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Home My WebLink About09-15-11' --~ REV-1500 Ex(°'-'°' 1505610143 a PA Department of Revenue Penney vania Bureau of Individual Taxes oeanRrMenTOFReveNUe OFFICIAL USE ONLY PO BOX.280601 County Code near Harrisburg, Pq 17128-0601 INHERITANCE TAX RETURN 2 1 1 0 File Number ENTER DECEDENT INFORMATION BELOW RESIDENT DECEDENT 10 7 6 Social Security Number Date of Death 4 2 6 6 6 8 6 5 0 Date of Birth 08 22 2010 07 10 Decedent's Last Name 19 3 9 B O WKE R Suffix Decedent's First Name JR LEWIS MI (If Applicable) Enter Surviving Spouse's Information Below W Spouse's Last Name B O WKE R Suffix Spouse's First Name DOROTHY ELINOR M- Spouse's Social Security Number E THIS RETURN MUST BE FILED IN DUPLICATE WITH THE FILL IN APPROPRIATE OVALS BELOW REGISTER OF WILLS ® 1. Original Return ^ 2. Supplemental Return ^ 3. Remainder Return (date of death ^ 4. Limited Estate prior to 12-13-g2) ^ 4a. Future Interest Compromise (tlate of tleath after 12-12-82) ^ 5. Federal Estate Tax Return Required ® 6. Decedent Died Testate (Attach Copy of Will) ^ 7. Decedent Maintained a Living Trust 0 (Attach Copy of Trust) B. Total Number of Safe Deposit Boxes ^ 9. Litigation Proceeds Received ^ 1 p. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) ^ 11. Election to tax under Sec. 9113(A) Name CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX( NFORMATION S R I C BARD E C ONNE L L ESQ Daytime Telephone NumberBE DIRECTED TO: 717 23~ 8731 O = ~ :1~ -,-, ; _T, REGISTER OF- ~~ First line of address ~ USE~LY ,rr1 - 2303 MARKET STREET ~ `'~ r'i ~ ,-~ ... _..~ econd line of address ' _I~_. T _rJ ~ _. -.r-i ' :- :~7'i City or Post Office ~ ' 1 ~ G t_. - ;-~ CAMP HILL State ZIP Code DATE FILED PA 17011 Correspondent's a-mail address: C o n n e l l @bmc-law.net Under penalties of perjury, I declare that I have examined this return including accompanying schedules and statements, and to the best of it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer h SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETUR ~ as any knowledge. belief, Dorothy Elinor Etheredge Bowker DATE U~ / oil 726 Albe Ave., Mech ' a burg, P 17050 SIGN RE OF PRE~R OTHER T RE SENT I ADDRESS Richard E Connell Esq DATE 2303 Market Street, Camp Hill, PA 17011 ~ , Side 1 1505610143 1505610143 ~~~ REV-1500 EX 1505610243 Decedent's Name: B O W I(E R, L E W I S W J R Decedent's Social Security Number RECAPITULATION _ 4 2 6 6 6 _ 8650 1. Real Estate (Schedule A) ............................ ...... .................................................... 1. 2. Stocks and Bonds (Schedule B)......... ................................ . 3. Closely Held Corporation, Partnership or Sole-Proprietorshi r 4 4 7 0 0 0 p (Schedule C).......... 3. 4. Mortgages & Notes Re i ce vable (Schedule D) ...................... .................................... 4 5. Cash, Bank Deposits & Miscellaneous Personal Property (Sch d e ule E).....,.. 6. Jointly Owned Pro e ~ 5' P rty (Schedule F) 7. Inter-Vivos Tran Reque f t ^ t 9 5 , 3 $ 5 . 1 6 s s ed............ ers & Miscellaneous Non (Schedule G) 6. -Probate Prop erty 0 . 0 0 ^ Separate Billing Requested ............. 8. Total Gross Assets (total Lines 1-7 ............. 7 ) .... ...... 8 4 ~ 2 41.9 7 ....................................... 8 9. Funeral Expenses & Administrative Costs (Schedule H ............ ~~ 1 8 4' 0 9 7' 1 3 ~- . ......................... 9. 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) . ............................... 10. 11. Total Deductions (total Lines 9 & 10) ............. ...... ...... 2 Net Value of Estate (Line 8 minus Line 11) 0 0 0 ....... ................................. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............. .... 1 8 ~ ' 0 9 7 ' 1 3 ............................... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ................................................. TAX COMPUTATION -SEE INSTRUCTIONS FOR AppLICABLE 14. 15. Amount of Line 14 t RATES --~ 1 S 4 ~ 0 9 7 1 3 axable at the spousal tax rate or , transfers under Sec. 9116 (a)(1.2) X .00 16. Amount of Line 14 taxable 18 4 ~ 0 9 7 13 15. at lineal rate X .045 0 . 