HomeMy WebLinkAboutOC1968-1245 - ESTATE OF BULETZA,/
FORM 67 REG.WILLS
FtEV.1-50
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1\pplication for i4ettrrn of 1\llminintration on the
Estate of..:~~~~y.~~.!.~~"~{~.!.~~~.~.~~.~.~~.~~.~.~~.!..~.~.
late of......w..~§.t ....~.r..QJ.m§.y..~JJ.~..1.....W.§:.§.h.igg~.9..g....g.Q~.gy,,Y,.l .....f CDeceased.
Btifore the Register of Wills of Washington County
personally appeared J?A.F.J?A.RA A..~$..'§.A~.X ..
who,being duly sworn deposes and says that...~.~.~~.~.~~.~.~.~~/.~!..~~~.~!.::.~~.~y...~~~~.~~.~.~..
ageQ.1.,having h.~.§.last family or principal residence at §J:.Q J..§J..f...~.r..§.9..n A.y..~..~.
(Street and Number)
...........~.~.~.~?Eg.~.~~.~.~.~.~~,Washington C~unty,Pennsylvania,died intestate
Brownsvil]@tYG@Mollgttf~~ta1,Redstone
at:lli.p.+F..ay..e.:t.t.e c..o ,e.nna ,on th£.Q..t1&.y of ~.~.p.:t.e.m.bfl.r...
A.D.,19 9..9.,at..~..t4~r...,M.,possessed of personal estate to the estimated value
$,and of real estate in the Commonwealth of Pennsylvania to the estimated value of
$l.t.~.~.~.~.q,,.s itu ate in ::::::::::.:::..
.........................§J.Q J..~r.f..~r..~.Qn Ay..~..l!B.l~..inab.Ur.g,.,fla I1 ;..
The names and addresses of the decedent's ~urviving spouse'(if any)and other heirs including
heirs by adoption)are as follows.
REI,ATIONSHIP RESIDENCE
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....B.ar.b.ar.a A S.eal.y.,:?~.:?.t..~r.§.~~s.i.~.~.~~~.~~~.:ij.r:.;p.~..
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That deponent is over 21 years of age,resides at..6l4.J.e.f.f.er.s.an A:u-.e ..
...........w.§.:?~J?!.:9.!t!..g,:?.y.~.~J.~.,p.9...~~2.~.~7 .
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.
Sworn and subscribed before me tbis §~_....1.~~~a<LA"q~~.
day Of..•.~•..~~19•.....62..•~£".
REGISTER
---COMMONWEALTH OF PENNSYLVANIA}SS:
WASHINGTON COUNTY,
And now N.Qy..§mb.e.r.2..1.&.;.~..-;I'\}69..,comes t.1§.r..1?§.r.§;A.~?§.?.:Jy .-.,...I.~
who being duly sworn doth depose"';nd say that...,S.he.will well and truly administer the goods and
chattels,rights and credif~'of..MlKE BlI.1E.T.ZA a!k/a MI.c.HAEL....E.B.llLE.T.ZA ,deceased,
to the best of......ber..skill and judgment in strict compliance with the laws of this Commonwealth,mind-
ful of the laws relating to inheritance taxes.
Sworn and subscribed before me this....~.~.
day of...Q ..N.Q.y..e..mQ.~;r.,A~D.,19 6.9..................tc.~~~~..
REGISTER
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APPLICATION FOR
.Letters of Administration
/'ESTATE OF
MIKE BULETZA a/k/a
MICHAEL-F~BULETZA
'-',
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Deceased .
R $..
Letters......................................................#"cJ
..P $ /..
Extra 41i~s . . . . . . ..I •.....•$.
Certificates ..~:<!f.$.!~~..
Renunciations .!..........$/~~..
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Oliver N.Hormell'Attorney
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ESTATE OF
...........MJ.K~!?v..~~.T.~.A ?i.~!g MJ..gH.A~~.f...~....J?lI..~~.T.~A ;DECEASED.--_.brothers
The MI~eEsi~UelE'¥'ix;r.~7k7~1~:t.~g,,,~.;i,11:i..~.m ~JJ.1.~.t..H.~....&.J:Q.hn...B..,.....E.11:1§.t.~.a..'.....f..alld heirs.
of lYll.QHAEL .F..A B.ULE.:rZA late of W.f;U;;.t..8.r..Q.W~.y..:i..ll~.J Wg.~b..,~..c..Q..~..,penna •
._.-MIKE BULETZA a/k/a ..-'-
peceased,hen~by renounces :t.h.~.;i,r...right to administer on :..MI.C.HAg1 E B.uLETZA estate
and respectfully asks that.Letters of Administration be issued to :;E?AR.f}h.R.A..~.A.~$..~.A~X ..
.......... .
........................................................................................u..•••••..•••••••·.oe ~••••••••••
Signed in the presence of:
......................._.
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S11/1i1 .:/0 ~EllS!t)3l:J
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QIammanmra1t4 af Jrnnsgluaniu.t 59.
lIa5~tugtnn QInumg.\
I,Russell Ma.rino ,Register for the Probate of Wills and Granting
administr a t r ix
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
to Barbara A.Sealy
of all and singulat..theBg'oods and chattels,rights,and
,li'.nletza
credits,which were of Mike Buletza ,A.K.A.Michael late of Washington County,deceased,
GREETING:
WHEREAS,the said ·Mike Buletza ,A./K/A Michael F.Buletza late of
West Brownsville in the county aforesaid,lately died intestate
(as is affirmed),possessed of divers goods and ch attels,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 w:ell and truly administer the goods and chattels,rights and credits,
which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's
office,at Washington,within ninety days,and to render a just and true account of your administration
at the expiration of six months from the date hereof,and to regard and comply with the provisions of
the laws relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and
caused the seal of said Office to be affixed this 6th.
day of November in the year of our Lord one thousand
nine hundred and Sixty Nine
~»;~...................f.I:!:.
