HomeMy WebLinkAboutOC1970-1051 - ESTATE OF GOSIOREK(SEAL)
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LAST WILL AND TESTAMENT---
I,JACK GOSIOREK,'of Chartiers Township,Washington County,
Pennsylvania,being of sound mind,memory and understanding,do
hereby make and publish this my Last Will and Testament,and re-
voke all Wills by me at any time heretofore made.
FIRST:I direct all my just debts and funeral expenses to
be fully paid and satisfied as soon as conveniently may be after I
my decease.
SECOND:,.r give,devise and bequeath all of my estate,real
and personal,to my wife,MARY GOSIOREK;provided,however,that
should she predecease me,then,I give,devise and bequeath all
of my estate,real and personal,as follows:An und:~ided nine-I
tenths (9/10)thereof to my wife's son,THADDEUS OFIARA,and the!I
remaining undivided one-tenth (1/10)'~hereof to my wife's daUghtjr~I
in-law,OLGA OFIARA,and her daughter,NANCY OFIARA,share and
\.
share alike.
THIRD:I nominate,constitute and appoint my wife the
executrix of my estate;but if she should predecease me,then I
nominate,constitute and appoint my wife's son,THADDEUS OFIARA,
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the executor of this my Last Will and Testament,to serve without
Ibondinanyjurisdiction.
IN TESTIMONY WHEREOF,I,the said Jack Gosiorek,have set
my hand and seal to this my Last Will and Testament,this ~I'
day of Oe-TOr?"E/(('~1962...£;,[)(J/4-f/kI'V)?
Signed,sealed,publisn d and declared by the sa1d Jack
Gosiorek,the above named testator,as and for his Last will
and Testament,in the presence of us,who at his request,in his!
presence,and in the presence of eac)other,all being present :
at the same time,have hereuntoiu9elsc;~bedour names as witnesses.(\./,./Ii\!)C{~~/I
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JACK GOSIOREI<
LAST WILL AND TESTAMENT----
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RIOHARD DISALLE
ATTORNEY AT LAW
LAW lit FINANCE BUILDING
CANONSBURG.PA.
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.Affi~autt (@f iExecutnr ®r .Abmtutstratnr
~tatt nf Jtnusyluauia }
Gtnuuty nf lIas4iugtnu lili:
Personally before me,the undersigned authority,a NQ.t.su:;y:..P.ub.lic in and for said
County and State,appeared 'f~~.~.9~~.~Q~.1:~;t;'.~who,being duly
sworn according to law,deposes and says that he is the executor or administrator of the es-
tate of ...J.~~~.J?Go.~~.Q.~~.l\}~.:k9 .....;Uil.~.k...deceased,that the foregoing schedules constitute aUS1ore~.complete inventory and appraisement of the real and personal estate of ....J.~.~!..<:..G.Q.~!Q.~~~.....,
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 Executor Administrator.
Sworn and subscribed before me this Z.6.t.h }J /J / /£~.'t'Yjtj··~/j;y7!~i}··~t;;-~~iIii················
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Washi gton County,Pa.~~TI01'fAL INSTRUCTIONSMvComm1ssmonExrJ.re.s:~7 L-V/2./073 .'1.An inventory mus be fileil'"'Wrinee'lliontirit>~rappomtment 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 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
3JUttttltnry aub !\pprailitmtutof the goods and chattels,rights and credits which
were of .:!..~~~~~.~.~.~.:t:.~.~~~~J.~~.~~~.~.~9ft;~f G.h?.~.~.;.~;~...19.w.n~.h~p .
Washington County,Pa.,taken and made in conformity with the abcwe affidavit.
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DOLLARS CENTS
Realt;y::
1 Story Brick House
Avenue,Houston,
880,Page 115)
known as 337
&Garage situate on wts 31-32,ICherry
Chartiers Twp.,Penna.(See Deed Book
-20,000.00
Personalt;y::
Account No.06630068 -Mellon National Bank &Trust Co.in
n/o Jack Gosiorek -Balance t8,64l.68
Account No:72 West Penna.National Bank in n/o Jack Gosiorl~
Balance ~7,34l.65
Checking Account -West Penna.National Bank
Total Inventory
Social Security Death Benefit Check
Total
1,125.1;,28I
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7,1-08.61
350.00
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//9'6G3-70 -/tJS /,
Inventory and Appraisement
IN THE ESTATE OF,'
{,l ",. (,Jack Gosiorekaka
_:I .•..,:;,".Jack Gusiorek"\<•...•,.
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55:
The within named Accountant being duly sworn according to law,~eposES and say S that the above account
as stated is true and correct as h.~_verily believe.S ~
Sworn and subs~rib~ed before me this ~~.~~._._.
,.-~~.71dayof_.._.:J_.ly _._.__..19 _ _
Noi:~~zl-~w:HNERT
Washington Co.,Penna.NOTARY PUBLIC,CA TON TOWN~HIP
Washington County.Pennsylvanta
My Commission Expires:..My Comm~sion Expires:11{6172
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Thaddeus Ofiar~~·E;~~~tor
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
prescribe~by Stdtute and Rule of Court,as evidence :y,{'roofs
thereof flied to No...to.3.~.11 .:5 go
Witness my hand and official seal thiS._3~__._._..
-------CM-----l/lL._.~]1.L~..",.
Register of Wills
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In Re:Estate of )
)
JACK GOSIOREK,alkla )
)No.63-70-1051
JACK GUSIOREK,)
),
Deceased.)
FIRST &FINAL ACCOUNT
OF
Thaddeus Ofiara,
Executor
* ** * * *** * * * * * * * * * *** * *** * * * * * * **
-Summary -
Total .Charges
Total Credits
Balance for Distribution
Balance Consists of:
$57,713.61
4,085.,9"8
$53,627.63
Real Estate
Cash
$20,000.00
33,627.63
$53,627.63
--;-------------------
.-"
Estate of
JACK GOSIOREK,a/k/a
JACK GUSIOREK,Deceased.
The Accountant Charges Himself With the Following:
Per Inventory &Appraisement Filed
Social Security Check -Death Benefit
Total Assets •••••
$57,458.61
255.00
57,713.61
The Accountant Takes Credit for the Following:
1/5/71
1/12/71
1/28/71
2/5/71
2/25/71
3/16/71
3/23/71
3/21/71
4/5/71
5/10/71
5/24/71
5/24/71
11/6/70
11/9/70
11/9/70
Columbia Gas Company
Ed Kraceycyk
West Penn Power Co.
Columbia Gas Company
West Penn Power Co.
Columbia Gas Company
Citizens Water.Co.
West Penn Power Company
Columbia Gas 'Company
Columbia Gas Comapny
West Penn Power Co ••
Gaydos Monument Co.
Rev.John Zieba
The Bell Telephone Co.
