Loading...
HomeMy WebLinkAbout06-06-06 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128~060 1 REV.1162 EX(11.96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT CRAMER R SCOTT PO BOX 159 5 SOUTH MARKET STREET DUNCANNON, PA 17020 _Un~n fold ESTATE INFORMATION: SSN: 193-12-7501 FILE NUMBER: 2106-0227 DECEDENT NAME: SMITH WINIFRED M DATE OF PAYMENT: 06/06/2006 POSTMARK DATE: 06/06/2006 COUNTY: CUMBERLAND DA TE OF DEATH: 03/09/2006 NO. CD 006795 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $6,163.93 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 118 SEAL INITIALS: WZ RECEIVED BY: REGISTER OF WILLS $6,163.93 GLENDA FARNER STRASBAUGH REGISTER OF WILLS R. SCOTT CRAMER ATTORNEY AT LAW !5 S. MARKET ST., P.O. DRAWER 159 DUNCAN NON, PENNSYLVANIA 17020 (717) 834-5700 FAX NO. (717) 834-9012 June 5, 2006 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, Pennsylvania 17013 RE: Estate of Winifred M. Smith No. 2006-0027 Dear Sir/Madam: please find enclosed herewith an original and one (1) copy of the Pennsylvania Inheritance Tax Return with regard to the above-referenced estate, along with a check in the amount of $6,163.93, which represents the tax owing and a check in the amount of $30.00 for the filing fee. Should you have any questions regarding same, please do not hesitate to contact my office. . " , , 1 Very truly yours, '-. .// ..2. / //- C.~<- Office of R. Scott Cramer R. Eleanor Guntrum c.) W~ ," ; I . "' r\J r'.) RSC/jmh Enclosures cc: Phillip A. Smith (w/Encl.) Janet K. Bitting (w/Encl.) I .J -) . .1 . .-J 15056041046 REV-1500 EX (05-Q4) PA Department of Revenue *' Bureau of Individual Taxes Dept. 280601 Harrisburg, PA 1712~1 ENTER DECEDENT INFORMATION BELOW Social Number Date of Death INHERITANCE TAX RETURN RESIDENT DECEDENT ~l.uSE "ONLy County Code Year File Number q B< Date of Birth Decedent's Last Name Suffix Decedent's First Name MI (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI o THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW _ 1. Original Return c::::>> c::::>> 4. Limited Estate c::::>> 3. Remainder Retum (date of death prior to 12-13-82) 5. Federal Estate Tax Retum Required 2. Supplemental Retum c::::>> c::::>> c::::>> 4a. Future Interest Compromise (date of death after 12-12-82) c::::>> 7. Decedent Maintained a Living Trust (Attach Copy of Trust) c:::> 10. Spousal Poverty Credit (date of death c::::>> 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. 0) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number 6. Decedent Died Testate (Attach Copy of Will) 9. Litigation Proceeds Received 8. Total Number of Safe Deposit Boxes - Firm Name (If Applicable) REGISTER OF WIllS US~lY ':.::> ~:::;;:) ':..i",", (:';: n I -r'1 ,""") C) E13 j '~-l 1,::'7 - ~'''' ""..:.-.. I (}, v ~~ ,'n (-5 i r"l 1....,) r'..> 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. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS 7/ -s-;u/{) ADDRESS ~ --:J 7) LJ 1_0, 1'->0'>' /S9 I ~ r/?- /7V.2.(;' I PLEASE USE 0 GINAL FORM ONLY Side 1 L 15056041046 15056041046 --I fv . -.J 15056042047 REV-1500 EX 8. Total Gross Assets (total Lines 1-7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 8. Decedent's Name: RECAPITULATION 1. Real estate (Schedule A). ............................................ 1. 2. Stocks and Bonds (Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) . . . . . 4. Mortgages & Notes Receivable (Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) . . . . . . .. 5. 6. Jointly Owned PropertY (Schedule F) . c:::> Separate Billing Requested . . . . . .. 6. 7. Inter-Vivos Transfers & Miscellaneous NOh-Probate Property (Schedule G) c:::> Separate Billing Requested.. . . . . .. 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). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11. 12. Net Value of Estate (Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) . . . . . . . . . . . . . . . . . . . . . . . . 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) . . . . . . . . . . . . . . . . . . . . . . . . 14. TAX COMPUTATION - SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) X .0_ 16. Amount of Line 14 taxable at lineal rate X .04...5...0 17. Amount of Line 14 taxable at sibling rate X .12 18. Amount of Line 14 taxable at collateral rate X .15 15. 17. 16. 18. 19. TAX DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19. ~ 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT c:::> Side 2 L 15056042047 15056042047 ---I . ,REV-1500 EX Page 3 Decedent's Complete Address: File Number DECEDENrs NAME Winifred M. S~i~ll___ STREET ADDRESS 789 Lee Lane CI1Y I STATE ! ZIP I 17025 Enola i PA Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount 324.41 (1) 6,488.07 Total Credits ( A + B + C ) (2) 324.41 3. Interest/Penally if applicable D. Interest E. Penally TotallnterestlPenalty ( 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) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 6 , 1 6 3 . 