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HomeMy WebLinkAbout94-00853 ".,. ., ~<';' .: d:"' "':,c' t <' .,', ~. j::;;~t'., "';r.,-" , " .c. "r:'.;,'~ ~ '\ "-"'t-~, ;. ,~t;- ",;.. . ''''''','' ,-,,".' . -,.-r.J;; ._....,--~'-,._'.. ,--- \ IJETITION I'OR IJRODATE uud GRANT 01' LETTERS Eslalell! fEr/VIe. ~t~ Nu.-021- t1J./.- r'S"3 alSll kIWII'll as Tu: Rcgl"cr uf ~~ ~c 1 J . DI'CI'a.wtl. Cuunly uf U ~ , . In Ihe Social Secllrlty Nil. +d;:;' - ,;J;J - 7ft:>;Y-'it Cunuuunwcahh of Pennsylvania Thc pClhlon of Ihc undcrslgncd rcsJlcclfully rcprcsculs 111111: Yonr pClllluncr(s), who Is/arc 18 YCllts uf agc o~J :.U Ihc cXCCIIIY-Lf lu Ihc last will of Ihc nbovc dcccdclll, datcd - >.JL"7J~ lInd codlcll(s) dOlcd nPl"s.d ,19~ ('late rde\-anl C'irClIIT1MalU:L'i, e... rL'I1tUldallull, dealh If (\rclllor. tiC.) IJcccndclIl was domlcllcd al dcath In v I. f'.-. r lasl ranli* (f ~rln~~ rcs d ncc al (11,1 Mre,,'l, number and ;L. ycars of agc, dlcd ou IY I ennsylvanla, wilh <L tp..O $ / ~ tY-t:J.e; - $ $ $ /f./o---f' WHEREFORE, pClllioncr(s) rcspeclfull)' presented hcrewlth and the grant of ICllcrs thcron. and codlcll(s) j "0_ ~. if ~\~~~;;~ ~ '" in OATH OF PERSONAL REPRESENTATIVE COMMONWEA~ OF l'ENNr~NIA }::IS COUNT\' OF .... ~1I.cv Thc pctltluncrls) lIbovc.namcd swcllr(s) or lIrrirnt(s) Ihallhc slalcmCnlS In thc forcgolng pctillon arc Iruc lInd corrcctlo Ihc bcsl of Ihc kuowlcdgc lIud hcllcf of pClltioncr(s) lInd Ihat as pcrsonal rcprcscn. 11IIIvc(s) of Ihe ahovc dcccdcUlpctltloncr(s) will wcll and Indy administer the cSlalc according to law. Sworn to ur arrirmcd and SUhscrihCd* ~J~ 'lkd:..''J.'~ !!> bcfore me Ihis 4TH day of A..K/~ -&f' .r.. t-I"'LG-,-"" . ..' 7Zil.DCIDB g-~ ^J- . ~e. ~ . ~ . (MA C. LEWIS HeRI."er 1L~ ~ r_.,-~ .".....,....c.,..',."'-'"'~.......,......". No. 21 - 94 - 853 Estate of EDNA F SWARTZ I Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW OclOBER 5. 19~, In consideration of Ihe petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED Ihatlhe Instrumcnt(s) dated FEBRUARY 15, 1992 described therein be admllled 10 probate and filed or record as Ihe 1051 will of EDNA F SWARTZ TESTAMENTARY LINDA HECKMAN a/k/a LINDA HECKMON and Lellers are hereby granted to '''1 :\.;~") .1'" ~:.~~:;:f ....:,1 .--..A !~~~ fa I "j -~<~ ,-" -'-::1 .~~. Probate. letters. Etc. ......". S Short Certlficates( 2) ... .. .. ... $ Rel\.unciatlon .............." $ . X-pages $ JcP TOTAL _ $ 50.00 1i.00 3.00 5.66 1i4.00 MARY C. LEWIS GERALD K. MORRISON ESQ ATTORNEY (Sup. Ct. I.D. No.) FEES Filed .". .QCr.Qq;~. .~, . J,9.~4,........,.. BOX 232 CENTER SQUARE ADDRESS NEW BLOOMFIELD, PA 17066 PHONE (717) 582 - 2300 I ."', '01 :1 ;, :1 I .j " , , ~ ,I '>) :/ ..I 71 .1 ( t i '.,.1. " ~.~ ':;. .-. I ,-- '-? . i~ . u: :J' ., :J Ol) Mailed letters and order to attorney on 10-5-94. HI051unrv I,M tHE fon flilS tERHflCATt nOlI! WAIlNING: 11 I~ ILI.ll.iAl III AL 11:11 1It1~; Copy 011 TO DUPLICATE flY PHOTOStAt on PltOTOGflAPH. COMMONWEAL TIi OF PCNNSVt..VANIA OEPARTMENT OF ft[ALlIt VITAL RECORDS LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. 2388619 ~-2g-94 0,1.0 1"""0 f"..C.."Iocatl<Xl Name of Decedent Edna fUI' F-,- '1""-lle S}/artz ll.t Sex Female Social Securlly No. 182-22-7688 Date of Death 9-17-94 Date of Birth 11-16-1901 Birthplace Lancjiabul::S.. PA R.O.#l Place of Deeth Church of God Home f'lOlllI,N.,.. Cumberlend CUU'\11 N. Mict~.~~o~~o~tuw!.