HomeMy WebLinkAbout03-16-10 (2) 1505607121
REV-1500 EX (06-05)
PA Depertrnent of Revenue oFF,CIAL U8E Ly
Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Y~r File Number
PO BOX 280601
Hanisbu PA 17128-0601 2'~ 1 0 9 0 8 9 4
RESIDENT DECEDENT
NTER DECEDENT INFORMATION BELOW
'al Security Number Date of Death Date of Birth
1 9 9 5 8 2 6 6 1 0 7 1 6 2 0 0 9 1 0 3 0 1 9 6 4
ecedenYs Last Name Suffix Decedents First Name MI
S m i t h C h a r l e s V
ff Applicable) Enter Survivirtp Spouse's Information Below
pouse's Last Name Suffix Spouse's First Name MI
pouse's Soaal Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
ILL IN APPROPRIATE OVALS BELOW
X 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
prior to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 8. Total Nuimber of Safe Deposit Boxe
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-31-91 and 1-1-95) (Attach $ch. O)
ORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX fiVF TION SHOULD BE DIRECTED
Name Daytime Telephone Number
B a r b a r a L W e v o d a u E s q ? 1 7 5 8 2 8 8 8 3
Finn Name (If Applicable) ------------ ~---.
~ REGISTER OF WILLS USE ~I t.Y
CJ °
~
First line of address ~ 7~i• r~ d
' ~ ~"'
2 6 E a s t M a i n S t r e e t
`~ ~ ~,
Second line of address ~,
~-~' ~-n -
P 0 B o x 4 5 9
~ ~~' ~ ~
i f~
City or Post Office _
DA ILED -- I
State ZIP Code i_ _ .. - _. _.__ ~ _ _ --,.-
--
_ ,
N e w B l o o m f i e l d P A 1 7 0 6 8 0
Correspondent's e-mail address:
Under penalties of perjury, l declare tllat I have examkled this return, indudkq aocompat-ying schedules and statements, and m the best my knowledge and belies,
it is true, cortect and oompkite. Declaration of preparer other than the personal representative b based on all insortnation of which has any knowledge.
SIG T RE ERS RESP SIBLE FOR FILING RETURN DATE
'-) - ) (~
I
AD ESS
65 M tebel o Road Duncannon PA 17020
SIGN+A R A OTH R N IV DATE
AD `~
21~' East Main Stree P•0- Box 459 New Bloomfield PA 17068
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505607121 1505687121
:~
1505607221
REV-1500 EX Decedent's Social Security Number
Decedent's Name: Charles V. Smith 1 9 9 5 8 2 6 6 1
RECAPITULATION
1.
........................................
Real estate (Schedule A) 1 • '
2. Stocks and Bonds (Schedule B) .................................. 2. '
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages & Notes Receivable (Schedule D) ........................ 4.
4 8 5 4 4 . 2 2
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5.
6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6• '
7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property
uested
arate Billin
Re
~] Se
h
l
G
S
d
7
.......
g
q
p
e
)
(
c
e
u .
...........................
8. Total Gross Assets (total Lines 1-7)
8. 4 8 5 4 4. 2 2
9. Funeral Expenses & Administrative Costs (Schedule H) ................ 9. 3 6 9 2 . 0 0
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ 10. 8 9 7 4 . 1 3
11. Total Deductions (total Lines 9 & 10) ........................... 11. 1 2 6 6 6 • 1 3
12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 3 5 8 7 8 . 0 9
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) .................. 13.
14.
..................
Net Value Subject to Tax (Line 12 minus Line 13) 14. 3 5 8 7 8. 0 9
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2)X.0 _ 0 . 0 0 15.
16. Amount of Line 14 taxable
at lineal rate X .045 16.
17. Amount of Line 14 taxable 3 5 8 7 8
0 9
at sibling rate X .12 . 17,
18. Amount of Line 14 taxable
~ 0
~
at collateral rate X .15 18.
19. Tax Due ................................................19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
0. 0 0
0. 0 0
4 3 0 5. 3 7
0. 0 0
4 3 0 5. 3 7
Side 2
L 1505607221 150560'7221
REV-1500 EX Page 3
I~pr_prfpnt's Cemnlete Address:
File Number
21 09 0894
DECEDENTS NAME
Charles V. Smith
STREET ADDRESS
_
7 Main Street
161
_
CITY
Mechanicsburg STATE
PA _
ZIP
17055
Tax Payments and Credits:
~. Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InteresUPenalty if applicable
D. Interest
E. Penalty
(1) 4,305.37
Total Credits (A + B + C) (2) 0.00
Total InteresUPenalty (D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in oval on Page 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
(3)
(4)
0.00
0.00
(5) 4,305.37
(5A)
(5B) 4, 305.37
Make Check Payab/e to: REG/STER OF W/LL S, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPrtOPRIATE BLOCKS
1. Did decedent make a transfer and: Yes No
a. retain the use or income of the property transferred : .......................................................... ............ ^ X^
b. retain the right to designate who shall use the property transferred or its income; ................... ........... ^
c. retain a reversionary interest; or .................................................................................... ............ ^ 0
d. receive the promise for life of either payments, benefits or care? ........................................... ............ ^ 0
2. If death occurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate consideration? ........................................................................... ............ ^ 0
3. Did decedent own an 'in trust for" or payable upon death bank account or security at his or her death? ......... ^ ^X
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ...................................................................................... ............ ^ X^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is three (3) percent (72 P.S. §9116 (a) (1.1) (i)j.
For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent
[72 P.S. §9116 (a) (1.1) (ii)j. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and
filing a tax return are still applicable even 'rf the surviving spouse is the only beneficiary.
