HomeMy WebLinkAboutOC1969-0371 - ESTATE OF MODICFORM 67
REV.1-50
REG.WILLS
Application for iGrttrrs Df Abministration on thr
/
Estate of.Loui.s M.Qg.i~'.
late of...§~:1r.h r.Q~P.:§h~.P..JN.~§h.•.9jh ~.~.tl ,Deceased.
Before the Register of Wills of Washington County
personally appeared LeJiis Mo.Qi.c ..
who,being duly sworn deposes and says that..Lo:uis Modi.c .
age 7..Q ,having h;\.~L.last family or principal residence at..~?.Q ~~.;:.9 §:~.~.
(Street and Number)
.....:S.lQy..an ,Washington County,Pennsylvania,died intestate
(City.Borough,Township)
at...J~~§h~.P,.9.~.QP.:..:~2~l?~.~~;!:,on'the 3 day of F.e.br.uar.y...
",~A.D.,19 29 ,at..2..;..QQ A.M.,possessed of personal estate to the estimated value
$..::':.~~.::':.~..~,and of real estate in the Commonwealth of Pennsylvania to the estimated value of
$.3.QO..Q..QQ ,situate in Smi.:th Xow.ns.hip.,.Washing.t.on Count;v..,.P.enna...
.....................~u ••••<l ..
The names and addresses of the decedent's surviving spouse (if any)and other heirs including
heirs by adoption)are as follows.
REI,ATIONSIIIP R}~SIDENCE
.bem.s.MQ.g;t.c.~,$.Qn ".?~.Q ~lg.~Ay.~lI ~~~.g~.t!:.§.tQY.m.,Pa•
.J.ack J:Mo.dic ,s.Qn 1405.W y.es.ta.,.Qn'ta.r.i.o.,caJ.i£•
.w;t.l.li.am Y.MQ.g;t.Q :s..Qn Ta2.~4 J..9..gei.j;.~AV.~,.~g.9rnQp..gg,..Calif•
.Anna Le.bman ,daugh:ter R 'O 3.,B.ox 2.9.Q.,.Bur.g.et.:t.s.:t.QY/Il,Pa•
.1ls.tina J.Cher.ok ,daugh.te.r...,.54 Hindman AY.e ,Bw::ge:t:t.s:t.own,Pa•
......................................................................................................,'1".
That deponent is over 21 years of age,resides at...22'O Clax:k..Av.e ,,..
.........Bnr.g.et.ts.:tOlfm.,P.a:...
is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of
Ad:::r:::U::b::~:::~:::..::::..~O lett:::;P~~§;~~
day of...............ep.te.mheJ:...~........A.D.,,19....7.Q.......
,'
............................................................................~.
REGISTER
COMMONWEALTH OF PENNSYLVANIA}SS:
WASHINGTON COUNTY)
n ;.
And now Sep.temhex 14:th.,19.7..0 .,comes Lew.is.Mo.di.c...
who being duly sworn doth depose and say that....he will well and truly administer the goods and
chatt~ls,rights and credits of Lauis Mo.dic ,deceased,
to the best of....hi.s....skill and judgment in strict compliance with the laws of this Commonwealth,mind-
ful of the Jaws relating to inheritance taxes.
Sworn and subscribed before me this........14.th.......
~~r..~1?:~~::::
REGISTER
-~3 -~9-371
APPLICATION FOR
Letters of Administration
ESTATE OF
............................~Qg;.§~Q9.:!:.s .
Deceased
Letters..............................R $.........................
P $.
Extra Alias $.
Certificates :$.
Renunciations $.
..................................................................$.
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ESTATE OF
+JI'b3-~·9-37l
.......................................................................lto.uis MQQi..9.DECEASED
(''1
The undersigned chil.dJ:.en ;and heirs
of...LgU1.s MQdiQ .late of Sm1.1ib tQWD§.b..1..P..•....Was.b.•.c.aWl1iY.,.r.~0
deceased,hereby renounc~heir right to administer on m#li estate
and respectfully asks that Letters of Administration be issued to Le.wis Mo.di..c.,S.O'lil Q.;f :t.b.~4~Q.~~ed
--.........................................................................................................................
..................................................................................................................
..
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F .~.•E-"nIj,I ,••1-,...,...~.IV,f
RUSSE !..L rA j\ni N0 I
REG 1STEf'~OF WjLLS~
·WASHINGTON CO .•PAt
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(!1nmmnuwraltq nf JruuByluauiu t
DlIaB~tngtnn aInuntYt
I,Russell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
to Lewis Modic
administr a t or
credits,which were of Louis Modic
of all and singular the goods and chattels,rights,and
late of Washington County,deceased,
GREETING:
WHEREAS,the said Louis Modic late of
3mith Township in the county aforesaid,lately died intestate
(as is affIrmed),possessed of divers goods and chattels,rights and credits,within the said County,
Russell Marino
by reason whereof the power of granting administration thereof doth belong to me;I therefore,confiding
in your fidelity,do by these presents grant unto you these LETTERS OF ADMINISTRATION,here-
by committing unto you full power to administer the goods and chattels,rights and credits,which were
of said deceased within this Commonwealth,you having taken and subscribed the oath of office pre-
}
scribed by law;requiring you to well and truly administer the goods and chattels,rights and credits,.
which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's
office,at yvashington,within ninety days,and to render a just and true account of your administration
at the ex~iration of six months from the date hereof,and to regard and comply with the provisions of
the laws relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and
caused the seal of said Office to be affixed this 15th.
day of September in the year of our Lord one thousand
nine hundred and Seventy
..._....._.......£~~
RUSSELL MARINO,Register.
