HomeMy WebLinkAbout07-22-13 (2) J 1505610140
REV-1500 �` �°�-"'`�"
OFFICIAL USE ONLY
PA DepaAment of Revenue County CoGe Year F&e Numbar
Bureau of Indlvidual Texes INHERITANCE TAX RETURN
Po sox zeoao� 2 1 1 2 1 1 7 2
Hertisburp PA 17128-0601 RESIDENT DECEDENT
ENTER DECEOENT INFORIIAATION BELOW
Sociel Security Number Date of Deeth MIIaDDVriv Dete of Birth MMDDVVVY
' 1 0 1 9 2 0 1 2 0 5 2 3 1 9 2 3
Dacedenfs Last Nema � Suifiz DecedeM's Flrst Neme M� ,
B A R-N D T WI L L I A M H
(H Applkable)EMer 9urviving Spouse'a InfnrmsMon Balow
Spouse's Lasl Nama SufFix Spouse's Flret Name M�
Spouse's Sadel Sewriry Number
THIS RETURN MUST BE FILED 1N DUPLICATE WITH THE
- REGISTER OF WILLS
FILL IN APPROPRIATE OVAIS BELOW -
� 7.Orlginel Retum � 2.Supplemencel Retum � 3.Prema�de2r�u�r�(Dele of Deeth _
� 4.Llmited.Eetele � 4e.Future Interest Compromise(dete o1 ❑ 5.Federel EaFete Tax Retum Required
deaM efte�12-12-82)
� 8.Decedent Dled Testete � 7.�ecedent Mafnteined a Living Trust � 8.Total Number of Sefe Deposil Boxes ��
(Atlech Copy of Wilp (Attach Copy of Trust)
� 9.�Itlgetlon Proceeds Re�ived � 10.Spousel Poverty Credit(Date of OeaM � 11.Elactlon to Taz untler Sea 9113(A)
BeMreen 12-31-91 end 1-7-85) (Attech Schetlule O).
CORRESPONDENT-THIS SECTION MUBT BE COIdPLETED.ALL CARREBPONDENCE AND CONFIOENiWL TA7(INFORNNTION SHOULD BE DIRECTED T0:
N�a Dayfime Telephoire tJumber �
DAVI D H RAD � LI FF 717 975_- 960
c> �—
R�(31S7ER OF WILLB U9E ONLYy
�
�' � �- � �
rn � c� � � c�
Flrat Line of Addreae � z ,�..rry �� � � �
1 0 1 1 MUMMA ROAD D `j'_ � o �
�� ��
Second Line of Addresa n q .,���, � — � -
S U I T E 2 0 1. ° � N ;^ n
Clry or Past OHice State ZIP Code -- � �A��� „ =
3 � � �
L E M O Y N E P A 1 7 0 3 8
Correapo�ant'se-manadd�ew: DRADCLIFFCo�C-WLAW COM
Under penelfles af perjury,I tledere thet I heve exeminetl ihls reWm,hicNdinp accompenyhiB echeEUles entl atateme�,end to Me hest of my ImwAetlge end heliel,
ri la We,cortect anA completa.�efJafadon M p2perer ather then the pe'ewie�reDreaentelNe le hened on all Infamation Mwti�h Oreparer has a�y knowletlpe.
SIG!A7URE OF PERSON RES I&�FOR FIUNG RE7 �TE
��: � �-a—�—'`�-� ����;�.�, -► -a- �3
ADDR SS
1049 ARCH STREET EMMAUS PA 18049
� TC�-�i!/ / R L�/ JHA NTATNE — DATE
�, �za.3
ADDRE38
1011 MUMMA ROA STE 201 LEMOYNE PA 17036
pLEA3E USE ORIGINAL FORM ONLY -
Side 1
L 1505610140 1505610140 �
�
. __
J 15�561�Z4�
REV-1500 EX(PI)
DecedenPs Social Security Number
oeceae�rsr,ame: WILLIAM H. BARNDT
RECAPITULATION
1. Real Estate(Schedule A) . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. � 8 3 6 3 5 , 0 0
2. Stocks and Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. � , Q �
3. Closely Held Corporation, Partnership or Sole-Proprietorehip(Schedule C) . . . . . 3. •
4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. •
5. Cash, Bank De osits and Miscellaneous Personal Pro e � 5 7 7 9 , 6 2
P p rry(Schedule E). . . . . . . 5.
6. Jointly Owned Property(Schedule F) ❑ Separete Billing Requested . . . . . . . 6.
7. Inter-Vivos Trensfere 8 Miscellaneous Non-Probate Property 7 1 0 8 7 6 , 8 5
(Schedule G) � Separate Billing Requested . . . . . . . 7.
