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HomeMy WebLinkAbout10-03-13 i .-�--� REV-1500 �"°'^°' 1$p5610143 t►s . PA Department M Revanue pen va�ia ' 6FFlCIAi_USE ONCY �I 8ureau of Individual Taxes �^MTMe�F�E�«�F cw�nycaae re.r Fp.rmmoa PO BOX.280601 INHERITANCE TAX RETURN 21 1 g 017 5 ttarrisbur�,PA 17128-0601 RESIDENT dECEDENT E DECEDENT tNF6RMATtON 9ECOW 30 'al Security Number Data of Deatfi Date of Bidh 12 28 2012 03 14 1929 De denPS t.ast IVarrw Su�x DecetleM's First IVame MI HUGHEY CARROLL J (!f ppticabie}E�ter Surviving Spouse's Informatian Beiow Spo se's Last Name Su�x Spouse's Firet Name MI Sp use's 8ocial Security hfumber THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS �i �w aar�zoP�are av,+as s��aw � 1. Oripinal Retum ❑ 2. SuppiemeNal Retum � 3.Remalnder Retum(tlate ot Geaih � pdorto 12.18•82) [� ) 4. LNnited Es�Ue CJ 4a{wq a�ce.�,�4r�� t�2-12n�} ❑ b. Fedeiai EEtaM Tax RflWnt RequkEtl � g, DaasOent DNtl TeMMe � �, De�n t MeinleiMd s LivinB TNe1 � B, Totel NUtt14@f o(Safe�BpO41l BoxeB (Allsc�CWY o/NAI� (Attecll CuM'dTNrip � 9. litlgeibn PrCCaetls Recei+�f � 10.bet�iva�e t�2at B,��-t�-&S}�aeath Q 1 t.EkcUOrf tb tatt under Sec.8513(A} (AtiacM1 Sch.O) CO RESP4NDENT•THIS SECTION MU3T BE COMPLETED.ALL CORRESPONDENCE AND CONFIqENTIAL TAX INFORMATION SHOU�D BE DIRECTED TO: Na e Deytime Tele{�o�Numbar � C AZG A DZ&HZ, ESQUZRF CPA 717 763 :2-613 c-s w � � �I�lER OF 1�S tiSE�LY -"? ::t3 --t fl+ mZCa _..� cr Fi t Iine of addresa r" � r:r '°� v 3 64 TRINDLE 12QAD '�°= "'- �.' � ~� ,%, ts � rl� � ,,.� 2` 'n `TF . S rW line of addrese � z.:� z.> -- , �-=} �„� 4'" � : C'7 �a ,y r'- m �� __� bA E0� cs C ar Post Office State Z!P Code C MP HI7,L PA 17011 C esponaearse�,naiisaareas: ediehf�cadiehi[aw.com u ` ,�i:a°8�''p�oeda�ra`ao�°a����n�ao�,e''������s�°�on e°i�non mwm n���e°�r na sm k e e�d t,�ier, Ft�i FI11hXi �TE � � Deneen C.Riccio / AD E6S 3 82 Enola Road,CariF&le, PA 17015 $ICa TURE qF PFtEPMER pTMER THF R RESENTATIVE DATE ` Craig A Diehl Eequire CPA R E 64 Trindie Road, Camp HiU, PA 17011 Side 1 � 15056101M3 150561t1143 � lT'� _ _ , I 1505610243 ��� II' REV-1500 EX '�, DecedenYs Social Security Number o�a�,r.N�: HUGHEY, CARROLL J ECAPRULATION 1. Real Estete(Schedule A).......................................................................................... 1. 15 7 � 5 0 0 . 0 0 2. Stocks and Bonds(Schedule B)............................................................................... 2. 3. Closely Held Corporalion,Partnership or Sole-Proprietorship(Schedule C).......... 3. 4. Mortgages&Notes Receivable(Schedula D).......................................................... 4. 5� Cash,Bank Deposits 8 Miscellaneous Personal Property(SChedule E)................ 5. 1 4 � 1 7 0 . 8 5 6. JoinUy Owned Property(Schedule F) ❑ Separete Billing Requested............. B. 1 0 9 . 8 5 7. Inter-Vivos Transfers&Miscellaneous Non-Probate PropeAy (Schedule G) ❑ Separate Billing Requested............. 7. 8. Total Grosa Assets(total Lines 1-7)....................................................................... 8. 1 7 1 � 7 8 0 . 7 0 9. Funeral Expenses 8 Administrative Costs(Schedule H)......................................... 9. 13 , 8 5 4 . 9 3 0. Debts of Decedent,Mortgage Liabilities,&Liens(Schedule I)................................ 10. 3 6 � 2 4 2 . 