HomeMy WebLinkAboutOC1971-1088 - ESTATE OF HORNBAKE,------
PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Te,tate Form J
Estate of ~..~.~..~P~~__-_.---'"
Deceased
No ~l.='=..7.~..='=.J:g~~A.A.
Fiduciary ~.H..QDm..J:lORNBAKE .
Date of 6 Date of .,.Ocrtober 2 ,1971 .November I,1971Decedentsdeath~Grant of Leltters ,.
This is the ~~~~~..!:~..~~~~account filed i~this"estate
If there have been former accounts filed in this e~tate,list file number or number and term .
Election to take
Under or Against will.(cross out one)
Date Election Place of;
Filed Record :.
Name of surviving spo~se ~?~!_ _:.
List issue,where material:
Jeanne H.Pavia .daughter
Marian Ii.Weaver daughter
Earl Rodney Hornbake,Jr.son
Did decedent marry after execution of will?(indicate)XXIt No.Any c~ildren born after execution of will?{indicate}
*D.No:If answer yes,name them ,..~.
Legatees Relationship Interest Fiduciary,if deceased or not sui juris
Jeanne H.Pavia
Marian H.Weaver
....~daughter
daughter
specific bequest,
residuary
specific devise,
residuary
Earl Rodney Hornbake,Jr.son specific bequest,
residuary
List,if exceptions to above:
If partial intestacy,give facts:
Adeemed:Revoked:Lapsed:Abated:Give Cause:
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.Jbtlx
If any exception give cause:.
File copy of Notice ..
and date of mailing ~!?~~~~.~..~~.~~~~~~.~~.~.t:...??!~~?~:,.
71-1"23'......• I ~
Is estate subject to the filing of a Federal Estate Tax Return?:~~.
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..~.!·~.~·~.~.~.~..J-an~~-1~.~~~~~·····~~?~~O
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant .
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:
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:
$~.~.??!.??!.~~~.
$__-_.~..~~._.
Reg.of Wills,Filing Account
Washington County Bar Assn.
Total additional credits (Subtract)
Balance for distribution
$16.00
10.00
I.~
$~~.~.~.~.
$......??,695.52..._---_.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Balanca consists of:
7-
Real Estate
Series nun Bonds
Cash
Miscellaneous Tools
$11,000.00
20,000.00
1,645.52
,20.00
$32,695.52
If Family Exemption claimed by Petition,give place of Record:____.._._..
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:.
List any advancement or distribution on account that has been made,and nature and amount of same:
Jeanne H.Pavia.-distribution of specific bequest of $8,000.00,bond attached.
Marian H.Weaver -advancement of $1,500.00 from residuary interest.
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:
Jeanne H.Pavia
Marian H.Weaver -
Earl Rodney Hornbake,Jr.
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
one-third (1/3)residue
Real Estate -specific devise,an~
one-third (II).residue less $1,500.00 advanced.
specific bequest (miscellaneous tools),and
one-third (1/3)residue
The above named Fiduciary or representative thereof,
being duly.._..J~w~rn __doth depose and say
that the facts set forth in the foregoing petition are true
to the best of..__h~_~knowledge and belief.
.....sw.9.rn ;.:to and subscribed before
me this._§~~day of ~.:p~.~?~.~19 ?~.
Signature of Officel322~...t27..._..~~.
Title of Officer ~~~~~Y...~~~~~::..-
.MARIEM M.NEll,Notary PublTe
Office expl res·······~~L1roR'NrA:WASliIN'GT{m·'C&.;.pA~··········.·.
My Commission:expires July 14,.1973
And your petitioner will ever pray,~tc.
..
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~
63 -71 -1088No..___.__.____A.A.
Estate of...J~AR1_..R~_..ffQB!.!J?A~E ...._._
Deceased
Fiduciary..E_~~_~._RODNEY HORNBAKE....._------.--_...__......._---------_.._.--.-.
--_-O'-__ ___--_.
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 advertis~mentof 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-
~.S~:jectt~h1'etJ"r~e",,:t~o,.''I1.L:...,....C.-~
01iyer N.•2me11 Attorney
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972 OCT 4 PH 2 57
RUSSELL MARINO"
REGISTEH OF WILLS.
WAS HIN GTON CO.,PA..
...~..
OLIVER N.HORMELL
ATIORNEY AT LAW
423 THIRD STREET,BOX 637,CALIFORNIA,PENNSYLVANIA 15419
Area Code 412
Phone 938·8970
938·2522
NOTICE OF FILING OF AN ACCOUNT
(As required by the Rules of Practice of the Orphans'
Court of Washington County,Pennsylvania).
August 25,1972
M1'$.Jeanne ft.Pavia
4702 Broadal0 ROQd
&:levelaitd,Ohio;44100
In Re:Estate of Earl Rodney Hornbake,deceased
Place of Audit:Third Floor,Court House,Washington,Pennsylvania
Date of Audit:Monday,September 11,1972
Time of Audit:1;80 P.M••D.S.T.
'.Dea,~rs.Pavia:...
I am sending you this letter in order to comply with the rules of the Orphans'
Court_of Washington County,Pennsylvania.
,The account on the above captioned estate has been filed in the Office of the
Register of Wills of Washington County,Pennsylvania.On the above date and time,
there~ill be presented to the Orphans'Court of Washington County,Pennsyl~ania,
a petition to audit this account.An heir of the estate,as well as any creditor,is
entitled to notice of the filing of this petition and audit,and,should you so desire,
you'may appear there at that time.
Ybu are not compelled to appear at the audit,but you may have some questions
on this estate.If you have any questions,please do not hesitate to write or call me.
I shall be happy to give you any information I can,and will do everything I possibly
.can to answer any questions you may have.
.,ONH:ad
File No.71 ..128
CE ~TIFIED MAIL
RETURN RECEIPT REQUESTED.
Very truly yours,
~9f
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OLIVER N.HORMELL
ATTORNEY AT LAW
Area Code 412
Phone 938·8970
938·252:2
423 THIRD STREET,BOX 637,CALIFORNIA,PENNSYLVANIA 15419
NOTICE OF FILING OF AN ACCOUNT
(As required by the Rules of Practice of the Orphans'
Court of Washington County,Pennsylvania).
A.ugust 25.1972
Mrs.Marian H.W~avet
408 FO\lrth Street
CaUfoma.Pennsylvania.15419-
In Re:Estate of Earl Rodney UOl'nbake.deceased
Place of Audit:Third Floor,Court House,Washington,Pennsylvania
Date of Audit:Monday~S~ptember11.1972
Time of Audit:1:30 P.M••D.S.T.
--I am sending you this letter in order to comply with the rules of the Orphans'
Court of Washington County,Pennsylvania.
The account on the above captioned estate has been filed-in the Office of the
Register of Wllls of Washington County,Pennsylvania.On the above date and time,
there will be presented to the Orphans'Court of Washington County,Pennsylvania,
a petition to audit this account.An heir of the estate,as well as any creditor,is
entitled'to notice of the filing of this petition and audit,and,should you so desire,
you may appear there at that time.
You are not compelled to appear at the audit,but you may have some questions
on this estate.If you have any questions,please do not hesitate to write or call me.
I shall be happy to give you any information I can,and will do everything I possibly
can to answer any questions you may have.
ONH:ad
File No.71·1~S
CE RTIFIED MAIL
RETURN RECEIPT REQUESTED.
Very truly yours,
~9f
OLIVER N.HORMELL
ATIORNEYAT LAW
423 THIRD STREET,BOX 637,CALIFORNIA,PENNSYLVANIA 15419
Ate?-Code 412
Phone 938·8970
938·2522
NOTICE OF FILING OF AN ACCOUNT
(As required by the Rules of Practice of the Orphans'
Court of Washington County,Pennsylvania).
August 25,1972
Mr.Earl Rodney Hombake,Jr.
540 Second Street
Beaver,Pennsylvanla,15009
In Re:Estate of Earl Rodney Rornbake,deceased
Place of Audit:Third Floor,Court House,Washington,Pennsylvania
Date of Audit:Monday,September 11,1972 -
Time of Audit:1 :30 P.Nt.D.S.T.
Dear Mr.Hornbake:
I am sending you this letter in order to c~mply with the rules of the Orphans'
Court ~f Washington County,Pennsylvania.
The account on the above captioned estate has been filed in the Office of the
Register of Wills of Washington County,Pennsylvania.On the above date and time,
there will be presented to the Orphans'Court of Washington County,Pennsylvania,
\a petition to audit-this account.An heir of the estate,as well as any creditor,is
entitle_d to notice~ofthe filing of this petition'and audit,and,should you so desire,
you may appear there at that time.
You are not compelled to appear at the audit,but you may have some questions
on this estate.If you have any questions,please do not hesitate to write or call me.
I shall be happy to give you any information I can,and will do everything I possibly
can to answer any questions you may have.
ONH:ad
File No.'11-123
CE RTIFIED MAIL
RETURN RECEIPT -REQUESTED.
