HomeMy WebLinkAboutOC1969-1251 - ESTATE OF PUHLEK",~+........,~~~~r'_-';:-fI~-.~~..:
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LAST WILL AND TESTAMENT
of
ANNA PUHLIK
****.*******
I,ANNA PUHLIK,an adult resident of Cross Creek Town-
ship,Washington County,Box 63,Avella,Pennsylvania,being of
sound and disposing mind and memory,hereby revoke all wills and
codicils as well as all instruments of a testamentary nature here-
tofore made by me,and do hereby make,publish and declare this to
be my Last Will and Testament in manner and form as follows:
FIRST:I direct that all my just debts,funeral bills
and testamentary e~~enses shall be paid by my
Executor hereinafter named,as soon as conven-
iently may be following my death.
SECOND:All the rest,residue and remainder of my
estate,real,personal or mixed,of whatever
nature or wheresoever situate which I may own
or may have the right to dispose of at the
time of my death,I hereby give,devise and
bequeath to my son,Joseph Gregos.
THIRD:If,'however,my son,Joseph Gregos has pre-
deceased me,then I hereby give,devise and
bequeath my entire estate abovementioned to
my grandsons,Joseph and Robert Gregos,in
,eq?al shares,share and share alike.
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FOURTH:I hereby nominate and appoint my son,Joseph
Gregos,to be the Executor of this,my Last
Will and Testament.If,however,my son,
Joseph Gregos,has predeceased me,I hereby
nominate and appoint my grandson,Joseph
Gregos,to be the Executor of this my Last
Will and Testament.
IN WITNESS WHEREOF,I have this 10th day of May,1968,
A.D.signed,published and declared this instrument as and for
my Last Will and Testament.
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The foregoing instrument was subscribed,sealed and
declared by ANNA PUHLIK,as and for her Last Will and Testament,
in our presence and in the presence of each of us,and we at the
same time and at her request,and in the presence of each other,
hereunto subscribed our names and addresses as attesting witnesses,
this 10th day)of Nay,1968,A.D./1
/lA~~(fJ/\~V4v)'lJ J 1("(/((l "1'",~,iHit~,~~'ldt /I "-....;:..residing at 1~...~{..A/V'ljCr;2<--Ztf (;(.I
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l)L&Lt residing at /~iA_:}~~'","?
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i\ffi~auit (@f iExrrutnr (@r i\~miuil1tratnr /
..~!.~:..f"'-:"~::'~~'Executor-Ad istrator
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@ltatr of 'rl1l1l1g1ttal1ia.~llli:.
C!1.oUl1ty of Bal1~il1!Jtnl1 \
Personally before me,the undersigned authority,a g9.t~r.y...P.:g,9.!.!£..in and for said
County and State,appeared J.Q.5.~p..b Gr..~.g.Q.S who,being duly
sworn according to law,deposes and says that he is the executor ~K of the estate of
Anna.l?ublik"aL.kL.a.Anna..:P.:ublek deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of...Anna...J?.ublik.,....a/.kJ..a..A.nna,Puhlek,
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 eachm~m IQade .Qy'the above named Executor ~Mmorx
I I ,~..S~or~~11i~.ubscribed before me this:.....?}E.~.......)."
n b..-::C .69 'day ofu...m :~e~.....~:':'!L///
............~.',Y'~;~:~.:..~~ti'c .
,",.,;',of,v ~~\\\~ibDITIONAL INSTRUCTIONSro\\''''\'
1.An:~'int0t~must be filed within three months after appointment of personal representative.
2.A s~~I'>lemental 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 $50,000,in-
cluding Copy of Will and copy of Federal Estate Tax Return.
REFERENCE FOR ADDITIONAL COpy
Act of 1947 P.L.513 Sec.5.2,72 P,S.4844.2
~lIuututnrg null "pprnisrmtut of the goods and chattels,rights and credits which
were of Anna...£:u.hlik a1.kL.a...Ann.a..:P.:ubl.e.&te of C;r..Q!?.f$c..r.~.~.k T.~~P.:.§.b;t:~L ,
Washington County,Pa"taken and made in conformity with the abO'Ve affidavit,
DOLLARS
.~'
CENTS
Personalty:
None
Realty:
Lot #37 in the Cross Creek Valley Plan of Lots and
Lot #11 in the Cross Creek Valley Plan #2.Said lots being 1,000 00
situate in Cross Creek Township,Washington County,,
Pennsylvania and having erected thereon a one-story frame
house.See Deed Book 613,page 629 and Deed Book 731,
page 1~O.
