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HomeMy WebLinkAboutOC1968-0733 - ESTATE OF KACHALAy . IN THE Cf2UR'f OF COMMON pLEAS OF WASHINGTON COUNTY,PENNSYLVANIA--ORPHANS r1 eeUR~e~J~lio~gN/ .'...PETITION SUR AUDIT IN THE ORPHANS''COURT OF WASHINGTON COUNTY Estate of ~~.~.~~~.~..~~.<?~~~~------.--------.-------.--No._...?}~~f._)_~.~.?...__..___- . Fiducia ry ..E.dwar.Q._.J.o.s.e.p-h..P.e;trak.,...Ex.e.cut or .Deceased ---__-_. Date of Date of Decedent's death ~.~.Y...gl-.,..J~f&.._._Grant of Letters M?.Y-..2.4-_.19.6.8 -..- -..- ---.-- This is the...JtJ;'J?t..g.D.9 fJ.IJ.?l ; _::.:account JUed in this estate l--.J '-'r '.....,-,J.I '..1 ".'f If there have been former accounts filed in this estate,list file number or number and term.___ _ _ _.•' Election to take Date Election Place of; Under or Against will.(cross out one)Filed -~.:.:-.::::-Record _:"S·S··~::.:-::::-::·-··--··-····· Not applicable Name of surviving spouse ..__ __:~~!.1.~_.-----.I--•••.:••~-.:-.---••••--------.•-.•--.•..•.••:--.-------------••--.•••. List issue,where material: {r't ................................NQD.~h~r.~.tQf.Q.:r.f?..fJJ.f?p.: - -..-..--.-.Ir \'\.~-I,'I ,,-'- Did decedent marry after execution of will?(indicate)X~No.Any children born after execution of will?(indicate). ~N~.If.~nswer yes,name them ___ __.-:----.---..------..---------. Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris I Edward goseph Petrak Nephe\\i'Entire List,if exceptions to above:Adeemed:Revoked:Lapsed:Abated:Give Cause: None If partial intestacy;give facts:None Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 [paragraph C:Section 6:Subdivision cl received written notice of the filing of the account and of call of audit?,Yes.~" If t,;,.'.None.any excep Ion give cause _,······.· File copy of ~otice''rc (l.1/1 rt 1 ;).:. , and date of mailing !.:. Is estate subject to the filing of a Federal Estate Tax Return?~~. Actual payment rnade on Pennsylvania Transfer Inheritance Tax.Amount $~.?~.:.~.~. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant . None...._---..__-___--___-__- _-..-____-_- _-___.._--_--_. Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. .J NONE Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: NONE '-''1'-, ~\T ,_ Balance for distribution per account, Itemize any additional debits not shown by account: I.J None Total additional debits (Add) Itemi:z;~any additional credits not shown by account: 8/19/6~~~Russell Marino,Agent for Commonwealth of Pennsylvania,clo Inh.Taxes (for which credit of $125~84 was given). Total additional credits (Subtract) ~'...., Balance for distribution $~.Y-J.~.~Q . $None . $119.55.......-. $?~f.~J?_.. Balance for distribution '.is all in cash ..J l't If balance for distribution is not in ~~sh,list each item held in kind,giving appraised Value'(or distribution Value);~, 'f'.,...,.... ",J'""-i.. s .......1 ....J ..J •::i '1 - If F "E t'I'd b P " , I f R d'None being claimedamiyxempIoncalmeyetltlon,give pace 0 ecor .----- --------. If F 'I E t',I'd d·'t 'I t'h'db"f CI'None is being claimedamiyxempIonIScOImeatauI,give name,re a Ions Ip an aSls or OIm:._. List any advancement or distribution on account that has been made,and nature and amount of same: NONE " Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: ,I... It is respectfully submitted to the Court,that the final balance of distribution, ,after charging f~r final audit costs and any balance owing on inheritance taxes,be "awarded entirely.to Edward Joseph Petrak,the sole beneficiary under the Will of the instant decedent. COUNTY OF WASHINGTON,55: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, \', being duly_....__~.~9!'!.L ......doth depose and soy that the facts set forth in the foregoing petition are true to the best of.__.__his ..__,nowledge and belief, ......-.Sw.Q:1;'.n __._.and subscribed before me thiS..lt.O:It.'_dOY O~'f.?2 .i<:/!V,"".'"1",.- -'s:-:.<.-. Signature of Off,icer.. ..,..~~:-.j . .'..... _Title of Officer.:.~~:'.;vrcrnrrE:'RM;'Nl1r7{~V.PU'9lrC . Off' ,<~CHJl'!~LEROI,WASHI'lGHH CO"PA. Ice expI res :",.i\ty.'C0MM'1'SS10/t'E:xrlf('S'·.tOm:·'23;'1'96~""" And your petitioner will ever pray,etc, , No.....?~}.....<?f __0 1 5)68......"'-_------_- --__- c-c Estate of Wi1iia~;Kacha1a...-_-_--_- -.. ,"('"( .:,.:- ",- .II ,t'/ ;~ (- c r ..., r ( •••••••••••••••••••••••1.."••",'"•••••0 ••••••••••••I;~~~~-;;~d0 o' ( l Fiduciary....~<;l~~X'.Q.~.Jgo!?~.p.h..fg.t:~~~_...oo.oo_.. Executot'••••••••••••••••,••••••••••'c:"""0.