HomeMy WebLinkAboutOC1968-1562 - ESTATE OF CAMPISIRCC-81 (6-73)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
11127
NOTICE OF FILING OF APPRAISEMENT
RICHARD ENCAPERA
(Executor or Administrator)
In Re: Estate of CHARlES CAMPISI
IN YOUR REPL..Y PI...EASE
REFER TO
Inheritance Tax Division
WASHINGTON County -File No. 63-68-1562
Dear SIR:
Y h b 'f' d h h ORIGINAL ou are ere y notr 1 e t at t e'7"1'1'1nrl'l''i"'r.r."''"""?i"A"r.m'F';:;'V----------....:.
appraisement in the estate of CHARLES CAMPISI
has been filed in the office of the Register of Wills of_W!.!iAwS.uH.!.!IN~Gc.aTO.!!o!oN!.l!.;.~-------
County on JULY 9, , 19.24,_, Said appraisement reflects the following
valuations:
Rea I Estate ------..-3.::..,, 0,..00,..,'· ",·· ~ ...... oo=··,------,...--
Persona I Property ___ l..:.'-=.3.::.3_0_.00_·' ------
Transfers _____ ~---------
Jointly Owned ------:----::--c::-::-'-..,...,.------
T otal -------'4~'=33=-Q_,' •'--"QO_:__ ____ _
As to such tax that is paid within three months from date of death, a five (5%)
percent discount is allowable. As to any tax that remains unpaid after nine (9) months
(fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive;
and twelve months when death occurred prior to December 22, 1965) from date of death,
interest at the rate of six (6%) percent per annum is charged.
Any party in interest who is aggrieved by this notice:may object thereto within
sixty days after receipt of said notice as provided by Sec ion 1001 of the Inheritance and
Estate Tax Act of 1961,72 P. S. 2485-1001, P. L. 373.
Date __ J_UL_:Y_9_, _1_97_4 ____ _
DATE OF DEATH: NOVEMBER 13, 1968
Note: This is not a bi II.
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.. ~ RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
CAMPISI, CHARLES 11 13 68 63 68 1562 Estate of ___________________ DATE OF DEATH __ -__ -__ FILE NO. - -
(Last Name) (First Name) (Initial)
REPORT OF INHERITANCE TAX APPRAISER
WASHINGTON I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of ____________ _
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: JULY 9, 1974
REPORT OF TilE 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, exc those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F", which reater or l sser amount represents the sum
allowed as a deduction.
Dated: _J_UL_9 _19_7JI~.lr=u~===SE=LL=· J=M-RIN_..o:
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$ $ $-------~--::3,000. 00
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
annuities . . . . . . . . . . . . . . . • • . . $------+--
ESTATE TAX ASSESSMENTS $ ------J---
L'nO. 00
4.330~ 00
2,902. r>8
1,427. :42
FOR USE OF REGISTER ONLY COMPUTATION OF TAX
Taxon$ ___________ ~---
Taxon$-------------~-
Taxon$---------------~---
2%
6%
5%
Taxon$ _______________ ~---
Taxon$ ______________ ~---~
Exemptions========t===
Total Estate---------''---
TOTAL TAX
•
$
$
$
$
$
$
Less tax previously paid $·=======+==
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
--------~0-----
(*) As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
$-------~---
$---------4----
TOTAL TAX BALANCE $ -----4---
PAID $------L--
FOR USE OF REGISTER ONLY ADJUSTMENTS
Will
Administration ! No. ....... Year ........... .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
CHARLES MERCURIO
Deceased
Late of . . . .. ?P.l,IFORNUl'
County of WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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COMMONWEALTH 6F PENNSYLVANIA DATE JULY 9, 1974 ............................................................................................................
DEPUTMENT OF REVENUE RESIDENT INHERITANCE TAX WASHINGTON
BUREAU OF COUNTY COLLECTIONS COUNTY ...................................................................................................
