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Home My WebLink About05-10-06 -I 15056051058 REV-1500 EX (06-05) PA Department of Revenue . Bureau of Individual Taxes PO BOX 280601 Harrisburg, PA 17128-0601 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death OFFICIAL USE ONLY County Code Year 1J 05 File Number INHERITANCE TAX RETURN RESIDENT DECEDENT lao Date of Birth 195-32-4561 08/22/2005 12/02/1909 Decedent's Last Name Suffix Decedent's First Name Kray Helen <If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW . 1. Original Return 2. Supplemental Return 3. Remainder Return (date of death prior to 12-13-82) 5. Federal Estate Tax Return Required 4. Limited Estate 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) 11. Election to tax under Sec. 9113(A) (Attach Sch. 0) 8. Total Number of Safe Deposit Boxes . 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number , --;. Catherine O'Connor Firm Name (If Applicable) (503) 681-9136 - -=--, -, . ' REGISTER OF WllLSflSE ONLY t...-> First line of address ....,., , i 2075 NE Josephine Drive ; <) Second line of address :-."'; -..J City or Post Office Hillsboro State ZIP Code DATE FILED OR 97124 Correspondent's e-mail address: 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. OF PERSON ESP 0<.\ NY ~E 4 / Jg'J{) ---:Jo.;<fJ" De- Side 1 L 15056051058 15056051058 MI E MI ~.~, (") . il .-" !-'1 /. ) -,1 . " ) .. ','1 --.J @ REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Helen E. Kra y STREET ADDRESS 109 Messiah Village -- :1=.1.1.,_ _~...m bQr .. .. _ . DECEDENT'S SOCIAL SECURITY NUMBER 195-32-4561 -- -- CITY Mechanicsburg I STATE PA I ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. CredilslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) 46,835.00 42,563.00 2,240.00 Total Credits ( A + B + C ) (2) 44,803.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( D + E) (3) 4. If line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (5) (SA) (58) 2,032.00 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. 2,032.00 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 [KJ b. retain the right to designate who shall use the property transferred or its income; ............................................ 0 [KJ c. retain a reversionary interest; or.......................................................................................................................... D [iJ d. receive the promise for life of either payments, benefits or care? ...................................................................... D [K] 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? .. ........ ...... .................................................. ................ ............. ....... ........ D [iJ 3. Did decedent own an "in trust fo(' or payable upon death bank account or security at his or her death? .............. D Ii] 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ........................................................................................................................ D ~ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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 surtiving spouse is three (3) percent [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 zero (O) percent [72 P.S. ~9116 (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 zero (0) percent [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 four and one-half (4.5) percent, 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 orfor the use of the decedent's siblings is twelve (12) percent [72 P.S. ~9116(a}(1.3}]. A sibling is defined, under Section 9102, as an individual who has at \east one parent in common with the decedent, whether by blood or adoption. REV-1503 EX- (6-. COMMON\NEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF Helen E. Kray FILE NUMBER All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. 