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Home My WebLink About03-15-111505610143 REV-15~~ Ex (o,-,o, OFFICIAL USE ONLY PA Department of Revenue Pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 60X.280601 INHERITANCE TAX RETURN 21 10 00717 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death 191 18 3748 06 20 2010 Decedent's Last Name Suffix SHEDLOSKY (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Date of Birth O1 26 1922 Decedent's First Name MI EVELYN B 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 ~ 2. Supplemental Return ~ g• Remainder Return (date of death prior to 12-13-82) q, Limited Estate ~ 4a. Future Interest Compromise (date of death after 12-12-82) ~ g• Federal Estate Tax Return Required 6 Decedent Died Testate (Attach Copy of Will) ~ 7. (Alta h Co a~of T ust a Living Trust Py ) g, Total Number of Safe Deposit Boxes g• Litigation Proceeds Received ~ i 1 O• between 12 31 9~ ~dit (datSeS~f death T ~ 11 Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT - THtS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number MICHAEL L BANGS 717 730 7310 _ First line of address 429 SOUTH 18TH STREET Second line of address City or Post Office CAMP HILL State ZIP Code PA 17011 r , REGISTER OF W[L~~ USE ONtli' ~_; I .^~si ;.~ -- ~ . __ r ~-- .. ;~l __ ~- _ ,; ~ ~_ . I ,_ , \ ~., .. ~~ :; ~ - :.__y ._ ,,, _ _., __.. ~> _ _i r DATE FNLED ~;, -.~ ._. , ; --~ ~___. .~ r ~ -, ~~'~ ~ Correspondent's a-mail address: Under penalties of perjury, I d re at I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and comp .Dec ration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF PERSON SPONSI E FOR FILING RETURN DATE .`Y~ Jon L. Shedioskv ~ ;~ ~ L~ ~1 ADDRESS 912 Melvin Road Ann olis MD 21403 SI NATURE OF PR~1~2 OTHER T ~NTATIVE DA~ //~`// , Michael L. Bangs ~~,y, ~, ~ ADDRESS // 429 South 18th Street, Camp Hill, PA 17011 Side 1 1~5D561D143 15D5610143 J REV-1500 EX Decedent's Name: SF'1ed~OSlCy, Evelyn B. Decedent's Social Security Number 191 18 3748 RECAPITULATION 280,000.00 1. Real Estate (Schedule A) ....................................................................................... 1. 3,172.40 2. Stocks and Bonds (Schedule B) ............................................................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages 8~ Notes Receivable (Schedule D) ........................................................ 4. 1,376.36 5• Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 51 , 2 $ 5 . 9 4 7. Inter-Vivos Transfers & Miscellaneous I~q Probate Property arate Billin Re uested Se 7 ............ g q p (Schedule G) ^ . g. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 335,834.70 18,363.29 9. Funeral Expenses 8~ Administrative Costs (Schedule H) ....................................... 9. 7,702.68 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 26,065.97 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 12. Net Value of Estate (Line 8 minus Line 11) .......................................................... 12. 309,768.73 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 309,768.73 14. Net Value Subject to Tax (Line 12 minus Line 13) ............................................... 14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 15. 16. Amount of Line 14 taxable 3 0 9, 7 6 8. 7 3 1 s. at lineal rate X .045 17. Amount of Line 14 taxable 0 0 0 17 at sibling rate X .12 . . 18. Amount of Line 14 taxable 0 0 0 18 at collateral rate X .15 . . 19. Tax Due ................................................. ................................................................. 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 15D561D243 0.00 13,939.59 0.00 0.00 13,939.59 Side 2 L 15D5610243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21-10-00717 DECEDENT'S NAME Shedlosky, Evelyn B. _ STREET ADDRESS 220 Garrett Lane CITY Camp Hill STATE PA ~ IP 17011 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 13,939.59 2. Credits/Payments A. Prior Payments 13,000.00 B. Discount 684.21 Total Credits (A + B) (2) 13,684.21 3. Interest (3') 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2 Line 20 to request a refund 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 255.3$ Make Check Pa able to: REGISTER OF WILLS, AGENT. ~,~ ~ a~ . ~,~ . .~ . ~ _ _. F ~ ~ ,.. ~, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :............................................................................... ] ^ b. retain the right to designate who shall use the property transferred or its income :.................................. c. retain a reversionary interest; or ............................................................................................................... d. receive the romise for life of either a ments, benefits or care? ............................................................ ^ ^ p PY 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without [] ^ receiving adequate consideration? .................................................................................................................... 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death?....... ^ ^ 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. .,.... r ~_ 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 January 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)]. A sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. Rev-1502 EX+ (11-08) SCHEDULE A REAL ESTATE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Shedlosky, Evelyn B. 21-10-00717 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or self, both having reasonable knowledge of the relevant facts. Real property which is jointly-owned with right of survivorship must be disclosed on schedule F. (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 :schedule A (Rev. 11-08) Rev-1503 EX+ (6-98) SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Shedlosky, Evelyn B. 21-10-00717 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 280 shares of Windstream Corporation 11.33 3,172.40 TOTAL (Also enter on Line 2, Recapitulation) 3,172.40 (If more space is needed, additional pages of the same size) Copyright (c} 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Shedlosk , Evel n B. 21-10-00717 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+ (6-98) SCHEDULE F COMMONwEALTHOFPENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Shedlosk , Evel n B. 21-10-00717 If an asset was made joint within one year of the decedent's date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Jon L. Shedlosky 912 Melvin Road Son Annapolis, MD 21403 B. C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % CIF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 MS<T Bank -Savings Account 92,346.30 50.000% 46,173.15 2 M~&T Bank -Certificate of Deposit 10,225.57 50.000°l0 5,112.79 TOTAL (Also enter on Line 6, Recapitulation) I 51.285.94 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) REV-1151 EX+(10-06) SCHEDULE H COMINHNEEWRRTAN ETqq~~PENEEN YLVANIA FUNERAL EXPENSES & RESIDEN~ DECEDEN~RN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Shedlosky, Evelyn B. 21-10-00717 Debts of decedent must be reported on Schedule 1. ITEM DESCRIPTION AMOUNT A, FUNERAL EXPENSES: See continuation schedule(s) attached B. 1 2 3 ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Jon L. Shedloskv Street Address 912 Melvin Road City Annapolis State MD zio 21403 Yearlsl Commission paid Attorney's Fees Michael L. Bangs Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zia Relationship of Claimant to Decedent 5,333.73 6,000.00 6,000.00 4. Probate Fees 434.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 595.06 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 18,363.29 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Shedlosky, Evelyn B. 21-10-00717 ITEM NUMBER DESCRIPTION AMOUNT 1 Funeral Ex,~enses Carole Knisley -organist honorarium 125.00 2 Gingrich Memorials -purchase of headstone 140.00 3 Gingrich Memorials -Headstone inscription 140.00 4 Neill Funeral Home 3,306.07 5 Pastor Honorarium 150.00 6 Sophia's -funeral luncheon 826.80 7 Wegman's -funeral luncheon 25.77 8 West Shore Country Club -funeral luncheon 510.45 9 Wine & Spirits Store -funeral luncheon 109.64 H-A 5,333.73 Other Administrative Costs 10 Cumberland Law Journal -estate advertising 75.00 11 Pamela Reitenbach -real estate appraisal fee 375.00 12 The Sentinel -estate advertising 145.06 H-B7 595.06 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-08) SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Shedlosk , Evel n B. 21-10-00717 Report debts incurred by the decedent prior to death that remained unpaid at the data of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Debbie Lupold, Treasurer - 2010 School Real Estate Taxes 3,485.76 2 East Pennsboro - Sewer/Trash (10/10) 115.00 3 East Pennsboro Township -sewer/trash 115.00 4 East Pennsboro Township - (sewer/trash 1/11) 138.00 5 Edna Goode -caregiver services 400.00 6 In Your Home Care 52.50 7 Keystone Oil 726.16 8 Keystone Oil - (delivery 12/10) 923.39 9 The Patriot News Co. 257.87 10 Travelers Indemnity -home owners insurance premium 1,235.17 11 Travelers Insurance -Homeowners Insurance premium due 116.83 12 Travelers Insurance -Personal Liability insurance 137.00 TOTAL (Also enter on Line 10, Recapitulation) I 7,702.68 (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX+(11-08) p ~N SCHEDULE J COMM HRESIDENT ECEDtN~RNANIA BENEFICIARIES ESTATE OF FILE NUMBER Shedlosky. Evelyn B_ ~~ _~ n_nn~~ ~ NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$) I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 a 1.2 1 Jon L. Shedlosky Son Per terms of Witt, 287,682.86 912 Melvin Road first $265,597.00 Annapolis, MD 21403 and then