~p. Pennsvlvanlq Race Wh i t e Occupation C 1 e r k Decedent's Marital Status Divorced Mailing Address Armod Forcos? (Yos or No) -No Church of God Home 801 N.Jl.lI.nover St. CarliRla Numb... t,t._t CII, 0' Town PA 17n1~ 8111I1 Informant Linda S. Name and Address of Funeral Establishment Heckman Funeral Dlroctor Jamea F. Nickel Nickel Funeral Home~__~qy~JLijJe. PA 17047 Part I: Immediate Cause (a) Cerdiac arrest (~ Art. Scl. Heart Disease ~) with NID Diabete~ Mellitus Interval Belwaen Onset and Daath (d) Part II: Other Significant Conditions Manner of Death: Natural ~ Accident 0 SUicide 0 Doscrlbo how InJury occurred: Homicide 0 Pending Investigation 0 Could not be Determined 0 Name and Title of Certifier H. R. Davis M. D. (M,D.. 0,0., Coroner, M.E.) Address Mt. Holly~ring~ PA 17065 This Is to certify that the Information hero glvon Is corroctly copied from an original death duly filed with me as Local Roglslrar, Tho original cortlflcato will bo forwarded Vital Records Office for pormanont filing. certificate of to tho State 9-20-94 O~I.nllC.,..ltllvloU"\I'QI"'.' -9&uJ?~~".,,~:o.&dL _JO_L_B.!IJ'Jl~J;.!,-_~ New Bloomfield, PA :",,,,,, "",1/,,, (;.tv, 1""00111", TUWll'l'I.p 5 n,.,A5.5.. (J'""ltNlI 1706B , ( 21 - 94 - 853 , ,t " , ~ t ~ ";~.. c :ll . .:;;l@ ..c. t" 'L'" ...... " c,1 . ~.\ ,;' .s,,~',~- ..,.. . \ J~ -' "t. ';-,; ,,' ,,; ,,';~.~>~ '-,. , '.{ !~l .\ .' ~-ji' !l. , '~~1i " .- _,.i - ....;J , , - ~ : -',' i': ....Oi:,';' :V;.. ~ . ,,"',.' LAST WILL AND TE~TAMENT .Q!: EDNA F. SWARTZ I, EDNA F. SWARTZ of Harrisburg, Dauphin County, Pennsylvania, being of sound and d1sposing mind, memory, and understanding, do hereby make, publish, and declare this my Last Will and Testament, hereby expressly revoking all other writings in nature testamentary by me at any time heretofore made. FIRST: I direct that all my debts and funeral expenses be paid as soon after my decease as may be practicable. SECOND: I direct that inheritance tax on property disposed of herein, shall be paid from my residuary estate. THIRD: I hereby give and bequeath the sum of TWO HUNDRED DOLLARS ($200.001 to the KENNEDY'S VALLEY CHURCH OF GOD of Perry County, Pennsylvania, for the general purposes of the Church. FOURTH: I hereby give and bequeath all of my furniture and household furnishings that I may be possessed of at the time of my death, and have not otherwise disposed of by gifts to others, unto my niece, Esther Morrow, now of Landisburg, Perry County, Pennsylvania, except for those i~ems which I have marked by placing the name of the person I wish to receive upon the item, which I hereby give and bequeath said item to said perso~ g, dvw.-" ;e, EDN."" F. SWAR'1'Z (SEALI Page one of two ~ FIFTH I I hereby give, bequeath and devise all the rest and residue of my ostate and property, real, personal and mixed, of whatsoever nature and wheresoever situated, of which I may own at the time of my death, or to which I may be entitled or of which I may have the right to dispose at the time of my death, to my Granddaughter, Linda Heckman. SIXTHI I hereby appoint my Granddaughter, Linda lIeckman as Executrix of this, my Last will and Testament, but in the event that she is unable or unwilling to serve, I then appoint my Granddaughter, Karen wright as Executrix of this, my Last Will and Testament, and I direct that they shall not be required to give bond or other security in any jurisdiction wherein proceedings may be held in connection with my estate. IN WITNESS WHEREOF, thave hereunto set this trlay of ~~l992. ;TZ~u/X J~t~d f/ my hand and seal ~~~~ EDNA F. S ARTZ (SEAL) ~'~L/ Page two of two i't~\" .. ." Y"",, I, . ~':<~F:~~ , ; ~ , '.