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Home My WebLink About03-0375PETITION FOR PROBATE and GRANT OF LETTERS Estate of VIRGINIA B. FORRER No. also known as To: Deceased. Social Security No. 199-05-8807' The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the executrix in the last will of the above decedent, dated September 3, and codicil(s) dated None Register of Wills for the County of Cumberland Commonwealth of Pennsylvania in the named ,1980 It is suggested that Martin L. Forrer predeceased the testatrix herein. (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumberland County, Pennsylvania, with h er last family or principal residence at 8 Stone Spring Lane, Hampden Township (Camp Hill Post Office - 17011). (list street, number and muncipality) Decendent, then 86 years of age, died May 16, , gg[ 2002 at Borough of Mechanicsburg~ Cumberland County~ Pennsylvania ' Except as follows, decedent did not marry, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: None Decendent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property $ 1,000. O0 (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ None situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters testamentary theron. (testamentary; administration c.t.a.; administration d.b.n.c.t.a.) V;-~nEMn~e Eohee~ ~Scherden 8 Stonespring Lane Camp H~]I: PA 17011 OATH OF' PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA -I COUNTY OF CUMBERLAND~ SS The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. Sworn to or affirmed and subscribed before_me this ~?-x9 77-/ day of ~, -,s~,O~,' / ~ 2003 V~ ¥ o ~:er Scherden ~' Estate Of VIROtNtA B. ~ORRER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW _ /,,~zO/L/ / X~ 200:t, in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated September 3, 1980 described therein be admitted to probate and filed of record as the last will of Virginia B. Forrer ; and Letters Testamentary are hereby granted to V. Lynne Forrer Scherden FEES Probate. Letters, Etc .......... $ /~, OED Short Certificates( ) .......... $ -~ Renunciation ................ $ $ /~-~ ~ TOTAL ~ $ ~. ~ Ei~e~ .. ~: ~ ..................... SNELB~ER__~~ & SPARE, P. C. 1~ . ' &l a r ObJbb ~,~--~ley ~,. ~t. ~. NO.~ 44 ~est ~n Street Nechan~csbur~. PA L7055-0318 ADD.SS (717) 697-8528 PHONE LAW 0 FFI C:E~ SNELBA~:ER~ Mc:CALEB & ELI~:I~ER LAST WILL AND TESTAMENT OF VIRGINIA B. FORRER I, VIRGINIA B. FORRER, of Hampden Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all wills by me at any time heretofore made. 1. I direct that all my debts and funeral expenses be paid as soon as practicable after my death by my Executor or Executrix, which- ever the case may be, hereinafter named. 2. Ail the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my husband, MARTIN L. FORRER, his heirs and assigns, provided my said husband, MARTIN L. FORRER, shall survive me by a period of sixty (60) days. 3. Should my said husband, MARTIN L. FORRER, predecease me or fail to survive me by the aforesaid period of sixty (60) days, then in such event, all the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my daughter, V. LYNNE FORRER, absolutely. 4. I hereby nominate, constitute and appoint my said husband, MARTIN L. FORRER, as Executor of this my Last Will and Testament, but should he predecease me or fail to qualify, then in such event, I nominate, constitute and appoint my daughter, V. LYNNE FORRER, as Executrix of this my Last Will and Testament, and I further direct that no person serving as Executor or Executrix shall be required to post any bond to secure the faithful performance of his or her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this Last Will and Testament written on two (2) pages this , 1980. (/Vrginia B. Forrer day of (SEAL) Signed, sealed, published and declared by VIRGINIA B. FORRER, the Testatrix above named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. SNELBAI~ER, MCCALEB & ELICI~ER LAW OFFICES SNELBAKER, McCALEB & ELIC[ER EOMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF CUMBERLAND ) We, VIRGINIA B. FORRER, E. ROBERT ELICKER, II and BARBARA L. WORDEN, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Testatrix Witness Subscribed, sworn to and acknowledged before me by VIRGINIA B. FORRE :he Testatrix, and subscribed and sworn to before me by E. ROBERT ELICKER~ II and BARBARA L. WORDEN, witnesses, this ~,oq' day of , ~980. Notary Public CATHAI~IN~ t, il ,lj'~Oi~, NOli\i'(¥ }qJBL!