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Home My WebLink About01-29-07 FIRST AND FINAL ACCOUNT OF RONALD R. PEROCCID, EXECUTOR FOR THE ESTATE OF GLENWOOD BROWN, SR. No. 21-05-0468 Date of Death: i,'I.,oO( tt\.o\~53 05-18-2005 Date of Executor's Appointment: 05-24-2005 Advertisement of Grant of Letters: Cumberland Law Journal The Sentinel 6-17-05,6-24-05, 1-1-05 6-8-05, 6-15-05, 6-22-05 Accounting for the Period: 05-18-2005 through 01-17-07 Purpose of Account: Ronald R. Perocchi, Executor, offers this account to acquaint interested parties with the transactions that have occurred during his administration. The account also indicates the proposed distribution of the Estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: William A. Duncan, Esquire DUNCAN & HARTMAN, P.C. I Irvine Row Carlisle, P A 17013 (717) 249-7780 o Co s;,::o :"':::;:;'0 'Pr- 493 Cf) /...... ("J-~'''''' -)'::) :::r, ..c ..j ::0 u~ "]> f"-.) <=:) = -..l <- > Z N \.D ;pot ::Jt <2 N W Summary of Account (Page 1) Total principal receipts: Interest on bank account: Total general disbursements of principal: Total executor fees: Total attorney fees: Income Receipts: Balance for payment of creditors: (Page 2) Schedule of Proposed Payments: (page 3) Explanatory Notes $ 160,461.83 11.93 ( $ 139,598.53) ( $ 5,000.00) ( $ 9,339.68) ( $ 300.00) $ 6,235.55 ($ 6,235.55) 00.00 Estate of Glenwood Brown. Sr. Account Principal Receipts: 06/28/05 Proceeds M&T Checking Account $ 529.91 06/28/05 Proceeds Members 1st FCU Account 5,188.31 06/28/06 Currency & Coin Deposited 2,753.74 07/08/06 Traveler's Checks Deposited 100.00 07/28/05 Gross Proceeds from Sale of Home located 127,200.00 at 2122 Douglas Drive, Carlisle, PA 17013 07/28/05 Tax Pro-ration from Sale of Home 192.25 08/08/05 Gross Proceeds from sale of 1990 Chrysler 1,350.00 08/23/05 Coun~~HomeLo~E~row~~d 1,349.02 09/01/05 Comcast Cable Re~d 16.95 09/01/05 Sprint Phone Re~d 55.89 10/24/05 MetLife Re~d 1,619.00 11/10/05 Gross Proceeds Sale of 1994 Ford 13,259.00 Winnebago Motor Home 11/23/05 State Farm Auto Insurance Re~d 7.00 11/23/05 State Farm Homeowners Insurance Re~d 450.00 12/07/05 Proceeds from sale of Personal Property to 3,000.00 Glenwood Brown, Jr. 02/10/06 Payment for Inheritance Tax Obligation for 735.30 U.S. Treasury Bonds by Glenwood Brown, Jr. 05/19/06 Central Penn Medical Re~d 29.20 09/13/06 Payment for Inheritance Tax Obligation as 2,526.26 to Chris Junior Brown's U.S. Savings Bonds by his Trustee 10/05/06 Proceeds Sale of Ring 100.00 Total PrinciDal Receipts $ 160,461.83 Interest on Bank Account: $ 11.93 Total Interest on Bank Account: $ 11.93 Total Receipts of Principal and Interest: $ 160.473.76 Principal Disbursements: 06/29/05 Sollenberger's Messenger Service, $ 93.00 registration for motor home 07/11/05 Countrywide Home Loans, mortgage 971.83 payment for home 07/11/05 Cumberland Law Journal, advertise 75.00 letters 07/11/05 The Sentinel, Legal, advertise letters 137.03 07/11/05 Hoffman Roth Funeral Home, funeral 5,665.40 services 07/11/05 Hilton Lock Service, drill open safe 65.00 07/11/05 Commercial Acceptance Company, 41.25 ambulance charge 07/11/05 Central Penn Medical Group 29.20 Emergency, doctor invoice 07/11/05 North Middleton Authority, water/sewer 83.90 bill for home 07/11/05 Sprint, phone bill 55.89 07/11/05 Comcast, cable bill 16.95 07/11/05 PPL, electric bill 150.00 07/28/05 Payoff of Mortgage Loan - House Sale 113,074.51 07/28/05 Seller to Buyer Credit - House Sale 7,200.00 07/28/05 School Taxes Due Reimbursement - 114.26 House Sale 07/28/05 Realtor's Commission - Dawn Realty - 3,600.00 