HomeMy WebLinkAbout05-04-15 (2) 1505610143
REV-1500 EX(02-11)
PA Department of Revenue y OFFICIAL USE ONLY
p penns Ivania County Code Year File Number
Bureau of Individual Taxes DEPARTMENT OF REVENUE
PO BOX.280601 INHERITANCE TAX RETURN 21 14 0836
Harrisburg t.PA 17128-0601 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
280 32 6593 08 18 2014 08 25 1924
Decedent's Last Name Suffix Decedent's First Name MI
TOKUHATA GEORGE K
(if Applicable)Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
X❑ 1. Original Return 2. Supplemental Return 3. Remainder Return(Date of Death
Prior to 12-13-82)
F] 4, Limited Estate 4a Future Interest Compromise
(date of death after 12-12-82) 5. Federal Estate Tax Return Required
6 Decedent Died Testate
(Attach Copy of Will) 7. Dee dent Mapy in Tnesd)a Living Trust(Attg, Total Number of Safe Deposit Boxes
L7 9. Litigation Proceeds Received 10.between i2 31 1 ndt1(Da95)f Death 11 Election to tax under Seo.9113(A)
(Attach Schedule O)
CORRESPONDENT-THIS SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
MICHAEL L BANGS 717 7307310
REGISTER OF(W USE aLY c
First Line of Address
429 SOUTH 18TH STREET
Second Line of Address '77
DATE FILED
City or Post Office State ZIP Code
CAMP HILL PA 17011
Correspondent's e-mail address: mikebangs@yerizon.net
Under penalties of perjury,I declare that I have examined this return,including accompanying schedules and statements,and to the best of my knowledge and belief,
it is true,correct and complete.Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
�IGNATURE OF PERSON R ONSIBLE FOR FILING RETURN DATE
�A_1 — . shnan Ramaswamy3a�S
ADDRESS
128 Rockledge Drive, Mechanicsburg PA 17050
SIGNATOR_OF PREPARER OTHER HA rEPRESENTATIVE DATE
--> Michael L. Bangs 3u fSr
ADDRESS
429 South 18th Street, Camp Hill, PA 17011
Side 1
1505610143 1505610143 J
1505610243
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: Tokuhata, George K. 280 32 6593
RECAPITULATION
1. Real Estate(Schedule A)....................................................................................... 1.
2. Stocks and Bonds(Schedule B)............................................................................. 2. 391 , 874 . 62
3. Closely Held Corporation,Partnership or Sole-Proprietorship(Schedule C)......... 3.
4. Mortgages&Notes Receivable(Schedule D)........................................................ 4.
5. Cash,Bank Deposits&Miscellaneous Personal Property(Schedule E)............... 5. 404r239 . 07
6. Jointly Owned Property(Schedule F) ❑ Separate Billing Requested............ 6.
7. Inter-Vivos Transfers&Miscellaneous Non-Probate Property
(Schedule G) a Separate Billing Requested............ 7. 45 , 614 . 99
8, Total Gross Assets(total Lines 1 through 7)........................................................ 8. 841 , 728 . 68
9. Funeral Expenses and Administrative Costs(Schedule H).................................... 9. 49, 94 0 . 80
10. Debts of Decedent,Mortgage Liabilities and Liens(Schedule 1)............................ 10. 18 , 093 . 81
11. Total Deductions(total Lines 9 and 10)................................................................ 11. 68 , 034 . 61
12. Net Value of Estate(Line 8 minus Line 11).......................................................... 12. 773 , 694 . 07
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made(Schedule J)............................................... 13. 477 , 668 . 21
14. Net Value Subject to Tax(Line 12 minus Line 13)............................................... 14. 296, 02 5 . 86
TAX COMPUTATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate,or
transfers under Sec.9116 0 . 00
(a)(1.2)X.00
15.
16. Amount of Line 14 taxable 0 . 00
at lineal rate X .045 16.