RUSSELL MARINO,Register.
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Estate of...~J~.~~.~J.~..~.~~"}N f 19WtB111~0...............................0 ..
late of ~.~T..9..~.P.:.~.y.~.},~..~,Deceased
KNOW ALL MEN BY THESE PRESENTS,
That we,...~.~.~~~.~.~....~..~.....~~~.~I.....~.~~.~.~.!;l:.~.!.p.~}....~E:~~P.:!.~.~.9.§.~~.~.~.~~:~.9:.~J.tt.y ~..n9
.............g.~~.~.~D.~y.9..Q.~...J?.~J.t!~.9..r..~..t M.9:.~§~r.~.~.y..
all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl-
vania,for the use of those interested in the estate,in the sum of..X!..Y..~~~P.:g.r.~.g Dollars,to
be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves,
jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assign~,and
each and every of them,firmly by these presents.Sealed with our seals and dated the ;?.r.Q...!day of
.................~.9..~..~p.p..~.!.:A.D.,one thousand nine hundred and Six.t;¥N1.na .
THE CONDITION OF THIS OBLIGATION IS,That if the above bounden ..
....·..··rl·x.·..·5.ar.'b.~r.~A.,~.~~.1,y,.
Administrat~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.d~/J .~/',
Sealed and delivered in the presence of:...6~~·e·a·..·S'ta·t·e:r--FI'd~~nJS~~k~antY.2.l.t1m.Q..~....§.ur.y.................lEAL)~~)
.......................................................:(SEAL)
~tatrmrnt of ~urrty
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.
.........................................................................................................................
J
Street
~tafrmrnt of ~urrty
P.O.
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 $;and that I am worth
the amount expressed in said bond,over and above my just debts and liabilities.
Street P.O.
COMMONWEALTH OF PENNSYLVANIA,}SS:
WASHINGTON COUNTY,
And now 19 comes ..
,who being duly sworn,says that he is acquainted with the financial standing of the securities to the within
bond;that the said obligors have each executed the said bond and that the sureties thereto are the owners
of real estate in their own right of value more than the penal sum of said bond over and above all incum-
brances and exemptions.
Sworn and subscribed before me this .
day of A.D.19 .
And
11 2325
No.63-68-1245
!\~miniBtratiDn 1BDn~
IN THE ESTATE OF
MIKE BUIEl'ZA a/k/a
MICHAEL F.BUIETZA
-.~-ry.»::a (,C
now (.N~$er 6::1':-----;1969.-
Bond Ji>~etn..nd Le@s ifs"ued to:c::~'tft"G>rn~m~~r-enBarbaraA.Sealy'C"'"l....~,,~-:ca ...~
o >-:::zO~::q
who torArdiilv auil:1fied.--~,--...-~..-
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c:.Russell Marino
Register
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Bond Book 63 Page~
~2
i\ffi~auit ®f 1Exrrutnr OOr i\bminiatrntnr
~ttttr of Jruuaylttttttitt }
<ttouuty of IItta4iugtou an:
Personally before me,the undersigned authority,a ._N_9.t~ry_J:~"!-!pl~~in and for said
Barbara A.Sealy .County and State,appeared __.__. .. .----------who,bemg duly
sworn according to law,deposes and says that ~e is the executor or administrator of the es-
tate ofMik~__B:ule.t.za_,-a_'_ki.a--Micha.el-E.d~'€a~~d:athat the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of __JYUk:~__~g~~J~~,
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.
d
sfworn0~~~::rscribed be
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;e this 2.:-.~}r:;£~a,/d*'.
ayo >..0;'........:..........~-Ad~·i~i·~~~tDtx
MARlEM M...NEIL~9??..~.............................Barbara A.Sealy
CALIFORNI.A.WASH~NGTON co.,PA.ADDITIONAL INSTRUCTIONS
My Commission expires July 14,1973
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
3.futttutnry ttUll,.Apprttintuttut .of the goods and chattels,rights and credits which
.Buletza
\were of M:i..~.~..B.ule.t.~.a a./kJ.a..Micba.el..F•..I ..late of W~.:;:}t..B.r.Qwns:v.ille ..
Washington County,Pa.,taken and made in conformity with the above affidavit.
J
DOLLARS
Realty
CENTS
An heir in the estate of John Buleczo,a/k/a John Buletzo,a/k/a
John Buletza,Sr.,a/k/a John Bulctzo,a/k/a John Bulecza,a
one-fifth (1 /5th)interest in Lots Nos.473,475,477 and 479 in the
West Side Land Company's Plan of Lots Addition to West Brownsvil]e,
Borough of West Brownsville,Washington County,Pennsylvania,
upon said Lots Nos.477 and 479 is erected a two story frame
dwelling.(a 1 /5th interest of $3,500.00)
Personalty
1.Ford pick up truck,5000 4H27F214971 RN3-HP
2.Savings Account,Western Pennsylvania National Bank,
California Office.
3.Checking Account,Western Pennsylvania National Bank,
California,Pennsylvania,Office
700.00
350.00
4,261106
165.84I
I4,776.90
~~~
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t'r.!;:~~en "()~..,~~"::l-I
I I 01 'Ill t~'''0 OL ..,~~U t'r.!~h!J <:;'
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
--~_..-
The within named Accountant being duly sworn according to law,depose and say that the above.account
as stated is true and correct as She verily believe,
/1(;Sworn and subscribed before me this ~..~.
day of Q..~t 19../..Q .
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;e,~~
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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 Sta'tu>te and Rule of Court,as evidenced by proofs
thereof filed to No..6.3:::..ZI)..~"':..Z.'i().
Witness my hand and official 'Seal thiS J()~~__.....
I'LA ILL'"......................•...................19W.
~~9Jt~.__.
