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Home My WebLink About10-29-12 J 1505610105 REV-1500 Ex (cass) (Fq 5f f$I PA Department of Revenue Pennsylvania Bureau of Individual Taxes ou,.. ~jNHERITANCE TAX RETURN PO BOX 280601 _ _ _._ _.._ _ _ _ __ _.._ OFFICIAL USE ONLY County Code Vear File Number ~~ ~a ~~ ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death MMDDYYYY Date of Blrth MMDDYYYY 06/25/2012 11/21/1924 Decedent's Last Name Suffix Decedent's First Name MI NICHOLL HAROLD.. L (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Secunty Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW m 1. Original Return O 2. Supplemental Return O 3. Remaintler Return (Data of Death Prior to 12-13-82) O 4. Limited Estate O 4a. Future Interest Compromise (tlate of O 5. Federal Estate Tax Relum Required death after l2-12-82) O 6. Decedent Died Testate O 7. Decedent Maintained a Living Trust 0 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust.) O 9. Litigation Proceeds Received O 10. Spousal Poverty Credit (Date of Death O 11. Election to Tax under Sec. 9113(A) Between 12-31-91 and 1-1-95) (Attach Scf~ule O) ^? DIRECTEDT9. CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHO Name ~ er Daytime Telepho b r~ C'7 _ ~ ~ WILLIAM C. DISSINGER (717) 957-34~ rv ~rrn-. ~ REGISTEROY,WIl,LS USE ONLY C7i_7 , W US First Line of Address ~ -y ~) _ ^J 400 SOUTH STATE ROAD D p°,, Second Line of Address City or Post Office Slate ZIP Code I DnrE MARYSVILLE PA ,17053 ~~G rT=1 l ~I 'J i-j _.-` r7 ,'t-I Y'1 f= C1 - r*-t :`i C}. Correspondent's a-mall address: mV1@pa.net Under penalties of penury, I declare that I have examined this return, Including accompanying schetlules end statements, and to the best of my knowledge and ballet, tt is We, cortect and complete. Declaretion of preparer other then the personal representative is based on all Information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS 229 MT. ZION ROAD, DILLSBURG, PA 17019 SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE DATE ADDRESS 400 SOUTH STATE ROAD, MARYSVILLE, PA 17053 PLEASE USE ORIGINAL FORM ONLY L 1505610105 Side 1 1505610105 J 1505610205 REV-1500 EX (FI) Decedent's Social Security Number Decedent's Name: RECAPITULATION _ ..... _.. _...... 1. Real Estate (Schedule A) ........................................... .. 1. 0.00 2. Stocks and Bonds (Schedule B) ..................................... .. 2.. 0.00 ', 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ... .. 3. ' 0.00 4. Mortgages and Notes Receivable (Schedule D) ......................... .. 4. 0.00 5. Cash, Bank Deposits and Miscellaneous Personal Property (Schedule E)..... .. 5. 92,753.47 6. Jointly Owned Property (Schedule F) O Separate Billing Requested ..... .. 6. 0.00 7. Inter-Vivos Transfers 8 Miscellaneous Non-Probate Property 43 935 25 (Schedule G) O Separate Billing Requested...... . 7. , . 8. ( 9 ) ........................... Total Gross Assets total Lines 1 throw h 7 8. .. 136,588.72 ', 9. Funeral Expenses and Administrative Costs (Schedule H) ................. .. 9. 14,351.08 10. Debts of Decedent, Mortgage Liabilities and Liens (Schedule I) ............. .. 10. . . 22829 11. Total Deductions (total Lines 9 and 10) ............................... .. 11. 14,579.37 ', 12. Net Value of Estate (Line 8 minus Line 11) .............................. 12. 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .. .. ..... ........ 13 0.00 '.. 14. Net value SubJect to lax (Line 12 minus Line 13) ........................ 14. 122,109.35 TAX CALCULATION -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 .o_ 0.00 i6. Amount of Line 14 taxable at lineal rate x .D 45 122,109.35 17. Amount of line 14 taxable at sibling rate X .12 '. 16. Amount of Line 14 taxable at collateral rate X .15 15. i6. 17. 5,494.92 ' 18. _ _5 494 92 19. TAX DUE ... .............................. .............. .......... 19.. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT ~ Side 2 L 15056117205 1517561172175 J REV-1500 EX (FI) Page 3 Decedent's Complete Address: File Number DECEDENT'S NAME HAROLD L. NICHOLL STREET ADDRESS 4831 EASTTRINDLEROAD CITY rSTATE ~IP MECHANICSBURG PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. CreditslPayments A. Prior Payments 5 916.13 6. Discount 311.38 3. Interest 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. 