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Home My WebLink About02-12-13, 1505610140 -"' REV-1500 ~` ~°,-,°, PA DepartrtreM ot Revenue ~F~~ ~ Bureau of Individual Taxes ~°°"b Code Y PO Box 2eoso~ INHERITANCE TAX RETURN 2 1 ~ Harriabulg. PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Sociai Security Number DaM of Death MMDDYYYY Date of Birth MMODYYYY ~ 1 5 9 5 2 7 9 2 4 D 1 1 5 2 0 1 2 bF I~O1g26 I OeoedenCa Last Name Suffix DecedenPs First Name G A R C Z Y N S K I J U L I A (H Applicable) Erher Surviviny Spowe's Infortnation Below Spouse's Last Name Suffix Spouse's First Name FNe Number ~ 0 0 9 4 MI A AM Spouse's Sociai Security Number THIS RETURN MUST BE FILED IN DUPUCAT~ VYITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW ~ ~ 1. Original Retum ~ 2. Supplemental Ratum ~ 3. Remai r Retum (date of death pnorto 1~-13-82) ~ 4. Limked Estate ~ 4a. Future Interest Compromise (date of ~ 5. Federal ~state Tax Retum Requfred death aiter 12-12-82) ~ 6. Decedent Died Testete ^ 7. Decedent Maintained a Living Truat _ 8. Total Num ber of Sate Deposit Boxes (Attach Copy ot Will) (Attach Copy of Trust) ~ 9. Litigatiun Prooeeda Reoanred ~ 10. Spousal Poverly Credft (date of death ~ 11. Ebction tax under 5ec. 9113(A) between 12-31-91 and 1-1-95) (Attach . O) CORRESPONDENT - THIS SECTION MUBY BE COI~LETED. ALL CORRESPONOENCE AND CONFIDENTULL TAX RIFORMA NN SHOULD BE DYtECTED T0: Name Daytime 7ey{ph ne Numb~ H A R 0 L D S I R W I N I I I 7 1'73 4 3~ ~U First li~ of addreas 6 4 T 0 U T H P I T T S T R E E T SeCOnd line of addross City or Post Office State ZIP Code r- ~ 1-,, ~ -~t c~ ~ z ~ ~ ~ ~ O O 6'~ C7 ..~ ~ ~1 '?7 ` ;~ c *~ -~ ,,, v '+ 'v ,,, " R' ~ c•) fA O ~ 17 DATE FILED t A R L I S L E P A 1 7 0 1 3 conrspond.nrs «mau aadross: irvvinlawoffi~ mail.com under p~sltles d peryury. l dede~e that 1 have ~amh~e0 this rsbum, IndudinB accomWrryinO echedubs an0 s~femeMa, and to the t M my krawledpe and beliel k ia frue, conect and complsoe. D~da ' of rer othx tlren tl~e penanal reproeeMative Is baeed on aU informatlon M whkh rer hee arry knoMAedge. SIG E OF PERS S LE G RETURN p'fE / ~ ADDRE 18 9 ILLOW ROAD CARLISLE A 17013 S F PREP O ER ESENTATNE DATE ~ L /3 ESS 64 SOUTH PITT REET CARLISLE A 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 ~ 1505610140 1505610~40 -~l , , J 1505610240 REV-1500 EX DecadanYs ~oaal Securily Number oec~r,N~,: JLlLIA A. GARCZYNSKI 1 5 9',.5 2 7 9 2 4 RECAPITULATION ~i ' t . ........ Real Estate (Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1. 0 . 0 ~ 2. Stocks and eonda (Scnedub B) . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . 2. 0 . 0 0 3. Closely Held Corporation, Partnership or Sole-Proprietorahip (Schedule C~ ... .. 3. ~• ~ ~ 4. Mortgages and Notes Recelvable (Schedu{e D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. ~ • ~ ~ 5. Cash, Bank Depoaits and Miacellaneoua Pereonal Property (Schadule E). .... .. 5. 1 4 5 5. 3 1 6. •y Joint Owned Pro ) ^ P 9 eQ psrty (5chedule F Se srate Billin R uested ..... .. 6. i, 0, 0 0 7. Interv~voa Transfers ~ Miscellaneous t~Probate Property 0 0 ~ (Schedule G) U Separate 8illi~g Requested .... ... 7. i . 8. Total Gross Assats (total Lines t throu9h ~ . . . . . .. . . . . . . . . . . . . . . . . . . . . 8. 1 4 5 "5 . 3 ~ 1 9. Funeral E~enses and Administrotive Coats (Schedule H) . . . . . . . . . . . . . . . . . . 9. 1 0 3 0 . 0 0 10. Debb of Decedent, Mortpage Liabilities, and Liens (Schedule I) .... ....... ... 10. 3 3 7 8 2. 2 7 11. Total Deductions (total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 3 4 8 1 2 . 2 7 12. Nst Valus of Estab (line 8 minus une 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. - 3 I 3 3 5 6 . 9 6 13. Charitable and GovemmeMal BequestsiSec 9113 Trusb for which ~ an eledion to tax haa not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . 13. I • 14. Net Value Subj~et to Tax (Line 12 minus Line 13) . . . . . : . . . . . . . . . . . . . . . . 14. - 3 ~ 3 3 5 6 . 9 6 TAX CAICULATION - SEE INSTRUGTI~NS FOR APPUCABLE RATES 75. Amourn of Line 74 taxable at the apousal tax rate, or trensfers under Sec. 9116 (8)(1.2) X.0 _ ~. ~ ~ 15. ~. ~ ~ 16. Amount of line 14 tauable at lineal rate X.0 _ 0. 0 0 16. 0. 0 0 17. Amount of Line 14 taxeble at sibling rate X.12 0• 0 ~ 77• LI . ~ 0 18. Amount of Line 14 taxable ~ ~ ~ ~ ~ 0 0 at wRateral rate X.15 • ig, I . 19. . TAX DUE .........~ ......................................... ...19. ~ I II i ~• -. ~ 0 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OYERPAYMENT Side 2 ~ ~ 150561UC40 _ _ 15056102~40 "_ ^ J . . ~ , _ _ _ _ ~_ _ .~-- ._ _ _ _ ~__ _ _ _ , ._ _ , . _ REV-1500 EX Pape 3 Decedent's ComQlete Address: Ftk Numb~r 21 12 0094 I~ECEDENTS NAME ~ JULIA A. GARCNNSKI STREETADDRESS 1809 WILLOW ROAD ~ cirr CARLISLE srnTe ! PA ziP ~ 17013 Tax Rayments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. discount 3. Interest 4. If Line 2 is greater than Une 1+Une 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. 5. If Lipe 1+ Line 3 is greater thaz~ Line 2, enter the d'rfference. This is ihe TAX DUE. an Make check payable to: REGISTER ~F WILLS, AGENT i~) (3) (4) (5) PLEASE ANSWER THE FOLL~WING QUESTIONS BY PLACING AN "X" IN THE APPRpPRIATE BLOCKS 1. Did decedent make a t~ansfer and: IYes No a. retain the use a inoane of the property transfert~ed~ ...................................................................... ^ ~ b. retain ihe right to designate who shall use the property transferted or its incortie : ............................... ^ ~ c, retain a reversian~y inter~t; or .............:...... ........................................................................... ~ d. receive the pranise for Iife of either payments~ beneflts or care7 ....................................................... 