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Home My WebLink AboutOC1971-0904 - ESTATE OF KOKLICHj~J'~7/-7'0:;/ l\bmiuistratnr /c7f<5 l\ffi~auit (@f 1fxrrutnr (@r @/tatr of Jrnnagluania.t ~!i: Qluunty of Baal1ington \ P all b f h d . d h'Notaru Public '.d f 'dersony e ore me,t .e un ersIgne aut onty,a ;.~..l.In an or Sal Al\ll\iA KOKLI eH .County and State,appeared !.L :;.,.who,beIng duly sworn according'to law,deposes and says that me is the executor or administrator of the estate of ................J:QBtl..r~Q.Kh:!IGH ;deceased,that the foregoing schedules constitute a I ..f h·JOHN vOKLICHcompeteInventoryandappraIsement0t e real and personal estate of...:·.~;';, 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 of each item made by the above named Executor Adm~ator. ·daY~~~~:;~~:::.::::,l.~..~~;~;_..._.... Canonsburg,ashington Co.,Pa,ADDITIONAL INSTRUCTIONS 1.An in.rttem~i:a»JlS!x~iimayJ~itD1J three months after appointment of personal representative. 2.A supplemental inventory must be filed within thirty days of discovery of additional assets. 3.1 Original and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3Junrutnry au~1\ppraisrmrut of the goods and chattels,rights and credits which were of Y.:Qf.U~:KQ.K~J..CH late of J~.9.I.:th $..t.E.9.P.9.-D.§T.Q~.§h.~.p.. Washington County,Pa.,taken and made in conformity with the abrrve affidavit. DOLLARS CENTS REAL ESTATE ALL the two following parcels or lots of land situate in North Strabane To~~ship,Washington County, Pennsylvania:(1)North\',es"c portion of Lot No.268 in Alexander Land Company Plan of record in Plan Boo}>.:Vol.3, pages 18 &19,Washington County Records and being more particularly bounded and described in Deed Book Vol.872, page 204,Washington County Records;and having erected hereon a frame QVvelling k/a 268 Alexander Avenue,Strabane Pennsylvania 15363.Estimated Value $6,000 00r (2)Lo~c No.179 and adjoining one-ha_lf of Lo·t No.178 in Alexander Land Company Plan of Lots of record in Plan Book Vol.3,pages 18 &19,Washington County Records and being more particularly bounded and described in Deed Book Vol. 453,page 390 and Deed Book Vol.508,page 306 respectivel· One half of Lot No.178 was conveyed by John KoJdich to Frank Kausak and Mary Kausak,his wife,by deed dated August 2,1933.Estimated Value 600 00 TOTAL $6,600 00 PRRSONAL PROPERTY None ~....~ ri i I J ~r: 62 H~IJ 2L 'Vd ..00 N01C)N 5111 '"I IHSV n ,0\;\I r ,H'I..".:lU d3J.SIL loNIWI':)_.~.:):3 d,L,:n 11':c:,''"'n.•,,'.)IH I~ t\0 -'-.' \'.. .1 '.~.J.I \..~.' ..;.I • •I ," Q!nmmnnlUtaltlJ nf tbnnsgluania.~ ,lIas4iugtnn C!tnuntg.\ss: KNOW ALL MEN BY THESE PRESENTS:Whereas,at Washington,in the County aforesaid on the 3rd.day of September A.D.19 71 ,before me, Russell Harino ,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 J 0 H N K 0 K LIe H,, late of ~North Strabane Towmship,in the County aforesaid,deceased, (a true copy whereof is to these presents annexed),was duly admitted to probate;and ANN A K 0 K LIe H, trix the ExecutJ[r 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 Marino ,Register as aforesaid,do grant these LETTERS TESTAMENTARY,unto the said committing unto ANNA her K 0 K LIe H, the administration of all and singular the goods aJld 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 r,ender 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 ,.".'. day of September 3rd. in the year of our Lord one thousand nine hundred and s eve n t y -0 n e • .....................................................~~.. Register ") !• N ~~ <0 ~ :ir:~~~ ~+-tt::'t<0 111~en Sl-I ~»~-I t::'t:x:111 ..... 0 ~ ~'TI a (",)~ I:J:j a>~~+-t t::l =• \~,... ...._..,"~- .....-.....'---~.......'-..",:=,.,;,-~_~....,~,:,_;;",:.~~.:-~.::.'~';':~~--'1i~~";--'~;;;";"'..1o.""",;,~,,,,:,:,,~,,.,""'.,~-~'-7.:'·~",'f.:'t:'-";:-:..,,tj~~":~7·;"~'-!:·---:·'":··..~~~·ti.~.:;;..:;_-~.,:<~:..?_:--_.-v~<'.,_1 -1 14a51 lUll aUll Wr51amtul· FORM NALY No.11:-8 WILL For _Ie by P.O.Nal,Co.,Law Blank Publleh.,.. 416 Grant St.,Pgh.19.Pa. ~JOHN KOKLICH, 01 North Strabane Township laounty~Washington and 8tate of Pennsylvania being of sound mind and memory;do hereby make, publish and declare this to be my Last Will and Testament,in manner and form following,hereby revoking any will or wills heretofore made by me. First.1 direct that all my just debts and funeralewpenses be fully paid and satisfied,as 8001& .~". as conveniently may be,after my decease. Second.I give and bequeath the sum of $500.00 to each of my follow- ing beloved children:Agnes DeJohn;Bertha Krulce and Evelxn Kobosky;. Third.In lieu ofa $500.00 bequest ~o my-beloved son Joseph,I:', direct that the $500.00'debt which he owes to me be cancelled and dis- Fourth ..The remainder and balance of my estate,real,personal,and mixed,including,inter alia,Lot No.179 and the adjoining 1/2 of Lot No.178 on Alexander Avenue in the Alexander Land Co.Plan,and the two- story frame dwelling and lot k/a 268 A'lexander Avenue,St;abane,Pa.,I\. give,bequeath and devise to my two beloved children,Anna Koklich and Lucy Koklich,share and share alike. "';."t ..~,.t... ..~,\t'f ~• -,•""".j ...."•'.~f!... t, <..'.J '~- 1 do hereby make,constitute and appoint my beloved daughter,Anna Koklich, to be my executrix of this my Last Will and Testament,and to be Testamentary Guardian of the estate of my beloved daughter,Lucy Koklich. In(4Jitness Ultbereof,I John --Koklich the Testat or above named have hereunto subscribed my name and affixed .'!!ty seal,the :;C::z::t:: day 0'~r in the'year 0'"'''Ibrd one thousand ni...hundred and sixty (1960). (~)""~~JOhn·~{ft~~--_··_··__·_-~ Signed,sealed,published and declared by the above named ( II I,! John Koklich ,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 _.,~ ,and of each other. ~~J.)~-:i-::Jd --~~:~_;:. ,~~:t(:1l_~~~---,.- -...~-.;-:-........,.......~::....~-,.;..,..'. . I ~!t .;!...ci .....tU .Ii"""l .~10 Q)'M ll-o'"~:J I::.,j~~I::IQ III..·tU ~Q):>Cl)e ·...a ~tU:>...-l ~·!0 "O.-J<>.0Ee~'"·0 C/)...:ci ::E:~...-l I::..+~~.-Ul 0 tU tU I::..,..~HI 0 .~Q),ll.-J:~..,>,~P-l .."0-~i Z0:l:::Q)I::"!..Q)I::Q)..II<~i ~CO~U co ,!II·,. -~0 ~Cl,od '"zi ;e o~..c:;:J iii::t::;~••~"t:S Q)~~..o ~0:C-'<~C/)..-,i ~.:l~~0 I::ci, Z 0·;e·0-:~I::·~II>:~~N tU Ii-,~~NU Z!l ~ 1 l 0 .~a:,~I " ~I r ~j ~.,""'"1'" ~, ......~<~,J,<1,·~t"'~,·~~';-jot ,I ~.I t Z' ~"," ',.~.i'-_ .,1..4,....v.\',~of,,-'r ;.'( ., At'-,.1......'!f .."j ''::~, ~,.., • • -1 1!j ~ -jl 11 STATE OF PENNSYLVANIA, WASHINGTON COUNTY, The within named Accountant being duly sworn according to law,depose and say that the above account as stated is true and correct as F?b.~verily believe. -4za /l i/}//~'AswOmOndSq;::~~7-;Z---------_~~_ doy of -----J:-/~----.--------;M!_ ..............~~.~~_.._..__. .GEORGE 1.RAK,Notary PubliCi Canonsbu ,Washington Co.,Par My C~mmission Expires May 14.1912J Washington County,ss:I do certify that I have given legal notice to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Court,as evidence by proofs thereof filed to No ~.3.:':.1..J..'":.1I.1... Witness my hand and official seal thiS .L.~............. day of ----...1-Ir,JC~L--.----_ _19j.~. ~~~~. Register of Wills ~....---.....---,--~-----~~"----._-~----..........--- ~l ....0 ~:..., ~!l:l::s0c:Jc:J Xi<·,,1 ~,.jJ: ~~ir..()~ '01 0 (J)i r:il r-li Xi ~E-t ::c:fLlj<CJ ttl: l !E-t H I'::i -i~rn t-.:I .,,!,.c:; N r:il ~~i (); ~-,,!\i ro!r-l: tv)1':::v:,-,:Z roi 01~::c:~ig.jJ!ttl!00: ~i 1'::10.,,[1':::Z Iil,,::t;; ...;WA SHInGT011 CO .•Pt.,.~ ...., 1-0::s 0000<1l..c::........,0 0 ~...., "1-0<1l5 C) ~- (\I } t ~~-~ X D I .- ..,.....-~...-.._----_....-'"---.....-.-----_.-._.-_._~""'---~~ r ," .. ~'-' The First and Final Account of Anna Koklich,Executrix of the Estate of JOHN KOKLICH,late of North st~~bane Township, Washington County,Pennsylvania. The Accountant is charged as follows: Inventory and Appraisment filed Total Assets of Sstate Total amount of credits claimed.by account Balance for distribution -, $..6,600.00 $6,600.00 $4,971.81 $1,628.19 ,..". The Accountant claims the following credits out of the assets 0f the estate,to-wit: Name 0 f Payee ~ohn Yoney Funeral Home Anna Koklich Russell Marino George J.Modrak Anna Koklich Oak Spring Cemetery Renos Catering Service Gaydos Monument Co. Remarks Funeral Expenses Family Exemption,. Probate $10.50 Inv.