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Home My WebLink AboutOC1968-1124 - ESTATE OF SAMORIGA(Form where decedent died intestate) 11u t4r (@rp4un!i~alonrt nf lIusl1tugtnu alnnnty ESTATE OF FRANK SAMORIGA, .No.63-68-1124 In the audit of the First and Final ~•••""'••••••••'.~.'."""••••••••n ••~"•••".'."••••••••••••••••••••••••••••••••••••••••••••__•••••••••••••••••••• Account of STEPHEN O.SAMORIGA, Administrator Deceased The petition of.§~~?.g~.~.9...~~.~9..~.~.~?:. (Name of Petitioner) respectfully represents:. (a)The decedent died J.une .26..-I .l.9..6..8 ,intestate and (Date) letters of administration on..hi.s estate were granted AJJg:g,$.t.2.9..,.l.~.9..~. (Date) State (I)whether de- cedent was married or unmarried;(2)if mar- ried.whether a husband or wife surVived and his or her name;(3) whether or not there was any marriage settle- ment;(4)whether or not family relation was maintained until deced- ent's death;and (5) whether the decedent left children or issue of deceased children. as per record thereof appearing in Administration and Bond Book No ..7.9.. at page J..~..Q . Decedent was survived by no spouse or children,nor issue of deceased children. within(b)At the time of death,the decedent's domicile wasX'iK~dmmxthe Com- monwealth of Pennsylvania,to-wit,at.Mi.ll:sb-o.r-o-.,.-P-enn-sy.l:v:an.i-a.. (Town or Township.State and Nation) and residence was at.:W.ash.ing.ton....C.QUn.ty.,..H.Qm~..,.....w.9:.$..h.ingt.Q.n.l.....:!?g.D.D:§y1vani a (Town or Township.State and Nation) (c)The names of all per:sons having any interest as heirs or next of kin~i ~ with the names of their deceased parents,to show relationship if they take by representation are as follows: NAMES George Samoriga :.,.. Relationship brother Interest 100% Of age,sui- juris.or not, (write yes or no). 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 m interest are living,except no exceptions (d)All .h·. h h d actual . f h f·I·partIes avmg any mterest ave a notice 0 tel mg of the ~ccount b~letter dated January 15,1970 and February 24, of WhlCh coples are attached. 1970, " (e)Balance for distribution per Account (f)Additional debits,not shown by Account (Itemize) $....?L~.?..~.~..~6 none (g)Additional credits,not shown by Account (Itemize) $·..··g·;·it5T~..lr6 ,'".L......'J \..> tax. $...J.;1..~.?P..~_Q.P1-13-70 Commonwealth of Pa.,pay- ment on account of in- heritance tax 1050.00 $....7..i'.~.lJ.l.~..H;not (h)Claim for exemption has/been made,and has.....n.Q.t........been paid. (i)The estate is..."".~·.;......subject to the payment of inheritance tax to the State of Pennsylvania. (j)The estate is not subj ect to the payment of the county 4 mills Insert word "not"where necessary. If taxable state wheth- er tax has been paid, (k)The estate is no.t.subject to the payment of Federal inheritance tax. (1)All creditors (and other persons who have complied with Rule II, Sec.9),of whose claims the accountant...~.~~notice or knowledge,have ........................received actual notice of this audit;the amounts of their claims and whether or not they are admitted to be correct are as follows:1l too many for the space,annex a list there- of;if no such claims, insert the word H nene." If any creditor or other claimant has not re- ceived actual notice,that fact must be stated. u'no unpaid creditors' 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~o all .qu~stic:ms requir-\(m)mg adJudicatIon,and a statement of any mater- ial facts not already given.If none insert the word "none." If any share has been assigned or attached that fact should also be stated here.none State kind,form and character of propeny 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 pan in kind. (n)The balance for distribution consists of property in kind,form and character,as follows: Cash in bank,entire balance for distribution 'I- "",...~__-_~__.~..__.......--.J -. FORM 67 REV.1-50 REG.WILLS Application for 1Jlrtlrrs of AItministration on thr Estate of.~.~.~~.~~.~.~"?.~.!..~.~..,.. late of..;?,.9:.§•.1:.~.~..~.~.!..'?.!?:.~.~'!.~.Y!.E..~.~..~.p..!~.'!:.~.~.~.~.f!i.!.~.~,Deceased.\"oun\,y,ra. Before the Register ofWills of Washington County personally appeared ;~..~.~.P...?.~..~~..:~..?-.~.?..:..~..~.~.. who,being duly sworn deposes and says that f..!.9:p..~§.9:~9..!;J.K~,. 8 4 h'his ]f']·"]'d .age ,avlng..................ast amI y or prlnClpa resl ence at... ,(Street and Number) ....................................~.~}}..~.~.~..:..~,Washington County,Pennsylvania,died intestate Was h in t ~W·~8"t1ufi't j0'If&hM'~215 t h -. at.C.li.a.r...t.i.~.r..~:r..Q.F..n.§.hJ.P.,on the day of ::r.~.~~.. A.D.,19 !?..?.,at...~..:..;?9.~..:,..M.,possessed of personal estate to the estimated value $.J}..!..~g..~..~..g..~.,and of real estate in the Commonwealth of Pennsylvania to ~he estimated value of $n.Q.n.~,situate in .. The names and addresses of the decedent's ~urviving spouse (if any)and other heirs including heirs by'adoption)are as follows. George Samoriga REI,AT'IONSHIP Brother RESIDENCE Laurel Rest Home.........................................................................................................................................'... ............................................................................................................................................7..R :.ff..!..~.~.!.~§.:t~.~.~..t . .....................:1 y..gJ.9..p...!.9..w.~..l p..~.~.r.:.~..¥..!.y..9:.p...!.9:!..~.~a 1 .....................'......................................••••••••••~••••••••••••••••••••••••••••••••>••••••••••••••••••••••••••••••••••".. .................................................................................................................................................................................................................................................-_.------- ........................................................................................................................................"'1'. That deponent is over 21 years of age,resides at..l..~..l.R §.QY.t.Jg:Lr.n.B..:j,JJ..§~.Q.y.l~..y..g.r...g..l .. ...~..'!:.~.~..~.~..~.!.!:..~9..~..~.~;. is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previoUSly issued thereon. . .'r4 L.//;O f '-. Sworn anflubscrIbed before me thIS......L..........................,,~t~$f~if ..~s.~:...... ~-68dayof..'?;Jl:~.L.,A.D.,19..................... _..~.2l.z.~_..." "__ ~=~~~~L~~~:,E:;LVANIA }88:...6J~ fu,d now;~,.(..:.r.::..,19 ~.~.:comes :~:..:.~.~~.~..~..i..~,,_. who bemg dUI~orn doth depose and say that wIlI well and truly admmIster the goods and chattels,rights and credits of X.;r;:.