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Home My WebLink AboutOC1970-0967 - ESTATE OF WELLENSR CC-Sl (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION J IN YOUR REPLY PLEAGE REP'IER TO NOTICE OF FILING OF APPRAISEMENT (Executor ~). Louis Lambert Wellens and Edith Dolores BoJJjnger In Re:Estate of E=d=it=h_\~~.:::e=l=l.:::en~s _ ________~W~a~s~h~ing~~t~on~county -File No.63-70-967 You are hereby notified that the o_r_1~·g~1_·n_al ------- appraisement in the estate of ~E=d~1=·t~h_W~e~1=1~en~s~__ has been filed in the office of the Register of Wills qf Wasbingt,oD County on October 28 ,191Jl.Said appraisement reflects the follOWing valuations: Re alEstate '...3,1.;,I-l0.L\O.L\O.J...'ojO.L\O.L-_ Personal Property __~7~7~,~1~1~5~.~7~O~__ Transfers _ Tota1 ......;z.90lo.L,,...1.L..1.L,5,J...,..,7f..J.0J--_ 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 O_c-'-t_ob_e_r_2_B_,_1_9_7_0 __Signed Title tu.~eL.L ,+I ?; VI.R.,Chaney,Chief Appraiser DATE OF DEATH:September 21,1970 Note:This is not a bill. 'v ,CC-39 (~68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of l,~llens (Last Name) Edith (First Name) DATE OF DEATH 9-21-70 (Initial) FILE NO.63-70-967 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_--=\~~a~s~h~i~n~gt~o:::.:n~_ Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E". Da ted:_......J.0~c<J,tuQLl.b~e"""r~2=.!$oI.".......1...9..L7i-0l.!-_ REPORT OF THE REGISTER OF WILLS REGISTER OF WILLS Dated:_ 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.e or lesser amount represents the sum allowed as a deduction. VALUE AS REAPPRAISED $-------+--,~()fY'\I() 77'.111)70 90,115 70 $.1i .UUL UU 77 111:\7() 90.115 70 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 annuities.. . . . . . . . . . . . . . . . . .$t= ~ ESTATE TAX ASSESSMENTS $. FOR USE OF REGISTER ONLY Tax on $ _ Tax on $+-__ Tax on $---------+---Tax on $+-__ Tax on $+-__ Exemptions========:i===Total Estate -4__ TOTAL TAX ~ 5% 10% 15% * COMPUTAnON OF TAX $--------+_-.:.... $-------+--- $-------+-- $--------+-- $-------+-- $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 $------ AMOUNT OF ESTATE TAX ASSESSED $----~I- Esta te tax paid $l- BALANCE DUE $L- Add interest at rate of 6%from ------'l:to-----$-------It=TOTAL TAX BALANCE $------lPAID$---:1. FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will Administration (No. IN -THE Year 0" MATTER OF THE APPRAISEMENT OF THE ESTATE OF ...E::PJ'rH...WEIJ$N$... Deceased Late of . County of .CARROLL.TOWNSHI.P . ..WASI{I}JG:'l'ON ... Commonwealth of Pennsylvania REPORT AND APPRAISAL "\ t f -------------------------------------------------------, Form RCC-2 <.9~PA~TMENT OF REVENUE BUREAU OF C()UNTY~COLLECTIONS HARRJSBlJRG.PENNA.17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE Oetobe.p 2S,-l-9'l.O . COUNTY .w.?J3.J::t.t.Jp.g.t.~.9.P:. FILE NO...93...=7.9:::..997 . Whereas,···Edith..Wel1ens late of g~~.<?~~.<:>~.~.~.?~.P... in the County of Jlashingt.Qn Commonwealth of Pennsylvania,having died on the ?:b13.:t day of ~.~p.~.~I?:~.~~19...7..9...,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania', Therefore,I,.......................W.R.•.chaney............................................................................,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 I the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest. ._. Unit AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurpo.e, $-.. P.o<>l+,,·• See schedule "A"attached to appraisement 13,000 00. PERSONAL PROPERTY: See schedule I'BII attached to appraisement 77.115 70 TOTAL 90,115 70 Having been duly swo.rn according to law,I do hereby certify that the above appraisement is made in con- formity with Jaw on this ..............~~.....day of ..........................~.............................................~. ..·....&..!.·,...e..,..·······~r···················..