8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. 9 � 0 2 9 1 , 4 7
9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9. � 8 2 3 6 . $ �
10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 70. � 4 5 7 2 . 0 3
11. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. 3 2 8 0 8 . 8 3
72. Net Value of EsWte(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 8 7 7 4 8 2 . 6 4
13. Chantable and Govemmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . 13. .
14. Net Value Subject to Tax(Line 12 minus Line 73) . . . . . . . . . . . . . . . . . . . . . . 14. S 7 7 4 8 2 . 6 4
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116
(a)(12)X.0 _ � . � � 15. � . � �
16. Amount of Line 14 taxable
at lineal rate X.045 8 7 7 4 8 2 . 6 4 �6. 3 9 4 8 6 . 7 2
17. Amount of Line 14 taxable
at sibling rate X.12 � . � 0 17, 0 . � �
18. Amount of Line 14 taxable
at collateral rete X.15 � . 0 � �g. � . Q �
19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. .3 9 4 8 6 . 7 2
20. FIL�IN THE OVAL IF VOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
Side 2
L 1505610240 1505610240 J
REV-1500 EX(FI) Page 3 Flle NumEer
Decedent's Complete Address: 2� t2 t�72
DECEDENTS NAME
WILLIAM H. BARNDT
STREETADDRESS
CITY STATE 21P
Tax Paymenfs and Credits:
� Tax Due(Page 2,Line 19) (1) 39,486.72
2. Credits/Payments
A.Prior Payments 37,000.00
8.Discount 1,947.31
Total Credits(A+B) (2) 38,947.31
3. Interest
(3)
4. If Line 2 is greffier than Line 1 +�ne 3,enter the difference.This is ihe OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00
5. N Line 1+�ne 3 is greater ihan Line 2,enter lhe difFerence.This is ihe TAX DUE. (5) 539.41
Make check payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
t. Did decedent make a transfer and: Yes No
a. retain the use or income of lhe property transferted ...................................................................... ❑ Q
b. retain lhe right to designate who shall use the property transferted or its income ...................... ❑ �
c. retain a reversionary inte2st ..................................................................................................... ❑ �
d. receive ihe promise tor life of either payments,benefts or ca27 ....................................................... ❑ Q
2. If dealh aarred after December 12,1982,did decedent transter property within one year of death
wilhout receiving adequate consideration? ....................................................................................... ❑ ❑X
3. Did decedent own an'in trust fof or payaWe-upondeath bank account or security at his or her death? ......... ❑ ❑X
4. Did decedent own an individual retirement account,annuity or oiher non-probate propeAy,which
contains a benefiaary designation?.................................................................................................. � ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July 1, 1994,and before Jan. 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse i:
is 3 percent[72 P.S.§9116(a)(1.1 j(i)].
For dates of death on or after Jan. 1, 1995,the taz rate imposed on the net value of Uansfers to or for the use of the surviving spouse is 0 percent
[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 disGosure of assets and
filing a tax retum are still applirable even if the surviving spouse is the only benefidary.
For dates of death on or after July 1,2000:
• The tax rate imposed on ihe net value of transfers from a deceased child 21 years of age or younger at death to or for the use of a natural parent,an
adop6ve parent or a stepparent of ihe 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 decedenPs lineal beneficiaries is 4.5 percent,except as noted in p2 a.S.g9t�5(a)(t)].
• The tax rate imposed on fhe net value of transfers to or for the use of the decedenPs siblings is 12 percent[72 P.S.§9116(a)(1.3)j.A sibling is defined,
under Secfion 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adopfion.
REV4502 EX+(12-12)
pennsylvania SCHEDULE A
DEPARTMENT OF REVENUE
REAL ESTATE
INHERITANCE TAX RETURN
RESI�ENT DECEDENT
ESTATE OF: FILE NUMBER:
WILLIAM H. BARNDT 21 12 1172
Aff real property owned soley or as a Mnant in common must be reported at fair market value.Fair market value is def ned as the price at which property
would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts.
Real property that is jointlyowned with right ot survivorship must be disclosed on Schedule f.
Attach a copy of the settlement sheet if the property has been sold.
ITEM Include a copy of the deed showing decedenPs interest if owned as tenant in common. VALUE AT DA7E
NUMBER OF DEATH
DESCRIPTION
1 52 Little Run Road, Camp Hill, PA 17011 183,635.00
($185,000 less SellerAssist of$1,365)
See HUD-1 Settlement Sheet attached
TOTAL(Also enter on Line 1,Recapitulation.) E 183 635.00
If mo2 space is needed,use additional sheets of paper of the same size.
OMB Approval No.�SFINAL
��• A. Settlement Statement (HUD-1)
1.�X FHA 2.❑RHS 3.❑Canv.Unins. 1JYYB02NMmcer OO7L50358fium�: �1�9�7�surerweCeseNUmDer.
4.�VA S.O Cmv.Ins.
C.Nob:TMa lortn Is MNSireE t0 giva you e 5tetameeM1 of eGUel 981tlammt cosi5.Artqumg psiE�o eM Oy�I�e 5etllamen�egenty gig c�pxn.Itams maMetl
'(7.0 C)�weR PBIC oWkOl�a dos��B:�Y BrB 6Mwn�ere fw IMOrtnaLbnel qnposes aM era rrot Intlutletl in IM�dal5.
D.Neme 8 A07mss of BortoHer. E.Name 8 Adtlress af Selkr. F.Name&AtlOress of Le�Mer:
NhaE A$Aa,KrisEn A S�fia Estale of Hawy K Bandl Fist Lepkal IMr�ape Cxoup.IM.
3806 ChesNUf SbeSt,LemO M�l,PA 17011 52litlh Run RoBE,CenP Hil.PA 77011 7970 Co�ren RoeQ SWte SES.Manm Oak II.
RttUug�,PA 15Y20
�'�P1O�„Y�0�10^� H��eme��A9�: I.Setlleme�rt Dete:OS/03/2013
52 L'Rtle Run Roed NoM Mpmteln SeCkment Servic�,L.P. Diffiu�sement Date:OS�OY2013
Cemp Hill.PA 77017 1f50 NoM Alountan RoeO.HadsW�g,PA 77712
16791596446,HampOm Township
Telephone:717-36Ed1dOFm:717J60.311/ �/���
Place of SeltlemeM: Tille '
1Y50 NoM Mdmtan Roe4 HarrisMg.PR 17112 Pthrt OSl07/2013 :00 pm �
by BG
770. CxmsMcmkankomBmo�v 100. WonMiwmOwmSells
101. Canbad saks pia 185�000.00 CO7. Contred sdes P�e 185�000.00
102. Porsanel E02. Perswel
703. $etllemeMtlimg¢g(pppmwgrQna1400) 72,7Lg,06 103.
ma. aa.
