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HomeMy WebLinkAbout07-15-13 . : � 1505610143 REV-1500 �"°�-""� PA De artment of Revenue OFFICIAL USE ONLY p pennsylvania co�mycoae vw FileNUmber Bureau of Individual Taxes °°"""'°"°'�"°"'E ao sox.zaoao� INHERITANCE TAX RETURN 21 12 1136 Hartiaburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INPORMATION BELOW Social Security Number Date of Death Date of Birth 09 05 2012 08 29 1918 DecedenYs Last Neme Suffix DecedenPs First Name MI RIESTER SR. WILLIAM C (If Applipble)Erroer Surviving Spouse's IMortnaHon Below Spouse's last Nama Suffix Spouse's First Name MI RIESTER CYRILLA E Spouse's Social Securily Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1. Oripinel Retum � 2. Supplemerrtal Retum � 3. Prebmr torWZ'R��(Dele m oeam � 4. Limitetl Eatate � 4a.Fwro in�ereW Co�om�ee � 5. Federel Estale Tax Retum Required ca�a aaeam artx 12-12A2) � 8' (A�COpydlMll� ❑ �' p���y�"Bjj Livinp7ruet � 8. Total Number W Sefe DepoaR Bozea � 9. Lltlpatbn ProceBde RecNved � 70. eaI P���t{De�eSa Deeth � A 11.(A�gCjp��p��b��713(A) C 5C� CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALl CORRESPONDENCE AND CONFIDE F BE DIRECTED TO: Name e STEPHEN E PATTERSON r�]�yt �6?W14 '� n N � R�Ii7ER 9�YYILLQ U�ONLY n � C �. ._ p First Line of Address • ..�.+ � Y-- �. 3AI,Z�9►NN SLJGHES P C 23 c,Sp � � Second Line W Addreas , CI or Post OMice DATE FILED b State ZIP Code mAYNE380R0 PA 17268 corresPondenrse-mauaadress: SPatterson�salzmannhughes.com n i's°fau�,°""'.'nrea a a�nry'pw o�a�a p eparcr�omer�a�e�n'uie p�euarao`�repr�ese�nuw�isBd1°doeeea°«�ea°inro�o.a'�'wdn�ean a mr k�wnedae and ceibr, pteperer hea arry knox7e0pe. SIC�IW N RESPONS�BLE FOR LING R RN � // .. DATE ` ����LE�����,_ William C. Rlester,Jr. ADDRE S � � 8 Wooded Drive. Shippe�robum.PA 77257 SIGNRNRE OF PREP ' THER THAH REPRESENTATNE pp7E Stephen E. Patterson S�o�/T 3 ADORESS 238-8 East Main Strest,Waynesboro, PA Side 1 � 1505610143 1505610143 J � � � � PA Inheritance Tax Return Signature of Additional Fiduciaries ESTATE OF FILE NUMBER Rleater,Willlam C.Sr. 21-12-1136 Under penafties of perjury,I deckre Mat I have examined this tetum,inGuding axompanying schedules and statemenls,and to the beat of my knowledge and belief,' ' and mplete.Declaration of preparer other than the personal representative is based on all informalbn Mwhich preperer has e. Signature#2 ` Name ohn H.Rlsster Address7 12026 Paul Mwdows Drive Address2 Clty, StBte,Zlp Clncinnati,oH 45249 Date . � � 150561D243 REV-1500 EX DecedenPs Social Security Number o^«�'��^^ Rleater,William C. Sr. RECAPITULATION 1. Real Estate(Schedula A)....................................................................................... 1. 2. Stocks and BorMs(Schedule B)............................................................................. 2. 3. Closely Held Corporetion,Partnership or Sole-Proprietorship(Schedub C)......... 3. 4. Mortgages&Notes Receiveble(Schedule D)........................................................ 4. 5. Cash,Bank Deposits 8 Miscellaneous Personal Proparty(Schedule E)............... 5. 64 �$2$. 17 6. Jointly Owned Property(Schedub F) ❑ Separete Billing Requested............ 6. 6,8 63 . O S 7. Inter-�vos Trensfers&Miacellaneous rynn;Probate Property (Schedule G) L� Separete Biliing Requested............ 7, 8. Total Gross Aasets(total Lines 1 through 7)........................................................ g. 73�388 . 22 9. Funeral Expenses and Administrative Costs(Schedula H).................................... 9. 6,208 . 44 10. Debts of Decedent,Mortgage Liabilkies and liens(Schedula I)............................ 10. 1�561 . O5 11. 7otal Deductlom(total Lines 9 and 10)................................................................ 1 t. 7 ,7 69. 