The URL can be used to link to this page

Home My WebLink About10-19-10J 1505610101 OFFICUU. USE ONLY REV-1500 °` `°'~10' PA Department of Revenue pennsylvatHa ~ Bureau of Individual Taxes °`"","`"r°`"`K"~ County Code Year FNe Number. PD eOx zi3o6oa. INHERITANCE TAX RETURN ~ ~ l b O ~f Harrisburg, PA 1~><zs-orw1 RESIDENT DECEDENT ~, Fntrtea eECEDENT INFARMATNNd BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 201-16-5425 08/08/2010 09/07/192 2 Decedent's Last Name Suffix Decedent's __ _, First Name i MI OMAN ' ERMA J (N Applicable) Enter Surviving Spouse's Information Bebw Spouse's Last Neme _ _ Suffix Spouse's First Name. MI __ .. Spouse's Socal Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH TH~ REGISTER OF WILLS . FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Retum O 2. Supplemental Return O 3. Remainder Retu (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Ta Retum Required death after 12-12-82) ~ 8. Decedent Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of afe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (date of death O 11. Election to tax u er Sec. 9f13(A) between 12-31-91 and t-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DiR~CTED T0: Name Daytime Teiephone Nu bar THOMAS E. FLOWER (717) 243-5513 REOIST'ER OF 1M USE QLY ~ 0 First line of address _.___ __ ~ z ~ m O ~ ~ A r. FLOWER LAW, LLC ~ ~ -i ___ _ __ _ Second line of address r_': Cf~ ~ ~ ~ ~~ 10 W. HIGH ST c ~ _ 07CrFJ®I LED Cit or Post Office State ZIP Code -' y - CARLISLE ! PA ;17013 ~ ,_ ~,, Corresporwlent's e-mail address: thomaseflower~gmail.COm Under perMltles of perjury, l declare that i have examined this return, inckding accompanying schedules and statements, and to the best of knowedge and t>aNef, k is true, correct and complete. Dedaratlon of preparer other than the personal representative is based on all informatlon of which preparer alrry knowledge. SIGNA OF SALE F FILING RETURN 0 ~l /v /G /o ADDRESS R. STEPHEN OMAN, 80 LUCY AVE., HUMMELSTOWN, PA 17036 S NA OF PREP O THAN REPRESENTATIVE ~~ SS FLOWER LAW, LLC, 10 WEST HIGH ST., CARLISLE, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 L ~ 1505610101 15056101011 _S:J ~-) _.~ __~ _~ _~a ~~7 W ~7 'rn > c'~ F, 15D5e~D1o5 REV 1500 EX Decedent's Social S~arrity Number t)ecedents Name: ERMA J. OMAN ' 201-16-5425 RECAPITULATION 1. Real Estate (Schedule A) ............................................. L ', I 126,441.00 i _ _. 2. Stocks and Bonds (Schedule B) ....................................... 2. ' _ _ ~i_ _ __ . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. ii 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 11,809.41 _. _ I _.. .,....... 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. 7. Inter-Vvos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) O Separate Billing Requested........ 7. I 8. Total Gross Asseb (total Lines 1 through 7) ............................. 8. ' I .138,250.41 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. ', 10,750.76 .. . - 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. ' 2,828.95 11. Total Deductions (total Lines 9 and 10) ................................. 11. '', 13,578.77 '; ... 12. Net Value of Estate (Line g minus Line 11) .............................. 12 124,670.70 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which __ 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. 124,670.70 TAX CALCULATION -SEE INSTRUCTION8 FOR APPLICABLE RATES 15. Amount of Une 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (ax1.2) X .0_ 15. 16. Amount of Line 14 taxable atlineal rate x .o ~ 124,670.70: 16. ' I 5,610.18 17. Amount of Une 14 taxable at sibling rate X .12 ', 17, ', ~I 1g. Amount of Une 14 taxable at collateral rate X .15 18, '. ......._.._._ ..............._.. 