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Home My WebLink AboutOC1971-1127 - ESTATE OF SEPESYJlrPETITION FOR GRANT OF LETTERS OF ADMINISTRATION J Register of Wills for the County of Washington in the Commonwealth of Pennsylvania No.....63.::::.7.1.~.1121 To: Deceased. . .170-30-4373Socw.l Secunty No .. The petition of the undersigned respectfully represents ,that: Your petitioner(s),who is/are 18 years of age or older,appl.!.~..7?for letters of administration 4~b.l .IY..L .. ...........................................................................................on the estate of the above decedent. (d.b.n.;:x100.](~tX:KtX;XW{JXJj{oc:«!~j)\tj;(X<lXiiXii)iUCiXi)(OO~*K Estate of ..s...t..~.Y..~P...!s..~.'p'g..~'y'. also known as ..s..:t&Y..~s..~.p..~.$..y..,9-..1..;?Q kn.Q.w..n.S1.;?s..:t..~.y.~. ......................?~.P.?...~.Y ".. 93.75$.. $.. $.. $.. Decedent was domiciled at death in Washington County,Pennsylvania,with h last family or principal residence at .. R...!..p...~~,~T..Q.W.D:.?.Y.!J..+.:.~..J......w..S1.$..h.!.nKt..Q.D:G..Q.y..D:.t..y."'r..~.D:n.$..yJ.Y..9-.D:J.i~b C.G.a.li.f..o.rn.iB.B.o.rough.).. (list street.number and municipality)72 .June 25 .71Decedent,then years of age,dIed ,19 , at w..9-.?.h.t.P.:Kt..Q.!l..2 w..9.:.?.h.t..D:.g:t..Q.!l.G..Q.~D:.t..Y."'p..~.P..P.:.5...Y.J..Y.9.J1.t...S1 .. Decedent at death owned property with estimated values as follows: (If domiciled in Pa.)All personal property (If not domiciled in Pa.)Personal property in Pennsylvania (If not domiciled in Pa.)Personal property in County Value of real estate in Pennsylvania situated as follows::. Petitioner......after a proper search ha.....5......ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Residence Relationship Name wife Mary Sepesy,deceased (6/22/78 ~:.~:~..::::f.J.?~:~::~!\~~.~i.;i:::::~~:~:::::::~:~~~::~:Y.:;::::::B::;:I:;::::::::::::::~:~:i.h§':~:~:::::::~:~:~A~:~::::H~:i.:i.:?:~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: p..9.:w.9.:X,<:i..5.A.Y.~~""G.9.:JJ..£...!P..9.:..~+..?..4.J.~S1JJ.g.h.t..~T M9.:.r..l...~.n~H..~.r..:r..9.n... 2..5..Q O'ld.Rt..,.4..Q B.r.Q.wn.s.v.ill.e..,P.a..~9-.~Kh.t..~.I Ma.ry Lo.u Ko.n.o.p.ka .. THEREFORE,petitioner(s)respectfully request(s)the grant of letters of administration in the appropriate form to the undersigned. ~~250 Old Route 40, ~~i:::::::::~:~:?:~~~:~YE~E~::~:::::::~:~:.~:::::::~:~:~E?:::::::::::::::::::::::::::::::::::::::::::::::::: sw:3~:g=. ro~~UiIl:<.. COMMONWEALTH OF PENNSYLVANIA COUNTY OF WASHINGTON OATH OF PERSONAL REPRESENTATIVE ~ss The petitioner(s)above-named swear(s)or affirm(s)that the statements in the foregoing petition are true and correct to the best of the ~Register ~C..· · · · ·.. ::::::,",:;:i:~:::::~n:~:::::n'l ~~('I~nl~,11,nd=''.::~: ...............1.2 S.e..p.te.m.b.•~of :;19']..9.....;i' ,("'f-e; ,~ ~ w,.,-.,""~'. I I. APPLICATION FOR Letters of Administration ESTATE OF Deceased R $. Letters ~.:. P $..../t!."..CZ.J? Extra Alias $.. Certifi~ates $L Cl....J? Renunoiations $/,P..J? $/rif..:../Z..,9 - ~:~·~~..·....·.....·.....·....·......·....·....E..:{........~L:;..,·.~·..~....~.~ ."'"::...-:,:'~~.~7:5 U 7!~~:g~ "-,,...,.-oJ "'1')_~1;:@".~~"?"':~~:7~il!6 ~.__-:r-I~-;:'-_..._·i ~"-",~_."")l_-~~•.""".