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Home My WebLink About80-00659 ~-';,<(I;:~::.~ .;,1": >' ~I~;:i';}.:,' ;r,'~~~ ., ,; " , IK.,..,. f.'l~"":' . .. f"c,':<' ~~,;;,; ~.'~~.\, . 'i :.;.,." ~;; .".... L ~ ~\tS;:'. ~~;{:~:'.':. ~\'_. ~~~.~.:'. ~~P,d',.. '. ~;)"c~ ~'ll,'.' . ~.i"0\,~::~-;.. f~>"". ~~;;;~:: Z2\:~'Z~~r;:; .l~ :'t,:.-:. .....:..,.;..,.- Y:,,~',L..,.,_<: . :~~~;;.~~;:~ 'O~'J.,_:::_':~ ~~:.',r.-:: . ~t>~::-~:..~.~:-. J.f....- .' /".' I.,.. ~. ,- ,. '..:. en In .~. c:t ClC) . - rot .~: . .0 Z , " ,',.', ,',' ',it .',;" :.> ....':,'.... ,.,. .~ ~ ~ rJJ ~ Pot H == rJJ ~ ~ E-< 0 ~ rJJ . P<o ~ ! ra - o tl) - IG - '" LIJ ~ .-l ."J: 21-80 659 IlECISTEIl OF II'II.I.S OF "..G.\l!1)1>~.1:'.+.;1,!!,<;l,..,..,,,... COU="Tl' ="0, PETITIO=" FOil I'lllJlIATE OF 11'11.1. A;l:D I.E'ITEHS OF AIl~II;1:ISTIlATIO;l: (;l'\1 TESTA\lE:-':TO A:\;l:E.'\O I.ETI'EIIS OF ,ID\II\'ISTllATIO\' IlE HO\'IS \'O\' I.E1TEHS OF AIl\II\'ISTILITIO\' IlE HO\'IS \'01'1 ClJ\1 TES'I'.I\lE:\TO A\'I\E.'\O . , . HELEN F. SCHWARZ . 111 tilt, 1'....1,111. III ..........................,.................."........"................ (lc'(.('"s("I. p,'litilllll'r(lf), ...P..~~.)A".g",..;'??,,~~y..,....~.f....'!.~:;::;:~.~.b.~!:\.,...p.f!:\l.P.l}~.I)...9.9.\!!.!~.Y..I".g.~!.!!.I.~yl vania, all,'~,,(s) Ihal: is 'l/iK~ ",.,..,. I. )I('litiOllC'r( sOxX:CC IWI'nIY'llllt' YI'ar~ 01 agio or old,'r ;llld :Ipplil's for 1t'lIt'rs or administration ................C".T.....A..t......................................................"." in till' ahc)\'t. captioned ('.~tah'. 1,.3 2. Dl'c,.d"III died nn "...Al!g,\!!?j;...J.g"...J9..~Q................,............. at ..S,,,A...,...\I. in tl". Cnllllly of ",CUlIJ.berland..."""",,,.,,,,, Stall' nf ,,,P.ennsyl:vania,,,.,,,,,,,, al the a~l' llf "",80""""......... )',.,"s. having :;"adl' ...,,~~:::,,' Lasl \ViII and T,'slall1l'nl dall'd Ih,. ??,~~".... d:1\' of "".A~.u.~.~"'''''''''''"..,''".. A.D: J9"2~,, "- , 'Whl'r',in .....~,h,~." appnillll'd .,,,,,...,,A!!!:@....~.9.!:\WR:?;:~"'~1:'.9.,l}..,,..,,..,,........,,..,,,.,,.,....,,""""..... Excl' \!:\<tl.l!;"" ;:Which EXl'lll.trlx"" has sillCl' reno,unc.ed"her"right...to..,hav.e..L.etters...Ies.taJllentaxy.... ':"! 011 E'On ......"........ day of ............................................. W......... L(.th.'rs o( AcJminislmtion WNt' gralltt.d to .................. ......'..'..'........'......................'.....................'..a........................................,....................................,................................... ~ 3. Ll'(fl'rs of Administmlion c.t.a. arc l1l'cdcd ht.'(';lUSl' .".tJ:H~...g~.~.g1\:f;,.+.~~..9:P.R.9.;\..~.t.~..:l:R... !i!:!~,..1'!gJ..~,!!.;;E!?.!!,9.!:\!!.9..'?.4....,................................ and p"litilll\l'r(lii ~;,\fc, in ....m.'?.......... capacily as ~;1,!l.g.1;!~.Phgw...9.f....t,l:1g..9.gG.<:all.!19.................,....... , 4. Dl'l'l'dl'lll die.d domie'i1l'd in q.u.!!!!?!?:;:~e.~..,g.O'l!:~,~;r...,.......... \\'itl~ last family or principal re,ident.. at ,!?!:.~~~r..y,g~.~,~...!!.~~~.r.,~!'!~~Wt9.~;~~,~t./..J.2~~W.;~~y.,:.p.\ly'~,..:'I1~E~~~~.~urg. Pa. xHH JW( 5. (\Vhere decedent diNI t('slille) Del'cdcnt WitS lIot marrit'd and a child was not horn to or adopted hy decedent afh..'T ('xcclltion of the will {ilnd w1ll'TC applicant is alleged spouse} nor was deccdent divorct'C1 from applicant after ('X('cution of will and at lIt'ath. t 6. The said eJect'dent was possl'sscd of Coods, Chattels, Hights and Credits to the estimated value of tt,.!?g.Q.~.9.Q........... ilnd of Ileal Estate, to the l'sHmated value of S.....XJ:Qn..~................ as ncar as can he asccrtained. TImt the said Heal Estate in so far as known is localed in ................................................ .................................................................................................................................................................................................. 7. (\Vhcr<.! decedenl dk.d intl'stillt. as to ;111)' portion of Ihis ('stall'). Pctititl11l'r .Ifter a proper senreh has .lsccrlaincd that ucct.dt'nt WilS sur\'h'L.d hy the following.named persons entiUrd to distribution under Ihe IIlI",lall' Al'l of 1947: Name Hl'lationship Residence 1. ..............,....................,..,.....,...............,....,.........,........,..............,........,..........,....,....,..............................,......,................,.... 