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Home My WebLink About09-28-121505607121 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN Po sox zsosol 2 1 1 2 1 0 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 1 2 2 8 2 0 1 1 0 3 2 7 1 9 1 6 Decedent's Last Name Suffix Decedent's First Name MI Epp l e y Rut h K (If Applicable) Enter Surviving Spouse's Information 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 OVALS BELOW 0 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after t 2-12-82) 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 Credit (date of death ~ 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTL4L TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Way ne F Shade, Esq ui r e 717 243 0220 Firm Name (If Applicable) REGISTER OF WILLS USE ONLY ~ ~ ,~ II First line of address 0 S'~ ~j i~"j C? t 53 West Pomf r et St r eet ~ ~~' ~ ~`+ - Second line of address ~ ~ ~ ~~'` v N ~.~ ~ ~ ~ Cf3 ~ ~ O ~--~ ~. Cfl ~ t > A -- A. a ~_ ~ City or Post Office li State ZIP Code ~----- - - - - - - - - ~. _~ = ~ s"1 C a r l i s l e P A 1 7 0 1 3 ~~ ~' c r~.> Correspondent's a-mail address: WayTlefS111de~Q,COmCaSt.riet Under penalties of perjury, I 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. ~IGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ,~.8r,~s___~6y,r„2~ 9/28/2012 NUUR¢OJ 219 South Pitt Street Carlisle PA 17013 SIGNAyyyy~~ OF PREPAg~-~'~IiER N EPRESENTATIVE DATE G~(/s~K,t! /` : -~~ _ 9/28/2012 53 West Pomfret Street Carlisle PLEASE USE ORIGINAL FORM ONLY PA 17013 Side 1 1505607121 1505607121 J 1505607221 REV-1500 EX Decedent's Social Security Number Decedents Name: Ruth K. Eppley RECAPITULATION 1. Real estate (Schedule A) ........................................ 1. 2. Stocks and Bonds (Schedule B) .................................. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages i£ Notes Receivable (Schedule D) ................. ... .... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ... .... 5. 1 1 0 9 7 , 2 $ 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested ... .... 6. 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G) ^ Separate Billing Requested .... ... 7. 4 9 4 9 1 8 1 8. Total Gross Assets (total Lines 1-7) .................... .... ... s. 6 0 5 8 9, 0 9 9. Funeral Expenses & Administrative Costs (Schedule H) ......... .... ... 9• 7 9 4 3 , 9 4 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule 1) ..... .... ... 10. 2 6 5 • 8 6 11. Total Deductions (total Lines 9 & 10) .................... .... ... 11. 8 2 O 9 . 8 O 12. Net Value of Estate (Line 8 minus Line 11) .................. .... ... 12. 5 2 3 7 9 , 2 9 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) ........... .... ... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) ........... .... ... 14. 5 2 3 7 9 , 2 9 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2)x.o _ 0. 0 0 15. 0. 0 0 16. Amount of Line 14 taxable at lineal rate x .0 _ 0 . 0 0 16 0. 0 0 17. Amount of Line 14 taxable at sibling rate X .12 O. 0 0 17. O. 0 O 18. Amount of Line 14 taxable 5 1 3 7 9. 2 at collateral rate X .15 9 1g. 7 7 0 6. 8 9 19. Tax Due .......................................... ... ... 19. 7 7 0 6. 8 9 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505607221 1505607221 J REV-1500 EX Page 3 Decedent's Complete Address: File Number 21 12 10 DECEDENTS NAME Ruth K. E 1~ _ STREET ADDRESS 219 South Pitt Street CITY STATE ZIP Carlisle ' PA 17013 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments 7,000.00 C. Discount 368.41 3. InteresUPenalty if applicable D. Interest E. Penalty (1) 7,706.89 Total Credits (A + B + C) (2) 7,3 68.41 Total InteresUPenalty (D + E ) 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. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (3) 0.00 (4) 0.00 (5) 338.48 (5A) (5B) 338.48 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 : ................................................................. ..... ^ X^ b. retain the right to designate who shall use the property transferred or its income; .......................... ..... ^ Q c. retain a reversionary interest; or ........................................................................................... ..... ^ 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 without receiving adequate consideration? .................................................................................. ..... ^ Q 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .... ..... ^ Q 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ............................................................................................. ..... ^ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent p2 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets 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 childtwenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (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 four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) (72 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 twelve (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 + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Ruth K. Eppley 21 12 10 Indude the proceeds of litigation and the date the proceeds were received by the estate. All properly jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH ~, M T B , c ec mg account 11 2. Highmark, premium refund 225.45 3. Sovereign Bank, certificate of deposit # 1675551194 504.38 4. Hoffman-Roth Funeral Home & Crematory, Inc., reimbursement of overpayment 70.98 of funeral bill 5. Bonnier Corporation, unused subscription refund 24.97 6. Taunton Direct, Inc., unused subscription refund 11.67 7. Claremont Nursing & Rehabilitation Center, refund of resident account 962.03 TOTAL (Also enter on line 5, Recapitulation) I ~ 11,097.28 (If more space is needed, insert additional sheets of the same size) O 1VI&TBank 499 Mitchell Road, Millsboro, DE 19966 Adjustment Services Phone 888-502-4349 F ax (302) 934-2955 January 13, 2012 Wayne F Shade 53 West Pomfret Street Carlisle, PA 17013 Re: Estate of Ruth K Epplex Social Security: 179-12-4350 Date of Death: December 28.2011 Dear Sir or Madam: Per your inquiry on January 5, 2012, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Account Number Ownership (Names ofl Opening Date Balance on Date of Death Accrued Interest Total Checking Account 2673011280 Ruth K Eppley Emily C Compton (POA) 09/nl/67 $9,297.75 $ .OS $9,297.80 For any additional information on the above accounts, induding ownership and any changes, dosures and/or reimbursement of funds, please call the Iligh Street Carlisle Office at#717-240536. We were unable to locate any safe deposit box for the above-mentioned decedent. This letter does not indude any accounts in which the deceased may have been listed as Power of Attorney, C~vstodian of Uniform Transfers, Representative Payce, or 1Yustee under a Written Agreement Sincerely, ~Q/Y)'l/y~ Tammy S nce~ Pe Adjustment Services Sovereign Bank ESTATE OF Ruth K. Eppley SOCIAL SECURITY #: - 179-12-4350 DATE OF DEATH: December 28, 2011 Account #: 1675551194 Type: CD Open date: 2/14/2011 In the name of: Ruth E Eppley (Emily C Compton, POA) Date of Death Balance: $503.88 Int.(YTD) from 2/14/2011 to Accrued interest to date of death: Other Info: 11/30/2011 $4.93 $0.50 Page 1 of 1 REV-1510 EX + (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE G INTER-VIVOS TRANSFERS 8~ MISC. NON-PROBATE PROPERTY FILE NUMBER Ruth K. Eppley 21 12 10 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATEOFTRANSFERATTACHACDPYOFTHEDEEDFORRFALESTATE. DATE OF DEATH VALUE OF ASSET %OF DECD'S INTEREST EXCLUSION (IFAPPLICABLE) TAXABLE VALUE ~. ern Lync ,account -5 41 1 1 1 TOTAL (Also enter on line 7 Recapitulation) I S 49,491.81 (If more space is needed, insert additional sheets of the same size) Merrill Lynch Wealth Management Bank of America Corporation Chrystal L. Woollett Registered Client Associate 214 Senate Avenue, 5`h Floor Camp Hill, PA 17011-2344 Tel: 717.975.4619 Fax: 717.773.4446 April 9, 2012 Wayne F. Shade, Attorney at Law 53 W Pomfret St Carlisle, PA 17013 RE: Ruth K. Eppley account valuation Dear Mr. Shade, Per authorization received from executrix Emily Compton, please reference the attached date of death account valuation for Ms. Ruth Eppley's account number 872-57341. Sincerely, Chrystal L. Woollett Registered Client Associate We are providing the above information as you requested. The information is provided as a service to you and is obtained from data we believe is accurate. However, Merrill Lynch considers your monthly account statements to be the official record of all transactions. Merrill Lynch Wealth Management makes available products and services offered by Merrill Lynch, Pierce, Fenner & Smith Incorporated and other subsidiaries of Bank of America Corporation. Banking products are provided by Bank of America, N. A. and affiliated banks. Members FDIC and wholly owned subsidiaries of Bank of America Corporation. Investment products offered through Merrill Lynch, Pierce, Fenner & Smith Incorporated and insurable and annuity products offered through Merrill Lynch Life Agency Inc.: Are Not FDIC Insured Are Not Bank Guaranteed May Lose Value Are Not Deposits Are Not Insured by Any Federal Government Agency Are Not a Condition to Any Banking Service or Activity Merrill Lynch, Pierce, Fenner & Smith Incorporated is a registered broker-dealer, member Securities Investor Protection Corporation (SIPC), and a wholly owned subsidiary of Bank of America Corporation Merrill Lynch Life Agency Inc. is a licensed insurance agency and a wholly owned subsidiary of Bank of America Corporation. ~ < v w ~ v v v o °' ~' ~ ~ m ~-*. p ~s-^ 0 n ~ ~3 (D ~ CTl ~ 3 .r ~ ~ ~ ~ n o S ~_ 3 COJ1 ~ W OD OD ~ N OD W W W .. OD _ lD (D o d . d ~ O W ~ ~ CO O ~ d N .. .. .. ~ N 3 O O N O ~ O O O Ut O A N ~ V! 