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HomeMy WebLinkAbout03-29-111,50561,D1,05 REV-1500 Ex ~~2-~~> ~F, PA Department of Revenue pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes ~~`.,; ~:. °~ "'~~"°~ Gounty Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN ~ ,,~ _~,~ Harrisburg, PA 17128-0601 RESIDENT DECEDENT ~` ~ ~ I, ~ --~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Mh1DDYYYY Date of Birth MMDDYYYY 140-30-9448 07/01 /2010 10/16/1939 Decedent's Last Name Suffix Decedent's First Name MI BROWN WALTER A {!f Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI BROWN KATHLEEN Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE 137-42-4474 REG~$TEf2 ~F WALLS FILL IN APPROPRIATE OVALS BELOW C~1 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) O 6. 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 under Sec_ 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE: DIRECTED TO: Name Daytime Telephone Number KATHLEEN BROWN (717) 218-0109 First Line of Address 1 SHEELEY LANE Second Line of Address City or Post Office State ZIP Code BOILING SPRINGS PA 17007 Correspondent's a-mail address: IISSJB@HOTMAIL.COM REGISTER O~'iylll_LS USE Ol~lt,~' ~._.. - .. ~.." r") ~.... ,~ ... r , -t7 ,-_. ,I_:'~ .~ ~:.. a.__ -:. :. r.r., ~ y r::~ r- , `_:.~ _. =__ ,_ ~.~ i .., i-~ f~ 3 -- ... _ :. _ . ._ ~, .. "' _ - ~. I~fE~+FILED ~' -- .~ ~,,~ ~;,; unoer 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 t-~as any knowledge. SIGNATU E F P R O RESPONSIBL FOR FILING RETURN DATE= -2 3 --1 f ADf~~:F~'~ ~ -~ . SI ~ E PR RER~OTHER THAN REPRESEN ATIVE DATE i "~ ~ ~ ~' `' ADDR S ~ r PLE E USE ORIGINAL FORM ONLY Side 1 1,50561,01,05 1,50561,01,05 y-•1 ~,~ `f i''r' ; G -.z 150561205 REV-1500 EX (1=1) Decedents Social Security Number Decedent's game: WALTER A. BROWN 140-30-9448 RECAPITULATION 1. Real Estate {Schedule A) ....................................... . .. . .. 1. 120,000.00 2. Stocks and Bonds(Scheduie Bj .................................. ..... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C} ..... 3. 4. Mortgages and Notes Receivable (Schedule D) ...................... ..... 4. 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)... .... 5. 19,403.94 6. Jointly Owned Property (Schedule F} O Separate Billing Requested ... .... 6. 7. Inter-Vivos Transfers ~ Miscellaneous Non-Probate Property (Schedule G} O Separate Billing Requested.... .... 7. 441,010.47 $. Total Gross Assets (total Lines 1 #hrough 7j ......................... .... $. 580,414.41 9. Funeral Expenses and Administrative Costs (Schedule H) ............... .... 9. 8,685.75 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ........... .... 10. 11. Total Deductions (total Lines 9 and 1 Q} ............................. .... 11. 8,685.75 12. Net Value of Estate (Line $ minus Line 11 } .......................... .... 12. 571,728.66 13. Charitable and Governmental BequestslSec 9113 Trusts far whi h c an election to tax has not been made (Schedule J) .............. . ... . . . . . . 13 14. Net Value Subject to Tax (Line 12 minus Line 13} ... . , , , 14, 571,728.66 TAX CALC ULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 15. 16. Amount of Line 14 taxable at lineal rate X .0 ~ 16. 17. Amaunt of Line 14 taxable at sibling rate X .12 17, 1$. Amount of Line 14 taxable at collateral rate X .15 1$ 19. TAX DUE ...................................................... ... 