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Home My WebLink AboutOC1968-0336 - ESTATE OF LOZOSKY8:CC-39 (6-67) • ~ :' ,-Or<~MONWEAL TH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT : LOZC6 KY, ~.lARY ri.OSE FILE # 63-68-336 December 24, 1967 SUMMARY FILE # 63-68-336 n..t::POHT OF INHERITANCE TAX APPRAISER I. the unrlersigned # 63 Washington duly appointed Inheritance Tax Appraiser in and for the County of , Pennsylvania, do respectfully report that I have appraised property as reported in the foregoing return at the values set forth the last column to the right in Schedules "A", "B", "C" and "E". the real and personal opposite each item in Af~ Q :;o,VK 12f!24-67 INH=::~X APPRAIS~~ Dated: 11-07-68 HEPOliT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for------------ County, Pennsylvania, d' "T''·.·r:tfu:tly report that I have allowed deductions in the amounts claimed by deponent, exc•~t· t as to those i terns where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated: REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED Heal Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) $ 5.500.00 $ . 5,500.00 $ _____ _ 2,305.32 21305.32 TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or annuities ESTATE TAX ASSESSMENTS ~ 7,805.32 ======·-======·-================= ------ FOR USE OF REGISTER ONLY Cm.1PUTATION OF TAX Tax on $ f'l% ~ ------Tax on $ Tax on !!: 10''>2 ~ _________________ :~ ~------------ '1' in on $ , __ lfl% $ Exemptions========· __ (':') Total Estate __________ __ TOTAL TAX Less tax previously paid BALANCE Less ~% of tax if paid within $ ____ _ * =====·~--$ -~---- 3 months after death $ ======= 3"~NCE OF INHERITANCE TAX DUE Add interest at rate of H% from to AMOUNT OF ESTATE TAX ASSESSED *-----~ Estate tax paid BALANCE DUE Add interest at rate of 6% from to FOR USE OF REGISTER ONLY d> ._,, _____ _ TOTAL TAX BALANCE PAID ADJUSTMENTS (':') As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. $--~---- $---~---$ _____ ~- $ NOTE: Where subsefJuent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ~ No. ... Year ........... . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF _ .M.NLI. RQ$:E. _ IP:?~K.Y _ . Deceased Late of. CENT Erl.VILLE County of . ___ . WA$ IU:N.Q':l'Ol'4. .. . . . .. . .. ... Commonwealth of Pennsylvania REPORT AND APPRAISAL ~ .. .. - """· I Forin'RCC-2 .. DEPA:&.TME'N.4' OF REVENUE . BUREAU OF COUNTY COLLECTIONS HARRISBURG. PENNA. 1 7 1 2 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMEN'J · · '· DATE ........ , .. :t.J.QY.~mQ53..r. ..... 7.t ...... ;;k9.9..$. .. COUNTY ................ ~~·~·~·~·~·~?..~ .................. . FILE NO ............. ~?..::::.~~:.?.?..~ .............................. . Whereas, ........................................ ~~.Y. .... ~-~-~ .... ~~-~.~.~-~Y. ................................................. late of ........................... 9.~!:':~-~~.:v.?-:.~:1::~ ............................................ . in the County of .................................. W~.§hi.ngt.on ................................................................. Commonwealth of Pennsylvania, having died on the .............................. ?..4 ... :~h ............................................. day of ........................ P.~.~~mP..~:r. .......................... 19.6..7 ..... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ................................... W~.~.~ ..... Q.b.@.~Y. ............................................................ , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after 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. Appraisement Unit Description of A&&et Values Made for Inheritance Tax Purposes $ REALTY: All that certain lot or parcel of ground situate in Centerville Borough, Washington County, Pa. , and being part of Lot No. 5. in the Rosefield Plan of Lots,xih All that certain tract of land being a part of Rosefiild Plan of Lots in Centerville Borough, Washington County, Pa. ~ and being more fullv described in Deed Book 744. page 542. 5,500.00 5,500 00 PERSONALTY: Savings Account, Gallatin National Bank, Brownsville, Pa. 2,305.32 2,305 32 Total 7,305 32 Having been duly swo.rn according to law, I do hereb~ify that the above appraisement is made in con- formity with law on this ...................... ~.~ ........... day of ........... ~ .. ~·~.~~~ .............................. ~ ....... s~....... .. <:;,1-~.~ .. A ................ ~;;.-:;;U. .. e ......... ~~ ..... &. .. 2'. ....... . _ Appraiser ~ .................................................................................................................................. .. umbe d Street) ............................ ~(:P;;;;t···ofti~~·i·· .......................................... , Penna. -...... _______ """ - - - - ,,..,. ("") ·'f.;!':~ ~sf .· ... WASHINGTON ............................... . COU11ty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MARY ROSE LOZOSKY ................................................................................................. Deceased. Late of CENTE.RVILLl!: Date of Death, ........ P.~~.~~~.1.: ... ?.4..? ..... +..9.~.7. ............ . AppraisemeHt Docket Vol. ........ 37 ' ............................................. . Page, ........ J..QJ..~.7 ...................... No ...... 9.3.~.6.$.~33.6. ......... . Filed in Register's 0 ffice, .N9.Y..~:m:t>.~:r. ... .7,J9.9.{:L Amount of tax due, $ ................................................................. .. DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal f1'om Appraisement, Entered and charged, .... ' ' ., •• '. 1:, ., ~ Form .RC C -10 DEDUCTIONS ALLOWED IN OFFICE OF THE REGISTER OF WILLS STATEMENT OF DEBTS AND DEDUCTIONS ·-;HE suM OF . . . . . . . . .. .. s .f!J ~Kf tu- OF Washington COUNTY ESTATE OF -MARY ROSE LOZOSKY LATE oF Borough of Centerville DATE oF FILING APPRAISEMENT October 23, 196~Au oF" DEATH ---=D:..:e::.:::c::.:e=m=b::.:e::.::r~2=-4~, _1:.9:....6=....!-7 __ _ DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCH lOIII: Russell Marino 2/23 68 Register of Wiils Probate Will 10 00 2/27 68 Washington County Reports Advertise Letters 12 50 3/11 68 Observer Publishin~ Co. Advertise Letters r2 50 9/4 68 ~~~~ell MatitJ~tl e ~ster o s 1 Short Certificate 1 00 10/12 68 ¥inc~~f 1 Karolewics, ! ~~~ ~oiough an;!---.... ----'ax ~o P~tor School axes 10/12 68 Malcolm L. Morgan, County Treasurer 1968 Count-y-Tax --,.,r.- 10/12 68 B. A. Sicchitano Property Appraisal 25 10/12 68 Bentleyville Courier Advert~se sale or 1 orooertv 10/12 68 Pagac Sanitation Garbage Bill 26 10/12 68 Theodore Lozosky Maintenance work done to real estaee-----rT7 --·------?0~ 10/12 68 Beniamin Skrobacs Hauling --------··· ........, 10/12 68 J. P. Rebarick Administration Bond Premium 10 10/12 68 Michael Lozosky Reunbursement -for payment of the followin2: West Penn Power cymv~ny ~fll J$9. 5 ~l; Gas bill 2.55 : Gas Bil {~:S·~~l; and one load o:r oil ($43.21) 59 ' 10/12 68 Barrett G. Greenlee Administrator's Commission 418 10/12 68 Barrett G. Greenlee Rfunb~~~gment-f~l pa~ent o te e one ca s a aavrrt]_semen~ (j.f sa--re ~f rea estate ~n Brownsv~ le newspaper 12 10/12 68 greei_llee& ~~chman, err~co osa Counsel Fee 491 Greenlee Funeral Home Funeral Bill 1,046 10/23 68 fuss~~l Marill?i ~~~is :Pr of i ls File Inventorv 9 10/23 68 ~~~~ell Mafitlo11 e ~ster o ~ s File Account 17 ·.-.,':' . ,. ~_L ~L¢ ~o~L ala? ...... ; ""''""' ..... · ----· t-. L;;iah o/ ~ ~__/;!,~ ~-./. rl'!-.a1 j ?dmL ~'}16/ COMMONWEALTH OF PENNSYLVANIA } couNTY oF Washington ss: 1. BARRETT G. GREENLEE HEREBY CERTIFY. THAT. TO THE BEaT OF MY KNOWL!DGE AND BELIEF, TH! FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF MARY ROSE LOZOSKY DECEASED, AS DEDUCTION$ FOR INHERITANCE TAX PURPOSES. ~~.k~ (L. S.) SWORN AND SUBSCRIBED BEFORE ME THIS 23rd DAY OP' ':;i eb~ . ~·~_68 h~~ ~(]_(-; ~L-u; Notary Pul:Q7-l'TaSiiigt<in, Washington Co., Pennsylvania Escha LaJo Stiteler My Comnission Expires: Notary Public, Washington, Washington Co. My Commission Expires September 4, 19/2 • I(U ·- 00 26 25 -,jt) ~-1vV 00 22 00 98 00 75 - 00 00 06 'W ~ -~ I"' I • .• I .. ' "' i- \ FORM 67 REG. WILLS REV. 1-50 1\ppliration fnr 1Jlrtttr!i nf 1\~mtnt!itratinn nn tbt Estate of. .................. &.RX. ... RQ.S.E .... LQZ.QS..KX ................... woooOHOooooooooooO .............................................................................................. .. late of.. ..... ~.Q;F,.Qgg_h .... 2.t .. 9..~P.:t~E.Y..!JJ.~.l ..... r..~!?:~.~.Y..!.Y.?..!!.!.~ .... , Deceased. Before the Register of Wills of Washington County personally appeared ........................... ~A.BRJ;;IJ.' .... G. ....... G.R.~~.NL.~.~ .................................................................................................. .. who, being duly sworn deposes and says that... .............. ~~;!:Y. .... R2.~.~-... ~.Q.~.Q.~.~Y. ........................................................... . age .. ..Z.~ ........ , having ... b...e.r ..... last family or principal residence at.. .......................................................................................... . (Street and Number) ...................... ~~-~-~-~Y.:Y..~!.!.~ ................................................................. , Washington County, Pennsylvania, died intestate (City, Borough, Township) at ... R!.£h~Y.Y..~l!.~.~ ..... f§.g!?:§.Y.J.Y..~.!1~.~ .. , on the ... ~.4. .. day of ............. P.~£.~~'!?..~E .......................................... . A D 6 7 . 8 • 00 P • M · d f' · 1 h . d 1 . ., 19 .................. , at.. .............. ~........................................... ., possesse o persona estate to t e estimate va ue $ ........ N.9.P..e. .............. , and of real estate in the Commonwealth of Pennsylvania _to the estimated value of $ .... JJ.n~ng:w.n ...... , situate in .......... t;.h~ .... RQ.~.§J.:i:-J?.l9 .... P..l~n .... Q.f ... 1.9..t..~.,. .... Rt.~h§Y.Y.i.ll~.$ .................... . ............... ~.~~~~Y.:!Y.~~-~~:.~ ........................................................................................... ; ................................................................ : ....................... . The names and addresses of the decedent's surviving spouse (if any) and other heirs including heirs by adoption) are as follows . REI.ATIONSHIP RESIDENCE ........................................................................................................... ~ ................................. l'C>31""Wi·rh:er·s·p·oo·n .... R:o·~rd ...................... .. ~-~~-~-~~.! .... ~-~-~9..~.~¥. ....................................................... ~.9.?. . .' ................... J~.?.J..~J~w~:::~ .. .l.f., ..... M?.~Y.l~.g.4. .................. .. ~~!i·~!!-~L~~!~~~sY. ............ -··-·············· §f~~~=~····¥.n~l'ff¥~4~-:~n~~~-~:; ....... _ ............................................. -..... :Y. .............................................................. g ..................... ~enng~l:v.sn.:~.a .... 15333 ................................. .. ~~~.E.~~ .... ~-~-~-2-~~Y.. ...................................................... Qi:ri~~.9.P.: ...... 7·8¥s-~·R1Y.9~l~~f.~~.1.. ................................. . ~~!?:~ .... r..2.~J~ ......................................................................... ~~u~g~t..e.r ........ f1-e.nt.~§~:B.B.!9 .... ~~.Q§.Q ................................. .. ~'!:Y.·.-~! .... ~-"':···!:~-"--<>-"--!<L ... ········ ·· · ~i'~~~-· ... l?.~nr~;~.Y.ag!i-:r.st:n.; ...... ··-············· -, .... Q .... g ........ Q.~-9-~ .... Y. .............................................................. =:t.ex ....... Er~S'5·1:~~~~~·e!~z.nn~rrrtea·; .... ·1lnd Edward Lozosky Son · wj thOtlt j s sue on February 13, 196 8 That deponent is over 21 years of age, resides at.. ........ 6l9. .... M9Jn .... $..~.~gg_1;,__,, ............................................. . ........ Jl~nt..J...gyyJJ.lg., ..... W.?..~.h.tng_~.9..n .... G.9.!J.n.~.Y.,. .... :r..~nD:!?.Y.lY..~mJ~., ............................................................... .. is a citizen of the United States and a resident of Pennsylvania, and respectfully applies for Letters of Administration upon the Estate of said decedent, no letters having been previously issued thereon. ,., Sworn and subscribed before me this ......... Y.'.0 ........ ;d.~ _f.~~~ ........................ . COMMONWEALTH OF PENNSYLVANIA } SS: WASHINGTON COUNTY, And now ......... ~~ ....... :~ ....... , 19 .... 6.8 .. , comes ......... BAB.RE.TT. ... G ....... GREENLE.E ...................... .. who being duly sworn doth depose and say that.. ...... h.~ ............... will well and truly administer the goods and chattels, rights and credits of.. ...................... MARY. ... RO.SE ... L.QZ.O.S.KY ................................................................ , deceased, to the best of...~~-~ ..... skill and judgment in strict compliance with the laws of this Commonwealth, mind- ful of the laws relating to inheritance taxes. Sworn and subscribed before me this ........ 2S2. ........ .. day of.. ........ :\9.~ .. : .................... , A. D., 19 ...... 6..8. .... . ..................... ~ ................. ~ .... 'b .. T ..... ~: ....................................... . ................. J.~ ... ~/7. ... ~ ...... .. ...td,4...1tdt..~~ ............................. .. REGISTER f ~-- ;) I· -r _,; 1/Y . ?;:l>.-77~ .. . ·Jl t 3-? Y-3:3 ~ { ... APPLICATION FOR ,, i Letters of Administration I j· I( .r.f.~ ESTATE OF i I I J ,, I r. l 1 I I ~ . ~ I i I {t I ~ l 'I rt . MARY ROSE LOZOSKY Deceased Letters.......................... . . R $ ............................. . ............................ Extra Al' t • P $ ........ 0.. ~ . . tas , / ············ .. •.•. :-· .· ...... $ ............................. . ~ -.; C '£' ---=-") r . $ ert1. tcate,:>,; ;.:..:· , . .;.·.: .... ~-·.. . ............................. - . . ·-c..) w i ' c.; r . ., /.. 11'-0 • ··--, t-"\ --RenunctatlQflS .. ·'· ........ $ ............. = ... . ···········-··-···~~ta·~·-······--G~---·········:··-·········· ..................... ~-~~-· .. ! ......... ~ .. ····.~· Total.. ........................ ?.:.·.:;;· ................... /.. .... : .................... .. ~ GREENLEE RICHMAN' DERRICO & POSA ., ..................... it .......................... ~ .................................................. . '1 Attorney ,, ~2 ~.-r!L ~ -t ::& I Q,c;--~;~p ~ C' ESTATE OF .................................... MA.R¥. ... :.R9..$..~ ... 1Q~.Q~.~X ............................................................................................................................. DECEASED The undersigned ................................................................................................................................................................................................ and heirs of.. ............................ MA.RY. .... RQ$..~ ... 1.QZ.Q.~.KX ............................. .late of .............. Ri.c.he.yyJ.l.l.~ .................. ~ ...................................... . deceased, hereby renounces .. t.heir. ....... right to administer on ..................... .her ................................................................ estate and respectfully asks that Letters of Administration be issued to ....... ~?.F..;:~_t!;: ..... Q.~ .... Q.;".~.~g!.~~ ......................... . ~D···············-·····-····-··········· Slll/1\ AO H31SID3H ON!~NW l13SSfW ::0 111 z c z 0 t1 Z : H IN L.c 83:1 r:3· -~ -0 z .. >• -~-- ;---· Estate of .. MARY .. ROSE ... LOZOSKY ..................... . late of . Borough ... of .. Cent.e.rvill~ Deceased KNOW ALL MEN BY THESE PRESENTS, ..... of 19 ........ . That we, ....... BA.RRETT. ... G. •.... G.Re~~n:~~---~=n):<i .. JIARJ~:F'9.@ .. !\.GGlJ~Er-r:r. .. ~.~---.P~J:>~~I'J:'X .. ..... C.O:MPANY ...... . ················································.····· ······························································································· all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl- vania, for the use of those interested in the estate, in the sum of .... One .. .Thousand ................. Dollars, to be paid to the said Commonwealth, to which payment, well and truly to be made, we do bind ourselves, ~j?i~t!y _ an_d severally!_l?r_a!!i. in -~h~hol!, ~ J!eir~,-_execut~s,_ ~dminj~trato!"s, _successors and _assigns, and __ each and every of them, firmly by these presents. Sealed with our seals and dated the ..... 4.3-:t:<:l day of . .Jr~P.:t:!J~~Y ........................ A. D., one thousand mne hundred and .... S.ixty."":".eight ... (1968) THE CONDITION OF THIS OBLIGATION IS, That if the above bounden ..... _ . -BARRETT ... G ..... GREENLEE ..................................................................................................................... _ ......... . Administrator or any of them, shall well and truly administer the estate according to law, this obligation shall be void as to those who shall so administer the estate; but otherwise, it shall remain in force. ..1J?..~4.t-~~~ ....... (SEAL) Barrett G. Greenlee the presence of: 'fiA'RTroRri···Ac·c'iriEm··i.Nti--tNI>~~~B~Y ~tutemrttt COMPA~. .. .................... : .................... (SEAL) -By .... J ..... · p·~·~&tt~k.. . . . . .. (SEAL) nf ~urA6 rney-in-Fact I, --------------------------------------------------------------------------------------------------------------· surety in the sum of $-----------------------------on the administration bond in the estate of -----------------------------------------------------------------------------------------· say that I reside at -----------------------------------:----------· Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in .............................................................................................. ______ , Washington County, Pennsylvania, wqrth above all encumbrances $ ________________________________________________ ; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. ·-----------------------------:---~--------.: ____________________________ --------------------------------- -------------------------------------------------------------------------------------------------- Street P.O. &tutemrttt nf ~urttn I, --------------------------------------------------------------------------------------------------------------------· surety in the sum of $-------------------------------on the administration bond in the estate of ----------------------------------------------------------------------------·-----------------------------------· say that I reside at ---------------------------------------------------------------------------------------· Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in .................................................................................................... , Washington County, Pennsylvania, worth above all encumbrances $------------------------------------------------; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. ··········-··········································---------············-············-································-· ·----------------------------------------------------------------------------------- Street P.O. COMMONWEALTH OF PENNSYLVANIA, } SS· WASHINGTON COUNTY, "' . And now ............. _______________ ............ 19 ............ , comes ............... -................................................................................................................. ______ _ who being duly sworn, says that he is acquainted with the financial standing of the securities to the within bond; that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this ------------------------------- day of ------------------------------------------------------------------------------------A.D. 19 _______ __ -------·-----------------------------------------------------------------·-------------------------- .I I • r ,. _, • 1 I 1 i ~ I L ,_,;. ~ .... tl -~;;,,<#77"4 l-3-I, [(. 3 3 " No .... 7.7~---------- i\~miuistrntinu 1inu~ IN THE ESTATE OF MARY ROSE LOZOSKY ~ (.) ., -; :::0 '1 And now .... f~)1~~~~~---?.7_ ___ i__i, 1 ~-~------ Bond appr6v~d and Letters-is~ued to ~. ·r-• .. ~ ;. r-"'-J r CJ-;,. "T,::::• r-~ BARRET1' G :ZGREENLEE ---------------------t=~---------:~----------o·---------------- (.1) ... _. who .. w.as ___ duly: ... iuallt:ie_d_. _____________ _ .:-... -------------------R-us.se-1-l---Mar.ino. ................. . Register Bond Book ------~--,;t.