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HomeMy WebLinkAboutOC1971-0138 - ESTATE OF LONGEVITSH.. RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT FRANK LONGEVITSH,JR. (Executor ~.~ IN YOUR REPLY PLEA.E RIlP'.R TO In Re:Estate 0 f F..:r:...:an=k:...:=L.=.:on:::lg~e:...:v~i:.:t-=s.:.:h----.:a:J./-=k:;L/-=a=--_ ______---=.:V>I.::::a::::s:.,::hi:::;"ng~t:::..o:=::n~County -File No.63-71-138 Dear V.II'.Longevitsh, You are hereby notified that the original appraisement in the estate of Frank Longevitsh has been filed in the office of the Register of Wills qf Washington County on June 4 ,19.71.Said appraisement reflects'the following valuations: Real Estate ~------ Personal Property __~5~.2~2~9~o~2~4L---__ Transfers ~1~I~OO~0~.~0~0~---- Total ---,--=:8:..z,..::2:.:;:2:...!.9.,:.o::;2J.::t.+---- As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (8%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Dat e J~un:;;e.:;......;4~,l-..::1~9'7:..L.:1'-------- DATE OF DEATH:July 14,1970 Note:This is not a bill. Signed Title O{Ld -7'a-¢.U ~, ALFRED TOOl ,APPRAISER I RCC-3~(5-68) ,cOMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of Longevitsh (Last Name) Frank (First Name)(Initial) a/kla DATE OF DEATH_..I...7--=14=--..L..:70=--_FILE NO.63-71-138 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of rJashington Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values set forth opposite each item in the last column to the right in Schedules "A","B","C",and "E". June 4.1971Dated:__---"-=:=-~___=:..<..J..=-_ 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 $-------+--5.229 21 1.000 00 8.229 24 $ 5.229 21 1.000 00 8.229 24 VALUE AS REPORTED VALUE AS APPRAISED $ 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 annuities.. . . . . . . . . . . . . . . . . .$t=-ESTATE TAX ASSESSMENTS $. FOR USE OF REGISTER ONLY Tax on $----------4-- Tax on $----------4-~ Tax on $----------4-- Tax on $----------4-- Tax on $----------4-- Exemptions========I==Total Estate -1-__ TOTAL TAX 2CJ'l 6% o 10% 15% * COMPUTATION OF TAX $---------l-- $---------l-- $---------l-- $-------+-- $-------+-- $---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 aft.er death :::::::::::::t== BALANCE OF INHERITANCE TAX DUE $L Add interest at rate of 6%from_____to $----J AMOUNT OF ESTATE TAX ASSESSED $--------IL- Estate tax paid $--Jl- BALANCE DUE $----~~ Add interest at rate of 6%from t= -------1to-----$-----~. TOTAL TAX BALANCE $-----~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 lAdministration~No Year .. IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF .....YAAN.K...:WN.(}~V:r:r.S.lf..Al.."I{,I..A.'!...... Deceased Late of INDEP'ENDENCE..T~;!p . ----------------------------~------. County of l1ASHDnTON Commonwealth of Pennsylvania REPORT AND APPRAISAL " • Fonn RCC-2 •• I .... DEPARTMENT OF REVENUE BUR~AU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17 12 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ~w:l.~4.J .l.91.l . COUNTY Y.la.s.hingt..QIl...•f .• FILE NO....??=.?~.:~?.?.. Whereas,¥..r..~.~~.9ng~.Y.~.t..:?,.h 9,:!;k§late of ~9:.~.p.~~.9:.~.~.~~T.~.~. in the County of w.g..~.b.ingt.Qn Commonwealth of Pennsylvania,having died on the :JA~.h day of ~.~y 19 .7.9.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,~.~p.~.9.?