The URL can be used to link to this page

Home My WebLink AboutOC1971-0239 - ESTATE OF BRLETICH. ' ... ~AST_\~IL.L ANP TEST.M1ENT. ·r, Rose Brletich, of Donora, Washington County, Pennsylvania, · being_ 9f 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 made by me heretofore. l I . f. l r i• t M tl FIRST: 'I direct all my just debts and funeral expenses be fully paid an ; j and satisfied as soon after my demise asmay seem proper by my executors hereinafter named~ SECOND: I do hereby will and bequeath unto my following children Frank,John,George,Catherine, Richard, Joseph and Edward, share anci share alike in all my real esta.te ,personal. or mixed property, of which I may die siezed. The properties which I hold are not to be sold until.all children become of age, said rentals from said properties ar~ to be used to defray the necessary expenses and keep the family in food and clothing. THIRD: I do hereby constitue ahd appoint my sons, Frank, George and John Brl.e.ticl\, to be my executors of this my Last Will and Testament. IN W_ITNESS ~IHEBEOF"i I Rose :tb:let.Ufu, the testatrix above named have hereunto subscribed my name and affixed my seal thid first day of July A.D.I943. Signed,sealed,published and declared by the above named Textatrix as and for her Last Will and Testament, in the presence of us who have hereunto subscr~bed onr names at her request as witnesses hereto, in the presence of each other. I I {/ v . ,. . . :; .. i . 1 'i • l l j f l f! I :; 'i . l ll • l i l '' \ l 'i 'j I l I j 'I j t ~ \ t ! It i! f. ~ i £ f r! ! ! . ' '' I l ; '' '. t: ' . RCC-134 (1-69) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS l~"lERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION J • TO:GEORGE BRLETICH 721 WADDELL AVENUE Date: __ _!:M~a~r~c::..!;h~214,L..-...Il"""9u7 ..... l ____ _ DONORA, PENNSYLVANIA 15033 County Washington County File No . .._3)/'-/ f"f-I Bureau File No. h 3-7/-~..3 9 7 We have received notice that, m~~~lrmXXXXXXXXXXXXXXXXXXXXXXXXXXXXXIXXXY..X on January 22 19.11.., you came into ownership of certain property through~~~ *~~~~~~~ transfer from, MRS. ROSE BRLETICH, 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 tax is hereby assessed consists of: Jt • Held U.S • Series "E" Savings Bond, held in the Safe Deposit Box of Mrs. Rose Brletich, Joseph E. or Edward A. Brletich. (1) $1000 pur. 2-64. Balance as of date of death, $966.00 appraised by the Commonwealth, as of the date of death, at $ _ _,9~6~6:!..J•a...:0~0~---- 100 % of this amount is taxable at the rate of 6 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE 0 If you pay the above amount within three (3) months of the date of death of the decedent, or on or before April 22 19 71 you may deduct a discount of 5% of the amount of tax due, or 0 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 rate of 6% per annum until paid ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ 966u·~o=o ___ _ $----------------- 57.96 --~~.Q _____ _ -. ..s-..s; ot. r'· $ S7.9e· $ ================== TOTAL AMOUNT DUE APPRAISED BY: -.:::::;:~4~~:__\.t,v.L..~~:....,._:;~ eritance Tax Appraiser} ASSESSED BY: ______________ _,_, (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: ~ ~..s;o(, ~-/.s;/97/ To insure proper credit to your account this Official Notice must accompany your payment. Mail or bring it to: If you have already paid this tax to an executor, administrator, attorney or other personal representative of the decedent for forwarding to the Commonwealth, list below the date paid, name and address of the person to whom you made payment, their official title and the amount. Date Paid Name and Address of Payee Official Title Amount Paid Under certain circums,tances, 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 the payments below, execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow those wliich 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 personal representative of the decede~t 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 (attach separate sheet if requ~red) COMMONWEALTH OF PENNSYLVANIA) COUNTY 0~-------- SS: . - TOTAL $ 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 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 __ . Signature of Taxpayer REPORT OF REGISTER OF WILLS 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 -. RCC-\34 I t-69) (. ) ~ COMMONWEALTH o;:: PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ll'j.HERITANCE TAX .DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION ' TO: JOSEPH BRLETICH 232 CASTNER AVENUE Date: _ __:.~=fa=-=r-=c:.::h:..._.=2.1., _1::::.9.::_7!_:1:::._ ___ _ DONORA, PENNSYLVANIA 15022 County ___ W_a_s_h_i_n.....::g~t_o_n ____ _ County File No. _J_·_·_%_-_/_¥__;_Y_-__ / __ Bureau file No. £3-7/~2..3 9 ; We have received notice that,X~XXXXXXXXXX.XXUXXXXXXXXXXXX:.XXXXXXXXX on Janua ry22 19--11., you came into ownership .of certain prop.erty through ~.x:.BUllxMX~ ~~~X~~XK transfer from, MRS. ROSE BRLETICH, 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 inher.itance tax due is imposed upon you, as transferee. The property on which tax is hereby assessed :eonsists of: Jt. Held U.S. Series "E" Savings Bonds, held in the Safe Deposit Box of Mrs. Rose Brletich, Joseph E. or Edward A. Brletich. (1) $1000 Bond pur. 10-53 and (1) $25 pur. 6-45. Balance as of date of death, $1,406.39. appraised by the Commonwealth, as of the date of death, at $ 1. 406 • 39 50 %of this amount is taxable .at the rat·e of 6 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NETTAXABLEAMOUNT AMOUNT OF TAX DUE D If you pay the a:bove amount within thr.ee (3) months of the date of death of the decedent, or on or . before April 22 19 71 you may deduct .a discount of 5% of the amount of tax due, .or D This tax became delinquent, fifteen (1.5) months .after the date of death and, in addition to the tax, statutory .interest at the rate of 6% of the tax p.er annum is also due as of* ____ _ l9 __ in the amount of *If the tax is not paid by the above date additional interest .is du.e at the rate of 6% per annum until paid TOTAL .AMOUNT DUE ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ __ ....,:7~0:.::3~·.:::2.!::.0 __ $------------- 42.]9 2.11 $ 4,2.11 $ ================= ASSESSED BY: ______________ _ {Agent for the Commonwealth) INSTRUCTJO'NS TO TAXPAYERS M:ke /)ks or mc:;;y orders payable to: ~~ fLClra2?' ~./.s;/7',?/ I o 1 nsure proper credit to your account thi.s Official Notice must accompany your payment. Mai I or bring it to: ~~~ ~ ;v9/t 1<~ H liM~ /} ,/ /J j c AGEtH FCR THE COI'JI!.10NWEALTH ;{t( e-,# // /o( r o J o COUiil HOUSE YJASHtrlGTotJ, ?ENtJA. 15301 If you have already paid this tax to on executor, administrator, attorney or other personal repfesenta.ive of the decedent for forwarding to the Commonwealth, list below the date paid, nome and address of the person to whom you made payment, their official title and the amount. Date Paid Name and Address of Payee Official Title Amount Paid 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 the payments below, execute the affidavit, and return this notice. The Register of Wills will examine 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 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 (attach separate sheet if required) COMMONWEALTH OF PENNSYLVANIA) COUNTY 0~--------- SS: Amount Paid TOTAL $ 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 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 __ _ Signature of Taxpayer REPORT OF REGISTER OF WILLS 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$ --------n Date of Approval: ______________ _ Register of Wills I 'I Fonn RCC-2 • . .. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ,. HARRISBURG, PENNA. 1 7 1 2 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ........ ~?:~.C::l.:l ...... !.2 . .?. .... J.::.?.?..J.:: ............................... . COUNTY ... Y.f.'!J:.~.l?:?.~?.? .............................................. . FILE NO. . .......... §?..::7.!::.?.?..?. ...................... -................... . Whereas, ....................................... NB.?. .. ~ ... .R9$..:B:. ... ;!?.~'r..W.H .................................................. late of ...................... P.9..