2. If death occurted after Decernb~ 12,1982, did decedent transfer praperty within one year of death without reoeiving adequaie consideration? ......................................................................................: ~ 3. Did decedent own ~'in trust for or payaae-upa~~death bank account a searity at his a her death? ......... ~ ~ 4. Did dacedent own an individual reUrement account, annuity w~ non-proba0e praperly, which contains a beneficiary designation? .................................................................................................. ~ ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YEB, YOU MUST COMPLETE SCHEDULE G AND FILE ~ 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 neE value of transfers to a 3 percent [72 P.S. §9116 (a) (1.1) (i))• • For dates uf death on or after Jan.1,1995, the ta~c rate imposed on the net value of transfers to or for fhe use of the survivi [72 P.S. §9116 (a) (1.1) (ii)j. The statufs does not exempt a transfer to a sunriving spouse from t~, and the statutory requii filing a tax retum are s611 applicable even if the surviving spouse is the only benefiaary. For dates of death on or after July 1, 2000: • The ta~c rale imposed on the net value of transfers from a dec~aased child 21 years of age or younger at death to or for 8 e adopUve parent or a stepparent of tl~e child is 0 peroent [72 P.S. §9116(a)(12}]. • The tax rate impoaed on fhe net value of transfers to or for the use of the decedenYs lineal benefiaaries is 4.5 percent, i 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)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. §91 ~ Sec6on 9102, as an individual who has at teast one parent in common with the decsdent, whether by blood w adoption. Total Credits ( A + 8 ) (2) for the use of the sunriving spousa i: ig spouse is 0 peroent aments for disd6sure of assets and e use of a natural parent, an xcept as noted in (a)(1.3)]. A sibling is defin~, unde~n REV•1502 EX+ (01-10) ' pennsylvania ' DEPARTMENT OF REVENUE i~r+ewrarce rNC aErur~ r~sroEr~ oECE~M SCHEDULE A REAL ESTATE ' All real propsrty owned solsly w s~ s benant in common must be roporbd a~ hir market value. Fair market value is defined the price at which propeAy ' would be exchanged between a willing buyer and a willing se~ler, neither being compelled to buy or sell, both having reasona knowledge of the relevant facts. Resl nroaadv tl~at ia loiMMownad wkh rlaht of wrvivonhio must ba dlsclosed a~ Schedu F. ITEM NUMBER Attach a copy of the settlement she~ if the property has been sold. Indude a copy of tlie deed shauing decedenYs interest'rf owned as tenant in common. DESCRIPTION VALUE AT DATE OF DEATH NONE I , ~ ~ I ~ ~ _ I I , ; ! , d 0.00 , roru (~uso ent~ o~ u~e 1, ~n,iatia~.) I s , o.oo H more spece is needed. use addiUonel ~Aes~ of peper oT the aeme alae. . _ ._ _ _ __ _ _ _ , _ _ r ; REV-1503 EX + (&98) . ~ SCHEDULE B , COMMONWEALTH OF PENNSYWANIA STOCKS ~ BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE ~F FILE NUMBER JULIA A. GARCZYNSKI 21 12 00$ 4 A8 propaly joi~ly~owned wkh ApM ot wrvivoRhtp must bs dbcbs~d on ScheduM F. ITEM VALUE AT DATE NUMB~R DESCRIPTION OF DEATH 1. , NONE , ~ U I ~ 0.00 . TOT/LL (Also ~te~ on line 2, ~cuiat~dnl I t o.oo ; (If more space's needed. irreert edditionsl Nieeffi ~ Ihe aema s~) __ __ . _ . J Rev.~sa ex• (e-ee~ , ~ CONPAONWEALTH OF PENNSYLVANIA INHERRANCE TAX RETURN RESfDENT DECEOENT SCHEDULE C CLOSELY•HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP ESTATE OF JULIAA. GARCZYNSKI 21 12 009 4 Schedule C-1 or G2 ("aiduding aN suppor6ng informetion~ must be aQached fa each cloaey-held corporatioNpartr~ship mierest m ade-proprieEaship. See inabuctlons ior tlre supportirq Mfortnatlon ~ be submitlad for sole-proprieto~hi . e decedenk ~ lhan a ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. NONE I n _ / _ / ' ' ' ~ ~ ~ ~ ~ ' 0.00 TOTAL Also enter on li~a 3, ulatibn S . 0.00 ~ff r~are ~ece ~ neeaea. ~r~en aaan~i ~ or ab seme s~~ REV-1507 EX + (&98} , , SCNEDULE D ~~ 7F~ . MORTGAGES 8 NOTES .. , ' COMMONWEALTH OF PENNSYWANIA INHERRANCETAXRETURN RECEIVABLE ~ RESIDENT DECEDENT . ESTATE OF FILE NUMBER JULfA A. GARCZYNSKI 21 12 00 Aq prop~Ay joiMlyowmd wkh ths ripM of wrvivonhip must bs ~elo~od on SchsduN F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. „ NONE , , ti I 0.00 n TOTAL Alao ~ter on Iisie 4, i 0.00 (If rtare space i5 needed, haeit additlonal aheeb of the eame ahe) . _ _ - _ ,' __ _ . _ _ _ _ _ _ _ Rev-tsoe ex + ~s.ee> I SCHEDULE E , ~ , COMiAONW6qLTH OF PENNSYLVANIA CASH, BANK DEPOSITS, 8~ MISC. IN ~ S D NT DECED NTRN PERSONAL PROPERTY ESTATE OF JULIA A. GARCZYNSKI Indude tlie of Ntidation and the da@e thep~~ were recMved ~ P-oP~RY ~4wlled wNh 1IaM of wrvhroR ih o mud Ir Af.r~...n ITEWI UMBIER 1. CITIZENS BANK See Exhibit "B" 2. SOVEREIGN BANK See Exhibit "C" 3. SOVEREIGN BANK See Exhibit "D" by tlie esfete. on ScMduM F. VALUE AT DATE OF DEATH 607.79 249.79 597.73 ~ ' -, TOTAL (Also enter on line 5, RecapRuladpn) : ~~ (H more apace is needed~ baert addilbnal eheeb of the ~ame aize) , «._ , _ _ __ _. _ . - . _ i - _ _ REV-1508 EX+ (01-10) ' pe~nsylvania SCHEDULE F • DEPARIMENT OF REVENUE JO~NTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESfDENTDECEDENT ESTATE OF: , FILE NUMBER. , JULIA A. GARCZYNSKI 21 12 00 If an saet w~s made JalMly owned wkhin one year oflhe decedeM's'date of d~lh, N must be roportad n Scheduk G. SURVMNG JOINT TENANT(5) NAME(S) ADDRESS RELATIONSHIP TO DECEDENT q. NONR s. C. JOINTLY-OWNBD PROPERTY: , LETTER DATE DESCPoPfION OF PR~ERTY %OF ~ATE OF CIEATH ITEM FOR JdNT MA~E INCLU~ NAMff OF FlNANGAL INSTITUTION AND BANIC ACCOUNT NUMBER OR SIbNLAH DATE OF ~EATH DECEDENTS VALUE OF NUMBER TENANT JOINT IOENTIFYING NUM~R ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTERE3T