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Home My WebLink About01-25-11 (2)F 1505610101 REV-1500 Ex X01.1°' PA Department of Revenue Pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes PO BOX 28o6os OERARTMENi OF REVENVF County Code Year File Number INHERITANCE TAX RETURN ~ / / ! ~ /~ /~ ,C' Harrisburg, PA 1128-0601 I RESIDENT DECEDENT I (.1 (~!J ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 161-32-3830 04/27/2010 12/01 /1939 Decedent's Last Name Suffix Decedent's First Name MI McDade 'Ann L (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number. THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ 1. Original Return O 2. Supplemental Return O 3. Remainder Return (date of death prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe 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 under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name. _ Daytime Telephone Number Kelly Myers (717) 730-0748 First line of address 8 Ovis Drive Second line of address City or Post Office _ _ State .......ZIP Code ,_ _ Mechanicsburg PA ' 17055 c~ , .. REGISTER OF ~_ SE ONLY--- ,k f ~. i __ ,.~ C.i ~ ry~ ~. - .A =.. - -_, _-, ~;~ =;-i - DATE FILED -- .- 4...... Correspondent's a-mail address: kelbmwr~aol.com Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIG RE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS ~ L1 8 Ovis Drive, Mechanicsburg, PA 17055 SIGNAT OF PREPARE THER T A EPRESENTATIVE DATE ~' 01/18/11 ADDRESS 3600 Trindle Road, Camp Hill, PA 17011 PLEASE USE ORIGINAL FORM ONLY Side 1 1505610101 1505610101 J ?~: -s. _; _ -a r:. ,....~ _ ..._ ~ 1 ._ `r.: `-'"~ ~ ) --r ~ , 1 i ' 1505610105 REV-1500 EX Decedent's Social Security Number Decedent's Name: MCDade, At1t1 ' 161-32-3830 RECAPITULAT{ON 1. ........... Real Estate (Schedule A) ................................. . 1. 0.00 2. Stocks and Bonds (Schedule B) ....................................... 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00 4. 9 9 ( ) ........................... Mort a es and Notes Receivable Schedule D 4, 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 1,318.57 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ....... 6. 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 24 964 117 (Schedule G) O Separate Billing Requested........ 7. . , 8. Total Gross Assets (total Lines 1 through 7) ............................. 8. ' 119,282.81 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. ' 2,509.50 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) .............. 10. ', 0.00 11. Total Deductions (total Lines 9 and 10) ................................. 11. 2,509.50 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. ' 116,773.31 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. ! 116,773.31 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or _ transfers under Sec. 9116 00 0 15 ' 0.00 '', . (a)(1.2) x .0, . 16. _.. , Amount of Line 14 taxable at lineal rate x .0 45 116,773.31 16. 5,254.80 17. Amount of Line 14 taxable 00 0 0.00 . at sibling rate X .12 17. 18. Amount of Line 14 taxable 00 0 0.00 . at coNateral rate X .15 1 g 5,254.80'. 19. TAX DUE ......................................................... 19. . 