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Home My WebLink About07-11-13 (2) _ __ _ _ *r� . f . � 1505610143 REV-1500 �``02-1' � OFFICIAL USE ONLY PA Department of Revenue pennsylvania co�nri code veer File Number Bureau of Individual Taxes �P�TMENTOFREVEMIE Po sox.28oso� INHERITANCE TAX RETURN 21 13 0272 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT fNFORMATION BELOW Social Security Number Date of Death Date of Birth Ol 03 2013 Ol 26 1933 j DecedenYs Last Name Suffix DecedenYs First Name MI ; �Y SARAH A � I � (If Applicable)E�ter Surviving Spouse's Information Below i 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 !�!/lLL� , FILL IN APPROPRIATE OVALS BELOW � 1. Original Return � 2. Supplemental Return � 3. Remainder Return(Date of Death � Priorto 12-13-82) � 4. Limited Estate � 4a.Future Interest Compromise � 5. Federal Estate Tax Return Required � (date of death after 12-12-82) I � g Decedent oied Testate � � pecedept Main��ned�a Living Trust � 8. Total Number of Safe De osit Boxes � (Attech Copy of Will) (Attach Gopy rust P 9. Litigatio�Proceeds Received �p.S ousai Pove Cred t(Date of Death ��,Election to tax under Sec.9113(A) I ❑ ❑ b�lween 12-31�1 an�t-1-95) � (Atf2ch SChedule 0) � CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTE Q: Name Daytime Telephone Number MARR A MATEYA 717 241 6500 -� � c� _ _� � REGIST�t�WILLS�E OI�Jf�. I i ►'r� �. �_". r-__ ' i First Line of Address � � �,, � 55 W CHURCH AVENUE =�'- �` ; I �.; ,� �n � °�' I Second Line of Address :'� _ : y ; . . - I _ �-, __- i -�DATE FILE .,. �-, ;,;-,, City or Post O�ce State ZIP Code � -,� CARLISLE PA 17013 p mam@mateyalaw.com ! Corres ondenYs e-mail address: Under penalties of perjury,I declare that 1 have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief it is true,correct a d complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATURE OF RSON RESPONSIBLE F FILING R N DATE Harold W Fry � ADD S � 219 Y rk Road C rlisle 17013 � SIGNATU E OF P EPARER HER THAN REPRESENTATIVE DATE Ma�k A. Mateya � ADDRESS I 55 W. Church Avenue, Carlisle, PA Side 1 i L 1505610143 1505610143 i � �: _ _ _ _ _ ��'�"��/ _ __ _ __ j_, _ _ _ _ _ _ __ _ ■n�r , , � 15�5610243 REV-1500 EX RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. '; 2. Stocks and Bonds(Schedule B)............................................................................. 2. i 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. I 4. Mortgages 8�Notes Receivable(Schedule D)........................................................ 4. � 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 7 ,374 . 8 9 � 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. ! 7. Inter-Vivos Transfers&Miscellaneous t�q Probate Property (Schedule G) U Separate Bifling Requested............ 7. 8. Total Gross Assets(total Lines 1 through 7)........................................................ g. 7 ,374 . 89 ' i 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 6, 913 . 3 9 � 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. � 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 6, 913 . 3 9 '' � 12. Net Value of Estate(Line 8 minus Line 11)............................. ........................... �2. 4 G1 . 5� ' ! 13. Charitable and Governmental BequestslSec 9113 Trusts for which � an election to tax has not been made(Schedule J)............................................... 13. i ' i 14. Net Value Subjectto Tax(Line 12 minus Line 13)............................................... �4. 4E1 . 5� ' � TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or ' transfers under Sec.9116 4 61 . 5 0 15. � . 0� ' (a)(1.2)X.00 ' i 16. Amount of Line 14 taxable , i at lineal rate X .045 � . 0 0 16. � . 0� 17. Amount of Line 14 taxable I � at sibling rate X.12 0 . �0 17. � . 0� 18. Amount of Line 14 taxable at collateral rate X.15 0 . 0 0 18. 0 . 0 0 19. TAX DUE................................................................................................................ 19. O . O O ' i 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � � Ii i , i Side 2 � �II 1505610243 1505610243 _�A� _ REV-1500 EX Page 3 File Number 21-13-0272 Decedent's Complete Address: DECEDENT'S NAME Fry,Sarah Arlene STREET ADDRESS 219 York Road !� C�N STATE ZIP Carlisle PA 17013 i Tax Payments and Credits: � 1. Tax Due(Page 2,Line 19) (1) O.Q 2. Credits/Payments A. Prior Payments , ( B. Discount 0.00 Total Credits(A +B) (2) O.Q�! I 3. Interest �3� i i 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. �4� Check box 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. (5) _ Q.