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HomeMy WebLinkAboutOC1968-1229 - ESTATE OF HRITSKOi! ll f .,--.--~~."..._-_.... " ..,. ,'.....::~_.'0 __..,....,.......Ik-'~~_: .'~- \.: . I direct all·my just debts and funeral expenses to ----..-.........-----ro--....__•.._,_.~~_.,. made" FIRST: and Testament~and revoke all Wills by me at any time heretofore Washington County,?ennsylvania,being of sound mind,~emory 1 11 l~...,L!;!!.."":;"i-:~i,J.:".:I.•.....~,~.) and understanding,do hereby make and publish this my ~ast Will I,MARY HRYCKO;also known as MARY HRITSKO,of Canonsburg, ,.,',LAST WILL AND TESTA~IENT my decease. "'and wish to equalize the anounts left.to each of my children o II J i I rIIII II III II SECOND:I give and bequeath to my daughter,ANN BACKNER, the sum of One Hundred ($1)0.00)Dollars in view of the fact that during my lifetime I advanced certain .Slims of money to her .1 1releaseanddischargemydaughter.,Ann Backner',from any indebtedL .I.Iness,including interest thereon,which she may owe to me at the .time of my death,and I direct my Executor to cancel any notes or other evidence of such ~debtedness" THIRD:All the :'est "residue and remainder of my estate, real and personal,I give,devise and bequeath to my children, PETE HRITSKO and JULIA MORRIS,share and share alike o FOLRTH:I nomincte,constitute and appoint my son,PETE . HRITSKO,the executor of this my Last Will and Testament,to servl IiII! If• without bond in any jurisdiction" ~igned,sealed,published and declared by :';'--'.", 1Lhavehereuntosetmyhandandseal, 1968 ,,'if1t-t I..... __1_Jkt_·_!'t-<-~L,-'.·_1J._:/Y~_·~.~-,-,·6,,-,<1/'---(SEAJ) Mary Hrycko I --,-'1J;..;.:'~==-7.-=&=:"":-:+'1':-'-'11:.....·/(,....:.._t:'--"-t;;1--=/A.......'/~=D (SEAV) a/~/a Mary Hritsko jItheabovenamedI .'I ' ..._.s.ol<.~._.....~.....-_:~__...:--.;.~~......-.....:.-......._._....',-.~.............._ IN'TESTIMONY li!HEREOF, :lL day of 40 c,CS I'this II -I :-" " ,,;,;,_~K"?;;';~t.x·~:"-::'~:'·~:.'~:,~-·'r;~:~.' ,. testa~rix,as and f~r her Last Will ~nd Testament,in the presence of us)who at her r9quest,in her presence,,and in the presence of ea:h other,all Jeing present at the same time,have hereunto subscribed our names as witnesses o '. I, ,.. !,I fI ! I t IIttI I I I I: Funn'RCC-2 DEPARTMENT OF RE\'ENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 I 27 COMMQNWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE P.~.~~~.~..~~..~..?~j..... NTY \iASHINGTONCOU . FILE NO ?..~.=..§.~.=..!.?..2.~. MARY HIlITSKO .-"~CANONSBURGWhereas..late of .. in the County of ~.~~.~.~.!.~.g~.9..~Commonwealth of Pennsylvania.having died on the ..7.t.h.day 0:~..E?.P.~..E?.~~.~E 19 §§seized and possessed of an estate subject t.o Inheritance Tax under the laws of the G)mmonwealth of Pennsylvania; Therefore.I.'v.R.CHANEY an appraiser duly appointed according to law,...................,.................................................................................................................. having been designated to make a fair amd conscionable app-aisement of the said estate,and to assess and fix the cash value of all annuities and life esta~es growing out of 3aid estate.hereby file the following appraisement: In the event that an~future interest in this el:tate is transferred in IXlssession or enjoyment to collateral heir:;of the decedent after the expiration of any estate for life or for years,the Commonwealth hereb!,expressly reserves the right to apprai.3e and assess transfer ilnheritance taxes at the la~ful collateral rate on any such fu\ure interest. Unit Appraisement Oeserlptl on of Asset Values:Made for Inheritance Tax Purpo... $.. JT.HELD PERS.: T~S~V AiC'C'~1J?4hl h",lrl in f"hp.MRT.T.flN NATIONAL DANK,CANONSBURG OFFI~E,CANONSBURG,PA.,in the names cf ~iARY HRITSKC or PETER HlUTSKO,JR.Opened 2-28-64.Balance as ofa date of deatl:,$1.255.05 : One-half taxable 627 53 ~. ~ . i , ~avi~g been duly ~worn a~twng to law,I do hereby cer:ify that the above appraisement is made in con- fonmty Wlth law on th"........................................day .f:~::A;~i~~. ................................................................................................................._................................................. 'vAS'fitNd'fcffieet )Penna......................................................................................................................................, (Post Oftleel II I 'I ..::WASHING.T.ON ::.......CQunt:y RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ........................HA.RY.HRIT.SKO . Deceased. Late of CANONSBURG....................................................................... Date of Death,·~.~.PI·~.~~..~.~..·..?