HomeMy WebLinkAboutOC1970-1241 - ESTATE OF SEVEROVIC--~..._-----_._-------------------------------~---,
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KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid
on the 29th.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
Eli Severovic
late of Chartiers Township in the County aforesaid,deceased,
Lillian Rose Moskal
(a true copy whereof is to these presents annexed),was duly admitted to probate;and
rix
the ExecutmK in said Will and Testament named,having appe;red before me and taken and subscribed
the oath of office pr,escribed by law;
NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do
grant these LETTERS TESTAMENTARY,unto the said
Lillian Rose Moskal
committing unto Her the administration of all and singular the goods and
chattels,rights and credits,which were of said deceased,and requiring Her
to exhibit a true and perfect inventory th~!eof 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 and comply with the provisions of the laws of this
Commonwealth relating to inheritance taxes.
IN ~ESTIMONYWHEREOF,.J have hereunto set my hand and the'seal of said
Office at Washington,this
~..._~...29th.
day of .....-....""',------
nine hundred and
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s.eventy
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Register
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Form No.15 (1960);~a
Will
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Washington County Bar Association
Washington,Penna.
I,ELI S..EY.E.RO.ilIC.,w.idQYle.r ___..__ _ __.;...__.__,
of J:iha.r..t.1.e.r.s.T.QYf.ns.hi;p.,.Yla.s.b.ing.t.o.n Q.ount¥-r··P.enns.y.1:v.a.nia _~.____._.,
being of sound mind and memory and understanding,do hereby make,publish and declare this to
be my Last Will and Testament,in manner and farm following,hereby revoking any will or wills
heretofore made by me.
First.I direct that all expenses attributable to my last illness and funeral be fully paid and
satisfied,as soon as conveniently may be,after my decease.
Second.I direct that my real estate be sold as soon as convenient
after my death,and that $1,000 from the proceeds thereof,be distributed
to my beloved daughter,Lillian Rose Moskal.In the event of the sale
thereof by,me prior to my death,then in such event I give and bequeath
unto my beloved daughter,'Lillian,the sum of $1,000 as her legacy.
In the event of Lillian's death prior to mine,her share shall vest
in her issue.·
Third.I give,devise and bequeath the balance of my estate,real,
personal and mixed,to my two (2)beloved grandchildren,namely,
Lorraine Marie Moskal and Thomas Moskal,share and share alike~
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I do hereby make,constitute and appoint Lillian Rose Moskal
to be my execut rix of this my Last Will and Testament and the Testamentary
Guardian of any minor distributees duriz:1g their respective minorities.
IN WITNESS WHEREOF,1 ELI SEVEROVIC,widower,the Testat or
above nam~~e~ereunto subscribed my name and affixed my seal,the j IA/f'.
.day of :~:~r in the year of our Lord one thousand nine hundred and sixty-
three (1963)..~..Jl ...
._ _ _.._.,._:.~~_(SEAL)
Eli Severovic
Signed,sealed,published and declared by the above named Eli Severovic,
,as and for his Last Will and Testament
in the presence of us,who have hereunto subscribed our names at his request as witnesses
thereunto,in the presence of said testat or ,and of each other.
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Affibuuit (@f 1fxrrutnr (@r A~mitti!ltrutnr
@Itatr of 'rttttayluattia.t'ss:
Q!,OUttty of lIaa~ittgtott\
Personally before me,the undersigned authority,a N9..t..g~.Y.F..y;Qlj,~.in and for said
County and State,appeared :tlj,JJ.j,.~D RQ.§~MQ§.~.~.:J.:~who,being duly
sworn according'to law,deposes and says that Sle is the exef'tnirKor administrator of the estate of
ELI SE:v.ERO.m:.C :deceased,that the foregoing schedules constitute a
complete inventory and appraisement of the real and personal estate of..E.L.I SEVERQ.Y.I.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 Adm~;tor.
,day o~=~~.;.~.n...~..::~..~~be~.~::;~iL~::{2,·····y l~..~~.~L!!:'~~:""')ExeCf~·......·.......·..~G:e ..i·..00:'".'..Not~·~..P~b~~~~;~·~~~·~..·INSTRUCTIONS ).I
'.fl"tanonsburg.shmg.ton Co.•.Pa.....1"1.An mwpt~f;)TIfm.~~~e~I~KJ~three months 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 arid 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
lJuurutnry null .Apprnispmrut of the 'goods and chattels,rights and credits which
were of .ELI S.E.Y.ERQ.Y.:IC late of gn.~;f.t.}..~.~§~9.~.§h!.P...
Washington County,Pa.,taken and made in conformity with,the abov'e'fffidavit.
REAL PROPERTY
ALL those two certain lots of ground situate in Meadowlands
Cha~tiers ~ownship,Washington County,Pennsylvania known
and designated as Lots Nos.175 &176 in the Hallam Plan,
of record in plan Book Vol.4,pages 98 &99,Washington
County Records,and being more particularly bounded and
described as follows:fronting 60 feet on the southeaster-
ly side of Hallam Street and extending back of uniform
width,a distance of 150 feet to a 20 foot alley;bounded
on the northeastern side by Lot No.177 and on the south-
western side by Lot No.174 in the aforesaid plan.
DOLLARS CENTS
HAVING erected thereon a dwelling known as 178 Hallam Ave.,
Meadowlands,Pennsylvania.
For Title Chain see Deed Book Vol.382,page 413.Apprais-
ed by J.C.McCleery,Realtor,on June 24,1971 for
$7,000.00 Sale Price ~9,800 00
PERSONAL PROPERTY
Savings Account No.88 at Slovenian Savings and Loan AssO-
ciation,Strabane,Pennsylvania,balance as of December 14,
1970.
Death Benefit from Croatian Lodge
Furniture (30 yrs.and older)mostly given away
179 37
850 00
200 00
TOTAL Ll,029 37
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The First and Final Account of Lillian Rose Moskal~;!~~
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Executrix of the Estate of Eli Severovic,deceased,late of
,
ChartiersTownship,Washington County,Penn.sylvania.
"The Accountant is charged as follows:
Inventory and Appraisement .$11,029.37,
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Total Assets of Estate I $11,Q29.3l.
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'C Total amount of credits claimed by account t."1,825.15•$
Balance for Distribution $9,204.22 I
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The Accountant claims the following credits out of the
assets of the estate,to-wit:-
Name of Payee Remarks ,Amount
Russ,e11 Marino
Evelyn Te1esko
George J.Modrak
'Speakman Funeral Home
Columbia Gas of Pa.
west Penn Power Company
Columbia Gas of Pa.
citizens Water Company
Columbia Gas of Pa.
West Penn Power Company
Columbia Gas of Pa.
Malcolm L.Morgan
Citizens water Company
Mrs.Ann?l Howcroft
The Washington Hospital
Columbia Gas of Pa.
Whylers'Memorial
'J.C.McCleery,Realtor
Columbia Gas of Pa.
Columbia Gas of Pa.
Citizens Water Company
West Penn Power Company
Bell of Pennsylvania
Citizens Water Company
Columbia Gas of Pa.
Oak Spring Cemetery
Mrs.Anna Howcroft
George J.Modrak
Russell Marino
George J.Modrak
Letters -..
Probate Witness
Retainer
Balance of Funeral
Gas Bill
Electric Bill
Gas Bill
Water Bill
Gas Bill
Electric Bill
Gas Bill
1971 County Tax
Water Bill
1971 Rd.,Water,&Lt.
Taxes
Hospital Bill
Gas Bill
Marker
Appraisal
Gas Bill
Gas Bill
Water Bill
Electric Bill
Telephone Bill
Wa,ter Bill
Gas Bill
Marker Foundation
Balance of 1971 Taxes
R.E.Agreement,Deed
and Closing
Balance on Letter,In-
ventory and Account
Commission
$10.50
5.00
50.00
563.00
19.66
4.11
.19.82
6.94
15.65
2.13
13.48
25.82
7.00
,18.59
23.68
6.41
172.00
50.00
6.28
5.84
7.10
10.29
2.45
7.44
4.32
28.80
91.15
65.00
31.00
551.46
TOTAL ------------------------------------------
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,$1,825.15
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Observer -Reporter
WASHINGTON,PENNSYLVANIA
PROOF OF PUBLICATION
,"b,~o,:,m.Li,~.;t:~t~971
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\--:AS,l Ir~\.~.}'·,\;:·~~~'~:':l eeL a~
':V ClJ:•.:..ISSIOil EXPIRES ;.iAV b,197;;
In comJ>liance with the Newspaper Advertising Act of 16 May,1929,P.L.1784,as amended.