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'Tf C N ~ ID Ip 7 Ol N f/! m a ~ QD ~ a ~ c~ 3 ~ ~ ~ -a mm o m ~ ~ o m d W m a ~ H c a d ~ ~ 0 0 3 N ~ ~ f0 L d 4 d d a ~, <. .6 N ® C '3 n w 3 ~ r~ H O ~ N ~ C C ~ C O ® ~ G y W C_ O 1 ~ a 1 (D C 3 ~ ~ 3 W ~ .~-' ~l n1 x 3 ~ ~ ~ W ~ d ~ 7 y x O d r Q ~ ~. ~ O a d ~, 0 0 3 `~ ~ ~ x r ~c ~ v ~ x ? o v ~ d m - _ .~ ~ ~ ~ d ~ ~ ~ n m oe ~ ~ m 3 3 z ~ 3 ff Q O N ,6 n O N. y O 3 q N a o m a REV-1511 EX + (10-06) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE H FUNERAL EXPENSES 8~ ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Ruth K. Eppley 21 12 10 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: ~. Hoffman-Roth Funeral Home & Crematory, Inc., funeral services 2,616.28 2. Westminster Cemetery, burial expense 3,123.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Street Address City State Zip Year(s) Commission Paid: 2, Attorney Fees Wayne F. Shade, Esquire 1,500.00 3, Fatuity Exemption: (If decedents address is not the same as claimants, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Register of Wills of Cumberland County 190.50 5 Accountants Fees Brenneman & Associates, PC 200.00 6. Tax Return Preparers Fees ~. Cumberland Law Journal, advertise Letters Testamentary 75.00 8. Sovereign Bank, account balance fee 20.00 9. Register of Wills, Short Certificate 4.00 10. The Sentinel, advertise Letters Testamentary 200.16 11. Register of Wills, filing inheritance tax return 15.00 TOTAL (Also enter on line 9, Recapitulation) ~ $ 7.943.94 (If more space is needed, insert additional sheets of the same size) REV-1512 EX + (12-03) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE 1 DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF FILE NUMBER Ruth K. Eppley 21 12 10 Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Alert Pharmacy Services, Inc., pharmaceuticals 245.86 2. Alan C. Huff, DDS ~ 20.00 TOTAL (Also enter on line 10, Recapitulation) I S (If more space is needed, insert additional sheets of the same size) 265.86 REV-1513 EX + (9-00) SCHEDULE J COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Ruth K. Enplev 21 12 10 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS pnclude outrightspousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Emily C. Compton Collateral 51,379.29 219 South Pitt Street Carlisle, PA 17013 2. O. Alvin Shields 14 Thornhill Court Carlisle, PA 17015 1,000.00 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 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET S (It more space is needed, insert additional sheets of the same size) REV-1500 Discount, Interest and Penalty Worksheet Discount Calculation Total Amount Paid within three calendar months of the decedent's date of death: 7,000.00 Discount: 368.41 Interest Table Year !Days Delinquent _ this time period Before 1981 1982 - ---_ _--- - --- 1983 Balance Due Interest this year this period - - - - --- _ - -- ---- - - - --1 1984 - - - ~ 1985 - - 1986 - - -- - _- _ -- - --1 1987 --- 1988 throu h 1991 1992 --- - -_ _ ~~ - - - - ~-- - ---~I 1993 throu h 1994 ~ ~ 1995 through 1998 - --- - --- -- - -- - - - ___ _1999 ~ _ _ __ - -- - - 200~- - -. -- -- (_2002 ---- -- -- -- -- __ -~ _. . _ - - -- - - 2003 ~! -_ --- L- - --- -- -- ~ I~2004 - - ~ - - - ~~ - 2005 - - { -- - 2006 _-- - - --- - -- --~ - _ -- -, 2007 - -- - - - __ - -- 2008 - - -- _ - - 2009 - -_-- - TOTALS _ _ - _ _ ---- --- -- _- - -- - Penalty Calculation If the decedent's date of death was on or before March 31, 1993, insert the applicable amount: Total Balance Due on January 17, 1996: - _ -__ - - _- - - Penalty: LAST WILL AND TESTAMENT I, RUTH K. EPPLEY, of the Borough of Carlisle, County of Cumberland, Commonwealth of Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this as and for my Last Will and Testament, hereby revoking and making void all former wills and codicils by me at anytime heretofore made. FIRST. I order and direct that all my just debts, funeral expenses and expenses in connection with administration of my Estate be paid by my personal representative or representatives, hereinafter named, as soon as conveniently may be done after my I further authorize my personal representative to expend funds from my Estate in such amounts as my personal representative shall consider appropriate, for the disposition and memorial of my remains. SECOND. I give and bequeath