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Home My WebLink About08-28-0815056041125 -'' REV-1500 Ex (06-05) OFFICIAL USE ONLY PA Deparbnent of Revenue Bureau of Individual Taxes County Code Year File Number Po Box 2aosol INHERITANCE TAX RETURN 2 1 0 8 0 5 7 7 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 3 9 2 0 5 4 9 1 0 5 0 4 2 0 0 8 0 3 2 0 1 9 2 7 Decedent's Last Name Suffix Decedent's First Name MI C Z I R O K MAR I O N (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 0 1. Original Retum ~ 2. Supplemental Retum ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required death after 12-i2-82) QX 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust 1 8. Total Number of Safe Deposit Boxes (Attach Copy of Wili) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 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. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number S U S A N J H A R T M A N 7 1 7 2 4 9 7 7 8 0 Firm Name (If Applicable) D U N C A N & First line of address 1 I R V I N E Second line of address City or Post Office P C State ZIP Code ~ REGISTE~t OF WILLS UgE ONLY -> - ,--~ ,. _, `: , F\ _n I - ~. ~ ;~OATE FILED _ • __ -- 1 ~~ C A R L I S L E P A 1 7 0 1 3 Corespondent's a-mail address: susanhartman@pa.net Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to fhe best of my knowledge and belief, it is brae, correct and compk:te. Declaration of preparer other than the personal represerrtative abased on all information of which preparer has any knowledge. OF H A R T M A N, R O W FOR FILING RETURN 140E BELVEDERE STREET ~ CARLISLE PA 17013 SIGNAT OF PREPARER OTHER N REPRESENTATIVE DATE - ~ u ADD/RESS \^_ - PLEASE USE ORIGINAL FORM ONLY Side 1 15056041125 15056041125 J (~~ ~~~~ u 0-~/~ 15056042126 REV-1500 EX Decedent's Social Security Number Decedent's Name: MARION CZIROK 1 3 9 2 0 5 4 9 1 RECAPITULATION 1. Real estate (Schedule A) .............................. . ......... 1. 2. Stocks and Bonds (Schedule B) 2. 1 2 9 1 5 6, 4 4 .................................. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D} ................. .... ... 4. 1 1 5 6 9 6 0 3 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) .... ... 5. , 6_ Jointly Owned Property (Schedule F) ^ Separate Billing Requested .... ... 6• 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested .... ... 7. 8. Total Gross Assets {total Lines 1-7) . , .. ................ . , .. _ .. g, 2 4 4 8 5 2 , 4 7 9. Funeral Expenses 8< Administrative Costs (Schedule H) ......... .... ... 9. 2 7 4 2 4 , 5 6 10. Debts of Decedent, Mortgage Liabilities, 8 Liens (Schedule 1) ..... .... ... 10. 1 3 3 7 • 8 2 11. Total Deductions (total Lines 9 i;< 10) .................... .... ... 11. 2 8 7 6 2 , 3 8 12. Net Value of Estate (Line 8 minus Line 11 } ................... ... ... 12. 2 1 6 0 9 0 . 0 9 13. Charitable and Governmental BequestsJSec 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. 2 1 6 0 9 0. 0 9 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.o ,_, 0. 0 0 15. 0. 0 0 16. Amount of Line 14 taxable 2 1 6 0 9 0 0 9 9 7 2 4 0 5 at lineal rate X .045 16. . 17. Amount of Line 14 taxable 0 0 0 0 0 0 at sibling rate X .12 17 . 18. Amount of Line 14 taxable 0 0 0 0 0 0 at collateral rate X .15 18 . 19. Tax Due ................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 15056042126 9 7 2 4. 0 5 ^O 15056042126 ftEV-1500 EX .Page 3 Decedent's Complete Address: File Number 21 08 0577 DECEDENTS NAME MARION CZIROK STREET ADDRESS SARAH TODD MEMORIAL HOME CITY STATE ZIP^ CARLISLE PA 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount 3. Interest/Penalty if applicable D. Interest E. Penalty (1) 9,724.05 10,000.00 500.00 Total Credits (A + 8 + C) (2) 10, 500.00 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 oval on Page 2, 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. 