HomeMy WebLinkAbout88-0247 t�: , ���� :i����< <f�ie infurn;atit�n I�cre �;i��en is couecti;' tc�pic��{ Pr�»n an ��rir,inal certificate of�ie�ith �fuly file�i �vinr ���r
F n�_ I ii���,i�t�a�r �I tic �n-it;inal certificate �vill be furw�arde�l tu u��� �t;:tc Virai Rea>rci.ti Office f�;r j�erin�u��ent filing. �
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF HEALTH
VITAL RECORDS
CERTIFICATE OF DEATH
;�-a�,�:;��s��;
STATE FILE NO.
Name of decedent (First) �Middlei (Last)
Sex Date of death(Mo.,Day,Yr.)
,. L?�2� � ' 6/28/87
� n �i z. 3.
Race—(e.g„White,Black, Age last bi�th� If under 1 yr. It under 1 da Date of birth,Mo,Da , r
American Indian,etc.l da Y State or foreign country of County of birth City,Boro,or Twp.oi birth
V Mos. � Days Hours Min. � birth
4. K t 5A. 8 5B. 5C. � sA. se. Pa sc. Luzerne 6D.P
County ot death City,Boro,or Twp.of death Hosoital oi Institution(If not either,give address)
If hosp.or inst.indicate DOA,
�A.Cumberland �e. Camp Hill ,�,Holy Spirit Hospita.l OP/E R,oi inpatient(specify)
�o. Inpatient
Decedent's Mailing Address(Street or RFD No.l (Ciry or Town) (State� (Zip Code) Marital Status
Surviving Spouse(lf wife,give maiden name)
e 10 Penn A Rd. Cam Hill Pa. s. Widowed ,o.
Cititen ot what countryT Was decedent ever in U.S.Armed ForcesT Social Security Number Usual Occupation(Kind of work done during most Kind of business or industry
❑Yes �No o(working Iife)
" U� 'Z 13. 1 —12- ,on. Housewife
Where did 148.
decedent ���Stare . Pcl. Did decedent live 15c.� Ves,decedent lived in
�y-� township.
5tually live? �5b �unty Cunberland in a townshipl 15d. d
IpJ No,decedent lived within actual limits of _ CA1R'p H1�� city or boro.
Father's name (First) (Middle) (Last) Mother's maiden name (First)
(Middle) (Last)
�s. Caseniir Sa.Nicki ,�. Mar ann Ptoriewick
Informant's name(Type or Print) Informant's (Street or RFD No.l (City or Tow�) �
Mailingaddress (State) (2ipCode)
�BA. Leanard Pendzinski �ae. 10 Penn A . Rd� Cam Hill Pa 1 011
� Buriaf �Removat Date ot burial,etc. Name of cemetery or cremarory Location (Cit boro,tw I
Y. P. (Statel
19A. DCremation (]otn�� �sa. 7�2—�� ,�. SS Peter & Paul 190. Plains Txp. pa,�
Signature of tuner director and license number � Name and address of tuneral establishment
zoA. Fo- 0 0 2��-[]L Michael J. Mikelski
Registra�S�n e � Date received by registrar 293 S. River 5�.�
21 A. a, /" �1 � � -,� t'�181t115 YEL �n�'��
. 278. �'—� — ;?f ^ 206. � s tv V
m To the best of y knowledge,death curred at t time,date and place and due to
� the causels)st ed. ''/'1�� �
$'¢ Signatur� M.D.
Ea c 22A.and title _ D.O.
Date$i (M1�o.,pay,Y..) Hour of /��
�,�� "�� �p Death ��i��'{�
�� 22B. � � � O � 22C. P.M.
� ame and Address of Certifier(Physitian,Nledical Examiner or Coroner)(Print o�Type)
,/ (�/ / /'� fName oI Attending Physiciarn
24. u�iK� O CC�(�'1 ��`� (o2.S � O�/.� _ `1^liyt J(�� ie 25. ( C�(? �:` Q(�n 1 i
26• IMMEDIATE AUSE: Enter only one cause per line for(A)(B)a d(CI Interval betw
p o�set and death
� [ I
IA I Z-(..L 'e (�il.I'l t.t v Cs��-1� C�ct f-�rk Cc� I
Due to or as a consequence of �
PART �Interval between onset and death
1 Iel
Due to,or as a mnsequence ot: I
I Interval between onset and death
(CI �
PART 11 a�r Significant Conditions—Conditions eontributing to death but not related to cause given in Part I Ia) Autopsy Was case referred to Medical Ex•
�ye5 aminer or Corone�7
27. (�No 28. ❑Yes No
Acc., uicide,Hom.,Undet.w Oate of Injury(Mo„Day,Yr.) How of Describe how injury occurred:
Pending Invertigetion(Speci}y) Injury A.M.