7 5 1. Total Deductlons(total Lines 9 8 10)...................................................................... 11. 5 O , 0 9 7 . 6 8 2. Net Value of Estate(Line 8 minus Line 11)............................................................. 12. 1 2 1 , 6 8 3 . 0 2 3. Charitable and Governmentai Bequests/Sec 9113 Trusts for which an election to tax has not been made(SChedule J)................................................. �3. 4. Net Value SubJect to Tax(Lina 12 minus Line 13)................................................. 14. 1 2 1 , 6 8 3 . 0 2 AX COMPUTATION•SEE INSTRUCTIONS FOR APPLICABLE RATES 5. Amount of Line 14 taxable at the spousal tex rate,or transfers under Sec.9116 (a)(12)X .00 15. 6. Amounf of Line 14 taxable at lineal rate x oa5 121 � 6 8 3 . 0 2 �6. 5 � 4 7 5 . 7 4 7. Amount of Line 14 tarzable al sibling rate X .�p 17. 8. Amount of Line 14 taxable al collateral rate X .15 18• 9. 7ax oue..................................................................................................................... �9. 5 � 4 7 5 . 7 4 0. FILL IN THE OVAL IF YOU ARE REQUESTING A REPUND OP AN OVERPAYMENT. ❑ Sid@ 2 1505610243 150561U243 J _ __I _ -- -- _, . _ . _ _ . _ RE�'-1500 EX Page 3 File Number 2 7 . 1 3 - 0175 De edenYs Complete Address: Hughey, Carroll J ST EETADDRESS 3292 Enola Road CI STATE ZIP Carlisle PA 17015 Ta Payme�ts and Credits: 1. ax Due(Page 2,Line 19) (1) 5,475.74 2. redits/Payments � Prior Payments . Diacounl Total Credit9(A +g) (2) 0.00 3. nteresl (3) 0.00 q. I Line 2 is greater than Line 1 +Line 3,enter the difference. This is tha OVERPAYMENT. �q� Check box on Page 2 Line 20 to requeat a refund 5. I Line 1+Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) 5�475.74 Make Check Payable to: REGISTER OF WILLS, AGENT. ;"�"3�'�'��xht.w�.,.<....t,'.�i.a,'.�3�...._u..b�.'��'L'i�s;..<'s'.-,r:�.. , ......c�.v... ..�,�.,i�, �iE".... 1i. ..u,.'v�.'�'t '�vL:�.�re`w�e � �Y'v��rS"� �°.io��� PLEASE ANSWER THE POLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. ralain the use or income of the property transferred:.................................................................................. x b. retain the right ta designate who shall use the proparty trensferred or its inwme:.................................... � � c. retain a reversionary interest�or.................................................................................................................. X d. receive the promiae for lite of either paymenis,banefita or care4.............................................................. X 2. If death occurred afler December 12, 1982,did decadent trensfer property within one year of death without receiving adequate consideralion7....................................................................................................................... ❑ � 3. Ditl decedent own an"in trust for' or payabb upon death bank account or security at his or her death?......... � �x 4. Did decedent own an Individual Retiremenl Account,annuity,or other non-probate property which ❑ ❑ contains a beneficiary designation?.................... . ... ....................................... x IF E ANSWER TO ANY OP THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. t � , . ..�:.? ,.