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HomeMy WebLinkAbout12-12-08DECEDENT'S ESTATE N v COURT OF COMMON PLEAS OF "~ o ' ~"' CUMBERLAND COUNTY, PENNSYLVANIA ;~;? r' ORPHANS' COURT DIVISION T ro ~' ~ .. _J j` _ _ ~. i. 1 _ ~`~ ~ ~ 1 Il ' _ J ESTATE OF George KaluQer ,DECEASED ~ ~ ~_~ No. 21-07-0165 PETITION FOR ADJUDICATION / STATEMENT OF PROPOSED DISTRIBUTION PURSUANT TO Pa. O.C. Rule 6.9 This form may be used in all cases involving the Audit of the Account of a Decedent's Estate. If space is insufficient, riders may be attached. Attach the spouse's election, if any; the papers required under items 8-19 inclusive; and any instrument pertinent to the adjudication. INCLUDE ATTACHMENTSAT THE BAC%OF THIS FORM. Name of Counsel: Joel R. Zullinger, Esquire Supreme Court I.D. No.: 17516 Name of Law Firm: Zullinger Davis, P.C. Address: 14 North Main Street, Suite 200, Chambersburg, PA 17201 Telephone:~717)264-6029 Fax: (7171264-1884 Forn oc-or rev. !0.13.06 Page 1 of 10 Estate of George Kaluger ,Deceased 1. Name(s) and address(es) of Petitioner(s): some. Orrstown Bank, Executor Address: 77 East King Street, P.O. Box 250 Shippensburg,PA 17257 Identify any executors or administrators who have not joined in the Petition for Adjudication and Statement of Proposed Distribution and state reason: Is this the first accounting by this fiduciary? ..................... ®Yes ^ No If not, identify prior accountings, the accounting periods covered, and the date of adjudication of the prior accounting. Decedent died on 2/8/2007 ® Letters Testamentary or ^ Letters of Administration were granted to Petitioner(s) on Date of Will (fapplicable): 1/7/2007 Date(s) of Codicil(s) (if applicable): Date of probate (:f different from date Letters granted): Was a bond required? ^Yes ®No If yes, state amount: Are proofs of advertising of the grant of Letters attached? ......... m Yes ^ No Dates of advertising of the grant of Letters: March 9, 16, 23, 2007 Form oc-oi rev. 10.13.06 Page 2 of 10 Estate of George Kaluger ,Deceased 3. Was decedent survived by a spouse? ............................. ^Yes ®No If yes, name of the surviving spouse: 4. Has the surviving spouse filed to take an elective share? ............. ^Yes ^ No (See Section 2201 et sue. of the Probate, Estates and Fiduciaries Code) If yes, date of 5. In the case of an intestacy, state the names of the decedent's surviving children or surviving issue of deceased children (if none, so state): 6. Did decedent marry after execution of Will or Codicil(s)? ........... ^Yes m No Were any children born to decedent after execution of Will or Codicil(s)? ........................................... ^Yes ®No If yes, give names and dates of birth: Name: Date of Birth: 7. If required by the Medical Assistance Estate Recovery Act, 62 P.S. § 1412, was a request for a statement of claim sent to the Department of Public Welfare? .............................. 0 Yes ^ No Fore, oc-o/ rev. /0.13.06 Page 3 of 10 Estate of George Kaluger Deceased Written notice of the Audit as required by Pa. O.C. Rules 6.3, 6.7 and 6.8 has been or will be given to all parties in interest listed in item 9 below, all unpaid creditors and all claimants listed in item 10 below. In addition, notice of any questions requiring Adjudication as discussed in item 14 below has been or will be given to all persons affected thereby. A. If Notice has been given, attach a copy of the Notice as well as a list of the names and addresses of the parties receiving such Notice. B. If Notice is yet to be given, a copy of the Notice as well as a list of the names and addresses of the parties receiving such Notice shall be submitted at the Audit together with a statement executed by a Petitioner or counsel certifying that such notice has been given. C. If any person entitled to Notice is not sui juris (e.g., minors or incapacitated persons), Notice of the Audit has been or will be given to the appropriate representative on such party's behalf as required by Pa. O.C. Rule 5.2. D. if any charitable interest is involved, Notice of the Audit has been or will also be given to the Attorney General as required under Pa. O.C. Rule 5.5. In addition, the Attomey General's clearance certificate (or proof of service of Notice and a copy of such Notice) must be submitted herewith or at the Audit. 9. List all parties (charitable and non-charitable) of whom Petitioner(s) has/have notice or knowledge, having or claiming any interest in the estate as beneficiaries under the Will or Codicil(s) or as intestate heirs if there is a complete or partial intestacy: A. State each party's relationship to the decedent and the nature of each party's interest(s): Shippensburg Civic Club, P.O. I charity 1% 593, Shippensburg,PA 17257 Shippensburg Rotary, P.O. Box I charity 11% 572, Shippensburg, PA 17257 Form oc-o~ rev. 10.!3.06 Page 4 of 10 Estate of George Kaluger, Deceased Attachment to page 4 of Petition for Adjudication 9.A. (continuation) Shippensburg University Foundation charity 36% 1871 Old Main Drive Shippensbutg, PA 17257 Slippery Rock University charity 3% 1 Morrow Way, 100 