~...,.............,
~~t"1-40Z Qs=..........M
t CAl CIJ >~~bI0~aIIIp..........
0 ~:=....~.....~fa.........Q:=
s.....,-:::0 m,.,,:::0 ."c;>C "'0-(J)
(J')(J)--1f'T1 ~r,."...::oj-
o~m"T/»~;
:E::o '0rz.-ro I'\)(J')••
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r
i l
Smith'Twp.late of .
Estate of Louis Modic
of 19.......
KNOW ALL MEN BY THESE PRESENTS,
That we,.J~~Wl,S...~9qJ.~..~.s....~.r.Jn&~p~.~~.~d t!1'l1,.~~Cl ..~~.~.~e.f3 ~:~4.~JJ~y ~:rlcl q.q~;ranty
..~.~.~I3.~~~~tr1~.I'~.'.JJ1cl..•..~.~I'f3.~.!..
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 ..Dollars,to
be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves,
jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assigns,and
each and every of them,firmly by these presents.Sealed with our seals and dated the :l.,~1;.h.day of
....$~.P~~.:mb..~.:r.A.D.,one thousand nine hundred and ~~YE:)P.t.y ..
THE CONDITION OF THIS OBLIGATION IS,That if the above bounden.....
..Lewis..Modic .
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
o,h"wi",i,,hall "m,in in £0"'."~~~~M~~ntv
Sealed and delivered in the presence of:t1 t1Bal.tJmqr.~,.~r.~.1;.SEAL)
B~~~~~~~~~~
.......(SEAL)
&tattttttut of t;urtty
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.
------._---.-----------------------------------_...----------_._----------~-----------------------------------------------~
--------------------------------.--._---------------.._....-._-.-._--_._-----_._------_._-----------------
Co.
Street
~tattmtui of &urdy
P.O.
I,--------.---------------------------..--..----------.-----.------..-------------....--------... ,surety in the sum of $.__...on the
administration bond in the estate of ----..------.-----------.--.--....--------------.........,say that I reside at
------------------------------.-----------.------------.-.-----..----..-----------------,Washington County.Pennsylvania;that I am the owner of real estate.the
title to which is in my own name and duly recorded.situated in _ _ .
Washington County,Pennsylvania,worth above all encumbrances $-------__..;and that I am worth the
amount expressed in said bond,over and above my just debts and liabilities.
.........._-_-
-----_.._-_._--..__._._-.._--.._--_._._----------------.----_.--_._----.-._-------------------
COMMONWEALTH OF PENNSYLVANIA.}~S'WASHINGTON COUNTY.'".
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 llxecuted the said bond and th3t 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 --------------------..---------
.-_._---_.----_._---_._---------..-_._-_._------------._---------------...-----._----------------------
_.-._--------_....---------_._.._....---_..__._-------.---_._.._--------------------------_._---_._----.--------
c:.?
en
!D3-b9-37/
/t/3~No .
Abmittintrntintt 1Bnttb
IN THE ESTATE OF
Louis Mcbdic
And now ...J~~P.t.~g.~r...j.5._J.._..,19...1~...
Bond approved and Letters issued to
Lewis Modic
----~--·-·_-----------_·········---··-···--~···--.-.,...-I·1-··----_···---
....;;:;0 c;:::l _._-
who wa?§-=El~qualli.4)ie~.c-...................~.-=-.(]i ~....•.........:.
==(fl (1").f-n;z:-I f71 .-
Russell)~o ~~.--....•...----u--.~,.••-•.•.....--C",J __.
o c'RegisterZ....-/-:t'.~'on ...-::x
0...--]>O~:~;r z-orO:;:>ef)
Bond Book ~...............Page ~
BADZIK PRINTING ~9 DONORA
.,...
\,~
.'
•
Date of Death:Feb.3,1969
l\ffibautt (@f lfxrrutnr ®r 1\bmtutstratnr
~tate nf 'euusyluattia }
C!tnuuty nf IIas4iugtnu ss:
Personally before me,the undersigned authority,a no_tary._..P-ub.li.c_.._..in and for said
County and State,appeared Lewis...Modi.c who,being duly
sworn according to law,deposes and says that he is the xxec:xkIx::xx administrator of the es-
tate of Louis.-Modic -deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of .-.-.Louis Modic ,
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 ~Administrator.cii'~\c:i~i~d~;07-.t~'lS=}·~:A~~i;~~·····
My Com.EKp:Mar .26,197l-Not ~Public
Wash.Washington County,p~PDI IONAL INSTRUCTIONS
1.An inventory must be filed within three months after appointment of personal l'epresentatiye.
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 Oopies and 2 RCRI-33,
Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
...REFERENCE FOR ADDITIONAL COpy
Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2
3'uueutnry aub .Appraisemeut .of the goods and chattels,rights and credits which
were of Louis Modic .late of Smi.th.1'ownship,.
.Washington County,Pa.,taken and made in conformity with the ab01le affidavit.
I
None
REAL ESTATE
PERSONALTY
DOLLARS
$3,000.00
CENTS
d.351
02 ~'~~cl7!
Inventory and Appraisement
IN THE ESTATE OF
FI.LED'
.....................J:.,QUISMODIC \971 SEP 21 I'll ii!:'06..........................~
Filed ............................................•19 .