0 0 17. Amount of Line 14 taxable 16 . at sibling rate X 12 18. Amount of Line 14 taxable 17. at collateral rate X .15 '18. 19. Tax Due ......................................... ........................................... .............................. 19. 0.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. L 1505610243 Side 2 1505610243 REV-1500 EX Page 3 Decedent's Complete Address: Bowker, Lewis W Jr 726 Alberta Ave. c Mechanicsburg Tax Payments and Credits: 1 Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest ATE ZIP - PA 17050 (1) _ 0.00 Total Credits (A + g) (2) (3) (4) (5) 0.00 File Number 21 _ 10 - 1076 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box 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. Make Check Payable to: REGISTER OF WILLS, AGENT. 0.00 ~.01) PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN TH 1. Did decedent make a transfer and: E APPROPRIATE BLOCKS a. retain the use or income of the property transferred :................................................................................. b. retain the right to designate who shall use the prope Yes No c. retain a reversionary interest; or ................. rty transferred or its income;.... ^ ................................................................................................ x d. receive the promise for life of either payments, benefits or care?...... ^ ^ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death with ^ ^ receiving adequate consideration? ................ out ^ .. 0 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 propert w ^ ^ contains a beneficiary designation? ................. ^ 0 IF THE ANSWER TO ANY OF THE ABOVE Y hich _ __ _ -_ x _. QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS pq~ OF TH^E RETURN. spouse is 3 percent [72 P.S. §9116 ~a 1.1 - or dates of death on or after July 1 1994 and before Jan. 1, 1995, the tax rate imposed on the net value of transfer ( )( )(qL For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the us s to or for the use of the surviving [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. statutoryhequirementsfordsclosu erofnt 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 adoptive paren,, or a stepparent of the child is 0 percent [72 p S • The tax rate imposed on the net value of transfers to or for the use of the(decedent's lin or for the use of a natural parent, an 72 P.S. §9116 1.2) [72 P.S. §9116 (a) (1)]. eal beneficiaries is 4.5 percent, except as noted in • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 erc sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent p ent [72 P.S. 9116 (a) (1.3) . q w ether by bloo~ or adoption. S CHEDULE B COM NHERITFlNCEOTgX RETURN ANIA STOCKS RESIDENT DECEDENT & BONDS ESTATE OF gOWker, Lewis W Jr FILE NUMBER _____ 21 - 10 - 1076 All roe ----- P P rty jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION -- 1 Metropolitan Life Stock UNIT VALUE Inv. ID 806536924235 08/20/10 -High 37.82/Low 36.85 i 37.25 08/23/10 -High 37.66/Low 36.66 ~ TOTAL --- (Also enter on line 2, Recapitulation) VALUE AT DATE OF DEATH 4,470.00 4,470.00 SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS INHERITANCE TAX RETURN PERSON ' ~ MISC. RESIDENT DECEDENT AL PROPERTY ESTATE OF goWker, Lewis W Jr FILE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All 21 - 10 - 1076 survivorship must be disclosed on schedule F. property jointly-owned with the right of ITEM NUMBER DESCRIPTION 1 Graystone Bank Acct. #3000052354 VALUE AT DATE OF DEATH 95, 385.16 TOTAL (Also enter on Line 5, Recapitulatio 95,385.16 COMMONWEALTH OF PENNSYLVANIA SCHEDULE F INHERITANCE TAX RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF Bowker, Lewis W Jr FILE NUMBER If an asset was made joint within one year of the decedent's date of death, it must be re orte 21 - 10 - 1076 SURVIVING JOINT TENANT{S) NAME p don schedule G. Dorothy Etheredge Bowker ADDRESS A 726 Alberta Ave. RELATIONSHIP TO DECEDENT Mechanicsburg, PA 17050 Wife JOINTLY OWNED PROPERTY: ITEM LETTER DATE DESCRIPTION OF PROPERTY NUMBER FOR JOINT MADE Include name of financial institution and bank