Oak Spring Cemetery
Gas Bi11-Dec'ds.Home $15.26
Funeral Bill in Full 1,250.00
Electric Bi11-Dec'ds.Home 7.64 'I
Gas Bi11.-Dec'ds.~Home 21.36
Electric Bi11.1.II II 1.45
Gas Bill -II II 19.20
Water Bill -II 11 6.94
Electric Bi11-11 II 6~69
Gas Bill -II.11 16.43..
Gas Bill -ft 11 14.66
Electric Bi11-fl 11 7.94
Cutting Stone 15.00
Church Services 52.00
Final Phone Bi11-Dec'ds.
Home 5.41
Burial 90.00
Greenlee,Richman,
Derrico &Posa
21.50
14.00
12.50
8.00
$1,585.98Tota1Expenses
Letters Testamentary &S.C.s
Advertising Estate
Advertising Estate
Filing Inventory &Bal.
on Lett~rs
10/27/70 Russell Marino
10/27/70 Washington Records
10/27/70 Daily Nptes
6/10/71 Russell Marino
INHERITANCE TAX
12/3/70 Russell Marino -
Inheritance Tax Agent Partial Payment $2,500.00 _
Total $4,085.98
Total Cash for Distribution
Less Total Expenses
Balance in Cash for Distribution
$37,713.61
4;2085 .~8
$33;,:627 .63
THE DAILY NOTES
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.
Personal!..y appeared before me,a Notary Public in and for said county and state,Robert rtobinson,.--------------,who bemg duly sworn,deposes and says,that
he .h Manager f th N t P bI'h'&P 't'C Penn________IS t e 0 e 0 es u IS mg rm mg 0.,a .
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 1,1875;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 newspaper in its regular issues on the following dates:October 28,November ~,11,1970 .
that the affiant or the corporation in behalf of which __.:..h~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,place d charac f the publication are true."Mgr..L_"'=a:::I.d~~_-:=:::::"'__""'_""_._..
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,.Washington County Reports
~SJD:tmi<:M84J1l1XUftiiXx
Washington,Pennsylvania
(PUElLISHED ElY WASHINGTON COUNTY ElAR ASSOCIATION)
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 ~hem
for settlement to the Executors or Admin-
istrators or their Attorneys•
• • • • • • • • • • • • • • • •e
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 WASHINGTON )
STATE OF PENNSYLVANIA (88.
Personally appeared before me,a Notary Public in and for ~aid 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 CO"L'NTY
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:
GOSIOREK,JACK,a/k/a JACK GUS-
lOREK,Dec'd.
Late'of Chartiers Township.'Washing-ton County,Penna.Executor:Thaddeus Ofiara,105 NorrisDrive,Canonsburg,Penna.Attorneys:Greenlee.Richman.Der-
rico &Posa,Patrick C.Derrico,325WashingtonTrustBldg.,Washington,
Penna.
..._..Octobe.r.2.9-.,··.·1.9-7·0 .
--.
.......Nmlembe.r.-5-.,l.2 ...l.9.7..0 .,
that the affiant or the corporation in behalf of which he is acting is not interested
i,,h,"bj,,,m"'"of Mid ooti"0',dyo"i,i""d '''''~,h,,11,,,,ioo,of
,hi,,ffid,"i,"'0 ,h,tim,.Pb~~:::_~~
Sworn to and subscribed before e this --=-..----"~-.,...
.....J..2.t.b.day Of...N.Q.Y.~.;.~.L ,I1d..7.0..~:::~::::~;:::~
.---.//~UbliC'Washington,Woshington Co.
ommission Expires July 1.1974 ---.........1IIiiiiiii...
lilt tqf <trnurt nf OJnmmnu 'lfun nf lIunqiugtnu <trnuuty
®rpquun'<1rnurt 111inintnu
In the matter of the Audit of Account in
J
Estate of Jack Gosiorek,aLkLa
Jack Gusiorek,Decld.
TO THE AUDITING JUDGE:
No._~63o!..--=...7wOL::.-J1o.!>10'--!5.Ao1_-_'_
Enter__-""m,...y'---appearance for__T=-h..;.:;..:.a'--d_d_e_u_s_....:.O_f_i:;..a_r_a~,_A_d_m_~_·n_i_s_t_r_a--.::..t_o_r_o_f _
the Estate
15tH day Of·September I 19-IL
N.B.-Counsel shall,by separwte paper,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.
No.63-70-1051
In re Audit of Account in Esta;te of
Jack Gosiorek,a/k/a
Jack Gusiorek,Dec'd.
AUDIT
'rurripr fnr Appruraurr
FOR
Thaddeus Ofiara,
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Patrick C.Derrico
Attorney
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Testate For,.
PETITION SUR AUDIT -V
IN THE ORPHANS'COURT Of WASHINGTON COUNTY
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Estate of -!.~~.~9.~.~.~9.~~~,~!.~I..~:':
Jack Gusiorek '........................................................,.
................,.
Deceased
No 6.3.::.7.Q.':'.lQ.5.1..
Fiduciary ?;J::1.~~.~~.~~9.~.~~E.~.~.
-Executor..
,
Date of Date of -
Decedent's death Q~.tQl?~;r;g:?~...19..?g Grant of Letters Q.c:.~9.~~E...~.?)....!2.?Q ,.
This is the X.~?:.~.~.:.~..~~~~~account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term...................................•
None
EJection to take
Under or Against will.(cross out one)
Date Election Place of;
Filed Record .............................•
,./..
Name of surviving--spouse ;NQfl.~:.
List issue,where material:
Not Material
Did decedent marry after execution of will?(indicate)Yes.No.Any children born after execution of will?(indicate)
(
Yes.No.If answer yes,name them No .
Legatees
Thaddeus Ofiara
Olga Ofiara
Relationship
stepson
daughter-in-
law
Interest
9/10
1/20
Fiduciary,if deceased or not sui juris
Nancy Ofiara granddaughter-
in-law 1/20
List,jf exceptions to above:-Adeemed:
If partial intestacy,give facts:
Revoked:Lapsed:
None
Abated:Give Cause:
I..
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.No.
.,NoneIfanyexceptiongivecause:.
Fi Ie copy of Notice -19 1 -
and date of maiIing -.-~.~P.!:~!!!!?E?!~~;Z .
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,...
None
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value)',.I
Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts
of such claims;state whether they are admitted to be correct;and whether the claim is denied.
Give reference to such parts of the;wHI 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''pl'eparation of the adjudication:
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$.....?.2.1QJ..•.~.~.•..........
$..~.~!.'!:.z2.:.9.~.
$J·.,.7.J.§.t.Z§.\.
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ALL IN CASH
~.,~.....
Balance for distribution
Total additional credits (Subtract)~See List Attached
Total additional debits (Add)..-'.,-..._,--.•...,
Itemize any additional credits not shown by account:
Balance for distribution per account,
Itemize any additional debits not shown by account:
See List Attached
Is estate subject to the filing of a Federal Estate Tax Return?NQ .