the sum of One Thousand and No/100 ($1,000.00) Dollars to my friend, O. ALVIN SHIELDS, if he survives me. THIRD. For the purposes of this my Last Will and Testament, a person shall not be deemed to have survived me unless he or she shall have survived me by more than ninety (90) days. FOURTH. All the rest, residue and remainder of my Estate, real, personal and WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 1')013 mixed, whatsoever and wheresoever situate, I give, devise and bequeath unto my niece, EMILY C. COMPTON. In the event that she should fail to survive me, I give, devise and bequeath the same unto her siblings, SUSAN L. STECHER, JANET R. IVEY, JAMES R. COMPTON, III, and DORIS J. COMPTON, in equal shares. If any one or more of them should fail to survive me, I give, devise and bequeath his or her share unto those of them who shall survive me, in equal shares. FIFTH. I order and direct that any estate, inheritance or similar tax due as a result of my death with respect to any property passing as a result of my death, shall be paid from the residue of my Estate before its division into shares and prior to distribution as an expense of administration and that no part of the taxes should be prorated or apportioned among the persons or beneficiaries receiving the taxable property. It is my express intention that all inheritance taxes imposed as a result of my death be paid from the (/~~I residue of my Estate whether or not the property passes under my Last Will and ti Testament. My personal representative shall have full power and authority to pay, compromise or settle any such taxes at anytime whether with respect to present or future interests. SIXTH. Any and all decisions, determinations or actions made or taken by a WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 personal representative hereunder, if made in good faith, shall be final and conclusive on all persons who are or may become interested in my Estate. No fiduciary acting under this my Last Will and Testament shall be liable for any error in judgment or for any -2- depreciation or reduction in value of any Estate assets at anytime, in the absence of willful default. SEVENTH. I order and direct that my body be cremated in lieu of burial and that my ashes be interred with my husband in Westminster Cemetery. LASTLY. I nominate, constitute and appoint my niece, EMILY C. COMPTON, to be the Executrix of this my Last Will and Testament, but if, for any reason, she should fail to qualify as such Executrix or decline or cease so to serve, I nominate, constitute and appoint my nephew, JAMES R. COMPTON, III, to be the Executor hereof, each to serve without bond. IN WITNESS WHEREOF, I, RUTH K. EPPLEY, have hereunto set my hand and seal to this my Last Will and Testament which consists of five (5) typewritten pages to each of which I have affixed my signature, this 12th day of June , A.D. Two Thousand Seven (2007). ~~ (SEAL) Ruth K. Eppley The preceding instrument, consisting of this and four (4) other typewritten pages, WAYNE F. SHADE Attorney at law 53 West Pomfret Stree[ Carlisle, Pennsylvania 17013 each identified by the signature of the Testatrix, was on the date thereof signed, sealed, published and declared by RUTH K. EPPLEY, the Testatrix therein named, as her Last -3- Will and Testament, and we, at her request, in the presence of each other, have subscribed our names as witnesses hereto. Acknowledgment COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF CUMBERLAND ) I, RUTH K. EPPLEY, the person whose name is signed to the foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will and Testament and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by RUTH K. EPPLEY, this 12th day of June , 2007. Ruth K. Eppley ~~~~ Notary P lic WAYNE F. SHADE Attorney at Law 53 West Pomfret Street Carlisle, Pennsylvania 17013 MASNWEALTH OF PENNSYLVANIA NOTARIAL SEAL CONNIE J. TRITT, Notary Public Carlisle Boro., Cumberland County -4- M Commission Expires Octat>er 5, 2008 Affidavit COMMONWEALTH OF PENNSYLVANIA ) SS: COUNTY OF CUMBERLAND ) We, Wayne F. Shade and Helen H. Shade ,the witnesses whose names are signed hereto, 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 and Testament; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that, to the best of our knowledge, the Testatrix was at that time eighteen or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by ,Wayne F. Shade and Helen H. Shade 1 t-h day of T„ne , 2007. witnesses, this "U ~~~ ~y=~~ ;' 7~ Notary P lic COMMO.yVyE,gLTH OF_ PENNSYLVANIA NOTARIAL SEAL CONNIE J. TRITT, Notary Pudic Carlisle Horo., Cumberland County Commission Expires October 5, 2008 WAYNE F. SHADE Attorney at [aw 53 West Pomfret Street Carlisle, Pennsylvania 17013 -5-