HomeMy WebLinkAboutOC1970-1007 - ESTATE OF SHAFFERA'I '1 Q 1·(l'If~Y AT 1...4Vi'
12 NORTlrJf.l::-;:;;':;SON AVENUE,
CANONSBURG,PENNSYLVANIA 15317
(SEAL)
o
LAST WILL AND TESTAMENT
Signed,sealed,published and declared by Jean L.Shafer,
l'
>j
II
!f!I
/1 I,JEAN L.SHAFER,also known as JEAN L.SHAFFER;of 111 Smithfie Id Street,I
fr .I
Ill.Canonsburg,Washington County,Pennsylvania,15317,being of sound mind,memory and !
iIfunderstanding,do hereby make,publish and declare this to be my Last Will and Testament,!;,IIIhe<eby revoking and making void all former Wills or Codicils by me at any time heretofore I
tade.....IIFIRST:I direct and order that all my just debts and funeral expenses sholl by I
Ii my Executrix hereinafter named,be f"id out of my estate as soon after my decease as I
II,II~shaH ·by her be found convenient,"
I!!II SECOND:I give,devise and bequeath all of my property,be it real,personalr.1
liar mixed,and whether acquired before or after the execution of this Will,as follows:I
II (a)to my friend,GAYLE BRISELLI,forty per cent (40%)of my estate I
II (b)to my nephew,-·ALAN·WIISON,twenty per cent (20%)of my estate I
If,'I.,I (c)to my nephew,DENNIS WILSON,twenty per cent (20%)of my estate
f,ll.!I .(d)t,o my niece,LESLIE WILSON,twenty per cent (20%)of my estate.I
II I!I !
Ij THIRD:I nominate,constitute and appoint my friend,GAYLE BRISELLI,~.lI,,;·1 I ..•
Ii Executrix of my estate;but if she should predecease me,then I nominate,constif'ute andII..Ii appoint my nephew,ALAN WILSON,Executor of this my Last Will and Testament,to
II serve without bond in any jurisdiction.I
d /11i --7 4 !II IN WITNESS WHEREOF,I have set my hand and seal this;'z-doy of~,i
111970.I
If 4'~jJ~.'II..'(4 A --;.-/f/'--I!r.(SEAL)
I 0 djean.Shafer~,I
II :}'''M ?L J-/';#b10/.Jean L.Shaffer '!I
..'.'-.,•.-,10:.'__".'
05-1tJ-If7t1 ]
l\ffi~autt (@f 1£xrrutnr (@r l\bmtntstrutnr I j ()7
8'tatt of 'ttttt11ylttartia }
Qtoutttg of lIa114ittgtott 1111:
Personally before me,the undersigned authority,a ~~f.~ry.J~~.~!J.~in and for said
County and State,appeared _Ga.y.Le..BdsellL who,being duly
sworn according to law,deposes and says that she is the e~ecutor~siJUi~i&t~fthe es-
tate of Jea~.L•..shaf.er-.a/k/.a·Jea.n..L...-.....deceased,that the foregoingJschedule$hconstit).lt~aJ L"'SJ1atter'ean 1..~ater a(K(a ean •
complete inventory and appraisement of the real and personal estate of Shafler ___,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite
each item of real and personal estate in the foregoing schedules are determined and stated by the
undersigned to be the fair value of said items as of the date of the decedent's death,based upon a
just appraisement of each item made by the above named Executor Administrator.
Sworn and subscribed before me this ..~.?.-:{(t",,}tt'~~'
d ~.f..~-<l171.,~~.
a 0 ·tJ·······~-7·t·····,·..······Executor-~slmlR~~~ELYN C•.!~~J '/"..~~'/...it~.W .Canonsburg,--~ngton c.,a.:'k31~:/
.Jy1y Comm~Expires'arch 10,1973..ADDITIONAL INSTRUCTIONS
1.An inventory must be filed 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
.3Jttttttttnry aub 1\pprai11tmtttt of the goods and chattels,rights and credits which
were 0/.Jean..L....5.hafer..a/k/a..Jean..L•.Shaf.fer..late of .1.I1.Smithfie.ld..5.t.,..Canansbu.rsr ···..···..··..·..·
Washington CO'f"nty,Pa.,taken and made in conformity with the above affidavit.
REALTY
NON E
PERSONALTY
DOLLARS CENTS
Proceeds from sale of home situate at 111 Smithfield St,Canonsburg,Pa.