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $~.7.?9.Q.!.QQ .
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant.....................•
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-Estate of
Jack Gosiorek,a/k/a
Jack Gusiorek,Dec'd.
7/1/71 DeZomba Insurance
12/31/70 Mellon Bank &
Trust Company
6/30/71 Me lIon Bank &
Trust Company
11/3.1/70 Western Pat
National Bank
12/31/70 Western Pat
National Bank
6/30/71 Western Pat
National Bank
Total Per Account $53,627.63
Additional Debits
Refund of Fire Ins.$38.00
Interest since Death 466.03
Interest since Death 477.69
Interest since Death 388.89
Interest since Death 66.65
Interest since Death 319.52
Total Additional Debits
Additional Credits
$~2 756.78
$55,384.41
Inventoried Value-$20,000.00
Less:Net prooeeds~19,54~.29
457.71
8/28/71 Russell Marino
8/28/71 Green1ee,Richman,
Derrico &Posa
6/9/71 Columbia Gas Co.
6/29/71 Citizens Water Co.
6/29/71 Washington Co.
8/19/71 Citizens Water Co.
8/1/71 Loss on Sale of
Real Estate
8/30/71 Sam Anthou
Filing Account
Attorney's Fee
Gas Bill-Residence
Water Bill-Residence
Real Estate Taxes .~
Water Bill-Residence
Real Estate Comm.-
Due from Sale of
House
$17.00
800.00
13.56
6.99
41.04
38.39
696.00
Total Additional Credits
Balance
$.2,105.33
$53,279.08
*NOTE -Executor waived his commission at the beginning of his duties.
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I·f F 'I E i"I'd b P t',,I f R~;d None "ami y xemptlo9 c alme y e Itlon,give pace 0 gcor :.
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If Family Exemptiorl is claimed at audit,give name,relatidnship and basis for Claim:~.....................•...•.••...•••
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List any advancem~nt or distribution o'n account that has:been made,and nature and amount of sam~:~-.~..
Non~,
,
Suggested distribution of balance shown,both as to princi~al and income,attaching signed and it~mized elections
to take in kind if balance is not in cosh:residuary shares being stated in proportions:
Thaddeus'Ofia'ra -stepson
'I '.
g'/to
r
Olga Ofiara
Nancy Ofiara
daughter~~
in-law',
-granddaughter~.'....,'in:'law/:,
1/20
1/20~/:"
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COUNTY OF WAS'HINGTON,55:
.COMMONWEALTH OF PENNSYLVANIA.
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The above named ,Fiduciary.or representative thereof,
.,sworn,.being duly ~,doth depose and say
that the facts set fd,rth in the foregoing petition are true
h· b f'his .kid "db'"ftot e .est 0 ...••••..;......................now e ge an e Ie ,
......;J?~9!".n L to and subscribed before,",,.r
~!,,.10 th 'j .,h •.7.1methisdayofS.e.p.temv.gr..................
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Signature of Offic~r.....~..'~.~~/.'. -
. .N~t8:~d.ublic-Washington
Title of Offlcer~"'l':1"'..,f."•••••·rr·········p.·······~·.······.·w 'ng 1..0,-,0 •-,enna •
Office expires J u ••••••#..~~.
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And your petitioner will ever pray,etc.
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.............................................................................................
_~~~,__~~..._-~~~",~..'i'i'b?'-~.",_~.~_..-"J".,~=~==~~
No..§}.=.?Q.-:.!Q.~l .
Estate of .J.~£~Q.9.~.~.'?;.~~.2 9.L!5-./.~~
Jack Gusiorek••••••••••••••••••••••••••••••••••••••••••••••••••••..t•••••••••••••••••••Deceased
.....~,
Fiduciary Thadde.us O£iw::a,..
Executor......_'-_~
PETITION SUR AUDIT
FROM V{HERE DECEDENT LEFf A WILL
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971 OCT 2~Mi \0 3:3
HU~~SLL·.~-:·:I··.~1ill~O
REG!STEH OF WILLS
W,t\S Ii \N;~TON CO.,PA .
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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'
thereof:shown on pages 23-24.
1.Written praecipes of all Counsel in the
case.
2.Copy of order appointing Guardian ad
litem,if pertinent.
3.Copy of Order appointing Trustee ad
litem,if pertinent.
4.Proof of service of above.
5.Letters Testamentary or Administration
C.T.A.or an attest copy of Will.
6.Copy of inventory and appr:.aisement.
7.Proof of advertisement of grant of letters
if not filed with account.
8.Certificate of liens in <;:ase'any of the
funds for distribution are cfrom judicial
sale of real estate.
9.Signed and itemized elec'tions if any
distribution in kind.
10.Copy of Federal Estate Tax return if es-
tate is subject thereto.
·GREENIEE·~···RI~A···DERRL.~;;~Y···
---~.-..--.-,--~----_.---~,----~------"-'~--
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GREENLEE,nICHlvIAN,DERRICO &POSA
'325 Washington Trust BUilding
HashiI13 ton ,Pennsy1van:i.a
'15301
TO:'Mr.Thaddeus Ofiara
/
105 Norris Drive .
'Canonsburg,Penna.15317
I .September 1,1971
In Re:Estate of Jack Gosiorek,a/kla•
Jack Gusiorek ,deceased.
Dear Mr.Ofiara:
You are hereby notified that the accounting in the
above estate has been filed at the Register of Wills O££ice(CLsrk
of Orphans'Court)at No.63-70-1051 •
The Orphana'Court will audit said account on._
September 15,1971 at 10:00 o'clock,A.M.,at which time you
may be present if you wish.We shall be in attendance for the
estate.
It "lil1 be several weeks beyond this date before dis...
tribution can actually be ordered.
'.
Very truly yours,
,Gr..EENLEE,RICln"1AN,DERRI CO &POSA
BY:~_
Attorney~for th~k~qtateof:Jack Gos~orek,a/~,
Jack Gusiorek,Deceased
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Greenlee,Richman,Derrico &Posa.Mr.Derrico?
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(No.1051 of 1970
),
(
)
(
HEARING ON AUDIT
Is there anyone else in Court i.nterested in this
Number,1051 of 1970,the estate of Jack Gosiore
(NO RESPONSE)
If it please the Court,we h.ave the necessary
Wednesday,September 15,1971,at 10:00 olclock
A.M.,EDST.
GREENLEE,RICHMAN,DERRICO,&POSA,Esqs.,
:of Washington,Pa.,representing the Accountant.
.T~e Honorable P.VINCENT MARmO,Judge
of the said Court..
decedent1s estate?
deceased.The Executor is Thaddeus Ofiara and the attorneys are -
THE COURT:
MR.DERRICO:
TIME:
JACK GUSIOREK,
INRE:
Estate of .-
~~Deceased.
>..J>-~.
ZIII
II.