19. 0.00 20. FILL IN THE OVAL iF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 ~, 1,50561,D205 1,5D561D2 05 O J REV-1500 EX (Ffs, Page 3 Fife Number Decedent's Complete Address: DECEDENT'S NAME WALTER A. BROWN STREET ADDRESS - - - 1 SHEELEY LANE BOILING SPRINGS --- - - - - ~! STATE -- --- -~ ~~~--- -- PA 17007 Tax Payments and Credits: 1. Tax Due fPage 2, Line 19} f 1} 0.00 2. CreditslPayments --- A, Prior Payments - _- - -- - - B. Discount Total Credits f A + B } f 2} 3. interest ____ f3} 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. f4} 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (~} 0.00 Make check payable to: REGISTER OF WILLS, AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes Na a. retain the use or income of the property transferred ........................................ ........................................... ....... Q b. retain the right to designate who shall use the property transferred or its income ..................................... ....... ^ c. retain a reversionary interest ............................................ . d. receive the promise for life of either payments, benefits or care? ................................ ............................... ^ ....... 2. if death occurred after Dec. 12, 1982, did decedent transfer property tivithin 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 captains a beneficiary designation? ........................ .....,............-.. .............. . ~ n IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE !T 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 far the use of the surviving spouse is 3 percent [72 P.S. §9116 fa) {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{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-=~~2 EX~ (~i.-.;.~) ~ pennsylvania DEPA~Tf~IEf~T GF REVEN~JE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE A REAL ESTATE WALTER A. BROWN FILE NUMBER: 21-10-074!a 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 sell, both having reasonable knowledge of the relevant facts. Real property that is jointly-owned with right of survivorchin muct hs+ ~ier~neo~ ,,., c..tiea..~e ~~ ~~~~~~ ~Na~~ ~~ iiCCUCU, use aaaiuonai sneers of paper of the same size. REV-~5o8 EX-~ {lz-lo) ~ pennsylvania DE?ARTMEN7 CF REVENUE INHERIT?,NCE TF,X RETURN RESIDEfJT DECEDEPJT SCHEDULE E CASH, BANK DEPOSITS & MISC. PERSONAL PROPERTY ESTATE OF: WALTER A. BROWN FILE NUMBER: 21-10-0749 Include the proceeds of litigation and the date the proceeds were received by the estate. Ail property jointly owned with right of survivorship must hP ~ierlnep~ .,n c~~oa..~e c -~ ~ ~ ~~~ ~ ~ru~~ o~ ~ ~=~UCU, UDC auwuonai sneers or paper of the same size. ~ Q ~' ~ CS ~ .r , L ~ ~ ~ ~ a ~ ~ r b ~' ~ _ .- 41 ?~ Q Z ~$ _y ~~ ~~,~ ~~ ~ J V ~ ~ tt~ ~ b/j ~ r Y V ~ '\~ ~..., y O "~ -r ~ ~.. ~~ y y ~ Z ~ ~ y ~= ~, v =~ ~~ ~ ~; L1J y ~ y C C W C '` ~ ` 0 ~ ~ ~~~ Q v O fi Q ~ +~, ~ ~ ~ U ~, O I'- O ~ ~ ~ v` •~ , M 1 ~~ W ~ CS ~ ~ N G1C V ~>,s ~ ~ ~ c _ _~ ~ ~ ~ C' C CI ~ C ~ e, ~ ~ v ~ y v 1 H A V _1 nn~ y v W ~ y C c~ t r ~ \ V L Z Q ^ h y i L1J O ~ ~~ ~ ~, O ~ ~ ~ ~ ~ ~ V N ~ ~ _O .U y ~ Oi;; ~_ ,c .