HomeMy WebLinkAbout01-31-13
REV-1500 EX (02-„>(FI'
PA Department of Revenue
Bureau of Individual Taxes
PO BOX 280601
Harrisburg, PA 17128-0601 1505611185
OFFICIAL USE ONLY
County Code Year File Number
INHERITANCE TAX RETURN 21 12 0 570
RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
04192012 07021944
Decedent's Last Name Suffix Decedent's First Name MI
UTTER ELEANOR F
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
LEHMAN THOMAS E
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE BOXES BELOW
® 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 12-12-82)
6. Decedent Died Testate ^ 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 ^ 1 ~~ Spousal Poverty Credit (Date of Death 1 1. 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 DaytinZe~Telephone Nbl»ber ;~ r`rl
KEITH 0 - BRENNEMAN 71~=E~7-85~$ `. ~'
~.~
First Line of Address
44 WEST MAIN STREET
Second Line of Address
City or Post Office State ZIP Code
MECHANICSBURG PA 17055
.,REGIST~i~ OF V~IILltS USE°~ C
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DATE FILED
Correspondent's a-mail address:
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.
SI RE OF~~PER~ON RESPONSIBLE FOR F}L~ING RETURN ~AjE / ~
ADDRESS
THOMAS E• LEHMAN, EXECUTOR 2215 LAMBS GAP ROAD, ENOLA PA 17025
SIGNATUR PREPARER OTHER THAN REPRESENTATIVE ATE
ADDRESS
KEITH 0• BRENNEMAN, ESQUIRE 44 WEST MAIN STREET, MECHANICSBURG
PLEASE USE ORIGINAL FORM ONLY PA 17055
155611185
Side 1
OM4647 3.OOD
1505611185 J
~J
1505611285
REV-1500 EX (FI)
Decedent's Social Security Number
Decedent's Name: UTTER ELE ANOR F
RECAPITULATION
1. Real Estate (Schedule A) 1 0 • 0 0
2. Stocks and Bonds (Schedule B) . .. ... .............. ..... 2 1, 0 6 4 • 6 6
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . 3 0 , 0 0
4. Mortgages and Notes Receivable (Schedule D) 4 0 • 0 0
5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E) 5. 9 , 9 6 3. 4 5
6. Jointly Owned Property (Schedule F) ~ Separate Billing Requested g. 0 . 0 0
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested 7. 4 , 5 0 2 • 5 9
8. Total Gross Assets (total Lines 1 through 7) 8 15 , 5 3 0 •7 0
9. Funeral Expenses and Administrative Costs (Schedule H). g. ], 0 , 10 0 , 6 5
10. Debts of Decedent, Mortgage Liabilities, and Liens (Schedule I) 10. 4 ,110.81
1 1. Total Deductions (total Lines 9 and 10) , _ 1 1. 14 , 211.4 6
12. Net Value of Estate (Line 8 minus Line 11) 12 1, 319.2 4
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) , _ 13. 0 • 0 0
14. Net Value Subject to Tax (Line 12 minus Line 13) . 14 1, 319 •2 4
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers un~er Sec. 9116
(a)(1.2)x.o- 1,037.24 15. 0.00
16. Amount of Line 14 t xable
4 ~
at lineal rate x
0
. 0.0 0 1 s. 0.0 0
17. Amount of Line 14 taxable
at sibling rate X .12 210.0 0 17. 2 5.2 0
18. Amount of Line 14 taxable
at collateral rate x .15 7 2. 0 0 18. 10.8 0
19. TAX DUE 19. 3 6 • 0 0
20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT X^
Side 2
1505611285 1505611285
OM4648 3.000
REV-1500 EX (FI) Page 3
Decedent's Complete Address:
File Number
DECEDENTS NAME
UTTER ELEANOR F
STREET ADDRESS
CUM AND COUNTY
CITY
ENOLA STATE
PA ZIP
17025-
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. Credits/Payments
A. Prior Payments 0 . 0 0
B. Discount 0 . 0 0
3. Interest
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Fill in box on Page 2, Line 20 to request a refund. (4)
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
(1) 36.00
0.00
(3> 0.00
0.00
(5) 36.00
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 ^ ^X
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? . ^ 0
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
whic
,
h
contains a beneficiary designation? ~`
l~J
^
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 Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent [72 P.S. §9116 (a) (1.1) (i)j.
