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Home My WebLink AboutOC1968-0934 - ESTATE OF FEDAK----.--_.------_.__.~,- Testate Form) PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Estate of ANN..{\F.EP..~K :. Deceased NoG..9.1."'.P.8".:-3.33L _. Fiduciary B.QSe M.o~.e.k . ,..-.................................._. Date of Date of Decedent's death J.une 19.,...l96.8 Grant of Letters J.1JJ.y e.~...l.9.6.f3 , . This is the f..t.r.§.t.~ng.EJD.9J ;..account filed in this estate If there have been former accounts filed in this estate,list file number or number and term . Election to take ~one Under or Against will.(cross out one) Date Election Place of; Filed _Record _ . Name of surviving spouse N.on.e __._. List issue,where material: Did decedent marry after execution of will?{indicate)x~.No.Any children born after execution of will?(indicate) ~i~No.If answer yes,name them ~. .,---__ __-_-___------_----_. Legatees Relationship Interest Fiduciary,if deceased or not sui juris Rose Mocek Daughter 1/6 Sui Juris Stella Dobrowolski Daughter 1/6 Sui Juris Katheryn Dobrowolski Daughte'r 1/6 Sui Juris Mary Kopko Daughter 1/6 Sui Juris Olga Kopko Daughter 1/6 Sui Juris Minriie Kowalik Daughter 1/6 Sui Juris List,if exceptions to above: If partial intestacy,give facts: Adeemed:Revoked: None Lapsed:Abated:Give Couse: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.fu If any exception give cause:. File copy of Notice and date of mailing Mar.c.h !l.,19.69 :. Is estate subject to the filing of a Federal Estate Tax Return?N9 . Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $NQne :. 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. None Giv~;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: There is no interpretation required,but the Executrix,who,according to the will,has a right to one-half interest,desires to relinquish her right to one-half and to have the proceeds of the Estate divided equally among all the devisees,which means that she would get a one- sixth interest instead of a one-half interest.The Executrix's signature on this Petition attests to the facts as stated in this paragraph. Balance for distribution per account, Itemize any additional debits not shown by account: ::\ Total additional debifs (Add) Itemize any additional credits riot shown by account: ;"0 Total additional credits (Subtract) Balance for distribution $. $. $~.Q..sJ.7.1.:.3.t . $...2.o.~17.'J .•.3.1!. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); 'to-.~ b .~~__:......._.._ If Family Exemption claimed by Petition,give place of Record:,None . If Family Exemption is claimed at audit,give name,relationship and basis for Claim:. List any advancement or distribution on account that has been made,and nature and amount of same: 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: Rose Mocek one-sixth Stella Dobrowolski -One-sixth Katheryn Dobrowolski -one-sixth Mary Kopko one-sixth Olga Kopko -one-sixth Minnie Kowalik -one-sixth COUNTY OF WASHINGTON,SS; COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly s.wo.r.n doth depose and say that the facts set forth in the foregoing petition are true to the best of be.r knowledge and belief. ..............S~.Q;r.l}..:::~·..'.,to and subscribed before-.;-'\f ';""-.J_.,"L \- h'17th .d'."{'.·}lJarc.h 19 69me.t IS...•....~,•....,0y ?jf···~·~'<...=~.....~...j...I Signature of Office;.fJi~~i-;.~~ ""DARLENE 'NICHOLAS Title of Officer..;;....,.~~~;}.":.7~fwe;·~I,'£-:1~;6.t;~w;Wt;~.;hington-et1'r••••••• '.My C?ommission~pires January 17.1972. Office expires ~<.;;:.:~.~:~..,:.-;. :,'. And your petitioner will ever pray,etc. •~oo _-_. .,.,...... ~ I No...6.].~.6.8~·9-3·4.··-······························· Estate of J,\,NN.A ..FED-AK ·········· Deceased Fiduciary ROSE..JYIOCEK.--.-. ._--__-_-_-__" PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:paragraph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Lette,rs Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not fi led with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10,Copy of FederaI Estate Tax return if es- tate is subject thereto. Attorney ~2 S111M .:10 H31SID3HON/H'IW 113SS0!:l f1 0 :at WIJ 17G ~dV 6961 03-11d ,"... <:),~ ""."""",~>:,....:....""I'"(;~?\\'~:J,],'; :;0 /",C·\).<:!,':: """j)'10 ...~:..:t-.......~.:'"7 7 ,y.'.I',,'.'",.". '1.,0 ":~'oo.,.··'/.':'-/,.l ;'":-;..\- 1,/(-fl,"/t.,;.'tl..l\\.(qi:~I~~'.~·\ .••.•f ~". ./--. ,;~ .' '). ~1;::'" .'_., I' I, .. .March 4.1969 . I 'Olgn Kopko 7 Vin€'Street. Carn~gie,Pennsylvania Dear Mrs.Kopko: I wish to advi~e you that an Account has been filed in the Estate of bnQit Fedak,a copy o:f.wbicti i~; enclosed.herein.The E::5tate will CO!nf up for ~...udit 011 March 21~19G9~at 10:00 (Ji'clock~A.M.,in the Orphan's Court of Washington Co~nty,Washin~ton,P0nnsylva~ia. If you have any problems concer~ing thiB est~te, you.or your attorney should contact !He prior'to th~~t t:i.me. ,If YOp have no q~estions,then the:!:'e .is no lleN1 for you to appear at tl,mt ~j,me. Very truly yours, HANNA &Ht'\NNA GKH:ajs Enclosure ... ','.'\ .'. ;...~'....-.:'..~'.'".........:.~-...-''...'~'•••••-;.:::.-:.;/~".'":""":.:-'·~_-:-::-"';'"':"_~··'~·~~".:.