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HomeMy WebLinkAboutOC1968-0378 - ESTATE OF REPSEYFonn No. RCC-62 (12-66) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 18, 1981, / EFFECTIVE .JANUARY 1, 1982. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) OFFICE OF T~~ REGISTER OF _WILLS . (}' \ .. ' - -(o 3 ·--~ g -3 7 6 ~ County of .W~:S.l'}.:j.p,gt9.Il ............. . • r ..... ~:t~<?~Y.. '!.· .. ~~.P.~~X ... · ............... ~ ... of .~~~ .. ~<?~.i::t~.~Y. ~~~:1: .~!l.~.~~.t:t~P.'t~gl}., .. ~~.· (N~e) • (Addresa) ~ \ a • I being duly ____ §~Q.~!l_ _______________________ according to law, deposes and says that he is the ---------~~-~g~j:;Q_+-______________________________ _ P 1 R k /k/ (Exec., Adm., Legatee, Etc.) ear -_ zepsz y. a a · _ -· -_ . . of the estate oL .. ~~-~~_:!. ___ ~.§!..P-.E?.EAY ______ ~--------------------who~e la~t resid~nce was ___ _l4.Q ___ ~~~j;. ___ C9_ll __ g_e ___ Si .... __ --------<No.J tree!) canonsburg Pa d ' d d h ' h h 1 f -h f : ·d; d d t 1 __ J __ an ____ -----~~---!.9_~e -----------------------_(. ________ !_______________ ecease , an t at t e w o e o t e estate o sat ece en , -<Cit}', Borough or Township) e.NJ consisted of: , _ . ' • ' _ · · ~C. /11'1__:_7 f J ,~ ,. REJ\L PR?PERT;y · 'C7" ·_ . . REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON L AT DEATH OF D DENT,. WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY' ENTIRETIES, GIVE NAMES, ADDRESSES ANID RELATIONSHIP OF ~HE OWNERS. Real Estate None ll:lUUII.XXliiLX:I!!!XAKCIII.X X..Jt -... ·- :aJil· X .II. XXIII XXJII.Kl!ILX: AJII.GI:R X :1611.1111-a!l -. Personal Property ~ 6ld dilapidated furniture and household goods all given away to City Mission and none taken. Metropolitan Life Insurance Sut)plementary COntract #198-055 Z Metropolitan Life Insurance Supplementary Contract #198-056 z Total Personal Property ) E~timated Value -------~: $ 3S5.74 A: I $ 355.74. ~\rj' $ 711.48 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 Estimated Value' . All that certain lot of ground situate on the south side of East college st. in the First Ward of the Borough of Canonsburg, Wash- ington Coun_ty, Pa., -and being part of Lot No. 2 in a plan of lots laid out for Samuel Munnell by J. P. Weaver, Surveyor and reported in P.B. No. 3, page 43 and more particularly bounded and described in Deed from Pearl Rzepczyk a/k/a Pearl Repsey, widow, to Pearl Rzepczyk a/k/a Pearl Repsey and Anthony J. Repsey, as joint tenant with the right of survivorship, said Deed--, 1963 and recorded in D.B. Vol. 1146 a e 197 Washin ton Count Records. Having erected thereon a 2 story dwelling k/a 146 E. College St., Canonsburg, Pa. -Taxable one-half. (See. Schedule "A" for other jointly held property) z. None . ..... r· That at the time of death there was no safe deposit box 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 RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (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 - Anthony J. Repsey brother~in-la, ~ yes o. ---.~,_., 100%.· ~ - . ~' . _,.:f'~~-~---;,·-·---. -·--~· . ·-·· .• -·-...._ __ . ____ ...,__, __ -~---~;,...-.,-.