Ze
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parers }n this estate.All outstanding claims are paid with the
exception of the balance'on the Pennsylvania Inheritance Tax.,There
are no complications and we think everything is in order at th is time.
m THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY ,PENN .
ORPHANS I COURT DNISION
j.:
~0:.~APPEARANCES:
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THE COURT:
the Court.
The audit of this account is marked closed by
(.A UDIT CLOSED)
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In tl1t Cltuurt nf atnmmnn 'iran nf Ihlll4iugtnn Cltnunty.
'euunylnauia.®rp4nnll·Qtnurt IJinilllnu
ESTATE OF
Jack Gosiorek alkla
Jack Gusiorek
deceased
In the matter of the First and Final
Account of Thaddeus Oriars
Executor
ADJUDICATION AND DECREE
And now October e,,-J( ,19~,this matter came on for hearing,
audit and distribution at this session and testimony taken;and thereupon,upon due consideration
there05~~~~I~efor distribution in 'the hands of the Accountant is determined to be
$,.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.I
$55,384.'+1
$53.627,,
1756.78
Russell Marino,Agent,tra,nsfer inheritance
tax,
Deduct Clerk's Costs &Receipts'-I
Attomey_-G_r_e_e_n_1_e_e_R_ic_hm_a_n_,_D_e_r_r_i_c_o_&_P_o_s_a__
1
Additional credit asked at audit 12105.33
Balance $53,279.08,,n---------------------/"ha-<.JI -~~
55.00 ~~~?J;~U>
$53,224.08~&.eJ
0~/-~:f-5~:l1.~=~~~~\1085.81 -,------
$52,138,27
SCHEDULE OF DISTRIBUTION
Balance per account _
Additional debit asked at audit
Thaddeus Ofiara,step-son,9/10 residue,cash,46924.44
Olga Oriara,step-daughter-in-1aw,1/2 of 1/10 I
residue,cash,2606,92
Nancy Ofiara,1/2 of 1/10 residue,2606.91
II
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Form RC'C-33
RESIDENT DECEDENT
••
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
J
IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the
Register of Wills of the County where decedent resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of
the Inheritance and Estate Tax Act of 1961.)
......;J.-~~1<_~=~~~7i~;lii~;~;;;~e~.};::UA:;:OF
~te of w:~.l?b~:I.'l.g.t.9.:I.'l.County ~~
State of ..
Cou~ty of
P.enn.sy.lvania }
W?§.~~~g.~~P.:............................................ss:
...T..b..~.4..g~1.l.$Q.:f;.~~~.~..
of the estate of the above-named decedent being duly sworn,deposeS and sayS
..Executor
Decedent died .........Q.~!:..9...Q~:t::'
(Month)
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
23 ........,19..79............1 testate leaving a last will,copy of which is hereto attached.}
(Day)(Year)l intestate..
.Greenlee,....Ricbman,.Der.rico ...&....Posa
.:325 .Wa$hi.JJgt()nT~q$t:...B:I.gg....Wal?l1i.~g~Q~)J:.>~~!1.~.!......~.~.~.Q.;L
That as such E~.~.~.y.tQ.~deponent is familiar with the affairs of said estate and the property con-
(Executor-Administrator)
stituting the assets thereof and their fair market value.
That at the time of death there was no safe deposit box registered in decedent's indjvidual 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
IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX
THIS SAFE DEPOSIT BOX RENTED
IN NAME OR NAMES OF
RELATIONSHIP OF JOINT
HOLDERS'TO DECEDENT
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 fUllv 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 forth 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 .~s,tax free,of the United ~tes,or any state,or political subdivision thereof,.~r of
any foreign country,which are owned at the tfme of death;all wearing apparel,jewelry,silverware,pic-
'..... _..i>...:.r'-tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left bydecedent,together wi th.th~-fa~.r·IY estimated
market value thereof;all bonds and mortgages held by decedent and.?f all claims dlle""'and '<>,wing 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 fac~~
value and estimated fair market value thereof,and if such estimated fair Jilarket vaiue~b~less·....than"the
face value,it sets forth briefly the reasons for such depreciation as to each item;all ~oney~payable
to the estate from life insurance polictes carried by decedent;all annuity and endowment co~tracts 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-pari~ership or business.
A copy of the co-partnership agreement,.(if.oral,a statement setting forth the na~ure 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 value
thereof,any other property owned or bequeathed by the decedent at the time 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 transferee and
all other facts of a pertinent nature regarding said transfers.In the case of transfers intended to
take effect in possession.or enjoyment at or a~ter death,there is also attached to the schedule a cony
of -theodeed,trust agreement or (Ither '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,orjointly 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,and the 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 iritangible,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.chargeable 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.
____~:~:_::=dS:~;~:or:;t:::~~:~~-----------NOfa~~jJ%?Jca~~...................--...lQ5~~-~~~!.~:------_.'
Washington Co.,~Penna.
My Co~ission Expires:/ /-c -7 :z ·······G.·~·7%~=·~~;~~~~·:~~·~~;r·..········..···..···..
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 completed as above-directed.
RCC-34 (1-64)
COMMONWEALTH·OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESlDENT DECEDENT
SCHEDULE IIA"
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 liE".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
described by lot and block number,street and street number,together wi th
a general description of the property,with a reference to the record of the
conveyance by which the decedent took title;If a farm state number'of a·
cres;also statement of mortgage encumbrances upon each parcel at death.
of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are
to be listed on Schedule "F"and must not be deducted from this schedule.
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(31
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this spoce)
ALL that parcel of ground'situate"in Char-
tiers Twp.,Washington Co.,Penna.,on whict
is erected a 5-room one-story brick house &
garage known as 337 Cherry Ave.,Houston,
Penna.(See Deed Book 880,Page 115)$
pf2-.[)
()!<
2,400.00 ~20,000.00 2.0000.00
I
Insert this total opposite IIrea l property",Schedule IIA"in the X X X X X
liAs Reported"column on the last page of this return.
RCC-35
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "13"
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 wi th another or others
must be listed under Schedule "E".Intangible 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,mltomobiles,boats,etc.)
Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,
stocks,mortgages,notes,together with a,ccrued interest or dividends,salaries or wages,insurance pay-
able to the estate or firluciary in said capacity,partnership interests,interest in any undistributed
estate of or income from any property held in trust under the will or agreement of another,even though
located outside of the State,at the tL'1l0 of'death,should be listed in this schedule.--__-------------'---------~--......,r__-----,....--------
Item
No.
ITEM
List and describe fUlly
UNIT
VALUE
ESTIMATED
MARKEr VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
1.Social Security Death Benefits $350.00 ?.
2--.;1 Account No.72-West.Pa.National Bank of!.pf(J}/73,-/1.~5
in n/o Jack Gosiorek 17,341.65 f
3.Account No.06630068 -Mellon National {)I<JW If htf /.0 1Bank&Trus t Co.in n/o Jack Gosiorek 18,641.68 I
4.Checking Account -West Penna.National 6'(~I /2 S;;2.~
Bank 1,125.28 f
Insert this total opposite "Personal Property",Schedule "B"in X X
the "As Reported"column on the last page of this return.