one-half of remainder 2 Tod G. Shedlosky Son One-half of 22,085.87 6346 North Powderhorn Road remainder of Mechanicsburg, PA 17050 estate Total 309,768.73 Enter dollar amounts for distributions shown above on lines 1 5 throu h 18 on Rev 150 0 cover sheet as a r o riate. II NON-TAXABLE DISTRIBUTIONS: . A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) in F'I ].QQ7 B] APPRAISAL OF REAL PROPERTY LOCATED AT 220 Garrett Lane Camp Hill, PA 17011-2033 Deed Book 14L Page 566 & Deed Book 15W, Page 207 FOR Michael L. Bangs, Esquire Bangs Law Office 429 South 18th Street Camp Hill, PA 17011 AS OF June 20, 2010; Date of Death of Evelyn B. Shedlosky BY Mark A. Baron PA Certified Residential Real Estate Appraiser and Pamela M. Reitenbach PA Certified General Real Estate Appraiser Pamela M. Reitenbach, INC. Form GA1NV - "WinTOTAL" appraisal software by a la mode, inc. -1-800•ALAMODE ' Fil N .1~Q7 1 Pamela M. Reitenbach, INC. 5113 Circle Drive Harrisburg, PA 17112 (717)395-3441 8/11 /2010 Michael L. Bangs, Esquire Bangs Law Office 429 South 18th Street Camp Hill, PA 17011 Re: Property: 220 Garrett Lane Camp Hill, PA 17011-2033 Borrower: N/A File No.: 10-128 Opinion of Value: $ 280,000 Effective Date: June 20, 2010; Date of Death of Evelyn B. Shedlosky In accordance with your request, we have appraised the above referenced property. The report of that appraisal is attached. The purpose of the appraisal is to develop an opinion of the retrospective market value for the property described in this appraisal report, as improved, in unencumbered fee simple title of ownership for estate settlement purposes. This report is based on a physical analysis of the site and improvements, a locational analysis of the neighborhood and city, and an economic analysis of the market for properties such as the subject. The appraisal was developed and the report was prepared in accordance with the Uniform Standards of Professional Appraisal Practice. The retrospective market value conclusion stated herein is as of the date of death of Evelyn B. Shedlosky, on June 20, 2010; as stated in the body of the appraisal and contingent upon the certifications and limiting conditions attached. The date of inspection was July 21, 2010. It has been a pleasure to assist you. Please do not hesitate to contact me or any of my staff if we can be of additional service to you. Sincerely, Qc.~-~ti~l ~~w~~. Pamela M. Reitenbach PA Certified General Real Estate Appraiser Certification #: GA001804 State: PA E~ires: 6/30/2011 re itenbach@comcast. net M ~ .l ].4972101Mg SUMMARY OF SALIENT FEATURES Subject Address 220 Garrett Lane Legal Description Deed Book 14L Page 566 & Deed Book 15W, Page 207 City Camp Hill County Cumberland State PA Zip Code 17011-2033 Census Tract 25420-0102.02 Map Reference PB 5, Pg 2, Lots 7 & 8 Sale Price $ N/A Date of Sale N/A Client Michael L. Bangs, Esquire Owner Estate of Evelyn Shedlosky Size (Square Feet) 2,328 Price per Square Foot $ Location suburban Age Condition average Total Rooms 7 Bedrooms 2 Baths 1.5 Appraiser Mark A. Baron Date of Appraised Value June 20, 2010** Date of Death of Evelyn B. Shedlosky Opinion of Value $ 280,000 Form SSD2 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE Pamela Reitenbach .,.___~.^___~_.__ IINIFARM RFC111~MTIA1 ADDQAI!CAI QCDADT ' 'I N 1 7 10-128 Pro a Address 220 Garrett Lane Ci Cam Hill State PA Zi Code 17011-2033 Le al Descri tion Deed Book 14L Pa a 566 & Deed Book 15W Pa a 207 Coun Cumberland _ Assessor's Parcel No. 09-19-1596-016 Tax Year 09/10 R.E. Taxes 4 667.54 S ecial Assessments N/A Borrower N/A Current Owner Estate of Evel n Shedlosk Occu ant: Owner tenant ^ Vacant Pro a ri Ms a raised Fee Sim le Leasehold Project T e PUD Condominium HUD A onl HOA N/A o. Nei hborhood or Project Name Berwin Manor /East Pennsboro Township Maa Reference PB 5 Pq 2 Lots 7 & 8 Census Tract 25420- 0102.02 _ Sale Price N/A Date of Sale N/A a ri ti n and mo nt i I n h r e on into id b seller N/A _ Lender lient Michael L. Ban s Es uire Address 429 South 18th Street Cam Hill PA 17011 A raiser Mark A. Baron /Pamela M. Reitenbach Address 5113 Circ _ le Drive Harrisbur PA 17112 Location Urban Suburban Rural Built up ^ Over 75% ®25-75% ^ Under 25% Growth rate ^ Rapid ®Stable ^ Slow Predominant occupancy ®Owner 90 PR~CE~ family hoAGEg $(~) (Yrs) 57 Low new Present land use % One family 73 2-4 family 6 Land use change ®Not likely [] Likely ^ In process Property values ^ Increasing ®Stable ^ Declining ^ Tenant 800+ Hi h 100+ Multi-family 2 To: Demand/supply ^ Shortage ®In balance ^ Over supply ®Vacant (0-5%) Predominant I Commercial 12 _ Marketi time Under 3 mos. 3-6 mos. Over 6 mos. V c. ov r % 220 45-55 Other 7 _ _ Note: Race and the racial composition of the neighborhood are not appraisal factors. Neighborhood boundaries and characteristics: See attached location map. factors that affect the