+os. aos.
ae'�me�f.m�rtema ia .enermea..�tt ne�.arcM,m�amo m .m�rM.m.om
t06. CitMwm tazes m ao6. ceynwm tazes m
107. Counrytmes �N3/l013ro111d1R073 336.13 407. CouMytm�es p5qylp73ht7!!1lI013 336A3
108. A66aSIneIlIS �p i�. ASSssEmn&16 b
ios. se�ow�a os,uvmia�oasno2oia �ai aa5. saaoiraz� OSI03R013m06/3011073 �si.�z
110. SewerBTresh OSN.'UT013to06!l02013 10053 170. Sewer6iras� OSqYLp13to06(J02013 10U.53
171. 111.
tt2 atz.
1f0. GmfsAmouirtUueM1OmBmwer 191.9t9.71 IA. �qtAmouMDUetoSe�la 18S,7M.6A
7D0. /unounbVaM ttlnBNatlNBano�n �0. R�EUCYansbi4noa�RDuetnSeOer
2111. DeposdIXlamlS�mareY 1.000.00 $p1. Extessdeposd(seeFSbuUion6)
202. Prk¢IpelanamolnewbaMs) 17i.100.0U W2. Settlemenitlierpesrosela(ine1/00) 11,381.80
203. ' bm s mken m 503, ' b n reken w' ro
�� SOE. flof fast mo e ben
205. 505. PaYaflMaeconEnopageben
206. Sp5.
217. W7.
A8. Spg.
ZI9. SekrAUist 1.]65.00 509. SelaASiS 1�365.00 '
• ufhneMSfotRemun d mlkr ��y�p�y�h��M �b k�
210. Cit)}Iwvnfaaes b 510. COyllpmt�e5 b
211. Cqunlyqzes b 511. Coumy�mes b
212. AaeameMS ro 512. /ssassments b
�� 513.
�+a. sta.
z�s. sis.
�6. 576.
�7. 517.
r8. 518.
r9. 579.
' �0. TotdGdd florBmown 779,785A0 SiO. TablRMuctienAmounlWaSNln 1Z1�6A0
]00. CWitStltle�atlLUiROBarta�e 600. Ln�rtSNMmmthlhamSeBa
301. �ssamwMEUeM1umEarw�er(Ine120) 197,9a97a fip�. trosemwmeuemse�erryneaial 185,720.68
Jp1. ����P�M��a'�er�Xne120) 179.765.00 fi01. ���a��sinartauntAreceOer(Fne520) 12.7a6.80
707. GfA �% Fmm � ToBortmver 1l,iC1.i{ 5py �ph �% To � FnmStll< 772973.6A
.e.�n�..�.rn.�pwae.��.�...r�s��+..a.�"'"'..r:a..e°`°°�+'w..°•.i:��..m.�s� n..d:�w�...e'� n�.�:wrw�e�°"..a`n'°`.
700. TohIRnlEprteBroknFeea 59,181.75 Paid From Paid From
orvaimotcanmission �ne�aoastw�mvs; eorrowers Selier's
��� 5918175 m RertwReettyRMessiorels Fundsat Funtlsa[
�Z� �'� ro Settlement Settlement
703. CammissqnpsitletseXlament 9.701.75
700. BrokuFea lo RemaiReatlyProfess6re§ Yt5.00 775.
E00. tlema P able in CanneNOn wkh Lwn
BOt. Ouroiigin¢6nnqimge O�sOrigFetionPoint0.00096af0.00) $6.pp5.pp (ImmGFE/tl)
802. YouaeEtortlieryelpon6)IaNespetifc6derestretediosan S.d,771.74 (f�mGFEIt�
8II3. YauadusteOOrigMetiontlaige5 (homGFEf� 7,19115
�� ��� IaNetipr�ideRo 8 I&rvices (M1nmGFEp� dd5.00
805. G°Qrtrepo„ mE tlaR (homGFEW) I6.6!
BO6. 7m�seMm M Imm GFE tA
BW. FloodCekfi�alun fnF6ctC 'el eCxou Inc. (/mmGFEN3) 2p.pp
808. Fnel Lapection ro NaGOmWOa Ro d ' I Se�NCes (imm GFE a3) 150.00
900. Ceero Re uirtE LmEerto be PaiE in Advana
901. �a'tynterasttheigesM1pn homO5N32013MO6N72013�516.0153/daY (M1OmGFEl/10) 460.0
902. Mo�gepe bs.Premum fa �p�s Io Flrst Ce' M e Cw Iro. (hom GFE 7q) 3.706.50
W3. HomewmafsMwrence Im ��rysbErielmurmimCOm (homGFE#11) 655.00
�� mantl�s b Imm GfE M 1
1000. keeenn U ke0 wMh L1ndtt -
1001. NiIialCappgylprypuresooweawnt QmmGFEll9) 1,755.12
1002. Homeoxnel6lnsuranm 3 mpN¢ S 50.59ihroM� 516J.P
7003. Mongagelnsurence mpiUy S 7W]Slmonlh f
1WA. RhRapertyTm manNS S O.ONmmih S
1005. fqunN PmpBM Tex 3�� S 12.11pnDnN 5126.36
7006. StlrodPrope�tyTm� 11 mmip5 f 11617AnonIA f1.608.97
1007. PpFepafeASN�mt 11U.88
1100. TM1kGh
noi. rn�s�:�are�aerswe��re�
homGFE#4 7,635.00
7102. Setllament m cbsig lee m S
1103. Oxnefs tGb hsurmKe ham GFE fb 35.00
1104. Len4fs title lrrsurence 51,515.00
nos. �e�mrsee�adir��as�n,aoo.ao�e�aersao�
7706. O,mefs f41e poky fimd5185.000.00 Qmers Pofry
11W. Agen(6portonollhelofaltitleinwrancepremn�m 57,29800
1108. WNaiwiitars oonion al tlre mte�tim e¢urence pemam uu.00
1109. Notary Fee ro&A A.Gbvamkb Z0.00
1700. GovemmeMRecortlin anETnnelttCh n �
1101. Govemmentiew�degche�ges S @omGiElln 131.00
��Z� �ee03b2.00 Ma 8571.00 RBbaseS
1203. Tinns7e�laxes 5 (fiomGFERe) 7.850.00
1201. CirylCoun7�sbmVS DeeG51850.00 e5
��5. $I8I8T0Y/6�PoIIp4 �BB�f���.� MO BS ���.�
��' �8845 8S
���. s
+3aa. aaawows���ncn,
7307. ReWwe7 senices Net Y�mn 6�cD 1or (hom GFE W)
7302. 2073 Coinry 8 Twmship Tnr ��yy��� �Tax Coleclm $505.33 P.O.C.S
1307. 2011�73 SGOaI Tav m h4tlieel le en,Taz Colectm f175511 P.O.C.S
7301. Home Wartanry m Fist funerimn Homa B Protettion I15.00
7305. Saeer6 Tresh b H TCxnS NM ' 155.0
"' ' • � 12,719.08 77,781.80
'PeiE oukitle oltlosing Cy(BJortpxer.(Sl�r.(LJeMer.(IJrnesip.Bro(KJer."Ged'4 Cy knder alrown on pege 1.^'Cre6t tr/setler 6Mwn on page 1. .
