HomeMy WebLinkAboutOC1968-1549 - ESTATE OF PIECHNIK,.. .. _ ..
R C C-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
~
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION IN YOUR REPLY PLEASE
REFER TO 37.;..167-7
NOTICE OF FILING OF APPRAISEMENT
ALEXANDER PEICHNIK
In Re: Estate of _____ A_J.IJ_rD.,;...R_1_:1J_J _P_I_.E_C_HN_IK ______ _
_____ W_A __ S_H_I_NG_'ID_N _____ County-File No. 63-68-1549
Dear Mr. Piechnik:
You are hereby notified that the ari~inal
appraisement in the estate of Andrew F1echri1k
has been filed in the office of the Register of Wills qf Washington
County on September 17 , 19~. Said appraisement reflects the
following valuations:
Real Estate __ _.,;.-______ ~6,~5~0~0~·~00~---
Personal Property _____________ _.
Transfers _______________ ~~~~----
Total ------------~--6..:.,_5_0_o_._oo_· __
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 (8%) percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date _______ s_ep~t_e_m_b_e_r __ l7~'-1~9_6~9 ___ _ Signe~~ Q*
Title W .R. CHANEY, CI EF APPRAISER
DATE OF' DEATH: November 22, 1968
Note: This is not a bill.
j
.. •
RCC•39 (~68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY I
Estate of PIECHNIK,
(Last Name)
ANDRE!."'W
(First Name)
DATE OF DEATH 11-22-68 FILE NO. 63-68-1549
(Initial)
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of ~vashington
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: 09-17-69 --------~~~~---------11-22-68
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 greater or lesser amount represents the sum
allowed as a deduction. -~ ~-, ,
. . . 'A'kAAJ ~....,. Dated: 09-17-69 ~'V vvr-vv
REGISTER OF WILLS
INVENTORY VALUE AS REPORTED VALUE AS APPRAISED
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
$ ),000 00
'5. 000 00
3.078 20
1,921 80
annuities . . . . . . • . . . . . . . . . . . . $ -----------1----
ESTATE TAX ASSESSMENTS $ ....,.------L--
$ n.ROO ()()
6.500 00
3.078 20
3,421 80
FOR USE OF REGISTER ONLY COMPUTATION OF TAX
Taxon$----------~~~~~Taxon$-------~3~,·~4~2~1~8~0~
Tax on $ -------------+--Tax on$ _________ -+--
Taxon$ _____________ -+--
2%
0
%
10%
15%
$----------~~~~ $ _________ 2~0~5~3~1-
$-----------~------$ ____________ ~----
$ ____________ -4----
VALUE AS REAPPRAISED $ ______________ ~ __
Exemptions========~= Total Estate ____________ --1----
TOTAL TAX
•
$------------~----
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid $======l==
BALANCE $------+---
Less 5% of tax if paid within
3 months after death $==========
Add interest at rate of 6% from
---------to --------
AMOUNT OF ESTATE TAX ASSESSED $-----+--
Estate tax paid $ __________ __. __ _
BALANCE DUE $----------~---
Add interest at rate of 6% from
----------1.10-------$-----------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.
IN THE
Year ........... .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
.... ANP~W. P.E:IGI:IN)J\ ..
Deceased
Late of . CHAR. TIERS TWP.
County of WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
"
!!
•
Fonn RCC-2
COMMONWEALTH OF PENNSYLVANIA
• ~RESIDENT INHERITANCE TAX
DATE ..................... ?..~.~ .. ~?. .. ~: ...... ~?..~ ...... ~?..~..?. .... ..
' • J1EPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA. 77 12 7
• .. • COUNTY ......................... W.§:.~Q.~.n~.~ .............................. .
APPRAISEMENT
FILE NO ...................... §?...::::.??..:.~.?..~.?. ................................. .
