HomeMy WebLinkAbout04-25-06
REV. 1500 EX + (lHlO)
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REV -1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
FILE NUMBER
21 06
COUNTY CODE YEAR
SOCIAL SECURITY NUMBER
00127
NUMBER
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG, PA 17128-0601
DECEDENT'S NAME (LAST. FIRST, AND MIDDLE INITIAL)
KINNARD, JULIA P
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DATE OF DEATH (MM-DD-YEAR)
DATE OF BIRTH (MM-DD-YEAR)
CFFiCi;\L USE:
174-20-5948
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
REGISTER OF WILLS
SOCIAL SECURITY NUMBER
181 1. Original Return
o
181
o
o 2. Supplemental Return
o
181
o
4a. Future Interest Compromise (date of death after
12-12-82)
7. Decedent Maintained a Living Trust (Attach
copy of Trust)
10. Spousal Poverty Credit (date of death between
12-31- -1-95
o 3. Remainder Retum (date of death prior to 12-13-82)
o 5. Federal Estate Tax Return Required
o 8. Total Number of Safe Deposit Boxes
o 11. Election to tax under Sec. 9113(A) (Attach Sch 0)
4. Limited Estate
6. Decedent Died Testate (Attach copy
of Will)
9. Litigation Proceeds Received
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~ IRM NAME (If applicable)
~ Martson Deardorff Williams & Otto
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ELEPHONE NUMBER
717/243-3341
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Corporation, Partnership or Sole-Proprietorship
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4. Mortgages & Notes Receivable (Schedule D)
5. Cash, Bank Deposits & Miscellaneous Personal Property
(Schedule E)
6. Jointly Owned Property (Schedule F)
o Separate Billing Requested
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total Lines 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
o OFFiCIAL U~)NLY
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01/27/2006
09/18/1916
Ten East High Street
Carlisle, P A 17013
(1 ) None
(2) 294,000.39
(3) None
(4) None
(5) 34,953.79
(6) None
(7) None
(9)
(10)
32,379.30
1,785.96
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(IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST AND MIDDLE INITIAL)
13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been
made (Schedule J)
14. Net Value Subject to Tax (Line 12 minus Line 13)
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(8)
328,954.18
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I)
11. Total Deductions (total Lines 9 & 10)
12. Net Value of Estate (Line 8 minus Line 11)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
(11 )
34,165.26
294,788.92
(12)
(13)
(14)
294,788.92
15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15)
or transfers under Sec. 9116(a)(1.2)
z 294,788.92 .045 (16)
0 16. Amount of Line 14 taxable at lineal rate x
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0.. 17. Amount of Line 14 taxable at sibling rate x .12 (17)
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~ 18. Amount of Line 14 taxable at collateral rate x .15 (18)
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19. Tax Due (19)
20. 0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
13,265.50
13,265.50
Copyright 2000 form software only The Lackner Group, Inc.
Form REV-1500 EX (Rev. 6-00)
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Decedent's Complete Address:
STREET ADDRESS
90 Shag Bark Lane
663.28
I STATE PA IZIP 17081
(1 ) 13,265.50
Total Credits (A + B + C) (2.1- -- ~63.28
CITY
Plainfield
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. InteresUPenalty if applicable
D. Interest
E. Penalty
(3) 0.00
(4)
(5) 12,602.22
(5A)
(5B) 12,602.22
TotallnteresUPenalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 1 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.
A. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
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;.................................................................................. D ~
~: ~::~ ~:~:~i:n~~:~~~:s~~..~~~~~.~~~.~~.:.~~:..~.~.~:~.~~~~.~~~~.~:~~~::::::::::::::::::::::::::::::::::::: ~ ~
d. receive the promise for life of either payments, benefits or care?.............................................................. [j ~
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? .... ...... ............ ........................ ....... ....... ...... ..................................................... D ~
D ~
D ~
3. Did decedent own an "in trust for" or payable upon death 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? ......................................................................................................................
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
preparer other than the personal representative is based on all information of which preparer has any knowledge.
SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DDRESS
Ca S Kino rd
DATE
P.O. Box 113
Hume, VA 22639
P.O. Box 192
Plainfield, P A 17081
ADDRESS
ADDRESS
Ten East High Street
Carlisle, PA 17013
H\2.~\D'
For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the
surviving spouse is 3% [72 P .S. 99116 (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%
[72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exemot 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 twenty-one 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% [72 P.S. 99116 (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%, except as noted in 72 P.S. 99116
1.2) [72 P.S. 99116 (a) (1)].
The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. 99116 (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.
