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Home My WebLink AboutOC1970-0962 - ESTATE OF HRYWKOl.-PETITION SUR AUDIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Estate of.....J:.~K~.~A..J:U~~!XWKQJ.._9:1J51~.__ ....................T~~~~.A ~Y~QQ~!... . No.__..~.~.:-::1.9._:.~§_?__.___. Fiduciary ..A~g!'.~.~__~gg.?~!.__~~~.?~!.?~. Deceased Date of .)J 30 1970 \.Date of October 1#1970 .Decedent's death ~!!-~~-I.--••--••••----••••_•••••__._.__Grant of Letters___..___..___ This is the._.._X~E~!..~~.~..~(~~~!.-__account filed in this estate If there have been former accounts filed in this estate,·list file number or number and term ___.. None Election to take Date Election Under or Against will.(cross out one)Not Applicable Filed Place of; .._..___.._._.Record ,_.. ..,. Name of surviving spouse _.._.___.:P._~~.~.~~~~__'!'!.~~__~__'!'!_~~!?'!'!.!.. ..._.__.._:...__._____. List issue,where material: Nat applicable Did decedent marry after execution of will?(indic~te)~~No.Any children born after execution of will?{indicate} :)t::ex No.If answer yes,name them.__.___.._ _ ___..__..___ .. -----.-..- -_-_--..--..----_--------.._--------__--_--_---__-----'--_---_._._------- 500.00 per paragraph "THIRD"of Will. $200.00 per paragraph "SECOND"of Will. 1/3 Residue -Per paragraph "FOURTH"of Will. 1/3 Residue -Per paragraph "FOURTE"of Will 1!3 Residue-Per paragraph "FOURTH"of Will.I Fiduciary,if deceased or not sui jurisInterestLeg.atees Relationship Julia Jones Daughter Tillie Gayman Daughter John Rifgon Son Frank Rifgon Son Andrew Rifgon Son Annie Lazorishak#a daughter#who was bequeathed $200.00 in paragraph "SECOND"of Will# provided she survived decedent.predeceased decedent#having died January 12#1970.a resident at 1216 East St.~Sharon#Pa.#as evidenced by death certificate filed herewith., Helen Wojcik.a daughter#who was bequeathed $200.00 in paragraph "SECOND"of Will.. provided she survived decedent#predeceased decedent#having died on September 19.1968. a resident at 5833 West 64th St.#Chicago#Il1#as evidenced by copy of death certificate filed herewith. List,if exceptions to above:Adeemed:Revoked:Lapsed:Abated:Give Cause: NONE If partial intestacy,give facts: NONE 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.:m.x - If any exception give cause:..__._~~~.~. ., File copy ofNotice Notice mailed to all interested parties on ~l.lgust'30:'1971 ., and date of mailing ~.~..~~~~~~~~.9..9.l!:..<;:.9.p.y..QK.N.9.t~~!'?JH~9 ..~~r.~wj1h-~~. Is estate subject to the filing of a Federal Estate Tax Return?~.?.:,_. Sept.30"1970.Pennsylvanic:Transfer Inh~ritance Tax paid ore$14 000..,00 @ 6%0)'$840.00. Actual payment made on Pennsylvania Transfer Inhentance Tax.Amount $:?.~..$.%..dtS.c..Q1J.):1t..Qf..\li.4.2...0.0.•.. making net payment of $798.00. 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 ore admitted to be correct;and whether the claim is denied. None Give reference to such parts of the wid 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: \ None Balance for distribution per account, Itemize any additional debits not shown by account: Interest on Estate Savings Account in Pittsburgh National Bank.Canonsburg Office"paid 7/27/71 Total additional debits (Add) Itemize any addition<;:l1 credits not shown by account: Russell Marino.Reg.-Fee for Filing Account Wm.O.Phillips -Notary fee on Audit Petition Reimbursement due Andrew Rifgon for payment of Grave Marker Total additional credits (Subtract) Balance for distribution \ \ $1~.Q~.Q.:.1.?. $97.24 $._._._._~.7.#.2:L . 17.00 1.00 170.00 188.00 .............66$-----------------------3 929.__ $~. If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); ,. \ Cash Advance Distribution (See EXHIBIT NO.1"Page 3" of Account), \\ $2,,729.66 1"200.00 '$3"929.66 r~'--~-----~---~,-----.---.-- If Family Exemption claimed by Petition,give place of Record:~.<?~..~~.~~~~.~..}:?.Y...:P..~.~~~~.9.g.~. 166.00 167.00 167.00 200.00 500.00 1..200.00 If Family Exemption is claimed at audit,give name,relationship and basis for Claim:_. John RUgon and Andrew Rifgon#sons of decedent#claim Family Exemption#in equal shares#both being unmarried and having been members of the.same household as decedent at the time of her death and for a number of years prlOr thereto. List any advancement or distribution on account that has been made,and nature and amount of same: John Rifgon#Residuary Legatee:1/3rd Household furniture#per Election $ Andrew Rifgon,Residuary Legatee:1/3rd Household furniture,per Election Frank Rifgon..Residuary Legatee:1/3rd Household furniture..per Election Julia Jones..Cash bequest per paragraph "SECOND"of Will Tillie Gayman..Cash bequest per paragraph "THIRD'!of Will Total Advance Distribution 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: JOHN RIFGON Son 1/2 Family Exemption $750.00 ANDREW RIFGON Son 1/2 Family Exemption 750.00 JULIA JONES Daughter Cash bequest of $200.00 per paragraph "SECOND" of Will..credit to be taken for advance thereof per receipt filed herewith. TILLIE GAYMAN JOHN RIFGON Daughter Son Cash bequest of $500.00 per paragraph "THIRD"of Will.credit to be taken for advance thereof.. per receipt filed herewith. 1/3 Residue..per paragraph "FOURTH"of Will.. credit to be taken for advance distribution of furniture,in kind.in amount of $166.00..per Requesi filed herewith and heretofore advanced as set forth above. FRANK RIFGON \;r0\t,. ANDREW RIFGON \.1 I Son Son 1/3 Residue..per paragraph "FOURTH"of Will.credit to be taken for advance distribution of furniture.in kind..in amount of $1611.00..per Request filed here- with and heretofore advanced as set forth above. 1/3 Residue..per paragraph "FOURTH"of Will..credit to be taken for advance distribution of furniture..in kind..in amount of $167.00,per Request filed here- with and heretofore advanced as set forth above. COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly_..___l?~.9.~!:l doth depose and say that the facts set forth in the foregoing petition are true to the best of h~.i?._.__.._knowledge and belief. .....S.:w9.:r.D-_to and subscribed before Ib. me this ..!.~day /ir~n.o..$.;m~~~.:r::.:'19.1.L. Signature of Offic\t:-!{f.~-=='":.~._~~~=_ T',I f Off'IJliam O.Phillips,Nlltary PUbl!.It e 0 Icer ~tiinijfon:.Wasiiii'i9f(j~.-e~untT,.:. 'IIy Commission EXplrll5 Office expires ".I}!Q~.lO~1.61tL . And your petitioner will ever pray,etc. --tb-~--_P'~-~---------------------'!..~..U Executor .~. 'r/, -1 -1 --------------------------------------------------~----------- No. ,..,..r I ~"..Estate of.1-..f..,J~,i Ii .-.__........".., '7 I OCT 7 m1"!7...................~,I;~~~~~~d"· Fiduciary .-_ . PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL RUSS;:::I!.IF d~INO nEGISTEH OF WILLS W.I.\SHINGTON CO.•PA, "Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being---..---rule No.9:paragraph b-c;and divisions T1 thereof:shown on -pages 23-24.------'--I 1 ..'--'t-''--I , 1.Written praecipes of all Counsel i.n ,the '--I'"'case.-,.<.., +->2.Copy of order appointfng Guardian ad '--I 1 <..,-1 ___litem,if pertinent..~..) +->) 3.Copy of Order apppinting Tr:us!~e ad ~'--I ~-. litem,if pertinent.--'--<:I -<-; 4.Proof of service of above.),~ ;5.Letters Testamentary or Administration C.T.A.or an attest .c~y:pf W~II.<..l) 6.Copy of inventory and appraisement. 7.Proof of advertisement of "g:rant of let~rs '--I -1 if not filed with account.I,, 8.Certificate of liens in case any of the +->-1 funds for distribution are from judicial , :-< sale of real estate. 9.Signed and itemize'd ~Iections ~y if any '-'-<<.., distribution in kind. 10.Copy of Federal Estate Tax return Ijf es--1 ....~-h tate is subject thereto.,......., y -j ~I-H ~ ci________a _____• Attorney ~,~2 -1- IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNSYLVANIA Estate of ~~U&__aBnrKO...~A.~/k....lJA'a,--·_ J.~~M~BlFGON."idol'l. No.,_§_~~19_~_~~19__A. A. Deceased Respectfully submitted, Attorney for the Estate 19l-1-:-at -10:-00-------O'clock,11...