2, ..............................,..,..........,.................,..........,.............,..,....,..,........,..........,.............,..............................................,......... 3......,.................,..,......,.............................................,.......................................,....,....,........,......,....,.............................,........ 4. ....................,......................,.................................,............,..,..,.......................................,...................,...................,....,...... \5. ............................................................................................................................................................................................. 6, ......................,..... ,..............,..,......................................,........,..................................,.................,..........................,........... ..............................................................................................................................,..........................................;'1....................... ~ ( " Thel'cfoft', pl'liliUllt'r(X) T1'spl'clfully applies fo~ (prohate of tlu: \\,w(r.c.:St.nltj' herewith and :~:;I.:;:Il"Jf1,t.dlll~islrarF; r:OO',.T..A,.......................::..,....:..:.....yitl'l~{t(..,..{"7jlt;;........,........... \ <;}!o , . . ,L,~(. ...../..,... L......~ SI~Il,d. ....\............................... ,....,..........,....~........... . A:ldrl'ss: .339.~...Il~9.g~lIay...RQa.d...........k:..,........., /../-JJ Harrisburg, Pa. 17109 ,"'J .// 0l./_1<'", - G?!!i'Q J ,"",. o v ,,- //-/",?J'- J--- t..-- .....,...............,....,...,."...,.,.",.,........,..........."...,..,,.......... (:(~~~~~~1i.~/21.~~rl.:~~;;~~;'~~~:~ I ss ...'....,'..'"".'.'.... "z:x"fY.".,l!:/?..C.~....::?..('!!f..t/<y................,.............. II", ,"'li";lIl1.rioJ1_ ill Ihl' ..hll\'!' ,Ipplk,llioll, tll'illg duly ..~?.t~;':~'.r..!.l.. .t('('unling :~l 1.lw \"y( s) lhat till' !<Ila~ml.'lIts \('1 furth ill this 1",'iliOlIl "n' Inll' ,.. '11,. I..." OIl ....h.{,s:....... kOl"wlo,d~.. 'I"dl...I;,.!. . (/2 :. ......rg)"f~~~V.;;t ""~Ol"'lil...d 110'1012) ~..,..::'/.u~.~.Lr....l.:..;..0....1..~.?............. lIW,ZhO"'t;:-f......"J!...C....'.....'....... I!~t... .....~?~/..........:.~~;:..; ......................................................................................... I'ilo,d: Attorney's :-':"ml' illld Address g ......................................'..'....'...............................................8 ..... ........,......................................................................................... - o -0 IJ,) 8 OATH OF PERSONAL REPRESENTATIVE COUNTY OF CUMBERLAND ....................,.................QQ:,:?:.~..q,..t.d......(~.~....~(?:~,~...'7...........................,...,..,....,....... petitioner(.!t being duly ......~i:!..,Q::C.n........,............,.. according to law do ............ depose und say that as the d . . t -n:-o f th. . -t. t f ./ f." /.u./ ~ r (;.',j.U.UCI./l ? a nllnlS ra"~.""...... 0 c es a e 0 ........./,:t.\..-,.,<.;"-,I............ "....-,.,rl........................f:)....... ,............... ..,............. } "8: COMMONWEALTH OF PENNSYLVANIA ~:~:~~~~....:.~,.::::::~ ..;~.;;;., ;;::;;. .~~~. '~.;~;;.,;;;;~ ;~;~~~~' ~~ ~. ~~~;;~ .~;;;;.,~~.~.~~~.;~:";;.;~~.~' .~::~ .~~.~.~.;~~.~~. ~~;~ deceased. according to law. And also will diligently comply with the PI'OViSi~llj of the law rclating '0 """,.. 'oh..;>..... ~ ( I ~~:::;... :Od:.~::;;. ..<....}I,~C.(r.C%(~.,... R;~~(!.'~;J.. ................................................./!.............. DECREE 't remembered that on the ........,..,..,......,.......... day of .................,..................".......... A. 0....19,......... Letters of Admm' .. .'on in the estate of ""......,...................,........................... ............................................ ............" late of. .......................................,..................".................. Cumberlund County, Pennsylvania. . . 1ilre..~ lo .......,..,......,.................................................... ...........................................................................;.......~............................................................. '-- 1 ness my hand and oflicial Rcal thc day and ycar aforesaid. -- ,......."".....,,,............,........,.....~"'- Register g ::., ~.:; ~. j.w ..