HomeMy WebLinkAbout08-11-14 REV-1500 EX(8211)( 1505610149)) T OFFICIAL USE ONLY
PA Department of Revenue d� County Code Year File Number
Bureau of individual Taxes INHERITANCE TAX RETURN
PO BOX 260601 21 14 00499
Harrisburg PA 17126-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
04 12 2014 04 04 1933
Oecedent's Last Name Suffix Decedent's First Name MI
Hanlon Joseph E
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name suffix Spouse's First Name MI
Hanlon Adele F
Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
171 26 1330 REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
M I.Original Return O 2. Supplemental Return O 3. Remainder Retum(Date of Death
Prior to 12-13.82)
O 4.Limited Estate O 4a. Future Interest Compromise(date of O S. Federal Estate Tax Return Required
death after 12.12-82)
!� S.Decedent Oied Testate = 7. Decedent Maintained a Living Trust O 8. Total Number of Safe Deposit Boxes
(Attach Copy of Will) (Attach Copy M Trust)
(� 9.Litigation Proceeds Received r--1 10. Spousal Poverty Credit(Date of Death Q 11.Election to Tax under Sec.9113(A)
Between 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 TO:
Name -Daytime Telephone Number
Elyse E . Rogers 717 612 5801
REGISTER OF WILLS USE ONLY
0
9:M a rnC7
First Line of Address 00 k il,'G C3 Cns> ,
Saidis, Sullivan & Rogers
rt n
Second Line of Address (7.
635 North 12th Street, Suite 400 DATED
City or Post Office Stator ZIP Code p „ ��C,)
Lemoyne PA 17043
Correspondent's e-mail address: erogerS @ssr-attorneys.com
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 tare,correct and com;xWe.DeciaratioNof prepamr therthan the personal reprosemative is based on all information of which preparer has any krwwiedge.
SIGNATURE O/jy.��ERSONQR�ESPON E FOWI IL G RET RN _DA]E// /
ADDRESS
SIGNATUR PARER OT HA RESEMATNE DATE
ADDRESS 635 fjorth 1 2M-btreet
Lemoyne, PA 17043
PLEASE USE ORIGINAL FORM ONLY
Side 1
1505610149 1505610149
I 1505610249
J REV-1500 EX(Fl) Decedent's Social Security Number
Decedent's Name: Joseph h E Hanlon
RECAPITULATION
1. Real Estate(Schedule A).. . .. . .. ... .. . . . . . . .. . .. . .. .. . .. . .. . . .. . .. t 0 . 00
.
2. Stocks and Bonds(Schedule B) 2. 0 • 0 0
.. . .. . .. . . . .. . .. . .. . .. . . .. . .. . . . . . . .
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.
62,390 . 90
6. Jointly Owned Property(Schedule F) Q Separate Billing Requested . .. . 6. 0 . 00
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property 0 • 00
(Schedule G) O Separate Billing Requested . ... 7.
B. Total Gross Assets(total Lines 1 through 7) .. . .. . .. . .. ... . .. . ... . .. . .. 8. 621390 - 90
9. Funeral Expenses and Administrative Costs(Schedule H) .. . .. . . . . . . .. . .. . 9. 244 • 30
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1) . .. . . . . . . . . .. . 10. 0 • 00
11. Total Deductions(total Lines 9 and 10) tt. 244 • 30
.. . .. . .. . .. .. . ... . .. . .. . .. . . ..
12. Net Value of Estate(Line 8 minus Line 11) 12. 62 ,146 • 6 0
. ... ... ... .. . ... .. . ... . .. . . .
13. Charitable and Governmental BequesWSec 9113 Trusts for which 0 . 00
an election to tax has not been made(Schedule J) ... . . .. . . .. . . .. . .. . .. . . 13.
62,146 . 60
14. Net Value Subject to Tax(Line 12 minus Line 13) .. . . . .. . . . . . ... ... . .. . 14.
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 0 621l46 - 60 15. 0 . 00
16. Amount of Line 14 taxable 0 . 00 16. 0 . 00
at lineal rate X.0 45
17. Amount of Line 14 taxable (3 -00 17, 0 . 00
at sibling rate X.12
18. Amount of Line 14 taxable .0 - 00 tg 0 . 00
at collateral rate X.15
19. TAX DUE ' ... . .. . ... 19. 0 . 00
. . . . . . . . . .. . . . .. . .. . .. ... .. . . . .. . .. ... . .. .
