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HomeMy WebLinkAbout05-17-10 (3)J 1505607120 REV- 7500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN 2 1 0 9 0 9 9 5 PO BOX.280601 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 161 20 1131 08 17 2009 03 08 1927 Decedent's Last Name Suffix Decedent's First Name MI SNOKE JEANNE E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS MI FILL IN APPROPRIATE OVALS BELOW C~, 1. Original Return ~ 2. Supplemental Return ^ 3, Remainder Return (date of death prior to 12-13-82) ~_, 4. Limited Estate ^ qa Future Interest Compromise ^ 5. Federal Estate Tax Return Required (date of death after 12-12-82) ~X 6. Decedent Died Testate L-~ (Attach Copy of Wili) ^ ~ Decedent Maintained a Living Trust (Attach Copy of Trust) 8. Total Number of Safe Deposit Boxes `~ 9. Litigation Proceeds Received ^ 1 p. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ^ 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 MICHAEL L. BANGS 717 730 7310 Firm Name (If Applicable) First line of address 429 SOUTH 18TH STREET Second line of address City or Post Office State ZIP Code CAMP HILL PA 17011 Correspondent's a-mail address: REGISTEIt'~t~11LLS USA=ONLY '~ ~7 3:; `'~ ` -' ::~~ L -.~I _~1s ~ _...~~ j~.' ,~,1 U -`I'l ZJ N - ~~pp ---t D9otTE FILED - ,~ unaer penalties or p )ury, I declare that I have xamined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct ar~omplete. }leclaration of~eparer other than the personal representative Is based on all information of which preparer has any knowledge SIGNATURE PErta~nrv r~oon~~aroLE FUt1r11fIV[i F(FIIIIIIV - - _.__ 1 Y1 John Stephen Snoke ~~ _ ~ a ADDRESS 222 Ewe Road, Mechanicsburg, PA 17055 JWrvH Ur YKtI'ARtK UI EK IRAN R RESENTATIVE -DATE ~~' Michael L. Bangs ADDRESS ~~ ~7~~ ~~~ 429 South 18th Street, Camp Hill, PA 17011 Side 1 1505607120 1505607120 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-09-0995 DECEDENT'S NAME Jeanne E. Snoke STREET ADDRESS 2 Commercial Drive CITY Camp Hill STATE ZIP PA ~' 17011 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) (1) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 0.00 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable p. Interest E. Penalty Total Interest/Penalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2 Line 20 to request a refund 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) 12,557.13 0.00 12,557.13 12,557.13 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 :.................................................................................. n 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?......... L 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)j. 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)]. A sibling 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 EXti (6.98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY t51ATE OF Snoke, Jeanne E. 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. FILE NUMBER 21-09-0995 ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 *NOTE -All personal property given away by decedent at time she sold her primary 0.00 residence in 2000. 2 Payoff of note due from son John S. Snoke 69,930.00 3 Refund from PA Department of Revenue - 2009 taxes 536.00 4 M&T Individual Retirement Account 68,036.37 TOTAL (Also enter on Line 5, Recapitulation) I 138 502 37 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+(8.98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY is I ATE OF FILE NUMBER Snoke, Jeanne E. 21 09 0995 A. John Stephen Snoke B. C. 222 Ewe Road Son Mechanicsburg, PA 17055 JOINTLY OWNED PROPERTY: DESCRIPTION ITEM LETTER DATE OF PROPERTY NUMBER FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH % OF ' DATE OF DEATH VA TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF~ ASSET DECD S INTERE LUE OF DECEDENT'S INTEREST JOINTLY-HELD REAL ESTATE. ST 1 A 8/28/1964 M&T Checking Account 12 933 84 0 500% 6 , . . ,466.92 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 RELATIONSHIP TO DECEDENT TOTAL (Also enter on Line 6, Recapitulation) I 6,466.92 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1510 EX+16-98) SCHED ULL G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Snoke, Jeanne E. FILE NUMBER 21-09-0995 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 yes. to mole space Is neeaea, al]amonal pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+ (10-05) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Snoke, Jeanne E. FILE NUMBER 21-09-0995 ITEM NUMBER A. FUNERAL EXPENSES: Debts of decedent must be reported on Schedule I. DESCRIPTION See continuation schedule(s) attached AMOUNT 1,690.