Commonwealth of Pennsylvania,County of Washington,SS:.
Personally appear·ed before me,a Notary Public in and for said County
and State,Ri.c.b..~..r.g s..~C~ny.~n.,who being duly s,worn
according to law,deposes and says that he is the V.i..~.~.:~:.:P...r.~.~..ig.~J;Lt.
of the Observer PUblishing Company,a f'1ennsylvania corporation,and its
agent in this behalf;that the said Com.pany is,the owner and publisher of
the Observer-Reporter,succ'essor to The Washington Observer,established
Septembe'r 18,1871,and The Washington Reporter,established August 15,
1808,a daily news'pap'e,r of general cir'culation,printed and published and
haVing its place of business at Washington,Washington County,Pennsyl-
vania,where it or its predecessors have been established and published
continuousIy for more than six months prior to the pUblication of the notice
hereto attached;that the printed notice or advertisement hereto attached
is a ·copy of an official advertisement,official notice,legal notice or legal
advertis·ement,exactly as printed or published in the Obi::1erver-Re'porter in
its regular editions on the follOWing date or dates;
···J.anu.a.r.y l.3..,.2.Q and.27..,19.7.1 ..
that neithe'r th!e affiant nor the Observer PUblishing Company is interested
in the subject matter of s·aid notice or advertising and that all of the alle,ga-~~"f,~;lhi'affidavit ~to th,tim'Ei.:;h26L:,oatiO'
Sworn to and
'-1"'"EXECUTRIX.*OTICE .Estateci~ELI;SEyERO.YIC .c:Ie-
ceased'11ate '.o~Chartle"'t'l'ac''town·.ship"",vtashington,County,'Penna.Letters Testamentar;y ..upon",.the"Ijiove estate haVing been it'.'.",\--to'the undersigned,notice isbygh'en,to thoseindebt·ecl.thtom'like',immediate pliynlellt,tothose~having ·claim50~';'.Q"to P'filTtintfttnem for'se_\tl~'i'j1e;-.~/LILLIAN .ROSEMO$
I .ExtrX;.,.;
Box 294
Meadowlands,Pa.15347GEORGEJ.MODRAK 'IAttorney
22 N.Central Avenue
Canonsburg,Pa.15:117 .~'f
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STATE OF PENNSYLVANIA,
WASHINGTON COUNTY,}55:
The within named Accountant being~sworn according to law,depose and say that the above account
as stated is true and correct as.-----.------------_.____.verily believeS
,""",S~orn and 5Mbscribed b f ...,J J1--f;:e ore me thIS .JIP.W-
day of .~.__.~/ij1/J/..._...._~-i'"
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stomm J.if."AK,Nii{lIYV f\i~
Canonsburg,l\s\1ington Coo,Pa,
My Commission Expires May 14,1972
Washington County,ss:
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I do certify that I have given legal notice to all persons
concerned of the filing of !the within account in the manner
prescribed by Statu!te and Rule of Court,as evidence by proofs
thereof filed to No....io.3.~·Jl~.~BS-.-----..-..
Witness my hand and official seal thiS.._/;6.~....---.._
day of .~-.-,--..--..-----.--------1/11..-
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Cf Register of Wills
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••••• • • • ••• • • • • • •
Estate Notices
The Register of WiilIs 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
having claims or demands to present
them for settlement to the Executors orAdministratorsortheirAttorneys.
'-'SEVEROVIC.~ELI.--D-~~'d:-~"..-
j Late of Chartiers Township,Wash-ington County,Penna.
Executrix:Lillian Rose Moskal,Box
'I'294,Meadowlands,Pa.15347Attorney:George J.Modrak,ll2 N.I'Central Avenue,Canonsburg,Pa.,L 15~17~~._._~-~~_~J
..
Washington,Pennsylvania
Washington County Reports
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r~~~3;Y r'J~:L:.~i.::;H'";Ltl~,'"~;;(~J:l CO..
My Coml~l;s.:;:on Ex~j:-es Ju:y 1.:974
(PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION)
........J.:f!!!H·f.l:.f·y.·!.1·?J ?§.J J.2.?.1 ..
PROOF OF PUBLICATION
In compliance with tJhe Newspaper Advertising Act of May 16,1929,P.L.1784 Sec.3,paragraphs (3)and (25).
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 officiail legal periodical for said Washington County,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 31,1920,and was designatedastheofficiallegalpublicationforWashingtonCounty,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 initsregularissuesonthefollowingdates:
that the affiant or the corporation in behalf of which he is acting is notinterestedinthesubjectmatterofsaidnoticeoradvevtisingandthatallofthe
allegations of this affidavit as to th~e'~'ace and characte(!?e P~blI:)'a .u~~Jd -/;;'VLt&._~V>c--I c-....................rr.~=1....II ----j -~.o!,';f':::-::---Sworn to and subscribed before e..this."_____ "._."'l
......?§.!.~day of ~~::.~.~~I ,19 ?~.:~-~f!~0"
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In the matter ofthe Audit .of Account in
Estate oL EL.I S.EVE.RQVI.C ,__
TO THE AUDITING JUDGE:
I.N •.,..•..2J_=7Q=),_~_4_L ._._m",~
Enter.__..-------.--my...--.----------------------appearance:for__..A_c.CQ.UU.t.ant.__.._____._.__..._..__.__..__..
:--~--~f~
..__..__._day oL _..De.cemb.e.r..____..__..__.____.,19__.7.1
N.B.-Counsel shall,.by :separa:te pa;per,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 paiper.Counsel suggesting proper distribution shall file
a separate concise statement in that regard.
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972 FEB??AN II 08
nu~:,S:'L l.""HiNO
nEG/5TEH elF WILLS
WASHINGTON CO..PA.
63-70-1241 ~No __...............•
,In re Audit of Account ill!Estate of
.......................E.LI S.E..Y.E.RQ.Y.J..C._
AUDIT
'rarripr fnr .2\ppraranrr
FOR
................................A:G.G.Q.~.r.~~.~..
.......G.~.9..~.9.~;r...!M:9.9.:r;.9.::1s ..
Attorney
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--~'---"~--._------------------------------------~
PETITION ·SUR AUDIT
IN THE ORPHANS'COURT OF WASHINGTON COUNTY
Testate Form j
Estate of ~~.I...s.~y.~m,QVl.~.No §}::1.9.::l-.~4J .
Deceased
Fiduciary Li.ll..ig.n..RQ~.~..MQ.s.kg.l .
Executrix--_-__--------__---__-..-__._---..---_..___---.----_..
Date of Date of
Decedent's death p..~~.e.l]g.~X'1..ll 19.'ZO Grant of Letters p..~~.~ro:b..~;r;2.9.-I-..J.9.7.Q .
This is the f.J.;:~.!:~~~..X.~~.~~account filed in this estate
If there have been former accounts filed in this estate,list file number or number and term :":'::".:":'::".:":':":'.":'::":':::.
Election to take NONE Date Election Place of;
Under or Against will.(cross out one)Filed :::::::::.":".:::':".::::-Record .,:::':".::::-.:::::::.
Name af surviving spouse_:~~m n=_mnm__0000_nnnnmnmoo_000000 nm0000 00 00__00_00 0000 __00_00 00__00 00__00 00.
List issue,whe~e_material:.~~.
Ftuc,iary,if deceased or not sui juris
\ J
Interest
See WillDaughter
Relationship
Did decedent marry after execution of ,will?(indicate)DX"N;>.~."'"c1'i1 dren born a _execution of will?l (indicate)
~If answer yes,name them .':::":'.7.::::".:":':":'.:":':":'.":'::":'.":'::":'::"••·::-.7.•.J~.e.l}n.~tb...M9.§kg..r,...:.bQ.~n .A.!J,g1J..$.t l.,.
