HomeMy WebLinkAboutOC1970-1232 - ESTATE OF NOVOTNY~2'-7tJ-/;;2~~)
i\ffi~uuit (@f 1fxrrutnr (@r i\~mini!itratnr
~tatr of 'ruuliyluauia~~55:
<!tnuuty of Bas4iuglnu \
Personally before me,the undersigned authority,a ~~~~.E¥.~!?~J.~in and for said
County and State,appeared F..r.e.~~.~N.Q.Y..9..tD:Y.:who,being duly
sworn according to law,deposes and says that he is the executor or administrator of the estate of
....i!..9..~.~.p.h ~.~N.9.y.Q~.~Y.:!.~.~p...~deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of.....J..Q.~.~.P.b....E.A....NQ.y..Qtny.......m:r D•
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.~
day~~=~~.::~::et=b~~.~.:;~1..i:.:th;'..1.t _.....l~.X..Yc~~__.
';:'.Executor-~/lft
ION E COLEMAN~..Not~·Y1$lll ··..
M~noncahela,Washington.Co.,Pa,ADDITIONAL INSTRUCTIONS
!..l¥.Lomm~~~on Explrell •••.••
rclU 1y1'M\!lIllv~ntory m~st be filed wIthin t?ree II!-0r:ths ~fter appomtI?ent of person~l.representatIve.
2./ A supplemental mventory 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
lIuntutnry aUIl'1\ppratStwfttt of the goods and chattels,rights and credits which
were of J..Q§!.~.p.b E N:QY..o.t.D.Jr.Jate of p..Qn9..r.~;..
Washington County,Pa.,taken and made in conformity with the above affidavit.
PERSONALTY-
DOLLARS CENTS
Mellon National Bank,checking account
Firemans Insurance,disability
Series E Bonds (cashed)
~8,213.14
200.00
10,350.00
Interest on the above Series E.Bonds 6,011.54
One-half (1/2)interest in the Elizabeth Novotny Estate
1/2 of $3,613.25 or 1,806.62
TOTAL INVENTORY:
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KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
J
on the 22nd.day of December A.D.19 70 ,before me,
Russell Marino ,Register for the Probate of Wills and Granting
Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania,
the last Will and Testament of
Joseph E.Novotny,M.D.
late of Donora in the County aforesaid,deceased,
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
Frank T.Novotny
the Executor in said Will and Testament named,having appeared before me and taken and subscribed
the oath of office pr,escribed by law;
NOW,THEREFORE,I,Rusae 11 :Marino ,Register as aforesaid,do
grant these LETTERS TESTAMENTARY,unto the said
Frank T.Novotny
committing unto Him the administration of all and singular the goods and
chattels,rights and credits,which were of said deceased,and requiring Him
to exhibit a true and perfect inventory thereof into the Register's Office,at Washington,within ninety
days from the date hereof,and to r,ender a just and true account of said administration at the expiration
of six months from the date hereof,and to regard ~nd comply with the provisions of the laws of this
Commonwealth relating to inheritance taxes.
IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said
Office at Washington,this 22nd.
day of December in the year of our Lord one thousand
nine hundred and Seventy
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Register
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JOSEPH E.NOVOTNY,M.D.
968 McKEAN AVENUE
DONORA.PA.
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The First and Final Account of Frank T.Novotny,
Executor of the Estate of Jos~ph E.Novotny,M.D.,deceased,of
onora,Washington County,Pennsylvania.
The Accountant Charges as Follows:
As Per Inventory Filed
TOTAL ASSETS OF ESTATE
TOTAL AMOUNT OF CREDITS CLAIMED BY ACCOUNT
TOTAL BALANCE DUE
$26,581.30
$26,581.30
5,288.87
$21,292.43
-"'-"-~f •.,-,
untant Claims Credits Out Of the Assets of Said Estate,To-wit:-
••DATE AID:NAME OF PAYEE REMARKS
. ...
IlOLLARS :CENTS
1971 Lendway and Sons remove plug for gas stove 7.50
1971 Wojcik and Sons plumbing 8.,00
Washington County Reports advertisement
-15.48
35.00'
5.37
21.00
3.75
35.00
2.00
8.15
7.50
100.00
60.00
100.00
100.00
15.00
5.50
29.40
I
i13.06
i5.00
8.00
18.72
5.00
I
33.50
20.00
12.50
14.00
2,100.44
1,25°·00
I,
1,250.00
helped with cleaning
Maintenance man
electric bill
Maintenance man
gas bill apartment
gas bill
wage tax
probate,etc.
advertisement
,
filing inventory and-account
Notary flee
Daily Herald
Register of Wills
Witnesses on Will
Notary PUblic
of Wills Office
Frank Slezak Funeral Home funeral expenses
Frank-T.Novotny executors fee
1971 Donora Plumber
1971 Louttit Transfer,
Joseph J.Benedict attorneys fee
to
Mrs.Timo cleaning lady
1970 Mrs.Timo Spring cleaning
1970 John B.Stefko Spring cleaning
1970 Open Safe Deposit Box inMellon Bank
19~0 Safe Deposit Box rent
1970 Mon ~alley Sewage Authority sewage bill
1970 Bell 'Telephone Company of Pa.telephone bill
1971 Bell Telephone Company-,telephone bill
1971 .Columbia Gas Company gas bill
1971 west Penn Power electric bill
1970 Jonn Stefko
1971 Barbara Freshnok
Jan.
Jan.
Jan.
Jan.
Jan.23
"an.22
Jan.29
Jan.29
Feb.6,
Feb.16
Registe
"',1971 Mary Timo
Jan.7,1971 Mary Timo
1971 Columbia Gas
1971 John Stefko
1971 west Penn Power
Dec.
Dec.
Dec.24
Dec.24
Dec.28
Dec.28
Dec.31
Jan.2,
Jan.7,
Total:$5,288.87
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,"',.11:"",~,t",.te"."p"fI:;ilO:,S',·e,ph E.N~Y,:<)til~,.~,;;"M'"",I",P,rld~~a~i:~.rl!~~tof Donora:Wa~lUng.tlffll""C641lty"·'Penna.';"_;
, .Letters Testamentary,u129liL;"t~,e"
Iabove estate haVIng been'.,'nilNe,<l',',to,the undersigned.notice is.h,elepygiventothoseindebtedtheretoto:make immediate payment.and 'to
,I those having claims or demands tooresentthemforsettlement•
Frank T.NovotnyMonongahela,
Pennsylvania 15063,.Toseph .T.Benedict,Attorney253WestMainSt.
