HomeMy WebLinkAbout09-04-15 pe��syi�a��a 1505614105
J ���,..�.,.�.� ��a; ,<,���
REV-1500 OFFICIAL USE ONLY
Bureau of Indlvldual Taxes Coun:yCOJe Year FleNumber
ao eox zeoeoi INHERITANCE TAX RETURN �
Harrisbury, PA ll128-o6o1 RESIDENT DECEDENT 1� �5 C'�}���
ENTER DECEDENT INFORMATION BELOW
Social Sewriy Number Date o�Death A1M�OrvY'Y Dale of Birth MMOOPlYY
��. � 04152015 03259124
Decedenfs Last Name � Suf6x Decetlent5 First Name MI
WORK JOHN T
(If Applicable�En[er Surviving Spouse's Iniormation Below
Spouse's Last Name Sulfix Spouse's Firsl Neme MI
THIS RETURN MUST BE fILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS 6ELOW
m 1. Otlginal ReWrn O �-Supplementel ReWrn O 3. Remaintler ReNrn(date of dea�h
prior to 1213 82)
p d.AgricWWre Exemption(tla�e of p 5. FuWre In�erest Compromise(tla�e of � 6. Fetleral Es�ate Tax ReWrn Required
tlea�M1 on or aXer]-02012) 4ea1M1 afler 12-0292)
� ].Decetlent�ied Teslate O B.�ece�enl Main�ained a Living Tmst _ 9. Total Number of Sale Oeposit Boxes
(AVacM1 copy o!will.) (A��ech oopy of(msl.J
� 10_Lifigalion Pmceetls Rocclved O 1t Non-Pro�ate Transferea ReWm O 12. De(ertaVEloclion of Spousal Tms�s
(Schatlule F and G Asse6 only)
O �3 Buslnass Hssets O 14. Spowa Is Sole 9enelidary
(No imsl involvetl)
CORRESPONDENT- TNIS SECTION MlISi BE COMPlETEO.ALL LORRESPONDENCE AND CONFIOENTIAL iA%MF�RMNTION SHOULO 9E�IRECTE�i0:
Name Daytime Telephone Number
John M. Eakin �� (717) 7663172
First Gne o(Address
1 .. . ... ... �.
Semnu Lme olAddress
West Main Street
Ciry or Post OHire State ZIP Code
Mechanicsburg � PA 17055 � � —� �
m
. . . . . . c. � ~ �n �
_ ��
CorrespontlenPsemailaddress: � r^ -- ��
c' v
REGISTER-0i W0.15U5E ONLY . 'i �"1
_L J
� REGISTEROFWILLSVSEONLY
. OATEFILEOMMOOYWY -J �1
... . . � ..- _�
. �. . 1—` .- <"J
. . . �.... __ �
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OATE FILED STAMP �
PLEASE USE ORIGINAL FORM ONLV
Side 4
L II��I�����������I��I�����II���4������II�I�������������� y505614105 � ll
56
J15�5614205
REV�1500 EX(FI)
oecetlenfs Soclal Sewriry Number
oe�ede„�'sName.� JOHN T. WORK
RECAPITULATION
1. Real Estate(Schetlule A). ... ... ... ... .. . .. . .. . .. . . ... . .... . . .. . .. . . . . 1.
2. Srocks antl Bonds(scnedule B) . .. . .. . . . . . .. . .... . .. . .... .. 2. .2,572.50 .
3- Closety Heltl Corporetion, Patlnarshlp or Sole-Proprletorship(SchetlWo C) ..__. 3.
