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Home My WebLink About10-11-13 (2) _____ _ -r- ____ _ _ _ a � i J 15056],01D5 REV-1500 Ex�02_ll,��, .� OFFiC1AL USE ONLY PA Department of Revenue P��a Coun Code Year File Number Bureau of Individual Taxes �"E"�°�"�"` _ ry. ._ _ _ _ . Po Box 28osoi . INHERITANCE TAX RETURN Harrisburg,PA s��s-osoi RESIDENT DECEDENT �1 �� 3 � � ENTER DECEDENT INFORMATlON BELOW Sociaf Security Number Date of Death MMD�YYYY Date of Birth MMDDYYYY .. ��/�� 03/21/2013 : 12/05/1928 _ __ _. _ _ _ _ _. ___..__ _. Decednnt's Last Name Suffix Decedent's First Name . �y� __ Rendler ;James E ___ _ _ (If Applicable)Enter Sunriving Spouse's Information Below Spause's Last Name Suffix Spause's First Name �� _ __ ___. : __ __ .: __ ._. _ _ _ _. _ _ _ Spouse's Sociai Security Number � TNIS RETURN MUST BE FILED 1N DUPLICATE WITH THE , : _ . , _ , _ _ REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW C� 1.Originai Return p 2.Supplemental Retum p 3. Remainder Retum(Date of Death Prior to 12-t3-82) O 4.Limited Estate Q 4a.Future Interest Comp�omise(date of p 5. Federal Estate Tax Retum Required death after 12-12-82} � 6.Decedent Died Testate Q 7.Decedent Maintained a Living Trust . 8. Total Number of Safe Deposit 8oxes � (Attach Copy of Will} (Attach Copy of Trust.} O 9.Litigation Proceeds Received O i 0.Spousal Poverty Credit(Date of Death O 11. Election to Tax under Sea 9113(A) ' Between 12-31-91 and 1-1-95} (Attach Schedule O) . CORR�SPONDENT- TH1S SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULO BE DIRECT�Q�0: - Name Daytime Tefephone�ber . . __ _ . _ _ . _ ,_ Andrew C. Sheely, Esquire 717�9�7050 � m rn _ _ _ _ _ _ .__ __ __ _: _ � �_ ___..-, � c� �' . M2 S�it OF11W►.LS Ml�9E,�LY • � �,�. r' �""'.► t,�i R"t ,��,:�'" �"7 � First Line of Address � C!'` � ''� �` _. __...._ __.. __ _ ... _. __ _ _____ .._ _ .___ _ _ __ __.... __ C� � 127 South Market Street � � r,� "'� "� "� _ __. . _.... � __ ._ __..... . c.'� c� ..�; _.. __ _ __. __ ,Y-.. � .-- ___..__ .._ _.. . Second Line o#Address `•'"� � t..._, �.. '� - rn P.O. Box 95 � � � ...c rn o c.o "� City or Post Office . State Z!P Code DATE FILED _ . _ _ , _ __ __. _ _. _ __ __ _ Mechanicsburg p� 17055 � corresponaent�s e-mail address:andrewc.sheely@verizon.net Under penatties of pery'ury,I deGare that I have examined this retum,induding accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of pr�eparer other than the personal representative is based on all infonnation of which preparer has any knowledge. ATURE OF PERSON R SPONSI FOR- NG R URN nTC � nRF�c �� / �� Jeanne e R. Behel, Executrix, 208 South High Street, Mechanicsburg, PA 17055 SIG E OF P EP Q H RESENTATIVE ATF - /� �/ ��3 CCC • Andrew C. Sheely, Esquire, 127 South Market Street, P.O. Box 95, Mechanicsburg, PA 17055 PLEASE USE ORIGINAi.FORM ONLY . Side 1 � 1505610],OS 1505610105 � W f r � �50561�2�5 R�v-��aa Ex�� . Decedent's Social Security Number aecedenEs Name: REndlel', James E. ( � RECA�4TULAT90N 1. �eaE �state{Schedule A}. . . . .. . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . 1. . 2. Stc�ks and Bonds(Schecfu{e Bj . . . . ... . . . . .. . . . . . . . . . . . . . .. . . . . . .. . . .. 2. 3. Closely Held Corparation, Partnership or Soie-Proprietarship{Schedu�e C} . .. . . 3. 4. Mort�ages and Notes Receivab�e{Schedule D} . . . . . . . .. . .. . . . . . . .. . .. . . . . 4. 5. Cash: Sar.k Depos;ts and Misceiianeous Personai Pro�erty(Scheduis E}. . . . . . . 5. 12,189.48 E. Jointly Owned Property(Schedule F) O Separate Biliing Requested . . . .. . . 6. 177,570.61 7. Inter-Vivos Transfers&Miscel{aneous Non-Probate Prope�ty {Schedule G} O Separate Bilfing Requested.. . . . . . . 7. 8. Totat Gross Assets totai Li�es 1 throu n 7 . . .. �. 189,76�.09 � 9 }. . . . . . . . . .. . .. . . . . . . . . . . . 9. Funeral Expenses and Administrative Costs(Schedule H). . .. . . . . . . . . . . . . . . . 9. 9,997.10 10. Debts of Decedent,Martgage Liabiiities and Liens(Schedule i). . .. . . . . . . . . . .. 10. 15,526.53 11. 7otal Deductions(tota(Lines 9 and 10}. . . . . . . . . . . . . . . . . . . . .. . . . . .. .. . . . 11. ' 25,523.63 12. Net Value af Estate(Line 8 minus Line 11) . . .. . . . .. . .. . ... . .. .. . . . .. . . . . 12. 164,236.46' 13. Charitable and Govemmental 8equests/Sec 9113 Trusts for which , an eleetioei to tax has not been made(Schedule J} . . . . . . . .. . . . . . . . . . . .. . . . 13. 14. Net Value Subject to Tax(Lin� 12 minus Line 13) . .. . . . . ... . . . . . . . . . .. . .. 14. 164,236.46 � TAX CALCULATtON-SEE INSTRUCTIONS FOR APPUCABLE RATES 15. Amount of Line 14 taxable at the spousai tax rate,or transfers unc��r cec.9116 - {a)(1.2}X.0 15. r 16. Amount of Line'i4+�„�b(e at Iineal rate X.045 164,236.46 �6 7,390.64 17. Amount of Line 14 taxable at sibiing rate X.12 �7. 18. Amount of Line 14 taxable at caliatera!rate X.15 �g. 19. TAX DUE . . . . . .. .. . .. . . . . . . . . ... .. . . . . .. . . . . . . .. . .. . . . . . . . . . . . . . .. 