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HomeMy WebLinkAboutOC1971-0275 - ESTATE OF STASIOWSKI. .. r-·. PETITION' SUR AUDIT~ · Testate Form J IN THE ORPHANS' COURT OF WASHINGTON COUNTY··~·-... . ~ Deceased . . -~ .• , . ..""·~, .. 'I N 63-71-275 . . ~. o ..... ---------------------------------------·-··-·r··-------------... Fiduciary ... ~~~~-~---?.~-~~-~-~!'!.~~-~---§.¥tPJD.!?.Ki.i. ~~~-~~t;-..t_~----------------------------------------------------------· Date of Date of Decedent's death .. .Ma;r_ch .. 4_, ___ ~9.1.l .......... ---·-----------------Grant of Letters _____ Mg;,r;_c.h. .. J . .:L., ____ l9.7.l __________________________ _ This is the .. ..f.iX"_§:t; ___ §_l;l~L.f..i_Q§.J ____________________________________ account filed in this estate If there have been former accounts filed in this estate, list file number or number and term .... ~.":':::':=".':'::=".':':~.":':':': .•••.••• . Election to take NONE Under or Against will. (cross out one) Date Election Filed Place of; ______ ::'.":".':'::'::'.':':~::: ... _____ . _ _ Record .... :::-::·:::-.":":~.":":. ________ _ Name of surviving spouse.N§.gQ~;J.in~ ___ S.:l;_g~_.i.QW.~ki.(x:ight.s ___ under __ ;Wil~L.r.el.eased .. by. .. P.os.t""-----· . . . _Nuptial Agreement dated 5/1/65 of record in D.B. Vol. 1203, L1st ISsue, where matenal. page 649, washington County r Records) See below Did decedent marry after execution of will? (indicate)~ No. Any children born after execution of will? (indicate) XK« No. If answer yes, name them.--------___ :::::::::.:-.::::-.::::-::::::=-:::::-:::::-.... _______ .-------__________ . _______ .. ______ .. _____ ... _ ....... _ .. _________ . __ . \ . -----------------------·-·-------···-----·-----·-----------.---------------------------------·------·------------------·--------------·----------------------------------------------------· Legatees Relationship Interest Fiduciary, if deceased or not sui juris Helen Stasiowski Supinski Daughter 1/7 Genevieve Stasiowski Martin Daughter 1/7 ------------------· Caroline Stasiowski Reichert Daughter 1/7 ------------------ 'I ·r ' :l Wladislaw (Walter) Stasiowski Son 1/7 ------------------ Fred Stasiowski Son 1/7 ------------------ Isabella Stasiowski Morgan Daughter 1/7 ------------------'·\ \ Maria Malski Pekunas Daughter 1/7 ------------------ List, if exceptions to above: Adeemed: Revoked: Lapsed: Abated: Give Cause: ---------------------------------- If partial intestacy, give facts: ~·~(-!1'1"} . . . ---------------------------------- Notice to interested parties. Have all parties, having either vested or contingent interests and all crediors entitled to notice (Court Rule No. 9 paragraph C: Section 6: Subdivision c) received written notice of the filing of the account and of call of audit? Yes. MIK. If any exception give cause: ...... ::.::::::-.::::-.::::.::":":::-:::::-________ _ File copy of Notice . and date of mailing ................... No.v.embex ... 22., ... 1.9:7.l .......... ~ .. , ...................................... ,.,, ... , .. , .. , .. , .. ,, ........ , .. .,1 ••• . ,. ... ·":*··-.... ' ) i •• "' ' Is estate subject to the filing of a Federal Estate. Tax Return? ...... NQ ___________________________________________________________________________ _ Actual payment made on Pennsylvania Transfer Inheritance Tax. Amount $--------~9-~~~------------------------------------------- lf the Will makes any portion of estcite.subfect-to.cl-life-estate, give name qnd birth date of life tenanL .... NON.E _____ _ Give Names and addresses of all unpaid creditors who are legally entitled to notice, together with the amounts of such claims; state whether they are admitted to be correct; and whether the claim is denied. NONE ' l _,. ~ ~ J j f r· ,·; t• ., r ~ 1 J. Give reference to such parts of the will as require interpretation by the Court; a reference to all questions re-. ' .. ~..... . : .. ., r - . , -. . . . . • . ,. ~ - quiring adjudicO'tioh~ and a statement of any other facts deemed necessary for the preparation of the adjudication: . I NONE ... · '-.1 '~ .. j ,"' 1,;\. ·! . "·-.... r ' -· Balance for distribution per account, Itemize any additional debits not shown by account: 18 san oa $---------1------~-•---Y--•-------- .!. Total additional debits (Add) $ ___________________________________ _ Itemize any additional credits, !10!, shown by account: h r.t . . ~.' \ ... # -~ • Total additional credits (SuBtract) ; .. ·$ _____________ : _____________________ _ Balance for distribution $ ........ 8_,,88.0 .... 06 ________ _ If balance for distribution is not in cash, list each item held in kind, giving appraised Value (or distribution Value); ' .. .. ·-~ ,, j ·' : r· : .... I T: T ~--.( ;'l r. \ ·.· ,\ .. • T01. t'""'. .. , r· :. -.: . . \. · ~~:\1-.; . ..:..~v·:: ; ~~-J~/: ,:t<J.' -~ .... :.: ' .'l ~1-,/~-' '•·~ ~~~{~ t I s\·::\_.~; ~ J,T<-:"\r·r:~: ,-\. -· '\ _; ,._ \ -, ------------------·---- 'I ' . ,.} *' V\ ·-~ 1' '~-~ 0FFI<:E PHONE: 745-7410 RESIDENCE: 745-3741 {' I GEORGE J. MODRAK ATTORNEY AT LAW 22 NORTH CENTRAL AVENUE CANONSBURG, PA. 15317 Hono~able '· vi" -~ino J'uclg~ of o. c. -Wa$hington eouJ:t House wasbi.ngton, t>ennsylvania 15301 Honorable J-udge Marino; Ref ESTA'IJ!l Of ST!VB ~!lASlOWSKX 63-71•275 Ple8$e add tbe followint items as additional <:~edits in the al'Jove Bstate: Rev. P.yaows'ki ~ tuneral Church Set,;i.ces ••••--$ so.oo Peter fjimon • G~ocery Bill .................... ...; ... o.. ...... -......... 21-,61 Helen Stasiowski supinsld .... Executr:~ Cornttl. • ·582149 George ··, •• If Family Exemption claimed by Petition, give place of Record: ....... .:':'.'::.:":".::::::-.::::-::::::::::::: ........................................... . If Family Exemption is claimed at audit, give name, relationship and basis for Claim: .... ::::.::::::-.:::::::::.":'.::::-.:::: .......... . List any advancement or distribution on account that has been made, and nature and amount of same: NONE ·., Suggested di?tribution of balance shown, both as to principal and income, attaching signed and itemized elections to take iri kind if balance is not in cosh: residuary shares being stated in proportions: • I ~ Helen Stasiowski Supinski ' _:; One-seventh Genevieve Stasiowski Martin ' One-seventh Caroline Stasiowski Reichert One-seventh Wladislaw (Wa~ter) Stasiowski One-seventh \ . . Fred Stasiowski One-seventh Isabella Stasiowski Morgan One-seventh· Maria Malski Pekunas One-seventh COUNTY OF WASHINGTON, SS: COMMONWEALTH OF PENNSYLVANIA The above named Fiduciary or representative thereof, being duly .... S.WQ~:t:n ...................... doth depose and say. that the facts set forth in the foregoing petition are true . < And your petitioner will ever pray, etc . ....................................................................... ~-· ........ ··~ .. ~~-· !'~--........................... ~ ..... '"!'"' \?" •' - '., No. _____ §~_::7..:!-.::.?-.7.~--------------------------------~ Estate of .. S.T:6.VE ... ST.,AS.IQNSKI ... 9:./k/._a_ __ STEPHEN ST~SIOWSKI a/k/a -.