93 B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5A) (58) 6,163.93 A. Enter the interest on the tax due. Make Check Payable to: REGISTER OF WILLS, AGENT ~~,"";1~{rr:>~:~ ~;~;!- ,--~~'; ," /~ :.}?",~y: ~,..-~. '::;~~:, ~):~ ~:~.~~_ _ - ";:.,~h=:'__~ ;~f:~.~&.:~~: P;-~:~~~~~~"'~~!~~Jfp~~lz~~~.~~:>~:g-;-~~~!.~~~~~~z~-l:h ~ ~: '- ~ 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 13 d. receive the promise for life of either payments, benefits or care? ...................................................................... 0 [2g 2. If death occurred after December 12,1982, did decedent transfer property within one year of death without receiving adequate consideration? .............................................................................................................. g 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 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. ;_~.\ti 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 three (3) percent (72 P.S. ~9116 (a) (1.1) (ill. 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 (0) 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 retum 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. ~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 twelve (12) percent (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. ":..__ '" r~:~I4F~~~~~ ~; ~ t;. " ~_--;f~::~ ~~- ~~ ;:;~N;:'?~~~ ~:~~~:~i~l~~~:iS,-; ::"~ ...~:~ :.;. :; v); '-~:<::~kS:-;~:"> ~ ~r REGISTER OF WILLS OF CUMBERLAND COUNTY, PENNSYL VANIA INVENTORY Estate of Winifred M. Smith No. 2006-0027 Date of Death - 3/9/06 S.S. 193-12-7501 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 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 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. Name of Attorney: R. Scott Cramer A dress of Attorney: . O. Box 159 Duncannon, P A 17020 Telephone No: (717) 834-5700 Dated: Description Value REAL ESTATE - Property situate at 749 Lee Lane Enola, PA 17025 This real estate was deeded to children on Kay 12, 2005 within one year of death 73,000.00 (see attached appraisal and Sch. G) AMERIPRISE FINANCIAL c/o WAYNE A. LOGUE Ste 200 342 N. Front Street Wormleysburg, PA 17043 MUTUAL FUNDS A. Acc't #010113125248002 B. Acc't #01126543503 9 002 C. Acc't #01132826564 7 002 D. Acc't #01252826564 3 002 9.32 20,619.74 1,294.75 30,470.85 ANNUITIES A. Acc't #930014874422004 B. Acc't #93006642660 0 004 14,846.26 13,603.66 PSECU 1 Credit Union Place Harrisburg, PA 17110-2990 A. Shares held jt. with son, Phillip A. Smith B. Ck. acc't held jt. with son, Phillip A. Smith 7.90 $ 8,386.85 3.95 4,193.43 TOTAL 158,041.96 SCHEDULE F JOINTL Y-OWNED PROPERTY ESTATE OF Winifred M. Smith FILE NUMBER: 2006-00227 Joint tenant(s). NAME ADDRESS RELA TrONSHIP TO DECEDENT Phillip A. Smith 942 Maplewood Lane Enola, P A 17025 son Jointly-owned property: Date Number Joint Made Description of Property Total value Deed' Decedent's In!. of Asset %int. l. 02/26/98 PSECU SOl Reg. shs. 7.90 1/2 3.95 2. 02/26/98 PSECU S04 Ck. 8,386.85 1/2 4,193.43 (Ifmore space is needed, insert additional sheers afsame size.) 4,197.38 SCHEDULE G TRANSFERS ESTATE OF Winifred M. Smith File No. 2006-00227 THIS SCHEDULE MUST BE COMPLETED AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YES. ITEM VALUE NUMBER TOTAL VALUE DESCRIPTION OF PROPERTY EXCLUSION OF ASSET DEeD. DOLLAR V AWE OF % DECEDENT'S INT. INTEREST 1. REAL EST ATE 789 LEE LANE, ENOLA, PA 17025 Deeded to decedent's children within a year of death. ( Appraised for $85,000.00) Son, Phillip A. Smith 3,000.00 21,250.00 Daughter, Janet K. Bitting 3,000.00 21,250.00 Son, Richard J. Smith 3,000.00 21,250.00 Daughter, Carol M. Peganoff 3,000.00 21,250.00 2. AMERIPRISE FINANCIAL clo WAYNE A. LOGUE Ste 200 342 N. Front Street Wormleysburg, PA 17043 MUTUAL FUNDS A. Acc't #010113125248002 B. Ace't #011265435039002 C. Aee't #01132826564 7002 D. Aec't #01252826564 3 002 ANNUITIES A. Ace't #93001487442 2 004 B. Ace't #93006642660 0 004 18,250.00 18,250.00 18,250.00 18,250.00 9.32 20,619.74 1,294.75 30,470.85 14,846.26 13,603.66 TOTAL (Also enter on line 7. RecaDitulation) (If more space is needed. insert additional sheers of same size.) 153,844.58 SCHEDULE H FUNERAL EXPENSES & ADMINlSTRA TIVE COSTS EST ATE OF Winifred M. Smith FILE NUMBER 2006-0027 Debts of decedent must be reported on Schedule I ITEM NUMBER DESCRJPTION AMOUNT A. FUNERAL EXPENSES: Funeral Home - Sullivan Funeral Home $ 4,692.00 Grave stone 395.00 Vase holder ADMINISTRATIVE COSTS: 160.00 I. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s) /EIN Number of Personal Representative(s) Street Address: City State Zip 2. A HORNEY FEES R. Scott Cramer Law Office 7,322.00 4. FAMILY EXEMPTION: (If decedent's address is not the same as claimant's, attach explanation) Claimant - Street Address City - State Relationship of Claimant to Decedent Zip- 4. 5. PROBATE FEES - Register of Wills of Cumberland County ESTATE NOTICE - Cumberland Law Journal 70.00 75.00 6. David H. Shumaker- appraisal 90.00 TOTAL (Also enter on line 9. Recapitulation) 12,804.00 SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES AND LIENS ESTATE OF Winifred M. Smith File Number: 2006-00227 ITEM DESCRIPTION AMOUNT 1. Verizon - phone 63.07 2. T-Mobile 95.16 3. PPL 276.96 4. Permsylvania American Water 42.09 5. West Shore EMS - ambulance 608.49 TOTAL (Also enter on line 10. Recapitulation) (If more space is needed, insert additional sheers of same size.) 1 , 0 5 tl .3..1.- SCHEDULE J BENEFICIARIES EST ATE OF Winifred M. Smith FILE NUMBER: ITEM NUMBER NAME AND ADDRESS OF BENEFICIARY RELA TlONSHIP AMOUNT SHARE OF ESTATE A. Taxable Bequests: 1. Phillip A. Smith 942 Maplewood Ln. Enola, PA 17025 son one fourth 2. Janet K. Bitting 1495 New Valley Rd. Marysville, PA 17053 daughter one fourth 3. Richard J. Smith 208 S. Front St. Wormleysburg, PA 17043 son one fourth 4. Carol M. Peganoff 1944 East Vinedo Lane Tempe, AZ 85284 daughter one fourth NAME AND ADDRESS OF BENEFICIARY ITEM AMOUNT OR NUMBER SHARE OF ESTATE B. Charitable and Governmental Bequest NONE CHARITABLE AND GOVERNMENTAL BEQUESTS (Also enter on line 13, Recapitulation) $ (If more space is needed. insert additional sheets of same Size) !,"', -. llrWJJ.~..~i;f'~~ R.~awER .,' ".j'~Uw SA'._ p'Cl,I:IiIIIIIilir'. DInanI\.... i7mO IIU' JL- , ',;; - "<.':~ ~',D (~:: ~,<:,i /,~ ,~,~;' :i' lOOS IW;y 17 RfJ 11 29 THIS DEED of 'in the year two thousand five BETWEEN WINIFRED M. SMITH, widow, hereinafter referred to as the Grantor, A N D PHILLIP A. SMITH, RICHARD J. SMITH, JANET K. BITTING and CAROL M. PEGANOFF, as joint tenants with the right of survivorship and not as tenants in common, hereinafter referred to as the Grantees, WITNESSETH, That in consideration of the sum of One and No/100---------($1.OO)-------Dollar, in hand paid, the receipt whereof is hereby acknowledged, the said grantor does hereby grant and convey to the said grantees, their heirs and assigns, ALL THAT CBRTAIN unit, in the property known, named and identified in the Declaration Plan, referred to below as Westwood Village Condominium located in East Pennsboro TOWDahip, Cumberland County, Commonwealth of Pennsylvania, which has heretofore been submitted to the provisions of the Unit Property Act of Pennsylvania, Act of July 3, 1963, P.L. 196, by the recording in the office of the Recorder of Deeds of cumberland County, Pennsylvania, of a Declaration Creating and Establishing Westwood Village Condominium dated January 29, 1975, and recorded on January 29, 1975, in Misc. Book 213, Page 283, and amended by a certain First Amendment to Declaration Creating and Establishing Westwood Village Condominium dated May 28, 1976, and recorded on June 22, 1976, in Misc. Book 222, Page 729, and a certain Second Amendment to Declaration Creating and Establishing Westwood eOUf: 2u8 r"~:144G3 -'~ .;- Village Condominium dated July 21, 1976, and recorded on July 26, 1976, in Misc. Book 223, Page 343, and a certain Third Amendment to Declaration Creating and Establishing Westwood Village Condominium dated June 9, 1978, and recorded on June 23, 1978, in Misc. Book 236, Page 225, and a certain Fourth Amendment to Declarations Creating and Establishing Westwood Village Condominium dated June 13, 1978, and recorded on June 23, 1978, in Misc. Book 236, Page 250, and a certain Fifth Amendment to Declarations Creating and Establishing Westwood Village Condaminium dated January 9, 1979 and recorded on January 23, ~979, in Misc. Book 240, Page 884, and a certain Sixth Amendment to Declaration Creating and Establishing Westwood Village Condominium dated March 1, 1979, and ,,'1(ar:c1:a;12, 1979 in Misc. Book 241, Page 836, and a < .; :J..