HomeMy WebLinkAbout11-10-14 , ,
� 1505610105
REV-1500 EX(oz-11)(FI) �
PA Department of Revenue pennsytvania OFFICIAL USE ONLY
Bureau of Individual Taxes �k`"���`", `� County Code Year File Number
Po aox Zsosoi INHERITANCE TAX RETURN n
Harrisburq,PA i�i28-o6oi RESIDENT DECEDENT /�� � � i I J �
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
10/15/2013 10/16/1936
DecedenYs Lasi Name Suffix DecedenYs First Name MI
LAY BETTY L
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
�Y ELMER L
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
C� 1.Original Return O 2.Supplemental Return O 3. Remainder Return(Date of Death
Priorto 12-13-82)
p 4. Limited Estate p 4a. Future Interest Compromise(date of p 5. Federal Estate Tax Return Required
death after 12-12-82)
� 6. Decedent Died Testate O 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 O 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 T0:
Name Daytime Telephone Number r„J
DONALD L LAY � -, �
,_�
C -.� ...a r�1
� _-- i�� C'�
REGISTE�'d;D�`-�Y}IILLS US�S#ILY � C�
,,_y _.- r"7 C , :=".J
. 7 - .`_. � f
. F� 1
First Line of Address � ' ' C� ; 7
3804 BRYTON LANE ' �
�'°:�
Second Line of Address ` ' , � -��
_ , ,,�
. i...'.J i 1-1
DATE FIIED �-'�' �"�
City or Post Office State ZIP Code "r7
HARRISBURG PA 17110
CorrespondenYs e-mail address:donlay@18yCOIf1C.Com
U enalties of perjury,I declare that I have examined this return,including accompanying schedulas and statements,and to the best of my knowledge and belief,
is true,correct and complete.Declaration of pre arer other than the personal representative is based on all information of which preparer has any knowledge.
IGNAT E OF PERSON�ES E F FILING RETURN ATE
�V� � �
ADDRESS
380 TTON LAN , HARRI A 17110
IGNATUR PARE TH AN R A E
� °� /
ADDRESS
JEFFREY S COHICK EA, 390 ALEXANDER SPRING RD, CARLISLE, PA 17015
PLEASE USE ORIGINAL FORM ONLY
Side 1
� 15�5610105 1,505610],05 �
� 1505610205
REV-1500 EX(FI) DecedenYs Social Security Number
�ecede�t's Name: BETTY L LAY 191-40-9082
RECAPITULATION -.... -.-
1. Real Estate(Schedule A). ............................................ 1.
2. Stocks and Bonds(Schedule B) ......................... ....... ....... 2. .
3. Closely Held Corporation,Pa�tnership or Sole-Proprietorship{Schedule C) ..... 3.
4. MoRgages and Notes Receivable(Schedule D).......... ..... ...... . ..... 4.
5. Cash,Bank Deposits and Miscellaneous Personal PropeRy(Schedule E). ..... . 5. 20,061.48
6. Jointly Owned Property(Scheduie F) O Separate Billing Requested .. .... . 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property 25,051.23
(Schedule G) O Separate Billing Requested........ 7.
8. Total Gross Assets totai Lines 1 throu h 7 ............ . 8. 45,112.71
( g )................
9. Funeral Expenses and Administrative Costs(Schedule H)..... ... ........... 9. 6,257.76
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............... 10.
11. Total Deductions(totai Lines 9 and 10) 6,257.76
. .. ................ ....... ....... 11.
