HomeMy WebLinkAbout94-00504
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No. 21-94- 504
eltate of Paul D. Olark, sr., Deoe.led
DECREE OF PROBATE AND GRAm OF LETTERS
AND NOW JUNE 7. , 1994, in conBideration of
the petition on the reverse Bide herecf, satisfactory proof ha'ving been
p~e.ented before me,
IT IS, DECREED that the inetrument dated March 26, 1992, deecribed therein be
edmitted to probate and filed of record as the last will of Paul D. Clark,
Sr., and Lettere Testamentary granted to Paul P. Clark, Jr., colleen Black and
Nancy Gibb.
FEES
Probate, Letters, Et,c.
Short Certificate(s)
. .
Renunciation
X-Page'
JCP
, , , , , , , ,$
Filed. .
'$
TOTAL $
yU~E.7, 19~4.-:-.
.$ 40.00
6.00
. $
3.00
5.00
54.00
,
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Called attorney on 6-7-94;
Wayne F. Shade, Eequire 15712
ATTORNEY (Sup. ct. I.D. No.)
5 South Hanover Street
Carlisle, Pennsylvania 17013
ADDRESS
717-243-0220
PHONE
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iiustlg I hereby appoint PAUL D. CLARK. JR. I COLLEEN BLACK I AND
NANCY GIBB
execut ora of this, my last Will and Testament, with full power and authority to sell
and convey, lease or mortgage real estate, hereby revoking allfortner wills by me made.
lu lIitUtl1l1114tttnf I have hereunto subscribed my name the
lJ. ~ day of 'fJ~I..U:vZ. in the year Ni"eteen Hundred and 9 J
} ((' .~ g'l !
J1./ I ,.,.' /1/ ()
J ,1.1.<"" _ II)' L' ,'U. hl(l L.S.
We, whose names are hereunto subscribed, mU C!!ertifn tltat on tlte
day of ,Qt c/~kc,~\ 19 ti:{
the testat above nmned, sttbscribed name to tltis instrument ill our pres-
ence alld ill tile presellce of eaell of us, alld at tile same time, ill ollr presellce and
hearillg, declared tile same to be last IItIt uub ilJrl1tlUUtllt. and reqllested us,
alld each of tIS, to sigtl ollr lIames tllereto as witllesses to tile exectttioll tllereof, wlliclt
we Ilereby do in tile presellce of tile testat and of eacll otller, Oil tile day of tile
~l ~II: "jd Will, "';,wri" oppo,;" 0/" 'o~" our';f:p"'iU' Pi,,,,' ~I r"id:~'~, .
I '<"<I-'.",t .,.~-<-,"-'--/ mldl",.,..1LLJ .(,(It",'bl"j//AI (lJl.d(Ahl.
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'}o:V'1')' ,tale requlr.. a' 1..\ two wUn..". f'ofn, requ!,.. thr".
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IV'I~47 EX AFP (08-94_
COMMONWEAL HI Of PEHHSVlVAH'.
D"A'THENT OF 'EV'IM NOTICE DF INHERITANCE TAX
lURE AU Of INDIVIDUAl TAXES APPRAISEHENT, ALLOWANCE OR DISALLOWANCE
D[PI. 210601 OF DEDUCTIONS AND ASSESSHENT OF TAX DATE 12 26 94
""AmU'D. PA 11128'0601 - -
i9TAT~fF"~ARK FILE NO. 21 94~~4
DATI OF DEATH 04-27-94 COUNTY CUMBERLAND
HOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE RECIGTER OF WILLS. HAKE CHECK PAYABLE TO "RECISTER OF WILLS, ACENT"
REMIT PAYMENT Tal
I 11-, V::' " ~
ACN
101
(Y
J/"
WAVNE F SHADE ESQ
5 S HANOVER ST
CARLISLE PA 17013-9746
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.ount Ro.IUod
l
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ..