>"- -~~:-.",' - . ain Seventh Amendment to Declaration Creating and Bstablishing Westwood Village Condominium dated November 8, 1979, and recorded November 27, 1979, in Misc. Book 249, Page 323, and a certain Eighth Amendment to Declaration Creating and Establishing westwood Village Condominium dated September 14, 1982, and recorded December 14, 1982, in Misc. Book 282, Page 323, and certain Ninth Amendment to Declaration Creating and Establishing westwood Village Condominium dated November 28, 1986, and recorded May 12, 1987, in Misc. Book 333, Page 769, and a certain Tenth Amendment to Declaration Creating and Bstablishing westwood Village Condominium dated January 27, 1987, and recorded January 28, 1987, in Misc. Book 329, Page 561, and a Code of Regulations of Westwood Village Condaminium dated January 29, 1975, and recorded on January 29, 1975, in Misc. Book 213, Page 328, and amended by a certain First Amendment to Code of Regulations of Westwood Village Condominium dated May 28, 1976, and recorded on June 22, 1976, in Misc. Book 222, Page 737, and Declaration Plan of Westwood Village Condaminium dated January 29, 1975, and r~sorded on January 29, 1975, in Plan Book 26, Page 15, and .-.ad.d by a certain First Amendment to Declaration Plan of Westwood Village Condominium dated July 21, 1976, and recorded on July 26, 1976, in Plan Book 28, Page 72, and amended by a certain Second Amendment to Declaration Plan of We.twood Village Condominium dated June 16, 1978, and recorded on June 23, 1978, in Plan Book 33, Page 28, and amended by a certain Third Amendment to Declaration Plan of Westwood Village Condominium dated January 9, 1979, and recorded January 23, 1979, in Plan Book 34, Page 100, and amended by a certain Fourth Amendment to Declaration Plan of Westwood Village Condominium dated March 1, 1979, and . SCOTT CRAMER AlamlrlIll.alft 5&:"St. P.o. 0rMr159 ........ PA 17020 800K 268 PACf4464 t- :~;,; 0: R. SCOTT CRAMER ".., .taw 5$..... Sf. P.O. DnIwer 159 0IIlc8mln, PA 17020 '" recorded March 12, 1979, in Plan Book 35, Page 3, and amended by a certain Fifth Amendment to Declaration Plan of Westwood Village Condominium dated November 8, 1979, and recorded November 27, 1979, in Plan Book 37, Page 7, and amended by a certain Sixth Amendment to Declaration Plan of Westwood Village Condominium dated January 26, 1987, and recorded January 28, 1987, in Plan Book 52, Page 41, being designated on said Declaration Plan of Westwood Village Condominium as Unit No. L73.T2B, Building 6, (also referred to on the Tenth Amendment as Building 18), Block No.4, known as 789 Lee Lane, Enola, Bast Pennsboro Township, cumberland County, Pennsylvania, as more fully described in such Declaration Plan and Declaration Creating and Establishing Westwood ~~'" ;>'. ,,"',_ ';"'" LUIIl, a. the 8ame appears of record as set "fort:h above', including any amendments thereto, TOGETHER with a proportionate undivided interest in the Common Elements (as defined in such Declaration) of Five Hundred Thirty-Nine Thousandths Percent (0.539%). BBING the same premises which James o. Porter and Pamela A. Porter, his wife, by their deed dated August 26, 1997 and recorded in cumberland County Record Book 163, Page 501, granted and conveyed unto Winifred M. Smith, grantor herein. ONDER AND SUBJECT to restrictions of record. TOGETHER with all and singular the improvements, streets, alleys, passages, ways, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances, whatsoever thereunto belonging, or in any wise appertaining, aDd the reversions and remainders, rents, issues and profits thereof, and all the estate, right, title, interest, property, cla~ and demand whatsoever, of it, the said Grantor, in law, equity, or otherwise, howsoever, of, in, and to the same and every part thereof. TO HAVE AND TO HOLD the said above-described unit and the hereditaments and premises hereby granted, or mentioned and intended so to be, with the appurtenances, unto the said Grantees, their heirs and assigns, to and for the only proper use and behoof of the said Grantees, their heirs and assigns, forever. ONDER AND SUBJECT as aforesaid. 600K 26B PACt4465 j1tfi.-..''''' R. SCOTT CRAMER ~81law SS.MilllBtSl P.o.0lMt159 Dln:Innan. PA 17020 '. The Grantees, by acceptance of this deed, for and on behalf of the Grantees and their heirs, personal representatives, successors and assigns, covenants and agree to pay such charges for the maintenance of, repairs to, replacement of and expenses in connection with the Common Elements as may be assessed fram time to time by the Council in accordance with the Unit Property Act of Pennsylvania, and further covenant and agree that the Unit conveyed by this Deed shall be subject to a charge for all amounts so assessed and that, except insofar as Sections 705 and 706 of said Unit Property Act may relieve a subsequent Unit Owner of liability for prior unpaid