HomeMy WebLinkAboutOC1970-0664 - ESTATE OF DORNHAK;;.'.-'
R C C-43 (5-65)
COMMONWEALTH OF PENNSYLVANIADEP~TME~T OF REVENUE
HARRISBURG·
NOTE:TO BE SUBMITTED IN TRIPLICATE
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 Sloveman Sav~ngs and Loan Association
ADDRESS 107 Latimer Avenue,Strabane,Pennsylvania 15363
ACCOUNT NO.OF JOINT,6535
TRUST OR INVESTMENT DEPOSIT="--......--'--_
NAMES ON ACCOUNTSteve or Mary Dorchak or Eleanor McGowanORINVESTMENT__---'---'_
DECEASED JOINT DEPOSITOR,Steve Dorchak VTRUSTEEORINVESTOR _
ADDRESS 213 South Jefferson Avenue,Canonsburg,Pennsylvania 15317
DATE OF DEATH April 18,1970
SURVIVING DEPOSITOR,MAry Dorchak or Eleanor r~cGowanBENEFICIARYORINVESTOR _
ADDRESS 213 South Jefferson Avenue,Canonsburg,Pennsylvania 15317
RELATIONSHIP TO DECEDENT Wife-daughter
DATE DEPOSIT OR INVESTMEN-T-o-c-t-o-b-er~6-l-9-6-9-~-------Jjj'_U
WAS ESTABLISHED'rY(
BALANCE,INCLUDING INTEREST 4 517.80DUE,AT DATE OF DEATH $ '_
3 ~'3 ~p,'j~GL5C;;fSZ~I 6-/Signature TITLE7£~.~i.P (o!0 Albert L.Tomsic,Manager
45,If
j.:1 (,
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAfsEMEtiT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
RCC-134 (1-69)",.
COMMONWEALTH,OF PENNSYLVANIA
_:D'EPARTMENT OF REVENUE
.i'BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
TO:ELEANQR'HeGQWAN
213 •SOUTH JEFFERSON'AVENUE
Date:.tnne·S.2970.
County WAlhingtotl
County File No.J t!'-!'-.s--cj'
Bureau File No.C3 ~1 0 ...-&(,y
i.~j •.,..'
1n .'the'"am4s ,of STE)"E·or MARY'nORCHAK:;or .EtEANOR MCGOWAN•.
Under the Inheritance and Estate Tax Laws of the Comr:nonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.
A
The property on which tax is hereby assessed consists of:~~~~~~~~rm~;!!~~--ll~f'.:~~~
A ASSOC·OSRA
appraised by the Commonwealth,as of the date of death,at $'4.511.80
~--'-_%of this amount is taxable at the rate of Ii %
ORIGINAL ASSESSMENT
DATE OF ASSESSMENT1/a of 4,51'7&80 ==1.505.93------
TAXABLE AMOUNT 1/2 otl.S0!h93 :;:152.96 $ ,.'S2.,96..
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
AMENDED ASSESSMENT
$-------~
AMOUNT OF TAX DUE
D If you pay the above amount within three (3)months
of the date ofl,deatba~f the decedent,or on or
before ..Ju 1 IQ -19 70 you may deduct a
discount of 5%of the .amount ~f tax due,or .
o 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 *_
19__in the amount of
ASSESSED BY:_
$==================
(Agent for the Commonwealth)
$.//TOTA".AMOUNT DUE
\
APPRAISED BY&e~/y",0-
...{Inheritance Tax A~aiser)
,.'..V
INSTRUCTIONS TO TAXPAYERS
.*If the ta'x is not paid by the above date additional
interest is.due at the rate of 6%per annum until.
,../'paid",~r.-
.,..,.
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:
If you have already paid this tax to an executor,administrator,attorney or other personal representative of the
decedent for forwarding to the Commonwealth,list below the date paid,name and address of the person to whom
you made payment,their official title and the amount.....~
Date Paid Name and Address of Payee .Official Title Amount Paid
Amount Paid
$
of Taxpayer
urnish proof
of Wills
r or other
te of the
tfu lIy report that I
d true statement of
__f for which I
ertify,that to the
on,for inheritance
id funeral expenses
h amounts expended
on of tax due.If any
e the payments below,
s claimed and allow
eive an amended
Under certain circumstances,if,after the date of death of the decedent,you personally pa
or other just debts of the decedent,with funds derived from the property herein taxed,suc
by you may qualify as deductions against the gross value of the property in the computati,
'.such expenditures meet all of the three following tests,it is recommended that you itemiz
i"execute the affidavit,and return this notice.The Register of Wills will examine the debt
J;,\~.those which he determines to be proper.The tax wi II then be recomputed and you wi II ree
,assessment of tax.
