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Home My WebLink About04-11-14 J 1505610105 REV-1500 EX(o2-ii)(FI) . PA Department of Revenue pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes °"""'"`"T°`"`"`""` County Code Year File Number PO BOX z8o6o1 INHERITANCE TAX RETURN - Harrisbur ,Pq 1 128-o6oi RESIDENT DECEDENT OCf ENTER DECEDENT INFORMATION BELOW Social Security Number ° -- _ Date of Death MMDDYYYY Date of Birth MMDDYYW 279-12-3657 08/22/2013 --- _ 03/25/1922 -- - Suffix DecedenYs First Name i SlOtten MI �_ _ Martha _ C '. (If Applicable)Enter Surviving Spouse's Information Below � - Spouse's Last Name � - - Suffix Spouse's First Name MI Spouse's Social Security Number ' ! THIS RETURN MUST BE FILED IN DUPLICATE WITH THE . � ' REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW � 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death O 4.Limited Estate Prior to 12-13-82) O 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required death after 12-12-82) � 6.Decedent Died Testate O 7. Decedent Maintained a Livin Trust 0 (Attach Copy of Will) 9 8. Total Number of Safe Deposit Boxes (Attach Copy of Trust.) O 9.Litigation Proceeds Received O 10.S ousal Poverty Credit(Date of Death p O 11. Election to Tax under Sec.9113(A) Behveen 12-31-91 and 1-1-95) (Attach Schedule O) CORRESPONDENT- THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0: Name Daytime Telephone Number Taylor P.Andrews, Esq. . - - ___ _ _ (717)243-0,123 ..., __ ,�;_ _ _ .._ _.. ; REGI � R OF WILLS�E ONL� First Line of Address � � � � r-—- - -___... _ _ "U v ._.. _.__. i 78 W. Pomfret St. _ _ _ _ � = rs � cn r— z�' �` �—�► '-� _ _ 3y � � t--+ t71 Second Line of Address � � ..� Y,� . ;k; ; O .,Q r_.� City or Post Office C"� O -� � � �„� State ZIP Code � ATE FIL D y _ ' .... n i Carlisle PA '17013 -° ~ !" __.._. _ _ _ +�► �-.� Cn O _.__. __. ' � "�7 Correspondent�s e-maii address: tpandrews _pa.net ' Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complet Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledgg, SIGNAT E OF P S RESP I L OR FILING RETURN TE RE , 1337 or etown Cir e Carlis , A 17013 R R O H R THA ES NTqTI TE AD ES " _ �� 7 W. omfret St., Carlisle, PA PLEASE USE ORIGINAL FORM ONLY LSide 1 1505610105 15056101�5 J � J 150561D205 REV-1500 EX(FI) DecedenYs Social Security Number oecedenr5 rvame: Martha C. Slotten ' RECAPITULATION 1. Real Estate(Schedule A). .. .. . .. ... .... . ....... . .... . .. .. . ........ .. . 1. 210,005.00 ' 2. Stocks and Bonds scneduie a 470.00 _. ) ......... . .. ..... .. . ....... ... .. ... ... . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. 0.00 4. Mortgages and Notes Receivable(Schedule D). . .. ..... . .. .......... .. . .. 4' 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). ..... . 5, 38,844.00 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ... . .. . 6. 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property 0.00 (Schedule G) _ O Separate Billing Requested... .. . . . 7. 90,925.00 8. Total Gross Assets(total Lines 1 through 7)..... . ..... .. ... i ....... . .... . a. 340,244.00 9. Funeral Expenses and Administrative Costs(Schedule H)... .. . .. .... ...... . 9. 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I). .. .. . ......... �p: 30,112.00 11. Total Deductions(total Lines 9 and 10)... ..... . .. . .... ... .. . .. ..... . . . . ��. 24,372.00 ! 54,484.00 12. Net Value of Estate(Line S minus Line 11) .. ....... . 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which 12 285,760.00 an election to tax has not been made(Schedule J) .. ..... .. . ...... .. .. . . . . 13. 