Loading...
HomeMy WebLinkAbout09-29-0915056051058 REV-1500 EX (06-05) OFFICIAL t1SE ONtY PA Department of Revenue Coon Code Year File Number Bureau of Individual Taxes ~' PO Box 280601 INHERITANCE TAX RETURN 2~ ~~~ ~ i .~Li Harrisburg, PA 17128-0601 RESIDENT DECEDENT l3 ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 202-20-0578 07/14/2009 04/02/1914 Decedent's Last Name Suffix Decedent's First Name MI Kline Ravenda W (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI 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 Retum 3. Remainder Retum (date of death prior to 12-13-82) 4. Limited Estate 4a. Future Interest Compromise (date of 5. Federal Estate Tax Retum Required death after 12-12-82) • 6. Decedent Died Testate 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Wrll) (Attach Copy of Trust) 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number William N. Jamieson (717) 645-3218 Firm Name (If Applicable) c.7 REGISTE~IIILLS US~NLY -, ; : `~~ 'rt rf^, ~ J ~ t'a'i ~ First line of address ` ~..r, n i 5 Ovis Drive - ~-~ `~ - Second line of address :~ ,~., _' `-_ ~_ ---~ N Y , . _-~ City or Post Office State ZiP Code DATE FILED ~ Mechanicsburg Pa 17055 Correspondent's a-mail address: W1amIeSOn_blll p~hOtmall.COm llnder 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. RESPONSIBLE FOR FILING RETURN 2 ADDRESS - 5 Ovis rive, Mechanicsburg, Pa. 17055 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Name: RaVenda W Kline RECAPITULATION 1. Real estate (Schedule A) ............................................. 1. 2. Stocks and Bonds (Schedule B) ....................................... 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3. 4. Mortgages ~ Notes Receivable (Schedule D) .......................... ... 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... ... 5. 6. Jointly Owned Property (Schedule F) Separate Billing Requested .... ... 6. 7. Inter-Vvos Transfers 8 Miscellaneous Non-Probate Property (Schedule G) Separate Billing Requested..... ... 7. 8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. 10. Debts of Decedent, Mortgage Liabilities, 8~ 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 Govemmentai Bequests/Sec 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_ 15. 16. Amount of Line 14 taxable at lineal rate X .0 45 212,549.96 16. 17. Amount of Line 14 taxable at sibling rate X .12 17. 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE .........................................................19. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 Decedent's Social Security Number 202-20-0578 1, 209.78 219,787.97 220,997,75 8, 358.03 89.76 8,447.79 212,549.96 212,549.96 9,564.75 9,564.75 15056052059 REV-1500 EX Page 3 Decedent's Complete Address: File Number DECEDENTS NAME DECEDENTS SOCIAL SECURITY NUMBER Ravenda W Kline 202-20-0578 STREET ADDRESS 5225 Wilson Lane Appt. 309 CITY Mechanicsburg STATE Pa ZIP 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments _ C. Discount 3. InterestlPenalty if applicable D. Interest E. Penalty 0.00 0.00 Total Credits (A + B + C) (2) Totai 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) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (5g) 478.24 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 :.......................................................................................... ^ 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? .............................................................................................................. ^ 3. 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? ........................................................................................................................ ^ 0 9,086.51 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 surviving 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 (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 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)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. (1) 9, 564.75 478.24 0.00 9,086.51 0.00 REV-1503 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCi~lED1~LE B STOCKS & BONDS ESTATE OF FILE NUMBER Ravenda W. Kline All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM _____~ I VALUt AI UHIt __ /1C I1C AT41 Met Life Common Stock - 34 Shares, Price per Share $35.5817, CUSIP 001 928 59156R10. I 1,209.78 TOTAL (Also enter