RUSSELL MARINOREGIS,TER OF \'lILLS
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B.A.Franks,Attorney
-~)//'/
DA7:p l--f~'1/7 3
Observer .Reporter"
WASHINGTON,PENNSYLVANIA IIf
PROOF OF PUBLICATION
In compliance with the News,paper Advertising Act of 16 May,1929,P.L.1784.as amended.
Commonwealth of Pennsylvania,County of Washington,SS:.
Personally appeared before me,a Notary Public in and for said County
and State•.......Rich.ar..d S..•....c.QWaR who being duly sworn
according to law.deposes and says that he is the .~.~.~X.~.t~Xy ..
of the Observer PUblishing Company.a Bennsylvania corpo,ration.and its
agent in this behalf;that the said Company is the owner and publisher of
the Observer-Reporter,succ'essor to The Washington Observer.established
Septembe'r 18.1871.and The Washington Reporter.established August 15.
1808.a daily newspap'er of general circulation.printed and published and
having its place of business at Washington.Washington County,Pennsyl-
vania.where it or its predecessors have been established and published
continuousIy for more than six months prior to the publication of the notice
hereto attached;that the printed notice or advertisement hereto attached
is a ,copy of an official advertisement.official notice.legal notice or legal
adve,rtisement.exactly as printed or published in the Ob£'erver-Reporter in
its regular editions on the follOWing date or dates;.
.......................S.e.pt.eJBb.e..r 2.l..,.4.a ~n.4 O'~.t..9.p.~.r;~.I 19.7...Q..
that neithe,r Ul'e affiant nor the Observer PUblishing Company is interested
in the subject matter of said notice or advertising and that all of the aHe,ga-
tions of this affidavit as to the time,pla,ce and character of pUblication
are true.~)It LJ
/[&?-It,>./'!:,.f..,..•..{,~t-~vL
ADMINISTRATOR'S NOTICEESTATEOFLouisModic,deceased
late of Smith Township,WashingtonCounty.Penna.Letters of administration upontheaboveestatehavingbeengrant·ed to the undersigned,all personsjl1aVingclaimsagainsttheestateare
requested to make known the sametotheundersigne~or his attorney
and all persons indebted to thedecedentarerequestedtomake
payment to the undersigned withoutdelay.
Lewis Modic220ClatkAve.Burgettstown,Penna.
I AdministratorB.A.Franks611Washington Trust Bldg.
t Washington,Penna.Attorney
'10222-Mon.·3T
Sworn to and ,"b'~~::~:R~~~70
WASHING10N,WASHING roN COUNTY
MY COMMISSION EXPIRES MAY 6,197~
......".
~~~BJ:JUED'X
WashingtOD,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)
STATE OF PENNSYLVANIA (55.
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 this 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:
..~~.p.1~!!l~~.r..._?~.,L~.7..Q .
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.
• • • • • • • • ••••• • • ••
MODIC,LOUIS,Dec'd.
Late of Smith Township.WashingtonCounty,Penna.
Administrator:Lewis Modic,220 ClarkAvenue,Burgettstown,Pa.
Attorney:B.A.Franks,611 Wash-ington Trust Bldg.,Washington,Pa.
..OctQbe.r:L,.8.,.vno .
that the affiant or the corporation in behalf of which he is acting is not interested
in the subject matter of said notice or advertising and that)~the al~~.ga·6~f/./'
,hi,,ffid,~i,"",h,,im,.PI'r;;J~'ld'P"~.."/J~~
Sworn",od "h"rih,d h"ore m;::;;:----~=--==:=2::~
.~;:~day of...Q~.~!?.~E ,19lZ.~.:
(trJ:~;:;;-::'N:::':;~
Notary Pub:ic,Washin!:l.n:,:\';'~;hillftCfl Cot
.,.:,j'.....!t'.';
My C.mmission Expires July!,107'4"
STATE OF PENNSYLVANIA,
WASHI~GTON COUNTY,
The within named Accountant being duly sworn according to law,deposes and sayS that the above account
as stated is true and correct as h~.___._verily believe.
Sworn and subscribed be,fore me this 6t.h .C//,~~c25.~~_.._-_._.._._.._.._-_._._._._.
day o(.__..__J~_lY _;#19 71 .
7"~~--q~c
My Com.Exp:March 26,1975
Washington,Washington County,Penna.
Washington County,ss:
.i
I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the manner
prescribe~by Statute 9nd ~Ie of Court~as evidence by proofs
thereof flied to No..~3--·1-l-::-:.38.u --..
Witness my hand and official seal this__30~.
day of.....v-v.Y-~.~':::-------\5iiA--;---191L,~.~~--..
Register of Wills
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'elDlSe S!l U!UO!lnq!JlS!P JedoJd
eU!WJelep 0l pelSenbeJ All nHJedseJ S!lJnO)e4.L
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The First and Final Account of Lewis Modic,Administrator of the
Estate of Louis Modic~deceased,late of Smith Township~Washingtol
County,Pennsylvania
The Accountant is charged as follows:
To amount of Inventory and Appraisement filed 3,000.00
Additional Debits:
Contributions in cash from Lewis Modic 1,580.94
Total debits of estate-----------------"---$4,580.94
Total credits claimed----------------------1,580.94
Balance in Estate------------------------.-$3,000.00
~dministration ExPenses:
9/14/70---Russell Marino,Reg.
9/18/70---Washington Co.Reports
10/19/70---F.J.Buckley Insur.Ag.
11/19/70---0bserver Publ.Co.
11/19/70---Russell Marino,Reg.
71 2171---Helen Beveridge
71 2171---B.A.Franks,Atty.
71 2171---Lewis Modic,.
