The URL can be used to link to this page

Home My WebLink AboutOC1971-0866 - ESTATE OF LEWIS".',10,•.••~"J ."i,.;':.'~:~.:~:,'..;-\l :"•',..:j, ~~-.... RCC-39 (5-68l COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY j.;. LEWIS,DONAlD G.8 20 71·Estate of ---~..........--_~DATE OF DEATH -... (Last Name)(First Name)(Initial) FILE NO.63-71-866 REPO~T OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and fo~the County of_....:.W.;.:.A.:.:S:..:.H.:.:I::..N....:.G...:TO...:.:.:N _ Pennsylvania,do respectfully report that I have appraised the real and personal property as teported in the foregoing return at the values set forth opposite each item in the last coillmn to the right in Schedules "A","B","C",and "E". Dated:AUGUST 2,1972 FRANCES LEO ,CHIEF APPRAISER INHERITANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for WASHINGTON County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. AUG 3 197J.RuSSELL MARINODated:_-,----...-__._ .REGISTER OF WIl..,LS 4,637.26 4,637.26 .none J....617.26 $4:,,0'3'1 .20 4,637.26 none k.637 26 VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$-------+-- INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL.GROSS ASSETS Less Debts and Deductions (SCHEDUL,E F) CLEAR VALUE OF ESTATE Valuation of life estates or FOR USE OF REGISTER ONl.:Y Tax on·$__------..-+---~ Taxon$~ Tax on $5% Tax on $10% Tax on $15% ~~ptioos * Total Estate ---.'1--_ TOTAL TAX COMPUTATION OF TAX $--,.------+-- $-----;.".--+-- $-------+-- $-------+-- $-------~- $---------.1_- (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::~I=== BALANCE OF INHERITANCE TAX DUE $~ Add interest a\~ate of 6%from $----L AMOUNT OF ESTATE TAX ASSESSED $..,..;....L- Estate tax paid $_-----L- BALANCE DUE $..........,L- Add interest at rate of 6%from ------tto-----$------It=.,TOTAL TAX BALANCE $--------1.PAID $---J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanatiol).. Will Administration !No. IN THE Year . I I MATTER OF THE APPRAISEMENT OF THE ESTATE OF POWilJ,.D .I.l!.1JI.$.. Deceased Late of WEST BETHLEHEM TWP. County ofWA,~IIr.~q'I'()N... Commonwealth of Pennsylvania .REPORT AND APPRAISAL ,-... •ro ''!' }-, ~ I I ~- o.3-7 /-g-t 6 }\ffi~auit (@f 1Exerutnr (@r }\~miut!ltratnr ~ttttt of Jtnnsyluttttitt l <!tonnty of 11llItts4ington J ss: Personally before me,the undersi~ned .authority,a NQ.tary..-PJ.lb.lic in and for said County and State,appeared ~~y.~??:..~.~~~!.e who,being duly sworn according to law,deposes and says that she is the executor}IX~a±CIxof the es- tate of .p.Q:N~t..p.G.~:r...Ew.I.S.deceased,that the foregoing schedules ,constitute a complete inventory and appraisement of the real and personal estate of D.QNALP...G.•...LEWI.S....., 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 ~. Sworn and subscribed before me this .....6...~........}~IJ~,..-..'~J d f June ~72 HO,\l''["l'Ell.G""f(r '.'1:~~'f:':..ay 0 ...~................................."........"r..'1 tu •Ilotary bile Executor .............f.~/~;I~¥~:~;;i~~;: 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 ~nutntory ttnb i\ppraistment of the goods and chattels,rights and credits which were 0/P.9.~.~~p.9..!~~*.~late of ~~.~~..)?~.tp..~.~~.~~~9.~P.:~.J:?.~p.. '.Washington County,Pa.,taken and made in conformity with the above affidavit. J PERSONALTY: DOLLARS CENTS First National Bank &Trust Co.,Washington,Pa. Checking Account #0600624800 - 1960 Ford Sedan,Title No.A14169201 1970 Ford Sedan,Title No.B 21503049 Atlantic Breeders Cooperative Stock Certificate No.18620 Estate of Roy A.Lewis,brother,balance of one-fourth residue TOTAL PERSONALTY .....•.•............................•..• REALTY: None PERSONALTY: REALTY: TOTAL INVENTORY: Il ------"-._ $1.62°'1 83 50tO 2,000.,00 5.00 ,96.1.•4.3 I I$4,637.26 None $4,637.26 None I I$4,637.26 .... ..;. ...,. .. 'ltd "00 NOIONIHSVM S1111\\:JO i:l3J.SI03U ONIHVn 'Jl]SSn~ SO 2 ~Jd Sl lnr 2L ~a 3l t j "'", -'!. ",.' .~.. ... \D .< • i ','. ","....:..'.,..,. ..·..7 .' ·'..... FIRST AND FINAL ACCOUNT SYINIA R.LEWI S,EXECUTRIX OF THE ESTATE OF DONALD G.LEWIS,DECID. The Accountant is charged with the following: ..............................,. As per Inventory and Appraisement •.................••••$4,637.26 Executor's Commission due the decedent,Donald G.Lewis,from the Roy A.Lewis Estate Handmoney received from sale of farm prior to decedent's death which did not materalize 250.00 100.00 TOTAL ASSETS OF THE ESTATE .................•...........$4,987.26 TOTAL CREDITS CLAIMED BY ACCOUNTANT ..................••2,667.48 BALANCE FOR DISTRIBUTION ..•...........•..•.............