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HomeMy WebLinkAbout10-16-13 (2) � 1505610143 REV-7�00 �"°Z.,,' '�' PA Depar6nent of Revenue OFFICIAL USE ONLY p�nnsylvania CaunlyCOde Yeaf FIIeNUmber Bureau of tndivldual Taxes °BM1Y°MiOFRf�"" aoeox.zeoeo� INHERITANCETAXRETURN 21 13 00497 Harr�aburg,PA 1712&0801 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW SoGal Securiry Number Date of Death Date of Birth 203 18 6559 04 10 2013 03 17 1928 DecedenPs Last Name Suifix OecedenPs First Name MI OELSCBLEGEI, CATHERINE G (H ApPlkabN)Enter SurviWng Spouw'a Iniormallon Below � Spouse's Last Name Sufix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN MPROPRIATE OVALS BELOW � 1. Oripinei Retum � 2. Supplemerrtel Retum � 3. �a�'R�Z;(�ate of DeaM � 4. limNed Esfate � qe,Futuro Interest Comwanlss � 5. Federal Esfate Tetc Ralum Requlred (tlab ol tleeM eftx 12-12A2) � B' (A�Capyd Will� ❑ �� A e M°i���,uwne rn,s� � B. Total Number of Sate DeposR Boxes � 9. LiBgaHOn Praeeds Recaived � 10.���"��dt+De��a Dsa1h � 11.�A�h Scnedub O)Sec.9113IA) COqREBPONDENT-THIB SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION BHOULD BE D�RECTED TO: Name Daytlms TeNphor�[lwnber HRUCE J �iAR3HAW3KY 7Y9 238 �70� m co r� �-, R�II�..�YE�4QF VWLt3 l��lLY � '..,. ��... F � r,' �..� First Lins of Address r � c-�� ;,t.� ::� , , c; , 2320 NORTH SECOND STREE '".� ', '-'' ' " J r ,...� ,.. . . Second Lirn W Addnu � ..- �._, �c'i .. . . r�; �..,'t � h� ;li [� t�' DATE F1�ED 4n Cky or Pwt OHles State LP CaN HARRI3BURG PA 17110 corrospondrm�s e-mwi ada�.ss: bJwQcclawpc.com ni we,�and�mrrroiw o�"°a�u�aa���i°ma�1ednim'e��c«o�i�P1° is�b�ed�an'a�li�m'om�"'�'�uw,'a�v�n:e"ny01N1edpkowinedp,.��� &ONA7UREOF FORF�I �RETURN DATE �9�Y ����'c%�Fi`J� Norman E. Oelschlegel /U�g -/� ADDRESS 2268 ConCOrd Circle Harrisburg. PA 77110 SIONA OF PREPME�.�7HER RE TIVE - DATE y���/�L> �,�i���"Bruce J.Warshawsky �� "9'/ .3 2320 North Second Stnet, Hartisburg, PA Side 1 � 1505610143 1505610143 � �� � 1505610243 REV-1500 EX DecedenPs Social Security Number �+�•aNa�: Oelschlegel, Catherine G. 203 18 6559 necnrm►unoN 1. Reai Estate(Schedule A)....................................................................................... 1. 2. Srocks and eonds(Schedule e)............................................................................. 2. 12�083 . 10 3. Closely Held Corporation,Partnershtp or SolaProprieWrehfp(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits 8 Miscellaneous Personal Property(Schedule E)............... 5. 12 9�315 . 97 8. Jolnqy Owned Property(Schedule F) ❑ SeDareta Billing Requested............ 8. 5�500 . 00 7. Inter-Vivos Transfers&Miscellaneous -Probate Property (scneauie c� � Separate BIIIing Requested............ 7. 23'J ,233 . 71 e. 7ota�Grou Asaets(tota�unes� mrough 7)........................................................ a. 384 ,132 . 78 9. Funeral Expenses and Administradve Costs(Schedule H).................................... 9. 2 6�458 . O B 10. Debts of Decedent,Mor�age Liabilities and Liens(Schedule I)............................ 10. 6, 965. 04 11. Total Deduetlons(total Lines 9 and 10)................................................................ 11. 33, 423 . 12 12. Nst Value of Estate(Line 8 minus Line 11).......................................................... 12. 350 ,70 9. 66 13. Charitable and Oovemmental Bequests/Sec 9113 Trusts for which an elecdon M tax has not b�n made(Schedule J)............................................... 13. 14. Nst Value SubJeet to Tax(Line 12 minus Line 13)............................................... 14. 350� 70 9. 66 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES t5. Amount of Line 14 ta�ble at the apousal fax rate,or trensfers under Sec.9118 �5 O . O O (aX1.2)X.00 16. Amount of Line 14 taxable 0 . 00 18. 0 . 00 at Ilneal rate X .045 17. Amountof Line 14 taxable 350 �709. 66 ��. 42 � 085 . 16 at sibling rate X.12 18. Amount of Line 14 taxable � atcollateralrateX.15 0 . 00 ia. 0 . 00 19. TAXDUE................................................................................................................ 19. 4Z , 085 . i6 20. FILL IN TME OVAL IF YOU ARE REQUESTING A REFUNO OF AN OVERPAYMENT. �X $Ide 2 � 1505610243 1505610243 J REV-1500 EX Page 3 File Number 21-1$-00487 Dec�d�nYs Compleb Address: DECEDENT'S NAME � Oelschlsgel,Catherine G. STREETADDRESS 325 Wssley Drive Apt. 3132 CITY STATE ZIP INechanicsburg PA 17095 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 42,083.18 2. Credits/Payments A. Prior Payments 40,000.00 B. Discount 2,104.26 Total Credits(A +B) (2) 42.104.28 3. IMerest (3) q. It Line 2 Is greater than Line 1 +Line 3,enter the dlfFerence. This is the OVERPAYMENT. (4) 19.10 Chaek box on Papa 2,Lim 10 M roqwsl a refund 5. If Line 1 +Line 3 is greater ihan Line 2,enter the difference. This is Ne TAl(DUE. (5) Make Check Payable to: REtiISTER OF 1AIN.I,S,AGENL ___ ___ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedmt make a transfer and: Yu No a. retain the use w income of the praperty transferred:............................................................................... ❑ ❑x b. retaln the right to designate who shall use the property transferred or its income:.................................. ❑ � c. refain a reversionary IMerest�or............................................................................................................... �� x d. receive the promise for Iife of either paymenffi.benefits or care?............................................................ LJ ■ 2. If death occurred after Dec. 12, 1982, did decedent transfer propeAy within one year of deaCi without receivirg adequate consideratlon?.................................................................................................................... ❑ ❑X 3. Did decedent own an"in Wst for" or payable upon deaM bank account or security at his or her death?....... ❑x ❑ 4. Did decedent own an irWividual re8rement account,annuity,or otlier non-probate propeAy which contains a benefldary designation4.................................................................................................................. ❑� ❑ IF THE ANSWER TO ANY OF iHE ABOVE QUESTIONS tS YEB,YOU MUST COMPLETE SCHEDULE G AND PILE R/1�PART OF THE RE7URN. Fa detes of dealh wi or atter July 1, 1994 and before Jan.1, 7995,the tax rate Imposed on the net value of transfers to or for the use of the surviving spouse is 3 petcent[72 P.S.§8118(a)(1.1)(i)j. For dal�of d�th on or atter January 1,1985,the tax rate Imposed on the net value of hansfers to a for the use of the survivirg apouse Is 0 percent [72 P.S.§9118(a)(1.1)(II)]. The statute does rat exemD�a transfer to a surviving spouse from tax,and the sNalulory requirements for disGosure of assets and filing a tax retum are stlll applicable even if the surviving spouse Is the only beneflciary. For dates of tleath on w aker July 1,2000: •The tau rate imposed on the net value of transfers from a de�ased child 21 years of age w younger at death to w for the use of a nalural parent,an adoptive parent,or a stepparent of the child is 0 percent[72 P.S.§9116(a)(12)]. . The tax 2te imposed on the net value of hansfers to or for Me use of the decedenYs Ifneal benefwiaries is 4.5 percent,except as noted in [72 P.S.§9118(a)(1)1. .The tax rate Imposed on Mre net velue of Vansfers to or for the use of the decedenPS siblings is 12 percent[72 P.S.§9118(a)(1.311. A sibling is defined under SecHOn 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoptlon. Rw•7907 E%�(&8!) scNeou�� ■ STOCKS & BONbS cow,qnxeu.n�ar v�xwsnv,wu INMERITMICETNIRENRN RESIOENT 0!ClOEIlT ESTATE OF FILE NUMBER Oelschkpel Catherine G. 21-13-00497 NI propMy�olntlyownM wNh rlpM ol sunivonhlp mwl W tlMCbwd on SeMduM F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 322 Shares of Wells Fargo Stxk 12,083.10 TOTAL(Also enter on L1ne 2,Recapitulatlon) 72.083.10 �rc moro eaece is neeaea,addroonai Payee m me sema duJ Copyright(c)2002 fortn soflware oMy The Lackrrer Group,Ina Form PM7500 Schedule B(Rev.6-98) a..�nwe ex.��i.to� � SCHEDULE E CASH, BANK DEPOSIt3, 8� MI3C. PERSONAL PROPERTY canrcnormeurn oc rEr�HSVw,wi� INNEpRMICETNlRETUNN � RE8IDENT pECEOEM ESTATE OF FILE NUMBER Oelschiegel, Cathe�ine G. 21-13-00497 i�d�ame raceaasaimgaaa,.�ameda�emeo�awaercca�dnymee.me. NI proparyjoPMly�mvnM wXh IIM rlpM N�urvhonNp muR b�tlhcbrtl on whMUM F. ITEM VAIUE AT DATE NUMBER DESCRIPTION OF DEATH 7 MetLifs—Lif�Inauranu proceeds—not taxable-538.87 0.00 2 Rstund of Health Ins.Promium 37.20 3 Verizon Refund 9•27 4 WsaMeld Insurance REfund 8.00 5 NNd-Penn Checking Acct 77000880 128,B58.15 8 Net recelved irom items aold at auetlon 703.35 TOTAL(Also enter on Line S, Recapkulatlon) 129.315.97 (H mora space Is needeE,adtlitionel papas W the same alze) Copyright(c)2010 fortn soMvare only The Lackner Group,Ina Form PA-1 S00 Schedule E(Rev. 11-10) Rw-760B E%+�07-70) SCNEDULE F �„„,E„�,„�,�„,�n�µu JOINTLY-OWNED i'ItOPERTY iH�trtu+csrrocnenNw qesroedrceCecexr ESTATE OF FILE NUMBER Oelschlegel Catl�erine G. 21-13-00497 M�n uM wp m�MJoinl wMYn wr Y�of iM dw�MMY Mb of EuN.M mirt M npoMd on t¢MtluM a. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A Norman E Oelschlegel 2269 Concord Cirole Brother HaMsburg, PA 17110 B. C. JOINTLY OWNED PROPERTY: DESCRIPT�ON OF PROPERTV ^/o OF �^TE��T„ ITEM LETTER DATE INCLUDENAMEOFFlWWCULINSTtMIONANDBANKACCAUNT DATEOFDEATH pECD'S DECEDEM'S�NTEREST NUMBER FOR JOI MADE NUf.BEROR SIMILAX IDEHfIFVING NUMBER.ATfACH DEED FOR VALUE OF ASSE INTEREST TENANT JOINT JpINTLV-HELD REAI E3TAlE. t A HH Savings Bornls--see altached Schedule 11,000.00 50.00 5,500.00 TOTAL(Also erMer on Lirre 6, Recapkuladonl S.S00.00 (M rtwre space Is needeE,atlditlonel pagas of the seme alze) Copyright(c)2010 fo�n sothvare only The Lackner Group,Inc. Fortn PM1500 Schedule F(Rev.01-10) Rw-7510EX4�0!-0B) scH��u�e o � INTER-VIVOS TRAN3FERS AND MISC. NON-PROBATE PROPERTY cow.ionweu.TM os v�msnv,w i� irwEwru�rnx neiuw+ R¢SWENIOECEOEM ESTATE OF FIIE NUMBER Oelschlegel CatheHne G. 21-13-00497 This acheEule muat be canpleted antl flled if Ihe enswer lo any M quesllone 1 Mrough 4 on Oage throe of the REV-13001s yea. ITEM DESCRIPTION OP PROPERTY DATE OF DEATH �oF oECO�s �CLUSION TAXABLE NUMBER TM�pq�p'��T�g�a.�n�n�cNnECOrv��EEDFO��n°EeM.4TniE. VALUEOFASSET ��RE� OFAPPLIGBLE) VALUE 1 Fox ChaaelRA 55,070.88 55,010.88 2 Washington Savings IRA 76,783.59 78,783.59 3 PNC In Trust for Norman E.Oslschlegsl and Lawrenee 7.029.68 1.028.68 E.Oelschlegel-CD 31300335242 4 PNC In Trust for Norman E.Oslschlegel and Lawronce 20,312.55 20,312.SS E.Oelschlegel-CD 31800334034 5 PNC In Trust for Norman E.Oslechlegsl and Lawronce 10.047.82 10,047.62 E.Oehchlsgel-CD 3180033170 8 PNC In Trust for Norman E.Oslschle�l and Lawrenee 34,457.45 34.457•45 E.Oslsehlegel-Checking 5004894374 7 PNC In Trustfor Norman E.Oslschlsgsl and Lawronce 38,581.94 39,581.94 E.Oelschlegel-Savungs 5004894489 TOTAL(Also enb�on Llne 7,Recapitulatlon) 237.233.71 (H rtare sPece Is neadett�atltlltiorial pages M tha same size) Copyright(c)2009 form soitware only The Lackner Group,Inc. Fortn PA-7300 Schedule G(Rev.0&09) REV•7737 EX+(10-0Y) sCHEDULE M FUNERAL EXPENSES AND �� .