19. 7,390.64 _ 2Q. FtLL 1N TEiE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p Side 2 � 1,5�561,0��5 1,5056�,D�QS � • REV-1'�00 EX(FI) Page 3 File Number �J, j� � �� Decedent's Complete Address: � DECEDENTS NAME James E. Rendler - �STRFFT A��RFSS ......_._. ... 271 Salem Church Road . ......._._........__ ____ _...__..._._......._...._._.._......._.....________.........._._.___...........-------._.._...._...__---___.._..__._---___...._.._.—.___. __.--�-----_...__.___----�--_._....._.____.__...._.......__._._..........._.._._....._._ _ � �'� STATE � ; ZIP Mechanicsburg � 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 7,390.64� 2. Credits/Payments � - A.Prior Payments .: $6,100.00 B.Discount 321.04 Total Credits(A+B) (2) 6,421.04 3. Interest - {3) 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. ' Fitl in oval on Page 2,Une 20 to request a refund. , �4� 5. 1f Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) $9fi9.60 Make check payable to: REGISTER OF WILLS,AGENT. `�� t� z r�t �. ;,E, �.� �� y ry � . . . .., , . .... . . . ��:s.. .... ..`. .,...F .�,'�.�Sa,'� , c ...i' s,�.�. . � ,.S�.`..?a��R�r....,.:r7.�."".`��.. . ,.., .,. <. . . . �.� .. . . . . . PLEASE ANSWER THE FOLLOWING QUESTI4NS 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 shal!use the property transferred or its income ............................................ ❑ � c. rstain a reversionary interest.................................................................................:............................................ ❑ � d. receive the promise for life of either payments,benefits or care?...................................................................... ❑ � 2. If death occurred after Dec.12,1982,did decedent transfer property within one year of death � without receiving adequate consideration?.............................................................................................................. ❑ � 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?.............. ❑ � 4. Oid decedent own an individual retirement account,annuity or ather non-probate property,which contains a beneficiary designation? ........................................................................................................................ ❑ � fF THE ANSWER TO ANY OF THE ABOVE QUESTlONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. � �' ��r+c�3� ;r �. 'x �� °'�`� :�,�t .,L,� x.�� '. � <' . .,�.s'r".�;�a, s� , . ., .. .. .. ,.. „. �'k`.. . . ...:�:�..�`a.n.. _:. .._. �'s . ...... . :. , ..., . . , . . .. . . . . . .,. .. 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 far the use of the surviving spouse is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate impased on the net value of transfers to ar for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1}(ii)).The statute does noCexempt 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 sunriving spouse is the anly beneficiary. For dates of death an or after July 1,2040: � • 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 naturai parent,an 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 decedent's fineal beneficiaries is 4.5 percent,except as noted in[?2 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent�72 P.S.§9116(a)(1.3)j.A sibling is defined, un�er Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. � REV�15o8 EX+(li-io} � �� `pennsylvania SCNEDt�LE E DEPARTMENT OF HEVENUE b/1SH� BANK DEPOSITS & MISC. INHER�ANCE?AX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: James E. Rendier 21-13-0399 _.......__.. _......._..... Include the proc�eds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disciosed on Schedule F. ITEM VALUE AT DATE NUMSER DESCRIPTION OF DEATN 1. Member's 1 st Savings Acct.No.7072-balance as of date of death $1,239.48 2. Decedent's personai property $550.00 3. Decedent's 2010 Hyundai Accent,VIN KMHCN4AC1AU406048-fair condition $10,0OO.�JO 4. Decedent's 1995 Ford pickup truck-poor condition $400.�0 ' TOTAL(Also enter on Line 5, Recapitulation) $ 12,189.48 If more space is needed,use additional sheets of paper of the same size. � , Page 1 of 1 ��.i�.� �s� r F�DE�tAL C�tEDIT�N��N Account Statement JAMES E RENDLER For Account: 0000007072 271 SALEM CHURCH RD MECHANICSBURG,PA 17050-8100 Reporting Period: 3/21/2013 to 3/21/2013 0000 REGULAR SAVINGS Balance $1,239.48 : � � , _ � c� . ! �� 19 �C�t� u n�" � �' �--�!�� f��h-r� i� �� G i� l � �,�� a� -�h� G�c�. � c.��-�. ..� f��%u-�� c=l��'�: i . , � . y�- r � .� � P � , . 4/9/2013 a REV-asog EX+(ot-�o) � �� =-j pennsylvania SCHEDULE F �� DEPARTMENT OF REVENUE INHERITANCE TAX RETURN 70INTLY-OWNED PROPERTY RESIDENT DECEDENT � ESTATE OF: FILE NUMBER: James E. Rendler 21-13-0399 If an asset became jointly owned within one year of the decedenYs date of death,it must be reported on Schedule G. SURVIVING70INT TENANT(S)NAME(S) ADDRESS RELATIONSHIP,TO DECEDENT A•Christine R.Clark 6879 Wertzville Road, Enola, PA 17025 Daughter 1. 