R! V: iS4? - EX -;. j: ji. ioa-: 94 T. Ni'i'r"i c r -OF - "iNtlEii if Ailc E - i'"AX" ';fP' PRA" i SEM ENl ~-";. i. l"owAiicE - iili - - - - n__ -- - - - -. -.
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CLARK PAUL D FILE NO. 21 94"0504 ACN 101 DATE 12-26"94
TAX RETURN WAS, I X I ACCEPTED AS FILEO
I I CHANCED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1, Ro.l Elt.to (Sohodul. A)
2, Stookl ond Bondi ISohodulo BI
5. Clouly Hold Stook/P.dnorlhlp Intorut (Soh.dull CI
4, Hortg.goI/Not.1 Roo.lv.blo ISohodulo 01
5. C.lh/Bonk DOPolltl/Hllo. Porlon.l Proporty (Sch.dulo EI
6. JointlY Dwnod Proporty (Sohodul. FI
7. Tr.nlf.rl (Schodulo C)
a. Totol A...to
11) ,00
(2) ,00
(5) ,00
(4) ,00
151 5,149.27
(6) ,DO
(7) ,DO
lal 5,149.27
APPROVED DEDUCTIONS AND EXEMPTIONS:
6,234.95
9, Funor.l E.ponuI/Ad., COlh/Hllo. Exponll. ISchodull HI 191
10. DObh/Hortg.go Lllbllitlu/Llon. (Schodulo II 110) .00
11. Tohl Doduotlon. 111)
12. Not V.luo of T.. R.turn 112)
15, Chorlhblo/Covorn.onill B.ouolto (Schodulo J I 115)
14, Not Voluo of E.hto Subj.ct to Tox 114)
NOTEI If an alle..m.nt wa. is.ued previou.1y, line. 14, 15 and/or 16, 17 and 18 will
ref1eot figure. that ino1ud. the total of A1h return. a......d to dat..
ASSESSMENT OF TAX:
15. Alount of Lino 14 .t SpoU1I1 r.to 115)
16. A.ount of Llno 14 to.oblo ot Llnool/CI... A r.to (16)
17. A.ount of Line 14 to..blo ot Coll.tor.l/Cl... Brat. (171
lB. Prlnclp.l T.. Duo
TAX CREDITS:
PAYHENT
DATE
6.?34 g~
1,085.68-
.00
1,085.68-
.00 K' DO,
,00 X .06,
,00 X .15.
IlBI
,DO
.00
,DO
,DO
RECEIPT
NUHBER
DISCOUNT (' I
INTEREST 1- I
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF AODITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN tl, NO PAYHENT IS REQUIRED.
IF TDTAL DUE IS REflECTED AS A "CREDIT" ICRI, YOU HAY BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
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ReSERVATION I Elt,t.. of d.o.denh dYing on or before OeOlllblr 12, 1982 u lf any future lnt.,...t In thl ut." h transferr.d
In Po.....ton 0,. InJov..nt to CII.. I (collltlral) b.n.flol.,.l.. of thl de~ldlnt .ft.r thl IMplratlon of any ..t.tl for
Ilfl or for Vlar., thl Co..onwlalth hlt.by IMPr..,ly rl'lrv.. the right to app,.alll Ind 1'11" tran.flr Inhlrltancl 'fIMI'
at the Ilwful Cia.. I (collateI'll) ration anv .uch futurl Int.rl.t.
PURPOSE Of
NOTICE, '
To fulfUI thl r.qulrnlntt of Stctlon 2140 of the Inhlrltlno. and Eltatl Tax Act, Act 22 of 1991. 72 P.S.
SICUon 2140.
PAVItENT,
Dlteeh thl top portlo~ of thl, Notlc. and .ub,lt wIth your paV'lnt to thl Algl't.r of Will. prlntld cn thl rlVlrl. ,Idl.
'-Nil<. chICk or lIOIl" crdor .".bl. to, REOISTER OF MILLS, AOENT
All pIY..nt. r.celv.d .klll flr.t bl appllld to tny lnt.r..t which "V bl dUI with anv r..alndlr applied to the tax.
