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HomeMy WebLinkAbout06-11-14 (2) 1505610105 REV-1500 EX(oz-n)(R) OFFICIAL USE ONLY PA Department of Revenue pennsylvarra Bureau of Individual,Taxes Cvv��Zda Yfzv� File M40tv PID BOX 280601 INHERITANCE TAX RETURN Harrisburg,PA i7128-060i RESIDENT DECEDENT IrN ER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 03/1212014 j 12/09/1923 Decedent's Last Name Suffix Decedents First Name Ml Landis John G (if Applicable)Enter Surviving Spouse's Information Below Spouses last Name Suffix Spouses First Name M) Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE --------------- REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW M 1.Original Return O 2.Supplemental Return C=i, 3. Reminder Return(Date of Death Prior to 12-13-82) = 4.limited Estate C=:) 4a.Future Interest Compromise(date of C=:) 6. Federal Estate Tax Return Required death after 12-12-82) (ED 6. Decedent Died Testate C=:) 7.Decedent Maintained a Living Trust —V 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust-) C=:) 91 Litigation Proceeds Received C=D 10.Spousal Poverty Credit(Date of Death C=) 11. 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 John R. Landis ;(706)655 8-0347 REGISUR OF WILLS C*�NLY ,, -0 0-- First Line of Address M -----------—------------- ------- G-j 1467 Reece Drive Se,nnnd Line of Address Z! CT City,0,r.Post,office- ,,,State- --ZI,P-Code Q) QATPRILEP i Hoschton GA 1 130548 -0 1 co -n Correspondent's&-mail address:i1andislginindspring.corn Under penalties of perjury,I declare that I have examined this rather,including accompanying schedules and statements and to the best of my knowledge and belief: it is true,corlect and complete.Deal Gon of ipreparar other than the Personal representative is based on all information of which preparer has any knowledge. SIGNATU FILING RETURN DATE 06/09/20414 7ADDN,12�8 461'keece Drive, Hoschton,GA 30548 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 1505161P105 1505610105 1505610205 REV-f500 EX(Ff) . Decedent's Social Security Number i RECAPITULATION 1. Real Estate(Schedule A). ............................................ 1. 0.00 2. Stocks and Bonds(Schedule B) ....................................... 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. 1 316,517.22 6. Jointly Owned Property(Schedule F) O Separate Billing Requested ....... 6. 0.00 i 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property (- 1 (Schedule G) O Separate Billing Requested........ 7. 128,128.62 8. Total Gross Assets(total Lines 1 through 7)............................. 8. 896,305.74 9. Funeral Expenses and Administrative Costs(Schedule H)................... 9. 7,916.97 I 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............... 10. 1 4,872.42] 11. Total Deductions(total Lines 9 and 10)................................. 11. 12,789.39 12. Net Value of Estate(Line 8 minus Line 11).............................. 12. 883,516.35 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J) ........................ 13. j 0.00 14. Net Value Subject to Tax(Line 12 minus Line 13) ........................ 14. 863,516.35 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- I i 15.E 16. Amount of-Line 1'*4 taxable I at lineal rate X.0 45 ( 883,516.35 16.1 39,758.24 17. Amount of Line 14 taxable at sibling rate X.12 17, 18. Amount of Line 14 taxable I , at collateral rate X.15 18.1 19. TAX DUE ......................................................... 19.1 39,758.24 - .... ----- ---...