account number or TENANT JOINT similar identifying number. Attach deed for jointly-held real estate. DATE OF DEATH °~ OF 1 A 09/25/2007 VALUE OF ASSET DECD'S Wachovia Bank NA INTERES I Acct. #247402053154337 157,981.00 polo (Entireties Property) TOTAL (Also enter on line 6, Recapitulation) DATE OF DEATH VALUE OF DECEDENTS INTEREST 0.00 0.00 • COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Bowker, Lewis W Jr ~ FILE NUMBER Tf.:_ _ • ••~~ ~~~~Cauie must be completed and filed if the answer to any of questions 1 through 4 on pag 2 ~7y s ITEM DESCRIPTION OF PROPERTY NUMBER Include the name of the transferee, their relationship to decedent DATE OF DEATH % OF and the date of transfer. Attach a copy of the deed for real estate. VALUE OF ASSET DECD'S EXCLUSION TgX,gBLE VALUE Fidelity Investments INTEREST QF APPLICABLE) 100 Crosby Parkway, KC1E 84,241.97 Covington, KY 41015 84,241.97 (IRA -Payable to Dorothy Elinor Etheridge Bowker, spouse of deceased) INTER-VIVOSDRgNSFERS & MISC. NON-PROBATE pROPERrv TOTAL (Also enter on line 7, Recapitulation) 84,241.97 REV-1513 EX+(11-08) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Bowker, Lewis W Jr SCHEDULE) BENEFICIARIES NUMBER NAME AND ADDRESS OF PERSON( RECEIVING PROPERTY j. TAXABLE DISTRIBUTIONS[include outright spousal distributions, and transfers 1 Dorothy Etheredge Bowkersec. s11s (a} (1.2}~ 726 Alberta Ave. Mechanicsburg, PA 17050 2 Melinda M. Bowker 726 Alberta Ave. Mechanicsburg, PA 17050 3 Lewis W. Bowker, III 726 Alberta Ave. Mechanicsburg, PA 17050 FILE NUMBER RELATIONSHIP TO ~ 21 - 10 - 1076 DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE Do Not List Trustee(s) (WOrdS} ($$$~ Wife Daughter Son One Hundred Percent Enter dollar amounts for distributions shown above on lines 15 I rough 18 on Rev 1500 cover sh let, as a II. NON-TAXABLE DISTRIBUTIONS: ppropriate. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT T AKEN CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II _ ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 CO VER SHEE 0.00 LAST WILL AND TESTAMENT OF LEWIS WARREN BOWKER, JR. I, LEWIS WARREN BOWKER, JR., a legal domiciiiar County, Mechanicsburg, Pennsylvania, bein y of Cumberland mind and memory, do hereby make, g of sound and disposing instrument to be my LAST WILL ANDpTESTAMENTa declare this and all wills and codicils by me heretofore madehereby revoke any IDENTIFICATIONSIAND DEFINITIONS A. I am married to DOROTHY ELINOR ETHEREDGE BOWKER, hereinafter referred to as "my S ouse." MELINDA MARGARET BOWKER and LEWIS WARREN BOWKER,tIIIchiReference in this Will to "mY Children" include these children and an lawful children born to or adopted b me. Y other to "my Minor Children" include all of m References in this Wiil y Children who are, at the time stated in the reference to them, under the age of twent -f' years. Except as otherwise provided in this m TESTAMENT, I have intentionall Y lve y omitted to provi deSherTei n forD any relatives or for any other person, whether claiming to be an heir of mine or not . B . The following def i ni ti ons obtai n i n any use of in this Will: the terms 1. "Descendants" means the immediate and remote lawful, lineal descendants of the person referred to, and it means those descendants in being at the time they must be ascertained in order to give effect to the reference to them, whether they are born before or after my death or of any other who take under this Will as Descendants shalpetakes by right of representation, in accordance with the rule of per stirpes distribution and not in accordance with the rule of per capita distribution. Persons legally adopted when under the age of fourteen years shall not be differentiated from blood descendants for any purpose. 