HomeMy WebLinkAbout08-03-15 . � 1505611101
REV-1500 "`°�`° '++�
OFFIQPL USE ONLY
PA�epartmento(Revenue Pennrylvania CountyCoae Vvar FileNumber
eureauofmd;vitlualTaxes � ��� - ��INHERITANCE TAX RETURN a I � � � 0 � 7 �
po eox�ao6o� RESIDENT DECEDENT
Harrisburg,PAi��z8-o6m __ --
ENTER DECEDENT INFORMATION BELOW
Social Securiry Nomber De�e o�Dea�M1 MM11�DvvYY �ate of Blrih MA{ppYWP
Osoa3�oiq � � ia � 9y �
Dece.denfs Las�Name
Sufllx Decetlenfs Flrst Nama MI
Pro � � ll 5udi + h �
(Ii Applicable)Enter Surviving Spouse's Informa[ion Below MI
Spouse s Las�Name Suffx Spouse's Fl5t Name
P � ouell NQ � f9 !�
Spouse's Sociai Securiry Number THIS RETURN MUST BE FILED IN DUPLICATE WITH TME
� "J 9 3 C �`$ 3 S REGISTER OF WILLS
FlLL IN APPROPRIATE OVALS BELOW
� t Original ReWm p 2. Supplamenlel ReW rn O 3. RemeintlerReWm(Da2 of Oea�M1
Prior l0 1213-82)
p 4. Limltetl Esla�e O 4a-FUWrc Inleresl Gompmmise(dalu of O 5. Federel Esb�c Tax ReWrn ReqNretl
tleat�aflar t2-12�2)
p 8-�ecedenl Dletl Teszle O �� �ecetlent Mainlamed a Living Tmst _ 8-Total Number of Sata Deposit Boxes
(AVecM1 Copy of WAp (Anzcb Copy of TrusL)
A
O 9_Ll�iga�ion Pmceetls Received O 10. Spousal Povarty Gredlt(Oale of Defl�h O ��� q,�cM1°SmOtlule O�r Sec�13�A� �
Between 11-31-91 antl 1-1-95) I �—�r�
CORRESPONDENT- TNISSECTIONMUSTBECOMPLEiE�.ALLCORRESPON�ENCEAN�C�NFIOENTIALTA%WFORMATIONSHOIyO �IRECTE�D'. ;� �
Name �aytimeTelepho��b� � --i n
114 � ry �. Prowei � 7l7 7 ,� � rr2W4 �' `�
' � � n
I PF I �FH�FY+ILy5lI3E0� �
- O
� 1� � T
N
First Line of Atltlress � I � �.� I�N �
� I 1 � CheStn u +- Sf , I �' '�,
Secontl Line of Atltlress �,
onrE Fi�Eo �
Gi�y or Post ORce
s�aie zivcoae L__'_—_— .—___.