4. Mortqaqes and Notes Receivable(Schedule D). . .. . . . .. . ... .... . . . . . . ... . 6.
5. Cash,Bank Deposits and Miscellaneous Personal P�operty(Schetlule E). . . . ... 5. �� ��� � 1 fib�a�4.08
6. Joinlly Ownetl Pmperty(Schetlule F) O Separa[e Billinq Requested . ... . .. 6.
]. Inler-Viws Transfers 8 Miscellaneous Non-Probate Property �
(Schedule G) O Separa[e eilling Requested.. . ... . . ]. .. . 1.274.56
8. Total Gress Assets(rotal Lines i (hmugh]�. . . . .... . . .. . . .. . . .... . .. . . .. 8. 17�.721. 14
9. FuneralExpensesandAtlministre[iveCosis(SchetivleH). .. . ..... .... . ... .. 9. $�93�.97
10. �ebls o(Decetlenl,Martgagc Liabilities and Gens(Schedule I). . ... . . .. . . .. . . 14 ' . 50.17 .
11. To[al Oetluctions(total lines 9 and 10). . . . .. . .... . ... . .. . . ..... . ... . . .. fl. . $�988.14.,. ..
12. Net Value of Estate(Line 8 minus Line 11) . . .. . ... . . ... . .. . .......... . .. 12 . 1(1�73$.�0..
'13. Charitable and Governmen�al BequesislSec.9113 Tmsts tor which
an election to tax has not been made(Schedule J) ... . . .. . . . . . . .... . ... . . . 13.
16. Ne[Value Subject to Taz(Line 12 minus Line 13) . _ _ . _ . . _ _ __ . ._ _ 1G. 161,733.00
TA%CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amounl of Line 14[axable
at tha spousel�ex ra[e.oe
[rans(ersunderSec.9116 ��� � �� �.. �
(al(12)X.0_ ��.. 15.
16. Amocnt of Line 14 taxable ... . . . . . . . ..... . ... . .......
atiinealrate x.o_ 161�733.00�. 16' . . _ 7�277,99
11. Amount of Line 141axable .. .. .... . �.
atsibiing rate X.12 � 1l.
18. Amount o(Line 14 taxable ��� � � � �
atcollaceral rate X.15 18.
19. TA%DUE ... . . . . . .... ... . ... . .. ... . . . ... . . . .. . ... 14 . .. . 7.277.99
20. FILL IN THE OVAL IF VOU ARE REQUESTING A REFUND OF AN OVERPAYMENT O
Under pana16e5 0!Derlury.I dedare I beve examined tM1is reWm. Induding aavmpanying scM1etlules antl slelemen(s,antl�o iM1e Dast ol my knowletlge entl�elle(
I�is Vue, correa�end oomple�e. Oeclerellon ofpreparerotM1er(M1an�M1a peRon responslble for Ol:ng I�e reWm Is beseU on eIlln�ormaLon o:w�ic0 preparerM1as
any knovAetlge_
SIGN E OF P R ONp��$PgN�SIBLE FOR,5ILING RETURN �ATE
.a�-ai,_,.� (: �fz-L<:a roJh.at <'xc-o:u�.�a � /7- .2a �.s'
nooaess ['�� . � �J
D � r�Pa � f.�R�JL E� � ��e54ct2c 7H, / �
SIGNATURE OF PREPAR pTHER T P RSON RESPONSI6LE FOR FlLING THE R RN �ATE
�.��Y �� q
aooaess �� 1-�/n/��!' .. . �`� f '� �./} <daiS
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L II��I�III"I�IIIII�I��I��'ll{IIII��p�I�I��II��I�I�III�III Side2 y505614205 J
L b1
F[V-0500[X (Rj Page3 Fil¢Numbe/
Decedent's Complete Address:
DECE�ENT'S NAA1E
JOHNT. WORK
srReernooaess � ����� �����
4603CHESTNUTAVENUE
�Cirv . . . ...___. . .... . . SrAre .__�..