Very truly yours,
~o/
........-,
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KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
J..
on the 1st.day of November A.D.1971 ,before me,
RUBse11 Marino ,Register for 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
Earl R.Hornbake
late of California in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Earl Rodney Hornbake
the Executor in said Will and Testament named,having appeared before me and taken and subscribed
the oath of office pr.escribed by law;
NOW,THEREFORE,I,Russell Marino
grant these LETTERS TESTAMENTARY,unto the said
Earl Rodney Hornbak
,Register as aforesaid,do
committing unto Him the administration of all and singular the goods and
chattels,rights and credits,which were of said deceased,and requiring Him
to exhibit a ,true and perfect inventory thereof into the Register's Office,at Washington,within ninety
days from the date hereof,and to r,ender a just and true account of said administration at the expiration
of six months from 'the date hereof,and to regard and comply with the provisions of the laws of this
Commonwealth relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said
Office at Washington,this 1st.
day of November in ,the year of our Lord one thousand
nine hundred and ,seventy One
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31Itt%il Bill ttU~m~n!aut:enl'
OF
EARL R.HORNBAKE
I,EARL R.HORNBAKE,'of 408 Fourtn Street,Borough of California,
Washington County,Pennsylvania,do make,publish and declare this to be my
LastWill and Testament,hereby revoking and making void any and all wills by me
at anytime heretofore made.
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FIRST:
SECOND:
THIRD:
FOURTH:
FIFTH:
I direct that'my Executor hereinafter named,pay all of my just
debts and funeral expenses as soon as may be practicable after my
decease.
I give and bequeath to my beloved daughter JEANNE H.PAVIA,thei
sum of $8,000.00.
I give and devise my home at 408 Fourth Street,California,
Washington County,Pennsylvania,together with the parcel of land
upon which the same is situate,to my beloved daughter MARIAN
H.WEAVER.
I give and bequeath all of my tools and electrical equipment to my
beloved son EARL RODNEY HORNBAKE,JR.
All of the rest,residue and remainder of my estate and property,
real,personal or mixed,of which I die seized or possessed,or to
which I may be entitled at my decease,I give.devise and bequeath
to my beloved children in equal shares,share and share alike.
The names of my children are as follows:
(a)JEANNE H.l?AVIA,d~ughter.
(b)MARIAN H.WEAVER,daughter.
(c)EARL RODNEY HORNBAKE,JR.son.
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SIXTH:I nominateJ constituteJ and appoint EARL RODNEY HORNBAKE J
JR.J the Executor of this my Last Will and TestamentJ and I direct
that he shall not be required to enter security in 'any jurisdiction in
.which he·may act.
-2-
IN WITNESS WHEREOFJ I have hereunto set my hand and seal to this two (2)
page Last Will and Testame~t thiS:;"~day of ~J 1963.
{/
Earl R.Ho rnbake
THE FOREGOING INSTRUMENTJ consisting of two (2)pagesJ was on this
Idayof-,;~~~==:::"J 1963J signedJ sealedJ published and declared by
EARL R.HORNBA J the above named TestatorJ as and for his Last Will and
TestamentJ in the presenceof us and each of us.whoJ at his requestJ in his
presenceJ and in the presence of each otherJ all being present at the same time J
have hereunto subscrlbed our names as witnesses thereto.
"-------........-----"-.-----~~~.;",;-L:i
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_~0'.~/c88J~ffibautt (@f 1.Exrrutnr (@r ~~mtut!itratnr J
~tatt of Jtnnnyluattia l
mounty'of 1ltlIanqington )nn:
Personally before me,the undersigned authority,a N.9..t.~ry..P1J.QU~in and for said
County and State,appeared ~.~~~..~~.?~~.Y...~~E~?~~~who,being duly
sworn according to law,deposes and sa.ys that he is the executor or administrator of the es-
tate of .Earl..a..Hor.nbak~deceased,that the foregoing schedules constitute a
complete inventory and appraIsement of the real and persona estate of ..~~E~..B.~.~~.~P:~~.~~.....,
deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite
each item of real and personal 'estate in the foregoing schedules are determined and stated by the
undersigned to be the fair value of said items as of the date of the decedent's death,based upon a
just appraisement of each item made by the above named Executor Administrator.
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"""".L~,../"~.~.,,"',:..~worn ~.nd subscribed before me this "'l."~""""""}/~~_0';<'ld .'fO .~.N0yember 71 .L_~:-\.,\),a~:~~..~19......................t.="";""::'...:::;..JEXeC\it;~---"''''''''-
#0 .,..•..l;:J::".,.;..,:....'A"•..AM................................Earl Rodney Horn a e,.....,¥~"."J f'\.."..2 )~ota7~~iC'.C:Jlifor~ia,WashinglCl\fJOITIONAL INSTRUCTIONS .
"'1 A .,:';')MylipmmISslon EXp,lres lu~eJ6.19Z5.th th ft . t t fIt .,,'.,,)n lUyea,ery mustoe rue wIthm ree mon s a er appom men 0 persona represen atlve.
,'2:,./i sl!Jm1einental inventory must be filed within thirty days of discovery of additional assets.
',/.3.i'Ori8ihhland 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,,·IJ'"Py,~r~,$:tO,OOO,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 CO~Y
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
~nurntory nub !\pprninrmrnt .of the goods and chattels,rights and credits which
were oj ~.~.~~g~~.?~~.~~~~.late of ~~~.~.~?.~~~~:..
Washington County,Pa"taken and made in conformity with the above affidavit.
REALTY
"
Part of Lot No.169 in the Plan of the Borough of California,
Washington County,Pennsylvania.Upon said lot there is erected
a two story frame dwelling containing 6 rooms,1t baths and
garage.For chain of title see Deed Book Volume 505,Page 295.
PERSONALTY
DOLLARS
11,000.00
CENTS
1.Savings Account No.007 000 404-9,Western'Pennsylvania
National Bank
2.Savings Account No.00 000 3340,Pittsburgh National Bank
3.Savings Account No.703 116,Pittsburgh National Bank
4.Checking Account,Pittsburgh National Bank
5.Miscellaneous tools and electrical equipment
3,745
r
·22
04;;7 6'6 :.83
7,662l92
502177
50loo
6.Series H.Bonds:
2 -$500.00
19 -$1,000.00
7.Cash
71-123
$1,000.00
$19,000.00
$20.000.00 (see attached list)
Sub Total
20,000.00I
47,727.74
50,25
47,777l99
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';;'/'(\,\.='i~I ",',Inventory and Appraisement.:;;:..\.-.'-.-".-::-......::..."-§.:.-,-~:~:.'IN THE .ESTATE OF.·
.~._'::.....f'"..,I \,."".:~2--;....,;".V'.'J'-v'v t':-."(..:'7'~'","",'·\·...'/i::··········jf:AtfL R.HORNBAKE .--';f,j..ll :J 0 .:.j,:.:;;..:~:{:.
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HORMELL,TEMPEST,SI~ONS~
BIGI &MELENYZER .
Attorneys at Law
423 Third Street .
California,Pa.15419
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EARL H.HORNBAKE ,I,
Series H.Bonds
Date of Death:October 26,1971
1.$500.00 Series H April,1960 D6 133 447 H ..
2.$500.00 Series H April,i 960 D6 133 448 H
3.$1,000.00 Series H April,1960 M7 270 736 H
4.$1,000.00 Series H April,1960 M7 270 737 H
,5.$1,000.00 Series H.April,1960 M7 270 738 H
6.$1,000;00 Series H.April,1960 M7 270 739 H
7.$1,000.00 Series 'H April,1960 M7 270 741 H
8.$1,000.00 Series H April,1960 M7 270 742 H
9.$1,000,00 Series H April,1960 M7 270 743 H
10.$1,000.00 Series H April,1960 M7 270 744 H'.,11.$1,000.00 Series H.April,1960 rYI7 270 745 H
12.$1,000.00 Series .R January,1961 M7 562 127 H
13.$1,000.00 Series H January,1961 M7562 128 H
14.$1,000.00 Series H January,1961 ",'M7 562 129 H
15.$1,000.00 Series H January,1961 M7 562 130 H
16.$i,OOO,OO Series H January,1961 M7 562 131 H
17.$1,000.00 Series H January,1961 M7 562 132 H
18.$1,000,00 Series"H January,1961 M7 562 133 H
19.$1,000.00 Series ,H January,1961 M'7 562 134 H
20,$1,000,00 Seriep H January,1961 M7 562 135 H
21.$1,000.00 Series H January,1961 M7 562 086 H
.1 $20,000.00 (Total)
A"
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The wi~hin named Accountant being duly sworn according to law,deposes and say s that the above,account
as stated is true and correct as ~.~verily believe.
Sworn and subscribed before me this ?~.~.~._
day of --_... .:!.~Jy..._._._..19_JL..~
.__.._-9fj~---~._.~--_._--_._.._-_._.
"MARIEM M.NEJ[,Notary p'u!ilTe
CALIFORNIA.WASHINGTON C·O.,PA.
My Commission expires,.July 14,1973
Warshington County,.ss: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 evidenced by proofs
thereof filed to N~.__.<tJ__:_72::.J.3.L----.---.....-.
Witness my hand and official 'seal ·thi~_.cX.t.d--..---.--.
day of.._.....__~~~~.~.-------------.----------.--..---.--_.__._19.i~.
