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OC1968-1344 - ESTATE OF PETRAK
,., ,_. . I . • i\ffi~nuit ®f fxrrutnr ®r 1\~miuistrntnr ;l ~ ~ ~ ~ c-0 ~ ~ ~ ~tate nf Jenusyluania. f ss: ~ ~ : C!tnuntg nf 111!1aslttngtnn ( ~ ~ ~ Personally before me, the undersigned authority, a .... ,,.cco.D9.~.~E.Y. .... E~.~.i.~c£ .. c .. c ............. ccooooooooooooin and for sa·id I ~ ~-: County and State, appeared"""""""'"""'"""'~-~~-~E.g .... f.~.~~!.§:~ ...... ccc-ooco-cc .................... c ................. c .................. cccoooooOoOOO••••••• .... who, being duly t.U :;·!.! 0 l'! ~;;! sworn according t10 law, deposes and says that he is the executor llUXX.ot.roi.ttDs:t.~x of the estate of ._g~ U;; -v A:Y.g:Y..§.t. .... P.g.tr9:Js ....... ~./k/~ .... .AJ.J&\J.S..t. .... P..e..t.r.ak. .... Sr. .... ~ ... deceased, that the foregoing schedules constit'tte a k ii~ ~ ~omplete inventory and appraisement of the real and personal estate of... .. Aggg§.t ..... t>.~.t..:r.~k ........ 9Lk/.a .... A~~~st~ · '>~ ;( deceased, except real estate outside the Commonwealth of Pennsylvania; that the f.igures 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 ::;of=~~f~i~~~~~- ADDITIONAL INSTRUCTIONS 1. An inventory must ~e filed within three months after appointment of personal representative. 2. A sup'plemental 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 Oopies and· 2 RCRI-33, Over $50,000, including Copy of Will and copy of Federal Estate Tax ~eturn. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 1Juueutnrg aub Appraisement of the goods and chattels, rights and credits which were Sr. of}\,J.Jg,J.J§.t. ..... P..e.tr.~ak.~ ... ~alk./.a .... Augus.t ... P.e.trak/late of .............. ~h~~~-~.!..9.;!:. ......................................................................... _ Washington County, Pa:; taken and made in conf01'mity with the above affidavit. PERSONAL E S T A T E -------- N 0 N E REAL E S T A T E ~ALL those eertain 'pieces or parcels of land lying in the Borough of Charleroi, Washington County, State of Pennsylvania, described as follows: ~· Lot Number Seventy-one (#71) in "Charleroi Coal Co." plan of lots in the Borough of Charleroi, Beginning at stake on Meadov1 Avenue on the dividing line of lot Number Seventy (#70) and Lot Number Seventy-one (#71) ;. thence along said Meadow Avenue a dis tance of forty (4-0'.) feet; thence along the dividing line of Lot Number Seventy-one (#71) and Lot Number Seventy-two (#72), a distance of One Hundred-and twenty (120') feet; thence South East, a distance of forty (4-0') feet; thence along dividing line of Lot Number Seventy (#70) and Lot Number Seventy-one (#71), a distance of one hundred and twenty (120') feet, to place of beginning. AND Lot Number Seventy-two (#72), "Charleroi Coal Company Plan of Lots" in the Borough of Charleroi Fronting Forty (4-0') Page 1 \ DOLLARS CENTS /.;: ~· I ~ ,,I -. ., :;. ~·- >;" ('; '· u- Inventory and Appraisement _, IN THE ESTATE OF- " ··)August Petrak, a/k/a. ............ &U&l!§.t ..... f.~ .. t r§:~ _ _,_.§_L, .......... ~ ... ----·------·-· }'iled ............................................................................ -_, 19 ................. . .. ~, en c.,o·. ~ ~-~-~ :X r :J>o-H'\ C s; ~~--~ m :\:cp.tf-1 E~~ .....a 0 -Q. {'!:'\. r--{-,·r 'I! Q e.·· -o -~ ,.i) ~ :X -l"' -~~ ~ -0.-:.:= .: .---~ c.,..) -"tJ-Fo ::l> (/), --~ .... VICTOR E. R!V:~, ESQ. P. 0. BOX 115 CHARLEROI, PA. 15022 ~2 " r. !~ if ,. ' . I 'l ' "· (". r---. (: r..._ ' .• l. , __ . ) RE: ESTATE OF AUGUST PETRAK,. a/l</a· AUGUST PETRAK, SR., Deceased. INVENTORY AND APPRAISEMENT (CON'T. FROM Page l) R E A L ~ §. ! ~ I E.. :ccoN' T FROM Page l) feet on Meadow Avenue, and having a depth of One_· ; l ·' Hundred and Twenty (120') feet between Meadow· A.v·enue, I,; and a 11>~enty (20') foot Alley. I:. Improved with frame dwelling house, and-addressed as l215.Lower Meadow·Avenue, Charleroi, Pennsylvania. BEING the same premises which were conveyed to' August Petrak Sr., (the within decedent) and Mary Petrak, his wife, by deed of Mary Dubinsky, widow, dated December. 27, 1941, and duly recorded December 31, 1941 in the Recorder's Office of Washington County, Pennsylvania, in Deed Book Vol. 653, Page 659, and upon the death of Mary Petrak on September 29, 1954, full title in the ~oregoing described premises vested in its entirety unto August Petrak Sr., by operation of law .... ..., ...... ""-$ 4,000.00 • I Page 2 > ., ( r;_ ' '- s " 1 ' rr.: -,_ I • l' ' r, y'\;:; r. '{ < 't~::-'1' :'(J:)J .. .. "J .:_ '""'G_ J :. ' c 'I .~ • .,. 'T~\ '· ( r v T .. \ T '( ' •·' 1) ·~·-·--- ') •· I '" r, - n...-," ,.....,!. ) G - r, r, ·~· .. r ..., r \ ' - r, ~ ' \ oG fJ I ' ':. '· ( I sr) ~-'- '). '[J ·' r,;.*l~~-·fio Ntl.~~N1H~YiA ~'llYA ~4J ~J3J.~l~:31-! ,:: ;){J~H~Pt»J, TtJ.1S.S{l\f; , . s·~ ~~ , i. ' " ) 9£ ~ 7 \fJ_;~ ! , ' -Fi ( -; 1 • w~f ~L..;li rt~. J c:· ~~:. i' 1 , , n .i :i ·: , ;. i. ( .3 ' ,. I-' i. ...!.. I,-r 1 -. ' L . '· ,, ;, ,, I 1 r· . ..., .... '.~ .... . ... .._ r -f-··) -. ,, l ,. 1 I . '. . i ,. I c 1 r 1 S) ·- . F) -J ~ ,...,..., ~! . ' 'J.,_ ,, r ~ --~.J '-. ' - s'7! ... :J . 'J;:'~J '. r,:: -r 1 ...: :. _ .! l ~L! -' S.' ..., L. ..... -:; [:. J .L ~-s :. ': f jj r r 1 ' •· .. ~-.j ;I .t .. ._.~! ~ s-~, .,.... -'· J ' -I ' ! i .I . ' J/_f~ I ;f :;• _, ~ .. '"'•J " t t:j f'' rJ· '-~ 'l f: :j·· !'.:., .. ~ _, ,· -' .. } . " ·, ., rWn-·.----- ~ ~ r<j ...._ I ~ "--" ~ ~ ~~ ""---· . •· ... ' .. 1·'-·-'· STATE OF PENNSYLVANIA,· { WASHINGTON 'COUNTY, \ SS: The within named Accountan't being duly swo'rn according to law, depose and say that the above. account . . as stated is t~ue and correct as ....... ~~---·························--verily believe . . · . .Wa,shington County, ss: ~.....-.....---, .... ~ --~~--.. ---·-- .... 0 ...., ~ -1-J :::> 0 Ill t) t) ;:1 <11 bO ~ ;:1 .::X: q ~ ~ ;J; r:.. CJ. 0 ~ QJ. lil ';:; ~ E-< "' ~ CXl <11 1.0 E-< "" .;. O"i U1 ~ ~ ..lt. 4 lil "' •r-i: ·~ 1',4 r..i ~ .j..l .j..l! ": (I)~ ti QJ. .:::r! P,CJ) 1:: '04 .:::r: .j..l~ ~ rd C't"): llll'l3 -1-i. ~ ~~ ;:1~ (/j "" ~ ~ ~! ;:1(1) .,..,: -o: 0 .::to.. r..: w: z ' =""'~ ! I do certify that I have. given leg·al· notice to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court, as evidenced by proofs thereof filed to No .. l23::.7l~J.6.~-----------· . ~s my hand hand affidal seal this ... d.CJ:!!: ........... . dCyaf~~~~':.: Register of Wills t· f -~' ~·-.. .~ r J [ , ... il i ·''·· Lu, '"-", :1 ., Rus f'< '"I ,, ,· .. I /·' :.. :.; qJiJ •' • ·--"'l J. j \: f" P.EGlSTt.;: OF \'!ILLS WASHIN\·;ION co .. Pt\. '· ...., .... ~-~ :::> 0 c:H. 0 Q) 9 ..cl .... ...., 0 0 ,!d ...., .... '0 Q) Q) ' 6 ...., ~ Q) J. -~ rn Q) .... d{ "" 0 ...., ~ ~ :::> lil 0 t) '0 t) ~ «! «! ~ Si :a ...., ...., : rn -~ 'bi! 0 Q) Q) p::l ...., :S· ~ g "-...L '0 N ~ "' <11 ,...., ~· ... ~ --:.. .. "' c• ,, O!lnq!J-lS!P JadoJd dsaJ S! .lJnOJ ay_l .,,~, .l .J -. ' IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION RE: ESTATE OF AUGUST PETRAK, a/k/a \) AUGUST PETRAK, SR., ) NO. 134-4-of 1968 Deceased. ) FIRST AND FINAL ACCOUNT OF EDWARD PETRAK, EXECUTOR SCHEDULE A PRINCIPAL-PERSONALTY Receipts, including reimbursements and transfers, Disbursements, Receipts, Disbursements, Receipts, Disbursements, SCHEDULE B INCOME-PERSONALTY Balance transferred to Schedule A, Receipts, SCHEDULE D INCOME-REALTY Balance transferred to Schedule A, Disbursements, Net Balance for distribution, $ 30.00 30.00 $2,716 2,591 $ 0 0 $2,500 2,500 -..-. ·'.; $ 0 0 33 27 00 00 00 00 '" I ,, I 00 00 • .. \~ ... $ 125 06 0 00 0 00 0 00 ~-125 06 ------------------------------------------------------------- I ! ESTATE OF AUGUST PETRAK, a/k/a AUGUST PETRAK,.SR., Deceased. SCHEDULE A PRINCIPAL-PERSONALTY RECEIPTS ---.. ..)"