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Home My WebLink About03-09-06 REV-1500 EX + (8-00) COMMONWEALTH OF PENNSYl VANtA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV -1500 INHERITANCE TAX RETURN RESIDENT DECEDENT t- Z W C W o W C W I- ~ ~U) o~~ wD.O xOo O ~...J D.ID D. c( DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL) TRENN DORIS B. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD- Year) [R] 1. Original Return D 4. Limited Estate [R) 6. Decedent Died Testate (Attach copy of Will) D 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (daleofdealhaller 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) ~~EONLY FILE NUMBER 21 -050929 C'OUNTYCODE ---VEAR- - - NUMBER- - SOCIAL SECURITY NUMBER o 76- 1 4 - 6 6 8 4 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER D 3. Remainder Return (daleofdealhprior~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) (Altach Sch 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS JOHN M. EAKIN MARKET SQUARE BUILDING FIRM NAME (If Applicable) z o ~ :5 ::::>> t- o: <( o w 0:: z o t= <( t- ::::>> D.. :E o o >< <( ... 10/11/2005 03/19/1920 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAl) I- Z W C Z o D. r/) W ~ ~ o o TELEPHONE NUMBER 717 766-3172 MECHANCISBURG, PA 17055 61 ,884.75 X .045 (15) X _ (16) X .12 (17) X .15 (18) (19) 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. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 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 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20.0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 42,851.75 12,201.75 10,352.86 (8) 4,352.86 168.75 (11) (12) (13) (14) 65,406.36 4,521.61 60,884.75 60,884.75 2,784.81 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < o d t' C I t Add ece en s ampl e e ress: STREET ADDRESS BETHANY VILLAGE NURSING HOME . 325 WESLEY DRIVE CITY I STATE I liP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1 ) 2.784.81 Total Credits (A + B + C) (2) 3. Interest/Penalty if applicable D. Interest E. Penalty T otallnterest/Penalty ( D + E ) (3) 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 (4) 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) 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) 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 00 b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 00 c. retain a reversionary interest; or ...................................................................................................... 0 00 d. receive the promise for life of either payments, benefits or care? ............................................................. 0 00 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.............................................................................................. D lKl 3. Did decedent own an lIin trust for" or payable upon death bank account or security at his or her death? ................. 0 00 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 [Xl 0.00 2,784.81 2,784.81 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ADDRESS DATE /? . ,/ -5-'- b - DC!? ADDRESS .DAT ;) oj T SQUARE BUILlDNG HANICSBURG. PA 17055 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. ~9116 (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. ~9116 (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. ~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%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(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. ~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. ~ V'JE~lEY AFFILIATED SERVICES, INC. (BETHANY VilLAGE, INC.) RESIDENT: DORRIS TRENN ENTRANCE FEE AMORTIZATION PER CONTRACT Entrance Monthly Year to Date Cummulative Year Month Fee Amortization Activity Balance 2003 71,700 0 71,700 71,700 November (1,195) (1,195) 70,505 December 0 (1,195) (1,195) 69,310 2004 January 0 (1,195) (1,195) 68,115 