J
RCC-3D
COmION1\K\LTH OF PENNSYLVANIA
TIUNSFER INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDULE "c"
TIl~NSFERS
(1)Did decedent,within two years of death,make any transfer of any material part ot:..his estate,without
receiving a valuable and adequate consideration therefor?(Answer yes or no)~o
(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)No
(3)If the answer to (1)or (2)above is in the affirmative state:
(a)Age of decedent at time of transfer _
(b)State of decedent's health at time of making the transfer.(Note 1).
(c)Cause of decedent's death.(Note 1).
(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)__~N~O~___
(a)Was there any possibility that the property transferred might return to t~~nsferer or his
estate or be subject to his power of disposition?(Answer yes or no)~O
(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 enjoyment 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)No
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or others __
(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)~
(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 could 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 the 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)
Insert this total opposite "Transfers",Schedule "C"in the
"As Reported"column on the last page of this return.
ReC-38
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
"
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRUCTIONS:This schedule must disclose 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-owners to
the decedent.
Description of Property,Date of Acquisition,Name I unit percentage Estate
Address and Relationship of Co-Owners,and Place I Value Share Valuation
of Record of Instrument,where Real Estate.!
None
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
RCC-37.0 (12-6j)
COMMONWEALTH OF PENNSYYLANIA
TRANSFER INHERITANCE TAX
RESIDF.NT DECEDENT
SCHEDULE "0"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH.,
Thaddeus Ofiara stepson Yes --------lOS Norris Drive,
Canonsburg,Penna.15317
Olga Ofiara A.
aauy~~er-J.n-Yes ----
R.D.Af_7y.,~,L36 7/F{5"
Washington,Penna.15301
Nancy Ofiara I
,ranfHY¥R~er-Yes
R.D.4f/_~~gUJJ !;()'1~j.j"
Washington,Penna.15301
(
(
h
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
OF THE
ESTATE OF
~IATTER OF THE APPRAISEMENT
DJ THE
(Executor-Administrator.
must complete "As
Report~i"column #1.)
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63-70-1051
................Year ..!No.
Will
Administration
......
Deceased
Jack Gosiorek,a/k/a
Jack G.':l f).;O.l:'~~.L..
Late of.ChClrt:;~~~r:r.().~.~1:l~J.>
Commonwealth of Pennsylvania
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REPO'!'t ~APPI,t~ISAL~==-.-c,.}~j 0;:
........1
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County of
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Form RCC·lO
AND AGENT OF THE COMMONWEALTH
DEDUCTIONS ALLOWED IN
THE SUM OF ',,$tR,}j,fj(
DATE APPROVED ..A 11?,~~l=,7l
•OFFICE OF THE'1'1
.REGISTER OF WILLS
~
"STATEMENT OF DEBTS
AND DEDUCTIONS
~r[)b -?-/S%
(,.,3 -7 -100'/63-70-1051
OFc...{COUNTY
ESTATE OF Jack Gosiorek,a/k/a LATE OF Chartiers TownshipJackGus~orek
Sept.16,1971 October 23,1970DATEOFFILINGAPPRAISEMENTOATIiOFDEATH__;;:"';;"~';':""';:''::'-=..L_--=;':;'''':''''':'''''_
DATE NO.OF
VOUCH"III NAME OF PAYEE REMARKS AMOUNT
1/12/71
5/1e /71
Ed Kraceycyk
Columbia Gas Company
Funeral Bill in Full
Gas Bills &Final-DRg~gs.
1?l:\n Inn
86.91
5/24/71 West Penn Power Company vec alS.
Final Elec.Bill-Home 23.72
3/23/71 Citizens Water Co.Water Bill 11
5/24/71 Gaydos Monument Co.Cutting Stone 1')00
11/6/70 Rev.John Zieba Church Services 52.00
11/9/70 The Bell Telephone Co.'L ., .,D~c 'ds •Final Pnone RiLL-Hf'lme:o I:)141
11/9/70 Oak Spring Cemetery Opening &Closing Grave 90.00
9/15/70 Greenlee,Richman ,Derrico &Reimbursement for Costs:
Registe~ogr Wills Probate of Will &Letters 21 1:)0
Washington Co.Reports Advertising Estate 14.00
Daily Notes Estate Notice 12.50
Re~ister of Wills Filing lnventorv R '00
Register of Wills Filing Account 17.00
Attornevls Fee 800 00
6/2'1/71 Washington County R.E.Taxes-Declds.Resid.41.04
8/19 1/71 Citizens Water Co.Final Bi11-Declds.Home
8/1/~1 Loss on Sale of R.E.lnventoried @ $20.000 00SaIePrice1~,:>4:l .Z~
Sam Anthou Real Est.Commission-Sale 01ueceaentISHome 696.PO
.-
Total
----/.-,~~~~~4!l~~=---_-_-(L.5.1
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Washington ss:
I,Thaddeus Ofiara,Executor HEREBY CERTIFY.THAT.TO THE BEaT OF
I\IIY KNOWL!:DGE AND BELIEF.TH!:FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED TO THE ESTATE OF Jack Gosiorek a a DECEASED.AS DEDUCTIONli FOR
INHERITANCE TAX PURPOSES.Jack Gusiorek
c-s ~ngton
Washington Co..,Penna .~
My Commission Expires:~;f23
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DOCket_3_8_-_1_13 -2Gosiorek,Jack
Gusiorek,Jack
IN THE ORPHANS'COURT OF WASHINGTON :~~T~fO~NA.
)
Date of death __.l...[....::~~_
In the matter of ,the Audit of Account filed in the Estate of
\No.1051 of ~_9_7_0 Term,19__,A.A.
Dece.,ed j
TO THE AUDITING JUDGE:
Enter my 'appearance for the CornmonweaJlth of Pennsylvania,claiming transfer inheritance tax in the above estate,as follows:
~:'appraised Vialue of Estate:ReaLty________----__________$~~r (J.,()
Personalty_________________$_?---.:e-7~/___=I)_F___'/L_-__&----.:..-1._
Additional Assets per Account,Subjeot ,to Tax $_
AddItional1 Assets per Audit,Subject to 11ax ___$_
GROSS VALUE $ _
CR.
Debts and Expenses per Account;see Note
Additional Debts and Expenses per Audit
I
)
$----
$-------
$-------
$-------
$--------$-------------------
$--
TOTAL DEDUCTIONS,$----------
NOTE:The following credits claimed in the Account are
held not deductible -as against the tax:CALCULATION a"I
Gross V.ailue --________________________~--7tc-I'_()~-=-_
Less Deductions ....1_2--~3r_~----
Clear Value_________________,5"3 t 7)Y ~--,,()~I _
)-!1-2'-ifF;:1L'i '
\
$
$
Interest__yrs.__mos-__days @ __%$~
TOTAL TAX AND INTEREST DUE $I ~'3')"/I
/)-;KA->/-/77/~--J(/tJ /-.5..f/.
