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Home My WebLink About02-26-15 (2) � 1505610143 REV-1500 Ex�oz-ii> �.`1 OFFICIAL USE ONLY PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes �P�TMENTOFREVENUE Po Box.2soso� INHERITANCE TAX RETURN 21 15 0054 Harrisburg,PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 12 02 2014 02 10 1920 DecedenYs Last Name Suffix DecedenYs First Name MI LEE WILLIAM E (If Appiicable)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 � 1. Original Return � 2. Supplemental Return � 3. Remainder Return(Date of Death Prior to 12-13-82) � 4. Limited Estate � 4a.Future incerest Compromise � 5. Federal Estate Tax Return Required (date of death after 12-12-62) � 6 Decedent Died Testate � 7. �qttacheCo a�of Trust a Living Trust 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) P1' � � 9. Litigation Proceeds Received � ��between12�31�J�andit(Da95�f Death � 11.Election to tax under Sec.9113(A) T (Attach Schedule O) CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number JAMES D BOGAR (717) 737 8761 , ..� REGISI�ER OF WILLS;�I$E ONLY� r- � �'�' _:"J �-�-� i 1 r.� First Line of Address � �� `-�' 1 _ �`� � .,'-3 ONE WEST MAIN STREET � : r rv ' ' ,., � ' „' - ,r Second Line of Address � , _� � DATE�ILED ~ � City or Post Office State ZIP Code - i.i , _... SHIREMANSTOWN PA 17011 r� �.,;, C.-y cr� _;� CorrespondenYs e-mail address: jbogar boaarlaw 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 true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNATU E OF PERSON RESPONSIBLE FOR FILING RETURN DATE ' �,� � �� Lois B. Lee F�d. a5, �oe� �RESS 40 Teaberrv Drive, Carlisle, PA 17015 SIGNATUR PREPA R ERTHANREPRESENTATIVE DATE ✓ James D. Bogar ,� �.5^( � ADDRESS One West Main Stre , Shiremanstown, PA � Side 1 � 150561�143 1505610143 � � 1505610243 REV-1500 EX DecedenYs Social Security Number DecedenCsName: Lee�Wllllam E. 173 12 9977 RECAPITULATION 1. Real Estate(Schedule A)....................................................................................... 1. 2. Stocks and Bonds(Schedule B)............................................................................. 2. 3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3. 4. Mortgages&Notes Receivable(Schedule D)........................................................ 4. 5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 6,322 . 8 9 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6. 7. Inter-Vivos Transfers&Miscellaneous�nq Probate Property (Schedule G) U Separate Billing Requested............ 7. g. Total Gross Assets(total Lines 1 through 7)........................................................ g. 6,322 . 89 9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I)............................ 10. 11. Total Deductions(total Lines 9 and 10)................................................................ 11. 12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 6,322 . 8 9 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. 6,322 . 8 9 TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers underSec.9116 6�322 . 89 �5 O . QQ (a)(1.2)X.00 16. Amount of Line 14 taxable � . Q Q 16. � . 0� at lineal rate X .045 17. Amount of Line 14 taxable 0 . 00 at sibling rate X.12 � . �� 17. 18. Amount of Line 14 taxable 0 . �Q 18. 0 . �0 at collateral rate X.15 19. TAX DUE................................................................................................................ 19. � . 