REFUND (CRl'
A refund of I tlM or.dlt, which wa. not r.quI.t.d on the Tax Alturn. "V bl rlqu..tld bv toeplltlng an "Application
for R.fund of Plnn.vlvanll Inhlrltanc. Ind E.tat. TaM" (REY-Ill!), ApplicatIon. ar. availabll at the Offlo.
of thl A.,I.t.r of Willi, any of thl 25 R.~.nu. Ol.trlct Off leis. cr by calling the .p.clal Z4"hour
an,,"dng ..r~lcI nu.btrl for for'.. ord.rlngl In Plnn'Ylvanl. 1-800-562-Z050, outside P'MIYlvanl. and
~lthln local H.rrl.burg ar.. (717) 7a7-a094, TOOl (117) 772-2252 (H.arlng I_pairld Onlv),
DlJECTlllHS'
Any Plrtv In tnt.r..t not .Itl'ft.d with thl appr.I....nt, allowanc. or dl..llowancl of d.duotlons, cr a.......nt
of t.M (Including ditccunt or Intlr"l) II .hown on thlt HotlOI lull obJ.ct wlthtn 'hctv (60) day. of r.culpt of
thlt HClUe. bVI
AIlHIN
ISTRATlVE
CIlflRfCTlllHSl
"-wrlthn prot..t to the PA DIPart..nt of A.v.nuI, lo.rd cf APPtllt. OEPT, 281021, Harrisburg, PA 17ue-I021, OR
--llletlon to hevI th. ..tter dltlr.lnld .t audit of thl account of the p.r.onal rtpr...nt.Uv., OR
--app'l! to the Orphans' Court,
Flotull .rrors dlleo~.r.d on this """Itnt should bl eddr.lsld In wrltJng tal PA D.partl.nt of A'Vlnu.,
lurllu of Indlvldull Tlk", ATTNI POlt A..I..ltnt Rlvl.w Unit, DEPT. 280601, 'Ierrl'burg, P. 1712a-0601
Phone (717) 7&7-6505. S.. page 5 of the bookllt "In.truoUonl for Inhlrltancl Tak R.turn for I R.dd.nt
Oleldent" (REY-ISOI) for an Ikplenltlon of &dtlntltratlv.lv corrlctabll '1'1'01'1.
DISCOUNT,
If any t.x due II paid within thr.. (5) e.llndar 'onthl aft.r thl dlced'nt'. dtath, a fivI p'l'clnt lS~1 dlloount of
the tak paid h .11 owed.
Inter..t I. ch.rgld b.gtnnlng with flr.t day of daltnqulncv, or nlna (9) lonth. and ont (11 day fro. the dlt. of
dllth, tn the dlt, of ply..nt. TaM" which b.eHI delinquent blfore January 1, 1982 hler Intlrllt It thl rlitl'of
.IM (6X> ptrclnt plr annul calcul.t.d .t . d.lly rat. of ,000164. All tlk., which bae..a deltnqulnt on and .ftar
January 1, 1982 will bl.r Intlr..t It . ratl whJch will vary frol e.l_ndar Ylar to callndar Yllr wtth'th.t rlt.
.-"noune.d bv thl PA Dlpart..nt of R.v.nuI. Th. epplIcablt lntlr..t r.t... for 1912 throven 1995 arll
INTEREST ,
'!!!r Intlr..t Aat. Dally Intlrl.t Feotor VIII' Inttr..t Rat. O.lly Inhrllt F.otor
--
1911 lOX .000141 1917 9X .000241
1915 16X .000411 1911'1991 l1X .000101
1914 lU .000501 1992 9X .000241
UII IlX .000536 1993-1994 7X .000192
191' lOX .000274 1991 9X ,000217
-~Intlr..t I. ollcul.t.d .. followlI
INTEREST . BALANCE OF TAX UNPAID X NUNSER OF DAYS O~LINqUENT X OAILY INTEREST FACTOR
--Any NoUca l..uld .ftar thl t.M bleoa.. deltnquent wUI rlfl.ct an Int.rllt clloul.Uon to fUttl'" US) dlYS
beyond thl data of the ........nt. If Ply.ant II ..de aft.r thl Int.rut cMPutatlon dlta .hown on the
Hotte., IdcHUonll Int.rllt IN.t be cllcullttd.