.
SCHEDULE B
STOCKS & BONDS
COMMONWEAL TH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF KINNARD JULIA P
,
I FILE NUMBER
21 - 06 - be> l ~ 1
All property jointly-owned with right of survivorship must be disclosed on Schedule F.
ITEM DESCRIPTION UNIT VALUE VALUE AT DATE OF
NUMBER DEATH
1 700 sh BP PLC (055622104) 71.015 49,710.50
2 350 sh common Sunoco (86764PI09) 91.145 31,900.75
3 2369.348 sh MTB Group Fd Eq Index I (55376T882) 10.66 25,257.25
4 2243.491 sh MTB Group Fd LCP Stk I (55376T692) 8.47 19,002.37
5 13776.482 SEI Tax Exempt Tr Pa Mun PRF A (784118507) 10.46 144,102.00
6 23981.03 sh MTB Group Fds Pa TaxFree MM I (55376T262) 1.00 23,981.03
7 accrued income to No.6 above 46.49
[all of above items were held in name of Revocable Living Trust, copy attached]
TOTAL (Also enter on line 2, Recapitulation) 294,000.39
.
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
KINNARD, JULIA P
I FILE NUMBER
21 - 06 - OD I J. .,
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
NUMBER
1
DESCRIPTION
VALUE AT DATE OF
DEATH
24,291.85
M&T Bank, Checking Account No. 523334878
2
PNC Advisors, Cole Price Trust Account No. 60-60-001-3416678, accrued income
1,736.85
3
PNC Advisors, Gertrude L. Price Trust Account 60-60-001-2371403, accrued income to date of death
4,086.80
4
PNC Advisors, Cole Price Trust, Account 1157961, accrued income to date of death
2,238.29
5
1994 Nissan Pathfmder, fair condition
2,600.00
TOTAL (Also enter on Line 5, Recapitulation)
34,953.79
.
SCHEDULE H
RJNERAL EXPENSES &
ADIVIINISTRATIVE COSTS
ESTATE OF
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
KINNARD, JULIA P
I FILE NUMBER
21 - 06 -oo/~1
ITEM
NUMBER
A.
B.
Debts of decedent must be reported on Schedule I.
DESCRIPTION
FUNERAL EXPENSES:
Ewing Brothers Funeral Home, Carlisle, P A
ADMINISTRATIVE COSTS:
1. Personal Representative's Commissions
Cable S Kinnard Jonathan P. Kinnard
y Number{s) I EIN Number of Personal Representative{s):
Street Address P.O. Box 192
City Plainfield
Year(s) Commission paid
State
PA
Zip 17081
2006
2.
Attorney's Fees
Martson Deardorff Williams & Otto (estimated)
3.
Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Cable S. Kinnard
Street Address 90 Shag Bark Lane
City Plainfield State P A Zip 17081
Relationship of Claimant to Decedent Son
4.
Probate Fees
5. Accountant's Fees
6.
Klingler & Associates, 2005 individual income tax returns
Tax Return Preparer's Fees
7.
1
Other Administrative Costs
Register of Wills, Inheritance Tax Return, filing fee
2
Register of Wills, additional probate fee
Total of Continuation Schedule(s}
TOTAL (Also enter on line 9, Recapitulation)
AMOUNT
1,484.30
12,800.00
13,600.00
3,500.00
360.00
275.00
15.00
50.00
295.00
32,379.30
.
Schedule H
Funeral Expenses &
PdninistratNe Cos1s continued
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
KINNARD, JULIA P
I FILE NUMBER
21 - 06 - DO I 2. ,
3
State Farm Insurance, vehicle insurance premium pending disposition
195.00
4
Reserved for investment fees, filing fees Releases, etc.
100.00
Page 2 of Schedule H
.
SCHEDULE I
DEBTS OF DECEDENT, MORTGAGE
LIABILITIES, & LIENS
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
KINNARD, JULIA P
I FILE NUMBER
21 - 06 - OtJlr11
Include unreimbursed medical expenses.
ITEM
NUMBER
1
DESCRIPTION
AMOUNT
M&T Checking #523334878, outstanding check on date of death
600.00
2
Belvedere Medical Corporation, medical expense
33.72
3
Lancaster HMA Physicians Mgmt Cent Pen, medical expense
94.87
4
Carlisle Regional Medical Center, medical expense
952.00
5
Moffitt Heart & Vascular Group, medical expense
105.37
TOTAL (Also enter on Line 10, Recapitulation)
1,785.96
, REV-1513 EX+ (9-00)
.