House Sale 07/28/05 Transaction Fee - Dawn Realty - House 175.00 Sale Cont. Principal Disbursements - Page 2 07/28/05 Notary Fee - House Sale 4.00 07/28/05 Attorney's Fees - Duncan & Hartman, 250.00 P.C. - House Sale 07/28/06 Courier Fee - House Sale 15.00 07/28/05 One (1 %) Percent Realty Transfer Tax - 1,272.00 House Sale 07/28/05 Final Water & Sewer Billing - North 262.16 Middleton Township - House Sale 08/10/05 PPL, fInal bill 576.29 08/1 0/05 Sprint, fInal bill 52.12 08/10/05 ffiIS Appraisal Services, appraisal of 420.00 personal property 09/06/05 Erie Insurance Group, auto insurance 162.00 prelDlum 09/02/05 Bank return item fee 10.00 11/10/05 Register of Wills, fIling fee 162.00 11/10/05 Love's Auto Sales - repairs on Motor Home - Two Shocks; R&R Two Rear Shocks; P A State Inspection Charge 332.00 11/10/05 Love's Auto Sales - advertising in Auto 230.00 Locator for Two Weeks - Motor Home 11/10/05 Love's Auto Sales - Commission on 1,000.00 sale of Motor Home 11/10/05 Love's Auto Sales - Six (6%) Percent 19.92 PA Sales Tax - sale of Motor Home 02/14/06 Register of Wills, Agent for 1,514.32 Commonwealth, P A Inheritance Tax Due Cont. Principal Disbursements - Page 3 02/14/06 Register of Wills, filing fee 15.00 04/07/06 Register of Wills, filing fee 160.00 04/17/06 Internal Revenue Service, individual 1,496.00 taxes due 2005 04/17/06 Kline's Bookeeping & Tax Service, 80.00 2004 & 2005 tax returns 10/18/06 Postage for materials sent to Suzanne 17.50 Clemens, Germany Total ieneral disbursements of ($139.598.53) $ 20,875.23 principal: Executor Fees: Ronald R. Perocchi Paid, 04/25/06 To be disbursed $ 4,000.00 1.000.00 Total Executor Fees: ( $ 5.000.00) $ 15,875.23 Attorney Fees: Duncan & Hartman, P .C. Paid, 11/10/05 Paid 02/14/06 Paid, 04/25/06 To be disbursed $ 3,000.00 2,000.00 3,339.68 1.000.00 Total Attorney Fees: ( $ 9.339.68) $ 6,535.55 Filing Fees - Held in Reserve: Register of Wills $ 250.00 Filing & Postage Fees 50.00 ( $ 300.00) $ 6,235.55 Proposed Schedule of Distribution: Manor Care Neighbor Care Quest Diagnostics - Family Practice Assoc. AT&T Bank of America, N.A. Total proposed distributions to creditors: Statement of Proposed Distribution to Heirs Total of All Disbunements: 5,213.58 760.27 261.70 00.00 00.00 NONE Will Attached Estate Insolvent no funds for Bequests ($ 6.235.55) 5160.473.76 Explanatory Notes: 1. Attorney's Fees ($9,339.68) were determined by a percentage of the total taxable assets. 2. Executor's Fees ($5,000.00) were set out in the Will dated April 8, 2005. 3. Amounts shown for Medical Care providers are paid at the rate of 96.6 % of the actual bills due to a shortfall in available assets for such payments. Two creditors, Palisades Collection LLC (for AT&T Wireless - Claim # 0032680603 - with claim of $ 1,648.99) and Weltman, Weinberg & Reis Co., L.P.A. (for Bank of America, N.A. - Estate Claim # 4390049 with claim of $ 2,886.17) are not listed for payment as Pennsylvania Estate and Fiduciary Code gives priority to medical billings. Therefore no payment to AT&T or Bank of America, N.A. is proposed due to insolvency of Estate after payment of obligations with higher priority. 