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Home My WebLink AboutOC1970-1003 - ESTATE OF NOVAK.-'. FORM 67 REV.1-50 lo J -1()-/()()3 ~-1.1 REG.WILLS •Appliratinn fnr ittttrs nf A~tttinistratinn nn tqt Estate of J.Q.S.EPR N.Q.Y.AK . North Strabane Townshiplateof ,Deceased. Before the Register of Wills of Washington County personally appeared F.R.A.NQ.E.S.N.Q.Y.AK . who,being duly sworn deposes and says tha<t...J.O.SE.P.H ,NOV.AK... age.....7.4.......,having.E:.~.~......last family or principal 'residence at......?).4 A.~.~.~.9:~~.~:£Ay..~.~~.~.L . (Street and Number) .................~9.!:.~P.:~.~.!..~E.9.-.~.~,Washington County,Pennsylvania,died intestate (City,Borough,Township) at ,on the ?.Q..day of A~g..y..~.~. A.Do 19 1Q ,art M.,possessed of personal estate to the estimated value $..~.~??~.?..?.,and of real estate in the Commonwealth of Pennsylvania to the estimated value of $,situate in ~g.:r.~h ~.~:r.§.9..?:P:.~~g.XY.g~.ht.P.:.. The names and addresses of the decedent's surviving spouse (if any)and other heirs (including heirs by adoption)are as follows. RESIDENCE .....FBAN:CES 1J.OYAK w.ife.2·J4·..AJ,.e;x;a.nde.;r !A.v.eJ;lue.,.. Strabane Pa •.........................................................................................................................................,. .......................................................................................................................................... .......................................................................................................................................... .......................................................................................................................................... ......................................................................................................... ........................................................................................................................................... ........................................................................................................ That deponent is over 21 years of age,resides at...2.}4 !A.l.e.xand.@J;!J.I.:v:€-nu.@·f ~ ............S.t.r.ab.an.e..,.P.a . 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. t!.~g-!2./.:?Z'~ COMMONWEALTH OF PENNSYLVANIA }SS. WASHINGTON COUNTY,.' And now lY...J.,l::~,19 7.Q..,comes F.;r.§..n.g..~.§NQ.Y..Sl.K .. who being duly sworn doth depose and say that...s.h~will well and truly administer the goods and chattels,rights and credits of J.D.SE.P.H NO'V..A.K ,deceased, to the best of....9..~!.....skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. Sworn A-nd...E.brcribe~before me this .6?.. da ..U..~,A.D.,19 79 .. :::::::::::::::::7?(~:::::::::::::::::::::::::::::::::: REGISTER .. / o /<'1..3 z,.6 -7fJ -ltJtJ:3 APPLICATION FOR Letters of Administration ESTATE OF ..........J.O.sE.PH N0.YAK;. Deceased R $.. Letters......................................................0 t!J-<J P $1.:. ...--r' Extra AliaS:;.._()~..$~. ~rn l;)1/1 C}..;----x..~,•(j')..0 l-C""?•.CertIficates x .-'......;...;.$.:;;.;;:...~. -(J)v;...,..'t:"lI. .Z -i rn -:::.::.!.-, RenUnCIatIi ~.~~..$p .. ~O,_...-.......:$· ·..·..···..·..··..·x··';'C;..~"'..·;y;.,.....(),~,::::c f"71.....::eeu -'...........................S;l...;#,;r.m ~t'..•=,.~~~.~~~ Total...Ef:..~;.~~~i?!..:... .'1....r-~-'- '"'-' ...;:: -.J WILLiArJi J.vE~JGEL ATTORNEY AT LAW 1408 FiHCr{mm..D!NG PITTSBURGH,PA.15219 Attorney ~2 Sealed and delivered in the presence of: :~':f of ~~;~:"':;;:~:~~~;:,~:,:~~}No....of I' KNOW ALL MEN BY THESE PRESENTS, That we,F.r~p.~~.l?..NQ.Y~.f..~p..(LA.~~.~?-G~.$.\l~HY ..~s.ll:r.E!~Y ..Q9mp~P:Y ",..,,.............,.. ............................................................................,,,. all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl- vania,tor the use of those interested in the estate,in the sum of t.,..I)~.Q.:..~.~.:Dollars,to be paid to the said Commonwealth,to which payment,well and truly to be made,we do bind ourselves, jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assigns,ahd~- each and every of them,firmly by these presents.Sealed with our seals and dated the ,..1.3i;lJ."day of ·Oc·t.o·be·r A.D.,one thousand nine hundred and .sevent,y (1.9.70J . THE CONDITION OF THIS OBLIGATION IS,That if the above bounden . ., ,..ERANC.E.S N.O'VA.K . Administrator..........................................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. -":rr• ........................................................•••"!'.~~.-~••.,(SEAL)~"'"~~'./~-,'.,.,~"'"'",..-x""~...A.E'JIN.~JI!:,~..,$~~~GQ.~A~AL)~~% 0'.~,;£...-.1':;~~~~ ..........."~,'~.~:.~(SEAI;)F:~L.Val Hood,Attorney:-:tn:-Fact f,..:: -::..;,....'i...Jt*'..\J:r@/tutrmrttt of &urdl1 ";..