~.~.~. r.,y COMMlSSI:lN'fXPlR~S SEPT.16 tll7'.(City or Town and.State)WASH'N"TON W 'u't NOTE:Belf~re 'sIg~IW1GiM~R lAke 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 tmlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. •.'1 RCC-34 (1-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF C.OUNTY {:OLLECTIONS ~TRANSFER 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 held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by the decedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be described by lot and block number,street and street number,together wi th a general description of the property,with a reference to the record of the conveyance by which the decedent took title;If a farm state number of a· cres;also statement of mortgage encumbrances upon each parcel at death of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are to be listed on Schedule "F"and must not be deducted from this schedule. NONE. D·~~tV"}i)_S~L,/./ 1Lj;/~ J q1tJ :tv)tWI~L.MM M.K~tS J1-11-S"7:J- J-7..'~ (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE (3) DEPARTMENT VALUATION CAUTION (Do not write In this space) Insert thi s total opposite "real property",Schedule"A"in the X X X X X "As Reported"column on the last page of this return. ," RCC-35 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERI'l"'"ANCE TAX RESIDENT DECEDENT SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".Intangible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,etc.).,; Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank, stocks,mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in any undistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Item No. ITEM List and describe fully UNIT ESTIMATED VALUE MARKEl'VALUE DEPARTMENT VALUATION (Do not write in this space) 15.00 5.00 2.00 3.00 2.00 TANGIBLE PERSONAL PROPERTY: 15.00 15.00 50.00 7.50 10.00 7.50 15.00 10.00 22.0.00 25.00 2fW.00 1500.00 own: Bone china,cups and saucers NOTE:The following have been sold for amts. 1968 Chevy II Automobile Household Items: 1 Television 1 Hide-a-bed 1 Pole floor lamp 1 Rocker 1 Coffee Table and 2 end tables 1 Pair living room drapes,9x12 rug and pad,and 4 scatter rugs 1 Dinette set 1 Portable Washing Machine 1 Cedar chest 1 Vanity and bench 1 Chest &drawers 1 Single Bed ~fff{c~eI~rJItgrarOUa~:?~OLD INTANGIBLE PERSONAL PROPERTY: Checking account,First National Bank,Fred. Savings account,First National Bank,Fred. Savings Certiticates,First National Bank, Frede ricktown,Pa. Refund from automobile insurance,All State Insurance Company Earnings for nursing services at Spear Convalescent Home,Uniontown,Pa. 305.61 1150.38 15,000.00 54.80 74.48 Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X 18.330.27 Rcc-36 r:omION'\'EALTH OF PENNSYLVANIA TIUNSFER 'INHERITANCE TAX ~~SIDENT DECEDENT SCHEDULE "c" TRA.NSFEIlS (1)Did decedent,within two years of death,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)~O. (2)Did decedent,within two years of death,transfer property from hi~~elf to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)1'10. (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)~O. (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)__ (b)What was the transferee's age at time of decedent's death?