HomeMy WebLinkAboutOC1969-0831 - ESTATE OF RONCHICK,
RCC-39 (ll-1l61
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
-i SUMMARY
Estate of RONCHICK,
(Last Name)
STEVE
(First Name)(Initial)
.DATE OF DEATH 12-23-68 FILE No.Q3-69-831
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 t1e real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E",
Dated:0...::;,3_-_26__--;7,....,°_
12-23-68
REPORT OF THE REGISTER OF WILLS
VALUE AS REAPPRAISED
$-------+--
123 01
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
I,the undersigned duly elected Register of Wills in ar_d for Washington County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts c.aimed by deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in;chedule "F",whic re er or lesser amount represe~ts the sum
allowed as a deduction,~?.&.I.J~.J7'0
Dated:03-26-:70 7~PY"'vVW/
Valuation of life estates or
annuities 0 •••••••••••,
ESTATE TAX ASSESSMENTS :-=_:t=
COMPUTATION OF TAX
$
$--'-74=3;;..;:8~Paid In Full
$---------4--
$---------4--$---------4--
FOR USE OF REGISTER ONLY
Tax on $-+-__~
Tax on $12':3 01 ~
Tax on $5%
Tax on $10%
Tax on $15%
Exemptions *
Total Estate ~_
TOTAL TAX $--1.__
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less S%of tax if paid within
3 months after death ::=::::::::t====
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from
to ----t=$--lAMOUNTOFESTATETAXASSESSED$.
Estate tax paid $I
BALANCE DUE $....JL-
Add interest at rate of 6%from
to $-~t=TOTAL TAX BALANt:E $----~,PAID $....J
FOR USE OF REGISTER ONLY ADJUnMENTS
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
$II'J.1:VE R.Qi'JGHICK
Deceased
Late of ..~'1ESTPlKERUNTI~lP~.
r
t.
~
i:"-
-:'~r
..-
/
County of vfA$HJ:NG-'IQN..
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
~
.'
RC C-81 (2-64)
COMMONWEALTHOF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
•INHERITAN':E TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
NICHOlJ~S KOCHES
~Administrator)'
IN YOUR REPLY PLEA••
RKnR TO 37-240-1
j
In Re:Estate of --:;S;;.;T;;:;:E:.:.VE=··~R:.::.O::.::N;;.;C;;.:,H:.:I:.:C..:.;;K;....__
_____...:W..::,A:::S.:.;;.H=.:D;;;;:G;;.;:TO;.;,;;,;.N__-_County - FHe No.63-69-831
Dear Mr •.Koches:
You are hereby notified that.the original
appraisement in the estate of Steve Ronchick
has been filed in the office of the Re~ister of Wills Qf Washingon
County on March 26 ,19..1Q.3aid appraisement reflects the
following valuations:
Real Es tate .....;:2:..z,:.:;0;.;:O.;0..:,•.;.O;.0 _
Personal Property ~1~,2~4~1~.~2~7 _
Transfers ..,.....__
Total -....3t.1-,.li;o2ol:l;41..,I,l,2....7t....---
As to such ~ax that is paid within three
death,a five (54)percent discount is allowable.
remains UIpaid after one year from date of deatn,
of six (6~)percent per annum is charged.
months from date of
As to any tax that
interest at the rate
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date .......M~a..rJ.<.c.l.l.h..l2~6"",~llo".9'-J7~O:....._..,....._Signed ~:lo..'-~~~~J::J=::.::lQ",l/,.&.4--~i::...:l...~R
Title W.R.CHANEY,
DATE OF DEATH:December 23,1968
Note:This is not a bill.
Fonn RCC-2·
D,EPAitTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG,PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ..~<.l::r::~h ..???~.?.?.9..
COUNTY Y!<.l:.::>,~g.~..9.!.1 .
FILE NO..63""".6.9.~B3l .
