Loading...
HomeMy WebLinkAbout07-06-11 (2) 1505610143 REV 1500 ~`(°'-'°'' - OFFICIAL USE ONLY PA Department of Revenue ~ Pennsylvania c«rrny coda rear File Number Bureau of Individual Taxes °B""TM°"r° Po Box.zsosoi INHERITANCE TAX RETURN 21 10 0337 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELO Social Security Number ate of Death Date of Birth 162 22 1825 3 10 2010 06 18 1929 Decedent's Last Name Suffuc Decedent's First Name MI CARTER SR. DONALD L (if Applicable) Enter Surviving Spouse's In orrnation Below Spouse's Last Name Suffix Spouse's First Name MI GARTER MARIAN E Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW 1. Original Retum 2. Supplemental Relum ~ 3. Remainder Retum (date of death prior to 12-13-82) 4. Limited Estate qa. Future Interest Compromise 5. Federal Estate Tax Retum Required (date of death ener 72-12-82) © g. Decedent Died Testate w T,, r~t Mai ned a Living Trust ~ S. Total Number of Safe Deposit Boxes Anaa, opy o"~1lruet> (Altath copy of u) 9. Litigation Proceeds Received 10. bSg°~" Br'tP1v~!~1 an~~dt~es) ~ t1.Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE MPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telep ne Numbe JENNIE'ER B HIPP 717 73 761 ~ .~t T , REGISTER USE pNLY ~" fT ~~ First line of address ~ A -i , O 1 WEST MAIN STREET ~ ~ ~' Second line of address ~--i ., f .w , ~ ,. DATE FILED City or Post Office State ZIP Code SHIREMANSTOWN PA Correspondent's e-mail address: Under penalties of perjury, I declare that I have exa fined this return, inGuding acx:ompanying schedules and statemenffi, and to the best of my knowledge and belief, it is true, correct and complete. DeGaregon of r other than the personal representa5ve Is based on all information of which preparer has any knowledge. SIGNATU F PERSON RESPONSIBLE F R FILING R RN DATE Diane M. Freedman $~ / ADDRESS 700 Drexel Hills Boulevard New umberland PA 17070 SIGNA URE OF P EPARER OTHER THAN REPRESENT THE DATE t Jennifer B. Hipp ~) ~ ADDRES 1 W t Main Street Shiremanst wn, PA Side 1 150561D143 1505610143 J ~~ 1505610243 REV-1500 EX Decedent's Social Security Number D,rsNe~: Carter, Donal L. Sr. 162 22 1825 RECAPITULATION 1. Real Estate (Schedule A) .................. ................................................................... . 1. 2. Stocks and Bonds (Schedule B) ........ ................................................................... . 2. 3. Closely Held Corporation, Pertnershi or Sole-Proprietorship (Schedule C)........ . 3. 4. Mortgages & Notes Receivable (Sch dule D) ....................................................... . 4. 3,500.00 5. Cash, Bank Deposits & Miscellaneou Personal Property (Schedule E) .............. . 5. 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers & Miscellaneou S h d l G Probate Property arate Billin Re ~ Se uested ( c e u e ) g ............ p q 7. B. Total Gross Assets (total Lines 1-7) ................................................................... . g, 3,500.00 645.00 9. Funeral Expenses 8 Administrative osts (Schedule H) ............................... ........ 9. 10. Debts of Decedent, Mortgage Liabiliti s, & Liens (Schedule 1) ...................... ........ 10. 11. Total Deductions (total Lines 9 & 1 ......................................................... ......... 11. 645.00 12. Net Value of Estate (Line 8 minus Li e 11) .................................................. ........ 12. 2 , 85 5. 0 0 13. Charitable and Governmental Beque ts/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ....................................... ........ 13. 14. Net Value Subject to Tax (Line 12 inus Line 13) ...................................... ......... 14, 2 , 855.00 TAX COMPUTATION -SEE INSTRUCTIC 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 16. Amount of Line 14 taxable at lineal rate X .045 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 19. Tax Due ............................................ 20. FILL IN THE OVAL IF YOU ARE 1505610243 FOR APPLICABLE RATES 0.00 15. 0.00 2,855.00 1s. 128.48 0.00 17. 0.00 0.00 16. 0.00 .................................................................... . 