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 1505610105 Side 2 i 15D5610105~'I J REV 1500 EX Page 3 Fils NumMr • Decedent's Complete Address: ERMA JANE OMAN _ __ ___ TREETADDRESS 207 S. 15TH ST CCAMP HILL ' sTATEPA zIP17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A Prior Payments B. Discount 3. Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Lino 20 to request a refund. (3) (4) 5. ff lane 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE 1. Did decedent make a transfer and: Yes a. retain the use or income of the propeAy transfened :.......................................................................................... ^ b. retain the right to desgnate who shall use the property transferred a its income : ............................................ ^ c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for Iffe of either payments, benefits or care? ...................................................................... ^ 2. if death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ................................................ .............................................................. 3. Did decedent own an'in trust for" ar payable-upon-death bank account or security at his or her death? .............. ^ 4. Did decedent own an individual retirement accouni, annuity or other non-probate propeAy, which contains a beneficiary designation? ........................................................................................................................ ^ 5,610.18 BLOCKS No ><^ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PAST OF THE RETURN, For dates of death on or after July 1,1994, and before Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the ~ 3 percent [12 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the st [72 P.S. §9118 (a) (1.1) (ii)). The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirement; fYing a tax refiun are slip applicable even ff the surviving spouse is the onty 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 21 years of age or younger at death to or for the adoptive parent or a stepparent of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal benefiaaries is 4.5 K 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 12 percent [72 P.S. §9116(a)(1.; Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. 11) Total Credits (A + B) (2) pf the surviving spouse is viving spouse is 0 percent for disclosure of assets and use of a natural parent, an except as noted in ((sibling is defined, under REV-1502 EX+ (ii-osj Pennsylvania SCHEaULE A DEPARTMENT OP REVENUE REAL ESTATE ' iNHERAANCE TAx RETURN , REStDENr oECEOe~rr ESTATE OF FILE NUMBE ERMA J. OMAN 21-10-083 AH real property owned ~- or ae a tenant in common must be reported at hir market vacua. Fair market value is defined as th price at which properly would be exchanged between a wiNing buyer and a willing seller, neither being compelled to buy or sell, both havingg reasonable knowkelg Ral property that is ioirrdy-owned with right of survivorship must be disclosed on Sdrbuk F. of the relevant facts. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER i OF DEATH DESCRIPTION 1• 'DWELLING HOUSE, 207 S. 15TH ST, CAMP HILL BOROUGH, CUMBERLAND CY., PA 2009-2010 ASSESSED VALUE X COMMON LEVEL RATIO =100,350 X 1.26 = __ I '~ 126,441.00 TOTAL (Also enter on Une 1, Recapitula>aon.) ;' 126,441.00 If more space is needed, insert additional sheets of the same size. TaxDB Result Details Page 1 of 1 Detailed Results for Parcel O 1-22-0826082. in the 2004 Tax Assessment Database DistrictNo O1 Parcel ID 01-22-0826-082. MapSuitiz HonseNo 207 Direction S Street 15TH STREET Ownerl OMAN, ERMA J C/O PropType R PropDesc LivArea 998 CurLandVal 25410 CurImpVal 74940 CurTotVal 100350 CurPreNal Acreage .15 CIGrnStat TazEz 1 SaleAmt 1 SaleMo 07 SaleDa 08 SaleCe 19 SaleYr 92 DeedBicPage 0035T-00636 YearBlt 1926 HF File Date 10/25/2004 HF Approval_Status A http://taxdb.ccpa.netldetails.asp?id=01-22-0826-082.