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Home My WebLink About10-31-14 (3) J 15�5610140 REV-1500 Ex �°,�,°' PA Department of Revenue OFFICIAL USE ONLY Bureau of Individual Taxes County Code Year File Number Po gOx 2aoso� INHERITANCE TAX RETURN HarrisburQ,PA 17128-0601 RESIDENT DECEDENT 2 1 1 4 � 8 1 1, ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death nnMDDYYYY Date of Birth MMDDWYY 1 7 1 2 4 4 4 7 � 0 8 0 5 2 0 1 4 0 2 0 7 1 9 3 0 DecedenYs Last Name Su�x DecedenYs First Name MI T U R N E R R U T H q (If Appticable)Enter Surviving Spouse's Information Below Spouse's Last Name Su�x Spouse's First Name M� Spouse's Social Security Number THIS RETURN MUST BE FI�ED IN DUPLICATE WITH THE REGISTER OF WILLS FILL iN APPROPRIATE OVALS BELOW O 1.Original Return � 2. Supplemental Return � 3.Remainder Return(date of death priorto 12-13-82) � 4. Limited Estate � 4a. Future Interest Compromise(date of � 5. Federal Estate Tax Return Required death after 12-12-82) QX 6.Decedent Died Testate � 7. Decedent Maintained a Living Trust 8.Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) � 9. Litigation Proceeds Received � 10. Spousal Poverty Credit(date 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 INFa'RMATION SH� D BE-Dl�REAfED T0: Name Daytime I�hone Nur�h�r r`z'j � J A N L B R 0 W N 7 1 �� 5--.,4 3� 5=�+� � p 7 � _. G,J �-, ��_T -�--- -- , ��1 REGIST�R OF WIL�USE ONL"Y:+ First line of address , , � c -;j F--� �-7 J A N L B R 0 W N & A S S 0 C ' = �� ' Second line of address ' . �^� '-r' `� O �'� 8 4 5 S I R T H0 M A S C T S T E 1 2 ' Ciry or Post Office State ZIP Code � DATE FILED H A R R I S B U R G P A 1 7 1 0 9 CorrespondenYs e-mail address: BRENDA(p�JANBROWNLAW.COM Under penalties of perjury,I declare that I have examined this retum,including accompanying schedules and statements,and to the best of my knowledge and belief, it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SI��F PEfISON ESP SI LE FOR F LING RETURN �`r� "�z�`�"' 1�/30/2014 DDRESS 69 MI RS G ENOLA PA 17025 SIGNATU F PREPAR OTH H,4A�R PRESENTATIVE �V DATE 10/30/2014 ADDR S 845 THOMAS CT STE 12 HARRISBURG PA 17109 PLEASE USE ORiGINAL FORM ONLY Side 1 � 150561014� 1,505610140 � \ ��J � � 1505610240 REV-1500 EX DecedenPs Social Security Number �ecedenes Name: R U T H A - T U R N E R RECAPITULATION 1. Real Estate(Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . 1. • 2. Stocks and Bonds(Schedule B) . . . . . . .. . . . 2 3 � 3 7 . 1 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 3. Closely Held Corporation, Partnership or Sole-Proprietorship(Schedule C) . . . . . 3. • 4. Mortgages and Notes Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. • 5. Cash, Bank Deposits and Miscellaneous Personal Property(Schedule E). . . . . . . 5. 8 6 3 � . 8 � 6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested . . . . . . . 6. 8 6 3 4 . 2 3 7. Inter-Vivos Transfers 8 Miscelianeous N -Probate Property (Schedule G) �] Separate Billing Requested . . . . . . . 7. 7 4 5 � 0 . 0 0 8. Total Gross Assets(total Lines 1 through 7) . . . . . . . . .. . . . . . . . . . . . . . . . . . 8. 1 1 4 8 0 2 . 2 6 9. Funeral Expenses and Administrative Costs(Schedule H) . . . . . . . . . . . . . . . . . . 9. 6 4 2 4 . � 5 10. Debts of Decedent,Mortgage Liabilities,and Liens(Schedule I) . . . . . . . . . . . . . 10. 1 1 8 1 . 6 3 ��. Total Deductions(total Lines 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 11. 7 6 0 6 . 3 8 12. Net Value of Estate(Line 8 minus Line 11) . . . . . . . . . . . . . . . . . . . .. . . . . . .. 12. 1 0 � 1 9 5 . 8 8 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. 1 � � 1 9 5 . 8 8 TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate,or transfers under Sec.9116 (a)(1.2)X.0 _ 0 . � Q 15. � . Q Q 16. Amount of Line 14 taxable at�inea�rate X.045 1 0 7 1 9 5 . 8 8 �6. 4 8 2 3 . 8 1 17. Amount of Line 14 taxable at sibling rate X.12 ❑ . � � 17. � . ❑ � 18. Amount of Line 14 taxable at collateral rate X.15 � • � � 1g, � . � � 19. TAX DUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . . 19. 