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HomeMy WebLinkAboutOC1971-1228 - ESTATE OF MATSKOREG..WILLS Sworn and subscribed before me this ~.. December 71dayof,A.D.,19 .. .................~....~ _/REV.1-50 Application for i4rttrrs of Alltttinistrntionon thr Estate of.E..f.!.ifil M~..t..s.kQ :;. late of........c:a.l.i.f.Q.r.ni[;\......B.Q.;r..Q:Y.g.b........w.~.~.b..j,.ng,t ..Q.l1...~.Q.YJlt..Y"Deceased. Penns):1va11 ia.. ...tlefore the .H.egIster of WIlls of Washmgton County personally appeared ~.?!:.my.~..!M~.:t..§I.KQ ~.g.g,Mi'.l:.9.~J:J.p..~~.!?..!.Q.:tt.L .. Iwho,being duly sworn deposes and says that.t:..1:.;h.;h~M~.:t..~.~.Q . age 7.1 ,having he.r.last family or principal residence at.2..3.~S~.~.Qnct S.t.J:.fil..e..t..,.. (Street and Number) ..c:a..l..i.!.Q.r.n.igj.I1.Qx:.QJU~.b.,Washington County,Pennsylvania,died intestate (City,Borough,Township) at.....T.nr.r.a.nce .s.:ta..t.e ll.Q.s.p.i.t.a.l ,on the 2.7..day of.:KQ.y..~.mJ.~~.r.. A.D.;19.?.~,at..,·.9..;..3fi ::~~..:.::P...t.M.,possessed of personal estate to the estimated:value $.N.o.ne ,and of real eAtate in the Com~onwealthof Perinsylvania to the estimated value of $lQ.....Q.Q.O Q.9 situ ate in........C.?!:.l,;i....f.Qx:.l1;i..~....~.9.r....Q.Y.gh.,j....:!V&!-..§:hJ.P..g:~.Q.11 ....Q.Q.y.g,t.Y..".....~..~..:g..m~..~...... .-..................~·····r·········..·····························~:. The names and addresses of the decedent's surviving spouse (if any)and other heir~including heirs by adoption)are as follows. REI,ATIONSIIIP RJ<JSIDENCE 234 Second Street, ...8a.mll.e.l Ma.t..s.k.Q S.QJ1 c:.a.l..i.f.o.:t:.n.i,:l.P.e.nn.s.;}!'.l.:v.an.igj.. .643 Graham 'Avenue" ..Ma.de.li.ne le.l.n:t.:t.i...D.!~J.l.gh:t..~.;r..".~.~J.J.,.fil.y..~;r..1JJ?n.~.~..n1JJ?.Y.l..y.~.gJ.~...234 Second Steeet Rear,.jV.J.J.J.,.;h~.m M@,.t..§.~.Q ,Qr.!!!o..g.g...l?g.P.-..,.c:.(),.li..f.Q.;r..n.i.?!:P..~.XW•.~.;}!'J.y..gJ.~; . D .'Matt Grand-Russian Street,.......:.::.~.~::'!.D;i!..ug,h.t.~1 C.f.l..l.1.f.Q.t'..niii\-p..~.tm~.y.J.,.y.~.1JJ.~.. .£.~.~.;l-.~.~.g M.~.t..§.~Q ~.P.~fi~.b.:l;.fil;r.~.g:.1..~1~.~.~.1~.~.~.p..;.~~.§..Y.1..Y.~.gA~. .........................................................................................................···1..·..· · ·..· · ·..·~.. That deponent is over 21 years of age,resides at.....2.~&l.....S.\;l.c..Q.1.l.g.....S..t.;r..~.g.:t.,.....Ca.l.;L.f.O'r.nia.,.. ..p..e.nna.d......L...s~.lIuu~.l.....Ma.:t.s.kQ,),.:.......6.:4.3....Gx:.?!:.hi?-.m....!.\..y..~..ny.~.:i.....~.~.l..!.~....Y..~.r.l1Q.:g...,.....p..~.P:p.~..~........ •• ••• •_.----'7 • (Ml'l.de1 i ne eJ e 1 0 t t i)IS a CItIzen of the Umted States and a resIdent of Pennsylvania,q~d respectfulfy applies for Letters of Administration upon the Estate of said decedent,no letters having 'been previously issued thereon. .1/-~.&1 k.~_._.. .:.:h~~7/Jd .-............................................ REGISTER COMMONWEALTH OF PENNSYLVANIA}SS: WASHINGTON COUNTY, And now ~.~.~.~.~~.~.!.~,197.!.,cornes ~.~!.'!:~.~.!~~.~.~.~.~~~~~~.~.~.~.~~.~Gelott i who being duly sworn doth depose and say that....~h.~y.will well and truly administer the goods and chattels,rights and credits of ~t£.~.~~.~.~.~.~9 ,deceased, to the best of...~~~.~.~kill 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 §.. day of...~.~.9..~~E.~.~,A.D.,19..1.~.. :::..:~..::~~~~:::::~:~...~::~:::: REGISTER '~r /}'~..:~..:..·..·..O/i.·z "h?··..::..··.. ............~. ", I, ) r APPLICATION FOR Letters of Administration ESTATE OF ....................................................................................................... Deceased R $.. Letters :f.~............/~ P $L ~. Extra Alias ~\..$::;.. £~.e"-v-rl<~)sL jV~Q d.2ir<j/J--.;><(.... 17-}\f,.ck £;1IS-rv",,.{'}11~,~f~I~).~l(f!ftJ ....~~h~11 .·:·....·........a··..·....·..ou·..•..•..•........•..•..••..••••..·'?\ftt·~;~~y·.,..... ~2 /~'I (- J ~ ~ '--1 / QtnttttttnuUtfalt~nf 'fuullyluauia,t 1111. lltlItt114iugtnu Q!nuutg.\ I,Russell Marino ,Register for the Probate of Wills and Granting Letters of Administration in and for the County of Washington,in the Commonwealth of Pennsylvania, to Samuel Mat'sko and Madeline Gelotti administra.tors credits,which were of Effie Matsko of all and singular the goods and chattels,rights,and late of Washington County,deceased, GREETING: WHEREAS,the said Effie Matsko late of California Borough in the county aforeswid,lately died intestart:e (as is affirmed),possessed of divers goods and chattels,rights and credits,within the said County, Russell Marino by reason whereof the power of granting administration thereof doth belong ,to me;I therefore,confiding in your fidelity,do by these presents gvant unto you these LETTERS OF ADMINISTRATION,here- by committ<ing unto you full power to administer the goods and chattels,rights and credits,which were of said deceased within this Commonwealth,you having taken 'and subscribed the oath of office pre- scribed by law;requiring you to well and truly administer the goods and chattels,rights and credits, which were of said deceased,and to exhibit a true and perfect inventory thereof into the Register's office,at Washington,within ninety days,and to render a just ,and true account of your administration at the expiration of six months from the date hereof,and to regard and comply with the provisions of the laws relating to inheritance taxes. IN TESTIMONY WHEREOF,I have hereunto set my hand and caused the seal of said Office to be affixed this 13th. day of De cember in the year of our Lord one thousand nine hundred and seventy-one ~~_. RUSSELL MARINO,Register. ., (:- ./ late of ...Ca.l.if.or.nia ..B,orough.,..,Deceased Washington County KNOW ALL MEN BY THESE PRESENTS, Estate of . . . .E.f.f.i.e Mat.sko . }No .of 19......, That we,'Sa.mue.!....Ma.t.sko..,MQ,.d.~JJ A~d.~.1.().t1;,~.,..().11.~()..,,CCt!3~CI..~.~.~~.().1ll;!?Cl..I'l 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 .o,n.e..,.:t.lH).~!';l.~.P.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 13.,day of .D.eciambe.r ,A.D.,one thousand nine hundred and s,~y.~,Il.t:.y.~<:>I.l:~. •.THE CONDITION OF THIS OBLIGATION IS,That if the above bounden Sa.m:ue.L,,,.,. Ma'·tsk~.,,,g,nd ..Ma.de.li.ne .G:e.lo.t.t.i ,. Sealed and delivered in the presence of: the estate a~cording to law, otherwise,it shalLremain in ~~~~(SEAL)~~~.·(SEAL) Madeline Gelotti a.h.i.a .a a.l~t2{t."y...~.(SEAL)~~"J/l.A.AL ~.(SEAL) ...or any of them,shall well and truly administer this obligation shall be void as to those who shall so administer the estate;but force. Administrator s: ), 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. ._----------------------------_._---------+-----_.--_._.._----_._-------~_._--------------.-----------_._--------_.. P.O. -----------------+-----------------------------------.._-(----------------------------- Street &tuttmtut of &urdt! 1....._.._....__.._.....__...__.----------..------------.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 befo~e me this -..........-..--........-...--.. day of .._........__....__.......__....A.D.19 ..__. \\ \ ''""-. ~3-7/~,J:Z~3 No..l4.5.1 . i\.~miulatrutinu ',1Bnu~ IN THE ESTATE OF ..............~.f.f~~.J1~~.~~Q ,.. -:~'~;'.~:;J .......,-"'.._.._ And now ..~~~P.j:~.~~...~r•...:o~,-19..1.!... Bond app-xog~d:~flnd Letters issued to ,Z -i M _ill .:;1 fT:1--L.v ;::;;:0 ,-0 .........Sam~2..(:'Mat.s.k.o ~d."". Made~r}~~elot-1ti.--(.....,) .........who...~~.:".eul~...qlla.li1'iad.•...»(j)0 V...> •-..J .................Rus.s.e.ll M..a..r.ino . I,Register Bond Book 6.4................Page ..Z1.6 . BADZIK PRINTING ~9 DONORA /'-,....:..- " /. ,I I'I"I<\,i.,,, I"I ,\ /'{,~'\' I,', 'G.---.: (. ,/' .,, '"t,'/' ( {", ..""' CERTIFIED COpy OF POWER OF ATTORNEY THE OHIO £ASUALTY INSURAN£E £OMPANY HOME OFFICE,HAMILTON,OHIO No o 10-211 1Knom All .tn by w4tst 'rtStnfs:That THE OHIO CASUALTY INSURANCE COMPANY.in pursuance of authority granted by Article VI.Section 7 of the By-Laws of said Company,does hereby nominate,constitute and appoint: John Po Wege - - - - - - - - - - - - - - - - - - - -of Washington,Pennsylvania - - its true and lawful agent and attorney -in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES,not exceeding in any single i~stance ONE HUNDRED THOUSAND - - - - - - - - - - - - - - - - - - -($100,000.00 --)Dollar•. Excluding,however,any bond guaranteeing the payrrent of notes and interest thereon. And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company, as fully and amply,to alI intents and purposes,as if they had been duly 'executed and acknowledged by the regularly elected officers of the Company at its office in Hamilton,Ohio,in their own proper persons. The authority granted hereunder supersedes any previous authority heretofore granted the above named attorney(s)·in-fact. In WITNESS WHEREOF,the undersigned.Vice-President of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the Corporate Seal of the .said The.Ohio Casualty Insurance Company this 11th day of October 19 68 0 STATE OF OHIO, COUNTY OF BUTLER SS. (Signed)J.Earl Rochester Vice-President On this 11th day of October A.D.19 .68 before the subscriber,a Notary Public of the State of Ohio,in and for the County of Butler,duly commissioned and qualified,cameJ.Earl Rochester ,Vice-President of THE OHIO CASUALTY INSURANCE COMPANY.to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknow- ledged the execution of the saine,and being by me duly sworn deposeth and saith,that he is the officer of the Company aforesaid,and that the seal affixed to the preceding instrument is the Corporate Seal of said Company,and the said Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. IN TESTIMONY WHEREOF,I have h.ereunto set my hand and affixed my Official Seal at the City of Hamilton,State of Ohio,the day and year first above written. Notary Public in and for County of Butler,State of Ohio My Commission expires .......R.Ell.~~E>.~r...9.J...l?7.+.~.... STATE OF OHIO, COUNTY OF BUTLER ~5S. (Signed)Dorothy Bibee I,the undersigned,Assistant 3ecretary of THE OHIO CASUALTY INSURANCE COMPANY,do hereby certify that I have compared the foregoing copy of the Power of Attorney with the original thereof,and that the same is a correct and true copy of the whole of said original Power of Attorney,and I do hereby further certify that said Power of Attorney is still in force and effect. IN TESTIMONY WHEREOF,I have hereunto set my hand this 10th day of December ,A.D.,19 71 Form S·4300·T Assistant SecrettJry •~''fj)•.", t9rJl-;?--d-.%.7~·'.1\ffilluuit (@f 1fxrrutnr (@r 1\bministrutnr J t;tatr Df 'rnnsyluania, Cltnunty Df Bas~in!ltnn P all b f h d . d h'N{)h'l '"Y Pub l'j C •d f 'dersony e ore me,te un ersIgne aut orIty,a ::..:..-:-;:m an or Sal .County and State appeared St\MuEL MAT 3i\:{)and MADEl,THE UE:;~OT'i'i who bel'ng duly,, sworn according to law,deposes and says that he is the executor or administrator of the estate of E"j,'k'I Ii'MA'>'S';(oJ h h f . h d I .......:;..~;;;';..';:;~.:deceased,t at t e oregolng sc e u es constItute a I ·T d . f hid I f E~'l"IE MA',~SKOcompetemventor)an appraIsement 0 t e rea an persona estate 0 -:-, deceased,except real estate outside the Commonwealth of PenQsylvania;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 faI.·r.value of said items as of the date of the deceden~eath,based ullon~ment of each item made by the above named Executor Adminis)t'ator·77la..6iL,k .~-' ,S ~.•b 'b db f thO d~:1lV lMadeline Ge10ttiworn~su scn e e ore me lS......................../ day at::····:2·'··?l.:~···d9:J~../.~~~~E~J;;;::rt;;;········~~I~~'!'~~.d·A.~·~~;:;:~~···INSTRUCTIONS MJ ~IlIlSSI011 Explr.."J~'W,h\~~ory must be filed within three months after appointment of personal representative. 2.A ~upplemental mventory must be filed within thirty days of discovery of additional assets. 3.(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 VV:ill 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 ,.1:, 3Juurutnrg )tnb "pptai.6r~fut of the goods and chattels,rights and credits which were of ~..t.~.~.~M~.:~.~.~.9..!Jate of ~~..!..~.f.c:?!:..:(~.~.=~.~.~~.9..:!..~.