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (1) 5,494.92 Total Credits (A+ g) (2) 6,227.51 (3) 0.00 (4) 732.59 (5) 0.00 Make check payable to: REGISTER OF WILLS, AGENT. - , i a, .; i PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS i. 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 propeny tmnsfemed or its income ...................................... ...... ^ c. retain a reversionary interest ........................................................................................................................ ...... ^ d. receive the promise for life of either payments, benefts or care? ................................................................ ...... ^ 2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ........................................................................................................ ...... ^ 3. Did decedent own an "intrust for" or payable-upon-0eath 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 benefciary designation? ................................................................................................................. ....... ~ ^ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. .,;:E ..~: ., '_ ~ ,,, ,I !. I~ ° 2; ~, i;' i , I .,' .. i.~i+a.., ~, t ill i ~'' ,.. ,. , . . _' r , , ~ . ~ . , .,,_: 7 tq ! ,,,,,,, For dates of death on or after July 1,1994, and before Jan. 1,1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3 percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after Jan. 1, 1995, the lax rate imposed on the net value of transfers to or for the use of the surviving spouse is 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 f ling 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 21 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 percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to orior the use of the decedent's lineal beneficiaries is 4.5 percent, except as noted in [72 P.S. §9116(a)(1)]. • The tax rate imposed on the net value of transfers to or (or the use of the decedent's siblings is 12 percent [72 P.S. §9116(a)(1.3)]. Asibling is def ned, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV-1508 E%+(o8-12) ~ Pennsylvania SCHEDULE E DEPARTMENT Of REVENUE CASHr BANK DEPOSITS & MISC. IN~ERITANCErAxRETURN PERSONAL PROPERTY RESIDEM DECEDENT ESTATE OF: FILE NUMBER: HAROLD L. NICHOLL 2012-00723 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly owned with right of survivorship must be disclosed on Schedule F. REM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1, PNC Account number 31200352671 15,114.47 2, PNC Account number 5140110124 961.58 3. PNC Account number 5130123239 3,117.51 4, Member's First Account number 350567-00 6.36 5. Refund from Country Meadows 65,349.50 6. HH Savings Bonds 2,500.00 7. EE Savings Bonds 5,628.69 g. Dental 8 RX Rebate 75.36 TOTAL (Also enter on Line 5, Recapitulation) ; 92,753.47 If more space is needed, use additional sheets of paper of the same size. HEV-1510 EX+ (08-09) '~ ~ "' Pennsylvania OEPAPTMENT OF REVENUE INHERITANCE TA% RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS AND MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER HAROLD L. NICHOLL 2012-00723 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three Df the REV-1500 is yes. ITEM NUMBER DESCRIPTION OF PROPERTY (nnuoE rnE rvFNE Or rxe rrvnnsvEaEE, mua sEUnonsxlP ra oeceoexr nno T11E OarE Or rnarvsrEa. nnncn ACavr or mE OEED FaaaEU ESrare. DATE OF DEATH VALUE OF ASSET °k OF DECD'S INTEREST EXCLUSION (IF naPUCAau: TAXABLE VALUE 1. Allstate contract numberGA18294980 10,149.18 100 0.00 10,149.18 2 Allstate contract number GA207327 7,701.42 100 0.00 7,701.a2 3 Nationwide contract number 07-1144577 26,084.65. 100 0.00 26,084.65 TOTAL (Also enter pn Line 7, Recapitulation) $ 43,935.25 If more space is needed, use additional sheets of paper of the same size. REV-1.51.1 Ex+ (10-U9) ` ' SCHEDULE H ~ Pennsylvania ~ DeannTneNT DE neventre FUNERAL EXPENSES AN D INHERITANCE TA%RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER HAROLD L. NICHOLL 2012-00723 Decedent's debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1' Rice Memorials 165.