CAMP HILL PA �� 17011
Tax Payments and Credits:
L Tex Oue(Page 2 Gne 19) (1) 7,277.99
2 Credi�s/Paymenis
A. Prior Payments _
B.�ismunt
(See Insimc�ions.) ���� ���� To�al Credl�6(A*B) (2)
3. In�erest
(3)
4. If Line 27s grea�er than Cine 1 t Llne 3,enter Ihe dlHerence. Thls Is�he OVERPAYMENT.
Fill in oval on Page 2,Line 20 ta request a rafund (4)
5- If tine 1 +Gne 3 is greatar ihan Cine 2,enter ihe dlflerence.This is�he TAX DUE (6) 7,277.99
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a Uansferand' �es No
a. re�ain�heuseorincameofihepropertytrensferred.......... ................ _._._.. .......... ❑ �
h. retainiherighitodesignatewhoshallusethepropertytransferretloritsincome ._.....__._._..__._............. ❑ �
c. retainareversionarym�eresl _...._.._ .._.._. ,._...... ...._..... ...._... ❑ �
d. receivelhepmmiseforlifeofeitherpaymenis,benefitsorcare� ._......_. .,,_.._ ............ ❑ �
2. If dea�h ocanetl after Dec.12,1982,did dece0en�t2nsfer property within one yearof death
wi�hoNreceivingadequa�econsidera�ion? .......... ........._. ..__. ._...... ❑ �
3. Did tlecedent own an"in trus�far"or payable-upoo-death bank accoun�or security a1 his or her tleath?..._......... ❑ �
4. Did deceden�own an individual relirement accounl,annuiry or other non-proba�e pmperty,which
containsabeneficiarydesgna�ion? ._._._ ._.._. ....... .............. ................ � ❑
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF TNE RETURN.
Por dates of death on or aker July 1,1994,and before Jan. 1, 1995,the lax rate imposed on Ihe net value of Iransfers to or for[he use of ihe surviving spouse
Is 3 percent�72 PS.§9N6(a)(1.1)p)].
For da�es of death on or after Jan. 7, 1995, Ihe �ax rate imposed on Ihe net value of bansfers ro or for the use of ihe surviving spouse is 0 percent
[/2 P.S.§9116(a)(1-1)(ii��.The statute tloes not exempt a transfer to a surviving spouse from tax,and the s�aNtory requirements for tlisclosure of assets and
fling a tax reNrn are s�ill applicable even if Ihe surviving spouse is�he only benefciary.
For dales of death on or afler Juty 1,2000�.
. The tax rate imposed on Ihe net value of Uansfers from a deceased child 21 years of age or younger at death to or for Ihe use of a naNral parent, an
adop�ive parent or a s�ep-paren�of the child is 0 percent[72 P.S. §9116(a)(12)].
. Thetaxra�eimposedonthenetvalueofVansferstoorfortheuseofthedecedenfslinealbeneficiariesi54.5percent,ezceptasnotedin[72P5.§9116�aJ(1��.
• The�ax rete imposetl on the net value of transfers�o or for lhe use of ihe decedenPs siblings is 12 percent[72 PS. §9116(a)(1.3)J.A sibling is defned,
under Section 9102. as an individual who has at leas�one pareN in common with the decedent,whether by blood oi adop�ion.
RN v u5 E%�(Bnx)
� pennsylvania SCNEDULE B
��Paa.ME�,o.NE�E��F
���ER�rA��E�AxaEnAN STOCKS & BONDS
aes�oENr oE�EoeNr
ESTATE OF FILE NUMBER
JOHN T. WORK 2015-00490
All proper[y lo�^��Y owned wifh tight of survivorship must be disclosed on Schedule F.
ITEM VA W E AT DATE
NUMBER �ESCRIPTION OF DEATM
1' 300 Shares- Rlte Aid Corp.@ B]5 2,57250
I
TOTAL(Also enter on Line 2, Recapitulation) ; 2,572.50
If more space is neede�, insert a0tlitional shee[s of the same size
FEV-�SoB EX+(a8-a)
� pennsylvania SCREDULE E
oePaarnervroFr+evcNue CASH� BANK DEPOSITS & MISC.