For dates of death on or after July 1, 2000:
The tax rate imposed on the net value of transfers from a deceased childtwenty-one years of age or younger at death to or for the use of a natural parent, an
adoptive parent, or a stepparent of the child is zero (0) percent (72 P.S. §9116(a)(1.2)j.
The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in
72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)j.
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent (72 P.S. §9116(a)(1,3)j. Asibling is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
REV-1508 EX + (8-98)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
Charles V. Smith 21 09 0894
Indude the proceeds of litigation and the date the proceeds were received by the estate.
All properly jointly-owned with rlgM of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. 1998 Toyota 4-Runner 1,438.00
2. Toyota -VIN# JtrRN60R9F5040289 (not running) DOD: 09/10/97 250.00
3. 1985 Toyota -VIN# JT4RN6609F5061607 (not running) 250.00
4. M&T Bank; checking account; #3740576214 631.26
5. M&T Bank; savings account; $15004217672911 96.49
6. M&T Bank; checking account; #3741371587 124.98
7. Plumbers & Pipefitters 52; Pension Plan 158426, Payable to the Estate of Charles V. 36,053.49
Smith, put into estate checking account; M&T Bank; 9850809444
8. Pension Plan payable to the Estate of Charles V. Smith, check# 108998, put into estate 9,700.00
checking account; M&T Bank; 9850809444
TOTAL (Also enter on line 5, Recapitulation) I ~ 48,544.22
(If more space s needed, insert additional sheets of the same size)
REV-1511 EX + (10-06)
SCHEDULE H
COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES Sr
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Charles V. Smith 21 09 0894
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
1. Musselman Funeral Home -cremation, books, casket, certified corpus 2,085.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
Street Address
City State Zip
Year(s) Commission Paid:
2• Attorney Fees Barbara L. Wevodau, Esquire
3. Fatuity Exemption: (If decedent's address is not the same as claimants, attach explanation)
Claimant
Street Address
City State Zip
Relationship of Claimant to Decedent
4• Probate Fees Register of Will
5 AcceuntanYs Fees
6. Tax Return Preparers Fees
7. ~ Legal Advertisment
1,500.00
47.00
60.00
TOTAL (Also enter on line 9, RecapitulStion) I S
(If more space is needed, insert additional sheets of the same size)
REV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, 8~ LIENS
ESTATE OF FILE NUMBER
Charles V. Smith 21 09 0894
Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Capital One Services, Inc. 1,873.79
Mastercard ; Acct# xxx7741
2. Barclays; Acct# xxx8281 3,100.34
3. Pipefitters Union Loan secured by 1998 Toyota 4-Runner 4,000.00
TOTAL (Also enter on line 10, Recapitplation) 15 8,974.13
(If more space is needed, insert additional sheets of the same size)
REV-1513 EX + (9-00)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
/'`h~rlec~ \/ Cmi+h 21 09 0894
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS [indude outrig ~ spousal distributions, and transfers under
Sec. 9116 a 1.2
1. Holly J. Buss Lineal
65 Montebello Road 100%
Duncannon PA 17020
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S
(If more space is needed, insert additional sheets of the same size)
PETITION FOR PROBATE AND GRANT OF LETTERS
REGISTER OF WILLS OF ~~~ COUNTY, PENNSYLVANIA
ate of U 'N ~(\ ~'Z~
> ]rnown as
,Deceased
who is/are 18 years of age or older, apply(ies) for:
i 'A' OR 'B' BELOW.)
File Number
Social Security NumberL~
A. Probate and Grant of Letters Testamentary and aver that Petitioner(s) is /are the
fill of the Decedent dated and codicil(s) dated
(State relevant ctrcunrstances, e.g., renunciation, death ojexecuror, etc)
as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the instrument(s)
sate, was not the victim of a killing and was never adjudicated an incapacitated person:
B. Grant of Letters of Administratlon
(Ifapplieable, enter: c.t.a.; d.b.n.c.t.a.; pendentelite; durante absentia; durance minoritate)
after a proper search has /have ascertained that Decedent left no Will and was survived by the following spouse (if any) and
~n, c.t.a. or d.b.n.c.t.a., enter date of Will in Section A above and complete list of heirs.)
INALL CASES:) Attach additional sheets ijnecessary.
eceaent wasm tiled at death in ~,~~
(List reef oddness, town/city, township, county, stare, zip
~~~~ --` Years of aAe, dig
Pennsylvania,
at
in the
his /her lastprincipal ;esidetta at
at death owned property with estimated values as follows: `
(If domiciled in PA) All personal property ~
(If not domiciled in PA) Personal property in Pennsylvania ~
(If not domiciled in PA) Personal property in County $
Value of real estate in Pennsylvania
as follows:
the
Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of i.etters in the appropriate
igned:
Signature
to
Typed or printed name and residence
Fonn j~W-01 rev. 10.13.06 Page 1 ~ 2
Oath of Personal Representative
~ WEALTH OF PENNSYLVANIA .
OF ~`(1~ SS
The Petitioner(s) above-Warned swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the
lmowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and trul
sinister the estate according to law.
to or affirmed and subscribed
me the _~~ day of
Signature of Personal Representative
Signature of Persona! Representative
For the Register Signature of Persona! R
epresentative
are
and
Form
File Number:
Estate of ~' ~~ ~ T~-1
,Deceased
Social Security Number: ~ ~ 2
Date of Death: ~ ~ (~ !j ~Y~ ~`~
D NOW,
been presented before me, IT IS DECREED that Letters ' ~ consideration of the foregoing Petition, satisfactory
Eby granted to
~~ ...~u~.menr~s) uated in the above
-~ ~~ r cuuon ce aamitted to probate and filed of record as the last Will (and Codicil(s)) of Decedent.
