HomeMy WebLinkAbout06-01-06
C::Jlvii\;lCrJvVE,2.,L TH 8F PEhJhJSYL\/ANIA
DEPAST~J1Er'JT OF RE\iENUE
~,LJRE~U SF ~JDIVIDUL\L TAXES
112'3.0601
REV-1162 EX(11-96:
RECEIVED FROM:
PENNSYLVANIA
INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
STONE VIRGINIA W
1129 REDWOOD DR
CARLISLE, PA 17013
ESTATE INFORMATION: SSN: 174-05-3504
FILE NUMBER: 2106-0310
DECEDENT NAME: WILSON WALTER F
DA TE OF PAYMENT: 06/01/2006
I POSTMARK DATE: 00/00/0000
I CUMBERLAND
! COUNTY:
i DATE OF DEATH: 03/22/2006
!
NO. CD 006771
ACN
ASSESSMENT
CONTROL
NUMBER
AMOUNT
101 I $1,426.65
I
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TOTAL AMOUNT PAID:
REMARI<S: GFS PO BY VIRGINIA STONE EXR.
ESTATE OF WALTER F. WILSON
CHECI<# 106
SEAL
INITIALS: GFS
RECEIVED BY:
REGISTER OF WILLS
$1,426.65
GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
Register of Wills of Cumberland County, Pennsylvania
INVENTORY
Estate of
Wilson. Walter F.
No. 21 - 2006 - 00310
also known as
Date of Death 3222006
, Deceased
Social Security No. 174-05-3504
Virginia W. Stone
The Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following Inventory
include all of the personal assets wherever situate and all of the real estate located in the Commonwealth of Pennsylvania
of said Decedent, that the valuation placed opposite each item of said Inventory represents its fair value as of the date of the
Decedent's death, and that the Decedent owned no real estate outside of the Commonwealth of Pennsylvania except that
which appears in a memorandum at the end of this Inventory. I/We verify that the statements made in this Inventory are true
and correct I/We understand that false statements herein are made subject to the penalties of 18 Pa. C. S. Section 4904
relating to unsworn falsification to authorities.
Personal Representative
Attorney:
Dale F Shughart. Jr. Esquire
i Jr.
Signature: '~.G7(Y.i'-d~~ t.(1 xJ.ltn.L.-'
Virgiltla W. Stone
1.0. No.:
19373
Signature:
Signature:
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Address:
10 West High Street
Carlisle. P A 17013
Address: 1129 Redwood Drive
Carlisle. P A 17013
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Telephone 717241-4311
Telephone: 717-258-1172
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Dated:
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Personal Property
Clothmg and personal effects
o.on
F &. \:1 Trust Money Market Account #70-80652.
PrincIpal. A.877.83
Interest - 10.34
Note: Although this account is listed as ajoint account. it was used and treated as a power of
attol11ey account.
1i.888.17
Michael Camlinde Assoc.. refund
II.A7
Hlghmark Blue Shield. refund
519.33
Church of God Home. refund
3AI7()"
West Shore ALS. refund
135.52
Church of God Home. resident's account #2435
92.1 ()
Total Personal Property
$11 ,1l63. 92
(Attach additional sheets If necessary)
Total Personal Property and Real Estate
$11,063.92
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'::;OMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128-0601
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
o 2. Supplemental Return
o 4a. Future Interest Compromise (date of death after
12-12-82)
o 7. Decedent Maintained a Living Trust (Attach
copy of Trust)
o 10. Spousal Poverty Credit (date of death between
12-31-91 and 1-1-95)
THIS SECTION MUST BE COMPLETED. ALL.l:()R'!EOl':>I>()~rl:)E:~~t:~~R l:()~F'II:)t:NJ'lJ\1-l:~)(I~F-()B!w1~ll()~NSIi()pLD BE.on:~ECTED TO:
NAME COMPLETE MAILING ADDRESS
Dale F Shughat1. Jr. Esquire
DECEDENTS NAME (LAST. FIRST. AND MIDDLE INITIAL)
Wilson. Walter F.
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DATE OF DEATH (MM-DD-YEAR)
DATE OF BIRTH (MM-DD-YEAR)
03/22/2006
02/07/1917
IIF APPLICABLE) SURVIVING SPOUSE'S NAME ( LAST. FIRST AND MIDDLE INITIAL)
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Wilson, Evelyn T.