Whereas,~!-.~.y.~~9.!!:?~.~.~.~late of W~.;'?t p;j,.l<:~~@ ':J:'"'ffi.~.
in the County of W~~@Dg.t.QD -Commonwealth of Pennsylvania,having died on
the 23 *..4 day of P..E;l.G.~p..~.r.19.9.$,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwvealth of Pennsylvania;
Therefore,I,W.•.R Ghane.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 ou: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 decedimt 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 intuest.
Unit Appraisement
Description of Asset Values Made for Inheritance
Tax Purposes
$
REALTY :
21.06 Acre in V<iest Pike Bun Two ••Washington County,,
Pennsylvania,See description in Deed Book 550,pag 32.2.000 00
PERSONALTY:
1964 Dodge Automobile 800.00
Roto-Tiller 144.00
IIncomeTaxRe:fiund 17.27
Furniture 20.00 I
Paycheck &cash in wallet 260.00
1,241.27 1,241 27
,
,
Total 3.241 27
-
fonn~;V:~hb~~::~h:sworna;e2~~:·~a~~ie~e~~~i~":?~?~j?
ppralser......(dj...~................................................"..................-.........
,,mhor and Street)
...............~....................................................................................,Penna.
(Post Office)
-
t
...H1\$H:i:N.O:'.L'QN.....County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
STEVE RONCHICK................................................
Deceased.
Late of
WEST PIKE RUN 'I'vJP.
Date of Death,p.~.9..Emlp..~:r.?3.,J,.9~.$..
Appraisement Docket Vol.,'}7 .
Page,..24.~L No 93..'7::9..9~.$JL...
Filed in Register's Office,..~~.<#.:l ...?~.........1979..
Amount of tax due $,.
DEPARlMENT OF REVENUE
Received,.
Examined and Approved,..
Wrote abo.ut Appra.isement,
Appeal f1'Om Appraisement,..
Entered and cJu:zrged,.
~.
1
I'.,.fl
FORM 67 REG.WILLS
REV.1-50.
Application fnr 1!j~tt~r!i .:tf l\~mtnt!itratinn on tqr
Estate of ~.~~Y:!t.r.i?.~~.~~.~:~; .
late oiWe-s;t~..P-lkeJ...Ru.n Tow.nap1p _,Deceased.
Before the Register of Wills of Washington Ccunty
personally appeared Nic:hola.8.i...Koohe.s .
who,being duly sworn deposes and says that s.t~:v.e'c..R.Qnch.i.ck .
age..~.Q ,having..hJ~...Iast family or principal residence at ..BJ.C?h.~yy.~~~.~.t ~~~.
(Street and Number)
....W~.~1I;:P.:U~~B.v...n 'r.Q~~.hJp ,Washington County,Pennsylvania,died intestate
(City,Borough,Township)
at W.~~ihJngt.•.n,.P~,.~.-----------.----,orr-the .~::..day of .__.P.~.~~R.~r __.__
A.D.,1C£8 ,at 12.~5a A.•.......M.,possessed of personal estate to the estimated "'alue
$~O'O.•.O'Q ,and of real estate in the Commc nwealth of Pennsylvania to the estimated value of
$.~.,.§.Q9.~.9.9 ,situate in .
........................Yi~.~.~r.J~.~B.~~~.~~~.~Ap..,:~~~.~!?~~g~.C?~..g.~.~~y..,~~..~___..
The names and addresses of the decedent's surviving spouse (if any)and other heirs (including
j
heirs by adoption)are as follows:
RELATIONSHIP RESIDENCE
~--
I.I
......................_~·······Mi'r:-or ···.
.....J.ohn._~te:ve;Ro.nc.hi.c..k Sor ~.~~J.P:f.J~).,g :N.!J..~_ .
...........!:~_~--____------.-.--_.-~..~~., - ---_---_ .
That deponent is over 21 years of age,reside;at _.B.Q~:..p.R.a.,R1.ch~yy1.11~__.P~__..
is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of
Administration upon the Estate of said decedent,no letters having been previously issued thereon.
nd subscribed before me this....~.O-'.b..