~E.~~.~.~?E.~.~.~,deceased, to the best of...h..t~.....skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. 8wonQInd subscribed before me tbiS..../.:e:~ day Of..~~~,,~.,19 §..§...............£..~~~q~ REGISTER , (~ t f 17{)S /to,?'3 ~G"8"~II ~1- ".,i. APPLICATION FOR Letters of Administration ESTATE OF .........................f..!lb.~.~§.AM.QR.l.CJ.A . Deceased R $. .o.-Q..................,..................../..'crLetters...............P $.fL.............. Extra Alias Certificates ...;;j'£i......$ ·..·~..·u·;;, ..............$. Renunciations /..tJ $!.~~ ............_..~___.."..___.$._.._;--;;~..~.•.,"""/c,?''''Total._>~:-•••••••••••_~'"v .......................f.::~~.....;:..~:;:::::::::::::~:: ·....·....·..·........·....·....·..·h~·....·..../·';~'):,')l;)..... -:;.; r-:~ 1-c.Jv)..-o (..., Ul PATRONO,CEISLER and EDWARDS Attorneys at Law 80 East Chestnut Stre:et Washington,Pennsylvania 15301 .............................................................................·Att~~~~y····· ~2 )\ (d,8~&;;L G~~::<87 "'\.,.-\' I...~'......-J..'~ ~.....~.~..?.:..~.~~.!:..~~.~m.2~E.~.!t~~(MARK-)- (George Samoriga) 'ESTATE OF "".'FRANK SAMORIGA '..'................................................................................................................................................:DECEASED ,.' The undersigned ~.:.?:..~.~~.~!!!.?.:..~.!?..~and heirs of ,.~.:f..!..9:.~.~§..f;l;.m2.r..~.g.9::.::.late of...M.~.1J..§.p..2.!..Q.1.w..'*.!?.~..tgg.!:.2.!!£2.~!!..1::t...l~.P e I;t n-,,,'"s y 1 van 1 a deceased,hereby renounces h..t!?right to ad~nister on..~.h.~f..r.J!!!.K §..~m.Q.:r...~.!t~estate and respectfully!;sks that Letters of Administration be issued to...$..:t..~..P..h.~.D.Q..,§.~m.Q.r...~.g,9:.I 1..:n..§. ," South~rn Hills BQulevard,Hamilton,Ohio................,"'.by .mark.'..~- Signe<V in the presence of: ,,~,"'k-/J~r""'~"~\.,/,~~.~"l.I ..~~-".-."'...f(-. ~i~, t\,y0 ,:· ·/f"jiIi-2·..·&'ii·";j'8,B ..~_'tl2.f}~.dl..I...._'M~r& ................................................................................................................... \ .._~,,. I 1__- j(:'~,q I'"("J F"1"c·-..W.J P.;).;)"f!..1 .J RUSSElL HA.nINORECISi::'f,C,:\:ilLS Nm Z C Z ()-»-i-oz 'I,f -I • Olommanmraltl1 af JrnnByluanta.~..9.9. lJa.9~tngtnn QInuntg, • I,Ru s se lIMa.rino ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, to Stephen O.Samoriga administr a t or of all and singular the goods and chattels,rights,and credits,which were of Frank Samoriga late of Washington County,deceased, GREETING: WHEREAS,the said,Frank Samoriga late of Millsboro lEast'Bethlehem Twp.in the county aforesaid,lately died intestate (as is affirmed),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 l'ender 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 20th. day of August in the year of our Lord one thousand " nine hundred and Sixty Eight .._....._..1?~1LC.4f:'.4c.~ RUSSELL MARINO;Register. \ • ~ ~~....."1 ..... Il'"'t1 +-t ~~ ~ ~z =Il't:rj +-1'\a t 0 CJ:J ~"1 1-3. ......~ty !(}Q aIII lID t:rj ..... ~:::.....~.....+-t~..........=::: .:, ..II{;;;_" Estate oJast·B~·i·~~·~·h:~¥.~~~~·~h·i·p·~··"·"·"·"··l No.... late of Washing.t.onCountYrP.enn-Deceased ) sylvania KNOW ALL MEN BY THESE PRESENTS, .....of 19...6..8.. ........................................."". all Jf Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth ofPennsyl- vania,for the use of those interested in the estate,in the sum.ot"..~.~l~}.,..?~~..~.q.q.':"....':"...~.Dollars,to be paid to the said Commonwealth,to which paymen t;well and truly to be made,we do bind ours~ly:~s, jointly and severally,for and'in the whole,our heirs,~xecuto;s,'administrators,successors and 'assignS:--ana- each and every of them,firmly by these presents.Sealed with our seals and dated the J.5.t:ti day of .............1,:u:.~.y.A.D.,one thousand nine hundred and,.$,J~t.y:""'.~.:i,g~..t . B Sealed and delivered in the presence of: _______________£H_~k~m _ THE CONDITION OF THIS OBLIGATION IS,That if the above bounden 9.~J.o.~!'1:5.\1(il ty .C.Q.WP.any ..~nd $..t(:)p../:l,~.p....9..~$..9,.m9X.~.g,(i . 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..,,;?. • '/tV 0 ,.';,"-,U ~.~ ......"'(s t..·Ilh'e'ri"0';'"'s1i:~tm:£:r~EAL)~...... <;UU.Q.~.A~.l!.A.L y.~.9.l\!l.p..~~!'(SJ;;AL)-:. ....&~(S~~ ................(SEAL) @ltatrmrnt of ~urdt! 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. &tatrmtut of &urdll 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 _--.-----------------------------------------------------------------------_.._------------------------- ---------------- &3 ~t F¢"//:?1 No...17.05.... ,Abmini!itrntinn 1BUM IN THE ESTATE OF FRANK SAMORIGA And now ___.__.._ _ _ ,19__.. Bond approved and Letters issuecl to,--",,., f3 ;;::,.)-,. 1"'1;0 ro-......--::;-~..:.:;c,-=;.-~.:.;. (7)~t ,I ~~f~,)----.....................---.:::.:,.;:~r:.-. -"t:-0 n'....:::;:::0::;';I !....--r;;.2i _..-D . ,• •Register .-... tn Bond Book (;_2 ~......Page ..2f~ BADZIK PRINTING ~9 DONORA I ~ "','t."r",,-_ <p .....,. ,~..'CERTIFIED COpy OF POWER OF AITOIlHEY THE OHIO CASUALTY INSURANCE COMPANY,HAMILTON,OHIO No.9387 ICttOIU All .,tt by m~t.lf '~t.ttttJ:That THE OHIO CASUALTY INSURANCE COMPANY,in pursuance of authority granted 'by Article VI,Section 7 of the By-Law~of said Company,does hereby nominate,constitute and appoint: John p.Wage ---- - - ----------------of Washington,Pennsylvania = $5,000.00 $5,000.00 Its true and lawful agent(s)and attorney(s)-in-fact.to make,execute,seal and deliver for and on its behalf and as itli act and deed bonds of the classes described below.not exceeding in.anysingle instance the respective amounts set forth in column below entitled "LIMIT OF AUTHORITY": Bonds to be filed in any Court of any State of the United States,or in any United States Court.LIMIT OF conditioned according to law for the faithful performance of their official duties by AUTHORITY ADMINISTRATORS and EXECUTORS $1 00.000.00 GUARDIANS.COMMITTEES,CONSERVATORS,CURATORS.TRUSTEES UNDER WILLS $50.000.00 RECEIVERS IN STATE OR EQUITY COVRTS ;.$25.000.00 RECEIVERS and TRUSTEES IN BANKRUPTCY PROCEEDINGS IN U.S.FEDERAL COURTS ,$1 00.000.00 Bonds of PLAINTIFFS ONLY in ATTACHMENT.REPLEVIN or GARNISHMENT proceedings $2,500.00 Bonds of PLAINTIFFS ONLY to cover payment of COURT COSTS _:;.....................................$500.00 Bonds conditioned according to law for the faithful performance of their official duties by . PUBLIC OFFICIALS.