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Home My WebLink AboutOC1971-0381 - ESTATE OF DZATLEKPETITION SU R AU DIT IN THE ORPHANS'COURT OF WASHINGTON COUNTY Testate Form J Estate of MADELINE...Dz.ATLEK~alk/.a . ...NA..P.~.~I~f;p'~."{\,;r.~J~. Deceased 381 of 1971No . Fiduciory ~~~~.~~.c;.!?-~.~~.Y..t ~~~~~~.<?!;. Date of Date of Decedent's death J19.~~.h ~.1••J9.?J:.Grant of Le!tt:rs Ap.~JJ...?.1..J9.7.1 . This is the ~.~;-.~~~!.l.~..J.~E:~.~account filed in this estate If there have been former accounts filed in this estate,list file number or number and term NQne . Election to take Under oR~mt~1.(cross out one) Date Election Place of; filed Record . Name of surviving spouse N.ane.. List issue,where material: None Did decedent marry after execution of will?(indicate)~K No.Any chi dren born after execution of will?(indicate) ~!lI:SX No.If answer yes,name them . .____-__-- -- --.---. Leg.atees Leo Pirchesky Relationship Brother-in- law Interest ReSidue Fiduciary,if deceased or not sui juris Sui Juris List,H exceptions to above: None If partial intestacy,,give facts: None Adeemed:Revoked:Lapsed:Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or c,)ntingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of fhe account and of call of audit?Yes.I'skx If any exception give cause:NDne.. File copy of Notice February 16,1972 and date of mailing . Is estate subject to the filing of a Federal Estate Tax Return?~~. Actual payment made on Perinsylvania Transfer Inheritanc::!Tax.Amount $Noue . If the Will makes any portion of estate subject to a life-esta:e,give name and birth date of life tenant.NOne . Give Names and addresses of all unpaid creditors who are legally entitled to notice,tog-ether with the amounts of such claims;state whether they ore admitted to be correct;and whether the claim is denied. None Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quir;ing adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: '"I None .;'.... ,. / Balance for distribution per account, Itemize any additional debits not shown by account: Total additional debits (Add) Itemize any additional credits not shown by account: Total additional credits (Subtract) Balance for distribution $None.._---..--.. $~9.~~. $..?.~}.Qg.:.g.9.. $~.!.~9.9..:g:~. If balance for distribution is not in cosh,list each item held in kind,giving appraised Value (or distribution Value); 1.Real Estate 2.1964 Chevrolet Sedan -,~ $2,000.00 300.00 .,..IN THE COUR~OF,COMMON PLEAS OF WASH[NGTON COUNTY,PENNSYLVANIA ORPHANS'COURT DIVISION +.".', •"l'~ IN RE:ESTATE OF MADELINE DZATLEK,a/k/a MADELINE DZATLIK NO.381 of 1971 .Madeline ELECTION TO TAKE IN KIND OW ALL MEN BY THESE PRESENTS,that I,the undersigned to take the following asset of the Estate of k,a/k/a Madeline Dzat1ik,deceased,in kind: 1.ALL those certa.in lots of ground situate in Fallowfield Township,Washington County,Pennsylvania,nore particularly described as Lots Nos.Four (4)and Five (5)in Lock No.Four Extension .~;...Plan of Lots laid out by Baker and f Jackman Co.,'._;.J>!<I"O-'"11...fo""---\:~""'--- 2.1964 Chevrolet Sedan. WITNESS my hand and seal this c65.-tzi.day of January, 1972. WITNESS: SEAL .' If Familly Exemption daimed by Petition,give place of Record:_.._____:NQ.n~._.._. If Family Exemption is cl:aimed at audit,give name,relationship and bcsis for Claim:_..NQP.-.e.._. List any advancement or distribution on account that has been made,and nature and amount of same: None Su;)gested distribution of balance shown,both as to principal and income,attaching signed and ijtemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: t·.. Leo Pirchesky COUNTY OF WASHINGTON,55: COMMONWEALTH OF PENNSYLVANIA. Tre above named Fiduciary or representative thereof, being duly_~W.9.~)}.__doth depose and say th·Jt the facts seHorth in the foregoing petition are true And your petitioner will ever pray,etc. Residue to the best of his __knowledge and bel ief. ..........__S~gJ.:n ._to and subscribed before \' ~e th;s-A5.~,7,Ij-:--19---?:~-/-~~~g~----. SIQnature of Office ~Ex:cutor Ti-:le of Officer..___.._N·Q..t.gr~..£yJ?..lj...c;,........................-. Office expi res f(~yPjl.rf.'l~~,:"~~. CHA/Ufi:m DllRaa~~:1f;;:'1 ,.~o.~:'ll~Y PlmUC MY CllMl1iJSSJliN £'~,I";"i,;STDf!Cf!iNiYXPit!ES~IIJ:Ir\''',.,tt_~(J",I~,1972 ~No.381 of 1971 7~ Estate of...MADELlNE..DZA..TLEK,....al.kLa r""t l;g' ," ...~.J?~.~!~J?~A~~~~1 _-_.. Deceased ~"Z ~~O ')""I IfHn C(Jr.1 ~i In.-\~to t...!:is .,r... .'. Fiduciary L~.Q P.i.t:ches.ky.,._.__. ....,._!i;.?i~~.,:!J;.Qr _ . PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:paragraph b-c;and divisions thereof:shown on pages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of 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. Woodward and Bassi Attorney ~2 R-U'S2;['L,L .t t /~Ft 1NCf' REGiSTER OF WILLS \"fA SHiNGT()NCO..PA. ~ ,I I ,i I i I, I .'":' "'I .' ';', ::.." 'l,.~.:" .r.~. ," ,I' ,-....r;" "".....~..,.;; •~.',.•'",':I ' '.'.'1 •f '.,',.'\!;'","~I "",. "',:",,'......\... ".:1,:'. ",I't.'