HomeMy WebLinkAboutOC1971-0910 - ESTATE OF HOLIK"Lo -3 -.7 / -9 /().
.Affibuutt (@f iExrrutnr·(@r .Abmtutstru·tnr.'
~tntr of 'ruuaylunuin }
Qtounty'of 1lIlIna4iugtou aa:
Personally before me,the undersigned authority,a .._..N9tar.y-.P!J.b.l.i.~in and for said
County and State,appeared Mar.i.ari..C~p[o.wsk.L Who,being duly
sworn according to law,deposes and says that she·is the>elllleC:adDIx»x administrator of the es-
tate of .j:?~9_~g~..HQ!.i.k _ _deceased,that the foregoing schedules constitute a
Lnmplete inventory and appraisement of the real and personal estate of Gea.ge..tiallk ,
dt.'\:(·a.;\~.except real estate outside the Commonwealth of Pennsylvania;that the figures opposite'
,-ad,it\!m of real and personal estate in the foregoing schedules are determined and stated by the
Ill1den~ll{nect to be the fair value of said items as of the date of the decedent's death,based upon a
.Ill~j "ppr"disem f each item made by t~ve named ~Administrator.
S:LfJ'"and subs ibe before me this !-<J.........}/'~7
.Tr~::<.(:j '1<.L~·~1~~~-""'(;/~A''''h ~.....
EVELYN C.,Le).''·fIX'·r"t!I"".'Z
Cano"sburg.W"I,;'1..S·'P Co.,Pa.I I ADDITIONAL INSTRUCTIONS
My Commission EXl ""$March 10,1973
1.An inventory must be filed within three mon ths 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
-"-~,;•.:-....
Juurmory nub !\pprniarmrut of the goods and chattels,rights and credits -which
were of _q.e.()r.9E:!Ii.()I.i~,.late of <:.~~~~~~~.r9.,P.E:!.~r.'.~y.!X~~.~~..
Washington County,Pa.,taken and made in conformity with the above affid!lvit.
DOLLARS CENTS
PER S'ON A L T Y
NON E
REALTY
An undivided one-half (1/2 )interest in and to ALL that certain parcel of
ground situated in Chartiers Township,Washington County/Pennsylvania,
being a part of Lot "A"in a plan of lots laid out by the Moninger Land
Company and being more particularly bounded and described of record in
Deed Book Vol.1196 page 18.{Value $3/000.00•••one-half (1/2 )•••••••
<
I,
1500
ji
,f
!\
'III,.!
I!,i
II.1
00
"
.00 T
.00 T
.00 T
42.00
8.0 0
1 95.00
940.00
22.80
150.00
25.01
318
3.18
6.93
90.00
50.40
1;53650T
_.....,--
t..."')11-;..._-.
,,
:w
COUNTY OF __W.;.;..;;a~s.;...h.;.;;in.;.o;g;&.;,t~o.;..n _
-~'"
L.o3-1/-CfIO
.\
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS
RCC-t03 (2-64)
COMMO,",WEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
This return must be completed In detail ond fl:ed In duplicate,with the Register of Wills In the County where the decedent resIded within one
year after dote of death,unless on extension Is granted by the Secretory of Revenue.
Department
Valuation
,CAUTtOH
(Do not write
in this space)
Administrator
(Title)
..
Estimated
Market
Value
f
of -..:-.14;.;;.7..,.,0a~'~k...;l:;;:a::.;n;.:;eL'....;C;;.;a;;.;;,n,;.;:o..;.:n..;.:sb:;,..:u:..;.rga,L....;.Pa..;;..::.
(Addre..)
ASSETS ~
(Attach additional sheets'"if necessary)
Description of A"sset,-
NonePersonalty
.'...;-..-y ....,iO;••.•.Type 'of Asset:
Reol Estate,Pers.
Property,Jointly
He Id Prop,or
Transfers
Will
Admn.No.__....·__.19__I,Marion Cyprowski
(I'lG<'e)
of the estate of G~e=ot:~e Holik
Misc.
