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HomeMy WebLinkAboutOC1968-0982 - ESTATE OF SAJN1.An inventory must be filed within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 [p 3~~p-fiT '- .Affibuuit (@f 1fxrrutnr (@r .A~miui!itrutnr ~tutr uf Jrnnligluuniu.t li9: Qluunt!}uf lIuli4ingtnu \ Personally before me,the undersigned authority;a no.tar.y.pub.lic...in and for said County and State,apPeared JO.hanna Y..e.t.b.9.Y.P..ik who,being duly sworn according to law,deposes and says that S he is the executor or administrator of the estate of ...ERANCES SAJN deceased,that the foregoing schedules constitute a ~complete inventory and appraisement of the real and personal estate of....F.t.anc..§§S.gj,P.., ~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~-i.~~the fair value of said items as of the date of th~?ecedent's death,based upon a just appraisement of each~~f Item made by the above named Executor Adm~ator. §~::Sworn an subscri1j before ;e t/.~......::.....nJ Q I JJ -JJ;f E da~···~~~'279.6.a~i.7Tf."...•_......•-E-;~!~- ~~.i /../.~rq:t 7 (/Johanna Verhovnik ~~~-ADDITIONAL INSTRUCTIONS ...;.c:; '<0%.2 0::'">-....!!!? :!:~E_ E CI):t 0Cl)CIlc"-~....:E~:!: lIuututnrg nub ~pprni!itmtut of the goods and chattels,rights and credits which. were of F.r.an~.~.§s.gjn ~Jate of ~~;.~P.-~.~.E.~~.~g~:!.~~?.~~~p.. Washington County,Pa.,taken and made in conformity with the above affidavit. DOLLARS CENTS 2 story block house and 2 lots known as 201 1/2 A1exanJer Avenue,Strabane,Penn~ylvania.(Lot 201 1/2 and Lot 202 1/2 Alexander Land Company Plan Plan Book 3 -" pages 18 and 19)See Deed Book 544 page 540 (Joseph Sajn died').7,500 00 Used furniture - 2 rooms TOTAL ASSETS 200 00 7,700 00 / ~8 lo·ff-9r~" c:{s J1'! J I Inventory and Appraisement IN THE ESTATE OF ............................F..RAN.CES SAJ.N..:.. Filed 72..:.:l:rr ~:.,19..15.8.. f·",'" t t j ;:x,r,,;:? C'J-.. (/jt; ;;;~:]:.vi-qt ~:-oi::=::-;;resen c C. )::-.-L-; f\j :72 f'0 CD U1 '. ")•--. i-....··... f r -. i : Q /" GREENLEE,RICHMAN,DERRICO & ATTORNEYS AT LAW WASHINGTON TRUST BUILDING WASHINGTON.PENNA. r PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY .\"ZlIIIII Testate Form j'JI Estate oL FRANCES...sAJN ._.._.. Deceased No .9.82..o.f...l9..68 _ _ . Fiduciary...Johanna..:v.erhoMIlik . Date of .,.."Date of Decedent's death J.1Jn.~..2...5..,l9.G.~,."".'"Grant of Le1tte rs ,.J:tJ;J,.Y...l.9."..J9..9.~t "_ __. ~.,...' This is the .Eirs.t:.·.~&..F.inal.,;.~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 NOT APPLICABLE Under or Against will.(cross out one) Date Election Place of; Filed _ _Record .-'..:.._,..__._. Name of surviving spouse..~'-- - -".:_.._~__.__.._ ., List issue,where material: NOT APPLICABLE \) Did decedent marry after execution of will?(indicate)~No.Any children born after execution of will?(indicate) m No.If answer yes,name them __ _ __.__._._.. ............................_-..- -_---_--:._-__ __--_.__.._----_----_--.-._------_--__----_. Legatees Relationship Interest Fiduciary,if deceased or not sui juris Joe Embert,Jr. Johanna Verhovnik None None Specific Legacy Residuary Legatee List,if exceptions to above: NONE If partial intestcicy,give facts: Adeemed:Revoked: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.}~er If any exception give cause::. o·• File copy of Noti~~March 4 1969 ... and date of maillng '-,=:. Is estate subject to the filing of a Federa!Estate Tax Return?NQ . Actual payment made on Pennsylvania Transfer Inheritance Tax,Amount $8.5..5..'l~lQ.9 . If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant... ....................____._--__ ______.._-._-__._--___-. 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 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 ~ Balance for distribution per account, Itemize any additional debits not shown by account:$7.,..7.00 0.0 . 1-69 Advance by Johanna··Verhovnik to preserve·assets. $2.,0.16..0.0 . 16.00 $Z,)Q.19..~Q.Q . $.7.,).7.QQ.AQ.Q .Balance for distribution Total additional debits (Add) Itemize any additional credits not shown by account:'.1-2-69 Joe'Embert,Jr.payment of 1egs'cy .,.'.$2,000.00 1-3-69 Greenlee,RicHman,Derrico & Posa -reirobuxsement filingaccount-K .Mar~noTotaladditionalcredits(Subtrac\) If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); The above balance consists of: Real Estate Furniture $7,500.00 200.00 TOTAL $7,700.00 -'\ ""-,. L _.~_.~A -----------~.