29A. 298. 29C. P.M. pgD.
n�ury at wor lace o n�ury At home, arm,street,etc. Location treet or R D No. City, ro,or Twp. Statel
❑No �Ves
29E. 29F. 29G.
Rev-tsoo eX+ (z=a�) FILE NUMBER
���' INHERITANCE TAX RETURN
RESIDENT DECEDENT �� _ � � - a� ry
COMMONWEALTH OF PENNSYLVANIA (TO BE FILED IN DUPLICATE �v y��� �I
DEPARTMENT OF REVENUE
POST OFFICE BOX 8327 WITH REGISTER OF WILLS)
HARRISaURG,Pa, vto5-83v COUNTY CODE YEAR NUMBER
� DECEDENT'S NAME(LAST,FIRST,AND MIDDLE INITIAL) DECEDENT'S COMPLETE ADDRESS
W �'�iv/,�ZI NSK 1 �f I GToR i!} H 5!o PEti�v R-YR RD
0
V SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH �A�p y /L� iOh1 � JQ�/
� lqq � a o �{ 9 7 �-a�s-g7 � -y�q9 �o��fY C�m �3� RCAryI�
W
Q1. Original Return ❑ 2. Supplemental Return ❑ 3. Remainder Return
x�Y (for dates of death prior to 12-13-82)
WaC� ❑ 4. Limited Estate ❑ 4a. Future Interest Compromise ❑ 5. Federal Estate Tax
vam (for dates of death after 12-12-82) Return Required
a ❑ 6. Decedent Died Testate ❑ 7. Decedent Maintained a Living Trust _8. Total Number of Safe Deposit Boxes
Q (Attach copy of Will) (Attach copy of Trust)
i4LL��1���'SRCiI'�I�EI+CC�{k1�:C��+K1Id�lCkEhlT�i��.1'�4�'1t�lFt?ttl#tl�4�t,�lil SI�Ii�3ElL�'?1��1�llt��'t'EL?'�`�'3:
� � NAME COMPLETE MAILING ADDRESS
� Z j.,E oiv�R U S' P�nf� z�ivSk 1 o E.i.�v f� s-R R1�
O � TELEPHONE NUMBER � � �
a C f�r rrI/° ,5�/C..( I�i9 / 7a/./
`7�7 "7 3 7 o SS
��.-.. ::;c� :zr�-,�,
1. Real Estate (Schedule A) ( �) -"'" -- ;-f-;
2. Stocks and Bonds (Schedule B) ( 2) _ -"" _ ���
3. Closely Held Stock/Partnership Interest (Schedule C) ( 3� �- -
4. Mortgages and Notes Receivable (Schedule D) ( 4) � "
5. Cash, Bank Deposits&Miscellaneous Personal Property( 5) -
ZD (Schedule E)
Q 6. Jointly Owned Property (Schedule F) ( 6) � � o� 5 O �
j 7. Transfers (Schedule G) (Schedule L) ( 7) --�
�
a 8. Total Gross Assets (total lines 1-7) � � �O � . � 0 ( g) � � S � �
W 9. Funeral Expenses, Administrative Costs, Miscellaneous ( 9)
� Expenses (Schedule H)
10. Debts, Mortgage Liabilities, Liens (Schedule I) (10) ? g O / , ' U
11. Total Deductions (total lines 9 & 10) (��) J �fl
12. Net Value of Estate (line 8 minus line 11) (12) g (o / �'J , / �
13. Charitable and Governmental Bequests (Schedule J) (13)
14. Net Value Subject to Tax (line 12 minus line 13) (14) g 6 / � • ��
15. Arpount of line 14 taxable at 6% rate (15) g�O /3. e'I� x .06 = 5� �' 3
(Include values from Schedule K or Schedule M.)
16. Amount of line 14 taxable at 15% rate (16) x .15 = ^
Z (Include values from Schedule K or Schedule M.)