·:. You are hereby notified"that,the First and Final Account ,....j •~, ,:."I .\.. '\I 1I'liIi!Ii, !Irf !'t'! E' 'I, '~,197.,-=2;....-.._,at 1:30 'j !".~,. "~ ',-,f~• I, ,\,':~~<':of th~above-named decedent has been filed in the Register of \~..t I )!':'.j~'Wills I,Office'in and for the County of Washington,Pennsylvania, ',-.', ',;'i I ;":'i)':', ,," ,","',--', "on'"FTb,fuary !2 ,~,1972.,~ .,':]1',:!' 'jl "!iYou ~re further notified that final audit of said account it j ,~..'..'. I',will be made on Monday,March o'clock.!-.M.in the Orphans Courtroom on,the third floor of , I ii, iI,i I j ( I I'i I\, ! .•.."the Washington County Courthouse,Washington,Pennsylvania,at I '! ", .."" i I '..'. and be heard if you so ,',f .•• WOODWARD AND BASSI " 'by'/s/MelvinB.Bassi,---'-;'--':"'-~---......-.------Attorneys for Estate "'",. ;.,~. •,':I ':••.,., ·n~:;r,'; r1 • "' f ''''; ,',\ 1 ,1,, 1',- -$£.-_... :~I J O!nmmnulUta:t4 nf Jtuu.ayluauia,~ lIa.a4i!1gtnu O!nuuty,~.a.a: KNOW ALi..MEN BY THESE PRESENTS:Whereas,xt Washington,in the County aforesaid on the 7th..day of April A.D.1971 ,befole me, Russell Marino ,Registet for the Probate of Wills and Granting Letters of Admir:.istration in and for the County of Washington,in the Commonwealth of Pennsylvania, the last Will ando Testament of Madeline Dzat1ek,A/K/A Madeline Dzatlik late of Borough of Speers in the County aforesaid,deceased, (a true copy wh~reof is to these presents annexed),was duly admitted to probate;and Iso Pirche sky the Executor in said Will and Testament named,having appear~d before me and taken and subscribed the oath of office :?r,escribed by law; NOW,THEREFORE,I,Russell Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said 1£0 firchesky committing unto Him the administrat:on of all and singular the goods and chattels,rights an:!credits,which were of said deceased,and requir~ng Him to exhibit a true and perfect inventory thereof into the Register's Office,at vVashington,within ninety days from the dae hereof,and to r,ender a just and true accountd 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 re:ating to inheritanoe taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and the seal of said Office at Washington,this 7 th. day of April b the year of our Lord one thoU1':and nine hundred and'Seventy One ~~~.......................fI....~. Register "'.'. ~, '1 J ~~~p.f =(J) ~p.~ ~C!l ~ ~~lSt (J)~n Cl elt::1 -i~(J)>~~-i t::'t "11).,t:I 111 ..... ct"~Cl ~~P'"'1 =~ct" ~I-'~ C!l ==~.........~ 1>:-~f'....It:;:~!~ '1'i" ,f .~ "., il{.; ,''; ., ",n ·L J~J.' ,".'"·,'t..... .'.'.:'. '..~ ".~! .i....•-:.,',_.':U ~~j,"~ '.IV ~'!::.:~:~ .'~,t~ .,'I~ ~. ." ..: ,;J .:"~:it .',','11'..,,:'1 1'.,,'11' '...,i'tl.',..'.:'1'[.,'":.,>.:'J..',':}. ,,.';:i :~ '."~II .'.~fl:~I ·Iii./ q~(-:I ,,,'! .' I direct the payment oue of my estate of the •.Inominate,,·~o:lstit""'te and appoint LEO .All the rest,resi~ue and remainder of my \ SECOND: FIRST:. And as'.to all of'my estate,whether the same by real,. THREE: . I ....-,......'-:- give,devise andbequeathuntoLEOP::RCHESKY ito have and to hold the same unto him,~i~heirs,andassignsfotever• bequeath as'follows:'· PIRCHESKY ,Executor of this my Last ilillc:ind.:Testament,and direct that he shall not be required to.enter security ,in any"jurisdiction KNOW ALL MEN BY'THESE PRESEt.""l'S,tliat I,MADELlNE!"DZATLEKlI ' ~f the,Borough of Speers,Washington'County,'.Pannsylvania;being of in which he may act. expenses of my last -illness and funereal as soon as convenientl'y,..' IN WITNESS WHEREOF ,I have hereunt;J set my hand and seal to this,my Last ,Will and Testament;this IWday o,f October,in th year-of our Lorq,One Thousalld Nine Hundred Sixty-nine (1969). ¥aitl~~tg'U2(SEAL) ."-.. s'ound mind,.memory and understanding,do hereb.y make,publish and . .. possible afte;rmydecease. ,J !declare this tope my Last'Will and.T~~tmnent,hereby revotting,;·any· ,and:allformer Wills by me at any time heretofore made..",.I·';..'...''...' I ?ersonal'()r;mixed,of~hatsoever kind.,~pd nattre and wheresoever ,situate,of :which I die seized>:,andposs,ess,ed,·1 gj,ve,devise and,>. ..'.,'" .estate,of whatsoever kind and nature and wheresoever situate,I ' J '.:" ~~~ ,.._-.-_....-.., -it:J,~I "'.','..' "", "',,"'" .,;, 'J ,.1' ,.'...~,.','" .","... t ".l :,~'r.~'.:' ) ;'I ,,','.. i ,1 ,:!: ,l'.!',jI'; .I',j'I'.", I.'j.' 't I,,1. 'I ,I,I' ,1.I I hereunto subscribed 'our names as witnesses.-I . Signed"sealed,published c.nd de~la['ed by the.'said MADELlNE,DZATLEK,-asand for her Last Will and Testament,in the' presence of us,who,at her requ:st~in her.presence and in the presence of each'other,allbeingpresent at the same time,have Il' :-", ','" ,...':' :',,.... ,.~.:".',; :.'~. ".'. .! •> ;"':.,:,.' ..••I .". .".,; ..,, ..... .'.'. ',':'--.~";''. ". ,. .'" .,i.':- .:.'., '...•, ,>.• ;..: ,','- ,.~" .·1 r' ,.'i .:,'",'. .!.:;I~ I "r'.,.:..','.\t....' .,. "1':,.1 •..::: j.,j !: :., I I'\. .~,". ,.1 ".'.' ":'.' .~ ''!l • ,, v f j-t 1 .-11... ;. ',','. '.':'0"" ,. .---...-.~~.~~=-=..