----- ---- J 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p Side 2 L 1505610205 1505610205 J REV-1500 EX(Ft) Page 3 * v File Number Decedent's"Complete Address: DECEDENTS NAME John G. Landis STREETADDRESS — 5225 Wilson Lane Appl 2103 CITY STATE 21P Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 39,758.24 2. Credits/Payments A.Prior Payments B.Discount 1,987.91 Total Credits(A+8) (2) 1,987.91 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,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) 37,770.33 Make check payable to: REGISTER OF WILLS,AGENT. PLEASE A%5WER T%F Ft}LLVffi%G QUESTMS BI i tACVHG AN"W INI T"S AT+PRT)T+RtATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred...................................................................,...................... ❑ 0 b, retain the right to designate who shall use the Property transferred or its income ........................................... ❑ IW 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?.............. ❑ I� 4. Did decedent own an lndMdual retirement account,annuity or other norwrobate 000erty,which contains a beneficiary designation? ......................._.__.__.......»............---......................................,,............ ..... � Q IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1,1994,and before Jan.1,1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent[72 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 [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 disdasure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dales of death on or after July 1,200(1: • 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 natural parent,ar adoptive parent or a stepparent of the child is 0 percent(72 P.S.§91116(a)(1.2)]. . ill • The tax rate imposed on the net value of transfers to or for the use of the decedents lineal beneficiaries is 4.5 percent,except as noted in F2 P.S.§911'6(a)(1)f. • The tax rate imposed on the net value of transfers to or for the use of the decedents siblings percent 2 P.S.§9116(a)(1.3)].A siblin is defined, gs pe (7 9 under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1502 EX+(12-12) Upennsytvania SCHEDULE A `` DEPARTMENT OF REVENUE INHERITANCE TAX RETURN REAL ESTATE RESIDENT DECEDENT ESTATE OF: FILE NUMBER: John G. Landis 2114-0304 All real property owned solely or as a tenant in common must be reported at fair market value.Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Real property that Is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet If the property has been sold. ITEM Include a copy of the deed showing decedent's interest if owned as tenant in common. VALUE AT DATE NUMBER DESCRIPTION OF DEATH t not applicable TOTAL(Also enter on Line 1„Recapitulation.) $ 0.00 11 If more space is needed,use additional sheets of paper of the samesd& - t REV-1503 EX.(&u) penn DEPARIIE4TOFAE ME SCHEDULE B INHERITANCE TAX RETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF John G. Landis FILE NUMBER 2114-0304 All property jointly owned with right of survivorship must be disdosed on Schedule F. ITEM murr&R VALUE.AT DATE Ih1'L'1a1r11Ui0' OF< 6AM' t' Apollo Investment Corp.1500 common shares .. . . . . 12,847.50 .Commonwean REiT 250 Common shares 6,763.75 Lord Abbett 9039.105 common shares 41,824.17 Senior Housing Properties 500 common shares 11,207.50 PPL Energy Supply 10,000 shares 4.6%12/1512021 10,027.55 Morgan Stanley'GLBL 5,000 shares 4'75%41112014 5,418.77 Fulton Bank 30,222 common shares 363,570.66 TOTAL(Also enter on Line 2, Recapitulation) $ 451,659.90 If more space is needed,Insert additional sheets of the same size REV-1504 EX.(912) Fes' pennsylvania SCHEDULE C DEPARTMENT OF REVENUE CLOSELY-HELD CORPORATION, INHERITANCE TAX RETURN PARTNERSHIP OR RESIDENT DECEDENT SOLE-PROPRIETORSHIP ESTATE OF John g. Landis FILE NUMBER 2114-0304 Schedule C-1 or C-2(including all supporting information)must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship.See Instructions for the supporting Information to be submitted for sole-proprietorships. ITEM NUMBER VALUE AT LTOTF NUMBER DESCRIPTION OF DEATH t. -Not applicable TOTAL(Also enter on line 3, Recapitulation) $ 0.00 (If more space Is needed,insert additional sheets of the same size), REV-1507 EX+ (04-13) pennsylvania SCHEDULE D DEPARTMENT OF REVENUE MORTGAGES & NOTES INHERITANCE TAX RETURN RECEIVABLE RESIDENT DECEDENT ESTATE OF John G. Landis FILE NUMBER 2114-0304N ITEM All property Jointly owned with right of SUMIV0rshlp must be disclosed on Schedule F. NUMBER DESCRIPTION EAT DATE OF DEATH Not applicable i i . i i ,TOTAL(Also ente-rOn Une 4,Recapitulation) $ 0.00 (If more space is needed,insert additional sheets of the samesize:). REV-1508 EX+(oil-12) �' pennsylvania SCHEDULE E DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC. IRESIDENTJDECEDENr�RN PERSONAL PROPERTY ESTATE OF: 'John G. Landis FILE NUMBER: 2114-0304 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. .