~.. ; Washir(gton County,Pa.,taken and made in conformity with the above affidavit. DOLLARS None ALL that cert;>.in lot of ground sJ.t'.l9.te on the $+5,000 PO North side of Second Street in the Borough of Cali- fornia,washington County,Pennsylvania,being Lot No.51 in the General Plan of said Borough,and bounded a~d described as follows;beginning at a point on the northar~aida of 3~1d Second street. thence f:Offi B~~j p~int in a northerly direotion' of 150 feet to Temperance Alley in an easterly direction a distance of 50 feet to Lot No.50 in the General Plan of the said Borough of california; thence along said Lot No.50 in a southerly direc- tion a distance of 150 feet to Second Street in said Borough;thence in a westerly direction along the northern line of said,Second Stroat a distance of 50 feet to a point in line of Plum Alley,the place of beginning. EXCEPTING and RESERVING out a~d from t~e above described ~remises a ~r~ct of grouad t~at w~s con- vey.3d by Petez~M3.-;;,3ko "".~Hi Effie Mat~'lko,hls ';v~_.f(~,to Willia,.n ~1atr3-:«().e(;.'.IX.,by dend .J'),~;ad tltB 29th d'8·1 of ~ovamb0r,1937,and raco~l~d ia t~e RecorJar's Offics of was~ington County,Pennsylvania,i~Deed Book 1009,at page 136. CENTS .....'"'"t-"<~._.. .. f,''.~ ,-.'"''ft ...•.$..' .'f • .L '-'f."""'.. ".~ '... '.)..~. .,-~."",D.....~.' .....,r',".. • ,\.";)..t~~,,,, : "~~, ~o• ", ," I·!C5 I~':. I ~I~I"0 -I~I tI2 I!I I I , 2:~: i'II.• ,, \. \ t t "l;"-,..'r', ,... ,...t I I I I I I 'r -I I "d hOQ _.,I II S;1/h1}~OlDNIH I ,• I ~I O?>J,n,-0 i:F~I ~~V't~1 I "/{1l-:'.......L,)1~3 I 'H tzj , _,t "In.'\.U I tzj I;S~H-I tI2 ,f I ~"~ IJ U~ I I I I ~ {-I I I ,lij HdV 1ft I 8In ~ $Q I ;.. I I •I il I 'I I I I •.II 'f' I I I I I I I. I.'. "'~,i~ :~,"1\ ••,. f'4:, I,,: I- i. t ,'1 I )' t;. :~ \I, I (:.. ."" ,I STATE OF PENNSYLVANIA, WASHINGTON COUNTY,}55: The within named Accountant being duly sworn according to law,depose and say that the above account as stated is true and correct as :t:J'!.~y.verily believe. Sworn and subscribed before me ,this ....._.d.o.d day of --_.._.~_...19 ?~. KI/.//-l..€A<""""-_;•.••d:~~. ~p L KotlEK,.N'otary J'oubJic Call rnla,W~sh.ington Co"Pa.My .CclmmlsslOn·Expires JanUlUl 29,1975 Washington County,ss: ~$~~@ ~.__.._.___w _ __... Samuel Matsko ilJ~-~--------------.Madeline Gelotti 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.:":'.-l-.i:::-:.I3.y----. Witness my hand and official seal this..1 ._.. day of - .f!.14y __._..__._._.1973.. -----~-~Wii® !.~t=-t ~,.S E-ti E)! <i ~:L:o ~j-.!.g f\I <~\ Hi '"'0\~:ril: r;:.Q),~!\0 Ill,til: -.......:fj:1 Q),'01Eo<0, <Q):~i @!Eo<A:rn 0:III I fj:1 ...Z!J.<0,H:~:0~:~j 00,+''\'\)00,~:ro~:~I J.<~,+' ~~i ~!III..-lril!~i f§i cH,..-l~,0::,~i s 0 ~,H,'0 z (:<:Ii ~:00:<C ...,... ;:l J 00 I OJ.l:l..., J 0..., "dOJ..., ~OJ :,l rnOJ... ~Po..., ~;:l0<J<JOIl ~ .,.;:a..., .~.~ 0 OJ...,.di<:..,., 0 ~~ "'""'l~a><..... ~r r-·--...-~------------, --------~-. -." D~uno:::>:::>v JOf lasun ~ 'a~D~Sa S!4~u!uo!~nq!J~s!P JadoJd aU!LUJa~ap O~pa~sanbaJ AllnfpadsaJ S!lJnO)a4J. ""'l.....• ,I.' >.,;. '~'. -*** 060;00 ". ',', ...··4·',' 'II'., "~I';.." '. ",. "'!. *.**.**, ",,-. ,~~.. :+: .~. **">:< filed ',. .i!. "".~.*.",-i~,;·,.:.....•••.".:•.'.?. •~•.7f-'::'''''''.~,..,*'**""*** ,,J-' ~;.~....:;~ .,l; '..,,'-~..;, "!.' ",'~,",. /...,!;....." I', I ," .~ 'I':'.''l!l'. "I'". fee.. ",',"', '~ t·~~l,:f,:~:~~~:~; .....,'.~- "':co;']l;," '" '"\" $11,', 2,5 ob .....~-.,-~-.\._._._-------------------------------------------, Proof of Publication of Notice in Brownsville Telegraph Under Act No.587,Approved May 16,1929. State of Pennsylvania, County of Fayette Q.h~:r.le..s...W......Mc.Kinle.yTP--r-.e-s.i-dent.of the BROWNSVILLE PUBLISHING CORPORATION, of the County and State aforesaid,being duly sworn,deposes and says that the BROWNSVILLE TELE- GRAPH,a newspaper of general circulation published at 16-18 Bridge Street,Brownsville,County and State aforesaid,was established January 27,1915 since which date the BROWNSVILLE TELEGRAPH has been regularly issued in said County,and that the printed notice or publication attached hereto is ex- actly the same as was printed and published in the regular editions and issues of the said BROWNS- VILLE TELEGRAPH on the following-dates,viz: ........................................p..~.Q.e.m9.e.r 20.,.2-7-.,-19.1.1-.·.Jafiua·py··.j·;·····..···········..····..·A.D.19.7.?. Affiant further deposes that he is an officer duly authorized by the BROWNSVILLE PUBLISH- ING CORPORATION,a corporation,publisher of said BROvVNSVILLE TELEGRAPH a newspaper of general circulation,to verify the foregoing stateli},ent under oath,and affiant is not interested in the subject matter of the aforesaid notice or advertisement,and that all allegations in the foregoing state- m,nts as to Hm"place and chacactec of PUblicat'~!J~~'4: Brownsville PUbliSh~C~ Sworn to and subscribell beiore me this .7t.b.. <lay ~~;,;;;;;,;~:'1912. ·········B~~~~~~iii~;·F~y~tt·~··cciiiiitY;·Pa:····················N·~t·~;;..P~bii~..······· My Commission bpires February 10&1975 ._ Statement of Advertising Costs ·..·I~·i6~ri-~·~·sQ·:i_~_i_:·~·,····E.gw.~·:r·g·s and p.e t tit, ..-e.Q E.~.s.t __..~he.s.tnll.t S_t.r.e.e.t . .W.ash-i-ngton.,..P-erms·y·l-v-afi-ia-···15301·..··..··· TO BROWNSVILLE PUBLISHING CORPORATION,DR. For publishing the notice or publication at- tached hereto on the above stated dates $?.~gg . Probating same $. Total __$9.~.QQ Publisher's Receipt for Advertising Costs THE BROWNSVILLE PUBLISHING CORPORATION,publisher of the BROWNSVILLE TELE- GRAPH,a newspaper of general circulation,hereby acknowledges receipt of the aforesaid notice and publication costs and certifies that the same have been duly paid. BROWNSVILLE PUBLISHING CORPORATION,a Corporation Publisher of Brownsville Telegraph,a Newspaper of General Circulation . By . '-.•.. ~., ",ii' ;i ,..-.J!.-'00 -',.~-, -.J,i' I, .c,..), rn.:q ~, .11. ---:'.'I "-I ,If 'J .;:"',; {. t.,:,. .I to be r.ecorded in the Recorder's Office of>=___ /..:..Washington County,WashingtQ!J,pa~~~ [!~-i FROM /l .----./;_~~~_~rJI'/OA.'=+.~~"-=~ TO Type of instrument Instrument number . 3098 Miscellaneous . Recording fee "$,__-I7:......-~-'=s-z>~__ State Stamps •................$,..,.,....:;/:::.--/' r'./"ro Olga O.-~wcird Recorder-of Oeeds-, a-~By·------=-~q_f----- 'Ci ."'""!. 5 o 0 0 0 0 5 o 0 0 0 o s 5 0 0 0 6 0 0 0 7 0 0 0 2 5 o 0 200 o 0 7 0 0 a ~0 0 0 0 1.1 0 0 0 5 685 a o _,.',' ,'. I~'~. ...: ., "..: ,'\' '7';~,t, being, .'{':":,,, ,'r·:~:rr~~~,;.~,·'. ,""\,' ,,~, ,.,-' ",'. ..1 ,',~,', .-i..•.~. f:',,.,' ,",' .J', wife, ~ ,,,,,,'~.;.~., compl y g.ive '....·bor~p·or.ate' to ,'. '';;'i' to '", ".'f. ;..~.,K~;~1~~~;'· t j ~,(:i" ,~,...:."", ,';....~'li., '<ie' Peggy At~' '.\ ,.'\, t h"9r~a fa,,"·.'t......, be ", ,:" Bond to. '.-': by '., ""'~'.~y/.\',,. ,~;:~. j- I,:: Court, 'f.~, addition:il j,'"~<.'•':',;;if'"::.•.,::'.~,:-.(.;t;~~?,';<,ThiS.t t:,l e ;)!ll'y 0t h ?.I'.;'·3.1·~:;~~)f ::~~"~'?"E E!.t/i>a 'of Effie\i\.iatskO,:,~!!~j~1~0'j'is a "Black"";;,,"ti~n~'~\A.di1C '~Oni-che e styb9,o f he2·<~HlSb-j~·nd,.,~.et ':3r Ma taka i n,'·the sum of :'$58 S·'.'f5 :At'.~~.,"'<4~':.'~..'.'.:."",.~~.~.".".",::~,..'../~t·"."',""' _~...;.;,-...:.,~.:,:~::~, oft:~\e of letters,.a bondL·ht.h~s,~ilh'of·$li;'OOO.00 ".", ,•.'·r·, ," " ~..:',' ~.'," ",~... ""~.,'.',J ' I.' ·,.>==::5'..." "" I ..;';:(',I '.", ",, '",': "~-, ",'t \.,:",', ,I.'· ~~~?--~~-~!'::":\i:~" "Mil d~li:ne,de 1 at t i "..~,,:,,;:'. 'I'"";,,."*.'~..'.;:\~j':\~:~--··,~>~-,~'~/';.:·.i;~~.·Admin:is"'~rcito:'r~s'H(,~:the K~~,~t'e;',o'f Effie Matsko,Deceased:." _,'f", .<. ,J4~~_,~~._ "S~tm~~~l'~(:M3.'i:sl{o, And,:,they will.eVel".pray,e,t'c ,"', ',t:' '" ',': pA;:;Xn~l(),CEi,3LE~,~:ED~VARD S, ".,PE;J:'f':i:r"'". ..,;.,. ,~-., ....'t.:-.' ''r'' ",;;. ,, r,it:.:J :. 'f "'iF~i~ ! .,.-t" ,I ....: ., ",~:. :,~. ',~''. \.....,.. ''t'.1,'1 ,'.'".>,~': "f' 'f .','.',,;,ont".,t· i'~: '~,., ;", ,,-,' ,.~ ",,..~ .'.,.~~, corr·~ct '"".<~,..,\, ...,." ,. .~.', .,' GELOT;r I belief. L~:~;:~:~~._.__ .S;~Inuel :~~a."~t;:sIt:'t '..,.,'; s:=;· " >,a;:~~./LL?.__.~------~---- Ma delie,ne Gelot t i ;,..'.' ·l.ludel'si gried :a ut hol·i~t>Y·:;:,:.,perso'na lly .~', .,",.:,' pet itLo"n ...a.:le"'.·.f~t~::· '. ,:,,,,' '....... " " t'.' ':~:~' "' .:,,;,' '~., f' ,'':>, ,.... '" "I ,I" I I ::":'X'.,'t:, ,"!' "...~ ;"-".. '.,. ,' :'1-,<. ;'EXIII:Bi1' .'"',1. ,".,:~ " .: ,, duly ," ,wa'~li.;.. County, ',J' I,.., and dE!iH.:ribe d "', .';",. ,". ,', sa le:sma'u, ..<• I,'• 1 .." t :' :<"" .:"1~",:" estate :.", Wm.Ear)Tunllcy, ss: P e !ln s y1 va;~iif~J. I, TU1~NEYJ1,,'..,." 'EARL ". "," ....j... m'~~ Sworn to' M,y'., in . .'.;.;".:.;F.....\~.":.;1//,.':,1epose,s T:lild;,}s"ci\ys ,that'he is a real",~~..,;<J~wL~:';;j~,,~,';:'' b:yr,tlie';iCommJIHwe::tlth ,of ;;'}"::>:t:',:;,.:~:iifl\~,;,,::,:r;'.:',,,',',',,',~~. a:-6pr:i1 ser";of'~re;;'1.1'~llsta.te::;:i;'~;Ca liforllia:_.._r:'_...."','...•~J',.'\;·~e::~...'".'.:. :.~'.:"/_,;:.i ...~.'.''It,:" .t\h'a''''t'''{'he "l;is,·'~::,;i':l;l'"a)::"q"a i."n+..'~d';':"~\);:,~.,t h''"1"'1:, •'1,;<"':-,'":,,',.,;:;;~i:"t....~.....,.::-y ~--:.,., s\:t;~a':'!;9.,~~>':~;~ta}lifbr,lia Boi:6u~h; >,;':'as pLrt'L:~:i}':!t~~;l~fub~~{~':~]:in the .:..:~" ,COUNT'y,::or <",,.' ',"" '. .",',. -{(No,~a.rial Seal) (,~ ..~. '.'. " to }'" Nati-on"l .j that arl,that...,..... Boro~gh;,.':Wa "ning- P l'-(-'1;'';'1),,~.(1"-.>..ow ,~.~~~0.1..1 ('\J'l 9'1'1,)nY.'J,ceo~::l :!.'.1g ',;t.',~.'..,'.' "Washi·i{gton..1."- .\'.'''''$:.'....' . theGe ner·'ll'{p.la h •to,:\,',in " "'{'. -••... "_." ss: , ••·..I..'.\.'~•.'.:,.:- N ii'in1~~1~".51 ':\... "1':" Lot ". ~''"'.~_.,:,'\'.-',v:J.t'ue··0 f·,real:e 131;;•.t'3"iLl the mora parti6ulaTly described ,:r,h~:t·~she has <,A:.>'~,~'j' PENNSYI"VANI/\ ..' v/l·i;;p.t'he .;;Y" ',vASilINGTON o.f the' "'. in t 11 e '.p~r ~.p'r1:~~d.;j.~/~:?;~.<f.~iCl.~:3 ~'.:'.:''-'" i:a~.i:};:~ero:-jt Of •0" CO UN'f.'y'(j'f' ••,,:~,~.,~~~~;'.,~,•.r Ji,~~ CO M~lONWENr..iriL'O:?.,,....',!-~..~".,'..:~( '".,'. , '. ).:·):~l~;iC':'\:rHE RL~E 'VENTURI,b.~;.ng .dl~ly .~.~f.''~'*->;.;.,J:'..'..:::i:"'~!~\'Y;~."laW;~~~~1~;r:'R,4~:1G~~~that .ho is "nang.'of the .Ba:.nk;···~a,.:r.1.forlua ./1 f flee,Cal i forn·iaPenns yF~aai:i.~~:'Hi'::·.~~{l~~l~t".f .•.~eal 'eist'~9i i ~Ca n f9~,nijai .•t on'.Co UP,,~y,.:r.~;;r,~s:~::;,J.:?i..Nia.a.nd~'!i c i nit Yi .~. ...'.;.~.' '1", ;~;,: tA"• I (·~~o ta.;,:'i;i:l. Sea.:I.) r.,· ,. ". ,,'<"! '.. ., ., " :,.;, .:~ ,:'I.J,.';:,"..\. -'f\'i' •i."\~.":>l .'.~,';;; ,'::';:,) .:~;:·,<;~\;,:~;t;'t;.,i,e ·"1 ',; ',;,' " ','" "" t,.'". ,,'" ,.: .-" .,'. '..I .. ~SS: 1\ffibauit OOf 1fxrrutnr (@r 1\~mini!ltratnr .1 @ltatr of Jrnn1lg1uania. <!Lounty of Ba1l~ington P all b f h d . d h'Notar~7 Public . d f 'dersony e ore me,t .e un erslgne aut orlty,a J In an or Sal County and State,appeared ~~b..M.Al'.~¥.:9.lMl(l..M.@~.!.m;G.~qr.r.L who,being duly sworn according to law,deposes and says that t hey is the executor or administrator of the estate of ..J::F.F.IE MAISKQ deceased,that the foregoing schedules constitute a complete inventory and appraisement of the real and personal estate of :!j\f.EJ.1iI MAI~Q , 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 val\le of said items as of the date of the decedent's death,based upon a just appraisement of each ::::.f.~.::.:~:..:.:~~~:~~~~;;;..:.O:hi,~~;;tOlr~~.~. P~tt~~i~~~,~~t.,::~~...~...:...~ullcl ~...d..f~.....Executor-Administrator My Commission Expire. January 2~,197'1 ADDITIONAL INSTRUCTIONS 1.An inventory must be filed within 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..513 Se .5.2,72 P.S.4844.2 ·S'UPPLEMENl'.AL lfuututnrg null i\pprninrmeut of the goods and chattels,rights and credits which were o(..J::ffi~Ma:t,skQ.,.Jate of ~.a.1i.f.gx.n1a...a.Q.t".Qygb... Washington County,Pa.,taken and made in conformity with the above affidavit. ,J PERSONALTY Net rentals from renti~of real estate from death of Effie Matsko to the date of sale of property. REALTY .ALL that certain lot of ground situate in Cal·ifornia Borough., (formerly East Pike Run Township)~Washington County,Pennsylvania being.Lot No.136,Homeland Plan of Lots.,.as recorded in Plan Book 5~Page 183. UNDER AND SUBJECT to a right of way for a sewer line granted to the California Borough Sanitary Authority. This is vacant ground. BEING the same lot conveyed by the Russian Beneficial Associ- ation to Peter Matsko and Ef£ie Matsko~his wife.,.by deed dated the 3rd day of July,1965;and recorded in the Recorder's Office of Washington County,Pennsylvania;in Deed Book l2llt at Page 426. The said Peter Matsko predeceased his wife.,.Effie Matsko.,.and the fee simple title to said premises vested in Effie Matsko as sur- viving tenant by the entireties. DOLLARS 289 74 25 00 CENTS 1 • ''Vd "00 N01'lS111t4.J!'