12. Net Value of Estate(line 8 minus Line 11) .................. ........... . 12. 35,854.95
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. 35,854.95
TAX CALCULATION-SEE INSTRUCTI�NS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or __ _ --
__
__. _.
transfers under Sec.9116 25,051.23 15 O.00
(a)(1.2)X.0 00
16. Amount of Line 14 taxabie 13,803.72 16. 621.17
at lineal rate X.0 45
17. Amount of Line 14 taxable
at sibling rate X.12 �7
18. Amount of Line 14 taxabie
at collateral rate X.15 18
621.17
19. TAX DUE ... . . .. . . .. .... ..... . ..... ...... .. .. ........ ...... . ..... . 19. __
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
Side 2
� 15D56102D5 1505610205 �
REV-1500 EX(FI) Page 3 File Number
Decedent's Complete Address:
DECEDENT'S NAME
BETTY L LAY
STREETADDRESS
227 ROXBURY ROAD
—. —_..._____--- ---- —
CITY j STATE Z�P
NEWVI�LE I PA 17241
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 621.17
2. Credits/Payments
A.Prior Payments 800.00
B.Discount 31.06
Total Credits(A+g) (2) 831.06
3. Inierest
(3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT.
Fill in ovai on Page 2,Line 20 to request a refund. (4) 209.89
5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5)
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 propeRy transferred or its income ............................................ ❑ �
c. retain a reversionary interest .............................................................................................................................. ❑ �
d. receive the promise for life of either payments,benefits or care?...................................................................... � �
2. tf 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
containsa 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
[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 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 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 decedenYs 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-15o8 EX+(o8-iz)
� pennsylvania
SCHEDULE E
� DEPARTMENTOFREVENUE CASH, BANK DEPOSITS & MISC.
iNHeRtraNce Tax ReruRN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF: FILE NUMBER:
BETTY L LAY 21 13 1116
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 disciosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
�, MEMBERS FIRST FEDERAL CREDIT UNION ACCOUNT#346232 SAVINGS ACCOUNT 16,427.35
2. MEMBERS FIRST FEDERAL CREDIT UNION ACCOUNT#346232 CHECKING ACCOUNT 634.13
3. PERSONAL PROPERTY AS LISTED IN THE WILL 3,000.00
TOTAL(Also enter on Line 5, Recapitulation) $ 20,061.48
If more space is needed, use additional sheets of paper of the same size.
Page 1 of 1
St
.1ViE�IBERS �$t
�FEDER.AL Cit.EDIT U1vZON
Account At a Glance
Account Number: 0000346232 Name: BETTY L LAY
MLR Level: Platinum Member Since: 01/07/2009
MLR Primary: NO E-Mail:
PRODUCTS
Balance Rate Maturity Date
REGULAR SAVINGS $ 16,427.35 .150% --I--/--
CHECKING $634.13 .000% --J--/--
PRODUCTS BALANCE: $17,061.48
TOTAL BALANCE: $ 17,061.48
SERVICES
HOME BANKING/EZ CALL
AVERAGE MONTHLY BALANCE
Non-IRA Shares Sep 2013 Aug 2013 Jui 2013 Jun 2013 May 2013
REGULAR $ 16,198.18 $ 18,607.22 $24,342.72 $24,566.79 $24,409.98
SAVINGS
CHECKING $350.79 $ 123.80 $ 111.38 $201.46 $286.77
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10/22/2013
REV-1510 EX+ (08-09)
� pennsylvania SCHEDULE G
DEPARTMENTOFREVENUE INTER—VIVOS TRANSFERS AND
� INHERITANCE TAX RETURN MISC. NON—PROBATE PROPERTY
RES(DENT DECEDENT
ESTATE OF FILE NUMBER
BETTY L LAY 21 13 1116
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
ITEM INCLUDE THE NAME OF THE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AND
NUMBER THE DATE OF TRANSFER. ATTACN A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPIICABLE) VALUE
�. IRA-MEMBERS FIRST FED CREDIT UNION ACCT#346232 25,051.23 100 25,051.23
BENEFICIARY: ELMER L LAY-SPOUSE
TOTAL(Also enter on Line 7, Recapitulation) $ 25,051.23
If more space is needed,use additional sheets of paper of the same size.
. REV-151X EX+(08-13)
� pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHEr�ANCETaxR�ruRN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OP FILE NUMBER
B ETTY L LAY 21 13 1116
DecedenYs debts must be reported on Schedule i.
