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HomeMy WebLinkAbout01-31-12~~ h 1505610105 1500 °`~~'~'~'~ REV - OFFICW. tlSE ONLY PA Department of Revenue ~ ~ Y~ ~ ~X 2I8~ivl~dt'al Taxes INHERITANCE TAX RETURN ]~/~ ~~ ' PAi i . I v RESIDENT DECEDENT ' E INFORMATION BELOW Sods Sepuity Number Date of Death MMDDYYYY Date of Birth MMDDYYYY ._~ _-_ _ 167-24-0672 10/31/2010 08/01 /1825 Decedents Last Name Suffix Decedents First Name MI Hartswidc jr Fnedefick __1 ~ W. (K /lppllcabb) Enter Stmiving Spouse's Information Beloar Spouse's Last Name Suffix Spouses First Name MI [ _ -- _ _ _ ___ -__ ___ ~ I j j __ ..._ __. _.--- ~ I ---_.__ _.____-- _ -__,_.. _TJ-.~ _~__. -_.__~._______~, ___-~ spouses Sochi Security Number----_ ED IN DUPLICATE WITH THE ~ Fl THE ~~ MUST BE L - REGISTER OF WILLS FILL INAPPROPRIATE OVALS BELOW ~ 1. Original Retum O 2. Supplemental Retum O 3. Remainder Retum (Date of Death Prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (date of O 5. Federal Estate Tax Retum Required death after 12-12-82) ~ 8. Deoederh Died Testate O 7. Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of wuq (Attach Copy of Tnist.) O 9. Litigatlon Proceeds Received O 10. Spousal Poverty Cred'd (Date of Death O 11. Electior- to Tax under Sec. 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) tSPONDENT - TiRB SECTION MUST t!E COMPLETED. ALL CORRESPONDENCE AND CONFOENTIAL TAX NffORMATlON SHOULD DE DNtECf ED T0: ~~ Daytime Telephone Number ~.iames W. Abraham, Esquire ~~-~~ ' j (717) 566-9380 ~ , 1 ~._~~.__._____._.~__.__ ___-...__. , _. _ __ _ _ _ __ __v_~ _..__.__. ---c°~---- -c~---~-- second Line of Address ~.M_ ~------.. City or Post Office ~~_ j Hummelstown Corr+e~ardenPs HrraN addrsss:,_ State ZIP Code PA ! ;17036 REGIST~ ii LLS USLybNLY C... A Z ~Cn r= - ~ ' ~,•-r *`- DATE FLED ~ Under pendtbs of perjury. i declare that 1 have exaAtwled this retwn, inck~ding aocomparryinp schedube and atabrt~, and m the test ~ my prowbdpra and bee K (s true. Correct and oompleb. Declaration of Pr'sPrtlr'ar other ttren the persorrel represerdatlve is t>esed on all infarrmtlon of whidr praparer has ant krroMAsdgs. yfdNA ~L F~tSON RE/ 3PQNS ~jFOR F ~ [ 027 ~ ` ADDRESS Charles W. 1003 W. Foxcxtft Drive, Camp Hi8 PA 17011 gpw- THAN REPRESENTATNE DATE / -~eZ7-tea/Z. JarneS W. Abraham, Esq., 45 E. Main S#., Hummelstown PA 17036 PLEASE USE ORKiiNAL FORM ONLY Side 1 L 1505610105 1505610105 J 1505610205 REV 1500 EX (Fq DeoedenYs Social ~My Number ~d geceder>1's Narr+e: 167 24-0672 RECAPITULATION - -_. 1. Real Estate (Schedule A) ............................................. 1. ` _~ 117,740.10 2. stocks and Bonds (schedule B) ....................................... 2. !, 7,452.00 3. Closely Held Corporation, Partnership or Sde-Proprietorship (Schedule C) ..... 3. ' _._ ~ - 0.00 4. Mortgages and Notes Receivable (Schedule D) ........................... 4. ~ _..~~ 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)....... 5. 15,540.00 6. Jo~tly Owned Property (Schedule F) O Separate Bring Requested ....... 6. ", _.. __ 0.00 .._.__ 7. Mter-Vivos Transfers & Miscellaneous Non-Probate Property _..._.~_,__._.. ' 00 0 (Sdredule G) O Separate Bitling Requested........ 7. . j S. Taal Gross Assets (total Lines 1 ttrrough 7) ............................. 8. 140,731.10 9. Funeral Expenses and Administrative Costs (Schedule H) ................... 9. 15,538.00 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule q ............... 10. ;. ~_~.~. 8,653.30 11. Taal Deductions (total Lines 9 and 10) ................................. 