$2,319.78 ,. The Accountant is credited with the following: .................................................................. Bloom,Bloom,Rosenberg &Bloom Attorneys'Fee Register of Wills West Penn Power Company Mona Lee Mihalek,Tax Col. Mona Lee Mihalek,Tax Col. Malcolm L.Morgan,Co.Treas. John H.Shrontz Columbia Gas of Pa. Charles J.Tripoli,M.D. L.J.Quetsch,M.D. Register of Wills Pa.Dept.of Transportation washington County Reports Observer Publishing Company L.J.Quetsch,M.D. Harry G.Benz,M.D. Minetta E.Locy Bernard Berman,M.D. Commonwealth of Pa. Kurtz Monument Company Russell Marino,Registe~ Notary Public Sylvia R.Lewis Register of wills Letters Service 1971 Road Tax 1971 School Tax 1971 County Tax Funeral Bill Service Hospital care' Last illness Certified copy of Will Fee for transfer of Titles Advertising Advertising Balance due,last illness Balance due,last illness housework Last illness Personal Income Tax Headstone Filing Inventory Nine affidavits Commission Filing Account 15.00 9.31 19.34 149.82 31.41 1,397.95 7.50 134.40 21LOO 4.50 8.00 14.00 14.00 3.00 20.00 50.00 6.00 4.03 232.00 4.00 4.50 249.36 249.36 16.00 TOTAL CREDITS CLAIMED BY THE ACCOUNTANT ..•.............$2,667.48 Observer -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May,1929, P.L.1784.as amended. Commonwealth of Pennsylvania,County of Washingtoh,5S':. Personally appear,ed before me,a Notary Public,itl'and for said County and State•.......Ric.h.~.r..d.S..!c..Qw.~n.who being duly s,worn according to law.deposes and says that he is the .vic.e.~P.r..es.id.entoftheObsle,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 SeptemberI'18,1871,and The Washington Reporter,established August 15, 1808,a daily newsrpaper of general circulation,printed and published and having its place of busines's at Washington,Washington County,Pennsyl- vania.where it or its prede'cessors have been established and published continuously for more than six months prior to the publication of the notice hereto attached;tha;t the printed notice or advertisement hereto attached is a ,copy of an official advertisement,official notice.legal notice or le,gal adve:rti&ement,exactly as printed or published in the Obs1erver-Reporter in its regular editions on the following dlate or date.s;.. ,Sept.elllb.er 17.,.24 and Qct.ob.er l,1.9.7..l .. 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 allega- ~~n~lbi,"'idnvit ..to thnUmn,Pla;;§Z:Z;l.0e:: 1\ '-f'ElX1!:a.,·-'-N6TI~~w '.', ES'rATEoI'10',~n G'.LEWIS'deceased 'la e ~W~l!tlilehE!mTo\,:;nship,.".Wasnui~ounty,Penna.' ,Letters Testamentary .upon the'above 'estate having been grantedtotheundersigned,all persons hav·ing claims,against the estate are reo quested to,make known the same totheunderSIgnedorhisattorneyandI:oU persons indebted to the decedentarerequeste.d to make'payment totheunder.signed..without delay.~YLVIN,R.LEWISR"l"/p:'#,4 ':. ..~~~.gt,on;.pr.,.n.,.nsYlvania i'~."';.~.,g I I{''mglP .E.,ust,Building Po,e11.n vAnialfl~301....':'"'71219'-Fr,i-3t Sworn to and SUbS~i~/)efOre me this....l··idayJf..Oct.Ob.er....197l7If~4~:.;?!f~a::~:~~ WASHINGTUN,WASHINGTON COUiHY MY COMMISSION EXPIRES MAY 6,1972 Washington County 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 official legal periodical for said Washington County,published weekly having 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: ..S.e.p.te.mbe.r...1.6..,.23..,.3.0..,..1..91..1.... 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 ~~g=~,ill~~ill.m"to :~::~:'~l~on ___r-ditor Sworn to and subscribed before this ~ ....3..Q-t..b.day of ~~.p..1~.!)).!?~.E ,19..z.!..~."~,~J-->2-;J:.1.~:::~ JOSEPHINE T.SCIAMANNA Notary Public,Washington,Washington Co. My Commission Expires July 1.1974 Estate Notices The Register of WiHs 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 having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. •••••• • • •••• ••• •• LEWIS,DONALD G.,Dec'd. Late of West Bethlehem Township,Washington County,Penna. ExecutriX:Sylvia R.Lewis.R.D.#4.Washington,Penna.15301 Attorneys:Bloom, Bloom,Rosenberg &Bloom,200 Washington Trust Build-ing,Washington,Penna.15301 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 as -~.-verily believe. Sworn and subscribed before me this .....{.~.... IV'day of '"__.._.._.___..__19 . ,itOWENE EBELING,Nuta Publil; My Commission Expires Febr ary 8,1973 ,Washington,Ws~hiRgtO!l Couoty..PeQll:a" ..~A!-i~-----------_. Washington County,ss:I do certify that I have given legal notice to all persons concerned of the filing of !the within account in the manr;\er 'prescribed by Statute and Rule of Court,as evidence by proofs.3 J')33 J "thereof filed to No.._.£'..::._l2V'_._........_.,, Witness my hand and official seal thiS.._.a.cl... 19_1~..day 0 f \,,',/\,Mu.vtA".A,:W1..)I Register of Wills' 2:0 \\0H......,!o e:t:l!~0 I ....=!o t.(j'.":!..,F f L1-Dp 0~0 ,>:I=C :~:::10(]) f ~:0 ~.Q :C,)C,)0::::t.lC,).., <11 0 .....ri!i <tn \.IUL ",-"H 2 08 ..,,\~/\',~:....In ,0 :0;",..j ,.... ~~ri!'»~(J):(])r;..de0(J)(J)j Ruc<"'L'0::::0 NO,)1:L H,\Hl N0 :::3 tIi1HH,..,,<bI:Eo<~~:REGISTEFl OF 1"11 L('>:I ..<\1..J ::I 2:'Eo<'>:Ii 0 0:~H Hi WASHINGTON CO ••PA,C,):c<J IU1C,)0:Ii1 c<J !~•.:~>:I '..,Hi ~I!~0:::1 :a rn e:t:li V)......,.'~~i Cl I':C!.~.~oi ............J:>::2:'VHH:0 (])''1 ~:>!..,~Oi,.:1'~0:~0 ~..:Ii0~i = 0 Cl (J):'tl ~c:Q,Q>:I 0>0Z<.......... / '. .""