00 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. � Side 2 � 1505610243 1505610243 J REV-1500 EX Page 3 File Number 21-15-0054 Decedent's Complete Address: DECEDENT'S NAME Lee,William E. STREET ADDRESS 40 Teaberry Drive C�T, STATE ZIP Carlisle PA 17015 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount 0.00 Total Credits(A +B) (2) 0.00 3. Interest �3� q, If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) Check box on Page 2,Line 20 to request a refund 5, If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5) �.00 Make Check Payable to REGISTER OF WILLS AGENT n�' rn� r� d� Y� � `'iss�"�;��`:c�"Yt� '�'r'�ri ��." '� vr � �g` *d �"x� ' §�"''�1y ��"� z . K � a �:�'��" . _�....., .,_ �:V s �1,aM-,.°�$.��. �r.��`�� a'� , n_t„ �;.� �„�w,;�� .G�� ^s�...5 �h��"�.�G';�">.��'. "��.s v F�,..h��4 Ji. ,�w�'I�,,�r`.,,r.'��".,b `�a h, v f.,, .:.�d.,, ,3�^ f 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:.................................. ❑❑ � c. retain a reversionary interest;or............................................................................................................... d. receive the promise for life of either payments,benefits or care?............................................................ ❑ ❑X 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without ❑ ❑ receivingadequate consideration?.................................................................................................................. . 3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ ❑X 4. Did decedent own an individual retirement account,annuity,or other non-probate property which ❑ ❑ containsa beneficiary designation?.................................................................................................................. X IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. , � � :, r, � t: : . ,�# � � � � �: r ;,.. �^ :��. ., . :�-:- � `w, ,,, ::�� '_ „` .. " 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 January 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-1508 EX+(11-10) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENT OF REVENUE p ERSONAL PRO PE RTY INHERITANCE TAX RETURN RESIDENT DECEOENT ESTATE OF FILE NUMBER Lee,William E. 21-15-0054 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointlyowned with the right of survivorship must be disclosed on schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 PNC Bank-IRA Account No.65001009831. Date of death balance$4,703.64;accrued interes 4,703.89 $0.25. 2 2001 Chevrolet Impala-VIN#2G1WH55K219103074. Kelley Blue Book Value$1,619.00. 1,619.00 TOTAL(Also enter on Line 5,Recapitulation) 6,322.89 (If more space is needed,additional pages of the same size) Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev. 11-10) Feb, 9. 2015 2:48PM PNC Bank No. 4203 P, 1/1 : , ,�,�� 'ebruary 9,2015 James D Bogar Bs�. Attorne�At T.a�cr One Westi Max� St Shiremanstown, PA 17011 RE_ 'William E Y.ee S SN: 173-12-9977 DOD: 01-06-2015 T�ear Mr.Bogar: In response to�our request for Date of T7eath(DOD)bala.nces�or tJae customer noted above, our recoxds sho'�v the follor�ving: IRA Acconnt Account# 65001009831 Establxshed: 09-23-�993 'W�YLLYAM EDWARD LEE DOD balance: $4,703.64+p.25 accrued interest Ynterest paid 01,01-2014 thru 12-02-201.4$12.96 YTD For beneficiary information,please ca111-888-762-4�27. Please note t.