,.,-APPRAISEMENT FILE NO. . ....... Q).~~-~J.:.5..Q.?. ...................... -........................ HARRISBURG, PENNA. 1712 7
Whereas, CHARLES CAMPISI late CALIFORNIA ...................................................................................................................................................... of ...............................................................................................................
in the County of WASHINGTON ......................................................................................................................................... Commonwealth of Pennsylvania, having died on
the ........................................................ ]Jtb. ......................... day of ..................... N.OVE!Vl.BER.., .......................... 19.68 .... , seized and possessed of an estate
subject to Inheritance under the law~e Commonwealth of Pennsylvania;
Therefore, I, ................................ ~ .. ~.J.~·-···················~·················• an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix
the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit Appraisement
Description of Asset Values Made for Inheritance
Tax Purpoaes
REALTY $
SEE COPY SF APPRAISEMENT 3,000. 00
.PERSONAL
SEE. COPY OF APPRAISEMENT l,JJ.O. 00
TOTAL 4,330. 00
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WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
CHARLES I CAMPISI
Deceased.
Late of
CALIFORNIA
Date of Death, .... NOVEMBER ... l3., .... l9.68 ................... .
Appraisemel!t Docket Vol., .. 3.7~ ........................................ .
Page, l..9e.~~ .............................. No. .63.":"::68~15.62 .......... ..
Filed in Register's Office, ..... .J.~"!-. .... 9.1. ............ 19 ... 74..
Amount of tax due, $ ................................................................... .
DEPARTMENT OF REVENUE
Received,
Examined and Approved,
Wrote abo.ut Appraisement,
Appeal f1'om Appraisement,
Entered and charged,
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FORM 67 REG. WILLS
REV. 1-50
Applirntinn fnr 14rtttrs nf Ailministrntinn nn tbr
Estate of.. ....... Mer.CUr?i.o .... Campisd ... a.lia.s ... .Ch.ar>~e.s ... .€annp.i.si .................................................................... ..
late of ........ 9.·! .. *.!f.2.r.D-.!! .. a ..... f.~ . .'! ................................................................................ , Deceased.
Before the Register of Wills of Washington County
personally appeared ..................... R1~.b~ .... ~n~.~;p..e.r.~ .................................................................................................................... ..
who, being duly sworn deposes and says that ................ ..!~t~~:.Y..r.JQ .... Q.~m.P.l~.L ........................................................... .
age .................. , having .... hi.s ... last family or principal residence at .... J.Q9..J: .... ~.h.~:\!.t .. ~.r.J:Y.: .... ~:\!.~ ...................... ..
(Street and Number)
.............................. .9:~JJ:f9.r.D-J~ .. .t ......................................................... , Washington County, Pennsylvania, died intestate
, (City, Borough, Tow~sh~ ~ CL6'V, f'c;v at~.'!:..':?::.~ ... ~ ................ : ... , on the .... l3.day of.. ........ N.QY.~P.lQ.!U~............................................. -
A. D., 19 .... 6.8 ........ , at.. ........ 3..s.4.5 ............................ A ... M., possessed of personal estate to the estimated value
$ ...... ?.Q.Q.! .. QQ .......... , and of real estate in the Commonwealth of Pennsylvania to the estimated value of
$ ... ~ . .I..Q9..9..!'!.9..Q ..... , situate in ........ Q.~J.J.f..9.r.P.:J.~ ........ f.! .. ! .......................................................................................... , ...................... ..
The names and addresses of the decedent's surviving spouse (if any) and other heirs including
heirs by adoption) are as follows.
REJ,ATIONSHIP RESIDENCE
..... ~~~.~ ... 9-~.P..~.~J ......................................................... ~.r..!?..~.P.:~r. .............. ~~.~r. .. ~ ..... M~.9.P.:~s.~.~ ........................................ .
......... Y.ir.gini9.l .... C.on.t.o.r.n.o ...................................... J:J.is.t.e.r. .................. .B.er..win.,. .... ll1.1noi.s. ................................ .