Register of Wills
day of..__....
Wa1shington County,ss:
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REG """"E'"O'~'"'ft .~"I;)i .f\.f'Ii.A LS
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ACCOUNT NO.to 3 -{..?_/;;;.1/-S-
FIRST AND FINAL ACCOUNT
of BARBARA A.SEALY,Administratrix of the Estate of MIKE
BULETZA,a/k/a MICHAEL F.BULETZA,late of the Borough of
West Brownsville,Washington County,Pennsylvania.
THE ACCOUNTANT IS CHARGED AS FOLLOWS:
1.Inventory &Appraise.ent fileddOctober 23,1970 ••$5,476.98 (~
4.Washington Ceunty CommissiQners-Veteran's Benefit
••• •• ••••••••
3.Veteran's Administration Benefits.
2.Social Security Benefits
Colu.Dia Gas -Refund
6.Conversion of Assets:
•••••• ••••••
•••••••
255.00
250.~(j)
75.00
19.90
Ford Pick-Up Truck,Sold for
Inventory Value
TOTAL ASSETS;
$35(l).@€}
350.GO
*****************************
RECAPITULATION OF ACCOUNT
OLIVER N.
HORMELL
ATTORNEY AT LAW
423 THIRD STREET
CALIFORNIA,PENNA.
69-156
Assets of Estate
Credits of Estate
Balance of Estate
Balance consists of:
Cash
Interest in Real Estate
Total
$6,076.86
4,615.30 C-
1,461.50 U
$761.50
..700.00
1,461.50
I
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,.,.,
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ACCOUNTANT CLAIMS THE FOLLOWING CREDITS:
Matola Monument Gravemarker
Oliver N.Hermell,Esq.Attorney's Fees
1970
Feb.19 Register of WillS,Short Certifieate
22 Skirpan Funeral Hoae -Funeral Expenses
Oct.23 Washinaten County Bar Association -tee
Brewnsville General Hospital -services
Centerville Clinic services
Total
Russell MarinQ,Reg~of Wills,
Letters of Admin.&Sh0rt Certificates
Washington County Reports -Advert.Estate
F.J.Buckley Insurance -Admin.Bond
Russell Marino,Reg.of Wills,Short Cert.
Brownsville Telegrap.-Advert.Estate
$li.O'
14.00
10.00
1.€)Q)
9.00
1.iO
1,898.09
19.00
1,646.70
155.00
330.ee
336.M
2(1)1.69
4,615.30 111I'--
Administratrix'FeesBarmaraA.Sealy,
11
17
21
28
1969 .
Nov.3
OLIVER N.
HORMELL
ATTORNEY AT LAW
423 THIRD STREET
CALIFORNIA,PENNA.
'.W~hingto~Co.Reports
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
Est••S
ister of Wiills has granted
letters,testamentary or of administration,
in the following estates.Notice is hereby
given to all persons indebted thereto to
make payment without delay and to those
having claims or demands to present
them for settlement to the Executors or
Administrators or their Attorneys.
• •• •• • • ••• •• •••••
,
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}
S P
SS.
TATE OF ENNSYLVANIA
BULETZA,MIKEl;a/k/a MICHAEL F:BULETZA,Dec'd..
:~te of theBorough of West Browns-
I VIlle,.Washmgton County,Pemia.
AdminIstrator:Barbara A.Sealy,614JeffersonAve.,West Brownsvi.lle P'l,15417 ',.
.Attorney;Oliver N.Hormell 423.Third St.,California,Pa.'
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 officiaJl legal periodical for said Washington County,published weekly
hav,ing its place of business at Washington,Washington County,Pennsylvania,
and is acting as its agent in this behalf;that the said WASHINGTON
COUNTY REPORTS,was established on March 31,1920,and was designated
as the official legal publication for Washington County,Pennsylvania,by order
of the several courts of said County,dated November 11,1920;that the printed
notice or advertisement 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:
.....-
............~Qy..f;.~Q~.;:?9..I ~.7..!.9..Q9..
December 4 1969.................................................,..
that the affiant or the corporation in behalf of whioh he is acting is not
interested in the subject matter of said notice or advertising and that all of the
~g=~01 ~time~md ~Ie of •publ'"",,
-~~~=:::::::::::='J ..•,.,.Editor
Sworn to and bscribed before
..~.~~day of P..f;.~J~!!!P.f;..;:,19 9..9..11 ..
......~(1 .....~
Notary Public
KATHERINE C.NICHOLAS,Notary Publio
\·,~~hington.Washington Co.,Pa.
0',CommissiQn Expires
.'''Q'''~~r 1,1973
-----------------------------,.•~
Proof of PublicJon of Notice in ·Bro!.sville Telegraph
Under Act No.687,Approved May ,16,1929..
"State of Pennsylvania,
County of Fayette
..9.~~F.~.~.~.J(!....~.~K.t.~.~~.y.,....~~H~..L.}1gr {)f the BROWNSVILLE PUBLISHING CORPORATION,
of the County and State aforesaid,being duly sworn,deposes and says that the BROWNSVILLE TELE-
GRAPH,a newspaper of general circulation published at 16-18 Bridge Street,Brownsville,County and
State aforesaid,was established January 27,1915 since which date the BROWNSVILLE TELEGRAPH
has been regularly issued in said County,and that the printed notice or publication attached hereto is ex-
actly the same as was printed and published in the regular editions and issues of the said BROWNS-
VILLE TELEGRAPH on the following dates,viz:
November 13,20,26 69......._.__ _..__.__._._.__ __A.D.19 .
Affiant further deposes that he is an officer duly authorized by the BROWNSVILLE PUBLISH-
ING CORPORATION,a corporation,publisher of said BROWNSVILLE TELEGRAPH a newspaper
of general circulation,to verify the foregoing statet11ent under oath,and affiant is not interested in the
subject matter of the aforesaid notice or advertisement,and that all allegations in the foregoing state-
ments as to time,place and character of pUblication(J£kCretru..,
I)..,....~
----_._..:_---------.---.---_._--_._------------_.----------------_...._.