11. ~:', 24,191.30 12. Na Value of Estste (Line 8 minus Line 11) .............................. 12. ~ 116,539.80 13. Charitable and Govamrtrental Bequests/Sec 9113 Trusts for which ~ ~_ ' 0 00 an election m tax has not been made (Sr~redule J) ........................ 13. . 14. Net Value Subject to Tax (Line 12 minus Line 13) ........................ 14. 116,540.00 { TAX CALCUtAT~N - 8EE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or -- _._- _ __.___ ___ __._ -_- .-____. _.__ ___ _ __ .- _- _._.__. __._. __ -- -____._ .---__--_.___.~ transfers under Sec. 9116 (a)(1.2) X .0_ ~ 15. ~~ ~~ 16. Amount of Line 14 taxable ~ ~"'~~~~"'~a~'~~_p'~_'-. ' 77 694 00 1 g ! 3,497.00 , at Nneal ram X .0 _ . -.---.- - - 17. Amount of Line 14 taxable ~"M~`~~`~`_~"~`~~~u~__..._.~~ at sibling rate X .12 ' ~___.._,.~_._,~ ~,._, ~._~.____,~..__~w.~._. . h 17.: _._n ___v,__~____ ~ ._..a__ _ .._ 18. Amount of Line 14 taxable 38,846.00 ' 18 5,827.00 at cbNateral rate X .15 . 19 9,324 00 19. TAX DUE ....................... ... .... .................... - - -- ---- - --- _ - - - _ -- __ 20. F~L IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 L 1505610205 1505610205 O J REEF-1500 DC (Fl) Page 3 Decedent's Complete Address: FNe Number Frederick W. Hartswick, Jr. STREETADDRESS 1918 Chatham Drive ~y Camp Hill...... STATE PA ZIP 17011 Tax Paymertlts and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPaymertts A. Prior Payments 8. Disoourrt 3. Interest 4. >f Line 2 ~ greater than Line 1 + Line 3, enter the diligence. This is the QYERPAYMENT. iFgl ~ and on Pape 2, Ltne Z8 ~ n a refund. Total Credits (A + 8) (2) (3) (1) 9,324.00 0.00 (4) 0.00 0.00 5. If Lure 1 + Line 3 is greater than Line 2, enter the dilfenerx~e. This is the TAX 1KlE. (5) 9,324.00 Make check payat~le 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. retrain the use or income of the property trar>sferted .......................................................................................... ^ b. retain the rim to designate who shah use the property transferred or its income ............................................ ^ r~ rr#ain a reversionary interest .............................................................................................................................. ^ d. receive the promise for life of either payments, berrefds or care? ...:.................................................................. ^ 2. If death oa:umed after Dec. 12, 1982, did decedent transom property within one year of death w receiving adequate c~r>sideration? .............................................................................................................. ^ 3. Did decedent own an ~n trust tor" 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 property, which cor>fains a benefidary designation? ............................................ IF THE ANSYYER TO ANY ~ THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE R AS PART OF THE RENRN. for dates of death on or atf~ July 1,1994, and befare Jan. 1, 1995, the tax rate imposed on the net value of transfers fp or for the tree of the surviving spouse is 3 percent (72 P.S. §9116 (a) (1,1) (i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to ~ for the use of the surviving spouse is 0 percent [72 P.S. §9116 (a) (1.1 j (ii)]. Tire statute does not exempt a transfer to a surviving spouse from tau, and the statutory requirements for disclosure of assgs and Ming a tax rattan are sal apptrable even if the surviving spouse is the only benefiaary. For dates ~ death on or after July 1,2000: The tax rate imposed on ifs net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent, an adoptive l a a steppep~ent of the chid is 0 Percent (72 P.S. §911fi(au1.2)]. • The tax rate imposed on thr3 net vakre of transfers to a forfire use of the deoedenYs lineal benefiaaries is 4.5 percent, except as noted in ]72 P.S. §9116(a)(1)]. • The teat rate on the net value of transfers tb or for the use of the decedertYs siblings is 12 perc~t (72 P.S. §9116(a)(1.3)]. A siblhrg is defined, under Sec~on 9102, as an indiwd' ual who has at one Parent in common with the decedent, whethre by mood or adoption. REV--1502 EX+ (11-08) ~'1115)/~1/81'Y~8 DEPARTMENT OF REVENUE Ilef9trrANfF TAX RETURN RESIDENT DECEaErtT SCHEDULE A REAL ESTATE ESTATE OF - FILE NUMBER Frederick W. Hartswicc, Jr. AR rent prope'ty owned ~Y or ~ a tenant M caauxorr dud be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller, neither being compelled to buy or sell, both having reasonable knowledge of the relevant facts. Reef property that is joHrtly-owned witlr right of survivorship must be ditdoaed on Sdrsdtde F. Attach a copy of the settlement sheet ff the property has.been sold. ITEM Indude a copy of the deed showing decedent s interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION i• :'1918 Cttatttarn Drive, Camp HiY PA -Sate 5127,920.00 less k~osirg costs (see HUD1 a8ac~ed) ` 117,740.10 TOTAL (Nso enter on Line 1, Recapitulation.) >) 117,740.10 If more space is needed, insert additional sheets of the same size. ~ ors ~-pproval No. z5o¢-azs5 t-~ ;~ A. Settlement Statement (HUD-1) ^ Camr. lJnin. ®FliA 2 1 Q RFIS 3 kfpw~ Case NwnbK: . . . 11-01-2 21174CAP 244 101M~ 4. ^ VA 5.^ Can+r. Ms. Q Node This form b i~wnlehad b /M you s addwwnt of achW seNlemeat costs. Mioanb paid b ad by Uis ssteemsat aasnls ae shown Naps r~kad '~.oo1"wae psfa ouWds ens ~ ttw4r rs shown has for bformstlaol puQoass ~d ass not tseluded in Ws bLM. D. Name 3 /lddiew d Borrovrer: E. Name b Addteas d Se1er: F. Nams 3 /Wd1MS dl.endsr: f4obert 0. Wldar, laogr J. Weksna EsMisd Wederldc W. Hatwrics, .Ir. Howard HauiaMn4a0s Sarkas 2048saom Olwe; Henis6ag PA 17112 191eCheliam Ddw; Camp Hr, Pl1 17011 119 (temms Ddra, Plhdna~t, PA 16296 t3. PropeAy Localiorc H. Seebtnent 118ent G Seleemant Deli 0127tI012 1818 Chethmn Drive Banldaa lard Aherad Campary Dicbursament Dade 0127/2012 Camp H~ PA 17tH 7 3310 Yslrl SYeBf, Casp t#, PA 17011 Lower ABan Tav Telepane: 717aet~s199 Fsc 7n 1~s1~o72 ~o Mrf®t H8, PA 17011 Psi o125i12012 at 3:38 pm M~ tel. citoo.. - ONeiateomrwar 401. t#MOMarM4Oaab8aesr t 102. PM~sanlf 402. Penonei '103. 'ShceeientrJNgeebhomarer~nsl 8,72M.17 400. 104. 404. 106. 106. tarlnNa aeNrYadwsos brMsrts aaesrdadvawp 100. t~IbwNfaoet b 400. CefibaNtaaee b 107. CavnlytaNSe b 401. Coiagtases b 101. Shad Taaea 01!!!/!012 b OBQ0rJ1112 893.46 401. Sdad Taoas 01/l7/~12 bOBp0iZ012 p318 101. Serer 0127~12b03AtfI012 38.79 401. Sewx 01117/d112b03131t8l12 3129 110. Tiah t~ m Aocard 3310 410. Trash t~ed0on Aoaoarl 3310 t11. 411. 112 412 ~ tltwsArw~lewtiow8omswsr 137.7Q/.12 400. llraaaAaowt8wb8a1sr 121,{lI~IS 2N. A~etdslhid orit8oherd8amwer 110. NMoe8oNalNAtNONalDrebeieMsr ar iaoNey 1 (aee 202. PdNC~elaNiaMoinarba~ 124,88D.00 502. SeieiaadaAee~aebaelerplna140tq 281.80 291 dloen b 600. dNen b ~. ~ 804. otlat bon Z46. 606. dseoond loan 206. GOOd Fait (lepoNt 0.15.00 508. 207. 607. 200. tblerFlaehl 7,615.20' 508. SelerAaMel 7,87610 200. 808. talnas asesr farM~es sslNr dtNa b lstaa b 211. c~atngtaNaa 01AV1012b0127/1012 52.62 511. Coirlyt~NS Q1i01~12bOirD/1012 52.02 212 8ofiool Taaea b 512 8otad Tables b 211 513. 