HomeMy WebLinkAboutOC1970-0515 - ESTATE OF ROZICKR~C-/134 ( 1·69)
COMMONWEALTH OF PENNSYLVANIA
• DEPARTMENT OF REVENUE
•suREAU OF COUNTY COLLECTIONS
' INHERITANCE TAX DIVISION
OFFICIAL NOTICE o-r= INHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO: _ _..J ..... O,...SE_.P.....,I...._t _.,R"""O_Z_lCK.IK...._·---· ------
304 S. ·McKEAN A VENUE
DONORA, PENNSYLVANIA 15033
Date: _ ___::.::M.:::::fil"::....:C:::.!:h=-.. -=1~2..~..., ....:1::::..:9:...:7:...::0~. -----'-
County __ W_AS..._H..._I---N_G.-:.T_ON _____ _
County File No·--------~
Bureau File No. t .5-/0-s?S7
.
We have received notice that,~~~
on Feb'• ]4 19-20., you came into ownership of certain property throug · • · ... ·. · .. · · · · · ·
transtet from ANTON F. ROZlCK, D~c$a$ed.
Under the Inheritance and Estate Tax laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you, as transferee.
Th h. h - h b d . f Jt. Bank Acct •. 165•23140 held in e p~o~erty on w 1c tax IS ere y assesse cons1sts o : · · · · · · · ·
the MELLON NATIONAL DANI<t DONORA OFFICE; DONORAt. PA~, in the n&P\t$ of ANTON
F• R01ICK or JOSEPH ROZICK. Opt®d-·1•29.,..68. . Dalacce as· o.t date• ot ditath,
$16.620.29
appraised by the Commonwealth, as of the date of death, at $ 16.620.29
_..;;;..50-..· % of this amount is taxable at the rate of 6 %
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS: ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF TAX DUE
0 If you pay the above amount within three (3) months
of the date of dea.th of the decedent, or on or
before }fay 14 19 ?0 you may deduct a
discount of 5% of the amount of tax due, or
D This tax became delinquent, fifteen (15) months
after the date of death and, in addition to the
tax, statutory interest at the rate of 6% of the
tax per annum is also due as of *-----
l9 __ in the amount of
*If the tax is not paid by the above date additional
interest is due at the rate of 6%. per annum until
paid
$
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
$ _ _:S:.z:t..:..:3l::...:0:....:.•..:::.1S~· __ ?o.VJ:.I ?~
49&.61
$ :::::::::::====8==a==J==~t=f====
APPRAISED BY: ASSESSED BY: ______________ _
(Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to: To insure proper credit to your account
this Official Notice must accompany
your payment. Mail or bring it to:
"R~ If JU..t~
tUUiffT FOR THI COMr.,ONWE/H. TU
COURT MOUSE
WASHINGTON, PEt~NA. 16101
If you have already paid this tax to an executor, administrator, attorney or other personal representative of t~e,
decedent for forwarding to the Commonwealth, lis-t belo~ the date paid, name and address of :the person l'o whom
you made payment, their official title and the amount.
Date Paid Name and Address of Pa~ee Official Title . Amount Paid
Under certain circumstances, if, after the date of death of the decedent, you personally paid funeral expenses
or other just debts of the decedent, with funds derived from the property herein taxed, such amounts expended
by you may qualify as deductions against the gross value of the property in the computation of tax due. If any
such expenditures meet all of the three following tests, it is recommended that you itemize the payments below,
execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow
those which he determines to be proper. The tax will then be recomputed and you will receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1 -You were personally legally responsible for these debts, and
2-You actually paid these debts out of the account or property described above and can furnish proof
of such payment, if required, and
3-These same debts ere not also claimed, for tax purposes, by an executor, administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation Amount Paid
'i-/d-2t1 ~,_. /) ...?. o.-t.i.l JoL.. 0 'S ~ ~ .4 .4 --v~_, ~ ._.J)A .;;?.;<y6-~
q -C',./Cl ::z. ..... / .A ,vi-. .?k. C?,.J -7/i_ J) .. -~-... -# OJ'.;.<'~~ '-:
.,) -/fi-7c? ~(;-J a .4ft. /),(; ~ l ....fJ I' "71 # ~ ;;y /67/.?% ~
~-/5-lc/ (?I .• L ....(/ ~ ./. .,., .·P I
2-:urlc;:J ~-~ '7~-J. '/.?c. " Jr"'JJ ~a.....