marketability of the properties in the neighborhood (proximity to employment and amenities, employment stability, appeal to market, etc.): • The net hborhood consists of a tom atible mix of mostl 45 to 55 ear old detached homes of va in ualit .All amenities and rria~or traffic arteries are convenient to the sub'ect ro ert . Avers a Economic social and h sisal area. Distance to amenities and necessities is avers e. The are no known detrimental net hborhood influences that would affect the sub'ects value or marketabili avers a mix. ands le of residential dwellin s located in an avers a sized suburban townshi .Close robmit to the WSCC olf course see attached tax ma . Market conditions in the subject neighborhood (including support for the above conclusions related to the trend of property values, demand/supply, and marketing time -- such as data on competitive properties for sale in the neighborhood, description of the prevalence of sales and financing concessions, etc.): The search of count tax records and the MLS service show rites to be stabilizin . Mort a e funds are available from a varie of sources with conventional loans bein 4.2% to 6% interest fixed 30 ear mort a e. Sellers are not re uired to offer sales or financin concessions however seller assistance is occurrin . Project Information for PUOs (If applicable) - - Is the developer/builder incontrol of the Home Owners' Association (HOA)? Yes Na Approximate total number of units in the subject project Approximate total number of units for sale in the subject project Describe common elements and recreational facilities: Dimensions Please see enclosed le al descri tions / tax ma Topography mostly level Site area .94 acre Corner Lot ^ Yes ®No Specific zoning classification and description R-1 -Residential Sin le Famil Zoning compliance ®Legal ^ Legal nonconforming (Grandfathered use) ^ Illegal ^ No zoning Hi st best a im rov d: Present use Other use a lain Size above average _~ Shape Irregular Drainage Appears Adeguate_ View Golf Course Util'dies Public Other Electricity ® Gas ^ none Water ® Sanitary sewer ® Storm sewer none Comments (apparent adverse easements, encroach easements for utilities are resent which Off-site Improvements Type Public Private Street paved ® ^ Curb/gutter none /typical ^ ^ Sidewalk none /typical ^ ^ Street lights none /typical ^ ^ Alle none ments, special assessments, slide areas, illegal or legal nonconfor do not adverse) affect the site. There are no known Landscaping mature/typical Driveway Surface macadam _~ Apparent easements Standard utility FEMA Special Flood Hazard Area ^ Yes ®No FEMA Zone X Map Date _3/16/2009 FEMA Ma No. 42041 C0114E ming zoning use, etc.): Standard or a arent adverse easements _ encroachments or conditions noted. The sub'ect site rovides a view of the West Shore Count Club oif course. GENERAL DESCRIPTION No. of Units 1 EXTERIOR DESCRIPTION Foundation Concrete Blk. FOUNDATION Slab Under Sunroom BASEMENT Area Sq. Ft. 1 896 INSULATIOIV Roof ^ No. of Stones 1 Exterior Walls Brick Wood Crawl Space none % Finished 40 ___ Ceiling ^ Type (Det./Att.) Detached Roof Surtace metal Basement Partial Ceiling dro the ___ Walls ^ Design (Style) Ranch Gutters & Dwnspts. alum/alum/av Sump Pump none Walls anellin __, Floor ^ E>asting/Proposed E~astin Window Type Wd.DH&cmnt Dampness observed Floor asb. the _ _ None ~ ^ Age (Yrs.) 60 ears Storm/Screens ical Settlement none observed Outside Entry none _ _ Unknown Effective A e rs. 25-30 Manufactured House no Infestation none observed • ROOMS Fo er Livin Dirdn Kitchen Den F amil Rm. Rec. Rm. Bedrooms # Baths Laund Other Area S . Ft. Basement X 1 896 Level 1 1 1 1 1 2 1.5 sunroom 2 328 • Level2 ` Rnished area above rade contains: 7 Rooms 2 Bedroom s ~ 1.5 Bath s ~ 2 328 S uare Feet of Gross Livin Area INTERIOR Materials/Condition Floors c t vin I hwd stn/av . Walls taster / av . HEATING Type Hwtr Fuel oil KITCHEN EOUIP. Refrigerator ^ Range/Oven ® ATTIC None ^ Stairs ^ AMENITIES Fireplace(s) # 1 ® Patio rear ® CAR STORAGE: None ^ Gara e # f TrirrVFinish ical wd. / av Condition av . Disposal ^ Drop Stair ^ Deck ^ g o cars Attached Bath Floor c-tile / av . Bath Wainscot fiber lass / av . COOLING Central none Dishwasher ® Fan/Hood ^ Scuttle ® Floor ^ Porch front ® Fence ^ Detached 1+ car B ilt I Doors ical / av . Other wall units Microwave ^ Heated ^ Pool ^ - u n _ Car rt Condition unknown Washer er Finished po _ Drivewa macadam Additional features (special energy efficient items, etc.): _typical to the market area. Condition of the improvements, depreciation (physical, functional, and external), repairs needed, quality of construction, remodeling/additions, etc.: See Addenda. Adverse environmental conditions (such as, but not limited to, hazardous wastes, toxic substances, etc.) present in the improvements, on the site, or in the immediate vicinity of the subject property.: There are no known or apparent adverse environmental conditions that would negatively irn act on the sale of the roe .See addendum. ' ^u~ ' v' ~ ranme Mae corm 1DU4 6/~J3 Form UA2 - "WinTOTAL" appraisal software by a la mode, inc. -1-800-ALAMODE i 'I . 