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OC1968-1123 - ESTATE OF KUCHINIC
ESTATE OF No.63-68-1123 Term,19 ,A.A. .........F.BANK .tJ.~KVGHJ.NJ.G ~l~!9:x~~. KUCHINIC Deceased' In the audit of the first and final 'Account of John Kuchinic,Admin• J h K h'The petition of g ~-q.~?:.~~.~,.,; . (Name of Petitioner) respectfully represents:,. (a)The decedent died ~~g-q.?.~~.L.).~.~§,intestate and (Date) letters of administration on hJ.!?estate were granted ~!1.~!§.?. (Date) State (I)whether de- cedent was married or unmarried;(2)If mar- ried,whether a husband or wife survived and his or her riame;(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. as per record thereof appearing in Administration and Bond Book No . at page . Decedent was survived by Kathryn K.Olsen,Sister Anthony J.Kuchinic,Brother Ann K.Meinersmann,Sister Cecelia R.Kuchinic,Sister Helen Kuchinic Burns,Sister Barbara Kuchinic Barnett,Sister Louis A.Kuchinic,Brother Mary Angemeer,Sister Henry C.Kuchinic,Brother .John Kuchinic,Brother .h' (b)A.h · f d h h d d ' d "1 WIt III h C~."t t e tIme 0 eat,t e ece ent s amIcI e was wi1Jle.Ht t e om- monwealth of Pennsylvania,to-wit,at......f.!.D.J~yy~JJ.~.f...;..J?~.D..~.~y.!y..?:.~t..?.:..... (Town or Township,State and Nation) and residence was aL.ft.P.:.~.~y.y..~.~.~.~..~?.~P.:n-.~y~y.~.~.~~. (Town or Township,State and Nation) (c)The names of all persons having any interest as heirs or next of kin with the names of their deceased parents,to show relationship if they take by representation are as follows: NAMES Kathryn K.Olsen Anthony J.Kuchinic Ann K.Meinersmann Cecelia R.Kuchinic Helen KuchinicBurns Barbara Kuchinic Barnett Louis A.Kuchinic Mary'Angemeer Henry C.Kuchinic John Kuchinic Relationship Sister Brother Sister Sister Sister Sister Brother Sister Brother Brother Interest 1/10 1/10 1/10 1/10 1/10 1/10 1/10 1/10 1/10 1/10 Of age,sui- juris,or not, (write yes or no). Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Name of Guardian,Trustee or Committee,if any,or beneficiary,manr..er and place of record of appointment and is bound suffi- cient to cover and protect share. 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 in interest are living,except No exceptions. (d)All parties having any interest have had notice of the filing of the account by rna il . (e)Balance for distribution per Account (f)Additional debits,not shown by Account (Itemize) (g)Additional credits,not shown by Account (Itemize) Payment on Inheritance Tax $..?!..?J.~..~..~.? $ . $~.9..Q.~..9a $?!..~.!}..~..?.:? Insert word "not"where I (h)Claim for exemption has been made,and has been paid. necessary. (i)The 'estate is subject to the payment of inheritance tax to the State of Pennsylvania. If taxable state w~eth-I (j)The estate is ~~.~subject to the payment of the county 4 mills er tax has been pald. tax. (k)The estate is ~~.~subject to the payment of Federal inheritance tax. 1f too many for the space,annex a list there- of;if no such claims, insert the word unone.U 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. Here insert a reference to all questions requir- ing adjudication,and a 5tatement of any mater- ial facts not already given.If none insert thewordunone." If any share has been assigned or attached that fact should also be stated here. State kind,form and character of property composing the balance for distribution,and if any part thereof is not cash,whether or not there has been any elec- tion to take such part in kind. (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: None (m) None (n)The balance for distribution consists of property in kind,form and character,as follows: Cash I _...._".~. _~,_ .. 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) None (q)Give brief location of any real estate sold. None II prior accounts have ( ) heen filed,list number r and term. None 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):- Kathryn K.Olsen Anthony J.Kuchinic Ann K.Meinersmann Cecelia R.Kuchinic Helen Kuchinic Burns Barbara Kuchinic Barnett Louis A.Kuchinic Mary Angemeer Henry C.Kuchinic John Kuchinic 1/10 1/10 1/10 1/10 1/10 1/10 1/10 1/10 1/10 1/10 County of Washington,ss. The abQve named petitioner being duly s~orn doth depose and say that the facts 'set forth in the foregoing petition'are true to the best of h..~.~knowledge and belief. Sworn to and subscribed before me this /.B zi....day of ~.~.Y.:,1cJ?.~. ~)L-I1"·_..·..··········..··········..····..·..I·~··~)····. 17.,r ~........!:.~.. ROWENE EBElING,Notary Public My C "ommiSSion Expires February 8,1973 Washington,Washington County.Pe,nn.a. And your petitioner will,etc., ,. FORM IN CASES OF INTESTACY 63-68-1123No,Term,19 ,A.A. IN THE ORPHANS'COURT WASHINGTON COUNTY,PA. FRANK KUCHINIC a/k/a Es·tate of E~~~.~~£g~:N~.G .:1 Deceased. j: Sur account of J.'Qh.n KJJ.c.hini.c.., . ............Ad.:m.ini.s.tr.ato.r . 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. (.,.. ... L: '1'\.," 'Vd "00 iN01~NH1SVM Slllh\.:W tJ3iSl~3a 4 ON§:}Hl~11.3SSm, Attorney ....9 for Accountant. fiE 6 UV £2 unr 69. $0311.:J ESTATE OF Qrnurt nt Qrnmmnu 'l~nli nt Ihtli4tugtnn Qr1l1t1tty. J~nuli!Jluttnin.®rp4nnli'Qrnud 13ittiliinn .No.6_3_-_6_8_-1_1_2_3 _ Frank Kuchinic,a/k/a Frank H.Kuchinic, Deceased. In the motterofthe First and Final Account of John Kuchinic, Administrator ADJUDICATION AND DECREE And now June ,19 69,this matter came on for hearing, audit and distribution at this session and testimon faken;and thereupon,upon due consideration thereof th~..balance for distribution in rthe hands of the Accountant is determined to be$2,413,ba ..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 Balance per account _ Additional credit asked at audit 8alancel::-_ Deduct Clerk's Costs &Receipts'--I Attorney Bloom,Bloom,Rosenberg &Bloom Kathryn K.Olsen,sister,1/10 balance, Anthony J,Kuchinic,brother,1/10 balance, Ann K.Meinersmann,sister,1/10 balance, Cecelia R.Kuchinic,sister,1/10 balance, Helen Kuchinic Burns,sister,1/10 balance, Barbara Kuchinic Barnett,sister,1/10 balance, Louis A.Kuchinic,brother,1/10 balance, Mary Angemeer,sister,1/10 balance, Henry C.Kuchinic,brother,1/10 balance, John Kuchinic,brother,1/10 balance, 400.00 18.50 239.54 239.54 239.54 239.54 239.54 239.53 239.53 239.53 239,53 239.53 $2,813.85 No balance j,J , -' 0 :>:J z....n 37 ~i B -s:-,p s:CD .--:---i t»~3 0 0 0 ::J,;AIJ ......lif...... ~0a... 0+....:r t:t CD t ::: It ~~ S -J ~~~~J ~Q W ...~J "'),..~..", "'·f •,.. l ..:j j y~k .) -JJ ...J .J.':'j .J -)J:J ...,J •~j ::...-.J fvv ...,~J jL ,.~jc J J1 <Lvj j C..J.J I J IJ "FORM 67 •REV.1-50 REG.WILLS 1\ppliratiott for 11lrUrrs of 1\llmittistratiott ott tbr '\/. Estate of...~~.~!2~~.~g.~.~!2~.~?;!~.!.~~~.?:.~~.J~.:~~.~:b:~.~.~.~. late of..........f.~.~.!.~y.y..~.!.~.~.!.....Y.'!.~.~h.!.~9.'.!:~D ....~.9.~D.!:Y.!......!?.