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name(s) of Personal Representative(s) Street Address City State Zip Year(s) Commission paid 2. Attorney's Fees Michael L. Bangs 3,500.00 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 260.00 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 249.07 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 5,699.07 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF Snoke, Jeanne E. FILE NUMBER 21-09-0995 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Auer Cremation Service 1,440.00 2 Reverend Snyder 250.00 H-A Subtotal 1,690.00 Other Administrative Costs 3 Cumberland Law Journal -estate advertising 75.00 4 The Sentinel -estate advertising 174.07 H-B7 Subtotal 249.07 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-7572 EX+ (12.08) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF IFILE NUMBER Snoke, Jeanne E. ~ 21-09-0995 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. tlr more space Is needed, atltlltlonal pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX+ (11-08) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHED!/LE J BENEFICIARIES t51AlE OF Snoke, Jeanne E. NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116(a)(1.2)] 1 Susan Jeanne Lindsay Pelican Landing 23902 Sancutary Lakes Ct. Bonita Springs, FL 34134 2 John Stephen Snoke 222 Ewe Road Mechanicsburg, PA 17055 3 Patricia Ann Snoke 2 Commercial Drive Camp Hill, PA 17011 II. FILE NUMBER 21-09-0995 RELATIONSHIP TO SHARE OF ESTATE AMOU DECEDENT (Words) Do Not Llst Trusteetsl ~ Daughter I Son ~ Daughter one-third of residue one-third of residue one-third of residue Total Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 1500 cover sheet, as approp NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TPJC IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-15nn ~rniFQ cuGCT T OF ESTATE ($$$) ~opyngnt (c) 2009 form software only The Lackner Group, Inc. ~~~~ Form PA-1500 Schedule J (Rev. 11-OS) ® M&TBank -199 Mitchel] Road, Millsboro, DE 19966 Maii Code DE-MB-12 Phone (888)502-4349 Fax (302)934-2955 January 21, 2010 Bangs Law Office 429 South 18th Street Camp Hill, PA 17011 Re: Estate of: Jeanne E Snoke Social Security: 161-20-1131 Date of Death: August 17 2009 Dear Sir or Madam: Per your inquiry, please be advised that at the time of death, the above-named decedent had. on deposit with this bank th f ollowing: e 1 • Tj pe of Account Checking Account Account Number 80329004 Owners{tip (Names of) Jeanne E Snoke, joint-secondary John Stephen Snoke, joint primary Opening Date 08/28/64 Balance on Date of Death $ Accrued Interest $ 243.24 Total $ 12933.84 . _. _ _. _ _ _ __ 2. Type of Account Individual Retirement Account(REA) Account Number 35004201809661 Ownership (Names o~ Jeanne E Snoke Opening Date 05/10/94 closed 08/10/09 *This account was closed seven days before date of death. Balance ort day of closure $ 68036.37 Balance on Date of Death $ 0.00 Accrued Interest $ 0 ~ Total _ __ __ _ __ _ $ 68036.37 Please be advised, there was no safe deposit box found for the above decedent. * If' upon reviewing the information above, you believe there are additional accounts not referenced, please provide us with an account number and/or name of any possible joint account holder F r . o any additional information on the above accounts, including ownership and any changes, closures and/or reimbursement of funds, etc., please contact our Hi hland Pa 344 S k b h h `" g r ranc , out 10 Street, Lemoyne, PA 170•t3. Office # 717-737-3322. Sincer ly, ~,' No ssa Sears n ,~:..,.._..,.... c,.....:,.,_.. ar N~/ E S T M E N T S ~ JEANNE E SNOKE 10001332 222 EWE RD MECHANICSBURG PA 17055-4872 ~n~~~~u~~~~n~~~~~n~~~e~~n~~n~~~n~~u~~~~~~~~n~~~~n~~~ ^ FIDELITY GINNIE MAE Rollover ^ ^ FIDELITY PURITAN Rollover ~~ FIDELITY GINNtE MAE FGMNX/015 Transaction - --- ------- - ----- - -{ -------~- _ Detail IRA Transfer to Beneficiary to 168-637343-1 - ----------------- - ------- Fidelity Brokerage Services LLC acted as agent for Fidelity Distributors - 4,129.863 __ _ Corporation, the fund's_ general distribution agent in this transaction. ___ - ----- _ _ Your ending balance in this fund is 