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HomeMy WebLinkAbout07-07-15 � pennsy�vania 15 0 5 61814 8 DEPARIMENT OF REVENUE EX(03-14) REV-1500 ����CIAL USE ONLY Bureau of Individual Taxes County Code Year File Number ao sox Zsoso, INHERITANCE TAX RETURN ��� f r c/ %� Harrisburg,PA 17128-0601 RESIDENT DECEDENT � ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY 12162014 01301931 DecedenYs Last Name Suffix DecedenYs First Name MI WITMER NANCY (If Applicable)Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE BOXES BELOW Q 1. Original Return Q 2. Supplemental Retum � 3 Remainder Retum(date of death priorto 12-13-82) Q 4. Agriculture Exemption(date of Q 5. Future Interest Compromise(date of C] 6. Federal Estate Tax Return Required death on or after 7-1-2012) death after 12-12-82) Q 7. Decedent Died Testate Q 8. Decedent Maintained a Living Trust � 9. Totai Number of Safe Deposit Boxes (Attach copy of will) (Attach copy of trust.) Q 10. Litigation Proceeds Received Q 11. Non-Probate Transferee Return C] '.2. Deferral/Election of Spousal Trusts (Schedule F and G Assets Only) Q 13. Business Assets Q 14. Spouse is Sole Beneficiary (No trust involved) CORRESPONDENT—THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number ROBERT G. FREY 71,7-243-5838 First Line ofAddress 5 SOUTH HANOVER STREET Second Line ofAddress City or Post Office State ZIP Code o � c� � � m CARIISLE PA 17013 � � � c�i Q CorrespondenYs email address: R F R E Y a�F R E Y T I L E Y .C 0 M � � n � � o REGIS�R�y W1T:LS USE ONL � � REGISTER OF WILLS USE ONLY 14� �`'" � � � � DATE FILED MMDDYYYY r� ���- �� � '� H C3 ,: _- r, r rn r -:, --{ � �, o _ p DATE FILED STAMP PLEASE USE ORIGINAL FORM ONLY Side 1 �������������������������������)���������������������������� � L 1505618148 1505618148 � �� � 1505618155 REV-1500 EX DecedenYs Social Security Number DecedenfSName: NANCY WITMER RECAPITULATION 1. Real Estate(Schedule A). . . . . . . . . . .. . . .. . .. . . . . . . . .. . . . .. . . . . . . . . . . . . . 1. 6 5 O O O. �0 2. Stocks and Bonds(Schedule B). . . . . . ...... . . . . . . .. . . . . . . . . . . . . . . . . . . . . 2. 11538. 68 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C). . . . . . . 3. 0.�0 4. Mortgages and Notes Receivable(Schedule D).. . . . . .. . . . . . . . . .. . . ... . . . . . 4. �. �0 5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E).... . . . . 5. �792. 88 6. Jointly Owned Property(Schedule F) 0 Separate Billing Requested... . . .. . 6. �. 0� 7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property (Schedule G) 0 Separate Billing Requested. . ... .. . 7. �. �� 8. Total Gross Assets(total Lines 1 through 7). . . . . . .. . . . . . . . . . . . . .. . . . ... . . 8. 8 4 3 31. 5 6 9. Funeral Expenses and Administrative Costs(Schedule H). ... . . . . . . . . . . . .. .. . g, 2],2(,8. ],9 10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule I). . . . . .. . ... . . . .. 10. 8 2 9 6 3. 3 9 11. Total Deductions(total Lines 9 and 10). . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .11. 1 O 4 2 31. 5 8 12. Net Value of Estate(Line 8 minus Line 11). . . . . . . ... . . ... . . . . .. . . . . . . . . . . 12. -19 9 0 0. �2 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made(Schedule J). . . .. . . . . . . .. . . . . . . .. .. . ..13. �. �0 14. Net Value Subject to Tax(Line 12 minus�ine 13). .. .. . . . . . . .. . .. . .. . . . .. . 14. -],9 9�0.�2 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 O 15. O. 0 0 16.Amount of Line 14 taxable at lineal rate X.0 4 5 �g, 0.0 0 17. Amount of Line 14 taxable at sibling rate X . 12 17. 0.0 0 18. Amount of Line 14 taxable at collateral rate X . 