I 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 f
of such payment,if required,and
3-These same debts are not also claimed,for tax purposes,by an executor,administrato
personal representative of the decedent handling the administration of the general esta
decedent or any other transferee.
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation
",
TOTAL
(attach separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
SS:
COUNTY Of )
I,hereby certify that the foregoing is a just an
funeral expenses and other debts of the decedent,
was legally responsible and which I did payout of the property herein taxed.I further c
best of my knowledge and belief,these same debts will not be claimed by any other pers
tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF
19_.
'.Signature
'.'k,eEPORT OF REGISTER OF WILLS'r ,
I,the undersigned,duly elected Register of Wills in and for the cibo,ve county,do respec
have allowed deductions listed above in the total amount of $"~'•...........
Date of Approva I:-.
Register
RCC-43 (5-65)
COMMONWEALTH OF P'ENNS'l'LVANIA
DEPARTMENT OF REVENUE
HARRISBURG .
J
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsylvania Department of Revenue
Bureau of County Collections
26 S.4th Street
Harrisburg,Pennsylvania
Dear Sir:
Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961,
we herewith submit the following report:
NAME OF REPORTING
FINANCIAL INSTITUTION Slovenian Savings and LoanAs~Qc1at1QO
ADDRESS 107 Latimer Avenue,Strabane,Pennsylvania 15363
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPoSIT__6.;...:53;...1 -'--_
NAMES ON ACCOUNT
OR INVESTMENT Steve or Mary Dorchak or Anna Burchak
DE~~~~~~~°ci~~~VE~~~~O_R_,__S_te_v_e_D_o_rc_h_a_k__.....l:~:::;...·._._._.__
ADDRESS213 South Jefferson Avenue,Canonsburg,Pennsylvanja 15317
DATE OF DEATH April 1$,1970
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR Mary Dorchak or Anna Burchak
~rd~
Signature TITLE
Albert L.Tomsic,Manager
~.
ADDRESS213 South Jefferson Avenue,Canonsburg,Pennsylvania
RELATIONSHIP TO DECEDENT Wife -daughter------------,-------:----
DATE ~AEt~;~~~~I~~~~STMENT October 6,1969 ~
BALANCE,INCLUDING INTEREST 4 17 d.DUE,AT DATE OF DEATH $,_5 0_0 '---tpt f:;drt
r;5:2.,/'
5 2..1~/f
~.J ..2~
15317
RCC-134 (1-69)
CO~ONWEALTH OF PENNSYLVANIA
DEPARTMEN,T OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
'OFFICIAL NOTICE OJ!INHE~ITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO:_-=A=N'-'-'N=A......ln~U~R~C.u.!HA~r\~~_
213 SOUTH JEFFERSON AVENUE
CANONSBURG.PENNSYLVANIA 15317
.,'.<,",.~••.-1';'},.:...
Date:'luue S ~1970
County LWasbj nghH!
County File No..3 %'-rs--~
Bureau File No.CJ -ZCJ-~'<../
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.
The property on which tax is hereby assessed consists of:Jt.Held nank Account 1/65~1 f held ht
THE SU1VENIAN SAVINGS AND LOAN ASSOCIATION,STRABANE OFFICE t STRABANE,
PENNSYLVANIA.In the name$of SEVE or ~fARY DORCHAK or ANNA nURCHAK.Opened,
OC1:ober 6,19()9"I.Balance as 'of"date ()f ditat'b,$4.537.80.