},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 AppraisementDescriptionofAlletValuesMadeforInheritanceTaxPurpolel $ PERSONAL: See copy attached to appraisement 5,229 24 TRANSFERS: See copy attached to apprisement 3,000 00 total 8,229 24 .. (Number and Street)......................................w.~,Penna. ........................W.A..E.>li~~g'r<:>~.......County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ............................ERANK LONGEVIT5.H.. Deceased. Late of INHDEP~~ENCE TWP .....................................•........... Date of Death,7.~lh.~7.Q . Appraisemel!t Docket Vol.,.;3.8 . Page,.+..3..$.:::.9.................No..??::7..l.:::.l.:2.?. Filed in Register's Office,J.:Wl:t:l....4.19...7.J.:.. Amount of tax dtte,$. DEPARTMENT OF REVENUE Received, Exa.mined and Approved,. Wrote abo,ltt Appmisement,. Appeal f,.om Appraisement,. Entered and charged,. , • } • Form No.RCC-62 (7-69)THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER '10,000,UNDER SECTION 701 OF AC7r OF JUNE 16,1861,) EFFECTIVE JANUARY I,1962.(FILE IN DUPUCATE WITH COpy OF WILL ATTACHED) OFFICE OF THE REGISTER OF WILLS County of , ,~~.~~~~Q.~q~...,.. '"J:i:MNIS:.~ONaE:v.lTS.CE~·.JR of :eP.~.~7~~.Ay~~~~~.J;>~M$y~y.qq~~. (Name)(Addreu) being duly §W_Q.rn .according to law,deposes and says that he is the ~~~_~_~t9..~. _ FRANK LONGEVITSH.a/k7 a (Exec.,Adm.,Legatee,Elc.) of the estate of.._.EMNK__I:!QNQE.Y.n:~~_ij_m.m._whose last residence was m~~~~---...-.....-mmm--..--n (No.)(Slreet) __._.....In.Q._e..P-~D.g~m.~_e..__T~P.~.---.deceased,and that the whole of the estate of said decedent,who died __.J.!J.J.Y_J~L_.JJ~.7.Q_(CilY,Borough or Township)(Dale) ansisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES AND RELATIONSHIP OF OTHER OWNERS. Real Estate Estimated "Value < J None , "':',..I , ~., "./I , , . Personal Property ,//A h953 Ford Sedan J7yr oJ /"..50.00 If""J..p-J ''((/7 Savings Account #8630 Mellon National Bank VJV '0 3,980.35 Commonwealth of Pennsylvania Workmen's Compensation ~J award '~J 1,198.89 • . NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death,Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number and the exact name or names in which the account is registered, ~~.-.-~--~-.~------~----~-------------------......---...--......-......---......_..., Jointly Held Property Estimated V~lue .,.-..'- S~e below under"transfers within two vearR nrior to .1 cl."- , - .~~---e~,':""-- Transfers within TWO YEARS Prior to Death .....-- Decedent by deed dated January 31 1969 conveyed to himself 1\-1/I.. .......JI.~//1 .l/T)J ]IJ and Frank LonQ'evitsh.Jr.(his son)as Joint Tenants with RiQ'ht of Survi~o;5\~000 00 ship,a lot of ground situate in Smith Township,Washington County Pennsyl- Vl=ln;l=l 1 l=lnrl rl",C:!i(]'n~t",rl ~C:!T.nt 1\1n ')1 in th","\Xl",1,...h l-Joi.".",P1""n nf T.n"7'" ~v Having erected thereon a two-story frame dwellinQ'.See Deed book 1296 page 682. That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX THIS SAFE DEPOSIT BOX RENTED IN NAME OR NAMES OF BENEFICIARIES RELATIONSHIP OF JOINT HOLDERS TO DECEDENT BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF (State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingentor otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATE forth this fact.)DECEDENT Frank Longevitsh.Jr.Son Yes Henrv LonQ'evitsh Son Yes Edmond Longevitsh Son Yes 1 _John Longevitsh aLk/a John LonQ'e Son Yes - .' , ,, DEBT OR CLAIM NATURE OF SAME AMOUNT THfS 'CO'L't)MN KEGISTER ONLY Funeral expenses paid $$ Family exemption (will not be allowed unless decedent died residing with a spouse or children,) Administration Expenses • Counsel fees • Fiduciary commission • : OTHER DEBTS AND CLAIMS (.)See Note below "/. : Total RE'SIJ)EN1J DECEDENT DEBTS AND DEDUCTIONS CLAIMED~-_.:...'