�' ..iw,. '��ii :.:'k"�`--`�� . f_. �f`L� v� :'��P4`�: 6cMC t..i6 :.k"'�.3� 1 . For eles of death on or efier July 1,1994 and before Jan.1,�995,the tax rate imposed on the net value of transiere to or for the use of the surviving spou a is 3 per�nl[72 P.S.§9116(a)(1.1)(i)1. For atea of death on or after January 1,1995,the tax rate imposed on the nel velue of transfers to or for the use of Ihe surviving spouse is 0 percent p2 .S.§9118(a)(1.1)(ii)]. The sfetute does not e�rempt a trensfer to a surviving spouse from tax,and the statutory requirements for discloaure of asse and filing a tax rafurn are still applicable even�f tfie surviving spouse is the oniy beneficiary. For ates W dealh on or aftar July 1,2000: •Th lax rete imposed on the net value of transfers from a deceased child 21ye ars of age or younger at death lo or far the use of a netural parent,an ed ptive parent,or a stepparent oi the child is 0 percent p2 P.S.§9116(a)(1.2)]. •Th 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 .S.§9116 12)[72 P.S.§9116(a)(1)1. •Th tax rate imposed on the ne!value of transfers to or for fhe use of the decedenPs siblinga is 12 percenl[72 P.S.69116{a)(1.3)1. A sibi ng is defined under Section 9102,as an individual who has at least one parent in common with the decedent,wfiether Dy blootl or adoption. _ _ _ _ � SCHEDULE A � TM„�,,,v,,,, REAL ESTATE IME��NCE TN(RETURN � PEBIOEMOEGEOEM ESTATE F Hughey, Carroll J FILE NUMBER 21 - 13-0175 All real p pe owned sole{y or as a tenant in common muat be re�portsd at fair market value. Falr market value Is deflned as the prlce at which p opert would be exchanged between a wiNing buyer and a wiNing seper,nekher befng compelied to buy or sell,both having reasonabl knowledge of the relevant facts. Real property which Is Jolntly-owned with right of survivorship must be disclosed on schedule . Attach e copy of the selllement sheat it the property has been sold. Include a copy af the deed showing decedenPs interest if owned as tenant in common. ITEM VALUE AT DATE OF NUMBER DESCRIPTION DEATH 1 3292 Enola Road 157,500.00 Carlisle, PA 17015 Assessment= $157,500.00 x. 1.0 CLR Factor TOTAL(Also enter on Line 7, Recapitulation) 157,500.00 . I � SCHEDULE E CASH, BANK DEPOSITS, & MISC. c Tnor�r»�srwraw PERSONAL PROPERTY INIERRANCETNIRETURrv MEBIOEH�OECFDENT FILE NUMBER ESTATE F Hughey, CB�roll J 21 - 13-0175 Include th proceeds of Iltigation and the date the proceeds were received by the estate.All property Jolntly-owned with the right of survivors tp must be disclosed on schedule F. ITEM DESCRIPTION VALUE AT DATE OF NUMBER DEATH 1 Citizens Bank-Checking Acct.#6100705854 734.31 2 Citizens Bank - Checking Acct. #6234005288 13,436.54 TOTAL(Also enter on Line 5, RecapltulaUon) 14,170.85 . _ _ _ _ . __ I� ' SCHEDULE F � CO ONWEALTHOFPENNSVLVANIA � INHERITANCETN(RETURN ; JOINTLY-OWNED PROPERTY RESI�ENT DECEDENT ESTATE F HUghey, Caf�011 J FILE NUMBER 21 - 13-0175 If an asse was made Joint within one year of the decedenYs date of death, tt must be raported on schedule G. SU VIVING JOINT TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT D neen C. Riccio 3292 Enola Road Daughter p Carlisle, PA 17015 Sh ryl A. Ward 221 Pine Boulevard Daughter g Orwigsburg, PA 17961 JOINTL OWNED PROPERTY: N ITEM LETfER DATE Indude name o i ancwl in�tRUQion an ban account numbe DATE OF DEATH %OF DATE OF DEATH NUMBER ���INT MADE or similar identifying number.Attach deed forjointiy-hald real VALUE OF ASSET DECD'S DECE ENrs i�rreaes'r TENANT JOINT estate. INTEREST 1 A, B 08/16/1996 Member's 1st Federal Credit Union 3Z9.58 33.3% 109.85 Acct.