___________ Page 2./-f.. ' ' BADZIK PRINTING ~9 DONORA o. ; ,' Hartford Accident and Indemnity Company H A R T F 0 R D , CON N E C T I C U T 9 POWER OF ATTORNEY Know all men by these Presents, That the HARTFORD ACCIDENT AND INDEMNITY COMPANY, a corporation duly organized under the laws of the State of Connecticut, and having its principal office in the City of Hartford, County of Hartford, State of Connecticut, does hereby make, constitute and appoint J. P. REBARICK, of BENTLEMLLE, PENNSYLVANIA, its true and lawful Attorney(s)-in-fact, with full power and authority to each of said Attorney(s)-in-fact, if more than one is nam.ed above1 to sign, execute and acknowledge any and all bonds and undertakings on behalf of the company as I"Ol.LOVS • t • d i Bonds and undertakings conditioned for the faithful performance of du ~es an n pen- alties not exceeding the sum of ONE HUNDRED THOUSAND DOLLARS ($1001000.00) each, by administrators, executors, guardians, conservators, receivers, trustees ~d committees, also Masters, Referees, Trustees, Commissioners or Special Commissioners for the sale of real estate, required to be given by statute, order or decree of acy court ot the State of Pennsylvania or in the United ~tates District Court for said State, and by trustees and receivers in bankruptcy proceedings under the Bankrupt Act of the United States, ..,. Any ana all bonds and undertakings in penalties not exceeding the sum of TWENTY-l.IIVE THOUSAND OOLLARS ($25,000.00) each, on behalf of the Company in its business of guaranteeing the fidelity of persons holding places of public or private trust; guaranteeing the performance of contracts other than insurance poli- cies; guaranteeing the performance of insurance contracts where surety bonds are accepted by states or municipalities, and executing or guaranteeing bond£ and under- takings required or permitted in all actions or proceedings or by lav allowed, and to bind the HARTFORD ACCIDENT AND INDEMNITY COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the HARTFORD ACCIDENT AND INDEMNITY COMPANY and sealed and attested by one other of such officers, and hereby ratifies and confirms all that its said Attorney(s)-in-fact may do in pursuance hereof. This power of attorney is granted under and by authority of the following By-Law adopted by the Stockholders of the HARTFORD ACCIDENT AND INDEMNITY COMPANY at a meeting duly called and held on the lOth day of February, 1943. ARTICLE IV SECTION 8. The President or any Vice-President, acting with any Secretary or Assistant Secretary, shall have power and authority to appoint, for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, one or more Resident Vice-Presidents, Resident Assistant Secretaries and Attorneys-in-fact and at any time to remove any such Resident Vice-President, Resident Assistant Secretary, or Attorney-in-fact, and revoke the power and authority given to him. SECTION 11. Attorneys-in-fact shall have power and authority, subject to the terms and limitations of the power of attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Company thereto any and all bonds and undertakings, and other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney-in-fact shall be as binding upon the Company as if signed by an Executive Officer and sealed and attested by one other of such Officers. This power of attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Directors of the HARTFORD ACCIDENT AND INDEMNITY COMPANY at a meeting duly called and held on the 13th day of March, 1956. RESOLVED, that, whereas the President or any Vice-President, acting with any Secretary or Assistant Secretary, has the power and authority to appoint by a power of attorney, for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, one or more Resident Vice-Presidents, Assistant Secretaries and Attorneys-in-fact; Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. In Witness Whereof, the HARTFORD ACCIDENT AND INDEMNITY COMPANY has caused these presents to be signed by its Vice-President, and its corporate seal to be hereto affixed, duly attested by its Secretary, this 3rd day of March, 1966. Attest: HARTFORD ACCIDENT AND INDEMNITY COMPANY STATE OF CONNECTICUT, COUNTY OF HARTFORD, Secretary ) ss. Vice-President On this 3rd day of March, A: D. 1966, before me personally came C. M: O'Dowd, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Vice-President of the HARTFORD ACCIDENT AND INDEMNITY COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order. · STATE OF CONNECTICUT, ) · ss. Notary Public COUNTY OF HARTFORD, CERTIFICATE My commission expires March 31, 1967 I, the undersigned, Assistant Secretary of the HARTFORD ACCIDENT AND INDEMNITY COMPANY, a Connecticut Corporation, DO HEREBY CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force arid has not been revoked; and furthermore, that Article IV, Sections 8 and 11, of the By-Laws of the Com- pany, and the Resolution of the Board of Directors, set forth in the Power of Attorney, is now in force. Signed and sealed at the City of Hartford. Dated the 23rd day of February 68 Form S-3506-4 Printed in U. S. A. 2-'66 Assistant Secretary Affi~auit ®f 1fxrrutnr ®r Abministratnr f;tntr nf Jruuaylunuin. t ss: C!tnuuty nf Bna}Jiugtnu \ p n b f h d · d h · Notarv Public · d f ·d ersona y e ore me, t .e un ers1gne aut or1ty, a ............................... I! ................................................... In an or sru. County and State, appeared .................... ~ml'.'! .... G . ., .... G.RJ;;~N:ft.~ ................................................. who, being duly sworn according· to law, deposes and says that he is the~ administrator of the estate of ....... MARX. ... RQ~~ ... ~Q?..Q~Jq~· .......................................................... deceased, that the foregoing schedules constitute a ~omplete inventory and appraisement of the real and personal estate of.. .. MA~X .... ~.Q§~ .... ~.Q~Q§.~X ........... , 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 ~ Admin~. Swor;~-~d Jf.bs~ribed before me this.i?..$... ...... :... l /2 _d_d /l / day!_/5.~·n;· ...... 19§.§ ... ~ .... ·.~L~~ .......... . :;t~~~~~'···n, · asg!B·-~:;~~·(ti·iNs¥~~~~~~; G. Greenlee 1. An inventory mus e pointment 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: eluding 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 .1Juurutnry aub 1\pprai.a.rm.rut of the goods and chattels, rights and credits which were of ...... MA.RY ... RO.SE ... LO.Z.QSKY ................................. Jate of ..... B.Q.t:9..Y&h .... Qf .... C..~nt..~~Y..~ll.~ ............... .. Washington County, Pa., taken and made in conformity with the above affidavit. DOLLARS CENTS REAL ESTATE: 1. ALL that certain lot or parcel of ground situate in Centerville Borough, Washington County, Pennsylvania, and being part of Lot No. 5 in the Rosefield Plan of Lots, as more fully described in the deed of Jacob Rosenfield et ux. to Walter Lozosky, Sr. et ux., dated-July 8, 1941, and recorded in the Recorder's Office of Washington County, Penn· sylvania, in Deed Book 647, Page 272. 2. ALL that certain tract of land being a part of Rosefield Plan of Lots in Centerville Borough, Washington County, Pennsylvania, and being a part of Lot No. 6 and the back part of Lots Nos. 5 and 6 and also a strip of land bordering I on the back part of Lots Nos. 5 and 6, and as more fully described in the deed of Jacob Rosenfield et ux. to Walter Lozosky et ux., dated October 16, 1944, and recorded in said Recorder's Office in Deed Book 744, Page 542. 5,500 00 PERSONAL PROPERTY: 1. Savings Account, Gallatin National Bank, Brownsville, Pennsylvania TOTAL ASSETS OF THE ESTATE 2.305 32 7_1805 32 /. b~-b J -:-5~-6 No. 2224 Inventory and Appraisement IN THE ESTATE OF MARY ROSE LOZOSKY, deceased ........................................................................................................ Filed .................................................................. , 19 .......... . ,_, (· ' < ' t,.__J -,.., _.. i" ,:;') f 1 ::G -; (, ') p q "' ' .. ~, L:.J , __ "·-I "i"1~" -----"' ~ :...::~ J I : r-~-: --! ~~-:) '·. 0 C) .. .::::,. 1\.) GREENLEE, RICHMAN, DERRICO & POSA ATTORNEYS AT LAW WASHINGTON TRUST BUILDING WASHINGTON, PENNA. -: . ST;;::,:); ':'JS/D?::J o::!:_:'f:.i T;jSSn~; /_ ;:; ~ (; ~·~'d C' i' . " i. .11 c: :::: (! :-; .. i \..., . I J - ADDITIONAL BOND Estate of .• :t1A...~X .. ~q~~ ... ~9?:.9.$~¥. .................... . late of Borough. o.f Centerville, Deceased KNOW ALL MEN BY THESE PRESENTS, } No .. 63-68~~~ ... Tha~ we, .......... BARRETT .. G ...... GREENLEE .... ~:n.g ................ . . . . Ha.r.t.f or d .. Acc.i.de.n t .. and .. .I.ndemni ty .... Company .......................................................................... . all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsyl- vania, for the use of those interested in the estate, in the sum of ... $:i.~ ... 'J:'.q..C?ll..S. ~11:~ ................. Dollars, to be paid to the said Commonwealth, to which payment, well and truly to be made, we do bind ourselves, --jointly-and s;verally, for and in the· whole; our heirs, executors, administrators, successors and 'assigns, ari'd' each and every of them, firmly by these presents. Sealed with our seals and dated the . .9th .... day of .P.€lQ.€lm.P..€lr. .............................. A. D., one thousand nine hundred and . .S.ixty~.~Jgh..t; ... (l.9~.a.l THE CONDITION OF THIS OBLIGATION IS, That if the above bounden .................... . ......... B.AM~J.J. .. .G..~ ... .G~.J;;~~~-; ......................................................................................................... . Administrator the estate according to law, this obligation shall be void as otherwise, it shall remain in force. Sealed and delivered in the presence of: ---~~: ______ _ or any of them, shall well and truly administer to those who shall so administer the estate; but ~~b!(SEAL) ........................................................................ (SEAL) .. Ha.r.t.f.ord ... Ac.c.i.d.ent ... and .. In . .. (SEAL) .. (SEAL) -/ n o. Mitchell, Attorney-in-Fact rtu I, -----------------------------------------------------------------------------------.-----------------------------------------· surety in the sum of $--------------------------------on the administration bond in the estate of ----------------------------------------·---------------------------------------------------------------------· say that I reside at --------------------------------------··----------------------------, Washington County, Pennsylvania; that I am the owner of real estate, the title to which is in my own name and duly recorded, situated in .................................................................................................... , Washington County, Pennsylvania, worth above all encumbrances $ ................................................ ; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. ---------------------------------------------------------------------------------------------------------- c I ------------------------------------------------------. ------------·------------------------·, Street P.O. &tatrmrut nf ~urtty I, --------------------------------------------------------------------------------------------------''--------------· surety in the sum of $ .............................. on the administration bond in the estate of --------------------------------------------------------------------------------------------------------------------· say that I reside at· ---------------------------------------------------------------------------------------· Washington County,· Pennsylvania; that I am the owner of real estate, the title to which is. in my own name and duly recorded, situated in .................................................................................................... , Washington County, Pennsylvania, worth above all encumbrances $ ................................................ ; and that I am worth the amount expressed in said bond, over and above my just debts and liabilities. ·································-·········-···-··························-·············································· -~------------------------------------------------------------------------------ Street P.O. COMMONWEALTH OF PENNSYLVANIA, } SS· WASHINGTON COUNTY, ..., . And now ......... ,.............................. 19 ............ , comes ....................................................................................................................................... . who being duly sworn, says that he is acquainted with the financial standing of the securities to the within bond; that ~ the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this ------------------------------ day of .................................................................................... A.D. 19 ........ .. --·------------------------------------------------------------------------------------------------- r. ,,.. 71~ .) No .. ~.J:-:~J~:::JJ6 --~ ADDITIONAL BOND 1\~miuintratinu 1Bnu~ IN THE ESTATE OF \ ·~-___ Rx __ gg_~~--~Q~Q~-~rc-ea·s-ecr-·· ·· \ \ I A~ now ----------------------------------------, 19 ......... . Bond approved and Letters issued to :0 -'J r· ~) ·- j ' rl 1...) '- ______________________ .; ____ -------------~---------------------------------- Bond Book i -: . r--cj (/) &~ ~ ··" iJ .. w l:.) ·---------·----------------- • : r c:j Register Page 2-/£ GREENLEE, RICHMAN, DERRICO & POSA ATTORNEYS AT LAW WASHINGTON TRUST BUILDING WASHINGTON, PENNA. ..f ,. ~~ . ~--· • ..... ' ~ p l· Hartford Accident and Indemnity Company HARTFORD, CONNECTICUT POWER OF ATTORNEY Know all men by these Presents, That the HARTFORD ACCIDENT AND INDEMNITY COMPANY, a corporation duly organized under the laws of the State of Connecticut, and having its principal office in the City of Hartford, County of Hartford, State of Connecticut, does hereby make, constitute and appoint RICHARD H. ACKERMAN, PAUL J. CONNELLY, J. W. CUSHNER, ROBERT F. LLOYD, JOHN 0. MITCHELL, M. E.MURPHY, and DONALD J. WELTON, of PITTSBURGH, PENNSYLVANIA, its true and lawful Attorney(s)-in-fact, with full power and authority to each of said Attorney(s)-in-fact, in their separate capacity if more than one is named above, to sign, execute and acknowledge any and all bonds and undertakings and · other writings obligatory in the nature thereof on behalf of the company in its business of guaranteeing the fidelity of persons holding places of public or private trust; guaranteeing the performance of contracts other than insurance policies; guaranteeing the performance of insurance contracts where surety bonds are accepted by states and municipalities, and executing or guaranteeing bonds and undertakings required or permitted in all actions or proceedings or by law allowed. ..... --------------"- and to bind the HARTFORD ACCIDENT AND INDEMNITY COMPANY thereby as fully and to the same extent as if such bonds and undertakings and other writings obligatory in the nature thereof were signed by an Executive Officer of the HARTFORD ACCIDENT AND INDEMNITY COMPANY and sealed and attested by one other of such officers, and hereby ratifies and confirms all that its said Attorney(s)-in-fact may do in pursuance hereof. This power of attorney is granted under and by authority of the following By-Law adopted by the Stockholders of the HARTFORD .ACCIDENT AND INDEMNITY COMPANY at a meeting duly called and held on the lOth day o'f February, 1943. ARTICLE IV SECTION 8.. The President or any Vice-President, acting with any Secretary or Assistant Secretary, shall have power and authority to appoint, for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, one or more Resident Vice-Presidents, Resident Assistant Secretaries and Attorneys-in-fact and at any time to remove any such Resident Vice-President, Resident Assistant Secretary, or Attorney-in-fact, and revoke the power and authority given to him. SECTION 11. Attorneys-in-fact shall have power and authority, subject to the terms and limitations of the power of attorney issued to them, to execute and deliver on behalf of the Company and to attach the seal of the Company thereto any and all bonds and undertakings, and other writings obligatory in the nature thereof, and any such instrument executed by any such Attorney-in-fact shall be as binding upon the Company as if signed by an Executive Officer and sealed and attested by one other of such Officers. This power of attorney is signed and sealed by facsimile under and by the authority of the following Resolution adopted by the Directors of the HARTFORD ACCIDENT AND INDEMNITY COMPANY at a meeting duly called and held on the 13th day of March, 1956. RESOLVED, that, whereas the President or any Vice-President, acting with any Secretary or Assistant Secretary, has the power and authority to appoint by a power of attorney, for purposes only of executing and attesting bonds and undertakings and other writings obligatory in the nature thereof, one or more Resident Vice-Presidents, Assistant Secretaries and Attorneys-in-fact; Now therefore the signatures of such officers and the seal of the Company may be affixed to any such power of attorney or to any certificate relating thereto by facsimile, and any such power of attorney or certificate bearing such facsimile signatures or facsimile seal shall be valid and binding upon the Company and any such power so executed and certified by facsimile signatures and facsimile seal shall be valid and binding upon the Company in the future with respect to any bond or undertaking to which it is attached. In Witness Whereof, the HARTFORD ACCIDENT AND INDEMNITY COMPANY has caused these presents to be signed by its Vice-President, and its corporate seal to be hereto affixed, duly attested by its Secretary, this 17th day of January, 1968. Attest: HARTFORD ACCIDENT AND INDEMNITY COMPANY Secretary ,----OLf~....-.. ~, ~· Vice President STATE OF CONNECTICUT, COUNTY OF HARTFORD, On this 17th day of January, A. D. 1968, before me personally came John F. Beardsley, to me known, who being by me duly sworn, did depose and say: that he resides in the County of Hartford, State of Connecticut; that he is the Vice- President of the HARTFORD ACCIDENT AND INDEMNITY COMPANY, the corporation described in and which executed the above instrument; that he knows the seal of the said corporation; that the seal affixed to the said instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation and that he signed his name thereto by like order. STATE OF CONNECTICUT, ) SS. Notary Public COUNTY OF HARTFORD, CERTIFICATE My commission expires March 31, 1972 I, the undersigned, Assistant Secretary of the HARTFORD ACCIDENT AND INDEMNITY COMPANY, a Connecticut Corporation, DO HEREBY CERTIFY that the foregoing and attached POWER OF ATTORNEY remains in full force and has not been revoked; and furthermore, that Article IV, Sections 8 and 11, of the By-Laws of the Com- pany, and the Resolution of the Board of Directors, set forth in the Power of Attorney, is now in force. Signed and sealed at the City of Hartford. Dated the 9th day C?f December Form S-3507-6 Printed in U.S. A. 2-'68 Assistant Secretary ~~------~~--~-~ arnutmnuwraltq of Jruusyluauia.? !l!l. D!Janqiugtnu QJnuuty. ) 1, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, to Barrett G. Gref:nlee admifiistr a tor of all and singular the goods and chattels, tights, and credits, which were of lVlary Rose Lozosky late of Washington County, deceased, GREETING: WHEREAS, the said Mary Rose Lozosky late of Borough of Centerville in the county aforesaid, lately died' intestate (as is affirmed), possessed of divers goods and chattels, rights and credits, within the said County, Russell Marino by reason whereof the power of granting administration thereof doth belong to me; I therefore, confiding in your fidelity, do by these presents grant unto you these LETTERS OF ADMINISTRATION, here- by committing unto you full power to administer the goods and chattels, rights and credits, which were of said deceased within this Commonwealth, you having taken and subscribed the oath of office pre- scribed by law; requiring you to well and truly administer the goods and chattels, rights and credits, which were of said deceased, and to exhibit a true and perfect inventory thereof into the Register's office, at Washington, within ninety days, and to rerider a just and true account of your administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws relating to inheritance taxes. IN TESTIMONY WHEREOF, I have hereunto set my hand and caused the seal of said Office to be affixed this 27th. day of February in the year of our Lord one thousand nine hundred and Sixty Eight n ~#A ~ ... !.~ ................ ~ ................ . JOSE!I?DI:~ Register. ; ~ ; i if ~ .., t I 1: l'1 .-c ~ 1.0 I ~ "'""' t;ll C'' !~ z t:l ·' • . lO M ...-t\ C'J !f'> I :c. en >- 0 ~_J j!D ~ :·~..! I . .,-~~.~ lt-t ~ t::Y . 1 c: lO a I.e ! ~·C> lt-'1 -· I " ' :o 0 = _.-...... -· t=~ :~ ito ~ 'i"-i -· ~til ~ =~ t;ll ~ ... ::.:· :!:f i .-c " ~· .. ·1 i ~ -J c..;: I ~ 1 ... -· i t:l : = r:~ .. -· .~ -· ,,-j IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF MARY ) ) ) No. ROSE LOZOSKY, DECEASED. PETITION TO FIX THE AMOUNT OF BOND IN THE SALE OF REAL ESTATE UNDER PROVISIONS OF SECTION 541 OF THE FIDUCIARIES ACT OF 1949 TO THE HONORABLE P. V. MARINO, PRESIDENT JUDGE OF SAID COURT: The Petition of Barrett G. Greenlee, Administrator of the Estate of Mary Rose Lozosky, deceased, respectfully represents: 1. Mary Rose Lozosky, late resident of Richeyville, Washington County, Pennsylvania, died intestate on December 24, 1967. 2. Letters of Administration were awarded to your petitioner by the Register of Wills of Washington County, Penn- sylvania on February 27, 1968. 3. The said decedent died seized of the following described real estate which is the subject of this Petition: TRACT NO. 1: ALL that certain lot or parcel of ground situate in Centerville Borough and being part of Lot No. 5 in the Rosefield Plan of Lots, as more fully described in the deed of Jacob Rosenfield et ux. to Walter Lozosky, Sr. et ux.~ dated July 8, 1941, and recorded in the Recorder's Ofxice of Washington County, Pennsylvania, in Deed Book 647, Page 272. TRACT NO. 2: ALL that certain tract of land being a part of the Rosefield Plan of Lots in Centerville Borough, Washington County, Pennsylvania, and being a part of Lot No. _ 6 and the back part of Lots Nos. 5 and 6 and also a strip of land bordering on the back part of Lots Nos. 5 and 6, and as more fully described in the deed of Jacob Rosenfield et ux. to Walter Lozosky et ux., dated October 16, 1944, and recorded in said Recorder's Office in Deed Book 744, Page 542. EXCEPTING AND RESERVING AND SUBJECT TO, as to all of the above described tracts, the exceptions, reservations, prior conveyances and restrictions as set forth in the above recited deeds and other deeds in the chain of title. 