0 17. Principal tax due(Add tax from line 15 and from line 16.) (�7) +
�
? 18. Credits Prior Payments Discount Interest _
� + - (18)
O 19. If line 18 is greater than line 17, enter the difference on line 19. This is the OVERPAYMENT. (19)
x �❑ - - - . . . -. . . . . . . - . 5a � ► � 3
� 20. If line 17 is greater than line 18, enter the difference on line 20•This•is the TAX DUE. (20)
A.Enter the interest on the balance due on (ine 20A. (Zpq� •3 �
B. Enter the total of line 20 and 20A on line 206. This is the BALANCE DUE. (206) Jr� �• 9 �
Make Check Payable to: Register of Wills, Agent
#��E StJ�t�'��3 A�iS�1�R ALI�i t'�11��1;I€��+CN�1 R�����r1t���l�+fi.E�TC1�t���H�C�l�I�IT�I�MI�
_ '�
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete. I declare that all real estate has been reported at true market value. Declaration of preparer other than the personal represenTative is
based on all information of which preparer has any knowledge.
SIGNATU OF PERSO �N FOR ILING RE RN �'�DRF�S � �� � /7O// DATE
i.cv�+/rti• 3 3 0'f 8'S'
SIG TURE OF PREPARER OTHER THAN RE SENTATIVE ADDRESS DATE
. � -j�g
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (�) IN THE
APPROPRIATE BLOCKS.
YES NO
1 . Did decedent make a transfer and:
a. retain the use or income of the property transferred, .......................................
b. retain the right to designate who shall use the property transferred or its income,
c. retain a reversionary interest or ....................................................................
d. receive the promise for life of either payments, benefits or care? .......................
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death
occurred after December 12, 1982, did decedent transfer property within one year of �
death without receiving adequate consideration? .................................................
3. Did decedent own an 'in trust for' bank account at his or her death?......................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
REN-1571 EX+�72-85)
SCHEDULE H
FUNERAL EXPENSES,
COMMONWEALTH OF PENNSYLVANIA ADMINISTRATIVE COSTS AND
INHERITANCE TAX RETURN MISCELLANEOUS EXPENSES Please Print or Type
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
V I �To R � r� �{- p�Nr�z��s��
ITEM DESCRIPTION
NUMBER AMOUNT
A. Fune�alExpenses:
1. �'vn��rRAt fli�EcTo� 3 0 35 . ao
�c,o��as � a� •�o
Fa,vERA�c r3REqKr=AST' � l 7. 7D
/�T PLq�h.S t.w�OK, 6
GR/1�E �9RRKE2 /v O, Q0 3!'3 '1 �I� �
B. Administrative Costs:
1. Personal Representative Commissions
Social Security Number of Personal Representative:
Year Commissions paid
2. Attorney Fees
3. Family Exemption
Claimant Relationship
Address of Claimant at decedent's death
Street Address
City State Zip Code
4. Probate Fees �Q . p 0
C. Miscellaneous Expenses:
'. po �Tv� I3i[.c5 � a 3 �- 3 C
?-�x�s � � q, sy y � � . ao
TOTAL (Also enter on line 9, Recapitulation) $ � Q / � ,Q
�o
(If more space is needed, insert additional sheeTs of same size)
REV-1509 EX+ (7-83)
COMMONWEALTHOFPENNSYLVANIA SCHEDULE ��F��
INHERITANCE TAX RETURN
RESIDENT DECEDENT �OINTLY-OWNED PROPERTY
ESTATE OF FILE NUMBER
V� GTO R 1/-} � ��'N[�2/NSl� �
Joint tenonl(s):
NAME ADDRESS RELATIONSHIP TO DECEDENT
A.�.� o n�A-R IJ S PEN►�Zi�SKI S�D P�rvrv �4- ;R R�� 5 o N
C f� m 1° N �C l PfI l7oi/
B.
c.