Monongahela,,:Pal ,I~063".Tanuary 22,'29;Febt4ary 5,1971
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PROOF OF PUBLICATION
THE DAILY HERALD
MONONGAHELA,PA.
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In compliance with the Newspaper Advertising Act of May 16,1929 P,L,1784,Sec.3.paragraphs (3)and (25),
County of Washington Iss:
State of Pennsylvania (
Personally appeared before me,a Notary Public in and for said county and state,
M.:r$...AJ;'.,J!.(3.9~tJ~..,who,being duly sworn,deposes and says:thaL..f3!J:.~.....is
the PQQk:~~.(3.P~.:r:of Tile Monongahela Publishing Co.,a Pennsylvania corpora-
tion,and its agent in this behalf:that the said company is the publisher of The Daily
Republican,published daily except Saturday and Sunday,having its place of business at
Monongahela,Washington County,Pennsylvania;that the said Daily Republican was
established in the year of 1846;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:
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that the affiant or the corporation in behalf of which .s.h~is acting is not inter-
ested in the subject matter of said notice or advertising and that all of the allegations of
Ihi>allid..il "10 th2Jl-~~d'~,;;~CZ:z~;;,;e.
~o and su~~sibed before me this~/.ch .day of '..'__.._...._..'..'"197 ..(C.REiD.DOUGHERTY,N~~~c~UJ~~~'.'/h MONot~Gr,HELA,\'lASHiNG,I ,-".,..Q..",~..-....-.--..~-.,..-----.-_..My Commission cxpir~s July 29."
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,~55,
The within named Accountant --being duly sworn according to faw,depose and say that the above account
as stated is true'and correct as ~~verily believe,
,,.-.·'9 J ..of ~Jr~~~Sworn and subscnbed before me thls I...............U.~::t':L ~~.
day of ,.~~19.1.1...
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.MARION E.COLEMAN,Notary Public
Monongahela,Washington Co.,Pa.My Commission Expires
July 14,197:1
Wa'shington County,ss:I I do certify that I have given leg'al noticero all persons
concerned of the filing of the within account in the manner
prescribed by Statute and Rule of Court,as evidenced by proofs
thereof filed to No W~.'7l-:-::.g3S .
Witness my han~and official 'seal thiS.C2f#.:..._.._._....
daYaL \_Ul_Y:~~~:~__
Register of Wills
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NOVOTNY,JOSEPH E.,M.D.,Dec'd.
Late of Donora,Washington County,Penna.
Executor:Frank T.Novotny,Mon-ongahela,Pennsylvania 15063Attorney:Joseph J.Benedict,253
West Main St.,Monongahela,Pa.15063
•••••• ••• ••• ••• ••
Estate Notices
The Register of WiJIs has gr!LT)ted
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
having claims or demands to present
them for settlement to the Executors or
Administrators or their Attorneys.
Washington#Pennsylvania
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
1Vas~on County Repo~
PROOF OF PUBLICATION
In compliance with the Newspaper Advertising Act of May 16,1929,P.L.1784 Sec.5,paragraphs (5)and (2S).
COUNTY OF WASHINGTON}88.
STATE OF PENNSYLVANIA
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 officilll1 legal periodical for said Washington Coun,ty,published weekly
hav,ing its place of business at Washington,Washington County,Pennsylvania,
and is acting as its agent in this behalf;that the said WASHINGTON
COUNTY REPORTS was established on March 51,1920,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 advertisement 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:
........~~!.?:~.?:E.y.?~.L..~.??.~.
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that the affiant or ·the corporation in behalf of which he is acting is not
interested in the subject matter of said notice or advertising and that all of the
allegations of this affidavit as to thel}l;i.e)ffpce and character(Yfe publication
are true.{/l ~C iJ j'/~Uu(r!.-G,/'...............:.:{,G~i :_..~~...t?~
~~--i..,A1itorSworntoandsubscribedbeforethiL~_~~
......:!..U.h day Of £.~.9..*.~'d~*.X ,19 ?.~...~~~.......~(J'-I'Notary Public
JOSEPtHr~E T.SC!:'\r/:.tSJi:i\
Notary Pubiic,\'J?shinr,tcl1,'v'!;:;sr,i.:gto:l Co.
My Commission Expires July 1,197,~
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In the mllitter of the Audit of Account in
Estate of JOSPER E.NOVOTNY (
,,
TO TlIE AUDITING JUDGE:
No.1232 of 1970
Enter my appearance for Frant T.Novotny!Executor
---'-,19---..TI:.
N.B.-Counsel shall,by separa:te~e,r,present a concise statement of each
claim,wHh supporting calculation of any interest claimed.Objections
to an account as filed,shall be concisely stated in a se·parate paper.
Council suggesting proper distribution shall file a separate concise state-
ment in that regard.
"ll FEB \8 Ali II 42
RUl ('(''t'-!1 ;,j I;;:-~\"1110\...).J l_'."r-:j •
nEr:Ic:,'T't~H OF WILLSh"I ~-
WASHINGTON CO .•PA.
No._
In re Audit of Account in Est3Jte of
AUDIT
'rarript fnr !\ppraraurr
FOR
A.ttorney
PETITION SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form j
·Estate of J.9.~~.p.h..~.!..J{9.Y.9.~.~_ -..
Deceased
No1232 Q;f'197Q A.A.
Fiduciary r:r.?:!.l:~..r N.9.Y.9.~D-Y..
Date of Date of
Decedent's death P.~~.~~.~~!..~.?1....~51.7.9 Grant of Le,tters p.~~.~~)?~~J~.?.I...J.9.79 .
This is the ~!.~~.~..~n~FJ~J account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term ~.
No
Election to take
Under or Against will.(cross out one)
Date Election Place of;
Filed Record c••••••••••••••••••••
Name of surviving spouse..N.O'D~_.
List issue,where material:
Irene Novotny
Joseph E.Novotny
Frank Novo:tny,Sr~and Joyce N0votny,his wife,
Mary Timo
John Stefko
Frank T.Novotny
Did decedent·marry after execution of will?(indicate)~No.Any children born after execution of will?(indicate)
~No.If .answer yes,name them .