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT L 15U561U1U5 Side 2 O 15U5610105 REV-1500 EX Page 3 1lnnnrlon~'c t''_mm~leatr~ Orlr'Irpsc• Flle Number - - - - - - - DECEDENT'S NAME Ann McDade STREET ADDRESS ~" 1435 Hillcrest Court, Apt. 108 cin ~STATE z~P PA Camp Hill ~~ 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1} 5,254.80 2. CreditslPayments A. Prior Payments 0.00 B. Discount 0.00 Total Credits (A + B) (2) 0.00 3. Interest (3} 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. if Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 5,254.80 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" 1N THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :.......................................................................................... ^ b. retain the right to designate who shall use the property transferred or its income : ............................................ ^ 0 c. retain a reversionary interest; or .......................................................................................................................... ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 0 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death ............... without receiving adequate consideration? x 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 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 Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 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 surviving spouse is 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 21 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 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 beneficiaries is 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 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX+ (11-10) ~ pennsylvania DEPARTMENT OF REVENUE ........... INHERITANCE TAX RETURN RESIDENT DECEDENT SCNEDI~ILE E CASH, BANK DEPOSITS & MISC. PERSONAL PROPERTY ESTATE OF: FILE NUMBER: McDade, Ann SSN 161-32-3830 Include the proceeds of litigation and the date the proceeds were received by the estate. All nroaerty iolntiv owned with right of survivorship must be disclosed on Schedule F, If more space is needed, use additional sheets of paper of the same size. • REV-1510 EX+ (08-09) ~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER McDade, Ann SSN 161-32-3830 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY of THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET °/o OF DECD'S INTEREST EXCLUSION IF APPLICABLE TAXABLE VALUE 1. Hartford Variable Annuity 16,747.04 50 8,373.52 Kelly Myers, Daughter 2 Harford Variable Annuity 16,747.04 50 8,373.52 Tammy Stayduhar, Daughter 3 Western National Life Insurance Company 101,217.20 50 50,608.60 Kelly Myers, Daughter 4 Westem National Life Insurance Company 101,217.20 50 50,608.60 Tammy Stayduhar, Daughter TOTAL (Also enter on Line 7, Recapitulation) $ ~ 117,964.24 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) ~ pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER McDade, Ann SSN 161-32-3830 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: I' Musselman Funeral Home & Cremation Services, Inc. 2,015.00 Register of Wills, Cumberland County 319.50 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) Street Address City State ZIP Year(s) Commission Paid: z• Attorney Fees: 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: 5• Accountant Fees: 6• Tax Return Preparer Fees: ~• Masland & Garrick Advisory -Debra 0. Hillman, CPA TOTAL (Also enter on Line 9, Recapitulation) I $ If more space is needed, use additional sheets of paper of the same size. 175.00 2,509.50 ~ M&T~arik ACCOUNT NO. ACCOUNT TYPE 9849838744 FREE CHECKING 00 0 0611TH NM 017 ESTATE OF ANN L MCDADE KELLY L MYERS, EXEC 8 OVIS DR MECHANICSBURG PA 17055 errn~iN-i c~~MMeQv STATEMENT PERIOD PAGE JUL.I7-AUG.18,20I0 I OF I MECHANIGSBURG BEGINNING BALANCE DEPOSITS 8 OTHER ADDITIONS CHECKS PAID OTHER SUBTRACTIONS CURRENT INTEREST PD ENDING BALANCE NO. A!lOtINT NO. AMOUNT NO. AMOUNT 1,31a.s7 a O.oa o 0.00 1 1,31b.s7 0.00 