For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. §9116 (a) (1.1) (ii)j. 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 child 21 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 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 [72 P.S. §9116(a)(1)J.
• 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)j. 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.
Total Credits (A + B) (2)
OM4671 2.000
REV-1503 EX + (8-12)
pennsylvania SCHEDULE B
DEPARTMENT OF REVENUE
INHERITANCETAX RETURN STOCKS & BONDS
RESIDENT DECEDENT
FILE NUMBER
Eleanor F. Utter 21 12 0570
All property jointly owned with right of survivorship must be disclosed on Schedule F.
zwasss z.ooo If more space is needed, insert additional sheets of the same size
REV-1508 EX+ (0&12)
Pennsylvania SCHEDULE E
CEPARTMENiOF REVENUE CASH, BANK DEPOSITS ~ MISC.
RESIDENT DEC DENTTURN PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
Eleanor F. Utter 21 12 0570
Include the proceeds of litigation and the date the proceeds were received by the estate.
All propert 'ointl owned with ri ht of survivorship must be disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
t. 2001 Subaru Legacy 1,973.00
sale value
2 Belco Community Credit Union 0.14
holiday savings club account #615340-52
3 Belco Community Credit Union 1,115.64
savings account #615340-51
4 Deford Student Flute 72.00
appraised value (see attached appraisal)
5 Diamond Ring 210.00
appraised value (see attached appraisal)
6 Discover Financail Services 1,094.85
death benefit paid under Discover Payment Protection
Plan
7 M&T Bank 5,497 82
checking account #87100215
TOTAL (Also enter on line 5 Recapitulation) $ I 9, 963 45
2w46nD 2.00o If more space is needed, use additional sheets of paper of the same size.
REV-1510 EX + (OS-09)
pennsylvania
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDEtJT
SCHEDULE G
INTER-VIVOS TRANSFERS AND
MISC. NON-PROBATE PROPERTY
ESTATE OF FILE NUMBER
Eleanor F. Utter _ 21 12 0570
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM
NUMBS DESCRIPTION OF PROPERTY
IrianoErr~nwnaeoFrreranrasFERee,T~iRRe~onor~swarooeceoenrrArio
T}E Q4TE OF TRMSFER ATTPCHA APY OF THE DEED FOR REAL ESTATE.
DATE OF DEATH
VALUE OF ASSET
%OFDECD'S
INTEREST
EXCLUSION
IF APPLICABLE
TAXABLE
VALUE
~• Boston Mutual Life Insurance 3,844.75 100.0000 3,844.75 0.00
life insurance policy in which
decedent's sister Janet L.
Utter was listed beneficiary.
This item is non-taxable and is
listed for infarmational
purposes only.
2 Edward Jones 734.96 100.0000 0.00 734.96
investment account
#957-09865-14. Thomas E.
Lehman, decedent's spouse was
listed beneficiary
3 Schwab 3,767.63 100.0000 0.00 3,767.63
IRA account. Thomas E. Lehman,
decedent's spouse was listed
beneficiary
9W46AF 2.000
TOTAL (Also enter on line 7, Recapitulation) $
If more space is needed, use additional sheets of paper of the same size.
4,502.59
REV-1511 EX+ (10.09)
Pennsylvania
DEPARTMENTOF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Eleanor F. Utter 21 12 0570
Decedent's debts must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
~. Gingrich Memorials
grave marker 2,290.00
Total from continuation schedules .
B.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City
State ZIP
4,345.00
2.