~---~--------------------------------- If Family Exemption claimed by Petition,give place of Record:~.NQNE . If Family Exemption is claimed at audit,give name,relationship and basis for Claim:NO.NE.. List any advancement or distribution on account that has been made,and nature and amount of same: 1-2-69 Joe Embert,Jr.-Advance of legacy $2,000.00. 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 .) Joe Embert,Jr.$2,000.00 (Credit to be taken for advancement) Residue to ~Qh~nDa Verhovnik • ". (See attached statement for description of Real Estate to be.certified.) COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly S.WQ.:t::TI doth depose and say that the facts set forth in the foregoing petition are true to the best oL her knowledge and belief. ...5.w.9.t'n to and subscribed before me th;s.)f.-~---~9Y.Of~~Ch.,1J;' Signature of Officer..~:~..~V&."-, T;tle 01 OIt;ce;31~__-----------~----------i-- Office expires:~~~~;~.,~.../..j..1 . ......;y ~ And your petitioner will ever pray,etc. eL/A«~,,2···········Cr.·IZ:foti1inn7\fi3rFioViiik······················ •-!~• j ,j,No._9.8.2.._..Q.f 19.68...__..._._ E f l~""'anEel::::.S.a:.J.0.n._...__....._..._.state 0 ---"-'1-.f -:_!$ I .."...,"..I, ..........."~~£S..MtW·--J-&····-PM_--4--·it~~~~~d--. " F'd'JQ~a:?-n~~J:\{g49P.Y.D1-).:,..1.k _I uclary....""!"ft:r-~-;:)f,.t_J"pi f,t{I1'4 0 'jj REG,lSlER 9~WILLS ...--..---.-~:--W-t\~.HIN-G_I.Q-N--GQ~-._.p-A;------------·--_.-(.~.~ PETITION SUR AUDIT.FROM WHERE DECEDEN1"LEFT A WILL.. Counsel of Fid~ciary will submit herewith the following,in conformity with Court Rules adopted effective pecember 3,1951,being rule No.9:parag raph b~c;.and divisions thereof:shown on pages 23-24. 1.Written praeci'pes 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.Letters Testamentary .or Administration C.T.A.or an attest copy of WiII. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed 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 Federal Estate Tax return if es- tate is subject thereto. GREENLEE RICHMAN,DERRICO &POSA.....------_.--------,..--------------..-----------------_..--------------' Attorney "",~2 )1)/'i ..~.O/:.",;;,~ /.~~••••••CCI -6 ....."'...-(".,....../~...'/\/...0:.. f J -.''"".fO'.-·~":.-::-...-?"'~<..:'~ ••.-'\....)"\.1'-.:....,:-J ;.;\;':":>-'::.....~"~:/~:. ..,'\I \......"-:_::~~..,'\001 ....'.......o -',<:,.,:~ '....'.0 ~,'..(,?I "..',.'..v "'"'"/I r "",'"',_"E'rt:\~"" f ( ,r,,f (f !f tft ~,, ,\' <) GREENLEE,RICHI:AN,DERRICO &P0SA 32 :-·T,.,T"'t:!h·;r:,ryto·-T·AUS····Bu';Id';-'f'Y-\,Q~".....LU L..I..I".."'Uo T.i,···S'...·;"·l'..f'.O·n 'p!='·l....,....·sy·lva··j·;aV,j~L".,.t.~....A).!.-",.d•.&·I.",. March 4#1969 To Jobanna Verhovnik 194 View'Avenue Strabane.Pennsylvania In Re:Estate of deceased Dear Mrs.Verhovnik: You are hereby notified tbat tbe account:.ng in the above estate has been filed at tbe Ilegi.ster of H:~.lls Off:.ce (Clerk of Crphans'Court)at No ~9_8_2 of 1968 O.C. The Ol:phal1$1 Court will audit said account on 3-21.69 at _...::l:.;:;O..::.:~O.;;..O__o I clock at ~lhich b~me you may be present :.f you w'i.sh. He shall be in attendar:.ce for the estate., It w:;.ll be sever<:.:l ~'1eel~s beyond th:~.s <1at,~before dis- tribution wi.l!actually be ordered. Very truly yours, RICHi,JAN, for PCD/djaf -UUstate of FRANCES SA.JN -',_..~.~..'J..-. "(' I,FRANCES SAJN,of 20l~Alexander Avenue,Strabane, ;Washington County,Pennsylvania,being of sound and disposing mind, ~.:n~memory and understanding,do hereby make,publish and declare this f~:$l1to be my Las t Will and Testament,hereby revoking any and all other n,l~~ills by'me at any time heretofore made.,. ~.·n.'1;~~~j FIRST:I direct my'just debts and funeral expenses be }~ ':{ ~.. ,pa~i] ~iI,;~~~ \,...-f,: as soon as convenient after my decease. SECOND:I give,devise and bequeath all my furniture and ;:Verhovnik,subject,however,to the provision that the said Joanna .~~ ":;my house and two lots and any other residue of my estate to Joanna ~.' ;,;~ I;~tYerhovnik shall pay to Joe Ember't,Jr.,of Allison Plan,Hous ton, ~~IjPennsylvania,the sum of Two Thousand and nollOO ($2,000.00) p,1iDollarswithin six months after my decease. IN WITNESS WHEREOF,I have hereunto set my hand and seal -:5 /day of /1cz~~',1966. :fr~<.!"..e.--~ nt'i., ~~1!THIRD:I nominate,constitute and appoint John Verhovnik, H~i.;:Executor of this my Last Will and Tes tament. IH.; i,~"d~1~:;I; ~"i ;:this,~ /.~.I'. ___-.;j"-?;.....1_.....;;:..u__C;;;;..~+......"'_~_i'1;....