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HomeMy WebLinkAbout06-25-14 (3) 1505610105 REV-1500 IX(0b11)(FI)It PA Department of Revenue Pennsylvania OFFICIAL USE ONLY Bureau of Individual Taxes °"""° County Code Year File Number PD BOX 280601 INHERITANCE TAX RETURN ^, _ Harrisburg PA 17128-0601 RESIDENT DECEDENT dD4 13 1144 ENTER DECEDENT INFORMATION BELOW Sooiai Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 10/04/2013 09/13/1948 Decedent's Last Name _ Suffix Decedent's First Name MI Weaver Joan A (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 (AD 1.Original Return C) 2.Supplemental Return C:D 3. Remainder Return(Date of Death Prior to 12-1382) (C 4.Limited Estate p 4a.Future Interest Compromise(date of O 5. Federal Estate Tax Return Required death after 12-12821 (AD 6.Decedent Died Testate rC 7,Decedent Maintained a Living Trust 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10.Spousal Poverty Credit(Date of Death Q it. Election to Tax under Sec.9113(A) Between 12-31-91 and 1-1-95) (Attach Schedule 0) CORRESPONDENT- THIS SECTION MUST BE COMPLETED,ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number Alexandra M. Sipe (717)655-7096 , REGI F WILLS USE ONLIn c. 3 C First Line of Address M rte- c. Maxwell Law Offices r— M u l > N °,t - o Second Line of Address 237 East Main Street o c City Or Post Office _ - - - -_ _ State— ZIP Code - ATE FILED r— Waynesboro PA 17268 .7 CorrespondenPs e-man address:alexandra.marte.bybel -.gmaii.com Under penalties of perjury,I declare that i have examined this return,Including eceompaming schedutes and statements,and to the best of my knowledge and belief, It is hue,correct and complete.Declaration of paperer other than the persona(representative Is based on all bdomrstion of which prepamr has arty knowledge. SiG-yATURFyOF PERSON RESPONSIBLE FOR F{I"IU ^I DATE (G/K 4 ADDRESS ,Is(rIl 38 Burket Rd., Shippensburg, PA 314 N. Broad St., Lititz, PA 11915 Sid flRd,Greencaste, PA SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS Maxwell Law Offices, 237 East Main Street,2nd Floor, Waynesboro, PA 17268 PLEASE USE ORIGINAL FORM ONLY Side i ��, 1505610105 1505610105 1505610205 REV-1500 EX(FI) Decedent's Social Security Number Deceaerx•a Name: Joan A. Weaver RECAPRULATION 1. Real Estate(Schedule A). ............................................ 1• _ Schedule B 2. Stocks and Bonds ( ) ....................................... 2. 109,595.13 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C) ..... 3. 4. Mortgages and Notes Receivable(Schedule D)........................... 4. 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E)....... 5. - • 24,377.27 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6. 1,118.37 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property -- - -- - (Schedule G O Separate Billing Requested........ 7. 43,012.17 8. Total Gross Assets(total Lines i through 7)................ 8. 178,102.94 9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. 21,448.50 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............... 10. 15,214.44 11. Total Deductions(total Lines 9 and 10)................................. 11. 36,662.94 12. Net Value of Estate(Line 8 minus Line 11) .............................. 12. 141,440.00 13. Charitable and Governmental 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 13) ........................ 14. 147 440.00 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 -- - (a)(1.2)X.0- .. .. 15. 16. Amount of Line 14 taxable at lineal rate X.045_ 141,440.00 16_ 6,364.80 17. Amount of Line 14 taxable - " - "" "' - - - - at sibling rate X.12 _ 17 18. Amount of Line 14 taxable - "- "' '" at collateral rate X.15 18 19. TAX DUE ......................................................... 