• '•.c.... .,•11'1 --_..~------,------ J .... ..,~ ... .;. •-" --, \ \ The Court is respectfully requested to determine proper distribution in this estate. BLOOM,BLOOM,ROSENBERG &BLOOM By '-d.e.~/JQ..u Counsel for AJOtl'ntant ~lt Q!nurt nf Qtnmmntt ®rp4uun' 'Irun nf lIunqittgtnU' Q!nurt miuininu Qtnuuty J In the matter of the Audit of Account in Estate of_-=D~O~N~A~L~D~~G~.___.'!L:!..:!EW=!..!..!..cI~S ( '"•DECEASED. TO THE AUDITING JUDGE: 866 of 1971No._-=-..::...::..--=-=--=:..=.....::....=._ Enter o.=....=u:..=r=---.appearance for SYLVIA R.LEWIS,EXECUTRIX -j :~~~ROSENBERG 15th day of sel2t eler N.B.-Counsel shall,by separate pape,r,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 se,parate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. &BLOOM 19 72,-- ~2 No.866 of 1971 In re Audit of Account in EstaJte of DONALD G.LEWIS,DECEASED. AUDIT 'rartipr fnr 1\ppruruurr FOR SYLVIA R.LEWIS,EXECUTRIX 'Vd "00 NOljNIHSVM S11lM dO tl31SIe>3U ONIH\n"i llJSSnH BLOOM,BLOOM,ROSENBERG &BLOOM 2~2 Ud S2 d3S lL Attorney.. I a~~j vll J PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J Estate of P.9.N~.~P...g.~1.~J.~. Deceased No..~§.§...'?.~~.~~.~. Fiduciary ~~y~~~.:~.~.~.~.~. ..................EXE.CUTRIX . Date of Date of Decedent's death ~.~9.~~.!:?QL.).~~.~Grant of Letters l\u.gu.s.t...25.,l9J.l . This is the..~.~.~~.~..!.\~~.~~~~account filed in this estate If there have been former accounts filed in this estate,list file number or number and term.J~"Q~~. Election to take Under or Against will.(cross out one) Date Election Place of; Filed ..:N9.n~.......................Record .NQue.. Name of surviving spouse §J.'f!Y.~~.J~·.~~~~~§. List issue,where material: Did decedent marry after execution of will?(indicate)~No.Any children born after execution of will?(indicate) ~No.If answer yes,name them N.ane . ............-_---_--..--.... Leg.atees •Relationship Interest Fiduciary,if deceased or not sui juris SYLVIA R.LEWIS Wife Entire Estate List,if exceptions to above: None Adeemed:Revoked:Lapsed:Abated:Give Couse: If partial intestacy,give facts:None Notic;e 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.~. If any exception give cause:N9.n~. File copy of Notice . and dote of mailing ~~g.~~.~?~L..~.~~.?. Is estate subject to the filing of a Federal Estate Tax Return?~9.. Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..No.ne...ro.ade :to...da:t.e . If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant No.ne . Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. None Give reference to such parts 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: None Balance for distribution per account, Itemize any additional debits not shown by account: Total additional debits (Add) Itemize any additional credits not shown by account: First National Bank &Trust Co. Service Charge $3.00 J'.0"f"• Total additional credits (Subtract) Balance for distribution $. $..3.•.00 . $~.I)J.~.~.?~. $..3.!.~.~§.:.!~. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); 1970 Ford Sedan,Title No.B 21503049,valued at $2,000.00 Balance in cash. :-·.C f nO);::"\-, ..'lI!Iro~ If Family Exemption claimed by Petition,give place of Record:l?~t:j.J;J.9.n f9.J;'f.9-.l.l].iJy ~~.~rop.:t;JQ.n.. filed with this Audit Petition. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:SylY..ia...R•...Lew.is.,. wife of the decedent,family relationship existed prior to and at the time of the decedent's death. List any advancement or distribution on account that has been made,and nature and amount of same: Sylvia R.Lewis,advancement on distribution,$100.00 Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: Syl~ia R.Lewis,wife,entire estateI:; ,,. COUNTY OF WASHINGTON,55: COMMONW"EALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly 9.W9.~Il doth depose and say that the facts set forth in the foregoing petition are true to the best of ~~.~knowledge and belief. ......................§~~.;:~to and subscribed before me this.....?~J:!.....day offfi....§.~P."!::~~~.;-I ...19.....?? Signature of Officer.....{!~~~h~~,J". Title of Officer NQt.9.~Y.l?1JQlj,~. Office exPires ?d:.t ~..J.?J . And your petitioner will ever pray,etc. ,f No.866 of 1971 ~ o'.' .j ." Estate of__P.QJ:.'I:~~.P.G_..~~J;.$..___._. Deceased Fiduciary_....S.XLY.:UL.R..__.~_EW.:r:_S.£__----------_.. EXECUTRIX 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-c;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. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. BLOOM,BLOOM,ROSENBERG &BLOOM Attorney ~2 FI LED, '72 SEP'7.S Pt1 2 ~2 RUSSELL Mf\RINO REGISTER OF WILLS WASHINGT@N CO .