HomeMy WebLinkAbout06-17-13 (2) � 150561014�
REV-1500 Ex �°,.,°,
PA Depadment of Revenue OFFIC�A�Use OM�Y
eureau of Individual Taxes �NHERITANCE TAX RETURN County Code Year File Number
Po sox 2soso� 2 1 1 3 0 2 9 0
Har�isbura,PA 77128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Searity Number Date of Death MMDOYYYV Date of Birth MMDOYrvv
0 3 0 6 2 � 1 3 0 7 2 1 1 9 1 7
� DecedenYS Last Name Suffix DecedenPS First Name Mf
M A G I L L G E 0 R 6 E W
(If Applicable)Enter Surviving Spouse's Informatian Below
Spouse's Last Name Suffix Spouse's First Name MI
Spousek Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE MIITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
O 1.Original Return � 2.Supplemental Return � 3. Remainder Retum(date of death
prior to 12-13-82)
� 4. Limited Estate � 4a.Future Interest Compromise(date of � 5. Federal Estate Taz Retum Required
death after 12-12-82)
Q 6. Decetlent Died Testate � 7.Decedent Maintainetl a Living Trust � 8.Total Number of Safe Deposit Boxes
(Attach Copy of Wilp (Attach Copy of Trust)
� 9. Litigation Proceeds Received � 10.Spousal Poverty Credit(tlate 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 INFORMA710N SHOULD BE DIRECTED T0:
Name Daytime Telephone Number
S IJ S A N H - C 0 N F A I R 7 1 7 7 6� 1 3�8 3
� w � m
� ER OF V�ILLS U �� D�
� � Z tP �
� First line of address � D �' t—' ,�-r—!'S fT7
ryrn ,� � �
2 3 3 1 M A R K E T S T R E E T z "= � o �
Second line of atldress � r-�j a � � '*�
p C ry : r7
, � fV '"' P"ri
City or P05t Office State ZIP Code � � DATE�FI�D G9 Q
C�
C A M P H L L P A 1 7 0 1 1
CorrespondenPSe-mailaddress: SCQNFAIRaREAGERADLERPC•COM
Under penalties of pe�ury,V declare thal l have euamined this reNrn,including accompanying schetlules antl statemenis,antl to the best of my KnowleAge and beliet,
it�s Ime,covect and complete.Declaration of preparer other than ihe pe�sonal representative is basetl on all info�mation o(which preparer has any knowletlge.
SIGNATURE OF PEfi RE F ILING RET DAT
i / 2��?
CP J
ADDRESS
4113 SUNNY CROSSING IVE LOUISVILLE KY 40299
SIGNATURE OF PR ARER wO-T,H�ER THAN REPRESENTATIVE DAT
ADDRESS ��i��,�_ � �! ��l3
2331 MARKET STREET CAMP HILL PA 17011
PLEASE USE ORIGINAL FORM ONLY
Side 1
L 15D5610140 15�5610140 J
� 150561�240
REV-1500 EX
DecedenPs Social Security Number
oecedenesName: GEORGE W• MAGILL
RECAPITUWTION
i. Real Estate(Schedule A) . . . . . .. . . . . . . . . . . . . . . . . . . . .. .. . . . . . .. . . . . . . 1. •