~\.".:..._-...~~~...c~ ....:!'_._~ ¥iv·e·r·~H·o·rmeTi"..··A;~·~~; ~-;!',..... 1 RENUNCIATION 63-71-1127 In Re Estate of St.e:v:e I?•....S.e.p.e.s.y..,al.kl.~S.t.~rv.~S.(~m.~.$.y.deceased. To the Register of Wills of Washington County,Pennsylvania. The undersigned Ma.r.l.~)).~H.~.r.x.9.p..l h..~.tX................................................................................of the above decedent,hereby renounce ..hex right to administer the estate and respectfully ask that Letters ~.f..A~~.~~.~:?~.~~.~.~.~~4.:.~.:.:r?-.:. .Mary Lou KonopkabeIssuedto . Oc-fa ~ero?f WITNESS hand this day of ~.~,19...?~. :l:iiiedin the presenc of:(), -J rp'l . ....,,,. 78-074 ~f~~~··~.. Edwards St.California,Pa.154l9 (ADDRESS) (ADDRESS) (ADDRESS) ... 1~~~.j ...:If;,~•...0' ., No.43-:1f://~7 Estate of S.te:v:e ..P S~pe.s,:,Deceased Steve Sepes1 Steye SepS1 Grant of Letters of Administration AND NOW ...3./..Q~f?4.~19.7.9,in consideration of the petition on the reverse side hereof,satisfactory proof having been presented before me, IT IS DECREED that ~t!~'1..~~~..~9P.C?P.~~. is~entitled to Letters of Administration,and in accord with such finding,Letters of Administration are hereby granted to 0 ••••Mar.y..Lou.Konopka . ...............................",". in the estate of 000 ••••••Sote.Yeo oP.•.oS.epes,:.aka..Ste1f.8.So.pes,..aka.ste-ye·.Seps1 .... .......~~~ Register of Wills ;-;-,c- -::cecit!(,~ Letters ~1idmini~~on '~;..~c:=D Short Certificates ~)- r.-,'. Renunciation $..%~P $..0 ••••••• ....Q+;i..~~.I.'.N.0 .~p.rlJl.e.ll ...0 • 0 ••0 •• ATTORNEY (Sup.Ct.I.D.No.) ....~~..~~..~~~..~?}~..4~~o o~~.~~.~o St ADDRESSCalifornia,Pa 15419 TOTALf/)-$/2,.4..1 fe..-c/7821 Filed 0 0 o ••••••••0"0 0 •••••••••A.D.19 .... ••0.9.3~::~979 0" PHONE "~., ... ~~ -/63-71-1127 1768 STEVE P.SEPESY STEVE SEPESY STEVE SEPSEY And now 31 October 1979 Letters of Administration are issued to Mary Lou Konopka who was duly qualified. Harvey Sltuart Register No Bond required in Estates valued at less than $5,000.00 when date of death was after 18 June 1978. BOND BOOK 68 PAGE 983 FORM 67 REV.1-50 REG.WILLS J Application for 1Lrttrr!i of Allminintration on thr Estate of...~!..~.Y.~~.:~.~.~~.~.!..._~~.~:~.~.~.~.~_~.~.?.~..~.~. late of Q~.l.;i,.J.Qr..n1.§:1?Q.r..Q.ggh ,Deceased. Before the Register of Wills of Washington County MARY H.SEPESYpersonallyappeared .. who,being duly sworn deposes and says that.S.TEY.,E P.S.E.P..ES..Y a.ka.,s.t.e..y.~S~.P.~.a~. age...?.~,having last family or principal residence at...~.~.P'..~.#..~.,~.Q.?£7..:?..1•••••~.:r.Sni.g§..:. (Street and Number) y..~~.!.~.~g~.~:t.f..~r..~.~.§!.?9.E9..~.gh ,Washington County,Pennsylvania,died intestate (City.Borough.Township) at..~~.~.~:t.~.g!.9.D;~.~..~.P.:t.!.~~: ,on the ?~day of ~.g.P.:.~. A.D.,19 ?.~,at...},.~}.9.~..~M."possessed of personal estate to the estimated value $?QQ..,.Q.Q ,and of real estate in the Commonwealth of Pennsylvania to the estimated value of $N9..n.~,situ ate in ::.::,~,.. The names and addresses of the decedent's :surviving spouse (if any)and other heirs including heirs by adoption)are as follows. REI,AT..IONSHIP RESIDENCE J:t~r.Y B..!§.~p..~.~.y.: ::w..!.f..~R..,..p.#..~.~B.~lx.7..J..~J3.r.Qw.ns.y.ille . ...~.!.§!..