Whereas, ................................. An4.t!'::~ .... ~~~ .. ~P.:P.:~~ .............................................................. late of ................................ C..hSl,.r.:!;..i~.r..(?. .... ':r.W.P..~ ............................ ..
in the County of .................................. Ws;.eh.t.n.gt.QP. ................................................................... Commonwealth of Pennsylvania, having died on
the ............................... .?.3 .... !.1:~ .............................................. day of ...................... ~<?.Y..~.~ .. ~.: ............................ 19 ... ?.~ .... seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, ..................................... ~~.~~ ..... 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:
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:
All those two certain lots of ground situate in Chartiers
TWP •• Washington County, Pa., known as Lots Nos. 27 & 28
in the Arthur Addition to Meadowlands, recorded in Plan
Book 4, page 89, as more fulley described in deed from
Michael Nowak, et us, to Andy Pichnik and A~~a Piechnik,
his ~ife, dated July 20, 1926, recordem in Deed Book 536,
page 678.
All tht certain lot .mfg .. of ground situate in Chartiers Twp.,
vlashington County' Pa., Tmown as Lot No. 29 in the Arutb.ur Is
Addition to Meadowlands, recorded in Plan Book 4, page 84, as
more fully described in deed form Andy Piechnik to Anna
Unit
Values
$
Appraisement
Made for Inheritance Tax Purpo1es
Piechnik and Andy Piechnik, her husbank, dated August 19, 1943 1
1~--------------~~--------~--------~----------~--------~----~-----4-------4~--------~----l
recorded in Deed Book 667, page 534. 6,500 00
The siad Anna Died August 30, 1966
I
I 11--------------~---------------------------------------------------------1-------;~--------~----,
11----------------------------------------------------------~--------+-----~~--------+----,
I
ll-----------------------------------------------------------------------t------11----------+----l
l~---------------------------------------------------------------------------------------~------;r---------~----1
Total 6,500 00
form:•!::fhb:: ::rh:S':O~~~~: ~.~ .~·~~L~~the bo~ea~pr~I·e.~":n~:~Y}~
~~~ ........................... z ................................................................................................................. . ~~ ... ~~ ... ,.:.~.~~~~-::z~~t·)·· ............................. , Penna.
WASHINGTI.\JN County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ANDREVJ PEICHNIK
Deceased.
/
Late of
CH/ill. ITERS TvJP ~ p
Date of Death, ........ l'J.().Y..~I!l?.E:'}.~ . .?.~.~---· ~-~?..~ ............ .
Appraisemei!t Docket Vol. 37 · ' ..................................................... .
Page, ........ 167.~7. ................... No. ?...?..:-::.?.?.-:::~.?..4.9. ............ .
Filed in Register's Office, .... ?.~.Pt.E?..~ ... J.:7..~..J9:.9..9 ..
Amount of tax due, $ ............. : ...................................................... .
DEPARTMENT OF REVENUE
Received,
p
Examined and Approved,
Wrote abo.ut Appraisement,
Appeal j1'om Appraisement,
Entered and charged,
~
·.·.f' -------T--··-t
LAST WILL AND TESTA~'lENT
I, ANDREW PIECIINIK, also known as ANDY PIECHNIK, of Chartiers I
Township, Washington County, Pennsylvania, being of sound mind, I
I memory and understanding, do hereby make and publish this my Last I
I '!"ill and Testament, and revoke all Wills by me at any time hereto-j
I fore made.
I
I
FIRST: I direct all my just debts and funeral expenses to be !
fully paid and satisfied as soon as conveniently may be after my
I
1 decease.
I
II SECOND: I give, devise and bequeath all of my estate, real
I and personal, to my children, ALEXANDER, JOHN, THEODORE and OLGA,
I share and share alike.
I I
I
I
I I I I THIRD: I nominate, constitute and app6int my sons, I ALEXANDER·
and JOHN, or the survivor of them, executors of this my Last Will
![and Testament, to serve without bond in any jurisdiction.
II IN TESTIMONY WHEREOF, I have set my hand and seal, this ~t) II . II day of Ce ~ r~7~, 1966.
II
I .I !I II
II ·I li lj ~ Signed, sealed, published If ' ..
1\ testator, ,,
II
I I I
II ji II II
11 ll
li ~. ·. ·: ..
as and for"his Las~ Will and Testament, in the presence
•• ·~-'*!' .· ..... :::.>·.:.
I
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---~----------~ .. --.,___,__n··--:-~~-··";""·-----..-..,-----...,---~~~..,-----~--~'----·~-------.. -~ .. ~----,------~--~----II ·. -. .
