The URL can be used to link to this page

Home My WebLink About07-08-0615D56D41125 REV-1500 ~ (06-05> PA Depertrnent Of Revenue OFFICIAL USE ONLY Bnre9U Ot Indnridual Taxes Courdy Code Year File Number PO BOX 280601 INHERITANCE TAX RETURN 2 1 0 5 0 6 3 9 Hanisburo, PA 17128.0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 8 9 0 9 8 4 4 6 0 7 0 6 2 0 0 5 0 4 1 6 1 9 1 0 Decedent's Last Name Suffuc Decedent's First Name MI G R A Y R U T H A pf Applicabk) Enter Surviving Spouse's Ir-fortnaUon Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVAL.8 BELOW 1. Original Return Q 2. Supplemental Retum ~ 3. Remainder Retum (date of death pnor to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Retum Required death after 12-12-82) ® 6. Decedent Died Testate ~ 7. Decedent Maintained a Living Trust ~ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) 9. Litigation Proceeds Received ~ 10. Spousal Poverty CredR (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) wnrtesrvnutn I • I nl7i atc I Ivn laua i nt uuerut I tu. aLU r:vnntnwnutrwe anv wnrwtn I uw I Ale mruruw i ivn anuuuu nt ulnev I eu i u: Name Daytime Telephone Number N K E I T H D W A G N E R 7 1 7 8c:3 8 6 4 8 =~' " ~ - Fitm Name pf Applicable) - '~ -- REGISTER Of p~L~ USE ~ILY , ~ .~ B R I N S E R W A G N E R Z I M M E R ~ r-1 i '`-~ tilt ~i _- ~ ;C7 First line of address - - - V~ ~:~ -.O ` 1 _z_i 6 E M A I N S T R E E T ' ' =~ " ~T' 'c~ _, -~ N rn Second fine of address _~ - s ,: P O B O X 3 2 3 rv City or Post Office State ZIP Code DATE FILED ~ P A L M Y R A P A 1 7 0 7 8 Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined tads return, indudkg accompanying sdledutes and slalemeMS, and to the best of my knowledge and txilief, k is bye, cornett and complete. DedareBorl of preparer other than the personal representative Is based on all Miortne0on of which preparer has any knowledge. SIGNATURE OF RSON RESPON I1F~L~FOR~ FILING RETURN DATE~j 1 ADDRESS 6 E. MAIN S T, P.O. BOX 323 PALMYRA PA 17078 SIGNATURE OF P T THAN REPRESENTATNE DATE 6 a4 ADDRESS 6 E. M N STREET, P.O. BOX 323 PALMYRA PA 17078 PLEASE USE ORIGINAL FORM ONLY Side 1 15D56D41125 15056041125 ~~ 15056042126 REV-1500 EX Decedent's Name: RUTH A. GRAY Decedent's Social Security Number 1 8 9 0 9 8 4 4 6 RECAPITULATION 1. ...................................... Real estate (Schedule A) .. 1' - 1 8 8 2 9 8 1 2. Stocks and Bonds (Schedule B) ................................ .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .. - .. 3. 4. Mortgages & Notes Receivable (Schedule D) .................. . ~ ~ 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... .. 5. 6. Jointly Owned Property (Schedub F) ^ Separate Biliirtg Requested .... ... 6• 7. Inter-Vivos Transfers & Miscellaneous N n-Probate Property Requested arate Billin ~ Se 7. .... g p (Schedule G) ... - 1 8 8 2 9 8 1 8. Total Gross Assets (total Lines 1-7) ........................ ... 8. ~1 5 0 0 9. Funeral Expenses & Administrative Costs (Schedule H) ............. ... 9. 10. Debts of Decedent, Mortgage Liabildies, i3 Liens (Schedule I) ......... ... 10. 1 5 0 0 11. Total Deductions (total Lines 9 & 10) ........................ ... 11. 12 - 1 8 8 4 4 8 1 12. ...................... Net Value of Estate (Line 8 minus Line 11) . ... 