......... ~.r..Y. .... 9.~.m.P.~.n.~JJ .. !?. .............................. : ................ ~l.~.t~r. ..................... JU.Y..~.r..Y.J..~:w. ........... MJQ.b.~s~ .............. ..
...... ~ .... 9.?.:~ .. ~~.:r::~.~ .... g.f. .... ~.~~ .... :~.~~.P..~.r.~ ... ~ ..... g~.9 .. ~.~·~·~r9. ..... ~!.~.~.!!.r. ..................................................... ~ .................. ..
...... ~ .... 9.hJ.J9...r..~.n .... 9.f. .... d~ .. c .. e.~.s..e.d .... B.i.s.t er. .... Chr.1.at.int:~ .... ~.F.1.ll.1.P.P.o. ..................................................... ..
..... P. ..... 9.hlJ:Q..r..~.P. ..... Q.t.' ..... d~.c .. ~.~.s..e.d. .... br.o.tlher ..... Tony. .... d.flt.mP..:1.s.1 .............................................................................. ..
. ____
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.~~:~f:.g.~~.~~.P.:9..~ ... _ .. ±9..r~.B.9. ... !!-'}:~:~.Y.gh.~~.r. .... Qf. ..... 4~.9..~:~,k~.g ..... ~~,~-~:r_ ...... _.f_h~.l,l!P.:_!P_ .. ~_.:~!.R~.S2.~ ... -_--___ _
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Children of Ann~ Enc~per~ deceased sister of Murcurio Campisi
Richard lShcmperm
Joseph En.capera
:Paul lBhcapera
Aingelo Encap~r~
Josephine f2:c::r l :_
Carmeline ~
Virginia Ylf\e.C.~
Alnna Bobby ~
:Phyliss Ke-dfr"" ·
Children of Christine DeFillippo deceased sister of Mercurio Campisi
Joseph Defillippo (deceased)
Anthony DeFillippo
P~illip DeFillippo
Benny DeFillippo
Nello Defillippo
James DeFillippo
aharles Defillippo
Theresa
,)oS£-ft-ft ,;fi..
f{o~ALtlf'l
Children of Tony Campisi deceased Brother of Tony Campisi
Rosemary
J8llTles Campisi
Norma
Virginia
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REGISTER
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" APPLICATION FOR
Letters of Administration-
ESTATE OF
Mercurio Campisi aka
........... Q.h.§J.:.l..~.§ ..... \!.~P..l.~.i ......... _ ........................ .
Deceased --R $ ............................ ..
Letters...................................................... /..!) H.)
p $ ............ ~ ............ ..
Extra Alias $
Certificates ~ ~ ~ ~ 7 e. . . .. ........ : .. ·::~ ...... . . . . . . . . $ ..,, -' ...... ~ .................. .
Renunciations $ /.., ~ ..........................................
........ .......................................................... $ /_ ./;)( t<-<) .. ./..~ ............... . ......
' ............................. ~ .. _ ............... ~ ... : ............................................ .. , ·Y' o, -~· ~ Total.. ................. ~ ...... ;...... ..:.:·::-............... -:;,{..?--~; ............ ' ... ..
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. . --. CHARLES. CAMPISI· alias CHARIE S .CANPISI -_ --. ~------............................ -................................................... -...................... .; ..... ~ .. : .......... ~ ........... ~.: .................................................................... DEC£1\SED
The undersigned .............. ~ ..... ._ .................................... :. ............ : ............ ; .. ~ ........................................... : .. ~ .. :_ .............................................. nnd heirs . -·
~L-S~~.~~§. .... £~?.1 .. ?.1 .. : ........... ~ ................ -........... : .............. Jate of ............... f;.!!l!JQ.f!l~~.t ...... P.~ .. ~ ................... : ................... : .... .
d d h b · · h · d · · · said · · ecensc: 1 ere y renounces ................. ~ ..... r1g t to a 111Inister on ......................................................... , ............................................ estate
d f 11 k 1 Le f Ad • • -•· b • d Richard Encapera ·-an n:spect u y as s t 1at tters o ministration e Issue to ........................................................................... m ............................. .