;��Ea��^��F*^"a�T""" PERSONALPROPERTY '�
aesmervr oecv�wr �
ESTATE OF: FILE NUMBER:
JOHN T. WORK 2015-00490
Inclutle[he proceeds of litlgattor.ana[he tlate[he pmceeds were receNed bV[he estate.
All property Iointly owned wi[h right at survivorship must be disdosed on Schetlule F.
ITEM VAWE AT DATE
rvuniaea oesca�rr�oN o�oenrn
�, Members'isi F.C.U. �Savings Accoun[N4663-00-(See Attachetl) 113,887.19
p Members'ist F,C.U,-Life Savings Account#4663-04-(See Altachetl) 2,000.00
3. Members'isl F.C.U.-Imestment Savings Accounl A4fi63-05�(See Attached) 5,902.39
q, Members' lst F.C.U.-Checking Account q4663�11 � (See Attached) 45,084.50
TOTAL (Also enter on Line 5, Recapitulation) $ 166,874.08
If more space is needed,use adEitional shee[s of paper of!he same siEe.
st
MEMBERS 1"�
1FI]['RSLCRCUIT V\IOF
REGULAR SAVINGS ACCOUNT:
Account Number/Suffix 4fi63-00
Date Account Established 02/03/1959 .
Principal Balance at Date of Death $113,882.82
Accrued Interest lo Date of Death 54.37
Total Principal and Accrued Interest $113,887.19
Name of Joint Owner None
LIFE SAVINGS ACCOUNT:
Accounl NumbedSuffix 4663-04
Date Account Established 02/�3l1959
Principal Balance at Date of Death $2,000.00
Accrued Interest to Date of Death $0.08
Total Principal and Accrued Interest $2,000.08
Name of Joint Owner None
INVESTMENT SAVINGS ACCOUNT:
Account NumbedSuffix 4663-OS
Date Account Established 10/01/1985
Principal Balance at Date of Death 55,902.16
Accrued Interest to Date of Death $023
Total Principal and Accrued Interest $5,90239
Name of Joint Owner None
CHECKING ACCOUNT:
Account NumbedSuffx 4661-11
Date Account Established 02/29/1980
Principal ealance at Date of Death $45,083.18
Accrued Interest to Date of Death $1.32
Total Principal and Accrued Interest $45,084.50
Name of Joint Owner None
MEMBERS 15T FEDERAL CREDIT UNION
Tess�lug��
Lending Insurance Support Specialist
May 4, 2015
Estate of: JOHN T WORK
Date of Death: 0 4/1 512 01 5
Social Security Number: 204-033238
5000 Lonisc Drive • PO.Box 40 • 1lechanicsb�eg, Pennsylvania 1705� • (800) 283-2328 • �evnumembcrslscorg
dEV-I510 EX+ (OB-09j
� pennsylvania SCHEDULE G
o=anarneNrc.r+evervue INTER—VIVOS TRANSFERS AND
�n�F�'*^�«�a*SE,�a�� MISC. NON—PROBATE PROPERTY
aes:oervroeceo_nr
ESTATE OF FILE NUMBER
JOHN T. WORK 2015-00490
Thls sd�edule mus[be completee and fled if!he answer to any of quest'm�s i Nroug�6 on page three of Ge REV-I500 is yes.
OESCRIPTION Oi PROGERTY
REM ;�;aooerxews+eormeraaxsexs,TMnvuu.iansxi>iooEceo�mm� DATEOF�EAiH %OFDECD'SI EXCLUSION TF%ABLF
N�MBER ��Ecnrormrare�. �neartmwormeor�owxr.n��snre. VAWEOFASSET IfVTEREA ' +e�l VALUE
�� MemUers' 15t F.C-LL-Account#156654-00�Owner John Work and 6i27 60% 3264
Joint Owner Honora Ezbiansky-(See A[tached)
Z Members'ist EC.U.-Account#156654-05-Owner John Work and 2q83.e3 50% L24t.92
Ja'm[Owner Honora Ezblansky-(See Attachetl) �
I
�
I
TOTAI(Also enter on Line 7, RecapiNlatian) 5 �,Z74.56
I(more space B needed, use a0dl6ona�sheets ofpaper of�he same slu.