-.'l/jC,_",,-_/~_/_(SEAL) Frances Sajn /'... '~r :pages bearing ~" The foregoing instrument,consisting of two typewritten 1/yrv~'the signature~of Frances Sajn,was by her on the date :hereof signed,sealed,published and declared by her to be her Last Will and Testament,after it had been read to her,.in our presence, and who at her request and in her presence and in the presence of ctc-,(,r ,,_',~1(",",,,, ',~.,;/' .~ ." . ! " "., ", n '.'I~.1 "/; " each other,we believing her to be of sound and disposing mind and memory,have hereunto subscribed our names as witnesses. .. I and Codicil I,Frances Sajn,declare this to be a codicil to my will dated November 21st,1966 . Since the Executorname'o in my will dated _-,-/..::.t_·~~f.::.i,....:,,,-;,·_"'.../,-//':;.';. has predeceased me then I hereby appoint Johanna 'Verhovnik as Executrix of my last will testament. I witness whereof,I,Frances Sajn have subscribed my mark the;~i."~day of February,1968..k,:,'!'"';::;'.''-J...)·I.y,,''''' /~·{,.f..t~~',.':..·(.(C•.""..~.i:-:.() 'f"'.~."''''''- Signed,sealed,published and declared by the above named Frances Sajn,as and for her Codicil to her Last Will and Testament in the presence of us,who have hereunto subscribed our names at her request as witnesses thereunto,in the presence of said testatrix,and of each other • .._-_.__._---_...---...,..,-.--_.----_._-- . :'/r. 1 ,j r,!:,-,'- f, ..I STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The wi~hin named Accountant being duly sworn according to law,depose and say that the above account as stated is true and corr~C'tas _...4::L verilY believe, tiSwornandsubscribed.before me this._.2._....._....._.. Wa'Shington County,ss:I do certify that I have given leg'Ol notice 'to '011 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;A1?jf~f..--- Witness my hand and official 'Seal th~.__._._..._ doy Of_~----------------~-14t.~~i"W;ii;--- ;...., i @:....,:~ :::l: 0:<.l:<.l !<11 :l-o: 0:.... i:>.i~l-oo:::; <11 ••~ 1 0 10 :~ •.!ld•l-o :1l:l !~_ :P:l !"O:~•<:<l ; .:"O!aJ! (/):co! Q): CJ: Q): °1... Z!'J, <i en\ en!J:i!: C,): Zi .~: ~: I ,.. J ~>/' -.--._---_.."-----_..------.-.---------------- l., \.,..-.,- III j) .......,...,..~..'.," .... --r...)..... \... ...-._-" IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA NO.If f%f 1968 * *** * FIRST AND FINAL ACCOUNT of JOHANNA VERHOVNIK, Executrix of the Estate of FRANCES SAJN,Deceased. * * * * * SUMMARY Total charges (page 1) I Total expenditures (page 2) NET The above balance consists of: Real estate Furniture (2 rooms) TOTAL $10,593.75 2,893.75 $7,500.00 200.00 $7,700.00 $7,700.00 Estate of Frances Sajn, deceased. ..~_J,. The Accountant is charged with assets of the estate as follows: TO: 7-5-68 Inventory and Appraisement as filed: Money advanced by Johanna Verhovnik,to preserve the real estate.. TOTAL '** * * * -1- $7,700.00 2,893.75 $10,593.75 ·,'"1.•t- Estate of Frances Sajn,deceased. The Accountant takes credit for the following expenditures: .....~f,".... 7-5-68 Mario DeAngelo -Funeral expenses 7-5-68 Washington Hospital ~.~ 7-5-68 Dr.Rawnsley -last illness 7-5-68 Dr.J.R.Sprowls -last illness 7-5-68 Dr.F.Bakewell -Last illness 7-5-68 E.Abler -nursing $1,405.50 94.25 50.00 49.00 15.00 6.00 7-5-68 St.Patrick's Roman Catholic Church grave plot,opening,funeral services :".190.00 Reimbursement to Greenlee,Richman Derrico &Posa for the following: 7-19-68 7-19-.68 8-2-68 8-2-68 8-5-68 8-5-68 Russell Marino,Register of Wills-probate will G~y.Rodger!?-witness f~e Russell Marino,Register of Wills -file inventory Daily Notes -Adv.Estate Washington Co.Reports -Adv. Estate Washington Co.Reports - Ad'ditional amount for adv. estate TOTAL REIMBURSEMENT $13.00 7.50 7.00 12.50 12.50 1.50 .$54.00 1-2-69 Greenlee,Richman,Derrico &Posa- Attorney's fees TOTAL CREDITS. INHERITANCE TAX PAYMENTS Russell Marino,Inheritance Tax Agent. TOTAL EXPENDITURES -2- 175.00 $2,038.75 855.00 .$2,893.75 THE DAILY NOTES CANONSBURG,PA. PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L.1784, Sec.3.paragraph (3)and (25). State of Pennsylvania } County of Washington ss. Personally appeared before me,a Notary Public in and for said county and state, _...._...!'1?._~.~1 ~__!p_~y ,who being duly sworn,deposes and says:that __..S.hfL is theb.Q_Qlf.ke.e_p.edI:'the Notes Publishing &Printing Co.,a Penn- sylvania corporation,and its agent in this behalf:that the said company is the pub- lisher of The Daily Notes,published daily except Saturday and Sunday,having its place of business at Canonsburg,Washington County,Pennsylvania;that the said Daily Notes was es:tablished August 1,1875;that the printed nOitice or adveI'itisement,attached hereto is a copy of a notice or advertisement,exactly as printed or published,which appeared in the said newspaper in its regular issues on the following dates: ....