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Home My WebLink About01-0146 Register of Wills of Cumberland County, Pennsylvania PETITION FOR GRANT OF LETTERS Estate of Marie Gabriele No. :2...1 - () /-1'1' also known as Marie P. Gabriele ,Deceased Social Security No. 150-18-8979 Petitloner(s), who islare 18 years of age or older, apply(ies) for: (COMPLETE "A" OR "B" BELOW:) . A. Probate and Grant of Letters and aver that Petitioner is the executor named in the Last Will of the Decedent, dated March 27.1994 and codicil(s) dated N/A State relevant circumstances. 8.g., renunciation, death of executor, etc. Except as follows, Decedent did not marry, was not divorced, and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incompetent: ~ B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.s.: pendente lite; durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained that Decedent left no Will and was survived by the following spouse (if any) and heirs: Name Relationship Residence (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in Cumberland County, Pennsylvania, with his/her last family or principal residence at 9 Alliance Drive. Carlisle, Pennsvlvania 17013 (list street, number and municipality) Decedent, then~ years of age, died January 15, 2001, at Carlisle Hospital (Location) Decedent at death owned property with estimated values as follows: (If domiciled in PAl All personal property ............................................... $ 55,000 (If not domiciled in PAl Personal property in Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ (If not domiciled in PAl Personal property in County. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Value of real estate in Pennsylvania ........................................................... $ Total $ 55.000 Real Estate situated as follows: None Wherefore, Petitioner{s) respectfully request{s) the probate of the last Will presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence Joseph B. Gabriele 824 Briarwood Lane Camp Hill, PA 17011 Form RW-l Page 1 of 2 (Dauphin County - Rev. 9/92) 110- JD<6~ 3 21-01-0146 Oath of Personal Representative Commonwealth of Pennsylvania County of Cumberland The Petitioner above-named swears and affirms that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner and that, as personal representative of the Decedent, Petitioner will well and truly administer the estate according to law. Sworn to and affirmed and subscribed d before me this!5 day of \1.;;b~ 2001. yy)Cu.~ {! jUt-. rl..({. 5U2n.~~ Estate of Marie Gabriele also known as Marie P. Gabriele Social Security No: 150-18-8979 J~'r. (}.-4a~ DECREE OF REGISTER Deceased No. 21-01-0146 Date of Death: January 15. 2001 AND NOW, FEBRUARY 6 , 2001, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters. Testamentary D of Administration are hereby granted to (c.t.s.; d.b.n.c.t.: pendente lite: durante absentia; durante minoritate) Joseoh B. Gabriele in the above estate and that the instrument(s), if any, dated March 27.1994 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters.. ......................... Short Certificates..( 4)........ Renunciation................. . Affidavit ( )................. Extra Pages (3 )............ Codicil........................ .. JCP Fee........................ Inventory & Tax Forms... Other........................... . TOTAL.............. .. arm RW-l Page 2 of 2 (DaUphin County. Rev. 9/92) :250183 _1 $ 115.00 I . '1rJaJu/~ ~,o fl/A.t!Li,YCzbJJ/Q~~+ Register of Wills $ 12.00 $ $ $ 9.00 $ $ 5.00 $ $ Attorney: I.D. No: Address: P. Daniel Altland 25438 3401 North Front Street Harrisburg, PA 17110-0950 717-232-5000 FEBRUARY 6. 2001 $ 141. 00 Telephone: DATE FILED: HI05.805 REV 9/86 This is to certify that the information here given is correctly copied from an original certificate of death dul~ filed with me as Local Registrar. The original certificate will be. forwarded to the State Vital Records Office for permanent filmg. WARNING: It is illegal to duplicate this copy by photostat or photograph. No. Date '5t...... ~. ~eu-~ Local Registrar Fee for this certificate, $2.00 p 6947822 JAN 1 6 2001 05. '''Rev. 2117 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH L q3 v" COUNTY OF DERH (Marie P. Gabriele) llATHPI.ACl! tc..., .... St.'eOl'FCteognCCllJI'I#YI SEX SlATE 'U NU"'Efll SOCIAL SECURITY NUMB€R .. Female .. 150 18 PlACE C'I OEATH ~ aNy ~ - ... onstruct.Ons on 0It'8t .,., HOSAtAL: .__IKI Jan. 15, 2001 =",0 ~(. ~ .. C1.m1berland DECEDENT'S USUAL OCCUPRIOH (~..:::~c::::~~ ".. Homemaker ".. Own H DECEDENT'S MAIUNO ADOAESS (SIr... CiryIbwn. s... ZIIpCod.' 9 Alliance Drive Carlisle, PA 17013 ... FRHEA'S NAME (F'... Middle. lnl) ...John Sesso IHFClAMAHT'SNAME CT_ Ie. Carlisle ~ Carlisle Hospital KIND 0# BUSIHESSItNOUSTAV Wt.S DECEDENT EVEA IN U.S. ARMED FOACES1 _0 NoQg RACE.