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Form No.RCC-62 (12-66)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000,UNDER SECTION 701 OF ACT OF JUNE 16,1961.
EFFECTIVE JANUARY I,1962.(FILE IN DUPliCATE WITH COpy OF WILL ATTACHED)
•1'*OFFICE OF THE REGISTER OF WILLS
County of WA.S.BJNG.TON..
.......J".os.~~a.Q~.~QO.&of .?7J3.~.J:QJ;1~V~QI)..$t·.f .A~i.q~tp.p?-~9-.•.........
(Name)(AddreB8)
being duly §~Q_~_~.according to law,deposes and says that he is the ~~_~~:Y1~~.P hI k /k:/J../1 (Exec.,Adm.,Legatee.Etc.)
of the estate of t:::..~J!_~liJJk__~~~whose last residence was -~-?-~--~-~-~---~-~~~-~~!--(-s~:)~~!-~Y-~E:~~--
(No.)creet
_______g_~~_~_~_~E_~~~__~~~~_~_~~_Iaeceased,and that the whole of the estate of said decedent,who died ;r.llll(D~--~)J~.I---l-~-9 9
(City.Borough or Township)ate
consisted of:
REAL PROPERTY
REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANGES UPON EACH PARCEL AT DEATH OF D
WHERE PROPERTY HELD AS JOINT TENANT·OR TENANCY BY ENTIRETIES.GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHE
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Real Estate /.."A
11"0 ilV ~,"..
I Lot #37 in the Cross Creek Valley Plan of Lots and Lot #11 in the Cross
I
Creek ValleY Plan #2.Said lots beinQ'situate in Cross Creek Township.
Washington County,Pennsylvania and having erected thereon a one-story
Estimated
Value
~1 000 00
frame house.
\170.
See Deed Book 613 page 629 and Deed Book 731,page
~(/(Jt 11')J 3"1 ....".
Personal Property
None
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.Value .......
-.,
None
..,
-
.,,~
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,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
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
Joseph GreQ:os son Yes Entire
-
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F..ESIDENT DECEDENT DEBTS AND DEDUCTIONS CLA...IM~I?
_.p •
DEBT OR CLAIM .,NATURE OF SAME AMOUNT THIS COLUMN
IltEGISTER ONLY
Funeral expenses paid $$
Family exemption (will not be allowed unless
decedent died residing with a spouse or children.)
Administration Expenses *
Counsel fees *
Fiduciary commission *
I
OTHER DEBTS AND CLAIMS
(*)See Note below
~.
'.
-
Total
,'},NOTE'List first five items in the spaces so provided,observe notations thereon,and instructions.'.
2789 Johnson Street•••••••••••••••••••••••••••••••••••••••••••••0 ••••
(Street Number)
....A~~9~~~P~!..~~~.~:y~~~?~~.
(City or Town and State)15001
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
or less than the estimated amount claimed and allowed.. .~.. . . . . ....v ' .
Subscribed and sworn'to before me this ...~~Xq .............'--C~u.:;r;J
-.'.xecutor-Administrat...:...~~l;--.,
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_--rL."o'''-''''vr__-_··il!.,<:i(l1\;t.':''l·\l~'~~~!wO}K.,P:~~":"'::,.~a"s\o'lll\·•
Having been d~worn~~cording to law,I d~here certify that the above appraisement is.made in conformity.with law on this...................7~dayof ~,19..:?<?·()~.
.....~~~;('..
App ser-
In the event that any future interest in this estate is transfel'1'ed in possession or enjoyment to collateral irs 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 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
)..FOl1n No.RCC-62 (12-66)
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WillAdministration INo../;J<s:J ..Year .G.!
IN THE
"..~\
MATTER OF THE APPRAISEMENT
'--
OF THE
"...
ESTATE OF .1',I
Deceased /"""'----(
"
Late of ,.~
County of .
Commonwealth of Pennsylvania "'"
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REPORt;~~APPUIS~1:~.:r::-en .;:c-i~~(j):Z .....