Old Main Slippery Rock, PA 16057 Sally Leith Beals collateral 2.5% 1651 Coral Terrace North Lauderdale, FL 33068 Daniel Weitzel collateral 2.5% 653 Wyndham Court Orange Patk, FL 32073 Jhan Mason collateral 3.5% 23 River Oaks Drive Chico, CA 95973 John Roddick collateral 1.5% 601 Baltimore Road Shippensburg, PA 17257 Valerie Roach collateral 17.5% 660 Nobel Drive #1C Santa Cruz, CA 95060 Grace United Church of Christ charity 8% 121 E. Orange Stteet Shippensburg, PA 17257 St. Elie Romanian Church charity 1% 426 Cherry Way Ellwood City, PA 16117 Estate of George Kaluger ,Deceased Shippensburg Historical Society charity 5% 52 West King Street Shippesnburg, PA 17257 Carol Ann Drogus collateral 17.5% 14 Marvin Street Clinton, NY 13323 (see sheet attached for remainder of list) B. Identify each party who is not sui juris (e.g., minors or incapacitated persons). For each such party, give date of birth, the name of each Guardian and how each Guardian was appointed. If no Guardian has been appointed, identify the next of kin of such party, giving the name, address and relationship of each. C. State why a Petition for Guardian/Trustee Ad Litem has or has not been filed for this Audit (see Pa. O.C. Rule 12.4). D. If distribution is to be made to the personal representative of a deceased party, state date of death, date and place of grant of Letters and type of Letters granted. F°„° oc-o! rev. !0.!3.06 Page 5 of 10 Estate of George Kaluger ,Deceased 10. Other than the claim for the family exemption, list the names of all known claimants and the amount of their claims and state whether each claim is admitted. Name and Address of Eoch Claimant Amount of Claim Claim Wi17 Claim Admitted? I Be Paid In Full ^Yes ^Yes ^No ^No ^Yes ^Yes ^No ^ No ^Yes ^Yes ^No ^No ^Yes ^Yes ^No ^No If the estate is insolvent, attach a schedule setting forth the order of preference under 20 Pa.C.S. § 3392 and the proposed payments. 11. Was family exemption claimed? ................................ ^Yes mNo Was family exemption allowed? ................................ ^Yes ONo Family exemption claimant's name and relationship: Relatiorrship.~ Form oc-ol rev. 10.]3.06 Page 6 of 10 Estate of George Kaluger ,Deceased 12. The amount of Pennsylvania Transfer Inheritance Tax and additional Pennsylvania Estate Tax paid, the date(s) of payment(s), and the interest(s) upon which paid, aze as follows: Dafe Payment /nteres( 5/7/2007 37,601.81 13. On the date of death, was the decedent a fiduciary (personal representative, trustee, guazdian, agent under power of attorney) or surety on the bond of a fiduciary? ................... ~ Yes ®No If yes, provide the name of the estate, indicate whether an account has been filed and confirmed absolutely and all awazds performed, or, in the alternative, how the decedent's estate will be discharged for the decedent's fiduciary administration of the estate. 14. A. Describe in detail any questions requiring adjudication and state the position of the Petitioner(s) as to each question: B. Has notice of the question requiring adjudication been given to the parties identified in Paragraph 9 above? .................. 0 Yes Q No 15. If Petitioner(s) has/have knowledge that a share has been assigned, renounced, disclaimed or attached, provide a copy of the assignment, renunciation, disclaimer or attachment, together with any relevant supporting documentation. Form oc-o/ rev. /0.13.06 Page 7 of 10 Estate of George Kaluger ,Deceased 16. Had the decedent been adjudicated an incapacitated person? .......... ^Yes ®No If yes, attach a copy of the Order if available; otherwise state the Court, term, number, date, and name of Hearing Judge. 17. A. List or attach a separate list of additional receipts and disbursements since the closing date of the Account. B. Has notice of the additional receipts and disbursements been given to the parties identified in Paragraph 9 above? ............. ^Yes ^ No 18. If a reserve is requested, state amount and purpose. 35,155.00 P"'OOSe Payment of the balance of executor's commission, payment of attorney fee, and reservation for additional filing fees. If a reserve is requested for counsel fees, has notice of the amount of fees to be paid from the reserve been given to the parties in interest? ........................................ ®Yes ^No If so, attach a copy of the notice. Copy of accounting with notation of reserve for payment of attorney fee and the balance of the executor's commission is mailed to all beneficiaries and serves as notice of reserve. 19. Is the Court being asked to direct the filing of a Schedule of Distribution? .......................... ^Yes mNo As to real estate only? ........................................ ^Yes ^No Form oc-o~ rev. 10.!3.06 Page 8 of 10 Estate of George Kaluger Deceased Wherefore, your Petitioner(s) ask(s) that distribution be awarded to the parties entitled and suggest(s) that the distributive shares of income and principal (residuary shares being stated in proportions, not amounts) are as follows: A. Income: Proposed Distributee(s) AmounUProportion All income shown on accounting was distributed with advance distribution prior to accounting. B. Principal: Proposed Distribulee(sJ AmaundProportion Shippensburg Civic Club 1% Shippensburg Rotary Club 1% Shippensburg Historical Society 5% see sheet attached £or remainder of listing) Submitted By: (All petitioners must sign. Add additional lines if necessary): ~~ ame o etitioner. Orrstown Bank, Executor Name of Petitioner: Form oc-oi rev. 10.!3.06 Page 9 of 10 Estate of George Kalugex, Deceased Attachment to page 9 of Petition for Adjudication B. (continuation) Shippensbutg University Foundation 36% 1871 Old Main Drive Shippensbuxg, PA 17257 Slippery Rock University 3% 1 Morrow Way, 100 Old Main Slippery Rock, PA 16057 Sally Leith Beals 2.5% 1651 Coral Terrace North Lauderdale, FL 33068 Daniel Weitzel 2.5% 653 Wyndham Court Orange Park, FL 32073 Jhan Mason 3.5% 23 River Oaks Drive Chico, CA 95973 John Roddrek 1.5% 601 Baltimore Road Shippensbuxg, PA 17257 Valerie Roach 17.5% 660 Nobel Drive #1C Santa Cruz, CA 95060 Grace United Church of Christ 8% 121 E. Orange Street Shippensburg, PA 17257 St. Elie Romanian Church 1% 426 Cherry Way Ellwood Ciry, PA 16117 Estate of George Kaluger ,Deceased Verification of Petitioner (Verification must be by at least one petitioner.) The undersigned hereby verifies * [that aeisne she of the above-named name otcorooratlon OiTStown Bank is rare Fiduciary Officer and] that the facts set forth in the foregoing Petition for Adjudication /Statement of Proposed Distribution which are within the personal knowledge of the Petitioner are true, and as to facts based on the information of others, the Petitioner, after diligent inquiry, believes them to be true; and that any false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904 (relating to unsworn falsification to authorities). i Petit oner "Corporate petitioners must complele bracketed information. Certification of Counsel The undersigned counsel hereby certifies that the foregoing Petition for Adjudication/ Statement of Proposed Distribution is a true and accurate reproduction of the form Petition authorized by the Supreme Court, and that no changes to the form have been made beyond the responses herein. S' nature of Coun or Petitione Formoc-o/ rev. /o.r3.06 Page 10 of 10 FIRST AND FINAL ACCOUNT OF Orrsotwn Bank, Executor of the Estate of George Kaluger, Deceased Date of Death: February 8, 2007 Date of Executor's Appointment: February 21, 2007 Date Letters Advertised: March 9, 16, 23, 2007 Accounting for the Period: February 8, 2007 thru December 2008 Purpose of Account: The executor offers this account to acquaint interested parties with the transactions that have occurred during the executor's administration. The account also indicates the proposed distribution of the estate. It is important that the account be carefully examined. Requests for additional information or questions or objections can be discussed with: Orrstown Bank P.O. BOX 250 Shippensburg, PA 17257 Executor Joel R. Zullinger, Esq. 14 North Main Street, Suite 200 Chambersburg, PA 17201 Attorney N n ~ . (~ O Q1 , ;,.~ rn {' = -rn - rr, -,-i r ~ i 3 .._ ~ N _._ 'ri ~-~ 0 ~.J SUMMARY OF ACCOUNT PAGE FIDUCIARY ACQUISITION VALUE PRINCIPAL Receipts Less Disbursements Net Gain/Loss on Sales or Other Dispositions Principal Balance on Hand Reserves/Pending Principal Balance on Hand Minus Reserves 1 $746,416.62 1-2 -$639.595.97 $106,820.65 2 3 328.22 2 $110,148.87 3 -$35,155.00 3 $74,993.87 INCOME Receipts Less Disbursements Income Balance on Hand 2-3 $37,867.44 3 - 0.00 3 $37,867.44 Combined Balance on Hand for Distribution Schedule of Proposed Distribution 3 $112,861.31 4-5 $112,861.31 veorge Kaluger Estate #1260 PRINCIPAL RECEIPTS t 2/t 0/2008 02/20/2007 TRANSFER MONEY MARKET CASH BALANCE FROM GEORGE 8 MERIEM KALUGER ACCT # 0178 $48,918.40 02/28/2007 CONTRIBUTION RECEIVED-CHECK FROM FOGELSANGER-BRICKER FUNERAL HOME $226.71 03/02/2007 CONTRIBUTION RECEIVED-HIGHMARK BLUE SHIELD $14.39 03/02/2007 CONTRIBUTION RECEIVED-HIGHMARK BLUE SHIELD $5,278.23 03/02/2007 CONTRIBUTION RECEIVED-HIGHMARK BLUE SHIELD $4,121.17 03/08/2007 REFUND RECEIVED FROM READERS DIGEST $27.98 03/15/2007 CONTRIBUTION RECEIVED-TRANSFER CASH FROM TRUST ACCOUNT#0178 $138.38 03/19/2007 CONTRIBUTION RECEIVED-CHECK FROM HIGHMARK BLUESHIELD $24.80 03/23/2007 CONTRIBUTION RECEIVED- CHECK FROM TIME INC. SHARED SERVICES $14.44 03!28/2007 CONTRIBUTION RECEIVED- PRO-RATED FINAL PAYMENT FOR SHIPPENSBURG UNIVERSITY FOUNDATION $811.12 03/26/2007 REFUND RECEIVED FROM ATBT $2.65 04/02/2007 CONTRIBUTION RECEIVED-ANTIETAM HEALTH SERVICES $75.00 04/08/2007 CONTRIBUTION RECEIVED-PSECU CD PROCEEDS $54,501.25 04/23/2007 CONTRIBUTION RECEIVED-CHECK FROM BANK OF AMERICA FOR CD PROCEEDS $27,626.24 05/01/2007 CONTRIBUTION RECEIVED-PA ANNUITANT PA TREASURY $2,724.48 05/10/2007 CONTRIBUTION RECEIVED-NAT'L GEOGRAPHIC SOCIETY $19.00 05/10/2007 CONTRIBUTION RECEIVED-TRANSFER FROM ORRSTOWN ACCOUNT#502448 $7,234.59 05/25/2007 CONTRIBUTION RECEIVED- CUMBERLAND COUNTY FROM VETERANS AFFAIRS OFFICE TOWARD BURIAL $100.00 06/04/2007 REFUND RECEIVED FROM READERS DIGEST $61.94 08/12/2007 REFUND RECEIVED