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OC1970-0512 - ESTATE OF KELLEY
My •, ' i\ffi~nuit ®f 1fxrrutnr ®r i\bministrntnr i;tatr nf Jlrnn5gl~ania. ~ 55: Ql.nunty nf lla5~ingtnn \ Personally before me, the undersigned authority, a .......... N.9..t.~.F.Y.: .... f..IJ.QJ..±.!?. ........................... in and for said County and State, appeared ............. ~~gY,;~.t.. .. ~ .. ~ .... §.J.?..m.9.n.9.9..: ..... ~1S.~.QJJ.t .. 9.r. ....................... who, being duly sworn according-to law, deposes and says that he is the executor or administrator of the estate of .... ~I~~J.AN .... ~.~~ .... ~.t.9. .. ~ ....................................................... deceased, that the foregoing schedules constitute a · I · · -d · f h 1 d 1 f LILLIAN KELLEY comp ete mventory an apprmsement o t e rea an persona estate o .............................................................................. , deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death, based upon a just appraisement of each item made by the above named Executor Administrator. day os=~=-~~{~~-:::~:d -~:~:J..Q.~ tM,.--:_?.S.t..!l. l··········-~-~~~---····· Commission .. i;;. . ..... e.-;~·--~~~~---INSTRUCTIONS . . . . .... l. An inventory must be filed within three months after appointment of personal representative. 2. A supplemental inventory must be filed within thirty days of discovery of additional assets. 3. 1 Original and 2 Copies and 2 RCRI-34, Under $10,000; 1 Original and 2 Copies and 2 RCRI-33, Over $10,000, including Copy of Will; 1 Original and 3 Copies and 2 RCRI-33, Over $50,000, in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P. L. 513 Sec. 5.2, 72 P. S. 4844.2 lhturutnrn aub .l\ppraisrmrut of the goods and chattels, rights and credits which LILLIAN KELLEY alias dictus , were of ...... Mr..~ ........ J..Qb.P. ... R ....... K~.l.le.y. .......................... Jate of . .N.or.th .... C.har.ler.o.L.B.or.o.ug.b ................ . Washington County, Pa., taken and made in conformity with the abave affidavit. DOLLARS CENTS PERSONAL PROPER~~: I. Cash in Charleroi Federal Savings and Loan Association Savings Account No. 1>7264 payable to August L. Sismondo, Trustee for Lillian Kelley, balance as of date of death. II. (a) Received of The Prudential Insurance Co. of American on Pol. # 28 537 849 and payable to August L •. Sismondo Executor of Lill'ian· Kelley. • • • • • • $217.80 (b) Received of The Prudential Insurance Co. of America on Pol. #2 320 768 and payable to August L. Sismondo, beneficiary the sum of $1 000.00 less outstanding loan of $534.05 •• REAL ESTATE N 0 N E • • 237.94 TOTAL 1;528 40 755 74 2,284 14 j, :,\' ·,;: . /Ot,t, ~ 3-7()-S/1_,/ Inventory and Appraisement IN THE EST ATE OF LILLIAN KELLEY alias dictus ·M'r·s .. : ..... J'ofl:n···'fr: .. ··keiie·y: ................................ . · File4··········_ .................. , ..................................... , _19 ••••••••••• "" ~~ .. --.l .. q :E ::n _::::o- >•-•a-." c_ r :r> rn c:: = t G.n G') • .:; r- f"il ::c (f) ~;, ""-.) ~ ;:;; E: --.J P"".-1?"} ;,.._J_---{ _.,._; I .. 0 0 -~---;:;:1 z ;:..... ::-:r "Tj ---0 ~ :::;.J 0_::;:_ r-z. -oro l> (f) r...n (..1"1 .~~..z,s-Z ~9 ~f· ~· I _, \"i ~ J _) •' ' - C!!nmmnumraltq of tlfruusylnauta. t ss: lhtsqiugtnu C!rnuuty. \ KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid on the 18th day of May A. D. 1970 , before me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, the last Will and Testament of LILLIAN .KELLEY alias dictus MRS. JOHN R. KELLEY, late of North Charleroi, in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and AUGUST L. S I S M 0 N D 0, the Executor in said Will and Testament named, having appeared before me and taken and subscribed the oath of office prescribed by law; NOW, THEREFORE, I, Russell Marino , Register as aforesaid, do grant these LETTERS TESTAMENTARY, unto the said AUGUST L. S I S M 0 N D O, committing unto him the administration of all and singula.T the goods and chattels, rights and credits, which were of said deceased, and requiring h i m to exhibit a true and perfect inventory thereof into the Register's Office, at Washington, within ninety days from the date hereof, and to render a just and true account of said administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said Office at Washington, this e i g h t e e n t h day of May in the year of our Lord one thousand nine hundred and s e v e n t y. ~~~ ......... d./.:/ .............. ~ ...................... . Register j 0 . '· '. .. 1.Grttrrn Wrntawutary ESTATE OF f ,. ! l ~·" !"'\ t·-i! l~!!J ' I L,. 1~., ,,,., p· '71 OCT 5 M1 9 38. HUSSELL ~"~i\f~lfiO LILLIAN KELLEY alias dictus . REGISTEr'~, OF WILLS MRS. JOHN R. KELLEY, r!t.\SH!NCTON CO., PA.