·L.1968 Appra.isemel!t Docket Vol.37,. . ./~9 Page,No 6.3.~..6.8.:'.':.~ Filed in Register's Office,..12.~.3.0 J9 6..8 Am.ount of tax due,$.. DEPARTMENT OF REVENUE. Received, Exa.mined and Approved,.. Wrote abo.ut Appra.isement.. Appeal j,.om Appraisement,. Entered and charged,: . .' I. '\ If ("-1/• ______~C!NONSBURG,PENNSYLVANIA TO:_--=-PE_T;;;..;,E~R~H:.:.:R.::.IT::..:S:.:.K:..:0...1..'_J.;;...;R:..:,....:....-_ 152 VALLEY ROAD I'" Dote:December 6,1968 County WASHINGTON Co unty F iIe No.------,----:"'=---:l~15317 ..,r:;;'(I gl:, OFFICIAl:'tOtitE OF INHERITANCE TAX APPRAISEME~T AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION Under the Inheritance and Estate Tax Laws of th,~Commonwealth of Pennsylvania such transfers are taxable and the liability for the payment of the inheritance -ax due is imposed upon you,as transferee. The property on which tax is hereby assessed ccnsists of:J t.Savings.Acct.#2461 held in the MELLON NATIONAL BANK,CANONSBURG OFFICE,CANONSBURG,PA.,in the names of MARY HRITSKO or PETER HRITSKO,JR.Open~d 2-28-64.Balance as of date of death,$1,255.05 appraised by the'Commonwealth,as of the date of c'~ath,at $1,255.05 50 %of this amount is taxable at the rate of 6 % ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUEV, 627.53$---~:.....:....._-- 37.65 $-------- Of' D If you pay the above amount within three-(3)months of the date''''of death of the decedent,or (In or before I 19 you may deduct a discount of 5%of the amount of tax due,or o This tax became delinquent one year after the date of death of the decedent and,in addition to the tax,statutory interest at the rate of 6%of the ta) per annum is als'o due as of *--'-_ 19 in the amount of *If .the tox is not paid by the above date JdditionJI interest is due at the rate of 6%per annJm until paid . TOTAL AMOUNIT DUE APPRA"SED BY:Y ~e-."--.~- (Inheritance Tax,raiser) $ 37•65 $==================__ ASSESSED BY,;z:;p ~. (Agent for the Commonwealth) INSTRUCTION~TO TAXPAYERS Make checks or money orders payable to:To insure proper credit to your account this Official Notice must accompany your payment.Mail or bring it to: (;.z..-O7:;71 .(over) .-..~.\ If you have already paid this tax to an executor,administrator,attorney or other personal representative of the. decedent for forwarding to the Commonwealth,list below th~}ta"aid,name and address of the person to wh01T!.\ ,ydu made'payment,their official title and the amount.,'J.I '..",I Date Paid Name and Address of Payee ~.,..,.()fficial Title~Ani'ount Paid ,-.,I r r-,."-...;_,,-__,,-'J .;,..',;..'_~- -;..\.:,. ;'\ Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended ,by you may qualif.y as,deductions against the gross value of the property in the computation of tax due.If any such expendit~res m~et all of'the three following tests,it is recommended that you itemize the payments below, execute the 'aHidavit,and return this notice.The Register of Wills will examine the debts claimed and allow those which he determines t(j'be proper.The tax will thEm be recom'puted 'a~d you will receive ,an amended assessment of tax. tHE THREE TESTS WHICH MUST BE MET ARE THAT: -~--:--....._................................--....~~--,..,.-.---- ;,:1 '.You ~,~re.J~rsonally legally re~P6~sible for these debts,and .~~.,~.~- 2 ~:You actually'pai~these debts out ohhe 'account or property 'described above'and can furnish proof of such payment,if required,and ' 3-These same debts are not also claimed,for tax purposes,by an executor,administrator or other personal representative of the decedent handling the administration of the general estate of thedeced~nt or any other transferee. Date Paid Name of'Payee SCHEDULE OF DEBTS Description of Obligation Amount Paid ;Jo-,-,_."-,.,....__._._-_,~-;':'..,.-f'._~.'..~._.e".~-------~._--~-,..' TOTAL $ (attach separate sheet if requ ired) COMMONWEALTH OF PENNSYLVAN.I~) COUNTY OF:_ SS: I,hereby certify that the foregoing is a just and true statement of funera'i expenses and other debts of the decedent,,for which I was legally responsible and which I did payout of the property herein taxed.I further certify,that to the best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance tax purposes. ,! SWORN AND SUBSCRIBED BEFORE ME THIS---.-__DAY OF____________19 __. REPORT OF REGISTER OF WILLS Signature of Taxpayer /I,the undersigned,duly elected Register of Wills in a~d for the above county,do respectfully report that I have allowed deductions listed above in the total amount of $--------0 Date of Approval:_ Register of Wills RESIDENT DECEDENT .~..VCOMMONWEALlfHOfPENNSYLVANIA DEPARTME~T 'OF REVENUE BUREAU OF COUNTY COLLECTIONS !£J-hi--/2:1?COUNTY OF .. This return must be completec in det~il 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 ext~nsion ~5 granted by the Secretary of Revenue.