�•�'��A ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Oelachleyel,Catherine G. 21-13-00497 DecedenPs debts must be repmtsd on Schedule I. ITEM DESCRIPTION AMOUNT p, FUNERAL EXPEN3E3: See contlnuatlon schedule(s)attached 73,es9.38 B. ADIYHNI8TRATIVE CO3T3: 1. Personal Representative's Commissions Name of Persaial Representative(s) Street Address City State Zio Year(s)Commfssion Paid z, nnornev�s Feea Cunningham �Chernicotf, P.C. 12,000.00 3. Family Exemptlon: (If decedent's address Is not the same as daimanPs,attach e�lanatlon) Clalmant Stroet Address City State Zio Relatbnshio of Claimant to Decedent 4. Probate Fees 373.50 5. AccountanPa Fees 6. Tax Retum Preparers Fees 7. Other AdministraUve Costs 225.00 See cor�Hnuadon schedula(s)attached TOTAL(Also enter on Ilne 9,Recapitutalion) 28,458.08 Copyright(c)2009 tortn software only The Lackner Gmup,Inc Form PM7300 SchedWe M(Rev. 10-09) scH�ou�c H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OP FILE NUMBER Oelschlegel Catharine G. 21-13-00497 ITEM NUMBER DESCRIPTION AMOUNT F m�rsl nanaas 1 Luncheon-Irish Rover 152.89 2 Malpsui :Punsral Homs 72.258.89 3 Our Lady of Grocs Csmstary ��450•� H-A 13,859.58 Oth�r Adminiatratlw Custs 4 Legal Adv�rtlsing-CW 75.00 5 Legal AdveMsingJoumal 150.00 H-67 225.00 Copynght(c)2002 torm soNware only The Lackner Group, Ina Form PM7500 Schedule H(Rev.E98) R�v.1513 E%+(77-08) � scHe�u�E i DEBTS bF DECEDENT, �������µ�� MORTGAGE LIABILITIES AND LIENS ���„�r��,�,�, ������ ESTATE OF FILE NUMBER Oelschlegel Catherine G. 21-13-00497 RWnR aMb IneWnd 4Y tM A�cM�M P��lo MN�MH�Wmd unOMa H tlM a�b d tlxth�InCludln0 uMFnbuetM mMle�l�apxNM. ITEM VALUE AT DATE NUMBER DESCRIPTION OP DEATH 1 Bethany Vlllage 2.358.80 2 Capital Cardiovascular 102.89 3 Check#183 PNC Acct—for Bethany Village,writtsn on April 8, 2073 and eashed after DOD 2.449.75 4 Cheek f1184 PNC Aeet—for Bethany Village,writbn on April 9,2013 and cashed a(�r DOD 1,482.00 S Pinnacle Hsalth 558.00 8 Verizon 17.80 TOTAL(Also sntsr on Llne 10,Recapltulation) 8,985.04 crc mo�e sw�e is neeaea,addmonai�a�ea a nx same s�ze) Copyright(c)2008 fortn soTlware only The Lackner Group,Inc. Form PM1500 Schedule 1(Rev.12-08) flEY•teY3E%�(m48} � scH�ou�e � �°""� , ���Y""'" BENEFICIARIES ESTATE OF FILE NUMBER t3etsch ,GaHwrine G. 21-93-00447 NAME AND ADDRESS OF RELATION3HIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUM9ER pERSON(Sl RECEIVING PROPERTY DECEDENT (yyorrls) (ES$) I TAXASLE DISTRtBU7tpNS [inGude ouUight�ai distribUtbns,arrd tran9fefS under Sec.911 a 12 No►man E.Oalschlegel Brolher All 22�Cone�d Clrcle Harrisburg,pA 17110 �awronce E.Oelschlegsl Brothsr Nonalntarest 140 faculty Lane dlscFaitr� Romeorille,it 8UM8 j Total ler ounb far dishibutlons sFwwn eDpve on Ilnes 15 16 on Rev 1 as te. NtSN-TAXABI£DISTftiBUTkIX+iS: II. A.SPOUSAL DISTRIBUTtONS UNRER SECTION 8113 FAR WtIICH RN£LECTIt7N TQ TAX iS NOT TAKEFi 8.CHARITABLE ANO t�7VERNMENTAI DISTRIBUTI4NS TQT P. -ENTER TOTAL NON-TAXA6lE O45TRiBUt{ONS tN1 I.INE 13 t7F REV-t�k'}C4VER 3MEE Copyright(c)201 Q form so%ware only Trie Lackner Group,Ino. Fortn PM1ki00 Schadule J(Rev.Ot-10) _ _ , __ ,_ . . Y \ LAST WILL AND TESTAMENT OF CATHERINE O. OELSCHLEGEL Dated thia day_��?�of _ __, 1996 � � } • M � LA3T W2LL AND TES7AMENT OF CRTNERINE O. OELSCN�E�6L F� CATHERINE 0. aELSGHLEOE�, a resident of a�d domiciled in Philadtlphia� P����yivania� makey publish end declarr thi� to b� my �iat Will and Teatament, rsvoking all wills a�d codicils at any timo herstafor� mad• by m�. �IRST� I direct �hnt th• expanses of my Yast i11nQS� a�d funaral � the �xp�ns�s af th� administrat3on of my estate, and all e�tata� fnheritance and �imil�r taxea payabla wfth r�spwct to prop�rty included in my estate, whathar or �ot pasaing und�r this will , and ��y interest or pe�alties theroon� shall be paid aut of my r4s3duary est�t�, wfthaut appartfarsment and with no rfght af reimbursement from any recipient of any such propsrty. 8ECONDt I giva� d�visa and baqueath aII thr r�st, residuo and remeinder of my proparty and estate, bnth real and pgrsa�al , including any real eatatQ and haus�hold co�tants of p�emists commonly knawn as 17i5 Bri22 St�e�t� Phi2ad�2phia, P�nn�ylva�ia, ii any� and all othwr propQrty and a�tatw of what- evar kind and whwrevar located, that I own or to which I shali be in any mann�r entitled at thf tims of my dfath {collactively referred to as my "residuary estate"}, as fc3lowss €�3 If my �roth�r Narman E. Oelschl�q�l a�d my brather �awrence E. Delschleg�l or �ither of tham �hali aurvive me, tn thosv of my brother Norman E� O�1�ch1Rg�1 and my brothar Lawre�co 6. Oel�chl�gsl wha survive ms, in aqual sharos. 4b) If none of the beneficiarios under clausa {a) a�ove shall eurviv: mw�y my rasiduary e�tate shail be paid �rtd distribut�d to tho�� af my n3�cg Martinr DaLorrnzo Ang�loni , my niec• Euqonia DeLorenzo, my niecQ Tereffia DeLorenzo 7rza�ka� my niece Francine De�or�nza �nd my nface Carolyn Be�oFenzo wha �urviv� me, in equal share�. 7MIRDt If a�y prop�rty of my estate vRSts fn absolute nwner�hip in a minor or incomp�t�nt, my Executor, at any tima and withaut court authorization, maya distribut� th� whole or � ��� .* • ' , any part of such property to the beneficiary� or us� the whol� or any part for the health, education, maintenancQ and support of the beneficiary; or distribute the whole or any part to a ,�uardian, committet or other legal represantativa of th• b eneficiary, or to a custodian for th• baneficiary undar any gifts to minors or transfsrs to minors act� or to ths parson or perso�s with whom the beneficiary residas to uss for th• b eneficiary. The recQipt of the perso� to whom the di9tribution is so mada shall relaase my Executor from any liability with r espect thereto, even though my Executor may 6e such porson. If such beneficiary is a minor, my Ex@cutor may daf�r thv distribution of the whole or any part of such property until ths b eneficiary attains the age of twonty-one {21} yoars, and may hold the same as a separate fund for th� benaficiary with all of the powers dascribed in Article FIFTH hereof. If th• bQneficiary dies hefore attaining said age, any balance shall be paid and distribut�d to the estate of the beneficiary. FOURTH� I appoint my brothar Norman E. O�lschleqel � curre�tly of Harrisburg, Pennsylvania, initial Exacutor of this will and my brother Lawrence E. Osischlegel , currently of Romeovill�, Illi�ois, as 3ubstituta Executor of this will . If