??;~
c:::e-.;<-~,
.~
.'
No..________Term,19 __,A.A
ESTATE OF
Deceased
!
PRAECIPE FOR APPEARANCE
FOR
COMMONWEALTH OF PENNSYLVANIA
~5
DATE APPROVED ••••••••._'"
r----------------T ---
I•.OFFICE OF THE
"REGISTER OF WILL6i
..I"'
OF COUNTY
AND AGENT O~THE COMMONWEALTH
- - - -------------~-----------;;D=ED=Uc;;oCT::-;IO::-cN:c:-S~A~L:-::LO~W-=-ED:--IN---j----,
STATEMENT OF DEBTS THE SUM OF'$___.
AND DEDUCTIONS
t..1.7t:J./,,~/
Rlgi,t.,of Willi,Ag.~1
-Jack Gos!oreK.,a/'t!l a
ESTATE OF Jack Gusl.orek,LAn:01'Chartiers Township
DATE OF FILING APPRAISEMENT June 10,1971 OATIi 01"Ot::ATH ---lO""c=.;t=.:0::::.:b~e~r::..-..;2::.3~-..::1~9.!..7~0 _
~reenTee,lucnman,1J~J.J."ICU c'.t"Otset-Rel.moursement tor:
Russell Marino Letters Test.&2 S.C.s
DATI!:NO.01'
VOUCH_lit NAME OF PAYEE REMARK""MOUNT
21.50
Washington Records Advertising Estate 14.00
10/27/70
6-10-7]I
Daily Notes
Russell Marino
Advertising Estate
Filing Inventory &Bal.Lets
12.50
8.00
(;U)~/71 Russell Marino Filing Account 17.00
Greenlee,Richman,Derri~gs&Attorney's Commission 800.00
1-1~-7l
5-2~-7l
ll-b-70
11-9-70
11-9-70
Ed Kraceycyk
Gaydos Monument Co.
Rev.John Zieba
Oak Spring Cemetery
The Bell Telephone Co.
Funeral Bill in Full
Cutting Stone
Church Services
Burial
Final Telephone Bill
1250.00
15 00
52 00
90 00
5 41
6-~-7l Columbia Gas Co.Final Bi11-Decedent's Home 100.47
f--a"'---f/)....~9:.--...I.7~'1r-_-r-JoLI!=.r.i·....f"'i;b,l'z~el:::.!n~s~w!.::.a!.!:t:.::e:.=r~C~o..!.._.....;...__--F-F.::i.::n.::.a.::.l....:B:::;l.:.:·l:.:l:..-Il '_'_~~_...:.4.:.5~._3:.:3=--
8-l9-71 West Penn Electtic Co.Final Bill-If 1\22.27
Loss on Sale of Decedent's -Fome8-l-7l Tn\1~n~oried at:$20.000.00 -Sale Price-$19,542.29 ~-~457.7~
6-t1q-7 Washin~ton County Real Estate Taxes-Dec'd!!,?me 41.04 r
Q_~(l_7 ~~m A,•Real Est.Commission-Sale 696 00 .oJ:uec as.tiome
Total S 3.648 23
COMMONWEALTH OF PENNSYLVANIA }
COUNTY OF Washington SG:.
I.Thaddeus Ofiara,Administrator
Washington County,Penna.
•.'"LAURA W.EHNERTMyCommissionExpl.xes.:NOTARY PUBLIC c~NSHIP
:'Washington County.PennSYlva~'a
.My Commission Expires :11/6/72
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-'.
DEDUCTIONS AL.L.OWED IN
I
•OFFICE OF TME
,REGI9TER OF WIL.L6
iOF COUNTY
AND AGENT O~THE COMMONWEALTH
STATEMENT OF DEBTS
AND DEDUCTIONS
t~.7~;"/IAS/
...
THE SUM OF'.-........•.._....•.......•
DATE APPROVED ••••••••
Reglaler of Willa,Agul
OAT£OF FILING APPRAISEMENT June 10,1971
~ClI,,;~•~c~,Cl/'¥CI
ESTATE OF Jack Gusl.orek,.LAn:OF _C_h_a_r_t_i_e_r_s_T_o_W_n_s_h_i..:,p _
OAT&:OF DEATH _O_c_t_o_b_e_r_2_3_-_l_9_7_0 _
DATI!:NO.0"NAMIi:OF PAYEE REMARKSVOUCH""--_..---AMOUNT
i IU.&.,,LlC'&'-l.......v Uj.L ~--J"v.&..
I 10-~7-70 Russell Marino Letters Test.lie 2 S.C.s 21.50
:
10-~7-70 Washington Records Advertising Estate 14.00
10/~7/70 Daily Notes Advertising Estate 12.50
6-0-71,Russell Marino Filing Inventory lie Bal.Lets.8.00,
srls/7l Russell Marino Filing Account 17.00
8-~8-71 Greenlee,roti&Attorney's Commission 800.00Richman,Derrico
i,
1-1:.-71 Ed Kraceycyk Funeral Bill in Full 1250.00
5-2~-71 Gaydos Monumen t Co.Cutting Stone 15.00
ll-~-70 Rev.John Zieba Church Services 52.00
11-<-70 Oak Spring Cemetery Burial 90.00
11-<-70 The Bell Telephone Co.Final Telephone Bill 5.41
6--71 Columbia Gas Co.!Final Bi1l-Decedent's Home 100.47 iI
6-9-71 Citizens Water Co.Final Bill-II "45.33
8-~9-7l West Penn Electric Co.Winal Bill-""22.27 I
8-~-7l 'Loss on Sa le of DecedencT s IilOme
Inventoried at:S20.000.00 -Sale Price-$19,542.29 (457.7r)
6-.9-71 Washington County Real Estate Taxes-Dec'dy~me 41.04 r
8-0-71 Sam Anthou R~al Es~.C~mmission-Sale 696 ..00
VJ",VCI,,;Ui:J.I1VWC
Total ~3.648~23
County,Pen~a.
-.....'"-:.LAURA W.EHNERTMyCommfssionExpires:nOTARY PUBliC,CANIO~:rQWNSHIP
I__W~shington County.Pennsylvania'
~y Commission Expires ;1116172.
