HomeMy WebLinkAbout09-03-10 (2)
Ex (o,-to) 1505610143
J R!V-1500 . ;
A Department of Revenue pennsyhrania OFFICIAL USE ONLY
ureaw Of individual Taxes DEP~R7IAENT Or REVENUE ounty ode Vsar Flb W11tN~r
Box.2soso~ INHERITANCE TAX RETURN 21' 10 0 0 3 0 8
rrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTETER RECEDE iNFORMATiON BELOW
Social Security N mt~er Date of Death Date of Birth
188 05 3770 03 03 2010 08 26 192011,
DeoedenYs Last me Suffix Decedent's First Name III MI
BENDER JANE ~ I
(If Applicable) En r Surviving Spouse's IrNarmatiorl Below
Spouse's Last Na e
Suffix Spouse's First Name
M)
Spouse's Social S rlty Number THi3 RETURN MUST BE FILED IN DU UGATE WITH THE
REGISTER OF W LS
FILL IN APPROPR TE OVALS BELOW I
® 1. Original R m ^ 2. Supplemental Return [) 3. Re~ne)nder Return (date of death
pri to 12-13-82)
^ 4. Limited tB ^ qa, Futuro Interest Compromise ^ 5. Federal Estate Tax Return Required
ath aRer 12.12-52)
(date a d
e
0
~
® e DeGdent Testate
(Attach Copy y~rl) ^ ~, Decedent Maintained a Living Trust _
__ 8. TO
ai Number of Safe Deposit Boxes
(Attach Copy Of Trusq
I,
^ 9. Litigation P Received ^ 10. batuVVV ~R31 ~1C~ ~•date~or dean, ^ 1 t . E ' n to tax under Sec. 9113(A)
Sch. O)
CCIFtRE8PONDENT THE 8F.CTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFiDENTWL TAX OR#AATION IlsNOULD BE DIRECTED TO:
Name Daytl Tsiephone!Number
DEBRA R PALLET 717 737 1300
~a
4'
REG TE 4L3 USF,~NLY,:-;. :1~,
. `::
,~ ~ r"r! ~ -
~
~
~ -,
r
First floe of add ~ ~
-t,7
;
' r ~
24 NORT 32ND STREET r ,
I ~~~ ~
Second Ilrre Of add ,
~ ~
.
~ `
I
_
,_ _
~ Y-,
~
,~
DATE FILED
City or Post Offl~ State Zip Code
CAMP HIL PA 17011
comespQnde<tt's,-mall adarss; wa i letd e b ~a o 1. co m
Under panaldas of , I dar~ar~s Sf~t 1 have examined this retlarn, Includinngo atxxxnpanying scfiedules and atatsmer>is, and the beat ofrr)y k and belief,
k is hue, correct and . Oaclaration of preperer other than ;the personal rpresentative is based on-ail information of preparer h8a any k ge.
SIGMA E PERS SIaLE F FIL N R TURN DA
~~ ~ (,~ ~ Suzanne K. Hitt-orn $~ ~
ADDRE
5613 Moreland urt, Mechani¢~burg, PA 17055
SIGNATURE OF PREPARE OTiiER THAN REPRESEMTATIVE ~ DATE
r_~.__ u ..t ._.. Debra K Wallet I 1~..~r 19 4~ls
24 North 32nd Street, Camp Hill, PA 17011
15t~5610143
Sids 1
15056110143
J
J 1505610243
EV-1900 EX
Decepent's Social Security Number
oeoeaem~. Na,x: BENDER, JANE I. 1818 O S 3 7? 0
1. Real Este (Schedule A) .......................................................................................... 1. ~,
i
2. Stocks and Bonds (Schedule B) ............................................................................... 2.
3. Closely He Corporation, Partnership orSole-Proprietorship (Schedule C).......... 3. ~I
4. Mortgages Notes Receivable (Schedule D) .......................................................... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ................ 5. i 7 2 , 3 2 9 • 9 7
6. Jointy Property (Schedule ~ ^ Separate Billing Requested ............. 8.
7. Inter-Vnros ransfers 8 Miscellaneous Non-Probate Property
(Schedule ) ^ Separate Billing Requested ............. 7.
s. Total G Assets (total Lines 1-7) ....................:.................................................. 8. 7 2, 3 2 9. 9 7
9. Funeral Haas 8 Administrative Costs (Schedule H) ......................................... 9.
10. Debts of nt, Mortgage Liabilities, 8 Liens (Schedule 1) ................................ 10.
11. Total Dedu one (total Lines 9 810) ...................................................................... 11.
12. Net Value Estate (Line 8 minus Line 11) ............................................................. 12.
13. Charitable a d Govemmentel BequeststSec 9113 Trusts for which
an ebction t tax has not been made (Schedule J) ................................................. 13.