&dbselect=l 8/9/2010 REV 1506 EX+ (8-98) SCNEpULE E ~' H, BANK DEPOSITS & MISC. C~MMDNNIEALTH of PENPISrLVANIA , INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF LE NU~ER ERMA J. OMAN ' 21-10-0835 Include ple proceeds of litlgefion and the date the proceeds were received by the estate. Ati properly Jointly-owned wKh ri~M of survlvoreMp mwt be dledwed on Sdrdutt F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1' MST BANK CHECKING ACCOUNT #65276485 743.06 2 M8T BANK SAVINGS ACCOUNT #15004208556504 8,392.28 3 FINAL PARTIAL-MONTH PENSION PAYMENT 174.07 4 HOUSEHOLD FURNISHINGS, ESTIMATED VALUE 2,500.00 I, TOTAL (Also enter on line 5, recapitulation) = 11,809.41 i~~ ~~MO ., neeoea, Heart aaomonal srleets a the same size) ~ 1 1~1 `~ ~. ..: f } ~. ACClMMT lp:. ACCOUNT TYRE STATEMENT PERIOD :RARE 15004208556504 MiT PERSONAL SAVINGS JUN.25-AUG.24,2010 1 OF 1 00 0 06123M NM 017 13459 ACCOUNT ACTTVTTV : _. _ . .. . RI ., , . ~, i R _ ,:, 06-?5-1 BECDAIING BALANCE ~ 07,794.52 07-23-1 INTEREST PAYlIENT 0.31 7,794.83 08-02-1 DEPOSIT 597.45 0,392.28 08-1E-1 INTEREST PAYMENT 0.22 08-13-1 CLOSEOUT 8,392.50 0.00 ~~~ ENDING BALANCE 00.00 ANNUAL PERCENTAGE YIELD EARNED = 0.04 EFFECTIVE JANIMRY 7, 2Q].1,. THE FEE. FOR EACH DAY THAT THERE IS A TRANSFER TO ANOTHER ACCOUNT TO COVER ONE OR MORE OVERDRAFTS IN THAT ACCOtN1T"lIZLL BE 010. THIS FEE DOES NOT APPLY TO TRANSFERS 0 A POKER CHECKLIC ACCOINIT. 'I I I ...,, ~,~ ~ ~ $ ~, r ~~,. ~_ AC~#Mt NQ. AtiCAtM~tT TYPE ~T'A?EtAE~1T PER$aU S P#I~~ - 65276485 MST CLASSIC CHECKING N/INTEREST JUL.27-AUG.26,2010 1 OF 6 00 0 06123M NH I17 3149 ERMA J OMAN 80 LUCY DR 'ii HUMMELSTONN PA 17036 INTEREST PAID YEAR TO DATE 0.07 ArrnuuT CIIMIdADV NEST SHORE PLAZA C P !< T NO. ANOUNf NO. AMOUNT NO. AMOUNT 162.00 , .8 .4 6 .00 0.00 ArrAI1tJT Af`TTVTTV _. _ . ~. '. -07-~7=1 aEaINNn+c BALANCE 0162.00 08-02-10 US TREASURY 303 RR RET 1,160.81 OB-02-1• CHECK NU103ER 1420 40.87 08-02-1• CHECK NUIOIER 1431 3.55 1,278.39 08-04-1 CHECK NUMBER 1425 109.14 1,169.25 08-05-1 CHECK MILER 1426 1703 08-05-1 CHECK NUMBER 1427 100.00 OB-05-1 CHECK NUIRfER 1428 59.16 08-05-10 CHECK NUI~ER 1429 ,~.~ 08-OS-1 VERIZON ARC CHECK PYMT 000000000001430 33.52 08-05-10 CHECK NUIO;ER 1417 14.70 743.06 08-09-1 CHECK NU103ER 1435 100.00 643.06 08-12-1Q CHEpC NUlRIER 1433 50.00 OB-12-1 CHECK NU103ER 1432 50.00 543.06 08-13-1 CHECK NUMBER 1436 30.72 512.34 08-16-1 CHECK NUIO3ER 1434 72.50 08-16-10 UCI UTILITIES UTIL PMT 000000000001437 22.40 417.44 08-19-10 CLOSEOUT 417.44 0.00 ENDLIC BALANCE 10.00 CIfEpC$ PAIO SSNMIARY ... 1417 08-05-10 14.70 1420* 08-02-10 40.87 1425* 08-04- 0 109.14 1426 08-05-10 170.23 1427 08-05-10 100.00 1428 08-05- 0 59.16 1429 08-05-10 4x.58 1431+1 08-02-10 3.55 1432 08-12- 0 50.00 1433 08-12-10 50.00 1434 00-16-10 72.50 1435 00-09- 0 100.00 1436 08-13-10 30.72 ANNUAL PERCENTAGE YIELD EARNED = 0.00 ytSk J''~`' ,,~.. ,; ,~ *i't., .fie .. .,.. 1 yy~ ~ r~ ~N~l i __ - - _ _ _ _ _, y~ 2'J{, ,µ f, YY. ~. A~OtRi'f NQ:. ACGOtIt1T. TYPE ST`~TEMEMT PERIQD P,A~E 652764x5 MiT CLASSIC CHECKING M/INTEREST JUL.27-AUG.26,2010 2 OF 6 ERMA J OMAN THIS IS A RENItOER THAT IMPORTANT RECUTATORY CHANGES THAT COULD IMPACT YOUR MiT CHECK CA AND ATM TRANSACTIONS 00 INTO EFFECT AFTER AUWST 13, 2010 FOR ACCOUNTS OPENED PRIOR TO JULY 1, 20 0 AND ARE CURR0ITLY IN EFFECT FOR ACCOUNTS OPENED ON OR AFTER JULY 1, 2010. IF YOU WOULD LIKE TO L RM MORE ABOUT WlNT TlESE CNANOES MEAN TO YOU AND THE CHOICES YOU HAVE, PLEASE CALL US AT 1-877-37A-12x9 OR VISIT US AT WNW.MTS.COM/MANACEMYA000UNT. ~' ,~: REV 1511 EX+(i2-99) scNEOU~E x FUNERAL EXPENSES & COMAAONNIEAI_TH of PErM1sY1.vANIA INHERRANCE TAX RETURN ADMINISTRATNE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER 'i ERMA J. OMAN 21-10-0835 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~' Myers-Hamer Funeral Home, cremation services 3,990.00 2. Cremation Container and Um 540.00 3. Engraving 40.00 4• .Obituary 188.00 5. 