The URL can be used to link to this page

Home My WebLink About05-25-07 'I .. -.J 15056041147 REV.1500 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 OFFICIAL USE ONLY CountyCode Year INHERITANCE TAX RETURN RESIDENT DECEDENT 2 1 0 6 File NlI'l1ber 0929 Date of Birth 181325054. 09262006 10161937 Decedenfs Last Name Decedenfs First Name Suffix SCHNEI:DER PAUL (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WillS FILL IN APPROPRIATE OVALS BELOW 0 1. Original Return 0 2. Supplemental Retum 0 3. Remainder Return (date of death prior to 12-13-82) 0 4. Umited Estate 0 41. Future Interest Compromise 0 5. Federal Estate Tax Return Required (date of death after 12-12-82) 00 6. Decedent Died T88Iate 0 7. Decedent Malntained a Living Trust 0 8. Total Nurtlber of Safe Deposit Boxes (Attach Copy of Wdl) (Attach Copy of Trust) 0 9. Utlgation Proceeds Received 0 1 0 Spousal Pove~ Credit ~date of death .0 11. Election to tax under Sec. 9113(A) . between 12-31- 1 and -1-95) (Attach Sch. 0) MI E MI ~RRESPONDENT. THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONRDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: me Daytime Telephone Number JENNI:FER B. HI:PP 7177378761 Firm Name (If Applicable) BOGAR AND HI:PP LAW OFFI:CES REGISTER O~~ILLS USE ~y -"- --.....J Q 'TO :-<J ::^= C) 'j-j FIrst line of address 1 WEST MAI:N STREET Second line of address City or Post OffIce SHI:REMANSTOWN DATf~D State PA ZIP Code 17011 Correspondent's &-man address: Under penallies of perjury, I declare that I have examined this retum, including accompanying schedules and statements, and to the best of my ~ and belief, It is true, correct arid complete. Declaration of preparer other than the person/II representative is based on all information of which preparer has any knoWledge. SlGNATU E OF PERSON RESPONSI FOR FILING RETURN DATE SylvIa Fry 3808 Copper Kettle Road, Camp Hill, PA 17011 SIGN E OF PREPARER OTHER THAN REPRESENTATIVE DATE Jennifer B. Hipp One West MaIn Street, Shlremanstown, PA 17011 Side 1 L 15D5bD41147 15D5bD4111f7 ~'.'""'-: !'-) Ll -.... ".J ["-,) r',) J;:.... -.J ....J :LSbSbDlf2148 REV-1500 EX o-denI'sName: Paul Eugene Schneider RECAPITULA nON 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. 6. Jointly Owned Property (Schedule F) D Separate Billing Requested............. 6. 7. Inter-VIVOs Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested............. 7. 8. Total Gross Assets (total Unes 1-7)...................................................................... 8. 9. Funeral Expenses & Administrative Costs (Schedule H)........................................ 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)................................ 10. 11. Total Deductions (total Lines 9 & 10)..............................._.............................._..... 11. 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. 14. Net Value Subject to Tax (Line 12 minus Line 13)..............................._................ 14. TAX COMPUTATION. SEE INSTRUCTIONS FOR APPUCABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, of transfers under Sec. 9116 (a)(1.2) X ~ 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Une 14iiiX8ble at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 0.00 15. 68,395.05 16. 0.00 17. 0.00 18. 19. Tax Due......... ................. ...................................._.............................._.. ......... ......... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. L Side 2 15056042148 181325054 Decedenfs Social Security Number 191.75 41,186.45 71,841.11 113,219.31 25,826.00 18,998.26 44,824.26 68,395.05 68,395.05 3,077.78 0.00 0.00 0.00 3,077.78 15056042148 D ....J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-06-0929 DECEDENT'S NAME Paul Eugene Schneider STREET ADDRESS 3911 Church Street CITY I STATE IZIP Camp Hili PA 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 3,077.78 0.00 Total Credits (A + B + C) (2) 0.00 3. InterestlPenalty if applicable D. Interest E. Penalty TotallnterestlPenalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPA VMENT. Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (5B) 3,077.78 3,077.78 Make Check Payable to: REGISTER OF WILLS, AGENT . PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: a retain the use or income of the property transferred;..............................._.............................._................. b. retain the right to designate who shall use the property transferred or its income;................................... c. retain a reversionary interest; or.............................................................._.............................._................. d. receive the promise for life of either payments, benefits or care? ............................................................. 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ... ................................................. ................................................................ D 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ......... D 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .............................................................................................-..................... ~ D IF THE ANSWER TO ANV OF THE ABOVE QUESTIONS IS VES, VOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Ves No ~ I ~ ~ 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. ~9116 (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. ~9116 (a) (1.1) (Ii)]. The statute does not exemDt a 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. ~9116 (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. ~9116 1.2) [72 P.S. ~9116 (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. ~9116 (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.1503 EX+ (....) *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETU.... flESlIl&NT DECI!Ill!NT Schneider, Paul Eugene FILE NUMBER 21-06-0929 ESTATE OF All property jolntly-owned with rIg/It of survl_hlp must be dlscloMd on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 Prudential Financial. Guaranteed Income Fund. 26.99083500 191.75 Retirement Plan No. 707810, date of death value $191.74 TOTAL (Also enter on Une 2, Recapitulation) 191.75 (If more space is needed. additional pages of the same size) Copyright (c) 2002 fonn software only The Lackner Group, Inc. Fonn PA-1500 Schedule B (Rev. 6-98) Prudential ~ Financial Prudential Retirement The PrudeJltiallnsarance CompaDy of America 30 Scranton Office Park Scranton, PA 18507-1789 1-877-778-2100 www.retirementDrudentiaLcom Sylvia Fry 3808 Copper Kettle Rd Canfield, PA 17011 Plan Number: 707810 Reference Number: 70781025054 Decedent's Name: Paul E Schneider October 11, 2006 Dear Ms. Fry: Thank you for notifying us of the death of your Paul Schneider. Please accept our sincere condolences for your loss. My goal is to make the processing of your request for death benefits as prompt and convenient for you as possible. Our records indicate that Paul E Schneider did not designate a beneficiary for the plan referenced above. Therefore, the participant's estate is the beneficiary. If, however, you locate a Prudential beneficiary designation form, please submit it to us for consideration. The only settlement option available to an estate is a lump sum settlement. According to the plan provisions and the Tax Reform Act of 1986, settlement must be made by December 31,2011. Contributions were made to the variable separate accounts and/or mutual funds and were credited in the form of accumulation units. Below you will find the total dollar value of the account(s) as of October 10, 2006. This dollar value will change daily based on the market performance of the account(s). The total value of the decedent's account as of October 10, 2006 was $191.74. Variable Fund GUARANTEED INCOME FUND Units/Shares 7.10410 Units Value 26.99083500 Total DoUar Value $191.74 If a total disbursement is taken from the account(s) listed above before the first anniversary of your Paul Schneider's death, Prudential guarantees to pay the greater of the value of the account(s) or the total contributions less any disbursements. This guarantee does not apply to the mutual funds. At this time, I would appreciate your help in providing the following so we can process this claim: It is our understanding that any funds paid to the estate should be included for federal income tax purposes for the year in which the funds are received. You may wish to consult with your legal or tax advisor if you have any questions regarding the tax treatment of any payment, as Prudential Retirement cannot offer legal or tax advice. Hyou have any questions or require assistance. please contact our office at 1-877-778-2100. Sincerely. Stacy Leslein Participant Manager Enclosure F1ev-1508 EX+ (HI) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMQIIWEAL 1H OF PENNSYLVANIA INHEAlTANCE TAX RETURN RESIDENT DeCEDENT Schneider, Paul Eugene FILE NUMBER 21-06-0929 ESTATE OF Include the proceeds of Iltigalion and the date the proceedB were .