1 s. 12 8.4 8 A REFUND OF AN OVERPAYMENT. ^ Side 2 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: FIIeNumber 21-10-0337 DECEDENT'S NAME Carter, Donald L. Sr. STREET ADDRESS 704 Hilltop Drive CITY New Cumberland STATE PA ZIP 17070 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount Total Credits (A + B) (2) 3. Interest ~ (3) 4. If Line 2 is greater than Line 1 + Line 3, enter t e difference. This is the OVERPAYMENT. (4) Check box on Pa 2 Line 20 to request a refund (1) 128.48 2.27 5, If Line 1 + Line 3 is greater than Line 2, enter t e difference. This is the TAX DUE. (5) 130.75 Make Chec Pa able to: REGISTER OF WILLS AGENT. PLEASE ANSWER THE FOLLO ING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer a a. retain the use or inwme i b. retain the right to designs c. retain a reversionary inter d. receive the promise for lif 2. If death occurred after Decem6 receiving adequate consideratic 3. Did decedent own an "in trust fc 4. Did decedent own an Individual contains a beneficiary designati IF THE AN8WER TO ANY OF THE ABOVE IlUE For dates of death on or after July 1, 1994 and bet spouse Is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not assets and filing a tax return are still applicable ev For dates of death on or after July 1, 2000: • The tax rate imposed on the net value of transf adoptive parent, or a stepparent of the child is I . The tax rate imposed on the net value of trensfi 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. . The tax rate imposed on the net value of transfi sibling is defined under Section 9102, as an inc d: Yes No the property transfened :............................................................................... x who shall use the property transferred or its income :.................................. x st; or ............................................................................................................... x of either payments, benefits or care? ............................................................ x r 12, 1982, did decedent transfer property within one year of death without i? .................................................................................................................... ^ ^x ° or payable upon death bank account or security at his or her death?....... ~ ^ tetirement Account, annuity, or other non-probate property which ^ n? .................................................................................................................. TION3 IS YEB, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving x rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent empt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of 'rf the surviving spouse is the only beneficiary. rs from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an percent [72 P.S. §9116 (a) (1.2)]. rs to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116 (a) (1.3)]. A lual who has at least one parent in common with the decedent, whether by blood or adoption. SCHEDULE E ASH, BANK DEPOSITS, 81: MISC. PERSONAL PROPERTY CONtADN W EALTH of rENNSV~vANw INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Carter Donald L. Sr. 21-10-0337 Include All a~xeetlg of Ihigetion and the date the proceeds were received by the estate. ownad with the d M of survivorship must Ue disclosed on schedule F Jolrrtl p g . y ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 1984 Hitch Hiker Concession Trailer -VIN# 6024636 -See attached MV-1 (4-10). Purchase 500.00 price and value are reported t $500.00, value being acceptable by the Pennsylvania Department of Trensportatio 2 1884 Hitch Hiker Concession Trailer -VIN# 635-4669. See attached MV-1 (4-10). Purchase 500.00 price and value are reported s $500.00, value being acceptable by the Pennsylvania Department of Trensportatio . 3 1985 Hitch Hiker Concession Trailer -VIN# 658892. See attached MV-1 (8-08). Purchase 500.00 price and value are reported s $500.00. value being acceptable by the Pennsylvania Department of Trensportatio 4 1986 Hitch Hiker Concession Trailer -VIN# 695-5011. See attached MV-1 (8-08). Purchase 500.00 price and value are reported s $500.00, value being acceptable by the Pennsylvania Department of Trensportatio . 5 1986 Hitch Hiker Concession Trailer -VIN# 7295000000576. See attached Pennsylvania 500.00 Vehicle Title. Purchase price and value are reported as $500.00, value acceptable by the Pennsylvania Department of ransportatlon. 6 1988 Hitch Hiker Concession Trailer -VIN# 369BH152031883168. See attached MV-4ST (4 500.00 -10). Purchase price and val a are reported as $500.00, value being acceptable by the Pennsylvania Department of rensportation. 