_ (5)Did decedent in 'his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)No. (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)~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)No, (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 cOllld revert to decedent under terms of transfer or by operation of law?(Answer yes or no)~O. (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 ~one, 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. ",.''" ReC-38 CCMM0NWFt\LTH OF PENNSYLVANIA 'rHAN::'ITH TNHERI TANCE TAX r~SInENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY nSTRlTTIO~S: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 tmder Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent. Property Interest NONE. Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return. .",'...,..., RCC'-37 (12-63) COMMONWEAL'W OF,P.ENNSYYLANIA 'PRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES o BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnameSandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other are involved,set STATE YES .IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH Douglas Wells Nephew Yes 10/29/34 $1#000.00 Robert Wells Nephew Yes 10/2/38 1,000.00 Cynthia Siesky ,Niece Yes 7/26/60 1,000.00 Daniel Harshman Nephew Yes 7/21/56 500.00 Roni M.Smith Great Niece Yes 12=16/61 500.00 f;:Eie~!:J~ftQ)Vn{J.nited No Relation 100.00 Frank and Rheba Siesky ~rotner-m-law&if~00Sister-in-law Yes 4.000.00 Louis and Evelvn Crumrine l~t§tRtliin-law Yes II fH1ff S;6400.00 plus ~fJ~t~·of ~......Sister Yes 12/1/11 Bone china#cups &"';VP.Lvn l saucers valued at $25.0 . ~ ~ + ( h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE None OF THE ESTATE OF ~IATIER OF THE APPRAISEMENT Will Administration INo Year . ~THE (Executor-Administrator must complete "As Reported"column #1.) 0 >-3 "tl ~"1 ""1 ~t0~::s IIIIII0IIIIII(;'::s "tl>-3 ~.,.,-~III 0.>(~'g~~o "'l(i''g ~ r-II '~~III,... ~It ...WINONA..HA.RSHMA.N .... Deceased Late of Fredericktown......................... Commonwealth of Pennsylvania County of Washington enc:::~ ~>~enen~><(')(')(') ?"?"?" <:. REPORT AND APPRAISAL 'Vd "0:;r;OJ ~H.lIHSVf,\ SII!.','._1f)~;11SIVJ d O;'U~'.:.;::::;Snd n c:5 >;:;::: **o***~!::E ~ .~..~.:0 :Z'o Z ~--.:.:0 '.:0 "0 0-'N'::s 'N'::S 0-•..:J (1)•-.:J ,(1):4-..ct c...- **o*""'* JOHN J.MosdhEfT·~j.J~~J30 OL, 78 East Beau Street :n .:.:~-1 ;J Washington.Penna.153·01··)•I _... '- .....::""'0 ~ l0., :\(}.'" "'-J "--~~L ,~ :C), ,~, '-l : >rJ: tl~--. ct~..,-2. ::l§... " Form RC ColO OFFICE OF TME REGISTER OF WILLS OF _~W.:....a=-s=h:.:.tn:;::.sgta:...=.0:::n_COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS AllOWED IN THE SUM OF $ . DATE APPROVED _......• Register of Wi lis,Age"! J ESTATE OF WINONA HARSHMAN Fredericktown,East Bethlehem TownshipLATEOF-=--_ DATE OF FILING APPRAISEMENT DATS OF DEATH _.=S:..=e.c.p..:.;te:::.:m=b:...:e:;r_l:::.:2:...!.c......:::.19=..7.:....0=---_ DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHEJlI: Register of Wills Appltcation tOr Letters 21 50 Washington County Reports Advertising Estate 14 00 Observer Publishing Company Advel1ising Estate 14 00 Greenlee Funeral Home Funeral Bill 1123 20 Louis A.Crumrine ..Fiduciary's Commission 916 51 John J.Moschetta,Jr.Attorney's Fee 916 51 Notary Fees Estate Papers 10 00 ee.zister of Wills FilinS!Account mv II-Arn"...