FROM COMCAST CABLE $28.52 06/18/2007 CONTRIBUTION RECEIVED-US TREASURY TAX REFUND $8,255.31 08/25/2007 CONTRIBUTION RECEIVED-PROCEEDS FROM DAN HERSHEY AUCTION $17,928.48 07/24/2007 CONTRIBUTION RECEIVED- GOVERNMENT LIFE INSURANCE POLICY V 3372084 PROCEEDS $5,200.94 07/24/2007 CONTRIBUTION RECEIVED- GOVERNMENT LIFE INSURANCE POLICY J 81025516 PROCEEDS $5,152.86 09!10/2007 DEATH BENEFIT RECEIVED FROM NATIONWIDE LIFE INSURANCE COMPANY $12,308.98 10/09/2D07 CONTRIBUTION RECEIVED- CHECK FROM ING LIFE INSURANCE AND ANNUITY COMPANY $4,929.26 04/18/2008 CONTRIBUTION RECEIVED-CHECK FROM COMMONWEALTH OF PA $3,217.76 08!1112008 CONTRIBUTION RECEIVED US TREASURY TAX REFUND $758.00 06/19/2008 CONTRIBUTION RECEIVED ECONOMIC STIMULUS FOR 2007 TAX YEAR $300.00 10/28/2008 CONTRIBUTION RECEIVED PA TAX REFUND $7,724.99 SUBSEQUENT P IR NCIPAL RECEIPTS 02/21/2007 DEPOSIT 25000 PAR VALUE MBNA CD 3.86% 08/18/2007 $25,000.00 02/21/2007 DEPOSIT 69490.93 PAR VALUE PFCU CD 4.9% 10/04/2008 $89,490.93 02/21/2007 DEPOSIT 27317.31 SHARES PSECU CD 4.5%O6/17/2008 $27,317.31 02/21/2007 DEPOSIT 1000 PAR VALUE PSECU CD 4.25%09/28/2007 $1,000.00 02/21/2007 DEPOSIT 10000 PAR VALUE PSECU CD 4.15% 10/05/2007 $10,000.00 02/21/2007 DEPOSIT 10000 PAR VALUE FEDERAL HOME LOAN BKS DEB 4 % 06/29/2007 $9,900.00 02/21/2007 DEPOSIT 15000 PAR VALUE FEDERAL HOME LOAN BKS DEB 5% 09/22/2010 $14,725.80 02/21/2007 DEPOSIT 30000 PAR VALUE FEDERAL HOME LOAN BKS 5.5% 09/12/2013 $29,475.00 02/21/2007 DEPOSIT 25000 PAR VALUE FEDERAL HOME LOAN BKS 4% 10/27/2008 $24,367.25 02/21/2007 DEPOSIT 15000 PAR VALUE FEDERAL HOME LOAN BKS 5% 05/10/2011 $14,883.85 02/21/2007 DEPOSIT 20000 PAR VALUE FEDERAL HOME LOAN BKS 3.565% 04/30/2008 $19,471.90 02/21/2007 DEPOSIT 10000 PAR VALUE FEDERAL FARM CR BKS 5.05% 12/27/2012 $9,721.90 02/21/2007 DEPOSIT 15000 PAR VALUE FEDERAL FARM CR BKS 3.06% 0 5/1 112 0 0 7 $14,788.47 02/21/2007 DEPOSIT 25000 PAR VALUE PENNSYLVANIA ST SECOND SER 5%O5/01/202D $26,379.88 02/21/2007 DEPOSIT 15000 PAR VALUE WEST BRANCH S/D PA 4.8% 03/15/2020 $15,336.68 02/21/2007 DEP 1 SHS 625 BRENTON ST SHeG PA $217,000.00 03/23/2007 DEP 100 SHS PERSONAL PROPERTY/CONTENTS $1.00 TOTAL PRINCIPAL RECEIPTS 5746.416.62 DISBURSEMENTS OF PRINCIPAL 02/20/2007 REGISTER OF WILLS, CUMBERLAND COUNTY PROBATE FEE -$545.00 03/05/2007 LEFLER ENERGY MONTHLY BALANCE DUE FOR GEORGE KALUGER -$173.00 03/08!2007 MAGISTERIAL DISTRICT NO. 09-03-Ot FAILURE TO REMOVE SNOW AND ICE ON -$86.00 03/13/2007 NANCY'S LOCK & KEY SERVICE BALANCE DUE FOR CHANGING LOCKS AT THE -$84.98 03/22/2007 PENELEC BALANCE DUE FOR THE KALUGER ESTATE -$207.25 04/08/2007 LEFLER ENERGY MONTHLY BALANCE DUE FOR THE KALUGER ESTATE -$173.00 04/18/2007 PENNSYLVANIA DEPARTMENT OF REVENUE PAYMENT ENCLOSED -$183.00 04/19/2007 HAWKIN'S CONSTRUCTION COMPANY SNOW REMOVAL FOR FEBRUARY AND MARCH 2007 -$315.00 04/24/2007 COLLEGE TOWN, INC. VALLEY HEATING AND COOLING, LLC -$665.58 04/24/2007 CUMBERLAND LAW JOURNAL ADVERTISEMENT MARCH 9, 16, & 23, 2007 $75.00 04/2fi/2007 TRACY MCMICHAEL AMOUNT OWED TO TRACY FOR 14 HOURS OF -$198.00 04/26/2007 AMY YEAGY AMOUNT OWED TO AMY FOR 2 DAYS OF -$250.00 0 510 4/2 0 0 7 GLENN NAVE FOR MOWING GRASS -$25.00 0 510 4/2 0 0 7 S. W. BARRETT REAL ESTATE & APPRAISAL APPRAISAL FEE FOR 625 BRENTON STREET $325.00 05/07/2007 REGISTER OF WILLS, CUMBERLAND COUNTY GEORGE KALUGER ESTATE -$37,801.81 05/09/2007 EQUIPPED FOR LIFE BALANCE DUE FOR GEORGE KALUGER -$35.00 05/08/2007 SHIPPEN CLEANERS BALANCE DUE FOR GEORGE KALUGER $14.10 05/10/2007 COMCAST CABLE OUTSTANDING BALANCE DUE FOR THE -$28.52 05/16/2007 EMBARQ GEORGE KALUGER 717-532-5430-804 -$42.98 05/16/2007 FAYETTEVILLE VOLUNTEER FIRE DEPT. GEORGE KALUGER /RUN #06-71307 -$470.00 George Kaluger Estate #1260 05/17/2007 ATBT 05/17/2007 COMCAST CABLE 05/17/2007 BOROUGH OF SHIPPENSBURG 05/17/2007 GLENN NAVE 05/18/2007 PENELEC 05/29!2007 COMMONWEALTH OF PENNSYLVANIA 05/29/2007 GLENN NAVE 05/31/2007 ORRSTOWN BANK 08/14/2007 FRANKLIN COUNTY MEDICAL ASSOC. 06/19/2007 PENELEC 06/20/2007 THE NEWS-CHRONICLE CO. D6/21/2007 GLENN NAVE 08/25/2007 WSEMS-CHAMBERSBURG ALS/BLS 08/25!2007 WSEMS-CHAMBERSBURG ALSlBLS 07/18/2007 REVERSE SOCIAL SECURITY BENEFITS RECEIVED 07!18/2007 PENELEC 07/20/2007 U.S. DEPARTMENT OF THE TREASURY 0720/2007 DEL 100 REAL ESTATE, 625 BRENTON ST SHBG PA 07/24/2007 BOROUGH OF SHIPPENSBURG 07/28/2007 VOID CHECK #30237 DATED 07/27/07 TO BOROUGH 07/26/2007 LEFFLER ENERGY 08/07/2007 PENELEC 08/10!2007 DAN HERSHEY AUCTIONEERING5ERVICE 08!20/2007 DEL 25000 BHS, MBNA CD 3.86% 08/18/2007 08/20/2007 DEL 1000 SHS, PSECU CD 4.25% 09/28/2007 08/20/2007 DEL 10000 SHS, PSECU CD 4.15% 10/05/07 10/04/2007 CAPITAL RECOVERY 11/08/2007 REGISTER OF WILLS, CUMBERLAND COUNTY 11/14/2007 AR RESOURCES, INC. 11/28/2007 REGISTER OF WILLS, CUMBERLAND COUNTY 04/24/2008 DEL 1 SHS, PERSONAL PROPERTY/CONTENTS 05/23/2008 ORRSTOWN BANK 05/27!2008 UNITED STATES TREASURY 05/27!2008 PA DEPARTMENT OF REVENUE/TAX DUE 7/23/2008 INTERNAL REVENUE SERVICE 08/19/2008 DISTRIBUTION TO BENEFICIARY 08/19!2008 DISTRIBUTION TO BENEFICIARY 08/20/2008 DISTRIBUTION TO BENEFICIARY 08/20/2008 DISTRIBUTION TO BENEFICIARY 08/20/2008 