HomeMy WebLinkAbout09-02-15 Eio�„ 1505610143
J REV-1500 '
PADepartmentotRevenue � OFFICIALUSEONLV
pennsylvanla cworycoae rnerv�mear
BureauoflntlivitlualTaxes � •^�^ '^•�^°E
Po aox.zeosoi INHERITANCE TAX RETURN y 1 14 0 0 6 6 2
Harrisburg.PA 1�128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Securiry Number Da�e of Oeath Dale of BirtM1
06 29 2014 07 16 1924
DecedenCs Last Name SuHix Decedenfs First Name MI
DEMARTYN SYLVIA B
(ItApplicable)Enler Surviving Spouse's Intomiatlon Below
Spouse's Lasl Name SuHlx Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1. OnginalReNm ❑ 2. SupplemenUlReWm ❑ 3-pnortotlZrRel���m(Da�eo�Dea�M1
� 4. Limi�MEs�a�e � aaF��ureimeresicmmpmmiu � 5. FeOe�alEslaleTaxReWrnRequireE
(Eate N Eeem ena.�z�10A3�
� 6 pemamtoieaieflele � �- ���„�pyplTmn)aLNingTmsl __ 0_ TO�BINum�efof6ate0eposl�Boxes
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� AG�i9e�ionProC¢e05ReceNE� ❑ 14-�P°µeen12�91�etena�l(oageoloeatn ❑ ��-Ana�cn�Smanule0)Sec.9113(A)
CORFESPONDENT-THIS SECTION MIIST BE COMPLETED.ALL CORRESPONDENCE RND CONFIDENTIAL TAX INFORMATON SHOIlLO BE DIRECTED TO:
Name Day[ime Telephone Number
LISA MARIE COYNE 717 737 04,68
�, a
REGISSER:aF W ILL517SE�1�
'. �
FirstLineotAdtlress - '
�
N
3901 MARKET STREET . . .,�
� .i
Second Llne of Atltlress —�+
c� ci
OATE FILEO
Ciry or Post Office Sta[e ZIP COEe � � -;�
�
CAMP HILL PA 170114227
corresPo�aene•s e-mau aadress: I i s a@ c oy n e a n d coy n e.co m
iis meecorieclenEemm ie�le Detleaiionoieeuminea�N'rs eW,nenG�onal�re 2sen Lveis�Eauutlone�lii,fortnalion'oiwMcn�ceB�mM1aseo knowletl ebelief
d � P PrePa�e� v ee.
$IGNAT E PERSONRE$f�JN51BL ORF NGPETOrRN OAT
y�< George A. DeMartyn,Jc q /�/�
nooee sl L�/ , ��
25 Hillcrest Road, Enola, PA 17025
61 VREOFPREPA THERTXANR SENTPTNE pqTE
�� LISA MARIE COYNE — _ZO f �
no Res
e &Coyne, P.C.
39 1 Market Street, Camp Hill, PA 770174227
Side 1
L 1505610143 1505610143 J ,�
l�_�
ADDITIONAL Personal Representatives
DeMartyn, Sylvia B. SS# 209-12-9685 6/29/2014
Under penalties of perjury, [he undersigned declare that they have examined this return,
including accompanying schedules and statements, and to the best of their knowledge and
belief, it is true, correct and complete.
2 Signature /�/�!/1 D�
Name Wendi A. Oakes
Address 11 MoUfning Dove Way
City,Swte,np Duncannon PA 17020
Date � l uf�
3 Signature
Name
Atltlress
City, Shte,Zip
Date
4 Signature
Name
Atltlress:
Gity,State,Zlp
Date
5 Signature
Name
Address:
City, State,Zip
Date
6 Signature
Name
Address:
Cily, SWte.Zip
Date
J 1505610243
aev-�soo ex
Decedenfs Social Security Number
oe�eMr:name. DEMARTYN, SYWIA B.
