HomeMy WebLinkAboutOC1969-0562 - ESTATE OF BALENT(Form where decedent died intestate)
,A.A.Term,19
In the audit of the First &Final
Account of Mary Bires,Administratrix
ESTATE OF
.ANPRmt-P.J..l\:6At.~B:Nr...
Deceased
The petition of..Mar.y.B.ir.e.s .
(Name of Petitioner)
respectfully represents:_ .
(a)The decedent died J.:y,p.e.lJ~.~l..9.6.8 ,intestate and
(Date)
State (1)whether de-
edent was married or
unmarried;(2)if mar·
ried.whether a husband
or wife survived and
his or her name;(3)
whether or not there
was any marriage settle-
ment;(4)whether or
not family relation was
maintained until deced-
ent',death;and (5)
whether the decedent
left children or issue of
deceased children.
letters of administration on hi.$estate were granted May .5.,1.96.9 .
(Date)
as per record thereof appearing in Administration and Bond Book No.."3 .
at page.J..~..£..
Decedent was survived by his five children;he was not
survived by a wife
within(b)At the time of death,the decedent's domicile was H~*the Com-
monwealth of Pennsylvania,to-wit,at _PpP...Q;J;.c;,J P?D.tUi?.Y...1.y..ani.a .
.(Town or Township.State and Nation)
and residence was at.~~.~~;:.~.p.~~.~.~.~y.!.Y.~.~.~~.
(Town or Township.State and Nation)
(c)The names of all persons having any interest as heirs or next of kin
I
with t!ttbfiames of their deceased parents,to show relationship if they take by
representation are as follows:
NAMES Relationship Interest
Of age,sui-
juris,or not,
(write yes or
no).
Narne of Guardian,Trustee or Committee,if
any,or beneficiary,mancer and place of
record of appointment and is bound suffi-
cient to cover and protect share.
John J.Balent
Mary Bires
Andrew Balent,Jr.
Agnes L.Balent
Helen Balent
son'
dtr.
son
dtr ~
dtr.
1/5
1/5
1/5
1/5
1/5
State exceptions,if any.
giving names and dates
of death and the names
of their executors or
administrators,or the
names of-their issue as
the same may be mater·
ial.
All of said parties III interest are living,~.
Describe type of notice.(d)All parties having any interest hav~had notice.of the filing
of the account by mail on February 26,1970
I
(e)Balance for distribution per Account
(f)Additional debits,not shown by Account
(Itemize)
(g)Additional credits,not shown by Account
(Itemize)
$....7.04.33....
$O QO .
$9..~.~.9..
t $7.0.4.•00 .no
Insert word "not"where I (h)Claim for exemption h¥been made,and has been paid.
necessary.
(i).The estate is subject to the payment of inheritance t~x to the
State of Pennsylvania.
If taxable state w!'etb-I .(j)The estate is .....D.9.t.~........subj ect to the payment of the county 4 mills
er tax has been paId.
tax.
(k)The estate is n..Qt :subject to the payment of Federal inheritance
tax.
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 u none."
If any share has been
assigned or attached
that fact should also be
stated here.
(1)All creditors (and other persons who have complied with Rule II,
Sec.9),of whose claims the accountant 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)None
all cash
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.
,>\...~'"
(n).The balance for distribution consists
character,as follows:
of property in kind,f~Em and
'it
-(\~..'.";
~.
y.,-............--."'-~-----._----,~~'.,,~._.,-~~._-_.I
•t"
Are there any advance-
ments by decedent to be
considered on distribu-
tion and has any distri-
bution on account been
made by accountant to
any distributtee?
If prior accounts have
heen filed,list number
and term.
(p)None
(q)Give brief location of any real estate sold.None
(r)None
Wherefore your petitioner asks that distribution of principal and income
.be awarded to the persons thereunto entitled and suggests that the balance of
principal and income should be awarded respectively as follows (shares being
stated in proportions but not in amounts):-
John J.Balent
Mary Bires
Andrew Balent,Jr.
Agnes L.Balent
Helen Balent
County of Washington,ss.
The above named petitioner being duly
sworn doth depose and say that the
facts set forth in the foregoing petition are true
to the best of h er.knowledge and belief.
.;6 _~::::.....~~.~~~~1;.e2~~.~~
........................................................~.
STEPHANA NONACK,Notary Publlo
Donora,Washington County Pa.
·····_···_"······..··!It!.y···c.[\m.m.!~·£!·~~··£JtPir~.
,Jan.29,1973
1/5 balance
1/5 balance
1/5 balance
1/5 balance
1/5 balance
And your petitioner will,etc.,
...........•.~~.
rrignature of Petitioner)
t
1"
I 'h.~
FORM I~CASES OF INTESTACY
N{).6.,3_~_6.9_~,5_6.2 ._.._..Term,19 .__.....,A. A.
IN THE
ORPHANS'COURT
WASHINGTON COUNTY,PA.
Estate of -----ANDREW.--.J-.-.--BALENT-------------.---.-..
Deceased.
Sur account of MARY BIRES-_..-------~-----_.---_.-------_.------_.~---------..
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.
BARNA AND BARNA
.-..By-----------------·--·------··-----·-----··-----S------.--.-..-------.-....----Attorney for Accountant.
~9
'Vd "00 N01~NIHSVA\
8111'-\.jO i-l31SIt:J3}J
ON\tI'1t~T13SS0lj
L~£Ud t Hd~OL,
£a3'~'II~~
./'
.,
·.;0,.''''.:./'.