=.'=..._=--=-=-= to .3 -71-3 ~/J. Affibuuit (@f iExrrutnr (@r Abmintstrutnr Executo~«: ~.~. .............~.. 1.An inventory must be filed within three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of dis·:overyof additional assets. 1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Onginal and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P S.4844.2 l'tatr nf Jrnn9yluania,t 95: C!!nunty nf lIa94ittgtnn \ Personally before me,the undersigned authority,a NQ.ta:t:.y.P..u.b.l.i~,.in and for said County and State,appeared L.e.Q :ei.r.~.h.e.s.ky.who,being duly sworn according to law,deposes and says that he is the exe:utorxm:.~OOX of the estate of......~a~Elt~e.....D.I?t.g.tJ.e.k..:.g,L.kJ.~....Mg.g~ltn~........deceased,thlt the fOregOi!~schB~uIEici~s~it11J/~/acomp~ete mventory and appraIsement of the real and personal estate of ~a.~l ~l ~, deceased,except real estate outside the Commonwealth of Pennsylva:1ia;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,t,ased upon a just appraisement of each item made by the above named Executor ~ .Sworn and subscribed before me this&~l day~::::.~.... ADDITIONAL INSTRUCTICNS lJuUtl!lnry null J\pprnili/puwut of the goods a:zd chattels,rights and credits whichMade11neDzatlek,a kja were of M~.g~J:Jn~P..~~.~.!.!.~Jate of ~~.Eg.~.g~~E ~P..~~E.~..?.. Washington County,Pa.,taken and made in conformity with the ab"Jve affidavit. DOLLARS CENTS REALTY ALL those certain lots of ground situate in Fallow-field $2,000 00 Township,Washington County,Pennsylvania,more pcrticularl described as Lots Nos.Four (4)and Five (5)in Leck No. Four Extension Plan of Lots laid out by Baker and Jackman Co. PERSONALTY 1964 Chevrolet Sedan 300 00 TOTAL $2.300 00 .'"."L j'L/7-..5 ~3~7/-3?! .Inventory and Appraisement IN THE ESTATE OF MADELINE DZATLEK,a/k/a ......M8D..e..L.!.~....P.Z.8.T.L.IK.I'....g.§.g.§.€U?§.g... Filed ,19 . =E:;a>-rn ?:' (f)OC-,--(.....\ ::(fJ ('~.;ll'_~_,J r'n C','rn r-'"'JO-~,~1 20 ..:.--~::::: C")-;:,-o ~~;:::.1 '"---Jr--.; C-.='"T:.: ,:..tJ ~ =:1: \I .....--~~i ;, t-,:] "'IU" r :z -0 r <:>Lo.J;r;..(j)<...v ~J?J/~~£ WOODWARD AND BASSI ~3,~" ~9 STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law deposes and say sthat the above account as stated is true and correct as -__._..he.._-_verily believe. Washington County,ss: ,.. Leo Pirctesky,Executor I do certify that I have given legal notice to Gil persons :oncerned of the ~iling of Ithe ""ithil1 account in the manner Jrescribed by StatL'te and Rule d Court,as evidence by proofs -hereof filed to Nc..--b-~-::-1--J.;::-L-._.--_-. Witness my rand and offic iel seal thiS ~.~....._.. day af~iif1ii;;;;;:192_~ Register of Wills ...o .1i)...,'00 'biJ Q).~ All"3( ~"~110<.!~t ,,~.''I~l>'l,); c5 o R'u'','<::F!i j.,'"n I ~J A\",)\..:~-~~...L.t'11......nl(U (l"-G'''T'''R ")""'\'/'I\~'-'''''•••,'"',f I LS_·IV ~\-""I h!_ WA SHI ~GTON CO,.PA. 'p'IZ'l~']"w,.",l.',.'J I oz .(., ... '.---.------'"--"=._.------_.--" ) "".\ \. ',. f./. I • " ,.;~ ,,'" ..~ ,. .' ,/'t.\;.~,:."' "',I ",.'- "1(; '·"t 4... I, , " ',',"l.·'C~ " C? J {;;/ ~v ~;~:" ~:'~":.\~;l.:; ';:<1 -=-.~L~L],{ :) '~ ,.~ The Court is respectfully requested to determine proper distribution in this est .Counsel for Accountant ~..,•.". -,-.' THE FIRST AND FINAL ACCOUNT OF LEO PIRCHESKY,EXECUTOR OF THE LAST WILL AND TESTAMENT OF MADELINE DZATLEK,ALSO KNOWN AS MADELINE DZATLIK,DECEASED,LATE OF THE BOROUGH OF SPEERS ,WASHING':'ON COUNTY , PENNSYLVANIA Principal Personalty $300.00 !I Income Personalty 116.00 I Principal Realty 2,000.00 Income Realty None Total Assets of E~tate~-$2,416.00 ~I Cash advanced by Legatees to preserve assets in kind 2,830.16 i Total $5,246.16 I , I Less Credits Claimed 2,946.16 Net Balance for Distribution $2,300.00 - ,,;... ; ..,. . Y.,.' , " .~... PRINCIPAL PERSONALTY The Accountant charges himself with Principal Personalty received I out.of said Estate as fo1~ows:! ,Per inventory~~nd Appraisenent .INCOME PERSONALTY $300.00 The Accountant charges himself with :ncomePersona1ty as follows: Refund on 1970 Income Tax $116.00 The Accountant credits himself with the following out of the assets of said estate: George Hott Agency Collins-Hall Agency Insurance Insurance 56.00 32.00 North Pittsburgh Medical Association Miller's Penney's Joseph Horne Company Easton's Pharmacy Charles H.Dow,M.D. Charleroi Ambulance Fund George Gezzer Kaufman's Francis C.Slezak Alan V.Bress,M.D. Bianchi Monuments Magee Women's Hospital Guy Rogers HospitEl Bill 26.00 BalancE Due 14.50 BalancE Due 13.50 BalanCE Due 31.52 Drug Bill 21.15 Doctor Bill 41.50 Ambular:ce Trips 20.00 Drug Bill 68.34 BalancE Due 5.65 Funeral expense 1,819.00 Doctor Bill·133.00 Marker 354.00 Hospital Bill 75.00 Witness Fee 15.00 Russell Marino,Register of Wills Washington County Reports Pennsylvania Department of Transportation Mon-Va1ley Newspapers,Inc. Woodward and Bassi•,. Wanda Carrington Russel1.Marin?,Register Probate of Will and Short Certificates Legal Advertising Car Transfer Legal Advertising Attorneys r fee