~ ~ ... ST~f-~ ___ §_~~S.IQNS~--------------: _________________ _ Deceased .. <' Fiduciary ..... tl!?.J:~_I} ___ $_t;:_~§_i_9.W.l?.6.i ... S.~p_:ln.ski · -""-' -' ...... . . , . ... ~~-~9.\l,t.*.~~----------------------'-: __________________________ _ (". -, ~. PETITION SUR AUDIT 0 FROM WHERI{ DECEDENT LEFT A WILL'.·, ·' Counsel of Fiduciary will submit herewith the following, in conformity with Court Rules adopted effective December 3, 1951, being rule No. 9: paragraph b-e; and divisions thereof: shown on pages 23-24. 1. Written praecipes of all Counsel in the case. 2. Copy of order a'ppointing G~ardian ad litem, if pertinent; 3. Copy of Order _appoi;,ting _Trustee ad litem, if pertinent.. ' 4. Proof of service of above. 5. Letters Testamentary or Administration C. T. A or an attest copy of Will. 6. Copy of inventory and appraisement. 7. Proof of advertisement of grant of letters if not filed with account. 8. Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9. Signed and itemized elections· if any distribution in kind. :. _ 10. Copy of Federal Estate Tax return· if es- tate is subject thereto. Attorney ~2 ' .. _, t.:~ E Dv 9 7 2 JAN 17 PH 3 3 3 RUSSELL M!,RiNO f1EGlSTER OF WILLS WASHINGTON CO .• PA. • * I 1 ·' ~-. '-{ '• U'IAS OP·· STEVE STASIOWSKI. ill• osphNV~ • ~w:t ad ~gi.•ter of Willa_ fo• waeinc;tori ~unt.y, .. • , . l ..-.,. ~ , • I ' . . hM*Ylv~i.a, at. the ll:!Ove nul\lbet.'; an(! tbat t~ •ee will • pi:e• _ -. eent.e4 !OJ> .eou.,i:cution on x,p,e~d,ax.,« •• :P,ec,erqp,~~.r •• 14,., 1971;· 10; Q2 .A:,,M, • " . . ' ' : . . . ',, ·' .,". \ \ \ ,. \ ,··~ -~} ... '. . .. " .. •' I' '. • I ' .• .. •. ·--<! c::: -:> ~"'"" !'-! . r--!_.l.,.,.. ... ( \ {' .,._ ...... I '' 1'1. \ J. , .. ' .. ~\ ...... i ' \ '' J -~ ' ·' ...... . ~ \ • . I ,-c ,._ 'ol.r ! \ ' ' '. ' ... . •; ,1 .. --~~~~~ .......... ~~~~---~·~2~ .................................. •••·~-~e•a•a•••---=•s~;-"-.L•h~~;.-.see;:• ..... ~ . . -. ..b3_ 71 2 7 s J 1 C!!nmmnuwtalt4 nf Jruu.ayluauta, ~ .a.a: lla.a4tttgtntt arnuuty. KNOW ALL MEN BY THESE PRESENTS: Whereas, at Washington, in the County aforesaid on the 11th. day of March A. D. 19 71 , before me, Russell Marino , Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington, in the Commonwealth of Pennsylvania, the last Will and Testament of Steve Stasiowski,A/K/A Stephen Stasiowski,JA/K/A Stefan Stasiowski late of Chartiers Township in the County aforesaid, deceased, (a true copy whereof is to these presents annexed), was duly admitted to probate; and Helen Stasiowski Supinski rix the Executot in said Will and Testament named, having appeared before me and taken and subscribed the oath of office pr.escribed by law; NOW, THEREFORE, I, Russell lV4:trino grant these LETTERS TESTAMENTARY, unto the said Helen Stasiowski Supinski , Register as aforesaid, do committing unto Her the administration of all and singular the goods and chattels, rights and credits, which were of said deceased, and requiring Her to exhibit a •true and perfect inventory thereof into the Register's Office, at Washington, within ninety days from the date hereof, and to render a just and true account of said administration at the expiration of six months from the date hereof, and to regard and comply with the provisions of the laws of this Commonwealth relating to inheritance taxes. IN TESTIMONY WHEREOF, I have hereunto set my hand and the seal of said Office at Washington, this 11th. day of March in ·the year of our Lord one thousand · nine hundred and Seventy One I ~ ·············"\······ ................................................................................................ . Register '• • ., '· ... .. 14-rtt.rra m .r atam.rutary ESTATE OF ...... ~~.~.Y..~ ..... §.~~·~·~·g·~·~·~·~·"·~./~1~ ................ . ... ~~.~.1?.~~.~ .... ~.~~.~.!.9..~.~.~.~.~ .... ~!~1~ .......... Stefan Stasiowski ~2 .,. '( 'I ' t' \ l I \I ? I· \ / ,,., ! l !...... f"\. t·~ . .... t j I l '"" L b''" I' 1 z J Ml 11 P r·1 3 3 1 R U S S E L L r~ i~ H l N 0 REGISTEH Of: WILLS W 1\S HI !~CTO N C 0., PA • ~ .... For Sale by Smith Bros. Co. Inc., Printers and Publishers ) . 434-436 Boulevard of Allles, Pittsburgh 19, Pa. Will-Form No. 107a iGust lUUl an~ Wr!ltatnrnt ~ STEVE (STEPHEN} STASIOWSKI of Arthur Plan,Chartier·s Twp.,countyof Washington and State of Penns yl van.ia being of sound mind and memory, do hereby make, I I . I I publish and declare this to be my Last WiU and Testament, in manner and form following, hereby] 1 revoking any will or wills heretofore made by me. . · . I I . I 1 First. I direct that all my just debts and funeral expenses be fully paid and satisfied, as soon ! ! I I as conveniently maiy be, after my decease. I Second. give and bequeath to my beloved son, Fred Stasiowski, I my television set and my electric hedge clippers. Third. The balance of my estate, real, personal and mixed, I give·,: bequeath and devise to my seven beloved children; namely, Helen Stasiowski Supinski, Genevieve Stasiowski Martin, Caroline Stasiowski Reichert, v~'ladislaw (Walter) Stasiowski, Fred Stasiowski, Isabella ! Stasiowski Morgan and Maria Malski . . i Pekunas, to share and share alike. 1 I . However, in the event of the death of any one of them, the share of such deceased child or children shall go to his or their issue. If such. deceased child of mine shall have no issue, then her (his) share s~all go to the surviving child or children of mine. . ' .. • j ' ~ I I ! I I J I ... I do hereby make, constitute and appoint Helen Stasiowski Supinski to be my executrix of this my Last Will and Testament ; and George J. Modrak as attorney for my estate .• ]n Utitness [dtbereof, 1 Steve (Stephen) Stasiowski the Testat or above named, have hereunto subscribed my name and affixed my seal, the · 14th day of June in the year of our Lord one thousand nine hundred and fifty- four (1954). ~gf£~~--·······-······-~ ~, fZ . { --~ ~ ·? 1~ · ~ ~ (SEAL) S . d l d bl' h d d d la d b t -..,_ep en as ows ·1. zgne , sea e , pu liS e an. ec re y he auove namea Steve (Stephen) Sta.~iowski , as and for his Last Will and Testament in the presence of us, who have hereunto subscribed our names at his request as witnesses thereunto, in the presence of said testat or ' ' ' ' ' ' ' ' ' ' ' ' . ' ' ' ' ' ' ' ' 0') ' H: ' ' """f ' ~ ' :' ' ' ~l ' ' ' ' ' 0: ' ' ' ) .. H ' rn: N ' ~ <: ~ Q 8: ... ~ ~ rll: 0 ' ~ ' 0 ~ ~ '0' z: -~ ..... .... iS A-.: ~ fil: ~ Q) .... E-t! -~ ~ Cl)i Q) i ~ ~ ~ lili ~ 0 Q ~! ~ Q) Q) ~ ~ H 0 ~ rJJ~ !,.. ~ ~ ~ , and of each other. .Qf3z/~-~---··-··-··: ... ... liu:rf4f----~Z~':!!..C ... :-······-·--··· ,: aS Q) .,a! ...., or-1 ~At .~ s:= .a • '='l ., ... ~'IS _.., Q) :O,a ~ ~:::Q):> "~<~ QSa!Q)r-1 P.,. oc,; Hi4 H ~ "'" '0 ~Ol =::: 0 Cl)~ ~~ ~.I-) s:= ! . aSCl>Cl> ~:"' • . ~Pot 'i:~ p.-f-;j p...,.; < Q)P-i " ~-'d Q) ~ bO .... .., bOH.P H ... o,d H017l::S t.>> .. 0~11>.0 c:; C1> .1-) ~ l1l Oo Pi Ill o< ~ @8 ,cliO _ .. _ .. e..:. a! l:llco 0 ... ' ~ '='l ~ ~ # I I. I I I· .• ·'• & "3 -II-~7.5 l\ffiituuit ®f itxrrutnr ®r l\~miuistratnr ~tate nf J.rnnnyluauia l C!Lnunty nf man4ittgtntt J !1!1: Personally before me, the undersigned authority, a ___ ;Ng_t_~*Y--.1?.