t8I 1 Original Return
o 4 Limited Estate
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6 Decedent Died Testate (Attach copy
ofWtll)
9 Litigation Proceeds Received
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FIRM NAME (If applicable)
TELEPHONE NUMBER
7 1 7:::' 4 1-43 II
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3 Closely Held Corporation, Partnership or Sole-Proprietorship
4. Mortgages & Notes Receivable (Schedule D)
5 Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
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)
10 West High Street
Carlisle, P A 17013
(1)
(2)
(3)
(4)
(5)
(6)
(7)
FILE NUMBER
21 2006
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
00310
NUMBER
174-05-3504
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
189-09-5049
o
o
o
3. Remainder Return (dale of death pnor to 12-13-82)
5. Federal Estate Tax Return ReqUired
8. Total Number of Safe Deposit Boxes
o
11. Election to tax under Sec. 9113(A) (Attach Sch 0)
None
None
None
None
11.063_92
None
33,372_00
(9)
(10)
(8)
44435.92
8,862.27
686.68
(11)
9,548.95
(12)
34,886.97
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)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of Line 14 taxable at the spousal tax rate, 1,514.97 x .00 (15)
or transfers under Sec. 9116(a)(1.2)
z 33,372.00 x .045 (16)
0 16. Amount of Line 14 taxable at lineal rate
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a- 17 Amount of Line 14 taxable at sibling rate x .12
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0
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>< 18 Amount of Line 14 taxable at collateral rate (18)
.. x .15
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19 Tax Due (19)
(13)
(14)
34,886.97
0.00
1,501.74
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
1.50 1.74
>> BE SUR!: TO ANSWER ALL QUESTIONS ON FlEVERS!: SIDE AND RECH!:CK MATH <<
Copyright 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
, '
Decedent's Complete Address:
~TRI'TT ADDRESS
801 North Hanover Street
CITY
STATE PA'
ZIP 17013
Carlisle
Tax Payments and Credits:
1. 1ax Due (Page 1 Line 19)
2 Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C Discount
1,426.65
75,09
Total Credits (A + B + C)
3. Interest/Penalty if applicable
o Interest
E. Penalty
Total Interest/Penalty (0 + E)
4. it 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
S I' 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 S + SA. This is the BALANCE DUE.
Make Check
to: REGISTER OF WILLS, AGENT
(1 )
\,50 l. 74
(2)
1,50 I. 74
(3) 000
(4)
(S) 0.00
(SA)
(S8) 0.00
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred;... ...................................................... ................
b. retain the right to designate who shall use the property transferred or its income;.............
c retain a reversionary interest; or.................................... ..........................................
d. receive the promise for life of either payments, benefits or care? .........................................
2. If death occurred after December 12. 1982, did decedent transfer property within one year of death without
receiving adequate consideration?..... ......................... ............... ...............
.:c. 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?..... ........ ............... ........ ................................................................
Yes No
~ I
~ 0
o 181
o 181
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 ~xamined this r~turn, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true. correct and complete, Declaration of
preparer other tttan the personal representative IS based on all Information of which pn3p~rer has any knowledge
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADDRESS
Virginia W. Stone
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SIGNATtJfiE OF PERSON RESPONSIBLE FOR FILING RETURN
1129 Redwood Drive
Carlisle, P A 17013
ADDRESS
SIGNnURE.O.F PRo EPA. RER. ~R TH~.... RE NTATIVE
Hale F ..hUgIJa~t;J.r.~SqUire '--"'~
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ADDRESS
10 West High Street
Carlisle, P A 17013
DATE
C. / .1....:,(
DATE
DATE
/
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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 sp,)use is 3% [72 P .S. ~9116 (a) (1.1) (i) J.
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) (ji)]. 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 ajoptive 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.S%, except as noted in 72 P .S. S9116
12) [72 PS 1)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. 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.
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SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wilson, Walter F.
FILE NUMBER
21 - 2006 - 00310
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
I Clothing and personal effects
DESCRIPTION
VALUE AT DATE OF
DEATH
0.00
~
F & M 1mst Money Market Account #70-80652.
Principal - 6,877 .83
Interest - 10.34
Note: Although this account is listed as a joint account, it was used and treated as a power of attomey
account.
6.888.17
3 Michael Camlinde Assoc., refund 11.67
4 Highmark Blue Shield, refund 519.33
5 Church of God Home, refund 3,417.07
h West Shore ALS. refund 135.52
7 Church of God Home, resident's account #2435 92.16
TOTAL (Also enter on Line 5, Recapitulation)
11,063.92
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wilson, Walter F.
FILE NUMBER
21 -2006-00310
ITEM
NUMBER
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page 2 is yes.
DESCRIPTION OF PROPERTY DATE OF DEATH % OF
Include the name of the transferee, their relationship to decedent and the date of transfer. VALU E OF ASSET DECD'S (~F~~~~2'~~L~) TAXABLE V ALU E
Attach a copy of the deed for real estate. INTEREST
Virginia Stone, daughter,
Various checks as follows:
10/03/05 - 5,824.00
09/28/05 - 6,300.00
11/02/05 - 6,062.00
12/07/05 - 6,062.00
01101106 - 6,062.00
02/01106 - 6,062.00
36,372.00 100%
3,000.00
33,37200
TOTAL (Also enter on line 7, Recapitulation)
33,372.00
ESTATE OF
ITEM
NUMBER
A.