2. Stocks and Bonds(Schedule B) . . . . . .. . .. . .. . . . .. . . . . . . . . . . . . .. .. . . .. 2. .
3. Clusely Held Corporation,Partnerehip or Sole-Proprietorship(Schedule C) . . . . . 3. .
4. Mort9ages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . .... 4. .
5. Cash,Bank Deposits and Miscellaneous Personal Property(Schedule E). .... . . 5. 2 3 9 2 2 4 , 4 8
6. Jointly Owned Property(Schedule F) � Separete Billing Requested ... .. . . 6. .
7. Inter-Vivos TransPere&Miscellaneous Non•Probate Property
tscned�ie c> � Separate Billing Requested . . . . . .. 7. 3 7 5 3 7 8 , 7 5
8. Total Gross nsseu(total Lines � through 7) . . . . .. . . . .. ... .. . . . . . . . . . . . 8. 6 1 4 6 0 3 . 2 3
9. Funeral Expenses and Administrative Costs(Schedule FI) . . . . . . . .. . . . . . . . . . 9� 5 2 0 9 . $ �
10. Debts of Decedent, Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 8 3 5 8 . � �
17. ToWI Deduc[ions(total Lines 9 and 10) . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . 11. ti 3 5 6 7 . 5 0
12. Net Value of Estate(Line 8 minus Li�e t t) . . . . . .. . . . . . . . . . . .. . . . . . . . . . 72. 6 � 1 0 3 5 . 7 3
13. Charitable and Govemmental BequestslSec 9113 Trusts for which
an election to tax has�ot been made(Schedule J) . . . . . . . . . . . : . . . . . . . . . . 13. 2 0 0 � � . � 0
74. Net Value Subject to Tax{Line 12 minus Line 13) . . . . . . . . . .. . . . . . . . . . . . 14. 5 8 1 � 3 $ . 7 3 �
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABIE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec.9716
(a)(12)X�� _ � . 0 0 15. ❑ . 0 0
16. Amount of Line 14 taxable
at�inea�rate x.045 5 8 1 0 3 5 . 7 3 �s. 2 6 1 4 6 . 6 1
17. Amount of Line 14 taxable
at sibling rate X.12 � . 0 0 17. � . 0 �
18. Amount of Line 14 taxable
at collateral rate X.15 � . � 0 �g, � . � �
�s. rax oue . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . is. 2 6 1 4 6 . 6 1
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT �
SAde 2
L 1505610240 1505610240 �
REV-1500 EX Page 3 File Num6er
DecedenYs Complete Address: e1 13 oa90
DECEDENT'S NAME
GEORGE W. MAGILL
STREETADDRESS
100 MT. ALLEN DRIVE
CITY STATE Z�p
MECNANICSBURG PA I17055
Tax Payments and Credits:
� TaxDue(Page2,Line19) (1) 26,146•61
2. Credits/Payments
A.Prior Paymenls 24,839.28
B.Discount 1,307•33
TotalCredits(A+g) �p� 26,146•61
3. Inferest
(3�
4. If Une 2 is greater than Line 1+Line 3,enier the difference.This is the OVERPAYMEN7.
Fill in oval on Page 2,Line 20 to request a refund, (41 0•0❑
5. If Line 1+Line 3 is greater than Line 2,enterihe difference,This is the TAX DUE. (5} 9•00
Make check payable to: REGISTER OF WILLS, AGENT
_ . __ _ __ _ ,_ _. _ __ _.. __. ._ _ . ---__ _.. ._ __ __. _ .___ . .
� _ _ _ ! _ . _
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
i. Did decedent make a iransFer and: Yes No
a, retain the use or income of the property trans(erred: ...................................................................... ❑ Q
b. retain Ihe right to designate who shall use the property transferred or its income: ............................... ❑ Q
c. retain a reversionary interesl:or ................................................................................................ ❑ 0
d. receive the pranise for life of either payments,benefils or care? ........... ........................................... ❑ QX
2. If death occurred aRer December 12,1982,did decedent iransfer property within one year of death
wilhout receiving adequate consideration? ............................................. ❑ QX
.........................................
3. Did decedent own an"in trust for'or payable-upon-death bank account or security at his or her death? ......... � ❑
4. Did decede�t own an individual retirement account,annuity or other non-probate property,which
contains a beneficiary 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.
For dates of death on or after July t, 1994,and 6efore Jan. 1, 1995,the tax rate imposed on Ihe 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 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 Vansfer to a surviving spouse from tax,and the statutory requirements for disdosure of assets and
filing a tax return are still applicable even if the surviving spouse is the only baneficiary.
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(aJ(1,2)].
• The tax rate imposed on the net value of transfers to or for fhe 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)(t)1.
• The tax rate imposed on the net value of transfers to or for the use of the decedenPS siblings is 12 percent[72 P.S. §911fi(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-1508 EX+(11-10)
pennsylvania SCHEDULE E
DEPARTMENTOFREVENVE
CASH, BANK DEPOSITS, & MISC.