-', ',; ",,' , jt~~:~;/';;"":: .. ~:m:?:'i .. c- ~, . ~, :::"fi\:"'~ ;X~;;~, ," .E-4 '. .~ ". '(' ,\' ;,~~~ ~, :":':.:',1: ':.,', , ~" "'., '," ,; "....' ~:" ,'0" .' .'." ,\c;,,~>;~~;~:~, ,'c':- 'C-. . ; ~ " ' ": \",:, ..',' ~., ,': ",' r-", ,t" ;'- . . . . , , .,' ":,:. -!:, " .' ~..:l .~ ~.~t.~.~ '" l1.'U.. COMMOHWIAlHlOf rrNN!tYIVAtIIA ()(P...RIMltH Of R(YUWr V(f'1. 180601 tlAR~IUURQ. 1'''' !?U'~~lu~__ l . I , / c../ - J- 3 q - ~.~ INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) ~ 'OIDAnsO'DIATHAnII121~1191 CHICKHln .. A .POU.AL 0 POVIITT CUDIT II CUUMID PILI HUMIII Arv.I!.OO [1(+ 111,911 ~ ~~8 :cOO U..... ..", .. <t ~~ ..0 OZ uO .. 21 COUNTY CODE 94 YEAR 853 !lUMBER 801 N. Hanover street Carlisle, PA 170l~ ~ ~ o Swartz, Edna F. lOWnrmiiTlY1lUMirr---rc.nOrbr: tt 0 182-22-7688 19/.121..94 11-16-01 ex 1. Original RGlum 0 2. Supplemental Return o 4. lImllod ellale 0 Ao, Future Inter..t Comproml.e (10' dolt. of dlolh ollt, 12.12.02) o 6. Docadent Diad Teulola 0 7. Decedent Maintained 0 living Tru,' (Attoth tOpy 01 Will) (Alloth tOpy 01 T,uIII ALL CORRESPONDENCE AND CONFIDENTIAL TAX INPORMATlON SHOULD .. DIRICTIDTO. ; "M M COVill Cumberland o 3. Romolndor Rllurn (fa, dol.. 0' dlolh p,lo, 10 12.13.02) o 5. Fodorol E,'oll Tax Rolu,n Roqulrod _8. Tolol Numboro' SaIl Dlpa.IIOo... . .' . '':', .,' ;1 ~. . Gerald K. Morrison, Esquire 1fl[PtlONE NUMI[R Center Square P. O. Box 232 New Bloomfield, PA 17068 LI..17 1 582-2300 z o 3 e ~ ... .. l. Rool E,'a'o (Sthodulo A) ( I) 2, SIotks and Oond. (Sthodu'o 0) ( 2) 3. Clo.oly Hold Slotk/Pa,'no"hlp Inloro.1 (Sthodulo q (31 4. Mo"gooo. and Nolo. Rotolyoblo (Sthldulo 01 ( 41 5, Co,h, Bank Oopo.ill & Ml"ollonoou. Po..onol Propo'ly( 5) $ 21 . 540 . 55 (Stnodulo E) 6. Jolnlly Ow nod Propo,'y (Sthoduro FI ( 6) 7. Tronllo.. (Sthodulo G) (Sthodulo l) ( 7) B. Tolal Gran ^UIIII (Iotollino, 1.71 9. Funo,al E.pon.o., Admlnl,',atlyo Co.II, MI,,"lIonoou. ( 91 J 4.468.47 hpon.o. (Sthodulo H) 10. Dob", Mo"gooollobillllo.. lion. (Sthldulo II (10) 11. Tala I Ooductlo", (Iololllno. 9 & 101 12. Nol Valuo of EII.lolllno B mlnu. IIno 11) 13. Charitable and Governmental Bequests (Schedule J) 14. Nol Veluo Sublotl'o TaK (lino 12 mlnu.llno 13) 15. Amount of IIno ld tnxabln 01 6% rato (Indudo yaluo. I,om Sthodul. K 0' Slhldulo M,) 16. Amounl of IIno '4 100coble ot 15% role (Includo vulvo, from 5chodulo K or Sthedule M.) 17. Principal tox dun (Add lax from Iino 15 and from lino 16.) 18. Cradil' Spoulol Povnrly Crodit Prior Payments + 19. If lino 181. 0'0.10' Ihnn lino 17, .nlo' Iho dlllo,onto on IIno 19. ThI. II Iho OVERPAYMENT. elrJ 20. If lino 171, graolar thon IIno lB, ani or tho difforence on line 20. This It the TAX DUE. A. Enlor tllo Inloroll on tho balance duo on line 20A. B. Enlo' Iho 10101 ollino 20 and 20A on IIno 20B. Thll I. Ihl BALANCE DUE. Me'-. Chock Pavable tOI Reolst., of Will., Agent (17) $ 1.012.32 (IB) $ 50.61 (191 (20) $ 961. 71 (20A) (20B) $ 961.71 ( 8) $21.540.55 (111 (12) (13) (141 $ 4.468.47 $17.072.08 $ 200.00 $16,872.08 $ 1.012.32 (15) $16.872.08 )( .06. (161 )( .15. z o ~ :> Do :=: o u ~ Discount +-.-.5.0 . 