DISTRIBUTION TO BENEFICIARY 08/20/2008 DISTRIBUTION TO BENEFICIARY 08/21/2008 DISTRIBUTION TO BENEFICIARY 08/21!2008 DISTRIBUTION TO BENEFICIARY 08/27/2008 DISTRIBUTION TO BENEFICIARY 08/27/2008 DISTRIBUTION TO BENEFICIARY 08/27/2008 DISTRIBUTION TO BENEFICIARY 08/27/2008 DISTRIBUTION TO BENEFICIARY 08/28/2008 DISTRIBUTION TO BENEFICIARY 08/28/2008 PARTIAL EXECUTOR FEE 10/24/2008 REGISTER OF WILLS, CUMBERLAND COUNTY TOTAL DISBURSEMENTS OF PRINCIPAL GEORGE KALUGER GEORGE KALUGER GEORGE KALUGER FOR MOWING THE LAWN GEORGE KALUGER STATE EMPLOYEES' RETIREMENT SYSTEM FOR MOWING GRASS 2006 TAX PREP FEE GEORGE KALUGER GEORGE KALUGER KALUGER ESTATE ADVERTISEMENT FOR GRASS MOWING GEORGE KALUGER/28083 GEORGE KALUGER/26083 AFTER DATE OF DEATH ESTATE OF GEORGE KALUGER FINANCIAL MANAGEMENT SERVICE BEQUEATHED TO SU FOUNDATION, PER LAST WILL ESTATE OF GEORGE KALUGER OF SHIPPENSBURG /PAID IN ERROR FINAL BALANCE DUE FOR THE KALUGER ESTATE GEORGE KALUGER/ACCT #1000 t1 5177 t9 FINAL BILL FEE FOR APPRAISAL OF TRAVEL MEMORABILIA PROCEEDS RECEIVED 04/23/2007 PROCEEDS RECEIVED 04/06!2007 PROCEEDS RECEIVED 04/06/2007 BALANCE DUE FOR GEORGE KALUGER CHECK NUMBER 31299 GEORGE KALUGER/ACCT #0671307lRE: 829772 ADDITIONAL PROBATE FEE FOR THE PROCEEDS DELIVERED TO SU PER REQUEST 2007 TAX PREP FEE INTERNAL REVENUE SERVICE CENTER BUREAU OF IMAGING 8 DOCUMENT MGMT ADDITIONAL TAX DUE 2001 FORM 1041 SHIPPENSBURG HISTORICAL SOCIETY SHIPPENSBURG UNIVERSITY FOUNDATION SHIPPENSBURG CIVIC CLUB SALLY LEITH BEALS CAROL ANN DROGUS DANIEL WEITZEL GRACE UNITED CHURCH OF CHRIST ST. ELIE ROMANIAN ORTHODOX CHURCH JHAN MASON SLIPPERY ROCK UNIVERSITY VALERIE M. ROACH JOHN RODDICK ROTARY CLUB OF SHIPPENSBURG ORRSTOWN BANK FILING FIRST 8 FINAL ACCOUNTING PRINCIPAL PROCEED 03/28!2007 SOLD 30000 ($ 88.375 FED HOME LOAN BKS 5.5% 09/12/2013 $29,512.50/$29,475.00 03/28/2007 SOLD 15000 @ 98.0625 FED HOME LOAN BKS 5% 05/10/2011 $14,709.38/$14,683.85 03/26/2007 SOLD 25000 (tIJ 97.31 FED HOME LOAN BKS 4% 10!27/2008 $24,327.50/$24,367.25 03/26/2007 SOLD 15000 L3$ 97.40 FED HOME LOAN BKS DEB 5% 0 9 /2 212 01 $14,610.00/$14,725.80 03/26/2007 SOLD 10000 (a] 97 FED FARM CR BKS 5.05% 12/27/2012 $9,700D0/$9,721.90 03/27/2007 SOLD 20000 @ 87.20 FED HOME LOAN BKS 3.585% 04/30l200E $19,440.00/$19,471.80 03!27/2007 SOLD 15000 ~ 99.05 FED FARM CR BKS 3.08% 05/11/2007 $14,857.50/$14,796.47 03/27/2007 SOLD 10000 (bj 98.80 FED HOME LOAN BKS DEB 4% 0 6/2 812 0 0 $9,880.00/$8/900.00 03/28/2007 SOLD 25000 (20 105.188 PA ST SECOND SER 5% 05/01/2020 $26,296.50/$26,379.88 03/28/2007 SOLD 15000 C~$ 101.504 WEST BRANCH S/D PA 4.8% 03/15/202 $15,225.60/$15,328.07 07/12/2007 SOLD 89490.93 SHRS PFCU CD 4.9% 10/04/2008 $73,112.09/$89,490.93 TOTAL GAIN PRINCIPAL BALANCE ON HAND INCOME RECEIPTS VALUE 12/10/2008 -$6.11 -$28.52 -$94.65 -$25.00 -$65.71 -$7,358.10 -$25.00 -$250.00 -$67.94 -$29.05 -$17.00 -$25.00 -$150.39 -$135.63 -$761.00 -$44.08 -$1,562.00 -$z17,oo0.00 -$132.27 $132.27 -$1,020.47 -$81.03 5150.00 -$25,000.00 -$1,000.00 -$10,OD0.00 -$3,210.64 -$15.00 -$470.00 -$150.00 -$1.00 -$250.00 -$195.00 -$1oz.oo -$10.32 -$15,266.60 -$110,063.49 -$3,057.32 -$7,643.30 553,503.09 -$7,643.30 -$24,458.55 -$3,057.32 -$10,700.62 -$9,171.96 -$53,503.09 -$4,565.96 -$3,057.32 -$22,575.00 -$480.00 3538 585.97 GAINILOSS $37.50 $25.73 -$39.75 -$115.80 -$21.90 -$31.90 $59.03 -$20.00 -$83.38 -$1az.a7 $3,621.16 3 72 .22 $110.148.87 03/02/2007-12/01/2008 DIVIDENDS RECEIVED FEDERATED MONEY MARKET FUND $25,702.76 02/26/2007 ANNUITY PAYMENT ING $244.50 03/01/2007 CONTRIBUTION RECEIVED AMERIPRISE FINANCIAL $163.55 ' George Kaluger Estate#7260 12/10/2008 03/01/2007 CONTRIBUTION RECEIVED ANNUITANT PA TREASURY $2,72q.gg 03/12/2007 INTEREST ON 30000 PAR VALUE FED HOME LOAN BKS 5.5% 09/12/2013 $825.00 03/15/2007 INTEREST ON 15000 PAR VALUE WEST BRANCH S/D PA 4.8% 03/15/2020 $351.39 03/22/2007 INTEREST ON 15000 PAR VALUE FED HOME LOAN BKS DEB 5% 09/22/2010 $375.00 03/26/2007 INTEREST ON 30000 PAR VALUE FED HOME LOAN BKS 5.5% 08/12/2013 $64.17 03/28/2007 INTEREST ON 25000 PAR VALUE FED HOME LOAN BKS 4 % 10/27/2006 $413.89 03/28/2007 INTEREST ON 15000 PAR VALUE FED HOME LOAN BKS 5% 05/10/2011 $283.33 03/28/2007 INTEREST ON 10000 PAR VALUE FED FARM CR BKS 5.05% 12/27/2012 $124.85 03/26/2007 INTEREST ON 15000 PAR VALUE FED HOME LOAN BKS DEB 5 % 09/22/2010 $8.33 03/26/2007 ANNUITY PAYMENT ING $244.50 03/27/2007 INTEREST ON 20000 PAR VALUE FED HOME LOAN BKS 3.565% 04!30/2008 $291.14 03/27!2007 INTEREST ON 10000 PAR VALUE FED HOME LOAN BKS DEB 5% 08/29/2007 $197.78 03/27/2007 INTEREST ON 15000 PAR VALUE FED FARM CR BKS 3.06% 05/112007 $173.40 0328/2007 INTEREST ON 25000 PAR VALUE PA ST SECOND SER 5 % 05/10/2020 $510.42 03/28/2007 INTEREST ON 15000 PAR VALUE WEST BRANCH S/D PA 4.8 % 03/15/2020 $26.00 04/02/2007 CONTRIBUTION RECEIVED AMERIPRISE FINANCIAL $103.55 04/02/2007 CONTRIBUTION RECEIVED ANNUITANT PA TREASURY $2,724.48 04242007 RECEIVED INTEREST PSECU DC 4.5 % 08/17/2009 $1,535.92 01/03/2008 POLICY DIVIDEND RECEIVED PRUDENTIAL FINANCIAL $82.47 10/03/2008- iZ01/2008 INTEREST RECEIVED ORRSTOWN BANK DAILY DEPOSIT FDIC ACCOUNT $59fi.53 TOTAL INCOME RECEIPTS $37 867 64 INCOME BALANCE ON HAND $37 86744 COMBINED BALANCE ON HAND $148.016.31 FEDERATED MONEY MARKET FUND $614.40 ORRSTOWN BANK DAILT DEPOSIT FDIC ACCOUNT $147,401.81 RESERVED: ORRSTOWN BANK, REMAINING EXECUTOR FEE -$7,525.00 JOEL R. ZULLINGER, ATTORNEY FEE -$27,500.00 FILING FEES -$130.00 COMBINED BALANCE DN HAND FOR DISTRIBUTION F.NCU\IBERED ASSET NOT AVAILABLE FOR DISTRIBUTION At the time of the decedent's death he was the owner of Oxxstown Bank Certificate of Deposit #400011466, with a date of death valuation of $16,370.65. This certificate of deposit is not included as an asset in the above accounting. The certificate was pledged as collateral security fox a personal loan in the name of Brian Yeagy, Amy Yeagy and George Kaluger to Orxstown Bank. Payments on the loan are being made by Brian and Amy Yeagy. The loan is due to be paid in full in August of 2011. The certificate of deposit will not be released until the loan is paid in full, at which time an informal accounting will be made to the beneficiaries to distribute the proceeds from liquidation of the certificate of deposit. Value of the certificate as of 12/1/2008 is $17,536.72. George Kaluger Estate #1260 PROPOSED SCHEDULE OF DISTRIBUTION Shippensburg University Foundation $40,630.07 Old Main Road Shippensburg, PA 172 Slippery Rock University $3,385.84 1 Morrow Way, 100 Old Main Slippery Rock, PA 16057 Grace United Church of Christ $9,028.90 121 E. Orange Street Shippensburg, PA 17257 St. Elie Romanian Orthodox Church $1,128.61 425 Cherry Way Ellwood City, PA 16117 Shippensburg Historical Society $5,643.06 52 West King Street Shippensburg, PA 17257 Shippensburg Civic Club $1,128.61 P.O. Box 593 Shippensburg, PA 17257 Shippensburg Rotary Club $1,128.61 P.O. Box 572 Shippensburg, PA 17257 Carol Ann Drogus $19,750.73 14 Marvin Street Clinton, NY 13323 Sally Leith Beals $2,821.53 1651 Coral Terrace North Lauderdale, FL 33068 Daniel Weitrel $2,821.53 653 Wyndham Court Orange Park, FL 32073 Jhan Mason $3,950.17 23 River Oaks Drive Chico, CA 95973 George Kaluger Estate #1260 PROPOSED SCHEDULE OF DISTRIBUTION John Roddick 601 Baltimore Road Shippensburg, PA 17257 $ 1,692.92 Valerie M. Roach 660 Nobel Drive #1 C Santa Cruz, CA 95060 $ 19,750.73 Total Proposed Distributions $112.861.31 COMMONWEALTH OF PENNSYLVANIA: ~~ II,,~~~ S S COUNTY OF C11 - ~G~-~~ Orrstown Bank, Executor under the last will and testament of George Kaluger, deceased, hereby declares under oath that they have fully and faithfully discharged the duties of office; that the foregoing first and final account is true and correct and fully discloses all significant transactions occurring during the accounting period; that all known claims against the estate have been paid in full; that, to their knowledge there are no claims now outstanding against the estate; and that all t due from the estate have been paid; that the indivi the within schedule of distribution are the only on participate in said fund for distribution to the knowledge, and that the amounts awarded to each of the correct amount payable to Sworn ptyor~ and subscribed before me this -~-- day of ~~rCcnc.ber 2 p0 ~K ~,~ h L~ n~,Q.C_Q__ ('` Not ry /Publi COMMONWEALTH OF PENNSYLVANIA NMariai Seal Robin Lvn~ 3urrnisel, Notary Public Shipponsbupr 600, Cumberland County My Commisv~~~on Expires May 8, 2012 Member Pennsylvania Association of Notaries axes presently duals named in es entitled to best of their them herein is AFFIDAVIT STATE OF PENNSYLVANIA: :SS COUNTY OF FRANKLIN Joel R. Zullinger, being duly sworn according to law, deposes and says that he did on December 11, 2008, mail notice of the filing of the above First and Final Account and Proposed Schedule of Distribution by certified mail, return receipt requested, to the following parties: Valerie Roach 660 Nobel Drive 1-C Santa Cruz, CA 95060 Carol Ann Drogus 14 Marvin Street Clinton, NY 13323 Jhan Mason 23 River Oaks Drive Chico, CA 95973 Daniel Weitzel 653 Wyndham Court Orange Park, FL 32073 Sally Leith Beals 1651 Coral Terrace North Ft. Lauderdale, FL 33068 John Roddick 601 Baltimore Road Shippensburg, PA 17257 Shippensburg University Foundation 1871 Old Main Drive Shippensburg, PA 17257 Slippery Rock University Foundation 1 Morrow Way, 100 Old Main Slippery Rock, PA 16057 Grace United Church of Christ 121 East Orange Street Shippensburg, PA 17257 St. Elie Romanian Orthodox Church 425 Cherry Way Ellwood City, PA Shippensburg Historical Society 52 West King Street Shippensburg, PA 17257 Shippensburg Civic Club P.O. Box 593 Shippensburg, PA 17257 Shippensburg Rotary Club P.O. BOX 572 Shippensburg, PA 17257 Joanne Book Coles, Esquire Deputy Attorney General Charitable Trusts and Organization Section Pennsylvania Office of Attorney General 14th Floor, Strawberry Square Harrisburg, PA 17120 Joel R. Zullinger, Esquire Attorney for the Estate of George Kaluger By Sworn and subscribe to before me this day of s%~, 200~J" . of ry Public Notarial Seal Carin L. Walter, Nota p Chambersburg Boro, Franklin County My Commission Expires May 73, 2009 PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587; approved May 16, 1929), P. L.