·••• -•••••0 •••00-._.0.0- _••••-O'_••, PETITION SUR AUDIT FROM WHE~E DECEDENT LEFT A WILL ,-Counsel of Fiduci:ary will ~mit herewith the following,in conf0rmit~with Court Rules adopted effeetive~cem~3,l.25.1:,being. rule No.9:par~aph ::t;1-c;and1divisions thereof:showrron~~es43.24.-'r"~r-- 1.Written pra~~s of ~I'CoLk."'sel in the~d-;'mcase.,.~~?I I 2.Copy of ordeE~ppoififing G~ian ad litem,if perfirhe_t£-.toco(/)3.Copy of Order appo1r'1ting Trustee ad litem,if p_~rtinE!nt.~ 4.Proof of s~rvice of above. 5.Letters Testamentary "6l-AdFAinistration C.T.A.or an.attest copy of Will. 6.Copy of ir\vent6'ry and appraisement. 7.Proof of advertisement of grant of letters if not filed'wLth account. 8.Certificate:-of Iiens in case any of the funds for distribution are from judicial sale of reed estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Fedgral Estate Tax return if es- tate is subjeCt thereto. Victor E.Riva Attorney ""'-!&,2 \, II ;.:-'"..:'7.l'OI"J>""".:.'::..~'-.,~-::;.':"'),....-:.C'.j,.f-;...Iif ~\"~~,\\\'"./'/oftlll/!lll co l-- lIu t~r (@rpqaU1i·illourt nf lIa1i~iu!1tnu C1!nuuty In the matter of the Audit of Account in Estate Of:_~t\c:.:Jl=.:·l=.:l:=.=i~a~m:........:K~a:::..:c=h~a~l~a 1 TO THE AUDITING JUDGE: No.733 o·.....f~1"=-'9"'-'6"-"8"--,XiXXX~ my Edward Joseph Petrak,ExecutorEnter__~<-.appearance for·_-==-::.::.:...:=--::....::::..::...::E.:..:...~.=....:::..::...:=..:...:.2.--=:..:..=:..::...:~:..:..=---'_ N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of,any interest claimed.Objections to an account as filed,shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. No.733 o,f 1968 ,X~XX~ In re Audit of Account in Estate of William Kachala AU~JT :P,:-r~'raprip~fpr ~ppr.afanrp8u)..,-- .(.n<fl FOR t>"'"\~~........-r"'t:;or-\'\ 0:3'.~~--nj7 ..;_\...-/ ~;oEdwardJp~ph ie:t:_rak --.-0 .<fl •Executor ~ .....i Victor E.Riva------,_--:...=.Attorney ----_:==============.D~fiI!Pjl.2 ,:./ lin t~r ®rpl1an5~Olnurt nf lIaaqtngtnn a.Tnunty ESTATE OF ..._ _.._WUU~m.K~Qh~J~..l . ._ _..__P.~Q~0~.~g.!. No ??::.??:-:!~.?..Of ,19 ,AA In the matter of the E.~~~_t~~~.X~.~~~._. Account of ~.~~~!.~}??~p1?:_R.~~!.~~.L . .__.~ff~~~.tQr . ADJUDICATION AND DECREE And now.._Apf-iL _(O ,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 $..7_?_?_•.~.~.._.._._and the account is accordingly confirmed;and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and ma ke a part hereof,unless exceptions hereto be filed sec.,ego 0'on appeal be taken hemfmm sec.leg.-..~ .....j;-;.....T~····~~ ..................···c.-·-·--.:---u~-.~(" SCHEDULE OF DISTRIBUTION Balance per account._ _.._.._ _----. Additional credit asked at audit I $.~~.L.~Q . 119.5l, I Balance -..$.i~.~~.~.~..... Deduct Clerk's Costs &Receipts_. Attorney v.i.c.tQ.f-_.E.•..Rivg...................... _. Russell Marino,Agent,transfer inheritance tax, 11.0 8.85 Edward Jaseph Petrak,nephew,residue,702.50 No of.fJ.L fiD ,A.A. In the matter ~~R i i AM 9:27 Account of of Estate of ) RUSSELL t1ARINO REGISTER OF WILLS ...... ) .'-' () .,..., )-,-, .c " -,-.,n ) i\bjubirntinu nub itrrrr ~2 :l :',J " ...a..._ i . ;it • I_-. ,C1IIJIJ.,0101S.s. .1, I :1"'" Tlmeln b.,I',·;·t";tt Qr,.·, •...".,.co,'....,,,,.-r:,-;',,:,i:-'~".._,';':':,f,I".'....~..tI,•.-:,.'11 •.f,"...II•.:..;,.......;~h>.....':;?; ..bin,.,..or ........,..•.....·111,·;."!'•'.;i···)'tl';1,~,.,;.f>~.,,~i; lINt.,....,fMC '.i.,,~~..~lll"I ,.,".:~.:. ••••Id .........,....,~.'L ~",';. .!~~,,'t ..~•••.All ..~.~•••,,'r~~H i t III II ...•!'!"~.....~ ,".... '.'i '.'.'".'.•....•....•..''!'#~.....~~~ni.9••••••:..l-~~f..•=7,.:.t.j:t.~.l·:::~~~~:~..~. ':I~'~.,,.~.~,.Ida _............nul'"r•••. r t'J 0/....., ., . f',~t ;1ij~<i,• •.' .. In mftne••IDbereof,I &bow ......,uw MNlMto ~-r .....alb"..,MII,'"... My 01 .... ferR (19M). .. ,••'or ...IMtW.....II••••• ill tM ~01 til,tIM,...,...,...,o ..........OW"....at...."II,IIt••"'JJ_. tlwrmlRto,...tM pt"tNIIOt of ....,..,.,-,..or ....... III I"~I I~i. II:= f ,III~ i !j III JI IJ .J', .'i •f . ," •v " '-~• IN THE ORPHANS'COURT OF WASH- INGTON COUNTY,PENNSYLVANIA NO.733 of 1968 IN RE: tji ....iS a o the Las wIitlamo ¥/t7JJ;7'r", ., C>V;Ulce~~y .t*fai:r-_ cor-P~tcopy Te~jnent~f ecl§ased.- r-~/7'7/\,0w~ "u...'J ".•·•.><.k UW"'TOR'',...r:"...'•-"Q"-'\.1 <c..~f"\!i:J...,l::.~'je.O.BOX 115 CHARl..-E:ROI,PA.150..•·?2".',"'.'.',"""',._(,""..':',~.....,>'~"""..~,,,:,.,'.." ESTATE OF Deceased. ~7ILLIAM KACHALA; COpy CaE LAST WILL ANLtBTESTAMENT ~- :;0 I hereby true and Will and Kachala, I .....•.'..•..'•...•.•....