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HomeMy WebLinkAbout01-18-06 1 REV-1500 EX + (6-00) * W ~\illl Uii!~ WD-U :1:00 UD:.J D-lll D- el: OFFICIAL USE ONLY COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT FILE NUMBER II 0190 NUMBER I- Z W C W U w C DECEDENTS NAME (LAST, FIRST, AND MIDDLE INITIAL) Ragonese, Daniel DATE OF DEATH (MM-D[)'YEAR) DATE OF BIRTH (MM-D[)'YEAR) 01-22-2005 12-13-1916 (IF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST, FIRST AND MIDDLE INITIAL) [!] 1. Original Return D 4. Limited Estate [!] 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received o D D D 2. Supplemental Return 05 COUNTY CODE YEAR SOCIAL SECURITY NUMBER 136-07 -4869 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 4a. Future Interest Compromise (date of death after 12-12-82) 7. Decedent Maintained a Living Trust (Attach copy of Trust) 10 Spousal Poverty Credit (date of death between . 12-31-91 and 1-1-95) D 3. Remainder Retum (date of death prior to 12-13-62) D 5. Federal Estate Tax Return Required ~ 8. Total Number of Safe Deposit Boxes D 11. Election to tax under Sec. 9113(A) (Attach Sch 0) I- Z W C Z o D- III W D: D: o U NAME George F. Douglas III FIRM NAME (If applicable) Said is, Shuff, Flower & Lindsay TELEPHONE NUMBER (717) 243-6222 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship z o i= :3 ::::l l- ii: c( u w 0:: 4. Mortgages & Notes Receivable (Schedule D) 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) D Separate Billing Requested 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 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) COMPLETE MAILING ADDRESS 26 West High Street Carlisle, PA 17013 ~ (1 ) None OFFICIAJ.:. ~SE ON~-Y; "..~.~1 ) ~ (2) 183,423.19 .. (3) None (4) None (5) 9,499.93 '" ,j (6) 23,213.52 c.'. (7) 13,756.23 (8) 229,892.87 (9) 17,018.58 (10) 7,762.01 (11 ) (12) (13) (14) 24,780.59 205,112.28 0.00 205,112.28 13. Charitable and Governmental Bequests/See 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) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. 15. Amount of Line 14 taxable at the spousal tax rate, 0.00 x .00 (15) z or transfers under Sec. 9116(a)(1.2) 0 (16) i= 16. Amount of Line 14 taxable at lineal rate 205,112.28 x .045 ~ ::::l Q. 17. Amount of Line 14 taxable at sibling rate 0.00 x .12 (17) :;: 0 u 18. Amount of Line 14 taxable at collateral rate 0.00 .15 (18) ~ x 19. Tax Due (19) 0.00 9,230.05 0.00 0.00 9,230.05 Copyright 2002 form software only The Lackner Group, Inc. Form REV-1500 EX (Rev. 6-00; Decedent's Complete Address: STREET ADDRESS Forest Park Health Center CITY Carlisle ISTATE PA !ZIP 17013 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 9,230.05 0.00 Total Credits (A + B + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty (0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. (4) 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. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5B) 9,230.05 9,230.05 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 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;.................................... ~ 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 ~ o ~ 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?..................................................................................................................... ~ 0 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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS Janet Sternbergh DATE 107 Adams Road Carlisle, PA 17013 /,;/;11 jOJ"" DATE ADDRESS ~ I ( y lo( DATE ADDRESS 26 West High Street Carlisle, PA "!7013 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. 99116 (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. 99116 (a) (1.1) (ii)]. The statute does not exemot 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. 99116 (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. 99116 1.2) [72 P.S. 99116 (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. 