(including Notaries Public but EXCLUDING police officers.sheriffs.and tax collectors)$25.000.00 LICENSE and PERldlT BONDS required by the statutes of any State or the ordinances of any municipality of any State in the United States (EXCLUDING Warehouse Bonds and bonds required of Commission Merchants or Dealers in Securities,Livestock or Milk).. FORGERY BONDS :.. And the execution of such bonds or undertaldngsin pursuance of these presents.shall be as binding upon said Company as fully and amply.to all intents and purposes.as if they had been duly executed and acknowledged by the regular elected officers of the Company at its office in Hamilton, Ohio.in their own proper persons. The authority granted hereunder supersedes any previous authority heretofore granted the above named attorney(s)-in-fact • In WITNESS WHEREOF,the under.igned,Vice-Pre.ident of the .aid The Ohio Ca.ualty In.urance Company,has hereun·to .ub.cribed hi.name and affixed the Corporate Seal of the .aid Company.. thi ~7.~.~day of f.~.p.r..~r..y.:1·9 §.7.. (Signed).Arthur S.Thompson................................................................................................ Viu-PmiJ",t STATE OF OHIO,}ss COUNlY OF BU1l.ER .67 •• On thi ~1~.lA day of f.~.I?~.El.A.D.19 before me,a Notary Public of the State of Ohio,in and for the County of Butler,duly commi••ioned and qualified,came Arthur S.Thompson ,Vice. President of THE OHIO CASUALTY INSURANCE COMPANY.to me personally known to be the individual and officer described In.and who executed the preceding instrument.and he acknowledged the execution of the same.and being by me duly swom deposeth and saith.that he is the officer of the Company aforesaid•.and that the seal affixed to the preceding instrument is the Corporate Seal of said Company.and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF.I have he~UJ1to let my hand.and affixed my Official Seal at the City of Hamilton.State of Ohio.the day and ,year.first above written.~\\\\"I1I1I1""l~~\\\AL Sl ..~~~~"(.~.f *(~/;Zf'\*\~.~~~.~~~~~~~.~~~~.~.::. - ,• -Notary Public ;"and lor County 0/Butler,State of 01lioi':S 7 \CI!l •~I My commission expires P.~.~~E~E ?L.~?.~~..~~.......~~1.t'OUII1'\'~\~.CBRTIFICATBllll1JllII"\\\\\~I,the undersigned,Assistant Secretary of THE OHIO CASUALTY INSURANCE COMPANY.do hereby certify that I have compared the foregoing copy of the Power of Attorney with the original thereof,and that the same is a correct and true copy of the whole of said original Power of Attorney.and I do hereby further certify that said Power of Attorney is stiD in force and effect. IN TESTIMONY WHEREOF.I have hereunto set my hand this.J:5.~h day of...~~ly._ _A.D.•IJ?e.. F.,m S-''''-H ,..,-'"q~~ 1\ffi~auit (@f 1fxrrutnr (@r 1\~mini1itratnr OHIO .fA l'tatr of '~~~f){t lili:~It*Qtuunty uf ~~\ P II bf h d . d h'notary,nublic .df 'dersonay e ore me,t .e un erslgne aut orlty,a .c:lD an or Sal County and State,appeared ~..~.:.p.~.:..~~..~~.~~.~.:..~.~.~who,being duly sworn according to law,deposes and says that he is the ~~administrator of the estate of ......................f..R.j,Uf.K.~.~,M9..~.;t;:.9..~deceased,that the foregoing'schedules constitute a complete inventory and appraisement of the real and personal estate of...g.E.~.~.~~.~.~2£Ag.~, 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 Executor Administrator. '..Jl ~J?~ :); fW01J!...Gnd subscrzbed before me thzs........................l -_.../tfJ .. d ";-e,-y,....l.-/',J"t--19 68 '.,'~a.;L ~.".-~.;.c'~';o:..,..,--~~~'"'D6~ALO .,..:'-;l~·FALr=;;~.·.::::.::;~~_,·~&:rdiiii~i~f~~t~~Not'-Pubfic;~ef.~UHi~otrt~,c:.:........................................JV My Commission Exf)lr05 O(;tt)§§f''11 1'~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 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 $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COpy Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 :lIttuttttnry attb i\ppraistmtttt of the goods and chattels,rights and credits which \were of f.~.h.l'i~~.h.M.Q.!t!g.S late of .:$..~§.:t l?.~.th.!.~.h~.!!!:r.g.Y!.g.§.g.~.p... 11====l==W=G::sh=i=n=g=to=n=c=ou=n=t=y=,=pa=.,=tG=k=e=n:a=n:d=m=ad=e=in=c=on=f=o=rm=it=Y=W=i=th=th=e=a=b=0'V=e=G=f=f 1 ='d=a='V=z't=.==;;~=O=L=L=A=R=.5=;==C=E=N=T=5======1 PERSONALTY:--, I Demand deposit,First National Bank in Washington,Frederick~ town Office,in the name of "Stephen Samoriga for the use oj Fran~Samoriga" ITimedeposit,First National Bank in Washington,Frederick- town 'Office,in the name of "George Samoriga in trust for Frank Samoriga" Cash on decedent's persnn at time of death $968 80 10,663 09 66 00 Ii., I PERSONALTY $11,697.89 ~11,697 89 ~.3-~%-//~~ No.2608- Inventory and Appraisement IN THE ESTATE OF FRANK SAMOR IGA....................................................................................................... Filed lS.9..y..~.m.e.~.r.!.1.A ,19 ~.~ :-:;, "1:-;'!?!r.(.....,0-:; '--,.(./)£..;,,:..7,--r--".....-:-.. .i-e,fij r-.-"-C/)c::5 "-,I . ,J ('-J ....)'. :-"L:j ::>"7-..: ~~ "'. < -.~.--~ 1-:1c.::; '~ C) ~ PATRONO,CEISLER and EDWARDS Attorneys at Law 80 East Chestnut Stre:et Washington,Pennsylvania 15301 ~9 ,... , ,~... The First and Final Account of STEPHEN O.SAMORIGA,Administr - tor of the Estate of FRANK SAMORIGA,deceased,late of East Bethlehem Township,Washington County,Pennsylvania --,--.-'_.-.----:--.-'_:-.'-.'--'-:._'-,'-..-.-:-.-'-.-._._:-.-.-."_.-:-.-.---:-,--,--,-~-,-'-.--.--.-,'-'-.-'_.--,--- --.-'-... SUMMARY Account Debits Credits Balanc" None $12,291.79 Principal of Personalty, Schedules A and B Principal of Realty, Schedu1esC and D Income from Personalty, Schedules E and F Income from Realty, Schedules G and H Administration Expenses, Schedule l' Family Exemption, Schedule J None $ ,. 787.15 $9.00 $12,282.f79 None None None 787.~5 None None , .1,764 .~2 2 1,764.