� ' I � ' , i i Make Check Pa able 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:............................................................................... � � b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ 0 ; c. retain a reversionary interest;or............................................................................................................... � � � d. receive the promise for life of either payments,benefits or care?............................................................ ❑ Lx�j 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without [] � receiving adequate consideration?.................................................................................................................... x ' 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ Ox , ; 4. Did decedent own an individual retirement account,annuity,or other non-probate property which ' contains a beneficiary designation?.................................................................................................................. ❑ ❑X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETU 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 survivin spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after January 1, 1995,the tau rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percentl [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 child 21 years of age or younger at death to or for the use of a natural parent,� 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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in � [72 P.S.§9116(a)(1)]. ; . The tax rate imposed on the net value of transfers to or for the use of the decedenPs siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A � sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. _ _ - -_ - �1_., _ . _ _ . �A"� Rev-1508 EX+(��_�0) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, � MISC. DEPARTMENT OF REVENUE INHERITANCETAXRETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER F , Sarah Arlene 21-13-0272 Include the proceeds of litigation and the date the proceeds were received by the estate. All properly jointlyowned with the right of aurvivorship muat be discloaed on schedule F. I ( ITEM VALUE AT DAT NUMBER DESCRIPTION OF DEATH I 1 Citizens Bank-Checking Account No. 6100735613 7,374.� I I I ' I ( I i I i I i � , i i , I i I i � I i i I I TOTAL(Also enter on Line 5, Recapitulation) 7,374.8� (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-1()j _ _ - - - - � _ _ _ _ _ �R�r - REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENTOFREVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Fry,Sarah Arlene 21-13-0272 � Decedent's debts must be reported on Schedule L , ITEM DESCRIPTION AMOUNT N MBE q. FUNERAL EXPENSES: ( See continuation schedule(s)attached 5,650.� i B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Add ress City State Zio � Year(s)Commission Paid 2. Attornev's Fees Mark A. Mateya 725.0 3. Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation) Claimant Street Address City State Zio Relationshio of Claimant to Decedent 4. Probate Fees 358.5� I 5. AccountanYs Fees � 6. Tax Return PreparePs Fees 7. OtherAdministrative Costs 179.2'� See continuation schedule(s)attached TOTAL(Also enter on line 9, Recapitulation) 6,913.3 Copyright(c)2009 form software only The lackner Group,Inc. Form PA-1500 Schedule H(Rev. 10-0l3�? _ _ _ _ �s_� �m�1 , , � , SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER F , Sarah Arlene 21-13-0272 " I i ITEM NUMBER DESCRIPTION AMOUNT I Funeral Exnenses 1 Hoffman Roth Funeral Home-Funeral Services 5,650.�4 ( H-A 5,650. 4 Other Administrative Gost� � 2 Citizens Bank-Checkbook Fee 24�2�5 � 3 Cumberland County Register of Wills-Filing Fee for Inh.Tax Return�Inventory 30.�b i 4 Cumberland Law Journal-Legal Adve�tisement 75.ab 5 The Guide-Legal Advertisement � 5o.�p H-B7 179.�� i i I '' � I � ; � ; ; I I i I I ( Copyright(c)2002 form software only The Lackner Group, Ina Form PA-1500 Schedule H(Rev.6-99) _ . _ ,�_., _ . _ _ a�^� REV-7513 EX+(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER F , Sarah Arlene 21-13-0272 RELATIONSHIP TO NAME AND ADDRESS OF SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S)RECEIVING PROPERTY DECEDENT �Words) ($$$) � I� TAXABLE DISTRIBUTIONS [include outright spousal distributions,and transfers under Sec.9116 a 1.2 Harold Wayne Fry Spouse 461.50 '' ! 