HomeMy WebLinkAbout08-25-15 � ]:,`, pennsylvania 1505618403
�i pEVARTMENTOFREVENI�X�03-�4�
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REV-1500 OFFICIAL USE ONLY
County Code Year File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX 280601 21 14 0 5 4 7
Harrisburq, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Sociai Security Number Date of Death MMDDYYYY Date of Birth MMDDYYYY
05 29 2014 04 06 1947
DecedenYs Last Name Suffix DecedenYs First Name MI
BERSTLER MARILYN R
(If Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
BERSTLER RICHARD T
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. Agricultural Exemption(date of � 5. Future Interest Compromise(date of � 6. Federal Estate Tax Return Required
death on or after 7-1-2012) death after 12-12-82)
� 7. Decedent Died Testate � 8. Decedent Maintained a Living Trust 9. Total Number of Safe Deposit Boxes
(Attach copy of will) (Attach copy of trust.)
� 10. Litigation Proceeds Received � 11. Non-Probate Transferee Return � 12. Deferral/Election of Spousal Trusts
(Schedule F and G Assets Only)
� 13. Business Assets � 14. Spouse is Sole Beneficiary
(No trust involved)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
ROBERT C SAIDIS ( ?17 ) 243 6222
First Line of Address
26 W HIGH STREET
Second Line of Address
City or Post Office State ZIP Code
�ARLISLE PA 17❑13 �v
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CorrespondenYs email address: rsaidis�ssr-attorneys.com .'_ Q _T � c�
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REGISTE ��F 1l�t�L„LS USE ONLY `j
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REGISTER OF WILLS USE ONLY � � � � � �� �� ��:� �;..)
DATE PILED MMDDYYW � -�
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Side 1
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REV-1500 EX Page 3 File Number 21-14-0547
DecedenYs Complete Address:
DECEDENT'S NAME
Berstler, Marilyn R.
STREET ADDRESS
114 Holly Drive
CITY STATE ZIP
Mechanicsburg PA 17055
Tax Payments and Credits:
1. Tax Due(Page 2, Line 19) (1) 1,405.92
2. Credits/Payments
A. Prior Payments
B. Discount 0.00
Total Credits(A +g) (2) 0.00
3. Interest (3) 21,33
4, 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) 1 427.Z�J
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Make Check Payable to REGISTER OF WILLS, AGENT.
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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:............................................................................... ❑ 0
b. retain the right to designate who shall use the property transferred or its income:.................................. ❑ Ox
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
receiving adequate consideration?.................................................................................................................... ❑ ❑x
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 property which
contains a 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.
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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)j.
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 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.
Rev-1508 EX+(08-12)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
- DEPARTMENT OF REVENUE p E RS O NAL P RO P E RTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Berstler, Marilyn R. 21-14-0547
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property join[ly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Americhoice FCU Certificate of Deposit Account No. 16894-0072-See attached letter from 5,093.05
Americhoice FCU dated August 4, 2015.
2 Americhoice FCU Checking Account No.389-0013-See attached letter from Americhoice 2,631.96
FCU dated August 4, 2015.
3 Americhoice FCU Money Market Account No. 16894-0018-See attached letter from 33,215.32
Americhoice FCU dated August 4, 2015
4 Americhoice FCU Regular Savings Account No. 389-0001 -See attached letter from 3,120.82
Americhoice FCU dated August 4, 2015.
5 Americhoice FCU Savings Share Account No. 389-0002-See attached letter from 1,023.14
Americhoice FCU dated August 4, 2015.
TOTAL(Also enter on Line 5, Recapitulation) 45,084.29
(If more space is needed,additional pages of the same size)
Copyright(c)2012 form software only The Lackner Group, Inc. Form PA-1500 Schedule E(Rev.08-12)
AUf�1 0 2D15
� Ann�riChoiee
.�/
� FEDERAL CR@DI7 UNION
Buildrng Relafionships For Life
August 4, 2015
Saidis, Sullivan &Rogers
26 West High Street
Carlisle,PA 17013
Re: Estate of Marilyn R. Berstler
Mr. Saidis:
Tl�e decedent was primaiy owner on member number 16894; titled Marilyn R. Brestler.See
below for brealcdown of jointly held shares and bene�ciaries. Marilyn was the joint owner on
nreinUer number 389; titled Richard T. Brestler. Joint owner added at opening.
