HomeMy WebLinkAbout02-12-07
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15[]5b[]41147
EX (06-05)
PA Department of Revenue
Bureau of Individual Taxes ~
PO BOX.280601 ~
Harrisburg, PA 17128-0601
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death
REV-1500
OFFICIAL USE ONLY
County Code
INHERITANCE TAX RETURN 21
RESIDENT DECEDENT
Year
File Number
06
0279
Date of Birth
177160070
02192006
04041914
Decedent's Last Name
Suffix
Decedent's First Name
ARTHUR
MI
H
GOODHART
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name
Suffix
Spouse's First Name
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
X 1. Original Return
2. Supplemental Return
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
4. Limited Estate
4a. Future Interest Compromise
(date of death after 12-12-82)
x
6. Decedent Died Testate
(Attach Copy of Will)
7 Decedent Maintained a Living Trust
. (Attach Copy of Trust)
o
8. Total Number of Safe Deposit Boxes
9. Litigation Proceeds Received
10 Spousal Poverty Credit (date of death
. between 12-31-91 and 'f-1-95)
11.Election to tax under Sec. 9113(A)
(Attach Sch. 0)
~ORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
ame Daytime Telephone Number
JOHN B. FOWLER III 7172433341
Firm Name (If Applicable)
MARTSON DEARDORFF WILLIAMS &
REGISTER OF WILLS USE ONLY
First line of address
.-)
10 EAST HIGH STREET
-,
Second line of address
i0
City or Post Office
CARLISLE
State
PA
ZIP Code
17013
DATcE FILED
,'J
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1 I I
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Correspondent's e-mail address:
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements. and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIG URE OF PER 0 ESP SIBLE FO FILING RETURN DATE
1.. Gerald Goodhart, et al
419 West Penn Street, Carlisle, PA 17013
SIGN E OF ~EPAR:R OT~ZSEN:~VE
DATE
John B. Fowler III
J
East High Street, Carlisle, PA 17013
Side 1
L
15[]5b[]41147
15[]5b[]41147
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--l
15056042148
REV-1500 EX
Decedent's Name: Arth u r H. GOODHART
Decedent's Social Security Number
177160070
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.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E~.............. 5.
1,392.00
6. Jointly Owned Property (Schedule F) Separate Billing Requested............. 6.
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) X' Separate Billing Requested............. 7.
9. Funeral Expenses & Administrative Costs (Schedule H)...................................... 9.
175,209.94
176,601.94
16,438.35
8. Total Gross Assets (total Lines 1-7)................................................................... 8.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)............................... 10.
12. Net Value of Estate (Line 8 minus Line 11 ~............................._............................ 12.
13. Charitable and Governmental Bequests/See 9113 Trusts for which
an election to tax has not been made (Schedule J).............................................. 13.
16,438.35
160,163.59
11. Total Deductions (total Lines 9 & 1 O~................................................................. 11.
14. Net Value Subject to Tax(Line 12 minus Line 13~.............................................. 14.
160,163.59
TAX COMPUTATION. SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, of
transfers under Sec. 9116
(a)(1.2) X .00
16. Amount of Line 14 taxable
at lineal rate X .045
17. Amount of Line 14 taxable
at sibling rate X .12
18. Amount of Line 14 taxable
at collateral rate X .15
o . 0 0
o .00
15.
16. 7,207.36
o .00
17.
o .00
18.
19. 7 , 207 .36
0.00
160,163.59
o . 0 0
19. Tax Due......................................................... ......................................................
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
D
Side 2
L
15056042148
15056042148
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REV-1500 EX Page 3
Decedent's Complete Address:
DECEDENT'S NAME
Arthur H. GOODHART
--------
-..-----------
STREET ADDRESS
2604 Walnut Bottom Road
File Number 21-06-0279
CITY
STATE
ZIP
Carlisle
PA
17013
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
(1 )
7,207.36
6,701.80
0.00
3. Interest/Penalty if applicable
D. Interest
E. Penalty
Total Credits (A + B + C)
(2)
6,701.80
Total Interest/Penalty (0 + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is thEOVERPAYMENT.
Check box on Page 1 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is theBALANCE DUE
(3)
(4)
(5) 505.56
(SA)
(5B) 505.56
Make Check Payable to: REGISTER OF WILLS, AGENT
~I'I.
PLEASE ANSWER THE FOllOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE 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;................................ x
c. retain a reversionary interest; or............................................................................................................ x
d. receive the promise for life of either payments, benefits or care?........................................................... x
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?..................... ........................................................................................... x
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. 99116 (a) (1.1) (i)].
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. 99116 (a) (1.1) (Ii)]. The statutedoes not exemota transfer to a surviving spouse from tax, and the statutory requirements
for disclosure of assets and filing a tax return are still applicable even if 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 child twenty-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. 99116 (a) (1.2)].
