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Home My WebLink About12-02-09~~-v~-01~~i FAMILY SETTLEMENT AGREEMENT AND FINAL RELEASE IN THE ESTATE OF DOROTHY I. CARBAUGH KNOW ALL MEN BY THESE PRESENTS, that, WHEREAS, Dorothy ~Carbaugh~j~ate ;; G o of Cumberland County, Pennsylvania, died testate on July 14, 2008, having firstn?~r las~'will ~-~~ ~~ ~-, c-•~ and testament duly executed on September 10, 2003; '_~_~~ ~' ~ cv `:~ ' ~ ~:: WHEREAS, the said Dorothy I. Carbaugh, by the aforesaid last will and te~a~eY~t, named Y ~ _ } Marlin L. Carbaugh and Linda Kay Moore, Executors of said last will; ~ ~ a ~ • ~' • - ..., WHEREAS, letters testamentary on the estate of the said decedent were duly issued by the Register of Wills of Cumberland County, Pennsylvania, to the said Executors, Marlin L. Carbaugh and Linda Kay Moore, hereinafter collectively called the personal representative. WHEREAS, the personal representative has gathered the assets of the estate of the said decedent and the assets consist of personal and real property, to a total value as set forth in Exhibit "A", a copy of the Pennsylvania Inheritance Tax Return filed by said personal representatives, and which has been provided to each heir; WHEREAS, the debts and deductions, including the payment of inheritance tax in the said estate, are $31,577.28, as further referenced in Exhibit "A"; WHEREAS, the Executors have distributed to themselves, in kind, the real estate of the decedent; WHEREAS, a balance for distribution of $83,992.808 exists; WHEREAS, the balance for distribution has been reduced to cash and is available for distribution in accordance with the terms of the last will and testament of the said decedent. NOW, THEREFORE, KNOW YE, that we, being all of the named beneficiaries of the will and the said decedent, do hereby each of us, acknowledge that we have this day had and received from the aforesaid personal representative, in full satisfaction and payment of all sum or sums of money, legacies, bequests, and devised as are given, devised and bequeathed to each of us respectively by the said will of Dorothy I. Carbaugh in the amounts due us under said will, which amounts we have received this day, in the respective amounts of one-half of the balance available to each of us. AND, each of us does hereby stipulate that in order to avoid the expense and time involved in the filing of a formal account and schedule of distribution, we each agree that no account is necessary and we do hereby agree that we do consent to distribution being made without the filing of an account and schedule of distribution, the same to be with the same force and effect as if they had been filed and confirmed by the Orphans' Court Division of the Court of Cumberland County. THEREFORE, we and each of us, do hereby remise, release, quitclaim and forever discharge the said personal representative, heirs, executors, and administrators and assigns of and from the said estate and from all actions, suits, payments, accounts, reckonings, claims and demands whatsoever for or by reason thereof, or for any other use, matter, cause or thing whatsoever, touching upon the estate of the said decedent, and each of us do further hereby covenant and agree with each other and the aforesaid personal representative, that we will contribute pro-rata, our share of the estate to satisfy any and all claims, demands, suits, or causes of action which maybe successfully prosecuted against the said estate or aforesaid personal representative after the signing, sealing and delivery of this family settlement agreement and final release. IN WITNESS WHEREOF, and intending to be legally bound hereby, we have hereunto set our hands and seals on the dates below indicated. N ,Y `C. n L. Carbaugh Linda K oore WITNESS: COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS. AND