19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O Side 2 1505610205 1505610205 REV•1500 EX(FI) Page 3 File Number Decedent's Complete Address: DECEDENTS NAME Joan A. Weaver STREETADDRESS 38 Burket Road CITE STATE ZIP Shippensburg PA 17257 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 6,364,80 2. Credits/Payments A.Prior Payments 6,000.00 8.Discount 300.00 Total Credits(A+8) (2) 6,300.00 1 Interest (3) 4. If Line 2 is greater than Line 1+Line 3,enter the difference, This is the OVERPAYMENT. Fill In oval on Page 2,Une 20 to request a refund. (4) S. if Une i+Une 3 is greater than Une 2,enter the difference.This is the TAX DUE. (5) 64.80 I Make check payable to: REGISTER OF WILLS,AGENT, PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN'W'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 fight to designate who shall use the property transferred or its Income ............................................ ❑ c. retain a reversionary interest.............................................................................................................................. ❑ d. receive the promise for fife of either payments,benafrts or care?................................................................. ..... Q 2. If death occurred after Dec.12,1982,did decedent transfer property w;thin 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?.._.......... ❑ a 4. Did decedent own an individual retirement account,annuity 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 Q AND FILE IT AS PART OF THE RETURN. For dates of death an 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 p2 P.S.§9116(a)(1.1)(1)). 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 172 P.S.§9116(a)(1.1)(if)J.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 return 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 child 21 yearn 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 172 P.S.§9116(a)(12)). • The tax rate imposed on the net value of transfers to or for the use of the deoedenfs fineat beneficiaries is 4.5 percent,except as noted in[72 P.S.§9116(a)(1)J. • The tax rate imposed on the net value of transfers to or for the use of the decedents siblings is 12 percent(72 P.S.§9116(a)(13)).A sibling is defined, under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV.LSOI EXa(8a2) BI pennsytvania DEPARTME OF"NUE SCHEDULE B INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT OF Joan A. Weaver FILE NUMBER 2113-1144 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM NUMBER DESCRIPTION V 1. 32.135 shs Eaton Vance Dividend Builder fund Class C @ 12.38 397.85 2 242.539 shs Eaton Vance Short Duration Strategic Income Fund Class C @ 7.39 1,792.35 3 209.465 shs Eaton Vance Global Dividend Income Fund Class C @ 7.78 1,629.63 4 1586.373 shs Franklin Income Fund Class C @ 2.35 3,727.99 5 1512.643 shs Eaton Vance Dividend Builder Fund Class C @ 12.38 18,726.52 6 3417.81 shs Eaton Vance Short Duration Strategic Income Fund Class C @ 7.39 25,257.64 7 2771.87 shs Eaton Vance Global Dividend Income Fund Class C @ 7.78 21,567.92 8 15001.51 shs Franklin Income Fund Class C @ 2.35 35,253.55 9 17.065 shs Walmart Stock @ 72.80 1,241.68 TOTAL(Also enter on Line 2, Recapitulation) $ 109,595.13 If more space is needed,Insert additional sheets of the same size REV-1508 EX+(u-io) Pennsylvania ��. SCHEDULIE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & misc. Fs ET TNT DNECEDE! PERSONAL PROPERTY ESTATE OF: Joan A. Weaver FILE NUMBER: 2113-1144 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. REM NUMBER DESCRIPTION VALUE AT DATE 1. Household Goods OF DEATH 2, Tractor 1,200.00 8,000.00 3, 2003 Ford Explorer,VIN IFMYU93153KC86836 4,000.00 5. M&T Select Account,Account