~2 None None Burial,Medical and Nursing Expenses,and Employees) Services,Schedule K Grave Marker,Schedule L Rents of Residence, Schedule M General Claims,Schedule N $13,078.94 994.90 120.00 None 1,739.36 $4,627.48 994.90 120.00 None J.,739.36 $8,451.46 t. .J P R INC I PAL A C C 0 U N T S 1969 Sept.9 SCHEDULE A PERSONALTY,Debits: Amount of Inventory and Appraisement filed with the Register of Wills of Washington County,Perinsylvania,on November 13,1968 Error in Inventory--·checkingaccount valued therein at $968.80,should have been $983.80 United Mine Workers of America.;.death benefit United States of America-·social security- lump sum death benefit SCHEDULE B $11,697.89 15.00 350.00 228.90 PERSONALTY Credits:., 1968 Sept.20 First National Bank ln Washington Oct.18 First National Bank in Washington Dec.13 First National Bank in Washington 1969 Mar ..14 First National Bank ln Washington Aug.8 First National Bank in Washington Oct.10 First National Bank in '. Washington service charge on checking account service charge on checking account service charge on checking account service charge on checking account service charge on checking account service ~harge on checking account $ $ 1.50 1.50 1.50 1.50 1.50 1.50 9.00 $CHEDULE C, \. REALTY.,Debits: Non e SCHEDULE D REALTY,Credits: Non e '. ~..L INCOME A C C 0 U N T S SCHEDULE E PERSONALTY,Debits: 1968 Aug.1 First National Bank in Interest on savings Washington account Dec.1 First National Bank in Interest on savings Washington account 1969 June 1 First National Bank in Interest on savings Washington account Dec.1 First National Bank ~n Interest on savings Washington account SCHEDULE F PERSONALTY,Credits: Non e SCHEDULE G REALTY,Debits: ,Non e SCHEDULE H REALTY,Credits: Non e $213.26 144.65 220.42 208.82 $787 .15 G ENE R A L ADMINISTRATION EXPENSES: E XP ENS E SCHEDULE I A C C 0 U N T S 1968 July 15 Register of Wills Issuing letters of administration and 2 short certificates $21.00 Aug.21 Washington County Reports 29 Stephen o.Samoriga Sept.3,Observer Publishing Company Advertising grant of letters Travel,lodging;and telephone expense of adminis trator' Advertising grant of letters 14.00 162.12 14.00 --------,r----------------------------------,--.. Premium on administrator's $101.00 bond .-,.. 1968 Sept.16 ,Nov.13i 1969 July 21 1970 I Jan ..13 i I Jan.13 I Jan.13 John P.Wege Register of Wills John P.Wege Stephen o.Samoriga Patrono,Ceis1er and Edwards Register of Wills Filing inventory and tax return Premium on administrator's bond Commission for services as administrator Fee for counseling administrator, Filing this account 3.00 101.00 664.55 664.55 19.00 $1,764.22 FAMILY EXEMPTION: SCHEDULE J Non e SCHEDULE K BURIAL,MEDICAL AND NURSING EXPENSES,AND EMPLOYEES'SERVICES: 1968 I July 18 Father Vladimir Fetsko Conducting funeral I services $35.0C Aug.6 Burkus Funeral Home Undertaker's services, on account 666.0C 19 Holy Resurrec ti.on Russian Use of sanctuary for Orthodox Greek Catholic funeral services l5.0C Church 1969 Feb.5 Burkus Funeral Home Balance of bill 278.9C $994.9C SCHEDULE L GRAVE MARKER: 1968 Sept..17 1970 Jan. Simon White's Sons RENTS OF RESIDENCE: GENERAL CLAIMS: Patrono,Ceisler and Edwards Grave headstone SCHEDULE M Non e SCHEDULE N Fee for stating account of guardian of deceased (See 5215 in Equity) $ $ $ 120.0C 120.0C 232.9 1970 Jan. Jan. Patrono,Ceis1er and Edwards George Samoriga ..' .. Re.imbursement for money advanced for filing and advertising.guardian t.s account:(See 5215 in Equity) Commission for services as guardian of deceased $37.90 1,468.52 $1,739.36 g 10 ~],,~erver -Reporter WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION '. :.AaS:R~Toi!':bT~~:IEST~t~OF FR~NK SAMOR~GAdecea,sep;late ?If East BethlehemTowns~p,WashIngton County,Penn., ISYlValla......••;..Ail Letter..of Administrati.·on..U.~Ii.LI.·.thj.'above tate h~vingjl:ieen"gI"all.tedl'Ito .the underSIgned,OIl!','-rsons,haVIng .~laims against estate"arereguested to mak'he"l'sam.e;tol!he u.dersi .,•rorn~y'\'!.~~all pers ebted to' ' the ,dege~e!'-tare...to makepaymept4.,0\theJl Ined Without..g;~ffHEr$~'O!*~XMORr~A •)1315"Southern.HillS BOUlevard,HamIlton,OhIO.'~X PATRONO•.CEISLER"ANDIEDWARDS;.Attorneys ,80 E~st C!~estliu~.iJitreet ,.WashIngton....,Pen!lll:,'lvan:i'1';'lS3MI__......,_!~ji"i.r".t'~~~3f1 W.28752 In compliance with the Newspaper Advertising Act of 16 May,1929, P.L.1784,as amended. Commonwealth of Pennsylvania,County of Washington,SS:....••...... PeI'sonally appeared before IDle,a Notary Public in and for said County and State,~~~~~§_!~y.~:;m ,who being duly sworn acoording to law,deposes and says thltt he is the ..Ex.......V.1.c.e.~..Pr.e.s.• of the Obs'erver Publishing Company,a I'iennsylvania 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 Observer,established September 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;that the printed notice or advertisement hereto attached is a ,copy of an official advertisement,official notice,legal notice or legal adveTtis,ement,exactly a'S printed or published in the Obs1erver-Reporter in its regulltr editions on the following dlate ord'ates;_. ...................Augus.t .2},.,O and.,:,Septemb.e.r 6.,.1·9·68.. that neitherr the amant nor the Observer Publishing Company is interestJed in the subject matter of said notice or advertising andfjhatl"of the allega- tions'of this affidaVit:;)stoth time,place an~harae -·of publicationaretrue./ et LL L c..oJ.............'.;_--:----__.. Sworn to and sUbscribee...,bAe~re me this__Q day Of§.~.P.~.~~P.~~..1968....d1'q::;;;~:~~~y WASHINGTON,WASHINGTON COUNTY' MY COMMISSION EXPIRES MAY 6,1972 Washington Conly ReportS ~~ WasbiogtoD,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,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: ...............~~.g.Y:§.~?9...t J9.9.~. September 5,12,1968 Editor Sworn to and subscf'!·oQ.elWb~e~fo~r~e.!m~e:...!t!:hl~·s ------..,. !.?.~J:1::J..)ay of...~.~.r..~.~.~!?~E.,196..8.. ........7C~~...e,........-/ N ry Public KATHERINE C.YARD,Notary P ·c \'Jlshlngton,Washington Co"Pa. Ml'C'ilnnission Expir~s No'.i~l.L:a.~~"d3G9 EstatAlces The .st(;I'of 'Wills has granted letters. ~~~ry or of administration,in t4,e following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t'hem .> for settlement to the Executors or Admin- istrators or their Attorneys. •• • • • • • • • 0 ••••••• SAMORIGA,FRANK,Dec'd. Late of East Bethlehem TownshipWashingtonCounty.Penna.•Administrator:Stephen O.Samoriga,~3~fo Southern Hills Blvd.,Hamilton, Attorneys:Patrono,Ceisler &Ed-~ards,80 East Chestnut St.,Wash-mgton,Pa. OHIO STATE OF ~~l, ~~COUNTY, The within named Accountant being duly sworn according to law,deposes and say s that the above account as stated is true and correct as ~.~verily believe.s. o o....o .!:d...<ll ,0 (t~~~· Administrator) I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribed by Stdtute rd Rule of Court,as evidence by proofs thereof fi led to No..b.3.-:..J.tJ.;.-..6.. Witness my hand and official seal thiS 9?~__....... dayaL.~....CWi':"""19]0.._', ,.0--'--~---~·~·!(~w;ii;·:.- \ci-(~ Sworn and subscribed be'fore me this ..l.{. ciZ day af-....H.,n-trn~..19~O .yQ~...~.\o..... SllVEA KULBACK Noter pu~~le I '-,.r!Cor r.\J~lqr County OiliOn •..,.I~I 3 191tN\~t~j1\R\I~a1on txpiros Octob r 1 , t"'"-Washington,County,ss: '/ ~I "\! "'!"1\i~! "Vi .~ '4 ...... ,", J ---...~.------ -~-~.- ..