0.00 (4) 775.95 (5) 0.00 (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00 Make Check Payable fo: REGISTER OF W/LLS, 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; ............................... ^ c. retain a reversionary interest; or ............................................................................................... ^ 0 d. receive the promise for life of either payments, benefits or care? ....................................................... ^ 0 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 beneficary designation? .................................................................................................. ^ ^ iF THE ANSWER TO ANY OF THE ABOVE QUESTIONS 1S YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1 } (ii)j. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent (72 P.S. §9116(a)(1.2)]. The 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. §9116(1.2) [72 P.S. §9116(a)(1}). The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)). Asibling 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 COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER MARION CZIROK 21 08 0577 All property jointly-owned with right of survivorship must be disdosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. General Electric Company - 3577.3529 shares @ 33.34 119,268.94 2. 'Manulife Financial Corporation - 250 shares @39.55 ~ 9,887.50 TOTAL (Also enter on line 2, Recapitulation) I $ 129 tlf more space is needed. insert additional sheets of the same size) ACCOUNT TRANSCRIPT ,~ SHAREHOLDER: SUSAN I-IARTMAN 1 IRVIIVE ROW CARLISLE PA 17013 ~~ 0 0 m N O O OUR CONTROL NUMBER CUSIP ACCOUNT KEY 56501 R 10 CZIROK---MART-8000 CERTIFICATE NISTORY RtC:tNl BOOK ENTRY TRANSACTION HISTORY 10 MOST RECENT TRANSACTIONS DATE TRANS, DESC. AMOUNT PRICE PER SHARE SHARES ACQUIRED 03/19/2008 BUY 50.97 36.8042000 1.3156 12/19/2007 BUY 51.25 40.9652000 1.1886 09/19/2007 BUY 43.90 40.4933000 1.0298 06!19/2007 BUY 42.43 37.1809000 1.0842 03/19/2007 BUY 35.91 33.9323000 1.0052 12/19/2006 BUY 36.56 33.8745000 1.0253 06/02/2006 STK DIV 0.00 O.000OU00 122.0000 07!22/2004 BK TO BK 0.00 0.0000000 122.0000 YEAR TO DATE ACCOUNT SUMMARY CERTIFICATED SHARES HELD IN TOTAL DIVIDENDS LAST AS OF CLOSING TOTAL VALUE SHARE HELD BY BOOK ENTRY SHARES PAID YTD DIVIDEND PRICE YOU PAI D p 250.6487 250.6487 59.96 50,97 06!02!2008 $38.460 4,639.94 Please note that this duplicate statement only contains the 10 most recent certificates and 10 most recent book entry transactions. Legend BK TO PH -Book Entry to Physical Certificate PH to BK -Physical Certificate to Book Entry TRAN -Transfer STK DIV -Stock Dividend OLP20Di DDOD00001057 007,7505650],R],DCZIROK---MARI-8~[lft BNY MELLON SHAREOWNER SERVICES P.O. Box 358035 Pittsburgh, PA 15252-8035 0035168 Ol AB 0.351 •*AUTO T6 1 3615 17013-270260 COl B1MAZ - - 'I11'II111'~'111II II'll 1'111 ~1'I111"'I1111'II1'lll " Il/llf'1' MRS MARION CZIROK 140 BELVEDERE ST CARLISLE PA 17013-2702 Shareholder Of.' 3615 01 0035168 0070382 Page 1 of MANULIFE FINANCIAL CORPORATION INVESTOR SERVICES PROGRAM STATEMENT PRINT DATE: 06J23/200E CUSIP: 001-750-58501 R 1 C SYMBOL: MFC ACCOUNT KEY: CZIROK--MARI-8000 INVESTOR ID: 1253'15422324 FOR QUESTIONS CONCERNING YOUR ACCOUNT, PLEASE CALL 1-800-249-7702. _ Year-To=Date Account Summary _ Save this Statement for Tax Purpose_s_ AS OF: 06/2012008 CASH DIVIDENDS NET AMOUNT TOTAL MARKET VALUE (S) CLOSING PRICE {$) )NVESTMEN75 ($j TOTAL (S) TAX WITHHELD {S) AMOUNT TO INVE57 ($] INVESTED (S) 9,238.91 36.6700 120.75 18.11 102.64 102.64 TRADING FEES PAID BY (S) SERVICE FEES PAID BY {$) SALE OF PLAN SHARES (E) CERTIFICATED SHARES HELD SHARES HELD BY TOTAL COMPANY HAREHOLDER COMPANY SHAREHOLDER GROSS PROCEEDS 7AX WITHHELD SHARES HELD BY YOU BY PLAN OTHER PLAN(S) SHARES 0.16 5.13 251.9475 251.9475 Currant dctivity /nfnrmatinn RECORD DATE TRANSACTION DIVIDEND SHARES ACQUIRED CASH TOTAL PAYABLE DATE DESCRIPTION RATE OR WITHDRAWN INVESTMENT (S) GROSS (S) 05121/2_008 _- COMMON DIVIDEND 0.2425220 1.2988 ~ 79 06/19/2008 PARTICIPATING RECORD DATE DISTRIBUTION TAX TRADING FEES PAID BY (fl SERVICE FEES PAR1 BY (S) TOTAL CERTIFICATED SHARES SHARES HELD SHARES HELD BY TOTAL WITHHELD (S) cow+ANV swvrEHO~neR COMPANY aeurteNO~oEn NET (S) HELD BY YOU BY PLAN OTHER PLAN(S) SHARES 9.12 0.08 2.58 51.67 250.6487 250.6487 Year-To-Date Transaction Detail DATE TRANSACTION CASH NET TRADING SERVICE AMOUNT PRICE PER SHARES ACOUIRED SHARES HELD DESCRIPTION INVESTMENT (S) DISTRIBUTION (S) FEES ($) FEES (S1 INVESTED ($) SHARE (S) OR WITHDRAWN BY PLAN BALANCE FORWARD 249 3331 03/19/08 COMMON DIVIDEND 50.97 0.08 2.55 48.42 36.8042000 1.3156 . 