Notarizations .Filing inventory and appraisement,first and final account, etc. 15.00 14.00 16.00 10.00 130.00 10.00 25.00 $2.,946.16 PRINCIPAL REALTY The Accountant charges himself with P~incipal Realty r~ceived out of said Estate as follows: Per Inventory and Appraisem=nt INCOME REALTY $2,000.00 The Accountant charges himself with I~come Realty as follows: None "Washington County Reports' Washington,Pennsylvania ("UBLISHED BY WAS...NGTON COUNTY BAR ASSOCIATI::>I'iI) PROOF OF PUBLICATION In cJmpliance with the ~ewspaper Advertising Act of Ma"'J 16,1~~29, P.L.17e4 Sec.S,paragraphs (S)and (25). COl-NTY OF WASHINGTON}"'s STATE or PENNSYLVANIA :). Pers'Jnally appeared before me,a Notary Public in and forsiid Connry and COffioonwealth,CHARLE~C.KELLER,who,being duly sworn,dep:>sr.s and says:that he is the Editor (·f the WASHINGTON COUNTY REPORTS, the -officiEl legal periodical for said Washing,ton County,publi~h ~d week:y havmg its'place of business at V7ashington,Washington County,Fe:r.nsylvalh, and is adng as its agent in this behalf;that the said WASEINGTO:~ COUNT\]REPORTS was esta1:l.ished on March 31,1920,and Wll3 lesignate:l. as the offi:ial legal publication fJr Washington County,PennsylvaLi::,by o:dEr of the sev~ral courts of said COUJIty,dated November 11,1920;tha::be priJilte:l noti:e or :idvertisement attachec hereto is a copy of a notice or advatisemen:, exactly as.printed or published,which appeared in the said legal ?~iodiccl in its ~gular issues on the following dates: May 20,27,1e71 .................~.~.r.!.~~.~J'ZJ .. Estate Notices ThE Reg:st~r of WiHs ha3 grant.ed letters tfstaneLtary or of admmutrati.m, in the foI::ow.n§estates.Notice ie hereby given to ,all ;pe"sons indebted t1ereto to make paymeIlt without delay and to those havin§cains or demands b prese.nt them :'or sedement to the Exe:::llltors 'or Admirist"ato:,s Jr their Attorneys • • • • • I • • • • • • ••• • • DZ~TLEK,MADELINE,a/ktR MACE- LEND D~ArLIK,Dec'd. Late of !Bo:,ough of Speers,'V'"ashiE.g-ten Courty,Penna. E.<:ec.ltor:Leo Pirchesky,3::4 'Phill'psS-:re€t,Sp"ers,Chaderoi.Penns'{l- V2-,niE A:tomeY3::Woodward and Bassi,rOl M<::K=an Avenue,Charleroi,Penns"l-v2ni:: " that.the aIiant or the corporation in behalf of which he is a::t.ng is :net inteIested in the subject matter of said notice or advertising and that all of tre ::':<':~:"of tim ",."",;,u to -b't:Jf:z~,nd ,hu,_@'~;~ _._--_._-~':[~~ Swo"n to and subscribed befon ~--,~ _.lrL_...1oy oL.---'-:!~7-'.--"'"1911,_~~<'-¥~ JOSfP:mli:T.SW,r.~:~NNA NQt~rJ I'lil.::i:,\':n~hingt;n,\'i~shington Co. M~Comrr IS310n Expir2S July I,19;4 I ~ ·..., Proof of Publication of Notice in T~e Valley Independent Under Act No.587,Approved May 16,1929.P.L.1784, aS,amended by Act No.51 of April 24,1931.P.L.67 State of Pennsylvania }U' County of.Westmoreland • Personally appeQred before me William H.Pore,General Manager of The Valley Independent,who being duly sworn,deposes and says that The Valley Independent is a daily newspaper of general circulation in Fayette,WQshingtOn and Westmoreland counties,Pennsylvania,an:l elsewhere,published in the City of Monessen,Westmoreland County,Pennsylvania,that it was established June 28,1902,since which date The Valley Independent has been regularly issued in sai(J county,and that a copy of the printed notice or pl.\blication is attached hereto exactiy as the some was printed and pubUshed in the regular editions and issues of The Valley Independent on the following dates,May 18,1971 May 25 and Jlne 1,1971 Affiant further deposes and says that he is General Manager of The Valley Independent,a doilv newspoper of general circulation,and as such is Quthcrized to verify the foregoing statement under oath,and Affiant is not interested in the subject matte·of the aforesaid notice or advertisement,and that all allegations in the foregoing statements as to ti'!ne,place and character of publication are true. ',' COPY of NOTICE Letters testamentary on the estate of IMadelineDzatlek,a·k·a Madeline Dzat·Ilk,late of Borough'of Speers,Washing,ltonCounry,deceased,having been grant., j ed by the~Reglster of Washington,Coun·iItv,notice Is 'hereby given to all person.s,indebted to said estate to make Immed"latepayment,,and to those having claims,I against the same to present them with"out delay to Leo Pirchesky,executor,1 '334 Phillips Street,Speers,Charleroi,'Pennsylvania.Woodward and Bassi.at·torneys"701 MCKean Avenue,Charlerol,lPennsylvania.5;18,25.6;1, Swom to and subscribed before me this'_ day of •19__ Notary Public 'My commissio.n e)Olres _ STATEMENT OF ADVERTISING 'COSTS: Woodward and BaSSi,Attorneys at Law 701 McKean Avenue Charleroi,pa.1502'2 TO THE VALLEY INDEPENDENT,DR. For publishing the notice or advertisement attached hereto in Tho! Volley Independent on above stated dates $10.00 Notary ,,'. . ...$ _ Total ,$10.00 RECEIPT FOR ADVERTISING COIn The Valley,Independent,a daily newspaper of geno!rol circulatio",hereby acknowledges receipt 0': the aforesaid adverti$ing and publication costs and certifies that the some have been duly paid. THE VALLEY INDEPENDENT PA',I By.'