#72961-00 � I � I TOTAL(Also enter on Iine 6, Recapitulation) 109.85 - _ _ _ . _ _ _ SCFIEDIA.E H n�oc p�anvnrvw ���& INMERRpNCE TIJt RERIRN AI'NIR\�CT�A?1�Ic/+/X�TQ 0.EBIOEM oECEOENT fYJ111A1\F71 f W I IYG V W 1�7 FILE NUMBER ESTATE o Hughey, Carroll J 21 - 13-0175 Debts of decedent must be reported on 3chedule i. ITEM DESCRIPTION AMOUNT NUMBER FUNERA�EXPENSES: A. 1 Malpezzi Funeral Home- Funeral Expenses � 8,933.00 2 Mechanicsburg Cemetary Association -Opening & Closing Grave Costs 1,150.00 3 Mechanicsburg Presbyterian Church - Funeral Service Cost 100.00 B. ADMINISTRATIVE COSTS: t. Personal Representative's Commissions Name of Penonal Representalive(s) Street Address i .City Stale Zip I Year(s)Commission paid � z. nnor�eys Fees Law Offices of Craig A. Diehl 3,000.00 3. Family Exemption: (If decedenPs address is not the same as claimanYs,atWCh explanation) Claimant Street Addreas Ciry State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland County Register of Wills . 353.50 5. AccountanPs Fees � 6. Tax Return Preparer's Fees Z i Olher Administrative Costs 1 i Cumberland Law Journal- Estate Advertisement 75.00 i TOTAL(Also enter on line 9, Recapitulation) 73,854.83 __ I Scheckde H C MONVJEALTH OF PENNSYLVANIA I A .. ..F�I�I E/���E�& INHERRMlCE TA%RETURN /�'■n��yyp�'(�`a'��'N,� RESIOENf DECEDENT ESTATE F Hughey, Carroll J FILE NUMBER 21 - 13-0175 2 The Sentinel - Estate Advertisement 200.16 3 Law Offices of Craig A. Diehi-Reimbursement of DPW Certified Mail Costs 6.11 4 Citizen's Bank-Service Charge on Estate Checking Account 7.17 5 Citizen's Bank-Maintenance Fee on Estate Checking Account 9.99 6 Cumberland County Orphans Court- Family Settlement Agreement Fee 20.00 � I I � � � � i j Page 2 of Schedule H _ __ _ _ r I SCHEDULEI DEBTS OF DECEDENT, MORTGAGE ,„„�,,�E�,��,r�;^��^ LIABILITIES, & LIENS REB�EMOELEOENT I FILE NUMBER ESTATE F Hughey, Carroll J 21 - 13 -ot75 Report de ts incurred by the decedent prior to death that remained unpaid at the date of death, Including unreimbursed medical expenses. ITEM DESCRIPTION AMOUNT NUMBER 1 PA Department of Revenue-2012 PA Income Tax Liability 19.00 2 Pam Burkeholder- Lower Frankford Township Tax Collector-2012 Local Taxes 395.16 3 AmeriGas Propane- Final Gas Bill 280.00 4 Century Link- Finai Telephone Bill 91.76 5 Adams Electric- Finai Electric Bill 220.00 6 Direct TV- Final Television Bili 86.38 7 United Consumer- Loan Payoff 264.39 8 American Heart Association -Yearly Membership Fee 30.00 9 Citizen's Bank- Equity Line of Credit Account No. xxxxxx0933 34,856.06 TOTAL(Also enter on Line 10, Recapitulatfon) 36,242.75 4 __ _ _ REV-067J EXi(1 I�-081 i SCHEDULEJ CO MONWEALTMOFPENNSYLVANIA BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE F Hughey, Carroll J I FILE NUMBER j 21 - 13-0175 ! RELATIONSHIP TO I SHARE OF ESTATE AMOUNT OF ESTATE NUMBER NAME AND ADDRESS OF PERSON(S) �. DECEDENT I (WOMs) ($$$) RECEIVING PROPERTY De Net Lbt Tru�l�e�a) I, iTAXABLE DtSTR�BUTIONS[include oulrght spousal —` distributions and lrensfers �. under Sec.