7 1994 Shantz Concessions T filer -VIN# 159U61426BM402748. See attached MV-1 (4-10). 500.00 Purchase price and value are reported as $500.00, value acceptable by the Pennsylvania Department of Transportatio . TOTAL (Also enter on Line 5, Recapitulation) 3,500.00 (If mores Ce is needed, adtlitional pages of the same size) Copyright (c) 2002 form software only The Lackne Group, Inc. Fonn PA-1500 Schedule E (Rev. 6-98) - ~~MV - 4-"I0 ,---° - I_. ,..TAXIFEES:. A E OF VEI~ICLE VEHICLE IDENTI CATION NU SECURELY TO ~~D / ,~ i~ BE (V N) IF TRACIN EOUIRED, TAPE BODY tPE D TK MO L YEAR FIfS~~ B ~ r ~. - , a ~ a U - { ~ ~ ~ ~..! f OSS VEHICLE WL FUEL TYPE:` O GASOLINE ': DI 17 1 ~ /MEC'N,AY~No-IC#s ,~* I~UTNOF~I j:{1 NOTARY PUB O+OR CERTi ED INSPECTIO s "v ~ .. S '~ MECL7A'N~C'~ R '~NAME ~ '~ ' ~ - LESS TRADE-IN l .. - w V RATING ODIESEL O ELECTRIC O HYBRID PROPANE O EITHER O c ,; *Tr, -. ~ + {~ ~ x J A -,~°`' T yl 'yE E,a ' j'~.` w~•a'~~~ z ~. $ ~S`;' ~~isr-fix ~ w~* x~ ~K K ~ N . . .. ,., . ~° . w :. ' O ~ CHECK THE APPROPRATESLOCK IFTHE VEHICLE IS 19„certify Shat I E USEDOR WAS FORMERLY USED AS A 6e"sewn3da ve.wsdFled M¢ef A11eg{We,'traol~y~crmt i SIGN HERB .~ r ~ aat ~ ~ I ~[~ ¢ove 3/dN *^'' ,' -+ ^ d?tl attne ;~nd roehl le'wer~h4 ~~ h s~ ~~ - TAXABLE AMOUNT L e °~ i TO B O TAXI OR A D POLICE VEHICLE (IF APPLICABLE ~ forma o'fi I ~ ~ , ~ r - and id;84ct1onfF=aracorrdgi-,,,,~ ~' 3~ . ~ , - ~ " i _ . ~ - FI OR FULL BUSINESS NAME) LAST NAM~ NA1NE PA DL/PHOTO ID# OR - DATE OF BIRTH SALES TAX (~ 8, ,. ( ~~~ ~~ ~ BUS ID# X6°h (Ofi)X7%(07)OR XB%(n6) ~+ -~ * (Sea Note pn Reverse) ~,,. CO-PURCHASER LAST NAME -FIRSTNAME MIDDLE~NAME _pA DL7PHOT0 DATE OF BIRTH LEBS TAX CREDIT ) z 4 p a STREET I /( ~y /_ / LICJ((J -, D UI P C SE ~ t ,~,. COUNTY~CODE 1- SALES TAX DUE ~ ` u n o a CITY ~_ STATE ZIP CODE - i DEALER.10 UMB REFERSO COUNTY CODES 1 . (IF APPIICA LE) ' LISTING ON REVERSE SIDE; - ' - ,./. v_ 1 < ~ 'f ~ ~ LO P - _ ~ / OF VEL W CO Y .- ° NOTE: If a-.co•pur aser er than`~yourspouse is listed and you want thelltle to be listed as "Joint Tenahts With.Right'df Survlvorshlp" {On death of one owner, title goes tci.,surviving,pwner.);C ECK HERE.ar •Otherwlse, theFiitle well be issued as ':Tenants'In`Commoh' ` '. .(On death of one ownet, Interest oF,dleceased owner go 1o his/her heirs or estate.). 4 NOTE IFTHEVEHICLE ISTOBE USED AS+A DAILY RENTAL OR LEASE VEHICLE, CHECKTHIS BLOCK q.^IF BLOCKJS CHECKED COMPLEfEAND ATTACH FORM MV-1L"- _l~ ~ ~ C ~ ~ c REFLECTS THE.AMOUNT OF MILEAGE+IN EXCESS ~-OF ITS MECHANICAL LIMITS ~~ S~NO7 THE ACTUAL.MILEAGE'~ A ~~.".. ODOMETERitEA NG gRNING; ,ODOM~ER DISCREPANCY /li' ~~^,r . ;=~~ . ~, r^' ` - TRAN FER OFtOWP ^JN"FIN L1ND/OR:Ifv ?NO LIEN fCHECIC~~TH15vAr ST LIENHOCDER F{NA ~G~^It iT WENHOLDER NAME rREET ~ ..a.r.~o. ~ o ~ _ '- rssuance~:1 VN. 1 a'K; 1 ~ p~'~. INSURANCE+COMPANY.NAME . a "~ ,_. .. I CERTIFY-THAT ON '.ISSUING -~ IHAVE;CHECKEDT AGENT_ ~: ISSUED.TEMPORAF t INFORMATION' COMPLIANCE WITH ,{ CODE~ANDDEPART ~H•° ~;S.GBSCRIBED'AND SWORN TO'BEFOR~E~N~YE; i - { ~S S 2 I O.° ys i ,~ s , Q ~ T -; p, ~ ~ ~ :SIGN w' M a, y ~? H ' "ANY FAC TATE3AIENT'i}{AT INJE; MAKE'ON-F.HIS,APP CATI A 5lgneto ~ P,urchaservorAufhoozed- - er -~ ~ 7elephone•No .. x . (17~ :'7.7. 4.~ SlgneWre•.oY CO +rrnhaserl37tle of t¢otizedSign@r; 'm - t .e c.~ R 8 +-~~` i ~ MESSE!(GER•NOt n r. -r Y r ,; a n * ~? }. a x fir, e «a: r ,-.; 3 t y.Y ~ $, ,Y i S ts: , ~ ~ ~ v y.. a, ,.. ... .': i. i i. 4• ^:: Lam,. FI [ , ,RY REGI5TRATION,VA1_t~FOR'9g DAYS"i' - n , ~' MV-1' h. i- MjN I __ VEHICLE IDENTIFICATION NU BER=(VIN): IF TRACING REOUIRED, TAPE 60DY TYPE (SUN TK; MODEL YEAR SECURELY TO RE'V~SE}~D ~T~C~Yn'. BU TC.)/~n ~~~~ 1 - fY E•.D GASOLINE, .'` ~ .I _. lYY 77~~7799/ ~4 f~ iE~ 'O ELECTRIC b HYBRID LESS TRADE-IN '. iPANE q OTHER I I .. ICX IF THE VEHICLE IS ;'~ x `~f "~~" "" ~'" ~ ~~ ~ ~~ ~ f 3 tf~RLY USED AS A , e TAXABLEAMOUNT . ' E F,.APPLICABLE) ~pfe , . ~> _ . _.. ~ ~~ _..' 3S AME) `~; "' FIRSRNAME `%MIDQLE NAME;, ~A°DUPHOjO'dD#-OR ~" q*~"TE OFBiRTH q SALES TAX - - I _, ~i •..t __..~ ~~ ~ ~ BUS 1DM r _ ~,_ , ~ X6h(O6) X7%(.07)OR -.,~ x e%I(oeJ . . , '4 t L i "" ' ~ # (See Note on Reverse) = CO PU(2CHASE LAST MEN FIRST NAME '~_MIDDLE NAME pA DUpH0T0 IDM .'DATE OF BIRTH I ~ ~ _ _ -+t LESS TAX CREDIT. ~ iii ~ _ ~ ~~ ~ . STRE ~ ~ * . .. ~ ?' DATE ACOU7RED/' PURCRPSED.