assessments, this covenant shall run with and bind the land or Unit hereby conveyed and all subsequent . ~:;;:;:....r. thereof. AND the said Grantor, for herself and her heirs and assigns, does by these presents, covenant, grant and agree, to and with the said Grantees their heirs and assigns, that they, the said Grantor, and her heirs and assigns, all and singular the hereditaments and premises herein above described and granted, or mentioned and intended to so to be, with the appurtenances, unto the said Grantees, their heirs and assigns, against them, the said Grantor and her heirs and assigns, and against all and every other person or persons whomsoever lawfully claiDdng or to claim the same or any part thereof, by, from, or under them or any of them, shall and will, SUBJECT, as aforesaid, SPECIALLY WARRANT and forever, DEFEND. THIS is a conveyance from parent to children and is thus not subject to real estate transfer tax. IN WITNESS WHEREOF, said grantor has hereunto set her hand and seal, the day and year above-written. Sealed and delivered in the presence of 9 4JJ# )11. tl~EAL) ini ed M. Smith BOOK 268 PAtr4466 :. of' .... .'. .. ~.. ~'ilt~l,it)i'~"'''''''' "" ,-."'.~" . R. scotrCMMER -aU_ ~St. P.(); t:JiIiMi' 159 OlIIeInnon;M 17020 Certificate of Residence I hereby certify, that the precise residence of the grantees herein is as follows: 78<1 L l (. La"e. 1= "-elj#.. I f ft '706 Age for Grante COMMONWEALTH OF PENNSYLVANIA) ) SS COUNTY OF PERRY ) On this the l:l~ day of /Y]O-Lf I 2005, before me the undersigned officer, personally appeared WINIFRED M. SMITH known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my notarial seal. My Commission expires: ""'SeeI Am H. W8IIs. NolaryPlMc ........,...,.. ~CQfty M,Co....4wk.. ~.. 24. 2lX11 ~ ~.OfNalwlel ; t , ". 1... p.,...."...' 1 "1 ' I , ; I -- " , ) l ,. ~,,,.1 I " I\..<. i l; i . ; l{ ;. . I ' {' , - 'll \ . ~; : --~ ; ~ }.. . i . ': ~ ~! \ ' () . ) rp ,./ -- / \ ~ '.' -, -'. .... t 4 ~, '_.' . ,. .j ftOO~ 268 ~^~F4467 -'~""~" .......;'" /-:~ . '.":'.~'--"' ,{ ..~~', . t.',-,',-...l,',- nf I),../"i.... ?B9 LEE UflJE 5/2.2/ t),6 ~ ~'_ w_ 789 /....EE- tAME 5/2-2/{)b JA;'/ BlmAlr; 1J./9!J New VI1U~Y I?IJA-IJ MAR'ISVltLE) PA /7tJ5"3 RE: APPR/'IIS/lL SUBJECT PROPERTY: Dear JIfAl: 1~9 /..EE LJI1NE bt/OL.A f>A 17()ZS' J In accordance with"your request for an approximation of the current martet value of the subject property, I have inspected the property from the street to determine a range of market value. This evaluatiorr was developed with the consideration that the title is Fee Simple and for the purpose of the lender/clie~t to consider.a .mortgage;loan based upon this evaluation. The valuf.~ being considered is Market Value in terms of cash. The lender/client ha-s instructed this appraiser to. consider only the sales comparisQ-n approach- t-o- va!ue-,-there-f-or-e, the-.,.cost and income approaches to- value: wera rrot considered. Departure from the- Uniform- Standards of P-rof~ssional Appraisal Practice in terms of the ,amount of data gathered for the preparation of this . report (e.g. physical descri~tion of the subject property ,& irnprovemen~s and detailed sales comparison analysis) was necessita~ed by the limited scope of this report' as request~d by the lender/client. Every effort on the part of this appraiser was made to properly inspect the subject property. and gather & analyze the cornparable'sales data iri a professional & knowledgeable manner, in order to offer a realistic opinion of value given the limited scope of this evaluation. . After an exterior inspection ox the subject property, a review'& analysis of comparable sales, a~d information provi~~~~~ the property owner, . I estimate -the Market Vaiue as of this date ~to be: $ as; CleO" . sincerely, ~H,~ Donald H. Shumaker Associate Broker, GRI,CRS,CRP Broker Appraiser Cert.# BA-003151-L FOR SERVICES RENDERED: #~~ I, OWNER: 8 'mAlt; ADDRESS: 189 I-Ct:. LANE LOT SIZE: -CONDO STREET IMPROVEMENTS:. Paved ;/ Walks V/ Other NEIGHBORHOOD: Type Dwellings 71)WIJ#()()$~S Condi tion GOOD Age -.30 )IRS Trend: Appreciating V- Stable Declining. Electric ~ Other Siding: Vinyl Aluminum Exterior Condition ROOF: Type~PHhir- Condition BASEMENT: SL.IlB Walls Floor Bsmt.Finished Rooms INTERIOR: Walls: Plaster Drywall ~ Paneling Other Floors: Cpt.. ~Vino ~ Hwo____Cer.____Other Fireplace-== 1st Floor: LR J DR I KIT I BR 2 Bath Z Other LlftJ. Foy -- -- - ./ 2nd Floor: LR____DR____KIT____BR____Bath____Other 3rd Floor: LR____DR____KIT____BR____Bath____Other Other: PAT? 0 TYPE HEATING: ELHP Type Cooling e,A. GARAGE: Construction N~N~ Style Roof #of Cars Type Doors Driveway I1SPHA-L, OTHER BUILDINGS: .sn;. SHED COMMENTS: Marketability of this property is GW.D Recommended repairs MISC. COMMENTS: IV 91ft; SP HMtKI~Ki~t rINHN~IH~ rax; (1 I-~r,-~ruu APr l4 ZUUD 11;31am PUU1/UU3 6 Jennifet H Lanson ",,' O4I2Ol2Q06Q1:~ PM :~;~\~,; , , To: Wwtne A LogutIF.