~P.:~!i~.~.r.9..P.:~.~g.gh!.~.L 9.:~J.!J.9:P.:P.:.!.9:d~..(..~:.. ...~.~E.!.~~~~.~Er..~!:?:;~.~~.g.~!.~E 9..~.~:tJ.~r..P.::t.~0?~.. ··'!!'.'.::Y.:}:·".':'.·J.I.".'.'''.·p.~!'···········,~'!'''!\!'.!~:r.T~!'.!!f.''..r.'!~'!#4:........... ................~'~. .................................................................................................................,"1'.. That deponent is over 21 years of age,resides at...R.E .2.,.B.r.o.Y.m.s.:v.i.1l.e . ...........J..9~.~.~!?!?p.!.!-.:i::~~9E5?~.~~J ..L ~.~.~.~~..~.. is a citizen of the United States and a resident of Pennsylvania,and respectfully applies for Letters of Administration upon the Estate of said decedent,no letters having been previously issued thereon. Sworn and subscribed ~efore me this ?2~E:.. day of..Q.~.y..9.p..~r.,A.D.,19....7.f.. ~/7/~ ................'::'L"~~.. REGISTER .....~~.Ist.. COMMONWEALTH OF PENNSYLVANIA}SS: WASHINGTON COUNTY, And now Q.Q.t..Q.b.e.r.2.9.,19.7.1 .,comes ~EY.}i.~e.~.l?~.~Y.:.. who being duly sworn doth depose and say that.....§b.~will well and truly administer the goods and chattels,rights and credits of $..r.~.Y.~P..~$..~.P.,g;$..x ,deceased, to the best of....h!2.r....skill and judgment in strict compliance with the laws of this Commonwealth,mind- ful of the laws relating to inheritance taxes. Sworn and subscribed before me this g.9.t.h . day of...Q.9..t.QQ.~.r.,A.D.,19 7.J . ,..····..··..······A·:··~:P7···~····..·······.................~.:.~=-.~..~:.. REGISTER L7t~iL:::::::::::::~::~:::~:::::::::::::::t::::::..::..:::::::::::::::::::::::...::::::::::::::.:..:....:: APPLICATION FOR Letters of Administration ESTATE OF ( l-ec (! ~ Deceased R $. Letters......................................................f V 0 P $. Extra Alias ..............$.. Certificates .k.4.~$2:.~~. Renunciations $. ..................................................................$.. :;.1;/41/ RUSSEll MARINO REGISTER OF WILLS ..~...J.:~......:.....~..~~I~ Attorney ~2 Estate of .!Ste:v:e '•...Se.pesy . late of ....G.a)j.:fQ:r..I1J8,...J30rQl1gb.:,Deceased ...of 19....... KNOW ALL MEN BY THESE PRESENTS, That we,...rvI~!.y....I:I ......~~.P..~.s.y....~.~....f..~.~:n..~~.p.~1.Eln~1Jl'li ~.E3.cJ Stl3l.~.€l.~.~~.cJe~.~.~:y.~..~cJ.. .............cz.u.-.~.r:'.f:i:n..~y.q<:>~J3~J~.i.Il19.l:"~"11.c1.!~llr:'.EJ.~y... all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl- vania,for the use of those interested in the estate,in the sum of .$.qQQ.~.Q()Dollars,to be paid to the said Commonwealth,to which paymen t,well and truly to be made,we do bind ourselves, jointly and severally,for and in the whole,our heirs,executors,administrators,successors and assigns,and each and every of them,firmly by these presents.Sealed with our seals and dated the 29th.day of ..~~.~.??e.!.A.D.,one thousand nine hundred and ..3ev.entyOne . Sealed and delivered in the presence of: THE CONDITION OF THIS OBUGATION IS,That if the above bounden . .~.~.I'~~~~.!3.P~.~~.·..trDc Administramr or any of them,shall well and truly administer the estate according to law,this obligation shall be void as to those who shall so administer the estate;but otherwise,it shall remain in force. @/tntrmrut of ~urrty I •..._----.-..-.