•............1>.O.N~1yCo ••425 FourthAv·enu~.l)ittsburgh.Pa'.15219 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION RE:ESTATE OF WILLIAM KACHALA, Deceased. ) ) ) No.733 of 1968 R E C E I P T._------ I,"Edward Joseph Petrak,the undersigned,being the nephew of William Kachala;deceased,hereby acknowledge.to have received the sum of SEVEN HUNDRED TWO AND 50/100 ($702.50)DOLLARS,which was awaned to me by the A~dication and 'Decree of this Court,which was dated April 10,1969. Dated:the ~/9~ay of April-----.."' ,1969. I I ~,I I I- t·," ),. "~I r--t.I"'". -, la tid'V 69SI ,,r-~, ,1 I)'" ) T ') as :2J 1M ) 1'),\F' ,) ""\/. 44 $g4 - [U 444&OJ:, F~rm No.~CC'62 (2·64)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961,V EFFECTIVE JANUARY I,1962.•._'•11~.--'".,''.'(P.i .tit OFFICE OF THE REGISTER OF WILLS IJJ~~~.' County of .:Wash;ingtQn ,.. .......1$~¥?-;rp...J.~~~plf .~~:t~.~.'...................of .~?~?.~e.B;q~'1 .4y~~,.P.~~~E?~9~,.?~~~;Y+y~p.~f1.. (Name)(Address) being duly ..~'i9~according to law,deposes and says that he is the E;::lF~9l;l~p.r . .(Exec.,Adm.,Legatee,Etc.) of the estate of ..~~:q~~.~!3-.c.l18::1:-C}-Late of q~8::r;+~:rp~. (City,Borough or Township) deceased,and that the whole of the estate of said decedent,who died 1{a.;y:.2l,.l9pB . (Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Estimated Real Estate A "d 1 . t t f'd t ALL Valuenund1v1ed1neres01nan0:that certaim iece parcel or tract of land,situate,lying and being in the Township of Sweden,Co - ty of Potter and State of Penn Ivania bounded and described as follows· BEGINNING at a point in the center line of the so-called "Billy Lewis"road,ths'. .. Route No.6,as measured along the aid center road.jf--theI:lC.e.....l1.E~g..llla.gIleti.cL...B.e.w~!L.a..a..J:lLJ2a.(~b.e.J~~L,.-..:3.Qll:tb......ae:~~=!.cllU:..--L.2~-----:_ degrees west,along the south line of Lot No.5,twenty-two and two-tenths (22.) rods·thence south No.0 de rees and thirt 0 minutes west four rods· thence north seventy-nine (79)degrees and ten (10)minutes east,along the nor line of Lot No twent -two and one-tenth 22 1 rods to the aforesaid center line of the so-called "Billy Lewis"road;thence by same northerly six (6)rods to the alac f be inni CONTAINING one-hundred and ten (110)square rods of land,be the or:...J.;e..al~aru:L..b.eiJlg...-LQjL.1l.o.....-~aruL.a--Jl(Lr.:tiall..-.01:..JrJla.:L.La.Ild......:I.n...Ha.:t:I:a.n:t..J'!Q~2.lJlL.JJ.L-I-_ Sweden Township conveyed 1:,0 W.C.White by Warren White et al by deed dated Fe Together with the right to take water from an adjoining spring on lands 0 t.h..e......f.ir.B..t..-pax.ties...-a:IlCLJI<li.tJtL.sJIl.Ch--X.i.igh.t:LQ..jLe.t~L.aIl.d..-l:e=fmtr~:.aI:.-.thi.8-p:urp..o.s..e-1l.S\_ may be necessary and convenient...--"--~,- said spring thru pipes or any other conveyances,except pails or containers. J Vinesky and Edward Petrak,Trustees,by deed of W.C.White et ux.,dated June ~30,1952 and recorded July 3,1952 in the Recorder's Office 0 Potter County,Pennsylvania,in Deed Book Vol.148,page 14.-- - - - - - - - - PERSONAL PROPERTY: 1961 Ford.Falcon Stationwagon (ve poor condition),Manufacturer's No.lH22U 181412-Title No.I:14B91408-- - - - - - - ----- - - - - - - - Savin s Account #12972 at Charleroi Federal Savin s &Loan Association-- balance-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 2 0 11~~=-=--.::....-_----------------+-~~~ ------------------------------------t-------~) TOTAL PERSONAL PROPERTY-- - - - - - - - - - - - - - - - - - - - - - - - - -0' Joiiltly Held Property EstimatedNONE.'.Value ,,...,..~~ -, • Transfel's within TWO YEARS Prior to Death NONE . . - That at the time of death there was no safe deposit box registered in de'cedent'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 NONE - BENEFICIARIES RELATIONSHIP SURVIVED AGE OF LIFE BENEFICIARIES AND ADDRESSES (If step-children or DECEDENT TENANTS OR INTEREST OF (State full n~mes of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,l,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT Edward Joseph Petrak nephew yes not entire "121S Meadow Avenue >lnnl';,.",}".,. ChaT'leroi.Pmmsv1vania , -, . : ..,.~-.J'i\. . i L RESIDENX DECEDENT •-DEBTS AND DEDUCTIONS.CLAIMED ,, DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN IKEGISTER ONLY Funeral expenses paid $$ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * Fiduciary commission * OTHER DEBTS AND CLAIMS (*)See Note below , Total Subscribed and sworn to before me this d/~. 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.v£~~.~..~..(?~~ //~..~\/17 (e tor-".~?;"4..~..;dayof ~,19m..1215.Meadow.Av~.nue . _.-',l __Vl'Ol'OR t.RIVA,NOTARY PUBliC (Street Number) ......................:N"..'.;.-".......V~:-tHARlEROI,W,\SHINGTON CO PA,..• .-I~X COMMISSION EXPIRES JUNE '23~iir;r.J,.~;r:QJ..,..:t'~QJ;l;3Y:)..Y!:!-J;l;J.,E\.......•..•.....,.;•(City or Town and State) Having been duly sworn according to law,I d0)G<Ch:..e.