INHERITANCE TAX RETURN
RESIDENT�ECEDENT PERSONAL PROPERTY
ESTATE OF: FILE NUMBER:
GEORGE W• MAGILL 21 13 0290
InGude the proceeds of IitgaUOn aatl the date tt�e proceeds were received by 1he estate.
All propeAyjointty owned with right of survivorship must 6e disclosed on Schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. PNC BANK, N•A• —CHECKING ACCOUNT u5140041034 26,380•79
6U� GRANT STREET, PITTSBURGH, PA 15219
2• PNC BANK, N.A• — SAVINGS ACCOUNT a5001902367 16,544.73
600 GRANT STREET, PITTSBURGH, PA 15219
3• PNC BANK, N.A. — CERTIFICATE OF DEPOSIT 15,298•14
60� GRANT STREET, PITTSBURGH, PA 15219
4. PNC HANK, N.A. — CERTIFICATE OF DEPOSIT 15,247•54
600 GRANT STREET, PITTSBURGH, PA 15219
5• PNC BANK, N.A• — CERTIFICATE OF DEPOSIT 15,082•95
6U� GRANT STREET, PITTSBURGH, PA 15219
6• PNC BANK, N•A• — CERTIFICATE OF DEPOSIT 15,065•93
600 GRANT STREET, PITTSBURGH, PA 15219
7• PNC BANK, N•A. — CERTIFICATE OF DEPOSIT 120,059•09
b�� GRANT STREET, PITTSBURGH, PA 15219
8. PNC BANK, N•A• — CERTIFICATE OF DEPOIST 15,045•31
600 GRANT STREET, PITTSBURGH, PA 15219
9. PERSONAL PROPERTY 500•00
TOTAL(Also enter on Une 5,Recapitulation) $ 2 3 9,22 4 •4 8
If more space is needed,inseh additional sheets oS papar oF the same size
REV-15tU EX.(�8-09)
pennsylvania SCHEDULE G
DEPARTMENT OF REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCETAXRETURN MISC. NON-PROBATE PROPERTY
RESIDEN7 DECEDENT
ESiATE OF FILE NUMBER
GEOR6E W• MAGILL 21 13 629❑
This schetlule must be compleied and filed it the answer to any of quesUons 1 through 4 on page fhree of Ue REV-1500 is yes.
ITEM OESCRIPTION OF PROPERTY
INCLUDETHEN4MEOFTHETRANSFEREE,THEIRRElAT10N5NIPT00ECEDENTAND DATEOFDEATH %OFDECD'S EXCLUSION TAXABLE
NUMBER THEOpTEOFTHANSFER.ATTACHACOPVOFTHE0EE0FORREALESTATE. VAWE�FASSET INTEREST pFnPPUCneLE� VALUE
1. TD AMERITRADE, ISI FINANCIAL GROUP, INC• 375,378•75 100•00 375,378•75
TRANSFER ON DEATH ACCOUNT
BENEFICIARY — GEORGE B• MAGILL — SON
TOTAL (AlsoenteronLine7,Rerapitulation) $ 375,378•75
It more space is needed,use addNOnal sheets of paper ot Ne same size.
. .
REV-1511 EX+(ip-Og)
pennsylvania SCHEDULE H
oePnaTMer,�oFaeveNUe FUNERALEXPENSESAND �
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEOEN7
ESTATE Of FILE NUMBER
GEORGE W• MAGILL 21 13 0290
DecedenPs debts must be repoAed on Schedule l.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERALEXPENSES:
1. MYERS-HARNER FUNERAL HOME 576•00
2• ROLLING GREEN CEMETARY 225.00
8. AOMINISTRATIVE COSTS:
1. Personal Representative Commissions:
Name(s)of Personal RepresentaWe(s)
Sfreet Address
Ciry State ZIP
Year(s)Commission Paid:
p, AttomeyFees: REAGER s ADLER, PC 4,000•�❑
3, Family Exemption:(If decedenYs address is not ihe same as claimanYS,attach explanatlon.)
