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HomeMy WebLinkAbout01-07-09 (2)~~ 15056051058 REV-1500 EX (O6-OS) PA Department of Revenue OFFICIAL USE ONLY Bureau oflndividualTaxes County Code Year File Number Po Box 2BOSO1 INHERITANCE TAX RETURN Hartisburg, PA 17128-0661 21 08 1062 RESIDENT DECEDENT ENTER DECEDEN7INFORMATION BELOW Social Security Number Date of Death Date of Birth 10/04/2008 09/21/1925 Decedents Last Name Suffix Decedent's First Name MI _ _ JOHNSON BARBARA y (If Applicable) Enter Surviving Spouse's Information B elow Spouse's Last Name Suffx Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE RF[~ISTFR AF WII I C FILL IN APPROPRIATE OVALS BELOW :~~ 1. Original Return tm-..:r 2. Supplemental Relum ~~ 3. Remainder Return (date of death prior to 12-13-82) C :.`, 4. Limited Estate [~ 4a. Future Interest Compromise (date of 5. Federal Estate Tax Return Required death after 12-12-82) ;:,f> 6. Decedent Died Testate ~? 7. Decedent Maintained a Living Trust _____ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) C- ;. 9. Litigation Proceeds Received C7 10. Spousal Poverty Credit (date of death r_y 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 THOMAS E. FLOWER (717) 737-3405 Firm Name(If Applicable) -- - - REGISTER OF WILLS USE ONLY SAIDIS FLOWER LINDSAY !. First Ilne of address _. r.o ~ ~ b 2109 MARKET ST ~h s r Z Second line of address 1T - C ri ('~ ', Cit or Pos[Office Y State ZIP Code ~ ~!~~~._.._ _ - ~~ ~~ ~ = , CAMP HILL PA 17011 ~ ~ -'"r ~ __ _ _ r . .-~ -~ crt Correspondent's a-mail address' IfOWe reO sll-IBW.DDm Untler penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, antl to the best of my knowletlge antl belief, it is true, correct antl complete. Declaration of preparer other than the personal representative is basetl on all information of which preparer has any knowletlge SIGN~ATU"RE OF~ ~PER~S RESPONSIBLE FOR FILING RETURN DATE ADD 5 -__-- --- Janet J. Bailey, 2433 Blacksmith Way, East Petersburg, PA 17520 _- _ _ -- -- - RE OF PREPAR OER THAN REPRESENTATIVE DATE ,,/ ~_ - Saidis, Flower & Lindsay, 2109 Market Street, Camp Hill, PA 17011 15056051058 Side 1 15056051058 ill REV-1500 EX Decedent's Social Security Number Decedent's Name: BARBARA Y JOHNSON RECAPITULATION 1. Real estate (Schedule A) ............................................. L ' 2. Stocks and Bonds (Schedule B) ........ .. .. ... .. .. ......... .. .. .. .. ... 2 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages 8 Notes Receivable (Schedule D) .... ......... .......... ... ... 4 5. Cash, Bank Deposits & Miscellaneous Personal Propeny (Schedule E) ..... ... 5. 3,265.86 '. __ _ . _.. 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested .... ... 6. 81,409.07 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property ~ -~-~~~ ' (Schedule G) q~ Separate Billing Requestetl..... ... 7. ' 17,903.32 6. Total Gross Assets (total Lines 1-7) ................................. ... 8. 102,578.25 '.. 9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. 5,070.79 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............. ... 10. 144.18 11. Total Deductions (total Lines 9 8 10) ................................ ... 11. ', 5,214.97 '.. 12. Net Value of Estate (Line 8 minus Line 11) .. ...... ....... ........ ... 12 97,363.28. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which -~ """ """"""""" an election to [ax has not been made (Schedule J) ..................... ... 13. 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. 97,363.28 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES ~ ~ "~"m_...__._____.,_.. ,_.,.,__~..._. 15. Amount of Line 14 taxable at the spousal taxrate, or transfers under Sec. 9116 --- 16. Amount of Line l4 taxable - __._ ..! """ °` at lineal rate X .0 45 97,363.28 16. 4,381.35 17. _ , _.. _ Amount of Line l4 taxable ~ '. at sibling rate X .12 '. 17. i6. Amount of Line l4 taxable at collateral rate X .15 16. 19. TAX DUE .. ....... ................... ..... ....... .......... .. .. ig, .. 4,381.35 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 G 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Flle Number Decedent's Complete Address: 21 ~ 08 ,'1062 DECEDENT'S NAME DECEDENTS SOCIAL SECURITY NUMBER BARBARA Y JOHNSON 012-20-4_291_ STREET ADDRESS COUNTRY MEADOWS TRINDLE ROAD CITY ~ STATE ZIP MECHANICSBURG PA i 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 4,381.35 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 3,500.00 C. Discount 184.21 -_-- Total Credits (A+B+C) (2) 3,684.21 3. InteresUPenalty if applicable - D.Interest E. Penalty Total InterestlPenalty (D + E) (3) 0.00 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) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 697.14 A. Enter the interest on the tax due. (5A) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 697.14 Make Check Payable to: REGISTER OF WILLS, AGENT .