^3M NUMBER DESCRIPTION 1A-WE AT DATE OF DEATH 1. Fulton Bank checking account 316,517.22 TOTAL(Also enter on.Line 5, Recapitulation) $ 316,517.22 If mere space is needed,use additional sheets of paper of the same size. RE�9 EX+(oa-zo) pennsylvania SCHEDULE F DEPARTME'To REVENUE INHERHANCETU RETURN JOINTLY-OWNED PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER.: 10 hn G.Landis 2114-0304 If an asset became jointly owned within one year of the decedent's date of death,It must be rep on Schedule-G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP 40 DECEDENT A.Not applipble B. C. ]OINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %of DATE OF OFATH HEM FOR]OINT MADE INCLUDE NAME OF FINANCIAL INSTITUTON AND BANK ACCVUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE E NUMBER TENANT ]DINT IDENTIFYING NUMBER.ATTACH DEED FOR)DIMLY TIED REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. TOTAL(Also enter on Line6 Recapitulation) $ 0.00 11 mole spbte IS r2e4e4,use addW&rR 4 shtels to Vd mr 61.ihe sarm s4ze. REV-1510 EX+(08-09) rpennsylvania SCHEDULE G DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX REIDRN DECED RESIDENT ENT MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER John G. Landis 2114-0304 This schedule must be completed and riled if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. 45M I DESCRIPTION OF PROPERTY NUMBER �xauDE TxE xARF OTTRE TRArtaEp¢,iRDR RaAnousrnvrooEO�Exr ArvD I *E L1rASPTN %Ar 2Y�5 bYC2L!S,V.1W 7.CYA91<< 2A7 F TRARSFEL ATTAOI A 10"OF T11E O®Rn uu TA VALUE OF ASSET INTEREST n�uusu: VALUE 1• 'Tom G.LandisfJohn R.Landis-sons-March 12,2013 ,Fidelity Investments 128,128.62 : 100 128,128.62 '; to TOTAL(Also enter on Lirie'7°Recapitulation) $ 128,128.62 If more space Is needed,use additional sheets of paper of the same size. REV-1511 EX+(e8-13) , Yi pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER John G. Landis 2214-0304 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Walpezzi Funeral Home -cremation,Dm 3,462.97- �Troy Hodell-funeral service 75.00` a. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 3,536.00 Name(s)of Personal Representative(s) Tom G. Landis/John R. Landis Street address 433 Dave Dc /467 Reece Drive city Hayesville, NC 28904/Hoschton,GA30548 State _ ZIP Year(s)Commission Paid: 2. Attorney Fees: 1 Family Exemption:(If decedent's address is not the same as dalmant`s,attach explanation.) Claimant Street Address City State_ZIP Relationship of Claimant to Decedent 4. Probate Fees: 658.00 5. Accountant Fees: 165.00 8. Tax Return Preparer Fees: 7. 5. 11. 12. TOTAL{Also enter on Line 9, Recapitulation) $ 7,916.97 If more space is needed,use additional:sheets of paper of the same size. REV-1512 EX+(12-12) pennsylvania SCHEDULE I �� DEPARTMENT OF REVENUE DEBTS OF DECEDENT, RESIDENT DE ED RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DE[EDEM ESTATE OF John G. Landis FILE NUMBER 2114-0304 Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses. ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. West Shore EMS-2 trips 2,237.57 2- Holy Spirit Hospital ^S� 3 Omnicare 308.71 4 Pinacle Health Care 176.59 5 Urology of Pa 8.36 6 Capital Cardiology 14.26 7 Ouantam Imaging 6.50 8 East Pennsboro Ambulance 60.00 9 Camp Hill Emergency Physicians 10 CCRX of Bethany Village 9.48 11 Dept.of Treasury 31.00 12 V.Eugene Kilmore,MD 63.89 . 