4. Decedent died seized of no other real estate, but left personalty to the value of Two Thousand Three Hundred Five and 32/100 ($2,305.32) Dollars consisting of a savings account in the Gallatin National Bank, Brownsville, Pennsylvania, in said amount. 5. Attached hereto and made a part hereof, and designated as Exhibit "A", are the affidavits of two (2) respon- sible persons familiar with real estate values in said area, as to the fair market value of said premises. 6. Attached hereto and made a part hereof, and designated as Exhibit 11B11 , is the assessment certificate of the Board for the Assessment and Revision of Taxes for Washington County, Pennsylvania, showing the present assessed value of said premises. 7. The said real estate has been valued for Inventory purposes in the estate at Five Thousand Five Hundred and No/100 ($5,500.00) Dollars, but due to depreciation and deterioration of the property, the offered price of Five Thousand and No/100 ($5,000.00) Dollars, a.s set forth in the attached Agreement between Barrett G. Greenlee, Administrator of the Estate of Mary Rose Lozosky, deceased, and George R. Hagedorn and Patricia -2- Hagedorn, his wife, dated November 26, 1968, and herein designate as Exhibit "C", is a fair and full price for the subject real estate and a better price, in the opinion of your petitioner, than can be obtained at public sale. 8. At the time your petitioner was awarded Letters of Administration, he filed a Bond in the amount of One Thousand and No/100 ($1,000.00) Dollars with Hartford Accident and Indemnity Company as surety, dated February 23, 1968. WHEREFORE, your petitioner prays your Honorable Court to fix such additional bond as it may require of your petitioner as Administrator, prior to completing such sale, in accordance with the provisions of the Fiduciaries Act of 1949, Section 541, as amended. Barrett G. Greenlee, Petitioner GREENLEE, RICHMAN, DERRICO & POSA -3- COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF WASHINGTON ) Before me, the undersigned authority, personally appeared BARRETT G. GREENLEE, Administrator of the Estate of Mary Rose Lozosky, deceased, who, being duly sworn according to law, deposes and says that the facts set forth in the foregoing Petition are true and correct to the best of his personal infor- mation, knowledge and belief. Barrett G. Greenlee SWORN to and subscribed before me -4- ,. • J • • I ' • EXHIBIT "A" COMMONWEALTH OF PENNSYLVANIA } ) SS: COUNTY OF WASHINGTON ) Before me, the undersigned authority, personally appeared B. A. S ICCHITANO and A • J • POWERS ----~~~~~------------ who, being duly sworn according to law, depose and say that they are acquainted with the premises described in the within Petition in the Estate of Mary Rose Lozosky, deceased, that they are acquainted with the value of real estate in this particular vicinity of Centerville Borough, Washington County, Pennsylvania., that they have inspected these premises and are of the opinion that the sum of Five Thousand and No/100 ($5,000.00) Dollars is a full and fair price for the same and under all circumstances a better price than can be obtained at public sale; and, further, that they are not personally interested in the proposed sale. SWORN to and subscribed before me Notary Public -Washingto , Washington County, Pennsylvania. Notary Public, Bentleyyille, Washington C If.)( Commission Explrt:s July 28, 1959 °' My Commission Expires: -·' ,! i\ssrssmrnt arrrttftrntt WASHINGTON COUNTY, PENNSYLVANIA OFFICE OF THE BOARD FOR THE ASSESSMENT AND REVISION OF TAXES Washington, Pa.DE...----2:, _________________ 19 .. 6.8- This is to certify that the following is a full, true and correct transcript of the assessment of property taxable for county purposes, as shown by the books of records in this office, at the above date, for the tax ' year 19 69 , as.sessed in the district of CENTERVILLE 4th WARD in the name of LOZOSKY, MARY ESTATE Box 609, RICHEYVILLE, PA. 15358 A-l~STY FRAME HOUSE LOT 5-60X200 15-2-e DB 647-275 6 B-LOT &. STRIP 10Xl00 ROSEFIELD PL-6-56 15-2-9 DB 647-272 , __ , .· tno. 360. 1,170. = 240. BOARD FOR THE ASSESSMENT By ~ ~N OF TAXES 1.' Chief Assessor. • <SEAL) EXH IB IT "B II i .,_.~, ~ FORM NO. 16A (196~) REAL. PROPERTY AGREEMENT ( SH'\RT FORM) Made the 26th· I . Wqia 1\grrrment day of 'November 19 68 i Betvyeen BARRETT G. GREENLEE, Administrator of the Estate of Mary Rose Lozosky, deceased, ' (hereinafter called "Seller") and GEQRGE R. HAGEDORl~ and PATRICIA HAGEDORN, his wife, (hereinafter called "Buyer"), i Wlrr'NESSETH, that for the consideration hereinafter set forth and intending to be legally bound the Seller and BuY;er mutually agree as follows: / l. Seller agrees to sell and convey to buyer on or before December 10, 1968, ~ by fiduciary special warranty deed in fee simple absolute, clear of all mortgages, judgment liens and tax liens and other encumbrances affecting its marketability (except as hereinafter set forth) all the real property desc,ribed in Paragraph 7 hereof. 2. Buyer agrees to purchase said real property and to pay Seller therefor the sum of Five Thousand and No/100----:-----------------($5,000.00 ) Dollars as. follows: One Hundred and No/100 ($100.00) Dollars upon the execution of this Agreement, and the balance of Four Thousand Nine Hundred and No/100 ($4,900.00) Dollars upon delivery of the deed. 3. Possession shall be given on or about December 10, 19 68 , and settlement shall be made at the office of Seller's attorney on or about Dec. 10,19 68. ~ 4. At settlement Seller shall pay for or be charged with the cost of all federal documentary taxes and state and local realty transfer taxes payable upon this transaction, but real estate taxes for year of settlement, sewer: charges and rents and royalties shall be prorated on a calendar year basis between Seller and Buyer as of date of delivery of possession of the premises; except as hereinafter set forth: 5. From and after the date of this agreement, insurance shall be provided and paid for as follows: Seller shall keep the premises insured against fire and other hazards u~til delivery of the deed at which time the Buyer shall become responsible for insurance coverage. 6~ Time is of the essence of this Agreement. 7. The real property which is the subject of this Agreement is described as follows: TRACT NO. 1: ALL that certain lot or parcel of ground situate in Centerville Borough and being part of Lot No. 5 in the Rosefield Plan of Lots, as more fully described in the deed of Jacob Rosenfield et ux. to Walter Lozosky, Sr. et ux., dated July 8, 1941, and recorded in the Recorder's Office of Washington County, Pennsylvania, in Deed Book 647, Page 272. TRACT NOo 2: ALL that certain tract of land being a part of the Rosefield Plan of Lots in Centerville Borough, Washington County, Pennsyl- vania, and being a part of Lot No. 6 and the back part of Lots Nos. 5 and 6 and also a strip of land bordering on the back part of Lots Nos. 5-and 6, and as more fully described in the deed of Jacob Rosenfield et ux. to ~tJalter Lozosky et ·ux., dated October 16 '· 1944, and recorded in said Recorder 1's Office in Deed Book 744, Page 542. EXCEPTING AND RESERVING AND SUBJECT TO, as to all of the above described tracts, the exceptions, reservations, prior conveyances and restrictions as set forth in the above recited deeds and other deeds in the chain of title. : .!. . EXHIBIT "C" 8. If Buyer defaults in payment or performance for thirty days, Seller may, at Seller's election use one or more of the following remedies in addition to or instead of any other remedies provided by law: (a) rescind tliis ·agreement and retain all sums paid on account hereof as liquidated damages, in wliich case Seller shall retain title. to the real estate free and clear of. any obligation or duty. to Buyer and Buyer . shall surre~der this Agreement for cancellation; · · · · · · (b) eject Buyer from said real estate, for which purpose Buyer hereby authorizes any attorney of any Court of Record to appear fo·r Buyer and confess judgment against Buyer in an amicable action of ejectment, with immediate writ for possession of the real estate and for damages, to include attorney's commission of fiVe o/o or $ and costs, hereby waiving stay of execution, exemption and inquisition, with release of all "errors; · .<c) affirm this agreemen1: by ·delivery· ·of deed to Buyer, dedare all sums due hereunder to be , forthwith due and payable, and cause judgment to be entered·'therefor, ·for which. purpose Buyer hereby authorizes and empowers any attorney of any Court of Record to appear for Buyer and confess judgment against Buyer for the whole balance due, together with intere.st; attorney's commission of five o/o or $ ·· , and costs, and hereby agrees to immediate ·execution thereon, waiving stay of execution, exemption and inquisition, with re- lease of all errors. · · 9. The Buyer agrees not to record this Agreement and recording by the Buyer shall constitute a breach . thereof. I 10. This Agreement shall extend to and benefit and bind the heirs, executors, administrators, successors and assigns of the parties. Whenever used herein, the singular number shall include the plural, the plural the singular and the use of any gender shall include all genders. NOTICE'-THIS DOCUMENT MAY NOT SELL, CONVEY, TRANSFER, INCLUDE OR INSURE THE TITLE TO THE COAL AND RIGHT OF SUPPORT UNDERNEATH THE SURFACE LAND DESCRIBED OR REFERRED TO HEREIN, AND THE OWNER OR OWNERS OF SUCH COAL MAY HAVE THE COMPLETE LEGAL RIGHT TO REMOVE ALL OF SUCH COAL AND, IN THAT CONNECTION, DAMAGE MAY RESULT TO THE SURFACE OF THE LAND AND ANY HOUSE, BUILD- ING OR OTHER STRUCTURE ON OR IN SUCH LAND.I{ioM~"·H~Ile"li"!;o•e'M'•fa~·..fit•.n."'JJ•'IM.r.'tlf.'f-N\tNM.o~"S\tMA•..L.•e'f.•it.!! ~~r.'tr-•a'f.a•if'l!<f•/•'Irl!:t•!r§ffp'::.._'V,u't.!J~·'f;~') THE INCLUSION OF THIS NOTICE DOES NOT ENLARGE, RESTRICT OR MODIFY ANY LEGAL RIGHTS OR ~STATES OTHERWISE CREATED, TRANSFERRED, EXCEPTED OR RESERVED BY THIS INSTRU-MENT. (This notice is set forth pursuant to Act No. 255, approved September 10, 1965.) WITNESS the due execution hereof the day and year~-"' :bove written. h ·Jfu"lf~~e~~{. __ ............ (SEAL) .f.\9..~.~.~.~~.~.;?.§.~9..E .... 9..~ .... ~.!:;.~ ..... ~.?..~.~E.~ (SEAL) of Mary Rose Lozosky, deceased .WHNfSSim BY: ................................................................................................... (SEAL) · .. Gs~&.~uR .... ~ ..... ~l£'-1.1-&L.~(SEAL) ~~ge • , ~lflgeaorn . . . . . . i~a~a.r.~~~~.a&d. ........................ (SEAL) ................................ ;~ ............... : ....................... ~ ...... ~ ....................................... . ........................................................................................................................ .. . ................................................................................................... (SEAL) .. ' .. IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN RE: ESTATE OF MARY ROSE LOZOSKY, DECEASED. ) ) ) DECREE No. AND NOW, ~-..cl.c j--: 1968, upon presentation of the foregoing Petition by Barrett G. Greenlee, Administrator of the Estate of Mary Rose Lozosky, deceased, and upon motion of Greenlee, Richman, Derrico & Posa, Attorneys for the Estate, IT IS HEREBY ORDERED AND DECREED that Barrett G. Greenlee, Administrator, aforesaid, shall file an additional bond I' <:.::>6 in the amount of $ 1-, (.}-efT$, ;::::::::::::;-, with the same surety who / posted the original bond, or with.such other surety as may be approved by the Register of Wills, and upon entry of the same, the said Barrett G. Greenlee, Administrator, is authorized to receive the proceeds of the sale of real estate referred to in the Petition. By(~~1 \ STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~-SS: The wirhin named Accountant being duly sworn according to law, depose sand say Sthat the above account as stated is true and correct as _______________ )J.~-----------------------verily bel ieve.S • o23d Sworn and subscribed before me this _____________________ _ day of.#~----------------------19 .. ~-~-----?~~~~ B·arret:·t:-·c·~---m:.-eenlee·------------------------- No~~~s~--- washington County' Pennsylvania Es~ha LaJo Stitele~ Notary Public. washington. Washmgton Co. My Commission Expires: My commission Expires September 4, 197~ Warshington County, ss: --- ; ... 0 Q! +-' Jl:li ~ ::l en: 0 C.) C.) 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 theceof Hied to No ... JL26:/!.-g . ./.tJ .. ~J! Witness my hand and official •seal this.~---------------- dayof .. ~~------------------------------19.4:C: ------~---~~ Register of Wills - ~ ..., ... " 0 ~·-Q lb Q) :,.. ,d +-' ~: ~l. ~ 0 u: +-' Jl:l! "" Qi .; Q) +-' Jl:l! ~ ~ -\ LJ Q) Jl:l! IX. "' '<'\) ~ 0 >t: r-li !lEi -Q) ... ~ ~i cu: b-· I'>< :~ ": E-< en: ~i Jl;l: +-' ~ ~ 0! •.-f: Jl:li ~! ::l E-< N: ~! ~: 0 c:J.; 00 o: c: Oi l ~ .; I ~J {1)?~ ~ I i Jj:l "'i ;. ..... -•.J .J . ....:lj H ' . '· ~~ ~! .: ~\ ··:1 ~ l ~ Jl:l! Cj :a cu: .._; ~ ~ ~: en: E-t! H ,..,., ,_ ......... , ' . -~ ~ ~! .j..Ji en: r • --I /_ ~ :·:) -0 ~ Mi til! f-4! 1-f: cz_::.. ' -'I 0 +-' Q) I ..... ~ ·-· I 4-~-..:.) ~ $.1! Jl:l! Z! ~ t'J >ti •.-f: ~: 1-f: 0 ~: ~i ~! a: ~ tt "" ~ 0 ~\ <! ~ ,-; ... z ~: <' ~ 0 .-1 ... "\. ~-.~ ' ' !' ' ' i ' _J '-' ..,.. ' ...... '-' .. .... ·---· -- ---1 -------------------- - ... ~ . -· ' ' _, The Court is respectfully r proper distribution in this ~ et:ermine Counsel for Accountant DATE 1968 Feb. 23 Feb. 27 March 11 Sept. 4 Oct. 12 0' 0 0. IN THE ORPHANS 1 COURT OF WASHINGTON COUNTY, PENNSYLVANIA IN THE ESTATE OF ) MARY ROS~ LOZOSKY, DECEASED ~ No. 3 3 ~ ) of 1968, ~. ) FIRST AND FINAL ACCOUNT OF BARRETT G. GREENLEE, ADMINISTRATOR I. ASSETS OF THE ESTATE A. PERSONALTY: Per Inventory filed October 23, 1968 Total Personalty B. REALTY: Per Inventory filed $2,305.32 October 23, 1968 5,500.00 $2,305.32 Total Realty 5,500.00 TOTAL ASSETS $7,805.32 II. DISBURSEMENTS: PAYEE PURPOSE AMOUNT Russell Marino, Register of Wills Probate Will $ 10.00 Washington County Reports Advertise Letters 12.50 Observer Publishing Company Advertise Letters 12.50 Russell Marino, Register of Wills 1 Short Certificate 1.00 Vincent Karolewics, Tax 1968 Borough and Collector School Taxes 103.06 DATE 1968 Oct. 12 Oct. 12 Oct. 12 Oct. 12 Oct. 12 Oct. 12 Oct. 12 Oct. 12 Oct. 12 Oct. 12 Oct. 12 I , Oct. 23 Oct. 23 Oct. 23 .. :...-. II. DISBURSEMENTS: PAYEE Malcoln L. Morgan, County Treasurer B. A. Sicchitano Bentleyville Courier Pagac Sanitation Theodore Lozosky Benjamin Skroba.cs J. P. Rebarick Michael Lozosky Barrett G. Greenlee Barrett G. Greenlee Greenlee, Richman, Derrico & Posa Russeihl Marino, Register of Wills Russell Marino, Register of Wills Russell Marino, Agent TOTAL DISBURSEMENTS PURPOSE AMOUNT 1968 County Tax $ 24.81 Property Appraisal 25.00 Advertise sale of property 1.26 Garbage bill 26.25 Maintenance work done to real estate 177.36 Hauling 28.00 Administration Bond Premium 10.00 Reimbursement for payment of the fol- lowing: West Penn Power Company bill ($9.57); Gas bill ($2.55); Gas Bill ($3.89); and one load of oil ($43.21) 59.22 Administrator's commission 418.00 Reimbursement for payment of telephone calls and advertise- ment of sale of real estate in Brownsville newspaper Counsel Fee File Inventory File Account Payment on Pennsylvania Inheritance Tax 12.98 491.00 9.00 17.00 315.00 $1,753.94 -2- TOTAL ASSETS OF THE ESTATE TOTAL DISBURSEMENTS SUMMARY BALANCE FOR DISTRIBUTION -3- $7,805.32 1,753.94 $6,051.38 W ashingfon County Reports ft:beO;!;tT~I*~~ 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 W ABHINGTON) STATE OF PENNSYLVANIA ( SS. Personally appeared before me, a Notary Public in and for said County and Commonwealth, CHARLES C. KELLER, who, being duly sworn, deposes and says: that he is the Editor of the WASHINGTON COUNTY REPORTS, the official legal periodical for said Washington County, published weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in this behalf; that the said WASHINGTON COL'NTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts ol said County, dated November 11, 1920; that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: ............ ~~J?.;:g.~_:fY ... ?..9..t ... J9..§JL ....................... . ........... J.:!a:r:ch ... 7.,. ... 14.,. ... 1.9.6.8 ......................... .. 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 allegations of <hi• '"""'' u "rJf;;~re~:l'h'7P <h;j~~t~; · ................................... I ................... U.. ...... -.-~ Sworn to and sub ribed be=~e this. -.---~ Editor ... !:~l.,:./da~ of... ..... ~~:f.~~\-··--···--·········• 196 .... ~ . ...... ~.&. ............ .. ------------------- Estate Ncrl:lcea The Register of Wills has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys . • 0 ••••••••••••••• LOZOSKY, MARY ROSE, Dec' d. Late of Borough of Centerville, Wash-ington County, Penna. Administrator: Barrett G. Greenlee, 619 Main St., Bentleyville, Pa. Attorneys: Greenlee, Richman. Der-. rcio & Posa, 325 Washington Trust Bldg., Washington, Pa. 15301 ,.._ 06server Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION .• In compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, as amended. Commonwealth of Pennsylvania, County of Washington, SS: .........•.. Personally ap·peared before me, a Notary Public in and for said County and State, ...... Richar.d .... S ....... Cowan .................. , who being duly srworn according t~ law, deposes .and says tha;t he is the .J>.e.c.!.:y. .•..... & .... Tr.e.as • of the Obs<erver Publishing Company, a Plennsylvania corporation, and its agent in thi-s behalf; that the said Company is• the owner and publisher of the Observer-Reporter, sucCiessor to The Washington Observer, established Se.ptembe•r 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newspaper of general circulation, printed and published and havin'g its place of business at Washington, Washington County, P~mnsyl vania, where it or its predecessors have been established and published continuous•ly for more than six months• prior to the publica;tion of the notice hereto attached; that the printed notice or advertisement hereto attached is a ·copy of an official advertisement, official notice, legal notice or legal advertisement, exactly a:s printed or published in the Obs1erver-Reporter in its regula;r editions on ·the following dlate or dates; ........................................... . March 1 8 and 15 1968 .................................................... .J ..........................•...... t ........................................................... . that neither th~ affiant nor the Observer Publishing Company is interested in the subject matter of s<aid notice or advertising and that all of the ane.ga- tions• of this affidavit as to the time, place and character of publication are true. . ....................... ~J./..4~ ..... . Sworn to and w. 267!52 subscribed before me this .. 15 .... day of.March ... .1.9..6.8 ~Pl:tr.;.,;~~;:;{~ WASHI'IGT0~. t:: ~HINSTO~I "OWHY MY COMMISSiON EXPIRES MAY 6, 196R . ADMINISTRATbR'S-NOTICE-1 .J:STATE:'OF MARY ROSE LOZO· •SKY deceased late of Borough of ,;Centerville, ~washington County, ?ennsylvania. \ .. f. ~ Letters of 'Ad~;I~_inlstration upon 'the .. ,tbove estate ha~!lg been granted~<!. ·he undersigned, no'tice is he!e15Y. ;iven to those ·ndebted thereto,. to rnake immediat . · e~~ ahd ' to Fhose havi]J,g claim . e ands to "Jreslmtthem for settl . BARRETT G. GRE E !' 619 Main Street ··~ ' · ., Bentleyville, Pennsylvania 'GREENLEE, RICHMAN, DERRICO & POSA, Attorneys l25 Washington Trust Building '.Vashington, Pennsylvania 15301 J 6852-Fri.·3t, ' (Form where decedent died intestate·) · llu tqr ®rp4an!i' Qlnurt nf lla!i~tugtnu <trnunty ESTATE OF No. 63-68-336 In the audit of the First and Final ···---~~¥. .... ~Q-~-~----~-Q?.Q.$.K:X .................................................. . Account of Barrett G. Greenlee, Administrator State (I) whether de- cedent was married or unmarried; (2) if mar- ried, whether a husband or wife survived and his or her name; (3) whether or not there was any marriage settle- ment; ( 4) whether or not family relation was maintained until deced- ent's death; and (5) whether the decedent left children or issue of deceased children. Deceased The petition of. .......... ~.A~~----1' ... G.o. .... G.~-~~-NJ;,.-~-~-~---.A~~-~1:1._~_~_t::_J;'.:l_t::Q;": __________________ _ (Name of Petitioner) respectfully represents: ........................................................................................................................................... . (a) The decede~t died ..... P.~c;;-~~1?.-~:r; ____ ?.4._, ____ J_~§.?. .......................... , intestate and (Date) letters of administration on ...... h.~~---·····estate were granted.F~P~Y-~~.Y.. ... 2.1., ..... l.9..6..8 (Date) as per record thereof appearing in Administration a~d Bond Book No ....... 9..?. ....... . at page ............ ?.!.~---···································· Decedent was survived by No Child surv1.v1.ng: Grandchildren surviving: surviving husband. Michael Lozosky Theodore Lozosky Darlene Lozosk Andrew Lasosky Ann C. Tot Mary Elaine LozoskY0 John Lozos~ (b) At the time of death, the decedent's domicile was :the Com- monwealth of Pennsylvania, to-wit, at....~~~-~-~YY.-~~-!~-~-----~-~~~~Y!Y.~-~-~~----···· (Town or Township, State and Nation) and residence was· at... .. ~.9.~Q-~gh ____ Q_g ___ g~~~~~Y~.!..!.~-'-----~-~~~-~YtY.~-~!