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Home My WebLink AboutOC1971-1268 - ESTATE OF SEMETKOSKI~3_7/-/2~8 ~Affi~autt (@f iExrrutnr (@r Abmtutl1tratnr i;tatr of Jrnn5gluanht,t C!I.ounty of Ba5Qtngtnn \55:Notary Public Personally before me,the undersigned authority,a ..in and for said STEPHEN SEMETKOSKI .County and State,appeared ;who,beIng duly sworn according to law,dep.oses and says that he is the executor J:£IX~W'IDf the estate of Ann Semetkoski,a/k/a Anna Semetkoski ....a'l'i(Tii Anna Semetos'kC deceased,that the foregOIng schedule~CO~stItute.a comptete inventory and appraisement of the real and personal estate of...Anp....s..§mgt.!f9..§l.!f.b..f.l:!.1f.l:§...9J.~tus, deceased,except real estate outside the Commonwealth of Pennsylvania;that the figures opposite each item of real and personal estate in the foregoing schedules are determined and stated by the undersigned to be the fair value of said items as of the date of the decedent's death,based upon a just appraisement of each :::~:;.2;.;;.:.~~.~~;;:;i:.O:h;~:~rrro).~..~....~~J<~£' N;~~~~-:;;~;~~.JTRUCTIONS ExecutoTlOlolmixl_ My'COlJlmission Expires Julv 30 .197.3 • ••...J.1.An Inventory.must "be flIed-WIthIn three months after appoIntment of pers~al representatIve. 2.A supplemental inventory must be filed within thirty days of discovery of atlditional assets. 3.1 Origin,a1 and 2 Copies and 2 RCRI-34,Under $10,000;1 Original and 2 Copies and 2 RCRI-33, ,Over $10,000,including Copy of Will;1 Original and 3 Copies and 2 RCRI-33,Over $50,000,in- cluding Copy of Will and copy of Federal Estate Tax Return. REFERENCE FOR ADDITIONAL COPY Act of 1947 P.L.513 Sec.5.2,72 P.S.4844.2 3Juntutnry null !\pprnistmtttt of the goods and chattels,rights and credits which were of Am}...s..ggg~J!f9..§.~!.I;g.Ug.§g.!sl"\!~late of g9.!.!9.r..~.. Washington County,Pa.,taken and made in conformity with the above affidavit. j DOLLARS ,j l Real Estate ALL those two certain lots or parcels of land J situate in the Town of Donora,(formerly Carroll Twp.)Wash Co.,Pa.,being lots nos.252 and 254 in the Jenisee Land Company's plan of S.Donora,of record in the office of . in and for said County of Washington in P.B.2,page 77. BEGINNING on the North-easterly side of Walnut Street,691.75 feet,Northwest from McKean Avenue at the corner of Lot No.250 in said plan;thence North westerly along Walnut Street 80 feet to the corner of Lot No.256 in said Plan;and thence extending back preserving the same width,110 feet to an unnamed in said Plan.I CENTS For chain of title see D.B.Vol.450,page 699. PERSONAL PROPERTY Mellon Nat'l.Bk.&Trust Co.-Savings Acct.22513 u.S.Savings Bonds -as of November 1971 (See attached list) 2,00000 4,812 11 7,75ff15 _.~....!.!......l..-----.J ,i t .~",'-~\::~f ......,:':....:.: ,.'~~ , :.- 'Vd "0:)N01{:)N1HS~fh Slllf~.:.10 b 31S I~J H Ii 2 Z ~1 ..'itT 2L\·1 a LI ~j l,~,, ,!{1 ~'?14 I"....,!~{,f::\.ll .". 'I?;:..~.:to .~.! ,, I • I'" •~t ~,, "' i' ,.., Estate of ANN SEM~TI(OSKI"a/k/n ANNA SEMETKOSIU.a/k/a ,,, 'i .1'~"'~..ANNA SElViETOSI<I,deceaoed.late of Donora.Waohinaton Co.•Pa...', U.S.Sav1n{Jo Bonds,Series E.as of Novembor 1971 ......P.O.D.the following hoirs: Wilma Cecconi.daughter:Morlan Dancllt (Cont.) (150.00 6/46 068.56 25.00 12/50 38.6325.00 9/54 84.45 I'6/4<1 40.63It5/55 33.18 3/S0 40.03l!a/53 39.40 "1/52 37.14117/51 3'1.9'1 8/53 S6.~011/~8 .;30.54 :f/54 95.071/53 30.40 ,.10/55 32.62"0/55 33.27 10/52 86.31I.to/S5 32.62 9/44 45.821/50 32.69 8/50 39.309/52 37.08 H 4/52 37.141/51 38.6S G/53 35.721/45 .a5.03 ,.G/5~34.45,-'1/51 37.97 ?,.,10/55.i 32.628/54 34.45 12/53 35.070/54 34.45 ,.12/4:4 45.03I'3/54 35.07 "2/·0'33.63•d).t..1/51 37.14 t:8/52 31.089/50 39.30 t'9/53 85.72t'10/.-14 45.82 I'8/54 34.45,.12/44 45.03 t1 12/55 32.G912/53 35.0'1 "12/54,33.8411/53 34.98 ,.9/48 40.54I'9/5S 38.72 tI 7/51 37.97"5/52 86.99 II 11/52 36.314/50 ~0.03 II/53 84.98,6/44 45.82 II 6155 83.27nG15335.'2 t '9/44 45.82 SI,280.273/53 36.40 -~..,.,. tt/52 36.81 S.Total 02,578.18.,10/51 3'1.97 11/49 40.02 Dorothy VJieoemnn,daughter12143~6.63 01,208.51-.- 50.00 '1/45 88.56 25.00 G/~4 45.82MarlanDanel!:.daughter ,5/50 <40.08 7/51 37.9725.00 11/43 ~".4G \~.':~....12/52 36.050"9/49 ~O.82 3/54 85.0710/51 8'1.97 11/55 32.621/58 36.40 6154 .84.3712153S5.0'1 10/44 45.828/55 8S.27 l:9/50 39.30(c;ontinued)(continued) ~.~..'.~~.1i knn Semetltoald.a1las dictuo.Eotnte ...--Continued; \"'"if' Dorothy Wiesemon (continued)George Semetkosld (continued) 25.00 11/{U 3"1.91 25.00 10/50 '89.80 II 5/53 36.03 "9/5t 8'1.9'7 .1 7/51J.34.45 f 4/53 35.GS gl50 32.69 t'4/54 34.37 "2/58 80.40 11 II/55 32.62 1\2/45 ~5.0S 11 8/52 8'1.08 1/51 88.63 11 8/45 45.08,.1/52 37.14 "t/5t 38.6S I'7/5S 35.12 J.2/52 3'1.1~ 10/5~38.'70 I'5/53 35.63 I'13/53 35.63 t't 7/54 34.45 "9/61 8'1.97 12/55 82.69 4/49 39.89 11 II/53 34.98ua'S1 38.03 H 5/49 39.U9.-6/52 3'1.08 "4/51 38.63 9/53 35.72 "6/52 37.08..5/55 33.18 II 8/53 85.72 1/4/j 46.63 oj II/54 33.'Ie "12/49 ~O.03 f'~jB4 S5.c)7 01,272.88.,5/51 38.68 1.10/52 36.31 Balnnce Frwd.3,870.20 I'12/53 35.07 - f'8/55 33.27 01,291.42 Sub Total·os,143.08 II Bal.bat.fr-qd.2,578.78 Mike Sernctkoold,Bon: S.Total 03,870.20 25.00 10/~3 <\7.46 II 2/44 46.63 GGorge Semotltootd,son:I't/50 40.03 I'a/51 37.97 25.00 .1!54 35.07 I'10/52 36.31 H 12!<U>40.03 ,.10/53 S~.98,.6/51 31.97 ..4/55 33.18 "10/52 36.31 3/50 40.03 II 10/53 '34.98 '0 7/44 45.82 fI 8/55 33.27 I!7/50 39.30 1\5/~4 46.63 "9/51 31.91,I 7/44 45.82 It 12/52 30.40 I.6/50 89.30 II 1/54 35.07 "It/51 37.97 I'6/55 33.27 12/52 80.01\0 to 4/52 37.1~ 1°1/5~85.07 tI 11/44 45.82 6/55 38.27 10/50 39.30'I 8/50 39.30 12/51 37.14 "10/44 45.82 l'4/53 35.63 (continued "5/5~84.37 (continued) .&i&ifLti&lJil"I~a&caa=..Ll&i......il.........&H ,.:..I>r;-;-./EBtatQ of Ann Sometkoolti,alias dictuo ........Continued •"!c Mike DometkosW.(eonttnuod) 25.00 " H It I'.' " ".' "I I' 9/58 0/58 8/48 B/51 3/&2 0/5S 7/5fJ 11/55 8153 Gt49 5/51 8/52 8/G8 12/54 .. 88.21 35.72 41~20 88.63 3T.l~ 85.12 SI3.~o 82.62 85.72 40.82 88.6S 87.08 36.72 S3.8~01,2tf4.38' ,, 5,148.08 00,~2 7.46 (',.June !Aulao BOUOD,daughter 25.00''I I' H !. I' I' " 500.00 50.00 . 9/<J9 11/50 ~1.e8 g-,4t3 12/51 7/50 11/<1~ afw 2/50 10/~3 3/51 '1/49 G/4lj 9/58 9/5S ~O.82 ~39.•30 ,:~6:.G~ 45.82 3'.1~ 39.$0.as.82 40.64 ~0.03 43:'1.-GO 38.G3 40.82 46.G3 714.40 'n .lj~(U,328.69-..... TOTA L ••.•.•$7,'76 6.15 II .,' .' .. ..-'> 'e };;(.,,., 1- G\ ~~I ~..",71~-.I '\. ;:J "">rll ~~-~ ~ tr.l G')c:c:::>~~.:J:-<."CJ '~-(/)co ·-1 I:z _.'r-~~C''l rn ..".'J ~,-1 .....':). .~,-.'S3 ~ :2:::0 -r~...""'C .~ ~ :;)-.-..~~'0'<;7' ~ :r---tn '-0 r-Z ;P-C/l 0 .:- .. ==•••tt •• STATE OF PENNSYLVANIA, WASHINGTON COUNTY,~55: The wi~hin named Accountant being duly sworn according to lawl deposes and says thatthe above account as stated is true and correctas h.~_.__.veriIy believe, .~ Sworn and subscribed before me this lf.=. day of :.J:TI~.::~19...!~__.~)..',.~.t:dF'. ······~·;·N·O··t~~f~~Y·~li:bnc·······. .-',....,-.\ Notary Public'"DonQ\a-;:W,ashinglon County .My Commiss,iO~.\ExPiies July 3D,1973 Wa'shington Countyl ss:I do certify that I have given legal notice 'to all persons concerned of the filing of the within account in the manner prescribed by Statute and Rule of Courtl as evidenced by proofs thereof filed to No CP.3::.7.~-:..3.3J . Witness my hand and official 'Seal this 01~. day of [_.A..~'\AM~~••••••••.•.••••••••••.•.....•............•19..7~.. ~~~.~_!.~.~.~.J:.u~~/g~~~f Wills § +'1::1::l0 ~'"'"<11...0 M.... i>.