~ MECI;A CS:;{~RG BOROUG~ CU.',;BL RI.AN P COUNTY MY OOMM~%~O~ EXPIRES FEB. 27, 1982 VIRGINIA B. FORRER SNELBAKER., Mc CALEB F~- ELICKER A PROFESSIONAL CORPOI~A. TION ATTORNEY'3 AT LAW 44 WEST MAIN STREET MECHANICSBUR-G, PENNSYLVANIA 17055 CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Date of Death: No. 2003-00375 VIRGINIA B. FORRER, Deceased May 16, 2002 PA No. 2103-0375 To the Register: I certify that notice of beneficial interest required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on or about May 7, 2003: Name V. Lynne Forrer Scherden Address 8 Stonespring Lane Camp Hill, PA 17011 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: Date: May 7, 2003 NONE. RichXar"W~. Snelbaker, Esquire 44 West Main Street Mechanicsburg, PA 17055-0318 (717) 697-8528 REV-1500 EX (6-00) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT, 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFIC~N_ USE ONLY FiLE NUMBER 21 COUNTY CODE DECEDENT'S NAME (LAST, FIRST. AND MIDDLE INITIAL) -- 2003 0375 YEAR NUMBER ~ Forrer, Virginia B ILl DATE OF DEATH (MM-DP-YEAR) DATE OF BIRTH (MM-DP-YEAR) "~ 05/16/2002 03/04/1916 (IFAPPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST. AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 199-05-8807 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER ~ tbz~.J 10rig(nal Return ~jl I 4 LlmrtedEstate ~;tY~ti I-~t~.J 6 Decedent Died Testate (Attac.~ copy of ~rl) ~ [ ~ 9 L~tlgation Pr~ds Received b__J 2 Supplemental Return I I 3 Remainder Return (date of death pnor:o 12-13-82i ~ 4a. Future interest Compromise (date of death alter 12-12-82~ ~ 5 Federal Estate Tax Return Reou~rec ~ 7 Decedent Maintained a Living Trust fAttacn col:y of Trust) 0 8 Total Number of Safe De~os~t Boxes ~ I0 Saousal Poverty Credit (~a~eofdeath~.~we~.~2.~.e~a,~t.~.aS~j J 11 EiectlontotaxunderSec 9113(A~tac~Sdm ! THIS iSE~CTION MUS~ BE ;C:OMPEETED~ At. L ¢ORRESPoNDENc. E AND:CONEIBENttALi TAX NEORMAT ON SHOUEB BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Richard C. Snelbaker FIRM NAMa(IfApplicable)J 44 West Main Street Snelbaker, Brenneman & Spare, P.C Mechanicsburg, PA 17055 TELEPHONE NUMBER (717) 697-8528 1 Real Estate (Schedule A) (1) 0 2 Stocks and Bonds (Schedule B) (2) 705. O0 ~.. 3 Closely Held Corporation, Partnership or Sole-Proprietorship (3) 0 00 · 4 Mortgages & Notes Receivable (Schedule D) (4) 0 . 00 5. Cash.(ScheduleBankE)Deposits & Miscellaneous Personal Property (5) 0 6. Jointly Owned Property (Schedule F) (6) 13,7 1 9.02 [--~ Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) 0.0 0 (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) (8) 14,424.02 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 8,8 3 5.0 0 10 Debts of Decedent. Mortgage Liabilities. & Liens (Schedule I) (10) 9, 9 7 3. 0 3 11. Total Deductions (total Lines 9 & 10) ( 11 ) 1 8,8 0 8.0 3 12. Net Value of Estate (Line 8 minus Line 11) (12) ( 4,384.00 ) 13 Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) (13) 0 . 0 0 14 Net Value Subject to Tax (Line 12 minusLine 13) (14) (4,384.00) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15 Amount of Line 14 taxable at the spousal tax rate. or transfers under Sec. 9118 (a)(1 2) 16 Amount of Line 14 taxable at lineal rate ( 4 , 3 8 4.0 0 ) 17 Amount of Line 14 taxable at sibling rate 18. Amount of Lme 14 taxable at collateral rate 19. Tax Due x o (~5) x 0 __(16) 0,00 x 12 (17) x 15 (18) (~9) 0.0 0 · i ~ ~i:i:iBE:iSURE;TOANkSWERi~iQUESTIONS ON REVERSESIDE AND RECHECK MATH: <:< 2W4545 10C0 Decedent's Complete Address: I STREET ADDRESS · ~_~one Spring Lane LHampden Twp., Cumberland Cty. I CITY I Ca-~ Hill ISTATE Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Interest/Penalty if applicable D. Interest E. Penalty 0.00 0.00 0.00 (1) Total Credits (A + B + C) (2) 0.00 0.00 Total Interest/Penalty (D + E) If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page I 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. A. Enter the interest on the tax due Zip 17011 0.00 0.00 0,00 0.00 ( 3 ') (4) (5) 0.00 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5~) .. 0.00 .................................................................................. ~(~e 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; ....................... J----] J'~ b. retain the right to designate who shall use the property transferred or its income; ......... j----J J'~ c. retain a reversionary interest; or ................................ J--'-J j~ d. receive the promise for life of either payments, benefits or care? ................. J~ [~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? J--] [] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ............... E~] ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS ~¢ES, YOU MUST C[SMPLE'F'E S~I~IE'D6L'E'G'A~j6 ~IL~E'IT' AS PART OF THE RETURN. Under penalties of periury, I declare that I have examined this return, including accompanying schedules and statements, and to ~he best of my knowledge and Pelief, it is true, ccrrect and complete. Declaration of predarer other than the personal representative is based on air information of wn,ch preparer has any knowledge, ' RESS" ' V. L~nne Forrer Scherden, Executrix /A~ton~i no Lane. Camp H~ 11 SIGNATURE OT~,~,AR~AN REPRESENTATIVE' ~ P A 1 7 0 ] 1 ADDRESS4~eet P.O. Box 318 Mechanicsburg, PA 17055 rot dates of death on or after July 1, I994 and before January 1, 1995 the tax rate imposed on the net value of transfers to or for the use of the surviving spouse ~s 3°,% [72 PS. § 9916 (a) (1 1) (i)]. For dates of death on or alter January 1. 1995. the tax rate ~mposed on the net value of transfers to or for the use of the survey ng spouse '.s 0% [72 P S § 9116 (a) (I 1 ) (ii)] The statute does not exempt a transfer to a survw ng spouse from tax and the statutory requrrements for disclosure of assets and filing a tax return are sun applicaPle even f he surv vin~ spouse is the on y beneficiary. For dates of death on or after July 1, 2000: '~e tax rate Imposed on the ne[ value of transfers from a deceased amid haven[v-one years of age or younger at deam ~o CF fcr the use ct a maturat oare,~: an 3deprive 2arep[ or a stepparent of the cndo is 0% [72 PS. § 9!16(a)(1.2)] The tax rate rm posed on the net value of transfers to or for the use of the deceOent's ,neal 0enefic~arles ~s 4 5% except as noted m 72 P S § 9118(1 2) [72 P S ~ 9115(a)(1 )J The tax rate /GOosed on the net value of transfers to or for the use of the decedent's siblings rs 12% (72 = S ~ 91 ~ 5(a)(! 3!] A sibling ;s aehneo under Eec::sn 9102 as an IP. OWIQUaI wi~o has at least one parent in common wlt~ t;qe decedent, wnetrler Dy OlCOd or adoption -'W4646 1.000 REV-1503 EX + (I-97) COMM~DNWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF FILE NUMBER Forrer, Virginia B 21-2003-0375 All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 United States Savings Bond, Series EE, $500.00 face value, 371.80 issued March 1994. United States Savings Bond, Series EE, issued November 1995 Registered as Virginia B. Forrer Payable Forrer Scherden $500.00 face value, on Death to Lynee TOTAL (Also enter on line 2, Recapitulation) 333.20 705.00 2W4696 3000 (If more space is needed, insert additional sheets of the same size) REV-1509 EX + (1-97) COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE F JOINTLY-OWNED PROPERTY FILE NUMBER Forrer, Virginia B 21-2003-0375 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME AII)RESS RELATIONSHIP TO DECEDENT A. Scherden, V. Lynne Forrer Daughter 8 Stonespring Lane Camp Hill, PA 17011 JOINTLY-OWNED PROPERTY: ~ ~TE ~SCRIPTION OF PROPER~ % ~ i ~ OF DEATH ITEM F~ Jol~ MADE Include name of financial inst~tDn and ~nk ac~unt numar or ~ OF DEATH DECE~S VALUE OF NUMBER T~ANT JOINT similar identifying number A~ach deed for iointly-held real ~tate ! VALUE OF A~ET I~EREST ~DE~N~S INTEREST 1. ~. Incest. United States Savings 3,218.44 50.00 1,609.22 Bonds, Series EE as follows: $500 face value issued 9/1994 $500 face value issued 1/1995 15500 face value issued 5/1995 $500 face value issued 8/1995 $500 face value issued 4/1996 $500 face value issued 7/1996 $500 face value issued 10/92 $500 face value issued 11/92 $200 face value issued 1/1994 $200 face value issued 1/1994 2 A Incept. Members First Federal 6,219.61 50.00 3,109.80 Total from continuation pages .... 9,000.00 TOTAL (Also enter on line 6, Re~pitulation) $ 13,719.02 2W46AE 2.000 (If more space ~s needed, ~nser~ additional s~ee[s of same s=e) Estate of: Forrer, Virginia B Schedule F -- Jointly-Owned Property Date % of Item Made Date of death Decedent's No. Lett. Joint Description Value of asset Interest Page 2 21-2003-0375 Value at Date of Death Credit Union, Savings Account #27819-00 3 A Incept. 1954 Austin Healey 18,000.00 50.00 Automobile, appraised value (appraisal attached) 9,000.00 TOTAL. (Carry forward to main schedule) ...... 9,000.00 REV-1511 EX + (1-97) SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA · INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Forrer, Virginia B 21-2003-0375 Debts of decedent must be reported on Schedule I. ITEM NUMBER 5. 6. 