HomeMy WebLinkAbout05-15-09 (2)J 1505607121
IH3
REV-1500 Ex
05
(
-
)
PA DepadmeM of Revenue OFFICIAL USE ONLY
Bureau of Indlvldual Taxes
PDeox2eo6ot INHERITANCE TAX RETURN County Code Year File Number
Hardsbum PA 17128.0601 RESIDENT DECEDENT 2 1 D 9 0 2 0 0
ENTER DECEDENT INFORMATION BELOW
Social Seamy Number Date of Death Date of Binh
0 0 1 3 0 5 3 5 4 0 2 1 5 2 0 0 9 0 9 2 7 1 9 0 7
Decedent's Last Name Suffuc Decedent's First Name MI
C A U F F M A N I S A B E L H
(U Applleable) Entsr Surviving Spouse's Infonnatlon Below
Spouse's Last Name Suffer Spouse's First Name MI
Spouse's Social Seadty Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
® 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death
pdor to 12-13-82)
4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required
death after 12-12-82)
® 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ B. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 70. Spousal Poverty Credit (date of death ~ 11. Election to tax under Sec. 9113(A)
between 12-37-91 and 7-1-95) (Attach Sch. 0)
CORRESPONDENT - THIS SECTX)N MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTUIL TAX INFORMATKIN SHOULD BE DIRECTED T0:
Noma Daytime Telephone Number
J O E L R Z U L L I N G E R 7 1 7 2 6 4 6 4 2 9
Firm Name (If Applicable)
Z U L L I N G E R
First line of address
D A V I S P C
1 4 N O R T H M A I N
Second line of address
S U I T E 2 0 0
City or Post Office
C H A M B E R S B U R G
Correspondent's a-mail address:
S T R E E T
State ZIP Code L
P A 1 7 2 0 1
_y
DATE FILED
a
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Side 1
L 1505607121 1505607121
USE
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1505607221
REV-1500 FJC
Decedent's Social Securtty Number
Decedents Name: ISABEL H• CAUFFMAN 0 0 1 3 0 5 3 5 4
RECAPITULATION
1. Real estate (Schedule A) ........................................ 1.
2. Stocks and Bonds (Schedule B) .................................. 2.
3. Closely Held Corporation, Partnership orSole-Proprietorship (Schedule C) ..... 3.
4. Mortgages ii Notes Receivable (Schedule D) ........................ 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5.
6. Jointy Owned Property (Schedule F) ^ Separate Billing Requested ....... 8.
7. Inter-Vivos Transfers 8 Miscellaneous N -Probate Property
(Schedule G) ~ Separate Billing Requested ....... 7.
8. Total Gross Assets (total Lines 1-7) ........................... 8.
6 9 9 6 9 1, 4 1
5 2 4 2 1. 8 0
7 5 2 1 1 3, 2 1
9. Funeral Expenses & Administrative Costs (Schedule H) ................ 8.
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ 10.
11. Total Deductlona (total Lines 9 & 10) ........................... 11.
12. Net Valw of Eshte (Line 8 minus Line 11) ......................... 12.
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
en election to tax has not been made (Schedule J) .................. 13.
14. Net Valw SubJect to Tax (Line 12 minus Line 13) ......... .. ..... .. 14.
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, ar
transfers under Sec. 9118
(a)(1.2)X.0 _ ~ . ~ ~ 15.
18. Amount of Line 14 taxable
at lineal refs x .045 6 9 9 7 6 1. 9 0 16.
17. Amount of Line 14 taxable
et sibling refs X .12 ~ 0 ~ 17.
18. Amount of Line 14 taxable
at colleterel rate X .15 2 7 ~ 0 ~ ~ 0 18.