February 0 (1.195) (1.195) 66.920 March 0 (1,195) (1,195) 65.725 April 0 (1,195) (1,195) 64,530 May 0 (1,195) (1.195) 63.335 June 0 (1,195) (1,195) 62.140 July 0 (1.195) (1,195) 60.945 August 0 (1,195) (1,195) 59,750 September 0 (1,195) (1,195) 58,555 October 0 (1.195) (1.195) 57,360 November 0 (1.195) (1,195) 56.165 December 0 (1.195) (1.195) 54.970 2005 Januarv 0 (1,195) (1,195) 53,775 Februarv 0 (1,195] [1,185] 52,580 March 0 [1,195] [1.185] 51,385 April 0 (1,195) (1,195) 50.190 May' 0 (1.185) (1.185) 48.885 June 0 (1,195) (1,195) 47.800 July 0 (1,195) (1,195) 46,605 August 0 (1,195) (1.195) 45.410 September 0 (1,195) (1,195) 44,215 October 0 (1,195) [1,195) 43,020 71.700 (28.6801 43.020 Amount Subject to Refund less A/R Balance Total Refund 43.020 [1691 42.851 REV-1503 EX + (6-98) .w COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF TRENN. DORIS B. FILE NUMBER 21 05 All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0929 ITEM NUMBER 1. DESCRIPTION PRINCIPAL FINANCIAL GROUP STOCK 261 COMMON SHARES @ $46.75 VALUE AT DATE OF DEATH 12,201.75 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed. insert additional shee1s of the same size) 12.201.75 REV-1508 EX + (6-98) .* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF TRENN DORIS B. FILE NUMBER 21 05 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0929 ITEM NUMBER 1. DESCRIPTION CITIZENS BANK ACCOUNT #747662 VALUE AT DATE OF DEATH 3,064.18 2. PNC BANK ACCOUNT #348753 3. ADAMS COUNTY NATIONAL BANK 4. CASH 5. COLLENS-WAGNER AGNECY INC. 6. VERIZON 7. COMCAST 8. BETHANY VILLAGE 9. NEW YORK LIFE INSURANCE CO. 235.18 5,568.71 84.00 20.00 4.04 20.51 393.05 963.19 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 10 352.86 ~mage Print e l'NC f" :~ PAY nus A.!\tOl,;~r i PA.Y lO 1 oapa OF, I ! Page 1 of 1 .~--"............. ... ,.. - ..a I NEW yoal. UFE I"'S\':RA.~CE CO:\1PA:\\' 51 MADISON AVt.~\.t: NEW YOIlK, NEW YORK 10010 .. 'VA .. OiECk:\Ot 0021151474 Y REFERENCE NUMBER: 17751170 111331 DECEMBER 22. 200S 5*.****963..9 NINE HUNDRED SIXTY-THREE 1111/100 DOLLARS ESTATE OF DORIS B TRENN.DAVIO A YOUNG AS EXECUTOR" 598 RANGE END RO DfLLSBURG PA 11019 Kq 8a.n" 117 hbltc S,UlIft. Oc\t1...4, OU 44Ut. '---...-..... - .........._.~..... ""-~..------- _....---.~ -- -----_.- -_....~ -- - -..-----..-...----------...- -.......--- -. -~-_.._------_...- .. --- -... --..."""----.,... ~ - -- .-.--- ..00 ~ 56 5 Slt '1 le"- ':0.. i ~O 70&.0-: 3 SOq ~ l 5 ~ ~ q 78''- ,"00000 q b l ~ q," Front (...J .8 II !J it ~I 1:1 II ;. ii ~ ~ "' , ,1 ." A ~ ...~ . t". "'0310o-vQS34 NO: Pl'j ~~\~i! ~...;.) ~N) ~U4 (1~(( ., 7 ::..::.. ~ i:-: ;:; i:- i I:..... i-. i -'';'\Ji- v-.zu .i ...."Z" "' ~ P I i .... Back This is an image/copy of a check you wrote or deposited. Please refer to your available balance since this item may not be credited to or debited from your account at this time. https://www.eai.pncbank.comleai/EaiAddressServlet 1/18/2006 Itftage Print 1'/, i .l !J !l..-/ ., ,'I f (~I)NC Page 1 of 1 CaLLENS-WAGNER AGENCY, INC. ~ -,. ?-It .sn...-- ,,---- 2900 EASn:RN BLVD. · P.o. eox 3307 YORK. r^ 11402-3070 60.1421313 FUlTON BANK 6622 TWENTY DOLLARS and 00 CENTS PAY DATE 09128105 TO THe OROER OF Doris B Trenn X 325 Wesley Drive Mechanicsburg. PA 17055 AMQOt4T $20.00. t . o $ Cancellation 0' 0 0 b b ~ 2'" t: 0 1 1. ~ 0 l. t. 2 21: J . (l 4 , 3 . G Front - ~_....-.... ...,......:..~_._...,...._, ......--- ~.o~ ,~ .:):~t;~':)~3. ".;~ ~=','; TJ~J'.~I/'I .'!,. ~~ l1:~~.i:: F; ;:j t:~s.il 25(:)0839568 Back This is an image/copy of a check you wrote or deposited. Please refer to your available balance since this Item may not be credited to or debited from your account at this time. https://www .eaLpncbank.comJ eai/EaiAddressServlet 1/18/2006 rf"'" " ., .