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HomeMy WebLinkAbout01-31-12 (2).1505610143 EX (01-10) REV-1 SOO OFFICIAL USE ONLY PA Department of Revenue Pennsylvania county code user File Number Bureau of Individual Taxes °pAaTMa*aa'~ Po Box.zaosot INHERITANCE TAX RETURN 21 11 1112 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 184 48 7569 10 07 2011 04 25 1926 Decedent's Last Name HI3CHOF Suffix Decedent's First Name ELIZABETH (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's Social Security Number FILL IN APPROPRIATE OVALS BELOW t, Original Retum ^ ^ q, Limited Estate Spouse's First Name THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 2, Supplemental Retum ^ 3. Remainder Retum (date of death prior to 12-13-82) ,~ Future Interest Canpromise ^ 5. Federal Estate Tax Retum Required (data of deadl after 12-12-82) © Decedent Died TeNete pecetle~t MeiMa~ned a Livin Trust 6' (Attach Copy of Wilp ^ ~• (Attach GopY of Tntaq a MI L MI 8. Total Number of Safe Deposit Boxes ^ g, Litigation Proceeds Received ~ t0. Sb~lwe~eri7~v~~at{da~Of death ~ t t.Eledion to tau under Sec. 9113(A) (Attach Sch. 0) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number MICHAEL L BANGS 717 730 7310 First line of address 429 SOUTH 18TH STREET Second line of address City or Poat Office State ZIP Code CAMP HILL PA REGI3TER~ ILLS US~NLY t... 2 c~ te r - W ~: ~~~ A t D , ~FI~ED ~~ t,La c~ cti= -i~i Cortsspondent's e-mail address: Under ppe8nnalties of pary'ury, I deGare that I have examined this relum, induding accompanying schedules and statements, and to the best of my knowledge and belief, it la frue,~cortect and complete. Dedaretlon of preparer other than the personal representauve is based on all information of which preparer has any knowledge. M. Giallo OF PREPARER OTFjE1~THAN REPRESENTATNE 429 South 18th Street, Camp Hill, PA Michael L. Bangs DATE /d Side 1 L 1505610143 1505610143 ~~ 1505610243 REV-1500 EX Decedent's Sociat Severity Number '•~ Bischof. EUzabeth L. 184 48 7569 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 157 , 454.54 z. stocks and Bonds (Schedule B) ............................................................................. z. 1,175.91 3. Closety Held Corporation, Partnership orSole-Proprietorship (Schedule C)......... 3. 4. Mortgages 8 Notes Receivable (Schedule D) ........................................................ 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 43 , 307.11 8. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 7 , 8 61.67 7. Inter-Vivos Transfers 8 Miscellaneous ion; Probate Property (Schedule G) U Se arate Billin R t d p g eques e ............ 7, 8. Total Gross Assals (total Lines 1-7) ..................................................................... e. 2 0 9 , 7 9 9.2 3 9. Funeral Expenses 8 Administrative Costs (Schedule H) ....................................... 9. 19 , 455.98 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 3 , 856.73 11. Total DsducUons (total Lines 9 8 10) ................................................................... 11. 2 3 , 312.71 12. Nst Valve of Estab (Line 8 minus Line 11) .......................................................... 12. 18 6 , 4 8 6.52 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............................................... 13. 14. Net Valve SubJsct to Tax (Line 12 minus Line 13) ............................................... 14. 18 6 , 4 8 6.52 TAX COMPUTATION -SEE INSTRUCTION8 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .00 15. O . OO 16. Amount of Line 14 taxable 18 6 4 8 6.52 at lineal rate X .045 . 16. 8 , 3 91.8 9 17. Amount of Line 14 taxable at sibling rata X .12 0. 0 0 17. 0. 0 0 18. Amount of Line 14 taxable at collateral rate X .15 0.00 18. 0.00 19. Tax Due .................................................................................................................. t 9. 