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ............... ... 13. - 1 8 8 4 4 8 1 14. Net Value Sutysct to Tax (Line 12 minus Line 13) ... .... .. ..... ..14. TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 911s 0 0 0 15 0 0 0 (a)(1.2) X .0 _ . 16. Amount of Line 14 taxable 0 0 0 0 0 0 at lineal rate X .0 _ 16. 17. Amount of Line 14 taxable 0 0 0 0 0 0 at sibling rate X .12 17, 18. Amount of Line 14 taxable _ 1 8$ 4 4 8 0 - 2 8 2 6 7 2 at collateral rate X .15 1 g 19. Tax Due ................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~r1~ (f~~jl~`~~-V Side 2 L / 15056042126 - 2 8 2 6 7 2 15056042126 J REV-1500 EX Page 3 File Number • ~~~~ ueceaenrs complete Aaaress: DECEDENTS NAME RUTH A. GRAY STREET ADDRESS 100 MT ALLEN DRIVE clTr MECHANICSBURG ~~~~ i STATE ' 21P PA 17055 Tax Payments and Credits: ~. Tax Due (Page 2 tine 19) 2. CreditslPayments A. Spousal PoveRy Credit B. Prior Payments C. Discount Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total lnterestlPenalty (D +E) (3) 0.00 4. If Line 2 is greater than Line 1 +ljne 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 201o request a refund. (4) 2,826.72 5. if Line 1 +une 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 0.00 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 +5A. This is the BALANCE OUE. (58) 0.00 Make Check Payable fo: 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 w incase of the property Vansferred : ...................................................................... ^ b. retain the right to designate who shall use the property Vansferced a its incase : ............................... ^ c. retain a reversionary interest; w ................................................................................................ ^ d. receive the promise fw Ile of either payments, benefits w care? ....................................................... ^ 2. H death occurced alter December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ^ 3. Did decedent own an 'in W st for' w payable upon death bank account w security at his w her death? ......... ^ 4. Did decedent own an Individual Retirement Account, annuity, w other non~xobate 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. Fw dates of death on w after Juty 1,1994 and before January 1,1995, the tax rate imposed on the net value of transfers to w fw the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i11• Fw dates of death on w after January 1,1995, the tax rate imposed on the net value of transfers to a fw the use of the surviving spouse is zero (O) percent [!2 P.S. §9116 (a) (1.1) {ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements fw disdosure of assets and fling a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after Jufy 1,2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age w younger at death to a fa the use of a natural parent, an adoptive parent, w a stepparent of the child is zero (0) percent [l2 P.S. §9116(aX1.2)). The tax rate imposed on the net value of transfers to w fa the use of the decedent's lineal benefiaaries is four and one-haN (4.5) percent, except as noted in 72 P.S. §9116(1.2} [l2 P.S. §9116(aKt)}. The fax rye imposed on the net value of transfers to a fw the use of the decedents siblings is twelve (12) percent {72 P.S. §9116(aK1.3)). A