REV'-b116i. fJ!,! 'u�
� pennsylvania SCHEDULE H
oecna�n�mroFaevemue FUNERAL EXPENSES AND
;vnea�rnr�c:exa=_:uarv ADMINISTRATIVECOSTS
a�_smervr oseoENr
ESTATE OF FILE NUMBER
JOHN T. WORK 2015-00490
DecedenPs Oebts must be reportetl on ScheEule 1.
ITEM '
NU?IBER DESCRIPT[ON AMOUNT
A. RINERAL EXPENSES:
` Ncill Funeral Home 206.65
FuncralLuncheon 360.82
e. AD+IINISTRATIVE COSTS
1. �ersonaiAepresentaticecommisslons: 4,000.00
Name�s)af Permnal Representative(s) HOnofa Leedy Ezbi2�5ky ..
4reec address 103 Fairway Drive
p�y _Mechanicsburg ___ _ scaec PA Z�P 17055 �
vear(s)Commisslan aaid- 2015
4,OWA0
2. Atlom�y FfPi:
:. Family ExeRqtlan�. Qf aecedenYs address Is not the sarne as clalman['s,attach�plana6en.)
Clalman[
Street Address
Gry_ ____ Sta[e__. . ZIP.. ... .. . _.___
Relationship of Qaiman[[o De�eden[
4. Pmbate Fees: 37Q50
5. Accounfant Fees�.
6. Tax RaNrn Pre�arer Fees:
J.
II
TOTAL(Also enter on ��ne 9, RecapiNlatlon)� S 8�937�97
R more space is needeC, use addi6onal soeets of papu of Me same slze
st
MEMBERS 1"e
FF➢FBALC6EUIT UV ION
PRIMARY OWNER: Kelsea Ezbiansky
REGULAR SAVINGS ACCOUNT:
Account Numbed5uffix 156654-00
Date Account Establishetl 02/08/1996
Principal Balance at Date of Death $6527
Accrued Interest to Date of Death $0.00
Total Principal and Accrued Interest $6527
Name of Joint Owner Honora Ezbiansky John Work
DateJointAdded 02/08/1996 09/01/1999
INVESTMENT SAVINGS ACCOUNT:
Account Number/Suffix 15664-OS
Date Account Established 04/17/2001
Principal Balance at Date of Death $2,48378
Accrued Interest to Date of Death $0.05
Total Principal and Accrued Interest $2,483.83
Name of Joint Owner Honora Ezbiansky John Work
Date Joint Added 04/17/2001 04/17/2001
MEMBERS 15T FEDERAL C/REDIT U/NION
T�a L K�L�i l�
Lending Insurance Support Specialist
May 4, 2015
Estate of: JOHN T WORK
Da[e of Death: 04/15/2015
Social Security Numher: 204-OS3238
5000 i,ouise Diice • P.O. Box 4U • R[echanicsburg, Pennsy�lvania 1705� • (800) 283-2328 • w�c��:membcrsls[.oig
ae�as�z ex+ �taaq
� pennsylvania SCHEDULE I
��� oEvnaTwcrv-oraEVErvu� DEBTS OF DECEDENT,
���E���T^�==TF�a'Tua" MORTGAGE LIABILITIES & LIENS
aesmem os=oenr
ESTATE OF FILE NUMBER
JOHN T. WORK 2015-00490
Report Cebts incurred by the Oecedent prior to deaN thal remained unpaiE at the Oa[e at death,inclu0ing unreimbursed medical expenses.
