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HomeMy WebLinkAbout01-29-131,50561,1,1,80 i~i-EV' ~ 50Q Ex co?-i>> Fit pennsylvania OFFICIAL USE ONLY PA Department of Revenue DEPARTMENT OFREVEtJUE County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN PO BOX 280601 ~.•~ ~ f / 1E, Harrisburg. PA 17128-0601 RESIDENT DECEDENT ~/ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 1,1,022012 09041,91,9 Decedent's Last Name Suffix Decedent's First Name MI CULLINGS VIRGINIA R (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number FILL IN APPROPRIATE BOXES BELOW 0 1. Original Return Q 4. Limited Estate Q 6. Decedent Died Testate (Attach Copy of Will) 0 9. Litigation Proceeds Received THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 0 2. Supplemental Return 0 4a. Future Interest Compromise (date of death after 12-12-82) 0 7. Decedent Maintained a Living Trust (Attach Copy of Trust) 0 10. Spousal Poverty Credit (Date of Death Between 12-31-91 and 1-1-95) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ROBERT G. FREY ?1,72485838 First Line of Address 5 S. HANOVER ST. Second Line of Address City or Post Office CARLISLE State ZIP Code PA 1,701,3 0 3, Remainder Retum (Date of Death Prior to 12-13-82) 0 5. Federal Estate Tax Return Required 0 8. Total Number of Safe Deposit Boxes Q 11. Election to Tax under Sec. 9113(A) (Attach Schedule O) Correspondent's a-mail address: R F R E Y O F R E Y T L E Y. C O ~1 v~iuci Nc~~a~uca u~ Nc~~ui y, ~ uc~.ia~c u~a~ i iiavc cnaii~ii~cu u~i~ icwii~, ii~uiuuii~y awuiiiNaiiyiiiy ~uiicuuiw a~~u ova ~ciiiciiw, aiiu w u~c ucat vi ~iiy ru iuvr~cuyc ai~u uciic~, 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. SIGNAT - E OF PE13S,Oa.~~BLE FOR FILING RETURN DATE ADDRESS SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 5 SOUTH HANOVER STREET CARLISLE PA 1,701,0 PLEASE USE ORIGINAL FORM ONLY Side 1 1,50561,1,180 1,50561,1,180 REGISTER OF WILLS USE ONLY ~ c.'~. ~.., ::~ ~ g~ ~, ~ ..11 ~ .~ ~~,. r'- r ~ ' 5,.... _..._ ~~ .p D TE FILED ~. ... " {' , ;ti J ~,,~ 150561,1,180 -~ REV-'i 500 FX X02-,,, rFi> pennsylvania OFFICIAL USE ONLY PA Department of Revenue pEPAP.TMENTOFREVENUE County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN ` PO BOX 280601 ,~ / I~ f / Harrisburg, PA 17128-0601 RESIDENT DECEDENT I / / ~Gry ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY , 1,1,082012 09041,91,9 Decedent's Last Name Suffix Decedent"s First Name MI CULLINGS VIRGINIA R (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 BOXES BELOW Ox 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Retum (Date of Death Prior to 12-13-82) 0 4. Limited Estate ® 4a. Future Interest Compromise (date of Q 5. Federal Estate Tax Return Required death after 12-12-82) Q 6. Decedent Died Testate Q 7. Decedent Maintained a Living Trust 0 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 Q 11. Election to Tax under Sec. 9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ROBERT G. FREY 7172435888 First Line of Address 5 S. HANOVER ST. Second Line of Address City or Post Office CARLISLE State ZIP Code PA 1,701,3 Correspondent's a-mail address: R F R E Y B F R E Y T L E Y. C O M ~GISTER OF INFL:LS USE ONLY -3., t.w.t Q,.