BroWllsvllle PublIshl Corporation
,..---ESTATE NOTICE ~
I Estate of MIKE BULETZA,a·l,
I k·a,MICHAEL F.BULETZA
late of the borough,of West
IBrownsville,washingtonl
County',Pennsylvania.
I Letters of Administrationl'
upon the above estate having
been granted to the unrtersigned,1
notice is hereby given to alii
those indebted thereto to make
.immediate payment,and to all
those having claims or demands'
,to present them for settlement.!
Barbara A.SealyAdministratrix.I
614 Jefferson Avenue '/
West Brownsville,
Pennsylvania,15417 J
Oliver N.Hormell,
Attorney at Law
423 Third Street
iCalifornia,Pennsylvania
L-=~~-------~-~--
Sworn to and subscribe(l before me this ?2~.~.
day Of..~.XftJ,dQr.~~~~;.;:.T,19~9R'y PU",,-
.......q~~R=~1.~;:O!.J.~'-IJ:y.,....P-A:
MY COMMISSJ~~atY;{lPr~eYc
JAN 21 ..1971
Statement of Advertising Costs
O.li.'l.e.r....N......HQr.me.ll•...Att.o.rne.Y-...at....la.w
423 Third Street
California,Peenna.15419-_-----------.---..-.-.-__--_-_----.._---_.__._-_--
TO BROWNSVILLE PUBLISHING
CORPORATION,DR.
For publishing the notice or publication at-9 00
tached hereto on the above stated dates $~.
Probating same _$..
Total ,_",_",,_- _$9..•.0.0 .
Publisher's Receipt for Advertising Costs
THE BROWNSVILLE PUBLISHING CORPORATrON,publisher of the BROWNSVILLE TELE-
GRAPH,a newspaper of general circulation,hereby acknowledges receipt of the aforesaid notice and
publication costs and certifies that the same have been duly paid.
BROWNSVILLE PUBLISHING CORPORATION,a Corporation
Publisher of Brownsville Telegraph,a Newspaper of
General Circulation .._ .
By ..
~lt t4r <1rnurt nf arnmmnu JUran nfllan4iugtnu <1rnuuty
®rp4aun'Qtnurt minininu
In the IDllitter of the Audit of Account in
j
Estate of MIKE BULETZA,a/k/a
MICHAEL F.BULETZA,deceased.
TO THE AUDITING JUDGE:
No 63,-69 -J 245._--:.--:._--------------
Enter my appearance for Barbara A.Sealy,~dministratrixof the
above captioned estate.
N.B.-Counsel shall,by separate pape,r,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objeotions
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
69-156
No.63 0 69 -1245
In re Audit of Account in Esta.te of
MIKE BULETZA~a/k/a
MICHAEL F.BULETZA
AUDIT
'ra.rrip.r fnr App.raraur.r
FOR
Barbara A.Sealy~Administratrix
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OLIVERN.HORMELL~ESQUIRE
Attorney
~2
(Form where decedent died intestate)
lin tqr (@rpl1ans'(!lourt ~f lIasl1tngtnu (!lnunty
J
ESTATE OF N 63 -69 -1245o.Term,19 ,A.A.
MIKE BULETZA.a/k/a In the audit of the First and Final
MICHAEL F.BULETZA.Account of Barbara A.Sealy
Deceased
The petition of.~.~.~~~E~..A.~.._.$~.Gl.~y _ _:..
(Name of Petitioner)
respectfully represents:..
(a)The decedent died $~.p.~.~.~p..~.!.:..?.~.!)..~.~.~,intestate and
(Date)
1 f d dNovember6,1969etters0ammlstratlOnonblSestateweregrante'.
(Date)
State (I)whether de·
cedent was married or
unmarried;(2)if mar-
ried,whether a husband
or wife survived and
his or her name;(3)
whether or not there
was any marri<;tge settle-
ment;(4)whether or
not family reiation was
maintained until deced-
ent's death;and (5)
whether the decedent
left children or issue of
deceased children.
as per record thereof appearing in Administration and Bond Book No .
at page .
Decedent was survived by
George Buletza,brother
William Buletza.brother
John H.Buletza,brother
Barbara A.Sealy,sister
(b)At the time of death,the decedent's domicile was.=the Com-
monwealth of Pennsylvania,to-wit,at...W~.~.t...J?E9..~~~.Y.~P~.~....P.~p..~~y.~y.9.-.~~.~.
(Town or Township,State and Nation)
and residence was at.....!?_+:.9...J.~g~..:r.e.9._J;!..AY..~.~.:W.~.eJ ..;J?X.9.W.p.1?y.~n~P..~Im.9:,..
(Town or Township,State and Nation)
(c)The names of all persons having any interest as heirs or next of kin
with the names of their deceased parents,to show relationship if they take by
representation are as follows:
NAMES
George Buletza
William Buletza
John H.Buletza,
Barbara A.Sealy,
Relationship
brother
brother
brother
sister
Interest
1/4
1/4
1/4
1/4
Of age,sui-
juris.or not,ewrite yes or
no).
yes
yes
yes
yes
Name of Guardian,Trustee or Committee,if
any,or beneficiary,manr'!.er and place of
record of appointment and is bound suffi-
cient to cover and protect share.
:..~\
State exceptions,if any,
giving names and dates
of death and the names
of their executors or
administrators,or the
names of,their issue as
the same may be mater-
ial.
Describe type of notice.
69-156
-"I-•.
All of said parties m interest are living,except
NONE
. .over daY$..(d)All parties havmg any interest have had .lO-/-..notice of the flhng
of the account by CERTIFIED MAIL,RETURN RECEIPT REQUESTED,
as mailed on November 17,1970.
