HomeMy WebLinkAboutOC1968-0987 - ESTATE OF CORBASTATE OF PENNSYLVANIA,
WASHINGTON COUNTY,
The within named Accountant being duly sworn according to law,depose s and say S that the above account
as stated is true and correct as :.he verily believe,
.~-;;;~¥..~
.':-----------_-..-_---------_..---.---Marion T.Grdish
Washington County,5S: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 Stotutf ~d ~u~.&~o~r\~~dence by proofs
thereof flied to No.~J-.....~\.....\&_\.v...~.
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Witness y hand and official seal this--'.dv\!l..\1J.
--~---day 01...=____.:.--~:~:-:::c;19.1o.'b.
I ••••n~.
Register of Wills
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The Court is respectfu Ily requested to determine
proper distribution in this estate,
~~~'7~r Accountant
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IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA.
ESTATE OF VALENTINE CORBA,DECEASED.
FIRST AND FINAL ACCOUNT OF
MARION T.GRDISH,ADMINISTRATOR
Date of Death:
Letters Granted:
Letters of
Administration Advertised:
November 22,1963.
December 5,1963.I
January 25,February 1 and 8.1964
January 30.February 6 and 13.1964
PRINCIPAL -PERSONALTY
RECEIPTS
The accountant charges himself with the Personal Estate of decedent in
accordance with the Inventory filed with the Register of Wills
of Washington County.on February 3.1964..
Cash:
MOSCHETTA
8c
MOSCHETTA
ATTORNEYS AT LAW
WASHINGTON,PA.
On Decedent
Bank Account;'First National Bank,,
Fredericktown,Pennsylvania.
Tangible Personal Property:
Furniture
Clothing
1957 Chev.Sedan Automobile (Junk)
Real Estate:
Following Lots in the Vesta Heights Plan of Lots.
East Bethlehem Township.Washington County.PaD
Lots,44 to 50,inclusive.
Lots,60 to 65 inclusive.
Lots,66 to 70.inclusive.
Lots.71 to 75.inclusive.
Lot 76.(one story frame house)
$130.00
1.013.09
30.00
20.00
30.00
$
MOSCHETTA
&
MOSCHETTA
ATTORNEYS AT LAW
WASHINGTON,PA.
.:I
Lot 85 (one story frame house,barn)
Lots,77 to 84,inclusive
Lots;126 to 147,inclusive
Lots,182 to 206J inclusive
Total Assets of Estate:
DISBURSEMENTS
The accountant claims credit for the following:
Register of Wills,Letters of Administration
F.J.Buckley,Ins.Agency,Administrator 's Bond
Notary Fee,Inventory and Appraisement
Washington County Reports,Advertising
Register of Wills,.filing Inventory and Appraisement
Observer Publishing Company,Advertising
Register ofWills,filing.Debts and Deductions
Notary Fees,Debts and deductions
Greenlee Funeral Home,partial payment of Funeral Bill
F.J.Buckley Ins.Agency,Administrator's Bond
F.J.Buckley Ins.Agency,Administrator's Bond
F.J.Buckley Ins.Agency,Administrator's Bond
F.J.Buckley Ins.Agency,Administrator's Bond
Moschetta &Moschetta,Attorneys'Fee
Marion T.Grdish,Administrator's Fee
$2,-000.00
$3,223.09
13.00
28.00
2.25
10.00
3.00
10.00
3.00
.75
500.00
28.0(
28.00
28.00
28.00
161.15
161.15
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·'W~shington County Reports
63 SOUTH MAIN STREET
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P.L.
1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON)
STATE OF PENNSYLVANIA (SS.
Personally appeared before me,a Notary Public in and for said County and
Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and
says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the
official legal periodical for said Washington County,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 COUNTY
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:
...........J.anuar.y...3.Q .