SCHEDULE J
BENEFICIARIES
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
KINNARD, JULIA P
I FILE NUMBER
21 - 06 -OD/~ 1
RELATIONSHIP TO AMOUNT OR SHARE
NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY DECEDENT OF ESTATE
nn
I. TAXABLE DISTRIBUTIONS (include outright spousal distributions)
1 Cable S. Kinnard Son $142,885.34 plus 1/4
P.O. Box 192, Plainfield, P A 17081 estate residue
2 Jonathan P. Kinnard Son $93,186.09 plus 1/4
P.O. Box 113, Hume, VA 22639 estate residue
3 Ruster Kinnard Son $6,212.41 plus 1/4
8626 SW 202nd S1., Archer, FL 32618 estate residue
4 Julia K. Howe Daughter 1/4 estate residue
6871 SW 57 Terrace, Miami, FL 33143
Enter dollar amounts for distributions shown above on lines 15 through 18, as appropriate, on Rev 1500 cover sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART 11- ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET
. FEB- 2-05 WED 3: 34 PM M&T INVESTMENT GROUP
FAX NO, 7172631630
P. 2
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REVOCABLE ~G TRUST
I, Jul ia P. Ki nnard ("Settlor"), residing at % &tH, 16~f.~ ~ IJ ~ ~~.;1..
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'9 tJ .s~~t4./t,.; t 1~4. # A !../l dL. hereby transfer to Financial Trust Services Company
("Trustee"), the property described in the attached Schedule, to be held in Trust upon the
following Lerms:
FlRST. Dispositive Provisions For Mv Benefit. During my lifetime:
A. All of the net income shall be paid LO nle at least quarterly or shall be
paid or accunlulated and added to principal, as I may direct in writing.
B. As much of the principal as I may from tilne to time request in writing
shall be paid to me or as I may otherwise direct.
C. If, in the Trustee's opinion, I am at any tilne una.ble to act or to apply
the payments to lny own best interest and advantage, the Trustee may apply directly
for Iny benefit as nluch of the income and/or principal as the Trustee Inay ~ from tilne
to time, deem appropriate for my welfare, comfort, support or emergency needs, and
lnay add to principal as much of the incolne as the Trustee deenls advisable.
D. Trustee shall keep true and correct boob of account, which books of
account shall at all reasonable times be open to the inspection of me or my duly
appointed representative. Trustee also shall render quarterly to nlC a detailed
statement showing all receipts and disbursements on account of the trust estate and the
m~nner and fnrm in which the trust estate is invested at the time of the renuition of
such staternen L .
SECOND. Dispositive Provisions After My Denth. Upon my deatht this Trust
shall terminate and the Trustee shall pay the. then remaining principal and income to the
Executor or Administrator of my estate for distribution as part of my estate.
TmRD. R1eht To Revoke And Amend. I reserve the right to revoke or
amend this Trost, in whole or in part at any tin1e and froln tiInc to time by an instnJtllcnt in
writing, delivered to the Trustee and intended to take effect during nlY lifetime, except that
the duties, powers, and liabilities of the Trustee shall not be changed wiUlout its written
consent. The Trustee reserves the right, at any tinle upon thiny (30) days advance written
. FEB- 2-05 WED 3:35 PM M&T INVESTMENT GROUP
FAX NO. 7172631630
P. 3
(i)
notice to Settlor, to resign the Trust and deliver the Trust Estate to me, after deducting
therefrom its fees and any expenses then due Wld payable.
FOURTH. Additions Tg >>e Trost. Subject to the approval of the TruStee, I
may add property t real and personal, to the principal of the Trust, by deed, will or
otherwise.
FIFTH. TrosteeJs Powers. In addition to the powers granted by law and such
powers as may have been granted elsewhere in this Trost~ the Trustee shall have the
following discretionary powers, applicable to principal and income. which shall be
exercisable without leave of court and shall be effective until distribution is actually made:
A. To accept and retain any property and to invest and reinvest. without
being confined to "legal investments", and without responsibility for diversification,
in any form of property, including by way of illustration ~nd not of limitation: real
estate; common stocks; bonds; options; common trust funds nlaintained by or
securities issued by the Trustee or securities issued by any corporation controlling or
otherwise affiliated with the Trustee; investment trusts; mutual funds; and securities
issued outside the United States.
B. To subscribe for stocks~ bonds, or other investrnents; to join in any plan
of lease, mortgage, merger, consolidation, reorganization, foreclosure, or voting trust
and deposit securities thereunder; to exercise options to purchase slock and other
property; and generally to exercise all the rights. of security holders in any
corporation.