......
(e)Balance for distribution per Account
(f)Additional debits,not shown by Account
(Itemize)
(g)Additional credits,not shown by Account
(Itemize)
Filing Inventory $4.00
Filing Account 16.00
Distribution of Real Estate Interest
20.00
700.00
$...1.4.61•.5.0.
$ .
7~~bo$ .
$~1.41.•..5.0..
Insert word "not"where I (h)Claim for exemption has been made,and has ::-::been paid.
necessary.
(i)The estate is _subject to the payment of inheritance tax to the
State of Pennsylvania.
If taxable stat~w!'eth-I (j)The estate is not..subj ect to the payment of the county 4 mills
er tax has been paid.
tax.
(k)The estate is P.:~~subject to the payment of Federal inheritance
tax.
l
eM!
"",
1l too many for the
space.annex a list there-
of;if no such claims,
insert the word u none."
If any creditor or other
claimant has not re-
ceived actual notice,that
fact must be stated.
Indicate such claims 35
may be secured or en-
titled to a preference,
and give detailed infor-
mation concerning such
security or preference.
Here insert a reference
to all questions requir-
ing adjudication.and a
5tatement of any mater-
ial facts not already
given.If none insert the
word "none."
If any share has been
assigned or attached
that fact should also b.
stated here.
State kind,form and
character of property
composing the balance
for distribution,and if
any part thereof is not
cash,whether or not
there has been any elec-
tion to take such part
in kind.
....
(1)All creditors (and other persons who have complied with Rule II,
Sec.9),of whose claims the accountant.....,.h9:.9.notice or knowledge,have
........................received actual notice of this audit;the amounts of their claims and
whether or not they are admitted to be correct are as follows:
NONE
(m)Interest of the decedent in the real estate of
John Buletza,·Sr.deceased,conveyed by deeds of all ·heirs,
their spouses,and Barbara A.Sealy,Administratrix of the
Estate of Mike Buletza to:
John H.Buletza,Jr.and Martha K.Buletza,his wife,
recorded July 20,1970,D.B.V.1321,P.278,and
~James B.Sealy and Barbara A.Sealy,his wife,
recorded July 20,1970,D.B.V.1321,p.283.
(n)The balance for distribution consists of property in kind,form and
character,as follows:
Cash
'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?
If prior acc;ounts have
heen filed,list number
and term.
(p)'See (m)above.Interest in Real Estate conveyed as
per requests and instructions of all heirs as acknowledged
by their executing deeds as recorded in D.B.V.1321,p.278
and D.B.V.1321,p.283.
(q)Give brief 'location of any real estate sold.1/5th Interest in Lots
Nos.473,475,477 and 479 in the West Side Land Company's
Plan of Lots Addition to West Brownsville,Washington County,
Penna.(a 1/5th interest of $3,500.00)
(r)__None
Wherefore your petitioner asks that distribution of principal and income
be awarded to·the persons thereunto entitled and suggests that the balance of
principal and income should be awarded respectively as follows (shares being
stated in proportions but not in amounts):-
George Buletza
William Buletza
John H.Buletza
Barbara A.Sealy
County of Washington,ss.
The above named petitioner being duly
sworn doth depose and say that the
facts set forth in the foregoing petition are true
to the best of h €l-r.._.._knowledge and belief.
to and subscribed before me this
15th day.oL D.e..c.em.b.er.,19...7..9..
...~ez:2:J..:'EZ.~.
MAR/EM M.NEIL,Notary PubliC
Notary Public CALIFORNIA,WASHINGTON CO.,PA.....·......·....·....·......·..·........·....My..cirmiiiissToii..expTre"$..]iiiy..i;("19'73"
one9fourth share
one-fourth share
one-fourth share
one-fourth share
And your petitioner will,etc.,
;8~.()~.........................................__~.
(Signature of Petiti~~~·;·)..·tf....··....
Barbara A.Sealy
,
,l
FORM IN CASES OF INTESTACY
63 -69 -1245No,Term,]9 ,A.A.
IN THE
ORPHANS'COURT
WASHINGTON COUNTY,PA.
MIKE BULETZA.a/k/a
Estate of N!J~HA.~.~:f..!;J?V.!_,..~.T.~A..
Deceased..
Sur account of ..Bg.:r.P..~r.g..A......S.~.aJ-Y ....A.D.m.~.
PETITION SUR AUDIT
In Conformity with Court Rule III,
Sec.5 (B)
COUNSEL FOR THE ACCOUNTANT WILL
SUBMIT HEREWITH
1.The letters of administration.
2.A copy of the inventory and appraisement.
3.Proof of advertisement of the grant of letters,
if not filed with accountant.
4.An appearance for those represented.
5.Inheritance tax receipts,if any.
6.Certificate of liens in case any of the funds for
distribution are derived from the sale of real estate.
7.Copy of Federal'Estate tax return,if estate is
subject thereto.
8.Signed elections to take in kind,if any.
'Vd "00 N01~)N1HSV!A
Sl;llM JO lEHSID3lJ
ONP:JVri lTJSSnl:.l
~o 01 i·IV {12 J30 OL.
<8"'''-'-1 ','•.1 -1 -L._i "J
A
-------_...._---------
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,./IN THE COURT OF COMMON PLEAS OF WASHINJ TON COUNTY,PENNA.
ORPHANS'COURT DIVISlrn
too.I don't think there arera~y problems.I would call the Court's
is Oliver N.Hormell.Mr.Hormell?
deceased.The Administratrix is Barbara A.Sealy and the attorne~
)
)
)
)
)No.1245 of 1969
)
)
)
)
Your Honor,I have all the papers on this estate
Number 1245 of 1969,the estate of Mike Buletz
Thursday,December 17,1970,at 10:00 Of clock
A.M.,EST.