being duly sworn according to law,deposes and says that he is the ~Ad:!l!!1mu.iu,n!:!.is~trL1.ay.tL!lO~r--:--:-_
(I:,xoc.,Adm.,Legat,e,etc,)
late of Canonsburg,Pennsy vania,
(City,Borough,or Township)
deceased,and that the whole of the estafeof sQid decedent,who died on May 20,1971 '
(Do to)
consis~d of the assets listed below and that allowable debts and deductions exceeded the fair mal-ket value of the assets and
no Pennsylvania Transfer Inheritance Tax is due..•
I,,
tf
I
I
Realty An undivided one-half (1/2 )interest in and to All that
certain parcel of ground situated in Chartiers Township,
Wash ington County,Pa.be ing a part of lot IIAII ina
plan ofJots laid out by the Moninger land Company and
b~"grt,ore particu larly bounded and described of record
in Deed Book Vol.1196 page 18.(Value $3,000.00•••
one-half ).••••••.••••••••..........••••••••••••••
'JjJ,Ol
%.0
I C(.J:
q/.fO.Ob
~)...fl>
J.J7J .I"l>
..1 ~·.ol
3.If
.J,/f
(p.'13
cttJ,OI>
.j1),'Ii)
Amount Approv
by Register
Amount
Claimed
42.00
8.00
195.00
940.00
22.80
150.00
25.01
3.18
3.18
6.93
90.00
50.40
DEBTS AND DEDUCTIONS
Nature of Claim
TOTALS
Name of Payee
Washington Hospital Hospita lizatio'n
J.W.Bardzit,M.D.Med ical attention
St.Patrick's R.C.Church Funeral services,etc.
Wm.E.Speakman Funera I Funeral expenses
Sun Drug Store Medication
M.L Kusturiss Attorney's fee
Anna Howcroft,Tax Colle tor 1970 Chartiers School Tax
Anna Howcroft,Tax Colle tor 1970·Real Estate Tax·
Anna How~roft,Tax Colle tor 1971 Real Estate Tax
Malcolm l.Morgan Co Tr s 1971 County Tax
Mrs.Herman Back rent
J &F Tire Co Debt for recap tires
REPORT OF INHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that t have
appraised the real and personal property as reported in the foregoing sche uJe;at the value,s set or.t~opposite each item in
the last umn to the right./l ~
J..Inheritance Tax Appro Iser
I
t,
1I
tIi
I~t
TOTALS 1,536.50
REPORT OF THE REGISTER OF WILLS
I,the undersigned duly elected Register of Wills in and for the above Co.\Utty;do respectfully report that I have allowed
deductions in the amounts set forth in the above schedule as claimed,e1tcept where I have set forth a greater or lesser am
in the last column to t.he right,which gr"eater or lesser amount represents t~e r,s,um"01,lowed,a,s ,a,deduc,tion,'t
SEP 30 1971 RUSSEll MARiNO ,\.',.'';''.'';'.."'"
Date of Approval:--.;..'--,'~-'-'-"'--=-'7'":"-~:':':""'"-------fRegl.t.,of VIIIIs
Register of Wills,Age/il
DEDUCTIONS ALLOWED IN .J
THE SUM OF-..•.....-....$1;-.5:J~~.~P
~.....' .':t'O '1971 RUSSEll MARINO
E APPR ED
L.ATE OF C=a~n..::;Q.:.:n;:.;sb:::.:u:.:r:..::gu,~P=a..:.._
L,3 -.7 / -9/{)
.L
STATEMENT OF DEBTS
AND DEDUCTIONS
.'COUNTY
ID
ESTATE OF GeQrge HQlik
OFFICE OF THE
REGISTER OF WILLS
AND AGENT OF THE COMMONWEALTH
OF Wash ingtQn
Form RC C·lO
DATE OF FILING APPRAISEMENT DAT5 OF DEATH __~M...:.a=_y~2...;0;..cl...;...;,.19...;7...;1:...._..,.......
DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCH""
71 1 WashinatQn HQsoital I QsoitalizatiQn 42 00
2 IW Bnrdzi E M.D.I~edical attentiQn 8 00
3 St.Patricks R.C.Church Iuneral services,etc.195 00
4 William E.Speakman Funeral HQme I uneral expenses'94(00
5 Sun Drug StQre *edicatiQn 22 80
6 M.E.Kusturiss Il\ttQrney's fee 15C 00
7 Anna HQwcrQft,Tax CQlleCtQr 1970 Chartiers SchQQI Tax 25 01
8 Anna HQwcrQft.Tax CQllectQr 1970 ReahEstate Tax 3 18
9 Anna HQwcrQft,Tax CQllectQr 1971 Real Estate Tax 3 18
10 MalcQlm L.MQrgan,CQ.Treas.1971 CQunty Tax 6 ~3
II Mr~n Back rent 90 00
12 J &F Tire Inc.Debt fQr recap tires 50 40
-
1,536 50
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF WashingtQn
I,Marion CYRrQwski HEREBY CERTIFY,THAT.TO THE BEar OF
MY kNOWLEDGE AND BEL.IEF,THE FOREGOING ISA JUST AND TRU E STATEMENT OF DEBTS,FUNERAL EXPENSES AND EXPENSES OF
ADMINISTRATION SUBMITTED TO THE ESTATE OF George Holik DECEASED,AS DEDUCTIONS FOR
'INHERITANCE TAX PURP08 .