-. ~. .. ~ '...~ \ • The Court is respectfu Ily requested to determine !~fRE~= t Counsel for Accountant f.;..C!Inuntu ,.... ,.'In the matter or the Audit or Account in .'FRANK 'SAMORIGA,De'ceasep.Estate or._'.:......-r---'-_...,...__/No,6-13-68-1124.,,..:-:.' 'TO THE AUDITIXG JUDGE: .' :. ..'.:.i • our''a~c6~nt~nt;Enter'a'ppearance ror --..:~ -, ,( " PATRONO ,e'EISLER AND EDWARDS 'By'j.ei!:;L4,N~ Francis H.Patrono , I '17thday of 'March .19-.2Q.. ,. N.B.-":'Counselshal1.by separate p3.per.present a concise statement of each claim,with supportin;;calcui:J.tion of any interest cl2.imed,Objections to an account as tiled.shall be concisely stated in a sepuate paper. Council suggesting proper distribution shall file a separ:l.te concise state- ment in that regard.'. 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 If prior accounts have ( ) heen {iled,list number r and term. no prior accounts ,..'~-~. 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):-, George Samoriga \entire balance col.{nty of WashingL6fl,ss.$tCif~e'f <:'4{~" But"J.,.ert-. .b'd ITheabovenamedpetItIOneremgu y sworn doth depose and say that the facts set forth in the foregoing petition are true to the best of h ~.s.._.._knowledge and belief. Sworn to and subscribed before me this 7 P-day of J1?.f.p..h.:,19...2.Q . ~J £--.111..........__:.rAJ..~. '. And your petitioner will,etc., '7 £'~'i(Jg~iP~i;i~- (Stephen o.Samoriga,Administrator) Ellen W~"Keller ....Notar-y....Pub.l-i-e·;....·B-u-t-l-e·r..··c·:uuntY·;::-..Ohi 9 My Commission Expires cept.28,197D d ! t' ., FORM IN CASES OF INTESTACY No _._6.3~.6..8.~.ll24 ~H&X:KiXXX~ IN THE ORPHANS'COURT WASHINGTON COUNTY,PA. FRANK SAMORIGA Estate of Deeeased. Sur account of ...._.-.Ste-phe.rl...-O..-....samor-ig.a, Administrator PETITION SUR AUDIT In Conformity with Court Rule III, Sec.5 (B) COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH ......-.r.The letters of administration.~.A copy of the inventory and appraisement. 3.Proof of advertisement of the grant of letters, if not 'filed with accountant.~- e.---zt.An appearance for those represented. ~-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. " ''i/d "OQ N01~N\HS"Jfi\ Slll!l\JO 'djlS\~3B oN\U';1 '~',l l'l3 ~5 SnB PATRONO,CEISLER and EDWARDS Attorneys at Law 80 East Chestnut Street Washington,Pennsylvania 15301 It E~ld t \h~~OLl '03--\':! 1<"\r"..~• PATRONO,CEISLER AND EDWARDS Attorneys at Law 80 East Chestnut Street Washington,Pennsylvania 15301;' NOTICE In the drphans'Court of Washington County,Pennsylvania Es'tate of FR1\NK SA~ORIGAt De-c:ea%l"#d, TO:George i1al!l(lrl~u ~Ct~~:tdimi .~...·f r .t·t '"{l r ...··'td .•.~rl""l").'r"~",..,•.~;..'<..Al!:':.~l":E·.·e ,;..:.:.H;I_H~....,,,,"'••,.;.~.,~~:\. LallT~l Res:t B!JlfiH 75 Hickle 8t~oet Ullluntnt:rH"Penn5'Y'l\r;~n,:h!.15401 Please take notice that Sl'l~r>HUN;;,SN·1U}.:,H~A ,l\ltuinist:natG'l'~ of the ,Estate of FRA~U~.SAH0RH;A deceased,filed hiS F;t,t~st:and PinaJ.Account tn the office of the Register of Wills of Washington County,Pennsylvania,on ~hnm~H~Y 15 ~19'70 • You may,if you wish,inspect the said account in the said office. PATROND,CEISLER AND EDWARDS Attorneys for Dated:Jal1ti~ry lS,lft10 En,elp5\,lre .",Ci,}PY oi!said ee:Stephan O.S~mo~iga • /' PATRONO,CEISLER AND EDWARDS Attorneys at Law 80 East Chestnut Street Washington,Pennsylvania 15301 NOT ICE .TO:H!f'..G~~'tge S~~o;rjS:;I LA~.J~l~e$t U~Jlitl .~ is,iU~;.ld\t tat~,'@\'f;' t;nlC'n:~C'iW11~i~tI~llWrl.V~~.i~1$;4!U of th:l~:~:t~a~:not~~ai~;~i~~~Q~SA~~~t~~de~:~~~~i::::~O:i$ P!rst and El~al Account at the above Number,'and that said Account will.be called for aUd~t ill tl\~,;Rr~hans,:.C.9fur.hROJ):n--rl.Cour,t HOl1se,Washlngton,Pennsyl vanJ.a,on t'\Hni~~Y,~.(;t'f"".t J,"J ),.~,rv at lO:IU A.M.,and a decree of confirmation and distribution may be entered unless exceptions or objections are filed.You may be present if you so desire but your presence is not mandatory. PATRONO,CEISLER AND EDWARDS Attorneys for /I,&ii,Jj 1..,$"ttl'a.tOt 11 P'r~~l('li$@ ti+Pwt!'~rvJ' ~n t1Jt Qtnurt nf Cttnnunnn JUtUS nf lfuslJingtnn (ttnuttty, 'tnnsyluuniu,<Orpquus'Qtnurt Dittisinn ESTATE OF No.6)-68-1124 Frank Samorige., deceased. In the matter of the Fl:1rs t B.nd Final Account of Stephen o.Samorlga Administrator ADJUDICATION AND DECREE And now May /~'19~,this matter came on for hearing, audit and distribution at this session and testimony t~~;and thereupon,upon due considerationt,ryer:t ~~Et bftLance for distribution in the hands ~f the Ac.countant.is deter",!i,:ed to be $ •'.1'.b and the.account IS accordingly confirmed;and It IS ordered, aQjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached ar;td made a part hereof,unless exceptions hereto be filed sec.reg.or'an appeal be taken herefrom sec.leg...' SCHEDULEdF DISTRIBUTION." Balance per account $8_'15].',6 ,"(12 ~~urJAdditionalcreditaskedata.udit'10~0.00 ~iD~~$7,,401.46Balance Deduct Clerk's Costs &Receipts 21.00 Attorney Patrono.Ceisler &Edwards $7,380.46 George-Samor1ga,brother,balance,7380.46 No balance . .. I:'..J (V'),tI).' <:::>-J--..:l: (V'):z -J~-- z:::0::~o C- .q:(.)..:'E l1,..a 0 ::z: !'0 'l,j ~-O:::'f- L.'-urw \9 __t >-(f)f-Z c:r '(J)- :lC Vl-:J: ~-. .::J0(1) c:l cr W LL c~~, ,r-.....-~..-._.~-40 0 ~~ -t\Z ~ ::Jn·g."~ t:Y 0 i "'" c (l) (l)a 3 0 0 0 ;::.-t\-t\~ t .., 0-t\ "'"::J" ;: (l) t4~, ~:: , IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNSYLVANIA In Re:ESTATE OF FRANK SAMORIGA, De'cease d PAY TRANSCR IPT Each of the undersigned does hereby acknowledge to have received on the date set forth to the left of his/her name the sum awarded to him/her by the Orphans'Court of Washington County, Pennsylvania,by its Adjudication and Decree of May 13,1970 and set f~rth to the right of his/her ,name,including in kind any property awarded to him/her by the said Adjudication and Decree, from Stephen O.Samoriga,Administrator personal representative(s)in the above named Estate;and each of the undersigned does,by his/her signature hereto,release and discharge the said personal representative {rom any further lia- bility for the discharge of the obligation resting upon him by virtue of the said Adjucation and Decree. Date of Receipt ~YJature of Dis,tribut~e June 9 19~70 Ij:.:;.-<~.--.c-ed,~~~ ---------'-,Russell Marino,Clerk ~~,198{-.JO,£~~&L~e~~~~samori.gal tr~ Amount Received $21.00 7,380.46 --' --' --' ~--------' --' --' 196_ 196_ 196_ 196_ 196_ 196_ ------- .. .....;.' ,,' .'<1 ...... ,,,., .., '" '._,'.....':o.~.'OJ f -\~-II .., '.':",i".,.~ ,n.,,,'.- ~.'. '.1 '. .'. \.,....'J '.;:"r, i'.~'),".~".,~~~,T ~~.of ;..