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The Court is ~ectfu lIy requested to determine
proper distribut:.i&1)1i1"lhis estate.
NO.63 -71 -1088
FIRST AND FINAL ACCOUNT
of EARL RODNEY HORNBAKE,JR.,Executor of the Estate of EARL R:
HORNBAKE,deceased,late of the Borough of California,Was~~ngton
County,Pennsylvania.
1.Balance as per Inventory and Appraisement
filed November 8,1971
2.Interest Received:
.......................$47,777.99
(a)On "H"Bonds $275.00
(b)Savings Acct.Pittsburgh
National Bank 100.39
(c)Savings Acct.Western
Penna.National Bank 84.27 459.66
$48,237.65
*********************************************
RECAPITULATION OF ACCOUNT
Total Assets of Estate
Total Credits
Balance
Balance Consists of:
Real Estate
Series "H"Bonds
Cash
Miscellaneous Tools
-1-
v$48,237.65
15,516.13
$'11,000.00
20,000.00
1,671.52
50.00
32,721.52
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ACCOUNTANT CLAIMS CREDIT FOR
Reimburse Oliver N.Hormell for:
Julia A.McDonald,Tax Collector
1971 School Taxes
1971
Nov.5
8
1972
Jan.4
Caleffie &Greenlief Funeral Services
$158~68
1,388.50
Reg.of Wills,Probating Will $19.00
and Short Cert.
Washington Co.Reports,Adv.Estate l4!00
Bal.on Letters &Inventory
Telegraph,Advertising Estate 9.00
5.50 47.50
Marian Weaver,Heir,Advance from Estate
Reg.of Wills Short Certificates
Jan.4
Feb.7
Feb.10
10
18
Russell Marino,Agent,
NRTA &AARP Pharmacy
Jean Pavia,Heir,
Payment on Inherit.Tax
Drugs
Advance from Estate
2,000.00
30.55
8,000.00
l,500.00
2.00
June 28 Oliver N.Hormell,Esq.Attorney's Fee
Total
-2-
2.388.90
J15,516.13
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
Washington,Pennsylvania
WaShington Colly·Reports.
Personally app~ared 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 officiaJI legal periodical for said ,,Washington County,published weekly
hav.i.ng its place of business at WashIDgton,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:
I
,',
HORNBAKE,EARL R,:,Dec'd.~
Late of Borough of California,Wash-ington County,Pennsylvania.Executor:'Earl Rodney Hornbake,c/o Oliver'N.Hormell,:423 ThirdStreet,California,Penna.·15419Attorneys:Hormell,Tempest,Sim-mons,Bigi &Melenyz~r,423 ThirdStreet,California,Penna,.15419 ;
• ••••• •••• •• •• •••
,I ..J';-....
Esta.otlces
,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.
,.,....
'I.
"""
of May 16,1929,
.-.:.---""'........
• • •.-"PROOIf.:OF-:PUBLICATlON
,.>:,..".:\,)In complian'ce.with tlhe)Newspaper Advertising Act
P.L.1784 Sec.3,paragraphs (~).and (25).,
,COUNTY OF WASHINGTON}';;..
STATE OF PENNSYLVANIA •'.:.....
.........~.9..y..~~.~.~E ....~...!...!....).~.!......?:?..L ...~}.?...~..........
that the affiant or the corporation in behalf of which he is acting is not
interested in the subject matter of said notice or adver,tising and that all of the
:~g~~~S of this affidavit as to the /)4ce and character;;;;e publication
~&.f----r.;;;::~-~
Sworn to and subscribed before G ~
.......25.th...day of t~.Q¥.(!).~.~.r.:,19..l..L.:......~·.
rfr~-lL-f!.e-'-~,;:;-;:i::~
JOSEPHINE T.SCIAMANNA
Notary Public,Washington,Washington Co.
My Commission Expires July 1,1974
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~J....Pr~f ·of PUblic!'on of Notice in Bro!sville ;elegraph
Under Act No.587,Approved May ,18,1929.
State of Pennsylvania,
County of Fayette
....g.~.~E.~·.~.~.:.~.~:·...~.?.~.~~~.~.Y..!....~~.~.~.~f$.~·of the BROWNSVILLE PUBLISHING CORPORATION,
of the County and State aforesaid,being duly sworn,deposes and says that the BROWNSVILLE TELE-
GRAPH,a newspaper of general circulation published at 16-18 Bridge Street,Brownsville,County and
State aforesaid,was established January 27,1915 since which date the BROWNSVILLE TELEGRAPH
has been regularly issued in said County,and that the printed notice or publication attached hereto .is ex-
actly the same as was printed and published in the regular editions and issues of the said BROWNS-
VILLE TELEGRAPH 011 the following dates,viz:
...........................................................~g.~.~~p..~r.§.,J5..,??A.D,19 7..1,.
C.~lLf..Q.:r.nl~"f..~Im.~.y.l~.~.o.i..~].5.4.l9..
TO BROWNSVILLE PUBLISHING
CORPORATION,DR.
For publishing the 110t~ce or publication at-9 00
tached hereto on the above stated dates $!..
..B.9.;r.m~.l!.'-....'r..~!TIp.~.~.~.,....~J.~~m.~.,....~J.g~.....and Melenyzer,Attorneys at law
.423 T.n.ir..d St.r.e.e.t .
Earl Rodney Hornbake
.Executor·'·r'
c·o Oliver N.Hormel!'l
Esq,I!423 Third Street,
,.California.Penna:15419
HORMELL.TEMPEST,
SIMMONS
.BIGI &MELENYZER
Attorneys at Law
423 Third Street '
I California,Pennsylvania 15419 \.~=~~=~====~==--i
Affiant further deposes that.he is an officer duly authorized by the BROWNSVILLE PUBLISH-
ING CORPORATION,a corporation;publisher of said BROvVNSVILLE TELEGRAPH a newspaper
of general 'circulation;to verify the foregoing statefllent under oath,and affiant is not interested in the
subject;niatter of the'aforesaid notice or advertisement,and that all allegations in the foreg-oing state-
ments as to time,place and character of publication anu/7 17 ~(
.·_~~uL~_4-(--ESTATENOT~---'t ~
lEstate of EARL R,o HORN·
.lBAKE,Late of the BOrough of S d b 'b I .f h'22nd"i.california,Washington County,I worn to an su sen e(be ore me tIS .
tPennsylvania.,...~
ILetters)Testamenta~y 'upon th'e da~~~N..v..~mR.~.r.,19 7J..:'./.'
!above lestateLhaving been'•/'.
'granted'"to·.r·the undersigned.·r,.'-_:Inotice.~fs~herebY .given to all .HELEN··f{AUfS;·..NtTARY...,UBtlC···..· ·..· ·,:··:·..· .
\those in"debted thereto,to make 'Notary Public
immediate"payment,and t9 all Brownsville,Fayette County,Pa.
those having claims or demands Co.E
to present them for settlement y mmisll~(cfr~Yrl~'fffF()f!ttJ~ertising Costsand·or consideration by the
undersigned.
Probating same $.
Total $9..~.g.9..
Publisher's Receipt for Advertising Costs
THE BROWNSVILLE PUBLISHING CORPORATrON,publisher of the BROWNSVILLE TELE-
GRAPH,a newspaper of general circulation,hereby acknowledges receipt of the aforesaid notice and
publication costs and certifies that the same have been duly paid.
BROWNSVILLE PUBLISHING CORPORATION,a Corporation
Publisher of Brownsville Telegraph,a Newspaper'of
General Circulation .
By ,.
•-,.-
,
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-
--------------------------------~
~u tlte Qrnurt nf Qrnuttttnu Jleas nf lfas4iugtnu Qrnuuty
®rp4aus'Qrnurt lllittisinu
In the matter of the Audit of Account in
J
Estate of__E_A.,-RL_R_e_H_ORN__BA_KE t,
'-
.-,,
TO THE AUDITING JUDGE:
63 -71 -1088No.::..-_-'------,--_
.,I
I:
71-123
Enter MY.I<-,appearance for__=Ea=r~l:....:..:R:.:::od=n:.:::el1..y~H:.:::o.:.r.:..:n:.=b.:::a.:..:k.:::e~,~h=e.=c_=u:.:::t.:::o=-r~,_
11 thdayof September ,19..R..
N.B.-Counsel shall,by separate paper,present a concise statement of each
claim,wHh supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribu,tion shall file a separate conci-se state-
ment in that regard.
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA
ORPHANS I COURT DIVJBION
INRE:
,Estate of
EARL R.HORNBAKE,
Deceased.
(
)
(
)
(
)
(
No.1088 of 1971
Earl Rodney Hornbake and the attorney is Mr.Hormell.
and requisite papers in this estate.
MR.HORMELL:
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i BEFORE:~l5Z
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~APPEARANCES:
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HEARING ON AUDIT'
The Honoy:cb Ie ALEXANDER R.CURRAN,J.,
Specially Presiding.
OLIVER N.HORMELL,Esquire,of California,Pa.,
representing the Accountant.