' -Box 483, California Pa. 15419 · · -· ---.. ·-·--··-·-"'"'--·-······-····-·· ................... _ .... _! ....... _ .... -................... -............. -................................. ___ , ............................................ : ................. .
Signed in the presence of: ~ ,., -
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-·--··-.......... -.............................................................................................. .
..,.__ ................................. -............................................................. -.......... .
______ .................... _ ..................... _ .................................................... _ .. ...... ~ ... -.......... ._ ........................................................................................... ...
.,..._ .................... --··--··--·--·· ............................... -.. ·-·· ... ········ .. ··--... -·· -~'"!""''''""' ................................................................................................. . --. -_ .... _, __
.. ---...................................................... , __ ...................... -................. , .. _. ........................................................................................................... _, ........ .
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............ , ... , ... _ .. ,, ....... ,,_ • ._,,,,,, .............. ,,.,_o•••-••••-•••oMn••-looooouoo•ooo•oMO"" •·-·--•••••u•••••ouoo••••••••••••oon-.••••••••-••••"••-•••••••••••••••••-•-•••••••oo••••••••••••
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Estate ofC ... Mlie._rf···~-~-r,li~-~---9.!3.Ir1P~.~-~---·························· } No. . ..
late of . -~ ..... C>!.!l -~-. .. . . . , Deceased .. .... of 19 ........
KNOW ALL MEN BY THESE _PRESENTS,
That we, fU.GhE,t_:r.4. _:E,~q.B:.P.~.r.~., .... ~ .. ~ ... ~.!..~.~-~-~J>Ei.~ and United ~-~-~-~~~-~'f?.~.l..~~.Y. ... ~-~d
......... .G..u.~ r!i. !1 ~Y .. .9.C>. ~ ... :E311. .1. .t. ~Ir1C?.r..~-~ ... ~ -~-... ?.~!'~ ~ Y.. ................................................................................... .
all of Washington County, Pennsylvania, are held and firmly bound unto the Commonwealth of· Pennsyl-
vania, for the use of those interested in the estate, in the sum of .:F.~Y.E! .... ~ll!l~r~.0. .. .:P.C?.l..~~:r'~ollars, to
be paid to the said Commonwealth, to which payment, well and truly to be made, we do bind ourselves,
jointly and severally, for and in the whole, our heirs, executors, administrators, successors_ and _assigns,_an~L
each and every of them, firmly by these presents. Sealed with our seals and dated the ~Tl.cl• . day of
..... P.~ -~ .~P.J:t?~.!' .................. A. D., one thousand nine hundred and .... SJx.t. W. ... ~:f.S.h t. ............. .
THE CONDITION OF THIS OBLIGATION IS, That if the above bounden .................. .
. . . . . . . . . . . . . . . . . . . R.:J.G M.r.c1 ... ·Jgl-~ ~ .P.E!r.!3. ........................................................................................................ .
Administrator or any of them, shall well and truly administer
the estate according to law, this obligation shall be void as to those who shall so administer the estate; but
otherwise, it shall remain in force.
Sealed and delivered in the presence of:
~tatrmrnt nf ~urrtn
I, --------------------------------------------------------------.:. _______________________________________________ , surety in the sum of $-------------------------------on the
administration bond in the estate . of ---------------------------------------------------------------------~ .. ------------------------· say that I reside~~
-------------------------------------------------------------------------· Washington County, Pennsylvania; that I am the owner of real estate, the
title to which is in my own name and duly recorded, situated in ----------------------------------------------------------------------------------------------------·
Washington County, Pennsylvania, worth above all encumbrances $ .. ______________________________________________ ; and that I am worth the
amount expressed in said bond, over and above my just debts and liabilities.
·---------------------------------------------------------------------~--------------------------------------------~
. ---------------------------------------------------------------------------------------------------------------Street P.O.