11 � i B•Jeannette R. Behel 208 South High Street, Mechanicsburg,PA 17055 Daughter � .x -s �'Kathleen M. Reed 1462 41d Janal Ranch Road,Chula Vista,CA 91915 Daughter Barney D. Reed 1462 Oid Janal Ranch Road,Chula Vista,CA 91915 Son-in-Law �OINTLY OWNED PROPERTY: • � LEITER DATE DESCRIP'TION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMIIAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSEf INTEREST DKEDENT'S INTEREST ' i. A. 6120/2003 271 Salem Church Road,Mechanicsburg,PA 17055.Tax Parcel No. $153,000.00 50% $76,500.00 10-21-0285-104,per amount of sale on attached settlement sheet 2. B 12/28/2012 Metro BankAcct.No.2843423746 $18,378.38 100% $18,378.38 3. C. �/12/2003 Metro Bank Acct.No.512033580 $13,550.13 50% . �v6,775.06 4. C,D 9/1212008 Navy Federal Credit Union SavingsAccount No.3015297140 $2;328.25 33.33 $776.08 5. C 5121/2004 Integrity Bank Checking Acct.No.241005392 $7,949.62 50% $3,974.81 6. B 6/1312006 Morgan Stanley InvestmentAcxount $108,232.56 50% $54,116.28 r 7. B 6/13/2006 Integrity Bank Common Stock-1,146 shares at$25.392/share* ' $29,100.00 50% $14,550.00 8. B 6/13/2006 Integrity Bank Preferred Stock-500 shares at$10.001share* $5,000.00 50% $2,500.00 'non-publidy traded stock,repurchased by Integrity Bank 177,570.64 TOTAL(Also enter on Line 6, Recapitulation) $ If more space is needed,use additional sheets of paper of the same.size. � �� , , � � ' . � i � `; � � c;i � � l � t3 . . i � t ' - _ Tax Parcel No. �C��i� r' �.� 2�i=��'- � ��j 4 ___ � C�`�1 : �� ; � Z �, THIS DEED . - � � ;� � ^ , F 7 1 i `� �.�/ : . -� �� , s .,s �,_„ � , ,�G� . � ; .. .'.- �= ° MADE the � � day of ? �� in the year two thousand three(2003),betweea. # L "'Z � .._ �y � S E. RENDLER, widower of 2� Salem Church Road, Mechanicsburg, Cumberland County, � ... ;� sylvania,G1tANTOR � . . - �.:; � . , : . . .. - �� , . � ..� � A11�D � ` � � . � JAMES E. RENDLER, widower, of 271 Salem Church Road, Mechanicsburg, Cumberland County,. ; Pe�nsylvania and C'HRISTINE R. CLARK, of 6879 Wertsville Road, Enola, 17025,joint tenants �vith ; ; ; ' right of survivarship and not tenants in comman,GRANTEES. , � ; , : • A V�VITNESSE that the sa�id Grantor, for and in consideration of the sum of One_Dollar � T�, ($1.00)lawful money of the United States of America,unto him well and truly paid by the said Grantees 1 ;. r. at and before the sealing and delivery of these presents,t he receipt w hereo f is here by ac k no w l e d g e d,h a s � granted, bargained, sold, aliened, enfeoffed, released and confirmed, and by these presents does grant, � . bar in sell,alien,enfeoff,release and convey and confnm unto the Grantees,their heirs and assigns: � � � � . � �� ALL THAT CERTAIN house and lot of ground situate in the Township of Hampden, a �Cumberland County,Pe�nnsylvania,more particularly bounded and described as follows,to wit: � � . �� int on the westerl side of the ublic township road lrnown as the Salem � � BEGINNIl�IG at a po Y P Church Road, which point is thirty (30).feet west of the center line of said Salem Church Road, and � which said point is also located at the intersecrion of the westerly line of said Salem Church Road and the � .�southerly line of a fifty(50)feet wide proposed street laiown as Forrest Drive;thence along the southerly ''line of said �'orrest Dri��; Svuth 42 3egrees �5 m:ru�es �'Vest, one liur�c�d si�ty nine an� nine teath � � (169.9) feet to a stake on the southerly line of said Forrest Drive at otheT lands now or fornlerly of i �Samuel S. Fetrow and Zula M. Fetrow; thence along said other lands now or formerly of Fetrow, South � _ 103.43 feet to a stake at ¢ 39 degrees 21 minutes East, one hundred three and forty three one hundredths( ) t � the northwest corner of other lands now or fonnerly of Fetrow;thence along line of said other lands now ; or formerly of Fetrow, North 47 degrees 30 minutes East, one hundred seventy-five and two one- � hundredths (175.02) feet to a point on the westerly side of said Salem Church Road,which said point is : thirty(30)feet west of the center line of said Salem Church Road;thence along the westerly side of sa.id � : jSalem Church Road, North 42 degrees 30 minutes West, one hun c i re d s i x teen an d fi f t y-on e a n d o n e- 3 ; hundredths(116.51}feet to a point on the same at the point and plaGe of BEGINNING. � � � ; , SAVIl�TG thereon erected a one story brick and frame dwelling house,lrnown and numbered as ; ��271 Salem Church Road,Mechanicsburg,Pennsylvania 17050. � �; � iS � i� S i; " �'.;��°� ��. .� j �� .... i4,,:il�� .;��}:�� . �3 � � �� —--— _ —_ — --- . _ __ __ _____ _ _ _ . ____ _ __ _ _ � �'� . � ' � � x� 7 R 3 ' � � � - _. . . � . ' . - _ � � � � � �f .. 