\QJWHfAEFAOAMEX 00: Subject: 10409EI81 9 001 WtNIFREO M SMITH - DEA~ SETTLEMENT REQUIREMENTS - PLEASE DO NOT DELETE IDS Life InauraftCt Company RlWrS01.Irca hnd5 AftwIp,. CerUfalle Company ~p_ .ro.....' 70100 .w- ....1-.. Flnlncllll c:enlllr 1I1n_poI" IAN 1147. Apri120, 2006 WAYNE ALLEN LOGTJa 8m 200 342 N FItONT ST WOJ.ML.EYSBU1G,PA 17043..1112 Dear WAYNE ALLEN LOGUE: '1'lulIlk you fer ycmr receI1t 1rIqu1ry resardin3 WIN1FRED M SMITH's ICCOll11ts. The. 11'11be values oftbe a:cotm1:Ias oC03I09f2006. Mutual F1iDcII 6.--Nurnaer 01011312524 8 002 01126543503 9002 01132826'64 7'002 01252826564 3 002 AilIluitiel- Poat 1985 1enal Value $9.32 $20619.74 $1294.75 S3047Q.85 .of~ 4326.685 10522.739 Asllll: Value Per Shill'll! 1.000 4.760 1.000 ' 2.890 , Account N,~mlM!t- 930014.7442 2 OQ4. 93006642660 0 004 PIO Total Value 514846.26 $13603.66 # of'sharea ASset Value Per SUre , The dIte of death Values providod Il'C for estate tax purpolCllDd are not a value to'be paid. Accoums may be subJ.ct to market t1uctuation M lJOYmled by each product. Please note that 1bo va1ues indiGated for any Life ,Inmrance prod:uct(s) ~the arosl deatbbenefit at elate ofdeaSh, Dl1t the cash ~ue. vilues for any propl'ietar)t mutual. fimdsinclude accrued divi4eD4& u applicable. Values provided. for brokap procIw:I3 are maI1lIIl1y , calculated, and should be \lied u estimate. only. The prlli:Cl UlCQ 10 provide values life csti.ma1:es obtaiDecl tom outsiCic IO\\I'CeI belllVld to be l'tliabJe. 'Ameripriae F~ia1 does not gwnnteo the valu",. We appreciate the opport:Imity to 'be of ser'lieno you. Please contact 111 if you :bave IIIl)' questions. SJncerely, Jeoaifer HLmon Death Settlements Proc.Iiq Team IpSECIl; the financiallinkTM March 28, 2006 Account # 0193127501 R ELEANOR GUNTRUM C/O R SCOTT CRAMER 5 S MARKET ST PO DRAWER 159 DUNCANNON, P A 17020 Dear MS GUNTRUM: The following is the status of WINIFRED M SMITH's account with PSECU as of the date of death. Joint Owner's Name Date of Death Date of Birth PHILIP A SMITH, JOINT TENANT W /ROS 03.09.2006 08.17.1924 Share SOl S 04 Description Regular Shares Checking Open date 02.26.1998 02.26.1998 Balance $ 7.90 8,386.30 Accrued Dividend $0.00 0.55 Loan L 01 L09 Description PSL Loan VISA Open Date 06.05.1998 06.05.1998 Balance $ 0.00 0.00 Accrued Interest $0.00 0.00 The dividend earned from January 1, 2006 through the date of death was $12.97. We do not have safe deposit boxes for our members. If you have any questions, please call 234-8484 in Harrisburg or our toll-free number, (800) 237-7328. At the menu prompt, enter 6 and then extension 2227. Sincerely, ~ Member Service Representative Finance Support Unit Pennsylvania State Employees Credit Union ! Main Address: 1 Credit Union Place, Harrisburg, PA 17110.2990 . (717) 234-8484 . (800) 237-7328 \ ,-;;;~ Mailing Address: P.O. Box 67013, Harrisburg, PA 17106-7013 . (717) 777-2100 (TDD) . (800) 472-1967 (TOO), \~ - - .'" ..._..........--...._..--~ ...... ....--.-..........---......... ...............- .........-........ ........ ..... ...."..........._----~.._._- ~ Soving;feck;~II; ins~red up to $100,000 by the Notional Credit Union Administration www.psecu.com i WEST SHORE EMS - ALS 205 GRANDVIEW AVE SUITE 211 CAMP HILL, PA 17011 Phone #: (800) 367-0512 Federal Tax 10: 23-2463002 ~} WEST SHORE E\U'RGEl'CY ~lEDICAL SERVICES INSURANCE: PALMETTO GBA TRICARE FOR LIFE WA187122713 187122713 PATIENT NUMBER: CALL NUMBER: DATE OF CALL: TIME OF CALL: CALLER: FROM: TO: 47010 REJ 3057509A B 01/19/2006 PATIENT NAME: WINIFRED SMITH 3057509A 789 LEE LN HOLY SPIRIT HOSPITAL WINIFRED SMITH 789 LEE LN ENOLA, PA 17025 REASON(S) FOR TRANSPORT SHORTNESS OF BREATH WEAKNESS - MUSCLE INVOICE DESCRIPTION OF CHARGE QUANTITY UNIT PRICE AMOUNT PARAMEDIC INTERCEPT A0999 1.0 588.11 588.11 3CC SYRINGE A0394 1.0 1.62 1.62 ANGIOCATH (14-24) A0394 1.0 5.24 5.24 EKG ELECTRODE:S A0396 1.0 4.44 4.44 EXTENSION SET 8" NEEDLELESS A0394 1.0 4.14 4.14 OP SITE A0394 1.0 4.94 4.94 Total Charges 608.49 DESCRIPTION OF PAYMENT RECEIPT PAYMENT DATE AMOUNT Total Credits 0.00 PLEASE PAY THIS AMOUNT - INVOICE DUE UPON RECEIPT .... $608.49 RETURNED CHECK FEE - $31.00 PATIENT NAME: SMITH, WINIFRED PATIENT NUMBER: 47010 DETACH ALONG PERFORMATION AND RETURN STUB WITH PAYMENT AMOUNT DUE AMOUNT $ ENCLOSED 608.49 CALL NUMBER BILLING DATE: 3057509A 05/19/2006 This account is now PAST DUE!! Payment must be received WITHIN 1 0 DAYS. Collection process will begin. WEST SHORE EMS - ALS 205 GRANDVIEW AVE ~ VISA ~. iIIiiiiiIl AND ~~ MASTER CARD ACCEPTED CAMP HILL, PA 17011 ,.,... 