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HomeMy WebLinkAbout10-29-12 (2)1505610143 OFFICIAL USE ONLY REV-1500 Ex(°'-,~> PA Department of Revenue pennsylvania County Code Year File Number Bureau of Individual Taxes DEPARTMENT OF REVENUE PO 80X.280601 INHERITANCE TAX RETURN 21 12 00418 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth 213 24 0815 Ol 29 2012 07 28 1927 Decedent's Last Name Suffix Decedent's First Name MI GARVIN HELEN P (If Applicable) Enter Surviving Spouse's Information Below Spouse's Last Name Suffix Spouse's First Name MI GARVIN ERNEST E Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW a 1. Original Return ~ 2. Supplemental Return ~ 3. Remainder Return (date of death prior to 12-13-82) 4. Limited Estate ~ 4a. Future Interest Compromise ~ 5. Federal Estate Tax Return Required (date of death after 12-12-82) a 6 Decedent Died Testate ~ ~• (Alta dh Copy Hof Tru d)a Living Trust 0 g. Total Number of Safe Deposit Boxes (Attach Copy of Will) g. Litigation Proceeds Received ~ 1 g~ beNveenP2~31 ~1 andtl(-d1ag5)f death ~ 11 Election to tax under Sec. 9113(A) (Attach Sch. O) CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: Name Daytime Telephone Number:a,; ERIN J MILLER ESQUIRE 717 74~~995 -;., ~~' ~ ~ ~~ !_~ - ,~ , ~n _ . _ ,,~ REGISTER o~u..IrS USE~O~VLY 4-• t -~ . ~, First line of address ~~ ~ ' ~" ' ~ ~._ ~~ _ - r--; 120 PINE GROVE COMMONS ©t~_ ~ . ~=; Second line of address ~`' ~ ~~ rV City or Post Office State ZIP Code YORK PA 174035151 DATE FILED Correspondent's a-mail address: erln@eStateattOrney.C01'11 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.-.peclaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNAT E OF PERSON7RE p{V~IBLE FOR FILING RETURN DATE ,~ ~~rv /~~~;~-~= Steven M. Garvin - ~ ~.~- ADDRESS 1015 Far uhar Drive York PA 17403 SIGN TURE OF PRE ER OTHER THAN REPRESENTATIVE DATE --.,.. Erin J. Miller Esquire ~ ~ tp l 2- ~% -- ss 120 Pine Grove Commons, York, PA 17403-5151 Side 1 1505610143 1505610143 J J 1505610243 REV-1500 EX Decedent's Name: C7a1"Vln, Helen P. Decedent's Social Security Number 213 2 4 0 815 RECAPITULATION 1. Real Estate (Schedule A) ....................................................................................... 1. 2 5 6, 7 5 6. 4 3 2. Stocks and Bonds (Schedule B) ............................................................................. . 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3. 4. Mortgages & Notes Receivable (Schedule D) ........................................................ 4. 5~ Cash, Bank Deposits 8~ Miscellaneous Personal Property (Schedule E) ............... 5. 3 • 12 6. Jointly Owned Property (Schedule F) ^ Separate Billing Requested............ 6. 53 , 967 . O1 7. Inter-Vivos Transfers & Miscellaneous N.nq Probate Property ^ Separate Billing Requested............ G 7. 10 6 , 6 6 7 . 7 0 ) (Schedule g. Total Gross Assets (total Lines 1-7) ..................................................................... 8. 217 , 3 94.2 6 9. Funeral Expenses & Administrative Costs (Schedule H) ....................................... 9. 14 , 428.12 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) .............................. 10. 63 7 . 4 5 11. Total Deductions (total Lines 9 & 10) ................................................................... 11. 15 , 0 65.57 12. Net Value of Estate (Line 8 m inus Line 11) .......................................................... 12. 2 0 2 , 3 2 8 . 6 9 13 Charitable and Governmental 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. 2 0 2 , 3 2 8 . 6 9 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 10 8, 2 7 5. 8 7 15. 0. 0 0 (a)(1.2) X .00 16. Amount of Line 14 taxable 9 4, 0 5 2. 8 2 1 s. 4, 2 3 2. 3 8 at lineal rate X .045 17. Amount of Line 14 taxable 0 . 0 0 17. ~ • 0 ~ at sibling rate X .12 18. Amount of Line 14 taxable 0 • 0 0 18. 0 . 0 0 at collateral rate X .15 19. 4,232.38 19. Tax Due .................................................................................................................. 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ^ Side 2 L 1505610243 1505610243 J REV-1500 EX Page 3 Decedent's Complete Address: DECEDENT'S NAME Garvin, Helen P. STREET ADDRESS i 1348 Kiner Boulevard CITY Carlisle Tax Payments and Credits: 1. Tax Due (Page 2, Line 19) 2. Credits/Payments A. Prior Payments B. Discount 3. Interest File Number 21-1 2-0041 8 STATE ZIP PA 17015 (1) 3,500.00 184.21 Total Credits (A + B) (2) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box 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. (4) (5) 4,232.38 3,684.21 548.17 Make Check Payable to: REGISTER OF WILLS, AGENT , . .w. 3 ... ~w'~£~.j 1.