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HomeMy WebLinkAbout01-18-07 (2) REV-15OQ EX + (6-00) '* COMMONWEALTH OF '. PENNSYLVANIA , DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 2 1 -0 6 0 9 8 4 "'CoUN1YCOiiE' ---VEAR- - - NUMBER- - ~ Z W C W () W C DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Gilleland Jr. Ira G. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) SOCIAL SECURITY NUMBER 2 2 3 - 1 0 - 7 2 2 8 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 09/28/2006 06/22/1918 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Gilleland Jose hine E. W I- ll::~en ull::ll:: w~u J: ll::9 Ul1.111 l1. < 00 1. Original Return o 4. Lirnited Estate 00 6. Decedent Died Testate (Attach copy of Will) o 9. Litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-62) D 7. Decedent Maintained a Living T rust (Attach copy ofTrust) D 10. Spousal Poverty Credit (date of death between 12-31-91 and 1-1-95) D 3. Remainder Retum (date of death prior to 12-13-82) o 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) THIS SECTION MUST BE COMPLETED. AlL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS R. Mark Thomas Es uire 101 South Market Street FIRM NAME (If Applicable) I- Z W C Z o l1. en w ll:: ll:: o U TELEPHONE NUMBER 717-796-2100 Mechanicsbur PA 17055 OFFICIAL USE ONLY z o j:: <( ...J :J ~ a:: <( () w a::: 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) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) (1) (2) (3) (4) (5) "' ~ t::::...) --..j S- ...--~J> :0 ::'7 i-j (6) 8,055.00 --...-. C) i:7 -,." (7) (9) (10) ~ (fl 13,584.06 (8) 2,077.00 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o j:: <( ~ :J D.. :i o () >< <( ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 19. Tax Due 8,756.35 X L-(15) 2,765.75 X .045 (16) X .12 (17) X .15 (18) (19) (11) (12) (13) 2,077.00 11,507.06 (14) 11 ,507.06 16. Amount of Line 14 taxable at lineal rate 0.00 124.46 124.46 17. Amount of Line 14 taxable at sibling rate 20. 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT >> BE SURE TO ANSWER'AlL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 18. Amount of Line 14 taxable at collateral rate Decedents omplete ress: STREET ADDRESS 1115 Charles Street CITY I STATE I ZIP Mechancisburg PA 17055 · C Add Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1 ) 124.46 Total Credits (A + 8 + C) (2) 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. 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. (SA) 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) Make Check to: REGISTER OF WILLS, AGENT 0.00 124.46 124.46 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 IXl b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 IXl c. retain a reversionary interest; or ...................................................................................................... 0 IXl d. receive the promise for life of either payments, benefits or care? ............................................................. 0 IXl 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................................................................... 0 IXl 3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 IXl 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 IXl 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 pe~ury. I declare that I have examined this return, includinq 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 repr ed on all Information of which preparer has any knowledge. SIGNATURE OF PERSON RESPO OR FILING R TURN DATE p. ADDRESS PA SIGNATURE ADDRESS 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 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 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. REV-15G8 EX + (6-98) . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gilleland Jr. Ira G. FILE NUMBER 21 06 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of sUIVivorship must be disclosed on Schedule F. 0984 DESCRIPTION ITEM NUMBER 1. 987 Ford Thunderbird (70,000 miles) 2. 001 Mercury Grand Marquis GS (35,000 miles) VALUE AT DATE OF DEATH 950.00 7,105.00 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 8055.00 REV-1509 EX + (6-98) '* SCHEDULE F JOINTLY-OWNED PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gilleland. Jr.. Ira G. FILE NUMBER 21 06 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. 0984 SURVIVING JOINT TENANT(S) NAME ADDRESS ~ELATIONSHIP TO DECEDENT A. Josephine E. Gilleland 115 Charles Street lt1echanicsburg, PA 17055 Spouse B Ira G. Gilleland, III 06 Henry Street lt1echanicsburg PA 17055 Son C JOINTL Y.OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY '10 OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECO'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST 1. t\&8 0/29/59 ~embers 1st Federal Credit Union, Account No. 4965.00 14,353.33 33.333 4,784.40 ~OOO Louise Drive ~echancisburg, PA 17050 2. j6.&B 1/14/60 ~embers 1st Federal Credit Union, Account No. 5342-00 2,233.99 33.333 744.66 ~OOO Louise Drive ~echanicsburg, PA 17050 3. j6.. ~arital Residence 144,160.00 O. 0.00 115 Charles Street ~echanicsburg, PA 17055 4. f\. Household Furnishings 2,000.00 O. 0.00 TOTAL (Also enter on line 6, Recapitulation) $ 5.529.06 (If more space is needed, insert additional sheets of the same size) REV-1511 EX + (12-99) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Gilleland. Jr.. Ira G. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER 21 06 0984 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Auer Memorial Home and Cremation Services, Inc., 4100 Jonstown Road, Harrisburg, PA 1,472.00 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 State Zip Year(s) Commission Paid: 2. Attomey Fees R. Mark Thomas, Esquire 500.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 105.00 5. Accountanfs Fees 6. Tax Retum Prepare~s Fees 7. 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The Private Party Value assumes the vehicle is sold http://www.kbb.com/KBB/Se1ectionlCondition.aspx 1/12/2007 "'" 'I, .J I u.l_~"""'~1""'''''' ~ it"tJUIJIIJ_ ~1f~""'~J.l..m,~ .......,...~ ~J m i~ ~..~....1'. "., :f~ ~~ :It 'lii )1 r ~ ) H:, \ - ~ ~~~C \ . Q., 0 o = , () 0 ~ ,..."..........'.....,.:.u........... . , ~.... '. .... .1'.." :~ ~CD o ~^ 00 o 0 !t...OJ OJ >>, w. .~ ,.~ _ to"'; ....~ ,:oJ, . CD: ' ~ ~ .. tJ tJI ~ -n o ... f:\~ " n ~.. ~. . CD -,r \ Co I " ~, - '- =t ~ .,~ ~ ~~ k+\ . -0 )> 0 CJ 0 CJ ~ ::Il ~ rn z SB -< z )> ~ -!!l , , .......j ~,. - ~ ~ l ~- ~ 12. ('\ ~~. ~ M. ~ ~N ...... ~ \.') t:-.J ~ <.n \)j " -~ lk'" h' ~ I.~ \ ,-) k~ ~~~ rt.' ~ 1~ , )J ~., ;:~ .~ ! ,;. >:;: ~,.":' '.I.~~:. 1 " 221*T--;J;>eed from Corporation to Individual or Corp., :l\.ttorney's Ack. HenlT Ball, Inc,. Indiana. PIl- ' BOOK.f 20 PACE 614 t!tbt~Jnbtnturt, MADE thE 1/ ' day of AucjljS t ' in the year of our Lord one thousand nine hundred and sixty-two' BETWEEN CAMPBELL LUXURY LIVING HOMES, INC., formerly M. R. Campbell, Inc., a Pennsylvania Corporation, having its principal place of business at Dornsife, County of Northumberland and Commonwealth of Pennsylvania, party of the first part; And IRA GLENN GILLELAND, JR. and JOSEPHINE E. GILLELAND, and wife, as tenants by the entireties, of Mechanicsburg, County of Cumberland and Commonwealth of the second part; pennSYlV~a,~r~ie~ or ~~ l~ Real Eslate Trlllshr Tax '6 ~ Amt...7~~.?l31 .