15 �g. O. 0 0 19. TAX DUE. .. . . . . . . . . . . . .. . . .. . . . . . .... . . . . . . .. . . .. . .. . . . . . . . .. ... . . 19. 0. 0 0 20. FILL IN THE BOX IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 0 Under penalties of perjury,I declare I have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.DeGaration of preparer other than the person responsible for filing the return is based on all information of which preparer has an knowled e. A URE F PERSO ON LE FOR FILING RETURN D TE � � � � DRESS 1057 HEARTHSTONE ROAD LANCASTER PA 17603 SIGNAT F PREPA ER T ER T PERS RESPONSIBLE FOR FILING THE RETURN � p�E l S ADDRE S ` 5 SOUTH HANOVER STREET ARLISLE PA 17013 �����������������������������������������)����)������������� Side 2 L 1505618155 1505618155 J REV-1500 EX Page 3 File Number 168-26-2930 Decedent's Complete Address: 21-14-1213 DECEDENT'S NAME NANCY WITMER STREETADDRESS 453 MEADOWS ROAD — CITY STATE ZIP NEWVILLE PA 17241 Tax Payments and Credits: 1. Tax Due(Page 2,Line 19) (1) 0.00 2. Credits/Payments A. Prior Payments B. Discount (See instructions.) Total Credits(A+B) (2) 0.00 3. Interest (3) 4. If Line 2 is greater than Line 1 +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) 0.00 Make check payabte to: REGISTER OF WILLS, AGENT. _. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred............................................................................... ❑ ❑ b. retain the right to designate who shall use the property transferred or its income................................. ❑ ❑ c. retain a reversionary interest.................................................................................................................. ❑ ❑ d. receive the promise for life of either payments,benefits or care?.......................................................... ❑ ❑ 2. If death occurred after Dec. 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration?.................................................................................................. ❑ ❑ 3. Did decedent own an"in trust for"or payable-upon-death bank account or security at his or her death?................................ ❑ ❑ 4. Did decedent own an individual retirement account,annuity or other non-probate propeRy,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 step-parent 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 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. ��*�l III�I7�-�Il 71Y'� ' REV-1502 EX+(02-15) pennsylvania SCHEDULE A DEPARTMENTOFREVENUE REAL ESTATE INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Nancy Witmer 21-14-1213 All real property owned soleiy or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a willing seller,neither being compelled to buy or sell,both having reasonable knowledge of the relevant facts. Reat property that is jointly-owned with right of survivorship must be disclosed on Schedule F. Attach a copy of the settlement sheet if the property has been sold. ITEM Include a copy of the deed showing decedenYs interest if owned as tenant in common. VALUE AT DATE NUMBER OF DEATH DESCRIPTION 1. 453 Meadows Road, See HUD-1 settlement statement attached 65,000.00 TOTAL(Also enter on Line 1, Recapitulation.) $ 65,000.00 If more space is needed,use additional sheets of paper of the same size. ., �.�.�,.�..�..,.., _ REV-1503 EX+(02-15) pennsylvania SCHEDULE B DEPARTMENTOFREVENUE INHERITANCETAXRETURN STOCKS & BONDS RESIDENT DECEDENT ESTATE OF FILE NUMBER Nanc Witmer 21-14-1213 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. US Savings bonds. Itemization attached 11,538.68 TOTAL(Also enter on Line 2, Recapitulation) $ 11,538.68 If more space is needed,insert additional sheets of the same size .