14. Net Value S bject to Tax (Line 12 minus Line 13) ................................................. 14.
TAX COMPUTA ON -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Li 14 taxable
at the spou I tax rate, or
transfers u r Sec. 9116
(a)(1.2) X . 15.
16. Amount of Li e 14 taxable
at lineal rate .045 5 0, 8 4 7. 0 3 16.
17. Amount of Li e 14 taxable
at sibling ra X ,12 17.
18. Amount of Li e 14 taxable
at collateral to x .15 2, 8 2 4. 8 3 1S•
19. Tax Due ....... ........................................................................................................... .. 19.
20. FILL IN THE ~VAL IF YOU ARE RECUESTING A REFUND OF AN OVERPAYMENT.
1
0243
Side 2
15,270.90
562.38
15,833.28
56,496.69
2,824.83
53,671.86
2,288.12
423.72
2,711.84
ail
15056 0243
_ ~_ _
REV-1500 EX Pag 3
Decedent's C mpiete Address:
File Number 21 - 10 - 00308
Benda , Jane I.
STREET ADDRE S
2100 a
nt Creek Blvd.
CITY
Mecha i - -
csburg STA_~E -----
PA ZIP ---
17050
Tax Payments nd Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payme is
A. Prior Pa is
B. Discount
(1) 2,711.84
2,200.00
115.79
Total
3. interest
4. If Line 2 is Brea r than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Ct~k box on Page 2 Line 20 to roquest a refund
5. If Line 1 + Line is greater than Line 2, enter the difference. This is the TAX DUE.
Make Check Payable to: REGISTER OF WILLS,
PLEASE A
1. Dk
E
t
c
c
2. If c
rec
3. Dk
4. Dk
c~i
IF THE AN3titfER TI
For dates of death on
spouse is 3 percent p
For dates of death on
a~sse~ a~9 fllin8 a) tax
For dates of death on ~
• The tax rate imposed
adoptive parent, or a
•~PS §9116 1p2j[;
• The tax rate imposed
sibling is defined and
+B) (2) 2,315.79
(3) 0.00
(4)
(5> 396.05
THE FOLLOWING QUESTIONS BY PLACING AN "X" IN TF~E APPROiPRIATE BLOCKS
decedent make a transfer and: ~ Yes No
retain the ~ of income of the property transfe ~~ transferred or its income :................................... ^ '
retain the ' ht to des' Hate who shall use the ro x
retain a reversionary iMerost; or .................................................................................................................
receive the promise for life of either payments, benefits or care? ...........................
.................................. x
bath occurred after December 12, 1982, did decedent transfer property within one year of death without
living adequate consideration? ...................................................................................................................... r-~ ~xJ
decedent own an •in trust for" or payable upon death bank account or security at his or er death?,......... [] ~x j
decedent own an Individual Retirement Account, annuity, or other non-probate property ich
lains a benefxtiary designation? ..................................................................................................................... ~~ Lx ~
ANY OF THE ABOVE QUE8TION3 IS YES, YOU MU8T ,COMPLETE SCHEDULE G A D FILE IT Ali PART OF THE RETURN.
>r after July 1, 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or far the use of the surviving
! P.S. §9116 (a} (1.1) (i)]. '1
x after January 1, 1995, the tax rate imposed on the net value of transfers to or for the u of the surviving spouse is 0 percent
ii)]. The statute does not ex~m~t a transfer to a surviving apou~ from tax, and the slat cry requiromeMs for disclosure of
~m are still applicable even if the surviving spouse is the only beneficiary.
afterJuy 1, 2000:
n the net value of transfers from a deceased child 21 are of age or younger at death
apparent of the child is 0 percxnt [72 P.S. §9116 (a) (1.2)].
n the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5
P.S. §9116 (a) (1)].
n the net value of transfers to or for the use of the decedent's siblings is 12 percent 2
Section 9102, as an individual who has at least one parent in common with the derredE
or for the use of a natural parent, an
except as noted in
t,Swfiether by blood~oAadoption.
~~~
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL Pi~OPERTY
FINE NUMBER
ESTATE OF Bende , Jane f. 21 -10 - oo3p8
Include the proceeds of itigation and the date the proceeds were received by the estate. AH property j rrtly-owr~d with the rtyht of
survivorship must bs isclosed ~ schedule F.