apprai sed by the Common we a Ith ,as of the date of death,at $4.511i 80
___%of this amount is taxable at the rate of ',6 %
ORIGINAL ASSESSMENT
DATE OF ASSESSMENT 1/3 of 4,511 ..80:=1~505.93......'_
TAXABLE AMOUNT '1/2 of 1,$05.93 =='152!96 $75".,96
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
AMENDED ASSESSMENT,
$-------
AMOUNT OF TAX DiJ E
D If you pay the abo~e amount within three (3)months
,>CoHhe'date of death of the decedent,or on or
"'~bef~re"July-·IS.19 70 you may deduct a
,discount of 5%of the amount of tax due,or
D This tax beca~e delinquent,fifteen (15)months
after the date of death and,in addition to the
tax,st~tutory)nt·erest at the rate of 6%o(the
tax.per annum,is also due asof*__~_
19__in the a.mount of
*If the tax is not paid by the above date additional
interest is due at the rate of 6%per annum unti I
paid
45.18
2.26
------.----
TOTAL AMOUNT DUE $4-s-;:o.L"$
If ==============
I!J)~/IIAPPRAISEDBY",A ,Ie.~,~l ,.,;',-ASSESSED BY:_
(Inheritance Tax praiser)(Agent for the Commonwealth)
'~STRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
.,_..-.....,..".
"
To insure proper ci"edit to your account
this Official Notice must accompany
your payment.Mail or bring it to:
1(:Z1l~~
~G~NT FOR THE ro~~~r:~f':;i.A~f#eootJ H~!J~~
_~.n~tr(}il.'m.~..~:.5'~
If you have already paid this tax to an executor,administrator,attorney or other personal representative of the
decedent for forwarding to the Commonwealth,l;.,st b~.I~w the date paid,name and address of the person to whe:m.
you made payment,their official title and the amount....
Date Paid Name and Address of Payee'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 are not also claimed,for tax purposes,by an executor,administrator or other
personal representative of the decedent hand Iing the admin istration of the general estate of the
decedent or any other transferee.
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation Amount Paid
TOTAL $
(attach separate sheet if requ ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY 01=:_
SS:
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 payout 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_.
Si gnature of Taxpayer
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
6JLrf~
.sht!lQ.tu~e .TITLEAloervL.Toms1.c,Manager
r
--<.........--",
COMMONWEALTH OF PENNSYLVANIA
DEP~TMENT ,OFREYENUE
HARRISBURG
R CC-43 (5-65)
NOTE:TO BE SUBMITTED IN TRIPLICATE
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 Sloven1.an Savings and Loan Association
ADDRESS 107 Latimer Avenue,Strabane,Pennsylvania 15363
ACCOUNT NO.OF JOINT,6533TRUSTORINVESTMENTDEPOSIT=,,-'-_
NAMES ON ACCOUNTSteve or Mary Dorchak or Daniel DorchakORINVESTMENT,,__-=-_
DECEASED JOINT DEPOSITOR,XIv Steve Dorchak
TRUSTEE OR INVESTOR ,p.
ADDRESf13 South Jefferson Avenue,Canonsburg,Pennsylvania 15317
DATE OF DEATH Ap:-r_i_l_18_,_1_97_0 _
SURVIVING DEPOSITOR,Mary Dorchak -Daniel DorchakBENEFICIARYORINVESTOR _
ADDRESS 213 South Jefierson Avenue,Canonsburg,Pennsylvania 15317
RELATIONSHIP TO DECEDENT__W_i_f_e_-_s_o_n _
DATE DEPOSIT OR INVESTMENT Octob r 6 1969 ~WAS ESTABLISHED e_...;.,_
BALANCE,INCLUDING INTEREST 4 517.80DUE,AT DATE OF DEATH $ '_
~Jb;.j~
6 .9 3 D r:o 10I,~j5 1s-j ,7(.,
o·~45,{~
J./.<;i).<;.v.J.{11.
RCC-134.(1-69)
COMMONWEALTH OF'PENNSYLVANIA'
DEPARTMEfH OF REVENUE
BUREAti OF COUNTY COLLECTIONS
,INHERITANCE TAX DIVISION.'
.,-~-1 "-'v
OFFICIAL NOTICE OF INHERITANCE TAX.