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RCC-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
JOSEPH GFl.EGOS
(Executor~~)
IN YOUR REPLY PLEA.£
RE".R TO 38-21-4
j
In Re:Estate of -...:A:.:;N:.:.:N~A.:;.....:;P..:::U~H=LE=K _
_____.....:W~A=S;.:.:H=IN;;.;.:G:::..:T:..;::O;;.:N County - FHe No.63-69-1251
Dear Mr.Gregos:
You are hereby notified that the original
appraisement in the estate of Anna Puhlek .
has been filed in the office of the Register of Wills qf Washington
County on January 29 ,19~.Said appraisement reflects the
follOWing valuations:
Re al Est ate _......;..--:l:..,z..0~O~O~.:....:O:....:O;.....__
Personal Property __
Transfers ....,..__
Total -.....l .......lo'OO:::::;O~.L:O~O'----
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.
Dat e ~J:;...:a:::n.:.:u==a~ry.-l--..:::2"'"9_l..-=.19L.7~O=--__Signed Q)e ~~""-'Th~IZ-
Titie W.R.CHANEY,CHili APPRAISER
DATE OF DEATH:June 25,1969
Note:This is not a bill.
-------------------------------------------------,
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\.~CC'39 (5-68)
SUMMARY
COMMONWEALTH OF PENNSYLVANIA'
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT..~~~==-~~==========================
Estate of PUHLEK,
(Last Name)
ANNA
(First Name)
DATE OF DEATH 6-25-69
(Initial)
FILE NO.63-69-1251
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 item in the last column to the right in Schedules "A","B","C",and "E".
Dated:0=..::1=--..:.:2~9_-7!.....:0=____
06-25-69
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
VALUE AS REAPPRAISED
$-------+--1.000 OJ
1,000 00
1.000 00
1.000 00
VALUE AS REPORTED VALUE AS APPRAISED
$$
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
FOR USE OF REGISTER ONLY
Tax on $-----------f--~
Tax on $6%0
Tax on $----------1--
nX~$1~
TU~$1~
Exemptions *
Total Estate.;..'-------01---
TOTAL TAX
COMPUTATION OF TAX
$--....-----+---
$-------+--
$-------+---
$-------+---
$-------+--
$-------->---
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::::::::t====
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%fro~_____to $---J
AMOUNT OF ESTATE TAX ASSESSED $------lL-
Estate tax paid $---Il-
BALANCE DUE $----~I ___
Add interest at rate of 6%from t=
------I:to-----$-----~.
TOTAL TAX BALANCE $ -~
PAID $-l
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration (No.
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
ANNA PUHLEK
Deceased
Late of .
County of
CROSS CREEK TWP.
WASHINGTON.......................................
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
,.
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,.
..,
Form RCC-2
•
jD~PARTMENT OF REVENUE
,BWEAU OF'COUNTY COLLECTIONS
HARRISBURG.PENNA.17127"
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TA'X'.,
APPRAISEMENT
I
DATE January 29,1970 I........................................................................................·······..·········1
COUNTY :w..aQtringt..Qn .
FILE NO...~?=.9..9:.~??..~.
Whereas,Ann.g,P.:u.bl~.k late of Cr.o$..s Qr.§.~.k.'I.'.wP.!.
in the County of ~~.~.0..~r.!-.§~.~~Commonw-ealth of Pennsylvania,having died on
the Z5...th day of June 19 9.9..,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,W.R..ChQJl.e;v.,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.I
I ===================================r====ii========1
Description of Asset Unit
Values
Appraisement
Made for Inheritance
Tax Purposes
$
REALTY:
Lot #37 in the Cross Creek Valley Plan of Lots and
Lot #11 in the Cross Creek Valley Pan #2,Said lots
being situate in Cross Creek Township,Washington County,
Pennsylvania and having erected theron a one-story-------.:..~.::..-~-----~--~----------~--------1-----IIt-------+---
frame house.See Deed Book 613,page 629 and Deed Book
731,page 170.1,000 00
II-~---------------------'------------------+-----fl------+---I
I-------------------------------------·--t-----fli-------+--I
Total l.000 00
I---------------------------------------+-----ft-----+--I
WASHINGTON..........................................................................................County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ANNA PUHLEK
Deceased.
Late of
CRasS CREEK TWP.
Date of Death,J.:v..n.E?..?.5.,J9.9..9 .
Appra£semel!t Docket Vol.,..??.
Page,?+..:::4.No..qJ..::.9..9~g..5..+..
Filed in Register's Office,eI.9-r.l1,~e :r.y ?9.~19 .7Q.
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appraisement,
Appeal f1'om Appraisement,..
Entered and charged,.
