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HomeMy WebLinkAbout01-14-08 (2) REV. 1500 EX + \6'()0} *' REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FIL.E NUMBER 21 07 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 00564 NUMBER COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 I- Z W o W u W o DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Myers, Dorothy W. . DATE OF DEATH (MM-DD-YEAR) _... _n ___ _______ ___ DATE OF BIRTH (MM-DD-YEAR) 04/13/2007 03/20/1926 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) 252-36-7069 THIS RETURN MUST BE FIL.ED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER ~ 1. Original Return 0 2. Supplemental Return w I- D limited Estate 0 4a. Future Interest Compromise (date of death after :ll::~<I) 4. uO:::ll:: 12-12-82) wQ.u ~ 0 ::\:00 6. Decedent Died Testate (Attach copy 7. Decedent Maintained a Living Trust (Attach uO::..J Q.al of Will) copy of Trust) Q. cf: D 9. litigation Proceeds Received 0 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) o 3. Remainder Return (date of death prior to 12-13-82) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) I- Z W o z o Q. Debra K. Wallet FIRM NAME (If applicable) Law Offices of Debra K. Wallet TELEPHONE NUMBER 717/737-1300 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship z o ;::: S ::J I- 0:: cf: u W 0:: 4, Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 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) COMPLETE MAILING ADDRESS 24 North 32nd Street Camp Hill, PA 17011 (1 ) 139,000.00 (2) 139,770.24 (3) None (4) None (5) 8,025.78 (6) 3,762.24 (7) None (8) (9) 14,824.42 (10) 9,305.78 -) OfTICIA. USf:>JNL{ r") ':.....;.) (".) 290,558.26 (11 ) 24,130.20 266,428.06 (12) (13) 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) (14) 266,428.06 SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(a)(1.2) z 266,428.06 .045 (16) 0 16.Amount of Line 14 taxable at lineal rate x ;::: < I- ::J Q. 17.Amount of Line 14 taxable at sibling rate x .12 (17) :E 0 u )( 18. Amount of Line 14 taxable at collateral rate cf: x .15 (18) I- 19. Tax Due (19) 11,989.26 11,989.26 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. Copyright 2000 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00) 0fV Decedent's Complete Address: STREET ADDRESS 1923 Columbia Avenue CITY Camp Hill STATE PA ZIP 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 11,989.26 10,000.00 526.32 Total Credits (A + B + C) (2) 10,526.32 3. InteresUPenalty if applicable D. Interest E. Penalty TotallnteresUPenalty (0 + E) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. 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 the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) 0.00 (4) (5) 1,462.94 (5A) (5B) 1,462.94 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;.................................................................................. 0 ~ ~. ~::::~ :~e~~~i:On:~:~;::s~:~shall. ~se.t~eprope~Yt~nsferredoritsinco~e,............................... ..... 8 ~ d. receive the promise for life of either payments, benefits or care?.............................................................. D ~ 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. Under penalties of pe~ury, I declare that I have examined this retum, 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 OF PERSON RESPONSIBLE FOR FiliNG RETURN ADDRESS Ri~~~VidMY. ~ 't........ [". ,'.'.. ..... .. .' "--' S\GNATU F PERSON RESPONS LE FOR FILING RETURN DATE 104 North 23rd Street Camp Hill, PA 17011 I /" f D? DATE ADDRESS SIGNATUR-E OF PREPAREROTHER THAN REPRESENTATIVE Debra K. Wallet ADDRESS DATE ~ \!. eJ~ 24 North 32nd Street Camp Hill, PA 17011 I , II \ Or 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 3% [72 P.S. 39116 (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 0% [72 P.S. 39116 (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 0% [72 P.S. 39116 (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 4.5%, except as noted in 72 P.S. 39116 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 12% [72 P.S. 39116 (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. . SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Myers, Dorothy w. 