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s) of Personal Representative(s) DAVID NICHOLL street Address 229 MT. ZION ROA_D__ _ ___ City DILLSBURG state PA Zip 17019 Year(s) Commission Paid: 2012 2. Attorney Fees: 3, Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.) Claimant NONE Street Address City State ___ ZIP Relationship of Claimant to Decedent ___ - _ 4. Probate Fees: 5. Accountant Fees: 6. Tax Return Preparer Fees: ~ SENTINEL B. CUMBERLAND LAW JOURNAL 6,834.44 6,834.44 327.00 115.20 75.00 TOTAL (Also enter on Line 9, Recapitulation) # 14,351.08 If more space is needed, use additional sheetr of pa Der of the same size. REV-].512 E%+~(]2-05) `3; ~ ~ pennsylvania SCHEDULE I DErneTmENT OE aEVe"uE DEBTS OF DECEDENT, I"NEaIT^"cET^xRETDR" MORTGAGE LIABILITIES 8E LIENS RESIDENT DECEDENT __ ESTATE OF FILE NUMBER HAROLD L. NICHOLL 2012-00723 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. If more space is needed, insert additional sheets of the same size. REV-1513 EX+ (Ol-10J ~ ~~ Pennsylvania SCHEDULE J DEPNRTMENT OF REVENUE INHERITANCE TA%RETURN BENEFICIARIES RESIDENT DECEDENT ESTATE OF: FILE NUMBER: HAROLD L. NICHOLL 2012-00723 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).] 1. David Nicholl Son 1/3 229 Mt. Zion Road Dillsburg, PA 17090 2. Christine Smith Daughter 7 Laura Way Rehoboth Beach, DE 19971 3. Julie Wohlforth Daughter 525 W. Gerry Drive Dallastown, PA 17313 ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, AS APPROPRIATE. II NON-TAXABLE DISTRIBUTIONS A. SPOUSAL DISTRIBUTIONS UNDER SECrION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. 8. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. 1/3 1/3 TOTAL OF PART U: -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, use additional sheets of paper of the same size. Nationwide Pinancial Individual Annuity Service Center PO Hox 182021 Columbus, OH 43272-4415 September 12, 2012 Dissinger and Dissinger c/o Mr. William C. Dissinger, Attorney at Law 280 N. 32°a SC. Camp Hill, PA 17011 Re: Annuity contract 07-1144577 Harold L. Nicholl: Owner and Annuitant Dear Mr. Dissinger, We are in receipt of your recent correspondence requesting information regarding the annuity contract listed above. Annuity contract 07-1144577 was issued on 09/24/2003 with Harold L, Nicholl listed as the owner and annuitant and Gladys M. Nicholl listed as the joint owner. The beneficiaries on the application were listed as follows: David W. Nicholl, Christine L, Smith and Julie M. Wohlforth, equally, Annuity contract 07-1144577 was a fixed annuity contract, The initial interest rate was 2.93'0. In 2005, Gladys M. Nicholl was removed as joint-owner upon receipt of notification of her death. No beneficiary change request has been submitted on this contract since its inception. The value of annuity contract 07-1144577 as of 06/25/2012 was $26;084.65 (tax cost basis $23,663.61 /interest $2,421.04). Please note that the beneficiaries have claimed the proceeds and this annuity contract is now surrendered. Should you need further assistance you may contact our Annuity Service Center at (800) 848-6331. Our representatives are available to assist you Monday through Friday between the hours of 8:00 am and 8;00 pm, Est. .Sincerely, Individual Annuities Nationwide Financial T'd bZ6E-SL6-LTL HO ua3utssrQ R .aa9uisstQ WdgS~9 ZTOZ BT daS REGULAR SAVINGS ACCOUNT: Account Number/Suffix Date Account Established Principal Balance at Date of Death Accrued Interest to Date of Death Total Principal and Accrued Interest Name of Joint Owner Estate of: BARBARA-gRO2ACK Date of Death: 12/29/2011 Social Security Number: 176-34-8629 350567-00 02/28/2009 $6.36 $0.00 $6.36 None MyyEMBERS 1sT FEDERAL CREDIT UNION .J.Edd~~ Tessa L Klugh l~ ~ - Lending Insurance Support Specialist July 27, 2012 5000 Louise Drive P,O, Box 40 __.