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO:DANIEL DORCHAK .'Date:,June 5,1970 i
.21i SOUTH JEFFERSQNAVENUE County '\"aubiugton
CANONSBURG,'PENNSYLVANIA 15317 County File No...3 g-ys-t/
,;,;:"',"',,Bureau File No.~J -70-c t fi..>\/··~
."~.{.r:-:11(':'"~""•"~:,".,"."~::,f,,"~~,~.~~·r'~_~"/:<:<'
Wehaverece'j'vednotice that;H~IUJIXXXXX.XXXXXXXXXXXXXXXXXXXXXXXXXXXXXUU.
on~.' '..''.'•..!~.....19~,you came into o~ner~hip of certain property ,through '.
~illl~·tran8ferfrom,STEVE DORCHAK,.deeeased.
Unde~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 isimposed upon you,as transferee..
The'property on which tax is hereb~assessed consists of:Jt ,Held Bank ACcount I·6533,held
in the SLOVENIAN SAVINGS &LOAN ASSOCIATION,STRABANE OFFICE,STRABANE,
,PENNSYLVANIA.':'Inth'names of.STEVE or MARY DORCHAK,or,DANIEL DORCIAK •
Opened.'October 6,1969.Balance'asot date of death,$!.!II!4"",SoJ.I.1L.J7w·•....c8wO'l-/_
appraised by the Commonwealth,as of the date of death,at $4,511.80'
___%~f this amount is taxable at the rate of __6__%
.ORIGINAL ASSESSMENT
DATE OF ASSESSMENT 1/30£$4;!)17.80=ltSOS.93--,-------
TAXABLE AMOUNT ~/2 -of 1,505".93;;=752.9,6 $7$2.96 '
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
AMENDED ASSESSMENT
$--------
AMOUNT OF TAX DUE 45.18
o If you pay the'above amount within three (3)months
of the date of death of the decedent,or on or
before'.'Ju.ly 18 19'70,you may deduct a
discount of 5%of the amount of tax due,or 2.26- -------_._-
$-============
ASSESSED BY:_
TOTAL AMOUNT DUE $
1
This tax bec'ame delinquent,fifteen (15)months
after the date of death a~d,in addition to the
tax,statutory interest at the rate of 6%of the
tax per annum is aiso due as of *..
19__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 unti I
paid
APPR AI SED BY:.u::;.~+--~-4f:,..~.,..a:...:.¥---
(Inheritance Tax A raiser).(Agent for the Commonwealth)
'v
INSTRUCTIONS TO TAXPAYERS
o
Make checks or money orders payable to:To insure proper credit to your account
this Official Notice must accompany
your payment.Mai I or bring it to:
..-r:.
I -
I If you have already paid this tax to an executor,administrator,attorney or other personal representative of the
decedent for forwarding to the Commonwealth,lie1-belo~the date paid,name and address of the person to whom
you made payment,their official title and the amount..~..
Date Paid Name and Address of Payee 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 are 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
TOTAL $
(attach separate sheet if requ ired)
COMMONWEALTH OF PENNSYLVANIA)'
COUNTY Of _
SS:
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 payout 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
Signature of Taxpayer
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
,,',..,<.'--'
COMMONWEALTH OF-PENNSYLVANIA
DEP!ffiTMENJ OF REVENUE
HARRISBURG
RCC-43 (5-65)
J
NOTE:TO BE SUBMITTED IN TRIPLICATE
Pennsylvani"a Deportment 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 REPORTINGFINANCIALINSTITUTION Slovenian Savings and Loan Association
ADDRESS 107 Latimer Avenue,Strabane,Pennsylvania 15363
ACCOUNT NO.OF JOINT,6 3
TRUST OR INVESTMENT DEPOSIT=",,-.,_5_4 --'--_
NAMES ON ACCOUNT
ORINVESTMENT Steve or Mary Dorchak or Steven Dorchak,Jr.
DECEASED JOINT DEPOSITOR,Steve Dorchak l~TRUSTEE OR INVESTOR ---::...//_
ADDRESS213 South Jefferson Avenue,Canonsburg,Pennsylvania 15317
15317Pennsylvaaia
et2Lrf~-
Signature TITLE
Albert L_Tomsic,Manager
DATE OF DEATH ~=-=-_---A.:;..pr-i-l-1-8-,_1_9_7_0 _
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR __Ma_r_y_D_o_r_c_ha_k_-_S_t_e_v_e_D_o_r_c_h_a_k_,_Jr_.
