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Home My WebLink AboutOC1971-0285 - ESTATE OF BLACKA~-----~----'<·---~ ----------~------------------------.. PETITION SUR AUDIT \ Testate Form j ' IN THE ORPHANS' COURT OF WASHINGTON COUNTY Estate of ... ED.IT.H .. LE.ONA. .. BLA.CKA~--a/k/a ........ ------No ... 2.8.5 ... o.f ... l9.7.l ..................................... . ED~TH .. L. •... B.LA.CKA,. ..................................................... . Fiduciary ... Sandr.a ... L .•... D.owlin,. ...... ---------------- Administ.rat.rix_, ___ c_._t_,_a_, ___________________________ _ Deceased Date of Date of Decedent's death ....... January. __ 2!L,.l9.7.L .......... __________ Grant of Letters ______ __lYia.:r.~b ... l7.., .. J:9.7.l _______________________ _ This is the ... fJr.:?.t ... ~ng __ .f:l:.n~l--~'-------------------------------account filed in this estate If there have been former accounts filed in this estate, list file number or number and term .... n~m-~---------------------- Election to take Date Election Place of; Under or Against will. (cross out one) Filed ...... n/a---------------------Record ... n/a __________________ _ Name of surviving spouse .... D.QD.e ... ---------------------------------------------------------------~--------------------------------------------------------------- List issue, where material: See list of legatees 'below. Did decedent marry after execution of will? (indicate) Yes. No. Any children born after execution of will? (indicate) Yes. No. If answer yes, name them ............... ---·-·············--·------------------------------------------------------------------------------------------··· Legatees Relationship Interest Fiduciary, if deceased or not sui juris Sandra L. Dow lin daughter 1/2 residue ~~ Lynne K. Blacka daughter 1/2 residue -. List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: none If partial intestacy, give facts: none Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. No. If any exception give cause: ...... n/.a--------------------------------- File copy of Notice and date of ma iIi ng. _____ ......... ___ .... ____ ........ _ .... }.J_Qt.ic.e.s .. mail.e.d ... on .. N.aY.e.mb.er ... 1.~-,._ .. 19 .7. 2. '· ....... --· ............... . Is estate subject to the filing of a Federal Estat€ Tax Return? .............. nO---································;································· Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ..... none ............................................ . If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant.J:l./a---·········· Give Names and addresses of all unpaid creditors who ore legally entitled to notice, tog.ether with the amounts of such claims; state whether they ore admitted to be correct; and whether the claim is denied. none Give reference to such ports of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: --~. Mellon National Bank & Trust Company of Pittsburgh, Pennsylvania was designated as Executor of the Estate of Edith Leona Blacka, a/k/a Edith L. Blacka, as was Ira R. Hill. Renunciations of the same are attached hereto. Also, attached hereto is the renunciation of Mellon Naional Bank & Trust Company as Testamentary Guardian of said estate. Balance for distribution per account, Itemize any additional debits not shown by account: Total additional debits (Add) ltemiz.e any additional credits not shown by account: J.;.F. Buckley Agency Lynne K: Blacka Total additional credits (Subtract) Balance for distribution $75.00 eo,~· $B.,.l9.8 .• l/:J ................ . $ ... ..11on..e ..................... . If balance for distribution is not in cosh, list each item held in kind, giving appraised Value (or distribution Value); Cash in the amount of $7,418.14. ..= .. If Family Exemption claimed by Petition, give place of Record: .. n./a ......................................................................... . If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ... n/a .................................... . List any advancement or distribution on account that has been made, and nature and amount of same: Advancement of $705.00 to Lynne K. B1acka. (See receipt attached hereto.) Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections to take in kind if balance is not in cosh: residuary shares being stated in proportions: .. sandra 1. Ibw1in ;} 1/2 residue Lynne K. B1acka 1/2 residue " > < COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly ..... s.worn ..................... doth depose and say that the facts set forth in the foregoing petition are true '"''' 0 J And your petitioner will ever pray, etc. to·the best of .... ' ....... JJ..~J:' ............. knowledge and belief. -0 ·-' '<-----------B-WO!'Il.-------------~bsc•;bed bela.e m~ th;, __ o.//~do~------~-------~2----'~~~~--------------- TSI.Qtlnatufre0fof~ O~c~{-/L~-~~---..... ····· .. -~ ................................................. , ...................................... . 1 e o 1cer~~------... _, ......... &...!.. .. . VICTO A DALLY Office exp1res ........ N"~;;~-P~bi;"C","wiisiiiniliiin;wasfiln1tlb"r!"Ctf:·········· My commission Expires July 19, 1976 ............................................................................................................. '!'. ,r l ~-· No. ______ .2..85 ... o.f. .. l9-1l------------------------- Estate of ... .Edith--Leo.na .. ~.c..ka-~--------- .a,f.k./-a---Mi.t..h .. .L ....... BJ..ac-ka--------------------· Deceased Fiduciary .... Sandr.a---L-.---D.ow~iny------------- ... Admini.s.tr.at.r.ix"'" ___ c ___ t_ ... a .... _______________ _ PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written praecipes of all Counsel in the case. 2. Copy of order appointing Guardian ad litem, if pertinent. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A or an attest copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9. Signed and itemized elections if any distribution in kind. 1 0. Copy of Fe de ra I Estate Tax return if es- tate is subject thereto. William D. ~~}ips, Attorney ·v d ··o 0 NOl~·N l H SV1\\ SlllM JO i:l31SI~3)j 0 N I U V t·~ .. i -1 3 S S n tl 60 f ~~d Si 81-1 EL ~t1~i'""J: I ~-A .:J ' i •r:J ,.--··<·:) \ 'J .: .... ~ ,. -.....' 0 -"" :q; ~ ~-J- -;. fo :.o · ... "'J ~ ·~ --., /*· ··.,, \{ ·- ,' ~. ' . ' ' . . . -· •' ·. ~: . ' '\ J f ..• ',. IN THE COUR.T 0~ COMMON PLEAS OF WASHINGTON COUNTY, PENN • _ ORPHANS' COURT DIVISION · -. In Re: Estate of E:PITH LEONA B LACKA, a/k/a ( ) ( ) ( ) ( No. 285 of 1971 EDITH L. BLACKA, :!: z ~Deceased •. .J >-Ill z z Ill 0. z 0 1-. Cl z ~BEFORE: < -~ ...: 0 II:· l-UI ~APPEARANCES: -< ~ 0 ::> :t 1-" N mTIME: a: Ill I-ll: 0 0. Ill a: I- ., ) ( HEARING ON 'AUDIT ·, , . The Honorable· RICHARD DI SALLE, J. , _Specially Presiding. , WILLIAM D. PpiLLIPS, -Esquire, of :Washington, Pa., representing the Accountant. Tuesday,.December 19, 1~~?, a£ 10:00 o'clock A.M EST ll: ' • ::> ' : ' .+ il . 0 • ' ~ . If • , • ' .t• ' . -. ' -- o THE COURT: :1,:' · Number 285 of 1971, the' estate 'o'f Edith, Leona; ·=Black .J ~· ..... • ~ \c .,.,..f\ ~ f' ~ ( ~. ~-# ,,~./'!iJ·.-i 4 .... " :·, "·~"r·," ~t ·"'-I ::J· ~~ If.· < . ~ ... " ~ -,... " 0 ii: "' 0 Mr. Phillips ? 4 ; "' j MR. PillLLIPS: I ~: ,... .. . ·• •/ As far 1§1.~ I knoyv;. t:h,'er,e -are no outstanding difficulti s. •,._: .·• ~-,.; • 1 ... '1 11 ·-~. • £r There 'vas some real estate 'lVhich 'Ve sold. And the two legatees . A -·. • ~. ,. .... '•' ~4•• • ~ *' ~ 1" ~-.. 1 ;, ~,t. ·~. • •• }~ ~ • • f r;~ i ·' '! or heirs are the .decedent's two daughters. THE COURT: Is the entire balance in cash.? MR. PHILLIPS:. Yes. THE COURT: Is there anyone here interested in the estate of Edith , I ~------------~--------------------------------------------------------- - • ~· -- . . ' ~ z < > ·.J >-Ill z z Ill II. i 0 ~ .C) z I: Ill < ~- ·.,: u ii: ti 0 '.J < Leona -Blacka, also known as Edith IJ. Blacka ?. (.NO RESPONSE ) THE COURT: The estate will be.closed. (AUDIT CLOSED) . ' ~ I he~eby certify that the proceedings and. evidence are :I .., ~ contained fully and accurately in the notes taken by me on the baring of N E ·the above ~auae, and that· this copy ts a correct transcript of the· same. I-ll: 0 D. Ill a: I-ll: :I 0 0 .J < 0 ii: ... 0 The f~re_golnq record of the proceedings upo~i the hearing c l • ~ ~~' ~ '-' -.1. r "'" .,.. Jt. .( • ·• ' t:• i I / L' of the above causetlfs h~eby, Eipl)r~~ed· ~~d.~tr~eteg.J<>' btit f1.led.~ · · .. '; :. < :. 2 n'•· ........ c;r; Q {/) <( 0 ....1 0- ........1 ("n ::c 0-..• c:::: 3'= 0 ..;,:;::. (__) ~: 'J-....,. .::;_~ •'-c ........... ~~ LiJ ••. J ,.~ I-'-"-' uJ l;.. ~.· .l c::o ~ • 1 ·-:z ·- W-1 _n.~=-..0 l.l-. \ ~~ ... .... e-n !.3-. !"'-.. ... . . ·' '"'! ,.\ ,.1 . .. ~ .. '" ,, . . •. ,(::~-;;fl'\\.' , . \ ... \ ~ . .,.. 4•~--~ ' ... . .. . . .--.......... ---""""'"' ,, • · •• ~I. . . ' ., ·~ .. 'I r \"~ • ~ "' .. I .... _.. . . .f . • I' \ . ' ); ,i : i.' . ' , ·: ' ... .... :· .~ ... !". I ' .. .; ~ .l ia. ~ -·· .• ~· -""'·-·, """ l: ,, l' d •' ) .! i~ 'I ,) ,, • .. .. ' .. .... ~- ·' ,. :i •! ,, II I ' ~~ !I . .. •: ' ' • .