71 6/7l---Russell Marino,Reg.
Debts and Expenses:
21 7/69---Lee Funeral Home
6/17/69---K.C.Randall,M.D.
6/11/69---G.Underwood,M.D.
2/11/69--...S.White &Sons
Letters of..·AdJnin.
adver.letters
Admin.Bond
adver.letters
filing inv.
notaries
Attorneys fee
Admin.fee
filing account
funeral expo
medical for dec'd
medical for dec'd
monument
10.00
14.00
10.00
14.00
3.00
3.00
200.00
150.00
15.00
1,050"'00
69.44
5.00
37.50
Total credits--------------'$1,580.94
~lt t4~Qtuurt nf Qrnmmnu -JUras nf lIanqittgtnu Qrnuuty
®rpqaun'Qrnurt mitrlninu
In the ma:tter of the Audit of Account in
J
Estate of_---'L~o!.J,U:Li!o...ii'!!s.......!:M~O~dl:!.i...loC"__{
TO THE AUDITING JUDGE:
63 of 1969-371No.__-=:=--==---=:..::....:::..::::--.-:::::...:....=-_
Enter --'m"""'V'--aDPearance for ~a~C=C~o~U=n~t~an~~t~_
'"
,-
10th day of_-'S=-e~p~t""e=m::.=b:..=:e~r'--,191..1-
N.B.-Counsel shall,by separate Dape,r,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objections
to an account as filed,shall be conciscely stated in a separate pa·per.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
;F J LEO)
1971 SEP ~?PM 12:OS
RUSSELL MARINO
REGISTER OF WILLS
No.63 of 1969 -371
In re Audit of Account in Esta,te of
Louis Modic
AUDIT
'rarripr fnr i\ppraruurr
FOR
Lewis Modic,Administrator of
the Esta~e__of Louis Modic~
deceased
B.A.Franks
Attorney
~2
(Form where decedent died intestate)
Ju tIte (@rp4uu!i~<t!nurt nf lIus4tugtnu arnuuty
/
ESTATE OF No.
In the audit of the First and Final
..........~Q:u.;i..s.MQ.gi.Q .
Deceased
Account of Louis Modic,deceased
Lewis Modic,Admin.
State (l)whether de-
cedent was married or
unmarried;(2)if mar-
ried,whether a husband
or wife survived and
his or her naine;(3)
whether or not there
was any marriage settle-
ment;(4)whether or
not family relation was
maintained until deced-
ent's death;and (5)
whether the decedent
left children or issue of
deceased children.
The petition of.L.ewis Modic ;.
•(Name of Petitioner)
respectfully represents:.
.(a)The decedent ,died Febr.uar.y.3.,.~9.6.9 : ;intestate and
(Date)
letters of administration on bi.s estate were granted S.ept.embe:c lS.,.l970
(Date)
as per record thereof ap~earing i~Administration and Bond Book No 6.4 ·
at page 4l .
Decedent was survived by
LeWis:;lV1odic son
Jack J.Modic son
William V.Modic son
Anna Lehman daughter
.Ustina J.Cherok -.
daughter
(b)At the time of death,the decedent's domicile was ~:~the Com-
monwealth of Pennsylvania,to-wit,at....smi.th....Township.,.....P.enna.......U...S...A.
(Town or Township,State and Nation)
and residence was at....Smi.th....Towns.hip.,....P.enna....,....u.•.....s.•....A.•..............................
(Town or Township,State and Nation)
(c)The names of all persons having any interest as heirs or next of kin
with the names of their deceased parents,to show relationship if they take by
representation are as follows:
NAMES
Lewis Modic
Jack J.Modic
William V.Modic
Anna Lehman
Ustina J.Cherok
Of age,sui-Name of Guardian,Trustee or Committee,if
juris.or not,any,or beneficiary,mancer and place ofRelationshipInterest(write yes or record of appointment and is bound sufli-
no).cient to cover and protect share.
son 1/5 yes none-
son 1/5 yes none
son 1/5 yes none
daughter 1/5 yes none
daughter 1/5 yes none .
.
State exceptions,if any,giving names and dates
of death and the names
of their executors or
administrators.or thenamesof,their issue as
the same may be mater-
ial.
Describe type of notice.
All of.said parties in interest are living,except_
all are living
(d)All parties having any interest have had.wr.i.t.t.enlOtice of the filing
of the account by mail.
(e)Balance for distribution per Account
(f)Additional debits,not shown by Account
(Itemize)(Note:Contributions in cash of
$1580.94 by Lewis Modic·&heirs pro-
portionately)
(g)Additional credits,not shown by Account
(Itemize)
$3,..00.0.•.0.0
$.0.•.00.
$.0 00...................!.
Insert word U not"where
necessary.
If taxable state wheth-
er tax has been paid.
11 too many for the
space,annex a list there-of;if no such claims,
insert the word "none."
If any creditor or other
claimant has not re-
ceived actual notice,that
fact must be stated.
Indicate such claims as
may be secured or en-
titled to a preference,
and give detailed'infor-
mation concerning such
security or preference.
Here insert a reference
to all questions requir-
ing adjudication,and a
statement of any mater-
ial facts not already
given.If none insert the
word ·'none."lIfanysharehasI
assigned or atta
that fact should also
stated here.
State kind,form and
character of property
composing the balance
for distribution,and if
any part thereof is not
cash,whether or not
there has been any elec-
tion to take such part
in kind.
not $3.,.000.•.00.
(h)Claim for exemption has,lbeen made,and has not been paid.
