HomeMy WebLinkAbout11-09-12 (2)J 1505610143
REV-1500 Ex(°'-'°'
OFFICNAL USE ONLY
PA Department of Revenue Pennsylvania county code veer File Numher
Bureau of Individual Taxes °EP""*"a"'OF Pfl1Q1pb
Po Box.zaosol INHERITANCE TAX RETURN 21 12 0993
Harrisburg, PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth ~\_
161 24 4804 09 O5 2012 09 07 1929
Decedent's Last Name
RRIMMEL
Suffix Decedent's First Name
JEAN
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name
MI
W
MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS. BELOW
1. Odginal Return ~ 2. Supplemental Return ~ 3. Remainder Return (dale of death
prior to 12-13-82)
4. limited Estate ~ qa. Future Interest Compromise ~ 5. Federal Estate Tax Retum Requiretl
(date or death etler 12-12A2)
g Denedem Died restate
A
h C
(Wil ~ 7. ~Attaaha~GOpy of iiusda riving must e. Total Number of Safe Deposit BOxes
)
(
ttac
opy a
p
9. Litigation Proceeds Received ~ tD. b~nveen P2~31 ~~e^c {aa95~ tleath ~ 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 Daytiime Telephone Number
DAVID J LENOX 717 432 9666 ..,
First line of address
3 BALTIMORE STREET
Second line of address
City or Post OfFlce
DILLSBU'RG
State ZIP Code
PA 17019
REGISTER O~-S USE QN}Y
Ta : >_ I
~7
-r
?l~
c,~
DATE FILED
:~~
;n
C7
C)
,7
c_~
n
_~
:"i
rn
correspondent's a-mail address: laavelenoxrrmcomcasT.ne><
Untler pens ~ perjury, I declare that I have examinetl this return, including accompanying 5chetlules and statements, and to the best of my knowledge antl belief,
it is true d complete. Decl relion of preparer other than the personal representative Is based on all information o(which preparer has any knowletlpe.
James A. Krimmel
David J. Lenox
Side 1
L 1505610143 1505610143
J
1505610243
REV-1500 EX
Decedent's Social Security Number
oa~m'sNeme. Krimmel, Jean W. 161 24 4804
RECAPITULATION
1. Real Estate (Schedule A) ....................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................ . 2. 7 , 511.04
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C)......... 3.
4. Mortgages & Notes Rec@ivable (Schedule D) ....................................................... . 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ............... 5. 92 , 209 • 82
6. Jointly Owned Property dSchedule F) ^ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers & lNiscellaneous t~oq-Probate Property
(Schedule G) a Separate Billing Requested............ 7. 163 , 470.98
8. Total Gross Assets (tohal Lines t-7) .................................................................... . 8. 2 63 , 191.84
9. Funeral Expenses & Adrhinistrative Costs (Schedule H) ....................................... 9. 8 , 2 63.2 9
10. Debts of Decedent, Morggage Liabilities, & Liens (Schedule I) .............................. 10. 11 , 737.24
11. Total Deductions (totalLines 9 & 10) .................................................................. . 11. 20 , 000.53
12. Net Value of Estate (Line 8 minus line 11) .......................................................... t2. 243 , 191.31
t3, Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has ndt been made (Schedule J) ............................................... 13. 9 , 972 .0 9
14. Net Value Subject to Tex (Line 12 minus Line 13) .............................................. . 14. 233 , 219.22
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxaq'le
at the spousal tax rate, dr
transfers under Sec. 9116
15
0.00
(a)(1.2) X .00 .
16. Amount of Line 14 taxable 233,219.22 ts. 10,494.86
at lineal rate X .045
17. Amount of Line 14 taxaLile
0
00
17
0.00
.
at sibling rate X.12 .
18. Amount of Line 14 taxable
0
00
[8
0.00
.
at collateralrateX.t5 .
19. Tax Due ................................................................................................................. . 19. 10,494.86
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
L 15056101243 1505610243 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-12-0993
DECEDENT'S NAME
Krimmel, Jean W.
STREETADDRESS
100 Mt. Allen Drive
CITY
Mechanicsburg STATE
PA ZIP
17055
Tax Payments and Credits:
1. Tax Due (Page 2, Line 19)
2. CreditslPayments
A. Pdor Payments
B. Discount
524.74
3. Interest
4, If Line 2 is greater than Line 1 +Lihe 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 Lihe 2, enter the difference. This is the TAX DUE.