-. Selllor Checking Platl Account Statemellt PNC Bank t ~ PNCBAN- For the period 08/24/2005 to 09/23/2005 Primary account number: 50-0321-8753 . Page 1 of 1 Number of enclosures: 0 F DORIS B TRENN 325 WESLEY DR APT 3107 MECHANICSBURG PA 17055-3501 C For 24-hour banking, customer service and ~ transaction or interest rate information, tr sign-on to Account link ~ by Web on pncbank.com or call1-888-PNC-BANK Para servicio en espanol, 1-866-HOlA-PNC Moving' Please contact us at 1-888-PNC-BANK r2!SI Write to: Customer Service PO Box 609 Pittsburgh PA 15230-9738 lQJ Visit us at pncbank.com ~ [I TDD terminal: '-800-531-1648 For hearing impaired clients only Effective September 26, 2005, PNC Bank will no longer accept bond coupons Federal Reserve Bank, which processed bond coupons, is discontinuing this This change will affect the collection of * Municipal Bonds . U. S. Treasury Bonds . Corporate Bonds for redemption. The service for all banks Therefore, bond coupon collection will no longer be available. Please contact your bond issuer or an investment advisor for alternative redemption options. This change does not impact U. S. Savings bonds, which are still redeemable at any PNC Bank branch. Need to know what is on your credit report? Sign up for a 30-day trial of Credif"Honitoring today and receive a free copy of your TransUnion Credit Report and Credit Score online. Visit http://www.pncbank.com/creditreport Senior Checking Plan Regular Checking Account Summary Account number: 50-0321-8753 Doris B Trenn Balance Summary Beginning balance 235.18 Deposits and other additions .00 Checks and other deductions .00 Ending balance 23~: H~.~. _.--'_c-.- .--'--'--'--- Average monthly-Charges balance and fees 235.18 .00 FORM963R-04 / Page 1 of 1 (' ,...,.., Z. i. IV I if' A I. ~ IMII 10/21/05 DDA STATEMENT HISTORY 10.26.51 PAGE 1 DORIS B TRENN ACCT NO. 060-000-0000-6100747662 325 WESLEY DR APT 3107 DATE LAST STATEMENT 10/05/05 MECHANICSBURG PA 17055 DATE THIS STATEMENT 10/21/05 *****DDA TRANSACTIONS***** BEGINNING CHECKS/OTHER DEBITS DEPOSITS/OTHER CREDITS ENDING BALANCE NO. TOTAL AMOUNT NO. TOTAL AMOUNT BALANCE 14797.12 1 14000.00 6 2267.06 3064.18 DATE 08/30 08/31 09/02 09/06 09/30 10/03 10/05 CHECK# 851 AMOUNT TYPE TRANSACTION DESCRIPTION BALANCE 14000.00 CHECK 797.12 61.18 PA TREASURY DEPT ANNUITANT 858.30 1071.00 US TREASURY 303 SOC SEC 1929.30 2.64 CR INTEREST 1931.94 61.18 PA TREASURY DEPT ANNUITANT 1993.12 1071.00 US TREASURY 303 SOC SEC 3064.12 0.06 CR INTEREST tiel n 3064.18 http://branchplatformltouchpoint/3270/emuI3270.htm 10/21/2005 REV-1511 EX + (12-99) .W SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF TRENN. DORIS B. FILE NUMBER 21 05 0929 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. MAlPEZZI FUNERAL HOME, FUNERAL 317.76 2. DAVID A. YOUNG - REIMBURSEMENT FOR FUNERAL DINNER 592.81 3. JEREMY SHARTZER- GRAVESIDE MARKER 800.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s)JEIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. Attomey Fees JOHN M. EAKIN 2,200.00 3. Family Exemption: (If decedenf~ address is not the same as c1aimanfs. attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. ProbateFees REGISTER OF WillS - lETTERS TESTAMENTARY 148.00 5. Accountanfs Fees 6. Tax Retum Prepare(s Fees 7. CUMBERLAND LAW JOURNAL, ESTATE NOTICE 75.00 8. THE SENTINEL, ESTATE NOTICE 144.29 9. NEW YORK VITAL STATISTICS, DEATH CERTIFICATES 10.00 10. REGISTER OF WILLS- FILING FEE 15.00 11. RESERVED FOR FILING RELEASES 50.00 TOTAL (Also enter on line 9, Recapitulation) $ 4.352.86 (If more space is needed. insert additional sheets of the same size) REV-1512 EX + (6-98) .* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF TRENN. DORIS 8. FILE NUMBER 21 05 0929 Include unrelmbursed medical expenses. ITEM NUMBER DESCRIPTION 1. ALERT PHARMACY VALUE AT DATE OF DEATH 168.75 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 168.75 REV-IS13 EX + <'* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS pndude outright spousal distributions. and transfers under Sec. 9116 (a) (1.2)] RELATIONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s) OF ESTATE 1. Robert J. Young, II 18 Autumn Drive Dillsburg, PA 17019 Richard L. Young 800 York Road Dover, PA 17315 David A. Young 605 Range End Road Dillsburg, PA 17019 Glenna Young, widow of James B. Young, son of decedent 33034 Anasazi Drive Temecula, CA 92592 son 1/4 of residue 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) 2. son 1/4 of residue 3. son 1/4 of residue 4. daughter-in-law 1/4 of residue 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 ......................;....~~ 0'" Il_.'~':<I'~L..Jwod;.~~""'.Jl~.~II.l~__.;.. .~.~~~I~~I.......~f}J~~.......a..iIlw...'.._~ .....~.... -,:..i....<...._~,<'.~lr~~ ~,.""" ...~~....~~ cI!:;E 1~ .... .... , ~ . #. r . "Ii'. . j' .. '.. r .... > ~.. # I ". ,..... ..._ ... ...~..-- .......-....... ......- LAST W/LLAND TESTAMENT 'OF DORIS B. TRENN I, DORIS B. l'RENN, of the l'ownship of Franklin, County of York and State of Pennsylvania, being of sound and disposing Jmud, IllelnolY and understanding, do luake, publish and declare this illY Last Will and Testalnent, hereby revoking and making void any and all prior Wills by Ule at any tilue heretofore JDade. 1. I direct the paYlnent of allluy just debts and funeral expenses as soon after Iny decease as the sanle can be conveniently done. 2. I give, devise and bequeath lIlY entire estate, real, personal and tnixed, as follows: A) Oue fourth to Iny son, Robert J. Young II B) One fourth to my son, David A. Young C) One fourth to my son, Richard L. Young D) One fourth to my daughter-in-law, Glenna Young, widow of James B, Young, deceased. LASTL Y, I nominate, constitute and appoint my son, DAVID A. YOUNG, - 1 - ./1 /: ,< ;)- /.Executor of tillS my Last Will and Testament. J 1 ..........-4''''T""''"A~. 'q....:ro-....~....,,..... T.. ...., .,., 11 I direct that my said personal /.,;~l;.~;'J;?-.~:.~~'~A';~',:, . :. '\ ~ t ..,JJ!,!eJ?fes~ntative be excused frotn posting bond or other security for the faithful , i~2:"J"'I;.k{ t:i ~;"'l" 1".," ',(I ~"."l 'r'. ~ .;", .r-,_:;' ~ '.". i' ! " .' perfonnance of his duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal this J-u( day of Decelnber, A. D., 2002. [~~};~t'>&.:., /y~g~ Doris B. Trenn (SEAL) COMMONWEALTH OF PENNSYLVANIA) ss COUNTY OF CUMBERLAND) I, DORIS B. TRENN, the testatrix, whose name is signed to the attached or foregoing instrwnent, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as nIY Last Will and Testament; that I signed it willingly, and that I signed it as Iny free and voluntary act and deed, for the purposes therein expressed. ~. ~ . ' "-CJ ~.A A.,~ Doris B. TretID (SEAL) Sworn and subscribed to before me this jtti day of December, 2002. ~~:!J~ . Ndat18I Seal Angela K. Vamer. Ndary Nic AechricStuo BolO. Cu.-..nd County My eu,.risSIon &.pres Mar. 27. 2000 ~~ ~ Assodation Of~ries -2- \ . .;...;<~~. . . .", \4""~:H",' ;:1: ""~"".: t' . ."t.. I / COMMONWEALTH OF PENNSYLVANIA) SS COUNrry OF CUMBERLAND) - (l-I L (\ r\ ,a,L..t: We, the wIdersigned, JOliN M. EAKIN and ,wOI4 1-1, , the witnesses whose natnes are signed to the attached or foregoing instrwnent, being duly qualified according to law, depose and say that we were present and saw the within testatrix, DOltIS B. l"RENN, sign atId execute the iustrwnent as her Last Will and Testament; that the said testatrix, DOI~lS B. TRENN, executed it as her voluntary act for the purposes therein expressed; that each of us, in the hearing and sight of the testatrix, signed the Will as witnesses; and that, to the best of our knowledge, the testatrix was, at the time, eighteen (18) or lnore years of age, of sound mind, and under no constraint, duress or Wldue influence. .a Sworn and subscribed to before me this jfli day of December, 2002. . VOWrLVv NoIarfaI SeeI Med1 ~ K Vamer. Notary NJrIc . .~ Bora Ctmbeftand 1"--... ~ Ca)illlwbl ~ Mar. 21. ~" ~'~~Of~ -3- . -:- " f f- " "". - / -" .... . /