~ ~~. -, ~__ ~~.~ ., . _~ a _. _. W e~.. -;-_, , • DATE; F~k;ED ' 1...'w^~~ ,.. ; 4 ~~ .- ~. L.J g 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 com lete. Declaration of reparer other than the ersonal re resentative is based on all information of which reparer has an knowled e. SIGNATURE OF PER ON ESPONSIBL . ~OR FI ING RETURN DATE ADDRE SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 5 SOUTH HANOVER STREET_ CARLISLE, PA 1,701,3 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505611180 1505611180 J ~~~-~ ~~CJ ~ (~!~ t.}8C~d8r7t~5 SQCi3l SBClff3l~f i`~Lr7`It1L'r DececiL~Nswar~e~ V~RGTNI'~ R ~€~~L~i~GS 204-03-~~~~ i~e~~! s I~LATl0~1 1: Etieat~state(SoheduleA}....o... .,... .. .. ........... ..,.,. >. ~4N~ 2. Sfacks attcf Bands (5ched~9o ~) , ...:.. , .. . .. . :....... . . . .. . P . , , 2 ~0 t# e ~ 00 3. G;osefy Held ~arporation, Parrcetship ar Sall-~raprietarship (S:.hedule C} . _ . ~. ~ ~ ~ ~ ~, ttilG;tr¢g~5 a:ta mates FCe~~i~able (Sc~ea~ie {3} , ... , . , .... ~ .. _ ... ..... ~. ~ ~ ht~ 5. Cash, Bank i?e~as*s artid Msceltaneaus Rersoc~aE Property (So?1Qdul~ E*) , . , . 5. ~ ~ ~ 00 8. Jointly Owned Rct~~erty (Schede:le F} Separate Billing Reques#ed ...... , n. ~ Q ~[~ 7. later-1~nros Tt'ansfers S Misc~llansaus Nprt-Probate ~'raperty (So~oduEe G~ ~Se~araie F?G;Einc Reques:er~ .. , .. , . r ~ ~ ~ ~ ~. Ta~€ Grt~ss Q~sets tats! Lines t t#~ra~ #~ ~ } . g. ? 0 8 2 . 0 0 9. Fur~era! Expenses arld,~dminisirativa Costs (S~zectule H) :.......... , , ... 9, L 3 ~ 3 . 0 0 1 ~, Qe~ls of QeC~tieri2, ~lartgage Li~biEitiirs ana liens (Sche~ufe f} , .. , ...: , .... # 0. ~ ~ ~ ~ 9 . 0 0 # #. ~oia! peeuc#ans (to#a1 liens ~ and 10~ .. , ... , ........ .. . .... . .. o . # rt. S ~ 3 ~~ . ~ 0 # 2. #~lef Vatua of Estate {Line ~ minus Line i 1 } .... ~ ........... ... . .... 12. - ~ a~ ~ ~ 0 . 0 0 13. Charitable end ~ovemn~ertta! BequeS2sfSee 9# 2~ Trysts far-which are eEectiort to tax has nr~t beer~,ma~la (Sche~iuls .:) ..... , . ..... ..... .. . . 93. 0 . 0 #4. Nef 1laiEue Bttb'ect to Tax Line #? minus E_fne 13~ ................... .... 1~. -~ ~ ~ ~ ~ 0 . 0 0 TAX. CAL.GlrJF„ATf£?N ~ Eck 1?~STR2JCTIdI~S E=t~R APF'LCAE3i.Er. RATS # ~. Arnourtt of Linn #4 taxat}le ak the S~Qti~al t8x rate or transfers under Wec. 9'E16 {a}{1.2} X .D 0 # ~. 0. 0 0 'fi. Arnaunt of Line 1~ taxable at Pineal rateX .0 ~ 5 16. 0.00 #?. Alil0Uf1Z pf L..l~~ i~ t~xataSe at sibiirtg rate X # # #t '# 7, 0 . E} E~ 7 8. ~rnoant ai• Line rtd taxable at ool#ater~l rate X # # # 18, 0 • fl 0 1~.raxnuE.........