DECEDENTS MITEF~ST 1. A. n NONE , ~ 0.0 - I i 0.00 , TOT/LL (Also enter on Line 6, Recaptulation) I' S. 0.00 4 H mae ap~e is needed, we addition~ ~ of pepa ~ the same aize. -.. __ _ _ _ - - __ __ __ __. . _ -- _. _ ~ _ __ _ ~ _,~ , _ _ ~ .. ,, _ _ _ _ _ . ~ REV-1570 EX+ (08-09) ' pennsylvania SCHEDULE G • o~P^~~ o~ ~N~E INTER•VNOS TRANSFERS AND INHEPoTANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBE JULIA A. G~4RCZYNSKI ~ 21 12 00~ 4 This sdredule mult be oanple~ad and Poed if ttie ar~swer to any of quea6ons 1 through 4 on page three of the REV- 5 00 b yes. ~~RIPTiON OF PROPERTY ITEM nxxuoE niE wv,~ oF nE rn~E. Tr~t r~tioHarw ro o~oENr ~wo DATE OF DEATH % OF DECD' EXCLUSION TAXABLE NUMBER TI#DATEOFTqANSFHi.ATTACMACOPiOFTHED~FORREALESTATE VALUEOFASSET INTEREST p~~uras~ VALUE 1. , NONE , ~ 0.00 n 0.00 , TOTAL If rtare spaoe b ne~d, uae addNbnel sheefs oi paper ottlie same ai~. ec~i ~u! ov~ i~n M~ ' pennsylvania SCHEDULE H ' OEPARTMENT Of REVENUE FUNERAL EXPENSES AND .~ ~ INHERITANCE TAX RETURN RESIDENT DECEDENT ADMINISTRATIVE CO5TS ESTATE OF FILE NUMBER JULIA A. GARCZYNSKI 21 12 00~ 4 D~cedsM't dNrts must bs rrportsd on Scheduk L ~ ~! ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. I h B. ADMINISTRATIVE COSTS: ~ I 1. Persaial RepresentaHve Commissions: ' Name(s) of Pei9onel Repreaen~tive(s) . SUeet Address Cky SfaO~ ZIP Year(s) Cortxnbsion Paid: , 2, At6ome~rFees: IRWIN LAW OFFICE 1,000.00 3. Famdy Fzamp~on: (It decedenCs address fs rrot the aeme as daNnenYs, atlach explenaibn.) CleimaM S6eet Address ' CHy Sta4e ZIP Reletla~ship of Cleiment to Deoedent 4. ~robemFees: CUMBERLAND COUNTY REGISTER OF WILLS ~ 5. AocouMeM Fees: 6. Tax Reium Preparer Fees: ! 7. CUMBERLAND COUNTY REGISTER OF WILLS - Inven4ory and Appraisement rs i i a 30.00 TOTAL (Also enter on line 9, Recapitula tibn) i 1 03Q.Q0 rt more sp~e ~s neeaea~ ~e a~ioaiei et~eets a peper a me sema sma. _ _ _ . _ _. , ~.__ T , _ RE1/-7572 EX+ (12-OB) ' pennsylvania SCHEDULE I • oePnrm~rrr oF r~HUe DESTS OF DECEDENT, ~~s ~ ~~~~~ MORTGAGE LIABILITIES 8~ LIENS ~ ~ , ~ ESTATE OF - FILE NUMBE JULIA A. GARCZYNSKI ~ 21 12 0 4~ Report debts fncumed by the dsixdeM prior ~ dseth that remained unpsid at tlie dabe of daNh, including unroim ursed medical e~cpenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. ARMESTO EYE ASSOCIATES I 40.00 Medical Bill , , 2. CUMBERLAND-GOODWILL FIRE RESCUE 625.76 Medical Bill 3. GRANDVIEW SURGERY CENTER 648.99 Medical Bill 4. HOLYSPIRITHOSPITAL 200.00 Medical Bill ~ I , 5. INTERNISTS OF CENTRAL PA ~~, , 79.93 Medical Bill ~ . 6. OAKWOOD RADIATION CENTER 946.02 Medical BiU 7. PINNACLE HEALTH 4,538.54 Medica{ BiN 8. (~UEST DIAGNOSTICS ~~ 2.24 Medical Bill 9. TRISTAN ASSOCIATES 7,106.48 Medical Bill 10. AT&T 259.50 Phone Bill I 11. BEST BUY ' 3,059.02 • Account Balance • , . . 12. CITIZENS BANK ~ I - 1,557.34 Account Balance 13. DCM 2,364.04 Account Balance 14. HOME DEPOT 970.20 Account Balance 15. a HSBC ; a 1,52a.83 Account Balance _ l ~ _ ~ TOTAL (Nsa enter on Line 10, Racapitul on) S ' 33 782.27 rc more spece is neetlea, in~ert aaaiuone~ at~s a me aame size. _ . _ _ , _ Continuation of REV-1500 Inheritance Tax Return Resident Decedent JULIA A. GARCZYNSKI ' 21 12 0094 Decederrt's Name Page 1 ~ File Number Schedule I- Debt~ of Decedent, Mortgage Liabilities, ~ Liens ; ~ ITEM NUMBER DESCRIPTION AMOUNT 16. RBS CITIZENS 5,073.65 Account Balance 17. SIMM ASSOCIATES . , 3,169.76 Account Balance 18. HOUSEHOLD BANK 1,619_97 Account Balance , n , SUBTOTALSCHEDULEI 9,863.38 GRAND TOTAL SCHEDULE I S 33 782.27 KGV-1013EJC+(p1-70) ~ . . ~ ., ' pennsylvania SCHEDULE J • OEP~,-~E~rOFR~NUE BENE~ICIARIES INHERfTANCE TAX RETURN RESIDENT DECEDENT ESTA'I~ QF: FILE NUMBE : JULIA A. GARCZYNSKI 21 12 0 ' RELATIONSHIP TO DECEDE T AMO}1NT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trus6es(s) OF ESTATE I TAXABLE DISTRIBUTIONS pndudeouhIpM I dishibutions and transfers under Sec. 9116 (e (1.2).j 1. MARY E HARTZOG Lineal 1809 Wiilow Road 50% RESIDUE Carlisle PA 17013 . , 2. ~ETTY GARZYNSKI Lineal 14 Third Street 50°r6 RESIDUE . 3teefton PA TER DOLLAR AMOUNTS FOR DISTWBUTIONS SHOWN ABOVE ON LINES 15 HROUGH 16 OF REV-1500 COV ~ I I I R S EET, AS APPROPRIATE. II, N -TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRfBUTIONS UNDER SECTfON 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: L ~I ~ • B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: I ~ ~ 1. n n ~ i I n 1 VIAL. V~ YARI il - CIV{CK I V IAI.IWJiY-IAlJit3lt UTAIF(ItlV IIVMS VIV LIIVC 1J Vh KtV-7AW GUYtK 51'ittl. ~' i If more spaoe is needed, use additionai sheet~ of p~aper of the same size. 10/O1/2012 08:17 FAI . i ', ~ . 1 • i~/ iid ~/V i ~ I ~iiil / ~ • + i.~~irY ~ /. ~ • ~ ~~~ DECLARATION ~.1~ ~Zynski, a resident of the commonwealth o£ Peruu county of Cuanbe~cland; a~d bei~tg of souad mir-d atxl memory, do ~ publish, and declare this to be my last will and ~#. thereby: making null and void any and ell other last will and testaments anc to last will and testamettts heretofo~e made by me. All re£erences lu will" refa onty to rhis last w-ill ancl t~stama~r. FAMILY At #he t~ine af execu{ing this Will, I am unmarried. I have ~ DEBT I direct that as soon as is practical after my deat~h, the acecub pureuant to this Will review all of my just debts aztd obligations, i:u ill.neas and funeral expanses, except for those eecused long term ~del be asaumed by the beneficiary of such property, unlees such assum~ prohibited by law or on a~t by the b~dary. The executar dire.cbed to pay any attorneys' fees and any oti~er estate adminietrat The executor shall pay these just debts only after a aeditor provide~ sufficient evidence to support its ckiim and ~n aaordance with appl law. I clirect that any eatate, ir~herit~ue, and suoces~ion taxea, irKl interest