-_,__ ,.. __ :.... , s:3.. s....?i-,I~v`:. ....E 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 properly transferred :................................................................................... ....... ^ ^X b. retain the right to designate who shall use the property transferred or its income :..................................... ....... ^ ^x c. retain a reversionary interest; or .................................................................................................................... ...... ^ d. receive the promise for life of either payments, benefts or care? ................................................................ ...... ^ ^x 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ ^x 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? .................................................................................................................. ...... x^ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ;. :~ ~ +` r ,= ., a. ;. ... 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)j. For dales 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 fling a lax return are still applicable even if the surviving spouse is the only beneficiary. For dales 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 (o) percent [72 P.S. §9116(a)(1.2)]. The lax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefciaries 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-1508 EXi (6-98) Y COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER BARBARA Y. JOHNSON 21-08-1062 Include the proceeds of litigation antl the date the proceeds were received by the estate. All property jolnllyowned with right of survlvorshlp must be disclosed on Schedule F. (n more space is neetled, Insert atltlitional sheets of the same size) REV-1509 EX+ (6-9$) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY `°'^' ` "~ FILE NUMBER BARBARA Y. JOHNSON 21-OB-1062 If an asset was made join) within one year of the decedent's date of death, It must he reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. KATHRYN J. JOHNSON 5217 BROWN STREET DAUGHTER SKOKIE, IL 60077 e. JANET J. BAILEY C. JOINTLY-OWNED PROPERTY: 2433 Blacksmith Way, East Petersburg, PA 17520 DAUGHTER ITEM LETTER FOR JOIN DATE T MADE DESCRIPTION OF PROPERTY INCLUDE NAME DF FINANCIAL INSTITUTIONANO BANKACCDUNT NUMBER OR SIMILAR DATE OF DEATH %OF D ' DATE OF DEATH NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JDINTLKHELD REAL ESTATE VALUE OF ASSET ECD S INTEREST VALUE OF DECEDENT'S INTEREST t. A. 08/28/64 M&T BANK CHECKING ACCT # 49559370 ` 5,872.98 0 50% 2,936.49 2~ A 09/19/03 M&T BANK SAVINGS ACCT ~'15004205739911 114,050.32 50% 57,025.16 3. A 08103/95 M&T BANK CERTIFICATE OF DEPOSIT#31003914486484 39,993.58 50% 19,996.79 4. B 12/31/03 SOVEREIGN BANK CHECKING ACCT 17351081631 2,901.25 50% 1,450.63 TOTAL (Also enter on line 6 Recapitulation) $ 81 409 07 (If more space is needed, insert adtlitional sheets of the same size) Q ~-~~~ X499 Mitchel! k2oad, MiYhborq Ui, 19466 idail Code UE~MB- I2 Janet J Bailey, Executrix Estate ~f Barbara Y Johnson 2433 $tacltsrnth Way East Petersburg, Pennsylvania 1752() Ntwrmbur r;, 2Up8 Re: Estate of.' Barbara Y JoJtnsor~} t;aaount Numhe r• 49SS93?Q X31 GIQ341 a4J{„~484 & 14pQ420~4?4B9?I Dade afDeattxr O ctober 04a ~OfT8 bear Sir ar Madam: Per a rnemo Fmm Jeaaica Grat7~ at M&cT L3ank, dated November SJ4, ZO(1$, requesting at the tune of death, the balanex on the above reLarenccd account{s} wets: i, 7;gper>f'f1rl:oauzf G9zeeAiiu3~lccarent ~tecatxnt Nuaztrer 45).St93?0 (>witarsttip(NarrtesdfJ ETaabaraY,/nhrtsarr" Kttt7zreJrt JJoJvtson "' ©~etzitipL3ate S/~8/64 Flalarire on [kite oJ':Deatlt ,'a a, 81.2.90 Acrruect lriteresl $ {}, pg Tazai $S, 872.98 2. Tt,7/~e of Aceouut Sazdrerl;: Accnzrr>t Ac~cowtt NurnUer T 50042Q5?39977 C3wnersliiy jNames c~ FSar(~am YJc+la9san* 3fathrynJJoizrisnri Cipentity Dale .9119/03 BafanceonDateofDcath $'.I13,9Fi8.3€ ,'~CC71![?(17)CICrC'5f ~i 81.96 nrtal SX14.Q50.~32... 3. Tgpe of Accaeent Gerhfieate rlfr3e{rasit A~xrourtt Number 31 dd:~93 ~IAB6~~F84 C3wnershi1~ (1Yezrnes oJJ Bnrtrar€e YJoluxsnn* ttQtfiTij/1 ,/.