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COMMONW!AL.lH OP PENNSVLVANIA' DEPARTMENT OF HEALTH' VI'TAl. ReCORDS
CERTIFICATE OF OEATH
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..Dec. I~, 1997
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of
ELLA M. MoCLAIN
I, ELLA M. McCLAIN, of 532 West Penn street, Borough of
Carlisle, 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 any and all other wills and codicils heretofore
made by me.
FIRS'l'. I dire0t that all TIll' junt debts Mid .funei"al
expenses be paid from my estate as soon after my death as
practically and conveniently may be done.
SECOND. I direct that my remains be interred within my
family'S burial plot located in Mt. Zion cemetery, Churchtown,
Pennsylvania beside my beloved first husband, Ray Shurghart.
THIRD. I authorize my personal representative to expend
funds from my estate, in such amounts as my personal
representative shall consider necessary and desirable for the
purchase, erection and inscript.ion of a suitable marker for my
grave.
FOURTH. I give, devise and bequeath my jewelry unto my
granddaughters, Cheryl Ann Hankey and Caryl Sue Dickman, ane! my
daughters-in-law, Barbara McClain, Almeta McClain, Betty McClain
and Mary shughart, in equal shares per stirpes.
FIFTH. I give, devise and bequeath my cherry bedroom suite
to my son, Blair McClain.
SIXTH. I give, devise and bequeath any and all tangible
personal property owned by me at the t.ime of my death unto my
son, George shughart, and my step-sons, Blair McClain, Earl
McClain, and Gail McClain, in equal shares per stirpes.
SEVENTH. I give, devise and bequeath any and all real
estate owned by me at the time of my death, unto my son, George
Shughart, and my step-sons, Blair McClain, Earl McClain, and
Gail McClain, in equal sh,\res per stirpes.
EIGHTHT. I give, devise and bequeath all the rest, residue
and remainder of my estate unt.o my son, George Shughart, and my
step-sons, Blair McClain, Earl McClain, and Gail McClain, ill
equal shares per stirpes.
~"
CERTIFICATION OF NOTICE UNDER RULE ,.Hill
Name of Decedent I ElllI N. NcCllIln
Date of Death: Oecumber 19, 1997
Will No. 2197-lon
Admin. No.
To the Register!
I certify that notice of beneficial interest 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
1-8-98 I
~
Address
Ellrl McClllin Stllr Route 2 Box 9 Waterfllll. PA 16689
Blair McClain 154 Brookwood Drive Cllrlisle, PA 17013
Gail McClain HCR 75 Box 184 NcConnellsburg, PA 17233
Cheryl Hankey Box 125 Elderton, PA 15736
Caryl Sue Dickman Box 125 Elderton, PA 15736
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except none
Datel (- f J} I
sdlc/{!-/l,'t1iat{
N William A. Duncan, Esquire
ame
Address I Irvine Row
Carlisle, PA 17013
Telephone( 717) 249-7780
Capaci.ty:
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Personal Representative
Counsel for personal
represen ta t i ve
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REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
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o 9 l'llfllIlK>I1 P,oceeda Race.ad
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TltIS RElURN MUST !IE FII.ED IN IKIPlICAIE WIIH ~
REGISTER OF WILLS
o J RomalOder Relurn (""""wID 1l.I~UI
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16 Amount 01 I,ne 141""obIe 6 0 5 4 4 9 8
eI6%'ele , ' , '.
17 AmounlolllOel41""obIe
'I 15%IIle
7 9-.
- 2 . J J
III) . J I ,.7 6
(12) 6 0 5 4 4 ..9 K
(13)
.
114) (, 0 ,5 4 4 .9 8
(15) , .
