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Home My WebLink AboutOC1968-0347 - ESTATE OF HUDAKRODGERS AND RONEY ATTORNEYS AT L.AW 63 S. MAIN STREET WASHINGTON, PA. Receipts: (' FIRST. AND FINAL ACCOUNT OF· MARGARET ANN HUDAK, EXECUTRIX OF THE ESTATE OF HELEN A. HUDAK Principal Inventory and Appraisement filed ••••••••••••••••• $ 4,160.00 Disbursements: 2/29/68 3/19/68 3/19/68 3/25/68 10/4/68 Administration Expenses Josephine M·. Douglas, Register of Wills, securing Letters of Administration and three short Certificates •••••••••••••••••••••• $ 19.00 Josephine M. Douglas, Register of Wills, three additional short· Certificates •••••••••••••••• $ 3.00 Washington County Reports Advertising Letters ••••••••••••••• $ 12.50 Observer Publishing Company Advertising Letters.· •••••••••••••• $ 12. 50 Russell Marino, Register of Wills., filing Inventory ••••••••••• $ 3.00 Shirley Jankowski, Notary fees •••• $ 2.25 Rodgers and Roney,.Attorneys• fees •••••••••••••••••••••••••••••• $350.00 Russell Marino, Register of Wills, filing Account (estimated).$ 20.00 Total Administration Expenses •••••••••••••••••••• $ Preferred Debts 12/10/67 Peters Township Ambulance Service ambulance to St.Clair Hospital •••• $ 15.00 12/10/67 Peters Township Ambulance Service ambulance from St.Clair Hospital 12/10/67 12/10/67- 12/29/67 to Mercy Hospital ••••••••••••••••• $ 15.00 St.Clair Hospital,.hospital bill tlast illness) ••••••••••••••••••••• $331.83 Mercy Hospital, hospital bill, {last illness) ••••••••••••••••••• $1552.05 12/29/.67 c. A. Masti,ndrea, D.D.S., dental bill ••••••••••••••••••••••• $ 6.00 422.25 STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ~ 55: The within named Accountant being duly sworn according to law, depose and say that the above account as stated is true and correct as ... she ________________________________ verily believe. Sworn and subscribed before me this· ______ /£ ....... . day of ...... N~Y~-~-~~---------------------------l9 .. 6JL ... -~~------.......................................... . e!l'\1 --~~ . CJ.WSKI, Notary Public WASHIN.ION, liASH!·~GTON CO., PA. ~ QQlllmtsston e_xpires Jan. 27, 1969 Washington County, ss: -----, --------. --- ..... ~ 0 ...., 1':1 ;:j 0 E-li 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 ~u0 as evidence by proofs thereof f;led to No ... ./;1..1./.'f~:t. ............... . Witness my hand and official seal thi~--------------· Lffh~_,; 6? day of.. .. ~ .. --r"::"..r ... -::~ .. /--....................................... 19 ........ .. ..... . ......................... ~~------ Register of Wills ~ ........ ___ ~---- ...., ...., ... ~ ;:j icS 0 0 !o Q) 0 ..c:: :ti-l ! :::). C) jl_ ...., 0 0 < ~ -c.·o 0 ~ ~ I ...., ;.. ::< "d 0 "" ~ Q) r4 ..., >. l:l ~ (]) (]) 1'>:. 0 L ---"' l:l . ~-., (]) >t ... ~ 0 ::). ' ' .1.-; ... ~ 0 N ~ '-. r~~ p. ...., ~ 0: 1 ...., t r;i1 " r·-...., z ~ '\~! E-< 0! .J ,) l:l :>< g < ~ ~ ;:j ;ril ~j E-< 0 ~ H F'' r ..... ("o ... , ~ C) !"d lf.l ~ Zi P.. 1• l f ; ~ '"'' •• 0 l:l r;i1 zl J ell ell 0 "-J!i ~! q ~ •;L..(:j..J l -qt..~ ··· ·~LS l:l ~ \ i :a ~ ~ ...., '(\,'\ i ~ ~ 0 -~ tJ) i g3J ...., (]) r::r:: '01 ~ ~ ..c:: ~ <1 ...., 0~ t!) 1:.'-l:l : 0 H r::r::: "d~ g ~ 0 ~ ~ ... l:l 0> 0 z ~ ,.... "" \ \ .,;:,· "'· ~ ~ ~ ·v ~~ '-~ ~ : tl' ••••• ,,. ,\'' ··, ... \... .. ~' j .... "" • I )I' ~.,. L: -' t.• The Court is respectfully requested to determine proper distribution in this estate. ~ic~nt RODGERS AND RONEY ATTORNEYS AT LAW 63 S, MAIN STREET WASHINGTON, PA. " 12/30/67 12/31/67 12/31/67 12/31/67 12/31/67 2/2/68 6/12/68 7/15/68 Queen of Heaven Cemetery grave, lot •••••••••••••••••••• $ Pittsburgh Anesthesia Associates,medical services •• $ Neurosurgical Associates of Pittsburgh, medical services ••••••••••••••••••••• $ Dr. E. L. Farrell, Consultant ••••••••••••••••••• $ Potomac Pharmacy,' prescriptions •••••••••••••••• $ L. Beinhauer & Son Company 150.00 15.00 210.00 50.00 24.88 funeral expenses ••••••••••••• $1,574.80 Moore, Leonard & Lynch transfer of securities ••••••• $ 3.00 Queen of Heaven Cemetery bronze marker •••••••••••••••• $ 305.00 Total Preferred Debts ••••••••••••••••••••••••••• $ 4,252.56 Other Debts Real Estate Taxes: School $399.21 Township $ 62.31 County $96.75 (one-third)$ 186.09 12/29/67 Citizens Water Company 1/3/68 1/3/68 1/3/68 1/3/68 1/3/68 1/6/68 1/19/68 Final water bill $31.30 one-third •••••..••.•••...•••• $ West Penn Power Company Final electric bill $14.02 10.43 one-third ••••• ~ •••••••••••••• $ 4. 6 7 Peters Township Sanitary Authority, final sewage bill $68.00 one-third •••••••• $ ' St.Clair Insurance Agency house insurance $70.00 one-third ••••• ; •••••••••••••• $ Columbia Gas Company of Pa. final gas bill $28.70 22·.·66 23.33 one-third •••••••••••••••••••• $ 9.56 Colonial Carriers refuse collection service $23.50 one-third ••••••••••••• $ 7.83 William J. Kumpf, Inc. gas furnace service $'31. 60 one-third .................... $ 10.53 Bell Telephone,Company toll calls re: Helen Hudak •• $ 14.77 ,t., Total Other Debts~ :• •••••••••••••••••••••••••••• $ 289.87 RODGERS AND RONEY ATTORNEYS AT LAW 63 S. MAIN STREET WASHINGTON, PA. 3/28/68 .; Inheritance Tax Commonwealth of Pennsylvania Inheritance Tax ••••••••••••• $ 1,000.00 Less Discount •• • ••••••••••• ·• $ ·-. s·o·.·oo 'summary Receipts •••••••••••••••••••••••• $ 4,160.00 Disbursements •••••••••••••••••••• $ 5,914.68 $ 950.00' Net Balance •••••••••••••••••••••••••••••••••• $-1,754.68 Cash Advanced by Margaret Ann Hudak and Mary Jan Hudak in equal amounts to maintain assets in kind ..••..........•.•...........•.............•... $ 5,914.68 Balance composed of the following: Principal: 104 shares of the Common Stock of North American Rockwell Corporation at $40.00 IH' share •••••••••••••••••••••••••••••••• $ 4,160.00 . ,., ... I~ MT. LEBANON OF"F"ICE ·~ THE UNION NATIONAL BANK OF., PITTSBURGH il . PENNSYLVANIA J:, l ~ l . -~-·--·-~...,.-~ -:. ... · Cll•:OL. :1:11110 l.O 7•: 8-9 r-.. Fl '><: IZ< 0~": ci 3--'0 ~~~i~ Q..• or.:l E;::::~ "-<a: z ..... M 6-8 .:r r--ri !'-"') <:1' ('..J !'-"') co co ,\.0 ci:: ~( ,_ . occu~oc "-"~t:M ,..,,.,~•• ---- .. -j-· \ ,.,.., # ·~ ... -~:.:· :_,. ·-:: :· \...;· :~:~~-~:-: ~ ~:-::- /·' . 0 ·ru. 1 I I 1 . I I ·. I ' . . I I l I I , Washington County RepOrts· ~~~ltfit!!if Washington, Pennsylvania (PUBL.ISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. 3, paragraphs (3) and (25). CouNTY OF WASHINGTON f 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, pu blis'hed weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in t1lis behalf; that the said WASHINGTON COVNTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or 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: March 21, 28, 1968 .... APr.U ... .4 . .t •.. J~.§.~ .............................................. . 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 · <h;, off;d.vl<'" " ,; , pl•re;; ~~:-~-~~ Editor ..... ~ .. day of ............ :~P..!:!-J.. ....... :···· .. ·• 196 ... § .. . ..... .(C.4.Z:..{LJ..~ .... e......... ....... .... . .... . otary Public KATH&RINE C. YARD, Not PubiiQ Was~lngton, Washington o., Pa. My Commission Expl,.. November 1, 1961 Estate Notices The Register of Wills has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys . • • • • • • • • • • • • • • • • • HUDAK, HELEN A., Dec'd. Late of Peters Township, Washing-ton County, Penna. Administratrix: Margaret Ann Hudak 109 Abington Drive, McMurray Pa' 15317 • . Att?rneys: Rodgers & Roney, 63 S. Mam St., Washington, Pa. J Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION .J:n compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, ws amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Personally ap·peal'ed before me, a Notary Public in and for said County and State, ......... Ri.c.h.a.i:d ... S ....... C.ow.an ............... , who being duly s'worn according to law, deposes and says tha;t he is the ... ~~-~ .. !..Y .. o .... ~ .. -~r.