on line 2, Recapitulation) I $ 1,209.78 (If more space is needed, insert additional sheets of the same size) ~t3 •! please Note: Your Sale Proceeds Check is P'~ ~~hed BROKER'S Name, Address, 21P Code, Federal Identification Number and Telephone Number: Mellon Investor Services 480 Washington Bivd. Jersey City, NJ 07310 22-3367522 Telephone: 1-800-649-3593 ~~2009 Form 1099-B COPY B FOR RECIPIENT "''IMPORTANT TAX INFORMATION'"" This is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if this income is taxable xrtd the IRS determines that ff has not been reported. TO WHOM PAID BARBARA J SHUGHART & LOIS J JAMIESON EX UW RAVENDA W KLINE 5 OVIS DRIVE MECHANICSBURG PA 17055-4865 Sox ia. -Shoves the trade date of the transaction. For aggregate reporting, no entry will ~e present. Sox 1 b. -For broker transactions, may show the CUSIP (Committee on Uniform Security dentification Procedures) number of the item reported. Sox 2. -Shows the proceeds from transactions involving stocks, bonds, other debt obligations, commodities, or forward contracts. Losses on forvrard contracts are shown n parentheses. This box does not include proceeds from regulated futures contracts. 2eport this amount on Schedule D (Form 1040), Capital Gains and losses. OMB NO. 1545-1)715 Proceeds From Broker~artd Barter Exchange Transactions instructions for Recipient Brokers and barter exchanges must report proceeds from transactions to you and to the Internal Revenue Service. This form is used to report these proceeds. 1a. Date of Sale 1b. CUSIP Number 08/12/2009 59156R10 2. Stocks, Bonds, etc. 4. FEDERAL INCOME TAX WITHHELD $1,209.78 $0.00 REPORTED ® Grass Proceeds TO IRS ~ Gross Proceeds less commission and options premiums 7. Description `- - - -- - - METLIFE, INC. Investor ID Recipients Identification Number on File 125035239919 ~ 276136076 Box 4. -Shows backup withholding. Generally, a payer must backup withhold at a 28% rate if you did not furnish your taxpayer identification number to the payer. See Form W-9, Request for Taxpayer Identification Number and Certification, for information on backup withholding. Include this amount on your income tax return as tax withheld. Box 7. - Shows a brief description of the item or service for which the proceeds or bartering income is being reported. For regulated futures contracts and forward contracts, "RFC" or other appropriate description may be shown. For inquiries about your account, contact BNY Mellon Shareowner Services, MetLife's Transfer Agent: Telephone: 1-800-649-3593 U.S. Mail: E-Mail: metlife~bnymellon.com Metl.ife Internet: www.bnymellon.com/shareownerlisd clo BNY Mellon Shareowner Services PO Box 358447 Pittsburgh, PA 15252-8447 YOUR ACCOUNT HAS BEEN CLOSED. THE ATTACHED CHECK REPRESENTS THE FULL VALUE OF YOUR ACCOUNT. ^ IMPORTANT TAX RETURN DOCUMENT ATTACHED ^ .. ,. 'F~1S;erEC'1'~!~ C~II~''E'L ''' I SHAREHOLDER OF .TRANSACTION DATE ~ DESCRIPTION METLIFE, INC. i 0811212009 SHARES SOLD CUSIP INVESTOR ID ACCOUNT KEY I CHECK NUMBER CHECK DATE CHECK AMOUNT 001 928 59156R10 125035239919 KLINE----RAVEWOF00 717281 08/17/2009 $1,209.78 OPENING TRUST INTEREST BALANCE SHARES SOLD PRICE PER SHARE {$) GROSS PROCEEDS 34.0000 34.0000 ~ 35.5817000 $1,209.?8 TAX W ITHHELD NET PROCEEDS 'CLOSING TRUST INTEREST BALANCE __ _ _--_ $0.00. $1,209.78 00.0000 I - - - - - - - - - - - PLEASE DETACH BELOW CHECK NUMBER: 717281 uo9a>F~;~c~d i~ us n. Detach stub before cashing JY4.51A.SCRf:(10/04) REV-1508 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE E CASH, BANK DEPOSITS, 8~ MISC. PERSONAL PROPERTY ESTATE OF FILE NUMBER Ravenda W. Kline 1505605105 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointtyowned wkh right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH E-1 PNC Bank PO Box 609 Pittsburgh, Pa. 15230. Checking Account No. 5070075705 39,946.67 E-2 Bethany Village Rent Refund Deposited to E-1 (above) Sept. 21, 2009 1,788.45 E-3 RiverSource Funds 70100 Ameriprise Financial Ctr.,Minneapolis, MN. 55474 Annuity 93003379551 7 004 160,664.02 E-4 RiverSource Funds 70100 Ameriprise Financial Ctr.,Minneapolis, MN. 55474 Annuity 93007463682 8 004 17,388.83 TOTAL (Also enter on line 5, Recapitulation) E i 219,787.97 (If more space is needed, insert additional sheets of the same size) vta~ _ king Statement PNCBANK (~ l;;utl: ~~~ For ttte periori 07/17/2009 to 08/77/2009 Primary account number: 50-7007-5705 ('age 1 of 3 Number of enclosures: 0 EST OF RAVENDA W KLINE DECD BARBARA J SHUGHART EXTRX L.OIS J JAMIESON EXTRX 5 OVIS DR MECNANICSBURG PA 17055-4865 I~ For 24-hour banking, and transaction or r`--' interest rate information, sign on to "a' PNC Bank Online Banking at pnc.com. For customer service call 1-888-PNC-BANK between the hours of G AM and Midnight ET. Para servicio en esparSol, 1-8GG-HOLA-PNC Movinga Please contact us at 1-888-PNC-BANK ® Write to: Customer Service PO Box G09 Pittsburgh PA 15230-9738 ~ Visit us at pnc.com TDD terminal: 1-800-531 1G48 1'or hc.