my initial Executor �hall fail to qualify for any resson as Executor or, having qualified shall dia, rasign or cease to act for any reaaon as Executor, my Substitute Executor �hall serv� as my ExQCUtor. I direct that no ExQCUtor shall be r�quired to fila or furnish any bond, surety or other security in any jurisdiction. FIFTHt I grant to my Ex@cutor ali powers confwrred upon axecutor� wharever my Executor may act. I also grant to my Executor power to retain, s�ll at public or privata aalo, exchange, grant options on, invest and rainvost, and othmrwise deal with any kind of prop�rty� real or personal , for cash or on credit� to borrow money and ancumber or pledg• any property to a�cur• loa�s� to divid� and distribut� prop�rty in cash or in kind� to exercise all powers of an absolute owner of property� to compromise a�d relQas• claims with or without considvration� and to ��nploy attorn�ys� accountants and othar p�raons for sarvicea or advist. The term "Executor" wherevar used herein ahall mean the exQCUtor, executrix or administrator in office from time to t i me. 3IXTH: I direct that for purpos�s of this will a 6enaficiary shall be deQmed to pred.cQase me unless such beneficiary survives mf by more than thirty days. C� IN WITNESS WHEREOF, I, Catheri�e G. Oelschlegel , sign, seal , publish and c�re this in trument as my la�t will and testamsnt this _ ��p___ day of �-� _ , 1996. I also have affined my initial� on the bottom o• f eath of the preceding pages h er eof. ���yEt2[�iLO� l�,�p@I� 3. Cath�rine 0. O�lschlegal The foreqoing instrument was signed, sealed, published and declared by Catherine G. Oelachlegel � the above-named Testatri�c , to he her last will a�d te�tament i� our presQnce, all bein� pr�e�nt at the same timQ� and wo, at her request and in her presance and in the presenc• of each other,hava �ubscribed our names as witness�s on the date abova written. ���-� ---- sign) ------ ����__ �__t ��,(y'�(print> rasiding at+ _.r_�s�l_a�c��---�-- _.,�..6!c,��__P1�_l�1�� ���----CaignS / __ ��f..9,±��/�/t D__Cprint) r�sidlnq *t� ----- v%//,f•o�•°�f%+�_ !3 � ---- -- ---------------- ��.i,. � i��Zy - - ----------------- -- 4 • � � � ! • • ACKNOWLEDGMENT AND AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA, COUNTV OF PHILADELPHIA� 88. � /��� �(athf�i}�� 0. Oelschl�gsl and /!�aa,!� _____ and �_yCL1�. �`...Lj�t�� � the Tastatrix and the wi essvs r espe lrively, fvhose names are signed to the attachod or fors- �oing instrumant, being first duly sworn, do hareby dsclar• to the und@r5igned authority that tha Testatrix, Catha'!n� 0. Delgchlegel , signed and executQd said instrumont as h�r last will and testamant in the presence and haaring of th• witnrss�s� and thwt she had signed wiliingly, and that she execut�d it as her f ree and voluntary act and deed for thQ purposes th�rain expressed, and that each of the witnesses at the rsqu�st of tha Testatri:� , in the preaance and hearing of the T��tatrix and each other, sig�ed the will aa witne�s� and that to th• best of his or her knowl�dge the Testatrix was at tha tim• at laast •lpht�en yeara of ago, of sound mind and und�r no constraint, duress� f raud or undue influence. � - ---------� - �-- ----- atharina 0. Oelschloge� Tastatrix _ li�uiS'��_°__.�_. (gign) ��1LG�!�i � dGS�s!�__ (print) Witness � -- _.�����������.�`c4"`� -------(s i g n) WitnQSs �1---� '..Cli�,�------(p r i n t) Subscri6�d, sworn to and ack�owledg�d b�fore me by the said Catheri�e f3. Oalschlegel , Testatrix, and aub$cribad a_nd swor to b�forv me by the above-named witnesses� this__r�T4_day of ,�.�___, 1996. ---- -- -�-- -- ------ Notary Public My commimsion expires on � ' ` 1 �. � NOTARFN.9EAL � ELLA M.NYAN.Meb!Pulb Cly d PIW�dMpWb PIW�.CawMy Cam�loe Eo b Mrah 1 tif7 5 � - ;,�:� c:c,tPY FHOM FiEGOEiD fn (estNriofly wMfOf, 1 ft�flMUlb� ( Of eSSit�yGOtNt C.�1�1l,�� � , . 7 is?diryl CkNk oF#N O RItN1R ' � � . IN ltE: ESTATE OF : lN TFIE COURT OF COMMQI�Ml��'�°tMi1►f • CATIiER1IVE G. OELSCHLEGEL, : CUMBBRi,AND COUNTY, PENIV3YLVAy[A Deceased . : N0: 21-13-0497 Narman E. Oeisch(egei, Executor . � � : ORPHANS'COtT1tT DIVISI{��y �,;, �, ar � mb c � o � � � = cn �d ABSOLUTE t1ISCLAIMEi2 = c�' � v :,..=' a � � � n '17 i-,' -:i �' � WHBfCEAS, Catherine G. Oelschiegel, (heroinut�er referred to as the"D�edentr , theiEac, �7 :._ h� � G� O resident of 325 Wesley Drive,Apartment 3132,Lower Allen Township,Cumberland C�nty, �t Commonwealth of Pennsylvania,died on April 1 Q 2013; AND WHEREAS,on April 3d, 20i 3, Decedent's brother,Idorman E. Oelsehiegei,applied ta{aad wss granted by}the Cumberltutd County Ragister of Wills for Letters Testamentary in accordance with'fhe Pennsylvania Prpbate, Estates and Fiduciaries Code("PEFC(7DE'� in that Decedent died testate; ANI} WHEREAS,purstrant to the PEFC{}DE, L7ecedent's iirother,LaFmYSCt E. Oelschlegel, the undersigned, who resides at 110 Faculty Lane, Romeoville,Illinois, would be endtled,pursuant to the PEFCODE and under the Decedent's Will, to a portion ofthe Estate of Decedent. WHEl2EA5, tha Decedent's brother, Lawrenct E. Oelschlegel, wishes: L To hereby disclaim his entire interest in�ll of tho aforesaid estate and assets and any oiher assets there rnay be ia which Decedent hcld an interest at the time of her death and which formed part of her probate ar otherwise tarcable estate for inheritance and death ka�c purposes or which aue reportable for inheritance taac ��. purposes, whether ur nut tu:cable, including, but not limited to, two (2) (RA Accounts held by For Chase Bank and Wssahington Savi�gs Sank; and 2. Ta state that ha has not heretofore recoived or accapted any benefit from said assets. NOW TFIEREFORE, pursuant to the PEFCQDE,20 Pa. C.S.A. Saction b20T et.seq.,Thc Pennsyivania lnhcritance and Estate Ta.c Ac#,72 P.S. Section 9116{c)and Section 2528 ofthe Internal Revanue Code, and su►y and all other applicablc law, the