ITEM
NUMBER DESCRIPTION ~~ VALUE A7 DATE OF
DEATH
1 Sovereign Bank Checking Account #431129851 ~ 2,692:81
2 Sovereign Bank Money Market Account #57417450 ~ ~,I 44,718.81
3 ~I
Citizens B nk Checking Account #610080-194-2
2,292.76
4 Citizens B nk Money Market Account#610102-180-8 ~~ 200.59
5 Citizens nk CD #6253-741705
5,192.83
6 Citizens B nk CD#6140-907020 ~I
i 14,000.00
7 Refund fro The Bridges at Bent Creek ~ 3,232.37
TOTAL (Also eater on Line S, Recapitu~atlan) ~ 72,325.97
9C~DULF H
FL~ERAL E~BJ~ES &
AL~IIINSTRATIVE C05T5
ESTATE OF Bender, Jane I. ~ { ~ 21 - 10 - 00308 _`___
Debts of decedent must be reported on Schedule 1. _ __,__
_ ------- - 'r---
ITEM ~' AMOUNT
NUMBER FUNERAL XrENSES: DESCRIPTION
_-- -
A. 1 Snyder F neral Home ---~---- - _- - - ~ -_- _- - 9,545.40
I
2 Reverend Martin 80.00
3 Reverend Davis I'I ~ 50.00
4 Willow Va ley (funeral refreshments) 331.00
~I
~i I
1B. ADMINIS TIVE COSTS:
~, Personal R resentative's Commissions
Name of Pe onat Representative(s)
Street Add ss
City State Zip
Year(s) C mission paid
2. Attorney's F Debra K. Waiiet, Esq. ~ 5,000.00
3, Family Fie " n: (If decedent's address is not the same as claimant's, attach explanation) '!
Claima
Street dress
City State Zip
Relatio hip of Claimant to Decedent
4. Probate Fee ~ 234.50
5. Accountant's ees
II
6. Tax Return P pacer's Fees ~,
7. Other Admini five Costs '
1 Postage, ph tocopies, mileage, etc. ', 30.00
I
I
TOTAL (Also enter on Ilse 9, Recapitulation) ~ 15,27Q.90
SCHEDULEI
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
HESIpB~1T OBG ENT
~- ------- i--- -- FINE NUMBER--
.
ESTATE OF Benda , Jane L _ 2~~10 ._00308.__ __ _. __ ____ _ ______
Report debts incurred b the decedent prior to death that remained unpaid at the date of death, includin~ unreimbursed medical expenses.
ITEM
NUMBER
1 Alert
2 West
EMS
DESCRIPTION
AMOUNT
202.47
359.91
TOTAL (Also enter on Line 1Q Recapit lation) 562.38
REV-161 EX~ (11-0t)
SCHEDULE)
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT __
ESTATE Of Bender, Jane I.
NUMBER NAME AND ADDRESS OF PERSON(S)
RECEIVING PROPERTY
I~ TAXABLE DISTRIBUTIONS (include outright s usal
f
ers
distributions and trans
under Sec. X118 (a) (1.2)]
1 Suzanne K. Hilborn
5613 Moreland Court
Mechanicsburg, PA 17055
2 Julie Garcia
141 Main Street
New Providence, PA 17560
RELATIONSHIP TO
DECEDENT
Do Not Ust Teusbgs)
Daughter
Goddaughter
1
FlLE NUMBE
21 -10 -_00308
SHARE OF EST TE AMOUNT OF ESTATE
(Words) ~ ($$$)
90% of
Estate
5% of resid
Estate
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 TAX IS NOT TAKEN
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1 Pearl Street United Methodist Church
133 Pearl Street, Lancaster, PA 17603
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER
2,824.83
2,824.83
2004Willa/Bender, Jane I. Will
rev.09-07-04
LAST WILL AND TESTAMENT
OF
JANE I. BENDER
I, JANE I. BENDER, of the City of Lancaster,
Lancaster, and Commonwealth of Pennsylvania, do h
publish and declare the following to be my Last F
Testament, hereby revoking any and all Wills and
heretofore made by me.
ounty of
eby make,
1 and
dicils
ITEM I
PAYMENT OF DEATS TAREB ~
I direct that all estate, transfer, successio ,
inheritance, legacy, and similar taxes, together w'th interest
and penalties in respect thereof, if any, upon or ith respect
to any property required to be included in my gros estate under
the provisions of any tax law and whether or not p ssing under
this Will or any codicil hereto, and upon or with expect to any
person with respect to any such property, shall be paid out of
my Residuary Estate, and that there shall be no ap ortionment of
any such taxes, interest, or penalties.