............F.e.b.1'1l.a.t.y 6.•....13 19.6.4 .
that the affiant or the corporation in behalf of which he is acting is not interested
in the subject matter of said notice or adv~#00and that all Of..the.alleg.."iOO.o.f.h.,ffid"i."~'h'(0,f ~
S~rn '0 "d ,"~,m'.hi:--·--:-~---·Edi;;;;
.....l.3.th...,day of...........F..e.br.u..ar.y.,196....4.........i~@.~
N ry Public
KATHERINE C.YARD tary Public
Washington County,ennsylvania
My Commission Expires
NovemblN'1,19ii
Estate Notices
The Register of Wills has granted letters.
testamentary or of administration,in the
following estates.Notice is hereby given
to all persons indebted thereto to make
payment without delay and to those hav-
ing claims or demands to present them
for settlement to the Executors or Admin-
istrators or their Attorneys.
• •••••• •••• • • • • • •
CORBA,VALENTINE,Dec'd.
Late of East Bethlehem Township,Washington County,Penna.Administrator:Marion T.GrdishBox333,Fredericktown,Penna.'
Attorneys:Moschetta &Moschetta,244 Washington Trust Bldg.,Wash-ington,Penna.
...
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....-.•----"4-
THE WASHINGTON QBSERVER
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of 16 May,1929,
P.L.1784,Paragraph 3,Sub-paragraph 25,as amended.
Commonwealth of Pennsylvania,County of Washington,SS:.....•......
Personally appeared before me,a Notary Public in and for said County
Richard S.Cowan .and State,__,who bemg duly sworn
according to law,deposes and says that he is the..~.~.~..~.....~...~~~.~.~.!!...
of the Observer Publishing Company,a Pennsylvania corporation,and its
agent in this behalf;that the said Company is the owner and publisher of
the Washington Observer,established September 18,1871,a daily news-
paper of general circulation,printed and published and having its place
of business at Washington,Washington County,Pennsylvania,where it has
been established and published continuously for more than six months prior
to the publication of the notice hereto attached;that the printed notice or
advertisement hereto attached is a copy of an official advertisement,official
notice,legal notice or legal advertisement,exactly as printed or published
in the Washington Observer in its regular issue or issues on the following
date or dates;J~.~~.~y ??..l ~.~P~~.~!.y.~~.~~.L .
1964
that neither the affiant nor the Observer Publishing Company is interested
in the subject matter of said notice or advertising and that all of the allega-
tions of this affidavit as to the time,~e.and character of publication
are true.~_,;/L:J .-
.-..-.-----..------..~~L ..~:'Y:...;.__.
Sworn to ond 'Ob'~~~
MRS.CATHERINE A/':)S,11:JERY PUBLIC
YlASHt~~:7~"'"ItS'"':T;"('~I:TY
MV N:"'.•~~5.1961
f~<··~l t·/~'t"",ADMINISTR1\tr05iSt~oTltE
,ESTATE 01'1/)\'"ECOR.BA.deceased'tet Bethle.'hem Township,,__\\,a n County,,Pa.""J Letters of Admi .labove estatehtheundersi
given to t thereto tomakeimm,.nt and to
those havinii'llcl emands to
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presellt HI1~\1ii'f "imt.
"MAR"WN,,]).,'.'0..",,):\.,D,ISH,Admr.,Box-':!333J..-,",-"",'iFred~'fiCKtowl1.'Pel1na.'i MOSCHETTA~\!t MOSCHETTAAttorney
23000·06·12·3t.
<1rnmmnnwralt4 nf-'rnn.61!{nania.tm.
lIan~ington C!Iountg.)
I,Josephine ~.Douglas ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
to Marion T.Grd.ish
administrator of all and singular the goods and chattels,rights,and
credits,which were of
WHEREAS,the said
late of Washington County,deceased,
GREETING:
late of
East Bethlehe.Township in the county aforesaid,lately died intestate
(as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County,
Josephine M.Dou~las
by reason whereof the power of granting administration thereof doth belong to me;I therefore,confiding
in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here-
by committing unto you full power to administer the goods and chattels,rights and credits,which
were of said deceased within this Commonwealth,you having taken and subscribed the oath of office
prescribed by law;requiring you to well and truly administer the goods and chattels,rights and credits,
which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's
Office,at Washington,within ninety days,and to render a just and true account of your administration
at the expiration of six months from the date hereof,and to regard and comply with the provisions of
the laws relating to inheritance taxes.