FEES
tificate(s) ............ g
tion(s) ................ $
1
....
.... $ ~_-
.... $
- .... $ -
.... $ _
.... $ -
- .... $ -
rev. 10.13.06
Attorney Signature:
Register oJWills
Attorney Name: ~ h(_
Supreme Court I.D. No.: 1~
Address:
'l
DA
Telephone:
of
Page 2 of 2
Rey-34s Ex (o~-oa> 3 4 6 0 0 0 7121
ESTATE INFORMATION
SHEET
PA Department of Revenue
DECEDENT INFORMATION: Enter data as n will appear on all
aww..w.~~1~ ~..L~W~J ~_ LL_ w__ .
FOR REGISTER'S OFFICE USE ONLY
County Code Year File Number
Decedents Social Security Number Date of Death
Date of Birth
1 QQ ~ 5$ - 2.01 r7 ~ ~ lo, ~ ~ O ~ 30(~
last Name Suffix First Name MI
5rn ~-r~ C.~i+~xs V' .
'E FILING: FlII in oval to indicate the nature of the return to be flied with the Department.
Probate Return ^ Joint Assets Only ~ Estate Tax Only ^ Litigation Purposes (No Other Assets)
LETTERS GRANTED: FlII in oval to indicate the naturo of the proceedings at the Register of Wills Office.
(Attach additional sheets M explanation is necxsaary.)
~~ Testamentary ~ Administration ^ No Letters ^ Other (Please Explain)
ATTORNEY/CORRESPONDENT INFORMATION: Enter all data oonoeming the anomey or other individual to receive all
irtfontration and correspondence.
Last Name Suffix First Name MI
t~v~ada.t,~ .~a~-i~x~ L
Supreme Court I.D. # -7Telephone Number
5~5tG~7 ~ f ~~ -582_ - ~3~'Or-,esponder>rs e.mai, address:
First line of address --C
~o ~+c~~I
Second line of address
City or Post Office
~ ~~bCf`~~1c~- State ZIP Code
P~ t~C~b~
PERSONAL REPRESENTATIVE INFORMATION: Enter all data concerning the personal ropresirKatiw(s) of the estate
ExetxttoNAdminlstrator suthorizsd by the Register of Wills.
Sodal Security Number Telephone Number
Last Name Suffix First Name MI
Frst line of address .J
loS rYlan~~r~e-~\d CZo c~~ ~--- -- - - - -- -- --,
OFFICIAL USE ONLY ~
Second fine of address
TRANSACTIpN COUNT ~
i
City or Post Office __
State ZIP Code - -----. _ _ _` . _-.. _ . _ .
~,r~
'~~,~ P~
-
. ~
~~2~
Complete general estate information questions and Indicate additional personal ropresentath-es on reveres side.
PLEASE USE ORIGINAL FORM ONLY
Side 1
3460007121 3460007121
HEV-348 I?X
Decedsnrs Name: _.._-. _ _ -
Co-Executor/Administrator .- - __. -. - _-- _ _- - -
Social Security Number Telephone Number
Last Name
Rrst line of address
Second line of address
City or Pont Office
Co-Executor/Administrator
Social Security Number
Last Name
Flrst line of address
Second line of address
City or Post Office
Suffix
State
Flrst Name
ZIP Code
MII
GENERAL ESTATE INFORMATION: Enter all applicable data.
Did the decedent own real property in PA? ''
ff Yom, last the location(s) and an estimate of the value(s) for each parcel. U Yes ~I Nc
Location -..~..~.L~ - - ._ - - -~ --....- --- -
value $ -
Location -- --..---- _. ._. ...
--'-' .._. Value $ _
What is the approximate value of the decedents personal property? -- - --~ -~~ -"- - - --'
Was a bond required in order to obtain Letters Testamentary $ - -• •- -- - - .-~ __ _„
or Letters of Administration? L~ Yes -~-
L No
IWas the decedent survived by a spouse? ~ Yes ~ No
Y~~ what is the surviving spouse's full name?
Was the decedent survived by other heirs? ~.~ .. ~ __ _._.. __ ,-- --..-. -~ -. __ __. _
tf yes, list their name(s) and their relationship to the decedent below. ~~ Yes r ] No
Name _ ~~~ ~ , ~~jS Relationshi `
The Departrnent is authorized by law, 42 U.S.C. §405 (c)(2)(C)(i), to require disclosure of Social Securtly numbers in connection wikh administering state tax laws.
DepaMtertt uses the Social Security number to identity the decedent and personal representatives of the estate, The Commonwealtl~ may also use the information
in exchange of tax iriformatlon agreements with Federal and local taxing autiiorifjes. The state law prohibiLS the Commonwealth's ped;onnel from disclosing confide '
tax irdonnation except for official purposes.
3460007221
Suffix Flrst Name
State ZIP Code
Telephone Number
IJecedertts Social Security Number
L Side 2
3460007221 3460007221
OCAL REGISTRAR'S CERTIFICATION OF DEATH
WARNING: b is illegal to duplicate this copy by photostat or photograph.
?ee for I~is certificate, $6.00
y ngooe
M~eerN
;ew ,
Number
This is to certify that the infotmati<
correctly copied from an original Cer
duly filed with me as Local Registr
certificate will be forwarded to i
Records Office for permanent filing.