17. Amount of Line 14 taxable
at sibling rate X.12 296 025 . 86 17. 35 , 523 . 10
18. Amount of Line 14 taxable
at collateral rate X.15 0 . 00 18. 0 . 00
19. TAX DUE................................................................................................................ 19. 35 , 523 . 10
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT. ❑X
Side 2
1505610243 1505610243
REV-1500 EX Page 3 File Number 21-14-0836
Decedent's Complete Address:
DECEDENT'S NAME
Tokuhata, George K.
STREET ADDRESS
100 Mt.Allen Drive
CITY STATE ZIP
Mechanicsburg PA 17050
Tax Payments and Credits:
1. Tax Due(Page 2,Line 19) (1) 35,523.10
2. Credits/Payments
A. Prior Payments 35,000.00
B. Discount 1,776.16
Total Credits(A +B) (2) 36,776.16
3. Interest (3)
4. If Line 2 is greater than Line 1 +Line 3,enter the difference. This is the OVERPAYMENT. (4) 1,253.06
Check box on Page 2,Line 20 to request a refund
5. If Line 1 +Line 3 is greater than Line 2,enter the difference. This is the TAX DUE. (5)
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;..................................
ncome:.................................. ❑ ❑
c. retain a reversionary interest;or............................................................................................................... ❑ ❑
d. receive the promise for life of either payments,benefits or care?............................................................ ❑ ❑
2. If death occurred after Dec. 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration?.................................................................................................................... ❑ 0
3. Did decedent own an"in trust for" or payable upon death bank account or security at his or her death?....... ❑ ❑x
4. Did decedent own an individual retirement account,annuity,or other non-probate property which
contains a beneficiary designation?.................................................................................................................. x❑ El
,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 is 3 percent[72 P.S.§9116(a)(1.1)(i)].
For dates of death on or after January 1, 1995,the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0 percent
172 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(a)(1)].
• The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12 percent[72 P.S.§9116(a)(1.3)]. A
sibling is defined under Section 9102,as an individual who has at least one parent in common with the decedent,whether by blood or adoption.
Rev-1503 EX+(6-98)
SCHEDULE B
STOCKS & BONDS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Tokuhata, George K. 21-14-0836
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM CUSIP VALUE AT DATE
NUMBER NUMBER DESCRIPTION UNIT VALUE OF DEATH
1 1,034.008 shares of American Funds Account#00086730412 10,350.42
-Short-term Bond Fund of America-A
2 2,843.57 shares of American Funds Account#00086730412- 61,762.34.
The Income Fund of America-A
3 828.446 shares of American Funds Account#00086730412- 50,419.22
Capital Income Builder-A
4 1,538.021 shares of American Funds Account#00086730412 76,670.35
-Europacific Growth Fund-A
5 1,181.014 shares of American Funds Account#00086730412 16,038.17
-Intermediate Bond Fund of America-A
6 4,458.206 shares of American Funds Account#00086730412 176,634.12
-The Investment Company of America-A
TOTAL(Also enter on Line 2, Recapitulation) 391,874.62
(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 B(Rev.6-98)
Rev-1508 EX+(11.10)
SCHEDULE E
pennsylvania CASH, BANK DEPOSITS, & MISC.
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN PERSONAL PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Tokuhata, George K. 21-14-0836
Include the proceeds of litigation and the date the proceeds were received by the estate.
All property jointly-owned with the right of survivorship must be disclosed on schedule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 PA Department of Revenue -2014 income tax refund 145.00
2 Sale of miscellaneous furniture 2,750.00
3 Sale of miscellaneous jewelry 790.00
4 Sale of miscellaneous personal property 50.00
5 US Treasury-2014 income tax refund 1,848.00
6 Wells Fargo-Checking Account#3539 3,659.46
7 Wells Fargo-Checking Account#2875 0.01
8 Wells Fargo-Checking Account#2676 100.01
9 Wells Fargo-Checking Account#8294 38,990.73
10 Wells Fargo-Savings Account#6793 73,002.14
11 Wells Fargo-Savings Account#8658 198,796.94
12 Wells Fargo-Savings Account#3041 55,903.32
13 Wells Fargo-Savings Account#3058 9,156.25
14 Wells Fargo-Savings Account#1586 7,673.68
15 Wells Fargo-Certificate of deposit 11,373.53
TOTAL(Also enter on Line 5, Recapitulation) 404,239.07
(If more space is needed,additional pages of the same size)
Copyright(c)2010 form software only The Lackner Group,Inc. Form PA-1500 Schedule E(Rev. 11-10)
Rev-1510 EX+(08.09)
SCHEDULE G
pennsylvania INTER-VIVOS TRANSFERS AND
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Tokuhata, George K. 21-14-0836
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.