<r~Y'-1ce::..r~t....·.t.h.at..t..e ab.o.v.e..a.p.p.l.'a.i.sem.ent19i.s..~.~.?n~rmity with law.on this ....................~~..dayof ....,....~../',#19..:-0:~~I/? ....'L·~2···············~···4 ::.AppraiseI' In the event that any future interest in this estate is transfened in possession or enjoyment t 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. REPORT OF TH I,the undersigned duly elected Register of Wills in and for "County,Pennsylvania,do respectfully report that I have allowed debts ailH deductions in the amos'claimed by deponen c t as to those items where a greater or lesser amount ::~Orthin th'at ."I~::Z::~~~/.:t:;whi'h .,.a~,,,~'.'.~72~~~~dUcli~~..... Register of Wills Form No.RCC-62 (2-64) f WillAdministration lNo Year . IN THE MATTER OF THE APPRAISEMENT ,,. OF THE ESTATE OF , ; <~ WILLIAM KACHALA Deceased Late of Charleroi ...." County of ..Washington• • • • • • • • • • •~• • •.e·• • • • • • • • • • • • . Commonwealth of Pennsylvania ~­<, " 1- -.~i-r--, "-'-iIifo r.~ u -0 ~ -..i;,.) REPORT AND APPRAISALf--'--r :~..:r--.(_.;~(r;(;) ,r;;-.,-,_-r- ~r- ~:-:.:t••7_~.;o;:==--,;:t-~-oU).. In 0' VICTOR E.RIVA,ESQ. P.O.BOX 115 CHARLEROI,PA.15022 'ICC-_39 (6~.67.l..•. ~:OMMONWEALTH OF PENNSYLVANIA TRANSFI.':R INHERITANCE TAX RESIDENT DECEDENT <. KACHALA,\VILLIAM FIL~#63-68-733 May 21,1968 SUMMARY 1.the undersigned #63 ~iashington FILE ~63-68-733 the real and personal opposite each item in TtEPOnT OF INHERITANCE TAX APPRAISER duly appointed Inheritance Tax Appraiser in and for the County of ,Pennsylvania,do respectfully report that I have appraised property as reported in the foregoing return at the values set forth the last column to the right in Schedules "A","B","C"and "E". Dated:09-24-68 05-21-68 REPORT OF THE REGISTER OF WILLS I,the undersigned duly e lec ted Regis ter of Wills in and for 'V'vashington County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts claimed b;y deponent,except as to those i terns where a greater OT 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.~f:)~' Dated:09-24-68 /C:~~~,(?h~:l. REGISTtR OF WILLS AS REAPPRAI SED ======/- 2,607.30 1}698.40 .- 908.90 2,566.30._ 1,698.40 :~_ __=86::.L7-=-..9,0 ._ VALUE AS REPORTED VALUE AS APPRAISED VALUE==-=-.:;.;=~===$125.00 .~$166.00 *_ 2,441.30._,2l 441.30 INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) J oint-Held Property (Schedule E) TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or annuities . . • . . • . .$ ESTATE TAX ASSESSMENTS ~_ CO~WUTATION OF TAXFORUSEOFREGISTERONLY T ax on $________f)%$__~--- T ax on $._~._10%~_ Tax on !l;0rrJ % T ax on $908.90 :~$-~---1-e"3"'-6-c.3:-:3- Exemptions=======:=,:,) Total Estate _ TOTAL TAX $_ Less tax previously paid $~~========~___ BALANCE $__'--_ Less 5%of tax if paid within 3 months after death $=====1= (,:,)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. i3ALANCE OF INHERITANCE TAX DUE St _ Add interest at rate of 6%from to $_ AMOUNT OF ESTATE TAX ASSESSED $~ Estate tax paid $__ BALANCE DUE .*_ Add interest at rate of 6%fromto $_ TOTAL TAX BALANCE $_ PAID $ FQR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the negister 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 WI~I.IJt1'f}(}\CHAI4......... Deceased Late of ........~.9~'O'I County of .......\vr,~I.1:rNG.W.rJ... . Commonwealth of Pennsylvania REPORT AND 'APPRAISAL • ~ Fo~Rec__£:.;!lI. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA. COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE .$..E;l~..~I.n.p..~:r.:?4..?~9..~?.. NTY WashingtonCOU .. FILE NO...??:.??:??.?.. Whereas,William Ka..c.h~.l~late of Q.~.:r.J.:~:r..<:>.~. in the County of W.~.~.h.~~.9.g Commonwealth of Pennsylvania,having died on the ?+.~.t.day of y~y.19.§.?,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,..:.~W.!.R.!G.~n.~.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. Description of Asset Unit Values Appraisement Made for InheritanceTaxPurposes $ REALTY: 00166Asperappraisementfiled1-----------:~...L..~--'o:..Ii:..~---.:....--------------------+-----flf------+--- PERSONALTY: As per appraisement filed 2,441 30 TRANSFERS: NONE NONE JT.HELD: NOlfl!:NONE Total 2,6C17 30 I form~v:;:~hb~~::~h~w~~:t~~~:~.~o~er~~:e2~~~Q;nt;7~~~ :"~/'/"'~~praI8er·..·~]..········7····..·····..··i~~;······················../~",..,···.··7("'i,s·~'7")···,Penna. WASHINGTON County ..-. '-r-; RESIDENT INHERITANCE TAX APPRAISEMENT Estate of WILLl.AH KACHALA Deceased. Late of . .GHA.:~!iP.I. Date of Death,~y 4!,."..J99.$. Appraiselllel!t Docket Vol.,3J..... Page,l.l.,$~~L No 9..:f.~$:::".7?.J.. Filed in Register's Ofjice,SE;mt.L..44,J9..9.