1800 shares Bell South Corp. Common stock 2 435 shares Comcast Corp New class A common stock 3 400 shares Corn Products International Inc. Common stock 4 300 shares Dominion Reserve Inc. new common stock 5 600 shares Exelon Corp common stock 6 2719 shares Exxon Mobil Corp. common stock 7 2400 shares General Electric Co. common stock 8 2400 shares Harsco Corp. common stock 9 200 shares Pactiv Corp. common stock 10 81 shares Raytheon Co. new common stock 11 400 shares Textron Inc. common stock 12 246 shares Direct TV Group Inc. common stock 13 800 shares Hershey Company common stock 14 1814 shares Verizon Communication common stock 15 868 shares Vi acorn Inc. S common stock 16 1000 shares Vodafone GP PlC common stock 17 400 shares General Motors common stock 18 269 shares AT & T (old) common stock 19 40 shares Tenneco Inc. common stock 20 3363 shares SSC Communications common stock 21 8820.434 shares lord Abbett Affiliated Fund A TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 937,0:26.00 REV-1508 EX+ (6-98) .. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY ESTATE OF Helen E. Kray FILE NUMBER Indude 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. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1 Morgan Stanley Account 72,408.00 2 M& T Bank checking account 168.00 3 Personal furniture (chair, desk, and chest of drawers) 500.00 4 Prepaid funeral account 9,820.00 5 2005 Federal tax refund 1,471.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 84,367.00 REV-1511 EX+ (12-99* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF Helen E. Kray ALE NUMBER Debts of decedent must be reported on Schedule I. ITEM NUMBER A. DESCRIPTION FUNERAL EXPENSES: Prepaid funeral account Neil funeral home Roberson memorial head stone engraving Executor travel expenses 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 Vestal State Year(s) Commission Paid: 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) AMOUNT Zip Claimant Street Address City State .Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Cumbertand County Treasurer 8 Postage TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 592.00 452.00 1,!500.00 11.00 14.00 13,S65.00 REV.1512 EX+ (12.03) .- COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS ESTATE OF Helen E. Kray Report debts incurred by the decedent prior to death which remained unpaid as of the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH FILE NUMBER TOTAL (Also enter on line 10, Recapitulation) (If more space is needed, insert additional sheets of the same size) 1. Messiah Village 2 Alert Pharmacy 3 2004 Pennsylvania State Income Tax 4 2005 Pennsylvania State Income Tax 5 Pennsylvania State Employees Retirement Fund REV-1513 EX+ (9-00) '* SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Helen E. Kray FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S} RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [indude outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] Ellen Minor 541 Lincoln Street Steelton, PA friend 500.00 Beverly Connolly 6 Kensington Square Mechanicsburg P A niece 10,000.00 Polly Boswell 501 Alison Avenue Mechanicsburg PA friend 1,000.00 John Kray 501 Colgate Street Vestal NY - . C'" son :J(," ')0 Patricia Lignugaris 77 Cornell Drive Manahawkin NY granddaughter ~ ~ 0)0 Catherine O'Connor 2075 NE Josephine Drive Hillsboro OR granddaughter JS {Ie) 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 Catholic Charities of the Diocese of Harrisburg, 4800 Union Deposit Rd. Harrisburg PA 10,000.00 St. Catherine Laboure Church, Derry Street Harrisburg PA 5,000.00 St. Lawrence Church, Harrisburg PA 5,000.00 St. Elizabeth Ann Seton Church, Mechanicsburg P A 10,000.00 John F. Kray Sr. Engineering Scholarship Fund, Penn State University 10,000.00 TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ 40,000.00 (If more space is needed, insert additional sheets of the same size) @ ~ z ......... ,..J ~ \wi U U ~ 'J) f- w fJj tJj <: ~ ;> ...... f.... U -< c ro 0.0 ~ o ~ oq- l..1- o N u.J o <( a.. 