~4 nn Washington County Reports Advertising Account 10 00 Reid Chevrolet Car Repairs 33 80 South Penn Telephone Co.Final Bill 12 05 Haver's Drug Store Unpaid bill tor prescriptions 7 50 Dr.Harry G.Benz Medical Seryices 20 00 American Oil Company Unpaid bill tor gasoline 11 90 Quinet Monument Company Ribbon for bronze plate 24 00 Dr.L.O.Harshman Medical Services 109 00 Two Short Certificates Rellister of Wins 2 00 Grave Ouenina 90 00 Washington Hospital Bal.due not paid by ins.1 15 A dditional Death Certificates 24 00 Total 3395 12 COMMONWEALTH OF PE..NNSYLVANIA } COUNTY OF Washington so: I,LOUIS A.CRUMRINE HEREBY CERTIFY,THAT.TO THE BEeT OF MY kNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST ANTN'l fiA"EMEi OF DEBTS,FUNERAL EXPENSES AND EXPENSES OPO ADMINISTRATION SUBMITTED TO THE ESTATE OF WI 0 as MAN DECEASED,AS DEDUCTIONli FOR INHERITANCE TAX PURPOSES._Q,A~ SWO AND SU SCRIBED IIEFO E ME THIS 7105th DAY ~~'"(L.5.1ecemr ---77i:---'/''-I---....----l,-.-r---'"--tw _ Notary Public MRS.CECElIA MOWl,NOTARY PUBLIC MY COMMISSION EXPIRES SEPT.16,1974 WASHINGTON,WASHINGTON COUNlY,PA. Form RC C·lO > OFFICE OF TME REGISTER OF WILLS OF __W.:..:....:a=.:s::,:h:.=.in=gt:::o.=o:..:n=--_COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OF DEBTS AND DEDUCTIONS 7D SF -/0 7-S- DEDUCTIONS ALLOWED IN THE SUM OF $:J::17-?(!- '~~~; Regist.r of Wills.Age.! ESTATE OF WINONA HARSHMAN LATE OF Fredericktown.East Bethlehem Township DATE OF FILING APPRAISEMENT DAT5 of DEATH _-'S;..e....p~t_e_m_b_e_r_12--"-,_1_9_7_0 _ DATE NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCHEJit Register of Wills Application for Letters 21 50 Washington County Reports Advertising Estate 14 00 Observer Publishing Company Advertising Estate 14 00 Greenlee Funeral Home Funeral Bill 1123 20 Louis A.Crumrine Fiduciary's Commission 916 51 John J.Moschetta.Jr.Attorney's Fee 916 51 Notary Fees Estate Papers 10 00 .....el1ister of Wills Filine-Account.Inv &.Ann?'::l4 00.L" Washington County Reports Advertising Account 10 00 Reid Chevrolet Car Repairs 33 80 South Penn Telephone Co.Final Bill 12 05 Haver's Drug Store Unpaid bill for prescriptions 7 50 Dr.Harry G.Benz Medical Services 20 00 American Oil Company Unpaid bill for gasoline 11 90 Quinet Monument Company Ribbon for bronze plate 24 00 Dr.L.D.Harshman Medical Services 109 00 Two Short Certificates Ree-ister of Wills 2 00 Grave Opening 90 00 Washington Hospital Bal.due not paid by ins.1 15 Additional Death Certificates 24 00 Total 3395 12 COMMONWEALTH OF PENNSYLVANIA } Washington so:COUNTY OF -=-_ I.LOUIS A.CRUMRINE HEREBY CERTIFY.THAT.TO THE BEeT OF INMERITANCE TAX PURPOSES. 'WORN AND 'UB.e"B'D B':;;:M'TN"15thpece~ber '.18 70~GA.lL 4 .MeV--0--1 MY KNOWLl!:oGE AND BELIEF.THI!:FOREGOING fS A JUST AND TRU E srATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF WINONA HARSHMAN DECEASED.AS DEDUCTIONlil FOR /?~£}~(L.S.) DAY Of'........... Notary Public MRS.CECELIA MOWl,NOTARY PUBLIC tAy COMMISSION EXPIRES WT.IS.1974 WASHIOOTOft,WAStflNGTon COWlY,fA Form RC C·lO ,. OFFICE OF THE REGISTER OF WILLS OF _---"-W"""'s.....8.ub....l_n...il""'O""'nLL--_COUNTY STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN Aegiller of Will.,Age.t ESTATE OF -..:..W:..;:IN;.::;.:;...:O;;..;.N;.;...A;.;...·_H;.;...A;.;;;:.:....;R~SBMA~·~..;...N_.