-.M.in its courtroom on the Third R.D.HI,Marianna#Pa.15345 194 E.College St q Canonsburg,Pa.15317 341 Weavertown Road,Canonsburg,Pa.15317 341 Weavertown Road,Canonsburg~Pa.15317 341 Weavertown Road~Canonsburg,Pa.15317 11___,19__• Tillie Gayman~ Julia Jones~ Frank Rifgon~ John Rifgon# Andrew Rifton, NOTICE OF FILING ACCOUNT AND AUDIT Also please take notice that the Orphans'Court of Washington County,Pennsylvania,has fixed _ Floor of the Courthouse,Washington,Pennsylvania,as the time and place for the audit of said account. -F.rlday------,-J,~eptember17. To the Heirs,Creditors and Other Persons Interested in Said Estate: Please take notice that the first and final account of Andr.e.lL Rlfgon_- _~~~~~_Q!'of the above estate,was filed in the Office of the Register of Wills of Washington County, Pennsylvania,on .J.ulJL2.8-----------l!i.1_,and is docketed to the above number. Above Notice mailed to: J IN THE COURT OF COMMON PLEAS OF WASHlliGTON COUNTY,PENNP. ORPHANS'COURT DIVISION deceased.The Executor is Andrew Rifgon and the attorney is Howar TEKLIA HRYWKO,a/k/a TEKLIA RIFGON,a/kja -TILLIE RIFGON, TIME: ( ) ( ) (No.962 of 1970 ) ( ) ( HEARING ON AUDIT Number 962 of 1970,the estate of Teklia Hrywko If Your Honor please,I have the requisite papers Friday,September 17,1971,at 10:00 o'clock A.M.,EDST. HOWARD O.STEVENS,Esq.,of Canonsburg,Pa., representing the Accountant . The Honorable P.VINCENT MARINO,Judge of the said Court. Mr.Stevens?O.Stevens. MR.STEVENS: Estate of lliRE: :!~Deceased.>..I>-UlZZIIIII. ZoI-C!I ~BEFORE: Ul~ ~Il:~APPEARANCES: Q ..I<U Q :J., :z:.......til viII:1:1l-ll:o~THE COURT: Il: l-ll::JoU ..I<Uii:II.o ,, in this estate.The decedent left monetary bequests to several of her children if they survived her.Two of these children,Annie Lazoris ak and Helen Wojcik both predeceased the decedent,and we have filed certificates of death evidencing that fact.Two sons of the decedent, John and Andrew Rifgon,mairttainErltheir home with the decedent at the time and for a good many years priorto death.And at the audi THE COURT: 2.~:'---B--------------------------,---/'./ there I am making a request that the family exemption be awarded to them in equal shares.There are no unpaid claims. Is there anyone else in Court interested in this decedent's estate? ~~THE COURT: .I>-l/l~Court. IIIII. ig I!lZ i.l/l <l:~ t=~a::I-!!!o .I<l:U o :l"'\ :J:.."N (NO RESPONSE) The audit of this account is ordered closed by th (A UDIT CLOSED) ,.J C!!auuty. ESTATE OF C!!aurt af C!!ammau JUras af lIas4ingtnu Jruusylnauia.@rp4aus·C!!am Binistnu 63-70"962No._ .TeIklia Hrywko,a/k/a Tek1ia Rifgon,a/k/a Tillie Rifgon, deceased In the matterofthe First and Final Account of Andrew Rifgon Executor 188.00 18.50\ $3,911.16 Deduct Clerk's Co'sts &Receipts _ Attorney Howard O.Stevens ADJUDICATION AND DECREE October 71Andnow,19__,this matter came on for hearing, audit and distribution at this session and testimon taken;and thereupon,upon due consideration the~eof.lh.e bglance for distribution in the hands of the Accountant is determined to be $~.929.6 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 part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg.. Additional credit asked at auditBolonce:_ Additional debit asked at audit Balance per account 1 SCHEDULE OF DISTRIBUTION John Rirgon,son,1/2 Family Exemption as re- quested in cash at the audit, Andrew Rifgon,son,1/2 Family Exemption as requested in cash at the audit, 750.00 750.00 I $2,411.16 Julia Jones,daughter,legacy,credit to be taken by the accountant for funds advanced prior to distribution by the Court,200.00 $2,2110 16 Tillie Gayman,daughter,legacy,credit to be taken by the accountant for funds advanced prior to distribution by the Court,$00.00 $1,711.16 John Rifgon,son,1/3 residue,including 1/3 of household goods and furniture valued at $166.00,held in kind and distributed as such at the appraised value,credit to be taken by the accountant for ftems advanced prior to distribution by the Court, Frank Rirgon,son,1/3 residue,including 1/3 of household goods and furniture valued at $167.00,held in kind and distributed as such at the appraised value,credit to be taken by the accountant ror items advanced prior to dis- tribution by the Court,570 0 39 , r \,.r ... "\. .. , •;I \r •I .' 'f " f,r ~, • I ) 'J , •~1 . 0 » ~ ..... W n :J Z 8 """p t:Y a. :s ~t C (1) ::;ell a 3 t:Y 0 0 ~_t .......... +'1 ct ~ .,...0 St ..... """:s := (1) ~~ ~t:l~ ,' r' r • '-I C \ "-.... Andrew Rifgon,son,1/3 residue,including1/3 of household goods and furniture valued at $167.00,held in kind and distributed as such at the appraised value,credit to be taken by the accountant for items advanced prior to distribution by the Court,~70ft38 ......-.. No bal ance ,") "! / , .. No._ In the matter of the t-l \eel \~.1., 1 pJ\\\\1 c;. , ! ... J. Account of of Estate of AbjtWitatinu aM ittttt r.U.J :'•.",~:a nEG \S\~I'V r''t~\LLS '{!AS >i \;:'r rl ;!r.0.•PA. ~~~2 -------------------------------------------- IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNSYLVANIA ESTATE OF: J Teklia Hrywko~a/k/a-------------------------------------7f--r.----------------------------Teklia Rifgon~a,k,a _TiUt~U=.~Ji.g.Q-n~--Yl:idQYl.L----------------- Deceased 63-70-962No.of 19 A. A._ DISTRIBUTION RECEIPT The undersigned,hereby acknowledges to have this day received of '(T "____.A~g_~_~~B._gg2~..~2S~_~uto_~...s>iJhe __§.!>_<2Y..~52.§.E!_~?__~~_~e state~per P aragr~p-~__HI~~ of Will~ FIVE HUNDRED and no/lOOths ($500.00)--- - - - - -the sum of DOLLARS, in full payment and satisfaction of the amount awarded to me by the said Orpflan's Court in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases ,; and dischargel\he said fiduciary from any further liability on account of the same WITNESS my hand and seal this day of Apx:iL________________________________19 1} Attest: L--. -, \\.,.·v \. ,".-' 1~"::1 :rr'~J..L ---( "":Jr'.T " I I .!,I 1"!~z i 1 il-"i 0 i if-'I fenIf-'!'I-"!w!ro I !I !~I !-J ! I !:0 j iii I I ~I leo !I a:> )~!II.'\J ! :0 m I f (fI I 0......... ill'~I I S?"m I r~0 !lCO "TI I I~I i I I:() It ! I I III~ i I i ?> o (jj....~tI:Ic:....5z ::tImnm~ • \0, J ';':,J'. ~-'\\ _J) L lJO IL I'..!\1 :.t ! II !IVLI ---------------------------------------------_._- IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNSYLVANIA ESTATE OF: __-';L~k!!_~__H.!.:~_!s_Q.l_~~/a _ Teklia Rifgon~a/k/a ___Tj.llJ~_J3j...fgQJ}...---:wJ.9.9.::!L----------------- 63-70-962No.of 19 A. A._ DISTRIBUTION RECEIPT The undersigned,hereby acknowledges to have this day received of Andrew Rifgon~Executor of the above captioned estate~per Paragraph "SECOND'or--WiII-;---------------------------------------------------------------------------------------------- TWO HUNDRED and no{lOOths ($200.00)the sum of DOLLARS, in full payment and satisfaction of the amount awarded to me by the said Orphan's Court in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases and discharges the said fiduciary from any further liability on account of the same WITNESS my hand and seal this day of A..2.!:~L_______________________191.~ Attest: ------~~~-- •I ~ --:--- .-I -i -< i. ,1,,. .> ~~.-~ ( G. 6 3 -70-96 2 of 19____________A.A.No._ ESTATE OF __~~~_~~~__!!"£X~~~L_~L~l~~~!~_ DISTRIBUTION RECEIPT -....l i~::';)---:n-.~j'n,,~c:::>.ro ,-<,0 (;):~~~-_.(,......u'.N!_.- :t:--~,f:'--..I ~-~ J - I.....~-i <.~ f.:.J Cf.::r--'.....-;,-,-.o ~::".-"J--,r-7_\J r-ei)>(j) ....) J,-< ;~ , J "-r"h 1f. "';','.' \~fij.u,'t. --..I.; Howard O.Stevens.Attorney , / IN T~E ORPHAN'S COURT OF WASHINGTON COUNTY,PEl\lNSYLVANIA \ ESTATE OF: Teklia Hrywko~a/k/a ----------TeK1laTRIfgon~---a1k-ta:---------------------- ___________'Ig~_~~__~_gg~_!!!_ Deceased \ 63-70~-962 )No.of 19 A.A._ DISTRIBUTION RECEIPT1 The undersigned,hereby acknowledges to have this day received of Andrew Rifgon~Executor of above captioned estate~per paragraph "FOURTH"-----------of-Wm-,;---------------------:---------------.,.w.::_______-------------- the sum of QD_~__1'J~_Qli S~!!QL1'.hL~~J:.tI!_!'1dr_ed _J~~!!.!.Y__~P___~?_~ltC2Q~~Jl!!_}_~Q_~}8)DOLLARS, in full payment and satisfaction of the amount awarded to me by the said Orphan's Court in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases and discharges the said fiduciary from any further liability on account of the same WITNESS my hand and seal this Ll.day of N_Qy.i}Plh~X ---:.______________________19-1.1-- Attest: ~~-------~(5i-------------------------------~~----------------------------(SEAL) Andrew Rifgon Distribution consists of following:\. Cash -1/2 Family Exemption 1/3 Residue Total Cash $750.00 403.38 1/3 share household furniture taken in kindl (at Inventory Value),\ \\ 167.00 $11 ~20.38 Note:Your distributive share of the residuel awarded to you by Decree of the OrphansI Courtl is included in the above and is made up of the following: Cash Furniture -in kind Total award\ 403.3~ 167.00 570.8 0, 'TI zofmlc.v!Ii-.J!o: Ileo10':1lb:) I o..... 1 • \ IN THE ORPHAN'S COURT OF WASHINGTON COUNTY,PENNSYLVAI';UA ESTATE OF: Teklia Hry~ko~'a/k/a TeKIIa--RiIgon~---a1kla------------------------ TjJ1!