219 York Road Carlisle, PA 17013 �� ; i i i i i � i � ' i Total 461.50 ', ( Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. � NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN i � � � B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS i I i � � ; � i � i � I i TOTAL OF PART 11-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET f Copynght(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-1b� - _ _ _ _ _ ,�_ _ _ _ _ _"r� _ �. , . ; , ; ' l _ _ _ _ _ _ , :"_ .. _._u�;..-� ��Cfl'�'�� , i/ , ,.,:..�_. ....,-.-.._ . Mf, �� .�" �S �,,.�,,..�� .-R. /��°' . _ . � 5�� !J- A* { 4 REG153E� 4� ;�E;;��S _. � _. 1��3 �fl� 7 �� 1� t�� LAST WILL AND TESTAMENT eLERK 0�= oF ORPHQf�S' CO!1RT _� CUMBERt,AND Ct�., p,� SARAH ARI,ENE FRY i � I, SARAH ARLENE FRY, Social Security Number of the ; State of Pennsylvania, declare that this is my LAST WILL AND TESTAMENT' � � and I revoke all other wills and codicils previously made by me. ' FIRST: I appoint my Husband, HAROLD WAYNE FRY, as my Personal � Representative concerning this Will. If he is unable or fails to � serve, I then appoint my son, ANDREW EUGENE FRY to serve as my Persona�.� Representative. ( a. I request that my Personal Representative be permitted to� serve without bond or surety thereon and without the intervention of any court, except as required by law. I direct that my. Personal i Representative act in unsupervised administration so as to administer i. my estate with a minimum of cnurt supervision. If it becomes necessar� to have ancillary administration of my estate in any jurisdiction wher� my Personal Representative is unable or does not desire to qualify as ancillary legal representative, I appoint as such ancillary legal ' � representative such individual or corporation as my Personal Representative shall designate, in writing. b. I direct my Personal Representative to pay the expenses of my last illness, the expenses of a funeral appropriate to my statio�� in life and custom of living (including a suitable monument or marker for my grave) , and written charitable pledges which I have made. I � grant my Personal Representative the power to extend� or renew any debt i for such time as my Personal Representative shall deem appropriate. c. All estate, �.nheritance, succession and other death taxes! � with respect to all, property passing under this my Will shal.l be paid ; from and borne by the principal of my residuary estate, without regard . i to reimbursement, as if such taxes were administration expenses. My i Personal Representative may pay such taxes at any time deemed advisable, whether or not then due and payable. d. My Personal Representative is. requested to settle my estate as soon after my death as may be practicable, and to pay or deliver every legacy or bequest to my beneficiaries without waiting any ' time that may be believed to be customary in probate matters. � i � ; PAGE 1 � OF 5 PAGES �--- �� -��- _ _ _ __ - - _ _ _ _ _ _ _ _ _ . *p�r ,��.. , _..�.. � e. I may leave a letter of intent with the executed copy of this Will for the purpose of giving guidance to my Personal Representative concerning the distribution or sale of certain items of � my property. I request, but do not require, that my Personal � Representative honor my wishes therein expressed. ; , � 5ECOND: T give, devise and bequeath, absolutely and forever, all ! of my estate and property of which I may be seized or possessed, or to which I may be entitled, at t�he time of my death, wherever situated or j of whatever nature, be it real, personal, or mixed, to my Husband, � HAROLD WAYNE FRY, as his sole and absolute property if he shall survive� me. ; THIRD: In the event that my Husband, HAROLD WAYNE FRY shall not j survive me, T hereby make the following specific bequests: ' i a. To my grandchildren, KELLY LEE FRY, BRANDON LEE FRY, j HENJAMIN TRAVIS FRY and RARA ROSE RICHARDS and to any grandchild born � after the execution of this will, I giye FIVE THOUSAND DOLLARS ' {$5,000.00) cash. i b. To my son, ANDREW EUGENE FRY, I give my guns and gun i cabinet. � i c. To my daughter, KAREN DEE BARHAM, I give my antique bedroom suit. ; d. To my daughter, JUDITH LYNN RICHARDS, I give my jewelry and armoire. ; i FOURTH: In the event that my Husband, HAROLD WAYNE FRY shall not ' survive me, I give, devise and bequeath, absolutely and forever, all of ' i the rest, residue and remainder of my estate and property of which I ; may be seized or possessed, or to which I may be entitled, at the time � of my death, wherever situated or of whatever nature, be it real, I personal, or mixed, to my children, DANNY LEE FRY, ANDREW EUGENE FRY, j KAREN DEE BARHAM, and JUDITH I,YNN RICHARDS, in shares of substantially ; equal value to be divided as they may agree. � a. If any of my ch'ildren shall not survive me, then the i share of that deceased chil.d shall go to the descendants of that child, � who are to take per stirpes and not per capita. If any of my children shall not survive me and shall not be survived by any descendants, then ' i the share of that deceased child shall be distributed to my surviving ; children and the descendants of any of my other children who fail to I surv.ive me, in the manner set forth above. ! � I � ' ' `� PAGE 2 � �� OF 5 PAGES � �� _y�� _ _ _ - - - — -- � _ _ _ _ _ _ � �- . _ _ _ _ _ _ .