~w__ ""' Mechanicsbur ~""-----------~__._ g, Pennsylvania 17055 (800 283.2328 wunvmemberslst.org ~~ Allstate® You're in goad hands, August 1, 2012 William C. Dissinger Dissinger and Dissinger Attorney's at Law 400 South State Road Marysville, PA 17053 Re: Harold L. Nichol) Contract No; -GA207327 Dear Mr. Dissinger: We received a request to complete IRS Form 712 for the above referenced contract. The purpose of Form 712 is to provide an estate or donor with the value of a life insurance contract or its proceeds as of a certain date (usually the owner's date of death or date of transfer of the contract). Because this contract is an annuity, it is not reportable on IRS Form 712. I can, however, provide the following information for estate purposes: Date of Death: June 25, 2012 Annuity Value as of Date of Death: $ 7,701.42' Cost Basis: $ 0.00 Named Beneficiary: Primary Beneficiary: Gladys M. Nichol) Contingent Beneficiary: David Nichol), Christine Smith and Julie Wohlforth *The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender Charges. If you have any questions, please contact me at 1-877-499-6418 Ext. 25112. Sincerely, Steven Arbitman Senior Claim Examiner Allstate Llfe Insurance Company Ltfe and Annuity Clalms P.O. Box 94212, Palatine, IL 60094.4212 Phone 877.499.6418 Fax 866.635-4523 Alistatero You're in good hands. August 1, 2012 William C. Dissinger Dissinger and Dissinger Attorney's at Law 400 South State Road Marysville, PA 17053 Re: Harold L. Nicholl Contract No: GA18294980 Dear Mr. Dissinger: We received a request to complete IRS Form 712 for the above referenced contract. The purpose of Form 712 is to provide an estate or donor with the value of a life insurance contract or its proceeds as of a certain date (usually the owner's date of death or date of transfer of the contract). Because this contract is an annuity, it is not reportable on IRS Form 712. I can, however, provide the following information for estate purposes: Date of Death: Annuity Value as of Date of Death: Cost Basis: Named Beneficiary: June 25, 2012 $ 10,149.18* $ 0.00 David Nicholl, Christine Smith and Julie Wohlforth *The actual amount paid may differ due to Market Value Adjustments and/or any applicable Surrender Charges. If you have any questions, please contact me at 1-877-499-8418 Ext. 25112. Sincerely, Steven Arbitman Senior Claim Examiner Allstate Life Insurance Company Life and Annuity Claims P.O. Box 94212, Palatine, IL 60094.4212 Phone 877-499.6418 Fax 866.635.4523 IvV~ YJIJp ~ / Y. ~~~ 'fS'+r1YltY~ 1'I.1'G ~'4V August 6, 2012 William C Dissinger Esq. Dissinger &Dissinger 28 North 32nd St Camp Tdill, PA 17011 1t1=.: Harold L Nicholl SSN; 201.16.172.9 DOD: 06.25.2012 Dear Mr. Dissinger: Tn response to your request for Date of Death (DOD) balances for the customer noted above, our records show the following: Certificate of Deposit Account # 31200352671 Established: 08-21-2010 HAROLD L NICHOLL DOD balanec: $ 15,082.50 + 31,97 accrued interest Interest paid O1.Ol •2012 thru 06.25.2012 $ 0.00 YTD Checking Account Account # 5140110124 Established; 03.28-1989 HAROLD L NTCHOLL DOD balance: $ 961.58 non interest bearing Savings Account A unt # 5130123239 /~ Established: 02-O1-1983 HAROLD L NICHOLL DOD balance: $ 3,1.]7.43 + 0.08 accrued interest Interest paid 01-01-2012 thru 06.25-2012 ~ 62.26 YTD Investment Account The decedent maintained Investment Account # 4268550. For further infoanation, you may call the Brokerage Department at 1-800-762-6111, Page 1 nf2 ,. v. IJVV I UL Please nou that this office provides date of death balances for deposit accounts (IRP,s, CDs, Checking and Savings). We do not process any financial transactions or provide statements. Tf you need assistance with any of these items, please call 1-888-PNC-HANK (I-888-762.2265) or stop by your local PNC Bank branch office. Sincerely, National Financial Services Center PNC Bank, N.A. Member FDIC This message is intended for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential and exempt from disclosure under applicable law, If the reader of this message is not the intended recipient or the employee or agent responsible jot delivering this message to the intended recipient, you are hereby notified that any dissemination, distribution or copying of this communications is strictly prohibited. If you have received this communication in error, please notify me immediately by reply or by telephane at 800.762.1775 and immediately destroy this faxed document. Page 2 of 2 LAST WILL AND TESTAMENT OF HAROLD L. NICHOLL ~\ ~~ ~; cam`., i ,.Ca ~> ., ~' I, Harold L. Nicholl, of 1 West Highland Avenue, Enola, Berland County, Pennsylvania, being of sound and disposing mind, ory and understanding, do make, publish and declare this to be my t Will and Testament, hereby revoking