&I ..Ace.19.00 Attorney ,fee ,'" Fiduciary Commission Opening &Closing Grave Catering Lettering Amount $2 /029.00 1,500.00 29.50 332.75 332.75 120.00 240.00 18.00 Michael H.Sharman,M.D.Medical Expenses Canonsburg General Hospital Hospital Expenses St.Patrick's R.C.Church Church Service Malones Flower Shot.Overhead Spray 1971 Taxes (County,Road,School and Light) 27.00 90.00 30.00 61.48 161.33 Total -----------------------------------------$4,971.81 / THE DAILY NOTES CANONSBURG,PA. PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929,P.L.1784. Sec.3.paragraph (3)and (25). State of Pennsylvania } County of Washington ss. Personallti.appeared before me,a Notary Public in and for said county and state, _liober~~_Qb:iJ!.S_Q.!L ,who being duly sworn,deposes and says:that he .th Manager f th N t P bl'h'&P .t'C PISe"-0 e 0 es u IS mg rm mg 0.,a enn- sylvania corporation,and its agent in this behalf:that the said company is the pub- lisher of The Daily Notes,published daily except Saturday and Sunday,having its place of business at Canonsburg,Washington County,Pennsylvania;that the said Daily Notes was established August 1,1875;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 newspaper in its regular issues on the following dates: _13e P_~_~~Q.J]·7Jllt_'-J_9_7~". that the affiant or the corporation in behalf of which h.~is acting is not inter- ested in the subject matter of said notice or adverti~in and/t all of the allegations of this affidavit as to the time,place and character of j u 'cation are true. .If'./'\Mgr. -----------------------------------------~-------------------- ::iworn to and 'subscribed before me this 24 Sept.,71-----------.:_day of ~----:19 _ 1iuuR 1.FALi:0ta ;JE;~u9JJc.. -- --.-af~-~---- My Commis on E res March 30 197fotary Public,.'- ,.. ., 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.3,paragraphs (3)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 officia!l 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 REPORTSwas established on March 31,1920,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: September 9 16,23,1971...............................................,... Estate Notices The Register of WiHs has granted letters,testamentary or of administration, in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. •• ••• •••••• • • • ••• KOKLICH,JOHN,Dec'd. Late·of North Strabane TownshipWashingtonCounty,Penna.' .Executrix:Anna Koklich Strabane.Penna.15363',, Attorney:George J.MOdrak,22 NorthCentralAve.,Canonsburg Penna15317.,. ..... that the affiant or the corporation in behalf of whioh he is acting is not interested in the subject matter of said notice or adveItising and that all of the allegations of this affidavit as to the ~pce ~nd;?haracter.~~PUb~ are true.~~./p ~ Sworn to and subscribed befor:"~~"""""""''''''''''''''''''''''''''''......;....... ....Z.3..r.ct day of §.l;:p.:t.e.mQ~!",19 7.l ..~.~;J~ JOSEPHINE T.SCIAMANNA Notary Public,Washington,Washington Co. My Commission Expires July 1,1974 ~1t tij~<nnurt nf Qtnmmnu Jl1~an of lfun4ingtnu Qtnuuty ®rpijann'Qtuurt mittininn In the matter of the Audit of Account in J Estate of_-=:::J~O:=H:=N.::.........:~:..::O:::::K:..:::L=I...::C=H=___I TO THE AUDITING JUDGE: .i!No.._----=6::.::3=---_7:...:1=------=9:...:0=--4=--__..:.--.:....-_ Enter.~rn::....yL-iappearance for_---=A~c=_=c:...:o=--U=n:...:t=--a=n:...:t=____ -----!.------'~'l------"19~ N.B.-Counsel shiall,by separ3ite paper,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 paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. ~1-+:::t{j.... ~ 0 t{jCD ~~ =+.O'l =+. ril i=l l-~-:r:: Eo!-~ ...u 0 ~ § 0H $.t r:<.""0 H :J Eo! C) t+ 0 C)~ Z 0'\<ll ~~~ ::J I "0 0 r-I ... ~U r--....z =+.u I 'g :r::.:;:~ (Y')<ll g~CI) ~'"' t{ji=l ~ .... ~rv .__ Testate Form\ \\ 'PETITION SUR AU.DIT \ IN THE ORPHANS'COURT OF WASHINGTON COUNTY I Estate of..•............~9g~~~Q.~~J:.9~_ _,__No.._§}::.7J:::-.~Q.LJ.:__. Fiduciary N~~~~..~Ql9.=!lC.~-J . Deceased ...................~~.?~.1Jtf".~~.. Date of Date of Decedent's death g.':l:!?§?~L)~.7..:!-_ _-.Grant of Letters $.~p.ts:.l]g.~r..J .•...l.9.1.l._.. This is the f ..i.~.$.t gJH~Lf.j,D~9,l account filed in this estate,. If there have bee'n former accounts 'fj'ledin this estate,list file nu~be·r·~r 'numbe~and term :.-~:. Election to take Under or Against will.(cross out o~e)Date Election Place of; Filed ..__..........................Record·:::.,:.:..~. Name of surviving spouse __.___.__._._..__~.~__..~\..__..__..__. List issue,where material: ., Did decedent marry after execution of will?(indicate)Yes.No.Any children born after execution of will?(indicate) Yes.No.If answer yes,name them J9:.Q _ _____..__.. .... --___-_.-"---_._.-------_---_ _..-.._----- -----._----.---..---------------_--_----_.---.----------_~..-~:.._:.-_.."_--.. Leg.atees Anna Koklich Joseph Koklich Lucy Koklich Agnes De John Bertha Kurlce Evelyn Kobosky Relationship Daughter Son Daughter II 1\ II Interest See Will II II It II II II U 1\ II II Fiduciary,if deceased or not sui juris. List,if exceptions to above:Adeemed:Revoked:Lapsed:Abated:Give Cause: H patlidl :intestacy,give facts:'-" Notieeto interested parties.Have al'l parties,having either vested or contingent interests and 0'11 IClrediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice offhe f,iling of the account ahd ofcaHofaudit?Yes.~ !If any exception give cause:. 'File copy of Notice land ~date 'Ofmai'ling ?§.;:.~.'?!'?-.'?:;I;..•.n Q.'~.:t..9.~g.:t..Y.g.:t.l.J?y f;;}.~~.iJtX'.i~;1:9...L~g9.-:t.e.e.$R.U...QI'abau.t .,May I,1972.~ \,. Is estate subject to the filing of a Federal Estate Tax Return?J:~Q,,............•.....................................,. Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $JqQ J?9-.Ym~n.t.. If the Will makes any portion of estate subject to a life-estate,give name and birth date of life tenant klg.D.~. 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 are admitted to be correct;and whether the claim is denied. All Creditors Paid Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: OJ ,..."-T ,...., 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: Adjustment.of fee for filing Inv.& Acc. Total additional credits (Subtract) Balance for distribution $. 7.50 $7..!'••~.Q . $..J:J..?~.?~..+.~. $l,.6.2.Q.•.7.9 . If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); NOTE:'The Devisees Anna Koklich and Lucy Koklich personally contributed the money for.the payment qI all the debts of the Estate;ane will also pay the Legatees,t.heir respective bequests. \ /,,/ ,1 If Family Exemption claimed by Petition,give place of Record:::::.":''..'::::-::::::::::_,. If Family Exemption is claimed at audit,give name,relationship and basis for Claim:::::::::::'::::::.':::::::::,ANl'fA . KOKLICH and LUCY KOKLICH,daughter of John Koklich hereby jointly claim the family exemption by reason of living wi-th the decedent from ·the time of··their respective bir·tns.~(~~~t{{J! List any advancement or distribution on account that has been maae,and pature anel-GlmQuot~oU9=m"",,e_:"IJ---o""~"""" NONE Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly _$.W9.+-D..._ _doth depose and say that the facts set forth in the foregoing petition are true to the best of b.E?~knowledge and belief. Sw.QrD.______to and subscribed before~e t.h;s/£.i&.:day ol tfJ:~Y.;;~V;~::P:.,.. Slgnalu,.01 Off,ce'~ftf1,.)..~~ Title of Officer.>"'J:!~l"iI5;_.'£... -'(1,."'.\\\;11;.J.MODRAK.NOTARY PUBUC; •.~MI,ON,SBURG BORO.ALlEGHENY COUNOfficeexplres~'HilMWriS3fON"EXWr.~••..••••••.•.•••rx .,.".,.),vIAY 15,1976~!llb~.P~on.~ylvaniq As~Qciationof NQti¥'i~s.. And your petitioner will ever pray,etc. ..~._~..~_. ................................................................................................... ,} ..-No.63-71-904 Estate of .J.QHN..EQ.m:,.J..CJi ., f"~J Deceased "72 tiM r 8 Pi;3 28 q I , Fiduciary ~I.~lH1LJ5QKttJ.CE . 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:po rag raph b-c;and divisions thereof:shown on pages 23-24.V1.