- ~ l ~ GOUNTY CODE~~ _' I ;~'t- _ ;, h . ~ :[„ ` ". , d 1 SALES TAX DDE ~ I '3~,a CITY o § } :STAT ~ ZIP ODE - ~ „ '• DEALER`IDYJUMBER` 71E.APRI ~r:ARI Ff . REFER TO`GOUNTY CORES 7 =.V F NOT ' If a Got- ~c I >- ~On ath "of one i } (On eath ,of pne c t' ~ - # V ~~~ ~ ~.., .S' / se. otl~erthanyour~pouse is Ilsted and you Wan per,~Ltlegoes.Snsurvivirignwner:~C EGK~HERE. ler;{mtresf'of.deeeased ownergoe Io hisiher he t . ` SIGNATUREpF RERS N ` 516 U FROM'W~iOM PLATE 1 6 ~ BEING TRANSFERRED (IF OTHERTHAN APP11 ANT) a INSURANCE CO PANS M}E ~ I ~ ~I~AIC NO s i ~ a -ISS~Gr pp }} j I CERrI TH.~T O,p1 MONTH 5 DAY I AVE ECI~ED~rO.pETERMINE THAT T,HE VEHIC '° ~, NFAR: EIS INBUREDi~ s ..: AG T >., { NF I SU M RY REGI9TRAT{ONTO THE ABOV ' SAF„PLJCANTwII ORN ATION I MP,L CE ALL P,P..1?LICABLE FROVISIdNS FTHE3iENICLI CADEI 'DEPA~~F##ddriMENT~REGULATIONS%, '~ € 4, £ S:a I '" W SWBB~IBED A~d 3 RN~ ~ ' ~ ~ T08Ef~RE MEI ~ ctr, q MONTH DAY ~ > I ~ Z s~ ~ ~.:~ ~ ~ t . - ~ is -~ ~' } ,SIGNNrURE OF PERSON ADMINISTERING ATH 7 5`' ~ t :I ~ i ~ ~ I p ' i .,,, . T - i n ICyN~IN P SENCE ~F N VARY x # ~ M. ~ ) ..: - a .~ ~: ,. r L ~ x ~ , , :. `._ ~ ~. ~ `. i n jam- 3. APPL%CANTS _i - LISTING:ON REVERBE'SIDE ' ~ OF.YELL'OW'CORY '~. ants With~RightDf Survivorship". led:as "Tenarits: m Common", ROLIC' GATE ' GENT'tJC THAT'HE/SHE IS `AUT}{ORIZED `TO ..CIf,IM THIS 'E MYIOUR OPERATING PRNILEGE(Sj OR`V,EHICLE YyC1AL IRESPONSi~ILITA;;QN'~7RE PyU(2RENTCV RATION,'1NVE f~CKNOWIEDGE'TH0.T'IANE MAYAS tISONMENT>E~F NOTMORE THAN'FVOO 9EAR3 FOI$ CICAT70N. ` F u 'n =c u c • :. i __._. VEHICLE IDENTIFICATION NUMBER (VIN). IF TRACING REQUIRED TAPE ~ BODY TYPE'(SDN. TK MODEL VEAR , -' t t2"I ~"':~ SECURELY TO REVERSE. IDE Of THIS COPY, ~ _ ~ BUS ETC) S %.' _~, "e T ;FUEL TYPE O GASOLINE :; ,. IN( E I~ `.d' AUTIiORIZEP$NO~A Y UBL'IG~RfiERTI ED,dNSPEC ~l0 t <'°` ~ ~ ~~ pp C(H'~tal x 'x x AA '~ ~P 'n ii><3,,,ez `~ r ~ ~ :LESS TRADE-IN O DIESEL OELECTRIC I7 HYBRID f:`+`~~ ~. ~u `x''& M A I IN ~ E) eta *"*`*' ~~ sue' ' . __.-,-.....~ ~,.~, ..-.. -. ~.~~~I«F."_ ~~'s`dt~ .L~.HLa-'tea-~~~.~s~+'W...'~~4,.. `ITY ~ - STAT~E7• ` .. --ZIP COD jOp death of one (On death Df.one CODE. IE 31DI f5f)IP m'"_ MV-1L ' I CERTIFY THAT ON M ISSWNG (HAVE CHECKEDTO,J .AGENT: ISSUED TEMRORARYI INFORMATION CDMPLIANOE WITH;g1 ~~':~~, RELATION ~:ukvj1F ~~ O APPLICANT - XPIRATION 4 THEOURRENTLY LEDGE7HAT IANE- IRE THAN TWO (2); ^~ NE,bERT,IfY.'THATi >J: IFAN:E%EMPT.ION •E%EMPSION I/WE' AKE-::APPLICATION' .~"' t hasertTtle ofAutharizad Signer MESSENGERaNUMBER:~`•? i ~' ~; ~,; ?, ,. u ~' i; '. µ'i:l i, . ~:i . ,..,.,~. ~.. 'I 1-~~ I ''.I RELPT r ~,> APPL{CANT PIRATION ~ TO BEFORE ME: ~'~ MONTH' ~ DA ,' YEAR '~ REGIST[iATION(5)3¢QR FAILUREi~TO ,MAINTA„IN hINANGIAL RESPON5161LIIY'ON IHE-iCURRENTLY. ii .} e' u REGISTERED,VEHICLE FORTHE=PERIOD OF REGISTRATION {NJE'F17RTHER'ACKNOWCEDGESHAT~I/WE'. 6F s - ~MAY,OE 9UB9ECTT0 AFINE•NOT.!EXCEEDING'$5;000 AND IMPRISONMENTaOF NOT MORE THAN TWO (2), '.. F' 3 "YEARS FOR.ANY+FALSE STATEMENTeTHA'f 1NJE~MAKE QN THISvAPPLICATION, AND UWE CERTIFY:THAT -5 I/WEiHAVE EXAMINED"'AND'SIGNED THIS''FORMMFTER 1T6 COMPLETION %ANDtTHAT, iF~AN,fXEMPTION'. ~~ ~, ~ SIGNATURE OF PERSON ADMINI TERING OATH FROM•PAYMENT°OFfSALES TAXIS-1`LY~IMED,IAMNJE AREAUTHORIZEDTO CLAIM THIS IXENIPTION. IAN6 {" ~Qy t., FURTHER 6ERTIFY THAT ALL BTATEMEN7S HEIkEIN ARE TRUE AND CORRECT AND.MAKE'APPLICATION '' ~;< ._ 8 i FOR CERTIFICATE OF TITLE FORME VEHICLE DESCRIBED IN BLOCK q~ ~ J - ... i - T ~ ~ ~ '` ~ Sgnet re of Purchaser or AUihodzedBigner - ~. Telephone No ~ ; ° A , `SI~,N ~IN~P13E ~- ~A : ~ OTA~Y ' ~ ` ~, 1 .r- f . .~ ° ~,'~.~`~ M ~ - Signature of Go-PUrcheserR0le of AUt~orizetl~Signer ~:MESSENGER°NUMBER' P i 3 -APPLICANTS COPY(fEMPORARV REGISTRATION VALID FOR 80 DAYS ,~~ _. ,r _ ~8 ,, ~ ' I. .TAX/FEES ' VEHICLE 'VEHICLE IDENTIFICATION NUMBER(VIN) IF TRACING REQUIRED TAPE BODY TYPE:(SDN, TK MODEL VEAR ' E '~ SECURELYTO REVERSE IDE OF THIS COPY B SLETC) ~ ~ `~" § 's 'HICLE VJT FUEL TYPE: O GASOLINE" R,I~J/ME t7ANIC# .