4. No funds are available for distribution to heirs named in the Will due to insolvency. COMMONWEALTH OF PENNSYLVANIA : SS COUNTY OF CUMBERLAND RONALD R. PEROCCHI, Executor under the Last Will and Testament of GLENWOOD BROWN a/k/a GLENWOOD BROWN, SR., deceased, hereby declares under oath that he has fully and faithfully discharged the duties of his office; that the foregoing First and Final Account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to his knowledge, there are no claims now outstanding against the Estate; and that all taxes presently due from the estate have been paid. CP~6l.j/~ c{KC RONALD R. PEROCCHI Executor Subscribed and sworn to by RONALD R. PEROCCHI before me this I '1 day of January, 2007 . ~ d ~kN\ANltHt- o Public I NOTARIAL SEAL I Kathy L. Mummert, Notary Public i PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, VIZ: June 17, 24, July 1, 2005 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. Brown, Glenwood, a/k/a Glenwood Brown, Sr., dec'd. Late of North Middleton Town- ship. Executor: Ronald R. Perocchi, c/o Duncan & Hartman, P.C., One Irvine Row, Carlisle. PA 17013. Attorney: W1l1iam. A. Duncan, Esquire. - TO AND SUBSCRIBED before me this 1 day of Julv. 2005 NOTARI SEAL LOIS E. SNYDER. Notary Public Carlslt Bofo. Cumberland Couftly My Commission Expires March 5, 2009 PROOF OF PUBLICATION State of Pennsylvania, County of Cumberland Tammy Shoemaker, Classified Advertising Manager, of The Sentinel, of the County and State aforesaid, being duly sworn, deposes and says that THE SENTINEL, a newspaper of general circulation in the Borough of Carlisle, County and State aforesaid, was established December 13th, 1881, since which date THE SENTINEL has been regularly issued in said County, and that the printed notice or publication attached hereto is exactly the same as was printed and published in the regular editions and issues of THE SENTINEL on the following day(s) Tune 08, 15, 22,2005. COPY OF NOTICE OF PUBLICATION Affiant further deposes that he/ she is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statement as to time, place and character of ::J;;;;;~ Sworn to and subscribed before me this 22nd. day of June, 2005. C~iv ;f. ~ Notary P 'c My commission expires: 9f /d COMMONWEALTH OF PENNSYLVANIA Notarial Seal Christina L. Wdfe, Notary Public Carlisle 8010, Cumberland County My Commission Expires Sepl1, 2008 Member, Pennsylvania Association Of Notaries . Register of Wills of Cumberland County PETmON FOR PROBATE and GRANT OFJ-ETTERS Estate of Glenwood Brown No. 21 - 05 - 0 t..llD ) also known as Glenwood Brown, Sr. To: Register of Wills for the County of Cumberland in the Commonwealth of Pennsylvania . Deceased. Social Security No. 176-32-5318 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, and the execut~ named in the last will of the above decedent, dated April 8 , 20 05 and codicil(s) dated nfa (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland Pennsylvania, with h~last family or principal residence at 2122 Douglas Drive, Carlisle, Pennsylvania 17013 (North Middleton Township) (list street, number and municipality) County, Decedent, then ~ years of age, died May 18 . 20~, at Manor Care Health Services, Carlisle, pl. Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: nla Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (Ifnot domiciled in Pa.) Personal property in Pennsylvania (Ifnot domiciled in Pa) Personal property in County Value of real estate in Pennsylvania situated as follows: 2122 Doualas Drive North Middleton Townshic. Carlisle. Pennsvlvania $ 50,000.00 $ $ $ 100.000.00 WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant ofletters Testamentary thereon. Signature(s) ofPetitioner(s) (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) 6l~ /1 ~'Residence(s) ofPetitioner(s) Ronald R. Perocchi 2118 Douglas Drive, Carlisle, PA 17013 r-......;} (,':~:} ,~:..J ~ ~d ::j~C) '!.~._. f-'''+- ,:';j ~}] :;'.:~--:;.' ......;.;;;:1' -.,,:,': r.::. ;'..; : :.