8,259.726 shares at $11.44/share -- ---- - - Page 1 of 1 Fidelity.com 800-544-5555 800-544-6666 Transaction Summary Shares ---- $94,491.26 _FIDELITY PURITAN~FPURX/004__ - - --- - -- IRA Transfer to Beneficiary to 168-637343-1 ----------------------- -- ----------- Fidelity Brokerage Services LLC a~~ted as agent for Fidelity Distributors - 1,243.089 Corporation, the fund's ~eneral_distribution went in this trans_action._____ Your ending balance in this fund is 2,486.176 shares at $15.65/share ---- -- - - _FlDEL/TY BLUE CH/P GROWTH- (FBGRX/31~ IRA Transfer to Beneficiary to 168-X37343-1 -- ---------------_-- Fidelity Brokerage Services LLC a~~ted as agent for Fidelity Distributors Corporation, the fund's general-distribution a~ent_in this transaction._____ Your ending balance in this fund is 703.933 shares at $35.48%share - --- r~ .s~ $38,908.65 .966 Shares -- ----- $24,975.54 - -------------------_________FidelityDistributorsCoreoration__---__- ------__-__----__---- ,~' ,y` ~~~~ Use this form to make additional investments in your account 26K-771694. Please make your check payable to the fund. I N V E S T M E N T S ~ JEANNE E SNOKE 222 EWE RD MECHANICSBURG PA 17055-4872 FIDELITY INVESTMENTS PO BOX 770001 CINCINNATI OH 45277-0003 Transaction Canfirmation Confirm Date:.September 76, 2009 Mutual Fund Account Number 26K-777694 IRA -ROLLOVER JEANNE E SNOKE Online FAST(sm)-Automated Telephone Customer Service Fund # 015 FGMNX Fund # 004 FPURX $_ $ ^ Fund Name _- _ Fund ~__ Rollover ^ -- ---- -- __-___-__ $ Total Amount of Investment $ If purchasing a new fund, I (we) have read the prospectus and agreed to the terms. ~i~u~i~~~ni~~~~n~~~m~~~m~~u~~~nu~~~~~~nnn~~n~~~~ This account is a Rollover IRA. Any current or prior year contributions may disqualify its status to rollover the assets to a qualified plan. D01 92BK771694 DO ODD LAST WILL AND TESTAMENT OF JEANNE E. SNOKE I, JEANNE E. SNOKE, of Lower Allen Township, Cumberland County, Pennsylvania, being of s~~u:~d and disposing mind and memory, do hereby make, pub:~ish and declare this for and as my Last Will and Testament hereby revoking any and all Wilts or Codicils by me at any time heretofore made. ITEM I - I direct the payment of all my just debts and funeral expenses as soon after my decease as the same can be conveniently done. I desire to be cremated with arrangement with the Cremation Society of Harrisburg. ITEM II - All federal, state and other death taxes, payable because of my death with respect to the property forming my gross estate for tax purposes, whether or not passing under. this Will, including any interest orpenaity imposed in connection with such tax, shall , be considered part of the expenses of the administration ~of my estate and shall be paid from my estate without apportionment or rigid of reimbursement. All such taxes on present or future interests shall be paid at such time or times as my Executor may think proper, regardless of whether such taxes are then due. ~- Initials P elof7 ITEM III - I hereby specifically give and bequeath the following :items of personal property to my daughter, SUSAN JEANNE SNOKE: Walnut dropleaf table from the living room; oriental rugs from the dining room; antique music box. with the boy and girl in a sled; oriental lamp with the silk pleated shade from the living room; all remaining Cowden and Wilcox pieces; all cut glass; all Norata'.-i china; all ironstone dishes; pressed glass goblets with golden rims; two (2) linen tablecloths with crocheted edges. ITEM IV - I hereby specifically give and bequeath the following items of personal property to my daughter, PATRICIA ANN SNOKE: Large floor model television; small red table model television; brass bed; large brass floor lamp (3 bulbs); all hanging pictures; Oriental living room rug (9' x11'); desk in living room and contents on glass shelves only; wing back chair with peacock upholstery; dining room set (mahogany table, chairs, pads and boards, and five drawer chest; clothes tree; round table and lamp in first floor bedroom; small Initials,~~, Page 2 of 7 pine one drawer table with spool legs; wall mirror in den; marble top table in living room with antique table lamp; piano and bench; walnut three drawer chest with pull out shelf (upstairs bedroom); mahogany four poster bed, dresser and chest of drawers; one (1) camel back trunk (bedroom); four poster cherry sir~Lle bed and matching