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Home My WebLink About08-0094 ,--- ,,;:::t, :Ii~,;, '" :0) ;; f"' C r I C, (' C,!~L' L',j C' r- tn N -,:: 0- 'n N -- ~~E --) ex:' g ~ - - .-::r 1__0=- q~ ~'-~.. /~.c -... ~. 1-1__ - c:) - .- ca :E tn en as - o ... tn ... .- LL (l OJ o r-.. W 0:: :; o <( I..J tJ) f-- W <( (D >- w Z ~ > 2 0:: f-- <(< ~ <( z ~ (l) ~ :: ~ ~ I) x ~ ~ 0 Z ;( iD !r nO :)u:~ ,"'] :J m Ul lr lr <( I V tIl ,.J:::: tIl ;:l tlIl = 0 ;:l --,.J:::: ro ~ 1::: ~ '+-< ;:l " oct'-- ro 0 0 "" t::l-<U~M C/l~o;:l~ l-< tIl ~ C"M V -511 ;:l C/l ....... ~~8~~ ~ v 0 .g~]"€~ VCl-<;:l ~ ....... vOV O~.DU~ ~ ~ g ~ i ~CUOU ~ /4 21-()g-OO~ MARVIN BESHORE Attorney at Law 130 State Street, P.O. Box 946 Harrisburg, P A 17108-0946 Email: MBeshore@beshorelaw.com Telephone: (717) 236-0781 Facsimile: (717) 236-0791 Admitted in Pennsylvania and New York EIN: 03-0386542 January 23, 2008 Glenda Farner Strasbaugh Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013-3387 ~:;:; f"0 (Jl '../ Re: Estate of Harold V. Coulson r'.) U1 --.J Dear Ms. Strasbaugh: Enclosed for filing is an original and three copies of the Inheritance Tax Return. I have also enclosed a check in the amount of $15.00 for the filing fee. There IS no amount to be paid for the Inheritance Taxes to the Department of Revenue. Please time-stamp a copy and return it in the self-addressed stamped envelope which I have enclosed. Thank you for your assistance. MB:tag Enclosures . . . --.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 ~I or File Number (b~q'1. Coulson Sr. Date of Birth 03/30/1922 Decedent's First Name MI Harold V Spouse's First Name MI Billie J 204-01-1207 04/23/2007 Decedent's Last Name Suffix (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Coulson Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ie 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 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 e 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes Marvin Beshore, Esquire Firm Name (If Applicable) Law Offices M. Beshore r USE ~i.Y ,I: [',) <:..'1 First line of address 130 State Street --~ -0 Second line of address r,,) P.O. Box 946 01 -~J City or Post Office Harrisburg State ZIP Code DATE FILED PA 17108 Correspondent's e-mail address:mbeshore@beshorelaw.com 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. DATE -cJ. - {) 8 DATE AD RES 130 State Street, P.O. Box 946, Harrisburg, PA 17108-0946 PLEASE USE ORIGINAL FORM ONLY L 15056051058 Side 51058 --.J --.J 15056052059 REV-1500 EX Decedent's Name: Harold V Coulson 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) Separate Billing Requested . . . . . . . 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested. . . . . . . . 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Funeral Expenses & Administrative Costs (Schedule H). . . . . . . . . . . . . . . . . . . . . 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/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_ 64,095.00 16. Amount of Line 14 taxable at lineal rate X.O_ 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15056052059 Side 2 Decedent's Social Security Number 204-01-1207 1. 2. 3. 4. 5. 6. 7. 64,095.00 8. 64,095.00 9. 0.00 0.00 0.00 15. 0.00 16. 17. 18. 0.00 15056052059 -I REV-1500 EX Page 3 Decedent's Complete Address: File Number DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER Harold V Coulson 204-01-1207 STREET ADDRESS 84 Front Street CITY I STATE I ZIP West Fairview PA 17025 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 Total Credits (A + 8 + C ) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty 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 oval 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. 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5) (5A) (58) 0.00 A. Enter the interest on the tax due. 0.00 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 [iJ b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [iJ c. retain a reversionary interest; or.......................................................................................................................... 0 [iJ d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [iJ 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. 0 [iJ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 [iJ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ [iJ 0 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 PS. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. 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 PS. 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. 99116(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. 