214. 514. 215. 615. 218. 518: 217. 517. 218. 518. 219. 519. 220. olel Ikrtowar 133,7ete! ii0: TaY Ilododea IlNtotlNt Ora 8s8sr 30,219.72 .300. trn>t0aiaaaawtr 110. QeMat8a11uNaNtieiiuw>fsUr 301. ~~ '~) ~.~~ 801. awoNNduabseler ~ 12e,826A5 382 tiNioiaibplid6311arbarorer(6e220) 1 692 leaareda~eo~a~bamaet~aese1er11ne52D1 .72 903, tareit ®Ram ^ To Baeaner ~.ee7a1 /Rt. tbeb ©To ^ Flom Saesr o~?.3k.23 w~t~..~~.^w~~~i ~~a~~S~~..~F r~sT~l~~~~~.~arna~~w.~..nww.~.~ rwM~rlw~a are ~ >i a Ituo-1 BOffOMtCf S ~ SCrICf S Funds at Funds at 1206. ~v.Mnr~YNdrl,tl~bvf~e~wr ~ste~ar rt_1r~eer fTh~eier.8rofK1~. .- .- ~o, r ~9. ~v ~.~7 Qom- /Oj ~?4,40^ r~.~~7~~ is r ed are ~b®oleDe Pega 4 HU 1 ~11t'IS~/~Vat1'~a DEPARTMENT OF REVENUE U~(ERITANCE TAX RETURN RESIDENT DECEDENT scNEOU~ s STOCKS & BONDS 'ESTATE OF -- - FILE NUMBER Frederick W. Harttwvidk, Jr. All nroPertY jdetlll owned with right of ~rvhrorship mwt tre dbcioaed on Schedule F. If more space is needed, insert additional sheets of me same size REV-1$06 EX+ (ii-1o) Pennsylvania DEPARTMENT OF REVENUE tNNERITANCE rAx RETURN RESIDHfi DECEDENT scNEOU~ ~ CASH, BANK DEPOSITS >~ MISC. PERSONAL PROPERTY ESTATE OF: FILE NUMBER: Frederick W. Hartswick, Jr. Include the proceeds of litigatlon and the date the proceeds were received by the estate. ~ ProP~Y ~Mh ovrned with right d survivorship must be dlsclated on schedule F. ITfM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Household tumishings, pesonat property -1918 Chatham Drive, Camp HIII PA 2,000.00 2' M&T Bank personal dtecking account - No. 41608256 4,188.00 3; M>liT Bank personal savingsaccount - No.15004211055121 7,685.00 4 M&T 8arrk Certificate Of Deposit - No. 31003913820758 1,667.00 TOTAL (Also enter on Line 5, Recapitulation) $ 15,540.00 If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+ (10-09) pennsylvarria DEPARTMENT OF REVENUE nes:wTnre;E rnx RETURN RESID@IT DECEDENT SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS ESTATE AF FILE NUMBER Frederick W. Hartswidk, Jr. Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES; - - 1' 'Neil Funeral Home -Camp Hill PA -funeral services. 5,623.00 B. ADMINISTRATIVE COSTS: 1. t~ersonal Represerdative Commissions: 2,500.00 Name(s) of Personal Representative(s) Charles W. Scott street Address 1003 W. Foxcroft Drive ~;ky Camp Hill state PA zIP 17011 Year(s) Commission Paid: 1 Z. Attorney Fees: Abraham Law Offices,LLC 7,100.00 3. Famlty Exemption: (If decedent s address is not the same as daimant's, attad- explanation.) Claimant Street Address C;ty state ZIP Relationship of Claimant to Decedent a. Probate Fees: Register Of Wills - Cumb.Cty. 315.00.: 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. - TOTAL (Also enter on Line 9, Recapitulatron) ~ 15,538.00 If mare space is needed, use additional sheets of paper of the same size. REV-1512 EX+ (12-08) Pennsylvania DEPARTMENT OF REVENUE INF~RTfANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES 8c LIENS ESTATE pF FILE NUMBER Frederick W. Hartswicc, Jr. Report debts Incurred by the daadent prior to death that remained unpaid at the date of deatl+, hnludinE unreimtwraed nN~dieai . ITEM VALUE AT DATE NUMBER DESCRIPTION ~ DEATH i • Water biNs -1918 Chatham Drive, Camp HiN PA 484.21 2 Sewer bibs -1918 Chatham Drive, Camp HIN PA 275.73 3 ' UGI gas biNs -1918 Chatham Drive, Camp HIN PA 1,001.46 ' 4 PPL electric biNs -1918 Chatham Drive, Camp HiN PA 391.66 5 Lower Allen Twp. veal estatetaxes -1918 Chatham Drive, Camp HIII