~.:......,Deceased. Before the Register of Wills of Washington County personally appeared ~~~~~~.9.~~.~.~.9... who,being duly sworn deposes and says that......E.'.E.~!.:.~!S.~gE..~!.:Jg ~!~!~f.E.~P.:~?..~!S.~~h.!!?Jc 71 h'his 1 f'l "1 'dage,avIng..................ast amI y or prIncIpa resl ence at . (Street and Number) ..........................~.~.~.~~.Y.~.~.~.~~,Washington County,Pennsylvania,died intestate (City,Borough,Township) at.~~.~:b:.~.~.9.!:.9.D:.~!?.~.~!.:.~Y.:~.y.~.~.~~,on the..::!-day of ~.~.9:~.~.!-.- A.D.,~~:~,at M.,possessed of personal estate to the estimated value::J (!)O $~,and of real estate in the Commonwealth of Pennsylvania to the estimated value of $~~.~~,-situate in .. The names and addresses of the decedent's surviving spouse (if any)and other heirs including heirs by adoption)are as follows. REI,ATIONSHIP 145 22 24 RESIDENCE- -Avenue ..JS.~.t.h.Ey.D...X..~QJ.§.~.n :$..~.~.!:~.E Wh.~.!:.~.§.!:g.!.:.~.!~~n9:~..§.~.~P.:9..!~.:.Y • ...~.D..t.h.9.!?:y.~!...~!S.~~.hJ}}.~~~E.9..!::b:~E "~.~.~!:5?E.!.9.E..~.~.. ...~.~.~!S.:~.~.~.~~E.§.~.?;.~~.:§.~.~.!:~E Ml~.~.~.~§.~.~~~~?.~.~~..~.~~.!.:.9..!~.=.Y. Cecelia R.Kuchinic Sister 5280 State Rd.,Cleveland,Ohio ...~.~.~.~.~!S.~gE..~.E.~g ~~E.~.§§.~.~.!:.~E ~.~!2~.~.Y..~.~.~.~=.!.~.~.~~.~.Y..~~~.~.~.~. Barbara Kuchinic Barnett Sister Finleyville,Pennsylvania................................................................................................................................................................................................................................................ Louis A.Kuchinic Brother Finleyville,Pennsylvania................................................................................................................................................................................................................................................. ...N.~.t.Y.8gg.~.~.~.~.E :.·$.J.§.t..~.E f..~.~?J.~.y..y..~.!.~~.!.g~.~E.~¥..~y.~n.~.~. Henry C.Kuchinic Brother Monongahela,Pennsylvania That deponent is_,over 21 years of age,resides at f.JP.-.l~.Y.:y..~.~.!.~.I ~~..~. -................................................................................................................................................................................................................................................... is a citizen of the Un~ted States and a resident of Pennsylvania,and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. Sworn and ~ubscribed before me this !...?:. day of ~,A.D.,19 ~..£.. .............<'-.~:d!...aL£.ofiLlJ 2?~ -REGISTER COMMONWEALTH OF PENNSYLVANIA WASHINGTON COUNTY,}SS: And now ~.~9:~.~:!7 ~.§,19 §.§..,comes g,:~:b:E ~~.~h.~.~~.~.. who being duly sworn doth depose and say that..h.~will well and truly administer the goods and chattels,rights and credits of......f.E.?~~....~~.~hA~~.~....~.!.~!..?....f..E~.D.~....?..:......~:'2S::b:.~.D..~.~.......,deceased, to the best of...'b.~~.....skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. Sworn and subscribed before me thiS......!~...y...~;/'7~'-__p~, day Of......~.~~'A.D.,19..~............,~x.::Ll.J.4.G.::'~_ _ .............................~r..~. ...........................~~~~. REGISTER '~. .. ~ ~fr ho ~3 -t y-/J ;L 3 APPLICATION FOR Letters of Administration ESTATE OF .F.fiB...N...~;~~.ff:..L...!Y.1.~· Deceased R $.....4 ..a=.o.. Letters......................................................f -=- P $. Extra Alias $ Certificates ::.'::'{('.~~=a :J ...f'-$. Renunciations f.$.!.~..~. ..........;$. ............·..···~~....·..·..·R ···:·~::.:<;.... Total.../!.~~~::;/~_a.=..L"... :0 -.-.....t"l:J (.~t:;-)c:~ (,7;~::)CJ)-,~ ;::",;.J .•f '.'r-}~-'"~:::..J_!~n ' ,r-..,'~.;---...':;;-,.7;:, _):0.~~>~0 5:1 ;;.r-.:;:" :• ..'..Gddfg~.~:~.p,:~'I.........~:.~.~: ,:'Attorney~; ; ;2B,&~~2 p~-;<88 "",\;! !; c., ~ I t ·.~., ESTATE OF ..............:;J[.M~K B..,mg.g.±~;l;9._DECEASED The undersigned and heirs of f..;J;.~P.JS f!:.,K~,g.h.;bP.:;b.9...late of F..i.p.l~yy..t.l.l.~.,.w:9.~s.b.ing ..tQ.n.C.Q "p.a. deceased,hereby renounces t.b.~.i.:t:right to administer on ~~.~~~~.~~~~.~.~~~.9.estate and respectfully asks that Letters of Administration:be issued to ~.QHN KUC.HINIC .. ..••••••••••••••••••••j••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••, 'r, .r ", 5111/,\.:10 H31S1DJtlONIl:Jl1~'J "IlJSSJltJ £17 : G H'l (?i c:nv [3:1 , T ,[' ;0 rr1 Z C Zo-~-oz ,-. .- (tlommoumralt4 of Jruusyluauia, lI(ul~tugton <!tountg, I,Russell Marino ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, to John Kuchinic administr a t or of all and singular the goods and chattels,rights,and credits,vvhich were of Frank Kuchinic,A/K/A late of Washington County,deceased, Frank H.Kuchinic GREETING: in the county aforesaid,lately died intestate WHEREAS,the said Finleyvil~e Frank Kuchinic,1/K/A Frank H.Kuchinic late of (as is affirmecli,possessed of divers goods and chattels,rights and credits,within the said County, Russell Marino 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 pre- scribed 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 WHEREOF,I have hereunto set my hand and caused the seal of said Office to be affixed this 19th. day of August in the year of our Lord'~one thousandc , nine hundred and .Sixty Eight /J .~~~..........f..~.. RUSSELL MARINO,Register. \~i:-:-i ~...,i,i to+ i !~to+!!P'l ~!~ai'1~!~is»10--4 =!l:$ZIis»i~.......il:$1P'l tr::l ~ \ i~r C/:Jl~is::~t:I~i(')l-ip'~§.~i....l~il:$a.i is::i....~ t i i(')If)mip' to+ i i ;l :i.... .. I !l:$:!...,.,~i ....!_.!('):=:!i ::: :!!j :j !:i !: <rr:, ~ ~x:::tt::l""""::J Estate of Fran~...~~<?~ini.~..O:(~(~...~~.~.~~...~}Kuchinic F'1 '11 No.....late of ..l n .~¥.Vl e .,Deceased of 19..,.... KNOW ALL MEN BY THESE PRESENTS, That we,J.9.hn ~l.lq4J.nJ9...~.~..J~r.~.~9ipt:l:L.a,..I:lcl.P"Il~.~fJd Statea ,.~;cle!.~.~y..and .................G.u~.r..e..nty ..O'o •..al;.l.t.imor.~.,~Sq.:.r.~.ty .. all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl- vania,for the use of those interested in the estate,in the sum of ...<m,~...r;r49.~.~.a,..I:lcl..................Dollars,to be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves, jointly and severally,for and in the whole,our heirs,executors;administrators,successors arid assigns,and- each and every of them,firmly by these presents.Sealed with our seals and dated the lQtb.day of S1xt':£1 ht..........Aug.u.S.t A.D.,one thousand nine hundred and 1.8 . )) THE CONDITION OF THIS OBLIGATION IS,That if the above bounden ....... John Kuch1nlc.,, (SEAL) Sealed and delivered in the presence of:-----~~- Administrator or any of them,shall well and truly administer the estate according to law,this obligation shall be void as to those who shall so administer the estate;but otherwise,it shall remain in force. t9tutrmrut of t9urrtl1 I.----------------------------------------.