Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
02-11-15
J REV-1500 EX(02-11)(FI) 1505610105 pennsylvania OFFICIAL USE ONLY PA Department of Revenue DEPARTMENT DF REVENUE County Code Year File Number Bureau of Individual Taxes PO BOX 280601 INHERITANCE TAX RETURN }r ``j Harrisburg,PA 17128-0601 RESIDENT DECEDENT T�o ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 10.052014 02131933 Decedent's Last Name Suffix Decedent's First Name MI LACKEY CAROLYN L (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 BOXES BELOW FTJ 1. Original Return Q 2. Supplemental Return Q 3. Remainder Return(Date of Death Prior to 12-13-82) Q 4. Limited Estate Q 4a. Future Interest Compromise(date of Q 5. Federal Estate Tax Return Required death after 12-12-82) 0 6. Decedent Died Testate Q 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) Q 9. Litigation Proceeds Received Q 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 ROBERT G. FREY 71724358 rT1 REGISTE IPWILLS US"LY Urf7 r 1 -O C30 c�1 First Line of Address ►—• - I 5 S . HANOVER ST. Second Line of Address `M' 7=1 r1 ' CJ {. City or Post Office State ZIP Code DATE�ILED CD CARLISLE PA 17013 Correspondent's e-mail address: R F R E Y a@ F R E Y T I L E Y. C O M 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 complete.Declaration of re arer Qther than the personal representative is based on all information of which preparer has any knowledge. y fSI'GNjT RE OF PERS N�R1ES—/N;jJ/BL NG RETUF3N DATE ADDRESS 67 WEST F RVIEW AVENUE, MARIETTA, PA 17547 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 5 SOUTH HANOVER STREET, CARLISLE, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610105 1505610105 J 15GS61010S REV-1500 °x(02-t1)(n) Pennsylvania OFFICIAL USE ONLY PADepartment of Revenue oma M%W" County Code Year Fye Number POBureau BOX 900Thd0dual Taxes INHERITANCE TAX RETURN PO BOX 28tI801 Hams".PA 1712841101 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 10052014 02131933 Deoeden's Last Name Suffix Decedents First Name MI LACKEY CAROLYN L (If Applicable)Enter Surviving Spouse's information Below Spouse's Last Name Suffix Spouse's Flat Name Mt Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW Q 1. Ortpinat Return Q 2. Supplementel Return Q 3. Remainder Return(Data of Death Prior to/2-13-02) Q 4. LWdod Estate Q fa. Future Interest Comps tae(date of ® S. Federal Estate Tex Return Required death after 12-12-02) Q 6. Oeoodern Died Testate © 7. Decedent Maintained a Living Trust 0 S. Total Number of Safe Deposit Bmrea (Attach Copy of WW) (Aroeh Copy of TnnL) Q 9. Litipetion Proceeds Racelved Q to. Spousal Poverty Credit(Date of Death Q 11. Etedlon to Tax under Sea 9113(A) Between 12-31.91 and 1-1.95) (Attadt SChadute O) CORRESPONDENT-MS SECTION MUST BE COMPLETED.ALL CORRESPORDENCEANDCW410EN IAL TAX 1NFORMATIOHSHOULDBEDIRECTEDTO: Name Daytime Telephone Number ROBERT G. FREY 717243583 REGISTE 7. USEONNI M C� UZI r--1 CS (? Ca C, A First Line of Address S S. HANOVER ST. � o Second Line of Address O �; 7 fV C7 City or Post Office State ZIP Cade ,DATE DICED _ fel r`..� Cf) o CARLISLE PA 17013 Correspondent'se-mail address: RFREY@FREYTILEY.COM Under penalties of penury.I declare that I have examined this retum,inducting a000mpanyinp schedules and staternents,and to the best of my knowledge and be6M, it is ave,correct and Pamplete.Declaration of creb2mr other,than aha Personal representative is based on as hxforrrtatton of wfikh Preaarer has am enoirled9e SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS 67 WEST FAIRVIEW AVENUE MARIETTA PA 17547 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS S SOUTH HANOVER STREET, CARLISLE, PA 17013 PLEASE USE ORIGINAL FORM ONLY Side 1 L 1505610105 15OS610105 ,J 1505610205 REV-1500 EX(FI) Decedent's Social Security Number Decedent's Name: CAROLYN L LACKEY RECAPITULATION 1. Real Estate(Schedule A).................................. 1. 0.00 Z Stocks and Bonds(Schedule B)... . . .. .. .. .... .. . .. ... ...... .. . ... .. 2, 0. 00 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. 18282. 98 6. Jointly Owned Property(Schedule F) =Separate Billing Requested...._ 6. 1320.00 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) =Separate Billing Requested.. . .. .. 7. 0 . 00 8. Total Gross Assets(total Lines 1 through 7).. .. . . .. ... .. . .. ... . . .. . .. 8. 19602 . 98 9. Funeral Expenses and Administrative Costs(Schedule H).. . .... .. ... .. .. . 