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OATH OF PERSONAL REPRESENTATIVE
COMMONWEALTH OF PENNSYLVANIA ss:
COUNTY OF CUMBERLAND
Before me, the Register for the Probate of Wills and granting of Lellers of Administration in and for the County of
Cumberland. personally came
who, being duly SNOl'n
Laur'a Snydcp
, does
depose and say that as
Adam E. Leitzel,
Executri x
of the last Will and Testament of
deceased
Rhe will well and truly administer the goods and challels, rights and credits of said deceased according to law. And
i1igently comply with the provisions of the law relating to Trans~~nreritances. S~J()l'l1 and s,?bscribed before me.
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DECREE
Be it remembered that on the 18th day of :3eotember
.A.D.,19..lil-, there was probated and
recorded the last WHI.nd Testament of
Adam E. Leitzel
late of
East Pennsboro 'rownsh'i p
,Cumberland County. Pennsylvania.
Laura Sny,1cr
Dtceased. Lellers Testamentary ~ere granted to
Witness my hand and official seal the day and )'ear aforesaid.
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, Commonwe.lth of PenniVlvanl1l
Departmant at Ravlnu.
Tr,nlf,r InharitancI Tn
Anldlnt OlcHtent
Rlv-464 EX+ U -801
INHERITANCE TAX RETURN
FOR ESTATES WITH GROSS ASSETS
UNDER $10.000.00
.
Estateo! Adam E. Leitzel
Date of Death June 21, 1981
Social Secu,ity #"- 6 / - / b - ,- -S - ;:) I
Last Address Blue Ridge lIaven West
Camp Hill. Pa. 17023
Bureau File #
(Cltv)
(Stitt)
(Zip)
County File # J, 1- f / - ..:5 71J
1. Decedent died:
o Intestate (without a will)
KJ Testate (leaving a last will - copy attached)
2.
[li Executor/Executrix
o Administrator/Administratrix
Name Laura Snyder
Address R. D. 1
Elizabethvi.lle
Pa.
17023
(City)
(Stlllte)
(Zip)
3. All correspondence should be mailed to Q Attorney LJ Fiduciary,
4. If an attorney is representing the estate. indicate:
Name
Earl Richard Etzweiler
Address
101 N. Front St.
Harrisburg
(Cltvl
Pa.
17101
(Zlpl
(State)
REAL PROPERTY - Identifv real property located in Penn5v1vania by lot Bnd block number, meet address ond
Include 8 Itatement of mortgage encumbrances as of the d.t~ of death.
Department V.lultlon
(Official Us. Only)
Estimated
Merkel Value
Hone
11- .:3/3-.;)J
Tot.1
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I~ST WILL AND TESTAMEN~-9J' A~~~~~Il'ZE~
I, ADAM E. LEI'l'ZEL, a reGident of WaGhingLon
Township, Dauphin County, PennGylvunia, being of sound und
disposing mind, memory and understanding, do hereby make,
publish and declare this instrulIIent to be my LaGt Will and
'restament, hereby revoking any and all wills by me at any
time heretofore made.
ITEM I: I direct my hereinafter named Co-executrices
to pay all my just debts, funeral expenses, administration
expenses and inheritance, estate, succession or excise taxes,
which I owe or may become due on account of my death, as soon,
as may be convenient after my decease.
ITEM II: I give, devise and bequeath my house trailer
and all furnishings therein at the time of my decease to my
niece, Laura Snyder, of Elizabethville, R.D .Ifl, Pennsylvania.
ITEM III: All the rest, resi.due and remainder of
my estate, be it real, personal or mixed, of whatever nature
and wheresoever situate which I may own or have the right to
dispose of at the time of my decease, I give, devise and
bequeath to be divided in three shares as follows:
l. One-third to Salem Lutheran Church of Elizabethville, Pa.
2. One-third to my niece, Katharine Leisenring,of Shamokin,
R.D.#2, Pennsylvania.
3. One-third to my niece, IBura Snyder, of Elizabethville,
R.D.#l, Pennsylvania.