(Section 703 of the Inhe~itance and Estate Tax Act of 1961.) IMPORTANT: ~1 'Form ah-33 and say _..M?.~Y_..~;~~;Q=.~;;.L;~:~;.:;;.~;.;~.q.,_~_.}:::u:::OF (State full name of decede~t). . !.ate uf ,W.a..s.h.ing.tQJ.l _eouDty JA~ State of g~.~~~y.!y~.~.!.~~} .SS'~ounty of W~.~.bJ~g~.2.~_................. ..................................._Pe.te Hr.it.s.ko ,_,,_ _ . ~of the estate of the above-named dececent being duly sworn,depose Eueutor Decedent dJed s..~P.~.~~.~(~~~Z.))('i;;;:;.j 19~~;·i ·.~eaVing a last will.copy of which is :tereto attached.} ~therN:m:t:~i:::r:::r:fse:ttt::;::~:}Gre.enlee ~Rieman,Der.~~c.Q &.P·;h~..ton".. whom all correspondence should be ~25 Wash:itlgtoIII Trust B g.,Wa J.ng.'..Pe.~~~..~.. Ilailed. That as such ~~.~.p..~.Q~_..deponent is familiar with the affairs of said estate and the property con- (Ex;,clItor-Admini.lralor) stituting the assets thereof and their fair market val!1e. That at the time of death there was no safe deposi:box registered in decedent's individual name.or jointly v.ith.or ~s agent or deputy of another.or in decedeibt'sindividual name.with right of access by another as agent or deputy,with the exception of the following:- NAME AN~ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX None THIS 'SAFE DEPosiT BOX RENTED IN NAME OR NAMES OF RELATIONSHIP OF JOINT HOLDERS TO DECEDENT_ That the contents of said safe d~posit booc 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 mad~part hereof sets forth fUllv and in detail all the real property in the Conunonweal th or'Pennsylvania ·:Jf which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon eac~parcel of real property at the date of d~ath,giving the amount still due at death,name of mo~tgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the colUl1Uls prov:lided therefore the assessed valuation of each of said parcels,the estimated market value thereof"as of c.ate of death of decedent. That Schedule'B attached hereto and made part hereof sets forth fUlly and in detail all personal property wheresover situated owned by t'he <8cedent at the time of.death;all moneys left by the decedent at the tJme of death,'~hether in decedent's inunediate possession,standing to decedent's credit in banks o~depos:lit,savings banks,trust companies,or other institutions,whether indiVidually,or in trust for any other person or persons giving aJ.so sep3.rately t;he accrued interest thereon,if any,down to the last i:lterest day prior to decedent's death in tihe case'Df savings banks,and to the date of decedent's death in all other cases;all bonds,postal savi_gs,tr~sury certificates or notes and other evidence of in- d~btedness of the United States to the dec~dent;~ll obligations,whether by sta~ute or agreement they are designated as tax free,of the United States,cr 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 fUrnJ ture,hJrses,carriages,.automobiles,boats,and any and all o:'her personal chattels',of what'soeve"kind or natur:!"left by decedent,together with the'fairly estimated market value thereof;all bonds and mortga~es,held,py decedent and of all claimS due and.owing dec:~dent a;:,the ·time of death,and all.promissory nates or other instruments in writing for the,payment of money'\...~.e·''"-".'.._ .Q " . • 0:'which decedent died possessed,of whatsoever.na.sure,.wi th ·interes,t 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 t{.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 d~ath,bonis and accrued interest thereon to the date of dece- d~nt's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. Subscribed and sworn 'to before me this . ........_~.?.~.~day of $.~Pt:.~.mp..~.;r.19.:~~.~ Not/ry~£Cz(~~liington--co.,pa. My Comm •Expires-- --__II_-_1.....9_-_7o:;..t _ In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also sets forth the interest of decedent at the ti~e 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 l'i'abiiiti'es of said co-partnership ·~rbusiness. A copy of the co-partnership agreement,.