99116(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-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Harold V. Coulson SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 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. Morgan Stanley - IRA/Retirement Account No. 410 024002 101, 64,095.09 100 64,095.00 value as of April 30, 2007 TOTAL (Also enter on line 7 Recapitulation) $ 64,095.00 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF Harold V. Coulson FILE NUMBER 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)] 1. June B. Coulson a/k/a Billie Jean Coulson, 84 Front Street, West Fairview, PA 17025 Wife 100% 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 $ (If more space is needed, insert additional sheets of the same size) -- ;' ! '" /"') ,: _ ,- -f' 1--":>; t.f' ,.." '\ \... .--.{.,-\ - ,_ - ~ f.... :: tJ!",/ ~/'J5- LAST WILL AND TESTAMENT of HAROLD V. COULSON, SR. I, HAROLD V. COULSON, SR., of84 Front Street, West Fairview, 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. 1. I direct that the expenses of my burial and all my debts be paid as soon after my death as may be convenient to my Executor or Executrix hereinafter named. 2. I give, devise and bequeath all the rest, residue and remainder of my estate, whether real or personal, of whatsoever nature and kind, and wheresoever situate, unto my wife, BILLIE JUNE COULSON, provided that she survives me by sixty (60) days. 3. In the event that my wife, BILLIE JUNE COULSON, predeceases me or dies on or before the 60th day following my death, I give and bequeath the following items to my son, HAROLD V. COULSON, JR.: Coleman generator; electric bed; mahogany gate leg table with red lamp; mahogany 3-drawer desk; mahogany large dresser with mirror; mahogany table with leaf; 6-drawer high-boy; grandfather clock; stereo; all Emmitt Kelly, Jr. Clowns (4 large, 2 small); glass 3-way lamp; one cane chair (square bottom seat - flat arms); kitchen table and six chairs; my wedding band and my wife's wedding band. ~ 4. In the event that my wife, BILLIE JUNE COULSON, predeceases me or dies on or before the 60th day following my death, I give and bequeath the following items to my grandson, MICHAEL E. COULSON: 12 guage Ithaca (473065-2); Mahogany four poster bed; large dresser with mirror; maple chest of drawers; mahogany armoire; mahogany barometer; one cane chair (round bottom seat); ladderback chair and desk. 5. In the event that my wife, BILLIE JUNE COULSON, predeceases me or dies on or before the 60th day following my death, I give and bequeath the following items to my great- grandson, MICHAEL SCOTT COULSON: All three (3) eagles; car; solid mahogany bowl; mahogany stool; small solid chestnut table; clock and matching dog; wooden calendar; picture old man in candy store window; all coins and one and two dollar bills in steel box; 30.06 Remington gun (477606); 30.06 Remington gun (479516); 35 Remington gun (136631); High Standard 22 caliber gun (930960W -100); 22 caliber 140 pellet Crosman gun; 177 caliber Power Master 760 BB E pellet gun. 6. In the event that my wife, BILLIE JUNE COULSON, predeceases me or dies on or before the 60th day following my death, I give, devise and bequeath the remaining cemetery lots at Mount Olivet Cemetery to my son, HAROLD V. COULSON, JR. 7. In the event that my wife, BILLIE JUNE COULSON, predeceases me or dies on or before the 60th day following my death, I give and bequeath my retirement account at Dean, Witter, Reynolds, Inc., unto Dauphin Deposit Bank and Trust Company, as Trustee, in Trust, for the benefit of my great-grandson, MICHAEL SCOTT COULSON, for the following uses and - 2 - ~~ purposes: (a) The Trustee shall have, hold, manage, invest and reinvest principal thereof, and shall expend and apply so much of the net income (any income not expended or applied to be accumulated and added to principal) and so much of the principal of the Trust as the Trustee shall consider advisable for the health, maintenance, support and education (including college education, both undergraduate and graduate) of MICHAEL SCOTT COULSON, until he attains the age of21 years. Thereafter, the Trustee shall distribute on a monthly basis the net income of the Trust and may expend so much of the principal as it shall consider advisable for the health, maintenance, support and education (including college education, both undergraduate and graduate) of MICHAEL SCOTT COULSON, after taking into consideration his other readily available assets and sources of income, until he attains the age of25 years. (b) When MICHAEL SCOTT COULSON attains an undergraduate college degree, the