~. - <:: n - r,-. cr~ c:lz " Ul <t ...I 3: u ['1 " . <i ~ . ~ r,-. :r: -' . .. U !( " w w U1 . ~ ~I ~ ~ 0: .. 0 "" ~ ~ 0 r<, 0: z z " ~ I- ~ " 0 0 ~ ," ;?: i: ~ 0: H ll1 u: ..: " <( .--- H ~ .~ I') u: E~I :1: Ul ~ '.. ~ , ..(" .( ) - ~ C""l 0- C) - 8 ~. I I OATH m' SUBSCRIIIING WITNESS MMONWEALTH OF PENNSYLVANIA I ss: CO TY OF CUMBERLAND f This day of before me, Re 'sler for the Probate of Wills and granting letters of Adminislralion in and for said Counly of Cu lhe Commonwe lh of Pennsylvania, personally came o the foregoing inslrumenl of writir.g purporling 10 be Ihc last Will and Te Daled late of Cumberland County Pa., d instrument of writing as and for h sign, sea publish, pronounce and declare lhe said time of so doinr was of sound and disposing mind memory and un knowledge, observalion and belief. Regi ler / .~FIDAVIT OF DEAT COMMONWEALTH OF PENNSYLVAN f t ss: COUNTY OF CUMBERLAND ~ <ay that as nearly as can be aseerlainerllhe said decedent 19, and subscribed lhis lhe day of al or aboul o'clock, M. day of , before Regislcr being duly died on OATH OF PERSONAL REPRt:SENTATIVE ss: COUNTY OF CU LAND . Probale of Wills and granling of Letters of Admini Cumberland, personally came who, being duly ,do deceased of lhe last Will and Teslamcnl of lhe provisions of the law relating to Transfer Inheritances. nd subscribed before me. .D., 19_ Register '''; 0' i ~ ~ : ~ : ~ ~1 : ell ,0 <1': u.. en: ~! *! ",: 0 0<' M~ ~! ..-: 0') en .-J g s.i u: ~ QJ: Ir.l III .-J Ul: .gj t.!:J '" - . I - - .: .~ {j +I, 0 ~ r>., ::: ~ u: <Xl oi I Z: = ..... (:il: .~ N H: 't:l III (:il: ell <t 0 ci :I:i 't:l ..... .... CO Z 0 *~ I tJ - .s ~ 11 t"4 ell S 't:l bll ci Ol - = .~ '" p. ~ Z ~ ~ DECREE Be il rcmcmbered lhal onlhc 16th day of october ,A.D.,I~, there was probated and rccorded thc lasl Will and Tcslamcnt of Helen F. Schwarz late of Lower Allen Township d . CTA Deccased. Lettcrs of A mJnJ.:::tration. wcre granlcd to Witncss my hand and official scallhc day and year aforesaid. . Cumberland County, Pcnnsylvania. Donald C. Sarvey 1,1-7 0(d'l'l (1 ~,..., N O.~'.7.8..0,..............~?:>~) Renunciation and Request In the M.tter of the Est.te of ......................,H..!',:.~,!',:,~....t::.......~.c.!.i~~!!~..................,.........,........................................... To ...............................M!'!.1;',y....g.;....t,~~".!L.................,...,.................,.................." Esq., Regisler for the Prob.te of Wills .nd gr.nting Letters of Administr.tion for the Cou nty of Cumberl.nd, in the Commonwe.lth of Pennsylv.ni.. ....+-,..,... the undersigned, being the ,.....~.~~~,~,~.;,~...~~~~....~~,..~~:...,~.~,~~...~.~,~,~.~"...........,..........,........ .........~:g~,lj!t....?,~."'-..!9.5.~,!,...!?f.....H..~!,~!:l...r.:~.....~.C?h~~.r..?!,!...)~~~...~,f.....~.~~!?:~.~.r.....~~}.~,~,~,~.......... ........,Het.lr,em~1:It....Qe.n.j;,e~.....J.9.5.,J!.e~l.~.Y..,.P.:r.~,y.~,..,..~.e.C?h~~~,~.!!~~I!i,!..J~~nn.~;'!.!!~!?;~~.. ...... ..............n............................................................................................................................................................~~.......... ...., .....................................................................................................................................................................................n~......... ..., do hereby renounce ...................................!!I.Y....................... right to h.ve Letters ....:r.~,~.~~~.~~~.~.~.:r......................... -~ :,..:> -, ...........,g~!!:~!i.~.......................................... on s.id Estate issued to myself. Anna Schwarz E'Bronr .................................................................0...... ~ .....................................................,..............................,............ ,.................................. .nd do hereby request you to grant the s.me to Donald C~ Sarvey. ............................................................................................................................................................................. Witness.. ................h.nd.................nd seaL..,. ......., ..this...... ........1.. ;j.-:..!.!.L........................................................ d.y of .m:,S:'(,\.Q.t.......................................A, D. t9..f.O Sealed and delivered in presence of e' . 1--- . J ., :1l~L~,klU:.",1...c..b').Ji.:?.L&~.L"':t:................ , (,i , 1 I' ~ ( "-.I...L!.~;.,;..,.i,(.cL,,\,:::~lh..'C.:'i1J:;.'