(i)The estate is subject to the payment of inheritance tax to the
State of Pennsylvania.
(j)The estate is no:t subject to the payment of the county 4 mills
tax.
(k)The estate is no.t subject to the payment of Federal inheritance
tax.
(1)All creditors (and other persons who have complied with Rule II,
Sec.9),of whose claims the accountant...had notice or knowledge,have
........................received actual notice of this audit;the amounts of their claims and
whether or not they are admitted to be correct are as follows:
None
(m)All remaining administration expenses and taxes
will be·paid"by heirs in equal proportions.
he balance for distribution consists of property in kind,form and
as follows:
All that certain lot of ground situate in Smith Twp.,
Washington County,Penna.,known and designated as Lot No.320,
in a plan of lots laid'out by WIn.Potts et al.,called.uDunbar
Plan",which plan is recorded in the Recorder's Office of
Washington County,Penna.,in Plan Book Vol.4,pages 86-87,
as more particularly bounded and described in deed of Bertha
Lombardo et uX.'-et al.,to Louis Modic et ux.,dated May 24,1949,and recoraed in Deed Book 758,page 50.
\
~
--.......
s.....,-:0 (l)
",::0 [ij .."e>C-UltV'JCh-1M f\)'..,....
rTlr-
:::Or-......,.r--,.0::t m""1'1>":::E:;o :l:;=z 0r-O ...
.(1).\)..
0
Ol
None
(r)
None
(q)Give brief location of any real estate sold.
None
(p)Are there any advance-
ments by decedent to be
considered on distrlbu-
tion and has any distri-
bution on account been
made by accountant to
any distributtee?
If prior accounts have
heen filed,list number
and term.
Wherefore your petltlOner asks that distribution of principal and income
be awarded to'the'persons thereunto entitled and suggests that the balance of
principal and income should be awarded respectively as follows (shares being
stated in proportions but not in amounts):-
Lewis Modic •••••••••••••••••••••••••••••••••1!S int.
Jack J.Modic •••••••••••••••••••••••••••••••1!S int.
William V.Modic ••••••••••••••••••••••••••••1!S int.
Anna Lehman•••••••••••••••••••••••••••••••••1!S int.
Ustina J.Cherok••••••••••••••••••••••••••••1!S int.
County of Washington,ss.And your petitioner will,etc.,
The above named petitioner being duly
sworn doth depose and say that the
:~c:~:~e~~r:~:it~e_f~r~~~;ie~~~~:~r~e~~f~J~(sL1,~~~)~..=t?..
Sworn to and subscribed before me this ·_-(S~
10th day of..Sept:,19 7-.1 .
--I J~-~~rr~·········_-
..~..~-"-~~~~J77S-
.6l.Jrxlbt·j .'-_>.
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:J,.;>iliC;;iWl1~':';!";1,
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FORM IN CASES OF INTESTACY
No.....Q3....Q;f,..l...9.Q.9.~3.7~...~
IN THE
ORPHANS'COURT
WASHINGTON COUNTY,PA.
Estate of Lewis Modic .
Deceased.
Sur account of Le.wis Madi.c.~Admi.n .
PETITION SUR AUDIT
In Conformity with Court Rule III,
Sec.5 (B)
COUNSEL FOR THE ACCOUNTANT WILL
SUBMIT HEREWITH
1.The letters of administration.
2.A copy of the inventory and appraisement.
3.Proof of advertisement of the grant of letters,
if not filed with accountant.
4.An appearance for those represented.
5.Inheritance tax receipts,if any.
6.Certificate of liens in case any of the funds for
distribution are derived from the sale of real estate.
7.Copy of Federal Estate tax return,if estate is
subject thereto.
8.Signed elections to take in kind,if any.
""..
...--.-.-:B-:.A.•.....F.ranks..: - .
.At~orney for Accountant.
~9
</
,;
~n tl1t Q!nurt nf Q!nmmnn ~.tntns nf IIns4iugtnn Q!nunfy,
J.rnnsylttnnin,(1)rp4nns'Q!nurt Bittisinn
ESTATE OF
Louis Modic
deceased
No.63-69-371
In the matter of the First and Final
Account of Lewis Mod j C
AdmJ nistratop
ADJUDICATION AND DECREE
And now September "19l!-,this matter came on for hearing,
audit and distribution at this session and testimony t ken;and thereupon,upon due consideration
thereof the balance for distribution in the hands of the Accountant is determined to be
$3,000.00 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 tak:en herefrom sec.leg.
SCHEDULE OF DISTRIBUTION
Balance per account 1
Additional debit asked at audit
Balance _
1580.94
$1,4.19.06
$3.000.00
Deduct Clerk's Costs &Receipts'-_
Attomey_---!.Bo!..t."""A!:..O.I....-l.F;..,j,r..lial.J.nl..l;klo.l's~_
Russell Marino,Cl~rk O.C.,costs in certifying
real estate to Recorder,
Recorder of deeds of Washington County,costs
recording certification of r~al ~tate,
Russell Marino,Agent,transfer inheritance
tax,$83.76
Interest from 5/6/70 to 10/7/71 7.13
Contribution to maintain assets of estate in
kind,
Lewis Modic,son,1/5 balance,including and
undivided 115 interest in real estate as here-
inbelow described,held in kind and distributed
as such at the appraised value,(..29-0.,,00
Jack J.Modic,son,1/5 balance,including an
undivided 1/5 interest in real estate as here-
inbelow described,held in kind and distributed
as suchat the appraised value,600.00
William V.Modic,son,1/5 balance,including
an undivided 1/5 interest in real estate as here-
inbelow described,held in kind and distributed as
such at the appraised value,600.00
'.
p 0 ~~
....