19. Tax Due ................................................ 19.
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
2 1 9 6 3, 9 8
2 3 8 7. 3 3
2 4 3 5 1, 3 1
7 2 7 7 6 1, 9 0
1 o a o. a o
7 2 6 7 6 1. 9 0
o. o a
3 1 4 8 9. 2 9
a. a o
4o5a.oa
3 5 5 3 9. 2 9
Side 2
L 1505607221 1505607221 J
REV-1500 EX Pege 3
Decedent's Complete Address:
File Number
21 os ozoo
DECEDENTS NAME
ISABEL H. CAUFFMAN
STREET ADDRESS
129 Walnut Bottom Road
CITY
Shi ensbu STATE
PA ZIP
17257
Tax Payments and Credits:
t• Tax Due (Page 2 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount 1.776.96
3. InteresUPenalty if applicable
D. Interest
E. Penalty
4.
If Line 2 is greater than Line 1 +Line 3, enter the difference. This is the OVERPAYMENT.
FIII In oval on Pepe 2, Line 20 to request a refund.
5. If Line 1 + Line 3 is greater than Une 2, enter the difference. This is the TAX DUE.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 +5A. This is the BALANCE DUE.
(1) 35.539.29
Total Credits (A + B +C) (2) 1,776.96
Total InteresVPenalty (D + E) (3) 0.00
(4) 0.00
(5) 33.762.33
(5A)
(5B) 33.762.33
Make Cheek Payable top:~µ~REGISTER OF WILLS, AGENT
~ l~~~~~i~ll ~ ..: ~~i hid°iu~ i ~ i II a II i i I ~ ~I ...~C... ~,`k~4' i ~ r` ~~~~~~~~~ ~ ~,,, ..,. ,~`%,
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 a income of the properly transferred : ................................................................. ...
^
b. retain the dght 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 cere7 .................................................. ..
..... ^
2. If death orxurred after December 12,1982, did decedent transfer property within one year of death
without receiving adequate considerafion? .................................................................................. ..... ^
3. Did decedent own an'in trust for' or payable upon death bank account or secudty at his ar her death? .... ..... ^
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation7 ............................................................................................. ..... ^
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
~ .}~ ..,~ ..,,.. 'S '~ ,.t _ . ,.. ' .. ~€. IIIO,RT, ~' ~ . ~ii .. I ~ p i ~'. P i iuulll~iR' ~ ji i i uVUp i i i ~~I i , ;""~'~~ i~x' III ill
For dales 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 [/2 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 far 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 applicable even ii the surviving.spouse is the only benefciary.
For dates of death on or otter July 1,2000:
The tax rate imposed on the net value of transfers from a deceased child twentyane years of age or younger at death to or for the use of a natural parent, an
adoptive parent, a a stepparent of the child is zero (0) percent [/2 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 beneflclades is four and one-haH (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 [/2 P.S. §9116(a)(1.3)]. A siding is defined, under
Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adop8on.
REV•1503 EX + (8-9e)
SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INNERRANCE TAX RETURN
RESIDENT DECEDENT
ISABEL H. CAUFFMAN 21 09 0200
All property Jolntyawned with dpM of survNOnhip must be dlsebsed on Sehedub F.