>wm.,�l I11•IT....I�.��.�.�.. . R REV-1508EX+(02-15) SCHEDULE E pennsylvania CASH, BANK DEPOSITS, & MISC. DEPARTMENTOFREVENUE pERSONAL PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: Nancy Witmer 21-14-1213 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. Real estate tax proration from HUD-1 settlement statement 1,660.22 2. ACNB Savings account 56.62 3. ACNB checking account 5,498.14 4. ACNB IRA(estate is beneficiary) 577.90 TOTAL(Also enter on Line 5, Recapitulation) $ 7,792 gg If more space is needed, use additional sheets of paper of the same size. REV-1511 EX+(02-15) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Nanc Witmer 21-14-1213 DecedenYs debts must be reported on Schedule l. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Egger Funeral Home 7,269.83 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: 4,200.00 Name(s)of Personal Representative(s) John C. Cooke StreetAddress 1057 Hearthstone Road c�cy Lancaster State PA ziP 17603 Year(s)Commission Paid: 2015 4,200.00 2. Attorney Fees: 3. Famity Exemption:(If decedenYs address is not the same as Gaimant's,attach explanation.) Ciaimant Street Address ��y State Z�P Relationship of Claimant to Decedent q, Probate Fees: 150.50 5, Accountant Fees: g, Tax Retum Preparer Fees: 7. Settlement charges from sale of 453 Meadows Road 5,161.08 8. Advertising in Cumberland Law Journal 75.00 9. Advertising in the Sentinel 211.78 TOTAL(Also enter on Line 9, Recapitulation) $ 21,268.19 If more space is needed,use additional sheets of paper of the same size. ..,..e:.*w nrn._1r_1.f�.. s REV-1512 EX+(02-15) pennsylvania SCHEDULE i DEPARTMENT OF REVENUE INHERITANCETAX RETURN DEBTS OF DECEDENT� RESIDENT DECEDENT MORTGAGE LIABILITIES & LIENS ESTATE OF FILE NUMBER Nancy Witmer 21-14-1213 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. Holy Spirit Hospital 1,605.00 2. Cumberland Goodwill Fire and Rescue 990.67 3. Fox Subacute 13,150.00 4. Pulmonary Critical Care 1,050.00 5. Physicians Mobile x-ray 71.82 6. Pinnacle Health 905.00 7. Select Medical 4,500.00 8. Discover Bank 15,704.89 9. CapitalOne 7,524.75 10. Bank ofAmerica 1,537.96 11. Sears Gold Mastercard 10,973.10 12. Chase Bank USA 23,285.00 13. Bank ofAmerica 1,665.20 TOTAL(Also enter on Line 10, Recapitulation) $ 82,963.39 If more space is needed,insert additional sheets of the same size. � ACNB BANK January 26,2015 Frey&Tiley Attn: Robert G Frey 5 S Hanover St Carlisle PA 17013 RE: Estate of Nancy J Witmer Dear Mr.Frey: The following information is being provided as per your request: Acct.Type Account No. Balance at Accrued Ownership Date D.O.D. Interest to Opened/Joint D.O.D. Statement 9616691 $56.62 $0.00 Individual 10/11/91 Savings ' Account Esteem 142670 $5,498.07 $0.07 Individual 7/5/85 Checking Account Individual 455049800002 $577.72 $0.18 Individual 8/1/03 Retirement Beneficiary-Estate Account Inquiries concerning ACNB Corporation stock information should be directed to the Registrar and Transfer Company at 1-800-368-5948. If you need any additional information,please contact me at(717)339-5122. Sincerely, ' /(�j�. `�.... '� Barbara J W ACNB Bank Deposit Services Representative II acnb.com • P.O. 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CO � O:'O O:O'O O;O`O tp r�y, _,,. . .,._. � � M �,y.�A'��fr i�}'-Ef��f?-Ef� � �,� N:h+ �+:�+ r�:�+ fp O�'0�,� �I'V'V V �t �`V;V;V'i-+'r"r'r [p �1,GJ,W`W��.41,01:01�-Q1 rNt � N'N N GO CO�GO 00 ,...,.:_ .., � , � � t'G �G .A.�;� �'J� .A .A � � O O O O O O O � � OO'OOO'OO p� � o:o'o o`o 0 0 {�p � y� i/} _ . 