•PA. LAW OFFICES BLOOM.BLOOM.ROSENBERG &BLOOM I.C.BL.OOM GEORGE I.BL.OOM MILTON D.ROSENBERG SIGMUND L..BLOOM GEORGE R.SEWAK W.BRYAN PIZZI II IN RE: 200-210 WASHINGTON TRUST BUILDING WASHINGTON,PENNSYLVANIA 15301 August 21,1972 ) •. ESTATE OF: AREA CODE 412 TEL.EPHONE 2215-4100 DONALD G.LEWIS, DECEASED. : No.866 of 1971 NOTICE OF AUDIT This is to notify you that the First and Final Account of Sylvia R.Lewis,Executrix of the Estate of Donald G.Lewis,deceased,has been filed in theC'.Office~,~L-••of the Register of Wills of Washington County,;::::/') Pennsylvania,at the above number and this ACCQ,u-tit will . be audited on Elt:li::day,September 15,1972,at 1-6:00 a.m.,.J..l....."at the Court House,Washington,Pennsylvania,a:!t.-which _.., time'and place you can be present if you so de~ire~ . ~.' _.=... BLOOM,BLOOM,RC)gElfii"ERG &~;BLOOM 200 Washington TtlfSt--'Buillring .. Waehington,Pennsylvania 1~30l Attorneys for Sylvia R.Lewis, Executrix cc to Mrs.Sylvia R.Lewis. 117 Valley Road Waynesboro,virginia 22980 ".q:f;'~.J'"...~~.f"e ....;."(J,;'1.1 MC)':;",.J C:~''U.H'-PJ.... (\.\i r, ,.~'fIt''':;.:-f .R ]flH05u. 1:~.1"'''''J·~..;J 'I; "'-,.~l •'.J (':';:{j,":,',., "r1-, :::\;<,,; ~t.:· j.;.J '_ t'.l ~i ~~-.,~ ~i..·~t~~·, J '-.",.... ,'"r ~.r,,......,-.-- LJ" _I V_.~,·<,,",'~ , j ...1;.f..l-J LU '"~'ur",~,',~l...,".:' ..~l.t,;,;vr;~.G..~1~~It;;.E:J.:~~:V>, bl2ol.y'...1 t,.',I t'\!'.~."£.i 14_,p:..!V ~C/J U(:i'"':':J1V""" ;.J ..j/,.-.-~9-", IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENN Ii. ORPHANS I COURT DIVISION ..1 INRE:( ) ~Estate of (•)No.866 of 1971 DONALD G.LEWIS,( ) ~Deceased.(z<>.J>-VIz HEARING ON AUDITzIII Q, i0r BEFORE:The Honorable ALEXANDER R.CURRAN,J.,Clz j :t Specially Presiding.VI.< ":: \~u ~"APPEARANCES:BLOOM, BLOOM,ROSENBERG &BLOOM,Esqs ,e O'of Washington,Pa.,representing the Accountant..J< 0 0 :J., :t,.. Friday,September 15,1972,at 10:00 A.M.,EDS'b'"TIME:N ui0:I&lr0:The estate of Donald G.Lewis.The Executrix0THECOURT:Q, I&la: l-is Sylvia R.Le'Nis and the attorney is Mr.Pizzi.~a: :J 0 0 .J MR.PIZZI:Your Honor,all the necessary papers are\<..u, I II.II.here and there are no complications in.this estate.0•THE COURT:Is there anyone in Court interested in the estat e of Donald G.Lewis? (NO RESPONSE) THE COURT:We 'Nill consider the audit closed. (A UDIT CLOSED) , -'~. ) • • «z«~>-'CllZ Z IIIII. ioI-~I tia-eby certUy tbat the proceedings and evidence are contained ·x.Cll,«"~fUlly and accurately in the notes ta~en by me on the hearing of the above .:o~cause.and that this copy is a correct transcript of the eame. o oJ.~u Q:l.., :t..,.. C\I iiill:IIIl-ll:~The forego~g record of the pr:'oceeding.uPQn the bearing of th.e II: I-g above cause 18 hereby approved and directed to be filed. u .Jij By the Court, i&:...o ".<j "i':iii ~• '......1·..... ... ~<.t • ( • ~ ...." :;:J -.J J>rt1 ::0 '"(JJ 0 c: -~,... :z:e() V'lI _.(/::- t'r1 ~~ Z (f)-.! -i '" 'P rn rn fI""'"'''''-C; --i -~.r-'......,)'~,i t 0 _~i U"1, Z ,-.r::J '- , ""11,,-:-:>~....~ -0 '" ~......:::::r"::.~ ""0 r-Z 1".)•r- !>(f'l 0 -l:".......' lu tqt (!tum uf (!tumittuu '1tus uf mttsqiugtnu (!tuumy, 'tuusy1nauitt,®rpqttUli'(!tuurt1Biuisinu ) ESTATE OF Donald Gt Lewis, deceased. No.63-71-866 In the matter of the First and Final Account of Sylvia R.Lewis Exe cn t .r1x ADJUDICATION AND DECREE• And now Se.ptem.ber 22,,19.:12-,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereof of the balaQce for distribution in the hands of the Accountant is determined to be $2,316.7tl 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 DISTRIBUTIO Balance per account -'-_ Additional credit asked at audit Balance _ Deduct Clerk's Costs &Receipts _ Attorney----JBu.l..Q,....,QIIl~B~1,I.JO.ulomla__&:a"'O'l'J'See.JD[Il.b~e~rgg.-.48c~BJ.jJ.o~·OIIlD------- Russell Marino,Agent,transfer inheritance tax,$27.32 Interest from 5-20-72 to~~3-72 .61 I Sylvia R.Lewis,widow,residue,including Family Exempt n, a 1970 Ford Sedan title No.B21503049 valued at $2000.00 balance in cash;held in kind and distributed as such at the value as shown, 3.00- $2,3J9.78 ••·i I. _._fr. ..'.... N 0 » ~ -+-Zn::s m n 9 III 0 **::s-o 'c ~.*::s (\) ~(\)* 0 0 30 ~.-+--+-* ~* ~ (\)., ::t.0 ~ -+- =*::s-CD ~& ~~ t:i~~ -', IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF: DONALD G.LEWIS, DECEASED. No.866 of 1971 ELECTION TO TAKE IN KIND I,SYLVIA R.LEWIS,the widow of DONALD G.LEWIS, deceased,do hereby elect to take in kind the following item which appears in the Inventory and Appraisement -1970 Ford Sedan,Title No.B 21503049,appraised at $2,000.00. IN WITNESS WHEREOF,I have hereunto set my hand and seal this ~day of August,1972. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF: DONALD G.LEWIS, DECEASED. No.866 of 1971 PETITION FOR FAMILY EXEMPTION UNDER THE ACTS OF ASSEMBLY PERTAINING THERETO TO THE HONORABLE VINCENT P.MARINO, JUDGE OF THE SAID COURT: The Petition of SYLVIA R.LEWIS respectfully represents: 1.That Donald G.Lewis,the decedent,died August 20, 1971,and was a resident of R.D.#4,Washington,Washington County,Pennsylvania. 2.That the decedent was suv.vived by your Petitioner, Sylvia R.Lewis,with whom a family relationship was maintained until the date of the decedent's death.The only issue left by the decedent consist of one son,Donald G.Lewis,and two daughters,Beverly L.Anderson and Shirley L.Hoge. 3.That Letters Testamentary were granted on his estate to Sylvia R.Lewis on August 25,1971,as per record thereof appearing in the Orphans'Court. 