3. Year(s) Commission Paid:
Attorney Fees: Snelbaker & Brenneman, P. C. (Estimated)
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
Claimant
2,500.00
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees: 83.50
5. Accountant Fees:
6. Tax Return Preparer Fees:
7.
1 Cumberland Law Journal
advertise Executor's Notice 75.00
2 JW Music
flute appraisal 15.00
Total from continuation schedules 792.15
TOTAL (Also enter on Line 9 Recapitulation) ~ $ 10 , 100 65
swasnc 2 00o If more space is needed, use additional sheets of paper of the same size.
Estate of: Eleanor F. Utter
Schedule H Part 1 (Page 2)
Item
No. Description
21 12 0570
Amount
2 Parthemore Funeral Home & Cremation Services, Inc.
funeral services 4,345.00
Total (Carry forward to main schedule)
4,345.00
Estate of: Eleanor F. Utter
Schedule H Part 7 (Page 2)
3 Munn's Diamonds
jewelery appraisal
4 Register of Wills
filing fee for Inheritance Tax Return
5 Snelbaker & Brenneman, P.C.
certified mail costs
6 The Sentinel
advertise Executor's Notice
7 Reserve
for filing fees and other miscellaneous costs
associated with the administration of the Decedent's
estate
Total (Carry forward to main schedule)
21 12 0570
50.00
15.00
5.75
221.40
500.00
792.15
REV-1512 EX + (12-08)
Pennsylvania SCHEDULE i
DEPARTMENT OF REVENUE DEBTS OF DECEDENT,
INHERITANCE TAX RETURN MORTGAGE LIABILITIES ~ LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Eleanor F. Utter 21 12 0570
Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1~ Andrews & Patel Associates, PC
medical services 180.00
2 Belco Community Credit Union
loan number #615340-0078 on Subaru Legacy 2,420.83
3 Computer Credit, Inc
collection agency for Pinnacle Health Hospitals for
medical services 50.00
4 Discover Financial Services
payoff credit card 1,094.85
5 Pinnacle Health
medical services 84.06
6 Sears
credit card debt 262.06
7 The Johns Hopkins University Clinical Practice
Association
medical services 19.01
TOTAL (Also enter on Line 10 Recapitulation) ~ 3 4 , 110 81
swasAH z.ooo If more space is needed, insert additional sheets of the same size.
REV-1513 EX+(01-10) SCHEDULE J
pennsylvania
DEPARTMENT OF REVENUE BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
L'l a L' TT~~e~.- 7~ ~ n Ac'fA
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
TAXABLE DISTRIBUTIONS [InGude outright spousal distributions and transfers under
Sec. 9116 (a) (1.2).J
1. Thomas E. Lehman
2215 Lambs Gap Road
Enola, PA 17025
100 of residue
100 of residue: 1,037.24 Surviving Spouse 1,037.24
2 Janet L. Utter
1293 Letchworth Road
Camp Hill, PA 17011
Diamond Ring
Inventory Value: 210.00 Sister 210.00
ENTER DOLLAR AMOLINTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 1 8 OF REV-1500 COVER SHEET, AS APP ROPRIATE.
[[ NON-TAXABLE DISTRIBUTIONS
A. SPOUSAL DISTRIBLfIIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0.00
9W46AI 2.000 ~~ ~~ivic aNa~,c ~a nccucu, uac CUURW~IdI SnCE'15 UT paper UT If18 SarT1e SIZe.
Estate of: Eleanor F. Utter
Item
No. Description
3 David C. Heiser
270 Chestnut Grove Road
Dillsburg, PA 17019
Deford Student Flute
Inventory Value: 72.00
4 Eileen Rutter
c/o Patricia Gantz
17 Washington Avenue
Ephrata, PA. 17522
21 12 0570
Schedule J Part 1 (Page 2)
Relation Amount
None 72.00
Cousin 0.00
Calculated Value of Your Paper Savings Bond(s) • ~~ ~ ~ Page 1 of 1
i
Calculated Value of Your Paper Savings Bond(s) ~ PC~1i~1 ~~/C
~.