~9..~:!\ ................................................................. . in the County of .............................................. W.A§.HJ.NG.'IQN ....................................................... Commonwealth of Pennsylvania, having died on the ................................. 22d .................................................. day of ................. January ..................................... 19 .... 7.l., seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ...................................... f.RAN.G.f.§ ... JJ.;Q ......................................................... , an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for 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 Purposes $ Jt. Held u.s. Series 11E11Savin.gs Bonds~ held in the SAFE DEPOSIT BOX OF MRS. ROSE BRLETICH JOSEPH E. OR EDWARD A. BRLETICH. ill Jtl_4_000 Bond pur 10-53 and (1) $25 pur. 6-45. Balance alii of date of death.L $1,406.39 1,408 39 .Tt. HP.1 n II _g .Series "E" Savings Bonds held in the SAFE DEPOSIT BOX of MRS ROSE BLETICH JOSEPH E. OR ED HARD A. BRLETICH. (1) $1000 pur 2-64. Balance as of date of death, $966.00 966 00 form~;·~':fh bl:~ ::~h~w"""~~~~:· ~.~ :;~~~~ ==~~ =":t~= .. ~~ ppratser • ........................................... ....................................................................................................................... w~ ............................................... ·· ··· (P~···ofti~· ····· :. · ···· ····· .. ····• Penna. ' WAE.ilfi:NQ'r.Q~L County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ..... MRS •... ROS.E ... BRLET.IC.H .... Deceased. Late of DONORA ...................................... ····•····················································· Date of Death, ............... :1,::??.:::-.7:1, ....................................... . Appraisemellt Docket Vol., ............... JJL ........................... . Page, .... :JA.?.~~···················· .. No ..... ??..::?..~:.~?..?.. Filed in Register's Office, ..... ~'1..!.:.~ .... ~.? ... 19 ... ?..~. Amount of tax due, $ ................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal j1'om Appraisement, Entered and charged, \. • 1 ;- ; COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS IN~.ERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION TO:_.IOHN BRLETICH 910 MELDON AVENUE _ ___;;D;..;;;O..;.;N..:;..;ORA;;..:.;.;..,;,~P....;.E;;.;.;NN=S....;.Y..;;;;L..;..VA;....N....;I.._A __ ....;;1:...;...50 33 Date: March 2, 1971 County Washington County File No. ________ _ Bureau File No. 6J-?1',;23cz We have received notice that, H~OCXXX.XXXXXXXXX:XXXXXXXXXXXXXXX:XXXXXXXXX on .January .22 19_11, you came into ownership of certain property throug~~~ ~.uciwmmu transfer from, MRS. ROSE A. BRLETICH, deceased. Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable and the I iabil ity 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. Hi:i:d U.S • Series "E" Savings Bonds, held in the Safe Deposit Box of Mrs. Rose Br1etich, Joseph E.or Edward A. Bdetich. Donds are issued in the names of MRS. ROSE A BREETICH or JOHN A. BRLETICH. (9) $100 Bonds pur. from 2-44 to 8-44. (1) $1000 Bond pur 1-58. Balance as of date of death, $2,825.72. appraised by the Commonwealth, as of the date of death, at$ 2,825. 72 100 % of this amount is taxable at the rote of 6 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE 0 If you pay the above amount within three (3) months of the date of death of the decedent, or on or before · April. 22 19 71 you may deduct a discount of 5% of the amount of tax due, or -0 This tax became delinquent, fifteen (15) months after the dote 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 TOTAL AMOUNT DUE ~/1/J -/ ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ -~2_,_, !.Z.S 2!!.l5>LJ•w7u2L----$----------------- 169.54 8.48 $ 169.54 $ ============= APPRAISED BY: C---/._~..P,.-/~A:'-~ ASSESSED BY: _____________ _ (l~fitance Tax Appraiser) (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS ·Make checks or money orders payable to: w ~// / ~~/ 9'?./ r~ /19 . (} (.? ;?Lc-,I /P/.ty' F/J- To insure proper credit to your account this Official Notice must accompany your payment. Mai I or bring it to: AGENT FOR THE tO~'lrJh..N •• c:.I-L. COURT HOUSE WASHINGTON, PENNA. 15301 If you have already paid this tax to on executor, administrator, attorney or other personal reppe of the decedent for forwarding to the Commonwealth, list below the date paid, nome and address of the person to whom you mode payment, their official title and the amount. , • Date Paid Nome and Address of Payee Official Title Amount Paid Under certain circumstances, if, after the dote of death of the decedent, you personally paid funeral expenses or other just debts ~fthe 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 the payments below, execute the affidavit, and return this notice. The Register of Wills will examine the debts claimed and allow those which he determines to be proper. The tax will then be recomputed and you will receive on 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 some debts ore not also claimed, for tax purposes, by on executor, administrator or other personal representative of the decedent hand I ing the ad min istrotion 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) SS: COUNTY OE _______ _ 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 pay out of the property herein taxed. I further certify, that to the best of my knowledge and belief, these some debts will not be claimed by any other person, for inheritance tax purposes. SWORN AND SUBSCRIBED BEFORE ME THIS ___ DAY OF ________________________ 19 ___ . Signature of T ox payer REPORT OF REGISTER OF WILLS 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 I Form RCC-r' '-,._ J' COMMONWEALTH OF PENNSYLVANIA DATE ... Mar.c.h .... .9., ..... l97.l .......................... ············· DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX viAS HINGTON BURE~U OF COUNTY COLLECTIONS COUNTY ............................................................................. ················ . .-HARRISBURG, PENNA. 17727 APPRAISEMENT FILE NO .......... .63~.71~23.9. ....................... -................... ~ Whereas, ............................ l1!.!:~ .. ! ..... ~.9?..~ .... A.~ ..... ?.~.~~.~9..~ ............................................... late of .............................. P..9~9!.~ ............................................................ in the County of ...................................... Washingt.on .............................................................. Commonwealth of Pennsylvania, having died on the ................................. ?.?4. .................................................... day of ........................... ~~!1:~!..!. ........................... 197~ ..... , seized and possessed of an estate 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 Auet Values Made for Inheritance Tax Purpo10s $ Jt Held U.S.Series #"Eu Savings Bonds held in the SAFE DEPOSIT BOX Qf. MRS. ROSE BRLETICH. JOSEPH E. OR EDWARD A. BRLETICH. Bonds are issued in the names of MRS. ROSE A. BRLETICH OR JOHN A. BRLETICH, ( Q{l !1;1 00 Ronils. nur from 2';..L,k to 8-/.Ji (1) $1.000 Bond pur 1-58. Balance as of date of deat h, $2,825.72 2,825. 72 Having been duly sworn according to law, I do h~reby certify that the above appraisement is made in con- formity with law on this ................ ~ ........ day of ~~ ~ ~~ Appr ser ··········································································································································· ······················· ( Number and Street)" ......................................... ~~ ................... , Penna. (Post 0 e) WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ...................... }ms..~ .... RO$~ ... A~ .. .J?.~'I'::r.9..It ................... . Deceased. Late of .PO NORA: Date of Death, ................ 1~22~71 ......................................... . Appraisemel!t Docket Vol., Page, No. . .... 93~7l~?3..9 ......... . Filed in Register's Office, ....... ~!..<::1.1: .... ?. ...... 19.7.