~.~.S • of the Obs'erver Publishing Company, a Bennsylvania corporation, and its agent in this behalf; that the said Company is the owner and publisher of the Observer-Reporter, succ'essor to The Washington Obs·erver, established September 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newspaper of general circulation, printed and published and having its place of busines's at Washington, Washington County, Pennsyl- vania, where it or its predeces.sors have been established and published continuous<ly for more than six months' prior to the publication of the notice hereto abtached; tha;t the printed notice or advertisement hereto attached is a copy of an official advertisement, official notice, legal noti.ce or legal adve:rtis·ement, exactly a:s printed or published in the Obs1erver-Reporter in its regular editions on the following d1ate or dates; .......................................... .. ........................ Mar.cll ... 2.1.., .... 2.8 .... and ... Apr.i1 .... 4.,. .... 1.9.6S .................... .. that neither th!e affiant nor the Observer Publishing Company is interesrted in the subject matter of said notice or advertising and that all of the aUega- !~~~m:. thia affidavit ~tot~otim:~;z~atlon Sworn to and w. 287!52 subs~J )efore me this ... A .... day oL.~P.riJ. ..... l9..68 m~Kd ..... ~i~iiiiiiii!jj( WASHINGTON, VI•SHI~GTOH tOUNTY MY COM:JSSiON tXPIBE~ HAY 6, 19£!; F :~D;IN~~;;:T;;;;I;;- ~STATE OF HELEN A. HUDAK'de-' ea'sed · late of Peters Township, Va~pipgton County Pennsylva,nia , , Letters of Administration upon the tbo've-•estate having been granted to ,he undersigned, all persons having claims against the estate are re· ,quesfed to make known the same to . the undersigned or his attorney .and 1 all ,peJ;,Sons indebted to the aecedent are• U!quested to make payment to the•undersigned without delay, • .~Margaret Ann Hudak ·. 1 109 Abington Drive t. , ,,McMurray, Pennsylvania '· 15317 Rodgers and Roney Attorneys at Law • 63 South Main Street l . · 1 Washington, Pennsylvania ' 6869·Thurs.-3t '.f 1 FORM67 REV.l-50 REG. WILLS 1\ppliratinn fnr 14rtter.a of 1\(lmini.atrattnn nn thr Estate of ............. ~~.~~.~ .... ~.~ ..... ~.~R.~.r. .................................................................................................................................................... .. late of ..... P.e.te.rs. .... Tawnship ................................................................................... , Deceased. Before the Register of Wills of Washington County personally appeared ........... Ji1g.);::giiu;:~.:t .... ~D .... .ttu.4.M ........................................................................................................................ . who, being duly sworn deposes and says that.. ........... H.e~en ... A ...... Hudak. ................................................................... .. age ...... 4.9. ...... , having .... he.x: ... last family or principal residence at...l.0.9 .... Abing.ton .... D.z:i.~.e ....................... .. (Street and Number) ..... M9.-M~r.*..?.-.Y. . .( ..... P.~.P..P.:.1i?.Y..!Y.g.ni..g. ........ !2.~J.:Z ................. , Washington County, Pennsylvania, died intestate (City, Borough, Township) at.. ... M~.:r..9.Y ..... H9..ePi.:t.9::l, ..... P..gh .. , ......... P..~., .. , on the .... G..9. .. day Of ...... Qgg,§ffiQ.§.r. ................................................. . A. D., 19 ........ 6.7 .... , at... ............... l .. ;A.Q ................. J?..II .... M., possessed of personal estate to the estimated value $ .......... :Z.~t.Q.O.Q ... : ........ , and of real estate in the Commonwealth of Pennsylvania to the estimated value of $ ..... ~~ .. , situate in ..................................................................................................................................................... : ........................ . The names and addresses of the decedent's surviving spouse (if any) and -other heirs including heirs by adoption) are as follows. RELATIONSHIP RESIDENCE ..... ~~-cy, ..... .J.9.-.D:~ ..... H:9-.9.~ ................................................... §.!.1i?.:t.§.;: ......... Q.9. ..... N.?.j,.ngt.Qn ... Rr .. , .. .c .... M9.M~r.*..?.-Y. . .l ..... P a • ..... ~~;:.s:~.E~.~-... ~P.: .... ~Y.-.9.~ ........................................ §.!§Lt.·.~ .. ;: .......... 9..?. ..... N.?J.D:gJ:-.Q~ ..... I?.!" .. ~ .. l .... f'1.qM:Y.!".!:.~Y. .. f ... J? a· That deponent is over 21 years of age, reside3 at... ....... l.0.9. .... Ab.ing.to.n .... D.ri:v.e ....... M.c.Mur.r.ay.., ........ J?.gn.n.§.Y..lY.i?.-ni.s ........ l.5 .. 3.l.7 ................................................................................................................................................................... .. 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 anz:d before me this .. ,J...?_.~ ~~---~ day of ...................................... ~, -A. r:.·' 19 .... (;.g....... .. ........................................................................................................ .. ... ~ ..... ~~ ..................... . . REGISTER : COMMONWEALTH OF PENNSYLVANIA } WASHINGTON~-UNTY, SS: i Jl)~ ,_ t; ~ ~ y: Margaret Ann Hudak ' And now ......... ~ ......................................... , 19 ............ , comes .......................................................................................................... . who being duly sworn doth depose and say that... ...... ~~~ ......... will well and truly administer the goods and chattels, rights and credits of .......... ~~.;.~.~ ... ~ .. ~ ..... ~~~.~.~ ....................................................................................... , 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 ..... ?..§.~.!!.! ..... ~~~~.·.·.·.~~:~~:::::::: REGISTER ,- " • ... ,. f . i ' l 7(o. /3 t t./ !Jtd. tg-c. y --· 31f1 APPLICATION FOR Letters of Administration ESTATE OF ~ ....... :li~.~;J;;.N .... ~.~ ..... B.P-!1.~ ........................................... . Deceased R $ ................................ . ................... ', Letters................................... I r p ..., p $ ................................ . Extra Alias $ .............................................. Certificates .... ~-~ .t? ... $ ............. ~ .... ~ .. ~-· Renunciations ... /. ...... $ ............. L .. ~ ... :~ ... ............................................................. p}l_·· ..... ; ......... i .. ;; .. . ................................................................................... 1. ............. .. Total. ........................................................................................ .. 9-~--::J-_J_ ~t, 19,? I ,,---- FILED 1,d-. ~t -lftf Jrs. !11. Do~;r-1 AS HEG!STEH W LLS ·······················•·············································································· Attorney RODG~2AND RONEY { · A'I'TORNEYS AT LAW I 0 IX ~ 1-:J£·6 3 SOUTH MAIN STREET l WA91NGTON, PENNSYLVANIA l43o-.A 't3...-.i -t :!.. Q~ j_J 8 ESTATE OF ................................ HELEN~ .. A .... JiUD.A.K .............................................................................................. DECEASED The undersigned ........ M-.g,!"Y ... J.~n~ ___ H_-g_gg$., _________________ .................................................................... and heirs of .... .Hel.en .. A •... Budak ........................................... Jate of l.Q9 ... Abing.tQn ... D.r ........ J:'lcJYJ:~J.t'.t:2-Y.., .... ~P.. , deceased, hereby renounces -he:t:-······ right to administer on ............. Hel.en .. A. ..... Hudak. ................ estate and respectfully asks that Letters of Administration be issued to ... .Mar.gar.et.. .. Ann ... H.u.dak .............. . ...... l.Q~ ... AP.i.ngt.QD ... P;r;_j,y_~_, ____ M._G~~lJ*-r.:~Y.L ... J?.~D.D.~Y.:I:Y.~P.J.~ ... J..~}J-.7. ........ , ........................................... . Signep the pre~nce of: -~-~~----· "' n ::1~ ·----~~-4~---·······························{ Mary(J(g.he Hudak \ • ::0 111 z c z () -)> -1 -0 z .. Estate of }i~l..~.~ .. ~ .. ~ ... Jiudak .................................. } late of ... f.~ t ~-~ -~. ':fw P ~ , Deceased No .... of 19 ....... KNOW ALL MEN BY THESE PRESENTS, That we, M~l:"g~.l'~.t .... ~P... ~P:4.~.K .. ~.~ ... f.r.~.P.&~PI:ll. .. ~¢. Vf:l~.~.ec1 ... $~~-~~-~-.. F.~c3..~1~~.Y ... I:lnd ......... .Cl.\l.~.r..~.tr .. 9.9..~ .... B..~.l..~.~tt.t~~~--~·-··}tl~--~ ... ~~r.fj_~-~---··································· .. ······· .. ······ .. ·············· .. ··········· 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 .... $~:V.E3.P ... Th9.\l.~~~q ........... Dollars, to be paid to the said Commonwealth, to which payment, well and truly to be made, we do bind ourselves, jointly and severally, for and in the whole, our heirs, executors, administrators, successors and assigns, and each and every of them, firmly by these presents. Sealed with our seals and dated the .. ~9.:t:h. ~ day of ..... ¥.~P.f.\l~r.Y. .................... A. D., one thousand nine hundred and ..... $.:1.~t.Y ... ~"-g.P.t ....... . THE CONDITION OF THIS OBLIGATION IS, That if the above bounden .. .. .. ...... .. .............................. ~r.s~.r..E).t.A~g ... ~~-~-~-~ ......................................................................................... . 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. Sealed and delivered in the presence of: l'tntttttrtd of l'urrttt 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. &tntrmrut nf ~urdy ·1, --------------------------------------------------------------------------------------------------------------------· 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 th3t 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 ........ .. ··-------------------------------------------------------------------------------------------------------- Co. '" ~. I --__ ,...__. --. ---- arntttutnnwrnltq of Jrnnnylunntn.llili. lht.sqiugtnu C!Jnuuty. 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 Margaret Ann Hudak admihistr at r ix of all and singular the goods and chattels; rights, and credits, which were of Helen A. Hudak late of Washington County, deceased, GREETING: WHEREAS, the said Helen A. Hudak late of Peters Twp. m 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 render 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 1 at • day of March in the year of our Lord one thousand nine hundred and Sixty Eight ....... 12~ ..... ~~······ ~11PD0~9GIQ~~. Register. ~ ~ ..., +-+ s: ~ t-t tsl 1-' ~ 1.1) z ~ j:S M ..-!\ t > If] ~ ~ • > ty !:1 .. ·~ ·a ::t:· s: -· 0. 0 = ~ ~ -· I:Ji;" tsl +-+ t-t ~ +-+ -· Q = I /· ~ 3-~ ~-3i-7. l\ffiilnuit (@f 1fxrrutnr ®r i\~ministrntnr ~tntr of J.rmmylunnin. t !l!l: C!tuuuty of Bnslfingtnu \ Personally before me, the undersigned authority, a ........ blo:ta.J:¥ .... J?.ubl.i.c ............................. in and for said County and State, appeared ....... Mg.~~~.! .... ~~ .... ~.'QP.~ ................................................................. who, being duly sworn according to law, deposes and says that s he is the ~lllKM:mf administrator of the estate of .......... HELEN ... A ..... HllDAK .................................................................. deceased, that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of...He.le.n. ... A ....... H.udak ........................ , deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death, based upon a just appraisement of each item made by the above named Executor Administrator. '·Sworn and subscribed before me thi~~/>l /) rJ r::J J I J da~p:~ ...... ~-· ·-~~ , ~ ADDITIONAL INSTRUCTIONS 1. . An inventory must be filed within three months after appointment of personal representative. 2. A supplemental inventory must be filed within thirty days of discovery of additional assets. 3. 1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over $10,000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 3Jnurtttnrg ttttili\pprttisrmrttt of the goods and chattels, rights and credits which were of .......... H.~.l.~.n .... !.\..~ .... 1t'IJ:9..sls ......................................... Jate of .. ~0.9. .... Abing.to.n .... D.ri.Y..e ....... Mc.M:u.r.r..ay , Washington County, Pa., taken and made in conformity with the above affidavit. REAL ESTATE PERSONAL PROPERTY 104 shares of the Common Stock of North American Rockwell Corporation at $40.00 per share Total DOLLARS CENTS 4,160 00 4,160 00 I -.,. (" ~...3-ti-~~7 ;Vb. 2060 Inventory and Appraisement IN THE ESTATE OF HELEN A. HUDAK Filed .................. 9.~.~~-~!.~ .... 4..t ..... J:.9..~8 19 .......... . ' ~ -l 7 I . -1 " ,-•'\ .... ·-i . -. --I I ... I 0 r--~; . ' (._ ,_. LJ RODGERS~ RONEY ~ ~ ATTORNEYS AT LAW ~~- 63 SOUTH MAIN STREET 'f ~ WASHINGTON, PENNSYLVANIA ,-~---------··---------··-----. ~---· --·~--~----·---------~--------~ ~~-----------,~----- (Form where decedent died intestate) Ju t4r ®rp~ans~ QTnurt nf llas~tngtnu QTnunty ESTATE OF. No. 63-68-347 Term, 19 ,A.A. In the audit of the ....... H.E.l.E.N __ .. A .•... .J:I.UD.AJ( ......... __ ................ ________________ ................. . Account of State (l) 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 ........... .M.~rgg_r.~.:t ... A~.~---·H-~9.~.~---·········································································· (Name of Petitioner) respectfully represents: .................................................................................................................... -. ..................... . (a) The decedent died ......... D.e .. c.e.m.b.e.r. .... 29 ....... ..1.9.6.Z ...................... , intestate and (Date) letters of administration on ... b.er. ........... estate were granted .. Ma.r,.c.b ..... l.., .... ..1.9.68 .......... . (Date) as per record thereof appearing in Administration and Bond Book No .... .9.~ .......... . at page ........ 2.1..8 ......................................... . Decedent was survived by her sisters, Mary Jane Hudak and Margaret Ann Hudak. Mary Jane Hudak has released and re- I inquished alI of her interest 1n the decedent's estate, as per Release attached. Decedent never married and left no children or 1ssue of deceased children. within (b) At the time of death, the decedent's domicile was ~iX~xthe Com- monwealth of Pennsylvania, to-wit, at . .M~.M.~.r..r..~Y..t ..... P.~.IJ.D.§Y..!..Y.~DJ.~----V.~ __ ?.! .. A • (Town or Township, State and Nation) and residence was a t. ..... M.c..M!J.r.r_g_y_, __ .... ~~-!}D.§Y.I..Y..~D .. ! .. ~:. _____ V.~ .. ?.! __ A .. ~ --·········----····----····· .. ----. (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: NAMES Relationship Interest Of age, sui- juris, or not, (write yes or no). Name of Guardian, Trustee or Committee, if any, or beneficiary, manr..er and place of record of appointment and is bound suffi- cient to cover and protect share. Margaret Ann Hudak Sister All Yes None Note: Mary Jane Hudak, s1ster, has ~el incuished and released alI of her interest in this estate. State exceptions, if any, giving names and dates of death and the names of their executors or administrators, or the names of their issue as the same may be mater- ial. Describe type of notice. All of said parties in interest are living, except No exception (d) All parties having any interest have had ........................ notice of the filing of the account by United States Ma i I. --. -........ :.. Insert word "not" where necessary. If taxable state wheth- er tax has been paid. 11 too many for the space, annex a list 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 statement 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 there has been any elec- tion to take such part in kind. ""'-·=~-~,-~.~..=-.c·-.......___,. (e) Balance for distribution per Account $ .. .4.r .. J .. QQ .. ! .. 9.P (f) Additional debits, not shown by Account (Itemize) Russe I I Marino, fi I i ng Account $17.00 ($20.00) estimated $ 3.00 ••••u•••••nuooo•••••••••••• (g) Additional credits, not shown by Account (Itemize) Cash advanced overs~ed by $3.00 $ .................. 3 .. ~ .. Q9 not $ .. .4.~..J..§.9 .. ~ .. Q.9 (h) Claim for exemption has/been made, and has ... JlQ.t ......... been paid. ( i) The estate is .................. subj ect to the payment of inheritance tax to the State of Pennsylvania. ($I I 000 has been paid on account.) (j) The estate is ... JJ.Qt ............. subject to the payment of the county 4 mills tax. (k) The estate is ........ r!.Qt ......... 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... ..... b3~§ ............ notice or~knowledge, have ........................ received actual notice of this audit; the amounts of their claims and whether or not they are admitted to be correct are as follows: None except balance due on account of Commonwealth of Pennsylvania Inheritance Tax. (m) None (n} The balance for distribution consists of property in kind, form and·· character as follows: I 04 shares of the common stock of the North American Rockwel I Corporation at $40.00 per share $ 4,160.00 Election to take in kind is submitted herewith. ~-----' 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? If prior accounts have heen filed, list number and term. (p) No ( q) Give brief location of any real estate sold. None (r) None 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) :- 104 shares of the common stock of the North American Rockwel I Corporat1on at $40.00 per share to be awarded to Margaret Ann Hudak. County of Washington, ss. And your petitioner will, etc., The above named petitioner being duly doth depose and say that the facts set forth in the foregoing petition are true to the best of h_~_r _____________ knowledge and belief. SWORN to and subscribed before me this 17th day of... ....... M.ar..~.b .................... , 19 .... 6.9 ..... . ~~!~~':t~~~bii~ ·····"My-···c-c;·m;n·rss·T<>"n····e·xp·r;:;e;·8····Ja·n··~·····z·6·;······,97 3 • . I , FORM IN CASES OF INTESTACY 63-68-347 No ..................... , ................................ Term, 19 ........ , A. A. IN THE ORPHANS' COURT WASHINGTON COUNTY, PA. Estate of Hf.LE.N .... A .•.... .H.UD.A.K ................................ . Deceased. Sur account of .... Ma.r..gi!.r..et. ... Ann .. .Hudak······ ."'\o~·t~ PETITTON SUR AbVI't'rF-;;4~-~ :;~:) c.o . . ~-In Confor~y~it:'iDCourt Rule I~ (f)nc: ::z::,.. ~ ~.tfi>(B) ~ r ...... ~m -.. ~=ire ~ . .;., ('1.,... """'"'"~ ,;,.= co Q ' ·1""""'1 COUNSEL FOtkTfit~CCOUNTAN-c'W'f'LL SU~f"fi~REWI§ 1. The letters cf>aJii~rationlo 2. A copy of th~rpnm-y and appraisement. 3. Proof of adv~i~Qt of thp.Jirant of letters, if not filed with a~countant. -~ 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. RODGERS AND RONEY -~ ·-' '··.·· . . ... -~£? /_ 8 -7~ ............. )'/ ....................................................................... . Attorney for Accountant. Sam'lel l.---.Rnrlnor><;> ~9 ~ ~ " -, \ .,. ~u tijr ®rpijaun' atnurt nf lfanqiugtnu atnuutg In the matter of the Audit of Account in Estate of ....... H.~4~N .. J\~ ... JUJ.PM ........................... .. N 63-68-347 0 ................. , ................................................ , 19, ........... , A.A. TO THE AUDITING JUDGE: Enter our ································-················-······ appearance for ............. ~?_;:g?P:~:t:. ... ~P: .... ~:tl.q_~ __ , _____ :A.:q~~-~~-~-~~-~-!:~J~ of the Estate of Helen A. Hudak, deceased. . ············-···········································-·····································································································-··········································································-"-'······ --;~~---~- ................ day of ........... March ...................................... , 19 .. 6.9. ... . 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. Counsel suggesting proper distibution shall file a separate concise statement in that regard. / No ....... (?_}::,6 ~:::· .. 3.~.7. ............................ , I 9 .......... , A.A. In re Audit of Account in Estate of ............ ~~-!:o-~~ .. -.. ~-~ ..... :?:Y.P~ .. c ........................................ .. Deceased. AUDIT Jrarript fnr \}TJt!!rnnrt ~~,_FOR ~~;S:"l. =-...-~@-"""" "'0 . ::g ...,-,-. ~ ::0 F"''P'\ =--~~ l*l ~~ffl .......... ~B.G.AR1t~t~~N----~~M.0 .................... . q{::) '!I . -~ .> :.Y: • ~ .......... Adm1n~~t~jir~x.... .. .. th.e ..................... . Q -:·~ c;a ----------~-~-:1;;-~t~~:E--t-le.~-:~·------liY.d.a.k.~ ....... _ .......... D.ece.as.ed ..................................................... : ............ .. RODGERS AND RONEY B.Y ..................................................................................................... _ Samuel L. Rodgers Attorney ..,. 5 llu tqr OOrpqaus' Qtnurt nf llasqtngtnu <trnuutg 63-68-347 ESTATE OF No.--------------Of 19 ............ , A.A. ··---~-~-~~-r::.-~-·---~~~~~1-·--------··------------·----------In the matter of the ... F.lr.s._t_g,mLF.Ln.aL ___ _ --------------------··-----------------P..E?.~§9.-§_~g_. _____________ _ Account of .... M0:r_g§.:f_E_;_t__-6-_gg _ _tl~Q..e:~J-------······ • Administratrix ADJUDICATION AND DECREE And now ___________ !.\-PE.t.L ............................ 3 ........ , 19 .. Q~--, this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof the balance for distribution in •the hands of the Accountant is determined to be $ .. 4,..1.6.\J.._D.Q ______________________________________ and the account is accordingly confirmed; and it is orde,red, adjudged and decre,ed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or an_ appeal be taken herefrom sec. leg. Balance per account-----------------------------·------------------·--------------------------------· Additional debit asked at audit Additional credit asked at audit Balance·------------------------------------------------------------------------------------------------------ Deduct Clerk's Costs & Receipts------------------------------------------------------------------ Attorney ______________________ ~~~CJ.~~~--~-B--~~~_Y.--------------------------------------------· 3.00 3.00 14.00 Contribution to maintain assets in kind, 1045.69 Russell Marino, Agent, transfer inheritance tax due, including tax due on individual liability for transfer inheritance tax, $1029.1 Interest from 3-29-69 to 4-14-69 2. 5 Margaret Ann Hudak, sister, balance, (1/2 in her own 1031.69 right and 1/2 as assignee of Mary Jane Hudak, sister, assignor, who would otherwise be entitled to a 1/2 intere t), including 104 shares North American Rockwell Corp., common stock, held in kind and distributed as such at the appraised value, (assignment filed), 4160.00 $4,163.00 $.1.JJQ9.:_QQ., No balance \ - _j j ... ..,.~. 4 ~ ~'---' J \ - ) L J J 0 -m Ill ...... c ...... m 0 - J -_j J J I )L ~ J J -J - J c ::J n n -+ 0 :::; c m ::J 3 """ 0 c -...... ...... m ..... 0 -...... :::; m ( ,,_) .._, ' J j z 9 0 - )> )> :.__; ~J T ' ,. . 