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.J~~.4.{..t9.~.C;.@~@~J.~.~..~~.~J ~~.E?~~t~.~..~~y ~J/.+.3),.:r ::.J ,:.,..:.
Lillian Rose Moskal
'----.Leg.atees
Grandson
Lorraine Marie Moskal
Thomas Moskal
Granddaughter(~9~See Will
/(17)See Will -------------
List,if exceptions to,above:Adeemed:Revoked:Lapsed:Abated:Give Cause:
If partial intestacy,give facts:
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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.X:KK
If any exception give cause::::::::-.:":':":'.7.:":'.':".:":'::-.":':::-:::•••••••
File copy of Notice
and date of mailing NQ.y~.mp..eh ;Z.4.1 l9.7.l :~,.
~......---------------------
Is estate subject to the filing of a Federal Estate Tax Retum?NQ .
Actual payment made on Pennsylvania Transfer Inheritance Tax,Amount $ ;.NQ~J~;.
,'....,...;....-'--',',. ,NONEIftheWillmakesanyportionofestatesubjecttoalife-estate,give name and birth date of life tenant...o'-•••••••••••••••••
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.
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:
A..
NONE
Balance for distribution per account,
Itemize any additiondl debits not shown by account:
Total additional debits (Add)
Itemize any additional credits not shown by account:
Total additional credits (Subtract)
Balance for distribution
$.
$.
$9.4 .2Q.4 2.2 .
$~.!..?Q1.:.~.?_.
If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value);
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)OrrlCE PHONE:745-7410
RE-SIDENCE:745-3741
GEORGE J.MODRAK
ATTORNEY AT LAW
22 NORTH CENTRAL AVENUE
CANONSBURG,PA.
15317
February 18,1972
HQnorable P ._v....Mar.in9.
Judge 0 f O.C.
Washington Court House
Washington,Pennsylvania 15301
Re:ESTATE OF ELI SEVEROVIC
63-70-1241
Honorable Judge Marino:
In the Petition Sur Audit filed in the above estate,the
name of Kenneth Moskal was stated as a child born after
the Execution of the Will.This is incorrect.On the
contrary,Kenneth Moskal is a grandson of Eli Severovic,
being a son of Lillian Rose M~skal,the daughter of the
decedent.
--------"------
Re2rctfUllY ~
~.Q/
George J.~odrak
GJM/vab
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Deceased
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Fiduciary._.._LI..LkIAN..RQS.E...~Q.sKAr,,~.__..
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Exec.u.t.I:ix.._:._..:_ ___.,
PETITION SUR AUDIT
FROM WHERE DECEDENT LEFT A WILL
Counsel of Fiduciary.will submit herewith the
following,in c6nformity with Court Rules
adopted effective December 3,1951,being
rule No.'9:pa rag ra ph b-c;and divisions
Y:ereof:shown on pages 23-24..
1.Written praecipes of all Counsel in the
case.
2.Copy of order O'ppointing Guardian ad
litem,if pertinent,
3.Copy of Order appointing Trustee ad
litem,if pertinent.
~.Proof of service of above.
II'5.Letters Testamen~tary or Administration
C.T.A.or an ahest copy of Will.
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~.ssbjectthereto.!11 .f4tJ'H '.'()'f QQ.!.t ~'r-
..~
-_..___:..~__----_._------.----._-----_.
Attorney
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~"1")r(:'n 1(-~l~II nOII..r ,--,.h,I •U 0
HUSSELL :Vi.AnINO
REGiSTEf~OF WILLS'
WASHiNGTCIN CO .•PA.
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If Family Exemption claimed by Petition,give place of Record:~."':".~:,:,.~~=,",~."",,.,.•••••..••••.••.•••••••••••.•••..••••••._•..••••••••
If Family Exemption is claimed at audit,give name,relationship and basis for Claim:..,..!.~.:::":'::-:::::".:::::::':':::-:::.
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:
Lillian Rose Moskal $1,000.00
Lillian Rose Mo~kal,testimentary guardian of Lorraine Marie Moskal and
Thomas Moskal,balance of estate
...
COUNTY OF WASHINGTON,SS:
COMMONWEALTH OF PENNSYLVANIA.
The above named Fiduciary or representative thereof,
being duly sWQ.r.n doth depose and say
that the facts set forth in the foregoing petition are true
to the best of her knowledge and belief.
And your petitioner will ever pray,etc.
.Sw.m;n...tT~J-··················~....-..to and subscribed before
me thIs '!>tJ1Iv d.._ay of cember .
Signature of Officer---::~--\L-:;..;-n·~·~·······\1;·~1?iif9
..7.1 ..,.'!:-..~~...~...4-O~J/1 l /J____,__./%u.£~~Ros -7.Z~_~_
TitIe of Off GEO'''-J.MOD"-----------------e Meskal --------------------------------
Icer......,,"_. ,.~,ary Publ,'c'··-e···~·"':'}~f W '.My ~~~..-:~;.~~~::H'rr'Co:;i'a:···················.OffICe expires ._.__~~.~~.~.:r'i'"••y 14.197?.-----••••-••••--.------------------------------.-.-----•••---.-
..................................................~.
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.,
.IN -THE CQQRT qF'COMMO~PLEAS OF WASHINGTON GOUNTY,PENN .
,,.:'c'''ORPHANS 1 eOURT DNISION',:,"
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IN RE:.,.(
,~J"),(I.
Estate of ..C'-.)No.1241 of 1970\1 .
e ELI SEVEROVIC ,(
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Deceased.(
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~':eEFORE:',
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Cl,Z •i.0'
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..=APPEARANCES:
!:!It:I-Ul','0
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HEARING ON AUDI'r
-,Tqe Honorable P.VINCENT-MARINO,Judg:e of the
said Court.
.GEORGE J.MODRAK,Esquir.e,of Canonsburg,Pa.,
representing the Accountant.
"
Tuesday,December 14,1971,-at 10:00 A.'M.,EST
.<>attorney is George J.Modrak.Mr.lV1odrak?
.tr the Court please,-all the de~ts in this esta e
:~".~NU.mbe"r 1~41··,_of ~1970"the estate of Eii
There are no problems for 'adjudication'by the Cou t.
....'~~~..'..Sever~vic,'deceased.'l:he Exe~utrix is Lillian Rose Moskal and the'
have b~en paid.
lVlR.MODRAK:
"~THE COURT:
IaII-It:oD.IaI
It:
I-It::Joo
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Uii:...o
,And I have here all the nece,ssary papers.
THE COURT:Is there anyone else,in Cou,rt int.ereste~in
this decedent's estate?
( NO ~ESPONSE)~.
THE,COURT:The audit of this account is ordered closed b
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Qtnunty.
ESTATE OF
Qtnurt nf Qtnmmnn JUrus nf mus4inglnn
Jrnusyluuniu.(@rp4nns'Qtnurt ltiuiainn
63-70-1241No._
J
Eli Severovic
deceased
First and FinaIInthematterofthc..e _
Account of LilJ ian Rose Moskel
Executrix
ADJUDICATION AND DECREE
And now February If ,19~,this matter came on for hearing,
audit and distribution at this session and testimony taken;and thereupon,upon due consideration
thereof the ~'Uance for distribution in ·the hands of the Accountant is determined to be
$9,20 .22 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 hereta be filed
sec.reg.or an appeal be taken herefrom sec.leg.
SCHEDULE OF DISTRIBUTION
Balance per account --'-_----.,.------$9.204,22
;,
8alance _
Deduct Clerk's Costs &Receipt~s _
Attorney George J.Modrak
Russell Marino,Agent,transfer inheritance
tax,
Lillian Rose Moskal,daughter,legacy,
26.00
563.00
1000.00
Lillian Rose !-1oskal,Testamentary guardian
for Lorraine Marie Moskal,granddaughter,1/2
residue,cash,3807.61
Lillian Rose Moskal,Testamentary guardian for
Thomas Moskal,grandson,a minor,1/2 residue,
c.ash,13807.61
No balance
'-
No._
In the matter of the
Account of
~
of Estoteof
Alljullitatinu nub ittrtt
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~172 FEB ??fm I\on
FW ~,:,f:~:''...;{\!'l 0
[~EG\STE?0F WILLS
Vi ASH IIF;TON CO ..PA·.