PA 2,185.90 6 Steven Kramer Construction -repairs -1918 Chatham Drive, Camp HiN PA 2,981.84 7 Sears, Lowe's, Stanley Steamer - mairepairs -1918 Chatharri Drive, Camp HiN PA 794.23 8' Erie Insurance - homeowr~'s insurarx;e -1918 Chatham Drive, Camp HiN PA 423.00 9 West Shore EMS - ambularroelemerger>cy services 115.27 TOTAL (Also enter on Line 10, Recapitulation) $ 8,653.30 If more space is needed, itr;ert additional sheets of the same sue. REV-1513 EX+ (01-10) Pennsylvania DEPARTMENT OF REVENUE Ira~ITANCF TAx aE1uRN RESIDENT DECEDENT SCHEDULE ~ BENEFICIARIES -_ ESTATE OF: FILE NUMBER: Frederick W. Hartswidc, Jr. RELATIONSHIP TO DECEDENT AMOUNT OR MARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY Do Not tJd Trvrtae(a) ~ ESTATE I TAXABLE DISTRIBUTIONS [Indude outright spousal distributions and transfers under Sec. 9116 (a) (1.2).) 1. ' Charles W. Scott, 1003 W. Foxcroft Dr., Camp Hiq PA step-son 1 /3 2 Mary C. Wgley, 34 Bison Road, Dover DE step-daughter 1 /3 3 Barbara A. Scott, 12068 Cogege Dr., Meadowview VA stepdaughter-in-law 1 /3 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SNOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRUTE. II NON TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX 1S NOT TAKEN: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: L TOTAL OF PART II -ENTER TOTAL NON TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. ~ If more space is needed, use additional sheets of paper of the same size. --- - • ABRAHAM LAW OFFICES ` ~ 2157 Market Street, Camp Hill, PA 17011 - - (717) 763-1700 LAST WILL & TESTAMENT OF OF FREDERICK W. HARTSWICK, JR. I, Frederick W. Hartswick, Jr., being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making null and void any and_all former Wills and/or Codicils made by me at any time before this Will. FIRST: I direct my Executor, hereinafter named, to first pay all of my legal debts, funeral expenses and taxes of any kind, as soon after my decease as conveniently may be done, as required by, and in accordance with, the law. ' SECOND: I hereby give, devise and bequeath, all of the property of my estate, including both real and personal property, of whatever nature and wheresover situated, leaving no residual, to my Wife, Mary A. Hartswick. THIRD: In the event my Wife, Mary A. Hartswick, predeceases me or dies simultaneously with me, I hereby give, devise and bequeath the rest, residue and remainder of the property of my estate, including both real and personal property, of whatever nature and PAGE 1 OF 3 PAGES n •N O ~~ C 'r ~" 'Tt~~ (' . ~~~ 1 ;~ ~j J ~ C. `~i ~L b~ <, ^~ .~ O wheresoever situated, leaving no residual, to my step-son, Charles W. Scott; to my step- daughter-in-law, Barbara A. Scott, the-widow of Ralph Scott, to my step-daughter, Darlene F. Hockett and to my step-daughter, Mary C. Willey; in equal one-fourth (1 /4) shares, per capita. FOURTH: I duect my Executor to pay all inheritance, estate, succession and other death . taxes, imposed or payable by reason of my death, and interest and/or penalties, if any, to which, my estate may. be subject, as a result of the transfer of any property passing hereunder or otherwise passing by reason of my death; and. such taxes shall be paid first from the principal of my general estate, as ifsuch taxes were administration expenses, without reimbursement. 