4.That your Petitioner and the decedent lived as husband and wife in West Bethlehem Township,Washington county, Pennsylvania,in a family relationship until the date of the decedent's death. 5.That your Petitioner and the decedent were married on October 10,1931,at the St.James Lutheran Church in Wheeling, West Virginia. 6.That your Petitioner,Sylvia R.Lewis,claims of the cash assets of the said estate,the sum of ONE THOUSAND FIVE HUNDRED ($1,500.00)DOLLARS as her family exemption. WHEREFORE,your Petitioner respectfully prays your Honorable Court to set aside and award to her without notice or appraisement,the cash assets hereinabove described on account of her family exemption of One Thousand Five Hundred ($1,500.00) Dollars to which she is entitled by virtue and provisions of the Fiduciary Acts of Assembly pertaining thereto. And your Petitioner will ever pray,etc. Sy v~a R.Lew~s COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF WASHINGTON Personally appeared before me,the undersigned authority, SYLVIA R.LEWIS,who,being duly sworn according to law,deposes and says that the facts set forth in the within Petition are true and correct to the best of her knowledge,information and belief. Sworn and Subscribed to before me this of Notary Public day 1972. ·.,' IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF: DONALD G.LEWIS, DECEASED. No.866 of 1971 DEC R E E------ AND NOW,to wit,this ____day of 1972,upon consideration of the within Petition,there is awarded to SYLVIA R.LEWIS the sum of One Thousand Five Hundred ($1,500.00)Dollars in cash on account of her family exemption as provided under the Fiduciary Acts of Assembly pertaining thereto. BY THE COURT ________________-..:J IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION IN RE: ESTATE OF: DONALD G.LEWIS, DECEASED. No.63-71-866 PAY TRANSCRIPT The undersigned hereby acknowledge to have received of Sylvia R.Lewis,Executrix of the Estate of Donald G.Lewis, deceased,payment in full in accordance with the Schedule of Distribution of the Court dated September 22,1972. Russell Marino,Clerk Costs &Receipts Russell Marino,Agent Transfer Inheritance Tax and interest $14.50 27.93 Sylvia R.Lewis,widow,residue including Family Exemption,a 1970 Ford Sedan,Title No.B21 503049 valued at $2,000,and balance in cash 2,274.35 .~Q~Sylv a R.LeW1S ..County of , , ,~~~~~J;'I~~c?~,,,,,,,,., ,S'IJ..NJ.l\,R.,,J;,ro'n:~".,..",,',,.,.",..".,.,...of ,l;~7.X<;l~.~~Y,.~9~9(,,11<;lY,t}~~RC?~~",~~;,g,~J;l~a (Name)(Addrea) being duly__.~.~~.;:~.._____._.according to law,deposes and says that he is the..__._~.~~9.~:t::!~~____(Exec.,Adm.,Lcptft,Erc,) Form No,RCC-62 (6-70)THIS FORK REQUIRED IN ALL ESTATES WITJI GROSS ASSETS UNDER '10.000.UNDER SECTION 701 OF ACT O;';~~-:~~~~;j-l ••,~FFEC'fIVEJANUARY 1.1982.(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED), ,{;~-7/-%,tt ."'*'OFFICE OF THE REGISTER OF WILLS .., .../ of the estate of....R.Q:~,m_~p..._G.!__.~~I$...__..__..._whose last residence was ...R.•:Q.~...#~.,...N~l.$(·sbi.u)gt.Qn,...P.Q... (No.)rreel ---..-.-------._.___.._.__deceased,and that the whole of the estate of said decedent,who died .._~~~~_(SD.-~.)..?-Q.L.!9 71 (CitY,Borough or Township)ale consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT. WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value", None None Personal Property First National Bank &Trust Co.Washin ton Pa. Checking Account #0600624800 1960·"Ford Sedan Title No.A14169201 $1,620.83 50.00 1970 Ford Sedan,Title No.B 21503049 f.l '2'000.00' Atlantic Breeders Coo erative,Stock Certificate No.18620 t(5.00 Estate of Ro A.Lewis,Brother,balance of one-fourth residueo(,961.43 TOTAL:4 637.26 NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered.x Jointly Held Property None Transfers within TWO YEARS Prior to Death Estimates·."'Val'ue None None None That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly wit~,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:-None NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE .'INTEREST OF(If step-children or-TENANTS OR , DECEDENT ., (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an intere,st,vested,contingent orotherwise,in estate.)are involved,set OR.NO,AT DEATH OF IN ,EST.~TE forth this fact.)DECEDENT :'. SXLVIA R.LEWIS wife 'yes .of 'age,enti.J;"e'estate 117 Valley ROGldwaynesboro,V~rainia ...\'".' .', ,;, .," ,,...,", ..'.'">••(r. \ \ ~~ ••1 ....'...,. RESIDENT DECF;DENT DEBTS AND DEDUCTIONS CLAIMED NOTE'List first five items in the spaces so provided observe notations thereon and instructions,, r-DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN ,/REGISTER ONLY•.