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of us, who at his request, in his presence, and in the presence I i
I i of each other, all being present at. the same time, have hereunto
subscribed our names as witnesses.
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! -~~-;··:.·;~~,#.~.:-~';. J.··
Fo11n No. RCC-62 (12-66) 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) t 3 _ t, p • /S'f/ .. '!
~~ -* OFl='ICE OF THE REGISTER OF WILLS
Washington · County of .......................... .
. . . . . . . ~f:~:c.a.~~.~~. ~.~<??.~~~ .................. of .. ~~? .. ~?~~~?, .~~.~ ~ .. ~<:>~.~~?~~ · ~.0;~ · ·· · · · · · ·
(Name) (Address)
being duly -----------~~~!:!?: ________________ .according to law, deposes and says that he is the _________ ~~~~~-~~E _______________________________ _
(Exec., Adm., Legatee, Etc.)
of the estate of ___ An.9._~~-w __ f_;h~_£hnik __ J:~/k/~-----whose last residence was ------~z_--~~T._g_:!-_~~-~;l;. ___ @~_!_.J. ___ :~te_adQW lands
A d P • h • k · (No.) {Street) n y 1ec n1
____ Qh_<!r~J~-;:~---'!:.~.P.-~ ______________ .deceased, and that the whole of the estate of said decedent, who died --~-~~--"----~~-~--_!_9_~ 8
(Cicy, Borough or Township) {Date)
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRANeES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES Aim RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
-
All those two certain lots of ground situate in Chartiers Twp.
Washlngton (..;ounty, .t'a., known as Lots .Nos. 27 u '2~ 1n the
Arthur Addition to Meadowlands, recorded in Plan Book 4, page
89, as more fully described in deed from Michal Nowak, et ux,
t-.o AnrJv Pi~J<nil< and Ann:t Pi~knik hi~ wife dated Julv 20
1926, recorded in Deed Book 536, page 678.
-
All that certain lot of ground situate in Chartiers Twp.,Wash.
..... , T "T ......... 1.. fl. .1.. ' A..J..J' .: .4-
VVU.UlJ,)'' .&. a. 0' .I>..UV' fU '"'"" ~vv ••vo 0 6.';7 -LJ.J. vUv ....... lJUU..L ~ . .._~..._v;o;;o;-~
Meadowlands, recorded in Plan Book 4, page 84, as more fully
descrlbed 1n deea :trom .anay .lt"lechn.1R to Anna r'lecTiiflK an'Cf l\.nuy
recorded in Deed Piechnik, her husband, dated August 19, 1943, ..;
Book 668, page 534. I , ro.Soo·~*
~0
-....,_ -. v··
The said Anna Piechnik died August 30, 1966 .~
-?
I f.,_J4~ ~4~ /! 2 .l (t'J '
~ _f!f?~ OP~-....
I -· .. ~
s~
2--~ I ~
Personal Property a~ /y-v-:1/
none
~ ,, t ' ~·
' ·-
' -
'
\ -' ' .. -
-' ' -
. ...
-. --
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 J
account at the date of death and the type of a~ count, account number and the exact name or nam_es in
which the account is registered. "
Jointly Held Property
(.
None
' '
Estimated
Value
-------------------------------------------------------------------------------r--------------
Transfers w ithin TWO YEARS Prior to Death
None
.
' '
That at
another, or i
the time of death there was no safe deposit box registered ih dece.dent's .individual name, or jointly with, or as agent or deputy of
n decedent's individual name, with right of access by anothe'r as agent or deputy, with the 'exception of the following:-
NAM
IN
Me
Wa
-
BEN
E AND ADDRESS OF BANK OR OTHER INSTITUTION
WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
llon National Bank & Trust Co.
shin Pa.
. THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
And Piechnik or John
Piechnik
BENEFICIARIES
(State full
EFICIARIES AND ADDRESSES
names of all and their addresses who have
vested, contingent or otherwise, in estate.)
RELATIONSHIP
(If step-children or
illegitimate children
SURVIVED
DECEDENT
STATE YES
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEATH OF an interest,
-
Al exande~ Piechnik
12 6 Fourth St.,Houston,Pa
Jo hn Piechnik
27 Barnickel St.
Me adowlands, •
Th eodore Piechnik
179 Hallam ve.,
Meadmdands, Pa.
are involved, set
forth this fact.)