Sh �' rema �tsFown p44 � ? � � �
co..asao�ae�r�e.mauaad.a��: r�gPro✓eiI �'�ain�U�f ad _---_
unae�pe�nnias m ve��ry.i ae=ie�e ma�i na�e e am��eo in¢rew�.mcma��y aocompeny��g scned�ies a�a s�a�emems,e�a m ina ees�o+my x�o�neaqe ano earer,
u���,e,cemeo�a�a oompie�e.oeciaranon or p�epare�omer mdn me Perso�ai reprasemnwa�s oasea on au���m�menon orwmm�p�epe�e�nas a�y knowieege
51�"�T1lRE OF P ESPON519LE Fp R FlLING RETURN
— — onre C
%Y/1 n n i r2�X _ ---' --2-3'L—���--
nooaess P� np��
�� F. CheS+n�� S-4� Sh7e.�e�sfow� _ ------
SIGNATOftE OF PREPARER OTHEft THHN REPRESENTH�NE
oA1E
ADDFESS
— PLEASE USE ORIGINAI FORM ONLY
Side 1 �
L 15056111�1 1505611101 J
J 1505611201
ftEV-1500 EX
DecetlenCs Social Security Number
oeceoenrs Name�._ �c��.f 1� _ C �/b✓� _ _ � �
RECAPITULATION - --
1. Real Esta[e(SchedNe A). . . . . .. . ... . .. . . . . . . . . .. . . . . ... . . . . . . . .. . .. . . 1. O . � V
2. S�ocks antl Bontls(Schetlule BJ . . .. . ... . .. . . . . ... . .. . . . . . .. . .. . . . . .. . . 2 Q �� y
3. Closely Heltl Corporation, Parinership or Sole-Proprierorshlp(Schetlule C) . . . . . 3. (J�(� Q
4. Mortgages antl Noles Receivable(Schetlule D) .. . .. . . . . . .. . .. . .. . .. . . . . . . 4. C1� O �
5. Wsh. Bank Deposits and Miscellaneous Personal Pmpetly(Scbedule E). . .. . .. 5. l g � v , � (3
6. Jointly Ownetl Property(Schetlule F) (-] Separa�e Billing Requestetl . . .. . .. 6. �. Q O
�. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Pmperty
(Schetlule G) :� Separale Billing Requested. . . . . . . ]. L� 9 Q 3 Q g I
8. To[al Gross Assets(lo�al L es 1 throuqh]) . . .. . . . . . .. . . . . . 8. � I � 7� Q . � �
._.__.__'_' ____. _.._
_..___ -__ -_.._ _._
-__--__"-____ . _____-___
9. Funeral Expenses and Atlm n sba�ive Cos[s(Schetlule H�. . . . . . . . .. . . g, � 6 � 3 ( . 9 p
10. Debts of Decetlent Motlgaqe Liabillties and liens(Schedule I). . . . .. . .. . . . . . . ip. U� Q (�'
n raai oea��ro�s cm�ai u�e�e a�a �o� _ _. _ _ _ _ _ . _ n � 6 I 3 1 . 9 0
12 Ne[Value of Eslate(Line 8 minus Llne 11� . . . . . .. . . . . . . . .. . . . . .. . .. . 12 3O � q g • q �
13. Charttable antl GovemmeNal Bequests/Sac 9113 Tmats for whlch
an election�o tax M1as not been made(Schedule J) . . . . . . . . . . . . .. . . . . . . . .. . 13,
14. Net Value Subject ro Tax(Line 12 minus Line 13) . . . . .. . . .. . . . . .. . . . . . . . . 14. j � y a C� , q I
TAX CALCOLATION-SEE INSTRIICTIONS FOR APPLICABLE RATES � --
15. Amount of Line 14�axable
at Ihe svousal izx ra[e,or
trans(ers untler Sec.9116
�aJnz�x .o__ 5 _ N �j 8 . 9 � ,s. U . 0 0
16. Amounl of Gne�4�axable
a�linealra�e X D_ � 1e
1]. Amounlo(Llnei4texable �
atsiblingreteX.12 � ��
18. Amowt of Line�4laxable �
atcollateral�ate X.15 , 18
19. TAX DOE . . . . .. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . .. . 19. U . O d
20. FILL IN THE OVAL IF VOU ARE REpUESTING A REFUND OF AN OVERPAYMENT 0
Side 2
L 1505611201 1505611201 J
REV45�C�X Page 3 Flle Numbe/�/, /N_ O�/��
O`V
Clecedent's Complete Address:
DECEDENTSNAME ���,�� C P�O��I� _ _ -
STREETADDRE55 �11 �` ���. (nUl /�1i _ .. - - ._
T 1' J I
_ - - � � � STATE �� ZiP /.�'/
OITv /'
J �i fe�')an${�/1
Tax Payments and Credits: li � 00
1. Tax Due(Page 2,Line 19)
2. Cretli�yPayments
A.Prior Paymenls _ �/�d� -
B.Dlscount — Q.� — 7o�al Credlis(A+B) (2) �� ��
3. Interes� (3) Q 0�
4. If Cme 21s greater than One 1 �Line 3,enter the dlfference. This Is�he OVERPAYMENL 4) ��v
Fill in oval on Page 4,Line 10 m request a retund.