~ "'''. e.ctr;. Whit.. etc. _I to. White SUAVMNQ SPOUSE If ..... grye tr\IlldlIn .-.nel ""'UTAL STATUS. Married -........- -~ PA Illcl - ...... Cumberland _1 ,...Cil :;..":".'::'.. MOTHER'S NAME (Fir.. Middle. Malden Sur,.,.) .. 11..0....__.. ...... "" ("';or1 ;..1.. _. 'I. INFllAMAHT'SIoWUNO AOllAEse_co,tbon, _. z;p~ METHOll Of' 2001 PUlCE .... ..00..._ I}~stland Memorial Park .... East Hanover, New Jersey :;Eii;WSSOf'FAClUTYHoffman_Roth Funeral Home ---IRI No{\f .ur-e b('t...l I", fo-n...- f-t'cJ "'- DuE IOICA AS A CONSEOUENCE OF), PART.: ou..igniftcanl~CllIfltrttutingIOdud\,buI not """*Ing intM ~~gMwI in PAIn I. ! : WERE....lJ1OPSY FINDfNGS JUULAIM.E PRIOR 10 COMPlET1OH 01 CAuSE Of' DEtln<? DuE 10 lOA AS A CONSEOUENCE OFt. DUE 10 lOA AS A CONSEQUENCE OF), _0 MANNER OF DEATH -- ~ Homieic:M 0 -- 0 Pending Jrwwtig.U1on 0 ....... 0 Could not be detennlMd 0 DATE Of' INJURY 1........00y._1 TIME OF INJURY tNJURY R WORK? DESCRIBE HON INJURY OCCURRED. No~ .... 0 NoD - -. CEllTIPJEIIIICNQl only one} "CEIIT.v1NQ II'HVSICIAN (Ph~ c:~ cauM~ 0N1h ~ at10lhef physcoan has ptCll"lClurCa(l 0Ulh ana CClmpleled IIem 231 T."~of"",knowtedve. ...lIthGCC:urnclldue......chM(.)/NIdm.'"'".. ...ted.......,....,...........,...,. 20. PlACE OF INJURY. AI home, Itrm. SUMt, fectOf't. OffIce blJiIdInQ. Me. 15pecM _. ... . Ooy._' "I'RONOUNCINO ANO CERTIFYING "NSICIAN IPhVSIC.., bOIh O)ronounc:'"9 OUCh.nd certlfyng 1Ocau. 01 ONltIl To ttMI be.tof my knowtMQft. de.U.OCcurNdal1heIllne, d.t., and pt-.:.. and due to thece..-.ce) end m.nner.e.taIH........,."".........,.. "MEOfCAL EXAMINER/CORONER On the be.,. of e.amlnatlon and/or Inv..lIgation.1n my opinion. death occurred It theUme. dl... Ind pllCI, Ind dUllo the cause(.).nd ....nner...t.ted..,....,...,........ ...... ......,.." ,.., ...., .... ....,.,.,." ...,'., ...., ...... ,.,. ....." ....... 311. "". REGISTRAA'SSIGNATUAEANONU~ ~. ". "'.... "J - L.iU.c.a '"' ~b.....cx\; ~ I I~ II (~ o 24. \<., . ~(K) \ '. f' 21-01-0146 LAST WILL AND TESTAMENT OF MARIE GABRIELE I, MARIE GABRIELE, being of sound mind, memory and understanding, do hereby make, publish and declare this to be my Last will and Testament, hereby revoking any and all Wills and Codicils heretofore made by me. ITEM I - I give and bequeath my tangible personal property in substantially equal shares to such of my children, GERALD A. GABRIELE, JOHN R. GABRIELE, JOSEPH B. GABRIELE, and MARIE GABRIELE r:a ...:I r:a H ll:: co .:C C!l r:a H ll:: .:C :E: GENCORELLI, as shall survive me, to be divided among them as they shall agree. Any expenses which may be incurred by my Executor wi th respect to such tangible personal property shall be charged against the principal of my residuary estate and treated as an expense of administering my estate. ITEM II I direct that all of my just debts, general expenses, estate and inheritance taxes be paid by my hereinafter named Executor as soon after my death as may be found convenient. ITEM III - I give and bequeath my IDS Fixed Annuity, Account Number 0000 0930 0294 6687 5004, in equal shares to my chi ldren, GERALD A. GABRIELE, JOSEPH B. GABRIELE, MARIE GABRIELE GENCORELLI, and the issue, per stirpes, of my deceased son, VINCENT A. GABRIELE, who survive me by thirty (30) days. If any of the foregoing predecease me or die on or before thirty (30) days - I - ~ following the date of my death, I give, devise and bequeath his/her share to his/her issue who survive me, per stirpes. ITEM IV - I give, devise and bequeath all the rest, residue and remainder of my estate, whether real or personal, to my children, GERALD A. GABRIELE, JOSEPH B. GABRIELE and MARIE GABRIELE GENCORELLI, who survive me by thirty (30) days, to be shared equally. If any of the foregoing predecease me or die on or before thirty (30) days following the date of my death, I give, devise and bequeath his/her share to his/her issue who survive me, per stirpes. ITEM V - I hereby nominate, consti tute and appoint my son, JOSEPH B. GABRIELE, to be the Executor of this, my Last Will and Testament. ITEM VI - No Executor shall be required to furnish any bond or other security in any jurisdiction, or if a bond be required, shall not be required to furnish any surety thereon. IN WITNESS WHEREOF, I have hereunto set my hand ans seal this .1'7 JfA- day of Pvtah eJL; , 1994. II - ": "'~h ''..A 0 , ./ih ~~ !