-_._,. •'---~.....;..,. __ .. ........,_ ----~~~k-"-•••~ .. ..,.;..._,._._.a......._..._;,._._...._ ••• ,; ... -·--· •. ~ t~~~~-~- R C C-I 3.4 ( e-5 ~) COI.IMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAUOF COUNTY COLLECTIONS INHERITANCE TAX DIVISION OFFICIAL tWTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION -Date: ______ ~J~.)~§~J~:;~~~Y~3_0~,-=1~9~6~8 ______ _ 18.;3 C0u1(.1lEY KilL ED. !:Ii~SHD:GTGH County __________________________ ___ PITTSHURGH, ?.Sl·:PSYLV.:1.NIA 15229 ----County File No. ____ ___;. ____ _ Bureau File No. __________ _ We have received notice that, aK..CiXres.Iitf'·:.ofa1re::J:tiia}licotY::x~;;{:'~·co::~x.:c;n::}::;cc;:c::.z.>:0~.::;:x:'CCC'::=r·:::x:.::;~:r:':;C(":C~~C"' on 1-21-63 & 1-G-68 19 __ , you came into ownership of certain property thro'ugh r:Ig'hiC"&:CSU!v;riruf;1i:[f{f-wJ11CK:: ·-- X}t)[~{m'm:::e:~tr::::·'Ow:ire:d:~;::;nra:;·de~eliilliK tr2.nsfer from TQI.~ P.EPSEY 1963 and PELl.L PE?~Y l-8-68 , Under the Inheritance and Estate Tax Lows of the Commonwealth of Pennsylvania such transfers are taxable and the liability for the payment of the inheritiJnce tax due is imposed upon you, as transferee. The property on which tax is hereb.y oss.essed consists of: JL Sav. ·Acct. /1317 held in t~e PITTSBl'-:R.GE NATIOI\A.L BJ'J~I:, CArONSBURG OFF:c:;;:, CA.f.:O~~SBUT~G, ?A., in the nP.mes of TOE or F'.Si'"''i.L BE?::.t;Y or "~-I';"('TY J ~·::JSh'Y 6 / . -'U1ll'n lJ\ • .1.~~ ---" • Opened l0-5-2. Balance as of 1-21-;-o.J $2421.18 • Balance as of 1-t-62 ~ appr.a i sed by the Commonwea I th, as of the dote of death, at $ ---""-2.;..., It'""' 2""'1=-·~1=-::0,:__~2.!"'-ln""c __ 3~, 0?4. 09 '¢/3 and h% of this amount is taxable at the rate of 15 % . .. · •.. ~~... ORIGINAL ASSESSMENT . DATE OF ASSESSMENT 1/3 of 2421.10 = 807.03 TAXABLE AMOUNT ± of 3,024.09 = 1~512•05 $ (1) 207.03 ! (2) 1512osQ~5 ______ _ LESS: ALLOWED DEBTS ·11 NET TAXABLE AMOUNT .I AMENDED ASSESSMENT I; AMOUNT OF .TAX DUE 0 If you pay the obov.e amount within three (3) months of the date of death of the decedent, or on or before ~\pr:i1 P, 19 6E._, you may dec!uct a discount of 5% of the amount of tax due, or 0 This tax become delinquent one year after the date of deot~ of the decedent and, in addition to the tax, statutory interest at the rote of 6% of the tax per annum is also due as. of * :Iarch S, 1 S68 ·19 · in the amount of *If the tax is not paid by the above date additional interest is due at the rate of 6% per annum until paid TOTAL AMOUNT DUE S -( /) ' J APPRAISED BY: ~__)::__:_'/__,. 7:..:_.--~~~~::::.:..~.::.:..<'----=."'-1:..""--;-'-<·f--!/_ · (Inheritance T ox Approj~r) . 121.05 1\ 226.81 ------~~~---------------- ·\ 1.1\ 11.34 --------r------------- 11 . 29.98 -------~-- :I l INSTRUCTIONS TO TAXPAY~ (over) ' r: "'":·, ":"...:0 '. ~-1•f.'~.ol/.,_,c,~•·O;,,.W~ ·· '·'~'"·'.l"'"<"o~·-·•·...,., ... , .. <f"IC1;.,.,a;,~. ,",,"•::·..;: -~~·-· _, ...... _____ ...._ ___ ~ .. __ -·-·-·""·-···-'""""""~ .