$ Amount of tax due,$.. DEPARTMENT OF REVENUE Received, Examined and Approved,:.. S11U,\.:f0 U31S183UWrottO~l'tO;ft1J "m~Jrmment, gXp~e~f"~%A}JrQ/¥ecf:feRt~5t... ~~;~·;;n3·~:lr;;r:·.·.··.····.·.·.·.··..·.·..·.·.::··.·.::::::::.:..:..:. ~...,. Farlll RC C,10 DEDUCTIONS ALLOWED IN AND AGENT OF THE COMMONWEALTH Register of Wills,Agent THE SUM OF ,'.,.$?tJf(f}'!q ...f-::£.~·cjDATEAPPROVED"",.,. f.'f ~<"elL~'vw~;o STATEMENT OF DEBTS AND DEDUCTIONS COUNTY OFFICE OF TWE REGISTER 01"WILL~ OF •vlashington ESTATE OF Wi]1jam Kachala L.ATE OF __C~h:::a::.:r:.:l::.;e:;.:r::..;o::.;i::;....._ DATE OF FILING APPRAISEMENT ,Y_~.....,,,,,2...:'·&/~·..!:?~/__DAT!i OF DEATH _lV~1a:='YoZ-;2::::1=..t..,...:1=..9t.:.6~8~_ DATE NO.OF NAME OF PAVEE REMARKS AMOUNTVOUCHEIil Russell Mar~no,lreg~ster 01'Probate of Will and short certi- 5/24/68 i-lills.'Picates,~15 00 5/27/68 Washington County Reports !Legal advertising,12 50 The Vallev Indenendent !Legal advertising,10 50 tw~~~ll Ivfarino,Register of ~. lFil ;n~fAA nf T :L no r:,hl.l 68 E~~~cis C.Slezak,Funeral 'iJ~~l~~te l'uneral.mC.L'lfdrng cemeteI~.11 n ~nn ~'t"J'lVp.J'lnn oo.....,.~"'00 i nnn nn 5/24/68 Quinet Monument Company Bentlevville.Pennsylvania 145 00 Charleroi-Monessen Hespital Balance for last illness.34 40No't"th Charleroi.Pennsylvania 8~·lFinegoPdnn 1 . fI~fessional services for last 100 00'r ero~.e sy van~a ~ness. Russell Marino,Register of ~il~ng fee of Statement of Debts tHllJ:1 and Deductions.3 00 Russell Marino,CJerk D.C.~,n~filing fee ofIA~v ..........V"''-L .'"'0.fV)CCOlH.l naJ.aUL.J..' ~~ct~r E.Rjsv~E~~.Estate counsel fees,this includefarero~,e sy ania ;....,,+';nn int.n .;..- ~~operty and preparation of paperf ?lJ.nnini/'\n t.rit.h o<>mo Edward Joseph Petrak,Executor , !Fnr h;~r>nmm;o(d /'\n 1~n nn- /'017,,-//J,J".~./'/0{~ 'i6;t:1 !.//-11 )/0 ---¥'I 'I I I------ ( I COMMONWEALTH OF PENNSYLVANIA }S8'/WashingtonCOUNTY,OF I,Eau~rd Joseph petrak H£REBY CERTIFY.THAT.TO THE B£.T OF MY KNO~Le:DGE AND BEL-I£F.THe:FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS,FUNERAL.EXPENSES AND EXPENSES OP' ACMINISTRATION SUBMITTED TO THE ESTATE OF William Kachala.DECliAeEC.AS DEDUCTIONli FOR IN:ERITANCE T'AX.~URP08ES._~/yJ A ,I \l~-).A"L L,c:JJ7!A"",~ SWORN AN~.SCIlJEl£DrEME THIS e?h2:DAY Of'E~rd Jos ph Petrak -,::/.'-.ItL&z/? ..-,/,~I ,,--d 1 ~/1 _._~-~-7/1 '-..-7 VlCJOR f.RIVA,NOTARY PUBut CHARlEROI,WASHINGTON CO.,PA. ~~~r4MISSION EXPIRES JUNE 23.~~ .') '.: • \ .\\"\.' f'.. '\ .}'. ..-~ I' i,0'," ". ,).. .,' ..,~. L o 1'''i')·55' I ....."'-'\, r.us~":U.'jAf.I:10R~LiIS i ;:r{OF IIIU.S ~:V ..:~. •,.1 THE CO......ONWEALTH . Form RC C·lO OFFICE OF THE REGISTER OF WILLS OF Washington COUNTY SUPPLEMENTAL STATEMENT OF DEBTS AND DEDUCTIONS 6/J"% DEDUCTIONS ALLOWED IN THE SUM OF $u.ul!gu9. .u.5.!£t~(/ ~/0~,.~(7 Ka h 1 CharleroiESTATEOF-1W~1....·l...l......"i..saawm!L...J~·O!.!oiC£l~a=a~LATE OF __~~~~:":::::::'-_ DATE OF FILING APPRAISEMENT .{/'-d/~{,!OATS OF DEATH _......fM~.a:}~1-'2~1__1.L:l91..1:61J:81....._ DATE NO.OF NA"'''OF PAYEE RE"'ARKS AMOUNTVOUCH';" ...•11 .•.r.1Al"k OC Audit costs .$11 00 - - ~---,r-,,L-<~~:::'-L---=---_JL_~£..:..(L.5.) E.Riva,Att rney for Joseph Petrak,Executor I, \ \ COMMONWEALTH OF PENNSYLVANIA } .,.......~~_s.:COUNTY OF ~hington --__E.Cll!li~.d.....Jl:lS.~lh.JP~e~·.1;tlr~akM$...s.....!E~x~e~c~U!!!t~o~rL_____jL-----HEREBY CERTIFY.THAT.TO THE BEaT OF ES AND EXPENSES OP' •AS DEDUCTIONS FORADMINISTRATIONSUBMITTEDTOTHEESTATEOF--_.JYil.l.,ji.aJ~~t.q4tla!JL#~~_o....-~.g£ INHERITANCE TAX PURPOSES.1.,__-- ..~~ SWORN AND..[SUBSC~18ED BEFORE ME THIS tEtl--.<~·""·_ L.:DAvt ...'..Ie \7 I " I~l'tatr of 'rtttt5ylttattia,!55:8~::: ?;~~cnoUttty of 1IIlIa~~ittgtott ~g~P all-'b-f ' h d . d h'Notary,Public .df 'dell0'TI erson y e ore me,t ,e un erslgne aut orlty,a In an or Sal ~-;~..County and State,appeared Edw.a.r.d...J.Q§§P.A r.§t.;r.§.k ,who,being duly m):;.o <'If:><'''1''"sworn according to law,deposes and says that he r'is the executor ~of the estate of~~.~'w.:j):-J.t.?m ~.l?,.g.~.Ii!-.+.-.Ii!-:o:::lIeceased,that the foregoing schedules constitute a ......0::0~~~complete inventory and appraisement of the real and personal estate,of \ii.J.liam Ka£bala , :"0 ai deceased,except real estate outside the Commonwealth of Pennsylvan'ia;that the figures opposite each item .w ;g ~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 ~ day..~:'~;~:;.:i$E~t;:::s'., 1.An inventory must be filed within three months after appointment of personal representative. 2.A supple'mental 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 lhtutntnrg anb ""pprai.atmtnt of the goods and chattels,rights and credits which were of :JJj J]jam..Mc.hal.a Jate of 9..l1?:.r..