__~~.g~~.~.__.?L_A~.g:t:!~~..J:.J__'__._!~_~~~_~..?_~__L.!_2§.~_. that the affiant or the corporation dn behalf of which ._~_h_~..is acting is not inter- ested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to t:~:::_.:~::_~..:~.~__:::~of__the ~Ubl_~cati~~n::ep~eo__ Sworn to and subscribed before me this 20th August 6&=Z?ii,;y;':;~~~::bUo 0 or \Va.iagtoll County,Pa. My Com,hissioll Ex.,ires ,"arCh 30,1970 _ 1 EXECUTRIX NOTIC~.t: 'Estate of FRANCES SAJN .de-ceasE.d,late'of North Strabane,.•Township,Washington County,i Penna. LETTERS Testamentl!-ry uponItheaboveestatehavlIlg;be.enIg'rantl"c1 to the unc1ersignec},nohcii is hereby given to.those..1I1c1elne._thereto to 11lake llnnle~late j)!l).111ent..and to tIl0S£'ha.YIng '-Clftlf~~I.or demands to present them settlement.. Johanna Verhovnik,Executrix 194 View Avenue . I St1'abane,PennsylvanuL j Patrick C.Derrico Atto~'ney­ Creenlee,Rkhman,Derneo.&Posa: 325 ,Vashington Trust J!Ullc1mg\Yashington,Fennsylvanm AUg~.s..1~.~q,,-=-1::.:9G::.::8:.-~.--, \ " Sworn to and subscribed be'to:;;:r'Pe.mnePT-lm----------------'> Washington County Reports ~~ Washington,Pennsylvania (PUBLISHED ElY 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 WASHINGTONt STATE OF PENNSYLVANIA (SS. Per80nally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,published weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COl!NTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement,exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: .........~~~~~~~..L}?..'-.:..??..L.~.?..~.~_ . that the affiant or the corp~ation in behalf of which he is acting is not interested in the subject matter of sai .or a~.v ising a~litall.0 th ~llationsofthisaffidavitastotheti,',/.a c acter of e ublic .are ue'..!-.:a C./y.-/•.L----....-~=. ditor ?-?~~.~:Yr o:~Y.g~~~_ ,196..Jt ......•....~·~.d..~~P~bljC KATHERINE C.YARD,Notary P c Washington,Washington .Co., My Commission Expires November 1,1969 ,-.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.. ••••••••••••••••• SAJN,FRANCES,Dec'd. Late of North Strabane Township,Washington County,Penna. Executrix:Johanna Verhovnik,194 View Ave.,Strabane,Pa.Attorneys:Patrick C.Derrico,Green- lee,Richman,Derrico &Posa,325WashingtonTrustBldg.,Washing- ton,Penna."---' ·, 3Jn tl1r (@rpQan5·aLourt of lIa5111n910n QIounty In the matter of the Audit of Account in / Estate of FRANCES SA.TN,deceased. TO THE AUDITING JUDGE: No.982,_~~__.,--_,19---6..8.,A.A. Enter__---.....O'-'-U.....r~appearance for·_~_.;......lt!J~Ou,HA~N:!.<N'A~__Y..VE~Rl,..!H~OLVN~I""Kll.J,---eE~x~e~c~u~t=r~i~x~o~f~._ the Estate of FRANCES SAJN,deceased. 7L!day of March 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. &POS1\. 19 69,-- No.982 ,,19~,A.A. In re Audit of Account in Estate of FRANCES SAJN,deceased. AUDIT JrUl'rtpl'Jnr Appl'urnUrl' ~~FOR ~~.;:,..,.~~It.O ~~G<~~~~.,:.,..:~~....."..,.0 ,;--.~F4tc.~~""c1tm ~.--.JD.HA.NNA~fIDVNIJJr EJrf7utrix __Q..Lt:h e ~g,ia~e 0 fJ'Rl!~ES ~SAJN ,Q,.~.Ii ~ .1"\~d~."-.:ueceas_1iE.~.~._.:...__~t;;~.. "'-t~ GREENLEE,RICHMAN,DERRICO &POSA B~ Attorney .llt ~fl 2 IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNSYLVANIA ESTATE OF: ........x~.~~~__~.~~_?..•••...__....••_•••.._.__••.•..._••.. deceased. NO 1~..~of 19~~~../Irrlf.. DISTRIBUTION RECEIPT The undersigned,hereby acknowledges to have this day received of .........._._____J_QRANNA..:vERHOWIK~,..ExC!C1J.tr..ix.,.------_. the sum of ._TIl.Q..~J:J:Q.~~M:m.._~P__~...~.:_::_:__:..~_~.:-::_:..:.~.:_.:_:._.._:.:::.~.:_.:._.._:..~.:_.:._..:.~.:_.:.:.:.~.~:.:.:.~.~:._:.:.:.~Ql~.Q.Q~._:_-DOLLARS, in full payment and satisfaction of the amount awarded to me by the said Orphan's Court in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby re- leases and discharges the said fiduciary from any further liability on account of the same. WITNESS my hand and seal thiS..~t~1-:day of P.~f.~.!