..IN THE ORPHANS'COURT OF ~ASHINGTON COUNTY,PA.
Estate of )
)No ......'of 19
)
)
'~1
A.A.
NOTICE OF FILING ACCOUNT AND AUDIT ~
To the heirs,creditors and other'persons interested in'said
",...:-~.
estate:
Please take notice that the First and Final Account 'of'
of the above ~state was filed in,the
and is docketed to the:abov'e'number and....·":·'·I·~···'··'~.':'.,.,",,:.':,
Office of the Register of Wills of Washington County,Perinsylvania,
on
term.Said account will be presented to the Orphans'Court of the
said Washington County,Pennsylvania,for confirmation and will be
audited by the said Court during the week beginning on the ~..',.
,,/'-01.,.:.'fj at I'.0'clock 'fi;M.in
its Court Room on the third floor of the Courthouse,Washington,
Pennsylvania,where and when you may appear if you so desire.
BARNA AND BARNA
BY,__"'"'7"""----:::------::--__---
Attorneys for the Estate
Dated:•...,...
••ill
.~..',~...,~..'..,.aIf
.'~,.,.....__,....tI(#•••..~~I~I'II,
Mailed to:
Mr.John J.Ba1ent
Ridgeview Terrace,R.D.#1
Monongahela,Penna.15063
Mrs.Mary Bires
673 McKean Avenue
Donora,Pennsylvania 15033
Mr.Andrew Ba1ent,Jr.·
673 McKean Avenue
Donora,Pennsylvania 15033
Miss Agnes L.Ba1ent
600 Castner Avenue
Donora,Pennsylvania 15033
MiSs Helen Ba1ent
600 Castner Avenue
Donora,Pennsylvania 15033
co (/)<!.:::r 0 .J 0-Z .J
(V)-0,.....3:.:..0-:'-0:c:"".(
0-t.J-Z...0 0b..,<"1-;,...:-("'I....~-!LiJ ~,f'"~..:..;
k.t,J l.lJ 1-'Z(f),,()-0::::(.1)-:c-~0-:::>c,tf);~,,-"...:t:Ul «0::--c:;:l c,~>
i.A._r--...
FORM 67
REV.1-50
REG.WILLS
Application for 14rUrrs of A~miuilitrattou ou tbr
J
Estate of.~.NR.E.~W J..~~.~.~g.~·..
late of Q.QnQ;r.a.p..e.n1J.~.y..l.y..a.Jli.a ,Deceased.
Before the Register of Wills of Washington County
personally appeared f1AR.¥.~.m.§$..s : .
who,being duly sworn deposes and says that...A.odx:.ew J.B.ale.o.t ~..
---------age 8.8 ,having..his.last family or principal residence at...6.0.Q Cas.tner A:v.enue...
(Street and Number)
Donora W h'C Pl'd'd ...................;,as Ington ounty,ennsy vanIa,Ie Intestate
(City,Borough,Township)
at...N9..t::t.h g.h.a.;rJg;r.Q.;,J,:p.~..~..s ,on the.l.a.:t<bty of J.l:Ul~L ..
A.D.,19.6.8 ,!t...~.;.5.0 P.M.,possessed of·personal estate to the estimated value
cf laim aoainst Adr ien Ferrier.:.... . '$Q.,.Q.QQ..(.ap.p.•.)an ot real estate Ill.the -Commonwealth of .Pennsylvama to the estlmat~d value of
$N9.D.g ,situate in .
.................~.
The names and addresses of the decedent's surVlVlng spouse (if any)and other heirs including
heirs by adoption)are as follows.
REI,ATIONSHIP RESIDENCE.Ridgeview Terrace,R.O.#I'
Jo.hn J.~al.en:t ;$.QD..M.QnQngahela~P.e.nn.sy..l:v.a.nia....l.5063
Max::y.~i;rg.$:~P~M..~2.7.~Mg.~~.~.~&y.~.~~~..t ?.Qn.9.t~..t !'a•15033
.&ng.;r;.g.w ~.~.l!?.n:t.,.J.x:§QD.2.7.~Mg.~~.~.~~y..~g~.~.2 !?-2~.2;.~..t !'a•15033
A,gne.s L aal.e.nt P.a.JJ..,QQQ G.~.§tD.g.;:~y..~p..!:!g.,.P.QP..9.!;~.l !'a •15033
1i.~!.~.~~.~J:.~.~:t ;P..g.lJ.Q.QQ G.a.§.t.Jl!?;t;Ay.!?.m.J.e.~P.Q.nQ.1:.a.,.p.a •15033
..........................................................................................................................................1'..
That deponent is over 21 years of age,resides at...6.1.3 McKean Auenue.,.J;),DnOr.a.~.
p.g.nn§.Y.J;.y.~n.~~~.:?.Q~.~.J :::.
is a citizen of the United States and a resident of Pennsylvania;and respectfully applies for Letters of
Administration upon the Estate of said decedent,no letters having been previously issued thereon.
Sworn and subscribed before me this ~;r.g .
day 0~Y.,A.D.,1!P..2 ...:a#U~..............
REGISTER
COMMONWEALTH OF PENNSYLVANIA}SS:
WASHINGTON COUNTY,
I~.~;a~rIQ .
>
1 .
And now MaJl 3.,19.69 ,comes .t!'JA.RY.B.lRES .
who being duly sworn doth depose and say that she will well and truly administer the goods and
chattels,rights and credits of..AND.RE.W J BAkE:Nr..~,deceased,
to the best of....ber....skill and judgment in strict compliance with the laws of this Commonwealth,mind-
ful of the laws relating to inheritance taxes.