I'l'EM IV:
I hereby nominate, constitute and appoint
my two nieces, Katharine Leisenring and Laura Snyder, co-executrices
of tl1is my Last Will and Tentament, wi tl1 full power in their
di;ll'retion to do any arid all t.hinp' necessary for the complete
administration of my eGt.ut.e, \d ill 1'll] 1 powel' to se] 1 at )lllblic
or private saJe and ~litlJOllt ;))'der lOf CClITt any real or personal
l G((CiII," {' i>.fC'
1 &""'- I.
(SEAL)
BENEFICIARIES
BENEFICIARIES ANO AODRESSES
~St.t. full n.mes and addt",," of ,.11 who h.\lo an interMt
either vested, contingent or olher intBtlt5tl
RELATIONSIiIP
TO DECEDENT
SURVIVEO
OECEOENT
STATE YES
OR NO
AGE OF LIFE
TENANTS OR
ANNUITANTS
AT DEAn, OF
OECEDENT
INTEREST OF
BENEFICIARY
IN ESTATE
~
..----------- ".-----.-..
Sa 1,'m-Lutheran__Church
E1izabethvi11e, Pa. 17023
___,,_____ None__,___-_,-.. ..--"
1/3rd Resid\.,&
___.____..______ __._______ ____0-
Katharine Leisenring
R.D. 2 Shamokin
Pa. 17872
niece
yes
of age
113rd Residue
_....__...____.. ____m..._._____.. ____~_~
-----.--- .----.---..----
..-.._----_. .__.--.-- ----..--.-.------ --- ---
--_.._j-----
.----..1'------
LauJ::a S[,yder
R. D. 1 E1izabethvi11e
Pa. 17023
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INFORMATION
PLACE FOR FILING _ The return is 10 he filed in ouplic,ltc with the Register at Wills of the (;ounty wherein thp. decedent resided.
TIME FOR FILING ._ The return is due nine months after the decedent'!i death, unless an extendon for filing has been applied for and granted
by the Secretary of Revenue within the nine.month period.
FAILURE TO FILE RETURN .... Seclioll 791 01 tile 1961 Statute pro,ides tl1at ", , , ally pe"on who willfully f.ils to file a return or
other report required of 11im , . . shall he personally Iiahle . , . 10 a penalty of 25'){J cf t:'c tax ultimately found to be due Of $1,000
whichever is the les!lcr to be feCal/Ned by the Department of Revenue iHi deuts of like amount are recoverable by law."
REY_414 EX+ (HO)
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
File Number
21-81-0570
(]] Original
o Supplemental
o Remainder
Estate Name
Adam E. Leitzel
Date 0/ Death
June 21, 1981
Social Security Number
201-16-5521
REPORT OF INHERITANCE TAX APPRAISER
I, the undersigned duly .pp.lnted Inherlt.nce T.x Appr.lur In .nd lor the C.unty.1 Cumberland
Pennsyly.nl., d. ...peclfully report thot I hoye .ppralud the re.1 ond personol property .s rep.rted In the I.reg.lng
retum at the value. ',.t forth opposite each item in thela.lt column to.the ri t i~SCh', les flAil, "B", "e'" and uE"
, ~ /
D.ted: January 4, 1982 " . '.. 1? .
INHJi~ITANCE TAX APP SER
ADJUSTMENTS REMAINDER APPRAISEMENT I CODE
INVENTORY VALUE AS APPRAISED CODE (HARRISBURG USE ONLY)
Ro.1 P,oporty (Schodulo A) 5 }Jrmp 00+ 12+
Per.onal Property (Sch.dul. B) 3 88 45 '0+
Jolnl.Hold Proporty (Schodulo E) None 211+
Transf.r. (Sch.dule C) None 30+
TOTAL GROSS ASSETS 3 988 45
L... D.bt. and Deduction. 40- n.