REV-7508 EJ(+(0&12)
pennsylvania SCHEDULE E
DEPARTMEMOFREVENUE CASH, BANK DEPOSITS 8 MISC.
INHERITANCE TAX RETURN
RESIDENTDECEDENi PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
WILLIAM H. BARNDT 2� �2 ���2
InGude the proceeds of Iftigation and the date the proceeds were 2ceived by the estate.
All property jointly owrred with rtght of survivorship must be disc�osed on Sehedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
t. Nationwide Homeowners Insurance Refund 166.00
2 US Income Tax Refund 2,100.00
3 2004 Toyota Avalon 9,875.00
4 Wells Fargo Bank Acct# 10000323408498 �,791.28
5 Verizon Refund 9.04
6 Patriot News Refund 224.40
7 Auto Insurance Refund 342.60
S Wage Works 34.40
9 Dining Room Curio Cabinet 75.00
10 Television 200.00
11 Auctioneer 932.62
See list attached
12 Comcast Refund 8.49
13 Apria Healthcare Zp�g
TOTAL(Also enter on Line 5,Recapitulation) E 15 779.62
If more space is needed,use addilional sheets of paper of the same size.
5
. � ZIEGLSR AOCfIatl IXMPA9Y LTO
. * 1550 SqND tlIIS &N�
&N
_ HO[@IELB'MGN PA 1]03fi
. il].533.426] GNX.EI@6EAAt1CTi09.COM
0�/04/1] - - �[18IGP� 6TATH�92 - - PA66 1
. mNSIGNOR N[P1B6R : 9288 ApCTION Nfll�Elt : 130311
fA!@ .
. %Sl18ERLY LOIM�ST&t �
1069 AR� ST
IDIDGOS� PA 190C9
(6101 �39-t4o]
PBqD ITM I9V ONIx SOfAL C@PIISSItl1 SELLER'S
CODe 90. ______ ITEM DESCRIPfI� ______' I10. QTY 1 PRICS PRICB AMOORf xET PlIDOtTT BI�u&&i
_ ______ _______ _ _ __ _'_______________ ________________ __ ______________ ____�
192 VIOLIA (t�5 TLC) t 32.50 32.50 25Y � 8.13 2�.3i 382
193 CBOICS OF �OCtc DBOOYS-P0t TaHY 3 34-UO 102.00 35i 25.50 " 'l6.50 382
-FLO�!
- 194 TAAY WT 6T&M GW99E6 (ELC�'iD 1 2.00 2.00 35t .10 1.30 320
DS6I@I)
195 TAAY I.O1' S-STHL GLlB6E6� 4-ETE 1 S.UU 5.00 35! 1J5 3.25 392
STn�GS
� 196 11UY LOT BONL, 9T@I GLAfi�S.OI 1 2.00 3.00 35t .]� 1.30 395
' . � ' . 89. SW VS TRAY . . ' .
� �� '250 2-eTT�OpCH TABLE6 1 10.00 'lO100 25E t].50 52.50 221
' 252 2-HIT�'(A3 C�IIIB 1 fi5.00 65.0� 35a 16:25 �8.]5 <3<
25t e11LaNCE.SGtB t �9.00 �9.00 35E 3.T5 5.95 364
2fii Y�RSMf-82PG[�eCe 1 32.50 22.50 25� 5.63 16.B1 359
Z69 NOOD/HHA59 W!8 NTTH&H�DE 1 5.00 5.00 35\ 1.'i5 3.25 362
280 BIDn00N SBT-f6�uab- JAl�STOpei 1 Iqp.00 240.00 15b 36.00 20�.00 221
. 2B� 4GLU GBIN6T 1 9.U0 9.00 35� 3.15 S.BS fl1�
ZBS HLTC60pCH FALL TABLB H/HI�OB 1 G0.00 80.00 25! 20.00 fio.00 �10
SB] COPPE¢T9�E -D&DP LBSF 1 15.00 15.�0 15� 3.95 11.25 <10
289 09DP LF+16' TA94E-MAPte,4 C�IRS 1 150.00 I50.00 ESb 3].50 H 2.50 41Q
. 1 90P�5
� 314 COPN�TABL@, d-StID TA9GP5 (NA 1 35.00 25.00 25t 6.]5 18.]5 Ctl
PLE)
� 31fi �N RECLZAIIt- 1 5.00 5.OU 35t �.15 3.15 414
� 321 ,CpFFE6 TAHLL+- GLAe6 TOP t 50.00 50.00 256 12.50 3t.50 392
ffi ]OD 1 PAIWTIIICB ' 1 2.00 2.00 35! .l0 1 JO 203
' IDc 2103 eox Oe pI6liF5 1 29.00 29.00 25e 6.00 18.00 343
8% 31a� 6pY OR 1II8C iTD1�P TdBLE 1 15.00 15.00 251 3.)5 11.25 3]3
82 2203 MO@R'AIR eCEtffi OiL OP CASVM 1 1.00 2.0a 35L .)0 /.30 105
� A2 ]306 PB�ISNIDT PRINT BS I�N 80PTER 6 t 31.50 Z).50 25i 6.88 20.fi1 336
WQ(PAItR ' .