\JP.;I,._:j,~-------in and for said County and State, appeared HELEN -STASIOWSKI: <SUPINSKI __ , _____________________ .. who, being duly . r1~~ SWOrn according to law, deposes all~ ou'J c chat She IS -::he execut~or administrator of the es- tate of S.TEVE STASI OW SKI : e.tc_ .. _________ deceased, that the forego~·n schedules constitute a . KI complete inventory and appraisement of the real and personal estate o _________ , deceased, except real estate outside the Commonwealth of Pennsylvania; that the figures opposite each item of real and personal ·estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death, based upon a just appraisement ~f each item m~de u~e named Executor Administrator. Swo'l1'\ and subscnbed before me thzs f .. .J. ....... .l ... } \ J 0 j 1-• . 0 ·, 1 _}, • • • . • L · day of .. !>& .... r!.~J/ .......... lz.].f .... r .. .., 1/ ~~~ ·········· ', n~::,~:.~;£~~~~L INSTRUCTIONS 1. An in~Rm¥YsffiWeire,e~n~~ ~thin 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 194 7 P.L. 513 Sec. 5.2, 72 P.S. 4844.2 <'</-. :ilttttt..tttnrJt attb· An4trUi!ituttttt of the goods and chattels, rights and credits which m":e"~ '\J'tdf~t o w~U ... . _ . . were of ........ ::#. .... $.'$V.~.G.,., ...................... : ............ .late of Gh.~;~;:t:i.~.~-~ .... ?;'9.WP..~b.i.P ............................. . . '. Washington County, Pa.; taken and made in conformity with· the above affidavit. ,. ALL th~se two ~ertain lots or parcels of ground-situate ih·tEfi~±-t-iei'§"lTS~-~: To?lllsh1p, W~sh1ngt~n County, Pennsylvania,· known and· desg;gnated as "l" Lots Nos. E1ghty-S1X .!(86) ana. Eighty-seven (87) in the A~thurs Addition to M~adowlands, and more part1oularly bounded and described as foll ~ .~ tO-W1t: OWS BEGINNING at a point common to Western boundary line of Cook A the Northern boundary_ line of Vogliano street and the land herewit~e~~=~ribed· th~nce b~ ~ast sa1d street South 68° 37' West 80 feet to Lot No. 88 in ' sa1d add1t1on: thence North 21° 23 1 West 140 feet to Avenue .. B .. · th by last said Avenue, North 68°37' East 80 feet to Cook A f, en~e and th b 1 . venue a oresa1d;. : ~nee Y ast sa1d Avenue South 21° 23' East 140 feet to · t beg1nn1ng" . . pol.n of -Appraisal by-J: C. McCleery, Realtor, for $8,100.00 j and sold for same price $8,100.00 Black ~ung Check U.M.W. Death Benefit Social Security Automobile Sale Sick Benefit Flower Donation PERSONAL PROPERTY $2,842.190 350 ·~0 255.po 25 ·jOO_ 65.,70 10 .;00 ~ ~6'~· ~c) J ~ l' ,) ' . ' ~ 7)L/<L' {;3-7/-~ 7~ Inventory and Appraisemeni IN THE EST ATE OF .! ' ' , '), STEVE 'STASIOWSKI a/k/a STEPHEN STASIOWSKI a/k/a STEFAN STASIOWSKI t_·i Filed 19 ... .'.~ ..... . -c.o ;:::J 1-:?::o 8 C>c::-_, .., -(J') Cl><n ;:;:;:!! IU .· .....__ ::0,_ " r--~iE ~ ro ~:::0 ;::::!E <:::7 t;c 1\) •• lJJ 1\) ~?21~..::17{, ~-5 .. . ._ ,. ... _ . ' , .. ~-..-~~ l, ··-··~ '· - .- ..... II ' . The First and Final Account of Helen Stasiowski Supinski, Executrix of the Estate of Steve Stasiowski a/k/a Stephen Stasiowski a/k/a Stefan Stasiowski. The Accountant is charged as follows: INVENTORY and APPRAISEMENT $ 11,648.60 Total Assets of Estate $ 11,648.60 Total amount of credits claimed by account $ 2,768.54 Balance for Distribution $ 8, 880.06 Tije Accountant claims the following credits out of the assets of the estate, to-wit: Name of Payee Observer Washington Record J.C. McCleery, Realtor George J. Modrak Columbia Gas of Pa. West Penn Power Company Janis Stasiowski Citizens Water Company C.C. Altman M.D. Russell Marino George J. Modrak U.M.W. JP.nnie Unijewski Xt.awczyk Funeral Home Loutsion Packing Company Bell of Pennsylvani~ Holy Trinity Polish Nat. Church ' Kurtz Monument Company Leonard Szafraniec Malcolm L. Morgan ., Remarks Amount Legal Advertising $ 14.00 14.00 35.00 50.00 Legal Advertising Appraisal Retainer Gas Bills Electric Bills Cleaning House Water Bill Medical Expense Inventory & Account Commission· Dues Cleaning House Funeral Bill Packing Bill Telephone Bill Grave excavation Lettering Pipe Repairs 1971 County Tax 103.03 18.89 36.78 20.96 2.00 31.00 582.40 3.75 20.00 1,400.00 13.00 4.14 Anna Howcroft · 1971 Twp. Tax 60.00 16.00 97.80 22.91 16.18 55.45 81.00 Anna Howcroft ~ Transfer Stamps George J. Modrak Norman Barnickel Store Balance of 1971 Sch. Tax R.E. Agreement, Deed, * Closing Grocery Bill 65.00 5.52 TOTAL -----------------------------------------$ 2,768.54 ... 'I \ \ Observer -Reporter WASHINGTON, PENNSYLVANIA PROOF OF PUBLICATION In compliance with the News.paper Advertising Act of 16 May, 1929, P. L. 1784, as amended. Commonwealth of Pennsylvania, County of Washington, SS: ........... . Personally appear-ed before me, a Notary Public in and for said County and State, ...... Ri.cha.r.d .... S .•..... Co.wan. ................. , who being duly sworn according to law, deposes and says that he is the Vi.ce,-.P.r.e.s.iden.t of the Observer Publishing Company, a Pennsylvania corporation, and its agent in this behalf; that the said Company is the owner and publisher of the Observer-Reporter, sucC'essor to The Washington Observer, established Septembe•r 18, 1871, and The Washington Reporter, established August 15, 1808, a daily newspaper of general circulation, printed and published and having its place of business at Washington, Washington County, Pennsyl- vania, where it or its predecessors have been established and publislmd continuous-ly for more than six months prior to the publication of the notice hereto attached; that the printed notice or advertisement hereto attached is a copy of an official advertisement, official notice, legal notice or legal advertis-ement, exactly as printed or published in the Ob>:•erver-Reporter in its regular editions on the following date or dates; ........................................... . ............................ A.p.r-i-1----22., .. 2Q .... and ... May. .... 6 . ., ..... 197.1 ........................... . that neithe•r th!e affiant nor the Observer Publishing Company is interested in the subject matter of said notice or advertising and that all of the allega- tions of this affidavit as to the time, p~ and character of publication are true. £u._~/ 1 j ./.:) Sworn to and ~&f:.;IJ.~ subscribed before me this ... O ..... day _,g; .. M.~.Y.;/=--9..7.J ... 57#~~~~~ VIi\::::: .. ~ I~;., \'1.<\SH:,JGTON COUNTY Ji,Y COf,iMlSSION EXPIRES MAY 6, 1972 ------------------------------------------------------------------- J Washington County Reports-· Washington, Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16, 1929, P. L. 1784 Sec. S, paragraphs ( S) and (25). CouNTY oF WASHINGTON} SS. STATE OF PENNSYLVANIA Personally appeared before me, a Notary Public in and for said County and Commonwealth, CHARLES C. KELLER, who, being duly sworn, deposes and says: that he is the Editor of the WASHINGTON COUNTY REPORTS, the official legal periodical for said Washington County, published weekly hav·ing its place of business at Washington, Washington County, Pennsylvania, and is acting as its agent in this behalf; that the said WASHINGTON COUNTY REPORTS was established on March S1, 1920, and was designated as the official legal publication for Washington County, Pennsylvania, by order of the several courts of said County, dated November 11, 1920; that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly as printed or published, which appeared in the said legal periodical in its regular issues on the following dates: ............. 