B.
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SCHEDULE H
RJNERAL EXPENSES &
ADMlf\lSTRA11VE COSTS
FILE NUMBER
21 . 2006 . 00310
AMOUNT
City
Relationship of Claimant to Decedent
PA'
Zip
17013
State
Spouse
2n.00
600.00
3,500.00
3,500.00
95.00
360.00
8.00
75.00
426.27
8,862.27
CQrv>rl/l0NWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wilson, Walter F.
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
Neil Funeral Home, funeral bill
ADMINISTRATIVE COSTS:
I. Personal Representative's Commissions
Virginia W. Stone
Street Address 1129 Redwood Drive
City Carlisle
Year(s) Commission paid 2006
State P A
Zip 17013
2
Attorney's Fees
Dale F. Shughmi, Jr., (estimated)
3
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Evelyn T. Wilson
Street Address 801 NOlih Hanover Street
Carlisle
4
Probate Fees Register of Wills, paid 80, owe 15
5 Accountant's Fees
6
Tax Return Preparer's Fees Galbraith Tax Service
7.
1
Other Administrative Costs
Register of Wills, Short Celiificate
2
Cumberland Law Joumal, advertise Letters
Total of Continuation Schedule(s)
TOTAL (Also enter on line 9, Recapitulation)
ESTATE OF
,
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COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Wilson. Walter F.
The Sentinel, advertise Letters
F & M Tmst, checks
5
Postmaster, certified mail
Schedule H
Funeral Expenses &
Administrative Costs continued
6
Register of Wills, filing Inheritance Tax Return and Inventory.
7
Reserve for Account
FILE NUMBER
21 . 2006 " 003 10
Page 2 of Schedule H
129,77
11.50
5,00
30.00
250.00
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
Wilson, Walter F.
FILE NUMBER
21 - 2006 - 00310
Include unreimbursed medical expenses.
ITEM
NUMBER
I West Shore EMS. ambulance
DESCRIPTION
AMOUNT
95.34
2
LancHMA. medical bill
66.40
3
Howard Burkett, DPM, medical bill
30.00
4
Continuing Care RX, phanl1acy bill
494.94
TOTAL (Also enter on Line 10, Recapitulation)
686.68
FILE NUMBER
21 - 2006 - 00310
RELATIONSHIP TO
DECEDENT
Do Not Ust Trustee(s)
*'
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
REV-1513 EX+ (9.00)
SCHEDULE J
BENEFICIARIES
ESTATE OF
Wilson, Walter F.
NUMBER
NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY
I . TAXABLE DISTRIBUTIONS (include outright spousal distributions)
Evelyn T. Wilson
801 North Hanover Street
Carlisle, P A 17013
Wife
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
AMOUNT OR SHARE
OF ESTATE
One hundred percent
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
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www.frntrust~niine.com
TRUST
April 14, 2006
Dale F Shugart, Jr.
Attorney at Law
35 East High Street
Suite 203
Carlisle, PA 17013
RE: Walter F Wilson
Mr. Shugart:
In reference to the above customer, our records show the enclosed information to be
accurate as of March 22, 2006. Our researching fee for the information we have
provided is $ 15.00. Please send your remittance to the following address:
Farmers and Merchants Trust Company
A TTN Karen Davis
20 South Main Street
Chambersburg, PA 17201-0819
If I may be of any further assistance, please contact me.
Sincerely,
~_~CV\Q)~) [~kG CL))Y'-J
Karen E. Davis
Deposit Operations Manager
717-264-6116 888-264-6116 P.O. Box 6010 Chambersburg,PA 17201-6010
FINANCIAL SOLUTIONS... FROM PEOPLE YOU KNOW
000517
CHURCH OF GOD HOME, INC.
801 N. HANOVER STREET
CARLISLE PA 17013
Resident Trust Fund Statement
esident Name :
esident Number:
WALTER F WILSON
000002435
Account Number:
Statement Date:
Account Type
Loc/Room/Bed :
VIRGINIA W STONE
1129 REDWOOD DRIVE
CARLISLE PA 17013
2435
03/13/2006
RESIDENT TRUST
Ll-0203-B
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late
Description
Withdrawals
Bali'lnce Forward
-ThfJH L-Lf1iJ [it (L~liurhtHL Ohli77 CJs
C7L 3} J low J Lilu~ LULL} 1:0{ 15t102J LULU
1/10 bficrnllln't OJ Ap'ILL, H mY ch;:w;,-"
(1 L--ullClnLL frJ,-\ $, q a . / u.