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. 99116 1.2) [72 P.S. 99116 (a) (1 )].
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. 99116 (a) (1.3)]. A
sibling 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+ (6-98)
*'
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
GOODHART, Arthur H.
FILE NUMBER
21-06-0279
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM
NUMBER DESCRIPTION
VALUE AT DATE
OF DEATH
1 Cash in possession
500.00
2 Coin collection, appraised value
892.00
TOTAL (Also enter on Line 5, Recapitulation)
1,392.00
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule E (Rev. 6-98)
Re\l.1510 EX+ (6-98)
*'
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
GOODHART, Arthur H.
FILE NUMBER
21-06-0279
This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE
NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE.
1 Allstate Life Insurance Co., Annuity contract no. 175,209.94 100.000 175.209.94
GA0829728; Beneficiaries: Violet Newcomer,
daughter, 17%; Carol Kerr, daughter, 17%; Joy
Sherman, daughter, 17%; Arthur Goodhart, son,
17%; Gerald Goodhart, son, 17%; Arthur E.
Smith, Jr., grandson, 5%; Christine Ann Smith,
granddaughter, 5%; Kimberly Sue Smith,
granddaughter, 5%. See attached Allstate
statement of value.
TOTAL (Also enter on Line 7, Recapitulation) 175.209.94
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule G (Rev. 6-98)
Life and Annuity Claims
P.o. Box 94212
Palatine,IL 60094-4212
~
Allsfafe~
You're in good hands.
April 12, 2006
Ronald E. Johnson
Andrews & Johnson Attorneys at Law
78 West Pomfret Street
Carlisle PAl 7013
Re:
Administrator for:
Contract No:
Arthur H. Goodhart
Allstate Life Insurance Company
GA0839728
Dear Mr. Johnson:
We have been requested to complete Internal Revenue Service (IRS) Form 712 with regard to the
referenced contract.
The purpose of Form 712 is to provide an estate or donor with the value of a life insurance contract or
with its proceeds as of certain date (usually the owner's date of death or date of transfer of the contract).
The contract referenced was an annuity contract, which is not reportable on IRS form 712.
The following information is provided regarding the value of the annuity and other data as of the date
specified:
Date of Death: February 19, 2006
Annuity Value* as of Date of Death: $ 175,209.94
Cost Basis: $ 164,738.98
Named Beneficiary: Arthur F. Goodhart, Joy K. Sherman, E. Carol Kerr, Gerald
J. Goodhart, Violet G. Newcomer, Christine Ann Smith, Arthur E. Smith,& Kimberly Sue Smith
*The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender
Charges.
If you have any questions, or need further assistance, please contact the Customer Care Unit at 1-877-499-
6418.
Sincerely,
Bobbi Jo Seveska
Life and Annuity Claims
Overnight Address: 544 Lakeview Parkway, Vernon Hills, IL 60061
Toll Free Fax: 1-866-635-4523
~k~
C ~J
RE:V.1151 EX+ (12-99)
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
GOODHART, Arthur H.
FILE NUMBER
21-06-0279
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A. FUNERAL EXPENSES:
DESCRIPTION
AMOUNT
See continuation schedule(s) attached
9,997.35
1.
ADMINISTRATIVE COSTS:
Personal Representative's Commissions
B.
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City
Year(s} Commission paid
State Zip
2.
Attorney's Fees
See continuation schedule(s) attached
5,695.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
Probate Fees
Cumberland County Register of Wills
209.00
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
Other Administrative Costs
See continuation schedule(s) attached
537.00
TOTAL (Also enter on line 9, Recapitulation)
16,438.35
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H (Rev. 6-98)
Rev.1502 EX+ (6.98)
*'
SCHEDULE H-A
FUNERAL EXPENSES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
GOODHART, Arthur H.
FILE NUMBER
21-06-0279
ITEM
NUMBER DESCRIPTION
1 Hoffman-Roth Funeral Home, Carlisle, PA
AMOUNT
9.997.35
Subtotal
9.997.35
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-A (Rev. 6-98)
Rev-1502 EX+ (6-98)
.*
SCHEDULE H-B2
ATTORNEY'S FEES
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
GOODHART, Arthur H.
FILE NUMBER
21-06-0279
ITEM
NUMBER DESCRIPTION
1 Martson Deardorff Williams & Otto (estimated)
AMOUNT
5.695.00
Subtotal
5.695.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B2 (Rev. 6-98)
Rev-1502 EX+ (6-98)
*'
SCHEDULE H-B7
OTHER
ADMINISTRATIVE COSTS
continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
GOODHART, Arthur H.