6 1 1"lor..t Chock h,o If you aiD '.quo,lIng a rofund of your overpayment, .. .. DE SURE TO ANSWER ALL QUESTIONS ON REVERSI SIDI AND TO RICHECK MATH.... Undor pctnollle. of pGrlury, I d"c1cro thol I havn ltllnmlnftd 'hi, ,lIlurn. Including occompanylng sch,dul.. and ,'otemenll, and 10 Ih, b... of my knowledge and belief, It I, Irut, corrnd and complote. I dudoro tho I oil recllulolo has boon raportod at trUt mark" value. D,daratlon of pr.par.r other than the plnonal repr.sentatlve II bautd on all Informal ion of whkh preparDr ha, any ~nowlod[)o. !>fG~TA' ,If 01 P[RlliNA(!Jbu~ili:rnOIiTIITNG1iIfUAi~ AD.ORfSSf14 Pine Grove Road D,n ~ ~ l-1'. .Jf9(,kOt.<!):\. Gardners, PA 17324 I?-- ('1--/ f1GNAl i'Au --, M(riT., ttflt liIAtIIl.(PAEsCt.,rMi\if------AOiliUSSCenter square, P.O. Box 232 _~~ New Bloomfield. PA 17068 I. , . PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (.,.) IN THE APPROPRIATE BLOCKS. IF THE ANSWER TO ANY OF THE ABOVE QUEST~OJ.JS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PAriTOF THE REYURN. 1. Did decedent make a transfer and: c. retain the use or income of the property transferred, ....................................... b. retain the right to designate who shall use the praperty 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 on 'in trust for' bank account at his or her death?..................... '(E~_.~Cl_ x x X X X X . .-.....--"..-..-- ......... ...."....,. ." ..-,."''' ,.-',' -".--, ' ,'.r..."-'"._,_.. i~,::""t'.~'i-!:-", ';,...,,': 1.\1.110111.11..,. ~ COMMOHWIAUH O' ~'HHVYlVAHIA INHI.nANCI fA .n IN IIIIDIN' DIC DIN F SCHEDULE E CASH, BANK DEPOSITS AND MISCELLANEOUS PERSONAL PROPERTY PI.a.. Prlnl or l . F lE MBER 21-94-853 Edna F. Swartz (All property lolnflv-ow"ed with the III,h' .f Survlvonhlp mu.' be dlacl..ed 0" Schedule '1 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Mellon Bank Checking Account *110-071-5695 Mellon. Bank Checking Account *112-118-3220 Nickel Funeral Home - refund $14,975.51 $ 5,576.54 $ 988.50 2. 3. 521 540.55 (A"och addltlonol aw" )( 11" ,heeta If mo,. 'pace Is needed.) IIY.Ul1 Utt',lIl SCHEDULE H FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES PI.a.. Print or Tvp. ~j;!- COMMONWIAUH 0' '[NNSYlVANIA INHUnANC[ tA)C UtURN RUID[Nt D[CID[Nt Edna F. Swartz ITEM NUMBER A. Fun.rol Expen.... 1, 21-94-853 DESCRIPTION AMOUNT B. Admlnl.trotlv. Co.t.. 1, Penonol Repr..entollve Commissions Social Security Number 01 Penonal Representative, Veor Camml..lons paid 2. Allarney Fees 3, Family Exemption Claimant Relationship Addre.. of Claimant 01 decedent's death Street Addr.ss City Stole Zip Code 4. Probate Fees Mary C. Lewis - estate l.etters $ 79.00 C. MIIC.llanlou. Expln.... 1. Cumberland Law Journal - estate advertising $ 40.00 2. The Sentinel - estate advertising $ 72.20 3. Church of God Home - account $ 4,185.36 4. Rice Memorial Works - Gravestone lettering $ 81. 00 5. AT&T - telephone bill $ 10.91 6. 7. 8. TOTAL (Aha enter on line 9. Recapllulatlan) (II mar. .poc. I. nudld, In..rt additional .he." of .am. .1...) 54,468.47 .. ._-1--- _....'_. '....... ....-- --.....-' . .~. > '04 . 1I...,lJlIlI'lt") . COIltl.MQHW....UH Of ,'NNm",...NI... INHII""Nel 'A.I"UIN IIIJDIH' DlelDIHI SCHEDULE J BENEFICIARIES Edna F. Swartz fiLE NUMBER 21-94-853 ESTATE Of ITEM NUMBER NAME AND ADDRESS Of BENEFICIARY RELATIONSHIP AMOUNT OR SHARE Of ESTATE 1, A. Ta.ablo lIoquo.ls. Linda Heckmon 134 Pine Grove Road Gardners, PA 17324 Granddaughter See will ITEM NUMBER NAME AND ADDRESS Of BENEfiCIARY AMOUNT OR SHARE Of ESTATE 1. B. Charlloblo and Gavo,nmonlal Boquo"1I Kennedy's Valley Church of God $200.00 TOTAL CHARITAB~E AND GOVERNMENTAL BEQUESTS (AI.o onlo' an IIno 13, Rocapltulallonl S III mar. 