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HomeMy WebLinkAbout09-29-10 (2)SEP'-28-2010 07:39 From:804-524-2511 Ra9e:1~1 ~` Z~o~6a~121 RSV-15QQ ~ (~) o~ ~ ~ ~Y PA OMOf Ra-ranue Colmiy Cade Year File Phrlrlber 8u>saludtndh~idwlYaxae Fo eox 2tloeol INHERITANCE: TAX RETURN 2 1 1 0! 0 1 4 1 Helrilbum. PA 17146-0601 RE8IDENT ia~CEDENT ENTER DECEDENT INFORMATION f;ELOYI! Social SQeurtty Number Date of Deeth Data of Birth ' 1 7 7 2 4 7 2 3 9 0 1 1 3 2 0 1 0 0 4 2 6 1 9 3 1 DeoederlCs Last Name SufClx Decedent's First Name ~ Mt D R E Z E K BETTY ~ J (If Applicable) Enter Surviving 8pouse'! (nfonnatien Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Soaal Security Number THIS RETURN MUST BE FILED IN DUPLICATt: VI1~TH ITHE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW © 1.Ottgin8l Return ~ 2. Supplemental Return [~ 3. Remainder tur (date Of death ~ prior to 12-1 ) 4, Limited Estate Q 4a. Future Interest Compromise (date of ~ 5. Federal Este Tept Return Required death after 12-12.82) ~ ® 6. Decedent Died Testate ~ 8. TOtpi Number 7. Decedent Maintained a Living Trust of $afa Deposit Boxes (Attach Copy of Wig) (Attach Copy Of TrutU 9. Litigation Proceeds Received [~ 10. Spousal Poverty Credit (date of death ~ 11. Election tot r Unger Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. ) ~ CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRgt3PONDENCE AND CONFIDENTIAL TAX INFORMATION Mt tD EE DMFC'fEd TO: Name Deytime Telephone Number H ANTHONY A DAMS 71 7 5 ~ 3270 Finn Name (If Appl'rceble) RE(i1STER U5E ~L.Y ~ o First tine of address 49 WEST ORAN E STREET ~ ~ ~' ~ ~ ..Q fv - "~~~ ., r .~ = ` ; --, Second line of address ;~ n 7 ~ -~ ,~.~ ' S U I T E 3 ~ ~ . ' ~ , City or Post Office State ZIP Code ,D F _ ~ ` a.: ~ ~~.~ S HI P P EN S B UR G PA 1 7 2 5 7 '~ coo CorreapondenCs e-mail sddresa: ~ le6an, ~ditlp eooomparryiny sdtedules end ele0i~nenbl, and to the best d thsl the peraonel uepreaerdetHe b bawd on aN hMonrmBon alwhich pteperer 51GNATURE ADDRESS 3600 WILLOW ssGruTURE of PR~ail STREET, SUITE 3 SHIPPENSBURG PLEASE USE ORIGINAL FARM ONLY i~o5so~i2~. Side 1 1505607~.2~. J . • 15056b'7~21 REV-1500 EX De~eaenrs Narne: BETTY J. DREZEK Decedents Soaal Se~curily Number 1 7 7 2 4~ 7 2 3 9 RECAPITULATION 73 ~g 0,0 0 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. I 9 b ~ ~ 4 ' 1 4 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... 5. 8. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ....... 6. 7. Inter-Vivos Transfers 8 Miscellaneous N Probate Property Billi R t d ~ S 7 • ....... eparate ng eques e (Schedule G) . 8. ........................... Total Gross Assets (total Lines 1-7) 8. 8 2 ~ ~ 4 , 1 4 9. Funeral F~rpenses & Administrative Costs (Schedule H) ................ 9• 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedu~ I) ............ 10. 11. Total Deductions (total Lines 9 8~ 10) ........................... 11. 12. Net Value of Estate (Line 8 minus Line 11) ......................... 12. 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. 1 1 $ 0. 9 6 925,66 21~g6.62 61,57.52 61 1257,52 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or ' transfers under Sec. 9116 0 0 0 1 0 0 0 (a)(1.2) x .o _ . 5. . 18. Amount of Line 14 taxable 6 1 2 5 7 5 2 2 I7 '5 6 5 9 at lineal rate x .043 . 1s. . 