HomeMy WebLinkAboutOC1968-0989 - ESTATE OF SYPLYWCHAKAffibuuit (@f 1Exerutnr (@r Abministratnr
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II
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~tatt of 'tl1l1sylual1ia,(55:(!tanl1ty of lIas~il1gtnl1
Personally before me,the undersigned authority,a Ho.tel'.J.P.:ubl1c ..in and for said
;:~~~yaC::~di~~::~1:;::~:~~~~·~S:~I::~~~~;~Pt~h~··~~~~~~.It:~o;h~:~fat~U~~
..................Johti Syp1J1K!hak :deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of.J.o.bn tbfp-1Y.tf.cmak , \.
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 made by the above named ~XlCXX~~Jt Exeeut»b•.
day o~=:=."~;i~·:.:~·:;;;;r~,jld....J'~:&2\~.···.J/·....··e2.~....·'...-:..·:..··t:~..···......···..·..........
ADDITIONAL INSTRUCTIONS
1.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 additiollal assets..
3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33,
Ove~$10,000,incl~ding:Copyof Will;1 Original and 3 Copies and 2 ,RCR.I-33,Over $50,009,in~.
eludmg C?pr ?f,WIll and copy of Federal Estate Tax Return...,
REFERENCE FOR ADDITIONAL COPY..."..'."
<Act of 1947 P..L.513 Sec.5.2,72 P.8.4844.2"',;
CENTSDOLLARS
\
\lIuufutory nub 1\pprni.armrut of the goods and chattels,rights and credits which.\.'
,werd\of loh'l..B.y.pl_hak ;t Jate of .N~#t.;~p.~~,,~~.
Wash~gton County,Pa.,taken and madein,conformity with the ~bove affidavit.
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\PSRSOMALIY
1\
"'.--- --'~96's~eylit1de"lamblel'(710 $.),2':doo.,sect....................-aSSG 00
;1 \I),..I !~.laAL paOPBRfY
/}.\i •.'.' .ALJ'that ~el'-tain lot of poun4£n the Bo.,ougb 01 Nortb Charleto
,County of·\fa.hinston an4 State ·of ·h~-Vlvcaia.be.!..botm'ani
designated 88 lot No.13 in Bl£)Ck',in tlle Green'tu)\1$8 plen of
lots recol1ded in the Recorder's Office jn an<l ;fol'lfeshin,ston Co
."
unty,Pennsylvania.£n Plan Book Vol,.~11 pase 16..endtle".'pP
tloularly bounded and descl'1be4as follows':
BEGINNING at e po:....&t on Stwent:b lven.on thettSvl<ling'lint 'be.....H .
"..',
tween lots No.12 findlS;thence'along sai4 seventh AVe~.NOl't
78°42'£ast 40..01 feet to tbe4SvlQlng line between lots 'No.l'
and 1".;thence e}.ong ea14 l:1nehuth go lJ8'£ast 110.69 feet to
'"'the·tine ot oak Alley.thence alon,g satA l1ne of A11eJSouth8ff
12'West q.t)feet to the dividing IJnel:Jetweenlot&No.12 .an4 1 ;
thence along said diViding line North 9'CIS t We8'109.6"feet to
the plaee of beg.1nn1t18.
!'his COIlVf:!yance1a made slJbjectto tbebUUd1ns l:itte$as shown
on sdd plan.
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BE:EstAtE OF JOHN 8YfLYWCHAK,DECEASED
,.it,:>·";;'
INVENTORY ANDAPPRAISBMENT (continued fttl/n'.~~ge 1)
Except1ngqand reserving f~om the land hereby.,
:~:.
conveyed,F~1'8t:&11 of the Pittsburgh or !Uver
Vein of coal tbel'eo~»,thE!l'eln and thereunder.and.
the right tfJ m!ne and 'tak~out all.,of sa1!1coal
wIthout lIability fo~damages of any kind what-,
ever or liabilitY for damage by reason of'said
having been mined or removed ..
Secol1.d:'All f¥ltural gas an.4 oil'unde:rly,tng sa1d la.nch
but no wellssball be drilled on the sa~for either.
BEING the same pre~1se6 .h1ch wereoonveyed'to 'John
Sy,lywch8k and Anna Syplywchak,luis wife,by'deed of
Andrew ~.iaott et we._,dated Nc?vern'ber 23.1925 .and
reoo)!lded NOVembe~as.1925 :In the _c!'l'der'6 Office
of ".ahington'County 11 Penneylvania in Deed Bool<
Vol.,.S3S I Page 277 .-Upon the'death of Anna Syplywcbak,
full title to 't~e foregoing desct-1bed,prena1ses beceme
vested 1n :its ent1retY9 to the said JohnSyplywchak,
by opevat!on of taw.$8,000.00 .
IS CAP I TU LA T I ON
total of Personalty..........'.."...~"..!,:"'.......:.................$BSO.00
Total of Real'Property-.............---.............$8,000':00
Totaltatate...-.....-....-...
,.......-....--...-...$8,850.00 \
..,
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,PAGE 2 ••,.."'lr.
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I-Y)B~I ;'\jAT.Y ~"11~.~\\'11.1.For ~"l-,hy P.(l :~,l,!(",I 1lito.lllllton\(.'ubll.hflfl
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...~...
I,JOHN SYPLY\vCHAK,
\of Borough of North Olarleroi ,County of Washington
and State of Pennsylvania,being of sound mind and memory,do hereby malw,
publish alld declare this to be my Last Will and Testament)in manner and form following,hereby
revokillg allY will or wills heretofore made by me.
First.I direct that all my just debts and funera.l expenses be fully paid and satisfied,as soon
~conveniently may be,after my decease.
Second.I give and devise my real property,identified as lot No.
Thirteen (13),block F,Greenhouse Plan,located in the Borough of North,
Charleroi,Washington,Pennsylvania,and improved with a dwelling house erected
there on,to my daughter,STEPHANIE SYPLYWCHAK,of North Charleroi,Pennsylvania,
her heirs and assigns;which property was acquired by deed from ANDREW W.SCOTT
et ux.dated November 23,1925 and recorded November 25,1925,in the Office
of the Recorder of Deeds in and for Washington County,Pennsylvania,in Deed
Book Volume 535,page 277,which deed was in the joint names of myself and my
late wife,ANNA,who 'died on the Eight~enth day of June,1958.
Third.All the rest,residue,and remainder of my estate,real,personal,
and mixed,including all household furniture and furnishings I give and bequeath
the same to my said daughter,STEPHANIE SYPLYWCHAK,hereinbefore mentioned for
her own proper use and benefit forever .
..~-.
.........
I do lwrcl.!/mnlw,c01I.,titute and appoint my daugh ter,STEPHANI E SYPLY\,JC}I/\K,
to be my cxecut I'i x of th~my Last Will and Testament .
the Tcstat or
Ie;112 --JOHN SYPLYWCHAK
.~v Ai -~trudu~~...__...f:!._~-:._ _,-e
John Syplywchak
in the year of our Lord one thousand nine hundred and sixty-one (1961).