Monday,September 11,1972,at 1:30P.M.,EDST
The estate of Earl R.Hornbake.The Executor is
May it please the Court,I have all of the necessary
I am pleased to re port to the
Court that there are no problems.There is remaining in this estat
some real estate whiCh has been specifically devised.We have made
some advancements for which we have the requisite receipts from
the parties who have received them.The real estate,as I say,
is specifically devised,$3,695.52;consisting of Series H Bonds,
>11 I~tool~caRh all of which have been soecificallv
-------------------------------------------..
2
devised.As I say.there are no problems.
anybody in Court irt erested in the estate of Earl R.Hornbake?
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THE COURT:
THE COURT:
The estate will be considered closed.Is there
(NO RE SPONSE )
The audit will be closed.
(A UDIT CLOSED )
•
t-=~-ll:....1/1a I hereby certify that the proceedings and evidence are
.I.C(
U ."'g contained fully and accurately in the notes taken by me on the hearing of
"':t~~the above cause,and that this copy is a correct transcript of the same.
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The foregoing record of the proceedings upon the hearing of
the above cause is hereby approved and directed to be filed.
By the Court,
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Jtnnsylnuniu.(Orp4uns·<ttuurt liuisinn
ESTATE OF
Earl R.Hornbake,
Deceased.
63-71-1088No._
In the matter of the First and Final
Account of Earl Rodney Hornbake,Jr.,
Executor
ADJUDICATION AND DECREE
And now October 3 ,19~,this matter came on for hearing,
audit and distribution at this session and testimony taken;and thereupon,upon due consideration
th~~of6af5th~.-balancefor distribution in the hands of the Accountant is determined to be
$;)~,)8 •tl2 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.
Balance per account _
Additional credit asked at audit
Balance ,
Deduct Clerk's Costs &Receipts._
Attorney O_li_v_er_N_.'---'-..H-oo_r_m_e.;;..;l:.;;;.l _
Redebit -advance on distribution prior to distribution
by the Court,
Russell Marino,Clerk 0.C.,costs in certifying real
estate'to Recorder,
Olga o.Woodward,Recorder,costs recording
certification of real estate,
Russell Marino,Agent,transfer inheritance tax,$425.5
Interest from 7 -26-72 to 10-14-72,5.5
Jeanne H.Pavia,daughter,legacy,credit to be taken
by the accountant for funds in the amount of $8000.00
advanced prior to distribution by the Court,
$32,721.52
26.00
$.32,695.52
;,<f.st>(Jd;/3;:/f"~..=.:49::..=..-=-50::..1;'l:t~~~(!f&JI ~~
$32,646.02
9500.00
8000.00
Marian H.Weaver,daughter,specifie devise of real
estate as hereinbelow described,held in kind'and
distributed as such at the appraised value,
Earl Rodney Hornbake,Jr.,son,specific bequest in
kind of tools and electrical equipment.held in kind and
distributed as such at the appraised value,
11000.00
50.00
$33,703.45
$22,703.45
$22,653.45
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Jeanne H.Pavia,daughter,1/3 residue,
Mari8.n H.Weaver,daughter,1/3 residue,credit to be
taken by the accountant for funds in the amount of $1500
advanced prior to distribution by the Court,
Earl Rodney Hornbake,Jr.,son,1/3 residue,
7551.15
7551.15
7551.15
No balance
NOTE:Included in the above residue as distributed is.$2b,000.00 (f Series "H"
Bonds,held in kind and.distributed as such at thE value of:20,000.00
and in the proportionate shares as set forth'in thE residue shares.
REAL ESTATE TO BE CERTIFIED TO THE RECORDER bF WASH NGTON
COUNTY BY THE CLERK OF:THE ORPHANSl COURtt'DIVISION
EariR.Hornbake,devisor,to MarianH.Weaver,devis~e of all Ue r.ight,
title and interest of the devisor in and to parcel of real eEtatedescI ibed as follows:
ALL the following described property situate in th~Bor:ough of California,.,
Washington County,Pennsylvania,.bound~d and described as follow:
BEGINNING ata point on Fourth Street the Sou.the'!Lst corner of Lot No.
170 in the Plan of the Borough of California,thence running East alpng Fourth
Street,fifty (50)feet more or less to property formerly cf G. G.H~rtzog;
thence running North along the property formerly of G.G Hertzog one hundred,
fifty (150)feet to an Alley;thence running West 8.long sai~Alley fo'ty (40)feet;
thence running South on a line parallel with Wood Street otle hundre and twelve
and one-half (112-1/2)feet to a point;thence running We~t on a lin ~parallel
with Fourth Street ten (10)feet to Lot No.170 in the Plan of the Bo ough of
California;thence running South along Lot No.170 thirty seven ane one-half
(37 -1/2)feet to Fourth Street the place of BEGINNING.
BEING part of Lot No.169 in the Borough of Califbrnia.
ALSO BEING the property conveyed to Earl R.Hov-nbake,s ngle,by
deed of Jennie Hornbake and Oliver O.Hornbake,her husband,datl:>d December 23,
1922,and recorded in the Recorder's Office of Washingtor County,Pennsylvania,
in Deed Book Volume 505,page 295,on January 11,1923
CER'T'I¥IED m('l RECORDER:OCTOBER 3,1972
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Estate of EARL
R.HORNBAKE#deceased.
RECEIPT AND
REFUNDING BOND
''1d "01 thl.":lIHSV:.\
S111.''-\r;'i l ~S'03U
: ",~;':rtl
HORMELL,TEMPEST.SIMMONS L
BIGI E5 M~LM~YZi:i:R .<)0 2 ,
ATTORNEYS AT LAW ..I \
423 THIRD STREE\'r!-'\.-\L 1_
CALIFORNIA.PENNSYC.VANIA
IN RE:
Estate of EARL
.R.HORNBAKE,deceased
..,.......-.
)
)
)
)
)
No.63 -71 -1088
):
71-123
RECEIPT AND REFUNDING BOND
I,JEANNE H.PAVIA,do hereby acknowledge to have received from the
Estate ofEarl R.Hornbake,deceased,the sum of EIGHT THOUSAND and
00 /100 ($8,000.00)Dollars,
I do hereby agree to refund and return to the estate pro-rata any portion
of the said property received by me upon demand should the same be necessar
in the future to discharge any liabilities of said estate of which I may hereafter
receive notice.
I do further hereby agree_to-pay....uLtb.e-s.aid Earl !R.odn~-HQrnbake,..Jr.J __I
or to whomsoever he designates,whatever my pro-rata share of inheritance
and estate taxes in said estate may be calculate.d to be.
I do hereby remise,release,and forever quit-claim unto the said Earl
Rodney HornbakeJ Jr.,Executor of the Estate of Earl R.Hornbake,deceased,
all and all manner of actions,cause of actions,debts,dues,claims and grant,
both at law and in equity which I may have against said estate as the legatee
identified in Paragraph Second of the Will,which I have had,now have,or
may have,in so far as personal and mixed property are concerned.
'/~__(sea)
Jea ne H.Pavia,legatee under the will of
Earl R.Hornbake"deceased.
WASHINGmON......................................................................................
,\
Form rtcc-33-RI
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVAN IA
.DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
.,J
I~WORTANT:This return must be completed·in detail and filed in duplicate,with will attached,with the
Regist'er of Wills of the County where decedent resided;Return is due within one year,after
date ~f death,unless an extension is granted hy the Secretary of Revenue.(Section 703 of
..the.lnl)erit~nce..!ln~.E.st.ateTax A,ct of 19,61..)
.......................................~,.
of the estate of the above-named decedent being duly sworn,deposef.
IN THE MATTER OF THE'ESTATE OF }
EARL R.HORNBAKE AFFiDAVIT OF
.......................................................................,............................................................................................................................EXECUTOR
(State full name of decedent)
California"Washington ,~Late of ,.............................................County
Sta~of !.>..~.!.l:!.l:.I:'..Y.~.Ya.,!.l:~.~:.}ss'
Washington .County of ..,, ,.
EARL RODNEY HORNBAKE
~and say
Eucutor
DecedentdJed QG..i.Q:O'.§~~~t~t ii;;.y),19..~;;;~){~~:::::t~eaVing a last will"copy of which is hereto attached.}
Name and address of '~ttorney or}
other authorized repres~ntative to
whom all correspondence.should be,
mailed.
.9~iy~.~:l'I•~~E~~.~~,~,."..,:J?.!5..q~, , ,'..,.,, , , .
.423 .,ThirdStreel,.California,.,..P.ennsylvania.,...15.41.9 .
Th t h Executor .d .t'f '1"'th th if'f .t·'d haassuceponenISamIIarWI.e a aIrs 0 saId es ate an t e property con-
11·;x,,",utor·Aclmini8lralor)
Rtituting the assets thereof and their fair market value.
