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,~'
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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 ~
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PLE E USE ORIGINAL FORM ONLY
Side 1
1,50561,01,05 1,50561,01,05
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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
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-'~!~ 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.
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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~
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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 ~'
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IN THE NA!'~tE OF GOD, Ai`~EV --_ ^~ -. -
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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
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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.
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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.
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CHARLES V, MYERS ~'
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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
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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
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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
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Witness ------------------------------------------------- -------------- - Road,----Toms Raver, NJ 08753
CHARLES V. MYERS -- - - -Y.._~- -
Address - -------
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Witness - --------- -- $5-~---.G-l-en~ti_Qod--Circle,---To>?;s River, ~~J
RUSSELL E. MILLS Address - -- -
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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