~..... ~ ........... ....... .......... . . .... ~~. O.QO 2q. F#LL aN Tktl` 94X 1F Ypt3 ARE RHQUESTt~tG A f2EFL3ND dF AN C3YERPAY~NENT ~~t~@ ~ ~~{~5~~ Z~~O ~~0~~~~~~~G ~ec~den~'s ~r~t~tpEe~~ Address: i-~ %~-~ icy Fite ~,furl;ber ?~~-t73- ~ 51 DECiwv EE°~7'S ttiAti~tE vi~~i~1M ~ cut.~lr~~~ STREE i r'1DDFc~SS ~~~ ~.Q~ f ~"4 I'iEZ.?~~~~LR CT~~Ei"r Ci~~` ~ARi..1SL~ S~R~E ~l? FA ~ i?Q~3 Tax Payment end C~edi~s~ T Tax Due (Page 2. Line 39} 2. Credits: Fa~yrnents A Prior Payments ~. Disr~U; tt 3. interest O, rJQ To#ai Credits (Ft+ i3 l (Zy {3.aE} {3} «. t1; Line 2 is greater than tine ~ ~ Line 3, enter the dit~erenre. Th!9 !s tote CVERPAYt41ENT. F!tt stt bnx on gage 2, L#ne Zt} to request a refund. (4,E ~_ ~4 5. If Line ~ + l.irte 3 is greater t€~an Line ~, ertterthe differer}ce, i his its tfite TAX t7UE. (5} C~,~{} ~r~~ke chec~_payab~e t~: REG~ST~~ ~F V`d~~LS, .~tG~~~ PLEASE A1~~1~VLR THE F~Lt~W~~[G Q~~ST1C3~~ BY ~'~.AC~NG A~ "X" ~N THE APFf~QP~~ATE 8~.{~CK~ t Cis deCa~et°it make a trarrsf,:r and; Yes h!a a. re*.afr the. pi=e ar interne of the proFRr'y irsrsfarred .......................................................e.........,...,..,............... ^ ^ b. r2t~ir! the right to designate wEtG shall less tk~e properly trrirtsferfed ar tts income .,..,.....n .......................:....,... ~. tetatr. a,e~rersianary ir~tef8~t .....,._.__..........._.~.: ............ ........_......, ....._ ..._..._.........,... ..,...... ..__._e.. ~ ^ Ct, receive the prQrniSe fOr life of either pnytt~Ar~;s. benEfds sir care? ..._......._.................... .............. .................:.. ~ ~ 11 t~l ~. if dEa#h o~urred after Dec, t2, 1982, did cfe~der'~t transfer prCpBrty wtt,"irt ~~e yeAr of death ~f1f#h:.ut r@i:.~iilirt~ ~C2y~fct8 C{3flSi~ir'raii~rf~ ........... .......... ........ .....:.< ...,..., ......,., ..............,....._,~............. ... ~'"~ !.J 3. Did decadent awn an "irt trusi gar" or payab~-U¢an~deattt bat~ic ac4aurtt cr security a: #tis or ?ter ,~eair~? .,.......... [~ a, D;d d_°,..ewQrtt a~r~:t &+'t indiv>tlilat retirement a~c~::FT ann!s!r~ cr other narF-prabatp property, whEart carttairts a ben;rficiary desi~n~tian? ....e .... .......:............. ........ .......,.,.,...:.......o:..,....,,.....,................,.......,...... ^ €F T~f~ ~N5lNE~ TO Al~fY C}F ~'HE ~,~OVE Qll~ST40NS tS DES, YQi~ M~iST C4~~P~,~~ &CHEDCJ~.E G At~I~ F#LE tT A~ BART OF THE R~l~RN9 i=c; ~;a!es a#` Beath crt cr a;ger Marty t, a ~9a, artd befQrE ,Fart. t , 1 gg~. ttie tax ra#c jrrtposed on itae rtet vane of transfers :~ or 3'or it•~e use of iJ~e s~:rvering spouse is 3 gercarf (72 P.S. S9 t t 6 (a) {~ , t 1(~}. For dates of death an or after Jars. t , 19afi, ;he tax rate irrspcsed art tFte net vaJt!e of transfers tc ~or iar the rase of the surviving spouse is 0 perCenE E:1 ~.