The URL can be used to link to this page

Home My WebLink About11-27-07 --.J REV-1500 EX (06-05) PA Department of Revenue Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 15056041158 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY County Code Year 21 07 File Number 0892 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Decedent's Last Name Suffix Date of Birth 09101940 Decedent's First Name MI RANDALL E Spouse's First Name MI ADA J 172-32-0452 09062007 LYNN (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix LYNN Spouse's Social Security Number 195-32-1746 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW []] 1. Original Return o 4. Limited Estate []] 6. Decedent Died Testate (Attach Copy of Will) o 9. Litigation Proceeds Received Future Interest Compromise (date of death after 12-12-82) Decedent Maintained a Living Trust n....-. 8. Total Number of Safe Deposit Boxes (Attach Copy of Trust) Spousal Poverty Credit (date of death D 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number 02. 04a. 07. 010. 5. Federal Estate Tax Return Required Supplemental Return o D 3. Remainder Return (date of death prior to 12-13-82) RICHARD (. SNELBAKER 717-697-8528 City or Post Office State ZIP Code ""''' REGISTEIfOF WILLS USE<ONL Y C-'::O ........ . ~~ '::D 0 i "];20 ...~ :-; r-:-, N -0. ::n --J (./")7, 8~ ~ '::::::f ijjrE FILED Firm Name (If Applicable) SNELBAKER & BRENNEMAN, P.C. First line of address 44 WEST MAIN STREET Second line of address p.o. BOX 318 MECHANICSBURG PA 17055 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 com plete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. OF PERSON RESP NSIBLE FOR FILING RETURN DATE IV U oJ, I? "')...0,:) 7 EXECUTRIX HER THAN REPRESENTATIVE 'RaL....-<-- 16 SOUTH HIGH STREET, MECHANICSBURG I. DATE PA 17055 , J0 1 ADORE S RICHARD C. SNELBAKER, ESQUIRE 44 WEST MAIN STREET, MECHANICSBURG, PLEASE USE ORIGINAL FORM ONLY PA 17055 Side 1 L 15056041158 6M4647 3.000 15056041158 --.J j --.J 15056042159 REV-1500 EX Decedent's NameL Y N N RECAPITULATION 1. Real estate (Schedule A) 2. Stocks and Bonds (Schedule B) . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . 4. Mortgages & Notes Receivable (Schedule D). . . . . . . . . . . . . 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E). 6. Jointly Owned Property (Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) D Separate Billing Requested 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . Decedent's Social Security Number 172-32-0452 RANDALL E .1. 0.00 . 2. 0.00 . 3. 0.00 . 4. 0.00 . 5. 1824.82 . 6. 0.00 . 7. 0.00 . 8. 1824.82 . 9. 1667.82 10. 157.00 11. 1824.82 12. 0.00 13. 0.00 14. 0.00 9. Funeral Expenses & Administrative Costs (Schedule H) . 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I). 11. Total Deductions (total Lines 9 & 10). . . . 12. Net Value of Estate (Line 8 minus Line 11) . 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . 14. Net Value Subject to Tax (Line 12 minus Line 13) 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 .0D- 0 . 00 16. Amount of Line 14 taxable at lineal rate X .01i..S 0 . 00 17. Amount of Line 14 taxable at sibling rate X .12 0.00 18. Amount of Line 14 taxable at collateral rate X .15 0 . 00 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 15056042159 6M4648 2.000 15. 0.00 16. 0.00 17. 0.00 18. 0.00 19. 0.00 D 15056042159 --.J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME LYNN STREET ADDRESS T T. File Number 0892 RANDALL E MECHANICS BURG BOROUGH - ,~_._"..:-.-,.~ C M CITY' MECHANICS BURG STATE Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 0.00 0.00 0.00 0.00 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 Total Interest/Penalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in box on Page 2, Line 20 to request a refund. (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 0.00 0.00 0.00 0.00 0.00 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes o o o o o o o No [K] [X] [X] 00 00 lXJ 00 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. 99116 (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. 89116 (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 use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. 99116(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. 89116(1.2) [72 P.S. 99116(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. 89116(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. 6M4671 1.000 REV-1508 EX + (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Randall E. Lvnn FILE NUMBER 21 07 0892 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 VALUE AT DATE OF DEATH 1 Commonwealth of Pennsylvania property tax rebate 500.00 2 1989 Ford Bronco Kelly Blue Book Value (see attached) 875.00 3 1994 trailer homemade with 1,700 gross hauling weight 60.00 4 1993 trailer homemade with 920 gross hauling weight 60.00 5 Mutual of Omaha refund unused premium on medical insurance policy 329.82 3W46AD 1.000 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 1,824.82 Kelley Blue Book - Trade-In Pricing Report - Ford, Bronco Kelley BlueBook THE IllUSTED RESOURCE. . -'-'----~.