}!R~:t;'19 2? Witness: _l.1 ,69 JUM 'I P,,'3 5I RUSSELL M.6JUNO REG i STE Ii,OF VOLLS WASHINCTON CO.,PA. o z :;a mn m -.::t.... mIIIEm o." zp ~n 14t Qraurt at Qrnmmnn Jlrnll at Ifn1i4ingtnn Qraunty, '~nnliylunnin,(0rp4nnlit Qram Iliniliinn ESTATE OF Frances Saj n, Deceased. No.63 -68-982 . In the matter ofthe First and Final Account of Johanna Verhovnik, Executrix ADJUDICATION AND DECREE And now May I-'f:,19~,this matter came on f,?r heari.n9, 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 $7,700 00 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 made a part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. SCHEDULE OF DISTRIBUTION Redebit -distribution prior to distribution by the Court,2000.00 Joe Embert,Jr.,legacy,charged on land,credit to be taken by the accountant for funds advanced prior to distribution by the Court,2000".00 Balance per account _ Additional debit asked at audit Additional credit asked at audit Balance'_ Deduct Clerk's Costs &Receipt;:)..s 1 Attorney Greenlee,Richman,Derrico &Posa Russell Marino,Clerk O.C.,costs in certifying real estate to Recorder, John D.Woodward,Recorder,costs recording certification of real estate, Contribution to maintain assets of estate in kind, 2016.00 2016,00 20.00 4.00 7.50 31.50 $7,700.00, $9,716.00 $~~~..rl$7~t80:00,,~ ~J/~/~Pc::2~.c....-.A......-..<.......-<'/~ ,;?z;.;o ~q;~~~ $7,@i6.00 ;:-1l flu.'rJ.1iit:~'.~ $7,668.50 $9,668.50 $9,700.00 Joanna (Johanna)Verhovnik,specific devise of real estate as hereinbelow described together with household goods and furniture;held in kind and distributed as such at the appraised value,7700.00 $7,700.00 No balance j - -'. REAL ESTATE TO BE CERTIF'IED TO THE RECORDER F WASHI GTON COUNTY BY THE CLERK OF THE ORPHANS'OURT Frances Sajn,devisor,to Johanna Verhovnik,devisee of title and interest of the devisor in and to parcel of real estate,cha ged by th devisor herein with the payment of a legacy to Joe Embert,Jr., paid per account and audit as filed to No.63-68-982 Register's Offi e,Washington County,Pennsylvania,subject real estate described as fo lows: ALL those two lots of ground situate in North Stra ane Town hip, Washington County,Pennsylvania,known as Lots 201-1/2 and 202-1/2 in the Alexander Land Company Plan,recorded in Plan Boo 3,pages 18 and 19, fronting :70 feet on Alexander Avenue.On which is erecte a two-s ory block house known as 201-1/2 Alexander Avenue"Strabane,Pen sylvania BEING two~~'of the same lots conveyed to Joseph Saj and Fra ces Sajn, his wife,by deed of William J.Gowern,et ux.,dated Ja uary 5,1 27 and recorded in the Office of the Recorder of Deeds in Deed B ok 544,page 540. The said Joseph Sajn died. I CERTIFIED TO RECORDER:JUNE t~~1969 N J • .~ ,~J••. i\ '.....; \'-••.1 ..j j, . . J .J '.L.· J.., )~J oS .j j , J.j \'J \', j J __J ~J 1..J _. ,-. I V' t,3'-0%'-rf-;/OFFICE OF THE REGISTER OF WILLS Fonll Xo.1RCC-62 (12-66)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961. EFFECTIVE JANUARY I,1962.(FILE IN DUPLICATE WITH COpy OF WILL ATTACHED)/ #J County of Wa.abingtp.n . ............JOHANNA.YERHOVNIK ..,of ..19.4..V.i~w .Av.~~~~,.JH:l=,~'b~A~.,.~P'I)fil.•.. (Name)(Address) being duly $..Wg~g .according to law,deposes and says that he is the ~~~~_~~_:;~~____--------------------------- ,(Exec.,Adm.egatee,Etc.) Estimated Value died _Jun(,L25-,---19-6.8(Date) cfj) as 201 1 2 Alexander REAL PROPERTY __~O:;f:'h __S-trabane ..deceased,and that the whole of the estate of said decede t,r~tY.Botough or Township) consisted of: Real Estate REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANli:ES ON ACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESS S AND RELATIONSHIP OF OTHER OWNERS. of the estate of F.r.anc.e.s.__Sajn whose last residence was ------------------------------------------------------------"(No.)(Street) .~ Plan Plan Book 3 a es 18 and 19 See • Personal Property NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered. Jointly Held Property , Estimated \ Value '-------:---------------'-.....:....-------~-----___;_---.....---__1r_--_;__-~{, . - Transfers within TWO YEARS Prior to Death NONE >1",-u ....,., . -.. That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly wit~,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 BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresseswho have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT T .•....TT _.,ik None Yes --Under will T._.1-....._•..Tr None Yes --Under will. - - r , / ~SIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIM}!;D .J NOTE:List first five items in the spaces so provided,observe notations thereon,and instructions. DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN ttEGISTER ONLY Funeral expenses paid $$ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * :Counsel fees * Fiduciary commission * I OTHER DEBTS AND CLAIMS (*)See Note below Total Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission or debt is greater or less than the estimated amount claimed and allowed. (Street Number) (City or Town and State) My Commission expires Jan.I \,PAS I I Having been duly.s~om according to law,~~that the above appraisement is made in conformity with law on this .................