Locai Registrar
)61
44
Ys.
a Ca•e, d
Cum rland
COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS
CORONER'S CERTIFICATE OF DEATH
(See InshueUons and examples on reverse)
STATE FlU's 1~%JMSER
V Smith ZMale ~~ ~+•orraorltlrar~.e
,r ,,,°,,, ao„,d~t 199- 58 X2661 July 16,
T• eM etYe a !a %eo d Dra
°M Moir tits
Oct. 30, 1964 Summerville, NJ ' °""~
k~, o.rn edr~.eerra,rdnanauion,aw.w.arrbran ^tvrr+ ^sarwaw,. ^oa ^wa:wMrr a.°.b,
9 NMe Oeee°re d --
HVAC
Lower Allen 1617 Main Street ~"''"~'°"~' a~ ® ~
err d sa Dora 12. wr OMee4e rw it er 19, Dnee°reY egiwYm man, -uetb Idon, ebJ
lard aNYNeI beNr Ub. MnM rare? «h Onae OOnOMMe) f1. AWMY 8tbc MrtM4 New
~tmer Peer, dgrbri, ebb. dp are)
17 Main St.
chanicsburg, PA
4t rase. bK.1lo
Lph E. Smith
t P1p r-eq
lly J. Buss
1 ANnor1 eom sMb ; ,,`~rn~,
2a
err2eae
eezr.n,re
>k NYe r W
iMobaoe°I
o~ )g
• rtar
AM
• errs
On M
23a R eM
^Yr QGb 13~`" r ~«~' (0.12) ~ (1r a kl 1Mbned ONaMa Ispealj)
ever married
°ioid"'" PA Ok Deuere
eaiwNeNONbe Haar,
urb-, 1>c.QOw.oeeeadl;.,er,_
,,,.~, Cumber an T«~rb f7d.^~~~
arr. m nib. t~+
.... • ro.q,oae,e PeeK aA'r btm, tae, tlp ap,l
65 Montebello Rd. Duncannon, PA 17020
n 210. Dre d OMpeeNen (Nar4 eY, ~ 21a rb0e d OMOOeea1 ~ d
July 22, 2009 Hollin er Cr ma or °`"' 21°'°`"°" """•°"•'0°~"
~OQGW,01b g Y t.Ho~iy Sp~~ngs
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Musse"~'manH&CS Inc. 324 Hummel Ave. Lemoyne, PA
OOreoMe r M Ins, eeb rr OMr tbl,°.1&pwn eod NMI 2b. UG/tW Ntmbr
28a Drt Sqr° pbna. rY• 1w1
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1:00 A. M. July 16 , 2009 a1. vte Gr tylrna b "'°°' Eoo+mYrr/ CaaMr br, pesem Dew ern Osnnbn «1
e~usa op osxm (ew Ineyueart. ew ssroobr) ~"" ^ Mo
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~avraerr eeeren nNbel elbnYgMtsobp,. llr t ~b'gNes orierlip our QMNOMPrII ^ rit ^Rapeey
~' a gunshot to Head ~ D ND ^ ""°b""
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aareaorb? Dw~r1 ^taa,e, July 16,2009 Self-inflicted gunshot -handgun', °1~r'gq.. H~
^ Me D No ^ Aero4e ^ Prb+O e*'rprlen ati Twr a MM,~prX . sy,, WW r Wan 7QI. N TaepaeYOn b}ry 1a~19
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1:00 A. a DY« ~"° ^~ ^F.rrwt Darn in St. , Mechanicsburg, PA
PMrar aAyigabw a °ra nlbn rbesrplyrNr hs prabubr Oere an aeroMM° ern 2J) ~ °4rne rr Tit
.www+rMar.n°r.bwarKgrr.rrrrwr~---------------- --- D ~ ~.--4 Coroner
reMMIM~Ip7~eoetpabubV°rNrpaNe,lpborwd°rtlol -------------
~ tM/o aeneteeree Neti dab.ee°Pbee.nrtMbNeabrplrr eeerrrrrea__.-___ ~ ~. ' aea Oar Sipnplebor4 dM.frA
+~rllonrrralnw,uprM,4bwateea~a.Neoarar°r°mn,dr,,r°prw,.n°arb+» ---------- July 17, 2009
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~ Mechanicsburg, PA X7050
op«meMa 03~~ t.S'~i'
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gate of De
The orig
State V
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to Issued
er•
1lw
REGISTER OF WILLS
CUMBERLAND COUNTY
PENNSYLVANIA
CERTIFICATE
GRANT OF LEl
ADMINISTRA'
No . 2009- 00894 PA No . 21- 09- 0894
Estate Of : CHARLES V SMITH
(First, Middl& LesU
Late Of : LOWER ALLEN TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Security No: 199-58-2661
WHEREAS, CHARLES V SMITH
(Fast MJddN Lastl
late of LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY
died on the 16th day of July 2009 and,
WHEREAS, the grant of Letters of Administration
is required for the administration of the estate.
THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wi11s in
for CUMBERLAND County, in the Commonwealth of Pennsylvania, have
this day granted Letters of Administration to:
ROLL Y J BUSS
who has duly qualified as ADMINISTRATOR(RIX) of the estate
of the above named decedent and has agreed to administer the estate
according to law, all of which fully appears of record in my office at
CUMBERLAND COUNTY CDURT HOUSE, CpR.L lSL ~ PE.N^lSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
of my office on the 24th day of September 2009.