ITEM DESCRIPTION OF PROPERTY DATE OF DEATH % DECD'S EXCLUSION TAXABLE
NUMBER THE DATE OF TRANSERSATfACH A COPY OF TIHE DEED FFOREREAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) VALUE
1 American Funds-IRA EXG9322081 01; beneficiary is 45,614.99 45,614.99
the decedent's brother
TOTAL(Also enter on Line 7, Recapitulation) 45,614.99
(If more space is needed,additional pages of the same size)
Copyright(c)2009 form software only The Lackner Group,Inc. Form PA-1500 Schedule G(Rev.08-09)
REV-1511 EX+(10-09)
pennsylvania SCHEDULE H
DEPARTMENT OF REVENUE FUNERAL EXPENSES AND
INHERITANCE TAX
RESIDENT DECEDENT RETURN ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
Tokuhata, George K. 21-14-0836
Decedent's debts must be reported on Schedule I.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
See continuation schedule(s) attached 8,201.00
B. ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Name of Personal Representative(s)
Krishnan Ramaswamy
Street Address 128 Rockledge Drive
City Mechanicsburg State PA ziD 17050
Year(s)Commission Paid 22,000.00
2. Attornev's Fees Michael L. Bangs 18,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's,attach explanation)
Claimant
Street Address
City State Zio
Relationship of Claimant to Decedent
4. Probate Fees 685.50
5. Accountant's Fees
6. Tax Return Preparer's Fees 790.00
7. Other Administrative Costs 264.30
See continuation schedule(s) attached
TOTAL(Also enter on line 9, Recapitulation) 49,940.80
Copyright(c)2009 form software only The Lackner Group, Inc. Form PA-1500 Schedule H(Rev. 10-09)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Tokuhata, George K. 21-14-0836
ITEM
NUMBER DESCRIPTION AMOUNT
Funeral Expenses
1 Musselman Funeral Home 8,201.00
H-A 8,201.00
Other Administrative Costs
2 Cumberland Law Journal-estate advertisement 75.00
3 The Patriot News Co.-estate advertisement 189.30
1-1-137 264.30
Copyright(c)2002 form software only The Lackner Group,Inc. Form PA-1500 Schedule H(Rev.6-98)
Rev-1512 EX+(12-08)
SCHEDULE I
pennsylvania DEBTS OF DECEDENT,
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN MORTGAGE LIABILITIES AND LIENS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Tokuhata, George K. 21-14-0836
Report debts incurred by the decedent prior to death that remained unpaid at the date of death,including unreimbursed medical expenses.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF DEATH
1 Alert Pharmacy 136.84
2 BCCLP, Inc.-lost certificate replacement fee 75.00
3 Messiah Lifeways-9/19/14 5,777.40
4 Messiah Lifeways-12/16/14 45.00
5 Messiah Lifeways -8/15/14 10,280.05
6 Messiah Lifeways Community Support Services 363.50
7 Paul D. Dalbey, DPD 45.00
8 State Employees Retirement System -return of unearned payment 1,169.32
9 Uncle Bob's Self Storage-10/1/14 132.50
10 Verizon 69.20
TOTAL(Also enter on Line 10, Recapitulation) 18,093.81
(If more space is needed,additional pages of the same size)
Copyright(c)2008 form software only The Lackner Group,Inc. Form PA-1500 Schedule I(Rev. 12-08)
REV-1513 EX+(01-10)
pennsylvania SCHEDULE J
DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN BENEFICIARIES
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Tokuhata, George K. 21-14-0836
NAME AND ADDRESS OF RELATIONSHIP TO SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S)RECEIVING PROPERTY DECEDENDo Not List Tru T (Words) ($$$)
ITAXABLE DISTRIBUTIONS [include outright spousal
distributions,and transfers
under Sec.91 16 a 1.2
2 Shigehiko Tokuhata Brother 40%of estate
19-131-Chrome, Nakashima plus$45,614.99
Yonago City,Tottori-Ken (IRA)
Japan 683-0005
Total
Enter dollar amounts for distributions shown above on lines 15 through 18 on Rev 15)0 cover sheet as appopriate.