°r „ 7~UT#iGRIZED NO7AR B Ci0 O~RAFJED~,NSpECI) N~ ~`a'r° LESS TRADE-IN' O DIESEL p ELECTRIC D HYBRID ' ~~ ~" _ E HTA 1 '(P N } erg +~~~`~ 'v' ~ ~"' y,7^ t ~u-.P` . OP~OPANE OOTHER, ,F ;,~ - '., ~~,,,,°, ,,. _,p, 1EAPPROPRIATEBLOCKIFTHE VEHICLEIS. {~certl i pzhav~wv813fied~liat~ lb b{e; ~bl CAd Na.; ~" - x ~ ' - ISEDzOR'"WAS ;FgRMERLY?USED AS '~ ~~o ~p ~ kgY ~ ~ 1¢~ I ht RAXABLE AMOUNT ~ BAn POLICE VEHCLE UFAPPLICABLEI` ~IImo{QS~e,hefe~i Sl~le~f. ~ ~„ ~3 O-~URCHASER LAST NAM ^FIRST,NAM - MIDC STR E~. , ; ~ .. .... ernTV - '.v~o rnn - s 'IF THE VEHICLE ISTOBE USED ASADAILY RENTAL OR' ED:7 iEFLECTS THEAMOUNT,OF MILEAGE IN EXCESS ~ Jf )F ITS MECHANICp.L LIMITS = W ^~ MV W ,W V 1 CJl 0 ~•d '~'..; i.L'r Y, ' ~~ ~q ~[1D-CJMETER '~. PlIB IaTItAEp OLYNEA(SI t ISCLOSURE Y., ERAL LAW 1'"W'w ~jts _ CAR7ERa 5 LVfR , SP[~K1C'3•+'v~,A~;c,,,~aM;a6.~;.eYl,rl 7~J~:"'NIL~~:~'7 ~ ~- nl~lti CUMPF LAND f•1A l7~17feJ , FtFiST L#N FAVDA OF: - - - 'SECO~p11E1J FAYOA pF. F1AST ue11 AVIILINQ AOJAE88 1Gr1'JiJ Kl F:/CJ CARTE STLVER SPRING RLEA M RKET 7fYJ4 i~I LTQP DR IVEW CU 1SERLAND PA 17FJ7~J Pennsylvania OEPARTMEHT OF TRPNSPOATgT:ON I cY1Ah K a ab esY of & VIe eeldY muds tl .1o PIrVLVdranle OIPe11nIn1 CARRY J . of Trd.LnC.7e1pF IBlVpr rN C~~IU ar mne1AT rlrmd.dlMrtbein,llAlYl MAb ~~.~ .. ..... _ _ ~~ r"~4•)~~ T ~ ~ ~• . a t1e ra Y.eNr. tucrehry at TYengerteyl4 Ue9CA1BSED AND SWOaV N n oo-pumhwx M1ef rNn ?tEPORE,ME yov eoouw 6 Rated wd you wwt the We b De Ned as •Jdnt Terunte With RIgM of BIevlYOrehip' (On tkettl of one ~r ~ pLr olmef IiLe SIDES q EUIYIY ' In6 owEler) CHECK HERE C Od1a+Mea, the Ihk A:~•: •. ~' ... ~ i EA1 Do ISSImtl w ?enehle in Common" (On death A one owner, imereet o1 deoweed nwneT Dee Io hkllgr heee a ecUk). 'F MO LIEN, CNECKO IS THIS !JV ELTY IIF YES, FlN HEGgPPO) YES .r".1 NOO 1Sf LIE11NaDER RNAPICy,L rN6TRUTiCN NUNeEA: '~, . - ier'GIExNO(.'7eRNNYE sT(~§T, I TM vll.y"11 hM1Y 4YIY 4 aCaN..bIY= Y M IGIMIYIR~ ai '~~-i kVpl br cv11oM tl ib N YY ,yby YY4iW un114p1 {km YYI M1nl Iq1. A aIM111nE o ~~ AMl GYNI of NITNOIIVee 81OVGA 9aNATrnG OF CO 1 M1IrANVi'TLE UC YIIMOAI}ee iNngn ZL661 lL pepIAETEA eTArus 0-Af.TtIAI MILEAGE . t . NLEAf~ EAV:e®a }'/~ MECN4VIWL 1N111S z. npr TFE ACTUAL NILEAeE 3 - MOf TXE ACTUAL NCEAfiE-0~tjgp rAYrerano YEaTIEp . = ExENT. Fne1I OpeUETBe oL9t'1osAiE A. ~. o< N. L . Pa 9- u -: T.I N.i x.i Y!I ~ h0~ My{i Mli~rd is WIW [Ipdr NIIINCEDn Ot 111. 1x11 I4P YN A/iF ' APPreOA.N krtn end lu. llVf TNI b IM Burteu pl Ngor 4Wgp wllh 7h1 EECO~W LItEM AELEAS® IMT'-_-_ BY .Wf11DRQE0 !1EPAE8ITITATIVE Cny _.5'.: .. SPATE ZIP IF N0 7ND LlErl, C1tECK [ '8 THIE.W E1T7IIF YES. FIN REpL11PEbl YES ~ NO zNp U5V1{OLpEA FINANCIAL INSTRVIICN NUNaEA' sNO LIENxt7LOeR NANe . STREET CnY 6TATE aP }~ey~e~ ue~ dSZ~ LO L L LO u~f i m rjN {/ ~~~ 1V ~~~ ~..~• is ~ I ."/.1,~ iVI'~~C- ~ i '(See Note an`Reverse ) R ~~' z r=j VEHICLE IDENTIFICATION NUMBER \ - CONDITION , i '. ^ I - > j a ~r/' ~'t;{~t,~{L1~{~ ~Q~.~ (7,.~ a 3 U t r J ~)~'+ _' O GOOD O FAIR OPOOR ~s LESS TRADE-IN n ~ SSNA~E) R FULL 8 USI NE LAST NAME (O FIRST'NAME MIDDLE NAME a S ~ w SAXABLE AMOUNT ` w - w CO-SELLER ~ . - > A SALES TAX.DUE ~. a i ^' A Ci _ , LAST.NRME (OR FULL BUSINESS NAME) ° FIRST NAM ;. '. .vi: _, :- = _ ~ `MIDDLE NAME .pADL7PHOTOdD#' ' .DATE:QF BIRSH ° ~ g ~"o ,d(B%(06);X7%{~07)OR M e% (0a), ~ ~`~. ,. S~t°l9ea NOtemtr Reverse) `_ _ ) _T~ ~.___._ ___-.. -, _~_ _~_______._~. ~r.~ ,~_,--~_ ,'$7956'8 ~1~14`3`33~5°Qt1d~17;~m> ,- 5..; ... , ;, - ,~, PA TITLE NUMBER (AS SHOWN`DN ATTACHED TITLE) - "MAKE OF VEHICLE MODEL YEAR { -' ~ ` ~~ - PU CHASE PRICE ~ ; x CO•PURCHASER LAST NAME FIRST NAM MIDDLE NAME PA DLIPHOTO ID# DA OF BIR` li _ ~ :w -~ ~ ~ a STREET a COUNTY COE i : 7 ~/ (~ J~"irC ~~~ CITY" STATE ZIP.CgDE DATE ACQUIRED/ - REFER TO COUNTY CODI -~~ R n r f • r~ ~~ _ ?~, RURG~IASED I: I.CTING (1N REVERSE-S1[ I ~f I ~ , CO-PURCHASER LAST NAME FIRST NAM fi u ~: , G3 STREET ,„. ...,. DATEOFsBIRT 'TITLE FEE , 0 LIEN FEE tREGISTRATION OR tOCESSING'FEE Op ...~ x f tr J ~ `~ vk SGNA7,4{RExOF~ SQN~,ROMaWH©M „,SIGN;HERE ~" ri2ELATIONSHIp 70 APPLICANJ ' v ~ W ~ PTE IIS BEING 7 8F6f~RED (IF , ~ _ ~ ;{ " q,K g ,O;(MERTHAN APP GANT) ~ x= ?r ~ ~ -. _ ' " 4 CQEHIOLE:P,URQHASED"aWEIGH v,GVWR "ac 9gN ~ t Q T~ `jREQaL2EG~+L3ROSS.W[ a,=. { -' REO.'REG CGR•3 C M8~ INFORMATIONi IF!APP,CICABLE , - - ~ '~ " ' _"'"^° %INGL NG.LOAb " ~ J CJ ,. ~T-`" ~ - 11F.APPLICABLE) ~ . •' INSURANCEtCOMPANYNAME~~ x'~ P Y' i{OR 'L"-' ^PALICXEFFEOTIVE •POLICY EXPIRATION. 'I ~:.' A ACH8INDER ~ DATE .DATE ,.i , ' I CERTIFY.THAPON MONTH ~ - '% -DAY'.:' e> ..~Y.EAR 133UING AGENT~(P.RINTNAME) ~ AGEN7JV0.