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in IIH' ahlin' ;lpllli(,.ltiulI, 11I'i\l~ duly _,~rn....."...." ;It'I1.ll'IlillJ!, lu 1.1\\' ,ay( s) that thl' !'Itiltl'lIll'lIh !'Il'l forth
ill this 1lt'litiulI ;In' lilli' III IIIl' hl,..1 01 ,....."her........ tnowll'''!!.l' ;tlltllll'llt'l.
Sl..um to
..........."......."........................ ,11111 \llh"'l'rilll'd Iwilll'I' \
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....@Juy...r!.... .'It/.:'..,;d.......:.....
l" (I Ilt'~l..tt'r
Fil,''': December 4. 1980
~A.&~~.~an~~e..................................
..................................................................................
.......................................................................................
Attorntfs Smne ;tllll Addn.'ss
...........................N~.~g,...~...P.<!y,;i..~.................................
............................~~i~~~.;.~~~.~h257........
OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}S5:
...... .................................. ............ ......... .f.):!~!:\~~. .!:!Y.~...... ............... ................................. ......... ........., petitioner( s)
being duly ...............~ID................................ according to law do es........ depose and say that as the
administra trix..c.:tQfl-the estate of ..... ................... Cly.de..E....\vo~tz........... ..................................................
........................................................................................................................................................................................
deceased ........~~~.......... will well and truly administer the goods lInd chattels, rights and credits of said
deceased, according to Inw. And also will diligently comply with the provisions of the law relating
to Transfer Inheritances.
...........~Qm..1;Q............................. lInd subscribe!1
before me.
.................p..~.c;:.;..Ji....................... A. D., 19...~Q... .....f.~.~..NYe.......................................
...................................................................................... ............................................................................................
Register
DECREE
embered that on the ...........~.::!:\............. day of ...............!?~.~.~~!?EO!:. ...... A. D., 19.5Q.....
Letters of Adminis .' in the estate of .........~~.YQ.l?..f.:."J:lg),.:t;p........""'.. .......................................................
.-:'
..... ............ ...................... ..... ..................... .""-.~ late 0 f !;!1J\..flqP.?~9h..9.L ~vJ.P.P.!ID.~.I?w.;g........... ......... .......
Cumberland County, Pennsylvania, deceaS:9>;.w'eTe~ted to ........f.+.iIDQi!.9...NY!i!......................................
--- --
........~~.;~~:~~.~;..~l;;;;...:.~:;~~.~..~~~:.;;~;;..~~;:;...;;~~;:~~::- ............................................................
........................................................................................
Register
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21.80 7;;t;
IIEGISTEII OF \\'II.I.~ OF ..~~............ COU~TY
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!'ETlTIO~ FOil PIIOUATE OF 11'11.1. A~J) I.E'ITEIIS OF AIl~II1\ISTIIATlO:'\
CU~I TI':STA~IE:\T() A:'\:\EXO
I.ETrElIS 01' Amll:\ISTltITIO:'\ DE 1I0~IS ~O~
I.ITrElIS OF AD~II:\ISTIL\Tla~ DE 1I0:\IS r\ON CUM
TES'LI~fE~T() A:'\:-;EXO
ill lht' Eslalt' of ..~~...~....J~~~~.........................."..... dl'C'{'asl,d,
Pctitiul1t'r( s), ......E~f~~~...~.~..,......,...............,........,..,...............................................................,.............
al1e~ds) that:
is lql\lOt
l. Pl'litimll'r~ IWI'lIly.nllt' yt'ars (If :q,w IIr ohll'r am1 applil's fur It-HI'rs of administration
.........9.~'~.~.~...............,.......................'............."...."....... in thp a!)I)\'c' (';lptinnt.d ('stall',
2. Decedent died on ..............~:t...~..(..J9..?9................................. at ..................M. in the Connty 01
......~~.~...................... State of ....g!'!.~y.~~.i.9............ at the age of ...7.L................ years. having
made ..h.i~..... Last Will and Testament dated till' ......9..1::J:I.. day nf .........~;:~.~....................... ,1.0: 19.?~....
Wherein ...h~........ appnint('d ..~~...r.?Qi?~~~..Nf\j;:J9.nAA...~...~.f...:=ihipP.iID~p.)rll;,gExee ),!!;g,l;'...... k
Which Exec~l;QX::...... has ~ .mI.Q)J!).~g....~.,!.....G..~.I.,!,l."'.~....C.....lH.b:::J.cnc./.l..rkr.e~d -k~JA, .
all
On ................ day of ............................................, 19........, Lc.'lll'rs of Adlninislrntion \\'ere granted In ...,..............