.III.t...,;!;1~8,t.J..;1~;;._..;;:._=IJ:lIIt"' In the matter of the Audit of Account in 3Ju t~r ®rpl1uun~illourV'nf Iht.6~tugtnn OInuuty \ MADELINE DZA:TLEK,(Estate OII..t ~,_..'\.: a/k/a MADELINE DZATLIK ) TO THE AUDITING JUDGE: No..38 +..::;O.::;f 19B-.A.A. Enter·o::..:::u;;:r:......appearance for·_-=L:.:e::.o~..=p~l=.·:!:.r~c~h.!le~sJ:lk~y~·#-,-...E....XloJe;;a.;C.1.llUt..lc..!,l,L.r _ 20th March___--,day Gf _ N.B.-Counsel shall,by separate paper,ilresent a cor.cise statement of each claim,with supporting calculation of any interest claimed.Cbjections to an account as filed,shall be concisely stated in a separate paper. CounCil suggesting proper distribution shall file ..separate concise state-ment In that regard.. .;i, ~----------------~~~~----_._-_._..._...._=.=.....=..~....=...=...=....='•._=.~~----------- "72 NAR ?? J In t4t aLnurt of aLommon JUrus at lIus~ingtnn aLnuuty. 'tttnsyluuniu.(@rphuns f aLaud l1iuiswn ESTATE OF Madeline Dzatlek a/k/a Madeline Dzatlik, deceased No.63-71...381 In the matter of the First a,nd Final Account of Leo Pirchesky Executor $2,300,00 SCHEDULE OF DISTRIBUTION Balance per account _ ADJUDICATION AND DECREE -.\ And now March 2.! ,19 72 ,this ~latter came on for r,earing, audit arid distribution at this session and testimon",t~ken;and thereupon,upon due consideration thereof the balance for distribution in the he:mds of the Accounta t is determined to be $'·2,)00,00 .and the ac:ount is accordingly confi~med;and it is o~dered, adjudged and decreed that the said balance be patd out by the Accountant in accordance w~th .the schedule of distribution hereto attached and made a part hereof,unless exceptions hereto be flied sec.reg.or an appeal be taken herefrom sec.leg.~ Balance _$2,3;)0.00 Deduct Clerk's Casts &Receipt:o..s _ At'torney W:.:.o~o~d~w~a:::.r"'_d=__:&::;::..._B;:;;a:::..~ss=-i=--_ Russell Marino,Clerk O.C.,costs in certifying re~l estate to Recorder, Olga O.Woodward,Recorder,costs recordiLg certification of real estate, Contribution to~intain assets o~estat~in kind, $2,300.00 Plan of described No be-lance llowfield ur ALL those certain lots of ground sit ate Township,Washington County,Pennsylvania,more Leo Pirchesky,r~sidue,including ~1964 Chev- rolet Sedan and real estate as he:reinbelo'W des- cribed,held in kind and distributed as such at the.appraisedyalue, as Lots Nos,,Four (4)and Five (5)in Lock Ro.•.'l R:':AL ESTATE TO BE CERTIFIED TO THE RECORDER OF ASHINGTO COUN'JlY ,BY THE.CLERK OF THE O~PHANS'COURT D VISION Madeline t>zatlek'a/k/a Mad.eline Dzatlik,deviso devisee·,of,all~,tl,:1~right,title an.d intere9t of the to parcel of real:estate describet.as,VIZ: Lots laid out by Bake rand Jackma.n Co, CERTIFIED TO RECffi DER:'APRIL 3,1972 No._,j"'''~'""-~')f..,~I '...";•j.,...• 'r,~...~J,;:_....""..~ L.. In.the matter of the -.'1"1 f,HR"':'')!l IH t,' ' " F~}I-,.ndl.JI,.;"3.J L. ..,. .., "'", " '- /~-" ~- .- '-- '~' Account of of Estate of Abjubirntil1u nM mttr:e:e r; ."" ~illf.(.'::n ~~,U P!),j()F\;l!:J .....r ~.....or.,~I 'I·.".....• P t:(:!.C T,:;i (\1;\!j I''I L~,..-\l-.'l >J!t_l\"J~~r ..,v til Ie c-'11:to!-(\H -,0 PA""h)'I",'I h I l q'.I".,.. c-' '- ..._I .. ,'--'. ~'. .. 4-:; , ,,' ..4.,', ::. ~~a '" ~I I I .L.-1 !. !'OJ .i "-, ~ ., '- , I - '.... J .., HEARING ON AUDIT' " ,, , .~t Estate of. lViADELINE P'ZATLrK, INRE: IN THE 'COURT 'OF COMMQN ,PLtEAS OF WASHINGTON COUNTY,PA. ":..." ,'." "ORPHANS"CbURT DNISION ',',' •....'..,...;'.,-~.j .,,,.. "n,Z·lAPff f,"pri ?49 ,"(. f>U "),S~E...!Ij·/l.RiOO ,.REG!9'TER.'elf V1i~LS :MADELIN;E'DZATLEK,a~~;M,jJ~(:TOtl CO.,(P!v No.381 of,1971 ) ,( ') C' " ::sz, '",~.'~,.,til ",.~, ~.hi Do. " .•--~.:~j~. -~..-. ,are Woodward &Bassi.Mr.Bassi? Dzatlek deceased.The E~ecutor'is'L~o Pirchesky and the attorne: " " ,. ,, ".. Number 381 of :"971"the estate of Madeline !. IfYo'ur Honor p~ease,the two assets that comfl .~_se " ;, WOOD,WARD &BASSI:Esqs ..,of Charleroi,Pa.; representing the Acccuntant.' ',The Honoraql.e P.VL"'JCENT'MA RINO,Judge of the 'said Court.' . ,Mo~day,tJIa:-ch20,1 ~72,at 1:2,0"P.M'."EST ." MR.BASSI: THE COURT: TIME: BEFORE: !IiIt:!' Il:',0 II.hiIl: l-ll:::l 'ou ~U'iL II.o .'Z, ~~g,I!l Z iUl«,~ .,:'uii: ,~.APPEARANGES: ,oJ ct'~' C ::l., :I:..'"til -, • tj:lis estate are elected to be taken in kind bY~,Leo,Pirchesky, who,is also the Executor of tl::le"estate 'c We res pectfully ;'equest that pursuant ~o"th~election to t~ke in kind,they be so'de,vised or ...,.. granted or awarded by the CourL'There are no outs~anding claims and the Executor has advanced all funds necessary in order to pay THE COURT: ,i ..0. ....,t". the debts'and expens es of the es tate '. t '.~~•".'•.'. .Is'there anyone else ip Court'interested in this., 2 •1 ~~.,decedent's''estate,? ,,(NO :RESPO,NEE )' THE COURT:e, .. ,cl ,:·i I ,.\ -:='.4~.... >Ii';c: ;0, IIII :2C...e:z: XIII~ ti~III ..ii ..I •0( ij.ii'.;,. :z:..'",til .. .' ,; .'. The audit of ~hi3 account is ordered dosed by .(A UDIT C~bS2D') ,. oj ~.I b.