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Home My WebLink AboutOC1971-0801 - ESTATE OF BARTOLICH" RCC-81 (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION IN YOUR REPLY PLEADE REFER TO JI NOTICE OF FILING OF APPRAISEMENT CHARLES W.BliRTOLICH INFORMANT CHARLESBARTOLICHInRe:Estate of-----...,;....---=----..:..::...._----- """'"--...,....;..:.._~W~A~S:AH~I~N~G..AT~O.a.!N County - FHe No.63-71-801 Dear Mr.Barto1ich, You are hereby notified that the~__~o~~~i~g~1~·nuaa~1__------------- appraisement in ,the estate of CHARLES BARTOLICH has been fil~d 'i~t'he office of the Register of Wills qf J\1ASHINITON County on October 5 ,1911.Said appraisement reflects the following valuations: Real Est ate .,....- Personal property ~1~O~3~3~D~~.~6~2~----,'Transfers _ Tota 1 ....J]l...l0"4-',...t.3..J.1J).Jt.o,.e.1J6..2'---__ ~ As to such tax that is paid within three months from date of death,a five (5%)percent discount is allowable.As to any tax that remains unpaid after one year from date of death,interest at the rate of six (6%)percent per annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. r .•. Dat e _-:0::...:c::...:t~o::...:b~e~r~5~'ll---ol!!:.:9:!...7!-ollo--_Signed Title FRANCES LEO,CHIEF APPRAISER DATE OF DEATH:May 23,1971 Note:This is not a bill. ·:\.RCC-P3 (5-6)3).t COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of BARTOLICH CHARLES (Last Name)(First Name)(Initial) DATE OF DEATH 5-23-71 FILE NO.63-71_801 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of WASHIID TON Pennsylvania,do respectfully report that I have appraised the real and personal property as reported in the foregoing return at the values s~t"~ort~~PPosite each item in the last column to the right in SCh:dUj "A","B","C",and "E". Dated:October 5,1971 .4~~~ INHERITANCE TAX APPRAISE.'R // REPORT OF THE REGISTER OF WILLS // I,the undersigned duly elected Register of Wills in and for _s;;.o~nnSYlVania,do respect- fully report that I have allowed deductions in the amounts claimed by deponent,except a,S1O those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F"lch gre er r lesser amount represents the sum allowed as a deduction. OCT 5 1971 RUSSELL MARINODated:_ VALUE AS REAPPRAISED $-------+-- 62 25"2 8,159 37 10 8 159 37 VALUE AS REPORTED VALUE AS APPRAISED $$~------1-- INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or -t=-.t= COMPUTATION OF TAX $-------,.-=-:=-+=- $489 56 Pd.In Full $--------1-- $--------+-- $-------t-- FOR USE OF REGISTER ONLY Tax on $---4__2% Tax on $8 15Q~7 ~ Tax on $'--s'% Tax on $10% Tax on $15% Exemptions * Total Estate -1-__ TOTAL TAX $-------'--- (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::::::t==== BALANCE OF INHERITANCE TAX DUE $L Add interest at rate of 6%from _____to $------ AMOUNT OF ESTATE TAX ASSESSED $--~----iL- Estate tax paid $L- BALANCE DUE $---------~ Add interest at rate of 6%from -------1to-----$---------It=TOTAL TAX BALANCE $--------l. PAID $....J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will (Administration )No.Year . IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF CHARLES BARTOLICH Deceased Late of S'l'MB.A~.. County of .,.W1\.SHJ.:Ne:t'l'0N Commonwealth of Pennsylvania REPORT AND APPRAISAL p '. Form RCC-2 • DEPARTMENT OF REVENUE BJEAU 0;CouNTY COLLECTIONS HARRISBURG.PENNA.17 127 COMMONW~~LTH OF PENNSYLVANIA RESIDENT lNHERITANCE TAX APPRAISEMENT October 5 1971DATE". COUNTY J~A~,B.IN.G.'I.QN.. FILE NO §}:..?.~.:..~9.!. Whereas,GB.AR~.$.:e.A.Rr..9.~J9..H late of ..§.:r..~I:3.A.~.. in the County of JtlASHING.T.ON :Commonwealth of Pennsylvania,having died on the 2.3.d day of M~y 19 .7.)"seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,FRANC.ES.~.Q ,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years.the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest.I Description of Asset PERSONAL: ~F.F.r.opy OF SCHEDULE "A"ATTACHED TO APPRAISEMENT Unit Values $ Appraisement Made for InherllanceTaxPurpoles 10.330 62 I I I I WASHINGTN County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ...CHARLES BARTOLICH . Deceased. Late of STRABANE Date of Death 5-23-71 A·aisement ;~;~;;···;~·~;··········J·'j;l..······..····;···········ppr .,. Page,/....£{.=d!..No..§.3.~..71..