~~"'"_«-:?-t ......:\......~I.------------------------------------------------------------------------------------------...,surety in the sum of $_..on the administration bond in the estate of i!'_Q~_~~H -~~~!:~... ...._,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. .:-----_.--------------._------.._----------------_._-------------_.-._-_._------------------------------~ .,.---..-------.--------.--------.--------------------·-----··---•._4 ..:-_ Street itutrmrttt of ~urdtl P.O. I.----------------------------------------------------..-----------------,---------------,••surety in the sum of $..on the administration bond in the estate of'::~__;LQ{D~;I)H __..N_QY~:~...,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. ..........___ _ __. •--••----.-••------.---.------------------4.4 ~._ 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 th3t 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 _._-..---_._-----------------_.._._--------------------------_.._-._-----._------------_.----_._-------. L3 -/7()-/0 LJ3 \ ?/.. No.~43....-.-..... ~ "- .\'.\;,'1\~miuintrutinu 1Bnu~ ,, c-.,.. ti:' u IN THE ESTATE OF JOSEPH NOVAK if).d:~•..d:.Gt-~~..~~g ~~\.~,-Z-90 ~a~1"""" =J uJ ,.5> \J...!\-----:z;._.~..""~ ,,-I).<J)'""" vJ ----':"'""""".c;>t.n=u.J~~.;-.....U-"~ ?...- r-..o ~(,-) c;;'.) (".t". ---0,.... t"-l §5-- fit C1 ~! ~,..j, ~ ~ ......---~ -n.. --.l c::::>~;o~ ;po rTl C c::::> (J)0 '.l---:l---:--(I)__; And now .-.i~!1?~~~!'__..~~~:f.!119...!_C? Bond appi:9'i.¥d r-gnd LetfE?rs iSiiJ'"eA to ......._"J r -~-C)...Z 0 '"P --,::)-n ;:'h ::::J: Frances cN~va!§:who was dUly----------------------e--:::::--::::.----------r--.,).---------,.---------.-- ~r:z -0 r 0 -J;:qualifidti.(,f')-,....., ._-----._------------------------------._------------- Russell Marino, Register Bond Book ~_4 ....__.Page _4.~_ BADZIK PRINTING ~9 DONORA l 3 __/o ..//}()3 .J 1\ffi~auit (@f fxrrutnr (@r 1\~miui!itratnr j!ltatr of Jrttttayluania.t ss: C1l11Uttty of lIaaqtttgtntt ~ Personally before me,the undersigned authority,a N.o.:t.ar.y.P.ubl.i.c...in and for said County and State,appeared F.RANQ.~§..J~Q.Y.A.K,who,being duly sworn according to law,deposes and says that she is the -e~1:l't'o1""m-administrator of the estate of ..J.Q.SEl?H N.OYAK,:deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of J..Q§.~.P.h NQ.Y.1il.K~, deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite'each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each item made by the above named ~ter Administrator. .¢a ~=::~;;~~~;:~~.~~.~~;;;l:~this:2.2I£..I ~...~k'!...~__.... .washin:f~~~if~~ii.iit~~.~~~ii~~l+Executor-Administrator My Com.e •Apr.12,1975.AlJlJITIONAL INSTRUCTIONS 1.An inventory must be filed within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3Jutttutnrg nub "pprni!ltmtut of the goods and chattels,rights and credits which were of J.Q§.~P.JJ NQ.Y.A.K late of NQ!.:t.h §.~X.~.9.~.~~r.2.~.~§.h.!.J?.. Washington County,Pa.,taken and made in conformity with the above affidavit. REAL ESTATE: ALL those two certain lots of ground situate in North Strabane Township,Washington County,Pennsyl- vania,known as Lots Nos.234 and 235 in a plan of lots laid out by the Alexander Land Company,record- ed in the Recorder's Office of Washington County, Pennsylvania,in Plan Book 3,pages 18 and 19,said lots of ground being more particularly bounded and described as follows: DOLLARS CENTS Bounded on the northwest by Alexander Avenue;on the southeast by Alley C;on the northeast by Lot No.236 and on the southwest by Lot No.233;haVing a front- age on the southeast side of Alexander Avenue of eighty (80)feet and a frontage of sixty-seven and 10/100 feet on the northwest side of Alley C with a I depth of one hundred and fifty (150)feet.$6,000 00 PERSONALTY: Savings Account in Slovenian Savings and Loan Association of Canonsburg,1,127 22 $7,127 22 ~...-~ "'"d "O:J N01:JNIHSVi\\ i~~ iO ~ S~I-lIN\ !CI.l .......<:!~ ,:W il :1 1('I~3U ,to:!<:~ ;...1 ,)• ilod ~ oIi \:~I,:II ~ .,...I TrlSSllti i::J::"~"'l ~~ iz ~~,0 ~~ i<~~ 1I I lkl L2 1"'0 I i;J;> CI) L ~~0; _.I i~:g:~ r ~ ~11 ':1 ~~I I ~\\I I .J ~. ._"~I , 0 ~~~;:l ~ ~ ~ r .... j' STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,deposes and sayS that the above account as stated is true and correct as She ._verily believe.S • Sworn and subscribed before me this 2.7.th .~.l'~J<~t1If~_ day of __O'9-t<;>}?_~_~.L..._..19_JJ.. ,~l;2:~t;;f;it~~, Washington,Washington County,Pa. My Co~.,expires Apr.12,1975 . ..., Washington County,ss:I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court,as evidence by proofs thereof filed to No.-_h3':'.J.l.~.~35...._........ Witness my hand and official seal this ~9.:~..._. day aL~"C'i\il'''''''';''''''19'1L,~~'It~..._ Register of Wills :...:2 '"'MOJ~ ciZ ~ c::o~~ Qi '>1'-i,: ~ NIi('()j 1 r '~ J -.._..','J1 ..