5. If Line 1 *Line 3 is greater Ihan Line 2,enter Ihe diRerence.This is the TAX DUE.
(5) � � �
Make check payable to: REGISTER OF WILLS, AGENT.
��PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
ves Na
1. Dld decedent meke a iransfer and- � �
. retainiheuseorincomeofthepmpetlytranslerred ..._._. ._._.. ��� ❑ �
b. retain ihe right lo designate who shall use Ihe property Iransferred or A5 income -� � �
c. retainareversionarym�erest _._... .-�����-� — '-' -_ � �
d. receive the promise for 6fe of enher paymenis,benefds or care� ...- -- '
2. If death occurre�tl efte�Dec.12,1982,did decedeni iransfer propedy within one yeer of death � �
wi�houtreceivin ade uale consideration4 �-���-�� -���--� - �-�-
3. Did deceden�own an"in�mst foP or payable-upon-death bank account or secunry at his ar her deatM ___ ❑ �
4 co�n a�i�a�be�e ciary desgnatl��iremenl accoun�,annuiry orothernon probate properly which � �
IF THE ANSWER TO ANY OF THE ABOVE DUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or aker July 1, 1994,and before Jan. i. 1995,Ihe tax rate imposed on Ihe net value o�Iransiers to or for the use oi the surviving spouse
Is 3 percem[/2 P.S.§9116(a)111)(i)].
Por dates oi tlea�h on or afler Jan. 1, 1995, the tax rate impased on the ne� value of�ransiers to or for the use of �he surviving spouse is 0 percent
p2 P.5-§911fi(a)(1])G'�)J.The staWte does not exempt a Vansier to a surviving spouse from�ax,antl ihe s�alu�ory requtrements for disclosure of assets and
filing a tax return are s�ill applicable even if Ihe surviving spouse is�he only bene�iciary.
For dales of death on or after July 1,2000�.
. The tax ra�e imposed on the net value of hans�ers from a deceased child 21 years oi age or younger at death�o or for the use oi a natural paren�, an
adoptive parent or a stepparent oi the chlld Is 0 percen��72 P.S.§9116(a�(12)�-
. The tax rate imposed an the net value of transfers to or for the use o(the tlacedenCs Ilneal beneficiaries is4.5 percent excepl as noted'm[72 P.S§9116(a)(1)].
� undar�S cton 9102.as an�odiv dua�l who has at�least ne�perenl I commo�n wl�t�Ihe�decedent whe per by blood or dopt o�n� 3���A si611ng Is deMed,
REV-$08 E%i(11d0) �
� pennsylvania
SCNEDULE E
� �� o,�qp,,,,,,, Fa.�E�+�r CASH, BANK DEPOSITS & MISL.
r�ne�rarvcev,x aE-uaN pER50NAl PROPERTY
aesmerv-o�oervr
F[LE NUMBER:
ESTpTE OF:
J����� C. P(o,✓ell aoiN-Ov67�
lnclude[he pmceetls of li[igatlon ane[he dale[he pmceeds were recerved by[�e estate.
All pmper[y jointly owneE with right oF survivorship must be disclased on ScheOule E
VAWE AT DNTE
ITEM DESCRIPTION OF DEATH
NU^IBER � � �OO
( ('��sc Jewelry
TOTAL(Also enter on Line 5, Recapitulation) ; 1� Od�
If more space is nee0eq use additional sheets of paper of che same size,
REV-15IDEx� (08-09)
� pennsyLvania SCHEDULE G
oE AA=Mr�*oFAF�F��,F INTER-VIVOS TRANSFERS AND �
�N�Ea�Av�E*�RE��a� MISC. NON-PROBATE PROPERTY
uEs�oervr oeceoervr
FILE NUMBER
ESTATE OF
J�d;� h G Pro,��il aay-oo��a
This schedule must be campletetl an0 filetl iRhe answer ro any of questlons 1 Nrough 4 on page fhree of Ne REVd5�0 Is yes.