Son
Son
OR NO DECEDENT
Yes
Yes
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
Son
INTEREST OF
BENEFICIARY
IN ESTATE
one-fourth
one-fourth
1
RS8JDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOTE· List first five items in the spaees so ·provided, observe notations thereon, and instructions, • ~~~~~~~~~------------,-------------~------~D~E=B~T~O~R~C~L=A~I=M~-------.---------~N~A~T~U~R~E~O_F_S~A_M __ E __________ .-~A~M~O~U~N_T.-~THIS COLUMN KEGISTER ONLY
Abel Funeral Home Funeral expenses paid ' $ 1340 70 $
John Piechnik
OTHER DEBTS AND CLAIMS
Rev. P. Gerogolcch
Gaydos Monument Co.
Wash. County Reports
Daily Notes
Register of Wills
Register of Wills
,,
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses •
Counsel fees *
Fiduciary commission •
(*) See Note below
Services
-Stone
Adv. -Estate
Adv. 1Estate
Probate Will. & Short Cert.
Filing Inh. Tax Return
Total
1000 00
96 00
595 00
14 00
12 so
17 00
3 00
t } '
3078 20
My Commission ';xpir_e{Septemper 19, 1970 . . . . . . . Havnig been duly·1s~:n-rcordmg to law, I do hereby /t~y ~at thL'~~ve appraisement IS made m conformity With law on th1s
............... /7..\.k.4. ........ dayof ......... ~ .......... ,l9~7, . O ~--. ~L .... ~z· ....... _....7'~ ........ .. PfRIS
In the event that any futu1·e inte1·est in this estate is transfened in possession or enjoyment to ateral 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.
s
I, the undersigned duly elected Register of Wills in and for :..4~~~~K.~---'· ..... County, Pennsylvania, do respectfully
report that I have allowed debts and deductions in the am ts c aimed by depon , except as to those items where a greater or lesser amount
:::~orth i/IMt~~ t:.dg4~~~;:;,·oo~. whioh g<eate< ~·~~ ~~~ .. ~t~ p7~.Uth•. :~?.r~~ ...
~~ Regi$terofWills
.,
)
' ~
...
·_.--
Fonn No. RCC-62 (12-66)
Will· l c1 .t/ . 0"'
A?ministration. 5No. · /.~ 7.1.. Year _ &. .0. ·
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
. !\D-~r:~~ ... ; .. I.'t.~C:J:l!l.~~--~~~~~-..... ~~Andy Piechnik Deceased
Late of' ... 9?-?.:r:i?t~.r:~ .. ~<?~~~-~!? ..... .
County of .......... Washington ... ' ..................... .
)
Commonwealth Of Pennsylvania
~ ~· ---.. .. -.::. ~ c..~ REPORTh~iE APPRAISAL:'
;:c-Ci"> 5 t ~~ (.,/'). {./') --~ % -f .';P.~ ,.} 0:'r!~ ... ~
4 .:u c-o . ~o, ~--n ~
r--""1· """-'.:!' "'·
.I 0 \--..~ c;.~;o
""Cl =
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-------------------------------
RCC-4 (8-68) COMMONWEALTH OF PENNSYLV
___ DEPARTMENT. OF REVENue··_
NO. A 0 3 3 0 2 7 OFFICIAL RECEIPT • P~NNSYLVANIA INHERITANCE . ·.;.;;:;'7;\iii,:q.::';.:-c-•:t•i?:G'
FOUR HUNDRED THIRTEEN and 5.3/lOO - -....... -... - -.... -.... -.... - -..... RECEIVED _____________________________ :----------dollars
representing Pennsylvania Inheritance or
John Piecbnik, Peying On Ind. Lia.b. Estate Tax due from the following estate: From: __________________________________________ .-______________________________________ ~------~-----~
Meadowlands, Ponneylvan1a. 15347 Address ____________________ -i
File No._6_J_-6f!_ ... _l_5_49 __ Date of ll-22-68
Janua.ry 7, 1.969 Dote of Poym e nt -----------=---------------------1
ANDRE\f PIECHNIK
Nome of Decedent -------------------------------i
WASHINGTON County ________________________________________ _,
Remarks:
S E A L
NOTE: This Triplicate Receipt to be retained lor audit purposes.