0.00 d('f'_f11fNT dC'TT V TTY ppST~ DATE TRANSACTION DESCRIPTION DEPOSITS,INTEREST B OTHER ADDITIONS CHECKS 8 OTHER SUBTRACTIONS DAILY BALANCE 07-17-10 BEGINNING BALANCE S1,318.57 08-12-10 CLOSEOUT 1,328.57 0.00 EI~iN6 BALANCE $O.as 14269 THIS IS A REMINDER THAT IMPORTANT REGULATORY CHANGES CHAT COULD IMPACT YOUR MBT CHECK CARD AND ATM TRANSACTIONS GO INTO EFFECT AFTER AUGUST 13, 2010 FOR ACCOUNTS OPENED PRIOR TO .JULY 1, 2010 AND ARE CURRENTLY IN EFFECT FOR ACCOU[~1TS OPENED EMI OR AFTER ,NlLY 1, ZO10. If YOU t~ULD LIKE TD LEARN MORE ABOUT NHAT THESE CHAM6ES MEAN TO YOU AND THE CHOICES YOU HAVE, PLEASE CALL US AT 1-877-378-1289 OR VISIT US AT MMW.MTB.COM/MANAGEMYACCOUNT. ' . w ~ ~ , LUU . ~a1;s THE HARTFORD 41101i00607 01 MB 0.382 "Aii 1R0ii tT5 0 2696 1 i 011-8020 I``ACL 0-P0060' ~~~~i~~~~~~~~~ a r~~~~ a ~~1~~~1~~I~ a u ~~~~~ii~~~~~~t~i~i~~i~~~ ANN L MCDADE t 1435 HILLCREST CT APT 108 CAMP HILL PA 17011-8020 Date: May 19, 2010 Contract Number: OOOOOOOOOI711599711 Type of Contract: Non-Qualified Or7vner 1'~ame: Ann L Mcdade Annuitant Name: Ann L Mcdade `'lie Di~ec~ar®v~~•iavle ann~ity~nanci~l cony il~r~Zatioj~ The total value of your annuity on May 19, 2010 is $0.00 .~..~ ~ 1 m nt ~ '~ Death Benefit Adjust e Trade Date: May 19, 2010 Unit Investment Choice(s) Units Value Amount Htfd Cap App HLS 330.686 1.943357 $642.64 Htfd Div&Grwth HLS 450.026 1.428007 $642.64 Htfd Stock HLS 1,453.054 .884530 $1,285.27 Partial Surrender -Death Proceeds Trade Dale: May 19, 2010 - __ Unit Investment Choice{s) Units Value Amount Htfd Cap App HLS -1,192.823 1.943357 -$2,318.08 Htfd Div&Grwth HLS -1,526.134 1.428007 -$2,179.33 Htfd Stock HLS -4,382.113 .884530 -$3,876.11 * This amount is also included in the death benefit amounts. Details of your surrender Your net surrender will be distributed separately. Gross Surrender Amount $8,373.52 Net Surrender Amount $8,373.5? The Taxable Amount for this surrender is $0.00 The TitCa/)le ~117Ullllt /)1"OVl[~eG/ I.S fpl' lil frlrnlatitttlal jTn/I1c~.sN ti n/)/~ : J/l 1I1G' c~:ic' tl f curl I. R. C' Sc'C//Ull I t13a exchcr/r,~cj, I~irc~cl Tirnlsfel; or 1.7ir~c1 Rr~Ilr~~~~t: Nnrlfvtcl life ~~1i!! Irrlt rc~I»rt thc~ Tcrxc7hlc~ Amulltl! ~ro~~iclecl crs taxahlc~ to 1hc' IRS: For cll.~tcxliall c/cci~lrtlls. /hc~ 1 ~rxablc~ Anivnrlt /tro>>icl~c.I may hc' cIi f fe~•clnl ihcrlr thc~ tarxuhle trmnlltlt cl~lel7nin~.~c~+crtrurrc~Ix~l"t4'c~i tll thL' II~S' Ii~% th~~ ctr.stncliajl. Hcu•lfnrcllifi' rectltllnl~~/rc~S CUti~Nl)mg Nji1h ct tjllcllified tax crclilistlt' 1 e~alc~!/)g the 1Crx c[lflS~Cj1Je/7C•cf.~ {~f .)%t~tlr• tratl~cretit~tr. Payee Information Payee 1Vame: Tamm}~ J Stayduhar Pull Surrender -Death Proceeds Trade Date: May l9, 201 O Investment Choice(s) Units Unit Value Amount . Htfd Cap App HLS -1,192.820 1.943357 ~ ~ -$2,318.08 Htfd Div&Grwth HLS -1,126.135 1.428007 -$2,179.33 Htfd Stock 1-ILS -4,382.112 .884530 -$3,87b.11~ ~` This amount is also included in the death benefit amounts Details of your surrender Your net surrender wilt be distributed separately. Gross Surrender Amount $g,J7;.5~ Net Surrender Amount $g,J73.52 The Taxable Amount for this surrender is X0.00 "Ihe Tuxahle Amolrllt Itrrn~idec/ is, for i/tfvrmcttio/lal /~In~~as~s vrllt.~. Ill the case ~~f an I.R. t~. sc~ctif~lr I03.i exchange, Direct TI•cn~sfer, yr direct Rc~Ilore'l; Hc7rtfcucl Life ~~~ill llvl r-eRvrt the Tctrahle Arrx~lalt ~rouidecl as taxable to the IR.S: Ft~l• errsttxliart aeeollrlts; the 1 i!rxahle Amcltlllt pror-iclecl nlcly~ he clifferc~tlt tlulll the tcxxahle amollllt cleternrined nrlcl 1 c'portc'c/ tc~ thc.