~/ (L, S.) "':" ,~.-.{ ':"'~ '"! '.' ."....:',. '-.' "-:::1', lock Ilcwn, ('1'"....;. /""'__ f'r.'1.,a. . ........ ...M~..C~~.l;;i;~:~;..,G~.::i.r~::~.j~~~..; 4.:'i ;.ji..... ........ ........... . ...........,................................................... (L. S.) ................................................................(L.S.) ..............................,..,..............................(L. S.) ................................... ............................(L. S.) ......,..,...............,....................,.................(L.S.) ..,..................,....,.....................................(L.S.) j I ;) ! i I 1 I ~ , l'll\\'EIl OF A'I"J'OIlNEY KNOW ALL ~IEN I\Y THESE PRESENTS: This Power of Allorney authorir.es lhe cXC'clIlion of one instrument to which it should be aUached. That lhe Western Surety Company, a corporation, docs Iwrcby make, constitute and appoint each of the following officers and employees, of Valley For~e. Pennsylvania. AUorney in Fact, with full po\\'cr and authority conCerred upon him or her to sign. execute, acknowl('d~e and d('li\'er for and 011 its hl'half as Sur('t~. and its act and deed, anyone bond, indemnity or under- taking, consent or agreement which this Company may be authorized to write: John J. Schmitt, Vice President J. Nau~hton. Assistant Secretary "'. Gino J. Ca\'allere, Vice President M. Maher, Assistant Secretary "\\,\\\~ T"Jnlw,A. Carola, Assistant Vice President L. Risher, Assistant Secretary ~,\.\.\?-.o- Y C:/.'t;- Robert Baker, Assistant Secretary .:1i'bf')Vestc'iil'Suictj;'.Cllmpany further certines that the following is a true and correct copy nf Section 7 of the By-Laws or ~~s~-?~p.n~f.~;~~~~~~~II1Y, duly adopted and now in force, to.wit: g ~~tjon 7. "All bilnd&, policies, undertakings or olher obligalions of the corporation shall be exeeuted in the corporate ~~ bf the Company.by the Chairman of the Board, the President, Secretary, and Assistant Secretary, Treasurer, or any "lJct."fresldont,or,btsueh other officers as the Board of Directors may authorize, The Chairman of the Board, President, any \fj~~S1o"ilt;-S.crellir}', any Assistant Secrelary, or the Treasurer may appoint Altorneys in Fact or Agents who shall have autl1.o'i!f:to issu~~lionds, policies, or undertakint;s in the name of the Company, The corporate seal is not necessary for the valiaity,ofiny"1ioh.'ds;' policies, undertakings, or oth('r obligations of the Corporation." I'tUftlliPl.'" IN WITNESS WHEIlEOF.the said Weslern Snrety Company has caused t1\Cse presents to be exee\l.t6d by its President with its corporate seal affixed this 29th day of Septernoer ,19~. ATTEST'1( O~ By Assistant Secretary STATE OF SOUTH DAKOTA l 55 County of Minnehaha f On this 29th day of September .19 80 ,before me, a Notary Public, personally appeared Joe P. Kirby, President. and K, Ollerich. Assistant Secretarv who, being by me duly sworn, acknowledged that they si~l1cd the above Power of Attorney as President and Alisistant Secre- tary, respeclively, of lh. said Western Snrety Company. and acknowledged S]id i strument to be the voluntary act and deed of said corporation. ' My Commission expires . W ~ May 20 . 19 85 474D 5-80 Notary Public '\, 'I ....c...'.________ rID 21.80 ~;S!) .l~ Bond No. 6240413 WE5TER~\St~.~IY GDMPANY ()rw 0/ ,411t~~~~lf/jf?:A~MJ;f!!re()mpaniM CHICA~9" :.~lP.I,)~' F A~~.'~ ip!'.L'.J:.A.5 PALO ALTO'.'B.ALA;CYNWYD. PI'.. ...- _.- . ..;;.. :. ..--, ---.------.. ~ ..-.--.--... I' Know all Men by these Presents: THAT WE Donald C. Sarvey p' , I I as rmClpa, "nd the WESTERN SURETY COMPANY. a corporation duly licensed to do busioess in lhe Commonwealth of Pennsylvania, are held and firmly bound unto the Commonwealth of Pennsylvania in the sum of($lO, 000.00) Ten Thousand and No/100ths Dollars. 