99116 (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-1503 EX+ (6-98) *' SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Ragonese, Daniel FILE NUMBER 21-05-0190 ESTATE OF All property jolntly-owned with right of survivorship must be disclosed on Schedule F. ITEM CUSIP VALUE AT DATE NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH 1 148 shares Prudential Trust, Acct. #3886124, at 53.95 7.984.60 per share 2 817 shares Public Service Group, at 50.57 per share 41.315.00 3 Parker Hunter, Investment Acct. #6959-2233 12.125.00 500 shares Bristol Myers Squibb Co., at 24.25 per share 4 Parker Hunter Investment Acct. #6959-2233 26.550.00 750 shares General Electric Co., at 35.40 5 Parker Hunter, Investment Acct. #6959-2233 20.442.50 250 shares 3M Corp., at 81.77 6 Parker Hunter Investment Acct. #6959-2233 4.019.00 50 shares Zimmer Holdings, Inc., at 80.38 7 Parker Hunter Investment Acct. #6959-2233 13.593.92 998.085 shares Bond Fund of America, CI A, at 13.62 8 Parker Hunter Investment Acct. #6959-2233 13.993.17 771.824 shares Income Fund of America, CIA, at 18.13 9 Parker Hunter Investment Acct. #6959-2233 43.400.00 43,400 shares money market fund, at 1.00 TOTAL (Also enter on Line 2, Recapitulation) 183.423.19 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule B (Rev. 6-98) Rev-1'5Q8 EX+ (6-98) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERIT ANCE TAX RETURN RESIDENT DECEDENT Ragonese, Daniel FILE NUMBER 21-05-0190 ESTATE OF Include the proceeds of litigation and the date the proceeds were received by the estate. All property JolntJy-owned with the right of survivorship must be disclosed on schedule F. ITEM NUMBER DESCRIPTION 1 Return of escrow funds from sale of real estate on 12/16/03 VALUE AT DATE OF DEATH 9.339.28 2 Blue Shield Refund of premium 160.65 TOTAL (Also enter on Line 5, Recapitulation) 9.499.93 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+ (6-98) *' SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ragonese, Daniel FILE NUMBER 21-05-0190 If an asset was made joint within one year of the dec:edenrs date of death, It must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME A. Janet Sternbergh ADDRESS RELATIONSHIP TO DECEDENT 107 Adams Rd. Carlisle, PA 17013 Daughter B. C. JOINTLY OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT DATE OF DEATH DECD'S VALUE OF NUMBER TENANT JOINT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR VALUE OF ASSET INTEREST DECEDENrSINTEREST JOINTL V-HELD REAL ESTATE. 1 A 7/27/1998 M&T Bank, checking acct. #3740168848 26.619.31 50.000% 13.309.66 joint with Janet Sternbergh 2 A 3/27/1991 M&T Bank, savings acct. 19.807.71 50.000% 9.903.86 #15004200919354 joint with Janet Sternbergh TOTAL (Also enter on Line 6, Recapitulation) 23.213.52 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev.1510 EX+ (6-98) *' 8CHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Ragonese, Daniel FILE NUMBER 21-05-0190 ESTATE OF This schedule must be completed and filed if the answer 10 any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % OF DECD'S EXCLUSION TAXABLE NUMBER INCLUDE NAME OF TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE THE DATE OF TRANSFER. ATTACH A COpy OF THE DEED FOR REAL ESTATE. 1 M&T Bank IRA Acct. #035004200213350 - Janet 13.756.23 13.756.23 Sternbergh is benef. TOTAL (Also enter on line 7, Recapitulation) 13.756.23 <If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule G (Rev. 6-98) REV-1151 EX+ (12-99) . SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Ragonese, Daniel Debts of decedent must be reported on Schedule I. FILE NUMBER 21-05-0190 ESTATE OF ITEM DESCRIPTION AMOUNT NUMBER A. FUNERAL EXPENSES: See continuation schedule(s) attached 10,796.70 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s) I EIN Number of Personal Representative(s): Street Address City State Zip - Year(s) Commission paid 2. Attomey's Fees 5,000.00 See continuation schedule(s) attached 3. Family Exemption: (If decedent's address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 302.00 See continuation schedule(s) attached 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 919.88 See continuation