~i.::i~....-'~"-""-'-=-=-~"-':':";-~::.:".~..:;...:....~;.S~·'J'=:::.:-_~:.~'::'...:.;:;:".••:.".~~:~:-'.:.' In the matter of the Audit of Account in Estate of'ANNA FEDAK TO THE AUDITING JUDGE: No.63-6 8-~Q......3J-=41-..'19__•A. A. r Enter__...rn...yl--appear~nc~for__a~..looCw·c",O\o<'..I<uU.nLt~a..!..n~t~~---------'------' N.B.-Counsel shall,by separate p!lper,present a concise statement of tach cl:lim,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. ~'=-=..==~=-=--=--=--=-~..=--=._"'-.~"=-=-=-'=-'=._=-====--=-=-::=.=:._=-::::::-=-=..=-.=-.=...,....:.:.::..:-'---<=-::.:-=.._=-~--:..:....:...=~=--==-=--::::.--=-.::::-=.--:...::-~.-:..:-=.='-==-=-=-=.-~'''=---'':'''''-:'~.'-......-.-~~ ~,..', ~..~~ .(! 1••' ·No.63-q8-934 .19__•A,A,. Iu re Audit of Account in Estate'of .; Anna Fedak .~;<;; ------------------------------',' AUDIT ~rttrripr·for i\ppral~at1rr FOR A(>"{,\l1nt:~nt:.,. .\.... •1";~. i-!, "'----------------------------;..:i ..:]~. ----'--------------.,.--------;;.::oj'-'.:.... ;1," i~..:.----:---:-_---~..;:... j:."{," if:~! '\l;.:,.;' ili::jif::>: .[f·~1 GEORGE K.HANNA !::.:: ..~.-Attorney·"!: ..ii'I~",2 '/',.: '~.Ij,,"! :'\.,,:J ~..., .i:'.'.~ .~';._t,..;:.... ','I~:. / ~n t4r Qtnurt of Qrommon Jlru.a uf lIu.a4iugtnn Utuunty. Jrnn.aylunnin.(@rp4un.a·Utuun Binisinn ESTATE OF N 63-68-9340._-'-_ Anna Fedak,In the matter of the_F_ir_s_t_a_n_d_F_in_a_l__ Deceased.Account of Rose Macek,Executrix ADJUDICATION AND DECREE And now April ?(,19-.illL,this matter came on for hearing, audit and distribution at this session and testimony token;and thereupon,upon due consideration thereof the balance for distribution in the hands of the Accountant is determined to be $20,177 34 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 a~d 'mqde a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom se·:.leg.'Ve SCHEDULE OF 0-.S-T-R-IB-U.-:..T+If-O-N-I----f,.~~~-...(;l......~.>~ 4 4 e Balance per account $2°,177 3 d ~~~,!-blt:~if1I"''I"'$20,177.3Balance Deduct Clerk's Costs &Receipts 38.00 $20,139.3 Attorney Hanna &Hanna ussell Marino,Agent,transfer Inheritance Tax,1208.36 $18,930.9 OTE:The fo Howing distribution is made on the basis of r-P .-b~~..?,;¥-~-r r~/.a release and agreement filed:/r?.J __'"/p} ose Mocek,daughter,1/6 balance,3155.17 Ii ella Dobrowolski,daughter,1/6 ba~ance,i13155.17 atheryn Dobrowolski,daughter,1/9 balance,r 3155.16 ary Kopko,daughter,1/6 balance,3155.16 19a Kopk9,daughter,1/6 balance,3155.16 innie Kowalik,daughter,1/6 balanc~,3155.1-3 No balanc • o K M N R M St R J ,';;;! I J I I I J. I 1L ~ 0-~ < £1 :;- 0 n,....g: i a.0 /t?~." fl) c C1l ,~ cf) ~ a 3 o-J ;::tt oz;-J 0 ~ -- - ~ o::.'? fa d ::: til ~~ '"' N ~t 0 -Jet: .... ~'&'cluJ == :r- cf)..... fl) ....--cf)'!2. ~ " :;:>C' ~,Sc o::.~ ~ ..,t ,1-01<.0 ~ ~::i .~\i ~ -, j ,~ ,J \ j J. ),J ~,-1 ) .))v ,,.'J .i .. ""J '',,1',; c~j j "v ;-J ,oJ ,V ..-.; j ,'J'(' L j , j •" --:-...•_.~ .•''%-0 .,j ,, I \. C!l~mmnU1Utalt~of ,rUUSYlttauia,}55• .1IW1~ingtpn Qlpunty, A.D.19 68 ,before me,July KNOvV:AL,LJ\iIEN BY THI~SE PR.ESENTS:Wherea~,at Washington,II:the County aforesaid Russell Marin.o ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washin.ston,in'the Commonwealth or Pennsylvania, the last Will and Testament of ".Anna Fodak late of Rob 1nson Town ship in the County aforesaid,deceased, (a tfMe copy whereof IS to these prcsen~s annexed),was :luly admitted to prubate;and Rose ~Loc~k rix tIle Exec~tor 111 said \Vill and Te~tamept llCunep,!!(\Vi;lg appei~~'ed before me and taken and subscribed t)le oath of 9mC~prescriped by JaW; ::'-JOW,THEREFORE,1;.Ruur:ell M~.r:!..no Register as aforesaid,do grant'these LETTERS TESTAMENTARY,unto the said Rose JliIocek committing unto Eel"the aclly,inistration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring He:-- to exhibit a true and perfect inventory thereof into the Register's Office,at \Vashington,within ninety days from the date hereof,and to render a 'just and true account of said administration at the expiration oi six months from the date hereoi,and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxe·s. I~TESTIlVIONY WHEREOF,I have hereunto set my hand and the seal ",, of said Office at Washington,this 8th" day of in ·the year of our Lord one thousand nine hundred and Sixty Eight -----..)/.I........l...l~::~.:~?t...«·c.:<:!<(J~~.~~..-..~C .. Register I I-I I I I-I Ii '-. ,. - 1 >-.'1 .~ , ,[ I I I, iI I I ,,...~" Stella '.••..'_......~..-('Co • convenient after my decease .as ", ~--,,'-,.~...~,~..--.,......4.:.....~ ...:,.!''; I do hereby nominate and appoint Rose Mocek LAST WILL AND TESTAMENT I give,devise and bequeath all of my estate,I ,! mixed,of whatsoever kind and nature and where~I One-half of the total IIi ! •-or..~f. ..;-,~..{-.............~ .: .-.... ..."" ,•.\..-~:~~~-~'.~--«<.1_•4",..:•. IN WITNESS WHEREOF,I,ANNA FEDAK,the Testatrix,have to THIRD: SECOND: FIRST: I,ANNA FEDAK,of R.D.#1,Imperial,Washington County, ~--.•.