~OJ~...0 N+'+',<11 ~I t)-~ Q. ........10::l0Q jo0) .d :~.....: 0 0 r......... "0 4 i,9;0) iQ+'1::1 ~0) rtl0):......P<:0:~ :r;il :"0 1::1<0 .,.; .~ 0 0)+'.d~+' 0 ~1::1 "01::1 <11 "",.., RU~I -3 [.I',,"i{IN0 REGiSTEli Or VllLLS WASHll'h;TON co ..PA. ~i~~ -Si-r--i 'I ."'J ....;..,."._,.. ..... f .~. .,..'..6 II [ 1 ,~. ....-.-..... ~ *1111, ,'I,.", ,J..;/" "I"~".. ',...J •-~-:....'- ~C., ......J .,L."oJ-.:'- ,/.........- J ........~..f"f"\,••--Ji; ---- Counsel for 'Accountant IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS COURT DIVISION Re: Estate of ANN SEMETKOSKL a/kla ) ANNA SEMETKOSKI,a/k/a ) ANNA SEMETOSKL ) ) Deceased.) No.63-71 -1268 FIRST AND FINAL ACCOUNT OF STEPHEN SEMETKOSKI,EXECUTOR The accountant charges himself as follows: Per Inventory filed: Real Estate Personal Property $2,000.00 12,568.26 Total Charges $14,568.26 *** * * * ******* ** RE CAPITULATION Total Charges Total Disbursements Bal.for Distribution RL.for Distribution held as follows: Per Inventory filed -Real Estate U.S.Savings Bonds -per inventory Cash -----------~- $14,568.26 -3,142.38 $11,425.88 $2,000.00 7,756.15 1,669.73 $11,425.88 The accountant takes credit for the following disbursements: 14 Vital Statistics -5 Death Cert. 7 Alan C.Dent,M.D.-Bal.Due 1972 Jan.6 Mar.20 Paul Macik Funeral Home -Funeral service Washington County Reports -Advertising(estate Valley Independent -Advertising estate Russell Marino,Reg.-Letters &2 short cert. Guy Rogers,Deputy -Trip to Pittsburgh Russell Marino,-Inh.Tax Stephen Semetkoski-expenses reimb.to executor Quinet Monument Co -Marker S.Semetkoski -Reimb.for phone calls U.S.P.O.-Reg.mail Russell Marino,Agent -Filing Inventory F.Wisyanski -Notary fees S.Barry Anderson,Esq.-Legal Fees Russell Marino -Filing account $1,365.0 14.00 12.75 50.0 25.0 20.0 .53 3.00 6.00 400.00 16.00 S.Semetkoski -Executors fees 700.0 $3,142.3 Washington,Pennsylvania (PUBLISHED BY WASHINGTON COUNTY BAR ASSOCIATION) PROOF OF PUBLICATION In compliance with the Newspaper Advertising Act of May 16,1929, P.L.1784 Sec.3,paragraphs (3)and (25). COUNTY OF WASHINGTON}88. STATE OF PENNSYLVANIA Personally appeared before me,a Notary Public in and for said County and Commonwealth,CHARLES C.KELLER,who,being duly sworn,deposes and says:that he is the Editor of the WASHINGTON COUNTY REPORTS, the officiail legal periodical for said Washington County,published weekly hav,ing its place of business at Washington,Washington County,Pennsylvania, and is acting as its agent in this behalf;that the said WASHINGTON COUNTY REPORTS was established on March 31,1920,and was designated as the official legal publication for Washington County,Pennsylvania,by order of the several courts of said County,dated November 11,1920;that the printed notice or advertisement attached hereto is a copy of a notice or advertisement, exactly as printed or published,which appeared in the said legal periodical in its regular issues on the following dates: January 20,27,1972 ............~~.~.~.~,;:Y.~..L ..~.?.?.?.. Estate Notices The Register of Wi:lls has granted letters,testamentary or of administration, in the following estates.Notice is hereby given to all persons indebted thereto to make payment without delay and to those having claims or demands to present them for settlement to the Executors or Administrators or their Attorneys. • •••••••••••••• •• ISEMETKOSKI,.ANN.a/k/a ANNA I SEMETKOSKI,a/k/a ANNA SEME-TOSKI,Dec'd. Late of Donora,Washington County.Executor:Stephen Semetkoski,Rabe.Manor Plan,Donora,Pa.15033 Atto.rney:S.Barry Anderson,617McKeanAvenue,Donora,Pa. that the affiant or the corporation in behalf of whioh he is acting is not interested in the subject matter of said notice or advertising and that all of the :~g=:"of !hi>""",vi'"to the{;Jt;;~;;r"t£'@pnhli<.>tion Sw","to ond "",,,.;ood boIore-i:::'----..:t'd~ __~!.'!-day ~---j~!:!!'l~!.!.---'"19__~. ~---"--Il~ JOSEPHiNE T.SCIAMr.NNA Notary Public,Washington,Washington Co. My Commission Expires July 1,1974 " I t, U~Ad No.5S7,Aetr,JrovodMeV '<i,19!',IP.L.I104, 06 e~~fly Act No.51 of AprA Z~,1911,P.LoG7 State Of.Pe.n"sylvania.}55'Countv of Westmoreland . P II dbef J.Knox Dye General Mgr 'f th \1 II I d"nd 't"·ho L.._'.ersona y appeare ore me 0 •••.0 .'•••0 0 0 •••0 ••••'••e va ey.1"1 epe en,W .,.;Ing duly sworn,depo~es and sqys that The Valley Independent is a daily newspaper of general cir(""lation in Fayette,Washington and Westmoreland cOl'ntles,Pennsylvania,and elsewhere,publishe~hi the City of Moness,n,Westmoreland County,Pennsylvania,that it was established June 28,1902,sj~e .which date The V~lIeylndependent has been regularly issued in $Old cO!Jntv,and tl')at ac~y pf the print,d notice or publication is att~ched hereto exactly qs the same was printed ~d 8ublis,,\'hin l~~u,laredition~and iss4es of The Valley I"dependent on the foll~j""dates,...~~..~~¥..o'~••••0 •~•••• • • • • • • 0 0 0 0 •••••0 O'000 ••0 • 0 •,J.~rJ,:!~;r'y'0 ?5.o~l1q 0 '~oQ~\l?lPY,.;1."..+97~o ..0 ••,••0 :,'••0 ••'." Affiant further ~~s and saysthqthe/~is authorized t~verify the foregoing statement"., OQth,and Affiant is not interestfdinthe subject matter of the afore$Qid noti~e or a~ertl$e~"t,ond that all allegations in the foregoing statements c;lS to time,place and ~horaeterof publi~tion a,.tneo. ;\- 617 McKean Avenue I ,&~~4-C4' Sworn to and subscri~d before me this .•...0 o~1'!<:1 .......•.• day of ..F:~l??-".u.~~¥..'f 19 .7.?.....'' ,,,' c:/1'./}",.c:. j )C'~.1i._,i~,[,(C-t-~-7'-/ . '0'•••1'•••••••••(j:....N~t~,y'PUbiic .~y(./,••"•• , ,~,;!dlY A.EVANS,Nota~y Public '..,'M . . .1...'::"","0",Vv'estmorelun.Jf"o'.', y commISSIon explre~0 •••,''""".,'~.'~'.0 ••••0 0.•,oPe . SVAVfiMI1NV ·Ott ADVenvls8tiljr~H'973 s.B~rry Anderson,A~torne~at ][,a~ ---~~~-~=~.", Letters.of testamentary on the estateClfAnnSemetkoski,a-k-a Anna Semet-koski,a-k-a,Anna Semetoski late of Do- /'nora Washington County,deceased hav- ling been granted by thll.Register of' Washington County,notice is hereby giv-. .en to all persons indebted to said estatetomakeImmediatepayment,and to.those having claims against the same'to present them without deiay to Stephen Semetkoski,executor,Rabe Manor Plan, Donora,Pa.15033.S.Barry'Anderson, attorney,617 McKean Avenue,Donora, Pa.15033. 1;18,25,2;1 Donora•.pa i lSq33 ,!",j .,j .TO TH~VAL.LEY INDEPENDENT,DR. For publishing t~notice or advertisement att~'" hereto in The Valley Independent on abav~stqted dates .0 0 ••••••••••••••••••••••••••••'..$·12.00i Notary ,0 0 ••••••••0 •••••'$.,75 Total •.'.'• "•••••••••••••••'!'"••••••$12.15 " .IOCGIVV LJOtaADVaaV8SING CO$V$, The Valley Independent,a ~ailynewspaper of general ~irculotion,hereby ocknowloC'olsws rocoipt of the aforesaid advertising and publicotion CQsts and certifies that .tb_same.have been d~ly paid. THE VAL,LEf INDEPENP~NT '.,"> By ..1/1'11.?·...,..".....f.AnD .. Qtnurt nf Qtnmmnu ®rp4uus~ In the matter of the Audit of Account in Jl~us nf lfus4iugtnu Qtnurt 1Bittisinu <ltnunt!} J Es,t~te of Ann Semetkoski,cik/ a Anna Semetkoski,a/k/a Anna Semetoski TO THE AUDITLNG JUDGE: 63-71-i268No.---,-_.....,:,...:........~_ Enter'my appearance for Stephen S:emetkoski,Executor of the Estate of Ann Semetkoski,a/k/a Anna Semetkoski,a/k/a Anna Semetoski 11th day of_---=S:...:e:..!p:....:t:...:e~m=b__=e__=r "197_2_ N.B.