Claimant
$treet Address
Ciry State ZIP
Relatio�hip of Claimant[o Decedent
4. Proba�eFees: CUMBERLAND COUNTY REGISTER OF WILLS 4�8�5❑
5 Accountant Fees:
6. Tax Retum Preparer Fees:
7.
TOTAL(Also enter on Line 9,Recapitulation} $ 5,2�9-SU
If more space is needed,use addiGonal sheefs of paper of the same size.
_ .. . - - . - . . . .
_
REV4512 EXi(12-08)
pennsylvania SCHEDULE I
DEPARTMENTOF REVENUE DEBTS 0�DECEDENT�
iNHeRiTaNCerwcaeruaN MORTGAGE LIABILITIES, &LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
GEORGE W• MAGILL 21 13 0290
Report debts incurred by the decedent prior to death that remainrd unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1. MESSIAH VILLAGE — NURSING HOME CARE (FEBRUARY AND MARCH) 6,966-04
2• ALERT PHARMACY — MEDICATION 398•00
3• IRS — FEDERAL TAX 775.�0
4. DEPARTMENT QF REVENUE — STATE TAX 219•00
TOTAL(Also enier on Line 10,Recapitulation) $ g,358•00
If more space is needed,insert addiUonal sheefs of the same size.
REV-1513 EX+(01-10)
pennsylvania SCHEiDULE J
�EPARTMENT OF REVENUE
BENEFNCIARIES
INHERITANCE TAX RETURN
RESIDENT OECEDENT
ESTATE OF: F1LE NUMBER:
GEORGE W• MAGILL 21 13 0290
RELATIONSHIP TO DECEDENT AMOUNT OR SHARE
NUMBER NAME AN�ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE
I 7AXABLE DISTRIBUTIONS [Indude ouVp' ht spousal distributions and transfers unAer
Sec.91 i6(a)(7.2).]
1. GEORGE B• MAGILL Lineal 581,035•73
4113 SUNNY CROSSING DRIVE
LOUISVILLE, KY 40299-7113
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE OM LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE.
II. NON-TAXABLE DISTRIBUTI�NS:
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
1.
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS:
1. CAMP HILL PRESBYTERIAN CHURCH 10,000.0❑
101 NORTH 23D STREET
CAMP HILL, PA 17011
2• f1ESSIAH VILLAGE 10,0�0•00
100 MOl1NT ALLEN DRIVE
MECHANICSBURG, PA 17055
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTRIBl1TI0N5 ON LINE 13 OF REV-1500 COVER SHEET. $ 20,000•00
If more space is needed,use addiGonal sheets of paper of the same size.
�� �
��
LAST WILL AND TESTAMENT
c� �: �
,.. � rn
rn
OF � ° � 6' a
m = c� � v' p
� y. r � �� Per ,
GEORGE W. MAGILL a N � 'J � c
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[J n � _n T� �'1
C'� O -rl -� "^ �?1 .
I, GEORGE W. MAGILL, Social Security Nuxnber of the c ~ — �
�mmot��rieal�k o'�'
Pennsylvania, declare that this is my LAST WILL AND TESTAMENT an�revoke a'it'pther '�
wills and codicils previously made by me.
I. I appoint my son, GEORGE B. MAGILL of Kentucky as my Personal Representative
concerning this Will. If my son, GEORGE B. MAGILL, is unable or fails to serve, I then
appoint my friend, EARL BOLLINGER of Pennsylvania, to serve as my Personal
Representative.
A. I request that my Personal Representative be permitted to serve without bond or
surety thereon and without the intervention of any court, except as required by law. I direct that
my Personal Representative act in unsupervised administration so as to administer my estate with
a minimum of court supervision. If it becomes necessary to have ancillary administration of my
estate in any jurisdiction where my Personal Representative is unable or does not desire to
qualify as anciilary legal representative, I appoint as such ancillary legal representative such
individual or corporation as my Personal Representative shall designate, in writing.