1 i � . i i � BEING THAT SAME PREMISES which Samuel S. Fetrow and Zula M. Fetrow,his wife,by � their deed, dated July 15, 1964 and recorded in the Cumberland County Recorder of Deeds Office in ; Deed Book 21-G Page 1073,granted and conveyed unto James E.RendleT and Ruby L.Rendle�r,h�s wife. The said Ruby L. Rendler being seized of the premises died on the 17�' day of August, 2000, thereby vesting fee sim�le title in James E.Rendler,her surviving spouse and the GRANTOR herein. � THIS C0IVVEYANCE IS FROMA FATHER TO FATHER AND HIS DAUGHTER `� „ AND IS EXEMPT FROM REAL ESTATE TRANSFER TAXES. � �� ;� iTNDER AND SIIB.TECT, NEVERTSELESS, to restrictions and conditions as set forth in �; � � prior deeds of record. ' ' � , � TOGETHER with aIl and singular the buildings, improvements,ways, streets, alleys,passages, wateTS,wate�r-courses,rights,liberties,privileges,hereditaments and appurtenances whatsoevez thercunto � belonging, or in any wise apperta.ining, and the reversions and remainders, rents, issues and p�ofits � � thereof; and a11 the esta.te, right, title, interest, property, claim and demand whatsoever of him, the said + Grantor,in law,equity,or otherwise howsoever,of,in,to or out of the same. .. TO HAVE AND TO HOLD the sa.id lot or piece of ground above described,with the buildings � and improvements thereon erected, hereditaments and premises hereby granted or mentioned, and � � inte�nded so to be, with the appurtenances, unto the said Crrantees,their heirs and assigns,to and for the � , unly proper use and behoof of the said G�rantees,their heirs and assigns,forever. ; , , �� AND T'HE SAID Grantor hereby covenants and agrees that he will warrant specially the i �F o hereb conv ed. ' � PI' P�Y Y e3' IN WITNESS N'HEREOF, the sa.id Grantor hereunto set his hand and seal the day and year first above written. � " �� i Signed,Sealed and Delivered ' r � ' �in the presence oi . -� � - ' / r, +� i �. t' `. !�, / . /, 'i _, �, � � � �� .�.i.. I �� J � � � s �.:�'�3fV��"G 1•-''{� •�-C,.,�' 'r' .-,� M ��Witness r' JAlV� E.�tENDLER � �° � � �� i� . , � 3 ; ; f � � � � i � ! � . � t�� ,�, ry r�,. ::�j �� . ��'~� r`•...`.��$ ,�,;:�.tL,1i�� • , . � OMB Approval No.2502-0265 , -�-�•: A.Settlement Statement(HUD-1) FINAL ' � �. 6.Fiie Number. 7.Loan Number. 8.Mortgage insurance Case Number. `` 1.❑FHA 2.❑RHS 3.��v.Unins. 73.2906NM 73p217882 :�' 4.❑VA 5. X�Conv.lns. � C.Noce:Ttds form is turnishcd to give You a statertknt ot aetusl seldemeM wsts Amourxs paid to and by tAe sedlert�ent apents arc sMown.IEertw marked . •"(P.o.ar wue psid oulside Me doain�they are shown here for iniort�aEOre�PwPOSes and are:at indutled in fhs tonls. � D.Name 8 Address of Bortower: E.Name 3 Address of Seller. F.Name&Address of Lender. • �: Joel T.Bodcsnar.►Aagan T.Bookamet Clr.stine R.Clark Real Estate Motyage NeN+ak.Ine. � 1�G2 Peylon Randolph Curt Naw CumbeAa�d.PA 271 Sakm Churdi Road.M�niabw9•PA 1)050 499 Tlamai S�heel Ediaai,NJ 08837 77070 G.Property location: H.Settlement Agent: I.Settlement Date:08/1612013 271 Satem Churoh Road ►�b�+��LP. Disbursemern Da6e:OS/76I2013 Mechanies6urg.PA 17050 1250 No�tli Yourdan Road.Marti�urg.PA 17112 10-21-0285-704.Hartipden Tawnship Tdeptane:7t73643110 Fax:777.�64-3744 Piaoe ofi SettlemeM: T�� 1250 NoM�Road.Harrisbrg PA 1717� Printed 08/15/2013 at 3:02 pm .. bY BG 190. 4bas11mowkDwUomBanora �09. QeasM�oaitDu�eoS� . 101. Cantraetsaksprioe 153,000.00 401 Corkact saks ptice 153�000.00 102. PeBa�al 402. Peraonal � 103. S�aertbnt dwges b ba^ow'er l�e��001 5J48.36 �03. 104. �. . 705. �. for�ns sNainadwrKe (ariEr�a s�ain�dvMwe 106. C�lylbwn� b 106. C'ilylbwn taces b 107. Counly faxes OBI762073 b 1?131fZ013 1�.56 407. Cotnty ta� OBI1K2013 to 1?ldlldDt3 139.56 108. Asoe� b � �' � 1O �pg. Schoolt�es OBnB!l073b06r3G�1074 �.�07.56 409. Sdad�es OBM62073bOGl.iWI01a �.�07.56 710. Sawer&Trash OBl162013 b 09�Ofl013 77.52 410. Sewar 3 7rasn OBM6R013 b OXdQ�Y013 77.52 11t 41L 112 472 120. prossMoiM�tDuefiom8onow► 160,073.02 420. Grois Mioa�t Due b SeMer 150.32l.64 1D0. Mios�ls Paid or in 8ehalF d Barowr 500. FO�dur.fiors b Mio�nt Dutm Se�er 201. Depodt or aam�st eaneY 1.000.00 501 F�toeas d�poad{s�e i�ruceo�j , . 202. Pr6zqa�amou+t ot new baMs1 t18.410.00 502. Seflenw�t d�pes b seBx lfne 1400) 12.506.87 203 mken • Eo 503. s taken ' b 204. 50/. of fNal ban ' � 505. Payd(ot aeand enrlgsge ban 2� 506. 207. 50i. 108. Lender Crc3t 25.00 506. Z09. SelerAsast 4.590.00 509. SeYerAseiS 4,980.00 Fa�ens s�Nr for ibas se9�r 210. Cdyfbwntm.es b 51Q Ciydeownta+cae b 21 t. Caunly ta�ces � St t. Cotnly tmxs m 2t2 � o0 512. Atses�s k 213. 513. . 214. 574. � 215. 575. 2t6. 516. 217. 517. 218. 518. 519. 219. 75t.025.00 520. TodlReduetlonAmouikDueSeBK 17,136.87 �0. Tod Poid Bartowr 390. Cuh at S�tlwne�R AaN6o Bano�w► 600. Ceb�t S�nadto��om S�r - 30t. croas aewum aue rram oa►ower¢ne 1201 taro,o73.oz so�. cxass amaxt aue 10 selr iine 42(.'1 t5a,32a.se �, Lass arnounts Paid bylb�bara�(ine 2� 154.:n5.00 60Q. Less rsducior�a n arno�tit due ader(ine 520} 1�.13&87 303. Gsh ❑X Fran �ToBanow�r s.Wa02 693. 