HomeMy WebLinkAbout06-17-05
COMMONWEALTH OF PENNSYLVANIA REV-1162 EX(11-96)
DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
DEPT. 280601
HARRISBURG, PA 17128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX !
OFFICIAL RECEIPT
NO. CO 005446 ,
I
GEIGER EDWIN W JR
564 MAPLE A VENUE
DOYLESTOWN, PA 18901
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
__nu__ fold ---------- --------
101 I $4,650.00
ESTATE INFORMATION: SSN: 172-01-6599 I
FILE NUMBER: 2105-0300 I
DECEDENT NAME: GEIGER EDWIN W SR I
DATE OF PAYMENT: 06/17/2005 I
POSTMARK DATE: 06/17/2005 I
COUNTY: CUMBERLAND I
DATE OF DEATH: 03/24/2005 I
I
TOTAL AMOUNT PAID: $4,650.00
REMARKS:
SEAL
CHECK#107
INITIALS: CCP
RECEIVED BY:
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
REGISTER OF WILLS
REV-1500 EX (6-M)
, .
REV-1500
*' " 19. COMMONWEALTH OF
, . PENNSYLVANIA
'. . "~.' DEPARTMENT OF REVENUE
'. DEPT. 280601
HARRISBURG, PA 17128-0601
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
~\ - 05
COUNTY CODE YEAR
NUMBER
o 3 C) (J
-----
DECEDENT'S NAME (LASTtIRST, AND MIDDLE INITIAL)
2)sti. QJL-Dn. @WJ.nrL W,
DATE OF DEA (MM-DD-YEAR) DATE OF BIRTH (MM-DD-YEAR)
3/~ 05 \\ I!;t- \qo~
(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL)
SOCIAL SECURITY NUMBER
\"1;)", -0\
65<1q
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
L2S 1. Original Return
D 4. Limited Estate
~ 6. Decedent Died Testate (Attach copy of Will)
D 9. Litigation Proceeds Received
D 3. Remainder Return (date of death pri~rto 12.13.82)
D 5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
D 11. Election to tax under Sec. 9113(A) (Allach Sch 0)
D 2. Supplemental Return
D 4a. Future Interest Compromise (date of death aller 12-12-82)
D 7. Decedent Maintained a Living Trust (Attach copy of Trust)
D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95)
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NAME C .1 . \ , ,tJ... ' COMPLETE MAILING ADDRESS
UI\ \1).\JYlJ \AJJ(J(ll 11 . StOlL ~c4:>:.QQ. Grutrn.UL
FIRM NAME (If ApplICable) J)~~ ~ i "PI=\ ,~O t
TELEPHONE NUMBER a
:U'5 34; 5 ~o o.:t
1. Real Estate (Schedule A) (1)
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held Corporation, Partnership or Sole-Proprietorship (3)
4. Mortgages & Notes Receivable (Schedule D)
(4)
(5)~ \\1, 5oc. 09
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
D Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
(6)
(7)
9. Funeral Expenses & Administrative Costs (Schedule H)
(971 ;l ) 103. (, \
(10)
(/1 11'1) 500
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
(11) :J.) '103.6 \
(12) ~J'1qb
(13)
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
(14)$ \ ~t.t)'l9.b
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax
rate, or transfers under Sec. 9116 (a)(1.2)
~-W-'lq~
)
x.O _ (15)
x .0 _ (16) ''l$ 51 lob ,00
16. Amount of Line 14 taxable at lineal rate
17. Amount of Line 14 taxable at sibling rate
x .12
(17)
18. Amount of Line 14 taxable at collateral rate
x .15
(18) iJ _
(19) 5 , bfo .00
19. Tax Due
20. D
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
55
.1J
(1) 51 ~(, .00
Decedent's Complete Address:
STREET ADDRESS ,~ H ou..n:t (jY\.> J;J~J
CITY
m~OJ~~
STATE P Ft
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments .C
C. Discount 'J.;J :l5~. C 0
Total Credits (A + B + C )
(2) $ ;).5~.OO
3. InteresUPenalty if applicable
D. Interest
E. Penalty
TotallnteresUPenalty ( D + E )
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 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.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
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 transfer and: Yes
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; ............................................ 0
c. retain a reversionary interest; or.......................................................................................................................... 0
d. receive the promise for life of either payments, benefits or care? ...................................................................... 0
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death
without receiving adequate consideration? .............................................................................................................. 0
3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? .............. 0
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ........................................................................................................................ 0
No
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IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Under penalties of perjury, I declare that I have examined thiS return. including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct
and complete.
Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
DATE
b/ iS/08
SIGNATURf OF PERSON RESPON~B.LE FOR FILING RETURN
EdUJ~ ill. 1)ID.%Q]V ~.n..