~dayof ..:.-~~4--:f._.-?y-.>:!::J ()~W In tho ...nt that any 'nt...int t in thi,..tat.i,t"na,..,.d in~:::~;~~~I'~:::h?:::::;=~·~: 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~GISTE)t-?OFWILLS --/'-..,/ I,the undersigned duly elected Register of Wills in and for:--.....<.".'County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amou;ts chlimed by dep~~ll ;except as to those items where a greater or lesser amount is set forth in th~a~t c?2-mn to.~he right in said schedule above,which greater or esser amount represents the sum allowed as a deduction. '\/o'~~ Dated:.y.:--:.'/..":-;:..:: ,../'.,',.':.•r ... .R~gi~~~~i wiil~',.. Fonn No.RCC-62 (12-66) ..." •i~Will Administration INo.Year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ............FM~~E.S..S~J~. Deceased Late of .NORTH.S:rRABANE..TWP.•...... ...... County of ..WASHINGTON .<-.; I'\) ,-. '0(f; ;:::,;....... 1"":7"""::7l (-.Commonwealth of~PennsyJyama -j---en I(f;,,..,;;:~~..,---::~:•l.Jj r- REPORT~~D .AgPRA~S'~·~ ~::::J::"::• CJ lJl \...q GREENLEE,RICHMAN,DERRICO &POSA ATTORNEYS AT LAW WASHINGTON TRUST BUILDING WASHINGTON.PENNA. ," RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT J8HANNA VERHOVNIK (Executor~)" IN YOUR REPLY PLEA•• REFIR TO 37~132-4 In Re:Estate of ....:F:.:RA=N;..:C;.:I;::.S---=-SA:..:.J:.:N:.:...--_ ___--.:.:W:.:..;A.:;..S:.:HI=.:N.:.:G:.::T...:.O.:.:.N County - F He No.63-68-982 Dear Mrs.Verhovnik: You are hereby notified that the ori~na1 appraisement in the estate of Francis Sajn has been filed in the office of the Register of Wills qf Washington County on Seotember 9 ,19 68.Said appraisement reflects the following valuations: Re al Estate _--'---L7~•...J.5~O~O~•.l:I.O.l:l.O-- Persona1 Property --f:.2<.ll9'-l.OQl~~''O~O~__ Transfers --;:;-;::=:-;:;~-_ Total -;......i7wJw7..:0~O.:..•.::..OO.::.."-- As to such tax that is paid within three months·from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date __..!:::S~e~pl.l=t~e:!!m~b:.>=e:.Lr--L.9~1~l.l..9I.6~8,,"--_ DATE OF DEA.TH:June 25,1968 Note:This is not a bill. qCC--.~g (6-6;>.)~,-~.111 r0i}tMONWEALTH OF PENNSYLVANIA :JrRANSFER INHERITANCE TAX RESIDENT DECEDENT SAJN,FRANCIS FILE #63-68~982 June 25,1968 SUMMARY FILE #63-68-982 rtTi:POHT OF INHERITANCE TAX APPRAISER "I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of #63 Washington ,Pennsylvania,do respectfully report that I have appraised the'real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","c"and~"E".~ Dated:09-09-68 ~~. 06-25-68 .Ap PRA I S R ~• REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for _ County,Pennsylvania,do rpspectfully 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 $7,500.00 $7..2500.00 $ 200.00 200.00 ------ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Join t-Held Property (Schedule E) TOTAL GROSS ASSETS LESS Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or annuities . . . . . . . • ESTATE T~X ASSESS~ffiNTS 7,700.00 =====.~_.- ~------ 7,700.00 =====._-======1= CO~WUTATION OF TAX (*)As evidenced by Charitable Exemption C~rtificates issued by the Secretary of Revenue. FOR USE OF REGISTER ONLY T aoc on $________5~~$~_ T ax on $.__10%t --'-__ T ax on ~007 $ T ax on $::=@ $~--~-~ Exemptions 1--:-(,;,) Total Es tate _ TOTAL TAX $___ Less tax previously paid *=======\"_.j BALANCE $_~_ Less 5%of tax if paid within 3 months after death $=====1- 3~\LANCE OF INHERITANCE TAX DUE $----------- A~d 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 $ FOR USE OF REGISTER QNLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,same should be noted below,with short explanation. Will t Administration ~No. IN THE Year MATTER OF THE APPRAISEMENT OF THE ESTATE OF .f):tA:NC:I;~..$AJ.N . Deceased Late of . County of N.STRABANE TWP. .WA.?rU:NG'I'9.IiJ . Commonwealth of Pennsylvania REPORT AND APPRAISAL ~ ~I Fonn RCC-2· COMMONWEALTH OF PENNSYI.V,.ANIA ,}DEPAitTMENT OF REVENUE .•'.,~'.RESIDENT INHERITANCE TAX BUREAU OF COUNTY COLLECTIONS APPRAISEMENTHARRISBURG,PENNA.17127 DATE ~.~P..~~!r.!?~~?~~.?..§.? COUNTY ~.~.l3,.h.~g~.s>.~. FILE NO..9.3.::.9..$.::.9.$.?_. Whereas,f.:r..~:q,~.~??.:S~late of ~.~~~.~~~.I.1:~~..:. in the County of ~~.~.~?~?.~Commonwealth of Pennsylvania,having died on the ?5.t!.l day of ~.~~19 ?.~.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvama; Therefore,I,w..~.~.~g.~.