~nh74Snt2* C,rker:tnt~ Dcate~ Bf 3/:95 r3ci(ance on Dcrtn of bath "a 39, ?0.75 ArcrverllYlti:Yk'St $ 771:83 Total $39,Q93 SS ' Foz further anaouatinSarmatian„regardng.own@zship, closures anxllor sairabuzaemeat of fuads, atc„ rpleaae coutaati the Edeu Park gfffce # 717-293-5512.. MCw T E3~+n.le S70D Uxiit J Recoriis Mara~rru:nt REV-7510 EX~ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER BARBARA Y. JOHNSON 21-OS-1062 This schedule must he 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. ITEM NUMBE DESCRIPTION OF PROPERTY irvcwoe rxs xnMS Or rxe rxnrvsFSass. msia aaunorvswv ro oecxosmnrvo R rxE Onre or ranrvsrsa. nrrncxncovr or rxe oEEO FOa aen~ssrnrs. GATE OF DEATH VALUE OF ASSE %OF DECD'S T INTEREST EXCLUSION prnaaucae~el TAXABLE VALUE ~ Sovereign Bank IRA account #2338197615, paid to estate 291.92 100 291.92 2. Sovereign Bank IRA account #2338238047 17,611.40 100 17,611.40 TOTAL (Also enter on line 7 Recapitulation) $ I 17,903.32 (If more space is needed, insed additional sheets o/the same size) REV-1511 EX+(12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE 7A%RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF - FILE NUMBER BARBARA Y. JOHNSON 21-08-1062 Debts of tlecedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t' AUER FUNERAL HOME, professional services 1,480.00 OBITUARIES 560.72 DEATH CERTIFICATES 45.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)IEIN Number of Personal Representative(s) Street Address City .State Zip Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Slreel Address City State _Zip Relations~lip of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees ~. PUBLISH EXECUTOR'S NOTICES, CUMB LAW JRNL (75), PATRIOT NEWS (162.03) TO7AL (Also enter on line 9, Recapitulation) I $ (It more space is needetl, insert additional sheets of the same size) 2,500.00 248.00 237.07 5,070.79 REV-1612 EX+(f2-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER BARBARA Y. JOHNSON 21-OS-1062 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. pi more space us needeq msen additional sheets of the same size) REV 1513 EX+ ,11-08) A" =` pennsylvania SCHEDULE J DEPAai MENT OF NEVENpE iNnEalTnNCE tax kETURN BENEFICIARIES 2ESIDENT DECEDENT ESTATE OF FILE NUMBER BARBARA Y. JOHNSON 21-OS-1062 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT Do Not List Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS [Include outright spousal distrihutions and transfers under Sec. 2116 (a) (1.2).] 1. KATHRYN J. JOHNSON, 5217 BROWN ST., SKOKIE, IL 60077 DAUGHTER 1 /3 2. BRUCE 5. JOHNSON, 119 W. LINDEN ST., BURBANK, CA 91502 SON 1/3 3. JANET J. JOHNSON, 2433 BLACKSMITH WAY, E. PETERSBURG, PA DAUGHTER 113 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 2113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE D15TRI8UTIONS ON LINE 13 OF REV-1500 COVER SHEET. I$ If more space is needed, insert additional sheets of the same size. LAST WILL AND TESTAMENT OF BARBARA Y. JOHNSON I, BARBARA Y. JOHNSON, of Mechanicsburg, 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 all other Wills and Codicils heretofore made by me. FIRST I direct the payment of my just debts and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. If there be no cemetery lot available for my interment owned by me at the time of my death, I authorize my personal representative to purchase such cemetery lot with a contract for perpetual care, using therefor funds from my estate in such amount as she shall consider necessary and desirable, and I authorize my personal representative to cause title to or ownership of such lot so purchased to be vested in such person as my personal representative shall designate. Further, I authorize my personal representative to expend funds from my estate, in such amount as my personal representative shall consider necessary and desirable for the purchase, erection and inscription of a suitable marker for my grave. SAIDIS SECOND HUFF, FLOWER & LINDSAI' ~T~~,~~N~,-~•A,•~u I give, devise and bequeath all the rest, residue and remainder of my estate to 21(19 Markel Slreel c~„„~ mu, i•n my beloved husband, SANFORD C. JOHNSON, absolutely and in fee simple if he survives me by thirty (30) days. THIRD In the event that my Husband, SANFORD C. JOHNSON, fails to survive me by thirty (30) days, then I bequeath all of my household goods, furniture, jewelry and personal effects in accordance with a written list made by me during my lifetime. In the absence of a list or designation on the list, then