Loading...
HomeMy WebLinkAbout11-05-09 (3)Q fzy~ 15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Coun Bureau of Individual Taxes ty Code Year File Number Po sox 2aosol INHERITANCE TAX RETURN Hanisburg, PA 17128-0601 RESIDENT DECEDENT ' 21 ' 09 0763 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 187-16-4406 ' 08/04/2009 ' 02/18/1921 Decedent's. Last Name Suffix Decedent's First Name MI Winn Dorothy __ _ 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 DUPLICATE WITH THE REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW ~` 1. Original Retum 2. Supplemental Retum 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate 4a. Future Interest Compromise (date of 5. Federal Estate Tax Retum Required death after l2-12-82) I::l:' 6. Decedent Died Testate „~~;m~ 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ...,.. 10. Spousal Poverty Credit (date of death ;;;;.;:= 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Lisa Marie Coyne, Esq. (717) 737-0464 Firm Name (If Applicable) - REGISTER OF USE ONL~ Coyne & Coyne, P.C. ~ ;IC First line of address o ~ "'~ .. 3901 Market Street ~~~ Clt i Second line of address ~ ~ 'tl Z City or Post Office Camp Hill State. ZIP Code 'PA ' 17011-4227 C3 :. DA7~ILED ~. ~" Correspondent's a-mail address: IISa~COyneandCOyne.COm Under penalties of perjury, I deGare 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 personal representative is based on all information of which preparer has any knowledge. SIGN A F PERSON RES~,,O~NSIBLE FOR FILING RETURN DATE A D S ~'~ Renne J. Wewer, 312 48th Street, Harrisburg, PA 17111 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE AUUFtE55 PLEASE USE ORIGINAL FORM ONLY rr-t ~~ r.~ ---~ " r-Y ,....... t'ri ire v Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Social Security Number Decedent's Name: Dorothy L Wlnn 187-16-4406 RECAPITULATION ....... _._........... . 1. Real estate (Schedule A) ............................................ . 1. 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 & Miscellaneous Personal Property (Schedule E) ....... . 5. 525.00 6. Jointly Owned Property (Schedule F) i.`µµ:; Separate Billing Requested ...... . 6. 3,984.81 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property .. ; (Schedule G) ~~ Separate Billing Requested....... . 7. j 120,126.55 8. Total Gross Assets (total Lines 1-7) ................................... . 8. ', 124,636.36 9. Funeral Expenses 8 Administrative Costs (Schedule H) .................... . 9. 10,079.36 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............... . 10. 149.84 11. Total Deductions (total Lines 9 i3< 10) .................................. . 11. ' 10,229.20 12. Net Value of Estate (Line 8 minus Line 11) ............................. . 12. ' 114,407.16 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) ....................... . 14. 114,407.16 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 _ _ _ ._ _ _ 16. Amount of Line 14 taxable ..~.. ..~ - at lineal rate X .0 45 ' 114,407.16 16. 5,148.32 17. Amount of Line 14 taxable at sibling rate X .12 ' 17. 18. Amount of Line 14 taxable _. at collateral rate X .15 ', 1 g. 19. TAX DUE ........................................................ . 19. ', 5,148.32 '' 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ;,~ 15056052059 Side 2 15056052059 REV-1500 EX Page 3 Decedent's Complete Address: „ __,_ Flle Num,4er '' 21 09 ' 0763 _~ _..._ DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER Dorothy L Venn 187-16-4406 STREETADDRESS 208 Fourth Street CITY STATE ZIP West Fairview PA 17025 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 5 148.32 2. Credfts/Payments , A. Spousal Poverty Credit _. B. Prior Payments 5,135.43 C. Discount 257.42 3. Total Credits (A+ B + C) InteresUPenalty if applicable (2) 5,392.85 D. Interest E. Penalty Total InteresUPenalty (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) 244.53 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :................................................................................... ....... ^ b. retain the right to designate who shall use the property transferred or its income : ..................................... ....... ^ c. retain a reversionary interest; or ................................................................................................................... ^ 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? ........ ...... ^ 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 G AND FILE IT AS PART OF THE RETURN For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent (72 P.S. §9116 (a) (1.1) {i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY c, ~ ~ ~ c ~r W1NN, DOROTHY L FILE NUMBER 21 - 2009 - 0763 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 Misc. Personalty and Furniture 525.00 TOTAL (Also enter on Line 5, Recapitulation) ~ 525.00 SCHED ULE F COM NHERVVTANCETAXRETURNANIA JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER WINK, DOROTHY L 21 - 2009 - 0763 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS A. Renne J. Wewer JOINTLY OWNED PROPERTY: RELATIONSHIP TO DECEDENT Daughter ITEM NUMBER LETTER FOR JOINT TENANT ~- DATE MADE JOINT DESCRIPTION OF PROPERTY Include name of financial institution and bank account number or similar identifying number. Attach deed for jointly-held real estate. DATE OF DEATH VALUE OF ASSET a/o OF DECD'S INTERES DATE OF DEATH VALUE OF DECEDENTS INTEREST 1 ' A. 08/28/1964 M&T Bank -- Checking Acct. 4,540.11 2,270.06 2 i A. ~ 11/04/1977 I i I i i M&T Bank-- Savings Acct. i i i 3,429.49 I 1,714.75 TOTAL (Also enter on line 6, Recapitulation) 3,984.81 Y . --~ REV-1510 EX+ (8-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY t~ I a I t ~r FILE NUMBER Dorothy L. Winn 21-09-0763 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is ves. ITEM NUMBER DESCRIPTION OF PROPERTY INCU1DEhIENAMEOFTHETRANSfEREE,THEIRREIATIONSHIPTODECEDENTAND THE DATE OFTRAWSFER.ATTACHACDPI'DFTHEDEEDr-0RREALESTATE DATE OF DEATH VALUE OF ASSET °h OFDECD'S INTEREST. EXCLUSION QPAPPIJCAaIE) TAXABLE VALUE 1~ etLife Annuity No. 077009596AB Valued at $100,401.46 with Named Ben ficiar s is ed Bel Separate Billing Requested. 2. etLIfe Annuity No. 073069603AB Valued at $19,725.09 with Named Bene care List d Belo - Separate Billing Requested. enficiaries for Both Annuities: 1. 1/3 to Renee J. Wewer (Daughter) ..: 312 48th Street Harrisburg, PA 17111 2. 1/3 to Gordon E. Win (Son) 401 McCormick Street West Fairview, PA 17025' ` 3. 1J3 to Geofrey.Campbell (Grands n) P.O. Box 174 Marysville, PA 17053 TOTAL (Also enter on line 7 Recapitulation) s I 0.00 (If more space is needed, insert additional sheets of the same size) ' -- ~-w^ ,.......,.,....m .. .. w~ Pots C 70 ,ferry L W~ a .. .," .. .. .,, 09J1 712008 1 1:36 AM ~ .-~.. u •~ ., ... v i~ bCC _ ... ~.yr.,,.'.~ _ ,., . „ te~~t~~ ~rbjecx AO-Ilrinn ~ ~ ~ ~ +~ _..,.., WI~tl04i ~ Q/ IV{J~~OVI'1V V~~71IVaV1J~71"fP i ' De090S9d DorOtfg/ VWnn ,, ., . TMs is in reply ~o your tail 1p our offroe catoenning the above ConAecis. These are nonqua~led amtracis. ~ .._.,;. ~.~.... Atl pnoeeeda p®id ~ the cost besia~ate cons+d~d tiexable in the year received. The dale aFdeaih vAiue, ~..~..~,.•.. '' cost bests and deatll beneAt paid are as folloMrs: ry°....~.. Cantraat t< 08!04109 Val+re Deattr berreiit Cow Ba:sie ...._ o~ s#oa,ao#.as 5102,667.70 ~4os7~.'i5 -~--= 0730696Q3eAB S#9,725.09 ~ 522,532.56 313 X36 Qa _.-' !i you have any questions ar ad~tlomi iMornration is naetJod. please tet the knaMr_ .. ~,1 P~issue- Metii(e Annuity Operas and Services T° .... .. ».... ,. ._.~. «_ _..;... . .,.~. ~. , .. .., .. .. ,_ ._..,;„. w __._. . »,-. ._.,~- -,.... _.~., _.,~,... .. . ,, _. . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF WI1~TN, DOROTHY L SCHEDULE H //~F~~UyyN~~E~~RA~~L Dww~~~EE~~W/S-/E~S~&~ MI.Ar~Yh711V111YG Wa71 ~7 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION A. 1. 2. 3. B. 1. FUNERAL EXPENSES: Musselman Funeral Home Reception Headstone Engraving ADMINISTRATIVE COSTS: Personal Representative's Commissions FILE NUMBER 21 - 2009 - 0763 AMOUNT ~" 5,238.12 100.00 300.00 Social Security Number(s) / EIN Number of Personal Representative(s): Street Address City State Zip Year(s) Commission paid 2. I Attorney's Fees Coyne & Coyne, P.C. 3. I Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) i Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumbelland County Register of Wills I I 5. I Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 1 Postage 2 I Legal Advertisement-- Cumberland Law Journal Total of Continuation Schedule(s) 3,500.00 72.00 88.00 75.00 706.24 TOTAL (Also enter on line 9, Recapitulation) 10,079.36 Sdieduh H COMMONWEALTH F P Funeral ~" "`^ "^"' « O ENNSYLVANIA f INHERITANCE TAX RETURN ~ ~'` ' f~..,.b. ~w.