\V N'.H S'VN.....\i >/31 noN1tl'iH\J'~S,~:3 \I -/1'1 IljSSn~<J 90 ~~d 9 Nnr H~.' 0J--a ':1:Jll.:l ":lj~r I I,.; ....... ,.". ,[ 1 ' . J r . " [0 f 0 (. f .... -~.. il(unw All mtU iy wl1tlit'rtlitutli Estate of .E;t~'L~~SKQ }63-71-1228 C.,"~(q No of 19 .. late of ..~.~.v:~'~.<.)\~.IU~.:.'Deceased KNOW ALL MEN BY THESE PRESENTS, Th"w'..~amr~I 'Th.'loi;;d(•.f 1n.~J""luJhg/o~.;~.t\J 11h ()~,•... ........c.#.-.ly.~..t1r···d:b!V·v.-·~··¢;~·~'·\l···············.. all of Washington County,Pennsylvania,are held and firmly bound unto the Commonwealth of Pennsyl. . f h f h'd'h . h f rIJ/{)O()();00 D 11vanta,or t e use 0 t ose Intereste In t e estate,In t e sum oil·....'I............................................0 ars,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 day of '"A.D.,one thousand nine hundred and.rl?.Y~k-:,~.~.. THE.CONDITIO.N IOF THIS OBLIGATION IS,That if the above bounde~..~~~\.I.l2.:J . ......~.~-t:f ~.Ii,..'1\1.~>2 ~~..~1.().~..!... Administrator $or any of them,shall well and truly administer the estate according to la~,this obligation shall be void as to those who shall so administer the estate;but otherwise,it shall remain in force. Sealed and delivered in the presence of: 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. .-..._-----------..._----------------.---------------------------------~---....---,.----------------------------- J Street &tuttmttd of ~urtttl P.O. 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. ••••••••••••••••••••••••••••4 ••••••••••••••••••••••••_•••••••••••••••••••••••••••••••••••••••••••••••••••••••••• COMMONWEALTH OF PENNSYLVANIA,}ss·WASHINGTON COUNTY,'". Street P.O. 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 that 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 .... ----------------------------------.___________••••0 •_ .'.-....>,,..~:'~~~,.<.,t.~" ~3---7/-/;;...:l.f No . .1\~miui.atrutinu iBnub IN THE ESTATE OF EFFIE MATSKD JUNE 8 73 wit~i;onnodwa·~·~;~~;d··~~d··~lt~jt~· ordered fil~~...'~"-r.1,~'l'lf'.J:lbSSelM.Jl'lar~no •Cf)..'C ~......................;.~£~~~. G)f"ll iT'!r-it. -.I -,.,r-.'!"e>........,--'::::0 ·····················:E··O··.~::····················{:::.,1"....--..... .-r;.r!....:::::....g =€:E;::;::r• __,_r ···················~·····r-:··z",·",·,·S-·····"··'·'".~r-<5 .Register.'en .<:;:). CO 6C-/?-1-.loYBend-Book ...1........................Page ~. BADZIK PRINTING ~9 DONORA ~._...,-"-'"'-'''_._-.. ; "i,( .. THE CERTIFIED COpy OF POWER OF ATTORNEY OHIO CASUALTY INSURANCE COMPANY HOME OFFICE.HAMILTON,OHIO No o 10-211 iCnnm All tltn by W4tst lIIrtstnts:That THE OHIO CASUALTY INSURANCE COMPANY,in pursuance of authority granted by Article VI.Section 7 of the By-Laws of said Company,does hereJ)y nominate,constitute and appoint: John P.~ege - - - - - - - - - - - - - - - - - - - -of~ashington,Pennsylvania - -~ its true and lawful agent and attorney -in-fact,to make,execute,seal and deliver for and on its behalf as surety,and as its act and deed any and all BONDS,UNDERTAKINGS,and RECOGNIZANCES,not exceeding in any single instance ONE HUNDRED THOUSAND - - - - - - - - - - - - - - - - - - --($1001\000000 - - )Dollars, excluding,however,any bond(s)or undertaking(s)guaranteeing the payment of notes and interest thereon And the execution of such bonds or undertakings in pursuance of these presents,shall be as binding upon said Company, as fully and amply,to all intents and purposes,as if they had been duly executed and acknowledged by the regularly elected officers of the Company at its office in Hamilton,Ohio,in their own proper persons. The authority granted hereunder supersedes any previous authority heretofore granted the above named attorney(s)-in-fact. In WITNESS WHEREOF,the undersigned,Vice-President of the said The Ohio Casualty Insurance Company has hereunto subscribed his name and affixed the...Cqrporate Seal of the said The Ohio Casualty Insurance Company this 11th day of October 1968. (Signed)J 0 Earl Rochester Vice-President STATE OF OHIO, COUNTY OF BUTLER }SS. On this 11th day of October A.D.1968 before IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed my Official Seal at the City of Hamilton.State of Ohio.the day and year first above written. ~.~.:~.~.~~!~~~?~E.l ~~E.~.~.. Notary Public in and for County of Butler,State of Ohio . . .December 9~1971.My Commission expires .. the subscriber,a Notary Public of the State of Ohio,in and for the County of Butler,duly commiaaioned and qualified,came . J 0 Earl Rochel!ter 'Vice-President of THE OHIO CASUALTY INSURANCE COMPANY,to me personally known to be the individual and officer described in,and who executed the preceding instrument,and he acknow- ledged the execution of the same,and being by me duly sworn deposeth and saith.that he is the officer of the Company aforesaid,and that the seal affixed to the preceding ins·trument is the Corporate Seal of said Company,and the s8/id Corporate Seal and his signature as officer were duly affixed and subscribed to the said instrument by the authority and direction of the said Corporation. ~\\\\l\lIl1l1l1lll~,~,.,.IU St,,/,I>~i~'\'\s*:)*§::;:::~~~11>\~~I'~~COUIlI"~~1111I/111l1\I1\\\\~~ This power of attorney is granted under and by authority of Article VI,Section 7 of the By-Laws of the Company,adopted by its directors on April 2,1954.extracts from which read: "ARTICLE VI" "Section 7.Appointment of Attorney-in-Fact.etc.The chairman of the board,the president,any vice-president.the secretary or any assistant secretary shall be and is hereby vested with full power and authority to appoint attorneys-in-fact for the purpose of signing the name of the Company as surety to.and to execute,attach the corporate seal,acknowledge and deliver any and all bonds,recognizances,stipulations,undertakings or other instruments of suretyship and policies of insurance to be given in favor of any individual,firm,corporation,or the official representative thereof,or to any county or state,or any official board or boards of county or state,or the United States of America,or to any other political sub- division." CERTIFICATE I.the undersigned Assistant Secretary of The Ohio Casualty Insurance Company,do hereby certify that the foregoing power of attorney,Article VI Section 7 of the by-laws of the Company and the above Resolution of its Board of Directors are true and correct copies and are in full force and effect on this date. This instrument is signed and sealed by facsimile as authorized by the following Resolution adopted by the directors of the Company on May 27,1970: "RESOLVED that the signature of any officer of the Company authorized by Article VI Section 7 of the by-laws to appoint attorneys in fact,the signature of the Secretary or any Assistant Secretary certifying to the correctness of any copy of a power of attorney and the seal of the Company may be affixed by facsimile to any power of attorney or copy thereof issued on behalf of the Company.Such signatures and seal are hereby adopted by the Company as original signatures and seal, to be valid and binding upon the Company with the same force and effect as though manually affixed," IN WITNEs.5 WHEREOF,I have hereunto set my hand and the seal of the Company this A.D.,19/:1 8th day of June A I Assistant Secretary S-4300-C 6-70·7500 I lin lqt (@rpqans 9 Qtuurt of lIusqingtnn <nuunty J In the matter of the Audit of Account in Estate of E.FF.IE MA'r..S..KQ . TO THE AUDITING JUDGE: No 6.J..::-.7.l-:::-l2.4..~,19 ,A.A. Enter O.Ur appearance for :the a.CC.QUntan.ts,. ............................................................................................................·············PAT"i~6N6"~·····C·Etst~Elf;·····EDwARi5·S·····&;····P·ETTIT .::::=.==:=:=:===;;~~:::g~:::::=::: N.B.-Counsel shall,by separate 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.Counsel suggesting proper distribution shall file a separate concise statement in that regard. <t <C !.... Cot ! Q := 0' III jn;.... i ~ "'LtJ ~ .s ~Cot -;;t-=- ;l <-000<C a 0::: '0 ~0 1 ::>~ ......s ;.a <C ;l i<C ~ III ~.9- ... .E ~ w ! Cot~ 0 ~ z !.~II ,jil :I :I ::: 1",,:,i.$ I II ;J. \\ 24 J ,A.A.Term,19 (Form where decedent died Intestate) No.63-71-1228 In the audit of the First and Final Account of Samuel Matsko and Madeline Gelotti,Administrators of lIali~tn!lton atnunty Deceased The petition of S.a.ro.ue.l Mats.kQ and Made.line Gelo.tti... (Name 01 Petitioner) EFFIE MATSKO ESTATE OF State (l)whether de- cedent was married or unmarried;(2)il mar- ried,whether a husband or wife survived and his or her name;(3) whether or not there was any marriage settle- ment;(4)whether or not family relation was maintained until deced- ent's death;and (5) whether the decedent IeIt children or issue 01 deceased children. respectfully represents:_. (a)The decedent died on N.ml.emb.er.27..,.l9.1.1 ,intestate and (Date) letters of administration on heX estate were granted P.e.C.embe.r 1.3 .,1.9 71 (Date) as per record thereof appearing in Administration and Bond Book No . at page . Decedent was survived by children and grandchildren named below. (b)At the time of death,the decedent's domicile was ~=the Com- monwealth of Pennsylvania,to-wit,at.....23.4....Sec.ond...S.tre.e.t.,.....California,PennS y Ivani a ,(Town or Township,State and Nation) and residence was at......s.ame•............................................................................................................................... (Town or Township.State and Nation) (c)The names of all persons having any interest as heirs or next of kin with the names of their deceased parents,to show relationship if they take by representation are as follows: NAMES Relationship Interest Of age,sui- juris.or not,ewrite yes or no). Name of Guardian,Trustee or Committee,if any,or beneficiary.manp..er and place of record of appointment and is bound suffi- cient.to cover and protect share. Samuel Matsko Son 1/3 Yes Madeline Gelotti Daughter 1/3 Yes William Matsko Grandson 1/9 Yes Deanna Matty Grand-1/9 Yesdaughter Colleen Matsko Debreczeni Grand-1/9 Yesdaughter State exceptions,if any, giving names and dates 01 death and the names of their executors or administrators.or the names of their issue as the same may be mater- ial. All of said parties in interest are living.na~ \ Describe'type of notice.(d)All parties having any interest have had..written..notice of the filing of the account by mailing s arne to them on May 8 l 1973.Copy of letter lS attached. (e)Balance for distribution per Account (f)Additional debits,not shown.by Account (Itemize)Net rentals of residence $289.74 Lot 136,Homeland Plan," California,Pennsylvania 25~:OO (g)Additional credits,not shown by Account (Itemize) (see attached sheet) $..3.4'..7.2.9..•..5..0 $JJA.!..7..4 $~.~}.~..?.Q $..3.$.1.8.0.....1.4 Insert word "not"where I (h)Claim for exemption has been made,and has no.t been paid. necessary.(i)The estate is subject to the payment of inheritance tax to the State of Pennsylvania. If taxable state w~eth-I (j)The estate is uQ.t subject to the payment of the county 4 mills er tax has been paId. tax. (k)The estate is no.t subject to the payment off Federal inheritance tax. ;-" lE too many for the space,annex a list there- of;if no such claims, insert the word "none." If any creditor or other claimant has not re- ceived actual notice,that fact must be stated. Indicate such claims 35 may be secured or en- titled to a preference,and give detailed infor- mation concerning such security or preference. Here insert a reference to all questions requir- ing adjudication,and a statement of any mater- ial facts not already given.,~f non~insert the "word none. II any share has been assigned or attached that fact should also be stated here. State kind,form and character of property composing the balance for distribution,and if any part thereof is Dot cash,whether or not there has been any elec- tion to take such part,. in kind. (1)All creditors (and other persons who have complied with Rule II, Sec.9),of whose claims the accountant notice or knowledge,have ........................received actual notice of this audit;the amounts of their claims and whether or not they are admitted to be correct are as follows: None (m)A black lung claim was filed in the estate of Peter Matsko,deceased,and the sum of $583.15 was supposedly due to the estate of Effie Matsko,deceased.We have received a letter from the Social Security office,a copy of which is hereto attached,which sets forth that this black lung claim is'payable directly to Madeline Gelotti and Samuel Matsko, and therefore the black lung proceeds are not included as an asset of the estate of Effie Matsko,deceased. (n)The balance for distribution consists of property in kind,form and character,as follows: Realty,as per copy of realty to be awarded in the Adjudication and Decree,as attached hereto. Balance -Gash .........