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HomeMy WebLinkAbout04-23-10 (3)J 15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue Bureau of Individual Taxes County Code Year File Number INHERITANCE TAX RETURN _ . _. Po Box zeosol 21 10 ` 0319 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 160-16-8904 02/27/2010 09/24/1920 Decedent's Last Name Suffix ................ Decedent's First Name :THRUSH 'THELMA (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW '~~ 1. Original Return ~;,~"„"~; 4. Limited Estate ~;~:~ 6. Decedent Died Testate (Attach Copy of Will) ~:~:;~ 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS ~ 2. Supplemental Return 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach Copy of Trust) t~ 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) MI G MI 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes ~ 11. Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number .'THOMAS E. FLOWER •. (717) 737-~05 ~' Firm Name (If Applicable) _ ~ ~ ~ ............ y . REGISTER? WILLS USNLY ~ ' ~':. SAIDIS, FLOWER, LINDSAY ._ :~~C`r ~ ' i _ ~. __ __ ............................. _ _ First line of address _ .... __ __... _ _ __ . ~ ~' N ~ -~ '`' GJ _. ............... . 2109 MARKET ST ~ - `s-: ~:~ ~ ~ ~ f ~: Second line of address _.. -- ~~ - ~ --~ «._. .. .- ;- ' City or Post Office ~ , _ .. . State ZIP Code :...._ DATE FILED CAMP HILL PA :17011 Correspondent's a-mail address: tflOW2r@Sfl-law.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 the personal representative is based on all information of which preparer has any knowledge. SI AT RE OF PERSO RESPONSI LE FOR FILING RETURN DAT ADDRESS DEBRA K. ZEIGLE , 23 WALNUT BOTTOM RD., CARLISLE, PA 17015 SIGNAT E F PREPARER T EPRESENTATIVE DATE ~ i ~~a ADDRE SAIDIS, FLOWER & LINDSAY, 2109 MARKET ST., CAMP HILL, PA 17011 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 J 15056052059 REV-1500 EX Decedent's Social Security Number decedent's Name: THELMA G THRUSH j 160-16-8904 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. ' 25,018.96 6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested ...... . 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ~ Separate Billing Requested....... . 7. ' 72,279.86 8. Total Gross Assets (total Lines 1-7) .................................... 8. 97,298.82 9. Funeral Expenses & Administrative Costs (Schedule H) .................... . 9. ', 5,632.32 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............... . 10. ', 1,057.55 11. Total Deductions (total Lines 9 & 10) .................................. . 11. ''" 6,689.87 12. Net Value of Estate (Line 8 minus Line 11) ............................. . 12. ' 90,608.95 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which ,. ..... ....~ m.. ,.H.~_.... an election to tax has not been made (Schedule J) ....................... . 13. ', 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ....................... . 14. ' 90,608.95 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES ~~~~~~Y~{~tl~M~ 15. Amount of Line 14 taxable at the spousal tax rate, or trans ers under Sec. 9116 ----- -- (a)(1.2) X .0_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 _ 16. 17. Amount of Line 14 taxable at sibling rate X .12 17 18. Amount of Line 14 taxable at collateral rate X .15 90,608.95 '' 18 „„ 13,591.34 19. TAX DUE ........................................................ . 19. ' _ _ 13,591.34 . __ __ 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 Number , .. 21 ~ 10 i 50319. ~~...... ~. _.. DECEDENT'S NAME DECEDENTS SOCIAL SECURITY NUMBER THELMA G THRUSH 160-16-8904 STREET ADDRESS 946 OLD YORK ROAD CITY STATE ZIP CARLISLE PA 17015 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 13,591.34 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 12,912.00 C. Discount 679.56 Total Credits (A+ B + C) (2) 13,591.56 3. InterestlPenalty 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) 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) 0.00 Make Check Payable to: REGISTER OF WILLS, AGENT ....r r„ PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPR OPRIATE 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? .............. x^ ^ 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 survlving 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 (O) 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 (O) 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-1508 