!E (\~z
ty
·n ,"+?
0
0 ':T
~t at
c:<ll
~
:s 3
0
"+
0 a_t ........
".;..:!.
M
<ll
a
...
't
0
St
....s:-
1\1
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<ll
~~
~
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r
-j
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"
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f
:
>I"•
,,
",\r
r
r
·'C
....-l'•
Anna Lehman,daughter,1/5 balance,including
an undivided 1/5 interest in real estate as
hereinbelow described,held in kind and dis-
tributed as sucha t the appraised value,
Ustina J.Cherok,daughter,1/5 ba18nce,includ
ing an undivided 1/5 interest in real estate
as hereinbelow described,hIed in kind and
distributed as such at the app~sed value,
600.00
600.00
No balance
REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF W SHINGTO COUNTY BY
THE CLERK OF THE ORPHANS'COURT DI ISION
Louis Modic,grantor by intestacy to Lewis Modic,grante by
intestacy of an undivided 1/5 interest;to Jack J.Modic
grantee by intestacy of a.n undivided 1/5 interest;to Wi liam
V.Modic,grantee by intestacy of an undivided 1 5 inter st;
to Anna Lehman,grantee by intestacy of an undi ided 1/5
interest;to Ustina J.Cherok,grantee by intest cy of a
undivided 1/5 interest;each undivided interest eing in and
to all the right,title and interest of the dece sed gra tor
in and to parcel of real estate described as,VI :
ALL that certain lot of ground situate i p.,
Washington County,Penna.,known and designated
320,in a plan of lots laid out by Wm.Potts etl.,cal ed
t'Dunbar Plan't ,which plan is recorded in the Recorrder l s ffice
of Washington County,Penna.,in Plan Book Vol.4,pages 86-87,
as more particularly bounded and described in deed of Be tha.'
Lombardo et ux.,eta1.,to Louis Modic et ux.,da ted Ma 24,
,1971CERTIFIEDTOBECORDER:OCTOBER
,
.,.1..,....I
t,'
:t"
,...
r
~."1949;:anq recorded in Deed Book 758,page 50.
~~:~~.
.......Ip"•
i ..
~-"~..
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...
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No..
,-.
In the matterof the c
r
Accountof
'-
fJLED
1911 SEP'27 PM 12:06
RUSSELL r1ARINOREGISTEROF\'lILLS
t,
.'
,
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c-
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/'of Estate of
T;;.L.
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Abjubitatinu aub"Irtrrr
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Form No.RCC-62 (7-69)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000.UNDER SECTION 701 OF ACT OF JUNE 16.1961.j
EFFEc:r~VE JANUARY 1.1962.(FILE IN DUPLICATE WITH COPY OF WILL ATTACHED)(P..6._t,f ......j 7I
OFFICE OF THE REGISTER OF WILLS
County of ..WASHINGl.'ON .
..t..ewis..~p'qic 'of ..4?~.9;L.qJ;':K .~y~.,..~l:l;r.9~:t.1;~t~V!:rt.,..~P:"..
(Name)(Address)
being duly sw,arn according to law,deposes and says that he is the AQp;l_:i,J~i_$..~~_~_1=_Q~_
(Exec.,Adm.,Legatee,Etc.)
of the estate of.L.oui.s__MQ.Q.i~L __..whose last residence was 3~.Q __~aj._~g Sj;.h_~,gt \__
(No.)(Street).
S_10yan.._J:~MJt._GQ_._..P-~.ll..--.deceased,and that the whole of the estate of said decedent,who died __Eebruar-JL3,..1969
(City,Borough or Township)(Date)
'onsisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT,
WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES.GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate Estimated
Value
"
Personal Property
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,account number and the exact name or names in
which the account is registered,
Jointly Held Property Estimated
Y~?ue...
•Non",~"-
-
-.
..-.
-
Transfers within TWO YEARS Prior to Death
None
...
..
"-,.
That at the time of death there was no safe deposit box registered ih decedent',s individual name,or Jointly with,Of,as agent or deputy of
another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:-
-
NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
00 "o.'-0 c --M",1 1on N~+;nn~'Bank and Trust Co.Ton,,;~MnrH,..or
Burgettstown,Penna.tAT;, ,;~m MnrH,..~on
-
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
RELATIONSHIP SURVIVED AGE OF LIFE
(If step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE
forth this fact.)DECEDENT
TotA";...Mn';;,..~on ues 1/5 i
?-?-o (",1",,..lr ..,
"",0 ~-.
.Jack .1.Modic ~on v",~l/S interest
1405 W "O~+~l ~.On ~~1;T
Wi]];am V.MocH ,..~on v",~l/S i
8244 Jadeite Ave.
......~~';T
Ann~T ..........ves 1/5 ;....
R.D'3,Box 290•-~.ponn~
Ustina J Cherok ,;"'"......."o~1 /1:\;-
I:\~I..Ji ....Auo
"""Po""~
a;<TPX!B!lI
"RESIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED
NOT-,:List first five itetns in the spaces so provided observe notations thereon and instructions,,
DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN
\.KEGISTER ONLY
Funeral expenses paid $$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses *
ICounselfees*
I Fiduciary commission *
I
OTHER DEBTS AND CLAIMS
(*)See Note below
.Account wil be filed in due course
of esta e ,
.