10,494.88
524.74
(s) 9,970.12
PLEASE ANSWER THE'FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent makei a transfer and: Yes No
or income of the property transferred :...............................................................................
h ^
nt to designate who shall use the property transferred or its income :..................................
b. retain the ri
gh ^ ^x
~ionary interest. or ...............................................................................................................
c. retain a
eve ^ ^x
d. receive the promise for life of either payments, benefits or care? ............................................................ ^
2. If death occurred a~ter December 12, 1982, did decedent transfer property within one year of death without
receiving adequate lconsideration? .................................................................................................................... ^ ^x
3. Did decedent own ~n "intrust for or payable upon death bank account or security at his or her death?....... ^ ^x
4. Did decedent own i#n Individual Retirement Account, annuity, or other non-probate property which
?
0
^
contains a beneficiary designation
..................................................................................................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G A,ND FILE IT AS PART OF THE RETURN.
Far dates of death on or after July 1, 11994 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) (1.7) (i)].
For dates of death on or after Januaryil, 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 statue does not exempt a transfer to a surviving spouse from tax, and the steitutory requirements for disclosure of
assets and fling a tax return are still a plicable 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 valIue of transfers from a deceased child 21 years of age or younger at deal:h to or for the use of a natural parent, an
adoptive parent, or a stepparent of hhe 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 benefciaries is 4.5 percent, except as noted in
72 P.S. §9116 1.2) 172 P.S. §9116 (a) (1)].
. The tax rate imposed on the net va~ue 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 91 2, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
(1)
Total Credits (A + B) (2)
(3)
(4)
Rev-7603 EXi (B-9a)
SCHEDULE B
STOCKS & BONDS
COMMON W EAITH OF PENNSYLVANIA
INHERITANCE TA%RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Krimmel. Jean W. 21-12-0993
All property Jolntlycwned with dght of survivorship must be diwlosad on Schetlule F.
ITEM
NUMBER CUSIP
NUMBER
DESCRIPTION
UNIT VALUE VALUE AT DATE
OF DEATH
1 25 U$ Savings Bonds EE (see attached) 7,511.04
TOTAL (Also enter on Line 2, Recapitulation) 7,511.04
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 forth software only!The Lackner Group, Inc. Form PA•1500 Schedule B (Rev. 6-98)
Rev-7609 FX+jB-99)
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMNbNWEALTHOF RENN9YLVANIA
INNERRANCE TAX RETURN
RE9IDEM DECEDENT
ESTATE OF (FILE NUMBER
Krimmel, Jean W. 27-72-0993
Include the proceetls of litigation and the tlete the proceetls vrere receivetl by the estate.
All property jointly-ownetl with the right o} survivorship must be disclosed on achetlule 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-1670 EX+ (6-99)
SCHEDULE G
INTER-VIVOS TRANSFERS &
MISC. NON-PROBATE PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TA%RENRN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Krimmel, Je$n W. __ 27-12-0993
This schedule must be wmpleted Bntl filetl if the anavrer to any of questions 1 throu0h 4 on tha revere side of the REV-1500 COMER SHEET is yes.
ITEM
NUMBER DES
INCLUDE NAME OF TRANSF
THE DATE OF TRANSFER. A RIPTION OF PROPERTY
REE THEIR RELATIONSHIP TO DECEDENT AND
ACN A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH
VALUE OF ASSET %OF DECD'S
INTEREST
EXCLUSION
(IF APPLICABLE) TAXABLE
VALUE
1 Raymond James 173824251 163,470.98 163,470.98
TOTAL (Also enter on Line 7, Recapitulation) ~ 163,470.98
(If more space is ncede4 additional pages of the same size)
Copyright (c) 2002 form software onlyiThe Lackner Group, Inc. Form PA-1500 Schedule G (Rev. 6-98)
REV-1151 E%~ (10-06)
SCHEDULE H
~oM~gf~~4T,tt-~-e~~~,AN~A FUNERAL EXPENSES &
")y~'BS~iJS` ~i.'E ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Krimmel. Jean W. 27-72-0993
Debts of decedent must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
nu uenno
A- FUNERAL EXPENSES:
See continuation schedule(s) attached
B.