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Fbme Waratiy b 1NMriCit Flans Streld '�• ' S,748.38 12,546.8T �aaie c��ltiae o(do�ng by(B)orrower•(SleMx.(Uende�.(�}rvese►•aml1C�.'�c�d'ic ey lenex sr�ow,an page 1."'Cradd by seFx chown«,paga 1. vrevi«,s editions are obsaete vaye z of a r►uai � , �� 3801 Paxton Street 888.937.0004 Harrisburg, PA 17111 mymetrobank.com { . ;� �� ,->3 ,y ..3 �� James E Rendler � 271 Salem Church Rd. Mechanicsburg, Pa 17050 . Balances on Mr. Rendler's accounts on 3/21/2013 are as follows: �• 512033580 $13,550.13 opened 11/20/1987 Kathleen M Reed was added to account 512033580 on K z� Z..� �3� 7/12/2003. ��c c�-h�" c::.��G S��: �� ; ; • 2843423746 $18,378.38 opened 12/28/2012 Jeannette R. Behel was added to account 2843423746 , on 12/28/2012. �('��c�D Li-nT �-�'s t� G�r-r''I — l�t,��f'L�rr��z��'�� l,t.;i��? ��Y��-u',..,�; -{�'�" �� ` '� f��l�fles � ' u�c::. i,�-� }, ; J � NAVY • FEDERAL � in repiy refer to: � Credit Union w SO17689 '� � 17 May 2013 . �� - Mr.Barney D.Reed Mrs.Kathleen R. Reed 1462 Qld Janal Ranch Rd Chula Vista, CA 91915-1607 �� Dear Mr. and Mrs. Reed: On behalf of Navy Federal's staff and membership,I wish to extend our heartfelt sympathy to you and your family on the loss of your father,James E.Rendler. • We have completed settlement of his account and I hope that the following information is of assis- �. ta.nce to you. On Z1 March,your father's savings account had a balance of$2,328.25. Dividends '"' ..� credited to the account since that date increased the balance to$2,329.46 as of 16 May. As joint owners of the account,you are each entitled to the balance. However, in accordance with your ;; request,the funds have been made payable to the Estate of James E.Rendler. Our check is enclosed. � � Your father's account is now closed and the final statement will be forwarded at a.later date. ; If you have any questions or need additional assistance,please do not hesitate to call me toll-free at � 1-800-883-3323,extension 70818. You may also reach me by fax at 1-703-255-7963. Sincerel " , c Della West P�i:hn Enclosure: Check ., PO Box 3000 Merrifield VA 22119-3000 _ �r� - __ _ _ � xi i , , � Pa�e 1 of 1 � �� JAMES E RENDLER � as of:07 May 2013 20:45:07 EST �!'�'Ul�1�1 .. � 271 SALEM CHURCH RD SSN:***='"k-2485 MECHANICSBURG PA 17050-8100 Deposits Account Number Type of Account Open Date Current Balance Available Balance Account Status 3015297140 Membership Share Savings 09/12/2008 $2,329.22 $2,324.22 AEtive NFCU does not provide average balances.Yo request statements from our member or fax the request with the specified � 2 months of statemerrts needed.For inter rates,please visit our web site www.navyfederal.org. `� .� s� 7t � "� NFCU Representative: Date: "'� �� 4� f Navy Federa!Credit Union PO Box 3000•Merrifieid•VA•22119-3000 � ;„: � httn://svr-uad.nfcu.net/uadn�?/c�ntent/html/fi�n�tinnc/r,r;ntF�;Pn�1�Pa�P �,tri,1 ��/�n�Z r � � Integrity � B A N K '_{ �� t Illt8gl'1�B� ' �� 3345�Market Street �� Camp Hill,PA 17011 April 10, 2013 y To the�state of James E. Rendler; The balance of Nlr. Rendler's checking account, 201005392, as of March 21,2013 was � $7,949.62. The checking account was opened on May 10, 2004. • Kathleen Reed was added as a secondary owner on May 21, 2004. ' ;� � :� .:. Sincerely, . -�t , �� , Laurel L. Leitzel `' �.. EVP/CFO � ,¢ � � �: 33451V1�rrket Srreer,Camp Hill,PA 17011 •Phone:i17-920-4900•877-I-HAVEIT•Fax:717-920-4904•www.inte�vritybankonline.com f � Roy A.Oskvtis Wealrh Managemenc ��" Scnior Vict Preside�zt T�vo Town PIace � Branch ll�ianager Saite IQO � Bryn Mawr,PA 19010 � � tel 855 598 6729 Morgan Stanley direcr 6l0 542 2938 fax G10 520 2231 vwwv.rno�ns�u�ley.00rnl�/dxbiuernounraingroup roy.a.oskutis�morganstanley.com � . � � QS Q`(if�� . April 8,2013 � �� Q.��,_/�S �� G��c� � ��v�1��_ . � i � b�. . leannette R Behei 208 5 High Street Mechanicsburg, PA 17055 '�' :A RE: New Account Paperwork G � i� Dear Mrs. Behel, � , Please see beiow for the price of the stocks/mutual funds in your joint account as af 03/21/13 PENN $ 1349.75 �� RAD $192.00 SHMMX $ 106,690.81 �� Shouid you have any questions please feel free to contact me at 610-542-2950. Best Regards, ti � � ��.,,��..;; �.��-�. anielle Carbone � Senior Client Service Associate for , Roy A.Oskutis ' ��: a. '�'. �� =1 r �: . •�- �+Iorgan Stanley Smith Barne��LLC.Mcmber SIPC. r �REV-?�511 EX+tl�-og� " ��`s�pennsylvania SCHEDULE H . . DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TA7(REfURN ADMINISTRATIVE C4STS RESIDENT DECEDENT • ESTATE OF FILE NUMBER James E. Rendler 21-13-0399 Decedent's debts must be reported on Schedule i. ITEM NUMBER DESCRIPTION aMOUNT A. FUNERAL EXPENSES: �� Malpezzi Funeral Home $5,28fi.80 ;� 2� Michael Minnix-Pastor fee $200.00 :�� 3� Organist for funeral service $150.00 ', g 4� Funeral Luncheon �400.00 � �� Gingrich Memorials • $248.00 B. AQMINI5TRATIVE COSTS: 1. Persona!Representative Commissions: $0.00 .. � Name{s;of Personal Rep;esentative{s}Jeannette R. Behel street Address_208 South High Street � c;ty.Mechanicsburg _--.. state PA Z1P 17055 Year(s)Commission Paid: Z. Attorn ey Fees: (.