~/w..,,.J V~JO1.7 WI ~1w RR7la RESIDENT DECEDENT ESTATE OF WII~ DOROTHY L FILE NUMBER 21 - 2009 - 0763 3 ', Legal Advertisement-- Patriot News 141.24 4 Inheritance Tax Return Filing Fee 15.00 5 ~ Reserves ~ 500.00 6 Cleaning Supplies 50.00 Page 2 of Schedule H COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULEI DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF W~ DOROTHY L FILE NUMBER 21 - 2009 - 0763 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION AMOUNT 1 PAWL 24.64 2 PP&L 85.94 3 AT&T 3.31 4 Verizon 15.00 5 AT&T Credit Card 20.95 TOTAL (Also enter on Line 10, Recapitulation) ~ 149.84 REV•1513 EX+.~9-001 ~ ~ ~ SCHEDULE J • COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE O F WINK, DOROTHY L FILE NUMBER 21 - 2009 - 0763 NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE OF ESTATE I. ! TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1 Renee Wewer Daughter Specific Personalty j and 1/3 of Residual 2 Gordon E. Winn Son Specific Personalty and 1/3 of Residual 3 I Geofrey Campbell Grandson Specific Personalty and 1/3 of Residual 4 Alyssa Vanderventer Granddaugher Rolling Pin 5 Jackie Meade Friend $2000.00 Specific Bequeath Enter dollar amounts for distributions shown above on lines 15 through 18, as appropria te, on Rev 1500 cover she t II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE I i i B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE C~~'Y 1-~~Ll' Y ~~ ~1 \ JLJ ~~L1'~1 u r J~.L~1 \ 1 ®JL I~®~$®~'I~Y L,. titiT1NN I, DOROTHY L. WINK, of the Village of West Fairview, Township of East Pennsboro, County of Cumberland, Commonwealth of Pennsylvania, declare this to be my Last Will and revoke any Will or Codicil previously made by me. ITEM 1: Upon my death, I direct that my body be buried next to my beloved husband, Gordon E. Winn in the plots I own in Rolling Green Memorial Park, Lower Allen Township, Cumberland ~~ County, Pennsylvania. +++ \\\ ITEM 2: I direct that all my funeral expenses be paid as soon as practical after my death. ITEM 3: I direct that all taxes that may be assessed in conse uence q of my death, of whatever nature and by whatever jurisdiction unposed, shall be paid from my residuary estate as a part of a the expense of the administration of my Estate. o ITEM 4: I give, devise and bequeath Two Thousand Dollazs ($2,000.00) to my friend, Q Jackie Meade of 14 Cazolina Street, Havelock, North Cazolin a, provided she survives my death by thirty (30) days. Should my friend, Jackie Meade predecease me or fail to survive my death by thirty (30) days, then I direct this gift shall lapse and become part of my residual estate. Page 1 of 7 ITEM 5. I give, devise and bequeath my sewing machine; the flower table made by my late husband; four (4) foot wooden step ladder; pink flowered glasses; Dougherty made by Vic Biser, and Wicker Furniture, to my daughter, RENEE J. WEWER of 312 48~ Street, Harrisburg, per stirpes. ITEM 6: I give, devise and bequeath my two (2) painted milk-cans; my antique bureau dresser; Grandma Winn's bureau with mirror; and small oval table to my son, GORDON E. WINK of 1 McCormack Street, West Fairview, Pennsylvania, per stirpes. ITEM 7: I give, devise and bequeath my wooden handle silverwaze; brown dishes; floor light with milk glass to my grandson, GOEFREY CAMPBELL, per stirpes. j TTEM 8: I give, devise and bequeath my wooden rolling pin to my granddaughter, ALYSSA VANDERVENTER, per stirpes. ITEM 9: All the rest, remainder and residue of my estate of every nature and wherever situate, together with all insurance thereon, I give, devise and bequeath as follows: 3 a. One-third (1/3) to my son, CORDON E. WINK, per stirpes; a b. One third (1/3) to my daughter, RENEE J. WEWER, per stirpes; and ~ c. One third (1/3) to my grandson, GEOFREY CAMPBELL, per stirpes. Should my A grandson