8 , 3 91.8 9 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 150561243 1505610243 J rtv-~eo~ ex+ ieaei coMMORwFw~rH of rEwrsnvnRU~ INXERITANOE TW(RET~IRN REBIOEHT DECEDENT SCHEDULE B STOCKS 8 BONDS ESTATE OF FILE NUMBER _ Bischof, Elizabeth L. 21-11-1112 All property fWDdyOYYfIW with Aahl or ~urvlvowhlp IMLt (M dltelowd on SchatlWs F. ITEM NUMBER CUSIP NUMBER DESCRIPTION UNIT VALUE VALUE AT DATE OF DEATH 1 48 shares of AIG - 48 shares of AIG stock; mean value as of 21.50 1,032.00 date of death 2 25.629 shares of AIG - 25.629 AIG Stock Warrants/dividend 5.615 143.91 shares; mean value as of date of death TOTAL (Also enter on Line 2, Recapitulation) 1,175.91 (n ~~iu~e a{wtx le neeae0, @001[1Of181 peg@8 OT In@ BaRI@ BIZR) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1608 FJ(t (6-a6) COYNONWEALTH OF PENNBVWANIA INNERRANCE TAX RETURN RE810ENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Bischof, Elizabeth L. 21-11-1172 Include Ole a Of IiDCadon and the date the proceeds were received Dy the estate. All properly ntlyow7ted with the li0h! of surWvorshlp must qe dfuloaetl on schsdula F. p. mere space Is nee0e0, aaalnonal pages of the same size) Copyright (c) 2002 fans software onty The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rw-1609 IcX+ (8.99) coMrAONwfAUN of PENNanvANw INNERRANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Bischof, Elizabeth L. 21 11 1112 Nan asset eree made gird wltldn one yur or tM deudsnPs daN of Meth, tt neret t» reported on utNNfule 6. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Janet M. Giallo 2865 Sunset DMve Daughter 17011, PA B. C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOIN TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTIMION AND BANK ACCOUNT NUMBER OR 3a61LAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH ALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH DECEDENTS INTEREST 1 A OS/10/1990 PSECU -Savings account 5.00 50.000°h 2.50 2 A 05/10/1980 PSECU -Checking Account 1,578.90 50.000°~ 789.45 3 A 05HON880 PSECU 14,138.43 50.00096 7,069.72 TOTAL fAlso enter on Line 8, Recapitulation) I 7.881.87 (K more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) REV-0167 El(a (10-06( C~*~aEC~E~ANIA Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A. FUNERAL EXPENSES: SCHEDULE H FUNERAL EXPENSES & ESTATE OF FILE NUMBER Blschof, Elizabeth L. 21-11-1112 See continuation schedule(s) attached 11,253.43 B. 1. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zio Year(s) Commission Daid 2. Attomev's Fees Michael L. Bangs 5,000.00 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Addross City State Zio Relationship of Claimant to Decedent 4. Probate Fees 319.50 5. Accountant's Fees 800.00 6. Tax Retum Proparor's Fees 7. Other Administrative Coats 2,083.05 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 19,455.98 Copyright (c) 2009 form software only The Lackner Group, Inc. Forth PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Blschof, Elizabeth L. 21-11-1112 ITEM NUMBER DESCRIPTION AMOUNT Funeral Ex 1 Nelll Funeral Home 11.253.43 H-A 11,253.43 Other Administrative Costs 2 Cumberland Law Journal -estate advertising 75.00 3 Janet Giallo -Reimbursement for supplies needed to get real estate ready for sale 1,817.71 4 Lori Stoner -Reimbursement for supplies needed to prepare house for sale 32.66 5 The Sentinel -estate advertisement 157.68 H-B7 2,083.05 Copyright (c) 2002 form software only The Laekner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rsv1E72 E7k+ (12-09) caarwNwE,urr~ of vEHHSrw n+~kir~NCE r~x Rl7UIW REeDEM OECEDENr SCHEDULE i DEBTS OF DECEDENT, MORTGAGE LIABILITIES, 8r LIENS FILE NUMBER 21-11-1712 rtport dwr. locums br tlw d.~.a.nk prior to deNh tlin nxmined unpua a tM am m a..a,, inciudirq unnlmburwd mwkat sxPsm... ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1 Borough of Camp Hill -sewer 150.00 2 East Pennsboro Ambulance Service, Inc. 92.00 3 Erie Insurance -home owners premium ygg,34 4 G. F. Bowman Plumbing Heating Air Conditioning 2,485.00 S Holy Spirit Hospital 63.75 6 Keystone Oil 623.06 7 Mobile Xray Imaging 27.00 8 PA American Water Company -10/27/11 9.13 9 PA American Water Company -11/30H 1 15.42 10 PA American Water Company -final bill 19.21 11 PA American Water Co. -12/21/11 39.09 12 PPBL -final bill 93.73 TOTAL (Also enter on Line 10, Recapitulation) I 3,856.73 (N more apace is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1600 Schedule I (Rev. 12-08) REV-061J EXs (11-08) ~o~~~~~ SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Y.YY.\V., ~~~~~Q~r~ ~. 21-11-1 112 NUMBER NAME AND ADDRESS OF PERSON/S) RECEIVING PROPERTY RELATIONSHIP TO DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I~ TAXABLE DISTRIBUTIONS [include outright spousal distnbutions, and trensfers under Sec. 9116 a 1.2 1 Elizabeth L. Andrade Daughter one~ighth of 9155 30th Street residue Camp Hill, PA 17011 2 Edward R. Bischof Son one~ighth of 3813 Conastoga Road residue Camp Hill, PA 17011 3 Stephen J. Bischof Son one-eighth of 937 Woodridge Drive residue Enola, PA 17025 4 Deborah A. Frame Daughter one~eighth of 304 Margaret Avenue residue Westminster, MD 21157 5 Janet M. Giallo Daughter one-eighth of 2865 Sunset Drive residue Camp HIII, PA 17011 See continuation schedule attached Continuation Total Enter dollar amounts for distributions shown above on lines 1 5 throw h 18 on Rev 150 0 cover sheet as a r o riate. II NON-TAXABLE DISTRIBUTIONS: . A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAXIS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTA L OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE Copyright (c) 2009 form software only The Lackner Group, Inc. Fonn PA-1500 Schedule J (Rev. 11-OS) SCHEDULE J BENEFICIARIES (Part I, Taxable Distributions) ESTATE OF: Elizabeth L. Bischof 10/O7/2011 1848-7568 Item Name and Address of Person(s) Share of Estate Amount of Estate Number Receiving Property Relationship (Words) ($);$) n uernse m. svyere 3500 Beverly Lane Mechanicsburg, PA 17050 7 Theresa M. Roman 67 Greenmont Drive Enola, PA 17025 8 Loretta R. Stoner 1604 Airport Drive Mechanicsburg, PA 17055 Daughter one-eighth of residue Daughter one-eighth of residue Daughter one-eighth of residue Total 7 - r ~ OMB No 2302-0265 a SETTLEMENT STATEMENT (HUD-1) 1. ^ FHA 2. ^ FHMA 3. ^ CONV. uNINS. "averr„~ s 4. VA S. CONV: INS. ' e ~ B 6. F7LE NUMBER: 7. LOAN NUMBER y } 11-00274-ALT ~W,M,,."~ _ 8. MORTGAGE tNS. CASE NO.: C. NOTE: This form is famished to give you a staterxnt of actual sealetnatt carts. Amounu paid to and by the settlement aunt ate shown. Ikms marked "(p.o.e.)" were p aid onside the dosing; they ere shown here for inforrnuiotW Dtapose9 sad errs not inGuded in the tplals D. NAME & ADDRESS Shawn M. Gallagher OF BORROWER: 14 W. Lawn Circle, Wotmleysburg, PA 17043 E. NAME & ADDRESS Estate of Betty L. Bischol; by Janet Giallo, Executrix _ OF SELLER: 2865 Swset Drive, Camp Hill, PA 1701 i F NAME d: ADDRESS Fulton Banly N,A. _ OF LENDER: 1 Penn Souere, Suite 304, Lancaster, PA 17602 G. PROPERTY LOCATION: 3 N. 29th Street, Camp Hill, PA 17011 N. SETTLEMENT AGENT: Aaured land Transfers, Inc. 301 Market Street, Lemoyne, PA 17043 (717) 761-4720 PLACE OF SETTLEMENT: Lawyers Realty LLC 307 Marko Street, Lettwytte, pA ,17043 (717) 761-4720 t. SETTLEMENT DATE: 1/11/2012 t c..~~~....s n...,.....~,.m~_._~_~ v t00. Grua Amooet Due From Borrower: 400, Gros Atwret bus Ta Steller: I Ol. Contract asks 168 000. 401. Contrsa sales 168 000.00 102. Persond 402, Persceal 103. Settkmalt to borrower: ine 1400) 2 952.73 103. 104. 404. 105. 405. d tattaeeb For I aid B Seller to Adv a Ad usweob F k PaW B Se la Adv ance: 106. Ci ltoxst awes to 406. Ci hown tun to 107. Coup fixes to 407. Coun taxes to 108. Assessmenu to 408. Aasessmmta to 109. School Takes 1/112012 to 6/302012 1 277.2 409. Sdtdol Taxes I/I 12012 to 6/302012 1 277.23 110. Sewer 1/1!3 I/t 12012 to 3/312012 131.3 410. Sexy 1!1/3 1/112012 to 3/31!2012 131.30 III, 4l I. 112. 412. 113. 413. 114. 414. 115. d73. 