~_.!!!fKQ~L._Y{!9-Q.w..' DISTRIBUTION RECEIPT The undersigned,hereby acknowledges to have this day received of . .A~9:!'.~.w.._BifgQ_g..LJ~;;x es;gto:r QLahQy.e_...captiQn£d...e.s.tat.e~per parae:rapb.._~~JlR..T~ of Will~ the sum of __.Q_g.~__:rh_~~!?_~n<!I __.1'_h~_~_£IuD:g_red .!..vy-~!?:.!y__~nd ?_~.lJQQ.!h.~_J.$.}~_~~Q_!_~_~t_DOLLARS, in full payment and satisfaction of the amount awarded to me by the said Orphan's Court in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases and discharges the said fiduciary from any further liability on account of the same WITNESS my hand and seal this day of J5[Qy_~mJ?~_:r ..___________19__1 1 Attest: _.~~--~---~---- Distribution consists of following:' •, Cash -1/2 Family Exemption 1/3 Residue Total $J 750.00 404.39 $1,154.39 1/3 share household furniture taken in kind (At Inventory Value)166.00 Total distribution $1,320.39 \ \\ Note:Your distributive share of the residue,awarded to you by \ \ Decree of the Orphans'Court,is included in the above and is made up of the following: Cash Furniture -in kind Total award 404.39 166.00 570.39 !z l~? :('1)I i,1:';'!m ,I--'iw,I-": IiPJ!-.Jl::c::0 C ;Ii i I ~~Icc i:g :0') ~It\:) t/:l l~m C !o CIl 0 -I !--I ..... 6 »-0!su -I rzI~m '"0m:----n : n :PJ I!!!I'""'0 i-I l~!i~! I I~ I ?> IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY~PENNSYLVANIA ORPHANS!COURT DIVISION RE:ESTATE OF J TEKLIA HRYWKO~a/k/a TEKLIA REIFGONI a/k/a TILLIE RIFGON~widow. Deceased No.63-70-962 REQUEST FOR DISTRIBUTION IN KIND OF CERTAIN ASSETS OF THE ESTATE. WeI the undersigned.JOHN RIFGON"FRANK RIFGON and ANDREW RIFGON"being all of the residuary beneficiaries per paragraph "FOURTH"under the Last Will and Testament of Teklia Hrywkol also known as Teklia Rifgonl also known as Tillie Rifgonl widowl deceased.and intending to be legally bound herebYI do hereby agree to and with each otherl that we shall have the right so to dOl and we do hereby elect to takel in equal sharesl in kindl as part of our distributive share of said estate~the following.at the Inventory Value thereofl the same to be charged against our respective distributive s4ares of said estatel at such value: Total Household Furniture.at Inventory Value Our respective shares of said estate to be charged as follows: $500.00 John Rifgon Frank Rifgon Andrew Rifgon $166.00 167.00 167.00 500.00 this IN WITNESS WHEREOF~we have hereunto set our hands and seals ______day of Aprill 1971. IN THE ORPHAN'S COURT·OF WASHINGTON COUNTY,PENNSYLVANIA \ ESTATE OF: J T eklia Hrywko~alk/a ----TeK1Ia~Ifgon:-a1Kta------------------ _______1'l!l!~__~~!gs>_~!_ Deceased No.g_~_:lJ)_=_~H?_2 __of 19 A.A._ DISTRIBUTION RECEIPT The undersigned,hereby acknowledges to have this day received of ___~_~_~~~_~__~_~_~_~9.~_~~~~_~~~~__~~_~b~~~_:!:pti-?_~_~~__~_~!a t e ~p~r paragraph "~gu~_,!,~~~_ of Will~ the sum of X_~:y':~g~!?:'~_~_~~~~Y-~_l}-~__~n<!}9/19~!~~~~_~_~_~_~_~_~t_-::-:-::-_:::=__________DOLLARS, in full payment and satisfaction of the amount awarded to me by the said Orphan's Court in its Decree and Schedule of Distribution filed to the above number and in consideration thereof,the undersigned hereby releases and discharges the said fiduciary from any further liability on account of the same WITNESS my hand and seal this day of -HQy.eJ.nh~;r__________________________19--'?-! Attest: ()~-------------------------------.---------------- Distribution consists of following:- 'Cash 1/3 share household furniture, taken in kind,at Inventory Value, Total $403.39 167.00 $570.39 \\\ \ ~-.. I z H ~ ::r::(1)I 0 !~tm~:1-':.-.!CJJ $I)lP': I Ii b::l-.:J 0...'I;;'d "0 ),'I 0 10 ','U)'"'V'\:Ii :I0("\..".......( .,I...,J.... Ij I II V fl Cii ~:eov.:.I !I,~I -l i~1m \1LSI ',:,;\';;0 (f)O!!!iii i~m 'I\:) -I '4 C :0 (fI 0<+"'\~i 1 ,-l r -l .... (1),,'"t:6 ~<:r(1)z lP'm ~6i'J t);;0 ~0Uli:d "m ~-n.."i.:,J 1/.n I"v I !!!~::t>"'tI !(1)I<+-l<+1<+ 0 I;;Ii ..,.....!! ~ I I(1) "<:~I ~ Form RCC-33 RESIDENT DECEDENT •••~...._0....,) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF ):z WASHINGTON J IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the· Register of Wills of the County where decedent ·resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of .__the Inl).erit!lnce_.an!l.E.f:!t!ite J.'ax A.ct of lQ61.) and say IN THE MATTER OF THE EST4.TE OF }....:ai:l~~T¥lli:1itg~~~.~.~.~~~:~~~~.~~..........:::u4.;~:OF 17 (State full name of decedent)t<'I ::.:~~:_~::?~:~_~~_:_:::::~::}~~-~_ADmmSTBATOR? ANDREW RIFGON.......................................................................................................................................................1.. of the estate of the above-named decedent being duly sworn,depose .............Executor Decedent·dJed ...........;r.un~. (Month) Name and address of attorney or} ot.her authorized representative to whom all correspondence should be mailed. 3.0.,19 7.Q ,r testate leaving a last will,copy of which is hereto attached.} (lIay)(y )l intestate ......If.()~~~gO'..s.~~y~n§~..At.t.Q.r.p.~y 9.J ..L~w....... ..M ellonBankBldg.Canonsburg#Ja•15.3J7...... That as such ~~g.9.1JtQ.r.deponent is familiar with the affairs of said estate and the property con- (Executor-Admini8tratop) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit bux registered in 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 THI S SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINTINWHICHDECEDENTRENTEDASA~E DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT None That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth full v and in··detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets fortn fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether indiVidually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of savings banks,and to the date of decedent's death in all other cases;all bonds,postal saVings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute or agreement they are designated as tax free,of the United States,or any state,or political subdivision thereo~or of any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic- tures,books,works of art,household fUrniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and mortga~es held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,With interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation·as to each item;all moneys payable to the estate from life insurance policles carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.·It should also set forth in itemized form,together with the,fair market va\ue thereof,any other property owned or bequeathed by the decedent at the t~me of death.\ The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom transferred,the relationship of the transferees to the decedent,the proportionate share received by.each transfe~ee and all other facts of a pertinent nature regard1ng said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y of the deed,trust agreement or other instrument creating the trust.Therl~is also set forth in said schedule a list of all property,real and personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,either individuallY,or jointly,.by the Will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together With the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement shOWing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of....death;taxes accrued charge.able for period prior to decedent's death (except.those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B", "C","E",and "F"as directed therein,. have been carried forward and properly registered in the Summary. Subscribed and sworn to before me this /..£~.:. ?il.:.f1;of1:y~~:::~··················l:?~~ Washington County,Pa. Commission Expires March 30,1974 V:~...' (Executor-·Adinm·a:iD#IJ.!1/f1. .........3.4.1..W..e..ay..e..r.tQ:w..n..RQ.g,. (Street Number) .........~.~r.1.?~.~?~:..~.~~.~..~~.?..~..~.7.. (City or Town and State) NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly con~leted as above-directed. RCC-34 (1-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX R~SIDENT DECEDENT SCHEDULE leA" REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by the decedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be (1)(2)(3) described by lot and block number,street and street number,together with DEPARTMENTageneraldescriptionoftheproperty,with 0 reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title;if a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessment.s,accrued Interest on mortgages,etc.,are DEATH In this spoce)to be listed on Schedule "F"and must not be deducted from this schedule. NONE (See Schedule IIell hereof "TRANSFERSI ') Insert this total opposite "real property",Schedule "A"in the X X X X X "As Reported"column on the last page of this return. NONE "RCc"'-35 COMMONWEALTH O~PENNSYLVANIA TRANSFER INHERITANCE TAX .RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".Inta~gible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,etc.) Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,..stocks,"mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in anyundistributed estate o~or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule.--......--_._-------------------....,.--....,~-----....-------- Item No. ITEM List and describe fully UNIT VALUE ESTIMATED MARKEr VALUE DEPARTMENT VALUATION (Do not write in this space) -1.Savings Account No.2014676,in Pittsburgh National Bank,(Canonsburg Office),Canonsburg, Pa.,in nlo "Tillie Rifgon or Andrew Rifgon".. account opened August 7,1965.Account admitted to be assets of decedent only. Balance date of death 2.Household Furniture Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X $6..979.82 ~ 500.00 '- 7..479.82 •-.' ------------------"---- RCC-134 18-05; COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION OFFiCiAL NOTICE OF INHERITANCE TAX APPRAISI:MENT AND ASSESSMENT OF ASSETS NOT SU BJ ECT TO ADMINISTRA TION TO:ANDRf;,'.~·RIFGO:J 341 ',TEA 'TElnC\~lX tOAD 15317 Date:....:m:':':""__-.IoL.J.wu.....1.J,.y.....e2L.o1f::2t.e1o---l1....9u7u,0oL...__ County ..:.:.W~a~s~h~i=.!.n!Jigiil.ltl::..lQ~n~_ County File No._ Bureau File No._ We have received notice that,4S~G.:ie6:UJt:~olxae~'GJh,(o.r~':;C:XX'~XX'\'\X':XXXXXXXXXXXX:\';XXX}.';xxXXXYXX on Junc 30 I 19lJ:....,you came into ownership of certain property through..'{~Jl~~~XXXX ~wo)i;fArliletUCQwnja\bt~tb£ttt~ed'tl\t:~~":tr~\l1sfer from,TILLIL RIFGO~~,deceased. 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: -..the PJTIS;~IT\;I'";'-:-TOX',I "~',;;-J r \':P';S3!"'C In the nar.les \);'TILLL~iUFGOX or AYDRC\; as of date of death,114XK $6,979.82. .... Jt.B~nk Account #20]46760 h@ld in CFFTCl~,CANONS~FRG J PEl'."JSYLYANIA. RIFGON.Opened,7~7-65.Balance appraised by the Commonwealth,os of the date "of death,at $G,979.82 S,)%of this amount is taxable at the rate of 6 % ORIGINAL ASSESStjENT AMENDED ASSESSt\ENT ASSESSED BY:~_ (Agent for the Commonwealth) DATE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEB TS NET TAXABLE AMOUNT AMOUNT OF TAX DUE LJ If you pay the above amount within three (3)months of the date of death of the decedent,or on orco•"'-nbeforeoJIe';'...""19"~"you moy deduct a discount of 5%of the amount of tax due,or C This taJl,became delinquent one year after the date of death of the decedent 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 *If the tax is not paid by ·he-obove date additional interest IS due at the rot",of 6%per annum until paid TOTAL AMOUNT DUE /l J /I APPRAISED BY:r;/u ~"---J,,-4-~~~OL- (Inherllonce Tax A pro' $ $3,489.91 2Q9.39.. 10.45--_....._------ 209.30 $-----~..-'"". ""1,~ ----------....... ----..,..-........-~........ S =====::::_;::". INSTRUCTIONS TO TAXPAYERS Make checks or money orde";payable to:To insure proper credit to your accour.1 this Official Notice must accompany your payment.Mai I or bring it to: .J \-./-' (over) "R~HAM~ .....c.....\J.TI.E ..Of~~l':'lu~w~~~t~ COURT HOUSEl:JASHlrJGTO~,PE~~t~~ rcc-% rOM!lf0N 1l'EALTH OF PENNSYLVANIA T~\NSFER INHERITANrs TAX RE~IDENT DECEDENT SCHEDULE "c" TR..t\NSFEItS (1)Did decedent,within two years of death,make any transfer of any material part of his estate without receiving a valuable and adequate consideration therefor?(Answer yes or no)Yes'' (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)--"N;,.,;..:,.o__ (3)If the answer to (1).or (2)above is in the affirmative state: (a)Age ·of decedent at time of transfer _...:9,-,2~__ (b)State of decedent's health at time of making the transfer.(Note 1).Good (c)Cause of decedent's death.(Note 1).(See death certificate attached hereto) (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)No (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)_ (b)What was the transferee's age at time of decedent's death?_ (5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or eni~yment of or the right to income from the property transferred? (Answer yes or no)__N_o _ (b)The right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)~N~o~_ (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedentaloneorothers-:-_ (7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor?(Answer yes or no)~N~o~__ (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserved power to alter,amend,or revoke,or which cOllld revert to decedent under terms of transfer or by operation of law?(Answer yes or no)No (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in th~decedent alone or the decedent and others? (Answer yes or no)No NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market value at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any. Submit copy of any trust deed or instrument,if trans- fers are claimed to .be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which prOVided in Schedules A,B,or E. ITEM DESCRIPTION MARKET VALUE (Estimated)DEPT.VALUATION (Dept.-Only) 6800.00'"~<JO(j.O(J ), 3166.00 ) /~~.()CJ 950. All that certain tract of land situate in North Strabane Township,Washington County,Pennsyl vania bounded on the North apd East by lands for nerly of Samuel Wilson and now or formerly of C.A. Chambers Heirs;on the South by the public road known as Township Road No.718;and lands now or formerly of Neill Heirs;and on the West by the public road known as State Legislative Route No.62164 and property now of Neill Heirs, originally consisting of 26 acres,15 perches, (See deed to Onufer Hrywko and Teklia Hrywko, his wife,Deed Book 531,page 483),less convey ances made thereout by the said Onufer H;rywko and Teklia Hrywko,his wife,or either of them, by deeds of record,leaving an area,according t< the assessment records of Washington County,Pa. of 17.0444 acres,more or less.Having erected thereon a two story brick dwelling and out-buildiI gs. Being the same property heretofore conveyed by Teklia Hrywko,widow,to Andrew Rifgon,un- married,by deed dated September 4,1969 and recorded in Deed Book Vol.130~page 6. VALUE OF LAND AND BLDG;:,.BASED ON 1969 COUNTY ASSESSMENT RECORDS: Assessed value of 17 .0444 acres~2040. TOTAL VALUE OF LAND ~,J.{-'"/,r Assessed value of dwellings,etc. IrOTAL VALUE OF DWELLING,etc. 1. Insert this tntal opposite "Transrers",Sohedule "C"in th~otal "As R~rorted"oolumn on the last page or this return.9966.00 ,i TH.b'kOTteQ.-m::mctI:.~aoA ~ltcalPT ONLY WHaM VALIDATaD DY COUNTY,TDaAOURaR AD TO DATlt AND At40UNT PAID.o 0 U 8 , .0 ~~~~WanC,iDl!lG'oa;COl!Dmlfly if'Clnoo O(X]j'O LD:VY:COUNTY TAX REAL D:STATa 10 MILLO ~~ PClJCIbb:MALCOLM L MonGAN,co.v~ counT HOUGt:.WAGHINGTON.PA.AooaooMaNT DIOTRICT -e>DO NOT Dtn'ACH PAID 2.6953.822990 ~O'O ~ILl ~n 02autm'i'ot:J 00. COOcrJ5DU:lGo P40 U~A'i ~lb Bty 8ft HSE-8L808 Ai •O~hCal&S tUCO ~8-1"'OOV ca ~:i)n·~ TO CORRECT ADDRIZGO OR PROPIIRTY DIIOCRIPTION.NOTIFY JllT'M:.trl\Z TAl(AGQttGOMII:NT OP'P'ICtt.COURT HOUOa.t:1AODtm~PA.jf\UIjI~ O~DlceOUNT II"PAID ON OR DltP'ORlt AUGUCT I.PAYAa.lt AT FAce DU~INCI AUOUOT...PCNALTY ADDltD TO I"ACE ON OltPTlWCaR lOT ocr I~..~ CD 'NOT DllTACH ~- - - -nrrrunM mrs POaM ~ITM nfiMmAMCn.G VALUATION FAC{£DI9~~UNT PCENALTY Ml!1 6 <U±U ==?8 9 '6~f f JUH Wt.SHlt~GTON CO LJ NTYM,~Lco ~~'_1-/(,:U:AN CO /J HTYTRF.,\SUR t R TAXPAVII:R • • r .. ;-tCC-38 CCMMO"WE.