HomeMy WebLinkAboutOC1971-1024 - ESTATE OF DOMBROWSKYI
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. .. ' . UST WILL AND TEST.AM:ENT
OF -
FRANK roMBROWSKY
I, Frank Dombrowski~ of Monongahela, Washington CoWlty,
I Pennsyl venia' being of sound mind and memory t do make' publish
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.!1 and declare this my ·Last Will and Testament, hereby revoking any
II · !j and ail wills by me heretofore made.
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. ·II . FIRST:
Jl_ e~penses be paid as soon after my decease as may. be found
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1! conven1ent .•
II SECOND:
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I direct that all my just debts and funeral
· All the rest, residue and remainder of my
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·!estate real personal or mixed, of v'.ihatsoever natw-e or whereso-
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j, ever situat.e, I give, devise and bequeath unto my beloved wife,
II Lillian T. Dombrowsky. Should my said beloved wife predecease me
II or should we both die in a common accident or at the same time,
ll then in such event, I give, devise and bequeath the same unto our
II beloved· children, Raymond Do.mbrowsky, Philip Dombrowsky, Frank.
I. II .
jl Dombrowsky, Jr., James Dombro.wsky and Lois Grecco, share and share:
'I . !: alike and to be equally divided among them.
I THIRD: I hereby nominate and appoint my beloved wife,
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!! Lillian T •. Dombrowsky, as the executrix of this my Last Will and ·1 ·I! . . . !i Testament. Should my said beloved wife predecease me or should wei
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11 both die in a common accident or· at the same· time, then in such I II . I·
jl event, I hereby nominate and appoint my beloved son, Raymond· . 1
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Dombrowsky, ·as the executor of this my Last Will and Testament.
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seal! j . IN WITNESS WHEREOF, I have hereunto set my hand and !I li !i . . ,/'
11 this ,1. t:t t~day· of _,_...~,;U;;;;:~~:;;;;,;·~..:.i'z-;;;;,-. ·"·' :.~_{-~:-___ , 19 56, to · this my Last Wi 11i
I II !j and Testament. ,,
il WIT1"ESSES: :1
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RCC-103 (2-64)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMEt-!T OF REVENUE
BUREAU OF COUNTY COLLECTIONS
TRANSFER INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES ONLY
OF RESIDENT DECEDENTS couNTY oF __ W..:;_a..:;_s h...;,_,;__;i n...;_,g.!_t;_;o;...;.n.:.....-__
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This return must be completed In detoll ond filed 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.
Will
Admn. No. ___ l9 __ l, L i 11 ian T. Dombrows ky,
Misc. (Name)
515 1/2 Alexander St.,
of --=-M.:..::o:...:.n:....::o:...:.n:...o;gc.=a:...:.h;-::e:..,...:l,..::a:.....2,7-'-P,..::a:....:._.....:l...::5-=0-=6-=3--=---(AddressJ
being duly sworn according to law, deposes and says that~e is the___,E=--<>.x_,e....loc,_,u.._t...._._r--':ic13x....__--,-:---:------:----------(Exec., Adm., Legatee, etc.)
of the estate of _ _;F:._R:...:.;A:....:..:...:.N.:...::.K--=D--=O..:_M:.::B:...:.R.:..::O:...:W:....:S::...:K..:_Y~, ______ late of __ M~o~n~o..!.!n..;;,g~a'-!.h,_,e'-='l~a~, :---:-~-'--------
(City, Borough, or Township)
deceased, and that the whole of th~ estafe of s~id decedent, who died on _..,l,OLlc~t.l...\la_..bc.~:e;.,~r_.Ll ~,-,-1L...9;z,u.6J..7-l,._,_--------(Dote)
consisted of the assets listed below and that allowable debts and deductions exceeded the fair ma'rket value. of the assets ana
no Pennsylvania Transfer Inheritance Tax is due.
scribed be{ore me
Type of Asset: Real Estate, Pers. Property,' Jointly
Held Prop. or Transfers
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··; (Slgnature) ~
ASSETS
(Attach additional sheets ihiecessary)
Description of Asset
Estimated •
Ma-;ket " '
Value.
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Department
Valuation
CAUTION (Do not writ.e in this space)
_R.e.aJ.-E.s~ta_t_e_ A~!~~t...£~&~~~~-~l .. F~f!Ll ~n~ situate~ in~---·-\---~-------...,!