-___surety in the sum of $___..on the administration bond in the estate of ------..---..--____..______,say that I reside at -..------..---.-.----..-------..-......-.,Washington County.Pennsylvania;that I am the owner of real estate,the title to which is in my own name and duly recorded.situated in . Washington County.Pennsylvania.worth above all encumbrances $.,;and that I am worth the amount expressed in said bond.over and above my just debts and liabilities. --_._----------._--------------...._-------------------..._-------------------------------- Street P.O. &tntrmrut of ~urrtil I...__.______--............surety in the sum of $__on the administration bond in the estate of -------..------__,say that I reside at ............______ ,Washington County.Pennsylvania;that I am the owner of real estate.the title to which is in my own name and duly recorded,situated in . Washington County,Pennsylvania,worth above all encumbrances $--__.;and that I am worth the amount expressed in said bond.over and above my just debts and liabilities. Street P.O. COMMONWEALTH OF PENNSYLVANIA,}SS·WASHINGTON COUNTY.'". And now __..__..__19.............comes _. who being duly sworn.says that he is acquainted with the financial standing of the securities to the within bond;that the said obligors have each executed the said bond and th3t the sureties thereto are the owners of real estate in their own right of value more than the penal sum of said bond over and above all incumbrances and exemptions. Sworn and subscribed before me this ---- day of ___A.D.19 .. f£J 3 - 7 1-/I;;}7 No...J168._~---_.6 ._._ i\bmiuistrntinu 1Bnub IN THE ESTATE OF ..._.._.$.~.~y.~~~~~£~.~~_.._._._.._-- aka steve Sepesy And now .Q~.!!.9.P.~.~?9.,19.1.~. Bond approved and Letters issued to .._~.~ry.._.~~~~P.~_~l__ _ _ -wb~L~.~i,;..~@y 9.~~!~f~.~~-. b.L/Y 1--1 147 Ito) ........Rua.~ft ..Mar.inQ - - . Register RUSSEll MARINO REGISTER OF WILLS Bond Book QU................Page ?24 BADZIK PRINTING ~9 DONORA J. ,. r form No,RCC-62 (4-71)THIS FORM REQUIRED IN ALL ESTATES WITH GRQ8S ASSETS UNDER tl0.0oo.UNDER SECTION 701 OF ACT OF JUNE 18.1e81.EF~EC'J'IVJ:..JANUARY 1.1962.(PILE IN DUPUCATE WITH COpy OF WILL ATTACHED)J ~--\.(P J-71-//,<.7 ,OFFICE OF THE REGISTER OF WILLS WASHINGTON (California Borough) MARY H.SEPESY County of············R·:n:··2;·'Bi'oWnsvi11e.Penna• . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'of ;. sworn (Name)AcM'riffstratrix . being duly -------------iTEVB--Jl-.----SEPE8¥ng to law,deposes and says that he is the__._ a/k/a STEVE SEPESY R.D.2,(Exec.:aA.i-o~;vt~le 0lif6iH~h°br---Ci1-ri-foril1:al---------------------------whose last residence was ----(N~~,-----------···--·--------(st---i)---·-·--·------------- Brownsville,Pa."Tune 25,197/---------------------.deceased,and that the whole of the estate of said decedent,who died .._ (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, Real Estate Estimated Value . NON E 0 PersonaIP{88e~Chemma1loy Minerals Limited Stock @ $2.00/share 200.00(1)ares A!i.~/'vi.~ Certificate No.34186 .....~i'//~ (2)3 Shares Columbia Gas System,Inc.Com Stock @ $3l.25/sh 93.75 PO', 6iK(J//:7..\ ~~1-f~j'3.15 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 and the exact name or names in which the account is registered.x ",Estima~dJointlyHeldPropertyValue.'