~ \ ~u t4t <trnurt nf Clrnmmnu Jlea.a nf Dlla.a4fugtnu Clrnuuty, Jeuu.aylnauia, ®rp4an.a 1 Clrnurt ilini.ainu ESTATE OF No. 63-71-28$ Edith Leona Blacka alk/a In the matter of the_----lFui~r..lo!s~t.,...~a~n~d!-:..Fl.Illi!O!. ~a1-.._ Edith L. Blacks, Account of_~sl.I:Lanwd..ur.:.caL.· ...... L._ • ...Lllow'IWII.1"""'.iu.n1..,_ __ _ Admi nistratri.x C T A ADJUDICATION AND DECREE And now February ] h, , 19-4J-, this matter came on for hearing, audit and distributiol} at this session and testimony taken; and thereupon, upo·n due consideration thereof of the pplance for distribution in the hands of the Accountant is determined to be $ 811...2..3..-.J.U and the account is accordingly confirmed; and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of disribution hereto attached and made part hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken herefrom sec. leg· . . . SCHEDULE OF DISTRIBUTION Balance per account ________ __:.·--------- Additional credit asked at audit Balance ____________________ _ Deduct Clerk's Costs & Receipts ____________ _ Attorney· _____ W.:..:..i=)=l=i:=am=--:D=--:•=--=-Ph=U=l=i:.~:P::::.S ________ _ Russell Marino1 Agent, transfer inheritance tax $ 500.91 Interest from 4-24-72. to 2-24-73 25.05 Sandra L. Dowlin, daughter, 1/2 residue, Lynne K. Blacka1 daughter, 1/2 residue, credit to be taker. by the accountant for funds in the amount of $705.00 advanced prior to distribution by the Court, .0 0 T 7; 5 :J 0 ~0 0 7, 5 0 C .0 G S 80623 1550.00 500.00 7254 lO)lt. ZS.B2 S 208.CO 10j6')6.£::·: .0 0 T 10,636.82' ··-.-... --------· .... -. ' 75.00 ....... ""·e·6 eL. JJ .. IJI;k ' ·~ . l ·. '. "1. .~ a, )> m n :J z n 9 ty, 1/) 0 --+ .......... Q s:: .. ·' :;r' =· --+ :J C1) C1) --+ ty ;·,. .. 0 ·0 3 ..... -+. 0 ~ -+. --+ a --+ C1) .... . ..... ~ 0 = -+. --+ ::r' C1) ~ = ,· . ~ ... . . ( ·~ J}D ~ j11 en 0 i../) < ' 0 _j Q_ ·--,g.!., .. .• J rr. r.:.:: ~· 0 " :r.:: -·~'"C. .. ~-c N 0...-.. .. .o;_ .;,·~ .? z. r ........ , c.-:: .._. ......... ool _, t:-~: t- ~. .. ..-_t LLJ J. .. , ·--at t'!) ~ ~ t'!) t ., ...... -\;..I •• . 1--z ··~' . (/j .. C!:) u:· .. LJ,.l (.() ·--~·-! w.:. :-..J 0 U) 0:: L!.l ... -:{ (V') c.:: ;:;; t'!) t ' t~ .. ~ ... .,. ' i ' ,-------------u----------------....,....--------------------!1-- ! . . • .. 1 ".: t IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISIOij, ·-· ~ ' ~ •. -'' ) IN RE: ESTATE OF EDITH LEONA ) ) BLACKA, a/k/a EDITH L. ) ) BLACKA, DECEASED. ) ) RECEIPT OF ADVANCEMENT And now, this day of z-Le.k/ ' 1972, I, the undersigned, LYNNE K. BLACKA, one of the res~duary legatees in the above-captioned estate, hereby acknowledge to pav~ recei_yed the ~.urn C?f $(0,5.00, ca;:;,~no __ agv§in~ern~nt,of my share in the above-entitled estate. Witness: \ : .. . . • ~ 0 C./) ..::z; (1;> •• .,J 0... :t! ....,J ·r'r, .. c~ S:o ' :X:. "-:t ...... _(.~· a_ , .. ·~ -. . 0 otl::_ ... . ~ ~ ... ~; ·t-~. a. _; ~.i ~ ~~'*"' ~..::.: 1- o ~M L.!"". ...J ~·. '' .. t.L.~ ... :.>:~·:.i 'I, . . ' t.l) ()) ·- •' .::::o --.1 t..U \l) -2:: Lt.. .::::. (!),tl) . . ~~~1,<!:· . ·a: ·l.tl "4: I'V"'J .... ~ ~--L!_ ,....._ .. ~ ,, •.. , ~-~ . . r IN THE ORPHANS,. COURT OF WASHINGTON COUNTY, PENNSYLVANIA· IN RE: ESTATE OF' ) ) EDITH LEONA' BLACKA _, a/k/a ) No. 63-71,;..285 ) EDITH L. BLACKA~· Deceased. ) ; \ RECEIPT· ~ND NOW, :this J~ day oa{,__J,_J!J}u ' 1973, I ;,;.the undersi1gned, hereby acknowledge to have received from Sandra L. Dowlin, Administratrix, C.T.A., of the Estate of Edith Leona Blacka, a/k/a Edith L. Blacka, Deceased, the sum of --· Three Thousand Eighty One and 84/100 ($3,081.84) Dollars, in accord with the dist~ibuti6n of the Adjudication and Decree of the Orphans' Court or Washington County, Pennsylvania. ~ITNESS my hand and seal the r}.JJday o~)-d 1973. Witness: · ) ~Jjj~.~~ (S L) -------------'.------- \ ,. ~ \ ... ~· r ~--... ------- ( e e " .. r '-r .; . o :·: < .,.,~ ' ~ ,.... .. .. A. f I • f , h~t ~jl:l~·ct1 c t\ ~rn \.Jr • J ''td''0') ,,., . J. " ... ·1 '-'..l. ··' ·I·J ''V '' (' -l'i I I' ' - ' • ' ' 1f ' ,) '. \ ,) ' I' ' . .' :; I -:. i •") ::; \ l '' a • • • • '1 '• -'""" ~,,~~. . 1 .. ··::r~ n ·-G.i 1 n I tx:l I H I "'tt '1:111 ~ (J t ;; Cii. ) 'I I -, ... , I '! 0 v:.eb l ' \..· ·II"',• __. -.. ~·"1 ~· C' '!\ '-..:... I ,I_.,.. . .,) ' I I I Oj ..,.,.,r.,.,...,-,., ..... :-,-:~J"' vd· 'l"'fl' 1 h"""""'l i I ... ·:io '" J l •...... J.... ~ J..l ~ I • ~ I., .... } -~\I ... I ..... - ' · I I (\ r ' ·. X ~ rr t <' • . -· -. 1. '! •· .... I • "' " , .. 1. n, r t,J., ..... ~ P ~ ,; •• l"" •• ._,, .. f. #1-A~•lJ·"-•-- 1 I , , • • . I , ~I . . ·"'.-,-~)··_r __ l • · .-J. f1 .F ,.\. \... ''1"' ..• · ,.,, .. ,.,. 1 --J-) -.A. 1. ... ~ ~-· (_ 1>'•·-..1 I.;.. .~ •• ,,.1.._ ... (.1\'• ;o~ cf>' rrr\'~1) b"'£ f • ) \ f . ., # ~ • \. I • <) ~!. " n .' j r; 'J t b JJ ;·r·. · " _\ . ' '" b -~ ' \ :J P j I G S <:: fJ f!..G b ,...1.B 1 ; ·.~r 1 ~ :'. 1' : 'l' ~ ' ' ·~ ... ~~--. . f'i'(:I : '~ .-• I' ~· ; • ~.., !'") ,.... r' ~ .. J.J, • ' ... -:~ • ..... ~ t \ ~ ~ --.. ' \ ' ---_., ___ --... _;: ..• ~ ~ ~ ~ 0 C/)1 • n 0\ 0 \).J ~! I -..J 1-3 1-' I t::1 1\) H (X) < \J1 H CJ) H I 0 I ~ I I I I I I I I I ' ., ,i ! :, ., I I l I ... •.. , /J '"' / .. ... IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF EDITH LEONA BLACKA, a/k/a EDITH L. BLACKA, Deceased. ) ) ) No. 63-71·-285 ) ) ' \ R E C E I P T AND NOW, .this J~ day oa<-J:-Mj_u ' 1973, I;~ the undersi1gned, hereby acknowledge to have received from Sandra L. Dowl1n, Administratrix, C.T.A., of the Estate of Edith Leona Blacka, a/k/a Edith L. Blacka, Deceased, the sum of Three Thousand Eighty One and 84/100 ( $3,081.84) Dollars, in accord with the dist~ibution of the Adjudication and Decree of the Orphans' Court of Washington County, Pennsylvania. WITNESS my hand and seal the ;ll}(}day o~)_,_; 1973. Witness: ) ) IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF EDITH LEONA BLACKA, a/k/a EDITH L. BL~CKA, Deceased. ) ) ) No. 63-71-285 ) ) R E C E I P T AND NOW, thi;, ~day of~ . ' 1973, I, the undersigned,'hereby acknowledge to have received from Sandra L. Dowlin, Administratrix, C.T.A., of the Estate of Edith Leona Blacka, a/k/a Edith L. Blacka, Deceased; the sum l ·--- of Three Thousand Seven Hundred Eighty Six and 84/100 ($3,786.84 Dollars, in accord with the distribution of the Adjudication and Decree of the Orphans' Court of Washington County, Penn- sylvania. WITNESS my· hand and seal the JI!Lifday o~ ---------' 1973. Witness: . CJr~JI.-r/luL(f ~~y AI~ (SAL) • ~ / '- _,,, .. r'/ ORPHANS COURT DIVISION NO. 63-71-285 ------------------------------ ESTATE OF ,/ '· .y EDITH LEONA BLACKA~~~ DECEASED. ----------------~------~--- .c.. =:: ::-RECEIPTS = ' > rn -··· -:~-,~-~:.---~---~~----~---:-,.; '. :. -, .., -.... ~ .J .::_J ~-'·, ·-· . " / ~., .. ''"':"'~ 0 --r· . -'"'-.> ~ <:.> r---J> (/) ""·-~ . -- . -~· <..r; . .. t ... - : .. · ~. ,-. ,. / ,_ -. . , .---' ~- · . .. ·: <:: ~ . ,.,. { --; -· ..., -~ .--- .,_ • ~ 3-7/-Lg~ .~ ''"" ·V-' ._ Form .Rcc...:~3· COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE RESIDENT DECEDENT BUREAU OF COUNTY COLLECTIONS COUNTY·OF .. .WASHINGTON ...................... : ...................... . ,. i. IMPORTANT: This return. must be completed. in detail and: filed in ,dtpliQa:-te,, with will attached,. with the Register of Wills of .t!').e County where. decedent reside.d; Return is due within one. year after date of death, unless an ,extension is granted .hy the Secretary of Revenu!:l• (Section 703 of the Inheritance and Estate. ~ax Act of 1961.). · IN THE MATTER OF THE.ESTATE·OF j;. AFFIDAVIT OF EDI.TH ..... LEONA ... BLACKA .... a/..k/.a .EDITH ... L ....... BLAC ' ~ (State full name of decedent) Late of ................... Was.h.ing:ton. ... .............. .. .. ......................... county AD:WINI~TRATRIX ', .:: C.T.A. State of ....... Pennsy.lv:ani.a ................................................. } ss· County of Washir1g:t:9~ .:............................................. · ................... Sandra .... L .•. : ..... Dowl.in.r ...... Adminis.tr.atrix.,. .... C .•. T ..•. A. . ........................ .. .. ............................. ,,, ZXi!C'ClDt A.dministratgrix f c"tar the estate of the above-named ·decedent being duly sworn; deJltOstS·· · ·. and sa,S . ·, ........ , 19 ...... 7.l ..... .J testate leaving a la·s,t will, copy of which is hereto attached. }. (flay) ! (Y""-rl l »>ltXCIOE Decedent· cHed ........... Januarv ......... 2.4 .. (Month) '. . . . Name. and address of -attorney or} Willi~ .... D ..•.... Phillips ,. EsqUi.re .......................... . .......... ... . .. ... ·.. ... . other authorized represent~tiVe to whom au correspondence should be 33 ·west Beau Street,_ Washington, Pennsylvani.a .... l53.0 .. 1... ....... mailed. That· as suchl\Q.m.i.n.i:S..t.t:.a,t.r.ix., ~~p~n:;t is familiar with: the affairs of said estate and the property con- . (Executor-Administrator) stituting the assets thereof and. t~eir fair market valu~. 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:- TliiS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT That the contents of said safe d!'