undersigned, Lawrence E. Oel�chlegel, without sonsideration, doea irnvocably renounce and disclaim his interest in a!1 of the aforesaid assets, togethor with any asnd aiI income earned thereon wfsether hefarc the date af Deccdent's death or theroafter. The undersigned further request the Clerk of the Orphana' Court Division of the Court of Com�non Pleas af Cumberland Caunty> Cammanwealth of Pennsylvania,to�cegt and fila this Absalute Disclaimer. The undersigned specifically irrevacably waives any sind all pnwers which he may have to revoke this tlbsolute Disciaimer. FuRher, the undersigned has read this Absolute Disclaimer, signs it voluntarily and�vithout duress, states thut he hns had an opportunity to consult counsel prior to signing and intends to be legally bound hereby. Ds►te: �/ � 1 /J La nce E. Oelschlegel STATE OF ILLINOIS ) ) SS: COUNTY OF "W`'�'�' ) On �/lI�-�,.oZ/, 02(11_.�_—, z013, before me personally appeared Lawrence E. 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S�'y, (�t�— I�`� Karen Tarbeil Deposit Support Specialist 349 Union SheN, Millenburg, PA 17061 • 1-866-642-7736 • midpennbank.com AAember FDIC ���T f„/'�e Mntropolitsn Wfe insurutce Campany Notice of Ciaim Faymest erlrnsc nt�r oau�na�a 500 SCNOOLHOUSE AOAD JOHNSTOWN, PA. 15915 NAME OF DECEASED DA7E OF DL=ATH OIST PHONE NIJMBER CBTHERiHf G. (1FtCCHi_FGF! � {bt0} 348-0100 �,�*oTP**� BRUCE J WARSHAWSKY ESQt1IRE CUNNINGHAM AND CHERNTCOFF P C 232Q NORTH SECOND STREET Pleaae9aeIarportutNoticsoaRersrae9ids HARRISBURG PA 17110 Thla cldm h�e been PaUcy Number >>���sTSS ap�oradiorths tokstlo[ tb�s Rafar W A the�tntt appearing eefow. in the boxes pelow. 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' .uTw.enn.uruu . �'0035?9�6:3+� tt02i3093?'i�.3�23ETF]�.23�' United HeaithCare Svs Tnc Page i o PO Box 29188 �� HoG Springs AR T1913 CNECK OATE OS-25-20 CHECK NUMBER 014525 INNOtdE. qp�q{� ` � Ck� ; t�li�� �l8�ItMOUtiY b18Gt1UNT. ' NET AINQUNT `r OQOUDI�NM04�Od800�3564426 OS-l4-13 213A9J68 37.20 .00 37.2Q MEMBER i 08548b033-1 Y4UR ACCOUMT WAS PREVIQUSLY TERMINATED. THIS R EFUNO REFRESENTS FUNDS RECEIYED AFtER YOUR TERMINATION �ATE,IF YOU NAVE QUESTIONS, PlEASE CALL 1-888-S6J-5575(TTY 71f}. GPS � I � `i'C'�`�t4�' ' USD 37.20 .OU 31.20 SIN6tEPAY ..w�e.«� w� .w.n �+�.�n„n.wwa< iMiMi�141�1MI�11r11MY.M1 +.w � Keve��r[lat+owu.�eeucalatoM Vnfied HaotthCara Sv: Iac � pp gpX pp�g¢ RATE 05-15-2013 CHECK A0. 02452573 I50 � Not Sprtagz AR 1I923 � ������ Pay TNIRTX=SfllElf At1II Z9t16@ DOtLAR8 . __. _ . To TA*OMiM� ESTATE 4F CATNEp2NE QELSGNLE6EL t 2Y64 COIKdR9'CIR ! NAI�ISBtlNB PA i7210-9230 ���� J��}INut��I�I'l�t�t�ful'IIi�'#�II�hFf���1�i11�b(�h�i����i �urtwaiuo abu�ni� � �i•OQ� 1452573u' �:04i2Q7Q4��. 350QQ �c "^ ' . . � � � ' ,{ RO��VE'S AUCTIQN' SERVICE «H 79L} 2bt#6 R3tner Highway • Cariiale,PA 17016 Bill E�owe (ALT 1b38L) gq9.1978 215-1044 6741008 Dave R.owe (AU 2296L) Auatian Is Actiun Catt "Rawe" For Satiafaction BELLER3 NAME d"n"Qn 8 � DATE iA�j ADDRE33 °?°Zl" �?"� PHONE 3�� OTHElt �" ! w ���D AUCTTONEER °la �� AUCTION DA'CE/LOCATION CLERI{ % �'J I}ESCRIPTION OF ME CHANDISE a �/�t.f.�'N' C�<� ' /�a.c ` � L'' S e+ � � t C ` r� - �tr�... ��ef C. a^v�r / r lv � C s+L u... 02 '/�o� r � .S" rN. �I r e..,. a� �� � �r;,. !`�c, I Commiaio A �e to merchand{ee to tha higheet btdder by Public Auct{oa.M�ehrudise to 6e eold dt pwd ae ta ' hids. I eertSfy that I am the ax�a�anthoriaed repr+easn- tattive tsf ' , ar and have gcwd tit�a�tharight to aail and that they sre free from all ' m a responsibility tar providing merchaatable tftie ud tw delivery of title to ser. I hald ee the Auctio�eere againmt any cLiime of tEte mtura refe�red to in `� �� f�� � �. AUCTIQPi 32GNATU]tE � SELLER3 3IGIY ILE Total Selee (Clerking 15ckete Attmchedl S t i �--'�-c—.•-,—,- Lesa Sa1e Expenee: �^%Gommise�on Auctianeer � ��' f.Z_' --" 9b Coaunisalon Glerke E QTHER: /J�a.�.�Gc.,i.Z� �� �S''r,,r- � TOTAL $ALE EXPEN9E DEDUCTED �6 �� � 4"'"�' BELLERS NET$ � o � � _ ., ,; Dat� : �4 ::!3 �::'?1� t'.�: 19:�1 ZGVJE?� !'4 i�llCf; tOil �'E1�'ViCL^ ��n:� r2�t,1t?t� tnfly C�IY'll '�iB� r'� t71�11.`�7 . 717-c'49 �G�7, �_49- 19?3� G97--479�+ tr.aw. rowesa�_ict i on scr v i�.�. ,-_oin Settlament Pdorm�a�7 0� lschlegal 657 �:;F9 Paye : 1 Seller: � c�G9 Conc:ord Cr. Fl�zrri 3bur-g �'A '.?1 '.S :tem Description nr.ice G�ty Total - -- -------. .._.___.--__ ____ . _._.___._._._ + __ ._ _ _�:. iTO--- - '�amper - 3--dr pine st4ind 1 17. S0 - ,ieassuck ; 1 . 40 OaF< hi,ylic<�ae 1. ti0. 0Qi - Mi.rrar/recliner ' ^c. 00 -- �nd tabla 1 ic^. iDO - Co�.tntry table t 15. 00 3et oP bl�ae r_hair^s 1 �0. 00 - 60' � steNstuu: -or��inye ' 8. 00 - Cedar chest -Qu?�n f�nn � 7Q, �� - LJat �ar-°all �ani.ty R. ctool 1 �. 00 �rdr. chest 1 "l5. �D0 - Sewiny inachine c�binet , 1. 00 - Round mirrar i �0. 00 - Desk 1 17. 50 - 2 pc. bedr•oom set 1 190. 00 - 3 pc. coFfee ta6;e ❑et 1 1. 00 - Single mattr-ass set/ Fr�aine 1. 11N. 00 Books.`�elf r _. �0 -- ?4eta1 war•Jro!.�e ! 10. 20 Dininy room suit _� ; <<aQ, O� Iteins : 21 Aino�,tnt : 1, 1�9. ��0 Commission at ::,�. 0Q�0X 398. G� ��SS adj�_i;tment5 : -.j98. F�5 • .. ry. . �i b t (i I_I t? }' U i d 1 A d 1 . i �}0. 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"y.— � ' /� y�� �� �A18 � ��. �"S G '`16+ ° �` � . �._ ��:«�..� �'�-�� ���� .� 4„, ;��`'� avcrtor�si�xw�vx� , s�r.��tssi�r�i����„ sa=.*�.��k�`` nd ' :. � _ _ . 6 � �` " '�ataD s.ia�(Ctatid�g Ttcl�et�AttechedE i r ,,; �, , Tfc e � , }� °2 . _�. . � ,+.'! C . � k A" `�� _ '�r.�E_�} � erm �e.. �q, .�$1�R�'"i7Lpl11MC r � `` . �y ♦ ��� 4 k r < . I .N%I�`liIIC 11� �v�r=�' ��`..� F M1 SF �,iv ��}�.... �`��y.�. � � �e'o�.��c�wk� s. - � _�� � ��ti�, :�; � � � � >�,.� '"� '';� FYFFIEI�' � ' '"-' . � . . . . - , : ���. ,:. , , n ♦ � �� ` :- i �5 ; . ��t�� � ', � . . -���. t +� TOTAL BALE,E7CPBN8�I)EDUE,'PI)�!�"= '� � "� .,_ 3ELLER3 NET i ' , : ,. ,-�r _ . :, .,�.?».:. _ ,. �; , � . ;. �-..�. W :� ,� . . � ...