• . ------"-~ .. -. *•,--··-••. __ .. ___ · ... ·If you have olready paid. this tax to an executor, administrator, attorney or other personal representative 'b{ the~ decedent for forwarding to the Cofnmonwealth, list below the dote paid, name and o"ddress of the person to whom you mode pa.yment, their official title and the amount. Dote Paid Nome and Address of Payee Official Title Amount Paid " . \ Under certain circumstances, if, after the date of death of the decedent, you personally paid funeral expenses or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended by you may qualify as deductions against the gross value of the p'roperty in the computation of tax due. If any such expenditures meet o II of the three following tests, it is recommended that you itemize the payments below, execute the affidavit, and return this notic~. The Register of Wills will examine the debts claimed and allow those which he determines to be proper. The tax will then be recomputed and you will receive an amended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: 1 -You were personally legally ;esponsible for these debts, and i-You actually paid these cfebts out of the ·account or property de"scribed above and can furnish proof of such payment, if required, and • 3-These same debts ore not also claimed, for tax purposes, by an executor, administrator or other personal representative of the decedent handling the administration of the general estate of the deced~nt or any other" transferee. 0 : SCHEDULE OF DEBTS . Date Paid N,ame of Payee Description oJ Obligation Amount Paid . .. l /1 j/fh_, /) ' ~ . ~~.__. / -?-. " /J .. / /;/ L-{_/t f. -··iLl' (/ /r. .I /; ~ I£~ /I ~v"{ / "'--· li f. . /} r r-~/4, {j(j /,•./ ! ,. ~"-'_C{' f~ I - l ·--v -f t?:/. ... ""'VZ_.' ... ) ·~v£.. c/Lij ... r. J ;1 . J/1 y ~lLf:o, I I ( LV!,.L(_~p I .. , ,-f- II C£,·(.ct I II i-- I '- TOTAL $ (attach separate sheet if required) COMMONWEALTH OF PENNSYLVANIA) 1 SS: COUNTY OF: rf/a :J/-?{!IO ·71 .. I, 4-!ll/llrL,i/ -:;-( · ·le.(>Sl!.U hereby~~rtify f,hqt)he foresoing is a just and true statement of fu~eral expensb and othJr deb}s of the decedent,':i~; 7~1 :P\cf,/'_c•-( Vli.cf , for which I was legally responsible and which I did pay out of thepro,p1ertVh'~r'ei~ taxed. I further certify, that to the best of my knowledge and belief, these same debts will not be claimed by any other person, for inheritance tax purposes. SWORN AND SUBSCR-IBED BEFORE ME THIS,/2---btt"' DAY OF --J/'1 . ·f _, / L--19 l v ~-~~-. REPORT OF REGISTER OF WILLS I, the undersigned, duly elected Register of Wills in ond for the above county, do respectfully report that I have allowed deductions listed above in the total amount of$ 0 Date of Approve I:----,--------'------ Register ofWills .. /f /I DEBTS AND DEDUCTIONS CLAIMED · NOTE· List first five items in the spaces so provided, observe notations thereon, and instructions r--------D==E~B~T_O~R_C~L=A~I~M~-------.----------~N~A~T~U~R=E_O~F~S~A=M~E __________ ,~A~M~O~U~N~TT-~THIS COLUMN ~tEGISTER ONLY Edward Krawczyk Funeral H<J~Funeral expenses paid 1-----------------~,..r-Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Russel Marino George·J. Modrak Adm~ist.ration E~~tenses.,.* Letters 11.58 KE;!1:.urn :ror J.nh. tax 3 • 0 Counsel fees * Fiduciary commission * OTHER DEBTS AND CLAIMS ( *) See Note below St. Adelberts RC Church Canonsburg Gen. Hospital Citizens Water co. opening & closing grave Balance Columbia Gas Co. West Penn Power Co. Canonsburg Borough Sewer r~ax Deed and Acknowledgement Closing Fee-R.E. TransfEr John D. Woodward -TransfEr Tax Sellers Share of 1968 R.E Taxes ~ Probate witness fee .. _ Total $1,238.(0 $ 14.1 0 214.< 8 75.00 13.:1:2 5 •• o 43. >2 3. 32 3. 72 16. )0 25. ~0 65.