1 RODGERS AND RONEY ATTORNEYS AT LAW 63 S. MAIN STREET WASHINGTON. PA. RELEASE AND RELINQUISHMENT I, MARY JANE HUDAK, of 109 Abington Drive, McMurray, Pennsylvania, sister of Helen A. Hudak, deceased, and Margaret Ann Hudak, for and in consideration of One ($1.00) Dollar in hand paid, the receipt of which is hereby acknowledge~, and natural love and affection, do hereby for myself, my heirs and ass1gns forever release and rei inquish alI of my right, title and interest in the estate of my sister, Helen f. Hudak, including alI of my right, title and interest in and to 104 shares of the common stock of the North American Rockwel I Corporation valued at $40 per share, and do hereby join in the prayer and consent to the distribution of the aforesaid 104 shares of the common stock of the North American Rockwel I Corporation to be awarded by the Or~s' Court of Washington County, solely to my sister, Margaret Ann Hudak. IN WITNESS WHEREOF, I hereunto set my hand this 17th day of March, 1969 with the intention of being legally bound. ' ... - RODGERS ANC RONEY ATTORNEYS AT L.AW 63 S. MAIN STREET WASHINGTON. PA. COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON 1 SS: Before me, the undersigned authority, a Notary Public, personally appeared MARY JANE HUDAK, who, being duly sworn according to law, does hereby acknowledge that she has executed this Release and Rei inquishment as her act and deed for the purposes therein contained. sworn to and subscribed b.efore ·me this 17th day of. March, 1969. •' - . .,; Publ 1c SHIRLE KOWSKI, Notary Public Washington, Wash. Co., Pa. My Comm iss ion exp ires: Jan • 26, 197 3. ,..., RODGERS AND RONEY ATTORNEYS AT LAW 63 S. MAIN STREET WASHINGTON, PA. ELECTION TO TAKE lli KIND I, the undasigned, MARGARET ANN HUDAK, of 109 Abington Drive, McMurray, Pennsylvania, being the heir at law of my sister, Helen A. Hudak, deceased, do hereby elect to take 1n kind 104 shares of the common stock of the North American Rockwel I Corporation at $40.00 per share or a total value of $4, 160.00. COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON ~ SS: Before me, the undersigned authority, a Notary Public, personally appeared MARGARET ANN HUDAK, who, being duly sworn according to law, does hereby acknowledge that she has executed this Election to Take in Kind as her act and deed for the purposes therein contained. Sworn to and subscribed before me this--~ day of March, 1969. ar Publtc ~{~~ ~gar.et Ann Hudak ·'SHIRL Y NKOWSKI,cNotary Public Washin~ton,. Wash. ~o., Pa. My Commtssion expires: Jan. 26, J973. Form RCC-33 ' ' COMMONWEALTH OF PENNSYL VAN lA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS •' .&/ RESIDENT DECEDENT COUNTY OF WASHINGTON IMPORTANT: This return must be complet~d in detail and filed in duplicate, with will attached, with the· Register of Wills of the COl~fltY where decedent resided; Return is due within one year after date of death, unless an extens~on is granted by the Secretary ction 703 of __ th~ Inl::teritllnce_an!f _E&tlit~ Tax A,ct pf 19_61.) IN THE MATTER OF THE ·ESTATE OF } AFFIDAVIT OF HELEN A. HUDAK ........................... .. ............................. (.st~t~--£~j'j'--;;;;-;;;~···~t--d~;;d~~t> ..... , ........... .... ... ........... EX~ ~vashington · ADMINISTRATOR Late Of ................ ,.,.. ... . . .. . , .... ,.... . ... ., .. , .. ..... .. ....... county ~L----::.: :.-!::::!:::~~ ::::::::::}" .......... NARGARET ...... AI.'1.N ...... HUDAK. ................................. . AdministratQc: rix of the estate of the above-~anl~cl decedent being duly sworn, depose s and says E>;,;m·qJ~~ ..... Y.~ R99gex:s, .At.to.rn.e.Y. ...... at Y..aw .. ____ _ . Name and address of attorney or} other authorized representative to whom all correspondence should be_ . mailed. .6.3 south .Main ... Stre.et .. ,. W.ashing.ton, Pennsylvania ............... .. Margaret Ailn• 15301 F , H dak That as such ~-.. :.::·.:/.: ..... : .. :.~ .......... Y.: .......... de~onent is familiar with the affairs of said estate and the property con- <l!!l~Jt~Arlministratorl stituting the assets thereof and their fair market y~lue. That at the time of death there was no safe ~eposit box registered in decedent's individual name, or jointly with, or as agent or deputy of another, or i!l 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 IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX NONE THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO_ DECEDENT That the contents of sai.d safe deposit box or boxes are itemized under Schedules of this ---return, with the exception of the follQWing, for the reasons hereinafter set forth: That Schedule A attached h,ereto and made part hereof sets forth full v and in' detail all the real property in the Commonwealth of Pennsy1vania of which decedent died having. an interest therein. It also sets for'th the mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at death, name of ~ortgagee, date, rate of interest, and book and page of record thereof. It also sets forth in the columns provided therefore the assessed valuation of each of said parcels, the estimated market value thereof as of date of death of decedent. That Schedule 8 attached hereto and made part hereof sets forth full'y and in detail all personal property wheresover situated owned by the decedent at the time of death; all.moneys left by the decedent at the time of death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings banks, trust companies, or other institutions, whether individually, or in trust for any other person or persons giving also separately the accrued interest thereon, if any, down to the last interest day prior to decedent's death in the case of savings banks, and to the date of decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent; all obligations, whether by statute or agreement they are designated as tax free, of the United States, or any state, or political subdivision thereof, or of any foreign country, which are owned at the time of death; all wearing apparel, jewelry, silverware, pic- tures, books, works of art, household furniture, horses, carriages, automobiles, boats, and any and all other personal chattels of whatsoever kind or nature, leftbydecedent, together with the fairly estimated market value thereof; all bonds and 111ortgaa:es held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed, of what~oever nature, with interest thereon, if any, giving the face value and estimated fair market value thereof, and if such estimated fair market value be less than the face value, it sets forth briefly the reasons for such depreciation-as to each item; all moneys payable to the estate from life insurance pqlicles carried by decedent; all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent; and all the corporate stoc~s and dividends due thereon and unpaic;l as of the date of death, bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent ~t the time of death, with the market value thereof at such time. ., .