'pac. I, n..d.d, In,.rt additional ,h..fl of ,om. ,I..) :':!'; I',;: :-'.',' ,--"'~'_-,:~:":"';'k ;_rl , ~~f',i$tIi~. .~ .. ~;;,,:ftm.t1' @ Mellon Bank Mollon Ihonk, N,A. 1\11>11"" Illluk COllier no. Ilox 7HUO J>hlllldel"hlll, I'A 1U1U1.781J'J .. November 1, 1994 Gerald K. Morr1son Attorney-At-Law Center Square P.O. Box :l3:l New Bloomf1eld, PA 17068 Re: Estate Of Edna F. Swartz: Dear Mr. Morr1son: In accordance w1th your request, the follow1ng 1nformat1on ls prov1ded as of September 17, 1994. Please see attached letter. Please contact th1s department 1f you have any quest1ons. Slncerely, cY~ Mellon Bank, N.A. Wr1tten Commun1cat1on (199-5380) P.O. Box 7899 Ph1la., Pa. 19106-7899 PG/dmd 48:l dlih ... dH It... Ihh etJ~~ a~~: ",i~o ~, ~I c:lO "i ,! r- co . ... ::l .. ... co . In .. ... 111 . 111 r- '" . ... ... .. ... 111 . '" r- III . 111 .. ... .. . ... ... .. 111 '" . ... .. co o . ... '" '" . ... ... .. '" CO . N r- III . 111 .. . U i i . H .;, . U CO CO .. CO ... .. r- ., CO .. CO ... .. r- .. .. ., ., 111=0.. '" NIlI '" N" lI1lnMUJ , I .-4 . CO . r-Ja.t....Ca4 o ... I lIS I cd ~.g:::.g ....W....~ { 6 .~ ~ III ., Gl .oJ ,lC ~1l ~ .~ ~ '" ~ '" Gl 8 III Gl j;lQ ., _g u ;0; U ;E .... ItS ,lC .. Gl !;I ~ 'D ~ iH~~ t"u:;; gui~& ::tiol , ... :t:ClU vi I 'x :s!~~:s! :t:HHCl .oJ VI Gl .. Gl Gl Gl" ., ., II III tl'IlIl H U II U ............ J:I ""' > IH ..&J .... id.,tl.... t:cn...~ Gl ., Gl B ullUI' t i ~'m .oJ 0 .. III U '" .. ., II ClIllH' 1 I I . H JuiJ:.: . . . . ClIllH'" .. , .oJ VI Gl .. ~ S' VI ~ ~ S' U ... 1l1l~~ '" U In en ~... &,lC tJ'lfdlUO II II c:l .8 ~ g Gl VI g~".;l1J tl"'IIl'" , I I , 8UQui . . . ",Ill'" --, ' " LAST WILL AND TESTAMENT OF EDNA F. SWARTZ I, EDNA F. SWARTZ of Harrisburg, Dauphin county, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this my Last Will and Testament, hereby expressly revoking all other writings in nature testamentary by me at any time heretofore made. FIRST: I direct that all my debts and funeral expenses be paid as soon after my decease as may be practicable. household furnishingE that I may be possessed of at the time of , ,\. disposed of by gifts to others, SECOND: I direct that inheritance tax on property disposed of herein, shall be paid from my residuary estate. THIRD: I hereby give and bequeath the sum of TWO HUNDRED DOLLARS ($200.00) to the KENNEDY'S VALLEY CHURCH OF GOD of Perry County, Pennsylvania, for the general purposes of the Church. FOURTH: I hereby give and bequeath all of my furniture and my death, and have not otherwise ~ I unto my niece, Esther Morrow, now of Landisburg, Perry County, Pennsylvania, except for those items which I have marked by placing the name of the person I wish to receive upon the item, which I hereby give and bequeath said i' r', ,,',. g,~r EDNA F. SWAR (SEAL) .>' '. Page one of two . , /'!1""-'''''' , I , ._U...._.h:,' FIFTH: I hereby give, bequeath and devise all the rest and residue of my estate and property, real, personal and mixed, of whatsoever nature and wheresoever situated, of which I may own at the time of my death, or to which I may be entitled or of which I may have the right to dispose at the time of my death, to my Granddaughter, Linda Heckman. SIXTH: I hereby appoint my Granddaughter, Linda Heckman as Executrix of this, my Last Will and Testament, but in the event that she is unable or unwilling to serve, I then appoint my Granddaughter, Karen Wright as Executrix of this, my Last will and Testament, and I direct that they shall not be required to give bond or other security in any jurisdiction wherein proceedings may be held in connection with my estate. IN WITNESS WHEREOF, t have hereunto set this ~y of ~""I1992. ;'Z'~~ J~....crJ {/ my hand and seal t~~~ EDNA F. S ARTZ (SEAL ~.