0£? . .r.:.J ... L. .. .?..?. .. l ...... ?..~ . .! ••• ...1 .. ~Z..1 .............................. . t1ay (), 1971 .. oooooooooonoooooouooooooooooooooooooooooooooooooooooooouooooooooooooooooooooooooooooooooooooooooooooooo STASIOWSKI, STEVE, a/k/a STE- PHEN STASIOWSKI, a/k/a STEFAN STASIOWSKI, Dec'd. Late of Chartiers Township, Washing-ton County, Penna. Executrix: Helen Stasiowski Supin- ski, 421 Bluff Avenue Canonsburg Pa 15317-' ' Attorney: George J. Modrak, 22 N Central Avenue, Canonsburg Pa· 15317 • . that the affiant or the corpora-tion in behalf of which he is acting is not interested in the subject matter of said notice or advertising and that all of the allegations of this affidavit as to the til ,e and character of the publication =Wo. --~4~ Sworn to and subscribed before ~~--~ ... §..tb ........... day of .......... !::1~.Y. ................................. , 19 ..... Z.l ...... . n~-J~- JOSEPH!Nc T. SC!AiV:Ar·:NA Notzry Public, 'v'.f<:~hir.glcn, W3shiq;ton Co. My Commission Expires July 1, 1974 STATE OF PENNSYLVANIA, WASHINGTON COUNTY, } 55: The within named Accountant being duly sworn according to law, depose and say that the above account as stated is true and correct as ................ ~"-·verily believeS day of .... ~! ~~ ~......;. \!)i 'v,j N r-J) r \ .......,: ~ ~ ~ I. 0 z svt~r· ubscribed before me this ... .l.:. ............ . ~--~---- ~-{:.•y I do certify that I have given legal notice to all persons concerned of the filing of 1the within account in the manner prescribed by Statute and Rule of Court, as evidence by proofs thereof filed to No ... b.3.~:'J.L43.5 ............. . day Witness my hand and official seal this .. d~-----······ of~ ................................ l9_1.l.. ~--~~~~~f'Wiii; Q ~ "' .cf ' * ~ "" . ~~ ... ~ .... --- ""'' . . ,. -~-.- j : ! ·I I I I ·a~o~.sa 5!4~ ! uo!~nq!J~S!P JadoJd au!LUJa~ap o~ pa~sanbaJ All H::ladsaJ S! lJnO) a41 I' o • ' ------~ --------- ·. ,, lJn tqt ®rpqan.af Q!nurt nf lfa.aqingtnn Qtnu~t\1 ~ I ~;~~~~~r~-~sib-~~ii·w!·)~;!/Kl~-------( :_ S.TEFAN ... S.TASIOW:SKI_ __________ : __________ : _________ ~ __ :__________ ) N 63-71-275 : ' ~ 0 ............................................................ ~---------------------' ~ In the ~natter of the Audit ·Of Account in TO TH,E AUDITING JUDGE: my -, . 'f , Accountant · . : Enter------------------------------------------------------appearance. or----.----------,-----. ________ ------------------------------·--------·---------.------;-----------'----------------------------------- -----------------------------------------------······················----------···-··---~---------,----········----·-··:··------------------------------------·--------------·····;·····-------~---------------------------------- N.B.-Counsel shall, by tSeparate pa;per, present a concise statement of each claim, with supporting calculation of any interest claimed. Objections to an account as filed, shall be concisely stated in a separate pruper. Counsel sugge1sting proper distribution shall file a separate concise statement in that Tegard. 1 \ J ~ l. ,. ........ ,. 'l ; ' 1-., u. ~ ' ~ 1 ' i "---L.... ;} No. ____________ , _____ §}:::_7.)._::_~_7§ _____________ , ~ yn JA}l 17 Pti 3 37 ·In re Audit of Account iJJJ Estate <>f R U S S E L L M ,\ f\ i N 0 ?..1'~-~-----S.-~b.S.l.Q.W.S.Kl ____ 9:/_J5L_g. _____ S._TJ;;J?.R~~- nEG!SlEH OF WILLS WAS }1 i t.: \~ T •,! N (: O-PA S.T.~S..I.QW.S..Kl. ____ 9/_k/.a. ____ S._T_E_F.~N. ____ , _______________________ _ .1 '-. • f ..... , • STASIOWSKI AUDIT Jrarripr fnr 1\ppraranrr FOR _______________________ b,G.G_QQNT.~T. ____________________________________________________________ _ ________ G~9X9.~ ____ g __ ! ...... M9.9.~.9,~-------------------------·· ····--------------------- Attorney ~2 ~u tltt Qrnurt nf Qrnmmnu Jltas nf IJuslTill!ltnn Qrnuuty. Jtunsylunuin. ®rp4nns • Qrnurt lliuisinn ESTATE OF No. 63-71-275 · Steve Stasiowski a/k/a Stephen In the matter of th First and Final Stasiowski a/k/a Stefan Stasiows i Account of Helen Stasiowski Supinski deceased Executrix ADJUDICATION AND DECREE And now January 1?f , 19 72, this matter came on for hearing, audit and distribution at this session and testimony taken; and thereupon, upon due consideration thereof .the2 bglaru:e for distribution in the hands of the Accountant is determined to be $ ts, 2 ,0_2_ and the account is accordingly confirmed; and it is ordered, adjudged and decreed that the said balance be paid out by the Accountant in accordance with the schedule of distribution hereto attached and made a part hereof, unless exceptions hereto be filed sec. reg. or an appeal be taken herefrom sec. leg. SCHEDULE OF DISTRIBUTION Balance per account ________________ _ Additional credit asked at audit ·Balance'--------------------- Deduct Clerk's Costs & Receipl;:j_------------ Attorney George W, Modrak Russell Marino, Agent, transfer inheritance tax, estate liability only, Genevieve Stasiowski Martin, daughter, 1/7 'residue, Caroline Stasiowski Reichart, daughter, 1/7 residue, 654.01 1103.27 Wl.dislaw (Walter} Stasiowski, son, 1/7 residue, 1103.27 Fred Stasiowski, son, 1/7 residue, Isabella Stasiowski Morgan, daughter, 1/7 re- sidue, Maria Malski Pekunas, daughter, 1/7 residue, 1103.27 1103.27 1103.27 $ 8,880.06 No balance / I ' '· r { -. \ '') r " ., I l' ·~' .. r " ... . . f"'""~"""' l . • I '-! r-, -4 I j • • • ' ' I I r r . '.1 . ' ( I ') r '· l ~"' ,, / ~ IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY·, PENN . ORPHANS 1 COURT DNISION ' . . -' . . INRE: ' . .. . . Estate of .. . ·sTEVE STASIOWSKI, a/k/a STEPHEN STASIOWSKI, aik:/a · STEFAN STASIOWSKI; ( ) No . 27 5 of 1 971 z Deceased. ~ ( ) ( ) ( ) ( .. >-' 01 z 'Z Ill a. ,Z 0 .. ~ i BEFORE: 01 ~ .. ' .: ·0 iil 'HEARING ON AUDIT -3 ~"I"! Tlf_e Honorable P. VINCEf:\JT MARI:{f~ ~dge Of the._. smd Court. · o; 0 c: ~ ·-·-· ...,_ ----en ....,.. · · ~:.~ (fJ (f1 ·-........... .:Z ~ ~Tl ~l : ! : C) m r --~ "":D .... -i ~-~ o~q!;n~.nsbur,g, I?a. , ~ APPEARANCES: · GEORGE J. MODRAK, Esquire, E ~ .- . ~ rep~esenting the Accountant. i3 <J : -: ,1~ :-".l: .0 :I ., ~ TIME: til ui 0: Ill .. 6 ~ r~ .: ~;;; "1J r--0 ~(f) -' --Tuesday, December 14, 1971, at 10:00 A.M. ,t®ST ~ TH.E COURT: . .. Ill 0: Number 27 5 of 197t. ·the estate of Stev; .. 0: :I 0 0 .. < ij ii: -. Stasiowski, deceased. The Executrix is Helen Stasiowski Supinski and the attor)ley is George J. Modrak. lVlr. Modrak? ~ lVlR. MODRAK: If the. Court please, all the debts in the estate have been paid. There are no problems for adjudication by the Cour and I have here all the necessary papers. THE COURT: Is there anyone else in Court interested in this decedent 1 s estate ? ( NO RESPONSE ) _'IhF>audiLof thiR ar:r:ount is marked closed j L------------------------------------~~~--- ~: ~~~;. ·;-;.