· DECEAS'ED. ~2 ' y ' ' • II ~: I I I . -...... -..... LAST ~ AN~ TESTAMENT KNOW ALL MEN BY THESE PRESENTS, that I, LILLIAN KELLEY, a widow, of the Borough of North Charleroi, Washington County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish, and d~clare this to be my Last Will and Testament, hereby revoking any and all former Wills, by me at any ·time heretofore made. And as to all of my estate, real, personal or mixed of which I shall die seized and possessed, or to which I shall be entitled at the time of my decease, I give, devis~ and bequeath as follows, to wit: FIRST: I direct the payment out of my estate of all of the expenses of my last illness and funeral. SECOND: All the rest~ residue and remainder of my estate of whatsoever kind· and nature and wheresoever situate, I give, devise, and bequeath the same unto my good fri-end, (Mrs.) ANGELINE il ·~ GROSSI, to have and to hold the same unto her, her heirs and I ~ assigns forever. THIRD: I nominate, constitute and appoint 'AUGUST~ SISMONDO, Ex~cutor of this my Last Will and Testament, and I direct that he shall not be required to enter security in any jurisdiction in which he may act. IN WITNESS WHEREOF, I have set my hand and seal to this my ·Last Will and Testament, this 23rd day of --~N~o~v~e~m~b~e~r~-' One Thousand Nine Hundred and Sixty-six (1966). (' . I ~~I) ~ /(),, 0 f) •· ( ) ,_-;-'..-D[..-l-t-ct~--' . .// 'Lt): ... X..cLJ , SEAL LILLIAN JffiLLEY ;-- S1.gned, sea led, published and declared by LILLIAN KELLEY, the above named testatrix, as and for her Last Will and Testament in the presence of us, who at her request, in her presence, and in the presence of each other, all being present ~t the same time, have hereunto subscribed our names as witnesses. ')I ~ I Address ____ t_.~-·~1~~~--,=~~~-~·~~:-_(~--~:_c~1 ____ __ ··--1-WWWIW t' 1 II STATE OF PENNSYLVANIA, WASHINGTON COUN"rY, The within named Accountant being duly sworn according to law, depose and say that the above account as stated is true and correct as ____________ h~--------------------------verily believe. Sworn and subscribed be•fore me this ____ 2_4th _______ _ day of __________ ----~_p~J) _______________________ 19.TL ___ _ Washington County, ss: .... 0 ...., l=l ;::l 0 oi C) ~ ~~ C) "dl 0 < s::: +l o: :;j ~I Sl 0 Dli <1> or~: >< r;., >t ....:t (/)! r:z::l 0 ril er <( z •: ri 8 ~! <!l ~ H 8 ~ IZ.t ~! +li rn N ril A Dli z z :;ji c:t; < 00 r! H :;ji ....:t 8 ~j ....:t Cll H !t: ~ ....:t H 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 Statute and Rule of Court as evidence by proofs thereof filed to No. Ia.~~?-f-:: __ 3_8_0 ____________ _ Witness my hand and official seal this ____ 3_0~------- day of _____ _ ...., ...., .... >=: ::l 0 ol 0 ...., 0 >=: d 0 ::l Q) 0 .<:l C) ,...~. . r-.. ,. ("\ "1 ...., C) . I < 1, ... l ~ ·~ 1.: " 0 I ...., ! ~ .., .... : 'l I flPR » .!"'. r-" I 0 Q) r: ·s >=: .... iE 9 N 0 t : ~ ril RU ~-:) ·: ' ' <I -,. (\ '1:1 • ' l \ ~ I >=: REGIS r L~ i \ C• r:· \. ,· ! ~ (' i ol " ' • • ' ~ * ... .,,) ~ = : .... \'1 t~ s ' i ! '! :· ··-", '·J CJ., ').~ -~ Q) •. , t..r._ILI _g ...., rn ~ '1-\, ...., 'bb 0 ol ...., s Q) Q) ~ i:J: .<:l .!::: ...., .... 0 l=l~ ~ ~ t Q? ( ~ (? ~~ ~/ ~ IZ.t '1:1-M 0 1':1 : I z < ~ \ I \ "' - : -- "' I •' ' I -y J -, ·f 1 • " J , ~ , ... , . . , I \. ..... ' \• v - :_ : j "' The Court is respectfully requested to determine proper distribution in...this estate. I / \_. ... NO. (;g -7 tJ -6-/ ~);'!!= FIRST AND FINAL ACCOUNT OF AUGUST f~ SISMONDO, Executor of the Estate of LILLIAN KELLEY alias dictq.s ~· JOHN .!!..:_ KELLEY, deceased, late of the Borough of North Charleroi, Washington County, Pennsylvania. The Accountant is charged as follows: ·--........ ------.... ------..,.. --------------- I. II. III. To balance of estate-per inventory and appraisement filed 7/27/70 ••• • • • • .$ 2,284.14 1970 Interest on Trust Account in Charleroi Federal Savings and Loan Association •••••• • • • • • • • 5/12/70 -Received of Washington County Home for Aged Women -Balance in personal miscellaneous spending account • • • • • • • • TOTAL ASSETS. . . . . RECAPITU~TION Total Assets of Estate. . . . . Total Credits claimed by Account Balance of Estate • • • • • • • 76.86 228.00 $2,589.00 $2,589.00 l~:Z:03.6;? $ 885.35 Date 5/16/70 6/24/70 6/27/70 6/27/70 7/25/70 7/25/70 7/25/70 8/29/70 '4/24/71 4/24/71 4/24/71 4/24/71 The Accountant claims Credits out of the Assets of said Estate, to wit: Trustee Check 102 103 104 110 111 112 114 121 123 122 124 Payee Francis C. Slezak Washington County Reports Francis c. Slezak Valley Independent Betty J. Sweeney Russell Marino, Register August L. Sismondo Alex A. DuBart( Betty J. Sweeney · August L. Sismondo Russell Marino, Register Russell Marino, Agent Purpose Amount On account of funeral bill $ 568.00 Advertisement