1
ADMINISTRATIVE t$OSTS:
Personal Repesenta(ive's Commissions
Name of Personal Representative(s)
Street Address _-
City ' State ,
Year(sl Commissiq~n Daid
2io
2. Attorney s Fees ~, The Wiley Group, PC
3. Family Exemption: (I`' decedent's address is not the same as claimant's, attach explanation)
Claimant ~'
Street Address I
City State
Relationship of claimant to Decedent
4. Probate Fees '
Zio
864.79
6,800.00
393.50
5. Accountant's Fees
6. Tax Return Preparer'9 Fees
7. Other Administrative hosts 205.00
See continuation schedule(s) attached
TOTAL (Also enter on line 9, Recapitulation) 8,283.29
Copyright (c) 2009 form software only!The Lackner Group, Inc. Form PA-1500 Schedule H (Rev. 10-06)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE CgSTS
continued
ESTATE OF FILE NUMBER
Krimmel Jean W. 21-12-0893
ITEM
DESCRIPTION
AMOUNT
NUMBER
1 Funeral Expe
Funeral Service Incidentals
594.79
2 Locustwood Ceme{ery 95.00
3 Tri-County Memori~ils 175.00
H-,A 864.79
4 Filing Fee Registerof Wills, Inventory and Inheritance Tax Return 30.00
5 Legal Advertising Cumberland Valley Law Journal 75.00
6 Legal Advertising ~hippensburg Newspaper 100.00
H-67 205.00
Copyright (c) 2002 form software only The Lackner Group, Inc.
Form PA-7500 Schedule H (Rev. 6-98)
Rsv-1512 EXi n2-0a)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COMMONWEALTH OFPENNSYLVANM
INHERITANCE TAX RETURN
RESIDENT OEOEOENT
ESTATE OF FILE NUMBER
Krimmel Jean W. 21-12-0993
Report debro Incurred byl the decedent prior to tleath that remained unpaid at the data of tlaaM, Including unreimburwd madleel expsnaea.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Alert Pharmacy 32.10
2 Campbell Pension overpayment 381.58
3 Checks cleared aft~r date of death 673.16
4 Messiah Lifeways 10,650.40
TOTAL (Also enter on Line 10, Recapitulation) I 11,737.24
a
(If more space is needed, additional pages of the same size)
Copvripht (c) 2009 form software only lThe Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 12-08)
REV-1613 EX. (11-0a)
SCHEDULE J
coM l~y Ept7~~FpEryry.~Y~VANIA
I~N TEAGXEREE~ RIJ BENEFICIARIES
ESTATE OF FILE NUMBER
Krimmel, Jean 21-12-0993
NAM AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON( )RECEIVING PROPERTY DECEDENT (Words) ($$$)
I TAXABLE DISTRIBU IONS [include outright spousal
• dlstnbutlons, and transfers
under Sec. 9116 a 1.2
1 Janet A. Davis Daughter 58,323.62
105 Frenklintownl Rd.
Dillsburg, PA 1719
2 Judith J. Krimm~l-Danko Daughter 58,323.62
2025 Advisory Ct{
Eldersburg, MD Y1784
3 James A. Krimmjel Son 58,323.82
448 Woodland D ive
Dillsburg, PA 17 19
4 Jeffrey J. Krimm I Son 58,323.62
40 Whitetail Te ce
7
19
Dillsburg, PA 1
Total 233,294.48
Enter dollar amounts or distributions shown above on lines 15 throw h 18 on Rev 15 00 rover sheet as a r o riate.