-·--~.. . .. ..... ~ .. ·,, -~ ; •••• .- • '.! ... -~· 1, . ' . •,; \ . i ' .. by ·the · Cour~: ·. ... ' -.· (AUDIT CLOSED) . ' ' . . ·. ' ... .. ' I·~ ·. . .' ; . :. are eont~ined.(~U.y.a:nd a.ccurate}.y fO ·the notes.taken by" t.ne on the hearinci l' . . . . . ' ' . ;: ·.-•' ,: . . .. • '··. . . ' . . . ,· . . ' ·. ' ., : . .. . . . -. ·, ' - .~ of ~he· above cause; and'that .. thts copy ·1a a correct transcript of the $ame. ~ . . ·. . .·. . ' ' . . . . . . ' . . . z .• z Ill' . Q. i 0 . ... 1!J' z i UJ· c( ~ .. 't._ .· ' t .. · . . . ' . ' -_-. .. .. . .. · _, ,. -·~ .; . -· ~-i- ~· . · .. :.,. -~ .. ·. .. ~ ... ~-... . "' . ~ ... . '. _-, '·- ·, ·.; . . .. -~ •. ~ '·' i -·'· ' . ' . . .. ... -.; · . .., .. .. _, ··~ '"· .. 5. "' ' '· .... ':.-·_ . . , , .. ·-'! . . ... 1 ,. ' ... ·. J. I .· ~ .. .. •..; "' . I· ..... , ... .. ·~ '' 2 •' ' . ' . •' -s, r . ---, -> . ( .. ~ · ..... /-_ .. -.-~ · .. ---~-'" _,... .or -· .-. -· ' . ~ . ·' -._ ... ~. -' . -' . -. '- ... ... ·- -,~.,' . - ·< ;• . -~ :,. ····~ ,; ··. .. .... -·· ·- --. ..,•'.~t_.£ __ ! ",,:1[_.1 .i.'. --1 -" . -~- ~-.. -' ' .. .. ,_ • .. 1 .... · ··- ., -.-,_. ' .~' . "' . -· ,, ... .., .... ,.,. ..... 'f"'·-· / ' .. . ,, ,•, .. . -' ... -~ f .. s,;. '·· .. -, .,... I, .- .·•,. . - .. -· l',· ~--.1" (- -· . -. • > ~ 1 -•. ·· .. ., • f I '( :' -. I ;, .. -. -. . -, . .. ' -' ~ .. . ~..._......._ ~-~-I ,.·· -. . ... Form RCC-;13 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ·• j \ RESIDENT DECEDENT COUNTY OF .... .WASHINGTON ........................................... .. IMPORTANT: This return must be completed in detail and filed in duplicate, with will attl!-ched,. with the· Register of Wills of the County where decedent resided; Return is due within one year after date of death, unless an extension is granted by the Secretary of Revenue. (Section 703 of the Inheritance and Estate Tax Act of 1961.) f.O~~l...~J,f~i}~3¥.i.;i.6,~~~~Iiiiii ...... ~:~~=-... }:::u:;;;x (State full name of decedent) · Late of ~h9..;:.t.~.~~~ .~! .. W.~~.h~!1.9.~9..!1. ........... County ~ State of ;P.~_pnsylvani~ ......... ........................................ } ss: ........................................... . ... ........ HEl.,.EN.J~.'l.'~.S..I.O.W.S..K.J.:. ...... S..P.:.f..l.N.S..K.J.:. ........... . Administrator of the estate of the above-named decedent being duly sworn, depose . ......... Eseeutor and say Decedent died ....... .Ma..r..cb. 4, ... (Month) ............. , 197 .. l .......... .J testate leaving a last will, copy of which is hereto attached. } (Hay) (Y~r) l~ J otherN::etha::i:::r:::r:fse:ttt::;:: ::} George J •. Moc;lx:·ak8 A.t:tot:"n~y .~t ..... ~.~W' ························································· ........ . whom all correspondence should be 22 Nort}l <:!E:!:ntral AVca:J:l'll:e~ <:!~:rl'?:rlf>'l>\l.J:'<:1• J:>~Il::n~:Y:J.::Y.~:n~ .. ~ ....................... . mailed. That as such . .Exe.c.ut.x:ix ................. deponent is familiar with the affairs of said estate and the property con- < l•:x.,cutor-Adm in istrator) 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 nal'Qe, 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 None ------------------------------- That the contents of said safe deposit box or boxes are itemized under Schedules ______ of this return, with the exception of the following, for the reasons hereinafter set forth: ' ~ That Sc.hedu!e A attache'd' hereto and made part hereof sets forth full v and in detail all the real property in the Commonweafth of Pennsylvania of which decedent died having a~ interest therein. It _, also sets forth the mortgage •encumbrances upon each parcel of real property at the date ~f death, giving the amount still due at death, name of mortgagee,' date, rate of interest, and book and page of' record thereof. It also sets forth in the columns provided therefore the assessed valuation of' each of' said parcels, the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets f'orth fully and in detail all personal property wheresover situated owned by the decedent at the time of death; all moneys lef't by the decedent at the time of death, whether in decedent's immediate possession, standing to decedent's credit in banks of deposit, savings banks, trust companies, or other institutions, whether individually, or in trust f'or any other person or persons giving also separately the accrued interest thereon, if any, down to the last interest day prior to decedent's death in the case of savings banks, and to the date of' decedent's death in all other cases; all bonds, postal savings, treasury certificates or notes and other evidence of' in- debtedness of the United States to the decedent; all obligations, whether by statute or agreement they are designated ~s tax free, of the United States, or any state, or political subdivision thereo~ or of any foreign country, which are owned at the time of death; all wearing apparel, jewelry, silverware, pic- tures, books, works of art, household furniture, horses, carriages, automobiles, boats, and-~ny and all other personal chattels of whatsoever kind or nature, left by decedent, together with the fairly estimated market value thereof; all bonds and mortga~es held by decedent and of all claims due and owing decedent at the time of death, and all promissory notes or other instruments in· writing f'or the payment of' money of which decedent died possessed, of whatsoever nature, with interest thereon, if any, giving the face value and estimated fair market value thereof, and if such estimated fair market value be less than the face value, it sets forth briefly the reasons for such depreciation as to each item; all moneys payable to the estate from life insurance polici'es carried by decedent; all annuity and endowment contracts the pro~eeds of which were payable upon the death of the decedent; and all the corporate stocks and dividends due thereon and unpaid as of the date of death, bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death, with the market .'\r ~l.IJe thereof at such time. -·-;..,~~~ , ., "l! '<!~ I ' -.