• . . \· .. In the case of securities of close or family corporations, the values reported are as far as possible substantiated by financial statements of the corporations, showing the assets and liabilities thereof as of the· date of death. The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business, and in support of the value of such interest there is annexed to said schedule, financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement, (if oral, a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business, its location, and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted. It should also set forth in itemized form, together with the fair market value thereof, any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's death, in contemplation of decedent's death, or intended to take effect in possession or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers. In the case of transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y of the deed, trust agreement or other instrument creating the trust. Ther•~ is also set forth in said schedule a list of all property, real and personal, with its value, which pa8ses at decedent's death by virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint- ment vested in decedent, either individually or jointly, by the will, deed, or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death, the nature of their res- pective interests, their relationship, if any, to the decedent, together with the ages at the time of decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property, real and per- sonal, owned by the decedent jointly with another or others, including intangible, standing in the name of the decedent and others, plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty, plus the name, address and relationship, if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate, including funeral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's .commissions paid or to be paid; cost expended for burial trusts, tombstones or gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and claims owing and unpaid at time of ' .. death; taxes accrued. chargeable for period prior to decedent's death (except. those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that· the fiduciary will present proof of said claimed obligations upon re- quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein,. have been carried forward and properly registered in the Summary • .......... --------~ ( ~Administrator) ....... ~~ .. ~ ..... ~.~.~9..!:~~ .... .P..!:.~.Y.~ ............................... , .. _,,,,,,,, __ ,, (Street Number) McMurray, Pennsylvania 15317 ................................................................................................................................. (City or Town and State) NOTE: Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None", and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summary" has been properly completed as above-directed. I ' .RCC-34 (1-64) COMMONW'EAL TH OF PENNSYLVANIA DE.PARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" -REAL PROPERTY Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece- dent. Where property heid as joint tenant or tenancy by entireties, report on Schedule "E". Property h~ld by the de.cedent as tenant in common with another or others, should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commo[1wealth of Pennsylvania should be (1) (2) (3) described by lot and block number, street and street number, together with DEPARTMENT a general description of the property, with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title; If a farm state number of a-FOR YEAR OF ESTIMATED CAUTION cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write of decedent. Taxes, assessments, accr.ued Interest on mortgages, etc.,are DEATH In this space) to be listed on Schedule "F" and must not be deducted from this schedule. None I Insert this total opposite "real property", Schedule ''A" in the X X X X X "As Reported" column on the last page of this return. I RCC-3.5 'COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "13" PERSONAL PROPERTY INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually by the decedent, at the time of his death. Property owned by the decedent jointly with another or others must be listed under Schedule "E". Intangible personal property, titled in the name of the decedent, but payable at death to another or others, including but not limited to P.O.D. U. S. Savings Bonds and tenta- tive trust accounts, must be listed, despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household goods, and furnishings, books, paintings, automobiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, . . stocks, ·mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay- able to the estate or fiduciary in said capacity, partnership interests, interest in anyundistributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be listed in this schedule. Item No. ITEM List and describe fully 104 shares of the Common Stock of North American Rockwell Corporation Total UNIT VALUE $40.00 Insert this total opposite "Personal Property", Schedule "B" in I' X X the "As Reported" column on the last page of this return. ESTIMATED MARKEr VALUE DEPARTMENT VALUATION (Do not write in this space) $4,160.00 ~/ -Y; /&, (5_ GcJ $4,160.00 ------·------------------------------------------------------------------------------------------~ . . CO\P.tO:-i'\'1':\LTH OF PENNSYLVANIA T!Ui\'SFFR INHE!UTANCE TAX SCHEDULE "C" TRANSFERS H.ESIDE:\TT DECEDENT ( 1) (2) (3) Did rlecedent, within two years of death, make any transfer of any material part~6 his estate, without receiving a valuable and adequate consideration therefor? (Answer yes or no)-------- Did decedent, within two years of death, transfer property from him:tlttlf to himself and another or others (inclurling a spouse) in joint ownership? (Answer yes or no) _______ __ If the answer to (1) or (2) above is in the affirmative state: (a) Age of decedent at time of transfer ----------- (b) State of decedent's health at time of making the transfer. (Note 1). (c) Cause of decedent's death. (Note 1). (4) Did decedent, in his lifetime, make any transfer of property without receiving a valuable or adequate consideration there£fcf which was to take effect in possession or enjoyment at or after his death? (Answer yes or no) __________ __ (a) Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition? (AnswP: yes or no) ·-'-·-~--- (b) What was the transferee's age at time of decedent's death?-·--~-·------- (5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor unrler which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a) The possession or enjo~nt of or the right to income from the property transferred? (Answer yes or no) ------------ (b) The right to designate the persons who s~()l possess or enjoy the property transferred or income therefrom? (Answer yes or no) __________ _ (6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent alone or others ____________________________________________________________________________ ~------------- (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) __ N~0~----- (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserverl power to alter, amend, or revoke, or wbich could revert to decedent under terms of transfer or by operation of law? (Answer yes or no) _____ N ______ __ (9) If the answer to (8) above is in the affirmative, was the power to alter, amend, or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no) -------------- NOTE 1: The answers to these questions should be supported by affidavit by the atten<iing physician as well as a copy of the death certificate. NOTE 2: If answer to any of the above questions is yes, set forth below a description of the property transferred, it's fair market value at date of death, dates of transfers and to whom transferred, with relationship of transferees to decedent, if any. Submit copy of any trust deed or instrument, if trans- fers are claimed to be non-taxable, also submit detailed statement of facts on which said claim is based. NOTE 3: List applicable property below in manner in which provided in Schedules A, B, or E. ITEM DESCRIPTION None I [nsert this total opposite "Transfers", Schedule "C" i/the "A• ReporteO" oolumn on the lo•t P"<• of thi~ MARKET VALUE (Estimated) DEPT. VALUATION (Dept. Only) • " 1' ·RCC-S8 COMMONWEALTH OF PENNSYLVANIA THi\N~}!:H TNHElUTi\.NCE TAX HF.SIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRrCTIOI'iS: This schedule must disclose all property, real and personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated tmder Schedule "A", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal property should be listed as in Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-o-wners to the decedent. Description of Property, Date of Acquisition, Name I Unit Address and Relationship of Co-Owners, and Place I Value of Record of Instrument, where Real~state. ! HEAL ESTATE percentage Estate Share Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest 1. Lot 74 Camelot Plan of Lots, Section 2, Plan Book 9, page 163, Recorder's Office of Washington County, Pennsylvania, in Peters Township, washin~g~t~o~n~C~o~un~~~~~~~~ vania, known as 09 Abington Dri McMurray, Pennsy van1a. cqu1red December 11, 1961 by Deed from St~ Clair Homes, Inc., to Mary Jane Hudak, Margaret Ann Hudak and Helen A. Hudak, Joint Tenants with the right of survivorship and not as tenants in common, recorded in Deed Book Vol. 1118, page 289, Recorder' Office of Washington County, Pennsy - vania. Mary Jane Hudak and Margare Ann Hudak are sisters of the decede t, Helen A. Hudak J+lfla~-..Se9-ol PERSONAL PROPER~e>7;1f'f ~ 2. 