- Ii (g)Additional credits Phyllis L.Konek,notary fees on original Inventory,original Commonwealth Inventory,Account,Supplemental Inventory,Supplemental Commonwealth Inventory,Audit Petition,Petition for Additional Bond,Affidavit of appraisers on Additional Bond,and Affidavit for petition for black lung claim $16.50 Register of wills,filing Inventory .and Account·25.00 Clerk of Orphans I Court,filing Petition for Additional Bond 9.00 Register of Wills,filing Supplemental Inventory 3.00 John P.Wege,additional bond premium 60.00 Samuel Matsko,Administrator1s commission 375.00 Madeline Gelotti,Administrator1s commission 375.00 $863.50 Are there any advance- ments by decedent to be considered on distribu- tion and has any distri- bution on account been made by accountant to any distributtee? If prior accounts have heen tiled,list number and term. .-.... (p)Yes.$3,000.00 each was advanced to Samuel Matsko and Madeline Gelotti,and $1,000.00 each was advanced to Deanna Matty and Colleen Matsko Debreczeni.There was no distribu- tion to William Matsko as he was not eighteen years of age at the time.He is now eighteen years of age. (q)Give brief location of any real estate sold. 234 Second Street,California,Washington County,Penn- sylvania. (r)None Wherefore your petitioner asks that distribution of principal and income be awarded to"the persons thereunto entitled and suggests that the balance of principal.and income should be awarded respectively as follows (shares being stated in proportions but not in amounts):-'After payment of audit costs,inheritance 'taxes,etc.,we request that the advanced distribution be charged back into the accounting,and the the distribution of cash and real estate be made in the following proportions: Samuel Matsko Madeline Gelotti William Matsko Deanna Matty Colleen MatskoDebreczeni 1/3 1/3 1/9 1/9 1/9 County of Washington,ss. The above named petitioner being duly .doth depose and say that the facts set forth in the foregoing petition are true to the best of 1heiJ:_knowledge and belief. to and subscribed before me this ./1~ri day of ~,197.3 . ..........._~:~.L!~. PHY L.KOtiEK,Plotary P'uh'" ,Cal rnia,Washington Co.,.u, My Commission Expire:;....·_•·..··_..··..·..·..··..o1l1iiital'j··29;··T97o ···········. And your petitioner will,etc., /~~~.. (Siltn'atureof Petitioner)Samue.L Matsko .%~~~~ '\ I\~ ,. FORM IN CASES OF INTESTACY N·o :,__Term,19 ,A.A. c''\., IN THE ORPHANS'COURT WASHINGTON COUNTY,PA. Es'tate of De'ceased. Sur account of _.._ _. PETITION SUR AUDIT In Conformity with Court Rule III, Sec.5 (B) COUNSEL FOR THE ACCOUNTANT WILL SUBMIT HEREWITH 1.The letters of administration. 2.A copy of the inventory and appraisement. 3.Proof of advertisement of the grant of letters, if not filed with accountant. 4.An appearance for those represented. 5.Inheritance tax receipts,if any. 6.Certificate of liens in case any of the funds for distribution are derived from the sale of real estate. 7.Copy of Federal Estate tax return,if estate is subject thel"'eto. 8.Signed elections to take in kind,if any. f~)~/~~~- .~-_:.·············~i~meY r~"ountant. ....9 ,~ f [. "• ....... .' PATRONO,CEISLER,EDWARDS AND PETTIT Attorneys at Law 80 East Chestnut Street Washington,Pennsylvania NOT ICE 15301 In the Orphans'Court of Washington County,Pennsylvania Estate of Eftie Matako,Deceued. ~J./J~"t~Ne>.63..11-1228 TO: Please take notice that SaiIt\le1 M$t.ko and MadeU.•_10"t1,.AclJa1niatratoJ'. of the Estate of Eftie Matako,deceased,filed 'l~.t and Fl~Account at the above Number,and that said Account will be called for audit in the Orphans'Court Room, Court House,Washington,Pennsylvania,on MondaY.Ma;v 21,1973, at 1:30 P.M.,and a decree of confirmation and distribution may be entered unless exceptions or objections are filed.You may be present if you so desire but your presence is not mandatory. PATRONO,CEISLER,EDWARDS AND PETTIT By ~~~nlAf~}eys for T DEPARTMENT OF HEALTH,EDUCATION,AND WELFARE SOCIAL SECURITY ADMINISTRATION 309 MCKEAN AVENUE ,' I .. Peter Matsko llEFER TO: 208-07-5135 Attorney E::iwards Box 636 California,Pa.15419 CHARLEROI,PENNSYLVANIA 15022 May 16"1973 TELEPHONE:483-8051 SUBJECT:Black Lung underpayment due because of death of Effie Matsko. Dear Sir: On 3/15/73,we forwarded your Small Estates Certificate on Peter Matsko to our Baltimore Payment Center for Black Lung benefits.However,it did not come about because of the death of Pete but because of the death of Effie.The 1972 Amendments to the Federal Coal Mine Health and Safety Act of 1969 make it possible for a claimant to file for an underpayment under the regular Social Security L~w. On 4/30/73,Madeline Gelotti filed a claim on form SSA 1724 on behalf of herself and Samuel Matsko fof the underpayment of $588.50.One half of this amount will be paid to each living child.The Social Security Law makes no provision to pay children of children of deceased benificaries. The above is covered under the Social Security Act-Sec.204 (d),Reg- ulation No.4 -See 4041,,'503.Enclosed is a copy of our claims manual guidelimes. Sincerely yours, d~J9ntP4/~dv ,Evan Jones Claims Representative EJ/arh Enclosure ..< I, It r , / 23H 12-69 UNDERPAYMENTS 5603 .; .'-1 .1 .~ '., ,. .. ,.. "i ·1I ".I. ':) •...j .,.(: ".t··. .... .cntitled person or to an individual who paid tho burial cxpenscs of the deceased equitably entitled individual. '-.~.----"'-;-.-.-.~..-.-..--._~----:~--.-',;-:- 55 Act-Sec.20·1,(n) Ucguilltionr;No.4-Sec.4·01·.501 Definition of Underpayments 5600.Defini!non of "Undc~·payment."-An \'-'"....---.. "underpayment"is any monthly benefit amount due Disposition of Underpayments., tl person which has not been paid.An underpay-.SS Act-Sec.204(d)ment arises when a person is not paid a monthly Regulations No.4-Sec.404.503 . benefit to which he is entitled or is paid an amount I less than the amount to which he is entitled.Other .!5602.Underpaid Person Alivc.-Whorc the types of unpaid benefits,such as the LSDP,excess i underpaid person is living,the underpnyment will .:. SMI premium payments (§10571),and Part A and I be disposed of by pnying it to him.There is no . Part B health insurance benefits are not "under.{reqllireme~U!Hlt ho.jU~_!!.~.£l!arllh written request . payments"under section 20'1,of the Act.Likewise ,{or the underpayme.!l~~(Where t e underpayniCut funds of a beneficiary previously certified to ~!'iriCludes funds .previously withheld by 'l'rcIl8UI"y Dc.'. .representative £ayee buCreturne(rto-tlle~i;!partment regulations,see §5221 for limi.tations.·:; tra.tion for recertification (i.e.,conserved and mis-[on payment)...;,usecr fundS)are not an "underpayment";if the \ beneficiary dies befor?;~certification.~akes ...Elace~1 5603.Underpaid Person Dcccnscd.-The .." these funds maybe paId only to the ~al represcn-.1967 amendments sct up a statutory ordor of prior- tative of the beneficiary's estate.(See-§3141 (b)re-)ity for the disposition of RSDI underpayments. garding disposition,on the death of a beneficiary,\Where an individual dies before nny titlo II pay-",. of funds conserved by a representative payee)_;ment due him is completed,tho amount duo (includ-'.",' An underpayment may be in the form of an I ing the amount of any unnegotiatcd checks)will accrued,unpaid beI,!eJj.!...!vnQ.!!E.ft9J:wh.fcli-n~·-check 1 be paid to living persons in tho following order '.lias lreerni--rmvnor in the form Of!!!!..Y!lQ.~goiiatea._j of priority: .ctiecI([S')represeiiling"correct''payment to a de-.~~eilSea individual.\(a)If such individual left n BUIYlvmg spouso.~who either was living in tho Barno household at 5601.Lump Sum Checks Noll Received or \the time of hGdeath or for tho montl1 of death wa9 Negoiiated Before Death of lP'ayee.-Where an [~titled to a mqI1thly benefit..~n"tbc munQ E/11 to LSDP check is drawn for a widow or widower !such spouse;.::t entitled to it on the basis of relationship,but he l (b)To any.child or children of.such individual or she dies before receiving the check,the check [who were e!1htl~!?_m~~_t~JY...E~!1e~.t.a J>Il tho sume llmount is not an underpayment.Under sec.202(i)l..E1ij fot the montl1 oTliis death (if thero is morc ...: of the Act,if a widow or widower entitled to an j "than one entitled child,in eq~al parts to each en· LSDP dies before receiving payment,the LSDP f titled child);. shall be paid under the burial expense provisions i (c)To the E,;'lrentgr parc~ts.of such individual as set forth in §§713 and 701(b),(c).t who were entitled to monthly benefits 011 tho SHmo Where an LSDP check is received by the widow \~/~,as the !ndiv~d-':lal!~~Jb~-,!!1'p.l.l.lhjn...)Y.hi9h...the or widower during his lifetime,however,but has f~lvldual dle{(It iliere 16 mOI"O than 0110 entitled not heen cashed before death,it becomes an asset [parent,in equal parts to each ontitled purent); of the widow's or widower's estate and may be paid \(d)If such individual loft a surviving I:lpOUSO only to the legal representative of the estate as i .not qualified in the first ordor of priority,to 8uch defined in §5605.This is further explained in §74.0.i'spouse;.' Assume that the check was received before death!(e)To any child or children of such individual where the date of death is the same or after the ~not qualified in the second order of priority (if date on the check.r;there is more than ono child,in equal pnds to each Where an LSDP check is drawn for a person:i child); equitably entitled and he dies,the check is an ~(j)To the parent or pnrents of such individual asset of his estate,irrespective of whether death i!not qualified in the third order of priority (if thero occ~rred before or after delivery of the check.1 is more than one parent,in equal paris to ellch ClaIms for.the proceeds of such ehecks will be J parent);. .. . . paid to or on behalf of the estate of the equitably!.(g)To the leg~l represent4tlvo of 8uch individ- L·d~dA&~ ,~~,(..,'. r···:,','o. .' \\ " ·i ·, · i ... !•~t ,...' .;.;.~ ,. "~-:' '.'~::,- ".i ;..,t.'"',~~,_,:.,~.~':~ ." .... .,'.'",l, ,.,.-." "", ,I".~ ··:~i:,'./'""~. or{~fhi~.,IRrepared...~-.'"'..,,'-. ",the copies,of:,all,th'ese "j'" ~"' ,". r '~"'~ ,.-. .,., ',,' t.. ':~.',;:;~,.,r ',4-•• ". f .."l.~... ~..,.r"......'..iI"..l!', ,. -'~~'.~.",0".!,--:".',--'....~_...--~,- .. r"t 't '. " " .~;, ,,' "•"r ,, l'I I "~,'.111;.._.>'!.<1~IW\''''''HIAh f'l,/J ~&;:;tl.;:i;:!C.....' ..,....,.'. .,.,'., .".,....~IJ;U ~~4 ~...t·;1•.,:t...; " \ .' '.r ..~· ,._, ~~-t '" '"-..J,.tJ",) ,J C-t::::;;;!.:r-.-,, "" ~i ......,..+?\.~;, ~., t:;\«:' ". " ,'.a, ~",., '.t .. " "! ...'- "., 1-• .....'. j, ,f ;, I I' t ".' , 'f " ,. " " '1:,~.'\\,~t.h .~,~, t· .1 II \, ~. 'i '1 j,' "\\.~_..'"I ~l~'''"".,{'p ..'•."- J __"" I •.;1 .. \,..,.... ~u tift arnurt nf arnmmnu 'ltus nf lIas!Jiugtllu,arnumYt Jtuusylnauiat (Orp4aus t arnurtlittisinu ESTATE OF No.63-71-1228 Effie Matsko, Deceased. In the matter of the First and Final Account of Samuel Matsko and Madeline Gelotti,Administrators JUl~DJUDIC'2I,ONAND ,DECREE And now y ,"I ?--,19 73 ,this matter came on for hearing, auditand distribution at this session and testimony taken;and thereupon,upon due cons i,de ration' thW?9J of the balance for distribution in the ,hands of the:Accountant is determined to be $jH:SO~74·:':"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 the schedule of disribution hereto attached and made part hereof,unless exceptions hereto be filed, sec.reg.or an appeal be taken herefrom sec;le'g. </", •',>•:~~; ,c''''.''J.' .,\,£...SCH,~D~LE,OF ~ISTRIBUTION ;..t,'"','~"::,.'1 ', Balance per account_'----'--'..:----'_ Addltional deb'it·~-Audit Additional credits'·...'Auait ""'-'-,,..,,~1j','t ':;,..."'"Balance:i_'----:.