Account16894
Regular Savings (suffix 0001)—opened 2/11/1976; Richard T. added as joint at opening
Money Market(suffix 0018)—opened 4/29/1999
60 Month CD (suffix 0068)—opened 1]122/2004; Richa.rd C. Brestler, Benef ciary
; b0 Month CD (suffix 0069)—opened 4/11/2005; ICimberly A. Bartosic, Beneficiary
48 Month CD (suffix 0072)—opened 7I2/2012
60 Month CD (suffix 0073}—opened 2/20/2013; Kimberly A. Bartosic, Beneficiary
48 Month CD (suffix 0074)—opened 7/8/2013;Richard C. Brestle�•; Beneficiary
Date of death balances are as follows:
Balance Dividends
0401 - $ 41.20 $ 0.00
0018 - $ 33,210.03 $ 5,29 (unposted)
0068 - $ 5,575.90 $ 0.00
00G9 - $ 5,487.42 $ 0.00
0072 - $ 5,093.05 $ 0.00
0073 - $ 10,124.52 $ 0,00
' 0074 - $ 10,054.83 $Q.00
Account 389
Regular Savings {suffix 0001}—opened 1/111972
Savings Share (suffix 0002)—opened 10/4/2002
Checking (suffix 0013)—opened 3/30/1978
Money Market(suffix 0018)—opened 5/2l/2003
Main Office:2175 6umble Bee Hollow Road • Mechanicsburg,PA 17055 • Phone:(717)697-3474 • Fax:{717)697-3713
Website:www.americhoice.org ��
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w1�,,p OppoAuni�y
�i.'�'N�o�a "'��n L E N D E R CRRD]T UNIOVS'
Date of deatl�bala.nces are as follows:
Balance Dividends
OQO1 - $ 3,120.G3 $ 0.19 (unposted}
0002 - $ 1,023.14 $ 0.00
0013 - $ 2,63].96 $ O.pO
oals - $ o.00 $ o.00
Mrs. Berstler did not have a safe deposit box or an IRA account with AmeriChoioe.
All funds from account 16894 were disbuxsed according to Richard T. Berstier's instr-uctions on
3r,ne 4, 2014. This account was closed on that date.
Please feel free to contact me directly with any questions you may have.
Sincerely,
�`���s"v�"."`�. ���
, °�-�-�...
Bonnie R. Grove,
Operations Specialist
Phone (717} 591-1282
Fax (71?} 697-3713
Email b�rove(�a,anierichoice.org
Rev-1509 EX+�01-10)
pennsylvania SCHEDULE F
DEPARTMENTOFREVENUE JOINTLY-OWNED PROPERTY
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Berstler, Marilyn R. 21-14-0547
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 TENANT(S)NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Richard T. Berstler 114 Holly Drive Husband
Mechanicsburg, PA 17055
B.
C.
JOINTLY OWNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD�S VALUE OF
NUMBER FOR JOINT MADE NUMBER OR SIMILAR IDENTIFYING NUMBER.ATTACH DEED FOR VALUE OF ASSE INTEREST DECEDENT'S INTEREST
TENANT JOINT JOINTLY-HELD REAL ESTATE.
1 A 02/11/1976 Americhoice FCU Savings Account No. 41.20 50.000% 20.60
16894-0001 -See attached letter from
Americhoice FCU dated August 4, 2015
2 A 04/22/1970 Real Estate situate at 114 Holly Drive, 212,624.00 50.000% 106,312.00
Mechanicsburg,PA-See attached
assessment. Assessed at$219,200.00 x
common level ratio of.97 gives a fair market
value of$212,624.00
TOTAL(Also enter on Line 6, Recapitulation) 106.332.60
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule F(Rev. 01-10)
Property Mapper
Cumberland County, PA
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Copynght 2011 Esri.All rights reserved.Wed Aug 12 2015 10:27:34 AM.
114 HOLLY DRIVE
PIN:42-28-2421-015
Deedbook:0023P-00541
Lot Descnption:LOT 58-C
Owner:BERSTLER,RICHARD T
Land Use Code: 101
Property Type:R
Acreage:0.36
Square Feet: 1680
Taxable 5[atus:T
Clean&Green Status:
Assessed Land Value$:60900
Assessed euilding Value$: 158300
Assessed Total Value$: 219200
Sale Pnce$:
Sale Ddte:
Year Built: 1970
Municipality: UPPER ALLEN TOWNSHIP
Heigh[in 5[ories: 1
Type of Dwelling:DETACH
Primary Exterior:Aluminum
Basemen[Percen[age: 100
Air Conditioning:NO
To[al Rooms:7
8edrooms:3
Full 8ath:2
Half Ba[h: 1
Rev-1510 EX+(OS-09)
SCHEDULE G
pennsylvania lNTER-VIVOS TRANSFERS AND
DEPARTMENT OFREVENUE
INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Berstler, Marilyn R. 21-14-0547
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH %OF DECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSFERSATTACFiTA COPYEOF T��E DEIED�OR REAL ESTATE. VALUE OF ASSET �NTEREST (IF APPLICABLE) VALUE
1 Americhoice FCU Certificate of Deposit Account No. 5,575.90 100.000% 5,575.90
16894-0068 -Beneficiary is son, Richard C. Berstler.