ADDRESS
5b~m ~.w.
SIGNATURE OF PREPARER
~ c:jWyt, 1> F\ \ ~qo I
ADDRESS
DATE
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3%
[72 P.S. S9116 (a) (1.1) (i)].
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% [72 P.S. S9116 (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 twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent,
or a stepparent of the child is 0% [72 P.S. S9116(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%, except as noted in 72 P.S. S9116(1.2) [72 P.S. S9116(a)(1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. S9116(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.
SCHEDULE E
COMMONWEALTH OF PENNSYLVANIA CASH, BANK DEPOSITS, & MISC.
INH~:~i~~~; ;:2E~~~~RN PERSONAL PROPERTY
ESTATE OF . 0 FILE NUMBER
Edu.).~ \0. ~.Q.t'IT.1VV .l) n . ~\ 05 0300
Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on Schedule F.
ITEM
NUMBER
REV-I50BEX.,1-971. .
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3.
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DESCRIPTION
VALUE AT DATE
OF DEATH
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TOTAL (Also enter on line 5, Recapitulation) $ \ 11. 500.0<:]
(If more space is needed, insert additional sheets of the same size)
Milest~ne Banking
Grow. Achieve. Thrive.
, Ask tor details, call 1-877 -scN-BANK (1-877-768-2265), or visit sovereilUlbanltoom.
. Sovereign Bank
CUSTOMER RECBPT
TD Wth Date 03/31/05 13:45 Tlr 006 TO
A/N 0575362082 Seq 0153 057 CD
AMt $90,684.04
BROOOB (Rev. W04) ~ FDIC
Milestone Banking
Grow. Achieve. Thrive.
Ask for details, call 1-877 -SOY-BANK (1-877-768-2265), or visit sovereilUlbanltoom.
. Sovereign Bank
CUSTOMER RECBPT
DD Wth Date 03/31/05 13:30 Tlr 006 0
A/N 0571141242 Seq 0125 057
AMt $21,097.95
Ledger Bal $21,097.95
BROOO8 (Rev. W04)
~FDIC
Milestone Banking
Grow. Achieve. Thrive.
Ask for details, call 1-877 -SOY-BANK (1-877-768-2265), or visit sovereilUlbanltoom.
. Sovereign Bank
CUSTOMER RECBPT
DD Wth Date 03/31/05 13:35 Tlr 006 0
A/N 0571116221 Seq 0129 057
AMt $5,716.33
Ledger Bal $5,716.33
BROOOB (Rev. W04)
~ FDIC
Milestone Banking
Grow. Achieve. Thrive.
Ask for details, call 1-877 -SOY-BANK (1-877-768-2265), or visit sovereilUlbanltoom.
. Sovereign Bank
CUSTOMER RECBPT
DD MDep Date 03/31/05 14:19 Tlr 006
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Grow. Achieve. Thrive.
Ask for details, call1-817 -SIN-BANK (1-817-768-2265), or visit SQIIIlleiilbanltcom.
. Sovereign Bank
aJSTOMER RECaP\'
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DD MDep Date 03/31/05 14:19 Tlr 006
A/N 0571201105 5eq 0168 057
AMt $117,498.32
Ledger Bal $0.00
BROOO8 (Rev. W04) Merrtler FDIC
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SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Ed\.lJ-~ \..V.
Q FILE NUMBER
stJJU.'~.SlJl.- ~.oJ1. ~ \ oS 0300
ebts of decedent must be reported on Schedule L
ITEM
NUMBER
A.
DESCRIPTION
FUNERAL EXPENSES: . \ ,_ __ _ ("_ _ -<+- . (:) .
QU.~ ''''.ltfY"1'"'\~ MQYl~ V\Jl,rmu,u(J"l'l...DUrtJ\J\.CJtQ)
~.f\l~ '
~~oi.<k ~w::tt.~ -4umJlnoi 1~on..
1.
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Social Security Number(s)/EIN Number of Personal Representative(s)
Street Address
City
State _ Zip
Year(s) Commission Paid:
2. Attorney Fees
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant
Street Address
City
State _ Zip
Relationship of Claimant to Decedent
4.
Probate Fees
C\1fYl\~ct ~
5. Accountant's Fees
6. Tax Return Preparer's Fees
7.
~C\JL -yn~CV'- k>JUA<a- c<PX <psU<YV TO- d.sz,oUu
AMOUNT
,1/, '303.00
l/ ~OS. 53
':1:/ '0\0.00
$4-'05.0<6
TOTAL (Also enter on line 9, Recapitulation) $ ~) 103. b I
(If more space is needed, insert additional sheets otthe same size)
REV-151~ EX+ (9-00)
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF ()
E:d'UJ)J'r1.J w, ~m:~.wv ~0n
{J
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under
Sec. 9116 ~) (1.2)]
1. JdcR.<Ytm.m. :1~1\8
''6 \-\ou.at~ ~J\JS~R \\()SS
~Qcharn.~O 1
J.. €d.~ W. ~~U<.4Q7L3J1
'5 ~~ ~ ()Nl..