- - "ISSUINb aI HAVE.OryECKED TO~ETER,MINET •THE'VEHI~~AND _~" ~ _ ~ <° - `_.,'; ~ >«,'{ ~. AGENT .ISSUED TEMPORARYREGISTRAT.ION' OTHEABO 1-CA IN INFORMATION COMRLIANCE'WITHALL APPLIG9BLE ROVISIONS"OF SHEVEryICLE ` r ISSUING AGEM'SIGNA7URE TELEPHONE NO. - " CODE AND pEPARTMENT REOULNTI 5:, ( ` ) G" INJE CERTIFY7HAT I(VJE HAVE EXAMINED~AND SIG '?HIS APP,LICATION'AFfER ITS OOMPl;ETION. INVE FURTHER CERTIFY THAT ALL`STATEMENTS HEREIN ARE TRUE AND CORRECT AND ` '. - .MAKE APPLICATION F.OR CERTIFICATE OF;SITL'EFO THE VEHICLE QESCRfBEDSN SECTIONI'A. IF~ANY=EXEMPTIONJS C1:AIMED; THE`PURCHASER'FURTHER CERTIFIES THAT.HE/SHE IS a >AUTHORIZEDTO CLAIM= IS EXEMPTION., IANE ACK OWL°EDGETHAT;IMLE"MAY LOSE~MY/OUR-OPERATJNG P.RIVILEGE(S) ORVEHICLE REGISTRATION F.OR FAILURE TO.MAIN7AIN FINANCIAL ' _ IRESPONSI8ILITY•ONT t7RREN7LY~REGIS7EREEHICCE•EOR`THE`PERIOD.OF,-'REOISTRATION.:IIWE ACKNOW4EDGE'THAT 1/WE MAY BE SUBJECT TO AfiNENOTtEXCEEDING $Spg~AND O °: 'IMPRISONMENT OF N ~ ORE THAN,TM!O YEARS F RrAN; 'f SE 67ATEMENT'THAT,~IANE"MAKE ON THIS APPLICATION. ` ' `_ - ~ SignaW I r a rvn ¢ed IgN ~ .x '- Telephone NO _ ~ ~. AST ~ j: a ~' , ~ .r. ". a =- +. ' gBSIGN - ~ ~ ~~ MEN7 SlgnaNre.W =P rchaser/T a AuUw ed}Sigfier .,~._. ID { ~' tl. ` 2ND +. Signature otSecand RurchasecorrA ed Sgner - {Telephone No ~ ~ ASSIGN , ~ c ... a.'' - ~. Mr1ENT ^ -.,~Bnature o. urc aser eo o igner •, ~ ~~ ~ ~ - - - "- ~ • ( ~) H.~ z•N07E:IFACO-PURCHASEROTHER'fHANYOU SP_OUSE:ISLISTEDANDNOUWANTTHETITLETOBELISTED"AS'JOINTTENANTSWITH•RIGHT'OFSURVIVORSHIP'(ONDEATH?OFONE O `~ <, OWNER, TITLE GOESdOSURVIVMG.OWNER.) HECK=yERE ^ OTHERWISE,THE TITLE.WILL BE ISSUED'AS TENANTS ]N COMMON"(ON DEATH OF ONE OWNER, INTEREST OF DECEASED ~ ~ ~ OWNER GOES TO HISAIER HEIRS OR ESTATE) " ' -. '. ~ '. , DLL NOTE• IFTHE VEHICLE iS TO BE USED ASIA DAI Y RENTAL OR LEASEDYEHICLE, CHECK THIS"BLOCK O. 'IF BLOCK IS CHECKED, COMPLETE AND ATTACH FORM_MV-1 L. ,~ .- `. ..?' ~ MESSENGER NO: '. '. I. 3. APPLICANI~'S, COPY/TEMP,ORARY REGiSTRATIQN (VALID FOR 9Q DAYS) .~-~- -~~.-RTy..Tr~r~v+rn.RrnT~?YTtl 0~~ ~ ! L. ^ ~AlIV=1 4-10 ~ MAKE OF VEHICLE - VEHICLE IDENTIFICATION NU BER (VINj IF TRACING REgUIRED TAPE BODY TYPE (SDN TK;. MODEL PEAR. ' SEC E EV D F HI COPY.' ' y BUS ETC , GROSS VEHICLE WT RAT G - ~ FUEL TYPE O GA OLFNE : fl DIESEL' O~ELECTRIC O HYBRID DI iW1EC3 I TaUTr,~~~~D9~~.~tt ~.P,, E FTAN~ri 1 T N Ux84:IC',QR~+Ef~3~l ?,INSP t ~ - , =.y ~ ' - '~ O PROPANE O"OTHER - " '" i~~ ; I ~ w , __ _ ~ ; 7 C CHECK THE APPROPRIATE BLOCK IFTHExVEHICLE~S 1-'.dl f'~ ~' ~ , cr:g °` 1 "~ ~ .~ ; ORMERLY; USED A9 A 0 o " ~ ~ ' TAXEORAOPORICE VEH C LE (IF APPLICABLEI f7 in~ w IL ~. R ~_, E, ~ V' °~~„ ~__~-- v , ~' CO~PURCHASER LAST NAME !~ u 'r x~. - ryaf,~? STREET - O ( w t~F` h ~'~y.: OITY ~. 9TATF I ssy O,p / ~ c - ~ ~~~' )NOTE: If ~aco-purchaseroSt i.(On death ofmne owner;`.{itle I ;.; !(On death of;one owner;}into ~' ` NOTE' 9F THE+VEHICLE IS.TO BE U A REFLECTS THE AMOUNT OP ~~ ~ ~, ~ ^ OF frS MECHANICAL LIMITS ' ' `~. f.- '~ BUS :Iq#' ' ! ","MIDDLE NAME ,= ~:.PADLiPri.OT01D# (DA ~~' DATEACQUlREDI -' ~ xC0 y~~y iI I!L- I PURCHASED° -~, ' ; DEALER ID NUMBER REFER TO CO ~ :_ :. j1FgPPLICAOLEj LISTING~ON RI OF VELLOW:C 7is~ EES ` ~ ^~ _ ~.. r -1N ~ , f ,, .: e << NOUNT t P i/ (07) ~OR j ;d n Reverse) ? ~.. i REDIT.' .. .. :~ .Y ATIONSHIP T0:4PPLICAMT )MPLE710N dNJE~ KEAP.PL'1CATIOH E)~INETIOt~",IS, , TO `~kIM THIS' E{S)'Ad~1E9-IICLE - HE';C1112RENTLY IAT~hVE''MAY~E TWO~YEARS FOR rION. ?' Telephone No. ' .:MESSENGER NO SCHEDULE H FUNERAL EXPENSES ~ y~~ coMr~~~~~~"`~~nrmn ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Carter, Donald L. Sr. 21-10-0337 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A. FUNERAL EXPENSES: B. ADMINISTRATIVE COSTS: 1. Personal Representative's Comm' lions Name of Personal Representative s) Street Address City State Zio Year(sl Commission paid 2. Attorney's Fees Bogar nd Hipp Law Offices 630.00 3, Family 6cemption: (If decedent's ddress is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationship of Claimant to cadent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 15.00 See continuation ache ule(s) attached TOTAL (Also enter on line 9, Recapitulation) 645.00 Copyright (c) 2009 form software only The Lackne~ Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL XPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF Carter. Donald L. Sr. I I 21 NUMBER ITEM NUMBER DESCRIPTION AMOUNT Register of Wills -Filing fee f¢r Supplemental Pennsylvania Inheritance Tax Return H-67 15.00 15.00 Copyright (c) 2002 form software only The Lackne~ Group, Inc. Form PA-7500 Schedule