of Letters testamentary Balance of funeral bill Advertisement of · Letters testamentary Trip to Washington to witness· will Filing inventory and appraisement Money advanced to probate will and 2 s.c. Panel on Kelley Memorial Cut "70 ' Notary fees Attorney fee and Executor fee Filing account On account of inheritance tax TOTAL CREDITS 14.00 688.40 10.75 15.00 4.00 11.50 18.00 7.00 250.00 17.00 100.00 I r '~~@!Ill «:®llllllll!ty ~~J!ll®llits . "9'9"Sev:FH='MJIIAf!F!n!REG=F 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} STATE OF PENNSYLVANIA SS. Personally appeared before me, a Notary Public in and for said County and Commonwealth, CHARLES C. KELLER, who, being duly sworn, deposes and says: that he is the Editor of the WASHINGTON COUNTY REPORTS, the official legal periodical for said Washington County, publis'hed weekly having its place of business at Washington, Washington County, Pennsylvania, and is act- ing as its agent in t'his behalf; that the said WASHINGTON COUNTY REPORTS was established on March 31, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or adver- tisement attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: .... ~-~-~-Y. ... 3..! ..... ~.! ..... ~--~-!. .... ~--~Z~.?. ......... .. 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 allegations of Estate Notices The Register of Wills has granted letters, testamentary or of administration, in the · following estates. Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t:hem for settlement to the Executors or Admin- istrators or their Attorneys. • G e e e e e e • e e e e • e •• KELLEY, LILLIAN, alias MRS. JOHN R. KELLEY, Dec'd. Late of North Charleroi, Washington County, Penna. ·Executor: August L. Sismondo, 337 Fallowfield Avenue, Charleroi, Penna. ,h,. ·ffi'"'' .. ,. ,~ tim•. pi·~ 7}/l:z).:L~:::':?!l:·za ~ ~-· ----------LEditor----- Sworn to and subscribed before me . ~ --___ J_~fZ~-~.---day oL}~J.Y. .......................... , 9 :.------------ ~ ' . ..... /..~. ;cN._,::k~ .. C!-... 2:.-!L--~ Notary Public KATHEfHNE C. NICHOLAS, Notary PubliQ Washington, Washingtcm Co., Pa. My Commission Expires Novembir 1,· 1973 --------------------! .. 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 } u· County of. Westmoreland , w Personally appeared before me William H. Pore, General Manager of The Valley Independent, who being duly sworn, deposes and says that The Valley Independent is o doily 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 o 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 Volley Independent on the following dates,w May 2S, 1970 June 4 and June 11, 1970 Affiant further deposes and says that he is General Manager of The Valley Independent, a daily newspaper of general circulation, and as such is authorized to verify the foregoing statement under oath, and Affiant is npt interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication ore true. COPY of NOTICE ( i.7ti"ers-tesfameniary on the mate -of ;.illian Kelley alf,as Mrs. John R. Kelley ;late .of North Charleroi, Washington 1 County, deceased, having been granted' !by the Register of Washington County, notice is hereby given to all persons i~·1 debted to said estate to make immedl· ate payment, and to those having claims' .against the same to present them wifh.l out delay to August L. Sismondo, execu-' ·tor, 337 Fallowfl<eld Avenue, Cttarlerol, ~Pa. 5;28.6;4,}1 MQN VALlEY NEWSPAPER, lNG. Lf~~o.· .,.__....--r-rr-~1. u---~u ·. 4. (,{,' . 0 • fliA.,.u .,.JIM .. ...., ... ,... .. ,~.,... Sworn to and subscribed before me this · _ __.1~~::2"-lt~h:t-.-____ _ day of _J_un_e __ , 19 70 • {i~ a.t~/ Notary Pubiic MARY A. EVANS, Notary Public My commission expires---ll'"',.,.,.w.r....-._,=,_..--.,.:~~~---,v,onessen, Westmoreland" c.,., Pa. STATEMENT OF ~V~I~Ciired3TSIP· 1973 Augyst L. Sismondo, Attorney · .3 37 Fa Jl owf1 e Jd A venus Charleroi, Pa. 15022 TO THE VALLEY INDEPENDENT, DR. For publishing the notice or advertisement attached hereto in The Volley Independent on above stoted dates ........ $ 10.00 Notary 0 0 0 ••• 0 0 0 ••••••••••••••• 0 0 0. 0 .' 0 0 0 0 0 $-__...;;.•..;..75;._ Total ...................................... $ 10.75 RECEIPT FOR ADVERTISING COSTS The Valley, Independent, a daily newspaper_ qj general circulation, hereby acknowledges receipt of the aforesaid odverti~ing and llublicotion.costs and certifies that the same hove been duly paid. ~-· . THE· VALLEY INDEPENDENT 8~~.---------------------------- ' • 1Jn t}fr ~rp}fanB~ Qinurt nf DlbtB}fingtnn Qinunty In the matter of the Audit of Account in Estate of LILLIAN KELLEY No .. ___ _ 63-70-512 '19 __ , ~-A. alias dictus Mrs. JOHN KELLEY TO THE AUDITING JUDGE: Enter my appearance for ___ ~A:..:c~c~o>!...!