\l.TH OF PENNSYLVANIA TnJ~::'l·'FR INHERITANCE TAX, PillSIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY • Ii'iSTRrCTIOSS:This schedule must d.isclose all property,real and personal,owned by the decedent jointly with another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-~wners to the decedent. Description of Property,Date of Acquisition,Name I unit percentage Estate Address and Relationship of Co-Owners,and Place Value Share Valuation of Record of Instrument,where Real Estate.I Joint account listed at Schedule B.. since all of assets therein were admitted to be property of decedent. Insert this total opposite "Jointly Owned Property",Schedule"E" in the "As Reported"column on the last page of'this return. DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of'Value of' Entire Decedent's Property Interest II I I ,-~o_o__.....J .. RCC-37 (12-63). COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESID'ENT DECEDENT SCHEDULE "D" BENEFICIARIES 1. h h BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH Julia Jones Of age & 194 E.College St~,Sui juris T.l~der PAft,,Aq~4T~l{" Canonsburg"Pa.15317 Daughter Yes II $200.00 bequest. Tillie Gayman Daughter Yes "$500.00 bequest - Rn :Ii 1 (Para."THffiD"of Wil Marianna"Pa.15345 John Rifgon Son Yes "113 Residue -Paragrap] 341 Weavertown Road "FOURTH"of Will Canonsburg"Pa.15317 Frank Rifgon Son Yes "1/3 Residue -Paragra'p 341 Weavertown Road "FOURTH"of Will Canonsburg~Pa.15317 Andrew Rifgon "1/3 Residue -nara ,Son Yes- I FOTTR'TH~'of Will341WeavertownRoad Canonsburg~Pa.15317 ~ I---~-1 -- L h ,~ Deponent further says that all the above-named beneficiaries are liVing at this time except below: NAME DATE OF DEATH RESIDENCE OF THE ~IATTER OF THE APPRAISEMENT ESTATE OF T eklia Hrywko~a/k/a Teklia Rifgon.. P.Il THE (Executor-Administrator must complete "As Reported"column #1.) II ~ CJ ....,'"C =0........('l)('l) 0 ~....e..II •til ::l til til til 0.......::l '"C....,('l)~........~til 0x'"C '0~('l)0'"........ (b 0 ~'0 tx:1 ('l).... til ........'<~....('l) ,..., ---------- ....... ~ 63-70-962 Year(No.Will Administration Deceased Late ofNor'th)3~:r.~1::>e:t11.~T().wll~.11~p...... County of ...F~~l1~ng~<:>Il. Commonwealth of Pennsylvania REPORT AND APPRAISAL "<;j(~"C'J S'II'I:, c.c \" t'\• \'J"'\\\'\S~ll~~~J.....'\1"\j ,").':~lS\J]D \,".~S;I\\ enc:: E::: E:::>=000-"'''-'''''''-''><:n Wen W;:T ::r'g.::r............:rSc5;>M •••• ~~-00 ~~~ f-<>N ;CD ;-;)..:CD:~.til ~;O':l ;-;)Z =o_f!':>.a ;O':l ;CD 0 .g ~U1 ..:.;.::s 0-..0 :O:(Xl (l)....co p :0;1\:)'tt!-'=l c...- ~~-oo~~~ \\"u ~\ (L \\\....0..1 v\'j'l £ "I r';.. ..."I,•1"\: ...;~:t .- Howard O.Stevens~Attorney ,...,.. ,,-. ,\.) ~~'V\., .~ ~ ,~N \\)~~;"-.::l~.~ ~:~ .C1>.~ >'J: U It..-...ttN""-35' ~c... t Rcc-al (2-64) COMMONWEALTH OF PENNSYLVAN IA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Andrew Rifgon (Executor~V~~~ IN YOUR REPLY PLEADE REP'ER TO J In Re:Estate 0 f __.=.T..::e;:;kl=i::::a_H:.::r:.JYWL:.:.:.k:.:;o:::...-~a:.L!....:.k'=J.!~a,-------_ _____\:.:.:'la::..:s::..:h.:.:i:::.n:l;gl.:t~o::.;:n:..__County - FHe No.63-70-962 ' Dear Hr.Rifgon, You are hereby notified that the origiana1 appraisement in the estate of_·~T~e~kl~i~a~Hr~~~v~k~o~__ has been filed in the office of the Register of Wills qf ~fushjneton County on January 27 ,19~.Said appraisement reflects the following valuations: Real Estate _ Personal Property ~7~,4~7~9L.8~2~__ Transfe r s ..."..;9%.:l,,..;9Zi6J.\.6.l...~O~QL--- Tota1 =.17J....t.:,4;clt..k5'-!.~8:::::2'--__ As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Dat e _...:-~J:...:an=uc::::~~.::.rYlol......:2.:..7:...;,!.-::1:.::9..l.7=1 _ DATE OF DEATH:June 30,1970 Note:This is not a bill. Title lil~R.CHANEY",CHIEF ,APPRAJSER .-' RCC-39 (5-68l COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY ,\ Estate of Hrl,rko (Last Name) Teklia (First Name)(Initial) a/k/a DATE OF DEATH_-=-6--::.3:-0_-...:..70__FILE NO.63-70-962 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__\--='Ja::.:s::.:h~l=·n:.:lf",-~t:::..:o::.:n~_ 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:__1_-_2...:...7-_7:-1 _w.t Oi.uw i!A.J r;w INHERITANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum allowed as a deduction. Dated:_ REGISTER OF WILLS rT.TJ.n 82 9.966 00 17·445 82 $ -7.LL79 82 9'966 00 17.LLL.S 82 VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $$-------+-- 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 -l= FOR USE OF REGISTER ONLY Tax on $---------t-- Tax on $----------+---( Tax on $---------t-- Tax on $---------t--Tax on $---4__ Exemptions========~=Total Estate .-+-__ TOTAL TAX 2% 6% o 10% 15% * COMPUTATION OF TAX $--------+--- $---------4-- $---------4-- $-------+--- $-------+--- $...L.__ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death BALANCE OF INHERITANCE TAX DUE $L Add interest at rate of 6%from _____to $------ AMOUNT OF ESTATE TAX ASSESSED $--------"L- Estate tax paid $---1L- BALANCE DUE $L- Add interest at rate of 6%from t= ------Ito-----$---------l. TOTAL TAX BALANCE $--------l PAID $...J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. b Will..l No.Admimstration ~ IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF .'I':EK:L:I:A .H.Ir0.'Jf\:().. Deceased Late of NOltr.H$'I'R,Al:3ft.l~'I'\~~ County of l·rASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL i ~ ..................w..~,Penna.~ (F''j ---,._~ Fonn RCC-2 •COMMONWEALTH OF PENNSYLVANIA DATE .........J?,P.,1l.g,;r.y....?7".....J.9.71.............._. ~EPARTMENT OF REVENUE RESIDENT INHERITANCE TAX COUNTY l'lashington BUREAU OF COUNTY COLLECTIONS ............~................;....~................................................., HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO..........??:.??=.??.?.......................................... Whereas,...............................T.§.kJ.,;j,.~....!:4:Y}*9....................9.!.k./?:...................................late of North Strabane Twp................................................................................................. in the County of ......................................EQ.§,h.i.net-Q.n..............................................................Commonwealth of Pennsylvania,having died on the .....................................3.Qt.h.............................................day of ....................~~.~............................................70 seized and possessed of estate19............,an subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,vT.R.CHANEY an appraiser duly appointed according to law,......................................................................................................................................., having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix I 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 aftertheexpirationofanyestateforlifeorforyears,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 AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purpoles $ PERSONAL: See copy of schedule "B"attached to appraisement 7.479 82 TRANSFERS: See copy of schedule "c"attached to appraisement 9,966 00 Total 17,L.45 82 I I .. I . I fonn~;V:~hb::::~h~W<>rrl~~~7~'~a~o~e~~~5~~i7:*=:~el~n~~: AppraIser ................................................................................................................................................................ (Number and Street) ~WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ..'I'~KI.,JA!:IRX.WKQ Deceased. Late of ,.NQRTH S..TRABi\.N,8 TW.P . Date of Death,...........6.":':'.3.Q~7'O...-:;;;I Appraisemel!t Docket Vol.J i····························,. Page,/.?!.2.~.~No..6.3.":':'.7.~9.62 . Filed ill Register's Office,J..f}J).L..?e.7 .19 ..7.1. Am,aunt of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abo.ut Appra.isement, Appeal.ft-om Appraisement,.. Entered and charged,.. ---- .. ./ ~ Form_~C C.·10 •Lr ~ OFFICE OF TME REGISTER OF WILLS OF __...:W-=-=a=s~h:.;:;;in=g..:.to.:;.n:.:..-_COUNTY AND AGENT OF TME COMMONW5ALTM t "•... STATEMENT OF DEBTS AND DEDUCTIONS North Strabane Township DATE OF FILING APPRAISEMENT Dec.21.1970 DATS OF DEATH -.s.I.J...l<uL.lnlJie~3~0L,It__dl,.f9w7wOL___ DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH"" 19'0 Aug.f1 M~rio L DeAnlJ'elo Funeral Hon e Funeral Services 1~90~00 Aug.6 W.E.Zuver.Florist Funeral flowers 53 00 Howard o Stevens.Attorney Reimbursement for costs adv: 9128/70 Russell Marino,Reg Probate Will $17.00 10/12/70 Washington Co.Reports Advertising Letters 14.00 11/6/70 The Daily Notes Advertising Letters 12.50 12/18170 Audrev Falcione Notary Fees (Inv.)3.00 12/18/70 Russell Marino,Reg Filing Inventory 3.00 7/27/71 Wm.O.Phillips Notary Fees (Acct)2.00 51 50 19 "1 July 27 Andrew Rifgon Executor's Commission 375 00 .Tlllv 27 Howard O.Stevens~Attorney Attorney fee 375 00 July 28 Russell Marino,Reg.Filing Account 11 ao (\...A<........L 4'-.1 /J _A /,,~\IP S'-J'-"VI ~.