/~ MARIE GABRIELE - 2 - " The preceding instrument, consisting of this and 2 other typewritten page(s), each identified by the signature of the Testatrix, was on the date thereof signed, published and declared by the said Testatrix, MARIE GABRIELE, to be her Last will and Testament, and, at her request, in her presence, and in the presence of each other, we, believing her to be of sound mind, memory and understanding, have hereunto subscribed our names as witnesses. lkad;~4/~ 1d'4'-<;r/</ of 770f~/H, (J~~ ~4 /7()/ :3 ~J~ of 77DJ!I~Jf- ~ ~ /7tJ/:3 .' ~ COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND We, MARIE GABRIELE, 'm~ ~'-F respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authori ty that the Testatrix signed and executed the instrument as her Last will and Testament and that she has signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as wi tnesses and that to the best of their knowledge, the Testatrix was at that time eighteen (18) years of age or older, of sound mind and under no constraint or undue influence. R oL;o-L ~ and the Testatrix and witnesses - 11Vl4~ ~l2R MARIE GABRIELE 'rLiI~ ' /flAA j" ~..R.A:./ ~,1~ Subscribed, sworn to and acknowledged before me by MARIE GABRIELE, the Testatrix, and ~ -rlL, the .27 day of subscribed and sworn to before and m~ ~t~ )Yl~ , 1994. me by ((~ witnesses, ~O~;y~ff:u DORO NOTARIAL SEAL ~~~,~' HOSTEITER. Notary Public M r IS ,e. Cumberland County 1y CommISSIon Exr;lres O~t. 4. 1996 ......... -- I~ 111111 III II : _, + --~--=-~;:-:-) ~,,:~~e'-::+- ~,~~: ':~ ,;\\ s /) ~~~v X([~~.pos l~.G(l: (.! , ....... I ~\'t: ~ os: '. .L. MR. I.l OAUJ;, ;. .~.; ::- f" 0 0 : I: \ ~..:::). l: "\.~ :,);\ 9.e.M.f.1EP.l ':: "~..:';'" 6-056757"-. .-..--.--.--- 7000 0520 0024 5316 0674 First Class Mail - - l!elN sselO ISJ!:I METTE, EVANS & WOODSIDE A PROFESSIONAL (~ORPORA TlON ATfORNEYSATLAW 3401 NORTH FRONT STREET P.O. BOX 5950 HARRISBURG, PA 17110-0950 /) 1'-- ,/.<: ",/ /. t..../ . / b -... TO: CUMBERLAND COUNTY REGISTER OF WILLS CUMBERLAND COUNTY COURTHOUSE ONE COURTHOUSE SQUARE CARLISLE FA 17013 " .,.~... METTE. EVANS &: WOODSIDE A PROFESSIONAL CORPORATION ATTORNEYS AT LAW HOWELL C. METTE ROBERT MOORE CHARLES B. ZWALLY PETER J. RESSLER LLOYD R. PERSUN CRAIG A. STONE JAMES A. ULSH DANIEL L. SULLIVAN STEVEN D. SNYDER CHRISTOPHER C. CONNER JEFFREY A. ERNICO KATHRYN L. SIMPSON P. DANIEL ALTLAND ANDREW H. DOWLING MICHAEL D. REED PAULA J. LEICHT GARY J. HElM DAVID A. FITZSIMONS GUY P. BENEVENTANO THOMAS F. SMIDA 3401 NORTH FRONT STREET P.O. BOX 5950 HARRISBURG. PA 17110-0950 TELEPHONE (717) 232-5000 FAX (717) 236-1816 JOHN F. Y ANINEK* VICKY ANN TRIMMER TIMOTHY A. HOY KATHLEEN DOYLE Y ANINEK JAMES M. STRONG BRYANS. MEGARY* RANDALL G. HURST* SUSAN D. ANDERSON OF COUNSEL JAMES W. EVANS IRS NO. 23-1985005 "MARYLAND BAR http://www.mette.com April 13, 2001 Cumberland County Register of Wills Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 Re: Estate of Marie P. Gabriele SSN: 150-18-8979 Dear Sir/Madam: Enclosed for filing are duplicates of the Inheritance Tax Return, and a check in the amount of $5,475.91 in payment of the tax due. Please contact the undersigned with any questions. Very truly yours, METTE, EVANS & WOODSIDE {I~<(Jfifi:J P~aniel Altland PDA:ml Enclosures cc: Mr. Joseph Gabriele (w/enc.) j'" :257614 _I r--- I -------- ------ ~- -- ---- ~......._....'" COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT.280601 HARRISBURG. PA 17128-0601 PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT No.AA 478276 REV.1162 EX (11.96) RECEIVED FROM: I ACN ASSESSMENT CONTROL NUMBER AMOUNT ALTLAND P DANIEL ESQ 1 () 1 $5,475.91 POBOX 5950 HARRISBURG. PA 17110-0950 FOLD HERE FOLD HERE ESTATE INFORMATION: FILE NUMBER 21-2001-0146 SSN 150-18-8979 NAME OF DECEDENT (LAST) GABRIELE MAHlE DATE OF PAYMENT l'-t / 1 b /2001 POSTMARK DATE 4/13/2001 (FIRST) (MI) COUNTY CUMBERL{.\!'JD DATE OF DEATH 1,1 15 /2()()! REMARKS P DANIEL ALTLAND 7SQUIRE $ 5, l, 75.91 TOTAL AMOUNT PAID r~c CHECK*' SEAL Sf>62 RECEIVED BY MARY REGISTER - ,1/2i'/"V' " ; ';' . ,,,/<_"lc~~i.c<~:<-/ /,., " " '. ;f!-;,- ;<.(".,,1' ;.,..iZ ,I "'..(- f " REGISTER OF WILLS ------------------_.~---'------------_._------------------- " - . "f -- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Marie P. Gabriele Date of Death: January 15, 2001 Will No. 21-01-0146 Admin. No. 2001-00146 To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on February 5, 2001 Name Address Gerald Gabriele P.O. Box 422, Camden, Maine 04843 Joseph B. Gabriele 824 Briarwood Lane, Camp Hill. PA 17011 Marie Gencorelli 17 Marley Avenue. Cedar Grove. N.T 0700<) Gerald N. Gabriele 1417 Pippin Drive. Manasquan.NJ 08716 Edison, NJ 08817 Date: 5'-{u-O/ . Signature !! (J vrvu~/ {l:ca?a~~ Name P. Daniel Altland Address P.O. Box 5950. 3401 North Front Street Harrisburg, PA 17110-0950 Telephone (71 ~ 232-5000 Capacity: _ Personal Representative ~Counsel for personal representative \, /b-c>2c/.?