~0 17. ~"Z $ 1,740 43 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 allowed . . . · . .· !'r~ Sub~IIbed and sw01 n to before me this . . . . . . .............. . . . A . 'l"'JEJ;I;C.lJ. .............. ,.~?. .. · .... · ~·rit~ ·· K' · .t.fJPubWC. · .. · .. · · · .. · .. · · · · GEORGI t Vo~ ' ' 0 a. J " Canonsburg, W hington .co., Pa. My Comm ss!on_ ~xp1res . . )-~~ .. ~.C?~.t;~.~y. M.;i).:l:. ~~' ............. . (Street Number) ... ~~~:t7~?~~~~· ... ~.~:-.. ~?.~~.~ ............. . (City or Town and State) Having been duly ~OI]) according to law, I ~·~y certify that the above appraisement is 7e in conformity with law on this ............ /.~~ ........ dayof .... -:-/,«..~ ........ /:7_·;;-·£:?···~ ... 9.~ ... e ~~~~ ~ / ~ .. ./.': ••••••••••••••• 0 ••••• 0 ••• 0 ••••• /.~, • 0 ••••••• 0. ppraiser In the event that any future interest in this estate is transferred in possession or enjoyment lateral 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·inheri- tance taxes at the lawful collateral rate on any such future interest. . . ~E~ORT OF TIJE, R~OF~ . I, the undersigned duly elected Register of Wills m and for .. k1/ ........... ~ .~':": ......... County, Pennsylvama, 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 les~er amount is set forth in the last column to the right in said schedule above, which greater or lesser amou represents the sum~ as a deduction. Dated: .. ~4-q. ... /.~. /h.'0/...... ....... . ................................... ~ ... . -..;;::/ Register of Wills ' ' i· ' ) Fonn No. RCC-62 (12-66) ,.., WIIi. . ~; }N-o ..... :. '.' ... Year .... · ~m•~.t11trd::ap · · IN' THE MATTER. OF THE. APPRAISEMENT J '/ • . ' I O.F THE ' . .. ;: .·:ESTATE OF. • I :PEARL RZ~P~Z~ -ajk/a PEARL .REPSEY ........ ·. · .. '· ·.·. '· ·;· · · · · · De~~~~~d · · · · '' ,· ,I.;ate of -~~~:f:lsbtirg .......................... h ·• L. County of . W~§IA~9.~<?~ .. ;:;:;.::~· ... ~~~:,: .... !2r::::: : • V) VJ --{(.') Commonwealth of Pennsylv:~~ia. ·······r- ~::: --<; t . .._,. .. ~ ....... :::-:?'· -....:-0 ~ REPORT AND AfPPRAis-AL r._.,'-J J ' , r, (\..) tv lJ7 GE:ORGE J. MODRAK ATTORNEY AT LAW 22 NORTH CENTRAL. AVENUE CANONSBURG, PA. -r. ....._ r-- r;; t:::J ., \ ......... _..._ "-· ~· . ~I ....... .. :'CC-;q ( 6-64) ('.QVMONWEALTH OF PFNN~YLV1NI.\. THAN~ FF.H I NH1~RI TAN C~ T A~ R.~SIDENT DECEDF.NT RZEPCZYK, PEARL A/k/a REPSEY, FILE if 63-6t-378 January 5, 1968 SUMMARY :?El"-RL ··~-. FILE # 63-68-378 TtEPOHT OF INHERITAJiCF. TAX A.PPRAISEH I. the undersigned # 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 real and personal opposite each item in the last column to the right in Schedules "C" and "E". Dated: 05-16-68 01-05-68 REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for lrfashi-og±:on County, Pennsylvania, do respectfully report that I have allowed deductions in the amounts claimed by deponent, ~xcept 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: 05-16-68 REGISTER OF WILLS INVENTORY VALUE AS REPORTED VALUE AS APPRAISED VALUE AS RELA.PPRAISED Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule $ $ $ --------711.48 ·-711.48 TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLE~q VALUE OF ESTATE Valuation of life estates or annuities ESTATE TAX ASSESSMENTS E) 22220.00 ·-3..!250.00 