~ a~ : ~ ~ ~ rte' +~: ~ J V ~ ~ ti ~ 0 o° } T W O Z (+~ O ~ O Z 0 U _ O M ~ ~ Ol a O ~ ~ ~ O ~ o o z '~ o ~ z ~ °~- N r-m QQm~, 0 w gz ~ u., J Z w U z Q v 2 F- Z F-- Q J ~ I I j ~ ~ ^ I ~o'~~~ ~ _N I (~ N ~ ~ ~ I 01 E.n ~ i ~ I I w t ! I rn~o ~ I ~ ~ I ~ m N v? I to ~ ~ i I r- it i W O O m ~ ~ I ~ iM ~I~ ~ ~,~ ~irn~a'- ~,' - Im ~ m I N i ~ ~- ~, i I ^! rn m m W I O ~ ' ~ J I ~ N ~' I ~ W I bA v~ m 01 ~ d. N ~ (~ N 00 a? I m m N ~ tp ~ ~- ~^ ~ m ~ m N I v~ i +'°~ I w I ~ ~ ~ I ~ ~ ~ ~QI a• ~ o _> ~ ~. i ~ ~ ~ I 0 j C/1 U O ~ Q ~ N I a-. I G1 ~ ~ ~ I ~ ~, ~! c rtr ~ I ~ v ~ ~ I ~ ~ ~ i o ~ ~_ I~ N I~ V I i H _ ~ Z O .~ O U _" V Q ~ Q u- O ~ _ ~ ~ W~ _N C! N ~ a~ ~ . vl ~_ O v ~ ~ ~ ~~ ~, ~ ~ a ~ ~_ ~' w z~}~ ~ ~ m ~ I I I Q Q I O ro ,~ ~ ? _~--~w~-~V _ ~ Q J Z W z ~ ~ Z~ Z( ~ ° ~ v' b I ~° ~ 2 _ O ~ ~ O I ~ ' I _' 3 o~ to Q -~ m ~ ~ u Q l ~ m ~ m l ~ ~ ~ ~ r~ ~ ~ uM W ~ .v C _°~ ~ O ~, ~ ~ ~ ~ [~ o LC) O _ ~ O M Ev ~' O r °1 ~ ~ LL ~~ i U ~;; .Q •• 3 3 o m . n m r- to 0 -'~!~ Crown Classic Banking ~+~ 01 1010049591158 752 30 0 5 N~~CHOVIA 00019653 .._--= I~~~111~~~111~~~lI~~~I~„II~I~„I~~I~,II~I~„III~~~~~~II~„III KATHLEEN BROWN 1 SHEELEY LANE PB --~--• BOILING SPRINGS PA 17007 77,411 Crown Classic Banking . 6/09/2010 th ru 7/09/2010 Account number: 1 01 0049591 1 58 Account owner(s): KATHLEEN BROWN Account Summar Opening balance 6/09 $8 722 92 Deposits and other credits 12 887 57 + Interest paid 0 43 + Checks 1,385.56 - Automated Checks 1,537.27 - Otherwithdrawals and service fees 240.00 - Closing balance 7/09 $18,448.09 Deposits and Other Credits ~~.1~.InC-~ ~~s ~~ 4 3~~ ~ ~ ~~ ~ ~~ 1 . I `~ Date Amount Description 6/16 1,574.00 AUTOMATED CREDIT US TREASURY 303 SOC SE C CO. ID. 3031036030 100616 PPD 6/30 3,236.77 AUTOMATED CREDIT PUBLIC SERVICE E PAYROLL CO. ID. 1226102729 100630 PPD 7/08 8,076.80 TRANSFER FROM 3000083366726 7/09 0.43 INTEREST FROM 06/09/2010 THROUGH 07/09/201 Total $12,888.00 0 Interest Plumber of days this statement period Annual percentage yield earned Interest earned this statement period Interest paid this statement period Interest paid this year Checks Number Amount Date 2630 25.22 6/09 2633* 200.00 6/11 2634 26.34 6/09 * Indicates a break in check number sequence 31 0.05% $0.43 $0.43 $2.34 Number Amount Date Number Amount Date 2636* 2638* 10.00 6/10 2644* 100.00 6/21 26 24.00 6/15 otal 1,385.56 39 1,000.00 6/18 _ (checks could be listed under Automated Checks) WACHOVIA BANK , CARLISLE page 1 of 3 '~ACHOVIA Crown Classic Banking 02 1010049591158 752 30 0 5 77 412 Automated Checks Number Amount Date Description 2637 44.52 6/18 AUTOMATED CHECK TRUGREEN CO. ID. 0480000472 100618 ARC CHECK PYMT MISC 2637 2640 48.67 6116 AUTOMATED CHECK VERIZON WIRELESS ECKD501901 CO. ID. 1223372889 100616 POP MISC 2640 CARL PA 2641 40.32 6/15 AUTOMATED CHECK KOHLS DEPT STORE 8005645740 CO. ID. 30015440W2 100615 BOC MISC 2641 2642 59.90 6/21 AUTOMATED CHECK MET-ED BILL PYMT CO. ID. 2258580002 100621 ARC MISC 2642 2643 33.53 6/21 AUTOMATED CHECK DIRECTV INC CHECKPYMT CO. ID. 5954321465 100621 ARC MISC 2643 2646 30.15 7/09 AUTOMATED CHECK UGI UTILITIES UTIL PMT CO. ID. 231174060 100709 ARC MISC 2646 2648 1,280.18 7/08 AUTOMATED CHECK CHASE CHECK PYMT CO. ID. 9200602070 100708 ARC MISC 2648 Total $1,537.27 Other Withdrawals and Service Fees Date Amount Description 6/18 40.00 WITHDRAWAL Wells Fargo Bank 06/18 CARLISLE/FC CARLISLE PA 8051 S000716 6/21 200.00 WITHDRAWAL Wells Fargo Bank 06/21 CARLISLE/FC CARLISLE PA 8051 S001245 Total $240.00 Many employers offer, at no cost to you, the option to automatically deposit your paycheck into your checking account via Direct Deposit service. With