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HomeMy WebLinkAbout02-24-12COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT REV-1162 EX111-96) N0. CD 015626 COOVER CYNTHIA A 2331 MEADOW OAK CIRCLE KISSIMMEE, FL 34746 fold ESTATE INFORMATION: sSN: 204-03-1211 FILE NUMBER: 211 1-0715 DECEDENT NAME: HUMMEL JOHN P JR DATE OF PAYMENT: 02/24/2012 POSTMARK DATE: 02/21 /2012 couNrY: CUMBERLAND DATE OF DEATH: 06/22/201 1 REMARKS: CHECK# 101 SEAL ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 ~ S 105.20 TOTAL AMOUNT PAID: S 105.20 INITIALS: HEA RECEIVED BY: GLENDA EARNER ~TRn~Rni ir,N REGISTER OF WILLS REGISTER OF WILLS 1505610105 REV- i ~oo EX (oz-is) (FI) J!•1: enns lvania OFFICIAL USE ONLY PA Department of Revenue PEPaa,~E YFpE E~ E County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX z8o6o1 X11 ~ , Harrisburg, PA i~i28-o601 RESIDENT DECEDENT Q( 1 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 204-03-1211 06/22/2011 03/13/1923 Decedent's Last Name Suffix Decedent's First Name MI Hummel Jr. John P (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OWALS BELOW OD 1. Original Return O 2. Supplemental Return O 4. Limited Estate O 4a. Future Interest Compromise (date of death after 12-12-82) m 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust (Attach Copy of WiII) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death Between 12-31-91 and 1-1-95) MI O 3. Remainder Return (Date of Death Prior to 12-13-82) O 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes O 11. Election to Tax und®r:Sec. 9113(A~,,,~ (Attach Schedule Off'- :.-,-1 CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATI eL~DpIBE DIRECTED ~ . ;,tom Name Daytime Te"~Z }umb~w ~- ~ ~= r , _ _, Cynthia A. Coover (407) 55T-~~'~~, N ~ `~ First Line of Address 2331 Meadow Oak Circle Second Line of Address City or Post Office Kissimmee State ZIP Code FL 34746 ~; cn ~ r- ~ '--- REGISl'E LLS ~ ~~ONLX~;. - - ~ ,7 ~ ~ `Ct ` ~ Y DATE FILED Correspondent's a-mail addrosc: rmc$27(~ear~hlnk.net __ __,_, Under penalties of perjury, l declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIUNAI Uk~SU~V RE ' NSIISLC KOR !'ILIIJO RL'TURIJ ~, f/AT~ Or-~ ((,,(( ~~-, /,t I 2331 Meadow Oak Circle Kissimmee, FL 34746 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505610105 1505610105 J 1505610205 REV-1500 EX (FI) Decedents Name: John P. Hummel, Jr Decedent's Social Security Number 204-03-1211 RECAPITULATION 1. Real Estate (Schedule A) ........................................ ..... 1. 0.00 2. Stocks and Bonds (Schedule B) .................................. ..... 2. 0.00 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 0.00 4. Mort a es and Notes Receivable Schedule D 9 9 ( ) ...................... ..... 4. 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E).. ..... 5. 9,256.08 6. Jointly Owned Property (Schedule F) O Separate Billing Requested .. ..... 6. 0.00 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 0 00 (Schedule G) O Separate Billing Requested... ..... 7. . 8. Total Gross Assets (total Lines 1 through 7) ........................ ..... 8. 9,256.08 9. Funeral Expenses and Administrative Costs (Schedule H) ................ ... 9. 5,191.37 10. Debts of Decedent, Mortgage Liabilities and liens (Schedule I) ............ ... 10. 1,730.98 11. Total Deductions (total Lines 9 and 10) .............................. ... 11. 6,922.35 12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 2,333.73 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ..................... ... 