$116(a)(12)] � 1 Deneen C. Riccio Daughter 1/7 3292 Enola Road Carlisle, PA 17015 � Sheryl A. Ward Daughter 1/7 �I 221 Pine Boulevard I ' Orwigsburg, PA 17961 'I Tami G. Keck Daughter 1/7 309 E. Portland Street Mechanicsburg, PA 17055 I i i I i � � Enter dollar amounGS tor distributions shown above on lines 15 through 18 on Rev 1500 cover sheet,es appropriate. II NON-TAXABIE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN � i B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS II i TOTAI OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET O.00 . _ _ _ REVd610E%+(8 0) ' SCHEDULEJ �o MONWE�LTHOFPENNSYLVANIA BENEFICIARIES continued INHERRANCE TAX RENRN RESIDENTDECEDENT ESTATE F Hughey, Carroll J FILE NUMBER 21 - 13-0175 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBE NAME AND ADDRESS OF PERSON(S) DECEDENT ; (WOMs) ($$$) RECEIVING PROPERTY Do Nat Lirt Tru�layq I, TAXABLE DISTRIBUTIONS[include outright spousal �'� disiribulions and lransfers '�.. under Sec.5116(a)(12p I, Kim P. Hughey Daughter 1/7 276 Ridge Hill Road Mechanicsburg, PA 17050 Lucinda S. Aaronson Daughter 1/7 I 101 East Main Street, Apt. 3 ' j Mechanicsburg, PA 17055 ' i Georgina H. Buziak Daughter 1l7 288 Red Cedar Lane Marietta, PA 17547 Gregory M. Hughey � Son 1/7 431 West Simpson Street ' �� Mechanicsburg, PA 17055 �, i I i i, I � '; ' I � � i I I I I � I � Page 2 of Schedule J _ ; __ �c`��� ���� c`�xl.� l'J��,'�'�c��1�x1� OF CARROLL J. HVGHSY I, CARROLL J. I3IIGHEY, of Lower Frankford Z'ownship, Cumberland ounty, Pennsylvania, being of sound and disposinginind, memory and _ . _ _ _ _ _ ._ __ __ _ _ _ ___ _ __ _ _ nderstanding, do make, publish and declare this to be my Last Will - nd Testament, hereby revoking and making void a11 pYevious Wilis nd Codicils heretofore made by' me . FIRST I order and direct my peraonal representatives hereinafter amed to pay all of my juat debts, -funeral expenses and exp�naes nvolved or connected with the admin'iatr�tion of my estate as sooa fter my death as reasonably possible. However, my person�l epresentatives need not accelerate and pay those unmatured bligations which, in their opinion, it might be proper and more dvantageous to retain or renew and pay as they become due and ayable . I hereby authorize and direct my personal representatives o have my physical remains interred at the Mechanicsburg Memorial emetery. PAGE 1 OF 5 �;�'f�% � I ' I L�AST WILL AND TESTAMENT OF CAI2RC}LT, J. HUGAEY I � � s�carm I g}ve, devise and bequeath the rest, residue and remainder of y astate together with all insurance praceeds thereon of hatsoever nature and wheresoever situate in equal shares to my �hildren, SHERYL A. WARD. DffiNBSN C. R2CCI0, KSM 8.. ��88Y, LLIGTAiDA . AARBNSON, t380Rt�INA H, P�NDSLTON, TAtfi� G. 'ICECK, aad t�31�H{�ORX M. _ --._.__ ___ ____ - _ ___ - .. . ---- _ __ _ __ __ . C3�EY, who aurvive me by thirty (30) days, per stirpes . I direct y parsonal representatives to divide ainong �ueh berieficzar�ee alI ersanal property of 'a sentimental r�r fami7:y nature (excluding �ash, stocks, bands and the like) , -including but - not� 3zmited to ewelry, househald goods, antiques, furniture and meznorabilia, in- � �ccardance with a separate memorandum which I may place with my i12 or deposit with- my attorney. In Che- --absence of suc�t ispasition by memorandum, I dir�ct