(SCHEDULE F)
CLEAR VALUE OF ESTATE
OLlie E.lat. RATE FACTOR PRINCI PLE VALUE CODE
o Annuity
FOR USE OF REGISTER ONLY
Tax on S
w.t
COMPUTATION OF TAX
$
$
$
$
$
6%
Tax on $
YaK on $
IS%
Tax on $
Tox on S
eumptlons
Total Estate
TOTAl. TAX
INTEREST FROM
BALANCE
TO
$
$
$
Len C,edlts
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
$
TAX CREDIT
S
+ $
=
$
+
;
BALANCE
TO
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I.AW Ulfl'ICl!S
EAIlL RICIIAllD ETZWIULI!11
lIorln.OIWNltuT
MJI.LI~HSlllJHn, I'I~NNS\"J.\'^NI^ I1CHiI
MllLERSOUFla
TCLCPHONE 711-69,2-0,1519
101 NORTH FRONT STREET
HARRISBURG, PA.17tOI
lE:LEPHONE 717~23B-5201
August 17, 1981
Register of Wills
Cumberland County Court House
Carlisle, PA 17013
Re: Estate of Adam E. Leitzel
Dear Madam:
Please find enclosed the original Will and the Petition
for Probate regarding the above matter.
Sincerely yours,
)
f'- /' /-~
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Earl Richard Etzwefler
ERE:db
Ene.
COMMONWEALTH OF PENNSYLVANIA '[
COUNTY OF CUMBERLAND J
55:
Laura Snyder
_.,om..,_. ..___._._________.___~_______._____.__.___..
boing duly _swot"n.,---- according to law, deposes a..d says thats ~u --------.---' ---
is the Executrix of the Estate of Adam E. Leitzel
_._---- .------.--
lato of _Ea_s.Cn_Pennsboro Township__ _ _,________,., Cumborland County, Po" docoasod and that tho
'th" . t d b L -S ~ th 'd Executrix
WI In IS an Inven ory ma 0 y _._ au~a. -ny-uer----.... .____~___.. e 1"1 .;..,
of the ontiro estato of said docodent, consisting of all the personal prop.rty and real e.tate, except real o.tate outside
the Commonwealth of Pennsylvania, and that the figure. oppo.ite each itom of the Invontory repre.ent it'. fair velue
e. of tho dete of decedent'. death,
Sworn
end subscribed before me,
..--(
___~~y!'_~:"_.":..'{~_____.._ .... '// ~<:
Euc.vtor . Admi"idr.tor
. 7?",-:.r, ,._,~i 7" 19 ~'/
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/JICt 4,1 A J.^~.. .fC~ 1---' / (liJ ,d
<777 (?rrywnJ, UjVI /-/0 -;-2.
b1izabethvi11e R. D. 1
Pa. 17023
Addr.ss
Oete 01 Deeth
21
June
Month
Hill
Vur
O.Y
INSTRUCTIONS
I. An inventory mu.t be filed within three month. after eppointment 01 personel representetive.
2. A suppl~ment inventory must b. filed within thirty day. of discovery 01 edditional e"eh.
3. ' Addititn~1 .heeli may be attached as to personelty or realty
___ '.1
4. . See Artme IV"fiducierie. Act 011949.
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COMMONWEr~LTH OF peNNSVLVANIA
nEr/~rrrMEf-.jT OF Ht::vENlJE
l1lJIH.AU 01' FIELD OprnA1-jONS
APP~IC.\TION FOR CHARITAB~E EXEMPTION
FROM PENN5Y~VANIA TRAtllFER INHERITANCE TAX
(Act "f Mt1y 'A, 1956, P.L. 1757, UI.ij Act of June 15, 1961,
~_' _~ .~_ 3_~.~:__ ~:__~m.~.~l~.~ d_~ c2J -f.1
Arrlic:otion is hereby filed for the- approval
of on CXC!lllfltion from Pennsylvania Tralldct
Inh~ritancu Tax on the ftan:,fer of the property
d\l!o('li6IH! below;
1. Bureau Filt~ :.
2. Dote of Death
t, ,-.:{ I--? /
,~(! &-J J' . .,,'.
,/V.&UI'" ",'" n~ _r."lfL._____....
Adam E. Leitzel
. -. ..--
3. Date of Approval.
4. NOnie of Decedent
5. The Commonweolth1s QPprai~C!d value of the property for ",hich on exemption i!) claimed is S _~..!13r.:d R~~iduen__'
(Note: Where the property is other thon 0 specified amount of cosh, th~ exemption cannot be approved until the value of
the property has b~8n eS1ablished by appraisal by fhe Commonwealth, except in those cases whero the amount of the gift
or bequost represent!; a stated fractional or percentage portion of the entire estate or the entire residue. In those cases
enter such fractional or percentage amount above).