9. 6219. 07 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1).... ......10. 1130.00 11. Total Deductions(total Lines 9 and 10).. .................... ........ 11. 7349.07 12. Net Value of Estate(Line 8 minus Line 11).. .. . . .. . . . .... ... .. . .. .. ... 12. 12253. 91 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J).. ..... ... .. .. . . . .. . . 13, 0.00 14. Net Value Subject to Tax(Line 12 minus Line 13)................... .. . 14. 12253. 91 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 15. 0. 00 16. Amount of Line 14 taxable at lineal rate X o 4 5 12253. 91 16. 551. 43 17. Amount of Line 14 taxable at sibling rate X . 12 17. 0.00 18. Amount of Line 14 taxable at collateral rate X 15 18. 0 .00 19. TAX DUE. .... .. . .. .. . . . . .. .. . .. .. .. .... .. .. ... .... . . . .. . .. .. .. 19. 551. 43 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT Side 2 1505610205 1505610205 REV-1500EX(Fl) Page 3 File Number 168-26-5389 Decedent's Complete Address: 2014-00970 DECEDENT'S NAME CAROLYN L LACKEY STREET ADDRESS BIG SPRING AVENUE CITY STATE ZIP NEWVILLE PA 17241 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) 551.43 2. Credits/Payments A.Prior Payments B.Discount Total Credits(A+B) (2) 0.00 3. Interest (3) 4. If Line 2 is greater than Line I +Line 3,enter the difference.This is the OVERPAYMENT. Fill in box on Page 2,Line 20 to request a refund. (4) 0.00 5. If Line 1 +Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 551.43 Make check payable to: REGISTER OF WILLS, AGENT I --- - 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.... ......-1.1......... ................................ 0 0 b. retain the right to designate who shall use the property transferred or its income............................................ 171 c. retain a reversionary interest............................__............-...... ......_.......-................___................I..... .... 171 d. receive the promise for life of either payments,benefits or care?.................................................................... 171 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration?................___....................... ............_........._............. ........._ 171 rx� 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?............. 171 ❑ 4, Did decedent own an individual retirement account,annuity or other non-probate property,which contains a beneficiary designation?................................................................................................................ ....... 171 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 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) SCHEDULE pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF INHERITANCE TAXREVENUE RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Carolyn L Lackey 2014-00970 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 VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Orrstown Bank,Account 106001606 16,130.04 2. Members 1 st Account 556481-00 5.00 3. Members I st Account 556481-11 2,147.94 TOTAL(Also enter on line 5, Recapitulation) $ 18,282.98 If more space is needed,use additional sheets of paper of the same size. REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENT OF REVENUE JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Carolyn L Lackey 2014-00970 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. Tonia Stutenroth 21 West Springville Road Daughter Boiling Springs, PA 17007 B. C. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANKACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENTS VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER.ATTACH DEED FOR JOINTLY HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENTS INTEREST 1. A. 10/24/95 Members 1st Account 155035-00 2,640.00 50.00% 1,320.