IN TESTIMONY WH~REOF,I have hereunt?set my hand and
caused the seal of said Office to be affixed this 5tll
day of in the year of our Lord one thousand
nine hundred and sixty-three.
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(Fo.rm where decedent died intestate)
lin t4r (@rpquns'Q10url ~f lIusqtngtnn ornunty·
ESTATE OF No.Term 195,,A.A.
VALENTINE CORBA
Deceased
In the audit of the First and.Final
Account of Marion T.Grdish.Administrator
State (l)whether de-
cedent was married or
unmarried;(2)if mar-
ried,whether a husband
or wife survived and
his or her name;(3)
whether or not there
was any marriage settle-
ment;(4)whether or
not family relation was
maintained until deced·
ent's death;and (5)
whether the decedent
left children or issue of
deceased children.
M T G d'hThepetitionoL~.~.~.~!:?:._~~~.~..
(Name of Petitioner)
respectfully represents::.
(a)The decedent died ~.?y..~.!?~~.!.:..??.!.}..~.~.~,intestate and
(Date)
letters of administration on ~.~.?estate were granted P~.~.~.~"!?~.r....§.,J~§.~
.(Date)
as per record thereof appearing in Administration and Bond Book No ~.~..
75atpage .
Decedent was survived by (Decedent was unmarried)
Steve Corba.·brother
Marion Grdish.nephew
Walter Grdish.nephew
Mrs.John Yalowski.niece
Mrs.Charles Ebersol.niece
within(b)At the time of death,the decedent's domicile was ~¥the Com-
)
monwealth of Pennsylvania,to-wit,at.,..~.!....J?.~thJl?h.~m...r.~.'--.t ....:p~.,........U...S.:..A.
)(Tow,n or Township,State and Nation))
and residence was·at ~.!J?.~~h~~.~~~:!:~P.!..,:p9.-.!..I....V!!.$..!!.A~.
(Town or Township,State and Nation)
(C)The names of all persons having ~ny i~f<:;rest as heirs or next of kin
with the names of their deceased parents,to snow rel,~.tionship if they take by
representation are as follows:
Of age,sui-Name of Guardian,Trustee or Committee,if
juris,or not,any,or beneficiary,manner and place ofNAMESRelationshipInterest(write yes or record of appointment and is bound suffi-
no).cient to cover and protect share.
Steve Corba Brother 1/2 yes
Marion Grdish Nephew 1/8 yes
Walter Grdish Nephew 1/8 yes
Mrs.John Yalowski Niece 1/8 yes
Mrs.Charles Ebersol Niece 1/8 yes--4 .-......-~.-.~~~.
,
State exceptions,if any,
giving names and dates
of death and the names
of their executors or
administrators,or the
names of their issue as
the same may be mater-
ial.
Describe type of notice.
All of said parties III interest are living,except
No exceptions
(d)All parties having any interest have had notice of the filing
of the account by letter from the administrator's counsel.copy attached.
(e)Balance for distribution per Account
(f)Additional debits,not shown by Account
(Itemize)
(g)Additional credits,not shown by Account
(Itemize)"
Register ofWillsI filing account $16.00
Notary Fee,First and Final Acc't 1.00
$..~.~..?.~.~.:..!.~
$=.~..=.~..~.
v
Insert word "not"where
necessary.
If taxable state wheth-
er tax has been paid.
$!.?.~..g.9
not $~.L~..Q.L..7.~
(h)Claim for exemption/has been made,and has ~.?~been paid.
(i)The estate is subject to the payment of inheritance tax to the
State of Pennsylvania.
(j)The estate is ~?.~subject to the payment of the county 4 mills
tax.
(k)The estate is P.:9.L subject to the payment of Federal inheritance
tax.
(1)All creditors (and other persons who have complied with Rule II,
Sec.9),'of whose claims the accountant ~~.~notice or knowledge,have
........................received actual notice of this audit;the amounts of their claims and
whether or not they are admitted to be correct are as follows:if too many for the
space,annex a list there-
of;if no such claims,
insert the word u none."
If any creditor or other
claimant has not re-
ceived actual notice,that
fact must be stated.