/
Flcc-toS (2'641
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMEIoIT ora REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
••
COUNTY OF__W~A...;;;S...;;;H;;,.;;IN;;;..;...;;;;G~T;.,;O;..;;N;..;-._
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This return must be completed In detoll ond filed In duplicate,with the Register of Wills In the County where the decedent resided within one
year after dote of death,unless an extension Is granted by the Secretory of Revenue.
Johnson
2789 iXot\x Street,Aliquippa,Pa.
(Address)
Will
Admn.No.19__I,_-:J"-O=s=--e::,Jpc::.:h"7:-:"G""'r=-:e.:,<gca.o=..s:::....-of
(Name)Misc.
being duly sworn according to law,deposes and says that he is the __-=E::x~e~c~U=7,t~O::..:l:...~-.,...-:c---:-~_
(Exec;.e,Adm.,Lejiltee,etc.)
of the estate of Anna Puhlek,a/k/a Anna Puhlik late of _-:C:..:r.:...-.o::.,:s.:...:p=-~-:L:..:r:....e::...e=,:k=---=T=-:=o::...w:..:...=.:n=s:;;:h=.liPc--_
(City,Borqugh,or Township)
deceased,and that the whole of the estafe of SQid decedent,who died on __.....!JLu~n~e-'2~5....,_1~9!L!!!.S:d.9 _
(Date)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair ma'rket value of the assets and
no Pennsylvania Transfer Inheritance'Tax is due,
Sworn and subscribed before me
.-;,J-f
the --J:~I---
Type of et:
Real E tate,Pers.
Property,Jointly
Held Prop.or
Transfers
ASSETS
(Attach additional sheets if necessary)
Description of Asset
Estimated
Market
Value
Department
Valuation
CAUT10N
(Do not writ.e
in this space)
Amount Approved
by Register
Amount
Claimed
$1,000.00
$
TOTALS
DEBTS AND DEDUCTIONS
Nature of Claim
I
Lot #37 in the Cross Creek Valley Plan of Lots
and Lot #11 in the Cross Creek Valley pPafi #2.
Said Lots being situate in Cross Creek Township,
Viashington County,Pennsylvania and having
erected thereon a one-story frame house.See
Deed Book 613,page 629 and Deed Book 731,
.~page~/~~~~O.p)J
atr.£ii1.1'-{5Jf.~~.P,\!~~y~~1c..0-J~'~...-76 P37 ..--.,11~61'JlP /y
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointe<llnherltance Tax Appraiser in and for the above County do
appraised the real and personal property as reported in the foregoing schedul t e v.s
the last mn t the right.
Dated:
St.John the Baptist Churc
DeAngelo Mortuary
Cyril W.Wecht,1'11.D.
,William H.Kittrell,M.D
Thomas Convalescant Horn
Pittman Funeral Home
Russell Marino,REgiste
Washington County Report.
Burgettstown Enterprise
Russell Marino,Register
Washington Hospital
Services
Ambulance
Service
Service -
Balance due for care
Services
Letters of Administration
Advertising Letters
Advertising Letters
Filing Inventory
Balance on Account
50.00
20.00
13.50
23.00'.
205.00
1099.00
10.50
14.00
8.00
3.00
50.00
____________..L-T_O_TA_LS_----L --l..._-L-.L4~_E.1!!!
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for the above County,do respectfully report that I have allowed
deductions in the a unts set forth in the above schedule as claimed,except where I have set forth a greater or lesser amount
;.'he 10,'.ol,m '0 e ,Igh',which g'eote,0'Ie....omo,.,,e.<e.e.,.Ih"f1!!.lowed o.0 ded..,!o•.
;t-7ZJ ~~~~
Register of Wills
Il
-
Will }
Administration No.Year__
IN THE
MATTER OF THE APPRAISEMENT
"
OF THE
ESTATE OF
Deceased
Late of _
County of _
......
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Commonwealth of Pennsylvania~~~'"".~;;;::J ;;::;I fenrr;.::0 "_-=:Qoc:_
REP[Rt;A''ftD AP~AISAL
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RCC-B I (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
JOSEPH GREGOS
(Executor abU~m~
IN YOUR REPLY PLEA8E
REFIER TO
J
In Re:Estate of ANNA PUHLEK aka ANNA PUHLIK
_______\!.!-vA2!:!S:.uH"-iI...I.:Nu.GL.JTuO.LJN~--County -File No.
Dear Sir:
63-69-1251
You are hereby notified that the original
appraisement in the estate of Anna Pub]ek a.ka .Anna pub];k
has been filed in the.office of the Regi~ter of ~illS qf .'l]ashiagton
County on July2 ,19'1.Q...Sa~d appra~sement reflects·the
following valuations:
Re alEst ate _--'-1..:..,_0_0_0_0_0_0_---.:.