~.e.Ql . Filed in Register's Ofjice,OC.t 5 J9 7.1 A11wunl of tax due,$. DEPARTMENT OF REVENUE Received, Exgmined and Approv~d,,. Wrote abo.ut Appra.isement, Appeal f1'om Appraisement,. Entered and charged,.• ,.• J,'".r COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTION.S COUNTY OF Ji~I3~_lng~.oo.. Form RCC-33 RESIDENT DECEDENT IMPORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the Register.of Wills'of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of the,Inheritllnce,an!i Estate~ax A,ct of 1961.) IN THE MATTER OF THE ESTATE OF }AFFIDAVIT OF -Charl.es Bar.tolich..SriI···· ..EXECUTOR (State full name ofdecedent) Washington ..,..ADMINISTRATORLateof........~...,'.'...<...,~,...............................County State of p.ennSY1Van~a...: ::..: } sS' County of l!~~~~.,~~~}:.............................. WI~·····~f·th~··~~t~t~·~~~t::~~·~:~~~:~~·~~~~d~;·:~~~?~~~:~S~~d~~~S Decedent'died .May ,23. (Month) Name and address o'fattorney or} other authorized representative to whom all correspondence should be mailed. ..............~1At I ...........,19......71.....,)testate leaving a last will,copy of which is hereto attached.:} (lillY)(Y"".)Lintestate .'\ ....JosephC.Ralston..Esq•..~..P.O..BoxS6 ....;. .118 East ..Lincoln ..Avenue..~McDonal.d •.....Pennsylvanla ;. That as such deponent is familiar with the affairs of said estate and the property con- (Exl!r.ut.or·Arlmini8trator), stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent. or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT NnftA 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 Schedule A attached hereto and made part hereof sets forth full v and in"detail all the real.property in the Commonwealth of Pennsylvania of which decedent died haVing an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of 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 forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys lef~by (the_.decedE!nt at the time of death,whether in decedent's immediate possession,standing to decedent'~'credft ,in banks /',,"'..." .'f (of deposit,savings banks,trust companies,or other institutions,whether individu~11Y,or in,tvust for'".any other person or persons giving also separately the accrued interest thereon,~f'any,down to)the last interest day prior to decedent's death in the case of savings banks,and to the.da'te"of d~cedent's death in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in- debtedness of the Uni ted States to the decedent;all obligations,whether by statyt(,orfagr~eIllent:they are designated as tax free,of the United States,or any state,or political sUbdivisionthereor;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 any and all other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and mortgages 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 for 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 policles carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. ".... L In the case of securities of close or family corporations,the values,reported are as far as possi ble substantiated by financial statements of the corporations,showing th'e asset's 'and I iabilities thereof as of the'date of death.The schedule also sets forth the interest of 'decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.,It should also set forth in itemized form,toge ther wi th the 'fair market value thereof,any other property owned or bequeathed by the decedent at the time'of death..r- Ill" 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'e~ch transferee and all other facts of a pertinent',nature r,egarding said transfers.In the case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached t~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 personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,or jointly with another,or any power of appoint- ment vested in decedent,eit!Jer.indivi~ually ?r joint,ly,b~the will,deed,or other instrument of another, with a ~o~y of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement shoWing which of the beneficiaries named in the decedent's Will,if any,died prior to decedent,the dates of their death,their issue,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 arid others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relatio~s?ip,if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the'decedent;debts and claims owing and unpaid at time of ~,,death;taxes accrued chargeable for period prior to decedent's death (except.those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collateral pledged for obliga- tions,if any.It is 'agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement'of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B","C","E",and "F",as directed therein" have been carried forward and properly registered in the Summary. (Executor-Administrator) ·lox····-1·1·2··········································~.,(Street Number) ..sout~~~a:.,·T!