~. ~~ i ~~ ~~~ (~. i ~ ~l)]. R Ce 5~rsti:tp LlQES !'t4t e?X2f~~t a ilia^afef to 3 sur,~rJ'~t3g spa~tssa from tax, ~rx~ ti`k8 S~ai!Jf^."f red+ltretnerts for dt5\.~43!:r2 0~ assets unit ~lirtg a tax rei~ixrt are stilt a~tp!ia;,abl+; 8't~si il= the 5l1NtY(f~~ 5p01F5e i5 the Qi1Iy }J~n6f:l:lar~. Ir or dates of death on ar aver July 1. ?~Ct^; The tax rate irrtpased Qn tFte nit value of transfers fra7t'tZ a deceased cttittt 21 years of agar a' yourtg~r at death #Q pr far the use of a na#urat psreni. aft adertive parent ar a stepparent at the chiEtF is O parcert# ~2 P.S, §9~ t6(a)(1.~~~. ~ °~a r ~~~ ., i~ rt~ ' ~ !r .~C~a... ~h 1~, iry~ ~i~ fr.^ ri ~^ '~~ t~ ;,...n~: ~ ^i.^. ~ C rcnl ~~rf :~ rsnfG ~' ~ us grryii t}y i .~. tG:~ ~U~4 isit ~~ 1,:t ~~,@ ~ VC,~~ C: yap i t~ w ur ~v~ i .. C (., G .JC G::r~r,t y .;i ~c21 r G..,.;ti .... 'rg -.,~ ;;,,r,,,,.. ~:~..~~,5... .r...'.1 frt {i ~ t':.?. S t i~ ril. • The tax rate imposed oct the net value o6 transfers to 4r far the Use of tt~e deeedsnt°s siblings is t ~ percenf [72 P.5 §9116ia}><1.3}~, A siE~Eing is dRf^Qd, un«er Scc;isn cy ~:. as az indivsduBE catty i't"Es,.S $t te3$; , n? patent in coi,Zrncrt titiih t#~e ds~edpnt. ~xttather bV blood ar acfoptiutl. r~ ., r fix- ~! ~~nn~yivan€a 6"JH~R1ir1NCc TRX R~ ii UFN i~~5i~tl3T ~~ ~~El~T Snn~~E~+D~L~hh~;3 ~~V~~.7 ~ ~~IV~~ Vir nia R. ~~.rEEinas 21-~2-115 Afl praperiy JaPnily owned with right of sunr~~rorship must. ~e d'rs~losed on Schedule F. If mart spec? is ~~~~~~, insert aCdiiio~~'~! sneais of ~~~ 58tT1~ SL?2 pennsylv~~ia ~ EP~S~ S & 1SCo CASH, ~Al~K a }yT~~ {,}.~~T~~/p ~:.: +lS tTfi~}i~~%K~'.~~'I:,iw ~~~~VijA~ ~~~7 ~1i1 1 ;N^tEriT,'.~aCt T~3c ?r-iJnN ES~Q~~ d~; ~~~~ ~~~8~~: 21-12-g 196 Enc:tx3a tn~ procac~s c~ ~iE~3tiGrt ~?;G i~~ ~~i~ :"c ~r~cee~s t-+s~r~ ~e~~iv~~ ~~ the S54a.~. .All pro~~rtY jain_t#y awrte~ w#tfn rir}#~t of survivors#ii~ must '~~ d~scla~~d on ~Chedute ~. if rnor~ spaca ~s neeLe~e us? a~uitier~~l s~?sta ~tYa~et Q€r~~ ~~r^~e si;.s. ~~i'~ k'SS`f ~~f +a l'S 1 ~ U:!-IER.£a'nivCETW~ f2E"UP,:~I ~~St~~N? ~~CEDEti<7 ~~~~~W ~~ ~t~l'E~T~ti~ ~~~~NJ~~ ~t(Y~ A~~i~11ST~~T(VE Ct~SYS E$TaS~ ~?F ~lL.~ h~UMB~R. 1;rxrctrtia R. CullEngs 21-5~-'~ ~~~ bacedar~t's tl~hts m~~t br3 rnpr~rted on Schedule ~. ~~~ Aa ~ ~Uhl~F~AL ~Xl~~NSEa: ~. e aoryt!!~ls~~a~rtu~ c~s~s: 7 , Fe~.o^a! ReY: esert~ure Corrkrniss<cns: ~(~~ ~tameEs} ci Pers~~nai Represe^t3tirt+(s} St~° Ann 1~laiki~s aid Pe~ay .}. Eis~rth~r~ {{ - JL~eeaRdCl~L$5 ~~~ BE~ Cloud ~~S$ ~;*~ Lake i~ the -iil[~ ~ta~e IL, ~~~ ~01~i~ Year(a} Cc:rr~issic~ Fair 2013 2. Attar:yo~ ~e~~ 500 ~. f=amily ~xemptiar~: (Ef dreetfQnt'S address ~s nct tt-A sale as c:a~.ant`3, at*ac#t er.~tar~,ati~n ota;ma~t 5tren~ Arise 55 City Stag Repai'so~nr>ttip Gt C-almartt to C3ece~ent ___- .. - Pro~a`,e ~e~s; Arcoursiant gees: -Tax Retu~ Pteparer ~ e:s: v~rti~i~tg oost~ to ~umherfar~d Law ~~utrtat ar~d tF~ 5et•tt~t`~~i Z!