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RCC-134 (\-69)
COMMONWEALTH OF PENNSYLVANIA
D{!PARTMENT OF REVENUE
Bl1'REAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF INHERITANCE TAX
APPRAI~Etv\ENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
MEADOWLANDS !PENNSYLVANIA,15347
TO:MRS.LILLINN R.MOSKEL
BOX 294
Date:January 5,1971
County Washington
County File No...:12'/t:2f '/
Bureau File No.~3 .20 --/';.J!L.
~e have .recetved notice that;~~~~~~X
on December 16 19 70 ,you came into ownership of certain property through ~~~
K~~l~transfer from,ELI SEVERICH,deceased.
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.
The property on which taxis hereby assessed consists of:Jt.Htld U.S.Savings Bonds,Series
"ETT,held in the SAFE DEPOSIT BOX OF ELI SEVERICH and MRS.LILLIAN R.MOSKEL,
in1=the MELLON NATIONAL·BANK &TRUST CO.,WASHINGTON OFFICE,WASHIBGTON ,PENNA.
The bonds were.,held in the names of ELI SEVERICH or MRS.LILLIAN R.MOSIAL.
Pur.,from 9-44 to 4-46.Balance as of date of death,$1,492.52.
appraised by the Commonwealth,as of the date of death,at$1,492.52
50 %of this amount is taxable at the rate of 6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
nONS TO TAXPAYERS
ASSESSED BY:_
(Agent for the Commonwealth)
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:ALLOWEDDEBTS
NET TAXABLE AMOUNT,
AMOUNT OF TAX DUE
o If you pay the above amount within three (3)months
of the date of death of the d~cedentj or on or .
before .~farch 1619 71 you may deduct a
discount of 5%of the amount of tax due,or
o This tax became delinquent,fifteen (15)months
after the date of death,and,in addition to the
tax,statutory interest at the rate of 6%of the
tax per annum is also due as of *~~_
19__·in the amount of
*If the tax is not paid by the above date additional
interest is due at the rateof6%per annum until
paid
tOTAL AMOUNT DUEnJ,/./'/~'
APPRAISED BY:\N .~(Z-Y:.l /
(Inheritance Tax Appraiser
$
$746.26
44.77
2.24
44.77
$--------
$-=================
Make checks or money orders payable to:
;rV~$~S3
~~/t//77/
Ae-//~/.{'/fJl
To insure proper credit to your account
this Official Notice must accompany
your payment.Mail or bring it to:
AGENT H)I,,:£:'(....
CmmT HfhiSE
WAS.m.lGTOM,PENNA.16301
If you have already paid this tax to an executor,administratdr,~attorney or other personal representative of the
decedent for forwarding to the Commonwealth,list below the date paid,name and address of the person teo whom
you made payment,their official title and the amount._~.,--.,.';....'"
Date Paid Name and Address of Payee Officia.'Ti'tle ",,~,A.,;;;;m;.:.;o~u:.;,.;n.;...t.;...P..=.a....-:id:........
SS:
Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses
or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended
by you may qualify as deductions against the gross value of the property in the computation of tax due.If any
such expenditures meet all of the three following tests,it is recommended that you itemize,t~e pay.ments below,
execute the affidavit,and return this notice.The Register of Wills will examin~the debts claimed ,and allow
those which he determines to be proper.The tax will then be recomputed and you will receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1 -You were personally legally responsible for these debts,and
2-You actually paid these debts out of the account or property described above and can furnish proof
of such payment,if required,and
3-These same debts are not also claimed,for tax purposes,by an executor,administrator or other
personaI representative of the decedent handl ing the admin istration of the general estate of the
decedent or any other transferee..
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation Amount Pa.id
,',
.,
TOTAL $
(att~ch separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY 01=:_
I,hereby certify that th~foregoing is a just and true statement of
funeral expenses and other debts of the decedent,,for which I
was legally responsible and which I did pay out of the property herein taxed.I further certify,that to the
best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance
tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF____________19__.
REPORT OF REGISTER OF WILLS
Signature of Taxpayer
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I
have allowed deductions listed above in the total amount of $•
Date of Approval:_
Register of Wills
Form RCC-2
DEPARTMENT OF REVENUE..-BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 127
COMM6N\VEA.LTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ~.gh +.7J J.9:J..!.
COUNTY W~.~.h~.~g!:1 ..
FILE NO §?:?.?.:.~~~.
Whereas,................................................)\~+..;....?~.y..~~.~.~.~.........................................................late of ...........................~~~.4g~+.~4.~.............................................
in the County of ...........................................W'asbingtan..........................................................Commonwealth of Pennsylvania,having died on
the .........................................+..~t..h.........................................day of ....................p.:..~~~~..............................19 .......??seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,FRANCES:·LEO)appraiser duly appointed according to law,-I...........;,..'•••~.,~~_.;..an...........................:..........................................................................................................,
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 transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest,
Unit AppraisementDescr.lptlon of Asset Values Made for Inheritance
Tax Purpoles
$
Jt.Held U.S.Savings Bonds Series "E"held in the SAFE DEPOSIT BOX OF
IELISEVERICHAND1-1RS.LILLIAN R.MOSKEL,in the MELLON NATIONAL BANK &
r.o.hTlI c,I-l 1\11 lI\l OFFICE.WASHINGTON PENNSYLVANIA.The bondslJ~were
held in the names of ELI SEVERICH OR.lo1RS.LILLIAN R.~10SKAL.Pur,
from 9-44 to 4-46.Balance as of date of death,$1,492.52 1,492 52
I
--'--,
I
I
Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con-
fonnily with law on this .....................j.If.d:;/u ..........day Of ...................'~....................g.............19~
......................................................~.......~.................~....
A ra'
·············....····..···....···....··..··......··4)m~..·;;;;d···st;:;;;;t·;········.........................,........................
'/-".-r~/~,Penna...................................................................................~:'¥.w ..............,....,.............,
(Post eel
\vASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
...................ELI SEVERICH .
Deceased.
Late of
.......~.w:A.PQwJ:..ANP$,.., ,..
Date of Death,.l.~~l~7.Q .
Appraiseme/!t Docket Vol.,.3.$..
Page,~??':J.:No...?:3..':.79.-:~.?4.~..
Filed in Registers Office,~;r.gh j,7 19 7.l.
Amount of tax due,$..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo,ttt Appra-isement,,
Appeal jt-om Appraisement,.
Entered and charged,..
J
~
..
\
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RCC-43 (4-69)
~.~
•~OMMONWeALtH O,f~.l~.tl.,.!!NSYLVANIADEPART~l~O~~.D~BNUE ,HARRiSBURtt :DI:',.<-f.[-r'r.",-..'0"('
DEC l?.'~v,1006 AH '10 ....,,'.1911
J
NOTE:TO BE SUBMITTED IN TRIPLICATE
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 -.11..-bUO'4Il",C-.,
ADDRESS 40 ••••_....,.~,t~l,,~a 1$101
ACCOUNT NO_OF JOINT,'',.".''.....,!