Sworn and subscribed before me this 3.x:d ..
~~~...~~::::~4:::::~~;;;::~:~::::::::
REGISTER
J_'/lq~~,::::~~:=:::::::::::::::::::::::S::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
3:~..'-"-
lJl v r
.~.
"
,
w ~c:<c3/tJ
./ko,C:.3 -~f-s-"&::?----
-"'"APPLICATION FOR .
Letters of Administration
ESTATE OF
ANDREW.J.BALENT f.......................................................................................................
Deceased
Letters..........R $ .............................................. .
P $ /tJ t:/0.............t .
Extra Alias '.'$..
Gertificates I Ai e.,$ /t:P c). ......r 1.••••••••••••••
R~nunciations ..;$./.,r:.~...
..................................................................$.
....................................................j"••••••••••••70-p .
Total to v.:~/;2..;0'0~,
~;:Q
e>C-(/1
(f}(/1
-4mfT1r-:::Or-
~3:=-m»:3:::E~al'na &J3a~'n..~..,..""--T~"t'J~n,~J'~a"1~-,n v vSZ1Te::"1t~2 &·!~!rcI~t;}8..~:l1.:~rG.
D0110l~~.:~:•.•!.;~f~:.~.~..~.......................................................Attorney
~2 ,.
)1
'"
11'
~~~3 t?:fJ;<
.,-------------------
"
ESTATE OF
........................................................................ANPli?Ji;W J...~~Ak!j;m:DECEASED
The undersigned ~.h.i)"g~.~n and heirs
of..~.ng.;1;,g.w J..tl ~.aJ.g.n:t .late of..:t.b~.:..~.Q;+.QM.9.h Q.f.p.9..n.Q;:.~..
deceased,hereby renounces..:t.b.e.it:right to administer on ,h.i.~estate
and respectfully asks that Letters of Administration be issued to Mat:y:::a.ir..e.s ..
Signed in the presence of:
.................................................................................................................:.
.............;.
;0
111
Z
C
Zo-~-oz
".
)
tr'I..
Cllammanwralt4.af Jrnn5yluaniu f t!i!i•.
Iht!i~tu!ltou QIountg.\
I,Russ.ell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
~Mary Bires
administr a trix of all and singular the goods and chattels,rights,and
credits,which were of
WHEREAS,the said
Donor.a.
Andrew J.Balent
Andrew J.Balent
late of Washington County,deceased,
GREETING:
late of
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:powet of granting administration thereof doth belong to me;I therefore,confiding
;'ii
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 Washington,within ninety days,and to render a just and true account of your administration
at the expiration of six months from the date hereof,and to regard and comply with the provisions of
the laws relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and
caused the seal of said Office to be affixed this 5 t h •
day of May in the year of our Lord one thousand
nine hundred and Sixty Nine
...___~_'fJz~
RUSSELL MARINO,Register.
,,
,
J
il\uuw All ilru iy IDl1rl1r 'rrl1ruls
Estate ofANDREW J .BALE.NT }
No .
late of Donora.,...Penns.y.lvania ..,Deceased
of 19 .
KNOW ALL MEN BY THESE PRESENTS,
That we,..~~~.mx
F.i.q.~li.ty ~.pcj p.E!P9.s.t.1:G,q~P.~~y 9.t.~.Cl~y~C3.~A .
all of Washington County,Pennsylvania,are held and firmly boun~nto the Comm~~alth of Pennsyl-
vania,for the use of those interested in the estate,in the sum of .':1'!:.6...tt.t?t?~.>Dollars,to
be paid to the said Commonwealth,to which paymen t,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,anir
each and every of them,firmly by these presents.Sealed with our seals and dated the .'"~rd day of
.......May.A.D.,one thousand mne hundred and sixty.~nine .
THE CONDITION OF THIS OBLIGATION IS,That if the above bounden ..Mar.y..~;ir~s,ADMX •
...............................................................................................................................................................
Administrator or any of them,shall well and truly administer
the estate according to law,this obligation shall be
otherwise,it shall remain in force.
Sealed and delivered in the presence of:
....·....P1~.::..-.~:~~.~.•~s......-rii....·Xii;;iii;;;;;;~SEAL)
........(SEAL)
t;tntrmrut of ~urrty
I c _.._c.____..,surety in the sum of $=..on the
administration bond in the estate of Andr..ew .L.._..a.a..1.e.nt_____,say that I reside at
-..-----.~.~,-...~-._-"'c.,_c~·_......_.._..__,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 ,,.,,c :,,;•••c••;,
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.
--~._-_.._----------._------------~--_._----------------------------~-----------------------------------
P.O.Street
-------------------------------------------------------------._-----..--_._--------------------._------• I
"
&tntrmrut of &urrty
I..-__._.surety in the sum of $................................on the
administration bond in the estate of -_:_ _.._c..____.._ __..__say that I reside at
......-..-..--- - -..----..- ---..•Washington County,Pennsylvania;that I am the owner of real estate.the
title to which is in my own name and duly recorded.situated in ,
Washington County.Pennsylvania.worth above all encumbrances $ _.._ ___;and that I am worth the
amount expressed in said bond,over and above my just debts and liabilities.
.........................................................................................................................
._------------------------------------------------------------------.--._------------------
Street P.O.
COMMONWEALTH OF PENNSYLVANIA.}
~S·WASHINGTON COUNTY.'".