That at thetime of death there was no safe deposit box registered in decedent's individual name,or jointly
with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent
or deputy,with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER lNSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT__•I~WHICH-PECEDENT.RENTEP A SAF~DEPO~IT BOX IN NAME OR NAMES OF HOLDERS TO..DECEDENT
VV-t::"l:i~t:::L'll rt:::llll0.YJ.VCUlJ.a..oa.U.l'>.,Earl R.Hornbake
California,Pennsylvania
,
That the"contents of said safe deposit box or boxes are itemized under Schedules A,B /of this
return,with the exception of the following,fo;the reasons hereinafter set forth:
That Sc.liedule A attached h,ereto and made part hereof sets forth full v and in"de'tail all the
real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It
also sets forth the mortgage encumbrances upon each parcel of real property at'the date of de~th,giving
the amount still due at death,name of mortgagee,date,rate of interest,and book and page ~f record
thereof.It also "sets forth in the columns provided therefore the assessed valuation of each of said
parcels,the estimated market value thereof as of date of death of decedent.I
I
That Schedule B attached hereto and made part hereof sets forth fully and in detail all personal
property wheresover,situated owned by the decedent at the.time of death;all moneys left by the decedent
at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks
of deposit,savings banks,trust companies,or other instibltions,whether indiVidually,or in trust for
any other person or persons giving also separately the accrued interest thereon,if any,down to-'the laS't.\.
interest d.ay prior to decedent's death in the case of savings banks,and to the date of decedent's death
I'.\,\\\\1tl,II)ff,in all other cases;all bonds,postal savings,treasury certificates or notes and otl~~r eVidence"9,f in-....'~,'"...debtedness of the United 'States to the decedent;all obligations,whether by stat~;te\.~.~..agf'eem~.Il\~t.~ey
are designated as tax free,of the United States,or any state,or political SUbdlvf~to~'ther~o~,~pr~~f
~l ~-~-•~t It.._any foreign country,which are owned at the time of death;all wearing apparel,jewelry,<Si1lverwEi..re;.,pic-. "..•r=-(,.':-tures,books,~works of art,'·ho,usehold.furniture,horses,carriages,aut,omobiles,~b~~s,:::-~nd',anYlan~,a~l
other personal chattels of whatsoever kind or nature,left bydecedent,together with'th.e .fairly 'estimated:~-V''.~_:..'):1,':-:market value thereof;all bonds and mortga.!!es held by decedent and of all claims due,l.and/owing c;t.eced.ent...,";",,..\~.
at the time of death,and all promissory notes or other instruments in writing for ""tne [paymei'1t of ll\'oney
'-"r t!'.t"of which decedent died possessed,of whatsoever nature,with interest thereon,if any,'rlg~ryi!1g..the face
value and estimated fair market value thereof,and if such estimated fair market.value be less than the
face value,it sets forth briefly the reasons for such depreciation 'as to each item;all moneys payable
to the estate f;o~'life insurance polici'es carried by decedent;all annuity and endowment contracts 'the..proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividend~
due thereon and un~aid as of the date of death,bonds and a'ccrued interest thereon to the date of dece-
dent's death and other investment securities owned by the decedent ~t the time of death,with the market
value thereof ,t s~ch time.
71-123
'-.,"
.,:....
'1
In the case of securities of close or family corporations,the values reported are as far as
possible substantiated by financial statements of the corporations,showing the assets and liabilities
thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business,and in support of the value of such interest there is annexed to
said schedule,financial statements showing the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business,its location,and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein 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 transfe~ee 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 co~y
of the deed,trust agreement or other instrument creating the trust.Therl~is also set forth in said
schedule a list of all property,real and personal,with its value,which passes at decedent's death by
virtue of the exercise by decedent,either individUllUy,or join'tly with another,or any power of appoint-
ment vested in deceden,t,either individu.aliy.or .jointly,by.the wiU,deed,or other instrument of another,
with a copy of the instrument creating such power attached to the schedule.
J
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement shoWing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,their issue,and the relationship of such issue to the beneficiary.
That Schedule E attached hereto .and made a part hereof sets forth all property,real and per-
sonal,owned by the decedent jointly with a~other or others,including intangible,standing in the name
of the decedent and others,plus the date and place of r.ecord of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-owners to the decedent.
That Schedule F attached hereto and made a part hereof sets forth fUlly and in detail all debts
and deductions claimed for and on behalf of this decedent's estate,including fUneral expenses paid;
family exemption,where applicable;costs of administration of this estate;counsel fees and fUdiciary's
commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli-
gious services,in consequence of the death of the decedent;debts and claims owing and unpaid 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.
Subscribed and sworn to before me this .....'i..~...........;::.()~I I J n_
y',.,'n".'14 .IJ.I-~~~Oj/.tfL-
............,:~";;:.~..,..~,.,"L}!.~;d!1.y Ofjj~''''''''19..7/........Ea~~~ci1Po¥~dJti~~ra~j'_ _..:~iSt£~_?~Q§ei:s;;~;;~~;;;~~j·····_·_··
\,l!,!otary pUb~,C,al~rnia.,Washington eo.Beaver.Pennsy1vania
\\\.'.My com~'is~ib9\flXPjfesJune 16,1975 ··{City ~···T;;;~·..·~:;;:a,·..su;,;T..· ·..··..
NOTt::.,Before~\~)$h-fhg affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled"'in,,'\V.1.t.h,~detailsor 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.
~,'-.,II,.,'.
.RCC-:1'3a-RI Ii
COWJONWEALfH OF PENNSYLVANIA
THANSFER INHERITANCE TAX
HESIDENT DECEDENT
,\
SCHEDULE "A"
REAL PROPERTY
0.
."
Real property fh Pennsylvania,with statement of mortgage enClnnbrances upon"each parcel at
death of decedent.Where property held as jointtellant or·tellancy 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 deced~nt's~interest only.
The real.property loc~ted 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 refer-
ence to the record ~~the conveyance by which the decedent took
title;if a farm stat:e number of acres;also statement of mortgageencumbrancesuponeachparcelatdeathofdecedent.Taxes,assess-
ments,accrued interest on mortgages,etc.,are to be listed on
Schedule "F"and must;not be deducted from this schedule.
i
Part of Lot.:No.169 in the Plan of the Borough
of California,vyashington County,·Pennsylvania,
I
Upon said lot there is erected a two story frame
dwelling contai1ing 6 rooms,1t baths and garage.
Ii
For chain of title see Deed Book Volume 505,Page
295.
....
Insert this toth.l opposite tlreal propertytl,Schedule
'I"AtI ,in the "AslReportedtl column on the last page of
this return
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
x X X X X
(2)
ESTIMATED
MARKET VAWE
11,000.00
11,000.00
(3)
DEPARTMENT
VALUATIONI-----~--
CAUTION
(Do not write
in this space)
RI(C -33b-:~~1
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
Cash In hand,Cash on deposit.Bonds and Mortgages,any interest in a Copartnership or Unincor-
porated Business,Judgments,Royalties,Rights,Shares in Trust Funds,Leaseholds,Pensions,Promis-
lOry Notes,Claims,Insurance payable to Estate of Decedent;Annuity and Endowment Contracts;
Corporate Bonds and Stocks,with Accrued Int,erest and Dividends Declared and Unpaid to Date of
Death,Accounts Receivable,Jewelry,Wearing Apparel,Silverware,Household Goods Automobiles
and All Other Personal Property'of Every Nature Wherever Situate.(Property h:ld jointly by
decedent and another must be liste'd showing names and addresses 01 ,other Joint Owners and their
relationship to decedent.)
1..Savings Account No..007 000 404:'9,Western Pa.
National Bank
Savings Account No•.00 000 3340"Pittsburgh
National Bank
3.Savings Account No.703 116,Pittsburgh National
Bank
4.Checking Account,.Pittsburgh Nat'ional Bank
5.Miscellaneous tools and electricat-equipment
Unit
Values
(1)
ESTIMATED
MARKET VALUE
AT
DATE OF DEATH
3,745.•22
4,766.83
-7,662.92
502.77
50.00
(2)
DEPARTMENT
VALUATION
CAUTIO~
(Do not write in
this space)
"I',.1-~;
L-j.7~j.6'3
7 ~6)..9 2--
50:2/77
6.Series H.Bonds:
2 -$50~Loo
19 -$1,000.00
$1,000.00
$19,000.00
$20,000.00 20,000.00
I .
7.Cash
(EXI'f;ult,r.AdminitilraUlr mllHt illl,ldl "E"tiOlall")'fark':l VaIUl'"<:lIIUIltJI ~'"1 all.)c:arr.r total til
"(,IUIIIII ,"fJ,1 ill "Summary"IJII rl'\'I'I'f'iI'hill,·(Jf l'dltdull:1>,)
II
50.25
36,777.99
Note:This schedule m~t list all intangible personal property such as,cash in bank,bonds and mortgages,promissory notes,claims,insur-
ance,corporate bonds and stocks,accounts receivable,interest in partnership,etc.,even though physically located outside the Common-
wealth at the time of death.As to tangible personal property (e.g.,jewelry,wearing apparel,silverware,household goods,books,paintings,
automobiles,boats,etc.)state where it was actually located on the day of the decedent's death.Tangible personal property which is definite-
ly established to have been physically situated outside this Commonwealth other than for a temporary purp05e,is not subject to tax in
this Commonwealth.In the absence of a.specific declara.tion as to actual situs,said property will be presumed to have been physically
present within this Commonwealth at the time of death.
!
;_.
.'
-
;,..