-Counsel shall,by separate paper,present a concise statement of each claim,with supporting calculation of any interest claimed.Objections to an account as filed,shall be concisely stated in a separate paper. Council suggesting proper distribution shall file a separate concise state- ment in that regard. h", No.63-71-1268 In re Audit of Account in EstllJte of Ann Semetkoski,a/k/a Anna Semetkoski.a/k/a Anna Semetoski, AUDIT 'ruttipt fnr !\ppturuUtt FOR Stephen Semetkoski,Executor ;~a"Q'l'ilQ\.')}\\\\'0'~ ,S1'\\;",d0\131,'9\~'ill!..C'\;~,-c~(.,(1f~~;(\~\yt';~1i \$/";1 ,;;\11 " ~;;""i~<.-"( 5\~d ~\.$~:/J,. :a(1 ;':l'~'\~[\~~*,1(··.===~"".'~'''2~=~A:,t,~o:rn~eY -------.._-~--- PETITION SUR AUDIT ~IN THE ORPHANS'COURT OF WASHINGTON COUNTY T"tat.Fonn j ANN SEMETKOSKI,a/k/a ..Estate of ___ ___.-------.--------.-- ANNA SEMETKOSKI,a/k/a...-----_-_-_---------_--.._--.._.._-._--_.._.._____. ANNA SEMETOSKI, Deceased 63-71-1268No._,.._ ____. ..Stephen SemetkoskiFlduclary-. Date of Date of Decedent's death ~.?~~.~~.~~.}.~.'..}.~.~~._---..:Grant of Letters g_~~~~~.~E ..~.~:.J~.?_~, _..__. This is the Ei.:r.?t..aD.d..E'.~nal.::account filed in this'estate If there have been former accounts filed in this estate,list file number or number and term._::.:".::. Election to take Under or Against will.(cross out one)None filed Date Election Place of; Filed ._~.~.-=.~__._.._.............Record .___..~.~.~.~_. Name of surviving spouse._NQ.~~._..___.__..:_.__.__.._..__.._. List issue,where material: ,', Did decedent marry after execution of will?(indicate)B.No.Any children born after execution of will?(indicate) o ~No.If answer yes,name them :_:___ _ _ _ _ __.___..._... (;.' Leg.atees Carl Semetkoski Marian Dancik Stephen Semetkoski George Semetkoski M±Chael Semetkoski Dorothy Wieseman Velma Cecconi June Bowen Relationship Son Daughter Son Son Son Daughter Daughter Daughter Interest Devise 1/7 Residue 1/7 Residue 1/7 Residue 1/7 Residue 1/7 Residue 1/7 Residue 1/7 Residue Fiduciary,if deceased or not sui juris List,if exceptions to above: None If partial intestacy,give facts: None Adeemed:Revoked:Lapsed:Abated:Give Cause: Notice to interested parties.Have all parties,having either vested or contingent interests and all crediors entitled to notice (Court Rule No.9 paragraph C:Section 6:Subdivision c)received written notice of the filing of the account and of call of audit?Yes.x~ If t··NoneanyexcepIongivecause:. File copy of Notice f ..Copy attached -Notices mailed August 21,1972anddate0mailing .. -....-.}. '"~.-~.~. Is estate subject to the filing of a Federal Estate Tax Return?~.9.. Actual payment made on Pennsylvania Transfer Inheritance Tax.Amount $..1.4.~.,..l.O.._.____. If the Will makes any portiqn of estate subject to a life-estate,give name and birth date of life tenant ~.?.~~. Give Names and addresses of all unpaid creditors who are legally entitled to notice,together with the amounts of such claims;state whether they are admitted to be correct;and whether the claim is denied. None " Give reference to such parts of the will as require interpretation by the Court;a reference to all questions re- quiring adjudication,and a statement of any other facts deemed necessary for the preparation of the adjudication: None Balance for distribution per account, Itemize any additional debits not shown by account: None Total additional debits (Add) Itemize any additional credits not shown by account: ....:\:oj Quinet Monume~nt Co.-marker Total additional credits (Subtract) Balance for distribution $11,425.88.......................................__. $None..--------.---__. 18O,__O_~------------------1 245.88 __ $-------$-~--_:------------------------- If balance for distribution is not in cash,list each item held in kind,giving appraised Value (or distribution Value); ~ Per Inventory tiled -real estate u.S.Savd:ri.gs Bonds -per inventory Cash -Mellon Bank,Donora,Pa. .'.} $2,000.00 7,756.15 1,489.73 $11,245.88 -----... -~""- ..,...,WSf _.T l' If Family Exemptionddimed by Petition,give place of Record:~.?~.!?:r...P.~~_~~~_'?~.____._. If Family Exemptioh is claimed at audit,give name,relationship an~basis for Claim:__..___._. Carl Semetkoski,son resided with decedent and was a member of her household at the time of death. List ~my advancement or distribution on account that has been made,and nature and amount of same: Suggested distribution of balance shown,both as to principal and income,attaching signed and itemized elections to take in kind if balance is not in cosh:residuary shares being stated in proportions: .~.:i Fhereby elect to take real estate in kind in Ann Semetkoski's estate,a/k/a Anna Semetkoski,a Ikl a Anna Semetoski. CarSemetkoski COUNTY OF WASHINGTON,SS: COMMONWEALTH OF PENNSYLVANIA. The above named Fiduciary or representative thereof, being duly .~~5?E~__. .doth depose and say that the facts set forth in the foregoing petition are true to the best oL ?_~~._._knowledge and belief. Sworn .--------.to and subscribed before me th;S..J'I,.~dOY Of.~.:..~1l.gtl~.t l 19..7.2 . Signature of Office~~;C?~..~-;:n·~~~~~t;········· Tit Ie of Officer !'!q!~r¥.!:~~!~:'..~?~.~~~:.~.~~~!~.~..~.~.~~~.t~. My Commission-Expires July 30.1973 Office expi res . And your petitioner will ever pray,etc. ..~L ..~:2/~rL~L .S ty{>hen Semeh.osld,Executor •••••••••••..•••••••••••••••••••••••••••••••••••••..•••Oo Oo Oo..~.. I t· If .?- No ?~.::.?~.::~.??~. Ann Semetkoski,a/k/a Anna Semetkoski,a/k/aEstateof . Anna Semetoski Deceased Fiduciary....~~:P..~~?-..?~.~.E!~~o s ki.........-------_...-..__......_- PETITION SUR AUDIT FROM WHERE DECEDENT LEFT A WILL Counsel of Fiduciary will submit herewith the following,in conformity with Court Rules adopted effective December 3,1951,being rule No.9:po rag raph b-c;and divisions thereof:shown on p'ages 23-24. 1.Written praecipes of all Counsel in the case. 2.Copy of order appointing Guardian ad litem,if pertinent. 3.Copy of Order appointing Trustee ad litem,if pertinent. 4.Proof of service of above. 5.Letters Testamentary or Administration C.T.A.or an attest copy of Will. 6.Copy of inventory and appraisement. 7.Proof of advertisement of grant of letters if not filed with account. 8.Certificate of liens in case any of the funds for distribution are from judicial sale of real estate. 9.Signed and itemized elections if any distribution in kind. 10.Copy of Federal Estate Tax return if es- tate is subject thereto. a.f\~..§:..~~.n····--······..·····Aii~~~ey•••••••••~2 ~ .;r l.~...'!f.'-r:'".!,,;,~.~!!I.,..t......'t Tn OCT 30 Pi'!5 14 RUSSELL M.t:,RlNO nEGISTER OF WILLS WASHir~GTON CO.,PA. ••~, •I • ...-~':'(('\_T".(.(."..~..~,("~-:'-:"t:'.',...-rr.~•"I,'P'."".0.;:t~'\\ ".).."co \ :.~;=:""'~'" "':.,~"..~".."'" '.""/.,.,-.,t.'1.1';1 '..'-~III;/~I~:·~~;;1., '.. s.BARRY ANDERSON ATTORNEY AT LAW ,617 MCKEAN AVENUE DONORA,'PENNSYLVANIA 15033 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNSYLVANIA ORPHANS 1 COURT DIVISION In Re: Estate of ANN SEMETKOSKI,a/k/a ANNA SEMETKOSKL a/k/a ANNA SEMETOSKL Deceased. } } } ) ) ) ) No.63-71 -1268 NOTICE You are hereby notified that the First and Final Account of the above- named decedent has been filed in the Register of Wills'Office in ani for the County of Washington,Pennsylvania. '{ou are further notified that the final audit of said account will be made on Monday S~ptember 11 P ..M.in the Orphans I Courtroom of Washington County,Pennsylvania,Courthouse,Washington, Pennsylvania,at which time you are entitled to appear and be heard if you so desire. Dated.August ?1,1972 '\! ...=-..