-"'...... ,''.- r'"..---...., Washington County Reports' Effi=!le'efTff'~R'"BfRel!'F Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L. 1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINCTON) STATE 0"PENNSYLVANIA (88. Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS,the official legal periodical for said Washington County,publis'hed weekly having its place of business at Washington,Washington County,Pennsylvania,and is act- ing as its agent in 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: ..._g.~.~.~.~.~..~.J?!....~~.L ?..~.1 ~..ng . Estate Notices The Register of Wills has granted letters, testamentary or of administration,in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those hav- ing claims or demands to present t'hem for settlement to the Executors or Admin- istrators or their Attorneys. ••• • • • •••• • • • • ••• NOVAK,JOSEPH,Dec'd. Late.of North Strabane Township,Wasl.llI.lgton County,PennaAdmlllIstratrix:Frances Novak 234 Alexander Av~n\le,Strabane.Penna.Attorney:.WIlham J.Engel,1408 FrIck BUIlding,Pittsburgh Penna15219,. that the affiant or the corporation in behalf of which he is acting is not interested in the subject matter of said notice or a.')<7"".',,''he<,nAMh,'I~~jl . this affidavit as to the time,place ~a_n~~t1 PUbl~ar~;-»,)~'r~/'" ....,_~;".;.;.;~__.~~~.:::-- Sworn to and subscribed before me thi~__~._---_.. 29th October /70.t-;-;l:~:;;ZJL;;;';~ JOSEPHINE T.SCIAMANNA Notary Public,..:Jshington,Washington Co. My Commission Ex~ires July 1.1974 ,. Observer -Reporter '. WASHINGTON,PENNSYLVANIA PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of 16 May,1929, P.~.1784,as amended. Commonwealth of Pennsylvania,County of Washington,SS:. Personally appeared before me,a Notary Public in and for said County and State,Jame.s S.•....Ly.on :,who being duly s,worn according to law,deposes and says that he is theEX.•..vi.c.e..~p.re.S .•....... of the Obs'erver Publishing Company,a Pennsylvania corporation,and its agent in this behalf;that the said Company is the owner and publisher of the Observer-.Reporter,succ'essor to The W,ashington Observer,established Sepiembe'r 18,1871,and The Washington Reporter,established August 15, 1808,a daily newspap'er of general circulation,printed and published and having its place of business at Washington,Washington County,Pennsyl· vania,where it or its predecessors have been established and published continuousIy for more than six months prior to the publication of the notice hereto attached;that the printed notice or advertisement hereto attached is a 'copy of an official advertisement,official notice,legal notice or legal advertis,emeni,exactly as printed or published in the Ohs1erver-Reporter in its regular editions on the following date or dates;. ..............................Qc.to.b.er 15..,.22 and 29.,.19.1.0... that neithe'r the affiant nor the Observer Publishing Company is interes,ted in the subject matter of said notice or advertising and ;~~~the allega- ~;~n~thi,affidavit ,:;;;&,::;;n'f&7:;:::;Z Swo<n to and aUba~~:~~A~70 WASHINGTON,WASHINGTON COUrHY MY COMMISSION EXPIRES MAY 6,1972 "'". The FIRST AND FINAL ACCOUNT of FRANCES NOVAK,Administratrix-of the Estate of"~, JOSEPH NOVAK,late of North Strabane Township, Washington County,Pennsylvania. ,J The Accountant charges herself as follows: To Inventory and Appraisement: Personal Property Real Estate $1,127.22 6,000.00 TOTAL ASSETS . . . The Accountant claims credit as follows: $7,127.22 John F.Yoney Frances Novak Funeral expenses Family Exemption 2,059.00 1,000.00 Russell Marino,Register,Administration Expenses 29.00 Wm.Engel and George E.Amthou Frances Novak Washington County Rpt. Observer Publishing Co. Henry Hood &Sons Oak Spring Cemetery, Zuver's Flower Shop Rev.Paul Limko Kurtz Monument Co. North Strabane Twp. North Strabane Twp. North Strabane Twp. Washington Co.Treasurer Attorneys for Accountant Accountant's Commission Advertising Advertising Administratrix Bond Opening &Closing grave Church Service Marker 1970 Road tax 1970 School tax 1970 Street light tax 1970 County Tax 400.00 300.00 14.00 14.00 20.00 160.00 63.60 50.00 114.00 21.02 118.48 5.00 33.34 TOTAL CREDITS ..$4,401.44 ,, R E CAP I T U L A T ION TOTAL ASSETS OF ESTATE LESS CREDITS BALANCE DUE ESTATE,..... $7,127.22 4:,401.44 .$2,725.78 (Form where decedent died intestate) In t4r (@rpl1aus'<llnurt of masl1tngton <llounty J ESTATE OF.No.1003 of 1970 xx~xbex ,A.A, Accountof Frances Novak,Administratrix. In the audit of the First and Final JOSEPH NOVAK•..•......•.....•.....•.......••....•....•..•••..1..............•....................................................... Deceased The petition of F.r.