~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE )~ ~/ BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX P DANIEl ALTLAND METTE ETAL PO BOX 5950 HBG DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY' ACN 05-21-2001 GABRIElE 01-15-2001 21 01-0146 CUMBERLAND 101 ESQ '* REY-1547 EX AFP Cl2-00) MARIE Amount Remitted PA 17110 I'., . MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is4-j-Ex--AFP--fi'2-:ooY-NoYicE--oF-YtiHEifiTAifcE-YAi-1rpPR1risEMENT~--Ai:.rOWANCE-OR----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF GABRIElE MARIE FILE NO. 21 01-0146 ACN 101 DATE 05-21-2001 TAX RETURN WAS: (X) ACCEPTED AS FILED CHANGED I~ an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will re~lect ~igures that include the total o~ ALL returns assessed to date. ASSESSMENT OF TAX: IS. Amount of Line 14 at Spousal rate (IS) 16. Amount of Line 14 taxable at Lineal/Class A rate (16) 17. Amount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) S. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (S) (6) (7) .00 .00 .00 .00 53,478.16 3,228.55 83,829.81 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 12,445.00 .00 (11) (12) (13) (14) NOTE: .00 128,091.52 .00 .00 X 00 = X 045 = X 12 = X 15 = (19)= NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax pay_nt. 140,536.52 1?441i no 128,091. 52 .00 128,091.52 .00 5,764.12 .00 .00 5,764.12 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUHBER INTEREST/PEN PAID (-) 04-13-2001 AA478276 288.21 5,475.91 TOTAL TAX CREDIT 5,764.12 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) PLEASE FILE THIS REPORT WITHIN TWO YEARS OF DATE OF DEATH REGARDLESS OF THE STATUS OF THkESTATE. IF THE ESTATE IS NOT COMPLETED, FILE A 6.12 FORM YEARLY UNTIL COMPLETION. ~ (v I V~~ STATUS REPORT UNDER RULE 6.12 Name of Decedent: Marie Gabriele Date of Death: January 15. 2001 Will No. Admin. No. 2001-00146 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate. 1. Stat~?hether administration of the estate is complete: YesA No_ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: _ 3. If the answer to No.1 is Yes, state the following: 'ya. Did the personal representative file a final account with the Court? Yes _ No 6.. b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the 'pe~sonal representative state an account informally to the parties in interest? Y e~ No_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: i ~-Iq. O~ /~ () auvJl tdtt~ Signature P. Daniel Altland. Esauire Name (Please type or print) 3401 North Front Street Address Harrisburg. PA 17110 717-232-5000 Telephone Capacity: _ Personal Representative -X- Counsel for Personal Representative :313509 _1 '" Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 ~ Date: 12/06/2002 JOSEPH B GABRIELE 824 BRIARWOOD LANE CAMP HILL, PA 17011 RE: Estate of GABRIELE MARIE File Number: 2001-00146 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 1/15/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, MARY C. LEWIS REGISTER OF WILLS cc: .j File Counsel Judge RE'.<-T500EX(&OO) /6 -.:2,0 P-3 REV-1500 * COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 = t!-- INHERITANCE TAX RETURN FILE NUMBER ..2-1--D/ RESIDENT DECEDENT COUNTY COO, "M __L~6 NUMBER I- Z W C W o W C lECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) GABRIELE, MARIE P. lATE OF DEATH (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR) 01-15-2001 10-05-1907 IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST. FIRST, AND MIDDLE INITIAL) SOCIAL SECURITY NUMBER 150 18 8979 '" I I [j] 1, Original Return ~ 0 4. Limited Estate ~ 00 6. Decedent Died Testate (Attach copy ofWiI) o 9. Litigation Proceeds Received o 2. Supplemental Return o 4a. Future Interest Compromise (dale of death alter 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy ofTrusl) o 10. Spousal Poverty Credit {dale 01 dealh between 12-31-91 and '.1-95} THIS RETURN MUST BE FilED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL St.t.;UKII Y NUMl:lt.K o 3. Remainder Return (dale of death priorto 12-13.82) o 5. Federal Estate Tax Return Required o 8. Total Number of Safe Deposit Boxes o 11. Election 10 tax under Sec. 9113(A) (Attach Sch 0) THIS SECTION MUST BE COMPLETED_ ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO::'" NAME P. Daniel Altland, Esquire COMPLETE MAILING ADDRESS SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ I- :J II.. ::E o o ~ 5. Amount of Une 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a){1.2) x.o_ (15) 45 (16) x.o_ x.12 (17) X .15 (18) (19) >- z '" Q Z o .. " W 0: 0: o U FIRM NAME (II Applicable) 3401 North Front Street P.O. Box 5950 Harrisburg, PA 17110-0950 TELEPHONE NUMBER (717) 232-5000 (6) 3,228.55 128,091.52 6. Amount of Line 14 taxable at lineal rate 1. Real Estate (SohedoleA) (1) 2. Stocks and Bonds (Schedule B) (2) 3. Closely Herd Corporation, Partnership or Sole-Proprietorship (3) 4, Mortgages & Notes Receivable (Schedule D) (4) (5) 53,478.16 (8) 14c.;536.52 z o ~ :J l- ii: <( o w a: 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8 Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) o. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11 Total Deductions (total Unes9 & 10) 12 Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an erection to tax has not been made (Schedule J) (9) 12.445.00 7. Amount of Line 14 taxable at sibling rate (7) 83.829.81 \11) (12) (13) 12,445.00 128,091.52 (10) 14 Net Value SUbject to Tax (Line 12 minus Line 13) (14) 128.091.52 8. Amount of Une 14 taxable at collateral rate 9 Tax Due 00 CHECK HERE tF yOU ARE REQUESTING A. REFUND OF AN OVERPAYMENT 5,764.12 5.764.12 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < <:JE EHmW: .Wm: "V'''U''''H' i:i""H:"0:Ji:E',E' "ii:"mEHFiF'"'' ' Decedent's Complete Address: STREET ADDRESS " .,,.- ...~ 1M. el1Y Carlisle PTATE PA I ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C.Discount ?SS 21 3. InteresUPenalty if applicable D.lnterest E. Penalty (1) Total Credits (A + B + C ) (2) 288.21 TotallnteresUPenalty ( D + E ) (3) 4. If Une 2 is greater than Une 1 + Line 3, enter the difference. This is th, OVERPAYMENT. Check box on Page 1 line 20 to request a refund (4) 5,164.12 5. If line 1 + Line 3 is greater than Une 2, enter the difference. This is thf TAX DUE. 5,415.91 A. Enter the interest on the tax due. (5) (SA) B. Enter the total of Line S + SA. This is th. BAlANCE DUE. (58) Make Check Payable Ie REGISTER OF WILLS, AGENT 5,415.91 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X"IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and Ves a. retain the use or income of the property transferred;.... ................................................................ .................... 0 b. retain the nght to designate who shall use the property transferred or its income; ........................................... 0 c. retain a reversionary interest: or....... .................. .................................................. .......... ................................. 0 d. retei\le the promise for life of either payments, benefits or care? ........................................................ ............. 0 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .................................. .................................................. ........................ 0 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ......................................................m.................................. ............................ No 119 119 119 ~ ~ ~ IKl 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FilE IT AS PART OF THE RETURN. Under penalties of pe~ury, I declare that I have examined this retum. including accompanying schedules and statements, and tl the best of my knowledge and bellief, it is true, correct and complete!. Declaration of preparer other Ihanthe personal representative is based on all information of which preparer has any knowledge. DATE - Cf-() I SIGNA~E,6l')PREPP.,R~ OT~!HI\N REPRESENTATIVE -. r AI~{ ~ ~~u.~ ADDRESS _. . . 3401 "lcv4l/:TOy,;'tSt-; PO.(kx -5CJ..30 t-lc..r'trp"L.u-.r' /4 .' ';;"'''':i''':i:'l'\\i;ii:;ilW;i', :ii?i;jiiij!;diiFiij\;li;:G;"i,:,iil:jljiiiiil:iii;:'i\H;1\'i::;;:\\\\ij;:iW;iHi\i,iiiii\i:;!;:\\h!!ij;jiiHi\;,.!iii;:!\i.':X:,\Ui:i;mi\U;;I\:,iiI;ILi;i.~i'iJ;rm \;,:).\W;ji!i!.\t\\,\j;:U\: ....",.'iP"."... '''';;<'iiH:'''';;'''''''' DATE I-f - 9'0/ 17(/() -.O?5o """:1ii:FdW\U!\i\1\.h,t "",/,;,,,,,..,.,, For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to ( r for the use of the surviving spouse is 3% [72 P.S. 99116 (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 SL viving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)J. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and fi~ng 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 twenty-one 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% (72 P.S. 99116(a)(1.21]. The tax rate Imposed on tI1e net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116(1.2) (72 P.S. 99116(a)(I)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [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 Of' adoption. "'.,..""',.,,"'. COMMONWEALTH OF PENNSYLVANIA INHERITANCE lAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER GABRIELE, MARIE P. Include the proceeds of litig. tioo and the dale the proceeds were received by the estate All property jolntly.owned with the right of survivorship must be disclosed on Schedule F. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH American Express Annuity Account Number 93002946687 5004 $53,478.16 TOTAL (Also enter on line 5, Recapitulation) $ 53.478.16 (If more space is needed, insert additional sheets of the same size) '''.'.m.''.''''''* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTL Y.OWNED PROPERTY ESTATE OF FILE NUMBER GABRIELE, KARlE P. If an asset was made joint within one year of the decedent s date of death, it must be reported on Schedule G. SURVIVING JOINT TENANHS) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Joseph B. Gabriele 824 Briarwood Camp Hill, PA Lane 17011 B. c. JOINTLY -OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %Of DATE OF DEATH ITEM FOR JOINT MADE Include mme of financial instltullon and bank account number or similCl' Identifying number. DATE OF DEATH DEGDS VALUE OF NUMBER TENANT J"NT Attach deed Iorjointly.held real estate. VALUE OF ASSET INTEREST DeCEDENT 5 INTEREST 1 A. Befor PNC Bank Account 5140430881 6,457.10 50% 3,228.55 1/16/ 8 TOTAL (Also enteron line 6, Recapitulation) $ 1,'?R ~~ - (If more space is needed, insert additional sheets of the same size) APR-12I9- 21211211 12: 21 P.01/02 ~PNCBAN< Decedent Reporting Firstside Center P7-PFSC-4-f 500 First Avenue Pittsburgh, P A 15219-3128 /SCP April 9, 2001 P. Daniel Altland 3401 North Front Street P.O. Box 5950 Harrisburg, P A 17110-0950 RE: Estate of Marie P. Gabriele, Deceased SSN: 150-18-8979 DOD: 1/15/2001 Dear Mr. Altland: Please find the date of death balances you have requested listed below. CHECKING ACCOUNT #5140430881 Established 1lI16/1988 MARIE P GABRIELE JOSEPH B GABRIELE DOD Balance: $6,457.10 (non-interest bearing) Page I of2 A member of l"h< ~C Financial Strvices Group PNC B(lnk NA. Pitts.btJr'9h Pennsylvania 15265 RPR-09-2001 12:21 P.02/02 Q). PNCBAN< Our office only provides date of death balances for IRA's, CD's, Checking and Savings accounts. We do ~ Financial Transactions or Statement Orders. For Further information please call I-800-4-BANKER or your local PNC Branch and ask to speak with a Financial Services Representative. B~~ Rachelle Sciullo 1-800-762-1775 Page 2 of2 A member of The PHC Finan~ial xrvt<:es Group PNC Bank NA Pittsburgh Pennsylvania lS2{i~ TOTRL P.02 "".,,'''',''.9711". COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER GABRIELE, MARIE P. This schedule must be ( mpleted and filed if the answer Ie any 0 questions 1 through 4 OIl the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF DECDS ITEM INCLUDETHE~M::OFTHEmNSFEREE,TH8RRElATIONSHIPTOOECEDENTANDTHEDATEOFTRANSFER DATE OF DEATH INTEREST EXCLUSION TAXABLE VALUE """000 ATTACHACOPYOFTHEDEEDFORFlEALESTATE. \/AIIIO no Aoon 1. American Express Annuity Account $56,594.17 100% 56,594.1 93004129935 3 004 American Express Annuity Account 27,235.64 100% 27,235.6 93004416793 8 004 TOTAL (Also enter on line 7, Recapituiation) $ 83,829.81 - 7 4 (If more space is needed, insert additional sheets of the same size) Financial Advisors IDS LIFE INSURANCE COMPANY AMERICAN EXPRESS FUNDS AMERICAN EXPRESS CERTIFICATE COMPANY AMERICAN EXPRESS BROKERAGE 70100 AXP Financial Center Minneapolis, MN 55474 January 25, 2001 JAMES S PECKHAM 3314 MARKET STREET SUITE 104 CAMP HILL, PA 17011-4464 Dear JAMES S PECKHAM: Thank you for your recent inqUilY regarding MARIE P GABRJELE's accounts. These are the values of the accounts as of 0111512001. At the end of this lener, you will find a list of beneficiaries shown in our initial review of the deceased's accounts. Account Information Annuities - Post 1985 Account Number 93002946687 5 004 93004129935 3 004 93004416793 8004 Ownership Individual Individual Individual Annuities - Post 1985 Account Number 930029466875 004 930041299353004 930044167938004 Total Value $53478.16 $56594.17 $27235.64 Please note that the values indicated for any Life Insurance product(s) reflect the gross death benefit at date of dc<:!.th, 110t the cash value. Account Disposition Account disposition is based on how an account is owned (the ownership type). The following information will help you understand the process that will be used to senle the accounts. Disposition for Individual ownership The deceased was the aIUluitant on at least one annuity account previously listed. Upon the death of the annuitant, account proceeds typically pass to the beneficiaries named at the time of death. If no beneficiary was designated the proceeds become part of the estate for distribution. DEFERRED ANNUITY NOTICE: The beneficiary(s) has the option of taking the annuity death benefit either as a full distribution or under an annuity payment plan. If the beneficiary(s) wishes to elect an annuity payment plan, we must receive wrinen notice of this election within 60 days of our receipr of due proof of death. Due proof of death is considered to mean our receipt of a certified copy of the death certificate, a completed death claim statement, and any other required claim documents, If there are multiple beneficiaries, the 60 day window for electing an annuity payment plan begins for ALL beneficiaries