4 9 12. Nst Value of Esfate(Line 8 minus Line 11).......................................................... 12. G$, 618 . 73 13. Charitable and Govemmental Bequests/Sec 9113 Trusb for which en ebdion to tax has not been made(Schedule J)............................................... 13. ta. Nstvs�uesubjectsorex(�inelzminusL�nels)............................................... �a. 65, 618 . 73 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at tM apousal tax rete,or trenafenundersec.91�6 21 872 . 91 t5. 0 . 00 (a)(12)X.00 i 76. AmountofLinel4ta�cable 43 745 . 82 16. 1� 968 .56 at lineal rate X .045 � 17. Amount of Line 14 taxable at sibling rete X.t 2 0 . 0 0 17. 0 . 0 0 18. Amount of Line 14 taxable accona�erairetex.�e 0 . 00 �a. 0 . 00 19. TAX DUE................................................................................................................ 19. 1� 968 .56 20. FILL IN THE OVAL IP YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 L 1505610243 1505610243 J REV-1500 EX Page 3 Flle Number 21-12-1136 DecedenYs Complete Addr�s: DECEDENTSNAME Riester,William C. Sr. STREETADDRESS Green Rldge Vlllage,2�0 Big Spring Road CITY STATE ZIP Newvllle PA 17247 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 1,968.56 2. Credita/Payments A. PriorPayments 1,863.90 B. Discount 98.10 Total Credka(A +B) (2) 1,962.00 3. Interest (3) 4. If Line 2 ia groater Nan Line 1 +Line 3,enter Ne diHerence. This is the OVERPAYMENT. (q) CMck box on Page 2,Llrre 20 to request a refund 5. If Line 1 +Line 3 is greeter than Line 2,enter the difference. This is the TAX DUE. (5) 6.56 Make Check Pa able to: REGISTER OF WILLS AGENT. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did deoedent make a transfer and: Yes No a. retain Ne use or income of tha proparty transferred:............................................................................... � � b. retain the rigM to designate who shall use the property trensferred or its inwme:.................................. c, retein a revenio�ary interest;or............................................................................................................... d. receive the promise for life of eilher payments,benefits or care7............................................................ 2. If death occurred after Dec. 72, 1982, did decedent transfer property within one yaer of death without receiving adequate consideratlon7.................................................................................................................... ❑ � 3. Did dacedent own an'in trvst for or payable upon death bank account or securiry at his or her death9....... ❑ ❑x 4. Did deaedent own an indiWdual retirement account,annuity,or otAer non-probate properry which conteins e beneficiary desipnffiian1.................................................................................................................. ❑ ❑x IF THE ANSWER TO ANY OF THE ABOVE OUESTIONS IS YEB,YOU MUBT COMPLETE SCHEDULE O AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 7, 7994 and before Jan.1,1995,the tax rate imposed on the net value of transkrs to or for the use oi the aurviving spouae is 3 percont p2 P.S.§9716(a)(1.1)(i)1• For datea of deaM on or aker January 1, 1995,the tex rete 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)]. Tlre statute does not exempt a trensfer to a surviving spouse from tax,and the statutory requiremanta for diaclosure of assets and flling a tax retum are atlll applicable even'rf the surviving spouse is the only beneficiary. For dates W death on or after July 1,2000: • The lax rete impoaed on tha net value of trensfaro from a deceased child 21n ars of age or younger at death to or for the use of a natural parent,an adoptive pareM,or a stepparent of the chikl is 0 percent p2 P.S.