~.P..~~.~NQ.y..a.k._.. (Name of Petitioner) respectfully represents:. (a)The decedent died Augu5.t.20..,1.9.7.0 ,intestate and (Date) letters of administration on hi.s estate were granted .oc.t.ober 2.1.,.19.71 (Date) State (l)whether de- cedent was married or unmarried;(2)if mar· ried,whether a husband or wife survived and his or her name;(3) whether or not there was any marriage settle- ment;(4)whether or not family relation was maintained until deced- ent's death;and (5) whether the decedent left children or issue of deceased children. as per record thereof appearing in Administration and Bond Book No 6.4 . at page 48..•............................................., Decedent was survived by Frances Novak,his wife. within h(b)At the time of death,the decedent's domicile was wiUxmt t e Com- monwealth of Pennsylvania,to-wit,at..No.r.th strab.ane T.ow.nship..,... Washington County,Pennsylvania,(Town or Township,State and Nation) and residence was at Box 212..,S.tra.b.ane..,Pe.nn..s.yJ,ya..pia . (Town or Township,State and Nation) (c)The names of all persons having any interest as heirs or next of kin with the names of their deceased parents,to show relationship if they take by representation are as follows: NAMES Frances Novak Relationship Wife Interest All Of age,sui- juris,or not, (write yes or no). Yes Name of Guardian,Trustee or Committee,if any,or beneficiary,manr..er and place of record of appointment and is bound suffi- cient to cover and protect share. State exceptions,if any, giving names and dates of death and the names of their executors or administrators,or the names of their issue as the same may be mater- ial. Describe type of notice. All of said parties in interest are living,:leXlll6pX (d)All parties having any interest have had.ac.tual..notice of the filing of the account by letter,a copy of which is attached hereto. (e)Balance for distribution per Account (f)Additional debits,not shown by Account (Itemize) (g)Additional credits,not shown by Account (Itemize) $..2.,..7..25..•..7.8 $9...~..Q9. $ . $ . Insert word "not"where I (h)Claim for exemption has been made,and has been paid. necessary_ (i)The estate is....P..Qt....subject to the payment of inheritance tax to the State of Pennsylvania. If taxable state w»eth-I (j)The estate is n.ot subj ect to the payment of the county 4 mills er tax has been paId. tax. (k)The estate is no.t subject to the payment of Federal inheritan'ce tax. " 11 too many for the space,annex alist there~ of;if no such claims, insert the word H nene." If any creditor or other claimant has not re- ceived actual notice,that fact must be stated. Indicate such claims as may be secured or en- titled to a preference, and give detailed infor- mation concerning such security or preference. Here insert a reference to all questions requir- ing adjudication,and a statement of any mater- ial facts not already given.If none insert the word "none.n If any share has been assigned or attached that fact should also be stated here. State kind,form and character of property composing the balance for distribution,and if any part thereof is not cash,whether or not there has been any elec- tion to take such part in kind. """ (1)All creditors (and other persons who have complied with Rule II, Sec.9),of whose claims the accountant.....has notice or knowledge,have ........................received actual notice of this audit;the amounts of their claims and whether or not they are admitted to be correct are as follows: None. (m) (n)The balance for distribution consists of property in kind,form and character,as follows: All those two certain lots of ground situate in North Strabane Township,Washington County,Pennsylvania,known as Lots Nos.234 and 235 in a plan of lots laid out by the Alexander Land Company,recorded in the Recorder's Office of Washington County,Pennsylvania,in Plan Book 3,pages 18 and 19.-II .'re ~\~. l ._~_....."__ r .' Are there any advance- ments by decedent to be considered on distribu- tion and has any distri- bution on account been made by accountant to any distributteel (p)None (q)Give ·brief location of any real estate sold. None If prior accounts have heen iiled,list number and term. (r)None Wherefore your petitioner asks that distribution of principal and income be awarded to'the persons thereunto entitled and suggests that the balance of principal and income should be awarded respectively as follows (shares being stated in proportions but not in amounts):- Frances Novak to be awarded real estate. County of Washington,ss. The above named petitioner being duly sworn doth depose and say that the facts set forth in the foregoing petition are true to the best of h..~;r."knowledge and belief. Swqrn to and subscribed before me this 9 d daY·,of.JJ~G.