]It Wiwc.u1)wocreof,1 ,
above named,have hereunto subscribed my name and affixed my seal,the
daYO/~~
Signed,scaled,published and declared by the above named
,a8 and lor
JOHN SYPLYWCHAK
his Last Will and Testament
request a8 witnesseshis
thereunto,in the presence of said testat or
in the presence of us,who have hereunto subscribed oUr names at
Iif ,~nd of each ot1~o/r-;;),
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AND NOW,this 8th day of August,1968,I hereby attest that the within copy of
Last Will and Testament of John Syplywchak,dated July 19,1961,and duly probated
in the Office of the Register of Wills of Washington County,on November 27,1967,
is a true and correct copy of the original of said Will which is on file in said Office.
......
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STATE 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 ~J!~verily believe.
cribed before me this ~~,
...6 ~19 68( .
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.~••••....J:.....~
)~CTOR E.RIVA,NOTARY PUBLIC
.._-'CHARLEROI:WP.SH/NGTON CO PA
..~.M~,pOMMJS~IOiIJ;f.Xe!RES JUNE '23,i969
day of I'>£,--"''&A''
Sworn and
day of .
I do ce·rtify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribe~by Statute and J¥l~efcpS-ourt,ahefi\lence by proofs
thereof filed to No.....\.p:..a ..W\L....~l~.LL
W " .'d d ·ff'·.I I thO 1~J)Itness my an an 0 ICla,sea IS..........•....}J.J.....
~lI.J\lA..fl_.<----j1.Ukill2-~~-
.....-,.Register of Wills
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IN THE ORPHANS I COURT OF WASHINGTON COUNTY,PENNSYLVANIA
RE:ESTATE OF JOHN SYPLYWCHAK,)
NO.~of 1968.)
DECEASED.)
.;
FIRST AND FINAL ACCOUNT OF STEPHANIE SYPLYWCHAK,EXECUTRIX
SCHEDULE A
PRINCIPAL -PERSONALTY
Receipts,$850.00
Cash advanced by Beneficiary in order to
preserve in kind the real property assets,4,369.45
$5,219 45
Disbursements,5,219 45
0 O(
,,
SCHEDULE B
INCOME -PERSONALTY
Receipts,0 00
Disbursements,0 00
0 DC
SCHEDULE C
PRINCIPAL -REALTY
Receipts,$8,000 00
I Disbursements,0 00
I $8,000 DC
I
I SCHEDULE D
I INCOME -REALTY
Receipts,0 00
-Disbursements,0 00
0 DC
Net Balance,$8.000 DC
i
~
...---------------------------------~----~~
'"~,
ESTATE OF JOHN SYPLYWCHAK,DECEASED
SCHEDULE A
PRINCIPAL ~PERSONALTY
RECEIPTS
Per Inventory and Appraisement filed,$850 001
Conversion of Assets Without Gain or Loss
Proceeds from sale of motor vehicle,$850.DO
Inventory value,850.00
0 DO
Cash advanced by Beneficiary in order to preserve in
kind the real property assets,4,369 45
$5,219 45
..•.-..
"..-~.
ESTATE OF JOHN SYFLYWCHAK,DECEASED
DISBURSEMENTS
SCHEDULE A CONTINUED
Russell Marino,Register of Wills,probate of
Will and issuance of Letters Testamentary and
two short certificates,
Guy Rogers,trmp to Charleroi and Haven Conva~
lescent Home for purpose of obtaining affidavits
of subscribing witnesses to Will of decedent,
Washington Record Company,legal advertising,
Valley Independent,legal advertising,
Russell Marino,Register of Wills,additional
probate fee and filing fee of Inventory,
$11 50
15 OC
12 5C
10 5C
10 50
Michael Melinchak Funeral Home,funeral
expenses:
Less Social Security Lump Sum Death Benefit:
Grandview Cemetery Association of Monessen,
Pa.,for digging of grave and cemetery
charges,
Rev.Nicholas Fedorovich,Monessen,Pa.,
funeral church services,
Bianchi Monuments,Monessen,Pa.,inscription
on grave marker,
Stephanie Syplywchak,family exemption,
Charleroi-Monessen Hospital,North Charleroi,
Pa.,last hospitalization expenses,
Dr.W.L.Cunningham Jr.,for professional
medical services for last illness,
Dr.Arthur K.Poluso,emergency room treat-
ment upon admission to hospital,
Mrs.Mary Kumo,Registered Nurse,for pro~
fessional nursing services during last
illness of decedent,
Internal Revenue Service,1967 income tax
return on behalf of decedent,
Victor E.Riva,Esq.,Charleroi,Pa.,
estate counsel fees,
$1,420.00
255.00 1,165 Q(
105 OC
80 OC
12 OC
1,000 O(
1,354 2(
335 O(
10 Ol
278 O(
47,01
750 0
--~..;.
18 0
Victor E.Riva,Esq.,Notary Public,notary
fees for affidavits to Inventory,etc.,and
allied estate papers,
Russell Marino,C~erk,O.C.,filing fee of
this Account,
\
5 2
$5,219 45
_________~~____.1~_______.L__.__1~____.__1_~___=_.J.•
--I
I•,.',-,...~
-.,•,.
ESTATE OF JOHN SYPLYWCHAK,DECEASED
I
I SCHEDULE B
INCOME -PERSONALTY
RECEIPTS
None,0 00
DISBURSEMENTS,
1
None,0 00
$0 Q(
SCHEDULE G
PRINCIPAL -REALTY
RECEIPTS
Per Inventory and Appraisement filed,$8,000 OC
I .'DISBURSEMENTS,
None,0 00
$8,000 OC
SCHEDULE D
INCOME -REALTY
RECEIPTS
None,0 00
DISBURSEMENTS
None,0 00
$0 oc
.
"
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i ,
".:'Washington County RepOrts
~ma:
WashingtOD,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P.L.
1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTONt
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,publis'hed weekly having its
place of business at Washington,Washington County,Pennsylvania,and is act-
ing as its agent in this behalf;that the said WASHINGTON COL'NTY
REPORTS was 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:
December 7.14.21,1967
that the affiant or the corporation in behalf of which he is acting is not interested
in the subject matter of said notice or advertising and that all of the allegations of ,,'
this affidavit as to e ti e,place and char~cof thelHub~tioo are true.S,i
'/r'1~.•l//'~/',~~:l,,11_/..,~1'tj "'r 'b~'~,
~.--__Ed"""
Sworn to and tu ~me this',,,-'-~'i~~!'07"r0'-0_0_"0__,I%:r--dl."K~=,~::::;:~1:b&"
Washington,Wa"hington Co.,pa.
My Co:n:nission Expir~s
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 them
for settlement to the Executors or Admin-
istrators or their Attorneys.
e •••••••0 ••••••••
SYPLYWCHAK,JOHN,Dec'd.
Late of North'Charleroi,Washington
County,Penna.Executrix:Stephanie Syplywchak,708SeventhStreet,North CharlerOI,Pa.