13. 0.00 14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. 2,333.73 TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 0 00 . (a)(1.2) X .o_ 15. 0.00 16. Amount of Line 14 taxable at lineal rate x .0 45 2,333.73 16. 105.02 17. Amount of Line 14 taxable at sibling rate X .12 0.00 17, 0.00 18. Amount of Line 14 taxable 0 00 0 00 . at collateral rate X .15 18 . 14. TAX UUE .........................................................10. 20. FILL IN THG OVAL IF YOU ARFe RGQUInSI ING A REFUND OF AN OVERPAYMENT Side 2 L 1505610205 1505610205 105.02 O REV-1500 EX (FI) Page 3 ' Decedent's Complete Address: File Number DECEDENT'S NAME John P. Hummel, Jr. STREET ADDRESS 2331 Meadow Oak Circle CITY Kissimmee, FL STATE FL ZIP 34746 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) (1) 105.02 2. Credits/Payments A. Prior Payments _ 0.00 B. Discount 0.00 Total Credits (A + B) (2) 0.00 3. Interest (3) 0.00 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 105.20 Make 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 .......................................................................................... ^ b. retain the right to designate who shall use the property transferred or its income ............................................ ^ c. retain a reversionary interest .............................................................................................................................. ^ d. receive the promise for life of either payments, benefits or care? ...................................................................... ^ 2. If death occurred after Dec. 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? .............. ^ 4. Did decedent own an individual retirement account, annuity or other non-probate property, which contains a beneficiary designation? ........................................................................................................................ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 1-or datea of death on or after July 1,1991, and befor® Jan. 'I ,1995, the tax rate Imposed on the net value of hat LtifarS Ic, ~7r fr~r the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dales of death un ur after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for tho use of the ~urviving epouse is 0 percent [72 P.S. §9116 (a) (1.1) (il)]. Tlie Statute dues nut exempt a transfer to a surviving spouse from tax, and the statutory requirements for dicolocuro of aEEete and filing a tax return are still applicable. even if the surviving spouse is the only beneficiary. 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 younyer at death to or for the use of a natural parent, an adoptive parent or a stepparenf of the child is 0 percent [72 P.S. §9116(a)(1.2)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [T2 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 EX + (t-97) SCHEDULE E COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS $c MASC. INHRESIDENTDECEDENTRN PERSONAL PROPERTY ESTATE OF 1=1LE NUMBER Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ~~~~~~ coy ~n-f'-• ~f y7 SD 22 (o ~c1 ~5~, D~ A~ // ~- e ~a ~ ortS~1 i U'jC.c K~ ~ wit ~ ~/1~~~ TOTAL (Also enter on lime 5, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) REV-1511 EX+ (1il-O6) . SCHEDULE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF ter. // // FILE: NUMBER ~d ~n ~ i7vmrr~ e~, v Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPE 'SES: , / 1. ~,-~vSSE'.