.........................................................................."......................................................................................................................
d.h.lI.
d.h.n.c.t.a. .
3. l..elll'rs of Administratiun c.t.a. an.' Ill'cdcd bc(';lllSC ......J;:~Qg.!?.~~.(...:?.!~~F...."..............
~
................................................................................................. IlUd pclitiuncr( s) <Ipplies in ...................... capacity a:;
...................Mn.inistratrix..c..t.a....................... .
4. Decedent dil'd domiciled in ..........:r.~.~;J,,~.~............... with his Illst lamily or principal
~atc or C()~llr\')
residence at .....~...~~...~~..~!;;~!::!..........:!:l?~....~!....g!'!:~....E?~.I..............................................
}!l'IKX ilQliX
5. ('Vhefc decedent died tcslatl') DCl'cornt was not married ami a child was not born to or
adopted by decedent "fiN execution of the will (and ,,,'hen.> applicant is alleged spouse) nor was decedent
divorced from applicant after l'xcclltion of will and 1\1 death.
6. The said decedent was pussl'sscd of Coods, Chattels, Rights and Credits to the estimated
t:'.. ..'J
value 01 $....1...1.9.;),.1...::::::... and 01 Real Estate. to the estimated \'alue 01 $......IlQ1.llOl............... as near as
can he ascertained. That the said Heal Estate in so far as known is located in ................................................
.........................................................................................1}9.t...~P.P.g9.?,)?!\?.................................................................
7. (Whew decedent dit.d intestatt. liS to any portion of this cshttc). Petitioner ;1fter a proper
search has asccrhlillcu that decedent W;1S sUTvi\'t...d hy the following.nmncd persons entitled to distribution
under the Intcstatt. l\ct of 1947:
Name HtjiltiOllship Residenl'C s1-
1. .E(..~..~.!..f...~.....Ny.I?.......................1.;:>...t..~:..................................s:fJFEm.t.Q'CP.).~.. -
~: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~~~:=~:~:!.< p~
4. .................................. ..........................................................................................................................................................
5. .............................................................................................................................................................................................
6. ..............................
...................................."..................."..........................................................................."......................
..................................................................................................................................................................................................
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Thcn.foH\ pctitiolll'r(s) n'spcdflllly applies fnr (prohate of the will prcscntl.d herewith and
for) Il,lters oTI'gI8i~'istr" ion ..9.!.t~ ~......."............ ...". ..................................................................................................
nated: ......~~. .........1...1980 Si~l1L'd: .!J.~~..~................................... ~..~..7S'
.Iddre,,, !?;J,..t....~~..9.r.ri~...~.~.!;.................... !,.)-f,
ShJ.ppensburg, Pa. 17257
WILLIAM R. MARK
...TTOJIINE:Y"'T LAW
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LAST WILL AND TESTAHENT
I, CLYDE E. WOLTZ, of 6 North Penn Street, Shippensburg, Cumberland
County, Pennsylvania, being of sound mind, memory and disposition, do hereby
make. publish and declare this my Last Will and Testament, hereby revoking
and making void all wills by me at any time heretofore made.
FIRST. I order and direct the payment of all my just debts and funeral
expenses as soon as may be convenient after my decease.
SECOND. I give, devise and bequeath all my estate, real, personal and mixed,
whatsoever and wheresoever situate, to my step-daughter, GERALDINE C. DEARBORN,
absolutely.
THIRD. I nominate, constitute and appoint THE PEOPLES NATIONAL BANK OF
SHIPPENSBURG, Shippensburg, Pennsylvania, to be the Executor of this my Last
Will and Testament.
IN WITNESS IffiEREOF, I. CLYDE E. \~OLTZ. have hereunto set my hand and
seal to this my Las t Will and Tes tamen t, this
1'1
day of April, 1975.
(SEAL)
Signed. sealed, published and
declared by CLYDE E. WOLTZ,
the Testator, as and for his
Last Will and Testament. in the
presence of us who have at his
request signed our names as
wi tnesses hereto in the presence
of the said Testator and of
each other.
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OATIl m' SUIlSCRIlIING WITNESS
COMMONWEALTH OF PENNSYLVANIA I ss:
COUNTY OF CUMBERLAND r
bec_ ~e......