Leg.atees Relationship Interest Fiduciary,if deceased or not sui juris
Irene Novotny
Joseph E.NovotnyFrank~d Joyce Novotny
Mary Timo
John Stefko
Frank T.Novotny
sister in law
nephew
nephew and
wife
none
none
$3,000.00
$3,000.00
$3,000.00
$.3,0.00.00$l~OOO.OO
remainder of estate
List,if exceptions to above:
If partial intestacy,give facts:
Adeemed:Revoked:Lapsed:Abated:Give Cause:
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.
If any exception give cause:.
File copy of Notice
and date of mailing Qc.t.•...~l7 l.9-7-l ;:,
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Is estate subject to the filing of a Federal Estate Tax Return?~N.g ~~~:.
Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..?..tgJ~9.~.Q.Q .
If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant .
No
Give Names and addresses of all unpaid creditors who are legally entitled to notice,tog,ether with the amounts
of such claims;state whether they are admitted to be correct;and whether the claim is denied.
None
Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re-
quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication:
None
Balance for distribution per account,
Itemize any additional debits not shown by account:
..)
Total additional debits (Add)
Itemize any additional credits not shown by account:
Total additional credits (Subtract)
Balance for distribution
$.gJ.l.?9g~.~3 .
$.
..
$.
$.21,.~.9.g.!.~3 .
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
Cash
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If Family Exemption claimed by Petition,give place of Record:..!':l:.l?~.._..
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:.
No
List any advancement or distribution on account that has been made,and nature and amount of same:
None
Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections
to take in kind if balance is not in cosh:residuary shares being stated in proportions:
Paywent of Clerk's Costs
...
Payment of balance of inheritance tax.Inheritance tax paid on$16,000.00,.receipt hereto attached•
.Irene Novotny the sum of $3,000.00
Joseph E.Novotny the sum of $3,000.00
Frank and Joyce Novotny the sum of ,$3,000.00
Mary Timo the sum of $3 000.00
John Stefko the sum of ~l,OOO.OO
The balance of the estate unto FrankT.Novotny
COUNTY OF WASHINGTON,S5:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly ~_doth depose and say
that the facts set forth in the foregoing petition are true
~to the best of _._knowledge and belief.
.......~~~to and subscribed before
me 'hiS:__I£J day OL--~~.--_r1191L-
Signature of Officer.~..~.....~,......'."....,
T'·I f 0 .M~Rlotl~E,COLEMAN Nota-It e 0 fflcer .J'IJ.GlIo.j'€fr-!ot••••••••"'.,..,.t 1.'!.PJlbJrc•••.•••••••~""'",,Va"n ng,on Co Pa..My Commission_EXPires"
Office expires --:..:·~.~~~.).1l.Ht(a::..\
And your petitioner will ever pray,etc.
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,I No 1232 of l.97-O'A.A.
Estate of J..Q~~f.H..E.f NmLQT.NY _Ii ..~~1,...
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Deceased
Fiduciary J~\.~~!}¥.:'r..~N.9.~.<?~'9_y.__.
PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
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 WiII.
6.Copy of inventory and appraisement.
7.Proof of advertisement of grant of letters
if not filed with account.
8.Certificate of liens in case any of the
funds for distribution are from judicial
sale of real estate.
9.Signed and itemized elections if any
distribution in kind.
10.Copy of Federal Estate Tax return if es-
tate is subject thereto.
;;q ~.)..L·~····-··_······-····Attorney,...,.:·········~2
172 FEB rB tiN r f '1(
RUSSELL M/,f<INO
REG 1ST Ei(0F Vi ILtS
WASHiNGTON GO .•PA.
IN THE'COURT OF COMMON PLEAS OF WASHINGTON COUNTY~PENNA.
"'.'",ORPHANS,i COURT pIVISION _'-.;,
•~.'.j.~
J
Deceased.
JOSEPH E.NOVOTNY,M.D.,
IN,RE:
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,No:1'2329£1970
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in this estate.The.real estate has been sold.And we have partly
Novotny,M.D.,dece'a~~d:The Ex~cutor'is F~an.k T.'Noyotny and
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the attorney is,J.J.'Benedict.,lV.lr/,:Bened.ict?
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HEARING ON AUD'rT ,
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Number 1232 of 1970,the estate of Joseph E.
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If tlie Court piease,there are 'n.o cOrPplicati"ns
•'.•~p ~(0....,.•
The Honorable P.VINCENT MARINO,Judge of the
said Court.·,
'Monday,December 13,1971',at 1:30 P/M,.,EST'
.J.J.,BENEDICT,Esquire,Of Monongahela,Pa.,
representing the Accountant.'.
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THE COU~iT:
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No claims outstanding.-
,,THE corn T:'.,_Is the:re anyone else in'Court interested'in
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ESTATE OF
Joseph E.Novotny,M~
deceased
No._...::.6L..3-_7L.:0:..---=l=2,G;32=--_
In the matter of the__F_i_r_s_t_a_n_d_F_i_n_a_l_
Account of Frank T.Novotny
Executor
ADJUDICATION AND DECREE
And now February I P 19.:1£,this matter came on for hearing,
audit and distribution at this session and testimon§taken;'and thereupon,upon due considerationthereo~ih~b~lj:L~cefor distribution in the hands of the Accountant is determined to be
$ ,9 •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 mode a part hereof,unless exceptions hereto be filed
sec.reg.or an appeal be taken herefrom sec.leg.
SCHEDULE OF DISTRIBUTION
Balance per account 1
Balance _
Deduct Clerk's Costs &Receipt:...s _
At'torney --::.J...::.--::.J...::.--.;;;B~e..;.;n;.,;;e~d;,;;;;i;.;;;c...;t~_
Russell Marino,~gent,transfer inheritance
tax,
Irene Novotny,sister-in-law,legacy,
Joseph E.Novotny,nephew,legacy,
Frank Novotny,Sr.end Joyce Novotny
legacy as tnenats by entirety,cash,
Mary Timko,legacy,cash,
John Stefko,legacy,cash,
Frank T.Novotny,brother,residue,
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Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF
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 Inqerit/i.nce_.an!l.Est,aterax A,ct of 1961.)
.........J..ose.-P:;~~::~::n:,~:..E:~.~E.~F }::::;;:OF
(State full DlIme of decedent)
Late of ~r?-~.h.;tngto~........County ADMINISTRATOR
........F.r.ank T.•.......N.ov...otny ..
Administrator of the estate of the above-named decedent being duly sworn,depose and say
Executor
Decedent'dJed ........p.~g·.......~51ih ..