-'\.:;.., .... ~ Per Inventory and Appraisement filed, Reimbursements: Reimbursement of ih~nies reported as Disbursements· under Schedule A, by reason of Agreement of Sale of the real estate asset, wherein the Buyer agreed to reimburse the Estate for having paid these items: 1971 County, School and Borough Taxes, Appraisal fee to Collins-Hall Agency, Balance transferred from Schedule c, Principal- Realty, ... -~--~ ... - $ 0 ~ 00 151 33 35 00 2,500 00 Balance transferred from Schedule D, Income-Realty, ~---3_0 __ ~0~0_1 >< -· . . .... . I $2,716 33 I ., ' ,.. .. ESTATE OF AUGUST PETRAK, a/k/a AUGUST PETRAK~ SR., Deceased~ SCHEDULE A CONTINUED DISBURSEMENTS Administration Expenses: Russell Marino, Register of Wills, probate of Will, etc., ~ Washington County Reports, legal advertising, The Valley Independent, legal advertising, William Chaney, attesting signature of decedent to Will, -Russell Marino, Register of Wills, 2 short certificates, Pa. Bureau of Vital Statistics, 6 death c·ertificates, Washington County Commissioners, zeroxcopies of Will, Russell Marino, Register of Wills, filing fee of Inventory,etc., Russell Marino, Clerk 0. C., filing· fee of Account, Collins-Hall Agency, Inc., appraisal fee, Elizabeth J: Johnson, notary public, estate notarial services, Edward Petrak, Executor's commission, Victor E. Riva, Esq., estate counsel fees, The following expenses were· incurred for the purpose of preservation and maintenance of the real estate asset of this estate: ~ Hector Riva, general labor an and about the premises su~h as cutting grass, making minor repairs, etc., Real Property Taxes as follows: Washington County Treasurer, 1969 County Tax, W. Ross Allen, Tax Collector, 1969 Charleroi Area School District and Charleroi Borough Taxes, Washington County Treasurer, 197.ID County ~ax, I W. Ross Allen, Tax Collector, 1970 Charleroi Area School D~strict and Charleroi Borough Taxes, Washington County Treasurer, 1971 County Tax, · . 1971 W. Ross Allen, Tax Collector,/Charleroi Area School Dist~ict and Charleroi Borough Taxes, Preferred Debts: Francis C. Slezak, Funeral Home, complete funeral, General Debts: West Penn Power Company, past account of decedent, Columbia Gas of Pa., Inc., past account of decedent, Taxes: Russell Marino, Agent, c/o Inheritance Taxes at rate of 6%, 14 00 14 00 10 50 20 00 2 00 6 00 80 4 DC 18 DC 35 DC 8 5( 200 DC 300 DC 47 0( 39 81 157 5! 28 7. 116 9 28 7 151 3 1,191 0 1 3 3 3. 221 4 . $1,174 17 1,191 00 4 63 221 47 $2,591 27 I . -"' • ----···....("_.. -o;..·: "' .. ~; . l .• ESTATE QF'.AUGUST 'PETRAK,-a/k/a ' AUGUST PETRAK', SR.,.Deceased. . . SCHEDULE B INCOME~PERSONALTY RECEIPTS .. ' . • None, $ 0 00 .. . l DISBURSEMENTS ' '. . . None, .. $ 0 00 :' ,, ' . '· ' ., '' ' ., .. .. . I SCHEDULE c I' PRINCIPAL-REALTY . . . " RECEIPTS .. . ' ;. - Per Inventory and Appraisement filed, $4-,000 ·oc DISBURSEMENTS ' Loss on Conversion of Real Estate asset, 1,500 0( $2,500 00 (Property sold for $2,500.00) '. • ' Balance transferred to Schedule A, PrincipalePersonalty, 2,500 00 i $ 0 00 . •, . SCHEDULE D ' INCOME-REALTY . RECEIPTS Garage rent collected for months. of December, 1970 to and including May, 1971' $ 30 00 ' Balance transferred to Schedule A, Principal~Personalty, 30 00 $ 0 oc I 1-· I ~ . DISBURSEMENTS None, $ 0 oc I I ..,....-.~ /' . I ,~Washington County ReportS' Y63(~~5J:ftl£El[ Washington, 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 ) STATF. 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, published weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in t'his 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: October 31, 1968 }~QY.~~)?.~r. ____ ?._, __ )_4_, __ )_~_§_~-------------------··-------- --14~:;/day oL ... Noy-emb.er.-------------· 196...8. .. ______ _/(dr-~-'---~ ------- KATHERINE C. YARD, Notary lie Washington, Washington Co., Pa. My Commission i:):pir-es November 1, 1969 Estate Notices The Register of Wills has granted letters, testamentary or of administration, in the following estates. Notice is hereby given to all persons indebted thereto to make payment without· delay and to those hav- ing claims or demands to present t:hem for settlement to the Executors or Admin- istrators or their Attorneys . • • • • • • • • • • • • • • • • • PETRAK, AUGUST,-a/k/a AUGUST PETRAK, SR., Dec'd. ' Late of Charleroi, Washington Coun-ty, Penna. · Executor: Edward Petrak, 311 S. W. 44th Ave., Miami, Florida. · ,1 Attorney: Victor E. Riva, 624 Fallow-field Ave .. Charleroi, Pa. '(''' I . ' ,, . ,, • ~,· v. Proof of Publication of No~ce. in· The Valley Independent I Under Act No. 587, Approved May 16, 1929, P. L. 1784, as amended by Act. ·No. 51 of April 24, 1931, P. L. 67 State of Pennsylvania County of Westmoreland }ss: Personally appeared before me William H. Pore, Secretory of Mon Valley Newspqpers, Inc., a Penn- , sylvania corporation, publisher of The ·valley Independent,. who, being duly sworn, deposes and says that The Valley Independent is a daily newspaper of general circulation in Fayette, Washington. and Westmo·relond counties, ·Pennsylvania, and elsewhere, published in the City of Monessen, Westmoreland County, Pennsylvania, that it was established June 28, 1902, since which dote The Volley Independent has been regularly issued in said county, arid that a copy of the printed notice or publication is attached hereto exactly as the same was printed ·and published in the regular editions and issues of The Volley Independent on the.following dote~, October 30, 1968 November 6 and 13, 1968 Affiant further deposes and says that he is General Manager of The Volley Independent, a dally ~spaper. of general circulation, and as such is authorized to verify the foregoing statement' under oath, and Affiant is not interested in the subject matter of the aforesaid notice or advertise- ment, and that all allegations in the foregoing statements as to time, place and character of publica- . ~ion ore true. . ~·) /. ~. COPY of NOTICE Letters testamentary on the estate of August Petrak, a-k-a August Petrak Sr., late of Charleroi, Washington. County, de-ceased, notice Is hereby given·· to all per. sons indebted to said estate to make lm• mediate payment, and to· those havlnll claims against the same to present them without delay to Edward Petrak, execu-tor,' 311 S. W. 44th Ave., Miami, Florida, Victor E. Riva, attorney, 524 Fallowtleld , Ave., Charleroi, Penna. 10;30;11;6,13 STATEMENT OF ADVERTISING COSTS: Victor E. Riva, Attorney at Law 524 Fa11owfie1d Avenue Charleroi. Pa. 15022 TO MON VALLEY NEWSPAPERS, INC., DR. For publishing the notice or advertisement o!toched hereto in The Volley Independent on above stated dotes .................. $ 10 I 00 / "fotary ... , ... : ................................................................ $ • 50 'Total ···.······································································· $ 10.50 PUBLISHER'S RECEIPT FOR ADVERTISING COSTS Man Valley Newspapers, Inc., publisher· of The Volley Independent, a doily newspaper of general circulation, hereby acknowledges receipt of the aforesaid advertising and publication costs and certi- fies that the same hove been duly paid. MON VALLEY NEWSPAPERS, INC. By J . \ I I: Itt tqr Qlnurt nf C!!nmmnn Jl~an nf lfun4ingtnu Qtnuuty ®rp4aun' Qtnurt itnininu In the matter of the Audit of Account in " -. August Petrak, a/k/a ., ' Estate of~-------------------{ Augtist Petrak, Sr., deceased. T TO THE AUDITING JUDGE: . ~ ~No. 1344 of 1968 ~) ·.0 ' '- Enter __ ~my=-______ .appearance for __ __lEO<ld'-!.wn£!al..!,r._!,d.!.___.... Ph___Se_J,t'-"r>-~a;!.Ok~,~E~x:lo!es.c~uutJo..,r..__ ___ ~_---- N. B.-Counsel shall, by separa:te paper, present a concise statement of each claim, with supporting calculation of any interest claimed. Objections to an account as filed, shall be conc-isely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. - • j ~" ~ c ~ r H .,;..... e:~ i...J ~ ~n: FEB ! 8 Pr~ 4 Ol r..'!:i'!l(':'~('!'ll'l ~~f:'~JII''lll'i\ r\'~·s~~:[L :...L. ~/.-~ ~~\\1r1f~ \.V' rfli~·"' 1· c~-r. F.-~r~· r.-,-,~' \''~!'·'~ tlc;c [.\.!f.'G 'd I'· .: •• !'\'• \\;.·If' ·hli . ;§! 'iftli~ H:l;f.l.G l" O'N! c·ot. fi'1~ •• J l ! I. l No. 1344 of 1968 In re Audit of Account in Esta,te of August Petrak, a/k/a August Sr., Petrak& deceased. AUDIT Jratrip.r fnr Apptaraur.r FOR Edward Petrak, Executor ") ,~ Victor E. Riva Attorney ~2 PETITION SUR AUDIT Testate Form J IN THE ORPHANS' COURT· OF WASHINGTON COUNTY No .... lJ.Y:'± __ gf)._~§~----------------------------·······-~)00,( ................... r.~:tr.?.~-~---l?-~.· .. t ............................................... . Fiduciary ....... ~-~-~~!:~---~~~~-~-~-'----~-~~~~t<?.~-----··· Deceased Da~ of ~ Da~ of . Decedent's death .... .<?.~-~~!?~E ... ~~-?,J~.?-~---··················----· Grant of,. Letters ....... 9.~-~~!?~E .. ~~-L-~~~~---·--·················· This is the ...... f.ir.st ... and .. f..i.naJ. ......................... ~ ........... account filed in this estate · If h h b. f f"f d · ·'h· ·: : r·· · f·r· b b d t. ··. None t ere ave een ormer accounts 1 e 1n t IS estate, 1st 1 e num er or num er an erm ................................... . ·' Election to take Date Election . Place of; Under or Against will. (cross out one) NotA 1 . bl . Filed ·····--············---~----··: .... Record -~--·---·-···---·---·--··--···· __ ·• pp. 1ca e . 'J= _ ·.• · Not applicable · . .· · Name of surv[ving spouse ........................................................................ :., ............................................... , ................... . List issue, where material: August Petrak, .Jr., son,,of instant decedent, and one of the residuary beneficiaries.under the Last Will and·Testament to an undivided 1/2 interest, predeceased his father on January 8th,.l966, survived by two childrerl appearing in the following paragraph, who take their father's share under the Will of their gran¢lfather per stirpes, and both o£:, .. saif'Lgrandchildren at the time o~ presentation of this Petition Sur Audit are sui juris. Did decedent marry after execution of will? (indicat~) ~No. Any children~born after execution of will? (indicate) WtXNo. If answer yes, name them ................................ ~---·:····:.: ....................................... ----·---·-----··----·-···.---················· -------.... --.... -.. --~-... -.. --.. -.... -.. --............ --.. -.... -.. --................ -.. --.. -.... -.. --.......... -.......... -.................. --... -.. ---........ -........ --.. -........ -·----................................. -.............. -...... --.. :.-.... "!.--•••• -----.... -.... -...... --.. ---. Leg.atees Relationship Edward Petral< .. s.on .. August Petrak, Jr. son (predeceased his father on January 8, 1966, as abovementioned) ' List, if exceptions to above: Adeemed: Revoked: Interest 1/2 1/2 Lapsed: 'J. Fiduciary, if deceased or not sui juris Not Applicable Abated: Give Cause: None.,, an undivided 1/2 interest of the sa.ld August Petrak, Jr. devolves unto his two children, Richard Pet_rak and Marie There s ia Petrak Lahey, · in equal shares. If partial intestacy, give facts: None Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled /1 to notice (Court Rule No. 9 paragraph C:.,Se:Ction 6,: ?ubdi,vision c) received written notice of the filing of the account ' and of call of audit? Yes. ~~ · · ""'-.\ -. - 't" , If any exception give cause: .... None ...... ..:···················'····:· File copy of Notice · · : .. · · :.; j • . · ~ and date of mailing ....... f.;QJ?.Y. •• Qf ... NQ:ti.c.~ .. ~:t.t.9:!=:b-~.9. .. b-~.:r.~:t;~ .• ;.;9:D9-.~.:?.9:V-Ig··-~9:~ .. m?.j,J:~.c;l,_..J.J:l!--.Q/.?.;t;..~ ... ,,.,,, .. . Is estate subject to the filing of a Federal Estate Tax Return? ........ }{9.. ............................................ ~---············-~---·······' A I d P I · T f 1 h ·t T A t l 221.47 was· paid on June 12, c.tua .Davr:nent ma e on ennsy vonia rans er n en once ax. moun ---------------·----------·-············------·············· 1~69 ror Doth testamentary and non-testamentary assets~ the atter bein~ ~-oint savin~s acco s · th name of. de d t a d t e ave amed Eaward et ak w· he ight OL survi-( . H:Tt~e wf11 ma'Res any portion oq.eesrdl-e suB1ect ¥o a'iRe-estalfe, give name an!oirtl; acne o1 'tji e enan:tt ......... 1.: ........... h. h · or S111p, w 1c l'V'< • • 1 Not applicable JOlnt accounts were re- .. ' ' -\ ' \ ln the State Return for ................................................... --------------............. --.............. ----· ................... --................ --.. "!iiii'e'I·"i tance-'1'a':X-'i?i.lr'o ose s . Give Names and addresses of all unpaid c'reditors who are legally entitled to notice, together with the amounfs of such claims; state whether they are admitted to be correct; and whether the claim is denied. ·-'I '"'J ...J None . ~ ... ' ~ r ~ ·"'' . t .. ~,. ···--· .... ' ·.-··~ ··_:,.. _.'·~-;.'::, l __ , ../ •• J. •• ·:· ~ :L .. ·:.:: ;: ~ ... ~ w • ••• '-•.,. ..... ' 1 . . i .... \ - Give reference to such parts of the will as· require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: None , excepting the undivided 1/2 interest ( of August Petrak, Jr. as residuary beneficiary ,devolves,. per stirpes, unto his two children, hereinbefore previously named, Balance for distribution per account, Itemize any additional debits not shown by account: Reimbursement to Accountant of 1971-county tax paid by buyer of real property as per agreement of sale, and which county tax was inadvertently omitted as a debit in the Account, s .J 125.06 $--.--.......... --.. --....... --.. --.. 28.72 ~y Total additional debits (Addr $ ~2.8 . .i7 2 .J ' --.--~.----.. -.-.. -.------.. ---------h Itemize any ·additional credits not shown. by account:· ' '.-' ~~' .... c-~ Total additional credits (Subtract) $ .... ~_QJ]._Ei!; ______________________ _ Balance for distribution $ !s:31.-i8i ----------------------------·------- If balance for distribution is not in ca~h, list each item held in kind, giving appraised Value (or distribution Value); Not applicable , as everything is in cash. , . ...,.,. . .. ·~· If Family Exemption claimed by Petition, give place of. Record:.~---~Qn~--------------:--------------------------------~------------------.----. l If Family Exemption is claimed at audit, give name, relationship and basis for Claim: ........... N.one. ........................... . List any advancement or distribution on account that has been made, and nature and amount of same: NONE Suggested distribut'ion of balance shown, both as to principal and income, attaching signed and itemized electionS to take in kind if balance is not in .cosh: residuary shares being stated in proportions: : It is respectfully suggested to the Court that distribution of balance shown, if any, after payment therefrom of final audit costs, both a~ to principal and income, being residuary shares, be paid to the following pe~son~ in the following proportions: l/2 thereof to .Edward Petrak, son l/4-th thereof to Richard·Petrak, grandson of instant decedent and son of August Petrak, Jr. l/4-th thereof to ~r.ie Theresia Petrak Lahey, gnanddaughter of instant decedent and daughter of August.Petrak, Jr. (The said August Petrak, Jr. was the residuary beneficiary entitled, if he had survived his father, to an undivided l/2 interest in said residuary estate) . · COUNTY OF WASHINGTON,. SS: COMMONWEALTH OF PENNSYLVANIA. .:, -The above named Fiduciary or repr€sentative thereof, being duly ........ ~~.!?!.~-------------------doth depose and say that the facts set forth in the foregoing petition are true And your petitioner will ever pray, etc. to the best of ....... bJ.~-------------------knowledge and belief .. ' ..... &~~~2------------- Executor : ................ ~.~-·-····· .................................... · ............................... ; ................ ~ ................................................ .. ............ ;. .................................................................................................... . -~ ') ,., ~ • • I" No. . .. JJ.Y:':I:~_Qf.:J.9.fi.8 ___________________________ )0\{~ Estate of ... ~'!~~~-~:--~~~E_ak , a/k/a -----.. ------------...... --------- ( . ····-~!J&.l.l. §;_t __ pg_ tr::~Js..~ .. -~I'-!-~-·-----~-----------------· Deceased Fiduciary .. :J?.g~~I'~~-:.P.~:t:r.~~-~-:-~~~~11-tQ~------ ---------------------.......... -.. ' .... -_ ... _ .. --~---...... --------.. -----------...... -...... --..... PETITION ·SUR AUDIT . - FROM WHERE DEC~DENT LEFT A WILL ' Couns~l of Fiduciary will submit herewith -the following, in co.n'formity with' Court Rul~s adopted effective "December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on 'pages 23-24. 1. Written praecipes of all Counsel in the case. _ 2. Copy· of order appointing Guardian ad litem, if pertinent. 3. Copy of Order appointing Trustee ad I item, if pertinent. 4. Proof of service o'f above. 5. Letters Testamentary or Admin_istration C. T. A. or an attest copy of Will. 6. Copy of invento~y and appraisement. 7. Proof of advertise·ment of grant of letters if not filed with account. 8. Certificate of Jiems in case any of the funds for .distribution are from judicial sale of real est'ate. 9. Signed and i~emized elections if any distribution· in. kind. 10. Copy of Federal Estate Tax return if es- tate is subject thereto. -·--·-----------Yt£~.9!' ... ~-"---~~-Y.?: ________________________ __ Attorney ~2 ·r~~·-r' r-11 r.Uv i ti ·---· 9 72 FE8 ! 8 PM Lf 0 I R U SSE L L lf.i< R IN 0 REGISTER OF WILLS 'NASH IN GT 0 N C 0 .. P A. :"\ " L ;;· ·11 'Jt f-~ / _;/ '-,/~lt·~-1 ~~ ~\·' '!; . . !:'1 .. ' ·'· . . t { J.· ~ I ~--~ •••• : '~ ':; ,. ....... ; t ll -t . . . IN THE COURT OF COMMON PLEAS OFWASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION FORMAL NOTICE OF AUDIT AND FILING OF ACCOUNT TO: Edward Petrak, Executor Richard Petrak Marie Theresia Petrak Lahey -RE: ESTATE OF AUGUST PETRAK, a/k/a AUGUST PETRAK, SR., Deceased. Charleroi, Pa. November 10, 1971 ·Yo~ are hereby notified that the ungersigned fiduciary has filed on October 19, 1971, with. the Register of Wills of Washington County, Pennsylvania, his First and Final Account in the administration of the above Estate, and that the same ·will be presented for nisi confirmation on November 29, 1971 and for audit commencing the week beginning Monpay, December 13, 1971, if no exceptions are filed thereto within the period provided by law. Audit will be held beginning Monday·, December 13, 197·1, and continue, if need be, until the whole has been disposed of. Please take notice that if you have a claim against such Estate, either as a creditor, heir, devisee, or in· any capacity whatever, which has not been paid or satisfied or acknowledged, you must "now take such steps as you may consider _proper to adequctEly protect your claim. Victor E. Riva Attorney at Law Charleroi, Pa. Counsel for Executor ' Edward Petrak, Executor of the Estate of August .Petrak, a/k/a August Petrak, Sr ·.