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p 1 a c ~ of beg i n n i n g ~ BE I N G the ·sa ni ~ :~;h. i c h ~.ohn ~D.· B~f~yman', •·e·t a 1., ·Comm.i s·~'ione'rs\ of
·~he.County of)ojashington, by Deed Poll dated
February 6,. 1942., and \of record in· t'he
Office of the '·Rec·order··of 1 Deeds of said :•
W a s h i n g to n ~. ~ u n ty • ., 'in . Deed, B o o k · V o r: 6 5. 1 ,
pag~ 6?4, granted .an<,i cor:t~eyed to Frank
Dombrowsky. . ·
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... ~Con tTfl U e (j TOTAI:S-..
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the above County do respectfully report that I have
appraised the reol and personal property as reported in the ·foregoing schedule at the values set forth opposite each item in
the last_column to the right.
0 ~ . ...., · Inheritance Tax Appraiser ote :
DEBTS AND DEDUCTIONS Amount Amount Approved Name of Payee Nature of Claim Claimed by Regi·ster
ebout & Yo he Co. Funeral expenses .$990.00 q· ? {). {/l).
urtz Monument Co. Grave marker 150.00 I .. S"7J . rt-G
ev. Daniel Sommer Honorarium 10.00 I c.) (/"'()
egister. of Wi 11 s Letters Testamentary '· 10.00 1 o.cri>
uy. -Rogers Probate of Will 15.00 I s-J ~
'iling RCC-103 3.00 3-rl
etty E • Wenzel Notary fee l. 50 ;•5"0 oseph L. Hoffmann Attorney's fee 15.00 1 ~-: ro
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TOTALS $1194.50 !1 I ~ $' ·-.. ~--
REPORT OF THE REGISTER OF 1WILLS
I, the undersigned duly elected Register of Wills in and for the above County, do ectfully report that I have allowed
deductions in the amounts set forth in the above schedule as claimed, excep ere I ve set forth a greater or lesser amount
in the last column to the right, which greater or less.er amount represents the sum allow d as a deduction.
Dote of Approvai:UI.II 19 'iS7i RUS~I:ll MARINO
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Wili'~~-}
Admi'~istration No. Year __
IN THE
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M~TTER OF THE APPRAISEMENT
~~
. OF THE
ESTATE OF
FRANK DOMBROWSKY,
Late of Monongahela
. ,county of Washing ton
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Deceos!'d
Common~~alth CJ~~ Pennsy-lv'ania'-' · :: .
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REP-O;RJ AND AP~~RAISAL .:
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·Joseph L. Hoffme.na
Attorn0y nt Lr~.w
2~2 W. ~.:~·.:~ ::;:reet
monongahela, Pa. "1&068
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
HARRISBURG
RCC-81 (6-71) 17127 IN YOUR REPLY PLEASE
REFER TO .
Inheritance Tax Division
NOTICE OF FILING OF APPRAISEMENT
LILLIAN T. DOHBH.OV·iSKY
(Executor or Administrator)
In Re: Estate of FR!I.NK DOl.ffiROVJSKY
_ __._..1VA.w~ .... 2H....,IN...., ...... GT.....,O..,.N.....__ __ Cou·nty -File No: 63071-1024
Dear Hiss Dombrowsky:
You are hereby notified that t~e_-ank=.-:::--'RD:""~'"'ri~~~==· :ws~iLr=-------------
apprai sement in the estate of _____ r ______ -'A.:J=--------------
has been filed in the office of the Register of Wills of__,\·=la..,s!.lo.Jhin""""a.gt...,o..,n~-------
County on October 19,· , 19Th.._, Said appraisement reflects the following
valuations: ·,
Real Estate __ __,$""12~0ca..O:><.O~------
Personal PropertY---'---'---------
T ransfers _____ ~----------
J oint I y Owned --.,...,.,.,...--.~-,----------120.00 J Total------~-~---------.
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 October 199)1971
DATE' OF' DEATH: October 1, 1967
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Note: This is not a bill.
Signed
Title Franees Leo, Appraieep ll
ESTATE INSOLVENT
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.00 T
.00 T
1 2 0.00
1 2 0 .0 0 5
1 2 o .0 0 T
1,194.50-
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~ .00 T
9 9 0.0 0
1 50 .0 0
1 0.00
1 0.00
1 5.00
3.00
150
1 5 .00
1,194.50T
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R'I:C-39 (5-68)
COMMONWEALTH OF PENNSYLVANIA
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
SUMMARY
Estate of __ D_O_MB_R_o_w_s_K_Y~, __ F_RAN_K ___ -,--_____ DATE OF DEATH' 10/1/67 FILE NO. 6:1-71-1024
(Last Name) -(Firs(Name)-(Initial)
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly appointed Inheritance Tax Appraiser in and for the County of WASHINGTON
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: {]?~ I~ j ~1/ ~p«:d~·
REPORT OF THE REGISTER OF WILLS
WASHINGTON I, the undersigned duly elected Register of Wills in and for 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", whic er amount represents the sum
allowed as a deduction.