predecease or leave no issue surviving, then I direct that his shaze of my estate be divided equally between my son, CORDON E. WINK, per stirpes and my daughter, RENEE J. WEWER, per stirpes. Page 2 of 7 ~~ ITEM 10: My Co-executors shall have the following powers in addition to those given by law to be exercised by them in their absolute discretion, which powers shall be applicable to all property held by them, effective without the order of any court and until the actual distribution of all such property: a. To retain any investments at discretion including stock of any corporate fiduciary hereunder or of a holding company controlling it; b. To invest and reinvest in the co-executors' discretion as permitted under Act 28 of 1999, as amended, the 'Prudent Investor Act," with the specific right to invest in stocks, bonds and real estate, including non-income producing residential real estate for the occupancy of any present income beneficiary or beneficiaries, and in such diversified, proprietary money market and mutual funds, including such mutual funds of any corporate fiduciary hereunder or those of any successor or affiliated corporation or a holding company controlling it, as my co-executors and trustee deem appropriate; c. To sell, to grant options for the sale of, or otherwise convert any real or personal property or interest therein, at public or private sale, for. such prices, at such time, in such manner and upon such terms as they may think proper, and to execute and deliver good and sufficient conveyances, assignments and transfers thereof without liability of any purchaser to see to the application of the purchase money; d. To borrow money and to secure the repayment thereof by mortgage of real or personal property, pledge of investments or otherwise, without liability on the part of the lenders to see to the application thereof; e. To compromise claims by or against my estate or any trust created hereunder; f. To allocate and distribute different kinds or disproportionate shares of property or undivided interests in property among beneficiaries or trusts, in cash or in kind, or partly in each; Page 3 of 7 g. To register investments in the name of a nominee or to hold the same unregistered in such form that they will pass by delivery; h. To join in any recapitalization, merger, reorganization or voting trust plan affecting investments; to deposit securities under agreement; to subscribe for stock and bond privileges; and generally to exercise all rights of security holders; i. To manage, operate, repair, alter or improve real estate or other property, and to lease real estate and other property upon such terms and for such period as my co-executors deem advisable even for more than five (5) years and beyond the duration of any trust; j. To deduct administration expenses upon either the federal estate tax return or fiduciary i-L. a O Q income tax return with or without adjustment as between principal and income, as my corporate or disinterested co-executors shall determine; k. To associate with them in the absence of a corporate fiduciary, an accountant, custodian and investment advisor, and other agents and to compensate them from principal or income or both, as my co-executors shall determine, such compensation to be a reduction of the compensation of my co- executors; 1. To associate with them at any time, in their absolute discretion and of their choice, a corporate fiduciary which shall have the same powers as my co-executors, such designation by my co- executors and acceptance by a corporate fiduciary to be in writing; m. To combine, without prior court approval, any trust herein with any other trust with substantially similar provisions, although such other trust may have been created by separate instruments and by different persons, and, if necessary to protect different future interests, to value the assets at the time of such combination and to record the proportionate interest of each separate trust in the combined Page 4 of 7 fund; provided however, that no such combination shall be permitted if the effect of such combination would be (1) to violate the applicable rule against perpetuities; (2) to disqualify