116. 416. 120. Gros Amooot Doe From Borrower: 172,361.5 420. Croce Amount Due To Seller: 169,408.73 201. it or eamat 10000. 501. Excess d it see lnswctidns 202. smamt ofnew s 502. Sealemem to seller ilne 1400 27043.00 203. Existin I s taken sub'ect to 303. Exisd s liken wb'at m 204. 504. Pe ff 1st M Ln. 205. 503. P ff2nd Ln. 206. 306. 207. 507. 208. 308. 209. 309. Adjuafineab For Items UnpaW By Seller: 210. Ci !town tars to 211. Coun rues 01/01/12 to 01/I I/l2 29.21 AdjusGueab For Items Unpaid By Setler: 310. Ci hown taxes to 311, fixes 0001712 to 01lf 1112 29.21 212. Aaswmenb to S 12. Assessments to 213. 313. 214. 314. 213. 313. 216. SI6. 217. 517. 218. 318. 219. 319. 220. Tool PaW BylFor Borrower: 10,029.21 520. Tohl Reductions Irr Amount Dus Salkr: 27,074.21 301. Grow arxtmt dm from borrower line 120 172 361.30 60t. (isoes amount due to seller ix 420 169 408.73 302. Less atrrount 'd Vfor borrower line 220 10 029.21 602. Less reductions in sosasnt else seller fix 320) 27 074.21 303. Cuh (®FROM) ~dl'O) Borrower: 162,332.29 603. Cali ItnisO) 1^FROM) Seller: 142,334.34 Porn No. 1381 ~• •~ ~~w.,~ SB-4-3336.000-1 3/66 HUD•I (3-86) X ~. _ Page 1 of 3 X RFSPA, HB 4303.2 X X X Forth No. 1582 Page 2 of 3 SB-4.3538-000-I ' ;... SELLER'S AN1DlOR BORROM1KER'S STATEMENT Escrow: 11.00274•ALT t have rarefully reviewed the HUD-1 Settlement Statement end to the best of my knowledge end belief: it is a true end accurate statrntrnt of ell receipts and disbursements m~e on my account or by me in this transaction. l further certify that f!have received a copy of the HUD-1 Settlemrnt Statement. Borrowers/Purchs~g~ SellaS t 4\~ Estate of Betty L. Bischof, by Janet S I Giallo, utrix _ q / By y/~f,~~~-~ The ttUD-1 SeNdneot Stetemem which 1 have prepsred is a e accurate account of this transaction. I have caused or will cause the funds to lx disbursed in aceordartce with this alatement /n'~ Settlement Agent: `' Date: ~~~~~/Z ----. Title Office, Assured Land Transfers, a WAR,NBVG: It is a crime to knowingly make filse is to the United States on this or any other similar form Prnalties upon conviction can include e fine or imprisonment For derails see: Title 18 U.S. Code 'on 1001 and 3edion 1010. Page 3 of 3 PSE[~k 11!17/2011 Banes Law Oftice Michael L. Bangs, Attorney 4?9 S. 18`" St. Camp Hill. PA 1701 1 Re: BETTY L BISCHOF, Deceased. PSECU Reference # 8364133327491 Deaz Attorney Bangs: The above referenced person had an account with PSECU which was opened on 5/10/1990. The Share accounts were jointly held by BETTY L BISCHOF and JANET GALLO. The following are the Date of Death Balances for BETTY L BISCHOF's account with PSECU: Account Date of Death Balances Interest -October 1-7 Savings (S 1) $ 5.00 $ 0.00 Checking (S4) $ 1,578.90 $ 0.04 Money Market (S7) $14,139.43 $ 0.97 The account was closed on November 7, 2011. If you have any questions, please contact me at (717) 234-8484 or toll-free at (800) 237-7328, press 6, extension 3120. Sincerely, Sandy Fa y Member Service Representative PSECU Pennsylvania State Employees Credit Union 1 Credit Union Place, P.O. Box 67073, Harrisburg, PA 17106.7013 • 800.237.7328 • »psecu.com THIS CREDIT UNION IS FEDERALLY INSURED BYTHE NATIONAL CREDIT UNION ADMINISTRATION. EQUAL OPPORTUNITY LENDER. - ..,.. .,~ . i' n --.. c ~ r ~~ ,~ WILL OF BETTY L. BISCHOF I, BETTY L. BISCHOF, of Cumberland County, Pennsylvania, declare this to be my last will and revoke any will previously made by me. ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker and all expenses of my last illness, and any and all taxes and assess ;tents imposed by any ' governmental body as a result. of my death, whether on property passing under this will or R. otherwise, shall be paid from my residuary estate as soon as practicable after my decease as a part of the expense of the administration of my estate. ITEM II. I give and bequeath all of my household goods, a;itomobiles, jewelry, and all . other articles of household and personal use, equipment and ornament, together with all insurance thereon and relating thereto, in equal shares, to those of my issue, per stirpes, as survive my death by thirty (30) days. ITEM III. I give, devise, and bequeath all the rest, residue and remai nder of my possessions and estate of every nature and wherever situate, in equal'shares, to those of my issue, .