TRUST OR INVESTMENT DEPOSIT ,..~S~#614811
NAMES ON ACCOUNT I""«t__....t.."'*'.....OR INVESTMENT ....9V¥,",,~lloU4 "H"
DE~~~~~~~0ci~~~VE~~~~O_R_,a_u._.·._I~_."_'_.~_"_·b_._
ADDRESSANDCOUNTy __l;:;;.;;"~,....;I....;•.;;;..:"l:;,;;;..;;;:.;..·,'..;.;:-..:..;-..:.:;:·';;::';.~.;":.;;;::;_;;;:;:';''';'::;''''';'...;::L:::.:'';;:,;:,c....;••:....;:;,.h~.;,;.:.••:..!:,,:..:.lV1ft.::..:;.=·.,la.::..:;'.:....'__
DATE OF DEATH --:"_!J~1....;,6,.:....·•..:..."~-----
SURVIVING DEPOSITOR,
BENEFICIARY OR INVESTOR __"_"'_11_,*_,.'_._1_,_u._>'1_..___...---_---
ADDRESS IM_·._dW_.'._''~_.._.•·•._·_,t_'e_..··~_'_'f_:t,li1_'-S_,.•_*_._/_~_-:.3--=-Y..:-7
RELATIONSHIP TO DECEDENT~---.II»"IU''~"11[..._
DATE DEPOSIT OR INVESTMENTWASESTABLISHED 6....;1.,...;.,~_U_._
BALANCE,INCLUDING INTERESTDUE,AT DATE OF DEATH $'_._914_··_.•,_,_
,
\\
\/;75Jo~Q?%=-
S%~J-/~-71.7 Signature TITLE
\RCC-134 (1-69)
l
COMMONWEALTH OF PENNSYLVANIA
"DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
.INHERITANCE TAX DIVISION
:--
OFFICIAt NOTtcE OF INHERITANCE TAX
,-APPRAISEMENT AND ASSESSMENT OF
ASSETS NOT SUBJECT TO ADMINISTRATION
TO:--=L=-=I=LL::.:I::.:A~N--=E::...:.:-...:.:M.::..:OS::..:.K=AL _
_---.;ME~A.;;;..D.;;;..OWL.....;;=A=ND~S.&.0'.....;;P..;.;,E=NN.;;.;.JS.;;...;Y;;.;:;L;;...;.V..;.;;A..;;.;.N;:;;,;IA..;;.;..15347
Date:December 29,1970
C t Washingtonouny..::::-_
County File No.3.Y-/otJ'-1
Bureau File No ..3::i:~i -70 -/d'~
~e have received notice that,~~~~~~~~~~~~~~~~~~~~~~~~
on December 16 19..1.Q.,you came into ownership of certain property throug~~lH.1K.lM~aHX
X transfer from,ELI -BEVERICH.,deceased.
.~A'v'()..sc t/c'<o l//C--
Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable
and the Iiabi Iity for the payment of the inheritance tax due is imposed upon you,as transferee.
The property on which tax is hereby assessed consists of:Jt.Passbook Savings #61-8817,held "....~
in treMELLON NATIONAL BANK&'TRUST COMPANY.WASHINGTON,OFFFICE,WASHINGTON,
PENNSYLVANIA.In the names of ELI SEVERICH or LILLIAN R.MOSKAL.Opened,
June 7.1963.Balanceas.of date of death,$.=.3..L,9~1~4~.~1~1~._
appraised by the Commonwealth,as of the date of death,at $3,914.11
50 %of this amount istaxCJble at the rate of 6 %
ORIGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSESSMENT
TAXABLE AMOUNT
LESS:.ALLOWED DEBTS
NET TAXABLE AMOUNT
AMOUNT OF TAX DUE
o If you pay the above amounf within three (3)months
of the date of death of the deced,ent,or on or
before March 16.19 71 ..you may deduct a
discount of 5%of the amount of tax due,or
o This tax became delinquent,fifteen (l5)months
after the date of death and,in addition to the
tax,statutory interest at the rate of 6%of the
tax per annum is also due as of*~
19__in the amount of.
*If the tax is not paid by the above date additional
interest is due at the rate of 6%per annum until
paid
$1,957.06
117.42
5.87
$--------
TOTAL AMOUNT DUE $117.42 $-=================:
APPRAISED BY:W /.Q.~ASSESSED BY:--'-_
(Inheritance Tax Appra7J (Agent for the Commonwealth)
INSTRUCTIONS TO TAXPAYERS
Make checks or money orders payable to:
R~of ///S..r-
~~/~//?/
/Z~;r/#/.,?Yf yr!
To insure proper credit to your account
this Official Notice must accompany
your payment.Mai I or bring it to:
If you have already paid this tax to an executor,administrator,attorney or other personal representative of the
decedent for forward ing to the Commonwealth,list belqw,the.dat~Ra,id,name and address of ,the person to'wh"om
you made payment,their official title and the amount~,"c.../
Date Paid Name and Address of Payee Officiallitle 'Amount Pciid .,
SS:
Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses
or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended
by you may qualify as deductions against the gross value of the properly in the computation ~ftax due.,If.any
such expenditures meet all of the three following tests,it is reco!11mended that you itemize the payments below,
execute the affidavit,and return this notice.The Register of Wills will exam'ine'the'debts Claimed and allow
those which he determines to be proper.The tax will then be recomputed anJ you will receive an amended
assessment of tax.
THE THREE TESTS WHICH MUST BE MET ARE THAT:
1•You were personally legally responsible for these debts,a~d
2-You actually paid these debts out of the account or property described above and can furnish proof
of such payment,if required,and
3 -These same debts are not also claimed,for tax purposes,by an executor,administrator or other
personal representative of the decedent handling the administration of the general estate of the
decedent or any other transferee.''
SCHEDULE OF DEBTS
Date Paid Name of Payee Description of Obligation Amount Paid
',-
TOTAL $
(attach separate sheet if required)
COMMONWEALTH OF PENNSYLVANIA)
COUNTY 01=:_
I,hereby certify that ,the foregoing is a just and true statement of
funeral expenses and other debts of the decedent,,for which I
was legally responsible and which I did payout of the property herein taxed"I further certify,that to the
best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance
tax purposes.
SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF____________19__.
REPORT OF REGISTER OF WILLS
Si gnature of Taxpayer
I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I
have allowed deductions listed above in the total amount of $--.
Date of Approval:_
Register of Wi lis
Fonn RCC-2
COMMONWEALTH OF PENNSYLVANIA DATE ......~~~.~.h.....~7.I.......~.r.J..~..............................
"DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX ...........W~.~.~.pg.~g.~...................................BUREAU OF COUNTY COLLECTI<1'NS COUNTY-
~rMmlaBURG,PENNA.17127 APPRAISEMENT FILE NO..........§2.=79.:!?4.~.........................................
Whereas.................................................E.li...S.,~~,~:.~r..9.y.~.9........................................................late of ..............~.~.~~~~....~~~~.....................................................
in the County of ................................................W.~.;?h;jJ.?gt..9.~.....................................................Commonwealth of Pennsylvania.having died on
the .......................................~?:t:-.~...........................................day of ....................?~.~.~~~~.~..............................70 seized and possessed of an estate19.............
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore.I.FRANCES LEO 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 Appraisement
Description of Asset Values Made for Inheritance
Tax Purpoles
$
Jt.Passbook Savings #61-8817 held in the MELIDN NATIONAL BANK &
TRUST CmfPANY~WASHINGTON OFFICE.WASHINGTON~PENNSYLVANIA.In the
names of ELI SEVERICH OR LILLIAN R.MOSKAL.Opened 6-7-63.
Balance as of date of death.$'3.9lk..11 3.91.4 11
-
Having been duly swo.rn according to law.I do h~reby certify that the above appraisement is made in con-
formity with law on this ........................./.,?.A:::iJ.........day of ........................................~......................~............19 ..21::
............................................~...........~...........~
ppraiscr -
..................................................................................................................................................................
(Number and Street)
..............................................a.L~..........................Penna.
...................WASHINGTQN....................County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ELI .?~V&.R:r:G.l:L..
Deceased.
Late of
MEADOW LANDS-.
Date of Death,~~.J.,~7.9..
Appraisemei!t Docket Vol.,;,F5.....
Page,g.$.~~No..9J..:::7.~g.4~.
Filed in Register's Office,~~~?~?..19 7~
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut Appra-isement,..
Appeal j,.om Appraisement,.
Entered and charged,.
!
~
{
/
.,
'.'J
Form RCC-33
RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
COUNTY OF .W~.Sft.~.NG.'r.Q~.
-'
IMPORTANT:This return must be completed in detail and filed in duplicate,with w.ill attached,with the.
Register of Wills of the County where decedent resided;Return is due within one year after
date of death,unless an extension is granted by the Secretary of Revenu~.(Section 703 of
the Inheritance and Estate Tax.Act or 1961.)
IN THE MATTER OF THE ESTATE OF }
AFFIDAVI'l'OF
_~.~;J:;,$..~~.RQ.v.l.C.......................EXECUTjiX
(State full name of decedent)
Late of Cb..g,~.t..ie;t:'$..Tw.p ,W.a.shin.g:to.n County ~
::.:.:~~=:::::~_::::-:::::_:}..,
...:r.:rL~:.I:~g9.:$.~~.$~~.~"of the estate of the above-named decedent being duly sworn,deposes and sayS
.Execu~rix
Decedent dJed ..P..~.~~.~l.?~J;.J.§L
(Month)
Name and address of attorney or}
other authorized representative to
whom all correspondence should be
mailed.