=a:lls'::l.a ..···..················..·..··..·· Subscribed and sworn to before me this 2nd .. ...........If.·····..·······....day of August·19····71··· .~__J&:dL&&________.__ Not'Fa~h~~.\~TARY PUBLIC McDONALD BORO,WASHINGTON COIINTY MY COMMISSION EXPIRES JULY 7.1975 NOTE:BeforeMeihBl!l}fl!llhs~ff~~oiitati_~ot_e all blank spaces in the affidavit and schedules annexed are filled in with details or the word "'None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the dataa~d 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 DEPART~l:NTOF ,REVENUE BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT ".. SCHEDULE "A" REAL PROPERTY ,.~..,I 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 liE".Property h"ld by the de.cedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commor:'lwealth of Pennsylvania should be (1 )(2)(3\/ described by lot and block number,street and street number,together wi th DEPARTMENT a general description of the property,with a reference to the record of the ASSESSED VALUE VALUATION conveyance by which the decedent took title;if a farm state number of a·FOR YEAR OF ESTIMATED CAUTIONcres;also statement of mortgage encumbrances upon each parcel at death DECEDENT'S MARKET VALUE (Do not writeofdecedent.Taxes,assessments,accrued Interest on mortgages,etc.,are DEATH In this space)to be Iisted on Schedule"F"and must not be deducted from this schedule. None .~", . I 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. ,.".'''0 ..'..L £6 S 1=8'I' S 2 1:/...,1=2 2 9 0 £z:..0 1: l '~ _J...._.t.....ioo....A ....._~~..Jo...~ C I RCC-35 COMrlWNWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "n" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be,listed under Schedule "E".Inta~gible 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 fi9-uc1ar,y in said capacity,partnership interests,interest in anyundistributed eS,tate ,of or income from any property held in trust under the will or agreement of another,even though locat~d outside of the State,at the time of de~th,should be listed in this schedule. Item No. ITEM List and describe fully UNIT VALUE ESTIMATED MARKEl'VALUE DEPARTMENT VALUATION (Do not write in this space) SAVINGS ACCOUNT SaVings Account No~1091.in the Slovenl,;n Sav~npand Loan Association.located at Strabane.Pennsylvania.in the name of Charles or Jenn:Le Bartol1ch in trust for CharlesW.Bat'tol1ch and Clara N. Dempe.Balance as of date of death. (Jenni.e Bart,Ou.ch,his wife,c1~~,J/ OCtoher 12,1966)~1~ Insert this total opposite "Personal Property",Schedule "B"in X X the "As Reported"column on the last page of this return. .' /0:330,b{)I ·.,',",,I .;.'...._.1 ,. RCC-3D COmfON1l'EALTH OF PENNSYLVANIA T~\NSFER INHERITANCE TAX ~~SIDENT DECEDENT SCHEDULE "c" TRA,NSFERS (1)Did decedent,within two years of death,make any transfer of any material part QJ;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 hi~lf to himself and another or others (including a spouse)in joint ownership?(Answer,yes or no)__no,----:=_- (3)If the answer to (1)or (2)above is in the'~ffirmative'~tate:'< (a)Age of decedent at time of transfer _ (b)State of decedent's heal th 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 therefo~,which was to take effect in possession or enjoyment at or after his death? (Answer yes or no)..,0 (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 enjo1llOt 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)a1;LQve is in ttle afe.trmative,state whether the right was reserved in decedent alone or others l'«)t app 1C8ble (7)Did decedent in his lifetime make a transfer,the consideration for which was ,t.ransferee's promise to pay income to or for the benefit of care of transferor?