(.,Ii- ~.{\..~ "..,I ':':,..'.,'I:''.t r"·,:-:::'", .I.N RE:~ESTATE OF .F~ANK.SMft0FIGA,")~",.:. ,.'Dece'ased ', ."'".NQ.,6"3-:68-1124 ,." .":'.,,',',pO~1nR ott J\T~10W~~E)!:;'··'.':""~,". .....:;~.._.'!""*""'~"'O:--','""~-~~!...~''''''''~'',-;~ 1-'4 '~~'~_.',",,!...'.~...~.~...'":<.I ~" ,:-,~'._,r ~,~_'."~'.•~<.,,...~...:.,~..•,'''.'\':.."',....,'._"",..:t..'~..l I ..__"..•KliOW 1{L!.·'tI&N ,.;fiY'·TBi:tSll ~!!.i;;S,-;jliTSt';,·~ltA~"I r 'C~Oll~t}S.Mio~tm~,~Of'·~. •,.".~~,-,-..,..t.,"...~,11-:,',". .-'J-'~~~":'~~9t:1fOr~~,;75,'hiekl~p~i,ea~'1 :t'nt~nt~fn;~On~$~l'V'an1a,lS40i I '.'f'J ••!.~.,:'•"'I._'J~,'""'.*-' ,•,-' ,.t f-,·.I~,~~ad~~,'~ot:lst~t\1~~d and':l1pPpi .fttiJd',',and ~~y~t.h\lS~pt-asertts 'dQ'ma!~,; ",-:'f iIi_'r ,._''''',..",~"',t"....."....+,.••..•.",,''.".",',~'_..~.,~,L '.,'.",',.'9t~tute'$naappoint.~5TEPnn.'t~o,,:,,··SM-!'tlrt!CU~~'Py trQ.~'.acne lavft;l ,.~.-,,".'..,,,,.',~.".,'.',.:.t,,.,.,,:".",."• o+n~y't ,~ot 'g,e -'and in'~i.riatnot\oo'ol\~:.W,bebalJ!gGnerAlly'1;0 do, ",'-',",':'..'r:'.:.,.:';.~.'.-:-<"..<."\•',"'. ;p~rfQJ:w ,all matterstlnd thlIv:.t'a J ~rari.,a~tal~,~usirtess ~m..1te t.' r,.'<".,',..,..':'~"",.',..:""",.•~,:.'~~....,'.,'.,.' ec~taf!tnd ,ac}:.n¢\,11e(lqe:al1contraets:/o;-e:or"Ii ~,~f3eds t wi:it1n9~'1 ':I ~.~,0 •I ;"~>,'i'..~.,...~~.;~.-.1~:.to.',':J"~.~.. . . i s~~;ents~',eho~ka capo qtliG.t,:p~p~rtJ ;and ,,~QC~m~nt5 which"'[;411 ~e'. r ,.~-'I '\~.",:'r>~~f.':'-:.'..~'...,;.......""Ij:~'-\~.......',.,:';_..,,\',- .r~q\l~slt:~.Ql(proper.to:l()~~,Q.e-1nJf~t~:an~f·uattE'r..er(,thi~4 ~pp'ert.a1n;pg - ~.._~.,""_'~,._._,"...."";.,....~l~.~_.~...f.:1'"'". •:t ,()belonii'n.\t'~p .'t".t)'t.o,i.~qluqG b\'tt.-not 'be.~::l.t.J-ted ·to d.ap.oalting'in ,,~.'1,-.-,"""So ~{'",...•,(.!~.~I'~,:.~.<~.-~-.,;,+,.',."'<:',~•~...t..-ot~~..'.'.'".'.. ~y banki~~t ',1nstt,tutiQp:,'any ,s~,.O!:5~,t;$oJ ·;pI.C>ney wbi-eh flay belons ,~..,....r;""~_"'"·t.·~.',·;..~:~¥.....t,..·:..<.......(~..i·'....~".....~~.I ..t _~, ,t __t':.~,'''f\fJth:C;\t1n:'a~ae~~d .d~pos~t~'.Ot;·.IJ.titro':4ep,?sit,writlml checks ....'._...'_.:.....'~~..~,.~;..,,~,.:.~"'.,.:.:.',.t..,~"..~......._II!'.~"..~.~••,...J •...,.<. '.1.,,r.y n~';<:'J,~n(F 6J),~J',fi,c:coutit ,wl;t;ldr,a}1i't19;'i~ny ~~11 or S\ttt'9 tram ~ny +',:,?_"',.:.....,',,".:,.~_~_,L'"~'~~._<','4~.'~'_"",'4,.,V.........,'.~.•',~:~',./","...'_•~C911ni':'·1nroy'.natlG·in.:I;Ul~haMin<:tAnstit.u~~..\1hf>thcri1 de~and';,-...!• .. ,.,~.,< ".'" .,' ,\. '.> ,> .~... .' ,, ,rj ...... ;,,.. .' .' ,~.. ,,b ,r,'196,9 ..','.,..:!~,.,~r," ~., ." .'. \i \' ',~ " '. \, .. i.....\ r "'I ~f - IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNT~r ~RNNA. ORPHANS'.COURT DIVI'S:(:,QN NO~63-6'8~112"4'-"---- IN RE: ESTATE OF FRANK SAMORIGA r Deceased POWER OF ATTORNEY .(ATTACHMENT TO PAY TRANSCRIPT ····v .......,.., l-l ~=tJV:l1"'T-.~t:)l:.?";__;--,e::-.:?:''-.t")",;"} CJ ~Ci) i:'"i !:!'::j'."J -~U ,.........:1:0 t'-·· [;.~~...,~-'lar-:.2p;.1"-<..Ct)(~::. '1.').-.-..., .1% ~ "'""',.............C::::>I r <::.'"'-.....-.;:~I......... 1""1'I I .~\:::J ...,\ '" , ., ':..'U <::::;) PATRONO,CEISLER and EDWARDS Attorneys at Law 80 East Chestnut Street Washington,Pennsylvania 15301 ,I I,I .•1 " ..........~ Form RCC-33 RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT'OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF ~~~.HI..~C3..~~.~. 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 ___th~Inl).E!ritance_~n!i Estate J'ax Act of 1961.) IN THE MATTER OF THE.ESTATE OF }AFFiDAVIT OF \FRANK SAMORIGA.................····....····....·····..·........i's;t~..f~II..~;;;~..·~i·d~;;d~~t·i·...............................................................ED:£1ln'OBX East ~ethlehem Township ADMINISTRATOR Late of W.a.s..b..lng..tQn CQun.t.y.,P.e.{}·~iHl.::"CWWH' State of J.OH-IO.1;"-:~:-} ,ss: County of BU TLER . Administrator S T.J!::E>.~EN.......Q...~........~..A.M.Q.;I,'t I GA............. of the estate of the above-named decedent being duly sworn,depose s and say s .......E:tDecuJoxX (Month) Name and address of attorney or} other authorized representative to whom all correspondence should be mailed, Decedent'died June 2 6 ......,19 .....~..l3...r 1!'i!nll't'l!'oi_M8it-a-k ....t.-....l.l.....aop)'o .w-aMIoo.......Iw~"'*t.oollhad..} (Day)(Ye-ar)L intestate . Patr()Il(),gE!~slE!:r~Il<i~<i'Y~E<iS.L.....~.~q 8./80 East G..J:1 e §¢nut S tr~.e t,.VoJ a~hing;~onL.Penn sy,lvan i a.}1j}()l .. h administrator d t'f .\''th th if'f 'd t t d thThatassuceponenISamilarWIe a airs 0 sal es a e an e property con- (Ex"culor·Administrator) 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:- I . .THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINTNAMEANDADDRESSOFBANKOROTHERINSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES'OF HOLDERS TO DECEDENT NONE 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 full v 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. That Schedule B attached here,to and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether indiVidually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute or agreement they are designated as tax free,of the United States,or any state,or political subdivision thereof,or of any foreign country,which ,are owned at the time of death;all wearing apparel,jewelry,silverware,pic- 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 mortgae:es 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 policles 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 as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. ..v >• 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 a~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 interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. 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 take effect in possession or"enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by each transfe~ee and all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to 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.Ther,~is also set forth in said -schedui-e-a-Ifst-o-f-iltY"p-roperty,-realandpersonal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent"either tndividually or jointly,by the,will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. {, That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement show!ng which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,andthe 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 acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing anci unpaici at time of ~.death;taxes accrued chargeable for period prior to decedent's death (except.those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein,. have been carried forward and properly registered in the Summary. (/__::~~_:::a:dS~fl;:e~:~:::~:46£&~_ /~lI~~/~if ,...C~~~~.