2~961.48 ·-32 961.48 )...]40.41.:,= 1_, 740.43 ·-~ ======:= 2~221.05 ·--22 221.05 $--~-- $ ------ FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on $ _________________ ; ___ ~% $ _________ __ Tax on $ , __ 10% !!: _____ _ Tax on$ ~"1 $ Tax on $ 2,221.05 :~ $ ___ 3_3..2_"-.1~6':= Exemptionso;=======:= (':') Total Estate __________ __ TOTAL TAX Less tax previously paid BALANCE Less ~% of tax if paid within $ ____ _ *-===== ~ \= $ _____ _ 3 months after death $ ~=========='=== BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6% 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 "' ~'------ TOTAL TAX BALANCE PAID ADJUSTMENTS (':') As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. $ _____________ __ $ ______ _ $ ______________ _ $ ______ _ $ ______ _ $ NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration t No. Dl THE Year ........... . :\lATTER OF THE APPRAISEMENT Late of . County of OF THE ESTATE OF PEARL RZEPCZ~.:y ::/: :/'2 Deceased . . (\ ~;-Fnn.r:y. T.rz;'C · ~::_s:·::r:•Jc;TON Commonwealth of Pennsylvania REPORT AND APPRAISAL ' '• I Fonn RCC-2'· . . COMMONWEALTH OF PENNSYLVANIA DATE .......................... HI3.-Y .... J.9...l ..... ±:.9.9..$...... .... .. . DEPARTMENT OF REVENUE· BUltEAU OF COUNTY COLLECTIONS HARRISBURG. PENNA. 1 7 1 2 7 ...., ol ' ... RESIDENT INHERITANCE TAX APPRAISEMENT COUNTY ........................... W~.e.ht.n&t..9P.: ..... . FILE NO ........................ 63.= .. 6.8=3.7.8. ............... . Whereas, .................................................. P..~ar.l .... Rz.e.p.c.:?iyk ... a/k/a ............................. late of ................................. G.i?J1Q:O.$P\J..:r.g ......................................... . in the County of ........................................... J:f.~§.h:L.ng.t..9..P. .................................................... Commonwealth of Pennsylvania, having died on the ............................... .5 .... th .............................................. day of .................... January.................................. 19 .... 6.8 .. , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania· , Therefore, I, ......................... J~T. •. R~ .... Chane..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 ln 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 Deacrlptlon of Asset Values Made for Inheritance Tax Purpose• .. $ REALTY: NC:ii.'Ec· t ~)~) rJONE .. . ...... PER.SONALTY: ... As per appraisement filed 711 48 ... .. ----.. TR.PJ-JSFERS: --· NONE NONE -- JT. HEID: As per appraisement filed 3,250 00 ---··· .. 'T'otal .3. 0 61 48 ·. ' ' I .... vlASHINGTON. ... County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of PEARL. . .RZEPGYZ.K ... Deceased. Late of . GMmNSBllRG Date of Death, ........... Janua,ry. ... 5, .... 19.68 ................. . Appraisemel!t Docket Vol., .............. .37. .............................. . Page, ........ S7""'B. ................... No ........ 63.';'::.62~37.2 ....... . Filed in Register's Office, .... J.1.ey. ... l6.~···· .19 .. 68 .. Amount of tax due, $ .................................. -----·--------- DEPARTMENT OF REVENUE Received, ····-·······-·····------------------------------------------------------- Examined and Approved, Wrote abo.ut Appraisement, Appeal f1'om Appraisement, Entered and ch(Jrged, '• Forin'RCC-2 COMMONWEALTH OF PENNSYLVANIA DATE ....... M.