~ Funeral expenses paid $$ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees *I Fiduciary commission * OTHER DEBTS AND CLAIMS (*)See Note below ., , '. <.. ..I :I , I ~ I.. . Total Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi'debt is greater or less than the estimated amount claimed and allowed. Subscribed and sworn to before me this.. . . . . . . . . . . . . . . . . . . . ..~~.~::~:..(("..t~.~~~~~~~ ..........6 day of ~1;ln~,19.7~..~~?y~~~~X..~~~.~. .............~...~.~M.~~~:.~:.E.8.~L1NG,~o~a?arPyU~liC197"""b (Strvee.t NU~be:)22980 y loommlSSIO:1 t,pllCS U','Waynes oro,l.rgl.nl.a Washmgtoll.Washmgton County,Pen~'(city ·o~·To'~~'~';"d'si~t'e)'. Having been duly sworn according to law,I do hereby certify that the above appraisement is made in conformity with law on this .................~~day of ~i..:i ,19.7.~ .............~~.~. ApprAi8er In the event that any future interest in this estate is transfel'l'ed in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'fol'years,.the Commonwealth hel'eby expressly reserves the right to appraise and assess transfer 'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF T~}GIS E'R OF I,the undersigned duly elected Register of Wills in and for..:\-.......H..~...County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by depo ,except as to those items where a greater or lesser amount is set forth in the last column to the right in said schedule above,which greater 0 esser amount represents the sum allowed as a deduction. .AUG 3 197~RUSSELL MA~INODated..;. Register of Wills •#-, ) Form No.RCC-62 (6-70) WillAdministration INo Year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ...~q~?\r;.l?.q ~.~~.I.f?. Deceased Late of WE;lS:t..B~.tbl.~b?Jll .'rp.WJ:lSllip.. County of .Wasb;Lng:tQo , . Commonwealth of Pennsylvania REPORT AND APPRAISAL FI LED, '72 JUL 25 PM 2 on RUSSELL ~U\R!NO REGISTEH OF WILLS WASHINGTON CO .•PA . ! ESTATE OF DONALD G.LEWIS AND AGENT OF THE COMMONWIi:ALTH LATE OF West Bethlehem Township Regllter of Wills, DEDUeno",AlLOWED"r.I, THE SUM OF $.~{f..L,'.",11 Cf-t,t-7l/ DAYlAPPROVED ....•• ~,"'vr&I"'AlNVVU fa ..3-7/-7'&(, STATEMENT 'OF DEBTS ~ AND DEDUCTIONS COUNTY ~, ,r"OFFICE OF THE :/REG;STER Of WILLS Form RC C·IO OF WASHINGTON DATE OF FILING APPAAISEMENT DATS OF DEATH AUlJust 20.1971 DATI!:NO.OF NAMIi:OF PAYEE REMARKS AMOUNTVOUCH~" 8-24-1971 Register of Wills Letters 15.bo 8-27 1971 West Penn Power Company Service 9.~1 8-28 1971 Mona Lee Mihalek,Tax Col.1971 Road Tax 19.34 8-28 1971 Mona Lee Mihalek,Tax Col.1971 School Tax 149.82 8-28 1971 Malcolm L.Morgan,Co.Tree s.1971 County Tax 31.41 9-7-971 John H.Shrontz Funeral bill 1,397.95 9-7-971 columbia Gas of Pa,Service 7.50 9-10 1971 Charles J.Tripoli,M.D.Hospital care 134.40 9-10-1971 L.J.Quetsch,M.D.Last illness 24.00 9-14 1971 Register of Wills Certified copy of will 4.50 9-15 1971 Pa,oept.of Trans~ortatlo Fee fo~transfer of tltles l~:889-15 1971 WaShlnQton County eports Advertlslng 9-27 1971 Observer Publishing Co.Advertising 14.00 10-5 1971 L.J .Quetsch,M.D.Balance due,last illness 3.00. 10-1 -1971 Harry G.Benz,M.D.Balance due,last illness 20.00 11-2 ~-19711 Minetta E.Locy house work 50.00 11-2 ~-197tL Bernard Berman,M.D.Last illness 6.00 1:)-10 ~1972 Commonwealth of Pa,Personal Income Tax 4.03 5-31 1972 Kurtz Monument Company Headstone 232.00 Russell Marino,Register Filing Inventory 4.00 Notary Public Nine affidavits 4.50 Svlvia R.Lewis Commission 249.36 Bloom,Bloom,Rosenberg &- Bloom Attornevs'Fee 249.36 Reqister of Wills Filing Account 16.00.--_.J &DAA.../;;£4M --J __V~-1\6-Lv,·0-{) J ,v TOTAL:>?o&.,vv/.f:!'O ~Aj~._T~-rvl'f (L.S.l COMMONWEALTH OF PENNSYLVANIA } COUNTY OF WASHINGTON ss: I,SYLVIA R.LEWIS HEREBY CERTIFY.THAT.TO THe:BE.r OF ~y I(NOWLI!:DGE AND BELIEF,THI!:FOREGOING IB A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF DONALD G.LEWIS DECEASED.AS DEDUCTIONS POR INHERITANCE TAX PURPOSES.z/:;..,~~;{2 --:I~ SWORN AND SUBSCRIBED BEFORE ME THIS _~t,::""-__'DAY OF "'syitIaCLewi§f Executrlx ~~,eJ.L /ROW£:EBEUN{Notary PubliC My Commissi'on Expires FiJbruary 8.1913 WastiingtOJl.Washmglofi County,PenM, r. r ~.~. r>.- ,. '1.\\\,,' i :"\.\ "• ;\ \,,,,',J ') ..' ,.f' r. ,. '.''.r ;0' '. :.( .' :.:--,, "' .~."'. .'~. T -r'" fTl· 0--........ ......1 ;.'.',. j IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. In the matter of ;the Audit of Account filed in the Estate of Lewis,Donal d G. Deceased )Date 01 dealb 3"<26 •...,L \No.--l..9.lldt6L ,Term,19__•A.A. I )Docket 8~QI-I,,_ TO THE AUDITING JUDGE: Enter my ,appearance for the Commonwealth of PennsylViania,claiming trensfer inheritance tax in the above estate,as follows: DR. To appraised Vialue of Estate:Realty.........$---.--_ Personalty $"i-#--,tL..J.o6L.3~2!:...:.~~1Il!!o..!I6~_ Additional Assets per Account,Subjeot 'to Tax $_ AddItiona,1 Assets per Audit,Subject to Tax _$ GROSS VALUE $_ CR. Debts and Expenses per Account;see Note Add~tioml Debts and Expenses per Audit II ) $------- $------ $------ $------- $---L . $---_._-- TOTAL DEDUCTIONS,$ NOTE:The fonowing credits claimed in the Account are held not deductible a's against the tax:CALCULATION Gross 'laJIue........................'I'~7,.