11I!\'.1 :illll I~'\ 1 (l1.'Jll
(:(IMhhlf\'ij'I~\I,TII (III 1'Jl.NrlWI,\'/,I~I/\
'. 1I1!1'/\RTMHNT OF IU!\'HNIIE
-tllwr~ 2W(Jol
1t,\~~ISllIlllll.I'A 17118.'~1I1
14-.A./:;;--7
INHERIT1\NCE T1\X HETURN
RESIDENT DECEDENT
(TO DE FILED IN DUPLICATE
WITH REGISTEH OF WILLS)
Fill( 11,\'1'1.";01: IIL,\'III ,u'IEIt Ill,'II'JIl'IU:Cl\ III:UE E
IF ,\ SI'OlIS,\LI't 1\'I:lf1 \' Cltl:lln IS 1:1."I~lElI <_<,.
FJJ.E IJUHIll>H
21
COUN1'V COllE
<)4
VEMl
504
NUI1BER
UECliTmNT'S NAMI! (I.AST, I'IHffiNI> MII>II1.1ITfliTiAll
Clark, Paul D., Sr.
lH(j!llli~tll;S C(IMI',.irm AlJIllmSS
714 Petersburg Road
Carlisle, PA 17013
IT NlIMllI!H
189-09-4879
OATH OP UI!ATlI
4/27/94
IIAT ~ 01' IImTl
5/30/15
COllNTY Cumber land
~ I, Od~in31 Rctulll
_.2,SUfll'lelllelll;IIIMum
,\, Ih'llI:lilldl'r Relul1l
((or,l.1lu O(dC,10lprior 10 12.Il,g2)
j, Federal H-~I~'tc Tu
Relllnl RC1luilcd
Q. 8, Tol.,1 Numbet of SAte Uc:po.tilllo~u
4,(.imitctlluult
4.:lo,jlulure Inlerul t'0l1lrHOlll1.c:
- (for t1:llu or tlc:llh .ner 12,12,g1)
_ 7. Ilc~'edenl M:llnt"ined .:lo l.lVill~ 'I'oltl
<AIl.1eh . i;OflY of Tout)
K. 6. t>m'denl t>icJ Te,.1.11e
(Aluch COP)' or Will)
AI~ CORRESPONDENCE /\NO CONFIDENTIAL TAX IN
NAMU
Wayne F. Shade, Esquire
ORMATION SHOULD BE DIRECTED TOI
COMI'LBTB MAILINrJ AllIl~I;~S
5 South Hanover street-..
, '
carlisle, Pennsylvania 17013
TCI.I!1'1I0NIl NllMllI!H
(717) 243-0220
.
(1)
( 2)
( 3)
( 4)
( 5)
( 6)
( 7)
I, Re,111~'l.1t~ (Sch\'t1ule A)
2, Slocb and lIonJ, (!okhellule III
), Clo,dy Held SlockJl',utntuhlp lnlue.U (~hedule C)
4, MOl1il:lj:CJ :U1i1 Nolu I{e.:eivable (Schedule Ul ,
5, C~\h, Ibnk Ih'l'lUjl~.'it Miscell.1neOl.a PcuOIl.1lllropeny (Sch~dlllc III
6, )(llnll)' Ownelll'r\1pl.'lly (Sch~t1l1le Jr.l
7, Tnn.fm (Schetlulr. 0) (Schedule L)
8, loL,1 Orou Amlt (toul Iincl 1.7) ,
9, JlulIeral 1!~rc:nte,', AtlmlnllltaUve Co,U. MltcellAneouI Uxpenu',. ISchclluk H)
10, Ikllls. MOI~3~' J.i,1bililics, Lien1 (Schedule n
II. To(.:lollledu~liotl' (Iotillllnel 9 & 10)
12, Net V:llue o( I!'lal\' (Iin~ ~ minUt line 11).