-------------------------------------------_..___.....surety in the sum of $___.._...._..on'the administration bond in the estate of ------------------------..-.--___ ___._,say that I reside at ----..~.---.--.--------..----------..,Washington County.Pennsylvania;that I am the owner of real estate,the title to which is in my own name and duly recorded.situated in :, Washington County,Pennsylvani~.worth above all encumbrances $..._.___;and that I am worth the amount expressed in said bond,over and above my just debts and liabilities. •__._.~M ~__•__••._.••••~~ ---,----,----------------._---------.._--------------------.._----------_._---------------------------- Street P.O. &tutrmrut of ~urrtl1 I.--:.----.---------------------.--.---------.------..---..----..---..-----....__....•surety in the sum of $ .._on the administration'bond in the estate of ----------..----------..:.----:,-:.-------------..__.._...•say that I reside at ...--.-------.-----------.--,----------------.Washington County.Pennsylvania;that I am the owner of real estate.the title to which is in my own name and duly recorded.situated in _. Washington County.Pennsylvania.worth above all encumbrances $---------__.__. ._:and that I am worth the amount expressed in \said bond,over and above my just debts and liabilities. ..............................................-__. ._--_.._------_.._------------------------------------------.------------------------ Street P.O. COMMONWEALTH OF PENNSYLVANIA.}ss·WASHINGTON COUNTY.'". And now 19 ,comes _. who being duly sworn,says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this ........_ day of ..___.._..A.D.19 _-------._--------._------------------------------._-------...-._-----------------_._------------_._--- ~O'-J "-~:.~ oz wg wJ:I- z .:0,..~1 •:Ji.~ ~~l~!~:.":1::0 11:>:0:..:0-:0-~0 0"'0I:I:o "'Oa:I I:« (I) OJo0. .ID ri~I 0( ItoZoo.. t l' Z ~Za:Q. :!:'No 0(m i\ffiltuuit OOf ·iExrrutnr (@r i\~minilitrutnr ~. ~tntr of 'rnnaylunnin.~ss: C!1nunty of IIna4in9ton \ P all b f h d . d h'notarv nublic . d f 'dersony e ore me,t .e un ersIgne aut orlty,a ft-;In an or Sal County and State,appeared ~9.h!}Kl1.9.h.!-.D..!9.who,being duly sworn according to law,deposes and says that he is the~4m or administrator of the estate of '"~E.~!!:~....~'Y..s:~.~!.?-.~.s:....~!.~!.~....E:E.~.~~....~.~.....~'Y..s:~!.Meased,that the foregoing schedules constitute a 3 ~~I'T d . f hId I fFrank Kuchinic a/~Frap'J>!;I.<Xl _z:comp ete mventor)an appraIsement 0 t e rea an persona estate 0 K'Uchl.nl.c a:~8deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item 5;~z:of real and personal estate in the foregoing schedules are determined and stated by the undersigned to5CI)[;be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each 2:~Ii item made by the above named Executor Administrator. ~><:CI) §:~.Sworn and subscribed before me this.........?.?..t.9--..l A /}\""'~Z I:If day Of f10.!:'!.9.y.~.~~.E ..~...19..~.?......:.E~~~~~~Ad~i~i~;::~~..~~5:/~-'\/;~Q0 1/ is >-'~DDITIONAL INS'UCTIONS::E 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 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 lfunrutnrg nub !\pprnisrmrut of the goods and chattels,rights and credits which were of ~:.e~~.c~~·fif~.~.;.£e!~!.~R.;:e.~~late of f..;.~.!.~.¥.y.~.!.!.~.f !?~DP.:.~.¥..!.y..~~.~.~. Washington County,Pa.,taken and made in conformity with the above affidavit. PERSONALTY DOLLARS CENTS Checking Account Western Pennsylvania National Bank -Finleyville Hospital Insurance -refund 1960 Chevrolet automobile 1964 Chrysler automobile Knights of st.George -insurance Washington Hospital Refund Savings Bonds -Series E TOTAL 232 16 64 00 50 00 1,100 00 300 00 558 00 4,121 67 6,425 83 I ( 63-68-1123 No.1018 Inventory and Appraisement IN THE ESTATE OF FRANK KQCHINIC a/k/a.......................................................................................................FRANK H.KUCHINIC Filed ::,19 . .-(" (, t..J -.- G~...~t ,.."'"'f ')_~--VI(..n(/)~~---'oi' i.....w- ~'-i I't {""....-,.---."..:>::0. CJ==~--;:.:-:'.0i-u '-.I(,')., ,- U1 ~9 I . \, i ' .. FIRST AND FINAL ACCOUNT OF JOHN KUCHINIC,Administrator of the Estate of FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, Deceased. The Accountant is charged with the following: As per Inventory and Appraisement $6,425.83 Total Assets of Estate - - - - - - - - Total Credits claimed by accountant-- Balance for Distribution --$6,425.83 -3,611.98 -$2,813.85 -----------------------~----------,-----, The Accountant claims credit for the following: Mary Trifaro Nurse 100.00 Catholic Cemetery Grave 175.00 Mrs.H.L.VanVoorhis Nurse 75.00 V.F.W.Post 764 Ambulance 15.00 Dr.Thomas L.Wilfong Last illness 6.00 Russell Marino Russell Marino Washington Co.Reports Observer Publishing Co. F.J.Buckley Vicker's Garage Edward B.Garry KarlC.Randall,M.D. Drs.Richardson and Corwin Bernard H.Berman,M.D. St.Francis Church Bloom,Bloom,Rosenberg & Bloom John Kuchinic Russell Marino Russell Marino 2 Short Certificates Ltrs.Admin.,3 s.C. Advertising Advertising Administrator's bond Garage bill Funeral bill Last illness Last illness Last illness Building Fund Pledge Attorn eys'fees Administrator's fee Inv.&Bal.on Ltrs. Filing Account 2.00 13.00 14.00 14.00 10.00 59.18 1,860.00 199.00 3.00 31.00 360.00 325.00 325.00 9.00 16.00 I TOTAL - - - - - - - -$3,611.98 Observer -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News,paper Advertising 'Act of 16 May,1929, P.L.1784,as amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally ap,pear,ed before me,a Notary Public in and for said County Richard S.Cowan "and State,,who beIng duly sworn according to law,deposes and says thltt he is the S.ecre.tar.y _. of the Obs'e,rver Publishing Company,a P<enIlJs~lvania corporation,and its agent in this behalf;that the said Company is the owner and publisher of the Observer-Reporter,succ<essor to The Washington Obs'erver,established Sep,tember 18,1871,and The Washington Reporter,established August 15, 1808,a daily newspaper of general circulation,printed and published and having its place of bus,ines's at Washington,Washington County,Pennsyl· vania,where it or its predecessors have been established and published continuous'ly for more than six months'prior to the publication of the notice hereto attached;thltt the printed notice or advertisement hereto attached is a ,copy of an official 'advertisement,official notice,legal notice or legal advertis,ement,exactly as printed or pUblished in the Obs1erver-Reporter in its regular editions on the following date or d'ate,s;.. ....................A~g,P.:~.t ~).~.~~.ng §~p..t~.1J11?.~.L..4 ..,.J.9..Q.~. that neither th<e affiant nOT the Observer Publishing Company is intereSited in the subject matter of said notice or advertising and that all of the allega- tions'of this affidavit as to the tg'me,lace and character of publication are true.00 ,t.