6. Chuck fhe manner in which the transfer was effected and submit (1 copy of the document authorizing the transfer, unloss
such material has been previously Hied.
WILL ,x;
DEED 0;
TRUST INDENTURE 0;
SURVIVORSHIP 0;
OTH ER /7;
(II other, e.ploin)_____._._.__,~__..__.,_.,__._.____.__.____,
7. Correct Business Nome and Address of Charitable Organization receiving property:
NAME .--___S1;l.l.~m_Luther.aIL.C.hux.ch_ _..'.._..____.___..._.______
Eli~.abet~vil1e .__p~'-_!}O~~.____._
ADDRESS
o See listing on reverse side for additional charitable organizations covered.
8. I c:crtify thot the information contained herein is, to the best of my knowledge and belief, true and correct.
r:, . /7 ) ,I
I ~/ ) IJ;~ ~ y ...I- /. ' )
Signature of Applicant --:7.., ~-':7t~.&"k...:'-C~~.'.-...(:<:\..-'---.
Addre.. 01 Appl icont
1_9.L~,.._F:r~!l.!=_..~~_,-,_!I.!l_~t:.!~burgL~~' l710l
Officiol Title ,.
Atto.rney
.,_______ Date _._!} /l9 / ~!..____.
This form must'be completed in triplicate ilnd all three copics dcli'iercd to the Register of Wills for the County in which the
dcc~dcnt resided, or in which leUt:'rs were i!.sued for a nvn.resident decedent'" estate. If the decedent was a non-resident of
Pennsylvania Bnd letters were not issued by a Pennsylvania Register of Wills, deliver nil three copies to the Director, Bureau
of Field Operations, Penna. DCllartmcr.t of Revenue, P.O. Box 2970, Harrisburg, Pa. 17105.
_ 00 _not "!."~t!-!!!.ow thi, J~E-!:..!or_~f_!5i?! U,c _O..!!!r.____ _
APPROVED: For the Secretory of Revenue,} REFERRED fa 8ureau Headquort.rs Approved 2
~ . ."."t/ , For Secretary 01 Revenu.
-- ~~;~,~~ 1-- ",,,,.,, ., ,,,,,;;,:; ;,,,,,- - '~"~"",;",,;;,;,",,,",
, d)J./!;:f.'...n:'~'. _ ., :_._ ____.
{/ ,(CountYj I
-.-_ALtL.l1cL~__.g /1%1. ,;
(DCJtl~ of Approval) I
(Counly)
(Titl.)
-...-..-.-.---------
(Dato of Refrrroll
(Dot. .1 Action)
. Se-eo reveru .ide for r.Oions
MUll CE FI~ED IN TRIPLICATE
This section will bo eompl otod by Buroou Hoodguortors only, w~.2l'Jllicotion fo, oxometion hos boon donied.
Doto: ______-
The application f;)f exomption contained on the faco of this form has boon donied becauso .~-_.---
----------.-.--.-----...-------------
._~-------
------_._---~_._-
...----------.---------------------.
----_.__.,--~._-_._._-----_._-----
Hote: Any pa,ty in Intorost, including tho Commonwoalth, og9riovod by this oclion moy within sixty (60) doys oltor
the doto 01 this notieo oxo,ciso thoir rights 01 Proto st. Hotico, or Appool in occordonco with tho p,ovisions 01 opplicoblo
Pennsylvanlo Inhoritance ond Estote Tox Acts.
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REV.455n.80)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT OECEOENT
SCHEDULE "F"
STATWErn OF DEBTS
AND DEDUCTIONS
_.._.________~_ _._.___.___.___..... .. ._u_,_ _..._. _.._
----------.-..-----...---....-.-.... -.. -..
Estate of Adl1m E. Lei tzel _ Dale of Death....J1!!le 21. 1981
WHEN CLAIMING THE FAMI L Y EXEMPTION, COMPLETE THE FOLLOWING:
Claimant
_ Relationship to Decedent
Claimant's Address
ITEM - - - -.... _.. ____._n.__.._.. ....-.- - .-- .~_..".._-_. ...-.