~ -.J i ~ ~I"J::0 :::0»rn c::::>.---c .en 0.~,:::r:-({).-.(,/)(f)r"-~-,lZ--!fi'l r..,-,)~~'.rn r ~;.ft_~---l ::n ~-\.-"C,J 0 't:-.,.._.....-0-....\1 .:-:::!:0 ~-,- 0 ::r:::;;:;r..n--r Z\J r 0:t>(j') -C" 5.BARRY ANDERSON ATTORNEY AT LAW 617 McKEAN AVENUE DONORA,PENNSYLVANIA 15033 October 26,1972 John Hana OrphansI Court Court House Washington,Pa.15301 Re:Ann Semetkoski Estate Dear John: The purpose of statements included in the audit petition on the above captioned estate is an attempt to equalize distribution among all the heirs.It doesn It come out to an exact figure but roughly it was arrived at as follows:' 1.Carl Semetkoski 2.Wilma Cecconi 3.Marian Dancik 4.DorothyWieseman 5:.George Semetkoski 6.Michael Semetkoski 7.June Bowen Real Estate Bonds $1,298.51 Ins.proceeds 281.02 Bonds $1,280.27 Ins.proceeds 281.02 Bonds $1,291.42 Ins.proceeds 281.02 Bonds $1,272.88 Ins.proceeds 281.02 BoncE $1,284.38 Ins.proceeds 281.02 Bonds $1,328.69 Ins.proceeds 281.02 $2,000.00 1,579.53 1,561.29 1,572.44 1,553.90 1,565.40 1,609.71 ....;.. S.BARRY ANDERSON ATTORNEY AT LAW 617 McKEAN AVENUE DONORA,PENNSYLVANIA 15033 John Hana - 2 -October 26,1972 8.Steve Semetkoski Ins.proceeds $ EEutor fees Per agreement with heirs 281.02 700.00 573.00 $1,554.02 It was my original intention that out of the cash remaining ($1,489.73)for distribution that the sum of $573.00 be taken out and then the balance of $916.73 be equally divided among the seven residuary heirs.I trust this will clear up any confusion I may have caused. Very truly yours, ~/ S.Barry Anderson SBA/fw ...-~'ll ~-...t;0 !'"'oo,j J>rll ;r.; (f)(;)c::r.:::>r'-':r:.(.1)'"'(jJ '-1 .enz..~,{.;n r";~lr.~~l p,':,,1''''''~%",>l-'....,:::J .:.::.:> C)r~"~~,.j,z '-.0 '"-:') C)'-""'l~..,;;~...,. 0 ...:'......:::.J r ",,",,:;J''..J"l v r r' o __ :>(/)c' ..;:: j IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA ORPHANS'COURT DNISION ANN SEMETKOSKI,a/k/a ANNA SEMETKOSKI,a/k/a ANNA SEMETOSKI, ..'j IN RE: Estate of c( ~Deceased. >oJ>-UlZ Z IIID. ig Cl~·BEFORE: Ulc(,.3: ..=uitI-Ul~APPEARANCES: c( Q o:J., J: I:-(II ( ) ( ) (No.1268 of 1971 ) ( ) ( HEARING ON AUDIT The Honorable ALEXANDER R.CURRAN,J., Specially Presiding. S.BARRY ANDERSON,Esquire,of Donora,Pa., repres enting the Accountant. •) (a I ~TIME:Monday,September 11,1972,at 1:30 P.M.,E.;t;),.'S~T.IIIl-ll:oD.IIIll: l-ll::JoU~THE COURT:The estate of Ann Semetkos ki,also known as Anna ·uii:~Semetkoski,also known as Anna Semetoski.The Executor is Ste phen Ser,netkoski and the attorney is Mr.Anderson. MR.ANDERS6.>N:If the Court please,r have all the necessary papers including an election to ta~e in kind on the real estate and the suggested distribution agreement,subject to the Court's approv al. Other than that,I have no problems in this estate. THE COURT:The estate ,;yill be considered closed.Is there 2 '"j• anyone else in the courtroom interested in the estate of Ann Semetkoski ? (NO RESPONSE) (A UDIT CLOSED) ~z<~>-IIIZ Z.., II. Zo•I-oZx·III<~,. I hereby'c~rtify that the proceedings and evidence are ~u ii:,tic oJ< U C~contained funyand acc~ratelyin the notes taken by me on the hearinq of :I:I J j.."N.the above cause,and that this copy is a correct transcript of the same. uill:.., l-ll:oII..., II: l-ll: :loU oJ<u ii:lI.o The foregoing record of the proceedinqs upon the hearing of the above cause is hereby approved and directed to be filed. By the Court, I. t"•J .~ ,"\ I" ,ll.-' .j " ',..•.j ':' ,, r )....•.~"to. \ .'...'.,r'. .' oj /' :\.\\ ~'~J:~(""11 ~.(/)(,"")c.::::t:(,I)(f)\.....'....,~-I~-"-;-,,,.,+'I -j .:t.'::) ~.~--1121~'.~C):C~,r-=-~-0 ,-0:J;;...0) n 9-;..,".....J ~u :tl1t QJ:nurt nf·QJ:nmmnu 'hUli nf lIu.a1pugtnu QJ:nuuty,.,. 'tuunylnuuiu,(Orp4uun'QJ:nurt iinininu ESTATE OF' Ann Semetkoski,a/k/a No.63-71-1268 In the matter of the,__F_i_r_st_a_n_d_F_l_'n_a_l__ Anna Semetkoski,alk/a Anna Semetoski,Deceased. Account of Stephen Semetkoski, Executor ADJUDICATION AND DECREE October 27 72Andnow,19__,this matter came on for hearing, audit and distribution at this session and testimony taken;and thereupon,upon due consideration th~rj:!o£Q£the..balancefor distribution in the hands of the Accountant is determined to be $11,6l±b.t5tr·..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.leg.: By the Court, $11,214.38 $11,425.88 180.00 ?l~.3~J 7'z;:.)#-<>)Ou.;J(.3j --11-/-f-jf;-r4~t!-Jm~~. $11,245.88 (0 31.50 Balance,_ Balance per account _ Additional credit asked at audit Deduct Clerk's Costs &Receipts,_ Attorney .3.Barry Anderson Russell Marino,Clerk O.C.,costs in certifying real estate to Recorder,4.00 Olga O.Woodward,Recorder,costs recording certification of real estate, Russell Marino,Agent,transfer inheritance tax, including tax due on individual liability,'$116.80 Interest from 8-16-72 to 11-7-72,1.58 ,- Carl Semekoski,son,specific devise of real estate as hereinbelow described,held in kind and distributed as such at the appraised value ,.2000.00 $9,084.50 Stephen Semetkoski,additional allowance per agreement~ filed,573.00 $8,511.50 Marian (Marion)Dancik,daughter,1/7 residue,1215.93 Stephen Semetkoski,Jr.,son,1/7 reSidue,1215.93 N. ,/.~.~ I ~; •J 'J II'i .' .", ", <" o"1'1 3o::+(1)., o"1'1....::r(1) George Semetkoski,son,1/7 residue, Michael Semetkoski,son,1/7 residue, Dorothy Wieseman,daughter,1/7 residue, Velma Cecconi,daughter,1/7 residue, June Bowen,daughter,1/7 residue, 1215.93 1215.93 1215.93 1215.93 1215.92 No balance REAL ESTATE TO BE CERTIFIED TO THE RECORDER bF WASHtGTON COUNTY BY THE CLERK OF THE ORPHANS'COUJ~T Dwrsr N• Ann Semetkoski,a/k/a Anna Semetkoski,a/k/a Anna Sen etoski,dE visor,to Carl Semekoski,devisee of all the right,title and interes of the de:risor in and to parcel of real estate described as follows: ALL those two certain lots or parcels of land 3ituate in he Town of Donora,(formerly Carroll Twp.)Wash.Co.,Pa.,beTg lots not.252 and 254 in the Jenisee Land Company's plan of S.Donora'i of recorc in the office of Reccr der in and for said County of Washington ;'''1P.B.2,page 77. BEGINNING on the North-easterly side of wal~ut Street 691.75 feet,Northwest from McKean Avenue at the corner of Lot No.250 i/n said plan; thence North ·westerly along Walnut Street 80 feet to the cDrner of ~ot No.256 in said Plan;and thence extending back preserving the same width,!110 feet to an unnamed in said Plan. For chain of title see D.B.Vol.450,page 6~9. CERTIFIED TO RECORDER:NOVEMBim 3,19 2 ·./ -. ~ 0 ~z.....:l ~~n -+!' X 0 ::rc:(l) /~,J i i a 3 0 0 0.........::+....(l) ~ ., ~0.... -+:::r t (l) ::: N ~~ S.,4'l) ~4'l) 4'l) ,. 