B. I direct my Personal Representative to pay the expenses of my last illness, the
expenses of a funeral appropriate to my station in life and custom of living (including a suitable
monument or mazker for my grave), and written charitable pledges which I have made. I grant
my Personal Representative the power to extend or renew any debt for such time as my Personal
Representative shall deem appropriate.
C. All estate, inheritance, succession and other death taxes with respect to all property .
passing under this my Will shall be paid from and borne by the principal of my residuary estate,
without regard to reimbursement, as if such taxes were admuustration expenses. My Personal
Representative may pay such taxes at any time deemed advisable,whether or not then due and
payable.
D. My Personal Representative is requested to settle my estate as soon after my death as
may be practicable, and to pay or deliver every legacy or bequest to my beneficiaries without
waiting any time that may be believed to be customary in probate matters.
� Last Will and Testament of GEORGE W.MAGILL O .
.:V �^ ..,...-�,'p.0 � � ,.
cts.tl!:C
Page 1 of4
E. I have served in the Anned Forces of the United States. Therefore, I direct my
Personal Representative to consult with a Legal Assistance Attomey at the neazest military
installation and with the Department of Veterans Affairs and the Social Security Administration
to ascertain if there aze any benefits to which my family members aze entitled by virtue of my
military service.
F. I may leave a letter of intent with the executed copy of this Will for the purpose of
giving guidance to my Personal Representative concerning the distribution or sale of certain
items of my properly. I request,but do not require, that my Personal Representative honor rny
wishes therein expressed.
II. I hereby make the following specific bequests:
A. I give to the Camp Hill Presbyterian Church, 101 North 23rd Street, Camp Hill,
Pennsylvania 17011, the sum total of$10,000.00 (ten thousand dollazs).
B. I give to the Messiah Village, 100 Mount Allen Drive, P. O. Box 2015,
Mechanicsburg, Pennsylvania 17055, the sum total of$10,000.00 (ten thousand dollazs).
III. I give, devise and bequeath, absolutely and forever, all of the rest, residue and
remainder of my estate and property of which I may be seized or possessed, or to which I may be
entitled, at the time of my death, wherever situated or of whatever nahxre, be it real, personal, or
mixed, to my son, GEORGE B. MAGILL of Kentucky as his sole and absolute property if he
shall survive me.
IV. In the event that the above named individual shall not survive me, I give,.devise and
bequeath, absolutely and forever, all of the rest,residue and remainder of my estate and property
of which I may be seized or possessed, or to which I may be entitled, at the time of my death,
wherever situated or of whatever nature, be it real,personal, or mixed, to my daughter-in-law,
JOANN MAGILL of Kentucky, as her sole and absolute property if she shall survive me.
V. In the event that no previously named beneficiary shall survive me, I give, devise and
bequeath, absolutely and forever, ali of the rest, residue and remainder of my estate and property
of which I may be seized or possessed, or to which I may be entitled, at the time of my death,
wherever situated or of whatever nahu-e, be it real,personal, or mixed, to grandson, GEORGE
RYAN MAGILL of Kentucky and grandson, CHRISTOPHER MICHAEL MAGILL of
Kentucky, or to the survivor, in shazes of substantially equal value, to be divided as they may
agree.
VI. Except as otherwise provided in this Will, I have intentionally failed to provide for
any other relatives or other persons, whether claiming to be an heir of mine or not. Insofar as I
have failed to provide in this Will for any of my issue now living or later born or adopted, such
failure is intentional and not occasioned by accident or mistake.
Last Will and Testament of GEORGE W.MAGILL �
J Page 2 of 4 � �
VII. Any beneficiary who fails to survive until One Hundred and Twenty(120) hours after
my death shall be deemed to have predeceased me, and the gift to that beneficiary shall be
disposed of accordingly.
VIII. The term "Personal Representative" as used in this Will shall have the same meaning
as Executor, Executrix, Independent Executor, or any other title of like import which is used to
describe such a fiduciary.