�at this office provides date of death balances for deposit accounts(TYtAs,Cns,Checking and Savings)_ 'W'e do not process an�t�uancial tirahsact�ons or pro�vide stateme�nts. If�ou need assistance�vith an�of t'hese items,please ca�� l-888-��1C-HANYC(1-888-762-2265)or stop by your local pNC Banlc branch o�ce. Sxz�cerel�, National Financial Sexvxces Center �N'C Bank,N.A. Member�I7YC This message is intended for t�ie use of the ind'ruidual or entiry to which it is addressed and rrcay contain information that is privileged; confidentral and exempt from d'isclosure und'er applicable Imv. 1'f the�eader of this message is not the intended recipienr or rhe employee or agent responsible,for delivering thfs message to the intended recipient,you are hereby not f ed that any dissemination, distribution or copying of th�s comnzunzcations is strictly prohibited. lf you have recef�ved this communication in error,please notify me immediately by reply or by telephone at 800-762-1775 and' irnrnediatedy destroy this fmced document. page 1 of 2 �� ' � � � � � ' ► � �� `� ��. , �,. _. _ CERTIFICATE OF TITLE FOR A VEHICLE ,�' �4�a � �� i :- Q1724�(3!"159D�i�'68�-t�t?1 ir G'V�wi7�:3�� 4�Li3J��^E ��. ( ��.�� .�.f+�l�Y�� . ) J3��G7��7.L�ii'� �� t i �} � VEHICLE IDENTIFICATION NUMBER YEAR MAKE OF VEHICLE TITI.E NUMBEfi .�. .J�l:/i"# �.' � ._. � I �._ �..i .� ��.�. � ��"Y�G7� .�..��;� iI . Li, _. � � ' ,j.., : BODY TYPE� DUP SEAT CAP � PflIOR TITLE STATE O�OM.PROCD.DATE OOOM.MILES ODOM.STATUS �£�Iti4/G��J � �flll�4/�?� + � I � DATE PA TITLED DATE OF ISSUE UNLADEN WEIGHT GVWR GCWF TITLE BflANDS ODOA4ETER STATUS �j�. �'� 0=ACTUAL MILEAGE �� i=MILEAu'E EXCEEDS THE MECHANICAL t LIMITS 2=NO'f THE ACTUAL MIIEAGE - 3=NOT TNE ACNAL MILEAGEO�OMETER � . TM1PEflINO 9ERIFIED � � ,�` ,� y1 � 4=E%EMPT FROM ODOMETER DISCLOSURE �, �'4"�� TRLE BRANO6 �.REGISTERED OWNER(S) a . � A=ANTIQUE VEHIC�E - C=CLASSIC VEHIGLE ` J�'r * ■y '.i��` . %'<-+- t� '. �..��'._:. D=COtLECTIBLEVEHICLE . ,,. .T._l��.l Ni_1_..�_��.. ... . � �_.4_ � �.,�, ��.*..r, j��71p p (�}� _ .....__� ._.. '.-' _ F,-O,lfT OF COUNTRV_...' '_' _ . j ,i: `!1! T�►1 D��R Y �,i l[ � � G D 5'TRNBIffIONFG�FOR NON�U.S. r i . �x�i �� y��y H=ACaP�CULTURAL VEHICLE '� i5 L �,� � L =LOGGING VEHICLE P=I�WAS A POLICE VEHICLE � R=RECONSTRUCTED � S=STREEf AOD � � T=AECOVEREO THEFT VEHICLE i� V=VEHiCLE CONTAINS REISSUED VW : I. � W;FLOOD VEHICLC X=ISNJAS A TA%I �FIRST LIEN FAVOR OF: SECOND IIEN FAVOR OF: � It a secontl lientrolder Is listed upon satisiection of the flrst lien, lhe first lienhotder must forward this Title to the Bureau W Motor Vehictes with the �� FIRS7 LIEN RELEASED ' appropriate torm and f9e. � DATE � BY� � SECOND LIEN RELEASED � ! AUTHORIZED REPRESENTATIVE � DATE `� ! ' MAILING ADORESS : ��'I BY � 0`�� AUTHORIZED REPFESENTATIVE j t�i L L.I A�! F L E� '`� ,� ; 4t1 TEAB�RRY �R ' CARL I 5�� PA 17f1Z3 : . i ' C `i � . p�p�.r}�s Cy py � � � .1 ceAil;�.as_e}ihe data..at.�ssvE._Ihe �Nir,i�l reF.orcis M the PannsYlvania DepaAment . .. Ty11.t�iTLL 7 � ��L��1�i � � . ; ol TransportaCron retlect that Ihe person(s)or company nemetl herein is the lawtul owner - "�� "---� ' � �"� --�-�— � ' oi Ihe said vehicte. Secretary of Transportahou T + : j � I = 0 1 1 ' 1 t ' 1 � C ;€ � .. , • . ' `j i �� suesCaieeo nN�swORN if a co-purchaser other than your spouse is listed and you want the title to i ! ��.�`~ TO BEPORE ME . � be listed as"Joint Tenants With Right of.Survivorship" (On death of one � � ` Mo on renA owner,title goes to surviving owner.)CHECK HERE O.Otherwise,the title I �y � will be issued as'Tenants in Common"(On death of one owner,interest of fJ +% f deceased owner goes to his/her heirs or estate). �� I l�� : ;✓yL�� SIGNATURE OF PEfl50N AOMINISTERING OATH ❑ �• � 7ST LiEN OATE' ♦ IF NO LIEN,CHECK I i.:�'g � 1ST�IENHOLDER t; �I :'��' } ` i s-. � STREET :� i CIN STATE 21P � I � � = FINANCIAI INSTITUTION NUMBER V J ❑ �, �� 2ND LIEN DATE: ♦ IF NO LIEN,CHECK TM1e urMerSgnea he�eUy menbs app'Ka�ion lor Ce�Fl�ca�e o� Title to Un vett�cle tlescrlbetl I Ma aDove,s�tyeci�o t�+a arnumnrences ana nMa��e9ai cia:ms se+ronn nere. � 2N0 LIENHOLDER U1.I ' v � STREET � � SiGNATI�lE OF APPLICANT OR AIfTHOViREO 516NER /Y'� � GTY STATE ZIP LAJ � � ''1 SIGNATUFE OF C6APPUCANTlfIT1.E OP AUTHpRIZED SIGNEa � FINANCIAL INSTI7UTION NUMBER • . .... . _ ... . ...... ... .... . .. . .. . ..... . 