~ .. . Amount of tax due $ I ··································································•·• DEPARTMENT OF REVENUE Received, Kra.mined and Approved, Wrote abo.ut Appra-isement, \ Appeal f,.om Appraisement, Entered and charged, ... ( I RCC-134 I 1-69) COMMONWEALTH OF PENNSYLVANIA 1?-EPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ~ INHERITANCE TAX DIVISION OFFICIAL: NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION / TO: MRS. CATHERINE CARABIN 20 SECOND STREET EST. Date: ----=-M.:.::a.:.::r-=c=h:.........=2:..z,--=1~9...:..7.::::1 ___ _ County ___ lwva-s~...~h .... i..~.~nlig,_..t.J.oun'------ DONORA, PENNSYLVANIA 15022 County File No. _________ _ Bureau File No. &.~J · 2/-e6J? We have received notice that,HXl.~n1Kd!lJOQ:f{XXXXXXXXXXXXX.XXXXXXXX¥_.._UXXXX.XXXXXXXX on__Januacy 22 19..21.., you come into ownership of certain property through ~DX~J®o.Y.!I08i!Xfi YC~XiiNKti..X~XJt.IJtX~~UUX transfer from, MRS. ROSE DRLETICH, deceased. Under the Inheritance and Estate Tax laws of the Commonwealth of Pennsylvania such transfers ore taxable and the liability 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. Held U.S. Series "E" Sayin~:s Bond, held in the Safe Deposit Box of NRS. Rose Drletich, Joseph E. or Edward A. Brletich. (1) $1000 Bond, pur. 2-64. Balance as of date of death, $966.00 appraised by the Commonwealth, as of the dote of death, at $_---..:9:..6:..6;:;...:..•.:::.0.:::.0 ___ _ 100 % of this amount is taxable at the rote of 6 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE 0 If you pay the above amount within three (3) months of the date of death of the decedent, or on or before April 22 19 71 you may deduct a discount of 5% of the amount of tax due, or D This tax become delinquent, fifteen (15) months after the date of death and, in addition to the tax, statutory interest at the rote 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 rote of 6% per annum until paid TOTAL AMOUNT DUE ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ _ _:::9:.!:!6~6.t...::. 0~0~--$----------------- 57.96 2.90 $ 57.96 $ ================ APPRAISED BY:(~,~Y::.-7 ______ ~..,.,-/~ ASSESSED BY: _____________ _ ) ·tlheritonce Tax Appraiser) (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: ~ $0~Gc: ~~ /~/Y'// £?_# ~./~_;:;~~ To insure proper credit to your account this Official Notice must accompany your payment. Moil or bring it to: Huti·~T fGt! HIE corM.10NWEALTH COURT HOUSE WASH!f~GTtnt PENNA. 15301 If you have already paid this tax to an executor, administrator, attorney or other personal representative of the decedent for forwarding, t,g.__ the .. Commonwealth, I ist below the date paid, name and address of the person to ,:whom you made payment, their official title and the amo.unt. . · ·,'""-:. Date Paid Name and Address of Payee Official Title Amount Paid 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 the payments below, execute the affidavit, and return this notice. The Register of Wills will examine 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 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 Obi igation Amount Paid TOTAL $ (attach separate sheet if required} COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF: ________ _ 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 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 __ Signature of Taxpayer REPORT OF REGISTER OF WILLS 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 -- I : ~ ' Fonn RCC-2 COMMONWEALTH OF PENNSYLVANIA • DA~ ............. ~9.h .... ;!:,?. . .?. ..... ~CZ7..~ ........... . D_EfARTMENT OF REVENUE ' BUREAU OF COUNTY COLLECTIONS COUNTY ......... W.~e.@.P.:~.<?.P.: ....................... . HARRISBURG, PENNA. 1 7 1 2 7 RESIDENT INHERITANCE TAX APPRAISEMENT FILE NO ...... ??.:?..~:?.?.?. ................................................ .. Whereas, ............................................. Mr.~ ...... R9.§.~ .. J?.r..l.~.t..;i&h ........................................ late of ...................... ~~.?.:.~ .................................................................. . in the County of ..................................... W.:§..~h~P.:g:t-..9.~ ............................................................... Commonwealth of Pennsylvania, having died on the ................................. ?.?.4. .................................................. day of .................. ~~I.?:~.!.;Y.'.................................... 19 .. 7.~.... seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; RANGES LEO Therefore, I, F 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 Purposes $ Jt. Held U.s .S.eries "En savings bonds, held in the SAFE DEPOSIT BOX of' MRS. ROSE BRLETICH. JffiEPH E. OR EDWARD A. BRLETICH, (1~ $1,000 Bond. pur, 2-64. Balance as of date of death, $966.00 966 00 form~;"!.':fh b.:~ ::rh~worJl ~~~~:.t=: ~.~ o~-:~~ =~~~~i~~i~~?~ pratser ......................................... it)d~~··,··· .................................. ..................... Penna . ............................. , I ' I I I 1il,~~~f.lg~<;)!J: ..... ... . ...... ······· County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .... Hr:? ..•. R.o~.E3. .... 13.r..l~t.~Gh ................................. . Deceased. Late of Donora Date of Death, ................ J~?..?:-:7~ ...................................... . Appraisemel!t Docket Vol., Page, No ...... 63-71-239 ··········································· Filed in Register's Office, ........ M9..J~.9.h ... .l.~ .... J9 ... 7.l.. Amount of tax due, $ .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal f,.om Appraisement, Entered and charged, l .. 0'· RCC-134 ( 1-69) COMMONWEALTH OF PENNSYLVANIA DEf!ARTMENT OF REVENU~ ~ • BlJ-R~ifAU Of' COUNTY COLLECTIONS INHERITANCE i"AX DIVISION OFFICIAL NOTICE QF INHERITANCE TAX " Af!P"RAISEMENT ANO ASS-ESSMENT OF ASSE'fS NOT SUBJECT TO ADMINISTRATION j TO: ED\t/ARD BRLETICH Date: __ ---..:..:M:..:.:a~r:....:c..:::h:.......-=2....z.,--=l-=-9..:..:71=----- . 719 \'lADDELL AVE.t\TUE County ___ ...:.\v:....:a:..:s:.:h::.:i:..:n:.:.lg;.;2..t::..:o::..:n:.:._ ___ _ County File No. Jf-/~/ Bureau File No. <:; 3 -l/ -o{3 f We have received notice thor, oX~KiXJXXOC~X,IXXXXXXXXXXXXXXXXXXXX.XXXXXXX.'X:XXXXXLXX on_ .. January 22 .. 19.71, you cort'le into ownership of certain property through ](jliOO~JU:~~'X *~~~~X~~~vruL'X transfer from, ~ms. ROSE BRLETICH, deceased. DONORA. PENNSYLVANIA 15033 Under the Inheritance and Estate iax Lows of the Commonwealth of Pennsylvania such transfers ore taxable and the liability 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. Hold. U.S •. Series . "E11 Sayings Bonds, held in the .Safe_ Dep0.s.it. Box. of }1rs L Rose Brletich, Joseph E. or Edward A. Drletich. Jlonds_ held in the names of Em{ARD BRLETICH or ~ms. ROSE . BRLETICH. (1) $1000 pur. 6~54 and .(1) $25 .. pur 2-44. Balance as of date of death $ 1 354.32. --· ---'. ' ' .. . ..., , ······ .. " .. . ... ····· . ' appraised by the Commonwealth, as of the date of death, at $ 1' 354 • 32 . 50 %of this amount is tdxable dt the rote of .... ,IJ'. (; % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET T AXASLE AMOUNT AMOUNT OF TAX DUE 0 If you pay the above amount within three (3) months of the dot:\ of ~ffh2o~ the de.tfdent, or on or before I I ••• P . . _.I •• -~ 19 . I • you may deduct o discount of 5% of the amount of tax due, or 0 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 dote additional interest is due at the rote of 6% per annum until paid TOTAL AMOUNT DUE $ ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ -· ~~-=6 7.!.....7!....!.!..:!11:¥,6 __ $---------------- 40.63 2.03 -,;,;,;;, ------------- "49. 63 $ ============== ASSESSED BY:~-~---'--""~~~~~-~---- (Agent for the Commonwea It h) INSTRUC:"f_IONS TO JAXPAYE~$ Make checks or money orders payable to: ~ +J/?0 ~&L /{', lfJ/ f?e.--/ ~/dJP~.f To insure proper credit to your account this Official Notice must accompany your payment. Mail or bring it to: If you have already paid this tax to an executor, administrator, attorney or other personal representative of the decedent for forwarding to the Commonwealth, list below the date paid, name and addr~ss of the. person t~.whom you made payment, their official title and the ameunt.• .