Joietly-own�d property:
LETTER
ITEM FOR DATE TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBE ,IOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
,. �. /I�R�R�h� T'w o s To R Y h�o v s�'
a � [.o c�?F� a;5 0 o c 50�
�9,$� �N �oLqi�v s Tw (' , 1 a t s o c�
�V Z�R iv� Co�N7'�Y
TOTAL (Also enter on line 6, Recapitulation) $ � s � Q
(If more space is needed inserf additional sheets af same size)
GERT I F I CATE QF �?PFrr�IBf�L
L•Jill i�ea J. h;r��srsF;� i � P.ealtor-�
DQES HERE�Y '_ERTIF`r' THRT UPOI�! F.EG?UEST FOR 'vALUATIC�t•�l B r':
Leor���r•d 6'er��� in=_.k' i
51� F'e��r�-:�yr. Road
C�:rr:F� F',i 1 1 , F a. 1 i 0 1 1
N� HA^ FE!�^np�.J�s,!,y f;��h12��lEC� TH� FOLI.OI�.lIt��1G DESCP.IBEC� PROF�ERT'r
14-16 Per!�; ir�s Str-•aet
�lairi� , Fa. 1�3�05
At��►p �'Nr=tT HE IS 0f= THF QPItIIQhI THr�T OrJ:
Octot�er� 13, 1386
TN� M�i!?K,ET VR�...�JF_ QF THE L.AtJD AND I��1PF4�JEC�1EtJTS t�9QP.E FULL'�' QESCRIBED
NERFtFJ 4�JAS. Twerity-Fi�,�� Tt-�ou=_.ar�d C�25,OQD.04]) Dallar•s
TN I S �+ALUAT I O!�•1 I S CQNT I NGE�•1T UPOhJ THE FOLLQW I t�1G COhJD I T I QNS:
TI7 is �ppr= isal is to b� u�ed iti wh�le and not ir-i Fart . F�Jo part shal l
be u=Pd zn can iur��c l ion ia ith any� a�thar� dp�r�aisal .
hla respon=_- ib zl it; i: �ssurr,ed by the �ippr•.�iser� for� �riattErs wFi ich are of
1 egal r�a.+_ur•� , rior i=. any up ir� ior� UYi �FiE 't 1'L 1� r•er�d�r�ed her�ew i i�th . Good
titl� is as�.urried . t�i�r��a�er��er��l- i�. as=_.urned to h�e ccam�:��teiit and ttie
owner-�st�� iR try b.�} ir�� r•s�:p7r��= it.71 c f�ands .
This �r�r.�pwr- ty� t,a.. ��,?�n ap�r•ai=.e<i a= ihuu•al7 fr•ee �f 1 iens ar�d
�n��arr�hr•.�.ryr_es , except ��, t��r°e ir-� de.cr• ibed .
TI�� Appra i5?r• l�ere ir�� , by reason of th is r-•epor k , i� r-�ot requ ired to
� i�.,e �_�;t in�r��-,,, ir-� Court w itt7 r�fer er�ce tu -l-t�e F�r�uF�erty aPPra i�ed and
the com,f;�n=_.a# ion for rr�aK ing tl-� is appraisal is. in rin rnanner cont ingent
uFar•� +.t�e �,.�ali.ae r�eported .
Tt�e und?r=_. i�r��=_d ,ic+e= t�er��bvi cer�tif5� tl�at tc� tl-�e bes� of his Knawled�E
�r�d hal ief tl-�e staternent� cantair�ed in tl� i�. dppr•aisal and upon w��� ich
•fhe a� in ions er..Rre.=_.s�d f-�er�e in are ba=_-ed , ar-e cnrr�ec t , su�j ect to the
1 imi�ked cor�d i+_ ior-�s here ir� se l- for•� th' al so tF�at tt� is ap�r�a isal has been
n��a.de in conformit,• w i+h the �r•o�ess ional �kandar�ds af tF-�e fin�er ica�i
In_=.t itu te af Real F�� tate �ppr.�i�ers ar�d Thw An�zr ican S�c ieti of
flFFr�a i<�er�.=. .
�%%��.f? �.�:' 1:�r��E+ G,C..��V{/G:.')7� ty1 I\f(�..� .,[,�:.iL_.�c.:�
>ry J
L•Ji ! 1 i�.n�o J. "h:o�er��k: i , Br�nN:er�•
i
{� =+y�1'S�� I Y
. ,
��� ��
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I
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1 a-l� FFRK I�•1S STREET, PLA I IdS, Frt.
C1LJh1ER nF RFCOP.L�' I,eon�,r��i P�rsdz ir��l�; i •?; '�,'i�:�tt�; ia. Ftr�dz insH; i a;,s Jo ir�t
T,a.r��t�r. t=. �� i tt: r y at: {_ . � �,.�: , i�.<<ar .�l� iF .
I..FGAL. DE^aC!-'IPTTr?t.l:
l.,�,i;-err.e rc,iir�+ ;' F��,f:c�•.•�i�... _ F n�e�r1= �tuo!< llal , F.;ye r,:'�,.
rq�,�, r.,{�¢_,�„-,� a : �a=._,�=�� _�r� 's ?7ffica G10r�l�7 ��3� L�ll�.