sibling is defined, under Section 9102, as an individual who has at least one parent in cosmos with the decedent, whether by blood w adoption. (1) -2.826.72 REV-1503 EX + (6-88) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS RUTH A. GRAY 0639 AU property jointly-0vmed vAlh right of sunlvonhip mual be diacbsed on Schaduk F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. (281) SHARES OF PRUDENTIAL** -REPORTED ON ORIGINAL RETURN BUT HAD -18,829.81 BEEN SOLD PRIOR TO DEATH (See attached documentation) ""At the time of death, it was believed these shares were still outstanding, so we included their value on the original return. However, it was discovered that the shares had been sold prior to death, and the proceeds were part of the date-of-death value reported for her PNC Checking Account. TOTAL (Also enter on line 2, Recapitulation) ~ : (If more space is needed, insert a~itional sheets of tlIe same size) 123s3 MANCIPSTER ROAD E°WA"°~"~ Edward Jones ST.LOUI3, M0.67131.3739 TEL 311-317-700D TRADE CONFIRMATION CUSTOMER COPY RETAIN FOR YOUR PERMANENT TAX RECORDS TO: RUTH A GRAY EIGIL FROST PO BO% 323 33 EAST MAIN STREET PALMYRA PA 17078-0323 PALMYRA, PA 17078 ANY QUESTIONS CALL (717) 838 - 8892 WE ARE PLEASED TO CONFDtM THE FOLLOWING TRANSACTION: couxr 351-10575-1-9 ON TRADE DATE a.. FOR SETTLEMENT DATE 05/03 /2005 YOU SOLD 2$1 SHARES PRICE $ 55.4000 DESCRBrI'ION: PRUDENTIAL FINANCIAL INC PRINCIPAL AMOUNT $ 15, 567.40 COMMON UNSOLICITED COMMISSION 281 , 00 TRANSACTION FEE 4.95 AMOUNT DUE TO YOU $ 15, 281 , 45 oRDER NUMBER 351401290 SECURITY NUMBER P013273 (PRU) INVESTMENT REP NO. 351810 CONFIRM PROCESSED ON 04/28/2005 ® 08:30:23 cus>P NUMBER 744320102000 FOR INTERNAL USE S-O8 80372 6I WE EXECUTED THIS TRANSACTION AS YOUR AGENT IN THE OVER THE COUNTER MARKET. WE CONFBTM THE ABOVE iRANSACTpN SUBIECT TO TH8 TERMS BELOW. THP CONF'BtM SHALT, BE DEEMED CORRECT IN ALL ASPECTS UNLESS WRITTEN NOTICE OF ANY INACCURACY D PROMPTLY SENT TO US. FALLURE TO NOTffY I1S CONS'17TUT83 YOUR ACCEPTANCE OF TH64 TRANSACTION. ff TIP PHRASE ' Wfi MARE A MRT M TITIS SECVRRY• APPEARS ON THIS CONFIRMATION, WE HAVE ACTED AS PRINCDAL FUNCf10MNG AS A SEWNDARY MARKET MAKER. ff THE PlBUSE'UNSOLICRED• APPEARS ON THIS CONFBUdATWN. TFP TRANSACTION WAS CONDUCTED PURSUANT TO AN UNSOLICITED ORDER Tb BUY OR SELL PLACED BY TNB CUSTOMER. R M AGREED BETWEEN EDWARD JONES (•BROKER•) AND THE CUSTOMER I I J THAT ALL ORDERS ARE RECENFD AND EXECUTED SUeIECT TO THE RULES AND UNLESS WRITTEN NOTICE OF EXCF,PI'pN THERETO Bfi GIVEN THE BROKER WITHIN FlVE DAYS AFTER iHEBI RECEB'T CUSTOMS OF 7NE MARKET OR fiTICHANOE SAND RS CLEARING HOUSE, ff ANY) WHERE ORDER M IDPCVI'ED . (3.) UNLESS YOU INDICATE YOUA NON-ACQUPSCENCE IN WRRINO, TN44 AGREEMENT . RJ ALL SECURRff3 PURCHASED OA RECEIVED FOR THE CUSTOMERS ACCOUM AND SNALL ALSO INURE TO THE BEN8FT1' OP THE SUCCESSORS OF ®WARD JONES. PLEASE NOTE THE FOLLOWING: NOT PAID FOR IN FIJI.L MAY B8 LOANED BY THE BROKER OR USED BY TI IN MAK- INO DELNERffS OR 9UBSIRUIIONE, OR MAY BB PLEDGED BY THE BROKER 6RNER ' FOR ODD-TAT TRANSACTIONS, AN ODD-LOT DffPBRBNTIAL MAY HAVE BEEN CHARGED AND SUCH AMOUNT WR.L BE FURNISHED UPON REQUEST SEPARATELY OR TOOEI FPR WITH OTJffR CUSTOA47T SECURITIES FOR THE SUM DUE HEREON WRHDU[ FURTHER NOTICE TO THE CUSTOMER , PDR DEBT SECTIRTTP3, CALL FEATURES EXIST' THAT MAY AFFECL YIELD AND . O.) SHOULD PAYMENT FOR PURCHASES OR D®.IVBRY OF SOLD SECURRff3 BE DELAY• ED BEYOND THE SEiTLE~HyNT DATE OR WHEN IN THE BROKER'S ITIDGEMENT R MATURRY; ADDITpNAL BdFDRMATpN AVAB.ABLB UPON REfPUEST. FOR 77LRR0 COUPON TMNSACTIONS, NO PERgDK: PAYMENTS -CALLABLE BELOW M ' APPEARS NECESSARY FOR TTS PROTECTpN, THE BROIffR AT RS OPTKiN, WITHOUT NOTCE TO THB CUSTOMER MAY CANCEL SELL OUT OR BVY IN THE DERCR®ED ATURITY VALUE, WRHOl71 NOTICE BY MAR. TO HOLDER UNLESS RE0697ER8D. ON AGENCY TRANSACTpNS WE RE[ENE PAYMENT FOR ORDER FLOW ANDJOR OTHER , , SECURITY AND TNR CUSTOMER SHALL BE HELD LIABLE FOR ANY IAA4 INCURRED. 1 T REMUNERATgN. TXE NAME OP THE OTHER BROKER OR PARTY TO THE TRANSACTION. THE SOURCE AND NATURE OF SUCH PAYMENT' OR REMUNERATpN AND THE TUdE OF EXECUI'pN ( .) HAT ALL STATEMENTS OF ACCOUNTS CURRENT AS RENDERED 70 THE CUSTOMER PROM Tp1E TO TR/E ARE ACKNOWLEDGED BY THE CUSTOMER TO BE CORRECT , WBL BE FURNLSFPD UPON WRITTEN REQUEST, FOR PRBiCffAL TRANSACTpNS THE TDAE OF 6XI.CUTION WdL ALSO B8 FURNISHED UPON WRITTEN REQUEST'. THANK YOU FOR ALLOWING EDWARD JON85 THE OPPORTUNITY TO S8RV8 YOU. Edward Jon es 2~I Progress Parkway Maryland Heights. M0 671si3 RUTH A GRAY PO BOX 323 PALMYRA PA 17078-0323 Date I Description 05/03/05 PROCEEDS OF SALE OF PRUDENTIAL FINANCIAL INC ON 04/28 TOTAL. CHECK ISSUED Cbi~A Number 1110 74 4 9 3 Account Number 351-10575-1-9 Account Registration RUTH A GRA'1 FO BOX 323 PALMYRA PA 17072-037. Amount 15.281.45 J ..~~ .... ,,..~..,~ ..,.,.:,r .... .a. The fWxrhem Tmsr Compatry Cbeek Number Edward ones ~IParkway oakflm~k.f~ Maryland Heights. hl0 63US3 1110 7 4 4 9 3 VOID AFTER 90 DAYS 70 2382 Date: 719 •av: F~een lhoa~sand T~cu Hundred Eixhn^-One and 45/!00 dollars *'~*************_ ********************** ___ pay RUTH A GRAY Amount $ * * * * * 15 , 2 81 .4 5 ru she PO BOX 323 order or: PALMYRA PA 17078-0323 .. fl'~~L07449311' ~:07L923828t:030~78L7411' enior Checking P lan Account Statement PNC Bank v For 1Hso period 05/17/2005 tto OtB/15/2005 RUTH A GRAY 202 MESSIAH CIR MECHANICSBURG PA 17055-8619 Q PNCBANC Primary account number: 50-7009-9467 Page 1 of 2 Number of enclosures: 70 For 24-hour banking, customer service and 'transaction or interest rate information, Q sign-on to Axount Link ® by Web on pncbank.com or call 1-888-PNC-BANK Para servicio en espariol, 1-866-HOlA-PNC Movinot Please contact us at 1-888-PNC-BANK ® Write to: Customer Service PO Box 609 Pittsburgh PA 75230-9738 Visit us at pncbank.com ® TDD terminal: 1-800-531-1648 For hearhr6 impafred dianb only Stlnior Chook~nS Ilan Ruth A Gray Roirylar Account Summary Account number. 50-7009-9467 BalinCe Summary Please see the Activity Detail section for Beginning Deposits and Checks and other Ending additional information. balance other additions deductions balance ' 4,772.52 17,136.44 9,498.49 12,410.47 Average monthly Charges balance antl fns 14,ss8.75 .vv Transao~ien Swmmary Checks paid/ Check Card POS Check Card/Bankcard withdrawals signed transactions POS PIN transactions 10 0 0 Total ATM PNC Bank Other Bank transactions ATM transactions ATM transactions 0 0 0 Atstl7rity Dltafi Deposits and Olhsr Additions Dale Amount Descrlplion f ', Reference No. 026408998 05/25 .Ol .Direct Deposit -Dividends Zweig Tot Return 320G `C}CX`Cl'}C1248 05/27 465.58 Direct Deposit -Payment PrUdcntial Pia }CX`tX}C8146 06/01 441.40 Direct Deposit - BenCt Pymt Aetna Inc \~\\X~Y?C`s;X}C5498 06/03 948.00 Direct Deposit - Soc Sec US Treasury 303 \yY`ti\~814CiA There were 5 Deposits and Other Additions totaling:17,138.4. Cheoks and Subatitats Checks Check Date number Amount paid Reference number Check number Amount Oate paid Reference number $fi43 3,897.37 05/20 E0942G1145 2618 8,944.00 06/pl 029740015 9644 203.00 05/23 21146 * 047682479 2649 35.00 06/01 E094159201 458.87 OCi/Y5 26=17 7 40 o%79bi00 2650 214.59 tN/06 02719527A . 05/23 025385821 2651 21.00 06/13 025315990 Ch@Ckf Pdld Continued On next page FORM953R-0704 REV-1511 EX+(12-99) ! SCHEDULE H CONMONWEALTN OF PENNSYLVANIA FUNERAL EXPENSES St INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER RUTH A. GRAY 0639 Debts of decedent must be reported on Schsduk I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. B. 1 2. 3. 4. 5. 6. 7. ADMINISTRATIVE COSTS: Personal Representative's Commissions Name of Personal RepresentatNe (s) Social Security Number{syEIN Number of Personal Representative(s) Sbeet Address City State Zip Year(s) Commission Paid: Attorney Fees Family Exemptbn: {If decedents address is rwt the same as daimanCs, attach explanation) Claimart Street Address City State Zip Relationship of Claimant to Decedent Probate Fees AccountanCs Fees Tax Realm Preparers Faes REGISTER OF WILLS -FILE SUPPLEMENTAL 15.00 TOTAL (Also enter on line 9, Recapitulation) I i (ff more space Is deeded, insert additional sheets of the same size) REV-1513 EX * (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RI IT41 ~ (SR~V r1R'~Q RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not Lht Trusaee(sl OF ESTATE I TAXABLE DISTRIBUTIONS [ndude outr~ght p I distributions, and transfers under sec. 9115 (a) (1. )s2 j ~ 1. DENISE DUFF Collateral -2,355.60 13130 SANTA YSABEL DRIVE, DESERT HOT SPRINGS, CA 2. JOHN GRAY Collateral -2,355.60 419 EUTAW AVENUE, NEW CUMBERLAND, PA 17070 3. CAROL ANN HAMILTON Collateral -2,355.60 3804 SUNSET DRIVE, HARRISBURG, PA 17111 4. TERRANCE M. SHINGARA Collateral -2,355.60 5007 OHIO AVENUE, HARRISBURG, PA 17109 5. ANTHONY SHINGARA Collateral -2,355.60 28 THORNWOOD ROAD, HARRISBURG, PA 17112 6. NICOLE SMITH Collateral -2,355.60 5 GLENWOOD AVENUE, NORTHAMPTON, MA 01060 7. KRISTIN DeFRANCISCO Collateral -1,570.40 2154 DATURA STREET, SARASOTA, FL 34239-3911 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. NON-TAXABLE DISTRIBUTIONS: 1. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET ; (If more space Is needed, insert additional sheets of the same size) Continuation of REV-15001nheritance Tax Return Resident Decedent RUTH A. GRAY 21 05 0639 Decedent's Name Page 1 File Number Schedule J -Beneficiaries -1 NUMBER NAME AND ADDRESS OF PERSON S RECEIVING PROPERTY RELATIONSHIP TO DECEDENT l9o Not List Trustee(s) AMOUNT OR SHARE OF ESTATE I TAXABLE DISTRIBUTIONS (indude outright spousal distributions) 8. KIM GIACCARDO Collateral -1,570.40 3745 BREEZEMONT DROVE, SARASOTA, FL 34232 9. CHARLES DUFFY Collateral -1,570.40 1200 BELLEFLOWER STREET, SARASOTA, FL 34232 ,. ,. WILL OF c~o~ RUTH A. GRAY I, RUTH A. GRAY, currently of Upper Allen