schedule(s) attached TOTAL (Also enter on line 9. Recapitulation) 17,018.58 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H-A FUNERAL EXPENSES continued COr.lMONWEALTH OF PENNSYlVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Ragonese, Daniel FILE NUMBER 21-05-0190 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Costello-Koyen Funeral Home 10.796.70 Subtotal 10.796.70 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-A (Rev. 6-98) Rev.1502 EX+ (6.98) *' SCHEDULE H-82 ATTORNEY'S FEES continued COMMONWEAL"fH OF PENNSVLV~IA INHERITANCE TAX RETURN RESIDENT DECEDENT Ragonese, Daniel IFILE NUMBER 21-05-0190 ESTATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Said is, Shuff, Flower & Lindsay 5,000.00 Subtotal 5,000.00 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B2 (Rev. 6-98) Rev-1502 EJ(+ (6-98) *' SCHEDULE H-84 PROBATE FEES continued CONMONWEAL TH OF PENNSYLVANIA INHERIT ANCE TAX RETURN RESiDENT DECEDENT Ragonese, Daniel FILE NUMBER 21-05-0190 EST ATE OF ITEM NUMBER DESCRIPTION AMOUNT 1 Register of Wills, Cumberland County 302.00 Subtotal 302.00 Copyright (C) 2002 form software only The Lackner Group, Inc. Form PA.1500 Schedule H-B4 (Rev. 6-98) Rev-1502 EX+ (6-98) *' SCHEDULE H-B7 OTHER ADMINISTRATIVE COSTS continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Ragonese, Daniel FILE NUMBER 21-05-0190 ITEM NUMBER DESCRIPTION AMOUNT 1 Cumberland Law Journal - estate notice 75.00 2 Register of Wills - filing fee for tax return 15.00 3 The Patriot News - estate notice 145.26 4 Travel expenses to take care of funeral in New Jersey 684.62 Subtotal 919.88 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H-B7 (Rev. 6-98) REV 1513 EX+ (9~O) . SCHEDULE .. BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF NUMBER Ragonese, Daniel NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS pnclude outright spousal C1istributions, and transfers under Sec. 9116(a)(1.2)] FILE NUMBER 21-05-0190 RELATIONSHIP TO DECEDENT Do Not LIst Trustee(s) SHARE OF ESTATE AMOUNT OF ESTATE (Words) ($$$) I. Janet Sternbergh 107 Adams Road Carlisle, PA 17013 Daughter entire estate Total 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 B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 0.00 Copyright (c) 2002 form software only The Lackner Group, Inc. 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'",~. ~. lfJ Z o i= Z ~ o z ~ 5 u II: ~ w lfJ II: w ~ II: w w lfJ . n.)" 0: !; Z " - 101 <=0 o~_.. ~ m - .-- ( Ul z J. n~ ~ * P ~g~~~. ~ z" u l'\)'<< .. Ul ~ ~ C( ~ ~ A ~ 0_ u z~ c(. l-1 ~~ lW ~ ~~ ...JW W:; W !:! :> ll:li W OUl 101 zu l:l- _...J UllD [[=:I ~c.. Z ::J o >- u m >- m m1 M&fBank 499 Mitchell Road, Millsboro, DE 19966 Mail Code DE-MB-12 Phone (888) 502-4349 Fax (302) 934-2955 March 14,2005 Law Offices Saidis, Shuff, Flower & Lindsay 2109 Market Street Camp Hill, Pennsylvania 17011 Re: Estate of" Daniel Raf!Onese Social Securitv: 136-07-4869 Date of Death: Januarv 22. 2005 Dear Sir or Madam: Per your inquiry dated March 03, 2005, please be advised that at the time of death, the above-named decedent had on deposit with this bank the following: 1. Type of Account Checking Account Account Number 3740168848 Ownership (Names oj) Daniel Ragonese, Joint Owners * Janet M Sternbergh, Joint Owners * Opening Date 7/27/98 Balance on Date of Death $26,619.31 Accrued Interest $ 0.00 Total $26,619.31 2. Type of Account Savings Account Account Number 015004200919354 Ownership (Names oj) Daniel Ragonese, Joint Owners * Janet M Sternbergh, Joint Owners * Opening Date 3/27/91 Closed 02/03/05 Balance on Date of Death $19,804.04 Accrued Interest $ 3.67 Total .--sTfBol.7T-.------------..-..---.---...-.------..-.-.----.---..-..-..-..---.--..---......