-... without bond . be divided equally among the following children: estate to my daughter,Rose Mocek,and the remaining one-half to D~browolski,Katheryn Dobrowolski,Mary Kopko,Olga Kopko,and soever situate,to my children as follows: "i, , d, Minnie Kowalik.;1 '!III· ii i';;as Executrix of this,my Last Will and Testament and to serve II,id•1 :1': :1 real,personal and ":1 "'Iq II IIq d " II hereby make,publish and declare this to be my Last.Will·and. Ii,; I' II 'I •1 expenses be paid as soon ·1d:1 I: II , II \ .\ I I ·1I IIIII, Ii Testament,in manner and form following,hereby revoking and mak-I Ii . ':ing void any and all wills by me at any ·time heretofore made.[' II!!I I direct that all of my just debts and funeralI ! I, ! ,I Pennsylvania~being of sound m{nd,memory and urtderstanding,do ,1964. of paper,set my hand and seal .'·0~c4rhL---'..1 II .this,my Will,written on one sheet ;1 this "?q day of {Lf~-t/L~'~:1 ~"",,c:===--o-----/~--::.....,==---- 'IIi itI' "I ~ Signed,sealed,published and declared by the above named Testatrix, ANNA FEDAK,as and for her Last Will and Testament,in the presence of us, who,at her request and in her presence, and in the presence of each other,have hereunto subscribed our names as ~itnesses ,thereto. " I :' II IN THE ORPHANS'CO]RT OF WASHINGTON COUNTY,PENNSYLVANIA. IN HE: ESTATE OF ANNA FEDAK, DECEASED. ( ( (No. ( ( RELEASE OF LEGACY AND NOW,this 19th day of April,1969,comes ROSE MOCEK, one of the heirs of the Estate of Anna Fedak,deceased,who says that although according to the Will of Anna Fejak,she has a right to one-half (1/2;of the Estate of Anna ~edak,she desires to relinquish her right and by this Release does.so relinquish he1 right to the one-half (1/2)interest in said Estate,subject, however,to the understanding that she is to receive a one-sixth (1/6)interest in the Estate,it being her desire that the proceeds of the Estate be divided equally among herself and her five (5)sisters so tha~each will receive a one-sixth (1/6) interest. IN WITNESS WHEREOF,I have hereunto set my hand and seal this 19th day of April,1969. _k~_"'-'=::~-+-..L...;'~_""""-$....:...;J_.(SEAL)Rose Mocek . Sworn to and subscribed before me t1Jis 19th day of April,1969. DARLENE NICHOUlS .",.l.i1Jtary Public.Washinp,lon.Wf:s,lington Co. ;.I Commissior:Expires January 17/.1972 t<)I •~ ~ . I t, -' S111M .:10 H31Sm3~ONIUVW 113SSn~ 170 :m WV VG tfdV 6Sr HANNA AND HA~"1;:TSO:~:~~U.~.i I j ~'U1.~?"\WA<;HINGTnN TRII<;T RIIII niNr. ;...~~ IN RE:)In the Orphans'Court of ) ESTATE OF ANNA )Washington County, ) FEDAK,)Pennsylvania. ) Deceased.)No.of 1969. R E C E I P T I hereby acknowledge the receipt of the sum of $3,155.17 as my total share of the Estate of Anna Fedak,deceased. Witness my hand and seal this ~;l day of April,1969. IN JlB:)In the Orphans'Court of) ESTATE 0'1 ANNA )Washington Count") PEDAl,)Pennsylvania. ) Deceased.)Ho.of 1969. RECEIPT I hereb,acknowledge the receipt of the sua ot $3,155.11 as my total sbare'of the Estate of Anna fedak,deceased. Wi toess .,hand and seal this ,2 ,z,da,of April,1969. 1ft ,he .Qrpb.Ua'CotU't of 'aablD.ltoa C'OQDtJ• ,han,1,allia. I I ".1 U: .Ea'l'AU orAlIA ) ) ) ) ), ) )-Ko.of 1989.' .' aBC E I P T' .,', I b~rebl acuowiedao the receipt of the aWl of ea.155.11 •4 •~.I I'• "•'I ~_ ...,total .~'of tbel8tate ,of "~D.I"edall,"deceased.... .W1tne..tIJ'ban~.~··••al'.·tbl.,2-'3 da,of April,1989. ..'.,'''".,,~.i '. ,I . .;::-I{'~ ,.- .' 0/, " .. 10 the Orphan.'Cout of '••blu,toD Count" hll_,lnD1... I.81: hDAK, B81'AU C1I ADA Deceued. ) ) ) ) ) ) )10.of 1969. ltBCEIPT d • I hereb,acknowledge.the receipt of the 8Uta of P,18&.11 ...,total .hare of tbe Betate of Anna ledak,deceased. "itD.".It,baJJ4 aId •••1 tbi.cf-3 c.1a,of April.1969• .- ,. ," '. .'.,. " l"'.... IJf BE:)10 tho Orpban.·Court of ) I8TATI OF ADA )...blo,tob Count,. ) rEDAI,)PenosylvaDia. ) Deceuecl.)Ho.ot 1969. RECBIP., I hereby acknowledge the reoeipt of tbe 8um of $3,15&.11 u·.,total .bare of the Betate of ADna Fedak.deceased. Witae••a,hand aDd .eal th1a ~~da,of April,1989. , /' : ,... .,•••• .~.\." IN BE:)In the ~phaD8'Court of ) ESTATE 01'ADA )WashingtoD'County, ) PEDAl,.)Pennsylvania. ) J;)eceased.)No •of 1969... R E CE ,I P T . I hereby acknowledge therecelpt of tbe sum of $3,155.17 as my total share of the Estate of Anna fedak,deceased. .. witnes~my hand aD~seal thlS~~day of April,1969. ",. ... of ~i- Deceased. FEDAK, ESTATE OF ANNA In the Orphans'Court Washington County, Pennsylvania. No.of 1969 IN RE: t ,:"p , I. " .' '- I iI: I ilI Ij III I Ii 1I \ R E C E ...:1;P T S \"..J -,, ~ ~--.... w ~ _i I f<-:.J -:t.~r.::::::-<-(",) ' •."(n;;;~:;vi-- a?-I]:;; ;"f::;ry F=~=rooen -n -~r- r1'1o ww HANNA AND HANNA ~ATTORNf,;YS AT LAW WASHINGTON,PA. ".4;>()-4;>"1 W""HINr,TON TRUIiiT 13UILDIt~O -_......"~'_'&_]..·•.-':·~~_.--..c,·_V·-.:.t"'~"._.....•_.....:......__.11._.•..__~-_c......••'_A~-'''--.'_.~~- THE FIRST AND FINAL ACCOUNT OF ROSE MOCEK,Executrix of the Estate of ANNA FEDAK,Deceased,of Imperial,'We.shington County, Pennsylvania. The Accountant is :harged as follows· I! !• As Per Inventory $3,822.66 f II, I , TOTAL ASSETS OF ESTATE $24,000.00 TOTAL AMOUNT OF CREDITS CLAIMED BY ACCOUNTANT 3,822.66 BALANCE DUE 20,177.34 ... I '_•,....,.,.~>'"'I •--?'