RECAPITULATION
1. RealEstate(ScheduleA)... ___... .___.. ................ 1. 100 . 000 . 00
2. StocksandBantls(Schetlule8) ____. ............. .____. 2.
3. ClosetyHel4Carpora�io0.PaMershiporSole-Pmprietorship(ScheduleC)_____ 3.
4. Motlgage58NotesReceiva�le(Sc�etluleD) .____ ............ 4.
5. Cash,Bank Deposils 8 Miscellaneous Personal Pmperty(Schetlule E)._____..... 5. $ 1 , 4 0 6 . 2 9
6. Jointy Owned Pmperty(Schedule F) ❑ Separale Billing Requestetl............. 6.
]. IntervVivos hansfers 8 Mlscellaneous Non-Probate Property
(ScheduleG) ❑ Separa�eBillingReQuesled_........_. ].
8. TOWI Gross Asse[s(total Lines 1 t�rou9h]1...................-..................................... 8. 1 51 . 4 0 6 . 2 9
9 Funeral Expenses and Atlministra�ive Cosis(Schetlule H).___ _____ g. 4 1 , 6 2 3 . 2 8
10. Debls of Decetlent,Mohgage Liabilities anG Liens(Schetlule I)............................. 14. 5 0 0 . 0 0
11. Total Deductions potal Lines 9 anG 10)____ ......... ........._ ��, 4 2 , 1 2 3 . 2 8
�Z. NetValueotEstate(LineBminusLinell).. ____. _____. 12 1OB � 283 . 01
13. CharilableandGavernmentalBepuestslSec9113Tmslstorwhich
an eledion b tax has not been matle(Schedule J).___.......................................... 13.
ia. Net Value Sub)ectto 7ac(�ine�2 minus�ine i31-------................................... t4. 10 9 , 2 8 3 . 0 1
TAX COMPUTATION-SEE INSTRIIGTI0N5 FOR APPLICABLE RATES
1& AmounlofLineiataxable
al lhe spousal tax rale,or
ironsfers under Sec.9116
(a)(i 2)x_oo �s-
i6. nmountolGnetataxable
atuneairatex oa5 109 , 283 . 01 �6. 4 , 917 . 74
1]. AmauntofLinel4taxable
atsiblingrateX .12 ���
18. AmountofLinel4taxable
a�collaleral rate% .15 �8�
19. TAXDOE. _ _.. ......... . ............... ........... 19. 4 . 917 . 7Q
2a. FILL IN THE OVAL IF YOU ARE REOUESTING A REFUND OF AN OVERPAYMENT. �
Side 2
L 1505610243 1505610243 J
REV-0SOOEXPage3 FileNumber 21 - 14 - 00662
Decetlent's Complete Atldress:
N NA
DeMartyn, Sylvia B.
STREETADDRE55 � �
75 West Beale Avenue
CITV . . . . . .... ....... ._�STATE. .. . .ZIP
Enola Pa 17025
Tax Payments and Cretlits:
t Tax Due(Page 2,Line 19) p) 4,917.74
2. Cretlits/Payments
A. PriarPaymen�s 5,000.00
B. Discounl 245.89
Totel Gredts(A .B) (�) 5,245.89
3. In�erast (3) 0.00
4. If Line 2 is greater than Line 1 +Line 3,enler Ue tlifference. This is ihe OVERPAVMENT. (4) $28.15
Check boz on Page 1,Line 20 to request a re(und
5. I(Line 1 +Line 3 is greaterihan Line 2,enlerihe tliRerence. This is the TAX DOE. (5)
Make Check Payable to: REGISTER OF WILLS, AGENT.