33 1/3 ,Joint Bank Account No. 543048, Doll r Savings Bank, Greentree Road Shoppi g Center, Greentree, Pennsylvania, in the name of Helen A. Hudak in trust for Margaret Ann Hudak and Mary Jan Hu~ak, sisters. Opened January 24, 1959 100 3,513.5 3. Joint Bank Account No. 2182H, Union National Bank of Pittsburgh, Crossroads Office, McMurray, Pennsy - vania, in the names of Helen A. Hud or Margaret Ann Hudak, opened December 11~ ~~ a§.~~ .· ~~ ~ ,·~~. ~ I~ I~ ~ Total 1/2 this ~11Q~jte "Jointly Owned Property", Schedule "E" "'AS'iteported'l-ctr'J:~st page of this return. }~ ;.!,_ .... I 829. sJ fjf. Jf \ h f!CC-3'7' h2-63) Cl):\1:\\l):\\\"E:\l.Tll OF l'E;\;:\SYY(:\NIA TRANSFER 1:'-:IIEHITA!'\l'E TAX RESIDENT DI::XEDE!'\T BENEFICIARIES AND · ADDRESSES State full names and addresses of all who ave an interest, vested, contingent or other- wise, in estate) Marv Jane Hudak lOQ 1\.hi ncrrnn nri v~ McMurray, Pennsylvania Maraaret Ann Hudak 109 Abinaton Drive l-icMurrav. Pennsvlvania ..... SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth this fact.) OR NO BIRTH Sister Yes over 21 One-Half Sister Yes Ow~r 21 OnP-H;Jlf Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE No J<:xcentions - .... .---' 'lo' I I Will Administration t No. e-1 THE Year .... ~lATTER OF THE APPRAISEMENT OF THE ESTATE OF Deceased Late of County of Commomn'alth of Pennsylvania REPORT AND APPRAISAL {Executor-Administrator must complete "As Reported" column #1.) C1 :~>--3 .... ·~ 0 Vl Vl ~~ .., t:~ ll:> ;..: ~ ll:> 0" ~ trl Vl ..... ll:> ..... Cb 'i::j Cb .... Vl 0 ::I e. 'i::j .... 0 '0 Cb .... ..... '< :::0 Cb e. 'i::j .... 0 '0 Cb .... ~ CF:i c s::: s::: > . . !:0 ~~·-................ .....:: t '\c.l) CF:i Cl'l ...... (') (') (') ""'-.. ;:r ;:r ;:r ·~cl ~ ~ :~~ "' .. -oo-oo-<n-oo-oo-oo ,~. ,~, . : ....... ~· . .~'. . . . . ·~·~ ~' :, ~:~ ~ "' ~ ·~ :• 0 Q -oo-oo-<n-oo-oo-oo '· ·~ ~· "' : ''i:Z \~ ~ ~.· ~ ~ ~·· "" c. ., ~· ' . 0 ;~' ~ ~ . ~ > Vl !:0 cc--o>-o~ .... ...... ('; c... > :Jo ti ~---r. tv '"'~ 3 ::s <.: c... R c;..c-:,g -!6·67) '~O'r.~MONWEAL TH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT HUDAK, HELEN A. FILl:!;# 63-68-347 December 29, 1967. SUMMARY FILE # 63-68-347 TtEPOHT OF INHERITANCE TAX APPRAISER I. the undersigned duly appointed Inheritance Tax Appraiser in and for the County of # 63 Washington , Pennsylvania, do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules d "E". Dated: 10-17-68 12-29-67 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 deductions in the amounts claimed b;y deponent, except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F", which greater or lesser amount represents the sum allowed as a deduction. Dated: REGISTtR OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) $ $ $ 4,16o.qo 4_,16o.oo:= ------ TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or annuities ESTATE TAX ASSESSMENTS 6.M3.t..1_ 10' 603. l!-.1_ ======:= <!> \'------ ll±__,]itJ.Q.._ 18.503.41._ ======·-======:= FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on Tax on $ $ ~% %----~-----·~-10% ~------------04 % __________ __ Tax on $ : ~ $ _____ _ Tax on ¢> -,, Exemptio-n-s::::::::::::::::= •::) Total Estate __________ __ TOTAL TAX Less tax previously paid BALANCE Less 5% of tax if paid within $ ------*=====~= $-~---- 3.months after death $~======~===:=== 3ALANCE 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 FQR USE OF REGISTER ONLY $ ------ TOTAL TAX BALANCE PAID ADJUSTMENTS (•::) As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. $ ________________ _ $ ______ _ $ ______ _ *~-------~ $ ______ _ $ NOTE: Where subse'}uent adjustments are made to the above computation of tax by the rtegister of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ! No ............ . IN THE Year ........... . MATTER OF THE APPRAISEMENT OF THE ESTATE OF HELEN A. HUDAK . . . ....... ~ ... -~ .. . . . . . . . . . . . . . . . . . . Deceased Late of ... PJ!.;'rERS T1t~"P. County of . . .. WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ~ '' Form'RCC-2 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ....................... 9.C.t.9b..~r.. ... J.7.J ..... J.9..9.$ .... . COUNTY ....................... ~~·~·~·~-~-~ .. ?..~ .......... . DJl;J'!AitTMENT OF REVENUE "'-. BUREAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 1 2 7 FILE NO. . .................. f?.}::::..f?..?:.?..~7... .................. .. Whereas, .................................... B.~l~n. ... A ...... H:Y.ct!?.-J~ ................................................................ late of .................................... Y~-~-~E-~ .... ~ .. ~ .................................. . in the County of ............................. )!.~,§.h.t.ngt..QD. .................................................................... Commonwealth of Pennsylvania, having died on the ...................... ?.9. .... ~.~ .................................................... day of ................ P~.?-~~-~-~ ................................ 19.?.?.. .... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ..................... W~B-~ ..... QPC!:P.-.~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. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purposes $ PERSONALTY: 104 Shares of the Common Stock of North American Rockwell Corporation 4,160.00 4,160 00 JT. flliLD: Lot 74 Camelot Plan of Lots, Section 2, Plan Book 9. oage 163. Recorder's Office of Washington Colinty Pa in Peters Two • Wash~nrlon Count~~ Paq Known as 109 Abington Dr., McMurray 10,000.00 Jt R~nk A~~t Nn I)L.10L.8. Dollar Savings Bank, Greentree Rd. Shopping Center, Greentree, Pa., in the name of Helen A, Hudak in trust for Maggaret Ann Hudank and Mary Jane Hudak, sisters. Opened Jan. 24. 1959 3,513.57 Joint Bank Acct. No. 2182h. Union National Bank of Pittsubrgh, Crossroads Office, Mcl4urrax, Pa., in the names of Helen A. Hudak or Margaret Ann Hudakz o:12ened December 11, 1965 829.84 Total ll,3~3.41 14,343 41 Total 18,503 41 ... form:•:.':fhb~~ ::1fh~w,,,.,,~,~~~~~· ~:; o~·~·~~~~p .. ~i~~ ~'~?- Appraiser . -I ~;;;:;;z:::::: ............................................. ......................................................... I (!'I er and Street) /• ... ~ ................. ..................................... , Penna. I (Post Offiee) ~~l~;:)JI.:£:1:-P,';I'QIIJ, 0 H , , HHHHHHHH"H'H c 0 unty RESIDENT INHERITANCE TAX APPRAISEMENT Estate of HElliN A • HUDAK Deceased. Late of PETJ:iliS TwP Date of Death, .. HHH ..... P..!'Je.!'Jm'PH~.r.HH4.0,HHl.9.67 ........ .. Appraisemel!t Docket Vol., ....... H ...... 3..7 .............................. .. Page, .. HH .. l.04.:::l. ....... H ...... HH.. No. .. .... 9.3..~.9.$..~3..4.7 ........ .. Filed in Register's Office, .. 9.~.~9?..~.~ .... ~.7~19H~?.. Amount of tax due, $. H .............. HHH .................................... H ... .. DEPARTMENT OF REVENUE Received, Examined and Approved, .... ;H·.·HH .. Ht.J'fli'l.·~'~'P,·/~'/.!A ... •'da I 00 f'Y· v~.· tj Wrote abo.u t A ppraisew~ntt1t..1 ...... t!J .. ~.