ITEM AMOUNT
NUMBER DESCRIPTION
A. FUNERAL EXPENSES:
1' EGGER FUNERAL HOME INC 5,104.26
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: 168.50
5. Accountant Fees: 500.00
6. Tax Return Preparer fees:
7. FLOWERS FOR FUNERAL SERVICE 285.00
$. ORGANIST BARB FINKENBINDER 50.00
9. FOOD AT MEMORIAL SERVICE 150.00
TOTAL(Also enter on Line 9, Recapitulation) $ 6,257.76
If more space is needed, use additional sheets of paper of the same size.
Jul 15 2014 8: 49PM Egger Funeral Home 7177764589 p. l
�G'� �GG9?��Gi7��4�. �97.G.
15 B�g Spring Avenue
NEWVILLE, PENNSYLVANIA 17241 �
F. CHARLES EGGER, Supervisor 717-776-3d1 d FRANK C. EGGER, F�neral Director
- July I5,Zai4
Funeral Bill for Betty L. Lay
Date af Death October 15, 2014
Professional Services $4,375.00
30 Death Certificates $6A0 a piece $180.00
Clergy offering (Rev. Moates) $1 a0.00
Clergy offering(Rev. Snyder) $SU.DO
Hairdresser $35.OQ
�ideo $50.00 ,
Sentinel Obituary $264.26
Valley Times Star obituary $50.00
Total $5,104.26
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
� DEPARYMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT.280601
HARRISBURG,PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
N0. CD 018652
LAY DONALD L
3804 BRYTTON LANE
HARRISBURG, PA 17110
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
-------- fold
---------- --------
101 � S 800.00
ESTATE INFORMATION: sstv: �9�-a-o-sos2 �
F��E tvuMBER: 2113-1 1 16 �
DECEDENT NAME: LAY BETTY L �
DATE OF PAYMENT: 01/14/2014 (
POSTMARK DATE: 01/1 4/2014 �
CouNTY: CUMBERLAND �
DATE OF DEATH: 10/15/2013 �
�
TOTAL AMOUNT PAID: 5800.00
REMARKS:
CHECK# 55
INITIALS: DB1
SEAL RECEIVED BY: LISA M. GRAYSON, ESQ.
REGISTER OF WILLS
TAXPAYER
��
RECE I PT FOR PAYMENT ����r�
------------------- �l �
GLENDA FARNER STRASBAUGH Receipt Date : 10/22/2013
Cumberland County - Register Of Wills Receipt Time : 11 : 14 : 25
One Courthouse S quare Receipt No. : 1075979
Carlisle, PA 17013
LAY BETTY L
Estate File No. : 2013-01116
Paid By Remarks : JEFFREY S COHICK
WZ
------------------------ Receipt Distribution ------------------------
Fee/Tax Description Payment Amount Payee Name
PETITION LTRS TEST 45 . 00 CUMBERLAND COUNTY GENERAL FUN
WILL 15 . 00 CUMBERLAND COUNTY GENERAL FUN
SHORT CERTIFICATE 50 . 00 CUMBERLAND COUNTY GENERAL FUN
JCS FEE 23 . 50 BUREAU OF RECEIPTS & CNTR M.D
AUTOMATION FEE 5 . 00 CUMBERLAND COUNTY GENERAL FUN
INH TAX RETURN 15 . 00 CUMBERLAND COUNTY GENERAL FUN
INVENTORY 15 . 00 CUMBERLAND COUNTY GENERAL FUN
---------- ------
Check# 248 , 168 . 50 �
Total Received. . . . . . . . . 168 . 50 � � 1;�-- � � � j�I �'�, ��j
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I,BE�Y Il LA�,presently resi.dm�at I�?e��ille, LouFer��li�Tow�s�ip, C�berland
County, Pennsy�vani.a. wi-th street address of 22`7 1Zoxb� Road, i�Iewville, 1'A 172�i, bein� of
se��d mind,mem�ry a�d di��ositio�, do hereby�e,publish and deelare t�m.y Last I��ll and
Test�ent,her�bg re�oki�and ma�i��vai� aTI pr�or�;Ils and Codicils by me,pf a�y.