250 6487 06/19/08 COMMON DIVIDEND _ 51.67 O.OS 2.58 49.09 37.7953000 1.2988 . 251.9475 MANULIFE FINANCIAL CORPORATION CUSIP: 001-750-56501 R10 ACCOUNT KEY: CZIROK---MARI-8000 MRS MARION CZIROK 140 BELVEDERE ST CARLISLE PA 17013-2702 All owner(s~ mull sign and date above (~ntaccf N)m~6er ---------------------------------------------------- Partial Withdrawal (Continue Plan Participation) Issue a certificate for this number of shares: Sell this number of shares: Full Withdrawal (Terminate Plan Participation) Issue a certificate for all full shares and a check for fractional shares. a Sell all plan shares. Additional Cash Investments Write the amount enclosed: Make check payable to: MELLON BANKJMANULIFE YOU MAY INCREASE YOUR SHARES WITH OPTIONAL CASH INVESTMENTS OF $50 UP TO $150,000 ANNUALLY. Deposit of Certificates Deposit the enclosed number ~- of shares: 7575 125315422324 00175056501R10CZIROK---MARI-8000IR00144 Shareholder: MRS MARION CZIROK 14U BELVEpERE STREET CARLISLE PA 17Q13-27U2 Our Contra) Number: 200807170004928 _ ._ ____~_. ---- i _~_ __-_ ~__ i ~ .. __ -_ _.. __.~__----~-- _~.. _x--------- 36960410 -GENERAL ELECTRIC CZIROK---MARI.8000 * , 5481 COMPANY ~. ~ *' YEAR TO DATE ACCOt.1NT SUMMARY 240 3337,3529 ~ 3,577.3529 2,187.59 ~ 0.0 } 3 28.0000 ~ $100.165BR CERTIFICATE HISTORY 1 10 Most Recent Transactions) ~f 4,.L ~'i'i,' "e ~f.r ~ ~ ~,~`,~ .. e i~~ ~~ ~ 'S ~~ t• a'`~a{ I _~i ,f fir. + Y" y ~' 3~'~'~ „~ ;~+_P~ ~ X ;r ~' ZA01350319 09/19/20 06 128 TransfedWithdrawal 00/00!0000 _W____ i ZA01350317 09/19/2006 112 TransferlWithdrawal 00/00/0000 SB 00148801 05113/1994 64 Stock Split/Dividend 09!1912006 Transfer/Deposit SA 00181908 05/22/1987 32 Transfer/Withdrawal 09/19/2006 Transfer/Deposit NYX 00458081 06/01/1983 16 Transfer/Withdrawal 09!19/2006 Transfer/Deposit NYP 00133244 06/07/1971 8 TransferlWithdrawal 09/19/2006 Transfer/Deposit NYK 00593190 02/07/1964 1 Transfer/Withdrawal 09!19/2006 Transfer/Deposit NYK 00458269 03/05!1963 1 Transfer/Withdrawal 09/19/2006 Transfer/Deposit NYK 00396784 03!06/1962 1 Transfer/Withdrawal 09719/2006 Transfer/Deposit NYK 00367402 03/07/1961 2 Transfer/Withdrawal 09/19!2006 Transfer/Deposit PLAN TYPE : IRO01 BOOK ENTRY HISTORY (10 Mast Recent Transactions } ~~ t 04/25/2008 Common G~oicJd(Id o -^ ~~.,~..~...«, 30.9453• 33.1000000 ,,...~...-,.._. 1024.29 .00 1024.29 _„ p0 04!25!2008 Common Dividend 2.2477 ~ 33.1000000 74.40 .00 74.40 .00 01/25/2008 Common Dividend 29.4229 34.4800000 1014.50 .00 1014.50. .00 01!25/2008 Common Dividend 2.1578 34.4800000 74.40 .00 74.40 .00 01/01/2008 Balance Forward 3272.5792 .0000000 .00 .00 .00 .00 10125!2007 Common Dividend 22.6613 40.1350000 909.51 .00 909.51 .00 10/2512007 Common Dividend 1.6743 40.1350000 67.20 .00 67.20 .QO 07/25/2007 Common Dividend 22.3846 40.3300000 902.77 .00 902.77 .00 07/25/2007 Gommon Dividend 1.6663 40.3300000 67.20 .00 67.20 00 04/25/2007 Common Dividend 25.4437 35.1800000 895.11 .00 895.11 ,00 PAYMENT HISTORY (10 Most Recent Transactions } There are no Payment History to be processed. Nate:- For Security reasons, we are replacing the first five digits of your Social Security number with "***= ""(asterisks) on correspondence that we send to you, Please note that this duplicate statement only contains the i0 most recent Certificates , tt} most Recent Book Entries and 10 most Recent Payments transact+ons. REV-1508 EX + (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. 