NOW, this ~ day of ~D 1~tlin~,~,,¢~~ , 2009, before me the undersi gned officer, personally appeared Marlin L. Carbaugh, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that he executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. No u ' COMMONWE,gLTH OF PENNSYLVgNIq Notarial Seal Trivia D. Naybr, Notary Public Carlisle Boro., Cumberland Coup MY Commission Expires Oct. 2 ry ,2010 COMMONWEALTH OF PENNSYLVANIA SS. COUNTY OF CUMBERLAND AND NOW, this ~ ~ day of 2009 b I efore me the undersigned officer, personally appeared Linda Kay Moore, known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. l_rtJ~lir A ~~ •a rA" ~.~ ~5-1 a ~. *-~~, a a.. ar^,. ., M ~.. ~'_^^ ~~ .~~'~':' , ~ i' ~'~'~tt ".: . t ~"~~,> .. "~ .,. _.. _ ~ .~ 1^~e :~:i4s M r fG'u;: tu't ~.~ .! ..., w~_, ',1 .y 'C~'Ga~~~,.y J 15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number __ Bureau of Individual Taxes PO BOX 280601 INHERITANCE TAX RETURN ~~ 2~ ~ 08 , 00779 Harrishura PA 17128-0601 RESIDENT DECEDENT .................................... Spouse's Social Security Number ............................................ . ________ FILL IN APPROPRIATE OVALS BELOW ;;~ 1. Original Return THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS -,. 2. Supplemental Return .., 3. Remainder Return (date of death prior to 12-13-82) t E 4a. Future Interes~Compromise (date of _ .. 5. Federal Estate Tax Return Required e .. sta - 4. Limited " ' death after 12-12-82) ~'~ ;:~; 6. Decedent Died Testate •. 7. Decedent Maintained a Living Trust 0..__. 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) <, d (Attach Copy of Trust) Spousal Poverty Credit (date of death 10 under Sec. 9113(A) _ _ . _... 11 • a .. _: 9. Litigation Proceeds Receive . between 12-31-91 and 1-1-95) O Attach Sch ( ) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Daytime Telephone Number Name ___ _ .......................... i David A. Baric, Esquire (717) 249-6873 __ Firm Name (If Applicable) _ _.. .__ __ REGISTER o~-WILLS USE O --~ , _ _ ,•~, r!~ .,I_ ,, O'Brien Baric & Scherer ~ ! _ _.__ __ _ First line of address _ __ _. ,:w . _ ; __ _ _ .. ' ' -~- C~? ~~ ' ~... ....... _....... 19 West South Street - __ _ ~ ~. T' ~ ,~ -- _~ . " ~ ~,,, , ~ ~ Second line of address .. ..... _ .. .... ..._ .......... -- . _ . ~._~_ ~ ~ '~c.~ ~~ - ~ ~ J ..t ~--. ..~ ' J ~ ., . _~ L.-- ~ - _ _ _ _ _ _ __ DAT tt-RD °' . _ ! •.. 1 _ _ City or Post Office _ State ZIP Code _._ . . ~;~ __ ,-~ ...... _ _ 1- -,. - ' _ - Carlisle ....... ...................... ...................... A ' 17013 ................................... _................... tJ t Correspondent's a-mail address: dbarlC@ObSIaW.COm Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than th personal representative is based on all information of which preparer has any knowledge. ,i DATE SIGN OF PE ON RE O B FOR G RETU ~~ SIGNATU P ~ NTATIVE DATE ~ /, ~/~ n ADDRESS 19 West South Street, Carlisle, Pennsylvania 17013 PLEASE USE ORIGINAL FORM ONLY 15056051058 Side 1 15056051058 EXHIBIT "A" J 15056052059 REV 1500 EX Dorothy Decedent's Name: RECAPITULATION 1. Real estate (Schedule A) . ............................................ 1. _ 112 970 00 _... _ 2. Stocks and Bonds (Schedule B) ....................................... 2.. ...... , _ , . . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages & Notes Receivable (Schedule D) ............................. 4. 5. p P Y( ) ........ Cash, Bank De osits & Miscellaneous Personal Pro ert Schedule E 5 ! 115,570.00 6. Jointly Owned Property (Schedule F) '.::: Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) " := Separate Billing Requested........ 7. 8. Total Gross Assets (total Lines 1-7) .................................... 8. 228,540.00 9. w Funeral Expenses & Administrative Costs (Schedule H) ..................... 9. 