··-, . .. • . ., "' • Date Paid Name and Address of Pa>:ee Under certain circumstances, if, after the date of death of the d or other just debts of the decedent, with funds derived from the Official Title Amount Paid ecedent, you p,ersonally paid funeral expenses property herein taxed, such amounts expended by you may qualify as deductions against the gross value of th e property in the computation of tax due. If any commended that you itemize the payments below, Wills will examine the debts claimed and allow ecomputed and you wi II receive an amended such expenditures meet all of the three following tests, it is re execute the affidavit, and return this notice. The Register of those which he determines to be proper. The tax will then be r assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: 1-You were personally legally responsible for these debts, an 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, b y an executor, administrator or other stration of the general estate of the personal representative of the decedent hand I ing the admin i decedent or any other transferee. SCHEDULE OF DE BTS Date Paid Name of Payee Description of Obligation Amount Paid TOTAL $ {attach separate sheet i f required) COMMONWEALTH OF ·PENNSYLVANIA) SS: COUNTY OF: ) I, hereby certify tho t the foregoing is a just and true statement of ------------• for which I y herein taxed. I further certify, that to !he funeral expenses and other debts of the decedent, was legally responsible and which I did pay out of the propert 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_. Signature of Taxpayer REPORT OF REGISTE R OF WILLS I, the undersigned, duly elected Register of Wills in and forth e above county, do respectfully report that I have allowed deductions listed above in the total amount of$ --------------e Date of Approval: Register of Wills -, Form RCC-2 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ... Mg,;r.g,h ..... J.2.., ...... l..'lJl ......................................• .PEP~RTMENT OF REVEifUE Bfm.EAU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 1 2 7 COUNTY ... 1.'!<3.:~!'.1.~P.:B.~.~················································ FILE NO •... ?.?..:.?.~.:~?. .. ?. .............................. _ .................. . Whereas, ............................................... ~.~.~ .... ~~.~~ .... ~~~~.~.~~·~······································ late of ......................... ~~~g~~·································································· in the County of ........................................ !!~.~~.~.g'!?..~ ............................................................. Commonwealth of Pennsylvania, having died on the ...................................... ??.9.-................................................ day of .................. ~C:l..~~··································· 19.7..:!:-... , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania· • Therefore, I, FRANCES lEO an appraiser dul:y-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 Descri ptlon of Asset Values Made for Inheritance Tax Purposes $ .It. HP-1n TT.S SP.7'iAl=l IIF,II S;:nri na!=l Rnnr'l!=: hP1r'l in t.hP SAFF. nF.PnST'T' mY of MRS. ROSE BRIETICH. JOSEPH E. OR EmvARD A BRLETICIL_ B__oruis_ he_ld _i the names of EDWARD BRLETICH OR MRS ROSE BRLETICH (1) $1 ._000 __D]J_I'_ 6-54 and (1) $25 our 2-44. Balan_c_e as of date of death _$1 .11)1.. ~ 32 1 .1'il. 11? form:!;"!,~hbl:~ ::~:.w<>rJla~r~ ~~ .~·~~~~c~~~~~~ pra1 er .................................................................................................................................................................... /c)"~ ...................................................... ... . . .. .. . . .................... , Penna. (Post Offiee I I WASHINGTON County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of MRS. ROSE BLETICH Deceased. Late of ...... OONORA ................................................................. . Date of Death, ...................... 1~22~.71 ................................... .. AppraisemeHt Docket Vol., .......... ?.?. ................................... .. Page, 149-1 No. .. .. §.?..~7~::?..?..9. .......... .. Filed in Register's Office, .... )~~.<?~ .... ~ .... 197.3.-: ... Amount of tax dtte $ , ····································································· DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal j1'om Appraisement, Entered and charged, ; /' ' " fo R c c-134 { 1-69! COMMONWEALTH Oi" PENNSYLVANIA DEP..1{RtMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ~INHERITANCE TAX DIVISION TO:. RICHARD. BRLETICH I 'I, . . , , O~FICIAL: N.OTJc;E:a.,. !_NHERITANCE TAX APPRAISEMENT A"ND AS'SESSMENT Of= ASSETS NOT SUBJECT TO ADMINISTRATION Dote: March 2, 1971 8 RIDGE AVENUE, RABE MANOR County \\'ashington DONORA, PENNSYLVANIA 15023 County File No. 3t'-;49-J BureouFileNo. ~J -'Jf .. ;J.Ef We hove received notice that, ~lUL~XXXXXXX..UXXXX.XX.XXXXXXXXXXX.XXXXXXXX on , January 22. 197L, you come into ownership of certain property through r~K~ii~Ii~~~lXU :JWDX~~~ transfer from, }fRS. ROSE BRLETICH, deceased. Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers ore taxable and the liability for the paymerlt of the inheritance tax due is imposed upon you, as transferee. J The property on which tax is hereby assessed consists of:_ Jt. Held USS, Savings Bond, Series "E", held in the Safe.Deposit Box _of Mrs. Rose Brletich, Joseph E. and Edward .A.._Brletich,. (1) $1000_pur,10 .. 53. Balanceas ofdate of death, $1,363,20. appraised by the Commonweolth, as of the dote of death, at$. 1.,3.63.20. 100 % of this amount is taxable at the rote of 6 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT Of= TAX DUE D If you pay the above amount within three (3) months of the dote of death of the decedent, or on or before April 22 _ 19_1!._, you may deduct a discount of 5% of the amount of tax due, or 0 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 *----~~ l9 __ in the amount of *If the tax is not paid by the above dote additional interest is due at the rate of 6% per annum until paid $ ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ ~· _.=l..t..L::!,.36::::.:3~. •:..:2:.::0~-$------------------ 81.79 4.09 ----------- __ ....,... _______ _ 81.79 $ -========== ASSESSED BY:_.~~--~-------- (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: ~~ d(7'1.?6 ~/h.,;YF&/ To insure proper credit to your account this Official Notice must accompany your pilyment. Mai I or bring it to: AGENT FOR THE CGr.1r,mtt .• ~.oh-. COURT HOUSE WASHINGTON, PENNA. 15301 If you have already paid this tax to an executor, administrator, attorney or other personal representative of the decedent for forwarding to the Commonwealth, I ist belo~the date paid_. JHtme\and address of the person to whom you made payment, their official title an~ the ~QlOIJ_Il}L~·-,' · '• . ,..,'" Date Paid Name and Address of Payee Official Title Amount Paid 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 the payments below, execute the affidavit, and return this notice. The Register of Wills will examine 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 persona I representative of the decedent hand I ing the administration of the general estate of the decedent or any other transferee. SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obi igation Amount Paid TOTAL $ (attach separate sheet if required) COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY Of _______ _ 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 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_ Signature of Taxpayer REPORT OF REGISTER OF WILLS 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$--------· Date of Approval: ______________ _ Register of Wills Form RCC-2 DEP~tRTMENT OF REVENUE ...- B~AU OF COUNTY COLLECTIONS HARRISBURG, PENNA. 17 1 2 7 COMMONWEALTH OF PENNSYLVANIA -· .. I ,. DATE ........... !1.9.::r..9..l:J: .... ?.?..1. ...... ~9.7..~ ........... .. RESIDENT INHERITANCE TAX COUNTY ....... :v!.~?.!?.:.!Y,$.:1?..?.?.: ......................... . APPRAISEMENT FILE NO. .. .......... ?.?..:?..~:.~~.?. ........................................... .. Whereas, ........................................ : ....... ~~.~.~ ... ~9.:?,.~ ... ~~.~.~.'!?.~ .. <?