HomeMy WebLinkAboutOC1970-0886 - ESTATE OF ORLIN,.
R CC-81 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
Anne M.Orlin
XIK~~X~~]XAdministrator)
IN YOUR REPLY PLEAGE
REFER TO
38-101-3
j--
In Re:Estate of M_a_r..:;Y--,;..J_._O_r_l_i_n _
_____..:.W:..::a~s~h~1~·n~g=-t~o~n~County - FHe No.63-70-886
Dear ~fiss Orlin,
You are hereby notified that the Qrifinal
appraisement in the estate of :Mary J.Or in
has been filed in the office of the Register of Wills qf Washington
County on Hay 25 ,19..1.1 Said appraisement reflects the
following valuations:
Re al Estate -::;-"-::::..,...,.:--:::-:-_
Personal property_~1~:~8~5~2~.5~0 __
Transfers -=---=-=-=,....-,,,..,,.-_
Total -=1:::...J,.;,8:::.;5~2:.L.'5~0~_
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.
Date __~Ml:!a~Y-J<2~5~,.....-Jl~92..7,-lL.-_--_Signed
Title
1trM~,fJ/Udl'1l ~
MADELI~~FINNEY,APPRAISER I
ESTATE INSOVENT
DATE OF DEATH:August 23,1970
Note:This is not a bill.
Rcck9 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of_~Or.1in:.:.-__~~..."Ja",-,r"-.,Y.J--__----"J<-..,,--DATE OF DEATH
(Last Name)(First Name)(Initial)
REPORT OF INHERITANCE TAX APPRAISER
8-23-+0 FILE NO.6 3-70-886
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of \vashington
Pennsylvania,do respectfully report that I have appraised the realand 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:_---'~=fa:.:..yL.-2_'5::...;,l___:1::...:9::...;7:...=1=_____
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 _eJlke~t as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "r~Ch greate or lesser amount represents the sum
allowed as a deduction.\\tu __
Dated:~fay 25,1971 ~l ~-,,-~-""'d-+=R~E:-=G~IS:::::T=-=E-=R::""O~F"7W::-:I-;-L-:-L-::S~----
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
VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED
$$$-------+--
FOR USE OF REGISTER ONLY
Tax on $----------i--2%
Tax on $(6%)
Taxon $~
Tax on $10%
Tax on $15%
Exemptions *
Total Estate -+..__
TOTAL TAX
COMPUTATION OF TAX
$---------1--
$---------1--
$---------1--
$--------+--
$-------+--
$------_..1...._-
(*)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 $C
Add interest at rate of 6%from_____to $---J
AMOUNT OF ESTATE TAX ASSESSED $----~L-
Estate tax paid $---Jl-
BALANCE DUE $---11_
Add interest at rate of 6%from t=
------I.to-----$-----~
TOTAL TAX BALANCE $-----~PAID $--J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same Should be noted below,with short explanation.
"
Will l N
Administration \o.
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
~IARY J.ORLIN
Deceased
Late of .
County of
MARIANNA
IvASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
".
-----_._---_.----------
Fonn RCC-2
,COMMONWEALTH OF PENNSYLVANIA DATE ...............Nn.....7.$....,.......l.Q.7..!.....................
DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX \It h'"BJREAU OF COUNT~~OLiEcTIONS COUNTY ...............as l.ngt.o.n..........................
HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO..................?..~.:..?.9..::..~.~.?................................
Whereas,.........................................H.a.r.y....J.~......Q.r..l.in......................................................late of ..................Hg,x.ia.n..na..........................................................
in the County of ............................................Jia.shin.gt.o.n...............................................Commonwealth of Pennsylvania,having died on
the ................................?J4....................................................day of ..............................A.u.gU.~.t........................19...7.0.,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,~1ADELINE FINNEY 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 AppraisementDescriptionofAssetValuesMadeforInherltanceTaxPurpoles
$
PERSONAL:
Money received from a liavility clain arising from the
np::\Th nf Marv Orlin 1 852 50
ESTATE INSOLVENT
..
Having been duly sworn according to law,I do h~reby certify that the above appraisement is made in con-
formity with law on this .........................~......day of ................................~..............~.~.......!9...~
......................................................................'".....~......