~ 4C~ ~~~ ~"{~TAI. (AEso e~~t~r or, Lire ~, R~capit~l~#~ott7 ~ ~ 1.~c~3 w. C^C:~ 5;;d~~ ?5 n8°u?(~, Li~C a~.'~.itEtin,3~ SCt~~:t5 O~~~n@f Of t~~ S3t;'7~ S~v°. ~'J-... P ~l- .i :3i ~G€~t~S~f ~V~C~~~ ~t~itEE~ikAr.CETiy:c r~>r'i'URN ^cr5!G i+~i ~c~..~C~rwti7 ~~~~~.d~ ~E~TS 0~ DE~~~3EN~', -- - Es-~a,~r~ aE" ~3L~ r~un~~~~ tiyrj ~nl~ F~. CUi{It1as L1-~2-1 X96 Repor', dabts inr~rred by the dece~e~t p~iar ttr death that rernainucf unpaid st t#za date of deaih, 'tnctud'sn~ rtnreimbursed me~ica{ expenses. TT i ~ 1 THE FROG, SWITCH & MANUFACTURING CO. 600 E. High Street * Carlisle * PA * 17013 Ph: 717-243-244 ~'x: 717-243-138 December 18, 2012 Mr. Robert G. Frey 5 South Hanover Street Carlisle, PA 17013 Dear Mr. Frey: Enclosed please find Stock Certificates #1201 & 1202 evidencing Sue Ann Watkins' & Peggy 3: Eisenhart's ownership of 13 shares each of The Frog, Switch & Manufacturing Company. Also enclosed please find (2) Receipt forms which we keep for our records. These form indicate that Sue & Peggy have received the Stock Certificates. Please have Sue & Peggy sign the forms where indicated, provide their social security numbers & addresses, and mail back to us in the enclosed envelope. The book value per share as of 12/31 /11 was $271. The book value per share as of 12/31 / 12 will be available on March 1, 2013. Please contact me if you would like an updated book value at that time. If you have any questions, please call me at (717) 243-2454 ext. 220 or email druth@fro gswitch. com. Sinc ely, 1 D rrell L. Ruth Corporate Secretary F,nclosures +~ penl~sylv~ni~ DEPARTMENT OF PUBLIC WELFARE December 4, 2012 FREY & TILEY ROBERT G FREY 5 S HANOVER ST CARLISLE PA 17013 Re: Virginia Cullings CIS # : 970311803 SSN: ###-##-3161 Date of Death : 11/02/2012 Dear Mr. Frey: Please be advised that the Department of Public Welfare maintains a claim in the amount of $50,983.78 against the above-mentioned estate. This claim is for restitution of medical assistance granted on behalf of the decedent for which the Probate Estate is now responsible to reimburse the Department according to Act 49, 62 P.S. 1412, effective August 15, 1994, as amended by Act 20-95, effective June 30, 1995. Enclosed is the Department's itemized statement of claim. A portion of this medical expense, namely $21,282.06, was incurred during the last six months of the decedent's life; therefore, it is a Class 3 claim pursuant to Section 3392 of the Decedents, Estates, and Fiduciaries Code, 20 Pa. C.S.A. 3392(3). The balance of the claim, namely X29,701.72, is to be entered as a priority Class 5.1 claim against the estate. Please acknowledge receipt of this letter and advise whether the Commonwealth's claim is admitted and when payment may be expected. If the estate accounting is complete, please provide a copy. If the estate contains real estate, please provide copies of