that the eaid taslgibTe" pereOfiai"'" "' � roperty be divided between my residual 'beneficiaries with due ' egard for their personal preferences in as nearly equal shares as ractical, with the value of such dispositions being credited to he� share of each respective recipient. I£ the said benefieiaries- - o not agree to the da.vision of the personal property pravided for ereuncler, the decision af my persanal represantatives, including he decision ta sell the property at public or private saZe and istribute the proceeds therefrom as pravided hereinafter, shall be final and eonclusive on all parties. PAGE 2 C?F 5 f�.�:�+; _ _ _ _ . _ � ' ILAST WILL AND TESTAMENT OF CARROLL J. HUGHEY I ' T82RD I grant my personal representatives the following powers in , ddition to and not in limitation of such powers as my personal epresentatives shall hold by law: (a) To retain, all, property received including the. stock of , ny corporate fiduciary acting' hereunder, provided such property _ _ _ _ _ _ __ . . __ _-__ _ _ ___ ___ __ emains productive. - (b) To joi�-- in any corporation, partnership; ecapitalization, merger, reorganization or voting tr-ust p1an; to elegate autharity with respect thereto; to� deposit investments nder agreement@ and pay asaesaments; and generally to exercise all ighta of investors, including but not limited to, the voting of - hares . _ -, (c} To manage, operate,- repair, improve; mortgage or lea�e on' ny terms any reaZ=--estate held or owned by my estat�: ' (d) To operate any -business that I may own at my death. (e) To inveat any funds of my estate in any stocks, bonda, otes or other, securitiea ,or property,, real or personal„without- - -- - egard to the principle-of diversification or any other statute or eneral rule of law in their absolute discretion, it being my 'ntention to give my personal repreaentatives the broadest investment powers possible, providing such investments do not u necessarily prevent the prompt aettlement of my estate . PAGE 3 OF 5 C':-�' ;�`, I i� � � � LAST WILL AND TESTAMENT OF CARI20LL J. HUGFIEY ( {f} To sell or atherwise dispose of any presperty, real or personal, tangible or intangible, at any time forming a part af ,my �( state in any manner and an such terms and canditions as my ersonal representatives shall see fit in their absolute iscretiqn. � {g} To barrow rnone for the y payment of Caxes o-r for "any other . -- ____ _ ___ ___ _._.___ __ _ _ _. roper purpoaes in the administration of my estate, and to mortgage �r pledge estate assets as-security.- .. ' (h) To cornpromise claims without court approval ' including, ut not limitsd to, any-aontroversies .aith the Un;ted States- ot merica or the Commor�wealth of Pennsylvania concarning estate and - nheritanoe taxes on any interests that may pass under this my Last ill and Testament. (i) , To distribu�:e in cash or is� kind upon any d�vision ar ° �ietribution of my estate. ' (j ) To undertake any and a11 acts deemed neceasary and praper I �y my personal representatives for the proper, advantageous and rampt management of the. settlament of my estata. - - - .. - (k) In general, to exercise all powere in the management of y estate which any indivicival coulct exercise in the management of imilar property owned in his own right, upon such terms and onditions as