2. "Survive me" is to be construed to mean that the person referred to must survive me by thirty days. If the person referred to dies within thirty days of my death, the reference to him shall be construed as if he had failed to survive me. Page 1 of 7 Pages 3. As used in this Will "him, " ~' n . the words "Executor, " "Cle " his, and the like shall be taken as generic and applicable to a natural person of either sex or a corporate person or other legal entity. ~• I have served in the Armed Forces of the United States. Therefore, I direct my Executor to consult the legal assistance office at the nearest military installation to ascertain if there are any benefits to which my dependents are entitled by virtue of my military affiliation at the time of my death. military status at the time of m Regardless of my consult with the nearest Veterans Administrationtand Socialor to Security Administration office to ascertain if there are any benefits to which my dependents may be entitled. II PAYMENT OF DEBTS AND TAXES I direct my Executor to pay the following as soon after my death as may be practicable: 1. All of my just debts and the ex enses of m illness, funeral and of the admpnistrationyofamy estate; but my Executor need not accelerate and pay those unmatured obligations which, in his opinion it might be proper and more advantageous to retain or renew and pay as they become due and payable 2. All inheritance, transfer, estate and similar taxes (including interest and penalties) assessed or payable by reason of my death, on an interest in my estate for the y Property or taxes. My Executor shall not pegp~re anycomputing beneficiary under this will to reimburse my estate .for taxes paid on property passing under the terms of thi s Wi 11. III RESIDUARY ESTATE A. I define "my Residuary Estate" as all of m the payment of debts and taxes under Article II above,opncludinter real and personal propert to which effective di sposi ti onei svnotaogherwase made i n thi g and ro ert ~ Property as P P y as to which I have an option to purchase or a s W~11, reversionary interest. Page 2 of 7 Pages B. I give my Residuary Estate to my Spouse if she survives me. C. It mY Spouse does not survive me, I direct my Executor to divide and distribute my Residuary Estate as follows: 1. if MELINDA MARGARET BOWKER has not reached the age of twenty-five years, one share of m Estate to my Trustee, in trust for theRbenefatyof said Child, according to the directions stated in Article IV below; if MELINDA MARGARET BOWKER has reached the age of twenty-five years, then this share shall go to MELINDA MARGARET BOWKER; 2• if LEWIS WARREN BOWKER, III has not reached the age of twenty-five years, one share of m Estate. to my Trustee, in trust for theRbenef atyof said Child, according to the directions stated in Article IV below; if LEWIS WARREN BOWKER, III has reached the age of twenty-five years, then this share shall go to LEWIS WARREN BOWKER, III; 3 . i f any of my Children fai 1 to survive me, then hi s share shall be distributed equally among his descendants; 4• It any of my Children fail to survive me and leaves no descendants, then his share shall be given to my Children who survive me, as set forth i n subparagraphs 1, 2, and 3, D• If mY Spouse does not survive me and none of my Children nor their descendants survive me, I direct my Executor to divide my Residuary Estate as follows; 1. twenty-five percent to ROBERT T. Richmond, Virginia or if BOWKER of his descendants; he fails to survive me, to 2. twenty-five percent to EDWARD H, Texas or i f he fails to survi ve meoWtoRh~s `Midland, descendants; 3. twenty-five percent to SARAH DANISHEFSKY of New Haven, Connecticut or if she fails to survive me, to his descendants; 4, twenty-five percent to JOHN M. Mississippi or if he fails to sBOvKve me,Mtolhisn~ descendants. Page 3 of 7 Pages CiC- ~ IV ADMINISTRATION OF TRUST A. The primary purpose of these trusts is the support, maintenance, welfare and education of my Minor Children. To that end, the Trustee may accumulate and add to principal the income from principal to the extent permitted by law and shall pay or apply such income as the Trustee elects not to accumulate to or for the use of my Minor Children until the termination of the trust. B. In carrying out the purpose of these trusts, the Trustee may distribute income and principal directly to my Children, if authorized by law, or to the Guardian or to a person with whom the Children reside, or on behalf of my Children to any other person. Any and