10 � F� ,� �� ���� � �V � f�1NNNNNNN � �s W F+;1+ F+ N N N`N � Oo V;V,V f+�r�r i-+ � f� � W W W C1,C1;01'G1 � OONNNpp.pppppp .;._. _ _ __ .. � '" i"S �r: OMB R�lo�a�.2K�1-0'M5 aQ'pZ�MT�FhOG , . z* =a� A. Settiement Statement (HUD-1) 04 9eNr o6vf�'� I . �7.LoOn Number 8.Mort6nge Insunt�ce Cme Number , 8.Flk�� I � i� ''�FFiA 2. ❑RHS 3. ��nv.Unlns. � ,i I, � 'I iq �VA 5. I •,Com.Ms. i - � .c Warn nensma� i .y�gmeM a aNd�eMal�msec AmaMs 0�to anO W tlb semanwKine��anb. ��pSe: �'�fi p�a�edd�IMdo��y+f����'�IviMmWa�WO��aislKKd��^ i •m.=. r p.Name and,4ddresa or�er: E.Nan•a ndUress d Seusr. '�[iank of L endisburg I ,p.Name ana Aderess ol6orraMer I John G Cooke,Ex�� C,ety L.LesF��d Neidi E.E�� E�te ot Nanq Jane W�� I P.O.Box 178 �� `I L.enAisburg,PA 17040 � I 457 Mesdows Road � 1057 Nearthstone Road { '�Newvpb,PA 77241 I�,g�ster.PA 17803 , I l I! Neme: 717-582�1186 I.Seftlemerd S)ate: H.SeltkmeM�^� _,� , G.PropenY�tion: `Law Otfice of Chtystal L.Prosser,EsQ•�LLC d53 Nleadows Road, , I NewVille.PA 17241 P�aoe of SellbmeM I � i t_ower Mifflin Tow��D•Gumberla�d County,PA I�Merket Stteet � I Wewpofl,PA 17074 • - ' 400. Gross AmouM Due To 9N�e►_, 85.00U.00 00. Gross Amou�rt DU!From Bot►oWer Bs.000.00 401. CoMreet eales P��e ._� � i i 101. Gonttad cales P� '. 402 Person9l PropertY ...._._.�, � ! 102. Pe�sonal PropeRY � 2.850 00 403- - � �103. Settleme�t cha ta bonvwer(�7400) a04 104 � �qp� ' ;1py. I AdjustmeMs for Kems pafd by seller In advanee 1�.17 Id sellar 111 adVSI1G6 ^--'- Cs 07/08/15 t0 1 1/15 Adju�Lnenia for itartl9{��15 to 12l31/15 129.1� '406- CilyllOWl�tax to � t pg. Cltyftuwn te7(Cs to 407. Goa�ty ta�$ -� 107. County te�ces __ to -�� �' � �Oe. ASses6mer�ts t-o � ���� ;to8. Aasessments '0 409. SchoolTex ----�--- 1pg. SchoolTax ""�-� �q10. GarDa� 110 G wea�ge Fee ; 411. �111, Ib12. �112 65,t29.77 68,o79.t7 I42�. G►o��nt�0 To Seller � �I7Zo. Grass AmourR Due Frwn Borro�� � : IS00. RsaucNorre in AmuuM Due To Satlor � 5'�� re 00. Amourrts PaM By Or�n Bet►alf Of Borrower 6 000.00 501. Excess deP�sit(see Instructions) 3,800, 01. Deposits o�eamoct mw�y 86.�.�p. I�. r��me�t eAergas to seller pine 1400) ;202. PdnciP�a��t oi new loain(s) _ � ' '�9�n(s)teken subjed t° i 03. E�9 ban(s)feken subjad to ejp4, ayoff of first rtwrt9a9e ban ,�p4. i 505. Payoff of s�d mortgege loan �' --, � -'----'-'-� �� l i ,5W- ! �. I�- - 06. ��� �eller 09. AdjustmeMs for items unCeid AdJustments 1or kems unpald by seller to t0 ` 'S10. City/lown ta�ceo t0 2� ��jltown taxes to i 51 t. Cotm�Y iffxe� to 11. County ta�ces � 812, a���� � �2. qssesaments ' l 513. Sc�ool T�c � 1° i � 13. SChoo�Tex �O ---� � �514. --�- _J �14 �---- -i-` � 515. _.__- ' ,2�y. � 516. .------ i 216. � �517- �217. I57 B. 18, i 1519. �. - " , t9. i 8,�•n � pp.ppp.o0 �520. Toml Reduction Amoimt Due S�IIe► i�0. Total Paid Byrtor Bomow� �t�rom Snller Framl�o Bortower 800. Cash At S�m �420) 65.129.17 . Cash At Settlsm�^t 88.07s.17 '601. Grose Amowit d�e to setler(� �520) .�.���: �301. Gros:Amount due Rom bor*owe�(line 120) 90.000.00• 602. Lesa reductions Yn emt.d� � 02. Less amouMs pa�d byffor bortower Qine 220) �( i^F�geller i S21,920.83. .e00. Cash :��To U � �303. 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I� � I� LAST WILL AND TESTAMENT OF t NANCY JANE WITMER ` I, PtANCY JANE WITMER, single woman. of 3626 Derrp Street Fn the i � city ot Harrisburg. Dauphin County, Pennsylvanta, be�g of souad and � disposing mind, memory and understandiag, do hereby make. publish and � declare this as and for mq Last K'ill and Testament hereby revoking and 3 making void any and aA Wills by me at anq time heretnfore made. � 1. I dtrect my hereinafter named Executor to pay all oC my just debta � and funeral expenses as soon atter my death as inay be found convenient to do so. I direct that my funeral servtces ahall be coaducted as determined by my hereinafter named Execator, and that my body shall be lnterred on my burial lot located tn WeatmEnster Cemetery in North M[ddlet�n Townahip, � Cumberland Cou�ty. Pennsylvan[a, with my grave to be located beside the grave of my father. , 2. All the rest, residue and rematnder of my estate, real, peraonal � au�d mixed, nnd whereeoever the same may be situate, I give. deviae and bequeath to Farmers Trust Company and tta successors. 