0.0� 14. Net Value Subject to Tax(Line 12 minus Line 13) .. . . ... . .. . ` .... ... .. . .. . �4. 285,760.00 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousai tax rate,or transfers under Sec. 9116 (a)(1.2)X.0- 0.00 16. Amount of Line 14 taxable 15. at linea�rate X.0 45 285,760.00 17. Amount of Line 14 taxable 16' 12,859.00 at sibling rate X.12 0.00 i� 18. Amount of Line 14 taxable at collateral rate X.15 0.�0 - 18. 19. TAX DUE ........ . .. ............ ... . .... . .......... ... .... ... ..... 19. _ . . . _12,859.00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O LSide 2 1505610205 1505610205 J REV-1500 EX(FI) Page 3 File Number Decedent's Complete Address: DECEDENT'S NAME Martha C. Slotten STREETADDRESS 1337 Georgetown Circle cirv Carlisle STATE Z�P PA 17013 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 12,859.00 2. Credits/Payments A.Prior Payments 12,000.00 6.Discount 632.00 3. Interest Total Credits(A+g) (Z� 12,632.00 4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. �3� 0.00 Fill in oval on Page 2,Line 20 to request a refund. �4� 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 227.00 Make check payable to: REGISTER OF WILLS, AGENT �r i° `+�r._. .� . .,.,� ��3,,,Ty�,�€��?��y��.�.A�'�.'�,.., `"` -s° t `x.;; (�s .. ...,�.. •- .. �, ., � -_� .� k, ':�.. � .'„ y ,. .'.�. .`. Y ,w,.�.'e 3. is.! RiYi+~'+i Y,p�,�f��y{.".�.�,�'5�+��'1'S��,8v:� � t� PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred.......................................................................................... ❑ ■ b. retain the right to designate who shall use the property transferred or its income ............................................ � � c. retain 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. Did decedent own an individual retirement account,annuiry or other non-probate property,which contains a beneficiary 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, .�.'Sk:: 5.,,�..a �y�Y�^'��g;��sS��D,�`4�� '� , kE...;.i t . ..n' � ,- f:" 't ;.. Y.r " . .- 'r' x v '^3 �,�3r..� � , . _:, ,. . _i. , ... �..... '��' ca,2. ">"'�. � ��t:;:'�`�'1�9*'�th.�,�.�z.'� �s�•b _. �e . 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 is 3 percent[72 P.S.§9116(a)(1.1)(i)]. For dates of death on or after Jan. 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent [72 P.S.§9116(a)(1.1)(ii)].The statute does not exempt a transfer to a surviving spouse from tax,and the statutory requirements for disclosure of assets and filing a tax retum are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1,2000: • The tax rate imposed on the net value of transfers from a deceased chiltl 21 years of age or younger at death to or for the use of a natural 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 decedenYs lineal beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)]. • The tax rate imposed on the net value of transfers to or for the use of the decetlenYs siblings is 12 percent[72 P.S. §9116(a)(1.3)j.A sibling is deflned, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. SCHEDULE A REAL ESTATE ESTATE OF FILE NUMBER Martha C Slotten 21-13-0947 All real estate owned solely or as a tenant in common should be reported at fair mazket value with is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to sell,both having reasonable knowledge of the relevant facts. Property jointly-owned with Right of Survivorship must be disclosed on Schedule F. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 1337 Geargetown Circle,Carlisle,PA 17013 Townhouse PIN: 50-21-0324-083 Tax assessment for lot and improvements $216,500.00 $210,005 common level ratio in Cumberland Co for 2013 0.97 Total(also enter on Line 1,Recap) $210 005 , ' PropertyMapper- Cumberland County, PA Page 1 of 1 ; •� a ��. �;, �: � y'; � � \�i� �: �� k: M � � http://gis.ccpa.net/PropertyMapper/ 1/23/2014 . ......... .. ... ._. ... .