ITEM II
I give certain items of my tangible personal
set forth on a separate list bearing my signature
y as
at its end,
~. ~...
which list I have placed with this Last Will and T
those persons named upon such list provided that i
such person survives me. To the extent that my di
because of the death of any person named, the desi
tangible personal property, together with all of m
personal property not specifically mentioned in my
become part of my Residuary Estate as hereinafter
no list bearing my signature is found with this
Item shall be of no effect.
I give, devise and bequeath all of the
and remainder of my estate, both real and persona
wheresoever situate (my "Residuary Estate") to my
H. BENDER, provided he survives me by thirty (30)
ITEM IV
In the event that my spouse MAHLON H. BENDER
or fails to survive me by thirty (30) days, I giv
bequeath my Residuary Estate as follows:
(A) Ninety percent (90$) thereof to my daug
HILBORN provided she survives me by thirty (30) d
predeceases me or does not survive me by thirty
t, to
each case
lapse ~
nested
tangible
list, shall
of fined . I f
1, then this
st, residue
and
se MAHLON
ys.
me
devise and
SIIZANNE R.
and if she
days, then
-2-
in equal shares to her children BELLY D. ANDERSON and CHRISTI L.
NEIPMAN or to their issue per stirpes;
(B) Five percent (5$) thereof to the PEARL STREET ONITED
METHODIST CHIIRCH, located at 133 Pearl Street, Lancaster,
Pennsylvania 17603; and, II,
(C) Five percent (5$) thereof to my goddaug ter JIILIE
GARCIA, provided she survives me by thirty (30) d s, and if she
predeceases me or does not survive me by thirty (30) days, then
her share of my Residuary Estate shall be added tO share of my
Residuary Estate set forth at Item IV (A) above. '~
ITEM O
If any property held hereunder or under any
shall be distributable or payable to a minor or
under a legal incapacity, my Personal Representa
fiduciary's discretion, may:
(A) Transfer and pay over-all or any such p
such minor, (ii) a guardian of the property of su
other person under a legal incapacity wherever ap
requiring ancillary guardianship, (iii) a parent
having the care or custody of such minor or other
1 hereto
r person
in such
y to ( i )
minor or
inted without
person
on under a
legal incapacity without requiring such parent or ~erson to
qualify as guardian in any jurisdiction, or (iv) a custodian for
such minor under the applicable version of the Unijform Transfers
to Minors Act (with authority to maintain such cus~odial account
until the maximum age of the beneficiary permitted by law); or,
-3-
(B) Set aside all or any such property, title to which
shall have vested absolutely in such minor or othelr person under
a legal incapacity, in a separate fund and hold tY~le same until
such minor shall become of age or sooner die or such other
person under a legal incapacity shall have such incapacity
removed or shall sooner die. During such period my Personal
Representative may at any time or from time to ti le pay over all
or any portion of such fund as provided in Sub-se tion (A)
hereof, or invest and reinvest the same and pay or~ apply to or
for the use of such minor or other person under allegal
incapacity all or so much of the principal thereo and net
income therefrom (including accumulated income), e~nd accumulate
and add to principal any net income not so paid orll applied, as
my Personal Representative may in such fiduciary's sole
discretion determine, irrespective of any other sdurce of income
or resources of such minor or other person under ~ legal
incapacity.
My Personal Representative holding such fund
required to give bond or security or to render
periodic accounts and shall be entitled to
such fund were a separate trust.
If any such property shall be tangible pers
my Personal Representative shall have no duty to
same into productive property, and the expenses o~ the
the
safekeeping thereof, including but not limited toinsurance,
shall be a proper charge against the income and principal of the
other property held for such minor or other person under a legal
incapacity pursuant to this Item or pursuant to ar~y other
-4-
I
shall not be
ation as if
1 property,
provision of this Will. I specifically empower my Personal
Representative to retain any item of tangible personal property
which my Personal Representative may deem to have ',family
heritage or sentimental value to my beneficiaries
delivery to my beneficiaries.
(C) The receipt of the person to whom any
for later
incipal or
income shall be transferred and paid over pursuant to any of the
above provisions shall completely discharge my Pe~sonal
Representative from all liability with respect toany assets so
transferred and paid over, and my Personal Repre
have no obligation to see to the use or applicat
payment or to make inquiry with respect to any o
or income of such minor or other person under a
prior to making any such payment.