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 that 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 the official legal periodical for the publication of all legal notices, and has, since January 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, March 9, March 16 and March 23, 2007 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 in the foregoing statements as to time, place and character of publication are true. ~~^ ~,~ L' a Marie Coyne Editor xaluger, gorge, aec'd. SWORN TO AND SUBSCRIBED before me this Late o£ the Borough of ship- 23 day of _Mazch, 2007 pensburg. Executor: Orrstown Bank, P.O. Box 250, Shippensburg. PA - 17257. Attorney: Joel R. Zullinger, Es- quire, 14 North Mafn Street. - ,r^^~~++•- Room 200. Chambersburg. PA i '„ ,i.,A!_ 17201. ~ _.,, •.•n 1R: Pi Y ~ C ;':' !': 1 ~;t of ty ~ :{r;` i JRZ - 5.1 kaluger.l January 23, 2004 LAST WILL AND TESTAMENT I, George Kaluger, of 625 Brenton Street, Shippensburg, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby declare this to be my will, hereby revoking any and all former wills and codicils thereto by me heretofore made. FIRST I direct that all my just debts and funeral expenses, including all expenses of my last illness, shall be paid from ~y n -.~ ~; --~r, estate as soon as practicable after my decease as a par~;gf t}e "_;ii expense of the administration of my estate. -`=!? o ==''~ ~- :~ ~ ~ , _~ ~- -., n -- _ ; SECOND =~ c - '-- ~ -:, I give, devise and bequeath the residue of my estate of every nature and wherever situate to my wife, Meriem F. Kaluger, providing she shall survive me by thirty days. THIRD Should my wife, Meriem F. Kaluger, predecease me or die on or before the thirtieth day following my death I give, devise and bequeath the residue of my estate of every nature and wherever situate as follows: A. I give my home situate at 625 Brenton Street, Shippensburg, Pennsylvania, my travel artifacts, various collections of objects, paintings, pictures and slides and series of books to -.the Shippensburg University Foundation, Shippensburg, Pennsylvania. In the event the Shippensburg University Foundation does not want same or all of the aforementioned artifacts, then the same shall next be offered to the Shippensburg Historical Society, Shippensburg, Pennsylvania. Finally, in the event all of the aforementioned items have not been retained by either the Shippensburg University Foundation or the Shippensburg Historical Society, the Shippensburg Public Library of Shippensburg, Pennsylvania, shall have the option to receive the remaining articles. B. The balance of the residue of my estate of every nature and wherever situate shall be distributed as follows: 1. Twenty-four percent to the Shippensburg University Foundation, Shippensburg, Pennsylvania, to be added to fund the George and Meriem F. Kaluger Academic Enrichment Fund; 2. Eight percent to the Shippensburg University Foundation, Shippensburg, Pennsylvania, to be added to the George and Meriem Kaluger Human Heritage Fund; Page 2 s 3. Three percent to Shippensburg University Foundation, Inc., Shippensburg, Pennsylvania, to be added to the Kaluger and Sweely Scholarship Fund; 4. One percent to the Shippensburg University Foundation, Inc., Shippensburg, Pennsylvania, to be added to the. Fashion Archives Fund; 5. Three percent to the Slippery Rock University Foundation, Slippery Rock, Pennsylvania, to be added to the George and Meriem Kaluger Academic Award Fund; 6. Eight percent to the Grace United Church of Christ, Shippensburg, Pennsylvania, to be used for general church purposes; 7. One percent to the St. Elie Romanian Orthodox Church, Ellwood City, Pennsylvania, to be used for general church purposes; 8. Five percent to the Shippensburg Historical .Society, Shippensburg, Pennsylvania, to be used for general society purposes; 9. One percent thereof to Shippensburg Civic Club, Shippensburg, Pennsylvania, to be used for general club purposes; 10. One percent thereof to the Shippensburg Rotary Club, Shippensburg, Pennsylvania, to be used for the establishment of a Rotary Foundation Paul Harris Fellow award in memory of George Kaluger; Page 3 11. Seventeen percent thereof: to Valerie Drogus, if she survives me; 12. Seventeen percent thereof to Carol Ann Drogus, if she survives me; 13. Three percent thereof to Shan Mason, if she survives me; 14. Three percent thereof to Cornell Kaluger, if he survives me; 15. Two percent thereof to Daniel Weitzel, if he survives me; 16. Two percent thereof to Sally Leath Beals, if she survives me; 17. One percent thereof to Jack Roddick, if he survives me; 18. In the event any of the aforementioned beneficiaries named in subparagraphs 11 through 17 ~ should predecease me or die on or before the sixtieth day following my death, his or her -share shall be distributed equally among my remaining beneficiaries named in subparagraphs 11 through 17. FOURTH In the event that my wife and I should die in a common disaster, which for purposes of this will shall be defined as dying within sixty days of each other, in order to distribute the