� . t..;o 'SdP u-., wi� - JAN 2014 PENNSYLVANIA DEPARTMENT OF REVENUE REALTY TRANSFER TAX COMMON LEVEL RATIO (CLR) REAL ESTATE VALUATION FACTORS FOR CUMBERLAND COUNTY The following real estate valuation factors are based on sales data compiled by the State Tax Equalization Board. These factors are the mathematical reciprocals of the actual common level ratios. For Pennsylvania Realty Transfer Tax purposes, these factors are applicable for documents accepted for the periods indicated below. The date of acceptance of a document is rebuttably presumed to be its date of execution, that is,the date specified in the body of the document as the date of the instrument. 61 Pa. Code § 91.102 _,:. �. , ' . _ ;. . � °��.� .k'�,; .,�* . a � . M 3�,:`x �: },:� � 4�� rt �'s "w# a; �, °'��.��.��`p�j n;3�'"' s �, � . �� '$§a a�'�.�� `�3 �` s.'r��g`�.an�eSi��,"3.w., s 4 .„ ...,,,�� i,. .�'s�` s.x tt ,�*4i t� �a w � �'�.� � �Sz ; , �6 7-2-1986 6-30-1987 9.52 7-1-2006 6-30-2007� ~l.14 7-1-1987 6-30-1988 10.00 7-1-2007 6-30-2008 1.22 7-1-1988 6-30-1989 10.53 7-1-2008 6-30-2009 1.26 7-1-1989 6-30-1990 11.11 7-1-2009 6-30-2010 1.26 7-1-1990 6-30-1991 12.05 7-1-2010 12-31-2011 1.25 7-1-1991 6-30-1992 12.35 (3) 1-1-2011 6-30-2011 1.00 7-1-1992 6-30-1993 12.50 (3 7-1-2011 6-30-2012 1.00 7-1-1993 6-30-1994 12.82 7-1-2012 6-30-2013 1.00 7-1-1994 6-30-1995 13.33 7-1-2013 6-30-2014 .97 7-1-1995 6-30-1996 13.70 7-1-1996 6-30-1997 14.29 7-1-1997 6-30-1998 14.29 7-1-1998 6-30-1999 14.71 7-1-1999 6-30-2000 15.15 7-1-2000 12-31-2000 15.63 1 1-1-2001 6-30-2001 1.00 (1) 7-1-2001 6-3 0-2002 1.00 7-1-2002 6-30-2003 1.01 7-1-2003 6-30-2004 1.05 7-1-2004 12-31-2004 1.11 (2) 1-1-2005 6-30-2005 1.00 (2) 7-1-2005 6-30-2006 1.00 (1)Adjusted by the Department of Revenue to reflect an assessment base change effective January 1,2001. (2)Adjusted by the Department of Revenue to reflect an assessment base change effective January 1,2005. (3)Adjusted by the Department of Revenue to reflect an assessment base change effective January 1,2011. SCHEDULE B STOCKS AND BONDS ESTATE OF FILE NUMBER Martha C Slotten 21-13-0947 All property jointly-owned with Right of Survivorship must be disclosed on Schedule F ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH 1 American Portfolio $470 Acct No: 00060976657 TOTAL(also on line 2,Recapitulation) $470 Hoidings by lnvestrar _ _ __ _ Mrs Martha C Slotten Mr David G Stepp Combined Accounf Portiolio ��{� 442 Walnu#Bottom Road CLU,ChFC,CASL Oate: 08/22/2013 � PQ�{j;=��(�� Thornwaid Hame American Portfolios Created:09/1(�/2013 Carfisle,PA 17013 305 Eibo Lane Mount Laurei, NJ 08054 856-273-9017 Martha C Slotten Acct Name:CB&T CUS7 IRA WO MARTHA G SLOTTEN 442 WALNUT BOTTOM RQ THORNWALD HOME CARLISLE PA t7p13-3799 Acct No:00056924274 AcctType:CB&7 IRAIRollover ,4sset Name Ttcker AssetType Mgt.Name Quaniity ' Frice($} VaEue{$} WTERMEDIATE BOIVD FUNt�OF AtBAX FIXED INCOME AMERICAN 6,800.71 13.37 90,925.45 AMERICA-A FUNDS _ __ _ __ _ Account Toial: $90,925.45 ___ __ _ _ _..._ Acc#Name.MARTHA C SIOTTEN 442 WA�NUT BOT'T4M RD THORNWALD HOME CARLISLE PA 170t3-3799 Acct No:00060976657 Acct 7ype:lndividuai Asset Name Ticker AssetType Mgt.Name Quantity Price(S) Yat�e��}, FD�q�ICAN FUNdS AMER MUTUAL AMRMX EQUii'Y RMERICAN 7.76 32.45 251.9d FUiVDS AMERICAN FUNdS INV CO OF AtVSX EQUITY AMERICAN 6.22 34.99 217.71 AMER A FUNDS Account Tatal: �4Bg.g� __ _ . _ _ _ __ InvestorTotal: jg�,3g$,ip _ _ _ _ _ _ _ _ _ . lncomplote if presented without accompanying disclosuse pages Page 1 of 2 SCHEDULE E CASH,BANK DEPOSITS AND MISCELLANIOUS PERSONAL PROPERTY ESTATE OF FILE NUMBER Martha C Slotten 21-13-0947 Include the proceeds of litigation and the date the proceeds were received by the estate All property jointly-owned with Right of Survivorship must be disclosed on Schedule F ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH M&T Bank Accounts: checking account 453277 $31,375 CD 31003920248654 $1,016 United Healthcare Medicare Supplemental Insurance premium refund $198 2002 Toyota Avalon-good condition $6,255 TOTAL(also on line 5,Recapitulation) $38,844 p ��zs�� 499 Mitchell Road,Millsboro,DE 19966 Adjustment Services Phone 888-502�349 F a�c (302)934-2955 September 17,2013 Andrews & Johnson Attorney at Law 78 West Pomfret Street Carlisle,PA 17013 Re: Estate of Martha C. Slotten Social Security: 279-12-3657 � Date of Death: August 22, 2013 Dear Sir or Madam: Per your inquiry on September 10,2013,please be advised that at the time of death,the above-named decedent had on deposit with this bank the following: 1. Type ofAccount CheckingAccount Account Number 453277 Ownership(Names o� Martha Slotten Ralph L.Slotten Opening Date 09/Ol/1967 Balance on Date ofDeath $31,375.00 Accrued Interest $ .19 Total _....._.._.._............_.._....._....._.._......_.._................. _...................................... $31,375.19 2. Type ofAccount Certificate ofDeposit Account Number 31003920248654 Ownership(Names o� Martha Slotten Opening Date 08/12/2011 Balance on Date of Death $1,Ol S.68 Accrued Interest $ ,p2 Total —--__.._.._----__ _ ____------------____--------------------- $1,015.70 SCHEDULE G TRANSFERS ESTATE OF FILE NUMBER Martha C Slotten 21-13-0947 This schedule to be completed and filed if the answer of the question on the reverse of the cover is yes. ITEM DESCRIPTION OF PROPERTY TOTAL VALUE DECD.% ExCLUSION TAXABLE INCLUDE THE NAME OF THE TRANSFEREE,THEIR RE[,ATIONSHIP'CO DECEDENT AND THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL NUMBER ESTATE. OF ASSET INT (if applicable) VALUE 1 IRA at American Portfolios $90,925 100.0% 0.0% $90,925 Acct 00056924274 TOTAL(also on line 7,Recapitulation) $90,925 SCHEDULE H FLJNERAL EXPENSES,ADMINISTRATIVE COSTS AND MISCELLANEOUS EXPENSES ESTATE OF FILE NUMBER Martha C Slotten 21-13-0947 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER A. Funeral Expenses: 1 Hoffman Roth Funeral Home $1,733 2 George's Flowers $248 3 Dickinson College-site of inemorial service $680 B. Administrative Costs: 1 Personal Representive Commissions Name of Personal Representative(s) Social Security Number of Personal Representative: Street Address: City: State: Zip: Year(s)commissions paid: 2 Attorney fees to Andrews&Johnson $7,000 3 Family Exemption None Claimant Street: City: State&Zip Relationship of Claimant to Decedent: 4 Probate Fees to Register of Wills $445 5 Accountant Fees to Patricia Rosendale,CPA 6 Tax Return Preparer's Fees $500 7 State Farm Insurance Co $580 8 Hauling and disposing of unwanted items $358 9 Auto registration renewal $36 10 Estate check charges $25 11 PP&L-electric bill $156 12 Transfer tax for sale of 1337 Georgetown Circle $2,100 13 Realator's commission for sale of 1337 Georgetown Circle $14,700 14 Real estate taxes on 1337 Georgetown Circle[County,Library,Boro,Fire] $1,191 15 Homeowners associaton dues $360 16 17 18 TOTAL(also on line 9,Recapitulation) $30,112 SCHEDULE I DEBTS OF DECEDENT MORTGAGE LIABILITIES AND LIENS ESTATE OF FILE NUMBER Martha C Slotten 21-13-0947 Report debts incucred by the decedent prior