~Y.. .... 4.9~. ...... ;1,.99..9. ....................... ···················· D~ARTMENT OF REVENUE RESIDENT INHERIT-ANCE TAX Washington COUNTY QUREAU OF COUNTY COLLECTIONS .,. ........................................................ : ......................... ·············· HARRISBURG, PENNA. 1712 7 APPRAISEMENT FILE NO •... ?.?..:.?.~:~.?..?. .... ~ ..... ?.?.:.~~:~.?~ .. Whereas, ................... ~.?.~ .... ~:.P.~.~!. .... ~~~ .... ~.~~.~~ ... ~~.P.~.~r. ................................... late of . ......................................... 9~.~.C>.~.~.~~·~································ .. in the Cou1-f of ............. , ................ ~~~~.:i.?. .... ~?..~ ......................... §anU:ar····················· Common![lth of Pennsylvania, having died on I the ...................................... t.h ................................................ day of ...................... ?:r.l.~.~zl ................................... 19 ............ , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ....................................... ¥..~.~.~ ..... 9:~~.~~.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 Purpoaes $ JT. HELD: Jt. Savings Account held intthe Pittsburgh National Bank, Canonsburg Office, Canonsburg Pennsylvania, in then ames of Tom or Pearl Repsey j or Anthony J. Repsey. 2,.319 08 J I . ' Total 2,.319 08 j . - - - I Having been duly sworn accordin~ to law, I do hereby certify that the above appraisement is made in con- formity with ~won this ....................... ?.9 .... t .......................... day·~~~ ~ ~~ ~;~ . Waffi ington (Number and Street) Penna. ········································································································· ............................... , (Post Offlee) ' I WASHINGTON ........................ County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ........ 1'0N ... RJ.£P.s.~I ... ~ ... ~ .... :P~.~---·~P.$.~ ..................... . Deceased. Late of CANONSBURG Date of Death, ..... ~.~--~ ..... ~.L.?::<J..~?. ... ~ .... ~.~--~-.... ?.~_, 1963 Appraisemel!t Docket Vol., Page, ............................................... No .. ~?..=.~f.=~&~ .... ~ .... 2J-68-378 Filed in Register's Office, ........ ~Y. .... ?..9..1. ..... 1.:19.29 .. . Amoun.t of tax dtte, $ .................................................................. . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal ft'om Appraisement, Entered and charged, 4' ~ "" Form RCC-4-RI-3-66 ~9 924979 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT JIESIDENT DECEDENTS No. Transfer Inheritance and Estate Tax File No. 6J-6<6-;37S I Date Uarch 14·, 1968 Office REGISTER OF WILLS, WASHINGTON, Pa. WASHINGTON County, ss: Received from ANTHONY l'!EPSEY, Paying on Inti. liab. Clt~tKtiiliarii~lrb~~<ll:rdriii~ of the estate oft ________ ~Pl:.:F.a.Af£fl..t.I.~R.t~i~P~S~E~t:.__ _____________ _ who died Japuary 8 19_68_, the sum of TfiO :.tt!~'1'U?f<':]} l''IFTEE)! a:nd 47/103 _ • _ _ Dollars, 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 Jt. Held $ 1 ,512.05 Bank'Acet. $. _____ _ Total Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities $ _____ _ $ 1,512.05 $. $. _____ _ $. 