!posi t box or. boxes. are itemized under Schedules _· -~-of thi!; return, with the exception ·of the fol-lowing, for the reasons hereinaft~r set forth: That Sc.hedu/e .A attached hereto and made part hereof sets forth ~ll;Y and in detail all the. real property in the Commonweal.th of Pennsylvania of which decedent died having a,n interest therein. It also sets forth the mortgage.encumbranc~s-upon each parcel ,of real. property at the date o.f death, giving the amount still due at death, name of mortgagee, date, rate 9f interes.t,. and l:Jook ,and page of re~ord 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 8 attached hereto and made part hereof sets forth fully and in detail ail 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·•'trus.t for:f , "'. '~"' ~~ any other person or persons giving also separately the accrued interest thereon, if any, doWJ:l"' to,•_the-last ~;_,'. interest day prior to decedent's d~~th in the case of savings· banks, and to the date of de~~"e';t• s death ~ in all other cases; ail bonds, postal savings, treasury certificates or notes and other e§idence 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 l~er~?'f/ or of any foreign country, which are owned at the time of death; all wearing apparel, jewelry, silvet;wii:r~, pic-: . I .r~ ,-' •., .,., tures, books, works of art, household furniture, horses, carriages, automobiles, boats, and any;a?d all other personal chattels of whatsoever kind or nature, left bydecedent,, together with the fairly estimated market value thereof; all bonds and mortga~es held ,by -.decedent and of all claim!; due and owing d~cedent a.t the time of death, and all promissory notes or other.instrument.s ,in writing for the payment of money of which decedent died possessed,. of· whatsoever nature, with inter(!st .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 i tern; 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 dec~dent; and all the corporate stocks and dividends due thereon and unpaid as of the date of ,death, bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death, with the market value thereof at such time. In the case of securities of 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 int-e~est, 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 11'ature 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 must be submitted. It should also set forth in itemized form, together with the fair market value thereof, any other property owned or bequeathed by the decedent at the time of 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 COJlY of the deed, trust agreement or other instrument creating the trust. TherB is also set forth in said schedule a list of all property, real and personal, with its value, which pa~ses 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 w~ll, deed, or other instrum-ent of another, with a copy of the instrument creating such power atta~hed 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 dece.dent' s Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, and the relationship ·of such issue. -to the beneficiary. That Sc/ledule 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 Sc/ledule 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 fee·s 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 anrl lmpairl 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, have been carried forward and properly registered in the Summary. Sub~cribed and sworn to ......................................... : .................. dayo ... --~J: Notarfrc~~~llnALLY N11t1ry Public, Washington, Washington Co .. .. ~ ... q{e./!.~ ................................ . ~-Administratrix r C. T. A • ..... 4.35 .... Bluff ..... Av..enue ............................................................ . (Street Number,) ..... C.ano.n~P..9.t:9 .. 1 ...... ~-~n.n§Y.l:Y.?.p;~-~-~ ..... +..?.~.J.7. (City or Town and State) My Commission Expires July 19 lg'16_ NOTE: Be fore signing affldav1 t 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. R!=C-34 ~1-64) , .lf.OMMONWEAL TH OF PENNSYLVANIA D~PARTMENT OF REVENUE -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 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 with 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. (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE House and portion of Lot No. 11, all of Lot No. 12, and westerly· 18 feet of Lot No. 13 in the Williamstown Plan of Lots in East Bethlehem Township, Washington County, Pennsylvania. For complete de-- scription, see De~d Book 1035, page 122. UIJ1~ $7,5oo.oo Insert th1s total oppos1te "real property", Schedule "A" in the X X X X X "As Reported" column on the last page of this return. (3) DEPARTMENT VALUATION CAUTION (Do not write In this spoce) .K,L;C-05 COMMONWEALTH OF PENNSYLVANIA ' TP.ANSF;EJ;t INHERITANCE 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 wi~h a!lother 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. Savin,gs· 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 .haJ1d.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.anyMndistributed 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 VALUE ESTIMATED MARKEr VALUE DEPARTMENT VALUATION (Do not write in this space) 1 2 3 4 One lot o~ hous.ehold 1969 Chevrolet furnishings a~~1~ $ 806.28 Medical payment received from l~M 1,55o.oo Continenta, I:nsurance Company Check from Gen~~9,l Motors Acceptance 500.00 72.54 Insert this total opposite "Personal Property", Schedule "B" in X X $2 1 9 2 8. 82 the n As Reported" column on the last page of this return. t£1('; IJZ.fJ: ~~h . .2? JS5CJ, t1 tJ ..5cPCJ~ (!) tl '7~,~-¥ "' RCC-36 . . , CQMMONWEALTH OF PENNSYLVANIA TRANS~'ER INHEIUTANCE TAX RESIDENT DECEDENT SCHEDULE "C" TRANSFERS ( 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) no (2) Did decedent, within two years of death, transfer property from himself to himself and another or others (including a spouse) in joint ownership? (Answer yes or no) no (3) If the answer to (1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer------ (b) State of decedent's 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 therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)~n~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) no (b) What was the transferee's age at time of decedent's death? not applicable (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 th£• property transferred? (Answer yes or no) ~n~a~------- (b) The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer yes or no) DO (6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent alone or others _______________________________________________________________ ~-------- (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) --~n~n~---- (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>ztot applicable 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 Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MAIU<ET VALUE (Estimated) NONE DEPT. VALUATION (Dept. Only) 0 KCt;-08 '' 1C.C~lONWEi\LTH OF PENNSYLVANIA • 1'!11\NSFJJH. INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY BSTRl'CTIOKS: 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-owriers to the decedent. Description of Property, Date of Acquisition, Name l Unit Address and Relationship of Co-Owners, and Place i Value of Record of Instrument, where Real Estate. , savings account in First National Bank of Fredericktown, llennsylvan:i:,a, jointly held with Lynne K. Blacka, 1 less than two years fully taxable ( percentage Estate Share Valuation $ 20 8. 0 ~ TOTAL: $208.00 I ! I I I I I I I DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. -~ k ~~~------' ;(tJJ: \ h ~CC~'3i""" ( 12-6 3) l''o.M~10~WEA,LTII OF PENN'SYYLANIA \RANSFER' IN~ERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES ' State full names and addresses of al) who '·, ave an interest, vested, contingent or ·other- wise, in estate) ~~nnr~ T. nnwlin SCHEDULE "D" BENEFICIARIES r: RELATIONSHIP SURVIVED (If step-children or DECEDENT illegitimate children STATE YES · are involved, set forth this fact.) OR NO 435 Bluff Avenue r .. A ,.,,.h ,._.,~ 'UOC! ";.I ... Canonsburq, Pa. 15317 ~ ... r Lvnne K. Blacka 43 5 Bluff Avenue r~nnn~hnra Pa 15317 dauahter .ves: .. • ' DATE INTEREST OF OF BENEFICIARY IN ESTATE BIRTH I' -.. 1/2 residue 1/2 residue ' ' Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE .. ------ > "' tJ rt~ 8"t-.:.> ..,~ 3 g c... \ ). ~ ~. )' DEDUCTIONS ALLOWED IN j THE SUM OF ............ $ ~?~~(.? ~~ . Form RC C·lO OFFICE OF TME REGISTER OF WILLS oF Washington STATEMENT OF DEBTS AND DEDUCTIONS ~-/0 ,.73 C ............... J ....................... . AND AGENT OF THE COMMONWEALTH 3-7/-;J.f.s" lk··j EDITH L. BLACKA ESTATE oF EDITH LEONA BLACKA a __ ~ATE oF Claysuj 11 e DATE OF FILING APPRAISEMENT ---------DAT!i OF DEATH Jannacy 24 r 1971 DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHE" Probation fees In, .... , w nnt.rl i'n r .,.,,...,.7.;-nrr I"' ::a .... A~ c;n IWAsh,~nnt-nn Cnnnt:v RP-norts 11.\,..:~··--•;·~AmAnT. nf L~t+-~r~ 14 00 I nh.,o-...... -n ......... ,... .... "'",..,. .... lnrlu~rt:i~~mAni-nf T.PT.+-~r~ 14 00 .: F. J. Buck lev Anm in is t_r at ion nr~mi nm 20 00 IH~nrv P "RAnnPtt_ ll\nnrai~al nf ,..