ITEM VI
tative shall
of any such
r resources
al incapacity
My Personal Representative shall have with respect to any
and all property, real and personal, whether prin~ipal or income
and whether owned by me at the time of my death o thereafter
received from any source whatsoever, the followin powers,
authorities, and discretions without limitation b their
specification:
(A) To retain any such property without regard to the
proportion such property or similar property held may bear to
the entire amount held, and whether or not the safe is of the
class in which fiduciaries are authorized by law cbr any rule of
court to invest funds;
-5-
(B) To sell any such property upon such terms and
conditions as may be deemed proper, at either public or private
sale, either on credit for such period of time as Imay be deemed
proper or for cash and with or without security, and the
purchaser of such property shall have no obligation to see to
the use or application of the proceeds of sale; too exchange,
lease, sublease, mortgage, pledge, or otherwise encumber any
such property upon such terms and conditions as ma~i be deemed
advisable; to grant options for any of the foregq'ing and to
make any lease or sublease, including any oil, gasj, or mineral
lease, for such period of time and to include therein any
covenants or options for renewal as may be deemed proper without
regard to the duration of any trust and without ap~roval of any
court; ',
(C) To invest and reinvest and to acquire byj exchange
property of any character foreign or domestic, or~iinterests or
participations therein, including by way of illustration but not
of limitation real property, mortgages, bonds, notes,
debentures, certificates of deposit, capital, common and
preferred stocks, and shares or interests in investment trusts,
mutual funds or common trust funds, without regard to the.
proportion any such property or similar property Meld may bear
to the entire amount held and whether or not the Same is of the
class in which fiduciaries are authorized by .law q'r any rule of
court to invest funds; to contribute to the capital of any
limited partnership and to become a limited partner therein;
(D) To borrow at any time and from time to dime from any
person or corporation (including any fiduciary actling hereunder)
-6-
for such periods of time and upon such terms and conditions as
may be deemed proper, such sums of money as may b~ deemed
necessary or advisable, and to secure such loans ~y the pledge
or hypothecation of any property held hereunder, end the
decision with respect thereto shall be conclusive on all persons
interested hereunder; no person making such loan shall be bound
to inquire into the necessity, expediency, or pro~riety thereof
or to see to the application of the sums loaned;
(E) To hold any personal property in any st~te; to
register and hold any property of any kind, wheth~r real or
personal, at any time held hereunder in the name ~f a nominee or
nominees; and to take and keep any stocks, .bonds or other
securities unregistered or in such condition as t pass by
delivery;
(F) To make or refrain from making election permitted
under any applicable income, estate, or inheritan a tax law
without regard to the effect of any such election on the
interest of any beneficiary of my estate and, if ny such
election shall be made, to apportion, or refrain rom
apportioning, any benefits thereof among the reap ctive
interests of the beneficiaries of my estate, all ~n such manner
as shall be deemed appropriate;
(G) To employ investment counsel, accountants,
depositaries, custodians, brokers, attorneys, andiagents,
irrespective of whether any person so employed sh~ll be a
fiduciary hereunder or a firm or corporation in w~ich a
fiduciary hereunder shall have an interest, and t~ pay them the
usual compensation for their services out of the principal or
-7-
income of the property held hereunder, in addition to and
without diminution of or charging the same against the
commissions or compensation of any fiduciary hereunder; and any
fiduciary who shall be a partner in any such firm ;shall
nevertheless be entitled to receive his or her sh~re as partner
of the compensation paid to such firm;
I
(H) In distributing any property held hereu der, to
transfer and pay over the same in kind (at market value unless
otherwise directed herein) or in cash or partly i~ kind and
partly in cash, and as to any property transferre and paid over
in kind to so use any distribution to be composed of cash,
property, or undivided fractional interests diffe ent from any
other distribution and to determine the property o be
transferred and paid over to any persons;
(Y) To file joint income tax returns with m spouse, to
consent to treat any gifts made by my spouse at a y time prior
to my death as having been made one-half (1/2) by me for the
purposes of any gift tax law, and to file gift to returns in
connection with such gifts;
(J) To allocate to income all cash dividend or other cash
distributions, whether ordinary or extraordinary, received from
any source, including without limitation by the specification