15022Attorney:Victor E.Riva,524 Fallow-
field Ave.,Charleroi,Pa.15022
(
Proof of Publication of Notiie in The Valley Independent
Under Act No.587,Approved May 16,1929;P.L.1784,
as amended by Act.No.51 of April 24,1931,P.L.67
,.
,
State of Pennsylvania
County of Westmoreland }ss:
Personally appeared before me William H.Pore,Secretary of Mon Valley Newspapers,Inc.,a Penn-
sylvania corporation,publisher of The Valley Independent,who,being duly sworn,deposes and says
that The Valley Independent is a daily newspaper of general circulation in Fayette,Washington and
Westmoreland counties,Pennsylvania,and elsewhere,published in the City of Monessen,Westmoreland
County,Pennsylvania,that it was established June 28,1902,since which date The Valley Independent
has been regularly issued in said county,and that a copy of the printed notice or publication is attached
hereto exactly as the same was printed and published in the regular editions and issues of The Valley
Independent on the following dotes,December 1,1967
December 8 and 15,1967
Affiant further deposes and says that he is General Manager of The Volley Independent,a
dally newspaper of general circulation,and as such is authorized to verify the foregoing statement
under oath,and Affiant is not interested in the subject matter of the aforesaid notice or advertise·
ment,and that all allegations in the foregoing statements as to time,place and character of publica-
tion are true.n:~')~?~
COPY of NOTICE
~Letters testame~;a;y on the est~te oflJohnSyplywchaklateofNorthCharle-·
rol,Washington County,deceas~d,hav-
ing been granted by the RegIster of
Washington County,notice is hereby 9IV-!en to all persons indebted to said estate.
to make immediate payment,and tothosehavingclaimsagainstthesametopresentthemwithoutdelaytoStephani~Syplywchak,708 7th Street,CharlerOI,Pa.15022.Victor E.Riva,attorney,
524 Fallowfield Avenue,Charleroi,Pa.,
15022.12;1,8,15
My commission expires
STATEMENT OF ADVERTISING COSTS:
Vjctor E.Riva,Attorney at Law
524 Fa110wfield Avenue
CharJeroi,Pa.15022
TO MON VALLEY NEWSpAPERS,INC.,DR.
For publishing the notice or advertisement attached hereto in The
Volley Independent on above stated dates $10«00
Notary ,...........................................$«50
Total ~
fJJ d~/~7/0 7
.PUBLISHER'S RECEIPT FOR ADVERTISING COSTS fJ~,tl'VC/f;ch,#~O<P _.
Man Volley Newspapers,Inc.,publisher of The Volley Independent,a doily newspaper of general '7
circulotion,hereby acknowledges receipt of the aforesaid advertising and publication costs and certi-
fies that the same have been duly paid.
MON VALLEY NEWSPAPERS,INC.
By
PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
I
Testate Form /
Estate of ~9.hn...~.Y.P.~~.~h~~.,-..
Deceased
No 9.?9...~~..~9.~?~
Fiduciary....~t.epJH:UJ.:i..e...SypJ.Y.WQb.ij.~..,...Exe.Clltrix
Date of Date of
Decedent's death ~QY.~.I:!!p.~£..JJ:.2..J.~~7.Grant of Letters N~~~!!'.:R~~?L..J.9.9.?..
~This,is the..:;.firJ3.t..and.Jina}(':~..~accouot tiled in thi~estat~
~If h:""h"b'"I f ~,f"d'h;"",f""b'. b d ~t not ap'plicable.t ere ave een ormer accounts Ie In t IS estate,1St ,I e num er or num er·an erm .
• ',~.•'-'1'-'(...'.,J.•.>•.......!,-..-L..'.•
Election to take Date Election
Under or Against will.(cross out one)not applicableFiled
Place of;
Record ···'·r'··.·············..,'"•,
.Name of surviving spouse n.Qne :,.
~ist issue,where material:not material
Did decedent marry after execution of will?(indicate)'lSe6xNo.Any children born after execution of will?(indicate)
~No.If answer yes,name them .
..------_--__-__-__-__-_--_----.._-----__..-----_._--_.._--__-----__---.--_.
Leg.ate~s .
Stephanie Syplywchak
Relationship
daughter
Interest
entire
Fiduciary,if deceased or not sui juris·
sui juris
List,if exceptions to above:Adeemed:
no exception to above
Revoked:Lapsed:Abated:Give Cause:
If partial intestacy,give facts:no"partial intestacy
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.:flsItx
If any exception give cause:~~~~.
File copy of Notice ','6 S -.
and date of mailing ~~~~.~..~!~?..?.,
Is estate subject to the filing of a Federal Estate Tax Return?TIQ .
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..g.~.9 QQ .
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant..D.Qt .
applicable
.__--____---_-----__-_.._..__..__ ___.._._-----___..__.._------_--_-____---__----------------._----_.._---------
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
w '
Balance for distribution per account,
Itemize any additional debits not shown by account:
""none
Total additional debits (Add)
Itemize any additional credits not shown by account:
none
$O.,J!Q .
$..~.~.QQQ.!.9.Q .
'total additional credits (Subtract)'
Balance for distribution (~
$..0.00._---_._-..-.
,
~,
•$..§.,.QQQ.!.9.Q ~~:..
'If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
The above balance for distribution,in the amount of $8,000.00,represents the
appraisal value of the real property described in the Inventory,a copy of whicK is
attached hereto,_to aid~he Court in making an award of the subject real property.
s
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If F 'I E 'I'd b p.'t'.I f R d'none being claimed by Petition'--~'.ami y xemptlon c alme yeti lon,give pace 0 ecor ",.
If F '1 E t"I'd t d't .I t'h'db'f CI'none being claimedamiyxempIonIScalmea'au I,give name,re a IOns Ip an aSls or aim:........................
at Audlt.
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:
It is respectfully suggested to the Court that the real estate of the decedent in the
Inventory be awarded to the said Stephanie Syplywchak,as per the terms of the Last
Will and Testament of the decedent,and that any balance due on audit costs and in-
heritance tax be ascertained,-and same will be paid by the said Stephanie Syplywchak
in cash in order to keep and preserve the real estate as aforesaid.
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly sw.or.n doth depose and say
that the facts set forth in the foregoing petition are true And your petitioner will ever pray,etc,
to the best of .her knowledge and belief.
..............Sw.or.n tofnd subscribed before
me th;s_..1~u__day OL u/.~;;I:;;';P9..fj.6..~
Signature ~f'Officer ~../'~-~..~e.......;tephanie Sypl cha~
Ti~le of Officer ,.'.VICTOR E.RIVA,NOTARY PUBLIC • ..~.l .··.··......CHARlffiOt,·WA-StttIroTOI't'CO:;·PA:·············
.MY COJVIMISSION EXPIRES JUNE 23 1968
Office expires .'~.
"_~F .,--').