-~ 1-17«/1/1A .,'1~4(1;;f2~t/~(~'r2u/J~JA~A;J lJ£~,/f'-&.t,i 1t1{)/'11 "VV/ 7 ('--'/;/ ----- COMMONWEALTH OF PENNSYLVANIA } ---,-,-w~·~_so,COUNTY OF _as In on I,Andrew B.ifgou,Executor '-IV KNOWLI!:OGE AND BELIEF,THE FOREGOING IS A JUST AND TRUE srATEM~T OF DEBTS ADMINISTRATION SUBMITTED TO THE ESTATE OF Teklia Hr wko.a/KIa.etc.' INHERITANCE TAX PURPOSES. HEREBY CERTIFY,THAT.TO THE BEOT OF FUNERAL EXPENSES AND EXPENSES OF DECEASED,AS DEDUCTIONS FOR North Strabane Township Form RC C;.10 t., ~-OFFICE OF THE REGISTER OF"WILLS, Washington_OF __-'--'-_--'_"'--__COUNTY AND AGENT OF THE COMMONWIiALTH .. STATEMENT OF DEBTS AND DEDUCTIONS 63-70-96'::2 DEDUCTIONS ALLOWED IN TH'SUM 0':..lfl9}.lc{l7l::ift~it~~_~\=7/ Register of WIII.,Age I DATE OF FILING APPRAISEMENT Dec.21,1970 OATIi OF DEATH -.IoI.J..I<uu..n~e~3~01..;,........11..,!,9~7wO>!....._ DATI!:NO.OF NAME OF PAYEE REMARKS A"'OUNTVOUCJ04~" 19"0 ~g.1 M::lrio T DeAnO'elo Funeral Hon e Funeral Services 1.902 00 ..lie'•6 ,....:"W.E.Zuver,Florist Funeral flowers 53 00 Howa'rd o Stevens,Attorney Reimbursement for costs adv: 9/28/70 Russell Marino,Reg Probate Will $17.00 "10/12!70 Washington Co.Reports Advertising Letters 14.00 11/6/70 The Daily Notes Advertising Letters 12.50 12/18/70 Audrey Falcione Notary Fees (Inv.)3.00 12/18/70 Russell Marino,Reg Filing Inventory 3.00 7/27/71 Wm.O.Phillips Notary Fees (Acct)2.00 51 50 19 1 :lly 27 Andrew Rifgon Executor's Commission 375 00 -llv ?7 Howard O.Stevens Attorney Attornev fee 375 00 :llv 28 Russell Marino,Reg.Filing Account I?00 &~1A-0,1 A Aft>l,,/9 )"0 -h PI/lA-1JJ ~~A~'~Ch diI AA~rf rL./)IJ~Ck(i -(l "-'f / -- : , COMMONWEALTH OF PENNSYLVANIA } ----,W-,--=.h'~rr+_ell:COUNTY OF _as In5"on I,Andrew Rifgon,EAecutor MY KNCWL~DGE AND BELIEF,THI!:FOREGOING IS A JUST !,ND TRU£SfATEME!;IT OF AOMINISTRATION SUBMITTED TO THE ESTATE OF TeklIa Hr wko,a/kia, INHERITANCE TAX PURPOSES. """~\";>.J ..il::0::~l o.f'hillips.~~~·t)ry :--Uj),h••:~/ "lshilir;tOO.VJJ:in:nJ~;)li ~()::Ilty,Pi.:.!~~y C;)i~l;nL)~1\.d)Expires JUljil 10,la12 HEREBY CERTIFY,THAT.TO THE BEeT OF FUNERAL EXPENSES AND EXPENSES OF .DECEASED,AS DEDUCTIONS>F'OR .- 38-107-3----Docket IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. )Date of dealb (d-~o-1() \No.---2.62 of 1910 Term,19__,A.A. Deceared j In the matter of :the Audit of Account filed in the Estate of Rifgon,Tek1ia Hrywko,Tek1ia TO THE AUDITING JUDGE: Enter my ,appearance for the Commonweal'th of PennsylViania,claiming tl'ansfer inheritance tax in the above estate,as follows: DR. To appraised Vialue of Estate:Rea1ty_________...._.... . ..... .$_ Personalty .$7 47 c;d~2.- Addrtionall Assets per Audit,Subject to 'Dax ___.$ Additional Assets per Account,Subject 'to Tax_______________________________________________$-=--,~_;;___;;__-------- C;rC~~ 1!?z,), $------- 17YlJ\'"r;rV' fj-7",7 t,.tro. $---------------- $ CALCULATION --------------- -------------_._- )----- Less Deductions _ Gross \l;atlue . _ Clear Value __ i-:}IiV;;;~_~ TOTAL DEDUCTIONS,$ $-.-r------ $ $------ $-------- $---- II GROSS VALUE _ .$ ~~:--------\~ ~ Add~tional Debts and Expenses per Audit CR. Debts and Expenses per Account;see Note ...Balance $. _ ::.~------------- I;;)__~~~_~~~~~~-~~~__~~~-~~_-_-_$__;< ~~70.ON ~l,~Total TaL.........._....__...L1Y'1-:_",:3_1 $1\U z,.'11 Less amount previously paid .______________$gy()r_~~-- $~Ya '1r $------- $ Interest__yrs.__mos.__days @ __%$_ TOTAL TAX AND INTEREST DUE .$ __ r '. z0 0 I0s:11s::00»z III~0 III 11 ~»IIIr-l "~t J:"0 0 0 :II ":II » 01111 ~0-,3III11 ~Z III'" Z »rn :II0(»...r z CO~0 I IIIZ i:; ll>>~~Q. --.-~... I,TEKLIA HRYWKO,also known as TEKLIA RIFGON,I widow,of North Strabane Township,Washington County,Pennsylvania,being I, of sound mind,memory and understanding,do make,publish and declare this to be my Last Will and Testament,hereby revoking all testamentary writings heretofore made by me. FIRST:I direct that all my just debts and funeral expenses be paid as soon after my decease as may be found convenient. SECOND:I give and bequeath unto my daughters,JULIA JONES,ANNIE LAZORISHAK and HELEN WOJCIK,providing they shall survive me,the sum of Two Hundred and no/lOOths ($200.00)Dollars,each. THIRD:I give and bequeath unto my daughter,TILLIE GAYMAN,providing she shall survive me,the sum of Five Hundred and no/lOOths ($500.00)Dollars. FOURTH:All the rest,residue and remainder of my estate. of whatsoever nature and wheresoever situate,which I may own or shall have the right to dispose of at the time of my decease.I give,devise and bequeath unto my sons,JOHN RIFGON"FRANK RIFGON and ANDREW RIFGON,share between the survivors of them. and share alike,but if one of them be deceased,then in equal shares to and property passes under this Will.shall be paid out of the principal of my property comprising my gross estate for tax purposes,whether or not such I direct that all taxes.and interest and penalty I do hereby nominate,constitute and appoint my II I 1I iI IIj to be the Executor of this my Last Will and Testament!. I FIFTH: SIXTH: ANDREW RIFGON, residuary estate. son, thereon,that may become payable by reason of my death with respect to the IN WITNESS WHEREOF,I,TEKLIA HRYWKO,also known as -----.-------------~._--------;-- TEKUA RIFGON.being unable to sign my name because of my inability to l write.have had my name subscribed for me in my presence and at my direction by Howard O.Stevens.Attorney at Law.of Canonsburg.Pa.•whereupon I made my mark unassisted in the space between my name.this 13th day of May.1965. On the 13th day of May.1965.TEKLIA HRYWKO.also known as TEKUA RIFGON.the above named testatrix.in our presence declared the preceding instrument.consisting of this and one other typewritten page.to be her Last Will.and being unable to sign her name hereto because of her inability to write,directed her name to be subscribed for her.which the undersigned. Howard O.Stevens.did subscribe as directed in the presence of the Testatrix and in the presence of the undersigned.whereupon the Testatrix.in our presence,unassisted.made her mark or cross in the space provided between her name,and we,in the presence of the Testatrix and in the presence of each other.at the request of the Testatrix.have subscribed our names as witnesses. ...I '. 1\ffibuutt ®f iExrrutnr ®r Abllttutatrutnr ~tntt of l1rnn5.!}lu'luta } <!touut!}of m'l5~tugtou 55: Personally before me,the undersigned authority,a Notar.y J?ublic in and for said County and State,appeared An..Q.r..~.w~Rj!g.9.n~~who,being duly sworn accordinK to law,depqs~and says that he is the executor mx:mlmint..m~~f the.es-'Teklia Hrywko"a/k/a Teklla Rif(Yon.....tate~I/kfa.Ttnie.-Rifgon·;..widow.-··········~ce~ed,that the foregomg schedules constitute a complete inventory and appraisement of the real and personal estate of .I.~~E~.JiX.Y.Y?~Q~...~&/a ..etc 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 appraisemeut of eaeh item made hy the above named Exeentor "'Ylfl~ dl1 sworn and,;;~:~::'e~.~~elf9ore 7m~t.hiS .I%!!:.:}.~(I 1Nw....d.~. a]·······························T·-/~.....~Executor-An' ..Au~~~£;~~;L<o"':-;;'[';~~~INSTRUCTIONS Washrngton County,Pa. l~JY CA!nn;m~~y tmWltlcP.ct9f4led 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 3Juurutory 'lUll Appratsrmrnt of the goods and chattels,rights and credits which "Teklia Hrywko"a/kfa Teklia Rifgon" were of a/k/a..TiUie··'Rifgon,··'Widow·············.·.···late of ...N.9.r.t.4..s.t.r.9.-p.gn..~..T9.w;[:H?hJp.~. Washington County,Pa.,taken and made in conformity with the above affidavit. DOLLARS CENTS 1..Savings Account No.2014676"in Pittsburgh National Bank (Canonsburg Office)"Canonsburg~Pa.in n/o "Tillie Rifgon or Andrew Rifgon"~account opened August 7,,1965 0 Account admitted to be assets of decedent only~ Balance date of death 2.Household Furniture TOTAL PERSONALTY REALTY· -..-Ii 11.! n:1IIIiIi:$6~979 82Ii 11II 500 00 ilI'Ii;1-------- SUMMARY: TOTAL PERSONALTY TOTAL REALTY TOTAL INVENTORY $7,,479.82 0.00 -$-7;479.82 COpy OF INVENTORY Notary Publie Andren RUBon, Toklln Hryt'iko,sllt/n Teklln Rlfeon,elk/a Tillie RUBon.\71dow Toltlla HrY'?lto,nih/c..etc 3Jutttutnrg aull Avvraistmtul of the goods and chattels,rights and credits which were Tek11n Hrywko,o/k/a'Teklia RifBon.North Strabano TO\7nBhlp, of············..···tl:/k·/a..·T-ill1-e-·..RiftJGn.·..·w-1dow ·late of . Washington County,Pa.,taken and made in conformity with the above affidavit. 1.Savingo Account No.2014070,in Plttebureb Nationo.l Bonk (Canonobura Offico),Ccnono~ura,Pn.in n/o "TUlle nilson or AndrQ\7 RUgon",eccoWlt opened Auauot 7,1965. AceoWlt admitted to be COData of decedent only. Bo.lnnce date of doath 2.Houcohold Furnituro DOLLARS 06,97982 500 00 CENTS TOTAL PERSONALTY REALTY SUMIviARY: -------- o 00 TOTAL PEllSONJ\LTY TOTP.L REALTY TOTJ\LINVENTORY $7,<179.92 0.00-0-7-;~79.02- ---~._~_.'- -_._.