ITEM VAW E AT�ATE
NIIMBER �ESCRIPTION OF DFNTH
1� BrickiePharmacy 50.17
TOTAL (Also enter on Line 1�, Recapitulation) S 50.17
� If more space is needed, Insert atlaitianal shee:s of lne same size.
aEv-si3 �.fm-io;
�� pennsylvania SCHEDULE ]
yi' oE�.�.ME�,��aE�E����
�rvnea�.nrvceraxae.uarv BENEFICIARIES
aesioervr oeceoEr�*
ESTATE OF: FILE NUMBER:
JOHN T. WORK 2015-00490
REUTIONSNIPTOOECEOENT Ahi00NTOR5HARE
NUMBER NAME AND ADDRE55 OF PERSON(S)RECENING GROPERTY Da Not List Trustee(s) OF ESTATE
I TAMABLE D6TRIBUTIONS[Indude outrightspousal Gistributions andtranslers un7er
Sec 9116(a)(L2).]
i. Honora Leedy Ezbiansky, 103 Fairway Dr., Mechanicsburg, PA 17055 Step-Daughter $10,000.00 Bequest
2. R. Donald Leedy, 16267 Diamond Bay Dc,Wimauha,FL 33598 Step-Son $10,000.00 Bequest
3. �onald 1 Ez6iansky,100 Bridge St,New Cumbedand,PA 17070 Step-Grandson One-Fifth of Residue
4. Christopher A. Leedy,2807 Ormandy Crt,Tampa,FL 33618 Step-Grandson One-Fifth of Residue
5. Jennifer L Leedy Hinshillwood, 344 Windsor Dr., Cherry Hill,NJ 08002 Slep-Grandaughter One-Fifth of Residue
6. Karin A Ezbiansky Pavese,4 Verendah Place, Bmoklyn, NY 11201 Step-Grandaughler One-Fifth of Residue
7. Marcia L Ezbiansky Arnwine, 2416 Rolling Hill Dr., Mech,PA 17055 Step-Grandaughter One-Fikh of Residue
ENTER�OLLAR AMOUNTS FOR�15TRIBUTIONS SHOWN ABOVE ON LINES 15 THROIIGH 18 OF REV-1500 COVER SHEET,0.5 APPFOPRIATE.
I� NON-TA%A9LE�ISTRI9UTIONS
A, SPOUSAL�15TRIBUTfONS UN�ER SEQION 9113 FOR WHICH AN ELERION TO TA%IS NOT TAKEN:
1.
B. CHARITABLE AN�GOVERNMENTAL�ISTRIBUTIONS:
l.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEEf S
- I(more space is needed,use aGGitianal shee[s of pa0er o!the same size.
��r�# `�fl�i�I M�t� `C� ����trttez��
OF
JOHN T. WORK
I, JOHN T. WORK, of the Township of Hampden, County of Cumberland
and State of Pennsylvania, being of sound and disposing mind, memory and
understanding, do hereby make, publish and declare this my Last Will and
Testament, hereby revoking and making void any and all prior wills by me at any
time heretofore made.
1.
I direct the payment of all my just debts and funeral expenses as soon afrer
my decease as the same can be conveniently done.
2.
I direct that there shall be paid out of my residuary estate all estate,
inheritance and like taxes together with any interest or penalty thereon imposed by
the Government of the United States, or any state or territory thereof, or by any
foreign govemment or political subdivision thereof, in respect to all property
required to be included in my gross estate for estate, inheritance or like taac purposes
- 1 -
by any of such governments, whether the property passes under this will or
otherwise.
3.
All the rest, residue and remainder of my estate, real, personal and mixed, I
give, devise and bequeath to my wife, HONORA M. WORK, absolutely and
unconditionally if she survives me.
4.
In the event my wife should predecease me, I give, devise and bequeath my
entire estate as follows:
A.) I give and bequeath the following items of personal
property to my wife's grandson, DONALD JOAN EZBIANSKY:
all fumiture including the entertainment center in the living room and
all furniture in the basement except my drop leaf table, my bell
collection, all books in the living room and basement, all records,
tapes, cassettes and videos in the basement and living room.