·············....................~....;~I.er .... ............................".,......................,............................................................................................................. • (Number and Street) ........(1j..~~............"........"........................................,Penna. (Polt Otllee) ----------------- WASHINGTON County • RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ....EI1ITH...WELLENS .... Deceased. Late of CARROLL TOvfNSHIP......................,,. Date of Death 9-21-70J•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••• Appraisemel!t Docket Vol.,~r . Page,..Lt?..7.~..l.No 63~7~9.67 . Filed in Register's OfficeJ Q.G.t.."~.$J9 ..7'O. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abaut Appraisement, Appeal ft'OJ1l Appraisement,.. Entered and charged,.. • i- ·'- L3-7{)-7L7 " LAST WILL AND TESTAMENT.....--..__It ...e KNOW ALL lJ.EN BY THESE PRESEnTS,that I,:BIDITH UELl/ENS, ,of the Borough of North Charleroi,1rlashington County,Pennsylvaniar being of sound mind,memory and understanding,do hereby make, .. ..pUb~~sh and dec~are ~~~s ~o be my Last Will and Testament,horeby revoking any and all former Wills by me at any time heretofore .).made. .And as to all of my estate,whether the same be real, personal or mixed,of whatsoever kind-and nature and wheresoever .I situate,of which I die se1.zed and possessed,I give,devise and bequeath as follows: i'1 FIRST:-I direct the payment out of T.D'Y estate of the i'expenses of my last illness and funeral as soon as conveniently possible after my decease. I direct my Executors hereinafter DamGd to inour my remains in the plot already provided beside my husband '! ii same has not already been provided. I in the Monongahela Oemetery and to erect a suitable marker if the " I g1veand-bequeath a sum·of Five Thousand and 00/100 ($5,000.00)Dollars oonsisting of United States SaVings Bonds or their equivalent in cash to my beloved granddaughter, JAYDEEN JOY BOLLINGER,to have and to hold the same unto her,her 'i, ;1 heirs and assigns forever.Any monies advanced by me to my said ---granddaughter from the date of execution of this instrument for rmatever purpose shall be deducted from the amount to which she .may be eu-titIed by v1rt~e of this gift& ;1 ElVIN B.BASSI ~OURTH:I give and bequeath a sum of Five Thousand and 00/100 ($5,000.00)Dollars consisting of United states Savings Bonds or their equivalent in cash 'to my beloved granddaughter, DARYLN LOU IfELLENS,to have and to hold the same unto her,her heirs and assigns forever.Any monies advanced by me to my said granddaughter from the date of execution of this instrument for 'I lihatever purpose shall be deducted from the amount to which she ,I may be entitled by virtue of this gift. FIFTH:I direct my Execu·tors hereinafter named to......~_. :1 :cause a fair appraisal.of my real estate aitua.te in the BorOUgh i!of North Oharleroi,Washington County,Pennsylvania,from two (2) ! 'I,reputable realtors and upon written report therefrom,should the said real estate be valued at a sum in excess of Ten Thousand and 00/100 ($10,000.00)Dollars,I thengLve,devise and bequeath such real estate to my beloved son,~IBERT LOUIS .WELLENS,to have and:; \to hold the same u.nto him,his heirs and assigns forever,and a sum of Five nlousand and 00/100 ($5,000.00)Dollars to my beloved daughter,EDITH DOLORES BOLLINGER,to have and to hold t.he same :1 "unto her,her heirs and assigns forever.In the event tl16 :/ :\appraisal.aforesaid is less than the sum o:f Ten Thousand and 00/100 d I:($10,000.00)Dollars,I direct that LAMBERT LOUIS WELLENS shall be :,entitled to said rea.l estate situate in the Borough of north Oharleroi,Washington County,Pennsylv~ia,and the said EDITH i\ DOLORES BOLLINGER entitled to a sum equivalent to one-half of its;, "value or in any event the said Will:b"RT LOUIS WELLErlS and EDITH DOLORES BOLLINGER may agree to sell said real estate in the event the appraisal aforesaid is less than the sum.of Ten Thousand and ".'00/100 ($10,000.00)Dollars and equally divide the proceeds. 