- WITNESSETH, that the said party of the first part for and in consideration of the sum. of Twenty-four Thousand, Four Hundred and Twenty-three ($24,423.00) Dollars lawful money of the United States of America, unto it well and truly paid by the said parties of the second part at and before the sealing and delivery of these presents, the receipt whereof is hereby acknowledged, has granted, bargained, sold, aliened, enfeoffed, released and confirmed, and by these presents does grant, bargain, sell, alien, enfeoff, release and confirm unto the said parties of the second part, thei r hei rs and assigns, , I. ~ f ,. , t, E f. t f , ." .( ALL that certain lot in Plan NO.1, of Orchard Crest, in the Borough of Mechanicsburg, Cumberland County, Pennsylvania, as shown on the'survey dated August 10, 1961~ by W. G. Rechel, R. E., more fully described as follows: Lot 8, Section "D".. BEGINNING at a point on the northerly l}ide of Charles Street, where the division line between lots seven \7) and eight (8) intersects with the northerly side of Charles Street; thence north twenty-two (22) degrees forty-seven (~7) minutes 'west, along the division line between lots seven (7) and eight (8) f' a distance of one hundred forty-one and thirty-eight hundredths (141.38) feet to a point; thence north sixty-six (66) d~rees forty-three (43) minutes east, a distance of seventy-five (.75) feet to a point; thence south twenty-two (22) degrees ferty-seven (47) minutes east, along the division line between lots eight (8) and nine (9), a distance of' one hundred forty-eile"land thirty-eight hundredths (141.38) feet to a point; thence south sixty-six (66) degrees forty~three (43) minutes west, along the northerly side of Charles Street, a distance of seventy-five \75) feet to a point, the place of beginning. aEING PART Or THE SAME PREMISES,WHICH Orchard Crest, Inc., conveyed to Campbell Luxury Living Homes, Inc., by deed dated April 10~ ',1?62, recorded in the Recorder's Of rice of Cumberland Coti~,ty, Penna. in Deed Book M Volume 20, page 575. ~ J ~ ~i ~ !: TOGETHER with all and singular the buildings, ways, waters, water-courses, rights, liberties, privileges, hereditaments and appurtenances whatsoever thereunto belonging, or in anywise appertaining, and the reversions and remainders, rents, issues and profits thereof; and all the estate, right, title, in- terest, property, claim and demand whatsoever, of the party of the first part in law, equity, or otherwise howsoever, of, in and to the same and every part thereof, 4--. TO HA VE AND TO HOLD the said buildings, hereditaments and premises hereby granted or mentioned and intended so to be, with the a,ppurtenances, unto the said parties of the second part, their heirs and assigns, to and for the only proper use and behoof of the said parties of the second part, their heirs and assig,ns forever. And the said party of the fi rst part presents~ covenant, grant and agree, to and with th~ said, he! t's : parties of the second part, tne1r and a8siqns that .i t the said party i of the Ii rst part all and singular the hereditaments and premises herein above described and granted or mentioned and intended so to be, with the appurtenances, unto the said parties of the second part, their heirs and assigns against i t the said party of the first part and against all and every other per.'Jon or persons whomsoever lawfully claiming or to claim the same or any part thereof, shall and will do e s by these j I. ! i warrant and forever defend. The said Campbell Luxury Living Homes, Inc. doth hereby constitute and appoint M. Ralph Campbell to be its attorney for it, and in its name