az aan GRE81i CN8I8 i 1Q166 HOLE DZ� 1 22.50 22.50 256 5.63 16.8) �61
R2 2355 I�W[T& CF165T DP'6RAiffiRA 1 32.50 32.50 25\ �8.13 14.3] 419
R2 2258 oeRCON'S �iC9 1 31.50 3'I.50 259 �9.36 ae.�a 399
A2 2262 2 M�Pf:6 ERU TBBLes 1 3.00 3.U0 35i 1.05 1.95 30]
R2 2265 SlACA OF HASSOCRS (41� - 1 18.00 18.00 25i 4.50 13.50 �16
C O N T I P O 8 D
9
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� 1550 6Nm ffiLL pL,�p
60M�.BTOWtI PA 1'l036
'!1].533.4361 NPG.SI6t8.S9AUCfiOfl,CAN
O//04/i3 _ _ WPSICPOR STATB�ffiiT - -
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. 1099 Ae� 8T
IDMNRS, PA 18049
, (61D) 939-1109
� 1� LW O6TT TOTAL fdlMISbi�! SELL88'S
OODE N0. ______ IR6n 08fi�IPTION '______ p0. OTY PBICE PBIC6 AMWN4 t�1 A[40UNT HIDDER R
_'�__________________�_______________________________________'_____________________________________________________________________
&2 2260 N�@@�06 bTCF LRL� 1 3.00 3.00 35s t.05 1.95 335
� ��� LTIT« �T �'�� 1 35.00 35.00 256 B.15 3fi.35 360
&2 azg� LI��@ 1 3.00 3.00 35! 1.05 1.95 400
R2 2302 PAIIt OF BRA88 WdPS 1 ]_50 ].50 35! 3.63 9.9] 3fi0
Pd 2346 BAOWN L1lypgpq RgQi� �. 35.OG 35.00 25{ B.]5 2fi.25 400
R2 2399 HO�D TqBLE t 3 (�IB6 1 5.�� 5.00 356 1.]5 3.25 �/4
TOTAL Hi05S 6(J.E A[Q)pRf 1•1fi/.50
n����6 T�L 1.161.50 ,
L656 IX!¢�IIBBION d72.66
L�P�'� �6 ]5.00 �
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'NfAL ITDS: 39
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8
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. __________________�________��_____�____�________�__-______________________________________-______��______________�____�________
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• Lnls
81 228 8111�Ie NtT9 CLp��!p SWSg 1 t5_00 15.00 25s 3.75 tt.25 319
ilV C�SE
dt 339 ffi]t A!m CIOfgIN6 itl G58 1 1).50 11.50 25� <.38 i3.i2 300
. R1 330 1%f pOLL (pRqGpp)�p q�� y� � E0.00 2p.00 35! 5.00 15.00 3t9
� S QipT�S
Rl 231 2-PICl�s 1 32.50 22.50 ]5� 5.63 16.8] 385
Rt 233 S9AY, Bpop YABl�-- 1 2].50 za.sa ssa 5.63 16.81 316.
R1 233 4-OOL45 (1-CANCIYL p�,y) 1 3_00 2.00 35a .)0 1J0 � 319
R� 231 �L�ER�pLL �tl DRESS � 8.00 8.00 35t 3.80 5.20 d04
R1 233 L41R LpT yZg2 TgA SET_�pgqglA -� 3.00 3.00 35� 1.05 t.95 � 303
g� �6 ='�T� ' 1 2.00 - 2.00 35l .tp 1_3D 31E
Rt 238 OfDPB fiI(�1pp �pp5 1 22.50 22.50 25e 5.63 16.81 3a)
a1 2�0 8ID 6LIPP�15 (p{�-°y5) t t0.00 10.00 35! 3.50 6_90 39]
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I
I
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� ACTOt�L 6IS66 T02AL i62.00
" i LPSS C/3➢RbsloN . 13.32
i
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. xvr�c ws To ffi'u� 118_78 '
�vee :
REV4510 EX+(0&09)
pennsylvania SCHEDULE G
DEPARiMENT OF REVENUE INTER•VIVOS TRANSFERS AND
iNHERiraNCer,vcReruaN MISC. NON•PROBATE PROPERTY
RESiDENT DECE�ENT
ESiATE OF FILE NUMBER
WILLIAM H. BARNDT 2� �2 ���2
This schedule must be completed and fled Bme answer to any of questions 1 ihrough 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY
iNCwoerHeruMeoFrnEraaNSFEaee,THeaaeunoNSwPTOOeceoerrtnwo DATEOFDEATH °�OFDECD'S EXCLUSION TAXABLE
NUMBER THE�ATEOFTRANSFER.ATfACHACOPYOFTHEDEEOFORRE4LESTATE. VALUEOFASSET INTEREST pFnPaucn�� VALUE
1. Charles Schwab Trust Account#1154-2624 423,803.23 100.00 423,803.23
See list attached
2 CharlesSchwab401 (k) 78,122.91 100.00 78,122.91
3 T Rowe Price Acct#523461992-2 26,514.99 100.00 26,514.99
4 Oppenheimer Account#A09-0040864 182,435.72 100.00 182,435.72
,
TOTAL (Also enter on Line 7,Recapitulation) $ 710 876.85
� If mo2 space is needed,use additional sheets of paper of Me same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
WILLIAM H. BARNDT 21-12-1172
Schedule G—Inter-vivos Transfers and Misc. Non-probate Property
Charles Schwab Trust Account#ll54-2624 Page 1
Stocks
14,730.13 sh Cash @ 1.00 $14,730.13
702.247 sh American Century Utilities @ 16.88 $ll,853.93