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(:�2UI5 Kellcy Blue 800k Co.,Inc.A!I rights reserved.]2j31,%2019-1!B,i2015 EOition Por Pennsylvania 17015.The pec'tic inforn ['n requirnd to deferm�nc the value for this particulai vehicle was supplied 6y the pcison generating fhis reporL VehiGc valuations a�e opinrons and may vary born vchic7c ro vehrcle Actual valuations wiU v�ry based upon market mnditions,specifications, velricle cnnrllLion o�other par('icular circunr.stances pertinenY to fhis partir,ular vehicle nr thr,Gansaction or fhe,paifies to the transact'ion.This repnrt is intended(or the intlividual use n/fhe peison generating Chis report onty and sbal!not be sold or transmitted m another party.Kelley Blue f'iook assumes no responsl6ility fbr errors or onlrssions.(v.T5011) � I ,T f J r� Recently View2d Cars � My Saved Gars Save car �-�r1 � '��.y� a xr.`.q! '"x,, ,. ., http://www.kbb.cam/chevrolet/impalal2001-chevrolet-impala/sedan-4d/?condition=good&v... 1/6/2015 REV-1513 EX+(01-70) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Lee,William E. 21-15-0054 RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NAME AND ADDRESS OF DECEDENT NUMBER PERSON(Sl RECEIVING PROPERTY (Words) ($$$) TAXABLE DISTRIBUTIONS [include outright spousal I. distributions,and transfers under Sec.9116 a 1.2 1 Lois B.Lee Wife rest,residue and 6,322.89 40 Teaberry Drive remainder Carlisle, PA 17015 Total 6,322.89 Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 1500 cover sheet,as a ro riate. NON-TAXABLE DISTRIBUTIONS: II. 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 Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule J(Rev.01-10) 1 4 � ' ' ( { i e � � • T �.�'r ( V J � , cQ � :z� rn 1 � �' � c,? o -� j ,� �: � � « .:� � .�.�. r �, ...� �-�,a r *- r`� � `' r� i �:' r1> : _:: �:� LA.ST WILL AND TESTAMENT :.� c� c.,, ._—.^. .,� �� . I f,..D —P"� � -T'� OF . Y�i ►-�-+ =�== c� � a �' m �I w, �__ WILLIAM EDWARD LEE, SR. c�rt "' � �I �� i of 40 Teaberry Drive, Carlisle, i i I, WILLIAM EDWARD LEE, SR. , Count of Cumberland, State of Pennsylvania, 17013, being of I I y sound mind and memory, do make, publish and declare this my Last � i Will and Testament, hereby revoking and declaring null and void � �I any and all Wills and Codicils by me at any time heretofore � made. FIRST: I direct my Executors to pay my just debts, the 1 � ex ense of my last illness and my funeral expenses from the , P property passing under this Will as an expense and cost of administering my estate, as soon after my death as may be f ound � convenient. i ssess in SECOND: I give, devise, and bequeath all that I po I 1 ' I the world, including both real and personal property, to my Wife, LOIS B. LEE, provided she survives me by thirty (30) days. � Should m Wife, LOIS B. LEE, predecease me or fail THIRD: Y i ' y y � y ive, devise and bequeath to survive me b thirt (30 da s, I g i � all that I possess in the world, including, both real estate and , personal propoerty to my issue, per stirpes, except as indicated in Paragraph 4. I further direct that all real estate now owned � I i 1 I � !I . , � .r- � ' , , , � ,i � � b me or hereafter acquired, be sold and the proceeds divide , I y among my issue per stirpes. FOURTH: I bequeath my H.O. Gauge Model Railroad trains to , g JR. rovided he survives me by thirty (30) ; WILLIAM