~ ..1:. . Register of Wills of Cumberland County OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA } SS: COUNTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief ofpetitioner(s) and that as personal representative(s) of the above decedent petitioner( s) will well and truly administer the estate according to law. ~~K../~- Sworn to or affirmed and subscribed Before me this day of { .20 tI.l t' I ~ Register No. 21-05- 0 Y-<o ~ Estate of Glenwood Brown, alkla GlenWOlll. Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW 2005 , in consideration of the petition on the reverse side hereof. satisfactory proof having been presented before me, IT IS DECREED that the instrument(s), dated April 8, 2005 . described therein be admitted to probate filed of record as the last will of Glenwood Brown, Sr. ; and Letters are hereby granted to Ronald R. Perocchi Register of Wills FEES Probate, Letters, Etc. ............. $ Will................................. $ $ $ $ $ $ $ William A. Duncan, Esquire (22080) Attorney (Sup. Ct. 1.0. No.) One Irvine Row Carlisle, PA 17013 Address :~':? :J :.:::",; ;~~J ;i~ Renunciation.... ... . ...... ... .. . .. . Short Certificates ( ). .. . .. . .. . . . JCP.................................. Automation Fee............ ....... Bond............... .... .......... .... Total (717) 249-7780 ',~' .e' .c."."...} <".~""'I ; i . r""_ Filed 20_ Phone 'r"~ -"-f .... . Register of Wills of Cumberland County Estate of Glenwood Brown OATH OF SUBSCRIBING WITNESS No. 21-05- 0 ~ ~ ~ Al 1m Glenwood Brown, Sr. so own as , Deceased Shelby J. Martin and Ruby S. Martin (each) a subscribing witness to the wilVcodicil presented herewith, (each) being duly qualified according to law, depose{s) and say(s) that they were present and saw Glenwood Brown, aIkla Glenwood Brown, Sr. . the testat~ sign the same and that Shelby J. Martin and Ruby S. Martin signed as a witness at the request of the testator presence and (in the presence of each other) (in the presence of the other subscribing witness(es). Sworn to or affirmed and subscribed Before me this day of ,20_ ~J/ll~/< (Name) IJ Shelby J. Ma 105 Elk Drive, Carlisle, PA 17013 (Address) Register ~-..8 ~~ (Name) Ruby S. Martin 162 Mohawk Road, Newville, PA 17241 (Address) Deputy in h their -4--" ~_D~ .~ PA DEPARlMENTOF REVENUE ~ ESTATE INFORMATION SHEET DECEDENT INFORMATION: Enter data .. It will ....... on III documents IUbmItt8d to the depertment. N8me (LMl) (FnI) (MIddle) Brown, Sr. Glenwood 0IlcelMnI'. SocleI Securlly Number D8Ie 01 Blrlh 176 32 5318 09-23-1922 TYPE FILING: Enter check (...) nwk to indicate the nature of the return to be fled with the ............ I ~ProIIale Return OJolnt Aueta Only OEslllle TlIX Only OUlig8llon PurpcIu8 (No OIlIer A888III) I Enter check (...) made to IncIIc8Ie the nature 01 the pl"OCHCIlnga lit the RegIster of Willi LETTERS GRANTED: 0ttIce. (Attah ecIdItIorNII ....... If explllnlltlon Is ~.) I ~T_tary OAdmillilllnlllon ONo I.elIenI OOlher (PIHM ExpI8in) ATTORNEY/CORRESPONDENT Enter .. data concerning the ettomey or other Indlvlduel to receive 811 INFORMATION: tax Information Md co.....pondence. N_ (1.Ml) (FnI) (MIddle) ISuprwM ClluIt I.D. I Duncan, William A. 22080 SlnIeI Addt.