Ap ise
..,.............................................................................................................".........,......................................
(Nzber aneJ Street)
.........................................lUt:9..!.~....."~-........Penna.
<7ofBeel
.................................,
..
w:ASJrINGTON H ••••••••••••••••County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
HARY J.ORLIN
Deceased.
Late of
MARIANNA
Date of Death,J3.::::.~}::.7..9...
Appraisemel!t Docket Vol 38.,:.
Page,:t.9.J.:..~}No.63-70-886
Filed in Register's Office,.N~y H~?19 .7..:t.
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..H H HH H.H H H ..
Wrote abo.ut Appraisement,H ..
Appeal f"om Appraisement,H HH ..
Entered and charged,.H•••H HHH .
"..
FoiIi;,rr·...REG.WILLS
REV.1-50
Application fur 11lrttrr.a of Allministration un thr
Estate of M.~R¥.~.l'.••••QB.~.!.:N .
late of Mar.i.anD.a.,.lY.as.b.ing.:t.Q.n C.Q.yn.t.y...,.P.~P..P..~.l\.., ,Deceased.
Before the Register of Wills of Washington County
personally appeared ANNE M QR.L.J..N "
who,being duly sworn deposes and says that..Ma.r.y.J.Qr..l.:i..P...
age 7.2 ,having b.e.r last family or principal residence at ~.Q~7.~."M.~r.!.~!!.D.~.J ..
(Street and Number)
...............................................................................................................................,Washington County,Pennsylvania,died intestate
(City.Borough.Township)
at.Br..Qw.ns.y..il.l.e.1?~.n.P..§.Y.ly..~.!1J.~.,on the~.~!'.!flay of AHg!J.~.:!::..J ..
A.D.,19 1..Q ,at.J?..:..1:.9.A.,M.,possessed of personal estate to the estimated value
$NQ.p.&,and of real estate in the Commonwealth of Pennsylvania to the estimated value of
$ND.ne ,situate in ..
The names and addresses of the decedent's surviving spouse (if any)and other heirs including
heirs by adoption)are ~s follows.l\
REJ,ATIONSHIP 272 S.w.9t~s}f~~<ffue
.....l.r.e.n.e Jakub.c.in pa.ygb.:t.~.r.R3.l.la.n.d.a.l~f.J.Q:r.J.g~~.~.Q9..~.~.709 2nd Street
.....Be.tt.y.B.ailman P.a.ugb.:t.e.r.Gol.den..,Col.ar.a.do B.Q40.1 .1533H111crest Avenue
.....Ma.r.y P.a.r.a.ska :pa.ygb:t.~.r.Washing.t.on.,.p.enna 15.3.D.1....
.....Mik~Y.."O'r..l.i.n s.9..n J~Q¥7.~."M.~r.!~.~.D.~..J ~~p..p..~.~..!.?.~:45
.....An.P..~M O'r..l.i.n O'a.ygh:t..~:r.~is.hI~i~.gR,.~l?~B~i .l~.3.0.1 ..
That deponent is over 21 years of age,resides at...~.4.l ..:w..~l§.Q.D.Ay.~.~.~~.J ..
.................Wa.s..b.i.ng:t.Q.u..,w:~s.b.i.P..g:t~U.l c..9.:uP.:t.y.p.~.D.n§.Y.ly..~~J~..,..
is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of
Administration upon the Estate of said decedent,no letters having been previously issued thereon.
Sworn and subscribed before me this JU.b .
day of....~~:l!:fR.~.r.,A.D.,19.'!..Q.~..
........::l..f~~L!!.tL~:._..._..
REGISTER
COMMONWEALTH OF PENNSYLVANIA "}SS:
WASHINGTON COUNTY,.
...~~~~~~..:.
?
And now ,Se.p.t.emb.e.r.8 ,19 7.0 ,comes An.n~M."O'r..l..1.n ..
who being duly sworn doth depose and say that...S.b.e.will well and truly administer the goods and
chattels,rights and credits of .Mar..y.J O.r..li.D ,deceased,
to the best of..her......skill and judgment in strict compliance with the law~of this Commonwealth,mind-
ful of the laws relating to inheritance taxes.