-Q - - Transfers within TWO YEARS Prior to Death 0 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 de,cedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT - BENEFICIARIES BENEFICIARIES AND 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 BENEFICIARYaninterest,vested,contingent or otherwise,in estate,)are involved,set OR NO AT DEATH OF IN ESTATEforththisfact.)DECEDENT Mary Sepesy Wife Yes -./~1)1 S; Elaine Herron Jaughter Yes 2/9 Marlene Herron Jaughter Yes 2/9 Mary Lou Konopka Jaughter Yes 2/9 .".: , ". RESIDENT DECE;DENT DEBTS AND DEDUCTIONS CLAIMED NOTE:Us!ihst five items in the spaces so provided observe notations thereon,and instructions.1 ., DEBT OR CLAIM NATURE OF SAME AMOUNT THIS COLUMN~EGISTERONLY Funeral expenses paid $"1:\3 Of $ Family exemption (will not be allowed unless 1500 O(decedent died residing with a spouse or children.) Administration Expenses • Counsel fees • Fiduciary commission • OTHER DEBTS AND CLAIMS 814 S! (• )See Note below Cemetery Lot $250.0C Mrs.Van Voorhis, Private Nurse 31S.0C Winfield Florists S4.59 Grave Marker 195.0C 814.5~ft I I THIS ESTATE IS INSOLVENT Total 3561 51 »)L1 ~e; ?lf~d~i~~.. R.D.2...'B~~~~~h .Jf~e~Iitci~~i~. Brownsville Penna.15411..•..•.....•..•.....f.........•..•.•......•..•..••• (City or Town and State) Subscribed an4 swol'J~to before me this ..,..9th . 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. REPORT OF TGRE'GJ~TER~F WILL I,the undersigned duly elected Register of Wills in and for d.J.~J-k ~..County,Pennsylvania,do respectfully report that I have allowed debts and deductions in the amounts cla'~d by deponent,e ·ept as to those 'tems where a greater or lesser amount is set fortll in the 1~~hr7tot97ef~~;~~~Li~~~~~~eabove,whicngreater or less amount repres ts the sum ~10~~. Dated:"":.:,.:......•.~....~~.~~Will~.. ! ,,.. < Ij Form No.RCC-62 (4-71) WillAdministration INo.. . . . . . . . . .Year ..... IN THE MATTER OF THE APPRAISEMENT OF THE ESTATE OF STEVE P.SEPESY a/k/a STEVE SBPESY Deceased Borough of California Late of '. County of . .Washington............................ V t-\J')I-I o 0 ""1.1"I ""0'q q r-,t-;f-;IJ) CI fY'\r.....M I"- o 0'(1\0'\.() N NN 1.1"I ~j 0" '~.~ ~ Commonwealth of Pennsylvania REPO~~D APP-RAIS"'~t l>;;,:::u -&:"_ (j)c:>C (/)_I-en ~i :::;(j)en -0.' .-IC_--1 ~l ~~:--=~-I:f'..:;. .....,,-~--.•....-'... ---"'"r;::"...... (")"""=~:o=::::..-::' ;(-2:-nrc>:l><.n -0--- T"'-J f'.,J o.. ........t-- o (:)000'\0' q q c:::;;a Cpt)II') fY'\C .,r- trl 0 ......YO N V'HX)"" ..."l..:i ~ \A.. J.. (?. Oliver N.Honel1,Esq. RCC-SI (6-73) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT MARY H.SEPESY (Executor or Administrator) In Re:Estate of STEVE P.SEPESI a/k/a Steve IN YOUR REPLY PLEASE REFER TO Inheritance Tax Division ., J __\i_A_SH_ING_T_O_N County -Fi Ie No.6,3-71-1127 Dear MRS,e SEPESY;. Y h b 'f'd h h originalouareereynotlIetatte-::-:-~:::---=----~r--...".....,....------- appraisement in the estate of steve P.Sepesy a/k/a Steve has been filed in the office of the Register of Wi lis of ~_ County on September 16,,19 74 ,Said appraisemel1t reflects the following valuations: Real Estate_--.,.-....:-_--:..._ Personal Property---~2P.l19.