~.:.;,H .. ~.?. ........ i> l P· n '"' ~·~cr'tl ~·~""~;j Tll~'ah ' "'0'00H""""H'0"'"""'H""'"'''"'"""'"H0H000.fJ~l.t~.J>..l ..... HH""'""''H"''"'"""""" Appeal j1'om Appraisement, £.H .. "~ ...... ~:SH .. :J!d~""t)9, ''"'''''''"''''HH'''''""''•'"""''H""'"'"'""'B'''''"''"''H'H'HHH'""''''''H"""''H";.:.;;;''"i ~. I !"! "":1 t \ ""'\ . ;, ~ ..... 1 ' " ~ ... Entered and charged, .H .. H ... H .. HHHHHH·H·~•JH.:.&'* ....... _ ..... ·, l Form RC C ·10 DEDUCTIONS ALLOWED IN -.,.~_ -. OFFICE OF THE REGISTER OF WILLS STATEMENT PF DEBTS AND DEDUCTIONS THE SUM OF ............ $ .................................. . OF _...;..W.:..:a=S::;.:hc:.:l.::.:' n:.;:.q.;;;t...:;;t..::;O.:;.:n;,...__ COUNTY OAT£ APPROVED .....•.. AND AGENT OF THE COMMONWEALTH Register of Wills, Agut ESTATE OF _....!=HA.!E=..L!:!.E!=I.N..._ .... Au.'---"H...,U ..... D .... AK.......,~ ..__ ___ LATE oF Peters Township DATE OF FILING APPRAISEMENT OCtOber 4 I 196 8 DATE OF DEATH December 29 r 196 7 DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCH~Jit Josephine M. Douglas, Letters of Administration I -~/29 68 Reaister of Wills 3 Short Certific.ab'!!=! lQ _ill}_ -3119 68 Josephine M, Douglas, 3 Short Certificates ~. ·r.~O o..,.,....; ~ .... ..,..,... ,...-F T•7.; 1 1"" " 1/1Q hR W;:g::h ina-t-on ronn-1-u R,.norts 21.rh:u'!rtisi nN T.o::>f-f-orco 1? t;() -~ 3/25 fiR Observer Publishina Comnanv AdvPrti !=:i ncr T.Pt:t:Pr!': 12 _5_Q(y_ - 10/4 68 ~~~~~f!rM~1itJ~ils Filinq Invento_rv 3 00 - Shirley Jankowski Notary fees 2 25 Rodqers and Roney Attorney's fees 350 00 Russell Marino, Filing Account 17 00 o,.. ..... ~ ................. ,...f! t.7.; 11.,... -;> Hospital 1 ? /1 () h7 Peters Twn Ambulance ServicP-Amhul.ancP to St Cl;:d r 15 0.0 .. Ambulance from st. Clair 12/10 67 Peters Twp. Ambulance Ser. _.j..,.. 11J1,..~~7 u, ,, 15 01) -.. 'I:" 12/10 67 St. Clair Hospital HOSPital bill Clast illnP!=!!=! 331 83 12/10 -bill{ last illness) 1')/1(\ 67 Mercy Hospital Hospital 1 552 05 ~2_L')_g _h7 r 21. M;'!C::r;'!nr'lr""::~ n n s ~nt-t=ll hiJl h ()() 12/~0 67 Queen of Heaven Cemeterv Grave lot 150 00 1? /~1 h7 Pi t:t:!=!hnrab ADP!=! th,.c. i ::~ 21.cocon,-. Mor'lit"'::~1 c:oruit"'o::>co 1 t; ()() 12/31 67 Neurosurgical Assoc. of Pgh. Medical services 210 00 12/11 67 Dr E. L Farrell Consultant 50 J)_O 12/31 67 Po.momac Pharmacy prescriptions 24 88 2/2 68 L Beinhauer & Son Co. Funeral Exoenses 1 574 80 6/12 68 1\JI,..,...,..,... Leonard & Lvnch Tranc:-f.,,.. o-f c::,.,..n,..; -t-i ""c: 1 ()() 7/15 68 Qneen of Heaven Cemetery Bronze marker 305 00 Real Estate Taxes School-$399.21; Twp7 $62.31 186 09 ~ ... ,.,.,. ...,,.. ,_ . -~ v'-'\oU• ... _y "r'~V• f-J \'-'U"'" \ooU..L..L.~ 12/29 67 Citizens Water Company Final water bill(one-third) 10 43 1/3/6 8 West Penn Power Company Final electric bill (one-th rd) 4 67 lL3L l6_8 Peters TwP. Sanita__ty Auth. Final sewaqe bill(one-third 22.t•66 1 /1 168 St. Clair Ins. COMMONWEALTH OF PENNSYLVANIA COUNTY OF Washington 1, Margaret Ann Hudak Agency House insurance (one-third) 23 HEREBY CERTIFY, THAT. TO THE BEaT OF MY kNOWLEDGE 'AND BELIEF, THE FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION_ SUBMITTED TO THE ESTATE OF He1 en A Huqak INHERITANCE T~X PURPOSES. J KOWSK I, Notary Pub I i c Washington, Wash. Co., Pa. My Commission expires Jan. 26, 1973. 33 - 0 .. Form RCC·lO DEDUCTIONS ALLOWED IN y .. ~ OFFICE OF TME REGISTER OF WILLS OF _...!.W,_,a~S=h'-::::i:.::n:.::.q.=~...:t:.:O:.:n:.::._ __ COUNTY STATEMENT PF DEBTS AND DEDUCTIONS THE SUM OF .....•...... $ ~q .7?.jr6 .. OAT£ APPROVED ••..... q=! ... Y.. ............... . , AND AGENT OF THE COMMONWEALTH ESTATE oF _ __JH:l.Jec:..a.l.s;:;ean.a..........A!;l..a..____.!.H~u!o!:.dl:.!::!akw..... ___ LATE oF _ __;;;P....;:e;;..t;;;;.e=r...;;s;._T;;..o..;.v._'l_n_s;...h_J. __ • ~P ________ _ DATE OF FILING APPRAISEMENT -1.0U.C.;.Jti.......--!:14t...;,_lJ...2.9..1.16u8;L_ __ DAT&: OF DEATH -~D~e~C~e:::.mb~~e::..:r~.::2:..::9:...L, __::1:..:9::...;6:::....:.7 ___ _ DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCH£" 1/3 68 Columbia Gas Co. of Pa. Final bill (one-third) 9 56 1 /'":), f\R Colonial Carriers (one-third) 7 Refuse collectJ.onservice 83 1/6 68 William J. Kumpf, Inc. Gas furnace service(one-th± rd) 10 53 1/9 68 Bell Teleohone Co. Toll calls Re: Helen Hudak 14 77 Court Costs at audit 14 00 TOTAL 1 ... -"' ...... rJ:o COMMONWEALTH OF PENNSYLVANIA } -~~• ~-SS: COUNTY OF aS I ng On 1 Margaret Ann Hudak ' ------.J!La~if..£1.LSU...._:;;;;:.!..!..!..!...._~~~~------------HEREBY CERTIFY, THAT. TO THE BEaT OF MY kNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRUE STATJ!MENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES 01'" AoMJNISTRATION suBMITTED To THE ESTATE oF He I en A. Hudak Sl FOR INHERITANCE TAX PURPOSES. SWORN AND SUBSCRIBED BEFORE ME THIS 2 DAY 01' .:d2;;~~t:;;~-SHIR~E~NiowSKI, Notary Public Washtngton, Wash. Co., Pa • . ~Y Commission expires Jan. 26, 1973. - Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS 948620 OFFICIAL RECEIPT No. Transfer Inheritance and Estate Tax File No 63 ... 68-347 Date Ma.rch 29 19 68 t¥'ASHINGTON Office REGISTER OF WILLS. Pa. l1ASHINGTON County, ss: Received from liargaret ..\ • Hudak (f;:K~ .. Adm' . 'OT~fiV;(diSt\1 -. cr, 1rustrator OI', ~ ' at:·:· ' ) of the estate of HELEN A. HUDAI~ who died December 29 19 67 I the sum of NINE HUNDHED FIFTY and noLlOO -----Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Real Estate Tax on$ 5% $ Date Valuation $ Tax on$ 10% $ $ Tax on$ 2% $ Total $ Tax on$ Ou Acct. 15% $ 1,000 .. 00 Personal Property Exemptions * $ Date Valuation Total Estate $ $ $ Total Tax $ Total $ Less Tax Previously Paid (if any) $ Total Gross Assets $ Balance $ Less Debts and Expenses of Less five per centum of tax if paid so.no Administration $ within 3 months after date of death $ Clear Value of Estate $ IN_C0Mr.LE1'E Amount of Estate Tax Assessed under Valuation of Life Estates or Annuities the Act of May 7, 1927. $ Date 19 __ $ Add interest at the rate of %' 19 __ $ from Estate Tax Assessments to $ Date 19 __ $ 9 .. 50.00 Total $ 19 __ $ * As evidenced by Charitable Exemption Certificates issued by the . Secretary of NOTE: In accepting the transfer inheritance tax on future estates prior to the death of Revenue under Act of May 28, 1956, P. L. 1757, effective June 1, 1957, as =ended the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Com-by Act No. 381, approved July 11, 1957, and Act No. 207, 1961, Section 302. monweal!h shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the hfe tenant or tenant for years whenever it appears that such additional SEAL tax may be legally due and collectible for any reason whatsoever. 11000 [p)[LO @£ LJ[E 37-102-1 / l{~ .P'" .~: .('.~( ---~~ ~ /, ,./ /. ~ &-~1 .( v' NOTE: This Triplicate Receipt to be retained by the Register of Wills and filed in numerical Register of Wills sequence for audit purposes. MOORE BUSINESS FORMS, INC., ELMIRA, N. y, FORM RCC-4-Rl TBANSFEB INHERITANCE and/or ESTATE TAX.. RESIDENT DECEDENTS. RECEIPT Docket._3_7 _ __.Page l02 T.ine·_l __ _ Estate O·Lf __ HE_~....;;LE;__N __ A. _H_U_D_A_K __ OmCE OF REGISTER OF WILLS WASlllNGTON,. Pa ------~~~-~--L-----J . Date,_·· ___ 't.:::..1,.A .... rc_._.h"'--'2 .... tl..__ ___ l9___fi8_ 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 }<lt\R!NO Register of WUla 1201 (g), Act of April 9. 1929, P. L. 343, as amended, viz:-"To receive from Registers of Wills all duplicate il'e• ceipts for taxes paid to them by executors or adminis· trators and to· charge the Registers receiving the money with the amount receipted lor. 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 execut<>r 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: I To ~ARC.ARCT A. HUDAK 109 ;\hington Drive L McMurray, Pennsylvania 15317 _j