10 be paid to the said Commonwealth. or their certain Attorney or Assigns. To the which payment well and truly to be made, we bind ourselves jointly and severally. for and in the whole. our Heirs. Executors and Administrators, firmly by these presents, Sealed With Our Seals-Dated the 29th day of September in the year of our Lord one thousand nine hundred and 80 The Condition of This Obligation Is Such, That If The Above Bounden Donald C, Sarvey Administrat or Chattels and Credits of of all and singular the Goods, Helen F. Schwarz deceased. do make or cause to be made. a true and perfect inventory of all and singular the Goods. Chattels and Credits of the said deceased. which have come or shall eome to the hands. possession or knowledge of Donal.cLC S",rvpy the said --Anminis.trat,.,,... or in to the hands or possession of any other person or persons. for Jlelen_E.._.Sc.hwarz and the same so made, do exhibit, or cause to be exhibited, into the Register's Office in the County oL-'cumbe,.T ",no , within thirty days from the date hereof; and the same Goods, Chattels and Credits, and all other the Goods, Chattels and Credits of the said deceased. at the time of -HER death, which at any time shall come to the hands or possession of the said -Anmi ni <:.tI:atoJ:. or into the hands and possession o[ any other person or persons. for --He] ,m F' Sch;l)]~"7 do well and truly administer according to law. And further do make or cause to be made, a just and true account of -----HIS said Administration, within six months from the date hereof, or when there- unto required by the Orphans' Court, and all the re3t and residue of the said Goods, Chattels and Cred- its which shall be found remaining upon the said Administrator's account, the same being first examined and allowed by the Orphans' Court of the county having jurisdiction, shall deliver and pay unto such person or persons at the said Orphans' Court, by their decree or sentence. pursuant to law. shall limit and appoint. and shall well and truly comply with the laws of this Commonwealth relating to collateral in- heritances; and if it shall hereafter appear that any last will and testament was made by the deceascd, and the same shall be proved according to law, if the said Adminis,trator being thereunto required, do surrender the said Letters of Administration into the Register's Office aforesaid, then this obligation to be void. otherwise to remain in full force. Principal \ \ :\ J '! I .1 Ii II I Sealed and delivered in the pre~ence of 1:1 ~~ c. t14:.A W....... '1~?r)l / --J. --- I _ k_:.:;DE:NT AGENr WESv]N1:Z 1, . By _ Principal COM P A.NY /' / o 'I; ~;',"";;rR - ,'.~ :.._.:'~:_~: . , . :\ \\ ,I . , , . , . , , , ~ . . . . . . "0 C o p:l ..: '" '"Cl 0> ~ '" c:J ~ 'eo '" '" '" c:J p:; " c:J :>. ~ 4-l N g r:. k r:. 0 <IS 0 0 ril ~ ~ U !;;J tJ '" E-< lJ) ..:l g lJ) .-l ril r:. k <II ~ ~ <II '"Cl .-l ;:l ~ <II U r;: :x: ., . '" I- o ~ e:l I- ~ '" .~ C .~ E "0 ~ '---.'U1J . J .-: ~ g '" ~ Po. .. ~~. ~ . . . . . . - .: . ..: . .._...... __ or. __ _~ " REY.lIB2EX ~ . . COMMONWEALTH OF PENNSYLVANIA 4 NO K 000322 DEPARTMENT OF REVENUE .' OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX . I ~ . 'II II = lj r. fl ~~8~VED Donald C. Sarve -------.--- - -=---- . - --- -- TAX AT 6% TAX AT 15% TAXAT_% ADDRESS E5TATETAX Road Harrisburg. Pa. 17109 ------ -- ---- --- ------- ESTATE INFORMATION;.l1tTua~ 30 1980 DATE OF DEATH J\-.. , FILE NUMBER 21-80-659 DATE OF PAYMENT December 1, 1980 "AMEOFDECEDENT BBLEN P. SCHWARZ m m ~OUNTY CUlllberland POSTMARK DATE REMARKS M PAID ON ACCOUNT" SEAL RECEIVED BY I REGISTER OF WILLS ......... ------.----.---- .~,a, -- TOTAL TAX CREDIT 598.37 LESS DISCOUNT 29.92 PLUS (FROM _ % INTEREST TO_I TOTAL AMOUNT PAID 568.45 c " . . ., ,~ {/., 'i / / j ,: t.. I.-l . )(;;A/rd I Ma~ d~GNtwaa' R~l.ter of Willa - -- CommonWtl.lth ot PennsVI....nla .D,p.rtment of A.....nue Trans'.r Inheritance Tax Rnldent O.cedent R....-464 EX t C 1.801 INHERITANCE TAX RETURN FOR ESTATES WITH GROSS ASSETS UNDER $10,000,00 Estate of Helen F. Schwarz Date of Death August JO, 1980 Last Address Bethany Village, Wesley Drive Social Securitv # 165-01-4089 Mechanicsburg (City) 17055 Bureau File # PA. (Statel (Zip) County File # 1. Decedent died: o Inlestate (without a will) IXI Testate (leaving a last will - copv attached) 2, o Execulor/Execulrix !Xl Administrator~~X Name Donald C. Sarvey 3J01 Ridgeway Road Address Harrisburp; (Cltvl PA. (State) 3, All correspondence should be mailed to 0 Altorney Liil Fiduciarv, 4. If an attorney is representing the estate, indicate: Name Address (CItVI (Stale) REAL PROPERTY - Identify real property locatcd in Pennsylvania by lot and block number, street address and include a statement of mortgage encumbrances as of the date of dcath. (none) TOlal 21-80-659 17109 (2:lp) (ZIp) Estimated Market Value /~ -1- J'() * Department Valuation (Official Use Only) PERSONAL PROPERTY _ Ust all tangible and intangiblll pl.!rsonal propertY owned individuallV bv the dece. dont ot tho timo of death, Estimated Matket Value Department Valuation (Official Use Only) 1. Bedroon furniture and personal possessions 2. Cash 3. Checking account, Commonwealth National Bank 4. Savings account, Commonwealth National Bank 5. Blue Shield, refund 6. Medicare, refund 7. Bethany Village, refund on rent 8. V A benefits 9. Clinton County, headstone 350.00 . 