H (Rev. 6-9G) nom. ,a,a cnT~„w~ SCHEDULE J o°~~SF~~nraw BENEFICIARIES ESTATE OF FILE NUMBER Carter, Donald L. Sr. 21-10-0337 NAME AND ADD ESS OF RELATIONSHIP TO SHARE OF ESTATE MOUNT OF ESTATE NUMBER PERSON(Sl RECEIVI G PROPERTY DECEDENT (Words) ($$$) I TAXABLE DISTRIBUTIONS [incl de outright spousal • dist utions, and transfers and r Sec. 9116 a 1.2 See attached sch dule Total Enter dollar amounts for distribute ns shown above on lines 15 throw h 18 on Rev 15 00 cover sheet as a r o riate. NON-TAXABLE DISTRIBUTIONS II. A. SPOUSAL DISTRIBUTIONS U DER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERN ENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL ON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Fonn PA-1500 Schedule J (Rev. 11-08) SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Donald L. Carter Sr. 03/10/2010 62-22-1825 Item Name and Address of Pe on(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) (SSE) 1 Glenn Carter 307 Mountain Road Lewisberry,PA 17339 2 Nicholas Carter 307 Mountain Road Lewisberry, PA 17339 3 Adrianna Blevens 7921 Debbie Drive York, PA 17403 4 Brandyn Blevens 1921 Debbie Drive York, PA 17403 5 Danielle Blevens 1921 Debbie Drive York, PA 17403 6 Donald L. Carter Jr. 10 Drexel Hills Circle New Cumberland, PA 1 7 Erick Carter 10 Drexel Hills Circle New Cumberland, PA 1 8 Gregory D. Carter 1006 Hummel Avenue Lemoyne, PA 17043 9 Jared Carter 10 Drexel Hills Circle New Cumberland, PA 1 Grandson Grandson Great-granddaughter Great-grendson Ganddaughter Son Grandson Son Grandson $10,000.00 specific bequest $10,000.00 specific bequest $10,000.00 specific bequest $10,000.00 specific bequest $10,000.00 specific bequest One-third of rest, residue and remainder $10,000.00 specific bequest One-third of rest, residue and remainder $10,000.00 specific bequest 1 SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Donald L. Carter Sr. 03N0/2010 62-22-1825 Item Name and Address of Pe on(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($$$) 10 Lauren Carter Granddaughter $10,000.00 specific 10 Drexel Hills Circle bequest New Cumberland, PA 170 11 Alexander Cheyne Great-grandson $10,000.00 specific 3261 Wendlyn Way bequest Edgewater, MD 21037 12 Jennifer Cheyne Granddaughter $10,000.00 specific 3261 Wendlyn Way bequest Edgewater, MD 21037 13 Christopher Freedman Grandson $10,000.00 specific 16 Drexel Place bequest. The Register New Cumberland, PA 170 of Willa did not accept the $50,000.00 specific bequest as noted in the Last Will and Testament due to failure of Decedent to initial next to interlineation. 14 Diane M. Freedman Daughter One-third of rest, 700 Drexel Hills Boulevard residue and remainder New Cumberland, PA 170 0 15 Marian Carter Spouse As per Clause ThiM of 704 Hilltop Drive Last Will and New Cumberland, PA 170 0 Testament. Marian E. Carter has disclaimed her interests in this bequest. See attached disclaimer. 2 LAST WILL AND TESTAMENT OF DONALD CARTER I, DON CARTER of New Cumberland, Cumberland County, Pennsylvania being of sound mind, memory and understanding, do he eby make, publish and declare this as and for my Last Will and Testament, hereby revoking all other wills and codicils heretof re made by me. I direct t] last illness and fun. conveniently may be authorize my persona, estate, in such amour consider necessary a inscription of a sui FIRST ze payment of my debts and the expenses of my eral from my estate as soon after my death as 3one. Further, in this connection, I L representative to expend funds from my zt as my personal representative shall Zd desirable, for the purchase, erection and table marker for my grave. SECOND I give, devise and bequeath the amount of Ten Thousand ($10,000.00) each to each of m grandchildren and great- grandchildren as sur ive me . ~-~f UDro ` °~ ~ Ch rl S ~'~e~"'~a'N' THIRD In the event give, devise and beq time of my death, of ~~~nsc n~. J-acs conditions: A) My Tru Residuary Trust in c I am survived by my wife, Marian Carter, I aeath any and all funds owed to me at the whatever nature, secured or unsecured, to ~y~~~/ as TRUSTEE, under the following stee shall hold the principal of the ne under the following terms and conditions: 1. My Tru; wife Marian Carter a: from the debts owed I give my TRUSTEE the available in said try wife, Marian Carter, otherwise available tee shall pay to or for the benefit of my 1 principal or interest payments received o me as assigned to the TRUST. In addition, right to use any further sums of money st for the health, safety and welfare of my taking into consideration such assets as are or this purpose. 