._.--.Iff
day of..__~__.,A:.D.,19 __
h7h.L~--~.._----_.-.______-~-~~~._---------------
REGISTER
COMMONWEALTH OF PENNSYLVANIA,}55.
WAS::G:::uq;~~~'u~nCCnnm.19(;£,ome.mn~mnhbmunnm:
who being dut::~~othdepose and say that .~~...::.will well and truly administer the goods andfJ-.'.'-10 .O.·.L .chattels,rights and credits oL....~..----.t~--......----..--.--.......------..--.,deceased,
to the best oLL....skill and judgment in strict compliance with the laws of this Commonw3alth,
mindful of the laws relating to inheritance taxes.
Swor a d subscribed before methis...2~........"tf/
day of :~~
REGISTER
,
')r~_~n-
._--•••••'••~._-_.-•••••••••-.-_••••••-.-•••••••••••••••••••-.----_.-....~-••-;:.:••'j'
r -~----7
:f .-:#/sc:z '
:.#p .~5'-c f?-{')%"5 (
APPLICAnON FOR
ESTATE OF
----------------------------------------------$--:.--------------------
Letters of Administration
t •S-t.~_v.~RonQ_b.ic.k _
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Extra Alias _$~ertificates _~~~~~~~?;?j~e~$~~~~~~~~~7;;~~~~~'
Renunciation~__-'$./..J!.~_
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Letters :---------------------------------/()((J~'
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ESTATE OF
S":£.V£-,R CJ AI G HI c..k .................................................................................................................................................................................................................................DECEASED
f'llfioR.
The undersignd.A/!.!i.E.f?-?..t{;&.I!!..q,.T..!.tf.r!:~f...:r.~.~.~B...~.~..::.1..~.~.~~J7:..~..f ~'fuul Qiirs
of :s:...L:..I&.::..!!.../i;.R...p...f!!....(;...!::J...L.~.~'S...late of 0!....f:..~..c.P..i..l<..f;...~.I;!..'!.T...~!:!.E:..
d d h b AN""h d'.S /f /Decease,ere y renounces !........rIg t to a nunister on estate
and respectfully asks that Letters of Administration be issued to........!Y...I...~/-!J!..!::.!3 ..:s.....t.{J!...f:...!:.!...f::;S.7'.~..
......Pr:?..'5 ;r..~=.f....J .t....!..~/!..t.:.:.t!../.'::..~~.,).t:!.?...:.
Signed in the Jresence of:.~jt2tL~r··········L};;?~.~...~c.~)
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Z
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!(UDm 1\11 :LIru iy W4ese 'resents
Estate of §.~~.?.~B.9.g~h~£~;...................................}N fRichevillePa.0 0 19 .late of Y t ,Deceased
KNOW ALL MEN BY THESE PRESENTS,
That we,N.t~h.9.J..~.~K.9..~.h.~.~9.:g.sL..MAR:YJ..Nj,Q.J~A§Y.A.~.:r..Y..G.QMP.AN.Y....
all of Washington County,Pennsylvania,are held ::nd firmly bound unto the Commonwealth of Pennsyl-
. f h f h'd'.h . h f One Thousand D 11vama,or t e use 0 t ose Illtereste III t e estate,III t e sum 0 0 ars,to
be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind oureelves,
jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assigm,and
each and every of them,firmly by these presents.Sealed with our seals and dated the ?P.-.9:day of
............J..~n.g.~.r.y.A.D.,one thousand nine hundred and S.i~ty,.::.ni.ne..
.THE CONDITION OF THIS OBLIGATION IS,That if the above bounden ..Nlcholas Koches .