And now M.ay......................19.6.9.....comes l\4A;R.¥B.IRES .
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 May _ _A.D.19..6.9.--.--------------------------------------------------------.------------------------------------.
(12310
No 63-69-562.~....-~....-------.._.--
1\~miui!itrutinu ISnttb
IN THE ESTATE-OF .
'1;:
ANDREW J.BALENT
And now .__~~r ..~. . .__,19 ~?__.·
Bond approved and ~e.tters issued to
<.0lB~":l'"'-'---~-~-~--'~~~_!~--~-"--------V~"""------.-~cn ",
/'TIfT)_.':<:l;:lJl J:"""-.----...__._......~-~whQ-.wa.3....q~Y--.QJmJJtied •.
~~~fT1,-..".r:-:.-...''-0 .Russe.u.Marino_.•___._.__(J)••__._.••~•••••___•••••••••
_"Register
Ul
W
Bond Book ....~1_.........Page ._.~.
Att:f:BARNA &BARNA
BADZIK PRINTING ~9 DONORA
~,
..."'..'~........
"r
,:;....
.1 11 '.
'j.
.,
:~,J
Amilanit (@f fxerutnr (@r Abministrutnr
t;tutr af 'rtttt5ylnuttiu.t 55:
C!lauttty af lIu54ittgtatt \
Personally before me,the undersigned authority,a N.Q.t..§.F..y.r..yQl~.g ,..in and for said
County and State,appeared MaXy.Bit.e.,S who,being duly
sworn according to law,deposes and says that s he is the ~MXOl'administrator of the estate of
................AP..d::t'.gw.J..~:6,.gl~nt deceased,that the foregoing schedules constitute a
complete inventory and'appraisement of the real and personal estate of And;r.~:w.J..,B.alen:t ,
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
itemiIl:a~e by the above named ~mmc Administrator.
'.-Sworn and subscribed 'before me this.......19..th...l '
-:ay Of···,Jf::!l;;··:····~···~···~d~;~i;;;;,~;····_····:·........................:..:................................................................................a
::iT ..'HA:!A NOtlACK.:!otary PubliclJonor~,Y!ashington County,Pa.ADDITIONAL INSTRUCTIONS
1.An im;'~ht~;£lAli'£t{o".tfifed 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
lIuurutnry nub 1\pprnisrwrut of the goods and chattels,rights and credits which
were of AP.:g.!:.~W J..~J~slg.nt .Jate of p.9..gg.E.9.."f~.gP.:~.Y..!.y..9.g!.~.
Washington County,Pa.,taken and made in conformity with the above affidavit.
J
\
-
PERSONAL PROPERTY
Share of proceeds from the Estate of Adrian Ferrier,
deceased,No.355 of 1967 A.A.,in settlement of claim
for money loaned to Adrian Ferrier
REAL ESTATE
None
DOLLARS
2,952
o
CENTS
23
00
.J.
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I ,.
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E Wd 92 N~r OL,(.a3 '~J I :l
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The within named Accountant being duly sworn according to law,deposes and say S that the above account
as stated is true and correct as She verily believe,
Sworn,and subscribed before me this 19.th .
d~y of .~~J.anuar.Y-_19.1.Q .
.~
---:-_..---.__..,__-_..__--.._----------.
S7[?/I,I.~:iON......;V..":;:t&l;?ublia
Don ,~z \1''1.;11'~tii"..,()'un·y,I'll.
;')Comn !eioll f ;piras
,Jan.:~,~973
~---~~_:_--------------------------
Wa1shington County,55:I do certify that I have given legal notice to all persons
concerned of the filing of the within account in the.manner
prescribed by Sta'tute and Rule of Court,as evidenced by proofs
thereof filed to No ~3.-::.7.O'.-::..k .
,Witness my hand and official 'Seal thiS o?/~.dQYQL----~---------a;;;;-;-1970
..~...lIL~....-.
Register of Wills
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The Court is respectfu II y requested to det:ermine
proper d~::;~S::6\~h~
Counsel for Accountant
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE:)
)
ESTATE OF ANDREW J.'BALENT,)
)
Deceased.)
FIRST AND FINAL ACCOUNT OF MARY BIRES,
ADMINISTRATRIX OF THE ESTATE OF ANDREW J.BALENT.DECEASED.
SUMMARY:
Principal:
Income:
Receipts
Disbursements
Receipts
Disbursements
$2,952.23
2,247.50
$0.00
0.00
$7.04.73
0.00
BALANCE FOR DISTRIBUTION .$704.73
RECEIPTS
Inventory and Appraisement filed $2,952.23
DISBURSEMENTS
Administration Expenses:
40.00
1.00
12.00
15.00
14.00
10.75
3.00
16.00
150.00
'3.75
Russell Marino,Letters of Administration $
Guy Rogers,Depositions .
Washington County Reports,Advertising
Valley Independent,Advertising.
Russell Marino,Filing Inventory
Russell Marino,Filing Account.
Barna and Barna,Attorney's fee .
Notary Public fees .
Fidelity &Deposit Co.of Maryland,
Bond premium.. .;. . .,
Jackie Hammond,stipulation.
Preferred Debts:
$265.50
Agnes Balent,Advancement toward
funeral expense ..,.. . . .
Helen Balent,Advancement toward
funeral expense . . . . . . .
Bianchi Monument,Lettering monument
Helen Balent,Miscellaneous funeral
expense . . . . . . . . . .
C.Ramaswamy,M.D.,final bill ...