Trustee shall distribute to him 38% of the then remaining principal balance of his Trust. When MICHAEL SCOTT COULSON attains the age of25 years, the Trustee shall distribute to him the balance of the Trust principal and any accrued and undistributed income free of Trust. (c) If at any time before the final distribution of the Trust, MICHAEL SCOTT COULSON dies, the Trust shall be divided into as many shares as there are issue of his living and maintained for the benefit of each of his issue until they attain 21 years of age at which time the Trust shall terminate. The Trustees then shall distribute the balance of the principal and income to each such issue free of Trust. If MICHAEL SCOTT COULSON - 3 - ~n dies without issue before final distribution, the Trust shall terminate and its assets be divided and paid, 5/8ths thereof to HAROLD V. COULSON, JR., and 3/8ths thereof to MICHAEL E. COULSON, provided that both survive MICHAEL SCOTT COULSON. In the event that both HAROLD V. COULSON, JR., and MICHAEL E. COULSON do not survive MICHAEL SCOTT COULSON, then 1/4th of the Trust shall be distributed to ROBIN L. COULSON, and the balance thereofto the survivor of HAROLD V. COULSON, JR., and MICHAEL E. COULSON. Ifneither HAROLD V. COULSON, JR., nor MICHAEL E. COULSON survive MICHAEL SCOTT COULSON, then the Trust shall be distributed in equal shares to ROBIN L. COULSON, and KRISTEN D. JONES. (d) Except as otherwise expressly provided in this Will, no beneficiary of any Trust provided for in this Will shall have any right, power or authority to alienate, encumber or hypothecate his or her interest in the principal or income of such Trust in any manner, nor shall such interest of any beneficiary be subject to claims of his or her creditors or liable to attachment, execution or other process of law. (e) In the settlement of my Estate and during the continued existence of the foregoing Trust, my Executrix and the Trustee shall possess, among others, the following powers to be exercised for the best interests of the beneficiaries: (1) To retain any investment I may have at my death so long as my Executrix or Trustee may deem it advisable to my estate or Trust so to do. (2) To vary investments, when deemed desirable by my Executrix or Trustee, and to invest in such bonds, stocks, notes, real estate mortgages or other securities or in such other real or personal property as my Executrix - 4 - ~ or Trustee shall deem wise, without being restricted to so-called "legal investments. " (3) In order to effect a division of the principal of my estate or a Trust or for any other purpose, including any final distribution of my estate or any Trust, my Executrix or Trustee is authorized to make said divisions or distributions of the personalty and realty partly or wholly in kind. If such division or distribution is made in kind, said assets are required to be divided or distributed at their respective values on the date or dates of their division or distribution. (4) To sell either at public or private sale and upon such terms and conditions as my Executrix or Trustee may deem advantageous to my estate or any Trust, any or all real or personal property or interest therein owned by my estate or any Trust severally or in conjunction with other persons or acquired after my death by my Executrix or Trustee, and to consummate said sale or sales by sufficient deeds or other instruments to the purchaser or purchasers, conveying a fee simple title, free and clear of all Trust and without obligation or liability ofthe purchaser or purchasers to see to the application of the purchase money or to make inquiry into the validity of said sale or sales; also, to make, execute, acknowledge and deliver any and all deeds, assignments, options or other writings which may be necessary or desirable in carrying out any of the powers conferred upon my Executrix or Trustee in this paragraph or elsewhere in my Will. - 5 - 'lf~ (5) To mortgage real estate, and to make leases on real estate. (6) To pay all costs, taxes, expenses and charges in connection with the administration of my estate or a Trust. My Executrix shall pay expenses of my last illness and funeral expenses. (7) To vote any shares of stock which form a part of my estate or Trust and to otherwise exercise all the powers incident to the ownership of such stock. (8) In the discretion of my Executrix or Trustee, to unite with other owners of similar property in carrying out any plans for the reorganization of any corporation or company whose securities form a part of a Trust or of my estate. (9) To assign to and hold in any Trust an undivided portion of any