~ IRS b} ~ the' east{x,Iirrrl. Htli•~ fot cl I, i fe' r~cvrlrm~,'ncls cn/~sirltillg Kith cr t~r/crlifred lax clcli~isvr r~gtrt clilt~ the tc~Y cujls~cjlr~lrres of v~~lrr trcu~cactir~tr. ~~i ~~~-~~~ ~,~t ~~~•TLRt~I ~ hiATIC~f~AL i f e I n s u r a n c e C o m p a n y Qt1:4RTERLY GRU'~1V7'H REPORT OF YOUR POLICY FOR THE QUARTER. ENLl[NG 1?/31/2009 1-800-42~-~99~ #BWBCGLVV >Z 5321 E~x w 5158 D02 D!]8129 ANN L MC DADS APT 108 1435 HILLCREST CT CAMP HILL, PA 170111-8020 • Contract Number • Poticv Datc • Annuit:ent • Policy Type • Agent • Composite Annual Yietd AN201582 U8i20l2U01 Ann L Mc Dade Indi~~idual Retirement Annuity M & T Securities Inc 3.50% Important Messages For access to your account 2-t hours a daY, please ti•isit our ~ebsite at www.aannuitvaccess.cQm.c~ Account lnforma#ion Current Quarter Year - To -Date 10/01 /2009 - 12/31 /2009 01 /01 /Z009 - 1213112009 Beginnistg Value 100.959.9-I 1U0,977.~6 Withdra~vals (8Gb.73) {3,79~.59j Interest 8?6.26 3.786.G0 Accuinulatcd ~'atuc lt)i),9G9.~7 1()U.9t9.-I7 Deposits And Vltithdrawals Processed During This Quarter Date Amount Date Amount Date Amount 10/25/2009 (285.73) 11/2.5/2009 (295.27} 12/2~/2UUy (28.73} Additional Messages 'Che Internal Rcvcnue Service regulations under section -It11(a)(9) of the Internal Retfenue Code requires notification of the follo~i~ing information regarding Required Minimuitt Distributions (RMD) from Individual Retirement Accounts. * Federal la~~° requires that, tit the case of an employer sponsored plan. ti~ou begin taking distributions by attainment of age 7U 112 or retirement from the employer sponsoring the plan. ~;hiche~~er is later- In the case of an IRA, distributions must begin by attainment of age 7() 112. * The distribution due in the: c~tlcnddr ~~~ir you attain :U 1i2 Wray be postponed until April l of the follo~~-ing year. T-lo«~erer, subsequent distributiuits must be taken ii- the year the}~ are due. That means that if you choose to postpone the first year's distribution until April of the following year, you «~ill be requixed to take i~ro distributions that year. * Upon request, the amount of-your RMD payment n•iil be calculated and provided to you. ' We9terrt National Life insurance Company P.O. Sox 871, Amari{lo, TX 79105-0871 NAME: POLICY: TRANSACTION: OWNER: CHECK# 14926fi03 INTERNAL REFERENCE# 2200181819 TRANSACTION STATEMENT ANN MC DADS May 27, 2010 AN201582 DEATH CLAIM PROCEEDS ANN MC DADE AMOUNT OF CHECK $ 50,608.60 . `/~ I - ~~ 'L 5 TAXABLE INCOME $ 50,608.60 '~~~-~ ~~ .'~`'-~'3 ~ O --~~" C~ ~. '~~ ~ ~~ ( . i '" PLEASE DETACH AND KEEP THIS STUB FOR YOUR RECORDS •. 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X W: ~~~~~,~~ m Y v C m r ~ Q t1 N Q N ~- n m O U ~ ~ 3 ~l a ~°- ~ v m o ~ N 4 ~ ~ Q Q ~ ~ ~ m Q ~ V Q '' o U ~ tt ~ 0 .~ d ., RECEIPT FOR PAYMENT ----------------------- GLENDA FARMER STRASBAUGH Receipt Date: 5/17/2010 Cumberland County - Register Of Wills Receipt Time: 13:01:07 One Courthouse S uare Receipt No.: 1061140 Carlisle, PA 1713 MCDADE ANN L Estate File No.: 2010-00511 Paid By Remarks: JN -------------------- ----- Receipt Distribution ------ ------- ------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 260.00 CUMBERLAND COUNTY GENERAL FUN WILL 15.00 CUMBERLAND COUNTY GENERAL FUN SHORT CERTIFICATE 16.00 CUMBERLAND COUNTY GENERAL FUN AUTOMATION FEE 5.00 CUMBERLAND COUNTY GENERAL FUN JCS FEE 23.50 BUREAU OF RECEIPTS & CNTR M.D Cash ----------------- $319.50 Total Received..... .... $319.50 REGISTER OF WILLS CUM6ERLAND COUNTY PENNSYLVANIA No . 20 10- 0051 1 Estate Of : ANN MCDADE CERTIFICATE t GRANT OF LET7 PA No . 