No _9.~9...gf._.J..99~__.~
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Fiduciary..._~.t.~"Qhani.e._.sJlP.1.;yY.chak.,--Exec.utrii
Estate of..~~~..~Y.P~oha.k~.,(-c··..-t··...·...--..---....----......-...--...---......
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Deceased(
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PETiTIO~SU~AUDIT
FROM WHERE DECEDENT LEFT A WILL
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Counsel of Fiduciary will submit herewith the
following[in conforlTlity 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 praeciites of all Counsel in the
case.L
2.Copy of order (appointing Guardian ad
litem/if pertinent..[
3'i-:Copy of Order appointing Trustee ad
litem[if pertine!,t.l
l.4.Proof of service of above.
L
5.Letters Testamentary or Administration
C.T.A.or an attestf copy of Wi II.
6.Copy of inventory and appraisement.
(
7.Proof of advertisement of grant of letters
if not filed with account.
(
8.Certific.ate of 1r~·FfI1$.\iJl)j:;<:ise"';FaD~of the
funds for 'distrigUtibii·j &aJ~"fi8~judicial
sale of real estote~
9.Signed aq.d'i.temi~e.d e'e~tior.l!,c>i1f,r,d:my
distributiotdl'2ln'~ind'.lV t..C.!a.,J·;),w,)t
10.Copy of Federal Estate TaX::return if es-
tate is subject theret.g,-~1 J IO-·11 ··1.."",-",,-;,.~
(
Victor,Er •Riva,
Attorney
~2
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t
IN THE ORPHANS.counT OP \r1ASHlNGTON.COUNTY,PEr.JNSYLVANIA
FOl1l1At NOTICE OF AUDIT
AND
FILING or ACCOUNT
.'
IN REf ESTATE OF JvHN S'IPti'WCBriA,deceased
t10.989 of 1968
Chnr1eroi,Pa.
August S,1968
You arb hereb1 notified that the underaisned fiduciary haatUed
on Ju:ljr 22,196a with the Register orVille of Washington County,Pennsyl-
vanla,hor First an:l'Final Account in tho administration of tho above estate,
and that the samo will be presented tor niai confirmation on August 26,1968,
and tor audit commencing the \leek beginning l~ndo.y.September 9,1968,it no
exceptions are filed thereto within the period provided by law.Audit Yill
be held beginning l-!onday,September 9,..1968,and continuo,if need be,until
the whole has been disposed ot.'
Pleaeetake notice 'that if ,you have a claim against such estate,
either as a creditor,hoir,devisee,or in &nycapaclty wha.tover,"hlch
has not been paid or satisfied or acknowledged,you must nO\1 take such steps
as ;you ma;y conslder.proper to adequately protect your.claim.
Victor E.Ri-m r
Attorney at Lall
,charleroi.Pa.,.
Oounsel for 'the Executrix.
Stephanie Syplywchak,
Executrix of the Estate
or John Sypl1wchak,decease
lin tQP (@rpl1uu5·Olnurt nf lIusQingtnn QInunty
In the matter of the Audit of Account in
Estate of John Syp1ywchak
TO THE AUDITING JUDGE:
No..9~89~,of 1968
Enter__--'my~appearance for'__2S:Lt!L!el<,pf,l,h~angU.loi.s;eL...l.Sl,lypt..tL1.L.,Yr-Ww.·.L.icJ..lblCla..llk.."..........E:...;xliJe:uCi,;J1Ll.lt.u.,L:r:..Lj..llx~_
N.B.-Conn"l ohnll,hy "p'<a,L,p""n'•'"00'".ta',m,o,of '''h
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.
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In re Audit of Account in Estate of
John Syplywchak
AUDIT
Jrarripr for i\ppraranrr
FOR
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_.__~~§lphanie SyplY!fchak~Ex~cutrix
._---_._._---
Victor E.Riva,-------
""~Wi~2
Attorney
•......,.
..
.-
11u t4r OOrp~an.6'<trautt af Iht.6qtugtan <!Tannty
ESTATE OF No..~~.9.Of 19.~~)!ltiX
............JQb.n $.n.l:r.wchak*-.
...................................de.c.ea.s.e.d •................
In the matter of the j!ir.st...and Final
.Account of ~~~.p.h~~J~~yp~.Y.~h~~.
.Ex.e..c.utr.ix .
ADJUDICATION AND DECREE
And now ~.~.P.~.~!'J:.~~.~g,.b ,19 ~§,this matter came on f~r heari.ng,
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
$8.,.00.0.0.0 and the account is accordingly con~irmed;and it is o~de'red,
adjudged and decre1ed 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.
4/
-..,~-/'.~
---(.--r;1~·
SCHEDULE OF DISTRIBUTION
Balance per account .
Balance .
Deduct Clerk's Costs &Receipts .
Attorney Y.~.~.~Q~..~_:R~.v:~.
Russell Marino,Clerk O.C.,costs in certifying
real estate to Recorder,
John D.Woodward,Recorder,costs recording
certification of real estate,
22.$0
~Pi~9.~r~f~-v
;o~;?~
A.;J"'f)
~,000__99 ~?~
~~'~.
$7,977.50
Contribution to maintain assets in kind,
Stephanie Syp1ywchak,daughter,residue,includ
ing real estate as hereinbelow described,held
in kind and distributed as such at the appraise<
value,
35.00 $8,000.00
8000.00
No balance
'REAL ESTATE TO BE CERTIFIED '.'UH THE RECC RDER OF WASHINGTON
COUNTY.BY.THE CLERK OF T~.ORPHAN.'COURT.
John Syplywchak,devisor,·toStephanie Syplywch~k,devisl e of all the
right,title andinterest of the devisor in and 0 parcel of real estate
described as,VIZ:
ALL that certain lot of ground in the B rough of North
..
Charleroi,County of Washington and State of Pe]~sylv!ni;,being known and
designated as lot No.13 in Block F.in the Grelnhouse p an of lots recor-
ded in the Recorder's Office in and for Washing on G'ount.,Pennsylvania,in
Plan Book Vol.4,page 164 and being particular.y bounde(and described as
follows:
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BEGINNING at a point on Savent Avenue n the dividing
line between lots No.12 and 13;thence along said Seventh Avenue North 78°
42'East 40.01 feet to the dividing line between ts No.3 and 14;thence
along said line South 9°48'East 110.69 feet e line l'Oak Alley;
thence a,long said line of Alley South 80°12'West 40 feet to the dividing
line between lots No.12 and I);thence along said dividin line Nortn 9°
48'West 109.64 feet to the place of beginning.
This conveyance is made subject to the uilding lines as
shown on said plan.
ptirst:
EXCEPTING"·~and reserving from th ,la.nd h reby conveyed,
ALL of the'Pittsburgh or River ein of oal thereon,
therein and thereunder,and the right to mine and ake out all of said coal
--'!,",·'t ~i _....,-,
wi thout liability for damages\,'~r any.'kind whatever or liab lity for damage by
~
/..~reason of said having he,en mined or removed.
SECOND::ALL natural gas and oil underlyng said land,but no wells
shall be drilled on the same for either.