on the date we receive complete requirements from the first claimant. Insurance and annuities are issued by IDS Life Insurance Company, an American Express company. Financial Advisors Required Documents In order to take appropriate steps to settle the accounts we will need these documents: Certitied Death Certiticate (For accounts: 930029466875004,930041299353004,930044167938004) The death certificate must be an original document that bears certification from the health department or local registrar and includes the cause of death. Death Claim Statement Form (33047) (For accounts: 93002946687 5 004, 93004129935 3 004, 93004416793 8004) To process a death claim on an annuity or life insurance account, we must receive a completed death claim statement form from each beneficiary. A completed death claim statement must contain the following: The deceased's client infoffi13tion and account number, an acceptable mode of settlement, the beneficiary information section completed in full and the form must be witnessed by an American Express Financial Advisor or notarized by a notary public. If any of this information is incomplete, the form will be rehlrned. If a tax withholding e kction is not selected, we will automatically withhold from the distribution 10% of the taxable amount for federal income taxes. Certitied Letters of TestamentarylLetters of Administration (estate) (For accounts: 93002946687 5 004) This document confums who is appointed as the legal representative of the estate. The document must be court certified and dated within 60 days of the date the corporate office receives it (1n Iowa,-Montana, and New York, letters must be dated within 180 days). W-9 Form (For accounts: 93002946687 5 004) Rev. Rul. 84-73 and Reg. Section 301.6109-1 requires that the Taxpayer Identitication Number (TIN) used to identify estates and trusts of decedents be an Employer Identification Number (EIN), rather than the Social Security Number of the deceased, If the legal representative(s) or trustee(s) chooses not to comply with this ruling, or if an EIN has not been assigned, a separate \V -9 must be completed in addition to entering the TIN on the Death Claim Statement/Estate Settlement Form. In order to be compliant with fair claims practices of many states, we will also be corresponding with the beneticiaries listed for any Life and Annuity accounts held by the deceased client. Please contact us if you wish to see a copy of these correspondences. We appreciate the opportunity to be of service to you. Please contact us if you have any questions. Sincerely, A" ~ 11fi}K Kristal ~/j'(J Death Settlements Processing Team 70310 AXP Financial Center Minneapolis, MN 55474 888-723-8476 Enter 15341 Attachment: Beneficiary Information Insurance and annuities are issued by IDS Life Insurance Company, an American Express company Financial Advisors IDS LIFE INSURANCE COMPANY AMERICAN EXPRESS FUNDS AMERICAN EXPRESS CERTIFICATE COMPANY AMERICAN EXPRESS BROKERAGE 70100 AXP Financial Center Minneapolis, MN 55474 Beneficiary Information We have the following beneficiaries on record for the deceased's accounts. Account Number: 930029466875004 Designation: PRIMARY BENEFICIARY ESTATE OF MRS MARIE P GABRIELE 100.00% Account Number: 930041299353004 Designation: JOSEPH B. GABRIELE, SON, GERALD GABRIELE, SON, AND MARIE GARBIELE GENCaRELLI, DAUGHTER, IN EQUAL SHARES Account Number: 930044167938004 Designation: JOSEPH B. GABRIELE, SON, GERALD GABRIELE, SON, AND MARIE GARBlELE GENCORELL I, DAUGHTER, IN EQUAL SHARES Insurance and annuities are issued by IDS life Insurance Company, an American Express company. "",.""",.[,.n",. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATNE COSTS ESTATE OF FILE NUMBER GABRIELE, MARIE P. Debts of decedent must be reported 01 Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Dancy Funeral Home, Caldwell, N.J. $8,490.00 Caldwell Flower Land, Caldwell, N.J. 212.00 Hoffman Roth Funeral Home, Carlisle, PA 820.00 Victor Chateau, Meal after funeral 1,257.00 Rev. Drew Struss, honorarium 25.00 B. ADMINISTRATIVE COSTS: 1- Personal Representative s Commissions Name of Personal Representative (5) Social Security Number(s) I EIN Number of Personal Representative{s) Street Address City State Zip Year(s} Commission Paid: 2. Attorney Fees to Mette, Evans & woodside 1,500.00 3. Family E emption: (If decedents address is nol the same as claimant s, attach explanation) Claimant Street Address City Slate Zip Relationship ot ClaImant 10 Decedent 4. Probate Fees 141. 00 5. Accountant s Fees 6. Tax Return Preparer s Fees 7. TOTAL (Also enter on line 9, Recapitulation) $ 12,445.00 . '- (If more space IS needed, Insert addItional sheets of the same size) "".,"''''.,,<"'''. COMMONWEALTH OF PENNS'(LVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES NUMBER I. ESTATE OF GABRIELE, MARIE P. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. Gerald Gabriele P.O. Box 422 Camden, Maine 04843 Joseph B. Gabriele 824 Briarwood Lane Camp Hill, PA 17011 FILE NUMBER RELATIONSHIP TO DECEDENT 00 Not List Trustee(s) son son daughter grandson granddaughter AMOUNT OR SHARE OF ESTATE 1/4 1/4 1/4 1/8 1/8 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II. NON.TAXABLE DISTRIBUTIONS: A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 2. 3. Marie Gencorelli 17 Marley Avenue Cedar Grove, NJ 07009 4. Gerald N. Gabriele 1417 Pippin Drive Manasquan, NJ 08736 Lynn McGowan 80 Cliff ton Street Edison, NJ 08817 5. 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PARl Il ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ . .- (If more space is needed, Insert additional sheets of the same size) 21-01-0146 LAST WILL AND TESTAMENT OF MARIE GABRIELE I, MARIE being sound and mind, of GABRIELE, memory understanding, do hereby make, publ ish and declare th is to be my Last will and Testament, hereby revoking any and all wills and Codicils heretofore made by me. ITEM I - I give and bequeath my tangible personal property in substantially equal shares to such of my children, GERALD A. GABRIELE, JOHN R. GABRIELE, JOSEPH B~ GABRIELE, and MARIE GABRIELE GENCORELLI, as shall survive me, to be divided among them as they CLl ,.J CLl H et: <Xl <l; t? CLl H et: <l; :;:: shall agree. Any expenses which may be incurred by my Executor with respect to such tangible personal property shall be charged against the principal of my residuary estate and treated as an expense of administering my estate. ITEM II I direct that all of my just debts, general expenses, estate and inheritance taxes be paid by my hereinafter named Executor as soon after my death as may be found convenient. ITEM III - I give and bequeath my IDS Fixed Annuity, Account Number 0000 0930 0294 6687 5004, in equal shares to my children, GERALD A. GABRIELE, JOSEPH B. GABRIELE, MARIE GABRIELE GENCORELLI, and the issue, per stirpes, of my deceased son, VINCENT A. GABRIELE, who survive me by thirty (30) days. If any of the foregoing predecease me or die on or before thirty (30) days - I - following the date of my death, I give, devise and bequeath his/her share to his/her issue who survive me, per stirpes. ITEM IV - I give, devise and bequeath all the rest, residue and remainder of my estate, whether real or personal, to my children, GERALD A. GABRIELE, JOSEPH B. GABRIELE and MARIE GABRIELE GENCORELLI, who survive me by thirty (30) days, to be shared equally. If any of the foregoing predecease me or die on or before thirty (3D) days following the date of my death, I give, devise and bequeath his/her share to his/her issue who survive me, per stirpes. ITEM V - I hereby nominate, constitute and appoint my son, JOSEPH B. GABRIELE, to be the Executor of this, my Last Wi 11 and Testament. ITEM VI - No Executor shall be required to furnish any bond or other security in any jurisdiction, or if a bond be required, shall not be required to furnish any surety thereon. IN WITNESS WHEREOF, I have hereunto set my hand ans seal this 2'7 T1A- day of /'VICL"r 1.-0 ,1994. ~ - 40/ ,"" \ c ..../'" .--t..l)..!I/ MARIE GABRIELE " ,/ r,~ - - 2 - The preceding instrument, consisting of this and 2 other typewritten page(s), each identified by the signature of the Testatrix, was on the date thereof signed, publ ished and declared by the said Testatrix, MARIE GABRIELE, to be her Last Will and Testament, and, at her request, in her presence, and in the presence of each other, we, bel ieving her to be of sound mind, memory and understanding, have hereunto subscribed our names as witnesses. lkad:L.-''</. !iLL -;jP/l/ of 770 f ~/J';/-. (J.PrL L r/l /70/ :3 f4;1 J~ of 77bJ!I~Jf- ~ ~ /701') COMMONWEALTH OF PENNSYLVANIA ss: COUNTY OF CUMBERLAND We, MARIE GABRIELE, R~ ~ and m~~~ respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and Testament and that she has signed willingly, and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witnesses and that to the best of their knowledge, the Testatrix was at that time eighteen (18) years of age or older, of sound mind the Testatrix and witnesses and under no constraint or undue influence. 11V<va/1,< p ~At f/" MARIE GABRIELE ,-orAd:I;!, /if IL-il.'Al;<-'- ~.J~ Subscribed, sworn to and acknowledged before me by MARIE GABRIELE, /? o.L~ v witnesses, the Testatrix, and t3~ the ;( 1-rlc. day of subscribed and sworn to before and m~ a~ )YlC1A-~' , 1994. me by )j_?~J >n, )J.m.JJ;(:uG' otary Public DOROTHY NOTft,RIAl SEAL c- M. i.-:OSTf:.TTER. t-10!<'!n,' Public u c;;fJlsle. Cuml)e.-r<lfJCJ ('Otr~' NI\' Comn"'" E ,. ',., , n..Storr Xc!res 00:':. 4, 1C10/j