ADDRESS 213 South Jefferson Avenue,Canonsburg,
Wife -son
RELATIONSHIP TO DECEDENT-:---------------n':2
DATE DEPOSIT OR INVESTMENT 0 b'6 1969 ../IIWASESTABLISHEDc_t_o_e_r_..:.,__--:v::::-.!-
BALANCE,INCLUDING INTEREST 4 517 80DUE,AT DATE OF DEATH $ '__-_
~1 Y2 »/J~
(c j{;,
'1 5 )'~,~
4s.Jr
f)~J..~~
i r;•,_,t :~•t.
CANQNSBURQ,IENNSnVANIA''15311·
TO:STEVEJ)ORCHAI.JR.
213·SOUTH·UFFERSOH'mNUI
Date:JWlet 5,1.91:0
County __i......I......$......b..::..:.bt~g!e.t:...::·o...::..n=-·_
County File No....37 -?..s--z!
Bureau File No.t j -ZcJ -(;t ¢"
},-
OFFICIAL NOTltE'O~NHERITANCE TAX
APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJ.ECT TQ ADMINISTRATION
COMMONWEALTH OF PENNSYLVANIA
,DEPARTMENT OF REVENUE
~.BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
RCC-.134 (1-69)•
We have received notice that,~;<-"'.•.,.•
~~.',19'70,oucame into ownersh.i.p of'.certain prop.,ert.y.thr.ough....'.''.'..'~' .'...'.,t.ransf,ertrom.,STEVE 1)ORCHA~.,deceascd.
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.
The property on which.tax is hereby assessed consists of:,J,t,•.Btudt Aeeount.;;6S34.held !nth.
SLOYENIAN SAVOOS &,LOAN ASSOOIAT!tUi.·STRABANE O.~!CE.·StRABANE.PENNSYLVANIA"
'In tbe'namei'·tf.STEVE 'or ·MARY .DORCHAler'STEVEN nORCHAK,'j!?..Opened,·10...6..69
DB1&ilC,·BI .of 'date,'0'·deatu.$4,.51'·.80.,':
appraised by the Commonwealth,as of the date of death,at $4,,51"1 ~80
___%of this amount is taxable at the rate of G %
ORIGINAL ASSESSMENT
DATE 'OF ASSESSMENT'1/3 ot-4,Sl?80;::l,1,.505.93o;L~------
TAXABLE AMOUIIIT':1/3,£1,iOj.~3 .;;;752.96 $','752.96",
LESS:ALLOWED DEBTS'",
NET TAXABLE AMOUNT.~..
AMENDED ASSESSMENT
$--------
..::AMOUNT OF TAX DUE
,.",..J;""
.~~r ~!.".itj If y~u pay)he.above amount within three (3)months
.;';,'ofthe date ,of death of the deceqent,or on or
;ibefore July 1'8 19 70 you may deduct a
'di~·coun.t of 5%of the amount of t~x due,or
o This tax became'delinquent,fifteen (1s)months
-/after the date of death and,in addition to the
tax,;tat~rOry interest at the'rate of 6%of the
tax per annum is_also due as of *__---
19__.in the.amount of
,."."',
'.....~:"
*If the tax is not paid by the above date additional
interest is due cit the rate of 6%per annum until,
paid
TOTAL AMOUNT DUE $
,.Ie:,"IC!l~
$=================
APPRAISED BY:ASSESSED BY:_
-(Inheritance Tax Appraiser).'(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:
If you have already paid this tax to an executor,administrator,attorney or other personal representative of the
decedent for forwarding to the Commonwealth,list be!,Qwcth<t date paid,name and address of the person to who.p1
you made payment,their official title and the amount.".