1 West Aigh Street, � Carlisle, Pennsylvania, in Trust, to recelve and to invest the sa:ne, and to (�y� pay the income arising therefrom at least anaually to my hereinafter named \/\l nieCea and nephewa� plus any additional nieces and nephews who may be subsequently born, and upon my youngest niece or nephew attaining twenty- one years of age said Trust shall terminate and the pr£nc[pal thereo[ 5ha11 be divtded per capita among my then living nieces and nephews, the share any deceased ntece or nephew would have received to pa9e to his or her issue per etirpes, and if there be no tasue such share shall be divided per capita amang the shares o[ the remaintng aieces aad nephews. At the preaent time Page 1 of 3 Psges � i have a total of fourteen (14) nieces and nephews v�ho are the chtldren of my brother and three eistera. as follows: My brother Preston Witmer is the lather of the following four (41 children: Steven Witmer, Cynthiu Wttmer. Diane Wttmer, and Daniel P. Witmer. My aister. Niargaret Cooke is the mother of the following fIve (5) children: John Cooke, Robert Cooke. Barbar Cooke, William Cooke, and Pamela Cooke. My sister. Mary Pardoe is the mother oC the following three (91 children: Teresa Pardoe, Kfmberly Pardoe and Jeffrey Pardoe. My sister, Laura Aimes is the mother of the foilovring two (Z) children: Constance Himes and Daniel Himes. • 3, Should any person less than ttventq-one (21)yeara of age be entitled to distribution from my Estate or Trust above provided. I direct the share of such person shall be paid to or held by Farmers Trust Company and its successors. 1 �(�eatHigh Street, Carlisle, Pennsylvania. in trust, to � receive and to tnvest the same, and to pay the income arising therefrom together with so much of the principal thereof as in its opinion ie necesaary ' or desirabie to be expended for the proper maintenance, support and � education of such peraon, to or for ihe benefit of such person, and upon such person attaining twenty-one (21?years of age, ta pay to him or her the ihen remaining principal together with any undistributed iacome. r—{� 4. I hereby nominate, constiivte and appoint my nepHew. John Cooke `_.� as Executor oi thie, my Last VCill and Testament but should he pre-decease � me or tail to qualtfy or for any reason fail to complete the settlement oi my Estate. then in such event I nominnte, constitute and appoint as alternate or successor Executor my nephew, Robert C�oke, and E further direct that neither of them shall bQ required to poet airy bond to secure the faithfu3 performance of his duties in the Commonwealth oF Pennaylvania or in any other jurisdictian. Page 2 of 3 Pages iia i ■i� i �d -- — __ . _ — i— � IN �YITNESS tt'HEREOF� I have here unto set my hand and seal to this � my Last W[Il and ?'eatament�vritten on three puges th€a 7th day of f June , 1979. �������.�� Nancy � e ��itmer .I I ; Signed. sealed. publi�hed, and declared by A*Ari'CY JAATE �YIT1�iER, the � Testatrix a6ove aamed, as atsd for her Last Wi1Z and Testament, [n our � presence, who, in her presence, at her request, and in the presence ot each other, have hereunto subscribed our names as attesting witnesses. I /�.+r�►. �. , �� ��� � ��.-,�L- u PaBc 3 of 3 Pages ; ` r' v �/� ��� r�,��� ��' . � �d