I
Total
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greater
01'less than the estimated amount claimed and allowed.~9n
........\H
Subscribed and swom to before me this ,........~ohJ".
(~-Administrator)-
..15:th.day OfSe~_:'....tZO,~-LLt.-d.~.~·~A~-.Notary ~lic
My COIli.Exp:March 26,1971--Wash.Wash.Co.,Pa.
..220..Clark..Av.e.•.........................(Street Number)
.,~:-·p:.g~1=.1;$.1=QW,lh.?~.m~~.•..................
(City or Town and State)
Having been duly swom according to law,I do hereby certify that the above appraisement is made in conformity with law on this
...................02.;<d dayof dJ..~,1920:()
......~~~~~:.
In the event that any future interest in this estate is transferred in possession 01'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 THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and fOT County,Pennsylvania,do respectfully
report that I have allowed debts and 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 said schedule above,which greater or lesser amount represents the sum allowed as a deduction.
Dated:.
Register of Wills
,.-,
.;
Form No.RCC-62 (7-69)
'=inistration INo.....~.....Year .....
IN THE
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
........LOUIS.MODIC " .,.Deceased
Late of .Smi."th..Township " .
County of ..Washington ....". "..."...
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
"
~:n.t~M1:E:!v>0 "'__
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-u r-(,.:..):;..~(/)~
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B.A.Franks,Attorney
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
IN YOUR RKPLY PL~
RIlP'KR TO
.;
N~TI~~OF FILING OF APPkAISEMENT
Lewis Modic
(~Administrator)
In Re:Esta te of__...:.L=:.;o~UJ..~·s~l..::{o~di~·~c~_
_____••..;.:·h..;.:,s:-l.t.:.:j~n:.i.,~:..::!t:.;:;o.:.:n:...__County -PUe No.63-69-371
Dear Mr.Hodic
You are hereby notified that the __~o~r~i~€1~'~nn~l~_
appraisement in the estate of ~L~o~u~i~s~}~:ocd~i~c~~_
has been filed in the office of the Register of Wills of WasbJnctoD
County on December 22 ,19~.Said appraisement reflects the
following valuations:
Real Estate 3.000,00 .
Personal Property _
Transfers _
Total 3,000.00
As to such tax that is paid within three months from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (8%)percent per annum is char~ed.
Any pArty in interest who is a~8rieved by an appraisement Day
appeal therefrom as provided by law.
Dat e JJ.D..Iiie~c..liiAtDiI.lWb:l:.OeiL.r....J>.2",2~,......LJ..:;l9'-+o7..L.OL--_
DATE OF m:':H:Fo:)r';or:;3,196':'
Note:This is not 0 bill.
Title IDSIJ A.P::UAS.t<2
..
RCS:;:-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of Iviodic
(Last Name)
Louis
(First Name)
DATE OF DEATH 2-3-69
(Initial)
FILE NO.63-69-371
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__I'J._a_s_h_i_n--=g:...t_o_n _
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each itern in the las t column to the right in Schedules "A","B", "C",and "E".
Dated:__1_2_-_2_2_-_70 _
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum
allowed as a deduction.
Dated:_
REGISTER OF WILLS
'-\(J(J(uu
3,000 00
$)tOOO 00
3,000 00
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$$-------+--
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint -Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
::::::::::::t====
FOR USE OF REGISTER ONLY
Tax on $-----------1--
Tax on $---------'----1---E
Tax on $----..,..-------1--
Tax on $-------,..,-----1--
Tax on $----..,.._------1......-
Exemptions========t==Total Estate -I-__
TOTAL TAX
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
2%
6%
o
10%
15%
*
COMPUTATION OF TAX
$---------4--
$---------4--
$---------4--
$--------4--
$--------4--
$------_..1-_-
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
BALANCE OF INHERITANCE TAX DUE $L
Add interest at rate of 6%from_____to $---l .
AMOUNT OF ESTATE TAX ASSESSED $------IL-
Estate tax paid $--Jl-
BALANCE DUE $--Jl-
Add interest at rate of 6%from t=
------lto-----$--------1
TOTAL TAX BALANCE $-----.....<
PAID $---J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will !...No.AdmInIstration
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
LOUIS NDDIC
Deceased
Late of..SLOVAN
County of .WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
Fonn RCC-2 .
DEPAR1ME'NT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
j
HARRISBURG.PENNA.17 127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE p..~.G..ilm.Q.~r.??.,.±.97.Q
\'JashmO'tonCOUNTY;;!;!....
»~
FILE NO...??:.§..?:?..?..~..
Whereas,~9.~~.~.,}~?.~.~late of ?~?y.~.
in the County of T~{?-.~!!:~!:l:g~g.g Commonwealth of Pennsylvania,having died on
the thir.d day of f..~p..r..'!Jp.r.y 19 6.9..,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,AL.f.REP.T.Q$.,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 Ufe 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.
Delcrlptlon of Asset
RTi:AT.'T'Y·
See CODV att::lCheil to annY'a;semp.nt.
.,'':.
Total
Unit
Values
$
AppraisementMadeforInheritance
Tax Purposel
~.nnr nn
1.000 00
teJ~:?·et),Penna.
......................~~C3:~h?:P.gi??~.~.
Estate of
Louis M<:>4tc;.
Late of
Slovan
County
f\lED
\97\86'27 ow.12:06
....D;ii~~~d"RusSELL t-'I\R\NO. .REG\Si£.R Of \'i\llS
Date of Death,?.':?..':.?.9..
Appraisemeilt Docket Vol.,~2'...