RECEIPTS
.$1,000.00
870.00
12.00
50.00
50.00
1,982.00
$2,247.50
None .... ... . . . . . ...$0.00
None
DISBURSEMENTS
.. ... . ... . .... . . . . .$0.00
~------------------------------------------------------------
Washington County Reports
Washington,Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,
P.L.1784 Sec.3,paragraphs (3)and (25).
COUNTY OF WASHINGTON}SS.
STATE OF PENNSYLVANIA
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 officiail.legal periodical for said Washington County,published weekly
hav,ing its place of business at Washington,Washington County,Pennsylvania,
and is acting as its agent in this behalf;that the said WASHINGTON
COUNTY REPORTS was established on March 31,1920,and was designated
as the official legal puhlication for Washington County,Pennsylvania,by order
of the several courts of said County,dated November 11,1920;that the printed
notice or advertisement attached hereto is a copy of a notice or advertisement,
exactly as printed or published,which appeared in the said legal periodical in
its regular issues on the following dates:
...........J.u.l.y 24.,~.1.,1!;).€l.9 .
..........AUgy.s.:t 7..,.J..9..Q.9..
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 all of the
.n,gati"",of"'"'d >it M to th,tinre1!2.,",d ohtt._of th,publioat',",~~~,",d~w~·~~
........7..tJ;-jay of ,~llgu.s.t ,19 69.............t.~e ..
l'Wjary Public
KATHERINE C.YAI'ID,Notary PAlie
Washington,Washington .Ct.,a.
My Cnmmisslon Expll'9s
November 1,1969
Estate Notices
The Register of WiJls has granted
letters,testamentary or of administration,
in the following estates.Notice is hereby
given to all persons indebted thereto to
make payment without delay and to those
having claims or demands to present
them for settlement to the Executors or
Administrators or their Attorneys.
• • •••••••• •••• •••
BALENT.ANDREW J .•Dec'd.
Late of the Borough of Donora,Washington County,Pepna.Administratrix:Mary BIres.673 Mc-Kean Ave.,Donora,Pa.15033Attorneys:Barna and Barna,7th &McKean Ave.,Donora,Pa.15033
,..
•Proof of Publication of Notice,in The Valley Independent
Under Act No.587,Approved May 16,1929,P.L.1784,
as amended by Act.No.51 of April 24,1931,P.L~67
"
State of Pennsylvania
County of Westmoreland }ss:
Assistant
Personally appeared before me William H.Pore,Secretary of Mon Valley Newspapers,Inc.,a Penn-
sylvania corporation,publisher of The Valley Independent,who,being duly sworn,deposes and says
that The Valley Independent is a daily newspaper of general circulation in Fayette,Washington and
Westmoreland counties,Pennsylvania,and elsewhere,published in the City of Monessen,Westmoreland
County,Pennsylvania,that it was established June 28,1902,since which date The Valley Independent
has been regularly issued in said county,and that a copy of the printed notice or publication is attached
hereto exactly as the same was printed and published in the regular editions and issues of The Valley
Independent on the following dates,__--'-_J_u_l_y"--_l~7...!..,_1..:..9_6..:..9 _
July 24 and 31 ,1969
STATEMENT OF ADVERTISING COSTS:
Barna and Barna,Attorneys at Law
CHM\LES ~.fNSic:t·r.p .~IN'lonessen ,Wes.,.,IU'~nu .!;tll,~,\M~Comm:sSIOIl EXplre~.
My commission expires ---:::-J...an""""ua....r¥........7.'-1:.,:::9..:;..1';:.,.I _
rLetters o.f.adm.Inlstratlon on the estateof,Andrew'J.Balent late of Donora,washington;;!County,deceased,having
beeri.gral1le'd,by the Register of Wash·IngtOn'~i\tYi notice Is hereby given toallpersons.Indebted to said estate tomake,Immediate payment,and to those
l\avlng'r,C1alms against the same to pre·
sent them :without delay to Mary Bires,
administratrix,673 McKean Avenue,Do-nora,pa:15033.Barna and Barna,at-torney 7th &McKean Ave.,Donora,Pa.15033.'7;17,24,31
Affiant further deposes and says that he is 'General Manager of The Valley Independent,a
doily newspaper of general circulation,and as such is authorized to verify the foregoing statement
under oath,and Affiant is not interested in the subject matter of the aforesaid notice or advertise-
ment,and that all allegations in the foregoing statements as to time,place and character of publica-
tion are true.'~)~~
COpy of NOTICE
Seventh &McKean Avenue
Donora,Pa.15033
TO MON VALLEY NEWSPAPERS,INC./DR.
For publishing the notice or advertisement attached hereto in The
Notary
Valley Independent on above stated dates ........(..........$10.00
$.75...,----
Total $+0.75
PUBLISHER'S .RECEIPT FOR ADVERTISING COSTS
Mon Valley Newspapers,Inc.,publisher of The Valley Independ"",t,a daily newspaper of general
circulation,hereby acknowledges receipt of the aforesaid advertising and publication costs and certi-
fies that the same have been duly pai&
MO_N_V-,-,A_L_L-,-EY...,-.;-N_EW_S_PA_~P_E_R_S'_I_N_C_.__~_~_A_'__'0'!J
By 7/16/69 IJ
t>!f
4
3Jn t~r OOrp4ans"arourt of lIas~ington C!tnunty
In the matter of the Audit of Account in
j
Estate of_::..::A:.::,ND.=..;:R..:.;:E=-W:..:...----=J....;:.:..-..:B::..:A:...::L=·=E;..=.NT.:=.-f
TO THE AUDITING JUDGE:
No.63-69--"5....6=2=--.19__•A. A.