ro death whic6 remained unpaid as of the date of death,including unreimbursed medical expenses. ITEM DESCRIPTION VALUE AT DATE NUMBER OF DEATH Susquehanna Bancshares,Inc -mortgage on real estate $23,581 Millenium Pharmacy $604 Cohick&Associates-bill for accounting services $gg Bonnie Kepner g�s Torres Credit Services $24 TOTAL(also on line 10,Recapitulation) $24,372.00 Su��ue�a��r� September 18, 2013 Susquehanna Bancshares,Inc. 26 North Cedar Street P.O. Box1000 Lititz,PA 17543-7000 ANDREWS &JOHNSON Tel 1.800.311.3182 78 WEST POMFRET STREET Fax 717.625.4478 CARISLE PA 17013 RE: Martha C Slotten Estate DOD: August 22, 2013 SS#: XXX-XX-3657 Tracking# 339219 To Whom It May Concern: In response to your letter of September 10, 2013, here is the above customer account information as of August 22, 2013. Account#1 • Account Title: Martha C Slotten Ralph L Slotten • Account Type/# Loan/700428 • Date Opened/Maturity 11/20/03 • Interest Rate: 6.750% • Account Balance*: $23,580.63 • Accrued Interest: • YTD Interest: *Account balance does not include accrued interest. � There is no safe deposit box in the name of the decedent. ❑ There is a safe deposit box# 0 in the name of the decedent located at the branch name. If I can be of further assistance, please feel free to call. �-i C..�,�,��'�_ j�.C.1��ti� Dawn M Berrier Susquehanna Bank Deposit Research-Reporting Department Lead 1-717-625-6546 DMB/JRAN SCHEDULE J BENEFICIARIES ESTATE OF FILE NUMBER Martha C Slotten 21-13-0947 ITEM NAME AND ADDRESS OF BENEFICIARY RELATIONSHIP AMOUNT OR SHARE NUMBER Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[include outright spousal distribufions,and transfers mder Sec.9116(a)(12)] 1 Hugh Richard Slotten Son 50% 1337 Geargetown Circle,Carlisle,PA 17013 2 Amy Claire Schutt Daughter 50% 40 Montgomery Street,Hamilton,NY 13346 II NON-TAXABLE DISIRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN EIECTION TO TAX IS NOT BEING MADE B.Charitable and Govemmental Bequests: TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS(also enter on line 13,Recapitulation) $Q :� � � � � c o `�-' ��,-� � � :--; � � �-�, _., � rn � c'� -,� v, r� ;� LAST WILL AND TESTAMENT A ' � s `::,:; o v� .�. � c c� � --� "t OF � �? � � _ -�, G C _. . �1 . � � �.' r-r,� MARTHA C. SLOTTEN � � �� o y .� �{ I, MARTHA C. SLOTTEN, of Carlisle Borough, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any and all wills and codicils heretofore made by me. ITEM I: My personal representative shall pay from the residue of my estate the expenses of my last illness, funeral and burial debts duly allowed against my estate, and all death ta.xes(Pennsylvania inheritance tax and federal estate tax)occasioned by my death and incurred with � respect to all property taxed to my estate regardless of whether such property passes by this Will or asses outside of this Will. P C� ITEM II: I bequeath those articles of my automobiles, personal effects, household goods, and other tangible personality of like nature (not including cash or securities), together with any existing insurance thereon, if any, as may be my individual properry and not the property of my Husband or owned j ointly by me with him, as set forth in a separate memorandum which I shall place with my Will to the persons therein designated. If I shall leave no separate memorandum, or with regard to my automobiles, personal effects, household goods, and other tangible personality of like nature (not including cash or securities) not referenced by such memorandum,I bequeath such property to my Husband,RALPH L.SLOTTEN,if he survives me by thirly(30) days. Should my Husband, RALPH