48.00 (1,440.34\ \2,051.37) 4.40 17.60 255.00 450.00 75.00 ISH, fR1 ,Jot), Of I i ! , Total JOINTL Y.OWNED PROPERTY _ Ust oil "al ond p",onal p<ope"y owned by tho decadent with anoth,,(,1 as joint tenants with right of survivorship. Estimated Market Value (none) Total TRANSFERS _ Ust all real and personal property transferred within tWO years of death. Estimated Market Value Department Valuation (Official Use Only) (none) Total M-nL List all safo dopo,it bo'es ragist"ed in tho decedent', individual name, or join.'y with, ., as an ag.nt or d.putY of another, or in deceden.', individu,' narn' with right 01 access by another e' agent or deputy, Include the n.rne and add,." 01 the bank or other institution whore the safe depo,it box i, located, the namels) in which the box is registered and the relationship of tho joint holders to tho decedent. Name and Address of Bank or Other Institution In Which Docedent Maintained D Safe Doposlt Ball; Namo or Names In Which Safo Deposit Ball; Is Reglsterod Relationship of Joint Holdor. to Decedent (none) I, " NOTE: Vou may e,pedite th. processing 01 thi, rolU'" by filing v.ith it and as a p'" olth. rotu,", leu.rs Irorn linancial Inllitu.ion, or rnortg.g. holders, certifyIng to arnounlS on depo,il or ow.d by ,h. deced.nt a' 01 th. date 01 de"h, Such I.uo" must b. 'Igned by · re,ponlible otficer of ,he lin.ncial f,;,ti,ution or mortg.ge holder and Indica" cle.r1y amounts of princlpal and interest in th. decedont', account at the date of death and the type of accoun., DCcount numbcr and the exact nome or names in which tho account is fegistered. FEY-4&4 EX. tHO) . INHERITANCE TAX SUMMARY SHEET (BUREAU USEONLYI @ Original o Supplemental o Remainder Estate Nome 21-80-'1659 HelllnY~....s~l1war-z Fite Number Dote of Death 8-30-80 Social Security Number 1.Q5-01-40~g REPORT OF It-IHERITANCE TAX APPRAISER I, the unde"igned duly appointed Inheritanco Tax Appraiser In and for the County of Cumber-land Pennsylvania, do respectfully report that I hOYD appraised tho real and personal property as reportea in tho foregoing rot\lm at tho values sot forth opposito each item in tho lost column to the ri ght in Schedulos "A", "8", "C", and HE" Datod: Febr-uary 19. 1981 JllJ.rv:"rt?/ti",J) INHERITAN.CE TAX APPRAISER INVENTORY VALUE AS APPRAISED ADJUSTIolENlS (HARRISBURG USE ONLY) REMAINDER APPRAISEIoIENT CODE 92+ Reol Proplnty (Schedule A) Peraonol Property (Sc:hed&.lle 6) Jolnr.Held Property (Schedule E) Tran,fer, (Schedulo C) $ 00+ 5 579 73 10+ 211+ 30+ none TOTAL. GROSS ASSETS _5,5~7.9__ :r:L 93- L.en D.bt. and OodLlctlon' (SCHEDUL.E F) CL.Eo\R VAL.UE OF ESTo\TE o Life Estate o Annuity 40. ~ FACTOR PRINCIPL.E VALUE CODE \ FOR USE OF REGISTER ONLY TO:ll: on $ CODE COMPUTATION OF TAX S S S S 6" ,f , 5~g Tax 0" S Tax on S Tox on $ s T(llit on $ EJ(emprions Totol Estate TDTo\1. TAX IHTEREST FROM IlAL.AtICE TO s s s Len Credits DATE OF PAYIoIEHT AMOUHT PAID DISCOUHT INTEREST T AX CREDIT 5 + 5 S : s = + IHTEREST FROt.l BAL.ANCE TO S REV-518 FO (7.80) ~~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS NOTICE OF FILING OF APPRAISEMENT Donald C. Sarvey 3301 Ridgeway Road Harrisburg, PA 17109 RE: Estate of County of File No. Helen F. Schwarz Cumberland 21-80-061)0 Dear Mr. Sarvey: You ore hereby notified that the Or'] e:;nal appraisement in the estate of HpT"n F S"hwa1"7. has been filed in the office of the Register of Wills of r.nmh"..l ann County on February 19 , 19.!ll.. Said approisement reflects the following voluotions: Real Estote non" Persono\ Property 'i, 'i7Q, 7~ Jointly Owned none Tronsfers nnn" Totol 5.579. 73 As to such tox that is paid within three months from dote of deoth, 0 fiye (5%) percent discount is allowable. As to any tax that remains unpaid after nine (9) months (fifteen months when deoth occurred from December 22, 1965 to June 16, 1971, inclusive; and twelye months when death occurred prior to December 22, 1965) from date of death, interest at the rote of six (6%) percent per annum is charged. Any party in interest who is aggrieved by this notice may object thereto within sixty days after receipt of said notice os provided by Section 1001 of the Inheritonce ond Estate Tax Act of 1961,72 P.S. 2485-1001, P.L. 373. Dote Februarv 19. 