. .. . .. . . ��� _.".� d,- _ ;< _ ;�: .._���.�`.�' .. .- ssu= .:,s-"-i,'.�����
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a Irensler and�. Yes No
a. re[aintheuseorincomeof�hepropertytransferted __..... ___... .....__.._. z
b. retain Ne right to tlesignate who shall use Ihe property trens(erretl or its income;......._........................... i z
c. retainareversionaryinteresf,or ......... .....__ .....__ .______. I x
tl. receivethepromiseforlifeofeitherpaymenis,benefisorcare9 .___.. 'LI ��
2. If tleath occurretl after Dec. 12, 1982, did tlecetlen� hans(er pmperty wi�hin one year of tlealh wi[hom
receiving aEequate consitleretion?. ._..._ I
............... ....._....... ..................... x
3. �itl tlecetlent own an'in hust�or' or payable upon tleatM1 bank acwunl or securiry at his or her tleath?......... I . I z I
4. Dltl tlecetlen�own an indlvitlual retiremen�accounl,annwly or alher non pmba�e propetly w�¢h
containsabeneficiarydesi9nation? .____ ....._.._.. ........._....... .................. . � �.z�.
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
i ,._„ .._., :u.:. ,r++ei w��..�v.m� sv.m
. � . „ ..,, ..�r�'.�l.�x' � n
For dates o�tleath on or akeNulY 1, 1994 antl before Jan. 1.1995.�he tax rate imposetl an ihe net value of Irensfers to or(orihe use o(the surviving �
spouse is 3 percent(�2 P.S-§9116(a)(L1)(�].
Fortlates of tleath on or aker Janua 1.1995,ihe tax rate imposetl on I�e ne�value of�rensfers�o or for�he use of�he surviving spouse is 0 peroen�
[72 P.S.49�i6(a)(1.1)(ii)]. The sta7ute does not exempt a iranster to a survrving spouse fmm tax,antl ihe statutory requiremenis Portlisclosure of
assets antl fling a tax refurn are slill appliwble even if Ihe surviving spouse is lhe only beneficiary.
For dates of death on or aRer July 1,2000:
•The tax rate imposetl on lhe net value of Irensfers from a Geceasetl chiltl 21 years of age or younger at tleath to or for ihe use o(a naturel parent,an
adop�ive parent,or a stepparent of ihe child is 0 percen��]2 P.S.§9116(a)(12)�.
•The tax rate imposetl on Ue net value of iransfers ta orfarihe use of ihe tlecetlenCs lineal beneficianes is d.5 percen�,excepl as note0 in
p2 P.S 491i8(a)(1)I-
•The tax rate imposed on�he net value of Vansfers b orfor�he use of�he decedenfs siblings is 12 parcent[/2 P S. 9116 a)(1 3). A
sibling is defined under Section 91�2,as an individual who has at least one parent in common with the Eecetlent,w ether y bloo or atloption.
: � pennsylvania SCHEDULE A
I', DEPARiMENiOFREVENOE
_ '""ER"""�ET"'R"°a" REAL ESTATE
aEsioENroECEOErvr
FILE NUMBER �� �
ESTATEOF DeMartyn, SylviaB. z� - �a-oossz
All real property ownetl solelv or as a tenant in common must be recorted at tair market value. Fair market value is defined as�he price
at which property would be exchangetl behveen a willing buyer and a willing seller,neither being compelled to buy or sell, both having
reasonable knowledge of the relevant(acts. Real property which Is Jointly-owned with right of aurvivorohip must be tlisclosed an
schedule F.
Attach a copy of ihe settlement shee�if�he pmperty has been soltl.
Include a copy of ihe tleetl s�owing tlecetlenfs inleres�if owned as�enan�in rommon.
ITEM DESCRIPTION � VAWE AT DATE OF
NUMBER DEATH
1 15 West Beale Avenue 100,000.00
Enola, PA 17025-- See Attached HUD-1
TOTAL(Also enter on Line 1, Recapitulalion� 100,000.00
-^`...�:\ OMB Hpv�oval No.2602-0265
'�'""'�'" A. Settlement Statement HUD-1
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PrevioosWlbonsareobSolGe Pa9e4oln HUo-t
- � pennsylvania l SCHEDULE E �
� °E`"R'"`"'°`R`�E"�E � CASH, BANK DEPOSITS AND MISC. '
�HnER�rANCE...RE,�RH �.
aesioeH.oecEoeHr �i, pERSONAL PROPERTY
— . .—_ I .. _ _ _ _ ..