01' _~u GOODS AND SERVICES SEI..ECTED, . , ," 'I STAl'EME.... s rlUl"'~ 1 "",'(I C! .h"t """ r'" .,,!-ed If W~ ..,.C ""l'J1IC(; '" ~,<" '" by' ce;""tet)o or cl't:ll'.atf:lI'l to US&" 1ll) "en.<. "'~ ..'I, O:iI!8~ are- on\y for ~ 1tef!1~ .....Lat )"QU $e .,:" - ,. -''"i - .. . -- . tA-pbin -:he reaYlh ~n 'l\~\ng bekM-". '_~, j' a' . f "ne,';l v'.ewr.l~ Vi,H.. 'l~V h.....~ to :ay ffA ~\I'l'..ing, You ~ new ha~ to ~XfY for tmbotl:r:.- ~f ynu ~~1 a f~\ ~~'t rn:=7n'=~~';h j"../':~i':.:"'~ ~~rl.~;o.:1 ~~ 1;r:mcdi~1.~ h'Jf:a'i. it' 1Ve ~1f,.rgeG:or t."I'r\bttY&i,1it we wiiL(,~1,t1r~,;hY !,e~w l:l~'rt'"~Il<'lUPP"""'\""'" I'Y!OO/Gii(J t W. s"..,. 4-.... DaI.,of~ P... -.....e~_ Pm"lbc 8eI'W:e of '7 - . . Pf."II.'p A JIA'~, ^"dre$~ A- CHABGI! 1I0ll SIlIIVIC.ES SEIicriD, prorF.'lSlOt<AL ~AA~":Z; "\ . q ~... ~n1<e' <<'~ lJ'..=/Sl>/! . s~-<F" ~ .$~ <.m: ~p>tllion Ilf l><xI"; k I ~ S- .. .~.~ iftJ>4-CtJJ~~.. f. . .1_-= 5IJB.T01'Af. QF JIIlOPESSl.ONAL SUVICEll . ~ ,,,rr.:.rrre., A.'IDSEllVJC'llS [jse of r.~ atld ~'lCCb foe "",,vir.Q (V,sit.Mnl'lW:o.l ..., l~ t'i f:lr.lli~jcs :U'l:.] ~.~ lex "'......1 oe_ony ,.. IJ<c "'_..111<'.....,,_ for Mt:moti:l.I.s~:e , l~ of<<.l~~!,...;l ~;c...._" fur pa'\i'" cl".ice O<l'<eo' _ ct 1><'..... FR01 S.~ll ivan Funeral Home ~ "" Name PHONE NO. : 17177322162 Jlli. 02 2006 11: 34l=t1 P 1 sullivan Funeral HOll'.e 51 N. Enola Drive Enola, Pa 17025 732-5400 ~:1i'V ~ Cihe~ dl)l;h ;'.it C:'('I'...~C:i.:.:s::t '::X~T;,~no') .$-- _lTllUl _....... ~- ~- ~c .J;S~_ .., s2JJ...I' TotAL :m!llCBM"tlal! SIIUC'I1!D' . C. SPEaAl CBAIlGESt Fm\l..;&J'l;.:~J{ or ~r'" toO :=t .t-J-- ~-+_. $1 $ . .. . $ . . . . _5- <}'J'WIS\ Hom~) P.ec.il'ir<< 01 ren:;inI: fro", --~-.T~j'Mr.al.HOlDC) :mmcdi"" Uu:W :'~ct Ctc."t:)Cl1)oo - ...:\2~__ SlJ8:I'Ol'Al. C1F sna.u. CBAllGI!S D. CASH Al>>;vtlOSO ~'),'llin8GrD\'C .. $_ cer:~rt.l~ F.clui4'lr.'I':nt 5._ ~.iIJ\(;i.\.tdG .~~ "(c;vs,.~ t\~r;k,:(.'''''.i....:raJ ;f~ Se"'$!J<"'~.r i\'0\~')w:~..,..".,T. .. $.._ .:'o;tItphoc...:~.,(. T~l.r.gr-.m.~ . $._ "irfZfC , ~ Ck'1iY/~j; OCt':-ln,u - . ~~~ ~=~ o':rJ\~'n.;.d,' c,:" : :: ;::::lJL Cc!'llk':r..t(.. ~_ "01;"" 7'~'JI!1{d;;.."""'''' 5 11'!(,,,,,.ccl' .ytJ . . . .I".t"-J') . . . ,~ \~I." S,.".1<'t:' ClWll< . 1-1..a..:Q. $ $~ 5_ $--- 5_ . Jj$ 7-7UIO ""- SUJl.1Q1'AL OF 'M3Ilm!~'EQ{1IPMS!n' ~. AL'tOMO'1'(VF; fQtlIPMmT =l~.fOnr~ ~ ~~~~ ~1l.rr:J2E_. ..,s;)75 $_ "!f ~ s ~-+- suiiOw. (Jf' AVfOMO'J1VE ~~ TOTAl. Of nDfl!lISlQMl SQ~, .'A.OLttIES Al'ID A.'V'rOMom'B !Q{,iIPMUi'l' ".., H_(~(;<JOctl) l.OO'l limo....... 1=1 r1llli1r....,. l.o<.il _"'ClICorflor1llJ~oo r....'al ~ C3rider"", ...." 1.;.:ccl ,,,,fo: ~ lDal ::"1): t)f~I1Q.'fI. tt\in,o;j')aI'tI.~)I'J. ($_ $_ ~...lIil"/~s;. ..1 15'15:.. SL'5-TOTAL (If ADVANCES '.'f.f: ,.:utrct 'Y1)4 t<w (\ur S<::\'\-KCS ir.. *.inlDA:: ('~'.:M$IJ"""''''''''_.'' .....~) 34QO ..'>.>- '.'~ ~Ji:.' , _U'-' ~~ 5'.'MMNIY 01' Cl\'A~ ~.. l'r.::rCIW(,,)Il;1: Scrv-::t.o. f1k:d::.!id tiaJ ~:\q)!r.Iiu)(; .:: r)d Autor.n:jV\:: tc.:u:pn:'ML 11. ).ki(~'u")Uj;o!(.: t. ~ik'<".1 r.t"'1lO' ...,. 1; _ r.:l,~11 Adv~I1~ TO'LU. Of AU ~"S PAID .\1 lIME OF OIl PBlOIl Tf> AIUlANGEMENIS lW>>\Cl J>t."t .' JU!AS()N flOIl RMWMING "'- ..S___. B. cw.BGE l'OIt MfJl.OlA..'iD1SE. SI\LE(,'"Il1I?"4 ';;: CaoII<< . . . .Ui.LI~ . .. ..' UL!-J,... \P='i~) :-:-..:1:= C!brr ~.de ... . . . .. . ... >'...:....l-- (l)r~.cr"",UCa' Outw:.)t"",:!(~V::IinCt~.'~.. 1~ <.oeo.<:tiptior.) . :J;!q4.~ ~ '7"114. C I. ?~J ................ ~_t.((J I ~ fh:;.;r.( I h~...a ~y~ce the iwr.s cl J:oodi: :mt: ~.1t.= ~~.;. ::..I;()'Jt! .ow::: fo.:nd W<ttk w ')c <:~~rc.(': ';1-..:1 '&C:0iX~~ ~ tbl;:' unf'..-mrnlll.~'!t: ~lle$l<<l ( ~~ . ~ ~ a c."p)" d ~ ~tA ~ l"uobril ~ ~ SetY\C'::'..; St.":lt(.1ed. ; ~~ t1:l: r t.lvt: "~lc:nt fundi a'J~ rQl P'i-me:u rL 1be ~ pr1Ce fOI'me pdr ".d _ ",,,,,",,,,. I olIO _ I" ....... l'lymont 0; S wiTN" __ -Jal"'- I .~ '" be i<>i<c!~ lIniI .......n~ lloItlo w,lli.....,:~ .... wilo ';9'" ""_. A.... <Iwll" <:I p'" "'~lll> ~"'!"\l""~~ '" ..... . ..___ P<' Y'''' ..ill be "pp!l<d to Ilk< un;>aW b\<1Io!>.....~ '. Coyo &ora u,.. .... 0: :It.; ~_ I ";0 ala<> twr '" "'. I'urlml nil<:<S<l' 011 ~:. <"", "",d 7, U... r""r.": Odfl:tO. to <'OIiec:r IllIX'Ull.. I O'I~ """"" """ ",,_,m:. "!"hI:<< (' ':tnOl'fl<<r" ta::s. C'-:'Wt :mLI ;anc: Of~r :.tJI!.V. Ml." wr,lttJuti.d $t.:'ii(.~ \1J n\'-J~)j';ndU~ .wct<l!;'ed \"Jt" -~,.wM,~d wr the Qu~ of th.i.'l i'lfJ'tane.. ,.,;\1 be ~c. .,...., It! bet ~ ~~ :,h", bJ b:ll Ot' _~(~rr,~~'~. 