IX• In addition to any powers granted by the laws of the jurisdiction in which this Will is
probated, I hereby authorize and empower the fiduciaries named in this Will, to the extent of the
discretion herein granted, to sell, exchange, convey, transfer, assign, mortgage, pledge, lease or
rent the whole or any part of my real or personal estate, to invest, reinvest, or retain inveshnents
of my estate, to perform all acts and to execute all documents which my fiduciaries may deem
necessary or proper in regazd to my property. If any of my fiduciaries elect to receive
compensation for services, such compensation will be that allowed by law.
X. If any part of this Will shall be invalid, illegal, or inoperative for any reason, it is my
intention that the remaining paris, so far as possible and reasonable, shall be effective and fully
operative. My Personal Representative may seek and obtain court instnxctions for the purpose of
canying out as nearly as may be possible the intention of this Will as shown by the terms hereof,
including any terms held invalid, illegal, or inoperative.
This document was prepazed under the authority of Title 10 U.S. Code, section 1044,and
implementing military regulations and instructions,by JONATHAN HOWARD, a member of
The Judge Advocate Legal Service,United States Army,who is licensed to practice law in The
State Of Georgia.
IN WITNESS WHEREOF, I have at Carlisle, Pennsylvania, on � ,;ZCiE C , set my
hand and seal to this my LAST WII,L AND TESTAMENT, consisfing o 4 typewritten pages,
each page bearing my handwritten signahu-e.
� .� .-P-L (SEAL)
GE GE W. I,
� Last Will and Testament of GEORGE W.MAGILL
� � Page 3 of 4 � � � .
The foregoing instrument was, at Carlisle, Pennsylvania, on /� j� � r
111d.�-� �-�U�' , signed,
sealed,published and declared by GEORGE W. MAGILL, the testatof; to be his LAST WILL
AND TESTAMENT in the presence of all of us at one time, and at the same time we, at his
request and in his presence and in the presence of each other, have hereunto subscribed our
names as attesting witnesses, and we do so verily believe that the said testatar is of sound and
disposing mind and memory at the date hereof.
of r / of (�/'i�( �
. � Last Will and Testament of GEORGE W.MAGILL � -
``' � �- �
Page 4 of 4
I, GEORGE W. MAGILL, the testator, sign my name to this instrument on
and being first sworn, declaze to the undersigned authority that I sign and execute thi�trumena s my
last will, that I sign it willingly or wi(lingiy direct another to sign for me, that I execute it as my free
and voluntary act for the purposes therein expressed, and that I am eighteen years of age or older, of
sound mind, and under no constraint or undue influence.
�.e�u>�19aaR.P,P
�ORGE W.�AGILL
ACKNOWLEDGMENT
I, GEORGE W. MAGILL, testator, whose name is signed to the attached or foregoing instrument,
having been duly qualified according to law, do hereby aclmowledge that I signed and executed the
instrument as my Last Will; that I signed it willingly; and that I signed it as my free and voluntary act
for the purposes therein expressed.
�-�-��v Ge/e�'"d'I c�c��P (SEAL)
�EORGE W. I�GILL
AFFIDAVIT
�'e� '�`�-"' /��� / �/ `� , and ES%�C �rEO�loc , the wimesses,
sign our names to ttus instrument, being duly qualified according to law, do depose and say that we
were present and saw the testator sign and execute the instrument as his Last Will; that the testator
signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that
each subscribing wimess in the hearing and sight of the testator signed the will as a witness; and that to
the best of our lmowledge the testator was at that time 18 or more years of age, of sound mind and
und n constraint or undue influence. ` �, �
���� �/� ��ti �
° �� °f �&�C /�A
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
Subscribed, sworn to and acimowledged before me b GEORGE W. MAGILL, the testator, and
subscribed and sworn to before me by �yj� 'l ,p and
— ��E� G C��6� , the witnesses, on ' " � ° �
—_���ty�
N ry Pu �s--°—,--a.°--,._. .
•-.�ar.�i'u�.al
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� ' I"1v Cemmission Expires May 14,20�J;
I.ast Will and Testamen[of George W. 1V�gi11x Pe.nnsylvania Association of Not�iir;
� Witnesses Attestaflon and Self-Proving Clauses