~~.~'..<.~~.?~~~....1...~.!..~§..9..v.:,:t..P.-..~.!:,g""..:ff..!.J"l~".~.9..g.!.~.Y..g.,r ..g . .'DONALD W.McFALL (Street Number) Notsl'y Public,Butler County,Ohio ..:ff..9,m.~.J.t..Q.P.-..,Q.hJ.Q " "4.5..Q..l.3.. My Commission Expires October 7,1969 (City or Town and State) 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. R~C-34 (l-slll COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUEB1JIJ~EAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE uA" -REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encum~rances upon each parcel at death of dece- dent.Where property held as joint tenarit or tenancy by entireties,report on Schedule liE".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 Commo!"wealth of Pennsylvania should be (1)(2)(3)I described by lot and block number,street and street number,together wi th DEPARTMENTageneraldescriptionoftheproperty,with a reference to the record of the ASSESSED VALUE VALUATION conveyance by'which the decedent took title;If a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encum~rances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this spoce)to be listed on Schedule ifF"and must not be deducted from this schedule. N 0 N E Insert this total opposite Ureal property",Schedule uA"in the XXXXX liAs Reported"column on the last page of this return. ."RCC~35 __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".Inta~gible personal 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) --'71---- 1 2 3 Demand deposit,First National Bank in Washington,Fredericktown Office,in the name of "Stephen Samoriga for the use of ~", Frank Samoriga~'~A ?_h....fltJLJI f.A .I.riM~7'~.-"'\f'.M)VV-""I Time deposit,First National Bank in Washington,Fredericktown Office,in the name of "George Sap1orig~in trust for Frank Samoriga"---;,;~t;-hJr1,,./:.IIJ .... ~~--~f" Cash on decedent's person at time of deatl ~~,p. .&~ .Q-r6~0 f)\! 66.00 Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X Ill,697.89 Ii;C.q 7..f(( /;{j 3c/yo .---------------------------,-------------------- ....-. RCC-3b ",COmION'\K\LTH OF PENNSy'LVANIA Tfu\NSFER INHERITANCE TAX ~~SIDENT DECEDENT SCHEDULE "c" TR.4.NSFERS (1)Did 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,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)--.;N;..;....::O _ (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _ (b)State of decedent's health at time of making the transfer.(Note 1). (c)Cause of decedent's death.(Note 1). (4)Did decedent,in his iifetime,make any transfer 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 enj~ent of or the right to income from the property transferred? (Answer yes or no)__ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)NO (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others ----:_ (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)NO (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserved 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)NO (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 the decedent alone or the decedent and others? (Answer yes or no)__ NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it'sfair 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)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. l;C,M\h)\,WF\LTH OF l'ENN~YINANIA· fH \\~,i'F!t r~llFH.l1't\NrE TA\: IlF~lDE\T nECEDENT SCjIEDULE "E" JOINTLY OWNED PROPERTY ",~, DSrRlTTIO~S:This schedule must disclose all property,real and personal,owned by the decedent 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 under Schedule "A",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 acquisi tion,and the name,address and relationship (if any)of co-owners to the decedent. DescriPti-;;~of p~operty,Date of Acquisition,N~me·l unit Address and Relationship of Co-Owners,and Place ;Value of Record of Instrument,where Real Estate.! NONE -··-----··------rpercentagejEstate Share Valuation 1 -_ DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's Property Interest Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return. III I I I I , I I .;•0/.,.~.~ RCC-37.(12-63) COMJltONWEALTH OF PENNSYYLANIA • TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIAHIES ( h BENEFICIARIES AND ADDRESSES \RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFstatefullnamesandaddressesofa~l who illegitimate children DECEDENT OF BENEFICIARY ave an interest,vested;contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH George Samoriga Brother Yes Jan.6 ,100% Laurel Rest Home 1889 \ 75 Hickle Street Uniontown,Pennsylvania 15401 Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE ~IATTER OF THE APPRAISEMENT OF THE ESTATE OF (Executor-Administrator must complete "As Reported"column #1.) :2 .; ..,"t:l ::c ...(1)(1)r.:>...r.:> ::l '"--'"0-..::l "t:l(1)r.:>... ...--0'"'0"t:l (1).......g ~ ~~'< ~ '"....r.:>....(1) (")...o'"'".., r.:>>:r.:>r::r~ I' Year .... Dl THE t No. Will Administration FRANK SAMORIGA Deceased Late of~ast.Be 1;11.:L~11 f;!JIl'J:'().VJIls.l1 i P .' REPORT AND APPRAISAL Commonwealth of Pennsylvania ,- ~ County of Wash~Il~1;()n "I ,, ~~~ :1-' :1-',.. m (0 -..J:. :00 :(0 enc:::~ ~~::c...-.....-..>-<W en en(')(') ?'"?'"?'"q ~>:-................ ~~~ I-' I-'~.'"Z m Z 0 (0 o ~...-.. ::l -..J ::l'O- CD .0 ........CD ... 00 ....(1)(0 c..- /.0 v ~..1 I f .. \ ~~~~~~ PATRONO,CEISLER and EDWARDS(1 't:~t~'r-~e~s .at Law 80 -East Ch'estnut Stre;et Washington,Pennsylvania 15301 ~ ~:r. tJct~2"I..:,)...,-2.g c.. .. -1..I."• R CC-8\(2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT STEPHEN O.SAMORIGA (~Administrator) IN YOUR REPLY PLE~.E REFER TO 37-139-4 J In Re:Estate of --..:.lFuRAJal:loINK:w....~Si.!llU.a.:.l..]~OR~IG=!!·Ai!.____ _------W.:.::A:.::S~'H~I~N:.=.G.::.TO:.:N::..-_--County -File No.63-68-1124 De ar Mr e SarnOI'iga.: You are hereby notified that the origiaal appraisement in the estate of Frank Samoriga has been filed in the office of the Register of Wills qf Washington County on December 5,,1968.Said appraisement reflects the following valuations: Real Estate --....,...,.. Personal Property I.;,Q34::acL Transfers ---~~ Tota1 ll.,..g3A<e,.§(f;-- 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 appra~sement may appeal therefrom as provided by law. Dat e __-'D=-e=.;c~e~rn::.::b:.:::e:::.r__ll!...5.,L'-,,1~9'-.::6:.:::8:--_Signe&£~f2k~ Title W.R.CHANEY,CH .PPRAISER DATE OF rEATH :June 26,1968 Note:This is not a bill. RCC-39,('(;-67) ';:OrAMONWEAL TH OF PENNSYLVANIA TRtANSFER INHERITANCE TAX "•.