17. Amount of tine 14 taxable ~ ~ ~ ~ 0 0 at sibling rate X .12 17. !, • 18. Amount of Line 14 taxable 0 0 0 ~ 0 0 at collateral rate X .15 18 • 1 2 ~7'5 6. 5 9 19. Tax Dry ............. ............................ ..... s. .. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 ' i L 1505607221 1505607221 J i REV-1500 ElG Page 3 Decedent's Comulete Address: File Number 21 10 0141 DECEbENT'S NAME BETTY J. DREZEK STREET ADDRESS 9 SCRAFFORD STREET CITY SHIPPENSBURG STATE PA ' ZIW 1 257 Tax Payments and Credits: 1 • Tax Due (Page 2 Line t9) 2. Credits/Payments A. Spousal Poverty Credit _ B. Prior Payments (1) _ 2,756.59 C. Discount Total Credits (A + B + C) (2) 3. InteresUPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (D + E) (3) 4. If Une 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill In oval on Page 2, Une 20 to request a refund. (4) 5. H Line 1 + Line 3 is greater than Une 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) Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLL0IMNG QUESTIONS BY PLACING AN "X" IN THE APPROP 1. Did decedent make a transfer and: Yes a. retain the use or income of the property transferred : ...................................................................... ^ b. retain the right to designate who shall use the property transferred or its inr~me; ............................... ^ c. retain a reversanary Interest; or ................................................................................................ ^ d. receive the premise for I'rfe of either payments, benefits or care? ....................................................... ^ 2. If death occurred after December 12,1982, did decedent Vansfer property within one year of death without receiving adequate cansideration? ....................................................................................... ^ 3. Did decedent own an'in trust for' or payable upon death bank account or security at his or her death? ......... ^ 4. Did decedent own an Individual Refirerrr~rt Arxount, annuity, or other non-probate property which contains a benefiaary designation? .................................................................................................. ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT TE BLOCKS No 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 ~ Surviving spouse is three (3) percent [/2 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 ~ero I(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 disclo ure iof 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 1,20()0: 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 rjatural parent, an adoptive parent, or a stepparent of the child is zero (O) percent ]72 P.S. §9f 16(a)(L2)]. The tax rate imposed on the net value of transfers to or for the use of the dec~ent's lineal benefiaaries is four andone-half (4.5) percent, e~Ccepk 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 siblir-gs is twelve (12) percent ]72 P.S. §9116(a)(1.3)]. ~ sit~ling 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+ (e-9aj COMMONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER t3E I I Y J. DKELEK 21 10 0141 All real property owned solely or as a tenant ~ common must be reported at fair market value. Fair market value is defined as the price at