4 8 2 3 • 8 1 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT � Side 2 � 15�5610240 150561�240 J REV-1500 EX Page 3 File Number Decedent's Complete Address: 2� 14 0811 DECEDENT'S NAME RUTH A. TURNER _ __ __ _ _ _ STREET ADDRESS _ __ ___.__ __ .---- _ 66 Ashburg Drive#101 Silver Spring Townshi�_ _ _ _ _ _ _ _ -- - ---_ ___ — --__ _---- ----_------- -- — __ CITY , STATE i ZIP . . Mechanicsburg ' PA ' 17050 Tax Payments and Credits: � Tax Due(Page 2,Line 19) (1) 4,823.81 2. Credits/Payments — A.Prior Payments B.Discount 241.19 Total Credits(A+g) �2� 241.19 3. interest 4. If Line 2 is greater than Line 1 +Line 3,enter the difference.This is the OVERPAYMENT. (3) Fill in oval on Page 2,Line 20 to request a refund. (4) 0.00 5. If Line 1+Line 3 is greater than Line 2,enter the difference.This is the TAX DUE. (5) 4,582.62 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 transfer and: Yes No a. retain the use or income of the property transferred: ...................................................................... ❑ � b. retain the right to designate who shall use the property transferred or its income; ............................... ❑ ❑X c. retain a reversionary interest;or ................................................................................................ ❑ � d. receive the promise for life of either payments,benefits or care? ....................................................... ❑ OX 2. If death occurred after December 12, 1982,did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................... ❑ Q 3. Did decedent own an"in trust for"or payable-upon�eath bank account or security at his or her death? ......... ❑ � 4. Did decedent own an individual retirement account,annuity or other non-probate property,which contains a 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. 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 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 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)J. • The tax rate imposed on the net value of transfers to or for the use of the decedent's sib►ings is 12 percent[72 P.S.§9116(a)(1.3)).A sibling is defined,undE Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption. REV-1503 EX+(8-12) pennsylvania SCHEDULE B DEPARTMENTOFREVENUE STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER RUTH A. TURNER 21 14 0811 All property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. PIMCO Total Return Fund Class A(PTTAX); 2,107.7 shs @$10.93/sh 23,037.16 TOTAL(Also enter on Line 2,Recapitulation) a 23 037.16 If more space is needed,insert additional sheets of the same size REV-1508 EX+(08-12) pennsylvania SCHEDULE E DEPARTMENTOFREVENUE CASH, BANK DEPOSITS � MISC. INHERITANCE TAX RETURN RESIDENTDECEDENT PERSONAL PROPERTY ESTATE OF: FILE NUMBER: RUTH A. TURNER 21 14 0811 Include the proceeds of litigation and the date the proceeds were received by the estate. Ali property jointly owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Allstate Account AFY-661251; cash balance 8,540.92 2 Comcast; refund 65.87 3 Mutual of Omaha; refund 24 pg TOTAL(Also enter on Line 5,Recapitulation) S 8 630.87 If more space is needed, use additional sheets of paper of the same size. REV-1509 EX+(01-10) pennsylvania SCHEDULE F DEPARTMENTOFREVENUE �OINTLY-OWNED PROPERTY INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: RUTH A. TURNER 21 14 0811 If an asset was made jointly owned within one year of the decedenYs date of death,it must be reported on Schedule G. SURVIVING JOINT TENANT(S)NAME(S) ADDRESS RELATIONSHIP TO DECEDENT A. Beth Ann Riland 69 Millers Gap Road daughter Enola PA 17025 B. Kenneth Riland 69 Millers Gap Road son-in-law Enola PA 17025 c. JOINTLY-OWNED PROPERTY: LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH ITEM FOR JOINT MADE INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR DATE OF DEATH DECEDENT'S VALUE OF NUMBER TENANT JOINT IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. VALUE OF ASSET INTEREST DECEDENT'S INTEREST �. A. 2003 Fulton Bank Checking 361973458 15,786.46 50. 7,893.23 2 B 2007 1999 Ford Escort LX Sedan 4D 1,482.00 50. 