__LATE OF Fredericktown,East Bethlehom.To\'1ftebtp DATE OF FILING APPRAISEMENT DATS OF DEATH September 12,1910 DATE NO.OF NAME OF PAYEE REMARKS AMOUNT VOUCH"" Register of Wills Application tor Letters 11 80 Wasbington County Reports Ad-vertistng Estate 14 00 Obsorver Publlolng Company Advertltdog Eetate 14 00 QreenloeFuneral Home Funeral Bill 1123 20 Louts A.Crumrine Fiduciary's Commtssion 916 51 John J.Moschetta.Jr.Attorney's Foe 916 51 Notary Fecs Estcte Papers 10 00 ....Amster 01 WillA Filion Account.tnY.6 ADD!'86 00"'.. Wcshlnmon County Repol1s Advertising Account 10 00 Reid Chevrolet Car Repairs 83 80 Sotath PenD Telephone Co.Final Bill 12 OS Hever's DNll Store U.npaid bill for prescriptions 1 50 Dr.Barry G.Bene Medical services 20 00 AmertcQ 011 Company Unpaid btll for sasollne 11 90 Qulnet Monument CompeDY Ribbon for bronze ptate 14 00 Dr.L.D.Harshmnn Medical Services 109 00 Two Short Certificates ReRlster otWills a 00 Grave OOeninll 90 00 Wesbtoaton Hospital Bal.due not paid by tilS.1 15 Additional Death Certificates 8.00 Tom1 3895 12 COMMONWEALTH OF PENNSYLVANIA J COUNTY OF Washington S8: I,LOUIS A.CaUMRl E HEREBY CERTIFY,THAT.TO THE BEeT OF MY KNOWLEDGE AND BELIEF.THE FOREGOING IS A JusWf1\t:n!itil YA1l~'NBTS.FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF .DECI£ASED.AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES.£~~S~R'tfeceQ)()erBEDBEF\EME THIS ..,~5th A (L.5.) DAY CW fl7~.{'//,/-Ili~-- Notary Public MRS.CECELIA MOWl,NOTARY PUBLIC MY CO:v1MISSION EXPIRES SEPT.16,1974 WASHINGTON,WASHINGTON COUNlY,PI\. ,. RCC-Il (2-64) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUtHY COLLECTIONS INHERITAHCE TAX DIVISION {.,~¥-- Dece''bel'/.4,ll,;'-'r,Date -=-_ Crumrine ,. IN YOUR RaFt-y PLaAC AIIPUn TO (Executor or Adminiotrotor) NOTICE OF FILING OF APPRAISEMENT ~-,oui S .• Estate of .._~_n_o_n_~1_!_i~..;,;!.r_s....l.;..1I_<....tr_l _ ________-'-',:....·~..;:.J.:..;n County _File No.63-'70-961 In Re: I<r. Woto:Thll is not a bill. Renl Botate _ Porsonal Property .l_?~.~3~3~Q~.~2~7 ____ Transfer s ~~~~----__ Tota1 ..;:;1...~'...I,...'3...·;~Q;.I,~2...r_'_ An¥porty in interest who iooddrieved b7 on appraioocont ~7 appeal therefroD as provided by lnw. Dear As to such tax that is pnid within three montha froD dote of death,a five (~~)percent discount io all~Able.As to any tax thot remoins unpaid after one 7ear froo dote ot death,intereat at the ro\o of aix (6~)percent per IlDnUA is chnrged. You are hereby notified that the~__~o~r=i~g=i~n~:~l~__ approisecent in the estate of ~~~;~n~o~n~a~I~{4~·r~s~~~~~·n~_ hoa been filed in the office of the RegiDtor of lHllo Qf ,,'-..,hi11'f,on.,'''1 ~lnCountyonl1ecc;'Jr'!',-,,19-L.,;;.SAid Appraicecent reflocts tho followind vAluationc: to - Fonn RCC-2 DEPARTMENT OF REVENUE BUREAU OF C01JNTY,COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE P..~.<::~?E;).r.:?4..l ~..?7.2.. COUNTY }~l.~.;?h~~~.c:??.:~. FILE NO..??:??:?..?..~""",,. Whereas,~J.~~.'?!]:~~~t~~.~~late of "~.~.~.~J?.~~J::1~~.~~~. in the County of ~9:~.h~.~g~'?.~Commonwealth of Pennsylvania,having died on the J~t.h day of "~.~.p.~.~?~.r.:19 7..?..,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,,W.B QJ:ffi.N.~!X ,an appraiser duly appointed according to law, haYing 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 foIlowing 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. Descrlpllon of Anet PERSONAL: See copy of schedule "B"attached to appraisement Total Unit Values $ Appraisemenl Made for Inheritance Tax Purpoles 18,330 Q7 18 ...