4--_J 5.BARRY ANDERSON ATTORNEY AT LAW 617 MCKEAN AVENUE DONORA,PENNSYLVANIA 15033 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS'COURT DIVISION In Re: Estate of ANN SEMETKOSK1,a/k/a ANNA SEMETKOSKI,a/k/a ANNA SEMETOSK1, Deceased. ) ) ) ) ) ) ) No.63-71-1268 DISTRIBUTION AGREEMENT 1,the undersigned beneficiary of the Last Will and Testament of Ann Semetkoski,a/k/a Anna Semetkoski,a/k/a Anna Semetoski,late of Donora,Washington County,Pennsylvania,and dated July 24,1960,do hereby agree to and request the Court to award the sum of $573.00,in addition to his Executor's fees,to Stephen Semetkoski.It is my desire to more or less eqt:alize the distributive shares among all the heirs. Carl Semetkoski Dated:August 21,1972 S.BARRY ANDERSON ATTORNEY AT LAW 617 McKEAN AVENUE DONORA,PENNSYLVANIA 15033 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS I COURT DIVISION In Re: Estate of ANN SEMETKOSKI,a/k/a ANNA SEMETKOSKI,a/k/a ANNA SEMETOSKI, Deceased. ) ) ) ) ) ) ) No.63-71-1268 DISTRIB UTION AGREE MEN T I,the undersigned beneficiary of the Last Will and Testament of Ann Semetkoski,a/k/a Anna Semetkoski,a/k/a Anna Semetoski,late of Donora,Washington County,Pennsylvania,and dated July 24,1960,do hereby agree to and request the Court to award the sum of $573.00,in addition to his Executor 1S fees,to Stephen Semetkoski.It is my desire to more or less eq..alize the distributive shares among all the heirs. Dated:August 21,1972 Ie r·I' I.s.BARRY ANDERSON ATTORNEY AT LAW 617 MCKEAN AVENUE DONORA,PENNSYLVANIA 15033 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS'COURT DIVISION In Re: Estate of ANN SEMETKOSKI,a/k/a AN:'JA SEMETKOSKI.a/k/a ANNA SEMETOSKI, Deceased. ) ) ) ) ) ) ) No.63-71-1268 DISTRIBUTION AGREEMENT I,the undersigned beneficiary of the Last Will and Testament of Ann SemetkoskL a/k/a Anna Semetkoski,a/k/a Anna Semetoski,late of Donora.Washington County,Pennsylvania,and dated July 24,1960,do hereby agree to and request the Court to award the sum of $573.00,in addition to his Executor's fees,to Slephen Semetkoski.It is my desire to more or less eq..alize the distributive shares among all the heirs. Dated:August 21,1972 r'·,l .---'.. --_._--- S.BARRY ANDERSON AT'1~ORNEYAr.l'LAW DONOR....PA.15033 PHONE,379-6241 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS t COURT DIVISION In Re: Estate of ANN SEMETKOSKI,a/kla ." ANNA SEMETKOSKI,a/k/a ANNA SEMETOSKI, Deceased. ) ) )'..:-...~ )No.63-71-1268 ) ) ) " o DISTRIBUTION AGREEMENT I,the undersigned beneficiary of the Last Will and Testament of Ann Semetkoski,a/k/a Anna Semetkoski,a/kIn Anna Semetoski,late of Donora,Washington 'County,Pennsylvania,and dated July 24,1960,do hereby ,' agree to and request the Court to award the sum of $573.00,in a~dition to his.' Execu'tor's fees,to B:ephen'Se~etkoski.It Is my desire to more ?r less ,- Dated:August 21,1972 ..•.-'1... (, S.BARRY ANDERSON AT'I'ORNEY A'l'LAW' DONOUA.PA.15033 PHONE,379-6241 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNTY.PENNA. ORPHANS'COURT DIVISION In Re: Estate of ANN SEMETKOSKI.a/kla ANNA SEMETKOSKI,a/k/a ANNA SEMETOSKI, Deceased. ) ) ) ) ) ) ) No.63-71-1268 DISTRIBUTION AGREEMENT"', I.the undersigned beneficiary of the Last Will and Testament of Ann Semetkoski,a/k/e.Anna Semetkoski.afk/a Anna Semetoski.late of Donora.Washington County.Pennsylvania,and dated July 24.1960.do hereby agree to and request the Court to award the Qum of $573.00.in addition to his Executorls fees.to s:aphen Semetkoekt.It is my desire to more or less ~ze the distributive shares among all the heirs. Dated:August 21,1972 " ~---------~--------- .' S.BARRY ANDERSON ATTORNEY AT I.lA"" DONOfl.A.PA.150:13 PHONEl 379-6241 IN THE COURT OF COMMON PLEAS OF WASHINGTON COUNT'Y,PENNA. ORPHANS t COURT DIVISION In He: Estate of ANN SEMETKO$KI,n/k/a ANNASEMETKOSKl,a/k/a ANNA SEMETOSKI, Deceased. ) ) ) ) ) ) ) ..- No.63 ...71 ...1268 DISTRIBUTION AGREEMENT I,the undersigned beneficiary of the Last WUl and Testament of Ann Scmetkosld,a/k/a Anna Semetkoski,a/1r./8;Anna Semetoskl,late of Donorn,Weohlngton County,Pennsylvania,and dated July 24,1980.do hereby ogrce to and request the Court to award the sum of $573.00,in addition to his Enecutorts teeo,.to ~phen Semetkosld:It Is my desire to more or less ,--.-. eq.d.tze the distributive shares among all the beirs. Dated:AU(tUst 21,1972 .. '. " •,to'• S.BARRY ANDERSON DONORA,PA.15083 PnONlt,379-6241 lNTHE COURT OF COMlVION PLEAS OF WASHINGTON COUNTY,PENNA. ORPHANS f COURT DIVISION :.$0 In Re: Estato of ''''AN:1'!SE~ETKOSKI,olltla ..ANN~,i~EMETKOSl{t,elk!a ANNA,'~EMETOSKI, De-ceased. )- -)-') ) ) ) ) No.63 ..71-1260 ,.....DISTRIBUTION AGREEMENT ,/y I I I.the underot(1D.ed beneficiary of the Last Will and Testament of Ann Semetkostd,n/k's.AnnaSemetkoaki,a/k/a Anna Semetosld,Into of Donora.Washington County,Ponnoylvania,and do.ted July 24.1960,do horeby agree to end request the Court to award the Bum of 0573.00,in addition to his Exc~utorte fees,to 5:3phen Semetkos~l..It 1£.1 my dealr!!to more ,0r leoo eq::dise the dlstributivo shares among all the heirs. Ibted:Ausuot 21,1972 '.. " ..•. ~..., 1 . "\]«. .' •.~'. i f"\-/. ,. .. \- ". .', .' .. - .'-'-'''~....,. ,,'. ,,'. COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS COUNTY'OF Form RCC-33 RESIDENT DECEDENT f .. WASHINGTON J IMPORTANT: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.lnhl:!ritllnce._lln!i~E_~tllteTB,XA,ct of ·1961.) IN THE MATTE~QF THE-ESTATE OF }AnnSemetkoski.at kt a Anna Semetkoski AFFIDAVIT OF ......a./k/.a Anna...s.emet.o.s.ki...........................................................................................EXECUTOR ute of .;R9.D..9..r..~.:=~~~.~;.;.;~;.~d;;:)county ~ Executor of the estate of the above-named decedent being duly sworn,depose and say DecedentdJed ~g.Y..~.:r:rt1?~E ~.?19 71 ,19 .,f testate leaving a last will,copy of which is hereto attached•.} (Month)(Hay)(Y""r)Lintestate Name and address of attorney or} other authorized representative to. whom all correspondence should be mailed. S .l?ct:r':r'yAl1:~~:r'~?J?:.~s.q.~... 617.McKeanAve.,Donora,.Pa.J5033 .... That as such ~~.~.~~.~.!9.~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 ofthe following:-. NAME AND ADDRESS OF BANK OR OTHER INSTITUTION .. RELATIONSHIP OF JOINTTHISSAFEDEPOSITBOXRENTED IN WHICH DECEDENT RENTED A SAFE DEPOSIT BOX IN NAME OR NAMES OF HOLDERS TO DECEDENT Mellon National Rank ~nd ......,r·Ii=:'r.o Mrs.Anna or Steve n T'\,,n;!'!(No.358)Semetkoski ~rm '" That the contents of said safe deposit box or boxes are itemized under SchedulesA&B of this return,with the exception of the following,for the reasons hereinafter set forth: That Schedule A attached h,ereto and made part hereof set~'forth fullv 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 deceden~'~'credit in banks.~........-.. of deposit,savings banks,trust companies,or other institutions,whether indiv:l,dus.ily,·,or in''trust f'or 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 a~d: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 thereo~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 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 ~t the time of death,with the market value thereof at such time. ·... In the ca~e 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 transfe~ee and all other facts of a pertinent nature regarding said transfers.In the 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.Therl~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,or jointly with another,or any power of appoint- ment vested in decedent,either individuall.y or jQintly,by the will,de.ed,or other instrument of another, with a copy of the instrument creating such power attached to the schedule. .y 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 ~he 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 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 statement 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• Subscribed and sworn to before me this . ........../i...~..,d~Y ~f ;r?:I.J:~9.:.r.:y 19...??.. !il~-'::....~~.~-~~............. Notary lie Notary Public.Donora.ashington County My Commission Expires July 30.1973 ...d~~~I.,LLL'(~e~roT~. .?y.~.r.g~P.:.~P.r...~..Bgp...~M.g..r.1Qr ~_.._.. (Street Number) .....l??~?E~.~~.~.~?~X~.y..~?~.~.}..~.2.~.