No.2698052848 5,610.20 6, M&T Checking Account,Account No.15004220851031 540.73 7. Check from M&T for dosing account prior to death 1,290.12 8. WaWart Paycheck 1,148.08 9, .Final Wal-Mart Paycheck 1,152.01 9, U.S.Department of Treasury-Federal Income Tax Refund 1,413.00 10. Century Link-Refund 23.13 TOTAL(Also enter on Line 5, Recapitulation) $ 24,377.27 If more space is needed,use additional sheet-,of paper of the same size. REV-*"IX+(oi-io) pennsytvania SCHEDULE F DEPARTMENT JOINnY-OWNED PROPERTY RANCE TAX RETURN MNER RETURN • RESIDENT DECEDENT ESTATE OF: FAE NUMBER: Joan A.Weaver 21131144 If an asset became jointly owned within one year of the decedent's date of death,It must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A Jessica S.Weaver 1314 N. Broad Street _ G� randch3ld. � + #t.Ititz, PA 17543 B'Jacob D.Weaver - 38 Burket Rd. - Grandchild Shippensburg, PA 17257 C.. Lindsay R.Weaver 11915 StulLROad �• Grandchild - Greencastle,PA 17225 ry JOINTLY OWNED PROPERTY: LETTER DATE DESCRIMON OF PROPERTY - %OF DATE OF DEATH FIRM FOR JOMT - FADE tt ome NAME OF FemNCAL INsRMtoN AND BANK AC7]lRtr'Numam OR SPAR DATE OF DEATH DECEDENTS VALUE OF . NUMBER TENANT )OMr IDENnrnNG NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE VALUE OF ASSET MIEAE51' DECEDWM INTEREST ii. �'A:' �02/10I12 Members 1st,Certificate of Depos t No.449585 -- . . 554.30 SOj 9 277.15 ( 2.I �I8�}I 02/10/12 iMembers 1st.Certificate of Deposit No.449585 � ,,.262.01 L _J Lt C iJ 02/10/12 tiM_.e_mbers 1st,Certificate of Deposit No.449585 71 503.92 1 50J i 251.96 Fes, --�1 i 14. -D 021110/12 IMembers 1st,Certficate of Deposit No.449585 503.92 ( SOi 251.96 t�.J " E 02/10/12 Members l et.Certificate of Deposit No.449585 150M EE 75.29 F r, Ell ' � TOTAL(Also enter online 6,Recapitulation) $L 1,116.3 If more space is needed,use additional sheets of paper of the same size. - PENNSYLVANIA INHERITANCE TAX RETURN SCHEDULE F (CONT.) JOINTLY-OWNED PROPERTY Estate of: Joan A. Weaver File Number: 2113-1144 D. Wyatt M. Weaver 11915 Stull Road Grandchild Greencastle, PA 17225 E. Rylee G. Weaver 38 Burket Road Grandchild Shippensburg, PA 17257 REV-1510 EX+(08-09) pennsylvania SCHEDULE G DEPARTMENT OFREVENVE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Joan A Weaver 2113-1144 This schedule must be completed and filed if the answer to any of questions I through 4 on page three of the REV-1500 is yes. ITEM NAM DESCRIPTION OF PROPERTY PCMTIF E OF TKETRAN99M THDR RaAT1ONWP TO DEOMWMD DATE OF DEATH % DECD'S EXCLUSION TAXABLE NUMBER THE DATE OFIkAR ER ATTACH A COPT OF TIE DEED RA AEA ESTATE VALUE OF ASSET INTEREST OF Ar OQUJO VALUE I- Wal-Mart,401(k}beneficiaiies:James M.Weaver,Shannon M.Sherizer, 11,068.35 100 11,068.35 Dean A.Weaver,Equally 2 Franklin Templeton Individual Retirement Account-benefidades:James M. 31,943.82 100 31,943.82 Weaver,Shannon M.Shertzer,Dean A.Weaver,Equally TOTAL(Also enter on Line 7, Recapitulation) $ 43,012,17 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+ (08-13) r. SCHEDULE H '"_l 'pennsylvania sy DEPARTMENT OF REVENUE FUNERAL EXPENSES AND RESIDENT ED RETURN ADMINIsi�RATIVE COSTS RESIDENr DECEDENT ESTATE OF Joan A. Weaver FILE NUMBER 2113-1144 ITEM Decedent'S debts must be reported on Schedule I. NUMBER DESCRIPTION A. FUNERAL EXPENSES: AMOUM 1' Grove Bowersox Funeral Home,funeral services 10,202.00 e. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Names)of Personal Representatives) Street Address city State_ZIP Year(s)Commission Paid: 2. Attorney Fees: 6,450.00 3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation.) 