150.657 sh Cohen & Steers Rlty @ 68.49 $]0,318.50
714.463 sh Columbia Select Small Cap F @ 15.50 $]1,074.18
315.041 sh Driehaus EMG Markets Growth @ 28.61 $ 9,01332
926.784 sh Fidelity Gov't Income FD @ 10.6] $ 9,833.18
866.749 sh Fidelity Growth& Income FD @ 21.29 $18,453.09
739.86 sh Fidelity Muni Income FD @ 13.54 $]0,017.70
123 sh Frontier Communications Cor @ 4.835 $ 594.71
913.523 sh ICON FDS Energy FD CLS @ 19.31 $17,640.13
190 sh Intel Corp @ 21.455 $ 4,076.45
941 sh PNC Financial Services Group @ 59.545 $56,031.85
Accrued Dividend 376.40
784.52] sh Scout Small CAP Fund @ 16.51 $12,954.09
1,131.179 sh T. Rowe Price Equity Income @ 26.48 $29,953.62
1,086.942 sh T. Rowe Price GNMA FD SH BEN @ 10.06 $10,934.64
996.504 sh TIAA-CREFF IHIGH�eld Fund @ 10.40 $10,363.64
624.597 sh Vanguard European Stock Ind @ 25.01 $16,07135
1,692.137 sh Vanguard High Yield Cotp. BD @ 5.08 $10,288.19
1,926.4 sh Vanguard High Yield Ta�c Exe @ 11.27 $21,710.53
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
WILLIAM H. BARNDT 21-12-1172
Schedule G—Inter-vivos Transfers and Misc. Non-probate Property
Charles Schwab Trust Account#1154-2624 PAGE 2
1,687.493 sh Vanguazd Inter Term Taac Exe @ 14.40 $24 299.90
,
1,737.48 sh Vanguard Long Term BD Index @ 14.60 $25 367.21
,
850.87 sh Vanguard Long Term Treas FD @ ]3.25 $11,274.03
954332 sh Vanguard Short Term BD Index @ ]0.66 $10,173.18
709.409 sh Vanguard Wellington FD @ 34.48 $24,460.42
516 sh Verizon Communications Inc. @ 45.555 $23,506.38
Accrued Divident 265.74
788.538 sh Wells Fargo Adv.Asia Pac FD @ 10.05 $ 7,924.81
896.057 sh Wells Fargo Adv. Gov Sec FD @ 11.43 $10.241.93
$423803.23
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
WILLIAM H. BARNDT 2�-12_���2
Schedule G—Stocks & Bonds
OppenheimerAccount #A09-0040864
450 sh Merrill Lynch MERPRF @ 25.21 $11,344.50
CA P TR V
300 sh Claymore Exchange TRD @ 26.56 $ 7,968.00
FD TR GUGG BULL 2015 BSJF
380 sh Claymore Exchange TRD @ 26.40 $]0,032.00
FD TR GUGG BULL 2014 BSJE
262 sh BP PLC @ 43.295 $11,343.29
180 sh Boeing @ 73.91 $13,303.80
185 sh Campbel] Soup @ 35.345 $ 6,538.83
300 sh Central Fund of Canada @ 22.28 $ 6,684.00
83 sh Commonwealth REIT @ 14.665 $ 1,217.20
72 sh Frontier Communications @ 4.835 $ 348,�2
42 sh Motorola Solutions @ 50.50 $ 2,121.00
490 sh Pfizer @ 25.80 $12,642.00
]00 sh Exxon @ 92.71 $ 9,271.00
300 sh Verizon @ 45.555 $13,666.50
500 sh Barclays YLD ETF SPDR Series TR @ 40.495 $20 247.50
,
2 sh Barclays BK PLC @ 34.24 $ 68.48
55,639.50 sh Prudential Money Market @ 1.00 $55,639.50
$182,435.72
REV-1511 EX•(10-09)
pennsylvania SCHEDULE H
OEPAR7MENT�F REVENUE FUNERAL EXPENSES AND
INHERITANCETAXftETl1RN ADMINISTRATIVE COSTS
RESIDEN7 DECEDEN7
ESTATE OF FILE NUMBER
WILLIAM H. BARNDT 21 12 1172
DeeedenPs debis must be reported on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERALEXPENSES:
1. Auer Funeral Home 1,664.92
2 Trinity Evangelical Lutheran Church -- Funeral Luncheon 224.79
3 Condolence Book 21.00
4 T. Koch -Organist 25.00
5 D. Snook-Burial Service 50.00
6 Christiansen Memorials-Engraving Marker 305.00
B. ADMINISTRATIVE C�STS.
1. Personal Representative Commissions:
Name(s)ot Personal Representative(s)
StreetAddress �
City State ZIP
Year(s)Commissio�Paid:
p, nnomeyFees: Cipriani &Werner, PC 14,114.00
3, Family Ezemptan:pf decedenPs address is nol the same as claimanYs,attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Prona�eFees. Registerof Wills 373.50
5 accounpntFees: Craig Kem CPA 675.00
2012 Personal and Trust Tax Preparation
6. Tax Retum Preparer Fees: Mack Gerberich PC 600.00
Preparing Fiduciary Income Tax 2012 and 2013
7. Executor's Expenses- postage, envelopes, etc. 133.59
8 Register of Wills- Filing Fees 30.00
9 Notary Fees 20.00
TOTAL(Also enter on Line 9,Recapitulation) S �g 236.80
If mae space is needed,use additional sheels of paper of ihe same size.