whk;h pr o would be exchanged be>!ween a wing buyer and a wilYng seller, nelUrer being compelled to buy or sell, both having reasonable knowledge of the releva facts. Real which is -owned wRh of survlvorshf must be dbclosed on &hedu~ F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. LOT OF LAND TOGETHER WITH DWELLING KNOWN AS 9 SCRAFFORD STREET 73,500.00 SHIPPENSBURG, PA 17257 AS PER DEED IN CUMBERLAND COUNTY BOOK "K" VOLUME 15 PAGE 472 I I i I i TOTAL Also enter on line 1, Recapitul~ion) S; 73 500.00 (If mae space is needed, insert additional sheets of the same size) REV 1508 EK + (8-98j SCHE~lULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC. IN RES DENT D C DENTRN PERSONAL PROPERTY ESTATE OF FILE NUMBER BETTY J. DREZEK 21 10 0141 Include ti>e proceeds of Iffigation and the date the proceeds were received by the estate. All properly joirdly~owned vrRh right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION i OF DEATH 1. REFUND FROM STATE FARM INSURANCE 160.96 2. ~ REFUND OF PROPERTY TAX ~ I 784.28 3. REFUND FROM STATE FARM FNSURANCE ~ 1.40 4. SALE OF 1991 FORD TAURUS ~ ', 700.00 5. IORRSTOWN BANK CHECKING ~ I 3,799.25 6. PROCEEDS OF SALE OF PUBLIC AUCTION 2,213.25 7. (REFUND FROM FEDERAL AND STATE INCOME TAX ~; 1,605.00 TOTAL. (Also enter on line 5, Rec~itulation) ~ s (If more space is needed, Insert additional sheets of the same sine) __ __ _ _ _ ___ _ ~ REV-1511 EX + (10-06) ~ I '` SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8r INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER BETTY J DREZEK 21 10 0141 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. FOGELSANGER-BRICKER FUNERAL HOME 4,521.46 B. ADMINISTRATIVE COSTS: 1. Personal Repn~entative's Commissions Name of Personal Representative (s) KAREN ANNETTE LOVE ~tA~r~ 3600 WILLOW CREEK DRIVE Cf~ DISPUTANTA state VA Z;p 23842 Year(s) Commission Paid: 2010 2. Attorney Fees H. ANTHONY ADAMS 3, Famly Exem~ion: (If decedenCs address is rrot the same as claimant's, attach explanation) Claimant SUeet Address Ctty State Z~ Relationship of Claimant to Decedent 4. Probate Fees 5 Accountant's Fees 6. Tax Return Preparers Fees 7. ADVERTISING OF ESTATE 4,000.00 3,000.00 299.50 160.00 TOTAL (Also enter on line 9, Recapitulation) (S ~' ~ ~ can oa (If more space is needed, irwert additlonal sheets of the same size) _.__ __ -- ,_ _~ REV-1512 EX + (12-03) COMiAONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN scHSOU~E ~ DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER ~~ ~n nee tat I I T J. UKCLtrI " "' "'~' Report debt Incun~ed by the decxdelrt prior to death which remained unpaid as of the date of death, including unreimbu mjedlcal expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. REALTOR'S COMMISSION 4,410.00 2. PA REALTY TRANSFER TAX 735.00 3. CHAMBERLIN'S PEST CONTROL 1,022.90 4. VIVIAN F. COY-ESTATE REAL PROPERTY TAX ' 1,094.51 5. SHIPPENSBURG BOROUGH-UTILLITY 135.18 6. CFJMA-UTILITY 245.50 7. IDEAL-REPAIR ON ESTATE PROPERTY 226.00 8. LURGAN LIONS CLUB-BUILDING RENT FOR AUCTION 300.00 9. DEAN ALLEMAN-AUCTIONEER 189.33 10. TIMMONS OIL-UTILITY 371.53 11. AUSHERMAN BROTHERS-APPRAISAL 325.00 12. WSEMS-AMBULANCE 128.83 13. CHAMBERSBURG HOSPITAL 71.40 14. FIRST ENERGY- UTILITY I 270.48 TOTAL (Also enter on line 10, Recapitulation) S' 9 