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT p
Side 2
1505610249 1505610249
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address: 21 1400499
DECEDENT'S NAME
Joseph E. Hanlon
STREET ADDRESS
27 Blue Mountain Vista
CITY STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 0.00
2. Credits/Payments
A.Prior Payments 0.00
B.Discount 0.00
Total Credits I A+g) (2) 0.00
3. Interest (3) 0.00
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) 0.00
Make check payable to: REGISTER OF WILLS, AGENT.
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 .. . . . .. ❑ IR
c. retain a reversionary interest. . .. . . . . .. . .. . .. . . . .. . .. . .. . .. . .. .. . .. . . . . . . . . . .. ❑ I➢
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, 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 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)(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
172 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 return are still applicable even 9 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 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 lax rate imposed on the net value of transfers to or for the use of the decedent's 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 decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)].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-1508 EX+ (08-12)
Iffpennsylvania SCHEDULE E
DEPARTMENT OF REVENUE CASH, BANK DEPOSITS & MISC.
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Joseph E. Hanlon 21 1400499
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
1 M &T Bank Checking Account#9858863773 62,390.90
TOTAL (Also enter on Line 5, Recapitulation) 62,390.90
If more space is needed, use additional sheets of paper of the same size.
REV-1511 EX+ (08-13)
pennsytvania SCHEDULE H
OEPAR EW OF REVENUE
FUNERAL EXPENSES AND
RESIDENT DECEDENT ADMINSTRATIVE COSTS
ESTATE OF FILE NUMBER
Joseph E. Hanlon 21 1400499
Decedents debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
B. ADMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address
City State ZIP
Year(s) Commission Paid:
2. Attorney Fees:
3. Family Exemption: (If decedent's address Is not the same as claimant's, attach explanation.)
Claimant
Street Address
City State ZIP
Relationship of Claimant to Decedent
4. Probate Fees:
5. Accountant Fees:
6. Tax Return Preparer Fees:
7 The Sentinel -legal advertising 169.30
8 Cumberland Law Journal -legal advertising 75.00
TOTAL (Also enter on Line 9, Recapitulation) 244.30
If more space is needed, use additional sheets of paper of the same size.
REV-1513 EX+ (01-10)
pennsylvania SCHEDULE 7
OERARINENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
Joseph E. Hanlon 21 1400499
NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not List Trustee(s) OF ESTATE
I TAXABLE DISTRIBUTIONS[Include outright spousal distributions and
transfers under Sec.9116(a)(1.2).]
1 Adele F. Hanlon Surviving spouse 62,146.60
27 Blue Mountain Vista
Mechanicsburg, PA 17050
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:
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.
'ACCOUNT N0 ACCOUNT TYPE STATEMENT PERIOD ! PAGE
9858863773 MYCHOICE PREMIUM CHECKING MAR.26-APR.25,2014 1 OF 1
00 0 04342M MM 017
000002605 FIDS1549DO1704251404 05 000000 38149
JOSEPH E HANLON
ADELE F HANLON, SPOUSE PAYEE
27 BLUE MOUNTAIN VIS
MECHANICSBURG PA 17050-1813
INTEREST EARNED FOR STATEMENT PERIOD 1.56 CARLISLE PIKE
INTEREST PAID YEAR TO DATE 4.56
ACCOUNT SUMMARY
GINNING":z.;?:iii :228::"':DEPO&.
t..... ............ ITS.,6:i::r8:3 i8 i:2i::i':ii:; <::i::;%2:i::;a:i::>::i:a:;:::::<>:Sy2:i:2F::-O .,j:j::
T.HER::::.: :.