REV-1512 EX+(�p-72)
pennsylvania SCHEDULE 1
OEPARTMENTOFREVENUE DEBTS OF DECEDENT�
INHERITANCEiAXRETURN MORTGAGE LIABILITIES& LIENS
RE5IDENTDECEDENT
ESTATE OF FILE NUMBER
WILLIAM H. BARNDT 21 12 1172
RepoR debts incurred by the decedent prior to death Nat remained unpaid at the date of death,including unreimbursed medical ezpenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PA Department of Revenue 59.00
2 S. Reisinger LawnService 135.�0
3. UGI Utilities 110.88
4. Camp Hill Fire Company No. 1 25.00
5. PPL Electric Utilities 79.73
6. Pennsylvania American Water 48,05
7. Comcast 8.97
8. S. Reisinger Snow Removal 40.00
9. Viampden Township Authority � 155.05
10. UGI Utilities 133.64
11. The Frugal Decorator 150.00
12. Central State Garage Door 168.00
13. 68R Locksmith 271.00
14. Comcast 41.44
15 See Supplemental Page attached 13,146.27
TOTAL(Also enter on Line 10,Recapitulation) 5 �4 572.03
If more space is needed, insert additional sheets of the same size.
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
WILLIAM H. BARNDT 21-12-1172
Schedule I-Debts of Decedent,Mortgage Liabilities, & Liens
15. Lebanon VA Medical Center 45.00
16. The Frugal Decorator 150.00
17. Messiah Lifeways at Messiah Village 200.00
18. United States Treasury 376.00
19. PA DepaRment of Revenue 322.00
20. Your Clea� Team 259.70
21. Capital Cazdiovascular Associates 25.00
22. Home Instead Senior Care 3,283.66
23. 1IeaRland Pharmacy 1,712.18
24. Elevator Ready 300.00
25. Messiah Lifeways at Messiah Village 1236
� 26. Holy Spirit Hospital 1,27330
27. Health Network Labs 15.00
28. R&J Painters(Labor& Supplies) 4,437.16
29. The Frugal Decorator(Remove Junk Items) 390.00
30. West Shore EMS 186.50
31. Suzanne Reisinger Lawn Care 140.00
32. Concast I5.00
33. Apria Healthcare 3.41
Supplemental Total: $13,146.27
REV-1513 EXt(07-70)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
BENEFICIARIES
INHERITANCE TAX RETURN
RESIOENT DECEDENT
ESTATE OF: FILE NUMBER:
WILLIAM H. BARNDT Z� �2 ���2
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE �
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee�s) OF ESTATE
I TAXABLEDISTRIBUTIONS [Includeoutrightspousaldistnbulionsandiransfersunder
Sec.9116(a)(12).]
t. Nancy DeNicola Lineal 438,741.32
307 Ash Street
Altoona, PA 16602
2 Kimberly Lowmaster Lineal 438,741.32
1049 Arch Street
Emmaus, PA 18049
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTIONS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1.
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $
If more space is needed,use additional sheets of paper of the same size.
_ __ __ __
.. , - . ;
LAST WILL AND TESTAMENT
KNOW ALL MEN BY THESE PRESENTS, that I, fIARVEY K. BARNDT, currendy
residing at 52 Little Run Road, Camp Hill, Cumberland County, Commonwealth of
Pennsylvania,being in good health and of sound and disposing memory do hereby make, declare
and publish this as my Last Will and Testaxnent,hereby revoking all former Wills and Codicils
heretofore made by me.
FIRST: I direct that all of my debts not barred by the statute of lnnitations,
expenses of my last illness, funeral expenses, costs of administration and clanns allowed in the
admuustration of my estate shall be paid by my Executor hereinafter naxned,from my estate as
soon after my decease as sha11 be found convenient.
SECOND: I give and bequeath my automobiles, household and personal effects and
other tangible personal property(not including cash, sectuities, or trusts), together with any
existing thereon to my daughters, HIMBERLY ANN BARNDT and NANCY L.DENICOLA,to
be divided among them as they may agree in as nearly equal shazes as possible,provided that if they
aze unable to agree then they shall make selections in turn with the oldest going first until the dollar
value of the items selected is as neazly equal as possible.
THIRD: I give all the rest, residue and remainder of my estate whether real,
personal or mixed, .and of any nature whatsoever and wheresoever situate to my daughters,
HIMBERLY ANN BARNDT and NANCY L.DENICOLA, in equal shares, per stirpes.
FOURTH: Provided that she agrees to serve without commission or compensation I
hereby nominate, constitute, and appoint KIMBERLY ANN BARNDT as Executor of this, my
Last Will and Testament and direct that she shall serve without bond. In the event that
HIMBERLY ANN BARNDT sha11 predecease me, or be unwilling or unable to act, as
aforesaid,then I nominate, constitute and appoint NANCY L. DENICOLA without necessity
for posring security regardless of state of residence, as Executor of this,my Last Will and
�1 � 1
Testament, provided that she agrees to serve without commission or compensation. All
references to the Executor herein sha11 be applicable to either substitute Executor.
FIFTH: My Executor shall have, in addition to the powers and authority conferred
upon her by law, the following additional powers and authority:
1. To sell at public or private sale, exchange,transfer,partition, give options upon,
repair, lease, mortgage,pledge or otherwise dispose of any property, real or personal, at any time
constituting a portion of my estate, and upon such terms and conditions as the Executor shall
deem wise.