<u!.!n.LWtc.s.a..,no.A...Iot'------------------~-- /) -ii~ ,L-;;n Jfh L11 !LAAlVLilJ 13t"'h dal of Septfm~e; . , 19-ll 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. J r 1, E Q f"' ' f • .. "+ft~ """''Ii Wi·., t71 on r,'j -. Ml9 38 R US S :: :. L y r.JU N 0 REGiSlEH OF WILLS WAS 1-! iN C1TO N CO .• PA. No. __ 63-70-512 , 19 __ , A.A. In re Audit of Account in Estate of LILLIAN KELLEY alias dictus Mrs. John Kelley, dee 1 d. AUDIT Jrattipt fnr i\pptaraurr FOR AUGUST L. SISMONDO, Rxecntor Attorney \ Testate Form PETITION SUR AUDIT IN THE ORPHANS' COURT OF WASHINGTON COUNTY Estate of .... L.IL.LI.AN ... KELLEY ... alias ... di.c.t.u.rs ..... . N 63-70-512 0.-----------------------------------------------------------------. }'!~-~-~---~-9.~~--~-~---~~-~--------------------------------------------· Fiduciary .... ~Q(!.J.}_$.~ ___ j:,._! __ J?JS~QNP.Q _________________ _ ________________________________________ Ex.e.cutor. ____________________ _ Deceased Date of . Date of Deced¢nt' s death ...... ~R-. .r.G.h ... ?J.l ... l9.7.Q _______ --________ .. __ . ___ Grant of Le1tte rs ... ______ .. M.ay ___ l.8.,._ .. 19.7.0 .. ________ . ______ .. __ .... _ This is the ....... f.JJ1S.~ __ l\NP.j:J-~'JN~---------------------------------account filed in this estate If there have been former accounts filed ·in this estate, list file number' or number and term .... -------------------------------- ·-----------------------------------------------------------N.C?..!!-.~------------------.-----·--------------------------------------------------------------------------------------------- Election to take Dote Election Place of; Under or Against will. (cross out one) Filed _______ N.<?..D.~-----------------Record .... N.<?..D.~---------------- Nome of surviving spouse.-----___________________ .. N.QJ1~ ... __ . ___ .... --------__ .. ___________ ........ ---..................... ___ .. __ ..... --' ....................... . List issue, where material: None Did decedent rr1oi-ry "a'ffei-'execution of will? (indicate) Yes. No. Any children born after execution of will? (indicate) "" , ... ' • • .. .. <) '6e:x. No. If answer yes, nome them ___________________ : _________________________________________________________________________________________ -------------------· Leg.atees Relationship Interest Fiduciary, if deceased or not sui juris (Mrs.)Angeline Grossi None Total Sui juris List, if exceptions to above: Adeemed: · Revoked: Lapsed: Abated: Give Couse: N 0 N E If partial intestacy, give facts: N 0 N E Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled· to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. ~X If t . - . None any excep 1on g1ve cause _____________________ :------------------------- File copy of Notice and date of mailing .... N.o.n~---~---C.Qpy ___ o.f .. aac.aunt ... d.e.li.v.er..ed .. t.a .. .An.geline .. G.r.o.s.si ... Qn ... da.t.e ..... . of filing account. j Is estate subject to the filing of a Federal Estate Tax Return? ....................... N.Q .......................................................... . Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $ ....... No::-.On .. a.c.c.t .... ~.$l.OO ... OO. ..... . If the Will makes any portion of estate subject to a life-estate, give name and birth date of life tenant ..................... . None Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they are admitted to be correct; and whether the claim is denied. N 0 N lit Give reference to such parts of the will as require interpretation by the Court; a reference to all questions re- quiring adjudication, and a statement of any other facts deemed necessary for the preparation of the adjudication: N 0 N E Balance for distribution per account, Itemize any additional debits not shown by account: Interest on Savings Acct. No. 17264 Charleroi Fed. Sav. & Loan Assn. 3/29/71 ••.•..•.•• 20.06 8/28/71 ••• 0 •••••• 20.31 Total additional debits (Add) Itemize any additional credits not shown by account: Total additional credits (Subtract) Balance for distribution $ ..... $ ...... 885.,3.5 ......... . $-------~Q-~-~.7. ................ . $.· .................. ::?:: .......... . $ ............ 2g_?._~.7.?. .......... ' If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); Cash in bank~ •••.•. $925.72 ': ' ~¥ -... r. -~ ~ .... If Family Exemption claimed by Petition, give place of Record: ....................... NO----·--·--···········---·-------·--·----·-··--·--·-···· If Family Exemption is claimed at audit, give name, relationship and basis for Claim: .. None ................................... . List any advancement or distribution on account that has been made, and nature and amount of same: N 0 N E Suggested distribution of balance shown, both as to principal and income, attaching signed and itemized elections to take in kind if balance is not in cosh: residuary shares being stated in proportions: Angeline Grossi • • • • • • • • •• Residue COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, being duly ....... ;:!