NON-TAXABLE DIS IBUTIONS:
II. A. SPOUSAL DISTRI UTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TA)C IS NOT TAKEN
B. CHARITABLE AN GOVERNMENTAL DISTRIBUTIONS
1 West Shore evangelical Free Church 9s72.os
TOTAL OF PART II - EN R TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEE 9,972.09
Copyright (c) 2009 form software onlylThe Lackner Group, Inc. Form PA-1500 Schedule J (Rev. 11-08)
~alculared Value of Your Paper Savings Bond(s)
Calculated Value of Your Paper Savings Bond(s)
Calculator Results fa4r Redemption Date 09/2012
9/9/12 5:15 PM
$2,500.00 $7,511.04 $5,011.04 $221.92
Rnnrlc[ 1 -25 of 25 '
~ _~. ~_ ix r ~ t.. . m. =ax° < . _ _>
r70710651ee EE $2 0 02/1991 02/2013 02/2021 $100.00 $196.16. 4. 00%
r70711805ee EE $2 0 02/1991 D2/2013 02/2021 $100.00 $196.16 4. 00%
r70689563ee EE $2 0 01/1991 01/2013 01/2021 $100.00 $196.16 4. 00%
r70644888ee EE $2 0 12/1990 12/2012 12/2020 $100.00 $196.16 4. 00%
~r70678055ee EE $2 0 01/1991 01/2013 01/2021 $100.00 $196.16 4. 00%
r70644887ee EE $2 0 12/1990 12/2012 12/2020 $100.00 $196.16 4. 00%
r70638587ee EE $2 0 11/1990 11/2012 11/2020'. $100.00 $196.16 4. 00%
r69115646ee EE $2 0 11/1990 11/2012 11/2020 $100.00 $196.16 4. 00%
r69101850ee EE $2 0 09/1990 03/2013 09/2020 $100.00 $202.08 4. 00%
r69084333ee EE $2 0. 10/1990 10/2012 10/2020 $100.00- $196.16 4. 00%
r68206414ee EE $2 0 09/1990 03/2013 09/2020 $100.00 $202.08 4. 00%
r69090977ee EE $2 0 10/1990 10/2012 10/2020 $100.00 $196.16 4. 00%
r68196775ee EE $ 00 08/1990 `02/2013 08/2020 $100.00 $202.08 4. 00%
r67867364ee EE $ 00 08/1990 02/2013 08/2020 $500.00 $202.08 4. 00%
r6784100ee EE $ 00 07/1990 .01/2013 07/2020 $100.00 $202.08 4. 00%
r67844045ee EE $ 00 07/1990 01/2013 07/2020 $100.00 $202.08 4. 00%
r67827043ee' EE $ 00. 06/1940 '.12/2012 06/2020 $100.00 $202.08' 4. 00%
r67834529ee EE $ 00. 06/1990 12/2012 06/2020 $100.00 $202.08 4. 00%
r67284021ee EE $ 00 05/1990 11/2012 05/2020 $100.00 $202.08 4. 00%
r67267894ee EE $ 00 05/1990 11/2012 05/2020 $300.00. $202.08 4. 00%
r64020753ee EE $ 00 04/1990 10/2012 04/2020 $100.00 ..$202.08 4. 00%
r63999220ee EE $ 00 :04/1990 10/2012 04/2020 $100.00 $202.08 4 .00%
r63990768ee EE $ 00 03/1990 03/2013 03/2020 $100.00: $:?08.16 4 .00%
r63545168ee EE $ 00 03/1990 03/2013 03/2020 $100.00 $208.16 4 .00%
r63536554ee EE $ 00 :02/1990 02/2013 02/2020 $100.00 $208.16 4 ,00%
I
NI Not Issued
NE Not eligible for pay ent
P5 Includes 3 month in rest penalty
MA Matured and not ear in interest
:rt _. `~
$296.16
$296.16
$296.16
$296.16
$296.16
$296.16
$296.16
$296.16
$302.08
$296.16
$302.08
$296.16
$302.08
$302.08
$302.08
$302.08
$302.08
$302.08
$302.08
$302.08
$302.08
$302.08
$308.16
$308.16
$308.16
hup //www,l reasurydi reclgov/BC /SBC Prike
Page 7 of 1
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OF
JEAN W. KR IiN?7EL
I, JEAN W. KRIMMEL., of Che st erCow2, Kent Ce':'.nt 1~, State
of Maryland, being of sound and disposing mind, memory and
understanding, do make, publish, and declare this as and for
my Last Will and Testament, hereby revoking any anfi all Wills
and codicils heretofore made by me.
FIRST: I direct my Executors to pay all my lawful debts
and funeral expenses, the amount of the latter to be
determined by my Executor and to include a suitable headstone
or marker at my grave, without being subject to any
limitation or restriction imposed by any law, and without the
necessity for application to or leave of any court for
authority to do so.
SECOND: All of the rest, residue and remainder of my
estate and property, real, personal or mixed, of whatever
kind and wherever situate, including any property over which
I may have a power of testamentary appointment, I give,
devise, bequeath and appoint to my beloved husband, JOHN J.
KRIMMEL, it being my desire that my said husband receive the
whole of my estate even though children may be born tD or
adopted by me subsequent to the date of this Will, If
however, my aforesaid husband be not 1P.ving (30) days after
my death, then I make the following bequests:
a. I give, devise and bequeath ten (10~) per cent of my
gross estate to the Lord's Church as apportioned and directed
by my Personal Representatives, in his sole discretion.
b. The rest, residue and remainder of my estate shall
be divided equally between my children, JEFFREY JOHN KRIMMEL,
JAMES ANDREW KRIMMEL, JANET ANNE DAMS and JUDITH JEAN
~~
KRIMMEL, per etirpes. Provided, however, that if any such
chid of mine has predeceased ms leaviry a child, ch5 ld ren,
or descendants living thirty (30) days after my death, such
cr,ild chi ~dre~ or de .ce nda r.ts °'~a 11 t~!<e per i^.;c r, the
share of my estate to which such decease:: child wou]d have
been entitled if surviving.