FILE NUMBER
21-06-0279
ITEM
NUMBER DESCRIPTION
AMOUNT
1 Paul M. Bouder, appraisal fee, coin collection
20.00
2
Register of Wills, copies
2.00
3
Register of Wills, filing fee, Inheritance Tax return
15.00
4
Ronald E. Johnson, account payable, attorneys' fees
500.00
Subtotal
537.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule H-B7 (Rev. 6-98)
REV.1513 EX+ (9-00)
ESTATE OF
NUMBER
I.
1
2
3
4
5
*'
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
GOODHART, Arthur H.
FILE NUMBER
21-06-0279
SHARE OF ESTATE AMOUNT OF ESTATE
(Words) ($$$)
NAME AND ADDRESS OF
PERSON(S) RECEIVING PROPERTY
TAXABLE DISTRIBUTIONS [include outright spousal
aistributions, and transfers
under Sec. 9116(a)(1.2)]
RELATIONSHIP TO
DECEDENT
Do Not List Trustee(s)
Arthur Goodhart
2604 Walnut Bottom Road
Carlisle, PA 17013
Son
Sch. G, line 1,
17%
29,785.69
Gerald Goodhart
419 West Penn Street
Carlisle, PA 17013
Son
Sch. G, line 1,
17%
29,785.69
Carol Kerr
415 North College Street
Carlisle, PA 17013
Daughter
Sch. G, line 1,
17%
29,785.69
Violet Newcomer
861 East Louther Street
Carlisle, PA 17013
Daughter
Sch. G, line 1,
17%
29,785.69
Joy Sherman
404 North College Street
Carlisle, PA 17013
Daughter
Sch. G, line 1,
17%
29,785.69
See continuation schedule attached Continuation 26,281.50
Total 175,209.95
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
0.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-1500 Schedule J (Rev. 6-98)
SCHEDULE J
BENEFICIARIES
(Part I, Taxable Distributions)
ESTATE OF:
Arthur H. GOODHART 177 -16-0070 02/19/2006
Item Name and Address of Person(s) Share of Estate Amount of Estate
Number Receiving Property Relationship (Words) ($$$)
6 Arthur E. Smith Jr. Grandson Sch. G, line 1, 5% 8,760.50
1912 Clearfield Road
Shippensburg, PA 17257
7 Christine Ann Smith Granddaughter Sch. G, line 1, 5% 8,760.50
930 Gobin Street
Carlisle, PA 17013
8 Kimberly Sue Smith Granddaughter Sch. G, line 1, 5% 8,760.50
930 Gobin Street
Carlisle, PA 17013
Total 26,281.50
* See Attached
1
Attachment to Schedule J
Expenses in excess of Schedule E assets were paid from Schedule G assets received by
Beneficiaries 1-5 listed on Schedule J.
~
LAST WILL AND TESTAMENT
OF
ARTHUR H. GOODHART
I, ARTHUR H. GOODHART, of West Pennsboro Township, Cumberland County,
Pennsylvania, being of 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 that all my just debts and funeral expenses (not previously
paid for by me prior to my death), including my gravt: marker, if any, shaH be paid from the
assets of my estate as soon as practicable after my decease.
SECOND: I give and bequeath the sum of Five Thousand Dollars ($5,000.00)
to the Dickinson Presbyterian Church of Cummingstown, Pennsylvania, said sum to be restricted
and used for maintenance of the cemetary.
THIRD: Should my Wife, MARIE C. GOODHART, survive me, she will
receive by operation of law our jointly-owned home at 2829 Ritner Highway, Carlisle,
Cumberland County, Pennsylvania. I direct that one-half of the value of this home should be
included as an asset distributed to my Wife, MARIE C. GOODHART, in determining any share
of my estate to which she might otherwise be entitled by law.
FOURTH: Should my Wife, MARIE C. GOODHART, predecease me, I
direct my hereinafter named Executors to sell my home at 2829 Ritner Highway, Carlisle,
Cumberland County, Pennsylvania, either at public or private sale as they deem appropriate. I
give. devise and beqll~ath DDe-half of the l1et proceeds from th~ sa!e of!11)' home at 2829 Ritner
Highway, equally, to my children, who survive me, namely, WAYNE JACKSON and LARRY
JACKSON, and one-half of the net proceeds from the sale of my home as aforesaid, equally to
the children of my Husband, ARTHUR H. GOODHART, who survive me, namely, VIOLET
NEWCOMER, CAROL KERR, JOY SHERMAN, ARTHUR GOODHART, JR.,
GERALD GOODHART and PA'FRICIA \YIIALEN.