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 d the life tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever. uOOD~[LD©LA\uCE 37~??--t:f NOTE: This T.riplicale Receipt to be retained by !be Register of Wills and filed in numerical sequence for audit purposes. Computation of Tax _ .. , ": Tax on$ 5% $ Tax on$ 10% $ Tax on$ 2% $ Tax on$ 1,512.05 15o;0 $ 226.81 Exemptions * $ Total Estate. $ 226.81 Total Tax $ Less Tax Previously Paid (if any) $ Balance $ Less five per centum of tax if paid 11.34 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 'Yo from-~---------------­ to ------------------ Total $=============== $ 215.47 *As evidenced by Charitable ·E~emption 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 ll, 1957, and Act No. 207, 1961, Section 302. . ....-1 "'" S A L ~. ""~ j . • ~-. !/ ... ~~ . ~-·. ~ ~-.l' ~ {t""; ;)· .;.:. "' . ..e.:~ · , -~ ,4; ~-"t::<:P~'r~(!;-1 ~ ~ . Register. of Wills MOORE BUSINESS FORMS, INC., ELMIRA, N.Y. L FORM RCC-4-Rl TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket. ~? Page· J 2 I ine J? Estate oLf _P_EARL _ ___:·_RKP___:...:.::SJY__:_::._ · __ _ OFFICE OF REGISTER OF WILLS WAsHINGTON, --------------------~--~----Pa. Date _ ___:~='a=r~c:=.!h~l~4~, ____ 19_68_ 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 I201 (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: I L To.AftY. GEORGE J • MODR.A!t 22 NOitTH CNETRA.t A'\t"ENUB CANONSBUF!G, 1531'1 . _j FORM No. 112-S WILL . .• ... ·.·· ... 'm, > : ••• ·• 1,3-t;t-37<( ~~,I For Sale by P. 0. Naly Co., Law Blank PuUlishers 1 415 Grant St., Pgh. I:),. Pa. of ~ft t 'lt1it·r1 ~ rn t . ..!'! iu&E. ~t ! U11u ~rEI .U1Ul'11! / 1; PEARL RZEPCZYK a/k/ a PEARL REPSEY Canonsburg , County of Washington · and State of Pennsylvania being of sound min.d and memory, do hereby make, publish and declare this to be my Last Will and Testament, ir' manner and form following, hereby . . ' ' revoking any will or wills heretofore made by me. First. I direct that all my just debts and funeral expenses be fully paid and satisfied, as soon as conveniently may be, after my decease. Second. I give, bequeath and devise all of my estate, real, per- sonal and ~ixed to my belov\d brother-in-law, ANTHONY J. I / I I .. -----,.~~--·. -------~--.-~::-----.. ~--· .... _______ ---------------:.. ____ ----· ··-.·. ,' ~ '",..___,_. __ _ k. f-.,. · ..... ~':"~·';,.~~-:"···:·· .. ~ ~.',:).JI•!~-:·~-~--.·,..·-"' .,.t,olo,/' ~-_...., c·..,~ ... :...-"'\,.O,, ... ~.~:-:,f"""'" .. :.. •., 'h,,.~. !~··-'}'::.i'"'"'"·'7,·~'!;' ··..,·;.-..'!::"'.-:.. • -·_,.,;• •. ,•' ·.~:,""'::' ·•(';,-.. . .. ~~ . ... ~·:. ·:.· .... ··: ... ;,.:.·, .:z. -'! ._'··~: I do hereby make, constitute and appotnt my beloved brother-in-laH, ANTHONY J. REPSEY . to be my executor of this my Last Win and Testament • .. ]n aillittlC.SS Wbetcof, I PEARL RZEPCZYK a/k/ a PEARL REPSEYhe Testatrix ~~ I above named, have hereunto subscribed my name and affixed my seal, the 1 -·0.../ day of February in the year of our Lord one thousand nine hundred and sixty- ir,/ ~"!) ./Y/-" .. ;, ~ ~ (}A · :u1...A_/ {J •-""-: ,, ~:'U?.. i . .<: · ~ -p-~~-t-·Rze"f)(;-~~-rl-tt--.?:::.--------"·---·---SEAL pEt. ,-'i i ( {. · ' ://r Z' ~, ( 1 . 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