nnd pennlties thereor~, imposed by the federal g+c~verru~nent ~ distric~, or fian~ibcny, attrlbutable to asstts includible in my estate, pe wnder or outside of this V1f'ill, be apportioned a~mong the persons int estate in accordance with applicable state and federal law. My exec~ Pa~e 1 of my Last Will and Teetament ~ (iititial~ ~ ~ ~ ~~~i ~~ lvat~ia and ~reby make, roking and or codicils ~n to "this children. r named '.udiag last ta that may tion is s further ~n expenses. ~y ar-a cable state ~8 ~Y ~y s~~, ing athes ested.in my -r is (~ 007 1'~.? ~~ b~ L ~ N r ~ 3.. N o~ 111.L ~ ' ~ ~~ ~ '~ . ~ , _ 10/O1/2012 08:17 FAZ • ,, , authorized and directed to sFek reimbursement hom the beneficia~~ of my estabe of any taxes paid by my executor to the extent allowed by 1. ~btea to me ! ar nnade eath such If my acecutor cannot collect hom any person intereeted in e estate the amount of tax apportioned to that peraor~, the amount not recover ble will be equitably apportioned among the other persons interested in the e tate who are sub3ett to apportiona~nt If a person is chazged with or required ta pay tex in an emo t greater than his ar h~er pro~ated amount because another pereon does not y his or her prorated a~wurtt, the person charged with or required to pay the ter arnownt has a right of reimbuxsement againat the oth~er pe:son I r~ a~c ~t ~ ~,y ~s~y ~a ~ rr,~ w~~u ~ at the tia~e of my death, and evidence of such it~debb~s is pror ti e availnble to my eucecutar, that shaze of my estat~e that I give to any e beneficiary be reduced in value by an aawunt equal to the provan of such be~ciary urltss= (i)1 have sP~~Y P;'ovided in this V fc~bearance of such debt, or (ii) such benefiaary ie the sole P~F SP'ECIAL DIRECTIVES Notwithstanding anq othei provision of this Will, I tha~ 1 wish to t~e cr~a~a+Ra ar-a my ashes aistr~ibutea amongst my placed in ring~ or necklaces. I would like to add Lasa Love 7.~ e~nd Patricia A. Panisewi.cz and a~y relatives or &knds who ~ them to the list of thae receiving the asltes. I wrish for Patria Pa:wewicz to be inclnded as part of the faa«ily at the memo= I wish for anyon~e who wishes to gpeak to be able to do so at ~ Service. Meawrial Service with the ~ollowing songs: Valentir~e- Martina McBride For the P~irst Tiau-Krnny Loggins l #or the benef'iciarY• direct ~ 008 .tobe ieh to l~ave A 1 service. Memorial Papje 2 of my Last Will and TestAatin~t ~~' ('initi~il ; __ _ - - - -- -- - _ _ _ _ _ -~__ _ _ _ . __ __ ~ 10/O1/2012 08:17 FAI . . , _, • ~ e The PrayeY-Celine Dion and josh Grobar~- To whae you aze - Josh Groban Yf I had only knowri Reba McEntire Ave Maria- Cel~ine Dion Today is your Day-Shania Twain My animels Salrai and ~Zebo aze to be left in the care of my ~• Life ~nsurar-ce and Retizement monie6 to be distrubuted as list of b~aries through OPM. . SPECIFIC BEQUES?S I give to the persons na:ned below- the following specific owned by me at the titne of my death: 1. Tv my sister, Maxgaret R. Garczyneki, I give: My Hyundai Tiburvn. If said benebciary does not survive rne, this speciflc bequeat, added to the residue of my estate, and be clisbrlbuted to my r be~ciarks as set forth below. 2 To my sister, Mary ~- Hertzog, I give: My 2007 Chevrolet HHR and any pereonal itea~s inclu computers and game eystems. Uistribute aa you see f~t. If ~aid be~ueficiary does aot survive me, this spedfic bequest added to the residue of my estate, and be distributed to my ~ benefitcitaries ns set forth below. 3. To my motha~, Belty Garczynaki, I give: My computers and any personal items. If said beneficiary does not survive me, this specific bequest w distributed to: Mary E. Htrtzog. If eaid altenlate bene{iciary d~ survive me, this specific bequeat will lapse, be added to the ra estate, and be distri~uted to my remainder beneficiaries as set PaAe 3 of mp Last Will and Testames-t ``~~6' (,r+,r~An r~oo~ ; ~ - Mary forth on the if Yapse, be lapse, be be ~ not ue of my ~th below. ~_ i ii ~ . _ . _.._ . . .-_ ... 10/O1/2012 08:17 FAX . ~ f~ 010 ,~ . PRIMARY REMAINDER SENEFICIARIES I give tc the persons named below (my "Prima~ry Remait Beneficiaries"), all of the residue and remainder of my gross est perso:~al, wherever situated, aftez payment of all my just debts, and specific bequests, if any, in the percemtages set forth below. indicated in my Will, these shares shall be distributed outright s 1_ Names Betty Garczynski Relatton: Mother Percentage: 50% real arid ~enses, ta~ces less o~erwiae free of tru.st If such be~ne8ciary does not survive are, I direct that t] my estete allocated to said beneficiary be distributed i Jo~n 2 Namte: Marp fi. Hertzog Relation: Sietes Percentage_ 5096 1f such beneficiary daes not~survive me. Y direct that d my eatate allaated to said beneficipuy be distributed i Johrison. DISTRIBUTYON YF NO LMNG BENEFICIARIES If at er-y time before full distribution of my estate all of my be are deceased and this instrument directs no other ci~sposition of the ~ ~~ ~~, ~~y ~~~ ~u c~ ~ a~~~a ro ~y ~s c according to the laws of intestate succeesior~, unless speciScall~ disir elsewhere in this Will. share of Jada R. ~ shsre of : jada R the Pege 4 0~ my Lst 1N'ill aad Teetaa~emt .