�..... ,�.�.� .: � �> o � � r �� w • M �l7'1 � � � � r I �j�� R+ y 9 � > ! r � Or N� r � ^' � m O 3 � � r r � ��� r g .. iA A ,(/�' � � �p � � i I�] \ ' A � '.�� V1t' E S T F I E L D INSt14LANCE �i;. Shazirag Knuwledqt.Btril�ng Tnnt! Hero is your Wesifield Inauranca draft. We appreclate having the oppaN tunity to serve you. The pane4 balow lndicaiss the roason tor tha dreft, Your ind�nd�M Insurance Aga�t, indica#ed below, can show you othar fine insurance producta. Gall tham or.stqp.by-for more infortnatlort. � - - - - - - - - - - - - - - - - - - - - - - .• _ _ _ _ - - - - - - NOTE Thfa document does not roMatater any caverage or poliay prevfously cat�-• celiad. i# yau have any questiocu►:concerning this dacumerrt or you� in- suranca coverage, aoMect your Ind�p�nd+�nt Inwrane� A�M: 3T-0-42i3 DON JAC0881N8 Si4RVICEB INC NEIII� BtOOMFIELD, P/Y 178d1{-0�89 717�2-$4t10 Rasao�: CANCELLATIQF! OTt#6R (naured's Namr. CATHERINE OEISGNLSGEt Date Palicy Number Account Number Amount O�t2Wt3 HOP �080187 37TW�ASIF001-Q0001� 6.00 swa ACCOWdT NIlMBER POUCY NUMBER DATE ptAiT NUMdER 3T-Q� 3T/Q0�6i00't-00001 MOP Ad9Q167 00/2Qlf8 3 4 S.S 7 8 2 Sb,�"�., �� W E S T F I �L D a�+t�lf�wMt . INSURANCE �p�����'N'�' '�M�4+MYIY1�' CoA�rrR�r,OH AMOUNT �k �O«hA Qit� Nb GQl4tb *M�'�'�MMMiMi�11M*��iMMtM+��iyMtll�tMMltMyMywMyMM�M+►M e.���. AFSqNi DON JAfSOB�#4f 3ERYICE.'E 1NC rArrots� 4R` - CATFRRIIi�QEELfi6Hf.EGE4 °"Dtl�Of' �'1N CONCORD CIR WUtRl�i�iG PA !TtlG�9230 yR��� u• 348578c'��' �:044ii5443�: 63Q284743i�" .��: ��� � 1 ��,,.; � . '°� �`� r ,� , � '�: :��:.:.. � � ��,� P'OF35GOE ' ._ �a�eoeet� CONTINUATIQN SHEET F�I.iSTfNCi BECUti�T1ES 1� t~{- �R°wa°'tM.,n's°°'� /�t"I Nl�s- PRI!(T IN INK OR TYPE AU.IlIFORMA710N The ba�fa desaibeti on th�i�m a�e i�ded a�tt�e at�hed}�F '� �� �aA�e f,�araw+r eo�a� �wa+�a.�w.sa�ra+e�rw�.�r.r�.r�vr.��a.era�, nui��rinito rMtltwr�murbams 17102 5pp Di1ba5611N YQ11l�SSi 41M2 390 D6f�420pNi CATt�iE OEL8CNLEt�Et CR 1?MY2 S!DO 061i4�Od11N NORMAN OELBCHLEQ�L, 131p2 S00 DE1fi32iNH Otp4 5qQ DI�l7MH1 ONq4 3q0 0�17WiN Ctfa�t S00 OdSN1tONH OBMM S00 D�tM/t1HH 08l9t 500 D661Yli711k OCN4 �44 d!!Al1pi1H 4liO4 S89 Df9N1a+MIM ONU4 '344 DNIM1aSiiH OH94 SOQ Obtltfl6FHt 0lMA Sq0 Dbf/YIS7MH OQf84 '.f�0 OHt�lY1illiFi ONW lf00 0lM49'flYHN 1?M2 1,U00 IiM�i3S1�11H lliqt t,00t Mpt3�Ni . 11N2 1,tl00 Mq1337711H , i�l K-�"°'""�"r'�`.�'� '°;,��,� �� � � � ` -t Fox CxASE B�nc June 6,2013 Cunningham&Chemicoff, P.C. Attomeys a Law P.O. Box 60457 Harrisburg,Pa 17106-0457 RE: Estate of Catherine Ci Oelschlegel, dxeased April 10,2013. Account Number 240962886—Certificate IRA Tide Catfterine C)Oelschlegel—Sole Owner Norman E. Oelxhlegel—Bduficiary Lawronce Oeischlegel—Beneficiary Date Opened 10/OS/1992 Tide Changed N/A Date Changed N/A Principal 554,967.79 Interest to D.O.D. 543.09 Balance as of D.O.D $55,010.88 Interest from Ol/01/2013 to 04/10/2013 542935 Other: Sincerely> G� eollan Geiger Deposit Services ! 510 E. Township Line Rd. Ste 200 • Blue Bell,PA 19422 • (215) 775-1436 I Serving The Communiry Since f 903 June l2, 2013 Cunningham& Chernicot�; P.C. Attomeys At Law P.O. Box 60457 Harrisburg Pa 17106-0457 Re: Estate of Catherine G Oelschlegel To Whom It May Concern: C�therine Oelschlegel held one account with Washington Savings Bank at the time of her death. fRA account numbcr 400007084. "fhe account is tided Catherine Oelschlegel [RA beneficiary Norman G OelschlegeLThe account was opened on March 22, 2005. T'he principle date of death balance is$76731.39. The acerued interest on the date of death is $52.20. The interest from January l, ZOl3 to April 10, 2013 is $ 518.57. You will be rcceiving a letter from our [RA department with instructions on changing the IRA into Norman E Orlschlegel name. The contact name for IRA department is Irene Coia. Sincerely �`� Meg Jusuti Assistant Manager 2900 Comly Road, Philadelphia, PA 19154-2107 Q Phone: 215•698•9400 Fax: 215•698•1250 MemberFDIC ���� www.washingtonsav.com A y Jun. 3. 2013 1;35AM PNC eank No. 6102 P, 1 �,�� 7me 3, 2013 C�moiagham�ClurmcoffP.C. P O Box 60457 2320 N 2°�9t HeQisbia�g.PA 17110 RE: Catberine OeLvohlegel 3SN: 203-16-6559 DOD: 04-l0-2013 Dar 3ir/Msd�on: In reeponee to your nquest Eor Dabe of Da�eh(DOD)belances S�r the cu�toma aoted ebove.o�u reoords ahow ihe following: C�te ef Dspoti! Account�t 31300335242 Eatabli�be�d: 10-09-2008 CATT�RIIQE QELSCHIrEaEL 1TF NOICMAN B OffiSC�.EdEL LAWRBNCE E OELSGHI.BQEL DOD balanc�e: S 1,029.67+O.OI accrupd iater�t Accouat�f 3I600334034 F.stsbli�d: 10-09-2008 •CAT'f�RIIdE OELSCfII,FAEL 1TF NORMAN B OEL9Q�.EOEL LAWitENCE E OELSCHLE(3EL DOD bslance: S 20,312.44+0.11 eccxued iaterest Aocount iF 31800333170 Establiehed: 09-23-2008 CATFIERIIYE OELSCHI.FAEL ITF NORMAN E OELSCHI.EOEL LAWR�NCE E OELSCHI.EGEL bOD bstance: S 10,04538+2.24 scaned intaest Ch�Aaaa�t Acco�mt M 5004894374 F.�tabliaLed: 09-26.2008 CATf�RIIVE OELSCHLEQEL ITF NOi2MAN E OELSCFILEGET. I.AWRENCE B OELSCHLEC3EL DOD belance: S 34,457.23 +0.12 ac�sued intmroat Page 1 of 2 , v Jun. 3, 2013 1: 35AM PNC eank No, 6102 P. 2 ssvmp Aaoant Aa:o�mt�f 5004894489 Establiahed: 09-262008 CATHERIIQE OEISCFII.ECiEL ITF NORMAN E OELSCHI+EOOF.L T.AWRENCE E OELSCY�OEL DOD belsoc�e: S 39,590.53+ 1.41 acctved'miereat Flcus aas t�t thv officx providu d�of dath bala000e fa dep�t�oimdi(IRAe,CDe.Che�cn8 aud savimp� w.da aok prea�ati�1 a�ctled or pe+a�We aataseat� Tf yoa med wi�mcs with my of thme itema,Pleaee cv!1-iti-PNGBANK(1-88i-762-2265)or eoop by yaa local Pl�Bmlc breuch omoe. Si�seerety, N'ffiia�l Finmcial Servicea Center PNC H�nk N.A. Memba FDIC Tl�it n►srsogr/s biterdtd fa�the'we of tM f�ilviabmJ or sntlty to wldcl►it ts aadabesaed artd exay co�rtuv� irg/'o►�io»t�rsPrTMteB�d ��+'�d�d�su�1�'aTr dtsdosm�s undar a�plicabl�taw. lftlee reeia�a of tlkta me.tsage rs nnr rhr tnrenakal secipisrs or tbe s,�ploye�or agwr resporoibls for deH�wing thtr messag�e to tia tntandnd