all Wills and Codicils etofore made by me. ITEM I. I direct that all my debts and funeral expenses, cluding my cemetery lot and grave marker and all expenses of my st illness, shall be paid from my residuary estate as soon as acticable after my death as part of the expense of the ministration of my estate. ITEM II. I devise and bequeath all of my estate of every e and wherever situate to my wife, Gladys M. Nicholl, if she ves me by thirty (30) days. ITEM III. If my wife, Gladys M. Nicholl, predeceases me or dies or before the thirtieth day following my death then in that case, make the following specific bequests: A. Unto David Nicholl I give my gun cabinet, all my firearms and my brass railroad bell. B. Unto Christine Smith I give my cherry bedroom suite, antique round coffee table and antique wash stand. C. Unto Julie Wohlforth I give my antique Tiffany lamp, my antique walnut bookcase and my antique oak table. D. All my dishes, cutglass and jewelry to be divided among my daughters by them in as equal shares as possible. In the event said daughters are unable to agree as to such division, then in that case said items shall be sold and distributed pursuant to Article IV hereof. \. 4~ `_ r Y ~' ITEM IV. In the event my wife, Gladys M. Nicholl, predeceases me or dies on or before the thirtieth day following my death, I leave all the rest, residue, and remainder of my estate of whatever nature and wherever situate equally unto my children and their issue per stirpes. ITEM V. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my Will or otherwise, shall be paid out of the principal of my residual estate. ITEM VI. I appoint my wife, Gladys M. Nicholl, Executrix of this my Last Will and Testament. In the event of her renunciation, death, resignation or inability to act for any reason whatsoever, I appoint David Nicholl, Executor of this my Last Will and Testament. In the event of his renunciation, death, resignation or inability to act for any reason whatsoever, I appoint Christine Smith, Executrix of this my Last Will and Testament. In the event of her renunciation, death, resignation or inability to act for any reason whatsoever, I appoint Julie Wohlforth, Executrix of this my Last Will and Testament. I relieve my Executor or Executrix from the necessity of posting security in connection with his or her duties as such in any jurisdiction in which he or she may be called upon to, act. ITEM VII. This Will is not the product of any contract or agreement between me and my wife, Gladys M. Nicholl, and my wife shall be free to dispose of any property (whether acquired under this Will or otherwise), either during her lifetime or by Will, as she deems proper in her sole discretion. ITEM VIII. In the event my wife, Gladys M. Nicholl, dies under such circumstances that there is not sufficient evidence to determine absolutely whether she survived me, I direct for purposes of this Will that she shall be conclusively presumed to have survived me. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last Will and Testament, which consists of ~ pages, to ea h of which I have affixed my signature this ~-'-- day of _, two Three ;~c.~-~S thousand and t-wo ( 2-98~~ . ~' /I ~ i i .. ~ /l,/^ gold L. Nicholl OF PENNSYLVANIA ss .. OF PERRY We, Harold L. Nicholl, and C>~rrc~a~~ (~~, l~l,r 1~.~~ ~ and `~ 1 ~ ~ ~ ia,v, C'. f~l:c,<,~r, r.•- the testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last Will and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as witness and that to the best of their knowledge the testator was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Harold L. Nicholl, Testator Wi~tn~~ess G~l/~,~ Witness Subscribed and sworn to and acknowledged before me by Harold L. Nicholl, Testator and subscribed and sworn to and acknowledged before me by _C_'•L,.d. ~, ~,..{ + I ~ k - ~ ~ and ' ~~d witnesses this ~.tL`_ day of ~2 aca^ s e ~~,~~ 2. .~ ~ .fin ~ otary Public LEIGH ANN~TAR~AL SEAT. ~Yav16e ~ ~Iai E~kaa Mrry 18, T005 LAST WILL AND TESTAMENT OF HAROLD L. NICHOLL .` a ~~ ~, c~ ~:, ~'. ~..