BEING the same premises
Syplywchak and Anna Syplywchak,his wife,by deed
yed to John
W.Scott et ux.,
dated November 23,192~and recorded November 25,925 in he Recorder's
Office of Washington County,Pennsylvania in Deed ook Vol 535,page 277.
Upon the death of Anna Syplywch k,full title to the
rorego~described premises became vested in its ntirety,to the said
John Syplywchak,by operation of Law.
CERTIFIED TO RECORDER:OC OBER 8,968
.,
I
\No....9.89 ..1 ••••__•._._•••:••••••••19.6.8_....
In the matter of the Fizost and Final
account Qf
of Estate of
Stephanie Syplychak,
Execut.rix
John Syp1ywchak,
deceased.
•I i\~ju~irttttntt ttu~IIrrrrr
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Deceased.
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(.f)
JOHN SYPLYWCHAK,
VJ~'"E.R1VA,ESQ,
P.,O.,SOX 115
gH"a~§ROh.RA,~;159??,~:'.'.<,,'-:.:,''."'"':..-;~:. " ' .'.-'-.-'.'.,'.'..-'.'',.-'.''.;....,.,.-.':.'",','"
ESTATE OF
IN BE:
IN THE OP~HANSI COURT OF WASHING-
'L'{)N COtJl~TY,PENNSYLVANlA
NO.989 of 1968
,.
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,
•
IN THE OPt.PHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA
BE:ESTATE OF JOHN SYPLYi>lCHAK,
Deceased.
)
)
)
NO.989 of 1968
The undersigned hereby acknowledge to have received from the above
entitled Estate the items of distribution hereinafter noted opposite the names
of the undersigned distributees,being the same awarded by the Adjudication and
Decree of said Court in this Estate,which was dated September 26,1968;the
undersigned do hereby authorize and request the Clerk of said Court to enter
full satisfaction of the records thereof for the items so awarded;and further-
more,the undersigned distributees hereby make no exception to the Decree of
said Oourt and acknowledge payment of said items listed below from the Executri
and forever discharge said Executrix from any claim whatsoever by reason of
said payment.
$7.50
JOHN D.WOODWAP~,Recorder
Costs for recording certification of rea~tate ~~
Receipt is hereby acknowledged this g day of ..,fUL-!o-=""",",,~----,1968.
5.00
f day of --~';:;L;;:;;"---"--'1968.Receipt is hereby acknowledged this
RUSSELL pffiRINO,Clerk
Costs in certifying real estate to Recorder
Witness:~~,
Witness:z!Z1Sk Russell Marino,Clerk O.C.
RUSSELL HARnW,Clerk
Clerk's costs
Receipt is hereby acknowledged this ~day of ~_
22.50
,
1968.
Russell Marino,Clerk O.C.
Form RCC-33-Rl
RESIDENT DECEDENT
/At P:::J-,
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
"4>--.,'".-~;\..."--~.
......W~$.h:j,D.gt9D..
IMPORTANT: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 extension is granted by the Secretary of Revenue.(Section 703 of
theInheritance..?-nd Est,ate Tax Act of 19~L)
IN THE MATTER OF THE'ESTATE OF }AFFiDAVIT OF
...........................J.9.h.D.$yP.:t.:.Yw..~h.?;Is........EXECUT~ix
(State full name of decedent)
Late of ~?E.:l::.I:~~':l::r:'.~~!.<:>.~'.~Cc1:??~!.1:g::l::..?.!.1:County ~~
State of r.~.nn$.Y+yg,p:i...g }ss:
County of ....Yli':l§h:~!!g:t.()!!...
..................S:te.pha.ni.e..Syp.lyW.cb.ak..~Executrix....X~
of the estate of the above-named decedent being duly sworn,depose S and say S
Decedent dJed .NQYemp.~T..
(Month)
....1;7;,;;)...,19i~l)"'{~~aVing a last will,copy of which is hereto attached.}
Name and address of attorney or}
other authorized representative to
whom all correspondence should be.
mailed,
VietorE.Riva,..Esq.,524..Fa.ll..QwfieldAvenue,P..Q•...Box .
115,..Charleroi,.Pennsylvania 15022 .
That as such .Exe.clltr.ix deponent is familiar with the affairs of said estate and the property con-
(:KXXCXiXrXOCr*~**K
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 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
First National Bank,Charleroi ;n ;n;n+nf .Tnhn
rh~.,..,lc.,..,,..;-V;:Jn;;:J Svnl •11<(r'.hpl"p;1)
::Inn ~..'p c::"nl····,~1-,~l.oarant and chi1
(i'.nf .:J ,.)
d
That the contents of said.safe deposit box or boxes are itemized under Schedules of this
return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth fullv and in'detail all the
real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It
also sets forth the mortgage encumbrances upon each parcel of real property at 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..~t,l1,!"1l'fJ1i,
\.1 *0 ~III~l "'"-..,~.ClJ~.,)~.I..That Schedule B attached hereto and made part hereof sets forth fully and in detail all'y.ersonar"~'".J..-.'+.:..;.~~.-.......
property wheresover situated owned by the decedent at the time of death;all moneys lefi:-9~<the d'epedent'.";'-::
.;;:-,/,<,'J"at the time of death,whether in decedent's immediate possession,standing to decedent"3"credit,in i.0,.ankS'r:
of deposi t,savings banks,trust companies,or other institutions,whether individuaIiy.~or::-:tn trus't'j fOI/~\'.~~.\~.any other person or persons giving also separately the accrued interest thereon,if an~,dO.wn-~the\~B;~(··.
interest day prior to decedent's death in the case of savings banks,and to the date of...deyedenp s death'.
"in all QJher ,YM,e,s;,.all,Jlpl\ds,.postal savings,treasury certificates or notes and other··..evie,erice;,~f·'i.n'""
•..,".1.-"1 .;1 ..idebtednessoftheUnitedStatestothedecedent;all obligations,whether by statute or ag~?~m~~t~they
are designated as tax free,of,the United States,or any state,or political subdivision thereo~or of
any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic-
r-"~,.....~tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated
market value thereof;all bonds and mortg8ltes held by decedent and of all claims due and owing decedent
at the time of death,and all promissory notes or other instruments 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 market 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 polictes 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 dividends
due thereon and unpaid a.s 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)
together 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 ~nterest
~.lthereinmustbesubmitted.It should also set forth in itemized form,together with the fair marke't value
thereof,any other property owned orv~~,9~eli~~e~})r,~he decedent at the t,ime of death.
\,,I ~,.......•
The Schedule C attached hereto and made part hereof sets forth a true answer,to each inquiry
contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's
death,in contemplation of decedent's death,or intended to t~ke effect in possession or enj~yment at or
after death,said schedule sets forth the nature and value of such property,to whom transferred,the
,."re}~~~onShip of the transferees to the decedent,the propor,tio?a~~/Sharer.eceived by each transferee and
all other facts of~a pertinent nature regarding said transfers.In the case of transfers intendedctrr
take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y
of the deed,trust agreement or other instrument creating the trust.TherA 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,.eit~er individually,or jointly with another,or any power of appoint-"~,~'•'I""'...
ment v'ested in decedent,either individuiHly or jointly,by the will,deed,or other instrument of another,
with a copy of the instr~ent-creating-such-powerattached to the schedule.