(Answer yes or no)DtO (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..Jlhich c01lld 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 beneficia..lf:Y...reserv~jinthf decedent alone or the decedent and others? (Answer yes or no)INO..appJ....CaOle 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 None DESCRIPTION MARKET VALUE (Es timated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return. '"..- CCM'It):\WF;\1.Tll"010'PENNSYLVANIA 'rn\:-;~';FFn rxmmt'f,\NCE'TAX lU~Smn\T DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY nSTRrCTI01'iS:This schenule must disclose all property,real and personal,owned by the decedent jointly with another or:others,i,ncluding intangibles,sta~ding in.the name of the decedent and others.'List real estate first,as entireties,or joint tenants,giving brief description,as indicated lnlner Schedule "A",plus the date ,ann place of recorc;l of instrum~nt effecting;vestiture,but dQ not inc'~ude 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. •-1_ Description of Property,Date ofAcquisition,Name!unit perce~tag~"--E;tate Address and Rela'tionshili of'Co-Owners,and Place ,'Value Share Valuation of Record of Instrument,where Real Estate.l DEPARTMENT VALUATION CAUTION-Do not Write In This Space• Value of,'Value of Entire Decedent's None "' I I ,! Property Interest I I ' II iJ&; Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return. a I ! II!I IIi \',Ij I I I III I I lit.........-..~-...)..'.~. RCC-37 (1-2-63) COMMONWSALTH OF PENNSYYLANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARYaveaninterest.vested,contingent or other are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH --..'"if ~...·"f",'h b-li,Son Yes ....t~...N...-Daunbtew tas , , -, , .- ( h Deponent further says that all the above-named beneficiaries are liVing at this time except below: NAME DATE OF DEATH RESIDENCE .. OF THE ESTATE OF ~IATTER OF THE APPRAISEMENT (Executor-Administrator must complete "As Reported"column #1.).. ! ...,"t'J ::l:l..,('l)('l) ~..,~::l '".....~g "t'J ('l)~..,..,.....0 '"'0"t'J ('l)..,..,.g ~ ~....'< tt:l'"....~....('l) ..., ~>:~0-CP C1..,o'"'" Year D<THE t No. Will Administration Ght;l::r.les:BCl::r.t.ol.ich .. Deceased Late of..Stra1:>.a.Il~,f~:tlI:lsylYClI1i,.a. REPORT AND APPRAISAL Commonwealth of Pennsylvania County of Washington . Joseph C.Ralston Attorney_a~LaW·v A.:'(~J iJ')'."N '.5"V/;,I'1.vlcuonal rl ,(';il,\j511::,\2G d"?L::'I\).:10 ~..-..(''"\'I()'.II'I"·'-\\',;;:t,.ft\~.:'..~'.~ >;r. tJ8-~..,----:3 ::l~c... -~ :-:::::,...:,0 :~ \0..) 9 .~:If-": enc: ~~>II r::l:l '- W CJ'J CJ'J -< ()()?"'?"'?"' r5 ~~::---- ~~<in <in ~~ j-a ~ 0 0 >.....'"W zwz::l:lW:0 W 0 ('l)~0 :!:j 0 !:j ~..... ~:(1)•(1)0---- 0'1 0'\~ N .('l)tv c...--- ~~<in~ '--.o· k9 ~.9..J . \L .J.;~'-~...---: t \-\Li ...;.! E ',,\J \.:-,:W....illLS " DEDUCTIONS ALLOWED IN j THE SUM OF $uc2/ZL.2 :.),.,."I1.~~.~~.EL~u~~c.~'~~'..u.,u{~. (,..3-1/-yo / STATEMENT OF DEBTS AND DEDUCTIONS OFFICE OF THE REGoiSTER OF.WILLS AND AGENT OF THE COMMONWEALTH Form RC C·lO ESTATE OF Charles Bartolich,Sr....,'-~,..~...,;- LATE OF$iIi:'oJ;;P.!i>sm:e ;.,...£..em;~~.~J...Y..aIU:~......~r!+-~l, ,/ DATE OF FILING APPRAISEMENT DATIii OF DEATH May 23,19]1 DAY OP'SWORN AND SUBSCRIBED BEFORE ME THIS 2ed --~....,fl\UimlHit;.-.,......---=-~---18 -1l-'iri:y'M~ ADMINISTRATION SUBMITTED TO THE ESTATE OF ---.;Cl.l.lJbu:;aLlrL..1.L.S:e;.l:s:L....-Bu.caur...ltwnu..l,1...1Juc..;Jhl.4,........P.:!..,r~._--_'OECEA.ED,AS DEDUCTIONS>FOR INHERITANCE TAX PURPOSES.c...R.~,/.{,('1:J _'.~ _-=----=-=-_"'-V[_....!:...._P->-J :..-__(L.s.) DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH,;1t I Wi 11 i ~m Rnoprs_Funeral Dr.Funeral Services ~1 7~!J.?I) Father Soisson Pri esrs 99 •11m ?O 00 Medical SUDDlies Medicines..etc,.110 '00, Nnr~,...u 'P",..1;ro lI.Tnt-~....'17 1:'.,..,.e:-,2 00 ~ T .~.1-('12~1C!t-nn 1<'C!1'1 A -l"DD 71)00...~~ "'j..J 1(~) - .- COMMONWEALTH OF PENNSYLVANIA }S.:COUNTY OF \i,l:l~biJ;')j:~tOl}' I,HEREBY CERTIFY,THAT.TO THE BEGT OF~ MY KNOWLE:DGE AND BELIEF,THE:FOREGOING IS A JUST AND TRU E SrATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENse OF. PEGGV M.WEIR ~NOTARY PUBLIC McDONALD BORO,;VASHINGTON COUNT'{ MY COMMISSION EXPlht;;,,;..7.IlJ7S- Mlimber,Penl\$ylYaniaAsscciatilllhl1 ,IVwIi,. &:lit!_aD