(Month)
............,19.7~,r testate leaving a last will,copy of which is hereto attached.}
(nay)(V""r)Lintestate
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
Joseph J.Benedict,Attorney.253WestMalriStreet..·······..........·..·..···
Monongahela,pennsylvania'.·15063 ..
That as such ..~:!.~.~~.~.~!.deponent is familiar with the affairs of said estate and the property con-
(Exeeutor-Aflm inistrator)
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 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:-
q
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
MAllnn Nati nns:ll 'Rank nonora Pa .Tosenh 'R ~oYo..:t.ny,M.D.
That the contents of said safe deposi t box or boxes are itemized lmder Schedules of this
return,with the exception of the following,for the reasons hereinafter set forth:
That Schedule A attached hereto and made part hereof sets forth full v and in··detail all the
real property in the Commonweal th 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 :I.n detail allllersonal
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 01'agreement they
are designated as tax free,of the United States,or any state,or political subdivision thereof,or of
any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic-
tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and any and all
other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated
market value thereof;all bonds and mortgages held by decedent and of all claims due and owing decedent
at the time of death,and all promissory notes or other instruments in writing for the payment of money
of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face
value and estimated fair market value thereof,and if such estimated fair market value be less than the
face value,it sets forth briefly the reasons for such depreciation'as to each item;all moneys payable
to the estate from life insurance policles carried by decedent;all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends
due thereon and unpaid as of the date of death,bonds.and accrued ifitefest thefe~h t~th@ d&t@ of dece-
dent's death and other investment securities owned by the decedent at the tim.of death,with the market
value thereof at such time.
In the case of securities of close or family corporations,the values reported are as far as
possible substantiated by financial statements of the corporations,showing the assets and liabilities
thereof as of the'date of death.The schedule also sets forth the interest of decedent at the time of
death in any co-partnership or business,and in support of the value of such interest there is annexed to
said schedule,financial statements showing the assets and liabilities of said co-partnership or business.
A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement)
together with a statement setting forth the character of the business,its location,and such other facts
pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest
therein must be submitted.·It should also set forth in itemized form,together with the fair market ~alue
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 enjo;ment 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 th~'case of transf~rs intended to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y
of the deed,trust agreement or other instrument creatipg the trust.Therl~is also set forth in said
schedule a list of all property,real and personal,with its value,which passes at decedent's death by
virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint-
ment vested in decedent,either individuiilly or joihtiy;by the.wilf,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 intangible,standing in the name
of the decedent and others,plus the date and place of record of instruments effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,
of co-owners to the-decedent.r.r
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 Impaid at time of
~.death;taxes accrued charge.able for period prior to decedent's death (except.those.allowed under Section
651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga-
tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re-
quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the
estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that
the amount of tax assessed can be reassessed in accordance therewith.
That the totals of the appropriate columns in Schedules "A","B","C","E",and "F"as directed therein,.
have been carried forward and properly registered in the Summary.
•
Subscribed and sworn to before me this LC .
................;........................ .day of ..G-d:19.1.1...~LE.%';••~·.
Monongahela,Washington Co.,Pa.
M)Commission Expir1l11
.July 14,1973
£Jr~~.:.~:::\~..~~..
(Executor-Administrator)
(Street Number)
(City or Town and State)
NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are
filled in with details or the word "None",and in case the assets include rare and unlisted securities,
securities of close or family corporations or an interest in any co-partnership or business,that the
data and statements required under the paragraph above relating to Schedule "B"are attached.Also make
certain that column #1 in the "Summary"has been properly completed as above-directed.
RCC-34 (1-64~
CPMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
B})REAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEPENT
SCHEDU[E "A"
REAL PROPERTY *'
R
.,,
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Where property heid as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
thede.cedent 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 Commo!lwealth of Pennsylvania should be (1)(2)(3)/described by lot and block number,str;et and street number,together with DEPARTMENTageneraldescriptionoftheproperty,with a reference to the record of the ASSESSED VALUE VALUATION
conveyance by which the decedent took title;If a farm state number of a-FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this space).to be listed on Schedule "F"and must not be deducted from this schedule.
~,"
N e NE
Insert this total opposite "real property",Schedule "A"in the X X X X X
"As Reported"column on the last page of this return.
•
IN THE ORPHAN'S COURT OF WASH,fN.Gl;ON COUNTY,PENNSYLVANIA ......
ESTATE OF
---c!.Q~~?!L~-~--NQY~NX..._J'~l,!;o_L NoP3_~79_~_:J._~3~of 19 A.A._
--------------------------------------------------------------
NOTICE OF FILING ACCOUNT AND AUDIT
To the Heirs,Creditors and Other Persons Interested in Said Estate;
Please take notice that the first and final account oL_._.FRANK__..'1'_.L.NOVarNY~Executor-------.-----_._----------------_._---------------------------------------.------------_._-----------
----------------------.---.------..---.------.----------of the above estate,was filed in the office of the Register of Wills of Washington County,
Pennsylvania,on..-__Oc_t_L_.19__..1911 ,and docketed to the above number.
Under the rules of said Court,said account will be assigned for audit in the Orphans'Court courtroom on the Third Floor
of the Courthouse,Washington,Pennsylvania,sometime during the week beginning.--....D~_Q._~.._.__~_3..L __...19..7.;h....The pre-
cise time will be posted on the bulletin board in Office of the Clerk of the Orphans'Court ~..
___..___.Oc._t_•..21.,.__..__..___.._--.----_.___19 7.1.
Respe~ly submitted,
...---..:--~~..Q=k.~-~--.-----------.--
{/Attorney for the Estate
(
RCC-35
•COMMONWEALTH OF PENNSYLVANIA.TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "n"
PERSONAL PROPERTY
INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually
by the decedent,at the time of his death.Property owned by the decedent jointly with another or others
must be listed under Schedule "E".Inta;gible personal property,titled in the name of the decedent,but
payable at death to another or others,including but not limited to P.O.D.U.S.Savings Bonds and tenta-
tive trust accounts,must be listed,despite the fact that they are not of the administered estate.
Tangible personal property should be listed first (e.g.jewelry,wearing apparel,household
goods,and furnishings,books,paintings,automobiles,boats,etc.)
Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank,•stocks,'mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay-
able to the estate or fiduciary in said ,capacity,partnership interests,interest in 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 time of death,should be listed in this schedule.
Item
No.