-,0 ~ .............................?!:~d 4 ..,____. ADMINISTRAT0R'S NOTICE (ESTATE 0 OF .Frank H.o Kuchinic!,a/k/a 'Frank Kuchinic'deceased,' :late of Finleyville,WashingtonCounty,Penna. Letters of Administration upon the,above estate having been granted' to the undersigned,notice is nereby'given to those indebted thereto tomakeimmediatepayment,and to those hav'aims or demands,to,present the ttlement.:.fJohn Kucliinf ~.c;, IFinleyville IPennsylvania Bloom,BIBloom,o A 200 Was' .Washington,\..!; Sworn to and W.26752 subscribed before me this..4 ......day of.S.e.pt.embe.r. ....~~~;~;;;~~~. WASHINGTON.WASHINGTON COUNTY MY COMMISSION EXPIRES MAY 6.1972 1968 Washington County Reports ~1!IX:RX.~~NiREr WasbingtOD,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,publisned 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: 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 tJhem for settlement to the Executors or Admin- istrators or their Attorneys. •• • • • • ••• • • • • • • •• KUCHINIC,FRANK H.,a/k/a FRANK KUCHINIC,Dec'd. Late of Finleyville,WashingtonCounty,Penna. 'Ad~inistrator:John Kuchinic,Fin-leYVIlle,Pa. 'Attorneys:Bloom,Bloom,Rosenberg &Bloom,200 Washington Trust BldgWaShington,Pa.., ........~.~~.~~.~~~.~~.~~~. ........S.e.p.tember S.,.12.,.196.8 . that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or adverti,s~'nnd that all 0..the allegations of this affidavit as to ~himplaceandcharact the p.i l~arz?ru~ .ULV .". Editor Sworn to and subsc .ed before me this 12th.8:A:H~P~~Washington,Washington .co.,Pat My Commission EXpI1IIl8 November 1,1969 STATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The within named Accountant being duly sworn according to law,depose S and sayS that the above account as stated is true and correC'tas ~..E~..,_verHy bel ieve, day of . .... ).~Sworn and subscribed before me this __ __._. day of ~~:19__~_~_ --...-....--..--.---------."'R'OWE'NE"ESiiijiiG:"oiary'Pu6iiri -.....• My Commission Expires February 8,1~73 ,7 Washington,Washington County,Penna. Wa1shington County,ss: ............].z..ac..'C•.:~.~~•.--------.-. John K chinic\ I do certify that I have given leg'al notice to all persons concerned of the filing of the within account in the manner prescribed by Sta·tute and Rule of Court,as evidenced by proofs thereof filed to No.----.-~!'1(t4.--:---.--..! Witness my hand and official 'seal this~.._...._..... _.. _ __19.61... ......._-_._-----_._---~~R~J-:;:r of WHls .... ,-( -----_....- l J Ii ~~2 HdV 69~, '. .' +->...::l00 <D,.<:l+-> 0+-> 'C<D+->l'l<Dw.<D...1'4 +->l'l::l0'"'"0:1 l'l ....;:a >:i+->.8.~:~+->0:10<D S+->,.<:l ...ii=+->~ 0 ==0 'C '"=0;... ~0M... c5 o ".4''-..' --.. / ~ ./ The Court is respectfully requested to determine proper distribution in this estate. /2~~~4~ Counsel for Accountant 3Jn t~r ~rpQttn5·illnurt nf-llllItt5~inBtnn arnunty In the matter of the Audit of Account in FRANK H.KUCHINIC a/k/aEstateofl__-:'~I FRANK KUCHINIC TO THE AUDITING JUDGE: No.63-?.=.8_-~1,-1_2-=3c--,19__,A.A. our John Kuchinic,AdministratorEnter·__...:.....::.:.-,appearance for·_........::....::..::.::..:.-..:..:..:=-=.:..:..:.:..:..:=.::~_...!::.===~=:.-=-=~_ ~0uA-~Jto~~tV ~ 23rd day of May ,19~ 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. .::t- C'Y)0 0 < c::n z...jQ..~-J • %:: a:::-•<J;~O '"c::x:~u..0 Q 0«: W 'l'V')....Jcr;C C"-! -.J .-W tlJ Cj -J :::::c:;~;z:U)u).~ ::::::J u")--..... --:;)::::>0:r:-(J) lJ-en Cl:::'LU« t.O C4=:..r,'" No.63-~8-1123 ,19 ,A.A. In re Audit of Account in Estate of FRANK H.KUCHINIC a/k/a FRANK KUCHINIC AUDIT Jratrtpt far 1\PPtaranrt FOR John Kuchinic,Admin.--- Attorney ~~,2 \ ..' COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION IN RE: ES TATE OF-:, No.63-68-1123 FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, ) at No.63-68-1123,'and do hereby felease John Kuchinic,the received the sum of Two hundred thirty~nine and 54/100 ($239.54) being the amount awarded to me in theme, \ A U D I T----- Deceased. "....'"I,the undersigned,do_hereby acknowledge.to have Dollars that is due I,I I Administrator,from all liability whatsoever on account of the settlement of the said estate. In Witness Whereof,I have hereunto set my hand and seal this :J--t day of r'1969. ~,i/J~~(SEAL) Ann K.Meinersmann ......--....~- WITNESS: COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION IN RE: ESTATE OF: No.63-68-1123 FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, Deceased. A U D I T-----R E C E I P T------- I,the undersigned,do hereby acknowledge to have received the sum of Two hundred thirty-nine and 54/100 ($239.54) Dollars that is due me,being the amount awarded to me in the audit of the Estate of FRANK KUCHINIC a/k/a FRANK H.KUCHINIC at No.63-68-1123,and do hereby release John Kuchinic,the Administrator,from all liability whatsoever on account of the settlement of the said estate. In witness Whereof,I have hereunto set my hand ~.~and seal this 3 day of c1 ~(j .1969. ~l~SEAL) WITNESS: .-.,.."'i}~~,'~"!-\''';''"-~.!.,.~~.~..",,\,".'t._:i'-,~.T -~;:.',";..'l~;f_"'~~,-::-,'~,:.~..., ESTATE OF: I,the undersigned,do hereby acknowledge to have audit of the Estate of FRANK KUCHINIC a/k/aFRANK_H.KUCHINIC No.63-68-1123 R E eEl P T-------A U D I T COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION Deceased. FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, received the sum of Two hundred thirty-nine and 54/100 ($239.54) Dollars that is due me,being the amount awarded to me in the .. at No.63-68-1123,and do hereby release John Kuchinic,the , ,1969. Ji/g~~~~l{L."j(SEAL) Helen Kuchinic Burns " day In Witness Whereof,I have hereunto'set my hand WITNESS: and seal this ~0 settlement of the said estate. dAdministrator,from all liability whatsoever on account of the Ii'III Ii II 11'IIII,!; "I, IIII II [III"I',I 11II 'III, II I II II,i iI ~!> ,.}',...-~~a"''":t~~~,~'?~"~'f :ll~-''-l'~;f-':",,;:,",:,~,,·"'"i,- I .( II i>;----- COURT OF ...COM.MON PLEAS OF WASHINGTON COUNTY'i~~~~:.~;..~~:.;/....,~1'".~•._'".',;,~'/ORP~NS'COURT DIVISION IN RE: ESTATE OF: No.63-68-1123 FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, Deceased. I,the undersigned,do hereby acknowledge to have received the sum of Two hundred thirty-nine and 54/100 ($239.54) Dollars that is due me,being the amount awarded to me in the audit of the Estate of FRANK KUCHINIC a/k/a FRANK H.KUCHINIC at No.63-68-1123,and do hereby release John Kuchinic,the Administrator,from all liability whatsoever on account of the settlement of the said estate. In Witness Whereof,I have hereunto set my hand and seal this WITNESS: 27day of t(1t/!-,1969. '~~~~SEAL) .Kuchinic I,II COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION IN RE: ESTATE OF: FRANK KUCHINIC a/k/a .FRANK H.KUCHINIC, Deceased. ) ) ) ) ) ) ) ) No 63-68-1123 A U D I T R E C E I P T--.