.. ". THE FlBT AND FINAL ACCOUNT OF ROSE MDCEK,Executrix of the Estate of ANNA FEDAK,Deceased,of Imperial,Washington County, Pennsylvania. i 1+-1 ---------------------------------1 The Accountant clai~s 'credits out of the assets of said estate,to-wit: PAYEE ~cDonald Record Outlook ~ashington County Reports 1ussell V.Marino ~oly Trinity Ukrainian Catholic Church Bagnato Funeral Hone Philip E.Scott,Tax ColI. ~alcolm L.Morgan,Treas. Philip E.Scott,Tax Col.l. Rev.Russell Danylchuck br.Tannehill br.H.J.Kerr Dhio Valley General Hospital bussell V.Marino ussell V.Marino eorge K.Hanna '~OTAL CREDITS DESCRIPTION Advertising Advertising Filing letters Cemetery and Ser\ices Funeral Services 1968 township ta~ 1968 County tax 1968 School tax Monument Last illness Last illness Last illness Filing inventory Filing account fee AMOUNT $8.50 14.00 19.50 217.00 1,425.30 36.21 53.96 194.19 550.00 5.00 40.00 40.00 3.00 16.00 1,200.00 3,822.66 Washington,Pennsylvania ) Washington County Reports' }J&BXSI:llDlXJ6XDllJUDl.lElCllfiBlJ1\ I (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) STATR OF PENNSYLVANIA (88. Persor.ally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly S'Nom,deposes and s.ays:that 1:e is the Editor of the WASHINGTON COill\TY REPORTS,the official legal periodical for said Washington County,publis'hed weekly having its place of business at Washington,Washington County,Penmylvania,and is act- ing as its agent in fhis I:ehalf;that the said WASHINGTOK COVNTY REPORTS was established on March 31,1920,and was desisnated as the official legal publication for Washington County,Pennsylvania,by ,order of the several courts of said County,dated November 11,1920;that the print~d notice or adver- tisement attachcd hereto is a copy of a notice or advertisemellt,exactly as printed o~published,which appeared in the said legal periodical in its regular issues on the following dates: July 18\25,1968 \..·....·....A~~~~·~···i\~..···i963 ·....···.._····.. ····..·..·..·....········..···....·..i·..·..··..···..·..···· _...... t13at the affi<.nt or the corporation in behalf of which 'pe is actiI:g is not interested in the subject matter ofti~~e:or advertising ,f~t all 0{the allega,t,ions of,hi,,ffid,.;'"",h,~'"'C!:?Ob~~~",.~ S..,m ",,'"b,cr;b'C,'h;:-----·-~;;; KATHERINEWaSh;C.YARD NMogtor"Washin't otary PublicYCOllm;ssio 9 on.Co.,Pa. NOvember 10 EXPIr1J5:,1969 Estate Notices The Register of Wills has granted letters, testamentary or of administration,in t~ following es :ates.Notice is hereby give:l ",~ to all perscns indebted thereto to make f payment wi:hout delay and to those hav- ing claims or demands to present them for settlement to the Executors or Admin- istrators or their Attorneys. • • • • • • • • • • • • • • • •-8 FEDAK,ANNA.Dec'd. Late of [mperial,Robinson Township.Washington County.Penna.Executrix:Rose Mocek.R.D.#3-Burgettatown.Pa.Attorney:George K.Hanna.42"_.Washington Trust Bldg.•WashingtonPa.153('1 ,, ES'L'A1:E NOTICE' ESTATE OF l':'NNA FEDAK,deceased, late'or Impel'lal;ROblnso'n Tow:nship' Washington County,Penna.' .Letters·Testamentanr •upOn the above 'estate having beer-i-granted to the und~r~ 1,gned,all personf.i:hav"irig claims against tl1e estate are requested to make kno'wntheaiL11'16 to the undersigned'or his at- torney and all persons indebted to'the decedent are reques'ied to Butke paYJuent to the ii~der~igned'without delay.' ROSE MOCEK, "R.D.3,')3ur&,ettstown,Penna. qeorge K.HalUla,ES'q:",.:~ttorney.7.8t .__.."':"oorr'l 0-C!_ Affidavit of Publication Before me,a Notary Public,personally appeared Andrew T.Eiler who being duly sworn,deposes ar_d says that he is the authorized agent of THE RECORD-OUTLOOK,a weekly newspaper of general circulation,published at Mc- Donald,County of Washington,Pen:J.sylva- nia,and that the notice attached hereto was published in the regular issue of said paper of July 18,1968 July 25', .1968 August 1,1968 and further that the affiant is not inter- ested in the subject matter of the said 'ad- vertisement;and that all of the allegations of this statement as to time,place,and charac~er of publication ar,e tru~e..' ~'W',". ~ to before me ---=..:~~~__19 68 l~,Not y Public~~ .:-~~~~IMyCommission~ires .P _,\~I JOHN II.1.W~KE;JR.,NOTA~y'pUBLI~,;'~,I McDONAlD BOROyGH,'I'Ir.SHINGTON CO\!tTY""'.;, MY COMMIS$ION E~PIRES fEBRUARY 2.196!.l.....~. STATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The within named Accountant being duly sworn according to law,deposeS .]nd sayS that the above account as stated is true and correct as _.S-lle _verily believe. Sworn and subscribed be'fore me this ~g.t.h.. ..~~. day of ..:,J~ri~~ry ,19.6.9 . .-£.i~~ DAnLENEN!CHO(Ag···,~. tlot3ry Puqljc;\'iJl~Rin(lton.Washington Cd. .My C\linrnisSi~n Expires January 17.1972 ;.: Washington County,ss:I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribe~by Statute and Rule oty;r'as evidence by proofs thereof flied to No_----f£1-f-.!L~---------------------. Witness my hand and of':iciol seal th~~. day Of ~_~19.rRf.. ........................~~. Register of Wills o..., ......::soo CD,Q..., 1~ .:l..cD rll!'~'7!!rA~~""H~ (::.'I ..::"t._....oJ l--C'!-.I",,,0''''l:.'"~ .-",- '- ·~o~sa S!4~U!u !~nq!J~s!P JadoJd au!wJa~ap.o~pa~sanbaJ Alln~padsaJ s!~Jn0J a41 r I .. t I , 1- 1r, .,-,.".