Date Paid Name and Address of Payee'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 dU,e.If any
such expenditures meet all of the three following tests,it is recommended that you itemize the paym'ents below,
execute the affidavit,and return this notice.The Register of Will's 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 are 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
TOTAL $
(attach separate sheet if requ ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY Of _
SS:
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 payout 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
Signature of Taxpayer
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 Wi lis
RCC-43 (5-65)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
HARRISBURG
NOTE:TO BE SUBMITTED IN TRIPLICATE
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 REPORTINGFINANCIALINSTITUTION Slovenian Savings and Lean Association
ADDRESS 107 Latimer Avenue,Strabane,Pennsylvania 15363
ACCOUNT NO.OF JOINT,
TRUST OR INVESTMENT DEPOSIT__6...:.;..5.;;..-32_---'----'--_---
NAMES ON ACCOUNT
ORINVESTMENT Steve Qr Mary Dorchak or Bette Witko
DECEASED JOINT DEPOSITOR,~.
TRUSTEE OR INVESTOR S;;;..t.::..;e;;..;v~e;......;:;.D.;;.;or=-c;:...:h:.:::.:a;;,;;;k=___----:~~·_._--'-_
ADDRESS 213 South Jefferson Avenue,Ca Dopsburg,Pennsyl:va;g,1a
DATE OF DEATH Ap_r_i_l_1e_,_1-9-70------..--
SURVIVING DEPOSITOR,BENEFICIARY OR INVESTOR __M_a_r_y_D_or_c_h_a_k_-_Be_t_t_e_._W_i_tk_o _
15317
ADDRES~13 South Jefferson Avenue,Canonsburg,Pennsylvania 15317
RELATIONSH IP TO DECEDENT __W_i_f_e-_da__ug~h_t_er ;.....;......--
DATE DEPOSIT OR INVESTMENT 0 b 6 1969·'/WAS ESTABLISHED cta er,v
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $__=4....,5'-=1:u.7...!...~eO~__---_----
3~ih1d~~~~Co I C Signature TITLE
:3 5 ?5 J.1~Albert L.Tomsic,Manager
.~~1t;./g
j0£4-G J.~<t
RCC-134 (1-69)
COMYA0tlWEAL Ttl OF PENNSYLVANIA <
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAISEMENT.AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO:_......B"""~T.,A-oL'TlUlEO!.-U.W=!:u!T!..!JK~O _
213 SOUTH JEFFERSON AVENUE
CANONSBURG.PENNSYLVANIA 15317
r ,"......i ~u ~
Date:-=J...:;11::..:..;1l::..;:e:.....:::8:..J1t-=1:..=:9....:.7.=O _
County ...:..:'y:.=a:..::~:,::;:h~i~n;.lo:g~t.:o=n'_____
County File No.c3 %-1,s-
Bureau File No.(...5 -70 -6 C <./
We ha-.:e 'rece'ivedrioticethat,Hx..~~ltIXXXXXXXXxxxxxxxxxxXXxXXxXXxXxXXXXXXXl
on··April,18 "19~,you came into ownership of certain property through'..,
.]1KH~~QB transfer from.nllEx STEVE DORCI-L\ll,deceawed.
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.
The property on which tax is hereby assessed consists of:Jt.Held,Sank aCCOllnt #6532,held
in the SLOVENIANSAVINOS AND LOAN ASSOCIATION,STRAIANE OFFICE,STRABANE,
PENNSYLVANIA.In the names of STEVE or MARl DORCHAK,or DETTE WITKO.
appraised by the Commonwealth,as of the date of death,at $4 t 517.80
___%of this amount is taxable at the rate of 6 %
ORIGINAL ASSESSMENT
DATE OF ASSESSMENT 1/3/of 4,517.80 ==1,505.9..;;;..3 _
TAXABLE AMOUNT 1/2 of 1,505.93 =752.96 $752d~6
LESS:ALLOWED DEBTS
NET TAXABLE AMOUNT
AMENDED ASSESSMENT
$--------
AMOUNT OF TAX DUE 45.18 .
D If you pay the above amount within three (3)months
of the date of death of the decedent,or on or
before JulY 18 ..19 70 you may deduct a
discount of 5%of the ~mount of tax due,or 2.26
D This tax became deli~quent,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*__~_
19__in the amount of
ASSESSED BY:_
I.
(Agent for the Commonwealth)
-tS'"..18 $==================$TOTAL AMOUNT DUE
~JI
APPRAISED By:(lJ R~:t&=,~;:..-:..~'.=...:.C.(A-+-,__
(Inheritance Tax.Ap raiser)
.*If the tax is not paid by the above date additional
interest is due at the rate of 6%per annum until
paid
INSTRUCTIONS TO TAXPAYERS
Make checks ~r mone'y orders payable to:
I.'.