~inq r1 l~unc~ ~ e~"~rn e- `'~ ~(6 G~'~, ~emoYn ~~ ~A /70~ 3 y~~~cstiM ~~S ~~~~, .,r~~~~ ~ C / o ~ ~ rl~ ~ r -~,~~ ii'~ I B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2 3 Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address __ 4. 5. 6. ~. City State Zip Relationship of Claimant to Decedent __ _ Probate Fees C.-1~rti1.(!~~ ~4~'tgl ~ounT /~ /~." ~~ gyp/ rr(f.s Accountant's Fees Tax Return Preparer's Fees ~'~I ~ Sc ~~a ne o ~s' ~'ti~7 e,',S t-s ~ac t c~ 7~ ~e• Y~1 ~ r ~ t~oO L/~f• ~ThQ f~umMe~S ~wn ..~~n (Q 7. Sa /y ~ ~ a3s~q 30. o~ TOTAL (Also enter on line 9, Recapitulation) I $ .S ~ `I / . S ~ (If more space is needed, insert additional sheets of the same size) REV-1512 EX+ (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF ~j-' /~ ~ ~ / SCI~IEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ~~.~~% ~. FILE NUMBER Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. D tir more space is neetled, insert additional sheets of the same size) - __ - - • LOCAL REGISTRAR'S CERTIFICATION OF DEATH WARNING: It is illegal to duplicate this copy by photostat or phofograph.. Fcc 1(yl' L}ll~ iC(~IjIC11l~, `~(~.[)O t r.~ljiir -;-.~ l~l}~ Iti fir ~cflli i~1:.i1 tali' 111~UI'i11aIlUl1 ~~lhl' ~'IA'E'il 1' ~1~~~H ~f Pf + tll'fCl"I~\ lU~~lC•11 I!I ;,I~ )1'!~?lIl t~ ~ lllltll~t[l u( ~~C~i ~ ~ `~~'~ pit I~ Cilt~ll ~~-lUi III; ,,. 1 ~1~a1 RL .iaral ~Chc~ lui~rin ~Ze, _ ~ z~, ,u[~ 1~_~iCt~ ~,~i11 ilr I~1,(~~~Inir~l to [hc State' Vit j°vi~ ~ ~x~~. Ilt<<n~ll, (It'Pi~r 11fr ~,~rnl~tn~:rtt Milin~r. ~ ~~ ~q TM ~~P~ ~ SUN /2 4 2~~~_ -..--- ------ - ----- fNTO -- --- ~•ePIILl~.7;,5 5 7 0 8.3 , ' 9 ~. ---- N Li 111 ~t h uniril r% ~I rrl tyc.i' c'~ str~lr l~.it~ f<sucd t~ ~' ttrzoo6 COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS PE 1 PRIM IN eucEiNU CERTIFICATE OF DEATH (See InsVuctlons and e3camnlas nn rwvwrwwl t. Name d DaredaR (F••t miaee, lest, sidle) John P. Hummel, Jr. 2. Sex male 3. Social Secunly Numbs ~, ~ r„c vm 204 _ 03 _ 1211 1. Date d Deets Manm, de , June ~2,2~~)1 5. Age (lad Birmday) Under 1 Under 1 8. Date d Binh da 7. Binh C end eta8e a coon 3e Place d Deem Cheri ad ale 8 $ ~°A~ ~ Noes ass Hospital: Omer. March 13,1923 Harrisburg PA Yla , . I~gag ^ER/ Oulpvtlent ^ DOA ^ Numkg Home ^ Residence ^ Omer ~ Spedty: Bh. Coady d Deem Bc. CIry, Born, Twp. Death &1. Fedllry Name (g not Instllutlon, give street and number) 9. Wes Decedent d Hbpenk OrgM ~ ^ Vas 10. Race: American IM~n Bled While etc , , , Cumberland East P~nnsboro Holy Spirit Hos ital (If''~~'D~''"'"~"~ ( P Mexkan, Poe"` Rke", ero.) white • 17. Decedents Usual IMtl d work dare moll d world Ne. Do rid state retl 12. Was Decedent ever In the 13. DecedenYe Educatlon (Spedty miry highest grade carlpeted) 14. Memel Sretus: Meded, Never Mluried 15. SurvNing Spare (N wtle, give maiden name) KIM d Wont Hlntl d llydwlry U.S,. yA~med Forces? Ele a tery r Secondary (0.12) legs (1 A a 5+) Whfowed, Dnrorcetl (Spasly) time management Navy spot Ip~Yea ^NO ~~ ~ widowed - 18. Decedad's McNing Address (street dY r tam, state, zip coda) DemlenYs Penns 1 V a ri ]. a DM D~edem A Y dud ResWence 17a. Slate LNe in a t7c.1~1 Yes, Decederq Lived in T.nwa r ~ 1 1 a n T,,,p 8 2 4 L i s b u r Rd . A t. 2 3 3 g ' p ,ro Counry Cumberland T"w"shb? 17d. 11-JT NO, Decadent lived witltin Cam Hill PA 17011 Aduallhdlsd ~,,18~ iB. Femer's Name (Flrsl, midde, leaf sulfa) iS. Magrefe Noma (Flrel, mlddbtmeidan surname) Join P. Hummel, Sr. Bertha Wise 20e. Informant's Name (Type / Pnr1n Cynthia A Coover 20b. Idomenfe Meilig Address (Street dlY I rom1, elate, zip wde) . ' 2331 Meadow Oak