~.. - ~7L¢
**NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
~~~ wer~w, Eagrire
11~y At Lsw
26 East Main Street,
P.O. Box 459
New Bloomfield, PA 17068
(717) 582-4335
(717) 582-8883
(717) 582-7697 Fax
December 29, 2009
Cumberland County-Register of Wills
One Courthouse Square
Carlisle, PA 17013
Re: Estate of Charles V. Smith
File N0.2009-00894
To Whom It May Concern:
I have enclosed the Certification of Notice Under PA.O.C.Rule 5.6(x) for the
above-mentioned estate. Thank you.
Wevodau, Esq.
..> .
NOTICE OF BENEFICIAL INTEREST IN ESTATE
BEFORE THE REGISTER OF WILLS, COUNTY OFC ~~331~RlENNSYLVANIA
In re ~,1io,~g ~' .~,~~ ,deceased,
No. a1-oq -0~9~
TO: -l~~y S .3u~S
ls~ e-~~~~~ ~d
Q~ ~~ozo
Please take notice of the death of decedent and the grant of letters to the personal
representative(s) named below. You may have a beneficial interest in the estate as
follows:
~l~O~c
(if additional space is needed, use back of page)
Name of decedent ~~~g V .~~r~~~
Last known address of decedent ~ ~ ~-~ 1-~ pur ~hcr+~4-
~'a~txwc~lr~JC?~ Q~ ~10SS
Date of death ~ `~~~ avOq
Place of death ~~.,c~~ctXb , Cur~.~c~ ~.ow`h~ ~Pt
County of grant of original letters ~Wrv.~~~ov~d
Decedent died testate estate.
A copy of the Will is is n~attached.
Name(s), address(es) and telephone number(s) of all personal representatives appointed
Name Address Telephone
fix` ~.~~, 'b~~~t~~~~o ~ ~~~~S~t~-~.~~1
w~rco~+w~ ~ c~aa-~
Name(s), address(es) and telephone number(s) of all counsel
119`6
Additional information may be obtained from the undersigned.
Date ~I ~t ~ Signature ~ !~
l Name l~~/~ ~ -lam (~~/C
~p
Address
1 ~~~
Capacity: Personal Representative
Counsel for personal
representative
Name Address Telephone
CERTIFICATION OF NOTICE UNDER Pa. O.C. Rule 5.6(a)
//~~ REGISTER OF WILLS
l1aiM~ r11~~ COUNTY, PENNSYLVANIA
Name of Decedent: ~~'1G~1[1L9~ U ~iW.Ttt
Date of Death: b ~ ~~~~~~~ ~ File Number: ~~- ~ ' CFt~1 `~'
Date Letters Granted: o~~~~.Y' ~~'dCY~~
To the Register:
I certify that Notice of Estate Administration required by Pa. O.C. Rule 5.6(a) of the Orphans' Court
Rules was served on or mailed to the following beneficiaries of the above-captioned estate on
~ea~ as , ~._
Name: Address:
~b~l ~ . ~>c~ tp5 ~1or,~.1b C~-~ad ,~,~c~an~n ~QA ~Z~
(If more space is needed, attach separate sl:eet.)
Notice has now been given to all persons entitled thereto under Pa. O.C. Rule 5.6(a) except:
Date
~gnatrue of Person Filing this Form ~
Capacity: Personal. Representative Counsel
~~ L Lill l~ . f
lame of Person Filing this Farm
Telephone
Form RW-08 rev. 10.13.06
RECEIPT FOR PAYMENT
DA FARNER STRASBAUGH
erland County - Register Of Wills
Courthouse Square
isle, PA 17613
SMITH CHARLES V
state File No.: 2009-00894
aid By Remarks: H,ONLLY BUSS
----------------------- Receipt Distribution
Receipt Date: 9/25 20
Receipt Time: 08. 8•
Receipt No.: 10583
ee/Tax Description Payment Amount Payee Name
ETITION LTRS ADM 20.00 CUMBERLAND C0~'TNTY GENERAL F'
'
HORT CERTIFICATE 12.00 CUMBERLAND CO Y GENERAL F
CP FEE 10.00 BUREAU OF REC IPTS & CNTR M
'
UTOMATION FEE 5.00
--------------- CUMBERLAND COUNTY GENERAL F
ash -
$47.00
otal Received......... $47.00
~ariiaara~ woro~au, Ea~eiro
Attorney At law
26 East 1Vlain Street,
P.~O. Box 459
New Bloomfield, PA 17068
7) 582-4335
7) 582-8883
7) 582-7697 Fax
September 29, 2009
Department of Public Welfare
Division of Third Party Liability
ESTATE RECOVERY PROGRAM
P.O. Box 8486
Harrisburg, PA 17105-8150
Re: Charles V. Smith
SSN: 199-58-2661
To Whom It May Concern:
Enclosed please find the Estate Statement of Claim Request. Please advise if
there is a claim for Mr. Smith.
S' rely,
l Barb Wevodau, Esq.
l'
.~ .
26 East Main Street, P.O. Box 428
New Bloomfield, PA 17068
Phone: (717) 582-4335
Fax: (717} 582-7697
ax
Tor. ATTN: ESTATE RECOVERY PROGRAM From: ~~1.- C~-u -~~
Department of Public Welfare
Fasc 717-772553 Pages: 2 (including cover sheet)
Phatse Dats± ~~ ~'{,~ Time:
Re: Estate Of ~v¢er~ {~ ,~-~nn~Ttt
( Urgent (For Reviwv (Please Comment (Pflease Reply (Prase Recycle
The documents accompanying this Fax transmission contains information that is confidential and/or legally
privileged. The information is intended only for the individual or entity named on this Fa: shed4. If yon are not
the intended recipient, you are hereby notified that any disclosure, copying, dLsMbntion or takijsg of any action
in reliance on the contents of this Fszcd information is sMctly prohibited. If you have received', this fax in error,
please notify us by telephone at (71~ 582-4335 immediately so that we can arrange for the return of the original
documents at no cost to you. Thank yon.