�.rl l" C T t C; r n � .,:�"�^,'.�:} "�•:1�'I. �� '}��=7�,�i�1 �
rr,�p�rry+;��r.�cr.lT-; Tiao._= ! ��,r ;� rtr- ��.!r:.; ,.ic�:ib l e �Jwe l i ir�g �or�ver te� tu or�e s ir.-
r :?r.r�re and twc�-�Lirr�ee r~ourn ar�d batt� 1i�� ing ur�ii�ts .
F,:;ti��.��� 1Jt?!nl.�t�TIQC�I' C��uri-�_,�--L.ar-��
� ,���.�O
Ir�iF--• . �,''4'��.7.k]�
T� �,�� =�2,�10.00
<Ot�lEC�' P.-r^_ Tw�� Fa,;ni 1 y Re= i<Jen F ial
UTIL.ITIESs F�11 F�.�t�l i+- �,atil ities a�..�aila�le . Publ ic trarispar-tation
i•i ztt� ir� ;,ne ar�d r�r�e-h,�.l f t�1 oci;'a .
t•aEIGHI?nF.HQ[JC?: Re=. id•_�r� tial -� ir�yle ar-id mtalti-faniil,� fra�r�e .
f?�,�9 . :�28.�7Q�7.
SITE: Aha��F� road grade est . 2�-�5>: rise t� re.�.r . t�tacudarn Dri�e .
Cor�cr�et� 4Ja1l�: . Seeded l.awn .
HIGHEST APJD BEST USE. Rr�e=.er7-t
� IhiFROVEt�1�tJT dATH
E;�TER IOR
ROOF: R=.�ha1 t campa: it ior7 , f•1a in r��i,uf-GoGd , Rear�
F•Gr�cr7 F��7�r-� .
SIDIhlGs Dc,uble-4 Vinyl , goUd condition ,
Gl1TTERS � DpWr�lS: Fainked r�lun,inum
!JIhJ�DI.�JS: poub 1 N ht�ng w,' An�d ized H1 umir7urr� S-torm and Screen
pr�prH�-c;; Fr�nnt , wood decK wi �aond sfi�p� , Poor . Rear� first
f 1 oar� cc,�,�er•�d � �jUGCI . Secur,d f luor , cower~ed fa ir .
IhJTER IOR
WALLS: !'la_.ter� , Drywall ar�d �•ac7eling �uriiFosi�te , Fair•
CEIL.IPIGS. Plaster , dr•ywall , Celoter. , Fair�
F�-����� Tong�ae ar7d Gr�v� ye 1 1 aw P ir-�e , unf ir� islied .
TRIf•i: Calar� i�� t,o:; � Pd'll'7'�$L� , fair
BATHs Qrd inar-•y fr•�e� stand ir�g 3 pc . g�od
CAF'Ih•IETP.Y: Owners sid� arid second iluor• woud stocK
rr�a.rrufa�•tur•ed Fir�st flr• apt . wood painted
c�as�ti:rrr t�uilt .
PLUMRIFIG: Co�per , with cast and P�JC Sewer•
H�ATIPJG: Two �as stearn �urr7ace� Americar� Standard , Good
ELErTP.ICAL: Two breaKer� par-iels ar��i une four cir~cuit fusecl bux
Predomintely P.urnex sarne k.r�ob and tube .
Br1SEtr1E��JT
FOUPJOA7IQN: Cinc+er�Cor�crete
FL,QQF.'S: Ear t h
�E�dTP.At-1rE: !?ear Bilco door�
CEh1ERfiL COh�1D?TIOtJ: Gaod , Ex tens i�re deferr•ed rna irtitena�ice r�equ ir•ed
t�lAP,h:ETABILIT`r': Gaad
CQl�1!-'f-��f�BLF �ALES Df�T�i ,y�•!D Vf�LUATION RF••JFlL1'SIS
COt�1P�tP.�BLE SfiLES Df3TR:
SFlLE P•!O. 1
AD�IRFSS. -ft�� 2�1-2�3 Gard;�ier Avenue , Farsar�s , Wi1Kes-Barr�e , Ra.
COP��JS I DERAT I Ot��l: � 35,�1Q�.0Q Dr-iTE OF TRFitJSFER: 02r`18i 86
D ISCUSS !a� Pr-operty descr iF�t iuri and cand it ior� at t ime af sal e
!L� ? Con� i t ior-�s of �.�1 e affec-t in� the cans iderat ion :
Ca ) �oub 1 e dwe 1 1 ir7c� , __ ix r��orns , 3 B�ir , bath ea. s ide .
Twa gas hot a ir• furridces . 1 �as , 1 el ectr� ic HW Hea-ter .
!ot 72 'x8'� ' . Qr-,e s ide nioder�n . Cund it ion ��ery gaod .