ITEM
DESCRIPTION
nith Barney Account #73H-00432-11 5LP, consisting of assets
shown on attached valuation, including interesVdividends accrued
date of death
VALUE AT DATE
OF DEATH
TOTAL (Also enter on line 2,
(If more space b needed, Insert edditlonal sheers of the same size)
COMMONWEALTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
ESTATE
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
Indude the proceeds of
ITEM
NUMBER
DESCRIPTION VALUE AT DATE
OF DEATH
1. Checking Account #33-11139, Farmers and Merchants 45,670.20
Trust Company, including interest accrued to date of
death
2. Checking Account #70-58349, Farmers and Merchants 6,331.40
Trust Company, including interest accrued to date of
death
3. State Teacher's Retirement of Ohio, prorated benefit 31.20
payment
4. U.S. Treasury, refund of tax 389.00
TOTAL (Also enter on line 5, RecapRulation) ~ S
apace Is needetl, insen additlonal sheets of the same size)
REV-1511 EX+(10-06)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
SCHEDULE H
FUNERAL EXPENSES 8
ADMINISTRATIVE COSTS
ISABEL H. CAUFFMAN 21 09 0200
Dabls of decedent must be roported on Schedule L
ITEM
NUMBER
DESCRIPTION
AMOUNT
A. FUNERAL EXPENSES:
1. Auer Cremation Services 2,080.00
2. Homewood Cemetery 1,045.00
3. Meal for funeral attendees 819.36
4. Rental fee for chapel, Homewood Cemetery 275.00
5. Honorarium to Reverend John Piper 125.00
6. Homewood Cemetery, engraving marker 285.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative (s)
S1reelAddresa
City
Year(s) Commfssbn Peld:
Stale Zip
2, AtiomeyFees Joel R. Zullinger
3. Femiy Exemptlon: (If decedenra address is not the same as dalmanrs, attach explanatbn)
Claimant
Sheet Address
CnY State Zlp
Reletlorehip of Claimant to Decedent
4• prohere Fees Letters - 510.00; will - 15.00; automation fee - 5.00; short certificate 24.00;
JCP - 10.00; filing retum -15.00
6 Accoumanrs Fees
6. Tax Realm Preparefs Fees
7. Travel expenses for executor's attendance at memorial service and estate work
8. Cumberland Law Journal, advertise letters
9. STRS Ohio, return of prorated benefit payment
15,500.00
579.00
886.62
75.00
294.00
TOTAL (Also enter on line 9, Recapitulation) I S
more space b needed, Inaed additlonal sheet of Me same size)
RSV-1512 EX + (12-03)
COMMONWEALTH OF PENNSYLVANIA
SCHEDULEI
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, ~ LIENS
ISABELH.CAUFFMAN 21 09 0200
RapoR debb Incurred by the decedent prior to death which remalnad unpaid ea of the data of death, Ineluding unrelmbureed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. Hartzell Eye MDS, medical services 138.40
2. I~sa Card, balance due on account
3. Choice Critical Care, medical services
4. ~Embarq, telephone services due at death
5. PA Department of Revenue, personal income
tax due
6.Kinetic Imaging, medical services
7. IElmcroft of Shippensburg, balance due for
nursing home care
212.58
251.97
49.50
101.50
3.98
1,629.40
TOTAL (Also enter on line 10, Recapitulation) I S
(If more apace N needed, Insert additlonel shoals of the same size)
REV-1513 EX ~ (B-00)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAx RETURN
SCHEDULE)
BENEFICIARIES
ESTATE OF FILE NUMBER
ISABEL H. CAUFFMAN ~~ nfl mnn
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 pndude ou ' ht sppoousal distrlbutlons, and transfers under
Sec. 9116 (e (12)]
1. Sara Ekart Collateral 5,000.00
440 Oakdale Drive
Manhattan, KS 66502
2, Ruth Abbott Collateral 5,000.00
4001 Marlott Avenue
Manhattan, KS 66503
3. Pamela Martin Collateral 5,000.00
201 Morlyn Road
Bryn Mawr, PA 19010
4. Judith Dann Collateral 5,000.00
3199 Bennington Chapel Rcad
Utica, OH 43080
5. Anne Baber Wallis Collateral 2,000.00
2041 Rochester Court
Iowa City, IA 52245
6. William Baber, Jr. Collateral 2,000.00
201 Seiwa, 126 Kamino-cho, Nishishinyashiki shimogyo-ku
600-8826 Kyoto-shi, Japan
7. Arlene & Roscoe Keller Collateral 1,000.00
P.O. Box 62
Jones Mills, PA 15646
ENTER DOLLARAMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 T HROUGH 16, AS APPROPRIATE, ON REV-1500 COVER SHEET
II. NON-TAXABLE DISTRIBUTIONS:
1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
B. CHAPoTABLE AND GOVERNMENTAL DISTRIBUTIONS
1. Eleanor Morris Scholarship Fund 1,000.00
P.O. Box 154, 329 Route 31 East
Donegal, PA 15628
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S
1 000.00
llr more space is needed, Insert adtliaonal sheets of the same size)
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
ISABEL H. CAUFFMAN
Decedents Name
Schedule J - Beneflciarles -1
21 09 0200
File Number
NUMBER
NAME AND ADDRESS OF PERSON S RECEIVING PROPERTY RELATIONSHIP TO DECEDENT
Do Not Llst Tru s) AMOUNT OR SHARE
OF ESTATE
I TAXABLE DISTRIBUTIONS (indude outright spousal distdbutions)
8. Anna Isabel Gerbic Collateral 2,000.00
1640 Ansonborough Drive
Chesterfield, MO 63017
9. George Christian Ehemann Lineal 349,880.95
1725 Susquehannock Drive
McLean, VA 22101
10. Jane H. Ehemann Lineal 349,880.95
125 Willow Drive
Shippensburg, PA 17257
JRZ - 5.1 cauffman.2 January 25, 2007
LAST WILL AND
I, Isabel H. Cauffman, of 125 Willow Drive, Shippensburg,
Cumberland County, 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.