~eby·.~ertUy ~t tbeproceedlngs and evtdenee o . L·..".~.".•~are contained fully and a.ccurately.in the notes.taken by me on the hearing I-'.'0:',.:J "•.•8 of the above cause.and ~thls copy 1sa correct transcript of the same• ..I0( ij ii'...o ....'. Thefor~tnq ~eeordofthe l~roceedltUJS upon the hearlug.ofthe above c~e ts hereby apJ?roYed and directed to be 1Ued. ,,~~--~- Form No.RCC·62 (4·71)'l'HIS FORK REQUIRED IN ALL ESTATES WITH GRQ8SASSE'l'S UNDER $10,000.UN1!)~R SEC'l'ION 701 OF ACI OF JtJNE 16.t'61,J•EF"E;IVE ,JANUARY 1.1982.(FILE IN DUPUCATE WITH COpy OF WEL ATTACHED)~9 _7 /'_.3 ff /' OFFICE OF THE REGISTER OF WILLS County of , ,::o1~,~~~.~g~.~t,l,, '"~.~~.,~~~~,~~~.~~,of ~~~..~~.~~~~.~~..~~~.~~~;,..~P.~~F.~~.£q~;t:~eroi (NlUlle):Addreu)fla. 1971 EDENT. WNERS. 0.00 0.00 eturn, by the ancial dent's mes in, ted being duly----~~-~~a.-r...-------D-----~ccording to law,dfpose's and says that be is the--.-----E~-e~lltQ-r..-;r"m....------------.-Ma e 1.ne za lek a/kl a (Exec.~.m:.ega~r.Ek) Madeline Dzatli~'.334 Pr.illips Street SPoftheestateof__________.______._._.______________.._______________._.___whme last residence-was .--.{N~T;--:...-.---------------.-(S-l~ii-----!------·-- Charleroi :.'. .~far::h 8 ~--------------_____________________________________.deceased,and that th~who.e of the estatf of said decedent,who dIed ___________..______.__._ (Cily,Borough or Tcwnship)(Dale) consisted of: REAL PROPERTY j, REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF M')RTGAGE ENCUMBRA:"CES UPON EACH PARCEL AT DEATH OF DEC ""HERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ElIo'TIRETIES,GIVE NAMES.ADDRESSES AND RELATIONSHIP OF :>THER 0 Real Estate Estima Value ALL those certain lots of ground situate in Fallowfiel:J I Tmmship,\vashington County,Pennsylvania,more particJlarly described as Lots Nos.Four (4)and 'Five (5)in Lock N,).Four Extension Plan of Lots laid out by Ba':<er and :ackman Co;, BEING the same premises conveyed "to Madeline Dzatlik by Deed of I·like Dzatlik,widower,dated October 26,1964,and recorded.the Recorder's Office in and for Washington County,lon O,~II . Pennsylvania,in Deed Book Vol.1190,page 273.b $2,00 ;jrl' , ,., Personal Property :"964 Chevrolet Sedan 01 'n 30 ~.,jc-; 1 NOTE:You may expedite the processing of this return by filing with it,and as a part of the r letters from financial institutions or mortgage h.)lders,certifyirg to amounts on deposit or owed decedent as of the date of death.Such letters :nust be signed by a responsible officerof the fin institution or mortgage holder and indicate cleErly amounts of :;lrincipal and interest in the dece accQunt at the date of death and the type of account,account number and 'the exact name or na which the account is registered. ~----~--------------~ Jointly Held Property Estimated . ,Value ---..~......-- Nnn,o (-::~ - - - Transfers within TWO YEARS Prior to Death Nonp That at the time of death there was no safe deposit box registered ih decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:-. NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT l\TnnlO . - BENEFICIARIES BENEFICIARIES AND ADDRESSES (State full names of all and their addresses who have an interest,vested,contingent or otherwise,in estate.) 01 ~1lJ.Ph111 i n ~-r & Speers RELATIONSHIP (If step-children or illegitimate children are involved,set forth this fact.) SURVIVEDDECEDENT STATE YES OR NO AGE OF LIFE TENANTS OR ANNUITANTS AT DEATH OF DECEDENT INTEREST OF BENEFICIARY IN ESTATE "~.RESIDENT DECF;DENT DEBT OR CLAIM Francis C.Slezak Woodward and Bassi DEBTS AND,DEDUCTIONS CLAIMED NATUF:E OF SAME Funeral expenses paid. Family exemption (will not be allowed unless decedent died residing with a spouse 01 children.) Administration Expenses • Counsel fees • AMOUNT THIS COLUMN ~GISTER ONLY $1,~19.00 s ~ 130.00\ OTHER DEBTS AND CLAIMS Fiduciary commission • George Hott Agency Collins-Hall Agency North Pittsburgh Medical Association Miller's Perney's Joseph Horne Co. Easton's Pharmacy Charles H.Dow,M.D. Charleroi Ambulance Fund Gecrge Gezzer Kaufman's Alan V.Bress,M.D. Bianchi Monuments Magee Women's Hospital Pennsylvania Department of Transportat:.on Mon-Valley Newspapers,Inc. Guy Rogers Russell l1arino Washington County Reports Wanda Carrington Russell Marino,Register (•)See Note below Insurance Insurance Hospital Bill Balance Due Balance Due Balance Due Drug Bill Doctor Bill Ambulance Tri-?s Drug Bill Balance Due Doctor Bill Marker Hospital Bill Car Transfer Legal Advertisement Witness Fee Probate of Will and short certificates Legal Advertisement Notarizations Filing inventory and appraisement,first and final account,etc. Total 56.00 32.00 26.00 1 14 50 13 50 I 31 52 21 15 41.50 20.00 68 34 5~i65 133.00 354.00 75.00. :16 00 10 00,15.00 15 00 14 00 I 10 00 25 00 $2,946 161(J2f'-lL-I t. Note:':'he estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission or debt is greater ""I...than tho "bmatad amnunt dalm.d and allow.d."