'N REST DENTEDECEDENTRN PERSONAL PROPERTY ESTATE OF FILE NUMBER MARION CZIROK 21 08 0577 Indude the proceeds of litigation and the date the proceeds were received by the estate. All properly jointly-owned with right of suninorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. WACHOVIA BANK C.D. # 5821 -DOD BALANCES 44,641.84 [SEE ATTACHED] 2. WACHOVIA BANK C.D. # 7202 - DOD BALANCES 55,131.84 [SEE ATTACHED] 3. WACHOVIA BANK CHECKING ACCOUNT # 3996 - DOD BALANCES 668.19 [SEE ATTACHED] 4. WACHOVIA BANK IRA # 8541 -DOD BALANCES 11,422.72 [SEE ATTACHED] 5. HOFFMAN ROTH FUNERAL HOME REFUND 100.00 6. CITIZEND SAFE DEPOSIT BOX REFUND 13.67 7. HIGHMARK REFUND 100.57 8. CITIZENS BANK PROCEEDS 2,930.40 [* NEED DOD LETTER FROM BANK] 9. U.S. TREASURY STIMULUS CHECK 300.00 10. U.S. SAVINGS BOND PROCEEDS 386.80 TOTAL (Also enter on line 5, Recapitulation) I S (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-89} COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES 8~ ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER MARION CZIROK 21 08 0577 Debts of decederrt must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. HOFFMAN ROTH FUNERAL HOME 4,082.56 B. ADMINISTRATIVE COSTS: ~, Personaf Representative's Commissions Name of Personal Representative (s) CAROLYN R. HENRY Soaal Security Number(s)lEIN Number of Personal Representative(s) 158-44-0307 Street Address 140 BELVEDERE STREET City CARLISLE State PA Zip 17013 Year(s) Commission Paid: 2008-2009 2, AttomeyFees DUNCAN & HARTMAN, P.C. 3. Family Exemption: (If decedents address is not the same as claimant's, attach explanation) Claimant SlreetAddress __ City _ Relationship of Claimant to Decedent ~• I Probate Fees REGISTER OF WILLS 5. ~ Atx~ountant's Fees 6. ~ Tax Retum Preparer's Fees feServed State Zip 7. ~ Reserved for additional expenses 11,095.00 11,095.00 252.00 400.00 500.00 TOTAL (Also enter on line 9, Recapitulation) ~ ~ (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (12-03} SCHEDULE 1 COMMONWEALTH OF PENNSYLVANIA DEBTS Oi= DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES, +& LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER MARION CZIROK 21 08 0577 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. BELVEDERE MEDICAL CENTER 36.69 2. IMILLENIUM PHARMACY SYSTEM EAST 3. (SARAH TODD MEMORIAL HOME 4. (UNITED CHURCH OF CHRIST HOMES 5. (MILLENNIUM PHARMACY SYSTEMS EAST 156.49 1,010.80 84.72 49.12 TOTAL (Also enter on line 10, Recapitulation) ~ ~ (If more space is needed, insert additional sheets of tf+e same size) RE"J-1513 EX + (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT -------- ESTATE OF FILE NUMBER MARION C7_IROK 21 08 0577 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 pnclude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)) 1. CAROLYN R. HENRY Lineal 140 BELVEDERE STREET 50 % SHARE CARLISLE, PA 17013 2. ANDREW C. CZIROK Lineal 2 MC COY LANE 50 % SHARE CARLISLE. PA 17013 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 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -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) ~~,~# t11 end ~e~#ttr~trrt# of MARION CZIROK I, MARION CZIROK, of 16 Clay Road, Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking any and all other wills and codicils heretofore made by me. FIRST. I direct that all my just debts and funeral expenses be paid from my estate as soon after my death as practically and conveniently may be done. SECOND. I direct that my remains be interred within my family's burial plot. THIRD. I authorize my personal representative to expend funds from my estate, in such amounts as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. FOURTH. I specifically give, devise and bequeath the reinvestment shares of my General Electric Company stock to my children, Carolyn R. Henry and Andrew C. Czirok in equal shares per stirpes. FIFTH. I give, devise and bequeath any and