EX+ (6-98) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH BANK DEPOSITS & MISC. INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER THELMA G. THRUSH 21-10-0319 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 ' ORRSTOWN BANK CHECKING ACCT. #106003545 18,510.96 2 HOUSEHOLD FURNITURE & FURNISHINGS 1,508.00 3 1979 REDMAN MOBILE HOME, sale proceeds 5,000.00 TOTAL (Also enter on line 5, Recapitulation) s 25,018.96 (If more space is needed, insert additional sheets of the same size) ~, o ORRS 0 ~RRSTQWNBANK A Tradition of Excellence P.O. Box 25G Shippensburg, PA 17257 Temp-Return Service Requested Date 3/15/10 Page 1 Primary Account 106003545 Enclosures 000449 0.7113 AV 0.335 TR00002 Thelma G Thrush 946 W Old York Rd Carlisle PA 17015-9619 r, 0 cn rn v 0 0 0 ~o M 0 0 0 0 0 0 a, °o ~ o ~ o° rn N r-~I d' O ~~ Building? Buying? Remodeling? We can help! 1.888.ORRSTOWN - orrstown.com C H E C K I N G A C C O U N T S Account Title 50+ Interest Checking Account Number Previous Balance 2 Deposits/Credits 3 Checks/Debits Service Fee Interest Paid Current Balance Thelma G Thrush 106003545 18,452.31 1, 003.41 1, 092.28 .00 .71 18,364.15 Check Safekeeping Statement Dates 2/16/10 thru 3/15/10 Days In The Statement Period 28 Average Ledger 18,602.68 Average Collected 18,596.71 Interest Earned .71 Annual Percentage Yield Earned 0.05$ 2010 Interest Paid 2.22 Deposits and Additions Date Description 2/26 Deposit 3/03 SOC SEC US TREASURY 303 PPD 3/15 Interest Deposit Amount 133.41 870.00 .71 Electronic Debits and YPithdrawals Date Description 2/26 BILL PYMT MET-ED CHECK # 687 3/09 returned direct dep due to death Amount 74.76- 870.00- Page 1 of 1 Thomas E. Flower From: "Ibis Appraisal Services" <alyssa@ibisappraisals.com> To: "'Thomas E. Flower"' <tflower@sfl-law.com> Sent: Monday, April 12, 2010 8:48 AM Subject: Thrush Estate Hi Tom, I was told just to send you the amount of the Thrush Estate. The value of the personal property is: $1,508.00 The family wanted a written copy and I put that in the mail. to them today. I just charged $60.00 for everything. It was very fast and simple to do. Thanks a lot, Talk to you soon, Alyssa Alyssa Loney, CA Ibis Appraisal Services 145 N. Hanover St. P.O. Box 24 Carlisle, PA 17013 717-243-3474 http://www.ibisappraisals.com alyssa@,ibisappraisals.com 4/12/2010 ~ r .~- ~r'I~lul~al~~~t,ill'~~~+~a-'i-'ti~4~~1%4-~~)~"~ `~ '"~~'~ ~. ___<._ ~ ', ,~ ~,• u; issued in accorciarece zcath ~~{:~;tic;ra t.tf;.~ r~~th~ ~'€~x{{:€ce> isncl€, Title ~, 1'erans5•I~°ania Cr~resr~ti€lated <~t~~utes ~~#' _, G~~, AA //4~pp ~~4C~~,~~~ ~~++/q .~y. i.~f4t tp~~)y ~tx pg.~ ~~c~ - Y"r~~VVi4'~•4' 4. ~A PmI'Z'F$Y+.. i3Vf1'1~~R ':-. Ny ~~=- W ~~ ~.~~~~ ~ ~ ~ i 94~ ~ [~~. YARD ~ ~~~ ~ ~ ."~` w ? 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E~'herefore.. c•eri-:f~• Lhczl us pf t#ze date ~~~~G)sZ'~E'd #z2rer~n. " ~ ,~.':. _~ z .-..~..~,., the official recvr3~s ~~ ttze ~'enrc, g°lvan_ia ZJeparFr.zerrf ~, _ _~ tatz~n reflect that safdapptfcant fs the iau=fut r~izcrn€~r {~; ~ae:t t~<~E<tcle. -'--, <~ ere s~=r1 • o rarfspcrtutton ~. ~ei~ ,, ~ ~"'~" ~g~s . r~~+ ~ ~,~?~_~ .~Yr..~;p~efffY r '- ,',' 7 e.._., r R $~ }J~~ai. ~P< 1 6~ ~, ~:: ,~7_ ' { r, ~. .stn ~~ t`~,~T.: _! b ul.SA_.;•LfB+ _ .im.~_,..`_s.. _ r_.Le..a...,.rhd-••' ~~f __ - .a.~ _" _._vlia. .__ ...___c REV-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDt~LE Cs INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER THELMA G. THRUSH 21-10-0319 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 INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH ACOPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE ~ ~ RIVERSOURCE FIXED ANNUITY-VALUE PLUS #0930 0196 6100 6 004 :PAYABLE IN EQUAL SHARES TO 5 NIECES & NEPHEWS (SEE SCH. J) p 22,638.33 100 22,638.33 2 RIVERSOURCE FIXED ANNUITY-VALUE PLUS #0930 0237 9986 7 004 PAYABLE IN EQUAL SHARES TO 5 NIECES & NEPHEWS (SEE SCH. J) p 49,641.53 100 49,641.53 TOTAL (Also enter on line 7 Recapitulation) S 172,279.86 (If more space is needed, insert additional sheets of the same size) d ma c~ O -~ of Ii~~i~i~lii„il,iil~liliiii,li,I,ii,i,iil,i,iil~liiil,,,iiil~~ili MS THELMA G THRUSH 946 WEST OLD YORK RD CARLISLE PA 17015-9619 0 0 o `` ~ o c o to ~ c ~ ~ C ~ a °-=+a ~ ~ c ~ a ~ c -~ ,~ c~ ~ o ~ ~ o n ~ ~ rn c ~ a ~ N ~ ~ n- ,-. 