-~~ ~•~~•» ~ _ __. ____ , 10/O1/2012 08:18 FAZ • t ~oii I TESTAMENTARY TRUST ~llocation of ?rust Estate Notwithstas-diag any otha provision of thia Will to the ~an , I dirert that the share(s) of my estate allocated to the beneficieiry(ies) desi ted below be held ixt tn~st and administered and distribttted in accordance th the bera~s of this "Testamentery Trust" clauae as set forth below. l. That share of my estate given to jada R. Johnson w111 held in trust untll: jada R. Johnson is 18 years oid. Nomir~ation of ?rustee I nominate Mary E. Hertzog as tivstee of all ~ists created ~ this "Test~entary TrusY' clause, to hold, admir~ister, and diatribute trusta in accordsrue with the terms of the trusts ae set farth herein. If all irustees nomiiuted in this cl~use are wnable or un ' to serve or to continue to serve as tcustee, the majo~nity of bene~idaries of the created under the "Testamentary TrusY' clauae shsll nominste a successo~ tee, subject to the apprwal af a court af compebeat jurisdic~on If these iu~ciaries are uriable to nominate a successor trustee, a court af competent shaU appoint a successor trustee pursvant to a petition ~iled by the r' ' g tivstee or any ben~ficiary of a trust creeted under this "Teetamentaxy Trust" use. l~is~ibution Pro~visions T~~e ~ s1~all disttibu~e, in convenient ir-stallments to or the benefit af a trust ber~e~ciary, so much af the net ~uome and prltrcipal o# ba~fidar~s trust sha~re as the trustee deems necessary, in the trus 's discretio~, for the healt~, educatiost, maiatenance, and aupport of tivst 1~er-efi`c3ary. Educatior- ir-cludes, but is not lismtted to, college, grad te school, vocational studi~ea, ar~d reasonably related living and travel ex , In elccercising any power concemir-g disaretlonary payments ir~come or pri~ipai to ar for the bpne£it of th~e be~eficiary o# any trust w~der Will, the ~afiee shall co~isider other incosme or reaources of the benefic~iary to the trustee and the truste~ may rely on the writbrn statement of the about such other incomc or resources. Page 5 af my Laet wiU and ?estaa~ent ~6" r,.,;r;pn , --- --- _- -- ___ _- _ ___ __ _ ~ __ _ 10/O1/2012 08:18 FAZ • (' Any net income not distributed to the trust beneficiaries the principal of the applicable trust sltiare and reinvested for fu~ When a trust berueficiary is enHded to distribudon of the be be~ficiary's trust share ia ~ccordarice with the t~vst provisions se the ~ustee shall distribute to such trust beneficiary the rennaining ~aumulat~ net income of his t=ust share, less the bene#iciarY~s p~ unpaid trust admiiuietration expenses, If a trust b~enefiriazy survivea ~one but predeceases the comp diatribudon of his or her trus~, such h~ust wiU be tezminated forth~ remainirtg principal balance and any accumulated but undistribut wi11 be disbrlbubed to the deceased beneficiary's surviving heizs at . . .._ ,.__ . ._ . QI 012 Y • , be added to disticibution. uue of the forth above, rindpal and ~ rata share of h and the n~et incoaie N. ius of a ~ust nay bute the ~ce osf the I# a trnstee detertnines, iun tt-e trusbee's discretio~, tlut tlu cw share is o~ ' .. t value bo economically ed~unister, tltie ~ustee ternninate the trust itt accordazue writh applicable atate law aad dish accrued and undisizi`buted net i=-come and rema~tnit~g princ~ipal bala trust sh~ce to the ttust beneficiuy, outright and free of trus~. GENERAL TRUS? PROVISION3 Trustee Powei~ (a) Ger-eral Powers and Duties. Each trvsbee of a ixust tr~ this Will w~11 have all o~f t1u powers deemed necessary and appr°P admirdsber that tcust, in~cluding all pawers gras~ted under Pesu~sylv subject ta tlu truatiee's fidudasy duties to the benefi~ciaries and any limits set fo~th under Penr~sylvania law. (b) S~ific Powera. In furtherat~ce of subsection (a~ above, of the trustee include, but are not lia~.ited to, the powera to: ! wnder to law, ar powers 1. Collect, hold, rnaintain, manage, and administer'ithe assets of tht trust as if the trustee were the absolute owne} of i~ 2. S~ll, tcade, d~, encua~ber, mo:tgage, pledg~e, o'on, lease, lend, or improve the assets of the hus~ •-ff Page 6 of mq Laet Wi11 uu-~d Te~ne~nt `L s ~initiall __ _ _ _- --- _ I _ _ _ . . . .. __ _. . __ 10/01/2012 08:18 FAI , , . 3- Invest, reinves~, and make purchaaes with tt-e principal of the trust in every kiad of propert} iavestment; ' 4_ Borrow money from the trust for trust : 5_ Employ and pay reasonable fees to counse~, ~ financiel advisors, and any ot~tar professioxi 6 ~ necessary ar advisable £or the proper adanir 11118#: ~ 6. Enter ir~to contracts and otherwise execufie P ; on behalf of the trust; 7. Esteblish bat~k, brokerage, and other financial ~ twniitlancial accounts for and on behalf of the f execute any and all documenb on the trust's t ! relation thereto, including any resolutlons, cea + . ~er~Cates nquirea for ~suck- a«ounts; I 8. Distribube or divide the assets af the truet in a~ this Will (subject tc amy reatrictions or l~mits s~ Penr~sylvania law), and execute any docunnern j admin~ster any trust or subtrust crea~d by thi ~ 9. Contin.ue, operate, expand, manage,~and aell a ~ that is a trust asse#; 10. Commence, defend, arbitrate, and 9ettle legal ; aetiona concerniag the trust or the assets and ~ ' trust; i ~ 11. Exercise voting rights, give proxies, and entes agreeaiertb with respect to stock and otha bu ! ownership interests held by the trust; I ~ 12. . Prepare tax returns and take any necessary ar eciions with governmental ag~encies: and 13. Purchase and modify insurance. ~ . ._ _ _ _ _ . ._ .. ~ 019 li I profits and . , asset, a~nd ~ deemed retion of the i~nstruinents and or ;ordazuce with ~ forth.wnder r~eceseary to Will; , or v in the vatlng ~ Pwoo 7 nf rnv i.pnt Will atld Teet~mlrit ~ ($'I~ti81) _ _ --- - ___ _ _ _ _ ___ _ __ _ ; _. _ _ _ _ 10/O1/2012 08:18 FAZ ~y~megation of Trust Shares Not Regu',~.ed If more than one trust is created under tl~is Will, the trustee to physically segregate or divide the assets of the various tzuets, e~ physical segregation or division is required on the termination of P tzusts. Notwithstanding the forgoing, the txvstee shall mai~ntain se~ and records far each sepaxate trust. Bond Not ReQuired No trustee of eny trust ueated under this ins~wnn~nt is bond. t?istn'bution Autharity If the truabee is zequired by thia Widl to divide any ~uat P='ol parts or shares or otherwise, the truatee is authorized, in