Direct Deposit, your check will never be lost or stolen. Also enjoy direct deposit of your social security, retirement, disability, periodic interest payments, and financial aid. Talk to your employerlprovider or visit a banker and see how easy it is to set up Direct Deposit. WACHOVIA BANK , CARLISLE page 2 of 3 ~~ pennsylvania oEr~A=rr~ENr eF atvr-~uE INHERITANCE :TAX RETIRN R=SIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF WALTER A. BROWN FILE NUMBER 21-10-0749 This schedule must be completed and filed if the answer to any of questions :through 4 on oaae three of the Rev-~ inn ~~ rP~ i~ ~~~~~~ a~ra~c ~~ r~eeuea, use aaaizionai sheets of paper of the same size. ~~~~'' Z W W v / Q .Z O O N Uz Q~ 1 ~ v o. G z W Z o E a 3 ~ g ~ .~ m ? p ~ ~ - o ~ o Ev m~ C Cc2 ~ t { ^r\ u ~ !•1 ~ n • ! •• 3 c3 ~ n m ~ ~ +, wicol~'~' i ~ o oo ~ °' o 00 0 _~ ~ 0 ~~ ~ 0 (~ J ~ N I rV l ^ I ~ ~ > I ~- U ark 4> ti ~ -~ y I oo m l Z ~ ~ ~ ~ I lr1 V1 v~~" L O~~ i w c~ l w l~ i to _T ~ !~ ~ ~ Z I I ~ I I v.4 a 4~ ~ ~ ~ L CS Q I I U j 1 ~ I I ~ ~ ~ ~ y L Ct v ~ I ' m l~ l I O~ ~ -ti y '~ ~ rn o ~ ~ ~ N pmj I rn j ~ ~ ~+ ~ ~ ~ ~ ~ ~ j ~ ~ N N " ~ ~ Q y~ CS ~~ L ~ '1' Q1 m j Q i I J I ~ M i tf5 i H9 ~ ~ ~.. ~ ~ 'ti' Q ~ ~ ~ y J I I I I I ~ I I O ti ~ M y ` W +v C ~ ~ ~ I i JJI I i I j j W~ ~' O~ h ^C ~° ~ ~ I oo I rn ~ N~ i I V ~ ~,' ~' ~ r" J m ~ n' ~ ~ I W i 3 ~'~-~ w~b- ~~~I °icc cc Z~~ ~~ Q ~ ~ I m I M ~ N l~ ~ w 1 C y ~ ~ ~ ~' ~ [`, ~ I i ~ +i- V I ~ i i W=~ i ~~ v ~ ~ ~ v I i ~ I ~ ~ I ~ ~ O ~~.W./ p 0 ~,~ ~~„ ~.i ~,~ ~ v ~ ~ ~: I ~ I I I I I a ~ r V Ij ti `~ •v y ~_ ~ I I ~ i O ~ ~ ~ ~ i y ~ ~v Ci J~ ~ 'y L I ~ I ~" i I ~ ~ 0 Q I '~~ OO ~ j ~ I i O Q '- ~~ I L ~ I I I ~~ O z _ ~ a, ~ ~ Q ~ I ~I ~ -= - ~' ~. I ~ I °' U ^ = ~~ , >~ w ~ I v I~ d I i i D M ~ ~ ~ '"~ ~ ~ } I t I y ~ v l I c ~ ~ I ~ -~ ., ~ ~ i i F- j I I~ I~ ~ ~ _ ~ ~ i ~. O _ O V ~ ~ .a l ~~ . '~ - V Q °I~~ ''~ ~ o Z '-' -- N _ V ~ ~ ~Oz a - a i ~~~ o~/ Li. 2 ~ = T l ~ i v ~ O z ~ ~~ O j v f Q~ m O g z ,.~ ~•. o ~ w ~ I U I i r'ss W ~ ~ O~ w W N ~ ~ m ? i i I D I i~ ~ inQ=Zwz - ~ zi~~°~ ~~ C a ~ > o~~~--~-J ~ C = D ~I~i i l o~Y~.-m = ~ -I o' ~'r v Q l m m I F- ~ i- CO N O C7 O 11Z. 1.L. O U_ O R E'J~- . ail ~;x a ! 1 ~? - t~ ~ ` pennsylvania DEPARTMENT pF REVENJE IiJHERITANCE TAX RE`JRN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE OF WALTER A. BROWN Decedent's debts must be reported on schPd~~ip r FILE NUMBER 21-10-0749 -• •••~~ ~ .,r,.,... ~~ ~~~~~~:+, we auuiuuuai 5neets or paper or the same size. Cocklin Funeral Home, Inc. ~30 N. Chestnut St. Dillsburg, PA 17019 (717)432-5312 July 15, 2010 Mrs. Kathleen Brown 1 Sheeley Lane Boiling Springs, PA 17007 The Funeral Service for Walter A. Brown We sincerely appreciate the confidence.you have placed in us and will continue to assist feel free to contact us if you have an ti i you in every vvay we can. Please y ques ons n regard to this statement. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES, FACILITIES, AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAKING THE FUNERAL ARRANGEMENTS. Professional Services Funeral Director & Staff 3,725.001 Total Professional Services ------ -----------~,7~~Zi~ --- Merchandise Casket -Gemini Copper Graveliner 1,995.010 800.00 Total Merchandise Selected ------ -----------~~,~~~~ ___. AT THE TIME FUNERAL ARRANGEMENTS WERE MADE, WE ADVANCED CERTAIN PAY MENTS TO OTHERS AS AN ACCOMMODATION. THE FOLLOWING IS AN ACCOUNTING FOR THOSE CHARGES Cash Advances . Cemetery Opening & Closing Newspaper Notice -Harrisburg 875.00 Certified Copies 170.07 Flowers 30.00 Cemetery Lot 135.6;8 Vault Service Fee 800.00 155.01) Total Cash Advances _______ ________ ___ _ _ ~,~ b~'1~~--- CAT FC TAY f)_nn SUB-TOTAL 8,685.75 INITIAL PAYMENT /DISCOUNT /CREDITS 0.00 TOTAL AMOUNT DUE 8,685.75 1'he unpaid balance over 1 days is subjected to a 0 % service charge per month - 0 % per annum. Page 1 ` ~ -`~ h~ ` ~Lt \~~~ •~ ~'\ 1 it ~;? 1 t . ,- .~'' REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA CERTIFICATE 4F GRANT OF LETTERS No . 20 ~ 0- 00749 PA No . 2 ~ - ~ 0- 0749 Estate Of : WAL TER A RRn mini /rust, Middle, Last/ Late Of : SOUTH MIDDLETON TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No: 140-30-9448 WHEREAS, on the 26th day of July 2010 an instrument dated May 31st 1996 was admitted to probate as the last will of WAL TER A BRO WN /rust, Midd/e, Last) late of SOUTH M/DDLETON TOWNSH/P, CUMBERLAND County, who died on the 1st day of July 2 010 and, WHEREAS, a true copy of the wi 11 as probated i s annexed hereto . THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wills in and for CUMBERLAND Count , y, in the Commonwealth of Pennsylvania, .hereby certify that I have this day granted Letters TESTAMENTARY to: KATHLEEN BROWN who has duly qualified as EXECUTOR(R/X~ and has agreed to administer the estate according to 1 aw, all of which fully appears of record in my office a t CUMBERLAND COUNTY CO~'JRT HOUSE, CA RL lSL E, PENNS YL VA NlA . IN TESTIMONY v~'nEREOF, I have hereunto set my hand and affixed the seal of my office on the 26th day of July 2070. Regis ter b f Wi s Deputy ~.1 * *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST 1 i 1 ~' .ti ;`-`1 (1 r" -_ '---r~ -. ~ _ - _ - -~ _, ~-_J IN THE NA!'~tE OF GOD, Ai`~EV --_ ^~ -. - ~ , ~- .--. G.~ :+ I, WALTER A_ BROWN, residing at 42 Lakewood Road, in the Borough of Manasquan, in the County of Monmouth ar_d State of New Jersey, do make, publish and declare this my Last Will and Testament, hereby revoking any and all former Wills ar~d Codicils by me at any time heretofore made, ir. manner following: FIRST: I order and direct the payment of all my just debts and funeral expenses as soor. as converier.t after my decease. SECOND: All the rest, residue and remainder of my estate, real, personal and mixed, wheresoever situate, I give, devise and bequeath to my wife, KATHLEEN BRO:dN, to her, her heirs and assigns forever. THIRD: I authorize ar_d empower my Executrix, hereinafter named, to sell and dispose of any and all of my real estate at public or private sale whenever she, in her judgment, deems it most advantageous for my estate so to do, ar_d to make, execute and deliver good and sufficient conveyances in the law for the same. FOURTH: I hereby r_ominate, constitute and appoint my said wife, KATHLEEN BROWN, sole Executrix of this my Last will and Testament, and I direct that she shall not be required to give any bond for the faithful performance of her duties in any jurisdiction. FIFTH: In the event my said wife, KATHLEEN BROWN, shall predecease me, or in the event my said wife shall not survive me for a period of fifteen days, then and in either event, I give, devise and bequeath all the rest, residue and remainder of my estate, real or personal, to my two sons, namely, KEVIN