Enter ---'-,..:;O...;:U""r:::.-appearance for --!M~a'_'!!r:,.,yl!-~B~J.""·~rc.:!e"'_$Oi!,~,~lO!a~dm.".......i..Ln.L1""·...,sut.....ro....<;aLt.....o.........r_,...o...f_....t......b.JJel:O-_
estate.
BARN1\,AND BARi'JA
'.J'BY I
----"f-J91--_,day of__---'M'-='a""'r'-"c~h~__-+_,19rn...-
N.B.-Counsel shall,by separate paper,present a concise statement of each
claim,with supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a separate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
~<>........~,~.~,
Clot ~
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ao ....,...s..I lr-l ~d ~..
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0 Il::.....t000::J s..<r;.:....«~us Ell·MARINO0....,;a Clot R GIS TER OF WILLS
;:l~:+VI SHI NG ON CO••PA..-Q)'-t~Clot>:l....~~s..~
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)In t4t C!!l11U1 nf C!!nmmnn 'hus nf lfuslJingtnn C!!nuntYf
'tuusylnaninf ®rp4nns'C!!nurt ilittisinn
I
ESTATE OF
Andrew J.Belent,
deceased.
No.63-69-562
In the matter ofthe First and Final
Account of Mrs.Agnes Bires
Administratrix
ADJUDICATION AND DECREE
And now April ,.-R ,19 70 ,this matter came on for hearing,
audit and distributionat this session and testimony taken;and thereupon,upon due consideration
thereof ~e balance for distribution in the hands of the Ac.countant.is deter~i,,!ed to be
$70 ·73 .and the account is accordingly confirmed;and It IS ordered,
adjudged and decreed'that the said balance be paid out by the Accountant in accordance with the
schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg.
SCHEDULE OF DISTRIBUTION
Balance per account._
Balance:_
Deduct Clerk's Costs &Receiptsi--_13.00
$704.73
$704.73
Attomey ~B~I~r~n~a~&::..._=B1!2a!::r~n~a _
Russell Marino,Agent,trsnsfer inheritance tax,$41.55 Interest from 9-18-69 to 4-14-701.43
John J.Belent,son,l/5bals,nce,
Mary Bires,daughter,1/5 balance,
Andrew Bslent,Jr.,son,1/5 balance,
Agnes L.Balent,daugh:t;er,1/5 balance,
Helen Balent,daughter,1/5 balance,
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ESTATE OF ANDREW J.
BALENT /~
PAY
IN RE:
IN THE'CCrURT dFCOMMON PLEAs
OF.wAsHINGTON'.•COIJNTY,PENNA"•.".f '.',',."...,
ORPHANS/""'.,COURT,DIVISI0N,",...,"~'-.-,".. ..,-,.....,..,..::..0 ..,......."'"..-,"-',.,-•I.'':'X-::'..'.:,:,,"'\,'.'':t ..".",.."....'','..."..".. ..-',',',".."""",.......,,-
NO_n'l",,-69-I)n2
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IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE:)
)
ESTATE OF ANDREW J.BALENT,)
)
Deceased.)
NO.63-69-562
PAY TRANSCRIPT
WE,the undersigned,do hereby acknowledge to have received
from ;M8~Y Bires,Administratrix of the Estate of Andrew J.Balent
deceased,the sums set opposite our respective names,being paymen
made under an Adjudication and Decree dated April 3,1970.
Russell Marino,Clerk's
Costs and Receipts
Russell Marino,Agent,Transfer
Inheritance Tax,plus Interest
John J.Balent,1/5 Balance
Mary Bires,1/5 Balance
Andrew :~'Bal'ent:))1/5 Balance
Agnes L.Balent,1/5 Balance
Helen Balent,1/5 Balance
129.
129.75~~:"";"";--=----l_..If.-.=~_
i29.75-"""':-~~="'---7=-~~"'-"-''''';''';;'--
OFFICE OF THE REGISTER OF WILl.:.S
I --------
Fc'rm 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.~~\~CTIVI!:JANUARY 1.1982.(FILE IN DUPUC,ATE WITH COPY OF WIn ATTACHED)
YQ .i.
County of YJ:A$1I,:I;~9.'I:Q:t'J .
..........l1Sl~.Y..J3.:i,.+~.&of ..673..McKean .A:v.enue,.Donora.,..Pa.,.
(Name)(Address)
being duly ~~Q_:J;.'D .according to law,deposes and says that he is the ~gJni.ni.$_t;;t;_9.tX'_iz _
.(Exec.,Adm.,Legatee,Etc.)
of the estate of ~£\D_g~§~J_·~§J§.D..!;whose l~st residence was __JiQQ Cas.tner Av..enue.+-_
(No.).(Street)
_____________D_O_nQ..ra:,~.deceased,and that the whole of the estate of said decedent,who died J.:YJJ.JLIB-~_--1968,
(CitY.Borough or Township)·(Date)
consisted of:,E/f)f AI;+-Eit g A/A-
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 Aim RELATIONSHIP OF OTHER OWNERS.
t
Real Estate Estimated
Value
None $0.00 ..
I
.Personal'Property :..","
.'
Share of proceeds from the Estate of Adrian Ferrier,
npf't:>!:Ic::!t:>r1 No 1')')of 1967 A A in settlement of claim for
money loaned to Adrian Ferrier $2,952-.23.