B.) 1 give and bequeath the following items of personal
property to my wife's grandson, CHRISTOPHER AINSWORTH
LEEDY: all furniture, lamps, television and television stand in the
master bedroom.
C.) I give and bequeath the following iYems of personal
-2 -
property to my wiFe's granddaughter, MARCIA LYNN
EZBIANSKY: all dining room furniture including wall hangings,
emerald and diamond etemity ring, step-stool/ironing board and
baker's rack.
D.) I give and bequeath the following items of personal
property to my wife's granddaughter, KARiN ANN EZBIANSKY:
all furniture, wall ha�gings, books and miscellaneous contents in the
third bedroom except the roll-top desk, the contents of the built-in
cupboazd in the dining room, all contents of the sun room and my ring
with five diamonds.
E.) I give and bequeath the following items of personal
property to my wife's granddaughter, JENNIFER LYNN
HINSHILLWOOD: all furniture in the second bedroom, the drop-
leaf table in the basement, all patio fumiture, sewing machine and
supplies, all craft material and supplies and my wife's three ring
diamond.
F.) I give and bequeath the following items of personal
property to my wife's son, R. DONALD LEEDY, the roll top desk
and pitchers on top of hutch.
G.) I give and bequeath the following items of persona]
-3 -
property to my wife's daughter, HONORA LEEDY EZBIANSKY:
all chattels not specifically bequeathed, including but not limited to
furniture, fixtures, equipment, clothing,jewelry, utensils and dishes, my
wife's wedding and engagement ring, my wife's Irish ring, all movies,
photographs and pig cookiejar.
H.) I give and bequeath the sum of$10,000.00 to my wife's
daughter, HONORA LEEDY EZBIANSKY.
I.) I give and bequeath the sum of$10,000.00 to my wife's
son, R. DONALD LEEDY.
J.) All the rest, residue and remainder of my estate, real,
personal and mixed, 1 give in equal shazes to my wife's five (5)
grandchildren, DONALD JOHN EZBIANSKY, CHRISTOPHER
AINSWORTH LEEDY, JENNIFER LYNN HINSHILLWOOD,
KAl2IN ANN EZBIANSKY and MARCIA LYNN EZBIANSKY,
absolutely and in fee simple.
5.
Lastly, I nominate, constitute and appoint my wife, HONORA M. WORK,
to be Execu[rix of this my Last Will and Testament, and in the event she should
predecease me, or should she be unable or unwilling to serve in this capacity for any
reason, then I nominate, constitute and appoint my wife's daughter, HONORA
-4 -
LEEDY EZBIANSKY, Executrix of this my Last Will and Testament, in hcr place
and stead. I further direct that no bond or other security be required of my personal
representative to guarantee faithful performance of her duties.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this
ti� day of May, 2001.
i
�'�'l l � '�/�' (SEAL)
John T. Work
Signed, sealed, published and declared by the above named JOHN T.
WORK as and for his Last Will and Testament, in the presence of us who have
subscribed our names hereto as wiMesses, at his request, in his presence and the
presence of each other.
U-2i+� � ^-�i -
� ,
�„� _ �� �,./�:�
_�
- � -
JOHN M . EAKIN
ATT�RNEY AT LHW
MECHANIC59U0.G,uPA.�19055
Septembcr 1,20]5
Register of Wills
Cumberla�id Counri Cour[house
One Courthouse Square
CazlisLe, PA UO13
RE: John T. Work Estate
File No. 2075-00490
Deur Register of Wills:
Enclosed for filing is the Inherita�ee Tax Retum in the above estate together with a check
in the amoimt of$7,377.99,the amount of tax due.
Very truly you�s,
�,
I ^ �
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John M. Eakin
IMEAbet
Enclosums
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