----- I,the undersigned,do hereby acknowledge to have received the sum of Two hundred thirty-nine and 53/100 ($239.53) ,.~ Dollars that is due me,being the amount awarded to me in the audit of the Estate of FRANK KUCHINIC a/k/a FRANK H.KUCHINIC settlement of the said estate. at No.63-68-1123,and do hereby release John Kuchinic,the .S(}.J,J-u.J.....CE-t-.:.J:../lu.(SEAL) Barbara Kuchinic ~arn~ ,1969.day of In Witness Whereof,I have hereunto set my hand and WITNESS: seal this Administrator,from all liability whatsoever on account of the 'II:,I 'I I I 11 Il. ..-.-"...'·...,'~l>,.'~:;i.~t·~·_.,'~'r.~,.'.,·i-~~'}::,·,i\.t.',:&.-'-:t....•'..r ' ~ COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION IN RE: ESTATE OF: No.63-68-1123 FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, Deceased. I,the undersigned,do hereby acknowledge to have received the sum of Two hundred thirty-nine and 54/100 ($239.54) Dollars that is due me,being the amount awarded to me in the audit of the Estate of FRANK KUCHINIC a/k/a FRANK H.KUCHINIC at.No.63-68-1123,and do hereby release John Kuchinic,the Administrator,from all liability whatsoever on account of the settlement of the said estate. In witness Whereof,I have hereunto set my hand ,.jj and seal this jj g day of ~•1969. ~If.~~(SEAL) Cecelia R.Kuchinic WITNESS: COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION I. II" I!II, I II i i II Ij IIIi 11Ii ! IN RE: ESTATE OF: FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, Deceased. ) ) ) ) ) ) ) ) No 63-68-1123 ".0:: A U D I T R E C E IP T- ---- I,the undersigned,do hereby acknowledge to have received the sum of Two hundred thirty~nine and 53/100 ($239.53) Dollars that is due me,being the amount awarded to me in the audit of the Estate of FRANK KUCHINIC a/k/a FRANK H.KUCHINIC at No.63-68-1123,and do hereby release John Kuchinic,the Administrator,from all liability whatsoever on account of the settlement of the said estate. In witness Whereof,I have hereunto set my ha~d and I I'I Ii seal this IAJITNESS: day of ,1969. :I:1 ;1IiI: " "i!" " I! 11 j' Ii COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION IN RE: ESTATE OF: FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, Deceased. ) ) ) ) ) ) ) ) No 63-68-1123 A U D I T R E C E I P T I,the undersigned,do hereby acknowledge to have received the sum of Two hundred thirty-nine and 53/100 ($239.53) Dollars that is due me,being the amount awarded to me in the audit of the Estate of FRANK KUCHINIC a/k/a FRANK H.KUCHINIC at No.63-68-1123,and do hereby release John Kuchinic,the Administrator,from all liability whatsoever on account of the settlement of the said estate. In witness Whereof,I have hereunto set my hand and seal this WITNESS: day of ,1969. i.,~, I~'• at No.63-68-1123,and do hereby release John Kuchinic,the I,the undersigned,do hereby acknowledge to have Administrator,from all liability whatsoever on account of the Dollars that is due me,being the amount awarded to me in the No 63-68-1123 ) ) ) ) ) ) )- ) R E C E I P T- - --- Deceased. A U D I T-- --- FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION ESTf>TE OF: audit of the Estate of FRANK KUC~I~IC a/k/a FRANK H.KUCHINIC received the sum of Two hundred thirty-nine and 53/100($239.53) IN RE: , IIII I' IIIIII !IilII IIIIIii'IIII :I"'I II Id:i'III!I II II 11'II, iiII IIII Ii iI I, ------c- settlement of the said estate. 1969. ----.....!I'..... i 'I11q-1:'I, I',I "'I'Ii!IiIiI,IIIiIIIi I I In Witness Whereof,I have hereunto set my hand and seal this J.-(;day Of!---'- ~{[/~L",(SEAL) Louis A.Kuchinic WITNESS: i,, III 11II'J 'II',IIII'IIIiII :I,: ,I " I at No.63-68-1123,and do hereby release John Kuchinic,the audit of the Estate of FRANK KUCHINIC a/k/a FRANK H.KUCHINIC Dollars that is due me,being the amount awarded to me in the / ,; No 63-68-1123 ) ) ) ) ) ) ) ) R E C E I P T-- --- --.....--"'!""""""-~ A'U D I T ,I I I ,c,/"\,',/,',-'1'/ I ,r,,.') I,the und~rsigned,do hereby acknowledge to 1;ave:j".-,] ..\\'-,';','1/ hundred thirty-nine and 53/100 ('$2'39:5,3) I ~.I COURT OF COMMON PLEAS OF WASHINGTON COUNTY ORPHANS'COURT DIVISION Deceased. FRANK KUCHINIC a/k/a FRANK H.KUCHINIC, ESTATE OF: IN RE: I! II 11 II IIiI ij ! I II 11II I, I'/ -1 ..- I'i l II I, 11II received the sum of Two Ii I ,I 11__~__.__._ II': j ...I,I Administrator,from all liability whatsoever on account of the ,1969. _,In Witness Whereof,I have hereunto set my hand and II settlement of the said estate. i',I :1 ·11 seal this cJ.-t day I,Ii t _____---::-iI ~,'.....~+_r·'....-,-'--1"*[--r ......- IIi II.lol1ITNESS:, III~ti~ II I I I I II III: ';"J'.. ~.i'.~.• 0 (' \}J.~~-- \ .,. f'0 0 f ~. ~ " ~\ '"........~'"""'- \> ~......~d \ ,. Form No.RCC-62 (12-66)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 18,1981,J EFFECTIY'..E JANUARY I,1982.(FILE IN DUPUCATE WITH COpy OF WILL ATTACHED) OFFICE OF THE REGISTER OF WILLS L County of W?-.S!l).~.l1g"J:~~. ...,~9h~.!\~<?r.~t:l~.~..'.,of 1f.~t:~.~XY~.~~~;,..¥.~t:lJ;l.~X~:V:~J;l~.~. (Name)(Address) being duly ~WQfJ.l .according to law,deposes and says that he is the ~~;!'~J:._l?.~E.~~_<?-~_ .(Exec.,Adm.,Legatee,Etc.) of the estate of._.FX_snk.__K.1JCb..iDJC.._g!~ls whose last residence was ----------------------------------(-----------------------------Frank H.Kuchinic ".(No.)'Street) Finleyville d d d h h·t h I f'h f'd d d n who died Aug~_~_t 1.L.__J:_~_68__________________.ecease ,an t at t e woe 0 t e estate 0 sal ece e t,_ (City,Borough or Township)(Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES A~m RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value NONE Personal Property Checkinq account -Western Pennsylvania National Bank -Finlev-~'232.16 V~l.l.e Hospital insurance -refund 64.00 1960 Chevrolet automobile OJ ~,50 00 1964 Chrysler automobile ~~1,100.00 ~,,,r Knights of St.George -insurance '1 300.00 "Washinqton Hospital Refund ./558.00 .",~LJ A V Savinos Bonds -Series E RJ tJ.4.121.67 _.~ 'T'rd-;::),h Ll.?1:\R~ . " 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 Estima~. _.Value..'.,. - 1 - Transfers within TWO YEARS Prior to Death That at the time of death there was no safe deposit box registered ih 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 DECED,ENT RENTED A SAFE DEP~SIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT ..;.,r",...'~.,-if,):'.i··"'.....'.'•'••~+ - BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-ehildren or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who 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 Kathrvn K.Olsen Whitestone,.L.L,New York Sister Yes 1/10 residue A .,T u",..l--d ni ,.. Canton,,Ohio Brother Yes 1/10 residue. Ann K.Meinersmann Whitestone,L.I •.New York Sister Yes 1/10 residue Cecelia R.Kuchinic Cleveland Ohio Sister Yes 1/10 residue H""l""n P,nrn!'1.li'inl<=>vville Pa.Sister Yes 1/10 residue 'Q::orh::lr::o Ra 'Fi'inlevville Sister Yes 1/10 residue Louis A.Kuchinic pa. Finlevville,Pa.Brother Yes 1/10 residue Marv Anaemeer Finlevville.Sister Yes 1/10 residue Kuchinic Pa.Henrv C ..ahela Pa.Brother Yes 1/10 residue .Tn"'n Un,.."';n;,..'Fi n1 <=>v~Ti lIe Brother Yes 1/10 -residue Pa. .