BALANCE, i?. ..;<bTHER:;ADDIT IONS .:;.:CHECKS PAID. . ;'SUBTRACTIONSi :.. ,`INTEREST- PO .'BAL'ANCE;' ,:
N0. AMOUNT N0. AMOUNT NO. AMOUNT
58,205.03 2 4,190.82 1 ol 0.00 1 1 4.95 1 1.57 62,392.47
ACCOUNT ACTIVITY
<:':Si:S`i:`:x;':i:`:3aisisa:2a:.....:E::ii:;;8:2::2%:i:2';2:%::; a<.;;;;:o::>::;:<:<,;;;,;;;;;;;;;
.:.::POSTING:....., _.: . : ::. .:: : :............:::........... .....:::::::::.::::::::::::.::.:�:::,DEP,OSITSi3NifRE57::
.
.i_7.RANSACTZON.DfSCRIP.TI0 . : :8::07i1ER:ADDITIONS
3 .::-SUBTRACTIONS ....` BALANCE::! i'C:%i:
B 03-26-14 BEGINNING BALANCE
3 658,205.03
04-01-14 US TREASURY 310 XXVA BENEF 4,185.87 62,390.90
04-25-14 NAIVE ADD-UN FEE: CHKS/SAFE DEPOSIT BOX 4.95
8 04-25-14 INTEREST PAYMENT 1.57
0 04-25-14 M&T ADD-ON FEE: CHKS/SAFE DEPOSIT BOX 4.95 62,392.47
ENDING BALANCE $62,392.47
d t ���lL /c. ,I
ANNUAL PERCENTAGE YIELD EARNED 0.02 /. (�It .3 B`J, `t7
S 4 "r
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Last Will an Testament-
OF .
i
JOSEPH E. HANLON
I, JOSEPH E. HANLON, of Silver Spring Township, Cumberland
County, Pennsylvania, do make, publish and declare this to be my Last Will and
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Testament, hereby revoking all Wills and Codicils by me heretofore made.
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ITEM 1: Familv Information. I am married to
ADELE F. HANLON and all references to my wife in this Will are to her. I have
three children: MICHELE DAVIS, BETH RIDDER, and KATHLEEN STEPHENS.
These are described in this Will as "my children," or as "a child of mine." Any
lperson born to or adopted by issue of mine is to be included as issue of mine.
Provided, however, no adopted person shall benefit under this Will unless the order
or decree of adoption is entered before the adopted person attains the age of twenty-
' one (21) years.
ITEM IZ: Death Taxes. I direct that all inheritance
and estate taxes becoming due by reason of my death, whether payable by my
estate or by any recipient of any property, shall be paid by the Executor out of the
residue of my estate, as an expense and cost of administration of my estate, except
that no taxes shall be charged against any gift qualifying for the marital or
charitable deduction in my estate. The Executor shall have no duty or obligation to
obtain reimbursement for any such tax so paid, even though on proceeds of
insurance or other property not passing under this Will.
I
ITEM III: Debts and Final Expenses. I direct the
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Executor to hay the expenses of my last illness and funeral expenses from the
residue of my estate as an expense and cost of administration of my estate.
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ITEM IV: Tangible Personal Property.
(a) Written List. I may leave a written list in my safe deposit
box or elsewhere disposing of certain items of my tangible personal
property. The Executor shall dispose of items of my personal property
as specified in the written list. If no written list is found in my safe
deposit box or elsewhere and properly identified by the Executor
within thirty (30) days after the probate of my Will, it shall be
presumed that there is no other statement or list. Any subsequently
discovered list shall be ignored.
(b) If Wife Survives. If I die before my wife, ALLELE F.
HANLON, I give to her all my tangible personal property not set forth
in the written list referenced in paragraph (a), including but not
limited to, all of my household furniture and furnishings, books,
Ipictures, jewelry, silverware, automobiles, wearing apparel and all
i
other articles of household or personal use or adornment and all
j policies of insurance thereon.
Ii
(c) If Wife Predeceases. If I survive my wife, I give any
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property of the type described in paragraph (b) and not set forth in a
written list to my children, to be divided among them as they shall
agree. Should there be no agreement, the Executor shall divide this
property among them in as nearly equal portions as the Executor, in
the discretion of the Executor, deems appropriate, having due regard
to the personal preferences of the beneficiaries.
