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Home My WebLink About04-13-111,50561,01,40 REV-1500 EX (°'_'°' PA Department of Revenue Bureau of Individual Taxes INHERITANCE TAX RETURN County Code Year File Number PO BOX 280601 Harrisburg PA 17128-0601 RESIDENT DECEDENT 2 1 1 0 0 9 0 7 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYW Date of Birth MMDDYYYY 2 2 3 1 8 9 2 6 2 0 8 2 1 2 0 1 0 0 7 2 2 1 9 2 0 Decedent's Last Name Suffix Decedent's First Name MI H U T T O N C H A R L E S E (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS a 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death 4. Limited Estate ~ 4a. Future Interest Compromise (date of prior to 12-13-82) ~ 5. Federal Estate Tax Return Required ^X 6. Decedent Died Testate (Attach Copy of Will) ~ death after 12-12-82) 7. Decedent Maintained a Living Trust A 8. Total Number of Safe Deposit Boxes 9 Liti ation Proc d R i d ( ttach Copy of Trust) . g ee s ece ve ~ 10. Spousal Poverty Credit (date of death ~ 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: Nam e Daytime TelepF sz a Number D A V I D H R A D C L I F F E S Q 7 1 7 ~; 6 `# ~3 1= 8~ First line of address L 0 1 1 M U M M A R O A D Second line of address S U I T E 2 0 I, City or Post Office State L E M O Y N E p A Correspondent's a-mail address: DHRAD@IX.NETCOM.COM ZIP Code REGISTC-{~.fXF'V((~1S USE-ONLY _.. ,,, . __ _; ,) ,. .. __.. ..... --- ........ ___ - _ J P . l,•7 .._.~ >> DATE FILED 1 7 0 4 3 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, rect and compl te. Declarati n of pre rer o r than the personal representative is based on all information of which preparer has any knowledge. SIG T E OF ER RE ON I LE ILI ETURN TE ADDRESS 737 JACKSON STREET _ WOODSTOCK va a~~r,u ~wNH i urct Ur PREFAB OTHER H~E ~~~ ADDRESS 1,011, MUMMA RD TE 20], LEMOYNE PLEASE USE ORIGINAL FORM ONLY Side 1 1,505610140 PRESENTATIVE PA 17043 1505610140 J J 1505610240 REV-1500 EX Decedent's Social Security Number Decedent's Name: CHARLES E• HUTTON 2 2 3 1 8 9 2 6 2 RECAPITULATION 1. Real Estate (Schedule A) ........................................ ... 1. • 2. Stocks and Bonds (Schedule B) ................................... ... 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. ~ 8 3 3 4 . 6 3 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ..... .. 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested ..... .. 7. 5 9 0 4 8 8. 6 2 8. Total Gross Assets (total Lines 1 through 7) ......................... .. g. 6 6 8 8 2 3 . 2 5 9. Funeral Expenses and Administrative Costs (Schedule H) ........ ........ .. 9. 3 3 1 0 ? . 6 3 10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule 1) ... ........ .. 10. 1 6 4 7 . ^ 3 11. Total Deductions (total Lines 9 and 10) ..................... ........ .. 11. 3 4 7 5 4 . U 6 12. Net Value of Estate (Line 8 minus Line 11) .................. ........ .. 12. 6 3 4 0 6 8 . 5 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............ ........ .. 13. 5 ^ ^ ^ , ^ ^ 14. Net Value Subject to Tax (Line 12 minus Line 13) ............ ........ .. 14. 6 2 9 0 6 8 . 5 9 TAX CALCULATION -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 .0 0 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate X .045 ^ ~ ^ ^ 16. ^ ~ ^ 0 17. Amount of Line 14 taxable at sibling rate X .12 0. 0 0 17. 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 6 2 9 0 6 8. 5 9 18. 9 4 3 6 0. 2 9 19. TAX DUE ............................................. ........ . 19. 9 4 3 6 0 c' 9 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ^ Side 2 1505610240 1505610240 REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME CHARLES E. HUTTO__N_ ___ STREET ADDRESS 770 POPLAR CHURCH ROAD CITY CAMP HILL Tax Payments and Credits: ~ ~ Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments _ 87,000.00 B. Discount 4, 578.81 3, Interest 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, 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. File Number 21 10 0907 STATE ZIP PA 17011 (1) 94,360.29 Total Credits (A + B) (2) 91 578.81 (3) (4) 0.00 (5) 2,781.48 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 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; .......................... ..... ^ Q c. retain a reversionary interest; or .................................................................................. d. receive the promise for life of either payments, benefits or care? ........... ....................................... ..... D ~ 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" orpayable-upon-death bank account or security at his or her death? .... ..... Q ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ............................................................... . . . (~ f-I 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)j. 