'I authorize my Executor to pay all such taxes. as required by, and in accordance with,. the law. FIFTH: I hereby nominate, constitute and appoint my step-son, Charles W. Scott, as Executor, of this Last Will. and Testament -and that he be permitted to serve without bond. and without any intervention of any court, except as required by law. I authorize my Executor to sell, encumber; mortgage, invest, distribute in kind or retain any items of property of my. estate in such a manner as he shall deem proper, limited only by his own discretion; and to compromise claims against or in favor of my estate, with or without court approval, on such terms and conditions as he deems appropriate in his, sole discretion. If for any reason my Executor appointed under this Last Will and Testament, should be unwilling or unable to serve in that capacity, I hereby nominate, constitute and appoint my step- granddaughter; Patricia. Lee Kramer, as Executrix, with the same powers. and privileges as set forth above. PAGE 2 OF 3 PAGES ,... IN WITNESS WHEREOF, I, Frederick W. Hartswick, Jr., the Testator to this East Will Testament, typewritten on three (3) sheets of paper,, have hereunto set my hand and seal this 2nd day of November , 2006.. r ' rederick W. Hartswick, Jr. Signed, sealed and published and declared by the said Testator, as and for his Last.Will and Testament, in our presence at his request and. in-the presence of each other, have hereunto set our hand and seals as attesting witnesses. ~ - ,. ~~ t `~ ~ l residing at :~: f ~'~ l ~lt~l ~•~itE: `: ~ ,, (. ~tyr~'-' ~;~I t~ / s~ i Vii:. i l ~; '~ ~ ~~ ~~residing at ~ t~` 7 /vit~rc.lc.c: T"' ..i~i ,, ~.~L4'~ ~~ 1.t- J _E~ 11L~ l 1. PAGE 3 OF 3 PAGES COMMONWEALTH OF PENNSYLVANIA . SS: CC?UNTY OF CUMBERLAND We, 7`-I-t~iiti4it ~./~ ~~ ~ f~ 11~~~i and l~~ 7t.''Y ~• ~E-./ K t^nT' ,the undersigned witnesses, whose names are signed to the attached or foregoing instrument, being duly qualified according to law,. do depose and say that we were present and saw the Testator sign and execute the foregoing instrument as his last Will and Testament; that the. Testator signed it willingly and executed it as his free and voluntary act for the. purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and chat to the best of our knowledge-the Testator, at the time, was of sound mind and under no constraint or . .undue influence and was eighteen (18) years. of age or older. On this 2nd day of November , 2006, before. me, the subscriber, a Notary Public, in and for said Commonwealth and Co ty, came the above-named persons, C6~ c~t~ ~ .S :~ d r d- i '~ ,L -s' e ~ ~L, w n ~" SatlSfaCtOrLl.y proven to me to be~the persons whose n es are subscribed above; and acknowledged their signatures as witnesses to the foregoing Last Will and Testament to be their act-and deed. WITNESS my han and Notarial Seal: `-,.. .. ~_A NOTARY PUBLIC MY COMMISSION EXPIRES COMMONWE.~~:1'H JF' PENNSYLVANIA Notarial Seat Jame . W. Abraham, Notary Publitcy t y~Commtssiori Expi es Ap r3C02009 Member, Pennsylvania Asssodatwn of Notaries COMMONWEALTH OF PENNSYLVANIA: SS: COUNTY OF CUMBERLAND.. . I; Frederick W. Hartswick, Jr., Testator, whose name is signed to the attached or foregoing instrument, having been duly qualif ed according to law, do hereby acknowledge that I ' signed the instrument as my Last Will and Testament; 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 before me, by Frederick W. Hartswick, Jr., the .Testator, -this 2"d day of November .2006. NOTARY PUBLIC MY COMMISSION EXPIRES: ~ ~ ( / Frederick W. Hartswick, Jr. rj ro~MONWEALTH OF PENNSYLVANIA dames W A ~m~~~, Public Camp Ni0 Bore, Cumberland County My Commission Expirea.Apr. 30, 20bs . Member, PennsylvArin AseoctaNon of Notaries