~~....7.{.;.5~'_ Transfers _ Jointly Owned __'---,-_ Tota I ---""2.Lo93£.J.u7'-'t.5~_ 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 this notice may object thereto within sixty days after receipt of said notice as provided by Section 1001 of the Inheritance and Estate Tax Act of 1961,72 P.S:2485-1001,P.LJo/,--f ~, Date September 16,1914 'Signed {,,///2..£~~~ Title ~/:::::ZZ:: ,\ • DATE OF DEATH:JUNE 25,1971 Note:This is not a bi II. ESTATE INSOLVENT RCC-39 (5-68> COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY (Initial)(First Name) SEPhSY,STbVE P.a/k/a STEVEEstateof-,-DATE OF DEATH__6-_2.....:.5_-....:...71__FILE NO.'63-71-1127 (Last Name) REPORT OF INHERITANCE TAX APPRAISER September 16,1974Dated:_ Washington.I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of _ 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 i tern in the last column to the right in Schedules "A","B","C",and "E". d~J~,INHERI~NCETA~ REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Register of WiBs in and for Washington County,Pennsylvania,do respect- fully report that I have allowed deductions in the amOUnIS claimed by deponenI,ex s to those items where a greater or lesser amount is set forth in the last column to the right in Schedule "F",whO greater r lesser amount represents the sum allowed as a deduction. Dated:_~SE-;:-P_l_1_19-,-]tI......R_US_SE_·LL_M_A_r:IN_~"JIIl_~~._ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint -Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE VALUE AS REPORTED $I, t VALUE AS APPRAISED $293.1'75 I 293.175 3,567.!5t: IESTATEINSO[,VF~NT VALUE AS REAPPRAISED $1== ------I"~ Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $+-_2%' Taxon$@ Tax on $5% Thxoo$lK Tax on $15% Exemptions * Total Estate ~-_ TOTAL TAX COMPUTATION OF TAX $ $ $ $--_. $ $ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death ::::::::::::t==== BALANCE OF INHERITANCE TAX DUE $t= Add interest at rate of 6%from_____to $---J AMOUNT OF ESTATE TAX ASSESSED $--~-----11- Estate tax paid .$---Jl- BALANCE DUE $--------~~ Add interest at rate of 6%from t= -------tto-----$-----~ TOTAL TAX BALANCE $------1 PAID $-' FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, ~same should be noted below,with short explanation. ~f Will..l No.Admimstration ~ IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF STEVE P.~E;p.~~r a/k/a.$~e.Ye. Deceased Late of .....Galif.Q.r.ni.a . County of Washington . Commonwealth of Pennsylvania REPORT AND APPRAISAL Po ..4 COUNTY _...LWu;a....s:!J.h.l.lju..Il~g:..ltd.1oLLn!--_ FILE NO.--:::.63~-.;.J.7.=:1::;;;:-1=1!::::2:.L7 _ RC C-2 (2-64) "~.......-."....·.i 'DEPARTMENT OF REVENUE . BUREAU OF COUNTY COLLECTIONS HARRISBURG,PENNA,17121 COMMONWEAL'fH OF PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE September 16,1974 Whereas,STEVE P.SEPESYa/k/a Steve late of _---lC.J.i.B:Uluiuf'..1.our:.t.nui..