�ESCRIPTION OF PROPERTY DATE OF DEATN %OF�ECD'S E%CWSIOIJ TAXABLE
ITEM wc_oz*xa:o�ecF-ne'aa�sre'+�.r�zaem�onsniv*ooK�oo�arvo VALUEOFASSET IMEREST wvurne�i VAWE
NUMBEA •neoa.tvr.urvs-ex a^r.n.mwcrni=�e�co;aeanrnrc.
i. R�f�',ene�1C'er�i{'���v+e o�F QeP°'sitL2e2 5�2�19 I���' dv983a.81
N«�t �. Pia..el� ll�s6�2 �N9�Sic�br
IrOnsQe(eLo� /2�$ �IS
I
TOTAL (AISo enter on Line 7, RecapitUlatlOn) ; y 7� g�����
If more s0aw Is neeGetl, use aGdihonal sheels of paper of Ihe same size.
REv-is�i ex+ po-o9�
�� pennsylvania SCHEDULE H
�EoaA.ME�.oFAE�E��E FUNERAL EXPENSES AND
�N�Ea„ANCE.axaE*�a� � pDMINISTRATIVE COSTS
aesioen*oeceoENr
ESTATE OF
FILE NUMBER
J��;�� C. fOwdl� �OiN—OOG7�
�ecedenPs debts must be re0orted on Schedule I.
NUM ER DESCRIPtION AMOUNT
a FUNena� exveNses: ��,�I Fonera ( 11Ome I�c $ 1�� 639.90
RoIL'y G�ea� Ceme ���l � �� doo
(�ra✓e (✓L--Ncr ffi 3�d9d,ov
B. ADMINISTRATNE CO5T5:
1, Gersonal Represe�[ative Commissions:
Name(s)o`Personal Representebve(s)_ _ � —
5[fEPfAtlGfP55 — — �—� -- �-
❑Iy — _ __. _$[d[P_. ZIP _
Vear(s)Commission PaiG'. _ __ — .—.. � —
2. Attorney Fees:
3. Family ExemO�ion�. pf CecedenPs aadress��s no[the same as claimanPs,a[[ach explana[ion.)
Claimant — ._. -- —
Street Aadress . _ . . .—. - --
Clry ._ . _ _ . . Sta[e. ZIP _
Relaflonshlp ofClaiman[to�eceden[ _ — —
4. Pmbate Fees'.
5. Acwuntant Fees:
6. Tax ReNrn Preparer Fees:
].
TO7AL(Also enter on Line 9, RecaDltulation) � I �p �3��7�
If more space is neeGeE, use aGtli[ional shee[s of paper of[he same size.
aev-is�3 ex+(oi-io)
� � ; pennsylvania SCHEDULE 7
���� oecnxmexrovnevexue BENEFICIARIES
INHERRRNCE iA%PkIUPN
R6IOEM OECEOEM
FILE NUMBER:
ESTRTE OF: n
Je,1�Fh ��, f%'�CI� ,�aiy-C�'c�7c
RElATI0N5H1P TO DKEDEM AMOUM OR SHARE
NUN9ER NAME AN�AD�RESS OF PE0.50N(5)RKEIVING VROPERTY Do Nat lis[irvs[ee(s) OF ES7ATE
I TAXA%E DISiRIBMONS[LMu�`u[ngbt(�spou zi jistnbulions and t2nsfers mMer
Spo�se ��`�'
� Hqrr.� � Q�o��zil
a�� E, Gh�s+��r Sa:
SH��B,�rrqns�Yown� �<{- 170�1
EHIER�OLLAR AMOUMS FOR DISIWBMONS SH�WN ABOVE ON LINES 15 THROUGN l8 OF REV-15M1 COVER SHEE[0.S APPROPRIATE.