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- ;//I~J~ ~ Rus.:]::i...r:'."(iN0 nf GIS TE;(GF ~I/fLLSWA.SIUN,~TON GO..PA. .- ..'" " "','~n t4t atnm nf atnmmnn 'Itus of lIus4ingtnn atnumy, 'tnusyInuuiu,(@rp4nus'(!tnurt mittislnu ESTATE OF John Kok11ch, deceased. No.63-71 -9°)1 In the matterofthe First and Finel Account of Anne Koklicb Executrix ADJUDICATION AND DECREE And now Mal'/£,19.12-,this matter came on for hearing, audit and distribution at this session and testimony lOken;and thereupon,upon due consideration thereof of the balance for distribution in the hands of the Accountant is determined ·tobe $J ,620.69 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 ,f1he schedule of disribution hereto attached and made part hereof,unless exceptions hereto be filed sec.reg.or an appeal be taken herefrom sec.leg. ,'V<tq~I ' SCHEDULE OF DISTRIBUTION .., Balance per account $1,628.19 Additional credit asked at audit ~. 14.00 I/o.<.~~ Attorney----~G_3e~01!~g~e~JtI--r.-,lM~o~d.*.lr~ail_jk~-------- Deduct Clerk's Costs &Receipts _ Balance~_ Olga,0.Woodward,Recorder,costs recording cer- tification of real estate, Russell Ma~ino,Clerk O.C.,costs in certittOati n of real est8~e, Russell Marino,Agent,transfer inheritance tax,$96.0 Interest from 3-29-72 to 5-29-12 8"-/-72 Contribution to maintain assets of estate 7%,s'"() in kind,$103.67 6,600.00 Ann~Kok1ich,daughter,undivided 1/2 interest in realty as specifically devised,held in kind'snd distributed 8S such at the 8ppra~Bf3d valu~,3300.00 Lu.cy Koklich,daughter,undivided l/~interest in realty as specifically nevised,held in kind and distributed.as such at the appraised value,3)00.00 No balance .. ,, " r ,1\ ,. "'. \ o-t\ i 3oit., o-t\....:::r(1) .. r REAL ESTATE TO BE CERTIFIED TO THE RECORDER OF SHINGTO COUNTY BY THE CLERK OF THE ORPHANS I COURT DI ISION John Koklich,devisor,to Anna Koklich.,devisee an und vided 1/2 .intereiSt;to Luch Koklich,devis~e of an undivide 1/2 in erest;each undivided interest being in snd to all the right,title a d interest ot the devisor in parcels of real est~te de~cribed as,VI : FROM THE ESTATE OF JOHN KOKLICH,late of North Strab ne Township, '- Washington County,Pennsylvani~,to Anna Koklich nd Lucy Koklich ot er Land nsylvan a,S$.tenants (1)ALL that certain lot ot ground situate on the out~side of in common. Com.pany,1n North Strabane Township,Wa,shington County,P nnsy-lvania being'known and d~s1gnated as the north west pOI' in the atoresaid plfi,'fi and being more particule.rl bounded and described as follows: of North Strabane Township,Washington pountr, Alexander Avenue in a 'Plan ot Lots laid out by t south ea.sterl,.teet north ot the northern line e>t AIle"tiC"; direction thirty-seven and one tenth (37.1)teet to a poi t on"the" westerly side ot a tour (4)foot public walkway (the said tour!t4) BEGINNING at the dividing line'between lots o.267 nd 268 on the south side ot Alexander Aven~e;"thence along said div ding line' one hundred ten (110)teet to a point on said di iding Ii e fo~ty H4-0) with he easternfootwelkw9Ybeingthefour(4)foot strip paral line "of lot No.268 and being a part of:lot No. Alexander Avenue to Alley "cIt)said'point being .; distant from the northern bounda,ry line,of Alley western boundary line of said walkway parallel w distant from eastern bound~ry line of lot ,No.26~.'.'~~':-"'~:'\_'.;'"',:G ~t'",'J ,~:',';~~., (119)'feet to the south line of Alesander Avenue;lthence ~.nue thirty-six (36)reet to 8 point,the P18C, erected thereon a frame dwelling k/a 268 Alexand I'Ave.S ing from (31)feet ce along the ur feet"·~- red ni-neteen 10ng,Alexander ning.Having rabane,Pa. trabane her provisions. j own and designated ..'~~~., sUbjeet to the~xceptlons,reservations,conditi set forth therein and in prior conveyances. (2)All those two parcels of land situate Township,,W~shington County,Pennsylvania being BEING the same property conveyed to John Ko lich by ohn Koklieh' and Anna Lumber'(formerly known as Aiilife Kokiich and form rly being'i'] the wife of .T~fui""'Kokiich)by deed dated'August 3,1953 of i->~cord in in Deed Book iVoi~872~"p~ge .204 Washington"County R -. t, .. .. ~ 0......~!r :J Z ~ n -+!J 0 0 :r ~- ;c CD :J 3 0 ..... .........0 0 ~ .......:1: t \...~ CD... 0..... .." -+ ::: :s-CD ! ~a~~ r .-,, ....' as Lot No.179 and the adjoining one~half (~)of ot No.78 in the Alexander Land Company Plan of Lots of Record in lan Boo Vol.3, pages,18 and 19,Washington County Records and being more particularly bounded and described as follows: Bounded on the north east by 'the 'northeaste one-ha f (k)of Lot No.178,on the southeast by Alexand.er Avenue,on the southwest by Short Street and on the northwest by Alley "B"·having a fr,ontage of, ed Book ;':'1;''".r"..both pa eels being heft'provisions o e-half ( )of Lot;~1!",j;:...~'::~i'~'\..~:::1.rj: J hn Kik1i h by'John by'Frank Kitz,unmarried,by dee,d dated'April 16,1918 of recot-.d ill . ,•,'..,...,j I j ~~,,,'... subject to tn~~xceptlons,reservations,conditi set forth 'in;th~;afo;esaid recitals~".",;'t Deed Book(V?:~~~??"p:~ge 390;the s9~t~weste~n No.178 bei~gpart of the same lot conveyed to....rio.~~,:~':~.I Cvetan et we.by deed dated March 17,1923 of re Vol.,08,p~ge 306 'We ahington County":'Records;an cO"feet on Alexander Avenue and 46.94 f~et on Al th s.'·'depth of 150 feet.Lot No.179 being,the sa~e',Jlot con eyed to ohn K6klich ...Q"~.....t ...;("......~-'"'".., '-<'..,.....;;,.. .'CERTIFIED TO RECORDER:ATTGUST 1 ;,.~'~'.-1 ;1972 ~" I ' tJ)4 Ci .-.\0.-;.-1 --:0 ,,:) _'I r \(' ..L ~ ,I .~ tvi....'~~~:= ~'~ .', ~~~ ., '. ,. I")'r .. • r .1 :l....::T'CD 3o~...o-k......::r-CD .:-)' r " DESCRIPTION OF PROPERTY TO BE CERTIFIED TO THE RECORDER FROM the ESTATE OF JOHN KOKLICH,late of North Strabane Township,Washington County,Pennsylvania,TO ANNA KOKLICH and LUCY KOKLICH of North Strabane Township,Washington County, Pennsylvania,as tenants in common. (1)ALL that certain lot of ground situated on the south side of Alexander Avenue In a Plan of Lots laid out by the Alexander Land Company,in North Strabane Township,washing- ton County,Pennsylvania being known and designated as the north west portion of Lot No.268 in the aforesaid plan and being more particularly bounded and described as follows: BEGINNING at the dividing line between lots No.267 and 268 on the south side of Alexander Avenuei thence along said dividing line one hundred ten (110)feet to a point on said dividing line forty (40)feet north of the northern line of JI.lley IIC"i thence in a south easterly direction thirty-seven and one tenth (37.1)feet to a point on the westerly side of a four (4)foot public walkway (the said four (4)foot walkway being the four (4)foot strip parallel with the eastern line of lot No.268 and being a part of lot No.268 extending from Alexander Avenue to Alley IIC")said point being thirty.,-one (31) feet distant from the northern boundary line of Alley "Clli thence along the western boundary line of said walkway parallel with and four feet distant from eastern boundary line of lot No. 268 one hundred nineteen (119)feet to the south line of Alexan der Avenuei thence along Alexander Avenue thirty-six (36)feet ~'-,., to a poir:t,the pl~ce ~f begi:qning.#ouuft IA.bt;jL ~./fl/.~diJtJ}A11A'ilev Jig f!IJJltlltav I1!h'.{~lid.-BWtNG the same property conveyed to John cKo~lich by John Koklich and Anna Lumber (formerly known as Annie Koklich and formerly being the wife of John Koklich)by deed dated ()f R.~ebY 01- August 3,1953A in Deed Book Vol.872,page 204 Washington Count Records;and being subject to the exceptions,reservations,con ,. <' ditions and other provisions set forth therein and in prior conveyances. (2)All those two parcels of land situate in North strabane Township,Washington County,Pennsylvania being known !. and designated~\as Lot No .179 and the adjoining one-half (!) \ of Lot No.178 in the Alexander Land Company Plan of Lots of Record in Plan Book Vol.3,pagES 18 and 19,washington County Records and being more particularly bounded and described as follows: Bounded on the north east by the northeastern one-half Ai)of Lot No.178,on the southeast by Alexander Avenue,on the southwest by Short Street and on the northwest by Alley IIB II ; having a frontage of 60 feet on Alexancer Avenue and 46.94 feet on Alley "B II with a depth of 150 feet.Lot No.179 being the same Lot conveyed to John Koklich by Frank Kitz,unmarried,by deed dated April 16,1918 of record in Deed Book Vol.455,page 390;the southwestern one-:half ({)of Lot No.178 being part of the same lot conveyed to John Koklich by John Cvetan et ux. by deed dated March 17,1923 of record in Deed Book Vol.508, page 306 Washington County Records;and both parcels being subj ct ., to the exceptions,reserv~tiohS,cbhditions·and otqer provision set forth in the aforesaid recitals. IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA .,,',ORPHANS'COURT DIVISION J ~'.