NON-TAXABLE DISTRIBUTIONS:
II. A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN
B.CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
1 Trinity Evangelical Lutheran Church 79,611.37
2 Johns Hopkins Bloomburg School of Public Health 238,834.10
3 State University of Iowa(Iowa City) 159,222.74
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET 477,668.21
Copyright(c)2010 form software only The Lackner Group, Inc. Form PA-1500 Schedule J(Rev.01-10)
Portfolio Summa FINANCIAL GROUP TONY FELICIANO ChFC.
Fi"KIAL PLANNINC-I NSOUNU-1WESWENT5'VNCE I M CFS.LUTCF,CLTC
For Period Ending 8118/2014 LIFINANCIAL GROUP
50-C' LOUISE OR STE 300
Tokuhata, George MECHANICSBURG,PA
'7055.6912
(717)791.3300
corn
Portfolio Summary,
3 T
Non Held-Away Assets
GEORGE TOKUHATA
INDIVIDUAL
00086730412
SHORT-TERM BOND FUND OF AMERICA-A 1034.008 $10,350.42
THE INCOME FUND OF AMERICA-A 2843.570 $61,762.34
CAPITAL INCOME BUILDER-A 828.446 $50,419.22
EUROPACIFIC GROWTH FUND-A 1538.021 $76,670.35
INTERMEDIATE BOND FUND OF AMERICA-A 1181.014 $16,038.17
THE INVESTMENT COMPANY OF AMERICA-A 4458.206 $176,634.12
$391,874.62
$391,874.62
IRA
EXG9322081 01
Fixed Account $45,614.99
$45,614.99
$45,614.99
$437,489.61
Non Held-Away Asset Total: $437,489.61
Group Totals: $437,489.61
Income and yield figures represent historical payments received within the 12 months prior to the date of the report. Past performance is no
guarantee of future results.
Report Generated On:8/2612014 11:26:30 AM Eastern Standard Time Page 2 of 5
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I
L. GEORGE K. TOKUIHATA, of Wormleysburg Borough, Cumberland County,
Pennsylvania, declare this to belmy last will and revoke any will previously made by me.
ITEM I. I direct that all my just debts and funeral expenses, including my gravemarker
and all expenses of my last illness, and any and all taxes and assessments imposed by any
governmental body as a result of my death, whether on property passing under this will or
otherwise, shall be paid from my residuary estate as soon as practical after my death as a part of
I
the expense of the administration of my estate.
ITEM II. I give and bequeath all of my household goods, automobiles,jewelry, and all
other articles of household and }personal use, equipment and ornament_ together with all
insurance thereon and relating thereto. to m\- wife. SUMIKO M. TOKtHATA provided she
survives my death by thirty (30) days.
ITEM III. I specifically provide that my Executor find appropriate living quarters for
our two pet parrots, should they The alive at the time of our death. The Executor should pay
$1,000.00 to the individual or individuals who are caring for our parrots. If our parrots do not
survive our death or, in the Executor's sole opinion, this provision is impractical or impossible to �.
t
complete, then the $1,000.00 is to be put into our residuary estate and distributed in accordance
with the terms of this Will. Our Executor shall have the sole and exclusive decision as to the
appropriateness of the living arrangement and the disposition of these funds.
i
i
' 1
ITEM IV. I give. devise, and bequeath all the rest, residue. and remainder of my
possessions and estate of every nature and wherever situate to my wife, SUMIKO M.
TOKUHATA provided she survives my death by thirty (30) days. Should my wife predecease
me or be deceased on the thirty-first day after my death, I give, devise, and bequeath all the rest,
residue, and remainder of my possessions and estate of every nature and wherever situate as
follows:
A. Forty (40%) percent to my brother, SHIGEHIKO TOKUHATA,
provided he survives m death b thin 30 days. Should m brother fail to
P Y Y Y ( ) Y • Y
survive my death by thiAl (30) days, his share shall go to his issue per stirpes.