,f) ~~*<:;uJ'(\.. \'p A \ ~ct 0 I
'3. "R~rtt~- ~JLlciIDu .
\';),;).. '"R~lt- C_Vt~
HCJCh Q.D.~ ,,~~~ 1~'101
FILE NUMBER
:l.\ 05 0300
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
Do Not ListTrustee(s) OF ESTATE
~Mrv
\/3
~(fTU
"/3
;bcm...
'/3
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1.
TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $
(If more space is needed, insert additional sheets of the same size)
REGISTER OF WILLS
CUMBERLAND County, Pennsylvania
CERTIFICATE OF GRANT OF LETTERS
No. 2005- 00300 PA No .21.- 05- 0300
Es ta te Of: EDWIN W GEIGER SR
IFirst, Middle, Lastl
Late Of:
SIL VER SPRING TOWNSHIP
CUMBERLAND COUNTY
Deceased
Social Securi ty No: 172-01-6599
WHEREAS, on the 31st day of March 2005 an instrument dated
June 19th 1999 was admitted to probate as the last will of
EDWIN W GEIGER SR
IFirst, Middle, Lastl
late of SIL VER SPRING TOWNSHIP, CUMBERLAND County,
who died on the 24th day of March 2005 and,
WHEREAS, a true copy of the will as probated is annexed hereto.
THEREFORE, I, GLENDA FARNER STRASBAUGH Register of wills in and
for CUMBERLAND County, in the Commonwealth of Pennsylvania, hereby
certify that I have this day granted Letters TESTAMENTARY to:
EDWIN W GEIGER JR
who has duly qualified as EXECUTOR(RIX)
and has agreed to administer the estate according to law, all of which
fully appears of record in my office at CUMBERLAND COUNTY COURT HOUSE,
CARLISLE, PENNSYL VANIA.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal
of my office on the 31st day of March 2005.
~ ldJlrC!AJ,l~ ~cuLn..u rrL
RegIster 0 WlIIs
~ VH'J ~({L !~pt
eputy
* *NOTE* * ALL NAMES ABOVE APPEAR (FIRST, MIDDLE, LAST)
LAST WILL AND TESTAMENT
OF
EDWIN w: GEIGER
I, Edwin W. Geiger, of Camp Hill, Pennsylvania, revoke my former Wills and Codicils and declare
this to be my Last ~ill and Testament.
ARTICLE I
-IDENTIFICATION OF FAMILY
I am married to Sarah I. Geiger and all references in this Will to "my spouse" are~efyrencesJP
Sarah I. Geiger. - :. "
- ...
.:..' ")
The names of my children are:
Dolores M. Zehring
Edwin W. peiger, Jr.
Robert L. Geiger
All references in this Will to "my children" are references to the above-named childfim.
. _: " "....~'
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ARTICLE IT
PAYMENT OF DEBTS AND EXPENSES
I direct that my just debts, fune~al expenses and expenses oflast illness be first paid from my
estate. .
ARTICLE m
))ISPOSITION OF PROPERTY
A. Residuary Estate. I direct that my residuary estate be distributed to my spouse, Sarah I.
Geiger. Ifmy spouse does not survive me, my residuary estate shall be distributed to my
child(ren) in equal shares. ITa child of mine does not survive me, such deceased child's share shall
be distributed in equal shares to the children of such deceased child who survive me, by right of
representation. If a child of mine does not survive me and has no children who survive me, such
deceased child's share shall be distributed in equal shares to my other children, if any, or to their
respective children by right of representation. If no child of mine survives me, and if none of my
deceased children are survived by children, my residuary estate shall be distributed to the
following beneficiaries in the percentages as shown:
50.00% to my heirs-at-Iaw, their identities and respective shares to be determined under
the laws of the State of Pennsylvania, then in effect, as if I had died intestate at the time
fixed for distribution under this provision.
InitiaI_YC~
50.00% to my spouse's heirs-at-Iaw, their identities and respective shares to be detennined
under the laws of the State of Pennsylvania, then in effect, as if my spouse had died
intestate at the time fixed for distribution under this provision.
Percentages Total- 100.00%
ARTICLE IV
NOMINATION OF EXECUTOR
I nominate Edwin W. Geiger, Jr., ofDoylestown, Pennsylvania, as the Executor, without bond or
security.