�y�(�e� C, 5 h��l y, Gs�v J`�� ' $2,850.00 3. Fam':ly Exemption: (If decedent's address is not the same as claimant's,attach explanation.) 3 F, Claimant ��` Street Address. ;� . . . . . . .. . . . . . `'f�,. C�ty._ ._._----.State ZIP =�y Relationship af Claimant fo Deceder?t_ 4. Probate Fees: $153.50 5. Accountant Fees: � 6. Tax Return Preparer Fees: ' 7. Misc.postage $108.80 8� Reserves to conclude Estate administration,final accountings and tax retums $600.00 ,: ,; TOTA!(Also enter on Line 9, Recapitulation) $ 9,997.10 " If more space is needed,use additional sheets of paper of the same siz�. '�`- Thursday,October 10,20131;26 PM Maipeui Funeral Home 7176972414 p.01 � r , Malpezzi Funeral Home ' 8 Market Plaza Way Mec;hanicsburg,PA 17055 - ' (717)697-�696 " 't Mich�el J,Mal�ezzi.Owner.FD Jeremv J.Shartzer.FD Kvle C,Knine.�D �� i= Qctober 10,2013 • Jcannette Behe1 2QS S�uth High Stre�t Mech�nicr+burg,PA 17055 The Funeral Service for Jamew E.Rendler We sincerely appre iate the confidence you have placcd in ua and will continue to aa�iat you in every . way�e can. P e� ane feei free to cantact u�if you have any question�in regard to t�u�stai�ment. THE FOLLOWING IS AN ITEMIZED STATEMENT OF THE SERVICES,FACILTTIES,AUTOMOTIVE EQUIPMENT, AND MERCHANDISE THAT YOU SELECTED WHEN MAI�ING THE FUNER.AL ARRANGEMENTS. 1. PROFE�SIQNAL SERYICES; � Servicea,Fr�cilitiea suid Ct�natio�n $4,37S,Ot) ' FUNERAL HOME SERVICE GHARGE�i $4,375.00 � 'II��OS'I OF OUR�ERYICES,EQUIPMENI,AND MERCHANDISE '� « TAA?YOU AAYE SELECTED �4,375.Q0 " AT THE TIME FUNER.AL ARRANGEMENTS WERE MADE.WE ADVANCED CERTAIN PAYMENT5 TO �� OTHER5 A5 AN ACCOMMODATION. THE FOLLOWING I5 AN ACCOUNTING FOR THOSE CHARGES. �� CASH ADYANGE�: ' C�titiad Daath Cr3rtificate$ $120.00 New�parer Noticefi-Patriot $4G3.9G Nevc►�paper Notices-�entin�l $311,52 Flowera �76.32 TOTAL CA3H ADVANCES AND SPEGLSL CHARGES $911.80 CONTRAC'I PRICE �5.28b.8Q .: HI4TORY: 04/OS/3013 Payrna�t Paymerrt $5,2$G,$0 C�/06/2013 Payment CumberleruiCrnurtyVA �100,U0 � U4/2412013 Ov�ayment Refiaui Cumberlarui Crnurty VA �I 00.00 TOTAL AMOUNT DUE $O.QO . �. �� ,��:` d�: =�: �� a . , � _ . � `, � f ' REV-�512 EX+(12-03) � � M enns lvania . SCH EDU LE I � P Y ' DEPARTMENT OF REVENUE DEBTS OF DECEDENT, lNHERITANCE T�iX REfURIV MORTGAGE LIABILITiES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER James E. Rendler Page 1 21-13-0399 �• Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medicat expenses. ITEM VALUE AT DATE . NUMBER QESCRIPTION OF DEf�TH i. Allstate Auto Insurance-final bill �g5,gg 2. United Water-final water bill $40.00 3. Discover card-final bill ' $449.95 4. Physicians of Rehab-final bi8 $27.�3 F _ ;� � � 5. MSHMC Pnysicians Group-final bill $1,210.99 �_ a . 6• Quantum Imaging-final bill $32.93 � �. . � 7. Azizkhan Intemal Medicine Association-final bill $��.78 ' 8- West Shore Ambulance-final bill $226.96 9. Cumberland Goodwill EMS $2,575.09 ' 10. Waste removal-decedent's personal contents,dumpster $485.00 ., 11. MSHMC-final bill $658.04 12. PPL-final electric bill $195.54 13. UGI-final gas bill $132.96 14._ Hampden Township-final sewerltrash bill $232.57 15. Verizon-final phone bill $22,gg ° +k �6. Carlisle Regional Medical Center $41.90 :,:� ,� ; �7• The Mitigator-mold remediation,final bill $1,835.00 ': �$• Carlisle HMA Ph sicians Mana ement-final bill �� Y 9 . $5.61 19. Orthopedic Institute of Pennsylvania-final bill $31.59 20. Hospitalists of CenVal PA-final bill $71.65 21• Dr.Vswanathan $29.14 22• Check printing Fee $14.25 23• Registration and transfer fee for 1995 Ford pick-up truck $130.00 24• Sears-final bill $233.19 25• Pension Fund Reimbursement $52.56 � TOTAL(Also enter on Line 10, Recapitulation) $ • If mare space is needed,inse�t additional sheets of the same size. ; , � � � r . REV-�512 EX+(12-OS) � �� pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, [fvHERITANCE TAX RETURh MORTGAGE LIABILITiES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBfR ' James E. Rendler Page 2 21-13-0399 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,inciudi�g unreimbursed medicai expenses. ;� �E� VALUE AT DATE %� NUMBER QESCRIPTION OF DEATH a� Decedent's 2012 IRS obligation(2012 income tax) $181.00 '�� • �: 27. UCPA Urology-final bill $30.00 . 