all tangible personal property owned by me at the time of my death unto my husband, FRANCIS JOSEPH CZIROK, provided he survives me by thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all said tangible personal property unto my children, Carolyn R. Henry and Andrew C. Czirok in equal shares per stirpes. SIXTH. I give, devise and bequeath any and all real estate owned by me at the time of my death, unto my husband, rr^RANCIS JOSEPH CZIROK, provided he survives me by thirty days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all said real estate unto my children, Carolyn R. Henry and Andrew C. Czirok in equal shares per stirpes. SEVENTH. I give, devise and bequeath all the rest, residue and remainder of my estate unto my husband, FRANCIS JOSEPH CZIROK, provided he survives me by thirty (30) days. In the event he fails to survive me by thirty (30) days, I give, devise and bequeath all the rest, residue and remainder of my estate unto my children, Carolyn R. Henry and Andrew C. Czirok in equal shares per stirpes. EIGHTH. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my will or ~~'' otherwise, shall be paid out of the principal of my residuary estate. NINTH. I hereby nominate, constitute and appoint my husband, FRANCIS JOSEPH CZIROK as Executor of this my Last Will and Testament. In the event of renunciation, death, resignation or inability to act for any reason whatsoever of FRANCIS JOSEPH CZIROK, I nominate, constitute and appoint CAROLYN R. HENRY, as Executor of this my Last Will and Testament. I hereby relieve my Executor from the necessity of posting security in connection with his duties, as such, in any jurisdiction in which he may be called upon to act insofar as I am able by law to do so. In addition to the powers conferred by law, I authorize my Executor, in his absolute discretion, to retain in the form received, and to sell either at public or private sale any real or personal property owned by me at the time of my death. TENTH. I have made, or may from time to time make, a written memorandum expressing my desire to give certain items of personal property to specific persons. I urge my Executor and beneficiaries to respect these wishes. Such a memorandum, if made, shall be stored in conjunction with this Will. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of two typewritten pages this C1 day of ,Ap-~1, 1995. ~`~ ~'1 ~,' _ _ MARION CZIROK Signed, sealed, published and declared by the above named Testatrix MARION CZIROK as and for her Last Will and Testament, in the presence of us, who, at her request, in her sight and presence and in the sight and presence of each other, have hereunto subscribed our names as witnesses. COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND ss. I, MARION CZIROK, Testatrix 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 the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntar act for the purposes therein expressed. ; ~.2~~c~%~~t, ~ liU' t___~ MARION CZIRO Sworn or affirmed to and acknowledged before me, by MARION CZIROK this day (~,~j,~ of -~, 1995. J ~t,~~ `d -"_-e. . ~~. Notary Pu is (S L) .,_..~ COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND N07ARIA~ L S~F.AL WENDY M. SHAFFER, NDTARY PUBLIC CARLISLE BORO, CUMBERIAND cauNTY MY gh4MISSION EXPIRES AUGUST 3, 1996 ss. We, ~+h,~ew.~. O~ti~ and ~~,~+~~-- ~--~~~'`~ the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw MARION CZIROK sign and execute the instrument as her Last Will; that MARION CZIROK signed willingly and that MARION CZIROK executed 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 eighteen (18) or more years of age, of sound mind and under no constraint or undue influence. Sworn or affirmed to subscribed99bef~ore me r l.. L--3C'+~ a and _ and witnesses, this C,`~`day of,~g-rY"l, 1995. ..S' ~~ I .,. ~ ! ~~ r .- TNotary P}i~t' is (SE ) 'HFNDY M. SNAFFERt, NU ARY P4Ji3lrJ~ CARLISLE gpSD, CtJt<9tiERLAJdD CDUAiTY MY GOMAgISSION EXPlpES AUt;UST 3, 1956