ARTICLE V
EXECUTOR POWERS
My Executor, in a~ition to other Qowers and authority granted by law or necessary or
appropriate for proper administration, shall have the right and power to lease, sell, mortgage, or
otherwise encumbtf any real or personal property that may be included in my estate, without
order of court and }Vithout notice to anyone.
My Executor shall have the right to administer my estate using "informal", "unsupervised", or
"independent" probate or equivalent legislation designed to operate without unnecessary
intervention by the probate court.
ARTICLE VI
MISCELLANEOUS PROVISIONS
A. Paragraph Titlres and Gender. The titles given to the paragraphs of this Will are inserted for
reference purposes only and are not to be considered as forming a part of this Will in interpreting
its provisions. All words used in this Will in any gender shall extend to and include all genders,
and any singular words shall include the plural expression, and vice versa, specifically including
"child" and "children", when the context or facts so require, and any pronouns shall be taken to
refer to the person or persons intended regardless of gender or number.
B. Thirty Day Survival Requirement. For the purposes of determining the appropriate
distributions under this Will, no person or organization shall be deemed to have survived me
unless such person or entity is also surviving on the thirtieth day after the date of my death.
C. Common Disaster. If my spouse and I die under circumstances such that there is no clear or
convincing evidence as to the order of our deaths, or if it is difficult or impractical to determine
which person survived the death of the other person, it shall, for the purpose of distribution of my
life insurance, property passing under any Trust or other contracts, if any, and property passing
under this Will, be fonclusively presumed that I survived the death of my spouse.
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D. Liability of Fiduciary. No fiduciary who is a natural person shall, in the absence of fraudulent
conduct or bad faittJ:, be liable individually to any beneficiary of my estate, and my estate shall
indemnify such natural person from any and all claims or expenses in connection with or arising
out of that fiducia.rr's good faith actions or nonactions as the fiduciary, except for such actions or
nonactions which ct>nstitute fraudulent conduct or bad faith.
E. Beneficiary Di!!fJUtes. If any bequest requires that the bequest be distributed between or
among two or more beneficiaries, the specific items of property comprising the respective shares
shall be determined by such beneficiaries if they can agree, and ifnot, by my Executor.
IN WITNESS WHEREOF, I have subscribed my name below, this ~ day of
.J.u /)-0 .19!/.J
/~ I/~?J)
Edwin W. Geiger --
We, the undersigned, hereby certify that the above instrument, which consists of /..j
pages, including the page(s) which contain the witness signatures, was signed in our sight and
presence by Edwin W. Geiger (the "Testator"), who declared this instrument to be his/her Last
Will and Testament and we, at the Testator's request and in the Testator's sight and presence, and
in the sight and presence of each other, do hereby subscribe our names as witnesses on the date
shown above.
Name:
City:
State:
4~ 11~+,
7/::OdO~~4' UdJ7W
~/7J():;'~ 9- ~<I:z,
Witness Signature:
Name:
City:
State:
\.Jlt\tL f\-. ~dj'd/Y1
'-rA~-A N. &QD-S~~
LF rv\O\fl\.E
PA
Witness Signature:
- 3 -
hll~7
~ \, 'f.... ' ..
Pennsylvania Self-Proving Clause
commonwetth of Pennsylvania
County of ~)~
I, Edwin W. Geiger, Testator whose name is signed to the attached or foregoing instrument,
having been duly qValified according to law, do hereby acknowledge that I signed and executed
the instrument as my Last Will; that I signed it willingly and as my free and voluntary act for the
purposes therein expressed.
Sworn or affirmed to and acknowledged before me bX Edwin W. Geiger, the Testator, this
/ f~Jcday of ..Jl.Jw,r; , 19~.
!
(SEAL)
Notarial Seal
Judy S. Grdjan, Notary Public
Lemoyne Boro, Cumberland County
My Commission Expires April 8, 2000
(Sign
Il)owfj, f)~dj~.
(Official capacity officer)
Affidavit
Commonw. ealth of pennsylvanid
County of (l u m heR)fi /l '
We,-fJH?udot?e I} tlRdc../~,o andz;9,.e,;;)}. tLi€dJ/l1{) the witnesses whose
names are signed to the attached or foregoing instrument, being duly qualified according to law,
do depose and say that we were present and saw Testator sign and execute this Will as hislher
Last Will; that the Testator signed willingly and executed it as hislher free and voluntary act for
the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the
Will as a witness; and that to the best of our knowledge the Testator was at that time 18 or more
years of age, of sound mind and under no constraint or undue influence.
Sworn or affirmed to .and subscribed to before me by-r/t.fa:Jo;e.c ,# L#dv/hU and
---r;4i:/f .AJ Ii/?C/.f/h.J witnesses, this /9fA.dayof .Ju /J.;/...
19 9 c, . I