'I FILE NUMBER 21 - 07 - 00564 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 wimng seller, neither 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 1 DESCRIPTION VALUE AT DATE OF DEATH 139,000.00 1923 Columbia A venue, Camp Hill, P A (based upon appraisal of McCarthy Associates) TOTAL (Also enter on Line 1, Recapitulation) 139,000.00 . SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Myers, Dorothy W. FILE NUMBER 21 - 07 - 00564 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF NUMBER DEATH 1 Ameriprise Mutual Fund #01012390470 7 002 6.010 6,969.03 2 Ameriprise Mutual Fund #010129020680002 9.100 7,702.40 3 Ameriprise Mutual Fund #011222115328002 4.840 5,057.22 4 Ameriprise Mutual Fund #012422115324002 4.740 ! 4,069.29 5 Ameriprise Mutual Fund #01252211532 3 002 3.000 6,118.59 6 Ameriprise Mutual Fund #01512211532 0 002 6.150 4,329.42 7 Ameriprise Mutual Fund #017122115326002 5.440 8,814.51 8 Ameriprise Mutual Fund #01722211532 5 002 6.310 4,992.43 9 Ameriprise Annuity #93002154873 8 004 68,753.57 10 Ameriprise Annuity #93002970607 2 004 20,495.47 11 MetLife Stock 63.29 i 2,468.31 TOTAL (Also enter on line 2, Recapitulation) 139,770.24 . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Myers, Dorothy W. FILE NUMBER 21 - 07 - 00564 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 1 M&T Bank Account Acct. #8892392823 DESCRIPTION VALUE AT DATE OF DEATH 526.48 2 Contents of home (estimated value) 5,000.00 3 Cash in possession of Decedent 80.00 4 Federal pension deposits 1,677.70 5 State pension deposits 741.60 TOTAL (Also enter on Line 5, Recapitulation) 8,025.78 * COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE F JOINTLY-OWNED PROPERTY Myers, Dorothy W. ----- - - -- FILE NUMBER 21 - 07 - 00564 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. A Richard David Myers SURVIVING JOINT TENANT(S) NAME ADDRESS JOINTLY OWNED PROPERTY: ITEM LETTER NUMBER FOR JOINT TENANT A 2 A DATE MADE JOINT 2002 2002 104 North 23rd Street Camp Hill, PA 17011 RELATIONSHIP TO DECEDENT Son DESCRIPTION OF PROPERTY 1- % 0 Incll;ld~ n~me ,?f~inancial institution and bank.a~count number' DATE OF DEATH, DEets I DA~~~JEDc5:TH or similar Identlfymg number. Attach deed for JOintly-held real VALUE OF ASSET ilNTERESTI DECEDENT'S INTEREST e~~e. I Postmark Checking Account - 4180 Postmark Savings Account - 4180 3,712.60'j 3,811.88 50%! 50%: 1,856.30 1,905.94 TOTAL (Also enter on line 6, Recapitulation) 3,762.24 SCHEDULE H FlJt.ERAL. EXPENSES & ADIVIINlSTRA11VE COS1S COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Myers, Dorothy W. FILE NUMBER 21 - 07 - 00564 Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION AMOUNT FUNERAL EXPENSES: Harner Funeral Home 1903 Market Street, Camp Hill, PA 17011 Rolling Green Cemetery - cemetery marker 8,194.00 2 221.00 3 Food for funeral meal 521.48 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions B. Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City Year(s) Commission paid State Zip 2. Attorney's Fees Debra K. Wallet, Esq. 2,500.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City Relationship of Claimant to Decedent State Zip 4. Probate Fees 352+ 30+ 10 392.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Patrick McCarthy - home appraisal 310.00 2 PP&L 415.67 Total of Continuation Schedule(s) 2,270.27 TOTAL (Also enter on line 9, Recapitulation) 14,824.42 '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Myers, Dorothy W. 3 AT&T 4 Penn Waste 5 UGI 6 Pennsylvania American Water 7 Verizon 8 Direc TV 9 Camp Hill sewer 10 All-State (homeowner's insurance) 11 Bank service charges 12 Postage paid by Don Myers 13 Postage, photocopies, mileage, etc. Schedule H Funeral Expenses & Adminis1rative C<m; continued FILE NUMBER 21 - 07 - 00564 I Page 2 of Schedule H 70.05 134.97 986.45 255.45 174.48 307.25 85.00 152.72 46.00 7.90 50.00 . SCHEDULE I DEBTS OF DECEDENT, MORTGAGE liABiliTIES, & liENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Myers, Dorothy W. Include unreimbursed medical expenses. ITEM NUMBER 1 Leggett (hot water heater) DESCRIPTION 2 East Penn Ambulance 3 UGI 4 Stay at Home Health 5 Meals on Wneels 6 Messiah Village 7 AT&T 8 DirecTV 9 PP&L 10 Penn Waste 11 Verizon 12 Pennsylvania American Water 13 Jan Miller - 2007 County Real Estate taxes 14 Jan Miller - 2007 School taxes 15 lan Miller - personal taxes 16 Repayment of Federal pension overpayment 17 Repayment of State pension overpayment 18 Leggett - emergency repair 19 CVS - medications FILE NUMBER 21 - 07 - 00564 TOTAL (Also enter on Line 10, Recapitulation) AMOUNT 1,752.53 468.00 304.67 1,207.22 67.70 30.00 20.05 132.66 105.40 54.61 55.94 37.35 972.80 1,866.30 5.50 838.45 741.60 525.00 120.00 9,305.78 REV-1513 EX+ (9-00) . SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Myers, Dorothy