Household Consumer Discount Co.-overpayment refund
Central Acct Clearance -overpayment refund
Treasury Dept check
Walter Pierotti -car proceeds
Blue Cross of Western Pennsylvania
South JHlJlls Finance Corp-overpayment refund
Steward M.Flam -sale of furniture
Chartiers Savings and Loan Assoc.-refund
Cash..SlovenJan..5avJngs-and Loan Assoc.-refund
......
',.,'
;~,I,.:;C .::~,.....,~.•.....c:...
5,068 22
20
II 25
14 28
1,350 00
r4 '59
69 37
160 00
133 67
6 47
780,.
5,835 85 ''''/
.......
\,'.
.'
,~77.3
Inventory and Appraisement
IN THE ESTATE OF,·
"'.
,
Jean L.Shafer a/k/a Jean L.....................................................................:.:'".
Shaffer
.'
,
'.
Filed ,19 ..
J
...~
--I •!
::i:~.c
:i>rn:::O ::;:;:.,r·(f)c:>C:=:x:-erJ ~''-.rr'.-(f)cn
&!Z --'1'1 '-.)c
I:=>.f'-"'-~............._~-....
'"-,.........,.-c~'-rt _..,.-:::::r...C)~0 --."'-'f'J-_.~'-r-z-0 r 0 ...t:='::>en u,
~_•.L\-'f/:§;J5U'..""-5 .....
THE DAILY NOTES
CANONSBURG,PA.
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P\L.1784.,
Sec.3.paragraph (3)and (25).
State of Pennsylvania }
County of Washington ss.
Persona~al?peared before me,a Notary Public in and for said county and state,Robert rtooinsdn . .---------------------------..:.,who bemg duly sworn,deposes and says:that
___~_is the Jj~!!.§~g_~~_of the Notes Publishing &Printing Co.,a Penn-
sylvania corporation,and its agent in this behalf:tha,t the said company is the pub-
lisher of The Daily Notes,published daily except Saturday and Sunday,having its place
of business at Canonsburg,Washington County,Pennsylvania;that the said Dai~
,Notes was established August 1,1875;that the printed notice or advertisement,attached
hereto is a copy of a notice or advertisement,exactly as printed or published,which
appeared in the said newspaper in its regular issues on the following dates:
October 22 29 November 5 1970·----------------'----------'----------------------------------'-----------------------------__.
that the affiant or the corporation in behalf of which __:.h~_is acting is not inter-
ested in the subject matter of said notice or advertising and that all of the allegations
of this affidavit as to the time,place ~harter.t publiliation are true.
.Mgr.------------_.._---------------.-------.--_.~-----_._-------
Sworn to and subscribed before me this5November 70____________,day of ~-----------------------------------19 _
/Au REY J.E ONt,?W.J~~.J
"..~.....--- .n-'e;u·~~~-'-=·~---------·--·-.'..n,a.Notary Public
My Com JSSJQ .Explres March 30.197~
.'
':'t.'.'.:......
:....I<EXECUToRIX NO ClE1'tat€\:tpf Jean{L.S
Jean ':U1Shaffer,dec
111',..Smithfi0d '.,'Yashing-ton (';:·ou
Letters TeStaabOveestate'hatotheundersign
by given ·to·;.thQs
to make 'immeditothosehaving<;'1!l'i
to presen-Ltheni,for'et'G:a~./e._.B.risel.1i -,.~...r,978~lia:'Street \,.BrHl'g.Nille,"Fa.f'
-M ..E!Kusturis~,.,AttoJ;ij,ey.
12 Norfh 2JefferMnf A'\f!;nueC'anonsburg,'1~a,'153W'.'.October 22,29,Nove'moer 5 1970
»
Washington County Reports
msxS~JO~Jt'l*lN~
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P.L.
1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON}
STATE OF PENNSYLVANIA SS.
Personally appeared before me,a Notary Public in and for said County and
Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and
says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the
official legal periodical for said Washington County,published weekly having its
place of business at Washington,Washington County,Pennsylvania,and is act-
ing as its agent in this behalf;that the said WASHINGTON COl.'NTY
REPORTS was established on March 31,1920,and was designated as the official
legal publication for Washington County,Pennsylvania,by order of the several
courts of said CQunty,dated November 11,1920;that the printed notice or adver-
tisement attached hereto is a copy of a notice or advertisement,exactly as printed
or published,which appeared in the said legal periodical in its regular issues on the
following dates;
..._g.~.!g!?~r....?~.,L9.1{).