~-~~~-d~
Calculator Results for Redemption Date 04/2012
Total Price Total Value Total Interest YTD Interest
$150.00 $1,064.66 $914.66 $0.00
Bonds: 1-4 of 4
Serial #
Series Denom Issue Next Final Issue Interest
Interest
Value
Note
Date Accrual Maturity Price Rate
L2015993725E E $50 11/1975 11/2005 $37.50 $231.42 $268.92 MA
L2010298864E E $50 09/1975 09/2005 $37.50 $228.80 $266.30 MA
L2003906877E E $50 06/1975 06/2005 $37.50 $228.80 $266.30 MA
L1109586982E E $50 04/1975 04/2005 $37.50 $225.64 $263.14 MA
Totals for 4 Bonds $150.00 $914.66 $1,064.66
Notes
NI Not Issued
NE Not eligible for payment
PS Includes 3 month interest penalty
MA Matured and not earnin interest
httri•//~xr~xnx~ traaciirvrlira~t nn~~/R(`/CR('Prira 1 /:(1/x(11
.__ --$ ~ MUSIC
~aie~, Rentals & Repairs
~~ iii ~'~~ ~ ~s~ed f~easa~i instruments
127 N. Hanover St.
Oarlisde, PA 17013 Ij ~ 331 Market St. ° ~~
(717} 258-b765 ~ f f~/~ ~-e aYne, PA 17043
tJ~A'/„~jQ~7g7) 761-8222
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diamond gallery
JEWELRY APPRAISAL
ESTATE ~ FAIR MARh'ET VALUE
We estimate the value(s) listed for estate purposes only using fair market value guidelines.
The following item(s) have been carefully examined and verified as accurately as possible within
the normal and reasonable gemological ranges without the use of gemstone removal or damaging
tests. Carat weights are estimated by volumetric formula unless otherwise noted.
Appraisa[ Prepared For:
Estate of Eleanor Utter
Item Description:
One diamond engagement ring consisting of (1) round shape major diamond;
Major Stone: (1) rowed shape diamond:
Sil Clarity / JK Color
iVleasurements: 5.15 x 5.15 x 2.9tnm
Carat Weight.: x`.47 ct.
Mounting: Mounting is 14k yellow gold, diamond is set in a 4 prong 14k white gold setting. (Note: One
prong is broken, others are thin. Shank is also thin.}
Total Carat Weight: *.47 ctiu-.
Total Metal ti~'eight: 1.2dwt.
Finger Size: 7
l~lounting Stamp: 14k
Fair Market Value of this item.... ..................................$210.00 7203 Market Streef
Lemoyne, PA 17043
Brandi Cohick
1?ate of Appraisal: May 25, 2d] 2
*Carat weight estimated by volumetric formula. No stone removal. (717-761-8370
Precious metal market price on 4/19/12: Gold $1,641.SQ/oz.(T) Platinum $1,579.OOioz.(T) Value excludes X771-767-8632
This is not an offer to purchase or replace articles. ~'~77-DIAMOND
www.munns.nef
LAST WILL AND TESTAf4ENT
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I, ELEANOR FREDERICK U`.NPER, of the Township of Lower
Allen, County of Cumberland, and 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 any time heretofore made.
FIRST. I order and direct that all my just debts and
funeral expenses be paid by my Executor or Executrix, as the
case may be, hereinafter named, as soon as conveniently may be
done aftor. my decease.
SECOND. I give and bequeath my two (2) diamond rings, my
dog, my horse, tack and other equine related equipment unto my
sister, namely, JANET L. UTTER, absolutely.
THIRD. I give and bequeath my cat unto MOLLY LATORRE,
absolutely.
FOURTH. I give and bequeath my flute unto DAVID C. HEISER,
absolutely.
FIFTH. I give and bequeath the sum of Two Thousand
($2,000.00) Dollars unto EILEEN BUTTER (now of Ephrata, nA),
absolutely.