-Ived by the estate. All property loInIIy-ownecl wIIIt the right of aurvlvor8hlp must be dlacloeecl on achecIule F. ITEM NUMBER DESCRIPTION 1 Hlghmark. Refund ot Premium VALUE AT DATE OF DEATH 158.16 2 Pa. Department ot Treasury. Refund ot Overpayment 2006 Personal Income Tax 39.00 3 PNC Bank. Checking Account No. 5140158531, date ot death balance $39,535.61, accrued Interest $7.68 39.543.29 4 United States Treasury. Refund ot Overpayment 2006 Personal Income Tax 1.446.00 TOTAL (Also enter on Une 5, Recapitulation) 41.186.45 (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) Rev-1510 EX+ (MI) . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY CClMMClNWI!AL'lll OF PENNSYLVANIA INtlERITANCE TAX RETURN RESIDENT DECEDI!NT Schneider, Paul Eugene FILE NUMBER 21-06-0929 ESTATE OF This schedule must be completed snd filsd n the answer to any of questions 1 through 4 on Ihs reverse side of Ihs REV-1500 COVER SHEET is yes. ITEM IVNVr- ,. ..... , T DATE OF DEATH '" OF DECO'S EXCWSlON TAXABLE NUMBER INCWDE 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 PNC Bank - IRA Account No. 75400031876, date 71,841.11 71,841.11 of death balance $71,583.96, accrued Interest $257.15 TOTAL (Also enter on Line 7, Recapitulation) 71.841.11 (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) Q PNCBAN< November 15,2006 James D. Bogar Attorney at Law One West Main Street Shiremanstown, PA 17011 RE~ Estate of Paul Eugene Sclmcider, deceased SSN: 181-32-5054 DOD: 9/26/2006 Dear Mr. Bogar: In response to your request for Date of Death balances for the customer noted above, our records Show the following: . CheckiagAccoWlt Account #5140158531 Established 04101/1976 PAUL E SCHNEIDER DOD balance: $39,535.61 + $7.68 accrued interest IRA Account Account #75400031876 Established 03/2312006 PAUL E SCHNEIDER nOD balance: $71,583.96 + $257.15 accrued interest For IRA or Beneficiary iDfonnation, please call1--8S8-PNC-IRAS. Please note that this office only provides date of death balances for deposit accounts (IRAs, CDs, Checking and Savings accounts). We do Dot process oy ftnaoclal trosactioDs or provide statements. If you need assistance with any of these items, please call1-888-PNC-BANK (1-888-762-2265) or stop by your local PNC Bank branch office. Sincerely, ~~ Rachelle Wells 1-800-762-1775 P7 -PFSC-04-F 500 firSt Ave. Pinsburgh PA 15219 Member FDIC TOTAL P. 01 REV-"S' EX+ (12") . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Schneider, Paul Eugene Debts of decedent must be reported on Schedule I. FILE NUMBER 21-06-0929 ESTATE OF ITEM NUMBER A. FUNERAL EXPENSES: DESCRIPTION AMOUNT See continuation schedule(s) attached 11,472.10 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Sylvia Fry Social Security Number(s) I EIN Number of Personal Representative(s): 186-28-3270 Street Address 3808 Copper Kettle Road City Camp Hili State Year(s) Commission paid PA Zip 17011 4,583.35 2. Attorney's Fees Bogar and Hlpp Law Offices 7,000.00 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 Register of Wills, Cumberland County 136.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees Krosnar & Griffith, P.C. 335.00 7. Other Administrative Costs See continuation schedule(s) attached 2,299.55 TOTAL (Also enter on line 9, Recapitulation) 25,826.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (lHI8) . SCHEDULE H.A FUNERAL EXPENSES continued CClMMONWEALlll OF PENNSYLVANIA INHERITANOE TAX IIE1\1AN IIE8IlENT DECEDENT Schneider, Paul Eugene FILE NUMBER 21-06-0929 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Nelli Funeral Home Inc. . Funeral 11.472.10 Subtotal 11.472.10 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (HI) *' SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN _IDENT DBlEDENT Schneider, Paul Eugene FILE NUMBER 21-06-0929 ESTATE OF ITEM NUMBER 1 DESCRIPTION Cumberland Law Journal - Estate Notice AMOUNT 75.00 2 EDS Retirement Plan - Return of Overpayment from Plan 552.20 3 Federal Express - Return of DirectTV Items 61.20 4 RESERVES - Costs to conclude administration of Estae including filing fee for Pa. Inheritance Tax Return and Inventory; preparation and filing fee for court accounting; review and/or preparation of Fiduciary Income Tax Returns 1,500.00 5 The Patriot-News - Estate Notice 111.15 Subtotal 2,299.55 Copyright (c) 2002 tonn software only The Lackner Group, Inc. Fonn PA-1500 Schedule H-B7 (Rev. 6-98) Rev-1512 EX+{M8) *' SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMM<>>IWEAL TH OF PENNSYLVANIA INIERITANCE TAX RE1\JRN REBIlENT DECEDENT ESTATE OF Schneider, Paul Eugene FILE NUMBER 21.06-0929 Include urnlmburHd medlClll~. ITEM NUMBER DESCRIPTION 1 Cltlbank (South Dakota) N.A. . Compromise Settlement, Account No. 5410654090460111 VALUE AT DATE OF DEATH 3.825.00 2 Cltlbank (South Dakota) N.A. . Compromise Settlement, Account No. 11.976.97 5491130187838701 3 Cumberland Apothecary. Prescriptions 43.71 4 Direct TV . Final Bill 62.00 5 FIA Card Services. Account No. 4264290450756507, final payment 1.382.06 6 FIA Card Services. Account No. 374314091434988, final payment 290.35 7 Wal-Mart Discover . Final Payment 1.418.17 TOTAL (Also enter on Line 10, Recapitulation) 18,998.26 (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 I (Rev. 6-98) REV-151S EX+ (1-00) *' SCHEDULE .. BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT NUMBER Schneider, Paul Eugene NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal Clistrlbutions and transfers under Sec. 9116(a)(1.2)] Kathryn Grace Schneider 3911 Church Street Camp Hili, PA 17011 RELATIONSHIP TO DECEDENT Do Hal LI81 Tl'IIlI1M(al RLE NUMBER 21-06-0929 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) ESTATE OF I. Mother Rest, residue and remainder Paul Howard Schneider (Deceased. 11/21/05) PA Father Total Entar dollar amounts for diatrlbutions shown above on lines 15 through 18, as aDDI'ODrlate, on Rev 1500 cover sheet ll. 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-15oo COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) LAST WILL AND TESTAMENT OF PAUL EUGENE SCHNEIDER I, PAUL EUGENE SCHNEIDER, residing at 3911 Church Street, Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind and memory, do hereby make this to be my Last Will and Testament, hereby revoking any and all Wills and. testaments at any time heretofore made, and disposing of all my estate: ITEM I: I direct that all my legal debts and the expenses of my last illness and funeral be paid out of my estate as soon as may be convenient after my death. ITEM II: I have previously arranged, and so direct, that all preparations for my burial be handled through Neill Funeral Home, Inc. of3401 Market Street, Camp Hill, PA. There is to be no viewing. Appropriate Services for Christian Burial are to be conducted at the St. Stephens Episcopal Cathedral in Harrisburg, P A. Internment is to be next to my mother in a mausoleum at the Rolling Green Cemetery, 1811 Carlisle Road, Camp Hill, P A. ITEM ill: I give, devise and bequeath all of the property which I possess at the time of my death and to which I may be entitled, whether real, personal or mixed, and wheresoever situated, including any and all property as to which I may have the power of appointment by Will, absolutely and without restriction, to my parents, Paul Howard Schneider and Katluyn Grace Schneider, also of3911 Church Street, Camp Hill, Cumberland County, PA, or the survivor of them, if either of them have survived me as of the three month anniversary of my 1 ~t5 death. ITEM IV: Ifneither of my parents survive me as of the three month anniversary of my death, I give, devise and bequeath all the rest, remainder and residue of property which I possess at the time of my death or to which I may be entitled, whether real, personal or mixed, and wheresoever situated, including any and all property as to which I may have the power of appointment by Will, absolutely and without restriction, to the following individual and entity in the shares indicated: Thirty percent (30%) to my best friend Ly Quay San, SSN 586-56-4354, currently of 66 Pleasant View, Mechanicsburg, Cwnberland County, P A; and Seventy percent (70%) to the Paul H. and K. Grace Schneider Memorial Fund of St. Stephens Episcopal Cathedral, 221 North Front Street, Harrisburg, Dauphin County, PA 17101. ITEM