~~1 ~~+-~~"" -:tn nn Kan-fman 1 ~ "Q~l~nl"'lo owed hv ~ ... -... ~~ni-170 32 .T (' "001'\1'\U ,..,..,_ Balance owed bv decedent 251 77 -.;,; 1Mil1~r•~ Balanc~ owed bv n~ro~rlon~ 44 1 1 I ~13a.,.., 1Ra1 anl'!A nwAd hv d~c~d~ni-160 3R ir,imhp1o:::: ll=l~ 1 ~nroo ,..Mod hv rl---... ..:l~n+-1Q3 f\0 t:o--~ ..... -.; rolr~nt.7n ,....,.::a·1 ~q~a~l3 ITn.,,,...~nroo r.rominm 11:\ nn F. J Bncklev rnsurance oremium 20 00 I "RP.T.h f'~ni-~T' 1Q71 -·· ll T.ax 120 10 I. Malcolm L Mora an Prooertv tax 26 08 Register 1),,.,., .... 11 M.,.,....;·;:;,.~ of Wills 1Ft 1 ~ P~t-i·-rtnn 10 00 Sara M 'Rlaroka l~::ai-i o::::-faroi-fnn n-f dPht Ann nn .ino::::l3n"h 'T';mro"horolr o~ nv ll:l~1 ~nroo ,....p 1 Q7? i-::av o::::h~.,...,. !':in R3"\ ''\.. -"RPl'!nrdor n-f ~~no:: i1 !J; i-ran~f~r tax 71:\ nn !William n Phillins Esa Followina items advant'!ed ~~~~~!!.,..M~~iiJ<fi,~ IH'; 1 .:-.,.~ T...,. .. ,..,.,.."'-,.,....,u £. :aro-"'''"'"'" 10 nn -:J ";;I .... ,William n Phi llin~ Esauir~ 11.\i-i-nrnAv 1.~ l"nmm;_ssion 500 00 ~.P~~ 7s--.. C/1) ~7~~~ Z.? 5'0 'T'n'T''l! IT :a· OF l"RF.nTT~ CT.l\ TMF.n • ~z .-z_j -t1H COMMONWEALTH OF PENNSYLVANIA }sa: COUNTY OF Washington '· Saodz:a I. Dowlin HEREBY CERTIFY, THAT. TO THE BE.T OF MY kNOWLI!:DGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP" A:OI'o!INI~TRATION SUBMITTED TO THE ESTATE o.EnTTH I.EONA BI.ACKA, a/k/a EDIT!I,EJu.s§~AG,~CTIONii FOR INHERITANCE • TAX PURPOSES. ~~~~,#~ r3v..D SUBSCRIB~EFORE ME THIS ~&hAY OP' (L. 5.) Sandra L. Dowlin JZtt 1 _4 II 18 _:}.2_ T7/l, A _j.(} ; #-..If _CT771 /J # ll / (/./'--"'~ .vu ~ VICTORIA DALLY Notary Public, Washinston, Washiriaton Co, My Commission Expires July u l!l7t \Yo,..... , 0 '-~ / . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG RCC·B1 (6-71) 17127 IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division NOTICE OF FILING OF APPRAISEMENT 38-151-5 SANDRA L. OOWLIN ~dministrator) C.T.A. In Re: Estate of _E_D_I_TH __ L-'-E_O_N_A_B_L_A_C_KA_...=a:.!../k~/-=a:.__ ______ _ _ W_AS_H_I_N-=G-=T--ON::..:.__--'---County -File No . .,..-~6=-3=-.L7.:!:C1-=-2~8!:!..:5>L-__ _ Dear Mrs. Dow1in, You are hereby notified that the _ ___.,o.Lir~,~· 9:J.l~· n~aa..~.1------------ appraisement in the estate of EDITH LEONA BI.ACKA has been filed in the office of the Register of Wills of WASHINGTON County on September 11 , 19_1_2, Said appraisement reflects the following va I uations: Real Estate 7' 500.00 Persona I Property..=2:...!,:...:9:..!2:::.:8=-.•!!!...8=2 ______ _ Transfers ___ __;_ __________ _ Jointly Owned ___ 2""'0>LW8_.... ...... o ..... O:__ _____ _ Toto I ___ _.=.1~0..L., ~6.>£3~6.....:. S!!.t.-2"'--------- 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 an appraisement may appeal therefrom as provided by law. Date September 11, 1972 DATE OF DEATH: January 24, 1971 Note: This is not a bi II. J ' • RCC-39 (5-68) ' .. ·•, .. , COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT bECEDENT ·I.'.' -:·::;, .... .... ~·· .... · .~U"1MARY ~==============~~~~~=:==~~==============~==~======================= Estate of BLACKA EDITH · L •. a/k/a . ,;:y ' DATE OF DEATH l-24-71 FILE NO. 63-71-285 (Last Name) (First Name) (Initial) ~ePORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed inheritance Tax Appraiser in and for the County of ___ HXJIXD[ ____ W._:AS_· _H_I_N_G_TO_N __ Pennsylvania, do respectfully report that l have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item iri the last column to the right in Schedu.les ·~A", "B", "C", and "E". Dated: September 11, 1972 ~.l~ . ·. INHERITA~E; TAX AP~ REPORT OF TIJE REGISTER OF WILLS I, the undersigned duly elected Reg~ster of Wills in and for . . . County, Pennsylvania, do respect- fully report that I have allowed deductions in the amo1,1nts claimed by deponent, except as to those items where a greater or lesser amount is set forth in the last column to the. right in Schedule "F';, which greater or lesser amount represents the sum allowed as a deduction. Dated:-----------.,.,.,....,.......-.. . REGISTER OF WILLS INVENTORY Real Property (Schedule A) Personal Property (Schedple 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 10,636 82 10,636 82 annuities ............. ~ .. ~ . . $._,....,.,...,.....,.._ _ ____,-+--- I ESTATE TAX ASSESSMENTS $,...,..-___ ___,......_____, FOR USE OF REGISTER ONLY 1 COMPUTATION OF TAX Tax on$-----~---+---$ Tax on$ 0 Taxon$-------~-+--- $-------~---$ _______ -4---- $----~---~---Tax on$ 10% $ ----.----.---__,..;.-+.-- Tax on$ ~5% $~--~----~- VALUE AS REAPPRAISED $--~---~-- ( Exemptions * Total Estate---------"~- TOTAL TAX $-----~-~--- (*) 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 Add interest at rate of 6% from $ ..--. ---,-----+---- $ -------L,--________ to ____ _ AMOUNT OF ESTATE TAX A~SESSED $---..-~~--.--.--1- Estate tax paid $-----..,...L.-- BALANCE DUE Add interest at rate of 6% from -----~0--~---- FOR USE OF REGISTER ONLY $------+-- TOTALTA~ BALANCE $ ------+--- PA.D , $ ,._.,...,......,... __ __,.,._....__ __ ADJUSTMEf\ITS 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 f No. ..... Year ........... . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF EDITH LEONA BLACKA a/k/a Deceased Late of CLARKSVILE .... ···--·-······ . ··-·----········ ........................... . County of W.~S~NGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL '"" ~· I Fonn lCC-2 .. •DEPART,ME~!T OF REVENUE ~, .B'UREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 1 2 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ... ~~P.~.~I.t.\.l.?.~.~ ....... ~.~ .. '. ........ ~.~ ?.?. .. COUNTY .......... ~~--~!.~.~~~······························· FILE NO •. §~.::.?..~.::.?..?..?. ............................................. . EDITH LEONA BLACKA a/k/a CLARKSVILLE Whereas, ...................................................................................................................................................... late of .............................................................................................................. . in the County of ..................................... .W.~.~ID.;.NG.r.9.N ....................................................... Commonwealth of Pennsylvania, having died on the .................... 24th .......................................................... day of ......... g-.~~.~.~Y ...................................... 19 ... ?.~., seized and possessed of an estate subject to Inheritance under the laws of the Commonwealth of Pennsylvania; Therefore, I, ............................................... ::rf .. :~:: .... V..~~ ..... , 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 transfer 1 inheritance taxes at the lawful collateral rate on any such future interest. Description of Asset REALTY: SEE COPY OF SCHEDULE A ATTACHED TO APPRAISEMENT PERSONAL: SEE COPY OF SCHEDULE B ATTACHED TO APPRAISEMENT JT. HELD: SEE COPY OF SCHEDULE E ATTACHED TO APPRAISEMENT .. ... . ' '· 0 ·t total ' Unit Values $ Appraisement Made for Inheritance ' Tax Purposes I I 7,500 00 2,928 82 ?OR loo 10,636 82 I WASHINGTN County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of EDJ::.?:'If LEONA BLAC~ ... '3.:/.~/'3.: .. Deceased. Late of I&XK CLARKSVILLE Date of Death, ......... .1.~.2.4.~.7.1 ......................................... .. Appraiseme,?t Docket Vol. . ........ 38 , . ·················-························ Page, ... .l.5.l~.s .................... No. 6..3.~71~.28..5 ......... . Filed in Register's Office, .. Sept •..... lL .. 19 . .7.2. Amcunt of tax due, $ ................................................................ . DEPARTMENT OF REVENUE Received, Examined and Approved,_ Wrote abaut Appra-isement, ·. Appeal f~om Appraisement~ Entered and charged, -r. ... -~ ~., .. ·._; t "" .... ,..~ .. ;"' .............. .o:·~:~~-..• LAST WILL AND TESTAMENT OF EDITH LEONA BLACKA I, EDITH LEONA BLACKA_, of Clarksville_, Washington County_, Pennsylvania_, being of sound mind and memory_,· do hereby make_, publish-and declare this to .be my Last Will and Testament,. . . . here by revoking and declaring null and void 'any and all other ,. · wills heretofore-made by me. : FIRST: I herepy direct . that all my Just debts and funeral expenses be pa:id by my Executor herein named as soon as may be found co~venient following.my death. SECOND: All of the rest_, residue and remainder of my estate_, whether rea1 or personal_, ·I give_, devise and bequeath· -! to my two daughters_, SANDRA L. BLACKA and· LYNNE K. BLACKA_, or the-survivor of them. THIRD: Should both of my above named daughters pre- decease me_, then I give_, devise and·be_queath all the rest_, residue and remainder of rrrY estate_, whether real or personal, to my mother, ri!ADELINE B. GEORGE, of Clarksville, Washington County_,! ·Pennsylvania. FOURTH: I hereby designate and appoint my mother, MADELINE B. GEORGE, to be the guardian_of the persons of my two daughter~, SANDRA L. BLACKA and LYNNE K. BLACKA, but have predeceased me, or not be in position to act in should she j this capaci t . , I then I designate and appoint my good friends, IRA R. HILL and · ... _.:_.. •i. . . . ' . .. . , . 'I I 'h ; :I"-'I - I ·' ·' : I -__ ;· :.•__.. ····~ r ... -~.-:_ ., ·-·.