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 TOTAL(Also enter on Line 6, Recapitulation) $ 1,320.00 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(08-13) SCHEDULE H pennsylvania DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Carolyn L Lackey 2014-00970 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Ewing Brothers Funeral Home 4,000.00 2. Michael Minich-Honorarium for music 50.00 3. Carlisle United Methodist Church,funeral lunch 164.59 4. Tonia Stutenroth, reimbursement for urn and photo album 71.58 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: 1,500.00 3. Family Exemption:(If decedents address is not the same as daimant's,attach explanation.) Claimant Street Address City State ZIP Relationship of Claimant to Decedent 4. Probate Fees: 135.50 5. Accountant Fees: 6. Tax Return Preparer Fees: 7. Advertising in the The Sentinel 222.40 8. Advertising in the Cumberland Law Journal 75.00 TOTAL(Also enter on Line 9, Recapitulation)_ $ 6,219.07 If more space is needed,use additional sheets of paper of the same size, REVA 512 EX+(12-12) pennsylvania SCHEDULE DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN RESIDENT DECEDENT MORTGAGE LIABILITIES&LIENS ESTATE OF FILE NUMBER Carolyn L Lackey 2014-00970 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 Department of Veterans Affairs,benefit received that was required to be returned 1,130.00 TOTAL(Also enter on Line 10,Recapitulation) $ 1,130.00 If more space is needed,insert additional sheets of the same size. REV-1513 EX+(01-10) pennsylvania SCHEDULE DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Carolyn L Lackey 2014-00970 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE TAXABLE DISTRIBUTIONS[include outright spousal distributions and transfers under Sec.9116(a)(1,2).] 1' Michael Lackey 67 West Fairview Avenue, Marietta, PA 17547 Son 1/4 of residue Ionia Stutenroth 2. 21 West Springville Road, Boiling Springs, PA 17007 Daughter 1/4 of residue 3. Charlotte Boettger 654 Hillcrest Drive, Carlisle, PA 17013 Daughter 1/4 of residue 4. Judy Lackey 63 Chestnut Avenue, Carlisle, PA 17013 Daughter 1/4 of residue 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: 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART 11—ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ 0,00 If more space is needed,use additional sheets of paper of the same size. November 5, 2014 Frey&Tiley Attorneys-At-Law 5 South Hanover St Carlisle, Pa 17013 Fax: 717-243-6441 Re: Estate of Carolyn L Lackey Social Security Number 168-26-5389 Date of Death 10/05/2014 IT IS HEREBY CERTIFIED THAT THE ABOVE NAMED DECEDENT HAD THE FOLLOWING ACCOUNT WITH ORRSTOWN BANK: CHECKING ACCOUNT Account No- 106001606 Account Type- 50+ Interest Checking Account Title- Carolyn L Lackey Date Opened- 09/13/2000 Joint Account(name/date) No Balance- $16,129.49 Accrued Interest $0.55 Best Regards, Lisa Kline Deposit Processing Representative III Fax 7'177055'1.78 jan 28 2015 b9;25am ?001/002 AM MEMBERS 11, PEDEAAL COEDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 656481.00 Date Account Established 04/28/2014 Principal Balance at Date of Death $5.00 Accrued Interest to Date of Death $0.00 Total Principal and Accrued Interest $5.00 Name of Joint Owner None 2HECKING ACCOUNT": Account Number/Suffix 556481-11 Date Account Established 04/28/2014 Principal Balance at Date of Death $2,147.94 Accrued Interest to Date of Death $0.00 Total Principal and Accrued Interest $2,147.94 Name of Joint Owner None r MEMBERS 1sT FEDERAL CREDIT UNION Gere Anderson Lending Insurance Support Specialist January 28, 2015 Estate of: darotyn L.Lackey Date of Death: 10/05/2014 Social Security Number: 168-26-5389 5000 Louise Drive P0. Box 40 Mechanicsburg, Pennsylvania 17055 (800) 283-2328 • u�c��Tinembcrslsc.ozg ri 2t' 0 6 l/.•."'5Ki02la�,il St MEMBERS FFME .f! tt FEDEPU L CREDIT UNION REGULAR SAVINGS ACCOUNT: Account Number/Suffix 155035.00 {date Account Established 11103/1995 Principal Balance at Date of Death $2,640.18 Accrued Interest to Date of Death $0.02 Total Principal and Accrued Interest $2,640,21 Name of Joint Owner Tonia Stutenroth Date Joint Added 10/24/1995 MEMBERS 1T FEDERAL CREDIT UNION { Gere Anderson Lending Insurance Support Specialist January 28,2015 Estate of; Carolyn L. Lackey Date of Death: 10/05/2014 Social Security Number: 168-26-5385 5000 Louise Drive 1. O. Box. 40 • Nlechanicsbur&Pcnnsyl-mnia 17053 (800) 283-2328 wwwmernberslst,org LAST WILL AND TESTAMENT OF CAROLYN L. LACKEY 1, CAROLYN L. LACKEY, domiciled and resident at 30 Carter Place, Borough of Carlisle, County of Cumberland, Commonwealth of Pennsylvania, declare that this document is my Will and revoke all my previous Wills and Codicils. I. IDENTIFICATIONS AND DEFINITIONS I am a widow, I have four adult children, Michael. W. Lackey, Charlotte Ann Boettger, Tonia Stutenroth and Judith Mathes Franks, they are referred to in the Will as "my children". PAYMENT OF EXPENSES, DEBTS,AND TAXES I direct my Executors to pay medical, funeral, and