13 C'tl3riUhre Anti Oovenul1enl.1ll1equULt (Schedule J)
14, N~l Value Suhj"~IIO Tu (Ilne 12 minus line 1))-
( 9)
(10)
5,149.27
( 8) 5.149.27
6.23A.....2.2,
(11) 6,234.95
(12) Nollll.
(13)
(14 ) Nong
.\ ,06 A
~ ,I.~ II
(17)
(18)
(19)
(20)
(201'1)
(20B)
IS, AlIllltlnl of line 14 l:lllAble a16% ule ,
(hlelude nluu (rom Schedule K or Schedule Ml
16, Amount of lin~' 14 t,1uble.11 Ij% r:lle.
(In:huh' \'"l\ll.'~ ([\'111 S~'hedule K {lr SdICtlll'~' MI
17,I'rindllal Lu tllll' (/\eM 1.1~ frolllline U AIlll hOUllint' 16)
I K, <.'I~'dih Sl'om:l1 P\lY~'r1)' ('NlIil Prior P:lYl11t'nl~ UhCOtllll
(15)
(16)
h'II'h'~1
+ +
19, If lill" IR It ~h'al~r Ihan line 17. tnler lht dirrerellce on line I", '111, I. lil\' n\'EHP^Y~lEN'I',
^, _ Clu;'(k IINel( )'1111 1ft 'l.Y~t1~~1l,,~ U H'fUlUluf )Illlr n\wIlU)'IlI\'1l1
10, 1II1Iw 111~ ~h',ll~'r Ih,1n linc 1M, enla U1\' t1irrmncc ('III lilli' 2\1, 'Ihi, i\ Ih.' '1',\:\ 1Il11';,
1\, Entl'r!hc inll'l\"1 nnlht' bal:lI1\'t' 1111.' (\11 lillI' 20/\
II, l~nh'1 till' 11'/,11 of lillI' 2U 1IIHI20/\ C'ulilll' WII 'Illi_ h th,' 11,\1,,\:\'1'1: 111:1;
Milke Clu'(k I'uyuhl\' lor ~h,!:hh'r IIf Will,. Al(I'UI
BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO RECIIECK MATH
I'lIikr 111'1\.11111" uf PI' Ilh'I'1I1I.' Ih,,1 I h;I\\' \'~allllllt'lllh" h'lun lI\ liulllll' .IIIHnIJl,IIl)IIl~ _,Ii.dlll.'\ ,uHI ,1,II\Ul.nh, ,lIhll,' lh, h,.t \\111I) Ill\I\~I,d~.
'IlUI~' '111,'/, IIIJ Inlt, COiled IInd
~::~l1r::\I,\ h~I~"..llh 1Ij;~1 ~\':'~l;'tf'r\ h I~ q111lk 'lll~ll' ~.~d ~ Ihll 1l..lu,III\IU lit JlI'11l111 Illhl'( U"mlll,' 111'/\1111.11 r~'ph'~I'nl,lhh' I' h,I'\'II"Cl,lll m( Im'1Ifll/i.'rWI
'h l't~P'U\'f h"
-----,- ~M ' =- ' __H_ - n_ . 9 ~7/1
SltIN/\11JlU (111'1,1{~(JNI!I."I'(INslltl.BloUI-'II N(II{ IflllN ,\llllltl!-iS 1\11 -- -...
___ t{/~....r:::. _.__.u_..______. .......~~:'~~'<~~ ~~~I..~I~:_~,.I Ihllllll~ ~rtlll~~. p,\ 171~17 --?4...?(2L...____._.___
SIl iN\, 1:1. j 1I1'Iifi'r\Il'i:li n 1111:1/ TIlI\N IH\I'~m"nNTI\'II\T I\llllll!;....s Il.o\TE
\ ,'i,'llllo II Ii" I~"'''! I ',IIIi,I:, 1'/\ 17011
\
.
.'