COMMONWEAI..TH OF PENNSYLVANIA 1
COUNTY OF Washington S.:Thaddeus Ofl.ar ,AdministratorI.-=..:::::..:::..=.:...:.:.=--=--=...:......:......:....:-.HEREBY CERTlf"Y.THAT.TO THE BE.T O~
MY KNOWL.EOGE AND BELIEF.THe:,FOilEGOING IS A ,.IU&!kA't;T~~~~I!ltEME~T/~7...JlE~AcR'NERALEXPEN6ES AND OPENea 01'
ADM1NIfiTRATION GUDMITTED TO THE E........TE OF Jac O.,I q.....G0510rek D&:CEAUD.Aa DEDUCTIONS ,.OR
INHERITANCE TAX PURPOSES..'~~'
._14th ~(I••s.)8WOR~~'t:@fflf>WJ::DBEFORE ME THIS -Ti DAY Of'
I ~/'>III/'p~~~0~'71~.~.~"'~=-_...................~Washington
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RCC-SI (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
NOTICE OF FILING OF APPRAISEMENT
THADDEUS OFIARA
(Executor tiXl~a1X>ll
IN YOUR REPLY PLEA8E
REFER TO
38-113-2
J
In Re:Estate of JACK GOSIOREK a/k/a
____W_A_S_H_I_N_G_T_O_N County -File No.63-70-1051
Dear ir.Ofiara,
You are hereby notified that the __~O~r~1~·g==i~n~a~1~-------------
appraisement in'_-tQe'~es.tate of JACK GOSIOREK a /k/a
has been fi~d in ~e o)1tce of tie Register of Wills Fq[WASHINGTON
County on eptem er ,19?-.Said appraisement reflects the
following valuations:
Re al Estate ~2-.;0lo.l..+,~O-,"O~Ot.a;~Ou.OL-_
Personal Property~3~7~,~1~O~8~.~6~]~------Transfers _
Total >oI.5..L7~,.....]~OLl.82.J.u6J...J'L----
As to such tax that is paid within three months from date of
death,a five (5%)percent discount is allowable.As to any tax that
remains unpaid after one year from date of death,interest at the rate
of six (6%)percent per annum is charged.
Any party in interest who is aggrieved by an appraisement may
appeal therefrom as provided by law.
Date _----!S=!.:e~p~t.3ote.wmu...b!.Joe.....r__"3.uO~,~'....9.z.7.L.].L.---
Title DOMINIC DeMARIA APPRAISER I
DATE OF DEATH:October 23,1970
Note:This is not a bill.
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of GOSIOREK JACK a/k/a
(Last Name)(First Name)(Initial)
DATE OF DEATH 10-23-70 FILE NO.63-70-1051
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of WASHINGTON
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","8","C",and "E".
Dated:September 30,1971 ~b~~
INHERITANCE TAX APPRAISER I
REPORT OF THE REGISTER OF WILLS
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.
SEP 30 1971 RUSSELL MARINDDated:_
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
57 108 61
57,108 61
57 108 61
NONE
57 108 61
VALUE AS REAPPRAISED
$-------+--
Valuation of life estates or -t=
FOR USE OF REGISTER ONLY
Tax on $---------f---
Tax on $---------f---
Tax on $---------f---
Tax on $---------f---
Tax on $---------f---
Exemptions========t:==Total Estate ----JI---_
TOTAL TAX
2%~
5%
10%
15%
*
COMPUTATION OF TAX
$---------4--
$---------4--
$---------4--
$-------~
$---------4--
$----------'---
(*).As evidenced by Charitable
.Exemption Certificates issued
:by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death ::::::::::==t===
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $-J
AMOUNT OF ESTATE TAX ASSESSED $--------ll-
Estate tax paid $...Jl--
BALANCE DUE $----Il-
Add interest at rate of 6%from t=
-------(to-----$-----~
TOTAL TAX BALANCE $----~PAID $-J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will !...No.Administration
IN THE
year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
XA«H JACK GOSIOREK
Deceased
Late of
County of
CRA.R'r:I::E;RS ,TOWNSIUP
WASHINGTON
..,
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
.,
-,
~
Fonn RCC-2
•
DEPARTMENt OF REVENUE
-JBUREAU OF COUNTY COLLECTIONS
HARRISBURG,PENNA.17 127
•T
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
September 30.1971 IDATE!
COUNTY WAS.HI.NQ.T..Q,N..
FlLE NO.~}.:..?.Q.:..!.Q§!_.
Whereas,J.AC.K.Q.Q~.IQ.R~K ~l.~!~:..,,late of ~.~~.~.!~.~~':r..9.~§.~.!~.
in the County of'Jr.!.\S.B.J..NQ.T.QN ~::Commonmalth of Pennsylvania,having died on
the ~}.~day of ~.~.~.."..~.~.:.................................19..?.~,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
MARIATherefore,I,................................P..QMINI9......P..~.............................................................,an appraiser duly appointed according to law,
having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix
the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement:
In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after
the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer
inheritance taxes at the lawful collateral rate on any such future interest.
Unit AppraisementDescrlpllonofAssetValuesMadeforInheritance
Tax Purpole$
$
REAl.TY·
SEE COpy OF SCHEDULE "A"ATTACHED TO APPRAISEMENT ?n nnn nn
PERSONAL:
SEE COpy OF SCHEDULE "B"ATTACHED TO APPRAISEMENT 37.108 61
..... ...
total 57.108 61
.-,
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form~v~~hb::::~h:Sw~,~~~.~~o~e~~~=:~yt~~tt~~.bo~~~p~r;:rn;:::l~£
Appraiser
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County.......WASHINGTON.....
RESIDENT INHERITANCE TAX APPRAISEMENT
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RE(,I ;,:.:\r~'"';0F W\LLS
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Estate of
JACK GOSIOREK
Deceased.
Late of
CHARTIERS TOWNSHIP
10-23-70DateofDeath,
Appraisemeilt Docket Vol.,3.8 ..
Page,..l.1..3..~.2 No 6.3.~..7.0~1.O.5.1..
Filed in Register's Office,Sep.t 3.O'19.7.l.
Amount of tax due,$..
~
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo,ut Appraisement,
Appeal f"om Appraisement,..
Entered and charged,..
r
.
RCC·4 (8·63)
No·8
COMMONWEALTH OF
•DEPARTMENT OF REVENlJE1177ZOFFICIALRECEIPT•PENNSYlVANIA INHERITAN(:E
j
representing Pennsylvania Inheritance or
DERRICO "POSA Estate Tax due from the following estate:
;RECEIVED ONE THOUSAND EIGHTY-FIVE and 81/100
Thaddeus Ofiara •Excr.
From:ATTY.GREENLEE,RICHMAN
......._---dollars
Address 325 WASHINGTON TRUST BUILDING
WASHINGTON,PENNSYLVANIA 15301
--------$---------1;1
_"&""':'-"-'---'''-'---'__$__--:8~O=8~.1=3~'__•
$,--------.!I'll
$,---------111
3,117.39$,-----=------.rJ
Pd.21631.51'_
Due 1,085.81
$--------'1I'.tI
%Tax on $$111
Estate Tax,Act of
May 7,1927
TOTAL TAX CREDIT
Less five percentum of tax if Prev.
paid within three months after Bal.
date of death
PIus interest at the rate of
__%from _
to _
Remarks:
MJR
File No.63-70-1051 Date of Death 10...23..70
Date of Payment N'_c_v'_e_m_b_e_1'_l--!t:.-.-1_9_71_,'----1
Name of Decedent JACK GOSIAREK a/k/a
County W_A_S_H_I_NG_T_O_N -l
.SEA L
NOTE:Thi.Triplicate Rec.ipt to be retained f03S:tr!'3=~
1,085.81
TOTAL AMO~I..~:$=,=...J'J,I'XIJ
,,.--.;,'1 I??