(.i~or~l,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 dea~h. The Schedule C attached hereto and made part hereof se~s 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 transferee and all other facts of a pertinent nature regarding said transfers.In the case of t~ansfers intended to take effect in possession or enjoyment at·or after death,·there is also attached to the schedule a cOllY of the deed,-trust .agreemen't or other ins'trument .creating the trust....Therp.is also set forth in said' schedule a list of all property,real and personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with ano~her,.or any power of appoint- ment vested in decedent,either individually or join"tly,by the Will,deed,or other instrument of another, With a copy of the instrument creating such power attached to the schedule. That Schedule 0 attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's 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 showing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,and the relationship of such issue to the beneficiary. That Schedule E attached hereto .and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Schedule i 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 and unpaid 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 "An,"B","en,"E",and "F"as directed therein, have been carried forward and properly registered in the Summary. --~..1~-_._-----(Executor-~) ...l.5..~.vg.l.le.y B.Qstd....-----__., (Street Number) ..9..~.~.~.~.~p..~.g.J ?~~~..!!.?~..!.?. (City or Town a.nd Sta.te) 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, se~urities 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. -~ ,.RCC-34 (1-64) ':·";';"COMMONWEALTH OF PENNSYLVANIA •\DEPA~TMENT OF REVENUE •BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE ~IA" REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel ct death of dece- dent.Where property held as joint tenant 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 Commonwealth of Pennsylvania should be described by lot and block number,street and street number,together wi th o general description of the property,with 0 reference to the record of the cDnveyance by which the decedent took title;if 0 farm state number of o. cres;also statement of mortgage encumbrances upon each parcel at death of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are tc-be listed on Schedule "Fit and must not be deducted from this schedule. ALL that property situate in the Third Ward of the Borough of Canonsburg,Washington Co. Pa.,known as Lot No.348 in a Plan of Lots recorded in the Office of the Recorder of Deeds,in Plan Book No.2,page 139. BEING all of the property conveyed to Pete Hrycko,et ux,et aI,by Pete Hrycko,et ux et aI,by deed dated August 31,1962,recor- ded in Deed Book 1136,page 299,and (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE (31 DEPARTME~T VALUATION CAUTION (Do not write In this space) ALSO BEING the same property of which Julia Morris,et con,by Deed dated December 31, 1966,to Pete Hryckoand Mary Hyrcko,his wife,conveyed their undivided one-half int- erest in the same property,unto the said Pete Hrycko and Mary Hyrcko,his wife.This Deed was made for the purpose of vesting;ful title by the entireties into the Grantees. Recorded Deed Book 1251,Page 114. ~5 14,000.00 Ii ODiJ --'. Insert thiS total opposite "real property",Schedule "A"in the X X X X X '"As Reported"column on the last page of thi s return. ~14,000.oc ..,,. RCl:.-35 ,COMMONWEALTH OF PE:NNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT . SCHEDULE "n" ,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"'.Intangible personal property,titled in the name of the decedent,but payable at death to 9nother 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 es tate 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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION No.List and describe fully VALUE MARKET VALUE {Do not write in this space) None \ I " , " ,. \ , ,, I I' I, I I' I "- .. I , ( Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return. ·. 'RGG-36 'i:-"Ct)M1..l0\WEAL'l;1I OF PENNSYLVANIA T~\'SFFH I:-iHEltITAi\"CE TAX nESIJ)E~T nJ~CE])En SCHEDULE "c" TRANSFEflS ."'" (1)Oirl rlecedent,within two years ofrleuth,make any transfer of any mat.erial part of his estate,without receiving a valuable and adequl.lte consideration therefor?(Answer yes or no)No (2)Old rlecerlent,within two years of'rleath,trallsfer properr..y ;'rom himself to himself !lnd another or others (iucluding It spouse)in joint ownership?(Answer y"'s 0:1'no)_N_o _ (3)If the answer to (1)or (2)above is in the arf~rmaLive state: (a)Age of decedent at time of,transfer _ (b)State of decerlent's healt.h at time of makinp;t:lr~transf'er.(Note 1). (c)Cause of rlecedent's death.(Note 1). (4)Did decedent,in his lifetime,make any transfer of propr.!rr.y l\!ithout receiving a valuable or adequate consirleration therefor which was to take effect in posspssioll or enjoyment at or after his death? (Answer yes or no)No . (a)Was there any possibility that the property'tl'ans:'erred might return to tr!l.nsferer or his estate or be subject to his power of disposition?(Answer yes or no)No (b)What was the transferee's age at time of decerlent's death?_.