~ ..................................... late of ......................... P·.?.~.~~ .............................................................. .. in the County of ............................................. ~~.~.~-~~.'?.!:!: ...................................................... Commonwealth of Pennsylvania, having died on 22d January 71 . the .............................................................................................. day of ............................................................................... 19 ............ , seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ............................. ~ ........... ~~~~~ .... ~ ......................................... , 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. Description of Asset Jt. Held U.S. Savings Bonds, S.eries "E" held in the SAFE DEPOSIT BOX of }ffiS. ROSE BRLETICH, JOSEPH E. AND EDWARD A. BRLETICH. (1) $1,000 pur 10-53. Balance as of date of death, $1,363.20 Unit Values $ Appraisement Made for Inheritance Tax Purpotes 1,363 20 Having been duly sworn according to law, I do h'Jreby certify that the above appraisement is made in con- formity with law on this ............................... ~.Qf. .............. day of .......... · .. ·.~·.·.·.·.·.·.·.·.~.·.·.·.~~·.~~·.·.·.·.·.·.·.·.·.·.· .. ·.·.~·.·.·.·.~·.·.~·.·~·.~~~.··.~~~·.~·.·~.· .. ·.·.~.· .. : Appraiser ................................................... 0.~ .............................. , Penna. ... Wa,~h:i,n.g~<?I:l .. . ...... . County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of Mrs. Rose Br1etich Deceased. Late of Donora Date of Death, ................... 1-22-71 ································································· Appraisemel!t Docket Vol., 38 Page, 149-1 63-71-239 ····················· Filed in Register's Office, ..... ~~~.~.~ ... 3.~ ... 19 71 ............. Amount of tax due, $ .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal ft'om Appraisement, Entered and charged, •J ,1. ~ RCC-134 I 1-691 COMMONWEALTH OF PENNSYLVAN!..A. DEPARTMENT OF REVENUE BU REf.U• OF COUNTY COLLECTIONS . INHERITANCE TAX DIVISION .• j ~ ._ . I l-..~ .-~..,..I,.• ~ ~OF':'t.:IAL.: NOTICE o·F INHERITANC'E'TAX APPRAISEMENT AND ASSESSMEi'iT OF ASSETS NOT SUBJECT TO ADMINISTRATION J ,. --~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ TO: FRANK BRLETICH 69 ST. NICHOLAS DRIVE DONORA, PENNSYLVANIA 15033 Dote: March 2, 1971 w h. County as 1.ngton County File No. s-31-/<ff ~ J Bureau File No. ~J-1 {-2-3J We hove received notice thot,~mKfXtiXli&IJOUXXXXXXXXXXXX.X.XX:XXXXXXXXXXXXXXXXXXXXX on January 22 19 71, you come into ownership of certain property through~~ iX~~X~L11XX transfer from, .MRS. HOSE BRLETICH, deceased. Under the Inheritance and Estate Tax Lows of the Commonwealth of Pennsylvania such transfers ore taxable and the liability 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 • Htid U.S • Serme "E" Saiings Bond held in the Safe Deposit Box of Mrs. Rose Br1etich, Joseph E. or Edward A. Brletich. (1) ~1000 Bond pur. 2-64. Balance as of date of death, $966.00. appraised by the Commonwealth, as of the dote of death, at$ 966.00 100 %of this amount is taxable at the rote of 6 % DATE OF ASSESSMENT TAXABLE AMOUNT LESS: ALLOWED DEBTS NET TAXABLE AMOUNT AMOUNT OF TAX DUE D If you pay the above amount within three {3) months of the dote of death of the decedent, or on or before April 22 19 71 you may deduct a discount of 5% of the amount of tax due, or D This tax become delinquent, fifteen {15) months after the dote of death and, in addition to the tax, statutory interest at the rote of 6% of the tax per annum is also due as of *------ l9 __ in the amount of *If the tax is not paid by the above dote additional interest is due at the rote of 6% per annum until paid $ ORIGINAL ASSESSMENT AMENDED ASSESSMENT $ --=9~6~6~·~0~0 __ _ $~--------------- 57.96 2.90 57.96 $ ================== ASSESSED BY: _____________ _ (Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: ~ $S:OC:. ~ c.2~/f' 7/ ?11 /f'?(z-t~ 9/Y 10-- To insure proper credit to your account this Official Notice must accompany your payment. Moil or bring it to: 1(~//;U{~ AGENT fOH THE COMMONWEALTH COURT HOUSE WASHINGTON, PENNA. 1530J If you have already paid this tax to an executor, administrator, attorney or other personal representative of the decedent for forwarding to the ConTriieT'rW6\9Lth, list beJow ,the. date paid,.,jt:~me~IJ..d .a·ddress of the person to whom you made payment, their official title anr.f.the-amo:mt.. • ·· •.. Date Paid Name and Address of Payee Official Title Amount Paid 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 the payments below, execute the affidavit, and return this notice. The Register of Wills will examine 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 personal representative of the decedent hand I ing the administration of the general estate ofthe decedent or any other transferee. SCHEDULE OF DEBTS Date Paid Name of Pay_ee Description of Obligation Amount Paid TOTAL $ {attach separate sheet 1f requ 1 red) COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF: _______ _ 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 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 __ . Signature of Taxpayer REPORT OF REGISTER OF WILLS 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 Approve I:--------------------------Register of Wills Fonn RCC-2 DEPftRTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS , HARRISBURG, PENNA. 1 7 1 2 7 ~ COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE ............... Mar..ch .... 25., .... .J...97l ......... . COUNTY ..... ~~-~-~-~-~~-~···························· FILE NO •............ ?.?.:?.~:~.?.~ ..................... -.................... . Whereas, .................................... ~.~-~----~~-~.~ .... !?.~.~~-~~~················································· late of ............................... P?.~.~!:.~ ......................................................... . in the County of .................................... ~~-~~-~~-~?.~ ................................................................. Commonwealth of Pennsylvania, having died on the ............................... 2.~4. ...................................................... day of .................. ~~~:C.:Y. .................................... 19 .... ?.?.:, seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ......................... MB.$. ...... ~ .... f.RA~~--. .+.~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 c h val e f 11 "t' d l'f t t t f · d t t h b fil th f II t as u 0 a annul 1es an 1 e es a es growmg ou 0 sa1 es a e, ere y e e 0 owmg appra1semen : 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 Aaset Values Made for Inheritance Tax Purposes $ Jt. Held U.S.Series "E" Savings Bonds held in the SAFE DEPOSIT BOX of MRS. ROSE BRLETICH, JOSEPH E. OR EDWl\.RD A. BRLETICH. (1) $1,000 Bond pur. 2-64. Balance as of date of death, $966.00 966 )Q form:!;·!,':~hb:: ::fh~w!>l"ll ·:t~~~: ~.~ .~~~~~ =;~~~?~is* .' Ap atser ·········································································································· .. ···················································· U/.. ~~mber and J;:•t> . a.-""'-.b-. Penna. ··································· ······················~····~······ . ................................ , (P. Offil!e) p==-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=------------------------------------------------------------------------------------------------------------------------------------------------------------------- __ .. ----------___ ..... WASHI..NG.'L'QN ____ _ _ ___ County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ________ MRS •. RO.S.E ... .BRLE.TJCH. .................................. . Deceased. Late of DONORA Date of Death, ................ l.~?.?~7.l.. ........................................ .. Appraisemel!t Docket Vol., ......... JJL ................................. . Page, .... 14.9~1 ......................... No ...... 9.3..~7.l.~?3..? .......... . Filed in Register's Office, ----~~9.h .... ?.?. ....... J9.7:1.: .. . Amount of tax dtte, $ .