ITEM V: Residue. I give the residue of my estate, not Ikil
disposed of in the preceding portions of this Will, to my wife, ADELE F. HANLON,
if she survives me. If she does not survive me, I give the residue to my children, in
equal shares. If an of m children is not living death, the share of m
y y gat my do y
deceased child shall be paid to his or her then living issue, per stirpes.
Page 2 u
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ITEM VI: Administrative Powers. In addition to the
powers granted at law, the Executor shall possess the following powers, each of
which shall be construed broadly and may be exercised without court approval, but
in a fiduciary capacity only:
(a) Retain Investments. To retain any investments I have at
my death, including specifically those consisting of stock of any bank
even if I have named that bank as the Executor.
(b) Vary Investments. To vary investments and to invest in
bonds, stocks, notes, real estate mortgages or other securities or in
other property, real or personal, without being restricted to so-called
"legal investments", and without being limited by any statute or rule of
law regarding investments by fiduciaries.
(c) Division of Assets. In order to divide the principal of my
estate or make distributions, the Executor is authorized to distribute
personal property and real property partly or wholly in kind, and to
allocate specific assets among beneficiaries so long as the total market
value of each share is not affected by the division, distribution or
allocation in kind. The Executor is authorized to make,join in and
consummate partitions of lands, voluntarily or involuntarily, including
giving of mutual deeds, or other obligations, with as wide powers as an
individual owner in fee simple.
(d) Sell Assets. To sell either at public or private sale any or
all real or personal property severally or in conjunction with other
persons, and to consummate sale(s) by deed(s) or other instrument(s)
to the purchaser(s), conveying a fee simple title. No purchaser shall be
obligated to see to the application of the purchase money or to snake
inquiry into the validity of any sale. The Executor is authorized to
{i make, execute, acknowledge and deliver deeds, assignments, options or
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other writings as necessary or convenient to carry out the powers
conferred upon the Executor.
(e) Encumber Real Estate. To mortgage real estate, and to
make leases of real estate.
I
(f) Borrow Monev. To borrow money from any person,
including the Executor, to pay indebtedness of mine or of my estate,
expenses of administration or inheritance, legacy, estate and other
taxes, and to assign and pledge assets of my estate.
(g) Pay Costs. To pay all costs, taxes, expenses and charges
in connection with the administration of my estate.
(h) Distributions Without Court Order. To make
distributions of income and of principal to the proper beneficiaries,
during the administration of my estate, with or without court order, in
such manner and in such amounts as my Executor deems prudent and
appropriate.
(i) Vote Stock. To exercise voting rights with respect to
securities which form a part of my estate, and to exercise all the
powers incident to the ownership of securities.
(7) Reorganize. To unite with other owners of property
similar to property in my estate to carry out any plans for the
reorganization of any company whose securities form a part of my
estate.
(k) Disclaim. To disclaim any interest in property which
would devolve to me or my estate by whatever means, including but
not limited to the following means: as beneficiary under a will, as an
appointee under the exercise of a power of appointment, as a person
j Page 4
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entitled to take by intestacy, as a donee of an inter vivos transfer, and
as a donee under a third-party beneficiary contract.
(1) Tax Returns. To prepare, execute and file tax returns of
any type required by applicable law, and to make all tax elections
authorized by law.
(m) Allocate Expenses. To allocate administrative expenses
to income or to principal, as the Executor deems appropriate.
However, no allocation to income shall be made if the effect of the
allocation is to cause a reduction in the amount of any estate tax
marital deduction or estate tax charitable deduction.
(n) Employ Advisors. To employ custodians of property,
investment or business advisors, accountants and attorneys as the
Executor deems appropriate, and to compensate these persons from
assets of my estate, without affecting the compensation to which the
Executor is entitled.
(o) Adjust Basis. To make any adjustment to basis
authorized by law, including, but not limited to increasing the basis of
any property included in my estate, whether or not passing under this
Will, by allocating any amount by which the bases of assets may be
increased. The Executor shall be under no duty and shall not be
required to allocate basis increase exclusively, primarily, or at all to
assets which pass as part of my probate estate as opposed to other
iproperty for which a basis adjustment is allowable. The Executor shall
I allocate basis increase equitably among those beneficiaries receiving
property as a result of my death, but shall not be liable to any person,
nor subject to removal or surcharge, for any reasonable allocation of
basis increase.