1 MB 10-128 ^^.^^~A~.^ ^fl~~f\e~~T~A~ A~QOAI@A1 DCDART e::_u_ ~nA7o~n1~,Aa v ^~^^ v..... ESTIMATED SITE VALUE .............................................. _ $ ESTIMATED REPRODUCTION COST-NEW-OF IMPROVEMENTS: Dwelling 2,328 Sq. Ft. @$ _ $ 1 896 S @$ = Ft - ------ Comments on Cost Approach (such as, source of cost estimate, sfte value, square foot ca~ulation and for HUD, VA and FmHA, the estimated remaining economic life of the property): The Cost Approach will general) result in an excellent estimate of value if the buildin is new or . q. - reasonabl new and the im rovements reflect the hi hest and : _ 660 S @$ = Ft best use of the land. However when items of h sical _ . q. Garage/Carport _ $ t N d C de reciation must be estimated an area of ~ud ement is ew ............................. os Total Estimate l Functional External i Ph involved which is sub'ect to error. The Cost A roach was not ys ca Less Depreciation ~ ~ _$ utilized due to the a e of the sub'ect. - _$ rovements f Im l d V i t D - ............................... p ue o a eprec a e _$ rovemends f Sit I " V l " i - ................................... mp ue o e a As- s INDICATEDVALUEBYCOSTAPPROACH ------------------~~~----~-~ _ ITEM SUBJECT COMPARABLE N0.1 COMPARABLE N0.2 COMPARABLE N0.3 220 Garrett Lane Address Cam Hill 541 Brentwater Road 2 Cam Hill PA 17011 0 Clifton Road Cam Hill PA 17011 500 Brentwater Road Cam Hill PA 1701 'I Pro>ami to Sub'ect 0.11 miles SE 0 .45 miles NE 0.20 miles SE Sales Price Price Gross Livin Area N/A ~ 340 000 148.60 ~ 309 900 112.12 ~ _ 282 500 96.75 ~ Data and/or Verification Source inspection ublic records MLS #10177313, agent Ext Ins ection & Public Records MLS #10175410, agent Ext. Ins ection & Public Records MLS #10183458, agent Ext. Ins ection & Public Records ' VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION ~ + - $ Ad'ust. DESCRIPTION ~ + - $ Ad'ust. ust. DESCRIPTION ±i $ Ad Sales or financing Concessions Cash/DOM 506 ~ Cls. Cost / Re air ~ Conv./DOM 280 Cls. Cost / Re air ~ -9 297 Cash/DOM 17 Cls. Cost / Re air I - -4 000 Date of Sale ime 6/16/2009 6/11/2009 10/12/2009 - Location suburban suburban suburban suburban Leasehold ee Sim le Fee Sim le Fee Sim le Fee Sim le Fee Sim le - Site View .94 acre Golf Course .65 acre +8 000 Golf Course .67 acre/Se tic +10 000 Golf Course .54 acre - +8 000 Golf Course Inf. ~, - +25 000 Desi n and A eal Ranch Ranch Raised Ranch Ranch - Ouali of Construction averse averse averse avers e - A e 60 ears 57 rs/E Eff 48 rs/E Eff 47 rs/E Eff Condition Above Grade averse Total ~ Bdrms Baths su erior -40 000 Total ~ Bdrms ~ Baths ~ su erior -15 000 Total ~ Bdrms ~ Baths ~ avers e - Total ~ Bdrms ~ Baths ~ Room Count 7 ~ 2 ~ 1.5 7 ~ 3 ~ 3 ~ -12,000 10 ~ 5 ~ 3 ~ -12,000 ~ 3 ~ 2 ~ -4,000 8 Gross Livin Area 2 328 S . Ft. 2 288 S . Ft. ~ 0 2 764 S . Ft. ~ -10 900 2 920 S . Ft. - -14 800 Basement & Finished Rooms Below Grade Partial, P. Finish RR cedar closets Concrete Slab +8,000 none +2 000 Concrete Slab +8,000 none +2 000 Concrete Slab +8,000 none _ +2 000 Functional Utili averse averse averse avers e - Heatin Conlin Hwtr oiUwall units FWA as/CAC -5 000 FWA as /CAC -5 000 FWA as /CAC - -5 000 Ener Efficient hems ical t ical ical ical - Gara eCar ort 1+ car ara e 3 car car ort -4 000 1 car car ort +5 000 2 car ara a -3 000 Porch, Patio, Deck, Fire laces etc. Porch, Patio Fire lace Brzwy,2 Patios -3,000 Fire lace Patio, Cov. Balc. ~ 2 Fire laces -3 000 Pat.,Cov.Pat. Fire lace _ Fence Pool etc. none P. Fence/Securit ~ -2 500 none IGPooI enclosed ~- -10 000 Net Ad'. total (] + - -48 500 + - -30 197 ~ + n - ; - 2 200 Adjusted Sales Price of Com arable Net 14'.3 % Gross 24.9 % 291 500 Net 9.7 % Gross 25:9:% 279 703 Net 0.8 % Gross 29.7 % 284 700 Comments on Sales Comparison (including the subject property's compatibility to the neighborhood, etc.): The closed sales displayed are considered to be the most com arable and the best indicators of value for the sub'ect ro ert .The com arables are iven a ual consideration. These com arables set the ran a of value for the sub'ect ro ert . Gross livin area lot size ear built were obtained from Count tax assessment records and deemed as accurate. In the event it is determined that an of the information from ublic records is inaccurate we reserve the ri ht to review and or revise this re ort and conclusion of value stated within. See Addenda - ITEM SUBJECT COMPARABLE N0.1 COMPARABLE N0.2 COMPARABLE. N0.3 Date, Price and Data Source, for prior sales within ear of a raisal No Prior Sales within the last 36 months 9/10/2002 $273,200 Public Records 2/25/2004 $273,200 Public Records 7/17/2000 $203,000 Public Records Analysis of any current agreement of sale, option, or listing of subject property and analysis of any prior sales of subject and comparables within one year of the date of appraisal: The sub'ect is not current) under contract or listed in the o en market. Other rior transfers of the com arables occurred over 12 months a o. The sub'ect has not transferred within the ast three ears. - INDICATEDVALUEBYSALESCOMPARISONAPPROACH ............................