ITEM
List and describe fully
UNIT
VALUE
ESTIMATED
MARKEl'VALUE
DEPARTMENT VALUATION
(Do not write in
this space)
Mellon National Bank,checking account
Firemans Insurance,disability
Interest on the above Series E Bonds
One-half (lJ~)interest in the Elizabeth
Novotny Estate -1/2 of $3,613.25
Series E.Bonds (eashed)
$8,213.14
200.00
10,350.00
6,011.54
1,806.62
1>f ;/13.l fI
;{oo,(ju
10i 3 S-d '()cJ
~all'~Lj
I
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)
Insert this total opposite "Personal Property",Schedule "B"in
the "As Reported"column on the last page of this return.
x X
D,I<..;j,.J.I
26,581.30 f1fj ~.~-6'/,3 0
J
r.CC-3o.,.
'].r fmf\tON'\T<:ALTH OF PENNSYLVANIA.
TIUNSFER INHERITANrs TAX
~SSIDENT DECEDENT
SCHEDULE "c"
TRA.NSFERS
(1)Did decedent,within two years of death,make any transfer of any material part of his estate,without
receiVing a valuable and adequate consideration therefor?(Answer yes or no)no
(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 heal th 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)no
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)no
(b)What was the transferee's age at time of decedent's death?__
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or 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)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)__~n~.~O~_
(9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter-
est of the beneficiary reserved in th~decedent alone or the decedent and others?
(Answer yes or no)__~n:.=..:o~_
NOTE 1:The answers to these questions should be supporter!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"coluJTn1 on the last page of this return.
RCC-37 02-63~
CO~Jl\IJJM\\'EALTH OF PENNSYYLANIA
TRAl':-/SFER-INHERITANCE TAX
RE~IDENT DECEDENT
SCHEDULE "0"
BENEFICIARIES
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFstatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
ave an interest,vested,contingent or other-are involved,set STATE YES ,IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
Irene NQv>otnv sister-in-law vp-s $::L~OO.OO
Sharon"Pa.
Joseph E.Novotnv neohew yes $~000 00Sharon"Pa.
Frank Novotnv ST'~.nn .Tov~p nephew ves $~000 00
Novotny"his wife"
Sharon"Pa.
Mary Timo friend ves $3.000.00
~t>o McKean Ave......~
-~.-....".......
John Stefko friend yes $1 000 00
Donora"Pa.
Frank T.NovotmT brothel"ves rem~.1nnpT'of'H~.d"~
(
h
Deponent further says that all the above-named beneficiaries are living at this time except below:
NAME DATE OF DEATH RESIDENCE
~IATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
Will
Administration t No.
DJ THE
Year .
(Executor-Administrator
must complete "As
Reported"column #1.)
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Deceased
Late of .
REPORT AND APPRAISAL
County of
Commonwealth of Pennsylvania
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Ot:I'"
;'...l.
Form RC C·lO &~-7LJ-/~.6 ::z..DEDUCTIONS ALLOWED IN \J..I")'-3 ~Z~...,-..,.
"OFFICE OF THE STATEMENT OF OEBTS THE SUM OF ............$.....................f ......-Dt::;;/Jiril:?::"",..REGISTER OF WILLS,.~AND DEDUCTIONS
OF',.'·lllnlt-COUNTY
AND AGENT OF THE COMMONWEALTH
Register of Wills,AgfMj J,'V'
'.,
ESTATE OF ,..•B."""otDr.M.D..L.ATE OF DoaoN
,IIOATIiOFDEATHDee....11.1910DATEOFFIL.ING APPRAISEMENT i I
i ......-I I
DATE NO,OF /NAME OF PAYEE REMARKS AMOUNT
VOUCH..1It
lact.,••01 Wl11a ~t.~.ACta ...11 'M
Oft tlftt
,
el\fV\.Datlv 11'__'..6 ~-..~eft
ttl'
Wublnaton COlm',.Reo.',84v••t1l••1\t 1.a ,M
-8'1.-.t!lt."."mA'-..Co'lftA Iflit
,
t.~M 1M...'l'.!IOVotav execu.\oft fM
JOIeDh J •.Benediot attornevB raA 10M 1M...
Dee.1.9/1'(to MN,TlllO 01 tAdv ~I~.ran.~l/1J
...-Deo.21 ..1~~ft)¥N..Mila -.101 ..1M"11'\1\
Deo.;1.11910 \Ian B..ltefko S-INt c14itAftf 'lP'li:ll 'l1Vt IN\
1)80.24.3910 OPen Sat.Dep.1t .ox In Me 11"1on Bank tc iM
»ec.~.,l 910 Safe 1>ep081t Box,l'ent .'iii 11)0J
/'
Dec.eS,J910 Mon Valley S..-a.e Authority aewan bill I't'll'Aft--,'
neo.~8,1910 Bell Telephono Compa."of PI I..telephone btl1 l'.06
1).0.31 1910 301a Steno Maintenanoe ma•1\;eo.,
'aft.~.lSn IUila.''''bnoll bel.'.1til eleamftft a.1M
Jan.r,15rn Ma17 'flmo ·.ae tax 11.ift
"an,Ir.1.1 Ma~7 TllDO us b111 llMl"tUfttl §.00
Jan,-.1,"911 Col.1»1a au au lIUl ••i""
Jan.~3.1111 John Stefko Maintenance l4aa t ..00
Jan.",4.1~n w."Pem ,ow...elect.,.o bill A..!f\
laD,:~I,1971 J)OftOl'a ,lllllber 7.[so
"&ft.123..1m tOll'tl''Newt...lec3 laOO
Ja••,2,1m '~.ndwa,aft4 SOM Stem••pl.tor-au Itove 'A F.io
Ian.~~9.1m 1\1o.101k an4 Sona PJ.Wld)ltaa 8.00
COMMONWEALTH OF PENNSYLVANIA }ss:COUNTY OF
I,HEREBY CERTIFY.THAT.TO THE BEaT OF
MY l<NOWLI!:OGE AND BELIEF,THE FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS,FUNERAL.EXPENSES AND EXPENse OP'
ACMINISTRATION SUBMITTED TO THE ESTATE OF .DECEASED,AS DEDUCTIONii FOR
INHERITANCE TAX PURPOSES.
(L.S.)