-------------------------------------------------~E'List first five items in the spaces so provided observe notations thereon and instructions (Street Number) ...~9.~.~.~~, . ....:Ay~n.~•..:P.~t:lp.~y~Y.~J;l.i.~.....~.q~.~?.... (City or Town and State) Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission oi'debt is greater ".I'"than tho "ti"atnd am,unt daimod .,d all,w'd...~:'.J:/.. Subscribed and swort!to before me this -.. . . . . . . . .~~,..(Executor-Xi1fTKiH~~...~'v \';l""""0 .~1 2.\.~.....:....~>.'Qda~~~~:~~~I'".19 ..71 ....~~ft<:';~,,·..·:I:~..r~ota.ri Public'.tl v~~~'.. Having been duly sworn according to law,I do hereby certify that the above appraisement is made in conformity with law on this ................~dayOf ~~,19 ..'71 .~............«~....../.J..t.l/......:......V------ApprRI8~" In the event that any future interest in this estate is transferred in possession 01'enjoyment to collateral heirs of the decedent after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of Wills in and for County,Pennsylvania,do respectfully report that I have allowed debts and 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 said schedule above,which greater or lesser amount represents the sum allowed as a deduction. Dated:,.., ,,. Register of Wills J .J • Form No,RCC-62 (7-69) ~ill ~Administration INo../~.....Year7/.. IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF FRANK LONGEVITSH.a/k/a FRAN.~.LONo:~~rrG"ft . Deceased Late of ...Inqep~p'Q.~p.~~.T~\yp..ql].~P.... County of ..W~.~1?-~ngton.................... Commonwealth of Pennsylvania REPORT AND APPRAISAL -.. - .~ -J ./ C i \, ~....-T. )\.l I I I t .....-:-,-.;...",~~fT1 ;.._en c>,_....,-'--(,~:=;(l')v'""'~-f;.-:;rr ,':-j :=;. - 2 0 _ '---1 _ (J :; o ~::..:r--,. <:Jr-o:l:><rJ .. ~ --::t.... :;:'rJ -~ '71 "', ;:::, t.o --- .;,,~, c-:::;i ~.;:.- .4 ___,,_~_.L-..,....., LAST WILL AND TESTAMENT OF FRANK LONGEVITSH a/k/a FRANK LONGEVITCH ************************** I,FRANK LONGEVITSH,a/k/a FRANK LONGEVITCH,a widower of Slovan,Smith Township,Washington County,Pennsylvania,being of sound mind and memory,do hereby make,publish and declare this to be my Last Will and Testament,in manner and form following,hereby revoking any will or wills heretofore made by me. Ir, ~ ~.I 1 I~-~·,~, j;·, I ,. !I It,.·, ·, FIRST:I direct that all my just debts and expenses, I'j, Ii " i; including the expenses incidental to the admin-.' ,j SECOND: THIRD: istration of my estate shall be paid from the proceeds of any benefits that my estate might receive from Social Security and the proceeds of my insurance policy with the Prudential Insurance Company.. After said debts and expenses are paid,I hereby give and bequeath the balance of the proceeds of said insurance policy with the Prudential Insur- ance Company to my son,Frank Longevitsh,Jr. I hereby give and bequeath any automobile that I may own at the time of my death to my son, Frank Longevitsh,Jr. ·'., 11 i "., I <~_~•..