• deceased. \. In t4t <t!nurt nf <t!nmmnn Jtlrus nf llus4ingtnn <ttnunty. Jrnnsylnuniu. ®rp4uns · <ttnurt llittisinn ESTATE OF 63-68-1344 No·--------------- August Petrak, Sr., a/k/a. In the matter of the First and Final August Petrak Account of __ E_d_w_e_r_d_P_e_t_r_a_k ____ _ deceased Executor ADJUDICATION AND DECREE And now February {P , 19 72 , this matter came on for hearing, audit and distribution at this session and testimony token; and thereupon, upon due consideration thereof the bala,(lce for distribution in <the hands of the Accountant is determined to be $ 153-7ti · 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. l_eg. ' SCHEDULE OF DISTRIBUTION · Balance per account _________ ~ _ ___.:. _ ___.:._.:.__ __ Additional debit asked at audit Balance _____________________ _ Deduct Clerk's Co·sts & Receipt.,_c:: ____________ _ Attorne-y ____ V.;,.1;;;... c.;;....;;..t.;;;.;or;;.__.;...E...:.•-R..;;i~v...;.a __________ _ Edward Petrak, son, 1/4 residue, cash, Richard Petrak, grandson, child of August Petrak, Jr., a deceased child, 1/2 of 1/2 residue, Marie Theresia Petrak Lehey, granddaughter, child of August Petrak, Jr., a deceased child, 1/2 of 1/2 residue, 28.72 11.50 71.14 . 35.57 35._57 $ 125.06 $ 153.78 No balance -, r No·--------------------------~--- In the matter of the '-- Acaountof L r of Estate of Alljubiratinu aub i~tr~~. --------,. --~~ ~)\~ ~a ' r~/f. f""i!) 1~ '· .. " ...... r~. : ... -:> ;-:ll =. iEB i:R:· ~P!'l 4 0 I ~· . " Gl; C'; <: := ' I .;_j· • 0 I ·\I 0 . f \ '\,~ '·· C "'-.,. {". f-l. , I J 1 )E~G! S TEH OF WILLS WASHit~~:ToN-CO .. PA. ,.. . ... -:- '-· ...... \......,; r;' ' 0 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION RE: ESTATE OF AUGUST PETRAK, SR., a/k/a AUGUST PETRAK, Deceased. R E C E I P T l ) FILE NO. 63-68-1344 ) The undersigned hereby acknowledges to have received from the above entitled Estate the items of distribution hereinafter noted opposite the name of the undersigned distributee, being the same awarded by the Adjudication and Decree of said Court in this Estate, which was dated February 18th, 1972; the undersigned does hereby authorize and request the Clerk of said Court to enter full satisfaction of the records thereof for the item so awarded; and furthermore, the undersigned distributee hereby makes no exception to the Decree of said Court and acknowledges payment of said item listed below from the Executor and forever discharges said Executor from any claim whatsoever by reason of said payment. RUSSELL MARINO, Clerk O.C. Audit costs, $11.50 Receipt is hereby acknowledged this f.}'J day of ~ 1972. Witness: Russell Mar~no, I IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, .,BENNSYLVANIA ORPHANS' COURT DIVISION RE: ESTATE OF AUGUST PETRA~,SR., a/k/a AUGUST PETRAK, Deceased. ) ) FILE NO. 63~68-1344 ) R E C E I P T S ---------- The undersigned hereby acknowledge to have received from the above entitled Estate the itemsof distribution hereinafter noted opposite the namesof the undersigned distribute~ being the same awarded by the Adjudication and Decree of said Court in this Estate, which was dated February 18th, 1972; the undersigned do,hereby authorize and request the Clerk of said Court to enter full satisfaction of the records thereof for the items so awarded; and furthermore, the undersigned distributees hereby make no exception to the Decree of said Court and acknowledge payment of said items listed below from the E~ecutor and fo~ever discharge said Executor from any claim whatsoever by reason of said payments. EDWARD PETRAK, son l/2 residue, cash, Receipt is hereby acknowledged this II day of w~~~ ' v/ RICHARD PETRAK, grandson, child of August Petrak, Jr., a deceased child, 1/2 of 1/2 residue, Receipt is hereby acknowledged this L.Z day Witness: RIE THERESIA PETRAK LAHEY, granddaughter, child of August Petrak, Jr., a deceased child, /2 of l/2 residue, hereby acknowledged this $71.14 '77?cvt~ 35.57 of_~ 35.57 ,1972 ,1972. ,1972. ' . . " Fonnl"'.,iRCC-62 (12-66) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 18, 1981, EFI!'EC'l:IVE' .JANUARY 1, 1982. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) . -, ~ J ,... ~ . --~ .... . ) . t." ~o_i' ..... -, r.; c, OFT'ICE: OF THE RE~l$TER q>F'W.ILLS · ~ r . r l ~ • r •• ' S ' .. _· s; . .I r, ' ------------• -· -~ r '·w .h. . . . --~ ' r County of" .... ?~ .. ~l)g:t_~I) ...... .'~ .. .. r' . . . . F.c1"'lq.r¢i. -~~tr.~~ .......... · ................... of .3.~~. ? ... V? ~. ~!-1: .ft;Yff.··'· -~~f:l.Tl1~,. f)..QJ;'~sl?-........ . • <N.u;ne> . ~ r; . · . . .. . r · • ;: : . . (A~d~~sa) ~ r. : being duly -----~-~~~!.:!]. __ ~----------------·---·.acco"Iding to law, deposes. and Si};S tnat he is the ...... ?.~~S.l!.!~E~-------~---~----------~-----: ...... - . . r . . r P€t-ra~' S;r ;' ---; ~. • . ,(Exe_c., Adm., Legatee,.Et~:> . ) r r, . ' of the estate of -~1}_g~~~---~~~!'~~-'---~~~~-::-~_1}_g~~~4hose last' residence was .~:.1-.?J~--~~Q~~I' ... t!~~gg~--~yg)!._l:!~....... 'I . r ' -(No.) · (Street} -' \. ........ ~h~!S~-~~g~-==---=--=--=--:::.:-:.-:-.::-.:-.:::.::deceased;<md -chat-che-whole-'Of ·dr~estace-ohlrfd decedent, wlfo died __ Q,C.:t;:_Q'Qer .. lU.~ .. l.9 6'8' (Ci(y, Borough or Township) _ (Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT. OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AiiD RELATIONSHIP OF OTHER OWNERS. Real Estate ALL those certain pieces or parcels ough o Char eroi, Washington County, State o as. follows: Lot Number Seventy-one the Borough of Charleroi, Estimated Value Soo-oo r; - -· r;· ~ . , .J r r -• r ~ r • r ' .,.. r, $ "i--, QQQ. DO r-: -r r -: ., ·' ...... . < L ~. , r j r NOTE: You may expedite the processing of this return by filing with it, and as a part of the return, letters from financial institutions or mortgage holders, certifying_to amounts on deposit or owed by the decedent as of the date of death. Such letters must be signed by a· responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account, accO'urit number and the exact name or names in . which the ac.count is registered. L_ ______ _ ~--------~-----------------------------~-··~----- -Estimated~' Jointly Held Property Savings Account No .. 6994 at First National Bank, Charleroi, Value ... of Cliarleroi, Pennsylvania, in the joint names of August Petrak (the within decedent) and Edward Petr.ak (his son), which Account was opened -r on October 4-' 1954 in the amount of $1 ,:211 . 44' 1/2 of which is being ~~.· herein reported for Inheritance Tax purpose$, in.. the a·tnount ·of~ ... ---------$ 605. 72~/w.t; .. ~ ": J r-; . s AJ! ' . - Savings Account No. 13546 at Pittsburgh National Bank, Charleroi Office, Charleroi, Pennsylvan-ia, in the joint of August ~ names Petrak (the within decedent) and Edward Petrak GYis-son), which Account was opened on Oc'Eober 4 ,.,·195~ and balance as of\ the dat'e &fi de~th in· thE '32J0.9l7il~ amount of $643.93, 1/2, of which is being herein reported for InheritancE Tax purposes, ~·in the amount of------------------------------------------(v' )!.~~ . 'IIJ 1 J 1.fD9' Transfers within TWO YEARS Prior to Death -1 ~,I -c J . ., ~ ~ I NONE I r -. •. ; , ' ' r, ' -., -I ' ' . " ' ) ' c I .. . . .. fi: :.._ ·< G -·-: ::· r, c : .. ~ I r -c ' :.. . . . f-' . -c ·-r r; ,. I I ; ) ·• '· ' c· . ,-~ . . r' 'I ) 'r· r ~ ') . ' . " ~. .. -· ~ ' .-'· --'J' '· . ' '• ) . ,. '-' ~ I .. . .. ' .· r .. r I S.') ·r r I G -r 'S ) -~ r : ~c: r, ~ j -. ' . ,. l c .. ---.) I ' ~·· .;.. . ' , -. r ·-) (. .. • r ( .. . ~ ':1 ( I \ . ., ., r ') ~·-\ )c ' ... ' f • i l < ... -·) -. ·-, ~ ---, --: r rr-) ~, ;y; , ·s;--) .. . ' c -I r-. .... .. ... " -L .. .• r r . '. "J ~ ".i ... ·) " . ·. .. : ~. . , I -' . ' That at the time of death 'there· was ilo safe d~~oslt bpx reiistered ih decedent's -indi~idual name~ or joiritly with, or as ragent of deputy of another, or in decedent's individual name, with right of -access by another. a~~agent or depJlty( witn }he exception of the .foll~w.ing :=-r, ,·, -::~<:; r:; r; c --;· NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE-DEPOSiT ROX RENTED ' ~ ' RELATIONSHIP OF JOINTS' IN WHICH DECEDENT RENTED A.SAF-E;.DEPpSIT BOX. , '· " 1,, IN. NA,_~E,OR NAM·ES· OF , :: ; ·' , . ~OLJ?