~~._L _ SuLscribed and sworn to before me this , . . . . . . . . . . ..:<-.2~(.E'ft~~'t~~;c.JEtfJili:1a'tW~.::~~·~. -~.,'!;.~:\.--p:J~~.January,7~_~~~\'\.~l~~33'h 11 ...~(C~':-!...,..day 0 ~..:.:'.l..,;~}.".,~\~\Vs\\'~\~,'l..,.~..~..~"'"~~~..~~.~~.~~.?..~.~.~~~. ..'~"'.\-,,".,c,>'"\~t .(Street Number)'.,",\~\\"\"'::"\\,,\,~~\~~"\'\'Y'\\~~~..,·o·tat"y ..Pub ..ir.....~\~.,~t~\\~~.;t.,~~~~~~~Charle :oi)P.'~nnsylvania ""\I w\\I',. , ,(Cit"'Q'T'TQ;;'~'~~d ·si~t·ei " . Havillg been duly s:ol'n accord·ing to law,I d~by certify that the above ~pp:-aisement is m.llde in conformity with law on this ............, , ,.....:-<.-:7.J-.....day of ,.., .!-&...d;.,,....,..,.,.,;,~q',.,.....,19.;~2¥2' ..........~.....~...~~.. /Apprai ... In thE event that any future interest in this estate is transferred in po,session 01'enj.)yment to colla:eral heil's of the dec2dent after the expiratbn of any estate for life 01'fol'years,the Commonwealth hel'eby t!xpressly I'eser-"es the right to,appl'aise and assesstransfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OFr;HE GIST~OF WILLS . I,the undersigned duly elected Register of Wills in and for~'".,g:.~~"~""C.)unty,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by depone -'fl'a those itE ms where a greater o·lesser amount is set fOltq in the last column to the right in said schedule above,which greater or I ser 3l':lOunt re resents the sum allowed as l'ded\lction. Dated:W ..2 197~RUSSHL.MARmO..\.\.~..\.\~.____.._...._._.'~glster of Wills .........4 ....._____ ,...~... )J /' )/• ", Form No.RCC-62 (4-71) Will 1 .Administration SNo Year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF r'fADELINE DZATLEK,a/klD- 00 MADEJ..lNE.D.?.AT.t,!K)"~. Deceased Late of .Bo.r.Otlg.h.o.f .Spe.er.s :»••0 ••••• County of ...HaB.h:f.n~t:on.....0 •••••••• Commonwealth of Pennsylvania REPORT AND APPRAISAL ...·'·!··~~_.M UOODWARD AND BASSIAttorn~9~;at LmI1· 701 McKean Avenue Chart~r~~,Pennsylvania 15022 ., r ~~~,~ r. R CC-:s I (2-64) COMMONWEAL TH OF PENNSYLVANIA DEPART~EN-OF REVENUE BUREAU OF COUNTY COLLEC'iIONS INHERITANCE TAX DIVISICN NOTICE OF FI~ING OF APPRAISEMENT lEO PIRCHESKY (Executor or Administrator) IN YOUR REPLY PLEA.E REFER TO j In Re:Estate of MADELINE DZATIEK ajkja ____W_A_S_HIN_m_T_°_N County -File No.63-71-38i1l Dear Sir: You are hereby notified ~hat the~_O~r~1~·Qg~1n=·~al=-----~~--------- apfraisement in the estate of MADELINE DZATLEK &/kza has been filed in the office of the-Register of "'-ills qf _ Co~ty on FebruArY 1,,1922.Said appraisement reflects the following valuations: Real Estate ------.=:2)"",Q)?¥OOOO~••OO~QO!?---Personal property J__~__ Transfer s ---------------9-Q-PtA-AA-----Total ----,-__2_,_:3_0_0-'-_00 _ As to such tax that is p~id within three months·f~om date of dea-th,a five (5%)percent discount.is allowable.As to any tax that ren::ains unpaid after one year from date of death,.interest 3.t the rate of six (8%)percent per annum is charged. Any party in interest who is aggrieved by an appr3.isement may appeal therefrom as provided by law. Titie Date FEBRUARY 1,1972 DATE OF DEATH:March 8,1971. Note:This is not a bill. Signed FRANCES LEO CHIEF APPRUSER ESTATE IN30LVENT ....~- RCr.-39 (5-68)1j.-, COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RES DENT DECEDENT SUMMARY J. Estate of DZATLEK,MADELINE (Last Name)(First Name) a/k/a (Initial) DATE OF DEATH MAR.~,71 FILE N9)-71-381 REPORT OF INHERITANCE TAX AFPRAISER I,.the undersigned duly appointed Inheritance Tax Appraiser in and for the County of __W_A_S_H_I_N_G_T_O_N _ Pennsylvania,do respectfully report that I have appraised the rea.!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:_-=-FE=BR:.:..U:..::.AR=Y....;1~,!........:::1:L9..!..7:.::.2 _FRANCES LEO ,CHIEF APPRAISER INHERITANCE TAX APPRAISER .1.__.. REPORT OF THE REGISTER OF WILLS WASHINGTJNI,the undersigned duly elected Register of Wills in and for CJunty,Pennsylvania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,exce t as to tl0se items where a greater or lesser amount is set forth in the last column to the right in Schedd,e "F"IC.l greater 0 esser amount represents the sum allo\\-ed as a deduction.J no __~...... Dated:-iia.2 1972RIISSElL MARINO ,~--_... VALUE AS REAPPRAISED $-------+--?nnn nn '100 00 2.300.00 2:946'16 NTLVE $?'lnr 'lr 100 00 2,300..00 2:,946.16 ESTATE INSO VALUE AS REPORTED VALUE AS APPRAISED $ INVENTORY Real Property (Schedule A) Pers(·nal Property (Schedule B) Tran~fers (Schedule C) Joint-Held Property (Schedule E) T8TAL GROSS ASSETS Less Debts and Deductions SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or FORJSE OF REGISTER ONLY Tax on $---1__2% ,~.'"\ Tax on $'16%1'1 Tax on $•'5%'-' Tax on $~OOhTaxon$15%" Exemptions========l== Total Estate --1-__ TOTAL TAX COMPUTATION OF TAX $--------+--- $--------+--- $--------+-- $--------+--- $-------1--- $------_....1...