~r ino imp.~iav! ~licnr~ onlc alationship Overview nk Deposit Accounts ;rvption Account Numt~Ar Deposit Balance c= (.hccf~_IttK U- lO1)l--, (I) i ;i~,i3'?.fil al llcfiusils ;48.5:12.64 I(' (h'crlcral 1)cl~rrcit Insur.rnce ('otcra};e) incresurd co~era4!c bas been eztentletl frnm 1 2/31/20119 10 1)ecemher3l, 2(113. On \tav Zt)fttt the FDIC announced an extension oClhe incr.ascd covcra~c through 1)cremhcr i 1. 2011. lleposits held at FDIC' insuttct inslihrGons nr,~~ )nsurrd up to al Icasl `y2~f1.00(1 icr d~ positor. Clrt tanuary 1.201-! !hr standard insurance amount i~~ill r~iunt to 5100,000 per depositor all account cate~orics ezccpf !or Ilt:1s and other cc-lain r~liremcnt accounts ~~hich ~~ ill remain at 52~(1,(Itl(1 per depositor. Y\C' is a mhcr of 1~ 1)I('. ee Checking Account Summary F st Of Ravenda W Kline Decd Barbara J Shughart Extrx ount number: 50-7007-.;701 Lois J Jamieson Extrx ~rclratt Protection Provided By: Contact PNC to establish Overdrak Protection _ ~tanee Summary Please see the Activity Detail section for additional information. ~eainnira n=_po<,its and Ch.erks and other End!nq balance other additions dedi.rchons balance .ir) <) li~~.l~i7 .(111 l.~l 1 (.,(r'~ ~3~.?:~:~.lt t Avenge rnonti•,!y Charges balance and fees anSdCtlOn ~Jtlmmc'tl'y Cher: t spaid/ Check. Card POS Chec4 Card/Banff r.ard :withdrawals signed transactions POS PIN transactions ) - Iota! t'~TM O PNC S:inh 1 Other Flank transactions ATM transactions ATM transactions U O (1 terest Summary As of 08/17, a total of $3.84 in interest was paid this year. Ftnnu:rl Pcrreniage Number of days Average coller~ ~F'd Interest Paid Vield Earned (APYE) in interest period balance for t;PYE this perood O.(I(1% O .OO .OO ,~- t- 3 ,~- y WiHiBm J StuberfCorp/AMPF- To Susan H Fulginiti/Field/AMPF@AMPF 07/i 7!2009 12:06 RM cc bcc Subject 15968489 3 001 RAVENDA W KLINE - DEATH SETTLEMENT REQUIREMENTS -PLEASE DO NOT DELETE RiverSource Life Insurance Company RiverSource Funds Ameriprise Certificate Company Ameriprise Brokerage 70100 Ameriprise Financial Center Minneapolis, MN 55474 July 17, 2009 SUSAN HORNER FULGINITI 214 SENATE AVE STE 604 CAMP HILL, PA 17011-2382 Dear SUSAN HORNER FULGINITI: We have received notification of RAVENDA W KLINE's death. The deceased's name appears on the following accounts. Account values as of 07/14/2009 are listed below. At the end of this letter, you will find a list of beneficiaries shown in our initial review of the accounts Account Information Annuities -Post 1985 Account Number Ownership 93003379551 7 004 Individual 93007463682 8 004 Individual Annuities -Post 1985 Account Number Total Value 93003379551 7 004 $160664.02 93007463682 8 004 $17388.83 The date of death values provided are for estate tax purposes and are not a value to be paid. Accounts may be subject to market fluctuation as governed by each product. Please note that the values indicated for any Life Insurance products with the insured deceased reflect the gross death benefit at date of death and not the cash value. Values indicated for Life Insurance products with only the owner deceased reflect the cash value as of the date of death. Values for any proprietary mutual funds include accrued dividends as applicable. Values provided for brokerage products are manually calculated, and should be used as estimates only. The prices used to provide values are estimates obtained from outside sources believed to be reliable. Ameriprise Financial provides these values as a service to its clients. Actual values used in preparation of tax returns or for planning purposes should be verified by REV-1511 EX+ (12-99) SCHEDULE H COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES 8c INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ravenda W. Kline Debts of deceder>t must be reported