~..'~a),t .w. t:s .._ ~ s..- .,.. .. .. .. .~~,... w">.4 Y~. r i... .. h. F 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 :.................................. c. retain a reversionary interest; or ............................................................................................................... d. receive the promise for life of either payments, benefits or care? ............................................................ ~ 0 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?....... ^x ^ 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. c: i', `~ '~~ 'J+~S }y,~ ~'w ~.~.. ~n a _..... .xk. .~~u3 t,,.S .,. »... ..,r'. .. .,.. ,.. ....~ ... . .. ..... ... ..... .. ...a,. :~~ .~» ... ... ..... ~ .. ar:_.I :~x~..~rnLt.r ~...:a .... .;_ 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 January 1, 1995, the tax 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 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 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 or for the use of the decedent's lineal beneficiaries is 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 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. Rev-1503 EX+ (6-98) ~ SCHEDULE B ~- ;, STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Garvin. Helen P. 21-12-00418 All property jointly-owned with right of survivorship must be disclosed on Schedule F. (If more space is needed, additional pages of the same slze~ Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule B (Rev. 6-98) Rev-1508 EX+ (6-98) SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Garvin, Helen P. 21-12-00418 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98) Rev-1509 EX+ (6-98) t SCHEDULE F COMMONWEALTHOFPENNSYLVANIA JOINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Garvin, Helen P. 21-12-00418 If an asset was made joint within one year of the decedents date of death, it must be reported on schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A. Steven M. Garvin 1015 Farquhar Drive Son York, PA 17403 B, Ernest E. Garvin 1348 Kiner Boulevard Spouse Carlisle, PA 17015 C. JOINTLY OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSE % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENT'S INTEREST 1 A 8~ B 08/18/2010 Citizens Bank Checking Account No. 9205 - 38,249.85 33.333% 12,749.95 includes accrued interest 2 A 04/01/2000 618 shares of Energizer Holdings Inc -Com, 48,302.11 50.000% 24,151.06 CUSIP #292668108 3 A 11/08/1999 190.636 shares of General Mills Inc -Com, 7,622.17 50.000% 3,811.09 CUSIP #370334104 4 A 01/31/1997 301 shares of Ralcorp Holdings Inc New - 26,509.82 50.000% 13,254.91 Com, CUSIP #751028101 TOTAL (Also enter on Line 6, Recapitulation) I 53,967.01 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule F (Rev. 6-98) Rev-1510 EX+ (6-98) SCHEDULE G ,~ ~ INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF (FILE NUMBER Garvin, Helen P. 21-12-00418 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY HE DATE OF TRANSFERSATTACFi A COPY OF TIOHE DEED ~OREREAL ESTATDE. DATE OF DEATH VALUE OF ASSET °r° OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 Citizens Investment Services TOD Account No. 7931 - 59,937.82 100.000% 59,937.82 beneficiary is decedent's spouse listed on Schedule J 2 Members 1st IRA Certificate of Deposit Account No. 4,076.84 100.000% 4,076.84 10-16 -beneficiary is decedent's son listed on Schedule J 3 Members 1st IRA Savings Account No. 10-10 - 689.97 100.000% 689.97 beneficiary is decedent's son listed on Schedule J 4 PNC Bank IRA Account No. 3989 -beneficiary is 3,410.29 100.000% 3,410.29 decedent's spouse listed on Schedule J 5 PNC Bank IRA Account No. 3990 -beneficiary is 1,126.82 100.000% 1,126.82 decedent's spouse listed on Schedule J 6 PNC Bank IRA Account No. 3991 -beneficiary is 6,478.43 100.000% 6,478.43 decedent's spouse listed on Schedule J 7 PNC Bank IRA Account No. 6356 -beneficiary is 3,848.09 100.000% 3,848.09 decedent's spouse listed on Schedule J 8 RiverSource Annuity Contract No. 1064 -beneficiary 27,099.44 100.000% 27,099.44 is decedent's spouse listed on Schedule J TOTAL (Also enter on Line 7, Recapitulation) I 106,667.70 (If more space is needed, additional pages of the same size) Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98) REV-1151 EX+ (10-06) t ,,. .