~_Q;r.:tL ................. doth depose and say that the facts set forth in the foregoing petition are true to the best of .......... DJ.~L ............. knowledge and belief. -----------······-·····~~-?.~!:1-............. to and subscribed before me this .. Jlt.h .... day o~--.---~~P..t.~m~~-~.----7-· ..... 19 . .7J .. s;gnatu'e of Offke'-~~~ Title of Officer ........... ~S?Jg __ 'J!. .•... !J.C.J.i.Q ................ .tl. Office expires ....... .J.!JJ.Y...3l, ... J.975 ........................... . And your petitioner will ever pray, etc. ___________ a~·t--~~ll!l?i~f:mYft:t\ _________ _ Executor . ............................................................................................................... .. . ¢ ., ~ No. 63-70-512 Estate of ...... klJ....LIAN ... KE.LLEY ................. . alias dictus Mrs. John Kelley Deceased Fiduciary ......... ~:tJ.qJ:)"_~?;' ___ ~.! ... ~-~~-~Q@Q _____ _ ................................................. --........ ----.. --.. --...... -............ ------.. -.. ----.... -.. ---.. . PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following, in con(ormity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written· praecipes of all Counsel in the case. . 2. Copy of order. appointing Guardian ad litem, if pertin~nt. 3. Copy of Order appointing Trustee ad litem, if pertinent. 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A. or an attest copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of I iens in case any of the funds for distribution are from judicial sale of real estate. 9. Signed and itemized elections if any distribution in kind. 10. Copy of Federal Estate Tax return if es- tate is subject thereto. Attorney ~2 1.) + . ~ ... ! •. ··~-, "'4[} I i ·~ L ·-I' ' 7 I DC T 5 flt1 9 3 8 RUSSE:L ~ ~.:,\i'<JtW REGISTER OF WILLS V/,6.SHIUCTON CO., PA. .· •\ :.· ,.._ ' --... ·. --i_ // _____ ___ -/-- IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNA ORPHANS' COURT DNISION <( z <( > -I >-Ill z z Ill II. INRE: Estate of /' LILLIAN KELLEY, Deceased. i BEFORE: e ~ z i Ill ~ ti APPEARANCES: i .. Ill Q -I <( §TIME: D :I ., :1: ~ "' ( ) ( ) ( ) ( No. 512of1970 HEARING ON AUDIT The Honorable P. VINCENT MARINO, Judge of the said Court. AUGUST L. SISMONDO, Esq., of Charleroi, Pa., representing the Accountant. Wednesday, September 15, 1971, at 10:00 o'clock A. M., EDST. J ui a: THE COURT: The second estate is that of Lillian Kelley, decea~ed, 11:1 .. a: 0 ~ at Number 512 of 1970~ T1:fe Executor is August L. Sismondo and 0: .. a: :I 0 u -I <( u iL IL 0 . the attorney is August L. Sismondo. And as stated, he reports that all relevant papers have been filed with this Court and that there are no problems for adjudication by the Court. Is there anyone presEnt who is interested in the estate of Lillian Kelley, deceased? ( NO RESPONSE ) THE COURT: The audit of this account is ordered closed by the Court. ( AUDIT CLQ:; ED ) -· 1., • ¢ ~ ttaU; oat! at;el.:irotel.v Ia tb~ o;rtoo toftoo Q; m• ou the btto11.o£! or tbo-nbc>~o ~.o e • .I )o Ill ~ ou \!lOt lt:tto r.:op;y to o . oa-eect troao~rtpt or t:!lc cO:t1•· Ill D. i 0 ... 0 z :c Ill < 3:: .,: u i .. Ul D ..1 < Q D :J ., :z: ... ,.. Ill -Br ttl¢ C':()u!'l .. "121.k~.( . ' . \ '. r~ _,-a· ~c '} a: . ~ ..... -J (.-: r.' ~. ) .. ~ ('::\ t·j -.... ~ ... '-, :t:n ,, -· • ~ c..:::;:, !...V c:o In t!Jt Q!nurt nf QLnmmnn Jlrns nf llns4itt!ltnn QLnunty. Jrnnsylnnnin, ®rp4nns' <ttnurt Bittisinn No. 63-70-512 ESTATE OF Lillian Kelley In the matter of thg..e _F_i r_s_t_a_n_d_F_i_n_a_l_ deceased Account of August L. Sismondo Executor ADJUDICATION AND DECREE And now October ~ , 19_1!_, this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon du·e consideration there.Qf .thELbalance for distribution in the hands of the Accountant is determined to be $ ~22. • .1.2 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 port hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. ,.SCHEDULE OF DISTRIBUTION Balance per account ________________ _ Additional debit ask~d at audit 40.37 Balance--------------------- Deduct Clerk's Costs & Receipk':i--------------11.00 Attorney ____ A_u..:::g;....u_s_t_L_._S_i_s_m_o_n_d_o ________ _ Russell Marino, Agent, trensfer inheritance tax, $.42 Int~rest from 6/21/70 to 10/14/71 .01 Angeline Grossi, residue, cash, 914.29 No balance J ~· ~ '---., ~ r -~ i""l - ' J ~ In the matter of the '7 I OCT ~ Ai1 9 3 8 L- Account of , . of Estate of i\~jubiratinu aub il.rrrrr ~· ~\~ '- T RUSSEL: :.';.;:li10 f1 EGIS T E f, 0 F ;·; l L L S \'!AS H ! 1'-l(, T 0 N CO .• ,p A. ,.. ' .1 -I '-v (' / ~ L. / [..