13 Hamden Physicians Association 31.84 14 Pa.Gestic.Consultants 80.50 15 Spirit Physicians Service 218.17 16 IRS 1,341.96 17 EMS 76.92 16 Verizon - 60.38 TOTAL(Also enter on Line 10, Recapitulation) $ 4,872.43 If more space Is needed,insert additional stieets'of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE ] DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: John G. Landis FILE NUMIBER: 2114-0304 NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY RELATIONSHIP o Not List Trustee s) AMOUNTST SHARE I TAXABLE DISTRIBUTIONS Indude outright pousal distributions and transfers under ( ) OF ESTATE Sec.9116(a)(1.2).) 1. Tom G.Landis son 50% 2 John R.Landis son 50% . 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: B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART 13- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS CN LINE 13 OF REV-1500 COVER SHEET.$ If more space is needed,use additional sheets of paper,of the same size. t REV-154 EX+(4-09) T pennsytvania SCHEDULE K DEPARTMENT OF RMNUE LIFE ESTATE,ANNUITY PC 28o6oiidual Taxes &TERM CERTAIN u Be.Box of Ind Harrisburg PA i7128-°6ov (CHECK BOX 4 ON REV-15oo COVER SHEET) ESTATE OF FILE NUMBER John G. Landis 2114-0304 This schedule should be used for all single-life,joint or successive life estate and term-certain calculations.For dates of death prior to 5-1-89, actuarial factors for single-life calculations can be obtained from the Department of Revenue. Actuarial factors can be found in IRS Publication 1457,Actuarial Values,Alpha Volume for dates of death from 5-1.89 to 4-3049, and in Aleph Volume for dates of death from 5-1-99 and thereafter. Indicate below the type of instrument that created the future interest and attach a copy of it to the tax return. ❑ Will ❑ Intervivos Deed of Trust ❑ Other LIFE ESTATE INTEREST CALCULATION "Y NAME OF LIFE TENAB'I' rm E' U t .DATE OF BIRH NEARESTAGE AT a"I°a TERMtOF YEARS''Sti$ _ . .. -4-„LIFE P�' k ° _- . D/AYE Qks�DEAT}1. ;;`,_LIFE E`SfiATE IS"RAYA'$CE x'�•; Not applicable ❑ Life or ❑Term of Years • Life or ❑Term of Years • Life or ❑Term of Years ❑Life or ❑Term of Years ❑Ufe or ❑Term of Years 1. Value of fund from which life estate is payable . .. . . . . . . . . .. . . .... . . . . . . . . . . . 2. Actuarial factor per appropriate table ................................... ............. Interest table rate-❑3.5% ❑6% ❑ 10% ❑Variable Rate 3. Value of life estate(Line 1 multiplied by Line 2) .... . . . . . . . . . . . .... . . . . . . . . . . . .... . .$ ANNUITY INTEREST CALCULATION -`,NAME OF;LIFE ANNUITANT y '' NEAREST AGE A7 •• TERM OF YEARS • •.., y :DATE OF BIRTH - - _ n „-... •,.:1 . rr .'„ ., ' • r, . < -,ir _ DATErOF•DEATN. :; ,, ANNUITX,IS PAYABLE_'. , ?: ❑ Life or ❑Term of Years ❑Life or ❑Term of Years ❑ Life or ❑Term of Years ❑Ufe or ❑Term of Years 1. Value of fund from which annuity is payable . . . . . ..... .. . . . . . . . . . .. .. . . . . . . ... . . . . . . ...$ 2. Check appropriate block below and enter corresponding number . . . . . . . . . . . . . . . . . Frequency of payout—❑ Weekly(52) ❑ Bi-weekly(26) ❑ Monthly(12) ❑ Quarterly(4) ❑ Semi-annually(2) ❑ Annually(1) ❑Other( ) 3. Amount of payout per period .................................... ................... .$ 4. Aggregate annual payment, Line 2 multiplied by Line 3 ................................... 5. Annuity Factor(see instructions) Interest table rate—❑3.5% E360/ ❑10°I ❑Variable Rate_._._ % 6. Adjustment Factor(See instructions.) ................................................. 7. Value of annuity-If using 3.5,6,or 10%, or if variable rate and period payout is at end of period,calculation is Line 4 x Line 5 x Line 6 . ............ . .......... ...$ If using variable rate and period payout is at beginning of period, calculation is (Lane 4 x Line 5 x Line 6)+Line 3 ...... .... . ..... ... . . . ..... . .. . . . . . . . . ... . . . .. .