Comments:
Please see attached Statement of Claim Request.
CC:
Thank you.
ESTATE STATEMENT OF CLAIM REQUEST
DECEDENT'S INFORMATION:
DECEDENT'S FULL NAME: G1 AR L~~~ d ~ `.~~ ~ Tt-!
LAST KNOWN COMPLETE ADDRESS: llol-j (Y1olt~C1 ~stY~it"'
CITY, STATE, ZIP CODE: ~lRC~1C~lYllGcalfxX~ D A t~ p SS
SOCIAL SECURITY NUlldBER: 1 q~ - Sg - 1.ld.o l
DATE OF BIRTH: to ~30~ ig~~
DATE OF DEATH: b~Z ~~~. ~ ~oR
ESTIMATED VALUE OF DECEDENT'S ESTATE: Real Estate: $ o
Bonds: $ O
Personal Property: $ 3C~,c~cx~
REPRESENTATIVE'S INFORMATION
REPRESENTATIVE'S NAME: ~lotly ~ •~~5
RELATIONSHIP TO DECEDENT: st5ler
PO BOX AND/OR STREET ADDRESS: t,~ Mor~~b~~~ R,oa~
CITY, STATE, ZIP CODE~c~v~~QA ~1oa-O
DAYTIlVIE PHONE NUMBER: (717)- .rj'7to - 5 to (o ~
ATTORNEY'S INFORMATION
LAW FIItM NAME: ~c~ocwr~ l-- ~`r°d"O`~
ATTORNEY'S NAME: ~~~ cy5 ~e
PO BOX AND/OR STREET ADDRESS: P.o ~SoxyS9
CITY, STATE, ZIP CODE: (1p.~ ~boi~c~d Qa. ~-1o~v~d
PHONE NUMBER: -1+1 S$2 g-g33
FAX NUMBER: -i~~r~~~ -1 ~o~--i
SEND TO: Deparhnent of Public Welfaze
Division of Third Pazty Liability
ESTATE RECOVERY PROGRAM
P.O. Box 8486
Harrisburg PA 17105-8486
OR BY FACSIlI~ILE: (717) 772-6553 OR (717) 705-8150
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC WELFARE
BUREAU OF FINANCIAL OPERATIONS
DMSION OF THIRD PARTY LWBILRY
ESTATE RECOVERY PROGRAM
PO BOX 8486
HARRISBURG, PA 17105.8486
October 5, 2009
BARBARA WEVODAU ESQUIRE
26 EAST MAIN STREET
P 0 BOX 459
NEW BLOOMFIELD PA 17068
Re: CHARLES V SMITH
SSN: 199-58-2661
Dear Attorney Wevodau:
Pursuant to your letter dated September 29, 2009, the Department of
Public Welfare (DPW), Estate Recovery Program, has reviewed the information
you provided regarding the above-referenced individual.
It has been determined that DPW will only pursue the recovery of PROBATE
ESTATE claims when the individual was fifty-five years of age or older at the
time that assistance was received.
Therefore, according to the information you provided, the Department's
Estate Recovery Program will not seek any recovery from this estate.
If you have any questions, please feel free to contact me.
Sincerely,
Carole A. Procope
Recovery Section Manager
(717)772-6604
p~rs~x
499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-l2
Phone (888)502-4349
Fax (302)934-2955
October S, 2009
Barbara Wevodau, Esquire
Attorney at Law
26 East Main Street
P.O. Box 459
New Bloomfield, PA 17068
Re: Estate of Charles I! Smith
Social Security: 199-58-2661
Date of Death: July 16. 2009
Dear Sir or Madam:
Per your inquiry dated September 29, 2009, please be advised that at the time of death, the above-r-amed decedent had on
deposit with this bank the following:
1. TypeofAccount Checking Account
Account Number 3740576214
Ownership (Names o~ Charles V Smith*
Opening Date 9/14/98
Balance on Date of Death $ 631.26
Accrued Interest $ 0.00
Total $ 631.26
2. Type of Account
Account Number
Ownership (Names o, fl
Opening Date
Balance on Date of Death
Accrued Interest
Tota!
Checking Account
3741371581
Charles Vmmtth*
3/31/00
$124.98
$ 0.00
S 124.98
3. 7~pe ofAccount Savings Account
Account Number 15004217672911
Ownership (Names o,~ Charles vSmith*
Opening Date 9/24/07
Balance on Date of Death $ 96.46
Accrued Interest $ 0.03
Total $ 96.49
Please be advised, there was no safe deposit box found for the above decedent.
* If upon reviewing the information above, you believe there are additional accounts not ref$renced, please provide
us with as account number and/or name of any possible joint scoount holder. For any additional information on the
above aoc:ounts, including ownership snd any changes, closures and/or reimbursement of fubds, etc., please contact
our West Shore Plash Office # 717-731-1730.
Tracie Haze
Adjustment Services
were~au, Es~~ire
At Law
26 East Main Street,
P.O. Box 459
New Bloomfield, PA 17068
7) 582-4335
7) 582-8883
7) 582-7697 Fax
September 29, 2009
Marcy Wolf
D. H. Evans Associates, Inc (Contrast Administrator)
Plumbers and Pipefitters Local No. 520 Benefit Fund
2207 Forest Hills Drive, Suite 14
P.O. Box 6480
Harrisburg, PA 17112-0480
Re: Chazles V. Smith
ID # CS-2661
Date of Death: July 16, 2009.