C. To buy investments at a premium. or discount;
D. To register securities in street name or in the naIne of a nominee or in
such manner that title shall pass by delivery and to vote, in person or by proxy,
securities held hereunder and in such' connection to delegate discretionary powers.
E. To retain reasonable amounts of cash uninvested, tor such periods of
time as are deemed reasonable for the efticient adnlinistration of the Trust.
F. In dividing or distributing any property, real or personal, included
herein, to divide or distribute in cash, in kind, or partly in ca:)h and partly in kind.
G. To compromise claiaTIs.
H. To determine whether any receipt or expenditure or any portion thereof
. FEB- 2-05 WED 3:35 PM
M&T INVESTMENT GROUP
~
FAX NO, 7172631630
P. 4
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should be charged or credited to income, to principal, Of partly to both, without
being obliged to apply the statutory and/or usual trust accounting rules.
I. To employ and compensate from income or principal in Trusteets
discretion investment and legal counsel, accountants, brokers, and other specialists,
and to delegate to investment counsel discretion with respect to the investment and
reinvestment of any or all of the assets held hereunder.
SIXTH. Compensation. The Trustee shall be compensated in accordance with
its standard schedule of charges in effect from time to tilne during the period of its s~rvices,
and this ,compensation shall be paid from principal or income or partly from each in the sole
discretion of the Trustee.
SEVENTIi. Protective Prov~iol1. To the greatest extent permitted by law t the
principal and income of this Trust shall be free from anticipation, assignment, pledge or
obligation of Settlors and shall not be subject to any execution or attachment or to voluntary
or involuntary conversion.
EIGHTH. Governio2 La~. This Trust is created and accepted in the
Commonwealth of Pennsylvania and shall in all respects be governed by its laws and shall
have its situs at Cumberland County, Pennsylvania.
IN WITNESS WHEREOF, Settlor has hereunto set his hand this day 'of
, 1996, and Trustee has c}\ecuted this instrulnent and caused its corporate
seal to be affixed hereto.
~/ ~=;_:-j
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JUlia P. Kinnard
FINANCIAL TRUST SERVICES COMPANY
By:
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COMMONWEALTH OF PENNSYLVANIA
COUNn" OF CUMBERLAND
@
On this, the r;~ day of -fJIIL<l'nldd ,1996, before me, a notary public in
and for the said Commonwealth and Co~nty, personally appeared Jtr<4JA ./J. k1n/J~1~"-
known (or satisfactorily proven) to be the person whose name is subscribed to the foregoing
Revocable Living Trust and acknowledged that he executed the same for the purposes therein
contained.
WITNESS my hand and notarial seal.
.. 414?l1 ~4'.N~
(SEAL)
Not'lriaf Seal J
Olrvta J. Zinni Notary Pubnc:
~yfpgensbuI rgj Soro. Cumberland County
omm 9S on ExpIres May 22, 1099
. MernbBr, P~~ot~
F: \FILES\DA T AFILE\ WD..LS\8608A. WIL
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ORIGINAl RETAINED BY:
LA W OFFICES
.dMa'tfJon. r.D~atdOtf~ CWi{{ianu 8- (.
A PROFESSIONAL CORPORATION
TEN EAST !fIGH STREEl
CARLISLE. PA 17013
LAST WILL AND TESTAMENT (717)243-3341
. . " ~
I, JULIA P. KINNARD, of Dickinson Township, Cumberland County, Pennsylvania, being
of sound and disposing mind and memory, do hereby make, publish and declare this to be my Last
Will and Testament, hereby revoking any and all fonner Wills or Codicils by me made.
1.
I direct that all my legally enforceable debts, funeral expenses, testamentary expenses and
all inheritance taxes (whether such taxes may be payable by my estate or by any recipient of any
property) shall be paid from my residuary estate as soon as practicable after my decease and as part
of the administration of my estate. My 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.
2.
In order to equalize the overall distribution of my estate to my children, having made certain
gifts to certain of my children prior to my death, I give and bequeath:
To CABLE S. KINNARD, the sum of One Hundred Fifteen Thousand Dollars
($115,000.00);
To JONATHAN P. KINNARD, the sum of Seventy-Five Thousand Dollars ($75,000.00);
and
To RUSTER KINNARD, the sum of Five Thousand Dollars ($5,000.00),
with the proviso that each such sum shall be increased by multiplying such sum by a fraction, the
numerator of which shall be the Consumer Price Index for the month of my death and the
denominator of which shall be the Consumer Price Index for February, 1997. The Consumer Price
Index referred to herein shall mean the Consumer Price Index for All Urban Consumers (1982-1984
= 100) published by the U.S. Department of Labor, Bureau of Labor Statistics. In the event
J.~ k,
J.P.K.