Township, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament, hereby revoking any and all prior Wills and Codicils made by me. I. I direct that all my just debts and funeral expenses be paid from the assets of my estate as soon as practicable after my demise. II. I direct that all estate and inheritance taxes that may be assessed in consequence of my death, shall be paid out of the principal of my general estate to the same effect as if said taxes were expenses of administration and all property includable in my taxable estate whether or not passing under this Will shall be free and clear thereof. III. I bequeath unto my grandniece, Carol Ann Hamilton, all tangible personal property which I own at my death. IV. All the rest, residue and remainder of my estate, of whatever nature and wherever situate, including property over which I hold a power of appointment, I devise and bequeath as follows: A. Twenty-five percent (25%) to be divided equally between my nephews, Terrance M. Shingara and Anthony Shingara, or the survivor of them. B. Twenty-five percent (25%) to be divided equally between my grandniece, Carol Ann Hamilton, and her daughter, Nicole Smith, or the survivor of them. C. Twenty-five percent (25%) to be divided equally among the children of my niece, Mollie Lou Duffy, who survive me. -1- dldddL D. Twenty-five percent (25%) to be divided equally between my niece and nephew, Denise Duffy and John J. Gray, or the survivor of them. V. I appoint Gerald J. Brinser, Esquire, as Executor of this my Will. In the event that he fails to qualify or ceases to act as Executor I appoint Keith D. Wagner, Esquire, Executor in his place. VI. I direct that no bond be required of my fiduciary for the faithful performance of his duties in any jurisdiction. IN WITNESS WHEREOF, I, RUTH A. GRAY, herewith set my hand to this my Last Will, typewritten on two (2) sheets of paper including the attestation clause and signatures of witnesses, this ! ~-~, day of April, 2004. (SEAL) RUTH A. GRAY Signed by RUTH A. GRAY, by her declared to be her Will in our presence, who have hereunto subscribed our names as witnesses in her presence and at her request, this j,~~ day of April, 2004. x ~ residing at ~~, ,..;,G~> f ~M„ ~~ ~ residing at ~,~~-t~~i.~ t~ ,' .. COMMONWEAL~TH- OF PENNSYLVANIA COUNTY OF •~~%~~~~~ ~~ONWEALT`, '~NtvSYLVgW~q ^7 cOn1n11SSIQfl A~arnbe 'e~msylvaniaAaaociatbnaNotei~e WE, RUTH A. GRAY, GERALD J. BRINSER and SA~'~7 ~`• ~o~~rks ,the testatrix and the witnesses, respectively, whose names aze signed to the attached or foregoing instrument, being first duly affirmed, do hereby declaze to the undersigned authority that the testatrix signed and executed the instrument as her Last Will and that she signed willingly (or willingly directed another to sign for her), 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 witnesses and that to the best of our knowledge the testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. RUTH A. GRAY .~~. TNESS Vv[!ESS Subscribed, sworn or affirmed and acknowledged before me by RUTH A. GRAY, the testatrix, GERALD J. BRINSER and Sf-na~ ~, Spry: Ks ,witnesses, this /:3 ~, day of April, 2004. ` SEAL) Notary Public ~~OWWEALTFi OF pENN8YLVAMA Wolerfel Stsai ~b ~A. C1ubb, NoFiry Pubic ~ Pt1en~0aL"'^"' Mam6ar. Pw+fM+"b AnoewNo~ Ot NtrMIIN -3-