~(;", Less Deductions _'-tJ E ,~r~---- '1 Z--~'()Cl....Value________.4 I:;-S,-z..._.:=:c..-..:.'---__ ")_-=-'1 \'-~,,_Z-g._....._ J ~-<:J'-1--0=.....:::;r;i.t_==/:;b~=r!)--~.~'-_._-'---- r ) $ - Less amount previously pa'id...................................................................$• Balance $-~7.'-t a.,,~ Interest__yrs.~mos.13 days @~%_$,7 ",.1,_ able ( at '.--- 15%)_---$----.-L-~ 7,1,!1"Z..--Total Tax .._............................$._ TOTAL TAX AND INTEREST DUE ........ ,..0 -t.... ~"-'l./"' $------ $--_._-- $------ $-------- $------ TAX PAID ON ACCOUNT ,,No.________Tenn.19 __•A.A. ESTATE OF Deceased .r PRAECIPE FOR APPEARANCE FOR COMMONWEALTH OF PENNSYLVANIA ~5 I I '.f ,"-" FlCC-B1 (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT SYLVIA R.rnwrs (Executor or Administrator) IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division J In Re:Estate of DONALD G.L1"'WIS _---!'W~A~S~HI!:.=:N~G..olo:TO~NL___County -File No._63_11-_7_1-_8_66 _ Dear MRS.LEWIS: You are hereby notified that the_....\O.u,.R!!.!Iolo<GL.IoIN.,uaAL.w......_ appraisement in the estate of ;"'I I>ON.A.I.D G.IEWIS has been filed in the office of the Re~ister of Wi lis of__WD.J:iJASo.lJHIa..L.LlNIU.:GtJ.TO,)JJ,lI.N _ County on AUGUST 2,,19~,Said appraisement reflects the following valuations: Real Estate ,....-_-:-_ PersonaIProperty -'4=·:"'-,,6:::..3~7'_".'_=2'-=6'--_ Transfers _ J0 int Iy Own ed ---,---,'"'="=~---- Total ~4~,..::..:63~7c..::._=2_=..6 _ 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 AUGUST 2,1972 Signed _----.:F'RAN::...::..=.:=CE=S=-=LE==-O _ TitIe CHIEF APPRAISER DATE OF DEATH:August 20,1971 Note:This is not a bill. --------_..._------I -}o'onn RCC-2 .AUGUST 2,1972,COMMONWEALTH OF PENNSYLVANIA DATE.•~......................................................................................................DEPAR.TME~~T OF REVENUE RESIDENT INHERITANCE TAX \oJASHINGTONB?~AtT-oF COUNTY COLLECTIONS COUNTY ............................................................................................... HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO•63-71-866.................................................................,............................ Whereas,,DONALD G.LEWIS late of WEST BETHLEHEM TWP.-..................................................................................................................................................................................................................................................................... in the County of vlASHIN GTON of Pennsylvania,having died.........................................................................................................................................Commonwealth on the .................................?~h................................................day of ............A~~~.~.............................................71 seized and possessed of estate19............,an subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,···································FRANCES...LEO.............................................................,an appraiser duly appointed according to law, having been designated to make fair and conscionable appraisement of the said estate,/,to and fixaandassess 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 transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest. Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpoles 1JERSOIAL $ SEE COpy OF APPRAISEMENT 4,637.D6 . , ~ , ... , , I , form~;v~':fhbl:~::~h;Sw(>1"Ilac~~I~=:~~o~e~~~y~~:mt.~l~~~ ······a~,············~~~':':·········................~:z;.r;:;:;).Penna. WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of DONALD G.LEWIS Deceased. Late of WE$T B.ETfU.E~M TIlP•..................... Date of Death AUGUST 20,1971,. Appraisemel!t Docket Vol.,J.$~~. Page,?Q:L...~N 063.~.7l~66 . Filed in Register's Office,A~:tl:~:t.....?L....J9.7?.. Amount of tax due,?J . DEPARTMENT OF REVENUE Received, Ex-a.mined and 'Approved,,. Wrote abo.lIt Appra.isement,,_. .Appeal j1'om'Appraisement,.. Entered and charged,... ''tid "08 N010NIHSVM S111M .:10 H31SIf)3~ ON l'cl VYI -n::l SSntI 2h 2 Ud 52 .d3S 21. i','.;,."... ((f3 '~'l f;j !\ ", -~ ~:c ~:( ,1.','• 1 5 0 0 9 3 1 1 9 3 4 1 4 9 8 2 3 1 4 1 1 3 9 7 9 5 7 5 0 1 3 4 4 0 2 4 o 0 4 5 0 8 o 0 1 4 o 0 1 4 o 0 3 o 0 2 0 o 0 5 0 o 0 6 o 0 4 o 3 2 3 2 o 0 4 o 0 4 5 0 2 4 9 :3 6 2 4 9 3 6 1 6 o 0 1 5 0 0 o 0 1 4 5 0 4 1 8 1 9 8 ,I.'.' ~~( ".' ".'" ~~£~~~"••••••••·AA4.4••~ '0 i\ffibautt (@f 1£xl'rutnr,(@r i\bmtuistratnr ...... CENTS I S.OO DOLLARS --_.----------------- lJunrutnry nub i\pprni.armrut of the goods and chattels,rights and credits which of ~~.~~~late of ~~~.~~H~:~~.;~~w.~~!.P..were ~tatl'of Jl'n115ylttanta.t 55: aLounty of litIusl1tllgton \ Personally before me,the undersigned authority,a ~w;;::.•lt:~•.