.;~l'r-:l:l,,-!t I
l'll\!\ll)\1":-:\1.TII OF PF~NSYLVANU
T1L\:\SFEH.INHEH.IL\.NCE TAX
1iF.~1DE'\'[lWrFIW\'T
SCHED Dill I~C"
Tll\NSFEnS
(1)Di,l (h~('e<ient,wi thin two years of'death,make any transfer of any material part of his estate,without
recf>i\'in!J;It valuable and adequate consioerl1tioll therefor?(Answer yes or no)no
(::l)Din decedent,within two years of neath,transfer property from himself to himself and another or
(,titers (1ne1110i ng a spouse)in joint ownership?(Answer yes or no)--:n:.:,o.::::....__
(3)If the answer to (1)or (2)above is in the affirmative state:
(a)Age 'of de~edent 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)no
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)_n_O~__
(b)What was the transferee's age at time of decedent's death?_
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor unner which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The 'possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no)no
(b)The right to nesignate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)--...;'n::.::.;:o'--_
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserven in decedent
alone or others -:-_
(7),Did decenent in his lifetime make a transfer,the consideration for which was transferee's promise to
,pay income to or for the uenefit of care of transferor?(Answer yes or no)no
(8)Din necedent,at any time,transfer property,the beneficial enjoyment of which was subject to Change,
because of a reserverl power to alter,amenn,or revoke,or which cOll1d revert to decedent under terms
of transfer or by operation of law?(A!1swer yes or no)_-'n::.::...:o'--_
(9)If the answer to (8)auove is in the e,tffirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserveo in the decenent'alone or the decedent anrl others?
(Answer yes or no)_
NOn;1:The answers to these questions shouln be supporterl,by aff)davit by the atten,li,ng 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 vallie at rlate of death,dates of transfers anrl to whom transferred,with
relation~hip ,of transferees to rlecerlent,if any.Submit copy of any trust rleen or instrument,if trans-
fers are claimen to be non-taxable,also submit detailed statement of facts on which said claim is basell.
NOTE 3:List applicable property helow in manner in which provinect in Schenules A,B,or E.
ITEM lJESCIUPT I ON
NONE
MARKET VALljE
(Estimaten)
DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
II
..-'_:1
Urr.-33d.-RI '.1.·1"
Jl.I
C'Ql\H\H.>NWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT If
IIJ·:i·I
SCHEDULE "D"
.-
BENEFICIARIES
..~.~,I •
(
h
JI
''
•Ii RELATIONSHIP SURVIVEDBENEFICIARIESANQADDRESSES(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
ave an interest,vested,~ontingent or other-are involved;set STATE YES IN ESTATE
wise,"in e~tate)forth this fact.)OR NO B1RTH
Jeanne H.Pa via [I daughter yes specific bequest and
4702 Broadale Road ,1/3 .residue
"
Cleyeland•.O~'lio .L."
II
Marian H.II daughter sp~e:eial bequest andWeav-eF yes,'1
408 Fourth Street 11 1/3 residue
California.'Penna~
"
II
.-._-_.
..
Earl Rodney Hornpake.Jr.son yes specific bequest and·
540 Second Street JI 1/3 residue
i,Beaver.Penna.il
II
II
._.
II
ii
II
II
..,_-.0.
iI
II
II
II
.II -.
11
..
i[
--
II
,!I
II
II
:1
,
il
"~I
\JI
',.11II
J
H
]1
,.....
"NA~E DATE OF DEATH RESIDENCE
If,
II
N.O N.t;;1
il
11
,i
II
Deponent further saysl that all the above-named beneficiaries are living at this time except below:
I
OF THE
Deceased
ESTATE OF
EARL R.HORNBAKE
(Executor-Administrator
must complete "As
Reported"column #1.)
0 ....,""d ::c..,..,Cb Cb0~..,E..It <;'"'"::l 0 ~'"'".....::l ""d....,Cb E....,~;..,~'"0><""d '0~Cb0-......
CD 0 ~'0 II fCbtr:l ...r+'"'<r+~r+Cb
V'Jc::~
~>-::c-.0<~en V'JC')C')
::l'"?"'n ~>::::::---
~~~~~~
:~::w :1---'-..-....
:-J ::0):......>........'":-J ::-J :0 ::c
:-J :;-J :OCb-
:-J ::-J .~-:0 0 -:.•:...,
CD :~:0 c;r
CD :to :0 c..
.-
~~.'*------II .';--->:r.
0~'-~~II J3
::l
(::e.-Ii ~
Year
,.-,."'......•
~,~~
-...;
...J
i-,,~
:..:.;>
D'THE
!No .
Washington....................................................................
-"--..p.r::;~
<n.G'C
REPORT~lND AP,PRAisAL~:~,>;..•
t }rn .",_:u J<li;~.~.~~~t ..;
Z :;~'~,]1 ~
:0 1=::.:
;:r (i)(:J
--:;
HoRMEtto.TEI~EST.SIMMONS.
BIGr &UEtENYZER.
Attorneys at Law
423 Third street
California,Pa.15419
~IATTER OF THE APPRAISEMENT
Late of ...California
Commonwealth of Pennsvlvania.-...
County of
Will
Administration
r-'
L
RCC;81 (6-71)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
c.
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
(Executor or Administrator)
In Re:Estate of _----''IJ""':/l""AB""""'--.-""B!.!!...--"H~'0B!IDABB."""""""'='=-'_
__-=W.=l=SRDtG='~'':::..:!_~.;:.~__County -Fi Ie No,.~":l!!:'~"::":'"'!.:="~,~'=:='=-_~..'..
You are hereby notified that tifAm;a=-----------appraisement in the estate of ,~a.~,
has been file~iJif of.£jce of the Re~ter of Wills of_----=I1::::!:l~='=3'c:..='::;:,_
County on 110'"lU,,19_7_,.,Said appraisement reflects the following
valuations:'
Real Estate ,alnliJ.,-.~OOQf!I-'~'~..IIi'·dOlIiI·''----JCl,m.99PersonalProperty _
Transfers _
JointIy Owned ---4IjIJ':l,~~.,"I!)I,!Pl'J-,-.Ql99a-------Total _
As to such tax that is paid within three months from dcite 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 dote of death,
interest at the rate of six (6%)percent per annum is charged., '
Signed~f\{~4,~~
Titl e __1 11_"_,_ft._Dtl_~_IU_ria_._A_P_P'_U_"_"'_.'_
Date ~18.1m
Any party in interest who is aggrieved by an appraisement may appeal therefrom
as provided by law.
D'S 0'DBAm.'OC1'OI8a 26,1m
Note:This is not a bill.
~-,
RCC-39 (~e8)
!I
II
!I'"
II
COMMONWEALTH OF PENNSvLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT ;r
SUMMARY
Estate of HORNBAKE,E~R'."
(Last Name)(F;ii'st Name)(Initial)
Ii
DATE OF DEATH 10/26171 FILE NO.63-71-1088
REPORT OF.INHERITANCE TAX APPRAISER
4~£2dJ~-n.,g.~
INHERITANCE TAX APPRAISER
I/1,
f :~
I,the undersigned daly appointed Inheritance Tax Appraiser in and for the County of_W_A_S_H_I_N_G_TO_,_N _
Pennsylvania,do respectfiilly report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E".
i
II
II
Dated:NOVEMBER 18,!!1971
II
Ii
~Ii REPORT OF THE REGISTER OF WILLS
II
I,the undersigned duly eleCted Register of Wills in and for WASHINGTON County,Pennsylvania,do respect-
fully rep'ort that I have atlowed deductions in the amounts claimed by deponent,except as to those item!'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•.!!
'I"Dated:-:'-_
REGISTER OF WILLS
)1
INVENTOR\j1
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)II
Joint-Held Property (ScHedule E):1
TOTAL GROSS ASSETS
Less Debts and Deducti6ns
(SCHEDU'LE F)II
CLEAR VALUE OF ESliATE
il
Valuation of life estatesil or•,ilannuities.........•'.Ii
il
ESTATE TAX ASSESSMENTSII
il
VALUE AS REPORTED
$1I.ooo~;6.77~
---h-'J(fT~f];f/;t~
none
:===t=
VALUE AS APPRAISED
$ff:~m=
47.mlw=
none
47,777 99
VALUE AS REAPPRAISED
$-------+--
,-/)
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
COMPUTATION OF TAX
$--------+--
$--------+--
$--------+--
$-------~~
$---------+--
$......L--:_
IIFORUSEOFREGISTER ONLY
Tax on $Ii 2%
Tax on $Ii @
Tax on $-----"-,---~-5%
Tax on $II 10%
Tax on $':1 15%
~emptioos ~•
Total Estate -;:...Jr__---J~-
II
TOTAL TAX
L .,ill''desstaxprevlOU~y pal
BALANCE
Less 5%of tax if paid ~ithin
3 months after death I~.
I!
BALANCE OF INHERIifANCE TAX DUE $-------lL
Add interest at rate of ,6%from ._____tol $..J,
AMOUNT OF ESTATEi!TAX ASSESSED $--------lL-
Estate tax paid Ii $--Il-
BAl:.ANCE DUE $---JI_
Add interest at rate of~r6%from
------tt'o :i TOTAL TAX BALANCE :--------l~
I!PAID $----lL
1 f-------+JI--------------------------------'
FOR USE OF REGlSl1ER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should Be noted below,with short explanation..II
II
Will
Administration !No Year ..