-~..-:-...';.... ~.3 -"J-1J7'- 1\m~auit (@f 1fxrrutnr (@r 1\~miuilltrntnr ~tutr af Jennayluuniu,t 55: C!launty af 'IIuaqingtan \ Personally before me,the undersigned authority,a .N.Qt.a.r.y.P.u.bl.i~..in and for said County and State,appeared R.OS.E MOCEK who,being duly sworn according to law,deposes and says that she is the executor~:I~~~lCof the estate of .....................Anna F..e.dak.,.:._deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of Ap.p..!!¥..~.Q~.K , 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 mad~by the above named Executor ~~ S ····'~d b 'bdbf h'24th'l~~.wQrn .ail.su scn e e ore me t lS.......................... d~y'Of··i,~~if}··········;·tt,a;.J ...............··E~~~-;;~~~~··········-:/JY:otN',.......~.....<""""""'"...,.. ~RARl~N~'NICHOLAS .T N t P.,·b",.:··o.....'<'..;..'t \1./h't c ADDITIONAL INSTRUCTIONS".0ary u ,!C;'v,~s"lOg on."as 109 on o.. 1.'~~olffiI~~15~l£)[p~.MIlQry \~~tf'ithin t~ree ~on.ths ~fter appointI!1ent of person~l.representative. 2.A supplementalmventory must be fIled withm thirty days of dIscovery of additlonal assets. 3.i 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 $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 lJuurutnrg aub !\ppraisrmrut of the goods and chattels,rights and credits which were of ·Ann.a..F..e.dak Jate of Imp.J~rj,.~l"~.Qp.~.m~.Q.R ';r.Q.w..n§.hJ.p, Washington County,Pa.,taken and made in conformity with the abOlle affidavit. DOLLARS CENTS Proceeds from sale of 163.371 Acres of land located at R.D.#1,Imperial, Robins-on Township,Washington County,Pennsylvania, and recorded in the Recorder's Office of Washington County,Pennsylvania,in Deed Book 830,page 448 24,000 00 "¢ 0.... 0 Cf) -~O-JZ-J ::;::--0:::;: <:<!u..~o ~.-Jo::: N·-JwW..-Cf)Cf) a:Cf)-:::>CJ ' Si o:::W0::: ~- I' t· t . """........ :""."....<'0 ..-1>.;1 ,. .' :'~/"",~-~ v'=r)}:1J ~)-i"--.--....v ....n', ~ ;.-.;,~~.:.:--~~~!J ":..) ~'1"';/~'oo","· ,~:$ ~......I ~;:l 0' ~ >"'Cf;:l ~....\£c"'t~ ~ ~~I:l ~;:l I ~.CI)l:l... j ~~~~~~' 0 "'"tj ~ I-' "';:l r .... I (Form RCC-33 RESIDENT DECEDENT .-'. . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF WASIU.NGTON . .~lliK and say S IN THE MATTER OF THE'ESTATE OF }.AFFiDAVIT OF ................................................ANNA F..EP..AK.............................................EXECUTOR (State full name of decedent) Late of .JY.a..s.b..i.ug,t.Q.n.......................................................County JUOOI6UB~ IAWORTANT:This return must be completed in detail and filed in duplicate,"with will attached,with the 'Register of Wills of the County where decedent 'resided;Return is due within one year after date of death,unless an exte~ion is granted by the Secretary r Reve •(Section of _"~!:!E:!_.Inl).~ritance..~n~.E.~tateTax Act of 1~91.) State of ......pe.nnsy.l.van.ia _ } ss: County of ..W~$hi.pgt.9..p.. ........................................................R.9.~~MQ.G..~~..,Ex.e.c..u.tr..ix.,. of the estate of the above·named decedent being duIJ'sworn,depose S Decedent'dJed J.)J.n~l...9..,.. (Month) ."'}Name and address of attorney or other authorized representative to whom all correspondence should be. mailed. ..GeQrge K Hanna,Esquire.......'"'''' .42~..Wa~l;1:i.PKto.Il 'l':r.lJ~:t.B.l.Qg ~..,Wa.~~:i.J:1KtQI},P~np.a..!.. That as such }.;~.~gy.tr..~~__depori~nt is familiar with the affairs of said estate and the property con-' (I';x"cutor·Administratorl stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual ,name,or jointly with,or as agent or deputy of another,or in decedent's.individual name,with right of access by another as agent or deputy,with the exception of 'the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTIONINWHICHDECEDENTRENTEDASAFEDEPOSITBOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINTHOLDERSTODECEDENT one That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the followin&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 Penns~lvania of which decedent died havlng an interest therein.It also sets forth the mortgage encumbrances ~pon each parcel of real property ~t the date of death,giving the amount still due at death,name of mortgagee,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 B attached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent'E immediate possession,standing to decedent's.•credit in'banks 11."'.,'of deposit,savings banks,trust companies,or other institutions,whether individua!~y,~Qr.intrust for~'--,...~~..~any other person or persons giving also separately the accrued interest thereon,ifSarIy;,-:,do wn to the last...~.~interest day prior to decedent's death in the cas~of savings banks,and to the d~~e~Qt 4~edent's death ~..,~,-in all other cases;all bonds,postal savi~gs,treasury certificates or notes and ~~~er.-evidence of in- debtedness of the United States to the decedent;all obligations,whether cy st~tUf~olSagreement they are designated as tax free,of the United States,or any state,or political sUb&i;.!;~ho'n.thereof,or of~._CJ •;,any foreign country,which are owned at the time of death;all wearing apparel,j ew~r"y"~'sJl.ver_ware,pic- ;,~"'::Jtures,books,works of art,household furn!ture,horses,carriages,automobiles,boa:ts,,,,and.any and all~.