+.-.~.r..9..~.. Washington County,Pa.,taken and made in conformity with the above affidavit., .~ I ! ',I DOLLARS CENTS 1961 Ford Falcon Stationwagon (very poor condition),Manufacturer's .11' No.lH22U181412--Title No~E 14391408-- -~- - - ------ - ---$125 00 Savings Account #12972 at Charleroi Federal Savings &Loan Associa tion--balance--~- - - - - - - - - - - - - - - - - - - - - - - - - - 2 ~16 jO TOTAL PERSONAL ESTATE-.,- ---~--- ---- - - - -------$2,441 30 An undivided)£{erest of,in and to:--...- - - - ALL that certain piece,parcel or tract of land,.situate,lying and being in the Township of Sweden,County of Potter and State of Pennsyl vania,boundea and described as follows: \ BEGINNING at a point in the center line of the so-called l1Billy Lewis"road,the said point being located forty-two (42)rods southerl of the center line of Route No.6,as measured along the said center \ line of the so-called "Billy Lewis"road;thence using Hagnetic Bear-., ings as of December 1948;!south seventy-four (74)degrees west,along the south line of Lot No.5,twenty-two and two-tenths (22.2)rods; , thence south No.(0)degrees and thirty (30)minutes w~st four (4) rods;thence north seventy-nine (79)degrees and ten (10)minutea eaSl along the north l~ne of Lot No.7,twenty-two and one-tenth (22.1)roc~ PAGE 1 125 00 ~ '. ..~/Inventory and Appraisement --:.-I.l "-.--.e- -....(0,.~",~.,~ I, IN THE ESTATE OF,'" '-,.').'WILLIAM KACHAIA............................................................................................................. , " 'tit Filed ,19 .. I-><;':) ,.#)!"-) ~):>.i"Tl:-?CJC C \' , (j)~G)-1"'""; . •i :- ~~t!j :-0:..-U.r-- J, t CJ~j -;--~-.:... . ~J>"'r" '.j -.7.)I :-- -. r-~0[;;0 ~ . ..:J 0 Ci '....,~~ NICTOP.S.r"1\!A,ESQ. ~P.~"'-'.15 CHARLE,~JI,PA.15022 ~9 '3- n#·.1 I,,'""I .. RE:ESTATE OF "t-IILLID.t1 KACHAL.4.,Deceased INVENTORY AND APPRAISEHENT (CaNT.FRaN PAGE 1) REAL PROPERTY CaNT: to the aforesaid center line of the so-called tlBilly LewisII road; thence by same northerly six (6) rods to the place of beginning. CONTAINING one-hundred and ten (110)square rods of land,be the same more or less,and being Lot No.6 and a portion of that land in Warrant No.2132 of Sweden Township conveyed to W.C.White by ~Jarren White et a1 by deed dated February 3,1923,recorded in Deed Book 95,page 574,Records of Potter County. Together with the right to t~ce water from an adjoining spring on lands of the first parties and with such rights of entry and re-entry for this purpose as may be necessary and convenient. This right does not include the right of second parties to take water from said spring thru pipes or any other conveyances,except pails or containers. BEING the premises which were conveyed to the said William Kacha1a,Frank Vinesky and Edward Petrak,Trustees, by deed of W.C.White et ux.,dated June 30,1952 and recorded July 3,1952 in the Recorder's Office of Potter County,Pennsylvania,in Deed Book Vol.148,page 14. TOTAL PERSONAL ESTATE-- - - - - - - - - - - TarAL RK~L ESTATE-- - - - - - - - - GRAND TOTAL-- - - - PAGE 2 - - - --$2,441.30 - - - -125.00 - - - - - - - - --$2,566.~0 ..J•.....-...4-"'/.. if IN THE'ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA IN RE:ESTATE OF WILLIAM )No.773 of 196~KACHALA,Deceas~d.), ;, FIRST AND FINAL ACCOUNT OF EDWARD JOSEPH PETRAK,EXECUTOR SCHEDULE A PRINCIPAL ~PERSONALTY Receipts,$2,441.30 Net cash balance transferred from Principal w Realty Account,125.00 3C ITotalReceipts,$2,566 I I Disbursements,1,724 4C $841 90 SCHEDULE B INCOME -PERSONALTY Receipts,0 OC Disbursements,0 OC $ 0 00 SCHEDULE C PRINCIPAL ~REALTY Receipts,$125.00 , Net cash balance transferred toJPrincipal-Personalty Account,125.00 $0 OC Disbursements,0 OC $ 0 00 SCHEDULE D INCOME ,..,REALTY Receipts,0 00 Disbursements,0 00 -.L.0 00 Net balance,$841 90 - •...,. ESTATE OF WILLIAM KACHALA,Deceased .' SCHEDULE A I I SCHEDULE A PRINCIPAL ~PERSONALTY RECEItPTS Per Inventory and Appraisement filed,$2,441 30 Conversion of Assets without gain or loss: Inventory value of motor vehicle,$125.00 Sale price,125.00 0 00 $2,4-41 3( Transferred cash balance from Principal~ Realty Account,being net cash proceeds from sale of realty,which realty is set OCforthinInventoryandAppraisement,125 Total Receipts,$2,566 3( " ESTATE OF WILLIAM KACHALA,Deceased DISBURSEMENTS SCHEDULE A CONTINUED 5/24/68~~Russell Marino,Register of Wills,probate of Will and short certificates, 5/27/68..,-Washington County Reports,legal advertising, The Valley Independent,legal advertising, Francis C.Slezak Funeral Home,complete funeral, including cemetery lot,grave and church ser~ vices, 5/25/68~~Quinet Monument Company,headstone for grave, Charleroi-Monessen Hospital,balance for last illness, Dr.Aaron Finegold,Charleroi,Pa.,professional services for last illness, 8/30/68~~Russell Marino,Register of Wills,filing fee of Inventory, Russell Marino,Clerk O.C.,filing fe~of this Account, Victor E.Riva,counsel fees,including notary fees and services in connection with sale and transfer of motor vehicle and real property, Edward Joseph Petrak,Executor's commission, $15 gO 1250 10 50 1,000 00 145 00 34 40 100 00 4 00 18 00 255 00 130 00 $1,724 40 SCHEDULE B INCOME~PERSONALTY RECEIPTS None,0 00 DISBURSEMENTS None,0 00 0 00 --_..._------- f'.'