EVELYN C.TElESKO,Notary PublIc:
Canonsbur?,.Washington Co.,Pa.1531'!
My Commission Expires March 10.197~'
RCC-81 (6-71)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
17127
NOTICE OF FILING OF APPRAISEMENT
Marion Cyprowski
(Executor or Administrator)
IN YOUR REPLY PLEASE
REFER TO
Inheritance Tax Division
J
In Re:Estate of GE_O_RG_E_H_O_LI_K _
WASHINGTON County -File No.~6"",,3_-7cl,,--....£9=10=---_
Real Estate ,$1,500.00
Personal Property _
Transfers _
Jointly Owned _
Total 1,500.,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 law.
Date _...!oS;!.Set+pl..!o!t..liiOemWlb>.l..!eiUor~3Cl.!0...,~11oo..97l...f..Jol~__
Da.te of Illeath:May 20,1971
Note:This is not a bill.
Signed ~~?~
Title Madeline Finney,Appraiser 1
ESTATE INSOLVENT
#RCC-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of HOLIK,GEORGE
(Last Name)(First Name)(Initial)
DATE OF DEATH 5-20-71 FILE NO.63-71-910
REPORT OFINHERITANCE TAX APPRAISER
I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of__WAS H_IN_G_T~O:.-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".
September 30,1971Dated:---=---_.::..-...!:----:..-=-----
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",whO a or lesser amount represents the sum
allowed as a deduction.
SEP 80 1971 RUSSELL ··rl~nDated:_
VALUE AS REAPPRAISED
$-------+--l'".00
"
l~t:jOO 00
1.53,6 50;
VENT:OL
$1.500 00
.
1~500 00
1 li"{l)liO
ESTA'E INS
VALUE AS REPORTED ~ALUE~'~~RAISED
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 $-+-__2%
Tax on $-+__6%
Tax on $---------+---5%Tax on $-+-__10%
Taxon $@
Exemptions *
Total Estate I--_
TOTAL TAX
COMPUTATION OF TAX
$---------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 $t=
Add interest at rate of 6%from_____to $-J
AMOUNT OF ESTATE TAX ASSESSED $-~L-
Estate tax paid $......l-
BALANCE DUE $-.JL-
Add interest at rate of 6%from t=
------I.to-----$-----~,
TOTAL TAX BALANCE $-------1
PAID $.....1
FOR USE OF REGISTER ONLY ADJUSTMENTS.
NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason,
same should be noted below,with short explanation.
Will
Administration t No.
IN THE
Year .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
GEORGE H OI.IK
Deceased
Late of CANQI:J:3I3J)RQ.
County of W.ABHlr~GTOIJ
~-.....
.;;"/'-.;
.;~l~.,........,.---......
.."--:...'
-~~2~
....,.'
~;".
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
"
,
/
...
..'.•,...,.-...,.•.
Form RCC-2 ",......§.~Pt..~m.P.~.r.....3.9.~.....J.:9.7.J.,..COMMONWEALTH DF PENNSYLVANIA DATE ............
DEPARTMENT OF REVENUE -.WASHINGTON
BUREAu OF COUNTY COLLECTIONS
RESIDENT INHERITANCE TAX COUl\J,'T'!l'.'..::::'.;':".;.;.~..;..~..:·;···~~...····v~·····..··....:......................................
HARRISBURG.PENNA.17127 APPRAISEMENT FILE NO.....6.~71~.9.1Q....................................................
Whereas,.............G.~.9.r.g~....~Q~$..........................................................................................late of .......G.~Q:!J?.1mr..g ....................................................................
in the County of ........................~~.h~gt~9.~..............................................................:...............Commonwealth of Pennsylvania,having died on
the ..........................?P~h.......................................................day.of ...:l.1AI..............................................................19..7.~...,seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
~Therefore,I,..................~4~~.~~....~.~.~y...............................................................,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 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 AppraisementDescriptionofAssetValuesMadeforInheritance
Tax Purpoaes
$
REALTY 1.500 00
SEE:COPY ATTACHED TO APPRAISEMENT .,.,
,
.~.._--~-_.....,.
I
I
(Post Ofllee)
...\iA$g:J:~P:1'QN..........County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
GEOtcGE HOLIK
Deceased.
Late of
CAnONSBURG
Date of Death,.~f!I:~..~.9.'...~??~..:.
Appraise/liel!t Docket Vol.......3.E..-,.
Page,~l.().~.{g No §.~~7;L.:'.?J.::q .
Filed in Register's Office,../
Amount of tax due,:$..
DEPARTMENT OF REVENUE
Received,
Examined and Approved,..
Wrote abo.ut Appraisement,
Appeal f,.om Appraisement,..
Entered and charged,..
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