OLIVER N.HORMELL,ESQ.,of CB.l,ifornia,Pfl..,
representing the Acro untant.
HEA RING ON AUDIT
THE HONORABLE P.VINCENT MARINO,Judg"
of the said Cou rt.
MR HORMELL:
MIKE BULETZA,a/k/a
ESTATE OF
IN RE:
~MICHAEL F.BULETZA,zc(>~Deceased.Glz
ZIIIa.
ieoz~BEFORE:
~
..:uit....t.~APPEARANCES:
..Ic(~c;).,
~TIME:
l\I
iii
0:IIII-~THE COURT:a.III0:
I-0:;)oU
..Ic(oii:ILo
<I
(,
I.
cf"/.
~l
attention to the fact that there is real estate here,a one-fifth interpst
in real estate,in the Inventory,which has been transferred by
all of the heirs to two of the heirs.And other than calling that to
the attention of the Court,I donIt think it requires any interpretatil n.
The ass ets are all in cash and there are no claims.
THE COURT:
decedent IS estate?
THE COURT:
the Court.
Is there anyone e1s e in Court intere st ed in th is
(NO FES PONSE)
The audit of this account is ordered closed by
( AUDIT CLOSED)
2
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ui0::11/I-0::~1hereby certify that the procoedings anet evidooce are
11/,0::
I-~contained fully and accuratel,.in the note.talten by Qle on the bearing of
ous the aOOIve cause.and that tl11s copy is a rrect transcript 01 the same.
uii:~(
The foregoing record of't proceedings upon the hearmg
of the above cause Is hereby approved and directed,to be filed.
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·'~u t4e <trnurt nf <trnmmnu Jlrus .nf IInsqiugtnu <trnuuty.
Jruusyluuuiu.(@rpquus·arnurt DilJisinu
ESTATE OF No.__6::....3~,--=6~9.....:-1=2=-=4r..:::5:...-_
Mike Buletza aka First and FinalInthematterofthe_
Michael F.Buletza,Account of·__--::::B;.::::a~r.:b=.ar::.;a::::....::A~.~S::..:e:..:a:.::l:..l:y__
deceased.Administratrix
$1,1"'1.50
SCHEDULE OF DISTRIBUTION
Balance per account ·-...-1
ADJUDICATION AND DECREE
And now December ;;:£,19 10,this matter came on for hearing,
audit and distribution at this session and testimony taken;and thereupon,upon due consideration
thereofi!l1 b~bance for distribution in the hands of the Accountant is determined to be
$•.".and the account is accordingly confirmed;and it is ordered,
adjudged and decreed that the said balance be paid out by the Accountant in accordance with the
schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg.
Addi tIona1 credit asked at audit 120.00
Balance,_$7'1 1 .50
No balance
12.,,0
151.11
151.11
I~.Q.()/(.~
151.10
151.16
124.58
Deduct Clerk's Costs &Receiptsi..-_
Attomey ~O.=.l.:=.iv~e~r...:N;.;,.·.......:H=.;o:::.,:'r:;.:M:::e::.:::1=.::1=--_
George Bu1etz8,brother,1/4 balance,
'William Buletza,brother,1/4 balance,
John H.Bu1etza,bro ther,114 balance,
Barbara A.Sealy,sister,1;4 balance,
Russell Marino,Agent,transfer inheritance
tax,$124.31
Inter~t frOM 12-25-70 to 1-5-11 .21
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OFFICE OF THE REGISTER OF WILLS
Form No.RCC-62 (7-69)THIS FORM:REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000.UNDER SECTION 701 OF ACT OF JUNE 16.1961.J
EFFECTIVE JANUARY 1.1962.(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED)I,~
(flO -::to 9-_I j '-15
~
County of .Y'{~:=,.~i.~g1;?~..~.
..BARBARA A•.SEALY .,..','"of 61.4;J.efferson AY.~..West.Brow:nsyille,.Ea•.
(Name)(Addre88)
.sworn..Administratrixbemgduly.accordmg to law,deposes and says that he IS the _
(Exec.•Adm.•Legatee.Etc.)
of the estate of Mike._BJJl~t~a -whose last residence was ~_~_~J_~~~~E_~_?~__~_Y_~EE..~.._
(No.)(Street)
___~~~!__~E?_~~~~.i:~~~!deceased,and that the whole of the estate of said decedent,who died _~~p!:_~_~_~}_~_?_~_
(CitY.Borough or Township).(Date)
'onsisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
An heir in the estate of John Buleczo.a/k/a John Buletzo.a/k/a
John Buletza.Sr.•a/k/a John Bulctzo.a/k/a John Bulecza.a
one-fifth (1/5th)interest in Lots N>s.473.475.'477 and 479 in the
West Side Land Company's Plan of Lots Addition to West Brownsville.
Borough of West Brownsville.Washington County.Pennsylvania.
upon said Lots N>s.477 and 479 is erected a two story frame.dwelling.
(a 1 15th interest of $3;500.00)(7001l~.!!!:StJ"hi L/7 It.,./I)J
v
D·13-7{)7-~3 t
I ,i :L/~)-0'3
Personal Property 7 -7-0 -1 IJ
v~
1.Ford pick up truck.50004H27F214971 RN3.,.HP 350.0~W
2.Savings Account.Western Pennsylvania National Bank.4.261.O~
California Office.}
Western Pennsylvania National Bank.165.84 ~
3.Checking Account..
California.Office.,
-
4.!f-76.90,
.
,.
-.,
,
69-156
NOTE:You may expedite the processing of this return by filing with it,and as a part of the return,
letters from financial institutions or mortgage holde,rs,certifying to amounts on deposit or owed by the
decedent as of the date of death,Such letters must be signed by a responsible officer of the financial
institution or mortgage holder and indicate .clearly amounts of principal and interest in the decedent's
account at the date of death and the type of account,account number and the exact name or names in
which the account is registered.