_..._-...__-.---------...------- ------- -- ------ - -- ---- $ 280000 INDICATED VALUE BY INCOME APPROACH if A licable Estimated Market Rent N/A o. x Gross Rent Multi lier N/A = N/A This appraisal is made "as is" subject to the repairs, alterations, inspections or conditions listed below subject to completion per plans & specifications. Conditions of Appraisal: No warranty of this appraisal is given or implied No liability is assumed for the structural and/or mechanical elements of the sub'ect ro ert . Flnal Reconciliation: Due to the lack of quality and quantity of rental data the Income Approach was considered inappropriate and not: utilized. Greatest wei ht is iven to the Sales Com orison A roach since if reflects the t ical actions of bu ers and sellers in the market lace. Cost A roach is not a licable due to a e of the sub'ect. "Date of Death of Evel n B. Shedlosk The purpose of this appraisal is to estimate the market value of the real property that is the subject of this report, based on the above conditions and the certification, contingent and limiting conditions, and market value definition that are stated in the attached Freddie Mac Form 439IFNMA form 10046 (Revised 06/93 ). I (WE) ESTIMATE THE MARKET VALUE, AS DEFINED, OF THE REAL PROPERTY THAT IS THE SUBJECT OF THIS REPORT, AS OF June 20, 2010"' (WHICH IS THE D INSPECTION A HE EFFECTIVE DATE OF THIS REPORT) TO BE $ 280,000 APPRAI SUPERV PPRAI ER (ANA ~tRED)~~~~ Si nature Signaturi c , ! ---'fir"`'! ®Did ^ Did Not Name k n PA n I Real state raiser Name Pamela M. Reitenbach PA Cert.Gen.R.E.A~ fnspc;ct Property Date Report Signed 8/11 10 Date Report Signed 8/11 /2010 State Certification # RL139822 State PA State Certification # GA001804 State PA Or State License # State Or State License # State _ ... .._ __ onr_G ~ n~ ~ Fannie Mae Form 1004 6-93 Form UA2 - "WinTOTAI" appraisal software by a la made, inc. -1-800-ALAMODE in Fil N 1.Q47 1 M UNIFORM RESIDENTIAL APPRAISAL REPORT MARKET DATA ANALYSIS hese recent, sales of properties are most similar a market reaction to those items of significant variati favorable than, the subject property, a minus (-) ad favorable than, the subtect property, a plus (+) ad nd proximate to subject and nave peen con on between the sublect and comparable pro justment,is made, thus reducing the indicat justment is made, thus increasing the indica siaerea m me marice> analysis. ~~~ uGSaipuun ~~~~~u~~~ a ~~~~a~ a~,~~~~~ti~~,, ~~~~~~~.~~ perties. ff a significant item in the comparable property is superior to, or more ed value of the subl'ect. If a significant item in the comparable is inferior to, or less ted value of the subject. ITEM SUBJECT COMPARABLE N0. 4 COMPARABLE N0. 5 COMPARABLE N0. 6 220 Garrett Lane Address Cam Hill 2870 Sunset Drive Cam Hill PA 17011 Pra>am' to Sub'ect 0.54 miles NE Safes Price Pric Gross Livin Area N/A ~ 299 500 161.98 ~ `~' _____ `/' Data and/or Verification Sources inspection ublic records MLS #10182742, agent Ext. Ins ection & Public Records ' VALUE ADJUSTMENTS DESCRIPTION DESCRIPTION ~ + - $ Ad'ust. DESCRIPTION + - $ Ad'ust. ust. DESCRIPTION ~ + - $ Ad Sales or Rnancing Concessions Conv./DOM 11 Cls. Cost / Re air ~ -5 000 Date of Sale ime 9/15/2009 - Location suburban suburban - Lea ehold ee Sim le Fee Sim le Fee Sim le Site .94 acre .64 acre +10 000 - ~ew Golf Course residential +30 000 Desi n and A eal Ranch Ranch Quali of Construction avera a avera e - • A e 60 ears 55 rs/E Eff - Condition Above Grade avera a Total ~Bdrms~ Baths su erior ~ -40 000 Total ~Bdrms~ Baths ~ Total ~Bdrms~ Baths ~ - Total ~Bdrms~ Baths Room Count 7 ~ 2 ~ 1.5 7 ~ 3 ~ 2.5 ~ -8,000 Gross Livin Area 2 328 S . Ft. 1 849 S . Ft. ~ +12 000 S . Ft. ~ S . Ft. ~ - Basement & Fnished Rooms Below Grade Partial, P. Finish RR cedar closets Eq,Finished/WO -2,000 2Bed Bath RR -10 000 Functional Utili avera a avera e Heatin Coolin Hwtr oiVwall units Hwtr oil /CAC -5 000 Ener Efficient items ical ical - Gara eCar ort 1+ car ara e 2 car ara a -3 000 Porch, Patio, Deck, Fre laces etc. Porch, Patio Fire lace Porch +3,000 2 Fire laces -3 000 - Fence Poal etc. none none Net Ad'. total n + ~ - ; -21 000 ~1 + -I - ~ f-1 + n - ~ - Adjusted Sales Price of Com arable Net 7.0 % Gross 43.7 % 278 500 Net % . Gross 96 Net % Gross % - Date, Price and Data Source for prior sales within ear of a raisal No Prior Sales within the last 36 months 5/25/2001 $150,000 Public Records Comments: The subject is not currently under contractor listed in the open market. Neither the subject or the comparables have transferred within the ast three ears. - • Market Data Analysis 6-93 Farm UA2.