2. Upon t e death of my wife, Marian Carter, my Trustee shall termin to the trust and distribute the remaining assets of the trust n equal shares to my sons Donald L. Carter, Jr. and Gregory D. C rter and my daughter, Diane M. Freedman. 3. In th beneficiaries under termination of the direct that the sha person or persons of the creditors of the and subject to such shall appoint by spe will, or if such poi residuary assets in deceased beneficiari any portion of such beneficiary for whoa added to such trust. B ) Shoup for be or become to establishment or co: representative or T and any accumulated beneficiaries in th event any of the designated residual his Paragraph THIRD shall predecease the ust identified in this Paragraph THIRD, I of the said decedent shall be vested in the er than to the child's creditors, estate, or beneficiary's estate, in such proportions .rusts and conditions, as such beneficiary ific reference to this power in his or her :r is not exercised in full, the unappointed he Trust shall be distributed to such :s' issue, per stirpes; provided, however, 'rust which would be distributed to any a trust is then held hereunder shall be the principal of any trust herein provided small in my Trustee's discretion to make inuance of the trust advisable, my personal stee may distribute the remaining principal r undistributed income outright to the proportions to which they are then entitled. The receipts and rel ases of the distributees will terminate absolutely the right of all persons who might otherwise have future interest in t e trust, whether vested or contingent, without notice to th m and without the necessity of filing an account with the cou t. C) In the vent my said Trustee shall, for any reason, fail to so serve, I ppoint as successor Trustee hereunder. I give devis remainder of my esta as nearly equal shar Carter, Jr. and Greg Freeman of Cumberlan by any of such child divided in as nearly children. FOURTH and bequest all of the rest, residue and ~e of whatever nature and wherever situate in 's as practicable to my sons Donald L. pry D. Carter and my daughter Diane M. 3 County, Pennsylvania. If I am not survived ren, I direct that his or her share be equal shares as practicable among his or her FIFTH Any and all payment or payments of any sum or sums, whether in cash or i kind and whether for principal or income, payable hereunder s 11 be made upon the sole receipt of the respective individu 1 to whom the payment is made, and free from anticipation, alien tion, assignment, attachment, and pledge, and free from control b the creditors of any such beneficiary. SIXTH I appoint~y children Donald L. Carter, Jr ., Gregory D. Carter and Diane M reeman Co-Executors of this my Last Will and Testament. Further, I direct said Co-Executors utilize my attorney, Steven J. ishman, of Carlisle, Pennsylvania for such services as are lega ly necessary to settle my estate. IN WITNESS seal to this, my Las typewritten pages, t signature in the mar (t' ~' day of ~ Mar Signed,' sealed, pub testator, DONALD CA' in the presence of presence, and in th hereunto subscribed WHEREOF, I have hereunto set my hand and Will and Testament, consisting of four(4) ze first three of which bears my initials or din for the purpose of identification, this ~h, aolo. ~'~., C ~.,~ ( seal ) DONALD CARTER shed and declared by the above named ER, as and for his Last Will and Testament, who, at his request, in his sight and sight and presence of each other, have ur names as witnesses. ~/R /70TH COMMONWEALTH OF PE COUNTY OF CUMBERLF We, and IA SS. CARTER, the testator and the witnesses, respectively, whose ames are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authori that the testator signed and executed the instrument of his La t Will and Testament, and that he signed willingly and that h executed as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and Baring of the testator, signed the Will as witnesses, and that o the best of their knowledge, the testator was at the time eigh Ben (18) years of age or older, of sound mind and under no co straint or undue influence. Sworn to and subscr before me this of 2010.