22,296.32 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................ 10. 11. Total Deductions (total Lines 9 & 10) ................................... 11. 22,296.32 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 206,243.68 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. ` 206,243.68 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 45 206,243.68: 16, 9,280.96 17. Amount of Line 14 taxable at sibling rate X .12 17. ' , 18. Amount of Line 14 taxable at collateral rate X .15 ', 18. 19 9 280 96 ~ ' 19. TAX DUE ......................................................... . _ _ _ _ ___..._ __ _ ... _ - __ _ I Carbaugh Decedent's Social Security Number 184-62-2613 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 L Side 2 15056052059 REV-1500 EX Page 3 ns..s.~le.,~~~ ~`nrr,r~lofo Or~lrlrcacc• File..Number ..... .,..:.: ;; 21 08 00779 ~~~__.~.-- - - ----r-- - DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER Dorothy I Carbaugh ~ 184-62-2613 STREETADDRESS 1895 Douglas Drive CITY STATE ZIP Carlisle PA 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 9,280.96 2. Credits/Payments A. Spousal Poverty Credit 745.00 13 , B. Prior Payments C. Discount 452.00 Total Credits (A + B + C) (2) 14,197.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total InterestlPenalty (D + E) (3) 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) 4,916.04 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. (56) Make Check Payable fo: 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 X ^ ............................... . 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? ......................................................... ............. If death occurred after December 12,1982, did decedent transfer property within one year of death 2 . without receiving adequate consideration? ................................................................................................. ............. ^ ^ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? . ............. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which 4 . 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. REV-1502 EX+ (6-98) SCHEDULE A COMMONWEALTH OF PENNSYLVANIA REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Dorothy I. Carbaugh 21-08-0779 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. (If more space is needed, insert additional sheets of the same size) REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Dorothy t. Carbaugh 21-08-0779 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Members First Federal Credit Union Savings Account; Acct. No. 108586-00 455.00 2. Members First Federal Credit Union Life Savings Account; Acct. No. 108586-04 1,001.00 3. Members First Federal Credit Union Investment Savings; Acct. No. 108586-05 36,106.00 4. Members First Federal Credit Union Certificate of Deposit; No.108586-40 26,871.00 5. M & T Bank Savings; Certificate of Deposit # 31003912752712 23,005.00 6. M & T Bank Checking Account; Acct. No. 515744 2,494.00 7. M 8~ T Bank Savings Account; Acct. No. 15004198152008 19,005.00 8. Miscellaneous personalty 5,000.00 9. 'USB Fiduciary Trust 60.00 10. Dish Network 16.00 11. Embarq 20.00 12. Aero Oil 364.00 13. 'Hancock Insurance _ _ _ __ 39.00 14. American Diagnostics 13.00 15. Federal Income Tax Refund 1,121.00 TOTAL (Also enter on line 5, Recapitulation) $ 115,570.00 (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (12-99) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDI~ILE N FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Dorothy I Cabaugh 21-08-0779 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A• FUNERAL EXPENSES: 1, Ewing Brothers. 