B. Ten (10%) percent to the Trinity Lutheran Church in Camp Hill,
Pennsylvania.
C. Thirty (30%)percent to the Johns Hopkins School of Public Health,
Department of Epidem ji logy.
D. Twenty (20%) percent to the.State University of Iowa (Iowa City.)
ITEM V. All of the interests of the beneficiaries hereunder shall not be subject to
anticipation or to voluntary or involuntary alienation nor shall they be subject to any execution or
attachment.
ITEM VI. I appoint my wife SUMIKO M. TOKUHATA executrix of this my last will.
Should my wife predecease me or otherwise fail to qualify or cease to serve as executrix of this �
my last will. I appoint BARBARA PARSELLS executrix of this my last will.
ITEM VII. In addition to the other powers and authorities granted to my personal C
representatives by Pennsylvania;law and by the other terms and provisions of this will, I hereby
2
give to my personal representatives the following powers and authorities effective without court
approval and until actual distribution of all property: to compromise any claim or controversy;
to make distribution in cash or in kind, or partly in cash and partly in kind, and in such manner as
my personal representatives may determine and at valuations finally to be fixed by them; to
invest in all forms of property, ij cluding any stock or other securities in any corporate fiduciary
or its successor without restriction to investments authorized for Pennsylvania fiduciaries, as my
personal representatives deem proper, without regard to any principle of risk or diversification;
to retain any or all assets of my 'estate, real or personal, without regard to any principle of risk or
diversification; to sell at public or private sale, to exchange, or to lease for any period of time,
any real or personal property and to give options for sales, exchanges, or leases, for such prices
and upon such terms or conditions as my personal representatives deem proper; and to allocate
receipts and expenses to principal or income or partly to each as my personal representatives
deem proper in heir sole discretion.
ITEM VIII. I direct that my personal representatives and fiduciaries shall not be
required to give bond for the faithful performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand this s day of
. 2008.
GEORGE K./ OKUHATA
i
The preceding instrument, consisting of this and THREE other typewritten pages, each
identified by the signature of the testator was on the date thereof signed, published, and declared
by GEORGE K. TOKUHATA, the testator therein named, as and for his last will, in the presence
of us, who at his request, in his presence, and in the presence of each other, have subscribed our
names as witnesses hereto.
4
COMMONWEALTH OF PES-NSYLVANIA )
( SS:
COUNTY OF CUMBERLAND }
The undersigned, being the testator whose name is signed to the attached or f..,regoing instrument,
having been duly qualified according to law, does hereby acknowledge that I signed and executed the
foregoing 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.
J
i
GEO GE K. OKUHATA
Sworn or affirmed to and acknowledged
bei<,- by the t stator named above
this � t .da of4' , 2008.
N ary Pub]* -
V1+ii�il�(`:\':��i�l �r: F-NNSYL'VAAlA
i\! ,ay Public
LONA-2,-Ne-'l
QPI"-;::'ard Coct-rty
�Jly lJ j--p:IYes!,As IU.2011
Pennsylvania Assodiaticn of Notaries
COMMONWEALTH OF PENNSYLVANIA )
( SS:
COUNTY OF CUMBERLAND )
VvE. !"wk and Mj
witnesses wh se names are signed to a attached or foregoing 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 he signed it willingly and that he executed it 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 18 or more years of age, of sound mind,
and under no constraint or undue influence.
Com.
-�
Sworn or affirmed to and acknowledged
before in t is day of
2008.
:i J `
SYL a UrIA
3!
VV �'+L Staub.t,•oary�u,ic
LowerAllen'wp. Cum er(acw Counw
1misstott Expi ,May 10,2011
Pennsylvania Assadatfon of Notary $
roa&l-
C��Gex��G�,��C�e.��G'�SGYe'I�a�
1, GEORGE K. TOKUHATA, of Cumberland County, Pennsylvania, declare this to be
my sole codicil to my last will dated April 15, 2008.