525.66 (If more space is rreeded, insert ~)ditional sheets of the same size) ~~ __ itEV-1313 Fx+ (8-0p) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT OF SCWEDULE J BENEFICIARIES FILE NUMBER BETTY J . DREZEK c r r~/ v r~ r RELATIONSHIP TO DECEDENT ', 'AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [ndude ht spousal distributions, and transfers under Sec. 9116 (a (1.2)~ 1. DENNIS EUGENE DREZEK Lineal 903 BLANCHARD AVENUE 1Y3 CHAMBERSBURG, PA 17201 2. DIANA CAROL CRAMER Lineal 1~3 144 ECHO DRIVE CHAMBERSBURG, PA 17201 3. KAREN ANNETTE LOVE Lineal 3600 WILLOW CREEK DRIVE 1~3 ' DISPUTANTA, VA 23842 '~ I ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON i I EV~1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE j 1. VIII I 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS I II II TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ~I S (If more space is needed, insert additional sheets of the same size) ,. _ • ~ OMB Approval No. 2502-0265 ~•,,, • ~. A. Settlement Statement (HUD-1) 4 ~' 1. ^FHA 2. ^RHS 3..i^Caw.U~s. 6. Humber. 7. IDan Number. e. arwnoe Gp Numbx 4. ^VA 5. ^Cam. Iro. ~~~ 1078409321 C. Nob: Tbr tam r Aaribed b give wa a srrnrm of ac4rl aewemenl cost. Amanh paid b and by dr ademrM apenl are sfbrm. tlenr nrrwd'(p.o.aY'eem pem auteide Ne dosrg; Dry aro 91q~en bas lar blaflllaYarld paposes and ae not YICAIded ~ iM ptar. 0. Nm 8 Addwss of aouosrr. E Name 8 Addma of SNx F. Name 6 Address o<Lender FRED A. SCOTT AND SAUNDRA L SCOTT ESTATE OF BETTY DREZEK FIRST CAPITAL MORTGAGE GROUP INC. 704 BRAD STREET 9 SCRAFFORD STREET 1910 COCHRAN ROAD, SUITE 545 SHIPPENSBURG, PA 17257 SHIPPENSBURG, PA 17257 PITTSBURGH, PA 15220 G. ptopeay taaYon: H. SsMenrm Agent MADISON SETTLEMENT SERVICES I. SeglemaH DMS I Dlsaasenrnt Dar 9 SCRAFFORD STREET 8 IRVINE ROW, CARLISLE, PA 17013 911!2010 I 911f2010 SHIPPENSBURG, PA 17257 (CUMBERLAND) (717) 243-2121 (39-36.2424-008, SWTHAMPTON TOWNSHIP) pros gSsmanait SAILHAMER REAL ESTATE 494 E. KING STREET 1N: Gioaatrnountl7wFoiaBoeia~r . . .. tOL Calkactsars 173,500. ~. 102: PtDt~anai~ ~:~ -~? ~ ,, ,~; r.x 103. StaltletseM b':Bonower ~1 14,036.4 104. 105. toribnr saesrio-satvancs 1as. hxm' 107. taxes 9V111010 to 1213112010 1226.69/Yaar 175.1 108. A,s~msMS . 109. Shcod Tax 91111010 b 613 012 0 11. 1857:071Year 1709.1 110. 111 112 120:Gnus AmouMDueFmntBOnovwY 178,320. 200. Amowlls Paid Or N Bisli~OtBorrowsr 201. D a Eartlest 5500. 202 Ptitdpal arrant d new loan:.. 155,125. ben taken s to 204. 205. 206. 207, _.. tar ibnu un` 'br stlOsr 210. taxes 211.. taxes' 12; AsseunteMs 13: 214 15. 216. 217. 218: 219. 220. Total PaW By1Fw Borrower 155,625. 300. Cash At SstllsmssthomRo ?a:rovro: 301. Gmss Amount Dlre From Btarawer &re 120 578,320.71 302'LeseAmgnlls PaiC' or Borower (14te 220) 155,625. 30.3. Cash /~From ^TOBorrower 122,695.77 +OOsGlrosa'AnqunCDu~to SMhr , 401.Ct 173,500.00 407 Perebiak w ~~&~~ ," .t. ;;%: X03: 404: ao5. , a- ibrts sslNr in ativana 406; taxes 40T: Coutriy 911!2010 to 12/31!2010 Q;71&891Yaer , 175.15 408::Asaeesmertls A09i:Stilod 7ax11fU2010 to 813012011 5857':071Year 1709.13 410: a11. 412 420. Gross AtyautrtDue To 9t1itr 174,2841ti 100. RWuglom' In MtaantDutTo Snllsr 501. Exoees 'ilea Nu9uc00glir 502 SelllenruC to Se1er 1400 17,340.86 503: ktmClksn td 504: dOrzt km . Ste. Paydf of stsoM Aiarigage loan 508.: Earnest . refaktad .Fn>d A, ScoO and Salmdra L - 507:Obtftirded'as 00 508. 