··' ;; , ..... -· ' ....... '· .. ~-:~_-. ~:; ;:.:: . . . ~~-.. ;; . ~:~~-- . ,,l~: :: .... ~! .. • .. r: : .-~ --~~ . ---· : i ~:.:~:". ': . ._ ....... . .-! ~ ..... .,. • ;. ~ : :::: .. ::-.:. .. ~.J .. . . ~ , . r ~ .i n H I. !] ~ I 11 • . -... ,., ..... '·--·:·:--···-~·-:-'··~:~.,..,...,,.....,~.,.,~~-·-....,_,.·"!'=!;·'7'~·~..,.~-,"!1~~~~.,..-/"'!"'!cr-~~"'f"''""' ,.., ..... ., ,, ... , .. ,.;!·!i - . /. ''i . :! . . '' ··' .::_ .. ;-.·-",; . ~. · ... ...::~· ~ .. ~-'.'I " . ) ----~------_.----------~--------------------·•~-----,---·-·~c,~···~H~t#~~-~~·-,~~-.s~~ BESS B. HILL, his Wife, of Pittsburgh, Pennsylvania, or DR. JOSEPH A. KLIMOSKI and his wife, of Brownsville, Pennsylvania, . ' . to be_the guardians of the persons of my said daughters, SANDRA L. BLACKA and LYNNE K. BLACKA. . FIFTH: .. ·I hereby designate and appoint r1ELLON NATIONAL · BANK AND TRUST COMPANY to be the guardian of the estates of rrry two .daughters, SANDRA L. BLACKA and LYNNE K. BLACKA, respec- tively. SIXTH: I hereby designate and appoint IRA R. HILL, ·I of Pittsburg[?.,. Penns·y~vania, to be. the Executor of this my Last Wi~l and Testament, but should he. have predeceased me, or not be in position to aci; in such capacity, then I designate MELLON NATIONALPANK AND TRUST COfv!PANY, Pittsburgh, Pennsylvania, to be. the Executor of this my Last Will Md Testame.nt. . IN 1viTNESS WHEREOF, .. I hereunto set my hand and seal this 146/v day or F'~ , 1963. xtf~f/{1 i:t-n~J 15ta..~ldSEAL). Edith Leona Blacka , · Signed, sealed, published and declared by EDITH LEONA BLACKA, the above named. Testatrix, as and for her Last 11/ill and Testament, in our presence, and t·re, at her request, and in her presence and _in the presence of each other, have hereunto subscribed our names as witnesses. . ----) . . 1\ ,/ ,·~ .·· . ~ ·. \-is ( ~dd ' . ' ,J ( .. , -2~ .; .• ''! · ... · .. IJ j(, # \, . t· [' I i. i i I I . J 1 I; f t r .... _,! t I • ' ''Vd ··oo N0l()N!I1Sit/~ Slllt,~ .:IO H31SI03tJ, ONI/:1 V l'i Tl:; S S n ~ .,.., I i!J 'C. .•··U 'Cl 3 ")II.J I!~J I '•./ , . .,;#_ ' i IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION. IN RE: ) ES.TATE OF EDITH LEONA BLACKA, ~ No. &3-V-clt:r ) a/k/a EDITH L. BLACKA, DECEASED. ) PETITION FOR ORDER FIXING AMOUNT OF ADDITIONAL BOND TO BE GIVEN PRIOR TO SALE OF REAL ESTATE UNDER SECTION 541 OF THE FIDUCIARIES ACT of 1949 TO THE HONORABLE P. V. MARINO, PRESIDENT JUDGE OF SAID COURT: The Petition of Sandra L. Dowlin respecfully represents: 1. That Edith Leona Blacka, a/k/a Edith L. Blacka died on the 24th day of January, 1971, ~testate, leaving to survive her , her daughters, Lynne K. Blacka and Sandra L. Dowlin, your Petitioner. 2. That Letters of Administration C.T.A. were granted to your Petitioner, Sandra L. Dowlin, on the 17th day of March, 1971, by the Register of Wills of Washington County, Pennsylvania~ upon the filing of a bond in the sum of $2,000.00 with United States Fidelity and Guaranty Company. 3. That the only real estate of which the decedent died seized is described as follows: · ·· ALL that parcel of land situate in East Bethlehem Township, Washington County, Pennsyl- vania, being the easterly 6 feet of Lot No. 11, all of Lot No. 12, and the westerly 18 feet of Lot No. 13 in the Williamstown Plan of Lots, recorded in the Recorder's Office of Washington County, Pennsylvania in Plan Book Vol. 3, page 28. 4. That attached hereto are affidavits of two ~esponsible persons familiar with real estate values, giving the fair market value of said property proposed to be sold at $J,500.00. 5. The decedent left personal property in the amount of approximately $2,000.00. 6. The Petitioner has entered into an Article of Agreement for the sale of the above real estate, subject to the approva:L of your Honorable Court, for the consideration of $7,500.00 with Joseph R. Timcheck, Jr. and Patricia A. Timcheck, his wife, the sale price to be paid as soon as possible, a copy of said Agree- ment being attached hereto, made a part hereof, and marked Exhibit C. WHEREFORE, your Petitioner,requests your Honorable Court to fix the amount of additional bond to be given by her, or to excuse her from giving additional bond under the provisions of Section 541 of the Fiduciaries Act of 1949. And he will ever pray·~ . Sandra L. Dowlin, Petitioner COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF WASHINGTON BEFORE ME, the undersigned authority, personally appeared SANDRA L. DOWLIN, who, being duly sworn according to law, deposes and says that the allegations of fact set forth in the foregoing Petition are correct and true. Sworn to and subscribed before me this 3o "t.l day 0 f_-.J.~r-''!{-+---' 19 7 2. ~ l-~~ cf. ~tr.J SAND~A L PHILLIPS Notary Public, Washir.gton. Washington Ca • . ·":) . . My Commission ExpirGS rlcvember 5, 197~ My <;oJ;mnission Expires:--------------r .... AFFIDAVIT OF VALUE COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF WASHINGTON Before me, the undersigned authority, personally appeared Frank C. Carroll, who, being duly sworn according to law, deposes and says that he is well acquainted with the real estate values in the Township of East Bethlehem, Washington County, Pennsylvania, and that he is familiar with the property owned by Edith Leona Blacka, a/k/a Edith L. Blacka, now deceased, referred to in the foregoing Petition, being the easterly 6 feet of Lot No. 11 and .. all of Lot No. 12 and the westerly 18 feet of Lot No. 13 in the Williamstown Plan of Lots, and recorded in the Recorder's Office ' . of Washington County, Penn~ylvania in. Plan Book Vol. 3, page 28, having erected thereon a house known and referred to as No. 106 in the Williamstown Plan; that he· feels that the price of $7,500.00 is a fair and just price for the sale of said property; and that it is a good or better than could be obtained from any other private or public sale. Sworn to and Subscribed before me this 3tJ m day of --~=f-----' 1972. ~-~tarY Public SANDRA L. PHILLIPS ·,, Notary Public, Washinjlton, Wa&hln&ton Co. My Commission Expir.es Kovernber !i,1973 My ·commission Expires: ------------------------------- EXHIBIT "A" AFFIDAVIT OF VALUE COMMONWEALTH OF PENNSYLVANIA ) . ) ss: COUNTY OF WASHINGTON ) Before me, the undersigned authority, personally appeared . . Alexander Mcilvaine, who, being duly swo'rn according to law, de- poses and s~ys that he is well acquainted with the real estate values in the Township of East Bethlehem, Washington County, Penn- sylvania, and that he is familiar with the property owned by Edith Leona Blacka, a/k/a Edith L. Blacka, now deceased, referred to in the foregoing Petition, b~~ng the easterly 6 feet 6f Lot No. 11 and all of Lot No. 12 and the westerly 18 feet of Lot No. 13 in the Williamstown Plan of Lots, and recorded in the Recorder's Of- fice of Washington County, Pennsylvania in Plan Book Vol. 3, page 28, having erected thereon a house known and referred to as No.l06 in the Williamstown Plan; that he feels that the price of $7,500.0:0 is a fair and just price for the sale of said property; and that it is as good or better than could be obtained from any other private or public sale. ·sworn to and subscribed before me this day of ______ ?-? __ ~~~----' 1972. ·· ...• xf~cf~ :-'No~ Public SANDRA L PHILLIPS ' :. ~ Notary Public. Washineton. Washingto" J:o. My Commission li:xpires ttoy,mber 51 1~71 _My -~Commission Expires: ___________ ___:_ EXHIBIT "B" REA~ PROPERTY AGREEMENT. FORM NO. 16 ( 1971) Made the day of May WASHINGTON COUNTY BAR ASSOCIATION WASHINGTON, PA. Between SANDRA L. DOWLIN, Administratrix, c. t. a. of the Estate of Edith Pennsylvania L. Blacka, Deceased, late resident of Clarksville/ (hereinafter called "Seller") and JOSEPH R. TIMCHECK, JR. and PATRICIA A. TIMCHECK, his wife, of Box ~41, Route 88, Carmichaels, Pennsylvania, --------------..(hereinafter called "Buyer"). ·wiTNESSETH, that for the consideration hereinafter set forth and intending to be legally bound the Seller and Buyer mutually agree as follows: l. Seller agrees to sell and convey to buyer on or before May 25, 1972 by ~P·3C:ial warranty deed in fee simple absolute, clear of all mortgages, judgment liens and. tax liens and other encumbrances affecting its marketability (except as hereinafter set forth) all the real property described in Paragraph 8 hereof. 2. Buyer agrees to purchase said real property and to pay Seller therefor the sum of SEVEN THOUSAND FIVE HUNDRED and no/100-----($ 7, 500.00 ) Dollars as follows: Two Hundred Dollars upon the signing ~ the within Agreement, receipt whereof is hereby ack- nowledged, and the balance. of $7,300.00, to be paid in full upon delivery .of a special warranty deed, on or before May 25, 1972 3. Possession shall be given on delivery of deed ~x , and settlement shall be made at the office of Seller's attorney on or before May 25, 19 72 ; or as f~~x mutually agreed upon by parties. · 4. Buyer and Seller shall each pay one-half of all state and local realty transfer taxes payable upon this transaction, but real estate taxes, sewer charges, and rents and royalties shall be prorated on a calendar year basis between Seller and Buyer as of date of delivery of possession of the premises, except as hereinafter set forth: 5. From and after the date of this agreemen~, insurance shall be provided and paid for as follows: Insurance shall be carried by Sell,er until delivery of deed. r • >I 6. Time is ---------of the essence of this Agreement. 