<:la"---:--_ in the County of Washington Commonwealth of Pennsylvania,having died on the day of JUNE 19 71,seized and possessed_'of an estate.subject to Inheri~under the laws of '5l1e Commonwealth of Pennsylvania; .Therefore,It ;.:TL an appraiser duly appointed according to law, having been designated to make a fair and conscionao e appraisement of the said estate,and to assess and fix the cashvalue 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 Allet Unit Appraisement Values Made for Inheritance Tax Purpoles $ .PERSONAL: See copy of appraisement 2Q~17'\ ESTATE INSOLVENT , 1 , I • \ .1 I - > -. I I H.ving beeD duly kon,._rdm~t.I do hereby ~that t~vo l!I!Jl!'1som1t is msdo i~ formity with law on this·./<e day of !.-.7.AA{/7.1 p 19.-V //I.A .A'.o/3'f/__.-r 1 ".-.-~ c:::l.~~(\L ...../j'..A -~/.~~~pp~!£75#'~-.,t:?)L ~.•~~mber"'l Street)~~AI >A ".A --L~,Penna.t (Palt OlBce) vlASHINGTON Coullty 19 74 ;! ,~~ RESIDENT INHERITANCE TAX APPRAISEMENT Estate of STEVE P.SEPESY a./k/a Deceased. "Late of CALIFORNIA Date of Death,JUNE 25.1971 Appraisement Docket Vol.,---",'j~8:.:::-:....-_ Page,221-6 No.63-71-1127 Filed in Register's Office,Sept.16, Amcunt of lax due,$_ DEPARTMENT OF REVENUE Received, Examined and Approved,--'-__~_ Wrote abo.Jtt Appraisement, Appeal j"om Appraisement,....;._ Entered and chi)rged,~----.-... "1:,~ " RCC-72 (9-68) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN TH E NAME OF A RESIDENT DECEDENT }I DATE _ APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a)3 (b)Columbia Gas System,Inc.(c},'-----'C"""OloLjmmilUWo....n""--_ (NOTE:In describing securities enter in (a),ab (Ne,either the number of shares of stock or the face amount of registered bonds,in (b),the name of the issuing company and in (c)the class of stock or the stated interest rate and maturity date of registered bonds.) ISSUED ON Nov.29.1960 ,and having a TOTAL MARKET VAllUE OF $_----'9~3~.'--'-7-"'5'-----_ (Date)Steve P.Sepesy,a/k/a Steve.Sepsey,a/k/a as of the date of death of the decedent,Steve Sepesy ,onJune 25,1971 ,-.(Nome of Decedent)(Date of death) ,"aoro·ug,h o.f _California,Was~ington C0';lnty,Pennsylvania;.mailing who was late of address oft·R.D.2.Brownsv1lle,.Wash1ngton County,Pa.15417 (Street and Number)(Past Office)(County)(State) The securities are reg istered as fo II ows:__S_t_e_v_e_S_e....,p'-s_e--'y'---_ (Nome or names in which certificates are registered) ADMINISTRATOR)Mary Lou Konopka. EXECUTOR)(Name) 250 Old Route 40 .-.Brownsvill e,Pa.15417 (Address) NAME OF APPLICANT Mary Lou Konopka 250 Old Route 40 COUNTY FILE NUMBER 3J-22l-6 ADDRESS OF APPLICANT Brownsville,Pa.15417 BUREAU FILE NUMBER 63-71-1127 SIGNATURE OF APPLlCAN~~ HOTICE:IF YOU FAIL TO PROPERLY FILL IH AHY PORTIOH OF THIS APPLICATI H,IT WILL HOBE COHSIDERED COMPLETE AHD WILL BE RETURHED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE~~.Llc:::"-LL-4--l--+ I hereby consent to the transfer of the above securities now registered in the name of t~e a Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20,1919,P.L.521, as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with the provisions of the Act of April 9,1929,P.L.343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. I am the attorney'of record for the estate or the transferee shown on the front of this form.I do hereby personally guarantee the payment,within the time preldribed by law,of any Pennsylvania inhetitance tax which may be due on tho transfer of the securities listed hereon for which a consent to transfer il granted. DATS:8/31/79 '~~~.~~.-Horme;sq: