HomeMy WebLinkAbout08-15-13 � 1505611188
REV-1500 EX�03-t1)�Fp �
pennsylvanla OFFlCIAL USE ONLV
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Buro�uoilndividualTezav �NHERITANCE TAX RkTURN
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Mo.��se��a.Pnm�e-oeoi RESIDENT DECEDENT 21 13 0596
ENTER DECEOENT INFORMATION BELOW
Social SeeuAty Number Dafe of Death MMDDYYYY Date ot Blnh MMDDYYYY
OS 11 2013 04 09 1920
Decedem's Last Name Suf4x Oecedem's fiist Name MI
Garland George C
(I(Appliea6le)Enter Surviving Spouse's Infortnatlon Below
Spouse'S Last Name Suttix Spouse'S Flrsf Name MI
Garland Mona F
Spouse's Saia�secunry Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
192 32 7715 REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� �. O�iB�nal Retum O 2. Supplemental Retum O 3. pemaintler Retum(Date ot Death
. PrlOr t0 12-13-82)
O <. Limitetl Eslate O <a Fu[U2 Interer Compromise(date ot p 5. Federal Estale Taz petum Requi2tl
death at�er 12-t2-82)
� 6. DecetleM Died Testate O 7. Deceder�MalMained a Living Trust B. Total Number ot Sate Deposh Bozes
(Attach Copy ot Will) (Attach Copy oi Trus1)
p B. UtigaOon Proceeds Received p i0. Spousai Povetty Gedit(Dale o1 Death O 11.Election to Tax under Sec.81�3(A)
Behveen 12-31-91 and'I-'I-95) (Attach SchadNe O)
CORFESPONDENT-Thls seeUOn must be completed.All Correspontlenee and Conlltlentlal Tax Informatlon Should be Directed to:
Name DaN�me Telephone Numbel
John A - Feichtei , Esquire 717 612 5803
REGISTEfl OF WILLS USE ONLV
G7 � ."LJ
Frst Line ol Address 3 O � m n
635 N • 12th Street, Suite 4D0 rmn = �, cc'i v� z
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secontl une o�aoaress rn z t� ~ �? p
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2 �•' x
0 0
City or Post Otfice State ZIP Cpde O � �ATE F �- T
Lemoyne PA 17043 � � c.a � m
n c.� v' °
Correspondent's e-mall address: If2iChlBl@SSf-BSl0�f1ByS.COrt1
Uneer O��atli�o ol p�rjury.l tl�claro 1Nt I havo oxamin�E tMS ntum,mctvdin0�«ompnnyin0«h�dulev anE sLtemontq�nd 101he bost of my tnowleQpa end belief,
ItisVUa,cmroCl�ndcomplet�.D�clantlonoHhopmparorolho�Y�anporsonalb0�esantetiv�isbssotlonallinio�malionotwhichprapamrh�sanyknowlatlye. '
SIGNAiUREOFP RESPONSIBLEFOAFIIINGflETURN OFTE
�-- � ����
"D 5 arrowgate Road
or , P 402-4338
51 E�_�� a IVE A E
nY3 /� l3
nooHes�6�o�treet, Sude 400 '
Lemoyne, PA 17043
YLEASE USE ORIGINpL FORM ONLV
Slde t
� 1505611188 1505611188 �
�
Rev-1500IX(FI) Page 3 Ffle Number
DecedenYS Complete Address: 21 13 0596
DECEDENTS NAME
George C. Garland
STREETADDRESS
29 Court Lane
C�7y STATE ZIP
Carlisle PA 17013
Tau Payments and Credits:
1. Tax Due(Page 2 Line 19) (�) 1 644.27
2. CreditslPayments
A. PnorPaymenis 1,562.06
e. Discount 82.21
Tota�Credits(n+ e) (2) 1 644.27
3. I nteres[ (3) �.��
4. If Line 2 is greater than Line t + Line 3, erner the difference. This is Ihe OVERPAYMENT.
Fill in oval on Page 2,Line 20 to request a refund. (4)
5. If Line 1 +Line 3 is greater than Line 2, errter the difference. This is the TAX DUE. (5) 0.00
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a VansFer and: Yes No
a. retain the use or income of the property transferred . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ �
b. retain the nght to designate who shall use Ihe propeny transferred or its income . . . . . . . . . . . . . . . . ❑ �
c. retain areversionaryinterest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q �
ii. receive the promise for life of either paymerns, benefits or care? . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ �
� 2. If death occurred after Dec. 12, �982, did decedent Uansler property within one year
of death without receiving adequate consideration? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Q
3. Did decedent own an"in trust for'or payable-upon-death 6ank accourrt or secunty at his or her death? . . � �
4. Did decedent own an individual retirement account, annuity or other non-probate property,
which contains a beneficiary designation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ 0
IF THE ANSWER TO ANY OF THE ABOVE�UESTIONS IS YES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
For dates of death on or after July�, 1994 and before Jan. 1, 1995,the ta�c rate imposed on the net value of transfers to or for the use of the surviving spouse
is 3 percent[72 P.S. Sect. 9116(a)(1.1)(i)].
For dates of death on or after Jan �, 1995,the taz rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
[72 P.S. Sect. 9116(a)(1.1)(ii)]. The statue does not exempt a transfer to a surviving spouse from tax, and the statutory requirements ior disclosure
of assets and filing a[ax return are s[ill applicable even if the surviving spouse is the only beneticiary.
For dates of tleath on or after July 1, 2000:
• The tax rate imposed on the net value of transfers from a deceasetl child 21 years of age or younger at death to or for the use of a natural parern,
an adoptive parent or a s[epparern of the child is 0 percent[72 P.S. Sect. 9116(a)(12)].
• The ta�c rate imposed on the net value of transfers to or for the use of the decedent's lineal 6eneticiaries is 4.5 percent, except as noted in
[72 P.S. Sect. 9116(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use ot the decedenYs siblings is 12 percent[72 P.S. Sect 9116(a)(1.3)]. A sibling
is defined, under Section 9102, as an individual who has at leasl one parent in common with the decedent,whether by blood or adoption.
1 1505611288
-J
Rev-1500 IX(FI)
Decedent's Social Security Number
oecedenrsName: George C Garland
RECAPITULATION
1. RealEstate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
� � • ��
2. Stocksantl Bonds(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Z � • ��
3. Closely Held Corporation, Partnership or Sole-Propnetorship(Schedule C) � � � � � � 3. � • ��
4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . 4. � • ��
5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E) . . . . . . . 5. 4 7 �2 8 6 • 0 4
6. Joirnly Owned Property(Schedule� 0 Separate Billing Requested � � � � � � 6. O . OO
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) O Separate Billing Reques[ed . . . . . . 7. � • �0
8. Totai Gross Assets(total lines 1 through 7). . . . . . . . . . . . . . . . . . . .. . . . . . . . 8. 4 7 , 2 8 6 • 0 4
9. Funeral 6cpenses and Adminiscrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . g. 9 ,9 0 5 • 10
10. Debts of Decedent, Mort a e Liabilities, and Liens Schedule I) �o. 8 41 • 6 4
9 9 ( . . . . . . . . . . . . .
11. Total Deductlons(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �1. 1 O �7 4 6 • 7 4
12. Net Value oi Estate(Line 6 minus Line 11). . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12 36 , 539 • 30
13. Chantable and Governmental Bequests/Sec 91�3 Trus[s tor which
an election to tar has not 6een made(Schedule J) . . . . . . . . . . . . . . . . . . . . . . .
�3. � - ��
14. Net Value Sub'ect to Tax(Line 12 minus Line 13 �q. 3 6 �5 3 9 • 3 0
1 ) . . . . . . . . . . . . . . . . . . . . . . .
TAX CALCULATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tau rate, or
transfers under Sec. 9116 a . o 0
(a)(1.2)X.00 � • �� 15.
16. Amourn ot Line 14 taxable 1 �6 4 4 • 2 7
atlinealrateX.045 36 ,539 • 30 is.
17. Amount of Line 14 ta�cable
atsiblingrateX.�2 0 • �� 17, � • ��
18. Amount oi Line 14 taxable D • 0� i g 0 • 0 0
at collateral rate X.15
19. TAXDUE 1 ,644 • 27
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �9.
20. FILL IN THE OVAL IF YOU ARE RE�UESTING A REFUND OF AN OVERPAYMENT O
Side 2
� 1505611288 1505611288 J
FEV-15oe E%+�11-10)
t �f� pennsylvania SCHEDULE E
�n "`V"N,"`"�'n'N`�'��` CASH, BANK DEPOSITS, & MISC.
iNHEairnNCernxaeruAN pERSONAL PROPERTY
FtESIDENTOECEDENT
ESTATE OF: FILE NUMBER:
George C. Garland 21 13 0596
Include the proceeds ot litigation and the date the proceeds were received by the estate.
All property lolntly ownetl with right oi survivorshlp must be disclosed on Schetlule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Wells Fargo Checking Account 1010178980915 5,232.37
Per 6/28l13 letter
Interest on above item accrued as of decedenYs death 0.02
2 Wells Fargo Savings Account 5970588975 41,990.37
Per 6/28/13 letter
Interest on above item accrued as of decedenYs death 1.38
3 Credit Card Refund 61.90
TOTAL(Also enter on line 5, Recapitulation) 47,28C.04
If more space is needed, insert additional sheets of the same size
REV-1511 E%t�10-09)
�`}ilTpennsylvania SCHEDULE H
� I]IYAPIY�N'l04NFY1NVE
FUNERAL EXPENSES AND
iNHeairnNCeTnxRerueN ADMINISTRATIVE COSTS
RESI�ENTOECEDENT
ESTATE OF FILE NUMBER
George C. Garland 21 13 0596
DecedenYS debts must be reportetl on Schedule I.
ITEM
NUMBER DESCRIPTION AMOUNT
A. FUNERALIXPENSES:
1 Reimbursement to Erik Kochert for payment to Hoffman-Roth Funeral Home 4,544.54
and Crematory, Inc.
2 Reimbursement to Erik Kochert for payment to George's Flowers 48.76
B. ADMINISTRATIVECOSTS:
t. Personal Representative Commissions:
Name(s)of Personal Representative(s)
Street Address
�{ry State_ Zip
Year(s)Commission Paid:
2. AttomeyFees 1,250.00
3. Family Exemption: Qf decedent's address is not the same as claimant's, attach explanation.) 3,500.00
Claimant Judy G Kochert
Street Address 29 Court Lane
cuy Carlisle state PA rp 17013
Relationship of Claimarn to Decedent Dauqhter
4. Probate Fees:
5. Accountant Fees:
6. Ta�c Retum Preparer Fees: ,
7 Saidis, Sullivan & Rogers, out of pocket expenses 431.80
8 Saidis, Sullivan & Rogers, reserve for additional out of of pocket expenses 100.00
9 Register of Wills, filing fees 30.00
TO7AL(Also enter on Line 9, Recapitulation) 9,905.10
If more space is needed, use additional sheets of paper of the same size.
REV-1512 EX«(12-08)
�!'j,-�'7i"7pennsylvania SCHEDULE I
� °`�"N,""��", u„�`�" DEBTS OF DECEDENT,
INHERITANCETAXRETURN MORTGAGE LIABILITIES & LIENS
RESIOENT�ECEDENT
ESTATE OF FILE NUMBER
George C. Garland 21 13 0596
Report tlebts incurred by decetlent prior to death that remainetl unpaid at the date of death,inclutling unrelmbursed medical expenses.
IiEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Addus Healthcare 72.00
2 Reimbursement to Erik Kochert for payment to Cumberland Goodwill Fire 8325
and Rescue EMS
3 Reimbursement to Erik Kochert for payment to Cumberland Goodwill Fire $2.Z8
and Rescue EMS
4 Reimbursement to Erik Kochert for payment to Miraca Life Sciences, Inc. 21.47
5 Reimbursement to Erik Kochert for payment to Addus Healthcare 135.00
6 Reimbursement to Erik Kochert for payment to West Shore EMS-BLS 223.82
7 Reimbursement to Erik Kochert for payment to West Shore EMS-BLS 223.82
TOTAL(Also enter on Line 10, Recapitulation) 841.64
If more space is needed, insert additional sheets of the same size.
flEV-1513 E%�(Ot-�0)
�1, pennsylvania SCHEDULE J
'i� p4VAPIMENtOlNEVFMOf.
INHERITANCETAXflETURN BENEFICIARIES
RESIDENTDECEDENT
ESTATE OF: FILE NUMBER:
George C. Garland 21 13 0596
RELATIONSHIPTODECEDENT AMOUNTORSHARE
NUMBE NAME AND ADDRESS Of PERSON S RECEIVING PROPERN Do Not Ust Trustee s OF ESTATE
i TAXABLE DISTAIBUTIONS[Include oulrigM spousal distnbutions, and �
transters under Sec. at�s(a)(tz).]
Judy Gwen Kochert Daughter 36,539.30
29 Court Lane
Carlisle, PA 17013
ENTERDOLLFFAMOUNTSFOfl DISTflIBUTIONSSHOWNABOVEONLINE5�5THROUGH/80FREV-150000VERSHEET,ASAPPROPRIATE.
II NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISiAIBU710NS UNDFA SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN:
B. CHARITABIE AND GOVEANMEMAL DIS7AIBUTIONS:
TOTAL OF PART II-ENTER TOTAL NON-TAXABLE DISTAIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET.
If more space is needed, use additional sheets of paper of the same size.
' ��
Jl��,�� V' V' ]lllll �,7�11� �(����,ll7111(�IClI�
OF
GEORGE C. GARLAND
I, GEORGE C. GARLAND, of, Cumberland County, Pennsylvania, do
make, publish and declare this to be my Last Will and Testament, hereby revoking
all Wills and Codicils by me heretofore made.
ITEM I: Familv Information. I am married to
MONA FERN GARLAND and all references to my wife in this Will are to her. I
have intentionally excluded my wife as a beneficiary under this Will due to her
medical condition and needs. I have one child, JUDY GWEN KOCHERT, and two
grandchildren, ERIK IAN KOCHERT and RYAN E. KOCHERT. Any person born
to or adopted by issue of mine is to be included as issue of mine. Provided, however,
no adopted person shall benefit under this Will unless the order or decree of
adoption is entered before the adopted person attains the age of twenty-one (21)
years.
ITEM II: Death Taxes. I direct that all inheritance
and estate taxes becoming due by reason of my death, whether payable by my
estate or by any recipient of any property, shall be paid by the Executor out of the
residue of my estate, as an expense and cost of administration of my estate, except
that no taxes shall be charged against any gift qualifying for the marital or
charitable deduction in my estate. The Executor shall have no duty or obligation to
obtain reimbursement for any such tax so paid, even though on proceeds of
insurance or other property not passing under this Will.
ITEM III: Debts and Final Expenses. I direct the
Executor to pay the expenses of my last illness, my legally enforceable debts, and
my funeral expenses from the residue of my estate as an expense and cost of
administration of my estate.
Page 1 �"�--
ITEM IV: TanEible Personal Pronertv.
(a) Written List. I may leave a written list in my safe deposit
box or elsewhere disposing of certain items of my tangible personal
property. The Executor shall dispose of items of my personal property
as specified in the written list. If no written list is found in my safe
deposit box or elsewhere and properly identified by the Executor
within thirty (30) days after the probate of my Will, it shall be
presumed that there is no other statement or list. Any subsequently
discovered list shall be ignored.
(b) If Mv Dauehter Survives Me. If my daughter survives
me, I give to her all my tangible personal property not set forth in the
written list referenced in paragraph (a), including but not limited to,
all of my household furniture and furnishings, books, pictures, jewelry,
silverware, automobiles, wearing apparel and all other articles of
household or personal use or adornment and all policies of insurance
thereon.
(c) If My Daughter poes Not Survive Me. If my daughter,
does note survive me, my Executor shall sell all my tangible personal
property and add the proceeds thereof to the residue of my estate.
ITEM VI: Residue. I give the residue of my estate,
not disposed of in the preceding portions of this Will, to my daughter, JUDY GWEN
KOCHERT ("Gwen"), if she survives me. If my daughter does not survive and I am
survived by my grandson RYAN E. KOCHERT, I give the residue of my estate to
the then acting Trustee(s) of the RYAN E. KOCHERT IRREVOCABLE TRUST, as
Trustee(s), IN TRUST, to be administered and distributed in accordance with the
terms of an Agreement of Trust executed by ERIK IAN KOCHERT as Trustee, and
by me as Grantor on the 29"' day of October, 2007. I confirm and ratify this
Agreement of Trust in every respect. If both Gwen and Ryan do not survive me, I
give the residue of my estate to my grandson, ERIK IAN KOCHERT, if he survives
me. If Erik does not survive me, the residue of my estate shall be distributed to
Erik's issue, per stirpes.
Page 2 �
ITEM VII: Administrative Powers. In addition to the
powers granted at law, the Executor shall possess the following powers, each of
which shall be construed broadly and may be exercised without court approval, but
in a fiduciary capacity only:
(a) Retain Investments. To retain any investments I have at
my death, including specif"ically those consisting of stock of any bank
even if I have named that bank as the Executor.
(b) Varv Investments. To vary investments and to invest in
bonds, stocks, notes, real estate mortgages or other securities or in
other property, real or personal, without being restricted to so-called
"legal investments", and without being limited by any statute or rule of
law regarding investments by fiduciaries.
(c) Division of Assets. In order to divide the principal of my
estate or make distributions, the Executor is authorized to distribute
personal property and real property partly or wholly in kind, and to
allocate specific assets among beneficiaries so long as the total market
value of each share is not affected by the division, distribution or
allocation in kind. The Executor is authorized to make, join in and
consummate partitions of lands, voluntarily or involuntarily, including
giving of mutual deeds, or other obligations, with as wide powers as an
individual owner in fee simple.
(d) Sell Assets. To sell either at public or private sale any or
all real or personal property severally or in conjunction with other
persons, and to consummate sale(s) by deed(s) or other instrument(s)
to the purchaser(s), conveying a fee simple title. No purchaser shall be
obligated to see to the application of the purchase money or to make
inquiry into the validity of any sale. The Executor is authorized to
make, execute, acknowledge and deliver deeds, assignments, options or
other writings as necessary or convenient to carry out the powers
conferred upon the Executor.
Page 3 ��
(e) Encumber Real Estate. To mortgage reai estate, and to
make leases of real estate.
(� Borrow Monev. To borrow money from any person,
including the Executor, to pay indebtedness of mine or of my estate,
expenses of administration or inheritance, legacy, estate and other
taxes, and to assign and pledge assets of my estate.
(g) Pav Costs. To pay all costs, tases, expenses and charges
in connection with the administration of my estate.
(h) Distributions without Court Order. To make
distributions of income and of principal to the proper beneficiaries,
during the administration of my estate, with or without court order, in
such manner and in such amounts as my Executor deems prudent and
appropriate.
(i) Rights as Stockholder. To exercise voting rights with
respect to securities which form a part of my estate, and to exercise all
the powers incident to the ownership of securities.
(j) Reorganize. To unite with other owners of property
similar to property in my estate to carry out any plans for the
reorganization of any company whose securities form a part of my
estate.
(k) Disclaim. To disclaim any interest in property which
would devolve to me or my estate by whatever means, including but
not limited to the following means: as beneficiary under a will, as an
appointee under the exercise of a power of appointment, as a person
entitled to take by intestacy, as a donee of an inter vivos transfer, and
as a donee under a third-party beneficiary contract.
(1) Tax Returns. To prepare, execute and file tax returns of
any type required by applicable law, and to make all tax elections
authorized by law.
Page 4 � C. �
(m) Allocate Exnenses. To allocate administrative expenses
to income or to principal, as the Executor deems appropriate.
However, no allocation to income shall be made if the effect of the
allocation is to cause a reduction in the amount of any estate tax
marital deduction or estate tax charitable deduction.
(n) Emolov Advisors. To employ custodians of property,
investment or business advisors, accountants and attorneys as the
Executor deems appropriate, and to compensate these persons from
assets of my estate, without affecting the compensation to which the
Executor is entitled.
(o) Basis Adiustment. To make any adjustment to basis
authorized by law, including, but not limited to increasing the basis of
any property included in my estate, whether or not passing under this
Will, by allocating any amount by which the bases of assets may be
increased. The Executor shall be under no duty and shall not be
required to allocate basis increase exclusively, primarily, or at all to
assets which pass as part of my probate estate as opposed to other
property for which a basis adjustment is allowable. The Executor shall
allocate basis increase equitably among those beneficiaries receiving
property as a result of my death, but shall not be liable to any person,
nor subject to removal or surcharge, for any reasonable allocation of
basis increase.
(p) Comoromise Claims. To compromise claims.
(� Other Acts. To do all other acts in the Executor's
judgment deemed necessary or desirable for the proper and
advantageous management, investment and distribution of the estate.
ITEM VIII: Simultaneous Death. Any person who
has died within thirty (30) days of my death, or under such circumstances that the
order of our deaths cannot be established by proof, shall be deemed to have
predeceased me.
Page 5 .�
ITEM IX: Executors. I make the following
provisions with respect to Executors:
(a) Primarv Executor. I appoint my grandson, ERIK IAN
KOCHERT, to serve as Executor.
(b) Contin�ent Executors. In the event that Erik is unable or
refuses to serve as Executor, I appoint my daughter, JUDY GWEN
KOCHERT, to serve as Executor.
(c) Compensation. The Executor shall have the right to
receive reasonable compensation for services rendered and
reimbursement for reasonable expenses.
(d) Standard of Care. No Executor shall be liable or
accountable for any loss that may result from the good faith exercise of
the authority granted in this Will.
(e) Securitv. The Executor is specifically relieved from the
duty of filing bond or entering security.
IN WITNESS WHEREOF, I have set my hand and saal to this, my
Last Will and Testament, consisting of this and the preceding five (5) pages, at the
end of each page of which I have also set my initials for greater security and better
identification this a � day of October, 2007.
�i1z,s^'a��-- �. S�.�w'-c`„"�� (SEAL)
GE GE C. GARLAND
Page 6 �✓ C�.
We, the undersigned, hereby certify that the foregoing Will was signed,
sealed, published and declared by the above-named Testator as and for his Last
Will and Testament, in the presence of us, who, at his request and in his presence
and in the presence of each other, have hereunto set our hands and seals the day
and year first above written, and we certify that at the time of the execution
thereof, the said Testator was of sound and disposing mind and memory.
�(,�� 1 ' vw�tSEAL) Residing at����--�����--t-�'�--
`\`�`-� �c,,,.,.:.c�l.�, r� \ �'��
�
��/��� (,C• (,U� (SEAL) Residing a¢�� l���i'�-��!/Y� �k��—l/��
� �/� �ss�
ACKNOWLEDGMENT
COMMONWEALTH OF PENNSYLVANIA )
) SS:
COUNTY OF CUMBERLAND )
I, GEORGE C. GARLAND, Testator, whose name is signed to the
attached or foregoing instrument, having been duly qualified according to law, do
hereby acknowledge that I signed and executed the instrument as my Last Will and
Testament; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein expressed.
7'''..e.e-��i-r _� �S�.rl�� (SEAL)
GEO�R E C. GARLAND
Sworn to and subscribed before
me this ��t3ay of
October, 2007.
�_i-� � �
Notary Pu lic
My Commission Expires:
(SEAL)
COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
CYNTHIA J.RULE,Notary Public
Lemoyne Boro.,Cumberland County
My Commission Expires February 3,2008
AFFIDAVIT
COMMONWEALTH OF PENNSYLVAIVIA )
) SS:
COUNTY OF CUMBERLAND )
W�c_,CYi�i�. �. �, c ��. L and U//6�iC� (,//��T�
,
the Witnesses whose names are signed to the attached or foregoing instrument,
being duly qualified according to law, do depose and say that we were present and
saw Testator, GEORGE C. GARLAND, sign and execute the instrument as his Last
Will and Testament; that Testator signed willingly and that he executed said Will
as his free and voluntary act for the purposes therein expressed; that each of us in
the hearing and sight of the Testator signed the Will as Witnesses; and that to the
best of our knowledge the Testator was at that time eighteen (18) or more years of
age, of sound mind and under no constraint or undue influence.
�.,._.�,..�� t-- ��� �- ��
Witness Witness
Sworn to and subscribed before
me this�day of
October, 2007.
,) 1 "_/--�`�-
��
Notary Pu lic
My Commission Expires:
CO�+�MON W ETLTH OF PENNSYLVANIA
(SEAL) i NOTARIAL SEAL
CYNTHIA J.RULE,Notary Public
Lemoyne Boro.,Cumbedand County
; My Commission Expires February 3,2008
COMMONWEALTH OP GENNSVLVANIA REV-1162 EX(11-96)
OEPARTMENT OFREVENUE -
BUFEAU OFINDIVIDt/ALTAXES
�EPT.280601
HAIiRISBURG,PA 1]128-0601
PENNSYLVANIA
RECEIVED FROM: INHERITANCE AND ESTATE TAX
OFFICIAL RECEIPT
NO. CD 017942
FEICHTEL JOHN A
SAIDIS SULLIVAN & ROGERS
625 NORTH 12TH STREET STE 400
LEMOYNE, PA 17043
ACN
ASSESSMENT AMOUNT
CONTROL
NUMBER
_____ �me
_"__""' ______
101 � 51 ,562.06
ESTATE INFORMATION: ssN: I
Fi�E rvunnaER: 2113-0596 �
DECEDENT NAME: GARLAND GEORGE C �
DATEOFPAYMENT: 07/26/2013 I
POSTMARK DATE: 07/25/2013 I
CouNTY: CUMBERLAND �
DATE OF DEATH: 05/11/2013 I
�
TOTAL AMOUNT PAID: $1 ,562.06
REMARKS: RCPT TO ATTY
CHECK# 096
INITIALS: DB1
SEAL RECEIVED BY: GLENDA FARNER STRASBAUGH
REGISTER OF WILLS
TAXPAYER
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