=.N~O=--__ (5)Did decedent in his lifetime make any transfer wi thout receiving a valuable and arlequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end tJefore hi~.death: (a)The possession or enjoyment of or the right to income from thE'property transferred? (Answer yes or no)No (b)'The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)No (fJ).If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others ---:_ (7)Dirl rlecedent 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?(AnslWer yes or no)No (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was sutject to Change, because of a reserverl power to alter,amend,or revoke,or which cOllld revert to rlecedent under terms of transfer or by operation of law?(Answer yes or no)N:> (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 reserverl in the decedent alone or the c.ecedent and others? (Answer yes or no)__ NOTE 1:The an'swers to these questions should be supporterl by af'fidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.Submit copy of ~ny trust deed or instrurr.ent,if trans- fers are claimed to be non-taxable,also submit detailed statemen~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 None ~. DESCRIPTION MARKET VALUE (Es timated)DEPT.VALUATION (Dept.Only) 1 !!~, I nsert this total 0PlloS He "Transfers",Schedule nCR in the "As Reported"column on the last page of this return. -COM\IO"WE.\LTH OF l'ENi'iSYLVANL\ Tlt\t\~F'EH I~lIEIU TANCE TAX. RESIDE"T DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY I:\STRl'CTIOXS:This schedule must disclose all property,real and personal,owner!by the ri~cetlent Jointly ....i th 1U1\Hhcr or others,including intangibles,standing in the name of the decedent and others.List r~al estate first,us entireties,or joint tenants,.giving brief description,as indicated tmder Schedule "A",plus the (late and place of record of instrwnent effecting vestiture,but do not include entireties or out of state real estate vulua in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent. Description of Property,Date of Acquisition,Namel Address and Relationship of Co-Owners,and Place of Record of Instrll.-nent,where Real Estate.I I>...~>---~»..x,;~,'~~~~. None \\ \. ," unit Value .. ,J percentage Share j.,." i ..... .,', r:,.,:.: •~'' I ': " ...... .:..··::/...c. i'., ,.. I '. •e-... t,.- Estate Valuation ~;. ...:.t' ." '{:.: .......- DEPART~.lENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent I 8 Property Interest i!II•I,, I!!. !! \ i·j, III ,I r I·•i. I l!•~..:I !t It!t' "Ir Insert this totid oppot;1to "Jointly Owned P~oporty",Schedule .IEI in the "As Reported"column on tho last pago or this return. ...,~,"'" :r- ~CC-37,~(12-63) CO~1il'\iONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "Co" BEI\EFICIARIES ( h BENEFICIARlES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddres5esofallwhoillegitimatech:Jdren DEC~DENT OF BENEFICIARY SVE an interest,vested,contingent or other-are involved,,et STATE YES IN ESTATE wise,in estat~)forth this fa::l.)Oli NO BIRTH Pete Hri·tsko Son Yes ---1/2 Residue 152 Valley Road Canonsburg,Pa.15317 Julia Morris Daughter Yes ---1/2 Residue 20 Fairmont Ave. Hnuston ,Pa.15342 P.nn Backner Dauqhte'r Yes ""11::"._-$100-Specific Bequest Deponent further says that all the above-named beneficiaries are liVing at this time except below: None NAME DATE (F DEATH RESIDENCE r.1 THE OF THE ESTATE OF REPORT AND APPRAISAL (Executor-Administrator must complete "As Reported"column #1.) CJ ...,""d :::tl......~~0 II>...e..'"'"::s 0'"'"......::s .""d"""1 ~e........0II>'"II"X ~'t:lII>~C'"... ~0 ~''t:l ~'~........'"'<II ~.....'II>.....~ CJ)c:~ ~>-~....-.->-<W CJ)CJ)n n?"?"?" C"5 ~:>••--------- ~~~~.~-E/') 1-'::1-'....-.-~::~>-:....:....'"O''0:0 :0 0 :0:0 :o~....-.- 0 :0'0 :0""......:...".:.0-'- 0 :0:0 :o~ 0 :0:0 jo~.,v'd ,.0D HOi8~,\\IiSViu\ S"l-1 \i~\jO ~:,"31S \83U lH·.!PiS .J,::3:'\UitH Washington ~IATTER OF THE APPRAISEMENT Mary Hrycko,a/ka ....M~.+y a.~;i,...t.$.l5..Q.,. Deceased Late of C.9J)'O.n.$p.1J~g . Conimonwealth of Pennsylvania County of Will (md~Kom ~No..~.3..~.6.~.~.~~~r r Dil 9L, Greenlee,Richman,Derrico & Posa Patrick C.Derrico,Esquire n~E ~ld h Gr.',\J ..,'1 """I.J t -~..- -E/')-E/')~-E/')-€P.-E/') >-:r. uC't_2"l'V...-3 ~c../' ~,:! I~,, ,1 ",~ ~. ,.' Washington,Penna./1-/9-79 MY KNOWLEOGE AND DELIU.THE P'O;l£GOING III A JU5T AND TRU I:arAT'".£NT 01'DEBTe,FUNERAL UPENlii:a "'NO U,.f:NaO 0,.. AOMINI6TRATION 6UDM,nl:;)TO THi:EISTATE 0,.MarY ~~att.ar~·r -__ECCAa~.....OIDUCTIONS ro" JHHER'TA"'C£TAX ,.URP08£J1..r~ts 0 • _____U....) aWO"N "'NO gUBSCRIBED>U'ORE ME THI.1st DAY OC'>Executor ~~bi?'~~'~:U_Nota~liC-~~~County --.._----i?--) I OFFICE or TH"STATEMENT OF O:::BTS THE IiVM 0'.............~_f?tJ~,-_~ Ii "ECOIBTtR 0"WILLS AND DEDUCTIONS DATE;lVED .....