21- ~ 0- 0511 (first, Midd/e, L.estl Late Of : LOWER ALLEN TDWNSHIP CUMBERLAND COUNTY Deceased Social Security No : 161-32-3830 WHEREAS, on the 17th day of May 2 010 an instrument dated February Ist 2010 was admitted to probate as the last will of ANN MCDADE (F/is~ Mid7lle Lastl Ia to of LOWER ALLEN TOWNSHIP, CUMBERLAND County, who died on the 27th day of April 2010 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA EARNER STRASBA UGH Register of Wi 11 s for CUl-~ERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to: KELL Y L MYERS who has duly qualified as EXECUTOR(R/X) and has agreed to administer the estate according to Iaw, all of whi` fu31y appears of record in my office a t CUMBERLAND COUNTY COURT HOUSE, CARL/SLE, PENNSYL VANlA. IN TESTIMONY WHEREOF, I .have hereunto set my hand and affixed the , of my office on the 17th day of May 2010. egister o / s eputy * *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) V1/iLL QF ANN MCDAflE I, Ann McDade, of Cumberland County, Camp Hill, Pennsylvania, declare this to be my last Wiil and hereby revoke all prior WiNs and Codicils. 1. I direct that all my just debts, funeral expenses, gravernarker and administrative expenses shall be paid from my residuary estate as soon as practicable after my death. 2. I direct tha# all inheritance, estate, transfer, succession and death taxes of any kind whatsoever which may be payable by reason of my death shalt be paid out of my residuary estate. 3. 1 direct tha# my entire estate be distributed as follows: A. i direct that my entire estate go to rrty daughters, Teri Boyd, Tammy Stayduhar and Kelly Myers in equal shares. B. Should any of my children predecease me their share shall lapse and be divided into equal shares between the survivors. 4. !appoint Kelly Myers, as Executrix of this my last Will. Should Kelly Myers predecease me or cease to act in such capacity, I appoint Teri Boyd as alternate. 5. The Executrix of this Will shall have the power to - distribute my estate in kind or in cash, or partly in either. 6. I direct that no Executrix acting under this Will shall be required to enter bond in any jurisdiction.. rnw ores of STE~HEI~T J. ~OGC 19 5. HANOVER STREET SUITE 101 CARLISLE, PA 17413 IN WITNESS WHEREOF, have hereunto set my hand this -~- day of ~ , 2Q10. Ann McDade ~ ~~ ~~ Ann h~cDade as and fc~ ~r past ~~`9A:~ *~ ~.~es~~ e ~~ .~..~ 3;~ a: request, in her presence aid sn~ ~e ~rese~ e ~ ~a v~ y ,r ~-~ .~a» e subscribed our names as mnritnesses ~ere~c.. r ITNES LAW OFFICES OF STEPHEN J. HOGG 19 S. HANOVEIt STREET SUITE 101 CARLISLE, PA 17013 I, Ann McDade, the ~'estat~~:, `fit'#~'?c~.i'~ .~n...~, ':S s ,~,~-,~ .. attached or foregoing instrument, har~~sng beep ,~~3~ ~~~~ *~ a~~~- to law, do hereby acknowledge that I signed any exQc~te~ instrument as my last Will; that !signed it ~vo~iflir~gly~ a~~ ds °~- . ~•--- =~ voluntary act for the purposes therein expressed. .,, , , Ann McDade LAW UFFIQS OF S~P~IE11T ), NOGG 19 S. FIANOVER STREET ~ SUITR 101 CARLISLE, PA 17413 Sworn to or affirmed and acknowled McDade, the Testatrix, this ~ day of ~. 8FAL ~a- ~~ Sr~snd Ca P/6 State of Pennsylvania County of Cumberland Notary Pu FIDAVIT ss re me byA~~~: We,~~„~(~-~~ ~~ and ~IIC~E~ ~~D ,the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testatrix sign and execute the instrument as her last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that to the best of our knowledge the Testatrix was at that time 7 8 or more years of age, of so~id mind and der no constraint or undu i fluen 7 ); f Sworn to or af~irm and subscribed to before me by witnesses, this ..~-- day of l _ -~~~'~> d, 2010. /M~"~w'~~k'.MASaxa.y~vr. ~, ~.~~s ~ ~. ~ ~~bNQ ~ ~ ~A m clAttorney