3,500.00 Claimant Dean A. Weaver Street Address 38 Burkett Road City Shippensburg State PA zip 17257 Relationship of Claimant to Decedent Son 4. Probate Fees: - 368.50 5. Accountant Fees: - 6. Tax Return Preparer Fees: 7 Cumberland Law Journal,publication of personal representatives'notice 75.00 s. Nationwide,auto insurance 110.00 s. The News-Chronicle Company,publication of personal representatives'notice 146.00 10. Integrity Investment Services,brokerage fees - - - - - 111• Maxwell Law Offices,closing costs and final attorneys'fees 97.00 500.00 TOTAL(Also enter on Line 9, Recapitulation) $ 21,448.50 If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+ (12-12) ' SCHEDULE I a i pennsytvania DEPARTMENT DP REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Joan A. Weaver 2113-1144 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER _ DESCRIPTION OF DEATH _ 1� M&T Bank,personal loan 316.98 2. Summit Physicians Services,medical expense 11.49 3. Charnbershvrg Gastroenterology Associates,medical expense 345.04 4. M&T Bank,credit card 1,054.23 5, Penn State Hershey,Physicians Services,medical expense 123.75 6. Penn State Hershey,Hospital Services,medical expense 470.45 7. M&T Bank,personal loan 316.93 8. M&T Bank,personal ban 316,90 9. M&T Bank,personal loan payoff 12,154.69 10. Pennsylvania Department of Revenue,income tax 104.00 TOTAL(Also enter on Line 10, Recapitulation) $ 15214.44 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01.10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERrTANCE TAX RETURN BENEEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Joan A. Weaver 2113-1144 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and transfers under Sec.9116(a)(1.2).] I. Dean A.Weaver Son 38 Burket Rd. Shippensubrg,PA 17257 113 Schedule G 14,337.39 113 Residue 32,436.49 2. Shannon M.Shertzer Daughter 314 N.Broad St. Lititz,PA 17543 113 Schedule G 14,337.39 1/3 Residue 32,436.48 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 TAXIS 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 sae. Schedule J Continuation... 3. James M.Weaver Son 11915 Stull Rd. Greencastle, PA 17225 1/3 Schedule G $ 14,337.39 1/3 Residue 32,436.49 4. Jessica S. Weaver Granddaughter 314 N. Broad Street Lititz, PA 17543 Per Sch. F, 1.A 277.15 5. Jacob D. Weaver Grandson 38 Burket Road Shippensburg, PA 17257 Per Sch. F,2. B 262.01 6. Lindsay R.Weaver Granddaughter 11915 Stull Rd. Greencastle, PA 17225 Per Sch. F, 3. C 251.96 7. Wyatt M. Weaver Grandson 11915 Stull Road Greencastle, PA 17225 Per Sch. F,4. D 251.96 8. Rylee G.Weaver Granddaughter 38 Burket Rd. Shippensburg, PA 17257 Per Sch. F,S. E 75.29 TOTAL TAXABLE DISTRIBUTIONS AT 4.S% S 141.440.00 -2- REGISTER OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS PENNSYLVANIA 0 No. 2013- 01144 PA No. 21- 13- 1144 Estate Of: JOANA WEAVER er"A.Mi M.L.V) Late Of: HOPEWELL TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No: WHEREAS, on the 29th day of October 2013 an instrument dated November 16th 2005 was admitted to probate as the last will of JOAN A WEAVER (FI,A.MWM.4.6 late of HOPEWELL TOWNSHIP, CUMBERLAND County, who died on the 4th day of October 2013 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of wills in and for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARYto: DEAN A WEAVER and SHANNON M SHERTZER and JAMES M WEAVER who have duly qualified as EXECUTOR(RIX) and have agreed to administer the estate according to law, all of which fully appears of record in my office at CUMBERLAND COUNTY COURTHOUSE, CARLISLE, PENNSYLVANIA, IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my office on the 29th day of October 2013. egrnstei o r s e ry **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) .._............. ..