That Schedule 0 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"de'ath,"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 showing 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,standing 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.acquisLtion.of personalty,plus the name,address and ,relationship.,if_any,
J '
of co-owners to the decedent.
~~
".,''',.]Q~"."$.§.Y.!i:gJ-.t.h.s..t..r..~.~.t",,"..
(Street Number)
.."C.D.grJ.§.r..Q';!'"".P..e.nnsyl.v.ania""""".
(City or Town and State)
I
'"~~6.kFat~~~~~~~~·~,~'i'~.~~*M~~~••&
and deductions claimed for and o'n behalf of thi~decedent's estate,including funeral eXp'e~~iS'~~~i'd;-4t.-.~~,t..~-. -',
family exemption,where applicable;costs of administration of this estate;k_~i~~~am~fudiciary's
commissions paid or to be paid;cost expended for bu;ial trusts,tomb~t~~·ravemarkers,and reli-
gious services,in consequence of the death of the decedent;d~b.t!?i~~imS owing amI Impairl at time of
death;taxes accru~d chargeable for period prior to d~c '~~th (except .those allowed under Section
651 of the Inheritance and Estate Tax Act);tq,e,"with a statement of collateral pledged for obliga-
tions,if any.It is agreed that.th"e~Ywill present proof of said claimed obli~ations upon re-
quest that if the amount actu .~~aid in settlement of any fee,commission or debt 1S less than the,"
estimated amount clai~'allowed,that the same will be reported to the Register of Wills,and that
the amount of ta sed can be reassessed in accordance therewith•.-
(..,."pid,Th,~~~~11~1/l¥totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein"
..tiL 'ft.,<J/.~7·19.•..•.•...
.J V1!;&ur""Z..~.
VICTOR E.RIVA,NOTARY sue
CHARlEROI,WASHINGTON CO.,PA.
MY COMMISSION EXPIRES JUNE 23,1969
NOTE:Before signing affidavit make sure all blank spaces in the affidavit 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.
.'
l;r~r-:l:;a-Tn
Cm~;H)NtV"EALTH OF PENNSYLVANIA
T\l,\.N~:FJ.i;n.INHF.H.ITANCE TAX
RESIPENT DECEDENT
SeHF.DULE "A"
REAL PROPEIlTY
.~.
fleal property in Pennsylvania,with statement of mortgage encumbrances uIJon each par~8l at
death of decedent.Where property held as joint te~ant or tenancy by entireties,report on
Schedule "E".Property held by the decedent as tenant in common with another or others,
should be identified as to quantum of interest and the estimated value should be that of
the decedent's interest only.
The real property located in the Commonwealth of Pennsylvania should
be described by lot and block number,street and street number,together with a general description of the property,with a refer~
ence to the record of the conveyance by which the decedent tooktitle;if a farm state number of acres;also statement of mortgage
encumbrances upon each parcel at-death of decedent.Taxes,assess~ments,accrued interest on mortgages,etc.,are to be listed onSchedule"F"and must not be deducted from this schedule.
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not write
in this space)
ALL that certain lot of ground in the Borough of
North Charleroi,County of Washington and State
of Pennsylvania,being known and designated as
lot No.13 in Block F,in the Greenhouse plan of
lots recorded in the Recorder's Office in and for
Washington County,Pennsylvania,in Plan Book Vol.
4,page 164 and being particularly bounded and
described as follows:
BEBINNING at a point on Seventh Avenue on the di-
viding line between lots No.12 and 13;thence
along said Seventh Avenue North 78 042'East 40.01
feet to the dividing line between lots No.13 and
14;thence along said line South 9°48'East 110.69
feet to the line of Oak Alley;thence along said
line of Alley South 8~12'West 40 feet to the
dividing line between lots No.12 and 13;thence
along said dividing line North 9°48'West 109.64
feet to the place of beginning.
This conveyance is made subject to the building
lines as shown on said plan.
Excepting and reserving from the land hereby con-
veyed,First:all of the Pittsburgh or River Vein
of coal thereon,thereIn 'and thereunder,and the
right to mine and take out all of said coal with-
out liability for damages of any kind whatever or
liability for damage by reaS0n of said havRing
been mined or removed.
"','",,-"-,
BEING the same premises which were conveyed to
John Syplywchak and Anna Syplywchak,his wife,by
deed of Andrew W.Scott et ux.,dated November 23,
1925 and recorded November 25,1925 in the Record
er's Office of Washington County,Pennsylvania in
Deed Book Vol.535,Page 277.Upon the death of
Anna Syplywchak,full title to the foregoing de-
s~ri~ed premises became vested in its entirety,
to the said John Syplywchak,by operation of law.$2,400.00
Insert this total opposite "real property",Schedule X X X X X
"A",in the "As Reported"column on the last page of $8,000.00
.'.....
......
RCC....33b-Rf
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "B"
PERSONAL PROPERTY
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".Intarigible person~l property,titled in the name of the decedent,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
No.
ITEM
List and describe fully
UNIT
VALUE
ESTIMATED
MARKEl'VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1964 six'lcylinder Rambler (770 S.)2-door
sedan-- - - - - - - - - - - -
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X
$850.00J ~61
$850.00
·.
nCf'-;~:lt'-H.r
Cllml0:\'\i~.\LTH OF PENNSYLVANIA.
Tll\.NSF'EH.INHERITANCE TAX
R.":S I DENT DECEDENT
SCHEDULE "c"
TR..\NSFlmS
(1)Diet decedent,within 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,wi thin two years of death,transfer property from himself to himsel l'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:not applicable
(a)Age of decedent at time of transfer _
(b)State of decedent's heal th at time of making the transfer.(Note 1).
(c)Cause of decedent's death.(Note 1).
(4)Did decedent,in his lifetime,make any transfBr 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)_
(b)What was the transferee's age at time of decedent's death?_
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life 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)__..LnuO.L-_
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)!!IlQ
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or others not applicable
(7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to
pay income to or for the benefit of care of transferor?(Answer yes or no)__~n~ID~__
(8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to Change,
because of a reserverl power to alter,amend,or revoke,or which could revert to decedent under terms
of transfer or by operation of law?(Answer yes or no)_~n~O~_
(9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserved in th~decedent alone or the decedent and others?
(Answer yes or no)not applicable
NOTE 1:The answers to these questions should be supportert by affidavit by the attending physician as
well as a copy of the death certificate.
NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property
transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with
relationship of transferees to decedent,if any.Submit copy of any trust deed 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 manner in which provided in Schedules A,B,or E.
ITEM DESCRIPTION
NONE
MARKET VALUE
(Estimated)
NONE
DEPT.VALUATION
(Dept.Only)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
NONE
).......