~~S,TO.DEW:DENT .. , .... _, .. ..; .. '.··~·· ~ r r c : ) r (• c:. BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED (If step-children or DECEDENT (State full names of all and their addresses who have illegitimate children STATE YES an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO forth this fact.) Edward Petrak son yes 311 s. w. 44 Avenue Miami, Florida 33134 - Richard Petrak grandson yes 112 Pillow Street Cheswick, Penna. Marie Theresia Petrak Lahey O'T'rlTIOOFIUO'htPT' VPS 114 Parker Stm eet Pittsburgh, Penna. 15223 ·. The above two grandchildrB:l. c: re the childre of Augus above named August Petrak Sr. the former of whom died 1.. 1.. • .1.. .l .1. • 1 _, ,1 .').. . _f=, -1. J.JY ll..L;:> I..WU O.J.JUV"' HO.III<::U \...H..L..LU.I. "' 'llV '-'-'-''·'-L.H' • ..LL .LU. L.U'-L their grandfather per stirpes ]I l<ti;:: ·, .. A -· " · .. -~ r r ' ',. ! .• r ,...,.. -· L AGE OF LIFE TENANTS OR INTEREST OF ANNUITANTS BENEFICIARY AT DEATH OF IN ESTATE DECEDENT [loE1appli.-ca e one-half II II one-fourth II II nnP-fmJT't'h ~ Petrak Jr ' son of the January 8, 1966, survived T .'!-.1.. r.T.' 1 1 .c '-' ..., .......... '-....... •'-L L.H'-'-'--'--'-V.L COMMONWEALTH OF PEN~SYL VANIA . DEP'I<RTMENT bF REVENUE · HARRISBURG RCC•43 (5-65) NOTE:. TO BE SUBMITTED IN TRIPLICATE Pennsylvania Department of Revenue Bureau of County Collections 26 · S. 4th Street. Harrisburg, Pennsylvania ~ ~~ ',. .. " Dear Sir·. ,r, / i . · Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: · ·', ·: ~~ .... . . · ·NAME OF REPORTING . · · FINANCIAL INSTITUTION PITTSBURGH· NATIONAL BANK.;.CHARLEROI OFFICE ADDRESS _____________ c_Wffi_·_L_~_o_r_,_f_A_. __ l5_o_2_2. ____ ~--~~------ ACCOUNT NO. OF JOINT I TRUST OR I NV EST MENT DE POSIT--:1::::::3.::;.:54:.;:6;__,;(~S:.:a...:..:vi:::.:n:£!.gs~):...__ ________ ..;;,__ ____ _ NAMES ON ACCOUNT . OR INVESTMENT August Petrak or Edl'lard Petrak DECEASED JOINT DEPOSITOR, .. . ~ TRUSTEEORINVESTOR __ ~A~ug~u=s~t~P~e~tr~ak~·~~~------------~---- f • ADDRESS 1215 Meadovr Ave., C}la.rleroi, Pa.· 15022 DATE OF DEATH (§-12.;.6[) . . SURVIVING DEPOSITOR, ·-. ·~ . . . ·j. BENEFICIARY OR iNVESTOR _E.;_.d_ward __ · _P_e_tr_ak ____ ~------------------ RELATIONSHIP TO DECEDENT ____ __;;S;..:o=n ______________________ _ DATE DEPOSIT OR INVESTMENT WAS ESTABLISHED October 4a. 1954 BALANCE, INCLUDING INTEREST DUE, AT DATE OF DEATH $ __ ----'"6~lt""'"'J,~&..,.3-· -------------- ruli221SS8 ~· , .Signatur.e I . ~ RCC-134 ('8-65) Ci)MMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENJ AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO: -=ED=W=A=R=D.......=....;PE=-=T=-=RA=K---'------ 1215 MEADOW' A VF..NUE CHARLEROI, PENNSYLVANIA 15022 Dote: ----=-O=-ct=-o::::..;b:::...:e::..:r:..........:2~9:....:~,~1:..::::9...:::6..:8 __ ''IASHINGTON County------------- County File No. _________ _ Bureau File No.---------- Under the Inheritance and Estate Tax Lows of the Commonwealth of Pennsylvania such transfers ore taxable and the liability for the payment of the inheritance tax due is imposed upon you, as transferee. The property on which tax is hereby assessed consists of: Jt. Sav. Acct. #13546 held in the PITTSBURGH NATIONAL BANK, Cl~RLEROI OFFICE, CHARLEROI, PA., in the names of AUGUST PETRAK or EDWARD PETRAK. Opened 10-4-54. Balance as of date of death $643.93 appraised by the Commonwealth, as of the date of death, at $ 643 • 93 50 % of this amount is taxable at the rate of 6 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE 0 If you pay the above amount with in three (3) months of the date of death of the decedent, or on or before Jan. 12 19 69 you may deduct a discount of 5% of-the amount of tax due, or 0 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 tax per annum is also due as of*-------- 19 in the amount of *If the tax is not paid by the above date additional interest is due at the rate of 6% per annum unti I paid ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ ___ 3~2;_;;;1~ • ....;::..9...;;_7 --$----------------- 19.32 .97 TOTAL AMOUNT DUE $ 19. 32 $ ;=================·- ASSESSED BY:......,~,t:..Jz:::;.....:::::::::.:::....::::::..:::::::!::~ff:::::..!..,_~~:...L......:=..:._..;:;-=--=--· __ (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: (over} To insure proper credit to your account this Official Notice must accompany your payment. Mail or bring it to: 1·'·'"'·· ,-: G THE COMrllONWEAtTH COURT HOUSE WASHINGTON, PENNA, 18301 If you have already paid this tax to an executor, administrator, attorney or other personal representative qf the decedent for forwarding to the Commonwealth, list below the date pai.d, name and address of the person to whom• you made payment, their official title and the amount. · ' '\ Date Paid Name and Address of Payee Official Title Amount Paid 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 qualify as deductions against the gross value of the property in the computation of tax due. If any such expenditures meet all of the three following tests, it is recommended that you itemize the payments below, execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow those which he determines to be proper. The tax will then be recomputed and you will receive an amended assessment of tax·. THE THREE TESTS WHICH MUST BE MET ARE THAT: 1 -You were personally legally responsible for these debts, and 2-You actually paid these debts out of the 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 person,al representative of the decedent handling the administration of the general estate of the decedent or any other transferee. SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obligation Amount Paid ).:. TOTAL $ {attach separate sheet 1f requ~red) COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY Of _______ _ I, hereby certify that the foregoing is a 'just and true statement of funeral expenses and other debts of the decedent, , for which I was legally responsible and which I did pay out 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 __ . Signature of Taxpayer REPORT OF REGISTER OF WILLS I, the undersigned, duly elected Register of Wi lis in a~d for the above county, do respectfully report· that I have allowed deductions listed above in the total amount of$ --------o Date of Approval: _____________ _ Register of Wills ... .~ ~ RCC-43 (5-65) . • •' I COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE HARRISBURG NOTE: TO BE SUBMITTED IN TRIPLICATE Pennsylvania Department of Revenue. Bureau of County Collections 26 S. 4th Street Harrisburg, Pennsylvania REClEIVIEO fHJREAU OF :COIJTHY COlLECTW!~S ~tober 17, 1968 Dear Sir: Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: ·. . NAME OF REPORTING FINANCIAL INSTITUTION FIRSI NAT~ONAI,. BANK, CHARLEROI ADDRESS P .. o. Box 97~ Fifth St. , Charleroi, Pa. 15022 ACCOUNT·NO. OF JOINT, TRUST OR INVESTMENT DEPOSIT __ ...:· Sav~1::::.-n~gs..s ~~~~6Ei99c4~------ NAMES ON· ACCOUNT I ORINVESTMENT _____ AUG~._u_~ __ P_~-~--~~----·-----~--~----------- EDWARD Pin'RAK DECEASED JOINT DEPOSITOR, ~ TRUSTEE OR INVESTOR. AUGUST PErRAK L ~·. ADDRESS 1215 ~.eadot-t Ave._, Charleroi,· Pa. 15022 . - DATE OF DEATH Octob~ 1968 ~ / SURVIVING DEPOSITOR, · ~ ::::-------• BENEFICIARY OR INVESTOR ___ .::..Eil_il__;:AR.::..D;;..._;;_PET=RAK;;...;:.:..___; _____ -.,..-__ _ ADDRESS ______ =l2~1~5~Ma~a~d=m~J~A~~=en~u~e~·~C~ha~·~rl~e~r~o~i,~P~a~;~l~S0~2~2~--~----- RELATIONSHIP TO DECEDENT __ ---=SB=N:.:..._ __________ ___ DATE DEPOSIT OR INVESTMENT WAS ESTABLISHED ~tober 4, 1954 BALANCE, INCLUDING INTEREST DUE, AT DATE OF DEATH $__;1~,,;;;;.:21:;..;;1~·44~--.,..-~--------__;..- t_o.5.7f 3 tz 7o / . Assistant Ca_sllter TITLE RCC-134 (8-65) CQ.\('MON~f~AL TH OF PENNSYLVANIA .;. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMEN-T AND -ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO: _ _;.;E;..;;;...DW..;..;...A__;;R..;.;;;D__;;_PE...;..;T;;_;;_RA=-K----- 1215 MEADOW A VENUE CHARLEROI, PENNSYLVANIA 15022 Date: January 9, 1969 County WASHINGTON County File No. _________ _ Bureau File No. _________ _ Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable and the liability for the payment of the inheritance tax due is imposed upon you, as transferee. ~ . . . . The property on which tax is hereby assessed consists of: Jt • Sav. Ac:ct·. #6994 held in the FIRST NATIONAL BANK, CHARLEROI, PA. t in the names of AUGUST PETRAK or EDWARD PETRAK. Opened 10-4.