741.00 Value based on Kelley Blue Book TOTAL(Also enter on Line 6,Recapitulation) S $634.23 If more space is needed,use additional sheets of paper of the same size. REV-1510 EX+(08-09) pennsylvania SCHEDULE G DEPARTMENTOFREVENUE INTER-VIVOS TRANSFERS AND INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY RESIDENT DECEDENT ESTATE OF FIIE NUMBER RUTH A. TURNER 21 14 0811 This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF THE TRANSFEREE.THEIR RELATIONSHIP TO DECEDENT AND DATE OF DEATH °/a OF DECD�S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER.ATTACH A COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IFAPRICABLE) VALUE 1. Allstate Non-Qualified Annuity IG00018534 74,500.00 100.00 74,500.00 Beth Ann Riland, daughter, beneficiary Principal Financial Group Contract 9199237 Decedent's only rights under this contract were to designate a beneficiary and to receive a regular monthly payment. Therefore, it is not subject to Inheritance Tax. TOTAL (Also enter on Line 7,Recapitulation) 5 74 500.00 If more space is needed,use additional sheets of paper of the same size. REV-1511 EX+(10-09) pennsylvania SCHEDULE H DEPARTMENT OF REVENUE FUNERAL EXPENSES AND INHERITANCETAXRETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT ESTATE OF FILE NUMBER RUTH A. TURNER 21 14 0811 DecedenYs debts must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Alto-Reste Park Cemetery 2,585.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative Commissions: Name(s)of Personal Representative(s) Street Address City State ZIP Year(s)Commission Paid: 2, AttomeyFees: Jan L Brown &Associates 3,000.00 3. Family Exemption:(If decedenPs address is not the same as ciaimanPs,attach explanation.) Claimant SVeet Address City State ZIP Relationship o(Claimant to Decedent 4. Probate Fees: Cumberland County Register of Wilis 190.50 5 accountantFees: Parks & Company 605.00 6. Tax Retum Preparer Fees: 7. Deluxe Check; printed checks 44.25 TOTAL(Also enter on Line 9,Recapitulation) $ g 424.75 If more space is needed,use additional sheets of paper of the same size. REV-1512 EX+(12-12) pennsylvania SCHEDULE I DEPARTMENT OF REVENUE DEBTS OF DECEDENT� INHERITANCETAXRETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER RUTH A. TURNER 21 14 0811 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 �. Check 2445 written predeath; cashed postdeath 502.00 2 Comcast 80.01 3 PA Department of Revenue; reimbursement of property rebate check pursuant to 500.00 Notice dated 8/12/14 4 Pinnacle Heaith Medical Group 14.26 5 UCP Central PA 54.00 6 Verizon 31.36 TOTAL(Also enter on Line 10,Recapitulation) $ 1 181.63 If more space is needed, insert additional sheets of the same size. REV-1513 EX.(01-10) pennsylvania SCHEDULE J DEPARTMENT OF REVENUE BENEFICIARIES INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF: FILE NUMBER: RUTH A. TURNER 21 14 0811 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE i TAXABLE DISTRIBUTIONS [Include outright spousal distributions and Uansfers under Sec.9116(a)(1.2).] 1. Kenneth Riland, son-in-law Lineal 69 Millers Gap Rd, Enola, PA 17025 Sch F 2 Beth A Riland, aka Beth Ann Riland, daughter Lineal 69 Millers Gap Rd, Enola, PA 17025 Sch F, G & 100% residue ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET,AS APPROPRIATE. 1[. NON-TAXABLE DISTRIBUTIONS: A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS: 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed,use additional sheets of paper of the same size. LAST WILL AND TESTAMENT � OF co � � � ;; �� "n c� ,� RUTH A. TURNER `_� ? f? � c:� � � _,: r t � :,i � - ] .:J C'j � . r� O �O -'.i "7 - `Tl . �., - _ h , N ;� m I, RUTH A. TURNER, of Dauphin County,Pennsylvania,declare this to be my Last�11 � � and Testament. I revoke all other Wills and Codicils that I may have previously made. Article I My just debts and expenses of my last illness, funeral,and administration of my estate shall be paid by my Executor from the principal of my residuary estate as soon as practicable after my death. Article II All inheritance,estate,and succession taxes(including interest and penalties thereon,but not including any generation skipping tax) payable by reason of my death shall be paid out of and be charged generally against the principal of my residuary estate without reimbursement from any person. This provision is not a waiver of any right which my Executor has to claim reimbursement for any such taxes which become payable as the result of any property over which I have the power of appointment. Article III I give, devise and bequeath in accordance with any memorandum which I have either handwritten or signed,located with my Will or with my valuable papers and found within 30 days of the probate of my Will. Gifts may only be to persons who survive me or to organizations which exist at my death, and if there is a conflict, the memorandum having the latest date shall govern. Article IV All the rest, residue and remainder of my estate, of whatsoever nature and wheresoever situate, I give, devise and bequeath to my daughter, BETH A. RILAND, of Cumberland County, Pennsylvania. In the event that BETH A.RILAND predeceases me or fails to survive me by thirty (30) days, I give, devise and bequeath the remainder of my estate, of whatsoever nature and wheresoever situate according to the following: I give and bequeath the vehicle I own at the time of my death to my nephew, RICHARD WHITTINGSLOW,of Rosharan, Texas. All the rest,residue and remainder of my estate,I give,devise and bequeath according to the following: ONE THIRD of the residue of the residue of my estate to LINDA BIGLER,of Cumberland County, Pennsylvania, outright and per stirpes; ONE THIRD of the residue of the residue of my estate to DAULTON BIGLER to be held in trust according to Article V; and ONE THIRD of the residue of the residue of my estate to KARLI BIGLER to be held in trust according to Article V. - 2- If any of my beneficiaries predecease me or fail to survive me by thirty (30) days, I give, devise and bequeath his or her share to his or her issue who survive me, per stirpes, or if he or she has no issue, the share(s) are to be added equally to the other shares. Article V Separate Trusts are to be established for DAULTON BIGLER and KARLI BIGLER under the following terms and conditions: In the event DAULTON BIGLER and/or KARLI BIGLER attend college,they(he and/or she) are to receive the income from their Trust during college. When each attain the age of twenty- one (21), the remaining funds in his/her Trust shall be distributed to the beneficiary outright. In the event DAULTON BIGLER andlor KARLI BIGLER do not attend college, the interest from the Trust funds is not available, but shall be accumulated in the Trust until the beneficiary attains the age of twenty-five(25). When the beneficiary(ies) attain the age of twenty- five(25),the beneficiary's Trust funds shall be distributed,including accumulated income, interest and principal. If any of my beneficiaries predecease me or fail to survive me by thirty (30) days, I give, devise and bequeath his or her share to his or her issue who survive me, per stirpes, or if he or she has no issue, the share(s) are to be added equally to the other shares. No beneficiary or remainderman of this Trust shall have any right to alienate, encumber,or hypothecate his or her interest in the principal or income of the Trust in any manner, nor shall any interest be subject to claims of his or her creditors or liable to attachment, execution, or other processes of law. - 3 - Article VI I hereby appoint KENNETH RILAND as Trustee of any Trust(s) created in this Will. In the event of the renunciation, death, resignation, or inability to act, for any reason whatsoever of KENNETH RILAND, I nominate and appoint LINDA BIGLER as Successor Trustee of any Trust(s) created in this Will. Article VII In order to carry out the purposes of the Trust established by this Will, the Trustee, in addition to all other powers granted by this Will or by law,shall have the following powers over the Trust estate, subject to any limitations specified elsewhere in this Will: (a) to retain in the form received and/or to sell either at public or private sale, any real estate or personal property except that which I specifically bequeath herein, (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (� to file fiduciary/income tax returns and pay the tax due for any year for which such a return is required, (g) to make distributions in cash or in kind,or in both,and to determine the value of any such property, - 4- (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct along with or with others, any business in which I am engaged in or have an interest in at the time of my death, and (j) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. Article VIII I nominate, constitute, and appoint BETH A. RILAND Executrix of my Last Will and Testament. In the event of the renunciation, death,or inability to act, for any reason whatsoever of my Executrix,I nominate,constitute and appoint KENNETH RILAND successor Executrix of my Last Will and Testament. I direct that my Executrix and successor Executrix be permitted to serve without bond and in addition to those powers granted by law,I grant them power to distribute in cash or in kind in like or in unlike shares and to file any qualified disclaimer I could have filed if living. My Executrix and successor Executrix shall receive reasonable compensation for services rendered to my estate. Article IX In addition to the powers confened by law, I authorize my Executrix and successor Executrix, in his/her absolute discretion: (a) to retain in the form received and to sell either at public or private sale,any real estate or personal property except that which I specifically bequeath herein, - 5 - (b) to manage real estate, (c) to invest and reinvest in all forms of property without being confined to legal investments, and without regard to the principal of diversification, (d) to exercise any option or right arising from the ownership of investments, (e) to compromise claims without court approval and without consent of any beneficiary, (� to file any federal income tax return for any year for which I have not filed such return prior to my death, (g) to make distributions in cash or in kind,or in both,and to determine the value of any such property, (h) to employ any attorney, investment advisor, or other agent deemed necessary by my Executor; and to pay from my estate reasonable compensation for all their services, (i) to conduct alone or with others, any business in which I am engaged in, or have an interest in at time of my death, and (j) to receive reasonable compensation in accordance with their standard schedule of fees in effect while their services are performed. IN WITNESS WHEREOF,I,RUTH A.TURNER,hereby set my hand to this my Last Will i� and Testament, on_ (�� , ,, � 3 , 2003, at Harrisburg, Pennsylvania. ��\�,�.�-�. �� 1�...��.-r-�� RUTH A. TURNER - 6- In our presence, the above-named RUTH A. TURNER signed this and declared this to be her Last Will and Testament, and now at her request,in her presence, and in the presence of each other, we sign as witnesses. Name Address � �nCl,l.�lCL�� i:..�C_ �.(r ct l,L�. +� .(.(i �t,� � � .. f�l-� i 7c?3.3 ��"�"�,-.� �(.� �f1)r�i�,y L6�!�C t i o��-�- ��1 c�:�,�� v��-/LC c u(C��C Z,;� f2� r�C J 7 I, RUTH A. TURNER, Testatrix, who signed the foregoing instrument, having been duly qualified according to law,acknowledge that I signed and executed this instrument as my Will, and that I signed it willingly as my free and voluntary act for the purposes therein expressed. Sworn to or affirmed and acknowledged before me by RUTH A. TURNER, the Testatrix, on , ^1 , 2003. -- l:i.�. N�a Public RUTH . TURNER �n� �� - �- We, the undersigned witnesses who signed the foregoing instrument, being duly qualified according to law, depose and say that we were present and saw the Testatrix sign and execute this instrument as her Will;that she signed and executed it willingly as her free and voluntary act for the purposes therein expressed;that each of us in her sight and hearing signed the Will as witnesses,and that to the best of our knowledge, that she was at that time eighteen (18) years or more of age, of sound mind, and under no constraint or undue influence. Sworn to or affirmed and subscribed to before me bY �C'n.LL�.k 1�.��e� �c��C ��_:� and,.Lt C� t�e.Qt,.y�k Qx'�,R,��j�t Witness witn�sses, on��- , 2003. _ . �t Ll C �(,l� k.�.h'� ��.,11.;'Y`L��I.L(� �� tness � J �+ o a Public NOTARfAI SfAI� lAN L Bt�Mq NOTAfrf PUBLIC LpyyER p1UQpN 1UI�P. DAUPHifl COUHTY MY COMMISSION FXPII�EES MARCH 29 2004 - 8-