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'" CO . .... cO' .f\') '0 MONEY MKT Low High Avg Price Value for Pa Symbol 8/22/2005 8/22/2005 8/22/2005 return 269 ATT *** 19.84 19.62 19.73 $5,307.37 3572 A TT INC (new) T 0 0 0 $;0.00 1800 BELL SOUTH BLS 27.09 26.86 26.975 $48,555.00 435 COMCAST cmcsa 31.74 31.23 31.485 $13,695.98 400 CORN PROD cpo 23.12 22.92 23.02 $9,208.00 300 DOMINION RES INC d 76.42 75.17 75.795 $22,738.50 600 EXELON EXC 52.25 51.8 52.025 $31,215.00 2719 EXXON MOBILE XOM 59.75 58.51 59.13 $160,77'4.47 2400 GE GE 34.24 33.82 34.03 $81,67'2.00 400 GEN MOTORS GM 34.15 33.49 33.82 $13,528.00 2400 HARSCO HSC 59.12 58.32 58.72 $140,928.00 200 PACTIV PTV 19.51 19.2 19.355 $3,87'1.00 81 RAYTHEON RTN 39.77 39.33 39.55 $3,203.55 3363 SBC COMMUNICATIONS SBC 24.25 24 24.125 $81,132.38 40 TENNECO TEN 18.55 18.21 18.38 $735.20 400 TEXTRON INC TXT 74.19 73.2 73.695 $29,47'8.00 246 THE DIRECTTV GROUP DTV 16.25 16.11 16.18 $3,980.28 800 THE HERSHEY CO HSY 61.03 60.65 60.84 $48,67'2.00 1814 VERIZON VZ 33.3 33 33.15 $60,134.10 868 VIACOM INC B VIA-B 34.68 $30,102.24 1000 VODAFONE VOD 28.05 27.76 27.905 $27,905.00 8226.62 AFFILIATED FUND 14.61 $120,190.92 TOTAL>>>>> $937,026.98 ..r'~l:u III 111111111 . .. Harrisburg, PA 17106-7013 (800) 237-7328 (Notionwide) website - http://www.psecu.com SHOP ONLINE & SAVE WITH EBATES! RECEIVE DISCOUNTS OF UP TO 25% AT OVER 700 ONLINE STORES. THERE IS NEVER A FEE TO USE EBATES. JUST SHOP & SAVE. ~) "r <!ii'. t 11.1111111111.11..1.1.1..1.11.1.1.111...1111.11.111.11111.11.1 HELEN E KRAY 2075 NE JOSEPHINE DR HILLSBORO OR 97124-2172 ._~ ,. r'Cd'~ ~ ..-/\..--. ~1lIl~1I LW PAGE 1 I BASED ON AVERAGE DAILY BALANCE OF 688.08 08/31 PAYMENT: DIVIDEND 0 750% 0 44 688 96 ~'.I'~~*i ~.. . .: :....090.1.5...... ... .......:::-:':......P.AyHENT ..... TRAHSFE.R...F.ROH. .SHARE.. 52......:.:.:....................... ...... ....::::;::;:;:.................................16.8.6&.. 6. 7:.......6.8. 16Z....0.7L........ ........:,:; '.::: 09/15 PAYMENT: DIVIDEND 0 20 MIll'" ANNUAL PERCENTAGE YIELD EARNED 0 76% FROM 09/01/05 THROUGH 09/14/05 . . B~~~p O~. ~ V~R~9~. ~8JJ X ..~~~ ~.N~~. ~f ...~.8~ ~ ?.~.... .. ....... ........... .. .. ....... .. ..... . DIVIDEND YTD: YEAR TO DATE 3 63 ~Il.l;.~tl~III~.r;:~~~~!:~;):j!!:!!:j:~:!.::[!~:!.~:l:!:i~:;l::!:~I:i:l:i.i:~.i::j:::I:::;:;t!:t;. ======================================================================================= . . Q7/0.~ 1.1;). ~.~ M~N.EYHA~J;lP~;~ Be;?~~~~~~ ~~~.!.\.~~~. ... .... ............ ............... ...;.:. ...... ... .... 0....~0. . '" '. ;~~~~~~!~~~~~i~~~~~~~~:I~'~~{~.~ 07/01 ID 51 12 MONTH CERTIFICATE BEGINNING BALANCE 20498 85 07/31 PAYMENT: DIVIDEND 2 470% 43 00 20541 85 . . ... . . .A~~UAL. r~~~E~T~G;, Y!E.Lp.. ~A.~.~~P. . ?' ~Q~. fR.911 "P.?(Q.~(Q~. J~~9.~9~ 97 (~~!.o.~ . .... ... ANNUAL PERCENTAGE YIELD EARNED 2.50% FROM 09/01/05 THROUGH 09/14/05 09/15 WITHDRAWAL TRANSFER TO SHARE 01 20604 44- 0 00 .. Q?'(~.~ IP ?~ J2 M~~1H .~~~T~FICA1~ Cl~S~~.. .. .. ...... ......... . ..... . . A=~:~~~~~.~~:~~~~=~~!~~!~~~~e:;~t~~~~~~;~1,~~~~d~~~~~~hm~~fri~~6~~~~~~,;m~;;;;~~~~~~~~~~~:::.:: .: :.:0 7%0.1.:~:1D...::}5 2.;:::;.5:6; . HON.tH :::::CE RT1]S:I CATE\JJ.EG.I NN.1NG//B. A.tINGE: :-::::-:.::':. .':'::'::;;: '-:-:.:.:.':.:;"::: ::';: .':.;:;;:;": '.::: :'::: ;,;::..:.' :.:". '.:.:.: :.. :.;;.:.:::.;::: :::4 66:0 4. :~:2 ~t::: :: .: :.:. .';:: '::" 07/31 PAYMENT: DIVIDEND 2 720% 107 66 46711 91 ANNUAL PERCENTAGE YIELD EARNED 2 75% FROM 07/01/05 THROUGH 07/31/05 08/31 PAYMENT: DIVIDEND 2.720% 107.91 46819.82 0201 300 054 0 --- ~UN IINUt.U ON Fnl I nWfNfi PAGE --- 42~41~3 ..t'~t~tr 111111111 · . . e Harrisburg, PA 17106-7013 (800) 237-7328 (Nationwide) website - http://www.psecu.com SHOP ONLINE & SAVE WITH EBATES! RECEIVE DISCOUNTS OF UP TO 25% AT OVER 700 ONLINE STORES. THERE IS NEVER A FEE TO USE EBATES. JUST SHOP & SAVE. HELEN E KRAY JOINT CMlNER CATHERINE A O.CONNOR PAGE 2 0202 300 054 0 4234154 Last Will and Testament OF HELEN E. KRA Y I, HELEN E. KRA Y, ofCwnberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking and making null and void any and all Wills and Codicils thereofby me at any time made. ITEM I: I direct that all inheritance and estate taxes becoming due by reason of my dea~ whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by the Executor out of the property passing Wlder ITEM V of this Will, as an expense and cost of administration of my estate. The Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insw-ance or other property not passing under this Will. ITEM II: I direct the Executor to pay the expenses of my last illness and fun-eral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM III: I direct that my name be placed on the monument in Holy Cross Cemetery, located at 4075 Derry Street, Harrisburg, Dauphin County, Pennsylvania as follows Helen E. 200 - I. ") 1'( . / ~C"" / " C/ " \ "', Page 1 ITEM IV: As to such estate as I possess at the time of my death, I dispose of as follows: A. I give the sum ofTen Thousand Dollars ($10,000.00) to CATHOLIC CHARITIES OF THE DIOCESE O~ HARRISBURG, 4800 Union Deposit Road, P. O. Box 3551, Harrisburg Pennsylvania, to be used at the discretion of the Executive Director. B. I give the sum of Five Thousand Dollars ($5,000.00) to ST. CATHERINE LABOURE CHURCH, Derry Street, Harrisburg, Pennsylvania, to be used at the discretion of its official governing board. C. I give the sum ofTen Thousand Dollars ($10,000.00) to ST. ELIZABETH ANN SETON CHURCH, Mechanicsburg, Pennsylvania, for the general purposes of the Church. D. I give the sum of Five Thousand Dollars ($5,000.00) to ST. LA WRENCE CATHOLIC CHURCH, Harrisburg, Pennsylvania, for the general purposes of the Church. F. I give the sum ofTen Thousand Dollars ($10,000.00) to the JOHN F. KRAY, Sr. ENGINEERING SCHOLARSIDP FUND at PENN STATE UNIVERSITY. Page 2 }/t. K . . G. I give the swn of Five Hundred Dollars ($500.00) to ELLEN IvfiNOR, 541 Lincoln Street, Steelto~ Pennsylvania. H. I give the sum ofTen Thousand Dollars ($10,000.00) to my niece, :MRS. BEVERLY CONNOLLY, 6 Kensington Square, Mechanicsburg, Pennsylvania, 17055. I. I give the sum of One Thousand Dollars ($1,000.00) to POLLY BOSWELL, 501 Alison Avenue, Mechanicsburg, Pennsylvania, 17055. ITEM V. I give and devise all of the rest, residue and remainder of my estate, reaL personal and mixed, of whatsoever kind and nature, and wheresoever situate at the time of my death, as follows: A. One..half(~) to my son, JOHN F. KRAY, 501 Colgate Street, Vest~ NY 13850. B. One-fourth (1/4) to my granddaughter,:MRS. PATRICIA A. LIGNUGARIS, 77 Cornell Drive, Manahawkin, NJ, 08050. C. One-fourth (1/4) to my granddaughter, :MRS. CATHERINE A. O'CONNOR 2075 NE Josephine Drive, Hillsboro, Oregon 97124. ITEM VI: I nominate, constitute and appoint JOHN F. KRA Y Executor of this my Last Will and Testament, with full power in his discretion to do any Page 3 )-L ~I 1(, ",. and all things necessary for the complete administration of my estate, without being required to file bond for the performance of his duties, with full power to sell at public or private sale and without order of court any real or personal property belonging to my estate, and to compound, compromise or otherwise settle or adjust any and all claims, charges, debts and demands whatsoever against or in favor of my estate as fully as I could ifliving. IN WITNESS WHEREOF, I, HELEN E. KRA Y, the Testatrix, have to this my Last Will . '-1-/1 ~ and Testament, set