entire Page 4 bulk of our estate, including jointly held assets and individually held assets, in a manner that conforms to the above distribution set forth in paragraph Third, it is my desire that all assets held jointly and individually by me and my wife shall be combined and after the payment of all expenses of both estates, and the distribution of any specific bequest, the residue shall be divided equally between the two estates and my one-half share shall be distributed in accordance with paragraph Third above. Specifically as to the amounts bequeathed to an institution or organization, the maximum amount shall be considered the maximum to be received from both of the estates of myself and my wife, Meriem F. Kaluger. The total amount received from both estates shall not exceed the maximum set forth in each of our wills. It is my intent that these bequests not be doubled by considering each will separately, but rather that the maximum be considered the maximum for both wills. FIFTH Any fiduciary under this will shall have the following powers in addition to those vested in them by law and by other provisions of my will applicable to all property whether principal or income, including property held for minors, exercisable without Court approval, and effective until actual distribution of all property: A. To retain any and all of the assets of my estate, real or personal, without regard to any principle of diversification of risk. Page 5 B. To invest in all forms of property including stock, common trust funds and mortgage investment funds without restriction to investments authorized for Pennsylvania fiduciaries as they deem proper, without regard to any principle of diversification of risk. C. To sell at public or private sale, to exchange or to lease for any period of time any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms or conditions as they deem proper. D. To allocate receipts and expenses to principal or income or partly to each as they from time to time think proper. E. To compromise any claim or controversy. F. To distribute in cash or in kind or partly in each. ~" G. To hold property in their names without designation of any fiduciary capacity or in the name of a nominee or unregistered. SIXTH I direct that all taxes that may be assessed in consequence of my death of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as apart of the expense of the administration of my estate. Page 6 SEVENTH I appoint my wife, Meriem F. Kaluger, as executrix of this my will. Should my wife predecease me, fail to qualify or cease to act, I appoint Dr. Francis Norton and Orrstown Bank, with principal offices in Shippensburg, Pennsylvania, as co-executors of this my will. EIGHTH No bond shall be required of any fiduciary hereunder in any jurisdiction. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my last will and testament, consisting of eight typewritten pages, the first six of which bear my~~g9signature in~the margin for the purpose of identification this ~~~lay of t---Q. ~,~.f.e~~l~~~/+ ~ 29~~• V / ~ec,~~ow~ p„' ( SEAL) Signed, sealed, published and declared by the above-named testator as and for his last will and testament in our presence, who in his presence, at his request and in the presence of each other have hereunto set our hands ,ars aCt7testing/~wi~tnesses. ~~ r / ~n'T ( G.c~ G+~~ /`~L~C+ PSI. _ ~ ~/J. Page 7 ~, We, George Kaluger, ~ ~„-~%~ ~//,j~ and the testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his last will and testament and that he executed it as his free and voluntary act for the purposes therein expressed and that each of the witnesses, in the presence and hearing of the said testator signed the will as witnesses and to the best of their knowledge said signer was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. 'Testa r ~/Witness / ~~ ` Witness Subscribed, sworn to and acknowledged before me by the above-named signer and subscribed and sworn to befor me by the above-named ya'tne~~is day of 2 Notary Public ~A~»`c~r3aG ~a~d r , E ,Fay zy @°~~;sa ~'u~Ff r ~.$ 5;4rn- _~~~ti CA~ePE:v FS~£W i,=' i.~~i",I Page 8 CODICIL I,George 'Kaluger of 62.5 Brenton Street, Shippensburg, Pennsyylvania being of sound and disposing mind, memory and understanding, do hereby declare this to be a codicil to my will dated February 2, 2004. I. N r` " C' I hereby revoke paragraph Seventh of my said will.-= G' ~~~ n rn m N ,~,~ J O `,' ~~ Q IN LIEU TB'SRSOF, I direct that the following be substituted I appoint Orrstown Bank with principal offices in Shippensburg, Pennsylvania Executor of this my will. II. In all other respects I hereby ratify, confirm and republish my will dated February 2, 2004 together with this codicil as and for my will. -.n =~~ -2 _3 -- ~_ _' C'~ _ ;'rl ~, ;_-) IN WI1'NE55 WHEREOF, I have hereunto set my hand and seal this ~~ day of ~ 2 ?9C h~~ ~ea.~U' L'.Gr' (SEAL) ~.~.~ k Signed, sealed, published and declared by the above-named testator as and for his codicil in our presence, who in his presence, at his request and in the presence of each other hereunto set our hands as attesting witnesses. Page 2