-54. Balance as of date of death, $1,211.44 appr.aised by the Commonwealth, as of the date of de~th, at$ 1,·211.44 50 %of this amount' is taxable at the rate of 6 % DATE OF ASSESSMENT TAXABLE AMOUNT . LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE 0 If you pay the above .amount within three (3) months of the date of death of the decedent, or on or · before 19 you may deduct a discount of 5% of the amount of tax due, or 0 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 tax per annum is also due as of*-------- 19 in the amount of . )' *If the tax is not paid by the above date additional interest is due at the rate of 6% per annum until paid TOTAL AMOUNT DUE $ ORIGINAL ASSESSMENT \AMENDED ASSESSMENT ' $ _ __:6~0~5:.!... 7.!...!2!:!....----$--------------- 36.34 36. 34 $ =================- ASSESSED BY =-~~=~:.;;::;.if..;..;...·,.:_~__,~:;,_:~::...=!.-!~v~;._;;_;;;;;;..::;;._ __ (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: ·"'/. :--.... (over) To insure proper credit to your account this Off.icial Notice must accompany your payment. Mail or bring it to: . ~ .•• " 1 : _o~.:.\1\JNWEAi..Hl COUiiT HOUSE WASHINGTON, PENNA. 15301 ,, ·.'·' : ... ·~: .... / . .' ......... If you have already paid this tax 'to an executor, administrator, attorney or other personal representative of the . decedent for forwarding to the Commonwealth, I ist below the date paid, name and address, of .the pers_on ~~-wh-~m you made payment, their official title and the amount·. ;. · · ·· : '• · _;. <· -.. : 1.:-. . .. ·. · :·~ · · , ... f •. .. ' . , .,. '· ':" .. ~ .. , . Date Paid Name and Address· of Payee~ . .. . ·'· ·Official Title Airiount Paid .. : .; • • • • • •, •• • ~ •• • .~ \oo ........ ~ • _,...... • ' .... • : .... .1.. ,.. • Under certain ·circumstances, if, aft.er the date of death of the deced~~t-; y~~ perso~a-lly. pai.d .f.un~ral·~~p~nses or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended by you may qualify as deductions against the gross value of the property in the computation .of tax due. If any such expenditures me_et all of the three follo'wing tests, it i~ re.commended' that you itemize the payments "below, execute the affidavit, and return this notice. The Register ofWills will examine the-debts claimed and allow those which he determines to be proper. The tax will then be recomputed and. you will receive an-amended assessment of tax. . ...... , . THE THREE TESTS WHiCH MUST BE ·MET ARE THAT: .. ,'; 1;• 1 -You were personally legally respohsib1e for these debts, and 2-You actually paid the.s~ debts out of the_ account ~r 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 th.e deced~nt or any other transferee. · · · · ' · . ·· .· · · ' · ' · · · . . ' ~ SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obligation Amount Paid .• ,.,. ·rdrAL. $ (attach separate sheet if requ'i red) COMMONWEALTH OF PENNSYLVANIA) ..... ~ . --.. SS: COUNTY Of ) I, hereby certify tha't. the foregoing i·s. a 'just and true statement of funeral expenses and other debts of the decedent, -, for which I was legally responsible and which I did pay ou.t of the property herein t9xed. 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. ·,. .. r. SWORN AND SUBSCRIBED BEFORE ME THIS ___ DAY OF ______________________ ._19 ___ . Signature of Taxpayer · REPORT OF REGISTER OF WILLS I, the undersigned, duly elected Register of Wills in and for the above county, do respectfully report that I have allowed deductions listed above in the total amount of$--------.. Date of Approval:_·-------------- Register of Wills RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED 1~ "'NOTE· List first five items in the spaces so provided observe notations thereon and instructions , , .... ...... c.: :;:: ... , N .., ' . -- .~ s. ~ ~ .. ~ 0 ~ ::>a ? ...... ~ ::>a < (. > :.t'-:; ~ c; ~· §. ~ J~ ~ DEBT OR CLAIM . ' .. OTHER· DEBTS AND CLAIMS ' . ' : . . . . ( ·c .. < \ . ., . '· r-'' .. ~ -NATURE OF SAME ... . AMOUNT THIS COLUMN fltEGISTER ONLY .. Funeral expenses paid $ $ -Family exemption (will not be allowed unless decedent died residing with a spouse or children.) : Administration Expenses • - Counsel fees • Fiduciary commission • : (*) See Note below " ' ' ' -l ,. : : . ' - --- . •>•' - Total /, 73 [. ~ ~c: -:> (') -· ... ~ Note: The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee, commission or debt is greater or less than the estimated amount claimed and allowed. · f ~.~""';~and"""'~ to bofo" th;, ~.P.f. · · · · · · · · · /7 ~Jt_a/~ci. (7.J~. · · · · · ~. ... ·' ·-/7 b. (Executor-XIbKbl.ios.kXf!OX) ··._.~ .... ~:~-~·-~-< .. ~,· ~ay~ ···~· ···~~ "·; ....... 3J.l .. S .•.. ~t~~~i\;~~;:;;f? ........ : ...... . / . . /.,LI,._t . V' ..... ·.: ·.· ·,· ..... ;. ·' 'h~/~ 'tPV .. '~-· ...... -~ · . ~-' ... ~·· · · · · · · · Miamfcit[;r 0fo~~a~~d ·si~t-e}' · · · · · ·. · · · · · · · Having been duly sworn according to law, I do hereby certify that the above appraisement is made in conformity with law on this ................ J.?..#., ..... dayof ........ ~-·············:········~··19. . . . ~ ~· . .. -~.-&..... .. .... ~.~ .. ~ . Ap ~r In the event that any future inte1·est in this estate is transferred in possession o1· 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·inheri- tance taxes at the lawful collateral rate on any such future interest. I, the undersigned duly elected Register of Wills in· and for.. . ........ ~ . . . . . .. County, Pennsylvania, do respectfully report that I have allowed debts and deductions in the amo s·daimed by deponent cept as to those items where a greater or lesser amount is set forth in the la~t colu~n to the right in said schedule above, which greater or I ser amou~esents. the~ ~owed as a deduction. Dated: ...... 4. ·. ·. ~ ~ .. <Z.. f." Zt; Z..... . . ....... /.i;?.~t::((._ .. ~ ~~":~~~-....... . ~ ·. . . Register of Wills rr-- # / . . / // ·' l )i Fonn No. RCC-62 (12-66) Will . ' Admin,istration ·l No. · ; :: ........ Year .... . . ' ·. < . . ~ . •, IN ;HE-:\.... MATTER OF THE 'APPRAISEMENT OF THE ESTATE OF \~ August Petrak, a/Wa .... · .. ~Yg!J.S."~. r~.t.~~~ .• .. ~~: .• .... : ... : .. · · Deceased :ci' . _, LatE? of _ . .Char l~.r.oi ..... \ ............ . County of .'.Wa9hington ! -••••••••••••••••• •'• •••••• Conimonwealth of Pennsylvania $! :;:Q a; ..., > ;:a c..o REPpRT~@:tPPR~AL::' . ...,. Q'l tn.· ~ r~~ ~-...... m r-~ ~ f'ft r-' ·' f l -t:;;oi-~ -~0 0 """'"'l'l~ , 'II> Q -~ = o~-~-~.-;.;;· ~ ~f=~ ~~c c..v (,0 VICTOR E. RIVA, ESQ. P. 0. BOX 115 CHARLEROI, PA. 15022 ' • -~:->· .·:. . -..~' ·' l .·· ;:~ ~. v',• <.;...-:._· :.': ~· ·, ,- ,,~ ·,~ !'" • .. ' •·. .t ,. <: ' \' ~: 1'1 ~' ;,+ -t ~ ~ ~. '~. ~ . ... ~ ~ '\' ' ~ t~· ..,..,, ,. ,/· (, , n 7, 11 )'"\ :_~ : . ;:. ; ·... ~~ ' -~ ';;-v ::: """":"' "":, 1-;!.( ·r ...__ .... ' ' ~~-• . l .· ) ~ .,..,~ .--..,. \,_Cl"'', v~;" "'e~-... c ~ ~ .. ~iJ .._:'. ~;~/~~-~ ,,,,~~~ ........ __ ... \, ~ ,, \~) [' ., --- Form RC C -10 DEDUCTIONS ALLOWED IN J . . OFFICE OF TME STATEMENT OF DEBTS THE SUM OF ............ $ .... 4 .... 2J .. (.., .. V..J. REGISTER OF1 WILLS " . ""((J:;;J1~'~ AND DEDUCTIONS OF Washin!;ton COUNTY . ' - AND AGENT OF THE COMMONWiiALTH 1'-/a;/~ M_;._ @ Y ~ "'t:J-c/~/Jf/'v ~)t v ~Re~~·~-~/·-Agent . ~ ~· ~· ~ . ' ESTATE OF August Petrak 2 a/k/a Augu%-~~ oF • Charleroi DATE OF FILING APPRAISEMENT </-if Y-c.P OATS OF DEATH O~:J;;ober 10, 1968 DATE NO. OF NAMii OF PAYEE REMARKS AMOUNT VOUCH~III Russell Marino, Register of Probate of Will and 2 short llAli 1 1 c:: certificates $ l'+ DO William Chaney et al. Attestation and identification of 8 ism a ture of decedent to Will, 20 DO I I Washington Record Company I ITAbb"hinn-+nn Pt:~nn::l Legal advertising l'+ 00 ~ ~e Valleyp!ndependent onessen, enna. Legal advertising, 10 -~o Pennsylvania Bureau ot V1ta.L Six death certificates, 6 00 Statistics, Washington County Zeroxcop1es ot Will ot lrnmmi!':!':i nners decedent. 80 RlJffell Marino, Register of : W1 s. Two short· certificat·es, 2 00 Russell Marino, Register of ' ' ITA7i11 c IFilim~ fee of Inventorv. '+ 00 Francis c. Slezak Funeral services, including Funeral Home vault and cemeterv charges l 191 00 Columbia Gas of Pennsylvania, Inc. for account of decedent. 3 31 West Penn Power Co. For account of decedent l 32 Russell Marino, Register of Estimated balance of admini-Wills I!':Tl"RTi nn rn!':T!': nliP ~;;> c;n Victor E .. Riva, Esq. Charleroi. Penna. Estate counsel fees, 230 00 Notary Public Notary seryices for affidavits lt-n TnvPnt"nrv r~nc1 Sr;:~te Returo Statement of Debts and Deducti< ns, 7 -00 Account and Audit Petition, < Edward Petrak Executor Executor's commission 200 00 - - --. 1/J-c.--ls-{.3 -- COMMONWEALTH OF PENNSYLVANIA } COUNTY OF __ ....:W.:.:a::..:s::..:hc:.:l=.:. n:.:.cg..=t..=o;.:.n:_____ ss: 1 Edward Petrak • -------=:.l~!i!w!o..¥!-~:...!...o!