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HomeMy WebLinkAbout11-06-08 (2)"'~ REV 1 15056051058 J Q O EX (06-05) O P Y PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN Harrisburg, PA 17128-0601 RESIDENT DECEDENT 21 08 0875 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 08/15/2008 12/25/1924 Decedent's Last Name Suffix Decedent's First Name MI Gerba Elizabeth L (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 DIUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ;ai = 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death 4. Limited Estate 4a. Future Interest Compromise (date of prior to 12-13-82) 5. Federal Estate Tax Return Required death after 12-12-82) ~`: 6. Decedent Died Testate 7. Decedent Maintained a Living Trust (Attach Copy of Will) 8. Total Number of Safe Deposit Boxes (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 CONFIDENTIA L T~4X INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Kevin J. Gallagher (724) 263-7976 Firm Name (If Applicable) _ N REGIS OF WILLS ~ ONLY ~ Z r 'I ~ First line of address ~ ~ ~ ~ ~ ~ ~, ~~ c .~ ;~ 164 Fawn Valley Drive _ , : -,~ ~ ~ ~ I +-r~ r`i-, cry x v' -;-, ~? Second line of address c"``~ ~(")~ „~ C"J C~ TI 31: - ~ 3-7 . .. d ~__ a Clty Or POSt Office State ZIP COde ~ f'V ~. i~- 1 :~` DATE FILED +.• ~ e McMurra y Pa 15317 E^7` Correspondent's a-mail address: kkgall@COmCaSt.net 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 er l p sona representative is based on all information of which preparer has any knowledge. SI ATURE OF P,E~ON RESPONSIBLE FOR FILING RETURN E ~ ~ DATE 'e` r ' , " ` t'"~.~- - 11 /03/08 DR SS - 2601 Lisburn Road Camp Hi a 17011 SI/~ @E~OF P T REP SENTATIVE ` J / DATE / l 11 /03/08 ADDRESS 164 Fawn alley Drive cMurray, Pa 15317 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Social Security Number Decedents Name: Elizabeth L Gerba ~.,_~ _.-.r__... _~. ... RECAPITULATION _ 1. Real estate (Schedule A) ............................................. 1. 0.00 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) ....................... ...... 4. 5. Cash, Bank Deposits 8 Miscellaneous Personal Property (Schedule E) .. ...... 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested .. ..... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested... ..... 7. 8. Total Gross Assets (total Lines 1-7) ............................... ..... 8. 9. Funeral Expenses & Administrative Costs (Schedule H) .......... ..... _. ..... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ........... ..... 10. 11. Total Deductions (total Lines 9 & 10) .............................. ..... 11. 12. Net Value of Estate (Line 8 minus Line 11) .......................... .... 12. 13. Charitable and Governmental Bequests/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) .................... ~ _____....~, ~ ~.m...__. ._ ti .... 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 .(1_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 45 566,604.27 16. 17. Amount of Line 14 taxable at sibling ratte X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 , o 19. TAX DUE .........................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 491, 353.86 25,477.02 7,598.25 56,466.90 580,896.03 12,005.44 2,286.32 14,291.76 566,604.27 566,604.27 25,497.19 25,497.19 15056052059 Side 2 L 15056052059 REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 08 0875 DECEDENT'S NAME DECEDENTS SOCIAL SECURITY NUMBER Elizabeth L Gerba _ _ 195-34-6745 STREET ADDRESS - - - 20 North 12th Street - - - --- CITY Lemoyne STATE - - ZIP Pa 17073 Tax Payments and Credits: 1. Tax Due (Page 2 Line '.19) 2. Credits/Payments A. Spousal Poverty Credit ___ B. Prior Payments C. Discount 3. Interest/Penalty if applicable D. Interest E. Penalty 1,274.86 25,497.19 Total Credits (A + B + C) (2) Total InterestlPenalty (D + E ) 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 tthe tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) (4) (5) (5A) (56) Make Check Payable to: REGISTER OF W1LLS, AGENT 1,274.86 0.00 24,222.33 24,222.33 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 .................................................................................................................... ...... ^ 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? ........ ...... ^ Q 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................................................................................................. ...... ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE I; 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)]. 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 appNicable 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)j. The tax rate imposed on the nest 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) ~~ . Y - ~- SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE: TAX RETURN RESIDENT DECEDENT ESTATE OF Elizabeth L. Gerba FILE NUMBER 21-08-0875 All property jointly-owned with right of survivorship must be disclosed on ;ichedule F. ITEM _ NUMBER DESCRIPTION VALUE AT DATE OF DEATH ~ Stifel Nicolaus Money Market 12,233.95 2. Aim High Yield Fund (1581.374 Shares @ 3.96) 6,262.24 3. Alpine Total Dynamic Fund (1000 Shares @ 12.39) 12,390.00 4. Baltirnore Gas & Electric 6.20% Preferred (525 Shares @ 20.715) 10, 875.38 5. Constellation Energy 8.625% Preferred (1500 Shares @ 24.16) 36,240.00 6. Corts Verizon 7.625% Preferred (1000 Shares @ 24.885) 24,885.00 7. Deutsche Bank 6.55% Preferred (700 Shares @ 20.5025) 14,351.75 8. Eaton Vance High Income Opportunity Fund Class B (4016.97 Shares @ 4.50) 18,076.37 9. Eaton Vance High Income Opportunity Fund Class A (6394.743 Shares @ 4.51) 28,840.29 10. Flaherty & Crumrine Claymore Preferred Security Fund (2000 Shares @ 13.907) 27,814.00 11. iShares S&P US Preferred Stock Index (1000 Shares @ 37.755) 37,755.00 12. Metlife Common Stock (45 Shares @ 53.825) 2,422.13 13. Munder Samll Cap Value Fund Class B (303.762 Shares @ 20.06) 6,093.47 14. National Bank of Greece ADR 9.00% Preferred (1000 Shares @ 24.96) 24,960.00 15. National City Bank 8.00% Preferred C (800 Shares @ 15.55) 12,440.00 16. Oppenheimer Rochester National Municipal Fund Class A (2222.222 Shares @ 9.06) 20,133.33 17. Oppenheimer Rochester National Municipal Fund Class B (1996.491 Shares @ 9.09) 18,148.10 18. Pioneer High Yield Fund Class A (5641.064 Shares @ 9.78) 55,169.61 19. Prudential Financial 9.00% Preferred (1000 Shares @ 25.35) 25,350.00 20. Putnam High Yield Advantage Fund Class A (4804.927 Shares @ 5.67) 27,243.94 21. Royal Bank of Scotland 6.60% Preferred (1000 Shares @ 18.76) 18,760.00 22. Saturns Dayton Power & Light 7.875% Preferred (1000 Shares 23.205) 23,205.00 23. Southwest Capital Trust 10.50% Preferred (1000 Shares @ 26.50) 26,500.00 24. Pennsylvania IMIT #104 (10 Units @ 120.43) 1,204.30 TOTAL (Also enter on line 2, Recapitulation) $ 491,353.86 (If more space is needed, insert additional sheets of the same size ESTATE OF FILE NUMBER Elizabeth L. Gerba ~~_n~_nR~~ InGude the proceeds of litigation and the date the proceeds were received by the estate. All property jointly•owned with right Of Survivorship must ha disclnsad ~~ Srhndule G REV-1508 EX+ (6-98) ~` ` COMMONWEALThI OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT' DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ~~~ ~~iviC ~Nac:e is neeaeg, insert aaditlonal sheets of the same size) REV-1509 EX+ (6-98) !' COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY wiHitvr Elizabeth L. Gerba If an asset was made joint within one year of the decedent's date of death, it must be SURVIVING JOIPJT TENANT(S) NAME ADDRESS A' Joyce L. Palakoviclh 2601 Lisburn Rd. Camp Hill, PA 17011 B. C. JOINTLY-OWNED PROPERTY: FILE NUMBER 21-08-0875 on Schedule G. RELATIONSHIP TO DECEDENT Daughter ~~~ ~~~..