· . . . L-1 ·I L ------, (' '<.. ·' 4 ,, ------~-- IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNA. ORPHANS' COURT DIVISION NO. 63-70-512 ~====================~! Estate of LILLIAN KELLEY alias dictus Mrs. JOHN KELLEY, deceased. PAY TRANSCRIPT --r- r-~· AUGUST L. SISMONDO ATTORNEY AT LAW CORNER FOURTH ST. AND FALLOWFIELD AVE. CHARLEROI, PA. The Tuttle Law Print, Publishers, Rutland, Vt. -,. .. ., .·. ·- ._ \ ' . .l> .... - IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY, PENNSYLVANIA ORPHANS 1 COURT DIVISION ) ~ dictus Mrs. JOHN KELLEY, ~ ~ IN RE: Estate of: LILLIA~ KELLEY alias deceased. NO. 63-70-512 FIRST AND FINAL ACCOUNT Adjudication and Decree dated October 4, 1971 PAY TRANSCRIPT And now, October ~y , 1971 received of August. !ismondo, Executor of the Estate of ~ · Lillian Kelley, dec 1d., Clerk's .\~~ Costs and Receipts. • • • • • .$ 11.00 ~,( £0 :.~. lerk 0. . .A.nd now, October ) I /', 1971 received of August t. Sismondo, Executor of the Estate of Lillian Kelley, dec 1d., transfer inheritance tax, Int. from 6/21/70 to 10/14/71 And now, November ''Z-~, 1971, received of August L. Sismondo, ExecutDr of the Estate of Lillian Kelley, dec 1d., residue .•.•••••••••• • 4 3 e_4 --' } J -?J;.._, rtussell Marino, Agent .)J.,r $914.29~~0~- \M,.J., Fonn No. RCC-62 (12-66) THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10,000, UNDER SEC~ION 701 OF ACT OF JUNE 18, 1981, EFFECTIVE JANUARY 1, 1982. (FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) . OFFICE OF THE REGISTER OF WILLS County of ..... 11~.:ff;£:NCYf'9.1-f ........ . G J-lc!!J--011 t J~7J-? . . . . . . . . . . . ~."QQ:U.~'r. ~,. ~+:?MQ~pq .............. of .3.37 .. Jf<?-.~~9Yl.t:t~.~9-. A'!·~···'-. ~l:?~P.~~F.C?t,.l?.· (Name) (Address) being duly _______ f?_~-<?..~!! _____________________ 3.ccording to law, deposes and says that he is the----~~~-<?-~~-~~--------------·----------------------. (Exec., Adm., Legatee, Etc.) of the estate of .... LJ.LL_l...AJ~.LJ~L.LID; ______________________ whose last residence was -~-Q7 ... .LJJ;H~_t:ty ___ AV:~D.Y.!L ________________ _ (No.) (Street) N ....... C.ha.:rl~_;r_Q_i.._J~~Q~_Q.!Jgh ____ .deceased, and that the whole of the estate of said decedent, who died __ M§..:rQ.b ___ 2_lJ ___ l970 (Ciry, Borough or Township) (Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA, WITH STATEMENT OF MORTGAGE ENCUMBRAN~ES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES, GIVE NAMES, ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value l\TONR - .. Personal Property I_.._ Cash in Charleroi Federal Savings and Loan Association Savings Account No. 172b4 navable to August L. Sismondo, Trustee for Lillian Kelley, balance as of date of death $1,528.4o.A.., j TT {a) Received of The Prudential Insurance ~!x.. Co. of America on Pol. #= 2ts 537 ts49 /;fj and oavable to August L. Sismondo · Executor of Lillian Kelley . • • . • • . ~ 217.tjU v (b) · Received of The Prudential Insurance r.n of AmP-ri.ca on Pol. #2 3.20 768 and payable to August L. Sismondo, hPnPf'i~iRrv the sum of $1.000.00 less outstanding loan of $534.05. • • 23I. 94 . 755~ -,, /( NOTE: You may expedite the processing o! 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 inust 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. --· l" -· . Estim~ted Jointly Held Property ;~ < Value ., ; -~-. '· N 0 N E . - ' Transfers within TWO YEARS Prior to Death . N 0 N E 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 NAM~ OR NAMES OF HOLDERS TO DECEDENT N 0 N E 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 E,STATE forth this fact.) DECEDENT .. Mrs. Angeline Grossi 341 Libertv Avenue ·, North Charleroi, Pa. 15022 None Y~s -0::-Total -. . . . . . . R~SIDENT DECEDENT DEBTS AND DEDUCTIONS CLAIMED NOT&. List first five items in the spaces so J!rovided, observe notations thereon, and instructions. DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN r-------~==~~~~~---------,-------------~--------------------.-----~--.--ro~EGISTERONLY Francis C. Slezak OTHER DEBTS AND CLAIMS Funeral expenses paid $ 1256 40 $ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Administration Expenses * Counsel fees * Fiduciary commission * (*) See Note below Total ..... ~~.'( .. ~~~-~~~~~.e:~.~ .. ~~~.r:~~-........ . (Street Number) Charleroi, Pa • • • 0 ••• 0 ••••••••••••••••••••••••••••••••••••••• 0 ••• (City or Town and State) is made in conformity with law on this ····~-~.,~ Ap~' In the event that any future interest in this estate is transferred in possession or enjoyment to collate I eirs 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. ..J ' I• ;- Fonn No. RCC-62 (12-66) Will 1 ..;5':/ -'1 Administration 5No. · .. /.o.t ... Year .)tJ. IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF LILLIAN KELLEY alias dictus MRS. JOHN R. KELLEY ....................................... Deceased Late of ... l'f9:r.t;h Charleroi ......................... County of ... ~B: f? ~.ingt on ..................... Commonwealth of Pennsylvania ...... ~ .. REPO:wt! :ArND APPlrAISAU ~rn~ --(.J) t;;;> ~ c_ Luit~ ;=: ~ ""-. ,., ,...... . '· ~ C.