~~~~ •. '•I! . "{ ·"-:·-~:._~ "._}\, '1:-6· ~ \ ~~: i l·· 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 appra,isal of the decedent's interest therein must be submitted. It should also set forth in itemized form, together with the fair market value thereof, any other property owned or bequeathed by the decedent at the time of death, The Schedule C attached hereto and made part hereof sets forth a true· answer to each inquiry contained therein and in the case of transfers ofproperty, real or personal, within two years of decedent's death, in contemplation of decedent's death, or intended to take effect in possession or enjoyment at or after death, said schedule sets forth the nature and value of such property, to whom transferred, the relationship of the transferees to the decedent, the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers. In the' case of transfers intended to take effect in possession or enjoyment at or after death, there is also attached to the schedule a co~y of the deed, trust agreement or other instrument creating the trust. Ther•~ is also set forth in said schedule a list of all property, real and perSOJ)al, With itS value, Which paEses' 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 jointl,Y, _by the; ~i}~:, ~e~d, or other instrument of another, with a copy of the instrum,ent .creating such, power attached to the _sche~ule.,, That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons benefic'ially 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 e"state. and the date' of'a:cquisition of pe'rsonalt-y, plus the name, address and relationship, if any, of co-owners to the cl.ecedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate, including fUneral expenses paid; family exemption, where applicable; costs of administration of this estate; counsel fees and fudiciary's commissions paid or to be paid; cost expended for burial trusts-, tombstones or gravemarkers, and reli- gious services, in consequence of the death of the decedent; debts and claims owing and 1mpaid 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. Subscribed and sworn to b NOTE: filled sure all blank spaces in the affidavit a securities of close or family co~porations or an interest in any co-partnership or business, that the data and statements required under the paragraph above relating to Schedule "B" are attached. Also make certain that column #1 in the "Summary" has been properly completed as above-directed. Rcc-34 (1-64) COMMONWEALTH OF PENNSYLVANIA t?>'EPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY •• Real property in Pennsylvania, with statement of mortgage encumbrances upon each parcel at death of dece- dent. Where property held as joint tenant or tenancy by entireties, report on Schedule "E". Property held by the dec.edent as tenant in c~mmon with another or others, should be identified as to quantum of interest and the esttmated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be described by lot and black number, street and street number, together with a general description of the property, with a reference to the record of the conveyance by which the decedent took title; If a farm state number of a- cres; also statement of mortgage encumbrances upon each parcel at death of decedent. Taxes, assessments, accrued Interest on mortgages etc. are to be listed on Schedule "F" and must not be deducted from this ~chedule. ----~ ----~--~ -- (1) (2) ASSESSED VALUE FOR YEAR OF ESTIMATED DECEDENT'S MARKET VALUE DEATH (3) DEPARTMENT VALUATION CAUTION (Do not write In this space) ~<~. .. ................. .--111 •• ···-· d\11 ............. "' .. •••· ~ ...._. ,...,1 ..... ~ ................. ,... r ................ (~) d !li'MJ-l'te~ (Ol. U .. ~· Mtli, .. ft •. · 1 0 .................. ..,etalu1y ~ ....... u.a ... , ......... ,.,. tiiZ&i• '* s fit)i.clt o.:ae<:a oo (~~ ~;o.aaa11 l..t.oe oe Cbcdl --. • .. .,.._a t>.J~M11 tl~ oi ~lbi:::l9 nc.tGO't ar..t1 ~ ltme! ~itb c!e• ~1W1 (ll~wa b1 \act on.~tJ at. ·c:>t ~-mtl! ~~" 11• 't7o~t 89 !Get t.o ItO\ llo • • . iJi MY ..w~t.1ot&: ~~~ ~t.h ;; l" J • • :...2.n~ 140 ~ to AtJe.;l*» "&"', ••nco • tuu niA nv~uu. eoet.b at~ ·7• nan eo bet to c.• A9DDwt alln•Mt aDd ~ bi k,&t)t ooid l\~W"J Gco~ 21• 21• l•t. 140 tee.• to ,ea.t ef nmrr:tnt~. .. --t.b9 OQft;3 ~ey ecttvayce to Gb)lan ft~ ·eta/• " ...... ~ ~ ~M» s-.~'U.. llio ttJ.li:~, l1f Aamie k l'illeQ~ _. aiiMn ol&aG~. t,cnr ~t1. tl1! t'be1 ttctsd a.a J'?. lf,at, of &"Gcod ta ..a -• 9bl. (!go* ~ ... 6UO. otl ~..l~Jt:.o&l eoun~ n~:-eet ~ ~ . _,~-Joct tc t..'le C\.i!0-:..1tJt~. t."4l~e-:-vat.iono, e)~t11t.iGt1m. 8'1\4 oO. ...,.ulo#e (),_. fcWtb. thes:e~ ar.t1 ill ~a-oc ~~r.z..~. l'.h Al4 catWU. ftaticttW'tt ~ . q~ era IIUCb a1. l9~G, ~ally tt.tl~ 1n one tn ........ __. .... ...-: •••• ....-Ala~-~1 e/P!,Io ~a~ M nnt•aat ', ••t tr; ~ t!lltJitto~~ o ~v..VJJ/ __ · r,.. " ----------- Appraised by J. c McCleery, Realtor, for $8,100.00 and sold for same price > Insert this total opposite .,real property", Schedule .,A" in the X X X X X .,As Reported" column on the last page of this return. $ 8,100.00 g-;oo-- '' RCC'-35 JGOMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE ".B" 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 jo~ntly 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 anyundistributed 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 ITEM UNIT ESTIMATED DEPARTMENT VALUATION NO• List and describe fully .• VALUE MARKET VALUE (Do not write in this space) Black Lung Check $ 2,842.90 2 fl../2-, yo U.M.W Death Benefit 350.00 '3 StJ r Social Security 255.00 F-Y /?Mf' f, Automobile Sale 25.00 2-5 I Sick Benefit 65.70 {,5,70 Flower Donation 10.00 )J r TOTAL $ 3, 548.60 ) Insert this total opposite "Personal Property", Schedule "B" in X X 3 2.. Cj3, to the "As Reported" column on the last page of this return. .. RCC-36 ./ COmfON'I'EALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX ~~SIDENT DECEDENT SCHEDULE "C" TR.WSFEJlS NONE (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 property without receiving a valuable or adequate consideration therefor which was to take effect in possession or enjoyment at or after his death? (Answer yes or no) ________ __ (a) Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition? (Answer yes or no) _______ _ (b) What was the transferee's age at time of decedent's death? ___ ~--- (5) Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a) The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no) -------- (b) The right to designate the persons who shall possess or enjoy the property transferred or income therefrom? (Answer yes or no) _______ __ (6) If the answer to (5) (b) above is in the affirmative, state whether the right was reserved in decedent alone or others ____________________________________________________________ ~--------- (7) Did decedent in his lifetime make a transfer, the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor? (Answer yes or no) --------- (8) Did decedent, at any time, transfer property, the beneficial enjoyment of which was subject to change, because of a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of law? (Answer yes or no) ________ __ (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 Insert this total opposite "Transfers", Schedule "C" in the "As Reported" column on the last page of this return. .MARKET VALUE (Estimated) DEPT. VALUATION (Dept. Only) r --,, ----~ I RCC-38 COMMONWEALTH OF-PENNSYLVANIA THANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRl'CTIOKS: This schedule must disclose all property, real and personal, owned by the decedent jointly with another or others, including intangibles, standing in the name of the decedent and others. List real estate first, as entireties, or joint tenants, giving brief description, as indicated under Schedule "A", plus the date and place of record of instrument effecting vestiture, but do not include entireties or out of state real estate value in estate valuation column. Personal .property should be listed as in Schedule "B", plus date of acquisition, and the name, address and relationship (if any) of co-owners