-'''.''..-,.........eom Page 1 of 3 ddvertisernent. Quick Dealer Price Quote Search Used Car Listings List Your Car for Sale "':t"}lj,P;__~~~~j~Iifl"tt~_('-US;ED CARS "~I.t~.JAr:l~"tJ;t~':::I~.tt;;\li'f~tk;I~:-'t~'ll~;[~l~__iijJPil;:f.t,!li~:iI.,~"_~ rJ~~~["l~r.tl?II~ftl'ltli';~{~. ......-.. . .. ".. [joms; > Used Cars> 19.112 > EnC>!). Bronco> fulQIL\llilit\L2D > Equipment Print This Page 1989 Ford Bronco Sport Utility 20 Trade-In Value Private Party Value Suggested Retail Value Photo Gallery Vehicles NEW! Blue 800k ReView Consumer Ratings Find Your Next Car Specifications f$f!tsi Shopping Tools Free CAR FAX Record Check Auto Loan from 5.99% APR Compare Insurance Rates Payment Calculator SELL YOUR USED CAR on Blue Book Classifieds'" Reach millions of shoppers on kbb.com, Cars.com, and other popular sites, find out more, Click SUY It USED CAR on Blue Book Classifieds'" Ford Bronco 30 Miles or less ZIP Code 17055 To View Ads, Click FINO THE ~li;HT CAR Compare Used YS. New Under $5,000 Both New and Used SUV BLUE BOOKs TRADE.IN VALUE More Photos NEXT STEPS: Condition Value Excellent Good $lf!:iOO $1,270 $875 Fair Get Pricing on New Vehicles Sell Your SUV Average Consumer Rating (50 Reviews) Read Reviews Check Out Our 10 Most Researched SUVs Check out New Vehicles From Ford Vehicle Highlights t....++_./f.n,.,...,r....1.................. .................-Ivnn IT T__ ..Jf"'1_" _ Inu. -. . trade-In Pricing Report - Ford, Bronco A !ist, Click Mileage: Engine: Transmission: Drivetrain: 135,000 V8 5.0 Liter Automatic 4WD VIEW ANOTHER VEHiClE Select Year... Change Equipment Selected Equipment Standard Or Search by Category Or Change ZIP Code Power Steering AM/FM Stereo Air Conditioning Optional Power Windows Cassette Sun Roof Blue Book Trade-In Value Trade-in Value is what consumers can expect to receive from a dealer for' a trade-in vehicle assuming an accurate appraisal of condition. This value will likely be less than the Private Party Value because the reselling dealer incurs the cost of safety inspections, reconditioning and other costs of doing business. Vehicle Condition Ratings Check Vehicle Title History Excellent $1.,500 "Excel!ent" condition means that the vehicle looi',s nevv, is in excellent rnechanlcat condition and needs no reconditioning, This vehicle has never had any paint or body work and is free of rust. The vehicle I,as a clean title history and will pass a smog and safety inspection. The engine compartment is clean, with no tluid leaks and is free of any wear or visible defects, Tile vehicle also has complete and verifiable service records. Less than 50,,! of all used vehicles fall into this category. Good $1,270 "Good" condit[()n rneans that the vehicle is free of any IYlajor (jefects, Thjs vehicle has a dean tlt~e rll~}torYl the paint! body and Jnterior have on1y rninor (if any) blerl1ishes{ dn(j there are no rl1a:ior rnechanical pl'oblerl1s. There should be little or no rust on this vehicle. The tires Inatch and have substantial tread wear left. A "good" vehicie will need some recof1clitionln9 to be soicl at. retaiL f-1ost C00,SUrnef O\Nned ve(dcics fall into t.his cater]or\!. Fair tWl<t::f'~}.~:~; l;4;':t~;.(L;:k $875 "Fair" condition means that the vehicle has some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. This vehicle has a clean title history, the paint, body and/or interior need work performed by a professional. The tires may need to be replaced. There may be some repairable rust damage. Poor N/A "Poor" condition means that tile vehicie has seve,'e mechanical and/or cosmetic defects and is In pOOl" running condition. The vehicle may rlave Page 2 of3 Finance & Insurance Get a New Car Loan from 5.99% APR Get a Pre-Owned Loan from 6.65% APR Your Credit Score for Free Get a Free Insurance Quote advertisement http://www.kbb.comlKBBlUsedCarslPricingReport.aspx?ManufacturerId=15& Y earId= 1989& V eniclp('1 1 1 /11. /'J (If),7 REV-1511.EX+ (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Randall E. Lynn SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. FILE NUMBER 21 07 0892 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Funeral Luncheon 235.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attorney Fees Snelbaker & Brenneman, P.C. 500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) 827.82 Claimant Ada J. Lynn Street Address 16 South High Street City Mechanicsburq State PA Zip 17055 Relationship of Claimant to Decedent SPOUSE 4. Probate Fees 70.