NO. DATE NAME OF PAYEE REMARKS AMOUNT
1. 9/4/81 Register of Wills -- Jaking Affidavit 10.00
2. D. Irene Deibler Witness Will 15.00
~ 10/1 0/0' T)ON~ ~"n~ ni' t.H" ~ 'Letters Testamentar:(, 1 Short
:;ert':i, [i '- a te . 24.08
I,. 1,,, J~~ I ~ 1'.._1..__', __ , n... T_w:n~; h.clv.e.r.t.is e-I,(.> r j-",. ~ , Q nn
5. 10/30/8 II- The Evening Sentinel Advertise Letters 26.68
-
.. Repister of Wills File Inventory & Debts 10.00
~ u -o"'~r F11n~,...~' Bnm^ Ri1' ~ ?on nn
II R"",i"..",. nf !.Jill" File Charitable Rxemntion 2.00
9 - Earl R. Etzweiler Attorney Fee 199.00
1n Barbara L. Etzweiler Notarv Fee 1. 00
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11 Earl R. Etzweiler Posta!!e 5.00
,') T_..__ ,,_..,,^~ .!Executrix Fee 199.OO
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TOTAL THIS PAGEL.3. .739 .6L,.
I hereby (ertify that to the best of my knowledge and belief the foregoing is a just and true statement of debts. funeral
expenses and expenses of administration "uhmitted to the estate as deductions for Inhe.itance Tax purposes.
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DAT[
OFFICIAL USE ONL Y
DEBTS AND DEDUCTIONS AilE ALLOWED IN THE SUM OF S
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GENERAL INHERITANCE TAX INFORMATION
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Unsatisf ied liabiliti"" i",'u!! ,'" by I,I,C dell"I,,"1 prior to his/her death 3re deduct ible a!lainst his/her taxable estate.
In addition to debts incurred by the Ih,eed""1 or e,tale, other items are claimable including the cost of administration,
attorney fees, fidllcialY Ices, IWll!rdl and IJLJri:ll pxpenSI;S including the cost of a burial lot, tombstone or grave marker.
All debts heinil claim"d 3'ldil1>:1 a" !)state all! ,;ubject to the approval of the Register of Wills with whom the
Inheritance Tax Return 1$ tiled, blll[!I)cC to suppon the decedent's or the estate's liahility for the debts being claimed
should be attached to this schedu.e,
A family exemption of S2,000 may be claimed by a spouse 01 a decedent WllO died domiciled in Pennsylvania.
If there is no spouse, or if the spouse has forfeited his/he, rights, then any child of the decedent who is a member of
the same household can claim the exemption. In the event there is no such spouse or child, the exemption can be
'claimed by a paren: or parents who are me,,,"er, of the same household as the decedent.
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!t!.STl1lJC.~'-()NS FOR COMPLETING SCHEDULE "F"
1. If the family exernpl iOIl i" 111';"\1 cl";lI",d. II1dicatu the claimant's na",e, 3dd.ess and his/her relationship to the
decedent. Enter "faIl1ilv (~^enlptjon" III lnL' remark::; column and tile Jlllount claimed in the amount column.
2. Assign con~eculj\ll; 1l11l1lIH)(1 iu 1"(H.:h Ilem listr-d.
3. Enter the lL.Jte (ill '.'\'lllch cdch deht \,\'ii~ illClH1Cd ;;nd/or pJid.
4. Enter the 11JIl1\;$ oj ei.lch PdVL't'.
5. Pruvidu i.:I brief ('Xpl;l:\,;;iWi 1:1 :!1(1 :(':1klk.~; cl)1l.n'\!l1or each di~bt c1Jin't.'d.
6. En1t~r thp iHl\OUlll 01 ('dcll,lit'l>l Il' IIll'1 i'I.!ll1('d.
7. The form nHJ~il be ~,i;;:i,\d j,y ii".' i'L'r::(1'" ,,'.-hi ll.j~; .r'i~,tJ!1wd tile r(~5ponsi\)ili1y lor paVi;lH the debts.
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