DatedPCT 19 1971 RUSSE~L MARINtf· ,., _
INVENTORY . . . ,, VALUE AS...REPOR.TliD VALUE AS APPRAISED VALUE AS REAPPRAISED
Real Property (Schedule A) • ·
Personal Property (Schedule B) t'i
-,$ $-------+--$ lt20. 00 l20, JO
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
annuities .................. .
ESTATE TAX ASSESSMENTS
FOR USE OF REGISTER ONLY
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Taxon$ _______________ ~----
Tax on $ -------'---------+---
Tax on $ ------------------1-----Taxon $ ________________ ~--~
Tax on $ -----------------+---
Exemptions =======:::::j~= Total Estate ____________ __._ __
TOTAL TAX
Less tax previously paid
BALANCE
Less 5% of tax if paid within
3 months after death
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$
$
@> -
5%
10%
15% •
$
$
$
BALANCE OF INHERITANCE TAX DUE
Add interest at rate of 6% from
---------to -----
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·120~ 00. --uo. 00
1,194. 50 1,194. 50
or· E pTATE IN SOLVENT
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COMPUTATION OF TAX
$
$
$
$•
$
(*)
$
AMOUNT OF ESTATE TAX ASSESSED $-----+--
Estate tax paid $------------'---
BALANCE DUE $------~--
Add interest at rate of 6% from
-----~·0---------$-----~----
TOTAL TAX BALANCE $ ------+--
PAID $ ------~--
FOR USE OF REGISTER ONLY ADJUSTMENTS
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As evidenced by Charitable
Exemption Certificates issued
by the Secretary of Revenue.
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.
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Will
Administration ( No ........... .
IN THE
Year ........... .
MATTER OF THE APPRAISEMENT
OF THE
ESTATE OF
F~K . l)_()~~()l@Iq_.
Deceased
Late of MONONGAHELA .... ... . . .................................................. .
County ·of--.. , ...... J'U$.H.:r:N.Q'l'ON ........................... . ' .. ·-.....~
Commonwealth of Pennsylvania
REPORT AND APPRAISAL
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Form Rce-z · •-·
pEPARTMENT OF REVENUE
~UREAU OF COUNTY COLLECTIONS
HARRISBURG, PENNA. 1 7 1 2 7
COMMONWEALTH OF PENNSYLVANIA
RESIDENT INHERITANCE TAX
APPRAISEMENT
DATE ........ ~;~~~.~~.· .... !?..'. ...... !~~ ......................... .
COUNTY ............ ~~~~~9..~ ....................................... .
FILE NO. ??.:.:.??.:::~.9.~ ............................. _ .................... .
Whereas, ....................... F:r.ank ... D.ombr.~ ..................................................................... late of ............................ ~~?.~?.~.~~.~~.~~···········································
in the County of ............................ ~~.~.~gP.: .......................................................................... Commonwealth of Pennsylvania, having died on
the ........................................ l~t ............................................... day of .... O.c.t.o:b.~r. .................................................. 19 .. 71 ... , seized and possessed of an estate
subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania;
Therefore, I, ...................... ~:.~.~-~.~ .... ~~~ .......................................................................... , 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. ·
Description of Aaaet
REAL.ESTA'llE
ESTATE INSOLVENn'
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Unit
Values
$
Appraisement Made for Inheritance
Tax Purpoaea
120• 00
Having been duly sworn according to law, I do hereby certify that the above apprais . ent is made in con-
formity with Jaw on this ........................... ~9th ................ day of <::if~ 'j; ;;uz~~l .
( M umber and Street)
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· (Post Offtee) Penna .
WASHINGTON County
RESIDENT INHERITANCE TAX APPRAISEMENT
Estate of
\
'-, FRANK DOMBROWSKY'
Deceased.
Late of
MONONGAHELA .............................. , ......................................... .-.............. , ............................ .
Date of Death, · .. .9.g~_q~~: ... ~.J. ... J9.9.7. .......................... .
Appraisemei!t Docket Vol., ........... ~3 .. ~ ....... _. ................. .
Page, ~..3.. .. :::-. .. r.. ................. No .... 63.~71~1.024 ......... .
Filed in Register's Office, ......................................... 19 ........... .
Amount of tax due, $ .................................................................... .
DEPARTMENT OF REVENUE
Received,
E:ra.mined and Approved,
Wrote abo.ut Appra.isement,
Appeal f1'om Appraisement,
Entered and charged,
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