1981 Si gned -ff/-/c.":d I -If'1'-<,11"Jlj) Ti tl e Chief Appraiser NOTE: This is not 0 bill. '" ~ ~ '" ~ P:: I1l :. <: .E E-< Z W ~ 0 c . 0 >- U) OJ 'C .-< a ~ W .-< <1l '" '" ..; .... ;:l '" c '" OJ ...:l OJ Q) .0 <: .-< :. e <Xl C\J - Q) 0 ::l M U Z ::t: ....l U ~ - 0 ~ ~ - 0 ~ d ~ t1. ~ I;; 0 '" 0 z d - w '" >- I-< Z d z I-< W I-< W Z ...:l d - d ~ P:: S ::<: w ~ ...:l Z ::;; Z Cl U I.:l Z - ~ '" ~ 8 0 <: :l ~ ~ Cl llo ."">l.'~. .' . ''''', [\ . '1<1, '" , COMMONWEAL TH OF PENNSYLVANIA DEPARTMEHT OF REVEHUE BUREAU OF COUNTY COL~ECTIONS HARRISBURG 17127 . (a 01 fie\<li0J:2~~\\O] \\UloaU _' r.;:\ r \ \ Ifl c.l...,,;-' ~-V,J,Rl_~l;~' .~ \~,\..,~~-;, ,,', ',: ~ I' \.. ' \ \ ~ \ ~ ~. . ," :."......,t\\\~ , .. .. - ...,., ~ _'~. \ -~, . . _ .....\ H..:.a C4f;.' \ r...,...J (.. \~i\\'\' ~.., ,>~ I .....' RCC-43 (4.71) NOTE: TO BE SUBMITTED IN TRIPLICATE REPORTING FINANCIAL INSTITUTION ADDRESS Pennsylvania Department of Revenue Bureau of County Collections Gable Building, 3rd, Floor 411 S. Second Street Harrisburg, Pennsylvania 17127 t.ftt!'k HaVlIn Savin".. t. T.nan 4 ~elt Main Street Loelt Haven.. PA ZIP CODE 17745 Pursuant to Section 742, Pennsylvania Inheritance and Estate Tax Act of 1961, we herewith submit the following report: ACCOUNT NO. OF JOINT, TRUST OR INVESTMENT DEPOSIT D900191 Optio"",l l'''"Abnnl< NAMES ON ACCOUNT OR INVESTMENT neten F, Sehvorz S Mary JAne SRrvey DATE OF DEATH Auguat 30. IIJRO DECEASED JOINT DEPOSITOR, TRUSTEE OR INVESTOR Relen F. SchwarF. ADDRESS no ',J. Church <;treet Lock lTaven. PA COUNTY Clintn" ZIP CODE 17740; SURVIVING DEPOSITOR, BENEFICIARY OR INVESTOR fo(aTV Jane Sarvev ADDRESS 200 H. Church Strellt. tock !laven, PA 17740; RELATIONSHIP TO DECEDENT "eice DATE DEPOSIT OR INVESTMENT WAS ESTABLISHED Hay 31. 1963 BALANCE, INCLUDING INTEREST DUE, AT DATE OF DEATH $ 1,835.95 ,,,~lJ Predd.n!: TITLE , ! IN THE COURT OF COMMON PLEAS OF CUMBERLAND COmiTY, PENNSYLVANIA IN RE: ESTATE OF HELEN F. SCHWARZ, late of Lower Allen Township, Cumberland County Orphan's Court Division No. Term 1981 SCHEDULE OF DISTRIBUTION The Accountant asks credit for the following: Advance Distribution None Proposed Distribution Anna S. Earon (sister, testate heir) TOTAL DISTRIBUTION $2,838.73 n"J) 0 Donald c. Sarvey, Administrator C.T.A. l'",",i ~cJ i ItCt 5~{:! "\ ~ , LETTERS OF ADMINISTRATION ,C.T.A. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ~ ss I, Probat~ of Wills and Granting of of Pennsylvania: HARY C. LEWIS _ Esquire, Regisler for the Administration .in lhe County of Cumberland, in lhe Commonwealth Letters of To DONALD C. SARVEY Administra TOR, C. T .A. of all and singular the Goods and Chattels, Rights and Credits which were of HELEN F. SCHWARZ, LATE OF LOWER ALLEN TOWNSHIP, CUMBERLAND COUNTY, PENNSYLVANIA DECEASED GREETING: WHEREAS, the said HELEN F. SCHWARZ died on SATURDAY the 30TH day of AUGUST lsi30 intestate, according to affidavits properly filed, having whilst S he lived, and at the time of HER decease, diverse goods and chattels, righ15 and credits, within said county, by means whereof the full disposition and power of granting Letters of Administration thereof, is manifestly known to belong to me; I, therefore, desiring that the goads and chattels, righ15 and credits, which were of said deceased, may be well and truly administered. converted and disposed of accord. ing to law, Do hereby grant unto you the said DONALD C. SARVEY (In whose fidelity in this behalf I very much confide) full power by tenor of lhese presents to administer the goods and chattels, right and credits, which were of said deceased; as also to ask, collect, le\1', recover, and receive the credits whatsoever, of said deceased, which at the time of HER death was owing or did in any way belong to HER and pay the debts in which the said deceased stood obliged, so for forth as the goods and chattels. rights and credits will extend, according to the rate and order of low; especially of well and truly administering the good and chattels, rights and credits which were of said deceased. and making a true and perfect inventory and conscionable appraisement thereof, and exhibiting the some in the Register's office, in the Borough of Carlisle, within thirty days from this dote, and also a just and true account, calculation and reckoning of your admini- stration, upon your solemn oath or affirmation when hereunto legally required, and diligently and faithfully to regard and well and truly