~ COMMONWEALTH OF PENNSYLVANIA IN RESIDENTED ~ DENTRN SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF FILE NUMBER Garvin, Helen P. 21-12-00418 Debts of decedent must be reported on Schedule I. ITEM DESCRIPTION AMOUNT NUMBER q. FUNERAL EXPENSES: See continuation schedule(s) attached B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Street Address City State Zia Year(sl Commission said 2. Attorney's Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zio Relationshia of Claimant to Decedent 13,796.08 4. Probate Fees Register of Wills 258.50 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. Other Administrative Costs 373.54 See continuation schedule(s) attached TOTAL (Also enter on line 9, Recapitulation) 14,428.12 Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06) SCHEDULE H FUNERAL EXPENSES AND ADMINISTRATIVE COSTS continued ESTATE OF FILE NUMBER Garvin, Helen P. 21-12-00418 ITEM NUMBER DESCRIPTION AMOUNT Funeral Expenses 1 Cocklin Funeral Home, Inc. -funeral service 13,796.08 H-A 13,796.08 Other Administrative Costs 2 Cumberland Law Journal -estate notice 75.00 3 The Sentinel -estate notice 189.54 4 Vital Records -death certificates 109.00 H-67 373.54 Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 6-98) Rev-1512 EX+ (12-08) SCHEDULE 1 ~_ ~ ~ DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Garvin, Helen P. 21-12-00418 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 1 Capital Cardiovascular -unreimbursed medical expense 9.64 2 Internists of Central PA -unreimbursed medical expense 29.20 3 Internists of Central PA -unreimbursed medical expense 29.20 4 Physicians of Rehab 8~ Spine Medicine -unreimbursed medical expense 63.60 5 Time Warner Pension Plan -refund pverpayment 456.66 6 West Shore EMS -unreimbursed medical expense 49.15 TOTAL (Also enter on Line 10, Recapitulation) I 637.45 (If more space is needed, additional pages of the same size) Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08) REV-1513 EX+ (11-08) SCHEDULE J COMMNHERIETANCE~T~ RETURNANIA BENEFICIARIES RESIDENT DECEDENT ESTATE OF I FILE NUMBER Garvin, Helen P. 21-12-00418 NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE NUMBER PERSON(S) RECEIVING PROPERTY DECEDENT (Words) ($$$) Do Not List Trustee s I TAXABLE DISTRIBUTIONS [include outright spousal • distributions, and transfers under Sec. 9116 a 1.2 1 Ernest E. Garvin Spouse Schedules F 8~ G c/o Steven M. Garvin 1015 Farquhar Drive York, PA 17403 2 Heather E. Garvin Kirkland Grandchild $5,000.00 657 South Filey's Road Dillsburg, PA 17019 3 Matthew J. Garvin Grandchild $5,000.00 Commanding -Delta Detachment "Dragons" 106th Financial Management Company Kaiserslautern DE 4 Steven M. Garvin Son Schedule F 8~ 1015 Farquhar Drive entire residue York, PA 17403 5 Jessica R. Sheffer Grandchild $5,000.00 1366 Shuman Drive Carlisle, PA 17015 Total Enter dollar amounts for distributions shown above on lines 15 throu h 18 on Rev 150 0 cover sheet, as a r o riate. NON-TAXABLE DISTRIBUTIONS: II. A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FO R WHICH AN ELECTION TO TAX IS NOT TAKEN B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET Copyright (c) 2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08) ar `~ ` ° `' aM ~.~ : ;~ ~:;. ...-, ~~ ... .~. r 't: ~~ ~r ~~~ ~ . ~i « ~ ~''w~+,~ ~. ~`'J ~ C) ~:. ~..` c:i .I:° .~_ :X, «~ .~. Ck J ~..' 1.1 i'I1~~ e r ~. c~I~~ C~ ~..` Q 1..~ ~ ~1{`.'~~!' 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I 1 C~ f,:y 2M" E:) '~. ?~i'~' e ~ ~. c`i- ~: e ~ ~' ~'J ~"» ~.i ~; ; t.; ~ € „y ~.. ».~ c..i t:; t.:~ :«. r~~ ~:i ~'1 a:,~ G'~ C`« e :~'t..''- Zi G r ~...r-' 1. t ~ 1.1 c.~, ~K E:~' , :~.;Cr".,~ l.l~.,~.i...tl~p r:~I'"?~ T:"rr~3~J~?' Li` ~~,re:i" 'uf~°» 1. ~"~~"1 .I, ~:~.s.~.t"~ ~.":J~:J'~^d~?.l"' C..t.~ c~.~~~~:?:.I"1~~1t1e;t`l i~ ~iT1+:;:1 ~;~ ~ £~~ ~ .~ 1. ~:~ ~`, : • '? ~' ~'~ I°: ~ a i 2"i ~ ~.3'_'" c~ I » €~' ~'~ ~:~ "~ .~. ;M t.:" ». t...' . ? ~: » T ~ • r+~M, ~; r 'y r~ .,..~ i.. w., .F r ~ ~, { a ~., t.:. , f:.: t. ~ I ~ L ~Y 11~,{' S C~ k"1 J w~a„,, ~f ~ ,1 ~ ,!*~ , ,. , ;`~.~~~~'.~''ti,~, ~.~.«.~ ~ ~.?".~.,~~€ ~..t. ~..I"1~ ~. ~ ~? €J L1 ~. ~.8 "»~~ t.~S. t:: ~,~~,~C,. ~~ri.