·no 27 ------+-----ff-----------= I=====================::!::=====:!I!::===::!:::== ~!~s.0.:L.l1g~().!.1 County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ...........Ylt.P9.I1Cl.):I~.s.l1man Deceased. Late of East Bethlehen.......•.........~... ~:;a;:el~:::/~o;~~·~·9;;~~~~.;;;y .,. Page,./t!...7..=~No.J).3.:::-.7Q:::.9.9..+.. Filed in Register's Office,P..~.'?!?4.J9 ...79 Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,;.. Wrote abo.ut Appraisement, Appeal f1'om Appraisement,. Entered and charged,. ~ , -------/. .;, ';. ~;.-.. .,.....".'" ".,~.". "." ...:. ~J-lu-7C/ COpy OF INVENTORY .Notary Public LOUIS A.CRUMRINE WINONA HARSHMAN WINONA HARSHMAN 16th ,-Sf""1-,Decembor \.70 IIh<vo,~/J7 nv--e Notary Public P~?:"~~.,!\'.:~"'..'~"".Jj."(';a~!c ~{co:~.,.;!~.s'~I"•r~L':5,1974 i"ASrlltlGICN,ViASHI••GfO,:COuNTY,PA. 31nututnnt.anll Ap.uraistmtut of the ~ods and chattels,rights and credits which wereWINONAHARSMMl1Nl·'redericktown.East Bethlehem T\7p•• of late of . Washington County,Pa.,taken and made in conformity with the above affidavit, DOLLARS CENTS REAL ESTATE: PERSONAL PROPERTY: None. Checking Account.First National Banlt.Froderickto\7n.Pa. Savings Account.First National Bank.Fredoricktown.Pa. Savinas Certificates.First National Bank.Fredericktown.Po. Earnings for nursing services at Speer Convalescent Home.U'to\"1D Refund from automobile insurance.All Stete Inaurance Co. Bone Cbina.Cups and saucers (The fottooing items have been sol d) 30561 1.150 38 15.000 00 606 80 2500 1968 Chevy 11 Automobile Household Items: I Television I Hide-0-bed 1 Pole noor lamp 1 Rocker I Coffee Table and 2 end tables 1 Pair liVing room drapeo.9xl2 rug and pad.and <G scattQr rugs I Dinette set 1 Portable Weshing Machine 1 Cedar chest 1 Vanity and bench I Chest &'dra\7ers I Single bod 19a12 rue MiscellanGous Items Total of items(housohold)sold 15.00 5.00 2.00 3.00 2.00 16.00 15.00 50.00 7.50 10.00 7.50 15.00 10.00 63.00 220.00 Totel 1.600 00 220 00 CHS.33027 r COpy OF INVENTORY Notary Public LOUIS A.CRUMRINE . WINONA HARSHMAN WINONA HARSHMAN 15th December '-t 70~.~<.d~//1~Notary Public xxxxxxxx 31nutntnrn anb Ap.p.raistmtnt of the goods and chattels,rights and credits which were WINONA HARSHMAN FredericktoVlD,East Bethlehem T\7p., of late 01.. Washington County,Pa.,taken and made in conformity with the above afJida:vit. REAL ESTATE: PERSONA L PROPERTY: None. DOLLARS CENTS Checking Account,First National Bank,Fredericktown~Pa. Savings Account,First National Bank,Fredericktown,Pa. Savings Certificates,First National Bank,Frederickto\7n,Pn. Earnings for nursing services at Spear Convalescent Home,U!·town Refund from automobile insurnnce,All State Insurance Co. Bone Chinn,Cups and Saucers (The following items have been sol d) 305 61 1,150 38 IS,oeo 00 5~80 2500 1968 Chevy 11 Automobile Household Items: I Television 1 Hide-a-bed 1 Pole floor lamp 1 Rocker I Coffee Table and 2 end tables I Pair living room drapes,9x12 rug and pad,and ~scatter rugs 1 Dinette set 1 Portable Washing Machine 1 Cedar chest 1 Vanity and bench 1 Chest ex.drawers 1 Single bed 1 9x12 rug Miscellaneous Items Total ot items(household)sold 15.00 5.00 2.00 3.00 2.00 15.00 15.00 50.00 7.50 10.00 7.50 15.00 10.00 63.00 220.00 Total 1,500 00 220 00 (>18,33027