7. DESCRIPTION FUNERAL EXPENSES: Myers-Hamer Funeral Home, Inc., funeral Gingrich Memorials, monument engraving St. John's Cemetery, grave opening serv3, ces ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s) / EIN Number of Personal Representative(s) Street Address City State ~ Zip Year(s) Commission Paid: Attorney Fees Name: Snelbaker, Brennem~n & Spare Family Exemption: (if decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State __ Zip Relationship of Claimant to Decedent Probate Fees Accountant's Fees Tax Return Preparer's Fees Register of Wills, Inheritance Tax Return Cumberland County, filing fee for Reserve for filing fees and other miscellaneous costs associated with the administration of Decedent's Estate TOTAL (Also enter on line 9, Recapitulation) $ AMOUNT 7,463.00 225.00 500.00 0.00 500.00 0.00 37.00 0.00 0.00 10.00 100.00 8,835.00 2W46AG 2000 (If more space is needed, insert adctitional sheets of same size) REV-1512 ED( + (1-97) COMMONVVEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULEI DEBTS OF DECEDENT, MORTGAGEL~BILITIES,& LIENS Forrer, Virginia FILE NUMBER 21-2003-0375 Include unreimbursed medical expenses. ITEM NUMBER DESCRIPTION 1. Pinnacle Health, nursing home charges, account payable Pinnacle Health Hospitals, medical expense, account payable AMOUNT 5,099.53 4,873.50 TOTAL (Also enter on line 10, Recapitulation) $ 9,973.03 2W46AH 2000 (If more space is needed, insert additional sheets of the same size) REV-1513 EX+ (9-00) COMIf,'IONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES Forte: NUMBER II. , Virqinia B NAME AND ADDRESS Of PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfen under Sec. 9116 (a) (1.2)] V. Lynne Forrer Scherden 8 Stonespring Lane Camp Hill, PA 17011 FILE NUMBER 21-2003-0375 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Daughter AMOUNT OR SHARE OF ESTATE 100% of residue ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 0.00 2W46AI 1 000 (if more space is needed, insert additional sheets of the same size) I.AW OFFICE~ SNELBAKER, M¢CALEB & ELI(:KER LAST WILL AND TESTAMENT OF VIRGINIA B. FORRER I, VIRGINIA B. FORRER, of Hampden Township, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void any and all wills by me at any time heretofa.re made 1. I direct that all my debts and funeral expenses be paid as soon as practicable after my death by my Executor or Executrix, which- ever the ease may be, hereinafter named. 2. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my husband, MARTIN L. FORRER, his heirs and assigns, provided my said husband, MARTIN L. FORRER, shall survive me by a period of sixty (60) days. 3. Should my said husband, MARTIN L. FORRER, predecease me or fail to survive me by the aforesaid period of sixty (60) days, then in such event,, all the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath to my daughter, V. LYNNE FORRER, absolutely. q. I hereby nominate, constitute and appoint my said husband, MARTIN L. FORRER, as Executor of this my Last Will and Testament, but should he predecease me or fail to qualify, then in such event, I nominate, constitute and appoint my daughter, V. LYNNE FORRER, as Executrix of this my Last Will and Testament, and I further direct that no person serving as Executor or Executrix shall be required to post any bond to secure the faithful performance of his or her duties in the Co~nonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this Last Will and Testament written on two (2) pages this ,~m-,~J , 1980. rginia B. Forrer day of (SEAL) Signed, sealed, published and declared by VIRGINIA B. FORRER, the Testatrix above named, as and for her Last"Will'~and Testament, in our~ presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. I. AW OFFICE:!~ SNELBAKER, McCALI='B & ELICKER LAW OFFICES SNELBAKER, ALEB & ELICKER COMMONWEALS]! OF PENNSYLVANIA )' : SS. COUNTY OF CUMBERLAND ) We, VIRGINIA B. FORRER, F.. ROBF.RT ELICKF. R, II and BARBAiLA L. WORDEN, the Testatrix and the witnesses, respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to Hie undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she had signed willingly, and that she executed it as her free and volu,tary act for the purposes therein expressed, and that each of the witnesses, in the presence and' hearing of the Testatrix, signed the Will as witness and that to the best of his or her knowledge the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Testatrix W±tness ~ Subseribed, sworn to and acknowledged before me by VIRGINIA B. FORRE Testatrix, and subscribed and swot, to before me by E. ROBF.RT ELICKER, II and BARBARA L. WORDEN, witnesses, this .~' - day of , 1 8o. Notary Public CAIHARIN-c E. 8f;USUM. NOTARY PUBI.Ig MECHA, ICSgURG §OROUG~; CU;,~D~-RLAND COUNTY MY COMMI$,~O~ E.XPIRE$ FEB. 27, 1982