~-RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMEP NOTE'List first five items in the spaces so provided observe notations thereon and instructions,, DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN KEGISTER 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 (Street Number) (City or Town and State) 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 Jess than the estimated amount claimed and allowed...3.. . ..;'t Subscribed and sworn to before me this ~7.t~. (E .........................day of ..~~.Y~:r:n.1?~.~,19.?~ .........~...~..,;;~Q;::~;S~;~~'':iPi:~:A:;BP~.B;~69 WASHINGTON,WASHINGTON COUNTY In the event that any future interest in this estate is transferred in possession or enjoyment to colla I heirs of the decedent after the expiration of any estate for life 01'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 THE EG STER OF WILLS I,the undersigned duly elected Register of Wills in and for •....c....:-:.~..-:.-..(~~...¢.~~~~,-:County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amou '/~Iaimed by depo~ent,etas to those items where a greater or lesser amount is set forth in e last column to the right in said schedule above,which greater or less m~~dedu~tion. Dated:..,/;;../~~/..q :~~9.. Registerof Wills Form No.RCC-62 (12-66) WillAdministration INo Year ..' . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ..~.l<P:G~;r.:ij:J:~..9-(]<;/~..:J:'~.... H.KUCHINIC Deceased Late of ..f.~~J-~'yville,Pa .............. County of WP'~1).;i...I).g:t.QIJ.. Commonwealth of Pennsylvania I .,r 1 REPOR:I"AND ;i\PPR4JSAL ;-.. ~; ~ ." }c ) 1 .-'j- ~. :- r -- ·r-u<.n r· L ;--. I \.....,-en I i '-.-..J ". r! :""..\... .-, " L. I' I ,:,'. Form RC C ·10 DEDUCTIONS ALLOWED IN j •OFFICE OF THE REGISTER OF WILLS OF _--:.W:....:a~s:::.h=i:.:;n:.:q]..;t::..:o:::.n.:..:....._COUNTY AND AGENT OF THE COMMONWEALTH ~V#43-r:,/',tf/J STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF $;f:['({:2/ OATS OF DEATH _~A~U.::::..:.::lgu..:::..::s~t:::..-4~,--::1:..:9::.:6~8~_ Frank KUchl.'nl.·c a/k/a Finleyville,PennsylvaniaESTATEOFLATEOF_':"::':':':::"::'~-==:"=":=..!..~":::'::':":":;:::'_.L..=.~==_ Frank H.Kuchinic DATE OF FILING APPRAISEMENT·/c?-/7-(:.,,1 DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHI;It 8/5 68 Mary Trifaro Nurse 100 00 8/5 68 Catholic Cemetery Grave 175 00 8/12 68 Mrs.H.L.VanVoorhis Nurse 75 Inn 8/12 68 V.F.W.Post 764 Ambulance 1 r:;Inn 8/13 68 Dr.Thomas L.Wilfong Last illness 6 00 8/23 68 Russell Marino 2 short certificates 2 00 8/16 68 Russell Marino Ltrs.administration,3 S.C 13 00 8/19 68 Washington County Reports Advertisina lLl.Inn 8/27 68 Observer Publishing Co.Advertisinq 14 00 8/27 68 F.J.Buckley Administrator's bond In Inn 9/24 68 Vicker's Garage Garage bill 59 118 10/1 68 Edward B.Garry Funeral bill 1 Qkn hn 11/5 68 Karl C.Randall,.M.D.Last illness 199 bo II/If 68 Drs.Richardson and Corwin Last illness 3 00 II/If 68 Bernard H.Berman,M.D.Last illness 31 RO ll/lc 68 St•Francis :Chur:'dh'"Buildinq Fund Pledqe 360 hO. 11/2 b 68 Bloom,Bloom,Rosenberq &Attornevs fees ~2r:;hn John Kuchinic B.Loom IAdministrator's hnfee325 - Total 3,586 ~8 COMMONWEALTH OF PENNSYLVANIA } COUNTY OF __w:..:...::::::a.,::s:.:.;h::.;:i=-::n.:.;q:z...t:::.o:::..:.=n ss: I,~J..::::o~h:.:n.:.-...;K:;.:;u=c:.:;h:.:i::.:n:.:;l.=.'.:::c HEREBY CERTIFY.THAT.TO THE BEsr OF' ~Y KNOWLE:DGE AND BELIEF.THE:FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF Frank Kuchinic a I Fr k,H·.oECEASED.AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. ROWENE EBELING NOTARY PUBLIC MY COMMISSION EXPIRES FEB.8,1969 WASHINGTON,WASHiNGTON COUNTY RCC-81 (2-64) COMMONWEALTH OF PENNSYL·VANIA. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHE~ITANCE TAX DIVISION NOTICE OF FI~ING OF APPRAISEMENT JOHN KUCHINIC (~Administrator). IN YOUR REPLY PL~A.E REFER TO 37-139-3 In Re:Estate of -_~F..:.:RA=NK:.:....:K::.:U~C:.:.;H:.=I::.:N=I.::..C...._- _____\.:.:.;'JA~S~H~I~NG~T~O~Nl-,...-County ~File No.63-68-1123 Dear Mr.Kuchinic: You are ~reby notified that the ,.9I'~gi.na1 appraisement in the estate of Frank Kl1CpipiC has been filed in the office of the Regist~r of Wills qf Wa~h1ngton County on ,December 17 ,19-2?Said appraisement reflects the following valuations: Re alEstate __._---.___._.."..-.........---.--,-......._ Personal property ~6~J~4~2~5~.~8,3-'--- Transfers __...-_._...-__------- Tota1 6~,1J.4:t.:2....5Ll.~8~3~._--.. As to such tax that is paid within th;ree months from date of death,a five (5%)percent di~count is allow~ble.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 char~ed. Any party in interest who is aggrieved by an appraisement may appeal therefrom as prOVided by law. Da te __-,Do:<,;e...,c~em.....,~!>,"",e",,"r_17.L..,~,-=1....9~6<.;=8,-O-__...Signe~~1:r Q ~ Title W.R.CHANEY,C f APPRAISER DATE OF DEATH:August 4,1968 Note:This is not a bill. -------------------------- RCC-39 (6-67) COMMO~YlEALTH OF PENNSYLVANIA,r JR'ANSFER INHERITANCE TAX RESIDENT DECEDENT KUCHINIC,FRAN"1<: FILE #63-68-1123 August 4,1968 SUMMARY I.the undersigned #63 Washington FILE #63~6~-1123 the real and personal opposite each item in REranI'OF INHERITANCE TAX APPRAISER duly appointed Inheritance Tax Appraiser in and for the County of ,Pennsylvania,do respectfully report that I have appraised property as reported in the foregoing return at the values set forth the last column to the right in Schedules "A"~"B","c"and "E". Dated:12-17-68 08-04-68 HEPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for Washington County,Pennsylvania,do r'~~spectfully report that I have allowed deductions in the amounts claimed by deponent,except as to those i terns where a greater or lesser amount is set forth in the last colw~to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction.~a < Da ted:12-17-68 ~~//1tt/'vt-'v-t/O REGISTeR OF WILLS VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$$----~----_6,425.83._61425.83 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 6.425.83._ 3.586.98:~_ 2,838•82.__ 6,425.83 3.2586.98 ._ 2,838.85 ======:- Valuation of life estates or annuities •...•... ESTATE TAX ASSESSMENTS $---------- CO~WUTATION OF TAX TOTAL TAX BALANCE PAID $~-----$~----------$ $---~--- St-'--.~_.__ (':')As evidenced by Chari table Exemption Certificates issued by the Secretary of Revenue. $=====:= $-----$==:::::====:~$-~----..,... ~~----- %_-............-..........