(16) J ,6 3 2 ',7 0
(17)
liB) 3 ,6 3 2 .7 0
COMPlETE MllINO AOORESS
I IRVINE ROW
CARLISLE. PA 1701J
,
; 3
x .0
x 06
X 15
.7 6
).>> III S A 81 ANDRECHECKMA'fH e:e:
LInder ponlliBtot pe?ry,1 decln !hilI hMe~lIIMled thi, relllTl, incw.ng 1CCM1*'l~ SC~BS end 'taMmenls, lWld b!he 1:851 or my knowbd!1t tnd bellm, IllS llUe, oomlCt m ~l!kI 0ec1lr1llY\ 01 P"PMf ohI
thll'1lheD8l'SONI~i'u.dm.lnbmalooof"'dI~ h.lI'1ikf'lO'llkdatl
SI TURE OF PERSON RESPONSIBII fOR filiNG RETURN ADOHESS
.\, t ~., ) q 1("
S ClNATURE OF PREf'ARm Of HER THANRfPHESENTATlVE AODRESS
IIF APftlCMl.LI SUftI/MNG !iPOVSf'SNN IlA9f, fiRST, AlIDIlIODtE IH"~,1 SOCW, 5FCUlUfY HIMIER
.
NA'*-
WILLIAM A DUNCAN
fiRMNA,*- (~Appk;IbII)
DUNCAN & alTO P.C.
IELEPHONE NUMBER
717 49.7780
1 Real E'lalelS<hocIJle A)
II)
2 Slock, and Bonds {Schedule B) (2)
3 Clo.c~ Hold COlpo<'l~n. Parlnar,hl' 0' S~o.ProplleIOi.hip (3)
~
3
j:!
~
~
4. MOilgeg" & NoI.. ReceivalJlo (Sche<t.J!e 0) 14)
5 C..h. Bank Depos,l. & MISc..ne0U5 POI.ona, p,operIy (5)
(Schedule E)
6 JOInl~ OWned Property ISc,"""le f) 16)
7 Inle,.VNos Tlen.f". & M"c.leneoo. Non.P'roale P'ope'ly (I)
(Schedule G Oil)
8 TolIl Groll Allot. 1101,1 Unes 1-7)
9 fu..,,1 ['pen.o. & AdmlO"",livo Co.ts ISchoo,,!e H) 19)
10 0001. of DOCedelll, MOilgago liab,lille'. & lIOn. ISchedule I) (10) "..
11 TolIl Deduction. (lol,ll,ne, 9 & 10)
18 TuDu.
19
,
,(' 1
/!IJ'
(;4;2 L~
DATE
1 .n Y.r
DATE
Decedent's Complete Address:
Slam ADOaESS I RIVINE ROW
arv --
CARLISLE
J S1A1E PA
f2iP I 70 L1
TIX Plyments Ind Credits:
1 Tax Due (Page 1 L1"e 18)
2. CredllslPaymenls
A. SpolJl8l POI/arty Credit
6 Prior Payments
C.Dlscounl
(1)_
3.632.70
--..----
3. InteresVPenel1y If lIflpI~eble
D.lnlllfl$l
E. Penelly
Total Credits (A + 6. C) (2)
T otsllnleresllPenelly ( 0 + E ) (3)
4. !fllne 21,,,ealer than line 1 + line 3, enler the dilfllfence. Th','sthe OVERPAVMENT.