- 3. Type of Account IRA Account Number 035004200213350 Ownership (Names oj) Daniel Ragonese Janet M Sternbergh, Beneficiary Opening Date 4/13/99 Balance on Date of Death $13,749.49 Accrued Interest $ 6.74 Total $13,756.23 Please be advised, there was no safe deposit box found for the above decedent. * For further account information, regarding ownership, closures and/or reimbursement of funds, etc., please call the High Street Carlisle Office # 717-240-4536. Sincerely, -1fu7~~ Nancy Clagett Records Management . ~::: ~ LAST WILL AND TESTAMENT I, Daniel Ragonese, of 20 Annendale Drive, South Middleton Township, Cumberland County, Pennsylvania, being of sound and disposing, memory and understanding, declare the following to be my last will and testament, hereby revoking any and all wills heretofore made by me. Item 1. I direct my executor hereinafter named to pay all my debts ,md. funeral expenses. Item II. I hereby give, devise and bequeath my entire estate to my spouse, provided said spouse survives me by 30 days. Item III. I hereby give, devise and bequeath all my property, real and personat to my daughter Janet Sternbergh. H she should predecease me, then, her share shall go to the issue of her body, per stirpes, in trust nontheless, as hereinafter set forth. Item IV. I hereby nominate and appoint Janet Sternbergh, to serve as executrix, and direct that said individual be permitted to serve without bond. In the event she is unable or unwilling to serve I hereby appoint her husband Elliott Sternbergh, to serve in said capacity and direct that he be permitted to do so without bond. Item V. In the event my said daughter has predeceased me and my grandchild(ren) have not attainted the age of 25, the bequest to said children shall be held in trust for the benefit of said children. Upon the attainment of the age of 25, their per stirpes share of the principal and income then available shall be released to said child and their interest in the remainder of the trust shall termina te. .. ~ .. ~> Item VI. I hereby appoint, my son in law, Elliott Sternbergh to serve as trustee. He is to serve in said capacity in accordance with the laws of Pennsylvania. Should he be unable or unwilling to serve, I hereby appoint Farmers Trust Company of Carlisle, Pennsylvania to serve in said capacity. IN WITNESS WHEREOF, I have hereunto set my hand and seal this 21st day of December, 1992. f .] / './// . .. /1 :/: /a-l2--::.t:..,J:-- ^ ( c:t:4D.--:J~~ ,1'_"' L' - Daniel Ra(g:ese Signed, sealed, published and declared by the above named testator, as and for their last will and testament, who at their request, in their presence, in our presence, and in the presence of ea.ch other have hereunto subscribed our names (jattesting witnesses: , ( rjyJ.J1~^ t. ~1,..Q/{ O~A-' p~ ~~ ~'~~r .. .. COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND (. C\ en. A c: We, Q jl..~f-~' t13\J~\~l!, and , the witnesses whose - 0 names are signed to the attached or foregoing instr ent, being duly qualified according to law, do depose and say that we were present and saw the testator sign and execute the instrurn.ent as their last will, and that it was signed willingly and executed as their last vvin J and tltat it \-vas done freely and voluntarily for the purposes therein contained, that each oJ us in the hearing and sight of the testator signed the will as witnesses; 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. t ffi9' t ! ) ;"1 \ t' .- lliJ..o '~OJ- v..} Sworn to and subscribed be~o~;.... ,r.--n;..b,ljr me this c~ I A-C day ofUo",Tem:p:er, 1992. ..r-J // (I U().'"\' II '---J./.l/J.V l- 7 /' !. ,~Ii'J /' / I Notary NOTARIAL SEAL JANET M, lAY NOTARY PUBLfC CARLISLE BORG,. CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 26, 1995 "'" ~ . COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND I, Daniel Ragonese} whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will} that I signed it '''tillingly, and that, I signed it as my free and voluntary act for the purposes therein expressed. " ) , /j ..[/vl/f',;I<' j .? f,> F/ ( /-:.:- ~/(---7/? ," ..r."' 1/' , >:;..c...., ,--,&../--.:.-"'L.-~v ,- "-- vL..:/ .c.> .I...::;..:e:.... .~ /// Daniel Ragonese Sworn to and subscribed bef~ " It!./... ~ /) !7".. / · c..t.-tyv'"'-" 'I../' me thisd/ I/J:t- day oH. mbe-r} 1992. c:::Z>Yl / Notary NOTARIAL SEAL JANET M, LAY NOTARY PUBLIC CARl1SLE BORO" CUMBERLAND COUNTY MY COMMISSION EXPIRES JUNE 26. 1995