Sworn and subscribed before me this 6..t.b .
~~~.:~::~~~::
REGISTER
....~Z22:c2?..-1.k.~..
-,
4.'~3 -7rJ-8gb (
\.:,
'f
APPLICATION FOR
Letters of Administration
ESTATE OF
......................MARX..;..J.QRL1.N ..
Detased
R $.
.....1..........\-..........0 t-'0Leltm__.....1 P $ _..1'.._ __.
Extra Alias .
Certificates
...$.
$/~cJ........................
...$........L ~()...................
~
n,
t::::r...
t-)!:ti r--
""-,::::;;,
-0::::::r-
Total...~..~_Z\ld.../1-~'<~c.;fl1 =tJ ..c:::;..........·'i1:·~..........
.:t:'::.:::--:::;:c~5""",",--I .J)
(r~:}rn iii
;;:::J:::'~r---
~c'
C")...,:0;::
O:;r;;,1:;.....~-'';'"'-'
to r::::...~:.
"'Or-<:"~CrJO
<..ov
J olm Solomagr->.......................................................................................................
Attorney
~2
,~
f:
!
ESTATE OF
.................................:M.ary...J.•...Orlin.,DECEASED
The undersigned Mar.Y...Par.a~.~a ap.q M;i,.;J..~~...Y.•..:9.r;1j..p.and heirs
of Ma;l;'.y J.~Q;I;'Jj·.p.late of ..M~.~.~.~n~~.t...W~~.~~.I:l.gt~~G9.~~JY..,.Pa.,
deceased,hereby renounces right to administer on ~~.:r....................................estate
d f 11 k h L f Ad ...b'd Anne M Orlinanrespectu y as stat etters 0 nurustratlOn e Issue to ~..
.....................................................................................
Signed in the presence of:
........=~~?!.."::
.............................................................................
~~..~fl ~.Mike V.Orl1n
............................................................................
............................................................................
..
............................................................................
'i
..,:'~j •
;-'/1 -r)t Lt.L;
P70 SEP'IV PI1 I 35
RU cC'.::i IJI~~'JNOV0[,".1~1,:41<
REGISTEH OF WILLS
W-'ASHiNGTON CO.•PA.
;;:c
m
Z
C
Z
()->-f
o
Z
.,..,-.
\,.._.......,.....
2 :3 ?0 0,,-,
1 1 6 9 5 2
JJtO :3 0 0 0
4-0 0 0 0
2 1 0 0
1 8 5 2 c:;2 ~:~
---~.~"""'-Pr -:-'l""""--~~.~~-·~~~~~"'(F""~'~'++..,.---"'4 00;~.~""f'!l T
185250
185252
....of 19.......
KNOW ALL MEN BY THESE PRESENTS,
Anne M.Orlin as Principal and inited States Fidelity and GuarantyThatwe,..
.............~~.•....~.ti}~.~l11~~~.~~.~.~~'l.:r.~.~.!..
all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl-
vania,for the use of those interested in the estate,in the sum of .f.iv.~...l:ilJJI:q..r~<;i................Dollars,to
be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves,
jointiy and severally,for and in the whole,our heirs,executors,administrators,successors and assigns,and
each and every of them,firmly by these presents.Sealed with our seals and dated the 8th.day of
.........$~p~~.~lJ.~.r A.D.,one thousand nine hundred and ~~".e..Il~y..
Tl-IE CONDITION OF THIS OBLIGATION IS,That if the above bounden ..
···········.rtx ·~nn~M~O':r..l..~.Jt .
Administra~or any of them,shall well and truly administer
the estate according to law,this obligation shall be void as to those who shall so administer the estate;but
otherwise,it shall remain in force.
Sealed and delivered in the presence of:
B..·..A·t·t·orne·y··
..(SEAL)
Co.
&tutemeut of ~urrtt!
I.------------------------------------..-----......----..-..---..--........--------------------....__......_......_.surety in the sum of $........__.._....on the
administration bond in the estate of --------------------------------..---------...............say that I reside at
.-..---.--..----------.-.--..--------------.--------.---..--..-------,Washington County,Pennsylvania;that I am the owner of real estate.the
title to which is in my own name and dilly recorded,situated in .._____________.________•
Washington County.Pennsylvania.worth above all encumbrances $__..._..;and that I am worth the
amount expressed in said bond.over and above my just debts and liabilities.