__ _ _ _ _ �A�r _ _ b. If they are unable to agree, the division among my children and the descendants of any of my children who fail to survive me shall be made by my Personal Representative, in that person's sole and absolute discretion. I empower my Personal Representative to selll any or all of such property, if such property is not distributed in kind hereunder, and to distribute the proceeds among my said children �, I in substantially equai shares. Any determination of my I Personal Representative as to what should pass or be sold under this ' paragraph and to whom it should pass or be delivered or at what �price ' it should be sold shall be conclusive. i FIFTH: If any beneficiary to any share of my estate which is not 'il subject to the provisions of any truat which may be created by this will is at the time of distribution of his or her share, a minor underl the laws of his or her domicile, I direct that the minor's share be ' I converted into qualifying property and delivered to the minor's � Guardian as Custodian for the minor under the Uniform Gifts to Minors ' Act or the Uniform Transfers to Minors Act as may then be in effect ini either the state in which the beneficiary or the Custodian resides, or ' ' any other state of competent jurisdiction: a. The Uniform Gifts to Minors Act or The Uniform Transfers '�, � to Minors Act, as may then be in effect in the state concerned, is ' I hereby incorporated by reference. The property affected by the Act ' shall be managed, held, and distributed in accordance with the I provisions of the Act. � i b. The financial custodian will serve without bond or surety� and with�out intervention of any court, except as required by law. ; i c. The receipt by the Custodian, for the minor, of any ! principal or income transferred pursuant to this paragraph shall be a i full acquittance and discharge of my Personal Representative or Trustee, a� applicable, from liability with respect to such transfer j and from further accountability far the principal or income so I transferred. i SIXTH: i Except as otherwise provided in this Will, I have ; intentionally failed to provide for any other relati.ves or other persons, whether claiming to be an heir of mine or not. Insofar as I i have failed to prouide in this Will for any of my issue now living or i later born or adopted, such failure is intentional and not occasioned � by accident or mistake. , � SEVENTH: Any beneficiary who fails to survive until one hundred twenty ( 120) hours after my death shall be deemed to have predeceased � me, and the gift to that beneficiary shall be disposed of accordingly. { �g� � � .� x; �� •�� _� �� '� - � PAGE 3 � s�„ ��r OF 5 PAGES �� fl �'� -�,i�,� � _. . .� k , �f. .� � ..,_„ .' _ _ i _ __ __ __ __ _ _ _ __ _ ___ ___ _ _ __ �� EIGHTH: Definitions: a. The term "children" as used in this Will inciudes adopte� and afterborn persons. The term "children" as used in this Will shall'', ; not include step-children, the natural born or adopted children of a person's spouse who are not the natural born or adopted children of th� person. A relationship by or through legal adoption shall be treated ' the same as a relationship by or through blood for purpose of successi.on to property under this Will. b. The term "descendants" as used in this Will means the immediate and remote lawful, lineal descendants by blood or adoption o�j the person referred to who are in being at the time they must be ascertained in order to give effect to the reference to them. c. The term "Personal Representative" as used in this Will ' '' means Executor, Executr�.x, Independent Executor, or any other title of ', ; like import which is used to describe such a fiduciary. d. The term "per stirpes" as used in this Will means that ' whenever a distribution is to be made to the descendants of any person,'Ii the property to be distributed shall be divided into as many shares asli there are (1) living children of the person, and (2) deceased children,ii who left descendants who are then living, of the person. Each living child (if any) shall take one share and the share