'I " iI I, l SIXTH:I ........., ....-,J .,.~rr...·\...~f"l""'T "','••,""7,',t'"£"•.".••.•'...i\:~.·,....i..J:~.....·C.:J..;·_. J ••~•.~.....:IU.~'!'_"'.I~<.:~..-"-'- All the rest,residue and romainder of my 1. I;,estate of whatsoever kind and nature and wheresoever situate, ;i l'l'hether the same be real e~':Itate or personal property-,I give, devise and bequeath unto my two beloved children,EDITH DOLORES BOLLINGER and LAMBERT LOUIS W'ELLENS,to have and to hold the same ~nto them,their heirs and assigns forever in equal one-half 'l shares.In the event LAM:B:E."RT LOUIS 1fELLEliS or EDITH DOLORES BOLLINGh~predecease me or die within a period of thirty (30)days ,;from the date of my death,I direct that the gifts provided herein 'II'~hall descend per stirpes. j' f '"~."-.. ij SEVEN,TH:I nominate,:'constitute and appoint LAJimERT' i!,. I LOUIS WELLENS and EDITH DOLORES BOLLINGER,Co-exeoutors of this my Last Will and Tastamentt empowering and authorizing them to make and execute any and all necessary deeds or other inst1~ants in writing necessary for the proper performance of disposition ,; .and also authorizing and empowering them to;sell my 1"ea1 estate ,i in accordance ~dth the terms of this my Last Will and Testament ., 1 at either public or private sale for whatever price they deem .!desirable and proper.I further direct that neither shall be 11 'I reqUired to enter security in any jurisdiction in which they may ~1 act. j I')1"IN WITNESS lffiEREOF,I have hereunto set my hand an.d i!seal to this my Last Will and Testament this 5't:b day of June, Ii ,I in'the year of our Lord,One Thousand Nine Hundred Sixty-tllOII":, :1 (1962). I:, "~I:J d "I' '~EtVltt O.BASSI OIARLElI01.PA.· ~"'..(SEALl "",:f"r ;,\.". ~~~''':t-.-:...•".: . .....J..·\....1.• 4 r !•, J t;,, !.; " Signed,sealed,published and declares by the said EDITH WELLENS,as and for her Last Will and Testament,in the ,I presence of us,lrllo,at her request,in her presence and in the I presence of each other,all being present at the same time,have ",;hereunto subscribed our names as ldtnesses. " " (SEA~l (SEALl i IIII j, i;I, :i j',1:1III j"Ii ", ;; i ., lELVIN B,BASSI f ',nORNEY AT LAW CHt,RLEROI.PA. 1\ffibautt ®f 1£xrrutnr ®r l\bmtutatratnr J ~tate of Jeuusylttauia } aJouuty of lIas4iugtou ss: Personally before me,the undersigned authority,a ..Ng.'t9.:n~J~M:p.J;i._g __in and for said County and State,appeared ~~!?~E.~...~~.~~~...~~!.ii~~·.·~··~a.~l~AB.~!~.~~o,being duly sworn accordi.ng to law,deposes and says that they Xx the executos or administrator of the es-Edl.th Wellens "tate of deceased,that the foregomg schedules constitute a complete inventory and appraisement of the real and personal estate of Ed.i:th..We~lens., 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 na ed xe to •X I __~ Sworn and subscribed before me this /.tt<}..iIh ~es d f'~CJ..A 19 70 ...~mp.~~,~...k9.\1J.~...W~.l..l.~~~....~.~.......9..l....;.ngeray0......~:~~~~.............:.J)n .Ex utor~~r - ............................:~~~~f14/~~ Qaflry Pll~'""j,"'4rnl wash'~CIr).ADDITIONAL INSTRUCTIONS1.J.1Y~inveI).to~y mus~J!'~ii~d within three months after appointment of personal representative. 2.A supplem~:ntal 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 iutteutory au~.Appraisemeut of the goods and chattels,rights and credits which were of .~~~.!.~~.~~~~~,.late of ~~~~~~~,~.~.~~.~?~.?..~~~.?.X.~.Y.~~ia Washington County,Pa.,taken and made in conformity with the above affidavit. DOLLARS CENTS A six room frame dwelling situate at 524 Conrad Avenue,North Charleroi,Pennsylvania Savings Acct.