Administrator or any of them,shall well and truly admilister
the estate according to law,this obligation shall be vcid as to those who shall so administer the estate;but
Otherwise~~:l:::~:e~,:::,~::::~~,pm,ne,of,.~~SEAL)
c;J:0..J;j ...(SEAL)
.....··········r·~····:·····"·······B~~.R.:~.IJ.g.!'§.Y.:~.~v.::w!>1~~ANY.~./EAL)
ohn J Shurer :0!2:.."U)SEAL)
Sherron D.Maitz,Atto eyir.-fact.
~tattmtut nf ~Urtty
I,_,surety in the sum of $oa the
administration bond in the estate of..,say that I reside at
..............................................................................,Washington County,Pennsylvania;that I am the owner of real ee:tate,
the title to which is in my own name and duly recorded,situated in :,
Washington County,Pennsylvania,worth above all eacumbrances $;and that I am w;)rth
the amount expressed in said bond,over and above my just debts and liabilities.
00 ~•••,••.••••••
J
Street
~tattmtut of ~urtty
P.O.
I,,,surety in the sum of $ :Oll!the
administration bond in the estate of..._,say that I res~d~at
..............................................................................,Washington Cour:ty,Pennsylvania;that I am the owner of real est=lte,
the title to which is in my own name and duly recordec,situated in ,
Washington County,Pennsylvania,worth above all encumbrances $;and that I am wc·rth
the amount expressed in said bond,over and above my just debts and liabilities.
Street P.O.
COMMONWEALTH OF PENNSYLVANIA,}S~'
WASHINGTON COUNTY,~.
1 ,.And now ::.................................19 ;!....comes _..
who being duly sworn,says that he is acquainted with the financial standing of the securities to the wi6in
bond;that the said obligors have each executed the said bond and that the sureties thereto are the own=rs
of real estate in their own right of value more than the penal sum of said bond over and above all incum-
brances and exemptions..
Sworn and subscribed before me this ..
day of A.D.19 ..
#S52
No.63-69-0S3l.
1\ltwiuiBtration is0 nil
IN THE ESTATE OF
STEVE RONCHICK
;,
And now February 3,.--"----19 69
Bond approved and Letters issued to
Nicholas Koches
vJho was duly qualified.
Russell Marino
!
FILED
~~
1 "s~I .
ftEGISTEft Vi:'
,-
Atty:Morley M.Azorsky
~2
Register
If ..~"
~l
•
~CERTIFIED COP:
,~,.
6 Know all Men by these Presents:That MARYLAND CASUALTY COMPANY,a corpora-
tion created by and existing under the laws of the State of Maryland,of Baltimore City,Maryland,in pursuance
of the authority set forth in Section 12 of Article V of its By-laws,from which the following is a true extract,and
which Section has not been amended nor rescinded:
"The Chairman of the Board or the President or any Vice-President may,by written instrument under
the attested corporate seal,appoint attorneys-in-fact with authority to execute bonds,policies,
recogni.zances,stipulations,undertakings,or other like instruments on behalf of the Corporation,
and may authorize any officer or any such attorney-in-fact to affix the corporate seal thereto;and
may with or without cause modify or revoke any such appointment or authority,"
dROslERfY E~mtA~'IME~itutANDdREWo;~·····~~D~~·~····HJb~~~~N~~~RE~~~·~·~6B~RTR~r~OVfCH·J··EtiWtN····A~··..WbHLEBER1·····wtLLtAM···M.·····CRANbALL···an(f··SnERR6N····b:····MAttZ·~·····each···wi·th......................................................................1..................................................J~JJ.P9~~.rJ<:>Cl.<::~.Cl.J9J.l~,.......
oL .J'..~II..?~lJRG..H...State oLP.;.NN?Y.~Y,ANIA its Attorney s-in-Fact
to make,execute,seal,and deliver on its behalf as Surety,and as its act and deed,any and all bonds,recogni-
zances,stipulations,undertakings,and other like instruments.
Such bonds,recognizances,stipulations,undertakings,or other like instruments shall be binding upon said
Company as fully and to all intents and purposes as if such instruments had been duly executed and acknowl.
edged and delivered by the authorized officers of the Company when duly executed by anyone 0 f the
aforesaid attorneys in fact.