Cb ) �anvent ior-��1 f ir7ar�c in� . Snur�cE I�iI.S
SRLE NO. 2
ADORESS. 11 -13 E�F�y Str- e�t , Farson , Wi1KEs-Barre , Pa.
COhJ�I QERAT I Qhl: � ?3,gQ0.pQ DATE OF TRt�NSFEI�: @3f 1 1 i 86
DISGUSS ra? praperty de=.cription and condition at time of sale :
Cb ) Ct,nd i t ions of sal e affect ing the eor�d i iserat ior7 :
{a) Double Dw�ell ing . Five r•n�sJ4 r•n��s w�' 2 bdrnis , batl�i ea side .
Lot 40 �Y,fO ' . One Coal Ho•t Air , Or�e coal Steam furnace .
Gas hc�t water heater•s . One mc�der r� bath w;'�hower� .
Fair Cor7ditiUn .
, Cb ) Gr�n�:�er� t ���r�a.l f in�nc ing . suur�ce tr1LS.
�FiLE NO. 3
ACIf�RESS: 1 !Q-1 12 Rr��spect stre� t , Wi 1Kes-Barre , Fa.
[;ONa I DERRT I OPJ: � �2,5p0.Q10 DHTE OF TRflNSFER: 1+c/2 1 i 85
�ISCUSS Ca? Froperty cie�.cr- ipt iun anci cond it in at t ime uf sale :
Cb ) Cnt1Ci 1-t 1''JYis af sale uffect irij tt-ie cans iderat ion :
!a) Jouble dwel l ir�y . 7 rms . 4 bdrms , bath ea, side .
Lat 4Qx 112 ' . 2 Gas Stea.rr� furnaces .
� ard ir;�,ry c l� fash ianed baths .
Cnr�d a F ior� F:�ir .
. '
At�JFiL'fSIS OF GOMPfiRriBLLE SALES
Sal e No . 1 . Cor•is i�erat ion : � 35,@00.�0
FRCTQRS OF COt�IPflF,AS I L I T`r':
Tirc�e : ___;:
l,ac�tzar•� : _ `f
I.ot Size : - �;.;
B�.� ilding �ize : --.-„
Gor�ditic�n : -1��,
Other : ---f
Degree of ComF�a.rabil ity {Corriparable to Subject ) : -17};
Ir�dicate�J Ualu� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .� 29,500.00
* �k � *
Sal e tda . c^ Cor�s ider•at i�n : � 23,900.0@
FfiCTOFS QF �GOt�lpfiFAB I L I T`f:
Time : ___•r
Lacatior� ; ---�
L�,# Sizs : -F 2;.:
Buildir-�� Size : - �;;
Cc�nd it ion : + ;;..
OtF��er : ___f
(�egree of Gc�n•�par•abilit;� tCurnpar�at�le to Subject ) : + 4;;
Indica-ted Va.lue . . . . . . . . . .a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .� c4,856.00
N * * �:
Sal e No , 3 Goris ider��at iori : � 2c,50Q.00
FACTORS OF CQh1P�RA6ILITl':
Tirr:e : ___�
�..c�cat ian : + ^ci:
Lot Size __
R�.ail�iing �ixe : _ ,
2y.
C!'iYid '1+ zOFI : + �%
Qtt�Qr : ---'1.
Degr•ee of Coriipar•a�, ili�ty iCarnp�r•at�le to Su�ject ) : + si:
Indicated �Jalue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .� c�,300.00
ItJD ICATED �lALLIE--GQtriPAR,AE3LE 8A!.�ES atJHL`fS IS
�' 25,e►0k�.��
JOSEPH JOHiJ PENDLIidSKI, ET UX Q THIS D�ED, Made the 31st
� �
TO ) ( day of I�Zarch in th� ycar .
Q
L�UPd���D PENDZI?�ySKI, ET AL � of our Lord one thousand
nine r.undr�d and Fifty-two.
t�i,i:;�i�i3 JUS�.t'r: JUf�iJ �L,JD'G1P1SK1 and �NNA t�i�;•iD'G�iJ:�KI, hi.s
wife, of the Township of Plai.ns, County of Luz�;rne and State
af Pennsylvania, Grantor,
AND
L�t���1A?fD P�IdDZINSKI and VICiu1�.II� I'ENllZITiSKI, his Mother,
of th� Township of Plains, County of Luzerne and State of
Pennsy�vania, Grant�es. , as joint tenants, with right of
survivorship,
',VITPIES�ETH, That in con�ideration of 'lhirty-four hundred
��3400.00) Dollars, in hand paid, the receipt whereof is
hereby ackno��vledged; t�ze Grantos do hereby grant and convey
to the said Grantees, their H�irs and ��signs,
ALL the surface and right of soil of and to the follow-
ing lot, piece or parcel of land situate, lying and being
in the Township of Plains , Luzerne County, Pennsylvania, �
bounded and described as follows: `.