(AC) - "WinTOTAL" appraisal software by a la made, inc. -1-800-ALAMODE ~,omputershare Cnmputershare Investor Services 250 Royall Street Canton Massachusetts 02021 www.computershare.com MICHAEL L BANGS ESQUIRE 429 SOUTH 18TH STREET CAMP HILL PA 17011 November 18, 2010 Company: WINDSTREAM CORPORATION Registration: EVELYN B SHEDLOSKY Holder Account Number: 01000929936 Document I.D.: 10314WF00818432 Our Reference: WIN/0002821922/3/66206/SB Dear Sir/Madam: Thank you for contacting Computershare, the transfer agent for WINDSTREAM CORPORATION. We appreciate the opportunity to be of service to you. Please be advised that the stock market was closed on June 20, 2010. We are therefore providing the following information based on the previous business day's closing price. On June 18, 2010, the above account held 280 shares. On that date, the closing price was $].1.33 per share. If you have Internet access, please consider electronic delivery -it's fast, convenient and environmentally friendly. When you consent to electronic delivery, WINDSTREAM CORPORATION will plant a tree on your behalf with American Forests, a leader in tree planting for environmental restoration. Sign up today at www.eTree.com/windstream. Should you have other account related questions, please call us at (800) 697-8153 during regular business hours. Please note that any available representative can assist you. Sincerely, Service Representative Enclosure: None ~8'6ZZ`OI$ ~'n1°~ LZ't~ $ 1sa.~a~u1 par~~ra.~~ LS'SZZ`OI$ y1naQ~o a~nQ uo aaun1ng 80/IZ/t~0 a~nQ ~uzuadp ti{so1P~fS 7 uo` tilSO1P~fS S urClang (~o saum~) diys.~aun~p L8£L£Z616£OOI £ .~agiun~ lurioaay llsodaQ~o altia~il.~a,' lunooa y~o adrC,~ 'Z .............................................................................................................................................. 06'Z $ 1sa.~alu1 parua~d 0£'9t~£`Z6$ i{1tiaQ~o a1nQ uo aauv1ng 80/6Z/ZO a~nQ ~uruadp ~ISO1P~fS 7 UOl ~C~{soTpayS g u~C1a~~ (~o saum~) d{ysa~auMp SOZL£99I Zt~00SI ~cac{um~ ~unoaad ~unoaa~I s8uinnS ~unoaab~~ ad~C,~ ' I :~uTmoijo~ aye xtreq site tpinn ~isodap uo pay ~uapaaap pau~~u-anogE atp `y~~ap ~o atui~ atp ~~ ~~tp pasinp~ aq as~aid `0 i OZ `OZ ~Cinr uo ~C.imbuT .~no~C .~aa :TZT~p~~ .zo .zis .z~aQ O I OZ OZ aunt :q~eaQ ~o a~EQ B~bL£-8 i - i 6 i ~ ~i.znaaS I~taoS ~soipags g u ian~ ~o a~~~s~ :a~ I IOLI '~'d `tliH diu~~ ~aa~~S u;8i ~~n~S 6Zb n~>~Z ~~ s~auso~~~ aa~~0 M~Z s~u>eg 0 T OZ `Z lsn~ny SS6Z-b£6 (ZO£) x8 d 6ti£~-ZOS-888 auoud saatnias auaw~snfpy 9966[ ~o `oso9stl?W `PEO2I tTaua;?W 66b saatn.ias ~uaui~sn['pd a~gcuix ~ uu~zn `SCI .zaauts ;uauiaa,~ ua;3~M g aapun L ao'aa,CBd aege;uasaadag `saa~u~iZ uuo3~f13o ~'!P~~ `~Cauio~~ ;o ran~od sg paw uaaq and ~~u pas~ap aq; ~~M ut s;unoooe ,dug apnpcn ;ou saop ia~ai ~uapaaap pauot;uatu-a~ogB au; ao3 xoq;isodap a3es ~fu~ a;eao~ o; a~gcun aaa,ti aM '0£LI-I£L-LIL# Ig a~.330 ~~Id a.~ogS i~M aq; II~ ~~Id spun33o;uauiassnqunaa ao/pue saanso~'uot;euiio3u~;uno~~e saq~n~ ao3 e ~ .. 4 - { ~°.~ ~ ~~~ ~ .~ ~~~~ I, EVELYN B. SHEDLOSKY, of Cumberland CGUnty, P~;nnsylvania, declare this to be my sole codicil to my last will dated March 18, 2005. ITEIVI I. I hereby revoke ITEM V of my Will and in lieu ~:nereof provide as follows: ~~ ,. ITEM V. I appoint my son JON L. SHEDLOSKY Executor of this my last Will. ITEM II. In all other respects, I hereby ratify, confirm any? republish my Iasi: will dated March 18, 2005, together with this sole codicil :.~~ and for my last ~.~:~i;l. r IN WITNESS WHEREOF, I have hereunto set my hand end seal this ~ ~ ~~ day of ~ ~~~Cc~, , 2007. ,; ~ ~ *'t ~' -. ~ -- - EVELYN SHEDL_,:~ SKY 1 Signed, published, a~ld declared on the date hereof by the ~ ~ r ve-named tee 4atrix as and for the sole codicil to her last will dated March 18, 2005, in the pre: ~~c:nce of us, v~~ro at her request, in her presence, and in the presence of each other, have sr -?~ Bribed our ra ~~nes as witnesses hereto. n ~, r' l _~ 2 COMMONWEALTH OF PENNSYLVANIA ) ( SS.: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed ~:o the attached or foregoing instrument, having been duly qualified according to law, does herby acknowledge that I signed and executed the foregoing instrument as my sole codicil to my last will, that I signed it willingly; and that I signed it as my free and voluntary act for the ,purposes therein expressed. EVEL H D~OSKY Swon:; c-r ate rmed to and acknowledged before m~ by t e testatrix named above tl~l c'~.y of ; ~~ C 1 , 2007. t~TE'~. ~-'~~ ' ~ ~JW~ `~~i.f W6J i4".rt~t`~~Sp1i'iy~~'~ fy~~~i ., ~s4~5 r'~1~~raF"~L :illS !":a ~y`~~:7 ~~~/ otary Public ~-~:~:~~~-; COMMONWEALTH OF PENNSYLVANIA ) ( SS.: COUNTY OF CUMBERLAND ) WE, ~~ , vh~.