See attached letter from Americhoice FCU dated
August 4, 2015
2 Americhoice FCU Certificate of Deposit Account No. 5,487.42 100.000% 5,487.42
16894-0069 -Beneficiary is daughter, Kimberly A.
Bartosic. See attached letter from Americhoice FCU
dated August 4, 2015.
3 Americhoice FCU Certificate of Deposit Account No. 10,124.52 100.000% 10,124.52
16894-0073 -Beneficiary is daughter, Kimberly A.
Bartosic. See attached letter from Americhoice FCU
dated August 4, 2015.
4 Americhoice FCU Certificate of Deposit Account No. 10,054.83 100.000% 10,054.83
16894-0074 -Beneficiary is son, Richard C. Berstler.
See attached letter from Americhoice FCU dated
August 4, 2015.
TOTAL(Also enter on Line 7, Recapitulation) 31,242.67
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule G(Rev.08-09)
REV-1511 EX+(OS-13)
pennsylvania SCHEDULE H
DEPARTMENTOFREVENUE FUNERAL EXPENSES AND
INHERITANCE TAX RETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Berstler, Marilyn R. 21-14-0547
DecedenYs debts must be reported on Schedule I.
ITEM
NUMBER
DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 3,377.21
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Street Address
City State Zio
Year(s)Commission Paid
2. Attorney's Fees Saidis, Sullivan & Rogers 1,500.00
3. Family Exemption: (If decedenYs address is not the same as claimanYs,attach explanation)
Claimant
Street Address
City State Zip
Relationshi�of Claimant to Decedent
4. Probate Fees 343.50
5. AccountanYs Fees
6. Tax Return Preparer's Fees
7. Other Administrative Costs
TOTAL(Also enter on line 9, Recapitulation) 5,220.71
Copyright(c)2013 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.08-13)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
_ Berstler, Marilyn R. 21-14-0547
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Exaenses
1 Maipezzi Funeral Home 3,377.21
H-A 3.377.21
Copyright(c)2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev.6-98)
REV-1513 EX+(07-10)
pennsylvania SCHEDULE J
DEPARTMENT OFREVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Berstler, Maril n R. 21-14-0547
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSONfSI RECEIVING PROPERTY DECEDENT
Do Not List Trustee s (WOfdS� ($$$�
I� TAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.9116 a 1.2
Kimberly A. Bartosic Daughter Americhoice
4550 Radiant Way FCU CDs 16894
#105 -0069 and 0073
Melbourne, FL 32901
Richard T. Berstler Husband 100% residue
114 Holly Drive
Mechanicsburg, PA 17055
Richard C. Berstler Son Americhoice
320 S. Fifth Street FCU CDs 16894
Lemoyne, PA 17043 -0068 and 0074
Tota I
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. q.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)
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LAST WILL AND TESTAMENT �
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j MARILYN R. fiERSTLER (
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I, MARILYN R. BERSTLER, of Mechanicsburg, Cumberland �
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County, Pennsylvania, being of sound and disposing mind, memory �
� and understanding, do hereby make, publish and declare this as
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I, and for my Last Will and Testament, hereby revoking all other �
II i�liTi!iS aitC�.� �CiuiC�i� �2i�tQ�^�� ;???�sr h�r i
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� FIRST i
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I direct the a ent of m !
i p Ym y just debts and expenses of my �
�� last illness and funeral from m estate as soon a �
,� � Y fter my death �
� ` � as conveniently may be done. �
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'� Further, I direct that my body be cremated and that my �
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�.�j, ii ashes be disposed of as my personal representative shall deem r
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� ' j' SECOND j
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� �i I give, devise and bequeath all the rest, residue and �
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�� �� remainder of my estate to my beloved husband, RICHARD T. �
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i' BERSTLER, absolutely and in fee simple if he survives me by �
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4! thi rty (3 0) days . ;
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� THIRD i
AIDIS,GUIDO, I� ;
SHUFF& ', In the event that my husband, RICHARD T. BERSTLER, fails to j
MASLAND �
26W.HighStreet � survive me by thirty (30) days, then I give, devise and bequeath i
Cariisle,PA � !
I`� all the rest, residue and remainder of my estate in equal shares �
I
;! unto my children, RICHARD C. BERSTLER and KIMBERLY A. BERSTLER, !
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� FOURTH
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� I direct that any and all inheritance, estate, and transfer �
i IiE taxes imposed upon my estate passing under this Will or
otherwise shall be paid out of the principal of my residuary
I
estate. �
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� FIFTH I
In addition to the powers conferred by law, I authorize any !
� personal representative acting under this instrument, in his/her
Iabs�lut:. discr�tic~: j
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'� '� (a) To retain in the form received, or to sell i
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<� �� either at public or private sale any real or personal !