-iP ~-- 55 SEPr,24,1968•f'. STAlE OF ILLINOIS } COUNTY OF COOK CITY Of CHICAGO ., ~ -------..--_.---~ ..:MORG~J.O'CONNELL M.o. ' I -Reiistrar of Vital Statistics of the City of Chica20,do hereby certifyIthatIamthekeeperoftherecords I,-C!births,stillbirths and deaths of the City of Chicago by virtue of the I ,bws of the State of Illinois and the ordinances of L~e City of Chicago; that the accompanying certificate on this sheet is a true copy of a record.. ~ept by me in pursuance of said laws and ordinances. -<'T1W (ArlifiuJ Ccpy V A L [D ()rJyWht'll O,.i~irr.lll 8 L U E SEAL And BLUE SIGSA TURE :Ant Affi.uJ...- ,,'"-~-.~~~;--::~. t'.~~6••,~ ,---:i...':.-,_.-",.'. i /:u ~:.$).:./"/'/./rl/10;..;z,-,~.£J ///..\/~.'1.LOCAL REGISTRAR I' ZI' LAST Kirr '--,t.. •I'YES.\iIW[II[.....O'....c1 CO'o'·•SIOf~(;)I'"O{Tll;""'ll'o'f'ooG,CAI,.\t :O'a(...'" :l9b. 628408 1041001.1 •ILLINOIS LICENSE NUMBER Ii f/ STAn AUTOPSY(YlSIN~~ 190.liO ITAn "............" NOTE:IF AN INJURY WAS INVOLVED INTHISDEATH,THE CORONER MUST BE NOTIFIED, I ?1968 :22c:.../ 70.Cook OATE OF DEATH Uo<C*iT".ClAY,'fLU1 ~,NOT 'N lJTHEIl.GlVI ST.EfT ANO NUMBOl! (MONT><,CAy.'(tA.1 19 Tillie 1905 6:20 i"'" •CAy;yfAlt :/1/:tr SEXLA$T 16. :MAILING ADDRESS (STOllT ANO NO.~"-,.O.CI'f'f 0"-TOWN.STATI.Z'P) :~.t;'".~r<Y(;>'_.l-t~~-;-• MICO\.I I(NTfR ONLy ONE CAuS£P[.LIN[fOR (01.(b).ANO (ell IR~TlONSHIP :_l)_ •'7b,I~'\.' '1JJ-OTATI:OF ILLINOIS MEDICAL CERTIFICATE OF DEATH "~T Belen WoJcik 12Fem9.le I J.Septerr.ber 19,1968 (a)Carc inom9 ofthe Uterus IMMWAnCAU~ CUE TO Oll AS A CONS£QUENCl 0" ee) ~ClI.II TO Oll AS A CONSEQUENCE OF:t(bl .\~ "lUT MJOOU LAST I MOTHER-MAIDEN NAME f'.ST o~uf~r (Rif~n)rHrywko IDENCE STATl :COUNTY :CITY.TOWN..TWP.OA ROAD DtSTalC'T NO.INSIDECITY STReET ANO NUMBEA . Illinois :Cook :Chic13go 11'e~5833 West 64th street14b.•Uc.14d.14e. THcil.~"AME (\~ RT I.DEATH WAS CAUSED ay: CE "'><'Tl...'Clta.",,",OUCAN INOIAN'I AGE-lAST---;-UNDERI-YEAR~UNDER I 6AY DAIE OF BIRTH """"r".QA<.YlAO,l PLACE OF DEATH GOVN'f'f (sPECIfY..liR.THOAY'tyR.S..)...as..DAYS'HOURS.MIN. Y'hi te 50.62 :Sb.;:5c.;6.Nov.30 GISTRATION ~TRICT NO. CEASED-NA",~E F~P tl~ATUR.E ~II r .,\/ a.~lo(\/..L:-""./\\~.L~tJ C~~ GISTEREDMBER a. ,TE OF OPERATION,IF ANV;MAJOR FINDINGS OF OPERATION,, '0.!20b. Tv.TOWN,T'¥rrp.oc _OAO DISTiller HUMBEA..IINS10t:CITY I HOsPITAL OR OTHER.INSTITUTION-N.AMI-:tYlS/NO):Chlc~go ;7e.Yes :7d.DOA Holy Cross T II.OTHER SIGNIFICANT CONDITIONS;CQNOlTIClNS CONTallIYT,NC TO OlATH IUT NOT Ul.ATt~TO CAlJS(COlVIN IN 'MT I (.1 NOlTlONS.I'ANY.HICH GAvE .tSE TO IM-EDI'"TE CAuse fa)AToNG THE UNOE.-IN<'CAUSE LAST. OCAL REGISTRAR)Sr(,NATURE I'~~~:DATE REC'D.6Y LOCAL REGISTRAR·-h'.,.•••oA -~-~-.:26b.SEP 21 3.v ----------Pulaski,Chic~go'Illino~ RTHPLACE tSTATt O'l fOOEleN ICITIZEN OF WHAT COUNTRYIMARRIED.NEVER MARRIED;-TNAM:COF SURVIVING SPOUSE ("Wlfl,G1~MAlOfN """"-IINTOTIWIOOWEDDIVORCED(SPEClfYIPennsylvania9.USA lO.vuQowea.111. URIAL.CREMATION.:CEMETERY OR CREMATORY-NAME :LOCATION O'f'f 0"TOWN STATE :DATE ...~rH.CAY.YlA.1 £MOVAL (sPEC,"Y)"• Co.Buri a1 :24b.He surrec tion :24c.Justlce,Il1inoi s :~pt,23 I 1968 ~NERAL HOME NAME snUT ......0 .......ut 0.."-,.O.OTY Oll TOWN STAn 11' 5~.H.P.Su1l1vqn &c Son.2701 West 63rd Street,ChicClgo,Illinois 6C629 JNERAL OIRECTOR'S SIGNATURE :'UNPALOI.[Cro.·s ILLI><Q'S L1Cl><S(NUMB!. 5b.~~9.{7A--d-/~.12k 4195 IAL ~ECURITY NUMBER IUSUAL O.CCUPATION KINO OF BUSINESS OR INDUSTRY ;U.S.WAR VETERAN WAR OR OATES OF SERVICE578I(VIS/NO)338-!6-0 IJa~ouse Vii fe 13b.Own Home ;13e.}{o 13d. i 2C>O-{1968)IUJNOIS OVAIITMINT 0''U!~l<:H(ALTH -IUREAU 0'STATISTICS,,IIASlo-'ON 1961 U.S.STANO....O CI.TlfICATEI ....~~.....--.....~;;k.-:_~_.._.__ C!1nmmnttUttalt4 nf 'tttttayluattta.f aa:1llIIaa4tttgtntt C!1nUttty. KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid J on the 1st.day of October A.D.19 70 ,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 Teklia Hrywko,A/K/A Tek1ia Rifgon late of North Strabane Township in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and Andrew Rifgon 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 Andrew Rifgon committing unto Him the administration of all and singular the goods and chattels,rights and credits,which were of said deceased,and requiring Him 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 1 st. day of October in the year of our Lord one thousand nine hundred and Seventy .....".....~=!?!..~.... Register • " '," 1.Grttrrll IDrlltamrutary ESTATE OF ..............~~.~~.;.~~!..~~g..~~.~!~.. ...~.~.~~.;.~~~.~~.?.~.!.~/~!~.. Tillie Rifgon .~ ~2 ,I!r 1,'\••l- I I,."; t"lIOCT 7 filii!18 F\U~~:;t:L'_::,'rUNO REGI~;Tlil,uF WillS VJr\.SHIti C;TON CO .•PA. ----------------------------1 III "' ---J ,•I I,T E K L I A H R Y WK 0,also known as T E K L I A R IFG 0 N , widow,of North Strabane Township,Was~ington Co~nty,Pennsylvania,!?eing ", of sound mind,me:rnory and understanding,do make,publish and declare this to be my Last Will and Testament,hereby revoking all testamentary writings heretofore made by me. ., 1 FIRST:I direct that all my just debts and funeral expenses be paid as soon after my decease as may be found convenient.f,, SECOND:I give and bequeath unto my daughters,J"ULIA JONESjI ANNIE LAZORISHAK and HELEN WOJCIK,providing they shall survive me,the sum of Two Hundred and no/100ths ($200.00)Dollars,each. TB.lRD:I give and bequeath unto my daughter,TILLIE GAYMAN,providing she shall survive me.the sum of Five Hundred and no/100ths ($500.00)Dollars. FOURTH:All the rest.residue and remainder of my estate, of whatsoever nature and wheresoever situate,which I may own or shall have the right to dispose of at the time of my decease.I give,devise and bequeath unto my sons.JOHN RIFGON"FRANK RIFGON and ANDREW RIFGON,share and share alike,but if one of them be deceased,then in equal shares to and between the survivors of them. FIFTH:I direct that all taxes,and interest and penalty thereon.that may become payable by reason of my death with respect to the property comprising my gross estate for tax purposes,whether or not such property passes under this Will.shall be paid out of the principal of my residuary estate. .1 I SIXTH:I do hereby nominate,constitute and appoint my son,ANDREW RIFGON,to be the Executor of this my Last Will and Testament. .IINWITNESSWHEREOF,I,TEKLIA HRYWKO,also known as I *I I TEKLIA RIFGON.being unable to sign my name because of my inability to write,have had my name subscribed for me in my presence and at my direction~ by Howard O.Stevens.Attorney at Law,of Ca.nonsburg.Pa.,whereupon I Inade my mark unassisted in the space between my name,this 13th day of May.1965. On the 13th day of May,1965,TEKLIA HRYWKO,also known as TEKLIA RIFGON,the above named testatrix,in our presence declared the preceding instrument.consisting of this and one other typewritten page,to be I her Last Will,and being unable to sign her name hereto because of her inability\ I to write.directed her name to be subscribed for her.which the undersigned, Howard O.Stevens,aid subscribe as directed in the presence of the Testatrix and in the presence of the undersigned,whereupon the Testatrix.in our presence.unassisted.made her mark or cross in the space provided between her name.and we.in the presence of the Testatrix and in the presence of each . other.at the request of the Testatrix"have subscribed our names as witnesses.I _4~~t-IQ~_~~.. -;{~~------ ---~~r-~lAddress .Affi~autt (@f iExrrutnr (@r 1\bmtutatrutnr §tatt of 'tuusyluattia } mouuty of 1IlIIus4iugtou ss: Personally before me,the undersigned authority,a Notar.y .Publi.c in and for said County and State,appeared __An.Q.:r..~.W:R.:U::g.Qn _._who,being duly sworn accor.dinK to law,depqs~and says th?-t he is the executor mxlulmintm~}()f the es-'I'ekl1a Hrywko~alKl'a Tekl1a Rlfuon.h'.tate ~I/kla:·TiUh~·Rifgon·.-.widow············rreceM;ed,that t e foregomg schedules constItute a complete inventory and app~aisement of the real and personal estate of .r..f?'k.E9:..fJry.F.kQ~...~~/a.etc 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 :::;~ro,~ii;~;r~~::::;:e..b:;;..abov}eZi;~t~~ ~~~~~~::;~;~~~~L INSTRUCTIONS Washington County.Pa. l~Y CJ!tnnlbifile~fl\mWltld;>~9f.iled 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 OriginpJ and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Oopies 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 ~UUtutory uub 1\ppruistUttut of the goods and chattels,rights and credits which Teklia Hrywko~a/kla Teklia Rifgon~ were of a/kfa··Tinie·Hifgon~··widow-··················lateof ...N.9.r.t.h.S.tr.