� NON-TA%ABIFDISrW&IT10N5
A. SPOUSAL OISiRI&RIONS IIN�ER SKTION 9113 FOR WHICH AN ELEQION TO TA%IS NOT TANEN:
1.
B. CHA0.RABLE AND GOVERNMEMAL DISiR19UTI0N5:
1.
TOTAL OF PA0.T II- ENiER TOTAL NON-TA%PBIE DISTIUBUTIONS ON LINE 13 OF REV-1500 COVER SHEES ; � Ca
If more space is neeEed,use aC7itional s�ee6 af paper o(Ne ume size.
PMA acmun[3791806292 � May i,2014-May 31,2014� Page 2 of 6
� ea '
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#I
Overview of your PMA account
AsseLs
Poan! Babrrcelost Bolancethis inazose� Perten!
Accwm ir.�..��r��e..� olroml manmlSl monmf5) eeazase�si an��ge
PMA�PfITlUPCMII19RCC011�1113191fM1931 � 1.(AlHB 1.602.89 001 OOf/V
WeIlsFargo•HighYklCSavi�gsoousvon� 89b ),41915 �A19J6 0.9 �Olti�
CPrlifca[eo(Oepositlm�oms�nr931 3696 / 33956.1)_ 33.536Q 1025 0.11°0
RecirementCentlicaceofOeposk��issr�mwueuae X% l �9830�-� 4963081 000 00040
ToblasM 59;309.11 593,3]9.86 5)0.)] O.OB%
ToNusetallocNanlbyxcouMtypel TeWassatJlxallonlbyA�tiramen<andNen-periremen�l
cn�.,�,�:a2wm�.r
�>ew ^: i�m .
xo x..�n��„�� �\�� ' ,
� �F� � A R�
�m w u r noaa,n.�
e..,m�.oioero+�r.
�
Interest, dividends and other income
The inlormolion hebwshouldnotbe uuElaraxplannirrgpu.pemes.
q���� TM1ismwrlh ihltymi
VMR•%ime O�ecl6�g Kcdml 13�9�emzszl 001 0.06
WeIlsFaigo•HighYINESaW�gs 13�siion� 0.51 19]
Ctttlfca[eo(Depozl[ Ixo�om5xnrsxl ]015 390.83
PelirementfxrtYfcateo�Deposi� Rn�mosi3miml 0.00 36]36 �
Toblinter�ctdlMd�nd�mdotlwre�ceme S)0.�) S)05.6)
Impordnt A<count In(ormation
The"Overview of your PMA AccounP zection of your s W tement is provided for mformationai and convenience
purposes.The Overview shows activity and informa�ion 6om(1)deposit,credil,trus[and foreiqn eachange acmun[s
with Wells Fargo Bank,N.A.,and(2)bmkerage acmunts with Wells Fargo Advisors,LLC,or Wells Fargo Advimrs
Financial Network,LLC(members SIPQ;broketaqe acmunts are carried and deared through First Clearing,LLq(3)
Wells Fargo Funds Management,LLC provides invez[ment adviwry and administrative services for Wells Fargo
Advan[age Funds;o[her afFilia[es provide suhadvisory and o[her services for the Funds;and(4)insurance products
offeredthroughnon-bankinsuranceagencyaffiliatesofWellsFargo&Companyandunderwrittenbyuna(filiated �
insurance mmpanies.
Considering buying your firstor�wrt home7
Whether you iejust in Me planning sWge or you've already started lookinq for a home,give us a call at
1-866-582-1253 and we'll help guide you throuqh the process.