~ID.p'.~;r ,19 7.1...".."~ .....~~~_.CECEU.q~O,ON CQUNT'l .WASH1NGTON ,¥~II.S~~G~E.PT.16.1974 MY COMMISSION E.XPI .'~trotaries·····_··········_··..·Marob·er;iieiinsyWania;\s:rz-€latiDD.O.I.. And your petitioner will,etc., ~~0:~ff~t· (Signature of Petitioner) ..., ell t=r~,.·fI,~"'......Vi ~H""""''-l f 'l"-f'\t'Or\u ~:;~t....,~~.~,.i-'t .~.~ Rt:GiSI EH.OF WILLS WASHINGTON co ..PA. v ~. ',,' '1 _- "7 .c.~;.\.'-,' :,~,\;:,'\.,".:- '/',?..{I,[\->'"J .....i./'i..,J.-\.~.~li~"··uc.-I~J'\· ~1 Pj'13 3"i ......~72 FE8 ORPHANS'COURT FORM IN CASES OF INTESTACY NO../.'-.~.~.,_Term,197~,A. A. WASHINGTON COUNTY,PA. ~\;..~~~ Estate of .-~.~Deceased. IN THE Sur account of _. PETITION SUR AUDIT '/\..,In Conformity with Court Rule III, Sec.5 (B) .'COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1.The letters of administration. 2.A copy of the inventory and appraisement. 3.Proof of advertisement of the grant of letters, if not filed with accountant. 4.An appearance for those represented. 5.Inheritance tax receipts,if any. 6.Certificate of liens in case any of the funds for distribution are derived from the sale of real estate. 7.Copy of Federal Estate tax return,if estate is subject thereto. 8.Signed ~Iections to take in kind,if any. for Accountant. ~9 ttorney-'Al,<UJ'. COP Y December 2,1971 Mrs.Joseph Novak Box 212 Strabane,Penna. Dear Mrs.Novak: The Audit of the Account in regard to the Estate of Joseph Novak,deceased,will be heard on Thursday, December 16,1971,at 10:00 A.M.,in the Orphans'Court of Washington County,Pebnsylvania,at which time and place you may 'appear if you so desire. GEA/gm :"""- [i r-·t,...~....fJro, .f..-l)«.,;--'•'It t·I .I.'e,...J CL.'"-';¥",-.J ,..,.('..-,..... c..:._~<:=:I:;.-.-:.....<...:" ;'r;",-..~. C ",..1 .~,f- L;.J (,.-t"':r--",1:.••-(./)c..r) (f),_....:r..: :::)(-.9 (j) ec.U.l ..(.!, C,...::.....".~--- if',.~J .IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ,,ORPHANS I COURT DIVISION... ,. IN RE:' Estate of JOSEPH NOVAK, Deceased. ( ) (. ) ( ) ( No.'1003 of 1970 --\, ~·z.,'~,L oJ">-1II Z ZIIIII. iBEFORE:g CIziIIIol(~APPEARANCES: 2 II:I-!!! Q oJct§TIME: Q::l.'") J:~til . 'HEARING ON AUDIT The Honorable P.VINCENT MARINO,Judge of the said Court. GEORGE E.ANTHOU,Esquire,of Canonsburg,Pa., rep~esentingthe Accountant. Thursday,December 16,1971,at 10:00 A.M.,EST listed for audit ?n Thursday,December 16,1971"at 10:00 o'clock list for the 'fou'rth quarter of 1971.We will today consider the accoUl ts 'iEhelG}OA:lrt ~iillU resume the call of the audit .. A:M.The first audit is Number 1003 of 1970,the estate 'of Joseph r ovak, iii~THE COURT: .11:oL' III11:•..,: II: :JoU oJctoii:...o deceased.The Aidministratrix is Frances Noyak and the attorney .,is George E.~nthou.Mr.Anthou appears to be occupied e lsewhere. He has filed all relevant papers in this matter and he informs the' Court that there are no outstanding obligations that they have been aware of.An,d that there are·no problems for adjudication by the COlrt. Is there anyone else in Court at this time interested in the estate of ----;.. Joseph Novak,deceased? .',... (NO RESPONSE) 2 THE COURT: by the Cou rt. FBANK RONEY,ESQ.: -UNIIDENTIFIED MA N: The aud.it of this account is ordered closed Your Honor,there are a couple of people here. Mrs.Novak is here. -we anticipate here.The re are no children,we understand,and the spouse's allowance is regularly acknowledged by the estate.So ::!z-~THE COURT:'Well,unless l'v'lrs.Novak has something that .J>-UI~she wants to inform the Court about,there w au ld be no problems tha IIIII. Zol-e>z· :tUI<~ we will not'need to hear he~. unless there is a problem that she wishes to take up with ·the Court,..,: ~0:I-UI 0- .J«~UNIDENTIFIED MAN: ::J., :rI::THE COURT:til She was just here to hear the cas e. Very well.We are approving the audit of "":-.1 ui0:IIII-0:oII.III 0: I-0:::JoU .J<§ II.II.o this account.Thank you. ( AUDIT CLOSED) ..-till. .; ,. :1,hereby certify that the proceedings and evidence ~are contained fUlly and accurately ,in the notes taken by me on the hearing ••II(~'!->..I~of the above cause,and that this copy is a correct tran~cript of the same.zz . IIIl1. ZoI-IJZ:r1II~ ..=uii:I-UIQ ..I<C ijg The foregoing record'of theproceedings upon the., :z:.5 hearing of the above cause is hereby approv~d and directed to be filed. , iii0:III~2III0:. I-0:::JoU ..I<CUii:II.o By ..' "1 ~J ~n t4r QIaurt af QIamman JUrus af mus4ingtDnQIaunty. Jrnnsylnuniu.