W. I FILE NUMBER 21 - 07 - 00564 RELATIONSHIP TO AMOUNT OR SHARE DECEDENT OF ESTATE Do Not List Trustee(s) NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS (include outright spousal distributions) Richard David Myers 104 North 23rd Street Camp Hill, PA 17011 ! Son 1/3 of residuary estate 2 Donald Lewis Myers 6109 Edmund Street Philadelphia, P A 19135 i Son 1/3 of residuary estate 3 Dennis Lee Myers 111 West 70th Street, #5R New York, NY 10023 Son 11/3 of residuary estate Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet I II. NON-TAXABLE DISTRIBUTIONS: i A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS I TOTAL OF PART \1- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEETi I J ~ { :~ ::;;--- w c:y r< b~ J D J LAST WILL AND TESTAME,NT Of' D 0 ROT H Y W~ M Y E fl, S I, DOROTHY W. MYERS, of Camp Hill, Cumberland County, Pennsylvania, being of sound and disposing mind, memory, and understanding, do hereby make, publish, and declare this to be my Last Will and Testament and hereby revoke all other Wills and Codicils that I have made, including the Will dated July 2, 1984. FIRST: All of my Estate, of whatever nature and wherever situate, I give, devise, and bequeath, in equal shares, to those of my sons who survive me by thirty (30) days: RICHARD DAVID MYERS, of Camp Hill, Pennsylvania; DONALD LEWIS MYERS, of Philadelphia, Pennsylvania; and DENNIS LEE MYERS, of New York, New York. SECOND: Should any of my sons fail to survive me by thirty (30) days, I direct that this son's share be given to his widow, provided she has not remarried at the time of my death. In the event that the widow does not qualify, I give and bequeath this son's share to those of his children then living, in equal shares. These children shall take, per stirpes, the share to which my son would have been entitled if then living. THIRD: If any portion of my Estate shall be payable to a beneficiary who is less than eighteen (18) years of age, my Executor may pay such share to the beneficiary's parent or guardian, as custodian for said minor, who shall deposit such share in the minor's name in a Uniform Gift to Minors I Act account in a savings institution of the Executor's choosing, payable to the minor at majority. ~ " J } ~ ~ ""\ ~ -- ~ Q FOURTH: All interests of any beneficiary in the income or principal of this Estate, while undistributed and in the possession of my Executor, even though vested and distributable, shall not be subject to attachment, execution or sequestration for any debt, contract, obligation or liability of any beneficiary and, furthermore, shall not be subject to pledge, assignment, conveyance, or anticipation. FIFTH: All inheritance, estate, and succession taxes (including interest and any penalties thereon) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. SIXTH: In addition to all rights and powers conferred by law, I authorize and empower my Executor and his successors, in his absolute discretion and without necessity of obtaining court approval: A. To buy investments at a premium or discount. B. To hold property unregistered or in the name of a nominee. C. To give proxies, both ministerial and discretionary. D. To compromise claims. E. To join any merger, consolidation, reorganization, voting trust plan, or any other concerted action of security holders and to delegate discretionary duties with respect thereto. F. To lend to, and buy from, my estate. G. To borrow and to pledge real and personal property as security therefor. H. To sell at public or private sale for cash or credit or partly for each, to exchange, or to lease for any period of time, any real or personal property, and to give options for sales, exchanges, or leases. j \ o -\ ~ ~.j ,~ ,-,\ ~ ~ i j GO 1. To exercise any option permitted by law which he believes to be advantageous from the viewpoint of overall tax reductions, including, without limitation of the foregoing, power and authority to claim administration or other expenses either as income tax deductions or inheritance or estate tax deductions, without regard to whether they were paid from principal or income and without requiring adjustments between principal and income for any resulting effect on income or estate taxes, and a deduction of such expenses for income tax purposes shall be given effect in computing the respective shares of all persons interested in my estate set forth herein, even though the effect is to increase the share of one