COMMISSION FOR THE COMPENSATION OF VICTIMS OF SPOLIATION RESULTING FROM THE ANTI-SEMITIC LEGISLATION IN FORCE DURING THE OCCUPATION
(Decree 99-778 of September 10, 1999)
Case Number :
(to be mentioned in all correspondance)
QUESTIONNAIRE
To be returned to:
Commission pour l’indemnisation des victimes de spoliations intervenues du fait des législations antisémites en vigueur pendant l’Occupation
1, rue de la Manutention 75116 PARIS
Téléphone: 33 1.56.52.85.00
1 CIVIL STATUS
Yours (include a photocopy of identity card of passport)
Family Name Karp (Stern)
First Beatrice (Beate)
Date of birth | day 8 mo 10 year 1932
Address 770 N. 93 St; Omaha, Ne 68114 #4C3
Telephone number (confidentiality assured) (402) 390-9925
Important : The Commission is competent only for the compensation of victims of material and financial spoliations.
Civil status of the direct victims of the spoliation
(IMPORTANT: include all photocopies of civil status papers in your possession, including the livret de famille [official record of marriage and children]
Family name Stern (Gottlieb)
First Name Rosa
Date of birth [day. mo. year] 18-12-1900
Place of birth Grebenau, Germany
Date and place of death, if you know Deported from Rivesaltes to Drancy August 15 1942 with Convoy No 19 to Auschwitz
Last known address
Family name Stern
First Name Moritz (Maurice)
Date of birth [mo.day year] October 10, 1900
Place of birth Oberbreitenbach, Germany
Date and place of death, if you know deported from Drancy Sept. 9, 1942 in Convoy No 36 to Auschwitz[?]
Last known address Camp Les Milles & Drancy
Civil Status of the heirs of the victims of spoliation
Family Name Karp
First Beatrice (Beate)
Date of birth [day 8 mo 10 year 32]
Place of birth Lauterbach
Address 770 N 93rd St #4C3, Omaha, Ne – 68114
Telephone number 402-390-9925
Relation to the victims of the spoliations Daughter
Are you also acting in the name of the other heirs? No
If so, include a proxy in your name based on the form on page 10 of this questionnaire.
2 – THE SPOLIATION
In what circumstances did the spoliation occur?
I was eight years old when my parents, Rosa & Moritz Stern, who were in Camps Gurs, Rivesaltes & Les Milles, lost their money & valuables. I have no idea as to what their exact assets were, nor their value.
(Questionnaire, proxy and power of attorney – p.5/10)
What assets were involved?
Where were these assets located? (give as precise an address as possible)
What value would you attribute to these assets?
3 – PREVIOUS CLAIMS
Has a claim ever been submitted to the the French authorities?
For which possessions and/or assets?
Specify the name and address of the organism
Indicate the result of the claim
Has a claim ever been submitted to the German authorities? NO
For which possessions and/or assets?
Specify the name and address of the organism
Indicate the result of the claim
4 DOCUMENTS
If you have any documents to submit to the Commission, in particular concerning the circumstances of the spoliation, the nature and the value of the possessions spoliated, please send them along with this questionnaire.
Description of the documents
1.
2.
3.
4.
5.
6.
I swear on my honor that the preceding information is exact.
Signed at (place)
on (date)
Signature
Please return the power-of-attorney on page 9 after it has been duly completed. If you are representing other heirs, return one proxy from each of them, based on the form on page 10. The proxy allows you to act on their behalf. Do not forget to include a photocopy of your passport or identity card.
Commission for the Compensation of Victims of Spoliation Resulting from the anti-Semitic Legislation in Force During the Occupation (Decree 99-778 of September 10, 1999)
POWER OF ATTORNEY
Number:
To be mentioned in all correspondance
I, the undersigned (Name and First Name)
Karp Beatrice
Residing at 770 N 93nd St, 4C3 Omaha NE, 68114
authorize the Commission for the Compensation of Victims of Spoliation Resulting from the anti-Semitic Legislation in Force During the Occupation to seek all information concerning the spoliation of material possessions of which I have been despoiled, or to which I am entitled as heir to a despoiled person. In particular, I authorize the Commission to ask the competent institutions for information in personal files consituted during past procedures, to consult the original files and to request copies.
Signed at (place) Omaha, NE on (date)
Signature. Beatrice Karp