~.,~" T13 ~ T ~ ~ YFe ~7:~'. l.~t: ".. i°;k ~ a t ° e;.l x:: k'1 . « « sV,~ I" t::::~ ~. ~: e ~ ~ ~:~~i.l E: ~.~ ~ ~.: t ?'" t.: ~ .. ~ „ ~ ~~ ~ ° ` " ~, !, 4 }~ '~ :.. ., x t,:k shares, to my grandchildren, JESSICA R. SHEFFER, MATTHEW J. GARVIN and HEATHER E. GARVIN, provided that should any of my grandchildren predecease me, I give and bequeath such grand- child's share unto his or her issue per stirpes by representation, and if there be a failure of same, then I give and bequeath such deceased grandchild's share to my surviving grandchildren as provided herein. THIRD: In addition to all powers granted to them by i3t~~ and by other provisions of this Will, I give the fiduciaries acting hereunder the following powers, applicable to all proper- ty, exercisable without court approval and effective until actual distribution of all property: {A) To sell at public or private sale, or to lease, for any period of time, any real or personal property and to give options for sales, exchanges or leases, for such prices and upon such terms (including credit, with or without security) or conditions as are deemed proper. This includes the power to give legally sufficient instruments for transfer of the property and to receive the proceeds of any disposition of it. {B) To partition, subdivide, or improve real estate and to enter into agreements concerning the partition, subdivi- sion, improvement, zoning or management of real estate and to impose or extinguish restrictions on real estate. {C) To compromise any claim or controversy and to abandon any property which is of little or no value. {D) To invest in all forms of property, including stocks, common trust funds and mortgage investment funds, without restriction to investments authorized for Pennsylvania fiduci- aries, as are deemed proper, without regard to any principle of diversification, risk or productivity. (E) To exercise any option, right or privilege granted in insurance policies or in other investments. 2 (F) To exercise any election or privilege given by the Federal and other tax laws, including, but not necessarily being limited to, personal income, gift and estate or inheritance tax laws. J .~ Q T ~G) To make distributions to my herein named benefici- aries in cash or in kind or partly in each. iH) To borrow money from themselves or others in order to pay debts, taxes, or estate or trust administration expenses, to protect or impro•~e ar_y property held under my will, and for investment purposes. (I) To select a mode of payment under any qualified retirement plan (pension plan, profit sharing plan, employee stock ownership plan, or any other type of qualified plan) to the extent the plan or the law permits them to do so, and to exercise any other rights which they may have under the plan, in whatever manner they consider advisable. FOURTH: I direct that all inheritance, estate, transfer, succession and death taxes, of any kind whatsoever, which may be payable by reason of my death, whether or not with respect to property passing under this Will, shall be paid out of the principal of my residuary estate. k'=FTH: All interests hereunder, whether principal or income, which are undistributed and in the possession of the fiduciaries acting hereunder, even though vested or distribut- able, shall not be subject to attachment, execution or sequestra- tion for any debt, contract, obligation or liability of any beneficiary, and furthermore, shall not be subject to pledge, assignment, conveyance or anticipation. SIXTI~: I nominate and appoint my husband, ERNEST E. GARVIN, Executor of this, my Last Will and Testament. In the event of the death, resignation or inability to serve for any reason whatsoever of the said ERNEST E. GARVIN, I nominate and 3 appoint STEVEN M. GARVIN, Executor of this, my Last Will and Testament. I direct that my Executor, and their successors, shall not be required to post security or a bond for the performance of their duties in any jurisdiction. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this, my Last Will and Testament, this ~~~ day of ~.~P~~~ csEaL, HELEN P. GARVIN Signed, sealed, published and declared by the above- named Testatrix as and for her Last Will and Testament in our presence, who, at her request, in her presence and in the presence of each other, have hereunto subscribed our names as attesting witnesses. Address Address ~.p. B/~ 4