> rn ·-' -> l " t ::-t ~::o F-........ "~ ~·c. ....., l) :::~~ ~ '"0 ~ 0 ..• 3".> ~ 0-·~ ~:.:; : r= ~ -u: r C:J> > (/), -i ·. ,_,.., ~ #·' -.. / I Form RC C -10 • ... OFFICE OF THE REGISTER OF WILLS WASHINGTON OF--------COUNTY AND AGENT OF THE COMMONWiALTH STATEMENT OF DEBTS AND DEDUCTIONS DATE APPROVED /) 'l1/J 1'\..v~t-l' ESTATE OF LILLIAN KELLEY LATE oF -=-=N~o:.:r...::t:.!.h:......::C:.:.h:.:a:.:r:..:l:.:e:.:r::..:o:;.;i::..,~-...:P=-a:::..:..• _____ _ DATE OF FILING APPRAISEMENT 7/27/70 oAn oF DEATH March 21, 1970 DATI!: NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHs;IO! 6/24 rro 102 Washin~ton Co. Reports Advertisement o:r Letb:n.,R 14 ~~;~~ ~J~ Francis c. Slezak On acct. of funeral bill ~~~ 1 ()~ :Frann1R C Sl~zalr Balance of funeral bill 6/27; 70 104 Valley Independent Advertisement of letters 10 8/22 7 /2'1 7/25 8/2Q 4/24 4 /?4 4/24 4/24 lJ. hli 70 112 August L. Sismondo Probate will & 2 S.C. 11 '70 110 Betty J. Sweeney Trio to Washington to witness will 15 nu.r:~ r:n:: J. J. l'lct.L· J.uu Filinf inventory and 4 70 111 Register of Wills aoora sement r1o 114 Alex A. DuBart Panel on K~ll~v M~mo-r>il=l1 ' Cut 1970 18 V71 121 Betty J. Sweeney NIP fees 7 V71 1?? Russell Marino, Reg. Filing Account 17 V11 123 August L. Sismondo Attorney's fees 250 V71 124 August L. Sismondo Executor's :fees-~ A~Zent On account of ~() V71 1~£:; Russell Marino inheritance tax ., '..:... ' I ( LVLIVI~ec~c~r II - ' COMMONWEAL~H OF PENNSYLVANIA }so: COUNTY OF ___}lASHINGTON 1, August L. Sismondo, Executor HEREBY cERnrrv. THAT. To THE aEoT oF MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRU I! lilfATEMENT OF DEBTS, FUNERAL EXPENSES AND EXPENSES 01' ADMINisTRATioN suBMITTED To THE ESTATE oF Lillian Kel~le ..oEcEAoag, As DEDucTIONs P'OR INH!RI_TANCE TAX PURP08E8. f7i/i ~~ (L.S.l -=:..!.:::.:.:....-DAY Of' 00 gg 75 so 00 OdJ: 00 00 00. 0,0 ~) _../ 0(.) -· ' I I < ., ~,_·;,I ,'\ ,:,; 'j. . ' ,, 'j_ _, -'.L \ , .. ,,, I \ '.L ' . ...... ....~,... ~··-,, ... . r~\ u \ . ,_l_.J;.•' ~?H "1.,, .. .. ' .L ' ' .. '--·, _?fj ·:._, ~·· 'i 'j_ -Jl ,·, 1 ·\ ·, _, I\ ~ ••. ·' 'J. • 1 .~ .... .... L.. ........ \ \l.\'\' \ ?.~ ,• .... ,, ........... , ... •• R C C-81 (2-64) COMMONWEALTH OF PENNSYL VAN lA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT AUGUST I, 1 SJSMONllO IN YOUR REPLY PLEAGE REF'IER TO In. Re: Est ate of __ __:L:.=I::::L::::L::::IA=N_K:.::E:L~LE=Y~·. ------ ____ ..;;:.W=AS=H==l=N=G=T=O=N ____ County -File No. 63 .... 70-512 Dear ~trs1. Sismondo: You are hereby notified that the . original appraisement in the estate of Lillian KQlley has been filed in the office of the Register of Wills qf ty'o.sbington County on . August 19 , 19..10. Said appraisement reflects the following valuations: Real Estate ---'------------ Personal Property __ ~2~,~2~8~4~.1.4~· ____ Transfers ___________________ __ Total _________ ~~2~,~2~8~4~•l•-~4~--- 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 (5%) percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date ______ A_u_gu~·_s_t_· _1_9~1 __ 19_?_0 __ _ Signed Title DATE O:F DEATH: March 21, 1970 Note: This is not a bill. j \ RCC-~ (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT . <' SUMMARY Estate of KELLEY ' (Last Name) LILLIAN DATE OF DEATH 3-21-70 FILE NO. 63-70-512 (First Name) (Initial) 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: ___ __,8....,._-.,~..] ~9-=-,_.7_..0,___ __ _ REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for Washington County, Pennsylvania, do respect- fully report that I have allowed deductions in the amounts claimed by deponent, 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 zz::reater .. r lesser amount represents the sum allowed as a deduction. · Dated: 8-19-70 . . · . ~~ REGISTER OF WILLS INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $ $ $-------+--2.284 14 Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or 1 256 40 1,027 74 annuities . . . . . . . . . . . . . . . . . . . $-------+-- ESTATE TAX ASSESSMENTS $ _____ ..J___ 2 284 14 1.256 40 1,027 74 FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tax on $ $ --------==-=-...,....--+-=,.-,.