...........~Qy.~.~!?~..r....5..,..!..?.,.J..9..7..Q .
that the affiant or the corporation in behalf of which he is acting is not interested
in the subject matter of said n~~o'ce or advertising and t~a of the aile"tions of
this affidavit as to the time,~charac/7 of the Ii ationc rue
l UttJ .
Sworn to and subscribed befOc::..'=;;:........··.......·..·=·_·_==~
Estate Notices
The Register of Wills has granted letters.
testamentary or of administration,in the
following estates.Notice is hereby given
to all persons indebted thereto to make
payment without delay and to those hav-
ing claims or demands to present l:hem
for settlement to the Executors or Admin-
istrators or their Attorneys.
•• • ••••• • • • ••• • • •
SHAFER.JEAN L.,a/k/a JEAN L.SHAFFER,Dec'd.
Late of 111 Smithfield Street Canons-burg,Washington County,Penna.ExecutrIx:Gayle Brise!!i 978 EllaStreet,Bridgeville,Penna.'Attorney:M.E.Kusturiss,12 NorthJeffersonAvenue,Canonsburg Penna15317' .
1.2.th day of...No~ete.r:,19/J(J.O.
7~~;'~""~~
! /t._..__...
V JOSEPHINE T.SC:AMANNA
Notary Public.Washington.Washington Co.
My Commission Expires July 1.1574
r
""0Q.lIII...0Q.l Q.l.....UoQ.l~""O....
...J ...Q.lCt::o 0Q.l..!::.,Vl......
O...J
Q.l C....0.E Q.l
Lfl'..~
Q.l..::L....,
.E:0
'-
,,-
: J
(i!'-'j I\ u . _....t :.;;..~IN0
:EC'h :T i'()F VI ILL S
\,1;\<:t'I 'f"t'lJt.vi!',·",t"l CO.•PA .
....
MICHAEL E.KUSTURISS
ATTORNEY AT LAW
12 NORTH JE<:F'FERS~AVENUE
CANONSBURG.PENNSY;'VANIA 15317
~J
Form RC C ·10 DEDUCTIONS ALLOWED IN J
AND AGENT OF THE,COMMONWEALTH
.-;OFFICE OF THE
REGISTER OF WILLS
OF Wash j ngtan COUNTY
STATEMENT OF DEBTS
AND DEDUCTIONS
/067
THE SUM OF $..
DATI::APPROVED .•...•.•
Register of Wills,Agent
ESTATE OFJean L.Shafer a/k/a Jean L.Sh~~~OF _l_l_l_S_m_it_h_"_·e_ld_S_f:-,_C_an_o_n_s_bu_r..=9;.;..,_P_a_._
DATE OF FILING APPRAISEMENT DATIl OF DEATH _--.;;;.S~eP...t.;..;e;...m_b_e.;..r_2_6L.,_1_9_7_0 _
DATE NO.OF NAME OF PAYEE REMARKS AMOUNT
VOUCH""
1 Louis N.Sollon Funera I expense 1,921 20
1 Everlastin9 Memorial Headstone 299 ~O
-
3 Washington County Reports Legal adv.14 00
4 Daily Notes Lega.l adv..12.,5 U
-"5 .Jjroay s rer'l::lUHc\'J.UCUIJ 70.IV,)
6 Toll Gate Service Personal debt 42.03
7 Bell Telephone Co.Phone Service 10.95
50.\'::>30 ron Oil Co.Gas purchases 60.14
J
Canonsburg Borough Sewage charge 5.84 ,
9
10 Citizens Water Co.\'later Service 8.90
\ill ',;('!1 +.""',~"'H1.lM'o+.",,...Co Water Service 10 "1.,.,Columbia Gas Co.•Gas service 15 23.
11 PNB Personal Debt 101 86 I
1'4 :Q):;").~"'e&uben Medical services rendered 100 00
~_..
15 Wash~ngton Hosp~ta..l Hosp~ta..l~zat~on 38.87 ,
J!.n.Dr.Corwin Medical services rendered 2l.80
I17HorneFurn~ture Co.Persona..l aeDt 10l.63
18 Mellon Nat'l Bank Personal debt 14.25
I19westPennp~wer Co.Electric service 5.§O20TornBrownFowerShopFowers15.
