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HomeMy WebLinkAbout08-23-07 --.J 15056051058 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 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year File Number 21 06 0584 Date of Birth 042-12-5883 05/30/2006 04/22/1921 Decedent's Last Name Suffix Decedent's First Name MI ROSNER SAUL (il '\fJplicable) 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 . 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) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o 8. Total Number of Safe Deposit Boxes . 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number LAURENCE GOLDSTEIN (717) 783-3620 Firm Name (If Applicable) REGISTER OF WILLS USE Qi.J~y (-'j C_:1 ';' ..:- --..~ Fir~t line of address '.~ _J j!J40 COUNTRYSIDE LANE t",.') (..) Second line of address , i City or Post Office State ZIP Code DATE ~:u:lED c., CAMP HILL PA 17011-1523 c,,) W Correspondent's e-mail address:Countryside3@gmail.com Under penalties of perjury, I declare that I have examined this retum. including accompanying schedules and statements, and to the best of my knowledge and belief, It ,,; t.,!. correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSO~IBLE FOR FILING RETURN r~ ~' ADDRESS 3540 COUNTRYSIDE LANE - CAMP HILL, PA 17011-1523 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE fJ)Jo/07 DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY L 15056051058 Side 1 15056051058 --.J ---I 15056052059 REV-1500 EX Decedent's Social Security Number Decedent's Name: SAUL ROSNER 042-12-5883 RECAPITULATION Real estate (Schedule A). 1. 153,080.00 887,169.57 0.00 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. 2,500.00 219,942.38 0.00 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested. . . . 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested. . . 6. 7. 207,569.65 1,470,261.40 25,945.00 33,531.08 59,476.08 1,410,785.40 25,000.00 1,385,785.40 8. Total Gross Assets (total Lines 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. '? Net Value of Estate (Line 8 minus Line 11)... ................12. 13. Charitable and Governmental Bequests/Sec 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 APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X.O 45 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 0.00 15. 0.00 1,383,785.40 16. 62,270.34 0.00 17. 0.00 2,000.00 18. 300.00 ....,... . ......19. 62,570.34 19. TAX DUE. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT . L 15056052059 Side 2 15056052059 ---I REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME SAUL ROSNER - ___ ___ - ___n_.__...__._.._ ____ STREET ADDRESS 895 MANDY LANE File Number 21 06 0584 DECEDENT'S SOCIAL SECURITY NUMBER 042-12-5883 CITY CAMP HILL STA~------------ IZIP- PA I 17011-1536 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A Spousal Poverty Credit B. Prior Payments C. Discount (1) 62,570.34 59,500.00 3,131.49 Total Credits ( A + 8 + C ) (2) 62,631.49 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty ( D + E ) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 61.15 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. 8. Enter the total of Line 5 + 5A This is the BALANCE DUE. (5) (5A) (58) A. Enter the interest on the tax due. 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: Yes No a. retain the use or income of the property transferred;.......................................................................................... D ~ b. retain the right to designate who shall use the property transferred or its income; .......................................... D ~ c. retain a reversionary interest; or.......................................................................................................................... D [iJ d. receive the promise for life of either payments, benefits or care? ...................................................................... D [iJ 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 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. ~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 PS. 99116 (a) (1.1) (ii)]. The statute does not exemot 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 lax 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-1502 EX+ (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF SAUL ROSNER FILE NUMBER 21-06-0584 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, nerther being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH PRIMARY RESIDENCE lOCATED AT 895 MANDY LANE - CAMP Hill, PA VALUED AT ASSESSED VALUE; ClR ADJUSTMENT = 1.0 153,080.00 TOTAL (Also enter on line 1, Recapitulation) $ (If more space is needed, IOsert additional sheets of the same size) 153080.00 REV-1503 EX+ (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF SAUL ROSNER FILE NUMBER 21-06-0584 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1 DESCRIPTION VALUE AT DATE OF DEATH FERRIS, BAKER WATTS ACCOUNT # 71891030 - SEE FOllOWING PAGES (2 - 5) 887,169.57 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 887.16957 w w w w I\) I\) I\) I\) I\) I\) I\) I\) I\) I\) ...... ...... ...... ...... ...... ...... ...... ...... ...... ...... <0 00 ...... (J) 0'1 .... I\) ~ if w I\) ...... 0 <0 00 ...... (J) 0'1 .... W I\) ...... 0 <0 00 ...... (J) 0'1 .... 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REV-1507 EX+ (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE D MORTGAGES & NOTES RECEIVABLE ESTATE OF SAUL ROSNER FILE NUMBER 21-06-0584 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. PROMISSORY NOTE DATED 08/02105 FROM CARl A. ROSNER FOR $2500.00 TO BE REPAID 2,500.00 WITHOUT INTEREST TO THE ESTATE OF SAUL ROSNER AT THE TIME OF THE DISTRIBUTION OF SAID ESTATE I TOTAL (Also enter on line 4, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 2,50000 REV-1508 EX+ (6-98) , '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF SAUL ROSNER FILE NUMBER 21-06-0584 Include the proceeds of I~igalion and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. 2000 TOYOTA AVALON XLS 13,73000 2. FURNISHINGS AND PERSONAL BELONGINGS 7,50000 3. RESERVE PRIMARY FUND (MONEY MARKET) IN FERRIS, BAKER WATTS ACCOUNT # 71891030 (INCLUDES 1.78 INTEREST ACCRUED BUT NOT DUE AS OF DATE OF DEATH) 4. M & T BANK MONEY MARKET ACCOUNT # 15004198462457 15,91547 158,13658 (INCLUDES 281.98 INTEREST ACCRUED BUT NOT DUE AS OF DATE OF DEATH) 5. WACHOVIA BANK CHECKING ACCOUNT # 1010071101668 17,319.33 (INCLUDES 3.46 INTEREST ACCRUED BUT NOT DUE AS OF DATE OF DEATH) 6. CASH 20.00 7. PREPAID FUNERAL ARRANGEMENTS (LEVITT-WEINSTEIN, INC) 5,601.00 8. PREPAID CEMETERY PLOT (BETH SHALOM CEMETERY) 750.00 9. PARTIALLY PREPAID HEADSTONE (GINGRICH MEMORIALS) 970.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space IS needed, insert additional sheets of the same size) 219,94238 REV-1510 EX+ (6-98) *' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF SAUL ROSNER FILE NUMBER 21-06-0584 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. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER. ATTACH A copy OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE 1 FERRIS, BAKER WATTS IRA (SAUL ROSNER) ACCOUNT # 70695514 205,569.65 100 205,56965 SEE FOLLOWING PAGES (2-3) FOR DETAILS BENEFICIARIES HASKELL DAVID ROSNER - DECEDENT'S SON BETH D. GOLDSTEIN - DECEDENT'S DAUGHTER SUSAN E. FLYNN - DECEDENT'S DAUGHTER SETH J. ROSNER - DECEDENT'S GRANDSON CARl A. ROSNER - DECEDENT'S GRANDDAUGHTER STEVEN S. GOLDSTEIN - DECEDENT'S GRANDSON ROSHELLE L. GOLDSTEIN - DECEDENT'S GRANDDAUGHTER JONATHAN M. FLYNN - DECEDENT'S GRANDSON BRIAN D. FLYNN - DECEDENT'S GRANDSON 2. GIFT TO MS. HANNAH ONSTOTT ON OS/27/06 5,000.00 100 3,000.00 2,00000 (NO RELATION TO DECEDENT) I I TOTAL (Also enter on line 7 Recapitulation) $ 207,56965 (If more space is needed. insert additional sheets of the same size) N ...... - OO-.Jo)C.T1~WN"""~CD 3 N o ...... ...... (X) -.J ...... 0) ...... C.T1 ...... ~ ...... W ...... N ...... ...... ...... o ...... 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CD :s - , en S>> C ;:0 o tn :s CD ., "T1 tD ~ ;:0 en )>(") ::r )>CD (") C. (") C o (j) c :s G') - Z' c "'0 3~ C"CD ~ w ~O 0.... O')W CD <n <n ""'" ,J:l. "T1 (j) Z c 3 C" CD ., N ""'" o 0') o <n 00 ,J:l. REV-1511 EX+ (12-99>* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF SAUL ROSNER FILE NUMBER 21-06-0584 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT FUNERAL EXPENSES: 1. See next page for details. 14,461.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions 0.00 Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees 1,512.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 830.00 5. Accountant's Fees 1 ,317 00 6. Tax Return Preparer's Fees 7. Estimated additional attorney fees (Skarlatos & Zonarich LLP) 5.00000 8. Estimated additional accountant fees (Kern & Company) 1,00000 9 Realty transfer tax 1,72500 Miscellaneous administrative fees (Postage, Photocopies, etc.) 100.00 TOTAL (Also enter on line 9, Recapitulation) $ (If more space IS needed, Insert additional sheets of the same size) 25,94500 Schedule H Page 2 of 2 Estate of Saul Rosner File Number 21-06-0584 Funeral Ex enses for 06/04/06 Funeral (Levitt-Weinstein, Inc.) Cemete lot Beth Shalom Cemete Food for relatives and uests Groceries (Giant Foods) Restaurants New Forest, Old Count Caterer Boscov's Ala Carte Hotel rooms for relatives (Radisson Hotel) Airline ex enses for relatives Northwest Airlines) Honorarium for rabbi Miscellaneous Pro rams, House sittin ,etc.) 5,601.00 750.00 432.00 448.00 488.00 748.00 753.00 500.00 91.00 Funeral Ex enses for 06/24/07 Unveilin Ceremon Headstone (Gin rich Memorials) Honorarium for rabbi Food for relatives and uests Groceries (Giant Foods) Restaurant Outback Steakhouse Hotel rooms for relatives Ham ton Inn Car rental for relatives Hertz and Avis Rentals) 1,940.00 100.00 330.00 328.00 1,714.00 238.00 Total Funeral Ex enses for 06/04/06 & 06/24/07 14,461.00 REV-1512 EX. (12-03) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF SAUL ROSNER FILE NUMBER 21-06-0584 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. OUTSTANDING CREDIT CARD BALANCE (MASTERCARD) TWO MONTHS RENT REQUIRED BY APARTMENT LEASE (CLASSIC RESIDENCE BY HYATT) ADDITIONAL CLASSIC RESIDENCE BY HYATT CHARGES 359.00 2. 3. 5,510.00 257.00 4. 5. NON-REIMBURSED NURSING HOME CARE FOR FINAL ILLNESS (ST. JOHN'S NURSING CENTER) NON-REIMBURSED HEALTH AIDE CARE FOR FINAL ILLNESS (SENIOR HEAL THCARE SERVICES) NEGATIVE CASH BALANCE IN FERRIS, BAKER WATTS ACCOUNT # 71891030 WACHOVIA CHECKS WRITTEN PRIOR TO 5/31/06 AND CLEARED AFTER 5/30106 15.00 135.00 6. 19,318.41 7. 7,93667 (ACCOUNT # 1010071101668) TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 3353108 REV-1513 EX+ (9-00) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF SAUL ROSNER FILE NUMBER 21-06-0584 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] SEE FOllOWING PAGE 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 I B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TEMPLE BETH SHALOM 25.00000 913 ALLEN DALE ROAD PO. BOX 346 MECHANICSBURG, PA 17055-0346 I TOTAL OF PART" - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 25,00000 (If more space is needed, insert additional sheets of the same size) Schedule J - Beneficiaries Page 2 of 2 Estate of Saul Rosner File Number 21-06-0584 Name and Address Relationship to Share of Estate Decedent Haskell David Rosner 3685 Widgeon Way Son One sixth Eagan, MN 55123-1157 Beth D. Goldstein 3540 Countryside Lane Daughter One sixth Camp Hill, PA 17011-1523 Susan E. Flynn 4160 Kingston Court Daughter One sixth Eagan, MN 55123-3945 Seth J. Rosner 1152 Pike Street Grandson One twelfth St. Charles, MO 63301-2908 Cari A. Rosner 2800 Grant Street Granddaughter One twelfth Berkeley, CA 94703-2104 Steven S. Goldstein 4455 Southwest 34th Street Grandson One twelfth Apartment L-60 Gainesville, FL 32608-6532 Roshelle L. Goldstein 895 Mandy Lane Granddaughter One twelfth Camp Hill, PA 17011-1536 Jonathan M. Flynn 1758 121st Ave. NW Grandson One twelfth Apartment 7 Coon Rapids, MN 55448-7526 I--- Brian D. Flynn . 4160 Kingston Court Grandson One twelfth L Eagan, MN 55123-3945 COMrvlO,\JWEALTH OF PEf\JNSY~VANIA DEPAR7f\tiEf'-JT OF REVENUE BUREAU 0' If"DIVIDUAL TAYES DEPT 280601 HARRiSBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT GOLDSTEIN LAURENCE 3540 COUNTRYSIDE LANE CAMP HILL, PA 17011-1523 n~n~n laid ESTATE INFORMATION: SSN: 042-12-5883 FILE NUMBER: 2106-0584 DECEDENT NAME: ROSNER SAUL DA TE OF PA YMENT: 08/21/2006 POSTMARK DATE: 08/21/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 05/30/2006 NO. CD 007131 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $59,500.00 I I I I I I I I TOTAL AMOUNT PAID: $59,500.00 REMARI(S: LAURENCE GOLDSTEIN BETH D GOLDSTEIN CHECI(# 1001 INITIALS: CM SEAL RECEIVED BY: TAXPAYER GLENDA FARNER STRASBAUGH REGISTER OF WILLS Detailed Results for Parcel 10-19-1598-274. in the 2004 Tax Assessment Database DistrictNo 10 Parcel ID 10-19-1598-274. MapSuffix HouseNo 895 Direction Street MANDY LANE Ownerl ROSNER, SAUL & SONIA B C/O PropType R PropDesc Liv Area ]829 CurLandVal 50000 CurImpVal ]03080 CurTotVal 153080 CurPrefVal Acreage .85 CIGrnStat TaxEx 1 SaleAmt 72500 SaleMo 02 SaleDa 26 SaleCe 19 SaleYr 86 DeedBkPage 0031 T-00049 YearBlt 1978 HF File Date ] 2/02/2004 HF _Approval_Status A Revenue: Cumberland County "'IndivIdual Taxpayers '" Business Taxpayers '" Tax Prof~ssionals '" """ #'" DEUHQUEtIT UST ;: o BJ~",,~e_QyliLlL1YP~ '" ForT]1!L&_f'ublicilj:LQD~ '" 8.~p~rt~l3< R~~~~Lcl1 '" e-S~rvi~j; '" ~_w to_per1[l?'iI~,ca[1jsl '" EmpJQyJ!l~nt QpJJ~rt!Jnitii;? iii ~JLl.-eqisla~y~ lDformation '" IQxQayers' Rigbts Advocate '" CQDJact lLs iii Aboutj:he_pepartment iii View as Text-OnlY iii Site_Ee~JJQ~ck iii ~i~_Index iii tiQm~ I . Login e-Alerts Receive notification of changes to our site. ~ll_~~cribe Now fiI IRS Page 1 of2 ONLINE SERVICES IIii1iW. I . _MfQIIE;l.~...iB f) .....l Common Level Ratio (CLR) Real Estate Valuation Factors I3r.QV1I~e S~_ar:~h ~e'len~_Home Back PrintabkY~s19Jl Text-Onl')' f!!JJ-S~.r~~n eMail f'r:~viol!? 1'J~)<j: Cumberland County ACCEPTANCE CLR ACCEPTANCE CLR DATE FACTOR DATE FACTOR FROM TO FROM TO 7-2-1986 6-30-1987 9.52 7-1-2006 6-30-2007 1.14 7-1-1987 6-30-1988 10.00 7-1-1988 6-30-1989 10.53 7-1-1989 6-30-1990 11.11 7-1-1990 6-30-1991 12.05 7-1-1991 6-30-1992 12.35 7-1-1992 6-30-1993 12.50 7-1-1993 6-30-1994 12.82 7-1-1994 6-30-1995 13.33 7-1-1995 6-30-1996 13.70 7-1-1996 6-30-1997 14.29 7-1-1997 6-30-1998 14.29 7-1-1998 6-30-1999 14.71 7-1-1999 6-30-2000 15.15 7-1-2000 12-31-2000 15.63 *1-1-2001 6-30-2001 1.00 *7-1-2001 6-30-2002 1.00 7-1-2002 6-30-2003 1.01 7-1-2003 6-30-2004 1.05 7-1-2004 12-31-2004 1.11 **1-1-2005 6-30-2005 1.00 **7-1-2005 6-30-2006 1.00 * Adjusted by the Department of Revenue to reflect assessment base change effective January 1, 2001. ** Adjusted by the Department of Revenue to reflect assessment base change effective January 1, 2005. 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'---"' ....., ewe en ii:~ t:: ~S~~ ;:j LiSO::lO 0 f-Cl..~~ U c: en><-w U 0 a:W<.9 0 ~ :;: LiS 0... .9- m o...f- ...J ::::i ti ::i~::i~ < 0 ..... 'H III 0 U. ;:j ell <:~<:CX> ~ c u.....u..... ..... 0 ~ 0 Q. t:: u. 0 ~ >.-- UJ _ Clt:: {/J :;:c:o ~ ~ ::J c:o.c ...I t:: 1Il...Jl/) ~ 0 UJ ::I ~ a 'Ll z ...I ........ 0 ~ ...J {/J i= < 0 ..... Q. 0 0 PROMISSORY NOTE State of California County of Alameda I, Carl Anne Rosner, promise to repay the Estate of Saul Rosner, my grandfather, the sum of $2500.00 previously received at the time of the distribution of said Estate. r?~ l.- Carl Anne Rosner Date ~ /2./0'5' On this Q~ day of ~..J- , in the year 2005, before me, the undersigned, a duly authon Notary Pubhc In and for the State of California, personally appeared and verified that Carl Anne Rosn , proved to me on the basis of---' satiSffi~ory evi~ be the person whose name appears a ve an ac ow e ge to me that she fully considers the above contract legally binding. Signed: ~ ~- Notary Public in and for the te of California Seal: i........--....-............-........ ~ CAROL EPSTEIN - ". Commission # 1378290 ~ i ~. Notary Public - California ~ Alameda County - . . My Comm. Expires Oct 5, 2006 Kelley Blue Book - Private Party Pricing Report - Toyota, Avalon Page 1 of2 ~ Kelley Blue Book THE TRUSTED RESOURCE IdIIb.co. Close Window }{ .. $SlID TO PlfNiER 2000 Toyota Avalon XlS Sedan 40 BLUEBOOK PRIVATE PARTY VAlUE Condition ..t Excellent (Selected) adverti~;elTlent Value $13,730 Good $12,915 Fair $11,860 Vehicle Details Engine: V6 3.0 Liter Transmission: Automatic Drivetrain: FWD Mileage: 24,000 Selected Standard Equipment Air Conditioning Power Steering Power Windows Power Door Locks Tilt Wheel Cruise Control AM/FM Stereo Cassette Premium Sound Dual Front Air Bags Front Side Air Bags ABS (4-Wheel) Dual Power Seats Alloy Wheels Selected Optional Equipment Multi Compact Disc Leather Moon Roof Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Vehicle Condition Ratings ..t Excellent (Selected) L':'Ur..JL~~,W $13,730 "Excellent" condition means that the vehicle looks new, is in excellent mechanical condition and needs no reconditioning. This vehicle has never had any paint or body work and is free of rust. The vehicle has a clean title history and will pass a smog and safety inspection. The engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. The vehicle also has complete and verifiable service records. Less than 5% of all used vehicles fall into this category. Good http://www.kbb.com/kb/ki.dll/kw.kc.ucp?kbb.PA;;PA041;& 17011&pop;222398&;;ucp;&7;TO;C2 7/28/06 m1 M8UBank STATEMENT PERIOD PAGE APR.09-JUN.08,2006 1 OF 1 ACCOUNT NO. ACCOUNT TYPE 15004198462457 ~IT ~ARKET ADVANTAGE 00 o 061231t ~ 017 19057 SAUL ROSNER 895 MANDY LN CAMP HILL PA 17011-1536 INTEREST EARNED FOR STATE~ENT PERIOD INTEREST PAID YEAR TO DATE 2,073.37 781.82 WEST SHORE PLAZA 157,458.27 DE SITS & OTHER ADDITIONS NO. A~T o CURREN INTEREST PAID BEGINNING BALANCE 0.00 793.66 158,251.93 POSTING DEPOSITS, INTEREST W/DRAWALS & OTHER DAILY DATE TRANSACTION DESCRIPTION I OTHER ADDITIONS SUBTRACTIONS BALANCE 04-09-06 BEGINNING BALANCE $157,458.27 05-08-06 INTEREST PAY~ENT 396.33 157,854.60 06-08-06 INTEREST PAY~ENT 397.33 158,251.93 ENDING BALANCE $158,251. 93 ACCOUNT ACTIVITY ANNUAL PERCENTAGE YIELD EARNED = 3.00 % A $1,000 FOR YOUR THOUGHTS? CONDUCT A TRANSACTION AT YOUR LOCAL BRANCH BETWEEN JUNE 13 AND JULY 21, 2006 TO RECEIVE AN INVITATION TO PARTICIPATE IN OUR CUST~ER SERVICE SATISFACTION SURVEY. CO~PLETE THE SURVEY FOR A CHANCE TO WIN A GRAND PRIZE OF $1,000 OR ONE OF FIVE $100 PRIZES! ~!jd;' . -,.,~ -~-~ WACHOVIA Consolidated Statement 02 1010071101668 752 40 5/4/2006 thru 6/5/2006 10 2 10,611 Crown Classic Banking Account number: Account owner(s): 1010071101668 SAUL ROSNER BETH 0 GOLDSTEIN POA LAURENCE GOLDSTEIN POA Account Summary Opening balance 5/04 Deposits and other credits Interest paid Checks Other withdrawals and service fees Closing balance 6/05 $20,989.83 6,079.49 + 4.23+ 4,094.66 - 3,600.87 - $19,378.02 Deposits and Other Credits Date 5/23 6/01 Amount Description 50.95 DEPOSIT 131.34 AUTOMATED CREDIT FCI USA, INC. PN PMTS/CP CO. 10. 1043581074060601 PPD 897.20 AUTOMATED CREDIT US TREASURY 303 SOC SEC CO. 10.3031036030060602 PPD 5,000.00 AUTOMATED CREDIT FERRIS BAKER WAT CREDIT CO. 10. 1520909521 060602 PPD 4.23 INTEREST FROM 0510412006 THROUGH 06105/2006 $6,083.72 6/02 6/02 6/05 Total Interest Number of days this statement period Annual percentage yield earned Interest earned this statement period Interest paid this statement period Interest paid this year 33 0.25% $4.23 $4.23 $42.03 Checks Number Amount Date Number Amount Date Number Amount Date 688.50 5/09 2815* 499.50 5/31 789.75 5/15 2816 459.00 5/31 500.00 5/22 Total $4,094.66 769.50 5/25 1125 1143* 1144 2806* 50.00 35.56 50.00 252.85 5/22 2810* 5/30 2811 5/15 2812 5/15 2813 * Indicates a break in check number sequence WACHOVIA BANK, N.A., INTERNET CENTRAL EAST page 2 of 4 . ~~~ Consolidated Statement 03 1010071101668 752 40 5/4/2006 thru 6/5/2006 10 2 10,612 -- WACHOVIA - Crown Classic Banking Other Withdrawals and Service Fees Date Amount Description 5/05 224.70 AUTOMATED DEBIT NATIONAL STATES INSURANCE CO. 10.2430825796060505 PPD 5/08 132.27 AUTOMATED DEBIT USAA CREDIT CARD PAYMENT CO. 10. 1470535472060508 PPD 5/10 95.75 AUTOMATED DEBIT USAA P&C PREMIUMPAY CO. 10. 1740959140060510 PPD 5/17 23.89 AUTOMATED DEBIT PAWC PAYMENT CO. 10. 1008096660060517 PPD 5/22 14.75 AUTOMATED DEBIT VERIZON PAYMENTREC CO. 10. 9783397101 060522 PPD 5/24 24.68 AUTOMATED DEBIT BELLSOUTH PHONE-SVC CO. 10.0000357095060524 WEB MISC 5/24 72.71 AUTOMATED DEBIT PP ELEC BILL CO. 10. 1230959590060524 PPD 6/01 3,012.12 AUTOMATED DEBIT CC PLANTATION DEBITS CO. 10. 364320824 060601 PPD Total $3,600.87 Premium Savings Account number: Account owner(s): 3000048693094 SAUL ROSNER Account Summary Opening balance 5/04 Closing balance 6/05 $0.00 SO.OO You can own a home. Wachovia makes it affordable. With My-Community-Mortgage you can enjoy reduced closing costs, better rates, and 100% financing. Visit wachovia.comA7omeloans today. Wachovia Mortgage Corporation, Equal Housing lender Subject to credit approval. Not available in all states. WACHOVIA BANK, N.A., INTERNET CENTRAL EAST page 3 of 4 Explanation of 17,319.33 checking account balance of 05/30/06 derived from 19,378.02 statement balance of 06/05/06. Estate of Saul Rosner File Number 21-06-0584 Credits of 5/31/06 - 6/5/06 06/01/06 131 .34 06/02/06 897.20 06/02/06 5000.00 06/05/06 4.23 Total 6032.77 Checks cashed/debits of 05/31/06 - 06/05/06 05/31/06 Check # 2815 499.50 05/31/06 Check # 2816 459.00 06/01/06 Transfer 3012.12 Total 3970.62 Interest earned from 05/04/06 through 05/30/06 (27/33) (4.23) = 3.46 Checking account balance of 05/30/06 is: The statement balance of 06/05/06 Minus the credits of 05/31/06 - 06/05/06 Plus the checks cashed/debits of 05/31/06 - 06/05/06 Plus the interest earned from 05/04/06 through 05/30/06 Therefore 19,378.02 - 6032.77 + 3970.62 + 3.46 17,319.33 ;;-, ~ Qg;l~f;? S :T X ::J (Jl l:> ~ ~~ :T r- 5"~s::~ 8a.~0: 3 III '" III CD@!!.a !e. 0 (Jl <' 0: III ::J 0.. (Jl 0~ ;:0 o m z m ;:0 m )> ~ m ~ ~ ~ - (0 i-.> N .,.. 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PLEASE CONTACT JESSICA 954-635-6706 Amount Remitted: DETAIL CHARGE Unit: 1-446 Lease 00074801 Invoice Date Description Charges Payments Balance Balance Forward .00 4/12/2006 Guest Room Charges 225.00 225.00 4/12/2006 guest suite 04/12/06 13.50 13.50 4/12/2006 guest suite 04/12/06 11.25 11.25 4/28/2006 Extra Meal(s) - Lunch 7.37 7.37 6/1/2006 Monthly Fee - IL 2,755.00 2,755.00 ACCOUNT SUMMARY Payment is due on the 1 st of the month. Balance Forward: Plus Charges/Adjustments from Current Period: Less Payments from Current Period: AMOUNT DUE: .00 3,012.12 .00 3.012.12 Please include remittance stub with your payment and include Lease No. on your check. Billing Address: Resident: DR. LAURENCE GOLDSTEIN 3540 COUNTRY SIDE LN CAMP HILL PA 17011 SAUL ROSNER 8500 WEST SUNRISE BLVD # 1-446 PLANTATION FL 33322 Make Check Payable To: STATEMENT ~ Classic Residence by Hyatt in Plantation 8500 West Sunrise Blvd Plantation FL 33322 PAST DUE BAL? PLEASE CONTACT JESSICA 954-635-6706 Amount Remitted: DETAIL CHARGE Invoice Date Description Balance Forward 7/1/2006 Monthly Fee - IL ACCOUNT SUMMARY Payment is due on the 1 st of the month. Date - Lease No. - Statement No. - Page - 6/20/2006 74801 Charges Payments Lease 00074801 Balance Unit: 1-446 2,755.00 Balance Forward: Plus Charges/Adjustments from Current Period: Less Payments from Current Period: AMOUNT DUE: .00 2,755.00 .00 2,755.00 .00 2.755.00 Please include remittance stub with your payment and include Lease No. on your check. Billing Address: DR. LAURENCE GOLDSTEIN 3540 COUNTRY SIDE LN CAMP HILL PA 17011 Resident: SAUL ROSNER 8500 WEST SUNRISE BLVD # 1-446 PLANTATION FL 33322 coP,! LAST WILL AND TEST AMENT OF SA UL ROSNER L SAUL ROSNER, of Cumberland County, Pennsylvania, do hereby make this my Last Will and Testament, revoking any former Wills and Codicils made by me. FIRST: I have three children: Haskell David Rosner (born November 18, 1947); Beth Goldstein (born March 29, 1950); and Susan Flynn (born December 29, 1951). These and any other children born to or adopted by me are described in this Will as "my children," or as "a child of mine." Any person born to or adopted by a child of mine is described in this Will as "my issue." Provided. however. that no adopted person shall benefit hereunder unless the order or decree of adoption is entered before such adopted person attains the age of twenty-one (21) years. SECOND: I giYe my tangible personal property and all casualty insurance that I am carrying on tangible personal property. to such of my children who are living at my death, to be divided equitably among or bet\veen them as they may determine, or, if they are unable to agree, as my Personal Representative shall determine, after considering the wishes of such children. I have complete confidence that my children or my Personal Representative will honor any ~Titten instructions that 1 may leave with regard to tangible personal property. Any such property not so distributed shall be sold. and the proceeds added to my residuary estate to pass as hereafter described. /~ . --ell: -1- THIRD: I give the sum that is necessary, but not more than Twenty-Five Thousand Dollars ($25,000), to Temple Beth Shalom of Greater Harrisburg, 913 Allendale Road, Mechanicsburg, Pennsylvania, to enable the Temple to complete the financing of the Temple Beth Shalom Elevator Fund. I may make this contribution while living, and if I do, this legacy shall lapse and be of no force or effect. FOURTH: I give, devise and bequeath the rest, residue and remainder of my estate, real and personal, as follows: my Personal Representative shall divide my estate into two (2) equal separate shares, and distribute the shares as follows: (1) One (1) share shall be distributed per capita to my then-living children, subject to the provisions of Article FIFTH. (2) One (1) share shall be distributed per capita to my then-living issue, subject to the provisions of Article FIFTH. (3) Should none of my children be living at that time, then the share provided in subparagraph (1) shall be distributed per capita to my then-living issue. (4) Should none of my issue be living at that time, then the share provided in subparagraph (2) shall be distributed per capita to my then-living children. (5) If at the time of my death, or at any later time prior to final distribution hereunder. my children. and all my issue are deceased and no other disposition of the property is directed by this Will. then and in that event only, the then-remaining property of my estate, together with any undistributed income, shall be paid over and distributed to Temple Beth /:J .~dl; -2- Shalom of Greater Harrisburg, 913 Allendale Road, Mechanicsburg, Pennsylvania, to be added to the Endowment Fund. FIFTH: If any share hereunder becomes distributable to a beneficiary who has not attained the Outright Distribution Age, as herein defined, then such share shall immediately vest in such beneficiary. but notwithstanding the provisions herein, my Trustee shall retain possession of such share in trust for such beneficiary until such beneficiary attains the Outright Distribution Age, using so much of the net income and principal of such share as my Trustee deems necessary to provide for the proper medical care, education, support and maintenance in reasonable comfort of such beneficiary, taking into consideration to the extent my Trustee deems advisable any other income or resources of such beneficiary or his or her parents known to my Trustee. Any income not so paid or applied shall be accumulated and added to principal. Such beneficiary's share shall be paid over and distributed to such beneficiary upon attaining the Outright Distribution Age. or if he or she shall sooner die. to his or her executors or administrators. I recommend that my Trustee consider distributing all income from such share to such beneficiary when such beneficiary attains the age of twenty-one (21) years. My Trustee shall have with respect to each share so retained all the powers and discretions had with respect to the trusts created herein generally. The Outright Distribution Age shall be defined as followed: (1) In the case of my son. Haskell David Rosner. and my daughters, Beth GoldSTein and Susan Flynn. the age of fifty (50) years: - e/iC. ..., -.)- (2) In the case of my issue, as defin~d in Article ONE, the age of thirty (30) years. SIXTH: Anything in this Will to the contrary notwithstanding, no trust created herein shall continue beyond hventy-one (21) years after the deaths of the last to die of my issue living at the time of my death: upon the expiration of such period, all trusts shall terminate and all the assets thereof shall be distributed to those beneficiaries (and in the same proportions) as are then entitled to receive the income therefrom. SEVENTH: If any beneficiary and I should die under such circumstances as would render it doubtful whether the beneficiary or I died first, then it shall be conclusively presumed for the purposes of this my Will that the beneficiary predeceased me. EIGHTH: (1) I name my daughter, Beth Goldstein, and my son-in-law, Laurence Goldstein, as my Personal Representatives. If either of them is unable or unwilling to serve, then the other shall serve alone as my Personal Representative. I direct that my Personal Representative, and their successors, herein referred to as my Personal Representative regardless of number or gender. sel\e without bond in any jurisdiction in which called upon to act. (2) I name my daughter, Beth Goldstein, and my son-in-law, Laurence Goldstein, as my Co- Trustees. If either of them is unable or unwilling to serve, I name my son, Haskell David Rosner. as the successor Co-Trustee. I direct that my Co-Trustees, and their successors. herein referred to as my Trustee regardless of number or gender, serve without bond in any jurisdiction in \\hich called upon to act. .. 012 -4- (3) Except as otherwise provided herein, if all of the persons named in Paragraph (2) above, or any successor as herein defined should fail to qualify as Trustee hereunder, or for any reason should cease to act in such capacity, the successor or substitute Trustee shall be some individual or financial institution with trust powers, which successor or substitute Trustee shall be designated in a written instrument filed with the court having jurisdiction over the probate of my estate and signed by or on behalf of a majority of my children who have attained the age eighteen (18) years, or if they fail to act, by the court having jurisdiction over the Trust. The situs of the Trust may be transferred to the situs of such successor or substitute Trustee by designation in the written instrument. (-+) F or services as Personal Representative and Trustee, my Personal Representative and Trustee shall receive reasonable compensation. NINTH: (1) I gi ve to any Personal Representative and to any Trustee named in this Will or any Codicil hereto or to any successor or substitute Personal Representative or Trustee all of the powers enumerated in this Will and all of the powers applicable by law to fiduciaries in the Commomyealth of Pennsylvania and in particular through the Pennsylvania Probate, Estates and Fiduciaries Code. as effective and as in effect on the date of my death, during the administration and until the completion of the distribution of my estate, and until the termination of all trusts created in this Will or any Codicil hereto and until the completion of the distribution of the assets of such trusts. 1 direct that all such powers shall be construed in the broadest possible manner and shall be exercisable without court authorization. (2) In determining the federal estate and income tax liabilities of my estate, my Personal Representative shall have discretion to select the valuation date and to determine whether any or all of the allowable administration expenses in my estate shall be used as federal estate tax deductions or as federal income tax deductions. (3) If at any time any trust created hereunder (or any share thereof if the trust shall have been divided into shares) shall be of such value that, in the opinion of my Trustee, the administration expense of holding the assets contained therein in trust is not justified, my Trustee, in its absolute discretion, may terminate such trust and distribute the trust property to the person or persons then entitled to receive or have the benefit of the income therefrom or the legal representative of such person. Ifthere is more than one income beneficiary, my Trustee shall make such distribution to such income beneficiaries in the proportion in which they are beneficiaries or if no proportion is designated in equal shares to such beneficiaries. (4) My Personal Representative and Trustee are authorized and empowered to acquire and to retain. either permanently or for such period of time as my Personal Representative or Trustee may determine, any assets, including the capital stock of any closely held corporation, whether such assets are or are not of the character approved or authorized by law for investment by fiduciaries and whether such assets do or do not represent an overconcentration in one investment. (5) My Personal Representative and my Trustee are authorized and empowered to disclaim any interest. in whole or in part, of which I, my Personal Representative, or my ~ -6- Trustee, may be the beneficiary, devisee, or legatee, by executing an appropriate instrument (in accordance with section 2518 of the Internal Revenue Code of 1986, as amended, or such similar section as may then be in effect). (6) My Personal Representative and Trustee are authorized and empowered to sell at public or private sale, or exchange, and to encumber or lease, for any period of time, any real or personal property and to give options to buy or lease any such property. Additionally, my Personal Representative and Trustee are authorized and empowered to compromise claims, to borrow from anyone (including a fiduciary hereunder) and to pledge property as security therefor, to make loans to and to buy property from anyone (including a fiduciary or beneficiary hereunder); provided that any such loans shall be adequately secured and at a fair interest rate. (7) My Personal Representative and Trustee are authorized and empowered to allocate property, charges on property, receipts and income among and between principal or income. or partly to each. without regard to any law defining principal and income. TENTH: No person who at any time is acting as a co-trustee (if any) hereunder shall have any power or obligation to participate in or to exercise any discretionary authority that I have given to my Trustee to pay principal or income to such person, or for his or her benefit or in relief of his or her legal obligations. Such discretionary authority shall be exercised solely by the disinterested co-trustee( s). ELEVENTH: 1\0 interest of any beneficiary under this WilL any Codicil hereto, or any trust created herein, shall be subject to anticipation or to voluntary or involuntary alienation. A -7- TWELFTH: All estate, inheritance, succession and other death taxes imposed or payable by reason of my death and interest and penalties thereon with respect to all property comprising my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid out of the residue of my estate, as if such taxes were expenses of administration, without apportionment or right of reimbursement. I authorize my Personal Representative and Trustee to pay all such taxes at such time or times as deemed advisable. IN WITNESS WHEREOF, I have set my hand and seal on this my Last Will and Testament this ~:!f- day of f/ ErJ>-r , ,2003. ~~ (SEAL) SIGNED, SEALED, PUBLISHED, and DECLARED by SAUL ROSNER, as and for his Last Will arid Testament, on the day and year last above written, in the presence of us, who. at his request, in his presence. and in the presence of each other, all being present at the same time. have hereunto subscribed our names as witnesses: .~ 'y (/1. Jf LfL::! 1\ ~ll~-i~tOA -8- SELF-PROVING AFFIDAVIT COMMONWEAL TH OF PENNSYLVANIA COUNTY OF WcJl;J1/~ SS. WE, SAUL ROSNER, the Testator, and Bridget M. Whitley Kristi P. Foster ,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 signed and executed the instrument as his Last Will and that he had signed willingly (willingly directed another to sign for him), and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testator, signed the Will as witness and to the best of his or her knowledge the Testator was at that time eighteen (18) years of age or older, of sound mind, and under no constraint or undue influence. s~~ k~)t; JlIJ9- ~~^ Witness, ' Witness Subscribed, sworn to, and acknowledged before me by SAUL ROSNER, the Testator, and subscribed and sworn to before me by Bridget M. Whitley ~ day of , and ~%rk.m tL( , witnesses, this Kristi P. Foster ,2003. ~1~ ,//(ur Notary Publi COMMONWEALTH OF PENNSYLVANIA ~~OT ARIAL SEAL KELLY R HOWELL, Notary Public City Of Harrisburg, Dauph:n County My Commission Expires Septr;r;ber 2, 2006 -9- j r-vc\ --llo C . c~0 i)"A~'L ~)U .OD ~ P D c.:5:> DC) ~ \ S<6'D