FILE NUMBER
ESTATEOF DeMartyn, SylviaB. z� - ia-oo662
Include the proceetls of litigation antl Ihe date the proceeds were receivetl by ihe estate.All properry jointly-ownetl with the nght of
survivorship must be disclosed on schetlule F.
ITEM ���� � DESCRIPTION VALUE AT DATE OF
NUMBER DEATH
1 Personal Property antl Misc. Furniture � 525.00
2 PNC Bank Account number-zxxxxxx413 18,317.13
3 PNC Certificate of Deposit Account number-xxxxxxxx788 5,000.06
4 PNC Certificate of Deposit Account number-xxxxxxxx550 5,00021
5 PNC Certificate of Deposit Account number-xxxxxxxx746 22,104.89
6 PA Revenue - unclaimed 459.00
� TOTAL(Also enter on Llne 5, Recapitulation) 51,406.29
- ''):49AM PNC 3ani No. 2333 P. I/2
Q PNC
'� Septembec 10,20I4
i Lisa Made Coyne Esq. _
Coync &Coyvc P.C.
� 3901 Market St
Camp Hill,PA 170ll-4227
. . RE: Sylv#a B Demartyn '.
� SSN: 209-12-9685 �'
DOD:06-29-2014 �
'�. Dear!bts. Coyne: ���
In responsa to your request for Date of Death(DOD)bafences for tfie cuvtomer noted above, our
� records show�e following: ,
, Certificate of Deposit '
I Account#;1600053788 ,
Estab lished: 08-22-1996
SYLVIA B DE.Vf.c.Rl'y�r .
i DOD balance: g 5,000.00+0.06 accrued interes[ �i
� Intoresf paid OIAl-2014 thiu O6Q9-2014 S 1.52 YT'D �
�, Accoimt�31600276550 � I
SI'LVIA9DEMAgTyN �stablished: l0-31-2005 �I
, DOD balance: 5 5,000.00+OS I accrued intyrest '
; lntcrest paid O1-0:-2014 iLru 06-29-2014$ I.Ob YTD .
Accouat#3180029?746 ,.
i 5���D���� Estab7ished:08-01=2006 � i
�, DOD balance: S"='2,103.5] + �.3g accruedinterest '
I
Intcrest paid 01-01-2014 thru 06-29-2014$ 8.92 YT'p �
IChecking Acconat ,
i Account#5140114133
SYL�TA B DEMARTy� �stablished: p2_O1-1970
� DOD balanca S 18,317.07+0.06 acerued i¢terest
' Tnterest paid O1-01-2014 thru 06-29•2014$ 0.89 YT'D � �
i
' � Pagelof2 '�
I
�a 11:49AM P7r :a�� v�� 2�83 '. i!"[
( P]ease nofe rhac:his office provides date of dearh balances for deposi[accoimts(D2As, CDs,Checkmg and
�, Saving). K'e dD not pTaeas anp 8nancial fransactinns or provide s�tements. If you need assistance with
. i any of*hese ite�,pleave catl 1-888-PNGBANK(1-888-762-2265)or�op hy youi local PNC Bauk branch
office.
� Sincerely,
Nauoaal Financial Services Ccnter �
, PNC Ban1S NA. � .
j MembarFDIC
I' � Thu message ts intended for the use of the individual ar entiry to whrch!t is addretsed and may
�I contain informanon tlwt 'u privileged canfulential and exempifrom disclosure under applicable law.