#64-20070 Mellon National Bank and Trust Company Charleroi Office Checking Account Pitt~Nationa1 Bank and Trust Company -Charleroi Office Wheeling-Pittsburgh Steel Company Employees Allenport Federal Credit Umion Savings_:ACOQunt Pittsburgh National Bank Char~eroi Office Series E Bonds TOTAL 13,000 00 10,8~2 58 1,271 53 1,084 41 8,770 57 55,151.61 90,115.70 '/" ,- -..1 '"r:l~.~~~ :~r ~"....~,~.~ti 4.:':~'""-..,:;:....~~C-l ~."<"=! :.;.,........:tr.I '"I ~;: .;~".~~...i tr.I ~~Vl:F:..,~6"\~":;-..,":;-~tr.I ~.'" ~0 ~...'"r:l '"~ ;:..... J , Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVAN IA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF j Wl\SJiJ.NGrQN .. 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 Esta.te Tax Act of 1961.) Louis Lambert Wellens and Edith Dolores Bollinger IN THE MATTER OF THE ESTATE OF }AFFIDAVIT OFEDITII·WELLENS_·····_..· ·..····i'st~t~..f~ll..~;;:;~..·~i·d~;,.j~~t·)·..····..·EXECUTOR s Late of .....yU:\$.~J.N9!QN.,.N .....Char.le.;toi County ~ :::.::r:=~~::~~:::::J'" .....J.:.-~':l~.~......~J:I:lP.~:t.=:1;.....l!!~!.~.~.~~.....~.~.9.......~q.~.~h .....P.<:>..~.9.~.~.~......?9.!.~~~9~~.. ~of the estate of the above-named decedent being duly sworn.depose and say Executors Decedent died s.e.P1;.e.J:1lP.~:I:'4:J",.. (Month)(lIay) .......19..?v~~.i.....'{~eaVing a last will,copy of which is hereto attached.} 15022 Name and address of attorney or} other authorized representative to whom all correspondence should be mailed. ...J..Ohn..g.CQstello.,.Es.q At.t..o.r.ney ...At Law... 418 Wa sh~Il9't0Il ..Ay~.,~~:t'~~J:'<:>.~'I'.~Il~!:)y~y~~~ That as such ..~~g.9..y.~g.~.§deponent is familiar with the affairs of said estate and the property con- (ExeclItor·Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name.with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT Pittsburqh National Bank Ed~th Wellens mo'tner Charleroi O:f:fice Lambert L Well~n~son Charleroi.Pennsvlvania 15022 Edith Dolores Bollinqer daughter 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 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,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 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 a.nd 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 close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein mlist 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 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 property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by.each transferee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a cony 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 join.tly with another,or any power of appoint- ment vested in decedent,eith~r individually?,:jointly,by the will,deed,or other instrument of another, wi th 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 under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of WillS,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein, h.v~u:::::~r:::::::':::::P::':h:gl;:~":_:"llie s_.rY~~~~ ...........................................day of '!:~19..?~~~~~~~/.~~ __....~..~......-ll~~~>._ ~~:=~::~·l~;..__~~t;;j _..__- 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 business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. RCC-34.(1-1;4) COMMONWEALTH OF PEl'lNSYLVANIA DEPARTMEN'T.O'F'REVEN tiE BUREAU OF COUNTY COLLECTIONS 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 h~ld 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 Commo!1wealth 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 af the conveyance by which the decedent took title;if a form 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 Iisted on Schedule II F"and must not be deducted from this schedule. (1)(2)(3),- DI:PARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTIONDECEDENT'S MARKET VALUE (Do not write DEATH In th Is space) Six Room Frame Dwelling house situate at 524 Conrad Avenue,North Charleroi,Pa.