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
HORNBAKE~EARL R•
.Deceased -('
,q,r)
Late of .CALIFORNIA
{~I"1".
County of .Ji 1l.5.Ji:pm 'ION. ............•.......................•...•..
Commonwealth of Pennsylvania
REPORT AND APPRAISAL _Air.'
/.~~
"
.q
. .
~
~~~
'.
(
"
Fonn RCC-2
~nE.r.ARTMENT OF REVENUE
J.I
BUREAU OF COUNTY COLLECTIONS
HARRISBURG,PENl\iA.17127
COMMONWEALTH OF PENNSYLVANIA
.RESIDENT INHERITANCE TAX
APPRAISEMENT
NOVEMBER.18,1971
DATE
COUNTY ~~.~~.~.~~~9..~,
FILE NO.~?,::?~.=~9.~.~" ""..
Whereas,·,i ··~·:·R.~HQRN~~·late of C:.~;:-=;~:Q.~If..Q~{;tA .
in the County of :WASHINOroN :Commonwealth of Pennsylvania,having died on
.the (?~~~day of Q9..~.~~~19 ~seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,~p..~~~~.~~.~~~~.~:;,an appraiser duly appointed according to law,
having been desi~ated to make a fair an~conscionable appraisement of the said estate,and to assess and fix
the cash value of ~ll annuities and life estates growing out of said estate,hereby file the following appraisement:
II)the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly·reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
II
Unit Appralsamant lDescriptionofAssetValuesMadeforInheritanceTaxPurpoles
I $REAL ESTA'FE
::
ll~OO(See Schedu+e "AlII of appraisement .00
,
PERSONAL 1
I 36.,77'.99See·Schedu+e "B"I of pppraisement
47,77'.99
I
'i
..
,r -
'.
i!,,.
I
:1 .,
...
!i
I.,
,
!
"'i,
':
I'
I'.,
II
I
!WASHINGTON County
.ro
'-
,..
,I
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
EARL R.HORNBAKE
Deceased.
Late of
CALIFORNIA..................,.
Date of Death,9g~~~~§.~~??J.:..
Appraisemel!t Docket Vol.,~i1....
Page,~/..f?.=.~No.6.3"-7.1-1088 ·
Filed in Register's Office,.19 .
Anwunt of tax due,$:.
DEPARTMENT OF REVENUE
Received,
Ex-a.mined and Approved,,.-.
Wrote abo.l/t Appraisement,.
Appeal j,.om Appraisement,:.
Entered and charged,.
./0:'
"J
...,
{-.'.
I·.1
,~.
Form RCC·IO
~.-
OFFICE OF THE
..REC>ISTER OF WILLS
OF _--.,;.W,;...a;;;.;s~h~i~n:s;gtL:.o=.;n:.::......._COUNTV
AND AGENT OF THE COMMONWliALTH
63"71-1088
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN j
THE SUM OF $~j)~~..l ~
Dm If:;j.5~=~~
Register of wmt r
ESTATE OF Earl R.Hornbake L....TE OF California 1
D"'TE OF FIL.ING APPRAISEMENT 'Nov.8,1971 D"'T"OF DEATH _...:O:::.:c::.:t~o:.:::b:.:::e~r_2=-6~•....:!1~9!.J7l..tl'--_
DATI!:
U i'1I
Nov.5
8
NO.OF
VOUCHE"NAME OF P...VEE
Julia A McDonald,Tax Coli.
Caleffie &Greenlief
Recr.of Wills
'Wa~"f r.n'"i.:s
Tele~raph
REM"'RKS
1971 School Taxes
Funeral Services
Prob.Will &S.Cert.
Adv.Estate
Adv.Bstate
AMOUNT
158 68
1,388 59
19 00
14 00
9 00
18
June 28
,.
Bal.on Letters &Inventor)to
NRTA &AARP Pharmacy
Reg.of Wills
·Oliver N.Hormell,Esq.
Washington Co.Bar Assn.
'Recr.of Wills
·Marian Weaver.Daughter
v
Reg.of Wills
Drugs
Short Certificates
Attorney's Fees
Fee
Filing Acct.
Family Bxemption
5 50
30 55
2 00
2,388 983
10 00
16 00
1,500 00
,.po
-j-r---t--..:..--------.:---+---------i-----4.--'
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Washington S.:
I,EARL RODNEY HORNBAKE HEREBV CERTIFY.THAT.TO THE BEeT OF
lillY KNOWLl!CGE AND BEL.IEF THl!FOREGOING IS-I+.'~i~T'Ir.~ff8tnHaIf~ENT OF DEBTB,FUNERAL.EXPENSES "'ND EXPENsa orr
ADMINISTRATION SUBMITTED TO THE EST"'TE OF •~:i!...-~-+-,4-.....,....~-DE flED.AShJ;;UTIONli FOR
INHERITANCE TAX PURPOSES.
(
SWO N
20th CL.s.1
R AND SUBSCRIBED BEFORE ME THIS ~r-__.uD,AY 01'July 18 72
~?11.ne...L
MARIEM M.NEIL,Notary pubfie
CALIFORNIA.WASHINGTON CO.•PA.
My Commission expires July 14,1973
71-123
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IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA.
In t~matter of ;the Audit of Account filed in the Estate of
)Date of death I ~t:>--:;~~.~/
(NO,1971-1088 ,Term,19 ,A.A.
.....,r:Hl,g.o-¥lrna-lb},9Q~k.§-~..-,...,gE~a¥:rl~R"".-__--=----,,-)(Docket Beg "'cQJ ~-_6,__Deceased I
TO THE AUDITING JUDGE:
Enter my ,appearail1ce for the Commonweal'th of Pennsylwmia,claiming tmnsfer inheritance tax in tfue above estate,as follows:
DR.
To appraised Vialue of Estate:Realty ____..__...__..$-.:.A....!:.'I-LI~-o~():.....O::_~.~(!)=:::.....:O~_
Personalty..._._..__.__....____ __ __..__..__$__..::::5::.....:'::::..,,~"__.:.."7~/~?.....!."__OA..q,~_
Additional Assets per Account,Subject 'to Tax..._.....__..__.......__........__..__....__.....--.....--$.
L _
$-_.._---
$-------
$------
$-------
$-------
$--------
!
)Additioml Debts and Expenses per Audit
CR.
Debts a·nd Expenses per Account;see Note
Additiona,l Assets per Audit,Subject to '!1ax ..___._...--.-------$~----_
GROSS VALUE ...._____ __$_-l41,11or f1 _
$-S'S11,1)
TOTAL DEDUCTIONS,$__. _
NOTE:The fo1!owing credits claimed in the Account are
held not deductible '8iS against the tax:CALCULATION
Gross V.aJ1ue ....__.........__.....
$
)----
Less Deductions ...._"
Clear VaJue ..__...._.-!:Lv I ?9 #__'_
\i_H_Z-_'J._~,-;il-......·-
$'---'-fC__
~\')(),,/?,
1.,...J ()S\,."""
?Toax-----
able
at )15%
Total Tax ...___________________.._..__.__$
$.:z 00(;),00
$==;£;/~o~O:~,;;;!2~~~Less amount previously padd ____--..$
$;;,I Do,;}J.I "i t ')\ (S':.3Ba'ance .__..__ ____.__ __....__...._______--------.--..$__.__~~
$--------Interest__yrs.bmos.1 f days @£%__...._$S\,_S
$TOTAL TAX AND JEREST DUE _.__..__._._..._..._I 'I }'r tJPd;-J,/,tJ 1 Z.o -,,01_--------
~~~f)ol
(Jd /c2;.j 97».~~~
TAX PAID ON ACCOUNT
......\j
()o ,s:11s:;u
0 >Z 111~()
I
111 11>111r.,;-l:I 'II 0
0 0 ;u
~
t 'II ;u >
~
11 11
~
111 11Z111Z>
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r z~()
111
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c.o
UJ «U")0 ...J oQ..:z ...J~--0a::::?=o--4""'-~u..:z:0-0..00._.a::r-.:::r ....J Cd ,!)UJ I-Z.L1.J c.?c.f)-I>-U)-:c.--l (....):::>~UJc::J 0::lJJ ..zrc..::5.:-..<'oJ
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RCC·4 (8·68)
No·8
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE12000OFFICIALRECEIPT•PENNSYLVANIA INHERITANCE AND ESTATE TAX
representing'Pennsylvania Inheritance or
Estate Tax due from the following estate:
RECEIVED Tm T ~mr;Al\m and 00/1DO
EARL RODNtY f!OR}JJ3AKE,JR ~Em.
From:t_II;Ai,....
hl.l ......".-,f ;1 111".....I'dollars
Address4;J~..T1JtIE~.romm;';i~~2%Tax on $$,.,
6 %Tax on $ON ACCOm;rr $-----',~,~Ji,l..°I:iiJS~,~'?6U----.II"
File No.63-1Woas Date of Death---JJ~'b'r¥.L---l 15%Tax on $$•
$---------lrJI
Date of Payment _----'J!lgnuS1t1-'4.....lYl2;L ~
Name of Decedent _---ol.l,.lo!':l.Wu-D.+----LL\...l1:I.US:lW~__l
%Tax on $---------$----------1111
Estate Tax,Act of
May 7,1927
County ----;:;O'ta-i"'*'''*:l'~*_-----------_1
Remarks:
...