(nay)".......•19..(.y~?>{~aVing a last will.copy of which is hereto attached.}
GeC>~g~i!...~..M9q:t::c:l~,J1.:tt9;t:'n~Y ..J1.t.~.§,W.........
2?:NQ;t:'t.h..CentralAvenue,CanQusburg,J?e.nnsylv.an.i.a .
That as such .;6.~~~.y,:t.r.i:K deponent is familiar with the affairs of said estate and the property con-
(Ex"clItor·Adminislrator)
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:-
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
Mellon Nat~onal Bank &Trust Compan~Eli Severovic or
TAT",e>'h;n""'.......e>ulu::ln;::l 1 !;'":l()l Lillian Rose MrH::"k::ll
That the contents of said safe deposit box or boxes are itemized ~der Schedules or 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
i real property in the Commonwealth or Pennsylvania of which decedent died having an i~terest therein.It
I,.also sets forth the mortgage encumbrances upon each .parcel or real property at the date of death,giving
the amount still due at death,name or mortgagee,date,rate of interest,and book and page or record
thereof.It also sets forth in the columns provided therefore the assessed valuation or each or said
parcels,the estimated market value thereof as or 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,ir 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
;'I •
in all other cases;all bonds,postal savings,treasury certificate~or.notes and oth~r eVi~en~e or in-
debtedness of the United States to-the-decedent;all obligations;'whether by statute\~r'agreement they
are designated as tax free,of the United States,or any state,or political subdivision thereof,or or
any foreign"country,wnicq 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 bydecedent,together with the rairly estimated
/market value thereof;all bonds and mortga~es held by decedent and of al~claims due and owing decedent
at the time of death,and all promissory notes or other instruments in writing for the payment or money
of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face
value and estimated fair market value thereof,and if such estimated fair market value be less than the
face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable
to the estate from life insurance policles carried by decedent;all annuity and endowment contracts the
proceeds of which were payable upon the death of the decedent;and all the corporate stockS and dividends
due thereon and unpaid as of the date of death,bonds and accrued interest thereon ..to the date of dece-
dent's death and other investment securities owned by the decedent at the time of death,with the market
value thereof at such time.
e
'.',..·-
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 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 intende~to
take effect in possession or enjoyment at or after death,there is also attached to the schedule a cu~y
of the deed,trust agreement or other instrument creating the trust.Ther'~iS,also set forth in said
schedule a list of all property,real and personal,with its value,which pa~ses 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 join1<ly,by the w.ill,deed,or other instrument of another,
with a copy of the instrument creating such power attached to the schedule.
\.\
That Schedule D attached hereto and made part hereof sets forth the names and addresses of all
persons beneficially interested in this estate at the time of decedent's death,·the nature of their res-
pective interests,their relationship,if any,to the decedent,together with the ages at the time of
decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also
contains a statement shoWing which of the beneficiaries named in the decedent's will,if any,died prior
to decedent,the dates of their death,their issue,andthe relationship of such issue to the beneficiary.
,'
That Schedule E attached hereto and made a part hereof sets forth all property,real and per-
sonal,owned by the decedent jointly with another or others,including intangible,standing in the name
of the decedent and others,plus the date and place of record of-instrliments'effecting the vestiture of
real estate and the date of acquisition of personalty,plus the name,'address and relationship,if any,
of co-owners t6 the <l.ecedent.
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","en,"E",and "F"as directed therein,
have been carried forward and properly registered in the Summary.
.~.g.~.~~...~~~
(Executor-Administrator)
....J?~Q..~;e.Q~;~.~.4._-..
(Street Number)
.....Me..ggQ.w.l.a.nd.s.~......P.e.nnsy..lv.ani.a....l.5.3.4 7
(City or Town and State)
Subscribed and sworn to before me this 2.6 th .............................j day of october :19 1.L
...........................~....JjlA'~/;pfl~...~4f!(..
'~l$;a P4S ~__.......~.~J.D'RAK',Ffof~f'1 PiJ*'
Canonsburg,W~shington Co.,f-a.\
MY Com'll/:s:on 1':1;'i·'~Ma.v 1~'Q7'"NOTE:Before signing afr-raavl~mak~~~ure 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.
'.
R(;:C-34 (1-604)
,COMMONWEJiLTH OF PENNSYLVANIA
DEPARTME~TOF R.EVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
"
SCHEDULE "A"
REAL PROPERTY
,
*
Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece-
dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by
the decedent as tenant in common with another or others,should be identified as to quantum of interest and
the estimated value should be that of the decedent's interest only.
The real property located In the Commonwealth of Pennsylvania should be
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 II Fit and must not be deductl:id from this schedule.:
},
(1)
ASSESSED VALUE
FOR YEAR OF
DECEDENT'S
DEATH
(2)
ESTIMATED
MARKET VALUE
(3)
DEPARTMENT
VALUATION
CAUTION
(Do not write
In this space)
ALL those two certain lots of ground situate
in Meadowlands,Chartiers Township,Washing-
ton County,Pennsylvania known and designatec
as Lots Nos.175 &176 in the Hallam Plan,
of record in Plan Book Vol.4,pages 98 &99,
Washington County Records,and being more
particularly bounded and described as followf:
fronting 60 feet on the southeasterly side oj
Hallam Street and extending back of uniform
width,a distance of 150 feet to a 20 foot
alley;bounded on the northeastern side by
Lot No.177 and on the southwestern side by
Lot No.174 in the aforesaid plan.
HAVING erected thereon a dwelling known as
178 Hallam Avenue,Meadowlands,Pennsylvania
For Title Chain see Deed Book Vol.382,page
413.Appraised by J.C.McCleery,Realtor,
on June 24,1971 for $7,000.00.
Sale Price ".,
~
,-.~.\
$9,800.00
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.
CO\~fON\mALTH .oF PENNSYLVAN I A.
TIL\NSFER INHERITANCE TAX
~~SIDENT DECEDENT
SCHEDUIE "c"
TRA.NSFERS
NONE
J
(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)__
(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)_
(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)_
(a)Was there any possibility that the property transferred might return to transferer or his
estate or be subject to his power of disposition?(Answer yes or no)_
(b)What was the transferee's age at time of decedent's death?__
(5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration
therefor under which transferor expressly or impliedly reserves for his life or any period which does
not in fact end before his death:
(a)The possession or enjoyment of or the right to income from the property transferred?
(Answer yes or no)__
(b)The right to designate the persons who shall possess or enjoy the property transferred or
income therefrom?(Answer yes or no)_
(6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent
alone or 0 thers ----,-_
(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)..
(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)_
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.
."".....
RCC·:<j8
CQMMONWEi\LTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "E"
JOINTLY OWNED PROPERTY
INSTRrCTIONS: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 Iunit percentage Estate DEPARTMENT VALUATION
Address and Relationship of Co-Owners,and PIace Value Share Valuation CAUTION-Do not Write
of Record of Instrument,where Real Estate•!In This Space.
Value of Value of
Entire Decedent's
Property Interest
Jointly owned property aiready
reported and Inheritance Tax
already paid.See File No.
63070-1241.
I
I
.~._.i II I!
I
!
i
i
!
I i
iIIII
~
Insert this total opposite "Jointly Owned Property",Schedule "E"
in the "As Reported"column on the last page of this return..-
•
Re€-37,··02-63)
COl\fMONWEALTH OF PENNSYYLANIA
TRANSFER'INHERITANCE TAX
RESIDENT DECEDENT
SCHEDULE "D"
BENEFICIARIES
,.
(
h
BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY
ave an interest,vested,contingent or other are involved,set STATE YES IN ESTATE
wise,in estate)forth this fact.)OR NO BIRTH
Lillian Rose Moskal Dauahter Yes Over ?1 !=lee will
Box 294
Meadowlands,Pennsylvania
15347
Lorraine Marie Moskal Granddauqhter Yes Minor See Will
%Lillian Rose Moskal
Box 294....'""rl ;::jnn~Pennsvlvania
15347
Thomas Moskal ~~YP.S M;nn,..C::oc TAT;11~.