~p'g:n~..TQ.W.D.Rh.:!-p . Washington County,Pa.,taken and made in conformity with the above affidavit. J 1.Savings Account No.2014676~in Pittsburgh National Bank {Canonsburg Office)..Canonsburg..Pa.in nlo "Tillie Rifgon or Andrew Rifgon"..account opened August 7..1965. Account admitted to be assets of decedent only. Balance date of death 2.Household Furniture TOTAL PERSONALTY DOLLARS $ 6..979 82 500 00 $ 7..479 82 CENTS REALTY SUMMARY: o 00 TOTAL PERSONALTY TOTAL REALTY TOTAL INVENTORY $ 7..479.82 0.00 -$-7-;479.82- ,\\ 1 .Vd ..0Q /I J1 ~.NIH S\"1/.\ S111 t.\.,10 \/"J 1SI~J U oi·J P''.'i _::::snH 22 h Wd iL J30 DL r'-r '.,-I'!f,.,.1 j _, \,..~'Pt,•...,,.~ \ \\, \\... \Q ,(1 \\ \ \ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY1 PENNSYLVANIA ORPHANS'COURT DIVISION FIRST AND FINAL ACCOUNT OF ANDREW RIFGON1 EXECUTOR OF THE ESTATE OF TEKLIA HRYWK01 a/k/a TEKLIA RIFGON1 a/k/a TILLIE RIFGON1 WIDOW1 DECEASED No.63-70-962 SCHEDULE A. PRINCIPAL PERSONALTY Receipts (Page 2) Disbursements (Page 2) $7,574.92 3,554.50 Balance Principal Personalty NET BALANCE $4,020.42 $4,020.42 Net Balance consists of the following: CASH Advance Distribution (See EXHIBIT NO.}1.Page 3 hereof) 1. 11 200.00 $41 020.42 SCHEDULE A. PRINCIPAL-PERSONALTY RECEIPTS To Amount of Inventory and Appraisement filed Other Receipts: Interest on Savings Account No.2014676 in Pittsburgh National Bank (Canonsburg Office) Total Receipts DISBURSEMENTS $7.479.82 95.10 $7.574.92 8/4/70 Mario L.DeAngelo Funeral Home Funeral Services $1,,902.00 8/6/70 W.E.Zuver"Florist Funeral flowers 53.00 To Howard O.Stevens.Attorney Reimbursement for costs advanced as follow s: 9!28!70 Russell:Ma'rin,o.Reg.Probate Will $17.00 10!12/70 Washington Co.Reports Advertising Letters 14.00 11/6/70 The Daily Notes Advertising Letters 12.50 12/18!70 Audrey Falcione Notary Fees (Inv.)3.00 12!18/70 Russell Marino.Reg.Filing Inventory 3.00 7/27/71 Wm.O.Phillips Notary Fees (Acet)2.00 51.50 9/29/70 Russell Marino.Agent Payment on Pennsylvania Transfer Inheritance Tax -(Payment on $14.000.00 @ 6%or $840.00.less 5%discount of $42.00 )798.00 7/27/71 Andrew Rifgon Executor!s Commission 375.00 7/27/71 Howard O.Stevens.Attorney Attorney Fee 375.00 Total Disbursements $3,,554.50 2. EXHIBIT NO.1 ADVANCE DISTRIBUTION ..~ JOHN RIFGON.Residuary Legatee: 1/3rd share in Household Furniture Taken in Kirid ANDREW RIFGON.Residuary Legatee: 1/3rd share in Household Furniture Taken in kind FRANK RIFGON.Residuary Legatee: 1/3rd share in Household Furniture. Taken in kind JULIA JONES. Cash -bequeathed in paragraph "SECOND" of decedent's Will TILLIE GAYMAN. Cash -bequeathed in paragraph "THIRD" of decedent's Will Total Advance Distribution EXHIBIT NO.l. 3. $166.00 167.00 167.00 200.00 500.00 $1.200.00 ------------ Andrew Rifgon 341 ,Yeavertown RoadCanonsburgFa.13317 Executor THE DAILY NOTE'S CANONSBURG,PA, PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L.1784, Sec.3.paragraph (3)and (25). State of Pennsylvania } County of Washington ss. Personally appeared before me,a Notary Public in and for said county and state, __-B.QJ2~J~.~_~~1?J.~_~_Q!!,who being duly sworn,deposes and says:that he 'h Hanager f th N t P bli h'&P .t'C P nnISt e 0 e 0 es u s mg rm mg 0"a e - sylvania corporation,and its agent in this behalf:that the said company is the pub- lisher of The Daily Notes,published daily except Saturday and Sunday,having its place of business at Canonsburg,Washington County,Pennsylvania;that the said Daily Notes was established August I,1875;that the printed notice or advertisement,attached hereto is a copy of a notice or advertisement,exactly as printed or published,which appeared in the said.4lew~aperin..its regular f's~ues Q~tb~following dates:October 20,NOVemOer~,~,~~(U that the affiant or the corporation in behalf of which ~_~is acting is not inter- ested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to the time,pla~eA~chY1c;.ef)cj the publication are true.---------------------~~----~--1j-g!.__!_._------------_..:- ~worn to and subscribed before me this 11 November 70--1Z--~---_~aY o_~~-i;~~~.:&~~~~~-~:~-== as'ton County Pa .-'Notary PublicMCo., . 'J mISSIon Expires March 30,1974 .....----...-.......~~~~-=--.EXECUTOR'S NOTICE•Estate of T"h'",Hrywko.a Ik/a Teklia Rifgon,d"",·a.sc'd,latO'Vl Xorth Strabane '1'0\\nsbi",\\'h'h- ing'ton County,PPIllJd.•i LETTERS Testam<,,'tary "pan the above e"tate having h"en~ranted to the nndersign,'d.n()ti('O'is hereby given to t.hosE'indt""bted thereto to nlake in111)I ,tLltf'pay- nlent,and to those hU\lu:={(']a1t?S or demands to prespnt them tor settlement. I Howard O.Stevens,Attorney :'Ilellon Bank Bldg-. Canonsburg,Pa.15317 October 28,Kovember 4,11,1:"1)._------- Washington County ReportS )Gl$X5~~~pq~ Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. ,1784Sec.3,paragraphs (3)and (25). COUNTY OF WASHrNGTON) 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,publisbed weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in this behalf;that the said WASHINGTON COVNTY 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: .....~9.y.~!!"!.~~E ~.,L?.J.J..~.L.J..n.9.. 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 them for settlement to the Executors or Admin- istrators or their Attomeys. • • • • ••••• • • •• ••• • IRIiGON.-TEKLIA,a/k/a TEKLIA ~ I HRYWKO,Dec'd. \ Late of North Strabane Township, Washington County,Penna.,Executor:Andrew Rifgon,341 iWeavertownR0ad,.Canonsburg,Penna.15317Attorney:Howard O.Stevens.MeJ.lon:Bank Bldg..Canonsburg,Penna L15317 ._~r -_~_·__ 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 this affidavit as to the time,place aftd character of the publicatibn are true../"/)I://.',,II 1/)y./II /f '"..",,<!"~/'//l..,L..r //,., I _...\....... .............................h . Sworn to and subscribed before me this ......L9.,t.b...day ~f........Ng.Y.~.l.~.r::.=..~196-P.~:.~L.~~V ~~SFPHINE T.SC!A..~ri':A • 'cta'y ,.Jt:k,;;,"nr:',r,',';'inrton Co. ~/y ~,1;i\issiJn [.:.J 1.:974 .._..-- .. STATE OF PENNSLYVANIA, WASHINGTON COUNTY,}55: The within named Accountant being duly sworn according to law,depose S and say sthat the above account as stated is true and correct as ~~verily believe.S . /--t.:Sworn and subscribed before me this J....£..:::._. day of ..,Jv..."'=.'(._ _ _19.1/... /I}..0 a?/J//'~~><~.··;~i;,;~-········-····· \/ashington,Washington C?unty,p~ My Commission ExpIres June 10,1972 Washington County,ss: ..~q/~. Andrew RifgO~:'1~r Ido certify that I have given legal notice to all persons concerned of the filing of the within account in the manner pre- scribed by Statute and Rule of Co~,as evidenced by proofs thereof filed to No...k3.~1r:.;;:)8Q . Witness my hand and official seal thiS__3()..~.......__..._. Register of Wills ...., 1::....,0-I::::s U <ll1:l 0 1:lJ(J\u::s 0 ::s0III0.,t).s:::....t)t),(\()'....,t)~u!<'"'\0 <0.i 0+-',-H ,....,~~(1)i :::1 ~,~III .B is)C)Gcd!Q..l >.'--'>4 'II I/l:(~il ,"",.$~~r.:.~!?,)0 ~li-100'_t)Ul ~-,.c"<:::0 oCtcd:....I=:....,t~"«....,dr-l (1)<Eo<~,cd Q ,~:>G::<O!I=:<>RUC)ccl t ~(1)Eo<~:b..O ::,"\;:d,l ()rn .....,\~,-I!-.~."d +-'t~i r:r,....r:n~•.-1 pr"".I:::>-:i P1 \"-v ._).'<ll ,~'.~H:'"0 \i/A C'I II 'J'-'"'••,j ~0 u)~i I=:~'/,'".0 ;::IIIIf"\uf I'.-+-'-...;.cd ~I :)••rAP./i rJl cd!<U 0 '6h '"0 ~+-'~r-...., III III H.....,Ul '"d ~.s:::~cd ~r-l,H ~....,~~i Q 0 ~.....I::-..........r a(1),r:r,4 :::::6 0~i "d N ~0 I::Z <0>.... ~ '\ • •"".-: <, _.~-- 'r' , ""Ii ~ The Court is respectfully requested to ~proper distribution in this est tel iJ;;.;: ~4fP.~ Counsel for Accountant ) illnunty'iran nf lfan4iU9inn minininn nf illnmmnn ®rp4ann~illnurt illnurt~lt In the matter of the Audit of Account in Estate ofo__T_E_K_L_IA----'H=-:.-'R-'--Y=-W-'-'--=K=O~._a=/e,::.kO.ll..'l=a__f TEKLIA RIFGON" -No.63-70-962 Deceased TO THE AUDITING JUDGE: Entero ---=m=.::.J.y .appearance for__.=..A=.:n=dc=.r~e::...1w~R~i:=.fl:'>g~o:=n~.,--=E,"-,x=e-"c,-"u"-"t""o,-"r,---,,i""n'--"'th""-"'e'---'""a""b""o'-'vue"'--__ captioned estate. 17thday ofo__-,S=e"'-lpE"-t...,e"-"m""",-"b<...>e,,-,,r~,19---..lL N.B.-Counsel shall,by separa:te pape·r,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. It:'"Ij il ;C i"',"r '""I'!'",j •--"-,;..-.a,.,.....r t;TI HC l 7 t\N'rr r71 F;;:;iJSS'f!'[I'r ,.,:i iN 0 i\EGIS·TEH (JF WILLS lliA'S"I"'"'T'Ot1'"'0 P'Allll;\"11 "",I ",\.J ",,','" No,63-70-962 In re Audit of Account in Estllite of TEKLIA HRYWKO,a/kla TEKLIA RIFGON. AUDIT I Jrarripr fnr l\ppraraurr FOR Andrew Rifgon.Executor ----,- Howard O.Stevens Attorney ~2