on Schedule L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1 ~ Musselman Funera! Home !nc -Services of Mortician/Funeral Director 6,750.00 Royer's Flowers -Funeral Flowers 163.22 Sophia's on Market -Funeral Refreshments 333.90 Hospice -Religious Services 100.00 Patriot News & Sentinel -Obituary 335.91 Rolling Green Cemetery Company -Headstone 255.00 Bricker House -Funeral Luncheon Room 260.00 B. ADMINISTRATIVE COSTS: 1. Personal Representatve(s Commissions Name of Personal Representative(s) William N. JamleSOn Social Security Number(s)/EIN Number of Personal Representative(s) 199-34-7906 Street Address 5 ~VIS DrIVe city Mechanicsburg .state Pa zip 17055 Year(s) Commission Paid: 0 2. Attorney Fees 0.00 3. Family Exemption: {If decedent's address is not the same as claimant's, attach explanation) 0.00 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. TOTAL (Also enter on line 9, Recapitulation) I $ (If more space is needed, insert additional sheets of the same size) .REV-1512 EX+ ;12-08j ~ Pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Ravenda W. Kline Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH I ~ Continuing Care Rx -Medicine 59.90 2. Continuing Care Rx -Medicine 29,86 TOTAL (Also enter on Line 10, Recapitulation} ~ $ 89.76 If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (11-08) Pennsylvania SCHEDULE ~ DEPARTMENT OF REVENUE INHERITANCE TAX RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF FILE NUMBER Ravenda W. Kline 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 [Include outright spousal distributions and transfers under Sec. 9116 (a) (1.2).J 1. Lois J. Jamieson 5 Ovis Dr., Mechanicsburg, Pa. 17055 Daughter 50% 2. Barbara J. Shuhgart 100 Westgate Dr., Mount Holly Springs, Pa. 17065 Daughter 50% ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, A S APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, insert additional sheets of the same size, COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND estate of RA VENDA W KL/NE SHORT CERTIFICATE I, GLENDA EARNER STRASBAUGH Register for the Probate of Wills and Granting Letters of Administration in and for CUMBERLAND County, do hereby certify that on the 21st day of July, Two Thousand and Nine, Letters TESTAMENTARY in common form were granted by the Register of said County, on the late of LOWER ALLEN TOWNSH/P /First, Middle, Last) in said county, deceased, to BARBARA J SHUGHART LOTS J JAMIESON and (first, Middle, Lastl (First, Middle, Last) and that same has not since been revoked. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of said office at CARLISLE, PENNSYLVANIA, this 21st day of July Two Thousand and Nine. Fi 1 e No . 2009- 00674 PA Fi 1 e No . 21- 09- 0674 Date of Death 7/14/2009 S . S . # 202-20-0578 NOT VALID WITHOUT ORIGINAL SIGNATURE AND IMPRESSED SRAr, LAST WILL AND'1'I~S"I'AMEN'[' Oh RAVENDA W. KLINE I, RAVENDA W. KLINE, unre~7larr-ied widow, of the Upper Allen Township, Cuulherland County, Pennsylvania, being of sound and disposing mind, memory and understanding, do make, publish and declare this my Last Will and Testament, hereby revoking and making void any and all prior Wills by me at any time heretofore made. 1. I direct the payment of all my just debts aJld funeral expenses as soon after my decease as the same can conveniently be done. All the rest, residue and remainder of my Estate, real, personal and mixed, whatsoever anc! wheresoever situate, I give, devise and bequeath to illy beloved daughters, BARBARA J. SHUGHAP.T, and LOIS J. JAMIESON, in equal shares, per stirpes. 3. I nominate, constitute and appoint r,iy daughters, BARBARA J. SHUGHART and LOTS J. JA~~I.F.SON to be the r,c?-I=xecturic;es of this my Last Vvill and Testament. I further direct that they sha11_ not be required to file bond or other security in the Office of the Register of Wills for the purpose of administering my Lstate. IN WITNESS WI-II?P~EOF, I have hereunto set my hand and seal this 1 7'!~ day of~ A.D. 1996. %~ ~ F;A ~ _-~-t'.-~ (SEAL) VENDA W. KLINE Signed, sealed, published and declared by the above-named RAVENDA W. KLINL-' as and for her Last Will and Testament, in the presence. of us, who at her request and in her presence, quid in the presence of each other-, have hereunto subscribed our names as witnesses. ~~~ ~ 1 c S-.y -- l~i~> ~IZ3r ,~lJ~~hcr[t~f +~' - r~Cf:c'GZu,cs6</~' ~~i~, i7~:'S.S"