to the decedent. Description of Property, Date of Acquisition, Name I Unit Address and Relationship of Co-Owners, and Place Value of Record of Instrument, where Rea! Estate. ! Joint Savings Account No. 61-54. at Washington Office of Mellon Nationa Bank and Trust Company in Joint n.ames of Steve Stasiowski and Helen c. Supinski. Balance as of March 4, 1971 was $4,150.85. Taxable $2,075.43 Percentage Estate Share Valuation Insert this total opposite "Jointly Owned Property", Schedule "E" in the "As Reported" column on the last page of this return. DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Entire Property Value of Decedent's Interest ( h .. RCC:-3'7 (~2-63) C'O~l\10NWEALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT BENEFICIARIES AND ADDRESSES State full names and addresses of all who ave an interest, vested, contingent or other wise, in estate) Helen Stasiowski Supinski 421 Bluff Avenue Canonsburg, Pennsylvania Genevieve Stasiowski Martin 632 Alpine Drive Canonsburg, Pennsylvania Caroline Stasiowski Reichert 1119 Beech Street Washington, Pennsylvania Wladislaw Stasiowski/ A l~'ll:andria Virainia ·Fred Stasiowski 340 McClane Farm Road Washinaton Pennsvlvania Isabella Stasiowski Morqan Larimer, Pennsylvania - Maria Malski Pekunas 186 Barnet Street Washinaton Pennsvlvania . t SCHEDULE "D" BENEFICIARIES RELATIONSHIP SURVIVED (If step-children or DATE INTEREST OF illegitimate children DECEDENT OF BENEFICIARY are involved, set STATE YES IN ESTATE forth this fact.) OR NO BIRTH Daughter Yes Over 21 See fill II It II II II II II II Son II II II II II II II Daughter II II II - II II II II Deponent fUrther says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE Will Administration t No. Year ........... . IS THE ~IA TTER OF THE APPRAISEMENT OF THE ESTATE OF STEVE STASIOWSKI a/k/a STEPHEN STASIOWSKI .. a/k/a .. .STEFAN .. STASIOWSKI ·Deceased Late of Gl:la.rt:~~rs. ~()Wll.S.!lip County of Washington Commonwealth of Pennsylvania REPORT AND APPRAISAL ..... c.o ;::1 :::0 0 M.::O () 11 C>C: -i -(I) Vlr.J) .1',;) ; --fTl r-' f'T1,-·-.J ! • :o,- 0:3: m '"Tl)> 2l =E':::o 0 r=z r-o f\) (I) $. U1 w ~ .,; <. ' '- (Executor-Administrator must complete "As Reported" column #1.) 0 ~ '"C ~ .., .., ('!) ('!) 0 ~ .., ~ "' ::s "' "' "' 0 ~ ...... ::s '"0 ('!) ~ .., .... ~ "' 0 :>< '"C '0 ~ ('!) r::r .... .... ~ 0 ~ '0 t%1 ('!) .... "' ..... ..... '< ~ ..... ('!) ._. .:· w en en () () ?"' ?"' ?"' r5 ~ > • • • '* '* -(h '* '* '* '* 0 '* -(h '* -oo .00 en c::: ~ a:: > ::0 ....:: > "' ~-­('!)-"0~ 0 .., .... ('!) ::::.. > :r. II ...... u ~~ ..,~ 2. ::l r. ::::.. / '' '// ) ... -/ / ./ RCC-81 (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT HELEN STASIOWSKI SUPINSKI (Executor or Administrator) In Re: Estate of STEVE STASIOWSKI a/k/a STEPHBN IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division __ W_A_S_H_I_NG_T_O_N __ County -File No. __ 63_-_7_1-_2_7_5 ___ _ Dear Mrs. SUPINSKI: You are hereby not i f i ed that the -:::-::---"o:..::r...:::i~g::;::i=.:n.::..:ca.:;-1--.---..----:-rr--r::---.-.cr=-:::T.:-:::-=----- appraisement in the estate of Steve Stasiowski. ajkja Stephen has been filed in the office of the Register of Wi lis of_W_a_sh_m---=g'-t_o_n _______ _ County on~----:;November 11-' 19__7!_, Said appraisement reflects the following valuations: Rea I Estate -------,8.='-;;1"'00~.00h· ,..· ____ _ Persona I P roperty __ __;c_.3_::_,_2_9.3_.oo _____ _ Transfers ______ ~......-...--........------ J oint I y Owned ___ _,.->'12r-',07-r;5n-J.IO-n-::3.-___ _ Total _______ 1_3_,4_6_9_._03 _____ _ As to such tax that is paid within three months from date of death, a five (5%) percent discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months when death occurred from December 22, 1965 to June 16, 1971, inclusive; and twelve months when death occurred prior to December 22, 1965) from date of death, interest at the rate of six (6%) percent per a~num is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. Date _N_OVE_MBE_R_1_1_, _1_9_71_. __ _ Signed Ti tie _D_O_M_I_NI_C_R_._D_' e_MAR __ IA_,_A_P_PRA_I_SE_R_1_1_ DATE OF DEATH: MARCH 4, 1971 Note: This is not a bill. j \ .// COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of Stasiowski, Steve a/k/a Stephen DATE OF DEATH~J~~"---~4=/_:_7l ___ FILE NO. 63-71-275 (Last Name) (First Name) (Initial) REPORT OF INHERITANCE TAX APPRAISER WASHINGTON I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of._, ------------- 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: --J.INL!.IOVEMB.JU.:I.I:uu::Ew.R~l"-lr...t1~1+97~l....._ __ INHERITANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS I, the undersigned duly elected Register of Wills in and for WASHINGTON 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 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 none none annuities . . . . . . . . . . . . . . . . . . . $ ------+--- ESTATE TAX ASSESSMENTS $ _________ _J____ FOR USE OF REGISTER ONLY COMPUTATION OF TAX $ ________ 4--- $ __________ ~-- $-------------4---$ _________ 4--- $ ____________ ~--- VALUE AS REAPPRAISED $ __________ -+--- r ______ __! .. f-- TOTAL TAX $-----------~~- (*) As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid $======1== 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 $---------''---- BALANCE DUE Add interest at rate of 6% from $--------~---- ---------~0-------$--------~~­ TOTAL TAX BALANCE $ ---------+--- PAID $--------~-- 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. Year ........... . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF .. :;~v.g ~~~. a!..kfa. .. ~l.»~ Deceased Late of. .. Cbal"ti~rs T~~b.ip County of . . WA.SHl:~f:t'l'QN . Commonwealth of Pennsylvania REPORT AND APPRAISAL . •c ... . (.... . /"• i ~ ' . ./ -. .. ; ,. ,. I - ..... /"' .~ f-~ •...) ' I' I .. ; I ... I ~ h· /~ "· ./ / / .... (' '-. I r ~ . . ,Fo"nri' RCC-'2 \ NOVEMBER 11,. 1971 / COMMONWEALTH OF PENNSYLVANIA DATE \ ~/ ....................................................................................... ................ ~-),, ~ DEPARTMENT OF REVENUE RESIDENT INHERITANCE TAX WASHmNGTON COUNTY ~ BUREAU OF COUNTY COLLECTIONS ............................................................................... ............... HARRISBURG. PENNA. 7 772 7 APPRAISEMENT 63-71-275 FILE NO •................................................................................................ STEVE STASIOWSKI a/k/ a STEPHEN CHAR TIERS TOWNSHIP Whereas, ...................................................................................................................................................... late of ............................................................................................................... I in the County of ............................. :WA~ING.!~ ......................................................................... Commonwealth of Pennsylvania, having died on RRCH 197~ .... , seized and possessed of estate the ............................................... J....th ...................................... day of ........... : ................................................................... an subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore, I, ········································ .... :. .. : .. : .. ~ ....... ~.Q~~.