~~ J'1PliG w uce~cu, mser[ aaamonal sneers or the same size) REV-1510 EX+ (6-98) C COMMONWEALTH OF PENNSYLVANIA INHERITANCE: TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF Elizabeth L. Gerba FILE NUMBER 21-08-0 875 This schedule must be completed and filed if the answer to any of quest ions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY VUMBE INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH ACOPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSI_T % OF DECD'S INTEREST EXCLUSION TAXABLE ~ (IF APPLICABLE) VALUE Series H Bonds POD Joyce L. Palakovich (Daughter) 4,000.OG 100 0.00 4,000.00 2. Series H Bonds POD George K. Gerba (Son) 4,000.00 100 0.00 4,000.00 3. Gift to: Joyce L. Palakovich (Daughter) 07/31108 50,000.00 100 3,000.00 47,000.00 4. Gift to: Katherine Lang (Grandaughter) 7/2/08 3,733.45 100 3,000.00 733.45 5. Gift to: Julie Palakovich Carr (Grandaughter) 6/8/08 3,733.45 100 3,000.00 733.45 TOTAL (Also enter on line 7 Recapitulation) $ I 56,466.90 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENIf DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILI°_ NUMBER Elizabeth L. Gerba 21-08-0875 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Malpezzi Funeral Home 9,605.00 2~ Thompson House Restaurant (Funeral Luncheon) 493.52 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State Year(S) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees ~. Estate Advertising (The Patriot News) $. Estate Advertising (The Cumberland County Law Journal) Zip Zip TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 472.40 750.00 500.00 109.52 75.00 12,005.44 REV-1512 EX+ (12-03) SCHEDULE 1 COMMONWEALTH OF PENNSYLVANIA DEBTS OF DECEDENT INHERITANCE 7AX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT i ESTATE OF FILE NUMBER Elizabeth L. Gerba 21-08-0875 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1~ Verizon 47.32 2. Personal Care Attendant: Bondue Arglle 275.00 3. Personal Care Attendant: Kathy Buchanan 176.00 4. Personal Care Attendant: Melinda Mark 132.00 5. Personal Care Attendant: Bethany Reed 120.00 6. Personal Care Attendant: Mary Zirian 275.00 7. Essex House 1, 261.00 TOTAL (Also enter on line 10, Recapitulation) $ I 2,286.32 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (g-p01 4 - - SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Elizabeth L. Gerba 21-08-0875 NUMBER NAME AND ADDRESS OF PERSONS RECEIVING PROPERTY RELATIONSHIP' TO DECEDENT AMOUNT OR SHARE (] Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS (include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 ~ Joyce L. Palakovich 2601 Lisburn Rd. Camp Hill, PA 17011 Daughter 50% 2~ George K. Gerba 517 Hamlet Drive West Spring Grove, PA 17362 Son 50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET [t 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 II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 CC)VER SHEET $ (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT OF ELIZABETH L. GERBA I, ELIZABETH L. GERBA, widow, of Cumberland Count•~, Pennsylvania, do make this my Will hereby revoking any and all Wills at any time heretofore made by me. FIRST: I direct that the expenses of my last illness and funeral be paid out of my estate as soon as may be convenient after my death. SECOND: Except as I may have provided in a written memorandum found with my important papers or with my copy of this my Will, I give my tangible personal property to my daughter, JOYCE L. PALAKOVICH. THIIZD: All the residue of my estate I give in equal shares to my children, JOYCE L. PALAKOVICH and GEORGE K. GERBA. Provided, however, said shares shall be given to said children of mine only to those children who survive me, and to those who predecease me leaving issue who survive me. The share of any said child of mine who predeceases me leaving issue who survive me shall pass to such issue per stirpes by right of representation. The shaze of ;>aid child of mine who predeceases me leaving no issue who survives me shall pass to the other said child if he or she survives me or leaves issue who survives me. FOURTH: I appoint my daughter, JOYCE L. PALAKOVICH, Executrix ofthis my Will. In ca.,e of her inability or unwillingness to act or to continue as my Executrix, I appoint my son, GEORGE K. GERBA, as Executor. I give to my said Executrix in addition to the authority conferred by law, the power to sell any or all of my property, real or personal, at public or private sale, at such time and for such price and upon such terms and conditions as she may see fit, or in her discretion to retain the same for distribution in kind, and the power, but not the duty, to invest any cash