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OP'
18 __
Form RC C·lO DEDUCTIONS ALLOWED IN
'",•.4 ....'I
•OFFICE OF TME STATEMENT OF D£BTS THE SUM OF ............$.....;.;,.......REGISTER OF WILLS AND DEDUCTIONS DATE APPROVED ........OF COUNTY
AND AGENT OF THE COMMONWEALTH
,Regl,ter of Wills,Ag.~1
ESTATE OF LATE OF
DATE OF FILING APPRAISEMENT DATE OF DEATH
DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH,""
..taft..1tQ ..11ft 8el1 TeleDhone C teleDhono b111 15f~8
••b ..i ,..lilJl Colwb1&aae C 1-ltl11 ".~
I'eb..l6*1 !an Wee'Pe.P...81eet.1.'111 ,.31
-aeallMr of r1111 tUIDl trw.",,,..aooOUftt 21.00
Notan Pub!!O No."".!.~5-
~~~f~87
~~~~L?~~,riff ot7-A.......
..,........'
,
-
fotal:~,.a•.8T
COMMONWEALTH OF PENNSYLVANIA
Ba8blbl'_
COUNTY °'fftcatm ,.HoW.'"
I.HEREBY CERTIFY.THAT.TO THE BEaT OF
MY I(NOWL!:DGE AND BELIEF,TH!:FOREGOING IS A"."'TJI'.E tro~F DEBTS,FUNERAL EXPENSES AND EXPENSES OP'
ADMINISTRATION SUBMITTED TO THE ESTATE OF ---------------.DOECEASED,AS DEDUCTIONli FOR
INHERITANCE TAX PURPOSES.
-(L.5.)
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OJ"
------18 __
,'I \\\
n r.:f"('
\I,t:-'-)......
r
\.II
\
,',J.:;
..........;."
.-
RCC-Sl l6-71l
COMMONWEALTH OF .PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
FRANK T.NOVOTNY
(Executo~
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
38-127-3
In Re:Estate of JOSEPH E.NOVOTNY N.D.
__-_\tfA_S_H_IN_G_T_o_N County -File No.63-70-1232
Dearl{r.Novotny,
You are hereby notified that the__-=or::...;l=·g::>.:ln=·=a=l=---_
appraisement in the estate of JOSEPH E.NOVOTNY
has been fi led in the office of the Register of Wi lis of WASHINGTON
County on November 21 ,19 71,Said appraisement reflects the following
valuations:
Rea I Estate ------:-:-;-------:-=--~-----
Persona I P roperty 2_6~,,-,5,-,8......;1,,,:,.",,,-3_0 _
Transfers -.,-_
J 0 int Iy Owned ----:::-;----::_--::-_
Total 2~6,~5'___8'___1_=_=.30_0 _
As to such tax that is paid within three months from date of death,a five (5%)
percent discount is allowable.As to any tax that remains unpaid after 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_ov_e_mb_e_r_2_1-",--1......;9...:....71 _Signed __F_R_A_N_C_ES_LEO _
Title CHIEF APPRAISER
DATE OF DEATH:December 15,1970
Note:This is not a bill.
RCC-39 (~68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
...
Estate orN:0YOT;..-..NY__.I,,-.-._~JO::.:S:.::E:.=.P~H,--__~E=!.Ji'.'--J.:I.M.-..J.D..L.,.>--DATE OF DEATH 12-15-70
(Last Name)(First Name)(Initial)
FILE NO.63-70-1232
REPORT OF INHERITANCE TAX APPRAISER
Dated:__----'-'N""o..!..v~em"""b"'"'e"'"'r!.._.t2""1"""'l---11.....94-7...L]-
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_-Jl}'J.illA""SlJ:;HuI..llNL\.iGu.'J'..\...OmNL-_
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 itern in the last column to the right in Schedules "A","B", "C",and "E".
$~''/L ..fJJ--<-.:'().
INHERITANCE TAX APPRAISER pu-o"
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respect-
fully report that I have allowed deductions in the amounts claimed by deponent,except as to those items where a greater or
lesser amount is set forth in the last column to the right in Schedule "F",which greater or lesser amount represents the sum
allowed as a deduction.
Dated:_
REGISTER OF WILLS
VALUE AS REAPPRAISED
$-------+--
26
o
o
302681
VALUE AS REPORTED VALUE AS APPRAISED
$$-------+---2
INVENTORY
Real Property (Schedule A)
Personal Property (Schedule B)
Transfers (Schedule C)
Joint-Held Property (Schedule E)
TOTAL GROSS ASSETS
Less Debts and Deductions
(SCHEDULE F)
CLEAR VALUE OF ESTATE
Valuation of life estates or
-l=:
FOR USE OF REGISTER ONLY
Tax on $-----------l--2%Tax on $---;__6%
Tax on $-----------l--5%
Tax on $-----------l--10%
Tax on $f"'f5%'1ExemPtions========F==~Total Estate -+-__
TOTAL TAX
COMPUTATION OF TAX
$--------1---
$--------+---
$--------1---
$--------1---
$--------1---
$------_-1-_-
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death :::::::::=......J,;::t===
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%fro~_____to $------
AMOUNT OF ESTATE TAX ASSESSED $-------1L-
Estate tax paid $---'l-
BALANCE DUE $~~
Add interest at rate of 6%from t=
------lto-----$--------1
TOTAL TAX BALANCE $------l
PAID $-1
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 t...No.AdminIstration
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
.J.O$EPH }IOV()T,t'r,{.,~.D.
Deceased
Late of .....DONQAA ..
County of .WASHINGTON
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
J
,
Form RCC-2
.,-
DEPARTMENT OF REVENUE
BUltEAU OF COUNTY COLLECTIONS.""HARRISBURG.PENNA.17127
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ..~9.Y~~.~F ?~!~.??.~.
COUNTY Washingt.on .
FILE NO..~.?::.7.9.:;:+..?2.?.
Whereas,JO'$.~P.,ij Ji;.L..N.Q.Y.Q.';r.~M:.~.P..~late of p.9..~9.~.
in the County of WA§,ijJ.NGTQ.N Commonwealth of Pennsylvania,having died on
the 15t.h day of p..~.g.~.m:l~.E:l:r.:19.79.,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,F.RA.,Nc..E$J,J)!Q ,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 Ufe 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.
Description of Asset
PERSONAL:
SEE COpy OF SCHEDULE "B"ATTACHED TO APPRAISElllENT
Unit
Values
$
AppraisementMadeforInheritance
Tax Purposes
26,581 30
i--------------------------------------+-----H--·-----+--
...........................k.J..........~......(..Numlpber anodffi'fts.~t)r.e..e..t..).lPort om"e),Penna.