Chock box on Page 111n. 1910 requ... a rofund (4)
6. !fllne 1 + line 31s l1ealer Ihan line 2, enler Iheli"erence. This Is the TAX DUE. (6) __3.632.70
A Enter the Interesl on the tax due. (SA)
6. Enter the tolel 0' Line 6 + SA. This Is Ihe BALANCE DUE. (56) 3,632.70
Make Check PJab1e 10: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BV PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Old decedent make a transfer and: Ves No
a. retain the use or Income of the property transferred; ..... ................ ..............0 0
b. retain the right to designate who shall use the property trensferred or Its Income; ...............0 0
c. retain e reversionary Interest; or .......................... ..................... ....0 0
d. receive the promise for life of either peyments, benefits or care? ........ .........0 0
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate consideration? If death occurred
after December 12, 1982, did decedent transfer property within one year of death without
reoelvlng adequate conSideration? ..................... .............. ... ............0 0
3. Old decedent own an "In trust for" or payable upon death bank account or security
at his or her death?. ............... ................. ............0 0
4. Old decedent own an Individual retirement account, annuity, or other non-probata property? .....0 0
IF THE ANSWER TO ANV OF THE ABOVE QUESTIONS IS VES,
VOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE ~ETURN
72 P.S. ~9116 (a) (1.1) (I) provided for the reduction of the tax rate Imposed on the net value of transfers to or for the use of the
surviving spouse 'rom 6% to 3% for dates 0' death on or efter July 1, 1994 and before January 1, 1995
72 P.S. ~9116 (B) (1.1) (II) provldad for the reduction of the rate Imposed on the net value of transfers to or for the use of the surviving
spouse from 3% to 0% for dates of death on or after January 1, 1995. The slatute does not exemDt a transfer to a surviving spouse
from tax, end the sletutory requirements for disclosure of assets and filing a tax return are still eppllcable even if the surviving spouse
is the only beneficiary.
FOR DATES OF DEATH ON OR AFTER JANUARV 1. 1995. Please answer the follOWing question by placing en ''>(' In the
approprlete space.
Old the decedent crelt. I trust or slmllsr Irrlngement whIch Is soley lor the survIving spouse's benellt lor his ()f her entire
lifetime? Vel 0 No 0
If you answered yes to the above question, the tax on tho trust or similar arrengement is postponed until the death of the second
spouse, at which lime It will be fully texable at the raters) applicable to the remainder beneficiary(les) Enter the value of the trust on
Schedule J, Part II, In order to remove It from the calculation of the tax due in this estate. You may wish to file Schedule 0 In order to
makelhe election availeble under Seclion 9113. If the election Is made, the trust or similar arrangement Is taxed in the estate of the
first decedent spouse, the portion of the trust or similar arrangement which benefits Ihe surviving spouse is taxed et the zero tax rete,
end the remelnder Is taxed at the rate(s) applicable to the remainder beneflclary(les). If you choose to make the election, you must
attach Schadule 0 to a tlmely.flled tax return, elong with Schedule(s) K andlor M in order to show the apportionment of the trust or
similar arrangement between the surviving spouse and the remainder beneflclary(les)
mast mill anll mestament
of
ELLA M. McCLAIN
I, ELLA M. McCLAIN, of 532 West Penn street, Borough of
Carlisle, 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 any and all other wills and codicils heretofore
made by me.
FIRS'l'. I direct that all n,',' just debts emil funeral
expenses be paid from my estate as soon after my death as
practically and conveniently may be done.
SECOND. I direct that my remains be interred within my
family's burial plot located in Mt. Zion cemetery, churchtown,
Pennsylvania beside my beloved first. husband, Ray Shurghart.
THIRD. I authorize my personal representative to expend
funds from my estate, in such amounts as my personal
representative shall consider necessary and desirable for the
purchase, erection and inscription of a suitable marker for my
grave.
FOURTH. I give, devise and bequeath my jewelry unto my
granddaughters, Cheryl Ann Hankey and Caryl Sue Dickman, and my
daughters-in-law, Barbara McClain, Almeta MCClain, Betty McClain
and Mary Shughart, in equal shares per stirpes.
FIFTH. I give, devise and bequeath my cherry bedroom suite
to my son, Blair McClain.
SIXTH. I give, devise and bequeath any and all tangible
personal property owned by me at the time of my death unto my
son, George Shughart, and my step-sons, Blair McClain, Earl
McClain, and Gail MCClain, to equal shares per stirpes.