&tatrmrnt nf ~urdy
I, ------------------------------------------------------~---------------------------------------------------------· surety in the sum of $--------------------------------on the
administration bond in the estate of ---------------------------------------------------------------------------------------------------------------------· say that I reside at
-----------------------------------------------------------------------------------------· Washington County, Pennsylvania; that I am the owner of real estate, the
title to which is in my own name and duly recorded, situated in .................................................................................................... ,
Washington County, Pennsylvania, worth above all encumbrances $ .... __________________________________________ ; and that I am worth the
amount expressed in. said bond, over and above my just debts and liabilities.
COMMONWEALTH OF PENNSYLVANIA, } ,
SS: WASHINGTON COUNTY,
••••OOOoOo ooooooOOoooOOooooOOOOoooooOOOooOooooooooooo•OooooooooooooOOo00HoooOooOoOOoooooooOOOoooOOOOooooooooooo
·--------------·------------------------------------_---------------------------------------------------
Street P.O.
And now ........................................ 19 ............ , comes ....................................................................................................................................... .
who being duly sworn, says that he is acquainted with the financial standing of the securities to the within bond; that
the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their
own right of value more than the penal sum of said bond over and above all incumbrances and exemptions.
Sworn and subscribed before me this -------------------------------
day of ------------------------------------------------------------------------------------A.D. 19 .. _______ _ ----------------------------------------------------------------------------------------------------
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IN THE ESTATE OF
MERCURIO CAMPISI aka
..... C.HARLES ... C.AMP.lSl ____________________________ _
And now ... 12~.9.-~m.~-~!' .. J.J ........ , 19.§_§ __ __
Bond approved ana; letters issued to
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Richara·:·:EncaP,era who was -------------------------:--,----------------------------------------·-----. "' ~-. ·] ; ..... .s.
duly qua);~fi~d'. _____________________ ,; __________________ .. _________ -::=-_ ____________________ _
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-----~~~~-~Ji~Marino 0 ----------------;-------------------------------------Register
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63 14 Bond Book ----------------------------Page
BADZIK PRINTING ~9 DONORA
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Personally before me, the~er!ligne'4J.vt~'ty+a.-! ..... :W.o.r.~ .... .P.ub~i.c ............................ in and for said ........... ·' '·~] .. ~~ County and State, appeared .......................... .R}...Ch · .a .. .E.n.capera ...... ~ .............................................. who, being duly
sworn according to law, deposes and says that he is the executor or administrator of the estate of
... ~~~!".~~~ .... ~.~~P..!..~.~ ...................................................................... deceased, that the foregoing schedules constitute a
complete inventory and appraisement of the real' and personal estate of ........... 9.9.g..;I;,.~~.§ .... C..ann;~i.e.i ... ~ ......... ,
deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item
of real and personal estate in the foregoing schedules are determined and stated by the undersigned to
be the fair value of said items as of the date of the decedent's death, based upon a just appraisement of each
item made by the above named Executor Administrator.
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day o~:.=~; .. ~:iJ.flisd..tf.__ .... l ~~-~~i&~--~ J-
.. ~.B4,)ffAffi(t-:~!JXi!i.Y. .............................. .
My term expires First Monday. Ja~tififTIONAL INSTRUCTIONS
1. An inventory must be filed within three months after appointment of personal representative.
2. A supplemental inventory must be filed within thirty days of discovery of additional assets.
3. 1 Original and 2'Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33,
Over $10,000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COPY
Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2
lhtttttttnry uult -"p.prui.armtut ~(the goods and chattels, rights and credits which
were of ....... C.b...ar..l.es .... C.amP.i.§i ........................................ late of ....... 9.~~.~;-.Q;~.;~ ......................................................... ..
Washington County, Pa., taken and made in conformity with the above affidavit.