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�
� Mm�berslrtFcdcnlCmd¢Union 7N012014 12/312014 1of3 XX%A%%X777
5000 Lauix Dnve
P O.Bax 40
Mmhenicsbwg PA 1"I055-WEO
(800/2394286
MFMR�C1°• (�10169A5313(HwnnglmpeimC)
�.����� �v�v�v.mcmbcrslslorg
HARRV O VROWELI
2ll E CHESTNU� ST
SHIBEMANSTOWN PA 17011
•
Vour curtent Member Loyatty Rewards level is Platinum. Your aggregate balance as of December 1st is$69,138.01.
M aggrega[e balance of$75,000 and having 3 producis will rtrove you to the Titanium level.
o.00
CHECKING 54,768.69
SAVINGS
CERTIFICATES 65,282.fi5
0 00
LOANS
1111
BEGINNING BAUNCE: 53,926.16
Eff. Post pePoyrtq yy{ry�tlnwals Balance
Oam Date Descriptlon
10/31 id31 DepositDivitle�0.100% 0.33 3.926.49
Mnual Percentage Vield Eamed 0.100%from 70/01/14 ihmugh
70/31l14
11/30 71/30 Deposh�i�ridentl0.100% 0.32 3,92fi-81
Annual Percenfage Yeltl Eamed 0.100%M1om 71/01/14 Mrough
11/30/14
t2/31 12/37 Deposit Dividend 0.100% 0.33 3.927.14
Mnual PerceMage Vield Eamed 0.100%from 17J01/14 Nrough
72l31/14
ENDING BAUNCE: 53,92].14
Total Deposils ���
�� 1
BEGINNINGBAWNGE: 50.00
ER. Pos1 � �
. 12/OB 7�/(IB DepasitbyCheckTranslarhomanMherinstiMion 50,834.86 SO,b34.86
72/37 12/31 Deposi�Di�riOen ie e - -----�--�—���.55�
Mnual Percenfa9e Yield Eamed 0200%(rom OB/01/12 Mrou9h
t2/31/14
ENDING BALANCE: 550,84'1.55
TotalDeposils 50,841.55
1�
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9, 2l(D7Tk C. PRO�f�, OT Sk7Rf1l1RRST05iRl, C(llqB£.4L�iRD CO/l/lT�., PFJtAS+JIURR�R,
be.inq. o� �aund ond di,epaa{ng m.ind� memo-vy rznd un.de.tatanding� do make�
Pulilw�h and decla.te th(,i xo 4e my. lw�t wi.la and te.�damen.t� hertG� nevok,ing
an.d makinq vaid any, and aLL mi.LCe /ry. aee a,t any, time h>li.n.to{n2e made.
?TfJl1 �. 9 d.ixect .tha,t aA.L my. �un.t deL�ti, Lwi.e.xa.L er,nvnneo artd
.inh�ti.tance .trzxee Le pa.id 4y. my. Erui,to2, hete.irza.�tu iemned, ¢e noon
a/-te2 "ui dea,th an may. Ge �nnvvn.irn.t and ptopv.t.,
7TfJ� 77. R.(,C Uee 2ent� u.�.idue and unn,in.den, o� my, e.�.tn,te� ,tea,C�
peit�ort¢C a.t ati.�ced, aL wh:i,teyeJt nn,Gy,e vtd whz2Pnoeuu .the oome m¢y. Gt
ei.tu.a,te� � ¢i.ve dzu,ine and 4a_queotJt un.to my. hu.oLan.d� HanA.y. D. PtarueLl„
p2oufd.inq. he ohaA.L eu2vive my, de.ath. Gy. ai.zty. (60) dny�.
9Tf!!! 779. Shou.Ld my. hu,eband I!¢xa�. �J. ➢2awe(,(,� p,u�,�e me o2 /a,i.L
to au�tof.ve my. de¢th. Gy, aixty. (00) dney .th,en 7 9,i,ve dev.i.ee and Lequw.th.
ea.i.d ta�Jdue and tema.inda.t ot. my estn,Ge .to my. eu2viv.inq �ou� Htian D.