-I'-other personal chattels of whatsoever kindJr nature,left by decedent,together with the-'fairly estimated market value thereof;all bonds and mortg81!eS held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instrumen~s in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair m~rket 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 policies carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and divide~ds due thereon and unpaid 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 at 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) togetl1er 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.de~th.· The Schedule C attached hereto and made part hereof sets forth a true 'answer to each inquiry contained therein and in the c'ase of transfers ofproperty,real or personal"within two years of decedent's ~eath,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transfe~ee and all other facts of a pertinent nature reg~rding said trapsfers.In the case of t~ansfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a copy 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 passes 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,.t • with a copy of the instrument creating such power attached to the schedule. t 't· 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 show!ng which·of the beneficiaries named in the decedent's Will,if any,died prior to decedent,the dates of their death,their issue,and the relationship of such issue to,the beneficiary. That SChedule E attached hereto .and made a part hereof sets forth all property,real and per- sonal,.owned by the decedent jointly with another or others,including intangible,stand~ng 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. 1f~~---------(Executor-Administra.tor) .....,..R ,...l.t.,..,..#,3.~_. (Street Number) Burgettstown Penna...,,J.",,..,,",.. (City or Town a.nd State) DARL:ENE--NICHOLAS 'Notary Public.Washir.jtton.Washington Co. My Commissio~Expires January 17.1972,,\ Subscribed and sworn to before me this ,..,2.4.lb ,.or" NO~E:Before signing affidavit make sure all blank spaces in the 8.ffidavit 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. ........................................",~.:,:<..<lay of ,Ju.ly 19.9..&.. J .-'RCC-34 (1-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMEN'T OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER'INHERITANCE TAX RESIDENT DECEDENT' L.'•SCHEDULE IIA" .REAL PROPERTY Real property in Pennsylvania,with s~atement of mortgage encumbrances upon each parcel at death of dece- dent.Where property heid as joint tenarit or tenancy by.entireties,report on Schedule "E".Property ht'ld by the .de.cedent·as tenant in common with another or others,should .be identified CiS to quantum of interest and the estimated value should be that of the'decedent's interesf only. The real property located In the Commo!"wealth of Pennsylyanla should be described by lot and block number,street and street number,together with a general description of the property,with a reference to the record of the conveyance by which 'the decedent took title;If a form state number of a. cres;also statement of mortgage encum~rancesupon each parcel at death of decedent.Taxes,assessments,accr.ued Interest on mortgages,etc.,are to be listed on Schedule "F"and must not be deducted.from this schedule. (11 (2)(3)/ DEPARTMENT ASSESSED VALUE VALUATION FOR YEAR OF ESTIMATED CAUTIONDECEDENT'S MARKET VALUE (Do not write DEATH In this space) Gross'price(l/r;) .~from sale of lea.~Acres of iand'located at R.De.JtIJ Imperial,Robinson~Township,Washi ton ~ County,Pennsylvania,and recorded in t Recorderts OffiCe of -Washington County, Pennsylvania,in Deed Book 830,page 448 •~+-."..-24,000.00- Insert this total opposite "real property",Schedule "A"in the X X X X X IIAs Reported"column on the last page of this return. c1i 600·(')0 SCHEDULE "n" PERSONAL PROPERTY RCC-35 COMMONWEALTH OF PENNSYLVANIA..../. i TRANSFER INHERITANCE TAX RESIDENT DECEDENT .,.,.-·.i 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".Inta~gible personal property,titled in the name of the deced~nt,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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION No.List and describe fully VALUE MARKEl'VALUE (Do .not write in this space) NONE Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return. RCC-36 COmlON'\'EALTH OF PENNSYLVANIA !Tfu\NSi~R INHERITANCE TAX ~~SIDENT DECEDENT SCHEDULE "c" TRANSFERS (1)Did decedent,wi thin two years of death,make any transfer of any material part of his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)No (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)No (3)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 m'a.;,<ing the transfer.(Note 1). (c)Cause of decedent's death.(NJte 1). (4)Did decedent,in his lifetime,make any lransfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)No (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)No (b)What was the transferee's age at time of decedent's death?