••-. RESIDENT DECEDENT SAHORIGA,FRANK FILE #63-68-1124 June 26,1968 SUMMARY .' I.the undersigned #63 Washington FILE #63-68-1124 the real and personal oppo?ite each item in I Dated: ItEPOnT 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". REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for __ County,Pennsylvania,do respectfully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last COlUIlll1 to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated: REGISTER OF WILLS VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$$~-----~,69'7.89 1,034.80 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) CLEAR VALUE OF ESTATE Jl,697.89 ======:....-,~ 1,034.80 =====:''======1- Valuation of life estates or annuities .•...... ESTATE TAX ASSESSMENTS ,----,-- CO~WUTATION OF TAX <t>.~I__.,.;...__- d>._r)~ (::')As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue.TOTAL TAX $_ Less tax previously paid $==~========:___ BALANCE $_~-.,. L~ss !'i%of tax if paid within 3:months after death $======:= FOR USE OF REGISTER ONLY T ax on $~!'i~1o Tax on $,_,_10% Tax on !l;2"S $__~_..;....._ T ax on $:~~=@ $ E~emptions :_(,:') T btal Es tate------ $---~---$-----~- $ $-------- TOTAL TAX BALANCE PAID 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 ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,same should be noted below,with short explanation. ,----~,.;{"-"•.,'"'..,--,-----'---- Will ~Administration \No.year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF ..F.MNlC $Al'4:0RIGJ\............. Deceased Late of .........E.BETHLEHEM TWP •............................ • ..' County of ......WASHINGTON l Commonwealth of Pennsylvania REPORT AND APPRAISAL -' Form:RCC-2 .. DEPARTMENT OF REVENUE •o"l ,;,-;..B~EAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSY:LVANIA RESIDENT INHERITANCE TAX APPRAISEMENT .". DATE .P~.~~J.1:ll:>.~.~?'.~?.?.~. COUNTY ~~.~.~.~~.~.~~: FILE NO•..........................9?~.§.?::g.?.4 J Whereas,Fr.ank...S.am.orig~late of ~.~~~.~~~.~~.~~~'."P.~. in the County of !.!'.~~.~~.~.?~Commonwealth of Pennsylvania,having died on the ?§~P:day of ~~:19 ~~.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,Jr~.~.~9..h.?:J}.~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. Unit Appraisement '.1 Description of Asset Values Made for Inheritance ;. Tax Purpo.es $ PERSONALTY: Demand deposit,First National Bank in Washington,Fredericktown Of'fi~p.in t.he name of Stenhen Samoriga for the use of Frank SamorilZa.968.80 "11''11 !i>lf!if :III16 if 1Ilf>'I1h1ll J xIIUlliblr :lIl11A Mlll'lI'lI'l!.lI.lI'll.~-II 7 l\.¥.lI.~"1lo1L :lI'''X *lh..,I,*1E"lt>lh AA ~ Cash on decedent's person at time of death 66.00 1,034.8 ~1,034 80 ,, I . Total 1,034 80 fonn~;V~t,bJ:~:::h:.w~a~to~:.~a~o~~~~~~~;p:r~i~7~;;~~n~~ .:~Apprai~r...................................................................................................................................... '.................~umber and Street) ...............................,............................,Penna. cf-J CZI. WASHINGTON.................. .....->J County . .->.,. \. RESIDENT INHJi:RITANCE TAX APPRAISEMENT Estate of .................f1YlN.~§.Al:1.9.RJ:.G!t .. Deceased.. Late of ....:E;.~~.~'.I-'.IU,.EH,$.M...+.WP..~.._. Date of Death,c!.WJ.~?9..,J,99..$. Appraisemellt Docket Vol.,?..!... Page,J.?.9~4.No..§)~~.~::.J:~.?4.. Filed in Register's OfJice,P~C;;.t3.~Q~.:r..5.-'-.199..$.. Amount of tax due,$.. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appraisement, Appeal f1'om Appraisement,. Entered and charged,_.. " • ... ....- ..,. '. ". Fath~i'VIac1iroir Petsko \l<)"":"01'"...".......1..•.....,,_.~.....,..Of'WILU 01'I _aBINGTON COUNTY AND ,A.""Of'TM.COMMONWIlALTH ~"" STATEMENT OF DEBTS AND DEDUCTIONS ,.......'"l<~.'~ito/;,~\1h THE SUM OF .......•..•••~!~~......~ "'ROVED ):;~f.~2/ ", r:'~'"...,..01'"ILING AftPR"'UMIINT DATIl 0"DIIATH ~_ .<.'if COUNTY 0,.BUTLER }••: .l,STEPHEN Q.SAMORIGA MUOY CEItTIPY,TMAT.TO THIl nat ,. ~......~.AND eLIIlP'.TH.1'0RIlClOING I.A ",un AND TRU ~T~OP'D.eT..P'UNIERAL IDCPIEN.n AND lEX......CW ",~~'l1CHC.U.,.lnCD TO TN&DTATIl 01'FRANK S :~:;.Ae ~,."~'·111.TAX ftUIUlOeU.~/"0 __ :",,.t."._,t,t~-..y....~~=-;rL i, j ~_of ;,:.'1~....\!'.e_, ',r," DA....·..MO.OP NAMIl 01'..AYEIl REMARU AIlIOUNT...,..VOUCH"- lJ()~Funeral Home Undertaker's services,on ~I 00;~g~~'Burkus account 666. ,..~. 1..' Holy Resurrection R~ss1an Use of sanctuary for ' ·00·'n ....+i......A ........r-,...,..,.lr r!:lt-hn1ir L'••~........nl ~ervices is '.>Church " 1069,.. £0' ~;5.,:Burkus Funeral Home Balance or D1lJ.I.fO .'if" mavp.UAl)rl:O·\ sept.'11 simon White's Sons Grave headstone 1.'"."'Vi: .~f:~ ·.J;7·/~..-.Fee ,Jor ~I~~11nl ~t~ounl:0:;:.~;"'1 Ja,n'.Patrono,Ce1sler and Edwards .gY~!~1f!}1 e .;el;kft':'\111 oa "#~..<"., 'Jaft.Patrono,Ceisler and Edwards ~ei.tn\)\~~s~~eni f9r mo~~y~~'A',..".:;;..,..tY ~TlI -, vertising.guarc11~~'s 31 9Q·....ac~ounJan.lieurgt:.:>a.JIIUI.~~a...."'......4 ..............06 ...."'..--..--_.. as guardian of deceased 1468 S2 " ¥ 4151 "fb(; ..", ~ "...''''n ,... .,., .,• I .. r .. , ,. •"..~-,':~L .. :'l .',.+:' '"'~,....-':>t.i.D ..~~ 'V~.~x~~, ..:~.., .~···_·C-'l~··~-'~~}ISiF·_~~,··"""""~Z'C~MONWEA(TH OF PENNSYLVAIi DEPARTMENT OF REVENUE NO.A08534-1 OFFICIAl RECEIPT •PENNSYLVANIA INHERITANCE AND ESTATE TAX no/l00RECEIVEDO:NE THOUSAND FIFTY Stephen Samoriga,Admr. From:C/O ATTYS.PATRONO,CEISLER and &EDWAHDS representing Pennsylvania Inheritance or Estate Tax due from the following estate: -dollars 2 %Tax on $$I~I.,,,Add 80 EAST CHESTNUT STREETress_ WASHINGTON,PENNSYLVANIA 15301 6%Tax on $_$u Name of Decedent I $1,031.43 • $~ $~ %Tax on $_------__- Estate Tax,Act of May 7,1927 15%Tax on $On Account FRANK SAMORIGA' File No.63-68-1124 D t f D th 6-26-68a e 0 ea I January 14,1970DateofPayment I County ,vlASHINGTON I Remarks: TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of ~%from 9-26-69 to Da te $1,031.43--..:....-----Itill $~ $18.57 1111 $1,050.00 ~TOTAL AMOUNT PAIDSEAL ,37-139-4 ,@ 00 ~@j ~[KJ§[L NOTE:To be delivered to taxpoyer Received by ~/3z~ NOTE,10 .~.,"",Ih.".0".';oh.m."~,~.0 '0'''••".'.',,.,••,.Ih.d••'h '"'h.",.~Of~tenant or tenant for years.as evidenced by this receipt,it is understood thot the Commonwealth sholl /""A'Lf? not be precluded or prevented from hereafter assessing additionol inheritance tax at the death of the ~lUi life tenant.or tenant for years whenever it appears that such additional tax may be legally due and '(Tit ), collectible for any reason whatsoever.