-1 \ l IN RE: Estate of Dece?-sed: r ~..Ii 10 ( ) ( ) ( ) ( No.904'.of 1971 ~z<{>oJ>(IlzZIIIII. i BEFORE:e,Cl,z i(Il <{~ HEARING ON AUDIT "The Honorable P.VINCENT MARINO,Judge of the said Court. accomtsslisted for hearing on Wednesday,'May 17 ,J'972 at 10:00 o'clock A.M.The first account is Number 904 of 1971,the estate (w for the second qu?-rter of 1972.We will today consider the audit of 1l- The Cou It will 'resume the call of the audit list GEORGE J.MODRAK,Esq.,of Canonsburg,Pa., representing the Accountant. .. Wednesday,May 17,1972,at 10:00 A.M.,EDST "~APPEARANCES: II:I-(Il ii ,<~.~ O' C :J~TIME: I-,.., N uiII:IIIl-II:o~THE COUhT: II: l-ll::JoO. oJ<{oii:II.o ''>' John Koklich,deceased.The Executrix is Anna Koklich and the att orney is George J.Modrak.Mr.Modrak ? Mh.MODnAK:If the Court please,I have here all the necessary pa[:)e";rs in connection with this estate.All the debts except the legaCies have been paid.There are no complications. TH.t:CUUhT:Is there anyone else 'in Court interested in this decedent's estate? (NO hESPONSE) 2 J ~z«>oJ>-UIZZIII0.. i~C) Z :t.UI~ THE COUhT: Court. The audit of this account is ordered cl?sed by the (AUDIT CLOSlHD .,:u ii:,I-UI aJ G .I hereby certify that the proceedings and evidence a.re a:J~contained fully and accurately in the notes taken by me 0 n the hear1nq N ~ ~of the above cause,·and that this copy is a correct transcl'lplof the same IIII-0:o0..III0: I-0: :JoU oJ«. Uii:...o .The foregoing reco~d of'the proceedings upon the hearlnfJ of the above cause 1ts hereby approv,d arid directed to be filed. J. RC C-43 (4-69) 03 -7/-C10 tf COMMONW£ALTii OF PENNSYLVA~IA REI'''',~PAF\TMENT OF REVENUE -DUN rUr/;//Ytr. HARRISBURG l'Crt /117r-(I~IJC /{;N ('"-1....'v'~IJfj/7; NOTE:TO BE SUBMITTED IN TRIPLICATE Pennsylvania Department of Revenue Bureau of County Collections 26 S.4th Street Harrisburg,Pennsylvania Dear Sir: Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: NAME OF REPORTING FINANCIAL INSTITUTION 910yenian Sa)~ings snd t.mm AsSOCi at1 aU ADDRESS 107 Latimer Avenue,Strabane,pat 15363 ACCOUNT NO.OF JOINT, TRUST OR INVESTMENT DEPOSIT Optional 1029.r.p.44,46 ,45 NAMES ON ACCOUNT OR INVESTMENT John or Lucy Qr Ann KQk11cb 26g Alexander Avenue;Strabane,Pa.1S36)Wa.~h:iqgjwn County DATE OF DEATH ---::---__6"--...;.;;2..:...9--..:7:...:;l~_ SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR __L_u_c..:,.y_or_A_n....;n_·_Ko_k..;..l_i.....;.c....;h _ DECEASED JOINT DEPOSITOR, TRUSTEE OR INVESTOR __.....;.J.....;.o.....;.hn;;.;::......;;K.;;.;;o=k=1=1c=h,;;..·._ ADDRESSANDCOUNTY ADDR ESS _--.,,;2::..;6:;..:S:.-;;,:A=1.;::;ox:;;:::'8::::ft.::.::d::.:::e::,r--:.;:,Av.:..;e=..:ll=..::,u=.:!e~.~S=.:tr!Wa~b~a~n~e:..&._P!..!ai!l,;.!.....:!lL.oi5ul~6.Ll _ -.!F ff:&/Y ,2j-Q C%;:~/7./g' ..~. 15363 OFFICIAL ~OTICE OF INHERITANCE TAX APP.~AISEMENT AND ASSESSMENT OF ASSETfNO'T SUBJECT TO ADMINISTRATION ST&\BANE,PENNSYLVANIA TO:T.UCY or ANN KOKLICH 268 ALEXANDER AVENUE Date:August 6,1971 County Washington County File No.J r -d..03 -9 Bureau File No.fd-7J-90)1; ~e have received notice that,~~~~~~~~~ on June 29 19_1.l.,you came into ownership of certain property throug~~ ~~l*Xi*XK transfer from,JOHN KOKLICH,deceased. (Late of Strabane) Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable and the liability for the payment of the inheritance tax due is imposed upon you,as transferee. RCC-134 (1-69) COMMONWEALTH OF PEN,;o!SYLVA~IA DEPARTMENT OF REVENUE BUREAi1 OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION The &ro.pert[on which tax is herebt assessed consists of:Jt.Held Bank Accounts (1)111029,(2) #44 t3)#46 and (4)#45.Held in the SLOVENIAN SAVNING AND LOAN ASSOCIATION, STRABANE OFFICE,STRABANE,PENNSYLVANIA.In the names of JOHN or LUCY or ~NN KOKLICH.0 ened 1 4-1-61 and 2 4-24-49 ~2-28-44 and 4 12-22-50 Balance as of date of death,1 $23,059.24,2 $400.00 3)$1,400.00 and(4)$400.00.u~_ appraised by the Commonwealth,as of the date of death,at $25,259.24 33 1!3Yo of this amount is taxable at the rate of 6 % •ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT $8,619.75___-r--_~_ -, $-------- AMOUNT OF TAX DUE ,.517.18----'-...-",,; o If you pay the above amount within three (3)months of the date of death of the decedent,or on or before Sept.29 19 71 .you may deduct a discount of 5%of the amount of tax due,or 25.86 D This tax became delinquent,fifteen (15)months after the date of death and,in addition to the tax,statutory interest at the rate of 6%of the tax per qnnum is also due as of * _ 19__in the amount of ASSESSED BY:_ (Agent for the Commonwealth) *If the tax is not paid by the above date additional interest is due at the rate of 6%per annum until paid TOTAL AMOUNT DUE~LAPPRAISEDBY:~a,<--'d ~~ ;'(Inheritance Tax Appraiser) $ 1713~ 517 .18 $================== INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to: (fJ~1I~9!Jc:L 9-c;)O ~7/ To insure proper credit to your account this Official Notice must accompany your payment.Mail or bring it to: 'K~IINA~ AGENl fOR lHE COMMONWEALTH COURT HOUSE 15301 WASHlNG10N,.PENNA. If you have already paid this tax to an executor,administrator,attorney or other personal representative of the decedent for forwarding to the Commonwealth,list below the date paid,name and addr.t.¥ss ofJhe person to whom you made payment,their official title and the amount.~ Date Paid Name and Address of Payee Official Title Amount Paid .- '. Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended by you may qualify as deductions against the gross value of the property in the computation of tax due.If any such expenditures meet all of the three following tests,it is recommended that you itemize the payments below, execute the affidavit,and return this notice.The Register of Wills will examine the debts claimed and allow those which he determines to be proper.The tax will then be recomputed and you will receive an amended assessment of tax. THE THREE TESTS WHICH MUST BE MET ARE THAT: 1 •You were personally legally responsible for these debts,and 2·You actually paid these debts out of the account or property described above and can furnish proof of such payment,if required,and 3·These same debts are not also claimed,for tax purposes,by an executor,administrator or other personal representative of the decedent handling the administration of the general estate of the decedent or any other transferee. SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obligation Amount Paid TOTAL $ (attach separate sheet if requ ired) COMMONWEALTH OF PENNSYLVANIA) COUNTY Of _ SS: I,hereby certify that the foregoing is a just and true statement of funeral expenses and other debts of the decedent,,for which I was legally responsible and which I did payout of the property herein taxed.I further certify,that to the best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance tax purposes. SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF 19_. Si gnature of Taxpayer REPORT OF REGISTER OF WILLS I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I have allowed deductions listed above in the total amount of $• Date of Approval:_ Register of Wi lis ------------~--------------:-~-----:-~----- Fonn RCC-2 DEPARTMENT OF REVENUE"'::4 BUREAU OF COUNTY COLLECTIONS., HARRISBURG.PENNA.17 127 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERITANCE TAX ..APPRAISEMENT DATE ~..~.p..~.~.~~..~.~?!L !.~.?.~. COUNTY ~A.§.I.;I.!.~Q.!...Q.~.. FILE NO.?..~.:.?..!.:.!~~.Q~. Whereas,J..Q.HN K.QK.tIQ.B.late of ~.T.