� Ijthe reader of rhir messagz is not the intended reciprenf or the employee or agent rrsponsible jor
, delivering thu musage io the intended recipient,you are hereby notifred that nny dissemination,
disiribuTton or copying af thu cammunicanons is shudyprohibited IJ'you have received this
�� commzmica8on in error,pJease notify me rmmedi¢tely by reply or by telephone¢t 800J62-1775 and
' immediately destroy this faceddocument. � �
i , �
I� ,
�
r
�I
- �, Page 2 oi 2
Silvia B. DeMartyn Estate
Estimated values
House, Garage and Lots 570,000 �
Personal property and household item
Living Room
Couch, $30.00
� Rockingchair, $20.00
Coffee ta61e, 510.00
2 end tables, 510.00
N stand, 510.00
N, 550.00
Miscellaneous, $15.00
Kitchen
Table and chairs, 520.00
Miscellaneous, 530.00 �
Family room
� Table and benches, $35.00 '
Hutch, $25.00
Side table, $20.00 .
Rocking chair, $10.00 �
Misceilaneous,530.00
Bedroom#1
Single bed, $30.00
Dresser, 525.00
Desk and chair, $15.00 �
Miscellaneous, $10.00
Bedraom#2
Double bed, $20.00
Dresser, $20.00 �
Vanity, $20.00
Miscellaneous, $10.00
Basement
Miscellaneous, $25.00
Garage
Miscellaneous, $35.00
_ .. �y _.
Tatai personal property and household items $525.00 �
xev.�¢n ex.��aas� I
. � pennsylvania �H ,.
� oeanarMe�roraevErvue I ����'D
inneei.nnce.nxr+e.oer�
aEsioErv�oeceoENr I ��n1��s
� —— �� - - FILE NUMBER
ESTATE OF DeMartyn, Sylvia B. 21 - 14 -00662
DecetlenCs dehts must be reported on Schedule L __
N ME ER � DESCRIPTION AMOUNT
FUNERALERPENSES __ . . -- .
a. 1 Reception 500.00
2 Sullivan Funeral Home 7,455.00
B. ADMINISTRATIVE COSTS .
�, PersonalRepresentative'sCommissions '�.
Name of Personal Representative(s) i
Street Adtlress '
Ciry State Zip
Vear(s)Commisslon Peitl
2. Auorney's Fees COyne&COyne, P.C. 3,500.00
3, Family Exemptiort Qt tlecetlenPs address is not ihe same as claimanCs,anach explanation)
qaimant
SVeetAtltlress
Ciry State Zip
Relalionship of Claimant to DeceGent
a. Probate Fees 113.50
5. AccountanfsFees 500.00
6. Tax Relurn Preparer's Fees
�_ OtherAtlminislrativeCosis
1 Postage 55.00
� TOTAL(Also enter on line 9, Recapitulatlan) 41,623.28
SrJedtle H
II Fu�eralF�es&
COMMONREPLTXOFCENNSVLVnNIA j wyu.�"_^Y�—y.�
NHERI�PNCETpXFETUFN '� fYl1�1 YQYYCIAA 44/IIYIYCV
FESIOENi�ECE�ENT
_— ... . .__ __. . _.
- —-- �� FILE NUMBER
ESTATE OF DeMartyn, Sylvia B. 21 - 1q -00662
2 Cumbedand Law Joumal-- Legal Advertisemen[ � � 75.00
3 Pa[riot News— Legal Advertisemen[ �96.82
4 Reserves 2,000.00
5 ClosingCos[sforSaleofHouse ���9��31
6 Mileage for Executors @$0.55/mile 165.00
7 Property Taxes(School, County, Twp) 1,359.70
8 Homeowners Insurance 1.36422
9 Hea[ing Cos[s for House Fuel Oil Cos[ 1,214.13
10 Utilities (electric, water, gas, sewer, trash) 1.400.00
11 Clean ou[property&disposal 500.00
12 Repairs to garage & home (painting interior&exterior, replace garage doors, 8,665.60
basement windows, carpet, bathroom flooring, commode, install rein gutters, replace 8
repair electrical ouUets, refinish ba[htub �
13 Estate Checks 25.00
14 Snow removal and lawn care �� 600.00
Page 2 of Schedule H
� pennsylvania SCHEDULE I '�.