.ArI/cf ~.ULiZi~~) IJJhLl::JhLC:X~i
3lL1A_DJ L & I1/YLL-L->
Account Balance
Deposits
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170. 11
-. ----"._-- -.---------
~alan_~
170.11
c:\ wp51 \ wills\ wilson.wal file #5495-97-02 January 26,1998
1/Iagt Bill Club Qrtstcttttenl
OF
WALTER F. WilSON
I, WALTER F. WILSON of 113 Meeting House Springs Road, Carlisle, Cumberland
County, Pennsylvania, declare this instrument to be my Last Will and Testament, in
manner and form following:
FIRST:
I hereby expressly revoke all Wills and Codicils heretofore made by
me.
SECOND: I hereby direct my ~xecutrix to pay all my just debts, funeral and
administrative expenses out of my estate, as soon as practicable after my death.
THIRD:
I direct that all taxes which may be assessed in consequence of my
death of whatever nature and by whatever jurisdiction imposed shall be paid out of my
estate as a part of the administration of my estate.
FOURTH: Should my wife, EVELYN T. WILSON, survive me by thirty (30) days,
I give, devise and bequeath all my estate, real, personal and mixed, whatsoever and
wheresoever situate, to my wife, EVELYN T. WILSON. Should my wife, EVELYN T.
WILSON, predecease me, or should not be living on the thirty-first day following my
death, I give, devise and bequeath my estate as follows:
A. I give and devise my residence at 113 Meeting House Springs Road,
Carlisle, Cumberland County, Pennsylvania, together with its contents
(not including cash or securities) to my daughter, VIRGINIA W.
DOWNEY, provided that she survives my death.
c:\wp51\wiJls\wilsoll.WJI file #54<)5-'J7-02 j'lOlIJry 26,]<)<)8
B. I give and bequeath the mortgage on 1129 Redwood Drive, Carlisle,
Cumberland County, Pennsylvania, to my daughter, VIRGINIA W.
DOWNEY, provided that she survives my death.
C. I give and bequeath any automobile owned by me at the time of my
death to my granddaughter, REBECCA A. DOWNEY.
D. I give, devise and bequeath all the rest, residue and remainder of my
estate, real, persGnal and mixed, whatsoever and wheresoever
situate, in equal shares, share and share alike, to my grandchildren,
to wit: KEVIN M. DOWNEY, MELISSA K. DAVIS, and REBECCA
A. DOWNEY.
FIFTH:
I hereby nominate, constitute and appoint my wife, EVELYN T.
WILSON, to be the Executrix of this my Last Will and Testament. In the event that
EVELYN T. WILSON shall be unable to serve as Executrix for any reason, I then
nominate, constitute and appoint my daughter, VIRGINIA W. DOWNEY, as Executrix.
No personal representative shall be required to file bond in this or any other jurisdiction.
IN WITNESS WHEREOF, I hereunto set my hand and seal this
'2- C It.
"
r
day of ('tl-fVd~'-I\"'7 ,1998.
;f ,1 '- At.. f/, .
o:-l',//,r'" I L-" I I
)- ?Lt:t;;J.-, (!j; , ~.A-t~Lc.rL'
Walter F. Wilson
SIGNED, SEALED, PUBLISHED and
DECLARED in the presence of:
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c:\wp51 \ wills\ wilson.wal file #5495-97-02 January 13,1998
COMMONWEALTH OF PENNSYLVANIA
: 55.
COUNTY OF CUMBERLAND
I, WALTER F. WilSON, Testator, 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
willingly; and that! signed it as my free and voluntary act for the purposes therein
expressed.
Sworn or affirmed to and acknowledged before me, by WALTER F. WilSON, Testator,
this c;&-6L day of ~/uU(a_"LL/ , 1998.
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.:7 "'c..L~,, :r L / j/'/LL--J.-c,Y1-
Walter F. Wilson, Testator
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~lOTARlt..l &Al ~I
TERESA J. 8URKHOlDER, Notal)' Fun!!:; I
Carlisle, Cumberland County. PA
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c:\wp51 \ wills\ wilson.wal file #5495-97-02 January 13,1998
COMMONWEALTH OF PENNSYLVANIA
: 55.
COUNTY OF CUMBERLAND
We roGER M. M)RGENTHAL and MERLENE MARHEVKA 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,
WALTER F. WILSON, sign and execute the instrument as his Last Will; that he signed
willingly and that he executed it as his free and voluntary act for the purposes therein
expressed; that each of us in the 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.
and
Sworn or affirmed to and subscribed to before me by roGER M. MJRGENTHAI.
MERLENE MARHEVKA , witnesses, this c?~-{l- day Of1;CuL-&UL-L-Lf~' 1998.
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TEFiEfiA J. [3URl-\HOLDER, ND~81:i f-';_~\}~~ I'
. C~1rllE:,~f';, CUrrIDEifl;:md Cl.:;UnTy", pt..
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