thereof, all dividends or distributions in cash r~ceived from
any mining or other wasting asset corporations orreal estate
corporations, partnerships, investment trusts or ether real
estate interests, or business trusts at any time field hereunder
(notwithstanding such cash dividends or distribut~.ons may have
been extraordinary or designated or described by the disburser
-8-
thereof to be in whole or in part a return of capital or a
distribution from depletion or depreciation reser~tes) without
setting apart any portion of such cash dividends car
i
distributions to maintain principal intact; provided, however,
that any cash dividends or distributions in connection with the
winding up of the business or the liquidation of substantially
all of the assets or the dissolution. of any corpo ation,
partnership, trust, or other entity shall be alto ated to
principal;
i
(K) To allocate to principal all dividends ~nd
distributions payable in the stocks, bonds, or of er securities,
whether of the disbursing company or another comp ny;
(L) To exercise all the rights, powers, and privileges ~
herein conferred after the termination of any tru t hereunder
and until the completion distribution of the prop rtv held
hereunder;
(M) To convey or exchange upon such terms a~d conditions
as may be deemed proper any real property or interest therein
held hereunder to any corporation or partnership hether general
or limited, or to any real estate investment true formed or to
be formed, and to receive in payment therefor sto ks, bonds, and
other securities, whether or not of the same kind of such
corporation or any interest in such partnership o real estate
investment trust, whether or not the same as of t e class in
which fiduciaries are authorized by law or any rue of court to
invest funds; and,
(N) To disclaim any interest in property tolwhich Y or my
Estate might otherwise be entitled.
-9-
LASTLY
APPOINTMENT OF PERSONAL REPRESENTATIVIE
I appoint my spouse MAHLON H. BENDER to be my~ Personal
Representative under this Will.
If MAHLON H. BENDER shall for any reason fail) to qualify,
or having qualified, shall cease to act as Person 1
or having qualified, shall cease to act as Personal
Representative hereof, I appoint my daughter's sp I se WILLIAM B.
BILBORN to be my Personal Representative in my da ghter's place.
Any and all substitute or successor Personal l,,
Representative hereof, I appoint my daughter SII8 R. HILBORN
to be my Personal Representative in my spouse's place.
If SIIZANNB R. HILBORN shall for any reason f it to qualify,
Representatives or Administrators c.t.a. hereof, whether or not
named herein, shall have all the powers, authoritilles, and
discretions herein granted to my Personal Represen ative
originally named. -
I direct that no Personal Representative herein named shall
be required to furnish bond or other security in a y
jurisdiction where such Personal Representative ma be called
upon to act. ~,
IN WITNESS WHEREOF, I have hereunto set my h~nd and seal
this 7th day of September, 2004. !,
~~ .S .
I. BENDER
-10-
~r
SIGNED, SEALED, PUBLISHED, and DECLARED by the above-named
person, JANE I. BENDER, on the date hereof, to be such person's
Last Will and Testament, in the presence of the unidersigned, who
at such person's request, in such person's presencie and in the
presence of each other, have hereunto subscribed their names as
attesting witnesses.
residing at
L~j~, ca~'~j,Ep~, ~'~~,.,..s~~xesiding at
COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF LANCASTER )
I, JANE I. BENDER, whose name is signed to t
foregoing instrument, having been duly qualified
law, do hereby acknowledge that I signed and exec
instrument as my Last Will and Testament; that I
willingly; and that I signed it as my free and v
for the purposes therein expressed.
~~ ~ .
I. BENDER
SWORN or AFFIRMED, SUBSCRIBED and ACKNOWLEDG
JANE I. BENDER, this 7th day of September, 2004.
~i~~ ~
Notary Public
My commission expires:
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~~
attached or
ording to
d the
geed it
ntary act
before me by
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COMMONWEALTH OF PENNSYLVANIA )
SS:
COUNTY OF LANCASTER )
We, and ' ,
whose names are signed to the attached or foregoins instrument,
being duly qualified according to law, do depose a d say that we
were present and saw JANE I. BENDER, sign and exec to the
instrument as such person's Last Will and Testamen ; that such
person signed willingly and executed it as such pe son's free
and voluntary act for the purposes therein express d; that each
of us in the hearing and sight of such person sign d the Will as
witnesses; and that to the best of our knowledge uch person
was at that time eighteen (18) or more years of ag of sound
mind and under no constraint or undue influence.
Wi
tness
SWORN or AFFIRMED, and SUBSCRIBED before me b1y the
witnesses, this 7th day of September, 2004. r
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Notarv Public
My commission expires:
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7~isiY sei
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