and as and for its corporate act and deed to acknowledge this Deed before any person having authority by the laws of the Commonwealth of Pennsylvania to take such acknowledgment, to the intent that the same may be duly recorded, IN WITNESS WHEREOF, the said Campbell Luxury Living Homes, Inc. has caused this Indenture to be signed in. its corporate name by its President, and has caused to be affixed hereunto the common and cot"- pomte seal of the said corpo-ration, attested by its Sec-retary, the day and yea-r fi-rst above w-ritten. CAMPBELL LUXURY LIVING HOMES, INC. = 'J <,,;;../ /" ,/ '("-o~// " ,,' . _;.. By //'4"7 (( ,.--.':'-. ,/. ---:;'-7 _:'::'~:'...-;~....,(;:_:__';':"_~,,_~:.____u_u,,__~~_."'..:::u~n..__n_r-..__i....:....t.__c..:__:..t.____ / - , // President. Attest: ~~ .. .- ",,""lirJ.tTit;--' ,~., C' (' ). '-- ~ \p.... " \. ,,'--". :.,.., . s~~;~t~;;~i~:'t~:~~ ~!.~CLr,::;----<..__.__.O--- ,,1._._,' ..-.,- U,nU.. . -,y' M ." "y , J ~-:..~::- .:.~.,~'~~~:::: r'...~/.;'" 0,' ~-: :: .....:J ,_ ,~... ,..- " I".. .. 'to.. ...... . .. . 1......, r. ' h;~~fd~~.~ . ~,~ <>"1..,.'.. '.."..... ". ...~.I~.-.. ~ ~..," ',,/7 P.;.....~,'J "" I"t V . \\\' "11'111'"'\\ BOOKP 20 PACE 61.5 BOOKf 20 PAGE 61 (j Received the day of the date of the above Indenture of the above named " , j . I 1 I I I 1 J ) , I : 1 r f ) 1 I ~ , I I ,j l r. ~ ( State of Penn sylvania County of Northumberland On this, the l' I... day 0 f Ati(.hlS t , 1962 , before me. M, Ralph Campbell the undersigned officer, personally appeared known to me (or satisfactorily proven) to be the person who is the attorney named in the foregoing Deed, and acknowledged that he executed the sam~ as the act of his principal for the purposes therein contained. ' '" .,. .~. t-"l"'Y't In witness whereof, I hereunto set my hand and official seal. "";'If;'~~,:.;.:.::~>> \ .... . . ,\. '",'" '" t-, , \" I"~, " 12 ~ ' ...., -.,""w'.... ~'" ..,.'. ~ .---::--J ' ' ,/~.r<~~~~.'~.'~:,.~~;,' . :; f: ""{"L ..r1fL~-4:.~.- k(. - -- ~.---;.';'~-:.~7.:~--~ s. f ~ . ().----:;~:-:~-;:-~~-~-:~~;,'~-!-::':,::,,~Jl~l~'m"-r :,,~~ Jot,! """...,..1, f'lilIC_lIC!, "",T'/,~~,.4) Qffi,cer~ ,;..t~~"7,'.' "," '~'" ~. ,. CERTIFICATE OF RESIDENCE '\\~)~~~:-) . tt. ~. :,1 ,',', , ~h~,,,',r. m_______._..1________.____.m.. do hereby certify that the' precise residence and "Complete pbst:'6ffit1.;~~)~.> of the within rw,med gr<<ntee is '538' Marble Road', Mechani'asburg.. Penna,.... ~~...,. ' .-..._____.__.__...l_-/-__o__.___ _.~.;..-- _ __._.____ __. __.__.__._____.__. August 11 19 62 G ran tees Attorney for -.._.__._ ____._____.________ _.___n_____.___.____._____._. t:l . '0 Q) N~O~ Cd ~mft.t 0 :Ei '-Orl~r:-i " . O'-p..o~. . bD::2l . r-t c::qQ) rt\ ~ '" '" .0 tl ~~ t-:l'O c: ",a ~~ ,,~ ~ A-P P lI\o A:t .~, till 0 -..t -riQ) 'Or-t ~ .~ .. ~ ~ C;W He ~,~ ,00 bD * ta~ r-tr-l 'Q) ~ or-( C;W . Q)'n +' CJ) 'd p ... ~ () r-t~ U) ~.oro~ <'\ fa "'~ 0 r-t p" .. Cd m ~ 0 "" P .H E-t 'n . ,O,)<<>..c: 0 ~ 'r! HO ~riJ Q () 'n ~ ~ .. ~-P~~P-lro r-IHr-I aQ) 00 ~ ra1 r-I Q)~ H ..c::..1I> ",II> O' .. Co) ~'d ,om,o r-1..c: '0 r-f II>""'-ri ~Q)p. ~Pt Q).o ::i!l s:: U) ~g~ Q) .,.,~, p~ CdCQ ~OOfHOO Ot:QO ~O ~:Z;OOO Ht-:l ~Cd Q)'S ,-.' ~ l ~.~ .,., r-t .,., W c:a: ..~ ,.. Q) Q) P-. ~ "I Q) t:l a:::Q . 0 ~m I ...c:: i-~ ~CI) .:~.: '--' L,. " ~l ., State of ---.- _.___u___._________ ___u__ . - ----_-00----_---00"'1 83. ..' '- -. ,r .,\ County of -..---....---....----.......__......._________________..._............ _....__......___......... r.. ~~_l . ~ ~- -'" ~ RECORDED on th'/.s -_._./~..__________n_.__.__ day of _~.=.- A. D. 19~.~in the Recorder's Office of said County, in Deed Book r:' Vol. h__.n_.il-:!!?hu.m..' Page ._____n6.I!