~ -/~-7P () ~P.J ~ f) "' _;;.._p_ .£# ~]! n..L ~-
~-/¥-7E. Lf D Jd t:ll'/ /) ~.A.?L d_L t'"j ~y, 11 11 -"~ ~,_L7/. ~
II 7/ -7/
TOTAL
(attach separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY 0~--------
SS:
/,...& -v
~0-C/'0
/~.fL 0
$ c:?ydO./ff
I,_ hereby certify that the foregoing is a just and true statement of
funeral expenses and other debts of the decedent, , for which I
was legally responsible and which I did pay out of the property herein taxed. I further certify, that to the
best of my knowledge and belief, these same debts will not be claimed by any other person, for inheritance
tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS ___ DAY OF
19_
REPORT OF 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 listed above in the total amount of $ "
Date of Approval: ______________ _
Register of Wills
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Form RCC-2
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHtRiTANCE TAX
APPRAISEMENT
DATE ..... MAY .... l81.197.0 ....................... .
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA. 1 7 1 2 7
COUNTY ........ ~~~.?..~g~~ .................... ..
FILE NO .......... 63~.7~515 ................................. .
Whereas, .......................... AN.T.O.N ... F ...... ROZICK. .................................................................... late of .......... DONORA. ............................................................................ .
in the County of ................. Y/Ae.R.:I:N.G':r.QN ........................................................................ Commonwealth of Pennsylvania, having died on
the ...... . . ............................. 14th ..................................... day of ...................... F.ebr.uary ......................... 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.H!\..NE.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.
Appraisement Unit Description of Asset Values Made for I nherltance
Tax Purposes
$
.T'l' HF:T .n PF.RS .
.T+. R~,-,'lr A·,..,..+ :1/:f..~ .• ?'l1 I.(\ 1-.o 1 -'1 .; .j.~ MELLON NATIONAL BA~~ . ., .. ~ ···---...... vuv
DONORA OFFICE, DONORA, PA., in the names of ANTON F. ROZICK or JOSEPf
ROZICK. Op~ned 1-29-68. Balance as of date of death~ $16~620.29
One-half taxable 8,310 15
GROSS ll'.IU.TlE $S,3±G. ±§
D&D 2,920.78
COLEAR VAT .l lE "-~s:l;Q ~'7 ,
Having been duly sworn according to law, I do hereby certify that the above appraisement is made in con-
formity with law on this ..................... 18th.. .. day of ............. .. .. May....... ..... . 19 70
... WASHING.TON ..... .. County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
... ANTON ... F. ........ ROZ.J.O.K ........................ .
Deceased.
Late of
DONORA
Date of Death, ................ F~P.~.U. ... :1A..t ... .:l.,9.79. ..... .
Appraisemel!t Docket Vol., .............. ?..?. ............................... .
Page, No. . ............... 63-70....5JS
Filed in Register's Office, ........ ..5~;L-~ ............. .19 .... 7.9 t/
Amount of tax due, $ ................................................................... .
DEPARTMENT OF REVENUE
Received,
Examined and Approved,
Wrote abo.ut Appraisement,
Appeal f1'om Appraisement,
Entered and charged,
~~
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COMMONWEALTH OF,PENNSYLVANIA
DEP~TMENT OF REVENUE
HARRISBURG
RCC-43 (5-6~)
NOTE: TO BE SUBMITTED IN TRIPLICATE
MAR!J 1910
. \
Pennsylvania Department of Revenue
Bureau of County Collections
26. S. 4th Street
Harrisburg, Pennsylvania
Dear Sir:
Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit the following report:
NAME OF REPORTING
FINANCIAL INSTITUTION Mellon National Bank t4 Trust. Compa117, Donora Office
ADDREs9.01 McKean Avenue, Dono-ra. Pa. 1~033 · ·.
ACCOUNT NO. OF JOINT,
TRUST OR INVESTMENT DEPOSIT__::6J;._-...;.;23:.;;;14;.;,.0 __________ _
NAMES ON ACCOUNT
ORINVESTMENT ___ A~n~t~o~n~F~.~B~o~a~ic~k~op~J~es~e~p~a~R~e~l~ie~k~-------------.. ~, .. ~
DECEASED JOINT DEPOSITOR,
TRUSTEEORINVESTOR ____ ~An=ut~on~F~·~R-o~•i~a~k~---------------
ADDRESS 3o6 S. McKean Ave, Donora, Pa. 1.$0)3
DATE OF DEATH ___ .-2-:.~l"""hs.•7'""0L-------------___;,--
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR _ _:::J~os:::.::e:;:ph~Ro~•~i~~:Ca.k_--:---------
ADDRESS'04 S. McKean Avenue, Donora, Pa. 15oJ3
RELATIONSHIP TO DECEDENT ___ __:::::S~on"-------------
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED ____ __:1:.:.;.•~29:.;:;•~68=------------
BALANCE, INCLUDING INTEREST
DUE, AT DATE OF DEATH $ ____ $_1_6~,6:_2_0._2_9 ________ _
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TITLE
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