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)j. 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 + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ~~ i H i c ~r FILE NUMBER CHARLES E. HUTTON 21 10 0907 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointlyowned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER VALUE AT DATE DESCRIPTION OF DEATH 1. 2010 FEDERAL INCOME TAX REFUND 1,495.00 2. REFUND -AMERICAN WATER 16.63 3. BB&T CHECKING ACCT #156721212 4. CITIZENS BANK ACCT 5 6 POSTMARK CREDIT UNION MILITARY PENSION 4, 729.25 8,968.55 60, 953.70 934.50 7. IUSPS PENSION (ESTIMATE FINAL AMT) I 1,237.00 TOTAL (Also enter on line 5, Recapitulation) I $ 78,334 63 (If more space is needed, insert additional sheets of the same size) REV-1510 EX+ (08-09) Pennsylvania SCHEDULE G DEPARTMENT OF REVENUE IN~+T~+ER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT CHARLES E. HUTTON FILE NUMBER 21 10 0907 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. DESCRIP ITEM TION OF PROPERTY NUMBER 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 % OF DECD'S INTEREST EXCLUSION TAXABLE 1 EDWARD JONES ACCT (IF APPLICABLE) VALUE . #26715360 152 733 99 100 00 TAX FREE BOND FUND , . . 152,733.99 2. POSTMARK CREDIT UNION IRA 36,816.72 100.00 36,816.72 3. TRANSAMERICA ANNUITY #26235768 217,092.71 100.00 217,092.71 4. NANCY HUTTON -LIFETIME GIFT 10/17/2009 12,000.00 100.00 3,000.00 9,000.00 5. CAROLYN HUTTON -LIFETIME GIFT 10/17/2009 12,000.00 100.00 3,000.00 9,000.00 6. BERNICE HUTTON -LIFETIME GIFT 10/17/2009 12,000.00 100.00 3,000.00 9,000.00 7. MAXWELL M HUTTON, JR -LIFETIME GIFT 03/18/2010 12,500.00 100.00 3,000.00 9,500.00 8. JOHN M HUTTON -LIFETIME GIFT 03/18/2010 12,500.00 100.00 3,000.00 9,500.00 9. PATRICIA H SHIFFLETT -LIFETIME GIFT 03/18/2010 12 500.00 100 00 3 000 00 , . , . 9,500.00 10. NANCY HUTTON -LIFETIME GIFT 08/09/2010 12,000.00 100.00 3,000.00 9,000.00 11. CAROLYN HUTTON -LIFETIME GIFT 08/09/2010 12,000.00 100.00 3,000.00 9,000.00 12. BERNICE HUTTON -LIFETIME GIFT 08/09/2010 12,000.00 100 00 3 000 00 . , . 9,000.00 13. WESTERN NATIONAL ANNUITY CONTRACT #A0200191 101 345 20 100 00 , . . 0.00 101,345.20 TOTAL (Also enter on Line 7, Recapitulation) $ If more space is needed, use additional sheets of paper of the same size. 590,488.62 REV-1511 EX+ (10-09) Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ca i H r t ur FILE NUMBER CHARLES E. HUTTON 21 10 0907 Decedents debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. PARTHEMORE FUNERAL HOME 8,886.71 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) MAXWELL M HUTTON JR 5,950.91 Street Address 737 JACKSON STREET City WOODSTOCK State VA zIP 22664 Year(s) Commission Paid: 2011 2. Attorney Fees: RADCLIFF LAW OFFICE P.C. , 17,589.70 3. Family Exemption: (If decedents address is not the same as claimants, attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4• Probate Fees: 198.50 5 Accountant Fees: 6. Tax Return Preparer Fees: PFISTER 8~ ROMPALO 235.00 7. LEGAL ADVERTISING -CUMBERLAND LAW JOUR 8. NAL LEGAL ADVERTISING -THE SENTINEL 75.00 9. FILING FEES -RETURN & INVENTORY 123.82 10. CHECK PRINTING FEE -ESTATE ACCT 30.00 17 99 TOTAL (Also enter on Line 9, Recapitulation) I $ 33,107 63 If more space is needed, use add~ttonal sheets of paper of the same size. REV-1512 EX+ (12-08} pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, ~ LIENS --'""- `"' FILE NUMBER CHARLES E. HUTTON 21 10 0907 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION vAOF DEATDHTE 1. DR EDWARD LAMARQUE 84 98 2. GOLDEN LIVING CENTER 67.48 3. GENESIS REHAB SERVICES 115.19 4. (COUNTRY MEADOWS I 1,379.38 TOTAL (Also enter on Line 10, Recapitulation) I $ 1,647.03 If more space is needed, insert addifJOnal sheets of the same size. REV-1513 EX+(01-1 r,) pennsylvania DEPARTMENT of REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES ESTATE 0 CHARLE NUMBER I. 1. 2. 3. 4. 5. 