SEVENTH. I give, devise and bequeath any and all real
estate owned by me at the time of my death, unto my son, George
Shughart, and my step-sons, Blair McClain, Earl McClain, and
Gail MCClain, in equal shares per stirpes.
E:tGHTHT. I give, devise and bequeath all the rest, residue
and remainder of my estate unto my son, George Shughart, and my
step-sons, Blair MCClain, Earl McClain, and Gail McClain, in
equal shares per stirpes.
06-15-98
MCCI.,illl
12-19-97
21 97-1027
CUMBERLAND
101
t Ao~t ~~ltted
MAKl CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUMBERLAND CD COU~T HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR VOUR RECORDS ~
if!y;~i4rEjf"AFji-iil9::q;riliiYicE..tiF-YN'iiEiiifAiici-YAx-'A-pjiRAisEMiil'r;-m.-tiiiANCniri'-----..--m----n
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ElLA M FILE NO. 21 97-1027 ACN 101
If .n ........nt w.. i"u.d previously, line. 14, 15 .nd,or 16, 17 .nd IS will
re11ect figur.. th.t include the tot.l of ALL r.turn. .......d to d.te.
ASSESSMENT OF TAXI
15. Aoount of line 14 et Spou..1 ret. 1151
16. Aaount of line 14 te.ob1. .t linee1/C1e.. A ret. 1161
17, Aaount of line 14 te.ob1e et Co11etere1/C1e.. I rete (171
Ie. Principe1 Te. Duo
TAX CREDITS I
PAVNENT
DATE
03-27=9S
It;- ,J.2./-L3
IIURUU OF INDIVIDUAL TAMES
Ifll(RIUHCE lAIC DIVUUOH
DEPI. ZIOUl
HARRISBURG, PA 11118*U601
COMMONWEALTH OF PENNSVLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAM
APPRAISENENT, AllOWANCE OR DISAllOWANCE
OF DEDUCTIONS AND ASSESSNENT Of TAM
WILLIAM A DUNCAN
1 IRVINE ROW
CARLISLE
DAYE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTV
ACN
PA 17013
ESTATE OF MCCLAIN
TAM RETURN WAS, (X) ACCEPTED AS fILED
I CHANGED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. Real E.tete ISchedu1e A)
2. Stock. end lond. ISchedu1. B)
5. Clo.ely Held Stock/Pertner.hlp Intere.t (Schedule CI
4. Kortgagel/Not.. Receivable <<Sohedule D)
5. Caeh/lenk Dapo.lt./Ni.c. Per.one1 Property ISchedu1e E)
6. Jointly Owned Propsrty (Schedule f I
7. Tr...ofe... (Schedule G'
a. Total A...t.
11)
(2)
(5)
(4)
15)
(6)
171
,00
.00
.00
.00
71.856.74
. 00
.00
(81
APPROVED DEDUCTIONS AND EXEMPTIONS I
-. Funeral EKpen.../A~. Coata/"l.c. Expan... (Son-dule Hl
10. Debt./Hortgege liobilitie./lien. ISchedu1e II
11. Tote1 Deduction.
12. Net Ve1ue of T.. Return
15. Ch.rltebl./Qov.r~ntDl Baqu..t.j Non~.l.ctDd 9113 Trust.
14. Net Ve1ue of E.tete Subjoct to Te.
19)
110)
11,311.76
.00_
U11
(2)
U51
(4)
(Schedule J)
NOTE I
.00
60,5(,4,98
.00
M .00.
M .06=
M .15=
ue)
RECEIPT
NUttIER
AA269893
DISCOUNT 1+1
INTEREST/PEN PAID (-I
.00
ANOUNT PAID
3,632.70
TOTAL TAX CREDIT
BALANCE OF TAX DUE
. INTEREST_AND PEN. I.
TOTAL DUE L
. If PAID AfTER DATE IHDICATED, SEE REVERSE
fOR CALCULATION OF ADDITIONAL INTEREST.