(@rp4unli··QIaurt iJinisinn ESTATE OF No.63-70-1003 Joseph Novak deceased In the matterofthe First and Final Account of Frances Novak Administratrix ADJUDICATION AND DECREE And now February .if:'19~,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration thereof the balance for distribution in 'the hands of the Accountant is determined to be$d6 72$.78 and the account is accordingiy confirmed;and ,it is ordered, adju ged 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.. SCHEDULE OF DISTRIBUTION Balance per account -'-_$2,725.78 Balance._ Deduct Clerk's Costs &Receipts~_ AMorney ...:::G:..::e:..::o~r..l:g:l..::e:..._::::E;:."lI.~A.::,:;n:.:t~h~o:..::u:..__ Russell Marino,Clerk O.C.,costs in certif~ing real estate to Recorder, Olga O.Woodward,Recorder,costs recording certification of real estate, Russell Marino,Agent,transfer'inheritance tax,$163.55 Interest from 11/20/71 to 2/12/72 2.24 Contribution to maintain assets of estate in kind for distribution, 165.79 $~,$33.4911~.191'J.J 3466.51 ./t.$"'~,9~~ 6,000.00 0@1J Frenc,es ';Novak,,widow,balance,including real estate 'as hereinbelow described;on account of Spouses $10,000.00 Allowance as"amended;real estate as held in kind and distributed as such at the ~ppraised~value, i 6000.00 No ba1anc~ es Allow- sions of interest escribed of Spou the prov i tIe end estate ".',.:'BY'THE CLERK OF THE ORPHANS t COURT Dr VISION,~',~,.'.~'". .,,/~,..'-':~;..-., Joseph Novak,grimtor by intestacy and provisio ance to Frances Novak,grantee by intestacy and the Spouses Allowance provided,all the right, of the deoeasedgrantor in and 'to parcel of rea as,VIZ:,' REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF SHINGTO COUNTY; f' '.,. •.. 0 ~)ll ... W ::J Z t:Y 8 ...9 a :r -+. c (1) §,(1)a 3 0 0 0 .............. l +"\ ....(1) a ., t J,. 0 Er ......::J"' N ..,== (1) \=~ !J::l~ ,)• t ,.r, ..'''" r ., ,-\,\.. ,) • d situa e in ylvania know ALL those two certain lots of North Strabane TORn8hip,Washington County, as Lots Nos.234 and 235 in a plan of lots laid out by t e tAlexanderLandCompany,recorded in the Recar de 8 Offic of Washin~ton County,Pennsylvania,in and 19, said lots of ground being more particularly bou ed and escribed a8 follows: BOUNDED on the northwest by Alexan e;on the Southeast by AIle y C;on the northeast by Lo and on the Southwest by Lot No,233;having a frontage utheast 8ide of Alexander Avenue of eighty,(BO)feet and ge of Sixty-seven and 10/100 feet 6nthe northwest sid of All Y C. with a depth of one hundred and;fifty (150)feat. CERTIFIED TO RECORDER:FEBRUARY 7,1972 ... N ,-....... ..,_. ,~~1 ::;"E -'i ,. :;:-CJ """:>III :::::.' (j)C)c:..,.., -.-(n rn.......(n (/'J c::; Z _.J ;fl '~';.''j -;-:-rr !'.. -f :-j-1""'''-''''''' r:.:'l.l Z <:-,-"'" -r-"!U C).z~:'';,h G --........" r 'J.J V r ..,f..- :>(J)0 ,-V Form No.RCC-62 (7-69)THIS FORM:REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10.000.UNDER SECTION 701 OF ACT OF JUNE 16.1961JEFFECTIVEJANUARY1,1962.(FILE IN DUPUCATE WITH COpy OF WILL ATTACHED) "_~'•r,...,,,rr _•• OFFICE OF THE REGISTER OF WILLS County of WASHI.NGTON . r.~J).NG~~..~9~4~'...................of . (Name)(Addresa) being duly ._._.~:w..Qrll _.according to law,deposes and says thatSJe is the__Adminis.t.ratrix _ (Exec.,Adm.,Legatee.Etc.) of the estate of J.QS.EPH..NQYAK__._........whose last residence was__.Nor_th...S_txahan.e__.Tow.nship.,.__(No.)(Street) _______.....deceased,and that the whole of the estate of said decedent,who died.8.I.:(1.,.d:...c::!..i.LY7iJ (CitY.Borough or Township)/(Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA.WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT. WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTI~ETIES.GIVE NAMES.ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated Value ALL those two certain lots of ground situate in North Strabane Town!=:hin W.!'IQh;~Penn~vlvania ,a~T ot~No~ 234 and 235 in a plan of lots laid out by the Alexander Land ~"\m llV ',in the ~.,'!=:Office of W~!=:hi r v-Pennsylvania,in Plan Book 3,pages 18 and 19,said lots of ,hl=>;ncr mn1"1=>n~1"+il'.111~1"lv ,.-".,~.nr'l r'I ,~.:hpr'l ~.!=:follow!=:o Bounded on the northwest bY Alexander Avenue:on the southeast by Alley C;on the northeast by Lot No.236 and on the southwest bv Lot No.233:havin~a fronta~e on the southeast side of Alexander Avenue of eighty (80)feet and a frontage of sixty- seven and 10/100 feet on the northwest side of Alley C with a depth of one hundred and fifty (150)feet,$6,000.00 Personal Property Slovenian Savings &Loan Association of Canonsburg,Pa., Savings Account in name of decedent only,$1,127.22 . {J/<"IetMpl NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts qn deposit or owed by the decedent as of the date of death.Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered. Jointly Held Property ,.Estimated.WValue... ~.