7. The parties further agree as follows: The Buyers shall make application for an 80% 16an at 7% interest within five days from the date of the within Agreement, and in the event they cannot secure financing, then this agreement shall be null and void~ and the downpayment of $200.00 returned to them. EXHIBIT "C" I l I I I r ,, I ~ r I !t ; ,. I i, /, ' ' ,. ., I 8. The real property which is the subject of this Agreement is described as follows: ALL that parcel of land situate in East Bethlehem Township, Washington County, Pennsylvania, being the easterly 6 feet of Lot No.ll, all. of Lot No. 12, and the westerly 18 feet of Lot No. 13 in the Williamstown Plan of Lots, recorded in the Recorder's Office of Washington County, Penna. in Plan Book Vol. 3, page 28, bounded and described as follows: · BEGINNING at a point on the northerly line of Clark Street, said point being located North 49 degrees 43 minutes East, a distance of 54.00 feet along Clarl'i: Street from the easterly line of Second Avenue; thence through Lot No. 11, North 40 degrees 17 minutes West, a distance of 110.00 fe~t to a point on the southerly line of a 15.00 feet alley; thence by said alle¥hence North 49 degrees 43 minutes East, a distance of 54,00 feet to a point~hrough Lot No. 13, South 40 degrees 17 minutes East a distance of 110.00 feet to a point on the northerly line of Clark Street; thence by said line of Clark Street, South 49 degrees 43 minutes West, a dis:[;c;:..nce of 54.00 feet to the place of beginning. CONTAINING an area of 0.1364 of an acre, and having erected thereon a dwelling ~use, known as House No. 106 in the Williamstown Plan. BEING the same lot of ground conveyed by King Land Company to William J. Blacka and Edith L. Blacka, his wife, by deed dated December 1, 1958, and of rscord in the Recorder's Office of Washington County, Penn- sylvania,in Deed ~ook 1035, page 122. The said William J. Blacka died on the day of , 19 , whereupon by operation of law, the fee simple title in and to the within described tract vested in Edith L. Blacka, as surviving tenant by the entireties. The said Edith L. Blacka, died, testate on January 24, 1971, and Letters of Administration, eta on her estate were granted to Sandra L. Dow1in by the Register of Wills of Washington County, Pennsylvania on March 17, 1971. 9. If Buyer defaults in payment or performance for 30 days, Seller may, at Seller's election, use one or more of the following remedies in addition to or instead of any other remedies provided by law: (a) rescind this. agreement and retain all sums paid on account hereof as liquidated damages, in which case Seller shall retain title to the real estate free and clear of any obligation or duty to Buyer and Buyer shall surrender this Agreement for cancellation; (b) eject Buyer from said real estate, for which purpose Buyer hereby authorizes any attorney of any Court of Record to appear for Buyer and confess judgment against Buyer in an amicable action of ejectment, with immediate writ for possession of the real estate and for damages, to include attorney's commission of 5 % · or $ -----and costs, hereby waiving stay of execution, exemption and inquisition, with release of all errors; (c) affirm. this agreement by delivery of deed to Buyer, declare all sums due hereunder to be forthwith due and payable, and cause judgment to ·be entered therefor, for which purpose Buyer hereby authorizes and empowers any attorney of any Court of .Record to appear for Buyer and confess judgment against Buyer for the whole balance due, together with interest, attorney's commission of 5 % or $ -----, and costs, and hereby agrees to immediate execution thereon, waiving stay of execution, exemption and inquisition, with re- lease of all errors. 10. This Agreement shall extend to and benefit and bind the heirs, executors, administrators, successors and assigns of the parties. Whenever used herein, the singular number shall include the plural, the plural the singular . and the use of any gender shall include all genders. · NOTICE-THE USE OF ONE OR MORE COAL CLAUSES MAY OR MAY NOT BE REQUIRED BY LAW WITH THIS AGREEMENT. WITNESS the due execution hereof the day and year first above written. WITNESSED BY: STATE OF PENNSYLVANIA COUNTY OF .......................................................... -............................. . f ss. On this, the ........................ day of .................................................................. , 19 .................. , before me, ............ : ......................................... , the undersigned officer, personally appear·ed known to me (or satisfactorily proven) to be the person whose name subscribed to the within instrument, and acknowledged that executed the same for the purposes therein contained. In vVitness Whereof, I hereunto set my hand and official seal. 't.'·' ; \ ~ • j • j ... :: ' . 1 .,. • ,, • • • '. ,. ,' J I { ' , I ~ I ; ' , , • ........................................................................................................................ 'J). '' .. J . J~ . ~ . : . J' --) . : .. : '! l,'w:'".~• .. •,,); • • • •'' ', ~ • j • !:•; ................. -.................................................................................................... . My Commission Expires ................................................................ _ STATE OF PENNSYLVANIA COUNTY OF ......................................................................................... . t ss. ' On this, the; ........ : .... : .. :;;; ... day 'of .. : ...... :: ......... ~ ......... ;: ........... · .. ; .......... : ... : ..... ,· 19 ,,: ...... r ...... ~.,, before me; · ......................................... : ............ , the undersigned officer, personally appeared known to me (or satisfactorily proven) to be the person · whose name subscribed to the within instrument, and acknowledged that executed the same for the purposes therein contained. In Witness Whereof, I hereunto set my hand and official seal. ......................................................................................................................... ........................................................................................................................ My Commission Expires ................................................................ .. ..... 0 ~::r:: v •i E-1 u f=: C!l X:H . : v ~ i-lit:l ~i ~ (/) s=~ ~~ rn ~ <l) ~ 'Ui . ;.... o::r: i~--~ q <!) ... M <l) ~ iO ~ ~i ~ rn (/) .. tZl Ui 0.. ·u Po! +l cd ~ zi~~ o::r: r:::J: il) H CD ,.., ;.... ,... H;t-1 rz:l ::eli 0.. .~ ...:! CD c ~ ...:li·~ C) ..c: Ui <!) "d ~ i-l CD ~=t-~ [:il ..., ~! ..c: ~ P-r ·~ ..., v OiU4 0 H; s (f.l ~ E-ij ..., ·O: Clj~ ~ ~ ... ..c: f=: ;::1. c ~ ..., ·i'H-< . : f=: . ro 0 ~iO :::::: P::j >. :.2 q CD +l Cd ; C) 0 :-::::: ...... P4 c.o > ...., ·~ pg~ . -< ::c: ~ • t ::;s c ~ =ro~ ' 0-i '::< u ;.... ~ • ·r-l Sl . eel !:ill:=> "d >. v H ;:;::: .c Q,) >. ;£:,;~ . (IJ i "d ..0 ;:l ~ Ul <r:i o:t-~ ;.... il) ~ CV) ro . . 0 ;.... o::l (/) i C) ~ IJ!~ u il) HCV) is: Q,) ..c: il) > 0::: ..c --..., COMMONWEALTH OF PENNSYLV A.NIA COUNTY OF ........................................................................................ .. ~ ss. RECORDED on this .................. day of .................................................................. A. D. 19 .................. , in the Recorder's Office of the said County, in .................................... Vol. ............................. ~ ............ , Page ................................... .. Given under my hand and the seal of the said office, the date above written . ......................................................................................................... _., Recorder f •.; ' • IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ) ) ESTATE OF EDITH LEONA BLACKA, ) ) a/k/a EDITH L. BLACKA, DECEASED. ) 0 R DE R AND NOW, this 3D-day of No. {pJ -')/-cJ££ . ----~~~--~+--' 1972, the within Petition being presented to the Court, upon consideration thereof, it appearing that the Petitioner, as Administratrix C.T.A of the above estate, has filed bond in the amount of $2,000.00, and proposes to sell the within referred to real, ·estate belonging to the Estate of Edith Leona Blacka, a/k/a Edith L. Blacka, De- ceased, for the sum of $7,500.00, under an Article of Agreement, and the the Petitioner, Sandra L. Dowlin is Administratrix C.T.A., IT IS ORDERED AND DECREED that the Petitioner, Sandra L. Dowlin, Administratrix C.T.A. of the ,above estate, file additional bond in the amount of $ } S \; U""Z:Z'V" C&9 prior to receiving the proceeds of the sale of the said real estate. BY THE COURT, "q/~/P. ID4ut wr •..... s.2/G:~~-ni:y--Eg:z.J.~};-;t~T~b¥~-:-i-~~---sli~---f!n:i-t-eEI----,s-te:-t-e-s----~~-?.:~-~-~--~-Y. .... ~.g_d _____________________ _ all of Washington County, m the Commonwealth of Pennsylvania, are~~¥ and firmly bound unto the Commonwealth of Penn- sylvania ·in the sum of ..... }~!.f.