all payment or payments of any sum or sums, whether in cash or in kind and whether from principal or income, payable to or on behalf of my Children, shall be made upon the sole receipt of the respective individual to whom the payment is made, and free from anticipation, alienation, assignment, and pledge, and free. from control by the creditors of any such Children, and shall not be subject to any execution or attachment, C. I do not wish to create, or permit to exist, uneconomical arrangements of more harm than benefit to my Children. Whenever, in the Trustee's good business judgment, a trust shall no longer make good economical sense (presumably because of its small size) in light of my Children's best interests, the Trustee is authorized to take such steps, including terminating the trust and turning its assets over to my Children or their Guardian, as he shall deem in my Children's best interest. D. The powers the Trustee may exercise in carrying out the purpose of this trust are set forth in Article VIII below. E. Upon twenty-fifth birthday of the beneficiary of any trust established under this will, or upon his death, whichever event is the first to occur, the trust shall terminate and the Trustee shall distribute the remainder of the principal and accumulated income to the beneficiary if he is then living. If the beneficiary is no longer living, the Trustee shall distribute the remainder in accordance with Article III above. V APPOINTMENT OF TRUSTEE I appoint EDWARD H. BOWKER currently of Midland, Texas, and ROBERT T. BOWKER, currently of Richmond, Virginia, as Joint Trustee of any trust established under this Will. I request that the Trustee not be required to furnish bond or securities. Page 4 of 7 Pages ~~~ ~- Q~ ~.!~ VI GUARDIAN If my Spouse does not survive me and it is necessary to appoint a Guardian for any one or more of m ROBERT T. BOWKER of Richmond, Virginia, as Guardianeof theominate and property of each of my Children who requires a Guardiaperslf ROBERT T. BOWKER is unable or unwilling to serve as Guardian, I nominate EDWARD H. BOWKER of Midland, Texas, to serve instead. I request that no sureties be required on the bond of a Guardian appointed under this article. VII APPOINTMENT OF EXECUTOR I nominate and appoint my Spouse, DOROTHY ELINOR ETHEREDGE BOWKER, as Executor of this my LAST WILL AND TESTAMENT. If DOROTHY ELINOR ETHEREDGE BOWKER is unable or unwilling to serve in this capacity, I appoint EDWARD H. BOWKER of Midland, Texas to serve instead. I request that my Executor be permitted to serve without bond or surety thereon. VIII POWERS OF FIDUCIARIES My Executor and Trustee shall have the following powers, which are to be construed in the broadest manner consistent with the vali di ty of thi s Wi 11 and with thei r duties as f i duci ari es . The powers stated herein are not intended to be exclusive, but shall be in addition to those granted by law and shall also pertain to any administrators or trustees who succeed the fiduciaries I have appointed in Article V and VII above. These powers are: 1. to take possession of property, to keep it safely, and to segregate it from other property owned or held by the f i duci ary; 2. to retain and to invest in property, or an undivided interest in property, including residential real estate, for any period, whether or not the property be of the character permissible for investment by fiduciaries; 3. to sell, transfer, exchange, lease, rent, mortgage, pledge, give options upon, partition and otherwise dispose of real or personal property, at private or public sale, for cash or upon whatever terms the fiduciary deems advisable, without notice or order of court; Page 5 of 7 Pages ~~ 4. to render liquid my estate, in whole or in part, and to hold cash or readily marketable securities of little or no yield for such period as my fiduciary deems advisable; 5, to borrow in the name of my estate or of the trust, upon whatever terms and conditions and for whatever periods my fiduciary deems advisable for the purpose of preserving, protecting or improving property held by him; 6. 7. 8. 9. 