529.00 __ B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions - - 10,500.00 Name of Personal Representative(s) ;Marlin L. Carbaugh Social Security Number(s)/EIN Number of Personal Representative(s) Street Address .1895 Douglas Drive city Carlisle .state PA zip 17013 Year(s) Commission Paid: 2009 2. Linda K. Moore, 89 East Main Street 10,500.00 2. Attorney Fees VJ a l n u t B O t t 0 m, P A 17 2 6 6 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant __ _ _ Street Address City State _ Zip Relationship of Claimant to Decedent 4. Probate Fees 314.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 100.00 7. The Sentinel 278.32 s. Cumberland Law Journal 75.00 TOTAL (Also enter on line 9, Recapitulation) $ ~ 2 ~ 2 9 6.3 2 (If more space is needed, insert additional sheets of the same size) REV 1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Dorothy I. Carbaugh 21-08-0779 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do .Not List Trustee(s) OF ESTATE ~ TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 • Marlin Carbaugh, 1895 Douglas Drive, Carlisle, PA 17013 son 50.00 2~ Linda Moore, 89 East Main Street, Walnut Bottom, PA 17266 daughter 50.00 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET [I NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET I $ 0.00 (If more space is needed, insert additional sheets of the same size) z z z z z z z z z z ~ 0 0 0 0 0 0 0 0 0 0 -~ ~ ~ ~--~ ~ ~ O O ~ O ~ O ~ O i o ~ ~. O O O 0 0 V i z ~ O O O O O O O O O ~ ~ O O N O O O N ~ ~ ~ I ~ `~ O 00 O 00 O 00 O 00 O 00 O 00 O 00 O 00 O 00 O 00 OZ ~ a ~ ~ o, `~ '"'d ~ ''d ~ tj ~d ~• ~ ~ ~. a. p- ~ ~ ~' ~ ~ ~ ~ ~ ~ ~ '~ ~ r ~ ~ a ~ ~ ~ ~ ~ ~ ~ ~ ° Off, ~ o ~ ~ ~ ~ ~ o a ~ ~, ~ o ~ ~ ~ c d ~' ~ ~ ~ o '~ 0 ~ ~ O ~ ~ r ~ ~ N ~ 0o N w O ~ w O ~p ~O ~ w ~O :p ~L' ~ o~ O 'v~ 0o ~ oo N w O ~ v ~ ~ ~O ~ ~ ~-' O w ~ ~-. ~ ~ O ~ ~-. 00 N 00 ~ ~ ~ c.li ~ ~ O ~ ~ ~ C ~ =' C W Cr1 CrJ o ~ ~ ~ ~d ~ ~ NO C~ C7 ~ ~ O td y~~ ~ G ~ `"'' ~ ~ ~ o ~ ~ ,~ ,~ O ~ n• n• 00 ~ ''rJ ~ ~... a. ~ ~ ~ • ~, . ~• ~ w °, O ~` ~` a, ~ .. ~ -... ~ ~ °, gyp., ~, ~ ~ ~ ~ ~ ~. ~ ~ .. ~ ~ ~ ~ oo w• ~ ~ o ~ ~ ~ ~ '~ ~ p ~ a- o ~ ~ w ~ ~ ~ ~ a o ~, , ~ -~ ~ ~ ~ t ~ ~ ~ ' ~• ~ ~ c~ a ~ ~ w d .... a ~ ~• ~ ~. ~ d ~ ~ ~ ~ o a ~ ~ ~ ~ ~ o ~ o ' !~~%~/ ~F i' ~' Dorothy I. Carbaugh i` ,; ~~ ;; '' I, Dorothy I. Carbaugh, of 1895 Douglas Drive, Carlisle, Cumberland County, :; Pennsylvania, do hereby declare this to be my Last Will and Testament and hereby revoke ~~ all Wills and Codicils previously made by me. ~! ;; ~~ ITEM ONE: I direct the payment of my 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 l . authorize my personal representative to purchase such cemetery lot with a contract for ,i ,; perpetual care, using, therefore, funds from my estate, and I authorize my personal < <i ~~ representative to cause title to or ownershi of such lot so urchased ~ p p to be vested in such ;. ~! person as my personal representative shall designate. i I~ Further, in this connection, I authorize my personal representative to expend funds ~~ !i 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 I direct the payment of my debts and the expenses of my last illness and funeral from my estate as soon after my death as conveniently may be done. wherever situate to my children, Linda Kay Moore and Marlin L. Carbaugh, in equal ,; shares, per capita if they shall survive me by thirty (30) days. ~~ ~; '~ ITEM THREE: My Executors shall have the following powers in addition to those ;; ,i ~I vested in them by law and by other provisions of this Will, applicable to all property, real, ~' personal or mixed and wheresoever situate, including property held for minors, whether ~. ,i ~~ ii principal or income, exercisable without court approval, and effective, with respect to each '~ item of said property until actual distribution thereof. ;~ '~ A) To retain., as investments of my estate or trust, any or all assets of my ,~ estate, real, personal, or mixed, without regard to any principal of diversification, and to j purchase and acquire real or personal property and to hold any or all of such real and ~- ~~ personal property retained or acquired without making the same productive of income. 