This instrument supersedes power of attorney granted Raymond H.Wiesmann~
Robert H.Ruth,Robert E.Larimer,W.Darby Miller,Andrew P.Churman,
Joseph Andrews,Robert Bagovich,Edwin A.Wohleber,William M.Crandall
and Sherron D.Maitz dated September 20,1968.
In Witness Whereof,MARYLAND CASUALTY COMPANY has caused these presents to be executed in its
name and on its behalf and ithCorporate Seal to be hereunto affixed and attested by its officers thereunto duly
authorized,this ~.?.~day of J.~.n.~,19 ~.~.,at Baltimore
City,Maryland.
ATTEST:(CORPORATE SEAL)MARYLAND CASUALTY COMPANY
.,
.Kathryn B.Young .d')Albert H.Walker 'I(Signed)By (Slgne .
Assistant Secretary.Vice-President.
STATE OF MARYLAND
BALTIMORE CITY
July 1,1970
(NOTARIAL SEAL)
My commission expires
.12th June 69 .On thls day of...,A.D.,19 ,before the subSCrIber,
a Notary Public of the State of Maryland,in and for Baltimore City,duly commissioned and qualified,came ..
....................A..~.~.~.!..~~.~~.~.!.~.~.!..............................Vice-President,and K.~J.h.ry.D ~..~.Y..9..1mK Assistant
Secretary,of MARYLAND CASUALTY COMPANY,to me personally known,and known to be the officers described
in,and who executed the preceding instrument;and they each acknowledged the execution of the same;and,
being by me duly sworn,they severally and each for himself deposed and said that they respectively hold the
offices in said Corporation as indicated,that the Seal affixed to the preceding instrument is the Corporate Seal of
said Corporation,and that the said Corporate Seal,and their signatures as such officers,were duly affixed and
subscribed to the said instrument pursuant to all due corporate authorization.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed my Official Seal,at Baltimore City,the
day and year first above written.
.Lila G.SchwartzISlgned).
Notary Public.
CERTIFICATE
I,an Assistant Secretary of the Maryland Casualty Company,do hereby certify that I have compared the
aforesaid copy of the Power of Attorney with the original now on file among the records of the Home Office of the
Company and in my custody,and that the same is a full,true and correct copy,and that the Power of Attorney
has not been revoked,amended or abridged,and is now in full force and effect.
Given under my hand as Assistant Secretary,and the Seal of the Company,at Baltimore City,Md.,this
2nd January 69
mm •••day af mmmmmm .Y°c12 £?I
.................".."~CLtZ~~
16007.Rev.4-66.Li1.-::;:..Assistant Secretary.
t .S A
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 16,196'I'J
EFFECTIVE JANUARY I,1962.(FILE IN DUPLICATE WITH COPY OF WILL ATTACHED).'.
OFFICE OF THE REGISTER OF WILLS
_._Co~nty()f ...t,l~.~t4A9~~~.....,..;..
Ilcbolas Kocbee .'.~Sox $58,I'Qbeyyil1e,.tIll.,'~1.5$58...............:..'..'.'.'.:'(N~;)""".'.','".''.':'0_:..;,:'.':".:.:~.."(~dd;e.:a;~.", ,..
being duly ~~_~~.accordi~g to la:depo~es and says that he is the __"__~.~~_~~~'-~_~~~_
. ..'. ..(Exec.,Adm.,·Legl\~.Etc.),.
of the estate oL ~_'-~~M!\g~~Jt 'whose last residence was ----------------------------------(-----------------------------
, ..,(No.)':"·,Str.~t),~,~~__~_~_~__~~__~_L_m,m.d~ceased,~n~.that 'th~whole of th:e estate or'said decea~nt,who die'd J~~g~ma3_'ml~§_8
(City.Borough or Township)(Date)
<,onsisted of:.".. .v,'".....,
.~;\..'~i
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 ENTIRETIE;,GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS.