~ .... ~ .... P.~~.~~·········· an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate, and to assess and fix the cash value of all annuities and life estates growing out of said estate, hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years, the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future Interest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Pur poles REA1 ESTATE $ See copy attached to appraisement 8,100. ~ PERSONAL See copy attached to appraisement 3~29.3.. b<al JOINTLY ..OWNED See copy attache4 to appraisement 22,,075. ~.3 I I I TOTAL 13,,.469. P3 ' I ! I ' I ~ .. ,'J/ l .. 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 .................... llth ............................. day of ·······.·.:~·.·.·.·.·.·.·./.2.:::~:·~: .. ·.·:·.:::::·:·.· .. :::·.::·.·.· .... ~~: .. : ... .' Appraiser ··········································· ··························································· .......................................................... (J!Iumber and Street) ······································································································ .................................. , Penna . (Post Office) ..... WA~lfi.NG'l'Q~ H • •••• •••• ••••• County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of --~~~-~--~~t-.~~-~c:>~~-~---·a./}{i~ .... ~.~P.l:l~~- Deceased. Late of CHARTIERS TOWNSHIP Date of Death, ··········.::·~C..a. .. A, .... ~97J. .................... . Appraise1nel!t Docket Vol., :..3..8.~ ....................................... . Page, ~~~7 .......................... No ...... 63~71~27.5 .......... . Filed in Register's Office, ........................................ 19 .......... . Amount of tax due, $ ................................................................... . DEPARTMENT OF REVENUE Received, Examined and Approved, Wrote abo.ut Appra.isement, Appeal f1'om Appraisement, Entered and chnrged, L I r> (.; .~ (..). l /. / . / , / ... ~ ... " ~ ~ ~ - DEDUCTIONS ALLOWED IN Form RC C -10 /) -' ·..., ~./ j ,, - )__.;-0"7FICE OF TME / STATEMENT OF DEBTS AND DEDUCTIONS THE SUM OF ............ $1. Lfttrt<:~rv COUNTY "l oF Washington REGISTER OF WILLS DATE APPROVED •.... I .. "" 4 -7 z....- AND AGENT OF TME COMMONW&ALTM ESTATE OF STEVE STASIOWSKI I etc. LATE OF Chartiers Twp. washing-ton Co. Pa. DATE OF FILING APPRAISEMENT DATE OF DEATH March 11, 1971 DATE NO. OF VOUCHiillt NAM&: OF PAYEE REMARKS AMOUNT Observer Legal Advertising $ 14 00 Washington Record Legal Advertising 14 00 J.C. McCleery, Realtor Appraisal 35 00 Georqe J. Modrak Retainer 50 00 _Columbia Gas of Pa_. Gas Bills 103 03 West Penn Power Company Electric Bills 18 89 Janis Stasiov.rski Cleaning House 36 78 Citizens Water Company Water Bill 20 96 c. c. Altman M. D. Medical Expense 2 00 Russell Marino .. .;-··· Inventory & Account 31 00 ~l'>nrrrP .T Mnrlrr~k Commission 582 40 u. M. vv. Dues 3 75 Jennie Unifewski Cleaning House 20 00 Krawczyk' Funeral Horne Funeral Bill 1,400 00 Louts ion Packing Company Packing Bill 13 00 Bell of Pennsylvania Telephone Bill 4 14 ChurctJ. I Holv Trinitv Polish Nat. Grave excavation 60 00 Kurtz Monument Company Letterl.ng 16 00 Leonard szafraniec Pipe Repairs 97 80 M:::.lr"nlm T Mnrrr~n 1971 Countv Tax 22 91 Anna Howcrof-t-_ 1971 Twp. Tax 16 18 Anna Howcroft Balance of 1971 Sch. Tax 55 45 ]1 Transfer Stamos 81 00 .,., Georqe J. Modrak ~lE •. ~greement, Deed & 65 00 os~n Norman Barnickel Store Grocery Bill 5 52 f"'f"\nf-.;n,o('i on nAYt nacre COMMONWEALTH OF PENNSYLVANIA } COUNTY OF washington H: I, Helen Stasiowski SupinsK~ HEREBY CERTIFY, THAT. TO THE BE•T OF 114Y KNOWL!DGE AND BELIEF, TH! FOREGOING IS A JUST AND TRUE STATEMENT OF DEBTS FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION suBMITTED To THE ESTATE oF Steve Stasiowski, etc. · .DECEASED, AS DEDUCTION$ FOR INHERITANCE TAX PURPOSES. ~ ~~~T_!!d.d-~;__ ~~(L.5.) SWOR~ND SUBSCRIBED BEFORE ME THIS DAY OP' n ... ..,hAr ...... ' ,,.,~ ~m v--YI/J7d/!'A'. " I ZJGEORGE J. MCDRPK, r:ct:ry Pub!IC' Cr:.;:;~!Jurg, W,:;s; ::1gton Co., Pa.-! MY Cc:>.,~ ·~:;:::m Expires "tvJay 14, 1972; - I ~ ., -- ~· ;.-........ Form RCC-10 DEDUCTIONS ALLOWED IN \, . \'; ,. ~ l -· OFFICE OF THE STATEMENT OF DEBTS THE SUM OF ............ $ j ...................................... I 'r REGISTER OF WILLS \.Vashing:ton AND DEDUCTIONS OF COUNTY DATE APPROVED 0 ••••••• ·············· ························ AND AGENT OF THE COMMONWiALTH Regiller of Wills, Agut ESTATE. OF STEVE STASIOWSKI, etc. L.ATE OF Chartiers Twp. Washington co. Pa. DATE OF FILING APPRAISEMENT DATii OF DEATH MatGh 11. 1921 DATE NO. OF VOUCHS:" NAMIL OF PAYEE REMARKS AMOUNT Rev. Felix N. Pvzowski Church Service IS 50 00 . Helen stasiowski Supinski Commission 582 40 Peter Simon Grocery Bill 21 61 (6 A,:J~ -vt/1 ,0;}R ~ S7J. I i . .. f, ·-~422 --Total 82 \. _;::;;--- ' I I - . ·,~ I l'or Bale b:r Slrlttb.' brOil Co. lnc .• Prlntera and Publlahen I •u-ue Boulevard Of Alii ... PIUabur~:h 11, Pa. ; 1fM-rerm No. 1o1a 1£ast Ifill un~ Wrstutnrnt . I, STEV! : ~ -'"EPHEN) STASIOWSKI I of Arthur Plnn,.·~il81rtiers Twp.,Countyof Washington , ancl Btateof P~r..r1.sllvania being of sound mind and memory, do hereby make, I / ~· ··,. : publi:lk and declare.., t}is to be my Last Will and Testament, in manner .and form following, hereby I ·I• \:) i ~king any u1i1 6f'uJills heretofore made by me. Fir3t. I direct that all mY just debts and funeral expenses be fully paid and satisfied) as soon j a& ro1nJfnientZy may be, after my decease. I Second. I give and bequeath to my beloved son, Fred Stasiowski, my television set and my electric hedge clippers. Third. The balance of my estate1 real, personal and mixed, I give, bequeath and devise to my seven belovec children; namely, Helen Stasiowski Supinski, Genevieve Stasiow'3ki Martin, Caroline Stasiowski Reichert, ~~adislaw (Walter) Stasiowski, Fred Stasiowski,.Isabella I Stasiowski Morgan and Maria Malski Pekvnas, to share and s~are alike. However, in the event of the death of any one of them, the share of such deceased child or children shall gc to his or their issue. If ; such deceased child of mine shall have no issue, then he:;. ... (his) share I shall go to the surviving child or children of mine • r -----OFFICE PHONE: 'J!C45-7410 ~ RESID~CE: 74-S-3741 • ;:· GEORGE &..1. MODRAK ATTORNEY AT LAW 22 NORTH CENTRAL AVENUE CANONSBURG, PA. 15317 Honorable P. v. Marino Judge of 0. C. Washington Court House_ washington, Pennsylvania 15301 Honorable Judge Marino: January 25, 1972 Re: ESTATE OF STEVE STASIO'VJSKI 63-71-275 Please add the following items as additional credits in the above Estate: Rev. Pyzowski -Funeral Church Services ------$ 50.00 Peter ~imon -·Grocery Bill ------------------21.61 Helen Stasiowski Supinski -Executrix Comm. 582.40 Total ------------------------------------------------$654.01 GJM/vab .00 T .C 0 T .00 T [i:l iJ 0 .c 0 J., 2 9 3 .6 0 2) 0 7 5 .II 3 l J;ii S 9 .G 3 T Sincerely, -~~l~ George J. Modrak