~~/ '. Page two of two 21 - 94 - 853 " ! c: REGISTER OF WILLS OF Co ~bjV" I ~COUNTY OATH OF SUBSCRIBING WITNESS '-.,. codicil _ (each) a subscribing wltness'iothc~wlll prcscntcd hercwlth, (cach) bclng duly qualified acc illlflll' law, depose(s) and say(s) that '" resent and saw ~""'''''---. the testat , sign thc samc and that request of testat In h prcscncc and (I olher subscribing wltness(es)). , ._~ signed as a wltncss at the h~c~;;eor-CllCh other) (In the presence of the ._-~ ~" Sworn to or affirmcd and subs me this (Name) I Address) Reglsler (Name) (Address) REGISTER OF WILLS OF 6 ~t.r I ~ COUNTY OATH OF NON-SUBSCRIBING WITNESS L/~c/;; '9 -Ihc.h!A1~ # tnJa S.lIed:~lk-t ~~uLI<I1(fJ-W1~1M... (eac ) a subscribcr hereto, (cach) being duly qualified according to l~ liepose(s) and s~ that familiar with thc signaturc of hrLvt '2 r:- ~ Lu ~'b- oodicit-- teslat '" I X of (one of thc subscribing wltnesscs to) Ihc will prescntcd hcrewlth and ~: oodidl- that ~ bcllcves thc slgnaturc on Ihc will Is In thc handwriting of F~. F':1w0z:- to the bcst of ~-eI /I' knowlcdgc and bcllef. 4';" ~ l-kL........ I. WA ~~ A i-lac.L '.' ~~ (Name) n HI I~I,.{ r \Jc. \13'-1 (A r ~ Sworn to or affirmcd and subscribcd bcforc mc this 4TH day of o T08~R 94 C. LEWIS oo~~k:f !J I ? 6f:i/ (Nam d--3z.... (Address) '... -. ..- '...' -, - . ~---------~---------------------~ RECEIVED FROM, fJ ACN ASSESSMENT Il' CONTROL ~ NUMBER AMOUNT MORRIGON GERALD K CENTER SQUARE POBOX e3e NEW BLOOMFIELD PA 17068 101 .961.71 'OtOHllf tOtD HilI ESTATE INFORMATION, M E3 m II m e1-1~94-08~3 L SSN 18e-ee-7688 M REMARKS m TOTAL AMOUNT PAID LINDA 8. HECKMaN SEAL CHECK" OBb3 REGISTER OF WILLS 1----------------,----------,-7---- , . , . "",' .~ I .. ; ..---- . \. -~,-----:_-.....~~.!J.~ .-1'.,.. ~J>..''', r . . '.. -5,l-PS- \ !EV.1547 EX AFP 112"94* CO"HONWEAltH Of PENNSYLVANIA DEPARtMENt OF REVENUE lURE AU OF INDIVIDUAL fAMEI . OEPr. ZlO.ol HARAlllUAQ, PA I7U8.0601 /4-JYJ -5" LV ACN 101 NOTICE Of INNERITANCE TAK APPRAISEHENT. ALLOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT Of TAK DATE 02-21-95 o FILE NO. DATE OF DEATH 09-17-94 COUNTY CUMBERLAND NOTE. TO INSURE PROPER CREDIT TO YOUR ACCOUNT. SUBHIT TNE UPPER PORTION Of TNIS fORH WITN YOUR TAK PAVHENT TO TNE REGISTER Of WILLS. HAKE CNECK PAVABLE TO "REDISTER Of WILLS. AOENT" REMIT PAYMENT TOI GERALD K MDRRISON ESQ CENTER SQ PD BOX 232 NEW BLOOMFIELD PA 17068 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 AMount R..Ut.d CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS .... REV: isW' EX--"FP"ii'2-:94Y-iiifficr-OF--iiiHEiiiTA;icE'TAX-AP PRAisEHiiii'-;-"Li."owiiN'CE-iilium....