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__%from _
to _
$1....,O....·5~......2.....6---,,41
$---------1"1
lr 00 ~[p [L~@illlrrn .SEA L TOTAL AMOUNT PAID $2,000.00
~,
NOTE:This Triplicate Re~eiPt to be retained for audit p~rpr;r~1g...6 .Q~.,j/J ~lIj •
•Received b ~\.Jt:,flTk:k:.I f\oJc..A..£tI.-{)
NOTE:In accepting theiransfer Inheritance tax on f~ture estates,prior to the death of the lif~.j ~~Je)~
tenant or tenant for years,as evidenced by this receipt,.It Is understood that the Commonwealth sha11"n( /I J
not be precluded or prevented from hereafter a~sessing additional Inheritance tax at the death of t\e·):~f'rl.!'R/J:d ~2r .-,~~.)(J d
life tenant or tenant for years whenever It ap.pears that such additional tax may be legally due ana-'....'\;!'1~(Title)
collectible for any reason whatsoever.}
~ds
.......~I.:j.~~.~/~/
~
was~~gton:Pa.,./...~.!{I.19.::z .
Registration Fee $ _..
9435 RECORDER'S OFFICE
RECEIVED OF;..I?~·.".~."··t£.,·4.·9.£...
paper ~of:::;::.4~No f,..r.::J.-:-..to be recorded
in the Recorder s Office of Washington County,Penna.Parties named below.
Fees $fR..~._crP..
.50
State Tax $..
1.00
Certificate and Seal $ .
Total $..p ....f.?J...
~State Realty Tax $..
Satisfaction $ .
6
-'4 1 6 t3 1 1.*'".,......."'I'
.\.1 V •.1 5 8 6 8
1 3 8 8 5 0
1 9 o 0
.00 T 1 4 o 0
.00 T
9 o 0
5 5 0
1 L 0 0 a.C 0
3 0 5 5
3 6J 7 77 .9 9
2 o 0
~7,77 7 .99 5 2 3 8 8 9 0
1.1 717 7 7 .99 T 1 0 o 0
1 6 o 0
1 5 0 0 o 0
5 6 o 0
5 5 9 8 1 3 ."'I'
.-~....-~
• •
COpy OF INVENTORY
Nota..,hbltc
itarl Rodne,Bornbakl
ft:;b~/tf"11
_.~~"",~,vJ iP~
,.ANNA S.DZAVAN
~,''Notary'Public,California,Washington Co.
,',~My C~mmission EJ(1)ires June 16.1975
•
3Juufutnrl1 nub l\pprntsfwut of the goods and chattels,rights and credits which were
of····_·····.E~AR.L ...E H'O'B.N.!?.AK.~:,.late of _~.~.~.~.~9..:?.~~, .
Washington County,Pa.,taken and made in conformity with the above affidavit.
DOLLARS CENTS
Part of Lot No.111 In the Plan of tbe Bomup of CalUornta;
Wublnlton Count,.Ptnd11vanla.''Upoa ~.ld lot tblre I.erectld
•two etoq frame d••!l~eontal~,(>i'OOm".Ii-Mabu and..nee.For CbatD of Utle .ee DeeCS BciolVo)ame ~oa.Pa••115.,.....",'...
,-,l'
-.'
I.sa.taa*Accotml i\'o.00 000 U~40.I>tttabuf'Jb National Bao
s.s.vtD••AecoWlt r;o.'703 J18.P(tt.~rp N ~tlo~l ~
4.tbeeldna ,l\ocoull't.~"tdbDrab ~~t1ODtll Baak
5.Mlaael1auoua toola aDd electrical eq,ilpauem
11,000.00
,-
3.'148.12
',812.9~
&02.'11
0\1.00
8.SeJ1¢1i It.Ootada:
I ••500.~;O
18 ••1,000.uO
,.Ca.h
•1.000.00
'11,00u.00
Sub Total
10,000.(1)
"','21.'14
~O.t&
4',''''.19
••
1,1.
\"...•I
<\,
.1-+1
,...h I ..-'-..
............)IJ\!UX,-i I --•.'~i
2RAJJOa
•"",.i....,c .'..';,.'.,,~.
lO\.'
,-~.',1 '.t,~.l ~.,,'I ~~t,~.0;'
t'
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't-(,,,\
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"'~4.--$"~;:--4-'~~~.
i',.',,
'0<"",.,
EARL R.[-IORNBAKE
Series H.Bonds
Date of Death:October 26,1971
,1.$500.00 Series H April,1960 D6 133 447 H
2.$500.00 Series H April,1960 D6 133 448 H ..
3.$1,000.00 Series H April,1860 M7 270 736 H
4.$1,000.00 Series H April,19GO M7 270 737 H
5.$1,000.00 Series H.April,1960 M7 270 738 H
6.$1,000.00 Series H.April ,IDGO M7 270 739 H
7.$1,000.00 Series H April,1960 M7 270 741 H
8'.$1,000.00 Series H April,1960 M7 270 742 H
9.$1,000.00 Series H April,1960 M7 270 743 H
10.$1,'0'00.00 Series H 'April,1960 M7 270 744 H
11.$1,000.00 Series H.April,1960 M7 270 745 H
'.12.$1,000.00 Series H January,1961 M7 562 127 H
;,
13.$l,OqO.OO Series H January,1961 M7 562 128 H
14.$1,000.00 Series H January,1961 M7 562 129 H
15.$1,000.00 Series H ",January,1961 M7 562 130 H
16.$1,000.00 Series H January,1961 M7 562 131 H
17.$1,000.00 Series H January,1961 M7 562 132 H
18.$1,000.00 Series H January,1961 M7 562 133 H
19.$1,000.00 Series H January,'1961 M7 562 134 H
20.$1,000.00 Series H January,1961 \M7 562 135 H
21..$1,oqO.00 'Series H January,1961 M7 562 086 H
$20,000.00 (Total)
r;:r~.------,-___'~·4·_•••.;;-~.·w .-----••'---,La::w:•.o,Jill",'''''''r...I:..-~//
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2%Tax on $$
f:j (6%Tax on $ON ACCO'uNT $.2,105,26
10-26-1 15%Tax on $$
'10 Tax on $$
Estate Tax,Act of
May 7,1927 $
'.~
TOT Al TAX CREDIT $2,]05.26
less five percentum of tax if
paid within three months after
date 01 death $105.26
Plus interesl at the rate of
__%from
Jl·:O
:J;-j.,)
Us .'.1o___________$,--------.....""I
I
•~NOTE,T.b.~.~~ro~.~ill [l,s ;8~~lC-6 TOTAL AMOUNT PAID $,=:::::::::2~,=OOO====.OO=====I~;
W Received by -......L}.~ft:!!,},~~-I-~~~~~L----------IIIJltNOTE:In occepting the transfer inheritance lox on fulure eslates.prior to the deolh of the lif
"lenant or tenonl for yeors,os ev ideneed by this receipt,it is understood thol Ihu COllllllanwealth sh IIIf~a~be.precluded or prevented from hereafter assessing addilionol inherillln",·llIX ot Ihe death of I\;e.-L~~~::3oo!l~~.J.:)~"?o!ts,dIod.~--------U
,life tenont or tenant for yeors whenever it appears thot such lIddliionol 10,(/lillY IH~legally due all
'":ollect.ble for any ,eosanwhatsoever.
.~__--;=-"''=;';''''~CJi'K t¥__~_~..~.....=c1iilc=::]B.!=I:rll:]IBEEa:::IEI.i:Z;;;;;~ttiEiif::::::J1
~emarks:
i••..j .,.
.:~.f.,._..~.
/..\
~,'"!".')'"((·4 ,(Ii,.B),.,;:1 ~<no.\'::j:~COMMONWEALTH 01=PENNSYLVANIA ~:~.;\~.;,!>~~'r~i~~:F,:,;:~','~"::'>"DEPARTMENT OF REVENUE ,"__'I'0j~,;(:~:'.;:.~~:;I NO 8·1 '2U::,Q'°FFICIAL RECEIPT •PENNSYLVANIA INHERITANCE AND ESTATE ~Al!~':"
!RECEIVED 'T~';O T1·OUSA1ID and 00/100--------------------------:...--dollars
It 2iJ~L HOmr..:..y !IOP.N"),:~Iili,Jlt.10JI..representing Pennsylvania Inheritance or
:Estate Tax due from the follOWing estate:I'III From:"Y'••
!i ,~.\ll
,...~Address 42)THIED STIlliET
.;
IFHe NO
C
::::::88 PU::~:~~I::::--=:"=-=--"'--=----i
."'I Date o.f Payment"JJ.nuary 7,1972~~U''.1 R.jJOft.i·~8fd3. .Name of Decedent
Co.unty --Wi-SilL ,GTON
.--.':...,''.-.-
,I
FI LED1
'.7.2 OCT 4 PM 2 5B
(
,,
, RUSSE Ll.f;1 ;~i RIN0
,"REGISTER OF WilLS
'WASHINGTON GO .•PA.
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