� oea>arMeNroFREveN�E DEBTS OF DECEDENT� MORTGAGE �
INMERRANLE TP%RETURN
aesioeHroeceoeH. LIABILITIES & LIENS
� FILENUMBER � ��
ESTATE OF DeMartyn, Sylvia B. 21 - 1a-ooss2
Report debts inarred by lhe decetlent prior to death lha�remained unpaid al the da�e of tlealh, inclutling unreimbursetl medical expenses.
ITEM DESCRIPTION AMOUNT
NUMBER
1 Uncleared Checks 500.00
TO7AL(Also enter on Line 70, Recapitulation) 500.00
RWA69 E%��OL10�
.� pennsylvania SCHEDULE J
� oEanarmEHroFaEVENUE
�EAi.a�cE.>*ae.�aH BENEFICIARIES
�aesmenroweoervr
._ -_____ —._.
ES7A7E OF DeMartyn, Sylvia B. FILE NUMBER
21 - 14-00662
� � RELATIONSHIPTO � SHAREOFESTATE AMOUNTOFESTATE
NUMBER NAMEANDADDRESSOFPERSON(S) DECEDENT (Wortls) ($$S)
RWENINGPROPERTY ooxmu.irn.wqq
I. TA%ABLEDISTRIBUTIONS[inGutleoutrighisousal
tlisiriEutians,antl Pansters
under Sec.9116(a)(1 2�7
1 George A. DeMartyn, Jr. Son 1/2 of Residual
25 Hillcrest Road � Estate
Enola, PA 17025
2 Wendi A. Oakes Daughter 1/2 of Residual
11 Mourning Dove Way Estate
Duncannon, PA 17020 �
Enterdollar amounis lor tlislributions shown above on lines 15 through 18 on Rev 1500 cover shee(as appropriate.
II. NON-TA%ABLE DISTRIBUTIONS:
A.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 DISTRIBl1TI0NS ON LINE 13 OF REV4500 COVER SHEETI 0.00
COMMONWEALTH OF PENNSYLVANIA SHORT CERTIFICATE
COUNTY OF CUMBERLAND
I, USA M GRAYSON, ESQ.
Register for the Probate of Wills and Granting
- Letters of Administration in and for
CUNffiERLAND County, do hereby certify that on
the 17th day of July, Two Thousand and Fourteen
Letters TESTAMENTARY
in common form were granted by the Register of
said County, on the
estate of SYLV/A B DEMARTYN , late of EAST PENNSBORO TOWNSHlP
(Fml.MAG.INII
in said county, deceased, to GEORGfA OfMARTYN JR and
(Fna4 MiIA,Ofry
WENDIA OAKES
r�,c rm..u.n
and that same has not since been revoked.
IN TESTIMONY WHEREOF, Z have hereunto set my hand and affixed the
seal of said office at CARLISLE, PENNSYLVANIA, Chis 17th day of July
7tvo Thousand and Fourteen.
File No. 2014- 00662
PA File No. 2J- 14- 0662
Date of Death 6/29/2014
S.S. p 209-72-9685
L
egrsrer s
C f
epury
NOT VALID WITHOUT ORIGZNAL SZGNATURE AND IMPRESSED SEAL
W1HT tlILL
OB '
� � BYI.VIA B. OBMAR'[YN
� I� 9VLVIA B. DBMAHTYN� a[ fieet Pmneboro Townehip� ,
� Cumbcrinntl County, Pannaylvenie� daolare t�ie to b� my Lest
Will antl [avoke any Will pr¢viovely matle by ma. � �
• � Itev 1: I deviea and beqweth ell aS ny utete ot every
nature and mhaxeeoavae aituete, to�ethar vlt� ineuranoe
� tTareon, to my ��ebend� aBORr,p p, DSMAHTYN� SR. � provitling he
e�all r.'r'+ive ee by thlrb• �?�1 deye. . .