the deed, the latest tax assessment, and a current appraisal, if available. Sincerely, '~ `~ ~- Tina M. Wise TPL Program Investigator 717-214-1204 717-772-6553 FAX Enclosure Bureau of Program Integrity ~ Division of Third Party Liability ~ Recovery Section PO Box 8486 ~ Harrisburg, Pennsylvania 17105-8486 LAST WILL AND TESTAMENT OF VIRGINIA R. CULLINGS 1 I, VIRGINIA R. CULLINGS, widow, of 841 North West Street in the Borough of Carlisle, Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do hereby make, publish and declare this as and for my Last Will and Testament hereby revoking and making void any and all Wills by me at any time heretofore made, 1. I direct my hereinafter named Executrices to pay all of my just debts and funeral expenses as soon after my death as may be found convenient to do so. I direct that my funeral services be conducted by Ewing Brothers Funeral Home, 630 South Hanover Street, Carlisle, Pennsylvania, in a manner substantially similar to the arrangements which I made for the services for my husband, Richard Cullings, and that my body be interred beside his on our burial lot located in Westminster Memorial Gardens in North Middleton Township, Cumberland County, Pennsylvania. 2. All the rest, residue and remainder of my estate, real, personal and mixed, and wheresoever the same may be situate, I give, devise and bequeath in equal shares to my two daughters, their heirs and assigns, provided each of them shall survive me by a period of thirty (30) days, but should either of them fail to so survive me, then the share suc~hj r- , ; :.~,~, deceased daughter of mine would have received shall pass ~ ~~; -~ C1 such of her issue as shall survive me by a period of thirt;;~-: ~; , _~ ; „~T t~~-~ , (30 ) days, per stirpes, and, if there be no such issue, tn~~ r ,~ ~.::~ ,fir;` `_j same shall lapse and be added to the share of my other daughte ~ ~:~.,~ - ""'= .-_~ r . My two daughters are Sue Ann Watkins and Pe J. Eisenhart. ~= -; ggY ~,. -- ~__."s--- ~ _ , 1 ~„ ~r r-- - 3. I hereby nominate, constitute and appoint `-~ ~. ,~' ' ,,'i"' said two daughters, Sue Ann Watkins and Peggy J. Eisenhar~-;= ~ --~~ ~-=~ ~--~ or either of them, as Co-Executrices of this my Last Will a~i -~-+ .~` i- .J ~? `_~ Testament, and I further direct that neither of them shams ~_~ ~ be required to post any bond to secure the faithful performance ~ ~-, --r~ of her duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will and Testament written on one (1) pages, this 17th day of May 1988. ~' ~ ~ ( SEAL ) Vi inia R. Cullin Signed, sealed, published and declared by Virginia R. Cullings, the Testatrix above-named, as and for her Last Will and Testament, in our presence, who, in her presence, at her request, and in the presence of each other, have hereunto subscribed our names as attesting witnesses. ~ ~~ Page 1 of 1 page