~. (Cityen'Town a.nd 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 in the "Summary"has been properly con~leted as above-directed. RCC-34 11.~4) CpMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE • BUREAU OF COUNTY COLLECTIONS TRANSFER INHERITANCE TAX RESIDENT DECEDENT (SC~iEDULE "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 shauld be described by lot and block number,street and street number,together wi th 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 eoch parcel at death of decedent.Taxes,assessments,accrued interest on mortgages,etc.,are to be listed on Schedule "FlO and must not be deducted from this schedule. ALL those two certain lots or parcels of land situate in the Town of Donora (formerly Carroll Twp.)Washington Co.,Pa.,being lots nos.252 and 254 in the Jenisee Land Company's Plan of South Donora,of record inthe Office of Recorder in and for said Co.of Wash.in Plan Book Vol.2,page 77: BEGINNING on the North-easterly side of Walnut Street,Six Hundred Ninety-one and.75 (691.75)feet Northwest from McKean Avenue at the corner of Lot No.250 in said plan;thence North westerly along Walnut Street 80 feet to the corner of Lot No.256 in said Plan;and thence extending back,preserving the same width,one hundred ten (11 0)feet to an unnamed in said Plan See D.B.Vol.450,page 699. (1 ) ASSESSED VALUE FOR YEAR OF DECEDENT'S DEATH 2,000.00 (2) ESTIMATED MARKET VALUE (3) DEPARTMENT VALUATIOH CAUTION (Do not write In th Is spoce) Insert thi s total opposi te "real property",Schedule "A"in the X X X X X "As Reported"column on the last page of this return. RCC-35 ~ COMMONWEALTH OF PENNSYLVANIA,. TRANSFER INHERITANCE TAX RESIDENT DECEDENT '.. ..~.. SCHEDULE "n" 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".Inta~gible 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 es~ate. 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 No. ITEM List and describe fUlly Mellon National Bank and Trust Company, Donora,Pennsylvania -Savings Acct.No. 22513 u.S.Savings Bonds -as of November,1971 (See attached list) UNIT VALUE ESTIMATED MARKEl'VALUE $4,812.11 7,756.15 DEPARTMENT VALUATION (Do not write in this space) Insert this total opposite "Personal Property",Schedule "B"in the "As Reported"column on the last page of this return. x X 12,568.126 --""---1-----~-~---------__, ~stato of AiJtlS SErJl13TIiOSrU;a/hI-a ilt-rNA 8EMETKOSrtl,n/ll/e>. .ANNA.srnr'{ID:TOSI(i.docG(lood,lato of Donom,WnShlntJton Co ••Po. u.n.Snvlnao Bondo,notico E,00 of Novombor 1011·-P.O.D.tho follomna hoiro: Wilma Cecconi.dauahto1":l'.l!oMan Donelk (Cont.) 000.00 Of.aS oOS.90 2S.00 12/&0 30.6825.00 O/5~S~.~5 ,G/I3~.00.635/G5 8S.10 3/50 <10.OS"9/58 SO.~O l/sa-8?14"71tH 37.0'1 SIBS 30.<1011/<10 ~O.&~qlM S5.011/5S 80.60 10/65 82.020/55 SS.2'i 10/B2 80.S1-.10/SS 82.sa 9/~.06.021150:l2.GO 0/60 SO.SO915287.08 ..~/52 S?l~1/51 D8.0n G/G9 85.121/<15 ~5.0D G/~S4.~5'1/61 97.01 ,U)/55 -sa.asa/SIJ 3<1.<15 12/5S 36.0'1015484.<1!l i2/~4 45.03"3/6<1 85.07 UU$;f)J aU.09t/flJ S'l~h'1 -a/52 ·~7.0n9/60 sa.so 9/53 SG.'12'I to'~~5.82 ....fl/(jij St3.<G512/~()45.0S '\I 12/G5 sa.G912/58 8&.07 t2/rM 93.6<111/BD 8<1.90 9/~O ~O.5{\9/53 35.'12 "7/61 37.9"5/52 SG.09 "111&2 tlO.31~/50 {}o.o~11/6S 3~.90 o.~.1r l.Ollj~135.82 ••I 0/55 SB.aT"6/98 3G.12 O/~'~s.92 01.200.2'1..3/BS 30.<10 -,,-.•i •• 11152 36.31 S.Totol 02,5'18.'1610/61 3'.9'1 o.\ol·~~1.11//j9 130.82 Doro~hy Wtooomon.deucbtcr12/48 <lO.OS SI,S96.51I 50.00 ?I1j5 00.50 25.00 G!IJIJ <is.oaMn"lOQDmttdh~doU{Jbtor·SlaO ~O.OS 7/51 31.9125.00 11/<J5 '.1'1.40 ~12/52 36.<\09/<19 iJO.02 S!5()S6.0710/51 S7.9'I1/G5 32.021/5S SS./jO 5/S';3~.8'11215935.0?10!~4S ~a.020/05 33.a,0/50 S9.S0(con~lnuocl)(comlnuoc2) -'~. Ann Scrao~hootd,01100 dletuo,l]otota .-.Ccntlnucd D:w~by \'9'100001011 (contlnuo(9)GOO1"tjo SomoUtOoh!(ecntlnuoo) 211.00 11/61 3'1.0'1 26.00 10/50 99.S0I.5/GS 39.0S 9/51 87.01"7/ijIJ Dt1.<19 ~/53 .DS.GS2/66 32 ..G9 IJ/o~S~.S'll'2/6S 3e.~O 11/S5 89.62"2/<Ul ~6.0S 0/&2 S7.08tIntso.os n'~5 ~s.os1/62 3.7.1<1 t/51 S8.GS.'7/BS 80.'2 2/62 SY.l~10/5<1 S8.VO 5/9S ss.as~/5S 38.0S ..7/5<'J S<!.t35".01Gt 8'1.0'1 12/SfS S2.G91J/~9 89.00 It/58 84.93S'01 S8.GS .-5/<19 sn.$9,5/52 3'1.00 ~18t 88.639/59 85.'12 "6152 97.08"6/6&33.18 "0/5S SG.72J./~1j 46.08 11/6<1 38.70 ()Kt'12/40 ~O.fl3 "2/5J.\35.01 01,272.68 ·~1.,-u/51 SO.63 10/52 30.31 BalMce hod..D~B70.2012/&9 80.07 -.. 01.201.d2 ._o,~i.0/00 83.27 Sub T~05~1<lS.OD Bol.bat.frad.2,510.18 l'JIlho BOiDctttoOtrt"DOD:- S.Totnl OS~S70.20 29.00 10/63 ~1.40 "2'<1~.4t"l,~ Oo01"aO Sora~hcoh1,COD:1/50 <30.OS 0/51 S1.97,25.00 tIM S6.0'1 ,.10/52 .90.S1 "12/<19 ~O.O8 10/58 84.98G/Ol 97.9'1 ~/5S 88.10tOtS230.St 8/50 .aO.OS10/GS S.a.08 1/~<15.920/56 DS.2'1 I'V150 Dn.SO"5/4~40.63 9/51 S1.9?"'11(J~45.62 If 12/52 3G..<100/50 89.S0 I'1/5<1 95.0"1II/51 87.91 "0/55 38.2'11219286.~O <1/52 3'1.1~l/lM SG.O'1 .'11/~~~5.G20/55 33.21 10/50 89.S0'.0/00,119.SO 12/51 3'1.t~10/<1<1 -15.02 I'<1/58 86.63(eontinuod ',5/5<U S<l.S'l (corrtlnuod) Eotnta or Ann Somotkoold,o.11no dlctlao .........COt'lt1m!od t11uO S~c1uosht '(ccZl~~od),. .20.00 0159 8S.2'1nO/GS no.12 "I 9/.aS 4jl.20 I'a/01 .88.0~..8/02 87.tIS I'0193 85.'12•7/5lJ S~.~6 It/GO S2.02 C)/58 96.'12 O/~9 40.82 tl ClOt 80.03 0/82 87.00 f1 8/GS 80.12 01,284.3g~b,~~Jta/fit}zm.80 "iI ••I BnI.bat.frt'1d.6..1~s.on-.~ 6..ToU1l OG,,~21.1' ;. 26.00 9/<10 ljO.02 l'11/80 89.S0 If a/~O ~o.n<'l I-0/<1<1 ~&.82 12/111 ll'1.t<l ""50 S9.DO 11/&:i 05.02..0/00 GO.0'3.':J/BO ~o.os 10/<19 <171040 n SISt sa.on••V!'JO 60.02 "Ijl(t/J .aO.OD K~·~.500.0e 0/09 71<l •.aO GO.OO 9/GS Vl.~<1 01,n~n.Og --0·.<1\--1fIl1""1" O'l.'l5G-;£--of;#1TOTAL•••••'. aM liiii&ii__iiJ=__!&Ad&__ Cmf'lON'YEALTH OF PENNSYLVANIA T~\NSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "c" TRANSFERS (1)Did decedent,wi thin two years of death,make any transfer of any material part Q.t his estate,without receiving a valuable and adequate consideration therefor?(Answer yes or no)l~O (2)Did decedent,within two years of death,transfer property from hi~~elf to himself and another or others (including a spouse)in joint ownership?(Answer yes or no)l~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)_ (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)no (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)no (8)Did decedent,at any time,transfer property,the beneficial enjoyment of which was subject to change, because of a reserved power to alter,amend,or revoke,or which could revert to decedent under terms of transfer or by operation of law?(Answer yes or no):no (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 th~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 value 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 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.// ~.,RC,C-38 COMMONWEALTH OP PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SCHEDULE "E" JOINTLY OWNED PROPERTY INSTRUCTIONS:This schedule must disclose all property,real and personal,owned by the decedent jointly with another or others,including intangibles,standing in the name of the decedent and others.List real estate first,as entireties,or joint tenants,giving brief description,as indicated under Schedule "A",plus the date and place of record of instrument effecting vestiture,but do not include entireties or out of state real estate value in estate valuation column.Personal property should be listed as in Schedule "B",plus date of acquisition,and the name,address and relationship (if any)of co-owners to the decedent. DescriP.tion of Property,Date of Acquisition,Namel Address and Relationship of Co-Owners,and Place of Record of Instrument,where Real Estate.! None unit Value percentage Share Estate Valuation DEPARTMENT VALUATION CAUTION-Do not Write In This Space. Value of Value of Entire Decedent's property Interest Insert this total opposite "Jointly Owned Property",Schedule "E" in the "As Reported"column on the last page of this return.None ,.