§9118(a)(1.2)]. . The lax rete impoaed on the net value of transfero to or for the use of the decedenPs lineal beneflciaries is 4.5 percent,except as noted in [72 P.S.§8116(a)(1)1. . The tax rate imposed on the net value of transfera to or for the use of the decedent's siblings is 72 parcent[72 P.S.§9116(a)(1.3). A sibli�g is defined under Section 9102,as an individual who has at least one parent in common v�ith the dacedent,whethar by bl�or adoption. � R�v-160lEXr�11-00) ' ' SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPAR7MENT OF REVENUE INHERRANCETAXRENRN PERSONAL PROPERTY RESIDENT OECEDENT ESTATE OF FILE NUMBER Rlester,Wllliam C.Sr. 21-12-1136 ��uuw.ns or�nq.uo�wu»en.m.w�.a.w.,a�«�.a m..nero. 1111 qopMy MlYOwnstl wHh tlro ripM o/wMVOnNp mw[W dhd on�q�pY�i. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Green Ridge Vfllage-refund of Resldency Inveatment Fee 63.000.00 2 Highmark Blue Shield-refund for medical services rendered 570.50 3 Hlghmark Blue Shield-refund for medical services rendered 954.67 TOTAL(Also enter on Line 5, Recapitulatlon) 64,525.77 �rc more ace��e r�aea,ead��ai c�aes a nro��»$�> Copyright(c)2010 form softwero only The Lackner Group,Inc. Fortn PA-7600 Schedule E(Rev. 11-70) • Rer•160Y E%��07-70) ' pennsyivania SCHEDULE F DEPM7MENlOPREVENUE JOINTLY-OWNED PROPERTY INHERRANCE TAX REfURN RESIDENT OECEDENT ESTATE OF FILE NUMBER Ri�ter,William C. Sr. 21-12-1138 x.o wn w..m.a.lwm wroan m•rar a m.a.o.a.�r.a.a oe a..m,n m�r�w r.port.e o�.�n.ew.c. SURVIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT A. WIIIiam C Rlester,Jr. 8 Wooded DHve Son Shippensburg, PA 17257 B. John H Riester 12025 Paul Meadows Drive Son Cincinnati,OH 45249 C. JOINTLY OWNED PROPERTY: DESCRIPTION OF PROPERTY onte oF oennrH ITEM FOR JOIN MADE INUMBER OR E^OF�F�INAN��INS�TNUMB R.µATTACH DEED FOR DATE OF DEATH ECDFS DECE ENTS INTEREST NUMBER ��yNT JOINT JOINTLV-HELDREALESTATE. ALUEOFASSE INTEREST 1 A&B 12/02/2004 Esteem Checking Account No.2788031, 26.588.38 33.334X 8,862.96 ACNB Bank,Gettysburg, PA A&B 12102/2004 Accrued income on Item 1 through date of 0.27 33.334% 0.09 death TOTAL(Also eMer on Lina 8.RecapiWlatlon) 8,883.05 (M more epsee is needeA,a0tlitional papes of tlie seme size) Copyright(c)2010 form soflwero ony Tha Ladcner Group,Inc. Fortn PA-1600 Schedule F(Rev.01-70) � BVRFAU OF INOIVIUWL rnxES Pennsylvania lnheritance Tax � Pennsylvania •PO BOX 280601 �,i� DEPARTMENT OF REVENUE � �HARRISBURG PA 17128-0601 Information Notice oa R„-�,,,E,o,�E,E� ,,,-�„ And Taxpayer Response FILE NO.2112-1136 ACN 12165507 DATE 12-05-2012 Type of Account Estate of WILLIAM C RIESTER Savings SSN Checking Date of Death 09-05-2012 Trust WILLIAM C RISTER JR CountyCUMBERLAND Certificate 8 WOODED DR SHIPPENSBURG PA 17257-9715 ACNB BANK provided the department with the information below indicating that at the death of the above-named decedent you were a joint owner or beneficiary of the account identified. Remit Payment and Forms to: AccouM No.2188031 Dffie Established 12-02-2004 REGISTER OF WILLS Accoun[Balance $26,588.63 1 COURTHOUSE SaUARE Percent Taxable X 16.667 CARLISLE PA 17013 Amount Subject to Tax $4,431.53 Tax Rate X 0.045 Potential Tax Due $199.42 NOTE': If tax payments are made within three months of the decedenYs date of death,deduct a 5 percent discount on the tax With 5%Discount(Tax x 0.95) $(see NOTE') due. Any inheritance tax due will become delinquent nine months after the date of death. PART St@p 1 : Please check the appropriate boxes below. 1 A �No tax is due. I am the spouse of the deceased or I am the parent of a decedent who was 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. g �The informa[ion is The above information is correct, no deductions are being taken,and payment will be sent correct. with my response. Proceed to Step 2 on reverse. Do not check any other boxes. C �The tax rate is incorrect. � 4.5% I am a lineal beneficiary (parent,child,grandchild, etc.)of the deceased. (Select correct tax rate at right,and complete Part � 12°/, I am a sibling of the deceased. 