To insure proper credit to your account
this Official Notice must accompany
your payment.Mai I or bring it to:
~.i
If you hove already paid this tax to on executor,administrator,attor~~y'or other personal representative of the
decedent for forwarding to the Commonwealth,list below the date paid,name 'and address of the per~on to \yh't)m
you mode payment,their official title and the amount.
Date Paid Name and Address of Payee 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:,
~~:-You were personally legally responsible for these debts,and
•-You actually paid these debts out of the account or property described above and can furnish proof
~ij of such payment,if required,and .
i,l~3 -These same debts are not also claimed,for tax purposes,by an executor,administrator or other
.hi ../:persona I representative of the decedent handl ing the admin istration of the general estate of the~Iv;--)__decedent or any other transferee.
j J
SCHEDULE OF DEBTS
Date Paid Nome of Payee Description of Obligation Amount Paid
TOTAL $
(attach separate sheet if requ Ired)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY OF:_
SS:
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 payout 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
Si gnature of Taxpayer
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 $__-•
Date of Approval:_
Register of Wills
-~
Fonn RCC-2
COMMONWEALTH OF PENNSYLVANIA DATE ..............~.~.~.y.......§..'-.......!..~.?.9.............................~.~.DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX WASHINGTON.COUNTYBUREAUOFCOt~TY COLLECTIONS ....................................................................................................
HARRISBURG.PENNA.17127 APPRAISEMENT
FILE NO.................??.:.?..9.:.?...?.~....................................
Whereas,.............................................S.T.EVE....nOnCHAK..................................................late of ........................................................CANQ.N$.B.U.RG..............
in the County of .................................~~~.~~E~~!..?.~.............................................................Commonwealth of Pennsylvania,having died on
the .......................................I.~.:t.h........................................day of ........Ap.~.P::.................................................19......7...9 seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,VI.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 fi..'{
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 1nterest 1n th1s estate 1s transferred 1n possess1on or enjoyment to collateral he1rs of the decedent after
the exp1ration of any estate for Ufe or for years,the Commonwealth hereby expressly reserves the r1ght to appra1se and assess transfer
inheritance taxes at the lawful collateral rate on any such future 1nterest.
Description of Asset Unit Appraisement
Values Made for Inheritance
Tax Purpo18s
$
JT.HELD PERS.:
Jt.Bank Accts.(1)#6535 •(2)#6531,(3)#6534,(4)
#6533,(5)#6532 held in the SLOVEN IAN SAVINGS &LOAN ASSN ,
STRABA:NE,PENNA.IN THE NAMES OF (1)STEVE or NARY DORCHA}of
ELEANOR JI.1cGm~AN ,(2)STEVE OR MARY DORCHAK or ANNA BURCHA},(3)
STEVE OR HARY DORCHAK or STEVEN DORCHAK,JR.,(4)STEVE OR MARY
DORCHAK or DANIEL DORCHAK,(5)STEVE OR MARY DORCHAK or BET'E
~VITKO .Opened 10-6-69.Balance as of date of death,(1)q.,517.8'i'.I
(2)$4,517.80,(3)$4,517.80,(4)$4,517.80 and (5)$4,517 80.
Amount taxable on each one $752.96 $3,764 80
Having been duly sworn acco5di~g to law,I do hereby certify that the ab1ve appraisement is made in cCfo
formity with law on this ..............................~..............................day of ......................................................········}~···!:.::?I...hf····..·......···.........19...............
~-'<cl2 Appraioer
...........................................................................,..................................................................................
(Number and Street)
...........................................................WASHINGTON ...............................,Penna.
(Poet om"",
·..WASHINGTON...County
Page,No.
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
STEVE DORCHAK...............................................................
Deceased.
Late of
CANONSBURG
Date of Death,.APRIL..I.8.,..l9.7.O'.
Appraisement Docket Vol.,}.?.
63-70-664.....................................•
Filed in Register's Office,?.:'::'..§.~..~70
Amount of tax due,?J .
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appraisement,
Appeal ft-om Appraisement,.
Entered and ch<lrged,..
~
~
I