administrative expenses and all taxes payable by reason of my death, before any division of my estate. My Executors shall not attempt to have any part of such taxes apportioned among the recipients of property includible in determining the amount of such taxes. Proceeds on insurance on my life up to the maximum allowable as an exemption from Pennsylvania Inheritance Tax and distributions from pension and profit sharing plans exempt from federal estate tax, all of which are payable to my Trustee or any beneficiary (other than my estate), shall not be used to pay debts, taxes, expenses of administration or other charges against my estates, III. CHILDREN SURVIVING If my children survive me, I dispose of my tangible personal property as follows: In equal shares to my children who survive me, to be divided among them as they shall agree; if they fail to reach agreement within sixty (60) days of my death, this tangible personal property shall be divided among my children as my Executors determines appropriate, in shares of substantially equal value. I recommend, but do not require, that all such items of tangible personalty be appraised and that the children select in rotation items at the appraised value, the order of choice to be determined by lot. I give the rest and remainder of my estate, including real and intangible property in equal shares to my four children who survive me. Should any of my children fail to survive me for a period of 30 days in such event the share such deceased child would have received shall pass to his or her issue who survive me. Should any of my children leave no issue then his or her share shall be divided equally among my surviving children or his or her issue; whichever the case may be. IV. FIDUCIARIES Executors: I nominate and appoint my four children, or any of them, Michael W. Lackey, Charlotte Ann Boettger, Tonia Stutenroth and Judith Mathes Franks, as co- Executors of this Will to serve without bond. Powers: I give my fiduciaries, including successor fiduciaries, all the powers contained in Chapter 71 of the Pennsylvania Probate, Estates and Fiduciaries Code at the time of the execution of this Will.. and those powers are incorporated by reference. V. MISCELLANEOUS Survival Defined: No person shall be deemed to have survived me or.to be living at my death if he/she shall die within 30 days after my death. I direct my hereinafter named Executors to pay all of my debts and funeral expenses as soon after my death as may be found convenient to do so. I direct that my funeral services be conducted by Ewing Brothers Funeral Home, 630 South Hanover Street, Carlisle, Pennsylvania, in a manner substantially similar to the arrangements which I made for the funeral services for my husband Kermit E. Lackey, and that my body be interred beside his on my burial lot located in Ashland Cemetery in the Borough of Carlisle. In testimony of which I now sign this Will, in the presence of witnesses whose names will appear below, and request that they witness my signature.and attest to the execution of this Will, this 8"' day of January, 2007 at 1237 Holly Pike, Carlisle, Cumberland County, Pennsylvania. CAROLXN L. LACKEY I CAROLYN L. LACKEY, in our presence, signed this instrument. Before she signed it, she declared to us that it was her Will and requested that we act as witnesses to its execution. We believe her to be of sound mind, possessing testamentary capacity, and not subject to undue influence, fraud, or coercion. We now, in her presence, and in the presence of each other, sign below as witnesses, all on this 8`h day of January, 2007, at 1237 HoV Pike, Carlisle, 94mberland County, Pennsylvania. residing at 1237 Holly Pike, Carlisle, PA 17013. `:r siding at 34 Summerfield Drive, Carlisle, PA 17015 i COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF CUMBERLAND We, Joseph D. Buckley and Cheryl L. Bennecoff, the witnesses whose names are signed to the foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw Testator sign and execute the instrument as her Last Will: that she signed willingly and 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. Sworn or affirmed to and subscribed to before me by Joseph D. Buckley and Cheryl L. Bennecoff, witnesses, this 81h day of January, 2007. c4v4v bpen Notary P 1ic NOTAM SEAL KMEN KAY BUCKLEY Notary Public 5CW3 MlDDLETON iW;QaNSM- 41)CCUN Y My CorrrmAsslon Expires.turn 23,2009