the trusta di9cretion. to mak,e that division and distribuiion in identical iriberi partly in kind or partly in money, pro rata or non pro iata_ For this truatee may eell such tsust property not speciHcally devised as the r~ecessary- not rec~uired pt iE -ofthe rate books to post a ~' ~~ sole i, ~Ii k1I1(~ 02 irpoee, the etee deems The trustee is entitled to annual reasonable compensation fo services rendaed in that capacity. ?ruatee fees will be prorated for anY P Yeus of service in emounts proportioriate with the period of sesvice dusin~ that year. No interest in the prlridpal or in~come of any trust created ex this instrument may be anticipated, assigned, encuumbered. or su ' to a creditor's claiane or legal process until it is actually received by the . This spendttuait prrn-ision constitute,s one of the material purposea the ~usts created hereunder. Pavments ~'o Minor Beneficiaries The trustee may make dietributions from a mirwr's trust e, up to the whole thereof, to tlu guardian of #u mir~or's peraon, a custodian tt~e minoz unda the applicable Transfers to Miaors Ac~, or Gifts to Minors or the trustiee a~ay apply dist~ributie~s directly far the minor's btne$t ~ 014 Page 8 of my t~wt w~u a~-ct red~,t ~~ ~inioal~ - _ __ _ _ ___-- __ __ _ ___ _ -~_ 10/O1/2012 08:18 FAI Qualified Subthapt~r S Trust Provision It is my intent that any trust created herein holding stock ir~ qualified subchapter S corporation, if any, for any beneficiary qualify as a q ..ed sulxhapter S trust ("QSST"). A QSST will have at least one bea ' and the income of that trust will be distributed at least annually. If a trust ' comprised of shares in a"small business corparation." es defir-ed in Section 1361 of tt-e Code or any successor thereto, the trusbee may aegregate said trust pro into`a aepazate trust and„ ns tr~s~e, may modify the terms of said ~ust (if necessary) so that said h~ust will be a QSST as defined in the Code or aay succ r thereto. xhe trustee ahall make any such xnodificatioa by a written d t signed by the irusfiee and delivered to the beneficiary of said trust or fio the diar- of ar~y ~or bene~ry oz conservator of any ir~co~npetemt beneficiary, terms of the so-called Q56T w~l continue for so long as necessary as long as election unde~r Section 1362 of the Code or any suae,~sor tharet~, ia in effect. When the trust properly is no longer comprised of small business corporation stock or a Sectlor-1362 electirnn has ~tot been made, the apeci$1 Q6ST will te and the truet property will be held iri accorda:tce with the terms of the orI tan~st. ElCLCUTOR NOMIIITATION I no~minate my siste=. Mary E. Hertzog, to be the executor of If, for any reason, my first nomirue executor is ~uuble or un~ serve ar to continue to serve as executor of this Will, I nomiaate my Setty Garczynski, to be tlu exccutor of thjs Will. Tf none af the nominated executors aze able and willing bo cantinue to serve, and the vaca~ncy is not filled as set forth abave, estate be~i~inries shall nominate a successor executor. If the ma beneficiaries are unable to nominate a sucteasor acecutoi, the vac filled pursuant to a petition filed in a court of competent jurisditt resigning executor or any person interested in the estate. Will. to ve pr : majority of it~- of estafie .y will be bY the I~ 01 d Paqe 9 of my Last Will and Teetam~ent ~'~ (irutisl) ~', ~ . _ _ _ _ _ . _, 10/Ol/2012 08:18 FA7I , . . _ . • . . 1bIISCELLANEOUS EXECUTOR PBOVISIONS The term "executor" includes any executrix, personal repr tative, or admin~istrator, if those terms are used iri the statutes of any state t has jurisdiction over aU or a~ty portion of my estate. My executor will have broa~d and reasonable diacretion in adminiatratioa of aiy estate to exercise all of the powers permitted to be exercised by an executor under state law, including the power to estate assets with or without notice, at either public or private sale, and to do ~ything he or she deems advisable and 'un the beat iaterest of my estate and du thereo~ a11 without the necessity of court approval or supervision. direct ttwt my executor perform all acts and exercise all such rights and pri " ges, al#ltough not specifically rinentioned in this Will, with relation to ar~y such operty, ae if the abaolute ownc:r thereof and, in connection therewith, to make, ecute, and deliver ar~y iratrualents, and to enber izrto any cove~ants or agr ta bindix~g my estate ar any pcrrtion thereof. If there are two caexecutors serving, they sha11 att by agreement If there aze moie than two co-exaufioxs serving, they act in accordance with the decision made by the majority of co-acecutoo~s Subject to specific provisions to the contrary, I auttwrize my executar to diatrlbute a share of my estate given to a minor beiteficiary, up eo whole thereof, to a custodian under the applicable Transfez~ ~o Mina~s or Gifts to Minore Ac#, if in the executor's discretion, it is in the best intereste the ba~eficiary. The e~cecutor may also make diatributiona to ~ mizw~ making distributioris to the ~usbee of a brust aeated under this Will for a' r 1~efdary, the guardian of the minor's perso~, or the gunrdian of minor's estate. No peraon r~am~ed as an executvr is required to post amy I authorite my executor to make the following chou~ or in my executor's absolute discretion, regardless of the resulting effect on y other praviaions of this Will or on any person interested in my estabe or ' the aa-our~t of any of the taxes referred to: (a) choose a valuaHon date for esi~te or inheritance tax purposes os choox the methods to pay eetate or inheritance tax :(b) elect to treat or use an item, for either federal or stafie tax purpoees, as ei an income tax deduction or as a deduction for estate ar inheritana tax ;(c) dehermine when a particular