ncipisnt.Yow are hereby rar�Jied d�a�t a,ry d�iwsnrfiwtion, diserlburioro ar copyheg of rl�f�r conwnoqcatton�J�sfrtctlypsolitbtird b'yor have ncslved tMs com�r+wdcml�an in error,pleaae xottfy me i�rneedlately by reply os by M/aplrovrs at 800-762-1775 m�d inunedioYely dtriray rhit fated docununt. Page 2 of 2 i Our Lsdy of Grace Cemetery , 1215 Super Highway•Langhorne,PA 19047 215-752-3244 • Fax 215-752-3242 � I Date April 17 2013 I Interment of Catherine G Oelechleael I In Section 5 RanBe a Piot � a Grave I! 3 At i . Cemetery Charges Purchase of New Grave s Perpetual Caro s Opening of Grave s-1� Opening of Grava(3 R.or less) s Temporary Nameplate s Cemetary Tent s Fowtdetion Fee for Monument S i Other s Total Psid S Check Number 1 A s �_ i Payment Received from ' Address Name on Deed(Lot Hoidw) ! Thank You, ti/ No�IM1N�,oa�Cw.Na 1138 �M� rmmf IMl�wr. mtoaw ������� ae O d , � $ /.2, �tSL� T' �., 4 � �_-�.�-��� S�. 9�-�n�. e � ������ ��� � /� Far �Ll��D �iN'�M. C D�i+I�l�r �:03L3 � 2738�: 5L � 2020367r ii38 ...�. . . Malpezzi Funera� Home $ ���� � ' ::�� c�t��,-.� M P/►17oss www. ' �mm.tHome.com Jan�y J. ,FD MkY�tl J.Ma�Ow�ey FD Krlt C. RD A�xi122,2013 Norman E.Oelschlegel 2269 Concord Circle Harrisburg,PA 17110 This is the fiial shtament for the funaral s�vicee of Catherine G.Oelschlegel We sinc�rety apprecisLe the confidence ya�have piaoed in w md will continue to sssi�you in evary way.. -- %tOR[SBIONAL SERVICES: Qu of town anupo�utlon 5175.00 SwicaofFunmal Diraclor/Statr s5.473.00 FUNBRAL HOML SRRVICL CHARG6S u,(�p,p� SBLRCfLD MERCAANDISL: Steel Cadcat 53,475.00 12 Chuge Rsgul:Steet Vwk $1,535.00 r+��� 573.00 TH�COBf OR OUR$CAVIC�B.6Ql1RMENT�AND MERCFANDISE TNAT YOU HAVL S�I.�CfLD Slb,?35.00 CASH ADVANC64: At tlw tLesfrnnd�raiga�a�tr woe wadR ws adv�ad certdn paynunp to oN�rs ar m��cosadatlon 7rie jollawing ir m�aaw�o�tb�ojthosr ch�g�er. C�+e�Y��t STA0.00 Certiftad De�th Catifiptes 572.00 Newnqpor Noticd-Petriot SI99.89 Clerpr/Mttr Offering 5130.00 Or�n�s� SI23.00 Clappr for(haveside Saviee 575.00 Flowaa S230.00 Altv Servara 520.00 Monument Eng�avinQ Permit Fae SS0.00 Maiumait Eugaving 5380.00 TOTAL CASA ADVANG78 AND SrLC1AL CNAAGZS S1,S21.89 coKrw►cr e�ci s��s�.s� TO'[AL AMOUMf DUR BY May 12,2013 slZ,i36.�9 [f you have a�ry questiona or concems roguding this bill,plesee cell our offtce�(71'n 697-4696. \. , � - � , , � ` " i i ,A a, �� �`�n� . , .{ �u. ��o�i , � -- - ��,N� , ._ _ _ _ _�_ _ _ _ _ ; ; __ IRISH ROVER ___ __ __ _ . __ . _ __ �. 28 W Lincoln Highway. ' _---_ ________ Pennde�A 1�147 , --- -----.-___ `. (215) 757-]260 _ _ -------- -- _ . _— Server: Brandy DOB: u�/17/2013 01:31 PM 04/il/2013 _ .. __----------_ _ _ _ _ __� _ ___---- _ _ -- — Table 24/1 I/10001 _- -- -- ---- --- SALE - _ ------_._..----- -- -- -----__ VISA 1048578 Card «ifXi(xNX�xXf(XX36%8 — - --- -__�_ ___ _ __ _. - Magnatir, card preaent: Yes Card Entry Method: S Appro��nl: 612592 Amou�t: S 126.69 + Credit Card 1ip:: _ , ZL = Tutal: _--__/,'aT. �9 _ _. I a9ree to Gav the above ----_._._�. ----------------_. _ . _. total amount according to the - ----. card issuer aureement. — - --- Y ----�---...._.— ..-- TNANY YOI� _.__.._.-------- __ ���ruS�omer � - ---- � !/ ------ _�C q�! _-- -- ------- --__, -_ ----- ��LL�� - oC7� �L --- � �----_... __ _--.-� -- _ --- - --�._ _- RECEIPT FOR PAYMENT =3==�==='=s=====___ GLENDA FARNER STRASBAUGH Receipt Date: 4/30 2013 Cumberland County - Register Of Wills Receipt Time: 12 : 1 :43 One Courthouae Square Receipt No. : 1074003 C arlisle, PA 17Q13 OELSCHLEGEL CATHERINE G E state File No. : 2013-00497 paid Hy Remarka : N�RM31N E OELSCHLEGEL Receipt Distribution ------- ----—--'-"""' Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 260 . 00 CUMBERLAND COUNTY GENERAL FUN W ILL 15 . 00 CUMHERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 40 . 00 CtJI�ERLAND COUNTY GENERAL FUN JCS FEE 23 .50 BUREAU OF RECEIPTS & CNTR M.D AUTOMATION FEE 5 . 00 CUMSERLAND COUNTY GENERAL FUN I NVENTORY 15 . 00 CUMBERLAND COUNTY GE�N�ERAL FUN INH TAX RETURN Check# 1137 -------$373 . 50-- Total Received. . . . . . . . . $373 . 50 _ __ _ _ _ _ __ I N V O I C E 1500 Paxton Street JOURNAL Harrisburg,PA17104 �„�„ M U LT i M E D I A T.717-236-4300 F.717-236-6803 ORDER IL• 90064 www.journalmultimedia.com TEpMS; NN 3p p�ys iNVOICE TO ADVERTISER Cunningham 8 Chemicoff, P.C. Cunningham 8 ChemicoH, P.C. Ac�unta Peyabie P. O. Box 80457 Harris�urg, PA 17106 iervaarro:�aw.us.. DESCRIPTION Of CHAROE8 COST � CREDR � BALANCE PUBLICATION: CLASSIFIED/CENTRAL PENN BUS.JRNL COVER DATE: 8I7/2013 THEME: CLASSIFIED AD/CENTRAL PENN BUSINESS JIX1R RATE CARD: DE8CItlPT10N OF AD: Legd lieting: Eatate of Catherine G.Oalschlegel REP�B): MARKSUNDAY SIZE: LEf3A1.LISTING, PAOB: 150.00 . COLOR: %W 0.00 SPACE 8U&TOTAL: 150, ' BM.ANCE IX1E: 150.00'� � n � . 1���� U^ ��n � cu���vi�o �,aw,�ou�a��t�. 32 SOUTH BEDFORQ 8TREET CAR�{SLE, PA 17013 Tslr. t717y 2+l0.8186 Fs�c i71T)2�Y-2Q0� dune 7, 2013 Cumbertand Law Joumaf ia publiahed every Friday by the Cumb�iand County Sas Associ�ian and is designated by the Court of Cammon Pleas aa the offidal legsl pubficatian far Cumberland Courtty and the lega! newspa�r far pubHcatian of lepa! notices. TO: Bruce 3.Warshawsky, Esquire RE: Catherirt�e G. O��legel Estate l.egai adveRisements must be received by Friday Noon. All legal adverNaln� mua#be paid in advance. Make ali checka payable to: Cumberland �aw JoumaL __�ffi�==-a�====��===s��===_��=_=_�=____ffi====�a===s��:==__*�=___��==_ Advertiaement inserted on the foilowing dates: May 24, May 31, and 3we 7, 2013 AdveRising Coat $ 75,00 Proof of Publication ffi 0.00 Secarxi Proof R+dqt�st $ 0.44 Payment raceived $ 0 .00 Tatal Amount Dus S 76•00 �sastuaas� Paymerrt teceived by ( T�o'tal B�nking Statement ' r..w p.d.