509. .% Atl 'sfmanblorNsnts un seller 510o- fazes 511e; ,axes 512.'q~beesntertts 513.. {, 514. 515.. 518. ' 517. , 518. 519. 510. ToW Rsductlon Amount DueStrBw 17,340.86 800. Cab Af SsClenrnt TaJFran SsINr 60t;Gross Atnotnt Due To SeOee: Wte 420 174,284.28 602: Less Detluctlon M Amt Due To Seller (Nne520) 17,340.86 603. Cash ~To ~FlromSelNr 166,943A2 Previous etlttions are obsolale Page 1 d 4 081311201004:44 PM HUD-1 .rorrrtw~~F... DA4ekn d CaaNplort 7 m to8oers: `'~ "'t' 701..52,205:OObRanaoi Ful~s~f'~`~z ~,y at 702 E2:205.00 b SaAhaner ReeFEs~a x,!` °~~ 703:-CarxNuion~ atSelBemeet- ~ ,,~ 5a,aia0o 704. . ~ (fro„ GFE #1) Irl~lonr.e 0:750x cr413:44 801.O1r sL43314 602Yourrxe~tar Iorihe infaledaeen fromGFE#2,• 803. Yar ' fran GFE A E7,433.44 804.. EeebFirst G Inc. ~ frartGFE1f33 5425.00 805..CredBRepattoFirstCapilal Groep-Inc iranGFE#3 515.00 806. Tax servks b from GFE #3 807. Food Certlflcatlan b Felt a Irrc. from GFE #3 520.00 ..Nam` isd LenOieTdBtPaitYle:Adwna ~ ~ ' k ~~ ~ ~ a., ~ ..~, - 901. Interest hom GFE #10 902 Imuranoe Premium - hom GFE #3 903. Flomeoeerersinsrsancela 12:00 mee8a tat4adarwide POCB 5323.00 (fran GFE #11 1ti00.Reeervee Wltll~eefler ' '~ " `yw,, . r-* ice' r9 ' : P ~ rR' •4:" 1001. bYtlal fOr eefJOW aOCOtNIt from GFE #9 5228.30 1002 Homeowners eNUf8rIC62nWfl6rs E26:92 mOrIN E53.84 1003. irrraanoe Olerdhe .per month 1004: Iea~sSmontlm S'E17.23permoatlrE103.38 1005. Sdrool Taxes 3 rnon8rs 50.00 mahh 5210.00 1007. 138.92. 1100i1fNlr ke'; x7M .. .:~i:; t.. 'i_"'' ,;,"~ « y;=s + . S ~±Ad'` reS' n .. ,- ._ ._.,.~ v .... - n. ~., 1101. Title services and larders f8lritrsurarrce - from GFE #4 5919.75 1102. Seltlenlerlt a dos' fee b Medisar Sdtleinerd Services E100.00 1103.Oaarers tine kmaarlce b (from GFE #5) 5108.00 1104. Lerders title Yraxarxs to 544.75 1105. Lerrders tl8e Neil 555;125.00 1106.Owners i81e 15rdt 53)500:00 1107:: ' d the eofel tltle f-orusrc4'preme+mb Madison Settlement Senicea E724.84 '•% ' °y..- : - , 11ofi. Underwrgws dale tomrtale t~surer,~. to old Hatlone~ Title Insurance Com s127.s1 1109. CPL b 01d 14atlonel TlBe lnslaerrce Gan E75.00 ... <., , . _ .. ~,,: .~ 1201: Govanurbnt Fran GFE 515200 1202 Deed 562.00 590.00 Releaties 5 1203: Trarraler razes Fran GFE'#8 535.00 535.00 1204. taxlsfamps Oeed',535.00' E 1205. Sfete axlatampa • Deed 5135:00. - i 13f10: AddNiony`6eWeewat,. Y ., ""~ s,;, ~~,, _~~' .,,.. ? ! ~ ., ; s .. `. M ~ =ice-' from GFE p6j 1301. Required services tl~ carY shop fa 1302 1303: Pest 1 ,1o ChantierNna Past CarUol 51,022.90 1305.2010 " Taxes b,Ylvlsn F. Tax Cdledoc' ;~ 5226.69 1306: 2010-11 Sdroof Taxes b ll'n18n F. ,Tax Callr~tor E857.07 1307. Fhral YValar b h S5B.20 1308. F61a1 Sewer b Cumbertad Etarddin JoNt' 531.00 54,038.49 5,340.86' Previous edliom are obsolete Page 2 d 4 ')8131/201004:44 PM HUD-1 I Aare caeAJy reriewad Ina Huo-r SettlewrM Stakmenr rm n sr hem of an bawbdpe arm Debar n ~ vue am aawae elebmenl of at receipts am diawrama,ls name oa ery nomad «by me b tlwc venextoo. i raaeroertfy the I nave received a copy ottlw FN61 Settlamem stWemaoc BUYERS SELLERS FRED A. ESTATE DREZEK L The HIAt SeleewrM SlabmeMwNch I hww prepaed ie 8 Due am acaaate amount a1 m's