_ (5)Did decedent in his lifetime make any trE.nsfer without receiving a valuablt3 and adequate consideration therefor under which transferor expressly or impliedly reserves for his li~e or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)__N......OL-_ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yeE or no)No (6)If the answer to (5)(b)above is in the alffirmative,state whether the rigt.t was reserved in decedent alone or others ----':--_ (7)Did decedent in his I ifetime make a transrer,the consideration for which \\as transferee's promise to pay income to or for the benefit of careJf transferor?(Answer yes or no)_....N.....o""-__ (8)Did decedent,at any time,transfer prope~ty,the beneficial enjoyment of which was subject to Change, because of a reserved power to aller,amend,or revoke,or which could reve-rt to decedent under terms of transfer or by operation of law?(Ans~er yes or no)_~N~o~_ (9)If the answer to (8)above is in the affi~mative,was the power to alter,a~end,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 attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above quest10ns is yes,set forth below a description of the property transferred,it's fair market value at date af death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of any trust deec 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 maroner in which provided in Schedules A,B,or E. ITEM NONE DESCRIPTION MARICET VALliE (Es timated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. CGM~·It)NWF~\LTH OF PENNSYLVANIA ;n'\N:;:;~"Elt fKHElUTANCE TAX llFSrDEXl'nECEDENT --..", SCHEDULE "E" JOINTLY OWNED PROPERTY nSrRtTTIO~S:This scherlule must disclose a:"l property,real and personal,owned by the decedent jointly wi th another or others,including intangitles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated lmner Schedule "A",plus the date ann place of record of instrument effecting vestiture,bu':.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,Clnn the name,adnress and relationsh:.p (if any)of co-o-wners to the decedent. Description of Property,Date of Acquisition,N~me-I unit perce~t~;'--E;ta;:,e Address and Relationship of Co-Owners,and Place ;Value Share·Valuation of Recorn of Instrument,where ReaI2~tat~.;.-1 DEPARTMENT VALUATION CAUTION-Do not Write In This Space. NONE Insert this total opposite "Jointly Owned Property",Schedule ·"E" in the "As Reported"column on the last page of this return. Value of Entire Property Value of Decedent's Interest -I III !I I I IIIIi RCC -37 (],2-63) COMMONWEALTH OF PENNSYYLANIA TRANSFE~INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES ( BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH Rose Mocek Daue:hter Yes 4/20/20 One-Sixt.h R n #3 Rurp"p.ttstown Pa Stp.lla ~-\1 ~ld n~··_t.+--Vt:>~5/7/11 nnt:>_~iy+h R n #1 Imnerial.Pa Kathervn Dobrowolski ~Yes 8/16/15 nnt:>_~iyt.h 1135 Sto AV€fl ue.McKees Roc~s Pa Marv Konko ~Yp.s 8/7/12 On.o_~;vt-h.~ Lindsav Roan r.~it:>p~ _. 01Q'a Konko n!:ll .'-Vt:>~12/1/13 Onp_~iy+h 7 Vint:>....+r.!:ll1"l"l t:>0';.0 D!:ll Minnie Kowalik .n!:ll.._t....--Vp~5/6/22 One-Sixth Hillr.rp!=:t.A ..--....p~ :... ~ ( h Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE Form RCC·lO OFFICE OF THE REGISTER OF WILLS OF JN51shington COUNTY AND AGENT OF THE COMMONWIiALTH STATEMENT QF DEBTS AND DEDUCTIONS J DEDUCTlONS ALLOWED IN T JhdttHESUMOF...•.......•s _1...... D'TE"~ Realster of W •J~t ESTATE OF _--I::1.A..LlINU,lNu:AL-FL:..EJ..:.l•.uDiJ:lAw.KL-LATE OF Washj "ogt.on,pennsyl "anj a DATE OF FI1.ING APPRAISEMENT OATS 01"DEATH ,Tune J 9,J 96B DATI!:NO.OF NAM"OF PAYEE REMA"UCS AMOUNTVOUCHEIII: R_ltlQ Mf'nan::l]t1 ROl"art1 nllT.]oak-A ..If .cd nO'..R I)n '7 1 0 It:.R JAT~chi Yln-+r'\YI ('n"""'+~T'RonarT.c i'J ..'cin",1 )nn--=~ e.0h IhQ Rllccol1 IT M::Irina li'ilinO']pt.t.~r~]0 I)n t:.00 IhQ '!-la]\T 'T'ri,...,i T~T TTk-r::l n ian Cat r.h"""f'h (''''YYlo+or'T ::Int1'n 'f''''C ?1 '7 nn e.0'"1 t:.R 'R::IO'n,q+n T-.11 '!-lamp li'llnpY>::I]~pr\Ti('e~]),?r:.,1.n h_l c _hR Philin E.Scott.Tax ColI.Townshin tax lq68 16 .21 t:._?f....£..0 M::Ilf'~]m T Mr,rO'an Treas ]068 C ,v 'ray '\1.or-, '7 .*~··7-I~Q ,Phi]i n R n __........Tax Call.1068 School Tax ]q!.L ]q, " '7 L ILn'"p,....,.D ,~~,....11 n~n~Tl ,.hllf'k-1\/T >nT.c;c;n nn J I'7_1{.,_'~Q \"nr 'T'~,...,,...,ohil1 T.::I c:::t.i]]np~~r:.,nn.. '7 ,e.le.o \n~.TT T v~~~Last illness !.LO .00 h .1 r:.,IhR \nhi n IT::Ill P,T (;.pn:eral HosniV=ll Last illness ),0 00,. Q .1 n.IhR Rllccoll IT Marino FilinO'inventorv i 00 Rllccoll IT Marino Filin~account 1~00 r.--l(~~""'Yl~f'eco -----_.:"",co "..o,...,~oro~1 0nn nn O'A ...1;;A-.(\I,:"fjf ~dl{) ...."6,/L" COMMONWEALTH OF PENNSYLVANIA } COUNTY OF __W=a;;::s~h:.::i:.:n..:..:g::l.t.:::..o=n~___SII: I.--..I.Rl.l.Q.L>s::l.-'e""-.L::.ML.l.Q'-l.c....se:<Jk~~_IHEREBY CERTIFY.THAT.TO THE BEeT OF NV KNOWLEDGE AND ~ELIEF.THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSa OP' ADNINISTRATlqi'l SUBMITTED TO THE ESTATE OF Anna Fedak DECEASED.AS DEDUCTIONS FOR INHERITANCE TAX PURPO';~~~'~<~CL.•••) SWORN AND SUBSCRIBED BEFbRE ME THIS 20th DAY 01" !.~:~\1.18~/tM==:=2Z~~A DARLENE NICHOLAS Notary Public.Wcs!;ington.Washington Cd. My Commission Expires January 17.1972, r ,r : ," r r r r r r ' r .