·1/~·:!3 -~-Of'COUNTY ,-AND ...GENT 0"THC COMMONW'ALTHi~...t3-0?-~d9 '/JAAn r../l;7,,,~-r- Reo')'}'.t Will.,Ag.~l );IJ/ ESTATE OF Mary Hvrcko,a/k/a LATIi:0,.Borough of Canonsburg Mary Hritsko DAT£OF'FILING APP~"IS[MENT DAn:OPO D~TH September 7,1968 DATI!:NO.0'NAM"OF PAYEE REMARKSV.;)'-:'C""".....OUNT 10/8/681 Solen Funeral Home IFuneral Expenses 2,35~65 "I st.Michael's Cemetery Grave Lot 20C 00 "I St.Michael's Cemetery To Open Grave.4C 00 " ,Solen Funeral Home Monument 35C 00 ! "Solen Funeral Home Rental of Green Tent &Artlf-r:lT ~rr:lvpo!=;iTe 2 t .00 "St.Michael's Church Funeral Expense 9~.00' ! ".Michael's 2:I St.Church Masses .001 "Malcne's Flower Shop Funeral Flowers 15C .00 "Ann Backner,Daughter Food for Funeral Guests 3lC .00 10/28/6S Boreugh of Canonsburg 1968 School Taxes-Decd.prop 15 .60 I -neca..s 10/20/6S Iwest Penn Power Co.&Bell li';n~l Electric &Phone-Res.3(•00. .L \:;0•~ 101 22/6~Nationwide Ins.Co.Insurance Premo on Decd.Home 7(.00 10/30/68 H.rlJiller,Painter Painting at Decedent's Res.5C .00 10//68 St.Michael's Church!Sltchen Funeral Dinner l(.00Help 10//68 Julia Morris-Da"Ughter Reimbursement for Mailing i -:>1",t')f 'l'h:>nlr",&Stamps .00· 10/0/68 Dr.Sprowls Or.'s Bill-Last Illness 38C .00 10/1/68 Jeffrey's Pharmacy Medicines-Last Illness 14 .-00, 11/0/68 Cancn sburg Gen.Hospital ospltal Blll-Lasl:Illness 75E .00 10/:/~Q St .Michael's Cemetery Top Soil,Grave,Grass,etc.4~.00 10/./76 Greenlee,Richman,Derrico Reimbursement for Filing Cos s : &Posa :~ ..10/Reg.of Wills Filing RCC-33 &D &Ds.3 00:/76 10/fL/76 Pete Hritsko,Executor J Executor's Connnission 700 00 lnJ h J7F.Greenlee,Richman,PosaDerrlCO &Attorney's Fee 700 00 $6,608 25 i COMMONWEAL.TH OF PENNSYL.VANIA!.}.., COUNTY OF Washington Pete Hritsko . t.H£R"8V CERTIn'.TH'T.TO THI:IlteT 01' \. • ... •., ,\ ., -J'!'-,4 • .'r-r•t...• • j .:; ,'. ... ...~·1:~.-.J;1;)c.:r-;;,'"rr;-~Ct7l .::,::r.:0 r:-::z:-:t:...<-,-Cr.).:::::---!...,....t.-I 'C,":rn.:r-.tt ..-~..:-C"•.;:;J e--,.,:ir ....:>(/)'-"-r'1 ._~-0 .........'-'..~'--...,,;.:..;~..--::0---.....,....r -of~>0')p---0 RCC-51 le-73) COMMONWEALTH OFPENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING or APP;RAISEMENT Pete Hritsko (Executor or Administr'Jtor) IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division In Re:Estate of M_ary----"-_H--"y_r_c_k_o_a_lE:_'a__M_a_ry"--Hr_i_t_s_k_o....,:.--..:..._ _W_a_sh_i_n-=g:-t_oIi_I,Count)'-File No.6....::.3_-_6_8-_1_2_2....::.9 _ Deer Mr.Hritsko: You are hereby noti fi e-d that the_~o-r-:i--"g"-in-=-al---=:__-:----------­ appraisement in the estate of Mary Hyrcko aka Mary Hritsko has been fi led in the aHi ce of Ihe Re9.i~ter of Wi II s of__W-=a:..=s=hi=·n:=JgQ.t::..:on==--_ CO:Jntyon Oct.12,,19_'_/0_,Said appraisement reflects the following valuations: Real Estate .$14,00.00 Person J I Property_--'-"'--_ T ransfers _ Jointly Owned _ Total 14,000.00 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 nine (9)months (fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive; ane twelve months when death Clccurred prior to December 22,1965)from date of death, interest at the rate of six (6%)p'ercent per annum is charged. ,.Any party in interest who is aggrieved by this notice may obiect thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S.2485.1001,·P.L.373. .~."".'I f)I~/1 11 / Date Oct.12,1976 .Sid~~jVU11~~ D.D.D.Sept.7,1968 Title __~A~pp~r"'-'a~J.~·s~e~r~I:..=I=____ Not.~:This is not a bill. ',' ..', RCC-39 (&-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY EHE!te of Hyrcko (Last Name) Mary (First Name) DATE OF DEATH----.:.9_-_7-_1-'---96_8_FILE NO.63-68-1229 (Initial) REPOR';OF INEERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington Pennsylvania,do respectfully report that I have a(:.praised [he real and personal property as reported in the foregoing return at the values set forth opposite each item in the last cc1umn to the right in Schedules "A","8","C",and '·E". Dated:_--,-O..:..c..:..t.=._.....:1=.:2=-,L..-::1::",9'-!7c..:6'--_ REPORT OF TIlE REGISTER OF WILLS I,the undersigned duly elected Register of Vlills in and for Washington County,Pennsylvania,do respect- rully report that I have allo...ed deductions in the amounts claimed by deponent,except as to those items where a grea ter or lesser amount is set forth in the last column to the right in Schedule "F",which greater or esser amount represents the sum .illowed as a deduction. Dated:/;}-/.3 -7C, 14.oY "''' 14.00c .00 6.608 .21) 7,391 -75 VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$$-------+--- CLEAR VALUE OF ESTATE INVENTORY !Real Property (Schedule A) Pel'Sonal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) FOR USE OF REGISTER ONLY Tax on $-~---""""---:::-:::--M-=--= 'Fax on $------4~.L£.