- NONE - - Transfers within TWO YEARS Prior to Death NONE t That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT NONE - BENEFICIARIES 00 f ."RELATIONSHIP SURVIVED AGE OF LIFE BENEFicIARIES AND ADDRESSES (If step-childi'en or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent 01'otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT Frances Novak Wife Yes All - "".' - j DEBTS AND DEDUGnOMS CLAIMED NOTE'List first five items in the spaces so provided,observe notations thereon,and instructions. Funeral expenses paidJohnF.Yoney DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN.----~~...:-=-..::::=:..:::..-----,-----·----=..:.:..::..-=--=-=-=-=---.:::..:..::.::....:..=------,----':..c..:.....--=-..;:---'-r-----tpJ{EGISTERONLY $2 05900 $ Frances Novak Family exemption (will not be allowed unless decedent died residing with a spouse or children.)1 OOC 00 Administration Expenses * Counsel fees * Ru~~p.ll Marino Rp.2" Anthou France~Novak Fiduciary commission * 2S 00 40C 001 30e 00 OTHER DEBTS AND CLAIMS (*)See Note below Washington County Rpt. Observer Publishing Co. Henry Hood &Sons Oak Spring Cemetery Zuver's Flower Shop Rev.Paul Limko Kurtz Monument Co. ~.Strabane Twp.ColI. N.Strabane Twp.ColI. N.Strabane Twp.ColI. Washington Co.Treas. Advertising Advertising Administratrix bond. Grave (opening and closing) Church Service Marker 1970 Road Tax ,1970 School Tax 1970 street light tax 1970 County tax 14 00 14 00 20 00 160 00 ; 63 60 50 00 114 00 I21Q2 : 118 48 500 33 34 Total $4,40144r4 lio t 4t.t Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission 01'debt is greater or less than the estimated amount claimed and allowed.~ Subscribed and sworn to before me this ....:J.1.~........)4....~/.~/"~..&~..(Executor-Administrator) .......................day of Oc.tQP.ef.,,197.l .• ...............C?o.~~NO.t~Xy...l?\lblic. .Washi /gton,Washington County,Penna. My Co .expires Apr.12,1975. (Street Number) (City or Town and State) Having been duly sworn according to law,I do hereby certify that the above appraisement is made in conformity with law on this ...................../9.~day of ~,19.'!1(.~~..I2 c<9~. Appraiser In the event that any future interest in this estate is transferred in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer 'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF T}IE ~EGISTER OF W LS I,the undersigned duly elected Register of Wills in and for ..UJ .County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by depone ,cept as to ose items where a greater or lesser amount is set forth in the last column to the right in said schedule above,which greater or esser ount re esents the sum allowed as a deduction. Dated:....~~Y..~.~..1.~?.1.RWS~.~ll.MAfiINO .................~.l.(....~.... Register of Wills Form No.RCC-62 (7-69) f Will '.,.".".- Administration INo..1'atJ..:J.:.Year ~O. Oct) IN THE ~,.,..... MATTER OF THE APPRAISEMENT OF THE c..'.E:"STATE OF ......J:9~.~~~..:t:i9X4~.,. Deceased Late of .NQrt.b..S:txap.&Uf3..To:WI)~.b.::iP. ., County of ..Was.bj.ng"tp.n . Commonwealth of Pennsylvania ,i "-~""';- ".. ... --...J .-~~....).. ~~ ~ -~i ;:r C.>_)Z _;; ~>............~-c)"'.-..::~__J r-_. -or-aJ>(n ~:;;::J . _l>PI ::;DREPORT~AiitD APMtArs--A-L,-i ~;:~;'~-,-! '" " '" RCC-81 (6-71) '.COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT FRANCES NOVAK (~dministrator) IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division 38-110-5 j In Re:Estate of __J_OS_E_P_H_N_O_V_AK _ WASHINGTON County -File No.__6-,-3_-_7_0-_1---'0_0_3 _ Dear !{rs.Novak, You are hereby notified that the -'o....r....i=€gL...·"'-!n,soa:.!:l _ appraisement in the estate of JOSEPH NOVAK has been filed in the office of the Register of Wills of WASHINGTON County on November 19 ,19~',Said appraisement reflects the following valuations: Real Estate ,.::;6L,0,=:".0=--=0=--=.---'0--'-0 _ PersonaI P roperty__....l+,.....]2....7~."-"2""2"------__ Transfers,_ Jointly Owned _ Total ~7:...,,-Ll.&27+---<.2""'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 nine (9)months (fifteen months when death occurred from December 22,1965 to June 16,1971,inclusive; and twelve months when death occurred prior to December 22,1965)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 __N_o_v_em_b_er_1_9--=:,_1_97_1 _ DATE OF DEATH:August 20,FfiO Note:This is not a bill. Si gned D_O_M_IN_I_C_R_._D_eMAR_-_IA _ Title APPRAISER I - 63-70-1003 , ng return at ,do respect- reater or ts the sum .... RAISED t= itable s issued venue. r reason, j FILE NO VALUE AS REAPP $------ (*)As evidenced by Char Exemption Certificate .by the Secretary of Re ~;e4~ INHERITANCE TAX APPRAISER SUMMARY COMPUTATION OF TAX $----~--+--$.....:1=6::..i)1~-+'l)'-'I.iJ:}_ $-------+-- $-------+-- $-------4-- $1..-_ REPORT OF THE REGISTER OF WILLS ::::::::::::t=== November 19.19'71 REPORT OF INHERITANCE TAX APPRAISER ) R'tC~8)- COMMONWEAL TH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death TOTAL TAX Valuation of life estates or CLEAR VALUE OF ESTATE Dated:NOV 19 1971 RUSSELL MARINO FOR USE OF REGISTER ONLY Tax on $----,~-----+-....,....