comply with the provisions of the law relalive to Collateral and Direct Inheritances. And I do by these presents ordain. constitute and appoint you, the said DONALD C. SARVEY Aclministra TOR. C. T. A, of all and singular goods and chattels, rights and credits which were of said deceased, within the limits aforesaid, saving harmless and forever indemnifying me and all other officers against all persons by reason of your administration afomaid, >od sovine ,II others their rights, etc, IN TESTIMONY WHEREOF, I hove hereunto set my hand and caused the seal of said office to be hereunto affixed, doted at Carlisie, aforesaid, the 16TH day of OCTOBER EIGHTY in the year of our Lord, one thousand nine hundred and :.:}71 d /! ":) (I .~ ~<---'...:,,/ /) '~ Per ~1-rt...-,.--' \'; t_..~...~!\.a.../ . :I Register. Deputy Regisler, . . ~ ~ ~ . ~ 6 ~n r.. >1 ~ ~ ~~~ ~r..~ \ 0 ... .~~~ ~ ~ [j ~ I Il<~ !~~8 ~i8 tIl ~ ; ~ !2r.. IO~ 0 ' ~~ ..~~ 0 gj~lJ !~ . :z: ~ H i tIl r.. o .../ -~.n.\",_ :z: o ~ P'l ~ tIl ~ oj .:= " ~ 'g .s .~ ~ ~,~ g -;:; -a " " ,;: :: "" ,g 2' = ~i.g }~ ~~~ ~,,~ 5 ~ :.:::: 1-0 ~~ _ .. .... :.:: ~ ~ ;: -.; ::; ;~ ~ -;:; ... ;; _r~ "~', .. ,.. ,.. (") .... .:;- ..: >' ." ~ ~ - .:; <:; ;.; :..; ~ t: ~ '- .'::: ',. '~..., 0 l;) :: ;; ~ ~ ':'; f~ ,; ~; ~ , . ,~ 'E 5. T ~ '5 ';, .s .~ ,.., Vl c.:) '-' ;.._ ~ co: : a E 'J T ";: ~~ 1~ '0 ~ i'J 7. " " _,,: .; 'l ,. " ." Vi c:.l t':: ~ t:t :.. -..... oJ E 'P ~ ~ ,13~, ;~.~" ~ ,: 2' " ;~ " ,.' '.: ,J 2; ;:; '~ :: ; ?, ':~ :r.~, ]. ~ ...... '~::'." . ~I :~ ~rl~. r,,~ ~.i ::. ;'~ 0 ~:5 ~) u ::.".~ ;..... ,;'~,lv'~'2E ~'a 5' I rn .....:-:.... -0 ..::: ;:; , " .. '. ,:! ., 9 J:, .-; J: .~ .~i _::';_ :.. .; '" o ... t'- ... oS '8 ~ ~ >>~] g .. ~ .. ~~ i>>Il<N lJ) ~ ffi toD~ ..;J .,ubO~CO~ P'll>>"Cl,c1r\ ~ oSeP:\.'Ili'f .:s 'al 0... ~t'o ~.......... ~ ~ g ~ ~,,'=S 1l<<~;I:: .~ '<'-- ....., n cd :0 :Om c-:~ - "'n C;.o "'0 3:", -;0 OJ ~ ~o ",' .=> ;-r;lo1 ~)~ "" 01)9 r-"" N .~;:; ?:~. ::l\ ..... ..., ':..."J;z: ..~:; gu; v ,T, - ~ ,.., C'l ::.:~ ~ " ......-' ., \. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA IN RE: ESTATE OF HELEN F. SCHWARZ, late of Lower Allen Township, Cumberland County ORPHAN'S COURT DIVISION NO. Term 1981 FIRST AND FINAL ACCOUNT OF DONALD C. SARVEY, ADMINISTRATOR C.T.A. Date of Death: August 30, 1980 Date of Advertising Grant of Letters of Administration: Cumberland Law Journal November 7, 14 and 21, 1980 The Patriot and The Evening News, Metro-West Edition, October 29, 1980, and November 4 and 11, 1980 Attorney: Pamela B. Sarvey, Esq. 3301 Ridgeway Road Harris burg, Pennsylvania SUMMARY REALTY PRINCIPAL Debits (page 2) None Credi ts (page 2) None - 0 - Lh...li t..' . uU I ~~t 51t1 ;, CREDITS The Accountant asks credits for the following: ADMINISTRATION EXPENSES 10-28-80 11-14-80 10-7 -80 10-10-80 Cumberland Law Journal Patriot-News Company John Farnham, agent Register of Wills, Cumberland County 12-1-80 Register of Wills, Cumberland County Advertisement Advertisement Bond Letters, Short Certificates, Renunciation Filing fee, Inventory and Appraisement RESERVED FOR PAYMENT OF THE FOLLOWING: Register of Wills, Cumberland County Cost of filing First and Final Account ,. $18.00 $17.28 $40 .00 $20.00 $ 6.00 TOTAL $101.28 $39.00 TOTAL $39.00 FUNERAL. BURIAL AND MEDICAL EXPENSES 10-21-80 Cowley Associates Doctor's bill $40.00 10-21-80 Dixon's Pharmacy Medicine $95.16 11-13-80 Yost Funeral Home Funeral bill $1,44-5.00 1-29-81 Anna S. Earon Repayment for Headstone $425.00 TOTAL $2,005.16 GENERAL EXPENSES 10-21-80 Bell of Pa. Telephone bill - 3 - l:..,. :.. u I ",;t 52.1 $27.11 TOTAL $27.11 COMMONWEALTH OF PENNSYLVANIA SS: COUNTY OF DAUPHIN Personally appeared before me, a Notary Public in and for said Commonwealth and County, DONALD C. SARVEY, who, being duly sworn according to law, deposes and says that he is the Administrator C.T.A. of the Estate of HELEN F. SCHWARZ, Deceased; that the foregoing First and Final Account is true and correct to the best of his knowledge, information and felief; and that no person interested under the Estate of Helen F. Schwarz, Deceased, as creditor, next-of-kin, or otherwise, has given notice of any claim in writing to the deponant, Donald C. Sarvey, or to the Estate's attorney, Pamela B. Sarvey, Esq. i11Jf~ ~ g, DONALD C. SARVEY Sworn to and subscribed , ..;1\'l?f.or~.,me this tt/1Jt day ,..,.,."af.A(;/l,;';,... ' 1981. . ~ '\) .,.. ,rA', .' .,. 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