CCMlW\'WE.\1.TH OF PENNSYLVANIA
TIL\\'~l''FH INHERITANCE TAX
HFSIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
n;STRrCTIOKS:This schedule must disclose all property,real and personal,owned by the rlecedent jointly
wi th another or others,including intangibles,standing in the name of the decedent and others.List
real estate first,as entireties,or joint tenants,giving brief description,as indicated tmder Schedule
"An,plus the date and place of record of instrument effecting vestiture,but 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,and the name,address and relationship (if any)of co-~wners to
the decedent.
DEPARTMENT VALUATION
CAUTION-Do not Write
In This Space.
Value of Value of
Entire Decedent's
Estate
Valuation
percentage
Share
._'-'-"--,-.-CO"=-C-'·'='''=---.:C_-'=-=_._;==--=====i==========="
Description of Property,Date of Acquisition,-Name1Uni t
Address and Relationship of Co-Owners,and Place I Value
of Record of Instrument,where Real Estate.!
Property Interest
Savings Account No.8576 at Charleroi Fe-I
deral Savings &Loan Association,Charlero!i,
Pennsylvania,in joint names of John I
Syplywchak (decedent herein),Stephanie I
Syplywchak (daughter of decedent)and Johrl
S.Syplywchak,Jr.(son of ~e~dent),which
account was opened on Ap~~1958 ani I
balance on date of death was $9,593:37gr.~~
which one-third thereof,is being repl,.J,t":-
herein for inheritance tax purposes,intrtJ,..,;
the amount of - - - - - - - - _ _ _ _ _ _ ,
I
I
$3,197.9
Savings Account No.~7~7 at Charleroi Fe-
deral Savings &.Loan Association,Charlero~,
Pennsylvania,in joint names of John I
Syplywchak (decedent herein)and StePhanie\
Syplywchak (daughter of .Al~p~dEi)1t),which
account was opened on J~~!Br1958,an~
balance on date of death was $12,127.87
of which one-half is being reported here"
for inheritance tax purposes,in the
amount of-- - - - - - - - - -I
II
6,063.C~#
I
Insert this total opposite "Jointly Owned Property",Schedule"~9,261.7$)1
in the "As Reported"column on the last page of this return.L=~".__
.....'.......~
R('('.";~l~d-RI
.COMMONWEALTH OF PENNSYYLANIA
tRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFstatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other-are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
Stenhanie Svol'!tI7ch~k daughter yes entire interest
708 Seventh Street
orth Charleroi,Pennsylvania
._._-
-
----
--
--
.__._-
--
._---
-
---
..
(
h
N
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
.
~IATTER OF THE APPRAIS~MENT
OF THE
ESTATE OF
Will
Administration t No.
P.Ii'THE
Year .
(Executor-Administrator
must complete "As
Reported"column #1.)
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'",....,...'<II:>,...
(1);
I;.'
Deceased
Late of .
County of
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
en
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W en en >-<:
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VICTOR E,RIVA,NOTARY PUBLI
CHARLEROI,WASHINGTON CO.,PA.
MY COMMISSION EXPIRES JUNE 23,19£.9
1/1£7~--"-;?~'L">4~LZ.::';9~L--=~~--:~_-.--:!.~===,.~cf DAY or-Execut~
..''.-../Form RC C ,10 _.
r DEDUCTIONS ALLOWED IN
OFFICE OF TME STATEMENT OF DEBTS THE SUM OF '""."",.$C/'W&.fJ--/t.,..",
REGISTER OF WILLS
Washington i_::zND DEDUCTIONS DATE APPROVED ...,....c;?~d~~/OF COUNTY
~AGENT OF TME COMMONWEALTH
,'A~A~·p.kiD ~~~h_£?r ;;m~/ff ~%Register of Wills,Agent
ESTATE OF John Syglywchak l.ATE OF b1.Charleroi
DATE OF FILING APPRAISEMENT ~-~/-c:P DATi OF DEATH November II,1967
DATE NO.OF NAM&:OF PAYEE REMARKSVOUCHIOJIl AMOUNT
Josephine M.Douglas,REgister probate of will and two short
11 In 1 F,7 of Wills Washington.Pa.certificates 11 50
Guy Rogers,Deputy REgister,expenses to charLerOl for ob-
T.b C''h;P---,vlvania t-::l ;n;nrr n::lt-h nf'.ribinsz
~witnesses 15 00
washlngton I{ecoro Lompany
11 /~nl 67 Washinszton.Pennsylvania legal advertising 12 50
1?1?7 F,7
Mon Valley Newspapers,Inc.LegaL aaVerL'lSlng In IH~
••Po V::lliev Indenendent 10 50
Michael A.Mellnchal<,funeraL funeral including casket,
1?IF,1 F,7 Home Charleroi.Pa.vault and services 1.4-20 00
Grandview Cemetery Assn.ulgglng grave,canopy,eL'c.
1 ')IQ 1 {:"7 u.Pennsylvania 105 00
Rev.Nicholas Fedorovich funeral church services 80 00
Charleroi-Monessen Hospital last hospitalization
1\1 r'ho,.,lo,.,n;P::l exnenses 1,354-20
Dr.W.L.Cunnlngham:~Jr.professional surglcal serVlce~
1 IQ 1 F.Q rh<>Y'lo,.,,..,;Pa.f'n'!"li'1~t illne~s 300 00
Dr.A.K.Poluso on account OI lasT meOlcal
12/26/67 r'ho,.,lo,.,,,,;P::l 15 00
Mary Kuma,Registered Nurse profession al nursing service~
during last illness 278 00
sale ot motor vehlcTe to John
1?11 1 F,7 r .1 +'h ,..,-F ,1 vania I S.Svnlvwchak.Jr ..expenses-in connection with same
11 00eSTlmateOa:r:rlOaVl'rSCO HI
'"Pllh1;("l State Return Accoun'v
and Audit Petition 4-25
~$g-istf!r of Will~and Clerk estlmated tll.lng tees OI .m
,'Y"ventorv Account and Audit
Petition costs 50 00
Victor E.Riva,LSq.rh::l1"l e1"oi Pa.tH'.:ta:te.._C-Olmsr1 f 00C'7C;0 00COIDIDlSSlon0Executrlx
".it=>C:"n1 •1,k (none being._~laimed)0 00 I
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COMMONWEALTH OF PENNSYLVANIA }ss,
COUNTY OF Washington
I,Stephanie Syplywchak HEREBY CERTIFY,THAT.TO THE BEaT OF
MY KNOWl.!DGE AND BEl.IEF,TH!FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES 0.-
ACMiNISTRATION eUBMI I ED TO THE ESTATE OF John Syp1ywcbak DECEASED.AS DEDUCTIONS FOR
i.
;';"
RCc·al (:1·84)
COMMONWEAL.TH OF PENNSYL.VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
STEPHANIE SYPLYWAHAK
(Executor ~).
IN YOUR RIP~Y '~IA'I
RE'IR TO 37-71-5
;
~.