...................WA$IflliQ'r'QN Coutlty
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
.JOSEPH E N'OVOTNY 1-f.•D ..
Deceased.
Late of
...DONORA .
Date of Death,1~~.l5~7.Q ..
Appraiseme/!t Docket Vol.,J.?..
Page,1~.7~.3 No..q.3.~7.~.+~.3.?.
Filed in Register's Office,~<?y..·~19 7.J.:..
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appra-isement,..
Appeal f1'om Appraisement,.
Entered and charged,.
/
•
RCC-43 (5-65)
,j
Pennsylvania Department of Revenue
Bureau of County Collections
26,S.4th Street
Harrisburg,Pennsylvania
Dear Sir:
Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961
we herewith submit the following report:'
NAME OF REPORTING
FINANCIAL INSTITUTION MeUoa Natlonal8an1c "frwtt Co,•.Donora Ottlce
ADDRESS SOl MCKeen Avenue.,Donora,,P4.',1$033
ACCOUNT NO,OF JOINT,
TRUST OR INVESTMENT DEPOSIT Ole.ft,~g36 Sa".1207-28.2703-01
NAMES ON ACCOUNTORINVESTMENT mtll_ttl NovotnT or Joa~h E.Novotq
DECEASED JOINT DEPOSITOR,)
TRUSTEE OR INVESTOR Ellaabeth ttovotny
ADDRESS ~~~~968~~,~Ko-=I~e-=an~~A:-~=-8D='--'~\l~e~-,L~D-o~no~~J:'8-"'-'L-P~',-a!!.-.!....;.-1~-SO~·-,!.!3-32..~~r/t~-r-lr_/
DATE OF DEATH Jt.u:le 11,191.0SURVIVINGDEPOS:7.IT:::O::R:-,----~::---.:-.:.:..-_---------
BENEFICIARY OR INVESTOR __JO_SGP....,:·::-h_B..;.;:.•_1..;.;:0\'0:...;...:;:,.;'tB7:::::i'.1'_
ADDRESS 96__8_,IfcI_....,e_an-.:-.:A-.:~..:.enu:::·=G:!.,...:D:.:o::no:.:~:.::a?..,..:.P..::a~..-=l~SO:::'~)~_
RELATIONSHIP TO DECEDENT~Son _
DATE DEPOSIT OR INVESTMENT
WAS ESTABLISHED Ok.6·u-66
BALANCE,INCLUDING INTEREST
DUE,AT DATE OF DEATH $_0.....;1£....-...:.•..::...lS,~3:::.90::.:.:..:.71=-.:...,_.=:8av~.-:!'L3I1J.!i!!QOO!i:!!i''!a!.OOliaL·_
qgc:--£1-~~
Signature TITLE
---------------------------------------.,....-------------,1J
IN THE ORPHANS'cOURfflffiieF"WASf;'iiINGTON COUNTY,PENNA.
In the matter of :uhe Audit of Account filed in the Estate of
38-127-3 _Docket
I oZ.-/0--2-0
I
of )97.uO__----'-__Term,19__•A.A.
\Date of death
(No·-l232I
Deee,,,d )
Novotny,Joseph E.,M.D.
TO THE AUDITING JUDGE:
Enter my !appearance for the CommonweaJ'th of PennsylViama,claiming tJ:1ansfer inheritance tax in the above estate,as follows:
DR.
To appraised Vlalue of Estate:ReaLty....__._....__.......:$~_
Personalty m.m __•m_....m $--1...-6.J'"~/,.3 0 ..,
Additioll!al Assets per Account,Subject 'to Tax ......--$_
--------------
$-----_.._-------
$
$--------
$-------
$-------
$-------
$--------
I
)
GROSS VALUE .----------------..$
Add~tional Debts and Expenses per Audit
CR.
Debts and Expenses per Account;see Note
Additiona,l Assets per Audit,Subject to Tax ..__......$_------:-__~___;;;;~--_=------
,4~~/,)~,
j"3 ~1,,~1
7
TOTAL DEDUCTIONS.$
NOTE:The foI:lowing credits claimed in the Account are
held not deductible 00 against the tax:CALCULATION
Gross V:ooue _
Less Deductions -=_
Clear Value m_______________;"1z.,s \,.;/Y_3_J _
Tax-!
able
at
2%x
$---------
-(
~/~s.';1'ctJJ~~---
--@\-----
I $--j-dla--I ~
Total Tax -----....---------..------------------------.---------$-m~_()_/,
Less amount previously pa1id ..$_z..'-1#/__tJ-O
Balance ---------------__.....__...--.....-----.......__$_J!L'i O..J-!
Interest__yrs.__mos days @ __%$
TOTAL TAX AND INTEREST DUE ../$
$-------
$-------
$---
$
TAX PAID ON ACCOUNT
2L"~f"$c:l rOO,0 (',)
.JI
~
00s:"Ils::ll0»z III:E 0
III "Il
t
»IIII ~-f "11:I "11 0
0 0 :ll ~"11 ;ll »
'"
"Il "IlIII"Il ~Z III ~Z »UI ;ll ~0(»I Z<0»III
...
Z
CP
);i I
Il>>~Q.tao-
toO "__......._.,...-__.__-........._'_-:---""......--'-'....-----....------'---'.----'-ooJ·....-------------_..-ioooo __-_-_-_'_-_"'_.........._.....-......'1
I (
I I
I r
J ~tJ"'~'-/7.'.,..,/!'~Washington,Pa.,~t.::J'G",19 flPl7 :
'i N42 13868 OFFICE OF [\r~CLERK OF ORPHANS'COURT DIVISION }
:RUSSELL MARINO,Cler of Orphans'Court Division ~
1 Received of ~~,tJI
I £6'~(/L!{L P [i ~~c.~i
1 ~~",~..J2.--'~~~Dollars i
i '0'{L,2d:~~J-7tJ~/p<J.:u i
I ,/J i
:County •••••$..39',tJ-t!J lc&.~~~!
l ...$Clerk of Orphans'Court ~
I ~~L:~~
:Total ••••••$Jf a-rJ Per ~
I I
I (
:~2 :
I r.... -."__'Y__~-_~9
",:',I&3-7cJ~/:if/i-"j\~:'Ailltntratnr ';.i\ffi~autt ®f iExrtlttnr ®r'
~tnte of 'etttmyluattin.~5S:,:~
<!LoUttty of JUu!i4ittgtott \.'i
P all hef h d . d th"Notary Public,.'d'f ''dersonyoreme,t e un erslgne au orlty,a."~rn an or Sal
County and State,appeared F..r.?-.DK..~.~N.QY..Q.t.D1L ~:who,beirg duly
sworn according to law,deposes and says that he is the executor or administrator of the estate of
....!I.9..;:?.~.p..~~.~N.Q~(2~ny.!.~.~p...~"~deceased,,that the foregoing schedules constitute a '
complete inventory and appraisement ofthe real and personal estate of.....J..Q.§.§.P.h...E.r....;NQ.y..Q:tDJ/:......Mr D.