ITEM I. 1 hereby revoke ITEM 11 of my will and in lieu thereof provide as follows:
IT USZ I ood-s I EEM 11L I amd bequca&- al1lof rn- y ho" h !d�' -2 . at r tomobilbe&
jewelry, and all other articles ot'household and personal use, equipment and
ornament. together with all insurance thereon and relating thereto, to my brother,
SHIGEHIKO TOKUHATA, provided he survives my death by thirty (330) days.
Should my brother fail to survive my death by thirty (30) days, then his share
shall go to his issue per stirpes.
ITEM 11. 1 hereby revoke and remove entirely ITEM III of my will.
ITEM III. I hereby revoke ITEM V1 of my will and in lieu thereof provide as follows:
ITEM VI. I appoint BARBARA PARSELLS executrix of this my last
will. Should she predecease me or otherwise fail to qualify or cease to serve as
executrix. I appoint KRISHNAN RAN4ASWA.MY executor of this my last will.
ITEM IV. In all other respects. I hereby ratify. confirm and republish my last will dated
April 15, 2008, together with this sole codicil as and for my last will.
IN WITNESS WHEREOF. I have hereunto set my hand and seal thisr day
of . 2012.
GEORGUK. TOKUHATA
Signed, published. and declared on the date hereof by the above-named testator as and for
the sole codicil to his last will dated April 15, 2008, in the presence of us, who at his request, in
his presence, and in the presence of each other, have subscribed our names as witnesses hereto.
2
COMM; Oti'%TALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND
The undersigned. being the testator whose name is signed to the attached or foregoing
instrument, having been duly qualified according to law, does hereby acknowledge that I signed
and executed the foregoing instrument as my sole codicil to my last will, that I signed it
willingly; and that I signed it as my free and voluntary act for the purposes therein expressed.
GEOR K. TOKUHATA
Sworn or affirmed to and acknowledged
befoiv
e s:!e by the testator named above COMiO
NNWEALTH Of PENNSYLVANIA
this2 day ofi� c" 2012. NOTARIAL SEAL.
} ` Wendy K. Straub, Notary Public
} 11 1; r Lower Alleva Township,Cumberland County
My Commission Expires May 10, 2015
?rotary Public
COMMONWEALTH OF PENNSYLVANIA )
( SS.:
COUNTY OF CUMBERLAND ) p
WE, r , „�',c c l �C N"1 and ��136tu-14 M R:N(VI>4tl�/ ,jtht 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 the testator sign and execute the
instrument as his sole codicil to his last will; that he signed it willingly and that he executed it 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 codicil as witnesses; and that to the best of our knowledge,the
testator was at that time 18 or more years of age, of sound mind, and under no constraint or undue
influence.
Sworn or affirmed to and 4nowledged
before ,,- this day �i 11-012.
l �, �-
_� b
r-
Notary-Public j
COMMONWEALTH NNSYLVANIA
NOTARIAL SEAL 3
Wendy K. Straub, Notary Public
Lower Allen Township, Cumberland County
my Commission Expires May 10, 2015
BANC35 LALW OFFICE, LLC
429 SOUTH 18TH STREET PHONE: 717-730-7310
CAMP HILL,PA 17011 FAX: 717-730-7374
E-mail: mikeban2s(a),verizon.net
MICHAEL L.BANGS,Attorney-at-Law WILLIAM E. MILLER,JR.
WENDY K.STRAUB,Paralegal Of Counsel
April 30, 2015
Lisa M. Grayson, Register of Wills i
Cumberland County Courthouse o
One Courthouse Square n C:).
Carlisle, PA 17013 , a
rr "I M
RE: Estate of George K. Tokuhata � � c3
File No. 21-14-0836
Dear Ms. Grayson: -;ato
ry
Enclosed you will find the following:
I. The original and one copy of the Pennsylvania inheritance tax return.
2. The original inventory.
Kindly file these accordingly and send me a receipt in the enclosed, stamped, pre-addressed
envelope.
If you require anything further, please let me know.
Thank you.
Very truly yours,
Michael L. Bangs
wks
Enclosures
cc: Mr. Krishnan Rarnaswamy
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