21 Colon~a~~~~rmac¥Drug purchases 393.0022SamGoldfa~-~At ;~,tor .."Personal debt 241 54
~"";'1 Burial Lot 135.0023JeffersonMemor~a
24 Russell Mar~no Letters Testamentary 12.50
25 Jeffrey's Druq Store Druq purchases 46.98
20 Vernon Wllson personal.aeDt ~l.27
27 M.E.Kusturiss Attorney's fee 350.00
28 Gaile Br~se..l..l~t;xecutr~x 350.00 '*comm~ss~on
29 Gu f Coast Collection Agen&~Pers(ma1 neht-10 !Ah
~~E.C.Telesko '-.Notary Fee 5.00ro~,.·~~..'~-~,rl,..,'h........,1:::'71::
32 Aldenfs !nc.Personal debt 48.8933BridqeviIeTrustCo.Personal debt 3 200 00
34 Dr.Thomas Whalen Medical services rendered 57.00
COMMONWEALTH OF PENNSYLVANIA }ss:7,826.89
**Credit Ex Comm.• • • •350.00COUNTYOFWashingtonTotaI••.....7,476 •89
I,Gayle Briselli HEREBY CERTIFY,THAT.TO THE BEaT OF
MY KNOWLEDGE AND BELIEF,THE FOREGOING ISA JUST AND TRU E srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF'
ADMINISTRATION SUBMITTED TO THE ESTATE OF Jean J •Shafer alkla Jegn L.Shaffer DECEASED,AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES.¥~.sWO~~~':CRI'EDIlEFORmS r::2 q~(L,5.)
DAY OF~}I "}i 4_*"/f/;~I'/A/I/J ,/I/,c7/[l /#1
j/[((-.....-"V /Vt,
/..1:VELYN •TELESKO,Notary Public
'Canonsburg,Washington Co.,Pa.15317
My Commission Expires March 10,1973
t .•0 ••
r'"
rn
;
DEB TS AN D DEDUCTIONS ••••continued
Dr.Corwin
Home Furniture Co.
Mellon Ntl Bank
West Penn Power Co.
Tom Brown Flower Shop
Colonial Pharmacy
Sam Goldfarb,Atty for
Clifford Warrick
Jefferson Memorial
Russell Marino
Jeffrey's Drug Store
Vernon Wilson
M.E.Kusturiss
Gu If Coast Collection Agency
E.C.Telesko
Colussy's
Alden IS Inc.
Bridgeville Trust Co.
Dr.Thomas Whalen
Medical services rendered
Persona I debt
Persona 1debt
Electric service
Flowers
Drug pu rchases
Persona I debt
Burial Lot
Letters Testamentary
Drug purchases
Persona I debt
Attorney's fee
Personal debt
Notary Fee
Persona I debt
Persona I debt
Personal debt
Medical services rendered
$21.80
101.63
14.25
5.32
15.90
393.00
241.54
135.00
12.50
46.98
51.27
350.00
10.86
5.00
25.75
48.89
3,200.00
57.00
Total $7,476.89
Gayle Briselli,the Executrix,refused to take Executrix commission due her and has contributed
to the above Estate from her own personal funds the sum of $641.04 to pay all outstanding creditors
of the above estate in fu II.
0",,<;:0:::
r
-0 r>-U>c
...~
-..J •!
..c ~r.M
::D'r.-c:::>
F'V n
c:>r~~-'...U
=t
rv
-......en
R'cc-103 (l!-e4)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMEl'jT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHE RITANCE TAX DIVISION
--------_._-~-------------------------------.,
j
COUNTY OF __W,1,lU,aAOls.uh.uin~gflt"""o~n"--_
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,unless on extension Is granted by the Secretory of Revenue.
of the estate of Jean L.Shafer a/k/a Jean L.Shaffer
Will
Admn.1110.19__1,~Ga~~y~le"'-!::!:Brw.i.>!::ss~e~II!-------of __9~7:....:8:=...=.E~II.:;=;a-;:S7-tr~e::..:;e~t'-'..:::B::..:ri~d:;;l.g~ev~i:..:..1~le'..L,~P~a=-=.:..--(Nome)(Address)Misc.
being duly sworn according to law,deposes and says that he is the-:..=E~X~ec~u~t!.!.r..:.;ix~=--_.,...,.......,..._
(Exec.,~dm'l-Legatee,etc.l
late of III Smithfield ,)t,Canonsburg,Pa.
leity,Bor(lugh,(Ir T(lwnshlR)
deceased,and that the whole of the estafe of sllid decedent,who died on -'-S_e'-pt_e_m.,..b_e_r.,...-2_6L-,_1_9_7_u _
(Dote)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair ma~ket value of the assets and'
no Pennsylvania Transfer Inheritance Tax is due.