3 on reverse.) • � 15% All other relationships(including none). p �Changes or deductions The information above is incorrect and/or debts and deductions were paid. listed. Complete Part 2 and part 3 as appropriate on[he back o/this lorm. E �Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Tax inheritance tax form Return filed by the estate representative. REV-1500. Proceed to Step 2 on reverse. Do not check any other boxes. Please sign and date the back of the form when finished. . BURFAU OF INOIVIDWL TAXES Pennsylvania lnheritance Tax • pennsylvania PO BOX 280601 DEPARTMENT OF REVENUE � I(ARRISBIIRG PA 1]128-0601 Information Notice And Taxpayer Response p`� 156`x���ExE� ��� ��� FILE N0.2112-1136 ACN 12165508 DATE 12-05-2012 Type of Account Estate of WILLIAM C RIESTER �Savings SSN Checking Date of Death 09-05-2012 Trust JOHN H RIESTER CountyCUMBERLAND Certificate 12025 PAULMEA�OWS DR CINCINNATI OH 45249-1327 ACNB BANK provided the department with the information below indicating that at the death of the above-named decedent you were a joint owner or beneficia of the account identified. RemR Payment and Forms to: AccountNo.218B031 Date Established 12-02-2004 REGISTER OF WILLS Account Balance $26,588.63 1 COURTHOUSE SQUARE CARLISLE PA 17013 Percent Taxable X 16.667 Amount Subject to Tax $4,431.53 Tax Rate X 0.045 Potential Tax Due $�gg,qp NOTE': If tau payments are made within three months of the decedenYs date of death, deduct a 5 percent discount on the tax With 5%Discount(Tax x 0.95) $(see NOTE•) due. Any inheritance tau due will become delinquent nine months after the date of death. PART Step 1 : Please check the appropriate boxes below. 1 A �No tax is due. I am the spouse of the deceased or I am the parent of a decedent who was 21 years old or younger at date of death. Proceed to Step 2 on reverse. Do not check any other boxes and disregard the amount shown above as Potential Tax Due. g �The information is The above information is correct, no deductions are being taken,and payment will be sent correct. with my response. Proceed to Step 2 on reverse. Do not check any other boxes. � �The tax rate is incorrect. � 4.5% I am a lineal beneficiary (parent, child,grandchild,etc.) of the deceased. (Select correct tax rate at right,and complete Part � �p�, I am a sibling of the deceased. 3 on reverse.) � 15% All other relationships(including none). p �Changes or deductions The information above is incorrect and/or debts and deductions were paid. listed. Complete Part 2 and part 3 as appropriate on the back of this form. E �Asset will be reported on The above-identified asset has been or will be reported and tax paid with the PA Inheritance Ta�c inheritance tax form Return filed by the estate representative. REV-1500. Proceed to Step 2 on reverse. Do not check any other bozes. Please sign and date the back of the form when finished. ' RE1�-06H E%�(10-0Y� � pennsylvania SCHEDULE H DEPARTMENTOFREVENUE FUNERAL EXPENSES AND RESIUENTDECEDE"R"R" ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Riester,Wllliam C. Sr. 27-12-1136 Decedent's debts must be reported on Schedule I. ITEM DESCRIPTION AMOUNT A. FUNERAL EXPENSES: See continuatfon schedule(s)attached 1,832.0a B. ADMINISTRATIVE COSTS: 1. Personal Represantative's Commissiona Name of Penonel Representative(s) Street Addreas City State _ Zio Year(s)Commission Paid z. nnomev�s Fees Salzmann Hughes, P.C. 3,669.00 3, Family Exemption: (If decedenPa address is not the seme as claimant's,attach explanation) Cleimant Streel Address City State Zio Relatbnshio of Clalmant to Decedent 4. Probate Feea Glenda Famer Straabaugh, Register of Wills 216.50 5. AccountanPs Fees 6. Tax Return PreDarer's Fees 7. OtherAdminiatrative Costs 390.90 See continuatlon schedule(s)attached TOTAL(Also eMer on Iine 9, RecapitulaUon) B,208.44 Copyright(c)2009 fortn soflware only The Ladcrror Group,Inc. Fonn PA-1600 Schedule H(Rev. 10-09) . .