~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. REALTY: PErlSONALTY: TRANSFERS: JT.HELD: Description of Asset As per appraisement filed As per appraisement filed NONE NONE Total Unit Values $ Appraisement Made for Inheritance Tax Purposes 7,500 00 200 00 NON.c. NON.c. 7,700 00 form~;:~h~~::I:;,;.w~a2~~~:'~:;o~~~~~:r~se?e?~~n; ,/~~/alser ......................................................>.;~~d············..··..·······················..····..····..·..~an/~~";'),Penna. WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of FltANCIS SAJN Deceased. Late of N.STRABArlli TVJP •.................. Date of Death,J.une ~.5.,l9.6.e . AppraisemeJ!t Docket Vol.,3.7 . Page,132~4 No..63~..6.$::~9.$~. Filed in Register's Office,.Sept.......9~.....J9.6.8... A'InOunt of tax due,:$. DEPARTMENT OF REVENUE Received, , Examined and Approved,·.~q...:..D.CJ...N6LiJNTii....... . S77/1,1 :J 0 ~!:'SVAiWroteabo.ut A pprmseHiemt,1 r':·;·~·;·;···········,·1.,J·,L··SNt"':l·\1'\)1'10""/'"'/''1--(]I.,I i :';Scn ..........................................................................................:-::-d )j.. A ppcoJ t,om A pp,.;"),,Jnt,~....J;fit.·!rr;.VU····· ......................................................................................~..;:;:.E.9f Entered and char:ged,···QC;~.]...·l Jl I-\.-~-~-.......,.;l ~_ ,;.J,"'.l 'Ai I '''''<t.I:~} I' / ; /' .. Form RC C·le,DEDUCTIONS ALLOWED IN ,0F[r<;;.E.HF,.WIi REGISTER OF"WILLS OF __W=a"",s:.::h.:.:i:.:n:..:Jg~t;;::oc.::cn=--COUNTY AND AGENT OF THE COMMONWEALTH STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF $,2.066..25. ~9kZJHRegisterofWills,Agent ESTATE OFF,_-=r=a...n,..c...._e....s'"-----'S=a.....i=n'----LATE OF _-..J.N.:L!ol.!.rdo..Jlot:6.lh......Sut...rlo.laiiUblLali1n.uJiie=--lT,J"QLJWD~S~bu..loi ....p~_ DATE OF FILING APPRAISEMENT OAT&:OF DEATH June 25,1968 DATE NO.OF NAMIL OF PAYEE REMARKS ...MOUNT voUCH'"" 196f 1l..0,1)075MarioDeAnQ:elo Funeral exoenses 7 5 Washington Hosoita1 Ilast Illness 94 25 7 5 Dr.Rawnslev Last Illness 50 00 7 5 Dr.J.R.Snrowls Last Illness 49 00 7 I)Dr.F.Bakewell Last Illness 15 00 7 l:\F.Ah1p,..INl1,..l:li nO'h 00 7 c;.~f-....•...ll-li::IP1nr inO'&.~n....n';_c.es 10()·()() 7 Ie}Russell Marino ..Register Probate of will 13 00 7 10 r.:l1V"'"..:I IWi fee 7 ,0 " Q I)'D"C!C!o11 M!:l"t'";-nn 'R t=>O'i l:l r t=>,..l1<'i 1inO'i 7 ()()- R ?Dailv Notes Advertisine:estate 12 50 Q ?T.T!:ll:lhi r.,...'R IA ••l:linO'l::O:~.Cl:e lla.()() 1 ?_i;Q ....11 t=>t=>'Di ...'h.................·C'n IA evt s fees 17,00 1 11 _,,0 'D"C!C!o11 ••&Posa FilinO"A H,00•'R t=>O'i ~te,..-..- Certification of real eatate-ceats U r;O - I Court.Costs a.t """H+..,,,lV'\ I !'l'O'T'AT ANn i.............I ......II';K'JI':"1111\1:-'... 2086 ?~ - COMMONWEALTH OF PENNSYLVANIA }S.:COUNTY OF Washington PATRICK C.DERRICO,Attorney "I.HEREBY CERTIFY.THAT.TO THE BEaT OF I\olY KNOWLe'OGE AND BELIEF.THe'FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF Frances Sajn·-q 0i('''''••D'DUCT'ON.'OR INHERITANCE TAX PURPOSES.7ft1 eli .-(l.,t-/'PAJu c'.J_(L.5.) ./8th 'Yatrick C.Derrico,AttorneySWORIII"NO SUBSCRIBED BEFORE ME THIS DAY 01" =:3=-.~-'4-j L~9J.J for Estate of Frances Sajn -¥ DONNA JO ANN ~URDA,Notl,y Public Washington,Washington C••, ,•• My Commission Expires April ',1973 RESIDENT DECEDENTS File No.G3-68...9B2 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax ~9 Septemb~r 19'1968 978901. Form RCC-4-RI-3-66 No. Date. Office REGISTER OF WILLS.WASHINCTON Pa. WASHINGTON County,ss:Received from Johanna.\~'erhovnik (Executor,1dU:?iim~~~ofthe estate oLf ....:;FR::..::·:.=lA::::N;.:.:C::.;:I::::S::c.....-=S~.lA~J:.=:N:...----:_ who died 'June 2S;II 19 68 th f EIQIIi'liUN»REDF1F'r!....FI'VE AND 00/100 -- -..........Dollars__,esumo_, being TRANSFERINHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax NOTE:This 'triplicate Receipt to be retained by the Register of Wills and filed in numericalsequenceforauditpurposes. 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 shaH 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 additionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. Estate Tax Assessments ) Dcite 19__'$,_ ---19__~$======= lJOOD [PCLD©£lJ[E Register of Wills MOORE BUSINESS FORMS,INC..ELMIRA,N.Y. $42.15 $-------- $============ .........-::"~t:t:-,lt-~,.,'...Jt;~~ Balance $_ Total Tax $_ $======== S.·7"'E....L,/,l L "~/'If t='t1t-·'JI.