Department
Valuation
CAU'T10N(Do not writ.einthisspace)
Execlltrix
(Title)
Estimated
Market
Value
,ASSETS
(Attach additional sheets if necessary)
Description of Asset
Type of sset:Real Estate,Pers.Property,JointlyHeldProp.orTransfers
Sworn 1lnd subscriblld before me
,-j19-Z.L
REALTY Ii\L 0:.N:'E
II(IflJ ~,068 22 .5/iP3,:<t.
HJ3'20';),.0
my II 25 If,~S-
7f)Y 14 28 If.rJ-t
m;r 1,350 GO 1,.j5tJ.tJcJ
m,;-14 59 1.9:.51
I..r 69 37 (,f.J,.$7.
y 160 00 I{:,O,dd
~13367 /35.iP7
647 6,rj1
,!8~~J',I't7 i
,-#~!.35;t~I
I
TOTALS
Proceeds from sale of home situate at 111 Smithfield St.
Canonsburg,Pa.>
Household Consumer Discount CO.-overpayment refund
Central Acct Clearance -overpayment refund
Treasury Dept check
Walter Pierotti ..car proceeds
.Blue Cross of Western Penna.-refund
South Hills Finance Corp -overpayment refund
Steward M.Flam -sale of furniture
Chartiers Savings &Loan Assoc.-refund
Cash
.510,venian 5f"vi~,S~s'ooo Loan Assoc.-refund>SX?<!XX;)'<:~X~~~lO~~~~~X
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the above ounty do respectfully report that I have
appraised the real and personal property as reported in the foregoing schedule e values set fcr:.th opposite each item in
the last colu to the right.~.L.•,
Dated:-7 '!Inherit ce T(lx Appraiser
PERSONALTY
Name of Payee DEBTS AND DEDUCTIONS
Nature of Claim
Amount
Claimed
Amount Approved
by Register
1,921.20
299.50
14.00
12.50
98.65
42.03
10.95
60.14
5.84
8.90
10.53
15.23
101.86
100.00
Lou is N.SoII on Fu neraI expenses
Everlasting Memorial Headstone
Washington County Reports Legal adv.
Daily Notes Legal adv.
Brodls Personal debt
Toll Gate Service Personal debt
Bell Telephone Co.Phone service
Boron OiI Co.gas purchases
Canonsburg Borough Sewage charge
Citizens Water Co.Water service
Citizens Water Co.Water service
Columbia Gas Co.Gas service
Pittsburgh Nat'l Bank Personal debt
Dr.Ruben Medical services rendered
Washington Hospital Hospitalization TOTALS ,----------.JL----------------L--+GGm.i-mJ.eG.Jl-----~..~B'
REPORT OF THE REGISTER 0
I,the undersigned duly elected Register of Wills in and for the above C ~y"~,"~=-'o espectfully report that I have allowed
deductions in the amounts set forth in the above schedule as claimed,except whe e I have set forth a greater or lesser amount
in the last column to the right,which greater or lesser amount represe ts t e su Ilowed as a deduction.
SEP 4 f97~P?USSELL MARINO c....Date ~f Approval:~.~
·Will )~;Admin~stration
->
No.Year__
IN THE -
,
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
JEAN L.SHAFER a/k/a
';~
~.t
"
l'
\
JEAN L.SHAFFER
Late of III Smithfi~ld St
Canonsburg,Pa.
County of Washington
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
t
/''''
."....'
Deceased
'"
...
~,,'«
,
.-;
RCC-'81 (6-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
GAYLE BRISSELL
(Executor or Admini strator)
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
/
JEAN L.SHAFER aka JEAN 1.SHAFFER'In Re:Estate of _
___W_AS_H_I_N_GT_O_N__County _File No.63-70-1007
Dear MRS.BRISSELL:
originalYouareherebynotifiedthatthe----.,----o---:-==_
appraisement in the estate of JEAN L.SHAFER aka JEAN L.SHAFFER
has been filed in the office of the Register of Wills of WASHINGTON
County on SEPTEMBER 4.,19 74,Said appraisement reflects the following
valuations:
Real Estate --,-~~""'"=""---
PersonaI P roperty 6~,_8.:::..3.::...5_.8.....:5:....-_
Transfers,_
J ointl y Owned -;---,--_..,..,,--_
Tota I -=-6:L,8::,,3~5~.=8~5 _
As to such tax that is paid within three months from date of death,a five (5%)
percent discount is allowable.As to any tax that remains unpaid after nine (9)months
(fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive;
and twelve months when death occurred prior to December 22,1965)from date of death,
interest at the rate of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by this notice may object thereto within
sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and
Estate Tax Act of 1961,72 P.S.2485-1001,P.~L.373.."