asset. (10) In the discretion of my Trustee, if the size of any Trust herein established shall become so small that it is impractical or uneconomical to continue said Trust, my Trustee may distribute all accumulated income and principal to the beneficiaries of the Trust. (11) The right and discretion to elect the most propitious settlement options for any employee benefit options payable to any Trust assuming such election shall be in accordance with procedures established by the plan's administrator, as the case may be. 8. In the event that my wife, BILLIE JUNE COULSON, predeceases me or dies on or before the 60th day following my death, I give, devise and bequeath all the rest, residue and - 6 - ~~ remainder of my estate as follows: (a) 4/8ths (one half) thereof unto my grandson, MICHAEL E. COULSON, as Trustee for my son, HAROLD V. COULSON, JR., ifhe survives me. Ifhe predeceases me, I give, devise and bequeath his share unto my great-grandson, MICHAEL SCOTT COULSON. (b) 3/8ths thereof unto my grandson, MICHAEL E. COULSON, ifhe survives me. If he does not survive me, I give, devise and bequeath 1/8th of the residue unto my son, HAROLD V. COULSON, JR., and 1/4th of the residue unto my great-grandson, MICHAEL SCOTT COULSON. In the event that either HAROLD V. COULSON, JR., or MICHAEL SCOTT COULSON do not survive me, I give, devise and bequeath his share unto his issue who survive me, per stirpes. (c) 1/8th to my great-grandson, MICHAEL SCOTT COULSON. In the event that I am survived by no issue, I give, devise and bequeath all the rest, residue and remainder of my estate in equal shares unto ROBIN L. COULSON and KRISTEN D. JONES. 9. I appoint my wife, BILLIE JUNE COULSON, to be the Executrix of this my Last Will and Testament. In the event that she shall predecease me, or fail to qualify, or cease to act as Executrix, I then appoint HAROLD V. COULSON, JR., and MICHAEL E. COULSON, or the survivor of them, as Executors. In the event that both HAROLD V. COULSON, JR., and MICHAEL E. COULSON predecease me, or fail to quality, or cease to act as Executor, I then appoint MICHAEL SCOTT COULSON, ifhe is oflegal age, if not ROBIN L. COULSON, as the alternate ExecutorlExecutrix of this my Last Will and Testament. - 7 - 10. No Executrix, Executor, or Trustee shall be required to furnish any bond or other r security in any jurisdiction, or if a bond be required, neither shall be required to furnish any surety thereon. IN WITNESS WHEREOF, I, HAROLD V. COULSON, SR., have hereunto set my hand (> e- and seal to . s, my Last Will and Testament which consists of.fl. typewritten pages, this L day ~~~..k HAROLD V. COULSON, SR. of Signed, sealed, published and declared by the above-named, HAROLD V. COULSON, SR., as his Last Will and Testament in the presence of us, who at his request, in his presence and in the prese ce of each other e hereunto subscribed our names as witnesses. }J1~ g. Witness IJ-~r of 4-//QU-rhurfB. New ~~ fIJ-/ZJ70 0[;29/3 f1~d j)yive- IYJ/dd ~ }/fJ /705,7 - 8 - ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA COUNTY 0;]) tJ-A/f/?1 'rJ ) ) SSe ) I, HAROLD V. COULSON, SR., Testator, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed this instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~~ OLD V. COULSON, SR. Sworn or affirmed to and acknowledged before me, by HAROLD V. COULSON, SR., the Testator, this ~~d day of -.:Jh. fiL .2005. ttJ~ Notary Public COMMONWEALTH OF PENNSYLVANIA Notarial Seal Anne Marie Beshore. Notary Public City of Harrisburg, Dauphin County My Commission Expires Apr. 5, 2008 Member, Pennsylvania Association of Notaries - 9 - , . . AFFIDAVIT COMMONWEALTH OF PENNSYL VANIA COUNTY OF ~j)/'r7 We, fl1arv/YJ 8uJ,tl~ ,andC/l>iL j, #a names are signed to the attached and foregoing instrument, being duly q Hied according to law, do depose and say that we were present and saw Harold V. Coulson, Sr., the Testator, sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purpose therein expressed; that each of us in the hearing and sight of Harold V. Coulson, Sr., the Testator, signed the Will as witnesses; and that to the best of our knowledge, Harold V. Coulson, Sr., the Testator, was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. ) ) SSe ) ..- Sworn or affirmed to and subscribed to before me by these witnesses, this 3"J day of J ~ · 2005. iIff1; · M NESS n' fj~J<Ur . NESS ~ Notary Public C MMONWEALTH OF ENNSYLVANIA Notarial Seal Anne Marie Beshore, Notary Public City of Harrisburg, Dauphin County My Commission Expires Apr. 5, 2008 Member, Pennsylvania Association of Notaries - 10 - ~ Q) - c co +- U? 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