~~------------- 314.74 863.50 $3729.50 $4044.24 $3180.74 Samuel Matsko,1/3,Madeline Gelotti,1/3,William Matsko,1/9,Deanna Matty,1/9,and Colleen Matsko Debreczeni,,1/9,in vacant land awarded in kind at apprais d value per certification set forth herein, Russell Marino,Agent,balance of transfer inheritance tax, Interest from 8/27/72 to 7/27/73,-j#//-.)1-7.3 Deduct Clerk's Costs &'Receipts "--_ "',.")..'..'~Attorney"--_~J~o:..o;h~n:.....:E~·~d..!!..!w~ac=.f~do!::.s~;'~J!...AAWl!_,_,·.::.;.;:,-,-'_ No balance 7'.50 3706.97 3706~97 1235.65 1235.65 12'35.65 .$5.07 .28.08' C.,filing certification ofRussellMarino,Clerk O. real estate, Olga O.Woodward,Recorder ,of Deeds,recording certification of real estate , Redebit-advanced distributions -Account, Samuel Matsko,1/3 residue, Madeline Gelotti,1/3 residue:, William Matsko,1/9 residue, Deanna Matty,1/9 residue, Colleen Matsko Debreczeni,1/9 residue, (Accountant to take credit for advanced distributions.) .,f j.1 ,.~ !.,~, \..•.~.; f· '" t e:::t <r'rl 0 til -4. -i 0.- Z -J. N ("'l')-t'C ~0 ....;"r"'''".""".,..0 ","",,,,W ....0-';L l.l-Z 0 0 0,._'CC i- r-._1'W ,,5..... W w r--'"z. ..-J ~:/)1:./)) _.1 ::::::;~(;:t -:I.:::J'c>(jj-~.u.l 4: M ~.~ u.:..L ~.. ,.. \' " .~ .C; I~~~::: ~~-,~,. %:l~~ 0-to.» lr n :J n 0 0 -+ it c ,~~ :J 0 -+ -to. 0 3 -to.0::+CD., 0-to. -+:r-III .' ,. j . •c. "\. ,,_J . ,. ..".. ~.} \- ,.J J ....JJ-."- .. , \k .T ,J ," .J J1 J .J , I'\ c.. \. .1 j J J " ,J. J. ,. ...J. REAL ESTATE TOBE CERTIFIED TO THE ,RECORDER 0 ~WASHIl\PTON "\' COUNTY BY THE'CLERK OF THE ,~RPHANS'COURT DNISIOl-......' .. Effie Mat~ko,grantor by intestacy,to Samuel Matsko,an undivided ene-third interest"Ma'deline'Gelotti,an undivided one-third interest,William M:atsko,. ".., Deanna Matty,and Colleen Matsko D~breczeni,an undivide~one-nintp.interest '. '.?,,;, each,grantees by intestacy,in and to the following describ 8d real es ate: ALL that certain lot of ground situate in California Borough,(formerly East Pike Run Township),Wash~~gton County,Pennsylvanic,being Lpt No.136, Homeland Plan of Lots,as recorded in Plan Book 5,Page ]83. UNDER and SUBJECT to a right-of-way for a seWEr line gratnted to the California Borough Sanitary Authority. THIS is vacant ground. BEillG the same lot conveyed by the Russian Benef cial Asso~iationto Peter Matsko and Effie Matsko,his wife,by deed dated the 3rd day 0 JUly,1965, and recorded in the Recorder's Office of Washington CountyPennsyl ania,in Deed Book 1211,at Page 426.The said Peter Matsko predE ceased hi~Wife, Effie Matsko,and the fee simple title to said premises veste in Effie Matsko as surviving tenant by the entireties. CERTIFIED TO RECORDER NOVEMBER 26,1973 IN THE ORPHANS l COURT OF WASHINGTON COUNTY,PENNSYLVANIA IN RE:ESTATE OF EFFIE MATSKO, Deceased. ·· ··NO.63-71-1228 REAL ESTATE TO BE CERTIFIED BY THE CLERK OF ORPHANS l COURT TO THE RECORDER OF DEEDS OF WASHINGTON COUNTY,PENNSYLVANIA EFFIE MATSKO,intestate grantor,to SAMUEL MATSKO,an~undivided one-third interest,MADELINE GELOTTI,an undivided one-third interest,WILLIAM MATSKO,DEANNA MATTY,COLLEEN MATSKO DEBRECZENI, an undivided one-ninth interest each,in and to ALL that certain lot of ground situate in California Borough,(formerly East Pike Run Township},Washington County,Pennsylvania,being Lot No.136, Homeland Plan of Lots,as recorded in Plan Book 5,Page 183. UNDER AND SUBJECT to a right-of-way for a sewer line granted to the California Borough Sanitary Authority. This is vacant ground. BEING the same lot conveyed by the Russian Beneficial Association to Peter Matsko and Effie Matsko,his wife,by deed dated the 3rd day of July,1965,and recorded in the Recorder's Office of Washington County,Pennsylvania,in Deed Book 1211,at Page 426.The said Peter Matsko predeceased his wife,Effie Matsko and the fee simple title to said premises vested in Effie Matsko as surviving tenant by the entireties. -rr'~~ J .•~.! ,~., ....•'" ,i: ..~"",:,:.,., COUNTY ;>;,PENNSYLVAN fA ,'C ', "·f':. '..~ "~"'.:-.' " ,', .~" .'",,,' .'~' ','-~~"':-_---~----"-';'''':-''-';'=,".,-- 'i' ;'-~:~'_,~''F ~~.'" ;-":"""''''i 'Ii""P+,~.,:~~;:,; Ea'Ch'~o f,'tlle,/uIrd,e/si'~ne;d,'~;'~\s~".l:lereby,ackn~wledge ,to ,have..,.",."".li'·',~..::'"':'---'':"-./:•."".''";.,."1.~":"..".;.4:t ,~~::".".',,r~.ce,:f,ved·onfhe,'dia::n~'se:t·l:'-torth,to·'the;':left,o'f:,hfts/h'er <Ii'ame 'the 'sum:~.~::~~v;r;i:~tt~;lf~1!rf~*~1~~~i~:·:t~:~:'~;~:::!~i~@'r~::[:i~~~nY ,"~p'rppe:r ty::a\~T~~~4~'Ci'/t6:jli'm'/h'~ri<bY ,:t~'El:C§a:rd',A~j!i.~i'c~t ion,'an d,,'DE;,~c're e., ','from',,Samuel.~.~atsko,and 'Made:l~~eGelott.l;.:,.,.,", ,'p~'r~'o n aI repies'~'rh a 1:1 ve(s)'i!n'the"tcib0 veilam,'e:d'Estate;and each .".','.',:,..' .',"~''''f:'''''::'''''''':-~l..,,,-'.;'-'~:.."'.."",,,'"~":~;,.?'.~•,'the':iunder·sign~,d',:do~(s,.by h:!'s/her :si'gi::Ui tUI.'e,her.eto',',re,l·e aseand ,d :i.s.~h'ar:ge--:th¥;~:~~:a:J'd~:p:~rsonal;:~r;~;pr~s'ent.ai:l~e'fr'om,any,..fur the r 1i8.-, :biiity,'f,br>t'he:,idi~6'h~'rge,'~i,the'&b\i~{a'tion';re~'tingIIp'on him " -by 'vi~tu~,.:.of"the s'~i-:d'Ad:]~tc:~tion .;~t'"D~c;ee':1-t~f:"'~-'­,"'~)!:J{::;M&jf!/i4"'~:i::JJ)/~~~~~~I"~)L~,~:"~~~~l~l27f";'~:/-:;b I'/Ff!,;~Jl., ,~,,- '"'Da te:to~f':Re'ce,ip t'i'·~·:S'lgria:ture ,,::of~Dis tr i bute e "Amount Re ce i ve d"0ct~~~,~.'';ii91!:7}.~lrm~ ..~"f '.;-,.';:~:.":.-.:,....:_ ,:, '.; .."'....:' ,"i: '1" 'I .; .~ -i.,:~".- ",? 'PAY ~~'~!~:~ .~... r ,', \'l •~.:~•.J.'"'-_.I,_ -)... .' • t, ,,J " .t .y ,. c, " ,. \1 J r .(" ........ ;,r"";tI~.'.::~ \. '..-~"..,. (I -,""":'1J"'il"~""!IJ'J,t' 1:.',/ ~~ ..' .,,\. f'' '. :... -., i. ,. ,.~,. " '... ,. RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF WASHINGTON IMPORTANT:This return must be completed in detail and filed in duplicate,'with will attached,with the' Register of Wi.lls of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of the Inheritance and Estate Tax Act of 1961.) IN THE MATTER OF THE ESTATE OF }AFFIDAVIT OFEFFIEMATSKO._·..·(·S;t;..f~ij'··~;;;~..·~f ·d~~~~t·)'··EXECUTOR California Borough ADMINISTRATORLateof........County State of ?en,nsyly~1,.a }ss: County of W~hing1;on .. ..Eueutor..~~.... Administrator S of the estate of the above-named decedent being duly sworn,depose and say 27 ,19 .7.,J.,,j testate leaving a last will,copy of which is hereto attached..} (nay)(Y""r)L intestate Decedent dJed ~5>.y~:D.J::I>..~!... (Month) otherN:m:t:::i:::r:::r::e:ttt::;::::}PA'I'~<?~()~~~~~~LEJ)\\I~~~.:E,>:I!!'I'T~~"". whom all correspondence should be .80 East Cl1~~~!l~~~~:t"e~~LWasl1~IlJ~~5>.~:E,>f:!~I;Y~.\Tl:t1:l~?l:~?.~9.~.. mailed. That as such ..Admi.n1s.t.r.at.Qrs......deponent is familiar with the affairs of said estate and the property con- (Executor·Administrator) stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT None That the contents of said safe deposit box or boxes are itemized under Schedules of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fullv and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also s1~s forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the ~2unt still due at death,name of mor~gagee,date,rate of interest,and book and page of record .thereof.It,;also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the "estimated market value thereof as of date of death of decedent. That,Schedule Battached hereto and made part hereof sets forth fully and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the tim~;~f death,whether in decedent's immediate possession,standing to decedent's credit in banks of deposi~;savings banks,trust companies,or other institutions,whether indiVidually,or in trust for,., any other person or persons giVing also separately the accrued interest thereon,if any,down to the last interest day prior to decedent's death in the case of savingS banks,and to the date of decedent's death in all other cases;all bonds,postal saVings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute .or agreement they are designated as tax free,of the United States,or any state,or political subdivision thereof,or of any foreign country,which are owned at the time of death;all wearing apparel,jewelry,sf~verware,pic- tures,books,works of art,household furniture,horses,carriages,automobiles,boats,and.any and all other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and OWing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giVing the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance polici'es carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. ·'.. ,. In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of the value of such interest there is annexed to said schedule,financial statements showing the assets and liabilities of said co-partnership or business. A copy of the co-partnership agreement,(if oral,a statement setting forth the nature of the agreement) together with a statement setting forth the character of the business,its location,and.such other facts pertaining to the business as may be pertinent to a fair and just appraisal of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true answer to each inquiry contained therein and in the case of transfers ofproperty,real or personal,within two years of decedent's death,in contemplation of decedent's death,or intended to take effect in possession or enjoyment at or after death,said schedule sets forth the nature and value of such property,to whom·transferred,the relationship of the transferees to the decedent,the proportionate share received by each transferee and all other facts of a pertinent nature regarding said transfers.In tre case of transfers intended to take effect in possession or enjoyment at or after death,there is also attached to the schedUle a co~y of the deed,trust agreement or,other instrument creating the trust.Ther~'is also set forth in said schedule a list of all property,real and personal,with its value,which passes at decedent's death by virtue of the exercise by decedent,either individually,orjointly with ~nother,_~r any power of appoint- ment vested in decedent,either individually or jointly,by the will,deed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of all persons beneficially interested in this estate at the time of decedent's death,the nature of their res- pective interests,their relationship,if any,to the decedent,together with the ages at the time of decedent's death of all minors,annuitants and beneficiaries for life under decedent's Will.It also contains a statement showing which of the beneficiaries named in the decedent's will,if any,died prior to decedent,the dates of their death,their issue,and the relationship of such.issue to the beneficiary. ,. That Schedule E attached hereto .and .made a part hereof sets forth all property,real and per- sonal,owned by the decedent jointly with another or others,including intangible,standing in the name of the decedent and others,plus the date and place of record of instruments effecting the vestiture of real estate and the date of acquisition of personalty,plus the name,address and relationship,'if any, of co-owners to the decedent. That Schedule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death or the decedent;debts and claims owing and unpaid at time of death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a statement of collaterai pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of Wills,~~d that the amount of tax assessed can be reassessed in accordance therewith. (City or Town and State) the totals of the appropriate columns in Schedules "A","B",nCR,"E",and "F"as directed therein, been carried forward and properly registered in the Summary. /~~. That have PHYCaI L.KotlEK,Notary P'ubllt I mla,.Washington Co.,PA- My f;ommlsslon Expiro$ January 29,1975 NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 in the "Summary"has been properly completed as above-directed. .,",.........f h',;2..0 d:Stibseribedand:sworn to be ore me t IS .'..-~~ ..................................::~:.?~.;:.:\::·daY of ~19 7.d ~/WU.~·d.