.z}1I?"J.,,.~IX"A..,"I~"'f}Jr"
I';f..'f <1'.•,.~,~~..l"
.,
..
..
,
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.
1"..........__.S 44 ;.
Jointly Held Property Estimated.'.
'Valuev.c---.,
o
.,0'.
Transfers within TWO YEARS Prior to Death
None 0.00
That at the time of death there was no safe deposit box registered in decedent's individual name,01'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 SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS TO DECEDENT
None
BENEFICIARIES
BENEFICIARIES AND ADDRESSES
RELATIONSHIP SURVIVED'AGE OF LIFE
(If step-children or DECEDENT TENANTS OR INTEREST OF
(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY
an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE
forth this fact.)DECEDENT
ohn J.Balent
MononO'~ht31~p,q Snn Yp~nUt3"t'"'>1 One-fifth
ary Bires-
Donora,Pa.T",Yp~nup"t'"?1 ()nt3_+;+t-h.f-'
~
ndrew Balent,Jr.
Donora.Pa.Son Yes Over ?1 ()nt3-+;+t-h
gnes L.Balent
nr 'R PR .....,YP~nuP"t'"?1 ()no_+;+t-'h
~
elen Balent
n ',q p,q "),q 110''h r p,..YP~nuP"t'"?1 ()nt3-+;+t-h
'-'
,
J
M
A
A
H
RES~NT DECEDENT . "DEBTS AND DEDUCTIONS CLAIMED
WOTE:List first five items in the spaces so provided,observe notations thereon,and instructions.
DEBT OR CLAIM NATURE OF SAME "'AMOUNT THIS COLUMN
.ttEGISTER ONLY
Funeral expenses paid $$
Family exemption (will not be allowed unless I
decedent died residing with a spouse or children.)
.Administration Expenses *
Counsel fees *I
Fiduciary commission *
:
OTHER DEBTS AND CLAIMS
(*)See Note below
....
."
,.
'.
,Total
Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi'debt is greater
01'less than the estimated amount claimed and allowed.
Subscribed and sworn to before me this ;I,9:t;:h .
•.•••.•~:~.··.'197Q
S"'f!"IH,''.:tO~J".,.'.:':1"iu'.lil)
DOli".'''\A".',,.~ar·Y,Pa.
...";•.d~•t .ir!,5!.
...67~:~::=;';'i;~j··>~i···
...................................................
(Street Number)
...:O.<HW;r:<?,..l;'~~,t:l~.y,J,y.gni,C:l.,.l,5,O~.J,.,
(City or Town and State)
Jan._,,Ji;;
Having been duly sworn accordIng to law,I~Ohby certify that the above appraisement is made in conformity with law on this
:~Q..~dayOf ~,19.~I'?"V ~L ~.~~.~~i~el..
In the event that any future interest in this estate is transfelTed in possession 01'enjoyment to collateral h 'J's of the decedent after the
expiration of any estate for life 01'foJ'years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer 'inheri-
tance taxes at the lawful collateral rate on any such future interest.
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for , . , , , , . , . , . , , ,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
INo.£?~...Year .~lWill
Administration
I,i :F=O=rt1=,=N=o="R=C=C=-=6=2=(=7=-6=9=)===============
f -1-
IN THE
MATTER OF THE APPRAISEMENT -'
OF THE
ESTATE OF
..........ANDREW..J •..'8P..L;E;ij'r .
Deceased
Late of ...P-qJ;lPX <;1 ••••••••.............
County of W~.s.htp'g-t:p.q ......
lJo,)
N--
N-'
....-,..,Commonwealth of Pennsyl¥alJlia t
~:;0 <:::='---:
J:>rn 2 c--r=-:.-•(fJ0.;::!::!"t,...·-If'......REP~rp.....::'I\~D Afi>~Af~L
C~rn r-en r-1-i :::0 r'-""--1
°o_~-0"Z -r!,;~_•J:J--4-.....-.-o .:.,...
o ....:::.rJ
~r=:.t;-orc):>-(j)
Form R~C·IO,
OFFJC~JOF n~t
REGISTER OF WILLS
OF .,---_W~A=S=H=I=N~G:;;.;:T::..;O::.::N:..:....__COUNTY
AND AGENT OF THE COMMONWEALTH
tJ -1'-s-t,J-
.1 ?-~/7-.;4STATEMENTOFDEBTS
AND DEDUCTIONS
ESTATE OF _--=-A.:.:n~d:::.r=e:.:.:w~J~.~B~a,-"l~e::.tn..Lt",--__LATE OF Donora,Penosylvania
DATE OF FILING APPRAISEMENT DAT5 OF DEATH _~J:..lou"'_ln.A.:el:_..=1~8u,l_..,,1=_9~6~8:..__
AMOUNT
1 000 00
870 00
1)0 00
12 00
1 ?00
15 00
40 00
1 00
14 00
10 75
1 00
16 00
3 00
50 00
150 00
/J M
..