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra-isement, Appeal f1'om Appraisement, .. Entered and charged, /' ,. -·-------------------------------------------------------- Form RCC-33 RESIDENT DECEDENT COMMONWEAlTH OF PENNSYlVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF IMPORTANT: This return must be completed in detail and riled in duplicate, with will attached, with the· Register or Wills of the County where decedent resided; Return is due within one year after date or death, unless an extension is granted by the Secretary or Revenue. (Section 703 or the Inheritance and Estate Tax Act or 1961.) -~?..~.~. _B.;~ .. ;!~.~;;(.;?; .. ~~SE:.T!,~E .. ~~ ............................ };::UA;;: OF (State full name of decedent) Washington ADMINISTRATOR Late of ...... .. ...... . . .... ... .. . . . .. .. . ... .. .. ................. County ::.: .~ ~~~~::~:~:~~~~: ~:-_~:~:=} '" ........................... F.rank ..... J~.r.lett.ch ..................................................... : .... . Eucutor of the estate of the above-named decedent being duly sworn, depose and say Decedent dJed ...... J.a.D.~J:'Y (Month) 22 ...................... , 19 ......... I~ .. .J testate leaving a last will, copy of which is hereto attached. } (Hay) (Y...,r) l intestate ........................... FRA.NK .... BRLETI.CH ................................... . Name and address of attorney or} other authorized representative to ···· .... ······ whom all correspondence should bf!.., __ .............. ~ .. .... 69 S'I'~ NlG!IO.~A$ P.:IP:~ ~?C~!:l~~g!:J .... ................................. .. mailed. · . . · -· DONORA, PENNSYLVANIA 15033 That as such Fr.ank .. :.Brletich deponent is familiar with the affairs of said estate and the property con- (J;:xecutor-Administrator) Rtituting 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 National Bank & Trust co. Mrs. Rose Brletich Donora, Pennsylvania 15033 JosePh E. or Edward Sons Brletich That the contents or said sare deposit box or boxes are itemized under Schedules of this ---return, with the exception or the rollowing, ror the reasons hereinarter set rorth: That Sc.hedule A attached hereto and made part hereof sets forth full v and in detail all the real property in the Commonwealth or Pennsylvania or which decedent died having an interest therein. It also sets rorth the mortgage encumbrances upon each parcel of real property at the date of death, giving the amount still due at death, name or mortgagee, date, rate or interest, and book and page of record thereor. It·also sets rorth in the columns provided thererore the assessed valuation or each of said parcels, the estimated market value thereor as or date or death or decedent. That Schedule 8 attached hereto and made part hereof sets rorth fully and in detail all personal property wheresover situated owned by the decedent at the time or death; all moneys lert by the decedent at the time of death, whether in decedent 1 s immediate possess ion, standing to decedent's credit. in banks or deposit, savings banks, trust companies, or other institutions, whether individually, or in trust ror 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 or savings banks, and to the date or decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of in- debtedness or the United States to the decedent; all obligations, whether by statute or agreement they are designated as tax rree, or the United States, or any state, or political subdivision ther~or, or or any roreign country, which are owned at the time or death; all wearing apparel, jewelry, silverware, pic- tures, books, works or art, household furniture, horses, carriages, automobiles, boats, and any and all other personal chattels or whatsoever kind or nature, lert by decedent, together with the rairly estimated market value thereof; all bonds and mortga~tes held by decedent and or all claims due and owing decedent at the time or death, and all promissory notes or other instruments in writing ror the payment of money or which decedent died possessed, or whatsoever nature, with interest thereon, ir any, giving the race value and estimated rair market value thereor, and ir such estimated rair market value be less than the race value, it sets rorth briefly the reasons ror such depreciation as to each item; all moneys payable to the estate rrom lire insurance polici'es carried by decedent; all annuity and endowment contracts the proceeds or which were payable upon the death or the decedent; and all the corporate stocks and dividends due thereon and unpaid as or the date or death, bonds and accrued interest thereon to the date or 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. J 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 niarket value thereof, any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's death, in contemplation of decedent's death, or intended to take effect in possession or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers. In 'the case of transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y· of the deed, trust agreement or other instrument creating the trust. Thero~ is also set forth in said schedule a list of all property, real and personal, with its value, which passes at decedent's death by virtue of the exercise by decedent, either individually, or jointly with another, or any power of appoint- ment vested in decedent, either individually or jointly, by the will, deed, or other instrument of another, with a copy of the instrument creating such power at~ached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent' 's death, the nature of their res- pective interests, their relationship, if any, to the decedent, together with the ages at the time of decedent's death of all minors, annuitants and beneficiaries for life under decedent's Will. It also contains a statement showing which of the beneficiaries named in the decedent's will, if any, died prior to decedent, the dates of their death, their issue, and the relationship of such issue to the beneficiary. That Schedule E attached hereto and made a part hereof sets forth all property, real and per- sonal, owned by the decedent jointly with another or others, including intangible, standing in the name of the decedent and others, plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty, plus the name, address and relationship, if any, . ' . . of co-owners to the decedent. 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 aml unpaid at time of death; taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act); together with a statement of collateral pledged for obliga- tions, if any. It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest, that if the amount actually paid in settlement of any fee, commission or debt is less than the estimated amount claiming and allowed, that the same will be reported to the Register of Wills, and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the· appropriate columns in Schedules "A", "B", "C", "E", and "F" as directed therein, have been carried forward and properly registered in the Summary. ;s-·'0 Subscribed· and sworn to before me this ............................... .. -~--.... . .. day r .19.:::?!. --~i .. ~. NOTARY PUBLIC DONORA • WASHINGTON 'COt . -~or. MX COMMl$SION EXPIRES DEr., f.L'; ~ ...... ~ ...... d..~ ................................. . ~tor-Administrator). O ...... 6..f... .............. l .... 1.1..~ ......... {T.. .. ~ . .r ....................... . 0 (Street NumberA .... r;r.~ ................... & .... f. ............................................ . (City or Town and State) NOTE: Bef"ore signing aff"idavit make sure .all blank spaces in the affidavit and schedules annexed are .. filled in with details or the word "None", and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summary" has been properly completed as above-directed. RCC-3,~.