This 1st day of geEEll3e~ A.D..1980
before me, Register for the Probate of Wills and granting lellers of Administration in and for said County of Cumberland, in
the Commonwealth of Pennsylvania, personally came
Mary E. Seavers. one of
the subscribing witnesses to the foregoing instrument of wrili..g purporting to be the last Will and Testament of
Clyde E. Woltz
Dated
April 9. 1975
late of
BoJ:Ouah of Ship.pen",hllrg
Cumberland County Pa., deceased who being duly
sworn according to law, depose and say, that
she was
present, and saw and heard the testa rm"
Clyde E. Woltz
sign, seal, publish, pronounce and declare the said
instrument of writing as and for h is
Testament and Last Will, and at the time of sO doing Clyde E. Woltz
was of sound and disposing mind memory and understanding. to the best of
knowledge, observation and belief.
her
Swo:rn to
and subscribed before
/l)O)I1J C. ~--!
1l!()/,J ~.~~
Register
AI'FIDAVIT OF DEATH
COMMONWEALTH OF PENNSYLVANIA t ss:
COUNTY OF CUMBERLAND ~
Frances Nye
being duly
swam
says that as nearly as can be ascertainecl the said decedent
Clyde E. Woltz
died on
the 4th day of Mav
at or about o'clock, _M.
SWorn to and subscribed this
1st day of Dec.
A.D.,19...BlL.
.fA~.v ~~
19~, before
3J(dAU
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Register
r:-(V")
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OATH OF PERSONAL REPRESENTATIVE
ONWEALTH OF PENNSYLVANIA ss:
COUNTY
MBERLAND
r the Probate of Wills and granting of Letters of Administ
Cumberland. personally came
who. being duly
,do
deceased
of the last Will and Testament of
will well and truly admi
the provisions of the law relating to Transfer Inheritances.
.0.,19_
Register
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DECREE
Be it remembered that on the
4th day of
Clyde E. Woltz
December
80
,A.D.,19_, there was probated and
late of
recorded the last Will and Testament of
Shippensburg
f Ad . . t t' eTA
Deceased. Letters 0 m~nlS ra ~on. weie granted to
Witness my hand and official seal the day and year aforesaid.
, Cumberland County, Pennsylvania,
Frances Nye
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Reiister. .
.::' --/7-1'1
RE;iN;19 Ext (3-1101
COMMO~WEAL TH OF PE~~SYLVA~IA
DEPARTME~T OF REVE~UE
TRA~SFER I~HERITA~CE TAX
RESIDE~T DECEDENT
INHERITANCE TAX RETURN
FOR INSOLVENT ESTATES
(Ins-truetions on Reverse Side)
COUNTY FILE ~O'.J - 1'./ - . 5 BUREAU HO.
511 East Oran~e St., Shippensbur~. PA 172~7
(ADOUESS)
.-
Mrs. Frances W. Nve
of
*'
(NAME)
heing dull' sworn "ecoTding 10 1,,11', deposes and savs Ihal he/she is Ihe Administratrix
. (EXt::C.. ADM., t.EGATF.E, ETC.'
Clyde E. Woltz laleoi' 6 N. Penn St.. Shiopensbur~.
CSTREET ADDRESS)
of the eSI"lc of
deceased and lhatlhe whole of Ihe eSI"le of s"id deee"cnl, who dic,1 on
May 4. 1980
(DATE)
PA
eonsisled of Ihe assets liste" helow "n" Ihal allow,,!>le dehls an" "e"oclions cxceededthc f"ir market v"lne of the
"ssels and no I'ce'\i'llo'J~arnf~,:r,Utllcfer Inheritancc T"x is ""C. . ) ,-v .
lI~M\llOtlC :'b,~\;nd co.. Po. 9"' (51
NeWVille. 0'" . ~''''1''Ilbcr '22. 1 C6t
My 01 .l. ESTIMATED MARKET DEPARTMENT VAl.UAT10H
TYPE OF ASSET ASSETS VALUE OFFICIAL
Personal
Property
Checking Account, Peoples National
Bank, Shippensburg, jointly held with
Geraldin~ Dearborn, deceased 4/8/80
0 n Proceeds from sale of personal
property
0 0 Proceeds from sale of 1967 Cad.
Sedan
II 11 Proceeds from Pru~ential Insuran ce
Policy
TOTAL
(OFFICIAL USE ONL Y)
I do hereby certify that the "hove assets were appraised io accordance with Pen
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\ DATE
i
,
:
~AME OF PAYEE
Foglesanger Fun~~al~ Home
News Chronicle
Cumberland Law Journal
Korangy Radiological Asso.
Chambersburg Hospital
Dr. Charles DeFelice
Jerry A. Weigle, Esquire
Hamilton C. Davis, Esquire
Frances Nye
Cumbo Co. Register of Wills
APPRAISER
DEBTS AND DEDUCTIO~S
$1,248.67
1,000.00
800.00
2,431.,6
$5,480.23
sylvania law.