FIFTH: Should my Wife, MARIE C. GOODHART, survive me, I give
and bequeath to her all furnishings and household effects in my home at 2829 Ritner Highway,
Carlisle, Cumberland County, Pennsylvania, and my 1994 Mercury Villager, or any other
automobile which may replace that vehicle or which she may then be using, together with any
policies of insurance thereon. Should my Wife, MARIE C. GOODHART, predecease me,
then the items specifically bequeathed to her in this Item Fifth of my Last Will and Testament
shall be sold and the proceeds thereof distributed in accordance with the residuary clause of this
my Last Will and Testament.
SIXTH: I direct that any and all other vehicles which I may own at the time
of my death not specifically provided for in Item Fifth above, including any automobiles or
trucks, and all tools and saws, shall be sold by my hereinafter named Executors, either at public
or private sale as they deem appropriate. I give and bequeath the net proceeds from the sale of
all of these items to the following named beneficiaries who survive me: MARIE C.
GOODHART, VIOLET NEWCOMER, CAROL KERR, JOY SHERMAN, ARTHUR
GOODHART, JR., GERALD GOODHART, and PATRICIA WHALEN.
SEVENTH: I give, devise and bequeath the residue of my estate, of every
nature and wherever situate, to my Children, equally, namely, VIOLET NEWCOMER,
CAROL KERR, JOY SHERMAN, ARTHUR GOODHART, JR., GERALD GOODHART,
and P7\ TRILL~'''HAtisN. Should any of my children named above, except Patricia Whalen,
predecease their share shall be distributed to their issue, per stil'pes, living at the time of my
death, and in default of such then-living issue, such share shall be added to the share or shares for
my other children. Should PATRICIA WHALEN predecease me, her share shall lapse and
such share shall be added to the share or shares for my other children.
EIGHTH: I direct that all taxes that may be assessed in consequence of my
death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary
estate as a part of the expense of the administration of my estate.
NINTH: I nominate, constitute and appoint my Children, VIOLET
NEWCOMER, CAROL KERR, JOY SHERMAN, ARTHUR GOODHART, JR., and
GERALD GOODHART, or the survivors of them, Executors of this my Last Will and
Testament.
TENTH: I direct my Executors and their successors shall not be required to
give bond for the faithful performance of their duties in this or any other jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will
and J,ptament, consisting of two (2) typewritten pages, each identified by my signature, this
/ ---- day of July, 1998.
~EAL)
Arthur H. oodhart
Signed, sealed, published and declared by the above-named Testator, ARTHUR H.
GOODHART, as and for his Last Will and Testament, in the presence of us, who, at his request,
in his sight and presence, and in the sight and presence of each oth have hereunto subscribed
our names as witnesses.
COMMONWEAL TH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
I, ARTHUR H. GOODHART, Testator, whose name is signed to the attached or
foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I
signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and
that I signed it as my free and voluntary act for the purposes therein expressed.
Sworn o~ affirmed to and acknowledged before me by ARTHUR H. GOODHART, the
Testator, this ---L- day of July, 1998.
~vfk,~AL)
Arth:.lf H. Goodh~rt, Testat
Ntl'fAflIAL SEAL
SHEllY D. SEXTON. NOTARY PUBLIC
CARLISLE BORD, CUMBERLAND COUNTY
MY COMMISSION EXPIRES APRIL 26, 1999 l
i M~fTih,:~ Pef1[1~y~aJ1i~.Assoc~~ion.:.f.~I:Jt~r.~:..!
AFFIDA VIT
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We, RONALD E. JOHNSON and ---rPr'-{ L"\<. ? A~EWS , the witnesses
whose names are signed to the attached or foregoing instrument, being duly qualified according
to law, do depose and say that we were present and saw Testator sign and execute the instrument
as his Last Will and Testament; that ARTHUR H. GOODHART signed willingly and that he
executed it as his free and voluntary act for the purpose therein expressed; that each of us in the
hearing and sight of the Testator signed the Will as witnesses; and that to the best of our
knowledge the Testator was at that time 18 or more years of age, of sound mind and under no
constraint or undue influence.
Sworn or affirmed t~ and subscribed to befol'e me by RONALD E. JOHNSON and
~"u>R ?&~~ witnesses, this \ day of July, 1998.
. . "'-_~__, '.~.,.'... '~>:':_',' ,:~~""'_!"'_#'~I'O._~
tJOT',fi';. :;F .\1
SHEllY D SF::; ~;;~ :.,'.: ."Mr Pl::kiC
CARLISLE B;~"';J ". '_I"c"i'i{L~i~D \~OUr~TY
MY COMM!S'~;;1.. ;. /~', ;~<; ,\PHIl. i'(i, 1999
Mr.mber, FCi:r,:;';:~~:i',i'} t ':','~c!:\tinll 01 Nolades
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