I
C_
*'
'n.t.~1 II ." '....,1
ElI.A
M
DATE
06-15-98
NOTE 1 To in.ur. proper
credit to your account,
aubtlH the upper port Ion
of thl. foro with your
tax pa)lMnt.
71,856.71.
11 .~11 71.
60,544.98
,00
60,544.98
.00
3,632.70
.00
3,632.70
3,632.70
.00
.00
,00
IF TOTAL DUE IS lESS THAN II, NO PAYHENT IS RE~IRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICR). YOU HAY IE DUE
A REFUND. SEE REVERSE SIDE Of THIS fOIH FOR INSTRUCTIONS.)
.-
o !!!
-) ~~
~
~
N
0...
t:"
"J tJ::
r-
~
>; r;
~
)
.1../
~ ~~l:
U
Est.t.. of dlMI.....b dy I~ on or befote O'e....r 12, 1HZ R_ If MY future Int.....t In the ..tete Is .,.....f.rred
In fJO.....lon or .,..jOYMnt to CI... B (coU,ta,.aU __fiele"l.. of tht decedent aftar tI'M IlCplratJon of MY ..tat. fur
11'0 or for y..r., the C~.lth hereby l.pr..lly r...rv.. the rill" to ~r.I.. .od ...... ttlnlfer Inherlt~ 'alC..
at the IMfful Cl... II (coH.h,.a.) rat. on My luch future Inter..t.
o
(., ,_iI
@I))
0: a:
RESEllVATlIlH I
_OF
MOnet I
t~ fulfill the r~lr-..nt. of Sactlon 2140 of the I~rlt~. ~ Ett... Tax Act, Act 21 of 1995. (72 P.S.
SMUon 9140),
PA'tHfNTI
INtach the top portion 0' this NoUC)1 and tubll!t with your paY88f\t to tM Rlghta,. of NUb prlntttd on thlt reva.... l1de.
~~...... cMct< or lMKMy order paYable tOI REGISTER OF MILLS J AGENT
REFUND (CAlf
II '-"1M1d of . taM credit, Nhlch ...s not requa.tad on the lex Rftturn, ..y be rlq\Mltad by cOllPlating an "Appl1caUon
for R.fund of Penn.ylvanl. Inharjtanoe and Estata T.~" (REY-1313). Appllcatlon. ar. wyail.ble at the OffiCI
of the Raghtar of NUb, ~y of thtt 21 Ravenue Dhtrict Offica., or by calling the .peci.l Z4"hoUr
.olwerJng .arvic. nu.bar. for for.. orderIng I In Penn.ylvania 1-800~36Z.Z050, out.ide PennsYlvania .'~
within locII Harrl~rg ar.. (717) 787~8094, TOb. (711) 772-2252 (Hearing I~alrad Only).
OBJeCTIONS I
Any party In Inhra.t not .athfiad with the apprah...nt, allowance or dh.UONanc. of deduction., cr a"e'lMnt
of ta~ (Including discount or Intar..tl as .hown on thl~ NotIce .u.t Object Nlthln .i~ty (60) day, of receipt of
thb Notice bYI
AOItIN
lSTRATlYE
CORRECTlOHSI
~~wrlttan prot..t to the PA Depart.ant of Ravenue, ftoard of Appeal" Dept. 2ftlOZl, H.rrl'burg, PA
--.Iection to MV. the .att.r ct.t.r.ined at MJdlt of the account of the perlC\tlllll repr..antaUv.,
~-""al to the Orphan.' ~ourt.
1712a~1021,
OR
OR
Fact~l arror. dl.eov.r~ on this a..a....nt should be .ddr....d in .rltlng tOI PA O.P.r-tltant of Ravenue,
IurtHMl of Individual TIM.', ATTN: Po.t A.......ot RevlaN unIt, Dept. Z80601, Harrl'~Jrg, PA 17128.0601
Phon4 (711) "'-6505. Sa. page 5 of the booklat ftlnstructlons for Inheritanoa TaM Return for a R..idant
Deeedent" (REY.1501) fo,' An .KP1anatlon of ltdIIlnlstreUv.lY corrac.:tebl. arrors.