Beginning at a corner of lot r1o. 19 and Perkins Street;
thence along �'erkins Street in a northerly direction about
fifty ( 50) feet to a corner of lot No. 21 and Perkins
Street ; thence along said lot Tdo. 21 in an easterly direc- �
tion about ttao hundred eight and thirty-four one-hundredths
(20$.3l�) feet; tt:ence in a southerly direction about forty-
four and eighty-nine one-hundreciths (44.$9 ) feet; thence
in a westerly direction about two huadr�ed fifteen and fifty- �
four one-hundredtns (215.54) feet to the place of beginning.
Being lot No. 20 on plot of lots as laid out in Iiancock
Farm, Plains To�mship, surveyed and allotted by �i. H. �
Sturdevant, Civil �ngineer, recorded in the office for
Recording of Deeds, etc . , in and ior Luzerne Count�r, Penn-
sylvania, in r�tap Book 1, page 160 June ll�th, 1906.
Coal ana other minerals, with the right to mine and
_xemove same, excepted and reserved as in prior deeds in line _ _
of title.
---- - -----
� Being the same pr�mises conveyed to the
� grantors
:` herein, by hate Thorr�as, �;�lidow, by deed dat�d July 2p, 19�6
4
� r`@CQX'��!� - Z- - ._ ,
� T ' ✓ ��, l7wv in t�ie i�ecorded of Deeds Office.
r�nd �he said Grantors ��i11 `�Jarratn generally the r�
p perty
hereb - conv�yed.
State Realty Tax
�34.00
_ Tn ulitness eJhereof, the Grantors have hereunto set
their hands and seals the day and year first above written
Signed, S�aled and Deliver�d •
in �he presence of
R. A. Kin�zer Josenh John Pendzinski (Seal) '
�
� Anna Pendzinski ( Seal)
Commonwealth of Pennsylvania
Gounty of Luzerne SS;
On this, the 31st day of ��Sarch A. D. 1952, before me
a Notar_,r Public the undersigned officer, p�rsonally appeared - �- -•�-<��
Joseph John Pendzinski and Anna Pcndzinski, his wife, known � - ��
to me or (satisfactorily proven) to be the person whose names
are subscribed to the tivithin instrument, �nd acknowled�ed
that they �xecuted the same for the purposes therein contained.
In iVitness '.�hereof, I hereunto set my hand and offioal
seal.
Alice Blake Ritchie
Notary Public
. l�iy Commission expires: March 7. 195� _
-- _ __ 'lg� -
U. S. K�vnnue
�3 .$5
Stamps .
I her�by certify, that the precise residence of the Grantees
is 41� Nlack Street , rlains, Pa•
1
I
, �
certify the above and foregoing to be a �rue and correcc copy of a.................................
D�ED
.......................................................................................................................................................................
� JOSEPH JOHN PENDZINSKI, ET UX
from........................................................................................................................................................................
LEON,�RD PENDZIPdSKI, ET AL
co ..............................................................................................................................................................................
� ' . II � so full and comple�e as the same remains of record in..........DEED
^ ...........................Book
�i
No. ......11-.5.1............. Page............7:5.............. in my office.
WITNESS my hand and official seal at Wilkes-Barre, Pa., �his......25.th ...day of.........JuriC :: 195....6.. �-
_.... ..........._.. ...... RECORDER
�
,�.,_._._._- —__
, �..
�C1MNkG�htW�ALTFi O� PEl�1P1S�tLVA1+l�A� � � X.
�Np' �+r�i���'� � ' I�EFAR'CMEhLT QF 1tEV�IdUE
{7►F�IClAC aE+C�IErC � PENt�i$YLYAN�A 1NH��{TA�NCE AC+117 E�TA'�E TAX
�ev.na��Ext��-Bbl � ACN
� ASSESSMENT � qMOUNT
CONTROL
RECEIVED FROM: NUMBER
• .��� �`�J�.�a�3�
",�aonard Pendz�.nski
�10 Penn Ayr R�ad
C�tctp Fiil.�., PA �.�ala_
� FOLO HERE-
_- FOLD HERE
ESTATE INFORMATION:
� FILE NUMBER
�3"��E�S"Z�'�t�T FIRST) (M��
� NAME OF DECEDENT (LAST) (
Pez�d�in�ki Vic:to��i.a �.