Falcon Automobile
Popcorn Machine
Real Estate
Lots 21, 24, and 26, Shutterley•s Second Addition
to Meadow Plan of lots P.B. 4, ~ages 28 & 29
DOLLARS CENTS
~,280. 00
so. 00
( sold to Thomas R. Albertson for $3,000.00) 3,000. 00
LOts 37,38,40, 41, 42, 44, & 45 and
2.72 Acres
( Donated to the Borough of California, washington
county, Pennsylvania, as access to the Project 70
Land)
Total Estate
No vc:lue
4,330 00
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Form No. RCC-62 (6-70) THIS. FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SECTION 701 OF ACT OF JUNE 16, 1861,
EFVEC'I'IVE JANUARY 1, 1982. (FILE IN DUPLICATE WITH COPY OF WILL ATTACHED) j .··'&:3-~8-/~~
OFFICE OF' THE REGISTER OF WILLS _/...3f-o"2 r-'l? -County of ... WP-ebin<JtQO .......... .
. . .. . .. lUCbP.J;t;l. ~!;l.C.ap~;r.a .. · ................... of ..... C.a~~~Q+At~ •.. !>a. ....................... .
(N&me) CAddreaa) •
being duly _______ )?~Q_;:~-------------------.according to law, deposes and says that he is the --------~~~~~~-1?-~~~~g_;: ___________________ _ ~_} · (Exec., Adm., Legattt, Ere.)
. of the estate of__ ____ ~~-~.!~~---~~-~!?:!-.~:!-__________________ whose last residence was.--------------------------------------------------------------CNo.l CSrreet)
.C.alifo.rn.ia __________________________ deceased, and that the whole of the estate of said decedent, who died ----~g_y~.mP..e.r .. ~3.,
. (City, Borough or Township) (Dare) 1968
conststed of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA. WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AlllD RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
l
Lots 21, 24, and 26 Shutterley•s Second Addition to Meadow
P1a.n of T.ots P''R 4 n~OAR 2R 1\. 29
(Sold to Thomas R. Albertson for $3,000.00) /(vJn.:J~ 3,000.00
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Lots 37,38, 40, 41, 42, 44, & 45 and 2.72 Acres
(Donated to the Borouah of California. washinaton Countv.
Pennsylvania, as access to Project 70 Lands) ~/)?.,:7'-no value
-~ ~~a p (} <{) --~
~1.-«1~ ·;~_ ~ ~-~ -€' /,1"' .A -.J( #..&. .A
·-ft
J~;//L,~_~ t1-.-,V ¥ -/-J I . A /L-4 ~~ o(~ ~ 7-3t'-4o~<IJ . /'-"-' -
I tJ {/
q .dJ..-~<;t-r '¥-S r-
d/,7d~.
Personal Property
(.? Falcon Automobile I;
I aKJ;.L ,6 1,280.00
/ '7)?.,:3-:
/
popcorn machine l .A/#. . ~ -hA-~' &.km~ so.oo
~
/ 1'77 ~~ 1~·1 3 :l 0. &CJ
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'f
account at the date of death and the type of account, account number and the exact name or names i1
which the account is registered. x
Jointly Held Property .. Estimated
Value
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Transfers within TWO YEARS Prior to Death
;
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• \ • ' \ : •• • .. { -~ .,} ) • -.1. _. • -That at the time of death there was no safe deposit box registered ih'decedent's individual name, or JOintly with, or as agent or deputy of
another, or in decedent's individual name, with right of access by another as agent or deputy, with the exception of the following:-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION
IN WHICH DECEDENT RENTED A. SAFE DEPOSIT BOX
-... THIS·SA.~'E DEPOSIT BOX RENTED
• IN NAME OR.NA.MES OF
I RELATIONSHIP OF JOINT ·,1 HOLDERS 'To· DECEDENT
--------------\---_.-----+---------------·----+r--"""-.. 7----------
BENEFICIARIES
BENEFI'CiARIES AND ADDRESSES
RELATIONSHIP SURVIVED AGE _O_F LIFE:
(If step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest, vested, contingent or otherwise, in estate.) are involved, set OR NO AT DEATH OF IN ESTATE
forth this fact.) DECEDENT . --. -· -
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IN 'l'HE ORPHANS 1 COUR'l' OF Hl\SHINGTON COUNTY, PENNSYLVANIA
Jl ESTA'TE OF
l I CHARLES CAMPISI,
I Deceased.