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
he 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 A~~inistrator.''./,.',
day~'o~..~~.~a.;;1.~~~~:~:.~bea.:b~;;1.!.:this.1.L._._l.kd,..T5h~~~~...~-...
,';:;..'Executor-~,
ARION E.COLE:.t~~(..iio;~·\Y~c···..· .';,
MMonongahela.~'as.hin9,!0n.Co."pa.,ADDITIONAL INSTRUCTIONS :'t
M~~;;;~°tJ~~~t~'ry must be filed within three months after appointment of personal representative..
2.•A supplemental inventory must be filed within thirty days ofdiscovery 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
I
3Juurutnry anIt 1'\ppraiErmrut of the goods and chattels,rights and credits which
were of '.J..Q§.~.p.h E N.QY..Q.t.ny,late of p..9.P.:9..r.§._.......................'
Washington County,Pa.,taken andn;ade in conformity with the above affidavit.
DOLLARS
Interest on the above Series E.Bonds
CENTS
Ii"I!
111.1ElizabethNovotnyEstate'
or $3,613.25 or ji,I{1
(cashed)
•••,,>r••.••.
"::.-;-~._.:.:..-.
PERSONAL1'Y
:::"'-.'."
Mellon National Bank,checking account
one-hair (1/2)interest in the
1/2
Firemans Insurance,disability
Series E Bonds
TOTAL INVENTORY:
.~ef)4rt-)0 .-J :::L
-.ic:::-.(J
;:.::l~~..."_.-..i-:t:."_.'J Ci..
;-
J..::-0 :::.:
t)J)
~~-tf)--L.).,r.if)
C-J --UJ <!0::r::3=
r-...
COPY:OF.INVENTORY'
Nota17Ptll>110'
,mnk ".Hcwotn,.
JOleph E.Novotn,
,M.J).
11
".,:.I
".~{..
..~,
Joe.Ph·I.HovotOJ"
,••!),
'.
r
lnurutnrg~anb ~_pprat!lfmttttof the goods and'chattels,>rights and credits which wereJo'Depn E.HOVotiur .Donora .
of ::;.=;late ?f ;::.
Washington County,Pa.,taken and made in conformity.with the.above affidfroit.
DOLLARS CENTS
.......,"
',f 8,21.3•.14
·200.00
Mellon National Bank"checklt1&acoount.
P1J'euans In8Ul'anoe_d~sabl11tv
Ser1eaBBon4s
(caShed). . .Inte".'on 'he above Benes B.Bo,ndl
'one-halt (1/2)interest in the.!lb:abetb Ncvotll7 Eatat.
.1/20t .3,613.2;'01'..:
10,350.00
6,011.54 .
..
$26.581.30
"
'.
'.
.f'.,f'
....'"
.'.-..
"ot:,~prank.T.::Novotn,...,
Plt,j,'deeeased...of
,...i'~;t _,,_...,h
,
.~/f;~_)-.10.,""'~,..
,le
"·.l~
'J!.
"
"
(:'-
.~~'"f.~~I
t',.,..
,~,--l
,:.~~
,.;':;.-
''lhe,Ilnt'an4:"PtnalAooount....'-"',,~
:l'
.,,~
',.of';~.
--~"
'li'"
.,
.".;
"
".
..~.-
•":"1
."","
,,'
';.~""10~!,
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"
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...,;-;:~
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"
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..'.,,,!....f".;
'fl'~...~..~~.'
1",....
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....n-
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.,....;I "
:'#\8 p~r trivent~ri:Ftlecl'~"/"'0 ~.'.....~"
'.~
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.....
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:1 "
".
"
"
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....."
'.
",,;!)
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\"...10......
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,.-
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"
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I.',
,,
..'.....
,,''.<
, I
(.,'-,•,.~'.'I ~(
.0,
0"!
"
J_'J-'
j'~,,.,
.....~'5'288 'S1';
f!.•"'-0",.\--,
"l>,-...:,
~1':1'....
':l'
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"
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TOTAL,.tANOE DUE'~""
TOTAL A~SETS·'OF EsTATE
•_~<I:
:~1,•~,'r""...,~~,t-,•~.'roTAL ..Ar.tbthfr >OF'CREIlI'l'S,
......,
~'..
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QOMMONWEALTHOF PENNSYL.VANIA
DEPARTMENT OF REVENUE
~O.A12~196?FFICI.~L RECEIPT •PENNSYLVANIA INHERITANCE AND ESTATE TAX
RCC~4 (8-68)
II"::;q;dlf".....@1$,W1M"5 W.......e@1...*Wi eM...W4M....»U \.$'4 .......,.$$......,.'ttt1..e#4#em .......$;'WII J
RECEIVED TWO.THOUSAND TWO HUNDRED EIGHTY and
Frank T.Novotny -Excr.
From:Atty.Joseph J.Benedict
00/100 ---------------------dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
Address 253 W.Main Street 2 %Tax on $$lrill
Washington,Pennsylvania 15301 6%Tax on $$1111
File No.63-70-1232 Dote of Death 12-15-70 15%Tax on $On Account $2 ,400 •00 III
$U
Date of Payment February 26,1971,--.I..
Name of Decedent JOSEPH E.NOVOTNY ,M.D.
%Tax on $$!!l:I1
Estate Tax,Act of
May 7,1927
County WASHINGTON I
Remarks:
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
__%from _
to _
$2,400.00
$120.00 IRI
$~
®00 ~illJ ~[K]&\[L SEA L TOTAL AMOUNT PAID $2 ,280.00 I~I
38-127-3
NOTE:To be delivered to taxpayer
Received b,....,I ~!Ad'e){A""".o U ~!l:'A.Jl!"P Ifill
NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the'b~~W
tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth 5 II
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of he~~~J-=-lL~IIlI
life tenant or tenant for,yE;!ars whenever it appears that such additional tox may be legally due an -- .
collectible for any reason whatsoever.