~~. I'lCC~34 (1-64),CO~MONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS ,TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by the decedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be described by lot and block number,streetand street number,together with a general description of the property,with a reference to the record of the conveyance by which the decedent took title;If a farm state number of a- cres;also statement of mortgage encumbrances upon each parcel at death of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are to be'listed on Schedule "F"and must not be deducted from this schedule. ~~that certain lot of ground situate on the North side of Second Street in the Borough of Cali- fornia,Washington County,Pennsylvania,being lot No.51 in the General Plan of said Borough,and bounded and described as follows;beginning at a point on the northern side of said Second Street, thence from said point in a northerly direction along the eastern line of Plum Alley a distance of 150 feet to Temperance Alley in an easterly direction a distance of 50 feet to Lot No.50 in the General Plan of the said Borough of California; thence along said Lot No.50 in a southerly direc- tion a distance of 150 feet to Second Street in said Borough;thence in a westerly direction along the northern line of said Second Street a distance of 50 feet to a point in line of Plum Alley,the place of Beginning. EXCEPTING AND RESERVING out and from the above described premises a tract of ground that was con- veyed by Peter Matsko and Effie Matsko,his wife,to William Matsko,et.ux.,by deed dated the 29th day of November,1957,and recorded in the Recorder's Office of Washington County,Pennsylvania,in Deed Book 1009,at page 136. BEING the same premises conveyed to Peter Matsko and Effie Matsko,his wife,by Walter G.Dewar and May Dewar,his wife,by deed dated the 24th day of OctOber,1931,and recorded in the Recorder's Office of Washington County,Pennsylvania,in Deed Book 580, at page 391.The said Peter Matsko predeceased his wife,~f~~e Matsko,and the fee simple title to said premises vested in Effie Matsko as surviving tenant by the entireties. (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH (2) ESTIMATED MARKET VALUE $15,000.00 (3) DEPARTMENT VALUATION CAUTION (Do not write In this space) Insert thiS total opposite "real property",Schedule "A"in the X X X X X "As Reported"column on the last page of this return. ,RC2-35 , COMMONWEALT»OF PENNSYLVANIA TRANSFER INHERITANCE TAX. RESIDENT DECEDENT '.j ,, SCHEDULE "B" PERSONAL PROPERTY INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly with another or others must be listed under Schedule "E".Intangible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.SaVings Bonds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible.personal property should be listed first (e.g.jewelry,wearing apparel,household goods,and furnishings,books,paintings,automobiles,boats,etc.),<~ Intangible personal property,such as bonds,treasury certificates,cash on hand and in bank, stocks,mortgages,notes,together with accrued interest or dividends,salaries or wages,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in any undistributed estate of or income from any property held in trust under the will or agreement of another,even though located outside of the State,at the time of death,should be listed in this schedule. Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION No.List and describe fully VALUE MARKET VALUE (Do not write in this space) None '.~ <. Insert this total opposite "Personal Property",Schedule "B"in X X CJthe"As Reported"column on the last page of this return. " 13CC -36 c_m'nfON1\'EALTH OF PENNSYLVANIA. TRANSFER INHERITANCE TAX ~~SIDENT DECEDENT SCHEDULE "c" TR..A.NSFEllS ,. (1)Did decedent,within two years ofdeath,make any transfer of any material part of his estate,without receiVing a valuable and adequate consideration therefor?(Answer yes or no)No (2)Did decedent,within two years of death,transfer property from himself to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)~N~O~_ (3)If the answer to (1)or (2)above is in the affirmative state: (a)Age of decedent at time of transfer _ (b)State of decedent's health at time of making the transfer.(Note 1). (c)Cause of decedent's death.'(Note 1). (4)Did decedent,in his lifetime,make any transfer of property without receiving a valuable or adequate consideration therefor which was to take effect -in possession or enjoyment at or after his death? (Answer yes or no)__No _ (a)Was there any possibility that the property transferred might return to transferer or his estate or be subject to his power of disposition?(Answer yes or no)----:No='_ (b)What was the transferee's age at time of decedent's death?_ (5)Did decedent in his lifetime make any transfer without receiving a valuable and adequate consideration therefor under which transferor expressly or impliedly reserves for his life or any period which does not in fact end before his death: (a)The possession or enjoyment of or the right to income from the property transferred? (Answer yes or no)__N;..:O _ (b)The.right to designate the persons who shall possess or enjoy the property transferred or income therefrom?(Answer yes or no)No - (6)If the answer to (5)(b)above is in the affirmative,state whether the right was reserved in decedent alone or others ---'--------------------------- (7)Did decedent in his lifetime make a transfer,the consideration for which was transferee's promise to pay income to or for the benefit of care of transferor?(Answer yes or no)_~N~o~_ (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was sUbject to change, because of a res'erved power to alter,amend,or revoke,or which cOllld revert to decedent under terms of transfer or by operation of law?(Answer yes or no)N;..:o~_ (9)If the answer to (8)above is in the affirmative,was the power to alter,amend,or revoke the inter- est of the beneficiary reserved in the decedent alone or the decedent and others? (Answer yes or no)_ NOTE 1:The answers to these questions should be supported by affidavit by the attending physician as well as a copy of the death certificate. NOTE 2:If answer to any of the above questions is yes,set forth below a description of the property transferred,it's fair market ~alue at date of death,dates of transfers and to whom transferred,with relationship of transferees to decedent,if any.'Submit copy of any trust deed or instrument,if trans- fers are claimed to be non-taxable,also submit detailed statement of facts on which said claim is based. NOTE 3:List applicable property below in manner in which provided in Schedules A,B,or E. ITEM Nona DESCRIPTION MARKET VALUE (Estimated)DEPT.VALUATION (Dept.Only) Insert this total opposite "Transfers",Schedule "C"in the "As Reported"column on the last page of this return.o RCC-37 ('12-63) COMMONWEALTH OF PENNSYYLANIATRANSFERINHERITANCETAXRE~IDENT DECEDENT .-'- SCHEDULE "D" BENEFICIARIES ,. ( h ,RELATIONSHIPBENEFICIARIESANDADDRESSES(If step-children or SURVIVED DATE INTEREST OFStatefullnamesandaddressesofallwhoillegitimatechildrenDECEDENTOFBENEFICIARY ave an interest,vested,contingent or other-are involved,set STATE YES IN ESTATE wise,in estate)forUI this fact.)OR NO BIRTH Samuel Matsko Son Yes.l/3rd 234 Second Street , California,Pennsylvania Madeline Gelotti Daughter Yes l/3rd 643 Grahm Avenue Belle Vernon,Pennsylvania William Matsko Grandson Yes l/9th 234 Second Street Rear California.Pennsylvania Deanna Matty Granddaughter Yes l/9th Russian Street California,Pennsylvania Colleen Matsko Debreczeni Granddaughter Yes l/9th ',J i \ ~'jj . !l ~.!.:J tfj "0- .,].., "I ~. Deponent further says that all the above-named beneficiaries are liVing at this time except below: NAME DATE OF DEATH RESIDENCE OF THE ESTATE OF ~[ATTER OF THE APPRAISEMENT Will Administration (No. P.I1 THE Year . v""(Executor-Administrator must complete "As Reported"column #1.) 0 ...,'"0 ::l:l...,...,(1l (1l 0 IlO ...,e:..'"::s enenen0...,...,.,::s '"0(1l e:.....,....IlO en 0~'"IlO '"0 (1l0"'......., ~0 ~'"tr:l (1l.... en <'+ <'+'<IlO<'+(1l EFFIE MATSKO Deceased //Late of ..Cal1.for.Il1 la..B():r.()l.lgh.. ,/ REPORT AND APPRAISAL Commonwealth of Pennsylvania . .' ~~1~:~<'t'~8'[;~...,~,:3 ~_..\\~~c.. ~ -00-00-00-00-00-00 enc:: ~II ... ~:>::l:l W V'l en ~ (':>(':>?"?"?" ('")oa ->:-::--- -00 '*-00 -00 -00 -00 :~.~.......,01 :01 :>:....'",0 '0:0 .:o::l:l.......:0 ,0:0:0 (1l >-:."."..~:0 '0 :00 S;~ 0 •0 •0 '0 8' c.. ~ ~.-\~\ .~ " .~.•\'j • ::J7'./:;..1'.'"........,.,"",* t~<;:i,",,"\~!,;,.. 't'c/"OQ N01;JN1HSVM S7..,IAi ~S:1.lL §Jt~11CEISLEIbNffi~J:!-113 SSIlH BY '1 -v'-,-yuIIlffl,J PATRONO, County ofWs:shJIlgton l RCC-81 (6-7!) COMMONWEALTH OF .PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 NOTICE OF FILING OF APPRAISEMENT S~roEL MATSKO &MADELINE GELOTTI ~~I.:Admini strator} IN YOUR REPL.Y PL.EASE REFER TO Inheritance Tax Division 38-231-2 J In Re:Estate of __E_F_F_I_E_MA---'-..:-T;.::..S_K_O _ ---:...:W.:c:A=S=H=I.:c:N-=G:...=T-=.O=N County -File No.63-71-1228 You are hereby noti fi ed that the--=.l.,.;o~r;."lj-sat--'!.,.4·1"\~aa...!.l ~_ appra isement in the estate of__--"E:...:F:...:F:....:I=cE=--:....:H::.=AT:....=S:....:K-'-O=---_ has been filed in the office of the Register of Wills of WASHINGTON County on Arpil 6 ,19-23,Said appraisement reflects the following valuations: Real Estate ~1.....5,LJ....C'o"-o~o......~o~o~_ Personal Property _ Transfers _ Jointly Owned _ Total --=1:..:::5::...1,'-'O::....:O::....:O~.'LO~O~_ 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 April 6,1973 DATE OF DEATH:November 27 1971 Note:This is not a bill. RCC-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of I'-lATSKO (Last Name) EFFIE (First Name)(Initial) DATE OF DEATH 11-27-71 FILE NO.63-71-1228 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:__A_p_r_i_1_6_,_1_9_7_3 _ REPORT OF THE REGISTER OF WILLS 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",which greater or lesser amount represents the sum allowed as a deduction. Dated:_ REGISTER OF WILLS VALUE AS REAPPRAISED $-------+---,-.:;--()7)11 On 15,000 00 NONE 15,000 00 15,00C 00 NONE VALUE AS REPORTED VALUE AS APPRAISED $1 5 I 001===:$ INVENTORY Real Property (Schedule A) Personal Property (Schedule B) Transfers (Schedule C) Joint-Held Property (Schedule E) TOTAL GROSS ASSETS Less Debts and Deductions (SCHEDULE F) CLEAR VALUE OF ESTATE Valuation of life estates or -t FOR USE OF REGISTER ONLY Tax on $_-..,...---j__2% Tax on $----------+--CfPo' Tax on $--------~-- Tax on $~--10% Tax on $15% Exemptions * Total Estate -I-__ TOTAL TAX COMPUTATION OF TAX $-------4-- $--------1-- $-------+-- $-------+--- $--------1--- $------_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 $------1L- Estate tax paid $---Il- BALANCE DUE $--__~~ Add interest at rate of 6%from t= ------tto-----$-----~ TOTAL TAX BALANCE $------1PAID$---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 (No. IN THE year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF .EF.FIE..J{l:\+TSKO... Deceased Late of.CALIFORNIA County of .'\AIASHIN GTON .. Commonwealth of Pennsylvania REPORT AND APPRAISAL i ...-'nEPAP..TIt:i:El':T OF REVENUE BUREAU OF COUSTY COLLECTIONS HARRISBURG,PENNA.17127 COMMONWEALTH OF-PENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT DATE l\P.~..:i,..+.§..f.l.9...7.~.. NTY WASHINGTONCOU . FILE NO.9...~.::::..7J.::::.l.2...4.e... Whereas,~.f.F..r.E.M8T..S.J~Q late of :G~J.¥.QRN.+..'A . in the County of ~~.~~.:r:.~.~~.9.~Commonwealth of Pennsylvania,having died on the .2..7th................day of N..Q,Ve.m.b..e..r.19..7'+..,seized and possessed of an estate subject to Inheritance a under the law\:he C~mmonwealthof 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. REALTY: Description of Asset Unit Values $ Appraisement Made for Inherllance Tax Purposes 1l':e:RF.("()PV ()li',.F.A ATTACHED TO APPRAISEMENT 15,000 HASHINGTON .............County RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .......:f!:J?f..:I:E~'J:'?K9. Deceased. Late of .G.AI,.J.fQ.&~JA . Date of Death,ll.~..2.7.~.71 .. Appraisemel!t Docket Vol.,3.8.. Page,4Jt.'7..4 No §..~:::7+..~..l2.2.8... Filed in Register's Ofjice,.