___ ... .. SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Riester,WIIIiam C.Sr. 21-72-7136 ��M DESCRIPTION AMOUN7 NUMBER Funeral Euoenses 1 John Rlester-reimbunement for meal following funerel 1,932.04 H-A 1,932.04 Othar AdministraWe Costs 2 Cumberland lsw Joumal-publishing Co-Exeeutors'appolnfinent 75.00 3 Deluxe Business Advantage Program -Estate checks 42.64 4 Salzmann Hughes,P.C. -relmbursement of fee for flling Spouse's Electlon to take Agafnst 20.00 Will 5 The Sendnel-publlshing Co-Ezecutors'appoiMment 253.26 H-67 390.80 Copyright(c)2002 form soflware only The Ladcner Group,Inc. Fo�m PA-7600 Schedub H(Rev.6-88) � Rw-7613EX+�tt-0!) SCNEDULE 1 pennsylvania DEBTS OF DECEDENT, OEPARThIENT OP REVENUE INHERRMICETA%RE7URN MORTGAGE LIABiLITIES AND LIENS ftESIDENTDECEDENT ESTATE OF FILE NUMBER RiesMr Wllliam C.Sr. 21-12-7136 R�pwt WM IneumE M tM Mc�tl�M plar lo tlsM tl�H nm�hrtl unp�M�1 tlw Gb o/dNM�Ineiudhp unMmbunM mMiw�xqnw�. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 7 Presbyterian Homes-Senior living expense for August 7.561.05 TOTAL(Also eirter on Line 10,Recapitulatlon) 1,581.05 (N more apece is neetled,etltlitlonel papea ot die same eize) Copyright(c)2008 Portn software onty The Leckner Group,Inc. Form PA-1500 Schedule 1(Rev. 12-OB) ' REV-061]E%t�07-00) � pennsylvania $CH�DULE J OEPAftTMENT OF REVENUE INHERITANCE TqX RENRN BENEFICIARIES RE81DENT DECEOENT ESTATE OF PILE NUMBER Rl�ter,William C.Sr. 21-12-1136 RELATIONSHIP TO NAME AND ADDRESS OF SHARE OF ESTATE UNT OF ESTATE NUMBER pERSON(Sl RECEIVING PROPERTY DECEDENT �0�8� ��� I TAXABLE DISTRIBUTIONS [include outright spousal distnbutbns,and transters under Sx.9116 a 12 1 Cyrilla E Rlester Spouse Right to elect 27,872.81 c/o WIIIiam C.Riester,Jr. one-third(1/3)of 8 Wooded Drive estate Shippensburg, PA 77257 2 Barbare A Camey Daughter One share 70,836.46 428 Ridge Road residue per Itam Porter Comers, NY 72859 III A 3 William C Riester,Jr. Son One share 10,936.45 8 Woodsd Drlve resfdue per Item Shippensburg, PA 77257 III B 4 John H Rleater Son One share 10,936.45 12025 Paul Meadows Drive residue per kem Clncinnad,OH 45249 ���� 5 Robfn J Rleater Son One ahare 70,936.46 2252 Remington CouR NE resldue per Item Marietta,GA 30066 III D Totel 65,618.73 EMer doller amouMS for distributbns slwwn above on lines 15 thro h 18 on Rev 1500 cover sheet as riete. NON-TAXABLE DISTRIBUTIONS: II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 91 i3 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF P II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON IINE 13 OF REV-1500 COVER SHEE Copyright(c)2010 fortn sollware onty The Ledcner Group,Inc. Fo�m PA-1600 Schedule J(Rev.01-10) . . � � W:�XW�DOCS\WiIlsUtiester,Wiliiam C.,Sc WilLdoc LAST WILL AND TESTAMENT I, William C. Riester, Sr., of 122 Lurgan Avenue, Shippensburg, Franklin County, Pennsylvania, declare this to be my Last Will and revoke any will previously made by me. I. I direct that my enforceable debts and the expenses of my last illness, funeral and burial shall be paid from my estate as soon as practicable after my death. II. $y way of explanation, althou�h I lo��e my wife, Cyri!la E. Riester; very much; fnr reasons best known to myself, I have not inciuded my wife in my Last Will and Testament. I do, however, acknowledge that my spouse may have a right to elect against my estate to a maximum of one third (1/3) of the electable estate. In the event an elective shaze is claimed, my Executor shall select the assets which shall fund the elective share to be distributed by my Executor to the electing spouse. III. I direct that all the rest, residue and remainder of my estate be divided into four(4) equal shares and I give to each of the following who survives me the number af shares set forth below: A. To Rarb�ra A. Camey� *!?)