I bequeath such items, in equal shares, to my children who survive me, JANET J. BAILEY, BRUCE S. JOHNSON and KATHRYN J. JOHNSON, to be divided between them by my personal representative with due regard for their preference in as nearly equal shares as practicable. FOURTH In the event that my husband, SANFORD C. JOHNSON, fails to survive me by thirty (30) days, then I give, devise and bequeath all the rest, residue and remainder of my estate in equal shares unto my children, JANET J. BAILEY, BRUCE S. JOHNSON and KATHRYN J. JOHNSON, per stirpes. FIFTH I direct that any and all inheritance, estate, and transfer taxes imposed upon my estate passing under this Will or otherwise shall be paid out of the principal of my residuary estate. SIiiTH In addition to the powers conferred by law, I authorize any personal SAIDIS FF, FL0IA~ER LINDSAY 011NG1'S•~'i'•LnAA' 3 Marlccl titrecl imp Ilill, YA representative acting under this instrument, in his absolute discretion: A. To retain in the form received, or to sell either at public or private sale any real or personal property; B. To exercise any options to subscribe for stocks, bonds, or other investments; z C. To join in any plan of lease, mortgage, consolidation, exchange, reorganization or foreclosure of any corporation in which my estate or any trust may hold stocks, bonds or other securities; D. To sell, transfer, convey, mortgage, pledge, lease or exchange any property, real or personal, which at any time may form part of my estate, for the payment of debts or taxes, or for any purpose of administration or distribution, for such prices and upon such terms as my personal representative, in his sole discretion, may deem wise, and to execute and deliver deeds of conveyance or transfer thereof; ~ E. To make settlements and compromises on such terms as my personal representative in his sole discretion may deem wise without the necessity of obtaining any court approval thereof; F. To make distribution hereunder either in cash or kind, as my personal representative in his discretion may deem wise. SEVENTH I do hereby nominate, constitute and appoint my daughter JANET J. BAILEY, to SAIDIS HUFF, FLOWER ~ LINDSAY ATI'OItNLYS•A'f•LA W 2109 Markel Streel Camp Ilill, VA act as Executrix of this my Last Will and Testament. Provided, however, that if she is unwilling or unable tc act as Executrix, I direct the duties of Executor to be performed by my son, BRUCE S. JOHNSON. EIGHTH I direct that no personal representative, guardian, trustee or other fiduciary appointed under this instrument shall be required to give bond for the faithful performance of their duties in any jurisdiction. 3 hand and seal to this my Last Will and Testament, consisting of four (4) typewritten pages, the first three (3) of which bear my signature in the margin for identification, this t day of~v L,~, , 2002. IN WITNESS WHEREOF, I, BARBARA Y. JOHNSON, have hereunto set my BARBARA,. . ,JOHNSON iAIDIS 'F, FLOWER LINDSAY arvccs•nianw hlarkrl Slmcl mp Hiil, PA Signed, sealed, published and declared by the above-named GARBARA Y. JOHNSON, Testatrix, as and for her Last Will and Testament in the presence of us, who have hereunto subscribed our names at her request as witnesses thereto, in the presence of said Testatrix and of each other. ~ ,~~ C ~„ ADDRESS 21 D j NLr,~ 1~.1- cQ ~.P a~c~, D~ , ~0, ADDRESS ,~ID~i f~~~ke~ Str. _~Am~ Nlii ~~ 1"1Q1 ~ 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. We. Barbara Y. Johnson, "1-hL~,as £, r-l~~a~er and ,~ C~ -~>1\~I ~~~ ,the Testatrix and witnesses, respectively whose names are signed to the foregoing or attached instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she signed willingly and that executed as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix signed the Will as witnesses and that to the best of their knowledge the Testatrix was at the time eighteen (18) or more years of age, of sound mind and undar no constraint or umdue influence. ~- ~ `'~iZ,c i-r~-t~~ ,Couu-- `Barbara Y. John n~' fitness I lw , Witness snlnls FF, FLOWER LINDSAY .)QNCI'$'AT'Id LV Markrl 5l reel imp Hill, PA Subscribed, sworn to and acknowledged before me by Barbara Y. Johnson, the Testatrix, and subscribed to and sworn or affirmed to before me by ~~~~45 ~ ~ Flower and Jr~ Sm~~~l~ ,witnesses, this 11 }~~ day of ~r ~ , 2002. / (~/ ~, I Not, ryPublic / Cn,~_.~,.,R NOTARIAL SEAL ( fMf,REN $. NGEL, Notary Public I ~;st~rtll~ X111 ficara, Gumbertend County i [.xl, ;a~;nirris:?acn Fxplres Dec. 8, 2003 5