~,, per stirpes, as survive my death by thirty (30) days. , ITEM IV. I appoint my daughter, JANET GIALLO, executrix of this my last will. Should my said daughter predecease me or otherwise fail to qualify or cease to serve as executrix 1 of this my last will, I appoint my daughter, DEBORAH A. FRAME, executrix of this my last will. ITEM V. In addition to the other powers and authorities granted to my personal ~ representatives by Pennsylvania law and by the other terms and provisions of this will, I hereby give to my personal representatives the following powers and authorities effective without court t M ~ approval and until actual distribution of all property: to compromise any claim or controversy; to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as my personal representatives may determine and at valuations finally to be fixed by them; to invest in all forms of property, including any stock or other securities in any corporate fiduciary or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my personal representatives deem proper, without regard to any principle of risk or diversification; to retain any or all assets of my estate, real or personal, without regard to any principle of risk or diversification; to sell at public or private sale, to exchange, or to lease for any period of time, any real or personal property and to give options for sales, exchanges, or leases, for such prices ~~ and upon such terms or conditions as my personal representatives deem proper; and to allocate receipts and expenses to principal or income or partly to each as my personal representatives ~• deem proper in their sole discretion. 2 ITEM VI. I direct that my personal representatives and fiduciaries shall not be required to give bond for the faithful performance of their duties in any jurisdiction. IN WITNE55 WHEREOF, I have hereunto set my hand this ~_ day of (f~~l , 1999. B e Y L. ISCHOF 3 The preceding instrument, consisting of this and THREE other typewritten pages, each identified by the signature of the testatrix was on the date thereof signed, published, and declared by BETTY L. BISCHOF, the testatrix therein named, as and for her last will, in the presence of us, who at her request, in her presence, and in the presence of each other, have subscribed our names as witnesses hereto. 4 COMMONWEALTH OF PENNSYLVANIA ) ( SS: COUNTY OF CUMBERLAND ) The undersigned, being the testatrix whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, does hereby acknowledge that I signed and executed the foregoing 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. ~~ Sworn or affirmed to and acknowledged befo a by the statrix n,~med above thi~ay of ~C1~-C'__ , 1999. ' ~ _ _. ~-~vt KAt ____ WENpM S. CIfESIRp. Notary PubUe lower Albn Twp., Cumb~rlond Co., PA My CommhLOn 6cpirN Mpy 10. 1999 COMMONWEALTH OF PENNSYLVANIA ) (SS: COUNTY OF CUMBERLAND ) ~, ~~ ~~~ ~_ ~ j and ~G'flC~LA~ Cti~'~ j i ,the witnesses whose names are signed to the att~ hed or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix sign and execute the instrument as her last will; that she signed it willingly and that she executed it as her free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the testatrix signed the will as witnesses; and that to the best of our kncawledge, the testatrix was at that time 18 or more years of age, of sound mind, and under no constraint or undue influence. Sworn or affirmed to and acknowledP~ d befo me this day ofC~,~1999. . ~ A ~ ~~ . ,.e.,, No~~ ~ gal ...-a€$eRa. Noh nr ~~: lower AfIsR Twp„ Cumberland Co., PQ MY Commissial Expires glQy ~~~ ~~ 5