~.~"'(....,~-...c:.( ESTATE OF WILLIAM KACHALA,Deceased I SCHEDULE C PRINCIPAL ~REALTY RECEIPTS Per Inventory and Appraisement filed,$125 00 Conversion of assets without gain or loss: Net proceeds from sale of real estate as described in Inventory and Appraise.... ment,$125.00 Inventory value,125.00 0 00 $125 00 Net cash balance transferred to Principal.. Personalty Account,125 00 Balance,$0 00 ,DISBURSEMENTS None,$0 00 SCHEDULE D INCOME ...REALTY I RECEIPTS None,0 00 DISBURSEMENTS None,a 00--$0 bo I I, I IN THE ORPHANS'COURT OF ~]ASHINGTON COUNTY,PENNSYLVANIA IN RE:ESTATE OF WILLIAM KACHALA, Deceased. ) ) ) NO.of 1969. STATE OF PENNSYLVANIA COUNTY OF ) ) ) SS: -... The within named Accountant being duly sworn according to law,deposes and says that the above account as stated is true and correct as he verily believes. Sworn to and subscribed thi~~day VICTOR f,RIVA,NOTARY PUBlfa CHARLEROI,WASHINGTON CO PA MY COMMISSION EXPIRES JUNE '23,i969. Proof of Publication of Notice in The Valley Independent Under Act No.587,Approved May 16,1929,P.L.1784, as amended by Act.No.51 af April 24,1931,P.L.67 State of Pennsylvania County of Westmoreland }ss: Personally appeared before me William H.Pore,Secretary of Mon Valley Newspapers,Inc.,Q Penn- sylvania corporation,publisher of The Valley Independent,who,being duly sworn,deposes and says that The Valley Independent is a daily newspaper of general circulation in Fayette,Washington and Westmoreland counties,Pennsylvania,and elsewhere,published in the City of Monessen,Westm6reland County,Pennsylvania,that it was established June 28,1902,since which date The Valley Independent has been regularly issued in said county,and that a copy of the printed notice or publication is attached hereto exactly as the same was printed and published in the regular editions and issues of The Valley Indepel1ldent on the following dates,Ma Y 31.1968 June 7 and 14,1968 Affiant further deposes and says that he is General Manager of The Valley Independent,a doily newspaper of general circulation,and as such is authorized to verify the foregoing statement under oath,and Affiant is not interested in the subject matter of the aforesaid notice or advertise- ment,and that all allegations in the foregoing statements as to time,place and character of publica- tion are true.~':\-;'~'...4.r...-e£.£""()r {.r==.. COpy of NOTICE I'·..'-- Letters testamentary on the estate ofWilliamKachala,late of Charleroi,Washington County,deceased,having been granted bY the Register of Wash- ington County,notice is hereby given to all persons indebted to said estate to make immediate paYment,and to thosehavingclaimsagainstthesametopre·sent them without delay to Edward Jo- seph Petrak,executor,1215 Meadow Ave., Charleroi,Pa.,Victor E.Riva,attorney; 524 Fallowfield Ave.,Charleroi,Pa. 5;31.6;7,14 day of -.!.!.~~~c: CHARLl:..~otary Public.:..',I·~.Monb~,",......~M:l .:,,1,,".',1 EXPlfll4 ~ My commission expires ':..:..\,'..:.;.I1.:...:u,,'--,_,--'1,'--'_9_71 _ STATEMENT OF ADVERTISING COSTS: Victor E.Riva,Attorney at Law 524 Fallowfield Avenue Charleroi.Pa.15022 TO MON VALLEY NEWSPAPERS,INC.,DR. For publishing the notice or advertisement attached hereto in The Valley Independent on above stated dates $10.00 Notary :.....................................$.50 Total $10.50 PUBLISHER'S RECEIPT FOR ADVERTISING COSTS Mon Valley Newspapers,Inc.,publisher of The Valley Independent,a daily newspaper of general circulation,hereby acknowledges receipt of the aforesaid advertising and publication costs and certi- fies that the some have been duly paid. MON VALLEY NEWSPAPERS,INC. By '. lVas~on County Reports ~ WashingtOD,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINQTON ) STATR OF PENNSYLVANIA (SS. Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is tl1e Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,publis'hed weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COl'NTY REPORTS was establishcd on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed noticc or adver- tisement attached hereto is a copy of a notice or advertisement, exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: .......