--~---············ (Town or Township, State and Nation) (c) The names of all persons having any interest as heirs or next of kin with the names of their deceased parents, to show relationship if they take by representation are as follows: Of age, sui-Name of Guardian, Trustee or Committee, if juris, or not, any, or beneficiary, manP-er and place of NAMES Relationship Interest (write yes or record of appointment and is bound suffi- no). cient to cover and protect share. Michael Lozosky Son 1/5 yes ~~~r 1/10' Theodore Lozosky Grandson ~=' Darlene Lozosky Grand-1/10 daughter Andrew Lasosky Grandson 1/10 Ann C. Tqth Grand-1/10 daughter Mary Elaine Lozosky Grand-1/10 daught:er John Lozosky Grandson 1/10 Helen Lozosky, mother and natural guardian (no appointment) Estate of Edward T. Lozosk Son 1/5 yes Deceased-(No estate administration) State exceptions, if any, All of said parties in interest are living, except Edward T. Lozosky' who giving names and dates d • d b 13 1968 • • d d • h • of deat? and the names l.e Fe ruary ' ' l.ntestate' unmarrl.e an Wl.t out l.SSUe. of thetr executors or f elm • i • h b k administrators. or the No Letters o A l.n stratl.on ave een ta en out. -names of their issue as the same may be mater- ial. -. Describe type of notice. (d) All parties having any interest have hadwt#.:;~_Lnotice of the filing of the account by letter dated October 23, 196'8 .-( Insert word "not" where necessary. (e) Balance for distribution per Account (f) Additional debits, not shown by Account (Itemize) (g) Additional credits, not shown by Account. <Itemize) SEE ATTACHED ITEMIZATION Total Additional Credits Balance not $ .. §_,_.Q:?.J..~-~-~ $ ................. NQ.~-~ $ ....... ..?..;}Q __ !_Q_Q $ . .5..,_:l~l .•. 3..8. (h) Claim for exemption has/been made, and has ___ J}.g_!; __________ been paid. (i) The estate is .................. subject to the payment of inheritance tax to the State of Pennsylvania:· If taxable state w?eth-1 (j) .The estate is ...... P:Q_!; __________ subj ect to the payment of the county 4 _mills cr tax has been pa1d. • • · tax. (k) The es!ate is ..... }?:Q.t ......... subject to the payment of Federal inheritance tax. (1) ·All creditors (and other persons who have complied with Rule II, Sec. 9), of whose' claims the accountant ............................. notice or knowledge, have ..................... :, .. received actual notice of this audit; the amounts of their claims and jf too many for the I whether or not they are admitted to be correct are as follows: None space, annex a ltst there-· of; if no such claims, . • insert the word "none." If any creditor or other claimant has not re- ceived actual notice, that fact must be stated. Indicate such claims as may be secured or en- titled to a preference, and give detailed infor- mation concerning such security or preference. Here insert a reference to all questions requir- ing adjudication, and a ~tatement of any mater- ial facts not already given. If none insert the word ''none.'' If any share has been assigned or attached that fact should also be stated here. State kind, form and character of property composing the balance for distribution, and if any part thereof is not cash, whether or not 1 there has been any elec- tion to take such part in kind. (m) None ( n) The balance for distribution consis~s of property in kind, form and character, as follows: Cash $5,321.38 .. (g) ADDITIONAL CREDITS: 12-30-68 12-30-68 12-30-68 12-30-68 12-30-68 Sale of real estate to George R. Hagedorn and Patricia Hagedorn, his wife, at less than Inventory value Inventory Value -$5,500.00 Sale Price 5,000.00 Russell Marino, Clerk, costs of filing petition for sale of real estate and additional bond Greenlee, Richman, Derrico & Posa, services in sale of real estate to George R. Hagedorn and Patricia Hagedorn, his wife, including preparation of petition for sale of real estate and presentation to 0 . Court; preparation of Article of ~ Agreement with George R. Hagedorn ~~ et ux., and preparation of deed to George R. Hagedorn et ux. Pennsylvania and local transfer stamps on deed John Rebarick, additional administrator's bond premium Total Additional Credits ' . '\,. . $ 500.00 I' ' 10.00 85.00 100.00 35.00 $ 730.00 .. .. ,. , Are there any advance- ments by decedent to be considered on distribu- tion and has any distri- bution on account been made by accountant to any distributtee? (p) No (q) Give brief location of any real estate sold. Two tracts, Centerville Borough, Washington County, Pennsylvania, being all of decedent's real estate to George R,_ Hagedorn and Patricia Hagedorn, his rr prior accounts have wife, on December 27, 1 ':168. neen riled, list number ( r) None and term. Wherefore your petitioner asks that distribution of principal and income be awarded to the persons thereunto entitled and suggests that the balance of principal and income should be awarded respectively as follows (shares being stated in proportions but not in amounts) :- Michael Lozosky Theodore Lozosky Darlene Lozosky Andrew Lasosky Ann C. Toth Mary Elaine Lozosky John Lozosky Estate of Edward T. Lozosky 1/5 1/10 1/10 1/10 1/10 1/10 1/10 1/5* *NOTE: It is requested that distribution in the Edward T. Lozosky Estate be made in accordance with the separate petition hereto attached • . , County of Washington, ss. And your petitioner will, etc., The above named petitioner being duly sworn doth depose and say that the facts set forth in the foregoing petition are true to the best of h ... J.~ ............. knowledge and belief. · ·····-···-... ·----~-----·-······································-·········------········································ ........................................................................................................................... (Signature of Petitioner) Barrett G. Greenlee, Administrator My Comnission Expires:~ ~:p . .; ·, ~ FORM IN CASES OF INTESTACY 63-68-336 YYYYVVVVVVVV No ....... ______________ , --------------------------------~~~~~-~~'.ln IN THE ORPHANS' COURT WASHINGTON COUNTY, P A. Estate of .MARX. ... RO.S.~ .... LQ.~Q.S.KX ................... . Deceased . . i Sur account of ·---~-~~~-~~-'!:: .... .G..! ..... G.~-~-~9:.!-.~-~--'- Administrator PETITION SUR AUDIT In Conformity with Court Rule III, Sec. 5 (B) COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1. The letters of administration. 2. A copy of the inventory and appraisement. 3. Proof of advertisement of the grant of letters, if not filed with accountant. 4. An appearance for those represented. 5. lnher·itance tax receipts, if any. 6. Certificate of liens in case any of the funds for distribution are derived from the sale of real estate. 7. Copy of Federal Estate tax return, if estate is subject thereto. 8. Signed elections to take in kind, if any. GREENLEE RICHMAN DERRICO & POSA ············-'-···························-~---············································· Attorney S for A:ccountant. .,...2 Sllt'l ::J <~: 1 sm:w o::.:..:·,';.J Tt3SSnJ 1.. c : Z Ill .,\,) ~ i r k.'t' GS~I 0 ·~·· .. ; f I . . -A I ... I . ... ~ . ~' 1Jn t~r ~rpqann· Ulourt of llanqtngtnu (!!nuuty In the matter of the Audit of Account in Estate of MARY ROSE LOZOSKY, No. 63-6?---'-3:::..:::3::...::6:__ ___ ,, ~X deceased TO THE AUDITING JUDGE: Enter_--=o-=u::..:r=---------·appearance for Barrett G. Greenlee, Administrator, Accountant. _._~.=.. __ day or. ___ D_e_c_e_m_b_e_r ___ _ N. B.-Counsel shall, by separate paper, present a concise statement of each claim, with supporting calculation of any interest claimed. Objections to an account as filed, shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. 19~ 0 I .' .1 ·-. . - (_ c.: i: ... . . I ,. J (""-; ~"..1') . ~ 1 _, L (• ::...:--; L':"~ No. 63-,68-336 :c~xx~~ In re Audit of Account in Estate of MARY ROSE LOZOSKY, deceased AUDIT Jrarripr fnr i\ppraranrr FOR Bar:!"_~tJ: G. Greenlee, __________ _ Administrator, Accountant:....:• __ GREENLEE,RICHMAN,DERRICO & POSA Attorney .v.@j~ 2 3ln tqr ®rpqau.&~ (!!nurt nf Dlasqingtnu <nnuuty 63-68-336 ESTATE OF No. ______________ Of 19 ____________ , A.A. Mary Rose Lozosky, ----------------------·------------······---------···-------------------· In the matter of rhe·----~-~~~-~--?:~9--~~-t::?J:l _______ _ Deceased. Account of ____ fS_§.I_:r_~t.LO.: ___ Q_:r_~§_r]J§.t?.l----------- ---------------------------------------f:-_g:r:Qt_t};t~_tr.0JQX' __________ . ADJUDICATION AND DECREE And noW-------~~::_~~~! _______________________________ ;:_~----, 19 ... ?.~-, this matter came on for heari.ng, audit and distribution at this session and tes·timony ~ken; and thereupon, upon due consideration thereof the balance for distribution in the hands of the Accountant is determined to be $.5.,_.3_21..._.3_8 _______________________________________ 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 wi1th the schedule of distribution hereto attached and made a part hereof, unless excef)tions hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account·--------------------------------------------------------------------------------- Additional credit asked at audit 730.00 Balance--------------------------------------------------------------------··---------------------------------- Deduct Clerk's Costs & Receipts----------------------------------------------------------------22.00 Attorney ________ g_~~-t:-~~-t:-~l--~-~~-l!:~.'?:~_, __ P~!!_t~.?-_§!,__J?_?_?.~------------------- Michael Lozosky, son, 1/5 balance, 1059.87 Theodore Lozosky, grandson, child of Walter Lozosky, a deceased son, 1/2 of 1/5 balance, 529.94 Darlene Lozosky, granddaughter, a child of Walter Lozosky, a deceased son, 1/2 of 1/5 balance, 529. 94 Andrew Lozosky, grandson, child of Andrew Lozosky, a deceased son, 1/2 of 1/5 balance, · 529.94 Ann C. Toth, granddaughter, child of Andrew Lozosky, a deceased son, 1/2 of 1/5 balance, 529.94 Mary Elaine Lozosky, granddaughter, child of John Lozosky, a deceased son, 1/2 of 1/5 balance, 529.94 John Lozosky, grandson, a minor, child of John Lozosky, a deceased son, 1/2 of 1/5 balance, funds to be depositec in the First Federal Savings and Loan Association of Washington, Pa., at interest; neither the whole nor any part thereof, neither principal nor interest accruing thereon to be withdrawn until the minor reaches the age of 21 years, or upon further order of Court, 529.94 $_Q, _ _0_?..L _ _0_~_ t/t~ I c..1 '\)0-. \ )_;),. ~ ~ $5,299.38 ~ r 0 ....., 0 > m n ::l z Vl n ...... 0 ...... 9 ~ 0 s: ::J ...... ::l CD ._. CD = ...... 3 0 0 ....., ....., 0 ...... ...... CD ~ -· ""' 0 0 ~ ....., ....., ~ ..... -· ...... ::J CD t N e = ~ :-o = ~ s ' to::) ~ .