10. to pay, compromise, adjust, settle, compound, renew or abandon claims held by my fiduciary and claims asserted against my fiduciary, on whatever terms he deems advisable, without prior court authority; to distribute in cash or in kind, or partly in cash and partly in kind, in divided or undivided interests, notwithstanding the fact that distributive shares may as a result be composed differently; to insure the property he holds as fiduciary against the risks, and in the amounts he, in his discretion, deems expedient, and to obtain and pay for life, health, liability and other forms of insurance for the beneficiaries of the trust, i n hi s discretion; to employ attorneys, accountants, investment advisors and other professional assistants including depositaries, proxies, agents, and appraisers; to enter into transactions with other fiduciaries including executors or trustees of estates and trusts in which my beneficiaries have an interest, and including him as fiduciary for other estates and trusts; 11, to engage in the powers necessary to the effective administration of corporate securities, including, without limiting the generality of this power: a• power to vote in securities held bYpethenf~duciapy~xy upon all b• power to engage in a voting trust or voting agreement with respect to securities; c• power to consent or become a party to, or participate in, mergers, consolidation, sales of assets, recapitalization, reorganizations, dissolutions or other alterations of corporate structure, including adjustments in capital structure affecting securities held by the fiduciary, whether or not these adjustments involve payments by or to the fiduciary; and Page 6 of 7 Pages _ ~~ ~`J d• power to hold securities in unregistered form or in the name of a nominee; 12, to pay himself reasonable compensation for his servi ces. IX MEMORANDUM I have made, or may from time to time make a dum expressing my desire to give certain items~of written memoran- perty to specific to respect these wipshesns~ I urge my Executor personal pro- stored in conjunction withSthisaWilllorandum, ifamadeerisficiaries hall be IN WITNESS WHEREOF I have at Carlisle Barracks this ~~ ~~ _ ! Pennsylvania, day of ~~.t 1989, set m ' y hand and seal to this my LAST WILL AND TESTAMENT consisting of seven (7) typewr't Pages. ~ ten ~~~~~ ~~ L WIS WARREN BOWKER, ~JR,~ EAL) Testator Signed, sealed, published and declared b WARREN BOWKER, JR., as and for his LAST WILL ANDeTESTAMENT presence of us ~ LE WIS who, at his request, in his presence and in thethe presence of each other, have hereunto subscribed our names as witnesses. NAME ~` A ADDRESS Page 7 of 7 Pages A cknowledgment COMMONWEALTH OF PENNSYLVANIA) SS: COUNTY OF CUMBERLAND the attached orRforeBoWnER, JR•, Testator g g instrument whose name is signed to according to law, do hereb ~ having been dui the instrument as m Y acknowledge that I signedyandaexecuaed that I signed i t asynLast Wi 11; that I signed i t wi lli n therein expressed, Y free and voluntary act for the purposesd Sworn or affirmed to and acknowledged before me, WARREN BOWKER, JR,, the Testator, this ~~ day of 1989, by LEWIS ~u ~-, / r LEWIS WARREN BOWKER, JR• ~reStatr,Y (SEAL) COMMONWEALTH OF PENNSYLVANIA) COUNTY OF CUMBERLAND Affidav SS: Erg GE the witnesses whose names are signeddto the atta ~~ instrument, being duly qualified according to law, do say that we were shed or foregoing instrument as present and saw Testator si depose and his Last Will; that 9n and execute the willingly and that he LEWIS WARREN BOWKER, JR, si for the purposes thereineexpressedasthat each of dusoluntar~ geed and sight of the the Testator signed the will as witness Y act that to the best of our knowledge the Testator was atn the hearing or more es; and undue influencef age' of sound mind and under no constrainttore 18 Sworn or affirmed to and subscribed to before me b ~__L-"i"---'~ ~ G' , 1 C a__-~------_---- and E_ S'~"F,Q y witnesses, thi s 6~z~ -L~?t'~ day of S~.c )" 1989. .~ WIT SS _ _ -_- ( SEAL ) '~ WITNE i~Or~RIR~ sEA~ ~ - ' WANtS,! K, HUNTER, Notary p~~a NOTARY PUBL Carlt4~e Eorough, Cumberland Count My C~~,fif~sfon Expires Oc+obsr g, ~qAq