---------~------~~------------------------......_......_------------....
Jointly Held Property Estimated
Value
.'.>......'f
1\J U 1\J J:!.j
(
("(
-
Transfers within TWO YEARS Prior to Death
((,
NONE,((
",
,
,,,
That at'the time of death there was no safe deposit box registered ih decedent's individual name,of jointly with,or as agent or deputy of
another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
NONE
-
---BENEFICIARIES
BENEFICIARIES AND ADDRESSES
RELATIONSHIP SURVIVED AGE OF LIFE
(If step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest,vest~,contingent or otherwise,in esta,te.)are involved,set -OR NO AT DEATH.OF IN ESTATE
forth this fact.)DECEDENT
George Buletza,Sixth and brother yes one-fourth
Washington,West ,"
Brownsville,Pa.
-
William Buletza,R.D.#1 brother yes one-fourth
BrownSville,Penna.
John H.Buletza,509 Jackson brother yes one-fourth
Ave.West Brownsville,Pa.
Barbara A.Sealy,614 Jefferson sister yes one-fourth
Ave.West Brownsville,Pa.
.,
RESIDENT DECE.DENT "DEBTS AND DEDUCTIONS CLAIMED
;~OTE~List first five items in the spaces so provided,observe notations thereon.and instructions.
$Funeral expenses paid
-,DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN.--------=::..~~=-.::::..:.=:..::.:...--"--,____--'-----=-.:..:c::.2-::.='----.::...=----.:=.::.:=-----_r---'='-=--=c..::..:...c=,_______iRIltEGISTER ONLY
$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses •
Counsel fees •
Fiduciary commission •
OTHER DEBTS AND CLAIMS
(.)See Note below
Total
..~J 1:.;J:~.~~e:rf:'!9p..AY.e:~.~~.
(Street Number)
W~.~t.~r.qW~.~y'i.l.l.e::~,.~.e::~p.~.•...............
(City or Town and State)
Subscribed and sworn to before me this .
..........i?-.~.~day of .Oct.ob.er 19.70.
~
.......:·MA~Nofaf.?~..'.
CALIFORNIA,WASHINGTON CO.•PA.
My Commission expires July 14,1973
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee.commission oi'debt is greater
01'less than the estimated amount claimed and allowed.
Having been duly sworn according to law,I do hereby certify that the above appraisement is made,in conformity with law on this
.......~,coc>.•~14~dayof ~.~19.Q(}.~
....lu..~!~o ._~...•.,'.. . . .. .-....~Appraiser
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 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF THE REGISTER OF WILLS
I.the undersigned duly elected Register of Wills in and for ....\:10"!C!5&lf..h ·y(U$t~..County,Pennsylvania.do respectfully
report that I have allowed debts and deductions in the amounts claimed by deponent,except as torose items where a greater or lesser amount
is set forth in the last column to the right in said schedule above.which greater or lesser amount represents the sum allowed as a deduction.
Dated:'.l :54 ..71.:0 .
Register of Wills
...,
.'
"
Form No.RCC-62 (7-69)
Will 1,Administration SNo..,1.';;'.'I..s:Year t.D.J.
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
MIKE BULETZA a/k/a
MICHAEL F.BULETZA.............................................................................
Deceased
Late of .w.~st .B.r:Q'YAE?yHJ,,~.'~'·""'l'•..•..
'<---I--1:~,~C=.>rt"l~-en t:;')e::~p""....--r ~~"r-:l'County of .W~shin;gt.Qn..7:t .
•:<C -1 ~."f"'1"1-)ri....,--.J t ...'-.f'I r-
Commonwealtli J'~PeimsYlv~ia0
~~..~_.~~"g =E ~:;:::r
REPOO-t=AND APPRAISAL!>(f>C>_.
rv
OLIVER N.HORMELL
Attorney at Law
423 Third Street
California,Pennsylvania
15419
DEDUCTIONS ALLOWED IN j
THE SUM OF $YkYZ<'tP '
./~:~]~?()
STATEMENT OF DEBTS
AND DEDUCTIONS
ESTATE OF Mike Buletza a/k/a LATE OF West Brownsyjlle BODlDngb
Michael Buletza
DATE OF FILING APPRA'SEMENT DAT5 OF DEATH September 25,1969
OFFICE OF THE
REGISTER OF WILLS
AND AGENT OF THE COMMONWEALTH
OF Washington COUNTY
Form RC C·10.
63-69-1245
DATE NO.OF NAM&:OF PAYEE REMARKS A"'OUNTVOUCH""
1969
Nov .~Rll~~pl1 Marino.Re~.of Will k Ltrs.of Admin.and Short
Certificates 11 00
Nov.10 Wash.Co.Reports Estate advertisin~14 ~OO
Nov.17 F.J.Bu~klpv Tn~lll"::In('",Arlm;Y\RnY\~1(\(\(\
Nov.21 Russell Marino,Reg.of Will .Short Gertificate 1 00
Nov.28 Brownsville Telegraph Estate advertisi ng 9 00
1970
Feb 10 Re~ister of Wills Short certificate 1 00
Feb.22 Skirnan Funeral Home Funeral Expenses 1.890 00
Oct.23 Wash.Co.Bar Assn.Fee 10 00
Oct.23 Brownsville General Hosp.Services 1,646 00
Oct.23 Centerville Clinic Se.rvices 155 00
Oct.23 Matola Monument Gravemarker 330 00
Oct.23 Oliver N.Hormell,Esq.Attorney's '~ees 336 00
Oct.23 Barbara A.Sealy Administratrix'Fees 201 60
'1'ni-...l 4.(\1.1:\iO
(,~-A 'L 4i-7q~~A4 11'S'1J
~./1t ."~~-CU,(I r~J ?-O a(),
/I /
-
HEREBY CERTIFY,THAT.TO THE BE.r OF
FUNERAL EXPENSES AND EXPENSD OF
27 (L.S.l
SWORN AND SUBSCRIBED BEFORE ME THIS -==-=-DAY or'Oliver N.HOirJUe11,Esq.Informant
OC'tobpl",,,...l.{L'7n~h7~
COMMONWEAL.TH OF PENNSYLVANIA }
COUNTY OF Washington S8:
I,Oljver N.Hormell,Esquire
MY KNOWLE:DGE AND BELIEF,THE:FOREGOING ISA JUST AND TRU E STATEM NT OF DEBTS
ADMINISTRATION SUBMITTED TO THE ESTATE OF Mike Buletza a a '
INHERITANCE TAX PURPOSES.Michael Bulet
69-156
MARIEM M.NEIL,Notary Public
CALIFORNIA.WASHINGTON CO.,PA.