eansectlon. I nave urwd «I wit caw the bn~ b bs dYbuwd in ecmmarbe with mk atebrrien4 °revious editiats are obsolete Page 4 of 4 08/31/201004:44 PM HUO-1 • , ,~ LAST WILL AND TESTAMENT Pennsylvania, being of-sound and-disposing mind, memory and`understan~ing, do make, publish and declare this my Last Will and Testament, hereby rev~king all prior wills and codicils by me at any time heretofore made. III, FIRST: I direct the payment of all. my legal debts, funeral expense including- my grave marker and all expenses of my fast illness, state, fader 1 estate and inheritance taxes, administration costs, etc., shalt be paid ass n' as may be conveniently done following my decease leaving all specific beque~ts'free of tax to the legatee. ', I SECOND: I give and bequeath the following: ~, a. I give and bequeath my Bavarian china dinnerware with a rose~nd shades of grey pattern to my daughter, Karen Annette Love. I, b. I give and bequeath my ruby glass dinnerware to my daughter, Duna Carol Cramer. c. I give and bequeath my grandfather clock with brass name plat to Dennis Eugene Drezek. THIRD: The rest and residue of my estate, be it real, mixed or per~orhal, I give, devise and bequeath to my children, Diana Carol Cramer, Karen Annette Love and Dennis Eugene Drezek, in equal shares, share and share alike, der. stirpes. r FOURTH: I nominate and appoint my daughter, Karen Annette toys, as F~cecutor of this my Last Will and Testament. iiv wi t rv~~~ wnttctur, 1, tat I I Y JAIVt UKt[CK, to tnis my t_ast wii Testam nt, set my hand and official sea(,`this ,~ day of 2000. __ _. __ _- SEI Betty Jan ek Sworn"to and subsscribed, decFared and Published by Betty Jane Drezek, as Her Last. Will and Testament, and so Done in the presence of we the Witnesses, who sign at her request, And in her presence, and in the presence Of each other. ~ ~~ COMMONWEALTH OF PENNSYLVANIA:- :SS COUNTY OF CUMBERLAND ---- - - I, BETTY J~4NE DREZEI<, w ose. name is signed to-the foregoing instrument, having, been duly qualified according to law, do hereby acknow edge that I signed it wiflingly• and that I signed it as my free and voluntary act f r the purpose therein expressed. I _. ~, Sworn to and acknowledged,-before me BY ]ane Drezek, t .e Testati°ix, This day of nn 2000. I~ Notary Public Notarlai seal osiwn Marie sh , Na1e~y s'ubMa sr"rg~ ~, ~ooa ~r r ~~ ~ COMMONWEALTH OF PENNSIFLVANIA: :SS COUNTY OF CUMBERLAND wt, ri. Anthony Adams and Sharon Coleman-Adams, the witnesses hose names are signed, to the foregoing instrument, bemg_duly qualified accordi _g to law, do depose and say -that we saw the Testatrix sign and execute the instrument as her Last Will and Testament; that she willingly and: that she executed it as her free and voluntary act for the purposes therein express that each of us in the hearing and sight of the Testatrix signed the Will as witnesses, and that to the best of our knowledge and the Testatrix was at e _. ~tme ~~_le"d5L_eigr_neen _tr~~ _vr_~nvreyears or_age=Ana or o~na mm~a-arrq r~r~tleM' _ _ _ no constraint or undue influence. Sw~Dm to and subscribed before me by, H. Anthony Adams. and Sharon Cofe an Adams, The witnesses, this day of 2000. Notary Public Notarial Seal Dawn Mar1e Shoop, NAY p~ Shfppeneburg eoro srlar~d MY Corhfnisslon ~pi~ feb. 5, pp4~ ~~