March 12. 1981
DATE
AMOU~T CLAIMED
Funeral Bill
Advertise Letters
Advertise Letters
Medical Bill
Medical Bill
Medical Bill
Legal fees
Attorney's fee
Administratrix fee Waived
Letters of Administration
$ 1,293.40
17.00
18.00
1 59.00
10,384.79
1,500.00
50.00
250.00
~ ;:1.. .i~)
17.00
DEDUCTIONS ARE ALLOWED IN THE SUM OF S 13, /7 tv. Ic.j
TOT AL
$1 3 , ~~ . 19
_ /.2 -f'!
DATE
.......
I~STRUCTIO~S
ASSETS _ Describe 011 Rool Estate locoted in Pennsylvonio ond held solely by d.cadent or held jointly with onother porty
or pornes os tenonts in conmon or os joinl tenants with right 01 survivorship. Includ. the dec.d.nt's percentoge 01 ownership
ond the ostimated morket volu.. List oil tongible ond intongible porsonal prop.rty owned individuolly by th. decedent or
jointly with onothor porty or portics os joint tenon's with right 01 survivorship ot the time 01 deoth. Include intangible
personol property titled in tho nome of th. d.c.dent. but poyoble ot deoth to onother porty or porties including but not limited
to P.O.D. U.S. Savings Bonds ond t.ntotive lrust occounts. List ony property tronslerred by the docedent, within two yeors
of death for which he/she did not receive valuable and adequate consideration.
DEBTS & DEDUCTlO~S _ Unsoti.lied liobilities incurred by the deced.nt prior to his/her deoth or. d.ductible ogoinst
hi./h.r toxoble .stote. In addition to d.bts incurr.d by the d.ced.nt, other Items or. c1oimoble including ,he cost 01
odministrotion. ottorn.y I.... liduciory f..s. lun.rol nnd buriol .xp.ns.s including the cost 01 0 burio\ lot. tomb.ton. or
grave marker.
Evid.nc. to support the d.cedent' s or the Estat.'s Iiobility lor the debts b.ing c1oim.d should be ottoched to this return.
A lomily exemption 01 $2,000.00 moy b. c1oim.d by 0 spouse 01 0 d.c.d.nt who di.d domiciled in Pennsylvonio. \I there
is no spous., or illhe spouse has forf.ited his/her rights, then any child 01 tho d.c.d.nt who is m.mb.r of th. some hous.hold
can claim the exemption. In the event, there is no such spouse or child, the exemption can be claimed by a parent or parents
who are members of the same houfehold as the decedent.
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IHFORMATIOH
PLACE FOR FILlHG _ The return is to belil.d in duplicot. with the Regist.r 01 Will. 01 the county wh.rein the d.ec.d.nt
. resi ded.
TIME FOR FILIHG _ The return is due nine months oftor th. doc.dont's d.ath, unless an extension for liling has be.n
.appli02d for and granted by the Secretory of Revenue within the nine-month period.
FAILURE TO FILE RETURN _ S.ction 791 01 tho 1961 Stotute providos thot " , . .ony person who willfully lails to Iii.
a r.tum or other r.port requir.d al him shall be personolly liable. . .to a penolty 01 25% of the t.x ultimotely lound
to be due or $1,000 whi chever is the less to be recovered by the Department of Revenue as debts of like amount are
recoverable by low."
INFORMATION
To insure proper credit to your Decou nt, tho name of lho ostato and tile numbor should be clearly print-
ed on the check or money order.
This assessment is mode in accordance with Section 708 of tho Inheritance and Estato Tax Act of
1961 (72 P.S. ~ 2485.7081.
To the oxlent that inheritance tax is paid within three (31 months after the death of tho decedent. 8
discount of five (51 percent is allowed 172 P.S. 9 2485.716).
Inheritance Tax. other than tall. on a futuro interest. is due at the data of the decedent's death and becomes
delinquent at the expiration of nin& (9) months after the decedent's death (72 P.S. ~ 2485.711). Inheritance
TalC on a futuro interest is payable within three t31 months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. S 2485.7121. Calculate intorest from the delinquent date shown
on the face of this form to the date of actual payment using the following interest table:
------------ --------- ---------- --- ------------- - - --- ---- -------- -- -- -- - ----
1 month .005 4 months .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months .015 6 months .030 9 months .045 12 months .060
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 deys .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 14 days .00237 24 days .00403
5 days .00085 15 days .00250 25 deys .00420
6 days .00101 16 days .00267 26 days .00437
7 days .00118 17 days .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days .00318 29 days .00488
10 days .00169 20 days .00335 30 days .00500
--------------------- -- --- -- -- --- -------- -- -------- - - -- ---------------
Any party in interest. including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (60l days after receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S. ~ 2485-1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mai I to the address listed below: