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Home My WebLink About10-15-07 -..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 County Code Year INHERITANCE TAX RETURN 2 1 07 RESIDENT DECEDENT File Number 0439 Date of Birth 181322512 05022007 04231911 Decedent's Last Name Suffix Decedent's First Name LILLIAN MI A WALLOWER (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW X 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4. Limited Estate 4a. Future Interest Compromise (date of death after 12-12-82) X 6. Decedent Died Testate (Attach Copy of Will) 7 Decedent Maintained a Living Trust . (Attach Copy of Trust) o 8. Total Number of Safe Deposit Boxes 9. Litigation Proceeds Received 10 Spousal Poverty Credit (date of death . between 12-31-91 and 1-1-95) 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 JAMES G. MORGAN JR. 7172344121 Firm Name (If Applicable) TUCKER ARENSBERG, P.C. REGISTER OF wilLS USE ONLY First line of address 111 NORTH FRONT ST. Second line of address City or Post Office HARRISBURG DATE FILED . '. State PA ZIP Code 17108-0889 Correspondent's e-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. S FOR FILING RETURN ATE Scott Wallower 9; 6l 11 860 Williamsb~\g Blvd., Dq, SIGNATURE OFPREPARER 9TI:lER T~~ ~. .' ,1\ ingtown, PA 19335 SENTATIVE James G. Morgan Jr. .-, I DA _ ///7 C I ADDRESS I 111 North Front St., Ha~~isburg, PA 17108-0889 Side 1 L 15056041147 15056041147 -..J ~ PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07 -0439 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. Signature #2 lJJ.tM Name Address1 Address2 City, State, Zip Lori Wallower Weihbrecht 12 Natures Crossing Date Enola, PA 17025 /C/7'/07 I --.J 151]561]42148 REV-1500 EX Decedent's Name Lillian A. Wallower Decedent's Social Security Number 181322512 RECAPITULA TION 1. Real Estate (Schedule A)...................................................................................... 1. 2. Stocks and Bonds (Schedule B)..............................__........................................... 2. 840,815.40 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. 26,251.58 6. Jointly Owned Property (Schedule F) Separate Billing Requested............. 7. Inter-Vivos Transfers & Miscellaneous N()n-Probate Property (Schedule G) r Separate Billing Requested............. 6. 7. 65,106.66 932,173.64 -- --------- ...------------ ---- -- --------- 17,624.65 7,140.02 24,764.67 907,408.97 6,000.00 901,408.97 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. 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 Subjectto 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, of transfers under Sec. 9116 (a)(1.2) X ~ 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 o .00 o . 0 0 15. 0.00 16. o . 0 0 17. 18. 135,211.35 19. 135,211.35 o .00 901,408.97 19. Tax Due............................. ............................................................. n................... 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. o Side 2 L 151]561]42148 151]561]42148 --.J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Lillian A. Wallower ______________________ - ____n___________________ STREET ADDRESS 483 Woodcrest Drive File Number 21-07-0439 CITY STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 135,211.35 135,000.00 -- -- ------- ---------------- 6,760.57 3. InteresUPenalty if applicable D. Interest E. Penalty Total Credits (A + 8 + C) (2) 141,760.57 TotallnteresUPenalty (D + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is thEOVERPA YMENT. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is theTAX DUE A. Enter the interest on the tax due. 8. Enter the total of Line 5 + 5A. This is theBALANCE DUE (3) (4) (5) (5A) (58) 6,549.22 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;............................................................................. b. retain the right to designate who shall use the property transferred or its income;................................ x c. retain a reversionary interest; or..........................................................................................__................ x d. receive the promise for life of either payments, benefits or care?........................................................... x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................ .................................................................................... x 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?......... x 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation?............................ ................................................................................... ~; 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. S9116 (a) (1.1) (i)l 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. S9116 (a) (1.1) (ii)]. The statutedoes 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. S9116 (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. S9116 1.2) [72 P.S. S9116 (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. S9116 (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+ (6-98) *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07 -0439 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 11,558 shares of AIB 61.76 713.822.08 2 3,555 shares of FUL T 14.76 52.471.80 3 641 shares of PNC 74.48 47.741.68 4 472 shares of PPL 44.27 20.895.44 5 50 shares of UTS PENN INSD MUN INC TR #186M- 117.688 5.884.40 20813960 TOTAL (Also enter on Line 2, Recapitulation) 840.815.40 (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 B (Rev. 6-98) Rev-15G8 EX+ (6-98) *' SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07-0439 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Citi Smith Barney - Bank Deposit Program VALUE AT DATE OF DEATH 21.979.18 2 M&T Bank - Checking Acct. No. 98128191 4.148.70 Accrued interest on Item 2 through date of death 0.03 3 PNC Bank - Checking Acct. No. 5140066688 - non-interest bearing checking account 123.67 TOTAL (Also enter on Line 5, Recapitulation) 26.251.58 (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+ (6-98) *' SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07 -0439 This schedule must be completed and filed ~ the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF y DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. 1 Community Banks, N.A. - Acct. No. 6130039374- 40.000.00 40,000.00 Totten Trust for Kenneth Shindledecker and Dorothy Shindledecker 2 Community Banks, N.A. - Acct. No. 6130039374- 33.98 33.98 accrued interest 3 Communnity Banks, N.A. - Acct. No. 6130020562 25.000.00 25.000.00 - Totten Trust for Kenneth Shindledecker and Doroath Shindledecker 4 Communnity Banks, N.A. - Acct. No. 6130020562 72.68 72.68 - accrued interest TOTAL (Also enter on Line 7, Recapitulation) 65.106.66 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 ScheduleG (Rev. 6-98) Rev-1502 EX+ (6-981 *' SCHEDULE H-A FUNERAL EXPENSES continued COMMONVVEAL TH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07-0439 ITEM NUMBER DESCRIPTION AMOUNT 1 Musselman Funeral Home & Cremation Services, Inc. - additional charges for obituary notice 110.03 2 Musselman Funeral Home & Cremation Services, Inc. - funeral expenses 5.342.00 Subtotal 5.452.03 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H-82 ATTORNEY'S FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07-0439 ITEM NUMBER DESCRIPTION AMOUNT 1 Tucker Arensberg, P.C. - fees 9.500.00 Subtotal 9.500.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B2 (Rev. 6-98) Rev-1502 EX+ (6-98) . SCHEDULE H-B4 PROBATE FEES continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07-0439 ITEM NUMBER DESCRIPTION AMOUNT 1 Register of Wills - probate fee 456.00 Subtotal 456.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B4 (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H-87 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07 -0439 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal - proof of publication 75.00 2 Pealers Flowers - funeral arrangement 222.55 3 Register of Wills - short certificates 8.00 4 Rolling Green Cemetary - interment and recording fees 1.195.00 5 Rolling Green Cemetary - plaque inscription 360.00 6 The Italian Oven - funeral luncheon 114.38 7 The Sentinel - Legal - proof of publication 222.46 8 Tucker Arensberg, P .C. - expenses 19.23 Subtotal 2.216.62 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 ScheduleH-B7 (Rev. 6-98) Rev.1512 EX+ (6-98) . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07-0439 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1 Medical Staffing Network - private nursing care VALUE AT DATE OF DEATH 348.75 2 Pharmerica - prescription 25.90 3 Pinnacle Health - SNU - Final invoice from Seidle Nursing Home 6.763.31 4 Quantum Imaging - x-rays 2.06 TOTAL (Also enter on Line 10, Recapitulation) 7,140.02 (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-1513 EX+ (9-00) ESTATE OF NUMBER I. 1 2 3 4 5 *' SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Wallower, Lillian A. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal aistributions, and transfers under Sec. 9116(a)(1.2)] FILE NUMBER 21-07 -0439 SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) RELATIONSHIP TO DECEDENT Do Not List Trustee/s) Maxine Moppin 440 Shuler Road Etters, PA 17319 Friend Five Thousand dollars Kenneth Shindledecker 238 Ridge Ave. Gettysburg, PA 17325 Friend Ten Thousand dollars Betty Wallower 483 Woodcrest Drive Mechanicsburg, PA 17055 Niece Residue of estate Robert C. Wallower 483 Woodcrest Drive Mechanicsburg, PA 17055 Grand Nephew Five Thousand dollars Robert R. Wallower 483 Woodcrest Drive Mechanicsburg, PA 17055 Nephew Residue of estate See continuation schedule attached Continuation Total Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS See continuation schedule(s) attached 6,000.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 6,000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 6-98) SCHEDULE ,J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Lillian A. Wallower 181-32-2512 05/02/2007 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 6 Ruth Wallower Sister-in-Law Two Thousand Frey Village dollars 1020 N. Union St. Middletown, PA 17057 7 Scott Wallower Grand Nephew Five Thousand 860 Williamsburg Blvd. dollars Downingtown, PA 19335 8 Lori Wallower Weihbrecht Grand Niece Five Thousand 12 Natures Crossing dollars Enola, PA 17025 Total 1 Rev-1502 EX+ (6-98) *' SCHEDULE .I.IIB CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Wallower, Lillian A. FILE NUMBER 21-07 -0439 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 First Church of God 15 North 4th Street Harrisburg, PA 17101 3.000.00 2 Trinity Lutheran Church 2000 Chestnut Street Camp Hill, PA 17011 3.000.00 Subtotal 6.000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule J-IIB (Rev. 6-98) Rev-1512 EX+ (6-98) *' SCHEDULE Y-19A Inheritance Tax Paid @ 5% Discount COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Wallower, Lillian A. FILE NUMBER 21-07-0439 ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Register of Wills, Agent - 5% Discount payment 135.000.00 TOTAL (Also enter on Line 10, Recapitulation) 135.000.00 (If more space is needed. additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. WILL I, LILLIAN A. WALLOWER, of Mechanicsburg, Cumberland County, Pennsylvania declare this to be my last will and revoke any will previously made by me. ITEM I. I give, devise and bequeath the following gifts: A) I give and bequeath the sum of Three Thousand ($3,000.00) Dollars to the FIRST CHURCH OF GOD, North Fourth Street, Harrisburg, Pennsylvania. B) I give and bequeath the sum of Three Thousand ($3,000.00) Dollars to the TRINITY LUTHERAN CHURCH, Camp Hill, Pennsylvania. C) I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to ANN O'CONNOR of Camp Hill, Pennsylvania. D) / give and bequeath the sum of Five Thousand ($5,000.00) Dollars to ROBERT C. WALLOWER of Mechanicsburg, Pennsylvania. E)/ give and bequeath the sum of Five Thousand ($5,000.00) Dollars to LORI WEIHBRECHT of Harrisburg, Pennsylvania. F) I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to SCOTT WALLOWER of Downingtown, Pennsylvania. G) I give and bequeath the sum of Five Thousand ($5,000.00) Dollars to MAXINE MOPPIN of Lewisberry, Pennsylvania. H) I give and bequeath the sum of Two Thousand ($2,000.00) Dollars to FRED WALLOWER AND RUTH WALLOWER, or the survivor of them of Middletown, Pennsylvania. Page 1 of 6 pages. I) I give and bequeath the sum of Ten Thousand ($10,000.00) Dollars to KENNETH SHINDLEDECKER. If any legatee named in Items (C) through (I) should predecease me, then such bequest to them, if not by decent, shall lapse and become part of my residuary estate. ITEM II. I give, devise and bequeath the rest, residue and remainder of my estate, real and personal to ROBERT R. WALLOWER AND BETTY WALLOWER, or the survivor of them, their heirs and assigns. ITEM III. No interest in income or principal shall be assignable by, or available to anyone having a claim against, a beneficiary before actual payment to the beneficiary. ITEM IV. All of my just debts and expenses owing at the time of my death and any debts arising from my death and burial shall be paid out of the principal of my residuary estate. ITEM V. All federal, state, and other death taxes payable on the property forming my gross estate for tax purposes, whether or not it passes under this will, shall be paid out of the principal of my residuary estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. Page 2 of 6 Pages. ITEM VI. I authorize my executor: A. to retain and to invest in all forms of real and personal property, regardless of (i) any limitations imposed by law on investments by executors or trustees, (ii) any principle of law concerning delegation of investment responsibility by executors or trustees, or (iii) any principle of law concerning investment diversification; B. to compromise claims and to abandon any property which, in my executor's opinion, is of little or no value; to borrow from, and to sell property to others, and to pledge property as security for repayment of any funds borrowed; C. to sell at public or private sale, to exchange or to lease for any period of time any real or personal property, and to give options for sales or leases; D. to join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto; E. to use administrative or other expenses of my estate as income tax or estate tax deductions and to value my estate for tax purposes by any optional method permitted by the law in force when I die, without requiring adjustments between income and principal for any resulting effect on income or estate taxes; and F. to distribute IN KIND and to allocate specific assets among the beneficiaries in such proportions as my executor may think best, so long as the total market value of any beneficiary's share is not affected by such allocation. Page 3 of 6 Pages. These authorities shall extend to all real and personal property at any time held by my executor and shall continue in full force until the actual distribution of all such property. All powers, authorities, and discretion granted by this will shall be in addition to those granted by law and shall be exercisable without leave of court. ITEM VII. I appoint Scott Wallower and Lori Wallower Weibrecht, Co-Executors under this will. No personal representative appointed hereunder shall be required to give bond or furnish sureties in any jurisdiction. ITEM VIII. The term "executor" or any pronoun used to indicate the executor, any other fiduciary or any beneficiary shall be deemed to apply to one or more than one person or corporation and to the masculine, feminine or neuter gender as the case may be. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my last will, this ~Ff day of June 2003. , F. ',_ ~z/{ ~.A,.t{:rl.,fv\ (S EAL) Lillian A. Wallower vr ~"":; '1 ~.rz-,..< Page 4 of 6 Pages. SIGNED, SEALED, PUBLISHED, and DECLARED by the above testatrix, as and for her last will, in the presence of us, who thereupon at her request, in her presence and in the presence of each other, have hereunto subscribed our names as witnesses. Page 5 of 6 Pages. STATE OF PENNSYLVANIA ( ss: COUNTY OF DAUPHIN _ We, Lillian A. Wallower, ~f\I\(1 Ir;jrt:-.so/ I , and ;j 0, "" <2.::; b. m 0 r~.... ~ d { the testatrix and witnesses, respeqtively, whose names are signed to e attached or foregoing Instrument, being first duly sworn do hereby declare to the undersigned authority that the testatrix signed and executed the instrument as her last will and that she had signed willingly and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testatrix, signed the will as witness and that to the best of our knowledge, the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~l~'\{\' '-1;'\, \~ -;:;l~~,,>" Lillian A:vJallower ~ Ehyh/Zt jGv Witn P /7 1/ ,~~...//J'4. ~C./)'0'V'"" u" ~ess /J SUBSCRIBED, sworn to or affirmed, and acknowledged before me by the above-named testatrix and by the witnesses whose names appear above on the Ll~ . I day of June 2003. ,~~~~ No ry Public My commission expires: 59118 NolariaJ Seal PaUine Patti Thomas, Notary Public City Of Harrisburg, Dau!%tin County My Commission Expires Mar. 24, 2007 Mamber. Fennsylvania AssoclaIIon Of Notaries Page 6 of 6 Pages. TUCKER ARENSBERG Attorneys October 11, 2007 Cumberland County Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Re: Estate of Lillian A. Wallower No. 21-07-0439 Dear Sir or Madam: Enclosed for filing please find an original and one (1) copy of the Inventory and an original and two (2) copies of the Pennsylvania Inheritance tax return in the above-referenced estate. Please time-stamp one copy of each and return to me in the enclosed self- addressed stamped envelope. Additionally enclosed is a check payable to "Register of Wills" in the amount of $30.00 representing the filing fee. Should you have any questions, please do not hesitate to contact me. Thank you for your cooperation in this matter. Sincerely, Tucker Arensberg, P.C. rtk{/~ Theresa A. Wheeler Paralegal to Attorney James G. Morgan, Jr. , cr. :taw Enclosures ~ -----I 96774 Tucker Arensberg. Pc. 111 N. Front Street PO. Box 889 Harrisburg, PA 17108 p.717.234.4121 f. 717232.6802 www.tuckerlaw.com 1500 One PPG Place Pittsburgh, PA 15222 p.412.566.1212 f.412.594.5619 ~._.- ~ OJ 0 I ~. &S ~ 0 &S ~ ~ ~ N;: I ;f? 0 0 o y.). ~ ::: u.1 ~: (D ~.. <3: ,- 1-' F !I.I eo ~ n. c~ (/I ~ :::~ .JalseH u C l: C. C L ( .!!!. ( , ., ~ Q) ( -.-.. - ( 1.._ 0 cn ( '- ::J l co Q) 0 ( 0 ... ..c ,J ~ ,~t I"- ~ C)::J ~ ~ Q) 0 0::0 m Oi ::J :; ?:-?:-&M .0 lD~ (J) CC ...- .;:: ::J::JQ)o ~Ql ~ OOcnt- ~: I OO::J...- P=l~ en -o-o,g<( co Cf)- co CCta.. Z<l: x ~~ 0 '- ,-::J _ ell Q)Q)OJQ ~ c:i .o.oOcn 0.: E E Q)';: a; ::J ::J C m ~ 0000 ~ en c ~ 0 It .s ~ 0 z ~ ~ ~ ~ -. - ==