I.
I direct that all my just debts and funeral expenses,
including all expenses of my last illness, shall be paid from my
estate as soon as practicable after my decease as a part of the
expense of the administration of my estate.
II.
In the event my net estate after the payment of all expenses
and taxes exceeds the sum of $450,000.00, I give the sum of
$5,000.00 cash to each of the following individuals: Sarah Ekart,
Ruth Abbott, Pamela Marlin, and Judith Dann, if they survive me.
In addition I give the sum of $2,000.00 cash to each of the
following: Anne Wallis, William Baber, Jr., and. Anna Gerbic.
Finally, I give the sum of $1,000.00 cash to each of the following:
Arline Keller and Roscoe Keller, jointly or to the survivor of
them, and the Eleanor Morris Scholarship Fund, Jones Mills,
Pennsylvania.
III.
I give, devise and bequeath the residue of my estate of every
nature and wherever situate to my son, George Christian Ehemann,
and my daughter, Jane H. Ehemann, in equal shares.
IV.
In the event my son, George Christian Ehemann, predeceases me
or dies on or before the thirtieth day following my death, I give
and devise the residue of my estate as follows:
A. One-fourth thereof to my daughter-in-law, Angela P.
Ehemann, provided she survives me by thirty days. In the
event my daughter-in-law predeceases me or dies on or
before the thirtieth day following my death, her share
shall be distributed under subparagraph B herein.
B. Three-fourths thereof to my daughter, Jane H. Ehemann.
V.
In the event my daughter, Jane H. Ehemann, predeceases me or
dies on or before the thirtieth day following. my death, her share
shall be distributed to my son, George Christian Ehemann.
Page 2
vx.
In the event both of my children, George Christian Ehemann and
Jane H. Ehemann, predecease me or die on or before the thirtieth
day following my death, I give and devise the residue of my estate
of every nature and wherever situate as follows:
A. The sum of $10,000.00 cash to each of the following
individuals: Sarah Ekart, Ruth Abbott, Pamela Marlin,
and Judith Dann, if they survive me. In the event each
of the aforementioned beneficiaries receive the sum of
$10,000.00 cash they will not be paid the sum of
$5,000.00 cash under the teens of paragraph II of this my
will.
B. The sum of $50,000.00 cash to my daughter-in-law, Angela
P. Ehemann, provided, however, should my daughter-in-law
predecease me or die on or before the thirtieth day
following my death, her share shall be distributed
equally among the beneficiaries named in subparagraphs C
and C of this paragraph VI.