~A.~A.~. in the County of ..:.:WA~.RIN9.:.T.QN Commonwealth of Pennsylvania,having died on the ~.9..t.h day of ~~J.~.~~19.?.~,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,FRAN.cES LE'O ,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 foIlowing appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. Description of Asset JT.Held Bank Accounts (1)#1029,(2)#44,(3)#46 and (4) #45.Held in the SLOVENIAN SAVINGS AND LOAN ASSOCIATION STRABANE OFFICE.STRABANE.PENNSYLVANIA.In the names of JOHN OR LUCY OR ANN KOKLICH.Opened'(1)4-1-61,(2)4-24-49 (':l'2-2~_A.A.and (4)12_22-50 Balance as ~f date of death (1)$23,059.24.(2)$400.00 (3)$1,400.00 and (4)$400.00 Unit Values $ Appraisement Made for Inheritance Tax Purposes 15,259 24 ; --------------------------t------tt------+-J Having been duly sworn according to law,I do hereby certify that the above appraisement is made in con- formity with law on this c2J~day of ::::::::.::::::::::::::~!l'i;;::::~. Appraiser ...........................................,,'-~.. .(Number and Street) .............................................&/aAf2.1tLat.A~,Penna......IP~~<jrei--....·.. WA$.l.UNGTQN .....County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of JOHN KOKLICH Deceased. Late of STRABANE Date of Death 6-29--71~. Appraisemel!t Docket Vol.,3.6.. Page,20.3.~.9.No.6..3.~.7.1~..9'O.4 . Filed ill Register's OfJice,..~.~.r.~..~.....~.~.r 71 Am.ount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abo.ut Appraisement, Appeal f1'om Appraisement,. Entered and charged,... f ~ ~_l ... R C C-43 (5-65) COMMONWEALTH OF PENNSYLVANIA .DEPARTMENT OF REVENUE HARRISBURG J NOTE:TO BE SUBMITTED IN TRIPLICATE Pennsylvania D.epartment of Revenue Bureau of County Collections 26 S.4th Street Harri sburg,Pennsy Ivan ia Dear Sir: Pursuant to Section 742,Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: NAME OF REPORTINGFINANCIALINSTITUTION M$llQD:National Bank &Truate01llpanl' .ADDRESS );West Plkc!t.St....CQ~QAe~g,..IS»' ACCOUNT NO.OF JOINT,'.'.'. ' . TRUST OR INVESTMENT DEPOSIT Savings A~c;olB1t.#066-31" NAMES ON ACCOUNT OR INVESTMENT Jobnlok1!ch·or'Anna It KokUc1i DECEASED JOINT DEPOSITOR,TRUSTEE OR INVESTOR_-:.-,_iOJUl_'_._g..;..W..;..·.·...;..!c_.l..;..·_ ADDRESS 268 Ale~erA"e.,-·&OS.163 ....Stt"abeDe"Par 15363 DA TE OF DEATH 6.29.7-1;, SURVIVING DEPOSITOR,, BENEFICIARY OR INVESTOR Amla K Kok1!Qh-------,...--.;...:.--_--------- ADDRESS 268_·_·_Al_e_XB_'_nti_9_r_'k_'"'_$_":,:.')_S_~_a_b..:..aD_e...!:·',--,_,a...:·.,_.--=1:.:.:"::.;6:::3:- ~ RELATIONSHIP TO DECEDENT..;;D='Q=usm::b=':tG=I":-'.~------- DATE DEPOSIT OR INVESTMENT WAS ESTABLISHED January 28·,>1"S BALANCE,INCLUDING INTEREST DUE,AT DATE OF DEATH $__--Si$l,;I.3"'.2io.llii.2.Q.jB•.a.5:1oLO'-'--_ ~~.L.J.• Signature TITLE = RCC-134 (1-'69)'•'c,o-•~~.r COMMONWEALTH Or-PENNSYLVA~IA Dfl"ARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION OFFICIAL NOTICE OF INHERITANCE TAX APPRAISEMENT AND ASSESSMENT OF ASSETS NOT SUBJECT TO ADMINISTRATION Date:__O_ct_o_b_EU'_4_,_1_0/7_1 _ WASHINGTONCounty _ Box 163,Strabane,Pa ,15363 TO:Anna K,Koklich 268 Alexander Ave. County File No.(17 -0263 -1 Bureau'File No.G,J -7/-90 y We have received notice t.~~~~~~~~~~~~·~x~~~.~~~~~~~~~~~~~~~~~~~~-vi0~n~W~J~un~e~2~9~,~fij~1~97;~m:~y~0~U~Came into ownership of ce rta i"-pr.operty ~.....,Transfe:r from John Koklicb,deceased Strabane / Under the Inheritance and Estate Tax Laws of the Commonwealth of Pennsylvania such transfers are taxable and the liability for the payment of the inheritance tax due is imposed upon you,as transferee.. The property on which tax is hereby assessed consists of:Jt.HELD IN 'mE l'1ELLON NATIONAL BANK &.Trust COMPANY,CANONSBURG,OFFICE,CANONSBURG,PENNSYLVANIA.Savings ACCQunt #066=3136 In the name of Anna.K,Koldich.Balance as of date of death $3,228.50. or John Koklich a$braised by the Commonwealth,as of the date of death,06$$3,228.50 ___%of this amount is taxable at the rate of % . ORIGINAL ASSESSMENT AMENDED ASSESSMENT DATE OF ASSESSMENT TAXABLE AMOUNT LESS:ALLOWED DEBTS NET TAXABLE AMOUNT $--=1..L1.;..614~•.....:25::..-..-_$-------- AMOUNT OF TAX DUE 96.86 o If you pay the above amount within three (3)months of the date of death of the decedent,or on or before 19 you may deduct a discount of 5%of the amount of tax due,or D This tax became delinquent,fifteen (15)months after the date of death and,in addition to the tax,statutory interest at the rate of 6%of the tax per annum is also due as of *_ 19__in the amount of *If the tax is not paid by the a.bove date additional interest is due at the rate of 6%per annum unti I paid TOTAL AMOUNT DU E $ "~-:l...~-<,.-. $-================= APPRAISED BY:~M L'"b (,~./l\,1/''l{~SESSED BY:_R_U_~'_u!':._-UJ_'_i._,:.._~'_"~I_~l_-~C_._ .?{Inheritance Tax Appr~iser)(Agent for the Commonwealth) INSTRUCTIONS TO TAXPAYERS Make checks or money orders payable to:To insure proper credit to your account ()\JI ./[)II this Official Notice must accompanyIf'CuL YI'9{l?{,J\~J1,t{~payment.Mail or bring it to: /6 ~:<b-7/AGENT FOR THE COMMONWEALTH COOOT HOUS·li VlASH:UiCifOI"'i~NN.·1S§&1 ~erl731 If you have already paid this tax to an executor,administrator,attorney or other persona hd;:lI'esEtritcit'i ve of the decedent for forwarding to the Commonwealth,list below the date paid,name and addl'ess of the person to whom you made payment,their official title and the amount.", Date Paid Name and Address of Payee Official Title Amount Paid SS: Under certain circumstances,if,after the date of death of the decedent,you personally paid funeral expenses .or other just debts of the decedent,with funds derived from the property herein taxed,such amounts expended by you may qualify as deductions against the gross value of the property in the computation of tax due.If any such expenditures meet all of the three following tests{it is recommended that you itemize the payments below, execute the affidavit,and return this notice.The Register of Wills will examine the debts claimed and allow those wtlich he determines to be proper.The tax will then be recomputed and you will receive an amended,-'assessment of tax.. .~.",'.. -J"'<THE THREE TESTS WHICH MUST BE MET ARE THAT: ..ir'~~-~ 1 -You were personally legally responsible for these debts,and 2-You actually paid these "debts out of the account or property described above and "can furnish proof of such payment,if required,and 3 -These same debts are not also claimed,for tax purposes,by an executor,administrator or other personal representative of the decedent handling the administration of the general estate of the decedent or any other transferee. SCHEDULE OF DEBTS Date Paid Name of Payee Description of Obligation Amount Paid TOTAL $ (attach separate sheet if requ ned) COMMONWEALTH OF PENNSYLVANIM COUNTY Of _ I,hereby certify that the foregoing is a just and true statement of funeral expenses and other debts of the decedent,,for which I was legally responsible and which I did payout of the property herein taxed.I further certify,that to the best of my knowledge and belief,these same debts will not be claimed by any other person,for inheritance tax purposes. I,the undersigned,duly elected Register of Wills in and for the above county,do respectfully report that I have allowed deductions listed above in the total amount of $--------'-e l SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF____________19__. REPORT OF REGISTER OF WILLS Date of Approval:_ Signature of Taxpayer Register of Wills .''.' Fonn RCC-2 ~ ~.....9..~~.?e.~F .....?§.,.....~.??.!..............COMMONWEALTH OF PENNSYLVANIA DATE ............. D~PARTMENT OF REVENUE RESIDENT INHERITANCE TAX ~vASHING'IDN BUREAU OF COUNTY COLLECTIONS COUNTY .................................................................................._..............APPRAISEMENT 63-71-904HARRISBURG.PENNA.17127 FILE NO•................................................................................................, Whereas...........................~.c?.@...~9.~~2.h.................................................................................late of Strabane............................................................................................................... in the County of ..............................y.