MY:Commission expires July 14,1973
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RCC-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
IN YOUR REPLY PLEA.E
REP'ER TO
38-20-7
NOTICE OF FILING OF APPRAISEMENT
Barbara A.Sealy
Administrator
J
In Re:Estate of__lv;.;;;h::::.:·k:.:.e~B:..:ul=e:...:::t..:::z=a--.::::.a/l....;k~/~a==--_
____w;.;.;"a;;;;,;s::.:hc=.:i=n~gt=.:::o~n,--County -File No.63-69-1245
Dear Mrs.Sealy:
You are hereby notified that the o_r_l~'g~in_a_l _
appraisement in the estate of M~jk~e~B~l~lJ~i~t~~~s~----------~---___
has been filed in the office of the Register of Wills qf~x Washington
County on.November 10 ,191Q..Said appraisement re'flects'the
following valuations:
Re al Est ate __--'-~7_0_0..:;•...;.OO...:.-------
Personal PropertY __...;.4~,~7~7~6~.~9~0~__
Transfers _
Total -5~,'""J.,u7...1..6!.&..:;;..901.L---_
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 (5%)percent per annum"is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date -"-N_ov_e_m_b_e_r_l_0~,_1..:..9..:..7_0 _
DATE OF DEATH:September 25,1969
Note:This is not a bill.
Fonn RCC-2
.;"
DEPARTMENT OF REVENUE
BURE~U'OF COUNTY COLLECTIONS
kARRISBURG.PENNA.17 127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE N.9Y.~2.~~~9..~~.??g .
.::.)"'...
COUNTY Jt.J.a,shington .
63-69-1245FILENO .
Whereas,j~t.~~J?}JJ.,~.t..~C3:C3:.!Y;j9:late of y!.~.~.~~.~:'?~~~y.~.~~,..
in the County of }!.Cl..:?h.~g.~.9.!.1 Commonwealth of Pennsylvania,having died on
the 25t.b.day of ?.~.P.t..~mp..~:r.19 §?.,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
(;
Therefore,I,y~.~.~~.~~.!.,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate Is transferred In possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future Interest.
Description of Asset
REALTY:_.
Unit
Values
$
AppraisementMadeforInheritance
rax Purposes
See copy attached to appraisement
PERSONAL:
See copy attached to appraisement
TOTAL
700
l~,776
5,476
00
90
90
"
,is ..
-
I ~t=
,
-
".
I
,
,......~,,fO
Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con-
formity with law on this Lh.~day of ~~~:::;;;2..0...........w.,,t?..&~~.-=~..~ppraiser......:.tu~~.::.~:~~et),Penna.
~~l:1:s.!l:i.:rJ.gt;():rl...County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
llikeJ:3':4.~t~l:1...l:1I~<:l.
Deceased.
Late of
v,[e:i3t;"J:3rc:>~.s..y.:i.:JJ.:~......
Date of Death,9..l'?Pt..L.45.,.l..96.9 .
Appraisemel!t Docket Vol.,.3.$.
Page,?-.9=7.No 9.2.':'::?9::~.?4.5..
Filed in Register's Office,N9.y.~lQ 197.Q...
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appra.isement,
Appeal j1'om Appraisement,.
Entered and charfJed,.
i
(1
Will {
Administration ~No.
IN THE
Year .
4....~
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
...M.:J:FJ:..J3v.L.:E'I'~J\..a/k/~....
Deceased
Late of .WES'TI'BR0tmSVILLE
County ofWASHJNG'L'QN ..
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
.,
,.-"CC-39 'i5-68)
CO~ONWEALTHOF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
estate of BllJ etza
(Last Name)
Hike
(First Name)
F.a/k/a
(Initial)
DATE OF DEATH 9-25-69 FILE NO.63-69-1245
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each itern in the last column to the right in Schedules"A","B","C",and "E".
11-10-70Dated:--=:::-.::::..;...-'---------
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum
allowed as a deduction.
Dated:_
REGISTER OF WILLS
VALUE AS REAPPRAISED
$-------+--
5,476 90
'7nn nn
1+.776 90
5.476 90
VALUE AS REPORTED
$
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
FOR USE OF REGISTER ONLY
Tax on $-4-__2%
Tax on $----+__6%
Tax on $---------+--5%Tax on $-+__10%
Tax on $AS"'~Exemptions========~=~Total Estate --+-__
TOTAL TAX
COMPUTATION OF TAX
$--------4---
$-------+--
$-------+--
$--------+--
$--------4---
$1-..-_
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::::~I====
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from
_____to $------
AMOUNT OF ESTATE TAX ASSESSED $------11-
Estate tax paid $--JL-
BALANCE DUE $--------11-
Add interest at rate of 6%from t=
------\to-----$---------l
TOTAL TAX BALANCE $-------lPAID$-1
.;-,.FOR USE OF REGISTER,ONLY ADJUSTMENTS'-:I~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.