item is to be trented as taken into inc or used as a tax deduciion, to the extent the law provides that thoiet; ard {d) rim all or (~l O18 Paon 1A e,f mv T.est Witt and Tesffianent ~~r (~~~ j 10/O1/2012 08:19 FAZ any portion of any interest in propexty passing to my estate at or ~ eve~ ehough any of these actions may subject my estate to additio liabilities:lVo peraon adversely aEfected by my executor's exerrise wnder this clause is entitled to any reimburs~n~ex~t or adjustment, executor is not required to make ar-y adjuatment between income or in the a~anour-t of any property paseing ux~dex tlvs Will as a resu election under this provision. er my death, a~ E discretion ~d my id principal of aay. I authorize my executor, without obtaining court appraval, to employ professional investrnent courisd on such terms as my executor co 'ders proper, arid te pay the fees of iavestment counsel as an expense of a'' tratiart of my estate. However, my executo~r is wnda no obligation to employ an inveatmeat counsel. I authorize my executor either to continue the operatioal of y business belonging to my estate for such time aad in such max~ner es my ex tar may consider ad,vi~able and in the best interest of my estabe, or to sell liquidate the business at such time ar~d on such terms as ~eny executo~r may cons er advisable and in the best interest of my eatate. Any such good faith operatio sale, or liquidation by aiy executor w~ill be at the rlslc of my estafie and wI t liability on the part of my executor far any losses tl~at may result. SIMULTANEOUS DEATH If it cannot,be established if a ben~eficiary of my estafie survi ed me, the provisions of the applicable Uniform Sdmultaneous D~th Act, as ed, or any aubstantially similaz successor act effective on the date of my eath, will apply. NONLIABII,ITY OF FIDUCIAAIES ~y ~au«~y, ~,aua~~y ~~tor ~-a ~y e~~, Who ~ g~at~~n endeavors fio carry out the provisions of this Will, will not be 1iab1 to me, my estate, aty heirs, or my beneficiaries #or aay damages or claims ' ' because of hheir actions ar inaction, or the actions of any predeceasor fidu ' actitig pursuamt to thie will My estate wlll indeau~ify and hold them ess. ~ I~ 017 pe.,,o ~ ~„E ..... t..: w:ll ..,A TmMw~awl ~~ is.,sK.» . r._ _.__T .. _ .. . .. . 10/O1/2012 08:19 FAZ SAVINGS CLAUSB If a court of competent jurisdiction at any time irnalidates o finds unenforceable any provision of this Will, such invalidation will n invalidate the whole of this Will. All of the remaining provisions will be d as tp their ~ legal force a~ncl effec~ If a court finds that an invalidated or unenf ble prov~sion would become va~id if it were limited, then such provisi n will be deemed to be written, deemed, conatrued, and rnforced as so limi d. Pae~ 17 nf mv T ant Wifl ~nd Tea~1t ~ (3nitid) _ _ - - --- - - I _ __ _ _ . 10/01/2012 08:19 FAa , ~019 ~ , _ , . . , •• . ' IN WI?NESS WHER~OF, I, the undersigned testator, decl e that I sign and txecute this instrument on the date written below as my last 'll asud testament and furth~er declare that I sign it willingly, that I execute it as my free and voluntary act for the purposes expreased in tt~is documec-t, an that I ann eighbeen yeara of age or older, of sound mind and memory, and er no constrnint or undue influence. ~ of iu Dabe: ~ ~ ! ~ ; ~ D.ns 1'~ nF ~r,v t aM~ Will alld 7EStAanent "v rllliElal) ~ .. . . .. .. . . 10/01/2012 08:18 FAZ . '. . , A7TE8' 7his last will and testasnent, ~whic Garczy~nski, the b~tator, was on the date the above ~ testator as his or her la each of us. We, in the presence of the tes reques~ under penal~Y ~ 1~~1~3''~ hereb; declaratiot~ and execution of the last will declare that, to the best of our knowledg older, of eound mind and memory and ti ~ '~L ,~ ~ (9i~nsture of - ) ~. ia a .~~ ~ ^ (Signature oE wi~) Date: ~ a~ a"°~ ~ ~ ~ ~ Pa¢e 14 of mv Laet Will and Testam~ent,! ~ _ ~ 020 'ATTON h has been separately si by julia indicated below aigned declared at wiU and testaauent in preser~ce c ~-tor and each otha, at testator's r subscribe our names as 'tneases to axtd testa~anent by the tea tor, and we e, said testabvr is eighteta ears af age ,IK~E! ri0 COI18tr8111t Ol' 131'ld ll~tl@IUCE """~~~ ~ (Ft3rt Name) / ~DI ~~ ~ (Addre~s) S?'EE~~ . ~7~~3 (~h-, sec~. z~ l~J~l.l~+~i~'1 '~ ~ J ~S~i (Prir~t IJame) ~o Z~ l~ i G1{ L.A ~-~ (AddrB~) ~~. ~ ~s'J ~. \"'~ ~ ~ 3 c~'~ sr.c~. ~ f~~) ~ __ _____ i bY f the or /,~s~G'~~'% ~ ' t~~ ~ 10/O1/2012 08:18 F/la , ~ ._ SELF-PAOVING AFFID~IVTT Acknowledgm~ent Comawnw~patb of Penneylvariia Courty of @.vM ~661e l. rk u p ~,1~ ~czyx~slci, the teitatrn whose naau is aigned ov the ~ttachad or fore havi~-g been duly qaalified sccv~ding to law, do l~eby aclQwwladEe that I; dee 6~ehimna-t ss my Laat Wi11; u~d that I eigned it wiltingly ~nd aa my hee tht purpoees @-e~n+ expreeted. Sworn to o: JBrnted and acknowledged bafore n~e by Julia Garczyrnki, the dsy af ~C,~ ~.~ 20 ~ I e of Jutia M _ Signat~ue af N6tary Public ~ ~red~en~ ~ ~ ~ FNMIiOfY 1$ 8014 A~C~71V3t Comuwnwe~ith of Panrsylvania Counly oE (~ M 3G R U~.N D we~' a.~ ~,'ttsa~r~c K~N ~~" r~.~: ~~; ~~ tbe.rt~ ramas ue a9g~-ed t~ amched ot fore8~~8 ~~~ ~+8 a~!' 9u~~d do depose and say that we were pteaen! and saw the bertafi~ Hgn and ezecute ~ d~e testa~or's Lst Wi11,; that t~e t~sb~b= signed wlllingl~- ard Gcecnted it ar tk+e ~ voluntary act for ti~e purpo~a thacin expresaed: t~at e~ch subea~lb~ng witiws and sight of the Eestatar agred the •~ill ~s ~ witness; and tl~at to ti~e bat of our teatator wse at tiut tia~e 18 or more yepra of wga, of eou~d mi~d and nnder no c undue influ~nca Swom to or effisa~ed and subeaibed bo before me by `~sA•J ~tz/..LSK~ ~ : - Q` . . ~}~ day of . 20~_. ` ~ ~ ~ ~ Signwture W' ture of Witr~eas . ~ NaTA1NAl8l~I~ Sigs~aeura of 2 otuy Pablic Newy aueuc Gmp~tWi e~ioro,~Cirn~,~p ~~) ~M!