I.w~~_..~__...•_
------------------------------.----------------_._-------...._----------_._--------------------------
Street
~tutemeui of &urdl1
P.O.
I,---------------------------------------------------...-------..----..------------..-----....,surety in the sum of $....on the
-'.
administration bond in the estate of -:-----..--------------..----.-----..--.-....--..-....-------------------------_......__•say that I reside at
----....-..------..----------..-----..---------------------.-----..----------..--------,Washington County,Pennsylvania;that I am the owner of real estate,the
title to which is in my own name and duly recorded.situated in _.
Washington County.Pennsylvania,worth above all encumbrances $--------....;and that I am worth the
amount expressed in said bond,over and above my just debts and liabilities.
,_-.
.-.._----_._-_.._--..-._-_...-----------------------------------------------------------------------
COMMONWEALTH OF PENNSYLVANIA,}SS·WASHINGTON COUNTY.".
Street P.O.
And now __...........................19.............comes _.
who being duly sworn.says that he is acquainted with the financial standing of the securities to the within bond;that
the said obligors have each executed the said bond and that the sureties thereto are the owners of real estate in their
own right of value more than the penal sum of said bond.over and above all incumbrances and exemptions.
Sworn and subscribed before me this ....__...._....
day of ______________.........._A.D.19..__..__
\~
~J-7(j-C22b
No...I ..l/.3 .
A~miuilitrntinu 1Bnu~
IN THE ESTATE OF
Mary J.Orlin
September 10 .70And.now .......................•..__,19 .
Bond approved and Letters issued to
-..--..-~~--~.&t~.-..--..-~~J_.
_G")c::-::::-en c....,
who \(9 -'d1ll7 quaf1?ri~.---.--.--~..§I].:.---..-.;;--~.----.
<:';0 0-.._ __._.g..~~~~;1:_~..~__.
;;::::__-...Register
""Or-:;Z:'!'--cn O
e...."
0;)
•..
Bond Book 64
\
Page 34
~-
BAOZIKPRINTING ~9 DONORA
1..
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA
ORPHANS'COURT DIVISION
IN RE:
ORLIN,
ESTATE OF MARY
Deceased.
)
)
)
)
)
)
)
~3-7,,·-~f/1o
No.of 1971.
PETITION IN AN ESTATE OF LESS THAN TWENTY-
FIVE HUNDRED ($2,500.00)DOLLARS UNDER ART.
II.,SEC.202 OF THE FIDUCIARIES ACT OF
1949,PI>L",512,AS AMENDED
TO THE HONORABLE,THE JUDGE OF SAID COURT:
The Petition of Anne M.Orlin,respectfully represents:
1.That your petitioner is the daughter of the
deceased,Mary Orlin.
2.That the residence of the decedent was Marianna,
Washington County,Pennsylvania.
~3.That the deced~nt died August 23,1970,in
II'I Brownsville,Fayette County,Pennsylvania,and was seventy-two
(72)years of age.
4.That your petitioner has been granted Letters of
Administration by the Orphans'Court of Washington County,Penn-
sylvania,on September 10,1970.
5.That the estate of the decedent is composed entirely
Iofpersonalproperty,consisting of $1,852.50 in monies recevied
from the defendant in a liability claim arising from the death
of the decedent,Mary Orlin.
6.That the decedent left to survive her the following
heirs:
RELATIONSHIPNAME
1 Irene Jakubcin
IIII
I
I
lj
;1
AGE
Sui Juris Daughter
ADDRESS
272 S.W.9th Ave.
Hallandale,Fla.
33009
Betty Bowman Daughter Sui Juris 709 2nd Street
Golden,Colorado 80401
Mary Paraska Daughter Sui Juris 1533 Hillcrest Ave.
Was hi ngton,Pat 15301 j
Mike V.Orlin Son Sui Juris Box 78
Marianna,Pat 15345
Anne M.Orlin Daughter Sui Juris 34i Wilson Ave.
15301 iWashington,Pat
And furthermore,there are no other heirs who may have
III and assert a claim for the share of the estate of the decedent.