__. ftECCRU r-O v, {1G 0� WILL ^T 29 al 9 OF " JOAN A. WEAVW W' r I, JOAN A. WEAVER, of Chambersburg, Franklin County, Pennsylvania (havine Post Office address of 6650 Green Corner Road, Chambersburg, PA 17201), being of sound and disposing mind, memory and understanding, revoke any prior wills and codicils and declare this to be my will. My lineal issue as of the time of execution of this will consist of my son, Dean A. Weaver, and his two children, Jessica S. Weaver (born July 26, 1989) and Jacob D. bl'eaver (born April 3, 1991), my daughter Shannon M. Shertzer, and my son James Al. Weaver, and his two children, Lindsay R. Weaver (born September 11. ].992) and Wyatt M. Weaver (born June 7, 1999). ITEM I. EXPENSES AND TAXES. I direct my Personal Representative to pay all of my just debts; my funeral expenses, and all of my federal, state and other death taxes (and interest and penalties thereon). These payments shall be made out of the principal of my residuary estate (or if there be no residuary estate, then out of my probate assets) just as if they were my debts, and none of those payments shall be charged against or reimbursed by any beneficiary. Maxwell Law Offices 92 West Main Street Waynesboro, PA 1 72 68-1 591 (717) 762-2118 ITEM II. TANGIBLE PERSONAL PROPERTY. I give any tangible personal property in the nature of household goods, personal effects and motor vehicles owned by me at my death, together with insurance thereon, to such of my children as survive me, in as near equal shares as practical. My Personal Repre- sentative, without further responsibility, may distribute the share of a minor to the minor or to any person to hold for the minor. To the extent my Personal Representative deems it to be impractical or unwise to make distributions in kind, my Personal Representative may sell said assets and make distribution of the proceeds thereof to or for the benefit of said minor. ITEM III. RESIDUARY GIFTS: I direct that the residue of my estate shall be divided into equal shares which shall be distributed, subject to the provisions of Item IV, per stirpes to my lineal issue who survive me. ITEM IV. FINANCIAL GUARDIAN. In the event that any person who is • beneficiary under this will or who is a beneficiary of insurance proceeds or who is • beneficiary of other property with respect to which I have power to appoint a guardian, is under any legal disability (whether due to minority, due to mental incapacity, or otherwise) at the time of distribution, I appoint my herein named Financial Guardian as guardian of the estate of said legally disabled beneficiary and I authorize my said guardian to use such amount or amounts of income or principal as shall be necessary, in the sole discretion of my said guardian, for the maintenance, support, medical expenses and education of said beneficiary during the period of his legal disability. - 2 - ITEM V. APPOINTMENT OF FIDUCIARIES. I appoint my children, Dean.A. Weaver, Shannon M, Shertzer, and James M. Weaver, or the survivor or survivors of them, as Financial Guardians (herein collectively referred to as "Financial Guardian") of any financial guardianships created hereunder. I appoint Dean A. Weaver, Shannon D?. Shertzer, and James M. Weaver, or the survivor or survivors of them, as Co-Personal Representatives (herein collectively referred to as "Personal Representative") of my estate. ITEM VI. NO BOND. I direct that no fiduciary appointed hereunder shall be required to post bond in this or any othei jurisdiction. IN WITNESS WHEREOF, I, JOAN A. WEAVER, the Testatrix, hereby execute on November/6 , 2005, this my will, typewritten upon three (3) sheets of p ap er. a;& , (_J (SEAL) Joan A. Weaver In our presence Joan A. Weaver signed this and declared it to be. her will and now at her request, in her presence and in the presence of each other, we sign as witnesses. . 3 .