Advertising Letters
Advertising Letters
Court reoorter stioular;nn
REMARKS
eX2enseAdvancementtowardfuneral
eX2enseAdvancementtowardfuneral
IMedical bill
ilFiling Account
'Attorney fee
d
Barna and Barna
Dr.C.Ramaswamv
Valley Independent
Washin~ton County Reports
Bianchi Monuments Lettering monument
Russell Marino
NAMIIi:OF PAYEE
A~nes Balent
MarylandFidelity&Deposit Co.of Bond oremium
Helen Balent
Notarv Public fees
Guv Ro~ers Deoutv ReQ:ister of Wills
Hpl PO R;:Il pot"1M;apel 1:meom::fno PT::I1 pxneo~p
'R11aa~ll Marino
NO.OF
VOUCH""
DATE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF WASHINGTON
I,Mary Bires HEREBY CERTIFY,THAT.TO THE BEaT OF
MY KNO~LEOGE AND BELIEF,THE FOREGOING IS A JUST ANO TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION sueMfTTEO TO THE ESTATE OF Andrew J.Balent DECEASED.AS DEDUCTIONS FOR
/'
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,~+,.,.~::11l1'::'""
.la".'",:$73 .
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37-217-2
,...
RCC-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
MRS.I<JARY BIRES
(~~Administrator),
IN YOUR REPLY PLEAaE
REP'ER TO
j
In Re:Estate of A.-,;..ND...;..:.REW:..-.-'--=-.J..:.-._BA:.....:.L_E_N.;..T _
____--:~.:.:.lA=S.:.:H_=I:.:.NG:::.;T:...:O:..:.N:.._County -File No.63-69-562
Dear MBs.Bires:
You are hereby notified that the original
appraisement in the estate of Andrew J.Balent
has been filed in the office of the Register of Wills qf Washinggon
County on January 30 ,1921L.Said appraisement reflects the
following valuations:
Real Estate _--'-_
Personal Property ~2~.~9~5~2~.~2~3~__
Transfers ...,........,........,.....""""""_--
Total ~--::2:..z.t..t.9.:.:.52::.:.:..::2:.::::3---
As to such tax that is paid within three months from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date __....:::.:Ja~n~ua~ry..:L-..d.3~O.L.~1=...9w7...::0:.....-_Signed,
Title W.R.CHANEY CHI "APPRAISER ;I}z(R.
,DATE OF DEATH:June 18,1968
Note:This is not a bill.
.'
C~~.MONWEAL TH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of BALENT,
(Last Name)
ANDREW
(First Name)
J.
(Initial)
DATE OF DEATH _6_-1_8_-6_8__FILE NO.63-69-562
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of Washington __,
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each itern in the last column to the right in Schedules "A","B","C",and "E".
01-30-70
06-18-68
Dated:---~"-:::--:---7-:;-------
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
$2,952 23
2.952 23
$
2.952 23
2 91)2 2'3
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$-------+--
INVENTORY·
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDUI..E F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
annuities .....D •••••••oJ • • • • •$=t=
-
ESTATE TAX ASSESSMENTS $_
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
_c
$
t=
$
$
C
$
COMPUTATION OF TAX
$--------+---
$--------t--
$-------~-
$-------+--
$-------~-
$=:;:=====
$------
$===========
___.....JI_
TOTAL TAX BALANCE :-------11-
PAID $-JL
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6%from_____to _
AMOUNT OF ESTATE TAX ASSESSED $--~----1
Estate tax paid $--'
BALANCE DUE
Add interest at rate of 6%from
------'lto-----
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death
TOTAL TAX
FOR USE OF REGISTER ONLY
Tax on $-+-__2 0
Tax on $---------+--f 6%
Tax on $---------+-_%
Tax on $-+__10%
Tax on $15%
Exemptions *
Total Estate --1-__
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
ANDRblN J.BALENT
Deceased
"
Late of .
County of
DONORA
WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
."
;'
,f
."
Fom RCC-2
COMMONWEALTH OF PENNSYLVANIA DATE .......................~§:P.::q~~y..,}.2.?......~?..7~............
DEPARTMENT OF REVENUE...
..................~~.~.~~.~~.~.9.?...............RESIDENT INHERITANCE TAX COUNTYBURlEAU})F COUNTY COLLECTIONS ,~..................
HARRISBURG.PENNA.17121 .APPRAISEMENT FILE NO....................9.J.~Q.9.=.2.2?.....................i .................
Whereas,............................Andr..~w....J........B..al.surt.................................................................late of Donora.....................................................,.....................................................
in the County of .......................................W.§:.~.h.~gt..9..g ..............................................................Commonwealth of Pennsylvania,having died on
the .............................1B....:tb.................................................day of ....................cJ.W}~..............................................19....9?.,seized and possessed of an estate.
,subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,..............................}t{.~.~.~.....9.h~~.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 ra.te on any such future interest.
Unit AppraisementDescrlpilonofAssetValuesMadeforInheritance
Tax Purposes
$
PEHSONALTY:
Share of proceeds form the Estate of Adrian Ferrier,
deceased,No.355 of 1967 AA,in the settlement of :otix
claim for money loaned to Adrian Ferrier.2,952 23_._-
-
.
.,
Total 2,952 23
I
form~;v~~hbI=::rh~sworIl·~~I~~.~.~o~e~~~~c~~~~iS:;;~l~
Apprais
~=:...~.....;:~~.~..~~.~~=::=~.:.~~.~~~~:)::.::::::.:.....:..:.H.:..:::.::..,......;~~~:.:
(Post Oftleel
WASHINGTON County
(/RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ANDREW J.BALENT
Deceased.
Late of
DONORA
Date of Death,eJ..l.J!.l.~J.?,1.:.9~?.
Appraise/lIei!t Docket Vol.,.3..7 .
Page,?1.:.7::::?.No 9.3.::::./?9:::-.5..€??.
Filed in Register's Office,tJ.c:iP.:H:~:r..Y...J..Q 19.7.Q...
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appraisement,
Appeal f,.om Appraisement,.
Entered and charged,,..,.
I(