28. Misc.repairs/paint to decedent's residence $100.00 29. One-half of settlement charges from sale of decedent's residence at 271 Salem Church Road, $6,273.43 Mpr,hanir.shurn.PA ; � -:�'. � ;: ....; 4� , � � � s: ;; . ;tt �;: LF 1: ;,� ' TOTAL(Also enter on Line 10, Recapitulation} $ 15,526.53 If more space is needed,insert additional sheets of the same size. i ` ' `REV�'t513 EX+(Q1-10) ` � pennsylvan�a SCHEDULE � ' t ,�r DEPARTMENT OF REVENUE � INHERITANCE TAX RETURN BENEFICIARIES � F ,� . _ RESIDENT DECEDENT ESTATE OF: FILE NUMBER: � James E. Rendler 21-13-0399 KtLAI lUNSHlF' I U Ut(;tUtN I AMUUIV I UK ShHKt NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trastee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] ., 1, Jeannette R.Sehel,208 South Hlgh Street,Mechanicsburg,PA 17055 Daughter 33.33%of Rest, • Ra�i�ii iP R RQmain�lPr 2. Christine Clarlc,6879 Wertzville Road,Enola,PA 17025 Daughter 33.33%of Rest, Residue& Remainder 3. Kathleen Reed, 1462 Old Janal Ranch Road,Chula Vista,CA 91915 Daughter 33.33%of Rest, Residue& Remainder Y AY :f t� •� !G • � , r C x 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: . I. x � � r 6. 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. r � � � LAST WILL AND TESTAMENT KNOW ALL MEN BY THESE PRESENTS,that I,J�LMES E.RENDLER currently residing in Mechanicsburg,Cumlierland County, Commonwealth of Pennsylvania,being in good r;. health and of sound and disposing memory do hereby make,declare and publish this as my Last :� Will and Testament,hereby revoking a11 former Wills and Codicils heretofore made by me. :�� .� . -� �; �T: I direct that all of my debts not barred by the statute of limita.tions, expenses of my last illness,funeral expenses,costs of administration and claims allowed in the administration of my estate sha11 be paid by my Executor hereinafter named, from my estate as �� soon after my decease as shall be found c.onvenient. .. SECOND: I bequeath my automobiles,household and personal effects and other tangible personalty of like nature(not including cash or securities},together with any existing insurance thereon,to my da.ughters,JEA�NNETTE R.BEHEL,CHRISTINE CLARK and I�ATHLEEN REED,to be divided between the�n with due regard for their personal preferences in as nearly equal shares as practical. � � _,� �: � THIRD: I give,devise and bequeath the rest,residue and remainder of my estate, ;Y , whether rea1,personal or mixed,and of any nature whatsoever and v�rherever situa.te,to my � da.ughters,JE�TETTE R.BEHEL,CHRISTINE CLARK and KAT'`HLEEN REED,in equats. Should any of my da.ughters predecease me, I give,devise and bequeath their share to their issue who survive me. � �� FOURTH: I hez�eby nominate,constitute,and appoint JEANNETTE R. BEHEL, as Executor of this,my Last Will and Testament. In the event that JEASINETTE R. BEHEL shall predecease me,or be unwilling or unable to act as my Executor,as aforesaid,then I nominate, constitute and appoint my da.ughter,CHRISTINE CLARK without necessity for posting security regardless of state of residence,as Executor of this,my Last Will and Testarnent. In the event . .�-- .�; �• ; • '� f %1 �.; , /` ' J/� � " �°/ '.� i. x �. �� f. ', �' ,/''�--:�'�'f�'' �` _. �"� ,/' h'---"�"" , `� � ��: � � c � ;� � that CHRISTINE CLARK shall predecease me,or be unwilling or unable to act as my Executor, 3� 4� as aforesaid,then I nominate,constitute and appoint my daughter,KATHLEEN REED without �� necessity for posting security regazdless of state of residence, as Executoar of this,my Last Will and Testament. All references to the Executor herein shall be applicable to said substitute Executor. �'IFT'H: My Executor shall have, in addition to the powers and authority conferred upon him by law,the following additional powers and authority: 1. To sell at public or private sa1e,exchange,transfer,partition,give options upon,lease,mortgage,pledge or o#herwise d�spose of any property,real or personal, at any time constituting a portion of my estate,and upon such terms and�onditions a.s the Executor shall deem wise. . ;�, �. . , '��.�A.. 4 2. To invest any money at any time in such bonds, stocks,notes,real estate, .� mo es life insurance annu.ities or other securities,or such ro � �� > > P ��Y�real or personal, as the ;;° Executor shall deem wise,without being Iimited by any statutes or rule of law regarding investments by the Exeeutor. 3. To retain,without incurring any liability,as investments,any property - owned by me at the time of my death,as long as my Executor may deem it wise,and even _ though such property is not the kind of property ar�Executor would purchase as an investment; � an�even though to retain such property mi,ght violate sound diversification principles. ' 4. To cause any security or other property 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. `� ,,z� • • :�: a, 5. To consent to the reorganization, consolidation,readjushnent of the �. F financial structure,or sale of the assets of any corporation or other organization,the securities of which constitute a portion of my estate, and to take any action with reference to such securities which,u}.the opinion of the Executor is necessary to obtain the benefit of any such �� f / � J r � �. _ �., �.. /..