~,,~{, Tax on $_5%$_ Tax on $10%$_ Tax on $2%$~ Tax on $,On Account 15%$891..1,5 Less Tax Previously Paid (if any) Exemptions *$=============. Total Estate $_ Less five per centum of tax if paid within 3 months after date of death Amount of Estate Tax Assessedunder the Act of May 7,1927. Total $855 ..GO *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June I,1957,as =ended by Act No.381,approvedfuly 11,1957,and Act No.207,1961,Section 302. Add interest at the rate of % from .,..--_ to __--:-_ ....",...,GMPLETE 37...132...4 $,------ $-----,----,- $ $,---"'------- """\'t"t' $. $,------ $, Valuation Valuation $,------- $,----_ Total Date Date Real Estate Personal Properly $------- $,------- Total Total Gross Assets Less Debts and Expenses of ..Administration Clear Value of Estate Valuation of Ufe Estates or Annuities Date 19__ ----19__ FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 31 Page 1&2 Line 4 Estate of FRANCIS SAJN OFFICE OF REGISTER OF WILLS VASlUNGTON ,Po. Date September 19 19~ 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 ~1ARINO Register of Wills "",.... 1201 (g).Act of April 9.1929.P.L.343.as amended. viz:-"To receive from Registers of Wills all duplicate reo ceipts for taxes paid to them by executors or adminis.trators and to charge the Registers receiving the money with the amount receipted for.The original of each such receipt shall be signed and sealed by the Register of Wills and transmitted to the executor or administrator. whereupon it shall be a proper voucher in the settlement of the estate.In no event shall the executor or adminis.trator be entitled to a'credit in his account by theRegisterunlessthereceiptissosignedandsealedby\be Register of Wills," Fill in below name and address of person to whom tax receipt is delivered: I I To L I iffY'"Gmm~llJm,R1CH~tlNt m.UUU:OC &POSA 325 WASHINGTON fRUST BUILDING tlASHINGTON,PENNSYLVANIA 15301 -.J w __a / Ii 63 ...68...982 RESIDENT DECEDENTS File No. COMMONWEALTH OF PENNSYLVANIA~9 WASHINGTON County,ss: September 26.19 68 Form RCC-4-RI-3-66 No.978924 Date. OFFICIAL RECEIPT Transfer Inheritance and Estate Tax Office REGISTER OF WILLS.WASHINCTON Pa. Received from Jobn SmNelj't Paywg on lad II tiab. au.WJUllIm~~)of the estate o'Lf ~F~nA~N~..O~!~S~~S~U~·..!:!N'c...._ who died June 25.19 68,the sum of BICM IIUNDRtm!BRIE and iI/laO ...........Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Tax on $_ Tax on $_ Real Estate Date Valuation $l ~_ $._ Total $,-_--.--'----'----'-- 5%$----:.. Tax on $10%$_ 2%$_ Tax on $5.635.84 15%$845 ..38 NOTE:This Tziplicate Receipt to be retained by the Register of WUls and filed in numericalsequenceforauditpurposes. NOTE:In accepting the transfer inheritance tax on future estates prior to the death ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com- monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. 845.38 Exemptions *$============= MOORE BUSINESS FORMS,INC••ELMIRA,N.Y. Register of Wills Total Estate $_ Total $803.11 *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June 1,1957,as amended by Act No.381,appr.o.V2~'-ci...pY 11.195.7,and..A.ct No,.2..07.,....196..1,sectl'O.n 302.... SEA;L,/"L ~2 / ..t,fc~>-d~",.'///a;t-"-<$"'i".~p31-13,2-4 Total Tax $ $5~63S+S4 Less Tax Previously Paid (if any)$ $Balance $ Less five per centum of tax if paid 42.21 $.I within 3 months after date of death $ $Amount of Estate Tax Assessed under the Act of May 7,1927.$ $Add interest at the rate of % $from to $ Valuation 1J[R]O [P)fLO ©£1J[E Date ~ff:~He.ld BAM Aecf:.* $5,635.84 $1 _ Total Total Gross Assets Less Debts and Expenses of Administration Personal Property Clear Value of Estate Valuation of Ufe Estates or Annuities Date 19__ ---19__ Estate Tax Assessments Date 19__$._ ----19__!:$====== FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX•. RESIDENT DECEDENTS• .RECEIPT Docket 31 Page 132.4__Iw.m.e",-__ Estateof FRANCIS &UN OFFICE OF REGISTER OF WILLS WASHINGtON Pa. Date September 26,19 68 SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY 15.1945.P.L.528 nUSS'ELL ltAnn" Register of Wills ... I20l (g).Act of April 9.1929.P.L.343.as amended.viz:-"To receive from Registers of Wills all duplicate reo ceipts for taxes paid to them by executors or adminis. trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each such receipt shall be signed and sealed by the Register ofWillsandtransmilledtotheexecutororadministrator.whereupon it shall be a proper voucher in the settlement of the estate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills," Fill in below name and address of person to whom tax receipt is delivered: I L SLOVENIAN SAVIHCS.&LOAN ASSN. 101 tA'lIlmR AVENUE STnABANB t PENNSYtVANUJ:5363 I -.J I ._