THIRD: I direct that my Executors shall pay out o£ my
probate estate as an expense of a3mi n.istraticn ary estate,
succession or inheritance taxes ~rhich may be imposed upon my
taxable estate, or upon the legacies, devises or other
interests passing hereunder or by reason of my decease,
without apportionment, proration or contribution.
FOURTH: I nominate, constitute and appoint my sons,
JEFFREY JOHN KRIMMEL and JAMES ANDREW KRIMMEL, jointly, and
to the survivor of them, to be the Personal Representative of
this my Last Will and Testament and direct that no bond be
required of said Personal Representative for the faithful
performance of duties as such, and my ?ersonal
Representatives shall not be liable four any act or omission
which does not constitute fraud or willful misco nducT..
FIFTH: I hereby confer upon my P~=_rsonal Representative
all powers necessary for and proper to the administration of
my estate including but not by way of limitation, the
following powers: I authorize and empower my Personal
Representative in its full and absolute discretion to sell at
public or private sale, deed, assign, mortgage, lease,
reinvest and otherwise deal in, for such consideration and
upon such terms as my Personal Representative may deem
proper, all or any part of my property, real, personal or
mixed which may be expedient for the purpose of paying any of
the debts, costs of the administration of or any and all
taxes upon my estate or for the purpose of making a division
therefore, or for any other purpose which my Personal
Representative may deem to be advantageous to the
administration of my estate, and no purchaser shall be bound
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to see to the application oY tde purchase price; 7 further
authorize my Personal Represe r.tative to retain any asset.
which I may own at the date of my death until such brae as
it, in its sole ~?iscretion, sha 11 determine to sell or
otherwise dispose thereof; i further expressly a:~.tForize rry
Personal Represents tine to invest and reinvest funds u~ such
investments, including preferred and oommon stock, as it may
deem advisable without. restriction by statute, rule of law or
court, or practice governi r.q the ~ivcr sif ication or
investment of trust funds, and to hold funds uninvested if in
its discretion it is advisable so to do; I further expressly
authorize my Personal Representative to compromise and settle
any claims, debts or obligations against or owing to my
estate, and, as to any investment held by them, to vote in
person or by general or limited proxy, to join in, consent to
or oppose any debt agreement, reorganization, merger,
dissolution, liquidation or other adjustment or capital funds
or indebtedness, to pay any assessment levy and to exercise
any option or right in connection therewith without liability
for loss by reason of such activity. In any case in which my
Personal Representative is required either under the
provisions of this will or in order to make a proper
distribution of my estate to divide the assets of my estate
or any of them I hereby authorize them to make such division
in any part in cash or in kind and any division so made by my
Personal Representative shall be binding and conclusive upon
all persons interested in my estate. It is my intention that
the enumeration of the above powers shall not in any way
limit the exercise by my Personal Representative of any
powers conferred upon them by custom, common law or statute.
All powers and immunities hereby conferred upon my Personal
Representative shall be appurtenant to the office and shall
devolve upon any surviving or succeeding Personal
Representative action hereunder.
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IN TESTIMONY WH k:REOF, I have hereunto scbscribed :ay name
and affixed my sea? this ~3`E-dap of <~(.~iGe__ ir. the T~eor
One Thousand pine Hur.<:red and !: !.Ghty-Eiq`. t.,
~ -6Z~'t1 ~~• ~ -~~EAL)
vrv. KRTMh1L-
The foregoing instrument, contained on this and the
preceding typewritten pages, was on t',e a`oresaid Gate,
SIGNED, SEALED, PUBLISHED and DECLARED by the said JEAN W.
RRIMNEL, the Testatrix herein. named, as and for her Last kill
and Testament, i.n the presence of us, who, at her request, in
her presence and in the presence of ea r_h other have hereunto
subscribed our names as witnesses, having also seen the said
Testatrix's initials written by her on the margin of each of
the precec).i ng pages hereof.
ADDRESS ~~~ ~ ~ ~ v_-^ I / 1' I ~~
ADDRESS ~ it ~?l~-FYI MJ )
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