Personal Property __~__
Transfers -'-.,..-__
Tota1 "'--...;....;..--']L-.j,-lO.,l.lO.,l.lO.,l...,.lO\"IJOIol--
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.
Da te __J_u_l~y_2....!j--::l:..:9:..:7_0 -,---:::::d _.~-...-.-C-H~I"':::E:"'F"':::.=-A'::;P'::'P'::;·::....::..••.::..=.=.;::.-.,:..•:::.;....==:::.::.
DATE OF DEATH:June 25,1969
ESTATE INSOLVENT
Note:This is not a bill.
I
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of PUHLEK aka PUHLIK ANNA
(Last Name)(First Name)(Initial)
DATE OF DEATH 6-25-69 FILE NO.63-69-]251
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of ~vASHINGTON
Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B", "C",and "E".
Dated:_~O.;!l!2=-.>£0.eL2=-..L7.!o!.O _
REGISTER OF WILLS
Dated:_0.:.-7.:.--_0.;;..2;;:..-_7..:...0.:::.-._
REPORT OF THE REGISTER OF WILLS
IvA SH'rNGTONI,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 ater or lesser amount represents the sum
allowed as a deduction.
ENT
VALUE AS REAPPRAISED
$
ESTATE INSOLVESTATECLEARVALUEOFESTATE
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)
Valuation of life estates or
COMPUTATION OF TAXFORUSEOFREGISTERONLY
Tax on $--1__
Tax on $--1__
Tax on $----------+--
Tax on $----------If---
Tax on $~--
Exemptions=========t==Total Estate .....L..__
TOTAL TAX
2%
@
5%
10%
15%
*
$---------4--
$---------4--
$-------4--
$-------+--
$-------4--
$...l..-__
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death ::::::::::::!:I===
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $--...J
AMOUNT OF ESTATE TAX ASSESSED $--------lL-
Estate tax paid $--JL-
BALANCE DUE $---J~
Add interest at rate of 6%from
------tto-----$-------1t=TOTAL TAX BALANCE $------1.
PAID $.....1
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration f No.
IN THE
Year .
MATIER OF THE APPRAISEMENT
OF THE
ESTATE OF
Deceased
Late of
County of
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
~.
..
,
Funn RCC--2
COMMONWEALTH OF PENNSYLVANIA DATE .."...lP.:Jy.....~..,.....J ..~.?.9.............................~DEP,,\RTME~T,OF.2EVENUE RESIDENT INHERITANCE TAX COUNTY 1vASHINGTON
Bu;,~AU OF COUNTY COLLECTIONS ...........................................................................................,....
APPRAISEMENT FILE NO.............§..~.:..~.~.:......!.??..!,.......HARRISBURG.PENNA.J712 7 ................
ANNA PUHLEK aka ANNA PUHLIK CROSS CREEK T\VP •
Whereas,.....................................................................................................................................................late of ...............................................................................................................
in the County of ..................WA$Hl..NQ.T.O'N.............................................................................Commonwealth of Pennsylvania,having died on
the ............................................~.5.t..h..................................day of .............,............~.~!.1.~...................................69 seized and possessed of an estate19............
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,V!•R.CHANEY an appraiser duly appointed according to law,.......................................................................................................................................,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
,
Unit Appraisement
I
Description of Asset Values Made for Inheritance
Tax Purposes
I .
$
REALTY:
As per appraisement filed 1,000 00
TOTAL L,OO(00
form::v:fh~:::rh~WorJl~l~~:~;o~e~~:~~~=":~~r~~~s:~e1~~:
AP~r.:::::.:::...::.:,:..:...:.....·.~~i'i"':.·~:::=~,=,......;~:~:.:
(POIt OfBee
"""-'-
WASHINGTON County
June 25,1969
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
....ANNA...PUHLEK,aka ..ANNA PUHLIK
Deceased.
Late of
CROSS CREEK TOWNSHIP
Date of Death,
Appraisemcl!t Docket Vol.,3.8..
P 21-4 T 63-69-1251age,IV o .
Filed in Register's Office,~.~~y.~..1
70
Amount of tax due,$..
DEPARlMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appmisement,
Appeal f1'Om Appraisement,.
Entered and charged,..
/