--�-��' � � -f � �� ,;' � '� __f,.r . � • � . . reorganizaxion,consolida.tion,readjustment or sa1e; to exercise any conversion privilege or .. subscription right given to my Executor as owner of ar�y securities constituting a portion of my . estate resulting from any reorganization, consolidation,readjustment, sa1e,conversion or subscription. • 6. To pay a11 costs,taxes,charges and expenses in connection with the adm�znistrration of iny esta.te,including such compensation to the Executor which shall be in � accordance with established fees throughout the period of administration of my estate. :'� �� ;� ; 7. To determi.ne what is"income"and what is"principal"hereunder, and my � �� Executor's decision thereon sha11 be fina1; and to purchase securities at a premium or discount, ; and to apply or charge said premium or discount against income or principal as the Executor may determine. 4r 8. The Executor may make payments to or on behalf of any person who is .. the beneficiary hereunder but in no event,however, sha11 payments be made to any creditor or other such person because of anricipation of payment by the beneficiary, 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 Gorpora.tion 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 amounts so ;i �: borrowed. :; � :�� 10. To employ legal counsel, accountants,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 compensa.tion is attributable. 11. To cany on any business owned or controlled by me at my deaxh for � �� wha.tever period of time my Executor sha.Il think proper, and my Executor shall have the power to do any and all things my Executor deems necessary or appropriate, including the power to close out,liquidate or sell the business at such time and upon such terms as my Executor sha11 ') , deem best'. ; �, . �` � •Z " • . � J s� � i � l�'�✓'' �i :;:: K . ► � . 12. To do a11 other acts in my Executor's judgment necessary or desirable for the proper and advanta.geous management, investment and distribution of my esta.te. y � SIX1'H: I direct that a11 transfer and inheritance taxes, state or federai,assessed .� because of my death,whether the funds,property or insurance proceeds to which such taxes are � :� attributable pass under this Will or not,sha11 be paid out of my residuary estate;that my Executor � pay,or provide for payment of a11 such taxes at such time,or tiumes, and in such manner as my Executor deems best. 3 IN WITNESS WHEREOF;I,JA1I�IES E.RENDLER,the Testator to this,my Last Will �� and Tes�ament,typewritten on five sheets of paper which I have identified at the bottom of each ___. . page by my signature,hereunto set my hand and seal the � f day of �s;'�;'�-/� 2009. ,;� ` j- i � r .r� '�. ' � �. �,Y�� _.. ; �, - �'/..�.. � J�IMES E. RENDLER ;� , � . � ��r�; ;. ;7, �� ., � . ;� � Y The preceding instrument consisting of this and four other typewritten pages, ea.ch identified by � . . t.�e signature of the Testa.tor,JAMES E.RENDLER,this day and date thereof signed,published and declared by JAMES E.RENDLER,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 o�her have . subscxibed our names as witnesses. • � � 'i ! ; • . � . � � .Y �,,.� � i . � � � � � � J � '` :� � �'. ,� , . , � 4: �s . � 4 Y: r � � � w COMMONWEALT�OF PENNSYLVANIA: � : ss COUNTY OF CUMBERI,AND : � I,JAMES E,RENDLER,Testa.tor whose name is signed to the attached or foregoing instrument,having been d�ly qualified according to law, do hereby acknowledge that I signed � and executed the instrumznt as my Last Will;that I signed it willingl,y;and that I signed it as my ` free and voluntary act for the purposes t�ierein expressed. �� .� ; � ��., .; � � . � , - - � �� . .. . JA11IE'S E.RENDLER Sworn or affirmed to and ack.nowledged before me by�JAMES E. RENDLE.R,Testator, the �� day of ��,tl ,2009. �" . �`� - , , �� :�: � �SEAL� CbMUAO . . ' YLVANiA _. ,� • Nota�`aI Seaf � Md'rael ChenenMca,NoRary Pu�'+c WorrNeysbt�rg Bo�Ctur�berlartd Caturty My C�ommissiat E�q�ir+es Apr•2r7,2008 Member,PennsvlvPn:=�Rsociation��f tVotaries `=s� COMMONWEALTH OF PENNSYLVANIA: � " : ss COUNTY OF CUMBERLAND : � .-- We �_��, = t�_ ��',�.c�,;, and r �- ,the witnesses whose names are signed to the attached or foregoing instrument,being duly q Z �ed according to�law,do depose and sa.y that we were present and saw Testator sign and execute the u�strument as his Last W'ill=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 best of our knowledge the Testator was at that time eighteen or more years of age, of sound mind and under no constraint or undue ;�:; influence. . `,� ,, � � ;�,. � � + �� "i� `, ^ t r ' ,i a '� :.`f�g � � i 1 r #; �4��':� � .� .�ii a � � V � � �� ,, �Sworn or affirmed to and subscribed to before me by 1��crQ�t �}30�<<, and ; ��,�j�.� witnesses,this 1"I� d.a.y of �tc�,�� , 2009. :Y {SEAL} ��I,s.� .. Notary Public �AOmIIIEA�E�:v��Ei��iSYLVAN!/� � 1Vo��i Se�t 5 ��x+9 B�,�crnbedar�d Cotx�y . MIY Cornrr�ssior�Ex�t Apr 2�,y00� Member,Pennsylv�n�A.Tsodaiia.�of Nata�ies