to them may seem best and to execute and deliver all instzuments and to do a11 acts which they deem necessary or proper t carry aut the purpaees af this, my Last Will and Testament . ' PAGE 4 OF 5 f-`�r'°f' _ �.,�, . . � __ _ _ _ _. _ I T WILL AND TESTAMENT OF CARROLL J. HUGHEY FOURTH No interest of any beneficiary of my eatate, either in income r in principal, shall be subject to anticipation or pledge, ssignment, sale or transfer in any manner, nor shall any eneficiary have the power in any manner to charge or encumber his r her intAreat either in income or principal, nor shall the _ - . _ _ __ __ _ ____ ntereat of any beneficiary be liable or subject in any manner hi�e in th�--posaession of my personal re�Ye'sentatiives for the iability of such beneficiary. FIFT$ I nominate, constitute and appoint my daughters, SH�RYL A. -- ARD and IIENEEN C. RICCIO, as Co-Executrices of this my Last Will nd Testament . I direct thab- my personal- representatives ahall not - � e required to give or post bond for th'e' Paithful performance of heir duties in this or any other jurisdiction. IN WITN$8S iqFiSREOF, I hereunto set - my hand to this .my Last . �, ill and Testament this �_ day of �-��.�`���z�,,e.sij , 1996 . C ITNESS : �. Q . ric.C. ��r'L.��ifi-�� ���. �«-4%.l.GCi' CARROLL J. UGHEX:f P�— . PAGE 5 OF 5 i I ! I I �ST WILL AND TESTAMENT OF CARROLL J. HT3GHEY ( ACICNOWL87,}GffidENT 42+4IONF}EALTFI dF PENNSYLYANSA . . 83. OUNTY OP' CU/Y1B�lzc.iFn./L� • � I , GARROLL J. HTJOHEY, the Testatrix whose name is signed to _ he attached or_foregoizig .,instrument-,...hauing--been. dul�r.._qualifi�ci-.__ —... _ �ecording to law, do hereby acknqwledge that I signed and executed �he instrument as my Last Will and Testament; that I signed it illingly, and that I signed it as my free and voluntary act for he purposes therein expressed. _ � 7 �.��-�..Y �-. `7 .�,,n� . . CA�E2ROLL J. HE , , , . Sworn or affirmed and acknowledged before me by CARROLL J. I �^ C�HBY, the Testatrix, this It3'`�'` day of � ).t.u1,7�P:rx}ak.��— , 996 . _ � � Y �� �-a��� NOTARIAL SEAL HELEN E.RASMUSSEN,iVatary pul�Gc � Camp tli3l 8orough.CumherlaaGM Oaunry My Commissian Ezpires Aug.2, 1999 � � S � �ST WZLL AND TESTAMENT OF CARROLL J, HITGHEY ( AFFZDAYIT �flI+�dONWEALTH dF PENN$1'LYANIA . SS. �OUNTY Ol� ('v�1L�G�-�� . � � WE. � �� I),`e k � and c��/r9��/ G�. �/'�'C2� �he. witnesses_ whase_.namea._axe atLachect. to_-the _fnregoing. docurae�t-,____- ---- eing duly qualifiefl according to law, do depose anc3 say that we �ere present and saw Teatatrix sign and execute the -instrument as er Last Will and Testament; that she signe8 willing2y and that she xecuted it as her free and voluntary aet £or the purposes therein xpresse8; that eaeh subscribing witae�s in the hearing and sight f the Testatrix signed the Last Will and Testament as witneesed �nd that tn the best af our knowledge the Testatrix was at the time 8 or more years of age, af saund mind and under no constreint ar �ndue influence . �ti� � f�. � �/°��!�ar�,�! .. _. . T � Swarn ar affirmed. and suhscribed before me by t'`tkt �` • �2.�,f _,_ and �L�Gt.I-i L.. .Ni%LCE this � day f �,. '�'�'A",�7-�<1.f:.�- , 1996. f�„.:_--- ( ��� NOTARIAL SEAl.� � HELEN E.RASMUSSEN,Notary PuWic Csnp Mill Borough,Cumberland County - My(Ammi.^,sion Expivrix Auq.2,1999 '