~-~-~-D. .... ~J!.Q.~-~~-P.J.9:)!._Q_l}~_;r._~---·······················································-····································'·················-············· dollars, to be paid to the said Commonwealth, to which payment well and truly to be made and done, we do and each of us hereby doth bind ourselves, our heirs, executors and administrators, and the heirs, executors and administrators of each of us, for and in the whole, firmly by these presents. Sealed with our seals and dated the .. }.~--~--~---·····day of .......... ~Y!.!-_~-----····----------------···· _ . .Seventy Two 1n the year of our Lord one thousand n1ne hundred and ................................. ---··············------------------·--·-------·-----·-------·-------·------·--------------···-·······-----·--·-·····-·· That if the within bounded _______________________ §._?.:!.!-.9..~~-----~-! ..... .P..9.Y?.;!Jn ....... --------------·····--··---------·--·---··---------·----------·--·-------------------·-----····--·-----------------------C.T.A • .administrat .. r.J~--------····of all and singular the goods, chattels and credits of ......... .?.9.ttJ.h .... !:~.QD.§: .... ~.l?.-_Q.K.~----------------············-··· deceased, with a copy of the deceased's Will annexed, do make or ·cause to be made a true and perfect inventory of all. and singular the goods, chattels, and credits of the said deceased which remain unadministered, and which have or shall come to the hands, possession, or knowledge of .......... !I~_:r_ __________ the said _____________ §.~_g_g_r.?.: ____ J;,__! _____ !;?_Q.YY.J;i.Jl ....................................... --···--·------·-·------·- or into the hands and possession of any person or persons for ·----~~-!' ................. W:d the same so made, do exhibit or ,cause to be exhibited into the Register's Office, in the County of Washington, at or before the·-----------··----·-----··--·· day of ...... ·-··-·········--···-----------·----···· next ensuing, and the same goods, chattels, and credits, and all other, the goods, chattels, and credits of the said deceased at the time of.. .. ~-~-~---···----death, which remain unadministered, and which at any time after shall come to the hands or possession of the said. _______________ A_Q._m.! ... J2.! .. '£.!.A.~----·····-··-··························--·········or into the hands or possession of any other person or persons for ........ £l:~.r. .............. do well .and truly administer according to law, and the true intent and meaning of the last Will of the Her said deceased; and further do make or cause to be made a true and just account of.. .................................. said administration at the expiration of six months, and all the rest and residue of the said goods, chattels, and credits which shall be found remaining upon the said administrat ............ account, the same being first examined and allowed by the Orphans' Court of the county of Washington aforesaid, shall deliver and pay unto such person or persons respectively as the said Orphans' Court by their decree or sentence pursuant to the true intent and meaning of the last Will of the said deceased, and of the Acts of the General Assembly of this Commonwealth in such cases made and provided, shall limit and appoint, and if it shall hereafter appear that any last Will and Testament other than the one herein mentioned was made by the said deceased, and the executor or executors therein named do exhibit the same into the said Register's Office, making request to have it allowed and approved accordingly, if the said·----------------------···---·---·---·-----·------·-----------------------··---------·----------------·-·-···----------------------·············-··-···········-·--·······-···----------·--------·----------------·····-····-----·-------------- within bounden being thereunto required to render and deliver the said Letters of Administration, with a copy of the deceased's Will annexed approbation of such testament being first had_ and made in the said Register's Office, and shall and do at all and every time and times hereafter clearly discharge and save harmless the Register of the said County, and all other officers from all persons having or pretending to have and right, title, or interest from the said goods, chattels, or credits, then this obliga- tion to be void and of none effect, or else to remain in full force and virtue. ·-~~44=~-----·----·····-·····(SEAL> Uni te-J Stta te s Pi deli ty and Guaranty Co. Bal · . re Md S ·····-------·-···--------·-------------~----·-···---•--------- J ~tttttmtnt nf ~urttt! I, -------------------------------------------------------------······-·--------------····------------------------···-············• surety in the sum of $-------·-·-----··-······------·---------------on the administration bond in the estate of·-----------------------·········-·······--·--········-····--·----·------------------------------·--------------·--· say that I reside at ---------------------------------------------------------------------------------------------· Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in -··----··---------------·--·--······--··----------··--·----·---··---------·--···--·------··---····----------·····---··--·• Washington County, Pennsylvania, worth above all encumbrances $ .................................................... ; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. v ----------------------------------------------------------.. ·-----------------------·------------------------------------- Street P.O. ~tttttmtut nf ~urttg I, --------------------·-··--·-------------------···--------·------------------····----····--··---------·········-------------· surety in the sum of $------···----····--------··--······--·----on the administration bond in the estate of .............................................................. ---------···----···--··-------····--··------····----------------···-··-------···· say that I reside at --------··--·····--···---------···--···--------------···---------···---------·--··--·······----·-·--• Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in -----------------------------------------------------------------------------···------···------------------------------------·• Washington County, Pennsylvania, worth above all encumbrances $ ...................................................... ; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. Street P.O. COMMONWEALTH OF PENNSYLVANIA, } WASHINGTON COUNTY, SS: And now ................................ l9 ........ , comes ................................................................................................................................................................................ .. who being duly sworn, says that he is acquainted with the financial standing of the sureties to the within bond; that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before this ...................................................... .. day of .............................................................................................. A. D. 19 ....... . ""'= C\ll : '"' = ~ ' ~ ~ !~ = T"i .,i ..... i b1) lfllllA . ~ . ~ ....... o! -:~ . S::i > : 1"'\i " = a1 ; ·rti ~-wi' :-~ r-l! Z -~ ~ ~ i ·p : B' i f U\i ~ . = "" (.) '0 i a1 ~ ' •· i "" ;, • • 1 i N ..... 0 a1 Q) i ~· 0 i : 0 ~ r-l l'1l i ~ i -~-i -, ; n' • ..., 1 ~ 0 , " ._. l"il r:o a1 : _.: y 1 It: 1" -I ;--, · -:~ J "' ~ U\ ...... E-4 • ro, •. ul:ll •·~I P., z co ...:I Vo) < Q) +l! r-1! i ;; C\J < ·-E-4 a1 t? Clli t! Q)i ~ i ~ I Z = rn S:: <D r-i ~ 1'1li ~ i . ~ r-l o • a J"il~ g ro 1 • ~ 1 ~ J 1. ~ c ... . _ . . , , • , 0 1 ~ ['-H -= . .. Q)i 't:l '0 ,.., i " li( J ~-' l~ --. . ' ' l '\ I i'i i < I E-1 --1-i d s:: <D ~: 0: .. : ~ ("('\ H _.... E-4 ~ "' r-l i r'i:G'i':Tr 'II ( c V/!1l LS U\i ~ ...0 ,.... -... !7: ...d-1--;)1 •rl l I+ .,) I~-\ '-'I ·.·' -C\Ji ~ 1-i j;;j ..j.) : 'g : , .. i · • .,. ' • (' •"\ p A r-J i Z A • •rl ! v > 4--1 w j\. S H H\" I f 1 rJ J v., A. ! ~ <ll _.... ..... i 2 .... : i ~ ..._... ·v • p. ·v , ~ ~ ~ r:: p. Q) ~ I:..-.! 0 •rl < ~ :;. IC-~=:...c't:l Q) ..... • 't:I.J.)S:: '0 :;:: ,. .,. ~=: ·rl o ~ ot: __. < ~ ~ o oF oJ ft; 6-7/-2_gs- J\ffi~auit ®f 1£xrrutnr ®r 1\bmiutstratnr ~tate nf J.rnnaylnattia } C!tnunty nf llaaqingtnn .na: Personally before me, the undersigned authority, a __ NQt_ar~y ___ p_ublic.. _______ in and for said County and State, appeared ---------~~~-9;-_~---~-~----P..<?.~!~_!?-__________________________________________ who, being duly sworn according to law, deposes and says th~t ., ~ is ~~e e~cutor or administrat"*tff' GreTE!j.\ • tate ofEQ.Jth ___ r.,_~Qn_a ___ ~_l.acka ___ a/lc;/a ___ ~~ease!.' •thaf-Cfi?e 1oregoing schedules constitute a complete inventory and appraisement of the real and personal estate ofEd.Lth __ L ... ___ B_lack.a_,._e:t:c • 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, qased @On a just appraisement of each item made by the above named Rxecxtox Administratr l,X , C • T • A. d OS~!}/;~;~sd be 1 J 9 ore ;; this ·--~~~o}~o~ood~.oo.·oooooo·o··ooooooooo·oooo 000000 0 0 0 oo'"VTC'TOO I! ~0 00 000 oooooooo·oo 0 0 00 00000 a rU_oo·oo· · Mo'--'o:oooo·oooooo . , ~000000000 000~ ~Administratrix, C. T .A. Notary Public, Washin&ton Washl ADDI NAL INSTRUCTIONS • naton Co, 1. l.h cfnV'~~~8tf~JIJ~ fited. within three months after appointment of personal represent~tive. 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 $50,000, in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L~ 513 Sec. 5.2, 72 P.S. 4844.2 3Jttuttttnry anb .1\pprai!ltttttttt of the goods and chattels, rights and credits which were of EP.l.'J.'OR.OOOLEONAOOOBOLACKA,.ooooa/k/a~o~~o~~ ~j 0~~~~~~0000 .. _9Joao+.~o$.V.il.l.~ .. , ...................... o Washington County, Pa., taken and made in conformity with the above affidavit. PERSONALTY: One lot of household furnishings 1969 Chevrolet Medical payment received from Continental Insur- ance Company Check from General Motors Acceptance TOTAL PERSONALTY: REALTY: .>" -\.:)$ House and portion of Lot No. 11, al~ ~~'Lot.No= 12 and westerly 18 feet of Lot No. 13 1n ~he Williams town Plan of Lots in East Bethlehem Township, Washington County, Pennsylvania. For complete description, see Deed Book 1035, page 122. TOTAL REALTY: TOTAL PERSONALTY: TOTAL ESTATE: DOLLARS CENTS 806 28 1,550 00 500 00 7~ 54 2,928 82 2,92J 82 7,50Q 00 !,501 00 7,501 00 2,92, 82 10,42J 82 J .~ /.: --',F !{~-· t•('t 'Vd ··oo NO ( SlliM ::JO ;~NIHSV!A ONitJv'lli ... 13_1SI~3U n I .J"·sn .•• ] ::> ·~ •••• •1, I. f • '/ tl ·-., r· •.) ....... ~ -... ) The first and final account of Sandra L. Dowlin, Adminis- tratrix~ C.T.AH of the Estate o~ E.dith Leona Blacka, a/k/a Edith L. Blacka, deceased, late resident of East Bethlehem Townshi·, Washington County, Pennsylvania PER INVENTORY AND APPRAISEMENT Sale of real estate Appraised value Sale of automobile Appraised value Sale of Household goods Appraised value 'l'OTAL ASSETS TOTAL AMOUNT Of CREDITS CLAIMED BALANCE DUE $7,500.00 7,500.00 $1,550.00 1,550.00 $806.28 806.28 $10,428.82 NO GAIN NO GAIN NO GAIN $10,428.82 2,230.68 8,198.14 • 1 •.::.· The accountant claims credits as follows: PAYEE REMARKS Purl w ... pow lin Probation fees, towing car Washington County Reports Advertisement of Letters Observer Reporter F. J. Buckley Henry P. Bennett Kaufman's J. C. Penny Co. Miller's Sears Gimbels Fredericktown Real Estate F. J. Buckley Beth Center · Malcolm L. Morgan Russell Marino, Register of Wills Sara M. Blacka Joseph Timcheck, et ux. Recorder of Deeds Advertisement of Letters Administration premium Appraisal of real estate Balance owed by decedent Balance owed by decedent Balance owed by decedent Balance owed by decedent Balance owed by decedent Insurance premium Insurance premium 1971 school tax Property tax File Petition Satisfaction of debt Balance of 1972 tax share 1% transfer tax William D. Phillips, Esquire us sell I"iarino, Register of Wills Following items advanced: Filing Inventory & Account AMOUNT $ 86.50 14.00 14.00 20.00 30.00 170.32 251.77 4 4 .~ 11 160.38 193.60 35.00 20.00 120.10 26.08 10.00 400.00 40.82 75.00 19.00 illiam D. Phillips, Esq. Attorney's Commission 500.00 TOTAL AMOUNT OF CREDITS CLAIMED: $2,230.68 ~ o1erver -Repo~r WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION ,, - In compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, as amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Personally ap·peared before me, a Notary Public in and for said County and State, .... SJ.~~-~-rQ ____ $._~-----g2~~~---·················· who being duly s•worn according to law, deposes and says that he is the . .Yi.c.e.':':'.P..r:e,$_i_d.~.Rt of the Obs•e.rver Publishing Company, a Bennsylvania corporation, and its agent in this behalf; that the said Company is. the owner and publisher of the Observer-Reporter, succ•essor to The Washington Observer, established September 18, 1871, and The Washington Reporter, established August 15, 1808, a daily news•pape.r of general circulation, printed and published and having its place of busines•s at Washington, Washington County, Pennsyl- vania, where it or its predecessors have been established and publish!ed continuous-ly for more than six months· prior to the publication of the notice hereto attached; tha;t the printed notice or advertisement hel"eto attached is a ·copy of an official advertisement, off'cial notice, legal notice or le•gal advertis·ement, exactly a:S printed or publiEhed in the ObE'erver-Reporter in its regular editions on the following d•ate o:r a:1tes; .......................................... .. -------------------------·------Ap.r.il .... l2., ..... 19 .... and .... 26.~----l-9.7..1 ............................ . that neithe•r th!e affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the ane.ga- :~~'~! thi• affidavit M to th• tim•. ptii!Z:ZJ a::o Sworn to and subscribed.d'~ore me this.2~:;}ay o ... pril...l.97.1 ·~~"';,;~~;·,,a.NorA..lf WASHINGTON, WASHINGTON corl:v!C MY COMMISSION EXPIRES MAY 6, 1972 • w Washington Couitty Reports 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} SS. STATE OF PENNSYLVANIA 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 officiru legal periodical for said Washington County, published weekly hav·ing its place of business at Washington, Washington County, Pennsylvania, and is acting as its agent in this behalf; that the said WASHINGTON COUNTY 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 County, dated November 11, 1920; 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 legal periodical in its regular issues on the following dates: ........... ~~~.!! ..... ;.?. .. t...?..?..~ ..... ?..?..~ ..... ;?..?..~ ............... . that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the Estat.iices Tlllegister of WHls lias grantCd 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 having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. • • • • • • • • • • • • • • • • • BLACKA, EDITH L E 0 N A !k! EDITH L. BLACKA, Dec'd. ' a a. La t e of Clarksville, Washington County, Penna.. . Administratrix C. T.A.: Sandra L. Dowlm. 435 Bluff Avenue Canons-burg, Pennsylvania ' Attorney: William D. Phillips 33 W Bea!l Street, Washington Pennsyl~ vama ' :!':·,:,~of th;. mFu!Mt" to th< ~~ ""'""'@'pub? 1 ____________ UL _______ • __ fri!4~ Sworn to d b 'b d bef this . ~~~ an su sen e ore ___-:------...,_ STATE OF PENNSYLVANIA, WASHINGTON COUNTY, } 55: The within named Accountant being duly sworn according to law, depose and say that the above account as stated is true and correct os ........ she _________________________ veri ly believe. Sworn and subscribed before me 1this .. JJU --~~-~~d;~_!_ ______________ _ VICTORIA DALLY Notary Public, Washington, Washlnaton co, lly Commlulon EKPirea July 191 1971 Washington County, ss: Sandra L. Dowlin, Adminis- tratrix, C.T.A. I do certify that I have given legal notice to all persons concerned of the filing of 'the within account in the manner, prescribed by Statute and Rule of Court, as evidence by proofs thereof filed to No ... &-.3.-::: .. Z~ .. --7/e..'"'k- Witness my hand and official seal this ______ ~_? ___________ _ day of _________ /)(D-___ v_~ __ .&_ __ ~~------------19.7-.z-- ·-----------~--~ Register of Wills(f,i'\ -----~ ---~ -···-------~---~ ~ .... 0 _..., 1\ ~ t:l rd ::s Ul! J 0 ·r-1 t) -....;.. t) ~ ~ < ·r-1 '4-~ r;.. ~ 4 .;. 0 ~ <) fl:1 ~ ·r-1 ~ E-o r-1 ~ , : < lli ~ ;:.: ~ ~ E-o 0 E-i UJ. N l'i1 ~ ~ 9 4 J : 8 y <'<) ~ ~ ;. ~ ~ ~l ~ ~ cd :>4 ·o-i ~ ::til ~ 1--l H "d -H H H ~ n1 0 0 0 rd. ~ z rLl ~ ~ I' 'P I 1 11. I' ' I ' f ::\il;f_til-} !)j '. •1' I 'f•·•· .... r ' r· 1,1 r i Ill L. •.. \1$ ! ' '\ ! : ' • , .. , \ ll I'"" f') • , ,j I, t. l.;~--\ '72 AUG ?? Pf! I 2t .... •.:.! RUSSELL MARINO REGISTER OF WILLS WASHINGTON co .. PA~ .'- ;.;..· .. • J t • ., ...; -~ 0 _.., i:: 0 ~ "d ~ < I " _..., .... ::s 0 0 Ill ..0 _..., 0 _.., "d Q) _.., ~ Q) "' Q) .... 0. +-' ~ :::s 0 t) t) ol ~ :8 +-' -~ Q) -B .,.; ,...., c5 _..., ~ 2 0 ~ .... ::s 0 0 -::t-. t) .!<: t) .... < 0.0 Ill 6 s ~ .... 0 » :§ Q) ~ .... .... .... 0 0 _.., "' ~ _.., t S1:> fl:1 < "d ~ ~ ol ~ .... Q) +-' d "' ......... .8 'b!J ~ Q) -:;; ~ s -~ .... Q ~ 0 t) .... 0 .... ·I -------- '• ~tt tij~ <nnurt nf arnmmnu Jlra.a nf lfanijiugtnu Qrnuuty ®rpijaun' Qrnurt 1!linininu In the matter of the Audit of Account in Es,tate of EDITH LEONA BLACKA, a/k/a No. 285 of 19 71. EDITH L. BLACKA, DECEASED. TO THE AUDITING JUDGE: Enter . my a~euan~fur the Estate of Edith Leona B1acka, a/k/a Edith L. B1acka, Deceased. N. B.-Counsel sbrall, by separmte paper, present a concise statement of each claim, with supporting calculation of any interest claimed. Objections to an account as filed, shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. j . V d '. 0 8 t~ 0 .l. ~\ N I H S V It\ Slllf~ .10 H:::ll.SI~3U 0 • ! l \.l \·(ill 'l"i '.) C f' fl \I ~~. \J 1 r~ 1,. ,J -.>ItO 60 E Ud Sl RJ1 EL. ta 3 .. ~,~ ~ No. 285 of 1971 In re Audit of Account in Estrute of Edith Leona Blacka~ a/k/a ka Decease~--Ed i th L . BJ a c ' AUDIT Jrurrip.r fnr Appruruur.r FOR Estate of Edith Leona Blacka, a/k/a Edith L. Blacka, De ,.,.l'l~~=>n William D. Phillips, Attorney ~z