()-54) COMMONWEALTH OF PENNSYLVANIA ,DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCH~DULE,"A" REAL PROPERTY Reel property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at deeth 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 end the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be (1) (2) (3) described by lot and block number, street and street number, together with DEPARTMENT a general description of the property, with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title; If a farm state number of a-FOR YEAR OF ESTIMATED CAUTION cres; also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not write of decedent. Taxes, assessments, accrued Interest on mortgages, etc.,are DEATH In this space) to be listed on Schedule "F" and must not be deducted from this schedule. _,_ Property on Second Street Extension, Donora, Pennsylvania, consisting of ;ft one lot, No. 21. Deed Book 1084, 600.00 800.00 ; ttJ0.6o Vol. 289 I - - Insert this total opposite "real property", Schedule "A" in the X X X X X 1,800.00 "As Reported" column on the last page of this return. ., RCC-35 .. COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT . . SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS: This Schedule must disclose all tangible and intangible personal property owned individually by the decedent, at the time of his death. Property owned by the decedent jointly with another or others must be listed under Schedule "E". Intangible personal property, titled in the name of the decedent, but payable at death to another or others, including but not limited to P.O.D. u. S. Savings Bonds and tenta- tive trust accounts, must be listed, despite the fact that they are not of the administered estate, Tangible personal property should be listed first (e.g. jewelry, wearing apparel, household goods, and furnishings, books, paintings, automobiles, boats, etc.) Intangible personal property, such as bonds, treasury certificates, cash on hand and in bank, stocks, mortgages, notes, together with accrued interest or dividends, salaries or wages, insurance pay- able to the estate or fiduciary in said capacity, partnership :interests, interest in any undistributed estate of or income from any property held in trust under the will or agreement of another, even though located outside of the State, at the time of death, should be listed in this schedule, Item NO• ITEM List and describe fully UNIT ESTIMATED VALUE MARKEl' VALUE DEPARTMENT VALUATION (Do not write in this space) 1 2 3 4 5 6 7 8 9 10 Charleroi Federl Savings & Loan Association, Acct. # 6831 Mellon National Bank & Trust Co., Savings Acct. # 65-22018 Mellon National Bank & Trust Co., Savings Acct. # 65-5-00125 60 Shares The Grandby Consolidation Mining & Smelting at 22 1/2 per share 100 Shares Graham-Paige Motors Corp. at 4 1/8 per share 120 Shares Grandby Mining co. Limited at 22 1/2 per share 9 shares Royal American Corp. at 2 1/8 per share 80 shares Wheeling & Pittsburgh Steel at $14.00 per saare 1 share Cross United Corp at 8 1/4 per share Chesapeake & Ohio R.R. Corp at 58.37 1/2 per share {Joo ~) Insert this total opposite "Personal Property", Schedule "B" in the "As Reported" column on the last page of this return. ~v(_ 1,350.00 1 1'V 412.50 G~ 2,700.00 )~\7 1,120.00 ~/ 7'7-,7 8.25 ~y;-~ 5,837.50 ~Vr-J / ..J..SO. Oo I c:? ?OtJ. Oo ) /.2 o. Oo RCC-36 COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "C" TRANSFERS (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 1 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 propert:) 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 val_u_a_b_l_e_a-nd-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 others _________________________________________________________________________________ __ (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) ------ (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which conld 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 Being Lots No. 16 and 17 in Block Noumbered thirty-eight (38), lying between Bradford and Oregon Alleys, fronting together on Waddell Avenue, a distance of one hundred fifty (150) feet. Deed Book Vol. 1303 Page 339 ~·,f-";-c? ~ Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. MARKET VALUE (Estimated) ~;;. 7,200.00 7,200.00 DEPT. VALUATION (Dept. Only) 2 c:zoo. Oo 1 c:2, 00. OCJ RCC-38 COMMONWEALTH OF PENNSYLVANIA THAN:3FER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRl'CTIONS: This schedule must disclose all property, real and personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule "A", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal .property should be listed as in Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to the decedent. Description of Property, Date of Acquisition, Name I Address and Relationship of Co-Owners, and Place I of Record of Instrument, where Real Estate. ! NONE (All Billed Individually) unit Value percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest ------------------------------------------------------L-----~------------~~--------~------------~------------~ Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. h R9C-J7. (12-6)) COMMONWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State full names and addresses ·of all who ave an interest, vested, continge~t or other- wise, in estate) FRANK BRLETICH 69 St. NICHOLAS DR., EXT. DONORA, PENNA. 15033 EDWARD BRLETICH 719 WADDELL AVENUE DONORA. PENNA. 150~~ JOSE:fl-f.'.· "RRT.'R'l'If!H 232 CASTNER AVENUE-... DONORA. PENNA." 15o::n JOHN BRLETICH .. o 1 o IVTH'T. nON a"' •m• . 1 tt: DONORA, PENNA. 15033 RIC!HA'Rn 'R'RL'F.TICH 8 RIDGE AVE. • RABE MANOR DONORA PENNA. 150~~ GEORGE BRLETICH 721 WADDELL AVENUE DONORA, PENNA. 15033 ~ll'T'H'RRT'I\l"R K'llRA"RTN 20 SECOND ~· :n..rs.t!iT EXT. DONORA. PENNA. 15033 SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forU1 this fact.) OR NO BIRTH Son .. son ·-· son .. son .. son " son Daup;hter Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE Will Administration ( No. Year ........... . DO THE ~lATTER OF THE APPRAISEMENT OF THE ESTATE OF Deceased Late of . County of " Commonwealth bf PetlOsvlvania--::: ......... I ,·1 --"' l u~ r~ c_~ :· ~ ... -..--'I --:= (!# .' \ :::; REPO~~ :\.N~' APPRAISAL "' ·· { --v _J ~ C• J -.1 -' c. c.. ~=.:. ~ . -.... r·. ::::: -n r () l'-en -. ~ c;:~ ..:-,. (Executor-Administrator must complete "As Reported" column #1.) 0 ~ '"d ~ .... .... ~ ~ 0 Ill .... Ill "' ::s "' .... "' "' 0 ...., ::s '"d ~ ~ e:.. .... .... Ill "' 0 >< '"d '0 Ill ~ C"' .... .... (b' 0 ~ '0 trl ~ .... "' ,.... ,.... '< Ill ,.... ~ Ul c ~ ~ > ~ w Ul Ul .....:: () () ?" ?" ?" r) ~ > ~ ~ ~~-oo~~~ +::' :\0 .... :~ co ;..j::::' : .. : .. :W: : 1\) : '- : • ..j::::' • 'a--·~·0·:1-'· :~ :v.-. ~ .~ ;1\) .-..:1· :ro-o .... •0 •CO·•O•o ..._.. •o'..j::::'·O~ :. : •• = ... <"t. 'ow -o2:: :o N·O ~~.00~-fP.~ ~ ...,~: ~·· .~ .~. ·~· lv• : ~. > \\.:r • ~ ~'-; ), ~ ~ (t \_\J ~ ·~ 2"!::; .~ .~ () 3-.. o ·~ :• ::· C} ·~:C) [ Q •&J Q- • .. Form RC C·lO • c· OFFICE OF THE ,.. ..., ~ -~ .. , • ....., "" T r REGISTER OF WILLS OF __ W.uga_.,s,...b~i.._n~g;;..lt.t.>O:<.!n.A..-_ COUNTY AND AGENT OF THE COMMONWIIiiALTH (, .3-1/-dJj STATEMENT OF DEBTS AND DEDUCTIONS DEDUCTIONS ALLOWED IN J THE SUM OF ............ $ ~ J.g},C!.~. __:d ~ 3--1 I-:13 '?--· ....... -- ·' ESTATE OF _B.&..U.CO~S~,.s;;e ......... B.u.r~l~e~t~i~Cw..b~g,ao£-/..DkoL/-'"a"--L.ATE OF ___ _.=;D...;;.O..;;;n;,;;O-=r-=a~----------ROSe A. Brletich . DATE OF FILING APPRAISEMENT ---------DATS OF DEATH __ ___.lJu;aili.!n~ua~ry~--=2~2....zz~l:...o9LJ7L..:l~-- DATE NO. OF NAME OF PAYEE REMARKS AMOUNT VOUCHII:Jt 1-24 71 Macik Funeral Home Funeral Bill 1,655 2-27 71 Father Pisarcik Funeral Services 50 ~-1~ 71 Aldri~Zes Flower Shop Casket Spray 75 3-1 71 Authority of the Borough of Charleroi -Water Bill 5 _l-2'3 71 John's Flower Shop 2 Vigil Lights 31 l Sewage Disposal 14 1-22 71 Bell of Pennsylvania Telephone Bill 4 1-22 71 Columbia Gas of Penna. Gas Bill 5 1-25 71 West Penn Power co. electric Bill 5 2-12 71 The Herald American Advertising 3 2-27 71 Kurtz Monument Engraving ·zo 3-12 71 Frank Brletich Execut!l)r's Fees ' 2,489 3-12 71 Russell Marino Cost of Probating Will 15 3.:.12 71 Washington Observer Advert·ising 13 Total 4,387 COMMONWEALTH OF PENNSYLVANIA } COUNTY OF Washington ss: 1, Prank Brletich, Executor MY KNOWL!DGE AND BELIEF, TH! FOREGOING IS A JUST AND TRUE STATEMENT HEREBY CERTIFY, THAT. TO THE BEaT OF F DEBTS, FUNERAL EXPENSES AND EXPENSES OP' ADMINISTRATION SUBMITTED TO THE ESTATE OF ~ ....... LW-~~;o..w..lo.!oLI......_,E;~.L.~,g,_...~...J.::0'-'2.!i;o,__,t1,!..