---_;~...r __.-_-.'--#"_,•...,...................-<«_,.,._-~_~..._,..-.1"'-..--"'-,,.--...... I' ----------------.---..-- ;'. ". ___~.'>.~_4.-<>·__.••_-,_.__.,~----..----.. FOURTH: FIFTH: All the rest,residue and remainder of my estate,real,personal or mixed,of whatever nature of wheresoever situate which I may own or may have the right to dispose of at the time of my death,I hereby give,devise and bequeath unto my three sons Henry Longevits!l,Edmond .Longevitsh and John Longevitsh,a/k/a John Longe in equal shares,share and share alike in a per stirpes manner. I hereby nominate and appoint my son,Frank Longevitsh,Jr.to be the Executor,of this my Last Will and Testament. fi~ Ii I IN WITNESS WHEREOF,I have this ~day of Ja~uarYJ 1969,A.D.•signed,sealed,published and declared this instrument as and for my Last Will and Testament. by FRANK LONGEVITSH,a/k/a FRANK LONGEVITCH,as and for his Last Will and T~stament,in our presence and in the presence of each of us,and we at the ·same time and at his request,and in the presence of each other, hereunto subscribed our names and addresses as attesting witnesses,this ~.-2:1--day of January,1969,A.D. , Ii It, I i I l3_J/./$~ Affi~auit (@f tExerutnr (@r 1\bmiutstratnr ~tntt of 'tnnaylunutn } mounty of IIna1}tngton aa: Personally before me,the undersigned authority,a no.tar.y..p.ublic in and for said County and State,appeared E.r.?-)Jl~..1.9.ng~yJt.§b~...J.r.!who,being duly sworn according to law,d~poses alld f?ays that he is the executor or xlilmmt~atox:of the es-FranK:Longevltsh,at kt a "tate of Frank.L-ongevitc.h ····deceased,that the foregomg schedules const~tute a ..Frank Longevltsh,a/k/acompleteInventoryandappraisementoftherealandpersonalestateof"'Frank-'r,on1!evitch"" deceased,except real estate outside the Commonwealth of Pennsylvania;tllat 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 na~xecutor JAxlm4K~ SW(J'Yr.,and subscribed b.e.k;re me this uu.h.}V6~.L., •~"'.XC,-111,\~~tJ--,(M.~.'U-~~'f1/)~d .Feo.~\IQ'i~;&;1/..a .....···~;i.:.·..r ~:........./~...............A~....Execut -~'dmhli\S~ .......~.;./.~\.;\,~.j~..~~'~arY'11 Ie......·.... ,.~.,~c<·'"~ADDITIONAL INSTRUCTIONS~,.". 1.An Inventory must be filed within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 ~nutntnry nnb .l\pprntatmtnt of the goods and chattels,rights and credits which Frank Longevitsh,a/k/a d h' were of F.rank.Long.ev.it.ch late of .rn..ct.~P.~A ~.n..9.~'.+.qw..p..~..JP .. Washington County,Pa.,taken and made in conformity with the above affidavit. REALTY: None PERSONALTY: DOLLARS CENTS 1953 Ford Sedan Savings Account #8630 Mellon National Bank Commonwealth of Pennsylvania,Workmen's Compensation award Total 50 00 3,980 35 I,198 89 5,229 24 .'i 1 B,,~ "~ Form RC C·lO ~3-7/-/38 DEDUCTIONS ALLOWED IN j AND AGENT OF THK COMMONW&ALTH OF OFFICE OF THE REGISTER OF WILLS WASHINGTON COUNTY STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF $ ".. DA'~.~:. Register of Will.,~- J:l'HAN K .f .;.,",'VIT:::iti a I k I a ESTATE OF FnANK LQNGEVITCH LATE OF _....