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Register of Wills filing fee for Inheritance Tax Return 15.00 Total from continuation schedules 20.00 TOTAL (Also enter on line 9, Recapitulation) $ 1 667.82 7W46AG 1.000 (If more space is needed, insert additional sheets of the same size) Estate of: Randall E. Lynn 172-32-0452 Schedule H Part 7 (Page 2) 2 Reserve for filing fees and other costs associated with the administration of the Decedent's estate 20.00 Total (Carry forward to main schedule) 20.00 REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Randall E. Lynn SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS FILE NUMBER 21 07 0892 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1 . Ci tibank credit card payoff VALUE AT DATE OF DEATH 157.00 3W46AH 2.000 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 157.00 REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Randall E Lvnn SCHEDULE J BENEFICIARIES NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) FILE NUMBER 21 07 0892 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE 1 Ada J. Lynn 16 South High Street Mechanicsburg, PA 17055 Surviving Spouse 0.00 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 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 3W46AI 1.000 (If more space IS needed, Insert additional sheets of the same size) \ \ .~~J ('- -.' '\\ \: ~'j,V'.i. \\ \\ )\ \ h ~ ~ \1 ~\ '.') , ~'\ \.<. 'it -\ (". ~.... (, 1 \J ~ \~": . .. h\...~ ,~ 1\ LAW OFFICES SNELBAKER 8< ELICKER LAST WILL AND TESTAMENT I, RANDALL E. LYNN, of the Borough of Mechanicsburg, County of Cumberland, and Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at any time heretofore made. FIRST. I order and direct that all my just debts and funeral expenses be paid by my Executrix, Executor or Executors, as the case may be, hereinafter named, as soon as conveniently may be done after my decease. SECOND. I give and bequeath my guns and hunting equipment unto my sons, namely, RANDALL L. LYNN and VICTOR G. LYNN, said items to be distributed in accordance with the alternating choices of individual items by my said sons, such selection process to commence with the first item to be chosen by my older son. THIRD. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, unto my wife, namely, ADA J. LYNN, absOlutely and in fee simple, if she survives me by as many as sixty (60) days. FOURTH. If my wife, ADA J. LYNN, does not survive me by as many as sixty (60) days, then and in that event, I order and direct that all the rest, residue and remainder of my Estate be distributed and disposed of in the following manner: A. I give and devise all of my real estate located in Seville Township, perry County, :\ '.: ~\ ""~.! f\ \'~. I ' LAW OFFICES SNELBAKER & ELICKER h Pennsylvania, (together with all household furnishings and equipment therein) in equal shares unto my two (2) sons, namely, RANDALL L. LYNN and VICTOR G. LYNN, share and share alike as tenants in common, in fee simple. If either of my said sons should predecease me, larder and direct that the undivided interest of such deceased son in said real estate shall be distributed unto his lawful issue then living per stirpes by representation and not per capita. If any such issue have not attained the age of twenty-three (23) years at the time of my death, I order and direct that the undivided interest of any such beneficiary shall be held and managed for him or her in accordance with the provisions of Paragraph E hereinbelow. B. I give and bequeath unto my daughter, namely, NINA M. LYNN FINK, a sum of money equal to one-third (1/3) of the appraised value of the real estate devised under Paragraph A hereinabove. The term "appraised valueR shall mean the value accepted by any governmental body having the power ,of taxing said real estate as the result of my death. If no such taxing requirement exists at the time of my death, then the "appraised valueR shall mean the value determined by the formal appraisal of a competent and reputable real estate appraiser being a full member of the American Association of Real Estate Appraisers (RMAIR) as selected by my said daughter, the fees and expenses of which appraisal shall be borne by my Estate as an expense of administration. If my said daughter should -2- predecease me, I order and direct that said sum of money shall be distributed unto the then living lawful issue of my said daughter per stirpes by representation and not per capita. If any of such issue have not attained the age of twenty-three (23) years at the time of my death, I order and direct that the respective distributive amounts shall be held and managed for him or her in accordance with I't \\ ''I , ' r~", \,' ~\ \ ,~ ~ f\ \~ ~.,~ '~ the