any interest in one or more of such trusts for a deduction for federal estate tax purposes which would otherwise be allowable; or(3) to cause the loss of the exempt status of one or more of such trusts from the imposition of the generation-skipping tax; n. To exercise any stock options which they may receive; to borrow such funds from any source as my co-executors may deem necessary for the exercise of such options; and to :pledge assets as my co-executors deem appropriate for this purpose; o. No trustee shall be required to qualify before, be appointed by, or, in the absence of a ~~ O Q breach of trust, account to any court (and failure to account alone shall not be considered such a breach); nor shall trustee be required to obtain the order or approval of any court in the exercise of any power or decision granted hereunder; p. To allocate any generation-skipping transfer tax exemption from the federal generation- skipping transfer tax to any property to which I am deemed the transferor under the provisions of Section 2652(a) of the Internal Revenue Code of 1986 and its successors, including any property transferred under my will and any property not in my probate estate and any property transferred-by me during life as to which no allocation was made prior to my death, to the extent necessary to cause the inclusion ratios applicable to such transfers to be zero; q. To disclaim any interest in property without court approval; and r. To do all other acts and things necessary or appropriate in the management, administration and distribution of my estate or trust. Page 5 of 7 ITEM 9: In the event any legatee or devisee named in this will dies under such circumstances that there is not sufficient evidence to determine absolutely whether such legatee or devisee survived me, I direct such legatee or devisee shall be presumed to have predeceased me and devise and bequeath the gift,in favor of that legatee or devisee to such persons and in such manner and in such proportions as set forth in this will for distribution if the legatee or devisee predeceased me. ITEM 10: Until distributed, no gift or beneficial interest shall be subject to anticipation or voluntary or involuntary alienation. ITEM 11: I appoint my son, GORDON E. WINK, and my daughter, RENEE J. WEWER, Co-Executors of this, my Last Will. ITEM 12: I direct that my personal representatives or their successors shall not be required to give bond for the faithful perfoirnance of their duties in any jurisdiction. IN WITNESS WHEREOF, after having had the foregoing document read to me in its entirety, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~ day of 2009. DOROTHY L. Signed, sealed, published and declared by the above-named Testatrix as and for her Last Will and Testament in our presence, which Last Will and Testament was read to her in its entirety and, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. residing at _~~ ~ / ~~ ~ ~.,~ '~ , "~P,~ I'yo~~i, rte/ ,~ ti. !`~ ~` y'`-~1 `--- residing at ~ ~ •- Page 6 of 7 COMMONWEALTH OF PENNSYLVANIA ) COUN'T'Y OF CUMBERLAND ) ss: We, DOROTHY L. WINK ~ n.,,.e~ {~• ~4,ZI~.<-- and ^~ ~ • ~ ,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 foregoing instrument was read in its entirety to the Testatrix who then signed and executed the instrument as her Last Will and that she had signed willingly, and that she executed it as her free and voluntary act for the purpose therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the will as witness and that to the best of his or her knowledge, the Testatrix was at the time eighteen (18) years or older, of sound mind and under no constraint or undue influence but that she is visually impaired. ~~lL/Jl~ DOROTHY L. ~L Witness ~~ ~ ~4L~ ~-~' Witness - Subscribed, sworn and acknowledged before me ~z~ ~ y f ~r ~.',~ ~,y „L y b DOROTHY L. WINK, the Testatrix, and subscribed and sworn to before me by `~"'L M' ~ 2 ~L- and :~ d ~ ,C„; ~. (~,.~~ the witnesses, this ~Y of _ ~U~ A. ~ ( , 2009. Notary Public (S ~,) CDMM iuYllf ity O~F~E~}lSl!~It}A;. - NO'~i4R'l~~-t SfAI, - -. lib{~ry F Coyne, NoYsry Publta,~. Page 7 of 7 ifampolo fiRwnahip, Cumbertan d Gsiirnt;r r~ MY~ommissionExpiresJun~nx,2~~-;