Real Estate !:,1..;Estimated
Value
LA>I9-J II C~,PA-'I
Personal Property
"J
,.,2,000.00
.)I
800.00
144.00
1'.21
20.00
260.00
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 an::ounts of principal and interest in the decedent's
account at the date of death and the type of account,:lccount number and the exact name or names in
which the account is registered,j
~~-.~~-~-·----·""'''-----~-------~-----IIIIIIIII!Il!I.!I!!IIJI3I!111S"ZlIIIIIl-
Jointly Held Property
.J
'".'
Transfers within TWO YEARS Prior to Death
,\,....
C\
"{.~
Estimated
Value
1).•-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 THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT
-.
BENEFICIARIES
'",'..RELATIONSHIP SURVIVED AGE 0F LIFE
BENEFICIARIES AND ADDRESSES (If step-children or DECEDENT TENANTS OR INTEREST OF
(State,full name.s 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
J,)_.RonQh~ok son YEa$:Ves'ted"
li<L.l'A~fj.e:t.d,flew-JEu:sey ..l o .
.,..
-....,
-.,.....
RESI.i2,E.NT,.UECEDENT DEBTS AND DEDU·::;TIONS CLAIMED I,
DEBT OR CLAIM NATUEE OF SAME:',,,':,
NOTE:List first five items in the spaces so provided,observe notatior.s thereon,and instructions.,
.,'FUl1imtl,expenses ,paid',
,.AMOUNT THIS COLUMN
.l{EGISTER ONLY
$1~650 ea $
T,.
,.,I ..'","' "\,'""'f---------------~;'---'--4 Administration Expemes·'' "
OTHER DEBTS AND CLA1MS ",f
I ..,.•,.~" ,';'1
Family exemption (will not'be allowed unless
decedent died residing ....ith a spouse or children.),
1'6 06\
",36:,0
\•C,.i l ~I (...,
",','I "j',1'$.,,6
,fl'"OI''.~o'oO
-P'~U'as po,'.'
,,',"
;:',I ~,~l
Fiduciary commiss on •
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Counsel fees •
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Note:The estate,agrees to 'advise the Register of Wills if the'amount ,acUally paid'in settlement of any fee,commission oi'debt is greater
01'less ,th~~.t~e'estimate~,amount claimed and apowed.~,'.",.'";J:''..'.'/J '..:~>
Subscribed and sworn to beiore methis '.. . . . . . . . .~..d~"':>~~~~,---u,'". ...' ' "(Executor-A min'strator)...........'..~~~V 7.~.l!~x ~f:,~i N~;';b;~)··········.
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Having been duly sworn according to law,I do hereby certIfy that the above app'ralsement is made in conformity with law on this
..................~~~dayOf ~~..,.~;p ~..'19 .::.~
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In the event that any fu~ure intere~t In this estate IS transfeITed in posEesslOn 01'enjoyment'to collat 'al heirs of the decedent after the
expiration of imy estate for life 01'for years,the Commonwe~lthhereby e"press]y res~rves the'right to appraise and assess transfer'inheri·
tance tax~s at the lawful collat~ral rate on any such future,int~rest.
County,Pennsylvania,do respectfully
,except as t ose items where a greater or lesser amount
t re,esents the sum~das a deduction.
~........................................
Register of Wills
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,, , "REPORT OF T~~GIST
I,the undersigned duly ~lected Regis~r of Wills in and for..Vd.::::..'......~,v~~rh.,.-...-I,
report that I have allowed debts and deductions in the amounts claimed by depo
is set forth in the last column to the right in said schedule above,which'gniatu '
Dated:A~.~~/7/c!.
Form No,RCC-62 (7-69)
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fJ~inistr8:tion INo.,~.$~.I..Year ..~?
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'IN THE
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,:;MATTER OF'THE APPRAISEMENTt~~-
OF THE
ESTATE OF
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Deceased
Late of , .
County of .
Commonwealth of Pennsylvania
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