-'- $ ___ ....:!1:-l!.5;::!;..4~1:..!:::6_ Taxon $----------~~~_,~1-, Taxon $--------------·---4---- Tax on $ ---------------+-- Tax on $ ----------------+-- Exemptions=======~l== Total Estate--------------~----- TOTAL TAX * $---------~-4--~ $ _________ -4--~ $ __________ -4--- $---------~--- Less tax previously paid $=====~== BALANCE $-----+--- Less 5% of tax if paid within 3 months after death $=======:::=:=== Add interest at rate of 6% from -------to ------ AMOUNT OF ESTATE TAX ASSESSED $------+--- Estate tax paid $ ______ ----J'---- (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE DUE $ __________ _J __ __ Add interest at rate of 6% from ----------~10---------$-----------4---- TOTAL TAX BALANCE $ -----+--PAID $ _____ --~..... __ 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 .. LlLLlAN .. I<:ELJ;.EY .... Deceased Late of . .N. CJIA~J,.EI{()l County of . Wi\SH.INGTON' '-'! Commonwealth of Pennsylvania REPORT AND APPRAISAL .., • j ~···- -~ ,... ~ ). - ~ ~ J ";~ ~/ . I I_ ~ ... \ '·) '}. ' Fonn RCC-2 < • ., . COMMONWEALTH OF PENNSYLVANIA DATE .. .......... A:u..gu.s.t ...... l.9 .. , ....... 1.9. .. 7Q .............. .I ' . . DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX ............. ~.~-~-~-~.!J:.g~-~.!1. ................................ COUNTY Btrn.EAU OF COUNTY COLLECTIONS , . .-. APPRAISEMENT ........ 6.3.~ .. 7.0.~ .. 5.1..2 ........................................ . HARRISBURG, PENNA. 17 12 7 FILE NO • Whereas, ...................... t.i.l.l.i.~.n .... .K.~.l.l..~.Y .................................................................... late of ......................... N..! ...... G.h~~.l..~.r.9..;i ................................. in the County of ................................ W~.s.h.i.ng.t.o.n. ............................................................. Commonwealth of Pennsylvania, having died on the .............................. 2l. .... s.t ............................................. day of ............... Ma.r..c.h. ......................................... 19 ..... 70, seized and possessed of an estate subject to Inheritance~ Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, .............................. :W..,..R ......... C.ha.n.e.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 rate on any such future interest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purposes $ BERSONALTY: See CO'PY of a'P"Praisement filed 2.284 14 I ' ' I ),. ~ . . . .. I ! -. _T_o_tal 2 ?.84 114 form~;"!:;~h '7,.~ ~:%:Sw<>l"lla"/)~~: ~:; 0~e~~by~~;:~t~:;~~ ~~·~tis ~·~• 1~-"« .:._ WASHINGTON H •••• County . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ~:I::I:.~!.AN ... J\.$.J.:I..$.X ............... ·····H······················ Deceased. Late of NORTH CHARLEROI ............. . ............... , .......................................... ··············· ............... .. .., Date of Death, ..... M~.r.9..l.l. ... ~.l.., .. l.~.7Q ................ . Appraisemel!t Docket Vol., 38 Page, ..... 1.3..~6 ..... ····H····· No .. 6.3.~ .. zo~.S.l.Z. ....... . Filed in Register's Office, AMgY..$.t. ..... l.~ 19 ... 70 Am.ount of tax due, DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appraisement, Appeal ft'om Appraisement, Entered and charged, r: ' • >· I l I . ' --· - ' ~ l~ 9 7 1 ocr r ~.11 9 38 ' ' ~ n U E, -~> ~-, !.. i·~!i /,:::\ f N 0 I~EG!STL:H OF \'/lLLS WASHINCTOIJ CO., PA. ~ -· ' -~ ,) ~· .., . _:) ~' 7 _, ' . • 1-= '!I!'!"'" .• ..-:• ]I ., RCC·4 (8-68) COMMONWEALTH OF PENNSYLVANIA * DEPARTMENT OF REVENUE N0.8 11684 OFFICIAL RECEIPT o PENNSYLVANIA INHERITANCE AND ESTATE TAX I RECEIVED FORTY" THREE CENTS----·---.................... -.... --.. -....,_ ..... __ ... ..,..,..,_ ... _ .................... _,.._.., .. _ ...... dollars representing Pennsylvania Inheritance or From: ATTY. AUGUST SISMONDO Estate Tax due from the following estate: Address 337 FALLOWFIELD AVENUE 2% Tax on $ $ CHARLEROI, PENNSYLVANIA 15022 6% Tax on $ $ File No. 63-70-512 Date of Death 3-21-70 15% Tax on $ 669.49 $ 100 .. 42 ' Date of Payment October 12, 1911 %Tax on $ $ r-- Estate Tax, Act of Name of Decedent LILLIAN KELLEY May 7, 1927 $ County WASHINGTON TOTAL TAX CREDIT $ 100.42 ' Less five percentum of tax if Prev. Pd. 100.00 Remarks: paid within three months afterBal. Due .42 JMO date of death $ ~· Plus interest at the rate of J ' j _6_% from 6-21-71 to Date $ .01 lJ 00 ~ [p [L ~ © illlr rn S E A L TOTAL AMOUNT PAID $ • 43 ..--~ NOTE: This Triplicate Receipt to be retained for a~1~6 ( -,-<!. _jJ_ (/( " . Received bY'~--~-.:._,v::-•. r;::,., ) f _,~._..,_.A-.......0 NOTE: In accepting the transfer Inheritance tax on future estates, prior to the death of the life ,., .J_jSigna~) J • j tenant or tenant for years, as evidenced by this receipt, it Is understood that the Commonwealth shall I ' . I 1 , not be precluded or prevented from hereafter assessing additional Inheritance tax at the death of the ·'-(!YJ.J:.J .,_)~ .-/ V _ . ..}_j~ life tenant or tenant for years whenever it appears that such additional tax may be legally due and /\ (T'tl'') collectible for any reason whatsoever. · 1 ~e