• -DECEASED, AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES. ~~»~ '//l __ --=.._..::_ __ ___:, __________ (L. 5.) SWO~SCRIBED BEFORE ME THIS -=.A..J----DAY OP' ~ r tb;;;;;,e 2/_ NOTARY PUBUC . ~ OONORA -WASHINGTON COt llJ'i! M.V ~OMMISSION !:.Xi-IRES DEC• 'Sl', 00 00 00 50 80 70 14 45 21 00 00 22 00 00 02 0 U) _J z _J ::-r:: -~,... ~~ ..... ·.L -~ -.:: .Ll --r,.,j ·-:.,~ UJ :"::) Lu c:.: c:: ,,.. <t 0... 0 <...~· ...,... c ~ , . 7L U) <t ;; ' ' ~.~' ---:,;; : R C C-81 (2-64) COMMONWEALTH OF PENNSYL VAN lA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT Frank Br1etich (Executor~ IN YOUR REPLY PLEA.E REF'IER TO 38-149-]. In Re: Estate of ________ ~R~o~s~e~.~A~·-=B~r~1~e~t~i~c~h~------------- _____ --!.!W..S!!.a~sh!.i:m==· !.!ii€i>.l:t~o,!_!n.__ ___ County -File No. 63-71-23 9 Dear Mr. Br1etich, You are hereby notified that the ori~na1 appraisement in the estate of Rose A. Br1etic has been filed in the office of the Register of Wills qfWashington County on May 25 , 19~. Said appraisement reflects the following valuations: Real Est ate ----=1,_. 00~0~·~0~0:__ ___ _ Personal Property __ ~4~0,_,7~8~4~·L3~2~-------- Transfers __________ -+7~1~2~0~0~-~0~0~-------- T ot a l ____________ ___./4,i9+,+-7f..J8o.l4,1 ...,. 3,.1<2"--------- As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after 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. Date _____ M_ay~2~5~'~1~97~1 ______ _ Signed Title ALFRED TOSI, APPRAISER I DATE OF DEATH: January 22, 1971 Note: This is not a bill. RCC-39 (5-68) '' COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of Br1etich (Last Name) Rose (First Name) A. (Initial) DATE OF DEATH 1-22-71 FILE NO. 63-71-239 REPORT OF INHERITANCE TAX APPRAISER I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of 'VIJashington 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". Dated: ---=]=-ia=-<y_.;;;::2"5~, -'1=-9L.J7'-"1=------ REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for i'jashington County, Pennsylvania, do respect- fully report that I have allowed deductions in the amounts claimed by ~~l,-exceilt as to those items where a greater or lesser amount is set forth in the last column to the right in Schedule '( , w~ich greater Jesser amount represents the sum allowed as a deduction. \ Dated: _ ___;M:..:;a:::.;..y~2:..:.5~, _:1:..9"-1.7.:1'------ 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 ........ •"".......... $ _________ ~--- ESTATE TAX ASSESSMENTS $ -------L-- FOR USE OF REGISTER ONLY COMPUTATION OF TAX Tu~$ N $ ___________ -+-- ~ LLS VALUE AS REAPPRAISED $ ___________ -+--- Taxon$ __________ L __ ~._i:'Q7--+R __ n_~o $ ______ 0~~?'~?~4-~~·-Pd. In Full . ., Tax on $ '--st(" $-----------~---Taxon$ __________________ +---- Tax on $ ------------------+---- Exemptions=========t=== Total Estate--------------'--- TOTAL TAX 10% 15% * $ __________ -4---- $ ______________ 4---- $--------------~--- Less tax previously paid $=====~== BALANCE $--------+--- Less 5% of tax if paid within 3 months after death $=========== Add interest at rate of 6% from ---------to -------- AMOUNT OF ESTATE TAX ASSESSED $--------1--- Estate tax paid $ ______ --J __ __ (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. BALANCE DUE $---------~---- Add interest at rate of 6% from ----------~10---------$ -------------+---- TOTAL TAX BALANCE $ ------+---PAID $ _________ _J_ __ _ FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE: Where subsequent adjustments are made to the above computation of tax by the Register of Wills, for proper reason, same should be noted below, with short explanation. Will Administration ( No. IN THE Year ........... . MATTER OF THE APPRAISEMENT OF THE ESTATE OF ROSE A. BRLETICH ................. Deceased Late of DONORA. County of . .WASHJNGTON. Commonwealth of Pennsylvania REPORT AND APPRAISAL \ ") I Fonn RCC-2 DATE ......... ~~Y. ..... ?..?.!. ...... ~.<J.:n ....................... . COUNTY ..... ~9.:.f?..l.:l~.g!, .. ~!>: ........................... . -nEPARTMENT OF REVENUE BUREAU OF-COUNTY COLLECTIONS HARRISBURG, PENNA. 1 7 1 Z 7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT FILE NO •...... 63.::::7.l::::.ZJ.9 ............................................... . Whereas, .............................................. Ro.s..e .... A. ...... B.r.l~t.i.c.h. .............................................. late of ................... P9.P..<?.~.?: .................................................. .. in the County of ........................................... Wa.s.bingt.on .......................................................... Commonwealth of Pennsylvania, having died on the ...................................... ?.?.9: ................................................ day of .................... ~?:!.l:~~Y ................................. 19 .... 7.~ .. seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ............................................ AL.f.R$.P. .... .'r.O.S.l .................................................. , 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 inheritance taxes at the lawful collateral rate on any such future interest. assess transfer Unit Appraisement Description of A net Values Made for Inheritance Tax Purpoaes $ RRAU'Y· See copy of schedule "A" attached to appraisement 1.800 00 PERSONAL: See conv of schedule "B" attached to appraisement 40,784 32 TRANSFERS: see copy of schedule "C" attached to a pprais errent 7,200 00 I l - total 49,784 32 ___j i . form~;v:fhbl:~ ::rh~w~ ... ~~~~3.~~~: ~a~ o~~~~~.~ ... ~.~.~-~~-~~~~~~ .... ~~~.~~.~-~~~~ ... ~.~~e 1~n~/.~ ........................................................... ~ .......... CYUJ. ... ~~· .............................................................................................................. .................................................... (Number and Street) ............................................ w.~ ......................... Penna. -------- I .... Wa:;;@n.lrt9n. ..... . . County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of Rose A. Brletich ···························· ············· ...................................... . Deceased. Late of Bon ora Date of Death l-22-71 , ······································ .................................. . Appraisemel!t Docket Vol., ......... .3..? ................................... . Page, ..... ::JA.9~.+. ....................... No ....... ?.?.::::?..~::::?.?..~ ......... . Filed in Register's Office, ..... ~1.C3:-Y ... ?.~ ............ 19 . .7:1.: .. Amount of tax due, $ .................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appraisement, Appeal f1'om Appraisement, Entered and charged, ' \ I • '~ COMMONWEALTH OF PENNSYL VAN lA DEPARTMENT OF REVENUE HARRISBURG RCC•43 (5-65) NOTE: TO BE SUBMITTED IN TRIPLICATE Pennsylvania Deportment of Revenue Bureau of County Collections 26. S. 4th Street Horri sburg, Pennsy Ivan io Dear Sir: Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: .... ,J:. '\ ' I NAME OF REPORTING ~..~,itt, __ ._,, .-.. .'1 /\SSN. FINANCIAL INS Tl TUTI ON -----S:t;...r,;...1 ....,··=_....,.;,._,--,.,....,",,..;+· '-,1H'.:r-.. · ...;;".....,·;...:..· · ......:,...;;· --=-· ---:--!'-..-----~-.... :~ vOJ l..:.JL U hi~.-:_1,,1 f\tt. ADDRESS _____________________ C_'H_'A_R_L_ER~f0~1,~P~Ef~~t~~A~.~l~j0w2~2 ________ __ ACCOUNT NO. OF JOINT, d TRUST OR INVESTMENT DEPOSIT __ sa_v_in_g_s-'--Ac_c_o_un_t_#6_o_J_l _____ _ NAMES ON ACCOUNT Ro13e Brletich OR INVESTMENT ______ ~------------------------------ DECEASED JOINT DEPOSITOR, Rose Brlatich TRUSTEE OR INVESTOR _____________________ _ ?19 Waddell Ave., Donora, Pa. 15033 J ADDRESS _____________________________ ~ ~~==-w_,_;_:_:_k_B_r_l_e_u_c_h_,_~ __ e_w_~_r _____ (~~~~ 69 St., Nicholas Dr., Donora, Pa. 15033 ADDRESS _____________ ~~~------------------- Son ia Executor or Estate RELATIONSHIP TO DECEDENT ___ -.;.;--.;------=--=':"T.::--------- DATE DEPOSIT OR INVESTMENT lt,ebruary 9, 1960 WAS ESTABLISHED ------..............-="'"',..--,.,=------------ BALANCE, INCLUDING INTEREST $13,944.03 DUE, AT DATE OF DEATH$ __________________ _ /2;) )J(__ 111~~ ~ilre TITLE \ .0 0 l L8 0 0.0 0 40,781lJZ 7,2 0 0 .0 0 1!91784325 4,387.02- 45,397301 1)655.00 50.00 75.00 5 50 3 1 .8 0 14 JO 4.14 5.45 5 21 3.00 20.00 2)48922 1 5 .0 0 13.00 4)387.02 T