6. II. 1 F: :S E. HUTTON NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).] NANCY HUTTON 737 JACKSON STREET WOODSTOCK, VA 22664 CAROLYN HUTTON 3142 HOMESTEAD ROAD ELKTON, VA 22827 BERNICE HUTTON 3112 HOMESTEAD ROAD ELKTON, VA 22827 MAXWELL M HUTTON, JR 737 JACKSON STREET WOODSTOCK, VA 22664 JOHN M HUTTON 3142 HOMESTEAD ROAD ELKTON, VA 22827 PATRICIA H SHIFFLETT 3112 HOMESTEAD ROAD ELKTON, VA 22827 FILE NUMBER: 21 10 0907 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) Of= ESTATE Collateral 18,000.00 Collateral 18,000.00 Collateral 18,000.00 Collateral 191,689.53 Collateral 191,689.53 Collateral 191,689.53 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. ST THERESA'S CATHOLIC CHURCH NEW CUMBERLAND, PA 5, 000.00 TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. I $ If more space is needed, use additional sheets of paper of the same size. 5, 000.00 LAST WILL AND TESTAMENT KNOW ALL MEN BY THESE PRESENTS, that I, CHARLES E. HUTTON, JR. currently residing at Fairview Township, York County, Commonwealth of Pennsylvania, being in good health and of sound and disposing memory do hereby make, declare and publish this as my Last Will and Testament, hereby revoking all former Wills and Codicils heretofore made b:y me. FIRST: I direct that all of my debts not barred by the statute of limitations, expenses of my last illness, funeral. expenses, costs of administration and claims allotted in the administration of my estate shall be paid by my Executor hereinafter named, from my estate as soon after my decease as shall be found convenient. SECOND: I give and bequeath to St. Theresa's Catholic Church in New Cumberland, Pennsylvania, the sum of FiveThousand ($5,000) Dollars. THIRD: I bequeath my automobiles, household and personal effects and other tangible personalty of like nature (not including cash or securities),. together with any existing insurance thereon, to my brother, MAXWELL M. HUTTON. In the event that MAXWELL M. HUTTON should predecease me or not be living within the thirty-first day following my death :[ give, devise and bequeath my tangible personalty to the children of my brother, MAXWELL M. HUTTON, in equal shares, per stirpes. FOURTH: I give, devise and bequeath the rest, residue and remainder of my estate, whether real, personal or mixed, and of any nature whatsoever and wherever situate, to my brother, MAXWELL M. HUTTON. In the event that MAXWELL M. HUTTON should predecease me or not be living on the thirty-first day following my death, I give, devise and bequeath the rest, residue and remainder of my estate, whether real, personal or mixed and of an:y nature whatsoever and wherever situate, to the children of my brother, MAXWELL M. HUTTON, in equal shares, per stirpes. ~, ,r f 1" ,.fit--/~i~ _ ( ,~?~--,.i_.,, i ,; 1 i FIFTH: I hereby nominate, constitute, and appoint my brother, MAXWELL M. HUTTON, as Executor of this, my Last Will and Testament. In the event that MAXWELL M. HUTTON shall predecease me, or be unwilling or unable to act as my Executor, as aforesaid, then I nominate, constitute and appoint my nephew, MAXWELL M. HUTTON, JR., without necessity for posting security regardless of state of residence, as Executor of this, my Last Will and Testament. All references to the Executor herein shall be applicable to said substitute Executor. SIXTH: My Executor shall have, in addition to the powers and authority conferred upon him by law, the following additional powers and authority: 1. To sell at public or private sale, exchange, transfer, partition, give options upon, lease, mortgage, pledge or otherwise dispose of any property, real or personal, at any time constituting a portion of my estate, and upon such terms and conditions as the Executor shall deem wise. 2. To invest any money at any time in such bonds, stocks, notes, real estate, mortgages, life insurance, annuities or other securities, or such property, real or personal, as the Executor shall deem wise, without being limited by any statutes or rule of law regarding investments by the Executor. 3. To retain, without incurring any liability, as investments, any propert owned b Y y me at the time of my death, as long as my Executor may deem it wise, and even though such property is not the kind of property an Executor would purchase as an investment; and even though to retain such property might violate sound diversification principals. 4. To cause any security or other property which may constitute a portion of my estate to be issued, held or registered in the Executor's own name, or in the name of a nominee, or m such form that title will pass by delivery. 5. To consent to the reorganization, consolidation, readjustment of the financial structure, or sale of the assets of any corporation or other organization, the securities of which constitute a portion of my estate, and to take any action with reference to such securities which, ~~ ,` f ,. Jf ~~ ~; ~- in the opinion of the Executor is necessary to obtain the benefit of any such reorganization, consolidation, readjustment or sale; to exercise any conversion privilege or subscription right given to my Executor as owner of any securities constituting a portion of my estate resulting from any reorganization, consolidation, readjustment, sale, conversion or subscription. 