provisions of Paragraph E hereinbelow. If my said daughter should predecease me and if it is necessary to select a real estate appraiser under the foregoing terms, I order and direct that the entity named as Trustee in Paragraph E hereinbelow shall select said appraiser. C. I order and direct that a sum of money equal to ten per centum (10%) of my residuary estate (being the gross value of my Estate less my lawful debts, the expenses of administration, funeral expenses, death or inheritance taxes and the prior distributions required under Paragraphs A and B hereinabove) shall be set aside for distriQution unto my grandchildren living at the time of my death, which sum I give and bequeath in equal shares unto such grandchildren, share and share alike, without substitution of issue. D. I give, devise and bequeath all the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever and wheresoever situated, in equal shares unto my three (3) children, namely, NINA LAW OFFICE'S SNEL.BAKER a ELICKER M. LYNN FINK, RANDALL L. LYNN and VICTOR G. LYNN, share and share alike, absolutely and in fee simple. -3- \ \\ \ ~~: '" \ , \. \~~ .~\.'. I i . , i t-'.\. ' ,~,,\\ \.~ ,,~ ~ f'\ \, '\.\.'..: \~), .' ~". " ~\ \ . LAW OFFICES SNELBAKER a ELICKER r If any of my said children should predecease me, I order and direct that the share of such deceased child shall be distributed unto her or his lawful issue per stirpes by representation and not per capita, subject, however, to the protective provisions of Paragraph E hereinbelow. E. I order and direct that the distributive share under any of the foregoing Paragraphs to any beneficiary who has not attained the age of twenty-three (23) years at the time of my death shall be distributed unto THE FrRST BANK AND TRUST COMPANY OF MECHANICSBURG, PA (or any successor by reason of merger, consolidation or other corporate reorganization) in a separate trust, nevertheless, as my testamentary Trustee, to hold, manage, invest, accumulate income and reinvest until said beneficiary attains the age of twenty-three (23) years, at which time said individual trust shall be terminated and the then remaining net balance of said trust shall be distributed unto the beneficiary absolutely. LASTLY. I nominate, constitute and appoint my wife, ADA J. LYNN, to be the Executrix of this, my Last Will and Testament, but if for any reason she should fail to qualify as such Executrix or cease so to serve, then and in that event, I nominate, constitute and appoint my son, namely, RANDALL L. LYNN, to be the Executor hereof. If both of the foregoing persons should fail to qualify as my personal representatives hereunder or cease so to serve, then and in that ultimate event, I nominate, constitute and appoint my two (2) other children, namely, NINA M. LYNN FINK and VICTOR G. LYNN, to be the -4- Executors of this, my Last Will and Testament. I order and direct that none of the above named persons shall be required to post bond or other security as a condition of qualification hereunder. IN WITNESS WHEREOF, I, RANDALL E. LYNN, have hereunto set my hand and seal to this, my Last Will and Testament which consists of five (5) typewritten pages to ~~ch of rhich I have aff ixed my signatu re this ;l;;!.~ /i1p day of 1Jt>>(/?,A)'t~/L A. D. , One Thousand Nine Hundred Eighty-eight (1988). - /) ~dP C.:;f1 ;t;Z-?L . " . C=!-;':~/'7 .</",.,1' (SEAL) The preceding instrument, consisting of this and four (4) other typewritten pages, each identified by the signature of the Testator, was on the date thereof signed, sealed, published and declared by RANDALL E. LYNN, the Testator therein named, as and for 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 subscribed our names as witness~.reto . /~g /'/.,...-- . 'j ~ke-V :'" ..L---~- 2 ;; '6;.q Ii cl-' /f1.::::t'~'-""--"'-~l (j " AW OFFICES o,KER 8< ELICKER -5- COMMONWEALTH OF PENNSYLVANIA SSe COUNTY OF CUMBERLAND We, RANDALL E. LYNN, RICHARD C. SNELBAKER" and JANET M. FORRY, the Testator 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 Testament and that he had signed willingly, 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 a witness and that to the best of his or her knowledge the Testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ;;2 ( ~1A;- m.wic:::-s~ Subscribed, sworn to and acknowledged before me by RANDALL E. LYNN, the Testator, and subscribed and sworn to before me by RICHARD C. SNELBAKER and JANET M. FORRY, witnesses, this ,;2;2 ;' .f day of ~,!e.~,Jf'r , 1988. /) ........ ~?/7 . ( .-d/~F .1_:";; <:9. /~~",J'YL Notary Publle AW OFnCES \KER 6< ELICKER t30~e':l . 'J cmhlfil~e f. r...!.m::;m:, r~~tt'ir'/l'ub!,~ Meeh8n~C?~}~i}J. f!<~~~;._.:~:j_:::i!"f~~~~ (~~~;tY Mycr!m"")~r:'!~~i~;'': "";~}!li'e:;..~~J. #;3, h1'd"'V Mem~:~;~~~cl;j!!~QlOOes ,