-425.83 d>~_~.J~_ TOTAL TAX Less tax previously paid BALANCE L~ss 5%of tax if paid within 3 months after death BALANCE OF INHERITANCE TAX DUE Add interest at rate of 6%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 Tax on 8________5% Tax on $._~lO% T ax on ~2~T~~on $2,838.85 :Q!J% Ex~mptions :~(*) Total Estate __ FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of Registe~of Wills,for proper reason,same should be noted below, explanation. tax by the with short Will l Administration ~No. IN THE n'''''' Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF ....FRANK .KUCHINIC...... . Deceased Late of....F:r:NL.E.r.Vl.:LLE........ . County of .WASHIKGTON. Commonwealth of Pennsylvania REPORT AND APPRAISAL I .~., j Fonn RCC-2 DEPARTMENT OF REVENUE~ B~EAU OF COUNTY COLLECTIONS HARRISBURG,PENNA.17 127 ,eOMMONWEALTH OF PENNSYLVANIA........ RESIDENT INHERITANCE TAX APPRAISEMENT DATE P~.~~~~.t3,F ~?..'.~.~§.8 COUNTY W.~~h.~.§9..I.?:. FILE NO ~.?::.§..?..:~.!~~. Whereas..fr..@,~~~~.h.~.D.?::~late of ~~.~:!.~~~:. in the County of w.~.~!:),.mgt.9.n Commonwealth of Pennsylvania.having died on the 4 ~~day of ~~~.~~...................................19 ~.~...seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore.I :w.~.R..L ..G.b.an.~y.,an appraiser duly appointed according to law. having been designated to make a fair and conscionable appraisement of the said estate.and to assess and fix the cash value of all annuities and life estates growing out of said estate.hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Description of Asset Unit Appraisement ! Values Made for Inheritance ; Tax purPOlel1 $, PERSONALTY: Checking Acct.-Western Penn.National Bank.232.16 Hnsnit.,!:ll insurance -refund 64.00 1 Q60 Chevrolet automible 50.00 1964 Chrysler automible 1,100.00 Knights of St.Geor,ge -insuranee 300.0( Washington Hosnital Refund 558.00 c __.~_.~O~_,.:j.,;li;Q.O"';OCl -w.('r....~\.k..121.67 ~ 6.1+25.83 6.425 83 . .. .' Total 6,425 83 '. form~;v~,,:~bl:~::fh~worllaL~o~~,~a~o~~~~~~~~~i:a:tiS;:~~ /Z~7f d ..c:://:/~NUand Street)................,..~Penna. (Post Ofllee) .....WASHINGTO.N....County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of RRANKijKlJJ3a.[NJ:C.~~N.q!.K!§,. Deceased. Late of FINLEYVILLE '......~..-::'..~':-~~-~.':".";.~"':~.~~~..~.~.~.~. Date of Death,.A~:J.:t-.~4.,.J.99l!.. ·ApprG1·selllCllt Docket Vol.,.J1l.1.... Page,..:;I,,3.9.~3.No (>3..:::'.9.?.'~~g?J.. Filed in Register's Office,I;l~.~~p..f3.:r..:;J,,7..J19.9..$.. Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appra.isement, Appeal f,.om Appraisement,. Entered and charged,. j ~ Form RCC-4-RI-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS 978965 OFFICIAL RECEIPT No.Transfer Inheritance and Estate Tax File No.63-68...1123 Date October 9"1968 Office REGISTER OF WILLS,tlASHINGTON Pa. HASHINGTQN County,ss:Received from John Kuchi ni r:.'Pa2ri l1g on Ind..Liab. ~~~lutot'~As11hirtistm~f;~di··.·"L f th tat f FBANK KUCUINIC....-......A.,."_.........;l;l;~0 e es e 0 who died Rugm:u:,~19 68 ,the sum of THt\m~iiUNDnm {fIFTY-SIX and 99/100 ..-....-......Dollars,0#:.,.t being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Real Estate Tax on 5%$ Date Valuation $Ta!on $10%$ $Tax on $~2'Yo $PTotal$Tax o;n ~2.505.21 15'Yo $3'15.18 IV Personal Property ~Exemptic ns *$ Date Valuation (\~mw IJt.Ac.ct 2 l!'Or.:21$l!;J.oJ" $Total Tax $ Total $~5.....11.I~r PrevIously Poid (if =y)$.(..,vb." Total Gross Assets $\Balance $ Less Debts and Expenses of ~Less five per centum of taxif paid 18.79Administration$within 3 months after date of death $ Clear Value of Estate $~~nt of Estate Tax Assessed under Valuation of life Estates or Annuities the Act of May 7,1927..$ Date 19__$ Add interest at the rate of %-,19__$fromEstateTaxAssessmentsto $Date 19__$ 19__$Total $35(;.99 *As evidenced by Charitable Exemption Certificates issued by the Secretary of .NOTE:In accepting the transfer inheritance tax on future estates prior to the death of Revenue under Act of May 28,1956,P.L.1757,effective June 1,1957,as amendedthehfetenantortenantforyears,as evidenced by this receipt,it is understood that the Com-by Act No.381,approved July 11,1957,and Act No.207,1961,Section 302.monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditional S E-~L •_Itaxmaybelegallydueandcollectibleforanyreasonwhatsoever.31...139..3 /jl.;/t/(,.(P;~-If....t-rl11000[pJ[L0 ©~11[II ./r"tL.·Ii <:.....t~....•.,!."".• NOTE,This 'triplicate Receipt to be retained by the Register of Wills cmd filed in numerical Register of Willssequenceforauditpurposes. MOORE BUSINESS FORMS,INC.,ELMIRA.N.Y. Ii II FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 37 Page139 l.ine 3'---~ Estate of rrr..,ANX KUCHnUC OFFICE OF REGISTER OF WILLS tiASaI!;C1\JN Pa. Date October 9,19 68-- SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY IS.1945.P.L.528 lUiSSELL }.fARINC Register of Wills 120l (g).Act 01 April 9.1929.P.L.343.as amended. viz:-uTo receive from Registers of Wills all duplicatere. ceipts for taxes paid to them by executors or adminis- trators and to charge the Registers receiving the moneywiththeamountreceiptedlor.The original 01 each suchreceiptshallbesignedandsealedbytheRegister01 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 theRegisterunlessthereceiptissosignedandsealedbytheRegister01Wills," Fill in below name and address 01 person to whom tax receipt is delivered: I :rm:~l ftUCnUUC------- FT~t.rV~JTI'.t.P;,PENfiSYLVANIA L I -l Form RCC-4-RI-3-66 No.978974 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax RESIDENT DECEDENTS ----~..;.;;'.,4':i\;;"(,",,'~.,;,,!~;,.:r;.-.i:.:;J.;;iiJl..,!T!;,-'J~\*,~J.....·County,ss: (&mpj~I;~djnJii~ffiJl.~9JtQt~G1JetigIi~)of the estate oLf ----.;F(!.,~~....~~~~~,U;;,....-:!l!,.!.,\~rc'*'.t:~J!~):Jt!./.J:I,l;;:C:.......-------------- who died ~p.'!)V'l1il'lel..A.19J1lL the sum of n.nn·:J,~40'.".,..:;I being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax NOTE:This TripUcate Receipt to be retained by the Register of Wills and liIed in numericalsequenceforauditpurposes. """"'" ·,.v....,..-~.J".........-RegMer of Wills \MOORE BUSINESS FORMS,INC.,ELMIRA.N.f. Total $:\f~17 ,nn *As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue under Act of May 28,1956,P.L.1757,effective June 1,1957,as amended by Act No~,..cmproved July H,1957,and Act No.207,196!,Section 302. "SE~L ..t'~1 /,",,1 11 \1 ~.f\t •.t~ Exemptions *$============. Total Estate $_ 5%$_ Tax on $10%$----------- 2%$_ Tax on $_ Tax on$~_ Tax on $---'2:L.ll...~.L!aio.!.:.•.1\.£.;~~2~.l'_--'-----15%$-----.;:3H7""'$I-o,;rll1'-ESll---,--- Total Tax $ $~,50S '.'.]Less Tax Previously Paid (if any)$ $Balance $ Less live per centum of tax ifpaid 18,,78 .