�+�R,ST: p��.'I1�� �R EX�'Il�SES - � 4�der ar��d �irect my gersona�. represeistati�e
herei�ai�e� naufie� tfl pay all of my j� ciebts, fimeral exper�ses and expenses in�olved o�
can�ected��th the a ��ni�tion of my es� a:s soon a�ter my death as is reaso�ably possible_
However, my �ersanal representative ��d not accelerat� and �a� those �m�:iur�. o�iigat�fl�s
which, in his,h�or its opiuion, it miaht h���oper aud rnflrz advau�eflus to�fain or renew and
pay as they become du�,and pa�able_ If I do not fl�n�burial plat or a grave mar�er at the ti�e of
my �eath, I au�horiz�my persflnal rep�n#ative, in�is, �er or its s�le disc�tioa, to p�base a
burial plot and� erect a st�itable �ave mark�r a�my�ra��e, and.to e�nd sunas from my es�a�e
for�his purpflse_
Y
SF�flND: I �ve �,nd beqaeath those items of tan�b�e personal property lis�ed on a
certain one pa.�e fyped list dated July 9, 2�13, entitl�d `Personal Praperty Li�fo� Last Wi31 and
T'estament o�B�T�Y�. LAY", signed by rne, ai#ached to t�is my Last�V'iIl and Tes�a.�ent and
incor�orated herein by refe��e ther�to,to those pe�ons named on said list
�D: I gi�e, devise and bequeath all of the rest,�idue and re�ainder of my�ate,
rzal,�ersonal and mixed,u��a�soever and w�eresoe�F�r situate as follo�s:
A. I ��Te. devise and bequeath S���Y P�t�NT (70°/a} af my es�ate to my
children namely D�ONNA J MORRl�S��, DO�AL�D �. LAY, `�`ER�I S_ BA,XT��,
DA�NY R �4Y and TIM4'T:�� S. LAY in equal shares on a per stirpes di.stdbution
basis,
�� � � � (��)
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WEIGLE & ASSOClATES, P.C. - ATTORNEYS AT LAW - 1Z6 EAST KING STREET - SHIPPENSBURG, PA 17257-1397
�_ I give, dev�se and bequ�th TW�1�-`I`� PE�ZC`E�` (20a1o) of my es-ta�e in ec�ual
sha�to my aragdchil�ren�t�are Liviu�at fihe ti�e of my dea�
�. ��ive,dev�ss and bequeath`��PE��NT`{IO%�af my�te in.eq�sl3ares#c�
my�at�and�hildreu�o are�ivin.a at�e time of my de�a.th_
��OUR'�`H: TR�S�` - Ir� tl�e e��t that a�y b�neficiary of t�s �y La�t 1�iil and
`�zs�ament i.s unci�r t� aje of ei�� (18) yea€s, I the� �ve a�d beq��h said beneficiary's
share ta, and appoi�:t as `I`�ee o�any p�op�rty which�asses �der this Will or bth�rwise, m�
sa�z �ONA�� L. �AY, of 38a� B�tton La�ue, Harrisb�g, PA 1711{�, AS `�RU��E,
��}��`�LE�S, to inves� and Fe-�.vest ths same un��e said�enefici.ary reac$�es the a�e o�
ei�hte�e�.(18)Srears,with�he follo��ing powers in.ac�d-�t�on to those presen�y�ve�by Ia�
� The po�ver an�. obligatio�a to e�ee�d salely �rith�a the d�,s�re�ion o� �e
nam� Tru�tee, the in�ome toware�s �e health, sugpflrt and mainte�.nce,
and education,i�clutlin�a callege�both ua�er�aate and�adu�tte),trade,
business o� techni�al school ed�cation, of the saic�benef ciary a$er t ka?n�
into accfl�#sa�d b�neficia�'s�ies)other a�=ailable resources;
g_ The ��uTer and obli6ation to expend the pri��ipal, wzthi� the dis�re�o� of
tl�e said Tzustee, if�he income i.s insuffcient, tow-ards -the heat�, s�uPP�rt
a�ti maiute�ce, and educa�a�, includin� a colleje (both u�der�uate
and graduate), �a.ci.e, b�si�ess or tecl�ical schaoi educa�on, of the said
-��eneficiar�, a�er-�ng in�o aceow�t said beneficiary's(ies) other available
resources;
�. �`he power fo se11 any a�d all re.al esta�e, �'7thin-the c�is�retion of die said
� �'rus#ee;
. �
���-t�.�i'��'� � Q� (SEAI.)