~~.~h~~.9.~........................................................................Commonwealth of Pennsylvania.having died on the .................................................?9..~h.................................day of ..............~.~~...................................................71 seized and possessed of estate19.............an subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I.Frances Leo an appraiser duly appointed according to law..............................................................................................................................,.......... having been designated to make a fair and conscionable appraisement of the said estate.and to assess and fix the cash value of all annuities and life estates growing out of said estate.hereby file the following appraisement: In the event that any future interest in this estate is transferred in possession or enjoyment to collateral heirs of the decedent after the expiration of any estate for life or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transferinheritancetaxesatthelawfulcollateralrateonanysuchfutureinterest. Unit Appraisement Description of Asset Values Made for Inheritance Tax Purpoles •Tt.Hp.1 d in -thp.MA"nn Na.tional:Bank &Trust Bamoanv•Canonsbur.e:$3.228 50 Office Canonsburg,P~nnsylvania.Savings Account #066-3136., In the name of Anna K.Koklich.Balance as of date of death $3,228.50 or John Koklich.. TOTAL·3,228.~O ! i I Having been duly sworn ~eet~ding to law.I do hereby certif~that the above appraisement is made in con- formity with law on this ........................................................day of ....................~~.~~~.~A:::~~:2~......~........:~~.~..: /AppraiBer .................................................................................................................................................................. (Number and Street) ........................................................................................................................................,Penna. (Post Office) WASHINGTON County 1971 ,., RESIDENT INHERITANCE TAX APPRAISEMENT Estate of JOHN KOKLICH Deceased. Late of $'rRABA.NE. June 29DateofDeath,~ Appraisement Docket Vol.,.3~. Page,?.9.?..':~9.No..9.J..~.7.:I;..':,~9Q4.. Filed ill Register's 0 [fice,1 Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,. Wrote abo.llt Appra.isemcnt, Appeal j,.om Appraisement,. Entered and charged,.., .' 1,< , ,.... form No,RCC-62 (4-71)_THIS FORM REQUIRED IN ALL ESTATES WITH GROSS ASSETS UNDER $10.000,UNDER SECTION 701 OF ACT OF JUNE 18.IN1) EFVECTIVE .JANUARY 1,1962,(FILE IN DUPUCATE WITH COPY OF WILL ATTACHED) ';~..~'- ,OFFICE OF THE'REGISTER OF WI·LLS I 3 .-'7/~'yorC County of . ,.W~.s.bj.n'gtp.n . Ar::t:lfl;.I,Z9}~+~.C;1)'.,,of ??~.J;!..l.~:?,{~n¢!~.r:.?>-Y.r~:,I ..$:t.r:~P.cF)'~.,..fp-.·,. (Name)(Addreu) b ' d 1 8v·70rn d'1 d -d •ha~h ' h Execu·trixelOguy.•.......:......•..._.__...accor 109 to aw,eposes an sa}s t l~e IS t e __ .(Exec.,Adm.,Legatee,Etc.) f h f JOHN KOI(LICH 'I'd 268 ALEXAbmER Avenueo t e estate 0 ••••••_.•.•••._•....•_.__••••.•__._.•••..•.•.••._••._._._._v.hose ast res1 ence was (N.;~i.-(st~i)..••.••••.•.--.......• N.Strabane TownshiD d d f f 'd d -d h d'd June 29J.1971;.•...••..._......••......1 .._.__:1:.__eceased,an that the whole 0 the estate 0 sal ece ene,w 0 Ie _.__. (CitY,Borough or Township)(Date) consisted of: REAL PROPERTY REAL PROPERTY IN PENNSYLVANIA,WITH STATEMENT OF MORTGAGE ENCUMBRANCES UPON EACH PARCEL AT DEATH OF DECEDENT, WHERE PROPERTY HELD AS JOINT TENANT OR TENANCY BY ENTIRETIES,GIVE NAMES,ADDRESSES Aim RELATIONSHIP OF OTHER OWNERS. B e Real Estate the EstimatedALLJC'i:\70 following parcels or"lots o·f land situate Value in FJ.Strabane Township,'~'I]"ashington County,Pennsylvania:(1) ~orthwes·t portion of Lot Ho.268 in Alexander Land Company Plan of record in Plan,<Boo}\:Vol.-=;pages 18 &19,vlashington County~, ecords'and being more particularly bounded and described in Deed'I ook Vol.872,page 204,\i\lashington County Records;and having -rected ·thereon a frame dwelling k/a 268 Alexander Avenue,Stra- o.ne,Pennsylvania 15363;Estimai;ed ~·1j-54O.,po .\,'.~, ,Value $6,000.00 :. (2)u">'c No.179 and ad ioininq one-hal £o:f Lot No.178 in AlfO>xan- er Lana Company Plan of Lots of record in Plan Book Vol..{pageE~, ]P.c,19,~'iJashington Coun'cy Records~and being more particularly.0 ounded and de scribed in Bleed Book Vol.453,page 390 and Deed ~R~~Boo];;:Vol.508,page 306 respectively;one-half of ot No.178 Vias convey.eo by John KoJ;:lich "to Frank Kausak and IVlary f(ausak,his '"ife,by deed dated August 2,1933,Es:timated /,,"0.""Value 600.00 .'-.,...._.r-, TOTAL S:;hnn (HI , r~t~'',4 ,~.',~;. \ ,,,. PERSONAL PROPERTY None & . ,I , j";~t.r . "--r J. \ I.I .' d R b b ",NOTE:You may expedite the processing of this return by filing with it,and as a part of the return, letters from financial institutions or mortgage holders,certifying to amounts on deposit or owed by the decedent as of the date of death,Such letters must be signed by a responsible officer of the financial institution or mortgage holder and indicate clearly amounts of principal and interest in the decedent's account at the date of death and the type of account,account number andthe exact name or names in,which the account is registered. -------~-~--------------------------~-------------,--.... ,. Jointly Held Property -Estimated 7"·-~,.-~'Value Re:':urn2d separately and Inheritance Tax thereon already paid " '\--.. .... . ,, - Transfers within TWO YEARS Prior to Death NONE - 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:-NONE 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- - BENEFICIARIES BEN~RIC'rARIESAND ADDRESSES RELATIONSHIP SURVIVED AGE OF LIFE (If step-children or DECEDENT TENANTS OR INTEREST OF(State full names of all and their addresses who have illegitimate children STATE YES ANNUITANTS BENEFICIARY an interest,vested,contingent or otherwise,in estate.)are involved,set OR NO AT DEATH OF IN ESTATEforththisfact.)'.DECEDENT Anna Koklich Daughter Yes -----See Will 268 Alexander Avenue Strabane Penna.15363 Jose.9h Kokli ch Son II 1\.. 163 Ttl.College Street.'" Canonsburg,Penna.15317 T.lllCV Kokli "n Daucrhter II II II ?t;p,n.1 oy:::n....rjpr A"pnlle Strabane Penna.15363 Ag-nes DeJohn II ..II II 22.1 N Jefferson Avenue Canonsburq,Penna.15317 Bertha Krulce II II II II 368 ~vvlie Avenue ~t-rrthane Penna.15363 .~«. Ruol-vY'l 1-(nhn~1?v II II II II - ~'Rnrtci Bethel Par:~I Penna. p ~ESIDENT DECF;DENT DEBTS AND DEDUCTIONS CLAIMED ,..."-~_1.NOTE:,List first five items in the spaces so provided,observe notations thereon,and instructions. Funeral expenses paidJohnYoneyFuneralHome .--_..c./_/_....:.D::..:E:::;B:::;T=--..:O:..:R::-.::C.=L::.,:A:=;IM=-----r__----=-N:.;.A::.,:T:..;U:..:R:.:;E=-..:O:..:F.......:::.S:..:A.:::M:..::E=---,-----"A.:;,:M;:::.O.=..U.=...::.:N,.;:;T.------lnTHIS COLUMN,.~EGISTER ONLY $2,029 PO $ Family exemption (will not be allowed unless decedent died residing with a spouse or children.) Probate ~10.50 .;.Inv and Administration Expenses ·Acc«$19«00 Counsel fees • Anna Yoklich 'R11 !=:!=:e "I 1 Marino Georqe J.Modrak Anna Kok lien Fiduciary commission • 1,500 )0 ~9 50 332 "7 ,-II':) 332 75 OTHER DEBTS AND CLAIMS (•)See Note below Oak Spring Cemet:ery Opei1ing and Closing Grave 120 )0 Renos Catering Service Catering 240 )0 Gaydos Monument Com:?any LetJcering 18 )0 IJIichael H.Sharman,ro.1:.D~!-1edical Expenses 27 00 Canonsburg General Hospi,·t~1 HO.9pital Expenses 90 00 St.Patrick's R.C.Church Church Services 30 ~O Malones Flower Shop Overhead Spray 61 flO , :<U \;19T1 Taxes (County,School, r?"Road and -Light)161 ",,'"'\.:J.j Total $4,971 81 1$'f 17 (~( .~~:i;P:1?~J;1.~.I..;I:??n~?Y~Y?:l!-A9-...J.~?9?:".. (City or Town and State) .~~.$..l;l..J,.~.~~J::l~?X..~Y~.I)~$.,(Street Number) ...~..~.,(E:recutor-Acdministrator) Note:The estate agrees to advise the Register of Wills if the amount actually paid in settlement of any fee,commission or debt is greater or less than the estimated amount claimed and allowed. Subscribed and sworn to before me this ....!.7~..... ............../)dayo!!