C. The sum of $100,000.00 cash to Shippensburg University
Foundation, Inc. , Shippens~urg, P~nnsy vania~o ~s.. adr.~ed~
-i{c, '1'(,u--Jati~E~nen..e~n.v~ ,S~e ars ~~ w
D. T~'nn nnn nn teach rn
E. The sum of $10,000.00 cash to each of the following named
individuals or organizations:
1. William Baber, Sr., 1083 Route 711, Stahlstown,
Pennsylvania;
Page 3
2. Jeanie Gardner, 5315 River Aire Road, Godfrey,
Illinois;
3. Marty Hinebaugh, 166 Jones Mill Road/Stahlstown
Road, Jones Mill, Pennsylvania;
4. Kay Hummel, 115 Manhattan Street, Manhattan,
Kansas;
5. Steven Hummel, Londonderry Road, Manhattan, Kansas;
6. Elizabeth Lash, 1604 Powder Mill Lane, Wynnewood,
Pennsylvania;
7. Jessica Ditto, 845 Staffordshire Road,
Cockeysville, Maryland;
8. Josiah Blackmore, 7629 Clark State Road, Blacklick,
Ohio;
9. Dorothy Gardner, 5145 Portland Avenue South,
Minneapolis, Minnesota;
10. William Baber, Jr., Kyoto, Japan;
11. Anne Wallis, 225 Fairview Lane, Iowa City, Iowa;
12. Ruth Abbott, 4001 Marlott Avenue, Manhattan,
Kansas;
13. Sarah Ekart, 440 Oakdale Drive, Manhattan, Kansas;
14. Pamela Marlin, 201 Morlyn Road, Bryn Mawr,
Pennsylvania;
15. Shippensburg Public Library, West King Street,
Shippensburg, Pennsylvania;
16. Cumberland Valley Animal Shelter, 2325 Country
Road, Chambersburg, Pennsylvania;
Page 4
17. Swissvale Presbyterian Church, Swissvale,
Pennsylvania;
18. Shippensburg University Foundation, Inc.,
Shippensburg, Pennsylvania, to be added to the Paul
and Elizabeth Cauffman Scholarship Fund;
19. Carnegie Mellon University, 5017 Forbes Avenue,
Pittsburgh, Pennsylvania;
20. Allegheny College, 520 North Main Street,
Meadville, Pennsylvania;
F. In the event any of the aforementioned beneficiaries from
subparagraph E 1 through 14 predecease me, their share
shall be distributed equally to Allegheny College, 520
North Main Street, Meadville, Pennsylvania, and Carnegie
Mellon University, 5017 Forbes Avenue, Pittsburgh,
Pennsylvania.
VII.
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.
VIII.
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 a part of the expense of
the administration of my estate.
Page 6
IX.
I appoint George Christian Ehemann and Jane H. Ehemann, my
children, as co-executors of this my will. Should both of my
children predecease me, fail to qualify or cease to act, I appoint
Josiah Blackmore as~ executor of this my will. Should Josiah
Blackmore predecease me, fail to qualify or cease to act, I appoint
William Baber, Sr., as executor of this my will.
X.
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 signature in the margin for the purpose
of identification this ~~ay of r ZDn?,
1J n
. ~1
~ v ~„~
Signed, sealed, published and declared by the above-named
testatrix as and for her last will and testament in our presence,
who in her presence, at her request and in the presence of each
Page 7
other have hereunto set our hands as attesting witnesses.
/Y5~/ ~o~Ca ,Oi~o
We, Isabel H: Cauffmaa, ;~~ ~- 7awM r~ _,N and
SAvQa-~ E. ~,C~1 the testatrix 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 testatrix signed and executed the
instrument as her last will and testament and that she executed it
as her free and voluntary act for the purposes therein expressed
and that each of the witnesses, in the presence and hearing of the
said testatrix, 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 'nfluenc
n
~. ~l> 1? ~~^ .mil _ p
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Subscribed, sworn to and acknowledged
before me by the above-named signer and
subscribed and sworn to before e by the
above-n mad witnesses this day of
Notary"Publi
ff~~~~`"-- " ~- - ~' OF PENNSYLVANiF.
I ~~~~, Pa e 8
hiamntc~ C ~_aws,NotaryPuMic g
PPensburg Boro. Cumberfantl Coon
_ MY C«nmission Expires Sept 27 2008
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