~~---------~-----HEREBY CERTIFY, THAT. TO THE BE•T OF MY I<NOWLI!:_DGE AND BELIEF, THI!: FOREGOING IS A JUST AND TRUE SfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSI!:!I OF AOMINis·i-R)(rroN suBMITTED To THE ESTATE oF Augast Petrak, a/k/a Au ust INHERITANCE rAX' PURPOSES. Petrak Sr. ~ _; VICTOR E. RJVA, NOTARY PUBLIC CHMKEROI, W/\S:-Jf'!3.f'.:l'1 ~0., PA. MY COMMI'>:wv: . ···· · . n 1969 (I' '-' ! ' I l t. (' ., I ,. I I' r ~ r s: ·. \. r -' ~ .. f •.I ' , I ! ••• r• I ,.~ (' .i. I ~ : r : .~ , .' ,-I • 'I• :. i i . t l' (" l ., ..... ' -. '~ t .:......'-!'3-· ~-. ,... -... ....:.-; : ;I ·~r ~· ~:i c:·. ,·1 )~'.: -· r::. -;-. ~ !)_ ~ ~ r 1 : ·_ :~-:. : .... ·_j'-1 .· l' ""J I' ·j , .. 1 .. , I ' ., ) .. r: ,, ;i ~. ,.. . ' r. • ) ... ·. • I '_. ) ~. I ' r ~ I ) .r; ~-. : • •• =-; '~-- ' :•·! I ( I " . ) ' ~ ,- • ·r • L ·' ....... ) l ., r .'' I '~ \ r; -. \ -:IW··. .~.rr. , I 1 - 'V, ·- •:1 .. · ~-., •. ! . _., J I I I f.· ',r-' • r r . ..... ..r • f i- \, ,,. . •) .' l ,. ·!r, fJ ' J :·~:' ·' ,, , -. ·r<- ~ r i,_. ,-I I ' -' ,' :.;·/ ... i~. '[ ~.-: ,( ~. (. tt .,Ji : I 1 ~~- _,. I I ., '_ ... I' I • . -~-~ o-; f r ,., ' . " ( l, [~ • i. ~ I L • · .. , ...... · .. · j ~-'I ~'-i"f ,. , ~• J ..... , ... "' t:.l " :'' .. tL )'.":"Y* .· .. ; .. : rr •) ... 'l~(f " ,r; '1 [' .i i' ;":~ •, r ) , . ) .C (~.; . ~ -.\ _; .·;.r ~-.. ) '' I .l I 't ~ ·' ~~{ i:{r.t:<'"; ·J··~.., : ;·~ .... ; ·<J:~, r •• f : ... RCC·BI (2·64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEASE RI!P'IER TO 37-154-8 •• NOTICE OF FILING OF APPRAISEMENT ED\rfARD PETRAK In Re : Estate of ___ __;A:..:...U=-GU:_:_S...;:T~P_ET_RAK_....:,:__S_R_.-___;a=:~/...;:k::.t./...:::a=--- -------'W:..:.:A=S=H=IN~G::.::T:..::.O~N ____ County-File· No. 63-68-1344 Dear Mr. Petrak: You are hereby notified that the ~ original appraisement in the estate of August Petrak, Sr. has been filed in the office of the Register of Wills qf Washington County on "' AprjJ 29 , 19.6.2,. Said ·appraisement reflects· the following valuations: Real Estate ---'-----~4u·~s~o~o~··.:::.O~O __ Jt. Held ~---·· _92.c::..a.7£l6~9,_· __ Transfers ________ ~~~~~--- Total ____________ ~---'5,~4~2~7~·~6L9 __ __ 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 an.num is charged. Any party appeal therefrom as in interest who is provided .by 1/ Date ____ ~A~pr~~=·l~2~9~'-=1L9~69~--~-- DATE OF DEATH: October 10, 1968 Note: This is not a bill. aggrieved by an appraisement may Signe~~ ~ ,Q.. :y~ Title W.R. CHAN;GH ~PRAISER j . .; RCC•39 (!1-66) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT •.:~· ...... --· SUMMARY Estate of PETRAK, lUGUST, SR. DATE 0 F DEA TH___:1~0-=---=1~0--=6:....::8_ FILE NO. 63-68-1344 (Last Name) (First Name) (Initial) __ .....,.-~,- 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 item in the last column to the right in Schedules "A", "B", "C", and ''E" • Dated: ___ 0_;;;4._-..;..;;2-<-9-_6:::...:9'------ 10-10-68 . ~ INHERITANCE TAX REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for Washington 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 a r or lesser amount represents the sum allowed as a deduction. Dated: __ 0~4z....--=2:..L9_-=..69t------- REGISTER OF WILLS INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDU.LE F) CLEAR VALUE OF ESTATE Valuation of life estates or 3,691 26 annui~·es . . . . . . . . . . . . . . . . . . . $. _____ --4-- ESTATE TAX ASSESSMENTS ' $ _________ ~--- FOR USE OF REGISTER ONLY COMPUTATION OF TAX ,. Tax on.·$ 2% Tax on$ 3,691 ~b ~ Tax cin $ 5% $ __________ ~~~-- $ ____ _:· 2=2=+1-=4~.'7_ $-------~--nx~$ lK $ ____________ ~--- Tax on$ 15% $ ____________ -4---- VALUE AS REAPPRAISED $ ______________ ~ __ Exemptions * Total Estate--------'--- TOTAL TAX $---------~--- (*) 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 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 ----------~'0------ $----------~--- $--------------4--- TOTAL TAX BALANCE $ -------+--- PAID $ ------.....L__:__ 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 ; . .. . , . . . . . . li lJ. (}l).S. ~ ... P.~·:r~l{·" ... ~~ ~ ... Deceased Late of. CHARLEROI ,-' County of WASHINGTON . . . . . . . . . . . . . . . . Commonwealth of Pennsylvania REPORT AND APPRAISAL i/'. .. : Fonn:Rcc-2 COMMONWEALTH OF PENNSYLVANIA DATE ......................... ~.P.~~.~.~ ... ?.?..~ .. ~:.~.?..?..?. .............. ~"' -. ~-DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS RESIDENT INHERiTANCE J'4X, COUNTY ......................... ~~-~-~-~.~.~ ....................... . HARRISBURG, PENNA. 1712 7 APPRAISEMENT FILE NO ....................... ~~-=-~.?:::~?..44. ........................... . .. ' Whereas, ................................................. Augu.$.t .... P~t.r..~~, ..... 9.r..! ...................................... late of .............................. 9P.:~!~~-~.~ ................................................. in the County of ........... : ................................... W~.~h;W,gt.gn .................................................... Commonwealth of Pennsylvania, having died on the ............................................... lQ ... t..b ............................. · .. day of ................... 9.~~g~§:r. .................................. 68 seized and possessed. of an estate 19 ............ , subject t.o Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, .................................. W~.R~ ..... 9..@.~~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: i ! In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after I the expiration of any estate for ltfe or for years, the Commonwealth hereby. expressly reserves the right to appraise and assess transfer I inheritance taxes at the lawful collateral rate on any such future interest. ·' Unit Appraisement Description of Asset Values Made lor Inheritance Tax Purpoaes $ REALTY: All those certain pieces or pardels of land lying in the Borough of Charleroi, Washington County, State of Penn. Improved with frame dwelling house and addressed as 1218 Lo1r~er j;.j. eadow Ave., Charleroi, Pa. 4,500 00 JT. HELD: Savings Acct. No. 6994 at First National Bank, Charleroi in the joint names of August Petrak and Edward Petrak; . 605.·72 Savings Acct. at Pittsburgh National Bank; Charleroi Office in the joint names of August Petrak.and Petrak. I 321.97 Edward ' . : 927.69 , 927 69 .. : ' Total 5,427 69 form~~·!;:fhb~: :::h:.w~~~to ~~~·~:;~·~~~is;~·~;~ ppra1aer .......................................................... ~ ........................................................................................ L_ (If . cr and Str~et) ................... ;.~-... , ~-,........ .,~.2 .................................................... , Penna. (Post Offtae) WASHINGTON Cou11ty· RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ... A..Y.<:r.TJ.e.~ .... ~~~~.I<:.~ .... ~.~.~ ..... ~/.~1~ ...... . Deceased. Late of ...... G.HAR~Q.I. ................................................... . Date of Death, ................ 9.~.t..9.P..~.;r ... J.9.~-... J:9.9Jt ........ . Appraisemel!t Docket Vol., .......... .3..7. ................................. .. Page, ..... 15.4.~f:L ...................... No .... 93.~.6..$.~13..4.4 .......... . Filed in Register's Office, ....... f\P~.:iJ~ .... ?9. ..... ~.19 .. 9..9. .. Amount of tax due, $ ................................................................... . DEPARTMENT OF 'REVENUE Received, Exant,ined and Approved, Wrote abo.ut Appraisement, Appeal f1'am Appraisement, Entered and charged, ... r·: ,/ .-!_ ./ I _ ... ·>; ; Form RC C-10 . ~ b3~b8-/3'ftf SUPPLEMENTAL DEDUCTIONS ALLOWED IN OFFICE OF THE STATEMENT-OF DEBTS THE SUM OF ..•......... $ ............................................. . REGISTER OF Wl~~S W.ahi"aoton OF -G COUNTY AND AGENT OF THE COMMONWEA~TH A~st Petra ESTATE OF feti'ak• Sr. . AND DEDUCTIONS DATE APPROVED ....... . NO. 134~ of 1968 Register of Wills, Age~t ugust ~ATEOF--~Cba~--~r~l~e~r~o~i~------~--~--~~; ______ _ October 10, 1968 ' 1 ' DATE OF FI~ING APPRAISEMENT -------------DATE OF DEATH ------------_;,_----------- ., \ • NAM~!,..F'AYEE DATE NO. OF . REMARKS ' AMOUNT I VOUCH I:" . .(dl .. 6 .. ~ .ttk ~~~ (.;~~ \• --~ ~s-~? lj..:.::: ,. ~gency, Inc. Apprall~ca.e, '' •\ ' ' • •• .(. 10 I~Taolm L.~~tY -. . -~ ,\..--2~ ~ 'i I• . \ l .... aei'l'I"&!I'P · 1'•"1A l197l W•Rlt( . l-'n11.t'lf.~\- ' ~1 • w:Roe~ ~-'•" ~~eafo~ lmim· _.!f sc~~~-~fstFict . ~e-i&K h_. fl. II " I Lt J ~e_I oroUJ 9-· axe~. l:i/iu ~ .,:,,. ~ v ' !Cutting gr~s~ at 'fee14enee ·of., \, 0 0 0 .. __ fl' IHftctol" Uvl ' ji, .. loo -.A IAA 0 .... ·4; Jin . d ton "11~1 AA~ Ma.IJ~ ; .. f.~l' .. -'~ ~ v-~sh.iragtontounty Treasl.Wet '1969 County tu,_ •:\ ~ ,. j I ' 3~ 84 . '· .· ~/fi, h ... &l ~.p ) w. Collector J.~o~. ~.llt'~t!fOl. Am~a. ~enoC).l ·-ts1\. b."' Jf Ross Al.lea~ Tax DJatrfct e~ .. Chilutleroi ·Borough ........ '· ~"j ~ lJ . ' ' ; ,, 1910 County Tax, '. -~ t\'asb:tngtan County treasure~ 28 ?2 fJ(( ~ IJ--..-11970 cn.ar~ero1 1\teQ ocnoo.\. 111st r;u~1: · \. w. RO$$ Allen, T.ax Collet;! to~ IAftd Chavler&1 Bo•oll2h taxes. . 116 90 .,-/ 'tjoj ........ ~ ,, . - " ' . . '' • 0 ... • 0 ' ' ; - COMMONWEALTH OF PENNSYLVANIA } COUNTY OF \"aahJngton sa: Edward Petrak Exeeutor 1, ECUCTION!i FOR N.,Notary Public '...... . ~'\ ' CllAiilDIIII. WA$BIII'GTWol CO., ~A'. MyOmmm.is9DnexpilesApril30, 1g73 ! Form RC C-10 OFFICE OF THE REGISTER OF WILLS Washington OF.;..· ---------COUNTY AND AGENT OF T_HE COMMONWEALTH .. STATEMENT;OF DEBTS AND DEDUCTIONS NO. 1344 of 196 8 DEDUCTIONS ALLOWED IN THE SUM OF . . . . . . . . . . . . $ ............ : ..................................... ... DATE APPROVED ••...... / / Register of Wills, Agent A)Jgust Petrak, a/k/a-August Charleroi ESTATE oF Petrak, Sr. LATE OF October 10, 1968 DATE OF FILING APPRAISEMENT DATE OF DEATH DATE NO. OF .Ll NAME OF PAYEE REMARKS AMOUNT VOUCN"" ra. ~-A~~ I~JJ 1--_~ . 'r• . .... to ~~ ~~~ r ..... 1 .; .... rrcu . .L agency, Inc. Appra~::.dJ.! .Lo::o::, "JJ ruu ~J.t..t ~.( r·,., / !Malcolm L. ' -qmncy ~ . ~ 1971 TAbc:l-dn r~ __!~!, '~ ........ f I If IT.: r'er W. Ross Allen, Tax CgJ]~r Charleroi Ar~~ School Di!::+.,...; ..... +_ _.-J:.-2-2_. II ,-, II & Char eroi . L':Jt.L Taxes, ~ ~) -..~.;;., ~ p . . ~uttlng grass at residence of d,~ Hector Riva ldeC'Pdent in n:ri!Pr ·to se~l same llZ A-~ 'r;;, ~')ll€_11~ , .. 1' ,. JJ. 'J WashingtonCounty Treasurer 1969 County Tax, 39 • J &: .... r-Tax Collector .LYbY Lnar.Lerol .H.rea ;:,cnOO.l. 157 -ct,.r. ~.llPADl t"""t 'lA. tv. Ross Allen, District and Charleroi Borough l 1 t/} .~I 12(. " .:,., 1970 County Tax, [Zr u Washington County Treasurer 28 11/;A.. '"" 11Y7U Char.Lerol Area ;:,cnooL UlSt rlcl: J /1.-v-1--.,l W. Ross Allen, Tax Collector and Charleroi Borou~h taxes, 116, VV"' ~ • /!~ {1 . " ..... ' / { A' I' .. COMMONWEALTH OF PENNSYLVANIA }ss: COUNTY OF ~Jashington I, Edward Petrak, Executor H£1'lEBY CERTIFY, THAT. TO THE BEaT OF NY KNOWLEDGE AND BELIEF, THE: FOREGOING IS A JUST AND TRUE SfATEMEiT OF ADMINisTRATION suBMITTED To THE ESTATE oF Au ust Petrak, a · s INHERITANCE TAX PURPOSES. -· ... _,) ·. ;· '? r-,t RIBED BEFORE ME THIS J DAY Of' ::.-)· I / :: __ ,: p.1~_ET~ .JOHNS N:.Notary Public ., ' ~ tHARL.EROI, WASHINGTON CO., PA. -~ MY,:~~~ission expires April30; 1973 ·-.: ·, J\ .... -· --· - ---61 00 84 58 72 90 - '· IN THE ORPHANS' COURT OF WASHINGTON COUNTY, PENNA. \ Date of . death ( No. 1341J, Petrak, Apgu=s...::·t_· ·_s..::..r....:.•-----~:o-----.---)1 D~eased In the matter of :bhe Audit of Account filed in the Estate of . oLJ.998 Term, 19 , A.A. Docket 37-154-8 TO THE AUDITING JUDGE: Enter my •appearance for the CommonweaJ'th of Pennsylv~nia, claiming transfer inheritance tax in the above estate, as follows: DR. To appraised Vialue of Estate: Rea1ty ________ . ____________ .. -------·---------------·-----------·-·----------·----·····--·-············--··· $ --~<Z~_,....r..__...::.t:J--=0~. ___::tJ::.._O=-.. _____ _ Personalty _____________ .. ___________ .. ----------·--·-------------·--·····--: .. : .. ~---·········$---------------- ~dditioll!al Assets per Account, Subject 'lo Tax .............. ---·-------·········------------· -----------····---·-··.lte~$ ____ L9....:d..~..l.1:.........:.·....!.'~-.Lf ______ _ Addrtiona<l Assets per Audit, Subject to 'l1ax ___ .. -----------··· ------·--·--------·------------·----------·---·------·-············· $ _______________ _ GROSS VALUE -----------·----------------------··--·---------: .... --------··------················---·--··$· __ ~....,_~'-.:...,Y,-~--=-?.:..__::_(...£2 ____ _ v . CR. Debts ~nd Expenses per Account; see Note Additioml Debts and Expenses per Audit· ) ) $_--4 ?J(. ~1 $ ______ _ $ ____ ---=-_ $ ______ _ $ ______ _ $ _______ _ $ $ TOTAL DEDUCTIONS, $ / .t7 :-. . "!) . . . :_. ··. ~-·"-..-' ------- NOTE: The foliowing credits claimed ·in the Account are held not deductible a<s against the tax: CALCULATION TAX PAID ON ACCOUNT ~-:1: $ o<dj. 0. li .A$ ______ _ fd--~--i':t,_{f! $ __ _ $ _______ _ $ ______ _ Gross Value··········-·--·------··--· Less Deductions ................... ---------------- Cloor VaJu¢" ....... .:..., .. ~/-~:.......!:~'-"-"'/:,"'------------ --! ----'---· able / ____________ _ a't ' 2% )------ tfo $ _________ _ . __ )====---- able ( .~ )-------------- $ ______ _ Total Tax·--······--·---------------·------------------------------------------------·-···-----·--· $ Less amount previously padd -·-------------·----------------------········------·······: .... $ Balance ··--·-············-----------~---------···--···-----------·------------------·------·----·-------------------·--·-$ I Interest __ yrs. __ mos. __ days @ __ % ·---------$ ---1-~------ TOTAL TAX AND INTEREST DUE ·------.. ---------------------------· $ I I I / -~ . J. z 0 r 0 s: "D s: :0 0 )> z Ill :E ~ Ill "D l'=J )> Ill ~ r -1 "II ~ t J: "II 0 0 0 :0 "II :0 )> 0 "D "D I':J o-,3 Ill "D ~ "' z Ill ~ z )> (/) :0 < )> ... r z ... < 0 I )> Ill z ~ > ~ > !)) ~ [I. ~ • ~~~~~~~~~~~~~~~~~~~J Form RCC-4-Rl-3-66 ~9 COMMONWEALTH OF PENNSYLVANIA RESIDENT DECEDENTS 979006 OFFICIAL RECEIPT No. Transfer Inheritance and Estate Tax File No 6l-6d-134i Date October 18 19___§8 Offic~ REGISTER OF WILLS. WASJtnlOTON Pa. WASHUiOTON County, ss: Received from Joseph Note, Payi.ng on Ind. tiab.- (P'..,..:::t('l't··--:v~t·..:~~·-··, ... t._dt ............. ,..,r.-; ....... ~._..,~"" f h DOltf!NICJ~ NOTE ~ .. or,).l:>:u.wrms 1:1 o.t.!Ox:..~:.::ruaru.J.anJ• o t e estate or__-------~--=----=-__:__:_ __________________ _ who died 5e!'t• 1 t · 19-M the sum of TIURrY-ONE and 22/100 ....... -...... - - -..,. Dollars, being TRANSFER INHERITANCE TAX and/or ESTATE TAX due the Commonwealth as follows: Appraisements Made and Filed Real Estate Date Valuation $ . ! $. _____ _ Total· Personal Property Date .Valuation · Jt~ 2cld $ '547 .. 13 $. _____ _ Total Total Gross Assets Less Debts and Expenses of Administration Clear Value of Estate Valuation of Ilfe Estates or Annuities $. _____ _ $ . 541~"3 $. $·------ $. Date 19__ $•------- ________ 19__ ~$============= Estate Tax Assessments Date 19__ $ ·, _________ 19__ ~$==J ===== NOTE: In accepting the transfer inheritance tax on future estates prior to the death of the life tenant or tenant lor years, as evidenced by this receipt, it is understood that the Com-monwealth shall not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the life tenant or tenant lor years whenever it appears that such additional tax may be legally due and collectible lor any reason whatsoever. 1JTR1D GID[LD ©£ 1J[E 3'1-154-5 NOTE: This Triplicate Receipt to be retained by the Register of Wills and filed in numerical sequence for audit purposes. Computation of Tax Tax on $ ------------5% $-------- 10% $ . • Tax on$ -~5~.4-7:-,.-:7;-::3-~G(;~t~$ 32. Rh Tax on $ · 15'Yo $ Tax on$ Exemptio11:s * $ ============::. Total Estate $ -----------32. ,(, Less Tax Previously Paid (if any) Total Tax $ -----------,--- $======= . ' ' Balance $ Less five per centum of tax if paid within 3 months after date of death $ 1.64 Amount of Estate Tax Assessed under • 31.22 the Act of May 7, 1927 .• $ Add interest at the rate o % from to $ -, ' I Total $....;: 31.22 *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 II, 1957, and Act No. 207, 1961, Section 302. --} . . S .E·A ;; · t . I }' . ·~ b //"~-----/~A"£ . t..-t~-' :J:-4~~<4::·' / _//;:r· ·:vt:,·?-t--;1? . Register 'Of Wills YO ORE BUSINESS FORMS, INC., ELMIRA, N, Y. FORM RCC-4-Rl TRANSFER INHERITANCE and/or ESTATE TAX. RESIDENT DECEDENTS. RECEIPT 37 154 s Docket._ __ _..Page I ine ___ _ 'Estate o1.-f _D.c..._C.;:_;.!::..;..4l.c..._N_I_'C_K_N_O_T_E ___ _ OFFICE OF REGISTER OF WILLS --------~ir.~A_S_1_1_1_K_O_T_O_~-~~'------~Pa. Oeto1-,er 18 68 Date ___________ l9 ____ _ SIGNED AND SEALED AS PROVIDED BY SECTION 1201. ACT APRIL 9. 1929, P-L. 343 AS AMENDED BY ACT MAY 15. 1945, P. L. 528 Register of Wills ' 1201 (g). Act of April 9. 1929. P. L. 343. as amended. viz:-"To receive from Registers of Wills all duplicate xe- ceipts for taxes paid to them by executors or adminis- trators and to charge the Registers receiving the money with the amount receipted for. The original of each such receipt shall be signed and sealed by the Register of Wills and transmitted to· the executor or administrator. whereupon it shall 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 the Register unless the receipt is so signed and sealed by the Register of Wills."' Fill in below name and address of person to whom tax receipt is delivered; I ·To JO:::RP~ NOTE 351 c;.£RRY AVENDB HOU&TON, PINNSlLVl\NIA L _j