- One Irvine Row CIIy SI8Ie ZIp Code rlll8phone Number Carlisle, PA 17013 (717) 249-7780 PERSONAL REPRESENTATIVE Enter II data concerning the penonal repreeentlltlvea) 01 the eatIIte INFORMATION: lIUthorlzed br the RegIsler of Willa. executor/Administrator NMl8 (I.Ml) (FnI) (MIdcIe) I SocleI SecurIly Number Perocchi, Ronald R. 266 90 4409 SlnIeI AddreD 2118 Douglas Drive Qty Slate ZIp Code ITelephone Number Carlisle, PA 17013 (717) 249-1925 eo.Executor/Admlnlstrator NMl8 (L8Il) (R'" (Middle) SocleI 8ecurtty Number ~ Add-. CIty Slate ZIp Code C) TIII8phone ~ ~.":~:'! Co-Executor/Admlnlstrator N8me (LMt) (R1'Il) (Middle) Street Add-. Qty SlaIe ZIp Code I Prepeted By IDMe -. Register of Wills of Cumberland County CERTIFCATION OF NOTICE UNDER RULE S.6lA) Name of Decedent: GLENWOOD BROWN, alk/a GLENWOOD BROWN, SR. Date of Death: May 18, 2005 Estate No.: 21-05-0468 To the Register: I certify that notice of (beneficial interest) estate administntioD required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on June 29, 2005 Name Address Susanne Clemens Haupt Strasse 50, 56379 Singhofen, Germany Glenwood Brown, Jr. 417 Union Street, Columbia, PA 17512 Chris Junior Brown clo Laura Lawrence, 1113 4th Avenue, Apt. 305,New Kensington,PA 15068 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except None Du t June 28, 2005 a e: William A. Duncan, Esquire Name One Irvine Row Carlisle, PA 17013 Address (717) 249-7780 Telephone Capacity: 0 Personal Representative [8] Counsel for personal representative CERTIFICATION OF NOTICE UNDER RULE 5.6 (e) Name of Decedent: GLENWOOD BROWN, a/k/a GLENWOOD BROWN, SR. Date of Death: May 18, 2005 Will No.: 21-05-0468 To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on: August 16,2005. Name Chris Junior Brown Address c/o Laura Lawrence 1109 Fifth Avenue, #303, New Kensington, PA 15068 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: None. Date:Gll~' a\ ~ ..------.. William A. Duncan, Esquire One Irvine Row Carlisle, Pennsylvania 17013 Telephone (717) 249-7780 Capacity:_ Personal Representative l Counsel for Personal Representative u. c' In CD ~:~ .. en ..~,- .:ii-C CJ. ~{~/ c:;;::;:;t ",""J LAST WILL AND TEST AMENT OF GLENWOOD BROWN, Sr. I, Glenwood Brown, Sr., of Cumberland County, Pennsylvania, being oJ sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretofore made by me. FIRST I direct the payment of my debts and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. Further, in this connection, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. SECOND I give to my daughter Susanne Clemens, Haupt Strasse 50, 56379 Singhofen, Germany, telephone 011-49-2604-954335, a Diamond Ring Set. My Executor shall set aside for my Son, Glenwood Brown, Jr., SSN 165-64-3017, A sum of $5,000 to be distributed as the Executor sees fit once my Son, Glenwood Brown, Jr. has been drug free for 3 years. The balance of my entire estate, real, personal or mixed, wherever situate, I give, devise~ an. uZ::~"a 1O~% 0 to.~. dson, Chris:?" J 'or Brown, ~SN 180- ?!-7508, born .~~ ~~~__ ~ ~/ O~;j I. .' .~~-....-- . (J . l.... . . .. , November 21, 1998. My Trustee shall hold the property for my grandson until he reaches the age of Twenty-one (21) years. In order to receive any funds, my grandson must submit to random drug tests and be free of drugs for a period ofthree years. Ifhe does this, my Executor, in his sole discretion, may distribute some or all of the property in his trust, provided that all the property be distributed within three years. This money is not be used for the health, education, maintenance and support of my Grandson, Chris Junior Brown. In the event that my grandson dies or fails to remain free of drugs, for the relevant time frame, at the time he attains the ago of35, his trust shall be divided equally between my son, Glenwood Brown, Jr., and my daughter Susanne Clemens. My son has to be drug free for 3 consecutive years. Random drug testing will be done at my Executor's discretion. THIRD I appoint, Ronald R. Perocchi, 2118 Douglas Drive, Carlisle, PA 17013, as my Executor. I appoint Raymond Kosciolek of 501 Mountain Rd., Marysville, PA. as the Alternate Executor. The Executor Fee shall be the amount offive thousand dollars ($5000). FOURTH In addition to the powers conferred by law, I authorize my Executor, in his Absolute discretion: A. To~ yth.e form~rjvyd, and to s91 either at pubJi9 orfDvate sale //YP+~~.z~~~ 4< ~/~. any real or personal property. B. To purchase Government Savings Bonds for Chris Junior Brown. C. To exercise any option or rights arising from ownership of investments. D. To compromise claims without court approval, and without the consent of any beneficiary. FIFTH I have served in the Armed Forces ofthe United States. I therefore request that My Executor make appropriate inquiries to ascertain whether there are any benefits to which I, my dependents or my heirs maybe entitled by virtue of any military affiliation. I specifically request that my Executor consult with a retired affairs officer at the nearest Military installation, the Department of Veterans Affairs, and the Social Security Administration. IN WITNESS WHEREOF, I GLENWOOD BROWN SR., sign my name and on. c day publish and declare this instrument as my last will and testament this of Itfri / , 2005. I also have affixed my signature on the bottom of each of the preceding pages hereof. ~~'4 .. GLENWOOD BROWN ~R. - The foregoing instrument was signed, published and declared by GLENWOOD BROWN SR., the above-named Testator, to be his last will and testament in our presence, all being present at the same time, and we, at his request and in his presence of each other, have subscribed our names as witnesses on the date above written. ~ J/!1ad:, '~/66- f having an address at 10,') cD ff)~~A-I?d& .~ (}~" zi ~ .: ~'~;1 JZ7 ///41. .;, ~. '." I' " ,- (5'/' /).<:: ,/ "'-'....../ ,/ having an address at //'n %f ~ ~ ~'I / ~ . "". /'/-c iJ~;' 1\ /J. 1J~~ L1.f /~!t p~ 1/;) II , . ACKNOWLEDGMENT AND AFFIDA VIT COMMONWEALTH OF PENNSYLVANIA, COUNTY OF CUMBERLAND, ss. I, GLENWOOD BROWN SR., the Testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testator, GLENWOOD BROWN SR., signed and executed said instrument as his last will and testament in the presence and hearing of the witnesses, and that he had signed willingly, and that he executed it as his free and voluntary act and deed for the purposes therein expressed, and that each of the witnesses at the request ofthe Testator, in the presence and hearing ofthe Testator and each other, signed the will as witness, and that to the best ofhis or her knowledge, the Testator was at the time at least eighteen years of age, of sound mind and under no constraint, duress, fraud or undue influence. GLENWOOD BROWN SR. Testator Witness Witness Subscribed, sworn to and acknowledged before me by the said GLENWOOD BROWN SR., Testator, and subscn"bed and sworn to before me the above-named witnesses, this day of ,2005. Notary Public My commission expires on COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 2B060 1 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT PEROCCHI RONALD R 2118 DOUGLAS DRIVE CARLlSE, PA 17013 -------- fold ESTATE INFORMATION: SSN: 176-32-5318 FILE NUMBER: 2105-0468 DECEDENT NAME: BROWN GLENWOOD DATE OF PAYMENT: 02/14/2006 POSTMARK DATE: 02/14/2006 COUNTY: CUMBERLAND DATE OF DEATH: 05/18/2005 NO. CD 006323 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $1,514.32 I I I I I I I I TOTAL AMOUNT PAID: $1,514.32 REMARKS: RONALD R PEROCCHI CHECK#1018 SEAL INITIALS: CM RECEIVED BY: TAXPAYER GLENDA FARNER STRASBAUGH REGISTER OF WILLS