DISCOlIfTI
If 8nY taM ~ i. paid within thr.. (3) oaland.r .onths eft.r the dec.dent', ct.ath, a five parcant (SX) di~count of
the taM paid I. allONld.
PENAL TV I
The 15% taM -.na.ty non.partJclpatlon penalty Is cu.pqtod on the totol of the tax and Intere.t a.,.,sad, end not
paid before January 18, 1996, the flr.t day aft.r the end of the t.x .-nasty periOd. This non-Particlp.tion
P<<l81ty Is lIPPIIalabl. In the .... .anner end in thtt the .... th.. period ., '10U llfOultJ IaPpeal the teM and inter.st
that has bHn ......ad e. Inetieated on this notlc..
INTEREST I
Intar..t I. charRed beginning Nlth fir.t d.y of delinquency, or nine (,) ~th. and one (1) day froe the d.t. of
death, to the data of payaent. Taxe, which bac.-u delinquent before January I, 1932 be.r Intere.t at the rat. of
elM (6%) percent par annu. c.lculated at . dally rat. of .88016~. All t.Mes which bee... delinquent on and after
January 1, 1'8Z NIll beer Inter..t at a rat. which Nlll vary fru. calendar ya.r to caler~ar y..r ~Ith thet rate
annou;~ad by the PA o.partlt8nt nf R.veOUQ. The applicable Inter..t rat., for 1982 through 1998 ar.1
ll!t Intar..t Rat. D.lly Inter..t factor :!.!!! Int.rest Rate DaJ1y Int.ra.~
I'U 20:': .000548 1937 9% .000247
lff85 16:': .008436 1988-1991 11% .000501
1984 11:': .000301 1992 9% .000:1:47
1985 1:\% .000556 1993.PJ94 n .000192
1916 10% .000l74 1995-1998 9" .000247
--Inter..t 11 calculatad a. follow"
INTEREST . BALANCE or TAX UNPAID X HUMBER or DAYS DELINqUENT X DAILY INTEREST fACTOR
. -Any MoUe. luuad aftar tha tax baCOM' delinquent wUI r.fl.ct .n Int.ra.t calculation to flftHn OS) dIIy'
beyond the date of thl ........nt. If ~.y..nt is .&de .fter the intar.st coaputation data shown on thl
Notice, addltJ~1 Intere.t .ust b. c.loul.t~.
STATUS REPORT UNDER RULE 6.12
Name of Decedent:-1ltGL (l1.lJ1a (fIW---A )
Date of Deathl it? - /9 ::'. [1 '7'
, I
Wi 11 No. ..J.!t!J..~2----- Admi n. No.
Pursuant to Rule 6.12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1.
State wnether administration of the estate is complete:
Yes L/ No____
2. If the answer is No, stat.e when the personal
representative reasonably believes that: the administration will be
complete:
3. I f the answer t.o No. 1 is Yes, state the following I
a. Did the personal representative file a final
account with the Court? Yes_._ No. /'.
b. The separate Orphans' Court No. (if any) for
the personal representative's account is:
c. Did t.he personal representative st~ an
account informally to the parties in interest? Yesu No______
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
Date I -l-\-\c.:(" 3::;5l 11 J I ~ ~,(.Y' (' (l/l/'--
~ure~
.1.0 L 1\ \(j{\", nT') IAIV c.( N
Name (Please t}:pl!' or print)
I "J:(.2v.lfl.e / J<?D U), C ~elJs.)e fb.--
Address . I
0/'11 Rt/9 - 77 >? 0
Te 1. No,
Capacit.YI
Personal Representative
\t. . Counsel for personal
--r--representative
(MAH I rmfl AM3)