-.. ----. DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF SWARTZ EDNA F FILE NO. 21 94'0853 ACN 101 DATE 02'21-95 TAK RETURN WAS I (X I ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. R..l Ed.t. (Schedule A) U) 2. stock. and Bonda (Schedul. OJ (2) 5. Clo..ly Hald stock/Partner.hip Int.r..t (Schadul. C) (3) 4. Hortgag../Hot.. Recelvabl. (Schadule OJ (4) S, C..h/Sank O,pollte/Hllc, Parlonal Property (Schedul. E) IS) 6, Jointly Owned Proparty (Schadule F) (6) 7. fran.fara (Schadule OJ (7) 8. Tot.l A...t. APPROVED DEDUCTIONS AND EXEMPTIONS: 9, Fun.r.l EMpan.../Adft. Co.t./Hisc. EMP.n... (Sch.dul. H) (9) 10. D.bt./Hortg.g. Liabiliti../Lians (Sch.dul. I) (10) 11. Tot.l Daductions 12. Hat V.lu. of TaM R.turn lS, Ch.rit.bla/GoY.rn~ental Bequa.t. (Schedul. J) 14, H.t Value of E.tat. Subj.ot to TaM If an assessment was issued preViously, lines reflect figures that include the total of ALL ASSESSMENT OF TAX: lS. AMount of Lin. 14 .t Spou..l r.t. (IS) 16, AMount of Lin. 14 t.Mabl. .t Lin..l/Ct... A rd. (16) 17. AMount of Lin. 14 t.Mabl. .t Co11atar.l/Cla.. Brat. (17) 18. Principal TaM Due NOTEI TAX CREDITS I PAVHENT DATE 12-14-94 RECEIPT NUHBER MM913284 DISCOUNT t'l INTEREST I-I 50.62 Ii I f. , I CNANGED ,DO .00 .00 .00 21,540,55 ,DO ,DO tlll 21. 540.55 4,468.47 ,DO 1111 1121 (131 t141 4,468 47 17.072.08 200.00 16,872.08 14. 15 and/or 16, 17 and 18 will returns aSllelllled to date. .00 K ,03_ 16,872.08 K ,06_ .00 K .15_ 11111 .00 1,012.32 .00 1.012.32 AHDUNT PAID 961. 71 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST TOTAL DUE 1,012.33 .01CR .00 .01CR ~ ; ~ I I . If PAID AfTER DATE INDICATED. SEE REVERSE fOR CALCULATION Of ADDITIONAL INTEREST. If TOTAL DUE IS LESS TNAN .1, NO PAVHENT IS REQUIRED, If TDTAL DUE IS REflECTED AS A "CREDIT" ICRI. YOU HAV BE OUE A RefUND, SEE REVERSE SIDE Of lHIS fDRH fOR INSTRUCTIONS.l \ -. po 3!'1 c' !. i I5i :xl :lJm mn (L"J 0 -, :-: ~ '.l " , l' " 0" . 0"1 ~, - b. 0 ddt.. :;!2'-' ., '" n RESERVATION. E,t,t.. of dlcld.nt. d~lnD on or blfor. Dlc..b.t 12, .912 .. If any lutur. Int.r..t In thrlrtlh I. l7'an"lrnd -. In po.....lon or ."JoY"nt to el... a Ceol1e'.,al) bln,flel.,.., 0' t~ d,cld.nt .,t.r thl ..plratlonrb, any 'Itat. for Ilf. or 'ar y..t., thl Co..onw..lth hlr,by ..pr..'IY t...rv.. thl right to IPpr.I.. end ...... tren,'.r InherItance TI... It thl llwful el,.. a Icolle'.r..' t.t. on any luch future Int.r..t. ;3: i!!! "" J. '.' " PURPOSE DF NonCE I To fulfill thl requlr...nt. of SecUon Zl4D of thl Inh.rltann IInd E.t,t, ,.. Act, Act U of 1991. 72 P.I. Section 2141. PAYKEHT. D"lch thl top portion 0' thl. Hotlcl and ,ubelt with your ply..nt to thl Alal,'t, of Will, prInted on thl r.v.r.. .Ide. --"akl ch.ck or .on.~ ord.r pav.ble tal REGISTER OF MILLS, AGENT All peV.lnt. rlc.lv.d ah'II flr.t bl .ppll.d to .n~ Int.r..t which ..~ bl due with any r...lnder .ppllld to thl tl_. REfUND CCA), A rlfund of . t._ crldlt, which w.. not r.qulat.d on the TI_ Alturn, .'V be rlqu..ted bv cOlpletlng .n "Appllcltlon for Refund of Plnn.vlvanll Inh.rltanc. .nd E.t.t. r.." IREV-ISIS). Appllc.tlon. .r. .vIII.bl. .t the Qfflc. of thl R.gl.t.r of Will., .nv of the 25 R.v,nu. DI.trlct Dfflc.., or bv c.lllng the .p.clll 2~-hour In.w.rlng .arvlc. nu.b.r. for for.. ordlrlngl In P'nn.vlv~l. 1-100-362-2050, out.ld. P.nn.