%Lillian Rose Mo~kal
Box 294
",",_..:I 1I11ands.Ocn11svlV;:lnia
15347
.
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
(Executor-Administrator
must complete "As
Reported"column #1.)
"
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t No.
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Deceased
~
f
'11~
Late of ..Cbarti.er.sTo.wn.sh.ip.
1
"..~.\
\)0
f
REPORT AND APPRAISAL
Commonwealth of Pennsylvania
County of W~U:ll1:i.ngt()I1
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Form Rce·IO,/~
,..~.~,
',.
,;/OFFICE OF THE STATEMENT OF DEBTS
REGISTER OF WILLS AND DEDUCTIONS
OF COUNTY
AND AGENT OF THE COMMONWEALTH
)
ESTATE OF __Ea;;u.r.uT--,S;LE!,;&..IlVE:J,,;,I.,I;R~O.LVIJU,~C,,--LATE OF Chartiers TownShit
DATE OF FILING APPRAISEMENT DAU OF DEATH I~--;--20
Bill
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF Washington
I,a Notary Public
DATE NO.OF NAME OF PAYEE REMARKSVOUCH,"1lI AMOUNT
Letters 10 50
Evel n Telesko Probate Witness 5 00
Geor e J.Modrak Retainer 50 00
Funeral Home Balance of Funeral Bj.ll 563 •00
Gas of Pa.Gas Bill 19 66
Electric Bil'l 4 11
Columbia Gas of Pa.Gas Bill 19 82
citizens Water Co.of Wash.Water Bill 6 94
Columbia Gas of Pa.Gas Bill 15 65
West Penn Power Company Electric Bill 2 13
Gas Bill
alcolm L.Mor an 1971 County Tax
C'tizens Water Co.of Wash.Water Bill
Anna Howcroft 1971 Rd.,Water,
ital Hos ital Bills
a Gas of Pa.Gas Bill
Whylers"Memorial Marker
J C.McCleer Realtor A praisal
Gas of Fa.Gas Bill
lumbia Gas of Pa.Gas Bill
Citizens Water Com an Water Bill
Electric Bill i10 79
2
~~~M(L'5.1
....".-=--...;:t::;,:h",--_DAY Ol'
:C£ORGE J M .•AK NCanonsburgIii!.h",ofary Pllf5~M '·~s ~ngto C,YCOIl/missIOIl _:no"Pa,
eJ(Plres May 14,1972'
ADMINISTRATION SUBMITTED TO THE ESTATE OF -------~-.-----DECEAeED.AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES.
--
Form RG.C-;J.O ~"-DEDUCTlON.§,_A~L.OWt:D IN.;-::-~..,.~;'.----......~.'
O'FFICE OF THE STATEMENT OF DEBTS THE SUM OF ..........,.$.............................................,.....
/REGISTER OF WILLS AND DEDUCTIONSIT
DATE APPROVED ......................OF COUNTY
AND AGENT OF THE COMMONWEALTH
Reglater of Willa.Ag.~t
ESTATE OF ELI SEVEROVIC LATE OF Chartiers Township ,'..."....
DATE OF FILING APPRAISEMENT DATE OF DEATH,P::lnl'>?-
"--'
DATE NO.OF NAME OF PAYEE REMARKS AMOUNT,'VOUCH"1Il
Oak ~nrina Cemeterv Mrlrker ....-'1_.l-;nn <:')Q Q()
Mr~:a.nn::l --r 0"'1"'.·............n-F lQil -(.Ql),~,
...........j"
"','
Georqe J.Modrak R.E.Aareement.Deed~and ..
Closina e::.~'-()()--
,Q
Russell Marino Balance on Letb~r TnuI'>n-
torv and Account .<1 (\0-
George J.Modrak,Commissioh l:i.l:i.l 4h
C:.II A .A A:.(\..11 _VJ ~Y{~~AA~;X,~~~....."
.
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)-~...--'\,-
f.
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-'•..
.-
;
-
~I--'~~TOTAL $1,82-5''.1
COMMONWEALTH OF PENNSYLVANIA }ss:.'...~~/
COUNTY OF .'.HEREBY CERTIFY,THAT,TO THE BEar OF
MY KNOWLEDGE AND BELIEF.THE FOREGOING IS A JUST AND ~RUE srATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES OF
_~--:_~(L.5.)
SWORN AND sueSCRIBED BEFORE ME THIS.,DAY Ol"
-------__-'--__---III __
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
(Executor or Administrator)
IN YOUR REPLY PLEASE,
REFER TO
Inheritance Tax Division
'I
In Re:,Estate of -m~·II!C-I!;itl."'IIIIO~••'·'."..,,.•.~.llI!lai4!!••,!¥'.'-·__'--_
~_________County -File No.-"6~~···_".'...'_"'·'·.'=::=··=.=·,·'.··,=-·.-----
You are hereby notif,i"e:d~th:a~t~thJ.~,~,~i['~~~~L===========appraisement in the estate oL "
has been filed in the office of the Register of Wills of_~.I;I]·~&~~0i1ii"l!lI!·'iif,l'IjJII:'i!il.•',-.-'"_
County on 101~.,19 .,,j.,Said appraisement refl~cts the following
valuations:
~:~~o~~~a~:o-p-e-,rt-y====:t:~::::':~·.·~:;:c=.=========
T ransfers_---,-~
J 0 int Iy Owned ---,-,'_---,-_---,-_
Total ----~D_·.:II!¥'."""'~..IfR'F-,---_
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.
If
Note:This is not a bill.
s;gned~R~3tLjPYA-U
Title~t~,~A~.l
./
I'
NWEALTH OF PENNSYLVANIA
5FER INHERITANCE TAX
L)ENT DECEDENT
~fta te of SEVEROVIC,ELI
(Last Name)(First Name)
SUMMARY
DATE OF DEATH J2/16/70
(Initial)
REPORT OF INHERITANCE TAX APPRAISER
FILE N093-7o-J241
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of W_A_S_HINGTON
Pennsylvania,do respectfully report that I have appr~ised the real and personal property as reported in the foregoing return at
the values set forth opposite each item in the last column to the right in Schedules "A","B","C',and "E".
Dated:NOVEMBER 10,1971 ':!y~;e.hJ~~~
INHERITANCE TAX APPRAISER
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for HASHINGTON 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
~ALUE ~~&J(f.0~~ALUE A~.'M)e!A&,ED
1.229.,37 1.229~37
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
11.029.37
none
11.029.37
none
VALUE AS REAPPRAISED
$-------+--
FOR USE OF REGISTER ONLY
Tax on $----------1--
Tax on $----------li---
Tax on $-----------l--
Tax on $-----------l--
Tax on $-----------ll---
Exemptions========F==
Total Estate ...+-__
TOTAL TAX
2%c®5%
10%
15%
*
COMPUTATION OF TAX
$--------+---
$--------1--
$--------1--
$---------1---
$---------1---
$--------'---
(*)As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
Less tax previously paid
BALANCE
Less 5%of tax if paid within
3 months after death ::::::::::=t====
BALANCE OF INHERITANCE TAX DUE $t=
Add interest at rate of 6%from_____to $----J
AMOUNT OF ESTATE TAX ASSESSED $--~-~L-
Estate tax paid".$---Jl-
BALANCE DUE $----~~
Add interest at rate of6%from t=
------'lto-____$---------l
TOTAL TAX BALANCE $-----~
PAID $....J
FOR USE OF REGISTER ONLY ADJUSTMENTS
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
I
Will !...No.Administration
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
ELI SEVEROVIC
Deceased
Late of .....CHARTIERS...TOJ:lNSHIP
,)
I~I~
County of .WASH.l.NG.'l'ON .
\
Commonwealth of Pennsylvania
REPORT AND APPRAISAL ...
,0'
-'
...
DEPARTMENT OF REVENUE
./
BUREAU OF COUNTY COLLECTIONS
HARRISBURG.PENNA.17 127
COMMONWEALtH OF PENNSYLVAN1A
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE .....NOVEMBER....lO',.:...1.971.....
WASHINGTON
COUNTY ~:,::,;..;.