L. SLOTTEN, not be living on the thirry-first day after my death,I bequeath such tangible personality and insurance thereon to my children,AMY CLAIRE SCHUTT and HUGH RICHARD SLOTTEN, to be divided among them by my Executor with due regard for their personal preferences in as nearly equal shares as practical. If either of my children shall have predeceased me,I give and bequeath his or her share to my surviving child. I note here that my Husband and I are in possession of many items of furniture that belong to my son,HUGH R�CHARD SLOTTEN. We have possessed these itemc because my son has not had sufficient space to have them. ITEM III: I devise and bequeath the residue of my estate, of every nature and � wherever situate,to m Husband RALPH L. SLOTTEN rovidin he shall surv' Y � ,p g ive me by thirty v (30) days. Should my Husband, RALPH L. SLOTTEN, predecease me or die on or before the thirtieth day following my death,I devise and bequeath the residue of my estate,of every nature and wherever situate,in equal shares to my children AMY CLAiRE SCHUTT and HIJGH RICHARD SLOTTEN. If AMY CLAIRE SCHiJTT shall predecease me, I give and bequeath the share referenced for her above to her children, Thomas and David. If HUGH RICHARD SLOTTEN shall predecease me,I give and bequeath the share referenced for him to his children if he sha11 then have any children,and if he shall not have children to my daughter,AMY CLAIRE SCHITTT,or to her children if she has also predeceased me. ITEM IV: I appoint my Daughter,AMY CLAIRE SCHUTT,Executrix of this my Last Will and Testament. Should my Daughter fail to qualify or cease to act as Executrix I appoint my son,HUGH RICHARD SLOTTEN,as Executor of my estate provided that he shall be living in the United States. C� ITEM V: I direct that my Executor and his successors shall not be required to give bond for the faithful performance of their duties in this or any other jurisdiction. � IN WITNESS WHEREOF,I,MARTHA C. SLOTTEN,have hereunto set my hand and seal to this my Last �Vill and Testament, consisting of four (4) typewritten pages, each of which bears my signature, this 1 st day of July, 2004. �� (SEAL) MARTHA C. SLOTTEN, Testatrix Signed, sealed, published and declared by the above-named Testatrix, MARTHA C. SLOTTEN,as and for her Last Will and Testament,in the presence of us,who,at her request,in her sight an se , d in 'ght and presence of each other,have hereunto subscribed our names as wi s . �� .� �� COMMONWEALTH OF PENNSYLVANIA ) . SS. COUNTY OF CUMBERLAND ) WE, MARTHA C. SLOTTEN, TAYLOR P.ANDREWS, and RALPH L. SLOTTEN, the Testatrix and witnesses, respectively, whose names are signed to the foregoing or attached instrument,being first duly sworn,do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as and for her Last Will and Testament and that she signed willingly and that she executed as her free and voluntary act for the purposes therein expressed,and that each of the witnesses,in the presence and hearing of the Testatrix,signed the Will as witnesses and that to the best of their knowledge the Testatrix was at the time eighteen(18) or more years of age, of sound mind and under no constraint or undue influence. . ,�@, �C� �_ MARTH . LOTTEN, Testatrix y . drews, Witness a�-- �Q� Ralph L. Slotten, Witness Subscribed, sworn to and acknowledged before me by MARTHA C. SLOTTEN, the Testatrix, and subscribed to and sworn or�rmed to before me by TAYLOR P. ANDREWS and RALPH L. SLOTTEN, witnesses, this 1 st day of July, 2 4. N(�`CAF�IAL SEAL (SEAL� SHELLY SEXTON, Notary Public Notary Public Cariisle Boro, Cumberland County My Commission Expires Aprii 26, 2007