C.ircle,Kissimmee,FL 34746 21a Mdhod d Dispaa tiorl 1 ^ Crenlelbn', ^ Donetron 21b. Date d Dlapoeitlon (Modh, day, yea) - sl t ~ ^ Removdh ~ f 21c. Pkce d DbpoeAbn (Name d cemdery, aamarory a omen pace) 21d. lncagon (City/town, slate, zip code) an a a wescralrtlala )orlMlonAUtlwdmd June 25 201 1 ~ r by INedleal Exam /caawT ^ Yes^ No ~ Rollin Green Cemeter Cam Hill PA 1 701 1 g Y p , d Fungal $eyvks (or peson acMrlg writ) / 22b. Lkeree Number Y2c. Name am Address d Fediry ~ 4~Yx''( D-013163-L Musselman FH&CS, Inc.,324 Hummel Ave.,Lemoyne, PA17043 iMlne 23a-c only oiler cergtykg phyeNden is rid avelehle et tlne d deaM ro 23e. To the t d , deeM d the tl ,date end place stated (Signature and tNel ~ 236. Llcenee Number Date S Igled (Month, day, year) ~ mwyY mmseddeatlt. - T one aa, ao~~ Hans 24-26 must be canpleted try person - who prapunces death. 24. ime d Deem ~ . ~ a A 25. Date PronVw~nced Deed/(Madh, deY, Y••rI M J 26. Wes Case Rdro Mescal Exemina I Coroner for a Reason Otlrer then CremaNOn a Donetlon7 , . 1 l ~ O[o( a o `\ ^ Ye[.~ No CAUSE OF EATH (sae Instrxsetfone end szempMs) r Approxtnaro Idervel: Item 27. Pen I: Enter the c6ehl d events - diseases, v(uries, ar carp ~ that dr•cNY caused tl1a deem. 00 NOT solar lermind events such as carder areal, 1 Onset m Deam l m Pen II: Enter other f but not readdag h the undenying cause gNen In Pen I 26. Did TdxueorUS~e Comdhute to Death? ^ Y re4p re ry areal, or veniriatler f6dlagon wghad dawlrglthe etidogY. L6t mry aw ease on line. 1 i . es I~ Pro6ebly ^ ^ IMYEDUTE CAIIBE (F~IaI tlleeace a e " r c' No Unknown /( 'rC ( uaxlNkn resultlng h death) / z f O(f C ~ f ('~( I ~ I T 29 If Female: s ro a 96 8 nAneBQ race Or':-/f_~~`~`A•~~ 1• f/•~y 1 ~ W Rsl c°ndlN°^ N ~ ~ ~ . U iJul plagllalll Wltlllll p881 yB81 s• em1, b. C fn, /x.11 ~^•l T °'~ (s^ ~~ ~ cause Betad on Brae a. ^ Pregnant at time of death Ender UNDERLYING CAUSE Due m (or as a censequence oq: i ^ Not Pregnant but pregnant within 42 days - (disease a Nqury 91st initleled tle eveds resldtlng h d~M) LAST. c. i of death ^ Due to (or es a cenaeguehce of): 1 Nd pregnam, but pregnant 43 days to 1 year d. ~ ~ -'- ~- before tl88m ^ UnNnerm N pregnonl within tle peal yev 30e. Wes en Autopsy PenamedY 3W. Were Araapsy Fmdmgs Available Prior to Corrpletlon 91. Manner Death 32e. Dale d Iryury (Mmm, day, year) 326. DeslxWe How InJury Occurred 32c. Place of Iryury: Horne, Farm, Street Factory, a cause a Deem? Natur~l ^ Hanicltle Office BWItl' etc. ~ (aryl ~~ ^ Yes 6iJ No ^ Yrre ^ No ^ M ^ Pen Irrve ' gal ~m ~ ~ 32d. Thee of InJury 32e. InJury et Work? 32t. II T tlon I u r~~ M ry (~s~Yl 32g. Locetlon of Injury (Street city /town, stale) ^ Suroidb ^ Could Not 6e Ddermkled ^ Yee ^ No ^ Driver/Operela ^ Passenger ^ Psxlestrien M Ogler ~ SpeaYy 33e. Cagfiar (dladc Dory one) 336. SigneNre era Title d C • CaM1,4ng phpklen (Physcan cergrying mss d deem when e(ather plrysiden has prorwunad deem and mmpbt•d Item 23) T /Y~_ - L~ o the bests mylmowkdge, death occurred due to the ~~~,,'6Tr~s)ndlrminer ore ehbtl_______________________ ^ _ _ _ _ _ _ _ _ _ _ . M•fJ Pronamdng end aMNying phydelan (Physician born Prawurging deaM end ce ' Mykg ro cause d deem) 33c. License Number 33d. Date Signed (Month, day year) - io B1a beet d my Nnowladga, death omumed a<the gme, deter end place, and due to the cause(s) end manner as atsUd_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ^ • I G M D ll / 7'2 ~ , D / le ea ExentYlerlCoroner On the bash d examinetb d / I d wro I Lb J ~ ~ - / b n en a nvea g n, n my opinion, death occurred d the time, dste, end place, entl due to the pose(s) end mamer ee stated_ ^ 3q. Name and Addre ss d P ers ~n Whc Ca nybled Cause d Deem (Item 27) Type f Print 35. Registrefs lure and Ds ' ~~~ ~ ~~~ ~ ~ ~ ~ - ~ 36 Dero ~ ~o:%' / l ' • - G O ~ C.