Received by ._/--;'~jJ .....~J.Y-I ,~_I"/--('vC
NOTE:In accepting the transfer Inh'erltance tax on future estates,prior to the death of the life >,_.~(Signatur~r-j'I J
tenant or tenant for years,as evidenced by this receipt,It Is understood that the Commonwealth shall .<,I I••l'J'__.,)l,/'1
nat be precluded or prevented from hereafter assessing additional Inheritance tax at the death of the •.\.-X''-""'J '--"",./'-_-~V
life tenant or tenant for years whenever It appears that such additional tax may be legally due and (Title)\
collectible for any reason whatsoever..
...__..~-~\-
LAST WILL AND TESTAMENT
I,JACK GOSIOREK,of Chartiers Township,Washington County,
.,
Pennsylvania,being of sound mind,memory and understanding,do
hereby make and publish this my Last Will and Testament,and re-
voke all Wills by me at any time heretofore made.
FIRST:I direct all my just debts and funeral expenses to
be fully paid and satisfied as soon as conveniently may be after
:my decease.
SECOND:I give,devise and bequeath all of my estate,real
and personal,to my wife,MARY GOSIOREK:provided,however,that
should she predecease me,then,I give,devise and bequeath all
of my estate,real and personal,as follows:An undivided nine-
..
tenths (9/10)thereof to my wife's son,THADDEUS OFIARA,and the
.,<'':.."'....-....
remaining .undividedone-tenth (1/10)thereof
in-law,OLGA OFIARA,and her daughter,NANCY
to my wife1s daughter-
I
OFIARA,share and
share alike.
THIRD:I nominate,constitute and appoint my wife the
executrix of my estate;but if she should predecease me,then I
nominate,c~nstitute and appoint my wife1s son,THADDEUS OFIARA,I
.",
the executor of this myLa~~Will and Testament,to serve without
bond in any ,jurisdiction.
IN TESTIMONY WHEREOF,I,the said Jack Gosiorek,have set
,',
.,','r
my hand and seal to this my Last Will and Testament,this :L 7..."."-.\.'..
day of Oe TOr1e-~'-:1962.z1J<u!AlFf+I'UJ~(SEAL)
Signed,sealed,PU~lisn ~d declared by the said Jack
Gosiorek,the above named testator,as and for his Last Will
and Testament,in the presence of us,who at his request,in his i
presence,and in the presence of eci'~other,all being present
at the same time,have hereunto UbegSc;~bed our names as witnesses.
"(,V /I.//'/J,c-/'._.)//.'-.:~i
?141 k tu;7;].>21 7 ~I
.~/I I,.•'!..
t.o 3'_7 tJ --/oS )
'~ffibautt (@f 1.Exerutnr (@r ~bmiui!itratnr
~tute uf Jeuunyluuntu }
Gruul1ty uf lIun4tngtntt !i!i:
Personally before me,the undersigned authority,a Boteq..Pub1tc in and for said
County and State,appeared tlmddeus...OU4'fG who,being duly
sworn according to law,deposes and says that he is the executor or administrator of the es-
tate of ..J.Ck..~~,:;~ak.a ..Jack...deceased,that the foregoing schedules constitute a
complete inventory~ana appraIsement of the real and personal estate of ....Ja£k..Go.Ilo.c•.....,
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 Executor Administrator.
Sworn and subscribed before me this ..~6~}~..t.·..VMiI......-~...19 ..'.·1..•..I.~.I.1:b.~9.9.~~~O.f..:i,.a+..~.Nay ~~··z~::·..······Executor-~.i:7:~~'&~~~~~::tment of per,on&repre,en~tive.
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
Juueutury uub !\pprutnemeut of.the goods and chattels,rights and credits which
were of .~~~~~~~.~~~~~~~..~~~~~f :~~.~f.•...'i~~.
Washington County,Pa.,taken and made in conformity with the above affidavit.
DOLLARS CENTS
X:CJ:'!OJ¥l}.t.!t
Account No.06630068 ...Mellon National Ba'*&Taat co.10
n/o Jack Co.tonk ..88lGnco ~.641.68
Account:No.12 Weat Perma.Nat10ul Ba*inDIo Jack 008101:4 It
"lance ',341.65
Total DMmco..,
Social Security Deat!l BeGeflt Check
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1\ffi~auit (@f 1£~rrutnr ®r Abmtntatratnr
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O!nuuty nf lIu.all1ugtnu .a.a:
Personally before me,the undersigned authority,a N~tt.a.ty...P.ublic in and for said .
County and State,appeared '£h§.9.~§!.~.~Qt~.~;J;.~who,being duly
sworn according to law,deposes and says that he is the executor or administrator of the es-
tate of ...J.?s.~...G.Go.~~.Q.~§.lsT:9.ls9 ....J.9J:;.ls...deceased,that the foregoing schedules constitute aus~ore~'.complete inventory and appraisement of the real and personal estate of ....J.§.~~.J!9.~.~9.~.~~.....,
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 Executor Administrator.
.··26th ~~.(Sworn and subsmbed befMe me this }
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Hashington County,Pa 0 ADDITIONAL INSTRUCTIONS .Mv Comm~ssion Exp;.lres:'-///:r·.(,.z.-,/.//(/-/J ..1.An inventory mus be mea walthl three-lnonths after appomtment 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
31uul'utnry uub !\pprui.al'wut of the goods and chattels,rights and credits which
were of .:!..~.~~~~~.;.~.;.~~~~~:!.~~~~~~.~3;5;~f G.~.?;.~.;.~;;?I9.~.~.h;p..
Washington County,Pa.,taken and made in conformity with the ablWe affidavit.
\
DOLLARS CENTS
I Realtr:known as 337
1 Story Brick House &Garage situate on lDts 31-32,/Cherry
Avenue,Houston,'Chartiers Twp.,Penna.(See Deed Book
880,Page 115)-_~O ,000.00
Personalty:
Account No.06630068 -Mellon National Bank &Trust Co.in
nlo Jack Gosiorek -Balance ~8,641.68
Account No.72 West Penna.National Bank in nlo Jack Gosior~~.,
Balance ,,7,341.65
Checking Account -West Penna.National Bank
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Total Inventory
Social Security Death Benefit Check
Total
1,125 0 '~28
)7,1-06.61
350.00
57,458'.GD
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