$13,000.00 Insert this total opposite "reol property",Schedule "A"in the X X X X X "As Reported"column on the lost poge of this return. $13,000.00 /~tJ(}().60 SCHEDULE "n" PERSONAL PROPERTYRESIDENTDECEDENT ,.... RCC-35 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX ._----------------------------------------_.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 ftccrued interest or dividends,salaries or wages,insurance pay- able to the estate or f'iduciary in said capacity,partnership interests,interest in anyundistributect estate of or income from any property Ilf)ld 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 hIlly UNIT VALUE ESTIMATED MARKET VALUE DEPARTMENT VALGATION (Do not vrite in this space)--- Savings Acct.$64-20070 Mellon National Bank and Trust Co.,Charleroi Office Pittsburgh :hecking Accoun~~XXKK National Bank and Trust Company -Charleroi Office 10,612.08 1,271.58 3.Nheeling-Pittsburgh Steel Company ~ployees Allenport Federal Credit Union 1,084.41 5eries E Bonds 55:;'151.61 .fS;JS/·bl 5.Savings Account Pittsburgh National Bank Charleroi Office TOTAL 8,770.57 77,115.70 ?;??O.~ ~~//S.'70 Insert this total opposite "Personal Property",.Schedule "B"in the "As Reported"column on the last page of this return. x X $77,115.70 77 /;.5.?tJ I RCC-36 COMMONWEALTH OF PENNSYLVANIA TRANS}cR INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "c" TRANSFERS (1)Did decedent,within two years of death,make any transfer of any material part~Qf his estate,without receiving a valuable and adequate consideration therefor?(fulswer yes or no)_N__\O _ (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 health 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 theref~OwhiCh was to take effect in possession or enjoyment at or after his death? (Answer yes or no)_ (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)_N_O~_ (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)_~N~O~__ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)NO"'-__ (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 could revert to decedent under terms of transfer or by operation of law?(Answer yes or no)NO (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no)_N--:..::(O:...-__ NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM DESCRIPTION NONE MARKET VALUE (Es timated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return.NONE I'i ReC-3$...' CQMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRUCTIONS:This schedule must disclose all property,real and personal,owned by the decedent jointly with another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of.acquisition,and the name,address and relationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Name I Unit Address and Relationship of Co-Owners,and Place I Value of Record of Instrument,where Real Estate.I NONE 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 ,.'.."iRCC-37'(1~.:;63) COMMONWEALTH OF PENNSYYLANJA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES .. BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH Tn,,;""T .llJo 11one:Realtv nlus one half 501 Highland Avenue·of Residue Charleroi,Pennsylvania Son Yes 1-27-1915 Edith Dolores Bollinger $5,000.00 plus one 111 Rodgers Avenue half of Residue Monongahela,Pennsylvanl.a Daughter Yes 3-1-1920 T_...1~~_Tn"Rn11;...,.,0... 111 Rodgers Avenue Monongahela,pennsylvania Granddaughter Yes 10-13-194:$5,000.00 Darvh Lou Wellens 501 Highland Avenue Charleroi,Pennsylvania Granddaughter Yes 8-7-1948 $5,000.00 ( h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE ~IATTER OF THE APPRAISEMENT Will Administration !No. D<THE OF THE ESTATE OF Year . (Executor-Administrator must complete "As Reported"column #1.) C")...,'"C ::0........(1)(1)0 ~....e:..til ::;j til til til 0...,(b'::;j '"C '"1 e:......~til 0><'"C 't:l~(1)0'"........ ~0 ~'t:l M ~ til ........'<~....