Septemhe]"4,1974 S'~Date Igned _--==---.::-.:::..._=-~=-=~~--==::-.-.~_---=---=..:.......:.._--=---_~~
Title ~..JZ:..
DA'IE OF DEATH:SEPTEMBER 26,1970
Note:This is not a bill.
ESTATE INSOLVENT
.#RCC-39 (5-68)
•COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY -------.
Estate of SHAFER,JEAN L.aka JEAN L.SHAFFER
(Last Name)(First Name)(Initial)
DATE OF DEATH 9-26-70 FILE NO.63-70-1007
REPORT OF INHERITANCE TAX APPRAISER
WASHINGTONI,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _
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".
Dated,SEPTEMBER 4,1974 ~J ~
iNHERil"ANCiTAX ~
tU-(~~
ILLS
$
I SOLVENTESTATE
VALUE AS REPORTED$----lr
I
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
~
REPORT OF THE REGISTER OF WILLS ~'"""'~~
1tJASHINGTONI,the undersigned duly elected Register of WiBs in and for County,Pennsylvania,do spect-
fully report that I have allowed deductions in the amountS claimed by depone ,except as those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",reater or lesser amount represents the sum
allowed as a deduction.
SEP 4197~RUSSELL MARINODated:_
FOR USE OF REGISTER ONLY
Tax on $-----------t--2%
Tax on $f6%\o
Tax on $-----------t--~
Tax on $10%
Tax on $15%
~~ptioos *
Total Estate --4-__
TOTAL TAX
COMPUTATION OF TAX
$
$
$--------1
$
$--------1
$----------'
(*)As evidenced by Charitable
•Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from
_____to $---------1
AMOUNT OF ESTATE TAX ASSESSED $--~---ll-
Estate tax paid $--'l-
BALANCE DUE $----ll-
Add interest at rate of 6%from
--------(to----$------It=TOTAL TAX BALANCE $------l.
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 shon explanation.
"-------- -
Will !...No.Admlmstration
IN THE
year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
JEAN L.SHAFER aka JEAN L.SHAFFER.....................
Deceased
Late of .
County of
CANONSBURG
WASHINGTON
.
(.
"
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
\
.'
.'
FILE NO.63-70-1007
WASHINGTONCOUNTY _
RC C-2 (2-64)
"DEPARTMENT OF REVENUE
eU~EAU OF COUNTY COLLECTIONS..
"HARRISBURG,PENNA,17121
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE SEPTEMBER 4,1974
JEAN 1.SHAFER aka JEAN L.Whereas,8MAFFEft late of _---ICouA::I.Lhll.l.JOwN.l.lS.l:l.BIUJJR;u.,GL.-_
in the County of .WASH INGTON Commonwealth of Pennsylvania,having died on
the 26th'day of SEPTEMBER 19 70,seized and possessed of an estate
subject to Inheritanc under the laws..9f.the Commonwealth of Pennsylvania;
Therefore,I,.//Z-A ~Af ~'Yt--~an appraiser duly appointed according to law,//t?.
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
PERSONAL:
SEE COPY OF APPRAISENENT
Oner/pllon of Allot
ESTATE INSOLVENT
Unit
Values
$
Appraisemenl
Made for Inheri lanceTaxPurpo••s
6,835.85
------------------------~-----------+_---_tt_----_t--.I
I
Havi~g been duly sworn acco.r~to law,I do hereby certiflv that th!t~o~ppr~eme7ntis made in con~
formity WIth law on this #-dJ!:J..day of/Y·.J Jf;nv ',;oj 19"4.LL'.'......//1""~_.".J~/-~'A
d«¥(\~.~4'/'.4_~JvJ~~//..._#'prlt7-"""'_.
~~'~~d Street)t?-=------~~-~;,-.------,Penna.IPoIt OIBClt)
r--------------------------------------------------------------------_..----
1,
WASHING-TON County
.;
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
JEAN L.SHAFER aka JEAN L.SHAFFER
Deceased.
Late of
CANONSBURG
.-
Date of Death,SEPTEMBER 26,1970
Appraisement Docket-Vol.,·_-4::::::z,;:~1!..--_
Page,/Id -l.No.63-70-1007
Filed in Register's Office,Sept.4,19..J..J±..