'Death Certificates _ _ 72.00 s. Fbwers ($150), Funer~ Luncheon ($109.50), Clergy Honoraria ($50), Use of Chapel ($25) 334.50 7. Organist ($100), Coroner Fee ($25) ~ Hair dresser ($45) 170.00 e. ADMINISTRATIVE COSTS: 1. Persons Repreaerttabve's Commissions _ _ Name of Personal Representative(s) Soda) Security Number(s~EIN Number of Personal Representative(s) Street Address City .State Z'ip Year(s) Commission Paid: I 2. AttameyFees ~ 4,500.00 3. FemNy Exemption: (If decedents address is not tlIe same as dawnard's, attach explanation) Claimant Street Address I ~Y 'State . dip Relationship of Claimant to Decedent 4. Probate Fees 326.50 5. Accountant's Fees 6. Tex Redxn Preparer'a Fees 7. PUBLISH ESTATE NOTICES, CUMB LAW JRNL (75); THE PATRIOT NEWS (262.49) 337.49 8. TAX RETURN FILING FEE 15.00 9. RECORDER OF DEEDS, RECORDING FEE 73.00 ~o• LAWN CARE 90.00 ~ ~ • POSTAGE (512.36) AND ESTATE CHECKS ($21.75) ~ 43.11 12. -GAS & PARKING, MEETINGS.WITH ATTORNEY 31.16 TOTAL (Also ether on line 9, Recapihtlation) s 10,750.76 p~ mo-e space is neeaea, insert 8tltlrtanal sheets of the same site) .,`-. _. T...... r- __ REV 1512 EX~ (12-03) scNEOU~ ~ = DEBTS OF DECEDENT caMMONwEarH or PENNSnvMUa , ~"~T"'~ Tax + MORTGAGE UABIUTIES & DENS RESIOENr uECEOENr , ESTATE OF LE INUMBER ERMA J. OMAN 21- 0-0835 Re port debt Incurred by the decedent prior to death which remained unpaid ae of the date of death, irtdudinp unrNmburaed experTea. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~• DISCOVER CARD 325.00 2. JANET L. MILLER, REAL ESTATE TAXES 1,514.64 3. VERIZON ' ~~ 41.58 4. PPL 86.05 5. COMCAST 62.85 6. PA AMERICAN WATER CO 41.38 7. HOLY SPIRIT HOSPITAL 35.70 8. BANK OF AMERICA 673.00 9. PENN WASTE 48.75 TOTAL (Also enter on line 10, Recapitulation) _ 2,828.95 ~...,MC aNaw ~a i~7oWU, Ili~tll'{ 90U1001181 SneeTS t)T Tile $8111@ SIZe) REV-1513 EX+ (O1-10) ~~' Pennsylvania SCHEDULE ~ DEPARTMENT OP REVENUE BENEFICIARIES ,,,~ TAx ,~„~ RESroEHr oECEOENr ESTATE OF: LE UMBER: ERMA J. OMAN 1-1~0-0835 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY Do Not Lyt Trustee(=) OF ESTATE I TAXABLE DISTRIBUTIONS [Indude ouMght spousal di~itwtions and transfers under Sec. 9116 (a) (1.2).] i• R. STEPHEN OMAN, 80 LUCY AVE., HUMMELSTOWN, PA 17036 SON 100% ENTER DOLLAR AMOLBlT'S FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REY-1500 COVER SHEET, A S APP OPi(tATt:. II NON TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: L B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: L i TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ 1r more space is needed, use additional sheets of paper of the same size. • ~ d LAST WILL AND TESTAI~NT OF ERMA JANE OI~iN ~AIDIS, U F F 8t ISLAND Mukee stroet mp tip, PA I, ERN~i JANE OMAN of the Borough of Camp Hill, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any will previously made b me. I. I direct the payment of all my just debts and funeral. expenses out of my estate as soon as may be practical after my death. ' - - II. h_d~vise-all of my estate of whatever nature. and _. :wherever`situati~on:unto my son, R. Stephen Oman or if he is deceased to my granddaughter Susan D. Oman.: I IV. I appoint my son, R. Stephen Oman, Executor of this, my -Last Will and Testament. Should my said son fail to q alify or cease to act as such, then I appoint my granddaughter, Susan D.. Oman. Should both my son and granddaughter fail to qu lify or cease to act as such then I appoint Allfirst Bank, Har isburg, PA as Executor. None of my personal representatives shall be required to post bond in this or any jurisdiction. IN WITNESS WHEREOF, I hav hereunto set my hand a~d seal on this, the ~/._'`.2' day of •-}-g~yg, ,~ ~/'fJ0 ~! <~" ii DIS, FF & :AND ~A'MdW to saeec till, PA Signed, sealed, published and declared by Erma Jane Omam therein named, on this and two (2) other sheets of paper as and'for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting w"~----~ Name I i ` ~ ~- Name ~......