Page,q(.r!...t!....:..J!..No 63.':~.69~37l .
Filed in Register's 0 ffice,~.:.:.~~~J9..?9..
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut .Appra.isement,.
Appeal jt-om Appraisement,.
Entered and cluJrged,.
,
•
..
DEPARTMENT OF REVENUE
BuREAU pF COUNTY COLLECTIONS
HARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE }!9.:~.<:h.??.t.~..~.§.9
COUNTY .#..§.~WA.miIN.Q.TQ.N..
FILE NO..??~..?...~..~..?...?...~.
LOUIS MODIC SLOVANWhereas,late of .
in the County of ~~~.?.~.!~g!.g.~Commonwealth of Pennsylvania,having died on
the 6.t.h day of F.e.b.ru.a.r.y 19 6..9.,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,W..!R..!Q.HA.N.l3:.¥.,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 Ufe 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 PurpOles
I
$
JT.HELD PERS.:I
Jt.held Bank Acct.#1526 held in the I
PENNSYLVAN A .SLOVENIAN SAVINGS f1 LOAN ASSN.,STRABANE,.-,
in the names of LOUIS or \VILLIAM V.NODIC.Opened ·
~_?_c;fl "R.ql.qnC'.e as of date of death •..!
$2 301.75.One-half taxable $1.150.88 ·1,150 88
,III
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,
,
Having been duly sworn accgr~g to law,I do hereby certify that the aj?ve appraisement is made in cg~-
formity mth Jaw on this.~t day Of~~~~.~;~.
(1'1umber and Street)
.....................................l\1ASHING~Poti'·(iiii~~·i··..·.....................................,Penna.
WASHINGTON County
FILED
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
..LQ.V.r..S.MQ.D..l..G .
Deceased.
Late of
SLOVAN
Date of Death,X.~.I?R..:..lJ..ABX §..L ..J~69
Appraisemel!t Docket Vol 37J••••••••••••••••••••••••••••••••••••••••••
Page,~.?.9~..~No §.?~..?..~.~..~..?..~.
Filed in Register's Office,~f..:l:E.<:..J:1:~.?19 ?9
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appra-isement,.
Appeal fyom Appraisement,.
Entered and charged,..
1971 SEP 27 p~;"2:0 6
RUSSELL MARINOREGISTEROFWILLS
"
AND AGENT OF TNE CO~MONWEALTH
.>J
DEDUCTIONS ALLOWED IN 7
THE SUM OF $/6 0,..y
J''j~ZJ...
"'",II'I~,~VI\
DATE
LATE OF Smith Tmmship,Wash.County,Penna.
~3~~b7~37/
STATEMENT OF DEBTS
AND DEDUCTIONS
COUNTY
OFFICE OF TNE
REGISTER OF WILLS
ESTATE OF Lou;s Modic
G 3 -b 9-<37
OF Wash;ngton
Form RC C·lO.....'
DATE OF FILING APPRAISEMENT ......:9~/~l.L..:14+/....7c...;O!ol-DATS;OF DEATH __FL:...SOei.!>b"r!..u~a~r""YL-..::3~'J---=1.....9:..:6~9~_
DATE NO.OF NAMIi:OF PAYEE REMARKS AMOUNT
VOUCH""
1970 Administrat~oh Expenses
",'.::;:1L1.1 U,,""""01 1 M:lrino Rpn Letters ~£•..;Admin 10 100-..
C'__...1Q ?lAb""h;v RpDorts adver.1etters 14 00:01-..I
lV-+10 ':l I<'T 'O.",..'k-10u Tnc:n,..An ....rI""';n honr'l 10 00
l\T~..10 A n...._Uon P"....1 (",.....1 1L1.00
1\T~••10 ~u"""",,011 M;:\,..i no UOrl -f'';l';nrl in\]-::t 00
'0""-
T"1u ?n H010n Beveridae notaries 3 00
T ••'•')'7 '0.A 1<'...",1"11<"""At +I"\...n ""V .10UC:ToP ?""I"""",
T,,1 U ?A Tom';""Mnr'l;r-J\gmin fee 150 00
T"1..t:-o 01'''''''''011 M:l.rino Rpn .fi1ina account 11:;100
n·.........-",nn
1<'1"\""?10 T.PP FnnPT:l.1 Home ~1 ~PC:1 OC:;O 100
T.._",1'7 "U ('"'no ..3.111 M D medical for dec'd 69 44
T"n"'", 1 1?~..._.M D mon;,..~1 for dec'd c:;00
1<',....""1,1-::t ~Whi1':p &.~nnc:monument ~7 1:;0
~,....+...,,.....~n.;+""___________1 ~AO I QLI.,
A ...
G<MNVr-te~.V-PL ~'':~,
"1.,)r"~•0-0v...
II ......
,
HEREBY CERTIFY.THAT.TO THE BEaT OF'
F'UNERAL EXPENSES AND EXPENfJU OF
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Wash;ngton
I,TplAT;s Modic
MY KNOWLEDGE AND BELIEF.THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.
ADMINISTRATION SUBMITTED TO TNE ESTATE OF I oui 50 MOd~;C .0ECli:AfJED.AS DEDUCTIONS ""OR
INHERITANCE TAX PURPOSES.q:...=~~J
-.~~",4..t.<.It,..-<'''b-L2",-,,---L£).'''''':''''~.,L-'''~~~=:::.1..,_L (L.S.l
_-O-~"--_DAY OP'
o ary ic
My Com.Exp:March 26,1975
Washington,Washington CountY,Penna.
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