II
7.That your petitioner is sui juris.
8.That the estate of the decedent has the following
creditors:
Brownsville General Hospital
John M.Shrontz Funeral,Home
Dr.Charles Fieldstein
Kurtz Monument Company
Administration Costs
$232.00
1,169.52
30.00
400.00
21.00
9.The Administratrix has received no other claims
against the estate.
10.That this petition for settlement is made pursuant
to the provisions of Art.II Sec.202 of the Fiduciaries Act of
1949,P.L.512,as amended;Mary Orlin,deceased,domiciled in
the Commonwealth of Pennsylvania,in the County of Washington,
having left an estate composed of personal property of a gross
value not exceeding Twenty-five Hundred ($2,500.00)Dollars.
•WHEREFORE,your petitioner prays your Honorable Court to
enter a Decree ordering the Administratrix of the Estateof Mary
Orlin to pay all of the aforementioned bills listed in Paragraph 8.
And she will ever pray,etc.
COMMONlfEALTH OF PENNSYL,VANIA ))ss:
)
appeared
Before me,the undersigned authority,personally
ANNE M.ORLIN,Administratrix of the Estate of
Mary Orlin,Deceased
to law,deposes and says that the facts set forth in the
foregoing Petition-----_._---------------
ate true and correct as she verily believes.
Sworn to and subscribed before me
Jii_MJXS:•&E
this 13th day of _~M~a::..JY"--__'19 71 .
.DARLENE NICHOLAS
::~otaryPUblic.Washington.Washington Co.
-My Commission I:.xpires Janyary 17.197~...'...
••
IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLV.ANIA
ORPHANS'COURT DIVISION
IN RE:)
)
ESTATE OF MARY )
)No.of 1971.
ORLIN,)
)
Deceased.)
DECREE OF DISTRIBUTION
AND NOW,to wit,this c9t/3-aay of May,1971,the
I
foregoing Petition for settlement of an estate of less than
Twenty-five Hundred ($2,500.00)Dollars,having been presented in
open court,and upon presentation thereof,and upon motion of
John Solomon,Esq.,Attorney for the Petition~r,It is ORDERED,
ADJUDGED and DECREED that the $1,852.50 in said estate be dis-
tributed as follows:
TO:Anne M.Orlin,Administratrix,for payment of the
following bills:
Brownsville General Hospital
John M.Shrontz Funeral Home
Dr.Charles Fieldstein
Kurtz Monument Company
Administration Costs
By the Court,
$232.00
1,169.52
30.00
400.00
21.00
1.c3-7(J~gg~
In the Court of Common P1ea~1
of Washington County,Penna.1I
Orphans'Court Division..
,'>
•
No.
IN RE:
ORLIN,
of 1971.
ESTATE OF MARY
Deceased .
PETITION IN ANESTATE OF
.<---
THAN TWENTY-FIVE HUNDRED
($2,500.00)DOLLARS UNDER
ART.II.,SEC.202 OF THE
FIDUCIARIES ACT OF 1949,
P~IL.512,AS AMENDED
'~I\ll'~h?V~,'I .J""-:'.'I~11 f)t-'
I.,
JOHN SOLOMON
ATTORNEY AT LAW
WASHINGTON,PA.15301
420-423 ;S:;::;6~(BUI~
R CC-l03 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEIo!T OF 'REVENUe
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT 0ECEDEN TS COUNTY OF_-,W=A=S=H"",-I=NG""""T,,-,O~N,,-----_
J
This return must be completed in detail and filed in duplicate,with the Register of wills in the County where the decedent resided within one
year after date of death,unless an extension is granted by the Secretary of Revenue.
Will
Admn.No.19..1.!-I,__---'A~n~n~e=--.tM7_.:--0=r-=1-=i:.=n:...------of Was hi ngton t Pennsy 1vania t
(Name)(Address)Misc.
being duly sworn according to law,deposes and says that he is the ~A~d:.:m=i.=,:n:.:i:.:s=_t=r_=a=_t=_r=__=i:.=.x~_
(Exec.,Adm.,Legatee,etc.)
of the estate of ~Ml!<!a'_'!r.....,;yl:--O~r...o!l~1~·n~late of Marianna,Pennsylvania,
(City,Borough,or Township)
deceased,and that the whole of the estafe of s~id decedent,who died on ---!A~Ull:gL.!u:!.!s~t~2~3~,-:--:,l!o..:9~7~0!....,J-._
(Date)
consisted of the a~sets listed below and that allowable debts and deductions exceeded the fair mal-ket ~alue of the assets and
no Pennsylvania Transfer Inheritance Tax is due.