~.~~.~P:,19 ..?2············~·i~·············· C nsburg,Washington Co.,Pa. Having been duly sworn according to law,I do hereby certify th~t the above appraisement is made in conformity with law on this ..................0..j(j0 day of ~/:,19.7~- .£-~~Ir.(~~~ In the event that any futul'e interest in this estate is transferred in possession or enjoyment to collateral heirs of the deceden after the expiration of any estate for life 01'for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer'inheri- tance taxes at the lawful collateral rate on any such future interest. REPORT OF TijE ,REGIS.E0F ~ILLS I,the undersigned duly elected Register of Wills in and for ..W.~...............County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts claimed by deponent xcept as to ose items where a greater or lesser amount is set fortlj in the last column to the right in said schedule above,which greater or I sseI'ount re resents the sum allowed as a deduction. Dated:'"~R .7 .t97.2.liusSnL-MARINO,. Will . Administration }No Year . ;." , ,/ ,- Form No.RCC-62 (4-71)~3-7l-?DZ/ \". ~'t IN THE" MATTER OF THE APPRAISEMENT OF THE 'ESTATE OF TOHLJ KQ;:Q:...~C;tl De~~~~~'.....~. .. Late of Strabane.....-,_. County of .W:CJ.sh.:i.:og:t,Qn . Commonwealth of Pennsylvania .> REPORT A~D APPRAISAL t\ .;.....~-,.,. 4'.' ,I''' :E ::n:::>in 7) (i)(;')c: ~r.:-Uj _(l)""-JZ._....!~~"1 :7)roo, --{:.:r: 2 c~ • I -_ 2~::::-Tl r-::..u r-c)P-(f) -'....,:;r"'V :::r.: ::;'::-3oIi-........"-." ''-.l....;:") -0 :_~,.r ,......., ;J r-j;,,-...,.. '" " '.- t ",~_ GEORGE J.MODRA.K AT'tOltN£Y AT LAW 112 IJOI'lTH C!.IOf!!llAL "'If "'u" CANONSBURG.PA -- I Form RC ColO •O<oU"",,mow'o""j,. -•\STATEMENT OF DEBTS THE SUM OF ............$11 'I /.!f0OFFICEOFTHE ,~ REGISTER OF WILLS o,,~Cf!f!t]V/.,--AND DEDUCTIONS 4 OF Washington COUNTY AND AGENT OF THE COMMONWEALTH ~3--7/-?OV Register of Wills,Age"P'H- ESTATE OF JOHN KOKLICH LATE OF North Strabane Township DATE OF FILING APPRAISEMENT OATS OF DEATH June 29,1971 DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH"" John Yoney Funeral Horne Funeral Expenses $2,029 00 Anna Koklich Family Exemption 1 500 00 Account ~19.00 /29 50RussellMarinoProbate10.50 +Inv.& George J.Modrak Counsel Fee 332 75 Anna Koklich Fiduciary Commission 332 75 Oak Spring Cemetery Opening &Closing"G:cave 120 00 I Renos Catering Service Catering Service 240 00 " Gaydos Monument Company Lettering Ie.00 Michael H.Sharman,M.D.r<lec1ical Expenses 27 00 Canonsburg General Hospi,tal Hospital Expenses 90 00 St.Patrick's R.C.Church Church Services 30 00 Malones "Flower Shop Overhead Spray 61 48 1971 Taxes (County,Road,S :hool and Light)161 33 ~,.'iL l'Jl ~..I /'i.~~J:~M 4~~~"'t~.....:.A .~-l I.AI~I'A ..-..- ~'i ~+-,.~"f 1-'~-1--I1,N'tJ-14 )"0-1-~~~,3J........ ~-;-71 =----TOTAL ~:1 ..--' COMMONWEALTH OF PENNSYLVANIA','\ ,'}•/88:COUNTY OF wash?Jnaton " . \I,Anna KOKllch HEREBY CERTIFY,THAT.TO THE BEaT OF; MY KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E srATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPEN8U OF AOMINISTRATION SUBMITTED TO THE ESTATE OF JOHN KOKLICH /DECEASED,AS DEOUCTION5i FOR INHERITANCE TAX PURPOSES.~::~'LSI8W0t2.~D8U88C8',,0 8"0"N'TNIS rli1a - DAY 01' [AY-,-,h n.'v;..I /.18 72 ~//'7IY:)f...//I.f?r/lA-l(-,- ~;6RGE~J:~o.DRAK;.N~,tarY"p~bIi6 ·~anOhstiiJrg;'Was-Ajngtonjco.•Pa..,-."My Commission ~ir.esMay 14.'1972 / !IN THE"ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. In the matter of ,the Audit of Account filed in the Estate of Kok1ich,John D~eased 'J Date of death __~~~--.:,;)~2_""-L-.2~/__ 90"or'197...:::1:......-_\No.!::t Term,19__,A.A. )~kcl_3_8_-2_0_3-9 TO THE AUDITING JUDGE: Enter my 'appearance for the Commonwealth of PennsylVlallia,claiming transfer inheritance tax in the above estate,as follows: ~:'appraised Vialue of Estate:Rea1ty .__....$__--Ibr.£-.-:l'!!!:.--=(!):-.-:f7--..:.~f7~C)_. Personalty .....__._..$_ Additioll!al Assets per Account,Subject to Tax___________________________________________________________________________.._$_ Additional Assets per Audit,Subject to 11ax '._..$ GROSS VALUE . .:. .__.$ _ CR. Debts and Expenses per Account;see Note Additional Debts and Expenses per Audit II ) $------- $------ $------- $------- $---$--------_._--_. $-- TOTAL DEDUCTION~~.....$~1.£?-!~_.__ , CALCULATION Gross v<JJlue m_m_m_m~~fJ!)I I{J Less Deductions _m__m_m__•--#-:q~f,---q+-".-·-·..:I~'~-----Cll-V~i~&o(lf=t~ '11ax· able at 2%) ~1=--able '> at ! 15%)_ !"""'"Less amount previously pa1id ._______________________________________$__. _ Balance __.m_n__m mnm.m __m_m m mm__m u m m m_$96 f 0 ~",..... -Interest__yrs.~s._·_days@ __%-------------$=:::;;;;;;;;;;;.....'....~_mi!!i:~~~--.......;;,= -----mrAL TAX AN~d>iREST DUE __m_._._m__$~J--,-(_()-_I- $------- $------- $------ $------_. $ Total Tax .__ NOTE:The foI:lowi1lJg credits claimed in the Account are held not deductible 'as against the tax: TAX PAID ON ACCOUNT "\ No._________Term,19__•A.A. ESTATE OF Deceased '" PRAECIPE FOR APPEARANCE Fa R COMMONWEALTH OF PENNSYLVANIA ~5 RCC-81 (6-71) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT ANNA KOKLICH (Executor or Adm ini strator) IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division In Re:Estate of JOHN KOKLICH .clO tf __W__'A_SH:..:..I__N=G.=.TO=.=N.:..--__Cou nty -File No.--",6",,-3-..;;.,7f-o']..;;::-fi~0J,,_---_ Dear Mrs.Koklich, You are hereby notified that the::-:---=--"o.=..r=ig=Jll=·=a=l=--_ apprai sement in the estate of J_O_HN K..::..OKL=I=-C:.:H..::..·_ has been filed in the office of the Register of Wills of__\",rlAS"",·~H""I~N""G",-T",-ON~_ County on April 6 ,1922-,Said appraisement reflects the following valuations: Real Estate 6,600.00 Personal Property _ Transfers _ J0 inti y Owned __---,----,--_ Tota I 6,600.00 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 annum is charged. Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by low. Dote A-=p,-r_i_l_6-=,:..--1..:...W.:-2'_'_ Di\TE OF DEATH:June 29,1971 Note:This is not a bill. Signed_~__-#-~J_U,-----~ ?/~ Title _A_P_P_RA_IS_ER_I _ RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of KOKLICH (Last Name) JOHN (First Name) DATE OF DEATH 6-29-71 (Initial) FILE NO.6.3-71-904 REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of_....:;W,:.:.'A=S:..:.H=IN=.:..:G:..:TO:..::·:.::.N:....-_ 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:__...:.:A:.t:p~r-.::::i~1....:6~,1.--=1~gz:..J..-=2~__~~. iNHERiTANCTAX APP~ 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"ater or lesser amount represents the sum allowed as a deduction. Dated:APR '1 197-2RUSSELl MAi.lNO VALUE AS REAPPRAISED $..,....-------+---I-..1-..rY))no 6,600 00, 4,971 81 1,628 19 $6.600 00 .- 6,600 00'" 4,971 81 " 1,628 19 VALUE AS REPORTED VALUE AS APPRAISED $ CLEAR VALUE OF ESTATE 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) Valuation of life estates or FOR USE OF REGISTER,ONLY Tax on $-------r....,.,~----t,..,...,-2% Tax on $.l,628 ~9 @ Tax on $5% Tax on $10% hX~$1~ &~pti~s * Total Estate --1-__ TOTAL TAX COMPUTATION OF TAX $--------f-;-- $-"97'-'--i~6:.L..-q $----,------4-- $-------~ $------~-- $-----_----1._- (*).As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::~t==== BALANCE OF INHERITANCE TAX DUE $C Add interest at rate of 6%from_____to $--.J AMOUNT OF ESTATE TAX ASSESSED $------11- Estate tax paid $--lL-. BALANCE DUE $----~~ Add interest at rate of 6%from t= ------lto-----$-------1 TOTAL TAX BALANCE $-----~PAID $-J FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. Will !...No.Administration IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF Jom~KOKLICH Deceased Late of .....NORTH.STRABANE.... County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL ., ". rfl£:l Funn ilCC-2 .I. COMMONWEALTH OF PENNSYLVANIA DATE .......Apr.~l ....9..,......J.,97.?..................... DEPARTME~~'ll Olli'BEVENUE RESIDENT INHERITANCE TAX ...~1.~~h~R:gt,.2A .............................BUREAU OF COUNTY COLLECTIONS COUNTY ............. HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO..........??:?.