(. '""'r '.r"I, r ........"'~_r .....1"j'.ll* 1 r r . Ij- \, \ I, '.... r ,, RCC-B I (2-64) COMMONWEALTH OF PENNSYLVANrA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS IN-iERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEY-ENT ROSE MOCEK (Executor ~). IN YOUR REPLY PLEA8B RE"ER TO 37-130-5 j In Re:Estate of -'AN:=N""Aco......:F'-'=E:=;:D::,:.A.:.:.K=--_ _____W.:.:;A=SH~·I::.:N:.:::.G=-To~r:.:..~County -File No.63-68-934 Dear Mrs.Mocek:- You are hereby notified that the original appraisement in the estate of Anna Fedak has been filed in the office of the Register of Wills qf Washington County on October 14.,1968 •Said appraisement reflects·the following valuations: Re alEs tate _--'----:.:2:.:.;4~,~O~O..:;O.:.•..:;O.:.O _ Personal Property _ Transfers -- Total ---,-_~2::.!:4:I:.J·,~O:..::O;.:::::O..!..OO~·__ As to such ~ax that is paid within three death,a five (5%)percent disccunt is allowable. remains unpaid after one year from date of death, of six (6%)percent per annum is charged., months·from date of As to any ~ax that interest a~the rate Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date .:.O.:::.;ct:<.::o:..:b'-=e:::..r....;1=4L,L......:1~9.;::.6.=..8---Signe DATE OF DEATH: / Uene 19,1968 Note:This is not a bill. RCC-39 (6-!i7) {::OMMONWEAL TH OF PENNSYLVANIA-\TRA~SFER INHERITANCE TAX RESIDENT DECEDENT F1"DAK,ANNA FlU #63-68-934 June 19,1968 SUMMARY \ INHERIT06-19-68 10-14-68 TlEPOHT OF INHERITANCF.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 'A","B", ,/tXDated: FILE #63-68-934 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 by deponent,except as to those items 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. Dated: REGISTtR OF WILLS' -VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $24,000.09_$24,000.00 $_ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) J oint-Held Property (Schedule E) TOTAL GROSS ASSETS LE~S Debts and Deductions (SCHEDULE F) CLE~q VALUE OF ESTATE 24.000 .09_ =====.- 24,000.00:= ======.-======:= Valuation of life estates or annuities .•......$----- E~T~TE T~~ASSESS~ffiNTS $------ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. COMPUTATION OF TAX *------d>~)------ FOR USE OF REGISTER ONLY Tax on *.__f}%*_ ~::~~~~~-,------ T ax on $.__11'1%$__~_ Exemptions :=(':') Totel Estate _ TOTAL TAX $_ Less tax previously paid $~~~======~=== ,BALANCE *_ Less 5%of tax if paid within 3 ,months after death $======1= 3.\LANCE OF INHERITANCE TAX DUE Add,interest at rate of R%from to AMOUNT OF ESTATE TAX ASSESSED Estate tax paid BALANCE DUE Add interest at rate of 6%from to TOTAL TAX BALANCE PAID $.-------- $-"------ *------- $------- $-------$ ~....•' FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Hegister of Wills,for proper reason,same should be noted below,with short explanation. :~~inistration t No Year IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ANNA FEDAK Deceased Late of ....WAShINGTON....~'--.-'.--.-'..-'_-----'.- County of ,wASHINGTON............- --..-.._----_.-.-- Commonwealth of Pennsylvania REPORT AND APPRAISAL ., ·. -DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.J7 J27 COMMONWEALTH OF PENNSYLVANIA,.~..,• J .. RESIDENT INHERITANCE TAX APPRAISEMENT October 14,1968 1DATEl I NTY WashingtonCOU . FILE NO ~?::.~~:.??.~_ . Whereas,AD.n~f..~.g~k late of W.?:.~h~.~~.~. in the County of ~~.~?~.~~~?.~Commonwealth of Pennsylvania,having died on th 19 th d f June 1968 'd d d f tate..............................................................................................ayo ....-....................................................................................,seIze an possesse 0 an es e subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,.......................................~i.~.~..~....g.~.~y.........................................................,an appraiser duly appointed according to law, haying been designated to make a fair and conscionable appraisement of the ssid 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 Cammonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any suh future interest. Unit AppraisementDescriptionofAllotValuesMadeforInheritance ITaxPurpoles $I - REALTY:~ located R.D.#Robinson Twp ••Washington ,LAND at l.Imeerial... County,Pa.,and recared in the Recorders Office of VJc.shington I ~ 448.24,000 00 , County,Pa.,in Deed Book 830,page I J 1, '. , ,. Total 24,000 00 J, J form~;V~hbl:~::I:h~,w~~c/,,~~~'~.~:~~~:=€t.i~~ ~Z·J#:(mbeT and Street)..'...··········'·""·7·."'7p;;··o.;;··································,Penna. ·RESIDENT INHERITANCE TAX APPRAISEMENT WAS HUriTON Coutaty F\lED M1 ~O:04Estateof ...................ANN.A....f~P.M~································D;~·~~;;i Late of ......................................W!l?H.J:.N.q;r.O'N . Datc of Dcath,......•.J..~.~)..9..1 :l,..9?.~. Appraisement Docket Vol.,3..7 . Page,JJ.Q::-.5.No...?.J.::::9..$.:-::.9.J..4.. Filed in Register's 0 fJice,9.g~.~l:l.~~:~:A~19..?.~.. Amount of tax due,$.. DEPARTMENT OF REVENUE Received, Exa,mined and Approved,. Wrote abo.ltt Appra.isement, Appeal f1'Om Appraisement,. Entered and charged,.. l3S9 M'R 24. RUSSel'.\'-\{"RINOREGIS1EHOfW\LLS ~'