�
,
WEIGLE & ASSOCIATES. P.C. - ATTORNEYS AT LAW - 7Z6 EAST KING STREET - SHIPPENSBURG. PA 17257-1397
D_ `�`he p€��er and ablig�tion to distab�te the balance of painci�ai and in�es�,
if any remainia�g,when the sa�d be��ficiary reac�es tt�e age o�ei�fi�g(i 8j
years, without the necessity af a fonmal ad�uclica�ion of the Trastee's
Accow�t in the C�u�t of��nan Pleas af C�be�dand �ounty, �on the
receipt o�a�ofld and va�ad r�lease_
E_ Th�principal of the T�us��nd t�.�i��ome-��refr�m shall be fr�from�e
debts, �ilities, and eng�em�#s of-�ase benefic�ally �terested therein.
and s�all not be subject to assignment�� him or he�, nor to attac�nent of
ex�ion imder anp le�al, eqiu�able or other groc�for�he enforjcement of
Jnc��Cnenfis o� cla.ims �of anp sart a�ain� �hem., eit�� i�dividually o�
cflilecti�Tzly;and
�_ In fhe event i�e above-m�n�ioned perso�.is un�le tt� accept�e positio�.of
Tru�tee, I then name, �onstifu�e and appoint '��RR� S. BAX�`ER, of�3Q
S�� Chut�� Road, 11/Iechau��sb�a,�A �.70�0, as Tnis�ee,with the same
powers a�d obligat�ons hereinbefore stated.
�: PERS��N�L R��SE�`�`�'�iTIVE — I n�minate, constii�te aa�d a�poiut �y
son.�ON�Ai�D�,.I��to be the Executor of this my�ast�ill at�cT�'�a�ent In the even�#hat
��e be un�ble to fiilfill�6.e ciu�ies af Exeeutor,I f�n.�om�ate, co�ii�rte and.appoint my c�auV�hter,
�S.B�iXJ[ER as�xecu�of this my�Will and Te�#auien�
SIXTH: '4'V�VER€�� BO�TD - �drrect�my�ersonal r�presentatives, and Tr�stees
s�a1t�ot be required to ��'e bond for the faithfui perfom�tce of�eir duties in any jurisdicfioa
I�T�V�TNE�SS �i�OF,I,B�T'TY�_�AY have hereimto se�;ny hand a�d seal to�is
my � �-�1 and T�S�ameIlt, the first tvva (2} pages si�ed- for identificatian only, t�is
�y o� � ,� ,2413_
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BE�I'Y L.LAY
WEIGLE & ASSOCtATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHfPPENSBURG, PA 17Z57-1397
co�flrrwE�r��o���s�v� :
: s�
c��o��u��u.a� =
�, BETT`T�' �_ LA�, �e p�an �ose name �s signec� to �e for�ga€�j i�s�.men�, iia� bee�.