Iten 2: ^ha�Qtl mv P��eFnrtl� OBOR^6 A. DBMARTYN� BR. �
pretleoeaee ve or tlie on ox Fe[ote the thirtlet� (30t�1 dey
folloving my tleathr 1 tlaviea nnd bequeeth all of my eatete ot
evary natura and xM1eraooever eitmta, togethor vi�th inaurenaa
thaceon, to my a�ildren� aBORO6 A. DHIMRTYN. JR. antl WYNDI A.
OPR88� ehera anC ehare alika. �
Iteo 3: I tlireot thet all texee thet may ba aewuad Ln
aonuquanae ol my deeth, of v�etaver mture and Oy ahatever
jurietliotion Smpoeed� ehall be pP1tl [rom �y 2ealdua[y cateta
ae a peit of the expenes o[ Che atlminie�retian of my eetete.
Iten 4: I epPoint my two ahildran� GSOR�H A. DBM/1R7YN�
JR. antl WbNDI A. O�KE3� Oo-Bxeoutare o[ thte my L9et Will.
Zta� 5: I tlireat t�et my peraonel reprea�ntnYlv��� oi
their auoaeesora� ehall not Oe requlred to eive bond for t��
Ieithfvl per[ormanoe ot thefr duGiee Sn nny juofetliatlan.
IN WITNS89 WH6R60F, I hev� hareunm eat ny hentl thle � �
tlaY ot • Y 1992.
S,.ct ..�. K .�. �.S
9Y A H. D RTYN
x
� . iha vraaeding inetrunqnt aonelating of thie anE on; t1)
" ot�er typevHtten paee, eeoh ltlanti[ietl by tha aignatvra of
the Teatatoix� 6YLVIA B. DBMARTYN� vae on She tlay antl tlata �
ther�o[ eLgneA� puEll�hatl entl dealarad by BYLVIA 8. D6MMTYN, �
the Taatatrix therein nametl, ea entl for hor Leat Will� tn�the
pr�oanae of aaah ofhav� heve aubaaeibatl our mmae ee wiYneeeec
�arato.
t6 6�4N�«4.7`,�C.r
raeftling et ��
�j .r/j�t�QuQr.C.
t � ' .atam■ ae .�/�
� COMMONW6NLTH OF PGNNBVLVANIF 1 �
COUNTY OF CVMBBRLAND ) ee:
We. uBYLVIA H. D6MARTYN� /.GwHq^Q� ft fl/! M�.�„
� end /�L�avuu W l��a�-_, tha Testetrlx entl
� ]J
the vitneaeoe reepeativaly� whoea mm�� ar� �i6�od to'the
� atteohed or fora�oinQ ln�trumant, beLnB f(ret tluly sworn� do
hareby tlealae� to tha undar�iHned nut�o:ity that the 2eatatrlx
cignetl entl axaouted the inetrvment na �er Laet Yill and thet
ahe hetl aign�d �ailllnBly� antl that vhe cxeauteA St af har free .
entl volantasy eot for the puepoee therain axpiveeed� anC thet
aeah of Che wltneeeee, in tha presanae entl �aering o[ the
Teetatrlx, eigned t�e Will ee altneee antl t�af to the beet oP
❑ie or her knovlotlqe, [he Tee<etrix aae et the time eightean
(IB) yeers of ege or old¢p� oP eountl mintl entl unda� no
aon�traint or andua inPluenae.
/
eY V A B., ������
Witne e w , /
�.� ��'� .ltr.
� 9v1�beaqribetl� eworn and aaknovlctlptl b�tore me
PM,,,,.� r- U}��( by OYLVIA H. �BHARTYN,
the Teetetrtx� antl a�e.o�m.a and aaor to befor me b.y^'
� �N . M�y�, (� end � � �/ �'1lowctty� �
�y� ! �
Che aitnacaea� thi• 27 3ey of � � 19�.
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Notary Pub� �9$��
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