~:.29.4............................................. Whereas,JOHN KOKLICH late of ..........NQRrH....$..~~AI~.................................................................................................................................................................................................... in the County of .........................................WASH.TIiTGTON.............................................................Commonwealth of Pennsylvania,having died on the ..........................................?9t.D.........................................day of ..................J:une................................................19........7.;J..seized and possessed of an estate SUbj::::~~~::~:::;:l~~.O:::::::::~~lYappointed 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 Ufe 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 AppraisementDescriptionofAnetValuasMadefol'InheritanceTaxPurposes $ REALTY: SEE COpy ATTACHED TO APPRATcUn 6,600)Of:), '" . - . form~;~hbl:~::~h;Sw(>rl>.~~."itI~~:~~o~er~~~~e~~~el~~~ Appralser ..................................................................................................................................,........,....kJ.(Number and .Street) ................................~..../,).................................,Penna. WA$!1+NGWN .County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of JOHN KOKLICH Deceased. Late of N.Q~r~$1':EtAB~. Date of Death,~?9~7l . Appraisement Docket Vol.,s.t...:,. Page,.rA.t?.:~.~fj No ..§?.~7~::9.9.4 . Filed in Register's OfJice,A.~g 9.19.7:?. Amount of tax due,$:. DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abo,ut Appra.isement, • Appeal j,.om Appraisement,.. Entered and charged,.. 1 i I [P:RC:;C'4~(8B'68~)~~lCiIiiaJi~lii.\\EiSiI:ii·CillOE!MCM·0!9a1N·W;;;E~A!iBLDiiiTH~OJl!FBli:ipEaN3NS!EIt.iSY~L~V~A§I!N~IA·~iifCI!~~-iiIiI!C~~~~J OEPARTMENT OF REVENUENo.B 11738 OFFICIAL RECEIPT.PENNSYLVANIA INHERITANCE AND ESTATE TAX $--------·II!II $ $96.86 $ .::; $ $ $96.86 $,--------1[11 2%Tax on $_ 6%Tax on $_1__,_6_1_4_"_2_5 _ %Tax on $_ Estate Tax,Act of May 7,1927 15%Tax on $,_ TOTAL TAX CREDIT Less five percentum of tax if paid within three months after date of death Plus interest at the rate of __%from _ to _ STRADANE.PENNSYLVANIA 15363 JOHN KOKLICH Name of Decedent ----------------1 From:ANNA K"KOKLICH...PAYING ON IND.LIAS. 268 ALEXANDER AVENUEAddress ------I F'I N 63...71 ...904 Date of Death 6-29--71Ie0._ October-26.1971DateofPayment -t JJ.fO :i f--..I, Remarks: WASHI~TGTONCounty -------1 ,NINETY SIX and 86/100................_...·_.- .---~---......-dollarsRECEIVED--::------;::;-_-;--:-~_:::____=_- representing Pennsylvania Inheritance or Estate Tax due from the following estate: .'1Jrn~[p[L~@illu~SEAL NOTE:This ;~iplicate R:ceipt ta be retained la~'auciJe~...9 TOTAL AMOUNT PAID $=====9::::6:=":::8:::6===:111....--\ (,J ~t11 ' Received ~y~'l"\ICr::J~IJ1 -''''/·..'c/I'''''O NOTE:In accepting the transfer inheritance tax on future estates,prior to the death of the life'.'"",,:,/(SignatU'r'ei~I tenant or tenant for years,as evidenced by this receipt,it is understood that the Commonwealth sholl j,+--.':;I'/1,j not be precluded or prevented from hereafter assessing additionol inheritance tox at the death of the '"•..-o'1J."."./...,)(./:)-1'('A•.••'..(.~ life tenant or tenant for years whenever it appears that such additional tax may be legally due ana -.'6-(Titte) collectible for any reason whatsoever.t'::,)II ...----'---......---.....----''...-........_...........__....._......,~__..-.~~-.f._~~_.__~_~...._._, PRESENT RECEIPT WHEN LIFTING INSTRUMENT Washington,Pa.,_.£:/..:/r 19 .. N~10197 RECORDER1S OFFICE .RECEJJ;,,?F-77;-···~·,~d..2JJ..~_..__-:a:;;;:t,:~~~~~p~:::~-1~t:;~:;;~:b<",onIoo :~:.~~.:::::::::.::~:~:_....~....i~...._...._..._... Certificate and Seal $...__._._.___~~ Registration Fee $__. Satisfaction $'[lf~ Total $"700 Jum•m •---State Realty Tax $. ~ Recorder of Deeds r..--~~~_ - N2 15509 Washington,Pa.,7 I OFFICE OF -,19~ CLERK OF ORPHANS'COURT DIVISION County State,etc.•••$======== Total ~/a Dollars .Clerk of Orphans'Court Zf9X-Per ~_ ·.•""e 61000.00 600.00 6;600.QOS 4,97 1.81 - 1;628195 L628.l9T ,.00 T 2,029.00 L500.D0 2950 332.75 332.:75 120.00 240.00 18.00 27.00 90.00 30.00 61.48 16133 41971.81 T ...~~.''<:'2~~'2 ~ :3 3 5 0 109904~~ •.cJ ••/' 2 1 4 o 2 9 o 0 r::;0 0 o 0-' 2 9 5 0 :3 :3 2 7 5 :3 ~275-' 1 2 o 0 0 2 4 000 1 8 0 0 2 7 0 0 9 o 0 0 :3 o 0 0 6 1 4 8 1 6 1 :3 :3 97181~~ J,1,)S' ~f',,,1 {, l.tt t.+t A••~.~••~•••~~ ./'..... \,.".....ii· For 8<llti by P.O.Naly Co..Law BlaT'\{Pu'"IehersUiGrantSt..PI(h.19,l'a. ,-~'I' ·l£U5t Ifill.nub·wridumrnt ,, I .~JOHN KOKLICH, 01 North Strabane Township "County of Wdshington -:,\... tlnd State of Pennsylvania being of sound mind and memory,do hereby make, pubZiBh and declare thiB to be my Last Will and Teatament,in manner and form following,hereby ( revoking any will aT 'Wi1ls heretofore made by me. First..1 direct that all my just debts and funeraZ expensea be fully paid and satiBfied,as soon as conveniently may be,after my decease. Second.I give and bequeath the sum of $500.00 to each of my follow- ing beloved children:Agnes DeJohn;Bert~a Krulce and Evelyn Kobosky~ "Third.In lieu of 'a $500 .00 bequest~o my beloved son Joseph,I .. direct that the $500.00'debt which he owes to me be cancelled and di$- "'charced •. .0, Fourth.The remainder and balance of my estate,real,personal and mixed,including,inter alia,Lot No.179 and the adjoining 1/2 of Ldt No.ITS on Alexander Avenue in'the Alexander Lanrd'Co.Plan",al1d'the"two- story frame dwelling and lot kla268 Alexander Avenue,Strabane,Pa"1 \ give,.bequeath and devise to my two beloved children,Anna Koklich and "Lucy Koklich,share and share alike . ;.',"I.·:: .:..' .,...:,..... ,,,: ;'" ~::'I"\'-'r .,....... ~#.•,~..i r ",....~.1:.~ • 't'1: .1., h.!{ ,.'","," '. 1 do hereby make,constitute and appoint my beloved ~aughter.Anna Koklicb.- ,>>;, I a to be my executrix 01 this my Last Will and Testament;and t:o be -Testamentary"- Guardian of the estate of my beloved daughter,Lucy Koklich• .:..:~., :In [4Jitness [4Jbereof,1 .John -Koklich the Testator above named have hereunto 8Ub8crib~dmy name and affi.xed_'mY -seaZ,the :;r;::z;t:: ooy of 17 in the'YeGT of our Lora one thO'USand nine hundred and sixty (1960). "~)~~f-Jo1iri~··f7lk1q~?~ Bigned,sealed,published and declared by the above named I John Koklich ,as and for his Last Will and Testament in the presence of UB,who have hereunto subscribed our names at his thereunto,in the presence of saw'testat or ••~.""Po "0.•".-::!'.•_•.;-:,.•_-.l._•••__._:.;•..:.·:....-,.••• !,.. .. .. Affi~nuit (@f 1£xrrutnr (@r A~mint!itrntnr ~lulr nf :JI1r111151tlUU11tU.!1P':J 55: (!J.ou111y of lIu511t11g1011 Personally before me,th~undersigned authority,a ~l.r lIlbllO:.in ~d for said County and State,appeared .!:tm~,..JrQ~ttlm :;:who,being duly sworn according'to law,deposes and says that i;1e is the executor or administrator of the estate of .....................mlYm ,deceased,that the foregoing schedul~s constitute a complete inventory and appraisement of the real and personal estate of..«al ~, deceased,except real estate outside the Commonwealth of Pennsylvania;that tpe 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 appraisem~ntof each item made by the above named Executor A~~i~or.... 'Swo and subsc ibe~before yJfliS"?!.~·".l ~t7?/go,-/1;.;, day of..·..·..·."~......~:\;r:;;,·A y.;...· ·~;irii~t;~t·~~·..·.. ..........................,,:1.(!£1!..{-,¥:(4f.,t(:.. .GEORGE J.0 ,:,K,Notary Public ADDITIONAL INSTRUCTIONS •Canonsburg,~ashmgto~Co.,Pa.•• 1.An lI~,vtX1WJi~sThW~~Ml,dWlinthree months after appomtment of personal representatIve .., 2.A sup~lemental inve~tory must be filed within thirty days of discovery of additional assets..J ~l.'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 'Fax Return;..'..... REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.8.4844.2 were lIuurutnrg aub i\ppraillrmrut of the goods and chattels,rights and credits which ,..eate.,,,·I~~~of late of :.. Washington County,Pa.,taken and made in conformity with the above affidavit. 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