EDWARD LE , . P � Idays. Should WILLIAM EDWARD LEE. JR• . predecease me or fail to � er stir es. f ; survive me by thirty (30} days, then to his issue, p P ! i } ( � FIFTH: I direct that no Trustee, Executor or ot er fiduciary named, nominated, or appointed in this, my Last Will i I, i i, and Testament shall be required to post any bond or give any � � security of any type for any purpose whatsoever, any law or rule ! I I of court of the Commonwealth of Pennsylvania or any jurisdiction � to the contrary notwithstanding. � II . Executors to bury me in the Veteran's � I; SIXTH. I direct my 1 � Cemetery at Fort Indiantown Gap, Annville, PA and that my 1 I Executors place a marker upon my grave within forty-five (45) � days. I SEVENTH: I name and appoint my wife, LOIS B. LEE, ` Executrix of this, my Last Will and Testament. Should my Wife, I, LOIS B. LEE, fail to survive me or fail to qualify, or cease to � act as Executrix, I name and appoint CAROL ANN FURJANICE and/or � � I PATRICIA LASKE, to act as substitute Co-Executors. ii IN WITNESS WHEREOF, I have hereunto set my hand and seal i ! this � day of , 1994 �I � L��"`"ti � ;� WILLIAM EDWARD LEB, SR. � I I I � � 2 � ; � I �I � � � � 1 ` ' SIGNED, SEALED, PUBLISHED and DECLARED by the above named Testator, WILLIAM EDWARD LEE, SR. , as and for his Last Will and I Testament, in the presence of us, who, at his request in his � presence and in the presence of each other have hereunto i I � subscribed our names as witnesses. � � I c�.�, � C`� ��, � � s r ��G'.� ` T E ADDRESS I� �o�' I�a�rl�-�. �� 1 � � ES ADDRESS i ,I � il � (� I ( �� ! ; � ( � 3 � � � � } �I c m . . � + � � � AFFIDAVIT COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND � SS: ) I, WILLIAM EDWARD LEE, SR. , 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; that I signed it willingly and that I signed it as my free and voluntary act for Ipurposes therein expressed. IN WITNESS WHEREOF, I, WILLIAM EDWARD LEE, SR. , have hereunto set my hand and seal this � day of � 1994. �.�:� w,� WILLIAM EDWARD LEE '"�y SWORN or affirmed to and acknowledged � before me, and WILLIAM gDWA1tD LEy� the Testator, this � ' ;�1 t day of �. � , 19 9� . i � � � � ctics�-�" � NO Y PU � r�c�t�ri�l Seal Martha L.'•,1�!:cnv,�lotary FuWic Carlis;E�,�ri�,Cumt�rland Courity My Gomrreission Expires Sapt.18,1 g95 fv!emLer,renns�qvaniaAssociati�n of Nataries I i� i I I4 : � � 6 i � � , . , i . � ' i I I � I ( i i I I I � ' � f I COMMONWEALTH OF PENNSYLVANIA : ' : SS. I COUNTY OF CUMBERLAND • �;�� I We� �ti`� �',7�� . and �� i i u'�N1� . 1� the witnesses whose names are signed to the attached or iI foregoing instrument, being duly qualified according to law, do i� II depose and say that we are present and saw the Testator sign j I ' and execute the instrument as his Last Will; that he signed � willingly and that he executed the instrument as his Last Will; that he signed willingly and that he executed it as his free ;� and voluntary act for the purpose therein expressed; that each + Iof us in the hearing and sight of the Testator si ned the Will � g f� as witnesses; and that to the best of our knowledge, the 'I ITestator was at that time eighteen (18) or more years of age, , of sound mind and under no constraint or undue influence. i �.�;�� I � � �� I Sworn or affirmed to and subscr' ed to before me by � � � � c �-� and .� '�i�. �-,-, I r �the witnesses, this �� day of lLh v� , 1994. � i o�c� � i�oia�i�:�eal N ARY P LIC �� Martha L.'��iorro;r�,Notary Public Cari!sfe�c«. �umberland Ca:nry hdy C,ommission Fx�ires Sept.18,i 995 Me;nt�;;Pennsyh;aniu/�,socia5on of Notaries 5 I � ` I �I I .i