FILE NO ??:.??.:~.?4.~.
Whereas"J~a.;i"$.~.y.~.r.9.y;i"g late of ..c..h.~~.~~~?r.g~.~~p.~.
in the County of Jfg,J?hington Commonwealth of Pennsylvania,having died on
the 16th day of December 1970 seized and possessed of an estate.....................................................................................................................................-.........................,............................,
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore,I,.D'ominic R'DeMaria 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.
Unit Appraisement
DescrIption of Asset Values Made for Inheritance
Tax Purposes
REAL ESTATE $
.'
See copy attached to appraisement 9,800,po
IPERSONAL
See copy attach4d to appraisement 1,22.?B7
TOTAL 1l,029.t37
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form~v;;:~bl~:::t,:.~aiO~~to~~,~a~o~~~~e~tis~..d~l~n!:~:
Appraiser
............................,......................................................................."........................................................,.
(Number and Street)
....................................................................................................................................,Penna.
(Post Olllee)
WASHINGTON
County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
ELI SEVEROVIC
Deceased.
Late of
CHARTIERS TOI'JNSHIP
Date of Death,.P.~.G.~'@~.+.~.J ~.9.79..
Apprais~/JIel!t Docket Vol.,J..~
Pag;,"f28,-~No.:.E?3-70-~.2~~.....,
Filed in Register's Office,.19 .
Amount of tax due,$.
DEPARTMENT OF REVENUE
Received,
Examined and Approved,.
Wrote abo.ut A ppra.isement,..
Appeal f,.om Appraisement,.
Entered and charged,.
•
"
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f·
.
:.t:
.,
......'
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Deceased
In the matter of ,the Audit of Account filed in the Estate of
IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA.
)Date of death /.J.-I'-1 ()
\No,--laY.1.....9!1970 Term,19__,A.A.j ll<>cket 38-128-1 _
TO THE AUDITING JUDGE:
To appI'aised Vialue of Estate:ReaLty .$
DR.
Enter my !appearance for theCommonweal'th of PennsylViania,claiming tI'ansfer inheritance tax in the above estate,as follows:
~'MJ
Personalty__:::_m m _~m_mm_..m m $I -z,~-,1 7
Additional Assets per Account,Subject to Tax_______________________________________________$_
Additiona,l Assets per Audit,Subject to 'Dax ___$
7
L _
$----------
$-------
$------
$-------
$-------
$--------
I
)
GROSS VALUE $-,-_
l~if(,49
Add~tiol]al Debts and Expenses per Audit
CR.
Debts and Expenses per Account;see Note
TOTAL DEDUCTIONS,$
•
$
Less Deductions ----------------------b;.-"""----I.:---&,,I-l'--~~-~---
'J1ax·
able
at
2%
Less amount previous!y p8Iid_______________________________________________________________$
Balance $
Total Tax______________________
Interest__jTs.__mos days @ __%$_
TOTAL TAX AND INTEREST DUE $
$------
$-------
$------
$--------
$-------
TAX PAID ON ACCOUNT
NOTE:The foI:lowing credits claimed in the Account are
held not deductible a's against the tax:dtj.,.-Lj~:/;vd)y 11t.Jt e,~.yj(17
tf(d~L i!J /'v-.4 f.j"t ()6 ~t 1/1.t/.).
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M ~~M M M ru~~M ru~~~~
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------._..
Form No.IS (1960)WiI.l·Washington County B~r Association
Washington,Penna.
1Eunt I1tll nub mrntnmrut
I,_ELI.S..EYERO.Y.IC.,w.i.dQYie..r__ __..__.____._.. .._....___.,
of Qh2.r.t.1.e.:r.s T.own.s.hip..,..._Yia.s.hing.t.o.n c..Qunty..,.P.ennay.l:v.ania....•.._____..__._..._.._.,
being of sound mind and memory and understanding,do hereby make,Pllblish and declare this to
be myLast Will and Testament,in manner and form following,hereby revoking any will or wills
heretofore made by me.
First.I direct that all expenses attributable to my last illness and funeral be fully paid and
satisfied,as soon as conveniently may be,after my decease.
Second.I direct that my real estate be sold as soon as convenient
after my death,and that $1,000 from the proceeds thereof be distributed
to my beloved daughter,Lillian Rose Moskal.In the event of.the sale
thereof by me prior to my death,then in such event I give and bequeath
unto my beloved daughter,Lillian,the sum of $1,000 as her legacy.
In the event of Lillian's death prior to mine,her share shall vest
in her issue.'
Third.I give,devise and bequeath the balance of my estate,real,
personal and mixed,to my two (2)beloved grandchildren,namely,
Lorraine r~rie Moskal and Thomas Moskal,share and share alike.
j
III
i1------~.'j
.~
1
I do hereby make,constitute and appoint Lillian Rose Moskal
to be my execut rix of this my Last Will and Testament and the Tests.!nt':d;ary
Guardian of any minor distributees during their resp~~~ive minorl~~~~.
IN WITNESS WHEREOF,'1 "8~I SEVEROVIC,widower,the Testat or
above nam~~:e~ereunto su~,cribed my name aud affixed my seal,~e j /d/f'.
day of :~:r _1ll the year of our Lord one thousand mne hundred and s:ucty-
three (1963).a..jJ •
.____.___~~_(SEAL)
Eli Severovic
Signed,sealed,published and declared by the above named Eli Severovic,
,as and for his Last Will and Testament
in the presence of us,who have hereunto subscribed ournames at his request as witnesses
thereunto,in the presence of said testat or ,and of each other.
~1;.LLi¥~-._.-_._.--_~ff···L!,L,_14/C.'----_._-
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COpy OF INVENTORY
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ILl S~V1C
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''!~~ORGI::1,f,{RAK/Notary P!lb!~l /...,..-:'.·"Ca~Ol'!sbu(Washington Ga.,Pa.·~....'~'-..
:'.'.,....~y.comll1issionExpiresMay 14,1972...".......~~~--'l..\~.,'..~1j'\.~
II :••".1JnUtntnrg aub ~.pprai.dtmttd of the goods and chattels,rights and credits which were
.Bid:SaVOO1VlC .'~..:."..~'_tie,.'l'OWft.hlp .af · ·..·.·· · · · · ·late 01..
Washington County,Pa.,taken and made in conformity with the abo'tJe affidavit.
DOLLARS CENTS
,.law.popsaw
ALL tboae bfC)certain ·lot.01 91'0.4 8it_ate Ul Meadowland.
ChUt.lot'8 ....1p,waabJ.ftgt,oft County,hnnl,ly.i.bown
ab4 4e.l'gtlate4 as Lot.Ito_.'"..176 .1ft thO'Bal1am .Pl.,
ot ~~1'4 ift Plan Book VOl.4,.pages f8 ..t9.Walhiftttoft
Count,lteeOc-4e,_abedag'''l'e PN:tloular:l,.'bo\meted tmct
4eaOl"f.be(J U followsl fl"Obtlftg 60 feet on the _uthea.tel!·
11 s~4.of'sa11.Street U4 .ten'in,l>acko!un!form
wi..U~~.a.dlatance of l$O'.et _.a 20 foot alley,bounded
on the ftO#tbeaatem .14.by'LOt Ito.111 and .,the Goutb-
we8t~8!de by Lot.So.,174 "1btbe afo~e..id plal'h
HAYlUQ erocte4tbe..eon ..4wel1iat known ••'116 Sal'""-'••.,
Meadowland••Penn.yl".le...'
go~Tlele Chaln aee Deed,Book Yo·l.-382,pap 413.Appral.-
eel bf ;r.C.JlCCleeQ'.aealto~;.ora JQl'le 24.1971 for
",000.00 Sal.P~loe .9,&00 00
PIRSOIalAL PROPSft
l.v1;ng$Account 110.88 _t .S1ovet\.i.•S••ln••.·ana,lou AsaO-
clatioa.G_.ane,fenn8ylvanl.,ba1_c•••of Decn'ber 14,
1910...119 31
Death aeft.fl.~'1'011 CJ:oaUan l.o4g.95000
hi'nltue (30 ,..a•.and 01481'1 ••tly 91'0'.way 200 00
11..029 l'
n
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.00 T
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