(1) EDITH WELLENS Deceased Late of ....CARROLL.TOHNSflIP;..,. ~c: ~..~.>...~~W ~~~_.-< 0"'g.g.;: ~~"i::: -E/9 ~-(,0 -E/9 -E/9 -E/9 \0 :-..J :1-'..-..•:0 :-..J :l-J >..:~:"-tn·- :1-':::1-':0 ~ :1-'::0 :1-':0 ~..-.. :lJ1 :'lJl 0 "0 ~:.:.:..Q. :-..J -..J:Oib:0 :0 :0 c.. ~_.; ,. c·~ .., .~..J_.} '0, ~::rJ::;n~~rn r: (f)<:;-)I.) ::r:(n :-i_.-~.~:z ~-:-)''-:'G:J _ -I ~ o c"':z:_.\ o~_...0 _ :r;-: -Utal>(,j REPORT AND APPRAISAL--':J • ...::.> -Commonwealth of Pennsylvania County of .WASHINGTON -E/9-E/9-(,O-E/9 ~-E/9 't ~: ~t:),. :................:.M,.. :~.• ..>:~:".til :'.''(..tl,~"-V\lt't '-'"'ib t;'-:?:r 3~.Y\:\S _. '\.,.,:::l.~A (".:......\J\c..\1 "1l •«--._.. ESTATE OF _E_d_i_t_h_W_e_l_l_e_n_s LATE OF North Charleroi,pennsylvania DEDUCTIONS ALLOWED IN j THE SUM OF ,$!:Zf:.Z.~6 :,(2~~~ Register of Will.,Agent C..3-70 -9?7 STATEMENT OF DEBTS AND DEDUCTIONS OFFICE OF THE REGISTER OF WILLS Form RC C·IO OF COUNTY DATE OF FILING APPRAISEMENT ----:~_~_-_o?~_-.&.~....:;:::J:.....-DATS OF DEATH __S_e.....p:....t_e_m_b_e_r__2_l~,:...__1_9_7_0 _ DATE NO.OF VOUCHE"l NAM&:OF PAYEE REMARKS AMOUNT 1.Monongahela Mem.Hospital Hospital.care,last illness 921 33 2.Charleroi Bor.Ambulance Se •Ambulance expense illness 25 00 3.Haven Crest Conval.Home Expenses last illness 1726 65 4.Kurtz Monument Co.Cutting grave stone 20 j,OO 5.M.Melinchak Funeral expenses 1660 00 6.Elder Wi~ford Gaskell Funeral services 10 00 7 Tweed's hospital gowns,•book ccount 8.Washington County Reports Advertising letters 14 00 9.Charles po1acci Appraisal fees 25 00 10.James Hall Appraisal fees 25 00 11.Monongahela Daily Republica Advertising Letters 12.Register of Wills probate 30 50 13.GUy Rogers,Deputy Register Probate services 25 00 14 e ister of Wills [il~R~s!~~~ntory and 3 00 15.John E.Costello Attorney's fees 4500 00 39::97 6 COMMONWEALTH OF PENNSYLVANIA }SO:COUNTY OF wasbj ngton I,Louis Lambert Wellens and E.Dolores Bollinger HEREBY CERTIFY,THAT.TO THE BEGT OF MY KNOWLe:DGE AN'D BELIEF.;THE FOREGOING IS A JUST.AND 'tRUE srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF ACMINISTRATIONSUBMIT:rED.TO THE ESTATE OF Ed].th Wellens DECItASED,AS DEDUCTIONS FOR '••R"".«TAX rURPO....!i!:!:f!f::$~s.. SWORN AND 8U~S~CRIBC.I!IE:ORE ME T.HIS _/71 CAY OP'.J •.At?__._.,,~~,~-~~ ,-"-,.....'...'"..- ~..'•••,......~t...~,. "ChlrbflS.·~~ •....'.nExpires Dectmber !I.19?3 JPENNSYLVANIAESTATETAX DETERMINATION •~cr ~~t"J (n~'"f4/..'"'r.rt. I "I RCC-49 (8-70tJ!'." COMMONWEAL TH OF PENNSYLVANIA nEPAIt.JMENT OF REVENUE BUlf"EAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION I HARRISBURG,17127 -----J....-..~~.:......::.:...---l.-_ Date ----=.~~=C'--",t_,r'----...,.t......__19 71, Estate of:rJ i -11.UJo-Ll..~rl ~ 'f.:ll·f70DateofDeath~___----"--'0=....;'--_ County loAsi/w,,,:·",1h.'/~n .31":O'1;fr Bureau File No.63 ·7d ,QG7 1.Taxable estate per U.S.Estate Tax Return,Form #706,..------------ 2.Taxable estate per final change in Federal Return dated ~-......L.I.J,.1.11 $.~l .:-2.1.(~6 $'Yj ('<Or r,·~tt ': 3.Amount of credit for State death taxes. As shown on return form or final change notice ($_-'~=LIY~.,CU."'___ J-"~d ............ As verified by computation 4.Penna.Inheritance Tax due and/or paid 5.Normal Inheritance taxes paid to other States 6.Tota I Inheri tance tax credits (4 +5) 7.Total liability for Penna.Estate Tax (3 -6)1"'·-...."'. 8.Less:Previous payments on a/c of Penna.Estate Tax Date of payment Amount of Tax paid Amount of Interest paid $------$------- 9.Balance of Penna.Estate Tax due (7 -8) 10.Interest due from to @6%per annum 11.Balance of Penna.Estate Tax and interest due as of $===....~=1==..,=~.=~=== Prepared by .(NAME)I •(TITLE) Reviewed and approved by _ (NAME)(TITLE)(DATE) .,... RCC-4\(2-72) L 'al s )JUiT.berc ~~eiblens 501 HighL;.l'~c~.tlVE!. (~h::J1.·':"~::roj..t~dlik...1.5022 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG,PA. 17127 -~.'"1 •t ~. Date ._·__._-_'._.._ Re:Estate of_~~__~.