-r ,~.... V COMMONWEALTH OF PENNSYLVANIA } COUNTY OF CUMBERLAND } WE, the undersigned, the testatrix and the witnes es, respectively, whose names are signed to the foregoing 'nstrument, being first duly sworn, do hereby declare to the under igned authority that the testatrix signed and executed the i strument as her Last Will and Testament and that she signed wil ingly (or willingly directed another to sign for her), and that he executed it as her free will and voluntary act for the purposes therein expressed, and that each of the witnesses, in he presence and hearing of the testatrix signed the will s. witnesses and that to the-.best of their knowledge the e~tatrix ,eras at that ..time. eighteen; `s ears of age or older, of so nd' mind, .and under no constrain or undue infl ce. I Er Jane an, Testatrix - ~' Witness i /_ / / l__..1, tness Subscribed, sworn to and acknowledged before me b' the testatrix, and subscribed and sworn tQ before~me by bo h -2~ - witnesses, this 1 ~~h day of _, ~~~ _"' otary Public ~ AIDIS, UFF & -SLAND n~~ruw Muket Street np H1D, PA NOTAF9AL, 8EAL KAREN S. I~EL, Nocuy PubNc ~P ~ ~~ Ad COu ~ Duo. B, 2009 CODICIL OF ERMA JANE OMAN I, ERMA JANE OMAN, the within named Testatrix, do hereby m e and publish this Codicil of my Last Will and Testament of 1999. ~, FIRST ~ I hereby amend Paragraph II. of my said Will to provide as follows: I devise and bequeath all of my estate •of whatever nature and wherever situated unto m son, R. Stephen Oximan or. if he fails to. survive me then ~o his wife, Paula Oman. If both so and daughter-in- .. .. • ~ °Iaw sfiould fail to survive me, then to my granddaughter Susan D. Oman. _, 4' ~ ; ~ SECOND In all other respects I hereby ratify, confirm and republish my Last ill executed by . me in the year 1999, together with this sole Codicil as and for my Last Will IN WITNESS WHEREOF, I, ERMA JANE OMAN, have hereunto et my hand and seal to this Codicil to my Last Will and Testament this ~ ~ day of June, 2010. ERMA __ .. _~..~ _..r ~ t ~ Signed, sealed, published and declared by the above-named Testatrix, as a~ her Last Will and Testament in the presence of us, who have hereunto subs at his request as witnesses, thereto, in the presence of said Testatrix and of ~. ~~ ~ - ADDRESS a0 E- - ~ Czl7' for a Codicil to ~ibed our names aeh other. ~igi2c,iSr~ ~~ /moo/~ ~ °~ ADDRESS ~tv "'~ l ,. .: ` , • ' W~, ERMA JANE ,OMAN, Thomas_ E, Flower, and `' o h •~ ~.V' S (1 ,... ;; ,: ~, they Testatrix and witnesses, respectively whbse' names are signed to the for going or attached >... ,, .. =instrument, being first duly,'sworn; do hereby declare to the undersigned authority that .the Testatrix signed andexecuted the instrement as her Codicil and that she si ed willingly and that she executed as her free and voluntary act for the purposes therein a ,pressed, and that each of the witnesses, in the presence and hearing of the Testatrix sign the Codicil as witness and that to the best of their knowledge the, Testatrix was at the tim 1 ~ or more years . of age, of sound mind and under no constraint or undue influence ~ ERMA b ~... Witness a. u' Commonwealth of Pennsylvania ) SS. County of Cumberland ) ~, , On this, the ~="~ ~ day of 2010 before me, ~, ST-~~L ,the undersigned ficer, personally appeared T omas E. Flower, Id. #83993, known to me or satisfactorily proven to be a member of the ar of the highest court of Pennsylvania, and certified that he was personally present w n the foregoing acknowledgment and affidavit were signed by the testatrix and witnesses. I have signed my name and affixed my seal. II Notary _"~~ ~ t± . it III