� DATE OF PAYMENT
, A'�52�'CZ'1 �� a.�$$
� POSTMARK DATE
COUNTY
Cta b �`].�n
DATE OF DEATH $�2.�..��
Ia,���� ,,Q �,��7 _ � TOTAL AMOUNT PAID — �
REMARKS
SEAL RECEIVED BY �Y� � ��°� sicNAruRe��
s.�
REGISTER OF WILI.S ` � ��
_�.____ ____----. �----- — -- ._.._ -- .-- -- ---..r....----�-------- — ------- _.._..� — — —� ---. ,..--- --- . ..---_
REV-1547 EX (12-87) �
�'
l r
COMMONWEALTH OF PENNSYLVANIA � � °��� NOTICE OF INHERITANCE TAX 101
DEPARTMENT OF REVENUE �� � APPRAISEMENT, ALLOWANCE OR DISALLOWANCE A�
� BUREAU oF INDIVIDUAL Taxes �'�`�y "�''� OF DEDUCTIONS, AND ASSESSMENT OF TAX
P.O. BOX 8327 DATE 05-09- 8
HARRISBURG, PA 17705-832�
ESTATE OF PENDZINSKI VICTORIA H FILE N0. 21 88-0247
DATE OF DEATH 06-28-87 „ COUNTY CUMBERLAND
NOTE: PAYMENTRTOPTHEEREGISTER OF WILLSACCMAKE�CHECKIPAYABLEPTOR REGISTER OFTWILLS�TAGENTITH YOUR TAX
REMIT PAYMENT TO:
LEONARD S PENDZINSKI REGISTER OF WILLS
510 PENN AYR RD CUMBERLAND CO COURT HOUSE
CAMP HILL PA 17011 CARLISLE, PA 17013
Amount Remitted
CUT ALONG THIS LINE '� RETAIN LOWER PORTION FOR YOUR_RECORDS_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
REV-1547 EX (12-87)
NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALIOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF PENDZINSKI VICTORIA H FILE N0.21 88-0247 ACN 101 DATE 05-09-88
TAX RETURN WAS: ( X ) ACCEPTED AS FILED ( ) CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN •: � •
1. Real Estate (Schedule A) ( 1) .00r�f-, `� -7��
2. Stocks and Bonds (Schedule B) ( 2) .00�
3. Closely Held Stock/Partnership Interest (Schedule C) ( 3) .00� --
4. Mortgages/Notes Receivable (Schedule D) ( 4) .00_ _�
5. Cash/Bank Deposits/Misc. Personal Property lSchedule E) ( 5) .00
6. Jointly Owned Property (Schedule F) t 6) 12,500.00
7. Transfers (Schedule G) ( 7) .0 0 -�
� g� 12,500.00
8. Total Assets
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expenses/Administrative Costs/Miscellaneous � 9� 3,806.10
Expenses (Schedule H) (�0� .00
10. Debts/Mortgage Liabilities/Liens (Schedule I) �� �� 3,806.10
1 t. Total Deductions ��2� 8,693.90
12. Net Value of Tax Return ��31 .00
13. Charitable/Governmental Bequests (Schedule J) $,693.90
14. Net Value of Estate Subject to Tax ��4�
NOTE: If an assessment was issued previously, lines 14, 15 and/or 16 and 17 will
reftect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX: 521.63
15. Amount of line 14 taxable at 6% rate (15) 8 r 693.90 X.06=
{16) .00 X.15= .00
1 6. Amount of line 14 taxable at 15�o rate ���� 521.63
17. Principal Tax Due
TAX CREDITS:
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST (-)
03-30-88 365391 .31- 521.63
TOTAL TAX CREDIT 521.32
INTEREST I5 CHARGED FROM 03-31-88 TO 05-24-88 gALANCE OF TAX DUE .31
AT THE RATES APPLICABLE AS OUTLINED ON THE INTEREST .Ol
REVERSE SIDE OF THIS FORM.* TOTAL DUE •32
* IF PAID AFTER THIS DATE SEE REVERSE FOR CALCULATION
OF ADDITIONAL INTEREST
(IF BALANCE DUE IS LESS THAN S 1 OR IS REFLECTED AS A "CREDIT" (CR), NO PAYMENT IS REQUIRED