-_- (*)As evidenced by Charitable ElCemption Certificates issued by the Secretary of Revenue. :Less tax previously paid BALANCE Less 5%of tax if paid within 3 mon~hs after death :::::::::==t== BALANCE OF INHERITANCE TAX DUE $L Add interest at rate of 6%from _-'--to $------ AMOlNT OF ESTATE TAX ASSESSED $--~----lL- Estatfc tax paid $---Il- BALANCE DUE $~---Jl- Add irterest at rate of 6%from t= ------I:to-----$--------..;, TOTAL TAX BALANCE $------PAID $_ FOR USE OF REGISTER ONLY ADJUSTMEI'TS NOTE:Where subsequent adjustments are made to the above computation of tax -)y the Register of Wills,for proper reason, same should be noted below,with short explanation. Will Administration (No. IN THE Year . ( I MATTER OF THE APPRAISEMENT OF THE ESTATE OF MADELINE DZATLEK Deceased G ~-... Late of . County of SPEERS . WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL !...,, J ~, •.t- [. ron"ilCC-2 ~I..COMMONWEALTH OF PENN8YLVANIA DATE FEBRUARY 1 1972...................................................1............................................ DEfAETMEl\!T OF REVENUE .. RESIDENT INHERITANCE TAX WASHINGTON..COUNTY ...........................................................................................BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO•..9.J.~7.1.~3.$..l ............................................... Whereas,............................~~.~~.~...P.~AT~~...........~/~!.~....................................late of SPEERS............................................................................................................... in the County of ...............................:.....:...:.....WA.9.HIN.GT.QN.......................................................Commonwealth of Pennsylvania,having died on the ....................................$.!-.l.1..............................................:.day of ................~~g.t!............................................19....7.+..,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth o:1i Pennsylvania; Therefore,I,......................................f.MNCES....l..EQ.....,....................................................,an appraiser duly appointed according to law, having been designated to make a [fair and conscionable appraise:nent 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 expro!ssly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Unit AppraisementDescriptionofAssetIMadeforInheritanceValuesTaxPurposes REAL ESTATE $ ~r.Opy OF 1I1JlJh'1l I 2.0OC .00 I PERSONAL PROPERTY I, SEE COpy OF APPRAISEMENT 300,00 ESTATE INSOLVENT ,- fcrrn~;~~fhbl:~:::h~w~a~rJ~~o~~.~a~o~er~~iffe;ab":~~~)~:::::;d?~: 2d/rf ........,.~"dm21,r:Jf~"'ip;;/o;'';;i'='............•Penna. ·;.'} .....WASHINGTON.....County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ..l1AP.~Ll.NE.P.4ATLE.K.a/k/a:. Deceased. Late of SPEERS Date of Death,..:.M.ARC.H...$."l9.·71 :. Appraisemel!t Docket Vol.,d.!... Page,/~(~../.No §3..~.7.~.~?.~~. Filed in Register's Office,19 . Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,:.. Wrote abo.ut Appra.isement, Appeal t"om Appraisement,. Entered and.fharged,. -. tI, >. J IN THE ORPHANS'COURT OF WASHINGTO'l COUNTY~PENN,A. In the matter of ;bhe Audt of Account filed in the Estate 0' Dzatlek,Madeline 'Dzatlik,Madeltne Deceas€rl )Date of death,'d-=-_--'-J?:....-.-_--L2-L-1 _ \N'),---'3.§J :)if'lC;7!..Tero.l97;::.LA. )Docket 38-161-1 [oR. '10 appraised Vialue of EstGte:ReaLty________-----------..--.---------..------..---$ TO THE AUDITING JUDGE: Enter my ,appearance for the Commonweal'th of Pennsyl"la,:tia.claiming transf~r inhericance tale in tfue above t!Etate.a1'folIcws r::::::t I ()C)C)It'0 cJ '7 .---- Personalty ___....__.._..___ _...$=J::...-d_O_..L,:..-::O:....-.O _ Additiorual Assets per Accourtt,Subject 'to Tax.................__....__.._..............__··__..·-$---_ A:idjtionall Assets per Audit.Subject to Trax --_----..--..- - ------------.-- -$------- '}ROSS VALUE ____..$ C3.. Debts and Expenses per AccClunt;see Note A1dttional Debts and Expen~s per Audit ) I ) $------- $------ $------ $------- $----- $-------------- --------_.----._--- TO?AL DEDUCTIONS,$~?7~/L ) NVTE:The foJ:lowillig credits claimed in the Account are held not deductible '3\'3 against the tax:CALCULATIO:~ Gross v,!lJ1ue .... Less Deductions-.../fJ....._.-.--,--._-..._ Claar Value __..~t;~~....~-t"...-!--..-I- ThK·) ai)le &t 2% $--------- ~~--- -----~~)=-.---- $--_._--- TAX PAID ON ACCO~NT Total Tax..__.........__.$_ $------- $------- $------ $------- $-------- Less amount pre"icusly :Ja~d__..__..__........__..__.......-----------..--.---$. _ Balance __..--------..-------------..$ Intere9t__yrs __mos.__deY;;@ __%......------.$_ TOTAL TAX AND INTEREST DUE .._____$_ ~ ()0s:11s::IJ0:I-Z m::E () m 11 l%j:ן-m ~r~'11 ~t J:'11 0 0 0 :IJ '11 :IJ :I- ~11 11 >-3m11 (l)Z m ~ <II Z :I-l/l :II<:I-...r z '"~() I mz W); (l)>IIIif!~0.. ·Lf-J-J~Washmgton,Pa.,19 . 1675N~RECORDER'S OFFICE RECEIVED OF _f~..!:h.lL/J~~::::_. ~.:-;::~~i~~-£~;:P:::::-;~:!:;-;,;;;;::b.,~ocd"t --6.~ Fees $G?JJ..6l1n·J~j)~,f) S ·t t T $.50 I'..I...~_~....I.,;!.~.fa e ax .1.00 . Certificate and Seal $....................TO Registration Fee $.--..............-.. ~edsSatisfaction$. Total $.J~$]?. State Realty Tax $_. , I J______J