Page 1 of 4 Pages
publication of this index is discontinued, any similar index published and recognized by the financial
community as a substitute therefor shall be utilized in its place.
3.
I give all of the remainder of my estate unto my children, RUSTER KINNARD, JULIA
KINNARD HOWE, CABLE S. KINNARD and JONATHON P. KINNARD, in equal shares,
absolutely.
4.
I nominate, constitute and appoint my sons, CABLE S. KINNARD and JONATHON P.
KINNARD, as Executors of my estate. In the event either is unwilling or unable to so act, then the
other shall act alone. In the event neither is willing or able to so act, then I so appoint my daughter,
JULIA KINNARD HOWE. In the event she is unwilling or unable to so act, then I so appoint my
son, RUSTER KINNARD.
5.
I direct that my Executors shall not be required to file a bond to secure the faithful
performance of their duties in any jurisdiction.
6.
I authorize and empower my personal representatives, in their sole and absolute discretion,
to purchase or otherwise acquire and retain any investments of which I die seized or any real or
personal property of any nature; to sell, lease, pledge, mortgage, transfer, exchange, dispose of or
grant options in regard to any or all property of any kind forming a part of my estate for such terms
and such prices as they may deem advisable; to borrow money for any purposes connected with the
protection and preservation of my estate; to mortgage or pledge any real or personal property
forming a part of my estate or to join in or secure the partition of same; to compromise any claims
or demands of my estate against others or of others against my estate; to make distribution in kind
J ,~ b.-
J.P.K.
Page 2 of 4 Pages
and to cause any share to be composed of cash, property or undivided fractional shares in property
different in kind from any other share; to employ agents, attorneys and proxies and to delegate to
them such power as my personal representatives consider desirable and to pay reasonable
compensation for such services as may be rendered by such agents, attorneys and proxies; and to
execute and deliver such instruments as may be necessary to carry out any of these powers. In
addition, I direct that my personal representatives shall have the power to conduct an inventory of
any safe deposit box necessary to the administration of my estate.
IN WITNESS WHEREOF I have hereunto set my hand and seal this I~r day of
tI\ ~ rc..h
, 1999.
~~~ e k~ (SEAL)
Julia P. Kinnard
SIGNED, SEALED, PUBLISHED AND DECLARED by the above-named Testatrix, as and
for her Last Will and Testament, in the presence of us, who at her request, have hereunto subscribed
o s thereto, in the presence of the =x;~ ;ther.
Page 3 of 4 Pages
COMMONWEAL TH OF PENNSYLVANIA )
: SSe
COUNTY OF CUMBERLAND )
I, Julia P. Kinnard, Testatrix, 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; that I signed it willingly; and that I signed it as my free and voluntary
act for the purposes therein expressed.
'P. 1u..e lta f K~
Julia P. Kinnard
l . Sworn or affirmed to and acknowledged before me by Julia P. Kinnard, the Testatrix, this
sT day of YY\.t;tv-c.P. , 1999.
(l1U~~~~~
Notary Public
I' Notarial Seal I
Corrina L. Myers, Notary Public
Carlisle Bora, Cumberland County
I My Commission Expires May 27, 1999 .
.. .
. '
COMMONWEALTH OF PENNSYLVANIA )
: SS.
COUNTY OF CUMBERLAND )
We, ::r va v. otIt> ,-or. and DUJ'.5l.. L. J)."L
the witnesses whose names are signed to the attached or foregoing instrume3ing duly qualified
according to law, do depose and say that we were present and saw Julia P. Kinnard, the Testatrix,
sign and execute the instrument as her Last Will; that the Testatrix signed willingly and that the
Testatrix executed it as her free and voluntary act for the purposes therein expressed; that each of
us, in the hearing and sight of the Testatrix, signed the Will as witnesses; and that to the best of our
knowledge the Testatrix was at that time 18 or more ye of age, of sound mind and under no
constraint or. undue influence.
Address
'I1MuJl
Address
Sworn or affirmed to and subscribed before me this } sf day of JIh tL~ , 1999.
-,' ~_-I~
~ Notarial Seal I C;;L
I Corrina L. Myers, Notary Public Notary Public 'j;,g - , 'Jk-<J
. Carlisle ~o:o:. S~~i~?;:land Count~~"\
, My Commlss/o, I c: ,i ,~'-> May 27,1 9.;j..
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