P2oweLL ved lRatfilto�u C3. ➢�eome.U, to be adm.in.l�t¢.ud a.o �o.f.Lowo:�
4. The Mu�e a.t 211 E. Chen.t�utt S#,tee,t ond QNn.i�h�nq,e
an.e to unown. .in �tack !na ao �Larzq ¢o B3,i.an. D. PnameCA. and �IaUheJu S.
NtowoU.� 'u.i.�h .La u�e i,L o� th.�i,t hom¢. �.t �uhich tC�e t/i.vy. no .LongPit w.i.�h.
Lo ,te�.i.de a.t 271 E. CJroo-tntti St.tee,i� the hau.oe in �to Ge eal.d� an.d th¢
mon.e.r/, au.t in,to a .ta.unt �02 the✓e ca¢e. R.t .Uun .Lime tli.e�y m¢y. keeµ vu�.
oC Ihz can.i¢n.t�, .tha.�/_ ao Aznite. 2U. xhe u^-ti4ua-o. {Q^�,LG/. hv.i.tl,00m��
o.te.4,l,inq. e+.Cvet� di.amond�, and yaluel,ty. a.ie .to Le kepG �02 ,the�a ta
diuide a,t a .ldte.t tun¢. 7he *<ma.indu, o.� -th.e can,ten-tn a� Uze houna irsoy.
llten be eo.l.d� and �a.i.d rrzaney. a.(�o pu,t in.to t.t��.t.
B. RU. mane�f th�,t B,tian. D. P2omel.0 and Rla.t.Lhero y.
➢2owe(,C inhui.t� a.LL .i�yweance money. and any, afiheh i.o to Ge p.Lo.ced in a t
Uu�n-t ./�ue2. B2i.an D. ➢rt.omv,LC .in ,in a�fm.in.i�te.t oa.i.d Gt�<a�t ./aur-d. kaw-
evzt at a.L(. Gi.men ha -i.o to wn�u.(,t w4.th h.i� Un.c.Ce Thomaq S. Ca,naA.Lo .�a2
adi.i.ce vtd d-ia.acli.on.
C. The .in�rrta_ fieom Lhe t-o,ueG an.d Gwn� -t.ime .to 1Jma,
auch amo�u+-t.e f/��rt !ha P�+-���ci.naA. o� Gh¢ �tr�.n.t an deem.o nace�a�.ty. !.o tn
4e ueed Za2 #hei.t com{n2t, meLCaice, eupno2t, emu�.ena; naedn and
educo.tiart.
' � -
�. H,r-e:an_ D. P2omeGG i� .to 2esz.i.ve �uR �ox,t �to�n -tJce
A.ul.al un.Li,l, rahi.cJz LLne he. ha� �aP�Pted h-i� educa.tion.
E. The tema<ndo�% o� .th.e �in:u.et 4n .to Geeuned .�02 .the
co^�Laa,t, me-Ll.a2e� eupno-zt, vm.vlr.gos.u�. need� and vdu.ca.t.i.ort aL /2a.tihe,ru
g. Paome.U. 7Ra�t thei. y. P2am¢-LC +.e to 2eceiu¢ auppart.G f�.om ,t1ez ttun.t
un.ti.0 wh.i.cJt t.ime h¢. h.a,a co%P.Lo.Ged hia educn,ti.on.
T. Rt w'+.i.ch Lime l/(a,tihuu P2owe.0 han coaR�ed h.i.�
edu�n.tton a2 h.a� atta.in-ed The aq.e o� .twe�WWp-one y.ea2e� the tema.in.de�
a� the .txuo.t .i�i to be dwy.i.derl enua.l,C��. GeGueen 82i.an. D. P2owe.(.l and
�zGGhe�u �. P,r.o:��U. 7.t th.i� time .th.o on,t�,4�i�, Cam4-LL hP,i�tlnam�,
o.tea.l.ing e�i.Loe�t� diam.ondn. and �ew°-Uui a�te, lo Ge d.i.vided v,(y�ta,l,fsp.