-2%2.725 i78 ~Taxon $~ Tax on $5% Tax on $10% Tax on $15% fue~tioos * Total Estate ----l"--_ BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $.....J AMOUNT OF ESTATE TAX ASSESSED $-c-----~I- Estate tax paid $.....JL- BALANCE DUE $~~ Add interest at rate of 6%from ------lto-----$--------"t=TOTAL TAX BALANCE $ -~. PAID $.....J I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of vlASHDJGTON Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregol the values set forth opposite each itern in the last column to the right in Schedules "A","B", "C",and "E". 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) FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for prope same should be noted below,with short explanation. I,the undersigned duly elected Register of Wills in and for WASHINGTON County,Pennsylvania fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a g lesser amount is set forth in the last column to the right in Schedule "F",wh'lesser amount represen allowed as a deduction. Dated:_-=~==-=:""""::=.L.;L.-::::..L..>-=-__ Estate of_NO_V_A_K --=J...:::O=-S=EP~H'_'__DATE OF DEATH 8-20-70 (Last Name)(First Name)(Initial) Will !...No.AdminIstration IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF JOSEPH NOVAK Deceased Late of NQRTH $':rMI3J\N]1;':['OVMSHIP County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL r- \i .... Fonn RCC-2 \.t. DEPI\.RTMENT OF REVENUE kur..-I!rt OF 'COUNTY COLLECTIONS HARRISBURG,PENNA.17 127 COMMONWEAI2TH OE PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ..N9.y.~p..~.!.~.9...L ..~.??.~. NTY WASHINGTONCOU .. FILE NO.63.::7.9::.;),,9.9.3.. Whereas,J.OS.EPH...NOVAK.late of NQR.'r.H $..'r.RA.~ANE.;..J'.WP.~.. in the County of J:f.AS..J:U.NG.T'ON Commonwealth of Pennsylvania,having died on the :?~h day of A1J.g.'Y.-.~.'t.19 7..9..,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,DOMINIO R D.eMARIA ,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 AppraisementDescriptionofAssetValuesMadeforInheritanceTaxPurpoaes $ REALTY: SEE COPY OF £:DESCRIPTION ATTACHED TO AP PRAISEMENT 6~000 00 PERSONAL: SEE COPY OF DESCRIPTION ATTACHED TO APPRA ISEJvlE NT 1~127 22 I total 7,127 22 I 1 ! I I I I form~V~hbl:':::I:h~W<>rrl~~1~~:~:;:r~bYC~t~~~~e~tis~~~el~n,/. .~?,"'~.:'!F..1ffl~.......I?...~...........~...~};5.~""'....-:=i:.................................................. Appraiser LJQ,~~~i,~':jjl:l.;~::.. IP fIIee) .............VfASHll'JGTO.N .....County RESIDENT INHERITANCE TAX APPRAISEMENT ~J<l~Estate of t7'~~e~~NOVAK Deceased. Late of NQR.:+H $TMYl\.N~'I.'.W.QN$.m:P.. Date of Death,~~~7'O . Appraisemel!t Docket Vol.,3..$.. Page,110-5 No 9.?.~.7~~9.9.. Filed in Register's OjJice,..N9.Y 1..9 19.71... Am.ount of tax due,:fj . DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.ut Appra.isement, Appeal /,.om Appraisement,. Entered and charged,. " ,)- ),.. 1~'j In the matter of :the Audit of Account filed in the Estate of Deceased IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. )Date of death ./'-~0 -'10 (No.--lQQ1...Q.f 1910 Term,19__•A.A. )Docket 36-110-S _Novak,Joseph ;TO THE AUDITING JUDGE: Enter my 'appearance for the Commonweal'th of Pennsyl~alnia.claiming tl"ansfer inheritance tax in the above estate,as follows: ~:'apPl"aiSed Vialue of Estate:Realty $__-'~=___&-VJ_.__:-/_~_~_ Personalty ..__..__..______$_---.r/-L.I......,,"lrC-.-...-'-1.L../~y__V--_ " AdditioIl!al Assets per Account,Subject 'to Tax ._..__.$. Additionall Assets per Audit,Subject to 'I1ax __..__. .....$_ GROSS VALUE ___$ CR. Debts :and Expenses per Account;see Note Additioool Debts and Expenses per Audit iI ) $---_._-- $------- $------- $------- $-------- 1/~1".f.l----~---- $__L/'to?ry $----------_._--- $---_.--_. TOTAL DEDUCTIONS.$ _ NOTE:The following credits claimed in the Account are held not deduct~ble 'as against the tax: TAX PAID ON ACCOUNT .... !~1,S-S-" $------- CALCULATION Gross ~aJ1ue..1/2--'l t-V Less Deductions ...LI '-I c)I /If Clear VaJue ------------------.--=-t 1'1/$\I'1-'£.........., _ A 1 7r :;"1~J'~,_ Tax·!able at 2%) 61~ Tax.)- able > 1~%~_ --$---Js.--- $1L2L_S:5~ Interest__yrs.V mos.~V&ys @ __'Yo ......_$__ Less amount previously padd ......................_..____.$__..,_.__ /b~5'~~Balance ------.----.----..------.--..--..----.----.------------------.--$__'I 1,__~ TIITAL T~iJ ~:~S:UEQ;;Rrtt~S!lJ:z t~/1'J '1&./'5".19 7j~.Ir7:1J Total Tax...__.....__.__.._ .____.. _("f:." /3 $------ $------- $------ $--_. $------- /J21 Z!=l (')0s:'113::ll 0 :r-z III~(') III '11 tt:l:r-III ~r-l "T1 ~t :r "T1 0 0 0 :ll '11 :ll :r- ~'11 '11 ~III '11<1l Z III ~Z :r-Ul :ll<:r-...r z CO~(') I IIIZ ~); (1)>ll>~~0.