% C~ rM`~ S s ~~ _ o3 ~ 2.1 sT C¢Mp Nll~ P~4 1 ~ oU DisposBion Permit No. V ~ ~ v ~ o ~ -__ ~-._ REGISTER OF WILLS CUMBERLAND COUNTY PENNSYLVANIA .,~~~ CERTIFICATE OF GRANT OF LETTERS No. 2011- 00715 PA No. 21- 11- 0715 Es to t c Of : JOHN P HUMMEL JR (First, Middle, Lastl Late Of : LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Securi ty No : 204-03-1211 WHEREAS, on the 24th day of June 2011 an instrument dated February 11th 1999 was admitted to probate as the last will of JOHN P HUMMEL JR lHrst, Middle, Cast) late of LOWER ALLEN TOWNSH/P, CUMBERLAND County, who died on the 22nd day of June 2011 and, ' WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA EARNER STRASBAUGH Register of Wills in and for CUMBERLAND County, in the Commonwealth of Penns;/Ivania, hereby certify that I have this day granted Letters TESTAMENTARY to: CYNTHIA A COOVER who has duly qualified as EXECUTOR(R/Xl and has agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYL VANIA. IN TESTIMONY WHEREOF, I have hereunto set my haxid and affixed the seal of my office on the 24th day of June 2011. Register of ~ls ~. Deputy * *NOTE* * ALL NAMES ABOVE APPEAR (FIRST , MIDDLE, . LAST ) ~~t~~ ~i.Ui11 ~.~ti~ ~i`~~~tl~t.~ltx OF JOHN P. HUMMEL, JR. I, JOHN P. HUMMEL, JR., of Lower Allen Township, Cumberland County Pennsylvania, db make this my Last WiU. and Testament, hereby revoking any and al~ former Wills by, me at any time heretofore made. ~ A R'I'IC LE I I direct the payment of my just debts and funeral expenses as soon after my dent ~ as convenient tp my Executrix hereinafter named. I I ARTICLE II I give and !bequeath unto my wife, VIRGINIA I. HUMMEL, my automobile, househol ~ goods and other tangible personal property. If my wife shall fail to survive me, [ giv i ~ and bequeath th+e same in equal shares unto JOHN D. 'i'IMKO and CYNTHIA A. COOVER~ ARTICLE III All the re$t, residue and remainder of my Estate I give, devise and bequeath unto my wife, VIRGINIA I. HUMMEL, if she survives rne. Should my wife fail to survive me { I give, devise alnd bequeath the same unto my stepson, JOHN DANIEL TIMKO and m; daughter, CYN'P,HIA ANN COOVER, share and share alike, the issue of either who ma; predecease me ko take the share of the parent by representation. ARTICLE IV I nominate, constitute and appoint my wife, VIRGINIA t. HUti1MEL, to be the +` Executrix of this, my Last Wi11 and Testament. Should my wife fail to survive me of fail for any reajson to complete the administration of my Estate, [ appoint CYNTHIf ANN COOVER, Ito be the Executrix in her stead. I -i L IN W[TNESS WFIEREOF, I have hereunto set my hand and seal this ~,' ~ day of ~~,IG=1~' ~~ 1983. '~ /~, t ~' ~' t ~,.'~'~ i (SEAL ) John P. ltummel, Jr Signed, sealed, published and declared by the above-named 'Testator, JOHN P. HU1+liVlEL, JR., q~s and for his Last WiII and Testament, in the presence of us, who at his request, in hlis presence and in the presence of each other, have hereunto subscribed our names as witnesses. -~ ~ ~ {.c k.,,, +I ~r .~ -2- t_ _ ~ r,,1, ~ ~ RE~,~~ ~ ~~, .:~~ ~_.. ___ X01? FES 24 PM I ~ 06 , CLERK OF R ' W~^ ~ R .~ ~ "~J ~a a M ,~ ~ M ~_ ~~ ~ t ~;. ~; ~ `~ o~ ~ -~ ~ o .~ : ~ -~~: ~ `~ ~ o _.,k ~ ? ~~ o (`'p ~~ ~v o .~ °~ ~ ~ ~- v ~ ~~ ~ ~ ~ ~ ~~ ~ ~~ ~J ~ ~