-Go~nle~inn~~y~~yp~p~ p.t~'Ots . ; ~nstruatmit d u~d execubed rolnrtlary att fpr t1~ia ~~ ~es wlwea xordit-g bo ]aw, s iaetiument ae ~pi~os's hsa Rnd ~ the he~ru+g ~owledgc the ietr~inc or (~ 021 / .~ ~ 10/01/2012 08:17 FAa . , J~ • ~i ~ • _ , sTa~' og n~rrEx~~rr, CREMATION, ~a . I,1uli~ GarczYnski, tite underaigned, hevin8 P~r ~~ted Lat will ar-d teAtea+ent on the dabe hereof, hereby state that in addidan to the ' nnd bequests set ford~ in said last will and testaaanent, it is my deeire tlieit my ranains treAted in the a~aru~ deeaibed below. „ iuip furd~er wishes and di=ectives are as follows: I wish to be ted and my ashes dis~ibuted amongst my family, to be placed in rings or aces. I would like to add Lisa Love Z~immeranan and Patricia A. Panisewicz and y relatives or friende who w-ieh to have them to the list of those rectiving the s. I wi~h f~r Patxicia A Panisewicz to be included as part of the family at the me~norial s~vice. I wish for anyone who w^ishes to speak to be able to do so at the 'al Service. Memorial Service with the following so:tgs: Valentine- Martina McBride For the Pirst 7ime-Kenny Loggins '~'he prayer.Celine Dion and josh Groban To where you are - Josh Groban If 1 had only known Reba M~tire Ave Maria- Celine Dion. Today is your Day-Shaiva Twain oZ ~, 3- ~OI ~ ~~r~' ~ ~r Dat¢d' ~ ~ ture of lulia Gatc ~ 004 10/Ol/2012 08:17 FlII . , . ;»~ r.. WITNESS A1T~STATION CLAUSE ~ 006 This siaten~itt of intermen#, crmutiaz~. and wishes, wh~Ch has ~ aepantely signed tq Julia Garczy~nsid was sig~r~ed, acecuted an~d declared in the of eath of us. We, in the ~~nce of +~ia Garczyrski and e~ch ather. under penal of perjury. hereby subernlx our s wi to the declaration u~d executi of the , of in tI wishee by julia Garayr~sld and e declere-tha~, t~ beat oE our , J yneki is eighteen years o£ age older, of eoui-d er alnt or wndue irflutnce. 1. ~ 11..~11Al~ •~ N S (~,a"L~ . of w~31:-esa) (Prjnt Na.n~) .L~. /~ /aa /a~ ~ i ~ Z l ~-( b tf L!~ s~- (Addtees) ~~.-i-~o~ .`~ • 1 ~ l 3 (Sd~.e~re o/witr~es) Uv Dabe: ~ ~'O/ l ~ ~~~. ~.K, ~.,r~ . • (Prjne Naen~) ~~ r (~~) ~7~~L-~a ~ ~a~, se.~, zu~ i3 I I • ~ \ • • • _ .. ' .. ~ . . .~ . .. I ~ 1 , tl ~ n " EXHIBIT ••B•• ~ A ~ I 1 ~ . JUUA A GAR) Balances. Account Activity Date Descri{~ion 12-12 Beginning Balance Addkions `# 1711073083 ; , , ~ Bala~s 5249.38 ~-; ~.~~. •. ~ 01 9 Endfnp Balancs ~ 24 67 . IN CASE OF ERRORS OR QUESTIONS ABOUT YOUR ELECTRONIC TRA ISFERS ~ CALL YOUR CUSTOMER SERVICE CENTER AT THE AIUMBER SHOWN ON THE TOP OF YOUR STATEMENT OR WRITE TO THE BANK ~ FOR DEBIT CARD ISSUES: FOR ALL OTHER ELECTRONIC Sovereign Bank SFER (SSUES: Sovueigq B~nk Atln: Card Dp'pu~ Tpm Ann: CI'~t RehC MAi' MB3 02 D 5 10-421~R1 P.O. Box $31002 P.O. BOX 12646 Boston MA 02283-1002 READING. PA I 12-2646 Plnx conUct us if yau diiak ieformation about an ekctronic hanafcx on your sutcuent ar raxipt u wrong a if yoo need add' ' an eketranic transfex on the shtemart or teceipt. We muat heu fiom you no Wv t6u~ 60 d~ys afla we sent you fhe FIRST sh inforrtntion ~bout t oo wAich fhe ertor apppred. •~Tell us yav n~me and kcount number. • Describe the ekctranic tre~fa ertor or fhe electronic dansfer Wat • Tell w the doller smoYnt of the suspe~d ertor. liin u clarly u~ou can why you believe tl~ae is an aror or ue urnure about and y yw nad fiMher ~ If yau tell us qally> we mey reyutte yau to aaM yaur complaint or quaition in wriling wRhin 10 M~sinass days. We will promptly invati~e the m~tter and qll or write to yai with en uuwer wiMin 10 business d~ys. lf we ued more time, days to invesUgs~ your compl~int ~ question. lf we do, vre wili crodityour account within this lOdav period for Ihe amoum ou will Mve ihe uae f tl d i rtny tdro ~p M 45 think a in mor, so y o rc ur ng the -ime it Wcw us to campinoe our investigetion. If vre ask you to put your compl~unt rnd we do not Rceive it within 10 siness days, we mry chobae ~at to credit your axount. queation in wn'ting ~ Por errors inwlving new accounts~ point ois~lepurt~asa ar faeign tnnaeclions, we may Iake up b 90 days ro~veuigate your M question. Far new accounb, we may hke up ro ZO businos d~ys M cadh your axount for the emo~mt yau think is in aiw. Pyint or We will tdl you tl~e results of our invpdgetion within 3 business days after compkting aur invest' tkn. If we decide tliere was ' send you s written acplanatian. You may ask fa copies of thc documents we used in our investi~ion. errar, we vn~l " IN CASE OF ERRORS OR QUESTIONS ABOUT OTI-tER TRANSACTIONS ON YOU STpTEMENT " You must contac[ us witKin thirly (30) days ~Rer yuu tr~ceive your statanent ifyou tl~ink a transaction, ofher t~n an alochnnic f~ slwwn pi your shtement is wrong pr if you nxd mrne tnformstion about tl~e trany~ction. , . Yoo ~ruy contacty r nesrest branch or our Customer Contact Center d 877SOV-BANK. Customers with visusl impeirmen~ 800-428-9121 (7'fY/1'DD) W ill i i y call . e w nvest g~te yav dispute u~d. tell you the resuNa of tlut invesNgpion. ' .. .: a . ~~~, ~'~ ~ ~~~~. I . i . . . - ~~ . ' ~ _ . ~ . . . '. - , - '• i . i. . . . ..._. .. -~-e- ,. - _ ..~ ~-. ..... { ~ .~... ._....~ +. ~- -•-- ._ _ .. . ..._ .. . ..- - , . . .. . . ~ ~. .. I .. ~ .. . . ~.-_. .__ _.;.._. _ .__ ~ _ ~ ~ ~ . • w i ~ ~ ' ~ ~ , ~ ~ ~ ~ . ~ . . ~ . .« . ~~ C~tIZeMS B817IC CL031NG DEBIT - CHECKING ' ; G7 . " de ' ~' BankBranch ~ a+ / ~ v ~ Amaurrt Debitsd $ 5 ~ " . y ,73 \~ FOf: Gle o, ~c,./ s amount has been charged to your account. Please adJust your record~O~O ~ O.V~JUIZ ll;23 ~~~~ ~) . . ~ ~ ` ~ WTH : ~ 4 T4PE ,,~~~ ~ ~ ~~ ~~~I~~ A . ~~~~. ~~~' ~~ ~ ~ ~ ~ ~ 6 z2 s7~ 67~ ~y ~~~ ~~~ ~~d~ ~~~ w.~~~ c~.,l;s ~} J~rSr'~_ ~ ~~~ , ~ ~ .. ~ ~ , - ~ , ° , , _ , EXHIBIT "D" ~ ~ ~ e , e ~ ~ . 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