duly qua�fied.accordiug tc���w,dc��ereby�c�aow�ec�e that�si�.ec�and ex�,cuted t�e i�r�m�e�t
as my L�a��T1'�71;that I si��d it�illin�Iy; and-�t I si�ned i�as my f�e and�cFoluntary a�for the
P�ses therein e�r�sset� � , , , j
� ".�% � f',�'
B��Y ���'
�.I�Y
�am or�ed to and ack�o�vledged befo�e
me by BET'�`�L_ ,the estatrix,
����of �, 2013_
f ,� � /
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No �blic
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
Jerry A.We191e�Cumberla nd�County
Ciry of Shippensburg,
Wly Commission Expires October 7,2014
WEIGLE 6c ASSOC(ATES, P.C. — ATTORNEYS AT LAW — 126 EAST KING STREET — SHIPPENSBURG, PA 17257-1397
Th�s �ment u=as b� �ie Te�a�rix, o� thhe date her�a� si�.ed, publish�ci �d decl�r€d by
�3�"TY�,.L�Y to be her Las�Will anc�Testam:en�in o�pre�.nce,uu�o a��er�eques�and in t�e
presen� of�a.ch ather, we t�elieving �er to be af solmd and disposing mi�d �d m.e�nory, l�ave
here�a s��bscn�i our�mes as�r�#a�esses_
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WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - t26 EAST KING STREET - SHIPPENSBURG, PA 17Z57-1397
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we. �{�%� ..r=�� ��l"l/�r.�"� �-
the witnesses�i�ose aames ar�si�ed.-�-�he ft��egoin��m�n�,b��d�y q�fied ac.�:ordinj
to la�cr, c�c���Qase�d say�we we�pres�at a.�d sa���`I�`Y I,. �AY f��Test,�x, si�n and
execute #�e insframe��as he� �,as�W�; th�she signe�u�ilLin�Iy an�tha.t s3�e execu�ed it as her
free aud tToluntary a��for th�e�urposes�ereir�expresset�;that each of u.s in tlae hea-c�? and:sight
of the Testa�rix, si�ed the'�ill as wi�uesses; and t1�.�to the bes�of eur l�o�ledge�:e Tes�a�
�as at fhe time eiffhteen (18� or more��ears o�a.�e and flf sound min,d and uuder no ca�fra�.�ar
��ue 3nflu�nce_
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Sworn or af�firmed to and subscribe�before me
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witnessss,this�day of _2Q13.
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� COMMONWEALT��F PENNS`(l-VANIA
�OTARIAI-S�A� . :
A We1g�e�Notary Public
Jerry ensburg,Gumberland C2014 -. �
City of Shipp ires Oc�ober 7,
�y Commission Exp
WE(GLE & ASSOCIATES. P.C. - ATTORNEYS AT LAW - 1z6 EAST KING STREET - SHIPPENSBURG, PA t7Z57-t397
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�ER�fl�AL�'ROPIIZTY��v10�L.�TDT�T(�
�CC��viPANY�.ST Vi�I�,L AND TES`��OF BE'��_�AY
As g�ovi�e�iz��1VI S�CON�3 of my�as�W�and`�'e�amen�I he�eby d�si�te�.a.t
the�ollow��3i�~�ec��roperiy s1�all go ta�he pe�sons�ose names are�esi�ted�on
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Tiffany I.�� ����aom} Dann� R La�
Cedar Che�(bedrofl�) Reb�kah Fin�eY(�ddau�hter)
�Sy set o�crysta3.dishes T'e�r� �.Ba�e�
�4�'Vizio flat screen TV(be�om} Dann.y R Lay
�a�asanic microwa�Te oven Daauy IZ Lay
I,ong��rger basket fiable(Iivin�room) Dona�d�,_Lay
�ick�r ches�(b:droom} JennifeF�eana�.{�ra�ddaugh#�r}
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WEIGLE & ASSOCIATES, P.C. - ATTORNEYS AT LAW - 126 EAST KING STREET - SHIPPENSBURG, PA 17257-1397