SIXTH. I give, devise and bequeath all the rest, residue
and remainder of my Estate, real, personal and mixed, whatsoever
and wheresoever situated, unto my husband, namely, THOMAS E.
Lnw oFFic Es
S NELBAKER ~ FLICKER LEHMAN, absolutely and in fee simple, if he survives me y as
~~
many as sixty (60) days.
If my said husband does not survive me by as many as sixty
(60) days, then and in that event, I give, devise and bequeath
~ all the rest, residue and remainder of my Estate, real, personal
i
and mixed, whatsoever anc] wheresoever situated unto my sister,
l
~ ~ namely, JANET L. UTTER, absolutely and in fee simple, if she
~~ survives me.
~~; If neither of the above named persons survives me as
~1
`~~\ required hereinabove, then and in that event, I give, devise and
_y"
`~i\ bequeath my entire residuary estate unto HUMANE SOCIETY OF
~ HARKISBURG AREA, INC., absolutely and in fee simple.
~~`
^~ LASTLY. I nominate, constitute and appoint my husband,
:~
~~
~~'~ namely, THOMAS E. LEHMAN, to be the Executor of this, my Last
~1'- Will and Testament, but if for any reason he should fail to
qualify as such Executor or cease so to serve, then and in that
event, I nominate, constitute and appoint my sister, namely,
JANET T UTTER, to be the Executrix hereof, each and both to
serve without bond or other security as a condition of
qualification hereunder.
If both of the above named persons should fail to
qualify as my personal representative or cease so to serve, then
and in that ultimate event, I nominate, constitute and appoint
DAUPHIN DEPOSIT BANK AND TRUS'P COMPANY, of Harrisburg,
Pennsylvania (or its successor by merger, consolidation or other
corporate reorganization), to be the Executor of this, my Last
gill and Testament.
IN WITNESS WHEREOF, I, ELEANOR FREDERICK UTTER, have
LPW OFFICES
SN E! BAKER & FLICKER hereunto Set my hand and Sedl t0 this, my Last 1x111 an
-2-
Testament which consists o_f three (3) typewritten pages to each
~r~
of which I have affixed my signature this ~ day of duly
A.D., One Thousand Nine Hundr ~inet~(1990}. -~
~~~~LC~~Lf.l'`2~C~~'"Gz't'c:'~L / ~Z (SEAL)
The preceding instrument, consisting of this and two (2)
other typewritten pages, each identified by the signature of the
Testatrix, was on the date thereof signed, sealed, published and
declared by ELEANOR FREDERICK UTTER, the Testatrix therein
named, as and for her Last Will and Testament, in the presence
of us, who, at her request, in her presence, and in the presence
of each other, have subsr_ribed our n as witnesses hereto.
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LAW OFFICES
iNFLBAKER & ELIC KER
-3-
COhIP!ION44EALTH OF PENNSYLVANIA )
SS.
COUNTY OF CUMBERLADID )
We, ELEANOR FREDERICK UTTER, RICHARD C. SNELBAKER and
CATHARINE E. BOUSUM, the Testatrix and the witnesses,
respectively, whose names are signed to the attached or
foregoing instrument, being first duly sworn, do hereby declare
to the undersigned authority that the Testatrix signed and
executed the instrument as her Last 4Till and Testament and that
she had signed will.ingl_y, 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 Wi11 as a witness and that to the best of
his or her knowledge the Testatrix was at t11at time eighteen
years of age or older, of sound mind and under no constraint or
undue influence.
1 :-:
Witness
Lww OFFIf ES
SNELBAKCR & FLICKER
Subscribed, sworn to and acknowledged before me by ELEANOR
FREDERICK UTTER, the Testatrix, and subscribed and sworn to
before me by RICHARD C. SNELBAKER and CATHARINE I;. BOIJSUM,
witnesses, this S-'`f day of ,7uly, 1990.
~~ - ~--
Notary Public
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