3 '-, ~ 0 I' (.~) )d ~~-. 1~ Func:tII!D;,ce,o.J r(~ """,,'_"un- ",",C.N_ ~ko.'l!iO"".,,"',<ta lO!gi".uh(:.ok(~) M<"""Y ~ 7r.lrtr ea..~ r~tpc.)(;).,~ ~"IC rr.~ BLriaJ d~'t,~ . lC ..:1, ;ii.'II', ...:t:I.~"~"', oc: (;(e.na:o;."', "equi:c:mcnu ha..."(: rc:tfU.~ tt.c: pul'Chue .; .ny ,f :b """'" wl<:\!~, :ho 10'" 0< re(lIlltOOllO:1l "' .xpi:l"''''' o.low. ~ 'N-o'~:~~NftUIL~J~'\:l\~Ol) tb1m . 600 Re....i~ 1/04 Yltlrr' ~<a....,,) IIi.&ll'..N;\o i~.,..u'_.. """oil""'.' LAST WILL I, WINIFRED M. SMITH, of 789 Lee Lane, Enola, Cumberland County, Pennsylvania, declare this to be my Last Will, hereby revoking all prior Wills and Codicils. FIRST: I direct that the expenses of my last illness and funeral be paid out of my estate as soon after my death as is convenient and expeditious in the judgment of my Co- Executors, hereinafter named. SECOND: I bequeath such of my tangible personal property as is set forth in a separate signed memorandum, which I shall place with my will, to the persons therein designated. THIRD: I give, devise and bequeath the residue of my estate to my four children, Phillip A. Smith, Richard J. Smith, Janet K. Bitting, and Carol M. Peganoff, or their then-living issue, in four equal shares, share and share alike. Should any of my four children die without issue to survive them, then and in that event, the share of any such deceased child shall be added to the shares of my other then- living children, equally. FOURTH: All estate, inheritance and other death taxes, together with any interest and penalties payable with respect to property or interests therein subject to taxation by reason of my death and whether passing under my will or any codicil thereto, or otherwise including jointly held and other non-testamentary property shall be paid out of the principal of my residuary estate without apportionment. FIFTH: I hereby nominate, constitute and appoint my two children, Phillip A. Smith and Janet K. Bitting, Co-Executors of this my Last Will. I further direct that they shall not be required to post any bond to secure the faithful performance of their duties in the Commonwealth of Pennsylvania or in any other jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Last Will, which consists of one (1) sheet'of paper, dated this d~U. day of Ht+i ' 2005. R. SCOTT CRAMER AlIomey at Law 5 S. MaIllet st. P.O. Olawer 159 1uneannOn. PA 17020 'lV~~t/Jj. ~ (SEALI , Wi fred M. Smith --- The writing contained on the one preceding page was signed and sealed by Winifred M. Smith and by her published and deolared as her Last Will, in the presence of us, who have hereunto subscribed our names as witnesses at her request, in her presence, and in the presence of each other. '-8 /'LL~ E.. ly,~u..w 9 (I ~~J'y ;). CJ.pIlio..n i COMMONWEALTH OF PENNSYLVANIA) ) SS COUNTY OF PERRY ) I, Winifred M. Smith, 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 Willi that I signed it willinglYi and that I signed it as my free and voluntary act for the purposes therein expressed. " V 1~ ';!J ~lv . ~ Wi ifred M. Smith SWORN or affirmed to and acknowledged before me by Winifred M. Smith, testatrix, this :2lDiA day of 7YJaAf , 2005 R. SCOlT CRAMER ~ at Law 5 S. Markel St. P.O. Drawer 159 Duncannon. PA 17020 lJtdtzr. NoII!Iltlll8ell Ann H. watts. Notlry PublIc Susquehanna Twp.. Dauphin County My Commission Expires Apr. 24. 2007 R.:::~-~':~-'-- ,~~~'\'~.,;~,. ~. - ":~. :I~~'(l'" (;, N(\t~riP.!; ~ . COMMONWEALTH OF PENNSYLVANIA) )SS COUNTY OF PERRY ) We, f3re.n.Lr... E. ~I""o..y\(' and l1~X\\'\\\E'..{ L. Cipe \C'u'1I', 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 testatrix sign and execute the instrument as her Last Will; that Winifred M. Smith signed willingly and that she executed it as her free and 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 18 or more years of age, of sound mind and under no constraint or undue influence. ~ ruc-.....A-...... L t 'f~~ ,0.; ~ e.(1 n1-O/l .:1 (~ru'(111l. SWORN or affirmed to apd subscribed to before me by ~n0\~ L C~pr-lt.W\.L and n1rdo. e'. 1~a.Y\G' wltness~s, this ClLo.!-/ day of ~ I 2005. a.1J Wtwv Naarial Seal /!1ro H. WallS. NOOlrY NlIic Susqueham8 Twp.. DauptWl CountY My Qm'niSSial ExpIreS A{Jr. 24. 2fYJ7 Member. Pennsylvania AsSOCiation Of NotarieS R. SCOTT CRAMER A1tr1rnf1y at law 5 S. MariIet Sl P.O. Drawer 159 >unc:annon. PA 17020 ~ - "r l.t ,."-~ iI):~ - -ry- ..... ",? ,- " -: J , . i ,/Z :> g E ~, Q) Vl ::l o ~ ~-' ~ ::lQ) O~ UroM ::l ...... Vl >, 0-0 r- ~ (/') r--- r- c: ...... or- ::l Q) ::::OVl U::lc::( 4- 0 0- O-o~ C:~ ~ro~Q) Q)r-::lr- ~~OVl Vl Q) U or- or- ..Q r- C1EQ)~ Q) ::l Z ro o:::UOU " p