~~"_4 Tax on $------------l-- Tn on $------------l,...--'Fax on $--+__ Exemptions========t== Total Estate---------1--- TOTAL TAX J COMPUTATION OWTAX $-----..,....,..,~-- $..:..L~~~!L- $-------;-----+--- $-------l---'-- $-------+-- (*)As evidenced by Charitable .Exemption Certificates issued $---I.~.l.L:..l..::::6::.....::0;.,..,.by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death t7~::::::=-=;7:'1(:=~~'=L='=i!J= BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $-J AMOUNT OF ESTATE TAX ASSESSED $----~L-Es~ate tax paid $-.IL- BALANCE DUE $------..,j[_ Add interest at rate of 6%from E ------lto-----$-------l TOT:'\L TAX BALANCE $------I PAID $--1 FOR USE OF REGISTER ONLY ADJUSTMENTS I'OTE:Where subsequent adjustments arc made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short expla:tation. Will (...No.AdmInistration IN THE Year MATTER OF THE APPRAISEMENT OF THE ESTATE OF Mary Hyrcko aka Mary Hritsko .................-. Deceased t • i.... ~. .. ~t:~. Late of Washington...................-..••...•................••...•.... ;., I,. County of .ItJClf3h.i.llgton............. Commonwealth of Pennsylvania REPORT AND APPRAISAL I,' /., '. ~! COUNTY _W_a_s_h_i_n..::g:..t_o_n _ FILE NO.__6;...3-_6_8_-1_2_2...;..9 _ R:C-2 (2-64) DEP"RTMENT OF REVENUE BlL~'EAU OF COUNTY COLL ECTIONS ,HARRISBURG,PENNA,17127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE Oct.12,1976 (Poai Qftlee) .Whereas,Mary Hyrcko aka Mary Hritsko late of Washington in the County of Ttlashington Commonwealth of Pennsylvania,having died on t~e 7th day of Sept.19~,seized and possessed of an estate s'lbject to Inheritance Tax under the laws of the COr.lmonwealth of Pennsylvania; Dominic R.DeMaria ...Therefore,I,,an appraIser duly appomted accordmg 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 tran::ferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for Ufe or for years,the Commonwe:llth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. , \ ),Unit AppraisementDescriptionofAnetMadeforInheritanceValuesTaxPurposes Real Estate $14,000.00 See copy of attached appr. 'I ,I f ,..•,,, ,.;,,..,~ I ~I ...., ~....-,..,.1 ...,...... I -", -I .'.,,. ~.''., ....., f....· : ;, I (. ;,..:-,\.. Ha,ving been duly sworn accordij!zt0 law,I do hereby certify that ~boyppraisementis made in.?,;;- formity with law on this ,/,2 day of .-11_19 . \_.L.h~~Q~.L )0 11.~O-A __~A ~II~a~A/'!A A ,~~lser#4IJP~~'~~~.AI .a-/£/A "". IJJIlAL (~lUId Street) pennk?'A~~ L--, Washington County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of Mary Hyrcko aka Mary Hritsko Deceased. Late of Washington .. . (.'. Date of Death,Sept.7,1968 AppraiscmeNt Docket Vol., Page,______No.63-68-1229 'L F 'l d'R",O'ffi .Oct.12,9 76temegtstersee,1 __ Amount of tax due,$_ DEPARTMENT OF REVENUE Received, E.).-amined and Approved,_ Wrote abo.llt Appraisement, Appeal f"om Appraisement,_ Entered and charged,_ ~:... to. ..:~. .- 15 day notice ~STATEME~ 1 ....r"'~,~~..~. PENNSYLVANIA TRA~~FER INHERITANCE TAX .'-... ~/. • J., Date l.l~.3.':':':.7.6 . , To)~~!:.~~E~.!:.~.~?!.?..~.Y..~:!.!.~y gQ.?..g g.gP..9.g§Q~:U::g.t ..~§.P..n.a.,1.5:3.1'J.:::.. A~~G 1 R'hm n .r.p.-~~~·W-..h T'Bld·W 'h'to'................lr.y."~.e.en .ee..I 1.C an.,....,.er.r~co.~....OSG l'If.k ~S r........g.•.u.as ng.OD.*enna . ESTATE.DATE 0F OF ~~.;:y ~f.;h.!:.§.~9.DEATH _9,:,::.7.':':':.68 _.. f ,/ Date .County'"S te Appraised !.9.:::-.:!.?::::.7..§:..File :,_.......ile 6.3.::-:-.6B.::-:-.1229.. , Real ~Estate .1.4.1..Q.O.Q O.Q . Personal Property Joint Accounts 14,000.00 ••,11 -,•••••••••••••••••••••••••••••••••••••••••••• L·~ss Exemptions Less Debts and A:lministration Expe~ses __ _§..~..~9..~.~.:??~~.. TAXABLE AMOUNT ..........?.!.}.~.~..~..?!?.. TAX on @ ro ::,.. TAX on..?":?,.2.J....!..?~@ §ro :_4~.~.~~!?.Q . Amoun:Previously Paid TAX BALANCE ................4:4.3.•.5.0 .. Interest from ~.~.:.?:.~.~to.J.~.:~.~..::7..~~_~.. 6 443.50..._ro on .184.87._. BALANCE DUE COMMONWEALTH..628.37............................_...., DISCOUNT (5%)IF PAID WITHIN THREE MONTHS FROM DATE OF DEATH. :>Cc·mmonwealth of Pennsylvania. James M.Bach .................................;••••••••••t•••• P.l\YABLE TO: Y1/~'117' 7R::GISTER OF WILLS ~t 2 f ..3 WASHINGTON COUNTY i::>). COURT HOUSE "~~i3 WASHINGTON,PENNSYLVA."A r'.(]r tl''./J .'.~a .J{e-¥c/7..13 c.i1" -J RESIDENT DECEDENTS FUe No.63-68-1229 COMMONWEALTH OF PENNSYLVANIA OFFICIAL RECEIPT Transfer Inheritance and Estate Tax 19~ ~9 979207 Form RCC-4-Rl-3-66 No. Dme December 30 Office REGISTER OF WILLS.WASIIINGTON Pa. lIASHTh'GTON County,ss:Received from Peter Hritska.Jr.PB3"lng on Iud,',lab. X1JR!