beneficiary or class of beneficiaries hereunder at the expense of another; and to make such adjustments, if any, between beneficiaries with respect thereto as he shall deem appropriate in view of the nature of the transaction and the amounts involved. J. To distribute in cash or in kind or partly in each. The powers granted hereunder shall be exercisable with respect to all real and personal property, including, but not limited to, income and principal held for minors or disabled beneficiaries at any time, until the actual distribution of all property. All powers, authorities and discretion granted here shall be in addition to those granted by law and shall be exercisable without leave of court. However, nothing herein shall be interpreted or construed to encourage, authorize, empower, or permit the Executor to act or cause anyone to act in a manner contrary to or inconsistent with accepted standards of portfolio diversification and risk management. SEVENTH: I nominate, constitute, and appoint my son, RICHARD DAVID MYERS, as Executor of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability of this son to act for whatever reason in this capacity, then I nominate, constitute, and appoint my son, DONALD LEWIS MYERS, as Executor of this, my Last Will and Testament. In the event of the renunciation, death, resignation, or inability of this son to act for whatever reason in this capacity, then I nominate, constitute, and appoint my son, DENNIS LEE MYERS, as Executor of this, my Last Will and Testament. I direct that no representative named above shall be required to post security for the faithful performance of his duties in any jurisdiction insofar as I am able by law to relieve him of such obligation. Any of my representatives shall be entitled to reasonable compensation for the performance of the duties set forth here. IN WITNESS WHEREOF, I have hereunto set my hand and seal this J1.~r day of tJ.,,~..A. U" , 2000, on this, the fourth of four typewritten pages. I have also signed the left-hand margin of the first three of these pages for purposes of identification only. -- I .r ~(/~. ., . i3 lUL--&-V;1 O~ DOROTHY W. MYERS SIGNED, PUBLISHED, and DECLARED by the Testatrix, DOROTHY W. MYERS, as her Last Will and Testament, in the presence of us, who at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses. (~h1Ylu-7/ c2l3 )Jv2,/77 ~ tl-~. ~/. ,jJA-/'70sL3 ~ ~.J~ n ~ A llL..J v i La-.) ~"'.E. ~"'-'H,wbV',. ".. (~$"S- ACKNOWLEDGMENT Commonwealth of Pennsylvania County of Cumberland I, DOROTHY W. MYERS, Testatrix, whose name is signed to the attached instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. D 0'L~~{-{, Uj rtt{.~_- DOROTHY w. M~ERS Sworn or affirmed to and subscribed before me by DOROTHY W. MYERS, the Testatrix, this 0< (5 l:- day of J'-JOvtyy)6r ,2000. f\ 11'1 Ct 1.1 A 1'~n .3:0pj)J\ Notary Pub liC Notarial Seal Mary M. Loper, Notary Public Camp Hill Bora, Cumber1and County My Commission Expires Oct. 27, 2003 Member. Pennsylvania Association ot Notanes AFFIDAVIT Commonwealth of Pennsylvania County of Cumberland We, Debra K. Wallet and ~/L-()n c! tV 0. IC~{ df.,Y , the witnesses whose names tI are signed to the attached instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute the instrument as her Last Will and Testament; that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testatrix signed the Will as witnesses; and that, to the best of our knowledge, the Testatrix was at that time 18 years of age or older, of sound mind, and under no constraint or undue influence. \OLW- -fl. ~tIW- ~(ujXlU7/ Sworn or affirmed to and subscribed to before me bYUW(1).. 1::::. (j) (t \ i <- ~ d ---;-)\- j~~.l . h' /) I~t- d f J l_ 2000 an t< nC(\L~G- u KU.C (1-' wItnesses, t IS ~ ay 0 /\ OJQ...n'J~;'j-, . ,nQ~iil: -(n. ,:j~0J1\ Notary Publ I Notarial Seal Mary M. Loper, Notary Public Camp Hill Boro, CUmber1and County My Commission Expires Oct. 27. 2003 Member, Pennsylvania AsSOCiation ot Notanes r ~~ '-!I"'''~", ! ,~.. '1"1' ""1' ~~ ;tj ~ I -~'~""I'! ft I':T';~- \' ~, 1" till/III if !1I/"I"Itll'fI,1I !I ~ II ~ III~ ~=~,~:1,1 r'.!III1"'~1II ;~ iq , ()! PN '2= 3 1 (y.: ('''C I JriT '0,,/ fIr ;"'1 I {:.:-l,') i~4 - ~',!r11"'f"":i"~''''''''" . ~ I ji f '{ t CLAS F I ~ ~ ; "1 I I III I (\If' f _.l.ldJ 1..:...' Lae.~ 0 DEBRA K. WALLET 24 N. 32nd STREET CAMP BDL, PA 17011-2917 TO: : Glenda F. Strasbaugh, Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, P A 17013 ~111 ~ j lili I. ~ r~ - ~ il~ IiIJ!ljl:l~ ~i 111111 ~I.