V: My Fiduciaries under this Last Will and Testament shall have the following powers in addition to those granted by law: (a) To retain and to invest in all forms of real or personal property, including stock, common trust funds, mortgages, investment funds or other securities, regardless of any limitations imposed by law on investments by fiduciaries, as they deem proper without regard to any principal of diversification or risk of productivity. (b) To compromise claims and to abandon any property which in the Fiduciary's opinion is of little or no value. (c) To allocate any property received or charge incurred to principal or income or to each without regard to any law defining principal or income. (d) To enter into agreements from time to time as they may deem necessary or expedient 2 ~ which shall form a part of the estate. (e) To manage, care for, improve, protect, control, deal with, mortgage, pledge, sell or otherwise dispose of the estate or any part thereof, in their discretion, in any way and in every way in which any owner could manage, care for, improve, protect, control, deal with, mortgage, pledge, sell or otherwise dispose of the same. (f) To sell at public or private sale, to exchange or to lease for any reasonable time any real or personal property and to give options for sale or leases. (g) To add to the principal of the estate any additional asset by deed, life insurance contract or otherwise. ITEM "VI: I hereby nominate, constitute and appoint my cousin" Sylvia Fry as Executrix of this, my Last Will and Testament. In the event of her inability or unwillingness to act or to continue as my Executrix, or in the event that she does not survive me, then I nominate, constitute and appoint Luther E. Milspaw, Jr., Esquire, as Executor. No bond shall be required of any fiduciary hereunder in any jurisdiction. No fiduciary hereunder shall have any liability for any mistake or error of judgment made in good faith. IN WITNESS WHEREOF, I, PAUL EUGENE SCHNEIDER, have hereunto set my hand and seal to this, my Last Will and Testament, consisting of five (5) typewritten pages, including the attestation clause and signatures of witnesses, this ~day of June, 2003. ~l~ PAUL EUGENE SCHNEIDER (Seal) 3 Signed, sealed, published and declared by the above named Testator, PAUL EUGENE SCHNEIDER, as his last Will and Testament in the presence of us, who at his request, in his presence and in the presence of each other have hereunto subscribed our names as witnesses. euc.~ Witness j () / ;; III) s7: ~~/J r//J I Address 5 (/ mftl e,... J A &?~ /7() 9.3 ~Qd1.~ - Witness 'S Ct>\l.i.1l' \.b" ~ Address CJ..\^\~ W \\ \ ~~ ,..,~ \ , COMMONWEALTH OF PENNSYLVANIA COUNTY OF DAUPHIN We, CI-t~/-tsA. tlflF,t:ftfIlll.,:JrandJ4tr'll4l t4nl'J ~stf . 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 PAUL EUGENE SCHNEIDER sign and execute the instrument as his Last Will and Testament; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of PAUL EUGENE SCHNEIDER signed the Will as witnesses; and that to the ,best of our knowledge PAUL EUGENE SCHNEIDER was at that time eighteen (18) or more years of age, of sound mind, and under no constraint or undue influence. : SS Sworn pr affirmed to and acknowledged befS~ me by e~ ~ e 5> I). /-Io/:,::,nln j JoI". andYqflelC~. 4"" Halt...e{ . witnesses, this~1tay of June, 2003. (/4aJ{fil - ,~~ ~p . .~ Itness WItness ~Vk.Jj~ Notary Public Notarial Seal Elizabeth M. Gable, Noft!rY Public Harrisburg, Dauphin COunty 4 My CommIssion expires Oct. 20, 2003 Member. PennoylYanlaAssccl!d/OnofNotalfes 1L~ ..J . COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF DAUPIDN Personally appeared before me, the undersigned notary public, PAUL EUGENE SCHNEIDER, whose name is signed to the foregoing Last Will and Testament, and having been duly qualified according to law, did hereby acknowledge that he signed and executed the instrument as his Last Will and Testament; that he signed it willingly; and that he signed it as his free and voluntary act for the purposes therein expressed. Sworn or affirmed to and acknowledged before me by PAUL EUGENE SCHNEIDER, Testatorthis fpAdayofIune, 2003. ~.,~ V4.lIM Notary Public Notarial Seal Elizabeth M. Gable, ~ PublIc Harrisburg, pauphIn COunty My ComrnlsslOil ExpIres Oct. 20, 2003 Member. PennsylvanlaAssoclallon ofNotalfe8 5 ~