~~_ Date of Death ..,-.:...,.... Bureau File ti "County File Ii ';;l..., .:."...;...~!.1 .!J..D...!...Tingex' .~..l_.~;:A.i;~B.)dg'~!rs i~ve. l-Ln·..:mgd1elcu'i Ilenrw •15063 According to our records a copy of the Federal Estate Tax closing letter in the above estate has not been filed with this Department. Section 732 of the Inheritance and Estate Tax Act of 1961 provides that any communica- tion from the Federal Government making any final change in the return or of the tax due thereon must be filed with the Register of Wills within one (l)month after it is received from the Federal Government.Therefore,to complete our files in this estate and permit making a final determina- tion of the Estate Tax liability,if any,we request a copy of any communication from the Internal Revenue Service making final changes in the Federal Estate Tax Return. Ni;j:';U COpy 01"706 D.r:.;'l'ERlI4IN.NI'ION Very truly yours, /," \......\....,'i '. .......1.••_\. ""'.) '.",.."",..'",\ DistricUnherit.ance Tax Supervisor For:P"ehit J:'McHa'~,Director Bureau of County Collections .,J ... Address repl y to: .!\l..:-.".•..•.•'...... .,-'..... RECEIVEDBOf\E~'U OP-. COUNTY r:ou ~CTIONS AUG '9 2 ~2 PH ·75 .JOHN E.COSTELLO COUNSELLOR AT LAW 418 WASHINGTON AVENUE CHARLEROI.PENNA.15022 PHONE 483-5961 I I August 16th.,1976. To The Inheritance Tax Division Commonwealth of Pennsylvania Re:EDITH WELLENS (,3,70.Q67 'T:D 31,/(J 7.~ I enclose herewith your notice looking for the Federal Estate Tax form.IT WAS FILED WITH THE ADDIT PAPERS.However,I am sending you my office copy together with a copy of the Federal Closing Letter. I trust this will suffice. J&:'/c i!•,f dII MSIj!~II I' !DOt!ALT.t tIm BY fllDSIl PIUlSImfS,that I,Iij)Im ~o J ~...4Tof.tho Borough of,llTorth Ohorlare1 ,l1Mh1J!6ton COunty,Ppmmy1v~Q il .....~Ii ,bolag of fJouc1 Jil1D.d,B0J!10ry 0114 lU14orotoad1ng,40 aoro..."oon:oo !i P~b110h'and deo1aro th1~to b~oy'i.001;0111 oa4 foo~nt,-,hOl"Ot:w .ii reYolt1Dg ~oa4 all fomor tfUle by ~e at 0D7 Uno 'horo~io~.I i:Ii ce4o. I'Ii!iII .A134 QtJ to allot rq oStato,t3hothor 1;ho OaDO bo roal; 'I•Ii porooDnl or m1xQd,of tibnteoovor k1Dj.QD4 nnt~ro 0D4 ~oroooovor :i s1tuato"of t3h1ch I 410 coisoQ aa4 pooocooo4,I alvo,<lovioo ana I, " :1 boquOI1th t\Q follot1B. ,I ,.~. poooiblo attar oy 4000000. 1JLcur ~rCElaULo 1Jl tho plot olron4y proV16.od 'b00140 tW huo1tan4 I ,i I Uroot'Dl'Exocutoro lloro1Daftor nooe4 to .I 41reot tho p01Jllent nt of rw oototo of tt.1o ,. expolLOOIJ of D7 100t 1110000 aD4 fuaQ1"01 00 OGoo 00 OOnvao1011tI8 ,-\,I,;i;!I'IIi! II.1I HI',I II I i in tho Rononachola 0Q:1ot0J:7 and to eroat 11 cui'tablo oozltor 1f thoilII II ,'...' ,k'"..,..~.~.\',,:.,.......'<,"~. '",. t1h.ntevor purpooo f1~o.1.l bo 4ocluoto4 treo tho ODO:aat to ~.oJlo, holm ond.ooolano tQl'Ovor.Arr1 oon1oo o(lvODGO,4 by 00 to,rw oqia ~",;'..' srnDdcloaabter fron the 4ato of oxecut1on of thin 1oo~~t f~......~ 001'bo antiU04 b1 virtue 0f thio GUt. .;,~j. ATTORNEY AT LAW CHARLEROI.PA. '-'ELVIN B.BASSI ,0 ' '- ~'.t ..,,.; ,!•"I,t ".:~;:~i;·,.:~"-,.<' "../'"<;..~t1;.. ,, i2V§a I givo a:a4 bequeath 0.C1lt1 of Pivo fhcm.o~ o.n4 00/100 (050 000.00)DoUnro oOJWletlDa of tJn1tc4 Statoo Sovi.b(p "il granddoughtor froa tho dnto of oxecution of thin l1WtmoOOt fog Ii:1i' IIII il .,II II I, I :1,; t1hntoVQr purpODO allnll bo doduotod fron tho onount to uhioh oha 001 bo Olltltlod by vlrtue of thl0 g1tt. I 4~roct 1!fT Dxooutom horo1noftoJ;'noooo to 001100 0 fa1r o.ppra1oal of ~roal oote-to 01tuato in tho BoroUGh af Uorth Ohnrloro1,tio.cll1nstoB OQUnt7,PeBDDylvan1n,fron t~(2) reputablo roaltoro nD4 upon ~ttoa roport thoeefron,ohoul4 tho "001d real ootate bo vMuo4 at a Dun 1n oxoooo of fon fllouo0D4 oea I 'I I 00/100 (010,000.00)DOUt\1"Oo .1 thOJ.lg1.vo,4ov1oo onQ.'bequoath ouo1lIIIroalootntotor:rr bolov04 con,LAImImf LOUIS umwms o 1;G