7TFJ,P 77,. Shou.Ld my. hu,cLcved H¢tiy�, D. Pitowel.(. p2ed.ec¢a�e me�
then 7 aP,�oin.t my. ean B2Lan D. P�.oweLL �u,oivd-i.an ovoR h.in btothe2 /l7a.tth.ew
q. ➢2omel.C.
7TE7'l +T. 7 Wlao+n.t my, hunhand ka�F D. ➢2omvLC, .t/te Execu.t.a2 oL
Gh.i,e my, la.�t yi.LL and 7entanees.t. SMu.Cd he p2vdn_ce.o�a me o2 /aw.t. tn
ewwive m;�. death G�� aixty. (60)� day�. Then 7 aPPain.t B+u.an �. P2omeU.
�eu�t.o2 0� .Lh-i� m.y. .Ca�L 'u4.LL and L¢.atamen.t.
1/! :i77(!£SS :FYE�'FAF, 7 �((�97!( C. P.POii£Il, the .tento,t�� have
h-zhwn,to oet mµ h�n.d and aea.l -thi.� .__doy. oL :��.��:� .. �� 198R.
� "� ` � L_<.,�,. �"SfJ{L)
S.iryced, oeaCed. PuLl.i.ahed and dec(axed tiy.`—the ¢Gove named 1ttdE-th
C. ➢a.ome.l.l.> Teo�ta,t.U.r, o.e and (o.c he�t 1a�t wa,l,C and te�.tnment, .in .fh.e.
aiee�ence o{ each o.the�r.� M.ve hueunto euGec.t.i.b¢� oun, namvn a.a mf-tiie'eeo
tlte�tetn.
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"7 i.c��Q Jl1':V--�
CODICIL
I NDITH C. PROWELL,OF SHIREMANSTOWN,CUMBERLAND COUN'1'Y,
PENNSYLVANIA,beiug of so�md and disposiog mind,memory and understanding, do
make,publish and declare[his to be a Codicil to my tast will and tesfament dated 23 day
of Sepcember 1985.
In ihe event tliat my husband I Iarry D. Prowell the Execumr of my last will and
Testament Should predecease me ar fail to survive my death by sixty(60)days. 1'hen I
appoint my sons Brian D.ProweO md Matthew G. Prowell Co-Executois of my las[will
and testament.
IN WI'INESS WHEREOF I NDITH C.PROWELL,THE TESTA HAVE
HEREUNTO SET MY IIAND AND SEAL TFIIS�DAY OF C�'2003.
�� i
� (SAEAL)
Sigued sealed,published and declared by e above Judith C. Prowell, Testatri�c,as a
Codicil to her Iast will and testament, in the presence of each other have hereunto
subscribed our names as wifiesses the'eto.
.(�,�����s���-�
�_F� .�����
COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE
COUNTY OFCUMBERLAND
r
I, LISA M. GRAYSON, ESQ.
Register for the Probate of Wills and Granting
Letters of Administration in and for
C[7MBERLAND County, do hereby certify that on
the 18th day of July, Two Thousand and Fourteen
Letters TESTAMENTARY
in common form were granted by the Register of
said County, on the
estate of JUD/THCPROWELL , late of SH/REMANSTOWNBOROUGH
(Fi�rl.MiJ�/Glnsp
a/k/a JUDY C PROWELL
in said munty, deceased, to HARRYDPROWELL
lLiisC Mi��H.LasU �
and that same has not since been revoked.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the
seal of said office at CARLISLE, PENNSYLVANIA, this 18th day of July
Two Thousand and Fourteen.
File No. 2074- 00670
PA File No. 27- 14- 0670
Date of Death 7/18/2014
S. S. ft 772-32-0968
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Oepury
NOT VALID WITHOUT ORIGZNAL SIGNATURE AND IMPRESSED SEAL
_ �
RECCRD�"D i.F`ICE OF '�=�
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