,.
i,,
In Re:Estate 0 f ....:J:.;o~HN::.:.....:.S:..YP~L=.;Y:.:ltY.:.::·TC~HA::.:=K:....__:...._:....___
_____W~A~S:e.H.!.o!IN~G....T~ONu..._County -File No.9482-188
Dear MrS.Syp1wchak:
You are hereby notified that the original
appraisement in the estate of John Syplywchak .
has been filed in the office of the Register of Wills qf Washington
County on February 21 ,19 68.Said appraisement reflects the
following valuations:
Re alEstate -::;.8z..,O;..O,;,O~.00;..;.-__
Personal Property 8~5_0_._0_0 _
Jt.He~__--,----I-,9,'""2,.lo,6""'1.a.e 7,J..,3.L.-__
Total )..I.J8I.l.",..)LJJLJ).....~7.,.l3L..---
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.
Dat e ......Fl:..:eW.lhu."ru,""Ja.;ur."yil---'!Z;..al..,.,l-oIJ....9u..6u;8l...--Signed
Title
~£~G2~
W.R.CHANEY,CH .'F APPRAISER
DATE OF DEATH:November 11,1967
Note:This is not a bill.
R..~SIDENT lmCE:8SNT
"CP\f\tOK1\K\LTH OF PFNNSYLV,\NI:\
TRAN:3FER INHERITANCI<:TA.Y
·1.RCC-3~11n-rU
"t~-.';::''''_.~--,-.-.........SYrLYW'C~K,JOHN
FILE #9482-188
November 11,1967
SUMMARY
',I ...,,'
FILE #9482-188 rtErOHT OF INHERITA.NCE TAX APPRAISER
I.the unrlersigned duly appointed Inheritance Tax Appraiser in and for the County of
#63 Washin~ion ,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:02-21-68
11-11-67
~~~~~..2fjU?
ApPRAISER
02-21-68Dated:
REPORT OF THE REGISTE~OF WILLS
I,the undersigned duly elected Register of Wills in and for Wasbiniton
County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts
claimed by deponent,except as to those items where a greater or lesser amount is set forth
in the last column to the right in Schedule "F",which greater or lesser amount represents
the sum allowed as a deduction.
REGISTtR OF WILLS
======.-
9,261..73-
18,111.73.-
=4,416...9.5-
13,,695.7L
;;=;;-:;
__--'1.....3...•.69.5..a18
VALUE AS TlEPORTED VALUE AS APPRAISED V~.r~\L~U~E~A::;;:S_~RE~AP~P~RA~I..::.:S~ED~
$~__--,8""",,..,.DL>JOO.....oo $8.000.Q(L *_
--_..2.5Q.110 --_.,~Q.(L
9,,261~
18,,11L13
4,44:p~
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
J oint-Held Property (Schedule E)
TOTAL GROSS ASSETS
LESS Debts and Deductions
(SCHEDULE F)
CLEA....~VALUE OF ESTATE
Valuation of life estates or
annui ties . • • . . • . .*_
ESTATE TAX ASSESSMENTS $_
TOTAL TAX BALANCE
PAID
~--------
~---------
$----~-
$-------$
$--~----
As eViden,ced by Chari table Exemption
Certificates issued by the Secretary
of Revenue.
COMPUTATION OF TAX
$=====:=
*------<I>c:'_
$-----*=~===~*-------
TOTAL TAX
Less tax previously paid
,BALANCE
:Less 5%of tax if paid within
3'months after death
.BALANCE OF INHERITANCE TAX DUE
Add interest at rate of R%from
to
:AMOUNT OF ESTATE TAX ASSESSED
Estate tax paid
BALANCE DUE
Add interest at rate of 6%from
to
FOR USE OF REGISTER ONLY
Tlax on *5%$_
T.ax on $-,;.0%:'\~_
Tax on ~13,695.78 .---~$273.91.__
Tax on $.__lFi%$_~_
'Exemptions .__(:::)
T?tal Estate __
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsefJuent adjustments are made to the above computation of tax by the
negister of Wills,for proper reason,same should be noted below,with short
explanation.
Will (...'NAdmml~lration o.....Year
I~THE
~[ATTER OF THE APPRAISEMENT
OF THE
EST.\TE OF
.JOHN.SYPLTIVCHAK
Deceased
Late of ..N.orth.Char.leroi .
County ofWa sJ:1ington
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
.
;'
.,
~,
LE :II W c :f:'\'r ~::r
,.',
VICTOR E.RIVfit,ESc;L
P.(<);~PX-i ldS,~~ft'=.~RQI..~eA..1J,502ZJ
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...
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
.J
DATE F.ebruar.y 2.1.*l9.68 .
COUNTY W?-.§.b.ington .
FILE NO..9.4.??::J.::??_.
Whereas..JQ.b.n $..py,:ly.wJ;;b.~.~late of Q.h?:.~+~;r9..~~.:.
in the County of Was.hington Commonwealth of Pennsylvania.having died on
the ~.!:t!.h day of .N.oy.emb.er.19 6.7..•seized and possessed of an estate
b·ttl h·t T d th If'h C lth f P IsuJec0nenanceaxunereaws0teommonwea0ennsyvama;
Therefore.I............................W~.~.....ClMID~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 Ufe or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit AppraisementDescriptionofAssetValuesMadeforInherllance
Tax Purpolel
$
REALTY:
As ner Schedule itA"8.000 00
PERSONALTY:
is ner Schedule liB"850 00
_.
TRANSFl£RS:
NONE NOllf.li
JT.HELD-.
As Der Schedule IIEII 9.261 73
1
,
Total 18.111 73
Having been duly sworn according to law.I do hereb"~~that the above appraisement is made in co):::
formity with law on this ................<>2'~..............day of .~~......c·.7 f:·····;·:············Jt!!.······'jjJl-....19.:::;.....
............ft..............J ...................~_....a ...~........................
'=7 -Appraiser
./
~~i,;;=.~).;:~~.
(POft _OfIlce)
~~~~,......-~
...;...~~.
m-'3
..::-,WASHINGTON _........................COUllty'
RESIDENT INHERITANCE TAX APPRAISEMENT.
Estate of
..............eI.QHN p..f.'X;kX"WC.HA.K •.
Deceased.
Late of
.....................QtI~QI .
Date of Death,N.o:vember ll,.19t>'l-..
Appraisemcl!t Docket Vol.,~.?..
Page,.71~5 No.9.422""1.88 ..
.~:..
t,
<
Filed in Register's 0 JJice,f.~.p.2.1.,J9..6.8.......
Amount of tax due,$..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut A ppra.isen!ftth ·:,..·.!·:?..~·:t2·:·f~:::.H ·..
C;;;.J.\1 '\i:';'"SLJ
Appeal f"om A ppr'l/~~ee!,·;·;.'F....·L·3....·G..::.,2..~.~.."j
Entered and charged,····(l··:l..:~·l···I····:·...L··....··..·....·
.'
~,_.'"I"'-."".'.....
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