&I...n.looid'liOei4-p!,5;e"""nu,d.u;eOJ,u.l.loc..oJe::.....JTwo.J,;wlQU.JDi,J:lS..ubu.ip~_ DATE OF FILING APPRAISEMENT DATS OF DEATH July 14,1970 DATI!:NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCH"" BURGETTSTOWN PHARMACY Prescriptions 86 21 278 J.PAUL PROUDFIT,M.D.Services 50 00 970 SLOVAN AMBULANCE Ambulance 25 00 2RO WES1'MINSTER U.P.CHURCH Services 25 00 I ! ?Rl wAsHTNr..TON HOSPITAL Services 60 00 I 2R2 T,RR 'fi'TlNERAL HOME I Funeral Service 986.00 262 PEOPLES NATURAL GAS CO.Final Bill 14.46 263 WEST PENN POWER COMPANY Final Bill 5.33 ')~~~MT'T'H 'T'WP W A'fER AUTH.Final Bill 4.67 265 BELL TELEPHONE CO.Final Bill 3.75 9/17/1Q71 R ..........H:.T 1\/1'A RTl'JO ~H:I.;.I .....·T ~......~-14 00"':K. 2/17/1971 RUSSELL MARINO REGISTER Short Certificate 1.00 R 1~~I'<'I.T l\IfARTl'JO HEGISTER Filing-Inventorv and Aooraisem.003 RUSSELL MARINO.REGISTER Filing Debts and Deductions 3.00 BRUNNER &GREGORY ATTYS Fee 250.00 WASHINGTON COUNTY REPOR'"s Advertising 14.00 BURGETTSTOWN ENTERPRISE Advertisine 12.00 . - TOTAL 1,5S1.42 COMMONWEALTH OF PENNSYLVANIA } ~~_s.: --L:-J...cUJJ:lI.....L..LI.Ll~~~Uw4--J.l..L...H£REBY CERTIn'.THAT.TO THE BEaT OF FUNERAL EXPENSES AND ExpeNS~O~ ~t::r DAY 01" " COpy OF INVENTORY notary public Frank Longevitsh,Jr. Frank Longevitsh,a/k/aFrankLongevitch 18th February 71 Notary Public xxxxxxxxxx Frank Longevit8h,a/k/a Frank Longevitch xxxxxxxxxxx xxxxxxxxxxx Fr~.mBiI~MtAi'P1\Ptmtnt of the goods and chattels,rights and credits which were Frank Longevitch'Independence Township 01 late of········ ·..···········..···..···..····..····..······. Washington County,Pa.,taken and made in conformity with the abave affida:vit. h REALTY: None PEI1~ONALTY: 1958 Ford Sedan Savings Account '8630 Mellon National Bank Commonwealth of Penn~ylvania,Workmen's Compensation award Total DOLLARS 50 00 3,980 35 1,198 89 5,229 24 CENTS Form RC ColO DEDUCTIONS ALLOWED IN THE SUM OF $.~£~z¥<. OU'!1"JVEO:;;,p_~-:::"-.:4 ~~-Register of Wills.Agont a LATE OF Independence Township STATEMENT OF DEBTS AND DEDUCTIONS COUNTY ESTATE OF IT"BANK LONGEVITCa OFFICE OF THE REGISTER OF WILLS WASHINGTONOF _(A:D AGENT OF THI!COMMONWEALTH \..Z-#',////-.3.? OATE OF FILING APPRAISEMENT OATIO OF DEATH .Tilly 14,197Q DATI!:NO.OF NAM&:OF PAYEE REMARKS AMOUNTVOUCH"" BUBGETTSTOWN PHARMACY PrescriptionR 86 21 278 J.PAUL PHOUDFIT.M.D.Service8 50 00 ?7Q ~LOVAN AMBULANCE Ambulance 25 00 ?P.O()WESTMINSTER U.P.CHURCH ServiceR 25 00 2[1]WA~~TT1\Tr.:TON HOSPITAL Services 60 00 282 LEE FUNERA L HOlVIE FuneraL Service 986.00 262 PEOPLES NATURAL GAS CO.:F'inaL Bill 14.46 263 WEST PENN POWEH COMPANY Final BilL 5.33 ?RR H TWP.WATER AUTH.FinaL Bill 4.67SIVI 265 BELL TELEPHONE CO.Final Bill 3.75 ?/17/1Q71 R Isstd.J MAFHNO RF.nT!=:TER Lpttpr 14 00 2/17/1971 HUSSELL MARINO.HEGISTEH Short Certificate 1.00 n iSS\i~T.J M A HTNO HEGISTEH Filint"Inventorv and Aooraisem.3 00! RUSSELL MA RINO.HEGISTEn Filing Debts and Deductions 3 00 I BRUNNErl &GREGORY ATTYS Fee Clc.n nn WASHINGTON COUNTY REPOR'"S Advertising 14 00 BURGETTSTOWN ENTERPRISE Advertisin~12 00 I - T(YT'A T 1,Ml'l.42 COMMONWEAL.TH OF PENNSYLVANIA }S.:COUNTY OF WASHINGTON -'O':'.......::l>.U.D-'-u.w~;...x..LJo.i:1J""-"..s.u...........HEREBY CERTIFY.THAT.TO THI!BEaT OF "'UNERAL EXPENSES AND D:PENSU 01'" .::r ......J V)..q:0 -oJ CL2:...J .cr,-'-0~-~cw....Z'-J:-~0-. CC!-'.J:::l-Ll:" i..W "~r-....u I-;z; , -?(/)-..-' a::If)-:r:ot::::: :::>U>(/)]C a::w ..q:c::.::~;.I--->--.. ~"6 ~:'9lei'':.00 OCf-",~,2'62 <.~ .- ~.-..