6. To pay all costs, taxes, charges and expenses in connection with the administration of my estate, including such compensation to the Executor which shall be in accordance with established fees throughout the period of administration of my estate. 7. To determine what is "income" and what is "principal" hereunder, and my Executor's decision thereon shall be final; and to purchase securities at a premium or discount, and to apply or charge said premium or discount against income or principal as the Executor may determine. 8. The Executor may make payments to or on behalf of any person who is the beneficiary hereunder but in no event, however, shall payments be made to any creditor or other such person because of anticipation of payment by the beneficiary, and any such claim made by way of anticipation by the beneficiary shall be of no validity or legal effect. 9. To borrow money from any person, firm or corporation, including any corporation acting as an Executor hereunder, for the purpose of protecting and preserving or improving my estate hereunder; to execute promissory notes or other obligations for amounts so borrowed. 10. To employ legal counsel, accountants, brokers, investment advisors, custodians, managers and other agents and employees and to pay reasonable compensation out of my estate or any fi,:nds held hereunder to which said compensatior. is a±tributable. 11. To carry on any business owned or controlled by me at my death for whatever period of time my Executor shall think proper, and my Executor shall have the power to do any and all things my Executor deems necessary or appropriate, including the power to close out, liquidate or sell the business at such time and upon such terms as my Executor shall deem best. `~ __. /' ~ / ;. ~' ~; ~;, 12. To do all other acts in my Executor's judgment necessary or desirable for the proper and advantageous management, investment and distribution of my estate. SEVENTH: I direct that all transfer and inheritance taxes, state or federal, assessed because of my death, whether the funds, property or insurance proceeds to which such taxes are attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor pay, or provide for payment of all such taxes at such time, or times, and in such manner as my Executor deems best. IN WITNESS WHEREOF, I, CHARLES E. HUTTON, JR., the Testator to this, my Last Will and Testament, typewritten on four sheets of paper which I have identified at the bottom of each page by my signature, hereunto set my hand and seal the L.~ day of 1'%~ ~ ~ 2000. l.L~ r/ :.r,. CHARLES E. H TTON, JR. The preceding instrument consisting of this and three other typewritten pages, each identified b 5 the signature of the Testator, CHARLES E. HUTTON, JR., this day and date thereof signed, published and declared by CHARLES E. HUTTON, JR., the Testator therein named, as and for his Last Will, in the presence of us who, at his request, in his presence, and in the presence of each other have subscribed our names as witnesses. ~`~~~?~ ~~.1 ,, sec-r v ~ ~. ~l ~ ( / ., 4 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND SS I, CHARLES E. HUTTON, JR., Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. ~~~ , ;; ~ ~ CHARLES E. H TTON, JR. Sworn or affirmed to and acknowledged before me, CHARLES E. HUTTON, JR., the Testator. the JC day of ~f ~'"-~ / ~ , 2000. ~~ ,~ - (SEAL) Notary `Public 7 ,: ; ~=- ;; Notarial Seal Roberta L. Radcliff, Notary Public Wormleysburg Boro, Cumberland Coup My Commission Expires Jan. 20, 200'1 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND .1-.. ~ ~ r ~~,. We - ~ y ~D f~~ >~~iDC1r~' F and R~~r,r~, -~'~..,rr ~ ~ ~'_ ?_~r-~~ ~ _, the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified accordng to law, do depose and say that we were present and saw Testator sign and execute the instrument as his Last Will; that he signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. ...y- i~t (~~, Yom,-v ~ ;,...'. ~,.~-~:Y\,~.~:..=ti~_...-.. ,. ~~ Sworn or affirmed to andsubscribed to before me by ;'. , =-, , ;'~ ;~~,f' r:~~,, ;~ ,-~~~ , ,r -: and ~ ~ ~ ~_ r. . r~ -1~ ; ~, ~ f /"~r~ f=- ~e~E': ,~~ 'r_~~ ,1:.~. witnesses, this ~ ` ~ day of ~F` ° ~. ~ of 2000. __ 1 ~. i ,~ (SEAL) f i. j' ~. _..~ a. ;' f r; i ... T t, i ..`t. f, ; Notary Public `~ `_ ,~. Notarial Seal Roberta L. Radcliff, Notary Public Wormleysburg Boro, Cumberland Coun My Commission Expires Jan. 20, 2001