Amount of tax due,$,_
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.-,..._
Wrote abo,ltt Appraisement,
Appeal j,.om Appraisement,__
Entered and charged,------
1-,
I
,
..II
..;~
.tJ U I
.00 T
51:1 6 8 ...,~
.20
1 1 .2 5
1 4.2 8
1350.CJ
lL~.59
69.3 7
1 60.00
133.67
6.47
7.80
6)8 3 5.25 I
7)II 76","-I .~j
.00 'j
,
L92 I 2:'.
299.5\J'
14.00
1 2.5 0
98.65
42.03
1 0.95
60.14
5 .81~
8.90
10.53
15.23
1 G1 ~8 S
1 00.0 t·
38.87
2 1 .8 C:
101 ..63
1/1.25
5.32
15.9 (}
3 93 .00
2 1iJ..54
1 3 5.00
12.50
46.98
51.27
3 5 0.0 a
10.86
5.00
25.75
48.89
})2 00 .l :
57 .G C
71 I.~-;'6 r.Q........1 •
Form RCC·10
..------c-----------c--------.-------------------.r----,---=....""".,~=.'f=..~=.=•.,...".=~..='"'~=:=.•=:""=...=.=;:;;=.=..=..~•.•_
O£DUcno""ALLOWID IN .
THE SUM OF ••••.•••.••.•_•....,;"
....IIl.,..Will.........
D"n:""PJltOVID .•.........,..
STATEMENT OF DEBTS
AND DEDUCTIONS
100COUNTY
ESTATE OFJean L.Shafer a/k/a Jean L.Sh~~::0,.111 Smithfl.ld St,Canonsburg,Po.
DATE 0"FILING ""PItAI.EM.NT DATI Of'DIlATH __S;;.;e;,lp;.;t.;:;;e.;.;.m;.;;be;.;:;;;.r...;;2;;;.;6;.1,l....;..;I97....;....;O;,.,-._
O,.FICE 0 ..THE
It~GltlTEIt 01"WILLS
AND AGENT 01"THI COMMONWIALTH
OF Washiegton
I
t
. I
l DATE NO.01'NAME 0"PAVII ..EMAItD AMOUNT
•-r-_--t...;.VO;;;.;u;.;;c...;.l4n~---------------_+_---------------~--.....,r__--I
on
ary
rendered
rendered
rendered
**
Gas service
Perlonal Debt
Water Service
Sewage oharge
.Notary Fee
Co.
Store
Hospl.a
ro y s
9 Canonsburg Borough
10 Citizens Water Co.
6 Toll Gate Service Personal debt
8 Boron Oil Co.Gas purchases
1 Louh N.Sollon .Funeral expense
7 Bell Telephone Co.Phone Service
3 Waeh1n ton Count Reports
2 Everlasting Memorial Headstone
4 Daily Notes
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Washington
I.Gayle Brise!!j HIEIIUV catTIpy.THAT.TO THI ..aT.
MY KNOWLIOOE AND all.IE...THI !fOItEGOING la A JUaT AND TRU I .rATDlIHT OF DIIITa.I"UNIIIlAL .....N...AND UItlNa.0..
AOMIHlaTRAT'Q;..U.MITTED TO THI laTATE 0..leaa J •Shafer alicIa legn L.Shaffer HCaAnD.".D.DUCTION.P'OIt
..I"PITAHCII TAX puaPOaI..~!~.
_....~'---;TO::'-_...;.~-==Il:'-:-:;.....-(L•••)
tvEtYN •THF'KO.Notd'Y Public
ClInoMt I''i''v'/t,hie.g+on Co..Pa.15317
My Comml~sion E.xp"es M<l,~h 10,1971
,'1/\I I
./'1\,\1 .
r
!II""V",')
o..
\
-'
'-";'".'y'-.':-~1'l'f,·,,·,t-~"""·"'--''''f ,."~'!2.•'
.-For",RC C·1O OIOUCTIOIii AU.OWto I.
OP'FICE 0'"THE STATEMENT OF DEBTS THE SUM OF •.••..•...•.•...............................................
"EOISTE"Of"WILLS
cw Washingtan AND DEDUCTIONS DATE APPR!JVED ........COUNTY
6J 1~91 ......................................................
I AND AGENT 0'"THI COMMONWIALTH,--IJ--7.;r ,cO A••later .,Willa.A.....