Dear Ms. Wolf
Enclosed please find a short certificate regazding the Estate of Chazles V. Smith.
The sole heir is Ms. Holly Buss, his sister. As indicated, an Estate has been opened in the
Register of Wills Office in Cumberland County to N. 2009-00894. Please pnovide a date
of death balance as well as information on how to obtain any monies in the annuity fund.
S' cerely,
.~ .
azb evodau; Esq.
Counsel for the Estate
nc 1`Ibe t FI{J.1~ I I:UMPANY DETACH BEFORE DEPOSITING
NO. 158426 PLUMt3ERS & PIPEFCITERS 520
No. 1449712
P CtPANT ESTATE OF
p~~ p~ NET AMOUNT
~Y
SUM DISTR-FULLY VESTED TO 1LJJ{NGW.7 536,053.49
CURRENT YEAR-TO-DATE
GROSS $41,474.17 $41,474.17
FED ~H 54,147.42 $4,147.42
STATE WTH 51,773.26 51,27326
TPA FEE
RELIANCE FEE
,a:___ __..__.....~.....
wA~+OVU- rl.a. 64'22 Np, 1449712
~, .
Re~lance A-,•~ ATUwTa a~ so4soaa
610 DATE 1?./3QM2009
PLAN
158426 ~ . • '' PL~JMBERS & PiPEFITTERS 52 P/K~TICIPANT:
ESTA'CE OF AMOUNT
pp ~~i>Yy siz rhousmut.~ty three and 49/100 Dollars
~ ~ vaD A~,eo oAVs
:.
. ~ ;
~ ~ ,
.s
ESTATE OF~...
.; .
.
•PENSION PAYMENT ACCOUNT
i
a 1~
00 L4497 L 2p' x:06 L 209756: 20799006 L8 L 2311'
FOR: JAN[TARY, 2010
GROSS
SSlRSFIT ISDERaL
ifITSSOLDSSG CRSDI't DSIOS
D~DOCTIOSS 8iB SSLI.
COS'PSI80'PIOS SL"t p~=aBii CODS
9700.00 0.00 0.00
Y 0.00 9700.00
9700.00 0.00 0.00 0.00 9700.00
:. aye s o aass :o~aL.s
9700.00 0.00 0.00 0.00 970 .00
STATE/CHARLES V SMITH
/O HOLLY BUSS
5 MONTSS8LI.0 ROAD
UNCA1iNON, PA 17020
Check 1Tbr: 108 95
Dats: 12/25/2 09
questions on this payment please coataCt the load at (717) 671-8551. Amount: 9700 00
.........,...................~ ..,.. v ~a+.aauua u
1-il~'C 1 l~ ~
nCdltll ao Pfaall~et'6~
Account Summary
SMITH, CHARLES V
~ PLUMBERS AND PIPEFITTERS LOCAL N0.520 ANNUITY FUND
Information presented here is current as of 08/19/2009.
I Retirement Planning Resources
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retirement plan with the tools and
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Account Summary
Your Total Acxount Balance
Your Total Vested Balance
Your Plan Entry Date
Your Hire Date
Your Birth Date
Your Address
$38, 796.37 '
$38,799.37
10/30/1964
` 00/00/00
10/30/1964
1617 MAIN STREET
MECHANICSBURG, PA 17055
You do not have an a-mail address on file.
To add your a-mail address, click here.
Automatic Rebalancer is OFF.
If you choose to use the Automatic Rebalancer service, The Standard will
periodically transfer assets in your account to maintain an asset allocation
consistent with your investment directives. Click the link to the Automatic
Rebalancer to learn more about this optional service.
Important Information
You must notify The Standard within 15 days of receipt pf your quarterly acco~
statement if, during the period covered by this statement, an error occurred or
you requested and confirmed an investment tr sfer or directive change that
was not completed. You may give notice by c ntacting a Customer Service
Representative at 800.858.5420. Unless you ive notice, The Standard will no
be liable if circumstances beyond the control The Standard prevent the
transfer, or if The Standard liability is otherwis limited by regulation or
agreement.
* Your investment return reflects the earnings n all your plan investments wits
The Standard. The calculation uses weighted ash flows for each quarter, takii
into account the actual number of days your f nds were invested. The year-to-
date return is calculated using weighted cash ows for the year, using the sam
method as described for the quarterly return. er formulas used by different
financial institutions may yield different results.
E-mail: savjngs~
Mail: Personal Savin~s Center
Retirement Plan , P9A
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will be issued as 'Tenants in Common' (On death of one owner, interest of deceased owner goes to his/her h rs or
estate).
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~ MESSEN~iER NUMBER:
3.. i'_~^~.L'.,A~'•.'~ •.._. ';~'alfi?'~.3'r`i~i~Y !2E'^-,.~~i~"..~'"??.~ik ,"'~;:~L...~ r:;:'. ~'^ ~r"'r
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E~-ablished 1895
B n C. Musselman, F.D.
S rvisor
liam G. Pegan, F.D.