~\ ~_~ ~' I, Harold L. Nicholl, of 1 West Highland Avenue, Enola, nberland County, Pennsylvania, being of sound and disposing mind, nory and understanding, do make, publish a ad d Wills and Codbcils st Will and Testament, hereby revoking retofore made by me. ITEM I. I direct that all my debts and funeral expenses, including my cemetery lot and grave marker and all expenses of my last illness, shall be paid from my residuary estatense of nthe practicable after my death as part of the exp administration of my estate. ITEM II. I devise and bequeath all of my estate of every re and wherever situate to my wife, Gladys M. Nicholl, if she fives me by thirty (30) days. ITEM III. If my wife, Gladys M. Nicholl, predeceases me or dies or before the thirtieth day following my death then in that case, make the following specific bequests: A. Unto David Nicholl I give my gun cabinet, all my firearms and my brass railroad bell. B. Unto Christine Smith I give my cherry bedroom suite, antique round coffee table and antique wash stand. C. Unto Julie Wohlforth I give my antique Tiffany lamp, my antique walnut bookcase and my antique oak table. +- ~ i D. All my dishes, cutglass and jewelry to be divided among my daughters by them in as equal shares as possible. In the event said daughters are unable to agree as to such division, then in that case said items shall be sold and distributed pursuant to Article IV hereof. '`~. ~~ ~_ ~> ~. ITEM IV. In the event my wife, Gladys M. Nicholl, predeceases me or dies on or before the thirtieth day following my death, I leave all the rest, residue, and remainder of my estate of whatever nature and wherever situate equally ante my children and their issue per stirpes. ITEM V. I direct that any and all Inheritance, Estate and Transfer taxes imposed upon my estate passing under my Will or otherwise, shall be paid out of the principal of my residual estate. ITEM VI. I appoint my wife, Gladys M. Nicholl, Executrix of this my Last Wi11 and Testament. In the event of her renunciation, death, resignation or inability to act for any reason whatsoever, I appoint David Nicholl, Executor of this my Last Will and Testament. In the event of his renunciation, death, resignation or inability to act for any reason whatsoever, I appoint Christine Smith, Executrix of this my Last Will and Testament. In the event of her renunciation, death, resignation or inability to act for any reason whatsoever, I appoint Julie Wohlforth, Executrix of this my Last Will and Testament. I relieve my Executor or Executrix from the necessity of posting security in connection with his or her duties as such in any jurisdiction in which he or she may be called upon to act. ITEM VII. This Will is not the product of any contract or agreement between me and my wife, Gladys M. Nicholl, and my wife shall be free to dispose of any property (whether acquired under ` t s Will or otherwise), either during her lifetime or by Will, as deems proper in her sole discretion. ITEM VIII. In the event my wife, Gladys M. Nicholl, dies under h circumstances that there is not sufficient evidence to ermine absolutely whether she survived me, I direct for purposes this Will that she shall be conclusively presumed to have vived me. IN WITNESS WHEREOF, I have hereunto set my hand to this my Last 11 and Testament, which consists of ~ pages, to ea h of which have affixed my signature this ~~'~ day of ~ two whrea .9c'•r~3 ousand and tvao (2~~9~-) . ~, ,~!2~,e. o ~ ; Gam- ~ nY gold L. Nicholl .~ ~ :OMMONWEALTH OF PENNSYLVANIA ss .. OF PERRY We, Harold L. Nicholl, and C~-li•.c~~ (~•~ hl~c 1~-•~ ~ and ( ,~ ~,~~ ~a v, C' E1'~~ ~,tq,rr• the testator and the witnesses respectively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the testator signed and executed the instrument as his Last caill and that he had signed willingly, and that he executed it as his free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the testator, signed the Will as witness and that to the best of their knowledge the testator was at that time eighteen 'years of age or older, of sound mind and under no constraint or undue influence. Harold L. Nicholl, Testator fitness l~'~~ Witness scribed and sworn to and acknowledged ore me by Harold L. Nicholl, Testator subscribed and sworn to and, acknowledged ore me by C• hd ~-. ~d ~ I c h~ (1 and 1~.: witnesses this day o f ~ ~ ~~ acz~ s "• rotary Public Y NOTARIAL SEAL LEIf3H ANN SNYDER, Notary PubAc MarysAne Bolo, Porry?'„cwnty My CanxNasion E~Iras May 16, 20pS