~lvlnl. ~ within 10c.1 H.rrl.burg Ir.1 11111 111-1094, TOOl (111) 112-2252 IHI.rlng lepalrld OnIV). DBJECTIONS' Anv plrt~ In Int.r..t not ..tl.fl.d with the .ppr.I....nt, allowanc. or dl..llowancl of d.ductlon., or ........nt of t.. (Including dl.count or Int.r..t) .. shawn on thl. Hotlce au.t obJ.ct within II.tv (601 dlv' of r.c.lpt of thlt HoUc. bVI --wrltt.n protl.t to the PA D.p.rt..nt of Rlv.nu., Bo.rd of App.al., D.pt, 211021, Harrl.burg, P. 11121.1021, DR -..llctlon to hlvl thl ..tt.r d.tar.ln.d .t .udlt of the ICCOunt of thl p.r.on.l repr...ntatlv., DR --IPp..l to the Orphan.' Court, .DHIH ISlRAlIYE CORRECTIONS I flctull .rror. dl.cov.r.d on thl. ........nt .hould bl .ddr....d In writing tal PA D.p.rt..nt of R.v.nu., Bure.u of Indlvldu.1 T'lle., .TTNI POlt ........nt R.vl.w Unit, D.pt. 210601, Illrrltburg, PA 17121-0601 Phonl (111) 111-6505. S.. p.g. 5 of the bookl.t "In.tructlon. for Inh.rlt.nc. T.1l R.turn for. R..ld.nt Dlc.dlnt" CREV-ISOII for an ellPllnltlon of ad.lnlltr.tlv.tv corr.ct.bll .rror.. If anv t'll due II p.ld within thr.. U) cat.ndlr lonth. .ft.r thl dlced.nt'. duth, . flv. perc.nt CSlO dhcount of thl t.. paid II .llowld. DISCOUNTI INTEREST I Inter..t I. ch.ra.d b.glnnlng with flr.t d.y of d.llnqu.nc~, or nln. 191 .onth. .nd one II. dav frol thl d.t. of d..th, to the d.t. 01 p.v..nt. T.... which b.c... d.llnqu.nt blfor. Jenu.rv I, 1912 b..r Inter..t It the r.tl of .1. (6~) p.rc.nt p.r InnUI c.lcul.t.d It . d.llv r.tl of .000164. All t.... which b.ee.. d'llnqu.nt on Ind Ift.r J.nu.rv 1, 1912 will b.ar Int.r..t .t a rat. which will v.rv fr08 CII.ndar v..r to c.l.ndar y..r with th.t rete Innoune.d by the PA D'part.ent of Rayenu.. Thl appllcabla Intar..t r.t.. for 1982 through 1'95 ar" '!!!r Inter..t Aete D.lly Intlrest Flletor !!!! Inter..t Rlt. Dally Inter..t F.ctor 1912 20iC .000541 1917 .. .0002'" 1915 16~ .OOO"SI 1"1-1991 lIiC .000501 191" Il~ .000501 1992 .~ .0002'" 1915 Uj( .00n56 1993-199" 1X .000192 1986 1Oj( .000274 1995 .~ .00OZ"7 --Intlr..t II c.teuleted .. follo".1 INTEREST . BALANCE DF TAX UNPAID X NUnBER OF DAYa DELINQUENT X DAILY INTEREBT FACTOR --Any Notle. I..ued .ftar the tell b.eo.e. d.llnqu.nt will rafl.et an Intere.t c.lculatlon to fllt..n liS) dev. b.vond tha d.t. of tha ........nt. If Ply..nt I. ..d. .fter the Int.r..t eo.putetlon alt. .hown on thl Hotlel, addltlon.1 Intere.t au.t bl cllcul.tla. c: . ,-",'-,,,-", CERTIFICATION OF NOTICE UNDER RULE 5.6(ft) Name of Decedent: Edna F. Swartz Dftte of Deftth: September 17, 1994 Will No, /9C(Lj -'8 fj.3 Ac:min. No. To the Register! I certify that notice of beneficial interest required by Rule 5.6 (ft) of the Orphans' Court 'Rules was served on or mailed to the following beneficiaries of the above-captioned estate on np~pmhAr ldr ,qqd I ~ Address KAnnAdy's VallAY Church of God- Landisburq, PA 17040 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except Date:Jnnuary 27. 1995 ~~. Name Gerald K. Morrison, Esquire Address CAnter SQuare. P.O. Box 232 NAW R1nnmfiAld. PA 1706B In '5Cf '0 - .. (/) M Ii _ oE? Q" l ; d ,;-1':;; .' '.J ~.)13 0 M " ,j ~ ,- n> .j) ~ .j ,~ :'~1 1_1 :\; O'iJI .n II 0' ~ "tB ~ QJO: 0: uu TelephoneD17) 5B2-2300 Capacity: Personal Representative Counsel for personal representative x f . ,'..~ --""- -~~~,.. STATUS REPORT UNDER RULE 6.12 Name of Decedent: Edna F. Swartz Date of Death: September 17. 1994 Will No. )./- 9' ~ -853 Admin. No. Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes x No 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Cerk of the Orphans' Court and may be attached to this report. Date: Januarv 27. 1995 ald K. Morrison Es uire (Please type or print) lrI r. Center Square. P.O. Box 232 Address '0", (],) ,=.:'";; J~ , .> ,;, '0 '2 ro .0 In 0'5> uo) roo: 0: '51f (' d ~ o .' ~ ., I .. ':) .' i (~, 'D '::J '"" E ~8 (MAH:rmf/AM3) ..... 0.. o ..... ~ ~ (717) 582-2300 Tel. No. Capacity: Personal Representative Counsel for personal representative X