P.. Box 137
3 Hummel Avenue
Dyne, PA 17043-0137
( 7) 763-7440
To FuneralEzperarsof Charles V. Smith July 27, 200
Our Services
Direct Cremation $1450.00
Register Boob;, Folders
Thank You Cards $ 100.00
Casket $ 450.00
CASH ADVANCE ITEMS:
Certified Copies (10) $ 60.00
$2000.00
Cremation Authorization Fee $ 25.00 $ 85.00
Total ..... ............. .................. $2085.00
FOA APPOINTMENT PHONE 117-763-7440
wein~~, EaA~lre
At ~w
26 East Main Street,
P.O. Box 459
New Bloomfield, PA 17068
7) 582-4335
7) 582-8883
7)582-7697 Fax
September 29, 2009
The Sentinel
219 E. Main Street
Mechanicsburg, PA 17055
To Whom It May Concern:
Please publish the enclosed legal advertisement once per week for three
consecutive weeks. Kindly forward proof of publication and your statement to me.
Thank you.
evodau, Esq.
.~ .
ESTATE NOTICE
Letters Administration on the Estate of Chazles V. Smith, late of Mechanicsburg,
Cumberland County, Pennsylvania, deceased, have been granted to the undersigned.
All persons knowing themselves to be indebted to said Estate will make payment
immediately, and those having claims will present them for settlement to:
Holly J. Buss
65 Montebello Road
Duncannon, PA 17020
OR THEIR ATTORNEY
Barbara Wevodau
26 East Main Street
P.O. Box 459
New Bloomfield, PA 17068
IN THE COURT OF COMMON PLEAS
OF
Cumberland COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE
OF No.: 21-2009-0894
CHARLES V SMITH
c~e~e~al
CLAIM
To the Clerk of Orphans' Court Division:
Index and make proper entry in your official record of claim of CAPITAL ONE SERVICES. [NC. c%
Wellman Weinberg & Reis Co.. L.P.A.. 323 W. Lakeside Avenue Cleveland. OH 44113-1009. Account. No.:
xxxxxxxxxxxx7741 / Mastercard account unsecured in the amount of 1 873.79 against the estate of the above
named decedent. This claim is filed under section 3532 (b) (2) of the Probate, Estates and Fiduciaries Code.
The said decedent, who resided at 1617 MAIN ST MECHANICSBURG. PA 17055. died on July ! 6, 2009.
Written notice of this claim was given to HOLLY J. BUSS. Fiduciary at 65 MONTEBELLO RQAD,
DUNCANON PA 17020 and BARBARA L. WEVODAU Esquire at P.O. BOX 459. NEW BLQOMFIELD, PA
17068 on December 28.2009.
Geraldine Cooper
Authorized Agent for Claimant
Wellman, Weinberg 8c Reis Co., L.P.A.
323 W. Lakeside Avenue
Cleveland, OH 44113-1009
Telephone: 1-800-784-OST7
WWR# 8012119
Z 16.739.5
CHICAG
312.782.9
CINCINP
513.723.2
CLEVEL
216.685.1
COLUM
614.L'8.7
'N HTS,OH WELTMAN, WEINBERG & REIS CO., L.P.A.
.~ttoroeys at taw
IL 323 W. lakeside :venue. Suite 200
6 C'levcland. OH .41113-1009
TI.OH (216)6851001 (800) 784-0577
(216) 363-.W86 (rax)
ND. OH Mon-Thurs Sam-6pm, Fri Sam-Spm, & Sat Sam-12pm EST
www.weltman.com
l~S, OH
7` December 28, 2009
CUMBERLAND REGISTER OF WILLS
ONE COURTHOUSE SQUARE
CARLISLE, PA 17013
RE: Estate of CHARLES V SMITH
CASE NO: 21-2009-0894
CLAIM OF: CAPITAL ONE SERVICES, INC.
OUR F[LE NO.: 80121 l9
Dear Sir or Madam:
DETROIT. MI
248.362.6100
GROVE CITY H
614.801.2600
PHILADELP P~-
215.599.1500
412.434.7955
Enclosed please find a claim to be filed on behalf of CAPITAL ONE SERVICES, INC., in the above
estate. Also please find enclosed a check in the amount of $10.00.
We are asking that you please accept our client's claim as a valid claim of the estate. [t vwould be
appreciated if all correspondence and disbursements with respect to this matter be forw>~rded to our office.
Additionally, it would be appreciated if any notices of any hearings also be forwarded to our office.
Thank you for your cooperation in this matter.
This law firm is a debt collector attempting to collect this debt for our client and any information obtained
will be used for that purpose.
Sincerely,
ALP-c.~c-C.-:- ~ cn~~---
Geraldine Cooper,
Authorized Agent for Claimant
CC: HOLLY J. BUSS, Fiduciary and BARBARA L. WEVODAU, Esquire
5609997830
STATE OF PA STATEMENT AND PROOF OF FILE NO:
PROBATE COURT CLAIM 21-2009-0894
Cumberland COUNTY _
Estate of CHARLES V SMITH V
Bazbaza Wevodall
P O BOX 459
New Bloomfield, PA 17068
Phillips & Cohen Associates, LLC, on behalf of Bazclays located at 1002 Justison Street,
Wilmington, DE 19801 submit the following claim against the estate for the sum set
forth.
DESCRIPTION VALUE
ccount #: 8281
ount Due: $3100.34
File #: 16526140
There is now due on the claim, above all legal set-offs, the sum of : ~_ $3100.
It is declazed that this claim has been examined by one of Phillips & Cohen Associates,
Ltd. representatives and that its contents are true to the best of our information,
knowledge, and belief.
.~
Authorized Signa re
Phillips & Cohen Associates, Ltd.
The Creditor's Rights & Bankruptcy Group
A Division of Phillips & Cohen Associates, Ltd.
1002 Justison Street
Wilmington, Delaware 19801
Telephone: (866) 907-6832
specialjorm