•I.I ..in and for said •ImJtarY,\HI C . County and State,appeared SY'.L"VIa l~timn1,"'who,bemg duly sworn according to Ia\V,deposes anersays that 'ne'~is the executor or administrator of the estate of ,$xxx:.'tXY,.XK:)(x,)CX .....·OOIIALP G.;LEWI.S ,deceased,that the foregomg Stl1e<:IUles constItute a complete inventory and appraisement of the real and personal estate of..~y.n tI 'f:.IIWr~' deceased,except real estate outside the Commonwealth of Pennsylvania;that the't1gufl!'§...opp~it~acl'i'tem 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,basecl upon a just appraisement of each item made by the above named Executor Administrator.vVVV'V~, I"l•.~""-"~~ )"Sworn and subscribed before me this...~.~::..t!;....... day of ~~t 1J~.......... , , ,~.. !~.<:.;...~:;!.;:.('::~'h:::..;....r.{.,.(.,(:::.(.~..!f...{:.,·....,..~..l'....................trator (d~--<'LL.j ADDITIONAL INSTHUCTIONS 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 RCIU-34.,Under $10,000;1 Original and 2 Copies and 2 RCRI-33', Over $10,000,including Copy of \Vill;1 Origin:il and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of 'iVill and copy of Federal Estate Tax Return. HEFEHENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 Washington County,Pa.,taken and made in conformity with the above affidavit. 1960 FOrd S64an,Title 210.A14169201 Albatie Breeder.,Cooperative stoek e.rtlfleat..80.18620 Plr.t llatlo11ad Bank &iJ.truat CO.,waehl,nqton,'a. eMeking Meouat 410600624600 ~----------_.._-._--1,=",=""'--",=__=_=_=.=-=-="""..==_,,:::_=-=._=_:-::~==_~,_=__~--:---.__~"7'--=--.-._-:--=:::-:==.--..-.-,--:.:=-._-,. ••ute of Roy A..Lewie.brotber.ba14ulee of one-fourth .....14\10 'II,I, I • ~P.~ft '••.,•.-. ;[ I PBMOUALTY'c RIALTYa ,,i.4.637.~6 ;JlAae I (UommOUUltaltl1 of JtUU5YIUattia.} lIa5l1tugtOlt (lIOUltty.55. K~OW ALL MEN BY THESE PRESENTS:Whereas,at Washington,III the County aforesaid on the 25th day of August A.D.19 71,before me, Russell r1arino ,Register fur the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will and Testament of DON A L D G.LEW I S -~_._--_..._~,.-..__........~,_.-_.,~-,.....,~-"..._---,-_.._---_....- late of West Bethlehem Township,in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and S Y L V I A R.LEW I S the Executor In said Will and Testament named,having appeared bdnre me and taken and subscribed the oath of office prescribed by law; NOW,THEREFORE,I,Russell rJIarino Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto t he said S Y L V I A R.LEW I S.=-..::......=..-.-:..--.,;:;....-----....-.'.1.-- committing unto her the administration of all and singular the goods and chattels,rights and credits,which were of said deceascd,and requiring her to exhibit a true and perfect inventory thereof into the Register's Office,at Wa'shington,within ninety days from the date hereof,and to render a just and true accuunt of said administration at the expiration of six months from the date hereof,and to regard and comply with the provisiol1'S of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF,I havc hercunto set my hand and the seal of said Office at 'Washington,this t wen t y - f i f t h day of Aug u s t in the year of our Lord one thousand nine hundred and s eve n t y -0 n e. 6:2'''o?LR.E)2z~~:::~~. Register "-~. I II !,LAST WILL AND TESTA}ffiNT I,DONALD G.LEWIS,of West Bethlehem Township,Washington any Will previously made by me. Ii j; "II,IilII I: IIIi County,Pennsylvania,declare this to be my last Will,and revoke I'I I r (.-~--...1'~,'. !i i FIRST:I direct that all my just debts and funeral expensesi:1 Iii:shall be paid from the assets of my estate as soon as practicable ;1.iII~I , I II'I, f r f l I) i I I I I.!I I Should my Further,I direct that my personal: Ishallnotberequiredtogivebondforthefaith- Should my wife,Sylvia R.Lewis,fail to qualify I devise and bequeath the residue of my estate,of day of July,1965. i I appoint my wife,Sylvia R.Lewis,Executrix of this' SECOND: THIRD: "I',: !~providing she shall survive me by ninety (90)days.! j: i' ii f d!i a ter my ecease. I,i:i; I'j. iI!i'"i:every nature and wherever situate,to my wife,Sylvia R.Lewis, Ii'I it wife,Sylvia R.Lewis,predecease me or die on or before theIiII:' ::ninetieth day following my death,I devise and bequeath the I:;; !:residue of my estate,of every nature and wherever situate,in"Ii I:equal one-third (1/3)shares to my children,Donald C.Lewis,of I:Ii CanonsLurg,Pennsylvania,Beverly L.Anderson,of Jacksonville, IiI:ii Florida,and Shirley L.Hoge,of Waynesboro,Virginia. II 'II,t!ij Ii my lastWill. il!lor cease to act as Executrix,I appoint my son,Donald C.Lewis, \1 1\Executor of this my last Will. IIII •Ii representat~ves I! II ful performance of their duties in any jurisdiction. Ii IN WITNESS WHEREOF,I have hereunto set my hand and seal,I II this /.r \1I J&z~~~~_(...J.(SEAL) II Signed,sealed,published and declared by DONALD G.LEWIS,IiltheabovenamedTestator,as and for his last Wil1.,in the presence II of us,'tvho,at apd in the presence I of each other,time,have hereunto II subscribed our II II II il