��2�lohtar� �„e rt l share. � n.> B. To William C. Riester, Jr., my son, one (1) share. �o ; _A_ T pT�,., � rri C'.�, �'S':;' ,y �;�� C. To John H. Riester, my son, one (1) share. ,�, �' ,-" ��;;-`�. W �.,::;�-�:, p�.-, . ..i; �-7 (�Y -. n�_�:q�. � ,__. (, � D. To Robin J. Riester, my son, one (1) share. o� _r_ __ -� . . D�'.:� N _T' � "'O � -r� , . � W:�XW�DOCS\Wills\Riester,WiIIPam C.,Sr.Will.doc In the event that any of the above-named beneficiaries fails to survive me, I direct that his or her shaze be added to the shazes of the others in the same propor[ions they now bear to each other, and not be distributed to my beneficiaries' issue. IV. All federal, state and other death taxes payable on the property forming my gross estate for those purposes, whether or not it passes under this Will, shall be paid out of the principle of my residuary estate just as if they were my debts, and none of those taxes shall be charged against any beneficiary. V. I appoint as Co-Executors of this, my Last Will, my son William C. Riester, Jr. and my son John H. Riester, or the survivor of them. I direct that no trustee, executor, guazdian or other fiduciary named, nominated, or appointed in this Will shall be required to post any bond or give any security of any type for any purposes whatever. My personal representative(s) aze hereby empowered to sell my real estate and personal property at public or private sale at such time and in such manner as my personal representative(s) may deem wise, and to make, execute, acknowledge and deliver good and sufficient deed or deeds therefor to the purchaser or purchasers thereof. IN WITNESS WHEREOF, I, William C. Riester, Sr., the above-named Testator, .� have to this, my Last Will and Testament, set my hand and seal this 2-4 day of S-�-r.��., ��• , 2004. ;`) C( ,�f �, � T' � �_ ��l«�.,.� /��.� .� :v��_ .��� - William C. Riester, St�. . . ' � W:�YW\DOCS\Wills\Riester,Willi2m C.,Sc Will.doc SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testator, as and for his Will, in the presence of us, who at his request, in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses in attestation thereof. i ��j� Address � Y vt ��f��,N M�-�r �T �.-��..sb,^.., P4, /" s•�j�.� c. �iti, i� +-6lt , y� � i l a ` Address � � % '�.t� L �' � ci��C U-i•g "r:-�,� � � ' L t`— C t �, ��r..�-,. Ls �G �-( S—L�{� ' _ �4a.�, �i � �c., Adflress ll�l Q�S C�ree,t�.V�ic�q�r I�-• f (��dt��� �+� t'���d ,1-- • � .. - � WtVCW1DOCS\WiIlsUtiesrer,William C.,Sr.Will.doc . COMMONWEALTH OF PENNSYLVANIA : : SS COUNTY OF FRANKLIN . kS- On this, the �`� day of r</���M S<r• , 2004, before me, i;!i I'i�i_ �.' I i'. 'r � � i , the undersigned officer,personally appeazed Gregory L. Kiersz, Supreme Court I.D. No. 21928, known to me (or satisfactorily proven)to be a member of the bar of the highest court of said state and a subscribing witness to the �vithin instrumer.t, and certified thaf he was �ersonally preseut when Testator, VJilliam C. Riester, Sr., and witnesses, 5 � k r H. F � _,r t v and s ..�. „y . �. s-r-p S.��.- , whose names are subscribed to the within instrument, executed the same, and that said persons acknowledged that they executed the same for the purposes therein contained. In Witness Whereof, I hereunto set my hand and official seal. e�/ 1a � / � \t.'` It.l�l�4!� � , ��.��.•1..�.' Notary Public `� Notarial Seal �� Karla C.Terry,Notary Public Waynesboro 8oro, Franklin Counry � My Commission Exoires P�qay 19,2005 Memder,f'�nnsyh;ru;ia,assoclationofNotaries �