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Personal Representative's Commissions 2,500.00 Name of Personal Representative(s) ':DEBRA K. ZEIGLER Social Security Number(s)/EIN Number of Personal Representative(s) ,168-48-2939 Street Address 2321 WALNUT BOTTOM RD City CARLISLE State PA `zip 17015 Year(s) Commission Paid: '2010 2 3 4. 5. 6. ~. 8. 2,250.00 115.50 305.02 60.00 TOTAL (Also enter on line 9, Recapitulation) I $ 5,632.32 Attorney Fees 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 Probate Fees Accountant's Fees Tax Return Preparer's Fees PUBLISH ESTATE NOTICES, CUMB. LAW JRNL. (75), THE SENTINEL (230.02) 'APPRAISAL OF PERSONAL PROPERTY (If more space is needed, insert additional sheets of the same size) REV 1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCI~IEDVLE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER THELMA G. THRUSH 21-10-0319 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~• 'SAIDIS, FLOWER & LINDSAY, LIFETIME LEGAL SERVICES 50.00 2. 2010 LOCAL PER CAPITA TAX 10.00 3. WEST SHORE EMS 918.47 4. METED 71.59 5. KINETIC IMAGING 7 49 TOTAL (Also enter on line 10, Recapitulation) $ 1,057.55 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (g-00) SCHEDI~ILE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER THELMA G. THRUSH 21-10-0319 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 distributions, and transfers under .......Sec. 9116. (a) X1.2)1 1 BETSY SMITH, 2319 WALNUT BOTTOM RD, CARLISLE, PA 17015 :NIECE 1/5 2 'MARGY THRUSH, 2320 WALNUT BOTTOM RD., CARLISLE, PA 17015 NIECE 1/5 3 .DEBRA K. ZEIGLER, 2321 WALNUT BOTTOM RD., CARLISLE, PA NIECE 1/5 4 FLOYD THRUSH, 1200 CENTERVILLE RD, NEWVILLE, PA NEPHEW 1/5 5 JERRY THRUSH, 26 CARRIAGE DR., GORDONVILLE, PA NEPHEW 1/5 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROU GH 18, AS APPROPRIATE, ON RE V-1500 COVER SHEET II 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 a (If more space is needed, insert additional sheets of the same size) LAST WILL AND TESTAMENT of THET~1-I~ GRACE THRUSH I, GRACE 1T-RtUSH, of Cumberland County, Pennsylvania, being of sound mind and memory, and not acting under duress or undue influence of any person or persons whatever, do make, publish and declare this to be my Last Will and Testament hereby revoking all prior wills and codicils heretofore made by me. ~~~ F1R~ST I direct that my funeral be conducted in accordance with the wishes I have N ~ made known to my Executrix, hereinafter named. SECOND I direct the payment of my debts and funeral expenses from my estate as soon after my death as conveniently may be done. I direct that my Executrix shall pay all inheritance, estate, succession and legacy taxes to which my estate or the transfer of any property hereunder may be subject, and to charge such taxes as part of the expenses of administration, payable out of my estate. I give, devise and bequeath to my Executrix those certain items of treasured personal property owned by me at the time of my death and identified to my Executrix. In addition to those items listed in the fourth paragraph below, I request that she distribute the items mentioned in accordance with the wishes I have made known to her. FOURTH I give, devise and bequeath to MARGY THRUSH, the five caned chairs, which she caned, and to DEBRA Z.EIGI.ER, the rocking chair which belonged to my grandfather. I give, devise, and bequeath the entire rest, residue and remainder of my ~ estate, whether real, personal or otherwise, comprised primarily of Certificates of a Deposits, bonds, furniture and a mobile home, and wherever situated, which I may own or be entitled to at the time of my death, or in which I may have any interest 4 whatsoever, vested or unvested, matured or not matured, including any property over which I may have a power of appointment, to my nieces, BETSY SMTI~i, of 925 Mount Rock Road, Carlisle, Pennsylvania, DF~RA ZEIGLER, of R.D. 1, Box 137 A, Blaine, ~ Pennsylvania, and MARGY T~tUSH, of 541 Middle Road, Newville, Pennsylvania, and to my nephews, FLOYD THRUSH of 1200 Centerville Road, Newville, Pennsylvania, and JERRY TI~USH, of 50 West Willow Street, Carlisle, Pennsylvania to be divided in equal shares of one-fifth (1/5) each. 2 In the event that BETSY SMITH, DEBRA ZEIGLER, MAR.GY THRUSH, FLOYD THRUSH, or JERRY TT~USH do not survive me by thirty (30) days, and if any of these nieces or nephews not surviving me have surviving children of their own, the one-fifth portion intended for that niece or nephew