2% Tax on $ _________ "--------------------lrirll
6%Toxon $ __ 7_;_2_5_4_._8_1 ____ _
15% Tax on $ _____________ _
% Tax on $ _________ _
Estate Tax, Act of
May 7, 1927
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate· of
___ % from----------------
to _______________________ _
TOTAL AMOUNT ~AID
Received by
$ 435.29
$
$
$
$
$ 21 .. 76
$. _______ _
413.5.3 $·===============~
NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life
tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the
life tenant or tenant for years whenever it appears that such additional tox may be legally due ond-.L-:.=:::._...p~...:.::::.:_::::--:---9'--.L-ll<-...c_ _____________ ll
collectible for any reason whatsoever.
/
I
I 1
\. RCC·4 (B-68) COMMONWEALTH OF PENNSYLVANIA'.
DEPARTMENT OF REVENUE ,/
No .. A033028 OFFICIAL REC~IPT • PENNSYLVANIA INHERITANCE AND
1t/O HUNDRED EIGHTY-NINE and 95/100 • .. • • ... --- ------
RECEIVED dollars
representing Pennsylvania Inheritance or
Alexander Piechnik:~ Pqing on In4. Liab. Estate Tax due from the following estate: From: _________________________________________________________________________________________________ l!l
Box 312 Address ____________________________ ~----------~ 2% Tax on $ ___________ _ $ _________________ .~
Meadowlands• Pennsylvania 15J47 5,086.90 6% Tax on $ _________________ _ .305·.21. $---~------01
File No~)-6B•l549 Date
7
of ~~':'J.'!..--ll_-_2_2....68 __ --l
Ja.nuarr ,
15% Tax on $ __________________ _ $ ________________ ~
Date of Payment ---~----~~-~-~Hmt_· -------l % Tax on $ __________ -ll--------------------11!
ANDRE\v PIECHNIK
Nome of Decedent --------------------------------1
WASHINGTON County _______________________________________ _,
Remarks:
S E A L
NOTE: This Triplicate Receipt Ia be retained lor audit purposes.
Estate Tax, Act of
May 7, 1927
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__ % from----------------:,--
to ___________ ~-----------
TOTAL AMOUNT PAID
$
$
$ 15.26
$
289.95
$
Received by -..:..L~~::..:!::~:::.::S:fs~~~t~~~-:-.::--------NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life
tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of!tlh~~e; _ _L_=:~,f::£,~~~=7'4.--~~~~~::__ _______ lJ
life tenant or tenant for years whenever it appears that such additional tax may be legally due
collectible far any reason whatsoever.
/
/
I
-----·-·-,------,---~-----~---~-----~------------------._.--:-~----~~-
I RCC·4 (8-68) CQMMONWEALTH OF PENNSYl.V I DEPARTMENT OF REVENUE
NO: A 0 3 3 0 2 9 OFFICIAL RECEIPT • PENNSYLVANIA INHERITANCE .·
t ~~~~~=============================~~~l1\
Meadowlaru!s• Pennsylvania 15347 Address _____________________ ~ 2%Tax on $ __________ "'·----------tu
File No. o3..-68-l.5 49 Date of D
Date of Payment ___ J_an'-:ua_ry __ 7_,_l_9_6_9 _____ --l
ANDREW PI:ECHNIK Name of Decedent -----------------1
WASHINGTON County _____________________ -4
Remarks:
S E A L
NOTE: This Triplicate Receipt to be retained lor audit purposes.
6%Taxon $_~~~)_.7_3 ______ __
15% Tax on $ __________ _
% Tax on $ ________ _
Estate T ox, Act of
May 7, 1927
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of . •/'
__ %from-------=---..---
to ____________ _
TOTAL AMOUNT PAID
Received by
.
NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life
tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall
39.02
$
$
$
$
$ 1.90
$
$ J6.l2
;// tf,.-'vh-vtl
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of_t .. he;,------:,L----d!.....,-~-....:_....:_ _______ 11 life tenant or tenant for years whenever it appears that such additional tax may be legally due
collectible for a reason whatsoever.
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