my hand and seal this ~ - day of J . (] 2004. .. Ii /' .k:> A_ ./ ,J 'V-r""J~->'7t- L , /7 -1-~r (SEAL) HELEN E. KRA Y Signed, sealed, published and declared by the above named Testatrix as and for her Last Will and Testament, in the presence ofns, who have hereunto ,subscribed our names at her request, as witnesses hereto, in the presence of the said Testatrix and of each other. The preceding document consists of this and three (3) other consecutively numbered typewritten pages. !Jj;~Je! -o!I2:~~?!iJ _~(~ ct ~ residingatq~7 LJ.TR1~(JD) Y21- M If /l;t.JuJl a residingat IOL/1.o ~ 6t; ~~tlll )1/1 Page 4 ~t: /-{. . ......'4 ACKNOWLEDGMENT COMMONWEALTH OF PENNSYLVANIA) ) COUNTY OF CUMBERLAND ) I~ HELEN E. KRA Y, the Testatrix 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 and Testament, and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. this Sworn to or affirmed and acknowledged before me by HELEN E. KRA Y, the Testatrix, 10 -I!J day of Juitp004. . t! .-I~ C21Y ) / ' /;~ /~v , ~~\ -LT=:- _c ~ Attorney at Law (SEAL )/t: 'K · Page 5 ~.. AFFIDA VIT COMMONWEALTH OF PENNSYL VANIA) ) COUNTY OF DAUPHIN ) We, 0f"-(,C. R~/51;V(;'/~ and ~tnlJ. V /.. I /.,OV~ 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 the Testatrix sign and execute the instrument as her Last Will; that the Testatrix signed willingly and executed it as her free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testatrix signed the Will as a witness; and that to the best of our knowledge the Testatrix was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me by V.t C 1"< Ie. /7 i.! I 5 I III u IF-t'C.. and ~mJl-Y I.. LONG ,witnesses,this b~ dayofJ~004. !J.0jJJ~~ Witness .2nOfJ1 rt Jf~" .Wltness ~~ ~/~ Notary Public er- Attorney at Law (SEAL) Page 6 ~I €1 I~ .. .~ C01v1MONWEAL TH OF PENNSYL VANIA) )SS: COUNTY OF DAUPIDN ) On this, the{~~/day of ~ 2004, before me, a Notary Public, the undersigned officer, personally ap eared mily Long Hoffinan, known to me (or satisfactorily proven) to be a member of the bar of the highest court of said state and a subscribing witness to the within instrument and certified that she was personally present when Helen E. Kray, Vickie Reisinger and Emily L. Long, the persons whose names are subscribed to the within instrument, executed the same, and that said person acknowledges that Helen E. Kray, Vickie Reisinger and Emily L. Long executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. 9 ..~ \, P/llN:t~~liC;.{2e/7t:>X~" ..-,...--.-.-"'- .......-. My commission expires:I-- N' 1 Sea.J otana . Joanne M, Bennett. Notar,Y Pubhc City of Harrisburg., Dauphm County 5 My Commission Ex.plres June 20. 200 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT KRA Y JOHN F 501 COLGATE STREET VESTAL, NY 13850 n______ fold ESTATE INFORMATION: SSN: 195-32-4561 FILE NUMBER: 2105-0790 DECEDENT NAME: KRA Y HELEN E DATE OF PAYMENT: 05/08/2006 POSTMARK DATE: 05/04/2006 COUNTY: CUMBERLAND DATE OF DEATH: 08/22/2005 NO. CD 006668 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $2,032.00 I I I I I I I I TOTAL AMOUNT PAID: $2,032.00 REMARKS: CHECK# 131 SEAL INITIALS: MG RECEIVED BY: REGISTER OF WILLS GLENDA FARNER STRASBAUGH REGISTER OF WILLS o.n ~ 6 >. o.n ~U5~ ::.:: ..- ~!~ .c: Ci . ~c...>~ -..- CI> .... 0 Q) ~o.n> ~ ,_ :II.'IIi"/~ ~ . . ._ ........~:','~~Z?'!f.),~'i:~~;t~::,~'!~i..z;.,:r.~~r~_1W,"Z!1':.~~.~,~"'7":"'.i,~"",,,,~"-','f'"~~'~Jf,~-~~~!'Ii'..i."I.,.,~~-~.a,~~~-~~~~r~___ w ~ CD f- :>-- Cl (/) zo. f- OO.Lfl.Z CL...........J 00 V::J a:a:MClO 'CLf-- L (/) (/) :>--a: . W 'I ::J > L (") a l'-~ q-[O ~~ ~g '- .- M - - a I'- - - - - - I"~ - ~H ~ CD N 0'). - I- fS t ~L.1 :J ~ - - l.u t'"} - ? .- '-1 \{ J ~ ~ .- J cO ~ ~ ~ U1 .:t' ., rn U1 II ~ ~ ('- \:u ...D 0 S ...D ~ ~ ...D ~ CJ ~ \.u ..... CJ ~ K CJ v c:J ~ '"::J ~ "3 ~ CJ ~ M .~ C:> CJ .JJ J \J ...D '.\j d CJ \j CJ C'\( ~ f'- """""