A. BROWN and STEVEN ,T. BROWN, share and share alike, to have and to hold the same for their owrl use and benefit forever. In the evert either of my said sons shall predecease me, then and in that event, his share shall go to his issue in equal shares, per stirpes, or `, ,,,,. -2- in default of issue, to my surviving sor.. In the above event, I authorize and empower my Executors hereinafter r_amed, to sell and dispose of ary and all of my real estate at public or private sale whenever they, in their judgment, deem it most advantageous for my estate so to do, and to make, execute and deliver good and s~.?fficient conveyances in the law for the same. In the above event, I hereby nominate, constitute and appoint my said sons, KEVIN A. BROWN and STEVEN J. BROWN, Executors of this my Last Will and Testament, and I direct that they shall not be required to give ary bor_d for the faithful performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this _ 5T day of May, One Thousand Nine Hundred and Ninety-six. ~- d WALTER A. BROWN. Signed, sealed, published and declared by the said WALTER A. BROWN, as and for his Last Will and Testament in the presence of us, who, at his request, in his presence, ar_d in the presence of each other, have hereunto subscribed our names as witnesses this ~-, ~~~±day of May, One Thousand Nine Hundred and Ninety-six. ~.~ ,, CHARLES V, MYERS ~' ~: --_-: ,~> 1473_Whitty Road Toms River, New Jersey 08753 853 Glenwood Circle RUSSELL E. MILLS Toms River, ?Qew Jersey 08753 ~ jo0~2 SE-~L PAGE-SELF PROVED ISimuitaneous Execut~onl RVST-1 -3- 2 1979 ALL-STATE LEGAL SUPPLY CO. ONE COMMERCE DRIVE, CRANFORD. N. J 07016 I WALTER A. BROWN the testat or sign my name to this instrument this ~ ~ ' - - `" day of May , 19 9 0 ,and being duly sworn, do hereby declare to the undersigned authority that I sign and execute this instrument as my Last Will; that I sign it willingly; that 1 execute it as my free and z•oluntary act for the purposes therein. ex ressed- and that I am 18 years of age or older, of sound mind and under no constraint or undue influence. p .--- ~i~,`,: L. ~ , - / , • .-~ , WALTER A. BROTti'N Testat or We, CHARLES V . : 4Y ERS and RUSSELL E. MILLS the witnesses, sign our names to this instrument, and, being duly sworn, do hereby declare to the under " authority that the testat or signed and executed this instrument as tiffs szgned Last tiVill and that ~e signed it willingly; that each of us. in the presence and hearing of the testat or ,hereby signs this Will watness to the signang thereof by the testat o r ;and that to the best of our knowledge the testator as years of age or older, of sound mind and under no constraint or undue i~afluence. zs 18 --- ~ - . _- - - --- -- ~. ~._ _ 1473 Whi-tt Witness ------------------------------------------------- -------------- - Road,----Toms Raver, NJ 08753 CHARLES V. MYERS -- - - -Y.._~- - Address - ------- -_ , -- ~ -- Witness - --------- -- $5-~---.G-l-en~ti_Qod--Circle,---To>?;s River, ~~J RUSSELL E. MILLS Address - -- - -------------- 08753 STATE OF 1VEW JERSEY CO LINTY OF T ~ SS. MONMOLTH j Subscribed, sworn to and acknowledged before me by WALTER A. BROW\~ the testat or ,and subscrz:bed and sworn to before me by CHARLES V. MYERS and RUSSELL E. MILLS ,the witnesses, this - = `- day of May 19 9 6 Janet A. Cairney ~--- Notary Public of ti'ew Jersey My Commission Expires June Z7, 2000