of each deaeased child shall be divided among his then living descendants in the same manner. NINTA: In addition to any powers granted by the laws of the state in which this Will is probated, I hereby authorize and empower the ' fiduciaries named in this Will, to the extent of the discretion herein granted, to se11, exchange, convey, transfer, assign, mortgage, pledge, ; lease or rent the whole or any part of my real or personal estate, to invest, reinvest, or retain investments of my estate, to perform all acts and to execute all documents which my fiduciaries may deem necessary or proper in regard to my property. If any of my fiduciaries �� elect to receive compensation for services, such compensation will be that allowed by law. TENTH: If any part of this Will shall be invalid, illegal, or inoperative for any reason, it is my intention that the remaining parts, so far as possible and reasonable, shall be effective and fully ', operative. My Personal Representative may seek and obtain court instructions for the purpose of carrying out as nearly as may be possible the intention of this Will as shown by the terms hereof, � including any terms held invalid, illegal, or inoperative. � . ; 'h� l: � � � { 1 <:�„�s, 1 ,.:t"�.•; I : � i��'� S .. '��.�f�-� +{.+�-+ . . . . . . n.-;:;� 4�.= PAGE 4 � r ` OF 5 PAGES -�� '� - - - , _ �� __ ��, ��'� . .. ,.;. : �r _ � � . a . .._ .�Y,K� 1 _.,<.,: _.�... .�..� �.�.,�.,.�.,,�„9.A„t,...i.,.=� R��.,.,,.,�,�.,._.x�,.._ .,,�.-..,,,.�. ..-.:�� .... ,� , �..,`:... .._. ____ . . ....r,.,,,,,.�.�.,,� „,. �.,a,...,..r ..e _ : .,. �I. ,,. . .. ,.x._ :.,� IN WITNESS WHEREOF, I have at Carlisle Barracks, Pennsylvania, this �'1 day of r�,� , 19�, set my hand and seal to i this my LAST WILL AND TESTAMENT, consisting of 5 typewritten pages, i each page bearing my handwritten signature. i � This document was prepared under the authority of 10 U.S.C. � section 1044, and implementing military regulations and instructions, by Captain John T. Rothwell, who is licensed to practice law in the i State of Arkansas. � � i � (SEAL)' ARLENE FRY i The foregoing instrument was, at Carlisle Barracks, Pennsylvania, this _!�day of �� , 19 9 , si ned sealed I � g , , published and declared by SARAH ARLENE FRY, the testatrix, to be her LAST WILL ; AND TESTAMENT in the presence of all of us at one time, and at the same', time we, at her request and in her presence and in the presence of eachl other, have hereunto subscribed our names as attesting witnesses, and we do so verily believe that the said testatrix is of sound and j disposing mind and memory at the date hereof. ! � � , � � � , � I ._� �.��.�. � � ; Soc.Sec.No. Soc.Sec.No.� ",�� Soc.Sec.No. �/�� ,� OF �L,� �A �7D13 OF l.��.��.a�s��v OF � i '�----- I �- ��..7a �. 174.Z0 j � i i ; � l, t "U g�„ �A . . . . , � h � N? I �� {�y� . � 1. � z«:''�.'�.., . . � �� x° T C�y� i ��,c. ,e I � - „ � z � �� i , 4^� �4 I 'N�� W,�4, . . ' 1�� 5 � � � I 'S • �-: . .. � .1 J' k�.t - . :�.'�?: \' . .�:1: '.�::- .��t :�:. � i. : � �� ` i I�r ' I II �x�� . i, ¢qi9 y�� ( `r�� I .;. �� PAGE 5 _ �� OF 5 PAGES �_ -��Q�� _`i�� ! `> _ . _. ; _ _ - -_ - _ _ _ __ _ _ __ _ �� . . . . { .. . ... i �� . . . . . .... .. ... ... _ .; ,'" _ 4 #'': � , ' ,..,' �.�. ��}'_ . . .._ ..._...,.-r.�. . ... . ,� . ._... .......... . . . .._.. .....,... . . .. . ... " �....... � -�" .....�,�.�.�..—+-.�.:.�.«..... � � .:. . . .�..�lhwwrwRer��^..—^—.--�. .. . . . . .. . .. ... .. .. .. . . .. � . COMMONWEALTH OF PENNSYLVANIA CUMBERLAND COUNTY � ACKNOWLEDGMENT I, SARAH ARLENE FRY, testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will.; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. (SEAL) S ARLE E FRY AFFIDAVIT We, ��2� �- �1�)IUS , _C�:- .. /�,v � t'l7i,F-�s. and ��5� m n'f�K��.. , the witnesses, sign our names to this instrument, being duly qualified according to law, do depose and say that we were present and saw the testatrix siqn and execute the instrument as her Last Will; 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 18 or more years of age, of sound mind and under no constraint or undue influence. ��v�--6� �'1�1.y�. i.�en /// i� a.,-�i Witn Wit ess Witness Subscribed, swo�n to and acknowledged before me by SAR.AH ARI,ENE FRY, the testatrix, and subscribed and sworn to before me by t'� �� E liJ l�.-�1 US _� .�2.�- _ .s�.� �_ .r�'I i�-c�.r , and ��a� , the witnesses, this ��day of 1�' 1R�,�i�t . 19�• NO RY PUBLI My Comm' N tar a ��r R.Standridge,Notary Publio ae�' Cumberland County CarUsle Boro, �res May 14,2001 My Commission Exp' f Notaries Mamha,r Pa,nnSVlvania Association� ��p� '7� � 1 � �3