I
~ESTATEOFJean L.Shafer a/k/a Jean L.ShaJfT~OP'111 Smithfhild St,Canonsburg,Po.I,,
September 26,1970•
J
DATE OF FILING APP"AISIlMINT DATI 01"DIATH
1 DATI!NO.O~NAME 0,"PAYIlIl REMARD AMOUNTVOUCNSlt
1 1 Louis N.Sollon FuneraI expense 1,921 20f·,~299 ~,2 Everlasting Memorial Headstone
I-
3 Wash1n~ton County Reports Legal adv.14 00ifi4DailyNotesLegaladv.12.,U
-"4 ,~roQY's 4'V.1'CIIVUc:t~UCUII 7U.0;)
6 Toll Gate Serv1ce Personal debt Lj.2.0'
7 Bell Telep,hone Co.Phone Serv1ce 10.95
e 'Boron 011 Co.Gas purchases 60.14
.'S.849CanonsburgBoroughSewagecharge
10 C1tizens Water Co.Water Service 8.90
11 '1'\,!,:1lPA1'"la Wi!l.l.it1 Co Water Service 10 1'5'
,.,nn'nmn1a GAS Co.Gas serv1ce 15 2~
,~PNB Personal Debt 101 a,,,
"1:'4 &x:,..(,&uben Medical servioes rendered 100 00
15 Wash1ngton Hosp1tal.Hosp1ta1.1Zat1on ~~87
't,61 Dr Corwin Medical services rendered eo
17 Home Furn1ture co.personal.aeDt 19~·6~
18 Mellon Nat'l .Bank Personal debt 14.25
~O West Penn ~~wer c~Electric service :jTomBrownowernopFowers ti-~~Colon1aJ,.~~~r~Er ,tQ:Drug purcnases ;:~1J'Sam Goldfa I.~\{r .,.personal debt '-t;",!.0023JeffersonMemorialBurialLot135.
~%Russell Mar1no Letters Testamentary i(J
Jeffrev's Druq Store Druq purchases lb
~~vernon W11.S0n personal.aeQt
3 •lh 'M.E.Kusturiss Attornev's fee
~~GarJ,e Br1Sel.1.1 ~XeCutr1x comm1SS10n 3 •InGufCoastCollectionAgel1§iT ...",,1 n~ht-In A~Ii ~~E.C.Telesko ....'.Notary Fee ,,~.,~""..1 ..........'...........1 ...:I~1......
j~A~9an-'~·t~c.~erson~!~~~i 3 48.SBr1IqeV1eTrustCo.Persona e .200 10
34 Dr.Thomas Whalen Medical services rendered 57.00
11COMMONWEALTHOFPENNSYLVANIA
}SS:
1~'.~9
**Credit Ex Comm.....50.00
COUNTY OF Washington T tal 7 41~8'
Gayle Brisalli
o •• • ••..'•
I,HUlDY CIIITII"Y.THAT.TO THIl BUT CW
NY KNOWLEDGE AND BELIE",THE ~O"EOOINGi IS A JU..,AND TJIIU E srATDtIlNT 0 ..DDT8.PUNIIlAL .....H...AND IX'IH••Of'
ADM'NI8TAATIO;'SUBMInIlD TO THIl a..,,,n 0..Jean J •Shafer allda Jegn L.Shaffer DICaM...AB DIDUc:TIOH.P'OIl
IN....tltTANCI:TAX 'UJlPOeIlS.~~.
(L•••)SW7~Nd ~~IBIl,~••"O"~IS ;2.94 DAY CW .
.
__/1'.../.:/,4~
/f/?/I/,/,.~I'/I/.~7/v~~A.-.v f/('--t//~
....1N'R~•TE~t:'KO,N~ti;r'1 Public
C"...."··r.l 'q.Wo,hio'l'on C,).,Pa.15317
,~1Y Co",,,,,.,ion Expires Murch IC,1971.
'or
"
"-
~..._.....-.~.~'.~~'"",!,~
-..
,.
~,'Il.
..·/'1
.".,\)',~,~,~::~2f~:-,i.'",..'.".,.•......,...····:fd,
()\\
I
\1\.'\ i
"--.,I L/
J\."\\1.
.."T1-.J~..;0 ;:;0»IT!:Do r(J)(;')c:c:::::=-en c.-,n....-(j)(f)
• I
Z --1 fl!r'0,--,r-c:>0.,......~".~...:,:)
"""0:..e::"'Tj .::....:::x0:.i>....;:~'n0u.....,,,",
1"'..1---;..Z-0 ..0 -C'"»(j)
c:n
i ,.,\\',-,1'",-,~~\;.:
r ....'-,y
,-,