~~i"Mt~~~)of the estate oLf ..LIA..BA.J.lR~y.......J:lmw~LlT.:J.TJ..';Sl:\K,l.IOL---------------- who died S f:er.m.'1 1~,the sum of THIRTY.Sl'iVBtJ and 6S/100 ..._ _ _ _ _Dollars, being TRANSFER INmTA"iii'fAX and/or EsTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Computation of Tax 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. Lrrn10 [pJLLO ©£Lr[ NOTE:This Triplicate Receipt to be retained by the Register 01 Wills a317snJ.41rft1'1!rical sequence for audit purposes. Estme Tax Assessments Dme 19__$_ _,----19__~$=================== Total Cross Assets Less Debts and Expenses of Administrooon Clear Value of Estate Valuation of Life Estates or Annuities Date 11:3__ _________19__ $-------- $-------- $======== $37.65_ $======= $======== $37..65 .'".'.,/...~I",'""~/......",:.!t..'(:~...',. )t:,JI Tax on III _5%$_ Tax on $10%$---~_ 627.53 6~Uz'1o $-~3;J..7.....~6;J..;;51__--_ Tax on $15%$--------- Register of Wills Tax on $ 'J'ntt;tl Tent Total MOORE BUSINESS FORMS,INC..ELMIRA,N.Y•.~....,.....-- Ex~mptionll *$.==============:::; Daklllce Less five per centum of taxif paid within 3 months after date of death Less Tax Previously Paid (if any) Total Estate $_ Amount of Estate Tax Assessed under the Act of May 7,1927. *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 Add interest at the rate of % from _ to _ $,------ $,------ $. $,------ $. $627.53 $ Vc:ifuation Valuation aJ'-----__ $,------- Total $G27.S3 $,------ Total Real Estate Date Date Personal Property ,..n .......,,.v"'.~ Acc't .. 1_ FORM RCC-4-RI TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT " Docke~Page 1At!J line -:J Estate of brk ....l mUT5ite-J#U\....a\; OFFICE OF REGISTER OF WILLS ,...li:S"'rc""e"'..Pa.£_,t,n "4~,ft.. Date 19Dceetnber30-08SIGNEDANDSEALEDASPROVIDEDBY SECTION 1201.ACT APRIL 9.1929.P.L.343 AS AMENDED BY ACT MAY 15.1945.P.L.528 iitiSSiLL ~ol W~IS 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 0'adminis- trators and to charge the Registers receiving the moneywiththeamountreceiptedfor.The original of each such receipt shall be sig-ned and sealed by the Register of Wills and transmitted to the executor or administrator.whereupon it shall be a proper voucher in the settlement of the estate.In no event shall the executor or adminis-trator be entitled to a credit in his account by theRegisterunlessthereceiptissosignedand·sealed bytheRegisterofWills," Fill in below name and address of person to wholll tax receipt is delivered: I --~~-.'~DsrrQ JR--~---...•,_:\~~iiIii..&;;,:::... 152 \'AtIJSY ROAl) I ,..... L G~M8Bt~Immtc.:-n.,ttfi·"T!.i~~;:;:%'~,,:a;;~'V-~i-l 1•..,d l:S31?-l $~II $184.87 ~ ~·"·:·~~~~"~=l:~~ISZ:'=':~:~,;.:z~7~~;;~:;Z3~~g::2::~::;:;:~:::;7ZE:2I=~_~;~:~;;" i~!RCC-4(6-74)COMMON~EALTHOF PENNSYLVANIA 1=1 .DEP~RTMENT OF REVENUE r-i,'NO.F47 336 OFFICIAL RECEIPT •PENNSj.,~LVANIA INHERITANCE AND ESTATE TAX 'tIl .I~;t~'" l'iIi:"sn ,HUNDRED '1'WENTY.BIG~F''and 37/100~..-~-"-",,,,,,,,,,-,,,,,-,,,,,,,,,,,--,,,,,,·_,,,--,,,,-il/!RECEIVED '',.".f"dollars H 'ete H:rltsko representing Pennsylvania Inheritance or~~Fr9m:Atty.Greenlee.Rtchman,Derrico 6'I'c>sa Estate Tax due from the following estate: I~Address 32&Wa$b.iD~on Trust BuildiJ'lg I 2o/()Tax on $. $~I ~i Washington.Pennsylvania 15301 6%Tux un $7,391'!i15 $443.50 , ~F;le N~.63..68..1229 Do'e of Deoth 9..1""8 15%To.on $$I~ ·1 Dote of Poyment N,O,V_,"e,r ,'",19'6 o/()Tax on $$I~,' II~:_Estate Tax,Act of I;i :11 Nome of Decedent ).fa".HFitsko May 7.1927 $1)4j i CO'.•nty W."~ll ..~..~.'".'",:,,,._,,TOTAL TAX CREDIT $443.50 I~~ ,.:,";~,~~.!.~,~:.I,:"~",''',Less five percentum of tax if 'I f.,'.~....OJ t~"'~\ •;<~~.,....':.\'.:~l'paid within three months after "..t.>"It',i I),,:,t 10 :t-.,l.. '7 :"tr J',.,',.'''''''~.."\.date of death,.~•.'~~i '{.'/,t-\,~:!"..:~-:",,:~.....t,(",~,I;~~Plus interest at the.rate of .'~,.-!~.~l__',';''?'~r ~&-%from 12...7...69 "'~-""""..•••tt '1~~'k·,~Xi1'~.,,:'.J~,.'»iJi...'i to -=D::...:&".,t=."e"'-'_ "'.~..~.~~.~\f"'}~.~'"'F.'I,~1J IT 00 ~'[P [L~'@ g1f~~:i7~;'i;:~~,:f:~::;,/TOTAL AMOUNT PAID ",','•<~"'ltll:t:l::.tl'~,'>c:,,'"~ ,NOTE:This Triplicate Receipt to be retoine~lor~7·UJ!'0.ses~.":.-J>!~/' •0.,-t ./.-.,,;:;k I I /).'.~'...,_~,:.,.'-Received by,.,_,_,/[A..I'-Y....~I NOTE:In accepting the transler inheritance tax on future estoles,prior 10 the death of the lifhi/V )I~S'SZ ~&J tenant or tenant for years,as evidenced by this receipt,it is understood thaI the Commonwealth sho I :h,'k/I))llI'1 ~ot be precluded or prevented from hereafter assessing additional inheritance tax 01 the death 01 the~/a(Ai-Uk LI \\¥INI ~l'1,Ie tenant or tenant lor years whenever it appears that such additional tax may be legally due and .-.,..~ ,collectible for any reason whatsoever.,.. .e ..."'--'-'_.---o.,-,--,"~_.........'--J.....-.,:"""__-"",",:"",,,,,:,,,,,_-~_""'e=I