should be distributed in equal portions to any surviving children of the niece or nephew. SIX'iT3 I hereby nominate, constitute and appoint my niece, DEBRA ZEIGLER, Executrix of this my Last Will and Testament, to serve without bond or security of any type for any purpose whatsoever, and I hereby authorize, empower and direct her to sell and convey, by good and sufficient deed, in fee simple estate, any and all of my real estate, at public or private sale, for such price or prices, upon such terms and conditions, as in her judgment is best for my estate, and to that end to sign, seal, execute, acknowledge and deliver all deeds or other instruments necessary therefor, as effectively as I could do if I were personally present. My Executrix shall have all of the power and authority granted a personal representative under presently existing Pennsylvania statutes, and such additional powers and authorities as may be granted under Pennsylvania statutes existing at the time of my death. I authorize my Executrix to pay such debts, funeral expenses, administration expenses, and taxes which may be chargeable against my estate from my estate prior to any distribution. 3 In addition, my Executrix is authorized to make any election permitted by any tax law and no adjustment of any kind shall be made between or among beneficiaries because of the exerdse of any of the powers of this Article. I direct that my estate be settled without the intervention of any court, except to the extent required by law; and that my Executrix shall settle my estate in such manner as shall seem best and most convenient to her, and I empower the same to mortgage, lease, sell, exchange and convey the real and personal property of my estate, without an order of court for that purpose, and without notice, approval or confirmation, and in all other respects to administer and settle my estate without the intervention of any court. My Executrix shall be entitled to take reasonable and just compensation for her time and expense incurred in the execution of my Will. In the event that my niece predeceases me or is otherwise unable or unwilling to serve, then I nominate and appoint my niece, MARGY T~IRUSH, to serve as my Executrix, and to serve without ti ~- bond, or security of any sort, and grant to her all the powers and authority that I have herein granted to my first-named Executrix. s~n~ If a court of competent jurisdiction rules invalid or unenforceable any of the provisions in this Will, each such provision shall be disregarded, but the remainder of this instrument shall be given full force and effect. All questions pertaining to the 4 interpretation, construction and a ' tration of this instrument shall be determined in accordance with the laws of the Commonwealth of Pennsylvania. IN VVTTNESS VVHI:REOF, I have hereunto set my hand and Seal to this, my Last Will and Testament, consisting of 6 typewritten pages, the first 4 of which bear my signature in the margin for the purpose of identification, this ~~ day of April, 1994. GRACE 1T~tUSH SIGNED, SEAI~D, PUBLISHED AND DECLARED by the above-named Testatrix, as and for her Will, in the presence of us, who, at her request, in her presence, and in the presence of each other, have hereunto subscribed our names as witnesses in attestation thereof. --, r' _ .;'~ ;. , ~.~ ~c~~ :~'~ residing at ~..~ ~ ~ - ~-_ . i r c~,~~,~~_~ ~ ~t'~ I`IL~t residin at ~ E'_ ~~ U_.~ g - v ~~ C~ 5 I, TH~MA GRACE THRUSH, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Will, and that I signed it 'as my free and voluntary act for the purposes therein expressed. i r-; -~ < i 1 ~ ~ ~~ GRACE T~-IRUS ' We, having been duly qualified according to law, depose and say that we were present and saw ~l MA GRACE THRUSH sign the foregoing instrument as her Will; that she signed it as her free and voluntary act for the purposes therein expressed; that each of us in her sight and hearing and at her request signed the Will as witnesses; and that to the best of our knowledge she was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. (_-.. Witness Subscribed, sworn to or wed, and acknowledged before me. by the above named Testatrix and by the w~se~swhose names appear opposite ~raTAa~~~ sE~! V!RC1i~lA f~d. I~:C:~E`,' h~Ui~.FY PiJl3LiC Ct~,%~~1S:,E ECRfl. CL!t~~±-~! ~iFjf? C~. PA Mil C+~~."~iSS1J~tFY~l4~E5 ~SOV~~a~~l. 1. i997 . _ - 6 .~~ ~~ `1~'OD ~~ ~ o •uo App ~ ~ aq~o