dresser; mantle clock; antique hanging lamp (dining room); antique hanging lamp (kitchen); diamond dinner ring with seven diamonds; diamond wedding band. ITEM V - I hereby specifically give and bequeath the following items of personal property to my daughter-in-law, DEBBIE SNOKE: Mahogany corner cupboard; strand of cultured pearls; six (6) place settings of Gorham sterling silver with serving pieces; crescent shaped seed pearl and sapphire pin. ~ Initials P ge 3 of 7 ITEM VI - I hereby specificaly give and bequeath the following il:ems of personal propert to Y my granddaughter, KYLEE SNOKE: '/4 ct. diamond ring with four small diamonds on sides. ITEM VII - I hereby specifically give and bequeath the following items of e p rsonal property to my son, JOHN STEPHEN SNOKE: White leather sectional sofa. ITEM VIII - All the rest, residue and remainder of my estate, real, personal and mixed, I give, devise and bequeath in equal shares, per stirpes, as follows: A• One-third (~/s) to my daughter, SUSAN JE~,NNE SNOKE, and B• One-third (~/s) to my daughter, PATRICIA : , NN SNOKE, and C. One-third (1/s) to my son, JOHN STEPHEN SNOKE. ITEM IX - My Executor and Fiduciaries appointed under this Will shall have the followin g powers: A• To retain any or all assets of my estate, real or personal, without regard to any principle of diversi;cation., risk, or productivity. I~iitialsi~~=L Page 4 of 7 B. To i:west in all forms of property, including stocks, comrrion trust funds and mortgage investment funds, ~~~ithout restriction to investment authorized for Pennsylvania fiduciaries as they deem proper, without regard to ar~y principle of diversification, risk, or productivity. C. To sell at public or private sale, to exchan~ ~ or to lease, for any period of time, any real or personal pro-erty and to give options for sales, exchanges or leases, for ~ucl prices and upon such terms and conditions as they deem proper. D• To borrow money from any person or institution including my Executor and to mortgage or pledge any or' all real or personal property as my Executor in his sole discretion shall choose, without regard for the diapositive f.: ovisions of this instrument. E. To compromise any claim or controversy. F• To exercise any option, right or privilege grar~.te;d in insurance policies or in other investments. ITEM X - No bond or other security shall be required of ail}' Executor or other Fiduciary appointed in this Will. I~iitials Page 5 of 7 ITEM XI - I nominate, constitute and appoint my son, JOHN STEPHEN SNOKE, Executor of this, my Last Will and Testament. In the event my :>o:~, JOHN STEPHEN SNOKE, predeceases me or is unable to serve as my Executor, I nominate, constitute and appoint DAUPHIN DEPOSIT BANK AND TRUS'i' COMPANY as my Successor- Executor of this, my Last Will and Testament. IN WITNESS WHEREOF, I >?ure hereunto set my hand and seal this ` 'y '~ day of ~l i,ri tom' ,C~'// _, 1998. WITNESSES: _, ~. ~ • EAL) ,~JEANNE E. SNOK:E residing at:_~` ~ ~ ~~~~ ~ residing ~~~''~''`~G~C ~i'~ Initials P e6of 7 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND : ss. ' WE, JEANNE E. SNOKE, ~~~1~~~ c~t~pp~-,'~ ,,F.KF, ~ and ~1iC'.1~Llvt`I ~ . h~~f~~1 the Testatrix and the witnesses, respectively, whose names are signed. to the attached or foregoing will, being first duly sworn, do hereby declare to the undersigned uathority that the Testatrix signed and executed the instrumer_t as her Last Will and Testament and that she had sighed willingly (or willingly directed another to sign for : er), and that she executed i` as her flee and voluntary act for the purposes therein expressed, and that each of the witnesses, it the presence and hearing of the Testatrix, signed the Will as witness and to the best of his or her kr =rvledge the Testatrix was at the time eighteen (18) year of age or older, of sound mind, and under .~o constraint or undue influence. ANNE E. ~NOKE, Testatrix Witr~es ~ `~ " _ ~~_ e Witness - Subscribed, sworn to, and acknowledged before me by JEANNE E. S:NOKE, the Testatrix, and subscribed and sworn to before me by,]~~~~,~ ~~-i~~~~~=+,~~~~r.,~E, witnesses, this 2~,, da of ~ , ~ , ~ __ _, and. (7i(' I 1 ~~ r ~~l ~' - ~~; I ~, ~ Y -.~ti~ ~-~~ 4~c-~ , 1998. ~L `L~~ ~L,'t i~~ ~ 1-~.r ~~- ~' LC ~L,, Notary Public (SEAL) ---.__ BARBARq~TARIAL SEAL KOCHER, Notary Public . Camp hill 8oro, Cumberland County M Com.nision Ex fires Oct. 22, 2001