/.h..___. , RECORDED-OFFICE OF THE RECORDER OF DEEDS I (). 'O/~ /141 Given under my hand jZ~~~~~d ~ _000_._.' ~ecorder. ce, the date above written. CUMB~tij,Ar-m," Q4JNTY PEI'I'tSVL,WAJIA LAST WILL AND TESTAMENT BE IT REMEMBERED THAT I, IRA G. GILLELAND, JR., a resident of Cumberland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this to be my LAST WILL and TESTAMENT, hereby revoking any and all Wills and Codicils previously made by me. I I declare that I am married to JOSEPHINE E. GILLELAND, and that I have one (1) child, IRA G. GILLELAND, III born December 17, 1946. I declare that I have one (1) grandson, MICHAEL JEFFREY GILLELAND born October 23,1971. II I direct that all my just debts and funeral expenses shall be paid from my residuary estate as soon as practicable after my decease. III I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as a part of the expense of the administration of my estate. N I give, devise and bequeath all my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment to my wife, JOSEPHINE E. GILLELAND provided that she survives me by thirty (30) days. v (..: ~ ~ ---,-.-;- If my wife, JOSEPHINE E. GILLELAND shall predecease or fail to s~ryiv~ m~~by - ,"-, j 0_.- - thirty (30) days, I give, devise and bequeath all of my property, whether real -~~ persqnal, C,~. .'~ wherever situate, including any property over which I may have a power of appointment, to my son, IRA G. GILLELAND, III. VI If my wife and my son shall predecease or fail to survive me by thirty (30) days, I give, devise and bequeath all of my property, whether real or personal, wherever situate, including any property over which I may have a power of appointment, to my grandson, MICHAEL JEFFREY GILLELAND. VII I nominate, constitute and appoint my son, IRA G. GILLELAND, III as Executor of this LAST WILL, to serve without bond. If my son is unable or unwilling to act in that capacity, then I nominate, constitute and appoint my grandson, MICHAEL JEFFREY GILLELAND as Executor of this LAST WILL, to serve without bond. IN WITNESS WHEREOF, I, IRA G. GILLELAND, JR., have set my hand to this LAST WILL this S!J" day of //17 ' 1999. t ft44/ " ~ ~""---:'Z~0,;' / ~?<//~~~~V IRA G. GILLELAND, JR. . Signed, sealed, published and declared by the above-named IRA G. GILLELAND, JR., as and for his Last Will and Testament, in the presence of us, who, at his request and in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses. AJ%~ ,/ ,/ --.--~-,..,.--"'" 2 ACKNOWLEDGEMENT COMMONWEALTH OF PENNSYLVANIA ss. COUNTYOFCUMrnERLAND I, IRA G. GILLELAND, JR., 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 as my free and voluntary act for the purposes therein expressed. ,,-$-q?~$///4*~ IRA G. GIL ELAND, JR. Sworn or affirmed to and acknowledged before me by IRA G. GILLELAND, Testator, this ~ day of . /l1<<;y , 1999. ~U1A..tL ~/Z-tL;d/; '_ No ary Public AFFIDAVIT Notarial Seal Anne Carr!lody,. Notary Public MechanicsburQ Boro, Cumberland County My Commission Expires Mar. 11, 2002 AL TH OF PENNSYLVANIA ss. COUNTYOFCUMrnERLAND We k! ~,4- ~~4S and C'<'!.::'kJI'l./ ,-5., 1hz Z L~?-l.:::t#. , i.J { , 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 sign and execute the instrument as his LAST WILL; that IRA G. GILLELAND, JR. signed willingly and that he executed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses; and that to the best of our knowledge, the Testator was at the time 18 years of age or more, of sound mind and under no constraint or undue influence. ;&#~ ----- - - Notarial Seal "- Anne Carmody, Notary Public MechanlcsburQ Boro, Cumberland County My CommisSion Expires Mar. 11, 2002 3