-c to::) > ~ to::) .J ~· ... To the estate of Edward Lazosky, a son, now deceased, 1/5 balance, 1059.87 No balance NOTE: A tentative computation made by the Court of the transfer i heritance tax in this estate shows an overpayment thereof. T e Fiducia y is instructed to apply for a refund to the proper authorities u er proce ures established for the purpose and when/if any refund is made, the net a ount shall follow the decree of distribution herein made as it rela es to the istribution of the balance and the proportionate shares therein and no fur her formal accounting shall be necessary to the Court. ~ ~ t \ "' ---~ 0 ! ! ··--"· l ..-·-~· "'¢ -.:;:; .. rt') L.: ,.., -' r ' ... ·1 LL'-_t.l u -{ -.:_<) =·:..:; L.....:' I ' - 0 n n 0 s::: :I -+ 0 "'"" ··~--·- :I z .... ~ :T (I) 3 0 :::: m .., 0 0 "'"" "'"" ""'" :T m ·.\ r !-~· itJ •> .,. -tl·.· . I , ., I ~ 1:1 ~: ""- IN THE·COURT OF COMMON PLEAS OF WASHI_NGTON COUNTY, PENNA. ORPHANS' COURT DIVISION L :3 --~t--J..d~. IN RE: ESTATE OF JOHN LOZOSKY, a minor ~--~-'>n~~~ ~ t~ ~~~ ~;-:;c f~'~ . :_~:: 6 ;:-; ~--- ~0 --... _, -;.\' .... .... -....; 1· r-· c._ -.:.~ .:r-;-_:-=~ .... ··~ ;-n ' • _, ~-.. •··r 'l ::..:. ~£2 ;::: f:h~~ ~~;~ .,.._. ~-~'" ·~r:V.i~lt . I~t ' -~~; .. )' ' t ... .6 l ~ :E' EG ; ;::: --Q,--Z -· 5~,.-·=~~;.. ORP:E:R' -............ .J;..._.,--;-~ ":"~ , .. ~ (/'} 0 :1 .. :~ ~-·-.._, ""-!' ~-c T'i--''.::. .... ~ ...-.............. . ~ ~~ ~~1\! ~~}~ ;:~e; c ~ GREENLEE. RICHMAN, DERRICO & ..POSA ATTORNEYS AT LAW WASHINGTON TRUST BUILDING WASHINGTON. PA. 15301 I -:A0--_2__.~_-') .. :·''~ .~ '·.~i'fo~ -.... ' .::1;:Nf,:' ;ti.q· ··~ :;;m·· IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: ESTATE OF JOHN LOZOSKY, a minor AND NOW to the Court that No. 0 R DE R --~~~~~~~~~~~~-7~~~~~, it appearing , guardian of the Estate of John Lozosky, a minor, has on deposit in Account No. 25309 of the First Federal Savings and Loan Association~ Washington, Pennsylvania, funds of said minor in the amount of $894.61, including interest to December 31, 1971; that said funds were so deposited by Order of this Court, dated January 13, 1969, in the Estate of Mary Rose Lozosky, Deceased, at No. 63-68-336, with the restriction that no withdrawal be made therefrom until said minor reaches twenty-one years of age, or upon further order of this Court; that said minor is now twenty years of age ·and is attending California State College, California, Pennsylvania, where his tuition has been paid through a series of scholarships; that said minor needs the sum of $500.00 for the purchase of an automobile for transportation in'conjunction with student teaching which said minor is required to do pursuant to his major in secondary education~ beginning in February of 1972; and it appearing to the Court that said sum may be withdrawn.from said account for·such purpose; IT IS HEREBY ORDERED AND DECREED that Helen Lozosky, Guardian of the Estate of John Lozosky, a minor, is authorized ' ' and directed to withdraw the sum of Five Hundred Thirty ($530.00) Dollars from Account No. 25309 in the First Federal Savings and Loan Association, Washington, Pennsylvania, to disburse said funds solely for and in behalf of John Lozosky, a minor, including the purchase of the aforesaid automobile, and to pay the sum of Thirty ($30.00) Dollars to Greenlee, Richman, Derrico & Posa, Attorneys at Law, to cover the costs and their fees in this proceeding. IT IS FURTHER ORDERED AND DECREED that First Federal Savings and Loan Association of Washington, Pennsylvania, shall make payment to th~ guardian as authorized and direcited herein, - 2 - 62 (12-66) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1961, V JANUARY 1, 1982. (FILE IN DUPLICATE WITH COPY OF WILL ATTACHED) ~6~E~~~~~~STER .OF WILLS County of ... WASll.l!':lGl:QN .......... . . . . . . . ~~~:I:'J;'. ~~. P.~~NJ..~~ .................. of 9.~~. M~~A .$~.X:~~.t;, .. ~~~~.~~Y.'!~~.~~, .. ~?.· .. . (Name) (AddreBS) being duly ________ §_NQ~-------------------·according to law, deposes and says that he is the ______ A~_;.:g!-_!?_!;;1;'_«~H.;Q~----------------------<Exec., Adm., Legatee, Etc.) of the estate of --------~~X __ ~Q~~ ___ 'f:._Q~Q~!\'X __________ whose last residence was---------------------------------------------------------------<No.> (Street) ____ q~P-:.~~-~JJJ._~..l---~~~! __________ .deceased, and that the whole of the estate of said decedent, who died __ p_~~-~P-~!'---~~-'-196 7 (CitY, Borough or Township) (Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL T DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Personal Property e in Deed 1. Savin s Account Gallatin National Bank Brownsville, Pennsylvania Estimated Value 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. Jointly Held Property NONE 14'!at;..,....,t .. , Value' - ' . . .. Transfers within TWO YEARS Prior to Death NONE. .. . t . .• . ! "" .· . . ' That at the time of death there was no safe deposit bo~ registered ih decedent's individual name, or jointly with, or as agent or deputy of another, or in decedent's individual name, with right of access by another 'as agent or deputy, with the exception of the following:-. NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED REI,.ATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT NONE BENEFICIARIES ( ~l ' -RELATIONSHIP AGE OF LIFE BENEFICIARIES AND ADDRESSES (If step-children or SURVIVED TENANTS OR INTEREST OF DECEDENT (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE forth this fact.) DECEDENT Michael Lozosky, 1031 Wither-fpoon Koa.a, .tSaJ.t:l.more, Mary-.and Son ves 1/5 Theodore Lozosky~ R. D. #1, -Fredericktown, Pennsylvania ~rands on yes 1/10 _Darlene Lozosky, R. D. #1, Fredericktown, Pennsylvania Granddaughter yes 1/lQ Andrew Lasos~, Box 65, Daisytown, Pennsylvania Grandson yes 1/10 Anna McToth. 7010 Revnold's. Mentor, Ohio 44060 Granddaughter yes 1/10 Marv Elaine Lozoskv. Box 109. Daisytown, Pennsylvania Granddaughter yes 1/10 John Lozosky, Box 109, Daisytown, Pennsylvania Grandson yes 1/10 Edward Lozoskv (Estate) Son no 1/5 ~NT DECEDENT DEBTS AND DEDUCTIONS CLAIMED NOTE· List first five items in the spaces so provided, observe notations thereoiJ, and instructions. DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN !KEGISTER ONLY Funeral expenses paid $ $ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * ,. Counsel fees * Fiduciary commission * I OTHER DEBTS AND CLAIMS ( *) See Note below A Statement of Debts and I eductions will be filed at a la er date ' . . Total Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater or less than the estimated amount claimed and _d· Q ~ /2 d S~b,•·H,.d and •wom to "'fore m•,th;:;.,·-5:.,;1· .' .-::. · · · · · · · · .;;./~,A~········ .......................... day~of &~.... . .· ........ , 19 p~. B6a1.r9r~~~ G5• tGreetnlee ~ ;l . ~ (l . . . . t.·4Q~n. rs~~~· .N~~b~;i ............... .. £~~~~. ngto. ~wa.sEiii:igtori· ·co., .~.~~~~~.YY~.~~-~·'·. g~~~Y'~."?~':l.~~. ~~.~~4 My Conmission Expires :z.. (City or Town and State) Having been duly sworn according to law, I d~~ above appraisement is made in conformity with law on this .. In .th• "'"' ::::utu••·;~t ... ~~: ::;, "~~ ;, '""~"'~ >n ·;~:~.~ ~;~:~: expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer ·inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for .................................... County, Pennsylvania, do respectfully report that I have allowed debts and deductions in the amounts claimed by deponent, except as to those items where a greater or lesser amount .s set forth in the last column to the right in said schedule above, which greater or lesser amount represents the sum allowed as a deduction. Dated: Register of Wills • .~ Form No. RCC-62 (12-66) .Will l Administration !No. · · ........ Year .... . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF MARY ROSE LOZOSKY Deceased Late of .. ~~~9P:g~ .. Qf. ~~~.~~+Y:~l;t.~. County of ..... W~~P:i..~gton ( . . ............. . :'::! ~ J ' Commonwealth :of Pennsylvania ( .. ·-} -. - = ) 1 "'., ----r ~ . REPORT AND APPRAISAL I r·· . (/} '-' L~ w rv ---; t ---'--' GREENLEE, RICHMAN, DERRICO & POSA ATTORNEYS AT L.AW WASHINGTON TRUST BUIL.DING WASHINGTON, PENNA. Form RCC-4-Rl-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS No. 979021 OFFICIAL RECEIPT Transfer Inheritance and Estate Tax File No 63-68-336 Date October 23, 19~ W'ASHINGTON Office REGISTER OF WILLS,_-:-_---::_W_'A_S_H_I:..:_N:...::.G-=.T..:...O.:.:N ______ _I ,... Pa. Received from Barrett G. Greenlee _________________ County, ss: :@x~llRfr, Administrator df.Dti'Gri!'.dfdh~ of the estate of MARY R()Sli; T.OZOSKY who died December 24, 1,..t:;.7 th f THREE HUNDRED FIFTEE:N. and no/100 -Dollars ~--· esumo , being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Real Estate Date Valuation $ $. Total Personal Property Date Valuation $ ______ _ $ ______ _ Total Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities $. $ _____ _ $. $ _____ _ $ INCO:MPLETE Date 19__ $--------:-- ________ 19__ !.::$============= Estate Tax Assessments Date 19__ $--,------- ________ 19__ ~$============= NOTE: In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. ®OOO~D~£[L 37-101-7 NOTE: To be delivered to taxpayer by Register of Wills Computation of Tax Tax on$ 5% $ Tax on$ 10% $ Tax on$ On Account 2% $ 315.00 Tax on$ 15'}'0 $ Exemptions * $ Total Estate $ Total Tax $ ----------- Less Tax Previously Paid (if any) $================ Balance $ ----------- Less five per centum of tax if paid within 3 months after date of death $ ============= Amount of Estate Tax Assessed under the Act of May 7, 1927. $ ---------- Add interest at the rate o % from------------,------- to $ $ ===:3:::::;1~5=. o=o== Total * As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as amended by Act No. 381, approved July II, 1957, and Act No. 207, 1961, Section 302. s~£'%~---A Register of WiTis MOORE BUSINESS FORMS, INC., ELMIRA, N.Y. FORM RCC-4-Rl TRANSFER INHERITANCE and/or ESTATE TAX, RESIDENT DECEDENTS. RECEIPT Docket 37 Page 101 T.ine __ _,7'-- Estate oj_f __ M_AR_Y_R_O_S_E_L_OZ_O_S_K_.Y_ OFFICE OF REGISTER OF WILLS HASHINGTON, ------------------------~----~Pa. Date October 23, 19__QB__ SIGNED AND SEALED AS PROVIDED BY SECTION 1201. ACT APRIL 9, 1929. P. L. 343 AS AMENDED BY ACT MAY 15. 1945. P. L. 528 RUSSELL MARINO Register of Wills 1201 (g). Act of April 9. 1929. P. L. 343, as amended, viz:-"To receive from Registers of Wills all duplicate re-ceipts for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the money with the amount receipted for. The original of each such receipt shall be signed and sealed by the Register of Wills and transmitted to the executor or administrator. whereupon it shall be a proper voucher in the settlement of the estate. In no event shall the executor or adminis- trator be entitled to a credit in his account by the Register unless the receipt is so signed and sealed by the Register of Wills.'' Fill in below name and address of person to whom tax receipt is delivered: r-To ATTYS. GREENLEE,RICHMAN,DERRICO &~OSA 325 ~·TASRihH}TQ:bT TBIIST RTIIT.DING L HASHTNGTON, PENNSYLVANIA 15301 _j ·- --~- ' c ) (h :: :