$ NOTE:The values of the funds that create the above future interests must be reported as part of the estate assets on Schedules A through G of the tax return,The resulting life or annuity interest should be reported at the appropriate tax rate on Lines 13 and 15 through 18 of the return. If more space is needed,use additional sheets of the same size. I, J0_3 G. LANDIS, of the Towiship, of Hampdemp(4unZI c� g ' Cumberland and Commonwealth of Pennsylvania_, .being:-c5f soadr N T ' disposing mind, memory and understanding, do make, publish and- i ' declare this to be my last Will and Testament in manner and form ii I I ii as follows: i FIRST: I order and direct my Executrix hereinafter named to j f I � I1pay my just debts and funeral expenses as soon as may be cone- �I nient after my decease. 11 SECOND: I give, devise and bequeath my entire estate, both i real and personal, unto my wife, Mildred G. Landis, if she j jl survives me, her heirs and assigns, in fee simple, absolutely. II THIRD: In the event that my said wife, Mildred G. Landis, 1faiis to survive me, then I order and direct my Executors herein- I !' after named to convert my estate into cash and distribute the same in equal shares, to and among my children, or their issue. i LASTLY: I nominate, constitute and appoint my wife, Mildred li 1,1G, Landis, to be the Executrix of this my last Will and Testament it fl, and if for any reason Letters Testamentary are not granted to her i 11or she ceases to act as Executrix before the final distribution of! I I Amy estate, then in such case, I nominate and appoint my two (2) I lsons, John R. Landis and Thomas G. Landis, to be the Executors or Succeeding Executors under this my last Will and Testament. I i �Idirect that Letters be granted in my estate without the filing of Il any bond whatsoever, I I �i IN WITNESS WHEREOF, I have hereunto set my hand and seal �I this :J 7 day of 1975. (SEAL)! J JOHN G. LANDIS j Signed, sealed, published and declared by the above-named li li i� I ii ii I i i Ii Testator, John G. Landis, as and for his last Will and Testament, lin the presence of us, who, at his request, in his presence, and Iiin the presence of each other, have hereunto subscribed our names Ias witnesses thereto. I�I I; II !i I I' ! I� I II Ii f ;� -2- I OF WILLS CERTIFICATE OF CUMBERLAND COUNTY GRANT OF LETTERS 5 PENNSYLVANIA 0 No. 2014- 00304 PA No. 21- 14- 0304 Estate Of: JOHN G LANDIS !Fiu,ertw,rSZ,lx4x! Late Of: LOWER ALLEN TOWNSHIP CUMBERLAND COUNTY Deceased Social Security No: WHEREAS, on the 3rd day of April 2014 an instrument dated` November 25th 1975 was admitted to probate as the last will of JOHN G LANDIS wits"MiadMl UVl late of LOWER ALLEN TOWNSHIP, CUMBERLAND County, who died on the 12th day of March 2014 and, WHEREAS, a true copy of the will as probated 'is annexed hereto. THEREFORE, I, LISA M. GRAYSON, ESQ. , Register of wills in and for CUMBERLAND County, in the C oTrtmo7ywealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARYto: .fO.NA�Ad,4,Arn�v¢ a�,r ;ru,L�4t�4�L�d,A,9rnr� 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 3rd day of Apr# 2014. egisrer o Wits.. -' 7 r Dvputy **NOTE** ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST) Fort (m)MM cm*STTcdA SNO6CS:,0ANH rte. Ardvattets can evrnzwer3wp awaaerw .l eurcpp,w2mle x.ro�aama ��IIli����II�������UII tI���II��(���F76IIIi� amen 011)240416 861.11309t Rda p Court House bmk.a Register of Wills aowea 4 1 Court House Square '+. 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Cos costs, teuedm Un ampp t wh*ervirs Guile aPPN:Yaa.dptp IO teanarfranf I"O to the 9MO;N0 SIro wMSkvelue of the parade;bas stabs.imeme ew mcl;pmpt Mtcme/s. teas,costa,ark omen tamp al correct ddea, ,ea.-mvmvey:ggdous fe ds:m bctu,1pbthpmon ofp1Uppotheed h our etdMma ve.V Recovery tempt e>aand ararel dttenlentW bs1%.see elf for Items of exaaorGd vntpe 4 p1,0pp,e.B:lowelry:penan nrctals;nepetletpe Irnovnanvs arp aCry Cemn askd M art ServidK#uide.WHtlen deems mart ao alfltl vdthM sekt lime limits,age anent FMEa Savke Guido:; '