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^��'� � property; �
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,� i (b) To exercise any options to subscribe for f
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;� ;i stocks, bonds, or other investments . �
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!� (c) To join in any plan of lease, mortgage, f
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��� i' consolidation, exchange, reorganization or foreclosure �
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;�� ;� of any corporation in which my estate or any trust may �
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j�` ;i hold stocks, bonds or other securities; �
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�� (d) To sell, transfer, convey, mortgage, pledge, �
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j lease or exchange any property, real or personal, which '
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i+ at any time may form part of my estate, for the payment (
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�J of debts or taxes, or for any purpose of administration �
�AIDIS, GUIDO, �� i
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SHUFF& iI or distribution, for such prices and upon such terms `
MASLAND + �
I; as my personal representative, in his/her sole discretion, i
26 W.High Street ,�
Carlisle,PA I� `
may deem wise, and to execute and deliver deeds of
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conveyance or transfer thereof; �
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ii (e) To make settlements and compromises on such �
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� i�� terms as my personal representative in his/her sole
( discretion may deem wise without th
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I� obtaining any court approval thereof;
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i (f) To make distribution hereunder either in cash
� or kind, as my personal representative in his/her �
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I�� discretion may deem wise. f
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II S IXTH j
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� I do hereby nominate, constitute and appoint my husband, !
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plcu�Rn T_ RT�RSTL•ER; to act as Executor of this my rast Wi11 and I
(�
� Testament . Provided, however, that if he is unwilling or unable i
� to act as Executor, I direct the duties of Co-executor be �
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�I performed by RICHARD C. BERSTLER and KIMBERLY A. BERSTLER, i
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� SEVENTH
��
�� I direct that no personal representative
, guardian, trustee i
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i� or other fiduciary appointed under this instrument shall be (
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iirequired to give bond for the faithful performance of their �
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;; duties in any jurisdiction. �
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�� IN WITNESS WHEREOF, I, MARILYN R. BERSTLER, have hereunto �
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j� set my hand and seal to this my Last Will and Testament, !
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�� consisting of three typewritten pages, the first two of which I
�; bear my signature in the margin for identification, this ;��; �
il day o f [�% ��°"�,�.�,�� 19 9L=. �
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iAIDIS, GUIDO, ;I �
SHUFF& �� �.<:��.����-, `l��'��it;=.�`�.3i� i
MASLAND �i Ma��lyn R. Berstler i
26 W.High Street � �
Carlisle,PA {� Signed, sealed, published and declared by the above-named �
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�i Testator, MARILYN R. BERSTLER, as and for her Last Will and !
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;; Testament in the presence of us, who have hereunto subscribed i
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our names at her request as witnesses th �
�I ereto, in the presence i
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of said Testatrix and of each other.
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`_��/`��'.'-''� ADDRESS •:>-'%,, � �',s=-�,��f� �
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,I .'��.��c.c�J'`�.�/. ".���7c ��:s.�..�'zz:, ADDRESS �e�,��' j�[:� `r�
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� COMMONWEALTH OF PENNSYLVANIA: �
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il COUNTY OF CUMBERLAND .
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I� WE, MARILYN R. BERSTLER, ROBERT C. S�IDIS , and THEIMA
( s. McCAUSLIN ,� the Testatrix and witnesses, respectively whose !
� names are signed to the foregoing or attached instrument, being ,
�� first duly sworn, do hereby declare to the undersigned authority ;
that the Testatrix signed and executed the instrument as her i
!� Last Will and Testament and that she signed willingly and that (
'' she executed as her free and voluntary act for the purposes �
�� therein expressed, and that each of the witnesses, in the '
fpresence and hearing of the Testatrix signed the Will as witness i
and that to the best of their knowledge the Testatrix was at the �
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�� time 18 or more years of age, of sound mind and under no �
�j constraint or undue influence. �
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I Ma�ilyn9�_R. Berst er �
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�I Ro �rt C. Said�s , Witness �
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�� �"��''77�.%�`.:if�`J7 l_i�:�try{�?z �
��' Thelma SI McCauslin I
, Witness �
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j Subscribed, sworn to and acknowledged before me by MARILyN !
�AIDIS, GUIDO, �� R. BERSTLER, the Testatrix, and subscribed to and sworn o I
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SHUFF& I' �
MASLAND i� affirmed to before me byROBERT C. SAIDIS �
, and THELMA S. McCAUSL,iN j
26 W.High Street , , ;
Cazlisle,PA ;� witnesses, this .����1 day of j��7 , ,�;� �
�� 199�. '
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' NOTAR!AL SEAL 1 � �`� ' �� '
;± JO SM►TH,Notary Pubiic ` �� --'�� �'' !
�� Camp Hill,Cumberland County � N9t ry� Public ;
' My Commission Ex ir r �
,I ► p es May 6,20J0 ; ,
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