6) To pay all taxes, charges and expenses of maintenance, upkeep, ~~ improvements, development, protection, preservation and investment of any retained or ~~ :~ ~I acquired real or personal property, such payments to be made from either principal or i ,~ '' income as my Executors or Trustee shall determine. :i j C) To retain or invest any and all funds, whether principal or income, in any real or personal property without restriction to legal investments; to purchase investments at premiums; to exercise all rights of a security holder or share holder in any corporation; and to lease, mortgage, pledge, give options upon or sell at public or private sale and without approval of any court, any real or personal property, or portion or portions thereof, irrespective of the manner or the means by which the same was acquired by my said Executors. in cash and partly in kind, at valuations fixed by my Executors at the time of distribution. I~ 'I ITEM FOUR: Any and all payment or payments of any sum or sums, whether in cash or in kind and whether for principal or income, payable to an heir, or any of them, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation; assignment, attachment, and pledge, and free from control by the creditors of any such beneficiary. ITEM EIGHT: I appoint my children, Linda Kay 1lllaore and Allarlin L. Carbaugh, Executrix and Executors of this my Last Will and Testament. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, consisting of three (3) typewritten pages, the first two (2) of which bear my signature in the margin for the purpose of identification, this the 10th day of September, 2003. (SEAL} orothy I. Carbau Signed, sealed, published and declared by the above named testatrix, Dorothy I. Carbaugh, as and for her Last V~Jill and Testament, in the presence of us, who, at her !I request, in her sight presence, and in the sight and presence of each other, hav i; Ij ereunto s s d ur names as witnesses. /~ 1~~ d~3 ~' ~- ~~ ,, ADDRESS ADDRESS7~ l./ G~ditlUt~~ ~'Wi.A-1'''~.r.~J) t_,/ ~ I7O13 COMMONWEALTH OF PENNSYLVANIA • SS. COUNTY OF CUMBERLAND __ . _ ;: Ll nclsa. ~ ~; We, Dorothy I. Carbaugh, ~Q.VI ~ ~ : ~-~+C and`~~n~rc ~ ~~ ~. ~~ ~" ,the testatrix and the witnesses, respectively, whose names are signed to the attached or i ~: '" foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority ~; that the testatrix signed and executed the instrument of her Last Will and Testament, and ~~. i that she signed willingly and that she executed as her free and voluntary act for the ,, '' ur oses therein ex ressed, and that each of the witnesses, in the presence and hearing p P p I' j. of the testatrix, signed the Will as witnesses, and that to the best of their knowledge, the ii '~ testatrix was at the time eighteen (18) years of age or older, of sound mind and under no ~i ~~ constraint or undue irifluence. ii Sworn to and subscribed before me this the 10th day of September, 2003. ~; ~~ ~c.a. 4~ ~~,~. Notarial Seal Amanda L. Esher, Notary Public Carlisle eoro, Cumberland r;ounfij My Commission Expires Apr. 17, 2006 Member, Pennsylvania Association Of Notaries TaxDB Result Details Detailed Results for Parcel 29-16-1094-291. in the 2004 Tax Assessment Database DistrictNo 29 Parcel ID 29-16-1094-291. MapSuffix HouseNo 1895 Direction Street DOUGLAS DRIVE Owner! CARBAUGH, DOROTHY I C/O PropType R PropDesc LivArea 1305 CurLandVal 31900 CurImpVal 81070 CurTotVal 112970 CurPrefVal Acreage .34 C1GrnStat TaxEx 1 SaleAmt SaleMo SaleDa SaleCe SaleYr DeedBtcPage 0021N-00473 YearBlt 1965 HF File Date 10!22/2004 HF_Approval_Status A Page 1 of 1 http://taxdb.ccpa.net/details.asp?id=29-16-1094-291.&dbselect=l 11/21/2008