hovo ana Ii to hola tho OODO mto h1no hio holm ani noolaaa'foz-ovoro ot:!4 a II pun of Vlvo fhouo0n4 ana 00/100 (05,000.00)Dolloro ~03 bolovodIi,II dnuahtor,IlDI!rH DOLORES BOIJ.InGnR,to !lavo an4 to ho14 tIlo 0000 I . I WltO har,hor holm cad noo1aoD forovor.In tho ovont tho • I 'oppl"l;dool o.!orooo.14 10 1000 thtm tho OlIO oi fan ih"oo.nA ODd 00/1' (OlOo~.OO)Dollnroo I 41root that L.A.lW3Ilf IIOUU tJ]1t.JJUS ohall.bo • , :1 ~... ont1tl04 to 00.14 rool oototo olt1aato in tho norcmah of Dorth Ohnrlol'Olo t1ooh1ngton OOWlt7.PC?tJDD71VO$oo an4 tho oo1i WIi1l ,, lJELVIN B.BA~SI ATTORNEY AT LAW ,.CHAIILEROI.fA. I iI.I! II ])OLORDJ DOLLmGW ont1tled to a DUD 0tlU1vo.lont to ono-J:w.1f of lt~ 1,1 voluo or 1n 0Dl'avont tAo 0016.LAtmlmf LOUIS tTRLLWS ooi1 ]]J)I~ IIII DOLQJU:S BOLLmGDR J:I.O¥tl«%'00 'to ,?oU oa1A ronl ootnto 1n tho ovct 4 tho ~pp:mioal nforooQ1Q 10 1000 than tho 01!q of ~on fllotlOoofl o.cajlI'.ii 00/100 (010,000.00)Dolloro an4 oqually tilV140 tho ,roeodlo<J jl 'II, :1 II. L " All tho root,roo1duo and rooo'ncior of oy BOLLItJGDR EJr04ooooo'o no or 410 t71thln a poriGel ct th1rty (30)&:l¥ froa tho dato of n:s loath,I 41root thcLt tho l1£to prov14ci ~j;'()iO II oho.r,00.ilil Ii oototo of matooovor lt1D4 oa4 naturo and t14oroooovor o1tuatc;>o mot~or tho 0000 'bo roal ooto.to or pol'Oonol proponYII I alvoo devioo an4 'bCCluonth etc»D7 to:t bolev04 oh1l4ron,!mIni DQ~V .\DOHlItlGl5I o.n4 LAlmmtf ItO'OIS ummmrs,to hnVQ and to ho14 tho 0000 unto thoo,tholr ho1ro 0D4 noolf&IlO foroyor 1n oquol onoo=bo1f In tho ovgat LAmn3ltf LOUIS t1PIa¥!fS or 119IiH DOLOnt::J rot111r04 to ontor oocmr1t1 111 0lJl'~ur104iot1on in ttA10b thoy DJ:J:8 11\nOCilor(10.n0o ~~tho tome ot.th10Df Itlot 11111 0P8.foo~01lt ~t 01,ao.-JUb110 or pr1voto oaio tor tthntbvor prieo ~oy 4000 4oo1rnblo on4 propo,.I fur1hor ~1root ~tD01~or pholl )0 ~&I ~tot-"';,ooJU:Jtltuto oa4 o.ppoint ~2 :r.OllIS l1Jit.1,mJS,and BDI9 »O~1I!8 BOLLIDGEI,Oo-oxoGUtoro of th10 m 11IfImSS mmaro17,I hovo horounto oat oy hm!4 0D4 goal to th10 nt Lnot ~1ll o.D4 fOD'totlont th10 M tiny of Juno, QY :r.aot lfUl and ~ooton('m:t,omPOl1orin«0Jl4 o.uthorin1nG thea to oolto on«O%Ocuto GD7 c.o4 all ,no~oooory 40040 or othor inotn:::JC;lto I ' ~urtt1ng Doooooary tor·tho pro;por porfo:....maoo of 41opool'lon .' aB4 0100 authorisinG ~CO~0t10r1J1g "han tOh10011 ~real ooto.to Oboll'dOQoand por ot1rpoo. .1 II 11III'I!iII'I ifII I I II II.q il !IIi ,-s,n':{!bo 700r ef our :Lon,0110 fhouoa.nd !lino Bw:ulro4 S1X'tyo tl1G II (1,62). :1 II' 'I!I1 11 CHARLEROI,PA. IIUELVINB.BA~I Ii ATTORNEY AT LAW r ! ! "" , Ii !' ,..~t ' Signod,000.104,publioh04 oa4 4ooloreo by tho oali DDIm tnSLLlmS,ao o.u4 tor hor Lnot lfUJ.and ~OOtaoOD:',1n tho prQOOBOO ot un,mo,nt her roquoet,18 hor prQconoo on4 1n tho prooomoo of oooh othor,all bolD«proo~t at tho 0000 tiBe,hove horeunto ·oaboorlbod our nonGe on nltnooooo. i.' :t~.... .,'t_,_:;~~~". ~., .'''Vd "OJ N01~)f.JJHS\1!tI . 811/1.1 .:10 tl31S/{)3t/ aNfi.:1 v;:-"7:;Ssn1:1 to.l·~'J -,J J!.21 .~~t ;. ., ...'.~.. t t 3-7CJ-9C 7 COpy OF INVENTORY 10 't1td~p)~ o XXXX>OOOix d Lonbo~~Loma ~o11oDO OllIS ~£~~iOgOO >OOOOOOOQ( ~~~~~ ~.~e-fO',W8~~'rr"'mfOlr. r;:1'eommi•s'lt",j..''.".''-. .)BP,I.Jltt~anil !\ppraistmtnt of the goof4h~~t1hewh'fB~OZldt c~i\nWi~lo of 1ate of . WashirJgton County,Pa"taken and made in conformity with the above affidavit. DOLLARS CENTS A O!')t 1:0am ;frDJ:::':J Gr.e11ing aitut\te at SM Corurad Avanue,North Chorlorol,Pennsylvania 13,000 00 savingo Acct.OM-20010 t::ll1on Na"tional Danle:and Trust Company ~loroi O:tf'ic0 lo,a3?9J Chocking Account r:,t.~~_~WNational Bnnlt and t'1:us~Co:apany •Charleroi 011£100 1 t 2'71 S1l ~elin9-PittGburgh Steol c¢npony BoployeGls A,110nport FedQra1 credit UOion l,OSG 6! ~,?~11-iZO flc~~~P1'Ctobm:gb t~t1=o.l tkn!: Chm:trosa~O£fAco 8,770 57 8Or100 B D~55,151 61 '--',> .,';. "t!.,;I,,',\,•...iI..~.~.7~'''' '..~"..'"