~~~~§.f :P..t ?9 l9..Q~.. that the affiank;Or the corporation in behalf of which he is acting is not interested in.the ~ubj~ct mattQ~.sainotice or.advertising and that.~ll ~f the...i!llegatiOriS"<Jf"<.~~ thiS affidaVit as to t •plac,e a'W charac'~themuIcaZ2rerue.-;"< ~!(,I ~.;'4 ~ "(".J ',~,K./'/7~-.....··..,....··........·....:=··=·~::t....·....··......·..,f."...:......···Edi~~; Sworn to and subs~d before me this _~ ...?Q.~~.~..day of...~~.rr~,196 8.'''~$;.....~a L .. otary Public f(Ann:R/lIF C.'1:'.\~=,~:"luhllca Wil~"I"ot<lll.\,/."",,;g;"1 Co"Pa. My Com"'i~b,lI11 Ex"lro:l November 1,1Ctil9 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 t!hem for settlement to the Executors or Admin- istrators or their Attorneys. • • •• • •• • • • • • • • • • • KACHALA,WILLIAM,Dec'd. Late of Charleroi,Washington Coun-ty,Penna.Executor:Edward J 0 s eph Petrak,_121.5...M.eag9JY Ave.•,Charlemi•.Pa.__ Attorney:Victor E.Riva,524 F'allow-• field Ave.,Charleroi,Pa. ,..~... STATE OF PENNSYLVANIA, WASHINGTON COUNTY, ....,\ \ The within named Accounton't being duly sworn according to law,depose and say that the above account as stated is true and correct as------------------------------------------veri:s;::v~~~, Sworn and subscribed before me this . day of ._.__ _ __._._19 . Warshington County,ss:I do certify that I have given leg-aI notice to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court,as evidenced by proofs thereof filed to No ..jt1.~../q/P..f.-. Witness my hand and official 'seal thiJ~..__.._.... day Of..~euch.- -;19_((l. . ...~~h.~t'...~.~~~~_.._ .~·····,-··tR;~~;~.f Wills ...o... ~ ~o +oJ CJ 'rl:> ....,... "oo <D<9 o...., r',.........r I •.i .....,.~1 F .v._.,~I'~Il L_.J "-~..........,,...t fL_I...,,••1.,1 ...o I j <'D1 ~: ~! ~~ .------_.--~~-._-- -J ,, \ t' I Ji .r--;..r ..... ."/.• ~ 63...68-133 JlESIDENT DECEDENTS File No. COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and ·Estate Tax ~9FormRCC-4-RI-3-66 No.949082 Date August 19 19 68 Office REGISTER OF WILLS.WASHINGTOtl Pa. tlASHIlICTON County,ss:Received from E_~d_w....;a__rd_··....;.•----:;..p__e....;·t....;J":__a__k....;.·_ (Executor,l1~~q[.Iie:'ii:~~of the estate of NmUOC WII,I.IA'M·KACHAt.P. who died May 21 19-Mthe sum of 01tE HUNDRED NINETEEN and S5/100 ...........Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax NOTE,This Triplicate Receipt 10 be relained by the Regisler of Wills and filed in numericalsequenceforaudilpurposes. NOTE:In accepting the transfer inheritance tax on future estates prior to the death ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoev:er. Estate Tax Assessments Date 19__$,_ ________19_!:$====== trOOD~[LD@£tr[E 125.84 $======== $------- $======= $------- $6.29 $-------- MOORE BUSINESS FORMS,INC••ELMIRA,H.Y. r-~-~.-....·Register of Wills Less Tax Previously Paid (if any) Amount of Estate Tax Assessedunder the Act of May 7,1927. Total $119.55 *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28;1956,P.L.1757,effective June 1,1957,as amended by Ad 2:~edJuly 11,1957,=d Ad No.207,1961,Se,lion 302. ..../..'~1~....ed~4.-~ Balance Less five per centum of tax if paid within 3 months after date of death Total Tax Tax on $5%$ Tax on $10%$ Tax on $2%$ Tax on $On Account 15%$ Exemptions *$ Total Estate $ Add interest at the rate of ~ from _ to _ 31-118.,.;8 It."eOMPLETE $,------ $------ $. $------ $ $------ $ Valuation Valuation $,------ $------ Total $,------ $'------ Total Date Date Heal Estate Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date 19__ __________19__ Personal Property FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket :37 Page 11R une,_.,.,.B4-;__ Estate oLf_l..:..:.m=·=t=-=IA=U::..-..;:.;:KA.:.;;;,C.;:.:l=~A.:.;;L=A:..-_ OffiCE OF REGISTER OF WIllS \~ASHDmTON p------=-===..:..:::..=..:::.;:;;.--1:a. SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY 15.1945.P.L.528 RUSSELL lfARINO Register of Wills 1201 (g).Act of April 9.1929.P.L.343.as amended.viz:-"To receive from Registers 01 Wills all duplicate ,re-ceipts lor taxes paid to them by executors or adminis- trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterof Wills and transmitted to the executor or administrator.whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills:' FiJI in below name and address of person to wholll tax receipt is delivered: I TO-.,g!'.~T::.rT'!Y,."..___¥~:.:!"I~C~T~O~P.~·~E".~ahl,I~'.'#l.l;..._--_ ll.0 BOX 11~ L CRAnI$ROI.PRNN$YL'VANlA 15022