-Apr.i.l 6 J9..7.3.. Amount of tax due,$.. DEPARTMENT OF REVENUE Received, Examined and Approved,,;.. Wrote abo,ltt Appraisement,.. Appeal fyom Appraisement,. Entered and charged,.. '\fd "OD N01~)NlllSVJA SlllA~30 H]lSj~3U o~n~~vn IT:~SSnH I ££Ud LI lilr EL. 41 ","""1 ~~'Ji e iIU-!~,~....J-s fi ~.J I ,\.\ <J • Form RCC-33 RESIDENT DECEDENT SUPPLEMENrAL INVENrORY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY OF ~3-JI-/:2c2J *.1:~ .,.~ W~J:lJNG':r.QN . I~WORTANT:This return must be completed in detail and filed in duplicate,with will attached,with the' Register of Wills of the County where decedent resided;Return is due within one year after date of death,unless an extension is granted by the Secretary of Revenue.(Section 703 of the Inheritance and Estate Tax Act of 1961.) IN THE MATTER OF THE ESTATE OF }.AFFIDAVIT OF .__I<;H;[K_·l!8!:_~I'QiS;;';-i,;u-;;;;;;--~·_~)-_·_·__·_---_·__·__·__·_.._.-._-_._-"-EXECUTOR Late of G.~.!..'"'.f.9.:r.9:t~:I3,.~~g1J,gh County ADMINISTRATOR State of ?~m~f3.yJ.,.y~1.:~:}ss: County ofy.'~~~.1.:J.l:g.~.~.J.l:. ...........,19 .1 testate leaving a last will,copy of which is hereto attached.} (Day)(Year)Lintestate .Eueutor and say ....SAMUE.L MAT.SK.Q Md .MAP.~.L.I.~G.~.L.Qrr..l......... Administrator of the estate of the above-named decedent being duly sworn,depose Decedent dJed Si\l.f :..~1 ..t.\~J, (Month) o t herN:m:t:::i:::r:::r:fse:ttta o ;;::::}J?Pf1'c.~QN9.,g:I~~:l..tJ :E:.p.W~P~J.\.NI??.~.~!.. whom all correspondence should be .80E:l3,!JtC:h~I3:tI1ll,t~1;~f!~1;.1 WCifil~~~1;':l.I1J~~~Y~Y~~Cl:..~.?.~g~".. mailed.... That as such ...MmJ.R:J,M.!:.;t.~!:.Qr..,......deponent is familiar with the affairs of said estate and the property con- (Executor·Adrninistrator), stituting the assets thereof and their fair market value. That at the time of death there was no safe deposit box registered in decedent's individual name,or jointly with,or as agent or deputy of another,or in decedent's individual name,with right of access by another as agent or deputy,with the exception of the following:- NAME AND ADDRESS OF BANK OR OTHER INSTITUTION THIS SAFE DEPOSIT BOX RENTED RELATIONSHIP OF JOINT IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT None That the contents of sai~safe deposit box or boxes are itemized under Schedules of this---return,with the exception of the folloWing,for the reasons hereinafter set forth: That Schedule A attached hereto and made part hereof sets forth fUlly and in detail all the real property in the Commonwealth of Pennsylvania of which decedent died having an interest therein.It also sets forth the mortgage encumbrances upon each parcel of real property at the date of death,giving the amount still due at death,name of mortgagee,'date,rate of interest,and book and page of record thereof.It also sets forth in the columns provided therefore the assessed valuation of each of said parcels,the estimated market value thereof as of date of death of decedent. That Schedule B attached hereto and made part hereof sets forth fUlly and in detail all personal property wheresover situated owned by the decedent at the time of death;all moneys left by the decedent at the time of death,whether 'in decedent's immediate possession,standing.to decedent's credit in banks of deposit,savings banks,trust companies,or other institutions,whether individually,or in trust for any other person or persons giving also separately the accrued interest thereon,if any,down to the last interest day prior-to decedent's death in the case of savings banks,and to the date of :decedent's death in all other cases;all bonds,postal savings,treasury certificates or notes and other evidence of in- debtedness of the United States to the decedent;all obligations,whether by statute or "agreement they are designated as tax free,of the United States,or any state,or political subdivision thereof,or of any foreign country,which are owned at the time of death;all wearing apparel,jewelry,silverware,pic- tures,books,works of art,household fUrniture,horses,carriages,automobiles,boats,and any and all other personal chattels of whatsoever kind or nature,left by decedent,together with the fairly estimated market value thereof;all bonds and mortgages held by decedent and of all claims due and owing decedent at the time of death,and all promissory notes or other instruments in writing for the payment of money of which decedent died possessed,of whatsoever nature,with interest thereon,if any,giving the face value and estimated fair market value thereof,and if such estimated fair market value be less than the face value,it sets forth briefly the reasons for such depreciation as to each item;all moneys payable to the estate from life insurance policles carried by decedent;all annuity and endowment contracts the proceeds of which were payable upon the death of the decedent;and all the corporate stocks and dividends due thereon and unpaid as of the date of death,bonds and accrued interest thereon to the date of dece- dent's death and other investment securities owned by the decedent at the time of death,with the market value thereof at such time. 'In the case of securities of close or family corporations,the values reported are as far as possible substantiated by financial statements of the corporations,showing the assets and liabilities thereof as of the date of death.The schedule also sets forth the interest of decedent at the time of death in any co-partnership or business,and in support of.the value of such interest there is annexed to said schedule,financia.l statements 'showing the assets and liabilities of said co-partnership or business. A copy of the co-partnElrship agreement,(if oral,a statement setting forth the nature of the'agreement) together with a statement setting forth the character of the business,its location,and such other facts pertaining to the business as may be pertinent to a fair and just apprais~l of the decedent's interest therein must be submitted.It should also set forth in itemized form,together with the fair market value thereof,any other property owned or bequeathed by the decedent at the time of death. The Schedule C attached hereto and made part hereof sets forth a true'answer to 'each inquiry contained therein and in the case of transfers ofproperty,real"or'personal,wfthin·two ye:ars of"decede'nt's death,in contemplation of decedent's death,or intE,!nded to take'.effect in po~sessionlorenjoYmentat or. after death,said schedule sets forth the nature and value of such property,to Whom transferreq,the relationship of the transferees to the decedent,the proportionate s~are received by.eacht~ansferee and1?:.., •,. all other facts of a pertinent nature regarding said transfers.In the ca~e of transfers intend~d t? take effect in possession or enjoyment at or after death,there is also attached to the schedule a co~y of the deed,trust agreement or other instrument creating the trust.Ther'~is also set forth in'said schedule a list of all property,real and personal,with it~value,whicJ 'pa:hel~t dec~.d~nt's death by virtue of the exercise by decedent,either individually,Or jointly with'another,or any power of appoint- ment vested in decedent,either indiVidually or jointly,by the Will,deed,or other instrument of another, With a copy o~the instrument creating such power attached to the schedule. That Schedule D attached hereto and made part hereof sets forth the names and addresses of,all persons beneficially interested in this estate at the tiTIle of decedent's.death,~tl').e.nature~of their res!.. pective interests,their relationship,if any,to the d~·cedent,.together with the ages lit the.ti!!!:e of decedent's death of all minors,annuitants and beneficiaries'for life under decedent's Win~It also contains a statement shOWing which of the beneficiaries.named·in the decedent's 'Will,if any,'died prior to decedent,the dates of their death,their issue,and the relationship ~f such issue·to ~the'··beneficiary.'.:, That Sct>edule E attached hereto and made apart hereof sets forth all property,;.r~al and per- sonal,owned by the decedent jointly with another or ,others,including intangible,standing ,in the,name of the decedent and others,plus the date and PI~C~of rec.ord of inst~uments,effect;lng._the..,..~~s<t~~u~e,.•?f: real estate and the date of acquisition of personalty,plus the name,address and relationship,if any,',..I of co-owners to the decedent. That Sct>edule F attached hereto and made a part hereof sets forth fully and in detail all debts and deductions claimed for and on behalf of this decedent's estate,including funeral expenses paid; family exemption,where applicable;costs of administration of this estate;counsel fees and fudiciary's commissions paid or to be paid;cost expended for burial trusts,tombstones or gravemarkers,and reli- gious services,in consequence of the death of the decedent;debts and claims owing and unpaid at time of death;taxes accrued chargeable for period prior to decedent's death (except those allowed under Section 651 of the Inheritance and Estate Tax Act);together with a st~tement of collateral pledged for obliga- tions,if any.It is agreed that the fiduciary will present proof of said claimed obligations upon re- quest,that if the amount actually paid in settlement of any fee,commission or debt is less than the estimated amount claiming and allowed,that the same will be reported to the Register of WillS,and that the amount of tax assessed can be reassessed in accordance therewith. That the totals of the appropriate columns in Schedules "A","B","C","E",and "F"as directed therein, have been carried forward and properly registered in the Summary. (Street Number) #AY~~~_ ..0:J..~~~k _••• (Executor-Administrator). Subscribed and sworn to before me this : . ...., ,,/.~~.':..day of ~19 7<3~:l~:O"'~;,~~.·····"""··~~aShington Co.,Pa. My Commission Expires ,. January 29,1975 (City or Town and State) NOTE:Before signing affidavit make sure all blank spaces in the affidavit and schedules annexed are filled in with details or the word "None",and in case the assets include rare and unlisted securities, securities of close or family corporations or an interest in any co-partnership or business,that the data and statements required under the paragraph above relating to Schedule "B"are attached.Also make certain that column #1 ~,.,the "Summary"has been properly completed as above-directed. RCC-34.(1-S4) CpMMONWl:ALTH OF PENNSYLVANIA 'DEPARTME'NT OF REVENUE BUREAU OF COt;'NT'f COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEpENT " SCHEDULE "A" REAL PROPERTY Real property in Pennsylvania,with statement of mortgage encumbrances upon each parcel at death of dece- dent.Where property held as joint tenant or tenancy by entireties,report on Schedule "E".Property held by the decedent as tenant in common with another or others,should be identified as to quantum of interest and the estimated value should be that of the decedent's interest only. The real property located In the Commonwealth of Pennsylvania should be described by lot and block number,street and street number,together wi th a gElneral description of the property,with a reference to the record of the conveyance by which the decedent took title;If a farm state number of a· cres;also statement of mortgage encumbrances upon ~ach parcel at death of decedent.Taxes,assessments,accrued Interest on mortgages,etc.,are to be listed on Schedule "F"and must not be deducted from this schedule. ALL that certain lot of ground situate in Cali- fornia Borough (formerly East Pike Run Township), Washington County,Pennsylvania~being Lot No,136, Homeland Plan of Lots,as recorded in Plan Book 5, at Page 183. UNDER AND SUBJECT to a right of way for a sewer line granted to the California Borough Sanitary Auth" ority. This is vacant ground.I~~ BEING the same lot conveyedrt~ian Beneficial Association to Peter Matsk and Effie Matsko,his wife,by deed dated the 3rd day of July, 1965,and recorded in the Recorder's Office of WashM ington County,Pennsylvania,in Deed Book 1211,at Page ~26.The said Peter Matsko predeceased his wife,Effie Matsko,and the fee simple title to said prem.ises vested in Effie Matsko as surviving tenant by the entireties, (1) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH $100.00 (2) ESTIMATED MARKET VALUE '$25.00 (3) DEPARTMENT VALUATION CAUTION (Do not write In this space) Insert this total opposite "real property",Schedule "A"in the "As Reported"column on the last page of this return. (J-(7 i{~Y-65 ",..