without. being limited to "legal" investments. No bond shall be required of any fiduciary hereunder in any jurisdiction. No fiduciary hereunder shall have any liability for any mistake or error of judgment made in good faith. FIFTH: I direct that all estate, inheritance and other taxes in the nature thereof, together with. any interest and penalties thereon, becoming payable because of my death with respect to the property constituting my gross estate for death tax purposes, whether or not such property passes under this Will, shall be paid by each individual receiving said property based upon his orher share of said property. IN WITNESS WHEREOF, I have hereunto set my hand and seal this ~ day of ~C' £Y~. , 2007. (SEAL) ELIZ L. GERBA Signed, sealed, published and declared by ELIZABETH L. GERBA, the Testatrix above named, as and for her Will in the presence of us, who, at her request, in her presence and in the p sence of ea other, have hereunto subscribed our names as witne;>ses thereto. Address ~i4./©/Z 1>. ,PI~~ Address I~- ~ cz h 6 r ,~ H ~ J ~. ~£L~~4•Jl GS ~ ~J"' l,4- /7 p•1 ,/~ I 1 1 ~c,~ah ~ c S ~ ~ r ~I 7 / 7 IJ.S~S ~_ 2 COMMONWEALTH OF PENNSYLVANIA ) /' ) SS: COUNTY OF C...~-c h'- bc`~a.~ We, ELIZABETH L. GER.BA, 17o,~a Id ~ ~L~rnl~(ef~ and Mzt,.K. ~.- . w f~, the Testatrix and the Witnesses, respectively, whose names are signed to the foregoing Will, being first duly sworn according to law, do depose and say that the Testatrix signed and executed the foregoing instrument as~ her Will, that she signed willingly, that she executed it as her free and voluntary act for the purposes therein expressed, that each of the Witnesses, in the presence and hearing of the TestatrixK signed the Will as Witnesses and that to the best of the knowledge of each of them the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. ~ ~~~;~ ELIZ H L. GERBA Witness Witness G~ Subscribed, sworn to and acknowledged before me by ELIZABETH L. GERBA, the Testatrix, and subscribed and sworn to before me by ~~y~_ /%,.~ - and Q .c L . {, witnesses, this ~ day of~ `, 2007. COMMONWEALTH OF PENNSYLVANIA NOTARIAL SEAL STEPHANIE NEBL, Notary Public I o ublic Camp Hill Boro, Cumberland County My Commission Expires Jan. 25, 2011 The Patri^t-News Co. 812 Market St. Harrisburg, PA 17101 Inquiries - 71'7-255-8213 PALAKOVICH 2601 LISBIJRN ROAD CAMP HILIL ~he~tatriot-Dews Now you know PA 17011 THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Joseph A. Dennison, being duly sworn according to law, deposes and says: That he is the Assistant Controller of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot:-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared on the date(s) indicated below. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and' empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY September 17, 2008 This ad # 0001894651 ran on the dates shown below: September 03, 2008 September 10, 2008 .......:~. ,; t~ .~~ ......... . S rn to and-subscribed before me this' 17: day 'September, 2008 A.D. Notar'y~Public`~ T OOMMONW, q(,TH pF pEN~Y~ANIA ~Vo#arra! Seal ~~hn~rie L. Ki,~nQr, Notary Public M~'tY"~-'f Narnfib!~m„ hauphin County Y C.°mr. s~:,,`.`" ;= xF~r~ iVOV. 26, 2011 Member, Pennsylvania Association of Notaries PROOF OF PUBLICATION OF NOTICI: IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. I..1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says ghat the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as t:he official legal periodical for the publication of all legal notices, and has, since Januar;r 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, viz: September 5 September 12 and September 19 2008 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations iin the foregoing statements as to time, place and character of publication are true. v ' a Marie Co e, Editor SWORN TO AND SUBSCF~IBED before me this 19 day of September, 20~D8 C~ Notary Gerba, Elizabeth L., deed. Late of Lemoyne. Executrix: ~foyce L. Palakovich, 2601 Lisburn Road, Camp Hill, PA NOTARIAL SEAL 17011. DEBORAH A COLLINS Attorney: None. Notary PubllC CARLISLE BORO, CUMl3ERLAND COUNTY My Commission Expires Apr 28, 2010