Sworn and subscribed before me
the ]3th day of May,19~
M Il _~~/./J DARLENE NICHOLAS~~"lotary Public.Washington,Washington Co.
My Commissio . .
(Signature)(Title)
Anne M.Or1in,Administratrix
Type of Asset:
Real Estate,Pel·s.
Property,Jointly
Held Prop.or
Transfers
"""',',
ASSETS
(Attach additional sheets if necessary)
Description of Asset
Money received from a liability claim
arising from the death of Mary Or1in
Estimated
Market
Value
1,852.50
Department
Valuation
CAUTION
(Do not writ.e
in this space)
/
TOTALS 1 852.50
REPORT OF INHERITANCE TAX APPRAISER ~Y.s-d.t.S'6
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the real and personal property as reported in the foregoing schedule at the values s,et)orth opposite each item in
the last column to the right.17;/111I p11 /¥If.J rfJ[.-//Y7/Y1I.u..f).J '{L.ul
Dated:","5:-.;2~-7/Inheritance Tax Appraisel v
Nome of Payee DEBTS AND DEDUCTIONS
Nature of Claim
TOTALS
Amount
Claimed
Amount Approved
by Register
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 amounts set forth in the above schedule as claimed,except where I have set forth a greater or lesser amount
in the last column to tho right,which greater or lesser amount represents the sum a 1I0wed as a deduction.
Date of Approval:_
Recist...of Wills
Will )
Administration
I -
No.Year.-ZL
.IN THE
,-J'.
,I,MAi'TER OF THE APPRAISEMENT
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".';"OF THE
ESTATE OF
MARY ORLIN.
Deceased
Late of Marianna
County of Wasbj ngtan
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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of Will.,Age.t
DEDUCTIONS ALLOWED IN /
THE SUM OF ~., . , .$/.fC~.S:~
DATE APPROVED'L/o,~~J":7L
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STATEMENT OF DEBTS
AND DEDUCTIONS
OFFICE 0':;Tl;IE
REGISTER OF WILLS
AND AGENT OF THE COMMONWEALTH
OF __~Wu.a!o.ls"""",h'-.:!i!:.ln"-l:lg.,.,!t~o,,,-n~_COUNTY
Form RC ColOr
ESTATE OF __---"M""a=-r~y---'OO<.r"'--'=l'-"i::.:n=------LATE OF __MLW3a""r~ilaJa~nLj,n"ai4-'-""P;;.J!e....nAUo!n!£s~yJ-=l..!!v..!:a~n~i~a'-_
DATE OF FILING APPRAISEMENT DAT&:OF DEATH _-.E.A~U!:U:lg..::u~s~t:......:2=_3~,'__1=9:...:7:..;0::...._
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DATI!:NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCH~"!
Brownsville General Hospita 232 00
.John M -Funeral Home 1.169 52
nr Cha.r1es Fie1dstein 30 00 I
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Kurtz Monument Comoanv 400 00 ,
Arlm;n;~tration Costs 21 00
-
TOTAL 1,852 52
COMMONWEALTH OF PENNSYLVANIA
}SG:COUNTY OF Washington
I,Anne M.Orlin HEREBY CERTIFY.THAT.TO THE BEGT OF
MY kNOWLEDGE AND BELIEF.THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRAflON SUBMITTED TO THE ESTATE OF Mary Or1in DECEASED.AS DEDUCTIONS FOR
INHERITANCE ""1(PURPOSES.
SWORN AIND SUBSCRIBED BEFORE ME THIS 13th
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DAY OP'
~~,~d4U'<L.S.)A~r~n,~~n~stratr~xof the
Estate of Mary Or1in,Deceased
DARLENE NICHOLAS
/~otary Public,Washington,Washington Co.
My Commission Expires January 17.1972
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