-,~,~ $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 Valuation $,-----'--- $,------ Total Date Date ... Bf!nk Aec't"$------ Total Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date 19__ _________19__ NOTE:In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant for years,as evidenced by this receipt,it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the lile tenant or tenant for years whenever it dppears that such additionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever.31..139';'3 Estate Tax Assessments Date 19__$----_ ________19__~$======. Personcl1 PrOPerty Real Estate FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 37 Page 139 Une'__J _ Estate of F:~A:tlK ltUCIUNIC OFFICE OF REGISTER OF WILLS f}ASHI~;GTON--------Pa. Date Octol~er 9~68------__-=-__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 RUSS1\tt !fAnI~:O Register of Wills 120I (g).Act of April 9.1929.P.L.343.as amended. viz:-"To receive from Registers of Wills all duplicate ,re- 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 he a'proper voucher in the settlementoftheestate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills." Fill in below name and address of person to who'D tax receipt is delivered: I JOI::~i~UCflINIC------- 1"1 ".f..b"fYILLE,PENN~UVANIA L I 15332 -.J RESIDENT DECEDENTSCOMMONWEALTHOFPENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax Form RCC-4-RI-3-66 No.979117 Date,__N:-o.:.:;..v_c:...-m~h.......e_r__2_0_19 68 File No.(i3...69.1123 WASHI'NCTONOfficeREGISTEROFWILLS,,-"'Pa. \WASHINGTON County,5S:Received from __J_·o_hn__._tt_u.......c_h_t_u_lc _ ~.sL Administrato~~~"·$.of the estate oLf ~P~R1~Mm~•..~.~.~KlJ~·~C~m=N:.=I~C:....-.__;_-----------~~bdd4 19A,~~oLf '~O~U~R~._H~n_.·_m_·~_.._·~~..__a_ft~,d_·n_.c~h~·_oo~._·__..._·_-~·~-_w_..~*_.._._..~~~ being TRANSFER INHERITANCE TAX and/or ESTATE TAX due tRe Commonwealth as follows: Appraisements Made and Filed Computation of Tax Date Valuation Total $ '4_0_0_.•_00.......·.__ *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,approved July 11,1957,and Act No.207,1961,Section 302. SEAL Tax on $5%$ Tax on $10%$ Tax on $2%$ Tax on $On Acet.15%$400.00 Exemptions *$ Total Estate $ Total Tax $ Less Tax Previously Paid (if any)$ Balance $ Less five per centum of tax ifpaid within 3 months after date of death $ Amount of Estate Tax Assessedunder the Act of May 7,1927.$ Add interest at the rate of % from to $ $ $,------- $ "$ Valuation $,----_..:....- $,------ Total $,-----'---- $,------ Total $,__~_~__ Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date'19__$,_ ________19_!::$============ Estate Tax Assessments Date'19__$,_ ________19__!::$============ NOTE:In accepting the transfer inheritance tax on future estates prior to the death ofthelifetenantortenantforyears,as evidenced by this receipt,it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant for years whenever it appears that such additionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. 37-139-3 NOTE:This Triplicate Receipt to be retained by tbe Register of Wills and filed in numericalsequenceforauditpurposes. Personal Properly Date Real Estate FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT Docket 31 Page 139 Tine,_3 _ FRANK KUCHINICEstateof"-_ OFFICE OF REGISTER OF WILLS \IASHINGfON---------Pa. Date November 20 19~ SIGNED AND SEALED AS PROVIDED BY SECTION 120r.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY 15.1945.P.L.528 RUSm\LL ltARlNO Register of Wills 1201 (g).Act of April 9.1929.P.L.343.as ame~ded.viz:-.'To receive from Registers of Wills all duplicate ,re- ceipts for taxes paid to them by executors or adminis-trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each suchreceiptshallbesignedandsealedbytheRegisterofWillsandtransmittedtotheexecutororadministrator,whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills:' Fill in below name and address of person to whom tax receipt is delivered: I I To 4Tlft'S.BLOOMtBWOlJ,ROsmfBERG &OLOO)! 200 WAS~UNOTONTRttSTBUILDING 14ASBINOTON,PENNSYLVlt,IA 15301 L ~ 4,....~~~.'-;r.......... ------ Form RCC-4-RI-3-66 No.979194 ~9 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax RESIDENT DECEDENTS File No.63..68,..1.123 Pa.Office REGISTER OF WILLS,WA~iINCmN t'iASUn11lffltJ County,ss:Received from ..SlJn!ULlh'nJ.l.~J(D,;u!l;l.!c"'_lh....il4.n.!.JSuo.QL.·_ (I}m¢mqr,Administrator;dr:Gum:mdil)of the estate of Ji'UMn.t;lttlCLt111jn who died AllgUAt 4.,19 M ,the sum of !t1f:HfY...VU)\6tid 8";/100 .....-.................'.....,..........-Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax Date Valuation 5%$ 10'}'0 $ ~~$ 15%$Tax on $_ Total Estate $_ Tax on $_ Tax on $_ Exemptions *$=============. Valuation $,------ $,------ Total $,_ Date Real Estate' Personal Property 1~17..68 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 of the life .tenant or tenant for years,as evidenced by this receipt,it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritancetaxatthedeathofthelifetenantortenantforyearswheneveritappearsthatsuchadditionaltaxmaybelegallydueandcollectibleforanyreasonwhatsoever. $======= Total Tax $_ MOORE BUSINESS FORMS,INC••ELMIRA.R.Y. Register of Wills Less Tax Previously Paid (if any)$======IJJO==·~f=OO=·=.=== Balance $2.::..S.::...e..:..:3~_ Less five per centum of tax ifpaid within 3 months after date of death $=========== Amount of Estate Tax Assessed under the Act of May 7,1927.$_ Total $25,83 *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 amended by Act No.381,approved July II,1957,and Act No,207,1961,Section 302, S EJA1} /'/"/'-",.1'l·i"lt::~)·-;1,i.G.·/";/.,h4~t,rv~,,/) Add interest at the rate o'Lf % from _ to _ $,------ Total ,Total Gross Assets Less D~bts and Expenses of Administration Clear Value of Estate Valuation of Life Estates or Annuities Date'19__$,_ ----19__·~$============= Estate Tax Assessments Date:19_._$,_ -......:....---19__~$============ i I· FORM RCC-4-RI TRANSFER INHERITAl'JICE and/or ESTATE TAX. RESIDENT DECEDENTS., RECEIPT 37 139 3DocketPageI.ine:_ FRt-.ER lUJtHn1ICEstateol-f _ OFFICE OF REGISTER OF WILLS ttASHlmTOY___________-LPa. Date Doee=bor 24"19~ SIGNED AND SEALED AS PROVIDED BY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY IS.1945.P.L.528 RUSSELL !ItiP..Iro Register of Wills 1201 (g).Act of April 9.1929.P.L.343.as amended. viz:-.'To receive from Registers of Wills all duplicate .re- ceipts for taxes paid to them by executors or adminis- trators and to charge the Registers receiving the moneywiththeamountreceiptedlor.The original 01 each suchreceiptshallbesignedandsealedbytheRegister01 Wills and transmitted to the executor or administrator,whereupon it shall be a proper voucher in the settlementoftheestate.In no event shall the executor or adminis..trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedandsealedbytheRegisterofWills:' Fill in below name and address of person to whom tax receipt is delivered: I Ai.TY.atOOJ,.l~DLOC:I..ROS~.G &DLtX)li 200 l:A~n:mrron fhl!u'i'BOILDn:G I L t!A...t:;}fltGl'On,F~n..YLVAi~Iu 15301 ~ I I!j 1