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(p) Compromise Claims. To compromise claims.
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(c) Other Acts. To do all other acts in the Executor's
judgment deemed necessary or desirable for the proper and
advantageous management, investment and distribution of the estate.
ITEM VIL• Beneficiary Under Age 25. If a beneficiary
under the age of twenty-five (25) years is entitled to receive assets under this Will,
the father of that child shall receive those assets as Custodian for the beneficiary
under the Pennsylvania Uniform Transfers to Minors Act. The Custodian may
receive and administer all assets authorized by law, and shall have full authority as
provided in the Pennsylvania Uniform Transfers to Minors Act to use assets in the
manner the Custodian deems advisable for the best interests of the beneficiary.
ITEM VIII: Survival. Any person who has died within
thirty (30) days of my death, or under such circumstances that the order of our
deaths cannot be established by proof, shall be deemed to have predeceased me.
ITEM IX: Executors. I make the following provisions
with respect to Executors:
I
(a) Initial Executor. I appoint my wife, ADELE F. HANLON,
to be the Executor.
(b) Successor Executors. In the event that my wife, ADELE
F. HANLON, is unable or refuses to serve as Executor, my daughter,
i
MICHELE DAVIS, shall serve as Executor. In the event that my
daughter, MICHELE DAVIS, is unable or refuses to serve as Executor,
my daughters, BETH RIDDER and KATHLEEN STEPHENS, shall
serve as Co-Executors.
I �
(c) Compensation. The Executor shall have the right to
receive reasonable compensation for services rendered and
reimbursement for reasonable expenses.
Page 6
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(d) Standard of Care. No Executor shall be liable or
accountable for any loss that may result from the good faith exercise of
the authority granted in this Will.
(e) Security. The Executor is specifically relieved from the
duty of filing bond or entering security.
IN WITNESS WHEREOF, I have set my hand and seal to this, my
Last Will and Testament, consisting of this and the preceding six (6) pages, at the
end of each page of which I have also set my initials for greater security and better
identification this 7 day of 20 Qj
(SEAL)
JOSEPH E. HANLON
I Rye, the undersigned, hereby certify that the foregoing Will was signed,
sealed, published and declared by the above-named Testator as and for his Last
Will and Testament, in the presence of us, who, at his request and in his presence
and in the presence of each other, have hereunto set our hands and seals the day
and year first above written, and we certify that at the time of the execution
thereof, the said Testator was of sound and disposing mind and memory.
G ?=� /,Z. "EAL) Residing at Al_�
(SEAL) Residing at
i
i
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF SS:
)
I, JOSEPH E. HANLON, Testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as my Last Will and
j Testament; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein expressed.
' ,(L'= --';- (SEAL)
JOSEPH E. HANLON
Sworn to and subscribeq before
me this �4-it— day of
2005
024'�- 1 LL
Notary Public
My Commission Expires:
I
(SEAL)
it
COMMONWEALTH OF PENNSYLVANIA.
NOTARIAL SEAL
CYNTHIA J.RULE,Notary Public
Camp Hill Boro.,Cumberland County
My Commission Expires February 3,26
I
i
I II
AFFIDAVIT
COMMONWEALTH OF PENNSYLVANIA )
COUNTY OF ) SS:
We, IU/�Ly_ _G/S /� i ��� and (
the Witnesses whose naives are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we were present and
saw Testator, JOSEPH E. HANLON, sign and execute the instrument as his Last
Will and Testament; that Testator signed willingly and that he executed said Will
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 (18) or more years of
age, of sound mind and under no constraint or undue influence.
Witness
Witness��
Sworn to and subscrib d before
me this 7-(Y� day of
, 20Ds
Notary Public
My Commission Expires:
(SEAL)
I
COMMONWE
gLTH OF PENNSYLVgN�q
! NCT�RIAL SEAL
i CYNTHI,�J.RULE.Notary public
Camp Hill Boro.,Cumberland County
i My Commission Expires February 3,20D8
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