I ; ! ll I! ASSET'I'S
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OF 'rHE ESTATE:
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Proceeds of sale of Falcon Automobile
Proceeds of sale of Popcorn Machine
Proceeds of sale of Real Property
Total Assets
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II EXPENSEs oF THE ES'rATE
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Letters of Administration, Borid and
advertising
Payment to Gallatin Bank for lien on
Falcon Automobile
Payment to Frank· Glo·t·t for bal·ance owed
on Popcorn machine
Transfer Tax for sale of R/E
Repairing Roof
cutting Grass
Final Water Bill
R~&gkxiE Bill for Furnace & Heat
'I'elephone Bill
Final Electric Bills
Angelo Cole & Sons work on furnace
Snowden Place Oil Co. (debt of decedent)
Final Bill for Electric Hot water Tank
Borough Tax for 1969
School Tax for 1969
County Tax for 1968 & 1969
Sewage 'l'ax
Dre Finegold
Bill(balance}
53.50
1,280.00
lOOeOO
30.00
30.00
12.00
3.45
33.08
13.35
19.46
18.50
30 0 53
14.76
9.98
39.,03
24.95
20.7 5
25e00
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F
Caleffie & Greenlief, Funeral
Stone Cutter for final date
Pennsylvania Inheritance Tax
Administrator's Commission ~
535.00
12.00
259 .. 22-
150.00 1: I· I; ;:
H j,
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.P.ttorney' s Fee
Notary's Fees
Copies of statement of assets & expenses
Mileage for administrator aad attorney
rrotal Ex,penses
!' f Balance for Distribution
I p
Less cost of sending final distribution
Final Balance for distribution
150.,00
3.00
3.50
10.40
2, 88! .. 46. \,... ...... ¥ '\...,.'\.-"-.,
.. $1, 448 .. 54
_______ 21. 12 -
1,427 •. 42
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RE.SIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOTE: List first five items in the spaces so provided, obsel"ve notations thereon, and instructions
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN ~tEGISTER ONLY
Funeral expenses paid $ $ •
• .
Family exemption (will not be allowed unless ~
,. decedent died residing with a spouse or children.)
Administration Expenses *
Counsel fees * I
Fiduciary commission *
OTHER DEBTS AND CLAIMS I
(*) See Note below
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~' • .f . Total .. ..-_,
~4.,m .......................... .
.,..._., t:J-v(Executo dministrator)
.. ~.I.V..d .. ff: ................. .
(Street Number) ... ~::;J~!:=i ........... ..
Having been duly sw~l' accordmg to law, I do he1·ebynfy tha/ the above appraisement is made in conformity with law on this
.................. FJ. A./.11 ........ day of . . . . . . . . . . . . . . . . . . . . . . ....... 4:... .. , 19 ~7.y ~-• .
. . . . . . . . . . . f././/.~ ... ·: ·~-p~~;~;; ....
In the event that any future interest in this estate is transfened 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·inheri-
. tance taxes at the lawful collateral rate on any such future interest.
REPORT OF THG?;fTER Of) WILLS ' I~·the undersigned duly elected Register of Wills in and for........ . .~. . .. County, Pennsylvania, do respectfully
repo'rt that I have allowed debts and deductions in the amounts clai d h.y---cleponent, ex as to those items where a greater or lesser amount
is set forth in the last column to the right in said schedule above, which greater or Jesse a ount represents the sum allowed as a deduction.
Dated: ........ ~-~4. ~ .... '~l1.~~.~~~.L.L}1~!~~ .. .
Register of Wills
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Form No. RCC-62 (6-70)
Will Administration }No. · · · ....... Year .... .
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Deceased
Late of ............................... .
County of ............................. .
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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