2. To invest and reinvest any money at.any time in such bonds, stocks,notes, real
estate,mortgages, life insurance, annuities or other securities, or such property,real or personal,
as the Executor shall deem wise, without being lunited by any statutes or rule of law regarding
investments by the Executor.
3. To retain, without incurring any liability, as investments, any property owned by
me at the time of my death, as long as the Executor may deem it wise, and even though such
property is not the kind of properry an Executor would purchase as an investment; and even
though to retain such property might violate sound diversification principles.
4. To cause any securiTy or other properiy which may constitute a portion of my
estate to be issued, held or registered in the Executor's own name, or in the name of a nominee,
or in such form that title will pass by delivery.
5. To consent to the reorganization, consolidation, readjushnent of the financial
struchxre, or sale of the assets of any corporation or other organization, the securities of which
consritute a portion of my estate, and to take any action with reference to such securities which,
in the opinion of the Executor is necessary to obtain the benefit of any such reorganization,
consolidation, readjushnent or sale; to exercise any conversion privilege or subscription right
given to the Executor as owner of any securities constituting a portion of my estate resulting
from any reorganization, consolidadon, readjustrnent, sale, conversion or subscription.
6. To pay all costs,taxes, chazges and expenses in connection with the��.
administration of my estate, including such compensation to the Executor which shall be in
accordance with established fees throughout the period of administration of my estate.
'`-k�� 2
7. To determine what is "income"and what is "principal"hereunder, and the
Executor's decision thereon shall be fmal; and to purchase securities at a premium or discount,
and to apply or charge said premium ar discount against income or principal as the Executor may
deteinune.
8. The Executor may make payments to or on behalf of any person who is the
beneficiazy hereunder but in no event, however, shall payments be made to any creditor or other
such person because of anticipation of payment by the beneficiazy, and any such claim made by
way of anticipation by the beneficiary shall be of no validity or legal effect.
9. To borrow money from any person, firm or corporation, including any
corporation acting as an Executor hereunder, for the purpose of protecting and preserving or
improving my estate hereunder; to execute promissory notes or other obligations for aznounts so
borrowed.
10. To employ legal counsel, accountauts, brokers, inveshnent advisors, custodians,
managers and other agents and employees and to pay reasonable compensation out of my estate
or any funds held hereunder to which said compensation is attributable.
11. To carry on any business owned or controlled by me at my death for whatever
period of rime the Executor shall think proper, and the Executor shall have the power to do any
and all tivngs the Executor deems necessazy or appropriate, including the power jo close out,
liquidate or sell the business at such time and upon such terms as the Executor shall deem best.
12. To make distributions in cash or in kind.
13. To compromise controversies.
14. To do all other acts in the Executor's judgment necessary or desirable for the
proper and advantageous management, inveshnent and distribution of my estate:
SIXTH: I direct that all transfer and inheritance taxes, state or federal, assessed
because of my de�th, whether the funds,properry or insurance proceeds to which such taxes aze
attributable pass under this Will or not, shall be paid out of my residuary estate; that my Executor
pay, or provide for payment of all such taxes at such time, or times, and in such manner as my
Executors deem best.
�� 3
IN WITNESS WIIEREpg, I, HARVEy K BARNDT,the Testator to this,my Last Will
and Testament, typewritten on two sheets of paper.which I have identified at the bottom of each
page by my initials,hereunto set my hand and seal the�day of
2007:
� 7� _ �. 0 �--=
� HARVEY K. B T �
The preceding instrument consisting of this and three other typewritten pages, each identified by
the initials of the Testator,HARVEy g,BA�DT� this day and date thereof signed,published
and declazed by HARV�i y I{, gARNDT,the Testator therein named, as and for his Last Will, in
the presence of us who, at his request, in his presence, and in the presence of each other haue
subscribed our names as witnesses.
`�v�""� � , . ,� ��'.��u/
�
� 4
CONIMONWEALTH OF PENNSYLVANIA ;
: SS
COUNTYO� � ��1vQ.,U�
I,ELARVEY K.BARNDT, Testator,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 tl�erein expressed.
�
0
HARVEY K.B
Sworn or affirmed to and acknowledged before me by HARVEy K BARNDT, Testator,the
�� �� day of ).s.vu r�Y , 20Q7.
L�� /
�Ce-c-�-<G'r;li ic�/��j
�5��,� NOTARIAI SEAL Otary PllbLc �
DAVIU H RADCLIFF ./
Notary Public �
LEMOYNE BOROUGH,CUMBERLANO COUNtt -
, My Commission Expires Jun 29,2008
COMMONWEALTH OF PENNSYLVANIA :
: SS
couiv�oF u�r/3����-R-�>j .
We �U�/l/1/1� �4-ElC�rt� aud /S�/HLEE/y l� � �i/�P.�- , the
witnesses whose names aze signed to the attached or foregoing instrumeni, being duly qualified according
to law, do depose and say that we were present and saw Testator sign and execute the insirument as his
Last Will;that he signed willingly and that he executed it as his free and voluntary act for the purposes
therein expressed;that each of us in the hearing and sight of the Testator signed the Will as witnesses;and
that to the besYof our knowledge the Testator was at that time eighteen or more years of age, of sound
mind and under no constraint or undue influence.
`�,�� �: �- , �
Sworn or affixmed to and sub�s�cribed to before me by �,�iJAli� ��%cj��Anl and
�p'/�`«Csi/ G� /�/U5v4 witnesses,this_2�h`day of��U,g2+i 2007.
,
(SEAL) ���� �
, NOTARIAL SEAL Notary Public J �
� DAVID H RADCIifF
�'oiary Pubiic , �
LEMOYNE BOROUGH,CUMflERLqND CpUNTY
My Commisston Expires Jun 29,2008 5