~1 ~.... ~ P~ ~ ~ 5 and ~`~ ~'~ ~ S - ~~~ S~}~ f ,the witnesses whose names are signed to the attached or foregoing instrumen ,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 sole codicil to her last will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes therein expressed; ti'_at each of us in the hearing and sight of the testatrix signed the codicil as witnesses; and that *..o the best of our knowledge, the testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. Swc~•n or uffirn ',~e ol;p ~me ~ isG ~i ~ ~~( .~ I~otarv Public and ac owl " dged y of !"~1~~007. ~ i~~ NOTARIAI.3EAL I WENDYS. Cl~s^9Rp, LowsrMen Twp., Cu~ ~~ A~ay 10, v/~~ ~~~ I, EVELYN B. SHEDLOSKY, of East Pennsboro Township, Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker ~ and all expenses of my last illness, and any and all taxes and assessments imposed by any .,~V governmental body as a result of my death, whether on property passing under this will or otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II. I acknowledge that I made a gift to my son Tod (~. Shedlosky of securities that had a value of $265,597.00. In order to treat both of my sons the same, equally and fairly, I hereby make a specific bequest to my son Jon L. Shedlosky in the amount of $265,59'7.00 from c my estate. In the event that there are insufficient assets to equal $265,597.00 at the time of my death in my estate, then I give, devise and bequeath all of my estate to my son Jon L. Shedlosky. ITEM III. In the event that my estate has a value in excess of $265,597.00 at the time of my death, I give, devise and bequeath all of my estate, including all of my household goods, automobiles, jewelry, and all other articles of household and personal property, together with all insurance thereon and relating thereto, and all the rest, residue, and remainder of my pc>ssessions and estate of every nature and wherever situate in excess of $265,597.00 in equal shares to those of my issue, per stirpes, who survive my death by thirty (30) days. 1 ITEM IV. All of the interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation nor shall they be subject to azy execution or attachment. ITEM V. I appoint my sons JON L. SHEDLOSKY and TOD G. SHEDLOSKY co- executors of this my last will. ITEM VI. In addition to the other powers and authorities granted to my personal representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court '`~ approval and until actual distribution of all property: to compromise any claim or controversy; ~~-~ ~ to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as `.,,~ ~ my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for F~ nnsylvania fiduciaries, as my --~ personal representatives deem proper, without regard to any princ~.ple of risk or diversification• r~ to retain any or all assets of my estate, real or personal, without regard to any principle of risk or ~--- d diversification; to sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices and upon such terms or conditions as my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives deem proper in their sole discretion. ITEM VII. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. 2 IN WITNESS WHEREOF, I have hereunto set my hand *llis ~ ~ __ day of Qh ~~ , 2005. EV LYN B. HEDI;~JSKY V 3 The preceding instrument, consisting of this and THREE e~kl~~r typewritten pages, each identified by the signature of the testatrix was on the date thereof ~~gned, published, and declared by EVELYN B. SHEDLOSKY, the testatrix therein named, as anc' for her last wiir, in the presence of us, who at her request, in her presence, and in the pres~_ nce of each other, have subscribed our names as witnesses hereto. 4 COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing instrument as my last will, that I signed it willing'~~; and that I signed it as my free and voluntary act for the purposes therein expressed. ti ,-~ ~~.~ - EVELYN B SHEDLOSR~ "-,v~orn ~r affirmed to and acknowledged r~N~i.~re ^:e by t~, i na d above ~,~ t ~~ ~)' ~ day f ~ - ~ ~'7 , 2005. Notary Pu NOTARl~ ~, MEIVt~Y S. ~ESER~. Pam 1_ ~''7 \it~°a ice'&°'u~ c~...it.~~{t~~r ~~:'~' `l~, ~~~r- COMMO TH OF PEI~'NSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) ~, ~ ~~ C ~ ~~ ~~ WE, ~,~ ~ r!.. /~tw ~.~ and _.~ ~~ ,the witnesses whose names are signed to the attached or foregoing i strumer--_':, being duly qualified ccording to law, do depose and say that we were present and saw the testatrix sign ~3nd execute the :nstrui ent as her last will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes therein expressed; 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, the testatrix was at that tilYle 18 or more years of age, of sound mind, and under no constraint or undue ini S~.n; o, tc or affirmed d acknowledged b:~f~~: i day of ~ %' , 2005. --~ ) J ~ ~~~~. VYENDY S. CNESBRO, PublfC ~ ~ 10~ ~Y 5