-. RCC-37 (12-63) Ctnl:\lt)~\\'E:\I.TII OF l'E:'I:~~YYl.:\NIA THANSFEt\l"'lIEHITANl'E TAX RESIDENT DECEDENT SCHEDULE "D" BENEFICIARIES \ h - BENEFICIARIES AND ADDRESSES RELATIONSHIP SURVIVED(If step-children or DATE INTEREST OFStatefullnamesandaddresses'of all who illegitimate children DECEDENT OF BENEFICIARY ave an interest,vested,contingent or other"are involved,set STATE YES IN ESTATE wise,in estate)forth this fact.)OR NO BIRTH Carl Semetkoski Son Yes -_..lD~vt5t.e_~·.",:_~:: 418 Walnut St.,Donora,Pa. Marian Dancik Daughter Yes ---1/'7;Residue 5239 W.44th Street,Parna,Ohio Stephen Semetkoski Son Yes ---1/'1 Residue 2 Virgina Dr.Rabe Manor Donora,Pa.15033 George Semetkoski Son Yes ---1I~Residue 80 .Tulin T,::Ine r;n(';nn~t;nh;() Michael Semetkoski Son Yes ---1/';f.Residue Sutersville,Pa. Dorothy Wiesemann Daul!hter Yes ---1 /':t Residue 3001 Harvest Dr.,Pitcairn,Pa. Velma Cecconi DauP'hter VeR ---1 /7 R.esidue 52 Gilliall Road,Pleasant Hills Clairton,Pa. June Bowman Daughter Yes ---1/7;Residue 118 Bertha Avenue,Donora,Pa - , - Deponent further says that all the above-named beneficiaries are living at this time except below: NAME DATE OF DEATH RESIDENCE - Deceased REPORT AND APPRAISAL ~IATIER OF THE APPRAISEMENT Ann Semetkoski,a/k/a Anna Semetkoski, a/k/a Anna Semetoski (Executor-Administrator must complete "As Reported"column #1.) 0 t-j '"0 ~......Cll Cll0IU...e:...'"'"::l 0'"'">+>::l '"0t-j Cll e:.........IU '"0x'"0'0IU...f:!10-~.g ~ ~Cll.......'"'<....IU....Cll I I :...... II '. enc:~•~!<I ;>OJ.1 1.~:;:......oil~..................><:.Jenenen()n n ·i: ?";:r-;:r-.,'j ~\g ~~"'~'-- -00 -00 -00 -00 -(ih -00 ......... l--'l--';> 'H::-eN :t-:l '" ~..:..~ C1 C1 .Cll .........:0'0 .....~P':!:0 0 ,"", fOr>0:5 :0'".....:.Cll'N (:;::):0 c.. 0')0:;:0'""' Year . P.oJ THE ESTATE OF OF THE 'V'd "00 N01~,NiHSVM Slll.¥..:1 0 H31SIS :3 U or-·~1U'yJ ~L~•J-I J ;.;Sn}j Late of .... ....Donora..................--.... Commonwealth of Pennsylvania County of ..Washington :~RimOOXmx!No.., . t n .....;,\"l O'l~""t ~z Z lid ,, L I 'fljl1:l ~l "j Icc; -00 .-00 -00 -00.'"K ~\f\..~ .~o -fP.o -00 :~.-;~~~:.:'0:~.o ~t;:\3':0 !:;'""'~CJ ~. :I :.:::: .~.&~ :("',:'""' Rcc-al (2-64) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS INHERITANCE TAX DIVISION NOTICE OF FILING OF APPRAISEMENT STEPHEN SEMETKOSKI IN YOUR REPLY PLEADE REFER TO J In Re:Est a te of A_N_N_'-"'_cS_E~ME_T_K_O_S_K_I _ ____\_vA_S~H.:.:I.:.:N.....;G~T:...;:O....;;,N~County - FHe No.63-71-1268 Dear Mr.Semetkoski: You are hereby notified that the original appraisement in the estate of Ann Semetkoski has been filed in the office of the Register of Wills qf Washington County on Ja.nuary 21 ,19..1.2.Said appraisement reflects the following valuations: Real Estate _--'-__-=-2.,.....z..,..;:.O~O~O...::•..;;O;.,;:O~__ Personal Property __~1~2~.=5~6~8~.~2~6~___ Transfers ....-~-;;-;::'."...-..",..,,:---- Total "...::1=-4:.;..:,L..::5:..:6:..:8:..l:.~2:...:::6:...___ 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 one year 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. Title Date __...;..J..;:;;a:.::;n:..:;.u=a:..::r......y--=2=l::..:1.<--=l:..:9;...:7-=2=--__Signed __F_RA_N_CE_S_L_E_'O_'-_ CHIEF APPRAISER DATE OF DEATH:November 16,1971 Note:This is not a bill. ,.;e ............,..-- RC~-39 (5-68) COMMONWEALTH OF PENNSYLVANIA TRANSFER INHERITANCE TAX RESIDENT DECEDENT SUMMARY Estate of SEMETKOSKI,ANN (Last Name)(First Name) DATE OF DEATH 11-16-71 FILE NO.63-71-1268 (Initial) REPORT OF INHERITANCE TAX APPRAISER I,the undersigned duly appointed Inheritance Tax Appraiser in and for the County of \Vashington 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",an E". Dated:__J_a_n_u_a_r-"'-y_2_1-','-----1_9--'7_2__ REPORT OF THE REGISTER OF WILLS I,the undersigned duly elected Regis ter 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 WI LLS 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 None 14,568 26 14,568 26 VALUE AS REAPPRAISED $-------+-- Valuation of life estates or FOR USE OF REGISTER ONLY Tax on $----------1--2% Tax on $----------1--6% Tax on $----------1--5% Tax on $10% Tax on $15% Exemptions * Total Estate -I-__ TOTAL TAX COMPUTAnON OF TAX $-------4-- $--------1-- $---_---4--- $-------4-- $--------+-- $--1.__ (*)As evidenced by Charitable Exemption Certificates issued by the Secretary of Revenue. Less tax previously paid BALANCE Less 5%of tax if paid within 3 months after death :::::::::t==== BALANCE OF INHERITANCE TAX DUE $L Add interest at rate of 6%from _____to $------'' AMOUNT OF ESTATE TAX ASSESSED $-+--,---~I~ Estate tax paid $~ BALANCE DUE $----l,l- Add interest at rate of 6%from t= ------I-to-----$-----~, TOTAL TAX BALANCE $-----~ PAID $-' FOR USE OF REGISTER ONLY ADJUSTMENTS NOTE:Where subsequent adjustments are made to the above computation of tax by the Register of Wills,for proper reason, same should be noted below,with short explanation. /' Will t. , .No.Admmlstration IN THE Year . MATTER OF THE APPRAISEMENT OF THE ESTATE OF ANN SEMETKOSKI Deceased Late of .DONORA.. County of WASlilNG:TON Commonwealth of Pennsylvania REPORT AND APPRAISAL :r, / j ·Funn ~CC-2 }~l1:PARTME1'JT OF REVENUE B'UREAU OF COUNTY COLUdTIONS HARRISBURG.PENNA.171 Z7 COMMONWEALTH OF PENNSYLVANIA RESIDENT INHERiTANCE TAX APPRAISEMENT DATE .....~.~~~~.ty ......~!..L.....!.??~.. COUNTY W~.~h!..~.g~.Q..~. 'nL~NO .§..~..=.?.l::J..~.§..~.. = Whereas,Ann S..e.me..tko..ski late of D..Q.D..Q.r.a.. in the County of W~..~.h.i.ng..t..Q.n Commonwealth of Pennsylvania,having died on the 1.6 t.h.day of N.9..y.~.m:P..~.r.197.1.,seized and possessed of an estate subject to Inheritance Tax under the laws of the Commonwealth of Pennsylvania; Therefore,I,Fr.anc.e.s L.e..o ,an appraiser duly appointed according to law, having been designated to make a fair and conscionable appraisement of the said estate,and to assess and fix the cash value of all annuities and life estates growing out of said estate,hereby file the 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. Unit AppraisementDescriptionofAssetValuesMadeforInheritance Tax Purposes $ REALTY: See Schedule iiATT"attached to appraisement 2,000 00 PERSONALTY: See Schedule TTBTl attached to appraisement 12.568 26 Total 14.568 26 WASHINGTON County ;: RESIDENT INHERITANCE TAX APPRAISEMENT Estate of ANN SEMETKOSKI Deceased. Late of DONORA ~::a;:,,~:';;'~a;~:Y;:1?e~.!;r;;J,!l.?±•.......l ',. Page,.r;g..~=.~No..§.3.~..7l~.l..Z§.e.. Fi/edin Register's 0 fJice,J.a.n..~2.1.,.....J 9 7.2 Amount of tax due,$. DEPARTMENT OF REVENUE Received, Examinfd Qn4.ApPr:<!.ve;d,,:,:.".,:,~: . Wrote abaut Appta.isement, Appeal f,.om Appraisement,. Entered and charged,. .~.r .', ; , I. ~ Form RC C·lO ..,..... ~·..