- .
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLAOING AN X IN THE APPROPRIATE
SPACES.
YES, NO
1. Did decedent make a traneter andl
a. rstain the use cr !ncumu'ot tho prop~rty trannfetred, . . X
b. retain the right to don!gnato who shall UDO ths property transferrsd
or its income, , . X
c. retain a revorslonary Intorollt, 01'. " . X
d. reosivs the prcmleo fOI' lito or ulthol' payments I benst ita or care? . X
2. If death occur rod en 01' boforll Dooombe,' 12, 1982, did dscedent within two
years preceding death trnno(or property without recsiving adequate ,
conuideraticn? If doath oooul'l'ed nttor Dooombor 12, 1982, did decedent
transfer proporty lilthl,n onll yoftl' ot denth without receiving adequate
consideration?
3. Did decsdsnt own nn 'In tl'Ullt tOI" hank ncoount at his or her death?
X
X
IF' TIm ANSWlm TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMI'U~'1'E SCIIEl>l1LE G AND FILE IT AS PART OF THE RETURN.
4
,
, .
-
N. PAnT NC, ^,llHlU' "1Il~._ BILL GaUSE AUTO SALES
---- -- oeNeRAL RePAIRS
--,-... -- - Slale ltllpocllon Slclllon 9712
phonol 258.3210
I- 801llnu Sprlnu., Pennel,
- N.",.C'o.Q~~~ D'I'~191!t
Adll'eu_. Phon. No.
(lily - Sllll Zip No. MILIACI['-
,..""t.IoMUUEL r.'CIP~tE NO,' "An. MOTOA NO, StRIAL.NO,
OP.MTi(lN OESCRIPTICN C' wonK AMOUNT
-- -- -.!!Q,-, 1m=: Q",,':t4 f,,'l0 ~,
~CO
--
.
--
- . -
-- -- ,
--
- -
.~-_.._.. -.-- -- -
allAN. ACCESSORIES PRICE TOTAL LADOR
TOT AL PARTS
TOTAL PARTS OAS, 01 L, OREASE
OAlS. OAS ACCESSORIES
On,Cll fiRES. TUDES
LIS, QRIA" SALES T AXIII, '~lPlI"bl.1
TOTAL-O.., Oil, 0,.." TOTAL AcceSSORIES lOT Al AMOUNT
ht"b~ .vltlo,l" "f/,II wolk h) l\I dun... d,tc,lh.d .bo'll with nlC'''''V per" to bt lI11td II your f'r::r~, prIen. I IIi'" 10 Ph' (Mh on d.II....ry 01 (lr 01 on WlI11,(IOlY ,,,mIla
yoo, .net
nlll pt d In tullll.h.1I conlllh,I. .II,n on lhlt U', I fllntl,r "'" tN1 YOlll'f1ll nul bt h,rd ,,,pontlul, Qr cu or 'fllel" 1,It In ell In ClH olll'f. lh"l, .ccld,nllq. oth" elulft
b.vo~ your
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mustIg I hereby appoint PAUL D. CLARK I JR. I COLLEEN BLACK.. AND
NANCY GIBB
execut ora of tills, my last Wilt and Testament, with full power and authority to sell
and convey, lease or mortgage real estate, hereby revoking all former wiils by me made.
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lu IlttUtSl1114tttnf
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t2 ~ day of ~l/tJ.~
I have hereunto subscribed my name
in the year Nineteen Hundred and 9 J
the
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We, whose names are he,'eunto subsc"ibed, in arenif!} that 011 the
day of fQ~ ~:0ltu.$19 ~~
the testat above /lamed, subscribed name to this i/lStrument in our pres-
ence and in the presence of each of us, and at the same time, ill our presence and
hearing, declared the same to be last Iltll uuh WtlltlllUtut. and requested us,
alld each of us, to sign our /lames thereto as witnesses to tlte executioll thereof, which
we hereby do in the presence of the testat and of each otlter, on the day of the
the said Will, and write opposite our 1,ames our respective places of residence.
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