-..,'COMMO~ALTM OF PENNSYLVANIA TRANSFER·INHERITANCE TAX RESIDENT DECEDENT ,. SCHEDULE "B" PERSONAL PROPERTY --_.._._---------- INSTRUCTIONS:This Schedule must disclose all tangible and intangible personal property owned individually by the decedent,at the time of his death.Property owned by the decedent jointly Wii1hanother or others must be listed under Schedule "E".Intangible personal property,titled in the name of the decedent,but payable at death to another or others,including but not limited to P.O.D.U.S.SaviQgsBQnds and tenta- tive trust accounts,must be listed,despite the fact that they are not of the administered estate. Tangible personal property should be listed first (e.g.jewelry,wearing app.ar,el,household goods,and furnishings,books,paintings,automobiles,boats,etc.)"': Intangible personal property,such as bonds,treasury certificates,cash on':handjmd in bank, stocks,mortgages,notes,together with accrued interest or dividends,salaries or wages,,insurance pay- able to the estate or fiduciary in said capacity,partnership interests,interest in,anyrndistributed estate of or income from any property held in trust under the will or agreement of anoth~r"even though located outside of the State,at the time of death,should be listed in this schedule. Item ITEM UNIT ESTIMATED DEPARTMENT VALUATION No.List and describe fully VALUE MARKEl'VALUE (Do not write in this space) 1 Net rentals from renting of real estate from $289.74 $Jtff,7L/ death of Effie Matsko to the date of sale of property. M)hJ Insert this total opposite "Personal Property",Schedule "B"in X X f5-fJ 7~~t'7771the"As Reported"column on the last page of this return. ",. \ \ \ -r rn,Io... RCC-Bl (6-71) COMMONWEALTH OF PEN'NSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS HARRISBURG 17127 IN YOUR REPLY PLEASE REFER TO j Inheritance Tax Division NOTICE OF FILING OF APPRAISEMENT 38-231-2 SAMUEL MATSKO &MADELINE GELOTTI ~Administrator} In Re:Estate of EFFIEl '~i4ATSKO _W:.::A:..:::S=HI=N.:...:G:..:T:....:O..:..::N~__County -Fi Ie No.63-71-1228 Y h b t'f'd th t th ORIGINAL SUPPLEMENTALouareereynoIIeae===--::-::-::c-=-==------------- appraisement in the estate of EFFIE MATSKO has been filed in the office of the Register of Wi lis of WASHlN GTON County on June 11 ,19 73,Said appraisement reflects the following valuations: Real Estate__~_--"2"""5"'_'.Il..CQ~Ql.!.-_ PersonaI P roperty_--"'2!..!!:8!..o!9~.L.J7L:4~_ Transfers ------ Joint Iy Owned __---,..............--.........,,--_ Total 3_1_4~._7_4 _ 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. L June 11,1973 Any party in interest who is aggrieved by an appraisement may appeal therefrom as provided by law. .Date DATE OF DEATH:November 27,1971 Note:This is not a bi II. COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of MATSKO (Last Name) EFFIE (First Name) DATE OF DEATH 11-27-71 FILE NO.63-71-1228 (Ini tial) REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of~W~AS.=.!HI.."..~N~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:June 11,1973 INHERITANCE TAX APPRAISER REPORT OF THE REGISTER OF WILLS 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",which greater or lesser amount represents the sum allowed as a deduction. REGISTER OF WILLS 25 00 289 74 314 74 NONE 314 74 31~74 NONE ~__3_1GCLEARVALUEOFESTATE 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) Dated:_ ===============5~(J~pJU.EPU:,,'TAt.. VALUE AS REPORTED VALUE AS APPRAISED VALUE AS REAPPRAISED $L~UU $$--1-__ 28C 74 Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $~--2% Taxon $~ Tax on $5% Tax on $10% Tax on $15% ~e~tioos * Total Estate .-+-__ TOTAL TAX COMPUTATION OF TAX $-------+-- $------~-- $-------+-- $-------+-- $-------+--- $-"'-----_-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 $-------lL- Estate tax paid $--Il- BALANCE DUE $ -----Jl- Add interest at rate of 6%from ------Ito-----$-----~t=TOTAL TAX BALANCE $--------j. 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 . EFFIE MATSKO Deceased Late of .....CALIFORNIA County of WASHINGTON Commonwealth of Pennsylvania REPORT AND APPRAISAL II ------------------------- Form RCe-2 ..DEPARTMENT OF REVENUE r' BUREAU OF COUNTY COLLECTIONS HARRISBURG.PENNA.I 7127 SUPPLEMENTAL COMMONWEALTH OFPENNSYLVANIA RESIDENT INHERITANCE TAX APPRAISEMENT June 11,1973DATE .. COUNTY ~~.~:l.:l.;.~g.!:..Q~... .63-71-1228FILENO __.. Whereas,~.~~.+..~~~.e~9.late of ~~.!.~.~.~.~. in the County of ~~.~~~.~~Commonwealth of Pennsylvania,having died on the ~.7.~:P.day of ~gy..~~;:.................................19 ?.~seized and possessed of an estate subject to Inheritanc under the laGthe Commonwealth of Pennsylvania; Therefore,I,:!...:::!f~~,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 1n this estate is transferred in possession or enjoyment to c.ollateral heirs of the decedent after the expiration of any estate for l1fe or for years,the Commonwealth hereby expressly reserves the right to appraise and assess transfer inheritance taxes at the lawful collateral rate on any such future interest. I============================r====iiii======: Description of Asset SUPPLEMENTAL REALTY: SEE COPY OF SCHEDULE A ATTACHED TO APPRAISEMENT Unit Values $ Apprelsement Made for InheritanceTaxPurpoles 25 00 289 74 II-----------------------------,--------t--~-It-----t--· II--------------------------------------+----tt------+--- total 314 74 II-------------------------------,-------+----tt------+--··· Y)WASHINGTON County / RESIDENT INHERITANCE TAX APPRAISEMENT Estate of .................~f.f.:+..:e.:r)~~'r..$:r.,<:9... ·LJeceased. Late of G.~:+..fQ~.;r..~.. Date of Death,l.J•.~.2.7.~.71... Appraise/He!!t Docket Vol.,3.8 .. Page,.4..~+.~.4.N o..§..~~.7~~.~.4...~§.. Filed in Register's Office,!l.une l.l 19 .7.3 Am.ount of tax due,$. DEPARTMENT OF REVENUE Received, Examined and Approved,.. Wrote abo.ut Appraisement,. Appeal ft-om Appraisement,.. Entered and charged,. 'V d .'OD .N 0.18 NIHS 'riM SJilfh\:1 I)'H31 SIv3H DNJ8 'f~l T·.~i .~)SO t1 II ..E E Wd L.l]m'El, l.r'.·-..·.','1.il'.1 '~'1 .i ...\.,,-J I 1 ,_ ~.. DEDUCTIONS ALLOWED INFormRCC·lO\I ....., OFFICE OF THE _~;'STER 'OF WILLS "OF COUNTY STATEMENT OF DEBTS AND DEDUCTIONS j THE SUM OF $.'1:/..3910..0.. DATE APPROVED .....•.•7h.4L7'?... AND AGENT OF THE COMMONWEALTH ~~~l.u...~ Register of Wills,Age"t ESTATE OF EFFIE MATSKO LATE OF California Borough,Washin~ton Co.,Pa. DATE OF FILING APPRAISEMENT OAT&:OF DEATH November 27,1971 DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHS;~ 1971 Dec.10 Register of Wills Grant of Letters 15 00 /I' 29 Washin~ton County Reports Advertisin~Letters 14 00 '"Dec. 1972 Jan.12 John Wege Insurance Administrator's Bond premium 10 00 v Jan.-'14 Brownsville Tele~raoh Advertisin~Letters Q Inn v April 7 Register of Wills Two Short Certificates 2 00 "" Nov.21 John Wege Insurance Bond premium 10 00 v Filing petition for Black Lung Dec.21 Clerk of Orphans'Court benefits to Effie Matsko Estate 10 11'\0 V-" Sept.26 D'Altorio Funeral Home Funeral expenses 978 00 v Au~•1?4-PhYllis Konek NotarY fee on deed 1 100 v•.. 1%Pat 'e::n Inn vAUlr.24 Recorder of Deeds Realtv Transfer Taxi AUlr.24 Rostraver Realtv Commission on sale of re::ll ann Inn v Aug.24 Robert E.Stewart Seller's share of 1972 taxes 121 00 ~ 1973 Jan.Wm.Earl Tunney Appraiser's fee 25 00 v Jan Katherine Venturi Aooraiser'g fee ')1'\ioo"" Patrono,Ceis1er,Edwards &Pett1~ 1 000 ioo VIJanShireBer~stein &Bialon Attornevs'fee I Phyllis L.Konek Notary fees·on original Inventory~16 11'\0 original Commonwealth Inventory,Account Sunnlemental T I Supplemental Commonwealth Inventoroy Audit Petition.Petition for Ad- ditional Bondt Affidavit of appraisers on Additional Bond and Affidavit for petition for black lUIle.'claim Register of Wills Filin~Inventory and Account ')!io Inn - Clerk of Orphans'Court Filing Petition for Additional Bo d 9 00 Register of Wills Filing Supplemental Inventory 3 00 John P.We~e Additional bond an hn Samuel Matsko Administrator's commission 375 bo Madeline Gelotti Administrator's commission 375 bo COMMONWEALTH OF PENNSYLVANIA }s.:COUNTY OF WASHINGTON I,HEREBY CERTIFY.THAT.TO THE BEar OF IIoIY KNOWLEDGE AND BELIEF,THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES OF ADMINISTRATION SUBMITTED TO THE ESTATE OF EFFIE MATSKO.DECEASED.AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES.~~~(L.S.l SWORN AND SUBSCRIBED BEFORE ME THIS DAY OP' 18 __ ", .'"," .1/ A ~ 0 I"0s:"s::II0»z m~0'~-;<:,m "c::::l (/)~<i.»m t:J('Vl 0 r §-I a.-I 'II-,..-l :I:'II 0."....,~:IIC'V'l -0 0c::3:.0 'II :II »..._~--....-:t <:)""-W-~c........-z m "j.,......0 z m0z»'-'0"::l-'":IIr--...J UJ.t,!)<»w r zl-Z <0-0 <C(/)(/)-»m I--I (/J -,-::t:z::::I ---,<.!>if));~-:>~W<('DCV')\~;::III ~~~"~....Q. o 0 0 0'\5·0 00 0 t::J "\5,0 ~o.0 \)* "\5.0 ·.....r.eo,./~THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. I'll the matter of :the Audit of Account filed in the Estate of 231-2Matsko,Effie Deceased )Date of death Nov.27,1971 \No.63-71-12~,Term.19 •A.A. )~kci __3_8 _ TO THE AUDITING JUDGE: Enter my ,appearance for the Commonwearth of Pennsylwm1a,claiming~r inheritance tax in the above estate,as follows: DR. To appraised V1alue of Estate:Realty ..._..__.__$_~/'_"-:r=__"O~()~()~.~()~a~__ Personalty _.__.__...__..__.._.._ _ _.._..__._._.$_ Additioll!al Assets per Account,Subject 'to Tax.._.__..._........._.. .._..__.__. . $_ AddItional Assets per Audit,Subject to 11ax___._______. ....__....._.._.._..__._._..$-----'=J'--'-,4..LL!.L7-!.f-_ GROSS VALUE -----.-------.---.-----------------------.------------.----..----$_----=,=/;,-:.+-a~_..,--'---L4.f _ ----------------- ClO $-'lf--'-'l_3_.....:..L/-J_._ CR. Debts and Expenses per Account;see Note Additional Debts and Expenses per Audit ) \ $<f 8 !O't:i 19>.)d t +- ::'(J ()~~~~J-u'~ $7.~-£l &.(/t.-j.,.<.~ $----~$-.£'L._~-=_ $--------- TOTAL DEDUCTIONS,$ NOTE:The fo1lowiIlJg credits cIaimedin the Account are held not deductible ,a's against the tax: 11ax· able ~ CALCULATION Gross VaUue ...._ Less Deductions .__.._ Clea,r Value ._ i--- ) I 'S".3 1 tI-,?t./..------ '+r (0 ~_'S_SO-=-_ l I I I CSI •E=-Lf-t----~__ --------------------- TAX PAID ON ACCOUNT ""x_1,__ able ( 1~).------ $---- Less amount previously palid ....__.._.__......_......_....$ $_(0",,"-'...:...t:t...:...7-'-J'<tL..::d,,----- $.1 3l.QC $__~_=_=_<.'1_'_'.O=O=-.. $----- $------- Total Tax___________________. .__.__.._....$__~~'1LO'~ ~4Y_.-tJ..!._ Balance ....._................_.._._.....------...------------........__..__.__._$~~_~L__ a/i.';!'72.+-0 '7/2..,/10 Interest__yrs.-lLmos,__days @ __%..._._$1 e-e TOTAL TAX AND INTEREST DUE .__..____.___$ _ ~,Z;?--:73 d 1~p~:t~.6~L/~ ~tLm,~ 1\ I ESTATE OF -E_F_F_IE_M....A_T_S_K_O _'1 .1 ADJUSTMENTS -FILE NO.63-71 -1228 DEBTS &DEDUCTIONS FORM -AMOUNT CLAIMED LESS ITEMS DISALLO\VED: $._---- $------ $------ BALANCE ADDITIONAL DEDUCTIONS -ACCOUNT &AUDIT .'-1_13.y.t:\..) $---- $----t(.)'$,+13'1. :-.,'...•.. ••_i ·••" _~8.....,.......r.....d__.....f-_~I''"'';.....'-......1...<-_-____________$__...1......8~..:o;;.Q...o~ $__--..;;·l../t-,c...,;.0:;;0.'~U:- $7.....,..........$7.........\ $-~---- TOTAL ALLOWABLE DEDUCTIONS.. $,'~.~ $tJlt3~() 'J/~L~~Date Appr-o-v-ed~- ~".>. J~ " RUSSELLrMARINO,REGISTER OF WILLS By:\,...l·-~~ II , iI ~ Dote.d (-l (,-73 .197-' REC~IV~::u... Miscellaneous . :.,""'..;...'.' to be recorded in the Recorder's Office ofWashington~ouhtY/Washington,Po. ~,I FROM". .o/f;...'h1 Pit::;L- TO .-.~ Recording fee . . . . . . . . . . . . . . ...$I_--Irl----:,_~~:O:...-__'_ State Stqmps $,'-_'_". _ Type of inst~umenf ,Instrument number 1 I I I I 1I1 I I I I1 1I 1IIJ~.'r \ ....._--'----------~..'~;.~-'-':"_-..:-?-,-_-.:.._.',.: ;;;·1-) ) Il I I 1 II I 7889 Olga O.Woodward Recorder ~eeds"uf? By ,.;r 337 Washington,pa...N ~:<G '19li OFFICE OF CLERK OF ORPHANS'COURT DIVISION _~Q,A~~=-=---__+--U-l..J-DOI~ State,etc.•••$=::;:::::;::=== ......$~tJDTotal ""'2 ·, tt 15.00 14.00 10.00 9.00 2.00 10.00 10.50 978.00 1.00 150.00 9 00.00 121.00 25.00 25.00 1,0 00.00 16.50 25.00 9.00 .3 .00 60.00 375.00 375;00 4,1.3 4.00 4,134.o0tt -'."l· 2 5 0 0 2 5 0 0 s 2 8 9 7 4 ~1 4 7 4 s-' 3 1 4 7 4 ...r..-.,