Indicate such claims as
may be secured or en-
titled to a preference,
and give detailed infor-
mation concerning such
security or preference.
Inheritance Tax as of December I,1967:-------
Washington County Tax Claim Bureaul
delinquent taxesl Lots 44 to 501 inc.;Lots 60
to 651 inc;Lots 66 to 751 inc;Lots 76 to 85;-..).)~...
Lots 126 to 1471 inc;Lots 182 to 2061 inc;------
Notary Feesl Audit Petition:-~- -- - - ----------.-,-
Washington County Reports,Advertising Audit:--
$253.74
11 809.It'.J.~~,lfJ
.1..00.
10.00
Here insert a reference
to all questions requir-
ing adjudication,and a
!;tatement of any mater-
ial facts not already
given.If none insert the
word "none."
If any share has been
assigned or attached
that fact should also be
stated here.
(m)None
State kind,form and
character of property
""composing the balance
for distribution,and if
any part thereof is not
cash,whether or not I
there has been any elec-
""",tiol',·to take such part'in kind.
,
(n)The balance for distribution consists of property in kind,form and
character,as follows:
Real Estate in Kind as listed in Account
Cash:$121.79
Are there any advance-
ments by decedent to be
considered on distribu-
tion and has any distri-
bution on account been
made by accountant to
any distributtee?
(p)No.
If prior accounts have
heen filed,list number
and term.
(q)Give brief location of any real estate sold.
None'
(r)
No
Wherefore your petitioner asks that distribution of principal and income
be awarded to the persons thereunto entitled and suggests that the balance of
principal and income should be awarded respectively as follows (shares being
stated in proportions but not in amounts):-
Steve Corba 1/2
Marion Grdish 1/8
Walter Grdish 1/8
Mrs.John Yalowski 1/8
Mrs.Charles Ebersol 1/8
County of Washington,ss.
The above named petitioner being duly
sworn doth depose and say that the
facts set forth in the foregoing petition are true
to the best of h~~knowJedge and belief.
Sworn to and subscribed before me this
;;l-day of ~.ll~Ait:L ,19 ~..?.7~····1······~··..".
.........~~~.~>..'l ;1.1
to,'.
MRS.CECEUA:',MOWL:~~IOTARY PUBLIC
....__.._-_wASJa;J.G.IQ~!,.:.\Y.~.SH!f!.G:r.(;.N QQ:z p.!h ..
MY CQr·.·lMIS;;!Qt'~C;i'li([S SEN.29,1965
And your petitioner will,etc.,
~~V~~.....,.(..
(Signature of Petitioner)
Marion T.Grdish
[,
I[
I FORM IN CASES OF INTESTACY
NO.._ _.._ , _ _ ___Term,J 95...__.,A.A.
IN THE
ORPHANS'COURT
WASHINGTON COUNTY,PA.
,.'~::J.....y.;/~"..'.
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Estate of Valentine Corba
Deceased.".
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'"t.
II
Sur'account of __._M.~r.~~;m._.1\.._G.~~tj,f?b....Agm.
PETITION SUR AUDIT
In Conformity with Court Rule III,
Sec.5 (B)
COUNSEL FOR THE ACCOUNTANT WILL
SUBMIT HEREWITH
1.The letters of administration.
2.A copy of the inventory and appraisement.
3.Proof of advertisement of the grant of letters,
if not filed with accountant.
4.An appearance for those represented.
5.Inheritance tax receipts,if any.
6.Certificate of liens in case any of the funds for
distribution are derived from the sale of real estate.
7.Copy of Federal Estate tax return,if estate is
subject thereto.
8.Signed elections to take in kind,if any.
MOSCHETTA &MOSCHETTA
.....!ly:~~
~2
JOHN J.'MOSCHETTA
JOSEPH P,MOSCHETTA
.,>LAW'O~~ICES
Mb~CHETTA &MOSCHETTA
244 WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA
(.."'",',..
TELEPHONE
•BALDWIN 5-3060 •
.AUlUst 26.,1968,"I .
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~TO:CREDITORS'OFT~E;ESTATE OF VALENTINE :CORBA,'
DECEASED.'.
-Mr••-Cecelia'Mowl,Notary ~ub1tc .
·Wa'blnston COwlty Tax Claitn13Ureau
WashingtOh Co~ty ~eports "'..
. " " .This ,is to adrise you that ~e',Flrst and FtIw Account .
of Mal"lonT.Grdisb~Admitlistrator of,the,Eiitate of Valentine Corba,
has beell fned ·and '~e'..am~i8 aeheduled'for'Audit.befote the Judge
01 the ,Orphans•Court in ~he Waahln,gton ~OllDt1 Court HOU8e,Wash"
lngton,PeME!ylvaQia"~n-Thuraday;September 12,'itS8,at 10:00
o'elocka~m.,at'which'time you may appeartf)'ou so desi....
'.Yours verY truiy,
,.
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'JPM:ikh '•...1.J t.,1
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,JOSEPH.P.MOSCBETTA
Attorney for tb~Eatate of .
'Va\entine Coma.Deceased
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'LAW OFFICES','", ,i,\',.
,,MOSCHETTA &JY10SCHETTA ...
•244'W~SHINGTON,TRUST BUILDING•.,
WAS.HI~Gj'ON.PENNSY~VANIA
"
JOHN J.MOSC';iETTA
".JOSEPH P.MOSCHETTA
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TELEPHONE
BALDWIN 5:.3060
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TO:HEIRS OF THE ESTA~EOFVALENTnmCORBA"'DECEASED;i'--'•-,', ,,
".
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. '·This is·to;'advise:"Youtiiat'lhe "~irst 'and Final Account '
of Ma'rionT.Grdish,'Administrator'of the Estate of .valentine Corba,
.has been 'filed and the:Same is~scheduled'for Audit before the,Judge'" ,
.of the.Orphans'Court in the Washington'County Court House,Wash·
ington,Pennsylvani~;on Thurst;biy,Septembe~12,1965;at 10:00
·o!clock a.in.,at whiCh tin1ey~u~ay IlJ)pear ,it you so desire.
Yours'very truly,.
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Steve Corba-,
Marion 'T.Grdian~..,'":;".!~,:',;..;:''~,"
Walter G~dish ~,.;,,.,".,.,l~.
Mrs.John Yalo'Wski
I •,~r~.,C~ar~f!.@p";ber;sql ~,,"\,
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JOSEPH P.,MQSCHETTA
,'Atto~neYfortheE8tate of'
~Valentine"Corba,Deceased....'.,.~',.'"-",~~
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1Jn tQr @rpQanB'OIourt of lIaBQill!lton OInuntl1
In the matter of the Audit of Account in
Estate of__V_A_L_._E_N_T_IN_E_C_O_R_B_A_,t
Deceased
TO THE AUDITING JUDGE:
No._______--.19__•A. A.
Enter o_u_r appearance for the Estate of Valentine Corba,Deceased
MOSCHETTA &MOSCHETTA
(/7~..2...day of ~19 68,I ,--
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.
I
,No:,19__,A.A.
In re Audit of Account in Estate of
Valentine Corba,Deceased
AUDIT
'rarrtpr fur 1\pprnrnurr
FOR
MOSCHETTA &MOSCHETTA
~h~'hlv£~BY:~~llL Attorney/I 7
~2
~/
IN THE ORPHANS~-,COURTOF WASHINGTON COUNTY,
'.I.•PENNSYLVANIA.
Thursday.September 12,1968,at 10:00 o'clock
A.M.,EDST..,
.
THE HONORABLE'P.VINCENT MARINO.
.Presiqent'Judge of the saidCoutt.,.
HEARING ON AUDIT
MOSCHETTA &J.\I[OSCHETTA"ESQS ..,of
Washington,~en~a.,repres enti~g 'the
Accountant...
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No.987 of 1968
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INRE;,f·.,
ESTATE OF ,.",."
VALENTINE <;ORBA,
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~BEFORE:
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~APPEARANCES:
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Corba,deceased..The Administrator is Marion T.Grdish and
case have also filed what they state to,be all relevant papers.The)
the attorneys are Moschetta and !VI0s cl:!etta..The attorneys in this
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'.Number 987 of 1968,the estate of Valentine
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assure ;the Court that there are no problems for adjudication in t~'~
estate'and as far as they have bee'n able"to ascertain,no outstandin!
claims.Is there anyone else in Court ~n ter~sted in this decedentI p
estate?
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THE COURT:·The aud!t of this "account is marked closed by th
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Court.
(AUDIT CLOSED ).....~;
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The torepil\l,l'"ecord ofe,oe,,pJ'o"eedta,•.up.tbe'bearina of "
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ihef'eb)'certify tbelt tbe ,ro¢eedl0gB awl evide_n~e af'f)~~l'1tlune.'.:..';
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full,.and a;fJc'Ul'~tel1 to tb4t nottS ~en blll)ft 00 tbe'~~lu"iniotthe _boy.,
ca...o.and ~t lha copy Is a·,orre.u:t t~.~e.t.ipt.()t the aame..,
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In case of jointly owned
U.S.Saving Bonds,a
list of such bonds giving
full information must be
attached.
THIS FORM MUST BE FILED IN DUPLICATE
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~-1OOF~E OF THE REGISTER OF .LLS
consisted of:
FORM NO.RCC-34-RI-50M"'-IO·62-
Will 1Ubl~
Admn..~7"'"'''''''~'\'''''''''';;.'''''County of · ··~Q.;;~i:i·'i:.:~~·~A,.~__.m..-.Misc.,.,.,00 ».ti '.'.'.~~~!..wf>'~~~t ~;;'UV)_
......................................................................................................................................................of .~(Name)(AddreSS)~Q.$St$_
being duly according to law,depo ses and says that he is the ..ValGM,.Ct.ba i,'' \.,':.",\,tbl~~e~~~~A~,Etc.)
of the estate of : : : :..:;Late of ..1lfi~h m;ri~n~~~
deceased,and that the whole of the estate of said decedent,who died ..
(Date)
Attorney I._t lI;"t m~~H~:!A .
j ~?~f of Will to be attached.
Real'Estate Estimated
Value
11-tA/-T.6-71..
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Personal Property
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(Additional penonal property may be listed on reverse side of this sheet.)
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a"111,\(panUnUO;»A}JadoJd IUUOSJadpa.pwHs3
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JoiIdly'Held Property Estimatedi_'_'_·-+Va_'u_e _
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Transfers within One Year Prior to Death
L 1k-.m!.i and subscribed before me j~A'~y-L.-4C ~,.\r:.I /I!Y(.P"~
...'1 7 ~/'..J · · · ·..·!!A..~I~·..~.··..G~I~~..·..·..·..· ·..the ~_:::;.da~of #..&.'Y'19 <.o...:ft,•
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This form required~inall estates with gross assets under $10,000.00,under Section 15 of the Act of June
20,1919,P.L.521,as amended,and Section 1201 (a)of the Act of April 9,1929,P.L.343,as amended.
IMPORTANT-SEE REVERSE SIDE
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
BENEFICIARIES
SURVIVED AGE OF LIFE
TENANTS OR INTEREST OFDECEDENTANNUITANTSBENEFICIARYSTATEYESATDEATHOFINESTATEORNODECEDENT
11 ........119
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Yes
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RELATIONSHIP
(If step-children or
illegitimate children
are involved,set
forth this fact.)
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bother
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BENEFICIARIES AND ADDRESSES
(State full names of all and their addresses who
have an interest,vested,contingent or other-
wise,in estate.)
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h1te~0li'41i$ll"."~"S
CJevelaM.,Obut.::
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Ifti.Cbul.,~,i$ol~.Ohl ..~~~a.~/>O ',"f'::-
____~_'_'.,'_n -...,1·"""""~",,!.,.,..,/..~",:,-,wtM.Brs..Jobl)'Y~)."Jtt..1908~I'!i~Auft"'"A ...__1I.....A A
8te-ue CoJ'ta,290S,8."1t ",
A.~.R'I""lIlI:dAt'I 'l.n _M _V'w,.......'....'~'-....,-""""'"""......"bara O..41Sb
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Deponent further says that all the above-named beneficiaries are living at this time with the exception of:-
NAME DATE OF DEATH RESIDENCE
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