~FFICE OF THE REGISTER OF WILLS WashingtonOF COUNTY AND AGENT OF THE COMMONWEALTH ., STA'TEMENT OF DEBTS AND DEDUCTIONS "DUO"'"mD4if,~\{r THE SUM OF $". Dm~1 O=~I~?Z/' ESTATE OF Ann Semetkoski,alias dictusLATE OF D_o_n_o_r_a_·_ November 16,1971DATIiOFDEATHDATEOFFILINGAPPRAISEMENT DATE NO.OF NAME OF PAYEE REMARKS AMOUNTVOUCHEIlI: U::l'I~ Jan.6 Paul Macik Funeral Home Services 1365 00 Washington County Reports Advertising-Estate 14 00 Valley Independent Advertising Estate 12 75 IRussellMarino,Reg.Letters &2 short cert.H~00 Guy Rogers,Deputy Trip to Pittsburgh 25 00 7 Alan C.Dent,M.D.Bal.Due 35 00 14 Vital Statistics 5 Death Cert.10 00 Russell Marino Inh.Tax 442 10 Stephen Semetkoski Expenses reimb.to executor 50 00 I 20 Quinet Monument Co.Marker 25 00 I S.Semetkoski Expense reimb.for phone calls 20 00 U.S.P.O.Reg.Mail 53 Russell Marino Filing Inv.3 00 F.Wisyanski Notary fees 6 00 S.Barry Anderson,Esq .Legal fees 400 00 .. Russell Marino Filing account 16 00 S.Semetkoski Executors fees 70C 00 Carl Semetkoski Family exemption 1501 00 Quinet Monument Co.Marker 181 00 -$4822 38 ~.AJ VA iI~ArfY'\(~:'~-It 51) ICLA A ~~~'j~k 1/$'-0 .- I COMMONWEALTH OF PENNSYLVANIA }ss:COUNTY OF Washington I,S.Barry Anderson.Attorney for the Estate HEREBY CERTIFY.THAT.TO THE BEaT OF ~y KNOWLEDGE AND BELIEF.THE FOREGOING IS A JUST AND TRU E STATEMENT OF DEBTS.FUNERAL EXPENSES AND EXPENSES 0 .. ADMINISTRATION SUBMITTED TO THE ESTATE OF Ann Semetkoski.alias dictus DECEASED.AS DEDUCTIONS FOR INHERITANCE TAX PURPOSES.~-~AA (\A~I •Il.lJVV ltfA"V (711'-(L.5 I. SWORN AND SUBSCRIBED BEFORE ME THIS 26th DAY OP'Atty.for tHe ~state 01 Ann ;:;emetKOSKl October 1',"72 I ~cd~'amy puo' Notary P...b:i~,Donora.W2~hington County My Commission Expires July 30.1973 'r IN THE ORPHANS'COURT OF WASHINGTON COUNTY,PENNA. ) Date of death ..:.../..:.../_-....;1---.::...6_-_r..:-..:-/_ In the matter of :the Audit of Account filed in the Estate of \No.1971 -1.2.6.8-,Term,19__•A.A. .Semetkoski,Ann a/k/a Anna Semetkosk~~~3'fr·/a fkf a Anna Seme toski DeceaSed!Doeket r.:;;;ip .~.-C)_'_f.:t _ TO THE AUDITING JUDGE: Enter my ,appeara<Ilce for the Commonwearth of Pennsyhllania,claiming tl'ansfer inheritance tax in the above estate,as follows: ~:'apPl'aiSed Vialue of Estate:Realty $__-.:2,.()0 C:t Personalty..................c $__'_..=....~!!.~"---0_-_'=--_Z=-··.....!.~:2:.....l6~_ Additional Assets per Account.Subject 'to Tax _..............................$. AddrtioMI Assets per Audit,Subject to Tax _$,-_ GROSS VALUE $ CR. Debts land Expenses per Account;see Note Add~tiotlial Debts and Expenses per Audit ) I ) $------- $--_._-- $------ $------- $-------- I LI,s'ro 3',·U , $--i n )\.;3 ~( $-_.._~.._----_._-_._--- $-_..__._-- TOTAL DEDUCTIONS.$~...._ NOTE:The following credits claimed in the Account are held not deductible '8JS against the tax: CALCULATION Gross V:aJ1ue .. Less Deductions ._ Clear Value q 70 Z /~.~'__._ 9 7 0 'tf 2-£ll--__ $ ) 1'ox. 1,,_able ( at --- 15%)_ $ $--- $__._'1 ..__ ,,",~~'1TotalTax.._............................$._..J.._~___.. "'"am_p<ev;ou,;y paid _ __.-$-m\"}~ Balance $~_~ Interest__yrs.Z--moslldays @ ~% _$L~_. TOTAL TAX AND ,m;;,rST DUE.._.._..$,.j}?\,Jfl ?l~d-/c;1Yd-i \0-07~'L -~P I)!xy ~fJ)·....:Z-~~.I() ~CD ,.. .1 1j No.,________Term.19 __•A.A ESTATE OF Deceased PRAECIPE FOR APPEARANCE FOR COMMONWEALTH OF PENNSYLVANIA ~5 NO,8 ~RC=C"4::J(aHi"6a§)~iJl-m-~-r::rmlJ::ll!l!l:i!lilL-i::I-~c-ErlOm:J:MB!~I[-m~DW::::l!!E!!IiA!J1~:a:~IIBl!l::JJFm::mpE.N::IN:B:'I.ri1SY=L;:lVt:Jl:~g;~~1I!!Al9JIll:I'-~i:111l:-~'llJ"mwl:-Il;'~nlC~-~i] DEPARTMENT OF REVENUE45838OFFICIALRECEIPT0PENNSYLVANIAINHERITANCE AND ESTATE TAX dollars.,t1 I .It',,1 I "I ,'Nt !t1J.'."represen Ing I"ennsyrvanla nnemance or Estate Tax due from the following estate: From:-tr:.fflf.--"fr;:-flMlffi:....ntmERSt'1rt-------,-----------------=---------I~1 RECEIVED roan IMmtmD PORn 'flO and 10/100 1$Ii 1 ' 1 STEPHEN SEUETROSKLootFJrn PAYING ON nm.LIAB. Address~~I'-4I!'rrJ!FP.',M-~FQ~~-----------l Nome of Decedent --tdift--s;tiit:fKeS::ti1---------l 2%Tax on $$ 6%Tax on $ON AOGOc!1£$46S.Yi.., 15%Tax on $$ %Tax on $$ Estate Tax,Act of May 7,1927 $ TOTAL TAX CREDIT $};/:,;/J1 Less five percentum of tax if paid within three months after date of death $23.27 Plus interest at the rate of __%from to $ TOTAL AMOUNT PAID $442.10SEAL Date of Death-:t:tiitUiMll~-1 .... Date of Payment --'iimlm'!T~"ti'-;1;"2-----1 Remarks: County --ltWmmcmm--------------jvi NOTE:This Triplicate Receipt to be retained lor audit purposes,()0 ,---./VI ' .....,.~-"R.,.r"d b>-~41 l-,!!~"'".tlNOTE:In accepting the transfer inheritance ta""o"rrR!fllf~tes,prior to the death of th~~f (SiQfiCIf tenant or tenant for years,as evidenced b~this receipt,it is understood that the Commonwealth slfoll .......f--I ) •(Jg not be preclude,d or prevented from hereafter assessing additional inheritance tax at the death ofllte )<~"f2!"of I'l.J /1.{'-0.) life tenant or tenont for years whenever it appears that such additional tax may be legally due and t'.~\'~1>(\fJt1eY" collectible for any reasonwhatsoever,, .i'l COpy OF INVENTORY Notory Public STEPHEN SEMETI(OSIQ Ann Semotllos1d.o/k/n Anno Semetltoski a/h/o Anno Sem<:rtoalxi mrtnUcur:Iuonm: Ann Semctltoohl,01lon dtctuo, 14th Jnnuary /s /Frances Wisyanski Notary Plbltc '12 / s /Stephen Semetkoski Executor ~ Notary Public.Donora.Washir.gton Gounty My Commission Expires July 30.1973 CENTSDOLLARS 3Junrutnrg.aulk 1\p.prai.6rmrttt of the goods and chattels,rights and credits which were ~.ScnnGthooltl"oUno dietuo DOnoro of ~,;:..late 01.. W ashingt~Curify,Pa.,taken and made in conformity with the abave affidavit. ,- r. PERSONAL PROPERTY -.-.-~".-....-,'~t... '..':JiLLtoooo t\70 cortain loto or parcels of lnnd. ·G1tuntain tbe TO\7n of Donorn,(formorly Corron Tt7p.)Wash. Co.,Pc.,be1nglots noo.262 nnd 25-G bl the Jeniooe Lnnd Comp,:::u'tyto pion of S.Docora.of rocord ill tbo ofitce of~ in Qnd tor oald County of VIeohlnaton in P.B.2,paao '1'1. BEGmNlNG on tho North-enoterly aldo of Walnut Stroot.G9t.'15 feet,North\?'Cat trom l'!cf(ea.n Avenue at tho eornor of Lot No.250 in enid plon;thenco North erestcrly alooa Walnut Str~t 80 feet to the corner of Lot No.258 in said Plan;and thoftc(!ontendlng beck presarvinfi the some o1dth,110 foot to nn unnnmoc1ln onld Plml. 110r chain of title oeo D.B.Vol.-650 ..pngo 099.____--n._'-~.~-~--~_...1tj.._~~I0\"....,.,..~::4,~""""""~~_ ..,..........,~~.........f'"~"'I:h,_-F_....- 4,612 11 ..,..,._. u.S.Snvtugfl Bonds -0.0 of Novembor 1971 (Seo cttnched Ust) 7..'156 15_.~ 014..5G8 26 ," ~u;\~ hI,RSVi'[T ~;.3~fIJn-"l ~t:'...~-.-I"jIL";'\"t '.~J ·'II·4f \.1}~;i ~\-e!Jk 'l..t!.l_al'~lf~j ~~~'~!m.f;oJ ~~r.~ BT'1::l::J 3l'lAJJOQ , , ,I ,. ~_"'I' t r·;l :...::t... ~eds TO ~.~.-.........IIIIIIrt'S'f•.._' .............r::::::::::::::.. Washington,Pa.,./l::.3.:7...k.19 . PRESENT RECEIPT WHEN LIFTING INSTRUMENT.. State Realty Tax $. Registration Fee $ . Fees $~~e. .50 State Tax $. 1.00 Certificate and Seal $ . Ng 11943 RECOIlDIEL\'$OIrIrICIE RECEIVED OF f~?1J.~.. P.""'f!?t"~...iJ~N ..1..9...1,3.2.=:.,.Ire """"'oo in the Recorder s Office of Washington County,Penna.Parties named below..JJ:::.~..:_.o.e"'( Satisfaction $ . Total $..~..~.~"J2.. II'~Ii I I I I I I I I Ii I I ) ) I ) I Il ) I J I I) j I I I) I! 9) ll__~_ .i 16397 Washington,pa.,,__2J-.r.~..:::o.-O~=---.:-=---::0=--_,1~ OFFICE OF CLERK OF ORPHANS'COURT DIVISION State,etc._••$==::;:::=:;;;AJ-B- Total·_••••$'~b=~~=--- . -...$,-=---=---county IIIII I J J J I!~I~~il j ~l L.-.-.-.~_""__-="'_='=~="'_"=C=""__~"""'~"""'""'''''''. .---- 1 1 2 000 2 ~6 8 4 5 6 8 o 0 2 6 2 6 ~~~ ..................~••••••-.............irr......lt...~................_--........__...Jr..~~....._~....•~.._