��ae�srs�ta a wa��� C�For 24hour intormatbn,siqn onfo PNC BankOn4im Bankiny CATHERINE OELSCl�.EGfL t7F�C4 �—''�on pn¢.pom. Primsry acoaunt�wm6x:50�04BaC3?4 AecouM nuwMn 51WU4tll1-4Y7#•coniva�ucl Pap�2 of 4 �s�� As of 04/24,a!WI of{.M91n iM4nrt war anmuM PNpnlayM tiumM at�ys Awnpil eeihetW im�t PaN Pxki Mi�Yqt. ViNd H+�mW y4YY81 in IM�nY p�rlotl Wlanw lor APYE thls p�r1e0 o.n�x s� sa.ta7�.�c .ia WU„MWinp inb+w+t Nm�O WithMWinp lMa W„oA y�ar-toC�4 Y�sr�o�Aat� .1)!1 .li:S .UR - �Y�f��M� �w� �M h� SY�MM1ry Taal lor Ihit P�NOA TotN Yuf fo Oate T<Ra{Ov�rck�aft Fees `2R.IXT '�5.t7(S � � �s�ies ap�OMNr�i1�N�ns TMn wm 3 0�0�and OtharAddkbm paM AmsuM awoNa+� toaunq f��.lts.N. fk1/UY 1��,517.2N Dnpoul Refnrencn Nu. Ci$96WN`:�1 WJ09 t,tOtl.tX� Dirr.ei Dr.�sit-�rx Sce SSA'Crc^aa 310�XX;fYfi;4!i9A (H{/24 .IN Intn�ti��t P:�yrue��� �l��� CMdt �b RN�nnd CMek Wb R�Mnnc+ n4mON AmeYnl - ` pNd numbN . ,.. . numbr. .4meY1N �paW numMl 1 ,,.(�'!LtlPL..r n..r�,w�i � ,,...�9�'��V".�-`� " '�.w��.�r•,;'�`°''�.� r: '2� 7'3 W IY axat?v 4yyq � !Nh 'Stt„iYR4N <HJ19 ,xt+x+n�nt . :,. `�.„. . �*�W('�"� �G.v i�an.a�..a�.nc. ��'t 11r1l�G�_ rn.�s c�as u.aw�«,uno � Aw1ii. a11� �wie �Iwit�y o.irol�u.s 7'Mrn ww.x cM�,.or Ea.aronio a.rdd�w Dat� AmeuM pwtHqlon OeduttbMtqtsltnps197.1�. IW/(YJ 9y CO Yay�neW,L�dl�eck ll Yremi�nu Uldc SrHO 17U {Mj4�3 IUt?.UtY 1}b�ecH i'aynrent•:tXXXX749717 Yinn:u:Iatt�althtm � �� TMn vwt4 2 OtM�Osductbru tattlinp aw .aneueu ascnqan l�.N. tMjY� `.S.ilt} th�e�'�6aft Itr.m Fee fN/Y4 .05 lolereyl Wi11�Ix�Hling � �MYif ��f� D�q Balanu Dat� 8aianp WN B�N�u 09/27 Y�914.15 fN/(18 :4�1��.W.49 �H/19 .00 fM/OY 9y,a�i.as IN/IMJ 4�1.�!i7.`L'J (1M1/`29 I,�Ifip.IX)- a#�os :t4.s29.�� W/i1� 'if},!i?.5.dH rr�/•_9 t.d7�4.a7- 13uying? Relinnnci�? [.a wltlt the bynk yi�u ktww. 1'cxiuy's i�rercst rates ure at aeur-hisweic tuws.IY yuu urr piaanipg tu buy a new hurne ur rrtinancn ycwr eatis�iog Iwn su towcr your rare�r munthly puyment,tulk with a YNC�tortguge Lwa Qllicer taluy!Swp by y�wr la:nl 1.'YC liunk br•rnch ur cult�55-892-6335. PNC'rs a regieteral xtvice m3rk of'Thn f'NC Firu�iai Yiervicxs clroup,im.S"PNC'�.YNC ldort}Wgo ir a divisiwn uf PNC Hunk,N�ioe�Aawr,iatiu:�,a subsufiary W`PNC. A{E lu;uis:�rc provi�ka3 by YNC Hank.Nu�iu�wl Am�xiwiun wrt are nubjnx w credii:jpprowaF:ari proprerty:pExaisal. Ic12013'Chn PNC Fin;uk:ial�ervice�a(iroup,luc.All riphu�m�erval. PNC7 Hnnk.Natiurwl A�:iution. �lnmlwr FI>IC. HVC Murt�:ry{e ix w�Hyu�l Houainq Le�xler. � ��rYwMrnaw-nri+ , . . � �. , xz wv�s•_..� .. � � v..� rrR;avv y3 'w 9.r p � :F2 9 � ' '� r vaj� ' ^."l"y� �.r -�`t"°+'��� .Ni4v 6,.,r >..a��is . S°' .�s' v��".� .R+ s .i,x �Lt�-`li+)�.Y� <3 r+s-?�tl{il�� �vl ;.� ��, . �y�.....+. ��1 . �� �'1 YC 1 1 =f .1 .�V;� � : 1 t � . I 11 11 : I 1 +t , ,f aa. , :� I �� �t t r � .• •.. . � !t i �Y : s Y � i i � � �r ! � � � r L'i � � � � � * � . __ .__ __.. ._... ..._ .._. _.... _. . _.��_.. �. . . __.. .._..... .. ...__ O•Isd�Mpel,Catlarins I M Liv' W/052013 . Pynnuk R�aiv�d(3I18/2013) -1�581.00 � . 1lZ013 13 MoMhly Servk.�Fee 1.00 M 7,482. 1,�82. 51,482. `' 1 � � � � �� �, �,� y� N you have anY Vu�qb�+►sprdMp Mb dstement.Pls�w cont�d Je�milet 81ack at 717-'.f�1-8029.Thank youl TOTAL TOTAL RESIDENT RESPONSIBILITY s���� * �1SBURY �ETHANY STATEMENT P�� � °� � VILLAGE � .,�„� 2� �,3 Anticipate More 325 Wesiey Drive . Mechanicsburg,PA 17d55 OBJ'43/2Q13 50.00 Notmaut Oeischiegei � � 22�Cotx�rd Citde Harrisburg, PA 1'1110 . OelschlagN, Catherine � � �, PLEASE DE"CAGH AND RETURN UPPER F4RTION REMITTANCE OelschlegN,Cetherine Bethany Vii -Ths Osks 08108120i3 ,. , .� . � ...� . :., >, . ., . ,.. . .. .� ;v IIOB � �aymeM Rece+�ed�s��no�3> -sss.z sx,sss.eo Payment Rbcervad{5t15124t3) -Z,358.80 54.fl0 Pbsae c:ontsd JemrdFsr 81ack�7�17-5$1-8025 wiHt bi�ing qt�stiona.Thenk youi � „ � . . � , �' 'F4T1�t:' ,.. , y ���� �."�i��'� ����►`����.��' " f0. f'Ll.nvl� vLlnvllrtNV1\Llvfl1Y4I1 � 4J� � v����v�v .. +. �+�. ��V�m� �!'IIMVL p�t�hieget,Getha�� Bethsny Uliage-The Oaks 4510?t2413 1 a nce orwa , . Peyment Received(4l1212013) -967.'7 $1,A82.00 Payment Raceived(4/25ML013) -1,482.00 $0.00 13 1012013 12oom a�BoBrd 8.00 Day 347. 2,458. $2.458.OQ 112t113 l0212013 MedicareAlMC HMd Coinsursnc� 2.OQ Oay 148. 296. $2,T52.�6 � �� 2� "�'S�6.8 z� �r� � �,( t15° N�1,3 F��a seeMfer a�k ae 7�T-ssy.E�wid,�i�q�s.Thank Yo�� TOTAF: TOT,hL Ft��p�t�1T RES�31�t�lE3iLITY x2,�as. r�cn.�� v��r�vi i �rvv n��vi�i� vi � �n r v���iv�v vr� �i � i vvn i��rvu i i r�i�v� Oe�chlegel, Catherine Independent Living 05/07/2013 0 3/312013 a ance orwar .0 Payment Received(4/12/2013) -2,984.00 -$1,482.00 Payment Received(4/25/2013) 1,482. $0.00 1Y1013 /30/2013 Monthly Service Fee 3952 -$39520 7his credit has been applied to your Skilled (The Oaks)account. Please contact Jennifer Bladc at 717-661-8029 with billing questions.Thank you. 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PA 17105-2353 �� 04/08/i3 PINIVACLEHF�►LTH ca►x�� osLS�z 315 NBSLS4 DR �17055 MgCHANICSBQR(3 Patieat Name : CATF�RI� 08I,SCHI+�4�+ _ — ---— -- --- -- _ . _��-�t_�To • 13002��� ---- — � -" Dats of Service ' ��556/00 Halance �e : S �r ���pg OgZ,gCHI,8G8L 100.00- • Thank You for yaur P$Y�OAt ia the amount ot $ a lind to the accouat aum�°r liated abrn►°• Y� n°� on the paY�°°t ochedule previouelY It hae b�e� PP lace ths account num�°1 installm�at is d�° b°�°d ��ck glease p establiehed. If paYing 1�Y og thie letter with your Pa�^°°At. an your check or include a ��PY Mail payment to: �gwc Z353alth Sospital Harriebnr9� PA 17105-2353 Cash paYa�nte can be msde at th� 30s�°tos3 301PM,in���e�� Hospitsl M�sday throu9h Friday the information at the bottan paymente maY be made b7f returain9 of thle letter or bY calling � �� $t �71�) 230-3421 or 1-900-603-6064. Sincerely, � �� elor Financial Covas� �Dartment p�t�ent Acc� 1131 �a�M„l0�, r� pRS88 _ �►�m�o�wo /�_�.Zt � v.�,,,k � e �s i s�sC ts/ :�bC -�� $ SS�• + aa.� �, . ,� a%' — o�. 8 �'• �. � : of your �p�VCBANK - �.. � f ��� �C�i�n.'(5�006 FLS�/4�« �/" FO� 1 L 3 1 �!f13 �; 1a73A�! aLLan �nae�r ,. :;